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HomeMy WebLinkAboutMOUNTAIN AIR ESTATES #1 BLK 6 LT 8Mountain Air' Estates Block 6 Lot 8 #017-171-16 trcev U01 U/1 1 a/ Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211185 PID Number: 017-171-16 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑e Upgrade Name Drew & Farrah McLaughlin Revocable Trust ABSORPTION FIELD El Deep Trench El Wide Trench F-1 Bed ❑Mound Site Address 15220 Snow Flake Dr ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 244-8043 4 Existing GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Mountain Air Estates #1 6 8 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well >100' N/A N/A N/A >25 TANK ❑ Septic 0 S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1500 Gal. Surface Water >10o- N/A N/A N/A Material Plastic Number of compartments 2 Lot Line >5, N/A N/A N/A NA Foundation >1o, N/A N/A N/A]' LIFT STATION Manufacturer Greer Capacity 250 Gal. Remarks New tank tied into 1994 septic beds Alarm location Inside Garage Electrical installed by Fuchs Electric Installer PIPE MATERIAL House to tank D3034Tank to D1785 drainfield Pomraining Excavation Drainfield Existing CO/MTD3034 Inspector J. Mlllette BENCH MARK (Assumed elevation) 100 ft Inspection 151 6/15/21 Location and description dates: 2a° Threshold of back door 3m 4m ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp 01F Ak, \ Conditional Approval: Date ����Q�.•'" Q9TM .. ...!. Septic S s BenjfSchiller �1 •, amib Approved wl _ Date (``• CE 12592 .• �`� �� pR4F6/2 ESStO.� Note: this approval does not include well permit requirements. trcev U01 U/1 1 a/ PERMIT # OSP211185 PID # 017-171-16 LOT 3 LOT 2 LOT UTILITY & DRAINAGE ESIIIT \.....- 10' fiNCHOR ESMT LOT 7 LOT 9 \ MH2 MH1 • VB /` VALVE BOX FORBOTH \ SEPTIC SYSTEMS 1500 -GAL STEP TANK EXISTING TANK w/ 2 - 20" MANWAYS \_ LOT DECOMMISSIONED / i / © IN PLACE PER UPC 1 00'WELL RADII f 4-BDRM HOME r EXISTING WELL / � r � EXISTING WELL }" t hAKE DRIVE 1 ENGINEERING PLAN AS -BUILT 0 50 100 r- FEET A B CO 45.5 45.5 MH1 41.0 41.0 MH2 1 38.9 1 38.9 VB 45.5 45.5 LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEAP VB -VALVE BOX MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE IAr.11112WTI I -11L %1r A "R:N9-061.1: PERMIT # OSP211185 PID # 017-171-16 VL.J 1 • 49 TM .......... .......... PROFILE AS -BUILT •• Benja Schiller �+ �Fc • CE 12592 �d • . J. �e 27, 2021 NO SCALE t��lFPFo •.... •���® ��® PROfESS10N`,� MUNICIPALITY OF ANCHORAGE On -Site 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: OSP211185 Work Type: SepticTank Upgrade Tax Code Number: 01717116000 Site Legal Address: MOUNTAIN AIR ESTATES #1 BLK 6 LT 8 G:3139 Site Mailing Address: 15220 SNOW FLAKE DR, Anchorage Owner: MCLAUGHLIN DREW & FARRAH JOINT Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: mint CoQ S' Department 6/3/2021 6/3/2022 23048 ❑ Disposal Field Q Septic Tank ❑ Holding Tank. ❑ Privy ❑ 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 Special Provisions: Historical test holes show groundwater at 6 ft. If groundwater is encountered during excavation for tank, contractor shall consult with engineer on whether anti -buoyancy measures are needed. Tar�2 �c e_6 ca� A S o % 10+ f4y\,O._ (,/I 112j Received By: Date: Issued By: Date: �O� 2 MUNICIPALITY F ANCHORAGE 04-1 Community Development Department E` Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-171-16 Property owner(s) Drew & Farrah McLaughlin Revocable Trust Day phone 244-8043 Mailina address 12093 Lower Heritage Cir, Anchorage, AK 99516 Site address 15220 Snow Flake Dr Legal description (Sub'd., Block & Lot) Mountain Air Estates Sub #1, Block 6 Lot 8 Legal description (Township, Range & Section) Lot Size 23,048 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank INUpgrade ❑X ❑ (D) Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: 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: Z Date of Payment: 5 ,� a 0 �2 1 Receipt Number: a qy R(O Permit No. 0,,5 P 21 1( 6 6 - Permit App__- : :'-:c Waiver Fees: Date of Payment: Receipt Number: Waiver No. May 27, 2021 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 5/27/21 Subject: Mountain Air Estates #1, Block 6 Lot 8 – Snow Flake Dr Septic tank replacement Dear On-Site Services Engineer: The owners of the above lot intend to sell their 4-bedroom home on the property and the existing STEP tank is nearing the end of its 30-year life expectancy. Therefore, we are submitting this permit application for its replacement. The property has two permitted absorption systems; an IDSF system with two beds that run parallel to the east property line installed in 2003, and a two- bed pressurized system installed in 1994 that was set aside as a reserve site. The existing IDSF absorption system was found to be surcharged at our arrival, so we are proposing to tie the new STEP tank into the reserve site. A presoak and adequacy test were performed and the reserve site passed for a 4-bedroom home. Wells on this and adjacent lots are shown. No well or septic system on this lot or adjacent lots will have any effect on the new proposed STEP tank location. The tank will be at least 10’ away from the foundation and 5’ away from the existing septic trench. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211185, Rebecca Carroll, 06/04/21 MOUNTAIN • • LOT ; W LOT 2 \ TIE INTO OLD BEDS AT EXISTING MANIFOLDS r NEW 1500 -GAL STEP TANK w/ 2 - 20" MANWAYS —� 1 00'WELL RADII - EXISTING WELL LOT 3 LOT 6 — 1 u^' UTILITY & DRAINAGE ESMT \ _m • w i 0' ANCHOR ESIViT LEAVE CURRENT SYSTEM \ INTACT FOR ALTERNATE SITE \ LCAT 7 \ - R 7MOVE-EXISTING TANK & t ' - DISPOSE OF PER UPC \ f V / 4-BDRM HOME t }1 i` I� --- LAKE DRIVE. i EXISTING WELL / t or- ,9 TH ; .... ....... . Benja i Schiller '�JT •.,59 Mr29222002 .•���� 0���a�PROFESSIONP�'�.� NOTE: NO SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEAN( FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE , 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 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW050004 PID Number:.. 017-171-16 ,lame: LINDA INFANTE Wastewater System: [] New I~ Upgrade 15220 SNOWFLAKE DRIVE * ANCHORAGE, AK 9951[~ ABSORPTION FIELD No. of Bedrooms: Ph°ne:(907) 348-0966 4 1:3 Deep Trench 13 Shallow Trench I~ Bed [] Mound · Other~ LEGAL DESCRIPTION ~" "~'~: 2.0 c~/s~, r~ ,,~, ~,, ,r.., o,~,~3.75 Clock: Lot: Subdivi~L~J~: D~eth to 91pc b:,ttom fr~',~ e~l grade: Gui ~FI~ b~ne~th plp~: 6 8 MOUNAIN AIR EST. #1 1.5 MAX .. 0.25/0.25 Township: Range: Section: RE added ~ e~lnel grade: ~1 - - - SEE DWG. r~ 25/19 WELL: [] New [] Upgrade 6/8 n. .3/4 1.5/2.0 .... ~ ~ 302 s~. r~ D 3034/ F-810 ~ AKWWC 0-23/2003 ~ ,~ .. TANK SEPARATION DISTANCES aSep~ [] Hold~ng~ S.T.