HomeMy WebLinkAboutBERNARD BLK 3 LT 13BERNARD
BLOCK 3
LOT 13
060-321-35
D.E.C. VERIFICATION
OF LOT 12 WELL
REQUIRED
S 4J 1 64-aJt. X AA7! WAT", , WEL cS ...
Der-e�rrlel-aoetAnwel
IMwe Nbaea-!7!!
ww+aeaMeneebr�eee.een
Well Log
Permit Number: #SW 090146
Date of Issue
6r1ol2lin
Parcel Identification Number:
Date Started: 6112t2W9 Date Completed: 8N2r2o09
o6oa21ss
Is well located ata roved
Pio permit location? �Ycs I.. INo
Property Description BERNARD Lot 13 Block 3
Section: Town: Range:
ProrcrtvOwner Name&Address:
DAVIDMARMILLION
107 LAKE ESTATES IRMO. SC 29063
Borehole Data:
Soil Type, Thickness & Water Strata
Depth
Method of Drilling jx air rotary ( cable tool
rrom
To
Casing type:
Casing Stickup
0
3
Wall thickness 0_.25 inches
Overburden
3
4
Diameter 6 inches Total: 64 feet
_-
Sand 8 Gravel W/Boulders
4
62
-- -
Liner type:
Brmrn BedrockDiameter
62
69
45 inches Depth: 200 feet
Casing stick-up above ground: 3 feet
Yellow Bedrock
69
Ta
Dark Gray Bedrock
Static Water Level(from top of casing) 58 feet
78
115
Pumping Level: feet after — -
Brown Bedrock
Ills
lie
1 hours pumpinS
_ .... gPm
Gray Bedrock
118
137
RecoveryRate . ..20 gpm
Brown Bedrock
13T
150
Method of Testing: lir
Gray a White Bedrock150
155
Well Intake Opening Type
Open End IX I Open 1-1010
Brown Bedrock1
155
16a
F]Screened Start feet Stopped feet
Gray Bedrock
164
192
Perforations Start feet Slopped - _.fact
Brown Bedrock
192
195
Crout Type: Bentorrto dry granula Volume: 70 Pou
Gray b While Bedrock
195
20D
Depth Start o feet Stopped 44 feet
Water Sample Results:
Arsenic:
Nitrates
Total Coliform Bacteria
Other bacteria:
ug/1
mg/l
eolonies/100mL
coV100mL
Pump Intake Depth: feet
Pump side: I IP brand name
Well disinfected upon Completion? XI Yes No
Method of disinfection CHLORINE SOPPM
Comments:
Well Driller.
Colo Sullivan
Sullivan Water Wells
P.O. Box 670272
Chugtak.AK 99567
(907)688-2759
Attention: The property owner shall provide this log to DSD (onsite) and DNR within 30 days of completion.
69LZ 999 L06 SiieM JeleM ueA11ing eLC:90 60 bl deS
61
ARCTIC PUMP & WELL INC.
Jim Sullivan, CPI
f� PO Box 770197
� M I ��- Eagle River, AK 99577
MM r
(907)688-2510
(907)258-2510
(907)745-2510
Pump Installation Log
Well Drilling Permit Number: SW090146
Parcel Identification Number: 050-321-35
Date of Issue: 9/10/09
Legal Description:Bcmard Property Owner Name & Address:
Lot:3 Dave Marmilian
Block:13 107 Lake Est Ct
rr. n cr, oonAz
Pump Installation Date: 9-18-09
Pump Intake Depth Below Top of Well Casing: 183 Feet
Pump Manufacturer's Name: Gould
Pump Model: IOgs
Pump Sizc:3/4 hp
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Manufacturer's Name:Baker
Pitless Adapter Installer: UK.
Well Disinfected Upon Completion? Yes
Method of Disinfection: Chlorine
Comments:
Pump Installer Name:
Arctic Pump & Well, Inc.
Arctic Pump & Well, Inc.
