HomeMy WebLinkAboutVERGASON-JONES LT 2Vergason
Jones
Lot 2
#017-074-06
Permit Numb
Name:
Addre s:
P O I N
Phone: s Number of Bedreems: if
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Pa
www.ci.anchorage.akkus (907) 343-7904
ON-SITE WASTEWATER• DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
er. ' �LA)0103f � �/ PID Number: 01% -07t%
Verga.60t1 Wastewater System: D4 New ❑Upg
f}Ve anchor& , g _5IE ABSORPTION FIELD
LEGAL DESCRIPTION
Stock: Lot^ Subdivision
19 Uer9 a -we tlafie-5 $
Township: Range: Section
Well: 0 New ❑ Upgrade
Classification (Private, A, B. C): - Total DepTtGL Cased to�
Pr;va+e L L
Driller In(� r Date Dnlled: Static WaaW LL'akel'
�e � y Df; 1l r /)� r tr7 � CJ— � � � (®� FL
Yield: Pumps C ,.e Casing Height Above_rroound
GPM L4 eJ�(no VJVJ Fl. O( FL
`p
rade
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Roth rj ZF
Sol Rating: Q /'1�
0 GPD,Ft=
Total Depth from original grade: •—V�•.�
0 Ft.
Depth to pipe bottom from original grad
Fl.
Gravel depth beneath pipe:`—�\\
S �{
Lift Holding
Station Tank
PubliclPrivate Manufacturer.
Sewer Line l r� der p'Q S ��C 5
Fill added above original grade: +y—
3 Ft.
Gravel Length: «��J
D 0 Ft.
Gravel width f Jn(
r t/ Ft,
Number of Imes: Distance between Imes:
g Q.3 Ft.
6 5�
165'
^S l L Material: 3 r� r, „a-
7 F�J( 1' J\ �1../!{.�_
Total absorption area: 3 /r /r� Ftx
Ck— �+
ft.5TMP2.'pe Material D � 71V
Installer
Installer. d + ?e4e
�(/,�(%)�,V , YC
Date Installed: �� �y ,,.,
/Wry1
TANK
SEPARATION DISTANCES
kSeptic ❑ Holding ❑ s.T.E.P.
❑ Other.
To Septic
From Tank
Absorption
Field
Lift Holding
Station Tank
PubliclPrivate Manufacturer.
Sewer Line l r� der p'Q S ��C 5
capacity.
1300 Gal.
I B j� i
Well f—JI,
1^ 1'
6OC/
6 5�
165'
^S l L Material: 3 r� r, „a-
7 F�J( 1' J\ �1../!{.�_
Number f Compartments:
Surface Water add t
I �Dfi
I �0
LIFT STATION
Lot Lire 8� 1
Olt
((��'y0^ i
VSize: Manufacturerj(�� ,/
�0 Gal. Pi e&7,e l a.+di C S
V (i,. �,,
Foundation D14,
/
> r'
z (•/J•
Vv
/.I '
3l(_i
'Pump on level at: 'Pump air levet at:
/'7/ y in. in.
High water alarm at:
48 in.
_3�
curtain Drain -�"
1 /�
I o n ? Y 0 o, , y ----
VVV r W
Pump Make & Model Electdcal Inspections perfcrmed by
gj�.�er�OLCBGS
i"�a. 0• A
Remarks:
BENCH MARK
Location and Desmpticn: �
I
op ®.j)'-tpvt�ela-��pn
®i yl 1 1,g ii Ais0®levatic t.
I� F:.
S L' S Eh'f'raNEERUJG w ��- -tw •.�'i% i
Inspections performed by:
171034 Eagle River Loop Road, N� fat !,Z �3 �Q ai
Eagle River, Alaska 99577 G v
2nd .. .. _. ,,..:.:..-.....,,..,. , ..q.,.
Development Department Approval /+�,,3, ROBERT C. CO1 i
p P AA 1+ c�l�• C.. sent
Reviewed and approved by: Date: /I3 103 ?�: F:V •..... ,...••'; �'�
M.
R lrno)\rll,Las moo"
PERMIT NO. SW000281 & SW01031 6
PAGE 2 OF 3
MunicipaUt of Anchora e
DEPARTMENT OF HEALTH AND HUkXN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 *T ele hone 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WpELL INSPECTION REPORT
LEGAL LOT 2, VERGASON—JONES S/D
P.I.D. NO, 017-074-06
TELECOM & ELECTRIC EASEMENj,,�-
--------
GRAVEL DRIVEWAY
I
WI ALT. SITEI 1O�
FLUSHING
M I 10' MIN.H 3 VALVES
N D+
M 1 FCO1 �O
0
w I NEW I.D.S.F, m ST2 02
U I DBL1&
DBL2
NEW 1300 GALLON TBM
I W I HDPE SEPTIC TANK B
W
w NEW 550 GALLON MH
I FAT ALBERT S.T.E.P.
�S 10p
LLJ
rn �
Tn w
I V1 ~I
I
I I
I
p
I $
I Sr1"
L- - - - - - - - - - - - - - - - - - - - - - --
SCALE: 1" = 50'
�gJNGF t
w C")
?� ROBERT C. COWAN
��'i�,'•� CE -8801
l♦ti ,ry
PERMIT N0. SWO 1 031 6 & SWO 1031 6
PAGE 3 OF 3
Munlbpalit of Anchora e
DEPARTMENT OF HEATH AND HUNIRAN 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 LOT 2, VERGASON-JONES S/D
FINAL GRADE
100.1'
DOUBLE
CLEANOUT
INSULATION
96.0' NEW 1300 GAL. �-
POLY. TANK
95.7'
MT=102.1" � T
MT=99.1'
DIST. LINE=99.4
P.I.D. NO. 017-074-06
97.6'
97.8'N
ELECTRICAL
CONDUIT
IJ 1Y4" DISCHARGE PIPE
I
At,
550 GALLON FAT ALBERT
WITH PUMP ASSEMBLY
FINAL GRADE
i- INSULATION
PEA ORAVEL
A
B
FCO
18.0'
38.0'
FCO2
19.0'
37.0'
ST1
46.0'
30.0'
ST2
47.5'
28.0'
DBL1
50.0'
27.0'
DBL2
50.5'
27.0'
MH
76.0'
39.0'
FV1
55.5'
43.0'
FV8
71.5'
57.0'
MT
73.0'
59.5'
P.I.D. NO. 017-074-06
97.6'
97.8'N
ELECTRICAL
CONDUIT
IJ 1Y4" DISCHARGE PIPE
I
At,
550 GALLON FAT ALBERT
WITH PUMP ASSEMBLY
FINAL GRADE
i- INSULATION
PEA ORAVEL
3' UNDER
LATERALS
FILTER
,-1/Z' AIR UNE
- -,SAN➢
BOTTOM OF SAND=97.1'
A
GROUNDWATER AT 92.6
87.1' B.O.H.
