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HomeMy WebLinkAboutGREENBROOK BLK 2 LT 2Greenbrook Block 2 Lot 2 #017-023-64 Municipality of Anchorage *0 Development Services Department Building Safety Division On-Site Water and Wastewater Program. 4700 Bragaw St. P.O. Box 196650 Anchorage. AK 995196650 Page of www d.and)orage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW OHO53 PID Number: O 17 - O Z3 - GY Wma Zan SFlarrn z r% Wastewater System: ❑ New allpgrade 13100, Von Whe6n Drive ABSORPTION FIELD DnRp wry OOmF l O DW Tr KSw T. Devi O M O oaw LEGAL DESCRIPTION sae R,Daa 4 Tar Dean mmwpnr Vita,GDpct' 115 fl. ebrx fat SiDowcn a a Gremlorook Dam W PDS IMM Born Grog" pyp Ge v •ape ••neem ppaI O.q Ft. lel FI Tow p Rarps sam i FR aoaa y pp.W ppae Gravy Larm Well: Comm. ❑New ❑Upgrade Gmyeam 5 eaRwyy was I aR«w�pean rpa FI. fl 1110 aoe (D ., A S. C) TOW Daum Geaa b TOW aDayDWrl ane Zol Pq�T.im W e 5C Ft. Ft Fe VC, 10 Omar Dap Op stnc wyy LIM Dprrw1 Dean (Non pya nwwa Ft 1} � l2 0 rpn Mgsy.t c...�°wyn,.m..Gpwa TANK GDM F Ft SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. 0 other: ToSeptic From Tank Absorption Field LTR Station Holding Tank ubadPnvate Saver Lim ' w ajpC C'e � y Mn Cy 11 !6nW Wall 2001+ 200 t 2,00"t N Z $ } Myany Fi �QA /Q 55 r«moy a cyrw«De."4 s"•'wyar IDD,+ loot IOD+ /VA LIFT STATION Ly Lap 5)+ 10+ 5'+ /V/A �a 16DO Gy BiaC �m�L S,+ tot+ T A/A PanDori Z5 'PmDTpwa,IZFM N z yzr-2. .5-t't l w,n CDr.., .V 4 /V/A NIA N A Pmp Mahe a Moog {qt Ep@KJI inpatlt. D.rprnpa by Mtini eA Rai". BENCH MARK t.000M.p Nara. Cra u Sla 6 r4q F, M.a4an Ft 1O (� Inspections performed by: a%A v Dates: 1° _7' lZ 0% pD �\\, _, O ... Cgs�l I 2m12 p Development Services Department Approval ,= qE l Conditional Approval Date: ,0 i ��110F,S E S?UAKLAtiD; y���� 111 Reviewed and approved by: Yp•)/Zz— N• Date:7 �a% ^ t OpROFE �� to / S LOT 3 SWNG77ES FA 78 1 / O \ C 61.0' 16.5' D 60.0' 16' C 127.0'150.0'1 V ` \ LOT 2 QO IAwxNrD u1sriNc zaK DRAIN nrw PER MOA CODE R£OWR£M£NTS C / v . 0 INSULAIED UNDER DRIV[WA 0 it- V y ., 20 i I I .' 49th ARY SPURKLANDW�••�� 25 0 25 50 75 100 125 150 •♦*'161,,- SCALE, 1 = 50 FT. AND ENGINEERING 203 W15TH. AVENUE CREENBROOK BLOCK 2 LOT 2 SEPTIC SYSTEM ASBUILT 203 W (NCH. AK. 99501 IAN SDATE.• JULY 10, 1007 SCHESN SHEET. 2/3 GRID: 2839 (907L279-3916 13100 VON SCHfBEN DRIVE PERMIT R SVO70153 PID # 017-023-64 6RE£NBRO17KB2L17D2Bio.BV6 I X-41/ �O'Y /0,j• I / I / I INSTALLED 4-8£DROOM SEPTIC SMACM sIOCYCL£ TREATMENT SYSTEM W/ SHALLOW TRENCH LENGTH J5 CECT WIDTH 5 fCET TOTAL DEPTH 1.5 ffET ROCK DEPTH 1.! CE£T INSULATION 1 INCHES COVER 1.4 fCCT LOT I - yV� .ti m QO IAwxNrD u1sriNc zaK DRAIN nrw PER MOA CODE R£OWR£M£NTS C / v . 0 INSULAIED UNDER DRIV[WA 0 it- V y ., 20 i I I .' 49th ARY SPURKLANDW�••�� 25 0 25 50 75 100 125 150 •♦*'161,,- SCALE, 1 = 50 FT. AND ENGINEERING 203 W15TH. AVENUE CREENBROOK BLOCK 2 LOT 2 SEPTIC SYSTEM ASBUILT 203 W (NCH. AK. 99501 IAN SDATE.• JULY 10, 1007 SCHESN SHEET. 2/3 GRID: 2839 (907L279-3916 13100 VON SCHfBEN DRIVE PERMIT R SVO70153 PID # 017-023-64 6RE£NBRO17KB2L17D2Bio.BV6 I ITER f 4' NDIJV34 ASTM 7071 GRADE AIN DRFLLNDDATlLOV CLEAN OUT 2 -IM IN D RAI N TILpI G£O7£XT1L £ £LEY.=100.4' FILL 35' SHALLOV TRENCH NTS 24' MAX DISCHARGE - B.O.H.=88.81 SLOP£ FINISHED GRADE AVAY ;4' 1 -ram TLP IN ALL DIRECTIDNS b PVC IhT1ll£NT m PPRIMARY CHAMBER m A£RATILDV CHAMBER iy m aARIFI£R ®DISCHARGE CHAMBER /BOTTLLH Lr TANK =,��2' BLXBLARD INSLLATIOV INSTALLATION 1. EXCAVATE A 10'x 10' x !0' DEEP HXr FL.R BIOCYCL£ SYSTEM 2. PLACE A NINIMM Er 4' SAND DR GRAVEL FLOP LEVELING CURSE IN Thi WITCH Or TL£ EXCAVATION CLWACT AS RCOOIREB 1 PLACE 4 PUTS Li 2' x B' x 2' DIRECT BLRIAL RIGID INSUATEN OV TLP LF COMPACTED LEVELING COUPS£ TO PROTECT BDTTLM Dr FIBCRGLASS TANK. TAKE EXTRA CARE TO ASSLR£ THAT WELATION CDLRSE IS LEVEL IN ALL DIRECTILNS 4. BACKFILL ARLWD TANK LP TO INVERT Ir 4' mrucNT AND 1-1/4' EFFLLUT LINES VITH FREE-FLDVING NSF MATERIAL FREE Or LARGE SUES M BaLDERS CAP CND 1 OV17EP TUBE V/ 1/8' LAZES 2 30' �11 MINUS SEVER OCK BENCH MARK F.ARACC DXJ SUB ASSUMED ELEVADON =100 SAND/GRAVEL BACKFILL O OF 001 �= :•49th .••�• I20URAL/15 LIYOVENU NY4 I I GREEN BROOK BLK 2 LT 2 I I SEPTIC SYSTEM ASSUILT I ANC . ASTM. AVENUE 13100 VON SCHOEN DRIVE DAT£.• JULY 10, 2007 (NCH. AK. 99501 JAN SHARMAN SHEET. 1 3 GRID: 1839 (907) 279-3916 � PERMIT # SVO70153 PID # 017-023-64 GR££NBRLII WL2D3BMDVG ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND _Dean and Kimberly Cherpotis_ THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this Z,'� Day of VL of 2007, by and between _Dean and Kimberly Chergotis_, herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AW WTS). described as _BioCycic_ located at _13100 Von Schebcn Dr._, Anchorage. Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AW WTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of systcm construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an A W WTS that were included in the original design which would allow the AWWTS to continue to perform as designed. F.. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater "Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an A W WTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of _S0.00— ($0.00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. 7'he term of this Memorandum of Understanding shall be for the life of the A W WTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the A W WTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations Installation and Removal orAdditional F, ui ment. Owner agrees not to make any alterations, removal of parts or additions to the AW WTS without a Construction Permit from the Municipality. 6. Maintenance and Rcnairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AW1b'TS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AW WTS. Q. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's A W WTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. 'Me schedule of maintenance and repair contained in the Owner's A W WTS Operating Permit is: _quarterly_ C. Owner acknowledges that the fine schedule for failing to maintain and repair an A W WTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the A W WTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for A W WTS is the governing professional guidelines for the construction. maintenance and repair of the Owner's A W WTS. 7. nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall he attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties arc: Owner: _Dean and Kimberly Chergotis_ Anchorage: Purchasing Officer C. Any attempt to amend, modify. or change this contract by either an unauthorized representative or unauthorized means shall be void. 9..1urisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the "Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. IU. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court Of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. Oa'NFR: MUNICIPALITY: By: C" Y: Date: �v� Z3 2oda Title: Date. STATE OF ALASKA ) THIRD JUDICIAL DISTRICT ) ss. The foregoing instrument was acknowledged before me this 20_ by. —day of NOTARY PUBLIC FOR ALASKA My Commission expires: MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 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: Jul 11, 2007 Expiration Date: Jul 10, 2008 Permit Number: SW070153 Parcel ID: 017.023-64 Legal Description: GREENBROOK BLK 2 LT 2 Design Engineer: 0007 SPURKLAND ENGINEERING Site Address: 013100 VON SCHEBEN DR Owner Name: IAN SHARMAN Lot Size: 50913 SQ. FT. Owner Address: 13100 VON SCHEBEN DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516-3208 This permit is for the construction of., ❑Q 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 catling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Issued By. Date: allo Date: -7 fl( '7 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.orglonsfte (907)343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 61 ti -6A 3-b q Property owner(s) Tan SAaf'ma(N Day phone 3y 5 ` (O53 6 Mailingaddress (3100 Vo- 5C44em Pri✓C Zip Code Site address 13100 ✓off .Sc 4 be., l?rjVP_ Zip Code Legal description (Sub'd., Block & Lot) Green brook 136-k Z to{ z Legal description (Township, Range & Section) Lot Size 5r4%� Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field 9 Septic Tank ®. Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade S 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. (Signature of Permit/Rush Fees: Date of Payment: owner or authorized agent) Waiver Fees: Date of Payment: Receipt Number. -` LD'q(D-J Receipt Number. (Rev. 11105) Spa Mand Eimpkmeerroimg Environmental Consulting and Design Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Ladies and Gentlemen: SEPTIC SYSTEM DESIGN Green Brook Block 2 Lot 2 Well & Septic Permit 13100 Von Scheben Drive July 11, 2006 1 am writing to request a permit for the construction of a new septic system for this property. The proposed system will serve a 4 -bedroom single-family residence. The lot was developed in 1981 and the current septic system has failed and must be replaces. The property is served by community water. There are no wells with 200' of the proposed septic system. Soils: Two test holes were excavated on June 15th, 2007. Conditions encountered in test hole N I were not suitable for the installation of a septic system. In test hole to gravelly sand was observed. Below 4.5 feet silticlay lenses were observed sand layer. See the attached soil logs. Ground water was monitored from June 15'" through June 22nd, 2007. Ground water was measured at a depth of 6.5 feet below ground surface on June 22"d in Testhole p2. Surface Water: There is a drainage ditch along the west property line. Flow is observed each spring during break up and during periods of heavy precipitation. A 100 foot separation distance will be maintained between the nearest component of the proposed septic system and this ditch. Topography: The average topography in the area of the septic system is generally level. The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. 