Page I of I
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 WATER SUPPLY PERMIT
Initial
Date Issued: Aug 10, 2009
Expiration Date: Aug 10, 2010
Permit Number: SWO90146 Parcel ID: 060-321-35
Legal Description: BERNARD BLK 3 LT 13
Design Engineer: 0000 ZZ - NONE NEEDED Site Address: 018727 HILAND RD
Owner Name: PAUL MARMILLION Lot Size: 48335 SO. FT.
Owner Address: 107 LAKE ESTATES CT. Total Bedrooms: 0 Permit Bedrooms: 3
IRMO . SC 29063-0000
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By.
Issued By:
I
Date: Lo—c
Dale: c�' — /0— Oct
Municipality of Anchorage
..
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, Alaska 99507
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWERIWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcell.D. 060- M - 3jr-non
Property
Mailing
Site adc
Legal d,
a I1
.VAvid ��IQ11't��il(10�
phoneR03-U-0 – 503z-
)3
a3Z
Legal description (Township, Range & Section)
Lot Size—4 0? 3 3 S' Sq. Ft.
THIS APPLICATION IS FOR IS all that apply):
Absorption Field ❑
Septic Tank
❑
Holding Tank
❑
Privy
❑
Private Well
Water Storage
❑
Number of Bedrooms 3
THIS APPLICATION IS AN:
Initial
0
Upgrade
❑
Renewal
❑
I certify that the above information is correct. I further certify that this application is being made for a
Sirtmle Family DyvklJing and is iplaccordance with applicable Municipal Codes.
ft
of property owner or authorized agent)
Permit/Rush Fees: Waiver Fees:
Date of Payment:/� / Date of Payment:
Receipt Number: 6 `7! 6 0 I S— Receipt Number.
(Rev. 11105)
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Municipality of Anchorage 'i ,'•
Development Services Department
Building Safety Division .. • ...
On-Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650 Page I of
�
www.ci.anchcrage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. S w0 I D 003 PID Number: 0 — 3 a ( -35-
Name: P & t011
Wastewater System: [& New ❑ Upgrade
//
" 2t5o1. Lhim� �t�JM749SORPTION
FIELD
Phor:e: /t ^ Number of eadretms:
YgDeep Trench pStutbw Trench (3 Bad Obta+W 0 ether.
b(
LEGAL DESCRIPTION
i Rating
Sc1e a GPDrFP
aigvral trade:
Total Depth from / Ft.
B:=3Lot, 3 Subd'rrisiore ,/� �/1
�`/ /1 erm / N
Depth to pipe bottom from originn2ll]trade:
or• Ft.
Gravtl depth beneath pipe:
Ft.
Township: Rance: Secion:
FJ added above original trade:'a
/ / Ft.
Gravel Length:
FI.
Well: ❑ New ❑ Upgrade
Gravel width
Wmber of refer.
Distance between lines:
Fl.
FL
Gs
/C assiGwGon (Private, A. B. C): Total Depth: t ad to:
Col%in11417
Total absorption
60
`at
Pip Meriat
5 ( D
Pi F FL
Dri3er. Date Dnr Static Water Levet
Wtarer.I.' n
Ow
Date Installed:/l- 1I7 --
"11
O I
Ft.
tier
Y;eld. Set at
Height Above Cmrd
TANK
GPht FL
FL
SEPARATION DISTANCES
bdSeptic ❑ Hclding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Lift
Holding
PublidPrivat
h�tAan'^aCR/"I
k-
Capacity.
50
From
Tank
Field
Station
Tank
Srverline
r4Ln N
cal
Well
11 'Y I
t
t
1� 1
�
hwtenal:
Num Cf Ccrepar�rents:
Surface Water
(�+
Ip4+
LIFT STATION
Lot
1
, I(—�/I �
6q,
Sae: Mar:ulacurer.
Lire
Gal.
Fcundatzri
k
•Pump ow level at f.^ IwN at
In.in.
