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T15N R1W SEC 18 LT 149
T15N R1W Sec 18 Lot 149 #051 -231 -35 Municipality ofAnchorage Development Services Department :Q Building Safety Division \•:-.' e — On-Site Water and Wastewater Program. 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6050 Page www cI anchorage.ak us (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 5W010 a 5a PID Number: 051. a31 h 35 jry' of Nemo Teta./ \Joy S Wastewater System: 0 New ,A Upgrade I8(e3(0 T4Sy Strut ABSORPTION FIELD Phase N1eC.q oI 8""M, 3 Deep Tmat O Shelton Trench O eel O Mand O Oew LEGAL DESCRIPTION Sod Rating I, a GP!W9 Taal Own Man original pada not Ft. Bloat Lot Q Sn ' `I I lnovao Depth b pipe bottom from sigma Wane CF Ft. Gravel pet beneath p. n 5. I Ft Length_ Dram. LengthO il. Ta.nalp m l5N 1 Ranee Semon V Fe awed above alpnal woos Fe 2. FI. Well: tilskil+q ■ New II Upgrade Gnu men 2 F). rumba a Inas Distance between ert 1 FI . GanMr ?allon (Pet. AJI C) Tar ppm Pt. Camel b Ft Taal absorption am (000 Ft' Pee Mammo ASTM 3034 # P810 Dna. Dal. Dialoo Stab Water DomMrtrr. n Date Installed Y Zo/o-. DEAN Cons F. Melo GPM bung Sat at Ft. CAMq ten abase Gram Ft TANK SEPARATION DISTANCES lg Septic ■ Holding ❑S.T.E.P. • Other. To Flom Septc Tank Absorption Field Lift Station Holding Tank bbblcPbvate Sewer Line Mamdaa r r_ AACLOrA a IgFtt. capvrn Gal 1000 Wel I CO4- loo t — — 1-S t{ Matanr S [ to Number a ca npataenM �L) SMrraws 100`4 100 { --— LIFT STATION 'ohne Sat 101+ — ^ Sao G„ M«Waawet ' �• Fa.Mabon 1001.1 `Oo t — 'Pump on MM at 'Papp olr m IM venni Mann al b QFb+)Dnn N'.n6 065r-nor0 4Joos Oj4SEg.JOq v..— Pump Maim Electrical nap.C4nt pwruttnaU by /, + - RamrRs Stkisliny Tan nr k AL un a Di ✓e.1 f:1 BENCH MARK ;;'�, 1- `(. n5(a Iko }e Old trench. ��:: location and Oeaupan/I' �.•_., Tor Wei lr t�SMJ I\F_ ) ` ` .„.. Atumed Elevation t- I0Cf:. ',.Ft ." Inspections performed by: LB'S J 4r 1�12.�nd. Dates: im 41140 P ....µµ,,b�yy = OF a �1� i —,).. �r,, 1, 1 .�A4..�QW' _ :.s/ i1 e'.tMSk.'F:1P<LAMD*`.�,i III>46o ,1gi3? . �cV'= t t PROF $5l �\\%,,,,— ed y�ZD/o1- Development Services Department Approval,c%-'49TF{sliv Conditional Approval Date:.. 1 r� Reviewed and approved by: {'I }� Date: I I I � 101 IRw Ging r INSTALLED 3 -BEDROOM SEPTIC SYSTEM 1000 CAL. SEPTIC TANK W/ 60 VEEP TRENCH LENGTH 60 FEET WIDTH 2 FEET TOTAL DEPTH 11 FEET ROCK DEPTH 5.l FEET COVER 6-7 FEET LE 1 am an iIIIIIM.1,1711M- INSTALLED FLOW DIVERTER • • • .1 MOONED EXISTING TANLOT 149 N 1 OM A— a i 1111 A a LO11 149 —7 - BEVERLY 7 - BEVERLY AVENUE/ C 0 E SWING TIES A 112 115 117 B 119 123 125.5 F 117 126 6 104 124 H 104.5 124 1 119 1265 1 149 155 K 58.5 46 / / / le L / / 6' / / et/ / 45..72.4...4. I a / / : : 4 9 t h LaJi `• � r LAR SPURKLAND . 2 s 1.• w 1..-f , No. CE -11500. ��I 25 0 25 50 75 107 125 150 SCALED 1' = 50 FT. SPURKLAND ENGINEERING 203 W 15TH. AVENUE ANCH. AK. 99501 (907) 279-3916 T15N R1 W SEC 18 LOT 149 TERRY VOGUS 18636 JUDY STREET SEPTIC SYSTEM AS -BUILT DATE: SEPT. 11, 2007 SHEET: 2/3 GRID: NW1055 PERMIT 11 SVC6E1252 PID 11 051-231-35 T15NR1 WS18L149D1.DVG To Exsiting Trench Standard Trench: 2' Vide 60' Long 11' Deep 51' Sewer rock 6-7' Cover ELEV.= 91.8' Silt Border ELEV.= 86.7' 51 ft of Septic Rock Ef!ecfve N0 SCALE Monitor Cleanouts Flow Diver ter 6-7' Cover ELEV.= 98.3' 1 ELEV.