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HomeMy WebLinkAboutPARADISE VALLEY BLK 8 LT 11Par'adi Valley Block 8 Lot 11 #020-413-31 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Municipality of Anchorage Development Services Department Building Safety Division P.O. Box 196650 Anchorage, AK 99519-6650 Page i °f3 www. ci.anchorage.ak, us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: ~,,) 000 ~O3 PID Number: 0o~-- q! 3-.3/ Uam":Shts~/l~ g~Y"O~ WastewaterSystem: ~New ~Upgrade 75qOFio~e,~e ,~b,~e~ ~5o7 ABSORPTION FIELD Phone: ~__ ~5 ~umberofB~rooms:~ ~OeepTren~ ~Shal,~Tren~ ~Bod ~Mound ~O~or~ LEGAL DESCRIPTION SoiIRating; ~F~GPD/Ft= TotalDep~fromod BloCk: ~ Let: i~ Subdivi~o~:p,r~,~. VOI/~ Oepth~ pi. bottomfromorigi.alg~de:~7 Ft. Graveldep~neath pipe: ' ~o~ Ft. Township: Range: Section: Fill added ab0ve 0figi~a' grade: 3+ Grave, Lo.~: Well: ~New n Upgrade Gravel width: lOFt. Numbe~lines: c~ to: , ~ T~ta~ absor¢on area: SEPARATION DISTANCES ~ septic ~ Holding ~ S.T.E.P. ~ Other: Tafik Field Station Tank Sewer Line ~l~ ~ ' I~00 GaL We,, iiO' ilfl' lift' "'""":flDPE NumberofCompaAments~ Foundation 1'7' 15' ~5' ~ 'Pumpon'levg,~,:,¢ 'Pumpo~levela,: ,, [HighwateFlarm~,: inl 3~ in. ¢ in. &~ Pete 13 T~¢.~> BENCH MARK Lo.tion and Des~pfion: ~O En~p S & S ENGINEERING ~ ~/' ~"',~ Inspecbons peEormed by:_ . ~. : Development Se~ices Depa~t~pproval . ~evi~wed ~.d approved ~y: ~. ~/X]. D~te: 7 2- O / · ¢, ......... - PERMIT NO. SW000203 PAGE 2 OF 3 un,tip, o, ht: oF Anchor'ciae DEPARTP1ENT OF HEA~_TH AND HUIVFAN SERVICES ENVlRONr'IENTAL SFRVlCE$ DIVISION P,g. Box 19665(] eA~cho~age, Alaska 99519-6650ITelephone~ 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 11, BLOCK 8, PARADISE VALLEY P.i.D. NO. 020-413-31 GRAVEL DRIVE NEW 1300 GALLON HDPE SEPTIC I NEW 550 GALLON FAT ALBERT WlTF LIFT STATION \ \\ ~NEW I.D.S.F. T H~,~ ~ (UNSUITABL£)~ I ROBERT C. COWAN CE-880i PERMIT NO. SW00020`5 PAGE `5 OF `5 unicap, ~(~t oP Ancho~'aae DEPARTMENT OF HEA~_TH AND HUKAN SERVICES ENVIRONMENTAL SERVICES DIVISION PD, ]3ox 196650 IA~cho~'~ge, AIcsk~ 99519-66501TeLephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 11, BLOCK 8, PARADISE VALLEY P.I.D, NO. 020-415-51 ST1 ST2 91.0' FINAL GRAI INSULATION 87.! NEW 1300 GALLON POLYETHYLENE SEPTIC TANK MT1 =89.2: / MT1 MT2=88.8 FN,~M T2 GRADE INSULATION 550 GALLON FAT ALBERT WITH PUMP ASSEMBLY -ORIGINAL GRADE MT1 =84.7 MT2=84.( DIST. LINE=85.0 BOTTOM OF SAND=82.7' A B !FCO 54.5' 25,5' ST1 `59.0' 39.5' ST2 `59.0' 4,5.5' MH 59.5' 48,5' MT1 2,5.5' 75.5' MT2 `59.0' 62.0' FV1 17.0' 70.5' FV4 24.5' 77.0' · GROUNDWATER AT 78.7' 76.7' B,O.H. SENT BY: 9TATE WIDE PETROLEU~I 9ERVIOE; gO7562g044; JUN-27-Oi 4:25P[~; PAGE N~: SHOE B[~(~E~S ~,,~/~,' 6/2/10.t ~D~,~: 18216 g'PA~ D~ 5~9-8~ .... ......... C~ 1/2 ~IOR TO ~T ON g~ .................................. ..... ~[~.- .... OCT. IO. 2000- 3:08pM'-"----NORTHRIM CONST./ CRE From ' ~ ~]LL ~" 3~ ~ f Anchorage Deponent of H Human Method ~k m~ c~b~ mol Ak ~ ])e~: From To ,Soil Type, Thickness & Wat~ $1rala slick-up 2 4 o~enios and silt 4 59 gravelly slit 59 63 sil~y water sand & gravel 63 67 Silt 67 102 silty co~t~iy graver t02 154 ,silt 154 160 · i60 287 RECEIVED OCT 1 3 2000 Municipa ty ot Anc'ndra~ Dept. Health & Human $~r¥ csqng type: ~ Wall Thickness: ~ inches Liner 'l~e: ~ Di~t~: ~ - inc~S Dc~: ~ Cssinl stic~P ubo~e ground: gf~t Statk water I~d (f~m ground Ic~): ~f~t Pumpin~ I~cl:~fc~ ~ !hou~ p~P~ ~ gpm · Method of T~fi.