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LILAC PARK BLK 1 LT 1
Lilac Park Block 1 Lot 1 #015-211-16 `I\GV VJ/VL/IVB Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211052 PID Number: 015-211-16 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name LAYLA & MICHAEL UNGER ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 12350 LILAC DRIVE, ANCHORAGE, AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot LILAC PARK 1 1 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft z Ft. Well 100'+ -- 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1500 Gal. Surface Water 100'+ -- Material HDPE Number of compartments 2 Lot Line 5'+ -- NA Foundation 10'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 Installer PCN drainfield Drainfield CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection ection 1M 3/18/2021 2 n 3/19/2021 Location and description 3`d 4`" TOP OF LS MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL ` OF A -'•:tQ,�i� Conditional Approval: Date � .. 4.. TM ....•:* 1 .... .. "�" . . • Curtis Huffman Septic System Approve - / �'�• CE 128991 •� �� •�� �.._ 1 Date Z `i - 21 . �'�'l� Note: this approval does not include well • . 3/20/21 . ,ki�FOpROFESS10Na�O permit requirements. `I\GV VJ/VL/IVB ' 1 • PERMIT-OSP211052 Fk�STINc SeR 100' WELL RADIUS EXISTING FIELDS 0' T. & E. ESMT. 39'59'00"E 339.06' FCO A—C=15,7' B—C=31.6' A—D=19,9' B—D=34,4' A—E=22,0' B—E=35.6' 40' PRIVATE NTING & VEGETATIVE RES VE ESMT. C REMOVED & DECOMMISSIONED EXISTING S.T. & INSTALLED NEW 1500 -GAL HDPE SEPTIC TANK E 9 CO L.S. EXISTING BED MT 10' X 30' ANCHOR E DGO FINAL GRADE CO NEW �42 I EXISTING 1,5 NEW 500-GAL HDPE TANK UFT I STATION SEPTIC SECTION SCALE, NTS LILAC PARK BLOCK 1, LOT 1 PREPARED FOR: LAYLA & MICHAEL UNGER 12350 LILAC DRIVE ANCHORAGE, AK 99516 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK@gmail.com EXISTING FIELD 00 0 60 Jry II JUI'NUK IStKVIGtS: of A1,4I.,. swcs� DATE: 3/22/2021tis Huffman.- SURVEY: JAGS � CE 128991 . •' `v DRAWN: FWCS • 3/22/21 • .'G$ SCALE: 1' = 30' nssio-0' MUNICIPALITY OF ANCHORAGE Dn-Site Water & Wastewater Program PO Bax 196650 4700 Elrrale Road Anchorage, Alerke 9M1"054 Mona: (907) 343.7004 Fax: M7) 3.43-7997 hktp:dMww.munierglpnsie On -Site Wastewater Disposal System Permit Rerrnit N Umh$r' O SP2 1105 Work Type; Septio7ank upgrade Tex Gude Number: D1 521 1 1 0000 Sft-- Legal Address: LILAC PARIS BILK 1 LT 1 G:2735 Slte Mailing Address= 12350 LILAC DR, Anchorage Owner; UNG ER LAY LA M & MICHAEL R Desig n Engineer- FI R ST WATER CC N SLI LTING This permlt Is for the construction of: EffeciGlve Bate. Expiration Date: Lot Size in Bq Ft: Total Bedrooms: 314!2021 3}41202 73335 0 Disposal Fiold EZ SeplicTank M Holding Teak ❑ Privy C PriVak@ Well Q Water Slora5e All construction shall be in accordance with: I. The attach -ad approved design. 2. All requirements 3WIfied in Anchorage MlmioiFal cede Dhaptars 15.55 and 15.55 and the skate of Afask�j Wastewater Disposal Rog utafions (18AAC72) and Drinking Water RegulatiwF, (18AAD80 3. The wastewepterc❑do requires-pospecLiu i n; during the InsCi3llatloll. Thin engrneer shall notify Irh$ Deyelopment Services aape rtrnertif per AMC 15.65. provide ncxificalion by calling (907) 343-7904 (2417). 4. From CCtDber 1:5 to April 15. a subwrface soil atFsorpkion system under construction d-uNng f9eezing weather shaft be either: a. Opened and Closed on the same day, or b. Pxvered. sealed, and heated to prevent freezi rig Deceived By: Issued By: 31412121 Date: Date: 5 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. 015-211-16 Property owner(s) LAYLA & MICHAEL UNGER Day phone 9073506201 Mailing address 12350 LILAC DRIVE, ANCHORAGE, AK 99516 Site address 12350 LILAC DRIVE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) LILAC PARK 131, L1 Legal description (Township, Range & Section) Lot Size 73,335 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El Septic Tank El Upgrade E (w/wo AD U) Holding Tank ElRenewal ❑ Duplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: $225 _ Waiver Fees: Date of Payment: �2DQ Date of Payment: Receipt Number: a fl, 02 � Receipt Number: Permit No. OSP211052 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com March 2, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: LILAC PARK BLOCK 1, LOT 1 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1500-gallon HDPE tank per the attached design to serve the existing 5-bedroom residence. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211052, Rebecca Carroll, 03/04/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211052, Rebecca Carroll, 03/04/21 Municipality of Anchorage Page 1 of 3 Development Services Department Onsite Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-66W www.ci.anchorage.skus (907) 343 7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 5W020335 PID Number: 015-211-16 Name: Wastewater System: New M Upgrade Christine and Nile Ereland Address: 12350 Lilac Drive Anchora e, AK 99516 ABSORPTION FIELD Phone: Number of Bedrooms: Deep Trench 345-4431 Five 5 Soil Rating: Total Depth from original grade: LEGAL DESCRIPTION .8 GPDIFtz 5 Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 1 1 Lilac Park 1 Ft. 4 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 2 Ft. 94 Ft. Well: Existing Gravel width: Number of lines: Distance between lines: 5 Ft. 2 10 Ft. Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Ft. Ft. 940 Ftp ASTM P3034 PVC Driller. Date Drilled: Static Water Level: Installer. Date Installed: Ft. Acrea e 5 etem5 9112-14/2002 Yield: Pump Set at: I Casing eight Above Ground: TANK — EXISTING GPM Ft. Ft. SEPARATION DISTANCES N septic [I Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption LIR Holding ubliGPrivate Manufacturer. Capacity in Gallons: From Tank Field Station Tank Sewer Line Material: Number of Compartments: Wall >109 >109 N/A N/A >25' Surface water >100' >100' NIA N/A Z LIFT STATION Size: Manufacturer: Lot Line >5' >19 N/A N/A 500 Gal. Anchorage Tank/Orenco 'Pump on, level at: "Pump oft' level at: High water alarm at: Foundation >5' >10' NIA N/A 28" in. 28" in. 34" in. Drain None Noted Pump Make & ModeF Electrical Inspections performed by: Curtain Orenco Municipality of Anchora e Remarks: BENCH MARK Existing 5e tic Tank Inspected and Verified Suitable for Location and Description: Continued Use. Flow Diverter Valve Placed and Existing NW Corner of 5toop Garage Man Door. Absorption Bed Tied In For Possible Future Use. New 500 Assumed Elevation: 100.0 Ft. Gallon Add -On Lift Station Placed Under This Permit. Engineer's Stamp �.• E OF q.4 +i+ 4 Inspections performed by: A. Harala Dates: 1St 9/13/02 1 49th % 2nd 9/14/02 ...................... .................� MICHAEL E. ANDERSON P Department of He I and Human Services approval t v0. ; CE -4381 ��..++,o Reviewed and approved by: Date:° PRp"FESS....... � it ,`,j 4 Municipality of Anchorage Page 2 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: SW020335 m I NI LLJI I jw t c r Q I _I I b I I MH 27.5 54.7 t cn t HUFFMAN ROAD PID No. 015-211-16 PLAN AS -BUILT SCALE 1' = 50' A B MH 27.5 54.7 M 1 32.3 43.5 M2 61.0 72.4 --Y i•ror y -''i,' Five Bedroom Home _:..�-�;� • }'- -• ._ _...