ORIGINAL GRADE
N. T. S.
hCk6 Y V •• •:�4
}0 4 ROBERT cCOWAN �4
'� . CE - i801
HEFTY DRILLING STATE OF A LASK A
3540 AKULA DRIVE - 11 1)1,'I�Al�'I'MVN-rOriNA,rt)IkALIUI
..f�:':�O2C�,,S
ANCHORAGE, ALASKA 99516 1\11NIN('., LAND, WATER Ily][1111 . (A ()(III[C NUIvry
(907) 345-0593 WATER WELL LOC'
Drilling Started: 4L/)1k_L_, comple'("(11AD /—JE/ t. 61
City/136rough: Subdivision/USS: 131ock Lot
Property Owner Nanic & Addrcss•.
'ACA
�a P_
Mtridinn, Township Range Swim Y4 or V4 or Y4
Lai: N Long: W NAD: 2.7 OR R.1 F,1citation:
UORtHOUE DATA: nk'k.) Depth Drilling riethod:A' Air rotary, 0 Cable tool, Othi I
Material: Type, Color & wetness From
Well use: 0 Public SUpplyXIDomestic, 0 Other -
_33 Depth of hole: 0 fl, Casing stickup:
Casil Thickness inches
Casing diameter inches Casingdepth
.AcaL :)'j
Liner type: Diameter: inches
Static water,
Pumping level & Yield; feet after hour; 19C I
gpm
-
Recoveiy rate: 5 gpni, Mediod oFtostin:1,'- �A
04'44� Development method: Duration:
Well intake opening type: 'KOpen end, b Open h(*1'0
0 Screened; Start: fl, Stopped ft
gSlotfffiesp size Semen type:
13 Perforated;Start: fl, Stopped ft
Start: ft, Stopped
Note:
3 t
' rout type: t. Volume
Depth; from ft
to ft
intake depth:
Pump size lip, Brand name:
0 upon Ivy
Was well disinfected 10,0117 /IrY es, 1.1 NO
IVIciliod of 4isinrcction.
Driller comments/ disclaimers:
kit
'Nell Driller NameYaQ.
04 Company Name- HEFTY DRILUN
Mailing Address: 3540 AKULA DRIVE
City: ANCHORAGE S ALASKA 96516
Phone Number 07 46-0593 1
DEC 2 3 2002 Drillers Signature:
.1 IN SMW of Al"'ka wit
��4<, days. (AK Mames 38,05.020,38.0s.03s, Within the City of Anchorage, it is required that a c( py of the will log be
.102046.15.020 and AK rcgulationi I I AAC 93.140). sent to (lie approprinte city orrice witiiin 60 days and ;Nal er.o:her 6py of
DFPAlkrt*IFNTorNATURAL lkrSOL)IICI,'.S I[)%: well log he sent In the ciltProperty owner within 30 dn,y!%
Mining, Land& Water hydrologic Survey Permit Number:
550 IN 7'(h Ave., Suitc 900A Date of Issuo:
Awchcragc, AK"$01-3577 Parccl Identificat'1011 Number:
Telephone (907) 269-8639 And FAX (907) $62-1384
Is well loc;wcd a( amirovod permit location? 0 Yes or
To ' <3
W� . _ w
RightFAX 12/12/2002 1;21 PAGE .1/1 RightFAX
inspection Finai Electri®I Reinspection Y
NO NONCOMPLIANCE OBSERVED
❑ CORRECTIONS ESSENTIALAS EXPLAINED BELOW
J '
❑ WILL RE-EXAMINE AT NEXT [] DO NOT CONCEAL UNTIL REINSPECTION
INSPECTION
COMMENTS: (far inspectcr'use only)
0
t
Inspector
z'd S96'0N
1df Ir
Disb W869:i 2002 9ti'Z&I -
Inspection Report
Municipality of Anchorage, Building Safety Division
,� ..
4700 South Bragaw
'INSPECTION. VOICE 343-8300 INSPECTION: FAX (907)249-7777 INFO: 343-8211 '
Name
bruce vergason Permit 00-0922
Address
13301 MESSINIA ST Phone 249-4202 •.�
301-5235
:.;r...=.=_
.•: t..
._ . .I,•,. ... , .. ..
.Legal
LT, 2 Ingmction Date 12/1312002
Subdivision
VERGASON-]ONES
Comments or Directions
request pm Inspection, one hour notice thank you .
inspection Finai Electri®I Reinspection Y
NO NONCOMPLIANCE OBSERVED
❑ CORRECTIONS ESSENTIALAS EXPLAINED BELOW
J '
❑ WILL RE-EXAMINE AT NEXT [] DO NOT CONCEAL UNTIL REINSPECTION
INSPECTION
COMMENTS: (far inspectcr'use only)
0
t
Inspector
z'd S96'0N
1df Ir
Disb W869:i 2002 9ti'Z&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
Renewal
Permit Number: SWO10316
Legal Description: VERGASON-JONES LT 2
Design Engineer: 0003 S & S Engineering
Owner Name: Bruce Vergason
Owner Address: 11801 Mary Ave.
