Loading...
HomeMy WebLinkAboutFIRE LAKE LT 3 LT K1Onsite File Fire Lake Lot 3 Lot K1 #051-333-43 Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211388 PID Number: 051-333-43 Dwelling: 9 Single Family (SF) El with ADU El Duplex (D) F71 Two Single Family Project: El New FIM Upgrade Name DENNIS AND RUTH CHARTRAW ABSORPTION FIELD On Deep Trench I Wide Trench 171 Bed 171 Mound Site Address 18530 FISH HATCHERY RD EAGLE RIVER El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2 GPD/SF I 10.4-10.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.4-4.5 Ft. Gravel depth beneath pipe 6 Ft. Subdivision Block Lot FIRE LAKE LOT 3 LOT KI Fill added above original grade 0 Ft. Gravel length 36 Ft. Township Range Section Gravel width 2.5 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 432 Ft2 Ft. Well >100' >100' NA NA >1 0, TANK 9 Septic [:1 S.T.E.P. El Holding 171 Other .Manufacturer Capacity Surface Water >100' >100' NA NA greer Gal. Material -1000 Number of compartments Lot Line >10' >10' NA NA NA plastic 2 Foundation >10' >10' NA NA LF—T_STATION Manufactu Capacity Remarks 2" insulation over tank Gal. Alarm location EIec stalled by Installer Tank to 3034 PIPE MATERIAL House to tank 3034 drainfield JRs SEPTIC Drainfield 3034 CO/MT3034 Inspector Curtis Townsend BENCH MARK (Assumed elevation) 100 ft Inspeates:ction 151 11/1/2021 2nd 11/2/2021 d Location and description 3`d 12/11/26 4'h bottom siding point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date ®A 9# .40 0 ............... . ,� .......... L J .. T 17 ?o",•No. C 11904 Septic System Approved Date > >q aa�z Note: this approval does not include well permit requirements. 4FDPR-OFEW*\•— THERE ARE NO STEEP SLOPES WITHIN 50' OF THE PROPOSED TANK. 100' RO P� P� ONER �N � EP LL O C i 'SLOPE < 17.N_ 16 B i i WELL DRILLED 2001 TO A DEPTH OF 62', �\ SWL 35' 100' 40T 00' SCOPE OF WORK 1. EXISTING SEPTIC TANK WAS REMOVED AND CRIB WAS ABANDONED. 2. PLACED NEW 1,000 GALLON TWO—COMPARTMENT SEPTIC TANK AND TIED INTO NEW ABSORPTION - SYSTEM. NEW TANK AND FIELD ARE OUTSIDE THE 100' WELL RADIUS. TANK WAS PROVIDED WITH A MINIMUM 20" DIA RISER SERVING THE FIRST COMPARTMENT. 3. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. 2\ 3 BR HOME FCO 0 0 V r� 0 J [—LOT 1-1 NEIGHBORING SEPTIC IS>10'FROM PROPERTY LINE DESIGN PARAMETERS BEDROOM: 3 (450 GPD) SOIL PERCOLATION RATE: < 1 mpi APPLICATION RATE: 1.2 GPD/sf AREA REQUIRED: 425 SF SYSTEM TYPE: DEEP TRENCH 36'x 30" x 6' EFFECTIVE DEPTH YIELDS 432 sf MAXIMUM DEPTH OF EXCAVATION WAS < 11' S}, Record Drawing Prepared for DENNIS AND RUTH CHARTRAW •.�P��.DF 14�5��� 18530 Fish Hatchery Rd Eagle River, Alaska 99577�,.�' FIRE LAKE LOT 3 LOT K1 49T-" � OSP211388 �........../................................� = ... (^ 0 ............ ...................... T' o EKLUTNA ENGINEERING, LLC DATE: 1/17/2022 .�, •CURTIS TOWNSEND: �#�i Na. E 11904 19162 MOUNTAIN ROAD DRAWN: CLT ��J` `•. �%Cj��2z ••,••'�,� CHUGIAK, ALASKA 99567 SCALE: 1" = 40' ���;U••�''((•.......`� (907) 406-1058 PID: 051-333-43 SHEET 2 OF 3 ,,TA ILS� C01/2 > ; MTI /2 Cn u� OG/FG 98.1 — 98.2 9 4. 4 1000 GAL SEPTIC TANK 2" INSUL MARK A B SO 30'-1 " 56'-11 " 5V2 32'-7" 58'-8" DCO 34'-11 " 60'-5" CO11MT1 39'-11" 63'-7" CO2/M T2 24'-3" 29'-11 " M NU UNUUNUWAI LK IN AUGUST Record Drawing Prepared for DENNIS AND RUTH CHARTRAW 18530 Fish Hatchery Rd Eagle River, Alaska 99577 FIRE LAKE LOT 3 LOT K1 OSP211388 EKLUTNA ENGINEERING, LLC 19162 MOUNTAIN ROAD CHUGIAK, ALASKA 99567 (907) 406-1058 DATE: DRAWN: SCALE: PID: 051-333-43 1/17/2022 CLT 1" = 5' SHEET 3 OF 3 TH PERC < 1 m pi 1 OF •..