- _. I DV (Diverter Valve)rz H ( Lift Station) I a) d M1 i N W j Exist" rig C 0 Absorption a M2 Bed ) c J J PLAN AS -BUILT SCALE 1' = 50' Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: SW020335 PID No. 015-211-16 n U y y NUU 'E .8 1.5" PVC Existing 1,500 Gallon S.T.E.P. Tank r � Il 98.7 n Dralnfleld RockII �f95.2 1^ PVC 12 - 3116" Orifices @ 3.9' Spacing 47' 91.2 WEST ABSORPTION TRENCH 84.0 N S 98,5 Dralnfleld Rock�i95.2 1 PVC J 12 - 3116" 0drices @ 3.9' Spacing 47' 91.2 EAST ABSORPTION TRENCH PROFILE AS -BUILT Scale: 1"= 10' RightFAX 9/27/2002 10:29 PAGE 1/1 RightFAX Inspection Report Municipality of Anchorage, Building Safety Division 4700 South Bragaw INSPECTION: VOICE 343-8300 INSPECTION: FAX (907)249-7777 INFO: 343-8211 Name ACREAGE SYSTEMS, INC. Permit 02-8839 Address 12350 LILAC DR Phone 345-2122 Legal BK 1 LT I Inspection Date 9/28/2002 AM Subdivision LILAC PARK Comments or Directions Ground is very wet due to run off from house. If possible, please inspect as soon as possible as sewer system Is hooked to electric and not working. Inspection Underground Electrical Reinspection E:r NO NONCOMPLIANCE OBSERVED ❑ CORRECTIONS ESSENTIAL AS EXPLAINED BELOW ❑ WILL RE-EXAMINE AT NEXT F7 DO NOT CONCEAL UNTIL REINSPECTION INSPECTION COMMENTS: (for inspector use only) Inspector J Date: f Z MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW020335 Legal Description: LILAC PARK BLK 1 LT 1 Design Engineer: 0014 Anderson Engineering Owner Name: Christine and Nile Ersland Owner Address: 12350 LILAC DR ANCHORAGE , AK 99516-2261 This permit is for the construction of: F✓ Disposal Field 7✓ Septic Tank Date Issued: Sep 11, 2002 Expiration Date: Sep 11, 2003 Parcel ID: 015-211-16 Site Address: 012350 LILAC DR Lot Size: 73335 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 E] Holding Tank F-] Privy E Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: q-11' C)Z Municipality of Anchorage • Development Services Department 10 Building Safety Division On -Site Water and Wastewater Program 5 A F E -r y' 4700 South Bragaw St. P.O. Box 196650 Anchorage,, AK 99519-6650 www.ci.anchorage.ak.us p/ (907) 343-7904/al ON-SITE SEWER/WELL PERMIT APPLICATION o2 FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-211-16 Permit Number SW Property owners) Christine and Nile Ersland Day phone 345-4431 Mailing address (1) 12350 Lilac Drive Anchorage, AK 99516.261 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) Lot 1 Block 1 Lilac Park Subdivision Legal description (Section, Township & Range) Lot Size 73,335 SF Acres/Sq.Ft. Number of Bedrooms Five (5) THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: ADDt/tSn 9,)Si1 Date of Payment: / Da Receipt Number: (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: ANDERSON ENGINEERING P:0 ; BOX240773 ANCHORAGE; AK 99524 5224773 522=6779: (FAX) September 10, 2002 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, Block 1, Lilac Park Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The existing absorption bed on the subject lot has failed and must be upgraded to prevent a possible health hazard and damage to private property'. We are therefore requesting a permit be issued for the construction of a new septic system to serve the five -bedroom home on the lot. The attached Site Plan and backup documentation identify the location and configuration of the new septic system and the parameters used in the design. Also identified on the plans are the existing well location, existing absorption bed, test hole location and the locations of the well on the adjacent property. Drainage arrows are also shown and current drainage patterns will be maintained after construction. The existing septic tank was uncovered and inspected during recent field testing and found suitable for continued use. The test hole placed near the location of the proposed absorption trenches indicated clean fine sand with a minor amount of silt. No impervious layers were encountered. The material absorbed water well with a percolation rate of 12 minutes per inch in the accepting layer. Ground water was found at approximately 10' below the surface and remained at that depth during the monitoring period. We are therefore proposing to construct a 5' wide absorption trench system with 2 - 5' wide by 47' long trench with a 4' effective depth. The distribution piping depth will be 1' below the surface. Total depth of the trenches will be 5'. An "Add On" type 500 -gallon lift station will be placed to transport the effluent from the septic tank to the new drain field. The existing absorption bed will be tied in to the new system for possible future use. The ground surface on the lot slopes at very shallow grades from west to east and north to south. The absorption trench will be constructed parallel with the slope as much as possible in conformance with Municipal requirements. All components of the new septic system will be constructed a minimum of 100' from the well on the lot. The system will also be constructed a minimum of 100' from any surface water in the area. If the system is constructed in accordance with our design the following statements Lot 1, Block 1, Lilac Park September 10, 2002 Page Two apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments 49th ' MICHAEL E. ANDER ._ Nn CF -43£31 fl?OFESS\CN O 00 0 .- 491 • AREA SYSTEM PLAN•lei **#ze F. EL AE ANDERSON �1�%,T No. CE -4381 =i SCALE i" = 300' #� �F'' •...........• P0 0 00 168.55 S 3 0 0 0 .00 0 c o c 168.55 3 c 0 0 0 o 4 0 0 00 168.55 M W O O Z O J i .00 fz� J 168.55 3 a o 2 D m o 1 m o o� a. m 4 2° a 3 �i390 ��,� 148 9p A 4A (90-36) U a d 3A b (90-38) a m 2 �I w E o Well c HUFFMAN ROAD 0 .- 491 • AREA SYSTEM PLAN•lei **#ze F. EL AE ANDERSON �1�%,T No. CE -4381 =i SCALE i" = 300' #� �F'' •...........• SCOPE OF WORK: 1. Place New 500 Gallon Add -On Lift Station. 2. Tie in Existing Absorption Bed for Future Use. 3. Construct 2 New 47' Long x 5' Wide x 4' Effective Depth Absorption Trenches. 5. Regrade All Disturbed Areas. 6. Revegetate Area As Required. LOT 1, BLOCK 13 LILAC PARK SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Five Bedroom Home 5' Wide Trench System Perc. Rate: 12 Min./inch Existing 1,500 Gallon Septic Tank Application Rate: .8 GPD/SF 4' Drainfield Rock 250 Gallon Lift Station 5 Bedrooms X 150 GPD 1.8 GPD/SF = 937.5 SF of Absorption Area 937.5 SF/5 LF (Width)'.5 (Red. Factor) = 93.75 LF Trench Length Therefore: Construct 2 - 47' Long X 5' Wide X 4' Effective Depth Absorption Trenches. Fiowiine Elevation in Trenches to be V Below Original Ground Surface. Total Depth to be 5' Below Existing Ground. All Components of the Septic System to be Outside the 100' Protective Well Radius. Mound Over Trench as Necessary to Provide 3' of Cover or 2" Insulation and 2" of Cover. Natural Backfill 611 6'r 4 ` 0.. I 1 1. \ 59OTT ." Insulation I,, Perforated PVC (ASTM 3034) Drainfield Rock 12 Holes Per Lateral @ 3.9' Spacing Hole Size--- 3/16" TYPICAL WIDE TRENCH SECTION (NO SCALE) NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 10' Separation From Lot Line. Minimum 4' Separation From Groundwater. Minimum 100' Separation From Wells in the Area. tea`. •• • ° -N7 4' Y' a A s oeee •:' Municipality of Anchorage ;ry'°• °••"° Development Services Department/On-Site Water and Wastewater Program.. °°•° °° 4700 South Bragaw Street, Anchorage, AK 99516-6650 ° '' c' i' `�' r... cv ° SOILS LOG - PERCOLATION TEST ESS\�`� Performed For: Acreage Systems Date Performed �J151b �„ Legal Description: Lot 1 Block 1, Lilac Park Subdivision SLOPE SITE PLAN FA OG/PT TESTHOLE NO. 1 5 Silty Sandy 6 Gravel 7 GM 8 9 10 11 12 13 14 15 16 17 18 19 Was Groundwater Encountered? If Yes, What Depth? Depth to Water After Monitoring Date: Bottom of Hole 0 0 Yes 10, 10, 9/9/02 See Site Plan East to West (cD 0% - 2% Reading Date Gross Time Net Time Depth To Water Net Drop 1 5 -Sep 12:36 5.25" 2 1:06 30 8" 2.75" 3 1:07 5.25" 4 1:37 30 8" 2.75" 5 1:38 5.375" 6 2:08 30 8" 2.625" Perc. Rate: 12 Min./Inch Perc. Hole Diameter: 6" Test Run Between 4.5 Ft. and 5.5 Ft. Comments: Percolation Cavity Presoaked Prior to Testing. Performed By: MEA. I, Michael E. Anderson Certify That This Test Was Performed In Accordance With All State and Municipal Guidelines In Effect On This Date: 9/9/02 PRESSURE DISTRIBUTION CALCULATION Elevation at Highest Discharge Point Pressure at Highest Discharge Point Liquid Level in Tank (Elevation) Diameter of Holes in Distribution Line Diameter of Distribution Line Hole Spacing in Distribution Line Length of Transport Line Diameter of Transport Line Q = 12.4d h = 12.4(.1875)(.1875) 5 _ .9748 GPM/Orifice _ .9748 * 24 = 23.4 GPM TDH = (130-115) + .0192(23.4)(23.4) + .000995(23.4) (65) (1.25) 15 + 10.5 + 7.4 32.9 Therefore 24 Orifices — 12 in Each Lateral @ 3.9' Spacing 125' 5' Head 115' 1875" (31169;) 1" 3.9' 65' 1. 