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, Lwo SP44�- Lars Spurkland, P.E. Civil Engineer 203 West 15td Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurklandt✓gci.net Spars hid Engonew"Ong Environmental Consulting and Design SEPTIC SYSTEM DESIGN GREEN BROOK BLK 2 LOT 2 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 June 21, 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 to 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 testholcs are also enclosed. The septic system design is based on the following: Groundwater at 6.5 Ft. Use Biocycle treatment system Soil Rating. From Testhole 06/15/07. 3 min/in = 4 gal per sq.ft/day Design Rate - 4 gal per sq. ftlday No. of Bedrooms 4 Required Area per Bedroom: 15014 =37.5 sq.ft. Total area required: 37.5 x 4 = 150 sqft Bottom Rock At 2.5 feet Top Rock At 1.5 feet Rock Depth 1 feet Total Bed Length 150 /5•.87 = 26.1 feet USE 30 FEET SYSTEM CONFIGURATION BIOCYCLE TANK TOTAL LENGTH 30 FT TOTAL WIDTH 5 FT TOTAL DEPTH 2.5 FT ROCK DEPTI I 1 FT INSULATION 21N. COVER 2 FT(MIN) 203 West 151' Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandCagci.net ►►\ ►S O 1 LOT 4 O 1 � LOT 16 �1 vacaKr i 1 V O LOT3 i (% LOT C ® E 1 1 LOT 17 1 1 \ 1 1 LOT 3 0 111 LOT 1 I I I 1 I I 1 N07M- 1) suamISIOK SCRn-D or commumIrY WA1CR. 50 0 50 100 150 200 250 300 SCALE, 1' = 100 FT. ISPUKXL9NV LNUINUK/NU I I GREENBROOK BLOCK 2 LOT 2I I SEPTIC SYSTEM DESIGN I 203 W 157H. AV£NU£ IAN SHARMAN DATE. JUNE 23, 2007 ANCH. AK. 99501 130100 VON SCH£BEN DRIVE SHEET. 1/3 CRID. 2839 /oral 970_ ro l a PERMIT #SV070XXX PID # 016 -141 -XX 6REENBR8NKB2L17Dl.DW6 5 LOT 3 MID \ Y 2 \ 4ys / INSTALL 4 -BEDROOM SEPTIC SYSTEM * BIOCYCLE TREATMENT SYSTEM W/ SHALLOW ln�l TRENCH LENGTH 30 fFET W?DTH 5 FEET TOTAL DEPTH 1.5 FEET ROCK DEPTH 1 FEET INSULATION 2 INCHES COVER 2 fE£T LOT 1 25 0 25 50 75 100 125 150 SCALE+ P = 50 FT. ABANDON EXISTING TANK DRUN FIELD PER ,VOA CODE R£OWREM= Lf{•L2 _ J �O 49th SPURKLAND IJ'UYKLANl) LNUINLLH/NUI I GREENBROOK BLOCK 2 LOT 2 11 SEPTIC SYSTEM DESIGN I 203 W 157H. AVENUE DATE: JUNE 23, 2007 ANCH. AK. 99501 MN SHARMAN /907) 279-3916 13100 VON SCH£BEN DRIVE SHEET, • 2/3 GRID: 2839 PERMIT B PID B GR££NBR0GKB2L17D2blo.DVG ti �O 49th SPURKLAND IJ'UYKLANl) LNUINLLH/NUI I GREENBROOK BLOCK 2 LOT 2 11 SEPTIC SYSTEM DESIGN I 203 W 157H. AVENUE DATE: JUNE 23, 2007 ANCH. AK. 99501 MN SHARMAN /907) 279-3916 13100 VON SCH£BEN DRIVE SHEET, • 2/3 GRID: 2839 PERMIT B PID B GR££NBR0GKB2L17D2blo.DVG 5 LOT 3 49 ASINDON EXI"A TANK 3 OWN 17E PER MOA CODE R£OWNEWNTS p ,y. .` 49th , lI _ _ _ - - ► - - - LARSSPURKLAND J� 11 _ •�� f'•.• NO. CE -13500 V 25 0 25 50 75 100 !25 150 f1'OFESSI:'. SCALE, 1' = 50 FT. SPURKLAND ENGINEERING GREENBROOK BLOCK 2 LOT 2 SEPTIC SYSTEM DESIGN 203 W 157H. AVENUEDAT£: JUNE 13, 2007 ANCH. AK. 99501 IAN SHARMAN (907) 279-3916 11 130100 VON SCHEBEN DRIVE SHUT • 2/3 GRID: 2839 PERMIT # PID LT 6REENBRO17KB2L17D2blb.DVG 4%6/or \ upeR / / I 1_ INSTALL 4 -BEDROOM S£PRC SYSTEM 2 BIOCYCIE TREATMCNT SYSTEM W/ SHALLOW TRENCH ln`jl LENGTH 30 fEET N70TN 5 FEET TOTAL DEPTH 2.5 fEET ROCK DEPTH I FEET AYSULA770M 2 INCHES COVER ? f£ET LOT I T 4 i ASINDON EXI"A TANK 3 OWN 17E PER MOA CODE R£OWNEWNTS p ,y. .` 49th , lI _ _ _ - - ► - - - LARSSPURKLAND J� 11 _ •�� f'•.• NO. CE -13500 V 25 0 25 50 75 100 !25 150 f1'OFESSI:'. SCALE, 1' = 50 FT. SPURKLAND ENGINEERING GREENBROOK BLOCK 2 LOT 2 SEPTIC SYSTEM DESIGN 203 W 157H. AVENUEDAT£: JUNE 13, 2007 ANCH. AK. 99501 IAN SHARMAN (907) 279-3916 11 130100 VON SCHEBEN DRIVE SHUT • 2/3 GRID: 2839 PERMIT # PID LT 6REENBRO17KB2L17D2blb.DVG 4' MY4TDR ASTM 3031 GRADE TO /-- 2 -IN / C*7 21' MAX CD v b in FLVMDDATDlN CLEAN aur FINISHFD GRADE AVAY TUP IN ALL DIRECTIONS 4 $ 11 � 1' PVC JWUCNT CD PPRIHARY CHAMBER 0 ACRATIRI CHAMBER 0CLARIFIER ®DISCHARGE CHAMBER /BUTTON Cr TAW �2' NLLCBUARB INSLCATBIII INSTALLATION 1. EXCAVATE A 10' x !0' x 10' DEEP RaE rLP =YCLE SYSTEM Z. PLACE A HINIAW Li• 1' SAND OR GRAVEL FLIP LEVELING CDLRSE IN THE BOITLN OF THE £XCAVArJM CLWACT AS REGUIR£Q 3 PLACE 4 SHFETS DF 2' x 8' x 2' DIRECT BLRIAL RIGID INSLCATOY DN TLP Or CLWACT£D LrVELPG CDLRS£ TO PROTECT BUTTLIY X FIBERGLASS TANK. TAKE EXTRA CARE TO ASURE THAT INSLCATITAI CDLRSE IS LEVEL IN ALL DIRECTILICS 4. BACKFILL AR@.ND TAW LP TO INVERT EF 4' lWUCNT AND 1-1/1' £FFLCENT LINES VITH FREE-FLOVING NSE MATERIAL FREE Lr LARGE STIFFS OR BOLLD£RS CAP END ACIVITUR TUBE 10 PVC V/ L8' HOLES P 30' SAND/GRAVEL BACKFILL C7 0 IJrUHRLAHVV LNCHNLUUNU I I GREEN BROOK BLK 2 LT 2 I I SEPTIC SYSTEM DESIGN 203 W K. 9 AVENUE 13100 VON SCHEREN DRIVE DATE: JUNE 25, 2006 ANCA 97 99501 MN SHARMAN SHEET. 