= • -n=0=0=11= . • • 5511=.51=11=11=11=11=11=11=II=II=II=11=11:•11=111111=1I:• 1. 11=11=111: 1=1 cII- 1 :11=1 e:�- i.1-d=11=11=11=11=11=11=11==11=1111=1=I=11=15=11=II=1=I=11=11=I:1.1 a=II - • 5.11=11-11-11=11=11=11=11=11=11=110_II:¢I1=11=11=11=11:•ILII=11=11•:1?I ."- LEK- 9;.1' • 1 1311=11=11=11=11=11=11=11=11=11=11= 1=1 =11=11=11=11=1=1 =II II ' — • I:'11-II-II-II-11-11-11-11-11-11-11-11-11::11=II=11=11=11:-51• I es. 0.004 :•: : • ::. • •6 . '4• 4044:: '40041°••• • .,.:•:;''•4••:4::•• • • •..........•r........•..,.0.!. _...•....?•.•.•.•- • 00 ok 1000 gat Septic tank *tsP•••• ' 49th LA RS SPURKL 4 •• No. CE -U500• ,r Foundation Clean out NO SCALE 1000 gat. septic tank 20 ELEV.= 81.3' B.T.H. ELEV,=80.3' BENCH MARK TOP Of WELL CASING CAP ASSUMED ELEVATION Of 100' SPURKLAND ENGINEERING 203 \i/15th Ave Anchorage Ak 99501 P79-1916 T15N R1 W SEC 18 LOT 149 TERRY VOCUS 18656 JUDY STRICT SEPTIC SYSTEM AS -BUILT DATE! XT. 3, 2X7 SHEET! 3/3 GRID! NV1055 PERMIT / SW060252 PARCEL ID / 051-231-35 T15NRIWS18L149D3•DWC Permit Number: Legal Description: Design Engineer: Owner Name: Owner Address: 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 SW070252 T15N R1 W SEC 18 LT 149 0007 SPURKLAND ENGINEERING TERRYVOGUS 18636 JUDY STREET CHUGIAK , AK 99567- a9'v eob 10'1 - Date Issued: Sep 18, 2007 Expiration Date: Sep 17, 2008 Parcel ID: 051-231-35 Site Address* 018636 JUDY ST Lot Size: 55321 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: E Disposal Field Q Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Issued By £iaZ Date: 9/07 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 05/ -,0•18/ Property owner(s) Terry vogus Day phone 688-4349 Mailing address 18636 Judy Street, Chugiak, AK Zip Code 99567 Site address 18636 Judy Street, Chugiak, AK Zip Code 99567 Legal description (Sub'd., Block & Lot) T15N, R1W, SEC 18, LOT 149 Legal description (Township, Range & Section) Lot Size 7t Oji-/ Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Initial 0 0 Upgrade Q 0 Renewal 0 Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage 0 0 0 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. LetAJ (Signature of property owner or authorized agent) Permit/Rush Fees: 1160 — Waiver Fees: Date of Payment: nOM, Date of Payment: Receipt Number. 7 4S9g Receipt Number: (Rev. 11/05) ltiat A Environmental Consulting and Design SEPTIC SYSTEM DESIGN T15N RIW SEC 18 LOT 149 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Well & Septic Permit 18636 Judy Street Ladies and Gentlemen: September 1 I, 2007 1 am writing to request a permit for the construction of a new septic system for the above referenced property. The proposed system will serve a 3 -bedroom single-family residence. The lot was developed in the late '70s and the existing septic system is in a state of failure. This septic tank will be abandoned per MOA code requirements. The existing drain field will be left in place and a diverter will be installed. . System: A 1000 gallon septic tank with a deep trench absorption field. The absorption field will be 60 feet long and contain 5 feet of sewer rock. Soils: A test hole was excavated on August 31, 2007. See the attached soil logs. Ground water was monitored for through September 12, 2007. Ground water was observed at 16 feet below the ground surface. Surface Water: There are no surface waters within 100 feet of the proposed septic system