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SOUTHFORK NORTH BLK 4 LT 8
Southfork North Block 4 Lot 8 #078 - 141 - 22 i T Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 3 ON-SITE WASTEWATER INSPECTION REPORT' !% r Permit Number: PID Number: 078-141-22 ®� OSP211369 U Dwelling: ❑® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New K Upgrade Name TRENT SORHEIM ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench K Bed ❑ Mound ❑ Other Site Address 2130 NORTH RIVER CIRCLE, EAGLE RIVER, AK 99577 Phone 817-823-1751 Number of Bedrooms 4 Soil Rating *0.5 GPD/SF Total depth from original grade SEE DWG. Ft, LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 0.6-0.8 Ft. Subdivision Block Lot SOUTHFORK NORTH 4 8 Fill added above original grade SEE DWG. Ft. Gravel length 35 Ft. Township Range Section - - Gravel width 18+ Ft. Beds: Number of Lines 3 Distance between lines 6 Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 1280+ Ftz Number of trenches 2 Dist. between trenches 7.5+ Ft. Well EXIST. *50'+ EXIST. - EXIST. T Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capaci Surface Water EXIST. *50'+ EXIST. - Gal. Material f compartments Lot Line EXIST. *5'+ EXIST, - NA Foundation EXIST. *10'+ EXIST. - L ATION Manufacturer Capacity Remarks *THIS IS A CAT III ADVANTEX SYSTEM Gal. Alarm location Electric !led by Installer ANDERSON CONSTRUCTION & ENVIRONMENTAL SEPTICS PIPE MATERIAL House to tank EXIST. Tank to D1785 drainfield Drainfield D1785 CO/MT D3034 Inspector GEG CONSULTANT, BENCHMARK (Assumed elevation) 100.00 ft Inspdectes:ion 1 10/6/21 2^' 10/6/21 3'" 10/7/21 4`^ 10/8-11/21 Location and description TOP OF GARAGE SLAB ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp Conditional Approval: CkJ Date PP r Y I � I o so °I- SPS c�r -4p 6e Co /eAd [t t SQ rl'klie 20 Z Zx _ooboo � QDo'`•_. � '9540 -_ 9 . Q I Q OOQ 6f l 5100e 54R 1 I z 0-4 0 r 'TO be C-6114 rM.0- J . Septic System 11 APpmve Date `�_� Note: this approval does not include well permit requirements. .J f" ey Garn ss.-' Q04 . CE -79517..-'. p 4�e i�� ECC884 rooessio' (Rev 05/02/18) C__ I_ /1 /' /� �+ _ _/ r �� Ecklund, Timothy J From: Jeff Garness <Jeff@garnessengineering.com> Sent: Tuesday, June 14, 2022 5:12 PM To: Ecklund, Timothy J Cc: Sonja Blewett Subject: Southfork North, B4, L8 - COSA Reissuance Jody confirmed that the new drainfields have been topsoiled and seeded. Jeff Jeffrey A. Garness, P.E., M.S. President Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 Mobile: (907) 244- 9612 Website: www.garnessengineering.corn GARNESS ENGINEERING GROUP., Ltd ENG9NEERING, SALES •�CON SWING -,- - rt�jem maw'v 7zmr. q48- �, d 0 Ae Ge CORPORATION !ltra:i:z Aathv-1,°rd D131r AQti'K3Y0hi /MO''t r. igliliut N PERMIT NUMBER: PARCEL ID NUMBER: OSP211369 RECORD DRAWING 078-141-22 I .0doELve 05� / / CA A B C__ MTI 60.6 36.9 56.5 MT2 70.6 32.0 51.8 MT3 87.6 67.3 87.3 MT4 95.1 65.0 84.7 MT5 76.0 30.8 49.2 MT6 92.3 36.1 47.7 MT7 96.6 59.7 78.7 MTS 102.7 55.8 72.4 MT9 110.71 57.7 1 70.8 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. -100' SEPTIC SETBACK EASEMENT ` OLD HOLDING TANK WAS DECOMMISSIONED PER UPC `N ` PER THE CONTRACTOR EXISTING ADVANTEX LOPES IN THIS AREA ARE CURRENTLY JUST /ER 2:1. ALL OTHER AREAS HAVE 3:1 SLOPES :E ATTACHED PHOTOS). REQUEST VARIANCE ) SLOPE REQUIREMENTS FOR THIS AREA TO PREVENT ADDITIONAL SOIL COVER OVER 4NK/ADVANTEX POD. TOPSOIL TO BE ADDED AND ENTIRE DISTURBED AREA TO BE :GETATED IN THE SPRING/ SUMMER OF 2022, EXISTING SUBSURFACE CURTAIN DRAIN. \ LOCATION SHOWN PER 1995 S 8 S ENGINEERING\ \� RECORD DRAWING i \` PI --T # \ PIT #2 B i PHYSICALLY EXPOS END OF DRAIN AND INSTALLED MONITORING TUBE \ /-10'+ SEPARA ON TO SUBSURFACE�jAIN. CONTRACTOR LOCATMDRAIN\ AND CONFIRMED DRAIN NNS AWAY FROM DRAINFIELD AN19 IS 10+ FEET FROM ANY PORTION bF THE DRAINFIELD. DRAIN WAS DRY\ PER CONTRACTOR. PIT #1 -NEW 18'+ WIDE (@ MID -POINT) BY 35' LONG (EACH SIDE) DRAINFIELD. -AWWC (NOW GEG) TEST HOLE #1 NEW 18' WIDE BY 35' LONG DRAINFIELD. �O 0.....i ENGINEERING ;A SALES r, CONSULTING 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, ALASKA ` PHONE (907) 337.6179' WEBSITE: x .gamessengineedng.com PREPARED FOR: PHONE NUMBER: TRENT SORHEIM 817-823-1751 PROJECT/LEGAL DESCRIPTION: SOUTHFORK NORTH; BLOCK 4, LOT 8 TYPE OF WORK: RECORD DRAWING OF DRAINFIELD UPGRADE .......... , PAGE NUMBER: 2 OF 3 fn • .lettfey A. Cial t1eSS� _- �� '. CE- 953 Aw �� 1�F•pFD''(a �Z ;1 'Ar • •+... .....• ,�i ESS\Q0 *w DRAJWN BY: .L.M. DATE: 10/29/2021 #AAECCCes6E4 ,,����%���' 4 UPPER DRAINFIELD 4- �ONITORNGU ITBE 4" MONITORING TUBE 1.250 SCH. 40 PVC WITH 3/16" HOLES SPACED 5 FEET ON CENTER (7 -HOLES IN LATERAL) END CAP (TYPICAL) - 2" SCH. 40 PVC 2"SCH. 40 PVC FEED LINE FROM PUMP VAULT 18'+ WIDE ,\V--1.25" SCH. 40 PVC WITH 3/16a HOLES SPACED 5 FEET ON CENTER (7 -HOLES IN LATERAL) /-1.25" SCH. 40 PVC WITH 3/16" HOLES SPACED 5 FEET ON CENTER (7 -HOLES IN LATERAL) 44"MONITORING TUBE " MONITORING TUBE 35' LONG Now 7.5 TO 8+ FOOT (WASTEWATER CODE ALLOWS FOR 6' SEPARATION) LOWER DRAINFIELD. WAS CONSTRUCTION 35' LONG PER THE DESIGN IN REGARD TO PIPE SIZING, HOLE SPACING LATERAL SPACING, AND BED WIDTH.---,,., 4' MONITORING TUBE 4" MONITORING TUBE ----O--* 1.25" SCH. 40 PVC WITH 3/16" HOLES SPACED 5 FEET ON CENTER (7 -HOLES IN LATERAL) FINAL GRADING NOTE: THE BENCHMARK NOTE: TOP OF NOTE: TIM EKLUND WITH MOA ONSITE WAS PRESENT ENTIRE MOUND AND ALL GARAGE SLAB = 100.00 FOR BOTTOM OF EXCAVATION OF BOTH DRAINFIELDS DISTURBED AREAS IS TO BE TOPSOILED AND HYDRO—SEEDED IN THE SPRING/SUMMER OF 2022. FINAL GRADE 107.20-108.20 (SEE NOTE) -- MT —\ Vm 2. OF INSULATION (PER CONTRACTOR) /—FILTER FABRIC INVERT ELEVATION OF 1.25" SCH. 40 PVC DISTRIBUTION LINES = 104.90 - 0.85 TO 1.6 FEET OF MOA/TOP OF NEW FILTER SAND = 104.30 APPROVED FILTER SAND--"--� \—BOTTOM OF EXCAVATION = 102.70-103.45. ALL CONTAMINATED MATERIAL WAS EXCAVATED AND REMOVED. 18' WIDE 7.5 TO 8.0+ FEET EXISTING GRAD FINAL GRADE 108.40-108.70 ASSUMED ORIGINAL GRADE - (SEE NOTE)--\ MT 2- OF INSULATION (PER CONTRACTOR) z --FILTER FABRIC INVERT ELEVATION OF 1.25" SCH. 40 PVC DISTRIBUTION LINES = 106.10 TOP OF FILTER SAND = 105.30 BOTTOM OF EXCAVATION = 102.70-103.94. EXCAVATED TO JUST BELOW ORGANICS. 18' WIDE PROFILE VIEW OF DRAINFIELD UPGRADE SCALE: 1"=5' 11111'' ililletwitTil-WIR- firlIVNE NOTE: PRIOR TO EXCAVATION, TWO TEST PITS WERE EXCAVATED OFF THE UPHILL SIDE OF THE UPPER DRAINFIELDS TO DETERMINE SOIL LAYER ELEVATIONS (SEE BELOW). —TEST PIT #1 - BOTTOM OF ORG./ TOP OF GM/SM LAYER = 104.20 TEST PIT #2 - BOTTOM OF ORG./ TOP OF GM/SM LAYER = 102.70-103.70 TEST PIT #1 - CL LAYER = 102.20 TEST PIT #2 - CL LAYER = 100.30 NOTE: THE BOTTOM OF THE SEWER DRAINROCK MUST BE 3+ FEET ABOVE THE CL SOIL LAYER, 1.36 TO 2.6 FEET OF MOA APPROVED FILTER SAND AV AV 9 Ran sommunwas 8848*444som 0 i► A. C -7953 Ar AV AV 44jp� ESS \ LICENSE #AECC884 on' AIR AV AV 9 Ran sommunwas 8848*444som 0 i► A. C -7953 Ar AV AV 44jp� ESS \ LICENSE #AECC884 J coCO W c c W /yo�� m y •�OA22Oo N 0 .��. co ol o zm cmv, 'xro c mooc ay U S C m� 0 a a c m c m o ` 'r®� _U I- it to m12 oU>._m`.3ENK UE 72 -j m c m aOT y m `� J m cv w o� 2Qa m mm m¢ 2 o m m E .� _ 'S m a d o a GO Qy LIJ Ei c cci > c C o tic moronto N RYID Q I. -Z aU®�E rri Hca �c 0 4 m�OH wrn ww Cl) a- It -'D cm oc omo m m a~oc0 Z wc� w mO c sao Cc:Iwo f�w3 vd,�Z :SCd tY-:Lmo _ o = 0 m > 2 m mo 0 w E a ' n m m ow w d t0 � 72A mmccc�ami m cin. -o a? c o U !=`t 4806 �L�cc�moa a 2t 4) Ci OC 0tuW c�aa��?myN;a 0 o �H��a = m U = c� d cco m m>=0 oD mai m o N N w CL o o c c E m Lu -0.0 m 'n 03of0 ca m ��Jti AW-' •• soya IEom o t c cy) 9er� a m ® :E LLJ - �• e Mm ' -02 m �►c N ,�o � / tj�♦� OLO�O c mo- oE W w o o w1 O m p yN m 0 $ • OQ 5 m .c ac C*, rl tne-n°D co o 2m _°j e® o mmm ca Lo c0 CD C'I m Q U m c- rn- C p m Q N, 0 46 +—.+ C Q N - a aY a Nmmmnu `0 � toc ALL vmn r�ytp� t Cf)c R co Q p m H m m i5 6 U co 0 co LL LL Ln Ul c _ Ch Ot0 w (� to = 0 0 to t- / ll1 00 ��` H Rn 2 to c( C1 O w n w / o/w CO .c SwF / /m > h c F Z Q xwzz J /V/ d`' cq ii wz=Lo CD 0� Z r a � rZ J N co V �w¢W tt1 wo~-i 1L6178 00IC M..60,80o5ZN °a- D MUNICIPALITY OF ANCHORAGE Onsite Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211369 Work Type: Septic Upgrade Tax Code Number: 07814122000 Site Legal Address: SOUTHFORK NORTH BLK 4 LT 8 G:0959 Site Mailing Address: 2130 NORTH RIVER CIR, Eagle River Owner: SORHEIM TRENT Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: 0 Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: piell [ r. �rrlr�, L)cpa rnnent Lot Size in Sq Ft: Total Bedrooms: 9/9/2021 9/9/2022 97727 ❑ Private Well . ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: Date: Date: qq Z MUNICIPALITY OF ANCHORAGE ' COrte' Development Services Department �, Phone. 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel 1. D. 0' — { Lf i -Z-2— Property -ZProperty owner(s) TRENT SORHEIM Day phone 817-823-1751 Mailing address 2130 NORTH RIVER CIRCLE, EAGLE RIVER, AK 99577 Site address 2130 NORTH RIVER CIRCLE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) SOUTHFORK NORTH; BLOCK 4, LOT8 Legal description (Township, Range & Section) Lot Size Sq, Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) [] Septic Tank ElUpgrade Z (w/wo ADU) Holding Tank 1:1Renewal ❑ Duplex (D) ❑ Privy El Multiple Multiple Dwellings ❑ and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: — I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. 10—'a t s'S (Signature of property owner or ithorized Permit/Rush Fees: 5 1 5 Waiver Fees: Date of Payment: .