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HomeMy WebLinkAboutFOREST RIDGE BLK 1 LT 4ALL
ki 4
c3dL
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Municipality of Anchorage Page I of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES
DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wast ew� Isposal System and/or Well Inspection Report
Permit Number: 9z'�=���
PID Number: 6%
Namp
Wastewater System: R New ❑ Upgrade
Address
ABSORPTION FIELD
Phone No of Bedrooms
rA Pp 6 3
o Deep Trench In Shallow Trench ❑ Bed RMound ❑ Other
LEGAL DESCRIPTION
Son Rating
Total Depth from original grade:
I. GPD/Sq Ft
Lot Block
�y�/��. Subdivision: �/� C
OEST
Oeplh to pipe bottom here original grade:
7.5
Gravel depth beneath pipe
F"' .GIL/L'oc
FI
I Ft
Township
12H
flange
3W
Section
3Q
Fill added ahow7 ori malep� dea .I
1.S9uith4 I
Gravel length:
�16A
Ft
100 FI
WELL: lSj NBW ❑Upgrade
Gravel width:
5
Number of lines'
4
0 stance"vereo �rles
Ft
atlo414t
Clan7ssnc�cAh-.flso.n (Private. A.B.C)
Total Depth:
Cased To:
Totallorplion ere �y
Pipe material
n
�TtVnIC
14
y
^
G
Dolle,
KW DRIWA6
Dale Dr, Ind
10110191
Static Water Level.
Installer
ccL-004 SLItL
DOta'n51a1 rd:
6 11 6 1Z 92
0 FI
eas
Y.P;Pump
Set 91
Casing Height Above G,ound
TANK
1 CCM
141 Ft1
2 Ft.
SEPARATION
DISTANCES
❑Septic ❑Holding WS.T.E.P.
.70
S.pl.r.
Ahsmpuon
ldl
Holdmq
`ublicmiivale
M n,u``l/acturec
Capacity In gallons:
From
Yank
Fiero
Station
Tank
Se., Lines
ANG140 A K
1ZS0
Well
125'
176'
IZ-7'
VA
NpNE
Material S ZEL
C-
Number 01 Compartments:
O 'L 1T
surface1304•'
Water
1904-F
14Ste
M R9 2°- 0 201 LIFT STATION
LotF
Line
SO
13'S
50.SF
Size in gallons:
1 O
Manufacturer:
0 EN
Foundation
1 1
F
57
L
1'1
'Pump on" level at:
of
"Pump off" level at:
a.
High water alarm et:
n
Curtain
/ B r
6
•i Z't;3
/ d r
20 oSL Hotel
3 Electrical Inspections performed by:
Drain
t
a0
W T 1:1.6 T IC.A
Remarks: t0 r' r
l
N uA-
I
Cd
s '' BENCH MARK
/�jpV
9z S 9
2
Location and Deficit
GO_Vp on: 'I
I, 1J A
t► tlCA[h r M
Q
Dr; G►�CES tq I& -WILT Lank,
cor ear '
Assumed Elevation:
Fi
ENGINEER'S SEAL
^1�OF -Al. %t7
Inspections performed by: •M F
1t
Dates:ls t
Fla�
#
2nd
Jd
••• ••
1
a6�I
3� 1//I 9L
of Allan W. kvr11i1'
7
Department of Health a Hyman Servi approval,
��s;�.,.. No. 4977E .• .,��
,t�� pROFESSIM,
Reviewed and approved by:
Date: - �G
72,013 (Rev 9 911 MOA 25
Permit No. 2- OZ14
Page z of�0_
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
Legal Description: LoT 4 &I= ( , FbMsT i21D68 PID No.:
SEE WAGE S �I-S BUILT'PLAN : WF_LL.1S1=Pr7('
CURTN N CtLAIU
DSS-F-UlUr tLr,-V1%n0k)S
86tJc.11 ftm (GARAGE ft,?- UN2),
WSLL (3oP of cASiNG)
tatZ m D
-UVzjeT SEPTIC. INLET
Gizomb
INVE2T LIFT STATIM) OUTLET
GMDU1p
'TOP CN VONOrKSLD PIPE (4 QNY,)
1 a<IwD CAvERpCt-)
Vpmr
loo.v
S2.Z
qo. 7-
S5.16 95.16
Ioo.�
►oab
106.1
--T-O—0/9�qz,
l0q.tb Cv141S
-R>P or- 411 vll, IN PIM CURjW W(4 94
NoT>+s
1. GL£VAnOOS JkQG -To UAILAODSC Pee G12MtNO SUKF'K0,
X15 of SEPMN\13E2 !> I gqZ.
2. LbJDITi0QAL FILL LDMD OOM t>W{ FGLO 47/14/qZ
RECEIVED
SEP 211992
Municipality of Anchorage
Dept. Health & Human Services
72013 A IRS 9911MOA75
PermitNo.!9z_ 3—A-_
Page _22—As— o f
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
Description: LOT 4 UoCK 15foar-S-T :R06S
Tu25 4
Sic.; 10 0 k - A/
��ccen.+ ,�ctr3+a
I.yOuT IS.s �� 10
1 IrLuvN T3
�
V_ CL* o
t.5_.' j
A•5t r i
Io'—'x:10'"�
10 -
XPLET
w
IG.b �.Tr3L TAuPrKCAI&tj"
PID No.:
4' SNI rbAh^
'D11%k ftt0 T`fFlt
V IL J=_JZ
Fkeri(, riFICAG
-o„ ,
105.1
2's •3.S'
Wrap aaK
VPKAL 4 o'
T—
IOO•b
r -- Sipm. SW I0C7TITS To tWTIC.
--I1.L-- -
49.9' cinitpw't TANK%UFT Srrmvo �NOrI.
GRAN 01.tT
�- Fo•A.aorztoN
% Gl.�pr9 ouc
HOLUM- j
�r,1•
' SGAt_� ►� =10�
W
72 013 A Ines 911) MOA 25
S W ltJ G 'T1g To l.gp(A
1^t ELS I WrL L- vu �A66
x
Alton W. Murrllt
PUrtr-nD
PRc>F10SF10 WEU—
FOREST RIDGE SUBDIVISION tPsb-ire)
/ LOT 4, BLOCK I
38, G i t S. F.
RECEIVED
SEP 21 1992
D pt Health & Human Services of
q4."i
toafAEa
poftM `
CIRCLE
L=17/. 74'
7
\ n1 ~ Q
8z.a' m
N W �
245
9E
i
?� �L
a
P
LooATT W
/ n Ov p0
o
UTOU IT
= 96.z' QIt�1a
istt4160 csce.Q)
At
CLE
G
\' S,S 24'
M -i4
3
o AAM \�
' 3 T464SK¢ \
Mri
2b1 42
PeRM [r No.
v.o
�A6>✓ 3 � .b
9Z-OZ34.
