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Home My WebLink AboutDELAKS ADDITION LT 12Cbelctks Addn Lot 12C #090-021-48 • _sem Municipality ' r-.\ ofAnchorage .' II '� t Development Services Department ?�l-a-11" \ Building Safety Division ''l�—� . On-Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page www ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: sw080150 PID Number: 090-02148 of Name MIKE MILLER Wastewater System: fil New ❑ Upgrade NddNs 1120 E. HUFFMAN ROAD #23 ABSORPTION FIELD Prom 351-4330 Number a Badman. 2 B Duro trend, 0 Shaine/ Trench 0 Bed 0 Maus 0 Other LEGAL DESCRIPTION Soil Rama 0.45 GPD/rte Total Depth from drug n& grace 7.0 Ft. Block Lot 12C Sueanson DELAKS ADDITION Depth to ppfromangora' . bottom goa' grade 1.9 Ft Gravel depth barpipe 5.1 FI Tovmsnp Range Section Fu aloed above ong.a grade 1.3 Ft. Grans Larpm 76 Ft. Well ' pg r❑New ❑U rade Gravel mom 2.5 Fl. Number of arra 2 Distance between rias 10 MIN Ft Classification (PrNM. A B. C) PRIVATE Total Depth 80 FI. Cased to 80 Fl Tam absorption tae 775 Ft' Pipe Material ASTM 03034/F810 Dreier HEFTY DRILLING INC. Date Droned 8/1/08 Stamp Water Leel 65 FL Installer TWEED EXCAVATING Date nstated 8/6/08 Yulo 15 GPM Pump Sera 76 Ft. Casing Her/ mon Ground 2 FI TANK SEPARATION DISTANCES El Septic • Holding 0 S.T.E P. • Other. To From Septic Tank Absorption Field Lift Station Holding Tank >uolxyPnvate Sewer Line M""Aa°uOf PREMIER PLASTICS Cweulr 1000 as well 1004. 100'. 754. Material HDPE Number ol Compartments 2 Surface Water too•. 1001. LIFT STATION /------- Lot Lave 5'4. 101. Size Size Gal , awl octal Foudaten 51• 101. 'Pump on' level at 'Pump off - al n Hon weer mem at n Cmrfan Dran NONE KNOWN Pump MUMS ....• ' :MVF,. Electrical Inspectors performed Per Remarks l',„ PON Locaton and Desaphon . l,' f TOP OF DECK AT POINT •C r I luwned Camino . / 100 FI. US Engineering • ' • Inspections performed by: 15561 t Birchwood ID. Rd. Dates: 11t 8/6/08 Engineer's Stamp : �� A _ a>• s ••.•a ••e• "TS+� 1 • :v_ e11%i s /.• 1. ,k r. .«ea.e.—Jn. 10 Oa 4oM • A. • 74 iigF`o �F �<,,,�►s Owg ak, Alaska 99567 2n° 8/7/08 Development Services Department Approval Conditional Approval Date: Re ie6wedandapprovedby: /J'/�////�.//id- (/ Date: 7-1 7- 0a PERMIT No SW080150 PAGE 2 OF 4 Municipality of' Anchorage DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, 4700 BRAGAW STREET P.II. Box 196650 •Anchorage, Alaska 99519-6650 •Telephone. (907) 343-7904 • www.ci.anchorage.ak.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT.12C, DELAKS ADDITION S/D P.I.D. NO. 090-021-48 PERMIT NO. SW080150 PAGE 3 OF 4 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, 4700 BRAGAW STREET p fl Box 196650 *Anchorage, Alaska 99519-6650 • Telephone, (907) 343-7904 • www.ci.anchorage.ak.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL. LOT.12C, DELAKS ADDITION S/D P.I.D. NO. 090-021-48 i i he / i /i /Cs./ 1 - 60 LOT 21 i i i i // i /� / LOT 22 i �A.��i He. 113N1 t h��da.1. PERMIT NO SW080150 PAGE 4 OF 4 Municipality of' Anchorage DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, 4.700 BRAGAW STREET P.D. Box 196650 *Anchorage, Alaska 99519-6650 •Telephone: (907) 343-7904 • www.ci.anchoroge.ak.