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Home My WebLink AboutLAKE RIDGE TERRACE BLK 5 LT 4AOnsite File Lake Ridge Terrace Block 5 Lot 4A #051-313-21 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221485 Work Type: Septic Renewals Tax Code Number: 05131321000 Site Legal Address: LAKE RIDGE TERRACE BLK 5 LT 4A G:0653 Site Mailing Address: 14901 TERRACE LN, Eagle River Owner: SIMMONS SANDRA F Design Engineer: C & M Engineering This permit is for the construction of: Effective Date Expiration Date: Ment �'�� Zf • ��x s `� ��n Department Lot Size in Sq Ft: Total Bedrooms: 12/2/2022 12/2/2023 26250 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing i Special Provisions: 1. Change Order #1: Design change due to higher groundwater reading. 2. A test hole is required prior to construction of the absorption field, for the reserve site, to confirm minimum separation toimpermeable soil and seasonal high groundwater, as well as percolation rate. Construction may proceed at your own risk prior to 7-daygroundwater monitoring. If results require a design change, constructions hall stop pending approval of a change order. Please submit results withthe inspection report (or change order, if required). 4 3. One of the wells is in a depression. Bring the grade up to meet code so that water slopes away from the casing. 4. Confirm that the well not serving the house is in working order. C C) A rtJ7 �Y= _ L SS (jr-'A tv C �' �Ylq Date: Issued By: Date: I2 y�ZZ CO -;!�-' z ARE, LLC dba ALASKA RIM ENGINEERING CIVIL ENGINEERS — PLANNERS 1920 Kentucky Derby Dr. Palmer, Alaska 99645 Telephone (907) 775-2347 Email: alaskarinmengineering.11c@gmail.com October 5, 2023 Curtis Townsend Deb Wockenfuss Onsite Water and Wastewater Municipality of Anchorage PO Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 RE: Lake Ridge Terrace, Block 5, Lot4A Subject: Request for Design Change (#2) Revised 10/10/2023 Dear Mr. Townsend and Ms. Wockenfuss; The owner of the above referenced property has requested a revision of the previously approved designed septic system, prepared by C & M Engineering Services. The revised septic system will be designed for a 5 - bedroom residence and address the groundwater issues encountered during construction in 2022. This narrative discusses the proposed wastewater disposal plan revisions and requests approval to revise the above subject lot's septic design. We have incorporated the suggestion and recommendations based on our meeting August 29, 2023. TOPOGRAPHY The topography of the subject parcel has been modified by previous work done by others. The site plan drawing has drainage arrows indicating the current runoff direction. SOILS, PERCOLATION TEST AND GROUNDWATER 2022 Soils Investigation Two test holes were logged by C & M Engineering Services and logged by Charles G Balzarini, PE.: The first test hole was advanced to a depth of approximately 18 feet on August 11, 2023. The soil log indicated the soils were Silty Sand, classified as SM. The results from the percolation test indicate the soils to have a percolation of 25 -minutes per inch; which has a prescriptive application rate of 0.6 gallons per square foot. A second test hole was logged on October 10, 2022. The soil log indicated the soils were Silty Sand, classified as SM. In this test hole, groundwater was observed at 10 -feet (noted as seeps). No percolation test was performed at this location. Since 2022 the ground water has been monitored and has an average of 9 -feet below the ground surface with a high of 8—feet, as measured on October 1, 2023 . For this design, we have set the ground water elevation at 8 -feet below the ground surface. Test holes and percolation test locations are indicated in the site plan accompanying this change order request, and are based on C & M Engineering Services, and confirmed with onsite measurements. LAKE RIDGE TERRACE, BLOCK 5, Lot4a WASTEWATER DISPOSAL SYSTEM REQUEST FOR DESIGN CHANGE (#2) Previous work has removed the topsoil from the proposed area of the septic field. 1989 Soils Investigation Q Page 2of 3 One test hole was logged by Construction Engineering, Inc.in 1989 and is on file with MOA Onsite. Based on the location of the test hole and the excavation work recently performed the soil appears to be consistent with C & M Engineering Services soil report. In our meeting on August 29, 2023, it was clear that the existing trenches and French drain would need to excavate to remove the unclassified excavation the was haphazardly backfilled into the trenches we are proposing to backfill the existing trenches with Engineer Receiving Soil (ERS) as specified in 15.65.2 10 (D). 3 c or Filter Sand, see Drain Field Design below. SEPTIC TANK Proposed is to install a 2500 gallon STEP tank manufactured by Anchorage Tank & Welding meeting MOA coating requirements. The tank will be installed and backfilled according to the manufacture's recommendation and the current municipal code. We propose 2 -inches of rigid insulation to cover the tank. We will provide documentation of the tank manufacture, material and that the appropriate cover is placed over the tank with our record drawings. SEPTIC TANK BALLAST The septic tank buoyancy calculation is attached to the end of this document. DRAIN FIELD DESIGN The proposed design is for a 5 -bedroom dwelling with a design flow rate of 750 gallons per day. The prescribed application rate is 0.6 gallons/ft2. Which would require an absorption area of 1250 ft'-. As an alternative we are proposing to excavate the material that was disturbed in October of 2022. The proposed over excavation would be the length of the field and five feet wide for a depth of eight to ten feet. We propose to backfill with meeting the requirement of USCS Sand with an application