The URL can be used to link to this page

Home My WebLink AboutRIVER VIEW ESTATES BLK 5 LT 12iver View states lock Lot g 050-792 -23 Municipality of Anchorage .. · ~"~;'.1 ~',~.~'~. Development Services Department ~1~Ii~., L"IINI Building Safety Diviston ~ On-Site Water and Wastewaler Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page ~.cl.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 5~OIOIg~ PID Number: 050-- 79~--~ . "~'"~V~ 5~W~ WastewaterSystem: ~New UUpgrade *~""~ 3 ~ 0 ~~ ~ 5~r~ ~ ! ~, l~ ~/~~/ABSORPTION FIELD So~ Rati~' Total Depth fr~ origi~l grade: LEGAL DESCRIPTION ~. 6~,o.,, J.~,.. Depth to ~ ~11~ f~ orlglnel greae' Gravel depth beneath . . ,~ship: Range: Seelig: Fill ~ded a~ve ~ina, g~de:~ ~; G, avel .v.~ ~,. fl~r el I~es'. ~ Dislance be~en I~es: Well: ~New D Upgrade ~"'""~'~: J ~ n. ~ 5+ n. Dale Orilledi Slatic Water Level: ~stailer: Dele Installed: °""":~,v~ ~/~,1~, ,,. ~ood..d Boys ~-~-OI ~ "~. s.,.,,. ~ c""~""~'"~°~" ~: TAN K " SEPARATION DISTANCES ~septic ~ Holding ~ S.T,E.P. ~ Other: T~ Septic Absorption Lift Holding Pubfi~riVat~ Mam~a~ec Capaat~ Number of Compadmenls; s~.~.~,.. JO0~ t00~ ~ // ' LIFT STATION ~' I0' .~, ~,,,: tot Line ~ 6~' ,o~,,,on ~o'50' "~'~"~'"~'"~"n'"'7~'""~"~'" """'": ~O~,x,~L P~.~c~z,~ ~ r BENCHMARK A~umed Elevation: Englnee~gtamp ~.'x~ .,' S & S ENGINEERING ' ~ ~' ""- 17034 Eagle River Loop Road, NO.~Dates: 1s' ~-~7-O/ ~"~'~"'~~ l/2~-,t~ Inspecti°ns perf°rmed bY: ~le RN~r' Ala;k; ~5~ " 2nd ~-~-Oi ~ Y.~~.. ~_ Development Services Department Approval ~ .:~ · t, ~.~ CE.~0] .ev,.w~n~pprov.~y:~~~~. ~~~t~:/O-~-O~ ,,,~'. ..... ~..-- eERM~T ~0. SWO 10125 PAGE 2 OF 5 Municip, a[i-tv oF Anchor'aae DEPARTMENT OF HEALTH AND HUIVEAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 ®Anchorage, Ataska 99519-6650·Tetephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT '' LEGAL LOT 12, BLOCK 5, RIVERVIEW ESTATES P.I.D. NO. 050-792-23 II DRIVEWAy 10' UTILITY EASMENT 14 · TH#3 NEW 1250 TBM SEPTIC TANK I DBL1 & DBL2 &TH#2 C06: ~""'"'~ ' itt 2 LOT 8 PERMIT NO. SWO 10123 PAGE 3 O~ 3 Hunicip. a[i"c oF .A.n_c h.o.r' a 9.e' DEPARTMENT OF HEALTH .SERVICES AND HUMAN - ENVIRONMENTAL SERVICES DIVISION P,O, Box 196650 I Anchorage, A!,aska 99519-6650eTetephone: 343-'4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 12, BLOCK 5, RIVERVIEW ESTATES P.I.D. NO. 050-792625 ,:===:====~'"'-' NEW 1250 ' 95'3'/ I GALLON 95. 1' I FINAL GRADE --/ , ' CO1 =97.4' ~'~'" \ C02 C03 C03=99.1 C04=97,~' C04 M1 C05 C06 C06=91, · -Ill--IIl--IIl--,,,--~) W"--"'- - '7"' ~-'"-- .... co~=~4.~'~ %,,,. ,,..~ %co~=94.~; k ' ........ C06=94.8' ~ ORIGINAL C04=94,8' _ C02=94,8' GRADE. C05=94,8' A B FCO 23.0' 7.5' ST1 46.0' 31.0' ST2 52.5' 39.5: DBL1 56.5' 45.0' DBL21 57.5' 46.0' C01 66.0' 68.0' C02 61.0' 6.3.0' C03 55.5' 58.0' C04 87.0' 70.0' C05 82.0' 64.0' C06 78.0' 59.0' MT1 64.5' 66.0' MT2 78.5' 60.0' · WATER FOUND ® 89.4' 81."~' B.O.H. Performed For: 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.anchoraqe.ak.us (907) 343.7904 Soils Log - Percolation Test LegalOescription:~-'o'3" i ~ ~Z ~ ..~ ~1V~ /~'~/11~ Slope C.~/J~w 2- b.~.#. 5o ~"'~',/ 7- ~.OFA .... ~ i ~o~ c. cow~N I.~ ~ Oate. Pedo~ed: W / ~ ~ / o ~ To. ship, Range, Sec~on: Site Plan 9- 10- 11- 12- WAS GROUND WATER ENCOUNTERED? ~ ~3 S ~ L IF YES. AT WHAT DEPTH? O Depth to Water After P Monitoring? /~' //3 E Date: 13- 14- 15- 16- 17- 18- 1g- 20- COMMENTS Reading Date Gross Time Net Time Depth to Water Net Drop o~,~so~,~ ~/~4;Io! o - ~." - t~ ~.