HomeMy WebLinkAboutT14N R1W SEC 14 E2 SE4 SW4 W2 SE4T14N. RlW,
Section 14
E2, SE4 SW4.
W2, SE4
#050-341-02
Municipality of Anchorage ; ;�` ^•��:
1 Development Services Department
Building Safety Division •y
On -Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 9951M650 Page ` of a
www.ct.anchorage.ek.us (907) 343-7904 1
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: 15C4.Dj0341q PID Number. OS full — 3 'CH "Q:?
Name- a r i L P•0 $e,
Wastewater System: ❑ New E) Upgrade
I r�
Address 66335 F' .�c1 Aer-r G
✓e
ABSORPTION FIELD
Phone'. 29....6 q /O Number of Bedrooms: q
0 Do" Trench 0 Shanow Trench t] Bed O O Other:
LEGAL DESCRIPTION
Sol Ralirq
Total Depth from original grade:
P lF
FI
�.}.Lot: Su�visiorc (
I Laura l •1Ye5
Depdh to pips Dotlorrh orpWl pada:
Gravel depth Eemelh pipe:
LI irl e
F
Ft.
Township: Range: Section
Fit a oripkal padaGray
ength:
1.
FI.
Well: (New El Upgrade
Gr" vhdtre l
N w of Ones;
Distn between gross:
F
FI.
ctassiRcafl Pdvale. A. B. )
,
Total Dep
Cased to. 1 //���
Total sorption rea
Pipe Malwiel:
' % t/ a G
-A�l1Ft.
1 VV FL
Fts
Drnler
S4, /111rLi /) G
Dale Drlled ``
1
Slatie Walw Levv�7:
' V Ft.
Wan
Dale installed
Yield.S
Plain/p Se .c Casing Heighl Above
�I1O
TANK
R. GPM
Van UA%h Ft. FL
SEPARATION DISTANCES
p Septic Holding ❑ S.T.E.P. 0 Other.
To
Septic
Absorption
Lift
Holding
PubBUPdNt
Manufacturer f
capacity
From
Tank
Field
Station
Tank
Sewer line
cat.
wen
`
101
��l'/l� `
��
�� i
Malwial:
Number of compenrnents
T
Surface WaterInv
/ I0'f
LIFT STATION
Lot Line
�-S` `
�V�Dt
Sue: MaMactaer.
p(I 3
C.I.
Foundation
/ 1
6.5
/ I ,
'Pump on' lom al: ever W.
Ifiph wear aalrth h;
��GG
In.
Ole
No Maks d Modal Elsctrfcat Inspections performed by:
Certain Drain
a e
,9Gt
Remarks:
'JLO b✓1f.L.� tlnAt/L /lovf
BENCH MARK
Loabon and Desorption
d ,, *rt 7— L
Assumed Elevation:
FL
Engineees, 2jamp
y %..19 4
+c ?1'o,
5 & S ENGINEERING
Inspections performed by: 17034 Eayb River Loop Road Noums: 1s'_7 -2L- 1-9
f,� � Is •�
N..IMM
Eagle River, Alaska 99577
2"d—ay —��
;%
..�............... ���
Development Services Department Appr6VA c)-10-4)?
ROBERT G COWAN
4Z%% CE -8801
Reviewed and approved b . Date: �' Z o
PP Y'
ff'~' .............