rate of 1.2 gpd/square foot. The side wall would still have an application rate of 0.6 gpd/square foot. Using both materials in a five wide trench configuration, the hybrid application rate would be 0.83(see attached Hybrid Soils Comparison Calculation Spread Sheet) Using the hybrid application rate of .83gpd/square foot the required absorption area would be 903 W. We are proposing two pressurized 5 -wide absorption fields that will be constructed as drawn on the attached plans. We are proposing a 4 -foot effective depth, with a trench drainfield that will be 45 -feet in length for a total of 900 W. The two trenches will be connected to the STEP via a 2" transport pipe and a 2 -inch manifold pipe 13 -feet in length. Each field will have a 2 -inch lateral with 1/8" holes facing down drilled at 3 -foot centers. Attached is the Orenco Pump Selection for a Pressurized System Summary including the pump selection data. The tank, pipes and field will be insulated with 2 -inch rigid insulation. The transport line will slope back to the tank's weep hole to avoid potential winter freeze ups. REPLACEMENT SYSTEM The replacement system for this property would be an advance treatment. A replacement field has been designated on the drawing. It is noted that these field are designed based on the application rate of 0.6gpd/sqft Alaska Rim Engineering Professional Consulting --- Practical Solutions LAKE RIDGE TERRACE, BLOCI{ 5, Lot4a WASTEWATER DISPOSAL SYSTEM REQUEST FOR DESIGN CHANGE (#2) Q( Page 3of 3 SURROUNDING PROPERTIES There are no water wells within 100 feet of the proposed system. The property is served by a private well. Well radii for the wells have been identified on the site plan. SURFACE WATERS There is no surface water within 100 feet of the proposed system. Drainage arrows on the site plan indicate the slope and direction of stormwater runoff. (See attached site plan) WAIVERS No waiver is required for this design. We do not anticipate any adverse effects on the neighboring septic systems, reserve areas or drainage patterns by the installation of the proposed wells and septic system. Upon completion, we will provide record -drawings of the installation. If there are any questions, please contact me. Sincerely,A<gs90Di ARE, LLC. 49TH •oma Charles A. Leet, PE *; p ......... ..........•••�• Principle Q.......�.� .�`•••••. Q roles A. Leet QQ�.n'., Cf 10480 CC: ARE File No. 2022- 025 ........... •�� tldo .... SNCL: Drawings (3) Hybrid Comparison Buoyancy Calculations Orenco Pump Selection for Pressurized System Alaska Rim Engineering Professional Consulting --- Practical Solutions GC2-*2 ARE, LLC dba ALASKA RIM ENGINEERING CIVIL ENGINEERS — PLANNERS 1920 Kentucky Derby Dr. Palmer, Alaska 99645 Telephone (907) 775-2347 Email: ilasicarinnicnginecring.11c@gniaii.com BUOYANCY The following are calculations for buoyancy and tank restraints: The current 1250 gallon tank is buried 5 ft. Assuming 2500 -gallon tank is buried with 5 ft soil cover + insulation. Tank Properties: Diameter 5.33 feet Length 17 feet Weight 2650 lbs Tank footprint = 5.33' x 17" = 90 sf Material Properties: Unit Weight of Soil 115 lbs/cult Unit weight of Concrete 150lbs/cult Groundwater at 60 in below grade. Assumptions: Tank fully immersed in water. Tank covered with dry soil. Concrete is not submerged. Dead load = wt tank + wt soil cover (unsaturated conditions) — 2,650 lb + 115 lb/cf x 5 ft x 90 sf = +54,400 lb Uplift force on tank = (2500 gal / 7.48 gal/cf) x 62.41b/cf = -20,860 lb Summation of forces = +54,400 lb — 20,860 lb = +33,540 lb Based on the dead weight of soil no additional ballast is required. � / % ® / / q / / $ i e p a Lr � 2 $ m 3 e w 6 G / ' 8c\ bD < / / k \ . 2 t t ¢ m m 2 ƒ 1ƒ 2 cr 2 / § z 0 / § - ƒ / Q 0 -CL © 0 -CL « � % f e m E < « \ -g- O / 4 a) / / V ° 0 ` _ 2 m ± \ / \ -J � / » \ w 2 2 E a e E. 0 >% Ln o V)e 7/. 3 $ w ƒ ƒ % –3: ± D_ Ln � : � » u / cr @ m = E @ m @ m Q Cu g m 3 ' o e d 3 = g 0 to / \ \ 0 / D E E\ c \ § 0 § / / % $ 2 t t \ m o o S m@ m < c § f rH / 2 ƒ 0 < G \ 2 � E / t e s E ƒ _ \ § / / / \ § § 1 / ƒ u /Ln E / » ¥ § k 7 / y Q / / » LnCL G \ ® £ — # � o \ -0 k / / \ / \ / E / � ƒ _ / 0* 0 m m » .- y LL a o c m % 7 CO 2 //\ 2 U E t o E E f 7 �_ t 3 \ / / / / / \ / / / 3 3 u cr- Pump Selection for a Pressurized System - Single Family Residence Project TERRACE LAKE, BLOCK 5, LOT 4A Parameters Discharge Assembly Size 2.00 inches Transport Length 40 feet Transport Pipe Class 40 Transport Line Size 2.00 inches Distributing Valve Model None Max Elevation Lift 6 feet Manifold Length 13 feet Manifold Pipe Class 40 Manifold Pipe Size 2.00 inches Number of Laterals per Cell 2 Lateral Length 42 feet Lateral Pipe Class 40 Lateral Pipe Size 2.00 inches Orifice Size 1/8 inches Orifice Spacing 3 feet Residual Head 34 feet Flow Meter None inches 'Add-on' Friction Losses 0 feet Calculations Minimum Flow Rate per Orifice 1.13 gpm Number of Orifices per Zone 30 Total Flow Rate per Zone 33.8 gpm Number of Laterals per Zone 2 % Flow Differential 1 st/Last Orifice 0.1 % Transport Velocity 3.2 fps Frictional Head Losses Loss through Discharge 2.3 feet Loss in Transport 0.8 feet Loss through Valve 0.0 feet Loss in Manifold 0.1 feet Loss in Laterals 0.1 feet Loss through Flowmeter 0.0 feet 'Add-on' Friction Losses 0.0 feet Pipe Volumes Vol of Transport Line 6.9 gals Vol of Manifold 2.3 gals Vol of Laterals per Zone 14.6 gals Total Volume 23.9 gals Minimum Pump Requirements Design Flow Rate 33.8 gpm Total Dynamic Head 43.2 feet tt07(CIING IHE WMIO'S WAIEt 3C 250 E n 12 100 0; CO ;&,z 5 10 15 20 25 30 35 40 Net Discharge (gpm) PumpData PF3005 High Head Effluent Pump 30 GPM, 1/2HP 115/230V 101 60Hz, 200V 30 60Hz t_egena System Curve: Pump Curve:' Pump Optimal Range: Operating Point: 0 Design Point: �ooDDp�� T ,fid Charles