~,~.t.. t¢ i1~' I0 I0 m~ Iq ,, ~ n ,, ,, /o %" ~o 1 3" ~ ,, ,, ~o%,,' ~o ~3 " ~,, ~o '/ 13" ~" PERCOLATION RATE ~ (minute~nch) PERC HOLE DIAMETER TESTRUNBETWEEN J I/~., FT AND ~.'/~, FT OWNEI . .. ,O .. f;" 10/03/01 WED 09'26 FAX , ~'..'.:.;'. ..-; ... . · . M .. ; · '. · .. 4' ..i. .. . ...~.-.. .... .. :.? . . · · .::',:..:..:'.~w&.~,,:..~ ?.,.... · .., '. :. Depth o .... : ................ · ' ' · '.' Tvoe'~'W~U:n'"'~ness~i'"ches Casing.,_ ..: .... . :. '.....- .,-,~ .. . · '2, -,~,~'inch~s' depth "':~ '~'" :.-;_fee~ uiamm ......... .. · '. · Lin'er .Ty~e: ~.. ':" :~ -... ...... " :"'"" '"'"' ":'.:.. ;-" " -_'ieet · · ,.'; ! '.: , · . · "iCa~;ing Stickup At~ov~ Gr0'dnd: ' ~' '" · , · .. , ........ · .' ~...,.,. ;:: :,. . ',': .: ~.:.. ..' ,.'. . . .,.. · ' '.':',Static ~ater:.L~v.~l: · <""" 6~'e~'Rate; ~gl~m '..: '.." ~:'.:¢" .'.:." · .:~.Rec .. ,. .. .:.. ?, ,: ,;:,. ... :..., ,.::.: ,-, .:. ....:.:, : ':'. ::.'.' ".'..:.: ;-:; ;ii' :,.i i :: ... "..';':';i¢'" ":" '" ~ ..... ':" ' ?"':': ~':';'"J'.;": ." '"" "";:d o" en hole ': ...%. : . ..~. ;: ',Well I~take Opeqmg Type..,..1;3 o. pe.n ,e.n..d.: : ,..p . :.: .:... ;: .. . · :,.~- '.'.J.;.-. :...¢: :,.'... · v.: :!: ~.. . .... ' "· . : ::% .'.".;i'::.5,!::.'ii:.~.": · Driller'§ ; ~ . .' . .. .-..' .... ,' . ~ :'~', : .... :' ..;'~;.I i:. :i'..A-FrENTiON: Jt is the'r~l~o~sibilit{/of'. {he ~r~'l~r~' ~n~r to submi~ ~ .cbpy:of the · "& Human Services ar~d/o~. D~pari, m'~t' df'E ... :'~: e' De artment of Health . . . ,~. .... .... .. .: . .,'..:.:,..;....,.,;: ... !: i~: .'": Department of Environmental Cons?Y,.atton...' :.'v.,.: ..~.:,'.:,:' ';':: :..'ii-,.-"iii'?,' :-:'. ...... ......... .... : .' ..:of Anchorag. · P . . · i' ' ' "' ' ' · ;'' ' · '' · ."' ' ".''.'. '.¢' '" '.' ; ....... {';. I'','. ' · "'' ;''" '11-. ' ";', ,~ · · ,: ... · . . ..;. - .... . .' · . '. . . .. ; '..:.....', ....... .~..:.:',, "' ..... ". '. ~ "· '- .... i:'. ' . .".'.': .... ~." ' . -. ".:~:;:--" ":. '~:: ..... ~:~ ..... " ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS tIE. Al. TH AUTHORITY APPROVALS SEWER&WATER MAIN EXIENSIOI'~ ,SEWER & WA! ER INSPECTION ENGINEERING N~DREPORI$ WELL INSPEC110N &FLOWTEST SITE SOILTEST PERCOLATION 1EST $I RUCTUR.N.. & MECHN, IIC. N. INSPECTIONS ON$1TE WASTEWAIER DISPOSAL SYSTEM E~slGN (907) 694-2979 FAX (907) 694-12t 1 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUM/~I SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE .' The septic infpe_c~t'_l~s for the reference? property, w.ere performed on_c;----~,-.~. ;. and 6-~-0~ .. Prior to submitting the On-site Wastewater Disposal System and/or Well Inspection Report we are waiting for the .A$-~#,°/J~.~v6.~ . to be completed. If we may be of further service please contact us. Sincerely, '1' 17034 NORTH EAGLE RIVER LOOP ~' SUITE 204 · EAGLE RIVER, AI.~,KA 99577 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 I WATER SUPPLY PERMIT Initial Date Issued: May 22, 2001 Expiration Date: May 22, 2002 Permit Number: SW010123 Legal Description: 'RIVER VIEW ESTATES BLK 5 LT 12 Design Engineer: 0003 S & S Engineering Owner Name: KEVEN STP, AWN Owner Address: NHN WILDWATER CIRCLE EAGLE RIVER , AK 99577- Parcel ID: 050-792-23 Site Address: Lot Size: 40045 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. 