�7 ,20.2% Date of Payment: Receipt Number: o 2;2 (G Receipt Number: Permit No. _ 0 SP o1 j 13 105 Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211369, Deb Wockenfuss, 09/09/21 Page 2 of 2 5. DRAINFIELD WIDTH WAIVER REQUEST: We are proposing a bed width of 18 - feet. We request this be allowed for this installation. Excavation of the beds will need to be performed without the excavator traveling over the insitu soil with the machinery. It is anticipated that the bottom the bed excavation will need to be scarified with the bucket teeth prior to placement of MOA sand. We are unaware of any adverse impacts this installation would have on adjacent wells or septic syst s. If you have any questions, please contact us at 337-6179. Thank you for your s stance. mce ely,/ Presiddnt P.E., M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211369, Deb Wockenfuss, 09/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211369, Deb Wockenfuss, 09/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211369, Deb Wockenfuss, 09/09/21 vii o (j Q n 0•� D °c o0 0 cmiw m 0.0 N =N N s.Evo d.mmmc0 CD �w rn~�w� w `� i> (D 1° E a E co LL N o a o c 0 3 `\ _ gip,• :a��� �� E� N N c 9 \ o; . 4 -,rad _ N CD co 2 (D C O i a)_ _E I L) / j(( V G W o060 00 4' %� ;= .S ID C o t / rnS� aa) y _ Sement -� co v o N caiII CU co ol Lu 70 % `O Gj as? O o U. 'o Nm :5m -5 12 E 2� ro2c D d 0 L -a :F;00 U) U- 1 (DcoCO > o 1� � 6 > � �o --S an wryZ w c F- Lo c c°0 00 00 s °wWLU o V �Wzz �n -(coy. � � i i ° Z 0 m D o z°x �CY) n. M wz�� �(— ot+7 d \ LLI °n p 0 z Z ww¢u`�i U :2W< Q7 --1z 1L617$ 00'L£ M.60.80o5ZN w I-- a- r — v �± CO ca O O CCJ? J J �^ N C ( �miss a >8 ~N RO.} n O co .0 �•'Q o •?+ O Oma} Qm O Q. .m V Cl).y� .� dm s .fl `N C , N Z Ommw' ctt5 I— co c ammo �� 'p t. p cll c GO r m'a_..i� Q -gym so An ovw� oe$ Q' € -p _mmcEaE Q t0 O m m N Q ` O r� �. 45 w Z Y 00 (n7 m Q U 0 'u O .� O Q= N 'r's' NID O = ,( U O O' CO �. W eta WW m vNvJJ E p a7 vvcc u) mJoN md� [r 2.c 0>,-a a" m °c m 3 uYi� _m LLW o m O� o qp1 ° u N z -ccn••O Z aca c�`oivc`�. ¢ `�»aE t mm� N _ w � c vy m aci o N 0 ~ 0 (D€ 0To o 0 C) )o 0 CoaE:EL)0. .NWNCD o tOTCm N m EUo >,7m @c�m mcc a-o� �o,vi vii o (j Q n 0•� D °c o0 0 cmiw m 0.0 N =N N s.Evo d.mmmc0 CD �w rn~�w� w `� i> (D 1° E a E co LL N o a o c 0 3 `\ _ gip,• :a��� �� E� N N c 9 \ o; . 4 -,rad _ N CD co 2 (D C O i a)_ _E I L) / j(( V G W o060 00 4' %� ;= .S ID C o t / rnS� aa) y _ Sement -� co v o N caiII CU co ol Lu 70 % `O Gj as? O o U. 'o Nm :5m -5 12 E 2� ro2c D d 0 L -a :F;00 U) U- 1 (DcoCO > o 1� � 6 > � �o --S an wryZ w c F- Lo c c°0 00 00 s °wWLU o V �Wzz �n -(coy. � � i i ° Z 0 m D o z°x �CY) n. M wz�� �(— ot+7 d \ LLI °n p 0 z Z ww¢u`�i U :2W< Q7 --1z 1L617$ 00'L£ M.60.80o5ZN w I-- a- Sep 14'20 04.56o "knv.hoi a Eger 9072430742 P1 Legal Descripvon Primpert, Owner 'Name Sk Adfdres�: B9 Lg� 1"000 44 Q A P�;,mp Dr--talladoll Dat I'luinp In take De pth 13c,!ov;, Twp of 'Weil PvMP WouWay-er's 'Name: purl" 'v'()del: Pump Size C� hr, PiOefs Adapwr Buri'd Dcptt:.- i �,- eet f1 gess Ada-pitr NtamjCaczflircr's Nanic: llifk-ss Adapter foisa,Jler: 'WeH WaMed Upon CamMAWn? ETTA 11 No P, siflff c(firfuent": Pump MMWKame: -`,,10orvp 'Na" & pujrp V! St Mh A= Anchorage, A 99518 Pfioi'le: 907,243-0740 F-sy! 907-24,1-0742 AtleniiifF.i: 'i"Li; pump inlaiRr NAW p.viidk; I P.L;I!lp in.,�ire lajon log to We DSD wRHn 30 dys ofpump hisall;.aictii. Municipality of Anchorage Community Development Department Page On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATeR INSPECTION REPORT Permit Number: OSP131437 PID Number: 078-141-22 ❑ New ✓ 1 of 2 Upgrade Name: Trent Sorheim ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ✓ ❑ Other Bed ✓ Mound Address 2130 North River Circle Phone Number of Bedrooms 4 Soil Rating 2GPD/SF Total depth from original grade existing, Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade exist Ft. Gravel depth beneath pipe existingFt. Subdivision Block Lot Southfork North 4 8 • Fill added abovwbriginal-grade +1.0* Ft. Gravel length 30 Ft. Township Range Section Gravel width 10Ft. Beds: Number o Lines 2 Distance between lines 5Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 300 2 Ft Number of trenches N/A Dist. between trenches N/A Ft. Well 120.7 100+ 121.8 N/A 117 TANK ■ Septic El S.T.E.P. ■ Holding • Other Manufacturer Anchorage Tank / Orenco Capacity 1500ca1. Surface Water 100+ 100+ 100+ N/A NA Material Steel Number of compartments 2 Lot Line 74.2 10+ 70.8 N/A Foundation 8.0 10+ 14.1 N/A LIFT STATION Manufacturer Orenco Capacity 500 Gal. Curtain Drain N/A N/A N/A N/A Remarks Replaced lined I.D.S.F. with Advantex. Pump on level at 43 in. Pump off level at 40 in.- High water alarm at 45in. Existing field verified and remained. Added Rigid Pump make and model P2005 Frectrt� Inspections V44 pe dorm f by1 &iec-jriC. 3Gp insulation and 1.0' of additional cover to the field. Installer JR's Septic Services PIPE MATERIAL House to tank 03 draineefd Drainfleld 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100ft Inspection 1st 7/25/2013 a dates: 2" 7/27/2014 Location and description Garage F.F. 3rd 7/27/2014 4'" 7/29/2014 COMMUNITY DEVELOPMENT DEPARTMENT-APPROVAL Conditional Approval: Date Engineer's Stamp OF ,r G • �eitigi i, t even A. 15annorae •• CE 8149 r ` it v5, f�• or ilii C .� kNakeizetir Approved s 91'iri // Date gig/S— Inspection Report `9!1-12.doc LOT UNDEVELOPED NOWELLS OR SEPTICS'. 1 97.0 Ax20 POI NEW 1500 g S.T.E.P. TANK • oPGE EpsE PROFILE s. TO F E) 4BR HOUSE (E) W CURTAIN DRAIN (E) 1250g S.T.E.P. TANK (E) ABANDONED PER CODE INSTALLED NEW 1500g S.T.E.P. TANK W/ AX20 POD AND AUX PUMP VAULT I\ cr, YITA — ' ‘7--1 c;3) _,- �1 t F . D in ;n - m licr9 V AA \90 ,..4 \ NOTES: 0 , 0 '` LOT 8 TH1 / ABSORPTION BED (E) VERIFIED CLEAN ABSORPTION BED W/ NO BIOMAT (6/9/14) ADDED RIGID INSULATION AND 6" OF ADDITIONAL COVER. \\ I.D.S.F. V ABANDONED PER CODE RECORD DRAWING PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 PLAN SOUTHFORK NORTH, BLOCK 4, LOT 8 TRENT SORHEIM 2130 NORTH RIVER CIRCLE EAGLE RIVER, AK 99577 DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. W/ AX20 POD & AUX PUMP VAULT FERC RATE = 53.4 MPI SOIL RATING: 2 GPD/SF AREA ROD: 300 SF SYS. TYPE: BED 10.0'W (E) MIN LENGTH: 30.0 LF USED EXISTING: 30 LF X 10.0' WIDE, 0.5' E.D., 2.0' TD TOTAL AREA: 300Z.0 SF ceOF AL_4k .57 Steven R. Pannone Date i 8/19/2014 Scale P.I.D. NO 078-141-22 PERMIT N0. OSP131437 Sheet 20F 2 A B T1 33.5 10.7 LS1 34.0 17.0 LS2 26.0 17.0 4BR HOUSE (E) W CURTAIN DRAIN (E) 1250g S.T.E.P. TANK (E) ABANDONED PER CODE INSTALLED NEW 1500g S.T.E.P. TANK W/ AX20 POD AND AUX PUMP VAULT I\ cr, YITA — ' ‘7--1 c;3) _,- �1 t F . D in ;n - m licr9 V AA \90 ,..4 \ NOTES: 0 , 0 '` LOT 8 TH1 / ABSORPTION BED (E) VERIFIED CLEAN ABSORPTION BED W/ NO BIOMAT (6/9/14) ADDED RIGID INSULATION AND 6" OF ADDITIONAL COVER. \\ I.D.S.F. V ABANDONED PER CODE RECORD DRAWING PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 PLAN SOUTHFORK NORTH, BLOCK 4, LOT 8 TRENT SORHEIM 2130 NORTH RIVER CIRCLE EAGLE RIVER, AK 99577 DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. W/ AX20 POD & AUX PUMP VAULT FERC RATE = 53.4 MPI SOIL RATING: 2 GPD/SF AREA ROD: 300 SF SYS. TYPE: BED 10.0'W (E) MIN LENGTH: 30.0 LF USED EXISTING: 30 LF X 10.0' WIDE, 0.5' E.D., 2.0' TD TOTAL AREA: 300Z.0 SF ceOF AL_4k .57 Steven R. Pannone Date i 8/19/2014 Scale P.I.D. NO 078-141-22 PERMIT N0. OSP131437 Sheet 20F 2 Wolf Electric, LLC Lic# 30101 P.O. Box 241572 Anchorage, AK 99524 Mr. Steve Pannone RE: Trent Sorham 2130 North River Circle Eagle River, AK 99577 Dear Steve: The lift station located at the above address is not within any area that is inspected by any code enforcement agency. We used the National Electrical Code for any and all our electrical installations. The wiring was completed in accordance with said code. If you need any further information, Please feel free to contact me at 748-6162 Sincerely, Al Saggs On -Site Wastewater Disposal System Permit Permit Number: OSP131437 Tax Code Number: 07814122000 Work Type: Septic Permit Effective Dates: May 22, 2014 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 to May 22, 2015 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SOUTHFORK NORTH Site Legal Address: SOUTHFORK NORTH BLK 4 LT 8 G:0959 Owner/Address: SORHEIM TRENT 2116 MURPHY DR APT 608 BEDFORD TX 760215942 Site Mailing Address: 2130 NORTH RIVER CIR, Eagle River Lot Size in Sq Ft: 97727 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: A testhole located 40 feet downhill from the drainfield confirming the giesease of an accepting soil stratum in accordance with Engineered g Solt (ER requirements shall be complete • asst c ion of the drainfield. Results shall be submitted wi eport. Special Provisions: The original signed and notarized AWWTS Maintenance Agreement shall be submitted prior to approval of the septic system. se Via ,reo1Ls l rem t vAl . Received By' Issued By: No\ Sega per cot Date: SA -3 /)--05 17 Date: 3$9001 Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.mu n Lo rq/Onsite Development Services Division On -Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: 08P131438 COSA#: Permit#: OSP131437 PID#: 078-141-22 Legal Description: Southfork North, Block 4, Lot 8 Engineer: PES Applicant: Trent Sorheim Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the 25% or greater slope has been approved. The approved separation distance is 35.