A. Leet o' CE 10480 °°1 :=I o Q�dn°pROFE `30—' ' ALASKA RIM ENGINEERING 1920 Kentucky Derby Drive Palmer, Alaska 99645 PH: (907)775-2347 alosl<arimengineering.11c@gmail.com JL iiM.i/LLC PAGE: 1 OF 31 REV 10/10/23 Consulting Civil Engineers: Planners SCALE: 1 ' = 50' IW0: 2023015 Single Family Residential LAKE RIDGE TERRACE, BLOCK 5, LOT 4A SITE PLAN �OT 5 / UTILITY EASEMENT N L V \J5 L T 3A ' �o�JS OOT BLOCK 5 0* = G VEASEMENT M 17— PROHIBITING VEHICULAR ACCESS TO D F m �qY �O NEW GLENN H 0 SPLIT LEVEL M c) TWO STORY 1r D--A FRAME HOUSE 1/ ryy p,Z, Z ITl 0 \STORAGE v�2 a Q �d y CoQ, —I �.6• °7 . _Z: b m \ 1 / ' MINIMUM SEPARATION DISTANCES / VERTICAL: 49.8'. n \ 6' SEPARATION TO IMPERMEABLE STRATA EXIST. I CV 4" SEPARATION TO SEASONAL HIGH WATER TRENCH 9 ' HORIZONTAL (SEE NOTE 1) "' MINIMUM 100' SEPARATION FROM PRIVATF WELLS 60'ROW I U) MINIMUM 100' SEPARATION FROM SURFACE WATER OR STREAMS MINIMUM 10' SEPARATION WATER SERVICE LINE MINIMUM 10' SEPARATION TANK AND FIELD FROM FOUNDATION NOTES: a.,1. EXISTING MONITORING TUBES WERE MEASURED IN THE FIELD. THE EXISTING TRENCH 0O LOCATION WERE BASED ON APPROVED DESIGN PLANS. THE LOCATION APPEAR TO ABANDONE P BE CORRECT BASED ON GROUND SETTLEMENT . FRENCH DRAIN ~ 2. EXISTING EAST AND WEST TRENCHES WERE EXCAVATED BUT NO DRAIN ROCK WAS (SEE NOTE 3 ) dip C INSTALLED IN THE WEST TRENCH. CONTRACTOR BULLDOZED THE WEST TRENCH ` 2 WITHOUT COMPACTION. THE EAST WEST TRENCH WAS NOT CONSTRUCTED THE ONLY REMNANT WAS THE TEST HOLE AND WHAT APPEARS TO BE A CLEAN OUT. 3. FRENCH DRAIN WAS EXCAVATED BY OTHERS AND COMPACTION WAS DONE USING THE BACK OF THE EXCAVATOR p BUCKET. NO QUALITY CONTROL WAS PERFORMED EITHER TRENCHES BACKFILL. 4. SEE SHEET 3 OF 3 FOR EXCAVATION PLAN 2-3% _ DRAINAGE ARROW �ooDDp�� T ,fid Charles A. Leet o' CE 10480 °°1 :=I o Q�dn°pROFE `30—' ' ALASKA RIM ENGINEERING 1920 Kentucky Derby Drive Palmer, Alaska 99645 PH: (907)775-2347 alosl<arimengineering.11c@gmail.com JL iiM.i/LLC PAGE: 1 OF 31 REV 10/10/23 Consulting Civil Engineers: Planners SCALE: 1 ' = 50' IW0: 2023015 Single Family Residential LAKE RIDGE TERRACE, BLOCK 5, LOT 4A SITE PLAN 63'X 5'X 4' ALTERNAT ABSOPTION FIELD co 2 0 M (CRN A 28 C 1 �l 0 a- C0� / 23� --2500 GAL STEEL 70 S.T.E.P. TANK WITH S� ORENCO PUMP AND �e FILTER. ,C,� /40 LF OF 2" SCHEDULE 40 TRANSPORT PIPE / 2 LF SEPTIC TRENCH (CIRCA 1989) NO LONGER VISABLE FROM THE SURFACE ORIGINAL SEPTIC MT/CO I \ / 13 LF OD 2" SCHEDULE 40 MANIFOLD PIPE 2-45 L LF OF 2" SCHEDULE WIDE 14 LATERAL PIPING WITH TRENCHES \ 1/8" HOLES SPACE TA P m w W U) O =20' SYSTEM CRITERIA: NUMBER OF BEDROOMS: 5 GALLONS PER DAY: 750 PERCOLATION RATE (MIN/IN): 25 HYBRID APPLICATION RATE (GPD/SFT): .83 MINIMUM DRAINFIELD AREA (SQ. FT.): 900 DRAINFIELD CRITERIA: FEET MAXIMUM DEPTH (FT.): 4 FIELD LENGTH (FT) 2-45 FIELD WIDTH (FT) 5.0 EFFECTIVE DEPTH: 4,0 ERS/SAND FILTER DEPTH (MINIMUM): 4.0 REDUCTION FACTOR: ,5 DRAINFIELD AREA: 900 FIELD SEPARATION (FT) 8 ART NOTES: 1. BUILDING SEWER DRAIN FROM HOUSE TO SEPTIC TANKS SHALL BE ASTM D2751/2661 2. ALL PIPE GRAVITY AND PRESSURE PIPE SHALL BE INSULATED WITH 2" RIGID INSULATION ��ooDDOp� OF ° A4 cb P ito° gTH o�dp °° ..O,°°°°°° °°°o PQ % Charles A'Leet CE 10480 �ql�d%,OFESSI �a ALASKA RIM ENGINEERING 1920 Kentucky Derby Drive Palmer, Alaska 99645 PH: (907)775-2347 alaskarimengineering.11c@gmail.com LLC PAGE: 2 OF 3 REV 10/10/23 Consulting Civil Engineers : Planners 11 SCALE: 1 = 20' W0: 2023015 Single Family Residential LAKE RIDGE TERRACE, BLOCK 5, LOT 4A ©OCTOBER 6, 2023 SEPTIC SITE PLAN 2" RIGID INSUL 4" PIPE BEI 2" SCHED. 40 PERFORATED EXISTING C FINISH GRADE IMPORTED EARTH COVER SEWER ROCK UNDISTURBED EARTH (SEE NOTE 3) c7. SEASONAL 'HIGH' IMPERMEABLE LAYER TRENCH SEC'T'ION NOTES: 1. TOPSOIL WAS PREVIOUSLY REMOVE FROM THE PROPOSED SEPTIC SITE. ALL SEWER ROCK WILL BE IN THE RECEIVING SOILS. 2. ALL CONSTRUCTION SHALL BE COMPLETED IN ACCORDANCE WITH THE MUNICIPALITY OF ANCHORAGE WATER AND WASTE WATER DISPOSAL REGULATIONS: CHAPTER 15.55 WATER WELLS AND CHAPTER 15.65 WASTEWATER DISPOSAL 3. CONTRACTOR SHALL EXCAVATE TO A DEPTH OF 8' OR TO GROUND WATER, WHICH EVER IS GREATER AND BACKFILL WITH FILTER SAND OR ENGINEERED RECEIVING SOILS (ERS). 4. TO MEET THE REQUIRED SEPARATION TO THE 2021 TRENCH, ALL SEWER ROCK WITHIN 8' SHALL BE REMOVED. ��000OD�� _a �E of ° q4� C a &V 9TH o dd 4- l° ........... o0 Charles°A. Leet ° Q % °° CE 10480 Q PROFESSI��P�c�' ��dd000�d CD -44Z ALASKA RIM ENGINEERING 1920 Kentucky Derby Drive Palmer, Alaska 99645 PH: (907)775-2347 alasl<arimengineering.Ilc@gmail.com - i i.ILwirLLC PAGE: 3 OF 3 REV 10/10/23 Consulting Civil Engineers: Planners SCALE: NTS W0: 2023015 Single Family Residential LAKE RIDGE TERRACE, BLOCK 5, LOT 4A ©OCTOBER 6, 2023 TRENCH CROSS SECTION MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221485 Work Type: Septic Renewal Tax Code Number: 05131321000 Site Legal Address: LAKE RIDGE TERRACE BLK 5 LT 4A G:0653 Site Mailing Address: 14901 TERRACE LN, Eagle River Owner: SIMMONS SANDRA F Design Engineer: C & M Engineering This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: `i 1»ent �o Department 12/2/2022 12/2/2023 26250 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing r i Special Provisions: 1. Change Order #1: Design change due to higher groundwater reading. 2. A test hole is required prior to construction of the absorption field, for the reserve site, to confirm minimum separation toimpermeable soil and seasonal high groundwater, as well as percolation rate. Construction may proceed at your own risk prior to 7-daygroundwater monitoring. If results require a design change, constructions hall stop pending approval of a change order. Please submit results withthe inspection report (or change order, if required). 3. One of the wells is in a depression. Bring the grade up to meet code so that water slopes away from the casing. 