[.P. Tank Field Station Tank Se.~ Well 100'+ 100'+ -- -- 25'+ ~'~~ "~"~'~ °~ s.,o:, Wote~ ~00'+ 100'+ - - - LIFT STATION Lot Une 5'+ se 1 *+ -- -- -- S~ze I. ~e~l~l I ~_...~~ I Cu~aln Om[n NONE, KNOW~ ~':1~' Remarks: *THIS IS AN BO~OMLESS ImERUI~ENT BENCH MARK SAND RLTER D~INRELD. BOSOM OF SIDING N~R FOUNDATION CL~NOUT · *WANER ~WR030001 -EXI~ING S.T.E.P. TANK ~RIRED TO BE OF ~'~ ~: 10~ .00 Inspections performed by:. AKWWC, INC. Dates: 1st 1/20/2003 ~j/ ,[[ ~ -~[ ¥.~ .... 3rd 1/22/2003 4th 1/23/2003~.__.,~'~'~J)~}f~'~i"'~'~'"~  ~h~*~ "4.. / .... '" R~viewed and approved by: ~ Date: 17~ '~ *~r AS BUILT DRAWING P OE ,0 SW050004 ~ 0 ! 7-1 · _ \ ~---...~_.~,,~, ~ ~- . ~. ....... ~ ~ ~ ~J, 4/33/,3~. '~ ~ / X MT2 J87.83 62.32 -~-~ ~ ~ / , / ~ / / .... . ~ CONSULTANTS NC ............. _ PREP~De°m DE8A~R~OR:ROAD . ,SUITE ~B '. A~CHOEAGE , AK q~50G ' PHONEPHONE(qoT~57~oNUMBER:' FAX (q07)558-32~6 LINDA INFANTE (907) 548-0966 2 OF S '~):'"~';;~, ;; '~j'.:"'~ MOUNTAIN AIR ESTATES SUBDIVISION ~1; LOT 8, BLOCK 6, ~?e,".X..' ...-'~ AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE M'rl 168.80 39.22 MT2 87.83 62.32 MT3 1~4.65 73.77 MT4 ~90.30 73.14 MT5 105.B4 g0.67 MT6 102.98 90.43 ~'~ ~: AS BUILT I)RAWING ~°~ '~ ~: SW050004 ~ 017-171-16  101.14+ ~, / r~. 1' //r y / / / - ,~.~ (A~.)~ ~  U~E SS.S~ (AW.) 1~.36+~ ~RL~R F~RIC ~ / - 97,91 (A~,)~ ~.~-~ ~I~OF ., . DA~ ~~,__~ LINDA INFANTE (907) 348-0966 PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE °fess~°~--~ Municipality of Anchorage George P. Wuerch, Mayor Building Safety Division P.O. Box 196650 · 4700 S. Bragaw Street Anchorage, Alaska 99519-6650 ° (907) 3~3-8301 http://www.ci.anchoragc.ak.us 1/28/2003 JeffGamess Alaska Water Waste Water Subject: Waiver Request for 0 lot line waiver Waiver Request #WR030001 Parcel ID #017-171-16 Department of Public Works Dear Jeff Gamess: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 0.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Ci~l'Engineer On-Site Water & Wastewater Program Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Brag, aw Sm~-t P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343.7904 Waiver Review Worksheet WF~: 030001 PID#: 0t7-171-16 HA~: Permit~. sw030004 Date Received: 1128103 Legal Description: mountain aim estates #1 block 6 lot 8 Engineer:. Alaska Water Waste Water Consultants Applicant: ~leff Gamess Waiver Requested: 0 lot line waiver Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Points: Total: Waiver is Granted: Waiver is not Granted: List Conditions or Reasons for above: Date: //~'~/',~ 7 By: ~'~''~ .. 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 Upgrade Date Issued: Jan 06, 2003 Expiration Date: Jan 06, 2004 Permit Number: SW030004 Design Engineer: 0041 AK Water & Wastewater Consultan' Owner Name: Linda Infante Owner Address: 15220 SNOW FLAKE DRIVE ANCHORAGE, AK 99516-.4434 Parcel ID: 017-171-16 Site Address: 015220 SNOWFLAKE DR Lot Size: 23048 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. Ail 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. LIFF_ · Received By: Issued By: 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 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 017-171-16 Permit Number Property owner(s) Mailing address (1) Mailing address (2) LINDA INFANT[ Day phone 348-0966 Is'-zz be. Legal description (Lot, Block& Sub'd.) MOUNTAIN AIR ESTATES Legal description (Section, Township & Range) Lot Size ~ .'4)C) c[ <~ Acres/Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR: 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 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. Date of Payment: _DI"D~.- ~.:~ Receipt Number:. 2~r~75 L i it~ E ALASKA WATER & WASTEWATER CONSULTANTS, INC. December 19, 2002 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Septic System Upgrade for Lot 8, Block 6; Mountain Air Estates Subdivision #1 (Bottomless Intermittent Sand Filter - ISF) To xvhom it may concern: The existing 4 bedroom house is served by a private well and septic system. The existing septic system consists ora 1500 gallon S.T.E.P. tank and a bed type drainfield. The existing drainfield is surcharged and must be upgraded. We are proposing to use the existing 1500 gallon S.T.E.P. and that a 5-wide Bottomless Intermittent Sand Filter (ISF) system be installed. Comments regarding the upgrade are summarized as follows: 1. GENERAL: Two test holes were excavated on this lot by S&S Engineering in 1993. We are proposing to upgrade the existing system using the data collected by S&S Engineering. Given the limited space available, the known poor soils in the area, and high groundwater it is our opinion that a Bottomless ISF system is the most viable option. 2. SOILS: Attached are S&S Engineering's soil logs, which show the soil classifications, groundwater monitoring, and the percolation test results. An application rate of 2.0 gallons/day/ft2 should be used for the Bottomless Intermittent Sand Filter (ISF). 3. DRAINFIELD DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Percolation Rate: 27 & 20 minutes/inch b. Allowable Application Rate for ISF Effluent: 2.0 gallons/day/ft c. Number ofBedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 300 fi2 fi Effective Depth below pressure pipes: 2.5+ inches g. Depth: 3.75 feet deep maximum h.'Width: 5 feet 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akxvwc.com i. Length: 60 feet. j. Effective absorption area = 300 ft2 k. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". 1. Air Supply Line: "Wasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank". m. Sand Material: In accordance with M.O.A. latest standards n. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than 1% passing the #8 sieve. We are proposing to excavate down to a depth of 4 feet (maximum), place a minimum of 6 inches of sand, install the air supply line, and cover it with 1.5 feet of sand. On top of the sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use the existing lift station (Anchorage Tank), equip the standard lift station panel with a programmable timer so that flow can be intermittently dosed to the ISF. 4. SURFACE WATERS: There is no surface water within a 100 feet of the proposed septic system upgrade. 5. TOPOGRAPHY: As can be seen on the attached topography site plan is a 5%-10% slope running approximately southeast to northxvest. There is a eutbank running along the north lot line. We request that you waive the 50 foot required separation distance from a drainfield to a cutbank to 20 feet. The existing drainfields have been in place for 8 years, are surcharged, and there is no evidence of daylighting out of the side of the hill. This is confirmation that there is minimal risk in granting this waiver. 