25" 3z.9 Lift Station Effluent Pumps imp - 5 stage pump ically for ons. UL 5 pounds) ;ity to clear nd versatile in in -stock 0 Anchorage Tank & Welding, Inc. (907) 272-3543 FAX (907) 277-3715 NEMA 4X IUNGTION BOX I" CONDUIT L8 i^ PVG GC RETRIEVAL Lift Station Addmon 0 Ir 4a —� PlBERGLA55 LftD 24" m PVG RIBBED MANHOLE 2" URETHANE FOAM (SHOP APPLIEv) � OP GOA' WITH TNEMEG 46- 6. T FLOAT A55EM5L-' PLANrED. GA5KETED GGNNEG-ION 5' OD 4" HU8 (TYPJ ORENGO 5YSTEMS, 1NG. 810-rJBE PUMP VAULT 'R 6ARRANTEED UL LISTED EFFLUENT PUMP EI`lD \/I EW (DUPLEX PUMPING 5T'STEM SHGWN) . uirements of the Uniform Plumbing Code. -«�,� • 500 gallon steel tank constructed seep ng off groundwater. • Watertight connections p itch. • Coated inside and out with coal tarpitch-for Alaskan conditions. urs �, 63 , Inc. effluent Pumping system desig • OrencO Systems® • Detailed Installation, Operation, an d Maintenance Manual. Anchorage Tank 8, Welding, Inc. (907) 272-3543 FAX (907) 277-3715 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 1, BLOCK 1, LILAC PARK SUBDIVISION GENERAL: 1. The scope of this project includes the procurement and placement of a new 500 -gallon "Add On" lift station and pressure distribution system. Work also includes the construction of 2 - 47' long x 5' wide x 4' effective depth absorption trenches at the location shown on the attached Site Plan. The new trench distribution piping shall be constructed V below existing ground level for a total trench depth of 5'. Direct bury insulation may be required to provide the minimum coverage required over the new trenches. In lieu of insulation 3' of cover may be placed atop geotextile fabric over the new trenches. The pressure line from the lift station shall be tied in to the existing absorption bed piping for possible future use. A ball valve shall be placed in line to divert flow. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines, 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANKILIFT STATION INSTALLATION The 500 -gallon lift station must be constructed by a certified tank manufacturer. Construction shall include an 18" manhole to provide access to the lift station. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. Lot 1, Lilac Park September 8, 2001 Page 2 of 2 5. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drain field. 6. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAIN FIELD CONSTRUCTION: 1. The drain field shall be constructed to the dimensions shown on the design. The bottom of the trenches shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drain field rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drain field rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drain field are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trenches to drain away. 8. A minimum 2' of accepting soil is required below the drain field rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: 1. The lift station must be constructed by a municipally approved septic tank manufacturer. An Orenco 20 OSI 05 HHF-5 pump is recommended. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). Lot 1, Lilac Park September 8, 2001 Page 3 of 3 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 625 "L" Street, Anchorage, Alaska 99502, Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name Coe i9sso c r z fir. DISTANCES - FROM TO SEPTIC TANK ABSORPTION FIELD WELL Address Pv Aa -)e �f6 6 � � f�rt��o rVe /:At WELL / a / / �(o 7 Phone(s) ai 97—r 3 Permit No. 9000 s -;f No. of Bedrooms S IFT7—F—T LOT LINE — yo y — _ LEGAL DESCRIPTION _ Lot/ Block / Subdiyi ion e F/+ P `� FOUNDATION 1,3 ,3 33—/ — 5-y / Township, Range , Section / N ���1A) ��f'� �/ AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, driveway, water bodies, etc.) TANKS I I I I --n SEPTIC ❑ HOLDING Manulact rer Capacity in gallons G r2 e /'�_o Material No. of Compartments TYPE OF SYSTEM ❑ TRENCH BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original grade/ _ / �.f FT 5- FT Fill added above original grade Gravel depth beneath pipe "'/' FT O J FT Gravel length Gravel width EFT FT Total absorption area Distance between lines / / / f SOFT S� FT Number of lines Soil rating Pipe material r - F , 1' /SZ> S0 FT 51)i2J.5`1 - L tlni F Installer 90 _ /Y Z. Date Installed D imc`2! 5'orrs tJu/ �—ia, �99C7 3 M WELLS D - 7 PRIVATE ❑ OTHER (Identifv) G v Z54 Classificauo (A,B,C)�/ ased to Total Depth C S7. i Xt,U47L 1 p 3 FT1 FT f791 Installer Date Installed: g► 1p��e �,//, 111.7 REMARKS: / Scale: ENGINEER'S SEAL s© "7' - Inspectlions Ppperformad by: h r M1,C (� C� q6-6117— Date. 6-6117— Dale. Jlr tr o 9a I r !� +«" certify that this inspection was perlormed according to all ! Municipal and State guidelines in effect o date: Health Department Approval: Date: /v - O 72-013 (3/85) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geo(ogicol a Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Pleute complete either la, Ib or Ic.) A.D.L. No. Ia. Borough Subdivision Lot Black Ib. 1/4glrs. Section No. Township No Bang* E ❑ Meridian L�Iac,—of_ot_of— SE] WE] !c. DISTANCE DIRECTION FROM ROAD INTERSECTIONS a. OWNER OF WELL'al fWt 1 0,Me5 I Address: C Sl reef Address and Ara of Well Location 2. WELL LOG Material Type - Feet Below F Su rface Top Bollom 4. WELL DEPTH: (final) fl. ---FFF���--���'''��� 5. DATE OF L COMPLETION — MPLETION � — �0 ' 6, Cable tool �[Rolary C]Driven []Dug [] Auger []Jetted []Bored [jOther! T. USE:X Domestic Q Public Supply El industry /[] Irrigation [] Recharge O Commerical [] bet Well []Other: s B. CAS NG: [j Threaded � 8: Welded ed� eiam. in. ta�lrt. Depth Weight " 7 lbs./It. dlam._in. to_ ft. Depth Stickup—Z... it. 9. FINISH OF WELL; Diamete 6 $lot r SIo1/ esh Sles: Length: Sol between fl. and ft. Backfilling pack //ffGravel 10. STATIC WATER LEVEL: ,LY�ft. 4 0 Above or 0 Below land surface Date Equipment used: II. PUMPING LEVEL below land surface end YIELD rs. pumping 0— 9.P. m. L�I1. after fh2 _fl. after hrs. pumping_9.p.m. 12.GROUTING Well Grouted: O Yes [] No Material: [] Neat Cement [] Other: 13. PUMP: (if available) HP Length of Drop Pipe ft. capacity O.P.— C) Subm. [] Jet O Centriflcol D Other Ie. REMARKS: 16. WATER WELL CONTRACTORS CERTIFICATION: IS. Water Tampa alure [] F [] C This well was �d ri lieclay trisdiclioo andel lhis report Is true 10 th est of mpy knowleQd/9e ono belief; lMw—o hLN�IT' ��— [ L O �egisterotl Business Na p/ Contract Lice a Nu bury Address: /0 / ( j Signed : Authorized Repre nfatiy9 Farm 02-WWR(11/81) Copy Distribution: Data: —����� WHITE -State DSOS, PINK -Driller, CANARY-Dustomet f Parcel Id: t) 1" Lot Legal: Subdivision: Section: 22 Lot Size 73335 (sq,ft Max 8ed1,ooms: This Permit: LILAC PARK Lot: 1 Block: J. Townmhip: 12N Range: 3W or acres) 5 Total Capacity: 5 SEPTIC TANK: Minimum total septic tank capacity: 1,500 galIons. 1 ach sepic tank must have at least 2 compartmentsDepth to top of septic tank(s> < 4.0 |eet requires insulation over tank(s). WELL: Log must be submitted to Municipality of Anchorage Department olea1th and Human Services within 30 days o{ well completion, PERMIl EXPIRES DECEMBER 31, 1990. 