4. Confirm that the well not serving the house is in working order. ReLxffwez!maY: .-E SS (A( -,J iv C 4-/�/ Issued By: (� Date: Date: / 2-/7-/ 4 M U M MP UTY OF Development Services Department On -Site Water & Wastewater Section -- Parcel I.D. 051 313 21 AHCHORAGE ON-SITE SEPTIC/WELL PERMIT APPLICATION Property owner(s) SIMMONS Mailing address Site address 14901 TERRACE Day phone Legal description (Sub'd., Block & Lot) LAKE RIDGE TERRACE BLOCK 5 LOT 4A Legal description (Township, Range & Section) Lot Size 26,250 Sq. Ft. Number of Bedrooms 4 Phone: 907-343-7904 Fax: 907-343-7997 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank ID Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal 0 Multiple Dwellings ❑ Privy ❑ (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. C&M ENGINEERING (Signature of property owner or authorized agent) Permit/Rush Fees: 1`4 �) Waiver Fees: Date of Payment: I a l a- l?- a C = Date of Payment: Receipt Number: OqO?o� Receipt Number: Permit No. ZjS62 a a�`� Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System for Lake Ridge Block 5 Lot 4A Dear Reviewer, We are requesting renewal of a wastewater disposal permit for the subject property. During the installation of the system, a change of groundwater conditions was encountered and work was stopped. Documents have been submitted for a change order to the permit, however the permit has since expired. We are not aware of any changes to the site or adjacent sites which would impact this project; other than those identified in the change order request. Please let me know if you have any questions or if you need additional information. Sincerely, Charles Balzarini, PE 12/02/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221485, Deb Wockenfuss, 12/02/22 Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System for Lake Ridge Block 5 Lot 4A Dear Reviewer, We are requesting a change order to the permit for the above referenced property. During construction the groundwater monitor tube was removed from the test hole and water was subsequently observed flowing into the trenches. Work was stopped during the construction of the second trench which remains open. The contractor installed a subsurface drain greater than 14' from the trenches. A new testhole was excavated and a groundwater monitoring tube was installed. The seasonal high groundwater was measured at a depth of 9'8" below ground surface. We are requesting that a change order be approved for the attached design which is based on the above referenced seasonal high groundwater table. The open trench will need to be heated and covered prior to being filled. This change will not adversely impact adjacent properties. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini(d_)gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE 10/31/22 Ikr M321 CHARLES G BALZARINI` CE13854 ��iD PROFESS14WL-;-" F C&M ENGINEERING SERVICES 907-854-5558 Septic Design Calculations Residence: LAKE RIDGE TERRACE BLOCK 5 LOT 4A RE5ID NCE, LOT INFO number of bedrooms 4 br Water usage/bedroom 150 gpd/br Water Usage 600 gpd "DIMENSIONS FOR REFERENCE ONLY. SEE PLANS FOR DIMENSTIONS TO BE USED IN CONSTRUCTION" Calc By: CGB Date: 10/15/2022 -awe `CHARLES G BALZARINI' 46� CE1385412 pROFESSI4N�� .�'°' DRAINFIELD `. ? system type: CONVENTIONAL type: Wide 0.6 Application Rate gpd/sqft Based on historic testhole required absorption area 1000 sgft trench width (W) 5 ft gravel depth (D) 4 ft below distribution pipe Shallow factor 0.5 Min Required Length: 100 ft Max ex depth see plan ft "DIMENSIONS FOR REFERENCE ONLY. SEE PLANS FOR DIMENSTIONS TO BE USED IN CONSTRUCTION" Calc By: CGB Date: 10/15/2022 -awe `CHARLES G BALZARINI' 46� CE1385412 pROFESSI4N�� .�'°' NOTE: INSTALL ALL COMPONENTS IN ACCORDANCE WITH MUNICIPAL CODE AND MANUFACTURER'S RECOMMENDATIONS. — —I / t N 100' WELL RADII IRRIGATION WELL i P \ 4—BEDROOM \ HOME 1 I I PROPERLY PUMP AND DEMOLISH TESTHOLE —2 EXISTING TAN i 5x100 SHALLOW TRENCH o. WITH 4' EFFECTIVE 5-8" MAX EX DEPTH 14 APPROX 43 12' WHERE TRENCHES ARE TOE OF OVER—EXCAVATED, BRING FILL UP TO MAX EX DEPTH WITH MOA 3 SAND. / MONITOR TUBE, TYP 1.5"SCH 40 PVC DISTRIBUTION, PIPE WITH ~\ g" HOLES AT 4' ON CENTER INSULATE LEACHFIELD I SEPARATION DISTANCE NOTES: THE PROPOSED SEPTIC SYSTEM IS GREATER THAN: 100' FROM THE ON—SITE WELL 100' FROM ANY NEIGHBORING WELLS 200' FROM ANY PUBLIC WELLS 100' FROM ANY SURFACE WATER 10' TO ANY PROPERTY LINE OR FOUNDATION 5' TO ANY DECK FOUNDATION Ad owl' OF Al,law gsll 49 TM •. * CHARLES G BALZARIM I �G/•. CE -13854 .•�<c`v� IP iPROFEWQA� PRIMARY WELL LAKE RIDGE TERRACE BLOCK 5 LOT 4A Zl� 5x25x4'EFF RESERVE SITE / REQUIRES AWWTS AND ADDITIONAL TEST H DOUBLE COs INLET SIDE OF TANK 1250 GAL -POLY TANK W/ p .--.' INSULATED MANHOLE AT FIRST COMPARTMENT T J` 500 GAL .LIFT 6 2" S STATION ADD—ON 40 PIPE ', OR REPLACE 1250 TANK WITH 1500 GAL STEP TANK TESTH OLE DECOMMISSION 1989 TESTHOLE EXISTING FIELD APPROX SUBSURFACE DRAIN UNDEVELOPED MAINTAIN 10' MIN (NO WELL OR SEPTIC) SEPARATION SCALE: 1" = 30' LEGAL DESCRIPTION: LAKE RIDGE TERRACE BLOCK 5 LOT 4A C&M ENGINEERING SERVICES OWNER: SIMMONS I DATE: 10/28/24 REV: I DRAWN: 907-854-5558 SITE PLAN d ..A�gIto Municipality of Anchorage®�� GINEE Development Services Department WO iH ® / On -Site Water and Wastewater Section 49- / ••°••• ••• • �•.� 4700 Elmore St. /• •. ....••••� P.O. Box 196650 Anchorage, AK 99519-6650 • • • • ° g ° ••••••' , • alzarinl� W' www.muni.org/onsite Iles 9'DD��AA (907) 343-7904 'r ,+, : CE-13O•+'r ••°'v ®� Soils Log -Percolation Test ®®�R ®;••�`.