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T15N R1W SEC 19 LT 49
T15N, RlW, Section 19 Lot 49 #051-241-37 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201474 PID Number: 051-241-37 Dwelling: ❑E Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 9 Upgrade Name Jack & Luella Brittain ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 17651 Werre St., Chugiak, AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-433-9898 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot 49 Fill added above original grade Ft. Gravel length Ft. Township Range Section 15N 1W 19 Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption ft StationHolding Lift Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 100+ 25+ TANK ❑ Septic A S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface Water 100+ Material POIy Number of compartments 2 Lot Line 5+ NA Foundation 10+ LIFT STATION Manufacturer Capacity Gal. Remarks Alarm location Electrical installed by PIPE MATERIAL House to tank D3034 Tank to D2665 drainfield Installer Northern Excavation Drainfield COIMTD3034 Inspector Crewdson Engineering, LLC BENCH MARK (Assumed elevation) 100 ft Inspection n v 12-2-20 �d 12-4-20 Location and description dates: 2 Garage Floor Slab 3`d 4"' ON-SITE WATER AND WASTEWATER SECTION APPROVAL OF Conditional Approval: Date t1l � _ TM* ' �r • . Ja es A. Crewdson. j , Septic System ,�, 2v �� .AIS i ;;g3A* 1527 Appro Date (2 �� - �„_ ► �1\\PROFESSIONP�� Note: this approval does not include well permit requirements. 1\\���►� (Rev 05/02/18) PROFILE SCALE: 1 "= 5' BM ELEV 100' DC MH1 PP � FG ELEV 99.7' MH2 ELEVATIONS TOT 96.6' IN -INV 96.0' OUT -INV 97.3' mai i : Envkwm < < L , ..-.. PO Box 671389 Chugiak AK 99567 . ce11c.1@oul1c Cell[Text:907-280-9493 . Fax:907-688-2295 OUT NOTES 1. (E) STEP TANK 1.1. The tank is partially under the garage foundation and was decommissioned in place by fully grouting with concrete. 2. Insulation 2.1. STEP tank and conveyance pipes insulated using 25 -psi min, rigid foam board insulation. TI 5N, R1 W, Section 19, Lot 49 WMANO we, Iii•■ Prepared for: Luella Brittain Date: 12-4-2020 Permit: OSP201474 Page: 1 of 1 ALLINFOkM TION SHOWN ON THIS DOCUMENT IS THE PkOPERTY OF CkEWDSON ENGINEERING:. LLC AND SHALL NOT BE USED FON ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERRIISSION FRO:' CREWDSON ENGINEERING. LLC OF A�qs�,� TH Ar Q•4. James A. Crewdson �sTF�F� C11527ANW � PROFESStQo ��..,. ALLC #112279 i I LEGEND ` 3 BR SFH/ L- BGL - below ground level ------ BM - bench mark C �o CD - l 'A ; �J ; / BOH - bottom of hole BR - bedroom I \\ '' \-, �O. n / I EG - existing ground _ . ELEV - elevation I �,� FC - foundation cleanout 0 I DRIVEWAY. DECK 90 FG -finish grade IN - inlet p � 1 .. •.• �, �L INV -invert rn MH# - 24" manhole riser MOA - Munic. of Anch. M z I / / , OUT - outlet G p I ; \ SFH - single family home >, II STEP TANK GARAGE TOT - top of tank z I- GREER POLY 1250 / ; O B Flt DC 5.2' E STEP TANK II CHA/N.� Nk` \ SWING TIES (feet) \ fiFNCF ` FC DC MH1 MH2 . A 38.2 1 45.6 44.2 42.3 PLAN ��-----�— B 25.8 12.4 14.9 18.7 33' BLM ROADWAY AND SCALE: 1"=20' PUBLIC UTILITY RESERVATION .\ J PROFILE SCALE: 1 "= 5' BM ELEV 100' DC MH1 PP � FG ELEV 99.7' MH2 ELEVATIONS TOT 96.6' IN -INV 96.0' OUT -INV 97.3' mai i : Envkwm < < L , ..-.. PO Box 671389 Chugiak AK 99567 . ce11c.1@oul1c Cell[Text:907-280-9493 . Fax:907-688-2295 OUT NOTES 1. (E) STEP TANK 1.1. The tank is partially under the garage foundation and was decommissioned in place by fully grouting with concrete. 