Anchorage , AK 99515 -
Date Issued: Aug 13, 2001
Expiration Date: Aug 13, 2002
Parcel ID: 017-074-06
Site Address: 013301 MESSINIA ST
Lot Size: 210530 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
Disposal Field E Septic Tank F] Holding Tank [-] Privy
All construction must be in accordance with:
1. The attached approved design.
Z Private Well D Water Storage
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date: V -1 S-- — d 1
Date: 16-1.3-01
Municipality of Anchorage O
•ice Development Services Department o'�E
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
POB 196650 Anchors a AK 99519 6650
UA g ,
www.ci.anchorage.ak.us Al
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
t 06
Parcel I.D. j j — N '. J Permit Number SW010 1,6
Propertyowner(s) �wL� ��!l?L>`�i\� -t �t�O�t Dayphone �ZLN i4202,
Mailing address (1) 1 li 60 ( tM A -j2 Ll tkVK—
Mailing address (2) / Zip Code Cl Iq Ste( 57 -
Legal
-Legal description (Lot, Block & Sub'd.) 1-- %^
Legal description (Section, Township & Range)
Lot Size "'AC)'50;(i Acres/Sq.Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
7G'i(/ V/0,�t%
Sewer Only
❑
Well Only
Sewer and Well
❑
Water Storage
Sewer Upgrade
❑
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi
❑
Swimming Pool
❑
Water Softening Unit
❑
Therapy Pool
❑
I certify th e a ove information is correct. I further certify that this application is being made for a
Single F ily D elling and is in accordance with applicable Municipal Codes.
(Signature of propeo
wner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
15 STY
LEM; Sec 25
T12N
R3W NW4 NW4 SE4
z
vp4m e+;
caro art:
are:
sun;
CD
R.D.P.
I
R.C.C.
I 04-27-98
1 OF 1
Lo
_�
♦-m# 2
a)
STRUCTURES, EASEMENTS, OR ENCROACHMENTS
"ins
SHOWN ON THIS SITE PLAN ARE AS SHOWN ON
n
AN AS–BUILT SURVEY DRAWN BY.
I
I
WILLIAM D. FLEMING
(
IT IS THE RESPONSIBILTY OF THE CONTRACTOR
10 VERIFY EASEMENTS, REQUIRED SEPARATION
17m EMU 99m uw No
cAatt rc AUSKA 99677
%rA>oj
L
DISTANCES. AND PROPERTY LINES PRIOR TO
CONSTRUCTION.
(407)894-4978
FAX/ (907)994 -ITIS
UPPER
_ — —
DE ARMOUN ROAD 660.00' S89'57*49"E
M
�'
T_
F
- -------------
_vF-------
—61Q.00' -----
UTI EASEMENT —
CDMiUACTOR IS REQUIRED TO
OBTAIN UTILITY LOCATES
PRIOR TO ANY EXCAVATION
WORK_ — —
aI00
"I .. 21oo' LOT 1
I Lof 3 rr T 5' UTILITY EASEMENT
i '
( I t5
z ~— — 12,000E IC RESERVE AREA
g I Ln
1 a�
N �— LO(2 IWo Q91 630.00'
z t
on
LD
I LOf 10 _ o g C - TENTATIVE 9fE1,1, SITES
WELL
40
40
I Y ,
V I O #
Ilio
- ,�• �
`� LOT 2 �
s v' COX DRIVE
Nr AIL PORTIONS OF SYSTEM ~ -.---30' DEDICATED TO RIGHT OF WAY
1 LESS THAN 3.5' OF
J REQUIRE INSULATION.`"' _ –
Nj
o
0
on a
a
a
0
z
THC CWWR Yh7 MARO THE
DUCT OIMINSONS MD DESIGN
PARAmEim - TN¢ mm i
/ ommHAY _ ELT St1F
- I
L
JO
z
1 p(q
PROP SEPTIC
RESERVE AREA
6
I
I
SQ FT
in14,000
Ln W
o
LOf 5
_�
♦-m# 2
a)
aI00
"I .. 21oo' LOT 1
I Lof 3 rr T 5' UTILITY EASEMENT
i '
( I t5
z ~— — 12,000E IC RESERVE AREA
g I Ln
1 a�
N �— LO(2 IWo Q91 630.00'
z t
on
LD
I LOf 10 _ o g C - TENTATIVE 9fE1,1, SITES
WELL
40
40
I Y ,
V I O #
Ilio
- ,�• �
`� LOT 2 �
s v' COX DRIVE
Nr AIL PORTIONS OF SYSTEM ~ -.---30' DEDICATED TO RIGHT OF WAY
1 LESS THAN 3.5' OF
J REQUIRE INSULATION.`"' _ –
Nj
o
0
on a
a
a
0
z
THC CWWR Yh7 MARO THE
DUCT OIMINSONS MD DESIGN
PARAmEim - TN¢ mm i
/ ommHAY _ ELT St1F
- I
HEALTH AUTHORITY
APPROVALS
ROBERT C. COWAN, P.E.
ROBERTA. SHAFER, P.E.
CIVIL ENGINEERS
(907) 694-2979
Date:
FAX (907) 694-1211
� ��.�C30
Municipality of Anchorage
SEWER&WATER DEPARTMENT OF HEALTH AND HUMAN SERVICES
MAIN EXTENSIONS 825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
4
SEWER & WATER
INSPECTION
REFERENCE: Loy a1 VtR(-4'$0A j/'0
ENGINEERING STUDIES
AND REPORTS The septic in pe tions fora i�rreferenced property were
performed on S�a�%a0 and 8f -'X3/00 . Prior to submitting
the On-site Wastewater Disposal System and/or Well Inspection
WELLINSPECTION Report we are waiting for the fis/3ui-r XiiAvt-Y to be
&FLOW TEST completed.
If we may be of further service please contact us.
SITE PLANS Sincerely,
ROAD DESIGN - s
Robert C. Cowan, P.E.
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP Y SUITE 204 - EAGLE RIVER, ALASKA 99577
R
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
/ "Pec' fi
84?- -3 /v -c(? F" 40a,
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW000281
Legal Description: VERGASON-JONES LT 2
Date Issued: Aug 04, 2000
Expiration Date: Aug 04, 2001
Parcel ID: 017-074-06
Design Engineer: 0003 S & S Engineering Site Address:
Owner Name: Bruce Vergason Lot Size: 210530 SQ. FT.
Owner Address: 11801 MaryAve. Total Bedrooms: 4 Permit Bedrooms: 4
Anchorage , AK 99515 -
This permit is for the construction of:
❑✓ Disposal Field ✓❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By: I Issued By:
By:
Date: �r — 7-0,)
Date: ig — L O 0
I
nG ROBERT C. COWAN, P.E.