•. z�� JF • Rn c. �t1 � L • L 1 Performed For. LAKC �L �� (� C� 5An/l� I\i r S—�Oate Peftormed: Legal Description:}(F—A-P01,17 %F%1/li4Cb /3S 4-411- Township, Range, Section: fief C_ 6- TH 2 Slope / Site Plan Depth Fe 0P5631- 1- 3- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15 - 16a 17- 18- 19- 20- i. l COMMENTS �yl WAS GROUND WATER ENCOUNTERED? yc � S D L IF YES, AT WHAT DEPTH? Depth to Water After � O P Monitoring? E Date: ( M 0 Z IReading I Date I Gross Time I Net Time Depth to Water Net Drop PERCOLATION RATF 1-i—1 ernrhl PPRC Wrll P rMARAM7Co TEST RUN BETWEEN /� FT AND FT ' PERFORMED BY: Cl774C7,A2_3_)tV7- I _ PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL _---CERTIFY THAT THIS TEST WAS N EFFECT ON THIS DATE. DATE: !2V - Performed For: SIMMONS Municipality of Anchorage Development Services Department On -Site Water and Wastewater Section 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Soils Log - Percolation Test Legal Description: LAKE RIDGE TERRACE BLOCK 5 LOT 4A Slone TOPSOIL/FILL SILTY SM BOH -NGINEER'S EA co ' Q TH J CHS G BALZARIKI CE -13854 PROFESSI0 Date Performed: 8/11 /22 Township, Range, Section: Site Plan WAS GROUND WATER ENCOUNTERED? NO S IF YES, AT WHAT DEPTH? NONE L Depth to Water After O P Monitoring? NA E Date: 8/19/22 READING DATE GROSS TIME N ET TI ME DEPTH TO WATER j N ET DROP _- 1 8/_12/2022 _ 1:52 _ 9.250 0.0 2 – 3 4 5 6 - -- -- 7 8 8/12/2022 8/12/2022' 8/12/2022 8/12/2022 8/12/2022 8/12/2022 8/12/2022 2:22 2.231 2:53 _ 2:55 3:25 - 3:2 7 3:57 _� 0:30 0:301 _- 1 . 10.563' — 9.250. 10.500 9.250 10.438 _ 9.250 10.438 1.313 — 0.0 1.250 0.0 1.188 0.0 1.188 0:301 1_ _ -. _r 0:30 PERCOLATION RATE 25 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS PERFORMED IN ACCORDANCE WITH MOA REQUIREMENTS PERFORMED BY: C&M ENGINEERING I CHARLES BALZARINI CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 08/19/22 -I I-m - ;u � ;u 0 )> ;uOm mu, r -I►oZ;u m---7J ►r �� C -I ► rO .................. 60' z 0 0 0 c5 � m I\) 0, I\) 6� // / LOT 5 / / / / / /;(:' / er / 10· / /J � UTILITY / ff EASEMENT / , / --- LOT4A BLOCK 5 SPLIT LEVEL TWO STORY FRAME HOUSE 0 co SHED DECK WRAMP , UPPER V �&LOWER DECK W/STEPS /. ✓-✓-� r::>' /. � ✓• ✓-0 r::>' vo ✓,,.:;:,.�o'<"� /. �(j ,-.;:: ✓•✓-'<>«; � o, °> ,/rJ-�-.;::*' /. r-• _cv /. �J-":JV) �' 1' EASEMENT PROHIBITING VEHICULAR ACCESS TO NEW GLENN HWY. 1" = 40' ✓•✓-'<>'?' .<,;," v'<" .• ":,'b � e:,�«J LEGEND -� ,__1>< OJ' � ® -0- FOUND IRON PIPE POWER POLE W/ANCHOR e FOUND 1/2" REBAR /J /J /J D EB FOUND 6" X 6" CONC. WELL NOTES: Ill OLD WELL 1. SEE PLAT NOTES IF APPLICABLE. <ifp)� �ml 847 W. Evergreen Ave. Palmer, Alaska 99645 Phone (907) 745-1110 I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY : LOT 4A BLOCK 5 LAKE RIDGE TERRACE SUBD. PLAT NO. 71-293 ANCHORAGE RECORDING DISTRICT, AND THERE ARE NO ENCROACHMENTS VISIBLE AT THE TIME OF THIS SURVEY, EXCEPT AS INDICATED. DATED THIS 31ST DAY OF JULY 20�AT EAGLE RIVER, ALASKA IT IS THE RESPONSIBILITY OF THE OWNERS OR BUILDERS TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR ESTABLISHING BOUNDARY OR FENCE LINES . THIS IS NOT A LOT CORNER SURVEY. JOB NO. 21-326 !CLIENT SCALE 40 FVln I PLOT PLAN ASBUILT X MAP �,,,,,,,,,,. �,.. Of Al. 11 lt �',,I,...,, • • • • • 1'1 ...... -�'·· *·•'1 .. -A.._r.• ··••1� = &J: ;!-, �1.=�: TH ••*� �-.-... �-� � � � . . . . . ... ;,,, ',.� •. W,"Y -f'.l. V;fH EY: �� ,. �D • LS-6925 •�- ,,,, '?-0 • �-- I, <"h • •-� - lf/'r(",•• .•c,,",::-lf 'II�!••••.� .. �.:, ltf""'E'!SIO"t,\. \.Y,� ' ,,,,,,,,,,, ©2021 IFIELD BOOK/PG(S). 305/64 -65 (WW) IDRAWN HW CKD. WW MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211372 Work Type: Septic Upgrade Tax Code Number: 05131321000 Site Legal Address: LAKE RIDGE TERRACE BLK 5 LT Site Mailing Address: 14901 TERRACE LN, Eagle River Owner: SIMMONS SANDRA F Design Engineer: C&M ENGINEERING SERVICES This permit is for the construction of: Q Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Effective Date: Expiration Dte: G 0653 Lot Size in Sq Ft: Total Bedrooms: ent mat 5 Department 0/2021 0/2022 26250 Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing /IXJ cjh Cl t eo Io co �� Se�-HC, �gY2 ZL F'_k' w Mtu0LC_.d `I Proposed �ceQc� so �.t_r"-a' i h+z ern.e Lo' n 3 o r "-d LA -3 a� Ise -c s I -n 0 6 d "ii o r\ +k' Sz � ro i o Se. d r e /� erw� Acq Lu ej c, co � /e e -}-o I �I 1.� de;o i � . If re sLk Ci �I � I e r e �J SO4 uh' b s ka'-U, SiD Q-\ ' tc r� v'Q 6-6 C'_ I� r !est 4 1° I esv� Sib rn 4- P Ire S fiS UD/ U\J) �av ioh repos I OZ C' 0r&elk ' U� t✓v..d. Ig I w CQ�/+�� fo %e lnsic�ll�a dee-per �,e,if"h Ct ravid�5c�lourgC., gfz4fiz Received By: Date: q Issued By: Date: ! to 4202 % ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051 313 21 Property owner(s) SIMMONS Mailing address Site address 14901 TERRACE Day phone Legal description (Sub'd., Block & Lot) LAKE RIDGE TERRACE BLOCK 5 LOT 4A Legal description (Township, Range & Section) Lot Size 26,250 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank ❑ El Upgrade ❑ (D) ❑ Holding Tank ❑ Renewal F-1Duplex Multiple Dwellings ❑ Privy ❑ (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. C&M ENGINEERING (Signature of property owner or authorized agent) Permit/Rush Fees: 459-5 Waiver Fees: 9'� ) .r>" Date of Payment: .2 % o2(J,?l Date of Payment: Receipt Number: 0553E.D Receipt Number: ®53 (n 1 Permit No. OS p•2 11.3 % a Waiver No. CS V a 110 ^ 1 GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System for Lake Ridge Block 5 Lot 4A Dear Reviewer, We are requesting a change order to the permit for the above referenced property. The design is changed from the permitted AWWTS to a conventional deep trench system with a lift station. This change will not adversely impact adjacent properties. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini(a)gmail. com with any questions or concerns. Sincerely, Charles Balzarini, PE 7/29/22 6 NARLES G BALZARINIn ' �'FG, ti CE13854 %t PROFE5Sl4OA�..,"�" C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System for Lake Ridge Block 5 Lot 4A Dear Reviewer, The above referenced property is currently served by an older failing septic system. The owner wishes to install a new 4-bedroom septic system. Our review of available documentation and field investigation show that this project will not adversely impact any nearby Wells, Wastewater disposal systems, replacement disposal sites, or drainage flowing onto and off of the subject property. We are using the original testhole as a basis for the drainfield design. The existing trench will server as a reserve site. We are requesting a waiver between the existing drainfield and the lotline. The requested waiver distance is 0-feet. Based on the monitor tube location, it appears that the drainfield goes right up to the lot line. The adjacent lot is undeveloped. If it were to be developed, it is large and there is sufficient space for the installation of onsite systems. The existing system has been installed for a long time with no apparent impacts to the adjacent lot. Included with this letter is a permit application and design package, including plans and calculations. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini@gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE 8/21/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211372, Rebecca Carroll, 09/10/21 C&M ENGINEERING SERVICES i 907'854'5558 Septic Design Calculations Residence: LAKE RIDGE TERRACE BLOCK 5 LOT 4A number of bedrooms 4 br Water usage/bedroom 150 gpd/br Water Usage 600 gpd system type: CONVENTIONAL type: DEEP 0.6 Application Rate gpd/sqft Based onhistoric testho|e required absorption area 1000 sqft trench width (VV) 3 ft gravel depth (D) 7 ft below distribution pipe Shallow factor Min Required Length: 71.4285714 ft Use Length: 36 ft two trenches IMax ex depth 10 ft I Calc By: CGB Date: 4/15/2022 NOTE: INSTALL ALL COMPONENTS IN ACCORDANCE WITH MUNICIPAL CODE AND MANUFACTURER'S RECOMMENDATIONS. W Q i • \ 100' WELL RADII )A � .d d A A • , IRRIGATION WELL a • \e, d •. d `• d DRIVEWz A • .. d• d • a \ /4—BEDROOM \ HOME -11 PROPERLY PUMP AND DEMOLISH EXISTING TANK (2)3x36 DRAINFIELD WITH 7'-0" EFFECTIVE 12' MAX EX DEPTH f MONITOR TUBE. - — \�_1989 TESTHOLE — APPROX I`HE PROPOSED SEP11C SYSTEM IS GREATER THAN: 00' FROM THE ON—SITE WELL 00' FROM ANY NEIGHBORING WELLS ?00' FROM ANY PUBLIC WELLS 00' FROM ANY SURFACE WATER 0' TO ANY PROPERTY LINE OR FOUNDATION 5' TO ANY DECK FOUNDATION I7 V AMW N OF A/,gslll r*:49TM *rl 1 � j CHARLES G BALZARINI . . CE -13854 SFR • . 8iz8iz�, • • �� ll F�PR0FESSI�NP�' �' PRIMARY WELL LAKE RIDGE TERRACE BLOCK 5 LOT 4A I 5x25x4'EFF RESERVE SITE REQUIRES AWWTS ,AND ADDITIONAL TEST HOLES j DOUBLE COs INLET SIDE OF TANK NEW 1250 GAL POLY TANK W/ -------INSULATED MANHOLE AT FIRST COMPARTMENT I f �- SPUTTER, i� • � I (! /y TESTHOLE 14.0 v,`1 I - EXISTING FIELD, �� 3 i5 ',375— TO REMAIN 380 UNDEVELOPED (NO WELL OR SEPTIC) SCALE: 1" = 30' C&M ENGINEERING SERVICES 907-854-5558 LEGAL DESCRIPTION: LAKE RIDGE TERRACE BLOCK 5 LOT 4A OWNER: SIMMONS DATE: 8/28/21 REV: I DRAWN: CBJ REF: SITE PLAN safe or Prwm% 4700 6Imore Pond aj P.O.gox 196650 inchoroge, AK 99507' Mark Begich sn ezYV Mayor 4s�tnt, uni rc�/onsite (907)343-7904 xLfeH Log Permit Number- #SCJ Date of Issue- &i� d Parcel Identification Number: Date Started: l� Date Completed: 12 % Is well located at approved permit location?�yes —] No Legal Description;G/��" .,�s�C � e��7 �< /5'IG/ �i.�r�gc� ��2 ��9G� /i✓. Property Owner Massae & Address: Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Water Sample Results: Arsenic: Nitrates: Total Coliform Bacteria: Other Bacteria: ug/L mg/L colonies/100mL col/100mL Method of Drilling,4' air rotary ❑ cable tool Casing type: -gE/q Wall Thickness:. ZSG inches Diameter: & inches Depth: -L2X-7' feet Liner Type: Diameter:inches Depth: '�f�feet Casing stickup above ground: , q feet Static water level (from'ground level): /2Q feet Pumping level: /feet after ,_ hours pumping -, 57 gpm Recovery Rate: gpm Method of Testing: A/K Well Intake Opening Type: ❑ Open End RF Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Depth: Start ident ' Stopped feet Pump: Intake Depth J! -a feet /��/'`Il��i� �,✓ Dump size hp Brand Name Well Disinfected Upon Completion? ❑ yes 0 NO Method of Disinfection:CG/l/ TGG s Comments:BGG'.="' Well Driller:`% /r xg zq Attention: The well driller shall provide a well log to DSD within 30 days of completion. WATER QUALITY TES FINN Callfbrm e Co 100mL I Z=At;�:z -A -( Water Sample Results: Arsenic: Nitrates: Total Coliform Bacteria: Other Bacteria: ug/L mg/L colonies/100mL col/100mL Method of Drilling,4' air rotary ❑ cable tool Casing type: -gE/q Wall Thickness:. ZSG inches Diameter: & inches Depth: -L2X-7' feet Liner Type: Diameter:inches Depth: '�f�feet Casing stickup above ground: , q feet Static water level (from'ground level): /2Q feet Pumping level: /feet after ,_ hours pumping -, 57 gpm Recovery Rate: gpm Method of Testing: A/K Well Intake Opening Type: ❑ Open End RF Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Depth: Start ident ' Stopped feet Pump: Intake Depth J! -a feet /��/'`Il��i� �,✓ Dump size hp Brand Name Well Disinfected Upon Completion? ❑ yes 0 NO Method of Disinfection:CG/l/ TGG s Comments:BGG'.