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. n Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. PI Adjacent properties are not affected by this waiver. Waiver is Granted: Date: C42/ /t/ X Waiver is not Granted: Approved Name of Reviewer MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 078-141-22 Property owner(s) Trent Sorheim Mailing address 21130 North River Cir., Eagle River, AK 99577 Site address 21130 North River Circle Day phone Legal description (Sub'd., Block & Lot) Southfork North, Block 4, Lot 8 Legal description (Township, Range & Section) Lot Size 97,727 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (® all that apply) Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage APPLICATION IS AN: Initial Upgrade Renewal TYPE OF DWELLING: Single Family (SF) 0 (w/wo ADU) Duplex (D) 0 Multiple Dwellings 0 (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Slope greater than 25% Distance: 35 I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. Permit App__. d 53U.`� /ti/3/13 0651467 OSP/31437- Waiver Fees: aD 6 Date of Payment: Receipt Number: 090016. Waiver No. OSP/3 16133 Cal Pannone Engineering Services iic Steven R. Pannone, Principal Registered Professional Engineer E-mail: stevePpanengak.com June 11, 2014 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Southfork North, Block 4, Lot 8 Septic System Upgrade Permit Request Ladies and Gentlemen: I am writing to request a permit to install an upgrade septic system be issued for this property. The proposed systems will serve an existing four (4) bedroom house. Currently the lot is developed. The existing septic system was exposed and verified by PES on 6/9/2014 and the field was found to be clean and dry with no biomat. The existing lined I.D.S.F. was found to be deeper and directly downhill of the existing drain field, collecting effluent as it moved horizontally through the soil and returning it to the field. The field has a history of freezing and was found to have inadequate insulation. Rigid insulation and additional cover will be placed. The proposed system will utilize a 1500g S.T.E.P. tank with an AX20 Pod and Auxiliary Pump Vault. The existing I.D.S.F. will be decommissioned per code. The surrounding lots are served by private wells. There are no wells on surrounding lots within 100 feet of this system. 1. Soils. One test hole was performed by Robert Schafer in 1994 and a percolation test was performed in the original ground. One test hole was excavated in the area of this drain filed by Pannone Engineering Services in October of 2013, and groundwater was monitored for seven days. Ground water was observed at six feet (6.0') below the ground surface after the seven day monitoring period. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 2 gallons/day/square feet should be used for a conventional wastewater system. 2. Soil Absorption System Design. a. See Sheet 2 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography slopes from the east to the west at approximately 4%-5% in Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 the area of the proposed drain field. There is a steep slope approximately 37 feet downhill of the drain field. See waiver request. 5. Waiver Request: I am requesting a waiver of the minimum distance to a slope of greater than 25%, to a distance of 35 feet (35.0'). The existing drain field in the same location is currently in failure and effluent has not daylighted. See design section on sheet 2 of 3. 6. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no surrounding wells within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, 404 ",444 •� X Steven R. Pannone / N ie Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 00.1 \ \ s- =� / ` LOT UNDEVELOPED NO WELLS OR SEPTICS ` 1250g S.T.E.P. TANK ( ABANDON PER CODE INSTALL 1500g S.T.E.P. TANK (P) W/ AX2O POD AND AUX PUMP VAULT \ \\\\ < / 113.0 4BR HOUSE �� 4BR OUSE �� ) ` ( ` '~`r^�^� � \ ` �z\���~�� \� � \`\�� \\ ft\`\������\r ` r'\ \\ � \ \ .` ss � � ~ LOT UNDEVELOPED N0WELLS 0RSEPTICS CURTAIN DRAIN (E) ABSORPTION BED (E) VERIFIED CLEAN ABSORPTION BED 1N/N0M|0MAJ(8/9/14) ADDR/S|0|NSULAT|ON,ADDM|N0" OF ADDITIONAL COVER. ) P[RCODE 0 �����' ��k�ETERS N K� PRIMARY SEPTIC SYSTEM /N0.BEDROOM: 4(0O0gpd) TANK SIZE: l500g3IEf. W/ AX20 OD&AUXPUNP\V)LT PERC RATE = 53.4 MPI ( SOILR�TN�2VPD/SF RATING: ' SYS. TYPE: BED 10w/ .0'(E) \ MIN LENGTH: 30.0 LF (' \ \ .--..�. ` \ o���xu"n�z \ � � ` � 30LFX100` WIDE, 05` E.D., 2.0' TD \ ` \ � ---A� AREA: 300.0 SF \� ` ` - ��`�� / NOTES: CHANGE ORDER PANNONE ENG SVC, LLC P.8.BOX 1D0217ANCHORAGE, AK9S510 PHONE /907\272-8210 FAX (907)272—Ol11 PLAN SOUTHFORK NORTH, BLOCK 4, LOT 8 TRENT SORHEIM 2130 NORTH RIVER CIRCLE EAGLE RIVER, AK 99577 4011 CE 8149 Date 6/11/2014 Scale 1^=5o' Eu.u.uo 078-141-22 PERMIT NO. Sheet 1 OF 1 SPECIAL PROVISIONS TO SPECIFICATIONS . ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: INSTALL NEW 1500g S.T.E.P. TANK W/ AX20 POD AND AUXILIARY PUMP VAULT. INSTALL r IL A03QRPTI0N-8eEM. 3. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 6.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED N ANY OF THE EXCAVATIONS LESS THAN 6.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELYpe rC01 ,t 3. • l� vfe9cAo.Yt EXCAVATE ADD,J, TH F r o M 4 ka. a '.c7 J?41A 40' DOWN HIL.g1 VERIFY ACCEPTING TH-1994 SOILS. ROBE t„ A. SCHAFER FILTER FABRIC 1.25' 0 PERF PIP °/ 1/8" HOLES •' LLED 113' O.C. 6' ABOVE PIPE INV TH-1 /0A(▪ 1▪ 99▪ 4) 11 DRAIN ROCK) PLACE MOA FILL IN 12" LI 96.8 TO NEAREST DAYLIGHT 0 IAX20 PO 0 Int LIARY PUMP VAULT P U z 9.0 SECTION FILTER FABRIC DRAIN ROCK 6" ABOVE PIPE 1.25" 0 PERF PIPE 1/8" HOLES D; ' EO 18' 0.C. �, ffNi ___ 40 05 J 10/31/2013 FILL -5.5 OR/PT -7.5 DOH -11.0 GM ?.real 2' SAND4 1500 g S.T.E.P. TANK DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. W/ AX20 POD & AUX PUMP VAULT PERC RATE: 6-15 MPI SOIL RATING: 4 GPD/SF AREA ROD: 150 SF SYS. TYPE: WIDE TRENCH 0.5'ED MIN LENGTH: 30.0 LF USE: 30 LF X 5.0' WIDE, 0.5' E.D., 2.0' TD TOTAL AREA: 150.0 SF PROF LE DESIGN PARAMETERS ERS — IN—SITU INTERFACE NO. BEDROOM: 4 (600 gpd) PERC RATE: 53.4 MPI SOIL RATING: 2 GPD/SF AREA RQD: 300 SF USE: 34 LF X 9.0' WIDE TOTAL AREA: 306.0 SF LEGEND W WATER LINE/ WELL RADIUS SS NEW SEPTIC MOA TYPE II FILL. TRENCH SEE DESIGN ABBREVIATIONS CU COPPER DIP TH FC T# C# M# R.I. DCO DV FS BFG OG FG GB DUCTILE IRON PIPE TEST HOLE FOUNDATION CLEAN OUT TANK CLEAN OUT NO. CLEAN OUT NO. MONITOR TUBE NO. RIGID INSULATION DOUBLE CLEAN OUT DIVERTER VALVE FLOW SPLITTER BELOW FINISH GRADE ORIGINAL GRADE FINISH GRADE GRADE BREAK NOTES FOR CONSTRUCTION PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 DESIGN DETAILS SOUTHFORK NORTH, BLOCK 4, LOT 8 TRENT SORHEIM 2130 NORTH RIVER CIRCLE EAGLE RIVER, AK 99577 ,OFQ\Nk Date Scale *: " TH �\ *11/25/2013 ��� NTS -4111111KP.I.D. NO 073-141-22 4.1.40001110 It9lie / • ..81 .. . P nnope 9 rr. PERMIT NO. OSP131437 Sheet 2 OF 3 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 TEST HOLE 1 FILL OR GM 80H ORGANICS/ PEAT/ SILTY GRAVEL/ SILTY SAND/ SILT MIXTURE ORGANICS SILT W/ SOME GRAVEL DATE PERFORMED: 10/24/13 SOILS LOG - PERCOLATION TEST SLOPE X TH WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? DEPTH TO WATER AFTER MONITORING? -6.0' DATE: 10/31/13 SLOPE TH X READING DATE CLOCK TIME NET TIME WATER LEVEL READING NET DROP NO PERC 2 3 4 5 6 COMMENTS: Test hole excavated by JR's SEPTIC PUMPING. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: FOR CONSTRUCTION PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SOILS LOC SOUTHFORK NORTH, BLOCK 4, LOT 8 TRENT SORHEIM 2130 NORTH RIVER CIRCLE EAGLE RIVER, AK 99577 SCE OF AL" k *•4 TH Date 11/25/2013 Scale NTS P.I.D. NO n:... . Steven R. Pannone fr (' CE 8149 • % kiI�FO•pRarE•sso, Sheet `83ktialkt"."1 3 OF 3 -078-141-22 PERMIT NO. 05F131437 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) 343-7904 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW020396 PID Number. 078-141-22 0 ;-_ Page 1 of 3 "°m" Wastewater System: 0 New ■ Upgrade BRIAN RAYNES YP9 2130 NORTH RIVER CIRCLE • EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 696-3988 4 LEGAL DESCRIPTION Block: lot 4 8 Township: Ra=pe: 0 Deep Trench 0 Shallow Trench 0 Bed 0 Mound 0 Othe Soil Mann. Total Depth Nom adpnd GPD/se. R R SOUTH FORK NORTH Subdivision: Depth to pipe bottom from original prod=. Omni d.P�frC.etn pipe: R R Section: III ae added on originaleradc/G.vS SnpUu R R Grow wish // Nuri.= ot La I Dotora* between rote: WELL: ❑ New ❑ Upgrade OoSfCdbn (PrNal.. OrMer. Gna R R Total Cooed To: T/ ovapep. material: R n. sae R Dote Dyed state Water toot: Stoat Dote bwtolled: R SUDSBURRY & SONS 10/18/2002 Pump set At rasing Height Aeay. Ground: R R SEPARATION DISTANCES TANK 0 Septic In Holding 0 S.T.E.P. 0 Other To Septic Absorption Uft Holding Public/Private k w ufuctu ` Capaala N eate=n: From Tank Field Station Tank sower tine. ANCHORAGE TANK 4000 Well — — — 75'+ 25'+ "O 6* STEEL Mentor a .ampotnwnb 2 Surface Water Lot Line Foundation Curtain Drain Remarks: — - 100•+ — — — 5'+ — — — t'+ — — — 10'+ LIFT STATION Size M "Mow benufoclur.r 'Pump .n' bot et 'Puna err• at: r wale= Morn et Pump Make Eephlyd Inspections performed ton BENCH MARK Lowden end Dwogtiom BOTTOM OF SIDING 0 POINT "A" leommed Eevaterc 100.00 it ENGINEERS %EAI. cc, c•Fil�gs44 ;f-40 Inspections performed by: AKWWC, INC. Dates: 1st 10/18/2002 : 49 ..... %�*QQ 2nd — 0.... .. .... ... 