1 3 GRID: 2839 /om) azo_.;o1H; / I PERMIT A PID # GR££NBR"BcUP3BMDVG Municipality of Anchorage -,(E 4'?'a �L 11 Development Services Department %i Building se"Division �1 Onsite Water and Wastewater Program ' 49TH / 4700 South Bragaw St. . •'.. ..F P.O. Box 196650 Anchorage, AK 99519-6650 ) • • .. • www.ci anchoraae.ak.us s„• LpRj c, U:;;,, \O; ir 7) 343-7904 Soils Logt-Percolation Test /�i�1`�° ^^,15 0 Performed Far. Ian S6,mors Date Performed: Legal Description: Green 6 roo k til k 2. LT a Township. Range. Section: TH01 Depth Fr11 1 1 1 COMMENTS WAS GROUND WATER Yes !_ LS / S IF YES. AT WHAT DEPTH? S L Dplh to Wabr After O P lllonkorNp7 E 3 PERCOLATION RATE (err) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Municipality of Anchorage'�"�' >tll Development Services Department BuOding Safety Division �.• a„1 On -Site Water and Wastewater Program ; 49TH 4700 South Bragaw SL • • [ . . P.O. Bax 196650 Anchorage, AK 995196650 wv+w ci anchoraae.ak us • LAaS EYS%UAK?AND; (907) 3417904 n • '�Cii �j•. 1150 Soils Log - Percolation Test It `�c ;......• ;�� — PerbrrredFor.. 'Lan Date Perk Legal Description: GrEEN eroC k 1111K '2 Lt Z Township, Range, Section: Site Plan TH"Z Depth 1518:1 r V .I �r Gvittlj, san\ Reading o, • ul Stk�ck,� 4 ses Net Tine Depth to Water Net Drop a'�•. (111610-4 9- 43 o ; WAS GROUND WATER ENCOUNTERED? C5 1O 10,16 B KO -'A, IF YES,ATWLIAT DEPTH? �L L O '30 110 M; 1314 Depth to WNW ARK P il- it Monitoring? �p 22 E 12- 13 5/8 Derr: 6 6 Reading Date Cross Toe Net Tine Depth to Water Net Drop (111610-4 12:20 Pn 0 m;, 13 / 10,16 't '30 110 M; 1314 3'�8 0/ it :10 20 13 5/8 2 7/13 11/p, 11 :50 30 M;� 1377- 3 3/ 10 Ir 1:oo P• 40 win 13"/83�2 10 " 4.10 So M"^ 13112. 10116 It ; 20 60 LMir' 3'/e PERCOLATION RATE 3 (mY.rrhrfi) PERC HOLE DIAMETER TEST RUN BETWEEN 3 FT AND j_FT COMMENTS N Soa`CeX PERFORMED BY: `'Af5 SP4ru Lvvd I M Jw.C! CERTIFY THAT THIS TEIT AS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: to I9 spar K and ER000Hc OTOORg Environmental Consulting and Design L�~ J Single Family On-site Wastewater Disposal System Construction and Material Specifications Subject Property: Green Brook S/D Block 2 Lot 2 Date: June 29, 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 4 -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 BioCycle tank, a drainfield comprised of 1 trenches, 5 -feet wide x 30 -feet long, 2.5 feet deep, with 1 foot 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 2.5 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 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 piping beneath the driveway and over the drain field. 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 15'" Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandCaa`gci.net Environmental Consulting and Design Construction of On-site Wastewater Disposal Systems", Dated December 2000, as provided by MOA DSD, On-site Water and Wastewater Program. Septic Tank Installation: 1. The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank. 2. 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. 3. The inlet and outlet lines from the tank shall be bedded in drainrock or the soil shall be sufficiently compacted to prevent future settlement of the soil. 4. Septic tank inlets, outlets and cleanouts shall be fitted with water tight couplings. S. A cleanout shall be installed 1 to 4 feet from the foundation. 6. Post tank deanouts shall be installed per MOA requirements. Does not apply to pressurized lines. 7. 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. 8. The tank backfill shall be graded sufficiently to ensure positive drainage away from the tank. 9. All holding tank and lift stations shall have an audible and visible alarm inside the residence being served. 10. All lift stations shall be wired in compliance with all MOA guidelines and the Uniform Electrical Code. A municipal electrical permit and inspections must be obtained where required by the MOA. 11. The contractor shall verify that the septictank/lift station 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. 12. The contractor shall remove or abandon the existing tank in compliance with the Unform Plumbing Code. Drainfield Construction: 1. The drainfield shall be excavated to the dimensions outlined in the design drawings. If any discrepancies are noted, contact the engineer immediately for clarification. 2. The drainfield shall be installed parallel to slope contours. 3. The bottom of the drainfield 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 drainrock. 4. The drainfield must be a minimum of 5 feet from the test hole excavation. 5. Distribution pipe is to be installed level with perforations facing downward, atop a level bed of drainfield 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. 203 West 151° Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandCagci.net .