="' Well Driller:`% /r xg zq Attention: The well driller shall provide a well log to DSD within 30 days of completion. ARCTIC PUMP & WELL INC. Jim Sullivan �j PO Bos 770197 Eagle River, AK 99577 c�rrEEn xAtLa srsnus - SALES a SIAM[ �� (907) 688-2510 (907) 243-2282 Pump Installation P. Well Drilling Permit Number: osp191342 Parcel Identification Number: 05131321000 Date Of Issue: 8/12/2019 Legal Description Lake Ridge Terrace B5 L4A Property Owner Name Address: Sandy Simmons Lot: 4A 14901 Terrace In Block: 5 Eagle River AK 99577 Pump Installaion Date: Pump Intake Depth Below Top of Well Casing Pump Manufacturer's Name Pump Model: Pump Size: Pitless Adapter Burial Depth: Pitless Adapter Manufacturer's Name Pitless Adapter Installer: Well Disinfected Upon Completion? Method of Disinfection: Comments: Pump Installer Name: Arctic Pump & Well, Inc. Wednesday, October 9, 2019 9/27/2019 250 Franklin 5Y 10FRD07P4-2W230 10 gpm 10 B-10 u/k Yes Chlorine ARCTIC PUMP & WELL INC. Jim Sullivan, CPI c�tetm in srntus PO Box 770197 _� sAits a sane Eagle River, AK 99577 `= E y;, (907)654-2510 (907)243-2242 iimitarcticpuml7.com tnr e� n vveil Deco n.nnissli-oning Log Legal Address: 5 Subdivision: Lake Ridge Terrace Block:4K Lot;' y/1 T: R Section Lot: On-site Water & Wastewater Program certified contractor performing the well decommissioning: Name: Signature: Jim Sullivan Company: Arctic Pump & Well, Inc Well Decommissioning Date 9-25-19 Method of Decommissioning: AMC 15.55.060L1 .. a.❑ b. ❑ c. x❑ Location: Use the space below to provide a drawing of the property showing the following items: y o North Arrow e Decommissioned well o Other water wells on the property o Two separate swing tie distances for each well shown on the drawing Note: the swing tie distances shall be measured from either permanent structures or the property corners. �4; lk f'. ,�eCpMMiS�fone� We�� 'aq Ar "11-4 r, �vr 2ola �len�i't', Cckl(`u/ag �ro�� Arctic Pump & Well, Inc. Page I of 1 N,,,,,,,,,,Op MUNICIPALITY OF ANCHORAGE ,voenl 7 ' � On-Site Water&Wastewater Program �° ��, PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 C , ..-t- T httpa/www.muni.orglonsite 1 1 epartment RNCMOR3VE On-Site Water System Permit Permit Number: OSP191342 Effective Date: 8/12/2019 Work Type: Well Upgrade Expiration Date: 8/11/2020 Tax Code Number: 05131321000 Site Legal Address: LAKE RIDGE TERRACE BLK 5 LT 4A G:0653 Site Mailing Address: 14901 TERRACE LN, Eagle River Owner: SIMMONS SANDRA F Lot Size in Sq Ft: 26250 Design Engineer: NORTH RIM ENGINEERING Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 1. Old well shall remain in service or be decommissioned in accordance with AMC15.55. 2. To close out this permit, please submit the following: a) Well log b) Pump install log c) Water sample results for total coliform, nitrates and arsenic d) Decommissioning log for old well, if not remaining in service. ~ ' , / / Received By: - Date: Issued By: .41 • \1, t=. 2Date: • M MUNICIPALITY OF ANCHORAGE ( • tt � � ;? - Phone: 907-343-7904 Development Services Department Fax: 907-343 7997 On Site Water &Wastewater Section h F w N ti r4 . ON-SITE SEPTIC/WELL PERMIT APPLICATION a A , . ti) Parcel I.D. 051-313-21 Property owner(s) Simmons Day phone 343-6887 I< <r �� Mailing address 14901 Terrace Lane Site address Same Legal description (Sub'd., Block & Lot) Lake Ridge Terrace Block 5 Lot 4A Legal description (Township, Range & Section) Lot Size 26,250 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Single Family (SF) Absorption Field ❑ Initial 111 Single ADU) Septic Tank ❑ Upgrade ❑ Duplex (D) ❑ Renewal Ill Multiple Dwellings ❑ Holding Tank ❑ (SF and/or D) Privy 111 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 o ner or authorized agent) Waiver Fees: PermDate /Rush Fees: 2 6 in Date of Payment: Date of Payment: '7 /�/,-CLQ C� Receipt Number: Receipt Number: _T Permit No. I / a� Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc LOT 5 Vacant / p ,ptic Well LOT 6 L❑ 3A Vacant Existing W- l Proposed Well 0 Well -loo LOT 7 LOT 8 111 0 J septic Well C1 Measure Separations Prior To Drilling. NORTHRIM 1 % °F.' , ;LAKE RIDGE TERRACE 1 = 50' ENGINEERING SteveEng.com .* 49711 : BLOCK 5 LOT 4A PLAN PO Box 770724 LAYOUT Eagle River, Alaska 99577 . 7-m9. WATER WELL 907.694. 7028 0-)/1 PROPOSED L❑CATI❑N 0/3/19 r MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES ~/J C_, ¼-~ ~ ~ 5,.-. ~ TO SEPTIC ABSORPTION Address FROm ~ ~0 ~1~ ~ ~ TANK FIELD WELL WELL I~ Phone(s)~ Permit~_O~No. No of~B~dr°°ms LEGAL DESCRmPTmON LOT LINE ~0 ' ~ ~ ~ L~ ~ ~C~6 l~ FOUNDATION 8 - Township, Range, Section AS-BUILT DIAGRAM (Show Iocahon of well, septic system, property hnes, foundabon, ~ ~ ~1~ ~ drmgeway, water bodies, etc.) TANKS ~% N ~ SEPTIC ~ HOLDING ¢¢ Manulactu,er Capac,ty mn gallons TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN ~ OTHER Gravel length Gravel~dth ~ Total a~rptlo ..... SO FTjo's'ance bet .... ,,,~ .~ Installer ~%~_ ~ %~ Date Insta,led / / ~PRIVATE ~ OTHER (Identify) ~ ~ O~assdioat,on (A,B,O, Total Depth Cased to ~/ REMARKS: Scale: I H=~' Inspections Pedormed by: ' m _ ~ ~ cedJfy thai this inspoclion was pedormed according to Health Depa.mentApprova,: ~~ Date./~- ~--~ Day F:'hoi'la, :,: ~ ' z ....... q q Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: L,'~-~ I 2 3 4 5 6 7 8 9- 10- 11 12 13 14- 15 16 17 18 19 2O DATE PERF Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT DEPTH? ~J. j~' . p E Oeplh to Water After l,,j~ Monitoring? Date: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE 'tO (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND F7 COMMENTS tJ~E N'~."~I~"~- ~i'~ ~ Il' ~-.c~f'~ -t'~-'~r ~o,~,~1~' ~C.~-~,~ '~--o~J4~:15~o" PERFORMED BY: ~-------~"$'~'~"~r~1 ~::~,3'-~.~.4~/v~¢.. I ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: SHE~ :BO .............. [0~. ............. ................... ..U.~..G ..~....D.~.....C.g.~.P..L&C.~t!.T....9.~.. .... Jo. N~ ~..'=.i;~.=~;L .................. ................... ~..x. As..~Z~..AE.s...o.~Ao..~...~.E~P) ...................................................... 0 2 CONSTRUCTING ENGINEERS, INC. 9601 BUDDY WERNER DRIVE PREPARED FOR: JERRY/JANE CHRISTIAN LOT 4A BLOCK 5 LAKE RIDGE TERRACE SUBDIVISION S~I/.. SEC 25. T15N. R2W. SM GREA ~R ANCHORAGE AREA BOP' '~GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: ~/~ DISTANCE FROM WELL INSIDE LENGTH TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES / ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE MANUFACTURER INSIDE WIDTH LIQUID DEPTH :.