— I ��
WEU..,siEPric.,te NN
4S -Buhr LOC4"DKM
Eli A.uJ.
AS BUILT I hereby certify that I have surveyed
the property depicted above and that
GASTALDI LAND SURVEYING no encroachments exist except as indi
Jeff A. Gastaldi,R.L.S. cated. It is the responsibility of the
4726 West 88th Ave. owner to determine the existence of any
Anchorage, Alaska 99502 easements,covenants or restrictions
which do not appear on the recorded
ph. 248-5454 subdivision plat. Under no circumstan-
ces should any data hereon be used for
GRID DATE construction or for establishing boun-
313-1 dary or fence lines.
F.B. JOB N0. ANCHORAGE RECORDING DISTRICT, ALASKA
92-05
OF A4
ry A. Gastaldi
/a LS - 6091
°mssion2oapo•ll�/
Permit No.
Page z ol�0_
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
�ta.ru.r�ialnIrrra�a�:� �••+.ir�l!L�:l7>t11�i�i .
1`
SEE �A6E 3 BUILT /PLAN : WF_LLIst-Pn(,
Cit RTA1 N D4N N
kS- I u%lw tIx—tVAT wis rper
B6Nc.K MA\jC1)
ARA6E f1.� ScAg) 100.0
U161L i7oP 92.2
(eUQO. Z.
-UVZA'T SEPTIC. IN 95.11
GlzolL n 100.G
INVECT LIFT STknW O TLET 95.6
G1�uNp I Oct6
TOP 01. 17RA.1NFIElD P I (4 uNK) 106.1
GaouND CAv� l09
_bP Of 4" DOM PIte CA 0 WN 94
NO•T;Es
I. GLE.VAT 0tJ-% ARG TO uuLAUDSCA GaO�wD SUk�A(
%S OF SE4"'MMI3ER 9, 1ggZ,
SEAL
OF A
' 1 I �n'•_Allan %Y.
No. 1917{ J
PLATL-rD
T PR0PoS1cD wELL-
t� \�c�c,o,,�-ryp�•�at
/00
p,�p �uQ7AItJ � C t RC L E
AD
5
a'
`SSI • �
_6
40.
3011
ry y,
N
(oatAEo '�
Pat" 73
h
N10
N
30
�F
c�
N ♦ WOLL, Fi
9 o LOCA OP
OP
L- �i `a0 o
. /.
G �
r' UFtA
�LahmOuTS�
1
j¢y cuaTAiAJ
I�D1DW)
f
f »urou
QI IC71�
°°'
24'
0
LOT
'if . 0
�M6Nt16'rZ ���,OQ,,
OR
AS
BUILT
GASTALDI LAPID
SURVEYIN
Jeff A. Gastaldi,R.L.S
4726 West
88th Ave.
Anchorage,
Alaska 995C
ph. 248-5454
GRID
DATE
313-1
9-9-92.
F.B.
JOB NO.
e2 -o5
I hereby certify tha
the property depicte
no encroachments exi
sated. It is the res
owner to determine t
easements, covenants
which do not appear
subdivision plat. Un
ces should any data
construction or for
daffy or fence lines.
ANCHORAGE RECORDING
PeQPA tT Ma. 9z-07-34
WELL ,sEPric / 7XWN
AS-BUI�r LOCa�'ID�
gY A.al. MUK!F I -M et-.
I have surveyed
above and that
except as indi-
nsibility of thea
existence of any!
restrictions
the recorded
r no circumstan-
reon be used for
tablishina boun-
OF A q►�
y; 49TH •�•,-7 0
"p. -A
ry A. GastakS .• � 0
lS - 6091 am i
�Ssiona��-a°�•�`
1\baa®�
M -W DRILLING, Inc. RECEIVED
P.O. Box 110378. 10330 Old Seward Highway
(907) 349.8535
ANCHORAGE, ALASKA 99511 SEP 16 19y2
Il'I yl1C.i]Ni \' '.�1 /{ 1Y17V. age
DRILLING LOG Dept. Kmlth rluman Services
Well Owner Bob 11c17ity Use of Well Domestic
Location (address of: Township, Range, Section, if known; or distance main roars
Tor 4 b11c. 1 Forrest Ridae
61f 141 141
Size of casing T�epth of Hole feet Cased to feet
Static water level n ft. (above) (below) land surface. Finish of well (check one) open end ( X );
Screen ( ); Perforated (.)..
Describe screen or perforation 1' .N/A
Well pumping test at 7r, gallons per (W61W (minute) for---I--hours with 100% ft.
of drawdown from static level. ]v
Date of completion
6/10/92fiit
i
j. WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
0 TO 2 Casing Stickup
2 7 Organics
TO s
7 42 ,Silty;Giavel w/cobbles & occasional boulders
TO
TO
TO
TO
TO
TO
TO
TO
' S aii dy ' Grave l
1�
ySilty ti/gravel
J'banip .Silty. Gravel.: ;
]'Gravel; •`Water ;
1—CUSTOMER
TO
42
70
TO
70
.TO
96
96TO
135
135
141
TO
TO
TO
TO
TO
TO
TO
TO
TO
' S aii dy ' Grave l
1�
ySilty ti/gravel
J'banip .Silty. Gravel.: ;
]'Gravel; •`Water ;
1—CUSTOMER
A.W. Mwrfitt Company_
CONSULTING ENGINEERS & TESTING
13810 Venus Way • Anchorage, ALiska 99515 • Telephone (907) 345-2737 • FAX (907) 345-3264
Municipality of Anchorage
Department of Health and Human Services
Environmental Services Division
P. 0. Box 19650
Anchorage, Alaska 99519-6650
ATTENTION: Mr. Dan Bowles, On -Site Services
RE: As -Built Data: Well, Septic, Curtain Drain
Permit No. 92-0234
Lot 4, Block 1, Forest Ridge Subdivision
Anchorage, Alaska
Dear Mr. Bowles:
September 15, 1992
RECEIVED
SEP 16 1992
hlunicipal+ty Ct Anchorage
Dept. Health & Human Services
Please find attached as -built data for the referenced on-site services. This
includes the on-site wastewater disposal system and well inspection report, as -
built elevations, a scaled site plan of these installations, the water well test
results, and the water well log.
