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HomeMy WebLinkAboutT12N R3W SEC 33 LT 214T12N, R3W, Section 33 Lot 214 #018-331-17 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion?;;<HV No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 018 331 17 T12N R3W SEC 33 214 VAKULICH DMITRY 15300 SADDLER ST ANCHORAGE, AK 99561 04 26 2023 210 A.Y. MCDONALD 24100V3LB 1.00 10 MARTINSON PELLETS ANCHORAGE WELL & PUMP SERVICE 7640 KING STREET ANCHORAGE AK 99518 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: OSP221185 Work Type: Septic Initial Tax Code Number: 01833117000 Site Legal Address: T1 2N R3W SEC 33 LT 214 G:3135 Site Mailing Address: 15298 SADDLER ST, Anchorage Owner: VAKULICH DMITRY Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: ��cnr 0 �V, N `.• v Department 8/4/2022 8/4/2023 1:•11 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 Special Provisions: • A septic system to serve the existing dwelling unit is to be installed and approved by October 1, 2022. Received By: Date: Issued By: Date: Z 4 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax. 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 018-331-17 Property owner(s) VAKULICH Mailing address same Site address 15300 SADDLER STREET, ANCH AK Day phone Legal description (Sub'd., Block & Lot) T12N R3W SEC 33 LT 214 Legal description (Township, Range & Section) Lot Size 108900 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial Fx_1 Single Family (SF) 0 (w/wo ADU) Septic Tank X ❑ Upgrade � Duplex(D) El Holding Tank El Renewal F-1 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. (Signature of property owner or authorized agent) Permit/Rush Fees: / S Waiver Fees: Date of Payment: / D, a Date of Payment: Receipt Number: OReceipt Number: Permit No. Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\C lie nt Forms\Permit Application.doc July 2, 2022 Municipalities of Anchorage On-Site Water and Waste Water Section 4700 Elmore Rd Anchorage, Alaska Phone 343-7904 Re: New septic permit Legal: T12N R3W SEC 33 LT 214 To whom it may concern: This is a request for a septic permit on the above referenced lot. A single test hole was excavated and found sandy gravels SW/GW on top and then changed to silty gravels GM on the bottom. The perc rate was measured at 3 minutes per inch. Water was observed at 10.5 feet then stabilized at 9.5 feet after the 7 day monitoring period. Due to the small area available and pour soils found on the rest of the lot an Advantex system has been designed for this lot. A small existing house located on the property is not being used and a new septic system will be permitted after the new house is completed. The existing 1-bedroom system (installed in 2019) has been removed to make room for the foundation and driveway, see the site plan. The lot slopes at 8-12 percent towards the southwest with no open water or cut banks within 50 feet of the proposed site. This new system will not impact any of the surrounding neighbors. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221185, Deb Wockenfuss, 08/17/22 SEPTIC FIELD SECTION DESIGN CRITERIA: 4.0' EFFECTIVE 4 BDRM X 150 = 600 GPD SOILS = 600/3.0 GPD/SF = 200 GPD 200 GA/8 = 25' 2.0' WIDE 30' LONG FOR SAFETY (1) TRENCH 5.0' DEEP 12 (TH#1) 1.0 SW/GW ORG 1.5'2.0' -5.0 -1.0 MOUND OVER FILTER FABRIC SEWER ROCK ‘3,3( GRADE 1"=200' PROPERTY LINE EXISTING WELL 100' RADIUS PROPOSED HOUSE -RABBIT CREEK ROAD- PROPOSED DRAINAGE FIELD SCALE: DJRDRAWN: DATE: T12N, R3W, SECTION 33, LOT 214 Anchorage, Alaska DMITRY VAKULICH 7/1/2022 - O L D S EW A R D H I G HW A Y - EXISTING HOUSE, SEPTIC TO BE REPLACED PRIOR TO OCT 1, 2022 DEMO SHED -SADDLER ST--DORA AVENUE- 9.0 ML/GM & INSULATION WATER AT 9.5' MAY 2022 ‘+2/(6# Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221185, Deb Wockenfuss, 08/17/22 1"=50' EXISTING SEPTIC TANK MT TH#1 PROPOSED DRAINAGE FIELD MAINTAIN 10' FROM FOUNDATION AND PROPERTY LINE 