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HomeMy WebLinkAboutLAMPERT ESTATES BLK 2 LT 8Lampert Estates Lot 8 Block 2 #051-791-09 N U -n M11 U U 0 1AR Municipality of. Anchorage FEB' 201 On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201353 PID Number: 051-791-09 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ® New ❑ Upgrade Name LUIS & FELECIA BAPTISTA ABSORPTION FIELD -EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 22545 LAMPERT CIRCLE, CHUGIAK ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 5 GPD/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot LAMPERT ESTATES 2 8 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft' Ft. Well 200'+ -- 200'+ 25'+ TANK ® Septic ® S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity rper FLAGS 100 D + 1000 Gal. Surface Water 100'+ -- 100'+ Material HDPE Number of compartments 1 &2 Lot Line 10'+ -- 10'+ NA Foundation10'+ -- 10'+ 7 LIFT STATION Manufacturer ORENCO Capacity 1000 Gai. Remarks Alarm location GARAGE Electrical installed by PL&C Tank to PIPE MATERIAL House to tank 3034 3034 Installer NORTHERN EXCAVATION d a of eld Drainfield 3034 CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspdection 151 11/23/2020 11/23/2020 Location and description 2�d Td 11/24/20 4'" BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL ­%0��1`.�\\ A. Conditional Approval: Date '•:tQ,��� *: 49TM ....�:*fir i. �-. . '. "" """':' • Curtis Huffman �� ��`''' CE 128991• •� �SlF�•.23/2021 •��v�i Septic System Approved - Date o7�.Cl (� F�PROFESSIQA 11 Note: this approval does not include well permit requirements. (Ftev ub/u2/16) PID: 051-791-09 PERMIT. OSP201353 A—C=22.6' B—C=12.7' A—D=22.0' B—D=16.7' A—E=23,9' B—E=21,6' A—F=25.2' B—F=25.4' CO MH .98� DCO r0 100.02 'FINAL GRADE 94.96 1000 -GAL 1-COMPART. HDPE TANK LAMPERT ESTATES B2, L8 PREPARED FOR: LUIS & FELECIA BAPTISTA 22545 LAMPERT CIRCLE CHUGIAK, AK 99567 94.63 EXISTING FIELD 1000 -GAL HDPE STEP SEPTIC SECTION SCALE, NTS SUPPORT SERVICES: e e FIRST WATER CONSULTING 13030 Sues Way DATE: 02/03/2021 Anchorage, Alaska 99516 SURVEY: 2021 9 DRAWN: FWCS (907)350-9566 SCALE: 1" = 30' firstwaterAK®gmail.com of A,��� * 9TH rtis Huffman ren CE 128991 ,�� 2/3/2021 e� nSSI0105' AV S89�5815011 E 10' UTILITY ESMT e SEPTIC VENT (typ) tu.v 44.5' N H EXISTING 0 M ") HOUSE00 MH ss� 44.5' r CONC 0 28.0' W, L0 O O z PAVED D/W DECK LAMPERT CIRCLE ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: LAMPERT EST'A'TES LOT S BLOCK 2 PLAT 72-207 SURVEY CER'T'IFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circtunstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements; covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DA SCALE: E-MA!U JAN 7, 2021 1"=30' 21-006 DRANK BY: CHECKED BY GR!D NUMBER: BOOK/PAM' JLS NW1459 210006 206.00' UCPP, 0 OO = FIND 5/8" REBAR �,�..oF ALS �i 49Tx .JOHN L. SCHULLER. o N LS -10408 ®' ��•rm°fessio o o LOT 9 BLK 2 C� y0 �D L NDS��� VM 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax 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: OSP201353 Work Type: SepticTank Upgrade Tax Code Number: 05179109000 Site Legal Address: LAMPERT ESTATES BLK 2 LT 8 G:1459 Site Mailing Address: 22545 LAMPERT CIR, Chugiak Owner: BAPTISTA LUIS B & FELECIA M Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft Total Bedrooms: 01R" S � ' I■ l Delilt •trnent 9/8/2020 9/8/2021 21656 ❑ 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 Received By: Issued By: Date: Date: 5 A 7 OF ANCHORAGE 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. 051-791-09 Property owner(s) LUIS & FELECIA BAPTISTA . Day phone 4802520682 Mailing address 22545_E LAMPERT CIRCLE, CHUGIAK, AK 99567 Site address 22545 E LAMPERT CIRCLE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) LAMPERT ESTATES B2, L8 Legal description (Township, Range & Section) Lot Size 21,656 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank 0 Upgrade El Duplex ❑ (D) Holding Tank ElRenewal ElMultiple 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: 101 0 ►d-1�) Waiver Fees: Date of Payment: a ,;� 11,520-?- C2 Date of Payment Receipt Number: c�D� �2 3 Permit No. O2a01 353 Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc FIRST WATER CONSULTING 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com August 29, 2020 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: LAMPERT ESTATES BLOCK 2, LOT 8 PHYSICAL: 22545 LAMPERT CIRCLE, CHUGIAK, AK 99567 The owner has requested we obtain a permit to upgrade the aged steep tanks of the referenced lot. We propose to install two 1000-gallon HDPE tanks per the attached design to serve the existing 5-bedroom residence. The lot and surrounding properties are served by Class A well or public water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201353, Deb Wockenfuss, 09/08/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201353, Deb Wockenfuss, 09/08/20 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131180 PID Number: 051-791-09-000 Dwelling: 1 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New 0 Upgrade Name: Carl & Mildred Mclntrye ABSORPTION FIELD ❑ Deep Trench ►/ ❑ Other Shallow Trench ❑ Bed ■ Mound Address 22545 Lampert Circle, Chugiak, AK 99567 Phone Number of Bedrooms 5 Soil Rating 0.6 GPD/SF Total depth from original grade 5.