CIVIL ENGINEERS
(907) 694-2979
June 28, 2000 FAX(907)694-1211
HEALTHAUTHORITY MUNICIPALITY OF ANCHORAGE
APPROVALS Department of Health and Human Services
P.O. Box 196650
Anchorage, AIS. 99519
SEWER & WATER
MAIN EXTENSIONS
REFERENCE: Lot 2, `lergason - Jones S/D
SEWER&WATER It is requested that you issue a permit to install a septic system (Intermittant Dosing
INSPECTION
Sand Filter) and well to serve the proposed 4 bedroom house on the referenced
property.
ENGINEERING STUDIES A test hole was excavated. The approximate location of the test .hole is located on the
attached site plan. At the time of excavation on 12/12/95 water was not found. After
subsequent ground water monitoring until 4/28/98 water was found at 6.5 feet.
WELLINSPECTION
p y yCTION
&FLOW TEST We do not anticipate an adverse effects on neighboringwells, septics stems, 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.
SITE PLANS
If you require additional information, please contact us.
ROAD DESIGN Sincerely,
" �� 2
SOIL TEST
Robert C. Cowan, P.E.
RCC/jhm
PERCOLATION
TEST Enclosure
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSALSVSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
4 LOT 2, VERGASO
DpKgry DT: I CHECKED M.
J.H.M.
DESIGN CRITERIA:
nq 4 BDRM = 800 GPD
380 SQ.FT. RE@'D.
SAND FILTER CRITERIA:
2' DEEP
AD 20' WIDE
18' LONG
wl
;�I
I -T
I { P
I I
LOC3 I I
W LOT 2----
E� I I LOf l
ALL PdRTiONS OF�YSTEM j
WITH LEISS THAN 3.W OF I
C®VER I REQUIRE INSULATION. I
— — r J_
N — JONES S/D
BITE:
R.C.C. I
7-11-00
PROPOSED 20' X 18'
—INTERMITTANT
DOSING SAND FILTER
a
ER
1 aTH#3
f--7
ALTTE 1�_,
iTE
PROppSFO ORryEWAY
PROPOSED 550 GALLON
FAT ALBERT' SEPTIC TANK—
WITH PUMP BASIN
PROPOSED 1300 GALLON
PREMIER POLYETHYLENE —
SEPTIC TANK
SHEET:
1 OF 5
STRUCTURES, EASEMENTS, OR ENCROACHMENTS
SHOWN ON THIS SITE PLAN ARE AS SHOWN ON
AN AS -BUILT SURVEY DRAWN BY:
WILLIAM D. FLEMING
IT IS THE RESPONSIBILTY OF THE CONTRACTOR
TO VERIFY EASEMENTS, REQUIRED SEPARATION
DISTANCES, AND PROPERTY LINES PRIOR TO
CONSTRUCTION.
PROPOSED
4 BDRM
HOUSE
C1
IL ROBERT C. COWAN f
`oma •� CE . 8801
s� , r ,F
�ia, �i1..::\r .�^♦
CONTRACTOR IS REQUIRED TO
OBTAIN UTILITY LOCATES
PRIOR TO ANY EXCAVATION
WORK.
--------------------------
E&SEMENT
-------- -------------------------
50' T & E EASEMENT
.,n
,si si
W WELL / SEPTIC
VITA
1
WAG
EAGLE RIVER, ALASKA 99577
PHONE/ (907)694-2979
FAM¢ (907)694-1219
LOT 2, VERGAS
M
DESIGN
nT
600 GPD
360 SOXSOXT. -
SAND FILTER CRITERIA:
2' DEEP
20' WIDE
18' LONG
— JONES S/D
R.C.C. 7-11-00 ®F 5
STRUCTURES. EASEMENTS. OR ENCROACHMENTS
SHOWN ON THIS SITE PLAN ARE AS SHOWN ON
AN AS—BUILT SURVEY DRAWN BY:
WILLIAM D. FLEMING
IT IS THE RESPONSIBILTY OF THE CONTRACTOR
TO VERIFY EASEMENTS, REQUIRED SEPARATION
DISTANCES, AND PROPERTY LINES PRIOR TO
CONSTRUCTION.
r' v/ CONTRACTOR IS REQUIRED TO
OBTAIN UTILITY LOCATES
PRIOR TO ANY EXCAVATION
PROPOSED 20' X 18' WORK.r
(� �� y'
W — INTE RMITTANT
,I DOSING SAND FILTER
------------------------------------
Vl
10 T (c E EASEMENT
10' T & E EASEMENT
0
In �.
d
ATH#3 Ilk�`.
ALTERN TE i i
IT
R—�
POP
IVEWAY
OS�
PROPOSED
AIRLINE
PROPOSED 550 GALLON
z 'FAT ALBERT' SEPTIC TANK—
a WITH PUMP BASIN
P4 PROPOSED 1300 GALLON
va PREMIER POLYETHYLENE—
SEPTIC TANK
PROPOSED
4 DDRM
HOUSE
INSTALL
FCO
ALL PORTIONS OF SYSTEM
WITH LESS THAN 3.5' OF
COVER REQUIRE INSULATION.
tY` ng
LOAD
EAGLE RIVER, ALASKA 99577
PHONE# (907)6942979
FAX# (907)6941211
SCALE: N.T.S.
I
INLET
CO
LEGA, LOT 2, VERGWSON-JONES S/D
DRAWN DY: CHECKED BY: ME;
J.N.M. R.C.C. � DA7-7-00
HEET:
NOTE: BLOWER UNIT TO BE INSTALLED IN HEATED
AREA/CRAWL SPACE OR GARAGE.
BLOWER SWITCH TO BE INSTALLED ON
OUTSIDE OF HOUSE.