t1i
(Rev. Ib'0o)
_
�� �•'
��. T1s~
0
PERMIT NO. SWO10344
PACE 2 OF 2
Municipalityof Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Ataska 99519-6650 • Te't�ephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL TRACT 1, ALPINE LAUREL ESTATES P.I.D. NO. 050-341-02
C—====m
TH#2A
C=====m
ALT. SITE
CO2
MT
Er�ST OBL1 & DBL2
TH#3� �kC TRENCH T1 S STI 3 O (y
THj/IA CO1 °® A 2�2
J
1300 GALLON
Co
SEPTIC TANK FCO d
B NEW WELL
B
O\JS
SCALE: 1" 40'
DR���'W A� 1C1R
of to
� � RODERf G COWAN �4C
08/18/09 MED 12:29 FAX 6896499 VISTA REAL ESTATE ER 12002
(C:ertifi eb Driffing log
by
DOC CO. dDa
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 688-2750
OWNER OF D:1.1ei-L 'CRBgS'-
ADDRESS: � I 'o o X -7 i0 l 03' _
LEGAL DESCRIPTION: '7"' /4 rJ 121 /4
EasF d rLt 4 w 2s,Fu
DATE: 1 1
PERMIT NUMBER: 0 1 in Date of Issu(.-Iy- �
TAX IDENTIFICATION 14UMBER:
Is well located at approved permit location? C�r't6s�' -D No
Method of Drilling: 5%V: tary Lj cable tool
Depth of well. 3a •iJ
Casing Type S 7Ca t• Wall Thicknesses inches
Diameter. inches, clepth --j-0-91. feet
Liner Type: t41�
Casing Stickup Above ground: 0), feet
Static Water Level: feet
Recover Rate:_._ Sym Ppm
Method of Testing:. _A+ f 2 -
Well Intake Opening Type: U open end &aon hole
Screened: Start feet Stopped . Feet
_i Perforations Start feSt
et -opped . feet
Grout Type: 43,.".v 7J'j§EC tfolume
Depth: from 4 feet, to aD�� feet
Well Disinfected Upon Completion? "Es u No
Method of Disinfection: C 4J4
Comments:
C 4f"f I -J(7
3'• hrcc�r�PA..J ?- t'ar3r�caS
Cc.<1 YJZr-
EP - r.l
��-t`a0 ✓rr.±
�S.Lc rrX -4 via
' SFi1 gar j.
Drifter's Name
ATTENTION: It is the responsibility of the property+ owner to submit a copy of the well log to the proper authority Municipality
of Anchorage: Department of Heath & Human Services and/or Department of Environmental Conservation. MaISu Borough:
Department of Environmental Conservation.
06/27/03 FRI 10:40 FAD: 6896499 VISTA REAL ESTATE ER 12002
N
N
itvBp trz '2t"'eo-
�•o�ipY• jK� �le+Y�
I
N4pp
ASBUILT
I HEP•EBY CERTIFY'THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY -
AND THAT NO ENCROACHMENTSfEXIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERKNE THE EXISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTA13LISHIN3 BOUND-
ARY LINES.
H
SEWARD & ASSOCIATES LAND SURVEYING 694
SCALE: ,
Q '4C
DATE
•• y ••6
GRID
• Dusna M!ri SewcQ " f
,�''l��r�k�at�:� •
DRAWN:
H
P
ir OIL
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Y
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water& Wastewater Program
4700 South Bragaw Street
P.D. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Permit Number: SWO10344
Legal Description: T14N R1 W SEC 14 E2SE4SW4 & W2SE4
Design Engineer: 0003 S & S Engineering
Owner Name: William (Bill) Crouse
Owner Address: PO Box 770608
Eagle River , AK 99577 -
Date Issued: Aug 28, 2001
Expiration Date: Aug 28, 2002
Parcel ID: 050-341-02
Site Address:
Lot Size: 4356000 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
F Disposal Field F Septic Tank Ej Holding Tank E] Privy
All construction must be in accordance with:
1. The attached approved design.
D Private Well [j Water Storage
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date: R • R +J l
ZL) —, - L_;�a_ Date: 8— Z 19 —a/
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.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWERIWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
010 344
Parcel I.D. os t� - 3ti 1 oz Permit Number SW - +•-
Property owner(s) W Lexuc e c c o.. se Day phone kRy s �q
Mailing address (1)
Mailing address (2) Zip Code —t
Legal description (Lot, Block & Sub'd.)
w 'J.sE y
Legal description (Section, Township & Range) -T-%14 n YNxk-o %r --c- %y E1,SEc{Swy
Lot Size L1'3 S hc>o c) Acres/Sq.Ft. . Number of Bedrooms -4- 3
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only ®-
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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 property owner or authorized agent)
Permit Fees: z Waiver Fees:
Date of Payment: 8-24-01
Date of Payment:
Receipt Number: V71 Receipt Number:
(Rev. 12100)
Municipality of Anchorage Page or F
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
Swgcloaaa 05&—"34/—Oa
Permit Number. PID Number:
Name:(F�,/1i� � b,� `� r O" Se
Wastewater System: C9 New El Upgrade
'-706109Q
PO Address: ('1O 030 k 7 /, ; r
7 ABSORPTION FIELD
/a
Phone: ill]//� G� 9
6 "�7 "1
No. of Bedrooms:
O(Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other
LEGAL DESCRIPTION
Soil Rating: O•
Total Depth from original grade'
�.