� s 11,o�g Environmental Consulting and Design 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. B. Backfill over the final gravel layer must not be less than 2 feet. Insulation must be Installed when the backfill depth is less that 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, cleanouts, and insulation, but before the placement of any backfill. 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 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland`aa gci.net 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.cl.anchorage.ak.us (907)343-7904 ON-SITE SEWERMELL SUBMITTAL COMMENT SHEET To: SPURKLAND ENGINEERING Legal description: GREENBROOK BLOCK 2 LOT 2 ®Permit ❑C.O.S.JL ❑Inspection Report ZD The attached paperwork has been reviewed and is being returned for the following reasons: 1. -NEED TO MAINTAIN 4 FOOT VERTICAL SEPARATION FROM SEASONAL HIGH GROUNDWATER. 2. -NEED TO SHOW EXISTING SEPTIC SYSTEM ON SITE PLAN. 3. -THE SITE PLAN NEED TO SHOW MEASURED DISTANCES TO ALL WASTEWATER DISPOSAL SYSTEMS, WELLS, SURFACE WATER OR DRAINAGE COURSES, ROADS, PROPERTY LINES AND STRUCTURES WITHIN 200 FEET OF THE LOCATION OF ANY EXISTING OR PROPOSED ON-SITE WASTEWATER DISPOSAL SYSTEMS. 4. -WHAT IS THE VERTICAL SEPARATION BETWEEN THE WATER & SEWER LINE CROSS-OVER. CONNECTION JOINTS FOR PRIVATE SEWER LINE NEED TO BE SEALED IN AREA OF CROSS-OVER FOR ABOUT 10 FEET ON EITHER SIDE OF WATER LINE. 5. -NEED MAINTENANCE AGREEMENT. Name of reviewer. Joe Date: July 10, 2007 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK MUNICIPALITY OF ANCHORAGE 0 • DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME 2/ c - 3 =a PHONE _ r.Y% -d tl'J $-MEW ❑ UPGRADE MAI LING ADDR Spp /1 LEGAL DESCRIPTION �^ 4 LOCATION NO.OF DROOMS V Y DISTANCE TO: I ,,� Absorption area DwellingI�- �i.Fi/ ..e,,r,� PERMIT NO. P16 6 F_ Q W E- Manuf re W �/"— ✓�/�-�J Materi No. of compartments y Liq. capacl y in gallIF HOMEMADE ons -� Inside length �— Width Liquid depth JAZ DISTANCE TO: Well Dwelling PERMIT NO. 02 manuf r a Li achy in ga w= DISTANCE TO: W Foundation ; Nearest lot line , y'— ' PERMIT NO. J m z F ? W No. of lines �J ail Lengt of ea line C°%Lc� Total len of lines Trench width Distance betwegn lines cc cc p Top of the to finish grade 7 Is Material beneath tile F„7 inches Total effective absorption area w C7 Length Width Depth PERMIT NO. Q F wa Type of crib i eter p Total effective absorption area W y Well TANCE TO: Building foundati n eares Nne Jss J Depth Driller Distance to lot line PERMIT NO. W DISTANCE T0: Building foundation Sewer line Septic tank Absorption area(s) OTHER v PIPE MATERIALS SOI L TEST RATING -7 eJ f 71 U O 5 S C 7a INSTALLER • 1.1 e REMARKS f 10 I`z� lie /_s�}c APPRO ED DATE LEGAL G t1 72-013 (Rev. 3/78) J DEPARTMENT L,_ HEALTH 2r5l .L.' 'STREET, AF•F't I,_.t:.I -17' HARRISON CONST ST IS O L OCAI !..I ON LEGAL. 1_2132' GREEP,IF;F:OOK TYPE OF _OIL. ABSORPTION SYSTEM IS: C:RAINFIE'LD MAXIMUM JII EEFOF BEDROOMS SOIL RATING <_O FT,-' R)= 17; THE F:EC,!LI I RED SIZE OF THE SOIL ABSORPTION SYSTEM I : THE LENGTH D I MEf IS I ON is THE LENGTH (IN FEET' OF THE TC=:E.P•,p� H OF,.-.' C:�RIL I tdF I EI...L:. THE DEPTH OF A TE:EI`-,I H OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE iaE?CiLIND AND THE BOTTOM OF THE EeX'CAVAT I CEN (IN FEET). _F 1-11 E= 9 -° i ..6 �: = 3 3 f-" 11 1rr' E..' T I". 9 y "� ., 5 _ 97--- �--1 n:._a fl• � � Z �- .. THE.:, -GRAVEL DEPTH IS I -FIE. I'll t -J I MUM DEPTH OF GRA% EL BETWEEN THE OUTFALL F`IF'E AND 'TELE. BOTTOM OF THE: E:}<CA':ATIO1`4 �IN FEET),. PERMIT APPLICANT HAS THE: RESPOt•SIBILIT`r TO INFORM THIS DEPARTMENT DLIf:IP•Gi THE. INSTALLATION INSPECTION OF AP•d'r I..IEI_I._' ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL 14ILL SERVE. 9-"-1 Co "-- -" v � I° �3 ° �" IF-" ILff.-- _V 3. (3 r -J Ff F-' U BACKFILLING OF ANY ``r = TEM W I THOUIT FINAL INSPECTION At+lD APPRO1,1AL. BY THIS DEPARTMENT WILL. BE: SUBJECT TO Pf?USEf•:I_IT i ON. MINIMUM DISTANCE BE::TkIEEN A WELL Af-,ID ANY ON—_ITE SE14AGE. DISPOSAL. _'rSTEt9 IS !00 0 FEET FOR A PR I'•r'ATE: WELL. OR •1.` 0 TO 200 FEET FROM A PUBLIC WEL.L DEPENDING I„IF'ON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROI-1 A PRIVATE WELL .fO A PRIVATE 'ENTER L.T.NE IF, ::'-5 FEET AP`D TO A C OMMUN I T'*.' SEWER LINE IS 75 FEET. OTHER RE (_,!U I REt'1EP•dT_: MA'r' APPI—'r'. SPECIFICATIONS AhID CONSTRUCTION DIt'1GRAMS ARE: 1=!V A I LA ;LE To INSURE PROPER INSTALLATION. F"CEARI-1 1' _ — — _ - 2E” I CERTIFY THAT E : I At'1 FAC'1.T. L. I' AF:: LI I TH THE REQU T. F:EMEP:IT'-• FOR C -IN --S I TE SEWER. AND WELL_; AS SET FORTH B4` THE MUNICIPALIT'7' OF hi t•1��H':RAGE. I WILL INSTALL STALL THE: SYSTEM IN ACCORDANCE 1.,.! I "I H THE CODE_;. ~: I UNDERSTAND D THAT THE OP•d--_ ITE SEI, -.!ER S 4'STEM MAY REQUIRE RESIDENCE IS REM01.)ELED Ti i INCLUDE. t'it:RE THAN 4 BEDROOMS. C I GNED : tiF'F`LTC:I-IN-I" I-itiFr:t' 'vJ_tP•? i_:CINSl" CO tL ENLARGEMENT IF THE:. ',14. 