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HomeMy WebLinkAboutLAKE HILL ACRES #1 LT 5Lake Hill Acres #1 Lot 5 #051-052-05 e Municipality of Anchorage°. Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 PageI Gf3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SLJ`1360377 PIDNumber: Os_/_OSa_Oq Name: e- 1 r0 le �^ 'I� J Wastewater System: ❑ New $Upgrade dress: O go ?O3S�f �Au 56 CSO ABSORPTION FIELD Phone: �/y s - �L Number of Bedrooms: � / ��L) 7 G..l- Deep Trench ]Shallow Trench ] Bed ❑Mound ❑Other. LEGAL DESCRIPTION Soil Rating: On Total Depth from original grade: GPD/Fh Ft. Block: Lot: , L_1i � / S Subdivion: ' � � Depth to pipe bottom from original gr�(L{g Gravel depth beneath pipe: � Q Gtr J Ft. Ft. Township: Range: Section: Fill added above ori inal rade: 9 9 �D, Gravel Length: ^S� g FL J Ft. Well: ❑ New Ll Upgrade Gravel width: Numbs flines: Distance between lines: Ft. 1/ Ft. Classification (Priva r e, A, B. C t IP'l o /} Total Depth: sed to: (1 Ll{ F CaFt. Total absorption area: Pi a Material: Driller: Date D Static Water Level Ft. t tLeC-dx 1 Date Install ed: , ` _ ©7 ��/r( ( Yield: ump Sol at: CAbove Ground: asi ANK GPM Ff. Ft. SEPARATION DISTANCES 19 Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To From Septic Tank Absorption Field Lift Station Holding Tank ublidPrivate Sewer Line Me eclurer. Ire_mler r!Q rG.s capacity: ' Gal. Well O 1 /]j/( l(/(�II' e'"">�i Material:�('1� Number of Compartments: Surface Water I60'f- ILV LIFT STATION 1 (t Z Size anu aqurec Lot Lina 1Z4' Gal. Foundation (�! ��7\ // "Pump on -level at: 'P f: High water alarm at: in. in. Curtain Drain One �� kX Pump & Model Electrical Inspections performed by: Remarks /� ��y11- JFvj II rloa Qn IK 45 m Ued BENCH MARK C / Lr(4She h/{QG�Ofie^, LXa/Sf�`n Location and Description: O 1t .L� A to610vo OT Slctin GI i � 4 OneN coo jef "B" su©Elvatin: VK S dr S ENGINEERING Inspections performed by:17034 Eagle River Loop Road, 111110.9%s: fiat L f _25-07 Z `�sat�l Eagle River, Alaska nd z : C�� r ••'" Development Services Department Approval Conditional Approval Date: V.? ROEERT COWAN f tr C Reviewed and approved by: Date: (Ray. W06) " PERMIT NO. SW060377 PAGE 2 OF 3 Municipalityof Anchora e DEPARTMENT OF HEALTH AND HURAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOTS 4 & 5, LAKE HILL ACRES #1 P.I.D. NO. 051-052-04 2 / LST / �. �� S��P oQ�°} LOT 3 / P �x �� LOT,,%'4+> coz MT2 - vZAN / UO TH#1 2 16' MIN. << WqOj '{� 2� THS /\v C h/+/ MT C 1 // /`� / N LOT5 /+DBLi & DBL2 0 TMT TBM ST2 / EXISTING FCO ° ST1 4 BEDROOM HOUSE NEW 1300 GALLON HDPE O� / \ SEPTIC TANK 3CAL / 1" _ $0' A E 'Q ( Mj •( • ,i \ ROBERT C. COWAN N LOT 6 �'��� '. CE -8801 =w. PERMIT NO. SWO60377 PAGE 3 OF 3 Municipalit of Anchora e DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.D. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 4 & 5, LAKE HILL ACRES #1 P.I.D. NO. 051-052-04 FINAL GRADE FINAL G ST1 S NEW 92 8' 1300 GALLON POLYETHYLENE SEPTIC TANK MT1=83.5' MT2=83.5' 96.1' 2" INSULATION 92.5' C01=95.3' CO2=95.4 INSULATION COI=91.7' CO2=91.7' . N. T. S. WATER FOUND C 78.0' ENC 76.5' B.O.H. 10;?1% ....... MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Nov 28, 2006 Expiration Date: Nov 28, 2007 Permit Number. SW060377 Parcel ID: 051-052-04 Legal Description: LAKE HILL ACRES #1 LT 4 Design Engineer: 0003 S & S Engineering Site Address: Owner Name: VELVA FOWLER Lot Size: 17000 SO. FT. Owner Address: PO BOX 670354 Total Bedrooms: 4 Permit Bedrooms: 4 CHUGIAK , AK 99567-0000 This