GPD/S Ft.
Lotrxz
X10 S �� + upd isign���y
Depth to pipe bottom from original grade:
Gravel depth beneath pipe �•
Or� _5�,
i
Ft
l' Ft.
Township: I //��
Range: !
Section:r
Fill added above original grade,
Gravel length:
O Ft.
Ft.
WELL: ❑ New ❑ Upgrade
Gravel width:
Number of lines:
Distance between lines:
,—
Ft.
Ft.
Classification (Private, A,B,C):
Total Depth:
Cased To:
Q
Total absorption area:IOD(J
PP
a%inal:
&&,16
Ft.
Ft.
SO. Ft.
1,
Driller.
'
Date Drilled:
Static Water Level:
Installer.(
"Wtie,r
Date installed:•%
Ft.
Yield:
Pump Set at:
Casing Height Above Ground:
TANK
GPM
Ft.
Ft.
SEPARATION
DISTANCES
VSeptic ❑ Holding ❑ S.T.E.P.
To
Septic
Absorption
un
Holding
ublic/Private
Manufacturer.(�
eem; l_
Capacity in gallons:
1300
From
Tank
Field
station
Tank
Sewer Lines
e
Well-
Material: Po / el/� 1el7e
j' `
Number of Compartments:
�(
Water
Water
ID�tf
1
rnn�
1 W
LIFT STATION
Lot
''] �% a
�/'/i\
Size In gallons:
Manufacturer.
Line
Foundation
• S
\
"Pump on" level at: "Pu 'level at:
High water alarm at:
Curtain
A'
Pump Make el
Electrical Inspections performed by:
Drain
l v0ll
DSU
Remarks:
BENCH MARK
Location and Description:
To
of owredo 0
e 0 %%
Assumed Elevation: 1,00
Ft
E �GI1 O 14
4
�P\ .............1W C12 . S
Aw Jf�
17034 Eagle River Loop Road# N442M
r9ch
Inspections performed by:Eagle River, Alaska M77 Dates:s
«.. . «.... �...«....a.....t
0I
2nd_2_0q_qqyROBERT
C_ COWAN F� i
CE•asol
9-lo-ell
y
Department of Health and Human Services approval
Qe.,%
Reviewed and approved by: Date: "l 9- d
72.019 (Hev. 9/91) MOA 25
PERMIT No. SW990202
PAGE 2 OF 4
Municipalit of Anchorage
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
E%2 of SE% of SW%4 & W%2 of SE%,
LEGAL SECTION 14, T14N, R1W P.I.D. No. 050-341-02
1xp21
aT Fn
iJ
ixxa. x•11 - &dog
g
»iex
Na 1.110 vEu
e
PV
4
DRIVEW
SCALE: 1" = 100'
�Lgs�s
,E ��F
R ERT C- COV'AtN
CE - 88611 'CMZ if
a
PERMIT No. SW990202
PACE 3 of 4
Municipalit of Anchorage
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
E%2 of SE%4 of SW%4 & W%2 of SE%4,
LEGAL SECTION 14, T14N, R1W P.LD. No. 050-341-02
TH#2♦
C _ C
ALT. SITE
J
q
J
O
O
CO2
NT2
N DBLI & BBLP
fW
TH431 TRfNCy "TIsrz_T,
pZ'J
PROPOSED W
TH#1A
ooGA dqJ
CivuTIN)
1300 GALLON
SEPTIC TANK
fp
TBM B
N
^ \/
SCALE: 1" = 40'
IP
�,,,• 1 ROBERT C. COWAN e
CE -8801
11�c�ff%.,,
PERMIT N0, SW990202 PAGE 4 OF 4
MunicipaUt of Anchorage
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
E%2 of SE%4 of SW%4 & W%2 of SE%,
LEGAL SECTION 14, T1 4N, R1 W P.I.D. No. 050-341-02
FINAL
GRADE
103.1'
INSULATION
99 8' NEW 1300 GAL.
POLY.