0 FIND EP• V I ROt•, MENTAL... ,_ _ OTECT I Ota ANCHORAGE AK 99501 SRA BCS,;; 273—h:' 274-0-1�:1 ILP1_�L Y1t LOT SIZE 5_:00 SQUARE f-E.E.T z TYPE OF _OIL. ABSORPTION SYSTEM IS: C:RAINFIE'LD MAXIMUM JII EEFOF BEDROOMS SOIL RATING <_O FT,-' R)= 17; THE F:EC,!LI I RED SIZE OF THE SOIL ABSORPTION SYSTEM I : THE LENGTH D I MEf IS I ON is THE LENGTH (IN FEET' OF THE TC=:E.P•,p� H OF,.-.' C:�RIL I tdF I EI...L:. THE DEPTH OF A TE:EI`-,I H OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE iaE?CiLIND AND THE BOTTOM OF THE EeX'CAVAT I CEN (IN FEET). _F 1-11 E= 9 -° i ..6 �: = 3 3 f-" 11 1rr' E..' T I". 9 y "� ., 5 _ 97--- �--1 n:._a fl• � � Z �- .. THE.:, -GRAVEL DEPTH IS I -FIE. I'll t -J I MUM DEPTH OF GRA% EL BETWEEN THE OUTFALL F`IF'E AND 'TELE. BOTTOM OF THE: E:}<CA':ATIO1`4 �IN FEET),. PERMIT APPLICANT HAS THE: RESPOt•SIBILIT`r TO INFORM THIS DEPARTMENT DLIf:IP•Gi THE. INSTALLATION INSPECTION OF AP•d'r I..IEI_I._' ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL 14ILL SERVE. 9-"-1 Co "-- -" v � I° �3 ° �" IF-" ILff.-- _V 3. (3 r -J Ff F-' U BACKFILLING OF ANY ``r = TEM W I THOUIT FINAL INSPECTION At+lD APPRO1,1AL. BY THIS DEPARTMENT WILL. BE: SUBJECT TO Pf?USEf•:I_IT i ON. MINIMUM DISTANCE BE::TkIEEN A WELL Af-,ID ANY ON—_ITE SE14AGE. DISPOSAL. _'rSTEt9 IS !00 0 FEET FOR A PR I'•r'ATE: WELL. OR •1.` 0 TO 200 FEET FROM A PUBLIC WEL.L DEPENDING I„IF'ON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROI-1 A PRIVATE WELL .fO A PRIVATE 'ENTER L.T.NE IF, ::'-5 FEET AP`D TO A C OMMUN I T'*.' SEWER LINE IS 75 FEET. OTHER RE (_,!U I REt'1EP•dT_: MA'r' APPI—'r'. SPECIFICATIONS AhID CONSTRUCTION DIt'1GRAMS ARE: 1=!V A I LA ;LE To INSURE PROPER INSTALLATION. F"CEARI-1 1' _ — — _ - 2E” I CERTIFY THAT E : I At'1 FAC'1.T. L. I' AF:: LI I TH THE REQU T. F:EMEP:IT'-• FOR C -IN --S I TE SEWER. AND WELL_; AS SET FORTH B4` THE MUNICIPALIT'7' OF hi t•1��H':RAGE. I WILL INSTALL STALL THE: SYSTEM IN ACCORDANCE 1.,.! I "I H THE CODE_;. ~: I UNDERSTAND D THAT THE OP•d--_ ITE SEI, -.!ER S 4'STEM MAY REQUIRE RESIDENCE IS REM01.)ELED Ti i INCLUDE. t'it:RE THAN 4 BEDROOMS. C I GNED : tiF'F`LTC:I-IN-I" I-itiFr:t' 'vJ_tP•? i_:CINSl" CO tL ENLARGEMENT IF THE:. ',14. 0 Second and Fourth Anchorage Limited Partnership April 17, 1981 Page Two y. ire recommend the Sewage system be placed as ""911 a r possible, irY the upper } to feet., to avoid high water problems during the trprine�r breakup. Lot 2, Bloc 2 The test hole was placed in the front of the lot, and this is where we would recommend the a on--s1,te sewage disposal system be Placed. The; Zoe: .dopes c;oris iclerabl to theback,Y there may be a hien water tab1.e. The water table in where ttest hole war; observed at 81 0 feet On March 18, appears breakup then lowered :c:= 0.. 5 flet b , during Maheof -, t. IRtic:asured on Apri] 7 " was , 0 minutes/inch.April 9. The Weak io peroolatiotY recOrranend using a more conservative percolation raHowever, 0e mire tri,/inch, due to the silt content ofte rec" rdr:telYci that the disposal system be keptilas soils. shallowWas-pessible. It May require mOund }.ng to pr.;�,vide adequate insulation and yet ground maintain the leve ,ary s'e'paration between than system and the grcaund watex level during ,Pring runoff'. Block 2 Tflf a3.zsposGsl system can thj.s 30t should also be front 01, the 1 ot, near the tet hole, as located at the Apr this lot slopes downward 13 < to the Back. The water level .iYi tale te;;t hole was measured at �; .feet On April 1 8, but had measured at 8.1 feet on MarcfY .9, The water level. was encountered at 11.4 fee,_ On Set O �5, and the Percolation rate oil this, date was , a mounded s�e;teage disposal 2.5 mirlu r.es/inch, We rec dispc,.,;r7. system be used to rnai ommerYd separat.iorl frau they seasonal maintain the necessary insulation of the sysstern, aria adequate Block 2 When depth ho the>. test thi hale, no wat_e:r was Observed within the 16 foul: de}lt.}Y hole at this site. The foil. owirig clayE April n he 16 was Observed at 7.6 feet. The water. level �.n the test hole was 8.2 feet on April '15. This water a.s probably .from thawing condztic,rzy. The surface weepage 5<5 MinutesJanc}Y ,r percolation r.•ate was measured at hO.�evel, we recommz:rad a design rate of rn.a.nutcrs;Jin.c4h becau,e� Of the silt 'content. 10.1; lisp >sal sy stern duct t.`1 the high A mounded .sewage used. '9 Spr.in9f water level, should be Block 2 No waver 6.js C3}; sel"vee .in the test hole whale found at 7,8 fent tfie next day, April surface rface s(�epage fro,,,,, tha4^71r1g Ci't'fle }Tld-7.tIC3F]S. The I rilling, but was . water is probably measured percol�ti.On I. AI r:. £: A f 1'1. 3.. i S+ in Peet )ate: 3/14/61 \--:Logged by: T. Krupka From To Soil DeScr1 tJ.,i7P: 0.0 0,5 Peat 0.5 1 S'0 F--3, Brown L;Llty e3andl, SM, with 10% rounded gravel, well graded sand, 40% :gilt, plasties., moist, firm, ac:casional cobbles below 1 0' , saturated at. 