area. Topography: The average topography in the area of the septic system is generally level. Waivers: No waivers are required. The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent Tots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, Lm5 SP $-- Lars Spurkland, P.E. Civil Engineer 203 Nest 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland`a^gci.net Spoldlend C n neertoog Environmental Consulting and Design SEPTIC SYSTEM DESIGN T15N R1W SEC 18 LOT 149 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 September 11, 2007 We are submitting an application for the upgrade of septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable test holes are also enclosed. The septic system design is based on the following : Ground Water at a Depth of 16 feet. Use Standard Septic Tank W/ Deep Trench Soil Rating. From Test hole 08/31/07. 2.0 min/in = 1.2 gal per sq.ft/day No. of Bedrooms 3 Required Area per Bedroom: 150/ 1.2 =125 sq.ft. Total area required: 125 x 3 = 375 sqft Bottom Rock At 11 feet Top Rock At 6 feet Rock Depth 5 feet Total Trench Length 375/10 = 37.5 feet USE 60 FEET SYSTEM CONFIGURATION 1000 CALLON SEPTIC TANK/DEEP TRENCH TOTAL LENGTH 60 FT TOTAL WIDTH 2 FT TOTAL DEPTII 11 FT ROCK DEPTH 5 FT COVER 6 FT 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurklandggei.nct // / LOT 132/ / / / / / / / 1 / 1 / / 49 / / / / S,- / / / / / BEVERLY A / / / / / / / / // / / / NOTE: 11115 IS NOT A SURVEYED PUT. WELL t SEPTIC LOCATIONS TAXLN !ROW ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATt 0 50 1107 150 200 SCALED 1' = 100 FT. 250 300 LOT 1524 .*** OF ,,,use rN:1`t 4 49th Irrj� .L. 4, S• SPURKLAND • %lap % No. CE / / • • IN :...SY;e� SPURKLAND ENGINEER/NG 203 W 15TH. AVENUE ANCH. 4K. 99501 (907) 279-3916 T15N R1 W SEC 18 LOT 149 TERRY VOGUS 18636 JUDY STREET SEPTIC SYSTEM DESIGN DATE: SEPT. 11, 2007 SHEET: 1/3 GRID: NW1055 PERMIT /1 SV070XXX PID # XXXXXXXXXXX T15NRJVS18LI49DLDVG LOT 133 INSTALL 3 -BEDROOM SEPTIC SYSTEM 1000 GAL SEPTIC TANK W/ 60 DEEP TRENCH LENGTH 60 FEET WIDTH 7 FEET TOTAL DEPTH 11 FEET / ROCK DEPTH 5 FEET r L COM 6 FEET L INSTALL FLOW DIWRIER Well I / I / I / I / 1 / LOT 149 / / / - i i i / / LO 149 , / / / • / /AS/ / / / �JO / ��aaaaall� / �e� E OF / .• _A N ' 49th `..* •. BEVERLY AVENUE/ fV'Sla .• • • . LABS SPURKLAND —L .:� �I No. CE -11500 • , 11 .., 9ri31a•,.' 25 0 25 50 75 IX SCALE! 1' = 50 FT. _/ 125 150 TOBBEN SPURKLAND P.E. 203 W 15TH. AVENUE ANCH. AK. 99501 (907) 279-3916 T15N R1 W SEC 18 LOT 149 TERRY VOWS 18636 JUDY STREET SEPTIC SYSTEM DESIGN DATE: SEPT. 11, 2007 SHEET. 2/3 GRID: NW1055 PERMIT # PID k T15NR1 VS18L149DLDVG To Exslting Trench Standard Trench: 2' Wide 60' Long 11' Deep 5.0' Sewer rock 6' Cover Silt Barrier ND SCALE �` 00 Flow Diver ter Monitor Cleanouts 6' Cover Double Clean Outs O 1000 gal Septic tank 49th L LARS SPURKLAND •� f No. CE -11500 •�i ... 91131ofi.