HomeMy WebLinkAboutCAMPBELL POINT BLK 2 LT 1Compbell Point
Block
Lot I
#011-262-14
Municipality of Anchorage r
Development Services Department ~=: *- '
On-Site Water & Wast•water Program, 4700 South Bmgaw 8L
www.d.anchorage.alcus (907) 343-7904 Page 1 of
On-Site Wast•water Disposal System and/or Well Inspection Report
Permit Number. SW010041 PID Number:. 011--262--14
Name:MIKE SWECKER Wast•water System: · New r'l Upgrade
Addmsa:
84t9 H~THEe C~RCU~ · ~C,OP~0E. ~ 99502-~90e ABSORPTION FIELD
No. of Dedroome:
P'°ne:(907~J 227-6052 4 m Deep Trench · Shallow Trench rl Bed [] Mound [] Other
LEGAL DESCRIPTION o.8 ~/~ ~ ,lO.`3t (k~XIM~M)
1 2 CAMPBELL POINT 5.65 (MAXIMUM) ~ 4.,32/4.74
- - - 0 - 1.0' ,t 80' (2
WELL: [3 New [] Upgrad 5 ,. 2
c,O~..~.~ ,. RED DOG MASONARY 5/9-11/2001
SEPAI J TIONDISTANCES •.o d ng •S.T.Ce. •O .r
To SeptiCTank Abmo~_le?atUon $tauonL1ft HoldlngTanks~/m~ ANCHORAGE TANK 1250
we~ 100'+ 100'+ - - 25'+ STEEL 2
S~foca Ware, 100'* 100'* - - - LIFT STATION
Cur~aln Oroln NOiNE KNOW
(CLEAN, DRY SAND ON gOT[OM OF TEST HOLE) TOP OF FOUNDATION 0 POINT 'A'
10,3.61
Inspections performed by: AWWC, INC. Dates: 1st 5/9/01 ~...[:.....-l[.~j.~..,
~ ~u.~: AS BUILT DRAWING ~. ~u.~
SW010041 ~ 011-262-14
/
~P O~ T~K AT~ ~ ~
IH~ - g7~2 ~/r ~P OF T~K AT
I~ OF BUNG SE~IC T~K
AT IN~ -- 96.94 O~ -- 96.71
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s/~/~oo~ ~ A
Z.T.G.
CONSULTA~S, INC.
MIKB SWECKER (907) 227-6052 2 OF
CAMPBELL POINT SUBDIVISION; LOT 1, BLOCK 2
PROFILE AS-BUILT OF SEPTIC SYSTEM
SW010041 - 011-262-14
F.ow s~ (~)
~- . /
m k,.', . .'... . m ~ co3 t _ m
~ '~.' %"~': ~ 4 BEDROOMm ~ ~!' m m
~ J HOUSE
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/ iESi HO~ . ~ / r .......
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~ONS~LTANT~, lNG,
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AS-BUILT OF SEPTIC SYSTEM
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Mar 22, 2001
Expiration Date: Mar 22, 2002
Permit Number: SW010041
Legal Description: ~MPBELL POINT BLK 2 LT 1
Design Engineer: 0041 AK Water & Wastewater Consultant
Owner Name: MIKE SWECKER
Owner Address: 8419 HEATHER CIRCLE
ANCHORAGE, AK 99502-3906
Parcel ID: 011-262-14
Site Address: 008419 HEATHER ClR
Lot Size: 16300 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. Ail 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 caIIing
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Date:
Date: 3-2Z-01
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bmgaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.d.anchornge.ak.us
(907) 343-79O4
Parcel I.D.
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR ,5, SINGLE FAMILY DWELLING
Permit Number S I, V O I O 0¢ I
Property owner(s) MIKE SWECKFR
Day phone 229-149~
Malllngaddrass(1) 956o EMERAL STREE'T * ANCHORAGE. AK 99515
Mailing address (2) ~r'~'-flT~ ~[ / ~' /4ERT'HEi~ C IRC L !~ Zip Code
Legaldescflpflon(Lot, Block&Sub'd.) CAMPBELL POINT SUBDIVISION: LOT 1. I~LOCK 2.