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT12C, DELAKS ADDITION S/D P.I.D. NO. 090-021-48 FINAL GRADE ORIGINAL GRADE 96.8' MTI=89.8' MT2=89.8' FINAL GRADE TOP OF TANK 95.4' 95.1' CO1=98.1' 7002=98.1' �2" INSULAT • CO1=94.9' CO2=94.9' _ CO3=97.3' 7 C04=98.1' MT3=89.8' MT4 =89.8' 4 NO WATER FOUND 83.8' B.O.H. STI ST2 NEW 1000 GALLON HDPE SEPTIC TANK 97.9' 2" INSULATION 94.9' CO3=94.9' C04=94.9' ENGlisw - :r - A. Vials �• -. M.. 14974 I;40P°ROFess .. A B C FCO 8.0 - - ST1 - 44.0 39.0 ST2 - 50.0 45.0 TMT - 50.0 46.5 DBL1 - 51.5 46.5 DBL2 - 53.5 48.5 FS - 62.0 55.0 C01 - 61.0 52.5 MT1 - 60.0 54.0 CO2 - 47.5 34.5 MT2 - 49.0 36.0 CO3 - 83.5 77.0 MT3 - 82.0 75.0 C04 - 60.5 46.0 MT4 - 60.5 46.0 ENGlisw - :r - A. Vials �• -. M.. 14974 I;40P°ROFess .. 1.02 Perlormed For: Legal Description: 1 2 3- 4 - Depth (Feet) 5- 6- 7- 8- 9- Municipality of Anchorage Development Services Department Building Safely Division On -Site Water and Wastewater Program 4700 South Bragaw SI. P.O. Dox 196650 Anchorage, AK 99519.0650 www.munl.org/onsite (907) 343-7904 Soils Log - Percolation Test ��M IKE MILLET tILL T tor ix) MS 'W' lownship, Range. Section: Slope .q.Is ..ts,4 s 1 * Ob000m0000loo D. oPer med - oC4 IGS -rnL . 0,6 0; o. :G 10- :Q + 6cJ 13- 14- 15- 16- 17- 18- 19- 20 - COMMENTS too WAS GROUND WATER ENCOUNTERED? No a IF YES. AT WILAT DEPTH? • L Depth to Wolin. ARo 1. OP Monitoring? E Reading Dale'. Date gootl,S 8 Site Plan Gross thne cG1t931 t1 PERCOLATION RATE (eyyuNµy,l TEST RUN BETWEEN FT AND r Li iii" citel S ITL Pu1,J Net Time Depth to Water rhITV*/ t7T PERC HOLED AME TER FT Not Drop PERFORMED BY: 1 • CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ilefity rifling, in et Hefty Drilling Inc. 3540 Akula Dr. Anchorage, Ak. 99516 345-0593 3454700 Fax. HeftyDrilling@aol.com Water Well Decommissioning. Decommissioned well on 08/07/08 per. Municipal code title 15.55 Cut off well casing 2' below ground surface and filled well with Bentonite chips in a bridge free manner and sealed with a 0.250 inch thick steel plate welded to the top of the casing. Name....Mrice Miller Address: City: Bird Creek Subdivision: Delaks Addition Lot 12C Block: _:t_Ct if r?i-t .tiigt r:1G. Well Log Mr- r 11':. _ .. Ti'm;' Seri:_ vowfiJtr.fr, ;yt:r:'ca (90;) :45-pcn3 Drilling Staved�.':08'OO& nmpictal:Q r1 12098 C'itv/Boruugh: Subdivision: BLOCK 1.OT .04 Progeny Owner Name &Address: Mike Miller Bird Creek Delaks Addition 12C 1120 E. Huffman Rd. #23 Site: Bird Creek Anchorage, AK 99515 Meridian Township Range Section . %a of r%of % of VA BOREHOLE DATA(from top of casing)oepth Material: Type, Conor & wetness 'mm To __ _ _ Drilling method: (X ) Air rotary. ( ) Cable tool. Other___ „ Well use: ( I Public supply. (X ) Domestic. Other stickup 0 2 Depth or hole: 80 A. Casing stickup: 9 ft _ Casing typc:Steel_ Thickness: _250__ inches _, Casing diameter: 6 inches Casing depth: 8p ft overburden 2 4 ,_ _ __ Liner type: - Diameter: _inches Depth: - fi & Static water (from top of casing): 65 fi onQ 'Q4:2QO8 silty clay gravel 4 10 Pumping level S yield: _ fosa atter _ _ hours at gpm Recovery rate: 15 gpm. Method of testing: airlift cobbles 10 20 Development method: airlift Duration: 1 hour silt / gravel 20 60 Well intake opening type: ( X) Opcn end.1 ) Opcn hole. Other ____ Screened: Start: - ti, Stopped ft moist sand & gravel 60 73 _ _ _ _r__ Screen type: - Slotimcsh size: - Perforawd: Stan: - ft. Stopped: ft wet sand & gravel 73 76 _'_ Stan: - IL Slopped: - Il Note: gravel w/ H2O 76 80 Grout type: _bentonite_ Volume - Depth; from groundsurface - ro ______ 20+_. _.R Pump intake depth: 76_ ft Pump sin: 1/2 hp. Brand name: Red Jacket Was well disinfccnxl upon completion? (X) Yes. ( ) No Mcthod of disinfcciion:CaICIUM.HypOChtorite..(.Chlorine)._ Driller contmcnts'' disclaimers•• Well driller name: Johnny Company name: Hefty Drilling, Inc. Mailims address. 