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2 Ft. Gravel depth beneath pipe 3.5 Ft. Subdivision Block Lot Lampert Estates 2 8 Fill added above original grade 0.5 Ft. Gravel length 137 Ft. Township Range Section Gravel width 5 Ft. Beds: Number o Lines 1 Distance between lines Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 1295 Ft2 Number of trenches 1 Dist. between trenches Ft. Well 1001+ 100'+ 1001+ __ 251+ TANK Septic • S.T.E.P. ■ Holding ■ Other Manufacturer existing Capacity 1000 Gal. Surface Water 100'+ 100'+ 100'+ -- NA Material Steel Number of compartments 2 Lot Line 5'+ 10'+ 5'+ -- LIFT STATION Foundation 5'+ 10'+ 5'+ Manufacturer Orenco Capacity 500 Gal. Curtain Drain NA NA NA -- Remarks Pump on level at 44 in. Pump off level at 42 in. High water alarm at 48 in. Pump make and model Ofewj PFO Electrical Inspections performed by Cal's Electric Installer Walker Construction PIPE MATERIAL House to tank Tank to D3034 drainfield Drainfield D3034 CO/MT D3034 BENCH MARK (Assumed elevation) 100 ft Inspector ARCTERRA Location and description Top of ramp to permanent shed Inspeection ction 15` 7/15/13 2nd 7/17/13 3" 7/19/13 4th 7/26/13 COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Conditional Approval: Date i��� / / i = �`�` OF ALS TH 1 1 �, pr� P KENNETH . DUE opi2 116 �k,.- Approved vi Dateg—S' )3\`�Ilir Inspection Repo AS -BUILT SYSTEM DETAILS/SITE PLAN Permit: OSP131180 LAMPERT BLOCK 2, LOT 8 PID#: 051-791-09 (79-245) 100.00 N 9. 58' 50'W 206,43 4 :16 10' UTIL ESMT sa MT 37' L9C Tj'}fi33 5' 44,5' o NEXISTING HOUSE 28, PRI "RY TR In Ex. Tank 0 .5 IF = ff288..0' '4. frp 7e 61.25' 0 t 500 gal. Lift Sta. '4 9 SCALE! 1' = 40' N N Z2,A—E=31.1 9B—E=27.2 °B—F=105.0 3C—F=119,4 sA—G=59.0 D—G=36.6 E 3 Ex, S.T 98,90) 500 gal. LIR S ation 9TH TN al A -vat ,A ur a I KENNETH M. D j S: / CE -7116 777/«%.134.0� FESSIO0j 1) E W 144 = F C101.06) ORIGINAL GRADE FILTER rANRcN 1wAatlan SEWER ROCK 137' <86.0 ) PREPARED FOR: CARL & MILDRED MCINTYRE 22545 LAMPERT CIRCLE CHUGIAK, AK 99567 FIELD BOOKS BOUNDARY: NA STAKING: NA ASBUILE NA OW. EEE: COMPUTED: DRAB' kmd °HOi KMD Dae 07/27/13 GRID' NW1459 ACRD TEE: 13-282 "11°' 13282 CSF C`0 C •/P; LILTING.dry yl /PEA; AK 99577' Cal's Electric PO Box 770236 Eagle River, Alaska 99577-770236 (907) 440-7948 Date: 7/17/13 Subject : 225545 Lampert Circle Block 2- Lot 8 Peters Creek, Alaska Cal's Electric installed conduit, wire and connections to lift station motor and panels at above address. Per NEC and State Codes. Calvin Evans t;� 00 //S. '3 On -Site Wastewater Disposal System Permit Permit Number: OSP131180 Tax Code Number: 05179109000 Work Type: Septic Permit Effective Dates: July 11, 2013 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 to July 11, 2014 Design Engineer: ARC TERRA CONSULTING INC Subdivision: LAMPERT ESTATES Site Legal Address: LAMPERT ESTATES BLK 2 LT 8 G:1459 Owner/Address: MCINTYRE CARL D & MILDRED A 22545 LAMPERT CIRCLE CHUGIAKAK 995675432 Site Mailing Address: 22545 LAMPERT CIR, Chugiak Lot Size in Sq Ft: 21656 Total Bedrooms: 5 oc This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 7—N— /3 Date: MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-791-09 Property owner(s) CARL & MILDRED McINTYRE Day phone Mailing address 22545 LAMPERT CIRCLE, CHUGIAK, AK 99567 Site address 22545 LAMPERT CIRCLE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) LAMPERT BLOCK 2, LOT 8 Legal description (Township, Range & Section) £S Lot Size 21656 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: (El all that apply) Absorption Field [] Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial Upgrade Renewal TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. C/bttk r}�tur f property owner or authorized agent) Permit/Rush Fees: 530 — Date of Payment: 71?j! 3 C Receipt Number: 015 1-\\\ Permit No. 05%Q1'311 Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. June 28, 2013 ARCT ERRA CONSULTING, INC 212 E. 51s` Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit — Lampert Estates Block 2, Lot 8 It has been determined that the undocumented absorption field of the subject property is in failure and may be encroaching groundwater. Subsequently, the owner has requested we proceed forward to obtain a septic permit to upgrade the septic system. The general slope of this lot is from north to south at a grade of approximately 0- 5%. On June 21, 2013 testholes was performed to investigate soils and groundwater. The results of these tests are attached for your review. The proposed upgrade will serve the existing 5 -bedroom house. We propose to install 5' -Wide pressurized trenches. Groundwater was encountered at 10.5' at monitoring. The property and adjacent lots are served by community water. There are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868-3792 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duffus, P Attachments: On -Site Sewer Application Wastewater Absorption System Details / Site Plan Soils Log/Percolation Test 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 i 0 Iu a WASTEWATER DIS P LSAL SYSTEM DETAILS LAMPERT BL❑CK 2, LOT 8 3' 0"W 2 ' UTIL ESMT INS NEW 500 GAL STEP PRESSURIZED DISTRIBUTI❑N SYSTEM HOLE SPACING DESIGN 1. RESIDUAL HEAD = 5' 2. HOLE SIZE = 3/16' = 1.00 GAL. PER HOLE @ 30 PSI 3. 30 GALS (PUMP DELIVERY)/1.00 GALS./HOLE = 30 HOLES 4. 136 LF LATERAL/30 HOLES = 4.5' SPACING PER HOLE 5. ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS. 40, • TH%\ CE -7116 fir W ) oFE331OT1A re✓isron,5 7-1/-/3 de,a_ ,0� Scale: 1"= '[' PAGE 2 OF 2 PREPARED FOR: CARL & MILDRED MCINTYRE 22545 LAMPERT CIRCLE CHUGIAK, AK 99567 FIELD BOOKS BOUNDAfY: BOUNDARY STAKING REJ STAKING` ASBUILT: DWG. RL ACRD FlEE FILE COMPUTED: DRAWN: BMW CHECKED: KMD DATE: 6/28/13 GRIM N W1459 JOB N°° 13-141 oti WCTER*9 a a M -2 ��"`Y\ 41 ^tee �4/4'SULTING ,`�° A% AK. 99571 -1 WASTEWATER DISPOSAL g YSTEM DETAILS/SITE PLAN LAMPERT€BL❑CK 2, LOT 8 S89.59'29'yp 1319.779 <Meas) 00 y_v I ou.00 97Af 146.85 \ 174.21 <82 FLAG PROPERTY LINES & EASEMENTS PRI❑R TO CONSTRUCTION DESIGN DETAILS NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. re✓iSiens 7- ll -13 deg '\Server\storage\WE SUBDIVISI❑N SERVED BY PUBLIC WATER Scale: 1"= 100' PAGE 1 OF 2 5 BDRM X 150 GPD = 750 GPD 750 GPD/.60 GPD PER SQ. FT. (18 MIN/IN.)= 1250 SQ. FT (125 /5'W) x .54 (RF 3.5'ED)) = 135' L USE 'WRENCHES 8 t(L) X 5' (W) X 3.5' (ED) Total depth of' system Is 5.5' max from original grade. Total depth of gravel below distribution pipe is 3.5' . NOTES! 