141,111 Y DHHS OF INSPEClFlONS AT 343~4744 OR 343^4681. 1 CERTIFY THAT: 1. I am �ami1iar wiih the requirements and weOls as set forth by the Municipaiity of Anchorage (MOA) and the State of Alaska" ON I will install the system in accordance with a1l MOA codes and regulations� and in cumpliance with the design criteria of this permit" 3, I will adhere to all MOA and State of* Alaska yequirPoulton ts for the set bacY distances irom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4" I understand that this permit is valid for a maximum a 5 bedrooms. I a1so understand that the capacity o{ the total system is is bedrooms and any enlarge tovi.ll t, ire an additional permit" Signed: ' DATE: (Owner) C O��ASSOCIATE�� ' Issued By: DATE: ... ..... ... .... ~�-� 41,4 MUN ] |, u> oNLHUHo6£ uepartment o| Health in Human Servzces u25 L Street, Anchorage, Alaska V9501 343W472O ON^^SITE SEWER & WELL 10E10MI1 Permit Number: 900057 Date Issued: 0J/28/90 Engineer Designed Owner Name: C O C ASSOClATES Day Phone: Owner Address: P O BOX 90697 279~5553 ANCHORAGE, AK 99509 Parcel Id: t) 1" Lot Legal: Subdivision: Section: 22 Lot Size 73335 (sq,ft Max 8ed1,ooms: This Permit: LILAC PARK Lot: 1 Block: J. Townmhip: 12N Range: 3W or acres) 5 Total Capacity: 5 SEPTIC TANK: Minimum total septic tank capacity: 1,500 galIons. 1 ach sepic tank must have at least 2 compartmentsDepth to top of septic tank(s> < 4.0 |eet requires insulation over tank(s). WELL: Log must be submitted to Municipality of Anchorage Department olea1th and Human Services within 30 days o{ well completion, PERMIl EXPIRES DECEMBER 31, 1990. 141,111 Y DHHS OF INSPEClFlONS AT 343~4744 OR 343^4681. 1 CERTIFY THAT: 1. I am �ami1iar wiih the requirements and weOls as set forth by the Municipaiity of Anchorage (MOA) and the State of Alaska" ON I will install the system in accordance with a1l MOA codes and regulations� and in cumpliance with the design criteria of this permit" 3, I will adhere to all MOA and State of* Alaska yequirPoulton ts for the set bacY distances irom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4" I understand that this permit is valid for a maximum a 5 bedrooms. I a1so understand that the capacity o{ the total system is is bedrooms and any enlarge tovi.ll t, ire an additional permit" Signed: ' DATE: (Owner) C O��ASSOCIATE�� ' Issued By: DATE: ... ..... ... .... ~�-� 41,4 A ° E° ALASKA MUMMA COWROL SORUIC ,,'�OFOEALNHH&RA07E o s ENVIRONMENTAL PROTECTIO Engineering & Enuironmenlal Studies N `JUN 2 61°90 RECEIVED SPECIFICATIONS FOR BEI) WASTEWATER TREATMENT SYSTEM LEGAL. DESCRIPTION: LOT 1, BLOCK 1, LILAC PARK SUBDIVT,SION 1.0 GENERAL 1.1 The Drawings, sheets 1 through 3, shall be part of this specification, 1.2 All materials and workmanship shall meet the requirements of the Municipality of Anchorage, Department of Health & Human Services (DIALS), the conditions of the permit, and all applicable rules and regulations currently in effect. 1..3 All, excavations and depths are advisory, and are to be verified or modified in the field by the Engineer or inspecting agency. 1.4 It: is the responsibility of the property owner or installer to adhere to approved design for the installation, to maintain the specified separation distances and to have the appropriate inspections. 1.5 It is the responsibility of the property owner or installer to report to the engineer any observed conditions which would put the system .in violation of state or Municipal regulations. I.6 If the installation is not inspected by an AECS engineer., AECS will not be responsible for the installed system. An engineer at AECS should be consulted prior to construction, to determine the number of inspections that will be. required and to explain what these inspections will involve. 2.0 SEPTIC TANK 2.1 If there is an existing septic tank it may be used if it meets the capacity requirement for the residence. The structural integrity of the tank must be verified. 2.2 The septic tank shall be a UPC -approved two-compartment tank, constructed of 12 gauge steel with bitumast.ic coating and set level on undisturbed soil. If the tank is buried at a depth of d feet or less, it must be insulated with an overlying layer of 2 inch burial type polystyrene rigid board insulation. 279-5553 2,3 The septic tank shall be a minimum of 5 feel from the house foundation, and a minimum of 5 feet from the absorption area. 2.4 The septic tank and bed shall be a minimum of 100 feet from any private well or body of waiver, 150 feet from Class "C" wells, and 200 feet from Class "A" or "B" wells, unless otherwise specified. Less than the required separation distance must have prior approval or waiver by DHIIS or Alaska Department of Environmental Conservation (ADEC). 2.5 Piping shall be fitted with a mechanical watertight calder coupling on the outlet and inlet of the septic. tank. Piping shall be 4 inch solid PVC ASTM D--3034 or cast iron, sloped a minimum of 1/4 inch per lineal foot on the inlet side and 1/3 inch per foot on the outlet side. If the piping is buried at a depth of 4 feet or .less, it must be insulated with an overlying layer of 2 inch burial type polystyrene rigid board :insulation. 2.6 Cl.eanouts shall be installed as designated and capped with a.ir--tight rain caps (,Jim Caps or equivalent), and extend a minimum of 1 foot above ground level. 2.7 If a lift station is required it shall be a combination lift station septic tank per Anchorage Tank and Welding, Inc. design. Specifications and design drawings are on file with the municipality and the engineer. 3.0 SEEPAGE BED 3.1 The gravel for the bed shall be 0.5 to 2.5 .inch, screened rock with less than 3 percent passing the No. 200 sieve. All substitutes must have prior DHHS approval. 3.2 The bottom of the excavation shall be level and raked with the backhoe blade to ensure that the bottom has not been compacted during excavation. 3.3 Sand, for leveling, shall have a size distribution which meets the requirements of MOA code 15.65.077. 3.4 The distribution pipe shall be perforated 4 inch rigid PVC with a minimum crush strength of 1500 pounds and shall meet the approval of D1[HS for use as drainfield pipe. All pipes shall be laid level, and spaced according to the drawings. 3.5 Monitor standpipes shall be placed as shown in the drawings. They shall be 4 inch rigid PVC ASTM D-3034, or cast iron. The section shown with holes may be either drilled 0.5 inch holes on 6 inch centers on opposing sides of the pipe, or a section of regular perforated sewer pipe may be clamped to the solid section with a no -hub coupling or solvent joint. The perforated section of the monitor tube shall. be located in gravel only. The portion of pipe above the sewer rock shall be solid. A rubber• raincap (.Jim Cap or equivalent) shall be placed over the top of the pipe. 3.6 Filter fabric is required. 3.7 The side slope of the mound shall be slope 1 foot vertical to 3 feet horizontal. 3.8 The bed shall be planted with a white clover and red fescue mix, or with Kentucky bluegrass. 4.0 INSPECTIONS 4.1. This bed will require a mi.n.imum of three inspections. The first inspection will be of the open excavation, to assure that the system is installed in the proper soil strata, correct depth and meet minimum specified design parameters. 4.2 The second inspection will be after placement of gravel, monitor standpipes, and distribution pipe, to verify proper installation and position of pipes prior to backf.ial. 4.3 The third inspection will be after final. backfill grading and seeding to ensure that adequate soil cover has been provided over the bed. 4.4 The inspection of the septic tank or lift station installation can be incorporated with any one of the above listed inspections. 