•••' s _ 1-i�_11-11 1 I-.11-11-11-II-11-11-11x11=I1=II=I1=11-11=11=11= 1=11:• 1= 11=11=11 :I-1 =11- 111=1 -n- I� 11��11��11=111=111=111=111=111=111=111=111=11=11 .1111=I_I =1_I 11111: 11111=11111= I=I,:11-11= - -11=11=11=11=11=11=11=I1=I1=11=11=11= -11=11=11=11=1=1=11=11-1 0=0=0=0=11 -II -II -II -II -II -II -II -II' -11=11=11=11=11:x11= 1I-". - - ia 50 ft of Septic Rock Effective NO SCALE Foundation Clean out 1000 gal. septic tank SPURKLAND ENGINEERING 203 W15th Ave Anchorage Ak 99501 P79-'1918 T15N R1 W SEC 18 L07' 149 TERRY VOCUS 18636 JUDY STRCCT SEPTIC SYSTEM DESIGN DATE' SEPT. 11 2007 SHEET' 3/3 GRID NV1055 PERMIT / SW0600XX PARCEL ID / T I5NR I WS 18L 149D3. DWG tin vs • Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage. AK 99519-6650 www N anctoraae.ak us (907) 343-7904 Soils Log - Percolation Test Performed For. T Rai Voywg Legal Des«iP6on: T15 M RI W Shc 18 14 4Q Township, Range. Sectio,: Date Perfommd: 1- 2- 3- 4 5- 6- 7- 8- 9 - Depth (Feet) r o2G1N:Vj Tin Silt (ML) SAI Gravt\ (GP, SP) 10- 11- 12- 13- 14- 15- 16- 17 18- 19- 20- Safi Sand Cleenc-cz w/ DCPA Slope WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? Ila S Depth to Wolof Miter 1 E Imrlea lIYi E (Sri)DNe Ikto-i. COMMENTS Pfe Sol (i\ 8.0,11 Site Plan Reading Date Gross Time Net Tkne Depth to Water Net Drop 8/31/01- 2118pn 0 Mn; 1121. 1 3/ie 1 r 2 : 38 pc-, IO .,:,. t%z " (0 5//6 " l }be" 1r 2. `18 p,., ID ft'," -1 7 56" 6 1/ib " (ISi • Ile Ir 6••31'Zrr l:5 pin '.A in;" 5 In, II 2 ,/e" r r 3t09 Pm 40 M;n 11/:Ir 5 1/8 r r 2 4116 Ir Tie. Pm 50 riln 1 IIt 5 III(, " Viz" 11 3:28 Pri (00 M;A 5 rr PERCOLATION RATE 7. (m.erAim) PERC HOLE DIAMETER TEST RUN BETWEEN 1. FT AND '} FT t0 PERFORMED BY: Ltrs J r 1c -X 1 (M. _9411../vge' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 9/5/01 rte Environmental Consulting and Design v w'S% t t Single Family On-site Wastewater Disposal System Construction and Material Specifications Subject Property: T15N R1W SEC 18 LOT 149 Date: September 11, 2007 General: 1. The owner shall contract with a contractor to perform the work outlined In these specifications and plans in accordance with the attached MOA permit. There is not contractual arrangement between the contractor and the Engineer. The Engineer shall be the owner's representative and will inspect the work to document the contractors activities. Final acceptance of the contractors work rests with the owner and the MOA. 2. The scope of the project includes the procurement and installation of a 3 -bedroom on- site wastewater disposal system at the location depicted on the attached site plan drawings. The scope of the work also includes the Installation of a new 1000 gallon septic tank, a drainfield comprised of 1 trenches,2-feet wide x 60 -feet long, 11 feet deep, with 5 feet of septic rock below the distribution piping. The location of the drain field is shown on the attached site plan drawings. The total depth of the field will be 11 feet below the existing ground surface. All components of the proposed septic system must be constructed a minimum of 100 feet from any surface water or water wells in the area. A minimum of 4 feet of earthen cover is required over the septic tank and a minimum of two feet of cover is required over the drain field. In addition to the required earthen cover, 2 -inch thick, 40 psi, direct bury board foam shall be Installed directly over all installed piping. 3. Construction shall be in accordance with the approved site plan and design drawings and any special provisions noted on the Municipal well and/or septic permit. All materials, components, workmanship and construction practices shall comply with the Municipality of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA, Development Services Department, On-site Water and Wastewater Program (DSD) policies. 