Please note that absorption field size was increased to four lines due to an
installation error noted during the site inspection of June 11, 1992. The trench
widths were revised to meet the EPA Design Manual criteria for shallow beds by
fax communication on June 5, 1992 between your office and our office. The
contractor had constructed the three lines from an unrevised edition and
accordingly, was revised in the field. The total available leach area is 300
square feet per the unrevised edition plus an additional 125 square feet for the
additional lateral, for a total of 425 square feet. The pressure line from the
S.T.E.P. to the leach field is protected with a minimum of 2.5 feet of ground
cover, with 4 inches of rigid styrofoam insulation in the ditch. In addition,
a bentonite/soil (native SILT) ditch plug was installed to prevent effluent from
returning down the ditch line to the curtain drain and septic tank area. A
curtain drain, 7 feet deep was installed as shown between the house and the leach
field prior to septic system construction to dewater the home site and septic
tank installation area. The leach field was located approximately 50 feet from
the curtain drain, however, the actual system was constructed so that the
separation distance varies between 42 and 53 feet from the field. General
drainage along the curtain drain and from the leach area is to the south
southwest, making the possible water path from the leach field to the drain on
the order of 50 feet. In regard, we request that the curtain drain be approved
as installed.
The platted water well location is shown in the south west corner of the lot.
The actual water well was installed on the west side of the lot in the location
shown. The well was moved to this location due to drill rig access which
included a flatter slope and relatively dry ground support conditions. The
Page 2.
M.O.A., D.H.H.S.
September 15, 1992
proposed site was across a steep drainage ditch and in very soft, wet ground.
At this time, there are no other existing wells and/or septic systems in this
subdivision. The relocated well does not appear to conflict those platted well
locations and septic set backs in borderings lots and in Tracts A and B. We
request that this well be approved as constructed.
Please do not hesitate to call if you have any questions.
Yours truly,
A.W. Murfitt Company
r yluC'q w Y L r c: AJ10A w. ml'
Allan W. Murfitt, P.E. II s� .4977-E
Civil Engineer 4977-E 41 _ ..._ _,
Copy to: Mr. William Taylor, Colony Builders, Inc.
Attachments: On-site septic/well inspection report, elevation data sheet, as -
built site plan, water test results, water well log.
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW920127 DATE ISSUED: 6/05/92
DESIGN ENGINEER:A.W. MURFITT COMPANY, INC. EXPIRATION DATE: 6/05/93
OWNER NAME:NORCOL INVESTMENTS A//
OWNER ADDRESS:3911 EASTWOOD LOOP
ANCHORAGE, AK 99504
PARCEL ID:01711277
LEGAL DESCRIPTION: FOREST RIDGE BLK 1 LT 4
LOT SIZE: 38611 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD / WELL SYSTEM
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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS: 14 -"Q3
AN ELECTRICAL PERMIT FROM BUILDING SAFETY IS REQUIRED FOR
THE LIFT STATION. A COPY OF THE SIGNED -OFF INSPECTION MUST
ACCOMPANY THE AS -BUILT.
RECEIVED BY _<Z� 0, DATE: e5 -S - el 0,
ISSUED BY:
ns� e ►�G�-,L,�
a
3
Lo -'l_q a
DATE• 4A�/
2uu-Co233
JUN- M-92 PRI 16_13 YISTA DIMONI) P.01
a- b", RECEIVED
®Bu��dM
Radio" c ar" t fad OW04mear f nn INv. Awww Alow ++�+ f`�i iron 14"US JUN 51982
Municipality of Anchorage
Dept Health b Human Services
June 5, 1992
Attention: Municipality of Anchorage
On Site Servicer
RE: Permit Pick Up
Lot 4 BIOCk 1 Forest Ridge Subdivision
To Whom It May Concern:
Please authorize Sammy Arias of Anchorage Express Couriers
to pick up the above mentioned permit.
Sincerely
Taml Taylor
Colony Builders
A.W. Murf itt Company_
CONSULTING ENGINEERS & TESTING
13810 Venus Way ■ Anchorage, Alaska 99515 ■ (907) 345.2737
Colony Builders, Inc. June 3, 1992
3911 Eastwood Loop
Anchorage, AK 99504
ATTENTION: Mr. Bill Taylor
RE: Septic System Design
Lot 4, Block 1, Forest Ridge Subdivision
Anchorage, Alaska
Our Job 92-213.04
Dear Mr. Taylor:
Please find attached the necessary design documentation for the referenced
project which needs to be submitted to the Municipality of Anchorage (M.O.A.),
Department of Health and Human Services to obtain an on-site septic/well permit
�RZ in order to construct the three bedroom, single family residence at this site.
o Our design and documentatl'oU is for i shallp, insulated trench system with a
S1 S,,,;ttA' located ��— ) to the disposal site
as the home structure is planned to be located down slope from the disposal
CL s f' field. Adequate disposal reserve area is shown on the site design plan and note
that the well/septic separation distance of a 100 foot minimum must be
maintained. There are currently no other developed lots in this subdivision and
currently no other well/septic systems within 200 feet of this proposed
development. The system must be installed by a M.O.A. certified installer. In
view of our Boring *3, on April 25, 1992, we strongly suggest that the foundation
for the structure be equipped with drains and a water sump to dissipate seasonal
meltwater which we observed in our work at this time. This water has since
essentially dried up.
ce4L-rr�
Thankyou for the opportunity to be of continued service. Please call if you have
any questions.
Yours truly,
A.W. Murfitt Company
Allan ... Murfitt, P.E.
Civil Engineer 4977-E
Allan W.
3sJla
dX1sa�''16 /'4/ 0
QS ✓dpt'ei N^
ATTACHMENTS: Site Plan, Pump Lift Station) Details, Percolation Tests 1 and 2
with Grainsizes, Boring Log 3.