1. INSTALL 500 GAL STEP & INSULATE TANK IF <4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF < 3' OF FILL. MIN. 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4 CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... L G`&x/rczee.Me larr4� :reJ��2y io» dt5fiucu, from c<la�re/,4 r bo-�- 2urc; fn/ f/en. (/at '7-11-1 X70 PREPARED fOR: CARL & MILDRED MCINTYRE 22545 LAMPERT CIRCLE CHUGIAK, AK 99567 FIELD BOOKS COMPUTED: BOUNDARY. BOUNDARY DRANN. BMW STAKING: STAKING cHEaOO): KMD ASBUUU.T: REJ DATE: 6/28/13 DWG. FILE: ACAD FILE' FILE DRID: NW1459 °B N°` 13-141 i i,zrvaarn�1 3: t �e' :A���,01 cC.'.0°021), 0 04'8111 TI NG , \.yg Lam^ A' AK. 99577,E tisRCTERRq ARC T ERRA CONSULTING, INC 212 E. 51st Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST e ;VS s * e •4 Ta • •••:• ••..i• • 4 ••• 1111,Kenneth M. Co IK V% CE 116 • lF •• .tom Performed for: Carl & Mildred McIntyre Date Performed: 06/21/2013 Project: Depth (Feet) 15- 16- 17- 18- 19- Lampert Estates Block 2. Lot 8 ORG/OL SM/GM B.O.H. HOLE PRESOAKED 20- PRIOR TO TESTING TEST HOLE # TH 13-1 SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO Depth to water after monitoring? 10.5' What depth? NA Date? 6/28/2013 Reading Date Gross Time Net Time Depth to Water Net Drop 6/22/13 1:00 6" - 2 1:30 30 min 4 0/16" 2 0/16" 3 * 1:31 - 6" - 4 2:01 30 min 3 15/16" 2 1/16" 5 * 2:02 6" - 6 2:32 30 min 40/16" 20/16" 7 8 9 10 11 12 Water Added Percolation Rate 15 (min/in) Perc Hole Diameter Test Run Between 4 feet and 5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. poRCTERRq ARC TERRA CONSULTING, INC ;' 212 E. 51St Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST Performed for: Carl & Mildred McIntyre Date Performed: 07/17/2013 Project: 2- 3- 4- 5- 6 - Depth (Feet) Lampert Estates Block 2. Lot 8 ORG/OL SM/GM B.O.H. - PERC BENCH 7- CONFIRM EXISTING CONDITIONS 8- 9- 10- 12- 13- 14- 15- 16- 17- 18- 19 - HOLE PRESOAKED 20- PRIOR TO TESTING TEST HOLE # TH 13-3 SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO Depth to water after monitoring? NO What depth? NA Date? 7/17/2013 Reading Date Gross Time Net Time Depth to Water Net Drop 1 7/17/13 11:00 - 6" - 2 11:30 30 min 4 3/16" 1 13/16" 3 * 12:31 - 6" - 4 1:01 30 min 4 5/16" 1 11/16" 5 * 1:02 - 6" - 6 1:32 30 min 4 5/16" 1 11/16" 7 8 9 10 I1 12 * Water Added Percolation Rate 18 (min/in) Pere Hole Diameter Test Run Between 4 feet and 5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. 04 c cTERRq ARC 1 m ERRA a Ahes,iti995' 1 CONSULTING, INC 212 E. 51st Ave, Anchorage, AK. 99503 I Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST Performed for: Carl & Mildred McIntyre Date Performed: Project: Depth (Feet) 2- 3- 4- 5- 6- 7- 8- 9- 10- 12- 13- 14- 15- 16- 17- 18- 19 - Lampert Estates Block 2. Lot 8 ORG/OL SM/GM B.O.H. — PERC BENCH HOLE PRESOAKED 20- PRIOR TO TESTING TEST HOLE # Til 13-2 SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO Depth to water after monitoring? NO What depth? NA Date? 6/28/2013 Reading Date Gross Time Net Time Depth to Water Net Drop 1 6/22/13 1:00 - 6" - 2 1:30 30 min 4 3/16" 1 13/16" 3 * 1:31 - 6" - 4 2:01 30 min 45/16" 1 11/16" 5 * 2:02 - 6" - 6 2:32 30 min 45/16" 111/16" 7 8 9 10 11 12 * Water Added Percolation Rate 18 (min/in) Pere Hole Diameter Test Run Between 4 feet and 5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Performed For: Legal Description Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 +.aaw.ci anc_m_age. ai:. us . (907) 343-7904 Soils Log - Percolation Test VI ifirit; effAi2iCted 'NG 41.44P4‘ °R.FS7 i!.), e �lr ��, ;,t; 49113 f% ®/ _ 90/ MICHAEL E. ANDERSON :44? a #1VyyCsE -4�1 4:te1111. .e..+9 1<,`� Date Performed: 7,` q 'Lr9'[ O Township, Range, Section: 6- 7- 8 9- 10- 11- 12- 13- 14- 15- 16- 17 64 18- 19 Slope WAS GROUND WATER ENCOUNTERED? P 5 IF YES. AT WHAT DEPTH? — (L`, Depth to Water After 0 Monitoring? / la E Date: __ 142ll Site Plan Reading Date Gross Time Net Time to ga er DeptheJr Nff Ntl,t Dr . I 6 7/ i', *\ia ' 154.11642`i (c) MIA(5 t.ip3%9.3$ r 1215 d 3,q- 1 ten,n,-,kli ® (1 G.51/5.ty' 2,69` ,/.101 G(d i /(ro'2ti Ir tsi,,/),1,5 2x6,,,,i „,,i,t ye -4, 3. 32 ,a a f,5? 5, 1, 444!11 PERCOLATION RATE TEST RUN BETWEEN COMMENTS 11 3 %y n'I7 \?"A1 ,. ht 2 (minutesMch) FT AND PERC HOLE DIAMETER 4, FT PERFORMED BY:e,74'¢ I - - CERTIFY THAT THIS TEST WAS PERFORMED IN AC ORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Performed For: Legal Description: 6- 7- 8 9- 10- 11- .� 12- 13- 14 15- 16- 7- 18 19- 20 COMMENTS Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 w.c __ i. ehoraue. Suss s:r (907) 343-7904 Soils Log - Percolation Test lig YI4n4t r/? Ef116 WA; l, -y Srrope 40 e trnatS ,4 % r00oaa••1Jl r• *)) s491E e% *,0 0 I°•4. ANDERSON : 4 lifi S. CE -4381 :��'� #�1r�9f. ,T43-() .•i4i f11 4j1 n% �'` Date Perfo med: -1 It ! 401112 Township, Range, Section: WAS GROUND WATER ENCOUNTERED? a IF YES, AT WHAT DEPTH? , L 0 Depth to Water After r Monitoring? / E Date: Site Plan Reading Date Gross'Time Net Time Depth to Water Net Drop 11 eilfqlo Ito;Z ....^ 57." — L IL;5-S .-6Ftub [[,a" .34t" 3 If,:�7S•;5v — 1.5" — 4 iiiv3t3® 30 ti vis il,o" '7.7-t` / y rpo 1.4f" ----- L. V 11'35 "2-e,t11 s 4f,q" 3,s- " TEST RUN BETWEEN 57)414-52.9Co t!T/ (minuteMnch) FT AND 2 5A -FTHOLE DIAMETER S/2FT 8r1 PERFORMED BY: .r 4 1 CERTIFY THAT THIS TEST WAS PERFORMED IN AC6ORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Performed For: Legal Description Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 anithoraue.0 Luz (907) 343-7904 Soils Log - Percolation Test Date Performed: .111 AR_P96v 1~471 jownship, Range, Section: 3104 8- 9- 10- 11- 12- 13- 14- 15- 16- 17 - COMMENTS ftetT,S0 WAS GROUND WATER ENCOUNTERED? s IF YES, AT WHAT DEPTH? 't4 X)( LL Depth to Water After t / Monitoring? (°t6 ' t$ Date: !A Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop 1 iI Vft f g;51 5:(e3° Z I 11 2I 3o ti HO 9rW 3. = 3 4-- 1 (i fl 3D elk 9,i i 3.9/ C ( . lb:0 i P" 9.'