4. The contractor is responsible for obtaining all underground utility locates, layout of the proposed system, and verifying and maintaining all required separation distances to lot lines, surface water, wells, steep slopes, etc. 5. The property owner shall be responsible for final grading any depressions formed from settlement of backfill material. The property owner is also responsible for vegetation of all areas disturbed by septic system installation activities. 6. Contractors installing wastewater disposal systems must be certified to do so by the MOA DSD, On-site Water Wastewater Program. Property owners installing their own systems must receive advanced approval from MOA DSD prior to system installation activities. 7. The contractor shall ensure that ALL materials being used are in compliance with the most current guidelines established by the Municipality of Anchorage. Refer to "Standards and Specifications for Component Parts and Materials Used in the 203 West 15th Avenue Suite 203, Anchorage, Ai{ 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandUgci.net 1 'A Spafiddl and C ngone©rIng Construction of On-site Wastewater Disposal Systems", Dated December 2000, as provided by MOA DSD, On-site Water and Wastewater Program. Environmental Consulting and Design Septic Tank Installation: 1. A new septic tank, of the size specified In the design drawings, shall be procured from a qualified manufacture/supplier if the existing septic tank is found to be defective. Construction shall indude two 4" diameter deanouts for pumping access. 2. The burial rating of the tank shall be adequate for the actual burial depth encountered. 3. The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank. 4. All standpipes on the tank shall extend a minimum of 12inches above the final grade. 5. Tanks installed with less than 4 feet of cover shall be insulated. 6. The sewer service line from the house to the tank shall have a minimum slope of 2% unless prior approval is obtained from the engineer. 7. The inlet and outlet lines from the tank shall be bedded in drain rock or the soil shall be suffidently compacted to prevent future settlement of the soil. 8. Septic tank inlets, outlets and cleanouts shall be fitted with water tight couplings. 9. A cleanout shall be Installed 1 to 4 feet from the foundation. 10. Post tank cleanouts shall be installed per MOA requirements. Does not apply to pressurized lines. 11. In areas with high ground water, the septic tank shall be sufficiently anchored to resist buoyancy forces when there is not adequate soil cover to resist uplift force. The contractor shall refer to the engineer for direction regarding this matter. 12. The tank backfill shall be graded sufficiently to ensure positive drainage away from the tank. 13. All holding tank and lift stations shall have an audible and visible alarm inside the residence being served. 14. All lift stations shall be wired In compliance with all MOA guidelines and the Uniform Electrical Code. A munidpal electrical permit and inspections must be obtained where required by the MOA. 15. The contractor shall verify that the septic tank/lift station is a minimum of 100 feet from any residential water well, 150' from any dass 'C' well and 200 feet from any community water wells. Additional separation distances must also be maintained. 