't 5' Set 3/4" pez-forated PVC. pipe to run perc test and to monitor wat-er table elevation. ".;Pere Rate. --• 4.0 minutes/inc h. i ecwommended Design Perc Pate m 10.0 minutes/inch Bottom of Test Hole: Frost Line: Free Water Level: 15.0 Feet 3. 0 Feet 3/14/61 -- 15.0 Feet :3/18/81 -- 8.0 Feet 3/23/61 _ 8.9 Feel-, 4/3/81 - 10.5 Feet 4/15/81 - 9.0 Feet Time APPLI ,NT FILLS OUT UPPER HA =0% Property Owner p� -f 46 OY 3 -7 3 --(,� _ _ _ Phone -S Mailing Address Zip Code 0 ( –2`15—) 6, o Buyer Inspector - Inspector Address Field Notes: Zip Code (�) APPROVED BEDROOMS Lending Institution ( ) DISAPPROVED Phone Address ,�--%�w�– �� Zip Code BY: Realty Co. & Agent Soils Rating Date Sewer Installed Phone Address IJ -' ' Zip Code -- Legal Description Street Location `� r ti Type of Residence Single Family ❑ iMultiple Family No. of Bedrooms L_( ❑ Other Water Supply ❑ Individual - ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. [� Community For wells drilled prior to that date, give well depth (attach log if available). (fid Public Utility Sewer Disposal IndividualYear Individual Installed: ElPublic Utility` When Connected to Public Utility: ❑ Holding Tank - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date — Date Date Date Inspector - Inspector - Inspector Inspector Field Notes: (�) APPROVED BEDROOMS - 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE l..I.L- rr BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size -- Well to Tank 72023 (3182) L,S. Municipality of Anchorage a -� 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 _FORA.SINGLE_EmLY_DWELLING rrff Parcell.D. OIT-023— ley COSA# Expiration Date:=�=t�s! 1. GENERAL INFORMATION Complete legal description Grten%rook Black 2 WI Location (site address) 13100 Von Sc)h a Ern Drive Current Property owner(s) -Lar\ Shauna^ Day phone 41 16M Mailing address 13100 Von SAe6r% Drive, Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSH will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class A_ Well 8 Community On-site ❑ Public Water System ❑ 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 _SPvrtklxn� £r1GJ11PflM4 Phone 2 -41 -3111 - Address Toa w, i5tt` SL. 203, Andnora4e Ak 99501 Engineer's Printed Name 5. DSD SIGNATURE Approved for — L* bedrooms. Disapproved. Date _FL04 0J i y' %..:49TH •. /.. I.AFiS PUAKLAND.' Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory rvMarcrvn(crt FKUUKAM �JIJI� jjj Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: w Original Certificate Date: -7- (0 7 (Ra 11005) 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 SYSTEMS APPROVAL CHECKLIST Legal Description: Qrrewn roola Elk I- Lo} Z Parcel ID: O 1T -023 - GY A. WELL DATA Well type Q Date completed Total depth — n. Date of test Static water level Well production If A. B, or C provide PWSID # 210 Y6 Well Log (Y/N) Sanitaryseal (Y/N)= Cased to ft. FROM WELL LOG n. WATER SAMPLE RESULTS: ti• Coliform — colonies/100 mL Nitrate — mg/L Arsenic: ug/L date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/MaterialBis C� ss Tank size MID gal. Number of Compartments 4 Foundation cleanout (YIN) �_ Depression over tank (YIN) Al Date of pumping Ale u Pumper C. ABSORPTION FIELD DATA Wires properly protected (Y/N) Casing height (above ground) — in. AT INSPECTION ft. a• Other bacteria — colonies/100 mL Collected by: Date installed Vi2'0} Cleanouts (Y/N) Man 61# ctccenn High water alarm (YIN) Y Date installed _JM21014 Soil rating (g.p.d./ft2 or ft2/bdrm) 9.0 System type 56110 > I/Mc k Length 35 ft. Width 5 ft. Gravel below pipe 11,1 ft. Total depth 3,5 ft. Eff. absorption area 201 ft2 Monitoring tube 'I Depression over field A( Date of adequacy test /Je W Results (Pass/Fail) For = 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 1112104 'Pump on" level at25 in. Datum maniuG RirA E. SEPARATION DISTANCES Size in gallons 100 1 'Pump off level at � in. Cycles tested AVJ Manhole/Access (Y/N) Y High water alarm level at 2Z 7Z in. Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: CommMyn * Wa}en Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Animal containment areas '– Manure/animal excrete storage areas — SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ' + Building foundation 5 r t Property line 5 + Absorption field 51 Water main 10 r+ Water service line to '+- Surface water Wells on adjacent lots 20014 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 100'4 I r I Property line 10 Building foundation 10 { Water main 10 t Water Service line 10 + Surface water. 