TANK
99.6'
A B
FCO 5.5' 23.0'
STI 10.5' 24.5'
ST2 14.0' 26.0'
DBL1 16.5 28.0
DBL2 20.5' 30.5
C01=103.3'
C01 21.5 31.0
CO2=103.6
MT1 24.5 34.5
CO2 105.5' 1108.5
MT2 104.0' 1 107.0'
FINAL GRADE
CO1=99.5'
SR
CO2=99.5'
N. T. S.
MT1=93.5'
MT2=93.6'k...:G,j.4
NO WATER
FOUND
w ROBERT C. COWAN EQ�'
87.5' B.O.H.
"c'
l� ��, CE -8801
.........,..; • <,;
HEALTHAUTHORITY
APPROVALS
SEWER&WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
ANDREPORTS
WELL INSPECTION
& FLOW TEST
SITEPLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
S&S
ROBERT C. COWAN, P.E.
nG ROBERTA. SHAFER, P.E.
CIVIL ENGINEERS
(907)694-2979
� FAX (907) 694-1211
Date: 4
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REIctIv
ASG
p Mu 79 9g9
n, a;;
SERVICES eOt yea 1 tyof
Serw9es
REFERENCE: "XI oT SE�/ S W�y ��%� dFS��I Sec�ion j7 f_7A KI(A)
The septic inspections for the referenced property were
performed on '%---ki-111 and "7 -D4 -0i5 , Prior to submitting
the On-site Wastewater Disposal System and/or Well Inspection
Report we are waiting for the to be
completed.
If we may be of further service please contact us.
Sincerely,
Robert C. Cowan, P.E.
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services (�]}� _` - a
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 /WATER SUPPLY PERMIT
Initial
Permit Number: SW990202
Legal Description: T14N R1 W SEC 14 E2SE4SW4 & W2SE4
Design Engineer. 0003 S & S Engineering
Owner Name: William (Bill) Crouse
Owner Address: PO Box 770608
Eagle River, AK 99577 -
Date Issued: Jul 16, 1999
Expiration Date: Jul 15, 2000
Parcel ID: 050-341-02
Site Address:
Lot Size: 4356000 SQ. FT.
Total Bedrooms: 0 Permit Bedrooms: 0
This permit is for the construction of:
0 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.
Received By:
Issued By:
Z �
Date:
/.CELL �� � � �� � �• • � �
ROBERT C.
CIVIL ENGINEERS
(907)094-2979
FAX(907)694.1211
P.E.
July 6, 1999
HEALTHAUTHORITY
APPROVALS
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
SEWER&WATER
Anchorage, AK. 99519
MAINEXTENSION4
REFERENCE: E''/z of SE 1/4 of SW '/4 of Section 14, T14N, Rl W
SEWER & WATER
INSPECTION
Request you issue a permit to drill a well and install a septic system to serve the
proposed four bedroom dwelling on the referenced property. s 4 z 0 n J r
R w/iVEA:- TO T/!E 5'WTfy �AIC�rs�ANG� f7lS-y� 4- r- 3J-
ENGINEERINGSTUDIES
Three test holes were excavated and percolation tests performed. The approximate
ANDREPORTS
location of the test holes are located on the attached site plan.
At the time of excavation, 6-16-99 water was not found. After seven days of ground
WELCTION
water monitoring, no water was found.
BPLOWTESONTEST
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
SITEPLANS
construction of this system will not prevent any future development on any of the
adjacent properties.
ROADDESIGN
If you require additional information, please contact us.
Sincerely,
SOILTEST
441Z
Robert C. Cowan, P.E.
PERCOLATION
RC.C.� jj
TEST
Enclosure
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577
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Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES !�
825 "L" Street, Anchorage, Alaska 99502-0650/ si J
SOILS LOG — PERCOLATION TEST f /
PERFORMED FOR: _ . ILL C/Z'I� ��SCr` DATE PERFOR
LEGAL DESCRIPTION: C-116 1-V �9 ¢�/-` Sij ipj:� Township, Range, Section:
DEPTH �:ILYT �-) p L"L i=4- SLOPE St
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COMMENTS
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WAS GROUND WATER �I /
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ENCOUNTERED?
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Date: ?� ej/
IF YES, AT WHAT
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Monitoring?
ROBERT C.
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Reading Date
Gross
Time
Net
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Depth to
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Net
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TEST RUN BETWEEN FT AND )4FT
S & S ENGINEERING
PERFORMED BY: 7�„e�LRSMef 1 - - - CERTIFY THAT THIS 4' rTIHIIS TEtS7T WAS PERFORMED IN
ACCORDANCE WINYW4RFL440RUIFAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 6 / `-
72-008 (Rev. 4185)
Municipality of Anchorage .