16. The contractor shall remove or abandon the existing tank in compliance with the Uniform Plumbing Code. Drainfield Construction: 1. The drain field shall be excavated to the dimensions outlined in the design drawings. If any discrepandes are noted, contact the engineer immediately for clarification. 2. The drain field shall be installed parallel to slope contours. 3. The bottom of the drain field shall be within 2" of level. If the sidewalls or bottom of the excavation become smeared, they must be raked or scarified prior to the placement of filter sand or drain rock. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net Environmental Consulting and Design 4. The drain field must be a minimum of 5 feet from the test hole excavation. 5. Distribution pipe Is to be installed level with perforations fadng downward, atop a level bed of drain field rock. Septic rock shall then be placed atop the distribution piping to provide a minimum of 2" of cover, level across the entire width and length of the trench, above the piping. 6. A silt barrier must be Installed at between the final drain rock and the native soil backfill. The silt barrier shall cover the entire drain rock surface. 7. Monitor tubes must be 4" in diameter, installed In the locations depicted on the design drawings, and extend a minimum of 12" above final grade. The portion of the monitoring tube below the septic rock must be perforated and the portion above the drain rock shall be solid. 8. Backfill over the final gravel layer must not be Tess than 2 feet. Insulation must be installed when the backfill depth is less than 3 feet. 9. Drain field back fill shall be mounded to prevent depressions from forming due to subsequent settlement of backfill material. 10. The contractor shall verify that the drain field is a minimum of 100 feet from any residential water well, 150' from any class 'C' well and 200 feet from any community water wells. Additional separation distances must also be maintained. Inspections: 1. A minimum of two Inspections are required by the Municipality of Anchorage. These inspections must be conducted under the supervision of a Professional Engineer licensed to practice in the State of Alaska. 2. The first inspection must be conducted after the excavation of the drain field and before the placement of any gravel. The septic tank may be set in place, but may not be backfilled. 3. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, stand pipes, deanouts, and insulation, but before the placement of any backlit!. 4. The contractor shall provide a legible copy of all field notes relating to system layout and construction to the engineer for the use in preparing the record drawings. 5. The contractor shall coordinate all Inspections with the Engineer. A minimum of 24 hours notice is required prior to the start of construction. If necessary, a preconstruction meeting will be held on-site. 203 West 151h Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland,Cr gci.net GREs_ r eR ANCHORAGE AREA BOLJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSP:CTION/REPORT ON-SITE SEWAGE DISPOSAL SYSTEMj NAMf��CIa �� Sir , /`I /-'PY'•�C� MAILING ADDRESS RA cos occ�{�S}Y c...41v ��[je PH-OJNE© i LOCATIOINt JUr/71 Zit -ea. -7- LEGAL DESCRIPTION 4.0 /4! -e- /$ To -A-1 4 ti SEPTIC TANK:/ DISTANCE a1577%93 l2, eted�.Sig. Pte/ NUMBER OF FROM WELL (O O MANUFACTURER MATERIAL r COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTHVa LIQUID CAPACITY GALLONS. GALLONS. TOTAL LENGT, / DISTANCE FROM WELL /DDS FOUNDATION r/�9 5- NEAREST LOT LINE 021127'',, OF LINES ��JJ NUMBER OF LINES / DISTANCE BETWEEN LINES TRENCH WIDTHS IN TOTAL EFFECTIVE ABSORPTION AREA V SQ FT LENGTH OF EACH LINE cJ li DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE -7 / MATERIAL BENEATH TILE ?