‘ b v Int iia t11WWs 5.1Z .54c36 PERCOLATION RATE TEST RUN BETWEEN -17 'Ixk/l t )� (minutes/inch) FT AND PERC HOLE DIAMETER FT PERFORMED BY: CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDAN E WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Municipality of Anchorage Page I of a DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SL`-'414 °N59 PID Number' 051 791 09 Name: 71vv‘ OSIN Wastewater System: 0 New ;Upgrade Address: p o,$ox oi-00 cHuoIAK fl K. CHHs()-7 ABSORPTION Phone:/ g g _ 'IQ/ b No. of Bedrooms: rj >3Deep Trench 0 Shallow Trench 0 Bed 0 Mound ❑Other LEGAL DESCRIPTION 'Soil Rating: (7 • 0 GPD/Sq. Ft. Total Depth from original grade: 10' Gravel depth beneath pipe Co 1 Ft. Lot: C2 Black: Subdivision: C'7 t-.041,4?-6-727- QST, Depth to pipe bottom from original grade: it Ft. Township: Range: — Section: Fill added above original grade: Gravel length: 1O-] Ft. O,STc9 I.S1 Ft. WELL: c4l New 0 Upgrade ' EX I ST rN Gravel/width: a Ft. Number of lines : I Distance between lines: Ft. Classification (Private, A,B,C): e0"04•/ti/TY Total Depth: Ft. ed To: Ft. Total absorption area: 1Dey SQ. Ft. Pipe material: AST v.n F.61°7'3039 Driller: ate Drilled: Static Water Level: Ft. Installer: CUAL.KER CONST Date installed: %-7-qs Yield: GPM Pump Set at: Ft. Casing Height Above Ground: Ft. TANK SEPARATION DISTANCES Septic ❑ Holding ❑ S.T.E.P. To From Septic Tank Absorption Field Litt Station Holding Tank Public/Private Sewer Lines Man facturer: 1VCfl0R.462 //1NK Capacity in gallons: 16-00 Well- spot aOelfi •-r —� a5+ Material: �TserL Number of Compartments: a SurfaceLIFT Water (001-1- l 00 a- — -- STATION % / Lot Line a- 3 � 1 . I __ Size in gallons: Manufacturer: Foundation l01 l01 �� ._ "Pump on" level at: "Pu • • " level at: High water alarm at: Curtain Pump Make : • ••eI Electrical Inspections performed by: Drain /ONE K/�/D t,JN Remarks: BENCH MARK Location and Description: -F;P Or`- dONCRE7W S48 n (� 4-20NP" or /7OL.)so- Assumed Elevation: 47.g Ft EN ... L q tc:; s7� S & 5 ENGINEERING 17034 Eagle River Loop Road, No. 204 Inspections b Dates: 1st -6-9S ,IS ° h9. ' I r performed 2nd 77( .3;1\ ROBERT C, COWAN Department of Health and Human Services approval Reviewed and approved by:,�� !' Date. 8 -4 '" 9s 1 VIZ"' �s:� CE-8801 �* I.s.., F�'o,e; ioN°\��� e �� cu 72-013 (Rev. 9/91) MOA 25 SW940439 Permit No. 2 2 Page of Municipality 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 LOT 8, BLOCK 2, LAMPERT ESTATES 05179109 Legal Description: PID No.: ST1 ST2 EXIST. UNDOCUMENTED SEPTIC SYSTEM - ABANDONED COMPLETELY V,1,1 • NO WATER FOUND 10' UTIL ESMT NEW 1500 GAL SEPTIC TANK LOT 8 04 T2 EXIST 5 5 BDRM HOUSE -NEW TRENCH FCO ST1 ST2 001 02 CO3 C04 MT1 MT2 A 23' 25' 31' 32' 40' 59' GO' B 25' 28' 30' 32' 31' 27' 81' 28' 82' fl 33' 34' vi:\ ROBERT C. COWAN c41 • CE -8801 aA.%N• 4* • „C'.. T•(.1 '...,.o,.... .1\ •Ivik thIC talgitala° 72.013 A (1/93) • 2,?/ 07 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE k 2 N, DEPARTMENT OF HEALTH AND HUMAN SERVICES-!�-� P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940439 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:ROSIN JAMES S & TAMMY J OWNER ADDRESS:P.O. BOX 0490 CHUGIAK, AK 99567 PARCEL ID:05179109 LEGAL DESCRIPTION: LAMPERT ESTATES BLK 2 LT 8 LOT SIZE: 21656 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:11/29/94 EXPIRATION DATE:11/29/95 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 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: /(RECEIVED BY: ISSUED BY: DATE: /7 DATE: //-C-c'}- S&S ngineeiinq EAGLE RVER, A VSI(A HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER& WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. November 17, 1994 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 "I_" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lampert Estates Subdivision, Block 2; Lot 8 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Request you issue a permit to replace the septic system serving the five bedroom house on the referenced property. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. The monitoring tube within the hole has been checked and is found to be dry. Attached is the proposed upgrade design. This property is served by a Community Water System. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. There are no protective well radii which encroach upon the property. If you have any questions, or require additional information for your review, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/JA/sm 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Set,Nt • s3J 00 j a, ' !i } w y�.''r wUc 23 c.JJ�� 0 z o 0 CCW~ = a L.1 W err cet Q Op VSO /- Z Y /- o� Z H - O ooa� SEP W F - vi W J 0 2 1- (/1� w 11 • F -w0 Z 1- 7 IJ w a l-0 1- o p_ (U, J z Q w w. H O o Z P.0 d 41 Z Z U- o 0 O wz al-- a ,. NW'cO.- =o ,ct,r Q0 z0-0 o w CC aV) UV)d 0 a Z r0 Wo V) W W m Z 1-W W W CC Z CC a Z%' w 5 J CO o<> ow>- F- G. o D i- w J 1- W W2- m F.. 0 04 Z CC W V1 >S ZW a. Q= V)-. Ow0 z (N I- I- wwap V) JCC F w WZ-a Ct o coot W L...W= Ecn -, i� i_z 1�FcZCC O V7 n5aa (nj 0 J N U 0 m (1) J 1— Q (n J vi 0 d U or m 2 ND021 aRe1as 0 1 da3Q • -- 1nLLOMIDIN `J-- •. 00001 •0.00. 1410024P.:..!dd. O CROSS-S;HCTIO\ N01103S-X 31V3S 'STN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: �D(M P 0`51 n7 `^y ROBERT C. COWAN �;'F CE -8801 •�'Fi • DATE PERFORM (to }-rS tl LEGAL DESCRIPTION: 1.--c"T" 1,4prrTownship, Range, Section: 1 2 3 4 5-/0•Ifi'vl/ft) ty 8 9 10 11 12 13 14 15 16 17 18 19 20 oe- C3,00-\ (.r- SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water Atter Monitoring? t7 Date \k- \\-61 S L 0 P E SITE PLAN N 17 Reading Date Gross Time Net Time Depth 4. Water Net Drop PERCOLATION RATE ..21� (minutesnnch)PERC HOLE DIAMETER TEST RUN BETWEEN __ FT AND FT COM TS 7k � d- i F -e --c1 (J RE. i�e V /'J i),7 PERFORMED BY' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Performed For: Legal Description: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 - (907) 343-7904 Soils Log - Percolation Test �fufrl-+{A6va SVI ,r i ' WIG c-lit`!