4.5 The lift station will require either an MOA electrical inspection or certification by a licensed electrician depending on whether the building code applies to this part of the city. ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 JOB / / G/ ,L 4'r %� t/ — -S-":;! SHEET NO. / OF CALCULATED BY �� DATE CHECKED BY DATE Avw l'.I VE.' mc. cmlao. Mas. OIUI. \2 p g �• �� o o _9 P" a ° p ° o • ° 4� N ) o /M1�/ oO° � p LIl •� �tOM v 1R �Q 0 U/ Q Q IU H F- 0 En LILAC DRIVE A- U) H !,U 6d lrl^ 4p 0 fn , 013: Ua tib,•. 0 loot. J....w Wbo'LS OC SlNAHB81VeI . 0 L a 0 Z Q 7 i ,Q�L�WINEER'S SEAL) �'�{ �•eee •yQC➢" . f Municipality of Anchorage® T DEPARTMENT OF HEALTH & HUMAN SERVICBSao: o eee9 ce eee 825 " L' Street, Anchorage, Alaska 99502-0650 e SOILS LOG — PERCOLATION TEST A®° eee or CREID, R.WA • 6r '�1 / VA 1. •® CE: - 2251 PERFORMED FOR: �C`�C i/S'S� ('i y-'�� DA64, f!•!, e�ha, ••F�.•? LEGAL DESCRIPTION: %A�2 Township, Range, Section: /,2A) /2 7-1-0 s� D E P -T H-1 SLOPE S ITE SITE PLAN (FEET) pf'I F7-1 mII I—I 1 2 I ..Sa' d °i S/ 7 Sj2a nn r 3 - I I I (S O) 4-j . I3Qd._ 5 — cJ u�+t CY. 6- 7 8 9 I /7- 10 �M 11 12 13 14 15 16 17 18 19 20 WAS GROUND WATER ENCOUNTERED? I_S S IF YES, AT WHAT CJ 7 L DEPTH? / O P E Depth to Water After Monitoring? Date: 6 $ a Reading Date Gross Net Depth to Net Time Time Water Drop L^1 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN _ FT AND - FT COMMENTSZM 71115`4j( , PERFORMED BY: �?� i C' I �— CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) A E° ALASKA MUInOW11TAL COMOL SHUICCS, Inc. s a Cngineerinq & Enuironmental Studies t--�e�(�r}-5st•�eae. _tie...... �/' i a.,r'__ c/ awf eW li /s Alr h c c/iv a., --1 s- S' fen / _. /�.. � )-eWrpoms— ..-'2+^e :�• � P aO fa o L` A f) P n ' ;,o n f '/7 LILAC DRIVE 79.E s.L N R H A . O ti ---�I .sem 00 W�a ILHt1� IL u114 NUz H w Ir Lq 41. Q 4J F i 1 � a � a � � c m H J u w `v !g q! W z a t� n z 1 �8 H X R13 u e (Etu Ir `1 w In ul In 0 AU t< Z r- �tl z w ul d 0 X w ZU ,v OH [E > H (tl Ol Q m H(][ >w zin tv ti a] Z U) Y�zIDP� <Z Jo Ju Y H 4uw0a L) -4 � O D a] M M Ix w W ALASKA ENVIRONMENTAL JOB /-/ /3 / /i /I c 1>> ( 4 S.. CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B SHEET NO. / of ANCHORAGE, ALASKA 99503 CALCULATED BY DATE (907) 561-5040 CHECKED BY ,//i�y'�DATE_ Z - PROOM Ml nsds Im, Grt . Mm 01411. I CERTIFY THAT: i^ I am �amiliar wit f,orth by the Muni it it I will insLal] th tenr and in c pliance th 3, l will a ere to W 1 is)A distance from silly, Mwi sLi sewerage system o s o 4" I I -H lelt-ii, st and that Sh pe a]sn ond rsLand � he any enla�gement w����eg� \ --F�c�°�-~ ~ (�iner) C � C ASSOi���ES quirements {or on~site sewers and wells as set of Anchorage (MOA) and the State c3 Alaska. zn accordance with all MOA codes and regulationo, design criteria oIf this permit. nd Gtate Of Alaska requirements [or the set back U well, wastewater dispCIS a1 system or pLIE! 1ic any adjacent or nearby lot. Vmit is valid or a maximum CA le 3 bedrooms. I � .apacity o{ Utotal system is 3 bedrooms and iro an addJr. tinna1 permit. DATE: � Issued DAFE: ��' MUNlL1PALIlY OF ANCHORASE Deparimeni of Health & Human Services 825 L Street, Anchoraye, Alaska 99501 343^4720 ON~SITE SEWER & WELL PERMI[ 1 57 111w Date {ssued: 03/28/90 Engineer Designed Owner Name: C O C ASSOCIA7ES Day Phone: '}wner Address: P O BOX 90697 279-5553 ANCHORAGE, AK 99509 Parcel 1d: 015~211�16 Lot Legal: Subdivision: LILAC PARK Lot: 1 Bl Section: 22 Township: 12N Range:NJ ph Lot Size 73335 (sq.ft. or acres) Max Bedrooms: //\ This Permit: 3 Total Capacity: 3 ' SEPT1C TANK: Minimum toLal septir tank cap A y: 1,000 Each sepLic tank must have at least 2 compartam? nts^ Dup L11 to top o f\ Ailtank(to 4.0 ieeL requires insulatioo over tank(s), WELL: Log mu1"it be submitLed to Municipality I Anchorage \D rtment o/ Health and Human Services within J0 days ofwell co letion" . ' PERMIT EXPIRES DECEMBER 31, 1990, NOTIFY DHHS OF INSPECTl AT 343-4744 OR 343 4681. I CERTIFY THAT: i^ I am �amiliar wit f,orth by the Muni it it I will insLal] th tenr and in c pliance th 3, l will a ere to W 1 is)A distance from silly, Mwi sLi sewerage system o s o 4" I I -H lelt-ii, st and that Sh pe a]sn ond rsLand � he any enla�gement w����eg� \ --F�c�°�-~ ~ (�iner) C � C ASSOi���ES quirements {or on~site sewers and wells as set of Anchorage (MOA) and the State c3 Alaska. zn accordance with all MOA codes and regulationo, design criteria oIf this permit. nd Gtate Of Alaska requirements [or the set back U well, wastewater dispCIS a1 system or pLIE! 1ic any adjacent or nearby lot. Vmit is valid or a maximum CA le 3 bedrooms. I � .apacity o{ Utotal system is 3 bedrooms and iro an addJr. tinna1 permit. DATE: � Issued DAFE: ��' A `C 5 ALASKA RUIROn� MAL CONROL SHUNS, InC. a 6n9ineerinq & @nuironmental Studies SPECIFICATIONS FOR A TRENCH --TYPE WASTEWATER DISPOSAL SYSTEM LEGAL DESCRIPTION: LOT 1, BLOCK 1, LILAC PARK SUBDIVISION 1.0 GENERAL 1.1 The Drawings, sheets 1 thru 4, shall be a part of this specification. 1.2 All materials and workmanship shall meet the; requirements of the Municipality of Anchorage, Department of Health & human Services (DHHS), the conditions of the permit, and all applicable rules and regulations currently in effect. 1.3 All elevations and depths are advisory, and are to be verified or modified in the field by the engineer or inspecting agency. 1.4 It is the responsibility of the property owner or installer to adhere to approved designs for installation, maintain the specified separation distances, and have the appropriate inspections. 1.5 It is the responsibility of the property owner or installer to report to the engineer any observed conditions which would put the sytem in violation of state or Municipal regulations. 1..6 If the installation is not inspected by an AECS engineer, AECS will not be responsible for the installed system. An engineer at AECS should be consulted prior to construction to determine the number of inspections that will be required and to explain what these inspections will involve. 2.0 SEPTIC TANK 2.1 If there is an existing septic tank, it may be used it if meets the capacity requirement for the residence and the approval of the MOA. 2.2 The septic tank shall be a UPC -approved two-compartment tank, constructed of 12 gauge steel with bitumastic coating and set level on undisturbed soil, If the tank is buried at a depth of 4 feet or less, it must be insulated with an overlying layer of 2 inch burial type Polystyrene rigid board insulation. 2.3 The septic: tank and trench shall be a minimum of 100 feet from any private well or body of water, 150 feet from Class "C" wells, and 200 feet from Class "A" or "B" wells, unless otherwise specified. Less than the required separation distance must have prior approval or waiver by ADEC or MDA. 2.4 The septic tank shall be a minimum of 5 feet from the house foundation, and a minimum of 5 feet from the absorption area. 2.5 Piping shall be fitted with a mechanical watertight Calder coupling on the outlet and inlet of the septic tank. Piping shall be 4 inch solid PVC ASTM D-3034 or cast iron, sloped a minimum of 1/4 .inch per lineal foot. If the piping is buried at a depth of 4 feet or less, it must be insulated with an overlying layer of 2 inch burial type polystyrene rigid board insulation. 2.6 Cleanouts shall be installed as designated and capped with air -tight rain caps (,Tim Caps or equivalent), and extended a minimum of 1. foot above ground level. 