permit is for the construction of: ❑d Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ 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, seated, and heated to prevent freezing. Received By: / Date: tl Issued By: I (� Date: 9 u Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 - www.muni.org/onsite (907)343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING SAI KTI Parcel I.D. `051" Df`ot-toq Property owner(s) V 6wiq F&Lxr(Z Day phone _ 60�J—OW?2 Mailing address t --L)- t50K („ /O �55 y} L',LVCT149, 1f K. Site address aL q55 G r ace S i/eet Zip Code Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Range) Lot Size 1q.P bbn Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms "T THIS APPLICATION IS AN: Code 995' Initial ❑ Upgrade Renewal ❑ 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. & S ENGINEERING 17034 Eagle River Loop Road No. 204 Eagle River, Alaska 99577 (Signature of property owner or authorized agent) Date of Payment: Date of Payment: Receipt Number: o bLI Receipt Number: (Rev. 11/05) October 19, 2006 ROBER7C. COWAN, P.E. CML ENGINEERS (907) 694.2979 FAX (907) 694-1211 IEALTNAIRNORITv MUJNICIPALITY OF ANCHORAGE APPROVALS Development Services Department P.O. Box 196650 Anchorage, AK 99519 SEWERS WATER MAIN FXTENSgNS REFERENCE: Lot 4&5, Lake Hill Acres Subdivision #1 SEWER&WATER NSPECTION It Is requested that you Issue a permit to install a new 1300 gallon IIDPE septic tank and a septic trench to serve the existing four bedroom dwelling on Lot 5, Lake Hill Acres Subdivision #1. E°°"EERINGSTMIES ANOREPORTS Both Lot 4 and Lot 5 are owned by the same person, and an ingress/egress easement agreement is enclosed. A test hole was excavated and a percolation test performed. The approximate location of INSPECTIONWEU the test hole is located on the attached site plan. At the time of excavation 6/16/06, ground water was not found. After monitoring, ground water was found at 16.5 feet. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve SITE PLANS areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. ROAD DESIGN If you require additional information, please contact us. Sincerely, SM TEST PE„COLATM Robert .Cowan,, P� TEST RCC/bjj Enclosure STRUCTURALS MECKANCAL NSPECTIONS CNSRE WASTEWATER DSPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER ALASKA 99577 V, =_I DESIGN i00_ •!�4 F• \ co r o O �y0 cyy> w CreV M ♦ V' xmx OmN Nott n00 00 o m0 C)0 r mym m MPo A 'om t 120 =1 SITE—PLAN V W Vsons r o O �O °e O m O' .eei'" ��n 0 m oco •-1 n N a rrl rel (•irri � 1�1� -J 1 --1 H Ana• 0 \ ►� m113 O SyfO 163 >i \ D pp v n `\ O Lim 0 \\\\ Zm 0 • \ T � pRpl ppsf x \ \\\ •�I � - o t J Cy I Z ` \ O ri P 5 a �A o \ aoMR� •M g�Z_v O C) F\Fte�yl ,N rl'^l VI cn r o O 1-3 oco •-1 r � � A O m�A xpn lion D O .'ynA N y ,e ''•'' �`�' b��il' 4 R 3n WE Affil Municipality of Anchorage Development Services Department Building Safety Division • �.1 On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www clanchora�ak,us (907) 343-7904 Performed For, Legal Description: Soils Log - Percolation Test _JL VL�VA r-nLL) r Datep— , Performed: L6_U6 Lot 1, Let ke {�-W erg #I Township, Range, Section: 0('gar116.5 Crowe) si% hawn1grey Si t.71th --Q%ne I111rt{ greys; wi A genvel cobtl s /-o *'r [30H WAS GROUND WATER 11- ENCOUNTERED? 1_ENCOUNTERED? NO 8 IF YES, AT WHAT DEPTH? L Depth to Water After 0 Monitoring? P E Data: 1A_ 1:;blo-14;. Site Plan LOT 3 o! � / LOT 4 i A-rH 2 % 22 LOT 5 Reading Dale Gross Time v Nei Time Depth to Water Net Drop � a 30 0 9 .30 -3017 S.c j /j. .. (' . 