~, ~ ,d s '7-4 /h' o /37 FOUNDATION ~',~ NEAREST LOT LINE NUMBER OF COMPARTMENTS LIQUID CAPACITY/,-0g~v') GALLONS, TOTAL LENGTH-- OF LINES.'60 DISTANCE BETWEEN LINES TRENCH WIDTH'~"~'~ I//N. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE Z/g'/ DEPTH OF FILTER MATERIAL BENEATH TILE C~ IN. ABOVE TILE IN. BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION DEPTH DISTANCE FROM: NEAREST LOT LINE_ NEAREST SEWER LINE__ SEPTIC SEEPAGE TANK / 7K SYSTEM OTHER SOURCES DISAPPROVED REMARKS DISTANCES: SEWER LINE DEPTH: PIPE MATERIAL: d/~'T~~ LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DATE //~ :/Z~,PP R OV E D t j,,.IP ,' G.A.A.B. /'% (;RE/- '.~R ANCHORAGE AREA EOF ~'UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION 'EGALDEBCR,PT'ON L. -'.-c INSTALLATION OF: SEPTIC TANK J~ SEEPAGE PIT TYPE AND SIZE OF FACILITY TO BE SERVED ~'¢~ FINANCED THROUGH BOIL TEBT REBULTS DR . OTHER TO BE.I TALLE - BY ,'~, ' : I '~ N~E: THI~ PERMIT !~ NOT VALID WITHOUT SOIL COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, SEPTIC TANK SIZE YPE / MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ., SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK , BEEPAGE AREA SIZE -- WATER MAIN TO SEPTIC TANK , SEEPAGE PIT SEPTIC TANK. SEEPAGE PIT ., DRAIN FIELD TO RIVER, LAKE. STREAM. , DRAIN , SEEPAGE PIT ALSO CONSIDER AREA WELLS. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON BEPT[C TANK AND SEEPAGE PIT CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER I' CERTIFY THAT I AM FAMILIA" WITH THE REQUiRemENTS OF G.EATE. ANCHORAGE AREA BOROUGH ORDINANCE NO. gS.6B AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DRAIN O ~ E GEOI,'CHNICAL ~t DEVELL.,~MENT CO. Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 E~rl Ellis Russell Oyster 688-2280 694-2774 SOIL LOG Land Development Soils Et Foundations Performed for: Name: ~-~, ~; ~'~ (".,~,5-~,~,,-~ Tel. No. ~ Mailing Address: ~. ~~,~'~ '~, ~.~ ~0 Leg,~ Description: ~ ~ ~ ~~ ~ ~~%'e~ ~ ~2~-~ ~' Depth (feet) Soil ~haracteristic$ 4~ 6 7~ 8 ,m !0~ 11~ 12~ 13 ].6 Ground Water Encountered: Yes __ No If yes, what depth Proposed Installation: Seepage Pit~ Drain Fte~d MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 /'/'4¢ 8 ~ 6'~ ~-'-'~ Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Lega~ Description (include lot. block, subdivision, section, township, range) Location (address o[ directions) Property Owner C,~-~,~ C.~-,~'~,~r~, Telephone: Home Business Mailing Address (b) (c) (d) (e) Telephone Lending Institution Mailing Address Rebf' ~state Company and Agent Address Telephbne 69 Mail' the"HAA to the followino address: or: Check here I~, if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE SingleIFamily ~3/ Number of Bedrooms WATER SUPPLY individual Wel¢ Community [] Public [] Note: If comm unity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite,,J~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 fRev 8/86~ fron! '>po,v, s2eau!bue leUOiSSejoJd eql. u! suoiss!uJo Jo s JO J J8 JOJ. elq!suodseJ ~.ou s! ebeJoqou¥ jo ,&l.!ledF:)iun~ aql 'penss! s! el. eo!j.!:peo e e.~ojeq e),ep ez,41eue .~o suo!~oedsu! ~.onpuo3 ~.ou op SHHQ J.O sae.4oldLU'3 's:!.UeLUaJ!nbe.~ e.!.el.s pue leJepe,l u!e~.,~eo ~js!~.ss o~. Jep.~o u! suo!l, nldl. su! bu!puel ,qeq~. pue seu. Joq j.o sJeseqeJnd o~./~sel. Jnoo e se s!q~. seep SHHQ eq..L 'e~selV j.o el. elS eq,t u! peJe.f, sibeJ JeeU!bUe leUO!SSejmd l. uepuedepu! uB/~q eAOqe B qde.~be.~ed u! ue^!b suo!le~.ueseJda.! eq~. uodn /~lUO peseq se.l. eo!J.!peo le^o.~dd¥ ~lpoqln¥ qllSeH senss! (SHHQ) seo!A~eS ueuunH pue qlleeH jo ~.ueuJpedeQ eSe,~oqeuv ,to &!led!e!unlAI eqJ. NOIJ. rlYo le,',o.~dd¥ leUO!~!p'uoo ,to suuJe..j. leUO!ldpuoc) pe^o,~ddes!Q ,~¢,, ' pe^o.Jddv e~.eQ A. WELL DAT~~-'' MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: Well Classification Well Log Present (Y/N) Total Depth .ff'Z ! O ¢ Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole -+ Water Sample Collected by Water Sample Test Results Pr~¢,~¢¥~'~ If A, B, C, D.E.C. Approved (Y/N) Date Completed ~ 9'~'~':~ Yield - Cased to 'ff-[O(3 ' Depth of Grouting }O~~ Pump Set At ZIo ~ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots 14~°~ ~' ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot Comments B. SEPTIC/HOLDING TANK DATA Date Installed Size Standpipes (Y/N) Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well I/.oS' · -+lOC ! No. of Compartments *'/ Foundation Cleanout (Y/N) Date Last Pumped lvcq ; for Temporary Holding Tank Permit (Y/N) To Building Foundation g~ To Disposal Field -/' ' To Stream, Pond, Lake, or Major Drainage To Property Line To Water Main/Service Line Course ~ Comments ~,~,.,o ~']~.,~, Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 1'7.,- 1~-8..~ Width of Field 3' Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test A/~ -- h,~.~ Separation Distance from Absorption Field: To Water-Supply Well "~" To Building Foundation Lot To Water Main/Service Line ~',.~' -'r- To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~,p,_,o -.~.e~. ~t~'j'~- ,'~,~lt~r..~ Type of System Design Length of Field 5'?-"/ Depth of Field [ [ ~'~ Gravel Bed Thickness (-~' Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots 14)0 r.~_ To Cutbank (if present) LIFT STATION '~ Date Installed Size in Gallons "Pump On" Level at yb// High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments · Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) "-,- Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~,....~dr,.~ Date Company ~'~,~-~uo'~ ~-~h,-~½,1,,,.. MOA NZ. ReceiPt No. ~,/ ~ ('F~ J Amount: $ /~ ~ Page2 of 2 72-026 (11/84)