~: ~ Well lnta~ Opening ~: ~ p~alions f~t Voleme: ~ Pamp: l~take Depth ~ f~t Well Dbinf~t~ Upon Compbtion? ~ Y~ ~ No Method of Di~ufectlo~ ~ Commea~: Well Dflller: Alpine O~lling & Ente~soS P 0 Box t 10498 Anchorage AK ~95f ~ I no we, m'~et snas, proVs,',c, well lob to lite propO'ly owner within 30 days of completion ~nd the pro~. iy ,.~,,,,.. ,~"e~L,. ,,,.,, a,4,,., .1,.n ...,~.,a.. ,.,4, ,n,, ,,, ,,* 1,--' MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (9O7) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM ! WATER SUPPLY PERMIT Initial Date Issued: Jun 30, 2000 Expiration Date: Jun 30, 2001 Permit Number: $W000203 Legal Description: PARADISE VALLEY BLK 8 LT 11 Design Engineer: 0003 S & S Engineering Owner Name: Shane Burgess Owner Address: 7540 Florence Anchorage, AK 99507- Parcel ID: 020-413-31 Site Address: Lot Size: 28254 SQ~ FT. Total Bedrooms: 5 Permit Bedrooms: 5 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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 dosed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: ,~~A ~ SEWER & WATER MAIN EXTENSIONS WELLINSPECTION & FLOWTEST ROADDESIGN SOILTEST ROBERT C. COWAN, P.E. May 31, 2000 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 11, Block 8, Paradise Valley S/D It is requested that you issue a permit to install a pressurized septic system (Intermittant Dosing Sand Filter) and well to serve the proposed 5 bedroom house on the referenced property. Two test holes were excavated and percolation tests were performed. The approximate location of the test holes are located on the attached site plan. At the t/me of excavation on 4/22/00 water was found at seven feet and four feet respectively. After monitoring, water was found at seven feet and three feet respectively. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/jhm Enclosure 17034 NORTH EAGLE RfVER LOOP ~ SUITE 2(J4 ' EAGLE RivER, A~KA 9957~ ~: LOT 1 J.H,M. DESIGN CRITERIA: .5 BDRM = 750 GPD 360 SQ. FT. REQUIRED 3.0' DEEP (REMOVE ORGANICS) 1 O' WIDE 36' LONG PARADISE VALLEY S R.C.C. 6-7-00 1 OF5 STRUCTURES. EASEMENTS, OR ENCROACHMENTS SHOWN ON THIS SITE PLAN ARE AS SHOWN ON AN AS-BUILT SURVEY DRAWN BY: JEFFREY A. GASTALDI IT IS THE RESPONSIBILTY OF THE CONTRACTOR TO VERIFY EASEMENTS. REQUIRED SEPARATION DISTANCES, AND PROPERLY LINES PRIOR TO CONSTRUCTION. SEPTIC AREA 13 PORTIONS OF SYSTEM WITH LESS THAN 3.5' OF COVER REQUIRE INSULATION. 14 INSTALL PROPOSED 1500 GALLON POLYETHYLENE - SEPTIC~ TANK HOUSE ROBERT CE -8801 CONTRACTOR IS REQUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. 3Y ALL PORTIONS OF WITH LESS THAN 5.5' OF COVER REQUIRE INSULATION PROPOSED 550 GALLON FAT ALBERT LIFT STATION LE~*:LOT HLOCK PARADISE VALLEY DP~,WN By: CHECKED By: J.H.M. R.C.C. ~^~E: 6=7--00 DESIGN CRITERIA: 5 BDRM = 750 GPD 560 SQ. FT. REQUIRED 5.0' DEEP (REMOVE ORGANICS) 1 O' WIDE 36' LONG C01~!