� 5- 6- 7- 8- 9- 10- 11- 12 13- 14- 15 16- 17- 18- 19- 20 - Slope WAS GROUND WATER ENCOUNTERED? `••`OF �1tN th • w./ fiS • • ra EL MICHAE. ANDERSON : Q r I , . CE - 4381 .7_4? at la PPP ESSIOON. lb* Date Perfo med: 'flq 4T.Iter Township, Range, Section: 5 IF YES, AT WHAT DEPTH? -- Ito P Depth to Water After O Monitoring? Date 12710 Site Plan Reading Date Gross Time Net Time Depth to Wa4ter �elr. Net r r 4,7i 11 \utp I5'd915,21 (e7 MMin(s join;7,..38" 2,15 S 1 e/t i 4:g II 0.449. IV° 62,81" 7, b' (5,119/tC ) c/Ia I ILI07((d2y It 1,51,i 'Al 24e,i Inv 1 :J I to:2'7/3®132! .a +1. 1,-5. 9.1, 24'U minutes/inch) },, TEST RUN BETWEEN 5, r; FT AND COMMENTS tre-0504& 7,. it'Oty: PERC HOLE DIAMETER to FT PERFORMED BY:d ¢-I 1 - CERTIFY THAT THIS TEST WAS PERFORMED IN AC ORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Performed For: Legal Description Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 va_nchoraee.ai:.us (907) 343-7904 Soils Log - Percolation Test rkgfitilid lkittiotcri 'u &ILiAt-f rick Kiv( l:•v L Scope 8- 9- 10- 11- 12- 13- 14 15- 16- 17- 18 19- 20 - COMMENTS WAS GROUND WATER ENCOUNTERED? �° MK]lAfi. E. ANDERSON R * 70%�� CE - 4381 ; to # ^..:s. 5-bsi_J ,..t' Date Petmed: 7� it ?.c!•10 111iii Township, Range, Section: J� S IF YES, AT WHAT DEPTH? -1l-G� L Depth to Water After s I ! P Monitoring? E Date: 510 Site Plan Reading t Date Gross"Time I(fl 11,;c8 Net Time 'J© Ktli Depth to Water It a " Net Drop 11 3 e I(, �;5a 4- 1-1103,3(0 30 pits 1.9“ •349-" rl.o" '7is y I7;o L 11'3) '7o MU(S ITT' .cin 3,y6,. PERCOLATION RATE (minutes(nch) TEST RUN BETWEEN FT AND 3S1)C(22 Co 1a PERC HOLE DIAMETER 6-4FT ail PERFORMED BY: r 1 CERTIFY THAT THIS TEST WAS PERFORMED IN ACgORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Performed For: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 i.anchor oe.al:u _ °rY (907) 343-7904 Soils Log - Percolation Test Md',,k'jrFJ I-V ea J or fir; R' gEAfiksha ;fid i * so • 49TH .,w*`�� sire j••w••a igt to • AMCHAEL-E. ANDERSON 4 OCE -4381 4.a •• e• 7(IB /ZOW Date Performed Legal Description: _ Y lWAAab 9(1L- 1 ilownship, Range, Section: Sloie 14- 15- 16- 17 18- 19- 20 - COMMENTS WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT DEPTH? V. X C 01 - Depth to Water After Ate, Monitoring? Date: If0E Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop 'V/ lit 9 16191 i" ‘ 3' f V3 17;Z? 3o P114 9.66" 3,te t1'Z5 5-5-6:1 r1rya,?voids 9,.12 '1•9e4 rJ . ie3q D l 9.ci b II / 7� 10' i �?''1 r 5 'net' 3iO3n PERCOLATION RATE TEST RUN BETWEEN ' Zl so -ii , Kr., t I� (minutes/inch) FT AND PERC HOLE DIAMETER FT 711 PERFORMED BY: CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDAN E WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ON-SITE WASTEWA'fP:R DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lampert Estates Subdivision; Block 2; Lot 8 GENERAL: 1. The scope of this project includes the installation of a 1500 gallon septic tank and a leachfield trench to serve the proposed five bedroom residence located on the referenced property. The current sewer pipe from the house to the septic tank protrudes through the north foundation wall above ground level. This section of pipe must be abandoned and a new section rerouted to exit the east foundation wall a minimum of 2' below existing ground level and insulated to protect from freezing, per attached design. 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. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 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. 6. The existing undocumented leachfield is to be abandoned in place. The existing undocumented septic tank is to be excavated, pumped, crushed, and abandoned in place. 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. Page Two Lampert Estates S/D, Block 2, Lot 8 November 17, 1994 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4' 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' 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 (roughed -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 and installed approximately in the locations shown on the design. 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. Page Three Lampert Estates S/D, Block 2, Lot 8 November 17, 1994 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. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally 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 Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes Yes No 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 140/N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, screened gravel its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Lampert Estates S/D, Block 2, Lot 8 November 17, 1994 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: 1. 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 contractor's 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 contractor's activities. Final acceptance of the contractor's 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. 