Legal desm'lpflon (Section, Township & Range)
Lot Slze~ Acm~
THIS APPUCATION I$ FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
Number of Bedrooms
4
Well Only
Water Storage
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Jactr~,l ~]
Water Soflenlng Unit
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.
ALASKA WATER & WA.51EWATER CONSULTANTS, INC.
Date of Payment'
Receipt Number:.
Waiver Fees;
Date of Payment-
Receipt Number:.
ALASKA 'WATER & WASTEWATER
CONSULTANTS, INC.
February 28, 2000
Municipality of Anchorage
Department of Health 8: Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Well and Septic Design for Lot 1, Block 2, Campbell Point Subdivision
To whom it may concern:
The proposed 4 bedroom house will be served by a community well and private septic system.
Test holes were excavated on the property. The proposed septic system will be designed around
the 30 foot radii of test hole #1 and #2. We are proposing that a 1250 gallon septic tank and two
five foot wide drainfields be installed. Comments regarding the proposed design are summarized
as follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring,
and the percolation test results. It is our opinion that due to the overall appearance of the soils, an
2 I
application rate of 0.8 gallons/day/ft shou d be used.
2. TRENCH DESIGN:
a. Percolation Rate: 10 minutes/inch
b. Allowable Application Rate: 0.8 gallons/day/ft2
c. Number of Bedrooms: 4
d. Design Flow: 600 gallons per day
e. Minimum Absorption Area. 750 ft
f. Total Depth: 8 feet (max.)
g. Effective Depth: 4 feet
h. Width: 5 feet
i. Reduction Factor: 0.5
i. Minimum Length: (2 @ 40 feet) _80 feet total
j Effective absorption area = 750 It"'
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
6901 Debarr Road, State 2B Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
~8. TOPOGRAPHY: The average topography of this property is less 10 pement, running from
approximately north to south; in short, there are no slope concerns. The trench is to be installed
parallel to slope contours.
S. COMMUNITY WELL: The well which will serve this lot is PWSID# 218453, which was
approved by ADEC in March of 1996. According to the owner of Lot 1, there is a water service
line from the well (located on Lot 3, B2, Campbell Poin0 to Lot 1. It is his intent to install a
keybox, ifone is not already present, and run a service line to the new house. The water service
line will need to be installed greater than 10.feet away.from the proposed septic system.
6. CLOSING: We are unaware of any adverse impacts this installation would have on adjacent
wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you
for your assistance./~
~ u'ness, P.E., M.S.
NOTE: Attached is a site plan drawing, a design drawing. 4 soils logs, and a 7 page
construction specification letter which are all part of the design package for this septic system.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN PUBLIC SERVICE OFFICE
555 CORDOVA STREET
ANCHORAGE, ALASKA 99501
TONYKNOWLES, GOVERNOR . ·
(907) 269-7505
March 29, 1996
Mr. Tobben Spurkland
203 West 15th Ave., Suite 203
Anch~3rage, AK 99501
SUBJECT:
Lots 2 & 3, Block 2 Campbell Point Subdivision - 8439 Heather Circle;
Operation Approval Class "C" Public Water System, ADEC Project No.
9621-DW-339-099 and 9621-WV-339-027
Dear Mr. Sp-urkland:
This letter is in response to the information received in this office March 26, 1996,
addressing this office's comments concerning operation approval of the Class "C"
public water system serving the above- referenced lots. The Department has
completed its review of the submitted information which included a well flow test and an
engineered as-built diagram of the water system. Based upon this review it appears
that the previous concerns outlined by this Department have been adequately
addressed. The submitted well flow test verifies that the system will meet both the
peak and daily demand requirements of this water system. Therefore, in accordance
with State Drinking Water Regulations (18 AAC 80.300) operational approval of the
class 'C' well is granted subject to the following comments and conditions:
The requested horizontal separation distance waivers between the well on
Lot 3 and the on-site wastewater disposal systems on Lot 2 (90 feet) and
Lot 3 (105 feet) is granted provided that no expansion of the residences
which increases the number of bedrooms occurs.