•••• ..5�� J� 49TH :� �. ... ......... .. ................a'5 ♦��';CURTIS TOWNSEND.- ♦♦moi No. �E 11904 i FILE NAMESHEET NUMBERSURVEY DATESTAMP:SCALECOMPANYNMICHAEL KELLERFeet40200 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 :l/www. muni.org/onsite I I I lnl! I el)arfment Effective Date: Expiration Date: Lot Size in Sq Ft: TotalBedrooms: On-Site Wastewater Disposal System Permit Permit Number: OSP2113BB Work Type: Septic Upgrade Tax Code Number: 05133343000 Site LegalAddress: FIRE LAKE LT 3 LT K1 G:0554 Site Mailing Address: 18530 FISH HATCHERY RD, Eagle River Owner: CHARTRAW DENNIS L & RUTH A Design Engineer: EKLUTNA ENGINEERING, LLC* This permit is for the construction of: M Disposal Field EI Septic Tank E Holding Tank [3 Privy E Private Well fl Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. Allrequirements specified in Anchorage Municipalcode Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (1BAAC72) and Drinking Water Regulations (1BAAC80) 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 (2417). 4. From Oetober 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 9t23t2021 9t2312022 42553 L( f z"z1ilr^, MUNICIPALITY.OF Development Services Department On -Site Water & Wastewater Section Parcel I.D. 051-333-43 ON-SITE SEPTICM/ELL PERMIT APPLICATION Phone: 907-343-7904 Fax: 907-343-7997 Property owner(s) CHARTRAW DENNIS & RUTH Day phone Mailing address 18530 Fish Hatchery Rd Eagle River AK 99577 Site address 18530 Fish Hatchery Rd Eagle River AK 99577 Legal description (Sub'd., Block & Lot) r`uno-rnnni�in�i Q ke Li�3 L+ Ill Legal description (Township, Range & Section) Lot Size 42,553 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 initial ❑ Single Family (SF) 0 (w/wo AD U) Septic Tank El Upgrade Q Duplex (D) ❑ Holding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal �gdes. ` (Signature of properly. owner or authorized agent) Permit/Rush Fees: 9 59 5 Waiver Fees: Date of Payment: �C'l zuz 1 Date of Payment: Receipt Number: OI X15 lQ Receipt Number: Permit No. 0 spaii 38g Waiver No. t GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Eklutna Engineering, LLC curtistownsend @gmail.com September 22,2021 Subject: Fire Lake Lot 3 Lot K1 Upgrade Septic System Permit Request Narrative osP 211388 This is a design narrative for a permit to upgrade the septic system at this property. The proposed system will have capacity for a 3-bedroom house. The existing tank and field are greater than 40 years old. The existing septic tank will be removed and disposed of. The system will utilize a replacement 1,000-gal septic tank and new deep trench. t. Soils. One test hole was performed in the vicinity of this system by Eklutna Engineering in August 2021., and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 17' below the surface in the test hole monitor tube in August of 2O2t. lmpermeable layers were not encountered in the test hole to L7'. The soil percolated at < 1 min/inch. Gradation analysis shows that this soil is poorly graded sand. A deep trench will be constructed. Maximum total excavation will not exceed 11'. 