3/ .6 ., 00 30 y.. 5S. 1w tarorn ennr.. e.rc -1 u - ------- . r rt Kt: HOLE DIAMETER COMMENTS TEST RUN BETWEEN Fr AND 7 Fir PERFORMED BY:S & SCEFNnGINEERING PERFORMED IN AL�60A3fc;a jP? 7 � Q� CERTIFY THAT THIS TEST AS Eagle River, A as ca 7 " """''"CIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: _/0/3_3 -/VC ROBERT C. COWAN, P.E. CML ENGINEERS (907)694-2979 FAX(907)694-1211 NEALTHA MICIRITV ON-SITE WASTEWATER DISPOSAL SYSTEM APPROVALS CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS SEWERS WATER EWND(TENSIONS REFERENCE: Lot 4&5, Lake Hill Acres Subdivision #1 October 19, 2006 PaKccnm GENERAL: 1. The scope of this project includes the installation of a new 1300 gallon HDPE ENaNEMNGSnxxm septic tank and a septic trench to serve the existing four bedroom residence ANDREPORTS located on Lot 5, Lake Hill Acres Subdivision #1. 2. Construction shall be in accordance with the approved site plan and design WMINSPECTION drawings, Municipal permit with any special provisions or conditions, and all 6 FLOW TEST applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground WE PLANS utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. RDAs DESIGN 5. Contractors installing wastewater disposal systems must be certified by the Municipal Development Services Department or ADEC if required, for SOIL TEST system installations. Owners installing their own systems must also receive prior approval from the respective agency. PERCOLATION SEPTIC TANK INSTALLATION: TEST 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. STRUCTURAL s WCHANICAL INSKCTIONS 2. The septic tank shall be sufficiently bedded to prevent settling or shitting of the tank. ONSITE WASTEWATER OMPOSALMTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER ALASKA 99577 Page 2 Lot 435, Laks Hill Acres Subdivision 01 October 19, 2000 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 411. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCRMRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalis of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page 3 Lot 435, Lake HIII Acres 3ubdlvlslon $1 October 18, 2006 11IINI11IU11I MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: n2gafPine Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. Page 4 Lot 435, Lake Hill Acres Subdivision 01 October 19, 2000 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: I. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre - construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR /INSTALLER A 2006-079036-0 A Recording Dist: 301 - Anchorage s 11/21/2006 1:00 PM Pages: 1 of 1 K A 111111llillllillllllll�illllllallll;Ill'IIIIIIIIIICIIIIIIIIII!1111111111111161 EASEMENT AGREEMENT C C The undersigned, in considcratio of mutual a reement set forth below, grant, convey and affirm the following easement, effective this day of Q ,u P 2006, and agree to the conditions and restrictions as follows: I, Velva Fowler, hereinafter referred to as grantor, owners of certain real property herein after referred to as "Lot 4; Lake Hill Acres Subdivision NI". According to the official plat thereof filed in the records of ANCHORAGE RECORDING DISTRICT, Third Judicial District, State of Alaska, do hereby grant to Velva Fowler, hereinafter referred to as the grantee, as owner of certain real property hereinafter referred to as "Lot 5; Lake Hill Acres Subdivision 01" according to the official plat thereof filed in the records of ANCHORAGE RECORDING DISTRICT, Third Judicial