3540 Akula Dr. City:-AfChOrage_ State: 99516 _ , _ ALC.. Zip Plume number: ( 907) 345 - 0593 fa)c345-4700 Drillers sietwturc: [I Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Section 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Attention: ProperL owner shall provide a well log to the DSD within 60 days of well completion. Permitmr. Date ofNuIssue:be.Int /11 DSW0801500O(1 Parcel Identification Number. 090-021 —48 1. well located at approved permit location? 1 X) Yes or ( ) No Pump Installation Log pit St ,},a, m; Kc nik r DATE: o8 fo7 fob Thiess Adapter Manufacturer's Name: Cp r.i &f 61O -X Pitless Adapter Installer: Mile epap i 5 PULPtugsTYPE 51/419014151 le CNS I& V a '71 SEmM. R Pi MOP TYPE: Two N Wt N eatat. Mai POaER CMS` TooSpel L7w.0 c6'`^^SOo Cotautt YJ t o✓ it BECTMCLL: Wts 4' .3O MITT Lo ',/ / T Wet TAMC TIM MIb/+Of ✓✓X` EWA Sino Ao. 0 G4 1 TOL CASoOk of txd TIM 54-eti cap MOLE: fraw �0 To 90' WAKE STAUCUME: boo fl ees, e/td front To OPETI MOLE: from • well was disinfected upon completion. method: calcium hypochlorite. '',pelf p. iel- PL'""2' Se1'Vir, '`.111: o1'ry e, r (^ rC (90?) 345-0593 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM 1 WATER SUPPLY PERMIT Upgrade Permit Number: SW080150 Legal Description: DELAKS ADDITION LT 12C Design Engineer: 0003 S & S ENGINEERING Owner Name: MIKE MILLER Owner Address: 1120 E. HUFFMAN ROAD #23 ANCHORAGE , AK 99515 - Date Issued: Jul 31, 2008 Expiration Date: Jul 31, 2009 Parcel ID: 090-021.48 Site Address: Lot Size' 17834 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of: E Disposal Field E Septic Tank ❑ Holding Tank ❑ Privy J Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). g. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. A. A confirmation test hole for the reserve absorption field (shown on the plans as ALT IDSF) shall be excavated prior to construction of the operational absorption field. Received By. — �� Date: Issued V am) PS. 1 fe� Date: 730 9 Municipality of Anchorage Development Services Department Building Safety Division• On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. Og0- f& Property owner(s) MIKE MILLER Mailing address 1120 E. HUFFMAN ROAD #23 Site address �94 DELAKS WAY Day phone 351-4330 Zip Code 99515 Zip Code Legal description (Sub'd., Block & Lot) L12C DELAKS SID Legal description (Township, Range & Section) Lot Size M, T3Y' Sq. Ft. Number of Bedrooms 2 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field 9 Initial 0 Septic Tank 0 Upgrade 9 Holding Tank 0 Renewal 0 Privy 0 Private Well 0 Water Storage 0 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. 1/177 (Signature of property owner or authorized agent) Permit/Rush Fees: %CI —S Waiver Fees: Date of Payment: 1/3078 Date of Payment: Receipt Number. 0 3511b Receipt Number: (Rev. 11/05) S&s 'Eng[nee Z1flQ hi tCALTN AUT HOIU TY APPROVALS s[WEn&WATER MAN EXTENSIONS SEWER& WATER INSPECTION ENGINEERI.NGSTUDtS Aho REPORTS WELL INSPECTION & FLON TEST SITE PLAN ROAD DESIGN SOIL ET PEACOAT ION TEST STRUCTURAL& MECHANICAL INSPCCT:ONS ON SITE W E:TEIYATER DISPGO.AL SYSTEM CCS:GN ROBERTC.COWAN, RE. ROBERTA. SHAFER, P.E. July 29, 2008 MUNICIPALITY OF ANCIIORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 12C DELAKS S/D CIVIL ENGINEERS (907)694-2979 FAX (907) 694-1211 It is requested that you issue a permit to install a new septic system and well to serve the existing two bedroom house on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation (7/25/2008) water was not found. After seven days of monitoring, no ground water was found. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/elle Enclosure 15861 S. Birchwood Loop Road — Ctlagiak, Alaska 99567 r 00-3 tD 0 r7 r cn cn 0 Performed For. Municipality of Anchorage Development Services Department Building Safely Division On -Site Water and Waslewaler Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519.0650 veiny .munl.orgtonsilo (907) 343-7904 ,y� Soils Log - Percolation Test RI/l IKE- /fl Lte 1 Legal Descriplion: OT /a6 )Drag 5 s//t / Slope 1- 2- ® 4 - 5- 6- 7- 8- 9- 10- 11- 12 13 14- 15- 16- 17- 18- 19- ..\e3 4- 15- 16- 17- 18- 19 - Depth Feel) T 20 - COMMENTS •-6m��►t L WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? Depth to Water After Monitoring? cic 6rytsy4eh t[) i3oH Date' ,, 1 unuINI1C / s, ROBERT C. COWAN .A`o\ C:-88012: "'1111 114 f ,.... , 1,. 1~ + 11112= 4� VA' Dale Performed: Township, Range. Secllon: Sile Plan Carnt�C.ttt' » PEri&) 6 T Fotr Reading Dale Gross Tirne Nel Time Unpile to Water Not Drop :tee 7f0s lit) )" CS an 0 3o 3 awe VIA a" 30 60 a5/s 0" ,,,„ 30 qo a r2'72 1 a" ,p 17-40ay¢e: ,.( a4 ,74t 160 a%L" yL' 2'4 0 /ED aa" /i r PERCOLATION RATE Iminw.Nnde r PERC HOLE DAME TER 6r TEST RUNBETWEEN FT AND FT PERFORMED BY: J (,ate"—CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON TRIS DATE. DATE: S&S "'EngineeR1fQ MAI ruv.. HEALTH AUT APPROVALS SEwtn &WATER LWN ID<TENS:ONS SEWER&WATER INSPECTION ENGINEERING5!UD (5 ANDRE PORTS WELL INSPECTION arIG'nEST $ITE TICS ROAD DESIGN SOIL TEST PE RCOLA:ION TEST STRUCTURK 6 MECHANICAL PCPECTICNS ON 5,1E 'WASTEWATER (t,PGSAL SYSTEM DESIGN ROBERT C. COWAN, P.E. ROBERT A. SHIAFER, P.C. CIVIL ENGINEERS (907) 694-2079 FAX(907)C94-1211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 12C DELAKS Subdivision July 29, 2008 GENERAL: 1. The scope of this project includes the installation of a new 1000 gallon HDPE septic tank, installation of new septic trenches, and drilling a new well to serve the existing two bedroom residence located on the referenced property. Existing well and septic system to be abandoned according to muni code. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Development Services Department or ADEC if required, for system installations. Owners installing their own systems must also receive prior approval from the respective agency. 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. All HDPE septic tanks are required to have a 4" monitoring pipe installed next to the tank extending to the bottom of the tank. 15861 S. Birchwood Loop Road —Chugiak, Alaska 99567 Page 2 Lot 711, Eagle River Valley Ranchettes Subdivision March 2, 2007 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. All HDPE septic tanks are required to be covered with a minimum of 2" direct burial insulation, and a maximum of 4 feet of cover. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCII/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page 3 Lot 7A, Eagle River Valley Ranchettes Subdivision March 2, 2007 5. Backfill over the final gravel layer must not be Tess 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 Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pine Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam 111 or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. Page 4 Lot 7A, Eagle River Valley Ranchettes Subdivision March 2, 2007 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 contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR / INSTALLER M -W DRILLING, Inc. P.O. Box 10-378 • 10300 Old Seward Highway - ' (907) 349-8535 =' ' ANCHORAGE, ALASKA 99511 DRILLING LOG Well Owner MICE b?I T fl/" p/Ya 1%c i�^a Use of Well TL'Tlnest: 3C Location (address of: Township, Range, Section, if known; or distance main road tot 12r, Delat Subdivision pi,*477" cvee/to (4)/t 5io S S£v nEgSo 9, T/a.N/e/&J ism Size of casing 6" Depth of Hole 81 feet Cased to fid. 7 feet ' tA30�- Static water level 69 ft '(above) (below) land surface. Finish of well (check one) open end (:O( Screen (, ); Perforated ( ). + Describe screen or perforation Well pumping test at ' in gallons per (hour) '' (minute) for- " 1 hours of drawdown from static level . Date of completion " A„ •ter 7 A 1218 t , u=� is + 4� Y z - WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO 2 TO 3 3 TO, 30 30 TO 78 (;ray silty gravel (dam) 78 TO R1 Warerbenrvnv ?revel :rav silty gravel' TO TO' TO TO. TO TO TO cc:,966S •(ye+.+,nr.-M.MzierreTrs ""rerfii,7, tn17,*+'":"7"N•-tn'yr-trVrrftrYL.r:.yST.t:S.c.- ... M -W DRILLING, Inc. ,, �. -s P.C. Box 10-378 • 10300 Old Seward Highway'. (907) 349-8535 ; %; ANCHORAGE. ALASKA 9951t''r. DRILLING LOG Well Owner HDT r7T1fl/ ' h4v ? k/ ,,,,� s ofWell Ili rst i r Use We Location (address of: Township, Range, Section, if known; or distance main road Tot 17C D'lni6Subdivisfnn f1R:aT,i • well ca /t,.. • '510 y S Est Sit/ nil I.Si>G 9J T/oa/, !e /e<3 S Size of casing 6" depth of Hole Al feet Cased to fn 7 feet iJ07 • Static water level 6o ft. '(abave) (below) land surface. Finish of well (check one) open end ( s.1t - Screen ( ); Perforated ( Describe screen or perforation ' non,. 1 er r' Well pumping test at_1 fl gallons per (hmir) (minute) for.' 1 tours with 1 nriet t of drawdown from static level:,1%. ;>‘':.';r.;_ Date of coinpletioriT r . nns • .! 1 h :. 1 qR7'°'' WELL LOG Depth In feet from : `:. a • ,:•. e.•' • ground surface • Give details of formations penetrated, size of material, color and hardness -C1;710 2•:. TO= 3fl • (kali silty rr,nyel 30 TO,.. 7g • GrsztN)lty crwlel (tla'•n) . .. ::41. -i44....;....1;;.+.} - -`L•, &.T0 • R1 lhte*errinn. rrw^l . • `. •' - •31:-.:,-2,-"._=-::%, 4 k , , r _-:..1''..•.1:17; ):. TO ..: -. Ir1 „•.„ c •r K..:~ •••-i 1 '� ; ft.. '......7v� y' t. (. i .. 0 TO • TO TO TO TO TO cc:.9665 kWrit S786 • ., _ - 3—CONTRACTOR ' 1 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 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING j� p Parcel I.D. O D /VII Lis COSA# :02osi4 1. GENERAL INFORMATION Complete legal description Lot 12 C; Detak's Subdivision Expiration Date: 1.2.- /7- 08 Location (site address) Delak's Way and Sawmill Road, Bird Creek, AK Current Property owner(s) Mike Miner Mailing address Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address 1120 E. Huffman Rd. 1123 Anchorage, AK 99515 Day phone 3514330 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 2 TYPE OF WASTEWATER DISPOSAL: a Individual On-site 0 ❑ Individual Holding Tank 0 ❑ Community On-site 0 O Public Sewer 0 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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 se's Engineering Address 15861 S. Birchwood Loop Ow 56 Engineer's Printed Name '/C Date 7//S/rte Phone 694-2979 5. DSD SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bit n y • r - 9,�1 $eo# «.r «f U574 f i 1 o-"•••••••#...0.�'C bedrooms, with the following stipulations is ``ktl1YfOFif Lee • 0N -SITE ••' WATER AND m= WASTEWATER = )))))))»)),- lel Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory By:) (R.v 1InS) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other 2--tOriginal Certificate Date: Ci — 1 7- OS Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: 1 -67 -lac', ; -uqe t A. WELL DATA Well type:al/WM- Date completed _ Total depth80 ft. Date of test Static water level Well production HA, 6, or C provide PWSID # Sanitary seal 6N) Cased to Fa ft. FROM WELL LOG AS 1.D.0 ft. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 4.121 mg/L Arsenic: N'b ug/L date of sample: /15/27/08 Collected by: 1 94' 5 Gn ,,'or J►$% B. SEPTIC/HOLDING TANK DATA Tank Type/Material Scrrtc/14 Date Installed SetkS Tank size thin:9 gal. I Number of Compartments 9 Cleanout ) %/ECj Foundation cleanout&) '/F`S Depression over tank (Y� Alt)Highwater alarm (Y®/00 I Date of pumping — OM- "' Pumper "' A)E-t.l)1 s- '/V1 - i C. ABSORPTION FIELD DATA' S g.p.m. Parcel ID: 070-021 - '+$ Well to Wires properly protected) rit3 Casing height (above ground) -t- in. AT INSPECTION Other bacteria 0 colonies/100 mL Date installed6/b -7/CS Soil rating Car ft2/bdrm) 0.4 S System type brr-P Tutsi Length' %(o� ft. Width a.s r ft. Gravel below pipe 5.1' ft. Total depth F.S ft. EN. absorption area 77Sft2 Monitoring tube `/65 Depression over field No k)44Date of adequacy test - t3/F1 -- . Re6u t (PanTs/Fail) For Fluid depth in 'absorption field before test In. Water added New depth_ in. Elapsed Timer _ min. Final fluid de • . _ . Absorption rate >= g.p.d. Any rejuvenation treatment - mo.) (Y/N & type) If yes, give date D. LIFT STATION /3'11 Date installed Size in gallons "Pump on level at _ in. 'P Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot /00 4' Absorption field on lot /00 f Public sewer main Jt�/1i Sewer /septic service line 5r+ cess (Y/N) evel at _ in. High water alarm level at in. Cycles tested Meets alarm & circuit requirements? Animal containment areas r/r On adjacent Tots /00 f / On adjacent Tots /00 -/ Public sewer manhole/cleanout .0/» Holding tank %e/� Manure/animal excrete storage areas N/%4 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: / Building foundation C t1- Property line S 4- ( Absorption field 5 -F / Water main AVM Water service line /0 -:- Surface water /0 'A Wells on adjacent lots /CO 4 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: / Property line /0 "f Building foundation /0 f Water main it.)/n- r r r Water Service line /V -/ Surface water /00 '� , Driveway, parking/vehicle storage /D "y" Curtain drain /00/DEaOu Wells on adjacent lots /00 % F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determin: - •ugh field inspections and review of Municipal records that e above syst: s a = in conformance with MOA CO g :line lin ecis d te. Engineer's Printed Name Date ' S 09 COSA Fee $ Date of Payment /30 VS4 Receipt Number 0a5Rtoh- (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number SGS Environmental Services Inc 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907) 561-5301 SGS Ref. #: 1084563 All dates/times are Alaska Standard Time Client Name: S & S Engineering Printed Date/time: 09/12/08 15:19 Project Name: Delak's Addition, 112C Collected Date/time: 08127/08 14:50 Client Sample ID: Delak's Addition, L12C Received Date/time: 0827/08 15:40 Matrix: Drinking Water Technical Director. Stephen Ede PWSID Released 8 Sample Remarks: Allowable Prep Analysis Parameter Results P0l Units Method Limits Date Date Init Colony Count 0.00 9222B 0827/08 08/27/08 dlc Total Coliform Count 0.00 92220 08/27/08 0827/08 dlc Fecal Coliform Count 0.00 92228 08/27/08 0827/08 dlc Nitrate 0.61 0.10 mg/L EPA 300.0 10.00 09/11/08 09/11/08 )dz Arsenic ND 5.00 ug/L 200.8 10.00 09/02/08 09/05/08 nrb Found 5I8' Rebar LOT 12A LOT 128 5456-A 1/4 1 at% O4. tic Set 518. Rebar rbo R=20.00 L=31.42 Found 518" Rebar�� 110 ,% \ Robert L Former .nf �S 15 707 SCALE: 1a= 30' t1 OOA • ••• :