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
1
2 ° v•
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5 C?
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7
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IF YES, AT WHAT
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hey Date:
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PLAN '
Reading Date Gross
Time
Net
Time
Depth to
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Net
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PERFORMED FOR:
DATE
_
5 /�
LEGAL DESCRIPTION: /7 Uri �L
/4 �)- S t�
r��ownship, Range, Section: `
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IF YES, AT WHAT
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hey Date:
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CE -8801
c 14�
PLAN '
Reading Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
_
5 /�
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PERCOLATION RATE z I (minutes/inch) PERC HOLE DIAMETER V
TEST RUN BETWEEN 3 FT AND _� FT
COMMENTS 5lf-T- V"/ S/1-,lD �Zr2BJ Ar P"4/94,607` -Z,-' W16 �% OA/ lW] WA,
J Ot 3 GIV Vla CGRIIVV // L-'. L'�V✓r
PERFORMED BY: g17034 � R�- RiVar L0013 Read No 0,04
ggg7•� I ' CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITNtAELSPACPEANDtw1UNFCIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:/�� ����
72-008 (Rev. 4/85)
Municipality of Anchorage
t DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: /JiLI_ (1�2buSE- DATE PER
LEGAL DESCRIPTION: 6 /Z QC J&y}S hf/A '' >W/TOWnshlp, Range, Section:ji
DEPTH 'rrG,�gi,,' fJ d t.. �C _ra 3 SLOPE F
(FEET) � I I-
1
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2
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3
9
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6 0
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10-
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12
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14-
15-
16-
17
— 14151617
18
19
WAS GROUND WATER
ENCOUNTERED?
S
L
N A D
P
E
P
Dale:
IF YES, AT WHAT
DEPTH?
Depth to Water Alter N6;.-
Monitoring7
ROBERT C. COWAN f c,
PLAN
20 /
PERCOLATION RATE 16 (minutes/inch))PERC HOLE DIAMETER
,�g
TEST RUN BETWEEN � FT AND 13 FT �rv�
COMMENTS SO / F `—Olt% ! -y-� �W q
5 & 5 rrluuvc...... —
PERFORMED BY: 17034pcagie pgiver Loop Road No. 2Q4 CERTIFY THAT THIS TET WAS PERFORMED IN
a 9957
ACCORDANCE WITH4919491"AN� f5 MUN CIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /f 4' q
72-008 (Rev. 4/85)
PAZ=, BUM,
20 /
PERCOLATION RATE 16 (minutes/inch))PERC HOLE DIAMETER
,�g
TEST RUN BETWEEN � FT AND 13 FT �rv�
COMMENTS SO / F `—Olt% ! -y-� �W q
5 & 5 rrluuvc...... —
PERFORMED BY: 17034pcagie pgiver Loop Road No. 2Q4 CERTIFY THAT THIS TET WAS PERFORMED IN
a 9957
ACCORDANCE WITH4919491"AN� f5 MUN CIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /f 4' q
72-008 (Rev. 4/85)
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: E'/2 of SE 1/4 of SW '/4 of Section 14, T14N, Rl W
July 6, 1999
GENERAL:
1. The scope of this project includes the installation of a 1250 gallon septic tank and
leachfield trench for the proposed four bedroom house located on the referenced
properly.
2. 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.
3. The contractor shall be responsible for obtaining any necessary underground utility
locates.
4. Unless specifically agreed otherwise, the property owner shall be responsible for final
grading areas subsequently depressed from soil settling.
5. 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 Department.
SEPTIC TANK INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction
shall include two 4" cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank.
3. All standpipes on the septic tank shall extend a minimum of 12 inches above final
grade.
Page 2
E % of SE 114 of SW '/4 of Section 14, T14N, Rl W
July 6, 1999
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
5. A foundation cleanout shall be installed one to four feet from the building foundation.
In the line between the tank and the leachfield there shall be two adjacent cleanouts
(unless an effluent pumping system exists within the septic tank). These cleanouts shall
be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in
line, shall be to clean toward the leachfield. The second cleanout shall be to clean
toward the septic tank.