^Z IN ABOVE TILE _ Cit -c; IN WELL: TYPE Ex// %✓ CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST y SEPTIC / SEEPAGE IM FOUNDATION LOT LINE SEWER LINE �G TANK `td SYSTEM ld� CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: At- /OU 4 //O/ INSTALLED BY• u".)01 r e -- SEWER LINE DEPTH• 7,e PIPE MATERIAL / iete, s r LOT SLOPE: Pecidat,ed- REMARKS• / S Q if Form EQ -032 DIAGRAM OF SYSTEM DATE 5-31 "77APPROVED G.A.A.B. 11',36 1114 utGt0 GREr...-SR ANCHORAGE AREA Bo. JGH 1-j,a/D-77 a 43-77 DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO 9330 "C" STREET ANCHORAGE, ALASKA 99503 ff TELEPHONE 7S r./ / /� Sr. -77,16M C3� -11 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT A nog IS ft e nt MAILING ADDRESS 5/Caffr ✓` 51�PHONE ") S 1 INSTALLATION LOCATION v VIr T..C� LEGAL DESCRIPTION r" (79' .Sc0 / / O r/J - /r r INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED (/lane SEEPAGE PIT DRAIN FIELD OTHER e'r.rC J �72�1•iv.0 M'F4-c FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS / S 1) COMPLETION DATE ANTICIPATED (1E• 1-rT• Sr/Qs o A/ NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 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. / TYPE SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK SEEPAGE NT TO RIVER. LAKE, STREAM. DRAIN FIELD 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 SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER <Alb ft P --r P C TYPE 7CcY C -- DIAGRAM OF SYSTEM d7 VI - i 4 I � /I -C -ft- I I I i _ 1. t i t --i- i { - - I_ I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE EQ -016(3-75) APPLICANT'S SIGNATURE arke 28-68 AND THAT THE ABOVE 0 Et E GEO ICHNI CAL £t DEVEL 1MENT CO. Russell Oyster 694-2774 Soils Et Foundations Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG Performed for: Name: Sb,Cc n ‘‘VL, TeL No. Earl Ellis 688-2280 Land Development Mailing Address: mar. 14,01 (\,*vc,\'IN'Itk Legal Description: Litre \%kcl 7 sic \t \ C\b A 7 ''\ \frj Depth (feet) 1 2 3 4 5 6 7 8 9 10 11. 12 13 14 15 16 Soil Characteristics ftG \w� YoiaSO�� vus-41, ��- C�W Swaray G�p,ce \:V % -- la ash \U.tm1 -CAS'- g clytt. Ut/ C•- , Ground Water Encountered: Yes_ No If yes, what depth 1 Co Proposed Installation: Seepage Pit Drain Field 1 Comments: NN -C \\VtAd�v-'tW 3 'ZA' \a +t» Fn ‘ t �+�7 . /t Aar, Performed by: !.J Date: ' \ 1'4 ` 77 z N 3 \\1, N\ CERTIFICATE OF OWNERSHIP & D ECICATION • 9Z -LL 1V1j 83d S9j418838 j0 SISVS W98 M„002000r n 000MH3th9 INS 8 98'68£ 1 L_ 130 i 0 O IF m 1Z /1' to< ¢:I(0 Im. 98 ZZ 90 000 S I 89'96Z z a trt a m 0) Q £L'963 M,6S 90„001 o0 O m 01 0 W A.. 20 Id !n O: W J w w LO Q m- 0) (0 (3) ACKNOWLEDGEMENT E 3 a m z0 N E E f A PPROVAL F a (691-8L) to a 0 N O - 3 0 z z o 0 7 z 1 0+ \\ o ,\ 0o; r tie yo 0 N N m P- r - 0_ ra 3 n. ; z LL EL U a Y O `O a ¢ 0 c w m a - 0 o O w 7orn m N 4-4-0 N 0 m I- N. • n o O 0 u o '0 a LL LL o z _N x x a • )( ❑ Z 7,3 SURVEYORS BY THE MUNICIPALITY 0 4 0 0 0 tilz a U Q m GRID NW 1054 DWG. NO. 1 0 W -I m DATE't 6-15-78 z a 0 CHECKED H. am MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I. D. 051-231-35 1. GENERAL INFORMATION Complete legal description T15N R1W SEC 18 LOT 149 Expiration Date: Qt — Z 0 ?