6. LOT LINE XVAIVER: We request that you issue 1 foot lot line waiver to the proposed drainfield. There are no impacts on any adjacent properties with the granting of this waiver. 7. SEPARATION WAIVER: We request that you waive the required distance of 10 feet separation from an existing drainfield to the proposed drainfield to 5 feet. The proposed drainfield is higher in elevation from the existing drainfield and should not be adversely impacted by this encroachment. 8. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with the M.O.A. "Intemfittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (4700 South Bragaw). 7. CLOSING: I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaxvare of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com ,, z~~ ~.~- '~ ~ .z~-~ ,. ,'. ~ - ~ ~P~c ~ ~.'~.-' ~ ~'~ I / ~' ~ ~ / ~. / /-/ --~-~~~, ~~ / , /,~ 4 BEDR~M ...... ~, ,,v~ '~ / / ~}'k HOUS~ ......... ~~. ~ ~ ., .,' ........... ~~~~ : ~ .......... z~--  12/18/2002 .............................................. C.~.G. ~S~ ~VATER & ~VASTEWATER ;~: ,' _ _ ~o.~.~.,,~.~ ..... , =,oo. " PREPPED FOR PHONE NUMBER: PAGE NUMBER: LINDA INFANTE (907) 548-0966 1 OF 3 ~ D[SCR~ON: MOUNTAIN AIR ESTATES ~1; LOT 8, BLOCK 6; SITE P~N FOR PROPOSED SEPTIC UPGRADE NOTE: THE CONTRACTOR SHALL HAVE THE ~ / Y / 100' WELL RADII SHOWN, AND THE EAST LOT / '"' / ..... / LINE FLAGGED BY A REGISTERED LAND -- /~ J / r SURVEYOR PRIOR TO CONSTRUCTION. ~,,~..~,~,~' f ' SEPARATION WAiVeR FROM THE ~ ./ ~ %(~ '~ ../ EXISTING DR, NNFIELJ) TO THE \ / / \ '/ .............. \ _. [XIST1NG SEPTIC SY~TEM,TO.~. ~'~ "~,~ ~\TO ~ - PROPOSED 5-WIDE BOTTOMLESS ~ _~*~ ,~' \\~\\ \ / INTERMITTENT SAND FILTER (IS~. ~ ~Jl 4115/~ ' ' ~~ ~ ~2;~-/~ ~E EXI~NG 1500 G~LON S,T.~,P, ~ ..... ~/X~ ~/m~~f~ ~ TO RmNN IN USE ~D BE ~ ~ ~ A I ,;~' ;~ T~ BAS[~NT OR T~ G~AG~. T~ C~TRACTDR ~ ~ ' ~ _~ ~'~ j S~LL PRaV[~C A O-tO P~[ PRESS~ GAUGE AT A J ~ ~PROXI~ ~ ~g~ ~[) L~CATIDN ~%CH IS READ~Y ACCESS[aLE ~ ~ON OF /~ / ~ ~ ~H[N THC ~SC. ~TE, A 30 PSi ~[ VILL ~ ~ / ~_~R~~ X INDUSTRIES ~[k 5070, AS S~IED ~ ~ ~ ~ ~1~[ ~ ~ORAGE TAN~ THE A[R LINE SHALL ~E ]/E m ~ ~ [ [ nv-~ ~ iNCH DIA. HOPE (t PIECE), INSTATED VITH 1/~ m ~ / ~ I ~ T~ C~TRDL PA~L FOR T~ STEP TANK SH~L /~ ' ~ST~LED ON THE OUTSIDE ~ THE ~SE VITH k NR COU~PR~SSOR (SEE NOTE) ' '/' I m - / / DATE: . . ~ ~ /.,' ~ , 12/18/2002 ~ nFl / 'o w, PREPPED FOR: pHONE NUMBER; P~E NUMBER:~/ ~ ~ / LINDA INFANTE (907) 548-0966 2 OF 3 ~V~' ~ ~' ~: MOUNTAIN AIR ESTATES SUBDIVISION ~1; LOT ~. BLOCK 6; a~j-"~.,.,, ...-':~ DESIGN OF PROPOSED SEPTIC SYSTEM UPORADE DISTRIBUTION UNES. PIPE SIZE AND HOLE SPACING PER ANCHORAGE TANK/ORENCO ~ ~NR UNE COIL SPACED AT } ~ (HOLES. SHIELDS. AND FLUSHI.NG / ~ VALVES PER ORENCO DESION,) ~ ~.~, FILTER FABRIC ~ CP~V~ 4- ,NSrAU_ __ ]8 INCHES RrIO TOP OF SAND RLTER. 2 I-t.t.~' MINIMUM OF/ · M.O.A. APPROVED SAND F1LTER'-'~ C.J.G. , CONSULTANTS. INC. ~ N.T.S. LINDA INFANTE (907) 548-0966 PROFILE DRAWING OF SEPTIC SYSTEM UPGRADE (BOIIOMLESS ISF) ~.~..~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED:~~' ' LEGAL DESCRIPTION:i/~T~I ~rl/7._,E~;? '~/z~: ~/ Township, Range, Section: SITE PLAN 7 8-- 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE Gross Net Depth to Net Readin9 Date Time Time Water Drop  Il: I0~ .......~ ~ '/s"  , :~ ~ ,~" ~" PERCOLATION RATE TEST RUN BETWEEN ~ AND ~FT ! ?034 Eagle River L~ep Rold Ezgle River~ Alaska PERFORMED BY: ~/~ . CERTIFY THAT 1HIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL OUIDEL FFECT ON 1HIS DATE. DATE: 72-~8 IR~. 4/85) ~' WAS GROUND WATER ENCOUNTERED? PEI~FORMED FOR: LEGAL DESCRIPTION:_ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L" Street. Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ? 8 9- 10- 13- 14- 15- 16- 17- 18' 19- 20- "- >JT;; "-" '.,. ~ Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? Reading Date Gross Net Depth to Net Time Time Water Drop '1 : ~5 ~ .... ~ PERCOLATION RAIE ~ Immures/inch) PERG HOLE DIAMETER __ TEST RUN DETWEEN~ FT AND / FT · COMMENTS , 17034 Eagle River Loop Road PERFORMEEL~,Yd~ ,'--- - ~.- ...... " m- - CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI~FFEC~ ON IHIS DALE. DATE: LOT MOUNTAIN IAOUNT~N v'AT£ TH~ THC ~£ATL'R .OT 9, BLK NR LOT 7. 8, BLOCK = 100' 1 OF5 /- Municipality of Anchorage Page ~ of_ 2, _ 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 Permit Number: 5' WS'qo/q/~ Name: ~ PIP Number: ~ ~v~J~ ,,~2.~ ~ ~ Wastewater System: u New ~Upgrade ~z~ ~~ ~ ABSORPTION FIELD ' ~No of Bedrooms ~~ ~ N~oms ~ Deep Trench ~ Shallow Trench ~ Bed ~Mound ~Other LEGAL DESCRIPTION Soil Rating: ~from original grade: Lei: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Tow.ship: R~go~~ ~OC~ Fill added above original grade: Gravel length: WELL: ~ New ~ Upgrade Gravel width: Number of lines: Distance between lines: Classification {Private, A,B,C): ~ Total Depth: Cased To: Total absorption area: ~ Pipe material: ~T~ Ft. Driller: Cate Drilled: Static Water Level: Installer: Yield: ~ ~e Ft. ~ Date installed: ight Above Ground: SEPARATION DISTANCES u Septic ~ Holding ~S.T.E.P. To Septic HoJding Public/Private Manufacturer: Capacity in gallons: Fro~ Tank Tank Sewer Lines Well /~O ¢ //~ /¢ ¢ ~ ~ * ~ Material: Number of Compartments: Surface ~ ~ ~%~ ~ ~ Wate~ d~0%' /0¢~ /O~ ~ ~ ~ LIFT STATION Lot ~ ~ Size in gallons: ~er: Foundation ~0 * ~O' ~0 I ~ w ,, · ~ "Pump on" level at__,puff,, lev~ High water alarm at. Curtain ~ ~ ~ ~ Remarks: ¢" ~ BENCH MARK Location and Description: ff~o.o FI, '~ervices approval / ~' >'''' c~- uepartment of He~lt'Ean8 .... Permit No. SW940196 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: MOUNTAIN AIR ESTATES, BLOCK 6, LOT 8 .01717116 - 93.8' 93.0'-\ ~c4.2' f ¢' TOPSOIL & S]',ED MT r~95 1 MT ~ MT3& MT8) M% S HYDROT~K 44~ ~,2 5DOSING VALV~ / / :FINAL --~. 2" ~INSUI AT:O~ / GRADE 2" ,NSULATI( [ ~ 3S.2' / 3~ 4'~ %U =~ = 1 0'~ ~ %90.4, 90.4'~ (MT?~ (M~ 5~ S~ WEB ROCK, 6" ~ NDEB MT2) MT6) MT() A 2" OVEA DIST, 'IPES IX kk ~ k k k x x C)3 44.0 28.C ~ ¢ k kx h x~ k k'k ~ H 41.0 36.5 A / % '%7 k T5 60.0 3%0 / % co~ ~ ~T6 63.0 35.5 co ~500 ~ T? 97 0 75 72-013 A (Rev, 9/91) MOA 25 Permit No.Sw940196 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 Descriptio~°UNTAIN AlE ESTATES, BLOCK 6, LOT 8 PID No.: 01717116 +93.8' f~TS& TOPSOIL & SEES MT4) (MT;f~: \ MT (~TE&:\ MT /i II / L . H ~ MTS) ~ \ [~ l~T6)· ~ /~vHYDROTEK 4402 I] /MTn) II ~FINAL ' ~ ~1 ~: / ~ / ~ XDOSING VALV~ III H ~/ GRADE ~ 2" INSU~TION ~ '" "r ' a9.4'~ .~9.4 ~ ~~ ~~~ ............ MT6) MT6) & Z" OVER DIST. PIPES NEW PRESSURE DISTRIBUTION 1500 s.~r.E~P. C03 C04 1500 GAL i A B FCO "3B':O- ' I3':0 CO1 45.5 18.5 002 46.0 25.0 cD3 44.0 28.0 CD4 41.5 34.5 M.H 41.0 36.5 MTi 5Z.0 53.0 MT2 52,5 49.0 'MT~ '96'.5''85.6 MT4 93.0 81.