6. Final grading over the septic tank shall be such that a positive slope exists away from
the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the design. The bottom of
the excavation shall be within 2 inches of level. If the sidewalls of the excavation
become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock)
placement.
2. Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel surface before placing backfill.
4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the
locations shown on the design, and extend a minimum of 12 inches above final grade.
The portion of the monitoring tube extending through the gravel shall be perforated
from the bottom of the trench to the invert of the distribution pipe. This is equivalent to
the effective depth of the gravel as noted on the design.
5. Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent the formation of a
depression after settling.
Page 3
E'/2 of SEA of SW '/4 of Section 14, T14N, Rl W
July 6, 1999
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe Perforated olid
Cast Iron
Yes
Yes
ASTM D3034 (PVC)
Yes
Yes
ASTM F810 (HDPE)
Yes
No
ASTM D2662 (ABS)
Yes
Yes
Use of a type of pipe other than listed above must be approved by the inspecting
engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco,
or equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfreld gravel layer and the native soil backfill.
6. All leachfreld gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
7. When sand is being used as a filter material, its gradation specifications must conform
to current M.O.A. or D.E.C. requirements, which ever requirement applies.
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
E %Z of SE'/4 of SW '/4 of Section 14, T14N, Rl W
July 6, 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.
2. The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting
engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a
pre -construction meeting will take place on-site. The inspecting engineer will not coordinate,
direct or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these
specifications and plans and in accordance with the attached M.O.A. permit. There will be no
contractual arrangement existing between the contractor and S & S Engineering. S & S
Engineering shall be the owner's representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the contractors work rests with the
owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor
to carry out the work in accordance with these construction documents, S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR/INSTALLER
Municipality of Anchorage O ;
Development Services Department
Building Safety Division Bigi
\� On-Site.Waterand Wastewater Program
IN
4700 South Bragaw St
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITYAPPFROVAL
FOR A SINGLE FAMILY MELLING
5
Parcell.D. 050-341- HAA9
Expiration Date: !�[p /L9
1. GENERAL INFORMATION
Complete legal description Tract 1; Alpine Laurel Estates SID
Location (site address or directions) 8655 Alpine Laurel Dr., Eagle River, AK 99577
Current Property owner(s) Lori Crouse Day phone 689-6460
Mailing address 16635 Centerfield Dr., Eagle River, AK 99577
Lending agency Day phone
Mailing address
Real Estate Agent Lori Crouse Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup. �L�vl ` + `�✓�c_ _ -7 �a 9 ld3
2. NUMBER OF BEDROOMS:
4
3. TYPE OF WATER SUPPLY: '
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual Onsite
Ey
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Selmer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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, 1 verify that my investigation,
based on procedures outlined in the Health Authority 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.
Namc of Firm S & S- Engineering Phune' 694-2979 -
Address 17034 N. Eagle River LP RD, Eagle River, AK 99577
Engineer's Printed Name Robert C. Cowan Date <o /a 6 /0 3
Ot.
i 7 ROBERT C. COWAN %Q
5. DSD SIGNATURE °�:; ; CE 8801
Approved for bedrooms. S'
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other _
By: Original Certificate Date: _tZ4 a3
(Rw. 01101)
Municipality of Anchorage •.,
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650
www.ci.anchorage.ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Gr /' Ae,,°w.(61�,4E, V Parcel ID: 4SD 341- 02
A. WELL DATA �ST Tz-`'
Well type -2t If A, B. or C provide PWSID # _ Well Log (YM)
Date completed Of Sanitary seal (YM) Wires properly protected (Y/N)
Total depth _,�2 fL Cased to It. Casing height (above ground) n. .
FROM WELL LOG AT INSPECTION
Date of test o I 22 f/0 3
Static water level /jo ft. fL
Well production / `� g.p.m. 9.p -m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi. Nitrate f7� mg.A. Other bacteria __±— colonies/100 mi.
Arsenic: Qvz- mg.A. Date of sample: 0*03 Collectedby: S�B. SEPTICIHOLDING TANK DATA
Tank Type/Material !�r 1, /'E Date installed lei
Tank size 11,04) U gal. Number of compartments Z Cleanouts (Y/N) y
Foundation cleanout (YM) Depression over tank (YM) ^� High water alarm (Y/N)
Dateofpumping 25 Pumper .j �5
C. ABSORPTION FIELD DATA
Date installed JIM14 Soil rating (g.p.dAe cr f?/bdrm) 42� (* System type r 6wC H
Length J— ft. Width 3 ft. Gravel below pipe " ! ft.