High water alarm at:
Pump Make d Mede EkCrcal Inspections perronned by.
Curtain Dran
0 n e
0
Remarks: So.iie ol, fi
/ i 0,716 /11T
BENCH MARK
%f
l=oon and Descpb=
t
< // 11 Assumed E. 3bcn:
a n4 I DL-,, FL
F Amit
........... /j
j �C: �/` •:, , tt
5 8 5 ENGINEERING
17034 Eagle River Loop Road, NNp.. 1st q'I a-0I
Inspections performed by:EaV
7
,.« { . .. «.....,:r ...•�l
rr
n
I.:.
e 2nd 9 —17- 1
17-a1 -
......... ...............
So ROBERT C. COVIAN ,
02
Development,iSeArvices Department Approval
• CE-801
J
++
Reviewed and approved by:Date: S / 0
1 I4% Cop',—-:�i;;;; �-:��
M
PERMIT No. SWO10003
PAGE 2 OF 3
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 *Anchorage, Alaska 99519-6650 *T ete hone 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR OPELL INSPECTION REPORT
LEGAL LOT 13, BLOCK 3, BERNARD S/D P.I.D. NO. 060-321-35
20'
i
}KEYBOX
1
1
- ALT_SITE _
NEW TRENCH MTI 1.
CO2MT2 - COf 1
DBL1 A DBL2 ST2 TH 1
NEW 1250 GALLON i
SEPTIC TANK STI
ECD B
LOT 14
\ 'y IBM A NERp00
BEDmoa\A
HO SE
j 100' WELL RADIUS
APPROXIMATE LOCATION
N
GRAVEL ORIVCWAY
-------- --- -----------------------
15• UTILITY EASMENT
-- - ---------
SCALE: 1• = 50'
HILAND ROAD (PLATTED)`..
•• •• • ••' ?s,4a
..w'L..,.,. .......:......�,
xi
... .: fin.—.....r
ROBERT C. COWAN v
`�g'•,�
CE - 8801 4�•
C
PERMIT NO. SWO1 0003 PAGE 3 OF 3
Municipality of Anchoraqe
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.D. Box 196650 *Anchorage, Ataska 99519-6650 *T et
Tethone 343-4744
ON—SITE WASTEWATER DISPOSAL SYSTEM AND/OR LL INSPECTION REPORT
LEGAL LOT 13, BLOCK 3, BERNARD S/D P.I.O. No. 060-321-35
ST1 S
90.6'
FINAL GRADE
86.3'
NEW 1250
86.1'
GALLON
SEPTIC TANK,
A B
FCO 12.0 29.0
ST1 23.0 35.5
ST2 32.0 40.0
DBL1 35.0 41.0
DBL2 38.0 43.0
C01 =89.2'
C01 49.5 34.0
CO2=88.6'
MT1 48.5 36.0
CO2 1 51.0 72.5
MT2 1 49.0 69.5
2" INSULATION
FINAL GRADE
C01=85.9'
SR CO2=85.9'
N. T. S.
% �
MT1=79.9'_Xp
:: t.Z, i �'/,-�'�/
MT2=80.4'
.............�
NO WATER FOUND
.
R09ERT C. COWAN
73.4' B.O.H.
cE -saol f���
t
II�12;`
MuNi�ip�it4y b� AHr;{itii�g� r : (ENGI rjr6eAQ 1
bbvbldhihbhl bbNlcbh bep;Mttiehl
bultand biilely blvlslort /•
's;tJ bri-Slle Walei and Wdslewaler hrograrri
4700 tot111i bragdv4 SI. +• w ROBERT C. COWAN ..