2, Soil Absorption System Design. See Sheet 1 of the design package 3. Wells. This lot and the surrounding lots are served by private water wells. MOA has documentation for these wells. There are no wells within 100' of the septic system. Neighboring Wastewater systems. lmmediate neighboring septic systems are all +30' distant. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 5. Topography: The area where this trench will be installed has a slope of less than L%. The proposed installation will not affect the future development of this or the surrounding lots. Sincerely, Curtis L. Townsend, P.E. 4. 5. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211388, Rebecca Carroll, 09/23/21 ARE NO STTEP SLOPES 50' OF THE PROPOSED lz 4 I MT, UNKNOWN DIMENSIONS OF EXISTING FIELD l7 4 I l := &-- rd - ,<,1$v'> WELL DRILLTD 2OO1 TO A DEPTH OF 62" SWL 35, / / LI 4"\-cl ,\ sf3. /---- \ -tsLoPE < r% \ T \,, SCOPE OF WORK1.EXISTING SEPTIC TANK IS APPROXIMATELY 1,OOO GALLONS IN CAPACITY. CRIB HAS APPROXIMATELY 5, EFFECTIVE DTPTH. REMOVE TANK AND ABANDON CRIB. PLACE NEW 1,OOO GALLON TWO-COMPARTMTNT SEPTIC TANK AND TIE INTO NEW ABSORPTION SYSTEM. ENSURI NEW TANK IS OUTSIDE THE 1OO, WELL RADIUS. TANK IS TO BE PROVIDED WITH A MINIMUM 20,, DIA RISER SERVING THE FIRST COMPARTMENT. ALL CONSTRUCTION TO BE IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. DESIGN PARAMETTRS BEDROOM: J (450 GPD) SOIL PERCOLATION RATE: < 1 mpi APPLICATION RATE: 1.2 GPD/st AREA REQUIRED: 425 SF SYSTEM TYPE: DEEP TRENCH 36'x 30" x 6' EFFECTIVE DEPTH YIELDS 432 MAXIMUM DEPTH OF EXCAVATION TO BE 11' /O Lor t-t NIIGHBORING SEPTIC IS > 10, FROM PROPERTY LINE .oh "1 ' ^D.v //1Y-',,' li' '"ij';&4 -\ Septic Design Prepored for DENNIS AND RUTH CHARTRAW 18530 Fish Hatchery Rd Eagle River, Alaska 99577 FIRE LAKE LOT 3 LOT K1 osP21 1388 EKLUTNA ENG/NTIR/NG, LLC 19162 IVOUNTAIN ROAD CHUGIAK, ALASKA 99567 (e07) 406- 1 OsB DATE: 912212021 DRAWN: CLT SCALE: 1" =40' PID: 051-333-43 SHEET 1 OF 2 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211388, Rebecca Carroll, 09/23/21 SOILS LOG _ PERCOLATION TEST 2021 TEST HOLE i 2 3 4 5 6 7 B I 10 '11 1a tz IJ 1+ 16 17' DATI ORGANICS t fr(ul Y I fl PERFoRMED: 8/23/2021 WAS GROUND WATER ENCOUNTERED? NO DEPTH TO WATER AFTER MONITORING? NO DArE 8/30/2021 WATER READINGS NEAREST 1/16 INCH. PERCOLATION RATE: < 1 MIN /INCH SOIL CLASSIFICATION IS SP PERC HOLI DIAMETIR: 6" TEST RUN BIIWEEN 4 AND 5 FEET. PERFORMED BY: CURTIS TOWNSEND. I, CURTIS TOWNSEND, CERTIFY THAT THIS TEST WAS PERFORMED WITH ALL STATE AND iVUNICIPAL GUIDELINES lN EFFECT ON THIS DATE. DATE: 8/3O/2O21 ACCORDANCE 2001 -01 NO. DATE CLOCK TIME NET TIME'MIN. WATER LEVEL READING 8 /30 /2021 1q.4ql14.ql A o-uo z 8/30/2021 1 9: 56 /20: 00 4 6"-0"6 3 8/30/2021 20:O1 /2O:06 5 h - (t h 4 8 /30 /2021 20: OG /2O:11 5 6"-0"6" 5 8 /30 /2021 20:12 /2O:17 5 o -u o 6 8/30/2021 20:18/20:23 5 o -u o 7 8/30/2021 20 23/20:28 5 o-ub Septic Design Prepcred Ior DENNIS AND RUTH CHARTRAW 18530 Fish Hatchery Rd Eagle River, Alaska 99577 FIRE LAKE LOT 3 LOT K1 osP21 1 388 f,?: c U RT| S^Jo.