Total depth 1O „ ft, Eff. absorption area , ft Monitoring tube V. Depression over field ,J
Date of adequacy test S D Results (Pass/Faiqi stss � For bedrooms
Fluid depth in absorption field before test -, in. Water added gal. New depth In.
Elapsed Time: ZLO min. Final fluid depth Lin. Absorption rate >= � g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
O. LIFT STATION
Date installed All.*
`Pump on" level at in.
Datum
E. SEPARATION DISTANCES
Size in gallons
'Pump off" level at _ in.
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift-SU-Ion on lot 1 040 �i-
Absorption field on lot /.too �+
Public sewer main
S r /septic service line (( ZSR tk
Manhole/Access (YIN)
High water alarm level at in.
Meets alar & circuit requirements?
On adjacent lots 1 CC) +-.
Onadjacent lots t ro I '-
Public sewer manhole/cleanout J
Holding tank IV�Z A-
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
�1 ^t -
Building foundation i Property line + Absorption field S
Water main N 114 Water service line Surface water _
Wells on adjacent lots 00
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
I
Property line / O Building foundation 0 + Water main
Water Service line / + Surface water 1 r^t` Driveway, parking/vehide storage
Curtain drain 1JnNr IN�Uv4N! Wells on adjacent lots I CQ /4-
F. COMMENTS
G. ENGINEER'S CERTIFICATION�; :;t �= w J.+ 1 h t 7�ok
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in y••• .••
conformance with MOA HAAguldelines in effect on this date. �� It ►t3� 0•p
Ca wA�_
Engineers Printed Name
� • `S`�f�l�i ;,
Date b /� 6 t7 3 ••
HAA Fee $ 7,5% Waiver Fee $
Date of Payment 6 /(A t) 3 Date of Payment
Receipt Number t) 3 -7'7 5l G �_ Receipt Number
(Rev. 17!01)
6-25-03;10:03AM; ;907 5515301 a A- 3
{
SGS
SGS Ref.X 1033592002
Client Name S & S Engineering
Project Name/X N/A
Client Sample ID Tract 1, Alpine Laurel Est.
Matrix Drinking Water
PWSID 0
Sample Remarks:
All Datt&Tlmcs are Alaska Standard Time
Printed DateMme 06/25/2003 7:12
Collected Date/Time 06/18/2003 15:00
Received Datelrime 06/18/2003 16:18
Tec6oical Director . / Step Ede
Released 11r7k �`,/
Parameter Results L Units Method ContatnerlD Allowable 17 Analysis
LimiU Due Dote Init
Metals Department
Arsenic 0.00200 U 0.00200 mg/L EP200.9 C (<=0.05)06/20/03 06/24/03 JW
Waters Department
Nitrate -N
Microbiology Laboratory
Total Coliform
0.254
4 OB, No Coli
0.100 mg/L EPA 300.0 B
eoV100mL SM18 9222B A
(<-10) 06/19/03 IS
(<-1) 06/18/03 ICRP
06/18/03 WED 12:29 FAX 6896499
a
t?
VISTA REAL ESTATE ER
S 106 6 5 NGV 2000
`ASBUILT SENARD &ASSOCIATES LAND SURVEYING 694-01120
i HEP.ESY CERTIVY THAT I HAVE SURVEYED THE SCALE:
FOLLOWING DESCRIBED PROPERTY: y SOF Al
yr/�'iY'?/tv ` pe,
Eff �DATE: PC ,.......
ROACH
AND THAT NO ENCROACHMENTS EXIS/f EXCei'T AS
INDICATED. IT 15 THE RESPONSIBILITY Or THE 9� ern '�•� •
OWNER TO DETERI.IINE THE EXISTENCE OF ANY GRID: -
EASEMENTSr COVCNANTS, OR RESTRICTIONS fw /.f = 000.
.... ty I1.
WHICH DO NOT APPEAR ON THE RECORDED SUBDI- �'`•.... /: :. :.:� •-
D..w. M,A Land
VISION PLAT. -UNDER NO CIRCUMSTANCES SHOU.' T'-`1�'• LS-�o18 ; �{• Jr
IZ 003