2. Insulation 2.1. STEP tank and conveyance pipes insulated using 25 -psi min, rigid foam board insulation. TI 5N, R1 W, Section 19, Lot 49 WMANO we, Iii•■ Prepared for: Luella Brittain Date: 12-4-2020 Permit: OSP201474 Page: 1 of 1 ALLINFOkM TION SHOWN ON THIS DOCUMENT IS THE PkOPERTY OF CkEWDSON ENGINEERING:. LLC AND SHALL NOT BE USED FON ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERRIISSION FRO:' CREWDSON ENGINEERING. LLC OF A�qs�,� TH Ar Q•4. James A. Crewdson �sTF�F� C11527ANW � PROFESStQo ��..,. ALLC #112279 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: OSP201474 Work Type: SepticTank Upgrade Tax Code Number: 05124137000 Site Legal Address: T15N R1 W SEC 19 LT 49 G:0955 Site Mailing Address: 17651 WERRE ST, Chugiak Owner: BRITTAIN JACK L & LUELLA J Design Engineer: CREWDSON ENGINEERING, LLC This permit is for the construction of: Effective Date Expiration Date: enr n f t c.partmeut Lot Size in Sq Ft: Total Bedrooms: 11/24/2020 11/24/2021 46770 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: The edge of the field is to be located to confirmthat the 5' separation between the tank and field will be met. Received By: Issued By: l Date: Date: 3 IMIVIUNICIPALITY OF ANCHORAGE Development Services DepartmentPhone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 051-241-37 ON-SITE SEPTIC/WELL PERMIT APPLICATION Realtor Property owner(s) Jack & Luella Brittain Day phone 907-433-9898 Mailing address 18826 Mink Creek Dr., Chugiak, AK 99567 Site address 17651 Werre St., Chugiak, AK 99567 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T1 5N R1 W Sec19 Lot 49 Lot Size 46,770 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank 0 Upgrade Duplex (D) ❑ Holding Tank ElRenewal ❑ 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: k6,5.75 ra //O Date of Payment: J Receipt Number:yr� 08 1 q Permit No. P201 4 -7q Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc James “Jay” Crewdson, P.E. Email: CELLC.1@outlook.com Cell/Text: (907) 280‐9493 Fax: (907) 688‐2295 PO Box 671389 ● 18368 Amonson Road ● Chugiak, Alaska 99567 November 18, 2020 Onsite Reviewer Municipality of Anchorage On‐site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99519‐6650 Reference: T15N, R1W, Section 19, Lot 49 STEP Tank Upgrade Design Narrative The owner of the 3‐bedroom home would like to replace the existing STEP tank, which will be abandoned in‐place by removing any remaining sewage and fully grouting with concrete. The proposed 1250‐gallon STEP tank will be installed in accordance with the code. The existing foundation cleanout is in satisfactory condition and will remain in place. Double cleanouts are not required for the pressurized system and will not be installed. There are no anticipated probable adverse impacts to adjacent properties if the septic tank upgrade is constructed as designed Please feel free to contact me if you have any questions. James “Jay” Crewdson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201474, Deb Wockenfuss, 11/24/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201474, Deb Wockenfuss, 11/24/20 Municipality of Anchorage Page 1 of 3 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: SW990430 PIDNumber: 051 -241 -37 Nam.: Wastewater System: ~ New [] Upgrade MM&M Contractinq ^ ,es: ABSORPTION FIELD ~.~. Box 670495 Chugiak, AK 99567 INC. of Bedrooms: Phone; 688-- 1 236 Three [] Deep Trench [] Shallow Trench x~Bed E] Mound [] Other LEGAL DESCRIPTION SoilRating: .5 GPO/Sq. Ft. rotalOe~n,fromoriginalgrade: Lot: 4 9 Block: Subdivision: Depth to pipe bDt[om from o¢iginal grade: Gravel depth beneath pipe +. 