This water system has been assigned public water system identification
number (PWSlD no.) 218453. Please reference this numberwhen
submitting future water sampes so that this water system may be properly
credited. While routine sampling is not required for class 'C' public water
systems, annual sampling for coliform bacteria and nitrate is recommend.
This approval does not imply the granting of addtional authorizations nor does it
obligate any other state, federal, or local regulatory body to grant required
authorizations. Thank you for your cooperation with this Department, if there are any
questions regarding the above please do not hesitate to call.
Sincerely,
Michael Lu, E.I.T.
Environmental Engineer
ML/pt
Attachments
C
T.SPURKLAND P.E.
203 w s'r sTa. AWNUE s iTr.
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
Kevin K. Kleweno P.E.
Dislxict Engineer
State of Alaska
Dept. of Environmental Conservation
Anchorage District Office
555 Cordova Street
Anchorage, Alaska 99501
Subject:
Gentlemen;
Class C Well Approval
Lots 2 and 3 Block 2, Campbell Point S/D
Waiver of Separation Distances
We are applying for a system approval for an existing well serving two properties located on Lots 2 and 3 Block 2
Campbell Point S/D. Prior to 1978 residential trailers were located on these two lots. The existing s~uctures were built
in 1978 and 1984.
Thera are no readily available records showing the use of this Iota prior to 1978. According to the owner lot these two
lots the well was installed in 1968 as was the septic system on lot 2. The septic system on Lot 3 was installed in 1985,
but was not approved by the Municipality. A permit to install that system was obtained but the Health Department did
not accept the As Built ofthe system. We arc attempfing to obtain Munlcipal approval at this time. Both the well and
the septic systems were tested on Nov. I 8, 1995. The test reports are included with this request.
The well serving these two properties is located on Lot 3. The attached siteplan shows the location of the residences,
septic sy~ems, and the wells on the adjoining properties. As can be seen, the septic tank on LOt 2 is 90 feet distant bom
the well. All the other septic components are more than 100 feet away.
The well log for this well and logs of adjacent wells are all fairly consistent, showing water bearing strata at 300 feet
with clay and silt swats of substantial thicknesses above. All the wells are artesian with static water levels bom 150 feet
to 255 feet. The soil logs from the septic system installations show that the material used for wastewater treatment is
fmc grained, providing excellent flirt?ion and treatment of the septic tank effluent. The chemical analysis of the well
water showed no coliform bacteria, and Nitrate levels below the detectable minimum.
The well casing is located in a concrete pit inside a well house. Pictures ofthe installation are enclosed. These pictures
were taken during well testing. The well is capped with a sanitary seal. The well is protected from flooding by the
well house. There are no indications that water has ever been standing in the pit.
Yours
Tobbe~
The surrounding topography is glacial outwash with hollows and ridges. Floo~,.ing .from snowmelt or heavy rain is not
possible. ~..~... x ,.~ .-.
~ t~ :: ¢,.:..: 7:2 ::'
%,;-' -."3-"
1 ,-.~. . .'
I t
~ /// JOH~ SUBD~ION
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, ~ ,, .~ ~:~ . ,'
~PB~ ~ S/O I II
KERI CO~ I
3/14/2001
C.J.O. ~r~ " II
CONSULTANTS, INC.
MIKE SWECKER (907) 229-1498 1 OF 2
~',~,~ l._~
CAMPBELL POINT LOTS, 1 · ~ BLOCK 2
SITE P~N FOR DESIGN OF N~ SEPTIC SYSTEM
t NOTE: CONTRACTOR MUST HAVI: NOR'IH
UT1LnY EASMENT, EAST ~
j BL~K 2T ~ ~IOR TO ~ON
, PRO~ N~ / C~O~ (DBL)
20 ~ 12~ ~N ~ /
.....
~ ~ .......
