HomeMy WebLinkAboutTHUNDERBIRD HEIGHTS BLK 2 LT 6Thunderbird Heights Block 2 Lot 6 #051-721-11 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 Page / of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATEEiR DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: _<WO303� / PID Number: O_SI —7.7t—// "aON Lvida /colc Wastewater System: O New ❑ upgrade N) ABSORPTION FIELD Pnon• ^ //_ N.IM•r of BaAroom• D DwD TnncN O SI"now TnmCl O BeE O Mol/IC OD"r 5F LEGAL DESCRIPTION SW Rabna a, O TOW D•pm "M O 9,,W ar•De GPD/Ft'I Ft. 131 k Lot S.""* JP/ 1 1 / 1 / 1D j D•pin to pq Ool hom pip rW. 1 N GnvN "PM bn..tn pq " u� !AJ /GJ e � To iiftp Rerge 6ewen FaiiM d Dre Wynaign a It Gmv Llnpth FI. p5 / FI. ?q Well: ❑ New ❑ Upgrade Glvv on. )' 5 N ft6 Ol b"• D.•1•np l"1wNn im, �• FI Ft ClnPhubon (Pn181 B,C) TOIr Depth. D••eob TOW ab•orp•m eru 3 P Me11nr ry/y1/1 p { Ft FII Q• DO,* DMI SubC WIW Levr WliQ� Dau N•Irieo / —� —O� FI Q r nrO n" a GurlpHupmwooveGrounO YW d TANK GPM FI. F, SEPARATION DISTANCES (Septic ❑ Holding ❑ S.T.E.P. ❑ Other: Litt Holding ubbtlPrlva(e •q1M•` , •p•atr n Station Tank Sewer line f! I / �301/Gr IoO 1 �� QSt M.IMr HDP N~ r Dompanm•m• rRom ffcAb )AllW ItLIFT STATION 1 iww. S -al r✓1I / a elie FpuilUaiwi 1 1 S 1 'Pump M. uvr •1 'Pump olr uvr •1 3g H1ah "1•r 0M el ll In N q in. Dunn Oran O:te fMul lnsp ws pm aWol n •ckhtiv ca e61I, Ram• k• BENCH MARK Louuon rvl D.•mp4an ( aE / • r, I w J legbon. Irl/00 FL hill, t llli3� tragic Sivvr Loop Read, No. 201 aV-6. Inspections performed by: Dates: 1r2nal -3-03 7FROMT C. COWAN fr Developme Services Department Approval iQ �� cC-Baot>�- Reviewed and approved by: Date: 1111010A tt C Vii,.; =;: y. (Ra 12M) PERMIT No. SW030349 PACE 2 OF 3 Municipalityof Anchora e DEPARTMENT OF HEATH 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 LOT 6, BLOCK 2, THUNDERBIRD HEIGHTS P.I.D. No. 051-721-11 NEW 1301 HDPE SEP DBLI NEW ; FAT ALBERT S. LOT 7 \ \ \ \ \ \ \ \ \ : NEW 4 BEDROOM B HOUSE r.�. 5 NfW 1.0.S.F N1 / / 5, SEPTIC / �/ C AREA GHQ/ Il •� FA SCALE: FA qn ` ROBERT C. COWAN CE -8801 PERMIT No. SW030349 PACE 3 OF 3 Munic.ipalit of Anchorage DEPARTMENT OF HEATH 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 LOT 6, BLOCK 2, THUNDERBIRD HEIGHTS P.I.D. NO. 051-721-11 FINAL GRADE 96.6' 96.7' INSULATION ELECTRICAL CONDUIT r' 93.1' NEW 1300 GAL. IV DISCHARGE PIPE POLY. TANK 92.8' 550 GALLON FAT ALBERT WITH PUMP ASSEhIBLY MT1-102.8L,,MTj FINAL GRADE ORIGINAL GRADE INSULATION w eavu, fart"xua" MTI Q 99.7' BOTTOM OF SAND=97.7' DIST. LINE=100.0' A NO GROUNDWATER FOUND N.T.S. A B 84.7' B.O.H. E . n FCO 22.0 25.0 w�1(( OF ST 1 52.0 19.5 ST2 52.0 22.5 Nom, f� MH 50.5 29.5 < "E TMT 51.5 24.5 r,.... DBL1 52.0 25.0 �,,, .. . ' DBL2 52.0 26.0 11ROBERT C COWAN ?� FV1 28.0 66.0 �l1'"c;ti� CC. 801 FVS 18.0 59.0 �+IrFc ✓!/Sox.;• �*t MT1 1 17.0 57.5 How C12 0.1 06: t3p NOV 02.20(:4 15:11 ;1 Beverly Olds 907 696 0576 000-OOD-00000 W o If E lectr i c, L LC Po Box 241372 Anchor ageAK.99524 Phono907-2408270 Fax 907349.1825 November 2, 2004 7) Whom It May Gmcem: RIS: ,.cit 6 Block 2 Thundcr Bird l Icights Wol1'Glcoric certifies fiat all c1ceirical in ubuve stand building an i lift Madan is wind to th : National Dmiric Cut'e. Since R ck Dalmolin Municipality of Anchorage Date Development Services Department Net Time Building Safety DhAslon Net Drop a1 On-SRe Water and Wastewater Program 1700 South Brag" Sl. •••• P.O. Box 196650 Anchorage. AK 99519 650 I C, G• o° #40 www.rnuni.org/onsits 313-7901 1 (907) SolisLog- Percolation Test Performed For: LI poon Fr-niux