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. Received By: issued By: ,~~~?~. Date: Date: ..3'-'-- 2 Z -- O~' 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 ON-SITE SEWEPJVVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0.~0 '- 7q2- - Z] Permit Number swOI 0 i ~ ~t . Property owner(s) ~'E V/'~q .~fA~ Mailing address (1) '~O /'~d"F'¢'~ ~¢~ Mailing address (2)~~fA ~] ~ ~ Legal description (Lot, Block & Sub'd.) L Of Legal description (Section, Township & Range) 40, THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS pROpERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Number of Bedrooms Day phone ~'~'- Il ;~ I Zip Code Well Only [-'] Water Storage r-I Jacuzzi i-I I-"] Water Softening Unit [--I I certify that the above information is correct. I fudher certify that this appliCation is being made for a Single Family_D_wellin_~ and is in accordance with applicable Municipal Codes. 5 & S ENGTNEERING · -'.'.~~ River, Alaska 99577 (Signature of property owner or authorized agent) I Permit Fees: ~///0. Date of Payment: ~/~- '7//o I Receipt Number: O 0 ~ 5-'~ ~ (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: ROBERT C. COWAN, P.E. Xpril 20, 2001 CML ENGINEERS (907) 694-2979 FAX (907) 694-1211 ttEALTH AUT ~:)fllTY SEWER & WATER MA~N EXTENSIONS SEWER &WATER INSPECTION ENGINEERING STUOIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURA~ & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 12, Block 5, Riverview Estates Subdivision It is requested that you issue a permit to install a well and a septic system to serve the proposed four bedroom dwelling on the referem:ed property. Test holes were excavated, and percolation tests performed. The test holes' approximate locations are located on the attached site plan. At the time of excavation, 4/2/01, water was found at 11.5 feet. After ground water monitoring, water was found at ? feet. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage pattems by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, RCC/bjj Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER. ALASKA 99577 '~ LOT 12 BLOCK 5, RIVERVIEW ESTATES B.J.J. R.C.C. 5-~0-0~ 1 OF 1 ~ ~".,~s vlng DESIGNCRITEB IA'. OBTAINCONIRAClORuTILITyIS LOCATEsREQUIRED TO ,.,o, ,o ~.~ ~xc~w,,o. 4 BDRM = 600 GPD WORK. . SO,LS = 0.8 ~PD/SO.[T. LOT 7 LOT 8 600/0.8 = 750 SQ.FI. REQ'D. ~ ~ .... ., ," x, ~ 1~054 ~G~ RIVER LOOP ROAD J "~'* ~,,v,.,~,,,,,,, LOT 6~ DRAINFIELD CRITERIA: ~.o' azzp RIVER PA~K DRIVE _ ~ 5.0' WIDE m 150' LONG (3 ~ 50' EA 13 :..~ LOT 11 - , % / ~ ~//~~1 -'~' ~ /." / ~/ ~. , x~ ~ ~ .- ~ LOT u~ ~ .-/ ~ ~ ~ LOT 9 ~. k /I/ '~ ~,,,,~,,,,,-,,~,,~ .. LOT 8 ~TII ~SS THAN ~.5' OF ~ / // ~ x PERFORMED FOR: LEGAL DESCRIPTION: ' Municipality of Anchorage. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST t,o7' (E.~ - ~. %- , ._/,~L~.'"...',..-'~ ~. ~.'.. .. ~.~. DATE PE~FORMED~:~. ~..~ '~, Township, Range, Section: 3 4 5- 6 7 $ 9 10 11 12 13 14 16 17 18 19 20 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT ~ O DEPTH? P ~' '_ '-//~.s-/~t E DepthloWaterAIter. 5 'f'~' ' ,S'/,l~'q? Monitoring? G '~.,~ Date: ,~/,~- C/~ "/ T t./ .,q~ [ '78. ~z f ~,,~ Gross Net Depth to Net Reading Date Time Time Water Drop ~ ( 30 '?'1~" :3 \ 14~, ~" .'~" PERCOLATION RATE 3, ..