~ACTOE 1S REQUIRED OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION INSTALL FCO PROPOSED 1500 GALLON POLYETHYLENE SEPTIC TANK 20F~ STRUCTURES, EASEMENTS, OR ENCROACHMENTS SHOWN ON THIS SITE PLAN ARE AS SHOWN ON AN AS-BUILT SURVEY DRAWN BY: JEFFREY A. GASTALDI IT IS THE RESPONSIBILTY OF THE CONTRACTOR TO VERIFY EASEMENTS, REQUIRED SEPARATION DISTANCES. AND PROPER~ LINES PRIOR TO CONSTRUCTION. ROBERT C. COWAN CE - 8801 PROPOSED 5 BDRM HOUSE INSTALL 3/4" AIR LINE TO SAND FILTER - INST COMPRESSOR IN A HEAT AREA SUCH AS A GARA( OR CRAWL SPACE 0-10 PSI GAUGE) TH t L MIN ALT. ,/ / VELL / SE,PTTC ~'~ I _,,\o/ , ~'ITH][N 100 + ~ ' ~ '(UNSUITABLE~ ~ ~ W~ FLUSH V~LVES (~ ~ LD )OSINXG SAND FILTER) 'ER ~ ~~ 11, BLOCK 8, PARADISE VALLEY S/D J.H.M. R.C.C. 6-2-00 .t OF 5 11/4" DIA FL]L]L~(ABLE. TOP VIEW 10' x BOTTOMLESS SAND FILTER 10' LOT 11, J.H.M. BLOCK 8, PARADISE VALLEY __R.C.C. 6-7-00 40F5 ROBERT CE-880! MOUND SLOPE NOT~ TO EXCEED 3:1 VALVR GRADE SLOPE NOT TO EXCEED 3:1 SIDE VIEW 36' X 10' BOTTOMLESS SAND FILTER INr~r -{F~ co co 1300 GALLON POLYETHYLENE TANK OUTLET 550 GALLON FAT ALBERT WITCH PUMP ASSEMBLy (ENGINEER'S SEAL) DEPARTMENT OF HEALTH & HUMAN'SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LTG ~ PERCOLATION TEST PERFORMED FOR: ~/~ ~ ~ U~ ~ DATEPERFOF LEGAL DESCRIPTION: ~ ~ ~ // ~ ~C c ~ ~ Township, Range, Section: was GROUND WATER ENCOUNTERED? IF YES, AT WHAT ~' . , P Depfll to Water After ,' ~ ~,/~/0 C Monitoring? "~ Date: ~ Reading Net uate [ '~i;*e* Depth to Net Time Drop 14 15. 16- 17 18 19. 20- PERCOLATION RATE _ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN -- FT AND -- FT COMMENTS _~'- ~,~'--~ ~- /-/~8 / ~_._ ~ ~,~ PERFORMED BY*'~ & S ENGINEERING ~7034 Eagle River Loop Road NO. 204 ACCORDANCE ~e*~w~];~]~a~ ~I~IPAL GUIDELINES IN EFFECT ON THIS DATE. CERTIFy THAT THI~ TEST~AS,, PERFORMED IN DATE: 72-008 (Rev. 4/85) Municipality o! Anchorage. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: (ENGI~ AL) Township, Range, Section: 3 4 5 6- 7 8 9 -- 10- 11- 12 13 14- 15- 16 17 18 19- 20- COMMENTS SLOPE T WAS GROUND WATER ENCOUNTERED? SITE PLAN IF YES, AT WHAT '7 OL '7' 5':/~/~ Depth to Water After '7' Moniloring? . Date: Gross Net Depth to Net Reading Date Time Time Water Drop O - ~" PERFORMED BY: S & S ENGINEERING 17034 Eagle River Loop Road No. 204 ACCORDANCE W~gt~tR~Te~T~F:A~J~I~(j~AL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) PERCOLATION RATE ~L~, "~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND ~ FT / C DATE: SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS SO~LTEST sTRUCTURAL& ROBERT C. COWAN, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 INTERMITTENT SAND FILTER SPECIFICATIONS (Bo~omless) Lo~ 11~ Block 8~ Paradise Valley SUbdlV[sion ~une 27~ 29~ GENERAL STATEMENT OF WORK The work and plans covered by these specifications consist of furnishing all labor, materials, tools, transportation, and equipment necessary to complete an intermittent sand filter system as described herein and on the attached drawings. All work under tl'fis project shall comply with current Murficipality of Anchorage (MOA) Regulations. 5 Bedroom House = 750 GPD Use 10' x 36' Bottomless Sand Filter and absorption area Sand filter to be constructed on accepting soil SITE INVESTIGATION The Contractor who proposes to complete this project must carefully examine the project documents, have full knowledge thereof, have investigated the site, and be satisfied vdth the conditions affecting the work. Conditions include, but are not limited to those bearing upon transportation, d~sposal, handling and storage of materials, availability of labor, water, electric power, roads, and