3rd — Q fny GoJness: Development Services Department Approval �pOaJ�e •, `- 0.4000 RRevierowed and approved by: Date: A�7/cz 44p00 pare„t am 1 ( ( O0000 PERMIT NUMBER: SW020396 AS -BUILT DRAWING CURTAIN DRAIN I /rC BF- /, I▪ / / V --- /F p I I PARCEL ID NUMBER: 078-141-22 \ \ \ \ \ \ I • \13 I n \ / \ CURTAIN R N' / c(Y STI ALARM ST2 A B 27.6 58.5 35.6 64.0 40.0 65.8 N N N\ INSTALLED BULL RUN DNERTER VALVE NEW 4000 GALLON HOLDING TANK DUSTINGBE USED AS A BACKUP DnTUd AND/ OR TO BE USED TO CONNECT TO A\. POSSIBLE COMMUNRY SEPTIC STb1LM. EXISTING UNED INTERMITTENT 1 SAND FILTER WITH SECONDARY DRAINF1El0 TO BE USED AS A BACKUP OR RESERVE SYSTEM - 1 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DFFGPR FORD. $UITF 20 • ANCHOOAGF. AK 99506 • PNONF (9071357-0170 • FAM (907134AdR6 PREPARED FOR: PHONE NUMBER: BRIAN ADAM RAYNES (907) 696-3988 LEGAL DESCRIPTION: SOUTH FORK NORTH SUBDIVISION; LOT 8, BLOCK 4 TYPE OF WORK: AS -BUILT DRAWING OF HOLDING TANK DATE: 10/30/2002 DRAWN BY: C.J.G. SCALE: 1"=40' PACE NUMBER: 2 OF 3 PERMIT NUMBER: SW020396 TOP OF TANK AT INLET = 93.71 INVERT OF BUNG AT INLET = 93.35 AS -BUILT DRAWING Sit 1) FINAL GRADE = 99.21+/ - ALARM NEW 4000 GALLON HOLDING TANK ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DFRARR ROAD. SUITE PI • ANCHORAGE. AK 00501. • PHONE (007)331-0179 • FAX (907)330-3240 PREPARED FOR: PHONE NUMBER: BRIAN RAYNES (907) 696-3988 LEGAL DESCRIPTION: SOUTH FORK NORTH SUBDIVISION; LOT 8, BLOCK 4, TYPE OF WORK: PROFILE AS -BUILT OF NEW HOLDING TANK Sit PARCEL ID NUMBER: 078-141-22 r- TOP OF TANK AT OUTLET = 93.67 DATE 10/30/2002 DRAWN BY: C.J.G. SCALE: N.T.S. PAGE NUMBER: 3 OF 3 O MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SW020396 Legal Description: SOUTHFORK NORTH BLK 4 LT 8 Design Engineer: 0041 AK Water & Wastewater Consultarr Owner Name: Brian Raynes Owner Address. 2130 North River Circle Eagle River , AK 99577- 70// @ R:30 Date Issued: Oct 08, 2002 Expiration Date: Oct 08, 2003 Parcel ID: 078-141-22 Site Address: 002130 NORTH RIVER CIR Lot Size: 97727 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: r Issued By: < E;; fA P 70 -v - Date: .I 0 /1 102- Date: 02 Date: /o/8/42 Parcel I.D. 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) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 078-141-22 Permit Number 94•0Z0396 Property owner(s) BRIAN RAYNES Day phone 696-3988 Mailing address (1) 2130 NORTH RIVER CIRCLE • EAGLE RIVER. AK Mailing address (2) Zip Code 99577 Legal description (Lot, Block & Sub'd.) LOT 8. BLOCK 4: SOUTHFORK NORTH SUBDMSION\ Legal description (Section, Township & Range) N/A Lot Size '7772 7 Acre Sq.F Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade ❑ Well Only 0 ❑ Water Storage 0 1 THIS PROPERTY CONTAINS: Hot Tub 0 Jacuzzi 0 Swimming Pool 0 Water Softening Unit 0 Therapy Pool 0 certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. (Signature of property owner or authorized agent) Permit Fees: 4 oo C~ / Waiver Fees: Date of Payment: `t / l_/44 2- Date of Payment: Receipt Number. x64113 Receipt Number. a • • ALASKA WATER &- WASTEWATER CONSULTANTS, INC. October 1, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragraw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Holding Tank Upgrade for Lot 8, Block 4; Southfork North Subdivision The existing 4 bedroom house is currently served by an on-site well and septic system. The existing septic system is consists of a 1500 gallon S.T.E.P. tank, a lined intermittent sand filter with a pump vault, and a secondary drainfield. The drainfield is completely surcharged. A test hole was excavated east of the existing drainfield and the percolation rate was 120 minutes per inch. Soils testing done on the adjacent properties indicates shallow groundwater and impermeable soils are present throughout the area. Based upon our visual assessment, it is anticipated that the soil varies between permeable and impermeable. Given the percolation rate, a four (4) bedroom drainfield would need to have a minimum absorption area of 1200 square feet. This corresponds to a bed that is 15 feet wide and 80 feet long, or 250 Lineal feet of five wide trench. Given the required setbacks from the existing drainfield, the curtain drain, and the house location, there is not enough area available for a drainfield upgrade. All other areas on the property are unsuitable to excavate}( additional test holes due to either steep slope or surface water setbacks. Based upon this information, the only viable option for an upgrade is a holding tank. We are proposing that a 4000 gallon holding tank be installed and that the existing septic system be used as a backup system. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. TOPOGRAPIIY: There are no slope concerns regarding the proposed holding tank. I am unaware of an adverse impacts this installation would have on adjacent wells or septic systems. If you have any ques$on please contact us at 337-6179. Thank you for your assistance. fi Pre s, P.E., M.S. NOTE: Atthed is a site plan drawing, a design drawing, a soil log, and a 5 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 213' Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338-3246.Website: akwwc.com CURTAIN DRAIN \Camoo \y iL 013 �0 CURTAIN<DRVN i N. 1a7\ GP\ S\ A'N. N EXISTING 4 BEDROOM HOUSE N. N 11 EXISTING LIN\D INTERMITTENT SAND FILTER SYSTEM WITH SECONDARY OR INFI a 1 / AREA AMIABLE FOR A SEPTIC bT]It1A UPGRADE ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6001 DFPAPR POAD. St➢TF 71I • ANCHOPAGF. AK OASM. • PHONF (0071331-0I10 • FAX (001)338-3766 PREPARED FOR: PHONE NUMBER: BRIAN RAYNES 696-3988 LEGAL DESCRIPTION: SOUTHFORK NORTH SUBDIVISION; LOT 8, BLOCK 4, TYPE OF WORK: DRAWING FOR AREA AVIALABLE FOR A SEPTIC SYSTEM DATE:. 9/10/2002 DRAWN BY: C.J.G. SCALE: 1"=40' PAGE NUMBER: 2 OF 2 UPGRADE ♦ \.. NORTH 5/D; LOT 10. BLOCK 4. �%. WAC.WT� SOUTHFORK NORTH 5/D; LOT 9. BLOCK 4. VACJIM� CURTAIN DRAIN SOUTHFORK NORTH 5/D: LOT 6. BLOCK 5. �ACANT� i i SOUTHFORK NORTH SA LOT 5. BLOCK 5. rwcaNr� ♦♦ SOUTHFORK NORTH S/D; ♦ LOT 4. BLOCK 5. ALASKA WATER & WASTEWATER CONSULTANTS. INC. 6001 DFRARR ROAD. SUITE 20 • ANCHORAGE. AK 90304 • PHONE (90)1331.6179 • FAX (90715311-821.6 PREPARED FOR PHONE NUMBER: BRIAN RAYNES 696-3988 LEGAL DESCRIPTION: SOUTH FORK NORTH SUBDIVISION; LOT 8. BLOCK 4 TYPE OF WORK: SITE PLAN FOR HOLDING TANK DATE 9/30/2002 DRAWN BY: J.L.M. SCALE: 1" = 100' PAGE NUMBER: 1 OF 2 CURTAIN DRAIN 1 / z -:A.:. • .... N BE USED %S USED COSEY TE Iµ/NK1D/ OR TO BE USED TO CONNECT TO A. POSSIBLE COMMON SEPTIC SYSTEM. INSTALL BULL RUN DNERTER VALVE PROPOSED 4000 CALLON HOLDING TANK 1 EXISTING LINED INTERMITTENT SAND FILTER WITH SECONDARY DRAINFIELD TO BE USED AS A BACKUP OR RESERVE SYSTDA- 1 4' jaF ALASKA «TATER & WASTEWATER CONSULTANTS, INC. 6001 DFRAPP ROAD. SUITE 2R • ANCHORAGE. AK 90506 • PHONF 10013337.6119 • FAX (901)338-3266 PREPARED FOR: PHONE NUMBER: BRIAN RAYNES 696-3988 LEGAL DESCRIPTION: SOUTHFORK NORTH SUBDIVISION: LOT 8, BLOCK 4, TYPE OF WORK: DESIGN FOR HOLDING TANK DATE:. 9/30/2002 DRAWN BY: J.L.M. SCALE: 1"=40' PACE NUMBER: 2 OF 2 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DESORR ROb. SLOE 20 • MCIORME. M. 09304 • P*0C (907)337-6170 • M (907)336-3246 • WCBSrtt: ISOIL LOG — PERCOLATION TESTI SOUTNFORK NORTH SUBDIVISION, LOT 6, BLOCK 4 BRIAN RAYNES DATE: 9/16/2002 LEGAL DESCRIPTION: PERFORMED FOR: DE (feet) :yyyy, 1 �¢�n 75;Z; ORGANICS - r 3 4— R 1 M 5 " '{ 6 —/ CL 7—/4 8— 9.0.n. •GM/SM/ML POSSIBLY FILL 9- - 10- 10 - 11- 11- 12- 12- 13- 13- 14- 14- 15- 15- 16- 16- 17- 17- 18- 18- 19- 19- 20 20 SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ZACHARIAH GALL COMMENTS: PERFORMED BY AKWWC, INC. I. JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER ORMED IN ACCORDANCE WITH AU. STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: `�/LSIOP.• TEST HOLE #1l SOIL CLASSIFICATIONS GW = ORG StL GP 1111111 ML GM //J CL GC N OL o••o'u : Municipality of Anchorage Page 1 of a -- 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 Number: S'vJ 99 iTtS PID Number: 01S19 I a- Permit Name: t3RlANI ,AyN�s Wastewater System: New 0 Upgrade Address:) No7 Y1orJeE¢ WASfLLA,A``' �flRKlDR, c11514 ABSORPTION FIELD Phone: 31 3090 No. of Bedrooms: 0 Deep Trench 0 Shallow Trench 0 Bed Mound 0 Other LEGAL DESCRIPTION Soil Rating: GPD/Sq. Ft. Total Depth from original grade: 2 / Lot: 3 Block: �// Subdivision: / •7 �'jo✓THCORK h/Oe.TN Depth to pipe bottom from original grade: Ft. Gravel depth beneath pipe C.- Ft. Township: I Range: I Section: Fill added above original grade: 2 , 7 Ft.Ft. Gravel len the WELL: New ❑Upgrade Gravel width: /D Ft. Number of lines: 2 Distance between lines: ¢ Ft. Classification (Private, A,B,C): —P21 VAlsE Total Depth: Rol' Ft. Cased To: ILol / Ft. Total absorption area: ..300 SQ. Ft. Pipe /m/aterial: , SC% 40 piJC- 4.11703� Driller: SVLL1VAN LOA T472-�L�-LS Date Dr'lled: 7-95 Static Water Level: rLow1Nl. Ft. Installer: C GC CO AiS r9/ Date insta)led:/p 20// Yield: I D GPM Pump Set at: lJ/gi Ft. Casing Height Above Ground: J 14. Ft. TANK SEPARATION DISTANCES 0 Septic 0 Holding gl S.T.E.P. To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Lines Manufacturer: .An1Cl10RAL' ANI . Capacity in gallons: !Soo Well-,'j i a% I 11,a -- I P -C -t- Material: 0- L Number of Compartments: a Surfac Water (oo+ loop- 1001--- -- LIFT STATION Lot Line 1Q / ly , 78 _--I5'00 Size in gallons: Manufacturer: �/ riNC{ rzat.' "1RNfL Foundation t g , 3a 8 __ - "Pump on" level at: Lis',33 "Pump off" level at: // I High water alarm at: `/6 ,r Curtain Drain 1/ /j yf f 7( Pump Make & Model °SI05H4 Elec rr c/al Inspections performed by: . /7almak— &•kc N'1C_ Remarks: C5, 7; 7c. p. ) G /FT JL4. BY BENCH MARK J ' /� /0/0c N. 7 9AJk /✓V 72 ,P 54/u9 Location and Description: fop of 6.4ieA&*" SL -415 172- T�/2 f% �DS /(C7By OeT._-a/C0 Q 2 gray `Dvo2 ori &•or?A E" /� ��/777/ eic)AJ/c=1eS S. -L (/ e Assumed Elevation: /0,2.0 Ft .24-----e-r-- / / i96 / <G/�/1 /LJ / 4U/7_ -1 �9.Z / 7 - ENGINEER'S SEAL s, s , -, ; ,: /s %2 L 575 s ///CL - //1,1" Z,/} 7.