~ TEST RUN BETWEEN ~ '/'~ __ {minutes/inch) PERC HOLE DIAMETER __ __ FTAND ~ ~/3. FT COMMENTS $ & S ENGIN£ERING PERFORMED BY: ......... ~_ -: .... I ,.,-~, ~4 ~ ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WIt~E ~X~ ~g?~L GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ / / ~ / ~ 7 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES SOILS LOG -- PERCOLATION TEST . . .......... ~.%~ no,~nT c. cow~ ~,~ ~ ," O'" .... LEGAL DESCRiPTiON: ~/~~ ~ ~ Township, Range, Section: - ~ I~V~' - .5 6 7 8 9 10 11 ,' 12 13 14 15 16 17 18 19 COMMENTS SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? (; Depth to Water After Monitoring? ? S ,.S'- 4 _~/ ?/ E Da,,: ~llql~l Gross Net Depth to Net Reading Date Time Time Water Drop / ' " - ~ ~ ~'~/+" __, ~o ~o & "/~ · ~ ~l~" / ~ PERCOLATION RATE / ~ (m,nutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN , ~-- FT AND 4 FT PERFORMED BY: ^CCORDANCE W'<~Z~L%~'~i~8~E~'AL ~'DEL'NES'" EFFECT ON T"'S DATE. DATE: CERTIFY THAT THIS TEST WAS PERFORMED IN 72-008 (Rev. 4/85) ROBERT C. COWAN, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-12'11 HEALTH AIJT HORtTY APPROVALS SEWER&WATER MAJN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELLINSPECTION & FLOW TEST SITE Pt. ANS ROAD DESIGN SOILTEST I~RCOt_ATION TEST STRUCTLEIAL & MECHANICAL INSPECTIONS ONSITE W, ASTEWAT ER {~SPOGAL SYSTEM DESIGN ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 12, Block 5, Riverview Estates Subdivision April 20, 2001 GENERAL: The scope of this project includes the installation of a 1250 gallon minimum septic tank and new trenches to serve the proposed four bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owaaer shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval fr6m the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. '17034 NORTH EAGLE RIVER LOOP * SUffE 204 · EAGLE RIVER. ALASKA 99577 Page 2 Lot 12, Block 5, Rivervlew Estates Subdivision April 20, 2001 All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Septic tanks installed with less than 4 fi. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 fi. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page 3 Lot 12, Block 5, Riverview Estates Subdivision April 20, 200t MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the//200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Page 4 Lot t2, Block 5, Rivervlew Estates Subdivision April 20, 200t The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre- construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR / INSTALLER �,36 ? 8 9 707 7 •11c. Municipality of Ancho ia.. stPR 18 zU18 D o On-Site Water and Wastewater Prog M. 4- (907) 343-7904 ^J SA [TY CERTIFICATE OF ON-SITE SYSTEMS Ai- "=•` �� Parcel I.D. 050-792-23 Expiration Date: ? -.,=.20-- 1 1. GENERAL INFORMATION Complete legal description RIVER VIEW ESTATES BLOCK 5, LOT 12 Location (site address) 7477 WILDWATER CIRCLE, EAGLE RIVER,AK 99577 Current Property owner(s) LANISE TAUNTON-RIGBY Day phone Mailing address 7477 WILDWATER CIRCLE, EAGLE RIVER,AK 99577 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: 4 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: Date: 10 vAe COSA to be released gineer,unless otherwise requested by the engineer. • COSA Fee $ 52(4' - Waiver Fee $ Date of Payment k 2-0—IS Date of Payment Receipt Number ocig2. h Receipt Number COSA# D I\ S5 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. • Name of Firm ARCTERRA CONSULTING,INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD.,EAGLE RIVER,AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 4/6/18 Engineer's Comments:This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface,changes inland use, local soil characteristics,groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a • system will function satisfactory for current or future -06.