A.W. Murftt Company_
WNSULTING ENGINE'E'RS & 7wnNG
13810 Vcnm Way • Am6wwpc, A6&a 99515 • Telephone (907) 345.2737 • FAX (907) 345.3264
RECEIVED
FAX TRANSMITTAL FORM JUN 51932
btunlcipality Cf Anchorage
''` Dept. Health G Human Services
TO:I((V��L��V,,Q�� �O}�},-�,?!"Y`E:.._� FAX NUMBER 3�S—Eo?�(�_
DATE NL- �L
NUMBER OF PAGES�I9NCCL+UDING THIS SHEET Z
FROM �..:�kV 1 C[-
HARD COPY TO FOLLOW THIS FAX 7 YES—...' NO K
COMMENTS:_..4&Q(S ,.ot_ .._�NCJJ' LA) 10 T��E�-
A. W. MURFITT COMPANY
Consultin` En Ineols & TostIns
13810 Venus Way
ANCHORAGE, ALASKA 99515
(907) 349.7531
RECEIVED
JUN 41932
an 9z—z/:?.oti 0409- rS �
&'"TNO. �. eept. ith E, Human Services
a
CKauuu sy o.rs
cKoom W1i�i�Z�
1
_'IF�4Y4!eA�II�tKr"t�llEi�
v
/
�
f
A. W. MURFITT COMPANY
Consulting Engineers & Testing
13810 Venus Way
ANCHORAGE, ALASKA 99515
(907) 349.7531
JOB 9 Z - Z / :� . O °f COLOA1
SHEET NO. DP
CALCULATED BY DATE
CHECKEDBAI'IIAC-RSA DATE i�
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TYPICAL LIFT STA TION DA TA
RESERVE CAPACITY
ABOVE ALARM
161 GAL
192 GAL
157 CAL
217 GAL
113 GAL
349 GAL
284 GAL
J85 GAL
1073 CAL
1265 GAL
1578 GAL
1703 GAL
2140 CAL
CAPACIATY BETWEEN
PUMP ON & PUMP OFF
109 CAL
151 CAL
175 GAL
142 CAL
175 CAL
222 CAL
184 CAL
276 CAL
301 GAL
J55 GAL
44J CAL
478 GAL
601 GAL
FLOAT LEVEL
CENTER FLOAT CORD AT
USUALLY SPECIFIED WTD/ DUAL PUMPS
--
SETTINGSALARM
45'
46'
45"
54•
6T
65'
6T
66'
71"
74'
74'
74"
74'
ABOVE VAULT
BOTTOM
ION / OF
41•
42'
J9'
49.5•
6J•
61'
6J•
62'
70
70
70
70
70
SHELL
12 GO
12 Go
10 GO
J/16
3/16
3/16
3116
3/16
114
114
114
1/4
1/4
DIAMETER
58-1
58-1
58-112
64
76
76
76
76
96
96
96
96
96
LENGTH
111
145
194
206
181
194
118
155
106
143
303
327
411
COMPARTMENT A
81
97
IJO
1.57
121
129
145
170
157
162
202
218
274
COMPARTMENT B
40
48
64
69
61
65
73
85
69
By
fol
109
07
INLEF INVERT
51
51
51
57
68
68
68
68
78
78
78
78
78
NORMAL APPLICA DON
RESIDEN77AL RESIDENTIAL
DUAL
DUAL
COMMERCIAL COMMERCIAL COMMERCIAL
COMMERCIAL COMMfRpA
CQUMERCI
COMMERCIA
COMMERp
COMMERCIAL
INLEF
NEMA 4X.NNCTI0N BOX
l' PIPE NIP WELDED
INTO RISER WALL
NEEP ABOVE ORADE�
I' CONDUIT LB
1' PVC MALE ADAPTER
I• PVC CON&AT
RETRIEVAL ROPE-,,,
10 • BETTS WATER17CHrMANHOLE
4•J
i
ERTTS J/4'
FIBERGLASS LID W/1' FOAM
AND RETAINING MECHANISM
PVC UNION
I• PVC CHECK VALVES
12 Go X 24. 0 MANHOLE
I • FLEXIBLE PRESSURE HOSE
(I' PVC PIPf TYP)
1" URETHANE FOAM (SHOP API
WRI TNEMEC 46-465 TOP CO)
AD.NSTABLE FLOAT ASSEMBLY
FLANGED. GASKE7ED CONNECTIC
2" THREADED PIPE COUPLING
5' 00 4' HUB
1/8' DRAIN BACK HOLE
4' PVC FLOW WOUCER
1-3/8" HOLES 6' OC
t/8' MESH POLYETHYLENE SCR
IS' X J9.HIWr
1L/2 H.P. 5 YR WARRANTEED
US TED EFFLUENT PUMP
RETAINING ANGLES
f4� CHECK VALVE
�— COMPARTMENT A ----L.COMPAR7MENT B .1
TOTAL LENGTH
I
TYPICAL PUMP PERFORMANCE CURVE
GALLONS PER MINUTE
w -4'. 161, 41
OF A -41
�,�p�•.•'•"""•, s�1fENGINEER'SSEAL)
p k
Tit ti'9
e Y Municipality oI Anchorage F •.. _ .�
!1 DEPARTMENT OF HEALTH 6 HUMAN S 1.
�
825 •L" Street, Anchorage, Alaska 99 2- a Allon W. u : W
SOILS LOG —PERCOLATION Tei ••;• N0.4* vii I LOG r�2
. t19Fofpl�314�? ���
PEn FORMED FOR: Cowt)'i guu4tV S i DAN PiNFIGRMED:_ MAV ZZ PqZ
LEGAL
1
2
3-
0 4 4-
7-
0
12
13
14
PF1J (P�) q 012C-A))(b.SlI qw
601,5 l mote rDAO-K grtu)IJ
SWoq SILT(ingi, brig GQ
SNjDy GaUEL((�tcn, fKeLC,<
SILT ,-1 lniot ,umt r2m
Ccwaus t IROU'L YS
W��-��►�L��
s �C1Sfll)(� (,ROu).z0.
W! rrr/ S hr
Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
TOCfE►xfl 11 Ft s
� n.-..- n IF YES, AT WHAT -7 ✓,� L
to SLDTtr-p ;VG DEPTH? /, s r`c p
Sf A')O 10l pl: INSTALLED E
G 12��`j Z Depth to Water AAu
CK/�E 7E -ST Monitoflnpl ��Due
AFF
15 PEG d'
18 7S7 /lJ CE 03 1
C!lzs/vZ CMc-ss
17-
7
ByANM,N/'let
7-
16-
19
8 19
20
COMMENTS
PLAN
'm■■■■■■■■■
■■■ate■©��■
L'L`•i��1 �����
PERCOLATION RATE 216 ,IminWeennch) PERC HOLE DIAMETER
TEST RUN BETWEEN .2-S FT AND R.O FT
PERFORMED BY: A•V AuRrm (o,*w7wJ 1 CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
119f19 (11Fv. 4193)
L'L`•i��1 �����
PERCOLATION RATE 216 ,IminWeennch) PERC HOLE DIAMETER
TEST RUN BETWEEN .2-S FT AND R.O FT
PERFORMED BY: A•V AuRrm (o,*w7wJ 1 CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
119f19 (11Fv. 4193)
. Consulting Engineers and Testing
A.W. Murfitt Comp
13810 Venus Way • Anchorage, Alaska 99515
Telephone (907) 345-2737 • Fax(907)345-3264
TARE
HYDROMETER ANALYSIS
TARE NO.
51 1 EYE
CUM. WT.
%PASSING
T.OF ^ URO.
A
IR
O.WSmm
3.
CORRECTION
0.002mm
2-
TEMP HYDRO READING GRAIN SIZE
(C) ACTUAL ORR(R) L K DIA. P
%OF
TOTAL
ASSSIN
1 1/2"
6 -Lf
i-0
1•
2 " .�R
6. 6-
3w
1n•
2
70.