— Location Location (site address) 18636 JUDY STREET, CHUGIAK, AK 99567 Current property owner(s) TERRY VOGUS Mailing address Real estate agent 18636 JUDY STREET, CHUGIAK, AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5.60 Date of Payment %l /'9 0? a Receipt Number 9010 3 COSA # 0.5G ZZ 12 50 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # Distance: 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 5/31/2022 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First water Consulting & WS 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for 3 bedrooms bedrooms OF A Ilk TH . -49 .....:..�r � . .... ....:�:. � • '. Curtis Huffman t♦t 9 CE 128991 11`'sTF,�•. %/2/21.••��� 1�,F0PROFESS0P� bedrooms, with the following stipulations: `A��� �o F 7 WASTr-, 'q ND m= _m=off PROD R -. C5 w�. Original Certificate Date: 65> `a _4?oa The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other • Legal Description: T15N R1W SEC 18 L149 Parcel ID: 051-231-50 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test *1.1 gpm Date drilled CIRCA 1968 Water storage tank volume NA gallons Total depth 59 ft (PER OWNER / PREV.) Well disinfected for coliform test? ❑ Yes ® No Cased to UNKNOW ft (ASSUMED 40'+) ® Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate mg/L ® Nitrate less than MRL (ND) ® Wires are properly protected Arsenic ug/L ® Arsenic less than MRL (ND) Casing height (above ground) 12+ in. FW'ES Date of flow test for COSA 5/24/22 Collected b'tL= Static water level at beginning of test 24 ft. Date of Sample 5/24/22 Comments *AVG RECOVERY 0.66-1.6 GPM=1.1GPM. VERY SHALLOW WELL LESS THAN 32' OF WATER "STORAGE" IN CASING. RECOMMEND STORAGE SYSTEM FOR PEAK / MORE NORMAL USE. PER OWNER — SHOWERING. DISHES. NIGHTS... B. TANK DATA Age of tank(s) 15 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 50" ® Standpipes/foundation cleanout per record drawing Date of pumping 5/23/2022 D. ABSORPTION FIELD DATA Which system tested (date installed) 9/20/2007 ® ALL standpipes present per record drawing Total measured depth from grade 9 ft (max) Measured depth to pipe invert from grade 6.5 ft (min) ❑ N/A — pressurized field C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 5/30/22 Results 0 Pass For 3 bedrooms Fluid depth prior to test 2 in Water added 500 gal New depth 7 in El Monitor tubes go to bottom of effective. If not, state Elapsed time n min depth into effective MOA IR 5.112.51 MEASURED ® Code -required soil cover over field Final fluid depth 2 in ® System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced 2000 gallons Comments/Deficiencies: E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that l 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. l ft Ay. p m'Cagp. ` O_ C C O ya O �m ° 333�oom 3Er -« mm-0a-rQ toCD 00 CD Z O 3 0. 0 A W ID N ( Z ma w��morn N•i`1 �Q a°�,�'°-nim p r+ ci -► _m z o r o�smvZ- Q > > to -k ZsmmrnP?a —U) w *< m a m NC Q V O 0 O 0 =' x O'm+ �Q•eop�m —• a.. nICL 3 ° Ca3�caamm c7 tsm a='°:oaf-�c— CD �c °-»amsa000 G �. -s3 aa{ CD om y m�aX m =to WO © 00o 30om6'°zcoII 0 3 � � 0 �' � a W'0T-00 C. 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