~ MT5 60.0 37.C MT6 63.0 35.e MT? 9%0 75.[ MT6 96.5 74.C 4 BDRM HOUSE SCALE t' = lO0! WELL WELL ROBERT C, COWAN CE-8801 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940196 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:THOMPSON STEVEN CARL & OWNER ADDRESS:15220 SNOWFLAKE DR ANCHORAGE, AK DATE ISSUED: 6/24/94 EXPIRATION DATE: 6/24/95 PARCEL ID:01717116 LEGAL DESCRIPTION: MOUNTAIN AIR ESTATES #1 BLK 6 LT 8 LOT SIZE: 23048 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 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 RECEIVED BY: ISSUED BY: DATE: DATE: ~/~///~? ROBERT SHAFER, P.E. ROGER SHAFER, P,E. June 11, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL 3ERVICE$ DIVISION RECEIVED REFERENCE: Mountain Air Estates Subdivision; Block 6; Lot 8 Request you re-issue Permit #SW93Ol17 to upgrade the septic system serving the four bedroomhouseonthe referenced pro~ert¥. During an inspection of the existing septic system, the monitoring tubes within the system indicated the system was completely saturated WELL~.~TION ~ and it appears that the system is being influenced by groundwater. The &FLO~ ~,;, '[~/~"// ~/~'groundwater monitoring tubes installed in' the test holes indicate that ~,-i ///j~-' I groundwater is encroaching the existing system. Therefore, the system 55'~ .~' ,~?J/~ I is in non-compliance with Municipal Regulation. SITEPLANS Test holes were excavated and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation water was encountered at 10 feet in test hole #1 and 9 feet in test hole #2 and after seven day ground ROADDESIGN water monitoring water was found at 6 feet in both test holes. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. SOIL TEST If you have any questions, or require additional information for your review, please contact us. PERCOLATION ~ TEST MECHANICAL INSPECTIONS / , P. E · ,//~AS/LSU/jk ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 ~j,ij ]d¥~lOdFI ,0'~ = ',,L v o I~ 3qlJO~a~ql¥i3~ i Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LE6AL DESCR,PT~ON: .AA-frO, / ~,A/~'J' DATE PERFO /~'~ Township, Range, Section: 1 5 7 8 9 10 11 12 13 14 15 16 17 18 19- SLOPE SITE PLAN WAS GROUND WATER y~__.~.~ ENCOUNTERED? DEPTH? -- P Depth lo Water Alle£ /,~/~. Gross Net Depth to Net Reading Date Time Time Water Drop 20 ~; '?' PERCOLATION RATE ~,~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN./~ FT AND ~ FT ' OOMMENTSs & $ EN~iN££RiN~ /~ ~' ~ E",l" "~: L~, ,o,~ ,.. :~ I ~ CERTIFY THA~ THIS TEST WAS PERFORMED IN ALL STATE ANDMUNIOIPALGUIDELI~FF~H~D~E' DATE: Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 7 9 10 11 12 13 14 15 16 17 18 19 20- Township, Range, Section: SLOPE WAS GROUND WATER V~--C' ENCOUNTERED? /~-.~ IF YES ATWH^T DEPTH? Ileplh la Waler Alter Moniloring? ~~ate: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop pF_:F~COLATIONRATE ~'7 tminutes/inch) PERC HOLE DIAMETER ~" Eagle River, Alaska 9~5~'? , ~%-~----~'"'~/~' CER] IFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: ........ //.~_~/ ............... ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELCI~I~N/EFFECT. c.//' :' ON THIS DATE DATE: 72-008 (Rev. 4/85) ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Mountain Air Est. Subd. ~1, Block 6, Lot 8 GENER~L= 1. The scope of this project includes the installation of a pressurized absorption bed equipped with a 1500 gallon wastewater S.T.E.P. system (septic tank effluent pump) to serve the four bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be resposible for ensuring a satisfactory vegetation growth over the mounded area. 5 o Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC T/%NK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade· Septic tanks installed with less than 4 ft. of cover shall be insulated. Page two Mountain Air Estates Subd. #1, Block 6, Lot 8 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. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. PRESSURIZED MOUND SYSTEM INSTALLATION: Any peat or organic matter must be removed from the elevated mound site. 2 o The bottom of the basal bed area as well as the top of the sand filter is to be within two inches of level. The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. The side slopes of the top layer of the mound system must not be steeper than 33% (3:1). The top of the mound shall be covered with a minimum of 6 inches of topsoil and vegetated sufficiently to prevent erosion. The distribution pipes are to be embedded in sewer rock. Care should be taken to backfill in such a way as to prevent damage to the piping system. Silt barrier material 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. 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. Page three Mountain Air Estates Subd. ~1, Block 6, Lot 8 Construction Practices MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer· The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the ~200 sieve. When sand is being used as a filter material, it's gradation specifications must conform to AMC 15.65.060D. 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: me 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. Page four Mountain Air Estates Subd. #1, Block 6, Lot 8 Construction Practices 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. Robert Robinson Dept. of Health and Human Services P.O. Box 196650, 825 L. Street Rm. 202 Anchorage, AK 99519-6650 Dear Mr. Robinson: This letter is to request permission as the homeowner of lot 8 Blk. 6 Mtn. Air Estates #1 to personally upgrade the on-site septic system referred to by permit #SW940196. I plan to use a Case 580 backhoe/loader which is a piece of equipment that I have used on numerous occaisions for the past three years, primarily during the construction of an addStion to my building that my current business is operated from in Anchorage. The sand, rock, and cover fill will be trucked in commercially, although I do own a single axle Chevy C50 dump truck that I have had considerable experience with, but deem too small for the quantity of fill required to complete this job. Although I do not consider myself a professional plumber I have had ex- tensive do-it-yourself plumbing experience with both fresh water and waste water plumbing and do not anticipate any prob- lems installing the pipe for this system. Lastly, I have four years experience as a surveyor, mostly in construction including municipal water and sewer line installation, and as a result I have had much experience operating a level and establishing proper grades. If there are any questions please feel free to call me at 349-6639. S & S Engineering has designed the system and will be doing the inspections as construction pro- gresses. Sincerely, Steven C. Thompson Tom Fink, Mayor unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 May 24, 1994 Steven Thompson 1152 East 74th Avenue Anchorage, Alaska 99518 3207 Subject: Lot 8 Block 6 Mountain Air Estates Subdivision #1 Permit #SW930117, PID 9017-171-16 The subject permit, issued May 24, 1993 by this office for a single family well and/or on-site wastewater system, has expired as of May 24, 1994. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sinc~ly, j~ Robert W. Robinson Acting Program Manager On-site Services cc: S & S Engineering PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930117 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:THOMPSON STEVEN CARL & OWNER ADDRESS:il52 E 74TH AVENUE ANCHORAGE, ALASKA 99518 DATE ISSUED: 5/24/93 EXPIRATION DATE: 5/24/94 PARCEL ID:01717116 LEGAL DESCRIPTION: MOUNTAIN AIR ESTATES #1 BLK 6 LT 8 LOT SIZE: 23048 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM 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 343-4329 OR 343-4681 AFTER BUSINESS 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: RECEIVED BY: DATE: DATE: ROBERT SHAFER, P.E. ROGER SHAFER, P.E. April 10, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS {unicipality of Anchorage )EPARTMENT OF HEALTH AND HUMAN SERVICES 325 L Street ?.O. Box 196650 ~nchorage, Alaska 99519-6650 {EFERENCE: Mountain Air Estates Subd. #1, Block 6, Lot 8 {equest you issue a permit to upgrade the septic system ~erving the four bedroom house on the referenced property. ~he existing system is currently in a state of failure and is ~pparently in groundwater. ~wo test holes were excavated and percolation tests performed. ~he approximate test hole locations are shown on the site )lan. ~e do not anticipate any adverse effects on the neighboring )roperties by the installation of the proposed septic upgrade. If you have any questions, or require any additional information for your review, please contact us. ROAD DESIGN ~.....~ 1 i ams SOIL TEST ~ PERCOLATION .ert A. Shafer, P.E. TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 oC'~ z r'J ~ Z I:~Ld > z d Lq'" ¢;:; T 0 '0,.~ 0 Ld E-~ T ..-.. J 0 L.~.. <C i~ ~ Z ¢::::1 O0 ) II II 0 u 0 ~0 · ~;0TM II ¢,) ~.l ~-..J J ~ :::) oo~ ]fl¥~DdN ,O'P = ,,I, O ~ O ~L~O Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (E~fl~R's SEAL), DATE PERFORMED: '*'¢ ' ~ LEGAL DESCRIPTION:/IY~'/1J /dr/I~ ~-~? -~/IP ,, /(/~0~ / Township, Range, Section: 1 3 4 5 6 7 8 -- 9 10 11 [~O,H, SLOPE WAS GROUND WATER ENCOUNTERED? 12 13 14 15 16 17 18 19 20~ S IF YES, AT WHAT ! OL DEPTH? lO p E Deplh to Waler AFter MollitorJllg7 SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop '..~ ' ll :lO/v~ ~ 5,is ,, PERCOLATION RATE c~'~' (minutes/inch) PERC HOLE DIAMETER ~" Eagle Eiver, Alaska 99577 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEL~/EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 2 3 4 § 7 9 13 14- 15- 16 17 18 19 20 DATE PERFO Township, Range, Section: SLOPE WAS GROUND WATER ~/'.~'--c' ENCOUNTERED? IFYES, ATWHAT (~ ' ~! DEPTH? pO E Depth to Water Afte~,//,?_c~/~,~,~ ~' Monitoring? -([, / 7J,',','~ale: ~ SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN~ FT AND c~ F7 COMMENTS / / PERFORMEr,s ~-~, ~a~a ~ ' C TH~S TEST WAS PERFORMED IN ;2t;0;7;.;N,~Z5~,,. ALL STATE AND MUNICIPAL GUIDELI~.ECT ON THIS DATE. DAT,: GREA ,'R ANCHORAGE AREA BOR~ Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 ~GH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE ~1 ~ FROM WELL/~'0/ //J/ INSIDE LENGTH MANUFACTURER INSIDE WIDTH ~£[£t MATER~AL ~7-~'~¢/ NUMBER OF / COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY//,,~,~O GALLONS. TILE DRAIN FIELD: / TOTAL LENGTH .- / DISTANCE FROM WELL/~'- //~// FOUNDATION~/~- /'/~NEAREST LOT LINE /~ OF LINES '¢~ NUMBER OF LINES_ / DISTANCE BETWEEN LINES A/~ TRENCH WIDT~~ IN. TOTAL EFFECTIVE ABSORPTION AREA ¢/Z SQ. FT. LENGTH OF EACH LINE ¢~ ' / DEPTH OF FILTER / DEPTH: TOP OF TILE TO FINISH GRADE ~ MATERIAL BENEATH TILE ~' ~ABOVE TILE ~ / WELL: T TYPE ~, CONSTRUCTION ~ '"'~-/~'"~" Z~' _DEPTH /F BUILDING NEAREST NEAREST SEPTIC-- ._f SEEPAGE FOUNDATION__ LOT LINE .... SEWER LINE TANK ///,~ , SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED__ REMARKS ..... DISTANCE FROM: DISTANCES: SEWER LINE DEPTH: PiPE MATERIAL: ~.,/~51 IJ~O/~ LOT SLOPE: ~, ~, REMARKS: ~b- ~ DIAGRAM OF SYSTEM G.A.A.B. (~ GrEAq~Er ANCHORAGE AREA l~orOUGH ~EPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE DISPOSAL SYSTEM ~ APPLICATION AND P~RMIT NAME OF APPLICANT ~"~//';~-'~'~-~/~--J~ /~'~'/'~:'-~"~"~:'~ MAILING ADDRESS INSTALLATION LOCATION LEGAL DESCRIPTION ~.~.~.~---- ~jr~_ INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH ~ SEEPAGE PIT , DRAIN FIELD OTHER . TO BE INSTALLED BY SOIL TEST RESULTS ~ ~//~ /~L:~~ NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPEETION DATE ANTICIPATED /' FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK " FOUNDATION TO SEEPAGE PIT (J"¢~%~'~' DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL , SEEPAge Pit /' ~ / ., DRAIN FielD WELL TO SEPTIC TANK J ~ , SEEPAGE PIT ~/~ ~) WATER MAIN TO SEPTIC TANK /~;) SEEPAGE Pit J~ SEPTIC TANK, -~ £~ /, SEEPAGE PIT /~;'~= / DRAIN FIELD TO RiVEr, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INT~ CRIB CROSSING gAP OF EXCAVATION E FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER ] CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-6B AND THAT THE ABOVE DESCR,BEDSYSTEM,S,NADDORDANCEW,'rHSA,DGOGE. ..: GREATER AN(;IIOt~t\Gt: ?~1~,[:/\ i]epartlnent of Env~FonmenLa] Quality 333(] "C" Street Anchorage, Alaska 99SU3 S()II~S l,O(i PEI{()hATI(])N TEST Performed for ~j~ l~:~(:'c ~)ate Ihis form reports: Soils log__.~ .................. Percolation Del) th Feet 1 3- 4- 5- 6- 7- 8- 9- 10- 11 - 12- 13- 14- Was ground water encountered? If yes, at what. depth? Reading Date Gross Time Net Time Depth to Water Net Percolation rate minute. .Proposed installation: ,eepage Pit .............. Drain Field ........... Depth to bottom oF pit or trencr, ............................ Depth of Inlet ...... · COMMENTS: Performed By: :'r.?~< ?~z:.<: Certified By: ........... uate.. ........... MUNICIPALITY OF ANCHORAGE�S Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 Certificate of On -Site Systems Approva Parcel I.D. 017-171-16 1. GENERAL INFORMATION Expiration Date: T^ 2-5—_ Z/ Complete legal description Mountain Air Estates Sub #1, Block 6, Lot 8 Location (site address) 15220 Snow Flake Drive Current property owner(s) Mailing address Real estate agent Drew & Farrah McLaughlin Day phone 244-8043 12093 Lower Heritage Circle, Anchorage, AK 99516 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Q Private Septic ■❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5 + 330 s2uSH� Waiver Fee $ Date of Payment W 44 �� 1 Date of Payment Receipt Number. 