_ ~[~ / · ____~ .... ~ ~
.-- ~ / I I
~ ~__~=- - -
~vA~ 2 ~CH~ ~ ~ / /
~ S~P~ CO~OU~
a /
o / / I I
/ / /
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/ / ~/ I
/ / /I I
Al ASI~ ~TER & WASTE~TER~ r~/4 ~ ~J
u~x~ swEcx[, (~o~) ~2,-~a,~ ~ or ~ ;"':..:"'~
CAMPBE~ POINT SUBDIVISION; LOT 1, BLOCK 2, u~[~.' ....~ .......
DESIGN FOR N~ SEPTIC SYSTEM '~
AI~AS~ XVA'I'ER & 'VASTE'VATER '~':..4,!
, CONSULTANTS, INC., .,,
ISOIL LOG - PERCOLATION TESTI ~.~. ?.l. ff..k..,/ ........ .,
LEGAL DESCRIPTION: CAMPBELL POINT SUBDMSION; LOTS 1, BLOCK 2. ~oz 't '.
PERFORMED f0a: MIK£ SWECKER DATE: 1/16/01 q ~ .. .... ..
feet) ==:=: OR.leS TEST HOLE 1
2-- ML GW :====: orG "= O0
GM CL
4-- GC OL _
s- ~
SH OH I J
sc ' ii
7-- ~..t, DEPTH TO DATE
8-- ~,,~ SP/GP O~ ~, / ,/
~., ~ DRY 1/24/01 /
9- ~'e ' I //
:~"~ CLOCK NET TI~E WATER LEVEL NET DROP
~,,,, DATE RE. lNG
11 -- ~'"t' TIHE (HINGES) RE. lNG (INCHES)
18--
19-- PERCO~TION ~TE. (1 .(HIN./INCH) PERC. HOLE DIA. 6' (INCHES)
TEST R~ BETWEEN 5.5 FT. ~D 6.0 FT.
20--~
COHHENTS:
PERFORMED ~ A~ WATER & W~ATER I. dEr~ a. O~NESS. CEan~ T~T THIS ~ ~ERFORMED
IN ACC0RD~CE W~ A~ ~A~ ~D MUNIClP~ GUIDEUNES IN EF~CT ON ~IS DATE:
DEPTH TO DATE
GROUNDWATER
DRY 1/~e/Ol
DRY 1/24/01
ALASKA ,VATER & ,VASTE,VATER
· co,y~,,^,,s. '"5.' .
LEGAL DESCRIPTION: CAU~8~LI. POINT SUBDMSlON; LOTS ~, BLJXIK 2, V'~l"-,,il/~ E-"/9§,'~ .,,,"t~-~
PERFORMED FOR' ~'"~ ~0"~ BA=.' '/'~/0' ~;o,_.,,..... ............. .-~
~[~e~ ITEST HOLE ~lJ
1- PAGE 2 OF 2 '~%~
SOIL O~SSIFIOATIONS
2--
~ ~ GP ~ ML
Z ~ GM CL
~ ~c 0L
4
~ SW MH
5-- ~ SP CH
m sM OH SEE SITE P~N
~ sc
~- ~ ON PAGE 1 OF 2
7- ~ DEPTH TO DATE
J GROUNDWATER
O
~ DATE RE. lNG CLOCK NET TIME WATER LEVEL NET DROP
~1-- ~ TIME (MIN~ES) RE. lNG (INCHES)
O
19-- PERCO~TION ~TE <1 .(MIN./INCH) PERC. H~E DIA. 6' (INCHES)
TEST R~ BETWEEN 7.5 FT. ~D 8.0 FT.
20--~
COMMENTS:
PERFORMED ~ A~ WATER ~ W~ATER I, JEF~ ~ G~NESS, CER~ T~T THIS ~ERFORMED
IN ACCORD~CE W~ A~ ~A~ ~D MUNIClP~ CUIDEUNES IN EFFECT ON ~IS DATE: ~1~101
ALASKA '~VATER & '~VASTE~VATER
, CONSULTANTS. INC..