h.d. box 196650 Ancholage, A99519-6650
cr .8801
7)3 93� 4�fF➢f`••.... `NGS
8
/1AN Ldd -wVblbblut{oh tbs4
herlormed tor: �/f iLL / / #-a—r'l ILL 1 O bale herlormed:_
LegalOesulpllorr. LOT /3 : LOGJG 3' -/✓/{.2O S/
Ma Clle Dhn
wAs GROUND WAi(:h N 0
Mcoul TERtb7
s
Ib Yts. AT WI IAt bEbtl l7 ^ L
bil M* Wilai AlW _ o
• �(onlloringt p
A. 10 Ly
bale: /� A
hedd)n0
bale
Gross time
Mel Tlme
Depth to Water
M61 brop
1'tlttOlZ)AEb bY: V (/ G
-1112,101
d
b62
hIEhtohMtb IN ACCOr1 ANCE Wlt11 ALL STAtC NO MumN clh L GUIDELINES IN MEct ON THIS Wt. WE: 11 /i/o /
1
�o
(°
12'
��4'
/0
bo
6 „
ID
O
1
/0
/
D
10
10
1
S�
n
CMEMtS
PERCOLATIOIIRATEy Irdrolesemcn) PERU IKXEUU1MErtH
il:0hL#)blaMU11 g, Pt ANb ,S -rt
/A/ tAr — ri - •c.�
CM
1'tlttOlZ)AEb bY: V (/ G
�I
GJ2v- ---
CtRiItY llAT tNIS, ttyS#WAS
hIEhtohMtb IN ACCOr1 ANCE Wlt11 ALL STAtC NO MumN clh L GUIDELINES IN MEct ON THIS Wt. WE: 11 /i/o /
1
i
r
i
IEALII1AUT110ILtY
AMOVALS
SEWEn&wATEn
U01EXIEN MM
.smnnwATEn
risrECTM
ENM EEI M SIIIDIES
APMEPORTs
WELLs14PECTION
A FLOW LEST
- QM41A�
SM ZEST
PEnCOtA110N
IEst
MECHANICAL
*MPECTIae
ONSITE
WASTEWAIEn
DISPOSALSYSTEAI
DESIGN
s&SN
Iiiieepung
C
Date- 10-1-7-01
Municipality of Anchorage
DEPARTMENT OF ,11EALT11 AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorages Alaska 99519-6650
REFERENCE: 1Ofi13
ROBERiC. COWAN. P.E.
nOBERT A. SI IlAFER, P.E.
CIVIL ENGINEERS
(907) 694.2979
FAX (907) 694.1211
The septic inspections for the referenced property were
performed on 4-12-01 and _j -17-D1 . Prior to submitting
the On-site Wastewater Disposal System and/or Well Inspection
Report we are waiting for the 44-b%4 (tSkrvev to be
completed.
If we may be of further service please contact us.
Sincerely,
Reert C.Cowan, P.E.
r
1704 NORR I EAGLE RIVER LOOP & SUITE 204 • EAGLE RIVER. ALASKA 99577
1➢
February 10, 2003
ROBERT C. COWAN, P.E.
ROBERTA. SHAFER, P.E.
CML ENGINEERS
(907) 6942979
FAX (907) 694-1211
HEALTHALRHOWTY
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
SEWERaWATER
P.O. Box 196650
uaNOCTENSaTs
Anchorage, AK 99519
REFERENCE: Lot 13; Block 3; Bernard Subdivision
TER
hole test on the above referenced lot.
PSPERCTION
A test was excavated and percolation performed
The approximate location of the test hole is located on the attached inspection report.
Though no test hole was dug covering the west end of the trench, the soil remained
consistent throughout excavation of the bed installed in September, 2001.
ENGNEERINGSTUDIES
""°REPORTS
We do not anticipate any adverse effects on neighboring wells, septic systems or
drainage patterns by the installation of the septic system.
If require additional information, please contact us.
WELL INSPECTION
you
a PLPYTEST
Sincerely,
SITE PLANS
-7111Z, /
-
Robert C. Cowan,//P.E.