11 1' Driveway, parking/vehicle storage 3 1 Curtain drain )VIA Wells on adjacent lots 'ZOO I} F. COMMENTS G. ENGINEER'S CERTIFICATION OF A[qs 1�( 1 certify that I have determined through field inspections and tiP9 it review of Municipal records that the above systems are in i : 49TH conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name La_rS SRu� // �;�"' F" S, po A� �•�� � Date– COSA Fee $ LP All) Waiver Fee $ Date of Payment Y/ y/o Date of Payment C' Receipt Number i Receipt Number (Rev. 11/05) � � � § e �§ `®�mm /$ a �«3¢ \ � N Q § CA k 4 _A § 7 "( °2 ! ( 2 } §2(j 0 ^-* § Sm§ | & |■ 40 SCD _§ ¢� �0 0 C } C:°�` 0 \ . cr 0 — g . � / � � � § e �§ `®�mm /$ a �«3¢ \ � N Q § CA k 4 �i MUNICIPALITY OF ANCHORAGE �� 70 t DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Z 3 0 DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL b) Q-� OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) i 3! oo VON .5Ct(EgGnl 4J6goa1%Zjf AV - (b) Applicant Name Telephone: Home Business Applicant Address (c) Applicant is (check one): Lending Institution �( Owner/builder ❑ ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Telephone Address „ (e) Real Estate Company and Agent Address Telephone x261 -765 (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms 4- 3D9M 3. WATER SUPPLY Individual Well ❑ Community* Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite' 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 (11/84) 5. ENGINEERING FIRM PROVIDI'�.�INSPECTIONS, TESTS, FILE SEARCH, G.A AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. / Name of Firm e�pe:!5 T4196)77�5 Telephone Address _LS -2 > � gv5� r �l � /{�,I000AA. i AAL e7g5o:Z Date Engineer's Seal Dal . Merrell ; 0.2055.E 6. DHEP APPROVAL Approved for 4' �¢ bedrooms by �' ' %�"+�' -a Date 46-10-8 Approved t� Disapproved Conditional Terms of Conditional Approval dhep CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11184) MUNICIPALITY OF ANCHORAGE ' _,,' ,_1 ENVIRONMENTAL SERVICES DIVISION MUNICIPALITY OF ANCHORAGE (MOA) JUN 91987 HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 RECEIVED 284-4744 Legal Description: ��� �'�'� -.505,00 Wr 2 , BLL -X'-4 Z A. WELL DATA Well Classification ��mI�r— If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by ; Date Water Sample Test Results Comments 515 /k7T}1MUO jc-G B. SEPTIC/HOLDING TANK DATA Date Installed -7 0I Size No. of Compartments 2 Noj i 17 Standpipes (Y/N) Z Air -tight Caps (Y/N) Foundation Cleanout (Y/N) WOOL 11?0:24 Depression over Tank (Y/N) I'JG Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ; for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: ✓� To Water -Supply Well +100 1 To Building Foundation r To Property Line -f 10 To Disposal Field To Water Main/Service Line f IO1 To Stream, Pond, Lake, or Major Drainage Course -f(��/ Comments Iii Page 1 of 2 72-026 (Rev. 8/861 Front Yh C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed lot Width of Field rig �fDIZ+✓i T %7J}1A%lf% ype of System Design Length of Field X31 Depth of Field Gravel Bed Thickness /,21.f Square Feet of Absorption Area -740 Si -Standpipes Present (Y/N) SGS ( i ) Depression over Field (Y/N) NO Date of Last Adequacy Test��4/07 �1 --rte- — Results of Last Adequacy Test `• 17�F �0/��/ rG(C- 7 F_--,V120©YYJ Separation Distance from Absorption Field: To Water -Supply Well +10o i To Building Foundation T T Lot To Water Main/Service Line --Iv` To Stream/Pond/Lake/or Major Drainage Course To Property Line 1-71 To Existing or Abandoned System on On Adjoining Lots .4- o To Cutbank (if present) {lei/ To Driveway, Parking Area, or Vehicle Storage Area •¢ 10 , Comments ��L' L� lkpezT� Reeoi'T D. LIFT TATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) ,75 Pumping Cycles during Adequacy Test. Meets MOA ® I certify tha have checked, verified, or conformed to all M A and HAA guidelines in effect on the date of this inspection Signed `� Date 4i / n y Company J'm,%L w v` 0-11-1 MOA No. Receipt No. `� d 00// Date of Payment D�j�o�yn•��• Amount: $ /C3 ® ,°. nginr' e 94 221 •". o f f �0 Bop earoB Y:ap Page 2 of 2 No, 2055-' 72-026 fRev 8/86) Back A+ HOME SERVICES, INC 15900 Francesca Drive Anchorage, Alaska 99516 345-1890 or 345-2444 CUSTOMER .710 uu't:z Rlnrk l I n+ r; INVOICE # —PLEASE PAY FROM THIS INVOICE— Green brook DATE DESCRIPTION AMOUNT 13100 Von Sheain D)r. TOTAL REMARKS'.' r // . 1. ,.�i i-, , %%i �" � �� �C� _ //7✓ :� +,.-�� � �.�,..i ` .i !,. t Gallons i Septic Cesspool Holding Tank c=) > �J 1 Standpipes � Time ❑ PROBLEM AREA—CALL FOR MORE INFORMATION ❑ NEEDS TO BE DONE AGAIN IN 6 MONTHS ❑"Good Shape ❑ Sludge buildup on bottom ❑ Floater on top ❑ Jim cap missing or ❑ Cut standpipe to 1' above ground ❑ Needs Septictrine needs replacing —PLEASE PAY FROM THIS INVOICE— STEVE COWPER, GOVERNOR i! DEPT. OF ENVIRONMENTAL CONSERVATION Telephone: I907J Address: ANCHORAGE/WESTERN DISTRICT OFFICE_ 437 "E" STREET, SUITE 303 274-2533 ANCHORAGE, ALASKA 99501 DATE: June S. 1987 PWS I.D.# 210346 To Whom it May Concern: According to records on file in this office the GREENBROOK S/D Water System is in compliance with the State Drinking Water Regulations Sincerely, Ronald S. Klein Environmental Feld Officer