2.7 If a lift station is required it shall be a combination lift station septic tank per Anchorage Tank and Welding, Inc. design. Specifications and design drawings are on file with the Municipality and the engineer. 3.0 ADSORPTION AREA 3.1 The gravel for the trench shall be 0.5 to 2.5 inch, screened rock with less than 3 percent passing the No. 200 sieve. All substitutes must have prior DHHS approval. 3.2 The bottom and sides of the excavation shall be raked with the backhoe blade to ensure that it has not been compacted during excavation. The bottom elevation shall be level. 3.3 Monitor standpipe(s) shall be placed as shown in the drawings, and shall be 4 inch rigid PVC ASTM D-3034, or cast iron. The section shown with holes may be 0.5 inch holes drilled on 6 inch centers on opposing sides of the pipe, or a regular section of perforated sewer pipe clamped to a solid section with either a no hub coupling or a solvent joint. A rubber rain cap (Jim Cap or equivalent) shall be installed over the top of the pipe. 3.4 The distribution pipe shall. be perforated 4 inch PVC with a minimum crush strength of 1500 pounds and shall meet the approval. of DIMS for use as drainfield pipe. All distribution pipes shall be laid level. 3.5 Trenches may be paralleled, but must have a minimum separation distance between the trenches of 10 feet or 2 times the gravel depth (which ever is greater). 75 feet is the maximum allowed linear length of any trench. 3.6 If the final grade over the trench is less than 4 feet above gravel, insulation is required, using burial type polystyrene rigid board insulation. There shall be 1 inch of insulation for every foot of soil less than the required 4 feet of cover, but there must be at least 24 inches of soil cover even though insulation is used. The solid pipe extending from the septic tank to the drainfield shall also have a minimum of 4 feet of cover or an equivalent layer of insulation to prevent freezing of the line. 3.7 Filter fabric is required. 4.0 INSPECTIONS 4.1 A minimum of two inspections are required for the installation of the trench. The first inspection will be of the open excavation to assure that the system is installed in the proper soil strata, correct depth and meet minimum specified design parameters. 4.2 The second inspection will be after placement of the gravel, monitor standpipe and distribution pipe to verify proper installation and position prior to backfill. 4.3 The inspection of the septic tank installation can be incorporated with any one of the above listed inspections. 4.4 The lift station will require either an MOA electrical inspection or certification by a licensed electrician, depending on whether the bu-ildi.ng code applies to this part of the city. ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 JOB /-/ R / '/i 4-c Su SHEET NO. / OF 7 CALCULATED BY DATE CHECKED By --DATE SO:AI F PPW)g 20CI � Inc, W., Mm 01111. Flo 0U- o , I bow 'kA LILAC DRIVE 00"s 79.2 Z 0 u w I LU cc > I a O U ¢ Zu •0 F- < N H H a g� / 13 ¢ ~' , O / IfY N In ¢ U 70 a d / ID L Ol p N _ (n \ L I U -i m H C9 v1 O O O O O Y r+ co O J I QI —� 00 r,. W I m N,rbe O E �L— S1.NSWSS\'23 , O'6 O.Oea a O [L Z a L L D T H a4 a O ¢o A tl to/ 1 F1H-O L uuIH-a U Q H = H M H J u a i aJO z H L Y" auz o o ¢ H to h mio Q z w q rA o H 'v z ED z I a1 a q p H z H L m F O 4 w J p IL u z' H 7 `�. u c im o a an 0 N w w lJ -�-�_ U H z a w . z 11 aw .%'5! k� "'4 9 49 Municipality of Anchorage 0e90eee•' DEPARTMENT OF HEALTH & HUMAN SERVICE"""' 825 "L" Street, Anchorage, Alaska 99502-0650 ®ee see*# e uge SOILS LOG - PERCOLATION TEST ®.110eelit PERFORMED FOR: VL!-2 ��/ ��%'✓"` LEGAL DESCRIPTION: �DFP1H Depth to Water Net Drop FEET) W; W 0.09 2 f y, Oao 0-02 /}`Z; X7_7 - C� �`—.�o / 4 ✓� /� 1v' syr a 5 1 "I w J �6 6 7 a 8 9 • ` 10- i ca 11 Of 12 13 k F, 14 15 16 17 18 19 '°—°•Oen® 4ER'SSEAL) e ® ,t 0 C. REID, JF2, • 2251 T4c• • • y�.e.e e ° � DATE PEF("t191gb1°P-?/6�% Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT L DEPTH? 0 P E Depth to Water Alter Monitoring? Date: — n SITE PLAN Reading Date Gross Time Net Time Depth to Water Net Drop /a 0.6 —`p, 6 0.09 Oao 0-02 /}`Z; X7_7 - C� �`—.�o f7'67 ..,r 0•D9 20LJ / 0 PERCOLATION RATE `3 (minutesiinch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND b FT COMMENTS _Z60 C �/i PERFORMED BY: • K.dr I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: A? 72-008 (Rev. 4/85) MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section Parcel I.D. 015-211-16 ANCHORAGE Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description LILAC PARK BLOCK 1, LOT 1 Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: b 2 q— 2-1 Location (site address) 12350 LILAC DRIVE, ANCHORAGE, AK 99516 Current property owner(s) LAYLA & MICHAEL UNGER Day phone Mailing address Real estate agent 12350 LILAC DRIVE. ANCHORAGE. AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or -Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ $550 Waiver Fee $ Date of Payment A — I Ci — 2 - Receipt Receipt Number Z) 919-2 COSA # OSC211118 Date of Payment Receipt Number Waiver # Distance: 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 3/17/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to r�sll1 these various and dynamic characteristics and are outside the control of the evaluator of the. r ` well and septic system. Therefore, any estimate of how long a system will function satisfactory g�Q: • - • :1,9?�} for current or future occupants or guarantee that no unseen encroachments, deficiencies or rJ discrepancies exist can be given by First Water Consulting & `r.s Tl -I �•* Ail 6. DSD SIGNATURE • '. Curtis Huffman System #1 Approved forbedrooms r���F��sT . CE 128991 .���A1Wr/ Fq • ./17/7,1 •'c�Q, System #2 Approved for bedrooms l�kF, ROFESS0-1 Disapproved Conditional approval for bedrooms, with the following stipulations: ll�llll l l ( V I-) r- VVA [IVA .1VD m O f By: w- Original Certificate Date: 2-24-2-1 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: LILAC PARK BLOCK 1 LOT 1 Parcel ID: 015-211-16 If more than 1 septic system on lot: COSA Checklist # __of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 6/10/1990 Total depth 183 ft Cased to 183 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 2/24/2021 Static water level at beginning of test 105 ft. Well production at time of test 5.6+ gpm Comments B. TANK DATA Age of tank(s) NA — NEW TANK years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping NA D. ABSORPTION FIELD DATA Which system tested (date installed) 9/14/2002 ® ALL standpipes present per record drawing Total measured depth from grade 6.9 ft (max) Measured depth to pipe invert from grade ft (min) ® N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective Structure served by this system _ Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 1.9 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FwcSS Date of Sample 2/24/2021 -- C. LIFT STATION ® Required maintenance completed Age of lift station 19 years Lift station material STEEL Comments: Adequacy test date 2/24/2021 Results 0 Pass For 5 bedrooms Fluid depth prior to test 0 in Water added 750 gal New depth 3 in Elapsed time 30 min ® Code -required soil cover over field W/ INSULATION Final fluid depth 0 in El System presoaked Absorption rate 750 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: TESTED WEST TRENCH — EAST TRENCH HAD 22" OF FLUID. FW.CS E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ® Yes if No ® Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water> 100' ® Yes if No Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: ® Yes Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ®Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION law, I certify that l have determined through field inspections and review �Aw,�Q"� • • •�.