�'.D/),F2 z2.I//r/(J S & S ENGINEERING 17034 Eagle River Loop Road, No. 2 Inspections b'eagle nates 1st 1c� performed River, Alaska 99677 2nd „ z /S Department of Health and Human Service pr•i/./ zig 2,D 9 Reviewed and approved by: 1-9 , 17. Date. /2 21- 9S 72-013 (Rev. 9/91) MOA 25 SENT BY : M I CHAEL QUINN CONST ;i1-16-95 5 : lOPM ; Wrrtititit Vatting ting b) DOC C,), SULLIVAN WATER WELLS P.D. 110X117027LCSUOIAK, ALASKA toasey • TUMORS MON / OWNER OF LAND inif_jaii4dt a) 144 C004.17 DEPTH OF WELL ADDRESS _ STATIC LEVEL. OF WATER FT. LEGAL DESCRIPTIO " 4AX__Jtk4riDRAW DOWN Fr. DATE - Started Ended 71 -VC-- GALS, PER HR KIND OF CASING 41 •Fae2 PERMIT NUMBER KIND OF KIRMATION: From Ft. t From_a__Ft, to From C Ft. to From.,4__Ft. to From r4.0 Ft. t From --Ft. t From4LFt. t Prom ro Ft. t 'Flom 0,67Ft. t From .1a3.—Ft. to roc) to04 /1 Ft. Plif eft 44k OE'7Ft. 70 o 1 Ft s'14"50 4.e•Gtar. <44Y &tar Fr.m ces_ Ft. Ft o iir Ft o1.21_Ft. Ftomi.51. Ft e From Pt to Ft toOFT-002.... FTotn ft, From From Ft Ft Ft. __.Ft, FroM.,---7t. .— Ft ••• • - W—V1 r,;,j1;,,,, • Prom ft, El. to .Ft. PALliert Ft. to,,Ft. d.4.it•f 6,041J4 sr.4010 4.01`11 0,1L1_F1._,J140%)0 Prom .Ft to Ft — From Ft. to_ Ft From Ft to _ .F*. — Front Ft to Ft. MISCL. INFORMATION! from Ft. to Ft. From. Ft to From—Ft. to .Ft. From --Ft to Ft ; tN• 4;.i4, 4.0iti ' • :"' From Ft. to Ft From From Fr. to From Ft. Ft to Ft. Post.lr brand fax transmittal memo If P 7671 (down i "Po o.k 41e4 aidiAip3 U04 CO. PIO-- Roma //' g • Tr. - Au. 4/4 /Zit Fax a DRILLER'S NAMS I avid)), icKnowlego stmfactory co:Li:wool' DT Irio at1C1 ID1.1 War IC Permit No SW940453 Page 2 of 2 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 8, BLOCK 4, SOUTHFORK NORTH S/D 07814122 PID No' ST1 I 97.I ST2FINAL MH FINAL GRADE T1 106.5' M12 GR. DE 1 ill 90.2' N.W 1500 S.T.P. SYS GAL I EM 90.0' ', 104 3' 103.6' e 103.8' I�in— 11 111 III Pr— k�zNCURTAI gAD A B 2' 26MT27 ¢,'' 0_,r:00 / MT3 MT4 MT5 MT6 h.T7 65' 66' 42' 49' 73, 92' 88' 46' 42' 77' 00 til MT8 68' 78' co ST1 NEW ABSO"PTION BED NEW 1501 'YSTEMT6 GAL IMP ' MTS \rriS.T.E.P. --,41T2 MT3 MT� ro ENGINEER'S SAL / r _ f c 'a ij. NEW .AND SCALE 1" = 40' FILTER MT7' T8 72-013 A (Rev. 9/91) MOA 25 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:SW940453 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:HILAND LAND CO OWNER ADDRESS:NORTH RIVER DRIVE EAGLE RIVER, ALASKA 99577 PARCEL ID:07814122 LEGAL DESCRIPTION: SOUTHFORK NORTH BLK 4 LT 8 LOT SIZE: 97727 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 • THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 2 DATE ISSUED:12/22/94 EXPIRATION DATE:12/22/95 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 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5 THE FOLLOWING SPECIAL PROVISIONS. (SPECIAL PROVISIONS: THE SAND USED IN THE FILTER SHALL BE CENTRAL PAVING PRODUCTS D.O.T. ROAD SAND WITH LESS THAN 2% PASSING THE #100 SIEVE AND LESS THAN 1 o PASSING THE #200 SIEVE. THE ATTACHED HOMEOWNER'S AGREEMENT SHALL BE PART OF THIS PERMIT_ FOUR (4) MANDATORY INSPECTIONS BY DHHS PERSONNEL WILL BE CONDUCTED DURING CONSTRUCTION WHEN: i. FILTER IS FRAMED AND THE UNCOVERED LINER IN PLACE. 2. AFTER THE AIRLINE IS IN PLACE BUT NOT COVERED. 3. AT THE 'TIME OF THE PRESSURE TEST OF THE DISTRIBUTION LINES. 4. AFTER FINAL G�/ RECEIVED BY: �Ci[iV [�. DATE: / ! 1C/"T S ISSUED BY: DATE : / — �v" • f dr .A pv S&S Engineeizinq EAGLE RMA ALASKA ROBERT C. COWAN, P.E. ROBERT A. SHAFER, P.E. December 16, 1994 HEALTH AUTHORITY Municipality of Anchorage APPROVALS DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 SEWER&WATER MAIN EXTENSIONS SEWER& WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION &FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN REFERENCE: Lot 8 Block 4 Southfork North Subdivision CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Attached is the completed design with application for a permit for an on-site wastewater disposal system, consisting of a 1500 Gallon S.T.E.P. System, 10 ft. by 36 ft. Intermittent Sand Filter, and a 10 ft. by 30 ft. Pressure Distribution Bed for the referenced property. Due to approximately 2 ft. of organics on top of a poorly permeable soil, we propose to remove the organics and install 2 ft. of a sandy -gravel material to be compacted to 85% over the area including both the primary and alternate site. To prevent surface water run off from entering into the organic layer and effecting the on-site wastewater disposal system, a curtain drain will be installed across the entire top portion of the lot with the curtain drain daylighting into an existing drainage (see attached design). The adjoining properties are undeveloped and the developing of this property, as shown, will not have any adverse effects on future development. If we may be of further service, please contact us. Sincerely, Robert C. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 SITE PLAN i i 15' CROSS G LEGALSOUTHFORK NORTH SUBDIVISION, BLOCK 4, LOT 8 DRAWN J. ANDERSON CKD. DESIGN CRITERIA: 4 BDRM = 600 GPD SOILS = 2.0 GPD/SQ.FT. 600/2.0 = 300 SQ.FT. REQ'D R.A.S. DATE1 2-9-94 SHT.1 OF 4 STRUCTURES, EASEMENTS, OR ENCROACHMENTS SHOWN ON THIS SITE PLAN ARE AS SHOWN ON AN AS—BUILT SURVEY DRAWN BY: FLEMING SURVEYING SERVICES IT IS THE RESPONSIBILTIY OF THE CONTRACTOR TO VERIFY EASEMENTS, REQUIRED SEPARATION DISTANCES, AND PROPERTY LINES PRIOR TO CONSTRUCTION. 30" CMP PRESSURE DIST. BED 2' DEEPLINE FILLLPIT RUN (SW) DITCH_ 6" SEWER ROCK OVER & UNDER DIST. PIPES 2" INSULATION 2' MIN. COVER REQ'D 10' x 30' BED 20 DgA1rAG� ESM\ i 100.\ k PROP. 1500 GAL. �QO\ \ S.T.E.P. SYSTEM 11 �o bol" 11 1 TOP PROP. WEI L ,^. 6•?:. 000Mi 6pto0 0 bo.1 A. L.L4s;tt e $0. 99®e •I 7-g / 4 '9F *".o,,00Amw°° X' t p??OFESSIO'`t CONTRACTOR IS REQUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. IL i COUNTRY 44h,N��U\\ N \\d?ql� \2,4,4••1 \\ 4,A_a\ 1 1 ALL PORTIONS OF SYSTEM 1\TITH LESS THAN 3.5' OF COVER REQUIRE INSULATION. PROP. CURTAIN DRAIN ALTERNATE SITE PROP. PRESSURE DISTRIBUTION BED PROP. SAND FILTER AREA AS INDICATED INSIDE THE— — —LINE ATO BE EXCAVATED APPROX. 2' DEEP TO REMOVE ORGANICS/PEAT 3c FILLED ` !1H PIT RUN MATERIAL(SW) SIMILAR TO LAKE OTIS PIT \ RUN GRAVEL. C'',9FNT THE ENGINEER MAY VARY THE EXACT DIMENSIONS AND DESIGN PAR:MEERS IN THE FIELD, IF I cCESS4PY, TO MEET SRE CONDITIONS. X-SECTION/DETAIL LEGAISOUTHFORK NORTH SUBDIVISION, BLOCK 4, LOT 8 DRAWN J. ANDERSON CKD. R.A.S. DATE 12-9-94 SHT.2 OF 4 10' r- L - MT 0 1.6'O.C. MT O 1-1/4" DIA. LATERAL 0 MT 1/4" DIA. HOLE 30' PRESSURE DISTRIBUTION SYSTEM: PUMP = 20 051 05HH — 5 STAGE (-,30 GPM) 2 LATERALS r, 24' LONG EA. = 15 GPM/LAT. 15 HOLES/LAT. (1.6' 0.C.) — 30 HOLES TOTAL = —1 GPM/HOLE 1/4" DIA. HOLES FACED DOWNWARD 1-1/4" DIA. LATERALS 1-1/4" DIA. SOLID MANIFOLD FROM TANK MANHOLE MT TO BED FINAL GRADE 1-1/4" DIA. SOLID MANIFOLD BED DETAIL FINAL GRADE O MT MT -mom pT .g c..cnr, acN-a mm ro. tabOrI A. S:atzi'a. aL Na. 14574 442> FEs 74%� FROM SAND FILTER 6" TOPSOIL & SEED MT 10' MIN-- \ x' INSULATIDx I f/ I l�i�_= v �tI FILTER FABRIC ��i � •I ������ I IMPERMEAB BA RR IER-� -'��1- FDdAL GRADE 3; IMPERMEABLE BARRIER :,•::'�-{IRIGI.I`AL 'GRADE SAND FILTER/ SUMP SAND FILTER CROSS SECTION SEE SHT. 3 OF 4 & 4 OF 4 LINE TO BED-' INSULATE AND COVER WITH MINIMUM 2' SOIL COVER. 2' DEEP (REMOVE ORGANICS) 12' PIT RUN MATERIAL(SW) !0= DIST. PIPES LAD) WITHIN SEN'r2 ROCK, 6" UNDER & 2" OYER DIST. PIPES BED CROSS SECTION I-SECTION/DETAIL vi z W J 0 N LEGALSOUTHFORK NORTH SUBDIVISION, BLOCK 4, LOT 8 DRAWN J. ANDERSON CKD. R.A.S. DATE 12_9_94 SHT.3 OF 4 3' ORIFICE SHEILD 3/4" DIA. SCH 40 PVC LATERAL W/ 1/8" DIA. ORIFICE SPACED 29" 0.C. 34' 30 MIL PVC LINER //— ORENCO MODEL LI 11" 1" or 1-1/4" DIA. PVC BOOT (The boot flange is bonded to 30 mil. liner) Effluent from septic tank 1-1/4" DIA. CL200 PVC TRANSPORT LINE 4" PVC CAP MONITOR TUBE (TYP.) #3 REBAR, locate one at each corner clean—out TO PUMP CONTROL PANEL:Model SSF-1PTCT 4" PVC CAP ORENCO linear air difuser TO DRAINFIELD 10' TRANSITION to difuser line 3/4"-2" JACKETED insulated HDPE ARTIC PIPES 1-1/4" DIA. CL200 PVC 15" MANIFOLD 2" INSULATION around perimeter of filter 4" DIA. CLASS 125 SLOTTED PVC PIPE (CUT 1/4" WIDE SLOTS 2-1/2" DEEP AND AT 4" 0.C.) 2" SLOTTED ,PVC PIPE (cut 1/4" wide slots 4 0.C.—orient slots down to drain. 10' x 36' SAND FILTER W/ PUMP BASIN 2" DIA. CL200 PVC FLUSHING LINE 2" FLUSHING VALVE w/8" PVC access riser and fiberglass cover LEGAL SOUTHFORK NORTH SUBDIVISION, BLOCK 4, LOT 8 DRAWN J. ANDERSON CKD. R.A.S. DATE 12-9-94 E RIVER ALpS4- SHT.4 OF 4 FIBERGLASS LID, BOLT, NEOPRENE GASKET AND POLYSTYRENE INSULATION (OPT) -FILTER FABRIC ELECTRICAL SPLICE BOX w/CORD GRIPS CONDUIT SEAL X-SECTION/DETAIL MOUNDED SOIL COVER EFFLUENT FROM THE SEPTIC TANK INSUL. LINE 3J4"-2" JACKETED I.ISULATED ARTIC PIPE - � 18" 2" Insul. RIFICE HIELD CONDUIT TO PUMP CONTROL PANEL(when me high water alarm in the gaud inter Le activated the septic pump Ia diseugagad) 1" Dia. PVC Hose & Valve Assembly 1" DIA. FLEICIB PVC HOSE (OPT INSULATED 2'-2' tYDE LSand Fllte�Ecnuent Dlaahurgs -4" MONITOR PIPE SLOTTED IN GRAVEL LAYER, ONE EACH CORNER OF BED (TYP.) PVC THREADED CAP CLEAN OUT 3 REBAR 24" 1/z' DIA. SCH 40 PVC LATERALS 1.25" Dia. SC 40 BOOT The boot Range is bonded to th 30 Mil liner 2" Instil. +35 psi FILTER d"-Burial �RoatNedp /-SAND A'L!USE[2 P1PE PIPE 1/4" PEA GRAVEL w/ 1/2" ROUND ROCK pl mounded around tthe under drain pip PEAundGRAVEL Ia erterais 4" PVC CAP E VV HIIIIII111 11 1llllllllllll11 11111 1 11111111 llllll111 1 llllllllllifllll I vv vv SAND FILTER PERIMETER SUPPORT FRAME: 1/2" Plywood Sheets 2" SAND LEVELING LAYER below 30 Mil PVC liner " CASS 125 SLOTTED PVC PIPE The under -drain may be laid flat. 2" EXTRUDED BURIAL POLYSTYRENE INSULATION OR APPROVED EQUAL -30 Mil PVC Liner 36' v 211 1" HOSE & VALVE ASSY.