75 ' Ft. .5 ~,. WELL: ~ New ~ Upgrade Gravelwidth: 1 5 Ft. 5 Ft Classgicaiion (Private. A.8.C): Total Depth: Cased To: Total absorption ar~:0 0 Pipe material Private 61 Ft. 61 ct. so. ct. ASTM D3034 PVC Su]~iv~n w~¢~ w~ 3/22/00 22 FL MM&M ContraCt;rng 4~6-4/10/00 5 GPMI~ump Set a~: Ft.I >2 Ft. TANK SEPARATION DISTANCES ~ s..,~c ~ Holding X~ S.T.E.P. Prom Tank Field Station Tank SewetLines Anchorage Tank 1 ,250 STEP war >100 >100 >100 N/A 25' Steel Three Surface >100 >100 >100 N/A N/A ~FT STATION > 5' > 1 o' > 5' N/A N/A Siz~allons: l Manufacturer: LineLOt , Anchorage Tank/Orenco 'Pump on" level a,: I "Pump o~f" level a~: ~ High water alarm at: Foundation > 5 ' > 10 ' > 5 ' N/A N/A 42"~ 42"~ 44" :umpMake&Model ~El~tri~lnspec ons performed by: Cu~ain None Noted on Lot Orenco a e E~ectric Drain BENCH MARK Remarks: 2" Insulation Over Tank and Location and Description: Front Porch Deck Absorption Bed. Water System Has 1 ,140 Gallon and Bladder in CrawlsDac. ~ Assumed ~levati~b 0.0 ~l, Inspections pedormed by: HEA Dates: 1st 4/6/00 Department of Health aod Human Se~ices approval Reviewed and approved by . Date: ~')~¢00 . -, ,,%3(,**- ,.,::~" '¢':.~,,..- '-~ Municipality of Anchorage Page 2 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O. Box 196650 Anchorage, AK 99519-6650 343-4744 On-Site Wastewater Disposal System or Well Inspection Report Permit Number SW990430 PID No. 051-241-37 ~ S2 32.0 54.1 55' BLM ROW Reserve PLAN SCALE 1" = 40' WERRE STREET Municipality of Anchorage Page 3 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, AK 99519-6650 343-4744 On-Site Wastewater Disposal System or Well Inspection Report Permit Number SW990430 PID No. 051-241-37 96.5 95.0 25' 2" nsul , 94.8 5' 15' 100.0 ~ 96.4 Distribution Line - 1" PVC , 30 Orifices @ 6' Spacing 60 Orifices 3/8" Diameter PROFILE AS-BUILT No Scale Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST Performed For: MM&M Contracting Legal Description: Lot 49. Section 19. T15N. R1W SLOPE Date ~ITE PLAN PT/OL TESTHOLE NO. 3 SPISM Bottom of Hole See Site Plan Was Groundwater Encountered? If Yet, What Depth? 1 Depth to Water After Monitoring 11 Date: Yes S 7' L O P E 12 13 14 15 16 17 18 Reading Date Gross Net Depth To Net Time Time Water Drop 21 Perc. Rate: 10 Min./Inch Test Run Between Perc. Hole Diameter: Comments: Same Material as Test Hole No. 1. Perc. Rate Estimated to be the Same. Performed By: MEA, I, Michael E. Anderson Certify That This Test Was Performed In Accordance With All State and Municipal Guidelines In Effect On This Date: 4/10/00 ~M : COUNTRY REALTY PHONE NO. : 9076881238 Jun. 87 2008 12:41PM P1 ' PERMiT:NUMBS=R ~c/~) '~3 ODat Is well located'at approved'ps, it location?. Method o~ Drilling: ~taW ~ 'ca~l~ tool, ', Depth of we~'; ~ / oasin. Type ~W~II Thickness ~ ~ inches Di.~eter- ~ i,~he,, depth~ L feet Casing Stickup Above Ground; ~ feet· Static Wa[er Level (from ground level): ~ ~ feet Pump ng level:_ ~et aRer.~hm, pumping ~gpm Recover Rate: ~ ~pm ". Method of Testing: ~t~ _ Well ~{ake Opening Type: ~ Open End ~ Open Hole '¢. S'oreened; Stad feet 8topped feet __ Depth: from~ ~O feet, to feet Pump'lntake Depth: feet Pump Size. hp Brand Name We. Dis~nfe~ed Upon Completion? ~es ~ No Comments: JUN 12 2000' :'~ '..','.' uunlcip, auiv of ~C~'r~. ' --- *' ~uman Services ATTENTION: It is the responsibility of the property owner to subr~{t.a .copy of the' well Icg to the proper ebthqd.ty. Mu'nicildality of Anchorage mCn=rtrncmf of H~eatth & Human Services arid/or Department of Environmental Conser~ation,.'MatSiJ B6ro~gti:. Departmentoi~.c, eived Tiae.,Jun. 7.i0 l:26PM "' "::' ." '" : COUNTRY REALTY PHONE NO. : 90?6881238 08/07/00 WED 1D:89 FAX 90704408~? Ea~e Eleqtr$¢ LLC EAGLE ELECTRIC .Tun. 88 2000 OG:5?AM P1 ' dune 6, 2000 N.M. & M'Contra6~ting ' P,O, Bo× 670495 Chuglak, Alaska 09567 R~: ~eD~Q LI~ Station ~ Lot 4e The septic I~.s~l"on a[ Lot '4~ a~M 10~ated '1~ Chuglak, Alaska ha~ been wi~ ~ meet the National E~ctri~al Code,. .' · If ~ere are any ~ue~ions or con~rns.r~ard~ng tbi~ ~affer, ~lea~ do not has,ate to eon~t.mp ~ ~-7121, . Sincerely, ' . ' ' ' '" "' Todd H~eton Vice President " . , JUN 12 ~000. Municipality o~ AnoDoF~DO Dept. Received Time Jun, 8, 7:42AM i I ~2~~ z MUNICIPALITY OF ANCHORAGE