30' WELL DRIVEWAY PROPOSED HOUSE EXISTING WELL 100' RADIUS T12N, R3W, SECTION 33 LOT 214 SCALE: DJRDRAWN: DATE: T12N, R3W, SECTION 33, LOT 214 Anchorage, Alaska DMITRY VAKULICH 7/1/2022 -SADDLER ST--DORA AVENUE- T12N, R3W, SECTION 33 LOT 198 EXISTING HOUSE, SEPTIC SYSTEM TO BE DISCONNECTED ,HOME WILL NOT BE USED TILL THE A NEW SYSTEM IS INSTALLED, NEW DESIGN MUST BE PERMITTED BY OCT 1, 2022 SHED TO BE REMOVED DCO MT MT 1500 GALLON ADVANTEX W/ PUMP BASIN, 10' MIN. TANK TO FOUNDATION OR DECK PILE SUPPORTS EXISTING DRAIN FIELD AND TANK TO BE REMOVED TH#1 DEC K ADDITIONAL COVER OVER THE FIELD LIMITS Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221185, Deb Wockenfuss, 08/17/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221185, Deb Wockenfuss, 08/17/22 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of O U lou 1 `► of 20Z, by and between VVI u c C K , .herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Ad v."g 4-�---x located at (legal description) -r12,N E3 S-eC 3 Z t T 2< <-1 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) 'kV__ Throughout the term of this Agreement, the Owner shall enter into a service agreement with*an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. �U It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. �U Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. V Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. OvOwner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. PV Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. V Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at anytime to enforce a.provision of this Agreement shall in no way constitute,a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement 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 Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: _ /I D vet 4"ykk q I , Cl ( (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) Date: 9 — ( - Z -7-- The The foregoing instrument was acknowledged before me this yOday of 4 1 �ARAI(LU' LIC FOR ALASKA My Commission expires: O, CVao93 = E NOTA RY * : PUBLIC.,4 OF //11111111\� MUNICIPALITY: By w (signature) (print name) (rev. 05/18/2018) Date: Title: Page 3 of 3 ROBERTC. COWAN, RE. ROBERTA. SHAFER, RE. February 3, 2000 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELLINSPECTION & FLOW TEST RO,~D DESIGN SOILTEST PERCOLATION TEST Municipality of Anchorage Department of Health and Human Services P. O. Box 196650 Anchorage, AK 99519-6650 Reference: T12N, R3W, Section 33, Lot 214 The previously existing well was dug up and filled (properly abandoned) at the time the new well was hooked up. See attached as built survey for well location. Sincerely, Robert C. Co~E[' RCC/skh Attachment 17034 NORTH EAGLE RIVER LOOP SUITE204 EAGLE RIVER, ALASKA99577 N O0°07'W ;~$0 +_ m ~ 30 N O0°07'W 330 ~ o SADDLER STREET Rick Mystrom Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http:/iwww.ci.anchorage.ak,us Permit Number: #S~990384 Date of Issue: .10-11-99 Parcel Identification Number: 018-331-17 Date Started: 10.28~09 Date Completed: 10-29-99 Is well located at approved permit location?~ Yes [] No Legal DescrkleAOn,. T12N R3 W SEC 33 Lt 214 Property Owner Name & Address: Flora Strouts 15300 Saddler St Anchorage, Ak 99516 Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Stick-up 0 2 gravelly silt 2 8 silty gra vel H20 8 23 gravelly silt 23 54 silty cobbly grave/ 51 93 sandy silt 93 117 silt 117 132 silty grave/ 132 165 silty sandy gravel H20 165 202 gravelly silt 202 217 water sand & gravel 217 221 RECEIVED 07 2000 Municipality ot Anchorage Dept, Health & Human Services Method of Drilling [] air rotary [] cable tool Casing type: steel Wall Thickness: .250 inches Diameter: 6 inches Depth: 221 feet Liner Type: Diameter: __ inches Depth: __ Casing stickup above ground: _2 feet feet Static water level (from ground level): 16 feet Pumping level: 221 feet after _2 hours pumping 20 