~ D~CRI~ON: ~PBELL POI~ SUBDMSION; LO~ 1. BLOCK 2,
PERFORMED FOR: M~KE ~ECKER DA~: 1/17/01 ·
~~ o.~,cs ITEST. A.E HOLE1 OF f212
SOIL C~SSIRCATIONS
~ SITE P~N
~ GW :===: ORG ': I00 I
lllllllll
GM CL
6C OL _
~ ~ SW HH ~
~SP CH ~!~ :
s. o. i
GROUNDWATER DATE ~ ~/
D~ 1/24/01 //
/ /
I1 DATE RE. lNG CLOCK NET TIHE WATER LEVEL NET DROP
TIHE (HINGES) RE. lNG (INCHES)
12 1/19/01 1 5:47 ~ 6-
2 5:57 10 2 1/2' ~ 1/2'
15 5 ~:57 ~ 6'
4 4:07 10 3'
14 5 4:07 -- 6'
6 4:17 10 3 1/2' 2 1/2'
15 7 4:17 -- 6'
8 4:27 10 3 3/4' 2 1/4'
16 9 4:27 -- 6'
17 10 4:37 10 3 3/4' 2 1/4'
11 4:37 I 6' I
18 12 4:47 10 5 5/4' 2 1/4'
19 PERC~TION ~TE 4.4 (MIN./INCH) PERC. HOLE DIA. 6' (INCHES)
TEST R~ BET~EN 2.5 FT. ~D 5.0 FT.
20
COMMENTS: PERC-HO~ W~ PRE-SO. ED FOR 4+ HOURS. RECOMMEND USING A 0.8 ~PU~ON
PERFORMED BY A~ WATER & W~A~R I, JEFFR~ ~ G~NESS. CE~ T~T THIS ~ ~ERFORMED
IN ACCORD~CE WI~ A~ ~A~ ~D UUNIClP~ CUIDEUNES IN EFFE~ ON ~IS DATE:
DEPTH TO
GROUNDWATER DATE
DRY 1/17/01
DRY 1/24/01
~-~,'~_..' ....... '7~
CONSULTANTS, INC.
r~OIL LOG - PERCO~TION TESTI
LE~ D~ORI~ON: ~PBE~ PO'~ SUBD~SION; LO~' ~ g, BLOCK ~,
PERFORMED [OR: MIKE S~CKER DA~: ~/17/01
~~ ITEST HOLE ~2J
1-- PAGE 2 OF 2
SOIL C~SSIRCATIONS
2-- GW ::=:: ORG
3-- ~ ~ GP ~ ML
Z ~ GM CL
4-- ~~ GC~ OL
~ % ,~ SW MH
5-- g~ .... SP CH
~~ SC
e- m ON PAGE 1 OF 2
7-- ~ DEPTH TO
GROUNDWATER DATE
~ x
o !
10--
~ DATE RE. lNG CLOCK NET TINE WATER LEVEL NET DROP
11 -- TINE (HINGES) RE. lNG (INCHES)
o ~/~e/0~ ~ ]:47 -- ~' --
12-- 2 4:17
15 -- ~ ] 4:17 6"
~ 4 4:47
14~ ~ 5 4:47 6'
~ ~ 6 5:17 30
15~
16--
17~
18~
19~ PERCO~TION ~TE 10 (NIH.lINCH) PERC. HOLE DIA. 6' (INCHES)
TEST R~ BET~EN 6.5 FT. ~D 7.0 FT.
20~-~
COHHENTS: PERC-HOLE W~ PRE-SO~ED FOR 4+ HOURS. RECOMMENO USING A 0.8 ~PU~ON ~TE.