Deparlment of Health and Human Services On-Site Services Pregram 825 L Street, Room 502 P.O. Box '196850, Anchorage, AK 995'19-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Dec 09, 1999 Expiration Date: Dec 08, 2000 Permit Number: SW990430 Legal Description: T15N R1W SEC 19 LT 49 Design Engineer: 0014 Anderson Engineering Owner Name: MM&M Contracting OwnerAddress: PO Box 670495 Chugiak, AK 99567- ParcellD: 051-241-37 Site Address: 017651 WERRE ST Lot Size: 46770 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 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 ( 18AA072 ) and Drinking Water Regulations ( t8AA080 ). 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. ANCI $22-'7773 December 1, 1999 Municipality of Anchorage De partment of Health and Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 49, Section 19, T15N, R1W Septic System Design Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owners of Lot 49, Section 19, T15N, RIW intend to construct a three bedroom home on the property, The lot is currently vacant with a private home to the north, It is bounded to the east by the Glenn Highway with and an undeveloped lot to the south, We are therefore requesting a permit to construct a well and septic system on the lot to serve the house. The attached Site Plan and backup documentation describe the proposed system and show the location of both the pnmary and alternate absorption beds. It also shows the ocation of the proposed well and that of the well on the lot to the north The testholes placed on the lot revealed poorly graded sands with some silt. Percolation rates were determined at 10 minutes per inch. The absorption bed has been designed for the lower percolation rate with an absorption factor of .5 gpd/sf. Groundwater was found in all testholes on the oroper~y at varying depths. The highest level measured on September 30 1999, was at 4' below the surface with the majority of the area at nearly 7'. We have therefore designed a shallow bed system with the bottom of the bed at ground level All peat and other organic material will be removed to the sand layer below. The excavated area will be backfilled with coarse sand meeting the requirements of the Municipality and the bed will be constructed atop the sand. A lift station will be required to pump effluent from the septic tank to the absorption bed, The ground surface on the lot's nearly flat in ooth directions in the location of the absorption bed. The easterly portion of the lot s crossed by the Eklutna water line which ~s contained in a 50' easement, The septic system will meet all separation distance ,eq utrements from the water line and all wells in the area. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to De constructed in the future. Lot 49, Section 19, T15N, RIW December 1, '1999 Page Two The system, if constructed as designed will have r~o adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed,as designed will have no adverse impact on reserved space, either surface or subCurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments THIS PROJEC~ ® Well AREA MAP t ~ERRE 13; WERRE STREET Alte~ Sit TH~ i !1~ ~hree Beard om [ ~ ]~'~' ~ Home / '~~5'~ Gallon 60, =ong~ ~'/Wide // ./ ~ Proposed ~'~.,~' ' ~ ~ Well SITE PLAN Existing Well SCALE 1" = 40' LOT 49, SECTION 19 DESIGN FACTORS: SYSTEM REQUIREMENTS: 3 Bedroom Home Perc. Rate: 10 Min./Inch Application Rate: .5 GPD/SF Shallow Bed System 1,250 Gallon STEP Tank Pressure Distribution 3 Bedrooms X 150 GPD / .5 App. Factor = 900 Square Feet 900 SF/15 LF (Width of Bed) = 60 LF Length of Bed Therefore: Construct a Shallow Bed System 15' Wide X 60' Long. Distribution Piping to be Placed .5' Above Original Ground Surface or Higher. Remove all Organics and Replace With Coarse Gravel Meeting Attached Specification. 