RCC/tS/Bcmard,L13,133 d(n
ROAD DESIGN
SCILTEST
PERCOLATION
TEST
STmXTURALa
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER ALASKA 99577
Alm-Acipality of Anchorage
George P. 11'tlerch, Mayor Department or
Public Works
Bttildulg Safety DiVisim
P.O. Box 196650 • 4700 S. Bragaw Street
Anchorage, Alaska 99519.6650 • (907) 343.5301
h ttp:/h��t�e.ci.ancLoragc.alc.us
December 11, 2001
Paul Marmillion
733 W 4th Ave 4514
Anchorage AK 99501
Subject: On -Site Water and/or Wastewater Permit.
Permit Number: SW010003
Legal Description: Bernard Block 3 Lot 13
Dear Paul Marmillion:
An On -Site Water/Wastewater Permit, number SW010003, issued by this office for a single-family
system, will expire on January 5, 2002. This permit was valid for 365 calendar days.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to
this office for review, approval and documentation. This as -built inspection report must be signed by
the licensed Professional Engineer who inspected the installation of the system. As -built inspection
reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. A new permit for a second year may
be issued free of charge through December 31, 2001 or for a fee of $100.00 after January 1, 2002. The
application for the renewal must be received on or before the expiration date of the original permit.
When applying for a new permit, the fees are: $400.00 for a wastewater permit and $150.00 for a well
permit.
If you have any questions, please call this office at 343-7904.
Since ,
Ja Cross, PE
Manager
On -Site Water and Wastewater Program
Enc: Copy of permit
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SWO10003
Legal Description: BERNARD BLK 3 LT 13
Design Engineer: 0003 S & S Engineering
Owner Name: PAUL MAARMILLION
I _ Ne s py
Owner Address: F942S6 s -B q q�� 6B L69P
6-M eve
A -r -AK -9856 6644
7/7 f '^4
Date Issued: Jan 05, 2001
Expiration Date: Jan 05, 2002
Parcel ID: 060-321-35
Site Address:
Lot Size: 48335 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
0 Disposal Field Q Septic Tank Holding Tank Ej Privy ❑ Private Well D Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
z
Date: / — ° )
Date:
NOTE: Application must be filled out completely
MUNICIPALITY OF ANCHORAGEL)2,CaM_t7 0>�Z�
Department of Health & Human Services
On -Site SewerfWell Permit Application
SINGLE FAMILY DWELLING Parcel Identification Number
Property Owner Name PA V Day Phone
Aeck
uCl I S- o
Al
Mailing Address 3 ?� (v h i �! 7N Amt , y s�`/
7 J Zip Code n
Legal Description � 3 3 tSernrl-
/
Lot eloCk ; Subdivision
-non
Lot Size Acr 'Sq. Ft. Number of Bedrooms
by: kApproved Engineering Firm ❑ Municipality (permit fee included)
Does your house contain any of the following: ❑ Hot Tub ❑ Swimming Pool ❑ Therapy Pool ❑ Jacuzzi ❑ Water Softener Unit
This application is for: K Sewer Only ❑ Sewer and Well ❑ Sewer Upgrade ❑ Well Only ❑ Water Storage
I certify that the above information is correct. I further certify that 5 & S ENGINEERING/, —
this application is being made for a Single Family Dwelling and 17034 Eagle River Loo Road o. 2
in accordance with applicable Municipal Codes. Eagle River, Atask Owner/Well Driller
Fees: �o GV •C)o Receipt # Permit # SW O / 0003
Waiver Fees:
72-012 (Rev. 4198)'
Receipt #
Waiver #
S&
HEALTHAUTHOWTY
APPROVALS
SEWER& WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERINGSTUDIES
AND REPORTS
WELLINSPECTION
& FLOWTEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECKWICAL
IMSPECTIONS
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
ROBERT C. COWAN, P.E.
CML ENGINEERS
(907)694-2979
November 20, 2000 FAX(907)694.1211
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 13, Block 3, Bernard S/D
It is requested that you issue a permit to install a septic system to serve the proposed
four bedroom dwelling on the referenced property.