uncertainties of weather, physical conditions at the site including all underground utilities, the conformation and condition of the ground, the ctmmcter of equipment and facilities needed preliminary to and during prosecution of the work. The Contractor must be satisfied with the character, quality and quantity of surface and subsurface materials or obstacles to be encOuntered insofar as this information is reasonably ascertainable from an inspection of the site, including all prior exploratory work, as well as from information presented by the plans and specifications made a part of this project. Any failure by the Contractor to become acquainted with the available information will not relieve h~m/her from responsibility of performing the work as stated in these specifications and drawings. Location of utilities will be the contractor's responsibility. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 ~aGe 2 Lo[~, ~eck 8, Paradise Valley $/D Ju~s 27, 2~00 SEPTIC TANK / LIFT STAT[ON / AIR COMPRESSOR General The work under this section consists of the performance of all operations pertaining to furnishing and installing the septic tanYJlif~ station, ah' compressor and piping to the sand filter. Tank Septic tank shall be a two compartment tank that is MOA approved. 2. lgisers or Pump Ba~in~ a. First compartment shall have a separate 4" pump-out riser. The second compartment shall have a separate 4" pump-out riser. b. An additional second compartment manhole riser or pump basin shail be capable of being equipped with the following: 1. A junction (Nema 4x) box or equal, bonded or attacl~ed to the pump basin. 2. UL listed electrical cord grips, installed in the J-box. 3. Effiuen~ Pumphttg Assembly a. Effluent pumping assembly shall be of approved materials, including the following: 1. A 110 volt or equal U.L. Listed effluent pump. 2. High-density ?VC cylinder housing the pump, w~th level controls and screen, serving as a baffle to prevent the screen from clogging. 3. All piping sh~ll be PVC or other non-corroding material. P. age 3 L~ ~ 4, a~ock S, Paradise Valley SID June 27, 2{~00 b. Pump controls and alarm system shall be an approved system with the following options consisting of: 1. Event counter 2. Elapsed time meter 3. Program timer 4. 10 watt heater Remote alarm panel option with a minimum of 80 DB sound pressure at 24", operating temperature 30AC to 65AC, continuous sound to be located in the home. 6. Oil-fight visual alarm with push-to-silence feature. Automatic audio-alarm reset. 15 amp motor rated toggle switch, double pole, double throw with three positions; manual (man), automatic (auto) and center (off) (H.O.A.). 8. Nema 4x-rated, fiberglass, or equal, enclosure with hinged cover. 9. All controls to be installed as per manufacturer*s recommendations. 10. Control panel to be installed on outside wall of home with/n sight of septic tank/lift station. c. Piping from the septic tank to the sand filter is to be 1 1/4" PVC schedule 40 solvent weld piping properly bedded as described hi Materials Specifications and sloped to drain back to the septic tank. Insulation board 2" thick and 2' wide centered over pipe is to be placed where soil cover is less than 4' depth over pipe. d. The feed line from the house to the filter is HDPE arctic insulated pipe 3/4"-2" SDR-11. The compressor will have a gauge (0-10 psi) and be installed in a heated area, crawl space, or garage. 