\F ESHING • PUMP BASIN 15"DIA,x61" HIGH w/ NEOPRENE GROMMETS 1/2" AIR line 11EOVE BOTTOM OF SAND -1/2" - -MALE ADAPTER -PVC RISER PVC COUPLING �2" DIA CL200 FLUSHING LINE SAND, Backfill between / the plywood and the excavated walls 1111111!IIIIIIillllllllllllllilllll!II!IIIIIIIII/ 2" Insul. +35 psi lziuizi&uiiiiiiiiiiiiiiiir‘ Burial Rated 4" PVC CAP 2 UBMERS BLE PUMP 2003I w/MF-AF FLOAT ASSY. 3/8" PEA GRAVEL ., 24 DIA DEPRESSION 1/2" to 3/4" Round Rock around under -drain Original Ground Filter Fabric Drain Rock C/2° — Oversize) or S.R. J 1 Backhoe Bucket 90-3 4° ADS Perforated or 4� PVC D3O34 As Specified on Site Plan. TYPICAL CURTAIN DRAIN N.T.S. S &S ENGINEERING 17034 EAGLE RIVER LOOP ROAD EAGLE RIVER, AK, 99577 (907) 694-2979 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: g/G/A/3 ArAll'::_c j0.--I LEGAL DESCRIPTION:/' I 171 cSed.Ch ,4A . Township, Range, Section: r>....-------- p� PTH SLOPE cF E C L C.' °R /Pm -7- 2 - 8- 9- 10. 11 - 12- 13- 14- 15- 16- 17- 18- 19- 20 - Ie ,S%.L Ty GC, 9A).0 COMMENTS/// 41' T. /-/_ WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Aro S L O P E Depth to Water Ageri) Monitoring? U2 Dale. /12'/O -9`( - SITE PLAN T N Ng v Reading Date Gross Time Net Time Depth to Water Net Drop I,F / -9 ' Z... p m -- 7 `f 'L 2(-13 op Y0/1/N )S/J'[r Shy " 3 if'-e,(2‘6l�e_I --- 2 `' 't 3 144 3o PPW,, 99/6 7/y . S A'1Glz.--41- :3a .9bL[//u 2 jjG /& " 7 -e 4// 4' '7 /2 aeV — PERCOLATION RATE '513' 'i (minutes/inch) PERC HOLE IAMETER TEST RUN BETWEEN 2 FT AND 0 FT D/'z -!v - 9`74.. S` S'CNGIkERfN"' L (- o - / PERFORMED BY: 17034 Eagle River Loop Road No.204�Ti-/O "--9 CERTIFY THAT THIS TEST WAS PERFORMED IN Eagle River, Alaska 99577 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 72-008 (Rev. 4/85) Parcel I. D.078-141-22 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION: Complete legal description Southfork North; Block 4, Lot 8 Location (site address) 2130 North River Circle *Eagle River AK Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) rpt%- C/= $ A F C T Y Expiration Date: 7— / — ZZ Day phone Day phone 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: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ _L .S0 — Z q C, Date of Payment -2d 2r) L Receipt Number ,r2 % COSA Date: Waiver Fee $ _ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: _Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: bbl?_ In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and y�o��1�1,v, industry practices. The reported results describe the condition of the system/s on the dates of the `jF y `' ate, evaluation. Separation distances were measured to readily identifiable features. Hidden defects or�X��.. encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, i 9 ( Y g year), quality of construction (materials and groundwater levels that may fluctuate Burin the ear workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the j system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an altemative well or septic system !'; , i- :ar'l 0,s; rJ can be installed on the property in the event either of the currents stems fail to perform adequately in P P Y� Y P q Y� U:1s•'• the future. The content of this report is for the sole benefit of the person/party that retained GEG to , perform the evaluation. Reliance upon the information provided in this report by any other person or vL� k� ty party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSS SIGNATURE `/ System #1 Approved for bedrooms � �f� LV�i/1's System #2 Approved for bedrooms O> Disapproved W`d c� v z �{31`dt��7`1SdM o Conditional ahproval for bedrooms, witthe folloWiIng stl c8!BlyM �1 Cd►� '�11S-NO ?cam �0111�1�11� B ' l_ v`--�1�-^c:l/�C Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: SOUTHFORK NORTH; BLOCK 4, LOT 8 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 7195 Total depth 162 ft Cased to 161 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7/26/21 Static water level at beginning of test 12.2 ft. Comments B. TANK DATA Age of tank(s) 8 years Tank type/material STERMEL Measured operating fluid level in septic tank 48 ❑ Standpipes/foundation cleanout per record drawing Date of pumping N/A D. ABSORPTION FIELD DATA West bed/east bed Which system tested (date installed) 2021 ❑ ALL standpipes present per record drawing Total measured depth from grade '3.9/3.4 ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: measurements are from inspection after install 2021. COSA Checklist yellow sheet Parcel ID: 078-141-22 Structure served by this system Well production at time of test 6+ gpm Water storage tank volume NO gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic u-❑ Arsenic less than MRL (ND) Collected by Date of Sample 7/26/21 C. LIFT STATION ❑ Required maintenance completed -?/Zl?1/z4 Age of lift station 7 years Lift station material STEEL Comments: ADVANTEX SYSTEM Adequacy test date new Results P1 Pass For 4 bedrooms Fluid depth prior to test in Water added - gal New depth in Elapsed time - min Final fluid depth - in Absorption rate 600+ and Any rejuvenation treatment (past 12 months) If yes, enter date - CA E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes *50'+ Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft [VI Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25'E] Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No *50'+ ft Holding Tank > 100' F,11 Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' 0 Yes if No ft Q Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft ✓❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No **51+ ft Surface Water > 100' ❑ Yes if No *50'+ ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: jQ Yes Absorption Field > 5' Yes if No ft Private Wells > 100' ❑ Yes if No *50'+ ft Water Main > 10' ® Yes if No ft Community Wells > 200' ✓[] Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' jQ Yes if No ft Private Wells > 100' ❑ Yes if No *50'+ ft Water Service Line > 10' Yes if No ft Community Wells > 200' El Yes if No ft Surface Water > 100' ❑ Yes if No *50 + ft F. ENGINEER'S COMMENTS *AWWTS **MET CODE AT TIME OF INSTALLATION G. ENGINEER'S CERTIFICATION oma' OF wv�d ��_ ........ ,is�o 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with 449 H �l MOA COSA guidelines in effect on this date. , , , • • , . • • • , ...of...ss: .J ff y A. :... Q� 9� E-79!5-3 .yam. �G Pry - • •� �� COSA Checklist yellow sheetpyo f es 00°oma #AECC884 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D.078-141-22 Expiration Date 1. GENERAL INFORMATION: Complete legal description Southfork North; Block 4 Lot 8 %6 12, a09D, Location (site address) 2130 North River Circle *Eagle River, AK Current Property owner(s) Tre.r�+ Dov' lV1t. vv\ Day phone Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single family and/or Duplex) Day phone 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: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ J �J� "i Z 9 (j(C0v\b%—k10MA L�Waiver Fee $ Date of Payment 9 oto a0 ,i Date of Payment Receipt Number ®rq 9 19 G Receipt Number COSA # 0 `J C 2 115 (o 3 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 Engineer's Printed Name: Jeffrey A. Garness Date: 21l In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the ✓l �� ��� evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, Gr�L� groundwater levels (that may fluctuate during the year), quality of construction (materials and ': + •� workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and .. ' ' ' ' ' ' ' ' ' . •' ' .. r' . . are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of j ..... • • • • • • • • • • • • • • • • • the well or septic system. GEG makes no representation whether an alternative well or septic system > A. Gone, s:' can be installed on the property in the event either of the current systems fail to perform adequately in il, ''E— the future. The content of this report is for the sole benefit of the person/party that retained �€(k9 perform the evaluation. Reliance upon the information provided in this report b an of P P P p Y Y �� n rrr�l`'•.y;��a � �ti� party (including subsequent property purchasers) is not authorized, nor will it confer�1 rit Cy0 '�r� �Cpyo r =_s ��� whatsoever. 6. DSD SIGNATURE ` #AECC884 �' 0�"Sp _ System #1 Approved for bedrooms\NOER o System #2 Approved for bedrooms J a �PS��"Gh\ Disapproved pR0 O t I i�JF pp Conditional approval for �1 bedrooms, with�p�)Wi lm'ilations: o 64tL. n e. d b4 �u e cl, a022. A. vL,, 4 "c A. Co rv, p I e -k Co S A Ghe ck.0 s S be 'SL,-6r,"4C1 4-0 re le c, -F se.D-h c up % —a.