3/8'
.
F,
W71
3•
1110
PAN
TOTAL I 16P.3
8
10
16
20 ZS..
30
40 .5
so
60
80
100 $4.?
200 G 4
PAN
TOTAL D.►
VT. UNBURNED f TART
WT. BURNED t TARE
NO. TARE
%ORGANIC .
CLIENT: PROJECT:
L21 i3��
PROJECTNO.:9 Imo• 80RING: PCU' . �
SAMPLE: 1 DEPTH-.
DATE RECD: 510-) Z- TECH: e f{
DATE TESTED`SI9
CLASSIFICATION: (LISCS1 !i11�y 6t2,9�J 1 GW
—1 ve ie_ /LT
FLATrwomi
SPECIFIC GRAVITY — LECHATEUER
HYDROMETER ANALYSIS
TARE NO.
CYLINDER NO.
SP. GRAVITY
0.02mm
T.OF ^ URO.
A
IR
O.WSmm
CORRECTED WT.
CORRECTION
0.002mm
TIME NET
MINUTES) (TIN.
TEMP HYDRO READING GRAIN SIZE
(C) ACTUAL ORR(R) L K DIA. P
%OF
TOTAL
ASSSIN
0.5
6 -Lf
1
2
S
e
16
27
S4
240
1440
FLATrwomi
SPECIFIC GRAVITY — LECHATEUER
MOISTURE CONTENT
TARE NO.
INITIAL BLANK READING
_>
WET 4 TARE
w
\ 1 LI
DRY 4 TARE
(e)
( S
TARE
(C)
1 ,1. L
%MOISTURE
{!{
6 -Lf
FLATrwomi
SPECIFIC GRAVITY — LECHATEUER
WT. OFSAMPLE
w
INITIAL BLANK READING
(B)
FINAL BLANK READING
(a
FLASK READING
lDI
CORRECTION B -C
(p
CORRECTED FLASK READING DA
IF)
APP. SP. GR. 77r
SALINITY
CHECK APPROPRIATE
SAWLE PREPARATION
PAN WASH
SIEVE
MOISTURE
ORGANIC
SP. GR. LECHATEUER
HYDRO. 0.02
SP. GR. COARSE
HYDRO. 0.002
SP. GR. FINE
HYDRO. WASH
ATT.
PERMEABILITY
SALINITY
ORGANIC
[ r,317
FINE
1 FLASK WT. I I
i
DRY WT.
FLaSOIL iHO
TEMP
FL4H0
SP. GRAVITY
REMARKS:
If 6.8
7.
.'y•ILi
OF A
*14
Municlpality of Anchorage ►,'+ /' .•.•. .A •.
DEPARTMENT OF HEALTH d HUMAN SERV t
825"L" Street, Anchorage, Alaska 89502 r A)),, Yy, ,az
vvo
SOILS LOG — PERCOLATION TEST/ sjti, Me .497.9
1 (7 _ ��1 �1�`RO``F``EiSSSSIIO%�
PERFORMED FOO: COLOIJu 6UU..EEQS IJ -1'1G• DATESW5 MED:_MAq 2%, ►99z
LEGAL DESCRIPTION: I Ip SU,or.ownshlp. Range, Section: SEA 9 34 • T I2A1 1 9 3 W SM
DEPTH
(pt-) 1tor.6c,?Itc SI Lx L.
(FEET �r:�f
1 . "OrS ,MO\IST , DARK eI2bLON
2 StL-rkvAt�,SQNO),W4,
. 1 111rc 6 VEl- , DIST )u6KT
3 S�uD (SPS, W• fit GtVYa,-t+act✓
L+ brown , NFS, Moist
4 ��'/?7�LL- (C,l'AlRSlL6� 2.StuSl
Hrwo DUG
6-
6- t?IATrJ2 IEU6tS FrIVA
11,U 1 /r lv2 •rv73E � Z , �3 .
7 It -sr HouE" CmF 55,�r1zs�9z)
9 ((S'Y/-G1n) 4%D 14F . L,
V)rfma FT Io ft.
9
SEAL)
10
11
12
13
14
15
18
17
18
19
. , WAS GROUND WATERv1'l ; 6 N :: 1" •
ENCOUNTERED? LC-? �r ,�� I�'�t
$ rl "1 1 1 . I��.
IF YES, AT WHAT f
DEPTH? a !'C p
E
Depth to Will Ater
Monlloling? —Dat
®®m®m
20 { ) Z U
IL—ll PERCOLATION RATE ,tminuteYln•�ch)IIPERC HOLE DIAMETER _SZ_
J� n 11 yy�� TEST RUN BE��••T��WEE �1 - S FT AND 3.0 FT ��.�1
COMMENTS Aplgj(&D.J i<� l.7 ML IDAylSwFF6. 6-t, /ZS mj5L XA(—N lar
r r,+ vivw S HA u m i') -Wr_AI e rl d 4STFM 4'S ©FG/L-c =
PERFORMED BY: / W- MN„r I-ff- C I Ad t) I/I. {II UK -I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: "'^AIL �. l 997
72008 (Rev. 4/85)
. ••
I
■ 91
NOON
■��li.s��
.
0■
■I©m■
©No
qq�
NINON
■m"■
■i�iiit'..�
•_ ERNMI■
■ommongoom
HaVIERE�M�s
■mm■
■ENNOMENN■
. , WAS GROUND WATERv1'l ; 6 N :: 1" •
ENCOUNTERED? LC-? �r ,�� I�'�t
$ rl "1 1 1 . I��.
IF YES, AT WHAT f
DEPTH? a !'C p
E
Depth to Will Ater
Monlloling? —Dat
®®m®m
20 { ) Z U
IL—ll PERCOLATION RATE ,tminuteYln•�ch)IIPERC HOLE DIAMETER _SZ_
J� n 11 yy�� TEST RUN BE��••T��WEE �1 - S FT AND 3.0 FT ��.�1
COMMENTS Aplgj(&D.J i<� l.7 ML IDAylSwFF6. 6-t, /ZS mj5L XA(—N lar
r r,+ vivw S HA u m i') -Wr_AI e rl d 4STFM 4'S ©FG/L-c =
PERFORMED BY: / W- MN„r I-ff- C I Ad t) I/I. {II UK -I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: "'^AIL �. l 997
72008 (Rev. 4/85)
20 { ) Z U
IL—ll PERCOLATION RATE ,tminuteYln•�ch)IIPERC HOLE DIAMETER _SZ_
J� n 11 yy�� TEST RUN BE��••T��WEE �1 - S FT AND 3.0 FT ��.�1
COMMENTS Aplgj(&D.J i<� l.7 ML IDAylSwFF6. 6-t, /ZS mj5L XA(—N lar
r r,+ vivw S HA u m i') -Wr_AI e rl d 4STFM 4'S ©FG/L-c =
PERFORMED BY: / W- MN„r I-ff- C I Ad t) I/I. {II UK -I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: "'^AIL �. l 997
72008 (Rev. 4/85)
A
ko S�bPLF
FORST RIDGE SUBDIVISION
LOT 4 , BLOCK I
38, L it S. F.