2" High Density Direct Bury Insulation and 2' Protective Cover Over Bed. ~ /~ Natural Backfill (3 Minimum) ~-~ / ~.~xtile Fabric or 2 Direct Bury Insulati_.onr_~ ~ ~ ' 1" pVC ' Remove Organics and Replace with As Coarse Gravel (See Specification) Req'd To Underlying SP/SM'Material. I 2.5' I 5' I 5' I 2.5' I' Lateral Orifice Diameter: 3/16" Total Number of Holes: 30 6' Hole Spacing: SHALLOW BED DETAIL (NO SCALE) NOTE: Grade Area to Drain Away. Maintain 6' Separation From Bedrock. Provide 4' of Cover or 2" Insulation and 2' Cove Maintain 4' Separation From Groundwater. Performed For: Legal Description: PT/OL 4 5 6 7 Municipality of Anchorage Depadment of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST MM&M Contracting Lot 49, Section 19, T15N, R1W Date Testhole Number t SLOPE SITE PLAN SP/SM Water Level 9/30/99 1 11 12 13 14 15 16 17 ~8 Bottom of Hole Was Groundwater Encountered? Yes If Yet, What Depth? 6.5' Depth to Water After Monitoring 6.5' Date: 9/30/99 Reading Date Gross Net Depth To Net Time Fime Water Drop 1 27-Aug 10:30 2.5" 2 11:00 30 5.5" 3" 3 11:30 30 8.5" 3" 4 11:31 2.25" 5 12:01 30 5.25" 3" Perc. Rate: 10 Min./Inch Perc. Hole Diameter: 6" Test Run Between 3 Ft. and 4 Ft. Comments: Testhole Presoaked Prior to Percolation Test. Performed By: Alan Harala. I, Michael E. Anderson Cedify That This Test Was Performed In Accordance With All State and Municipal Guidelines In Effect On This Date: 11/30/99 Performed For: Legal Description: PT/OL 4 Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST MM&M Contracting Lot 49, Section 19, T15N, RlW Testhole Number 2 Water Level 9~3O~99 SLOPE SITE PLAN 35' ®125, 10 11 12 13 14 16 17 18 ~ottom Was Groundwater Encountered? Yes S If Yet, What Depth? 4' L Depth to Water O After Monitoring 4' P Date: 9/30/99 E Reading Date Gross Net Depth To Net ~ime Fime Water Drop 1 27-Aug 10:45 1.25" 2 11:15 30 4.25" 3" 3 11:45 30 7.25" 3" 4 11:46 1.5" 5 12:16 30 4.5" 3" Perc. Rate: 10 Min./Inch Perc. Hole Diameter: 6" Test Run Between 2.5 Ft. and 3.5 Ft. Comments: Testhole Presoaked Prior to Percolation Test. Performed By: A!an Harala, , Michael E. Anderson Certify That This Test Was Performed In Accordance With All State and Municipal Guidelines in Effect On This Date: 11/30/99 _i-'RESSURE DISTRIBUTION CALCULATION Elevation @ Highest Discharge Point Pressure @ Highest Discharge Point Liquid Level in Tank (Elevation) Diameter of Holes in Distribution Line Diameter of Distribution Line Hole Spacing in Distribution Line Length of Transport Line Diameter of Transport Line -.20 OSI 10 HHF- 7 stage ........ ............................ 20 OSI 05 HHF- 5 stage .... 0.00 5.00 10.00 15.00 20.00 25.00 3( 00 35.00 40.00 45.00 50 Z 150.00 100.00 £ NET DISCHARGE, GPM (O~RENCOSYST~S, INC '~) ~2826COLONIALROAD ROSEBURG, OR97470 (503) 6734}16~JJ ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 49, SECTION 19 GENERAL: The scope of this project includes the procurement and placement of a new 1,250 gallon combination septic tank and lift station and pressure distribution system. Work also includes the construction of a new 60' long x 15' wide absorption bed at the location shown on the attached Site Plan. The new bed shall be constructed at the existing ground level to provide a minimum of 4' separation from groundwater. All organic material must be removed and replaced with coarse sand/gravel meeting the attached specification. Direct bury insulation may be required to provide the minimum coverage required over the new bed. In lieu of insulation 3' of cover may be placed atop geotextile fabric over the new bed. Construction shall be in accordance with the approved site plan, 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 all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK/LIFT STATION INSTALLATION The 1,250 gallon septic tank/lift station must be constructed by certified tank manufacturer. Construction shall include an 18" manhole to provide access to the lift station. 