District, State of Alaska. An easement for an on-site wastewater disposal system to be located on Lot 4; Lake hill Acres Subdivision N I, together with right to maintain the on-site wastewater disposal system to include reasonable egress and ingress for pumping the septic tank and maintenance of the absorption area. The easement to be effective upon the signing of this agreement by the parties. I. It is understood and agreed that sewer service to Lot 5; Lake Hill Acres Subdivision HI is to be provided by connection beginning on Lot 5 and extending onto Lot 4. It is further agreed that the cost of maintenance of the in-place sewer lines shall be born by the grantee. 2. There shall be no charge for the use of the on-site wastewater disposal facilities so long as this easement is in affect unless a charge is arranged between the parties of their heirs or assigns or successors in interest by separate written agreement. 3. Grantor makes no warranty as to the adequacy of the wastewater disposal system and shall not be liable for any damages caused by the system failing to work adequately. 4. The grantor further agrees that the grantee shall have full, free and uninterrupted use of said easement for reasonable domestic use as long as such use docs not create an unreasonable, adverse impact upon the grantor. 5. Failure to make use of the on-site wastewater disposal system herein described shall not be deemed abandonment of the said casement. 6. The grantee further agrees to bear all cost, if any, for the operation, maintenance and/or abandonment of the on-site wastewater disposal system and/or easement. 7. This easement from grantor to grantee shall be binding upon and inure to the benefit of the parties hereto, their heirs, legal representative, successors and assigns, and shall run with the land. L 21 Velva Fowler�////�// (Lot 4) Grantee: Velv1 Fowler (Lot 5) Subscribed and sworn to before me this 373,,.Cday of 2006 for Velva Fowler. ..... •. My commission expires odzl-t"fUu M. C K.1 No rry Pu is Return to: S & S Engineering 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577 GRE ANCHORAGE AREA B0 I Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 LOCATION "'Yy�{z V LAice MAILING ADDRESS 9OX S+o� C..GtuGIfN[ PHONE VO6 -«» LEGAL DESCRIPTION 1-040'S le'4k4 '���`{ 1 CALLOS SEPTIC TANK: DISTANCE/uNUMBER OF L Ty FROM WELL MANUFACTURER set" MATERIAL COMPARTMENTS_1--.__ r f f INSIDE LENGTH INSIDE WIDTH ,S LIQUID DEPTH 533 LIQUID CAPACITY GALLONS. SEEPAGE PIT: fSyIgX/ay f NUMBER OF PITS ' DIAMETER _OR WIDTH_, LENGTH_, DEPTH 6 , / LINING MATERIAL LO CRIB SIZE: DIAMETER_jLDEPTH 4 DISTANCE FROM: WELL . TOTAL EFFECTIVE t. BUILDING FOUNDATION NEAREST LOT LINE ABSORPTION AREA (WALL AREA)32y .. SQ. FT. ADDITIONAL ABSORPTION ` WELL: TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE NEAREST SEWER LINE , CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: S e PIPE MATERIAL: (70�4 ikou LOT SLOPE: REMARKS: DEPTH SEPTIC TANK_ DIAGRAM OF SYSTEM i 6 A ���� _�• ATE hltil I1 APPROVED -fel DISTANCE FROM: SEEPAGE SYSTEM GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO, II'�II IIS 3330 "C"'STREET ANCHORAGE, ALASKA 99803 �VJ�IUI��Vglfll TELEPHONE 274-4861 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT MAILING ADDRESRS'-y ��/�ll��'�L- PHONEt��{ INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT �� DRAIN FIELD OTHER SG! L TYPE AND SIZE OF FACILITY TO BE SERVE➢GP 6 /, � 7 / /awl , �C FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULT NOTE. THIS