gpm Recovery Rate: 20 gpm Method of Testing: Air lift Well Intake Opening Type: [] Open End [] Open Hole [] Screened Start feet Stopped__ [] Perforations Start feet Stopped__ feet feet Grout Type: bentonite # 8 Volume: 1 bg Depth: Start_0 feet Stopped __ feet Pump: Intake Depth __ feet Pump size __ hp Brand Name Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: Clorine Tablets Comments: Well Driller: Alpine Drilling 8, Enterprises P.O. Box 110496 Anchorage AK 99511 Attention: The welL&21cr~~~log tog:~e propea-ty owner-~i~30~laysof~ompletion,and/he properly MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box ~96650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WATER SUPPLY PERMIT Upgrade Date Issued: Oct 11, 1999 Expiration Date: Oct 10, 2000 Permit Number: SW990384 Legal Description: T12N R3W SEC 33 LT 214 Design Engineer: 0003 S & S Engineering Owner Name: Flora Strouts Owner Address: 15300 SADLER ST ANCHORAGE , AK 99516-4043 Parcel ID: 018-331-17 Site Address: 015300 SADDLER ST Lot Size: 108900 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of: [] 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. 5. The following special provisions. THE EXISTING WATER WELL SHALL BE ABANDONED IN ACCORDANCE WITH AMC 15.55.060 SUBSECTION J. 2. PRIOR TO THE WELL DRILLER LEAVING THE SITE. Received By: ~~' ~ ~"~*"~ Date:/e -) :z ~ ¢/¢1 Date: PERMIT NO SW990205 PAGE 2 O1~ .., 3 NL~nici~a(i~LV of ~nchor'a(~e DEPARTMENT OF 'HEALTH AND HUHAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.a. Box 196~,Anchoeage, ~ska 99519-665p,Tqtephone: 343-4744 ggOAg LOT 214, SECTION 33, T12N, R3W P.].O. NO. 018--331--17 APPROX. LOCATION / N / I ^ It · · OF 4000 GALLON , tn ~ LOT ~98 III ~ I~ :~' ~_ ~ ~ '-- · 01 '111 I ~~ ~ -'~~ / ~1~ ~ . %,'>.I;C:: ............ ,~L~~ PERM[? NO SW990205 PAGE 2 OF , 5 Hunicip. c, tit oF Amchoro, ae DEPARTMENT OF HEA~_TH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.D. Box 196.6,_50eAnchor'o. ge, At0.$ko. 995]9-665,0 · Tear, phone: 343-4744 I. EOAL LOT 214, SECTION 53, T12N, RSW P.I.D. NO. 018-551-17 APPROX. LOCATION , / 100' SETBACK TO Municipality of Anchorage Page [ of ~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater DiSposal System and/or Well Inspection Report Permit Number: 5~)~O~'d~- PIDNumber: O[~ --~1~ l~ Ha.,: ~lOF& ~¢O.~% Wastewater System: D New ~ Upgrade Phone: I Nc. of Bedrooms: ~ ~ Deep Trench ~ Shallow Trench ~ Bed B Mound ~ Other LEGAL DESCRIPTION ~o,,,~ti.~: [.~ GPD/Sq. Ft. TotalDepthfromoriginalgrade:~ Lot: ~lq Block: 8ubdiv~ion: Depth to pipe bo,om from original grade: Graver depth beneath pipe0e~ WELL: ~ New B Upgra~ Gravelwidth: ~Ft. Number of lines: I ~Distan~betw~nlines:Ft' SEPARATION DISTANCES ~Septic U Holding ~ S.T.E.P. To Septfc Absorption Lift Holding 'ublic/Priva,,Manufaot,rer: ~ Capacity in ga"ons: I OO0 SudaCew~r I~ ]~*+ 'LIFT S~~~ ~, J~ Size in gallons: I Manufacturer: Line Fou,dation ~, 10~, j "Pump on" level at:~leve, .,: High water alarm at: Remarks: ~o ¢~¢~ ~,~r~ ~. BENCH MARK Inspections ,edormed by: ........... .,..,.,es, Dates: l st ~-*¢-R*: ~~~ Department of Health and Human Se~ices approva~ %~¢~*; ............ :::~.t;~ Reviewed and approved by _ / ~ ~Date:. ~ ~%' ¢~ -x-.¢¢.::: ¢:.;~ 72-013 (Rev. 9191) MOA 25 PEENIT NO. 5W990205 PAGE 2 OF 3 Municip, ati~ oF AnchoraQe DEPARTMENT OF HEALTHAND HUIv[AN SERVICES ENVIRONMENTAL SERVICES DIVISION P,B, Box 196650 IAnchopcge, a(cskc 99519-66501Telephone~ 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 214, SECTION 33, T12N, R3W P.I.D. NO. 018--331--17 APPROX. LOCATION OF 4000 GALLON ' ~ . ~ HOLDING TANK / ~100 ,,/ELL R DIUS ~ LOT 198 / / 100' SETBACK TO / PERMIT NO SW990205 PAGE 3 OF 3 Municip. cUl oF Anchopo,(~e DEPARTMENT OF HEALTHAND HUM'AN SERVICES ENVIRONMENTAL SERVICES DIVISION P,[], Box 196650 OAnchopcge, A~cska 99519-66500Te~ephone: 343 4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 214, SECTION 55, T12N, R3W P.I.D. NO. 018-.331-17 104.7'~ FINAL NEW 1000 GAL SEPTIC TANK GRADE INSULATION A B ST1 109.0' 136.5' ST2 115.0' 132.5' DBL1 117.0' 130.5' DBL2 119.0' 129.0' C01 115.5' 130.0' MT1 116.0' 129.5' C02 169.5' 73.0' MT2 169.0' 73.0' C01 MT1 ch°2n MT2.