015 0 Receipt Number COSA # Q,5 C, a 1 1 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone (907) 522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller Date 6/21/21 OF Atq�t�1 s ��P TH s *• TH * I 6. DSD SIGNATURE % ...... ,. , ;'' ., System #1 Approved for bedrooms /� �. Ben)am'r+'Schlller System #2 Approved for bedrooms �� ��1. CE 12592 IlF�F� SSION 4.�4'= Disapproved PROFE\\\ Conditional approval for bedrooms, with the following stipulations: "Al, y N , i))1)0), By: �w Original Certificate Date: Y � b The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: Mountain Air Estates Sub #1, Block 6, Lot 8 Parcel ID: 017-171-16 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled UNKNOWN' Total depth 127+ ft Cased to 40+ ft © Sanitary seal is functioning correctly FN_1 Wires are properly protected Casing height (above ground) 9** in. Date of flow test for COSA 5/17/21 Structure served by this system Well production at time of test 3.0 gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L FOR Arsenic less than MRL (ND) Collected by Forge Engineering Date of Sample 6/10/21 Static water level at beginning of test 84 ft. Comments *No well log available. Data taken from 2003 COSA **Casing height of 9" measured from landscaping above retaining wall. With retaining wall included, casing is >24". B. TANK DATA Age of tank(s) <1 years Tank type/material STEP/Plastic Measured operating fluid level in septic tank N/A ❑o Standpipes/foundation cleanout per record drawing Date of pumping Tank installed 6/15/21 D. ABSORPTION FIELD DATA Shallow Bed Which system tested (date installed) 1-19-1994 ❑ ALL standpipes present per record drawing Total measured depth from grade 4.214.2 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 0 System presoaked (Required if vacant for greater than 30 days prior to date of test) 2000 Gallons introduced gallons Comments/Deficiencies: C. LIFT STATION Required maintenance completed Age of lift station <1 years Lift station material Plastic Comments: Adequacy test date 5/17/21 Results (] Pass For 4 bedrooms Fluid depth prior to test 0 10 in Water added 812 gal New depth 3 / 3 in Elapsed time 1440 min Final fluid depth 0 / 0 in Absorption rate >600 gpd Any rejuvenation treatment (past 12 months) If yes, enter date Four monitor tubes are missing in total from the existing septic. Although efforts were made to located the missing pipes by an excavator, it was deemed too costly to excavate further. The system is functional as is with the stand pipes that were found. COSA Checklist yellow sheet 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 Community Sewer Manhole/Cleanout > 100' Yes if No ft ❑Yes if No Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' 0✓ Yes if No Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' ❑✓ Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑✓ Yes if No Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑✓ Yes if No ft 0 Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q✓ Yes if No ft Surface Water > 100' ft ft ft ft ft ❑✓ Yes if No ft Property Line > 5' ✓❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' El Yes if No ft Private Wells > 100' ✓❑ Yes if No. Water Main > 10'✓❑ ft Yes if No ft Community Wells > 200'✓❑ Yes if No. 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' U✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No 1 ** ft Wells on Adjacent Lots: Water Main > 10'✓® Yes if No ft Private Wells > 100' ®✓ Yes if No Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No Surface Water > 100'✓❑ Yes if No ft F. ENGINEER'S COMMENTS ** Waiver #WR030001 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. COSA Checklist yellow sheet morAw 49 T—" .. Benjarr�rlASchiller C E 12592 • c�`v`�,�'� pROFESSIONP���� ft ft ft ft 1 Lot 2 10'x25' ANCHOR EASEMENT Lot 9 CHAIN-LINK FENCE CHAI :'- \S N ow V �_ PLOT PLAN _X_ AS BUILT ___ SCALE _1_== 40__ GRID _ SW 3139Project No. 21_4101R1____ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone (907) 522-4625 Fax Professional Land Surveyors ken0langsurvey.com v PF A,0� jonothan®langsurvey.com i hereby certify that I have surveyed the following described property: LOT 8, BLOCK 6, MOUNTAIN—AIR ESTATES SUED. — ADDN. No. 1 (PLAT No. 71-61) a * 49TH .'* Anchorage Recording District, Alaska, and that the improvements situated thereon are""""""' "' """"""'� within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed �0 1KEN FI G. LAN premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. D s- 202. SJd� Dated this the _ 22 =_ Day of _� , '� t at Anchorage, Alaska 04 �pR • • . • • O d _---- ��4 0�£SSI00- X60 It is the responsibility of the owner to determine the existence of any easements, �40ppo�� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. . www.ci.anchorage.ak.us (907) 343-7904 " CERTIFICATE OF HEALTH AUTHORITY APPROVAL 017--171--16 . GENERAL INFORMATION FOR A SINGLE FAHILY DWELLING 'HAA# Expiration Date: Complete legaldescription MOUNTAIN AIR ESTATES SUBDIVISION #1; LOT 8~ BLOCK 6t Location (site address or directions} 15220 SNOWFLAKE DRIVE * ANCHORAOE~ AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address LINDA I'NFANTE Day phone 348-0966 15220 SNOWFLAKE DRIVE * ANCHORAGE~ AK 99516 Day phone. PEGGY GONZALEZ Day phone 3111 "C' STREET * ANCHORAGE, AK 99503 242-3825 Unless otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [] Individual On-site [] Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System [] 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 prfor to closing for the engineering services provided. 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 Hdalth Authodty ApprovaJ..G?idelines for this application, shows that the on-site water supply and/or wastewater dlsposal system ts(are)sa?e, Yuq, cbonal and adequate for the number of bedrooms and type of structur8 indicated herein. I fUrtl~e~' VerifY; th.~at ~a~ed on the ~nformation obtained from the Mun/c/pality of Anchorage files and from my ~nvestigabon"and /nspection, the on-site water supply and/or wastewater disposal S. yste. m 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 &: WASTE'WATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, ' AK 99504 Engineer's Printed Name' JEFFREY A. GARNESS, P.E. Engineer's Comments: i I In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the sys!em tn accordance w~th ADEC and MOA DSD 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, groundwdter levels that may fluctuate during the year, and the water usage of the family b'eing 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 ~11 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 ?r use of this report by any other percon or party is not authorized, nor will it confer any legal right whatsoever. Date 337-6179 DSD SIGNATURE Approved for /7f Disapproved. Conditional approval for bedrooms. bedrooms, with · ?..?. :,:" the fllowing stipulations: ,:,, .:? .. .. ,,4-~.