-"RL\ occupants or can ArcTerra guarantee that no unseen .4"-� OF A TLq encroachments,deficiencies or discrepancies exist. / cS tv *4• TI-I + 6. DSD SIGNATURE A ji y. System #1 Approved for q bedrooms. +) , ,NEr 7 1'6 r� AdY System#2 Approved for bedrooms. . k T o .`" 6 / " °�•� Disapproved. , �`�� Conditional approval for bedrooms, with the following stipulations: - OF Aivc,Yox ON-SITE G� .wATER.AN o WASTFWATER o PROGRAM 7nJ��kr'r csrO\I\C� • By: Original Certificate Date: L1-2-0 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 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: RIVER VIEW ESTATES BLOCK 5, LOT 12 Parcel ID: 050-792-23 A. WELL DATA Well type PRVT If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 512412001 Sanitary seal (Y/N)Y Wires properly protected (Y/N) Y Total depth 200 ft. Cased to 57 ft. Casing height(above ground) 24 in. • FROM WELL LOG AT INSPECTION Date of test 5124/2001 4.4-2018 Static water level 9 ft. 11 ft. Well production 1.2 g.p.m. 2.16 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/1 00 mL - 410 mg/L M .rr72 Arsenic: ND ug/L Date of sample: 4-4-2018 Collected by: ARCTERRA B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 6/2812001 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N Date of pumping 1/30/2018 Pumper Sanitary C. ABSORPTION FIELD DATA Date installed 6/28/2001 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.65 System type BED Length 56 ft. Width 18 ft. Gravel below pipe 0.8 ft. Total depth 3.45 ft. (Measured 4/4/18) Eff. absorption area 1008 ft2 Monitoring tube Y Depression over field N Date of adequacy test 4/4118 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 620 gal. New depth 0 in. Elapsed Time: 1 min. Final fluid depth 0 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) N If yes, give date D. LIFT STATION Date installed Size in gallons_ Manhole/Access (Y/N) "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 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'+ Sewer/septic service line 25'+ Holding tank 100'+ Animal containment areas. 50'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage_10'+ Curtain drain 50'+(NONE KNOWN}_ Wells on adjacent lots 100'+ _ F. COMMENTS Two 300-gallon water storage tanks located in crawl space. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. i OFA \ � AL<1 Engineer's Printed Name KENNETH M.DUFFUS /<s�� Date 416/2018 fif 9 TH 7* COSA canary sheet_2-6-15.doc KENNETH� VS \o .� G . AdIr .• ,Fs'IOC+i*l 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. (9 5'0 - ") rd 3. - 3. 3 GENERAL INFORMATION Complete legal description'LOT I~- 13Loc~ ~ Location (site address or directions) N ~/~ Current Property owner(s) K ~V£~ £ 'T,,?.~./~ Mailing address ~ .5-'O '7~ ~.o g£~ ¢7'_., Lending agency Expiration Date: Day phone z/q 0 - 3'~ ~' / -~ 7o (; (, A,.,,c~/. /I ~: '5'~/,.C'o / ! Day phone Mailing address Real Estate Agent Day phone Mailing Address Un/ess otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: /7/ TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ' Community Class Well 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 representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) 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 properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER Se . 