� By: Original Certificate Date: p20� 1 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: SOUTHFORK NORTH; BLOCK 4, LOT 8 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA FE -1 Well log is filed with Onsite (or attached) Date drilled 7/95 Total depth 162 ft Cased to 161 ft 01 Sanitary seal is functioning correctly A-1 Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7/26/21 Static water level at beginning of test 12.2 ft. Comments B. TANK DATA Age of tank(s) 7 years Tank type/material STIMTEEL Measured operating fluid level in septic tank 48 0 Standpipes/foundation cleanout per record drawing Date of pumping 3/10/2021 Parcel ID: 078-141-22 Structure served by this system Well production at time of test 6+ gpm Water storage tank volume NO gallons Well disinfected for coliform test? ❑ Yes ❑■ No 01 Coliform bacteria is Negative Nitrate mg/L O Nitrate less than MRL (ND) Arsenic ug/L FNI Arsenic less than MRL (ND) Collected by Date of Sample 7/26/21 C. LIFT STATION FOR Required maintenance completed Age of lift station 7 years Lift station material STEEL Comments: ADVANTEX SYSTEM EXISTING DRAINFIELD TO BE REPLACE - D. ABSORPTION FIELD DATA I THIS IS A CONDITIONAL COSA Which system tested (date installed) 1995 ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, st depth into effective ❑ Code -required soil cover over fief ❑ System presoaked (Required if vacant feater than 30 days prior to date of test) Gallo roduced gallons C ents/Deficiencies: COSA Checklist yellow sheet Adequacy test date Results ❑ Pass Fluid depth pr" to Wat ded New depth in Elapsed time _ Final fluid depth bedrooms st in gal min in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' *50 + if No Community Sewer Manhole/Cleanout > 100' Water Main > 10'✓❑ 1`7 Yes if No ft Q Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' ❑Q Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No *50'+ ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑✓ Yes if No ft ✓❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑✓ Yes if No ft ❑✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No **5'+ ft Surface Water > 100' ❑ Yes if No *50'+ ft Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No *50'+ ft Water Main > 10' ❑ Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' ❑ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓❑ Yes if No ft Private Wells > 100' ❑ Yes if No *50'+ ft Water Service Line > 10' Q Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100' ❑ Yes if No *50'+ ft F. ENGINEER'S COMMENTS *AWWTS **MET CODE AT TIME OF INSTALLATION G. ENGINEER'S CERTIFICATION l certify that l 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. COSA Checklist yellow sheet va.. ,A f6ra.l-eesu fL--'�-4 , '014 #AECC884 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this IS Day of �l��fv of 20,g_L, by and between lGt 1 , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY". in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as 2- 13 0 N Rr`t " CN -6 ,AK Yt7 located at (legal description) 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically 5400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Pagel of 3 K Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Jc Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. /,,)L- Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The tenn of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: (signature) Date: -71-"h'0'-)— (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this s'b day of 20 Zf , by <JrJnl /�iL2Ssi� —z �'G✓rr�., f r-�� - STAT E OF ALASKA NOTARY PUBLIC FOR ALASKA TriRY PUSUC My Commission expires: S- 2.2.7'23 Shawna NeIsOn 1 fiyy Commission Expires: Maly 22, 2023 MUNICIPALITY: By:fij's"IL'a (signature) �e6.cco' c(;Lcc0(( (print name) Date: 1A 4W Title: (rev. 05/18/2018) Page 3 of 3 07/30/2021 09:10 8686770 0712312021 11:35 Anc jarage Tank 01111`1 392146 ■ ■■ 91■■■■ A■ NONE 11 E ■ Annual InsF eciion Ftofnrr19 l)wr.�ul7YaGkinp i•�•••••,,---��•i••••••�------�••••• 1'rent Sorheim 2130 North River Circle, Eagle River AK 99577 AX P.rto IU n County IR n God a AX -134550 JCSP131437 418637 Retrieve O&M loft t7etNytiow ,..— -- Rex -are a silo Timor tapings' This is a COSI Inspection Perform Field Saar prlingfCbsernratt m5 W (18 x NRts) (fi)) 00 (2-0) "PH J .9 odor of Saariplo (::wrreyrt Typical M sty F__ Earthy —' Mokly Non-typWal s ! ' rfkiw 1—C.nheng1f-710eLay ORY farm i» PVI.I Ll Ye: wFoam in tank �-14�,�; ❑ Yes JNo (Aleck Control Pa rel RN:iec Amp e Od9;.itAr',,C Anip. / 213 1-11�\ Auc5t%, nntl vigwl :darms, ;60K [Aatfnna(irrrmrir rmiyj �ik+u ;�ifun lnA, pacVCI®an Pu rip System f inspEct Clean Rise►ll,iN ....... ............. r� Splice Box ....... .............1 Float Cords ..... ............. ._) Floats.......... J pumv, .......... 13b)hrW MON... ............. J Btotube Purnp VOL I .... , .. , RCdirzjatirl$ SVrrt ;rr Valve...... . Comments PAGE 07 fAXX7 277 3715 P.0011001 1■ ■N■ M6 AnchorneTank 907-272-3543 j Larry Betts Cwtact none (907) 622.1629 rrr,.j VUL a Data or LAM Irt*uHna RTU128590 M110/2021 Measure Sludge/Scum Mudge s4two 121 C.ornfartmerrt'�— 01i tit PYr3viOus CurrenI - - PNriiou^ 2nd Compartnt?nt (::wrreyrt Previous Current Pn3VlnuP InspectfCTAAA AdvanT©x Filler inspect Clean Clam Narmal L) PcmgeM LateralsK)rtfior 5 Rinrnar:Normal ❑ ExCLS;Nve P.xl snitnm Bridging/Ponding//None/Minor ❑ ExcN3 Intake Vont inspect/ChmDischarge PUMP System tngpgCt Inspect Clean 4iSGY1Lid _ Floats Splice Am Pump Moat conk lnspeat/Servlcs Other System Components InsFsai Cfe n {.nap+'rt. Equipment ) Il I Lntoraisioellfi�cesj�I ClnStn pitinl000n jO�ispGrsel obscwations „� � t �� AddKional Services Rendered [m! beamed toxtile sheets? R(piacaef LNItems't RwpiA xdAlced other Iterns? Parts Used: w = warrantir, 0 a E30j3W: f V :tppmpdate selection) 1V 8 Item Plumber oe". dotory FinaU afaty Inspection V oty 1) i00el art �reinstalledU Manifold reconnected: flush yalyes ckx"d Carinal portal rfraetivalad SwnmaryfRecommendet icm s ❑ Syedarr prrrorrnmg; no further action needed hank need3 pumpng I Call fat service Signature Gate L Pax completed form to 1-866-384-7404 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 078-141-22 CosA# OSC )7_109 ti Expiration Date: `i - (%-) 2- 1. GENERAL INFORMATION Complete legal description Southfork North Block 4, Lot, c$ Location (site address) 2130 North River Cir. Current Property owner(s) Trent Sorheim Day phone Mailing address 2130 North River Cir., Eagle River, AK. g. n Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: r_ 3. TYPE OF WATER-S4.IPPI&Y: • Individual Walla • 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 On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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. (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 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. 1 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 Pannone Engineering Services, LLC Phone 272-8218 Address P.O. Box 100217, Anchorage, AK 94510 I Engineer's Printed Name Steven R. Pannone, P.E. Date 212k%!Z Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it ♦ No. CE confer any legal right whatsoever. ♦1 .01 l 5. DSD SIGNATURE ♦II q1*,;* ..�' .�pt%"wp4444 Z 49TH s ♦♦ if 4 :Svtzt at s5teven R. Pennon 7• ♦ 8149 V' Approved for 1--/ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: ON-SITE • Gs • WATER AND : R' ▪ WASTEWATER t PROGRAM Orr Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory By: 5eSS- Poet ( $ mw - Y b) (Rev.11(05) Arsenic Advisory Maintenance Agreements. Supplemental Engineer's Report Other Original Certificate Date: 1/M42— Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Southfork North. Block 4. Lot 8 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 7/13.g44 Sanitary seal (Y/N) v_ Total depth 162 ft. Cased to 161 ft. Parcel ID: 078-141-22 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 2/1/10g5 12/20/2011 Static water level o ft. o ft. Well production 10 g.p.m. 3.5+ g.p.m. WATER SAMPLE RESULTS: Coliform Oa' colonies/100 mL Nitrate NA mg/L Arsenic: A ug/I Date of sample: R/idM( Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel /patina -*WI( Date installed 10/18/2002 Tank size 4000 gal. Number of Compartments z Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping 11 5 2-01Z_Pumper --C-5 ?JP(Cat-- C. ABSORPTION FIELD DATA 13at installed Soil rating (g.p.d./ff or ft2/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. abso . '- area ft2 Monitoring tube Depression over field Date of adequacy test Results (Pass ':' For bedrooms Fluid depth in absorption field before test _ in. Water ad a gal. New depth in. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give dat\ D. LIFT STATION Date i Size in gallons "Pump on" level at _ in. "Pump off' leve a Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot /CO Absorption field on lot jt:Of Public sewer main 76 71 Sewer /septic service line 12-6--/-- Animal 6f Animal containment areas nit Manhole/Access (Y/N) Hi • h water alarm level at Meets alarm & circuit requiremen On adjacent lots le°t- On adjacent lots 100 in. Public sewer manhole/cleanout Holding tank /CO it Manure/animal excrete storage areas /C)01- /DO cOf !D SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main 10+ 5+ Wells on adjacent lots ioo+ Property line io+ Water service line 25+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Water Service line Curtain drain F. COMMENTS Absorption field s+ Surface water 1.00+ Building foundation Water main Surface water Wells on adjacent lots /vehicle storage G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone. P.E. Date f 71/Z ••'•49TH,•%\ •`•;'•�1� • hu .Mss. •••• � n.......... / ■ Steven �•R. Pannone. i ••• 1. 