~COI : 104.1' II IIW Icoe: lO3.~' ............... kJ.l ........... .____--a" INSULATION , ,., MT1 = 100.9 .... " MT2 = 100.9'  :., ...~., MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 19, 1999 Expiration Date: Jul 18, 2000 Permit Number: SW990205 Legal Description: T12N R3W SEC 33 LT 214 Design Engineer: 0003 S & S Engineering Owner Name: Flora Stmuts Owner Address: 15300 SADLER ST ANCHORAGE, AK 99516-4043 Parcel ID: 018-331-17 Site Address: 015300 SADDLER ST Lot Size: 108900 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of: [] Disposal Field [] SepticTank [] 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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: ~ Dat : 7'lg 'g9 June 24, 1999 ROBERT C. COWAN, P.E. CIVIL ENGINEERS (907) 694-2079 FAX (907) 694-1211 SEWER&WATER INSPECTION ENGINEERING S~'UDIE$ AND REPORTS SOILTEST PERCOLATION TEST MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 214, Section 33, T12N, R3W Request you issue a permit to install a septic system to serve the existing two bedroom dwelling on the referenced property. One test hole was excavated and percolation tests performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation, 6-6-99 water was ~ (e /o~.After seven days of ground water monitoring, water was found at a depth of 9.5'. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/bjj Enclosure 7034 NORTH EAGLE RIVER LOOP SUITE 204 EAGLE RIVER, ALASKA 99577 ,. "1"-= 60' SCALE ~6 Em DESIGN © n ,5m~ ~11 SITE-PLAN mr Rood 6 ..% Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: F ~,0/~ ~ LEGAL DESCRIPTION: .~ O '~- (ENGINEER'S SEAL) Township, Range, Section: ~/~ ¢ ~3~¢t X'&6 , S I ~.. 7- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT M~nitoring? Date: SLOPE SITE PLAN I I ir( °L Gross Net Depth to Net Reading Date Time Time Water Drop p,~ro,~, R~_,~ ~e 5"" IQ /0 ~,~ B'I~'' '~ 'Ye" ,, " ~ " ~ 0 9 ~/~' 3 ~/~'' .... C" ~'0 ~ ~/~ " ~ ~" 6 0 ~ ~ ~1~" 3 ~1~" PERCOLATION RATE ~ * (~ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN ~- FT AND 3 FT COMMENTS '~_~opRoaaNo 204 Iv' ~ / --'~¢ ACCORDANCE WiTK~ie~j~-~,~S~;~iI~¢~¢~¢_ GUiDELiNES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) IN ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 214, Section 33, T12N, R3W June 24, 1999 GENERAL: The scope of this project includes the installation of a 1000 gallon septic tank and leachfield trench for the existin~ two bedroom house located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Depar~nent. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Page 2 Lot 214, Section 33, T12N, R3W June 24, 1999 Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the ieachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt banfer must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page 3 Lot 214, Section 33, T12N, R3W June 24, 1999 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: T.vpe of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Page 4 Lot 214, Section 33, T12N, R3W June 24, 1999 The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspect'mg engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER MUNICIPALITY OF ANCHORAGE Development Services Department y Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 018-331-17 1. GENERAL INFORMATION Expiration Date: I -z C2 Z� Complete legal description T12N R3W SEC 33 Lot 214 Location (site address) 15300 Saddler St, Anchorage, AK 99516 Current property owner(s) Flora StroutS Day phone Mailing address 15300 Saddler St, Anchorage, AK 99516 Connie Giddings (907)244-6463 Real estate agent g Day phone 2. TYPE OF DWELLING: M Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 1 