PERMIT 15 NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY �W TILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE � � Vz4Z TYPEe—l'�l elb"NEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK J J FOUNDATION TO SEEPAGE PIT DRAIN FIELD �n SEPTIC TANK TO SEEPAGE PIT WALL -/ SEPTIC TANK _iI''`` ce. SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK /tea , SEEPAGE PIT 1Od� DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TA K l d/ SEEPAGE PIT DRAIN FIELD ia� SEPTIC TANK, 'J ,SEEPAGE PIT DRAIN FIELD TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO B9,R013PH REGULATIONS REGA�RPINO INSTALLATION. G.A.A.S. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM LI/ISS IN ACCORDANCE WITH SAID CODE. ,, p naTW��`' ✓�'/� APPLICANT'S SIGNATURE[f'_ ,c E� • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 051-052-05 Expiration Date: / 0 - L2_- /_3 1. GENERAL INFORMATION Complete legal description Lots 5�-. Lake Hill Acres #1 Location (site address) 24545 Grace Drive, Chugiak, Alaska 99567 Current Property owner(s) Jason & Lela Voliva Day phone Mailing address 663. Dyer Circle, Huntsville, AL 35808 Real Estate Agent Layne Gunter/Keller Williams Day phone (907) 223-8583 2. TYPE OF DWELLING: E] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ ruuuc vvaLLe r onyatcni U WaiverNariance request for: TYPE OF WASTEWATER DISPOSAL: Individual ID Holding Tank ❑ Community ❑ nu. [:_ c....,_.. ruuui, ocrvcr F-1 U Received by: ! r— COSA to be released to the Keer, unless otherwise requested by the engineer. Date: COSA Fee $ —t q0 —Waiver Fee $ Date of Payment 1 1 0 (3 GkA 00� Date of Payment 1 Receipt Number 1666 1,PO Receipt Number COSA # U J\ 3 10 Waiver # 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. Name of Firm Pinard Engineering Phone (907) 357-3647 Address PO Box 871347, Wasilla, AK 996867 Engineer's Printed Name Paul E. Pinard, P.E. 6. DSD SI NATURE System #1 Approved for �3 bedrooms System #2 Approved for _ bedrooms Disapproved Conditional approval for bedrooms, with the following By: �6 I Original Certificate Date: 7 - 1,2- —./ 3 The uni p typP'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 COSA blue sheet r'- , If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system Certificate of On -Site Systems Approval Checklist 4 07` g� Legal Description: ' Lake Hill Acres #1 Parcel ID: 051-052-0 j A. WELL DATA Well type Pvt Date completed Unk Total depth Unk ft Date of test Static water level If A, B, or C provide PWSI D # Sanitary seal (Y/N) Y Cased to 40+ft. FROM WELL LOG Unk Unk ft NA Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 6/29-30/13 157.8 ft. Well production Unk gpm 0.5 g p m WATER SAMPLE RESULTS: n I�� f Coliform 0 colonies/100 mL Nitrate !rrV D mg/L Arsenic 2 ug/L Date of sample: 1D /3 Collected by: Pinard Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/HDPE Date installed 4/25/07 Tank size 1300 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (Y/N) N Date of pumping 8/27/12 Pumper Royal Flush C. ABSORPTION FIELD DATA Date installed 4/26/07 Soil rating (g.p.d./ftz orfelbdrm) 0.6 gpd/sf System type Deep Trench Length 63 ft. Width 3 ft. Gravel below pipe 8 ft. Total depth 11 -9 ft. Eff. absorption area 1008 fe Monitoring tube Y Depression over field N Date of adequacy test 6/29-30/13 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 44 in. Water added 600 gal. New depth 50 in. Elapsed Time: 975 min. Final fluid depth 44 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) None Known