PERFORMED BY A~ WATER & W~ATER I, JEF~ ~ G~NESS, CERTI~ T~T THIS ~ ~RFORMED
IN ACCORD~CE WI~ A~ ~A~ ~D MUNIClP~ GUlDEUNES IN E~CT ON THIS DA~: ~/0/
GR~=~'~TER ANCHORAGE AREA BOROU~.H
*, HEALTH DEPARTMENT
32 ' EAGLE A.CHO,^GE. S0, ' N'° ?35
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
MAILING
ADDRESS "~',~"~,~ ,.J"~.~'-~,~_'_ ~'~"/,,~ PHONE
DISTANCE FROM WELI/~S~/'~'~..~---e~..~. //?~ ' MATERIAb.,,,~,~.)~....,,...~L>,, ~¥~.,~j/.,..D.?._,~.~_..,..<:~ NUMBER OF
- COMPARTMENTS
LIQUID CAPACITY c~.~' GALLONS. INSIDE LENGTH ~7 ~ =.~ w~ INSIDE WIDTH ~ ' LIQUID
DEPTH "~
SEEPAGE SYSTEM: SEEPAGE PIT: ~"'~,~ ~'~'~"~'~ ,.s"~t/~.. g~,4~'/,,~-/,~t,,,~(~'
NUMBER OF PITS / OUTSIDE DIAMETER / OR WIDTH ,~ j ·
~z ,',,~,/,~,,eJ~-.,.~'~,~ ,~e,~14~,.~ ~.,~.~.,~,,~ , LENGTH. ~ , DEPTH ~
LINING MATERIAl ~~ . DISTANCE FROM WEL[~/~ ~ w . BUILDING FOUNDATION
, TILE DRAIN FIELD:
DISTANCE FROM WELL ~
A ~,,1~ lION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
· FOUNDATlur~ ~.,,~ NEAREST LOT LINE ~ OF LINES
r)EPTH OF FILTER MATERIJd. BENEATH TILE .
IN. ABOVE TIfF
WELL...
LOT LINE
TYPE~..~,,~ DEPTH -~'/~ · DISTANCE FROM WATER · . ..
· BUILDING FOUNDATION.,~'w~' ~ SAMPLE ,,w"J/~ . NEAREST
NEAREST SEPIIC ~//~ SEEPAGE ~/~/- OTHER
SEWER LINE ~ ~ . TANK /~ ' SYST~... ~ ' _ CESSPOOl ~ SOURCES~(
DISTANCES:
: ,.,r".,e-"'~.~-~'~,,,~.,~
DIAGRAM OF SYSTEM
DATE ~ _ -- - ~£4L1~1AUlaOllll¥
GREATer ANCHOrAgE Area Borough
SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT
"A"£OFAPPL,CA.'r c~,.,, ~. ~,~ .A,L,.o ADDRESS "/.r~ .~,,,./'Le ~.o.;~-/~
COMPLETION DATE ANTICIPATED '
FINAL INSPECTION~ 24 HOUR NOTICE: REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILl. BE SUBJECT TO PROSI~CUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO ElEEPAGE PIT /~/ DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL.
SEEPAGE PIT., 20e DRAIN FIELD
CAST IROZiNTO AND OUT OF SEPTIC TAN~AND
~CEC~cAVATiON 5 FEET iNTO UNDiSTURBED SOiL, INTO CRIEI CROEISING G~
F~TTEID WITH AIRTIGHT REMOVABLE C~APS. ~
DIAGRAM OF' SYSTEM
THAT THE ABOVE
Depth
Was Ground Water Encoun:ered?/~.~L..
If Yes, A: What Depth___ ..
Readlng Date G~oss Time Ne: T~me
I,ocat ich Sketch
Depth To H20
Not Drop
MUNICIPALITY.OF
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. 011-262-14
1. GENERAL INFORMATION
Expiration Date: ' Z d -2 0
Complete legal description CAMPBELL POINT BLOCK 2, LOT 1
Location (site address) 8419 HEATHER CIRCLE, ANCHORAGE, AK 99502
Current property owner(s) MICHAEL & LORI JANE SWECKER
Mailing address
Real estate agent
Day phone
8419 HEATHER CIRCLE, ANCHORAGE, AK 99502
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
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
❑
Waiver request for:
Distance:
Received by:
Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 912.60 CCVI D
Date of Payment F 12- 2 02 0
Receipt Number CSI 1 2. I tIlt
COSA # 05C 20 1 H28
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater
disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Address 13030 SUES WAY, ANCHORAGE, AK 99516
Engineer's Printed Name CURTIS HUFFMAN, PE Date 8/10/2020
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 rs�ll
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 ��g�Q.' • • : 1,9 ��}
for current or future occupants or guarantee that no unseen encroachments, deficiencies or / rJ
discrepancies exist can be given by First Water Consulting & FWr.S . 49
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6. DSD SIGNATURE Curtis Huffman j
System #1 Approved for bedrooms I�����sT. •CE 128991
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System #2 Approved for bedrooms ll FESS
Disapproved
Conditional approval for bedrooms, with the following stipulations:
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By: Original Certificate Date:
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
Legal Description: CAMPBELL POINT BLOCK 2 LOT 1 Parcel ID: 011-262-14
If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system