Date Performed: _ II // Legal Des(xiptlon: L&r•( 1�' L[Y,e 2'• (1�6'A7D6Q.R1[f�1TF/tif} __. � 7-95 r N, ,; -y x#- p De th 1 0'244.1c 5 RI.M04ep B(f 1 1 1 1 1 1 1 1 COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? N R Depth to Water After D Monitoring? E Data: ROBERT r— COWAN CE -61301 Reading Date Gross Time Net Time Depth to Water Net Drop PeE��,� n g o o b G• o° � b O 6 D 3V 30 S'/Z" Is 2- Y2 PERCOLATION RATE I Z (.vww~) PERC HOLE DIAMETER [. •• TEST RUN BETWEEN -Z- FT AND _FT PERFORMEDBY: PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNII THIS THAT THIS TEST WA THIS DATE. DATE: In J Y Municipality of Anchorage . ! Development Services Department a Building Safety Division' Onsite Water and Wastewater Program - a4700 South Bragaw St. s ` ~ P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET q S TO: S&S ENGINEERNIG c� 1, 1�Legal description: THUNDERBIRD HEIGHTS SID BLOCK 2 LOT 6 i -The attached paperwork has been reviewed and is being returned for the following reasons: '411 � � ? Original signature or stamp missing on h z 3❑ Calculation error in design. IL 4 �. Additional soils information needed. _ ❑ Water monitoring results inadequate. _ hT = ❑ Discrepancy in information submitted. _ '_ a c❑ Topographic information missing or inadequate. �❑ Incomplete; missing _ i + ❑ Incomplete; missing _ c4?❑ Additional adequacy test information needed. _ J iii ❑ Water sample unacceptable. _ 0 IZ❑ Measured/proposed distances/dimensions missing. ��Y �❑ Locations of all soils, percolation and water monitoring tests not shown. > ❑ Proposed system too deep for soils information submitted. i 3,o F-1 Well log required._ J ❑ Omission in narrative. 4� ❑ Insufficient fill over tank or field._ A ® Other. SEPTIC SYSTEM TOO CLOSE TO SURFACE WATER. ORIGINAL TEST HOLE MYSTERIOUSLY MOVED =� ni-ON SITE PLAN. NEED TO PAY RE -DESIGN FEE OF $115.00. BECAUSE DESIGN CHANGE WAS NEVER NOTIFIED AND INSPECTIONS WERE NOT CALLED IN. NEED TO COMPLETE A NEW TEST HOLE WITH GROUND WATER MONITORING AND PERC TEST FOR THE ALTERNATE SITE. THE MOUNDED IDSF WILL REQUIRE TOPSOIL AND GRASS SEEDING. Name of reviewer: JOE GOODALL Date: 11/8/2004 Please supply the necessary information and re -submit your request. G.kV-&e Mayor Mark Begich Municipality of Anchorage 1'.(). Box 1'.XXiil) • :tnchomgc, .Unslm VM19.6)4:50 • Tcicphonc (907) 333-M01 • rmx 14X17) 333.82(X1 3700I1mpw Slrccl •.tnchomgc,.Vuakn 90.907 August 16, 2004 Linda Frank 10900 Corrie Way Eagle River, AK 99577 uim munl.org Building* Safety Dix3sion Subject: On -Site Water and/or Wastewater Permit. Permit Number: S W030349 Legal Description: Thunderbird Heights Block 2 Lot 6 Dear Ms. Frank: An On -Site Water/Wastewater Permit, number S W030349, issued by this office for a single-family system, will expire on September 01, 2004. This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee of $115.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 343-7904. Sincerely, Daniel J. Roth Program Manager On -Site Water and Wastewater Program Enc: Copy of permit Community, Security, Prosperity MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Sep 02, 2003 Expiration Date: Sep 01, 2004 Permit Number: SW030349 Parcel ID: 051-721-11 Legal Description:IThunderbird Heights Block 2 Lot 6 Design Engineer: 0003 S & S Engineering Site Address: Unknown Owner Name: Linda Frank Lot Size: 22014 SQ. FT. Owner Address: 10900 Corrie Way Total Bedrooms: 4 Permit Bedrooms: 4 Eagle River , AK 99577 - This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. A PROPERTY OWNER