's, No. CE 814! / • • COSA Fee $ 4140' w Date of Payment Receipt Number (Rev. 11/05) a nu Oc'131$Cf Waiver Fee $ Date of Payment Receipt Number JAN -17-2012 68:12 FROM:JR'S SEPTIC PUMPING 9873449821 TO:2728211 P.2/2 JRs Pumping PO Box 773415 Eagle River. AK 99577 (907) 694-6454 [Billing. Information Trent Sorheim 2130 North River Circle Eagle River, AK 99577 (907) 622-3204 Job Site Information Trent 2130 North River Circle Eagle River, AK 99577 (907) 696-3988 269-8519 Job Description: P.O. Number: Terme: Salearep: Map Book: j Cross Streets: Job Comments: 4000g Net 30 Dawn -Dawn Hiland Road Mile 7.0 Service Agreement Number: 035183 Order Date: 10 -Jan -2012 Service Date: 11 -Jan -2012 Technician: Jeremiah Tax %: 0 Job Type: Repeat Map Grid: 165. . Last Sery •12/30/2011` Trent441.4190 ked & Pumped Holding Tank Additional Location Comments: Diagram: S:Idiaorams117739.hmo #'s are on gray house w/white trim, ranch front. chain link fence Pipes@ back & visible Service Type Price Per Gallons North Rlnr Cir Tank •An • OTJf • do • •� i Holding Ma Qty Price Each Tax? 4000 $0.00 No 1500g Gallons Planned: 1500 Gal. Actual: Hose Length: 2.5 Double Tank; C7r Pump System: lye Baffles Inlet:F.1 Baffles Outlet: IJ Extension Actual $0.00 Estimated Charges: Actual Charges: NonTaxable Total Yexable Total Tax Total Grand Total Customer agrees to the terms and conditions shown. THIS IS A BINDING AGREEMENT. Signature and Title of Customer Representative Accepted by JRs Pumping Data Date Accepted For your added convenience we accept; Diaover, Visa and Master Card payments over the phone. After 30 Days account will be turned over to COLLECTIONS. 530,00 For NSF Checks Returned. 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) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 078-141-22 1. GENERAL INFORMATION HM# 030 ZZ Expiration Date: cl —02 .S- © 3 Complete legal description SOUTH FORK NORTH SUBDIVISION; LOT 8, BLOCK 4. Location (site address or directions) 2130 NORTH RIVER CIRCLE * EAGLE RIVER, AK 99577 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address BRIAN RAYNES Day phone 696-3988 2130 NORTH RIVER CIRCLE * EAGLE RIVER, AK 99577 Day phone BUTCH JACQUES w/ COLDWELL BANKER Day phone 696-7653 10928 EAGLE RIVER ROAD * EAGLE RIVER, AK 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. 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 4 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 samples. (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. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or prior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSO Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for LE bedrooms. Disapproved. Conditional approval for Phone Date 337-6179 vA ess: Q i o C„_7953 `cP/:='OO Qno./ • ^`wd bedrooms, with the fllowing stipulations: • j ' ON-SITE ':Gi WATER AND : nI Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By:0 WASTEWATER : '” PROGRAM °. • � Manitenance Agreements Supplemental Engineer's Reort Other (Rev. 12/01) Original Certificate Date: 3 Legal Description: A. WELL DATA Well type PRNATE If A, B. or C provide PWSID# N/A Well Log (Y/N) YES Date completed _ 7/1995 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES Total depth 162 ft. Cased to 161 ft. Casing height (above ground) 24+ in. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Oragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST SOUTHFORK NORTH S/D; LOT 8, BLOCK 4t, Parcel ID: 078-141-22 Date of test FROM WELL LOG 7/1995 Static water level ARTESIAN ft. Well. production 10 g.p.m. WATER SAMPLE2SULTS: Coliform "Ct 0 colonies/100 ml. Arsenic:. N/A mgJL. B. SEPTIC/HOLDING TANK DMA Tank Type/Material HOLDING/STEEL Tank size 4000 gal. Number of Compartments Foundation cleanout (YIN) YES Depression over tank (YIN) NO AT INSPECTION 6/9/2003 Nitrate O. 1 mg.IL. Date of sample* 6/9/2003 23 ft. 5.5 g.p.m. Other bacteria '0" colonies/100 mi. Collected by. AKWWC, INC. Date installed 10/18/2002 Cleanouts (YIN) YES High water alarm (YIN) YES Date of pumping 5/26J2003 Pumper AROUND THE CLOCK PUMPING C. ABSORPTION FIELD DATA HOLDING TANK. NOTE: THE UNE() I.S.F. SYSTEM IS STILL IN PLACE, BUT IS NOT OPERATIONAL AT THIS TIME. Date installed Soil rating (g.p.dift'or ft'bdrm) System type Length fL Width ft Gravel bel • . = ft. Total depth ft. Eff. absorption area ft° Monitoring to • : Depression over field Date of adequacy test Results = - + ail) For bedrooms Fluid depth in absorption Held befo = - : .,,_ in. Water added gal New depth ,in Elapsed Time: - . Final fluid depth in Absorption rate >= g.p.d. venation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed "Pump on" level at in Datu E. SEPARATION DISTANCES Size in gallons Manhole/A "Pump off - - = n. High water alarm level at in Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent Tots Absorption field on lot 100'+ On adjacent Tots 100'+ 100'+ Public sewer main N/A Public sewer manhole/deanout N/A Sewer /septic service line 25'+ Holding tank 75'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Surface water Wells on adjacent lots Water service line Curt F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems am in confomrance with MOA HAA guidelines in effect on this date. Engineer's PrintedN me Date Glib 3 JEFFREY A GARNESS HOLDING TANK nveway, parking/vehicle storage HAA Fee $ 15? • — Date of Payment G •,33 .05 Receipt Number ! ` s (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number JUN -12-2003 09:21 AM RAYNES'NNITHEY 6963988 P.02 i 1 1 s ti r it Olt! ZOO 1 14, Id LbaTiTT f202 60 %Int 0600-fK-.26 t TN Xtld Sm010%.63S 6uIRaAaTMS 6UIWaSd 2 13 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O Box 196650 Anchorage, Alaska= 99519-6650 Parcel I.D. # '343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 079.iatzz 1..:..:GENERAL INFORMATION Complete legal description Loi- 8 Btocli -4'rSouth,okh. Nokth Subdivision Location (site address or directions) Property owner8ii;a)i Raune� ., ... Day phone 373-3090 Mailing address 1367" PAnnnon Pant? D.'c. Wasiito. AK 99564 Lending agency Day phone Unless otherwise requested, HAA will be held Mr.pickup. NUMBE' Ft' OF' BEDROOMS.`" TYPE OF WATER SUPPLY-' Individual well ommunity well Public_ water >` NOTE: - If community well system, provide written confirmation ing to the legality and status of system.. TYPE OF WASTEWATER. DISPOSAL: Individual on-site from State ADEC attest - :Holding tank 7 , ',, �ti•;�, rr ts; _>{ �r � pit s -< �. , � '' . _ Community onsite -ti', ,x,1 Public sewer ' ,j, >> , If community wastewater system, `provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev.1/91) Front MOA (21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. 5 & 5 E Name of Firm (,o34 ea leRive Rivea Lo Loop Road Na. 204 Leslie r ver, AJ ska 99577 Address Phone :. b Engineer's signature ,r+ A. ;1.0W- DHHS SIGNATURE Approved for bedrooms Disapproved ` r.`�k;� i t E Conditional approval for bedrooms, with the following{ stipulations •'i 4 ..I) CAUTION ''The Muniki pality,of 4nchorage Department of Health and Human 'Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA 021 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: Lor v 6 `i 49 Parcel I.D.: A. WELL DATA Well type Pl2 1l nom, Log present 'N) s Date completed 7-1- D78/4i22 If A, B, or C, attach ADEC letter. ADEC water system number Total depth 1 Le / Sanitary seal 1Q'N) Cased to / L I r e 70z rrg ,-„, .-) Zr nri °Y m O — C ➢ F AL l� � No Z 0 Casing height (above ground) /2 Wires properly protected ON) y FROM WELL LOG AT INSPECTION Date of test 7- 9 S” Static water level 6L0 O r nJ h Well production /0.0 WATER SAMPLE RESULTS: g.p.m. g.p.m. Coliform Nitrate Other bacteria Q Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed 9-.20-95- Tank size /Sao Number of Compartments Z Cleanouts,)N)y Collected by: S & 5 ENGINEERING I/334 Eagle River Loop Road No. 204 1-sver, Alaska 99577 Foundation cleanout Depression (YO N High water alarm (Y/N) p Date of Pumping t/jl- -/J‘-6.) Pumper C. ABSORPTION FIELD DATA Date installed 9-.1 a -5 Soil rating (g.p.d./ft2 or ft2/bdrm) a a System type Ma Jet1P Length 30 ' Width / o Gravel thickness below pipe 6,S Total depth V.s- Effective absorption area .3oo Monitoring Tube presentON) y Depression over field (Yk 1 Date of adequacy test "44- nisi,/ Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test (in.); Inunediately after — gal. water added (in.): Fluid depth `= (ins.) Minutes later: Absorption rate = g.p.d. Peroxide treatment (past 12 months) (Y/N) NI a If yes, give date D. LIFT STATION Date installed 9 .2,0 -4S Size in gallons /So Manhole/Access OI) "Pump on" level at* I3 Pump off' level at* 33 N High water alarm level at* /S *Datum OFF 6 rra Cycles tested 3 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic holding tank on lot / / Z' ; On adjacent lots /00 ' 4 Absorption field on lot / 2 7 ' : On adjacent lots /0 0 t+ Public sewer main /lif Public sewer manhole/cleanout Sewer /septic service line 2 S t f Lift station /12: SEPARATION DISTANCES FRO SEPTI TANK ON LOT TO: Building foundation 6 ' Property line 18 Absorption field Water main/service line /o ' f Surface water/drainage /00 ' F Wells on adjacent lots !0O SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 32- t Water main/service line /0 4- Surface water /6 0 Driveway, parking/vehicle storage arca S/d11- Curtain drain .20 14" uP -Iu- Wells on adjacent lots 100 Property line _ /`+/ F. ENGINEER'S CERTIFICATION I certify that I have determinedQu field inspections and review o/'Municipal records that the above .systems are in conformance with /)UA 114A guidelines in effect on this date. Signature k� � S 7 ENLIINEERING Engineer's Name W034 Eagle River Loop Road No. 204 Eagle River Alaska 99577 Date /2% 0 /j9'6 HAA Fee $ -- /I� \5V0 ' Waiver Fee $ Date of Payment 1 EngitErii ::cal Here L Date of Payment Receipt Number / S 7_ 2- (4/ N2) Receipt Number Rev. 8/95 OSS: haa.wk.doc