- · . _ __ · ,_~, ^_ =-:.~. W,~IERAND . .... ...:-&? ~-,'e:'..~,., ' · . .r~TM Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other By: (Rev. 12/01) Original Certificate Date: I/Z$/¢ I' Legal Description: A. WELL DATA Well type pRrVAT[ Date completed Total depth 127'-I- ff. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: N/A rog.IL. B. SEPTIC/HOLDING TANK DATA 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 (SO7) 343-7~04 HEALTH AUTHORITY APPROVAL CHECKLIST MOUNTAIN AIR EST. S/D ~1; LOT 8, BLOCK 6, If A. B, or C provide PWSID~ N/A UNKNOWN Sanitary seal (Y/N) YES Cased to 40'+ ff. FROM WELL LOG UNKNOWN UNKNOWN' .ff. UNKNOWN g.p.m. Parcel ID: 017-171-16 Tank Type/Material Tank size 1500 gal. Foundation cleanout (Y/N) YES Date of pumping 1/24/200.3 C. ABSORPTION FIELD DATA Well Log (Y/N) Wires probedy protected (Y/N) Casing height (above ground) AT INSPECTION 2/4/2oo2 83 .fl. 0.77 g.p.m. Nitrate 0.20 rog.IL Other bacteria __ Date of sample: 12/4/2002 Collected by: EXISTING S.T.E.P. TANK STEEL/S.T.E.P. Number of Compartments 2 Depression over tank (Y/N) NO Pumper. p~ELOW FINAL OPAl)El New depth If yes, give date NO YES 12+ in. 0 colonies/100 mi. AKWWC, INC. Date installed Cleanouts (Y/N) High water alarm (Y/N) CHUGACH PUMPING Date installed 1/2o-23/2oo,1 Soil rating ~r ffTbdrm) 2.0 Length 25/19 ff. Width 6/8 ff. Total depth *2.45 +/-ft. Eft. absorption'area ,302 fi= . Monitoring tube YES Date of adequacy test NEW Results (Pass/Fail) - ' Fluid depth in absorption field before test - in. Water added %. gal. Elapsed Time: - min. Final fluid depth - in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (YIN & type) - ~/16-26/1994 YES YES System type BOTTOMLESS I.S.F. Gravel below pipe 0.25 ft. Depression over field NO For 4 bedrooms -- in. g.p.d. D. LIFT STATION Date installed 8Z~6-26/9¢ "Pump on' level at TIMERIn. Datum ,BOTTOM OF TANK Size in gallons ,1500 , Manhole/Access (Y/N) YES "Pump off* level at TIMERn. High water alarm level at 46 in. Cycles testedNEW CONTROLS Meets alarm & circuit requirements?. YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/llft station on lot 100'+,, On adjacent lots 100'+ Absorption field on lot ,100'+ , , On adjacent lots 100'+ Public sewer main N,/A Public sewer manholelcleanout Sewer/septic servtce line 25'+ Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line.,, 5'+ Water main N/A Water service line 10'+ Absorption field Surface ~'v~t~r. i 5'+ 100' + Wells on adjacent lots 100°+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ..... '1 '+ Water service line 10'+ Curtain drain .,NONE KNOWN Building foundation 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ F. COMMENTS *WAIVER ~WR030001 ~_, G. ENGINEER'S CERTIFICATION I ce~ry ~at I have determined through field inspections and rev/aw of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineers Prtntqd Name o,,, JEFFREY A, GARNESS Date of Payment Receipt Number ~ (Rev. Fee $. Date of Payment Receipt Number · --~N[3w FLAKE DELVE EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON.(UNLESS INDICATE[ NOTE: ANY FENCEUNES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES OR LOCATE STRUCTURES. AS-BUILT SURVEY NO CORNERS SET THIS DATE 1' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE*S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LO~ 8, BLOCK 6, MOUNTAIN AIRE ESTATES NO* 1 ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED, DATED AT ANCHORAGE, ALASKA THIS __23RD DAY OF __JANUARY. -- 2003____. HOLT LAND SURVEYING8817, FB103-39.103-74 TEL. 345-5513 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING -71 -- t ~ 'v HAA# t~--~c'~"'~ ~ 1. GENERAL INFORMATION Complete legal description Lot 8; Block 6; Mountain Air Estates Location (site address or directions) Property owner Mailing address Lending agency Mailing address Christine Ferris 15220 Snowflake Drive 15220 Snowflake Drive Anchoraqe, AK Day phone 345-9778 Anchoraqe, AK 99516 Day phone Agent Address · Day phone NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Unless otherwise requested, HAA will be held for pickup. NOTE: XXX Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site ××× Holding tank Community on-site Public sewer 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 o 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. S & S ENGINEERING Name of Firm 17034 Eagle River Loop Road No. 204 Phone 6' ~ ~ - ,'~¢¢ 7 ~ Eagle River, Alaska 99577 Address Engineer's signature / ~. _ Date /~ / ~- 7 /'¢/7 DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: ~-'~ ~ /~~ Date 11'~% '°-~-~'- The Municipality of Anchorage 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 DH HS 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 ¢Y21 Municipality of Anchorage ~I?ii~ONMENTAt.$1~[~ViCE-_~S DlY4e~;~N DEPARTMENT OF HEALTH & HUMAN SERVICESOcT 27 199 Environmental Se~ices Division 825L Street, Room 502. Anchorage, Alaska 99501. (907)34~E ~~ Health Authority Approval Checklist Legal Description: /-e T- ~ 6 g~ ( i'~0,,,Tg/,~ ,~,'~ ~$~'- :///Parcel I.D.: A. WELL DATA Well type Log present (Y~) /v o Total depth 1 a'~ /-4- Sanitary seal (,.~N) "/~- Date completed Cased to ~o ~ + If A, B, or C, attach ADEC letter. ADEC water system number Casing height (above ground) Wires properly protected ~'N) FROM WELL LOG Date of test Static water level Well production /'//' g.p.m. WATER SAMPLE RESULTS: AT INSPECTION g.p.m. Coliform O Nitrate Date of sample: t 0//7 / c~ ? B. SEPTIC/HOLDING TANK DATA Date installed (~ / ~-r~/~/V Tank size Foundation cleanout ~/N) )~£ ~ Depression (Y~ Date of Pumping to/3~o/O? Pumper Collected by: I~'0o O~her bacteria O S & S ENGINEERING 17034 Eagle River Loop Road No. 204 Eagle River, Alaska ~577 Number of Compartments ~ Cleanouts(~)__ High water alarm (~N) ye.J' C. ABSORPTION FIELD DATA Date installed ~' /~'~/~ Soil rating~rfF/bdrm) O. ¥ Systemtype ~- Length I o o Width / 3' / Gravel thickness below pipe C), J"' Total depth Effective absorption area / ~"'o o Monitoring Tube present (~/N) ¥'~fl Depression over field (Y~ ,v o Date of adequacy test IO/ ~o /~ 7 Results (Pass/Fail) /~4 ~' ~ For ~ bedrooms Fluid depth in absorption field before test (in.); I Immediately after (~ ~ ~gal. water added (in.): 3 ~o ~" Fluid depth ~ °' (ins) Minutes later: ~- '~ ~' Absorption rate = ~ d o -f g.p.d. Peroxide treatment (past 12 months) (Y/N) ~ ~ ~c ,~ ,~,,~ If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* cyo E. SEPARATION DISTANCES Size in gallons "Pump on" level at* ~at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: ! /. Foundation ~' 4- Property line Water main/service line . lO P Sur~acewater/drainage /Oo SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10 ~- Building foundation Surface water ) 0 0 Curtain drain N0,~£ F. ENGINEER'S CERTIFICATION Absorption field Wells on adjacent lots Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots / 0 o I certify that I have determined thru field inspections and review of Municipal in conformance W~el~n this date. Signature Engineer's Name //~ 0 ~ £~.