MAINTENANCE AGREEMENT FOR THE PROPOSED I.D.S.F. SHALL BE SIGNED BY THE NEW PROPERTY OWNER PRIOR TO THE SIGN OFF OF THE INSPECTION REPORT FOR THIS WASTEWATER TREATMENT SYSTEM. Received By: Issued By: Date: y/,�, /0 `3 Date: i Mottitiptifity qt Atte-hot-age beVelophieht �etVlces bepe tneiht building Safety bivision _ K '• n On -Site Water and Waste*ater Program S A It , 4700 South 13ragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchotage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION i=OR A SINGLL rAMILY DWELLING Parcel I.D. QE5 `-- _� 7- 1 1 � Permit Number SW Property owners) L• 1 Y, F/`a n K Day phone q ' — )3-7 Mailing address (1) 10 9 00 Lour r i e L/Jca Mailing address (2) Q_!q le- k! yBZo f/iz Zip Code '715 7 Legal description (Lot, Mock & Sub,d.) Le+l oe %C ,:2, TA ander 6ir'!X tlel' )� h Legal description (Section, To*nship & Range) Lot Size at Q 124 Acre Sq.Kt. Number of Bedrooms Ll THIS APPLICATION Is poft: Sewer Only 0 Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS plzoPl=tuy tbNTAINs: Not 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 bwelhng and is in accordance with applicable Municipal Codes. 2. 5 & S ENGINEERING 17034 Eagle River Loop Road No. 204 < cMla River. Alaska 99577 (Signature of property owner or authorized agent) Permit pees: 4 y 40, o a Waiver l=ees: bate of Payment: t6 If Y1.6 3 Date of payment: Receipt Number: D `i V S— Receipt Nuinbeh (Rev. 12/00) S&SN lin epung August 12, 2003 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 APPROVALS 1+oRY MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 SEWER&WATER MAIN EXTENSIONS REFERENCE: Lot 6, Block 2, Thunderbird Heights Subdivision SEWER & WATER INSPECTION It is requested that you issue a permit to install a 1300 gallon HDPE septic tank, a 550 gallon Fat Albert S.T.E.P. tank, and an I.D.S.F. septic system to serve the proposed four bedroom dwelling on the referenced property. ENGINEERING STUDIES AND REPORTS A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation 5/7/03, water was not found. After monitoring, no ground water was found. WELLINSPECTION &FLOWTEST We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. SITE PLANS If you require additional information, please contact us. ROAD DESIGN Sincerely, SOILTEST 4an, ��o ertC. CowP.E. RCC/bj j PERCOLATION Enclosure , TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 0 EAGLE RIVER, ALASKA 99577 191 = 40' I DESIGN SCALE co m r I m 0 F5 N 1-1 I �/� 53 in CO< rq> Ln ZO "O V1 / 'EL D z'S O r Nm> p / r v N m o m mD ~ _0 �D d D! r ,3 I � I I O0 I mQ I N m EA zo \ 1 D m rj CO" \� x z O m Om 0 a m —2 7j dA \M 3Nn M31VM 50d0tl 03 d 0100 SITE -PLAN — — •-• N W \\ 000 O m o�--n zomm Om0� mm 1 K O m I m fzi I \ D C mw O I �\\ Nz 3L)O v y nza�� n gm \\ \ D�0 vi / I� / Nm CmN� OOZDp / � O "om o b• / z a 1W b O,N :O b ♦1� �+f V1 Q N EA co rn v \ \ o �O O \ •D r \ \ \\ � \ r nz \ -�,X SITE -PLAN — — •-• N W \\ 000 O m o�--n zomm Om0� mm 1 K O m L fzi O �-3 nza�� n gm / P- / I� / Nm CmN� OOZDp / � O "om o b• / z SITE -PLAN — — •-• N W \\ 000 O m o�--n zomm Om0� mm 1 K O m /� \\ M\ \lrvj\0p_ A \\ cO N \\ o II � � ►-� \ N II \ I I \\ \`Woo \ 00000 \ 0 O \ Oin N o \ I p \ PIP,y nc O � a von ,D o fzi Wm � D ''O Z :i7 m m 0-4 0 Dn,^ OCA o b• =! O a 1W b O,N :O b ♦1� �+f V1 77cc N > rn b b b � r b V D b z d O /� \\ M\ \lrvj\0p_ A \\ cO N \\ o II � � ►-� \ N II \ I I \\ \`Woo \ 00000 \ 0 O \ Oin N o \ I p \ PIP,y nc O � a von fzi Wm � D ''O Z :i7 m m 0-4 0 Dn,^ OCA LI1 =! O Z y Xc), V1 ann N > rn N O O z O N. T. S. DESIGN PROFILE SCALE =Oo CO � N ('4 d yon' \ m xz m N� I Z p f�Tl m zi via ^� D1A \A frl -O 10 v u� OrVNm d O d _Z p D m > r m r- o N P d Z N oO 0 c-miy �uv� o -.m D D - \ N p ZrQ . M M d C7CA O II W Rpof ,y U4 C-) 20' O m n Ln A olz mr nn l7 �mti 1 + ZO n i z yAA 13 �9 V�-i TO Cz p < 7CL NO O ^ • • /� gF2 rzio s n nD A Q 1 � l AN !Li w ' az z O ON V �� r MM yC i 171 r I '•3�N m\ O y z o a� W r n y O En C .