If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot _ Absorption field on lot Size in gallons _ "Pump off' level at Cycles tested _ 100'+ 100'+ Public sewer main NA Sewer /septic service line 25'+ Animal containment areas 50'+ Manhole/Access (Y/N) _ in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 101+ Property line 51+ Water main NA Water service line 10'+ Wells on adjacent lots 1001+ ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation _ Water Service line 101+ Surface water Curtain drain None Known Wells on adjacent lots Absorption field 51+ Surface water 100'+ 10'+ Water main NA 1001+ Driveway, parking/vehicle storage 10'+ 100'+ F. COMMENTS This system was installed and was tested as a 4 bdrm system however, the residence is only 3 bdrms at this time. G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Paul Pinard, P.E. Date 7/2/13 COSA brown sheet 10-10-12.doc in. Municipality of Anchorage aL Development Services Department Building Safety Division s E On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # 131310 During a recent COSA on-site inspection and test of the potable water supply well on Block , Lot 5 of Lake Hill Acres #1 subdivision, the well's productivity was determined to be 0.5 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.42 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. PINARD ENGINEERING P.O. Sox 871347 Wasills, AK 99687 (907) 357-ENGR (3647) ADEQUACY TEST—PAGE 1 LOCATION: Lots 4 & 5, Lake Hill Acres #1 APPLICANT: Jason & Lela Votive 663 Dyer Circle Hunsvilie, AL 35806 SEPTIC TANK TYPEIS€ZE: HDPE/1300 Gallons, per MOA Records ABSORPTION SYSTEM: Deep Trench, per MOA Records DAILY FLOW: 3 BEDROOMS x 150 GAL/BR = 450 Gallons TEST DATA JOB NUMBER: 13.194 DATE OF TEST: 6/29 - 30113 FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 3 SCUM: 0.0' SLUDGE: Minimal NEEDS TO BE PUMPED: Yes No XX CURRENTLY IN USE: Yes XX No Time Flow Rate Volume Cumulative Volume Septic Tank Septic Tank Soil Absorption System Comments PM {GPM) (GALS) (GALS) Liquid Level ' A Level Monitor Tube 1* A SAS Level Monitor Tube 2* A SAS Level 515 a.o 4.0' 3.7 Start Test— Meter 94800 545 120 120 4.1 0 4.0 03' Stop Flow 94920 R:45 4.0 4.0' 3.g' Resume 94920 9:15 120 240 4.1 0.1 4.2' 0.4' Stop Flow 95040 6/30 AM 925 CO - 4A' - 3.7' - Resume 95040 955 120 360 4.P 0.1' 4.0' 0.3' Stop Flow 95160 *ALL MEASUREMENTS IN FT. TEST: PASSED COMMENTS: See page 2 for continuation of this test. FAILED Reviewed by: Paul Pinard Date: 711113 PINARD ENGINEERING P.O. Box 871347 Wasilia, AK 99687 (907) 357-ENGR (3647) ADEQUACY TEST—PAGE 2 LOCATION: Lots 4&5, Lake Hill Acres #1 APPLICANT: Jason & Leta Voliva 663 Dyer Circle Hunsville, AL 35808 SEPTIC TANK TYPEISIZE: HDPEM300 Gallons, per MOA Records ABSORPTION SYSTEM: Deep Trench, per MOA Records DAILY FLOW: 3 BEDROOMS x 150 GAUBR = 450 Gallons TEST DATA JOB NUMBER: 13-194 DATE OF TEST: 6/29 - 30/13 FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 3 SCUM: 0.0' SLUDGE: Minimal NEEDS TO BE PUMPED: Yes No XX CURRENTLY IN USE: Yes XX No Time Flow Rate Volume Cumulative Volume Septic Tank septic Tank Soil Absorption System Comments FM (GPM) (GALs) (GALS) Liquid Level ' A Level Monitor Tube 1* A SAS Level Monitor Tube 2* A SAS Level 1:05 4.0 4.0' 3.8' Resume — Meter 95160 1:35 120 480 4.1' 0.1' 4.2' 0.4' Stop Flow 95280 4:15 4.0 4.0' 3.8' Resume 95280 4:45 120 600 4.1' 0.P 4.2' 0.4' Slop Test 95400 RFCnVFRY Date Time ST MT SAS MT 711 9:00 4.07-0.1' 3.7'1-0.5' *ALL MEASUREMENTS IN FT. TEST: PASSED