bkj
i
CIRCLE
A. C.
DRIVE
- L= 17/.7.¢'
u
i
1 iaf, 247 PSL l Road
I �� Fr... FSR • + I �/
i
I
r Q
-,IJEa i
PROPOSED �u UJF'617>ta-fret/
N B ILDING ,. In�clzAv�LS/pt<1ry
I 3 ARD�ai_ 45, To �rF StST_-
s
,SON rlD.j Ca
7aT YbL /P- i2c�cx�-i .� s rib
M -4z
WY�6 5!D
O Cs�zz�4t, 6 0
� ``3c �
Z
.575.
HLO
?5/Kz ', ��582111=p Jam,
b 1 LOT
ZComcF" /f rr'
S�/C 7AN
DD
t nota
SES WELL-1be.
LOCA 10p4 (PER
PLAT)
C; CP
b
/9a RELATIVE ELEVATION
FROM ASSUMED DATUM
1'�� I
F PQ0Po5EP
PA TTetzn1
OOF A4
BO
Ar
.c�;49TH� '•�
s
eWe—e-r-y-A'_ Gaealdl •
LS -6091 yw�n
.. a
0
i e ..........
.ao�ov®
AON1�>° REVISED 6103142
24' 109
0
PLOT PLAI hereby certify that I have surveyec
the: Property depicted above and that
GASTALDI LAND SURVthe proposed improvements and drain -
Jeff A. Gastaldi,Rage patterns are as shown hereon. It
4726 West 88th Aveis the responsibility of the owner,
Anchorage Alaska 9prior to construction, to verify the
proposed building location on lot,
248-5454 grade and utility connections and to
GRID determine the existence of any ease-
DATEments, covenants; or restrictions
313-7 4 -'2'7 -which do not appear on the recorded
F.B. JOB NO.]subdivision plat.
M1
.a, •o
Ni1T� ;
mT= Moo iTor-Tv.QG , DJA7-,/2
� a..
�r
-is�t NDL�s �eA?'�D swrrJG
r
coet��z �S F2om t2p s� (bQ4�P
_Ti
CLAW LSPAC�
— WO Np�Irt2 WELL/S. C SK?frMS
�pLAmr',
SET S'(8` RE BAR W'ITI.1 `
SURVEY CAP STAMPED LS -4041
E2ES �07p)SVS Sa4ME Al
)C'KIYnAP.V S4sT�M
PLOT PLAI hereby certify that I have surveyec
the: Property depicted above and that
GASTALDI LAND SURVthe proposed improvements and drain -
Jeff A. Gastaldi,Rage patterns are as shown hereon. It
4726 West 88th Aveis the responsibility of the owner,
Anchorage Alaska 9prior to construction, to verify the
proposed building location on lot,
248-5454 grade and utility connections and to
GRID determine the existence of any ease-
DATEments, covenants; or restrictions
313-7 4 -'2'7 -which do not appear on the recorded
F.B. JOB NO.]subdivision plat.
M1
Consulting Engineers and Testing
A.VU Murfitt Company
13810 Venus Way • Anchorage, Alaska 99515
Telephone (907) 345-2737 • rax(907)345-3264
I °iiii I CUM. WT. I %PASSING I
4-
3-
2-
1
•3•2•1 1/2•
1• fov.o
3/8• /b 1.
04 ZS/•
/10 23.
PAN
TOTAL 1337.
, rinc
8
10
16 T
20 c/
30
40 ;---19 J
So
60 S6.7 • 0
80
100
200 /077-
2,
PAN
7.0
VT. UNBURNED + TAR'
WT. BURNED +TARE
NO. TARE
% ORGANIC
CLIENT. --6.47 �!
;I 6 PROJECT: L U ��I
PROJECT NO.& 'a13.0 BORIN& PO(Jr
SAMPLE: , DEPTH: P.S - 3-19
DATE RECD: S a 9 TECH: ± c
DATETESTED����`i %9 �-
CLASSIFICATION: (LISCS) SAND (SPS iW
' . e" an III:;/ . r /LT Air, 0
SPECIFIC GRAVITY — LECHATEUER
HYDROMETER ANALYSIS
TARE NO.
CYLINDER NO.
SP. GRAVITY
0.02mm
T.Of XYDRO.
LE
A
O.00Smm
CORRECTED WT.
R CORRECTION
0.002mm
TIME NET
(!FOURS & TIME
MINUTES) (T)MIN.
Twp HYDRO READING GRAIN SIZE
(C) L K DIA. nun
ACTUAL CORR (R) O
%OF
P TOTAL
PASSIN
0.5
(p,
1
2
s
B
16
27
S4
240
1440
SPECIFIC GRAVITY — LECHATEUER
MOISTURE CONTENT
TARE NO.
INITIAL BLANK READING
4,5-,
WET +TARE
W
l!r 2.'2 '
DRY +TARE
(8)
(E)
TARE
(c)
IC'i Y
%MOISTURE
4:);
(p,
SPECIFIC GRAVITY — LECHATEUER
WT. OFSMPLE
W
INITIAL BLANK READING
(B)
FINAL BLANK READING
(C)
FLASK READING
(D)
CORRECTION B.0
(E)
CORRECTED FLASK READING D+E
(F) -
APP. SP, OR. A F
SALINITY
CHECK APPROPRIATE
SAMPLE PREPARATION
PAN WASH
SIEVE
MOISTURE
ORGANIC
SP. GR. LECHATEUER
HYDRO. 0.02
SP. GR. COARSE -
HYDRO. 0.002
SP. GR. FINE -
HYDRO. WASH
ATT.
PERMEABILITY
SALINITY
ORGANIC
SPECIFIC GRAVITY
COARSE
OVEN DRY WT. W
WT. INH O (B)
APP.
FINE
FLASK NO.
FLASK WT.
FL + WET SOIL
DRY WT.
FL+SOIL+HO
TEMP
FL+H O
SP. GRAVITY
REMARKS:
,SA 7$.3
177
MACHINE USED ArrrkCmi*. dGem"hnkdErgimedngC Ir nt. 1,. SHEET
maweLt, cme -5s A.W. Murfitt Company_ E''.'`:
METHOD USED SOILS LOG HOLES �AL DEPTH�
VO DLIO FL16i r Aub p OJECT*1a ZI•I
DRILLER L LOGGER •M f PROJECT L4 191 o+C>?