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H Q " Q Z 0 U) C W O -0 (a U Q F- O 2 U Q NtTti TQT VTJ 0') VJ C'7 Ch (Y) (Y) IN, CL a ^, I L c CD -W O = (n cov1 N IL Q C '~ U1 L ❑ C a) C Ocm .0 U U U � C2Ln U O N C E U U >1 LO C\j� ® N a) U 'a O Y c - E v O Q (n cm U Elcn ._ co Y = a) El 1:1O L a U 2 Q a) a 0�ai O a� mV c > M N ❑ Q c6 cu cB N a a_ �' cn L o o rn Q U _ E cu a) L o U H U N = 0 N 'a C W w w m L ®❑ v m m rLa. n- w °' a) ❑ - ❑ ° c J' - LU O LL �I > cu aa) Q m o [ CL L 2: cn�_ *cJ cn a a _CD ° J Lo :3OLL El❑ ElN � �O o Nu w d w ® Q ❑ '� cJ Na" Fn L, ❑ 0 3 N Cl) Cf)> eci a) -0 OW _W v m OQ Q Y m Z a L °� cn o } Z O Q cn O Qw LL LL a a'�� O 0 cn LU W^ L i i L .r ^ /LLj- 4-- /Q U� U J O I-" cw Q coQ > a) (D V) a) ^ a x >+ O m O N L6 cfl W m 0 COSA Checklist.docx COSA Checklist Legal Description: LAMPERT ESTATES BLOCK 2, LOT 8 Parcel ID: 051-791-09 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA - PUBLIC &/OR CLASS “A” WATER Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume NA 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 Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in 1st septic tank 50” Date of pumping 4/18/24 – (BOTH TANKS) Required maintenance completed, if AWWTS Comments: SECOND TANK IS STEP C. LIFT STATION Required maintenance completed Age of lift station 4 years Lift station material HDPE / PLASTIC Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 7/18/2013 ALL standpipes present per record drawing Total measured depth from existing grade 6.7 ft (max) Measured depth to pipe invert from grade. ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective (ED). If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 4/19/2024 Results Pass Fluid depth prior to test 19 in Water added 800 gal New fluid depth 29 in Elapsed time 120 min Final fluid depth 19 in Absorption rate 750 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 42 in (MOA 3.5’ ED) Effective depth used 19 in (Final Fluid Depth) Effective depth remaining 23 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & appears approximate. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) - NA Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 4/30/2024 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 04/30/24 MUNICIPALITY OF ANCHORAGE Development Services Department 04 _._��-' Phone: 907-343-79 On -Site Water & Wastewater Section Fax: 907-343-7997 Lift Station/Pump Vault Maintenance Log Owner �P Ile c t rk it pj_ sok Septic Tank: -Sludge level inches Street Address 2 2 S YS Lo, / j -Pumping: required es Lift station: *Pump basket cleaned es no *Control floats cleaned es no *Operation satisfactory es no Alarm System: -Pumping completed Qes no *Effluent filter cleaned yes no *Proper float settings confirmed @)-no Dedicated electrical alarm circuit e' no -Audible and W&eaf alarm inside dwelling es no -Alarm system operation satisfacto not satisfactory Manhole Riser *Ground water intrusion at riser to tank connection yes no *Ground water intrusion around pipe penetrations Ves -Manhole lid: Functional e no Insulatedno Other *Weep hole functional e no Properly Secured e no -All manufacturer required inspections and maintenance completed yes no Comments: Qualified Maintenance Provider: Technician T �n— Date of maintenance Company Signature Date RUs� MUNICIPALITY OF ANCHORAGE�r 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. 051-791-09 1. GENERAL INFORMATION Expiration Date: l `- � -2d-2D Complete legal description LAMPERT ESTATES BLOCK 2, LOT 8 Location (site address) 22545 LAMPERT CIRCLE, CHUGIAK, AK 99567 i Current property owner(s) BRIAN & DEANNA CARTER Day phone Mailing address Real estate agent 1840 N HONEYSUCKLE CIRCLE. ANDOVER, KS 67002 2: TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic' Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ® Public Sewer 1. ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ ?3 19 b j QUO Waiver Fee $ Date of Payment (a(, to f�y� Date of Payment Receipt Number 0gl(p)3% Receipt Number COSA# Waiver# COVID-19 20' DISCOUNT APPLIED 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below,, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 6/4/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to s +4 or -.. these various and dynamic characteristics and are outside the control of the evaluator of the •(�(i well and septic system. Therefore, any estimate of how long a system will function satisfactory �'���P• • • • • for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FW(S ' *• -49 TH , , , ,.;* �IJ/ 6. DSD SIGNATURE �� • _ • . Curtis Huffman System #1 Approved for bedrooms �f�9�s•, CE 128991 System #2 Approved for bedrooms i1�PROFESSIQ0 i Disapproved Conditional approval for bedrooms, with the following stipulations: OF'g'y�ti''���� . '1�7 g ER AND T J J / J ,1)J,, ?wr Seo pll% \,;S, 5: 3 By: `' Original Certificate' Date:�� r g�Z0-20 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 Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other w,.� Legal Description: LAMPERT ESTATES BLOCK 2, LOT 8 If more than 1 septic system on lot: COSA Checklist # _of A. WELL DATA — PUBLIC WATER ❑ Well log is filed with Onsite (or attached) Date drilled Total depth _ft Cased to _ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) _in. Date of flow test for COSA Static water level at beginning of test _ft. Comments B. TANK DATA Age of tank(s) 25 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 50" ® Standpipes/foundation cleanout per record drawing Date of pumping 6/4/20 D. ABSORPTION FIELD DATA Which system tested (date installed) 7/18/2013 ® ALL standpipes present per record drawing Total measured depth from grade 6 ft (max) Measured depth to pipe invert from grade _ft (min) ® N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: Parcel ID: 051-791-09 Structure served by this system Well production at time of test _gpm Water storage tank volume_ 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 Date of Sample C. LIFT STATION ® Required maintenance completed Age of lift station 7 -years Lift station material Comments: See attached MOA tank advisory. Adequacy test date 6/4/2020 Results JZ Pass For 5 bedrooms Fluid depth prior to test 16 in Water added 750 gal New depth 21 in Elapsed time 1260 min Final fluid depth 16 in Absorption rate 750 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date FW'GS E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 5'+ ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION ! certify that l have determined through field inspections and review �": •' • . :� �� of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. : ir ....