\ 1\ : F N D...;aft , "2".No.Ct 11904'\\#.:,ffiEKLUINA TNGINIf R/NG, LLC 19'62 IVOUNTAN ROAD CHUGIAK, ALASKA 99567 (e07) 406- 1 058 DATE: 912212021 DRAWN: CLT SCALE: 1" = 40' PID: 051-33343 SHEET 2 OF 2 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211388, Rebecca Carroll, 09/23/21 AGGREGATE/SOILS TEST REPORT PROJECT:DATE TAKEN: PROJECT NO.:DATE TESTED: CLIENT:TESTED BY: SAMPLE NO.:REVIEWED BY: LOCATION:DESCRIPTION: SIEVE ANALYSIS TEST GRAIN SIZE DISTRIBUTION (ASTM D422) Sieve Diameter Total %% Gravel: 32.2 Size (mm) Passing %Sand: 64.9 6" 152.4 % Fines: 2.9 4" 100.0 D60: 3.32 3" 76.2 D30: 0.59 2" 50.8 100 D10: 0.19 1" 25.4 98 Cu: 17.8 3/4" 19.0 97 Cc: 0.6 1/2" 12.7 90 % .02 mm: 3/8" 9.5 82 % Moisture: 3.9 #4 4.75 68 Fine Modulus: #10 2.00 53 #20 0.85 38 (ASTM D4318) #40 0.425 24 Liquid Limit: #60 0.25 14 Plastic Limit: #100 0.15 8 Plastic Index: #200 0.075 2.9 (ASTM C127) HYDROMETER TEST Bulk SpG: MOISTURE-DENSITY RELATIONSHIP (ASTM D422)SSD SpG: Elapsed Diameter Total %Apparent SpG: Time (min) (mm) Passing % Absorption: 0 0.5 (ASTM C128) 1 Bulk SpG: 2 SSD SpG: 5 Apparent SpG: 8 % Absorption: 15 30 (ASTM D1557) 60 Dry Den (U): 250 Dry Den (C): 1440 M% (U): M% (C): SpG (assumed): M-D Test Method: CLASSIFICATION: Poorly Graded Sand w/Gravel USC:SP FROST CLASS: Remarks: 9/7/2021JOHN A. BUZDOR, P.E. 8/31/2021 9/1/2021 NP JAB NATIVE MAT'LFISH HATCHERY 21-400-29 EKLUTNA ENGINEERING 21P891 TEST SERVICES 110 115 120 125 130 135 140 145 150 0 2 4 6 8 10 12 14DRY DENSITY (PCF)MOISTURE CONTENT (%) 0 10 20 30 40 50 60 70 80 90 100 0.0010.01 0.11 10 100 % FINER BY WEIGHTGRAIN SIZE (mm) 3335 Arctic Blvd, Suite 100 Anchorage, AK 99503 Phone: (907) 564-2120 Subject to review by our Materials Engineer REV 1-29-20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211388, Rebecca Carroll, 09/23/21 FILE NAMESHEET NUMBERSURVEY DATESTAMP:SCALECOMPANYNMICHAEL KELLERFeet40200 MUNICIPALITY OF ANCHORAGE Development Services Departmenl On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Sep 13, 2001 Expiration Date: Sep 13, 2002 Permit Number: SW010368 Legal Description: FIRE LAKE LT 3 TR K1 Design Engineer: 0000 None Required Owner Name: Dennis & Ruth Chartraw Owner Address: 18530 Fish Hatchery Road Eagle River, AK 99577- Parcel ID: 051-333-43 Site Address: 018530 FISH HATCHERY RD Lot Size: 42553 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of: [] Disposal Field ~ SepticTank ~ Holding Tank [] Privy [] Private Well [--] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify 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. Date: Date: Municipality of Anchorage Development Services Dep. artment Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 v^~v.ci.anchorage.ak.us (907) 343-7904 ' ON-SITE SEWEPJVVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel i.D. Permit Number SW O I O ~6B Property owner(s)'-OE.~,u ~ .~ Mailing address (1)/~c~,,.~ Mailing address (2). Legal description (Lot, Block & Sub'd.) .L~-.r-~'"~""R~t~_..-r' ~'-/ Legal description (Section, Township & Range) Lot Size / ~"~'~'.~.. Number of Bedrooms. THIS APPLICATION IS F Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool ' Therapy Pool Day phone. £~..