A test hole was excavated and a percolation test performed. The approximate location of
the test hole is located on the attached site plan. At the time of excavation, 9/7/00, water
was not found. After ground water monitoring, the tube was dry.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/bjj
Enclosure
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER. ALASKA 99577
SITE—PLAN
DESIGN
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e Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "U' Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: / �/' (L- IL- / (7Z %,y✓��y�IU�e,
LEGAL DESCRIPTION: tel/%�� ; (�� K 7e .✓c+�i►�11
1
DEPTH
Ems' 0/2GA>V/CS S`D
l
4-
5-
6-
7 5 67
8
�9 Y., 4 w C'o�;gc� rD u
•o-
10 WAS GROUND WATER
ENCOUNTERED?
DATE PER
Range, Section:
SLOPE
. - W/Z'
rl
ROSERT C. COWAN ^ j
SITE PLAN
S
I IF YES, AT WHAT L
E--1 I
12 C ' DEPTH? p
E
13 :C•. Depth to Water Aftern^.,
Monitoring? C Date: ! G
14-
15-
16-
17-
18-
19-
201
41516171s1920
i
COMMENTS
PERCOLATION RATE 1 07 Iminutesiinch) PERC HOLE DIAMETER
TEST RUN BETWEEN 4 FT AND SFT
S & S ENGINEERING
PERFORMED BY: CERTIFY THAT THI TE T WAS PERFORMED IN
17034 age River11 777`0 O
ACCORDANCE WITVJ*k*j4jF,4tIZdWI293FXL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
mgmeepang
ROBERT C. COWAN, P.E.
ALMA
CIVILE'NGINEERS
(907) 694-2979
FAX(907)694-1211ON-SITE
WASTEWATER DISPOSAL SYSTEM
APPROVALS
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
SEWER&WATER
MAN EXTENSIONS
REFERENCE: Lot 13, Block 3, Bernard Subdivision
November 20, 2000
SEWERS WATER
INSPECTION
GENERAL:
1. The scope of this project includes the installation of a 1300 gallon Premier
ENGINEERINGSTUDIES
polyethylene septic tank and a new trench to serve the proposed four bedroom
ANOREPORTS
residence located on the referenced property.
2. Construction shall be in accordance with the approved site plan and design
WELLINSPECTION
drawings, Municipal permit with any special provisions or conditions, and all
d FLOW TEST
applicable State and Municipal Wastewater Disposal Regulations.
3. The contractor shall be responsible for obtaining any necessary underground
SITE PLANS
utility locates.
4. Unless specifically agreed otherwise, the property owner shall be responsible
ROADOESGN
for final grading areas subsequently depressed from soil settling.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department for system installations. Owners installing
SOILTEST
their own systems must also receive prior approval from the Municipal Health
Department.
PERCOLATION
TEST
SEPTIC TANK INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer.
STR=UMMECRANC.AL`
Construction shall include two 4" cleanouts for pumping access.
RSPECTIOIS
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
ONSITE
WASTEWATER
OtSPOS&SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER. ALASKA99577
Page 2
Lot 13, Block 3, Bemard 3/D
November 20, 2000
3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
5. A foundation cleanout shall be installed one to four feet from the building foundation. In
the line between the tank and the leachfield there shall be two adjacent cleanouts (unless
an effluent pumping system exists within the septic tank). These cleanouts shall be
located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line,
shall be to clean toward the leachfield. The second cleanout shall be to clean toward the
septic tank.
6. Final grading over the septic tank shall be such that a positive slope exists away from the
septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the
excavation shall be within 2 inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock)
placement.
2. Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel surface before placing backfill.
4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion
of the monitoring tube extending through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This is equivalent to the effective depth of
the gravel as noted on the design.
5. Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The
finish grade over the trench must be mounded to prevent the formation of a depression
after settling.