TIME STARTED I I -LIS FINISHED L" GM . DATE
VEGETATION, DRAINAGE 9 GENERAL, TOPOG APHY ' GROUND WATER
Ir�t�Av b,bcLA- spvu f- ,QIA"i eat DATE I 42S
6
T
3
L
T I Ivis
DEPTH I D Ft
OO
7
o
m
u
i
d
o
s
<
V
>
w
r
W
bb
>
LOCATION DIAGRAM a NOTES
L -43131 3 8r
FomsT VQ06 , SUQ. 140r
r
1vk zoo
• • • •' • • Y
VARVING, ICE TYPE, BONDING OR TOUYMNCaa, ORILLINY NOTE!
rL—
tyo' co N ZnATVICAT%�0
L ,
GL
6
T
3
L
O ' MUNICIPALITY OF ANCHORAGE
`\ Q P.O. Boa 196950 go, Alaska 99519 • ' . , r�!
FINANCE DEPARTMENT �+
(/�1 CASH RECEIPT NO. 5p9 96 �
Recelved From `•evec� Dale ��
www...... _. 2{0
Amount
Remarks
ti
■�m�c�
�Y+la�
��n��nnnnnnn�nn®nnonnnn�r�nnnnnnn�na�
�©©o��o�nnnnnn�nnnnnnnnnn�nnnnnnnon���
!i�n�r�fll��nnnn�nn�n�nnnnn��n�n�nn�n���c
Indio�10Q415nnnnnnnnnnnnnnnnonnnennunon�
::====e!����
II1A=,Ci�u�:::::::::::=eee:
Nfl1©1
MWEME
DIlIIIl
••�
rr r. r• "•
iiJil�
40007 (Rev. 7191)
Phone rye» v • r . v v —
DISTRIBUTION: Mle • Treasury •Yeeow • Book .:...PNc • Customer Goldenod • DepartawN
70
U) r'
rn
rp
m
N
o
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
Tom Fink,
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
September 28, 1992
Allan W. Murfitt
13810 Venus Way
Anchorage, AK 99515
Subject: Lot 4, Blk 1 Forest Ridge, PID #017-112-77
Dear Mr. Murfitt;
Your request for variance to the required separation between an
absorption field and curtain drain has been granted. The
separation is waived to 42' from the 50' required under AMC
15.65.
Your second request to move the well from the platted location
under item #14 on plat #86-178 has been granted. The location
of the well on the west extremity of the lot does not infringe
upon the development of neighboring properties.
These waivers apply to the existing three bedroom single family
dwelling only and will be null and void upon upgrade. Should
you wish to discuss the matter further please contact the
On-site Services office.
Sincerely,
zz�z
Daniel N. Bolles
On-site Services
cc: John Smith P.E., Manager On-site Services
db/195
• •
• Municipality of Anchorage PAGE
On-Site Water and Wastewater Program �i -
(907) 343-7904 �4itr
ii
Certificate of On-Site Systems Approval AUG
0 2 2018
Parcel I.D. 017-112-77 Expiration Date: '6, Q
1. GENERAL INFORMATION: `71 6 8 L 9
Complete legal description FOREST RIDGE; BLOCK 1, LOT 4
Location (site address) 5200 Bishop's Circle *Anchorage, AK 99516
Current Property owner(s) Robert McVitty Day phone 244-4449
Mailing address
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: g
Date: 1 ���
COSA to be relea ed to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 6 2(0 ^ Waiver Fee $
Date of Payment g'1 ?jl Ig Date of Payment
Receipt Number Cfl'Li4 gp�( Receipt Number
COSA# 05C-)g ) ' 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: Garness Engineering Group, Ltd (GEG)
Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 ?file
Engineer's Printed Name: Jeffrey A. Garness
Date: 7
oQ000.\.
OF...a C N,
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system on
in accordance with the guidelines and regulations established by the Municipality of Anchorage and ..--47'' \<� • •••. • S Qll
industry practices. The reported results describe the condition of the system/s on the date/s of the .• `,y_ '•.'j' 0�1
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or "(7.,''''...11.,'T , �. ..�*VO
encroachments may exist that were not identified during the evaluation. The operational life of all wells * : r•• 1 �
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, VA
groundwater levels (that may fluctuate during the year), quality of construction (materials and 4
O
ly
lizing
e
m/s.
e conditions can vary,and
workmanship),and the water usage of the ctomltesttlresulltthdo notguaranteefuture performance of the /� .•.J:• fr:11 , Gar ess:
are outside the control of GEG. Satisfactory CE 79.3 •*. •,. 1
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of �Q�9 . . A
the well or septic system. GEG makes no representation whether an alternative well or septic system Vn s .•112s / p
Vs' �,
can be installed on the property in the event either of the current systems fail to perform adequately in Q Pre o
the future. The content of this report is for the sole benefit of the person/party that retained GEG to 440 professto�a
perform the evaluation. Reliance upon the information provided in this report by any other person or �Opppo�a
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
c ,. .#AECC884
whatsoever. fit.;,\, . OF,i/v,•
6. DSD SIGNATURE jam' _ �.G
ON-SITE
76 System #1 Approved for �� bedrooms WATER AND `r'
System #2 Approved for bedrooms to
,n WASTEWATER O'
PROGRAM
Disapproved �,
Conditional approval for bedrooms, with the following silations: c\
r2c(,f/� )-- ����nC.
< ,s S l -iis 2--C'^� z_ocoy
a.G7I ( I En. •
—
I Ill
�! Original Certificate Date:
By:
e-- 7 - /Y
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:
7ECOSA Checklist Nitrate Advisory
Arsenic Advisory
Septic System 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
Certificate of On-Site Systems Approval Checklist
Legal Description: FOREST RIDGE;BLOCK 1, LOT 4 Parcel ID: 017-112-77
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES
Date completed 6/10/92 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 141 ft. Cased to 141 ft. Casing height(above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 6/10/92 6/18/18
Static water level 0 ft. 16.2 ft.
Well production 1.25 g.p.m. 5.2+
g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 ml. Nitrate ND mg./L. Collected by: GEG, Ltd.