2. The septic tank shall be sufficiently bedded to 3revent settling or shifting of the tank. 3. AIl standpipes on the septic tank shall extend a m~nimum of 12 inches above final grade. 4. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. Lot 49, Section 19 December 1, 1999 Page 2 of 3 6. Final grading over the tank shall be such that a ~ositive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the bed shall be within 2" of level. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trenches to drain away. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: The lift station must be constructed by a Municipally approved septic tank manufacturer. An Orenco 20 OSI 05 HHF~5 pump is recommended. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). Lot 49, Section 19 December 1, 1999 Page 3 of 3 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: A minimum of two inspections are required by Municipal Ordinance. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as-built of the completed system. FILTER SAND SPECIFICATION ACCEPTABLE SOURCES: Road sand from Central Paving Produci~s (Palmer). ASTM D 33 concrete sand from Quality Sand (Wasilla). Pit mn sand from Beaver Lake Sand & Gravel (Wasilla). Any sand from a source analysis performed which has less than 4% passing .the #200 seive. other than the indicates that the #100 seive above must have a sieve the product is a sand and and less than 2% sassing MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-241-37 Expiration Date: 1. GENERAL INFORMATION Complete legal description T1 5N R1 W Sec19 Lot 49 Location (site address) 17651 Werre St., Chugiak, AK 99567 Current property owner(s) Jack & Luella Brittain Day phone Mailing address 18826 Mink Creek Dr., Chugiak, AK 99567 Real estate agent Heather Maidl Day phone 907-433-9898 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic 0 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 $ '41-Z,50 COV1 c Date of Payment l � 1 ad'l)' D Receipt Number 57 D3 1 COSA # OSC 201.612 Waiver Fee $ Date of Payment Receipt Number 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 Crewdson Engineering, LLC Phone 907-280-9493 Address PO Box 671389, Chugiak, AK 99567 Engineer's Printed Name James Crewdson Date 11-5-2020 ,r E OF A4\i ow C2 ool - 9TH 6. DSD SIGNATURE .�/:� System #1 Approved for bedrooms es A. Crewdson uvk aur System #2 Approved for bedrooms �a?�a �v� Disapproved 11�\�\ES1�P�� Conditional approval for bedrooms, with the following stipulations: lllllltl((((�� `tea ON-SITE m% VVATLK AND !_ 1► TER oz PROGKAM ))* 11)1)11111 V By: �^ r Original Certificate Date: 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 COSA Checklist blue sheet Legal Description: T1 5N, R1 W, Section 19, Lot 49 Parcel ID: 051-241-37 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth 61 ft Cased to 61 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 13-20'0 Static water level at beginning of test 22 ft. Comments B. TANK DATA Age of tank(s) 0* years * Tank type/material * Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing * Date of pumping D. ABSORPTION FIELD DATA Structure served by this system Well production at time of test 3+ gpm Water storage tank volume 1140 gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by Crewdson Engineering, LLC Date of Sample 11-24-2020 C. LIFT STATION Al Required maintenance completed Age of lift station 0* years Lift station material Plastic Comments: *New HDPE STEP tank Which system tested (date installed) May 20M Adequacy test date 11-3-2020 ❑ ALL standpipes present per record drawing Results ❑ Pass For 3 bedrooms Total measured