A. WELL DATA — COMMUNITY CLASS C
❑ 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) 19 years
Tank type/material SEPTIC / STEEL
Measured operating fluid level in septic tank 48.5"
® Standpipes/foundation cleanout per record drawing
Date of pumping 7/27/2020
D. ABSORPTION FIELD DATA
Which system tested (date installed) 5/9/2001
® ALL standpipes present per record drawing
Total measured depth from grade 7.83 ft (max)
Measured depth to pipe invert from grade 3.5 ft (min)
❑ N/A — pressurized field
® Monitor tubes go to bottom of effective. If not, state
depth into effective
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 6.58 ug/L ❑ Arsenic less than MRL (ND)
Collected by WES
Date of Sample 7/27/2020,
C. LIFT STATION
❑ Required maintenance completed
Age of lift station _years
Lift station material
Comments:
Adequacy test date 7/27/2020
Results M Pass For 4 bedrooms
Fluid depth prior to test 0 in
Water added 600 gal
New depth 0 in
Elapsed time <1 min
depth 0 in
id dep
®Code -required soil cover over field Final flu —
❑ System presoaked Absorption rate 600+ gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N
date of test) If yes, enter date
Gallons introduced gallons
Comments/Deficiencies: F
E. SEPARATION DISTANCES
From- rivate Well on Lot to: (Please enter distances if less than required or if community well) - NA CLASS C WELL
Septic Tank/Lift Sfation-gn Lot > 100'
❑ Yes
Community Sewer Manhole/Cleanout > 100'
�" -N-Yes
if No ft
® Yes if No
Neighboring Tank > 100' ® Yes
i o- - 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'
® Yes
Community Sewer Main > 75' ® Yes
if No ft
if No ft
AnimA�Contai-nnraRt > 50' ® Yes if No
Manure/Animal Excreta Storage X00'
® Ye—r",, !o
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'
® Yes if No
Property Line > 5'
® Yes
if No
ft
Wells on Adjacent Lots:
® Yes
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
DECK SUPPORTS EXTEND TO TANK BOTTOM ELEVATION.
G. ENGINEER'S CERTIFICATION
1 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.
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ILL Lo G)
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak, us
(~07) :~,3-7~04
Parcel I.D.
1.
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR ,5, SINGLE FAHILY DWELLING
011-262-14
GENERAL INFORMATION Expiration Date:
Complete legal description 'CAMPELL POINT SUBDMSION; LOT 1, BLOCK 2,
Location (site address or directions) 8419 HEATHER CIRCLE * ANCHORAGE, AK 99502
Currant Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
MIKE SWECKER Dayphone 227-6052
9560 EUERAL STREET * ANCHORAGET AK 99515
Day phone
Day phone
Unless o~herwlse requested, HAA w71 be held by DSD forpickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class 'C' Wall
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
community On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the repressntalJons given In paragraph 5 by an Independent professional civil
engineer registered In the State efAJaska. CeffJfcatas of Health Authority Approval are required for the lransfer
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 ara valid for one year for properties served by Class A or E
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 verify that my
investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further vedfy that based on the
information obtained from the Municipality of Anchorage tiles 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 ALASKA WATER &: WASTEWATER CONSULTANTS, INC.
Address 6901 OEBARR ROAD. SUITE 2B * ANCHORAGE. AK 99504
Engineer's Printed Name JEFFREY A. CARNESS. P.E.
Phone 357-6179
Date
Engineer's Comments:
In conducb'ng this evaluation. AVI44/C, Inc. attempted to provide e thorough,
conscientious engineering7 analysis of the system in accordance with ADEC end MOA
DSD Guidelines & Regulations. The reported results desc, dbed the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate dudng the year, and the water usage oft he family being served by the system.