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑■ Private Septic Q Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5.50 Waiver Fee $ Date of Payment a a o20 2 Date of Payment Receipt Number 3 8b Receipt Number COSA # 0 S C ,2 ,) 10 3y Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone (907) 522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller, P.E. (M -J.) Date 1/26/22 6. DSD SIGNATURE ' System #1 Approved for 1 bedrooms Az System #2 Approved for Disapproved Conditional approval for bedrooms OF •��<<1 Aw *:49_ Ben)armirv5chiller CE 1 /2 2592 pROFESSIONt'low bedrooms, with the following stipulations: Original Certificate Date:2- rL-1 —Z -o 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 e2\ —_,,,,( atm. ( �✓,` ��,D COSA Checklist blue sheet Legal Description: T1 2N R3W Sec 33 Lot 214 If more than 1 septic system on lot: COSA Checklist # A. WELL DATA 0 Well log is filed with Onsite (or attached) Date drilled 10/29/99 Total depth 221 ft Cased to 221 ft ®❑ Sanitary seal is functioning correctly FE -1 Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 1/23/22 Static water level at beginning of test 6.5 ft. Comments ... ............... . B. TANK DATA Age of tank(s) 22 years Tank type/material Septic/Steel Measured operating fluid level in septic tank 47 FE -1 Standpipes/foundation cleanout per record drawing Date of pumping A+ Home Services 2/1/22 D. ABSORPTION FIELD DATA Shallow Trench Which system tested (date installed) 9/2/1999 ®❑ ALL standpipes present per record drawing Total measured depth from grade 2.35 ft (max) Measured depth to pipe invert from grade 2.05 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective .3 ®❑ Code -required soil cover over field ®❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced 376 gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 018-331-17 of Structure served by this system Well production at time of test 3.2 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No 9 Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L OR Arsenic less than MRL (ND) Collected by Forge Engineering Date of Sample 1/20/22 STATION ❑ Requlr sinter Age of lift station _ Lift station material Comments: nce completed Adequacy test date 11/23/21 Results R✓ Pass For 2 bedrooms Fluid depth prior to test 0 in Water added 463 gal New depth 0 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate " gpd Any rejuvenation treatment (past 12 months) If yes, enter date 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' E Yes Community Sewer Manhole/Cleanout > 100' M✓ Yes if No ft jam✓ Yes if No ft Neighboring Tank > 100' Yes if No ft Private Sewer/Septic Line > 25' r✓ Yes if No ft Absorption Field on Lot > 100' Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' M Yes if No ft P-1 Yes if No ft if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' �✓ Yes if No ft ❑✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F/ Yes if No ft Surface Water > 100' 0 Yes if No ft Property Line > 5'✓0 E Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' Q Yes if No ft Water Main > 10' _ _ 0 Yes. if No ft Community Wells > 200' __ FVJ Yes if No ft Water Service Line > 10' El 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' E Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 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' 0 Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' F/I Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet 49 • "4 ........ Benjamj„rr-Schiller ��dFFG •. CE 12592 • it`4�,.►►`� 1 �sj� • 1/26/21 • 'C�d=1,� i���F�PROFESSIOO Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC 221034 Subdivision: T12N R3W Sec 33 Lot 214 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 22 years old. Typical replacement costs range from $9,000 to $12,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 -year-old steel tank MAY look like. 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