depth from grade ft (max) Fluid depth prior to test 0** in Measured depth to pipe invert from grade ft (min) Water added 450+ gal ❑ N/A – pressurized field New depth 0*** in ❑ Monitor tubes go to bottom of effective. If not, state*** 0 depth into effective Elapsed time min RMCode-requiredsoil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) — date of test) Gallons introduced 1400* gallons If yes, enter date Comments/Deficiencies: "Min Req'd:(15Wx60Lx0.5ED)x0.4 = 180cf=1346 gallons **After presoak ***After addition of 450+ gallons COSA Checklist yellow sheet 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' P1 Yes if No Community Sewer Manhole/Cleanout > 100' Yes if No ft ❑ Yes if No Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑Yes if No Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No Neighboring Absorption Fields > 100' I certify that I have determined through field inspections and review % TH . 14r Animal Containment > 50' ❑ Yes if No Yes if No ft COSA Checklist yellow sheet Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft Q Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ft ft ft ft ft ❑ Yes if No ft Property Line > 5' P1 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No Water Main > 10' ElYes if No ft Community Wells > 200' ❑Yes if No Water Service Line > 10' ❑ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑Yes if No ft Wells on Adjacent Lots: Water Main > 10' ❑ Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10' ❑ Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION ,OF A4 I certify that I have determined through field inspections and review % TH . 14r of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. , Ja es A, Cre ds on jEP��! � 011527 COSA Checklist yellow sheet ft ft ft ft O .t v m'0 7 E D — m w ' o Q mm F3:1 0ryi'm ° =Fm S_ m v Pt 0• Nm 't w 7 waaS�r- N m m m m m °� o ® Q Q fj m am 0 o ? w w oNon Q Q N O p ° o mK a o 4> N 0 IIZ i � j 0 3' — 2.::! rn T. o'o gr .0 w m 0 f T z 0 L ti < 5-m Q 0 0 0 moa. TE o, o p m o = °y Q. O � U) -� ^• m 3 - 0. Q� a 2.5 r� w f m m p S Q 7 ° CD O. 0 j •.[ p m 0. m V m m Y m p Q 0 Q O m S 0 o � Q m 3- °. a' Z O m u w p 5: a tp Sm -� .. 0 O mwo m on am 3 m 3 o 0 o n ,x a (A --t- (p o -mv < �. n� on m m w,v°3 ° m am G ' omm O w Ocr n S w 00 C a+ (D Q w m d7 µ, I n OC yK w m oQ D � Sm 7 p• w w m O w �c v 3 Om 0 Sa o l 60 D tQ O u m K O y m ao w D Daa . •ma Oo zi, p'P 0 SG'•. � � mcOm Q O 0 + _ Z °'-IIm o N w m m � zO0 EO oNon o ml9vM 00> o En. ' IIZ i � j z rn T. ss v�izR�? �Dv=m z Z I �mmm� Dr�*'o --i m a v w n r- U) \ �oJ ? I m DSA °. r� z DZFO* Q O m ;o vi vmZW m 2 Ix v�� -� —i on am O Z m z (A --t- (p y D m �., :Z _'" (n m —° WERRE STREET zzA aaa 0 := {C xx m (D � roonm (80) .LVV9t (8) M.00.OZ.00 N • o -Dc� �Z czi 0 � (n � .. QST°©n� o v c t0 CO - 0vo 0 v Q N N� A m D Nmm C 0 X o D m o 0 Q m 10 Z N J �y fJ O�x r z m Z m v JC Z cn :09 k 0 •P 0) T CD m W 0 N cp 00 k V1X k / mSm J mcOm + _ Z °'-IIm r>zm0m N w m m � zO0 m oNon o ml9vM 00> o mom CZ D -4 m z rn ommw-1 in ss v�izR�? �Dv=m z czio-+,m �mmm� Dr�*'o --i m a v w n r- "'oz0o \ �oJ ? � m DSA X_ -�i4ym� Zv� DZFO* p0 m momD(n n En vi vmZW m 2 v�� -� on am O Z � Co 0 z nO:0D2_y. ODD mO-M-r zzA aaa 0 azm mzzx {C xx m Om 0 i roonm zmOO a0 -Dc� �Z czi 0 •P 0) T CD m W 0 N cp 00 k V1X k / mSm J + _ Z 26.3 29.9' N w m m � x k m m O ti 0 w m n � x mx 263, o ~` x 0 •P 0) T CD m W 0 N cp 00 k V1X k / mSm J + _ Z _ / 2 N k m N i ~` x rn ss �r FOO 913 w < \ �oJ 0 � 89R 0 DOT J 0 •P 0) T CD m W 0 N cp 00 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage,ak.us (907) 343-4744 Parcel I.D. 051-241-37 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA# ~)O0 C~ 4D Expiration Date: Lot 49, T15N, R1W, Section 19 Location (site addressordirections) Werre Street & K&B Street Current Properly owner(s) MM&M Contracting Day phone 688-1236 Mailing address P.O. Box 670495 Chuqiak, AK 99567 Lending agency Day phone Mailing address Real Estate Agent Mailing Address Day phone Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: NUMBER OF BEDROOMS: ~'hree ( 3 ) TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. 