����j of Municipal records that the above systems are in conformance ®,r g • •:� [� with MOA COSA guidelines in effect on this date. : • • Thi . , • •': .... .......... • Curtis Huffman CE 128991 .• i�`�r/ 3(20/21. •PROFESV*���C��.® ft ft ft ft ft ft ft ft Owner Septic Tank: Lift Station/Pump Vault Street Address 1 3. k i-- )C\r_ YCZN -Sludge level inches -Pumping: required yes Po -Pumping completed e no Lift station: Tc"' -Pump basket cleaned Q2no -Effluent filter cleaned es no -Control floats cleanedZes no •Proper float settings confirmed es no -Operation satisfactoryno Alarm System: -Dedicated electrical alarm circuit es no *Audible and visual alarm inside dwelling e no -Alarm system operationsa s ac ory not satisfactory Manhole Riser -Ground water intrusion at riser to tank connection els no -Groundwater intrusion around pipe penetrations es o -Weep hole functionales no -Manhole lid: Functional es no Insulatedes no Properly Secured Is no Other -All manufacturer required inspections and maintenance completed'S no Comments: Qualified Maintenance Provider: Technician kop� ! ( �a Company ae LA Le's Signature Date of maintenance NNC�a ) Date A& rN X80 OVIII b '00*022=8 'o, .00'0£=l .09*6L M,,6Z.00oOO N e � 0. A 0 , w -LnS3N"(j nao.LS OC C) z Lai — — — — — — — — — — — — — — — — — — — — — — —1 VVS3 U- '3 V 1 .0 L .00'02Z &.62JO.00 N .09 I z 0 V) En 0 w U) <LOL. w 0 ZOWM0 � WOZ 00 z :r co 0 0 2 -9 E; ow m Cf) w:r0 D QD o z M D D Cf) Cf) (3: N M n W ,owo8c)w 0 0o 0) f20 0 zoC-) a � z rn z cr- i 0. Ix C3 LIJ W fn o cl om z U- z cc W 0 cx W0 5 W ZL- ao w m w (n F mo =U)) o w o 0 w 0 z 0 ix W Z UJ Z m co 'F w z o0 z z cn 0 :3 X: w W C.) OU ia 'o 0 I a. a w z =aE 0 IL 00!:ZDWX 00 p, U') No ci -4 = 0 "* 04 U) Ix V) 0) (j (� to C*4 < lqt C14 z X LO w m cr.C) C3 z C14 W > 0 z 0 F - x C14 Lj 0 IL 3:: m U) 71) m LL: N (n LU Z Lli (n Lij U) Ld > t1i o z U) (L LLI W- W LU 0 bz to x > 0- > b 0V) 'Q, 00 COU Ile L4 W fn ��Otri U) Lo cn z y 07 zo a. w to to Li p 0) 0) 00 w -LnS3N"(j nao.LS OC C) z Lai — — — — — — — — — — — — — — — — — — — — — — —1 VVS3 U- '3 V 1 .0 L .00'02Z &.62JO.00 N .09 I z 0 V) En 0 w U) <LOL. w 0 ZOWM0 � WOZ 00 z :r co 0 0 2 -9 E; ow m Cf) w:r0 D QD o z M D D Cf) Cf) (3: N M n W ,owo8c)w 0 0o 0) f20 0 zoC-) a � z rn z cr- i 0. Ix C3 LIJ W fn o cl om z U- z cc W 0 cx W0 5 W ZL- ao w m w (n F mo =U)) o w o 0 w 0 z 0 ix W Z UJ Z m co 'F w z o0 z z cn 0 :3 X: w W C.) OU ia 'o 0 I a. a w z =aE 0 IL 00!:ZDWX 00 p, U') No ci -4 = 0 "* 04 U) Ix V) 0) (j (� to C*4 < lqt C14 z X LO w m cr.C) C3 z C14 W > 0 z 0 F - x C14 Lj 0 IL 3:: m U) 71) m LL: N -4y0 8 9 iQ 7�� NOV2015 > � • Municipality of Ancho e xrkp`� On -Site Water and Wastewater Progr l ti � (907) 343-7904 <<< C> Certificate O[ 6 g [ 9 Certificate of On -Site Systems Approval Parcel 1. D. 015-211-16 Expiration Date: 7—/k 1. GENERAL INFORMATION Complete legal description Lilac Park, Block 1, Lot 1 Location (site address) 12350 Lilac Dr. Current Property owner(s), Nile & Christine ErSland Day phone Mailing address 12350 Lilac Dr. Anchorage, AK 99516 Real Estate Agent .i Day phone 2. TYPE OF DWELLING: ❑ Single. Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well F Individual FX Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: / Date: COSA to be released to theengineer, unless otherwise requested by the engineer. COSA Fee $ 2:!� Waiver Fee $ Date of Pa ment (/ / o ✓ �5� Date of Payment Y Y Receipt Number d1 �786?1G Receipt Number COSA # CrDcll S { l2 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my sea] affixed hereto and as of the validation date shown below, I verify that myinvestigation, based on procedures outlined in the Certificate of. On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is.(are) safe, functional and adequatefor the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the. Municipality of Anchoragefiles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system,is(are) in compliance with all applicable Municipal and: State codes, ordinances, and regulations in effect at the time of installation.. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineeringanalysisof the. system in accordance with MoA COSA guidelines and, regulations. The. reported -results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels thatmayfluctuate during. the year, and the water usage of the family being served by the system. These conditions areoutside the control of the evaluator of this system.- All systems eventually fail and .satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty' for future performance,. nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907)272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's.Printed,Name Steven R Pannone , Date 11/24/2015 *; 49 R .* 6. DSD ySIGNATURE System #1 Approved fort bedrooms S3even 12. �annar'e " System #2 Approved for bedrooms CE -8149 i 4i s�, ,C Disapproved Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Qate: /'Z- - 7 —( 5 .The Municipality of Anchorage Development services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage isnot responsible for errors or omissions in the professional engineer's work. . 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory ' Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluesheel r :a c If more than 1 septic system is on the lot: COSA Checklist # of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Lilac Park, Block 1, Lot 1 A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Date completed, 6/10/1990 Sanitary seal (Y/N) Y Total depth 183 ft. Cased to 183 ft. FROM WELL LOG Date of test 6/10/1990 Static water level 103 ft. Well production 30 g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 1.96 mg/L Arsenic ND ug/L bate of sample: 11 /16/2015 B SEPTIC/HOLDING TANK DATA Parcel ID: 015-211-16 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above, ground) 12+ in. AT INSPECTION 11 /16/2015 90 ft. 5.7+ 9.p -m. Collected by: PES Tank Type/Material Septic/Steel Date installed 7/10/1990 Tank size, 1,500 gal. Number of Compartments 2 Cleariouts (Y/N) Y Foundation cleanout (YIN ) Y Depression over tank (YIN) N High water alarm (Y/N) N Date of pumping 2/25/2015 Pumper Isaacs Pumping Service C. ABSORPTION FIELD DATA Date installed 9/14/2002 Soil rating (g.p.d.lft2 or ft2/bdrm) 0.8 GPD/SF System type Shallow Trench Length 47/47 ft. Width 5/5 ft. Gravel below pipe 4/4 ft. Total depth, 6.5/6.8 ft. Eff. absorption area 940 fiz Monitoringlube Y Depression over field N Date of adequacy test 11/16/2015 Results (Pass/Fail) PASS For 5 bedrooms Fluid depth in absorption field before test 0/0 in. Water added 778 gal. New depth O/1 1 in. Elapsed Time: 1440 min. Final fluid depth 0/0- in. Absorption rate >= 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date ■ D. LIFTSTATION Date installed 9/14/2002 Size in gallons 500+ Manhole/Access (Y/N) Y "Pump level 28 In. "Pump level 28 in. High 34 on" at off' at water alarm level at in. Datum Bottom Of Tank Cycles tested 7 Meets alarm & circuit requirements'? Y E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main- Public sewer manhole/cleanout 10 Sewer/septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service fine 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS Rigid insulation over field: G. ENGINEER'S CERTIFICATION 7 certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MCA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date 11 %24/2015 _ COSA canary sheet 2-&15.doc z (APK3 PLAT NO. 83-484 L11 AC PARK 5UBD11lI(ZIf)111 S es°59.0040E 339.06' b LLo HUFFMAN ROAD n — _... � cy qtr fa SUILDINO DETAIL j"" l,.