C_0
GRADE
PREMIER
POLYETHYLENE
SEPTIC TANK
(1300 GALLON)
2" INSULATION
EXTENDING AT LEAST
2' MIN. BELOW GRADE
H� INSULATION
OUTLET
O
0
�v
4
24" RISER
EFFLUENT
INLET
I
61
5 OF 5
*:i n49t3� Y;
16 ROBERT C. COWAN FQ�
rc ti CE - 8801`4',
COVER (UNDERSIDE INSULATED)
1-1/4" CHECK VALVE
_ J_®OK r GRADE
ELECTRICAL CONDUIT
1-1/4" FLEX DISCHARGE ASSEMBLY
1-1BALL VALVE
2" INSULATION EXTENDING
AT LEAST 2' MIN. BELOW GRADE
1-1/4" DISCHARGE PIPE
1/16" HOLE
(ON, OFF, ALARM)
FLOAT TREE
PUMP BLASTER
GOULDS TURBINE
MODEL 20EB05
OR EQUAL
550 GALLON FAT ALBERT EFFLUENT FILTERS
SAW
WITH PUMP ASSEMBLY FILTE 1/4",
FILTER 81 PUMP
ASSEMBLY
tring
17034 EAGLE RIVER LOOP ROAD
EAGLE RIVEN. ALASKA 99577
PHONE) (907)894-2979
FAX# (907)694®1219
LEGAL: LOT 2, VERGWS®N-JONES
DRAWN BY: CHECxEO 8N R.C.C.
DATE: SHEET: .
J.H.M. p .C.C. _..7-11-00._._ _ ._..� 3 OF 5
4" PERFORATED MONITOR PIPE — VALVE BOX
(WRAP WITH FILTER FABRIC -
- EXTEND TO BOTTOM OF PEA GRAVEL)
MOUNDED SOIL COVER TO
INCLUDE TOP SOIL & SEEDING
3/4" TO 2" JACKETED
INSULATED ARCTIC AIR LINE /FABRIC R + SLOPE PO
LLI MOUND SLOPE NOT -- ARCTIC HOLES I DRAIN -®
® TO EXCEED 3:1 �® r6" PEA GRAVEL r ORIFACE FACING 2' DALN,
J f SHIELD UP COVER 2' INSULATION
EFFLUENT FROM THE—' ..%....dY;3.>C' .«., .oaA.....Po..11..tti...d0....e�6 ..'
9300 GAL. S.T.E.P. SYSTEM
(USE FLAT CONNECTOR) 24" .E 9/2" DIA. SCH 40 PVC LATERALS 3* UNDER
GRAVEL
-INSULATE TOP OF LINE) FILTER; -
SAND LATERALS 1.25" DIAMETER SCH 40 BOOT - Jd
I (THE BOOT FLANGE IS BONDED F)LTft'
TO THE 30 MIL. LINER) '.;SAM t
TRANSITION FROM ARCTIC -^ i
Ld
J RISER PIPE TO DIFUSER LINE
E AB
L, SAND FILTER PERIMETER
' �TTOMROFNSAND�E
® SUPPORT FRAME: 2" INSULATION +35 PSI
ce 1/2PLYWOOD SHEETS BURIAL RATED
1L
10' % 20'
INTERITTANT D®SING SAND FILTER
2�N
FLUSHING VALVE
6'R PVC
BACKFILL BETWEEN THE PLYWOOD ffi
- THE EXCAVATED WALL 2' INSULATION
+35 PSI BURIAL RATED
GRADE
NOT
Ali
ui
J
E+
�V)
EAGLE RIVER. ALASKA 99677
PHONEJ (907)694-2979
FAX/ (907)694-1211
m
_.._
`E LOT 2, VERG14S®N-JONES S
_r _...
DRAWN @0 NECKED DY:SHEET:
DATE: -
J.H.M. R.C.C. 7-11-00 4 OF 5
_ . .. ....... . ..
;r
FLEX CONNECTOR
1-1/4`° DIA.
FLEXIBLE PVC HOSE
1" OR 1-1/4w DIA. PVC
BOOT (THE BOOT FLANGE IS
BONDED TO 30 MIL. LINER)
O
N
ME
15'
310„
EFFLUENT FROM c a -
SEPTIC TANK
1-1/4' DIA. PVC
I-1/4" DIA. MANIFOLD
PVC SKIN.
TRANSITION TO
DIFFUSER LINE
(USE FLEX CONNECTOR)
PVC BOOT
(SIZE TO FIT)
a
3/4'-2- JACKETED
INSUL. HOPE PIPE
p 1 ROBERT C. COWAN
CE - 8801
y
2' INSULATION �®
AROUND PERIMETER
OF FILTER
ALL PORTIONS OF SYSTEM
WITH LESS THAN 3.5` OF
COVER REQUIRE INSULATION.
TOP VIEW
18' X 20' INTERMITTANT DOSING SAND FILTER
THE ENGINEER MAY VARY THE
EXACT DIMENSIONS AND DESIGN
PARAMETERS IN THE FIELD, IF
NECESSARY, TO MEET SITE
CONDITIONS.
ORIFICE SHIELD
CONTRACTOR IS REQUIRED TO
OBTAIN UTILITY LOCATES
PRIOR TO ANY EXCAVATION
s
x a
a s
DIA. SH 40 PVC LATERAL
x
WORK.
1/8"
DIA. ORIFICE SPACED Zi°° O.C.
a;
---- ----------------
MONITORING TUBE
I
I
�a
Igo
I
I ®
\ I
I
I
I i
I
la-
I
Igo
1
I
-----------
I
1
I°-------------------�
I
l
a
�-1/2' AIRLINE
a
n a
a
—
_ —
FLUSHING VALVE
AND ENCLOSURE
2' INSULATION �®
AROUND PERIMETER
OF FILTER
ALL PORTIONS OF SYSTEM
WITH LESS THAN 3.5` OF
COVER REQUIRE INSULATION.
TOP VIEW
18' X 20' INTERMITTANT DOSING SAND FILTER
THE ENGINEER MAY VARY THE
EXACT DIMENSIONS AND DESIGN
PARAMETERS IN THE FIELD, IF
NECESSARY, TO MEET SITE
CONDITIONS.
Municipality Ot Anchorage
bEPARtMENT OF HEALTH & HUMAN SERVICES
825 ,L'" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: RAJ Ct- rf g /'tl 0-R SO /l% DATE PERFORN
LEGAL DESCRIPTION: y N r)� j 5 ray Township, Range, Section: l .2 1V 2.7 f.,./
DEPTHSLOPE SITE PLAN
tFEET) 'rf5T HaLe -H 3
S ft > 'DRaej&) C S. "N
2 J
r/r a
east. s/k,
3-r /
r !°-
5 q00
6 - e�4
$'(L7-
8- - -- 4 r N jt3 --
g_ r
r
1(j _ / WAS GROUNb WATER N
ENCOUNTERED?