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 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. S 8, $ ENGINEERING Name of Firm 17034 Eagle River Looo Road Eagle River~ Alaska 99577 Address Phone Engineer's Printed Name Disapproved. Conditional approval for DSD SIGNATURE 'V"' Approved for bedrooms. bedrooms, with the following stipulations: ) Additional Comments .~:~g'.. :. ~-~ ~ WATER AND "~ ~ ~' , .~.~ ~... ..-~ Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other By: original Certificate Date: (Rev. 12/00) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak, us (907) 343-79O4 HEALTH AUTHORITY-APPROVAL CHECKLIST Legal Description: LOT" J~. !~ i.e c~ ..,c J~;v~/4vl,s~ ~' ,5l/) Parcel ID: A. WELL DATA Well type PA Date completed ~'/~ ~//o l Total depth '~' o O ft. Date of test Static water level Well production If A, B, or C provide PWSID #. ~ Sanitary seal {~N) Y~--,f' Cased to ,("7 ft. FROM WELL LOG 1- ~. g.p.m. Well Log (~N) ~'~; J- Wires properly protected~ ')/~ -$ Casing height (above ground) I ~ ~ in. AT INSPECTION g.p.m. WATER SAMPLE RESULTS: Coliform 0 coloniesll00 mi. Date of sample: (:;J/~. 5'/O t Nitrate O- Y" mg./1. Collected by: Other bacteda 0 colonies/100 mi. B. SEPTIC/HOLDING TANK DATA .Tank ~iZe I ). 5? gal. Number of Compartments :.'; :Foundation cleanout 0)tN) Y~- J Depression over tank (Y~) Date of pumping '~/,~t - /'~/~ ~/ Pumper "-" S ~ _c _L-taG!H_~_~!.HG 17034 Eagle River Loop Road No. 204 Eagle River, Aleska 99577 Date installed ~/~ ~ Cleanouts (~) ¥4 High water alarm (Y~ ~,- o C. ABSORPTION FIELD DATA Date installed (=/~ ~/0t Soil rating (g.p.d./~ or ft~/bdrm) O. (;5" Length ~" ~ ft. Width ) ~ fl. Total depth ~ fi. Eft. absorption area IOo~ft= Monitoring tube '¥~'./ Date of adequacy t~st* ~/A ' ~" ,t ~,, Results (Pass/Fail) Fluid depth in absorption field before test in. Waterj.~al. Elapsed Time: ~min. ~ in. Absorption rate >= An~,rStj~~tment (past 12 mo;) (Y/N & type) If yes, give date. System type /3 ~ D Gravel below pipe O. ~ ft. Depression over field ~v o For ~ bedrooms New d~pth in. g.p.d. D. LIFT STATION Date installed 'Pump on' level at ~ Datum E. SEPARATION DISTANCES Size in gallons - ' -* ~~'- Manh~ - in. "Pump off" level at . High water alarm level at in. ~ Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot ! 0 0 Absorption field on lot Public sewer main On adjacent lots On adjacent Iot~ Sewer/septic service line SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Public sewer 'manhole/cleanout Holding tank Building foundation Water main Wells on adjacent lots Property line 3 ~:~ Water service line Absorption field &"- / ! 0 '~' Surface water ) 00 Water main /2 j~q Driveway, parking/vehicle storage SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ! 0 Building foundation. ~'0 Water Service line Surface water / 0 Curtain drain/v~,,,~ ~:~'o~J Wells on adjacent lots 00 COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Pdnted Name Date J 0-- HAA Fee $ ~OO. Date of Payment t O /~- ,t-'/o / Receipt Number 0 II $ °! ~ ~ Waiver Fee $ Date of Payment Receipt Number (Rev. 12/00)