~. Zip Code [] Well Only [] [] Water Storage [] [] Jacuzzi [] [] Water Softening Unit [] I certify that the above information is correct. I fudher cedify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of properly owner or authorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 12/00) / ZO,. oo Waiver Fees: Date of Payment; Receipt Number; Borrower: Dennis & Ruth Chartraw AS-BUILT SURVEY File No.: T¥O1376U ,Property Address: 18530 Fish Hatchery Road Cil~': Eagle River Lender: Residential Mort,~acje LLC State:AK Case No.: 63-63-6-0314328 99577 I'~f-22-'200t 16:55 I:~SIDCtlTIIqL IITG 69400O2 P. 02/ A$~UILT I HEREBY CERTIFY THAT I HAVE SURVF'YED THE FOLLOWINg DESCRIBED PROPERTY: AND THAT NO FNCR(~HMENT$ EXIST EXCEFT INDICAH:~. IT 1~; TN~ RESPOCt$1BILITY OF ~ ~ D~ERMIN[ T~ ~ISTEN~ OF ANY ~ENTS~ ~ANTS~ OR RESTRI~IONS WIII~I ~ NOT ~EAR ~ T~ VISI~ ~AT. UND~NO ClRCUMS~NC~ ~Y.DATA H~ BE US~ FOR ~ FEN~ LIN~ OR ~R E~IgHING A~ LINES. Sl~ARD & ASSOCIA'£E5 LA~'D SURTL"YIt~ &~ 0829 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 · www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-333-43 HAA# 1. ·GEN. ERAL INFORMATION .Comple[e legal 'description Fire Lake. Lot 3. Tract K-1 LoCation (site"a~l(J~ssi~rdirections) _18530 Fish Hatchery Road~_Eagle River. AK 99577 -- . ';,current Property own?(s) denlfer Hulsey "Mailing addreSs~ same as above Lending agency Mailing address Dayphone 279-8719 Dayphone. Real Estate Agent ., doe Perrozzl Dayphone 694-4~)00 MailingAddre~s 16600 Centerfleld Drive, Ste. 201, Engle River, Unless otherwise requested, HAA will be'held by DSD for pickup. NUMBER OF BEDP~OOMS: _.2_ 3. TYPE OF WATER SUPPLY: Individual Well '~u~,.,,.}~s)o.,J [] Individual Water Storage [] Community Class, Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer B [] [] [] The Municipality of Anchorage Development Services Department (DSD) 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 o! Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for propedies served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedty that my investigation, based on procedures outlined, in .the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verity 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_Kl3lD_Eaglneering Phone 696-6111 Address 20441 Ptarmigan Blvd.: I~.R.; AK ~9577 Engineer's Printed Name' Kenneth M. Duffus Date ' ' 081141~)'1 . ,~' t%,' .*e ,' .... ~..j~.~*°e~*~ · · 5. DSD SIGNATURE ~ Approved for Disapproved. Conditional approval for bedrooms, with the following stipulations: : Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ~ -/..~'- O / Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastawater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Flre Lake. Lot 3, Tract K-1 A. WELL DATA ParcelID: 051-333-4~ Well type NA /water atoraue)*lf A, B, or C pmvtde PWSID # Date completed Total depth .~ff. Date of test Well Log (Y/N) H Sanitary seal (Y/N) Wires properly protected (Y/N) Cased to ft. Casing height (above ground) FROM WELL LOG AT INSPECTION Static water level Well production WATER SAMPLE RESULTS: g.p.m g.p.h. Coliform ;oionlegl00 mi. Nitrate rog3. Date of sample: Collected by:. SEPTIC/HOLDING TANK DATA Other becterla__ colonles/100ml Tank Type/Material Steel Date installed unknown Tank aize _.l~al. Number of Compartments CleallOuts y FoundaUon cleanout .Y._Depression over tank NHIgh water alarm Ne, Date ~ pumpln0 04109101 Pumper JR°a C. ABSORPTION FIELD DATA :. Da~e !n~talled.