=201 A S -. L3 U I LT I HEREBY COMFY THAT i HAVE SURVEYED THE GASTALDIiAND I SURVEYING, SURVEYING, LLC NGDt, LOT 1�B SUCK 1 I DETERMINE THE EXISTENCE OF ANY FASEMEIM 2000 E DOWLING RD., SUITE 8 COVENANTS OR RESMCi1ONS WHICH DO NOT ANCHORAGE; ALASKA 99507 APPEAR ON THE RECORDED SUBDMSfON PLAT. PHONE 248-8454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR S1Y2736 4/28j2015 ESTABLISHING BOUNDARY OR FENCE LINES, I ANCHORAGE RECORDING OISfRICT, ALASKA , I I ? ? , , I I ? 1 f ! i wi � i i t t ' Ri t t z W�.u. 4S I 1 i r � Ur�IVG I or 7 f ` • 40' PRIVATE PLANTING & - I— -W- t I 1 f VEGETAWE RESERVE ESMT.I ? t SEPno srM I I 1 1 7 t0' T. & E, & CAS ESMT. 1 --.I t 7 I , I 1 ? t i 10' X 30' ANCHOR ESMT.--T- I -- - t - - - -f -- - - - --------- ____ ; 10' T. & E. ESMI: S es°59.0040E 339.06' b LLo HUFFMAN ROAD n — _... � cy qtr fa SUILDINO DETAIL j"" l,.=201 A S -. L3 U I LT I HEREBY COMFY THAT i HAVE SURVEYED THE GASTALDIiAND PROPERTY DEPICTED ABOVE AND THAT NO SURVEYING, SURVEYING, LLC NGDt, ENCROACHMENTS MST EXCEPT AS INDICATr" D. JEFF A R.L S.: IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY FASEMEIM 2000 E DOWLING RD., SUITE 8 COVENANTS OR RESMCi1ONS WHICH DO NOT ANCHORAGE; ALASKA 99507 APPEAR ON THE RECORDED SUBDMSfON PLAT. PHONE 248-8454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR S1Y2736 4/28j2015 ESTABLISHING BOUNDARY OR FENCE LINES, ANCHORAGE RECORDING OISfRICT, ALASKA F.B. 15-01 J08 N0. LPStt NOTE: NO CORNERS SET THIS DATE ' w 30' 1 11 ` 0 MUNICIPALITY OF ANCHORAGE ih Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # _�!�5^ – aye —�6 HAA # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) ,4/ QZ N 23W SGz Location (address or directions) (b) Property owner CO_c'rISSO"Cre.7�ef Telephone : (home) Business Mailing Address Telephone (c) Lending Institution Tele � � P Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here 5if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single -Family. Number of bedrooms 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site,K Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 Z ;o Z abed 1090 (88/L AOU) SZo-ZL �iorn s,aaaul6ua Ieuolssa;oid ay; ul suolsslwo ao saoaaa jo; alglsuodsaa;ou sl a6eaogouy;o L(;lledlolunw aq1 •panssl sl a;eogpjao e aao;aq e;ep aaAleue ao suol;oodsul;onpuoojou op SHHO;o saaAoldw3 •s;uawaalnbai a;e;s pue lejepa; ule;aao L(;sl;es o;aapio ul suol;n;l;sul 6u1pual alay; pue sawoq ;o siaseyoind o; Asa;anoo e se sly; saop SHHO aql -ei sely ;o a;e;S ay; ul paaa;s169a jeeul6ua leuolssa;oad;uapuadopul ue Aq anoge 9 gdea6eaed ul UGA16 suol;e;uaseAdai ay; uodn Aluo paseq pa;eol; iao IenoaddyL(;laoy;ny q;IeaH sanssl (SHHG) saolAaaS uewnH pue q;leaH;o;uaw;aedaa a6eaoyouy;o A;lledlolunyj ayl /Ieuol;lpuoo alea� Ienoaddy leuol;IpuoO;o swial panoiddeslp v panoaddy /q swooapaq ao; panoaddy IVAOaddV SHHO '9 RO e e' 1r '0131 01� �, • Y J••• •000• ff Y oeo ea • •o••••. •e•e•� 0 \ f v Y• � f (� r Ae1106 •• %^.f ale(] �f br �990�lZ° 0 ssaappy £�tS auogdalal wa!d;o aweN -uol;oadsul sly; ;o a;ep ay; uo;oa;;a ul suol;eln6ai pue 'saoueulpao 'sapoo a;e;S pue ledlolunw Ile y;lrn aouelldwoo ul sl wa;sAs lesodslp aa;eMa;seon ao/pue (lddns as;ern a;ls-uo ay; 'uol;oadsui pue uo1;e61;Sanu1 L(w woa; pue Sall; a6eaoyouy ;o L(;IledlolunH aq; woa; peule;go uol;ew.lo;ul aq; uo paseq ;eq; Aj!JOA aaq;an; I 'ulaaaq pa;eolpul ain;ona;s;o adAj pue swoojpaq;o aagwnu eq; ao; a;enbape pue leuol;oun; 'a;es sI wa;sAs lesodslp ja;ema;sern ao/pue Alddns as;ern a;Is-uo aq; jell smogs Ienoiddy L(;laoq;ny q;IeaH sly; ;o u01;e6i;sanul AW ;eq; (;IaaA I 'molaq urnogs a;ep uol;eplleA aq;;o se pue o;aJaq pail};e leas (w (q palpliao sy NOI1VWaOdNI CINV VIVO `HOaV3S 3-IIJ `S1S31 `SNOIlO3dSNl JNIOIAOad Wald ONI833NION3 '9 MUNICIPALITY OF ANCHORAGE (MOA) Health a Health Authority Approval (HAA) :F R MUN,CIP FiW�W,1{ �I0;fgPRUARY 1984 4 MENTAL SERVIC��4tlPVlb� ENVIRON Legal Description: /-/ 4/ l' le c o0wr1c 61990 /�N ►23� S2Z A. WELL DATA. �n Well Classification ��/�z e If A, B, C, D.E.C. Approved (Y/N) Well Log Present s J) _Date Completed -Yield ,`4-w - Total Depth `��� Cased to /_K3) Depth of Grouting Static Water Level /0,3/ Pump Set At Casing Height Above Ground Electrical Wiring in Conduit/N) SEPARATION DISTANCES FROM WELL: FA To Septic/Holding Tank on Lot Sanitary Seal on Casing N) Depression Around Wellhead (Y/0 ; On Adjoining Lots i To Nearest Edge of Absorption Field on Lot On Adjoining Lots > fop To Nearest Public Sewer Line N/,# To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot 24'174- / Water Sample Collected by � - I&e W ; Date Water Sample Test Results _Ritel : 0 N 0, /60/ Comments B. SEPTIC/HOLDING TANK DATA Date Installed 0 Size /f-00 No. of Compartments " Z Standpipes O/N) _Air -tight Caps&%N) Foundation Cleanout[/N) Depression over Tank (Y/& — Date Last Pumped _ NO I9P4 0 Pumping/Maintenance Contact on File (Y/N) N� ;for Holding Tank High -Water Alarm (Y/N) !!%fj 'Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well To Building Foundation To Property Line �0 y To Disposal Field / To Water Main/Service Line > To Stream, Pond, Lake or Major Drainage Course j/a 0 Comments 72-026 (Rev. 7/88) Front Page 1 of 2 /S"? i O/ C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata -5Z? Type of System Design Date Installed Vf-g0 90 Length of Field 416 11 Width of Field / Depth of Field Gravel Bed Thickness S - C a Square Feet of Absortion Area Hlo Statndpipes Present &N) Depression over Field (Y&1 Date of Last Adequacy Test IVa.-,., (,7 9? 0 Results of Last Adequacy Test W114 SEPARATION DISTANCE FROM ABSORPTION FIELD: i To Water -Supply Well C/o To Property Line To Building Foundation X1-/ To Existing or Abandoned System on Lot W-/4- ; On Adjoining Lots ? ? / To Water Main/Service Line % ��� To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course ��oU To Driveway, Parking Area, or Vehicle Storage Area �© Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical es (Y/N) Comments Dimensio Man!�Ole/"Access (Y/N) "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. "Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, verified, or conformed to all MOA and HAA guidelines ira-ef fkb+tlTe date of this inspection. Signed Company Date 71YI?a MOA No. %0 —0/ Receipt No. a���c��0 Date of Payment Amount: $ 'on Receipt No Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 -�n h 's Seal °oo 04 o%lo°°onaa 000&0 one°°° 0 /1o�RpY C. REI©, J 0 ° R., ° CE - 2251 °° �; ®4Q �°°° ° & °.ta''�a ° rte, CC J _ g LABORATORIES CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET • ANCHORAGE, ALASKA 99518 • TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORT BY SAMPLE for. Work Order # 26812 Date Report Printed: SEP 4 90 @ 08:42 Client Sample ID:L1 B1 LILAC PARK S/D Client Name A E C S PWSID :UA Client Acct AKECSRP Collected AUG 29 90 @ 15:10 hrs. P.O.# NONE RECEIVED Received AUG 29 90 @ 16:00 hrs. Req # Preserved with :AS REQUIRED Ordered By : L. REID Analysis Completed :AUG 31 90 Send Reports to: Laboratory Sup visor STEPHEN C. EDE 1)A E C S Released By :��2�G. �V 2) Special /�/ Instruct: Chemlab Ref #: 903315 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result Units Method Limits NITRATE -N 0.33 mg/1 EPA 353.2 10 Sample SAMPLE COLLECTED BY L. REID Remarks: ROUTINE SAMPLE 1 Tests Performed See Special Instructions Above UA=Unavailable ND- None Detected See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT=Greater. Than OD Ny� • �y�jx Wmp 9W� O K44r OU z� V w 0 � t.. �-��' O� F \ I J N 3a; JQ yg l'i wiwa°7u �g of N1rc1��V&am '�^ x p cv''f✓ii;;33''..� 1 %.. R Q U Pm uLWa $r ot•o p in o e i -W m. O nr- ...iQ oWa �m¢25oK9n o,$�zw~ o - m 2 a:.. a' 9 '"P� vi m..o °g o O q m u! 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