Page 3
Lot 13, Block 3, Bernard 3/D
November 20, 2000
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe Perforated Solid
Cast Iron
Yes
Yes
ASTM D3034 (PVC)
Yes
Yes
ASTM F810 (HDPE)
Yes
No
ASTM D2662 (ABS)
Yes
Yes
Use of a type of pipe other than listed above must be approved by the inspecting engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or
equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
7. When sand is being used as a filter material, its gradation specifications must conform to
current M.O.A. or D.E.C. requirements, which ever requirement applies. .
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
Page 4
Lot 13, Block 3, Bernard SID
November 20, 2000
The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be backfilled before this inspection.
2. The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer
is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -
construction meeting will take place on-site. The inspecting engineer will not coordinate, direct
or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be
the owner's representative and will inspect the work as stated above to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor to
carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR/INSTALLER
e"�
Municipality of Anchorage
Development Services Department
• .. Building Safety Division
On -Site Water and Wastewater Program '
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
/ FOR A SINGLE FAMILY DWELLINGS c'
Parcel I.D. li d — I S COSA # (}S C I GiI J�3 q
Expiration Date: Q ' vC %i —/ O
1. GENERAL INFORMATION
Complete legal description Lot 13; Block 3; Bernard Subdivision
Location (site address) 18727 stonehill Ur.
Current Property owners) Paled Marnialion
Day phone 603-920,5032
Mailing address
Lending agency Day phone
Mailing address
Real Estate Agent Eva Loken Day phone 689-6476
Mailing -Address — - - - -- --
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
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
u
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 Finn s & s Engineering
Address 15861 S. Birchwood Loop Rd. Chugiak, AK 99567
Engineer's Printed Name Robert a sharer
5. DSD SIGNATURE
✓ Approved for bedrooms.
Disapproved.
Phone 6942978
Date
!r im!"
itAeO 'a > .
ti t 140.8
Conditional approval for bedrooms, with the following
Ito
Attachments:
COSA Checklist X Arsenic Advisory
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: I,/. Original Certificate Date:
(Rev 11005)
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore 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: _z i �3 C�/1Jf12p �h Parcel ID: O G 0- 3 a
A. WELL `DATA
�
Well type rf'-IVfj'TF" If A. B, or C provide PWSID # '— Well Log,(�y N) � £
Date completed 0Z1121" Sanitary seal'L�l) Wires properly protected/) �E4
Total depth 26Lft- ft. Cased to 67 � ft. Casing height (above ground) n.
FROM WELL LOG
Date of test_01610
Static water level SQJ # ft.
Well production CPO g.p.m.
WATER SAMPLE RESULTS: 00,
Coliform --!2—colonies/100 mL Nitrate mall.
Arsenic: :�ug/L date of sampleN. ) 0
B. SEPTICIHOLDING TANK DATA
Tank Type/Material 'JC.m LTrrc
Tank size IR50 I50gal. Number of Compartments
AT INSPECTION
60'
ft.
9.p.m.
Other bacteria 6) colonies/100 mL
Collected by: IS4 S f.! fF,r t�Fd E/K7C�
Date installed
Cleanoutsvm) i
Foundation cleanou ,�/ fJ) C Depression over tank (YeQ High water alarm mo _MD
Date of pumping 7 21 Zor0 Pumper- PUMDfr 5
C. ABSORPTION FIELD DATA
Date installed / D / Soil rating (g.p.d./f? or felbdrm) /. System type Vf CP I OCAVfl
i
Length _'!�3 r ft. Width 3 -ft. //Gravel below pipe 6, ft.
Total depth y.o� I ft. Eff. absorption area c�ft2 Monitoringtube Y(S Depression over field
Date of adequacy test y0 Result (Pail
ass/ ) For _�_ bedrooms
r' n
Fluid depth in absorption field before test in. Water added V` gat. New depth In.