XXX FAILED COMMENTS: This system was found to be operating satisfactorily and still had the availability of the top half (41) of the Deep Trench for absorption. The duration of the test had to be extended due to the limited yield of the well. Reviewed by: Paul Pinard IV Date: 711/13 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D, 051-052-04 1. GENERAL INFORMATION Complete legal description Lot 4 6 5; Lake Hin Acres #1 Location (site address) 24545 Grace SL Current Property owner(s) velva Fowler Mailing address Lending agency Mailing address Real Estate Agent Mailing Address PO Box 670354 Chuglak AK 99567 COSA# !In IQI Expiration Date: Q — ;z a —!2-7 Day phone 668-2279 Day phone Day phone Unless otherwise requested, COSA will be held by DSO for pickup. ^� 2. NUMBER OF BEDROOMS: 4 c calk 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑� Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Individual On-site ❑� Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional Civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 4. 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. Name of Firm S a s engineering Phone 684-2979 Address 15861 S. Birchwood Loop Rd. Chugiak, AK 99567 Engineer's Printed Name_ t)f9Gd; < �owdf. Date66 /%R1a71f,/47 5. DSD SIGNATURE r,i `aocCE 8801 AN Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Report Other By: a�U/1�.,✓ 14/ Original Certificate Date: -;Z2-07 (R" IIM) Municipality of Anchorage • �" Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE S/Y//STE s �A�PPROVAL CHECKLIST LIE I/ Legal Description: "1 e S I r'KK�'S#( Parcel ID: d5�"052— A. WELL DDA�ATTA�A Well type"1'"f2_lVWT_ If A, B, or C provide PWSID # = Well Log (YID KIn Date completed _ aUV— Sanitary seal(�) _%4�S Wires properly protected!) Total depth _Ay -- ft. Cased to Al ft. Casing height (above ground) Z i in. SM A>'TV_rUVW4- vxcit FROM WELL LOG PRV,"kXV-V_ 61110AT INSP CTI N Date of test OPL Static water level ft. ft. Well production g.p.m. r�. 9 g.p.m. WATER SAMPLE RESULTS: Coliform ,_O _colonies/100 mL Nitrate 0 IS mg/L Other bacteria D colonies/100 mL Arsenic: Ai)b ug/L date of sample: ��f$/0�} Collected by: s+ -S FwY.192615006 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date instailed 2S O r Tank size gal. Number of Compartments _� Cleanout) yEg Foundation cleanout&N) S _' q Depression over tank (Y6)High water alarm `I.� Date of pumping / Pr Pumper ^ A ItEu 3 US7rM C. ABSORPTION FIELD DATA Date Installed Soil rating (g.p.d./ft= or fe/bdrm) _ S� System type LT4t 'rrffilr'1f Length 63r ft. Width 2:oI ft. Gravel below pipe 93' ft. i Total depth Wit. Eft. absorption area Mfe Monitoring tube %16S Depression over field l O Date of adequacy test Results (Pass/Fail) "— For q bedrooms Fluid depth in absorption field before test = in. Water added= gal. New depth= in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= — g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) '"— If yes, give date — D. LIFT STATION Date installed "Pump on" level at _ in. E. SEPARATION DISTANCES Size in gallons fiE a ccess (YIN) "P� a at —in. High water alarm level at Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot /03 1 Absorption field on lot Public sewer main AJ Sewer /septic service line '4 - Animal containment areas �50 r'F On adjacent lots On adjacent lots Public sewer manhole/cleanout PJ Holding tank nJ1A- i Manure/animal excrete storage areas 11004 - SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 14 �_ Property line 6, r Absorption