~- C. Date /0/;>'~ /~ 7 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY Of ANCHORAGE DE. PARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section . P.O. Box 196650 Anchorage, Alaska '99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Lot 8; Bloek~; Mo~a~'~,~Zr~Estat~s ~ ~ Location (site address or directions) 15220 Snow~lake Drive Anchorage, AK ?'~Pr°p~rty owner ' 'St~v¢ Thompson. Day phone 349-6639 '.'Mai!lng address 1152 E. 74th Av¢~u~ Anckorag~, AK 99518 ..... Lending agency.. Day phone address · Mailing 'Agent' '""'" ' .. phone- :~"i i;i~' ;:.:."unI~S otherwise requested, HAA will be held for pickup. ~" .., ';~'~ ..... ..... 2 .... NUMBER OF BEDROOm .... . ................................. Individual well ......................... Communi~ well .............................. Public water .:~ NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ,, 4. '~LTYPE OF WASTEWATER DISPOSAL: " - '~" ,~' ~ ' , ': I ~'~ ',~ . ...... Individual on-ske ,,.,^ , .' ~ ,t ' ; ' , ,. :. ,~ '~,~*~,': ~ ¢~'~ .... :,' Holding tank ..... , ....... , · . ",, '"' ' '~' ' ' Pubhc sewer ' NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system· 72-025 (Re~, 1/91) From MOA #21 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 applicatioh 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. Name of Firm $ ~- ~ ~.'=::.'-"==::;c. Phone ~'o/ Address 17034 Eagle River Loop Road No. 204 Engineer's signature . ~./'~'//~.-f c_- /~ Date // DHHS SIGNATURE ~ Approved for '~ bedrooms. Disapproved Conditional approval for bedrooms, with the;folloWing ~stipulations: Additional Comments · ,~he Muni~ipal,~ ~nChorage Depa~ment of Health and Human Sewices (DHHS) issues Health Authori~ Approval Ce~b~tes*~ased only upon the representations given n para rah 5 above b an nde endent promss~onm engm~r registered in the State of Alaska. The DHHS does this as a cou Aesy to purchasem of hom~ and their lending institutions in order to ~tis~ ceAain f~eral and state r~uirements. Employes of DHHS do not conduct inspections or analyze data before a ce~ificate is issued. The Municipali~ of Anchorage is not responsible for errom or omi~ions in the profe~ional engineers work. 72-O25 (Rev, 1/91 ) Back MOA ~'21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501· (907) 343-4744 Legal Description: L-,~ 7-' A. WELL DATA Health Authority Approval Checklist Parcel I.D.: Oi 7-1'~1-16 Well type Log present (Y~ ~v 0 Total depth Sanitary seal If A, B, or C. attach ADEC letter. ADEC water system number Date completed Cased to Casing height fabove ground) Wires properly protected O/N) ?~ 3' Date of test Static water level Well production FROM WELL LOG AT INSPECTION WATER SAMPLE RESULTS: g.p.m Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed ~ / 7t~/q'¢ Tank size Foundation cleanout (~}/N) Y Date of Pnmping lO/2~/q$' Pumper Nitrate 49 . ] Other bacteria 49 Collected by: S & S ENGINEERING 17034 Eagle River Loop Road No. 204 Eagle River, Alaska 99577 /.C0 O Number of Compartments ~1 Cleanouts ~/N) Depression (Y/~) /v O High water alarm ~ ABSORPTION FIELD DATA rote installed Irt/ / /, Length t' 0 o Width Soil rating ~or ft2/bdrm) 0, ~t . System type ! /.C Gravel thickness below pipe 0. 3~ Total depth Effective absorption area/ ¢ Monitoring Tube preseut~)/N) ~/~'$ Depression over field (Y~ a/0 11/6 /q~. W~ ~ Date ofadequa~ test P/~ - ' ~Results (Pass.ail) ~ For ~ bedrooms ~ ~*~ 6~0 ~AY/~4~ ~ ~, ~r~4 -- 0051~C V~V~ DuC u~ ~P ~t~D, Fluid depth in abso~tion field before test (m.); Immediately ~er gal. water added (iu.): Fluid depth .(ins.) Minutes later: Abso~uon rate = g.p.d. Peroxide treatment (past 12 months) (Y~) If yes, give date LIlT STATION Date installed $/ / Manhole/Access (~/N) High water alarm level Cycles tested Size in gallons / 3- a O "Pump on" level at* z./ ~ "Pump ofF' level at* *Datum T,,,~t~ Go TTOr~ 33 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ( ~epti~/holding tauk on lot [ t~ b '¥-- ; On adjacent lots Joo -~- Absorption field on lot Public sewer main Sewer/septic service line ; On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM(~-IOLDING TANK ON LOT TO: Building foundation ~ "P . Property line ~ ~'- Absorption field Water main/service line ~'$~ ('P Surface water/drainage 70 o r.p Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: t' Building foundation / 0 d- Water main/service line Surface water ! t~ o Curtain drain Driveway, parking/vehicle storage area ~ r Wells on adjacent lots / 0 6 "P- Property line £ lb /'% F. ENGINEER'S CERTIFICATION I certiJj~ that I have determin~ed thrufield inspections and review of Municipal records ~ ,~.~.~r,e in conJbrmance with ~lfz~2~ j~lA,,t2guideflnes in effect on this date. .~ ~ - ".,~2~ Signature ~d~ ~ ff }~~ ~ ~ :,~, Date r ~ / q ~ ~' ~:~ ' /~ [ ............................................................................................................. .... HAAFee $ O~ r ~ Waiver FeeS Date of Payment /J- q ~ Date of Payment Receipt Number /~ ~ ~~ Receipt Number Rev. 8/95 DSS: haa.wk.doc HEALTH AUTHORITY APPROVALS SEWER & WATER MA~N EXTENSIONS SEWER &WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL iNSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN ROBERTC. COWAN, RE, ROBERT A. SHAFER, RE. RECEIVED NOV 1 7 1995 JVliJi"JiC~Dalibf~ .., OJ Anchorage Dept, Health & Human Services CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MOA Dept of Health & Human Services P.O. Box 196650 Anch, Ak. 99519 Lot 8, Block 6, Mountain Air Estates. To whom it may concern: R~'~P . pp ' y - p The installation of the beds in their present location was performed in order to establish an adequate seperation distance from neighboring 100 foot well radii and 10 foot property line separations. The pressure distribution beds could only be installed in their present locations. If you require additional information, please contact us. Sincerely, Robert Cowan, PE. ckw 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577