IF YES, AT WHAT L
. �. N. DEPTH? p
12 -
tR E
bA T E t..)a V44 Lf d f t Depth to Water Alter 7 � �
13- Monitoring? bAY Dale: I 14 S-
14
pa —
14 — Gross Net Depth to Net
t U /S /G' 1� y Reading Date Time Time Water Drop
15- ti h. PA. E;eq
3/4 "
16- 6'i� �S'rt„v aV
6:
31 u 7 va ” t '/} "
17 - 4 . rf 9 „ q ° i ,fix r.
7, 04 1.IO�s"
18-
19-
20- PERCOLATION RATE
(mihutes/Inch) PERC HOLE DIAMETER �
T EST RUN BETWEEN ;I ,>Z FT AND
COMMENTS
PERFORMED ElY; I �4x��-o ,_ DERTIFY THAT TPJIS TEST WAR PERFORMED IN
17034 Eagle RiverLyoCo pp�' Ned N6 2 / � / a, /,I S-
ACCORDANCE Wil 11 ALIaEqI*j�,AM&&i 'I995 GUIDELIN SIN EFFECT ON THIS DATE. DATE:
r:` (11111 031`o 4-W0
ROBERT C. COWAN, P.E.
CIVIL ENGINEERS
(907) 6942979
FAX (907) 694-1211
HEALTHaurrloam INTERMITTANT DOSING SAND FILTER SPECIFICATIONS (Bottomless)
APPROVALS Lot 2, Vergdson-Jones Subdivision
July 3, 2000
SEWER&WATER
MAIN EXTENSIONS
GENERAL STATEMENT OF WORK
The work and plans covered by these specifications consist of furnishing all labor,
SEWER&WATER materials, tools, transportation, and equipment necessary to complete an Intermittent
INSPECTION
Dosing Sand Filter system as described herein and on the attached drawings.
All work under this project shall comply with current Municipality of Anchorage (MOA)
ENGINEERING STUDIES Regulations.
AND REPORTS
4 Bedroom House 600 GPD
Use 18' x 20' Bottomless Sand Filter and absorption area (360 S.F. required)
WELLINSPECTION Sand filter to be constructed on accepting soil with all organics removed.
& FLOW TEST
SITE INVESTIGATION
SITE PLANS
The Contractor must carefully examine the project documents, have full knowledge thereof.
have investigated the site, and be satisfied with the conditions affecting the work.
Conditions include, but are not limited to those bearing upon transportation, disposal,
ROAD DESIGN handling and storage of materials, availability of labor, water, electric power, roads, and
uncertainties of weather, physical conditions at the site including all underground utilities,
the conformation and condition of the ground, the character of equipment and facilities
SOILTEST needed preliminary to and during prosecution of the work. The Contractor must be satisfied
with the character, quality and quantity of surface and subsurface materials or obstacles to
be encountered. Any failure by the Contractor to become acquainted with the available
information will not relieve him/her from responsibility of performing the work as stated in
PERCOLATION theses specifications anddrawings.
TEST p
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
Location of utilities will be the contractor's responsibility.
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
Page 2
Lot 2, Vergoson Jones S/D
July 3, 2000
SEPTIC TANK / LIFT STATION / AIR COMPRESSOR
A. General
The work under this section consists of the performance of all operations pertaining to
furnishing and installing the septic tank/lift station, air compressor and piping to the sand
filter.
B. Materials
1. Tank
a. Septic tank shall be a two compartment tank of at least the minimum size
indicated on the drawings and MOA approved.
b. First compartment shall have a separate 4" pump -out riser. The second compartment
shall have a separate 4" pump -out riser.
2. Manhole Riser or Lift Station Tank
a. An additional second compartment manhole riser shall be capable of being equipped with
the following:
1. A junction (Nema 4x) box or equal, bonded or attached to
the pump basin.
2. UL listed electrical cord grips, installed in the J -box.
DIA
b. An additional tank (M.O.A. approved) may be provided for the
effluent pumping assembly and the items in (a.) above.
3. Effluent Pumping Assembly, Controls, Alarm & Piping
a. Effluent pumping assembly shall be of approved materials, including the following:
1. A 110 volt or equal U.L. Listed effluent pump.
2. High-density PVC cylinder housing the pump, with level
controls and screen, serving as a baffle to prevent the screen
from clogging.
0
Page 3
Lot 2, VergAson-Jones S/D
July 3, 2000
3. All piping shall be PVC or other non -corroding material.
b. Pump controls and alarm system shall be an approved system with the following options
consisting of:
1. Event counter
2. Elapsed time meter
3. Program timer
4. 10 watt heater
5. Remote alarm panel option with a minimum of 80 DB
sound pressure at 24", operating temperature 30AC to
65AC, continuous sound to be located in the home.
6. Oil -tight visual alarm with push -to -silence feature.
Automatic audio -alarm reset.
7. 15 amp motor rated toggle switch, double pole, double
throw with three positions; manual (man), automatic (auto)
and center (off) (H.O.A.).
8. Nema 4x -rated, fiberglass, or equal, enclosure with hinged
cover.
9. All controls to be installed as per manufacturer's
recommendations.
10. Control panel to be installed on outside wall of home within
sight of septic tank/lift station.
c. Piping from the septic tank to the sand filter is to be 1 1/4" PVC schedule 40 solvent weld
piping properly bedded as described in Materials Specifications and sloped to drain back
to the lift station. Insulation board 2" thick and T wide centered over pipe is to be placed
where soil cover is less than 4' depth over pipe.
d. The air line from the house to the filter is to be HDPE arctic insulated pipe 3/4"-2" SDR -
11. The compressor will have a gauge (0-10 psi) and be installed in a heated area, crawl
space, or garage.
4. Air Compressor
Page 4
Lot 2, Vergason.lones SID
July 3, 2000
a. Air compressor shall be a THOMAS LINEAR SERIES model number 5060-A or 507OV-A or
M.O.A. approved equal.