4 Lo[~ ~ock 0, Paradise Ya~ey S/D 27, 2000 A~r Compressor a. Air compressor shall be a THOMAS LINEAR SERIES model number 5060-A or 5070V-A or M.O.A. approved equal. C@NSTt~UCTI~ON SEQUENCE order to insure proper inspection procedure, the system is to be installed in the following order: I. Sewer line fi.om house to tank II. Septic tank/lif~ station IlL Sand filter IV. Final grading CONSTRUCTION L ?[pe Grade and Alignmen~ Variance of individual pipe sections from established line and grade shall not be greater than 0.02 feet, providing that such variance does not result in a leveI or reverse sloping invert. During the progress of the work, the Contractor shall provide instruments such as transits, or levels, for transferring grades from offset hubs or other construction guides fi.om the control points and bench marks provided to the Con, actor by the Eng/ne~. The Contractor shall provide qualified personnel to use such instruments and who shall have the duty and responsibility for placing and maintairdng such construction guides. 2o Pipe Laying All pipe shall be laid with material free of large stones and organic mat~er. Each section of pipe shall be handled carefully and placed accurately, the spigot end shal~ be fully inserted pointing in the direction of flow and glued [n place te make a water tight seal. Each section of pipe shall be properly supported to insure true alignment and an inver~ which is smooth and fi.ce from roughness or irregularity. ~a~ 5 L~[~, ~l~ck $, Pamdise Yal[ey S/D dun~ 27, 2000 At all times, when work is not ha progress, open ends of pipe and fittings shall be securely and satisfactorily closed so that no undesirable substance will enter the end of the pipe or fittings. 3. Bedding of P~pe for Sewer Lines The pipe should be bedded with materials free of large stones and organic matter, compacted. Native materials may be used as back fill material above the pipe, provided it is free of large stones and organic matter to a pohat one (1} foot above the top of the pipe. All pumping services shall be hastalled in accordance with the manufacturer's recommendations and standards. Elec~cal installation is to be to code by a licensed electrical contractor, with Mmficipality inspection where required. If MOA inspection is not required, a licensed electrician is to provide a letter to the Engineer stating that the system meets or exceeds all applicable codes. Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot, on undisturbed or compacted classified sand fill material. Line excavated trak pit walls with 2" +35 PS! burial foam full depth oftankl Back fill between tank and £oam with sand mater/al and compact in a manner to prevent damage to tank surface coating. Create a level sand surface over the tank and add 2" burial foam +35 ?SI directly over tank. Mound unclassified soil over tank location to a depth of 2' above finished gr~e to allow positive drainage away from tank and COunteract buoyancy. 5. Connections All connections to be as per MOA requirements, PVC 3034 piping vAth Caulder or equivalent couplings for inlet riser pipes. All tank connections are to be completely water tight. LO~, B~ck 8, Paradise Ya~eyS/D 27, 2~ The work under this section consists of the performance of all operations pertaining to furnishing and installing the sand filt~. Sand Filter a. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand Specifications with the additional requirement that all but 1% of the materials passing the #100 sieve be removed. A sample of the proposed filter sand must be submitted to the Engineer for testing one (1) week prior to construction. A sample will be taken from the sand bed during construction for purposes of quality control. If the sample does not meet specifications, all sand will be removed and replaced. b. The Contractor shall be responsible for providing pea gravel that shall be a washed material containing no frees (0% passing the #100 sieve) and a maximum size of 1/4" diameter. c. The Contractor shall provide the manifold assembly. The manifold assembly shall be of approved materials with orifice shields and flushing assembly. All drilled holes to be cleaned of burrs and pipes flushed, prior to assembly. Flushing valve to include riser to finish grade. d. Side walls and top of the filter box to be insulated with 2" direct burial polystyrene insulation. e. The Contractor shall be responsible for providing filter fabric. f. Air coil in sand filter to be ~eoflow WF16-4-24 150 LF placed 6" above bottom of sand. Lo~, ~ock S, ParadiseVa~lay$/D Jun~ 27, 200~ The sand filter construction is to follow procedures as outlined below, as applicable to this design. Pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.02 feet) in filter, taking care not to allow mud or frae soil material into the filter or gravel layer. This would include any soil material picked up by excavation machinery buckets while loading specified material. The Contractor should estimate filter material volumes such that allowance is made for wastage of material in contact with the ground at site. Work on the sand filter may be suspended at the Engineer's discretion due to inclement weather conditions, such as rainfall. The sand filter and material stockpiles will be completely covered by a tarp over hight during construction until finished. The area over the sand filter to be firfish graded with a mirfimum of 2 feet of cover and to prevent ponding of surface water run off. Side slopes shall not exceed 3:1. The Engineer w~ll reject any sand or pea gravel that does not meet specifications or is contaminated in transit or while handling. If such mater~al is placed in the filter, all soil material may be required to be removed and replaced wSth new material. CONT~CT©R / ]NSTALLE~[ Municipality of Anchorage Development Services Department ~ Build ng Safety Division On-Site Water and Wastewater Program ' · 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ParceI I.D. 020-413-31 1. G~NERAL INI~(~'RMATION Complete lega des~:ription Expiraton Date: / Lot 11, ~o~ 8, Paradise Valley Location (site address or directions) Romania & Spain Drives Current Property owner(s) --, Mailing address Lending agency Mailing address Shane Burgess 7540 Florence, Day phone 529-8549 Anchorage, AK 99507 Day phone Real Estate Agent Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: 5 Day phone TYPE OF WATER SUPPLY: Individual We[I Individual Water Storage Commu qity Class Public Water System Well 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 ApprovaI (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 vaIid 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 vaIid 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. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the val~dabon date shown below. I verity that my investigation, based on procedures outlined in the He~It~.Authority Approval Guidelines for this application, shows that the on-s te~w~ter supply and/or waste~vater d s~al sy§tem is(~r~)*safe, functional and adequate for the ~(i~l~r of bedrooms and type of structure indicated her~in. I further ~/erity that based on the informat on obtained from the Municipa ity of Anchorage files and from my n~/~stigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in complianc~ with all applicaDle Municipal and State codes, ordnances and regulations in effect at the time of installation. S & S ENGINEERING ' Name of Firm 17034 Eaqle Riy¢r l_w? ~=,4 tn_.., o__e~. Phone Eagle River, Alaska 99577 Address Engineer's Printed Name [obe~c C. Co~¢a~, P.g, Date . ........ / Approved for ~ .. bedrooms. W~' " Additional Comments Note: The well for this property meets existing State and Municipal Codes. There are nitrates present. It is suggested that periodic testing ho porfnrmed to ,_'esere t~e ',:'e!!: ccatieeefl sa!tab[li~'. Current nitrate concentration is 6.67 m~l. EPA maximum concentration is 10.0 rog/1. More informa~i~ o~-ii[h-,[~ [~ a, a;labl~ h om lhe On-Site Serwces t'rogram, at 343-7904. Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: '~-a,~- O / (Rev. 12/00} Development Services Department Bud ng Safety Division On-Site Water & Wastewater Program EALTH UTHORITY A. WELL DATA Total depth ~ fi, Cased to KLIST Parcel ID: Wires properly protected ~1) ¥ 'f $ Casing height (above ground) I ~' ~ in. Date of test Static water level Well pr6d~ic{iOn ~; .... ,~d~'~ INSPECTION ~ g.p.m g.p.m. SAMPL;': r~:ou o~'~'";'LT° " ~r '~ ~ ' ' WATER ColifOrm" ~ co omes/100 m. N~trate ',~- (~ 7 mg./L Other bacteria. O colonies/100 mi. $ & S ENGINEERING Collected by: 17034 Ea_ale R ~,. E~gi~ Ri~r, Alaska 99577 Dateinsta]led ~// S"/o o B. SEI )LDING TANK DATA Tank Typ~/Mater a ~,~-,~ ¢ c. / h' O Number of Compartments Depresson ove~-~.n~(~ ~'¢ High water alarm (Y/~ '"' D; - ,v ~,,,,~ Pumper ~/1~--~o'~ " Soil rating (g.p.d./ff~or~/bdrm) ? Systemtype ). O. ~. ~, ff. Width )'~ ff. Gra~i"~l~ pipe ..... o. ~ fl. ~0taidep(h*~ fl. Eff. absorption area ~6off~ Monitoring tube Ygl Depression over fieid ~o D'~t&o~d~quac~est ~'/~ - ~ Results (Pass/Fail) For ~ bedrooms FlUid deCh' i~ ~sor~i~ fi~t~'e~re'~t !:] "~ New depth" in. Ela:psed Time: miff. n rate >= g.p.d. Any rejug~~ & ~P~ If yes, give date JUN-26-Ol 17:28 FRO~I-OT&E ENV)RON~NTAL SRV .~t~ C T&E Environmental Serviceslnc. §075~15301 T-263 P.02/02 F-228 CT&E Ref.# 1013486001 Client Name S & S Engirm~m~g Proje~ Nameh~ Paradise Valley Client Sample ID Lot 11 BIk 8 Matrix Drinking Water Ordered By Client PO# Printed Dare, Time 06/25/2001 15:12 Collected Date/Time 06/19/2001 10:45 Received Date/Time 06/19/2001 11:10 Technical Director Stephen C. Ede Sample Remarks: Paramet~' P,~'ults PQL Units Method Waters Department Nitrat~-N 6.67 0.500 mg/L EPA 300.0 Allowable PI~'p Analysis Limi~ Dale Date (<10) 06/19/01 Init Microl~io log~z Laboratory Total Coliform 0 0 col/100mL SMI8 92228 (<1') 06/19/01 KAP