These conditions are outside the control oft he evaluator of the system. Satisfactory test
results do not guarantee futura performance of the system, nor do they guarantee that
there ara no hidden defects or encreachment$. AWWC, Inc. can therefore not provide
any wan'andy or future esb'mate of how long the system will continue lo meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other peraon er party is not authorized, nor will it confer any legal tight whatsoever.
5. DSO SIGNATURE
["'"/' Approved for L/. bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the t]low~ng stipulations: .[t,~,
~ : WASTEWATER: :
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Manitenance Agreements
Supplemental Engineer's Reort
Other
Original Certificate Date: /~ ' -~' ~) /
Municipality of Anchorage
Development Services Department
BuMlng 8ar. t~ Olvt~on
On-S~ W~ter & Wastw~ter Pmgn~n
4700 Scolh ~gew St
P.O. ~ 196650 AncO, AK 99519-6650
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal DescttpUon: CAMPBELL POINT $/O~ LOT 1, BLOCK 2,
Parcel ID: 011-262-14
A. WELL DATA
Welltype "C" IfA, B, orCprovtdeF~NSlD~ 218453~
Date completed Sanlte~ seal~ pmpa~y protected (Y/N)
~ ft. Casing height (above ground)
FROM WELL LOG AT INSPECTION
in.
Date of test ~
Static wa~ It,
3~/e#-pt~lu~on g.ptm.
WATER SAMPLE RESULTS:
Coilforrn 0 colonies/100 mi.
Date of sample: 9/27/2001
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEEL
Foundation deanout (Y/N) YES
Date of pumping NEW
C. ABSORPTION FIELD DATA
Date installed 5/9/01
Length S0 (2 0 40)ft.
Nitrate 0.5 mgJL.
Collected by:
.J g.p.m.
Other bacteria 0 coionies/100 mi.
AWWC. INC.
Tanksize 1250 gal. Number of Compartments 2
Depression over tank (Y/N) NO
Pumper
~'BELOW nNAL GRADrl
Soil rating (~-~r ff~/bdrm) 0.8
Width 5 .ft.
Toteldapth 8-10 ff. Eff. absorptiollarea 800 fta Monltorlngtube YES
Date of adequacy test. NEW Results (Pass/Fail) PASS
Fluid depth in absorption field before test in. Water added gal,
Elapsed 11me: min. Final fluid depth in.
Any mjuveuaflon treat~am (past 12 mo,) (Y/N &
Date installed 5/9/0
Cleanoute (Y/N) YES
High water alarm (Y/N) N/A
New depth
Absorption rote >=
If yes, give date
System type SHALLOW TRENCH
Grovel below pipe 4..32/4.74 ft.
Depression over field NO
For 4 bedrooms
g.p.d.
D. UFT STATION
Date installed Size in gallons M~
'Pump on' level et in. "Pu~_~_lB~e~---~. High water alar~n level at in.
Datu.._.___m ~ Cycles tested Meets alarm & circuit requ mments?.
On adjacent lots
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorpfion field on lot.
· Public sewer main
..----- Public sewer manhole/cleanout
~ Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundalion 5'+ Property line 5'+ Absorption field. 5'+
Water main N//A Water eewice line 10'+ Surface water. 100'+
Wells on adjacent lots 150'+ FROM CLASS "C", AND 100'+ FROM PRIVATE
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+
Water service line 10'+
Curtain drain NONE
F. COMMENTS
Building foundation. 10'+ Water main N/A
Surface water 100'+ Driveway, partdng/Vehicle storage
Wells on adjacent lots 150'+ FROM CLASS 'C", AND 100'+ FROM PRIVATE
G. ENGINEER'S CERTIFICATION
I ce~/fy that I have determined through field inspections end
revfew of Municipal records that the above systems ere in
conformance with MOA HAA guidelines in effect on this date.
Engineers Prtnted ~am/e
Date I ~,/~'''/~ !
JEFFREY A. CARNESS
HAA Fee S
Date of Payment
Receipt Number
(Rev. * 2/00)
Waiver Fee $
Date of Payment
Receipt Number