CONSTRUCTION SEQUENCE
In order to insure proper installation, the system is recommended to be installed in the following order:
I. Sewer line from house to tank
II. Septic tank/lift station
III. Sand filter
IV. Final grading
CONSTRUCTION
1. Construction Instruments
Contractor shall provide instruments such as transits, or levels, for establishing proper
elevations and levelness of pipe or materials.
2. Pipe Laying
All pipe shall be laid with material free of large or sharp rocks and organic matter.
Each section of pipe shall be handled carefully and placed accurately. The spigot end
shall be fully inserted pointing in the direction of flow and glued in place to make a water
tight seal.
Each section of pipe shall be properly supported to insure true alignment and an invert
which is smooth and free from roughness or irregularity.
At all times, when work is not in progress, open ends of pipe and fittings shall be closed
so that no undesirable substance will enter the end of the pipe or fittings.
Page 5
Lot 2, Vergoson-Jones S/D
July 3, 2000
3. Bedding of Pipe for Sewer Lines
The pipe should be bedded with materials free of large or sharp rocks and organic matter,
compacted. Native materials may be used as back fill material above the pipe, provided it is
free of large rocks and organic matter.
All lift stations shall be installed in accordance with the manufacturer's recommendations
and standards. Electrical installation is to be in accordance with the National Electric Code
(latest adopted edition) by a licensed electrical contractor, with M.O.A. inspection where
required. If MOA inspection is not required, a licensed electrician is to provide a letter to the
Engineer stating that the system meets or exceeds all applicable codes.
4. Excavation
Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot, on
undisturbed or compacted classified sand fill material.
Create a level sand surface over the tank and add 2" burial foam +35 PSI directly over
tank. Mound unclassified soil over tank with a minimum of 2 feet of cover and anti -flotation
weights that may be required in areas of shallow ground water.
5. Connections
All connections to be as per MOA requirements, PVC 3034 piping with Caulder or
equivalent couplings for inlet riser pipes.
All tank connections are to be completely water tight.
SAND FILTER
The work under this section consists of the performance of all operations pertaining to furnishing and
installing the sand filter.
A. Materials
1. Sand Filter
a. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand
Specifications with the additional requirement that all but 1% of the materials
passing the #100 sieve be removed. All .sand shall be approved for use by the
Municipality of Anchorage (M.O.A.). If the sample does not meet specifications,
all sand will be removed and replaced.
Page 6
Lot 2, Vergoson-Jones S/D
July 3, 2000
b. The Contractor shall be responsible for providing pea gravel that shall be a
washed material containing no fines (0% passing the #100 sieve) and a maximum
size of 1/4" diameter.
c. The Contractor shall provide the manifold assembly. The manifold assembly
shall be of approved materials with orifice shields and flushing assembly. All
drilled holes to be cleaned of burrs and pipes flushed, prior to assembly. Flushing
valve to include riser to finish grade. Lateral distribution piping is to be laid level
(@ ± 0.05').
d. Side walls and top of the filter box to be insulated with 2" direct burial polystyrene
insulation.
e. The Contractor shall be responsible for providing filter fabric.
f. Air coil in sand filter to be geoflow WF16-4-24 150 LF placed 6" above bottom
of sand.
Construction of Sand Filter
The sand filter construction is to follow procedures as outlined below, as applicable to this
design.
Pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.05
feet) in filter, taking care not to allow mud or fine soil material into the filter or gravel layer.
This would include any soil material picked up by excavation machinery buckets while
loading specified material. The Contractor should estimate filter material volumes such that
allowance is made for wastage of material in contact with the ground at site.
The area over the sand filter to be finish graded with a minimum of 2 feet of cover and to
prevent ponding of surface water run off. Side slopes shall not exceed 3:1.
The Engineer will reject any sand or pea gravel that does not meet specifications or is
contaminated in transit or while handling. If such material is placed in the filter, all soil
material may be required to be removed and replaced with new material.
CONTRACTOR / INSTALLER
r -
PROPERTY OWNER AGREEMENT
• FOR THE MAINTENANCE OF AN
ON-SITE WASTEWATER DISPOSAL
SYSTEM
This agicement, dated 2000, is made between the Municipaliri,.of
Anchorage Department of Health and Human Services (DHHS) and the property
owner(s) of
Lot 2, Vergason/Jones
This agipement is made for the purpose of maintaining an on-site wastewater disposal
system.an the subject property.
The property owners agree to the following:
Submit to the Municipality of Anchorage, on an annual basis, an inspection. and
operati:k:'statemeut Roto a regiistCred pru essional engineer. Tilis inspection and
operatiu.: statement shah verify that the engineer has inspected all effluent and air
pumps, imers, and alarms, and that any deficiencies have been repaired and that the'
system is functioning as designed.
(Signature) (SignWre)
Bruce :Vergason i)oSayL"q zo&Lf "k -
(Printed Name) (Printed Name)
(Notarize Here)
,+rnrrnrrmr
9'
OFFICIAL SEAL
STATE OF ALASKA
NOTARY PUBLIC
# ROSEMARY wAt uK
MY Comm, expires: i-0114
Municipality of AnchorageO
' s
�e
Development Services Department �" ""'
4
Building Safety Division �_
On -Site Water and Wastewater Program 4 s A F E T V
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.2k.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 017-074-06 HAA j -AC OCC
Expiration Date: , r 1 Ivs
9. GENERAL INFORMATION
'J
Complete legal description LOT 2: vergason-Jones Subdivision
Location (site address or directions) 13301 Messinia St
Current Property owner(s) Bruce veraason Day phone 345-3334
Mailing address 11501 Diary Ave. Anchora,5ze, AK 99515
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup. /�% _ GIV 1/-3/03
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storace
Community Class Weil
Public Water System
TYPE OF WASTEWATER DISPOSAL:
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 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.
Individual On-site
Q
❑
individual Holding tank
❑
❑
Community On-site
❑I
❑
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 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 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 c X, S F.nainParinQ
Phone 69ZL-?Q7Q
Address 17034 N. Fap?le River Loon Ste 204 Fagle River, AK 99577
Engineer's Printed Name Robert C. Cowan Date %�-/ 3e%0 Z
� E3 �'_''> ate, ••••�•�•r,,
5. DSD SIGNATURE sP1 '1 ROBERT C. CC71AN i
Approved for bedrooms. #a,1 _
V a.