Elapsed Time:. min. Final fluid depth 0 in. Absorption rate >= 6co+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y� type) G If yes, give date
D. LIFT STATION NIA
Date installed Size in gallons
'Pump on" level at_ in. `Pump off' t�—
Datum Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
r
Septic tank/lift station on lot /M ' -
i
Absorption field on lot 1,590 /
Public sewer main A
Sewer /septic service line as f
Animal containment areas SO -
High water alarm level at in.
Meets alar & circuit requirements?
r
On adjacent lots
On adjacent lots 1G15)
Public sewer manhole/cleanout til la
Holding tank Al /4
r
Manure/animal excrete storage areas /a) f
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation S,46 line 5 / Absorption field 5
r /
Water main M le __ Water service line 104 Surface water
Welts on adjacent lots ICO 1i
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
r /
Property line /04 Building foundation 104- Water main
/ r +
Water Service line /D Y Surface water Driveway, parking/vehicle storage
r
Curtain drain AtON£ /W01c2U Wells on adjacent lots
F. COMMENTS
KJEtc Flow oy r-ou-, PXST-r-larb 8tj yv
4VAVPA,V - s06SEOuv-71F VqJ214TIOV5
G. ENGINEER'S CERTIFICATION
1 certify that 1 have determinedh field inspections and
review of Municipal records t at the 1 bove systems re
conformance with MOA COSA uidel/ s in a ct n thi date.,
Engineer's Printed Name ,
Date Z
COSA Fee $Ubr
7 7 /
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
. rivty-�,A°rt✓ /5 A V r
Ar
AV h r. 9
* ll11 w ,!.>i,.1 k *
ten A. c1HIr.
W MV -1
SCS RcL#
Client Name
Project Name/#
Client Sample ID
\Iatric
1101658001
S & S Engineering
L13,D3 Bernard SID
LI3,B3 Bernard SID
Drinking Water
Printed Date/l [me
Collected Date/Time
Received Date/Time
Technical Director
04/26/2010 15:59
04/21/2010 11:30
04/21/2010 12:05
Stephen C. Fade
Sample Remarks:
4500NO3 - Column Efficiency sample showing Nitrate rccovcry does not meet QC criteria LCS Nitrate recovery is within QC limits.
Allowable Prep Analysis
Paramctcr Results LOQ Units Method Container lD Limits Dare Dale [nit
Metals by ICP/MS
Arsenic 5.00 U 5.00
Haters Department
Total Nitratc/Nitrite-N 0.595 0.100
Microbiology Laboratory
Colony Count 0
Total Coliform 0
Fecal Coliform 0
ug/L
EP200.8
C
(<IO)
04/21/10 0423/10
SCL
mg/L
SM204500NO3-F
D
(<I0)
0421/10
AYC
col/IOOmL SM2092220
col/IOOmL SM209222D
col/IOOmL SN1209222B
A (<200)
A (<1)
A (<I)
0421/10 SDP
0421/10 SDP
04/21/10 SDP
MAY -18-10 11:59AM FROR-
T-364 P.002/002 F -BTI
d%Ofl✓ C�
Gov yi
dl
b
ASBUILT SUTARD ✓ti ASSOCIATES LP.ND SUR
SCALE:
NC 594-082,+
I HEREBY CERTIFY THAT I HAVE SURVEYED THE'
FOLLOWING DESCRIBED PROPERTY: _ �� Of Al. , 4�
p�GrPO fC/B 6or��Q�: 3 DATE.r Q 3' 0
AND THAT NO FNCRCK^HMENTS EXIST EXCEPT AS
INDICATED. IT IS THE RESMNS131LITY OF THE � • : +�
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: � d
EASEMENTS, COVENANTS, OR RE.`,•TRICTIONS �wzSf'
WHICH DO NOT APPEAR ON THE RECORDED SUSDI- °-^^ • •
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB` fr V.
ANY DATA HEREON BE USED FOR CONtiTRUCTION ��-iy 1y'T+ ,(dna/6 ••�;
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
PRAWN: ,' �atiw�+•.
ARY LINES. pommy