�r ...... ...�...... • Curtis Huffman 9F,9 CE 128991 �����N 1A. FAFO'°ROFESS VO��� .m ft ft MUNICIPALITY F ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section �- '` Fax: 907-343-7997 Lift Station/Pump Vault Maintenance ggg Owner Street Address c , �,j �, c>,M Septic Tank: -Sludge, level J0 inches -Pumping: required es no -Pumping completed es no Lift station: -Pump basket cleaned Qes no -Effluent filter cleaned es no -Control floats cleaned e no Proper float settings confirmed e no -Operation satisfactory e no Alarm System: -Dedicated electrical alarm circuit es no -Audible and visual alarm inside dwelling es no -Alarm system operationsatiisfacto not satisfactory Manhole Riser -Ground water intrusion at riser to tank connection Les Co -Ground water intrusion around pipe penetrations yes no -Weep hole functional es no -Manhole lid: Functional es no Insulated es no Properly Secured (yesN no Other -All manufacturer required inspections and maintenance completed es no Comments: Qualified Maintenance Provider: Technician Company _L +S. 5 ery t Q— c� Signature Date of maintenance(L) W Date_� aUhe gz Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC201232 Subdivision: Lambert Block 2 Lot 8 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 25 years old. Typical replacement costs range from $8,000 to $11,000. 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. Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-791-09-000 1. GENERAL INFORMATION Complete legal description Lampert Estates BI / Lt 8 Expiration Date: 7 - J,C_-) 5 Location (site address) 22545 Lampert Circle, Chuqiak, AK 99567 Current Property owner(s) Carl & Mildred McIntyre Day phone Mailing address 22545 Lampert Circle; Chuqiak, AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: Z Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Wail ISI Community Li Public Water System ® Public Sewer ❑ WaiverNariance request for: Distance: Received by: I i. COSA to be released to the engineer, unless othenyise rf quested by the engineer. Date: COSA Fee $ 250.00 Waiver Fee $ Date of Payment 7! )A 1p3q 1Date of Payment Receipt Number /69',.! 0 O 9- Receipt Number COSA# 05CL313f5 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. Name of Firm ARCTERRA CONSULTING, INC. Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Phone 696-6111 Date 7/27/2013 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. 6. DSD SIGNATURE System #1 Approved for 5 bedrooms. System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: vt(tOF fyctiI?,,i 0 \MA ER AND fir WASTEWATER oz PROGRAM to- cc o- ,Arr sER\I 0 Original Certificate Date: 3 -'S / a The- u p. ft,,i: nchorage 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 blue sheet 10-10-12.doc If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: LAMPERT ESTATES BLK 2 LT 8 Parcel ID: 051-791-09-000 A. WELL DATA Well type PUB If A, B, or C provide PWSID # _ Well Log (Y/N) N Date completed N/A Sanitary seal (Y/N) N Wires properly protected (Y/N) N Total depth N/A ft. Cased to N/A ft. Casing height (above ground) N/A in. FROM WELL LOG AT INSPECTION Date of test NA NA Static water level NA ft. NA ft. Well production NA g.p.m. NA g.p.m. WATER SAMPLE RESULTS: Coliform NA colonies/100 mL Nitrate NA mg/L Arsenic: NA ug/L Date of sample: NA Collected by: NA B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC I STEEL Date installed 7/7/1995 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 511/13 Pumper JRs Pumping C. ABSORPTION FIELD DATA Date installed 07/18/2013 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.6 System type TRENCH Length 137 ft. Width 5 ft. Gravel below pipe 3.5 ft. Total depth 6.0 ft. (Measured 7/17/2013) Eff. absorption area 1295 ft2 Monitoring tube Y Depression over field N Date of adequacy test NEW SYSTEN Results (Pass/Fail) NA For 5 bedrooms Fluid depth in absorption field before test NA in. Water added NA gal. New depth NA in. Elapsed Time: 0 min. Final fluid depth 0.0 in. Absorption rate >= NA g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed 7/18/2013 Size in gallons 500 Manhole/Access (Y/N) Y "Pump on" level at 44 in. "Pump off' level at 42 in. High water alarm level at 48 in. Datum bohlitnio.P K Cycles tested Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot NA Absorption field on lot NA Public sewer main NA PUBLIC WATER Sewer /septic service line NA Animal containment areas NA On adjacent lots NA On adjacent lots NA Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas NA SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 104- Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Water Service line 104 - Building foundation 10'+ Water main 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+ (NONE KNOWN) F. COMMENTS Wells on adjacent lots 100'+ 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. Engineer's Printed Name KENNETH M. DUFFUS Date 7 /a 7/65 COSA brown sheet 10-10-12.doc PROPOSED Flp141E0 FLOW ELEV. (AsSuPEO) PROPOSED CU'.:OING CORNER E1£V. (A5NREW) ZONING OSmICT N80' 58' 50"W 206.00' FRONT BUILDING ETBAW 10' UTIL ESMT N SCE BUILOKG SETBACK C.O. REAR BUILDING SETBACK C.O. _ '. 7.5 G IT? 28.0'1 44.5' — co O N EXISTING cos.1M.H. HOUSE o % —° T5 \\ -___D,44 - 5.' _ py o s 28.0, Il�1rj iff 9 e / a r UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL 1RANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE. Cl ❑ it LOT SURVEY SURVEY TYPE SYMBOLS SET REBAR DasnxG PROPOSED Sizto DRAINAGE I.,Ars°.p{ ASPHALT O FOUND REBAR �`- i CONCRETE FOUNDATON AS -BUILT FINAL STRUCTURE AS -BUILT PLOT PLAN ... AS -BUILD ... LOT SURVEY ... TOPOGRAPHY AS -BUILT . NO CORNERS SET '' RECERTIFlCATON AS -BUILT... NO CORNERS SET ° 0 0 WOOD FENCE OOT ASSUMED ELEV. I /1111 X X X METAL FENCE WOOD DECK PLOT PLANS & LOT SURVEYS NOTE: ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE SHOWN. FENCE:S, WELLS. SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, ETC.. ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. IT I5 THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE TO RNISHED GRADE AND UTLITY CONNECTIONS AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. SURVEY CERTIFICATION m®'6,Ytwah@Hd4_ ®®'�-C� 9. /1 ®•.0 P``,, • \ •4p° ! �• ® '4 ^ ... p r• fig® •<. ;QST®� i l Prepared by Ro9ert E. Johns, Jr. & Assoc. Professional Land Surveyors 1700 Brink Drive. ANCHORAGE, ALASKA 99504 PLOT PLAN IM1vaby c.rNf that I haW phni=ally.—yad the lot drown d ae TM hereon, and that how found or aatublshed di of the ,t my in shown on the pion and to N. beet of my Moo<dge and nbeluew all d.meet how boon measured true Ona current. FOUNDATIC4 AS BUILT i. Roat,A E. aohne..t.hereby certify that I w pN i Bet survey M N. have foundation d thatol Na / &monot : Informaticn Oy than,: hereon are w r.o<d,mente east unless «h�•laa FINAL STRUCTURE AS -BUILT I, RWM E. &nit an, hereby Not I perleemed an Ae—DUAL y-twy of the structure on thl' lot nm that di the dmx.elma and nlumaRon . shown hereon mint..,add thew °se;. Scale: ,� n = 40� Rec. Lot S.F. Rec. Plat File No. Ill�J°°'ea - °. � •SJiR 1CI • 1 gR°O•BC°R"T E. ...°r°` ®mr12tif...az,i.41' 0 e 6'� �e69100a‘® trawa,® Dat. Surveyed: 07/1 7i Drawn by REJ Checked by M K Date Drawn: 07/17/13 Grid: 1459 W.O. 13-323 Lege! Description: Lot 8 BLOCK 2 LAMPERT ESTATEScG°,� 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, AI<' 99519-6650 www.ci.anchorage.ak.us (907)343-4744 ERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY. DWELLING Parcel I.D. 051-791-09 ',GENERAL.INFORMATION Complete legal descnption Lampeit Estates L8 B2 site addressor directions) 22545 Lampert Circle Chugiak AK 99567 HAA # /l�v6U 7 Expiration Date Location Current Prope Mailing address Lending°agency, Mailing address Real Estate Agent Mailing Address owner(s) "James Rosin 6 OV Cu7049 Day phone Cl.t utak, 995(v Day phone Day phone Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by:. ▪ NUMBER OF BEDROOMS: 5 ▪ TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class A Well Public Water System TYPE OF WASTEWATER DISPOSAL:', Individual On-site Z Individual Holding tank` Community On-site Public Sewer 111 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. (Rev. 11/99) 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 this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and ,type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on- ,. site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm 101f1Fmmnenrinn Phone 898-8111 Address 90441 Ptarmj.. Engineer's Printed Name Kenneth nuffua 6. DHHS SIGNATURE Approved for Disapproved. By. bedrooms., Date 8/29/00 OF Az / *-49 4Aw E //� KEENED j4 3-.. CE 711- 4. if S41)0 p�N FESSIOPS' ' \`o - Conditional `approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory W, (c) 0-e.t Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date. %— - 0 o Expiration Date' q— 10 " 0 1 Reissue Dates (Rev. 11/99) Municipality of Anchorage RECEIVE Department of Health and Human Services Division of Environmental Services AUG 3 1 2000 On -Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us MUNICIPALITYOFANCHORAGE (907) 343-4744 ENVIRONMENTAL SERVICES DIVISION HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lampert Estates L8 B2 Parcel I.D.: 051-719-09 A. WELL DATA �t Well type community A If A, B, or C provide PWSID #floqri Well Log Date completed Sanitary seal Wires prop y protected Total depth ft Cased to ft Casing height (a ve ground) in. FROM WELL LOG Date of test Static water level Well production / WATER SAMPLE RESULTS: AT INSPECTION ft / ft g.p.m / g.p.m Coliform colonies/1 0 ml Nitrate mg/I Other bacteria colonies/100 ml Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Date installed 7/7/1995 Tank size 1500 gal Number of Compartments 2 Cleanouts y Foundation cleanout y Depression over tank n High water alarm na Date of pumping 8/23/2000 Pumper JR's Pumping C. ABSORPTION FIELD DATA Date installed 1/10/615 Soil rating (g.p.d./f12 or ft2/bdrm) 0_6 System type deep trench Length 107' ft Width 2.5' ft Gravel below pipe 6 ft Total depth 10' ft Effective absorption area 1284 ft2 Monitoring tube y Depression over field n Date of adequacy test S/2.3/b D Results (Pass/Fail) pass* For 5 bedrooms Fluid depth in absorption field before test 23 in Water added750 gal. New depth37 in. Elapsed Time: 1440 min Final fluid depth 23 in Absorption rate >= 750 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) no If yes, give date (Rev. 11/99) D. LIFT STATION Date installed Size in gallons "Pump on" level at in" Pump off' level at in Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL O LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/clea .ut Sewer /septic service line Holding tank Manhole/Access High water alarm level t in Meets alarm & circuit equirements? SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 101+ Property line 10'+ Absorption field 10'+ Water main 25'+ Water service line 15'+ Drainage 1001+ Wells on adjacent lots 200'+ Surface water 1001+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 13' Building foundation 10' Water Service line 25'+ Surface water 1001+ Curtain drain 100'+ Wells on adjacent lots 2001+ F. COMMENTS *Field operational in top 4' of trenchonly G. ENGINEER'S CERTIFICATION 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 8�2 00 Date Kenneth Duffua Water main 2''+ Driveway, parking/vehicle storage 25'+ i ,oOF-ALA /0\ .1 1,49 KENNE D CE-711fil S' 4 d;s41 N,L�/ N, r'RDFEssio0v HAA Fee $ Date of Payment r/c %4'0 Receipt Number U/ ;n 7) (Rev. 11/99) Waiver Fee $ Date of Payment Receipt Number