Disapproved.LZ
Conditional approval for —J— bedrooms, with the following stipulations:
WATER AND
Additional Comments WASTE RAM¢ L =
J s ••>R
Jai ��• > _C��
SE��� '
At the time of title tran3fer, the new property owner shall sign the attached mairiYe'r u ce
agreement that shall be returned to this office before an unconditional approval is issued.
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
By:
,Rev. 01102)
X Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: t/-7/03
,
D., LIFT-,0TATION.
E
0
Size in gallons Vanhole/AccessON). YC5
"Pump off' level at. It in. High wateralarm level at
Cycles tested
Meets alarm & circuit requirements?
SEPARATION DISTANCES
Curtain drain YJ -A,
COMMENTS:
G. ENGINEER'S CERTIFICATION
I certify that / have determined through field inspectOns and
review of Municipal records that the.. above systems are in
conformance with MOA HAA guidelines in effect on this date.
EngineersPr[n eted Name,
�hicle,stc
RTffTkkC0WAN
801 /!.";
in.
12-30-02;15:18 ;CT and E S & 5Engineering ;5615301
# 2/ 2
CT&E Environmental .a hIs I T-1 ApU Y//
jr0tok Laboratory Division
200 W. Potter Drive
Drinking Water Analysis Report for Total Coliform Bacteria Anchorage, AK 99518-1606
READ BVSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Tel: (907) 562-2343
Fax: (907) 561-5301
MUST BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY
In PUBLIC WATER SYSTEM I.D. it I I I I I I Analysis shovrs this Water SAMPLE to be:
PRIVATE WATER SYSTEM ( Satisfactory
❑ Unsatisfactory
Send Results �Y Send Ltvoice ❑ Sample over 30 hours old, results may
Water System NamrrCompaUy Name ,�1e be unreliable .
S & S ENGINEER INC, ❑ Sample too long in transit; sample should
Phone Number 17034 Eagle klve:' ..oup head No, n6i Pox Number not be-cve$bEours old at examination
F:4dle River, Alasl_a 99577 to indicate reliable results. Please send
Mailing Addrea y new sample via special delivery mail.
City smm t Zip Cade Date Received 121v�nZ-
Time Received I3'16
❑ Send Resoles ❑ Send lavoice 14 3�
Analysis Began
.
Compny Nmne
MaitingAddra
City
SAMPLE DATE:
Month
SAMPLE TYPE:
)6. Routine
❑ Repeat Sample (for routine sample
with lab ref. no. )
❑ Special Purpose
Cmmammc
Analytical Method: X Membrane Filter
❑ MMO-MUG
State lap Code
a- 6
Day Year
❑ Treated Water
)r Untreated Water
SAMPLE LOCATION ,
1-07- J- V perW vj e.te — 410"a5 sk
Comments:
Time Collected
Collected By
o �.'/d"'p,;, Mils' �awq.✓
Please Print
* Numberofcolonies/100m1.
Lab Ref. No. Result*
1tsz8c�36
Sent to A.D.E.C. Anch Fbks
Date: Time:
Analyst
9)
Jun ❑
Faxed
Client notified of unsatisfactory results:
Phoned Spoke with Faxed
Date: Time:
BACTERIOLOGICAL WATER ANALYSIS RECORD
MMO-MUG Result: Total Coliform +C- E Coli
Membrane Filter; U Direct Count 0SJ�„/B r� Colonies/100 ml
Verification: LTB ILIO BGB _,-` % COLIFIRM TNTC -Too Numerous rocanhr
Fecal CollformConfirmation N� OB —Other Bacteria
Final Membran Filter Results �- Coliform/100 mi
ate Ti
Reported By , D������ � Time — hrs
(0 -qu.. p )
R v - a Member of the SGS Group (SociAt6 Gen6rale de Surveillance
ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA. ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA
12-30-02 16:45 FROM-CT&E ENVIRONMENTAL SRV
CUE Environmental Services Inc.
r�rrr�esrrrrr.+r.®nvrrrrr�
CT&E Ref .#
1028636001
Client Name
S & S Engineering
Project Name/#
Verguson Jones S/D 1-2
Client Sample 1D
Verguson Janes SID L2
Matrix
Drinking Water
PWSID
0
Sample Remarks:
EP 300.0 - Results for Nitrate and Nitrite confirmed outside of hold time.
9075615301 T-290 P.02/02 F-115
All Dates/Times are Alaska Standard Time
Printed Date/Time
12/30/2002 16;20
Collected DatelTime
12/26/2002 16:15
Received Date/Time
12/27/2002 13:45
Technical Director
Stephen C. Ede
Released By
Parameter Results FQL Units Method
WaVore Department
Nitrale-N 1.77 0.200 mg/L EPA 300.0
Allowable Prep Analysis
Limits Data Duro Init
(<=10)
12/28/02 1S
10"W MESSINA STREET
(A
0
0 N 00009'40"W 225.54'
0
10 FT, T 8 E EASEMENT (TYPICAL)�
00 A
188.31
0(A
0
w000m
CU50M
itm,
,= >
0 ;Q rn
rn r—n
CT -4 Z
5vm
2' U5 M cp
z
W
:o
o n.m�C
mei
�xm
o, a
0
y
7
O
2/22/02 AS BUILT
8/10/00 PLOT PLAN
DATE
56-20
48-56
FLD. BK.
Id�.l. IV "b0' .o'.*#e**� ar
i
•fRp*of, sionotva�0
m at�ti�!►�'�
NOTES: Easements not appearing on record subdivision
plat are not shown unless description of easement is
provided by client. It is the responsibility of the owner
or builder, prior to construction, to verify proposed
building grade relative to finish grade and utilities
connections, and to determine the existence of any
easements, covenants, or restrictions which do not
appear on the recorded subdivision plat.
Elevations based on assumed datum unless otherwise
indicated, and bearings and distances are record data.
SSS Engineering
sss 17054 GOLF RIVER LOOP ROAD
Erpineerin9 EWU RNER. AUSKA $0577
(907)994-2979
LEGAL DESCRIPTION
LOT 2,
VERGASON—JONES SUBDIVISION
I
PLAT NO. SCALE GRID
98-178 I"=40' 2941