Arsenic: <5.0 ug./L. Date of sample: 6/18/18
B. SEPTIC/HOLDING TANK DATA 26 YEARS OLD STEEL S.T.E.P.TANK MAY BE APPROACHING
THE END OF ITS USEFUL LIFE.48"OF LIQUID IN TANK ON 6/18/18
Tank Type/Material S.T.E.P./STEEL Date installed 9/11/92
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout(Y/N) YES Depression over tank(Y/N) NO High water alarm (Y/N) YES
Date of pumping 6/14/18 Pumper AROUND THE CLOCK PUMPING
C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE AT MONITORING TUBE
Date installed 6/11-12/92 Soil rating qp.d./ 2or ft2/bdrm) 1.2 System type SHALLOW TRENCH
Length ••10o ft. Width 5 ft. Gravel below pipe 1 ft.
Total depth *4.4+ ft. Eff. absorption area "574 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 6/18/18 Results(Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added 490 gal. New depth 0 in.
Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate>= 450+ g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N &type) NO If yes, give date -
-ALL MONITORING TUBES EXTEND 16.5"TO 26"BELOW INVERT OF LATERALS
-WATER FOR TESTING WAS INTRODUCED THROUGH THE LIFT STATION
**PER 1992 INSPECTION REPORT
"SEE 6/14/18 MAINTENANCE LOG FROM AROUND THE CLOCK PUMPING (ATC)
""PER ATC PUMPING AND 9/14/92 MOA ELECTRICAL INSPECTION REPORT
D. LIFT STATION
Date installed 9/11/92 Size in gallons 150 Manhole/Access (Y/N) YES
"Pump on" level at in. "Pump off' level at ' in. High water alarm level at
in.
Datum Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100+ On adjacent lots 100'+
Public sewer main
75'+ Public sewer manhole/cleanout 100'+
'+ Holding/septic service line 25tank 75'+
Animal containment areas
50'+ Manure/animal excrete storage areas 100'4-
SEPARATION
00'+SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
`5'+ Property line 5+ Absorption field 5'+
Building foundation P Y
Water main
10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
10'+ Buildingfoundation 10'+ Water main 10'+
Water service line
10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain t0'+PER MOA RECORDS Wells on adjacent lots 100'+
F. COMMENTS
'MET CODE AT TIME OF INSTALLATION
44,...s.,,• i 4 4
•�4I _ OF 4 4
G. ENGINEER'S CERTIFICATION •' .... .. „•
*' ' ' 1 ' �\ .•. * 0
I certify that I have determined through field inspections and i • .. .�;. . •%
review of Municipal records that the above systems are in ...I1 •
conformance with MOA COSA guidelines in effect on this 0'73
'�::r f•jr •Corn: sB=
•
date. I j/ 7
Engineer's Printed am JEFFREY A.GARNESS �..��FD.. !.7.-L. :::•
ti�/g \,'ROFESS\ ••
Date LICENSE sus***
#AECC884
(Rev.10/12/12)
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT • �'7'
On-Site Water and Wastewater Section 907-343-7904
Fax: 343-7997
www.muni.org/onsite
Septic Tank Advisory
Certificate of On-Site Systems Approval # OSC181386
Subdivision: Forest Ridge Block:1, Lot: 4
The septic tank for this property is 26 years old. The average life for a steel septic
tank is 20 years. Typical replacement costs range from $6,000 to $9,000.
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.
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Mailing Address:P.O.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org
MUNICIPALITY OF ANCHORAGE
Development Services Department :i. Phone: 907-343-7904 l��
On-Site Water &Wastewater Section Fax: 907-343-7997 1 q
C
Lift Station/Pump Vault I
Maintenance Log ,u'
Owner .4/C-- 1417171V__ Street Address Q. f G . G�f �c
3(..2,-,O0 111 /7 � � � 1
Septic Tank: d
-Sludge level 0 inches -Pumping: required es no -Pumping completed es no
9 P� 9� q YP� 9 P
Lift station:
•Pump basket cleaned no •Effluent filter cleaned 0 no
•Control floats cleaned no •Proper float settings confirmed no 4
•Operation satisfactory e no
Alarm System:
•Dedicated electrical alarm circuit 0. no •Audible and visual alarm inside dweilin.0 no J
-Alarm system operation atisfac o , not satisfacto stir phone c a fl v cfS fror)
1✓/stn lrkicr s
Manhole Riser 612411€
•Ground water Intrusion at riser to tank connectio►4'. ft
•Ground water intrusion around pipe penetrations e- _n. •Weep hole functiona iltOV no
•Manhole lid: Functional es o Insulated iholl no Properly Secure.0 no
Other
•All manufacturer required inspections and maintenance completed a no
Comments:
ii 14, O-69c'GL c-0., Th,'5 Z/fi-iP__,
Qualified Maintenance Provider:
�
/ , It/V.�1� V?
Technician ..��`��/�/ ( � Date of maintenance � `" /9
`
Company ñIC-� rm /V/4/
Signature `-1�� Date
44?,,, M. ling Address: P.O. Box 196650*Anchorage,Alaska 99519-6650*www.muni.org
PLAT NO. 86-178
FOREST RIDGE SUBDIVISION
LOT 4 , BLOCK. 1
38,611 S.F.
5 Gp,5Z1.E. CIRCLE
vOp,
��1-(1 •1�, 1/ 1571.09'
4.aSp
//7 .-'
I.5' CONC. ��
id,.
A.C. DRIVE •
pass o.
/ 'QT'
`'� R�50.00'
ahip�4J CONC. WALK S a;
WELL 1111
a \ A 1 R
\ r \ cg %,
\ ■ SHED i \< 1 7.3'
o� \ EXISTING \mss+ s* Cov.
O \ BUIL NG
.j, •p ENTRY
t0.(• SEPTIC SYSTEM \ • •o,
0 9.5' to
A J \ 4 9.9' n vi
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1 -- 4 0 �'l• �' \ +j•0DECK .l!
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etBUILDING DETAIL
�
, SCALE: 1"s3&' L 0`
AS - BUILT I HEREBY CERTIFY THAT I HAvE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO *�
SURVEYING,ALDI L C ENCROACHMENTS EXIST EXCEPT AS INDICATED. +��� uF 4,r/
IT IS THE RESPONSIBILITY OF THE OWNER TO ♦ '�o .,••••.,4 4 "j
• JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF' ANY EASEMENTS, ♦ 1,. .•'•� �•'. .f' O.
2000 E. 0OwI.1NG RD., SUITE 8COVENANTS OR RESTRICTIONS WHICH 00 NOT �its .' 49TH /' •*
ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. r
PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA ••• *fi*+ •/
GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR :' Jeffery A. Gostotdi �;
Sw3 t 37 7/25/2018 OF
ESTABLISHING BOUNDARY OR FENCE LINES. 0�4-. .••7 z5�/g;����`�
ANCHORAGE RECORDING DISTRICT, ALASKA vp d
F.B. J08 NO. NOTE : NO CORNERS SET THIS DATE • 'kit ait**.
18-02 FRS41