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 less than 30 days old. 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. 72-025 (Rev. 01100)* 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 Health Authority Approval Guidelines for the Health Authority Approval application show 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. NameofFirm Anderson Engineering Phone 522-7773 Address P,O. Box 240773 Ancho~aqe, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 6/8/00 ENGINEER'S STAMP DHHS SIGNATURE Approved for ~ bedrooms. Disapproved. Conditional approval for __ bedrooms., with t stipulations. Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Expiration Date: Original Certificate Date: Reissue Date: 75-025 (Rev. 01/00)* Legal Description: A. WELL DATA Well type Private Date completed __ Total depth 61 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 ~'ECEIVED www. ci.anchorage.ak.us (907) 343-4744 JUN 09 000 HEALTH AUTHORITY APPROVAL CHECKLISTMuNicmAui¥ OF ^NU-IO~E '"Pr'NMENI'AL SERVICES PJVl<'' Lot 49, T15N, R1W, Section 19 Parcel I.D.: IfA, B, or C provide PWSID # 3 / 2 2 / 0 (Sanitary seal __ Y 61 fi[ ft Cased to FROM WELL LOG Date of test 3 / 22 / 00. Static water level 22 ' ft Well production 5 g.p.m 051-241-37 Well Log Y Wires properly protected __ Casing height (above ground) > 2 ' AT INSPECTION 5~6/00 23 ft 1.3 g.p.m WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi Nitrate .5 Date of sample: 6/6/00 Collected by: H~.A B. SEPTiC/HOLDING TANK DATA Tank Type/Material S?EP/Steel Date installed 4/10/00 Tanksize 1,250 gal Cleanouts ¥ Foundation cleanout ¥ Depression over tank Date of pumping New Construction Pumper N/A C. ABSORPTION FIELD DATA Date installed 4/6/00 Soil rating (g.p.d./ft2 or fi[2/bdrm) o 5 Length 60 ft Width 15 ft Gravel below pipe .5 Total depth 2. fi[ Effective absorption area 900 fF Monitoring tube ¥ Date of adequacy test N/A Results (Pass/Fail) Fluid depth in absorption field before test __ in Water added Elapsed Time: min Final fluid depth in Any rejuvenation treatment (past 12 mo.) (Y/N & type) * To Bottom of Sand 72 026 (Rev. 01/00)' Y 0o __ mg/I Other bacteria__colonies/100 mi Number of Compartments 3 High water alarm Y System type Shallow Bed ft __. Depression over field N For __. bedrooms __ gal. New depth Absorption rate >= __ .if yes, give date __ in. in. g.p.d. LIFT STATION Date installed 4/10/00 Size in gallons 250 "Pump on" level at 42" in "Pump off" level at 42 Datum Bottom of Tank Manhole/Access Y __ in High water alarm level at 44 in Cycles tested. Mew Const. Meets alarm & circuit requirements SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot> 100 ' Absorption field on lot > 100 ' Public sewer main N/A Sewer/septic service line > 25 ' On adjacent lots > 100 ' On adjacent lots > 100 ' Public sewer manhole/cleanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation > 5 ' Property line > 5 ' Water main N/A Water service line > 10 ' Drainage > 100 ' Wells on adjacent lots > 100 ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Water Service line >25 ' Curtain drain Mone Wells on adjacent lots > 100 ' COMMENTS G. ENGINEER'S CERTIFICATION Y Absorption field. > 5 ' Surface water > 100 ' Building foundation > 10 ' Water main N/A -'~'~'t b~:~ .~ , Surface water >.,2~57 >'/~' Driveway, parking/vehicle storage > 10 ' I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, P.E. Date 6/7/00 HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 01/00)'