~il rating (g.p.d./ft~ or ft¥odrm)unknown System type crib Length * unknown · fL Width unknown fl. Gravel below pipe ~" ~' fL Total depth 9.96 fL Eft. absorption ama unknown ftj Monitoring tube Y Depression over field N Date of adequacy test 04/09/01 R~sults (Pass/Fell) 0asa For.?,_ bedmom~ Fluid depth In absorption field before test 41 In. Water added 300 gai.' ...., New depth 44 in. Elapsed Time: 1440 min. Final fluid depth 40.5 in. Absorption rate >= 300 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, gtve date D. UFT STATION Date installed HA 'Pump on" level at in. Datum. E. SEPARATION DISTANCES Size in gallons 'Pump oft level at Cycles tested. Manhole/A_,'~'e_ _ ss (Y/N} in.High water alarm level at, Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot NA Absorption field on lot NA Public sewer main IqR Sewer/septic service line NA On adjacent lots HR On adjacent lots NA Public sewer manhole/cleanout Holding tank HA NA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~"l' Pmberty line ~i ' + AbsorpUon field Water main 10'+ Water senace line I 0 ' + Surface water 1 0 O' + Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation I O' + Water main I 0 ' + Water Senace line 10% Surface water 100'+ Driveway, paddng/vehicie storage 2 $ ' + Curtain drain SO'+ Wells on adjacent lots I 0 O' + F. COMMENTS *See attached letter G. ENGINEER'S CERTIFICATION I ce~fy that I have determined through field inspections and review of Municipal records that the above systems ere in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name I~nneth M, Duffue Date ~)811412001 HAA Fee $ 300 Data of Payment __~./.Z]~2.~ Receipt Number d~'7:~ Waker Fee $ Date of Payment Receipt Number ]~D ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-.8111 August 13, 2001 Munidpality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Undocumented Well & Septic - Fire Lake, Lot 3, Tract K-1 Gentlemen: The well and septic system of the above subject property were undocumented. The 2- bedroom house was built in 1960 and the well and septic conformed to the applicable separation requirements of that year. On April 19, 2001 we excavated one testhole within 20' of the existing septic field for verification of ground water and bedrock or impermeable barrier. Water was not encountered during the excavation or monitoring. Attached is the soils log of the . testhole. The septic tank is approximately 1,000. gallons and ou. tfalls into a crib~with an approximate depth of 5 feet. The septic field/crib is operating m the top 1.5 feet of the absorption system. Due to the high levels of nitrates, the existing well has been properly decommissioned in accordance with AMC 15.55.060 requirements. A 1,000-gallon water storage system has been installed. We do not expect there to be any adverse effect on adjacent lots from the subject property's decommissioned well. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, lI~iI2) Engineering Kenneth M. Duffus, P.E. Attachments: MOA HAA Soils Log MOA Parcel: 051-333-43 20~1 ~A~IGAN BL~. EAGLE ~VER, AK 995~-8736 SOILS PERCOLATION ~ST Perfo~ fo: ~ennifer Hu]se~ Date Perform: ~/1~~ Project: Fire Lake Lot 3, Tract K-1 TEST HOLE # 2001-01 11- 17- 18- Depth (Feet) ORG/SM- brown overburden frost, moist SP- w/gravel and cobbies to 8" dry, mod. firm density B.O.tl. SEE A'ITACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO Depth to water after monitoring? NO What depth? NA Date? 4/28/01 Reading Date Gross Net Depth to Net Time Time Water Drop 1 2 3 4 5 6 7 8 9 10 11 12 * Water Added 19- 20- Percolation Rate __ (min/in) Perc Hole Diameter..__ Test Run Between feet and feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on 'this date.