field S ' f r Water main WA Water service line 16 +- Surface water IDO �- Wells on adjacent lots = .l" SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: � r Property line Building foundation /0 i- Water main r r r Water Service line j0 '� Surface water. too +- Driveway, parkingtvehicle storage /4 f / Curtain drain il-MV Wells on adjacent lots _IQQ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in " conformance with MOA COSA guidelines in effect on this date. Q ROs Rt C. COWAN n d Engineer's Printed Name "911T- C. `ar✓',✓rf,% CE ;B801 Date (� I r It /° i I�t1)1 J�;.JF 53`•x'' COSA Fee $ 1130• R o Dale of Payment 6 1 1 11 /0 7 Receipt Number O `9 S' °I 8 If• (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number in. Municipality of Anchorage • Development Services Department Building Safety Division < —/ On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragc.ak.us (907)343-7904 Water Well Advisory Health Authority Approval # 070191 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block , Lot 4 & 5 of Lake Hill Acres #1 subdivision, the well's productivity was determined to be 0.9 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.4 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. JL1l-20-2007 10:10 e��i: J� `/1y4� Jim .Sullivan SS8-2510 or 252.2510 745.251D Far. 538.254:, :;'. ?FM3 C:2:2 0: r Caslmisr wry No. S&S ENGINEERING i3? No CIA"ll!MltlltS1<I }R r11NAa>n'Kl' 10025 Alaska OlslrlbLdor P.O. Box 770197 Eagle River, Alas!ca 99577 M.NWA CERTIFIED PUMP INSTALLER oa! o. —,ri.3 ur.3es9 a� Tr a -r 9=m is 3 Qh/. Doacri;.t!ar. I Prim hmur., ,--- ---- �riCi.-'hfjri 1. 1•:+lLal:iiOfy .'..N1(:lilrlrl .ter 1 —_. _—_......_...... _.—� .. DTAL !P.7:. w.! G•:"— _.^.: :^'S_?i �C3 �SS!I! Lt. Ci:fL�2 tif�'�_ 907 694 1211 P.02:02 t TOTRL P.02 �. 7 ,. �I . l��w It I., ,i 1'il �•'.' ''`L•f1*'y 7Hi(t(.�r�fidod 1 '.' ' ! �. �I 1 n t e,� > ♦1{ :'� Y w� ♦CIS r " � , 0[bJ . 64 S i+ i... " ':Tr • .S. '1 rt t i,+� ' It. et e, f t f� tt `,f f\ .•`�[ d', N1'j(��i �, SI '.. n'. I* � - \ %IILr.! I. ,. r•. I' ^.N 11 r�'�- ' 1 Y' ty P '•Ir S may, > y 1L i � ' : r.t I i . `` � , 16" 4eC• t � r r jry/p. I� 1�� e.� '( t rry/'rl l�i4� t Y a'r � � J ..`•, � t.. -.11 I. •FI I lrA 41 I I t If y'•_ i ;`�;,I+� l .- f 4 �y ,� ," .. � Li1J,lq I• a f_ 1�• s b'a Y.III~ ,tis 1.-,i �s� + .S ` � •\ s is ' r 'r ♦.t ' + r f A I t ••7 1HI `i J .��\ r,r.+:'P\ N } •� I'^ -. - 1' .• f� . is l(.�J'!t L I - . I l C.,l �i•i,r 1 rl� iY Y H ('�4 �Y'f ,`, f + ` ' T•1't, 1 . Yf Y • s .:•. bl-I\ 1 ,y� �f� wai' •'j •r w t'K'r i'_ 1, 1 4.i1. yi •1 1 It rt• �••M �4 i 'Y 11 r P ,y � L r. .\ t •� 1 t •if .t f b I �L certify that) h ve.surveyed the following described r ' t a' 1 lL b rt Z �,.ai�'M !,• "J"• '•i �� � '1 �1rll+�, �`i^S:::P�• �,�'. I. :' .r4. ,'i_' , t -ti ', rl ,.. r �:s < •., � If(,�J�r:.�'su61/„C'i'-:f- k'guf'/„ r{ ` y�irr `a i� 3'! I S1t tli•A Vii'; 7' IS'AI I R 1 W3 1/•t :" ge )recording precinct,"Alaekl,:and'that the Improve + sl thtreon arc within the property lines and do not I 1 { or ♦naorh on the property lying adjacent thereto; That 1 ' J�lOvemenb on property lying adiacent lherclo encPoach':• j. y i'premlaea W quentiloon and,that them arc no roadways, a a w ■it,, Unes or other vbibk easements on said property;' ' "t8tcept as Indkated hereon e Y a^ Fated at Sale Rlver Alaska :'r ' Y IItl0 8 tSJ , y ' # } @tp'�+—day' of t' ROBERT C. JOHNSON /Vu o , "Registered Land Surveyor No 984LS s. r I Box 77-0456, Eagle River, Alaska 99577,; Phone (907) 691-2543 - i' _ ;