% 00 Cz vo s M M e O n � r3 N M4. = N c x < r+ x r„7Fnz m Z ovng� < x a r TZ . cn En o� t rn Z ►� I.� �. n n oy r v ; O = ' O Performed For: Legal Description: Depth n (Feet) �iZt' �1Nl�s 1- 2- '. 3- 4 5- { 6- i ; 01 7- 8- 10- 12A -8-10- 11- j 13- �- -• 14- 15- 16- 17- 18- 19 - COMMENTS Mudicipeillty bf Atithazigtj beveloptrlenl Services bepartment Building Safely blvislon On-Slte Water and Wastewater Program 4100 South bragaw St. P.O. box 196650 Anchorage. AK 99519-6650 www.cl.anchoraae.ak.us (907) 343-7904 Soils Lod - POColatioh Test C, Ir r L WAS GROUND WATER ^' ^ ENCOUNTERED? /�/ (/ s IF YES. AT WHAT DEPTH? bepth to Water After o D—P Monitoring? or - r -o FO°'c^nT C. CO`NAN f tij .�N.� bate.Performed: Site Plan op Reading Date Gross Time Net Time Depth to Water Net Drop . � 0 9 . S" 0 o b • 30 9 N 3 a D 0 a �- q, PERCOLATION RATE (minulesnnch) PERC HOLE DIAMETER de TEST ItUH BETWEEN FT AND FT PERFORMEb bY:/�,r/-,�}FL��' 1 ' PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL -. Uz" CERTIFY THAT THIS TEST WAS IN EFFECT ON THIS DATE. DATE: 11703 i S&S1 iineening ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 17034 NORTH EAGLE RIVER LOOP 0 SUITE 204 9 EAGLE RIVER, ALASKA 99577 INTERMITTANT DOSING SAND FILTER SPECIFICATIONS HEALTHAUTHORITY APPROVALS Lot 6, Block 2, Thunderbird Heights Subdivision August 12, 2003 GENERAL STATEMENT OF WORK SEWER&WATER LWN EXTENSIONS The work and plans covered by these specifications consist of furnishing all labor, materials, tools, transportation, and equipment necessary to complete an Intermittent Dosing Sand Filter system as described herein and on the attached drawings. SEWER&WATER INSPECTION All work under this project shall comply with current Municipality of Anchorage (MOA) Regulations. ENGINEERING STUDIES AND REPORTS 4 Bedroom House 600 GPD Bottomless Sand Filter and absorption area (360 S.F. required) filter to be constructed on accepting soil with all organics removed. (bottomless only.) of lly.) WELL INSPECTION & FLOW TEST SITE INVESTIGATION The Contractor must carefully examine the project documents, have full knowledge thereof, SITE PLANS 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, handling and storage of materials, availability of labor, water, electric power, roads, and ROAD DESIGN 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 needed preliminary to and during prosecution of the work. The Contractor must be satisfied SOIL TEST 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 these specifications and drawings. PERCOLATION TEST Location of utilities will be the contractor's responsibility. STRUCTURAL& , MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP 0 SUITE 204 9 EAGLE RIVER, ALASKA 99577 Page 2 Lot 6, Block 2, Thunderbird Heights Subdivision August 12, 2003 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. no 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. Page 3 Lot 6, Block 2, Thunderbird Heights Subdivision August 12, 2003 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 2' 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. Page 4 Lot 6, Block 2, Thunderbird Heights Subdivision August 12, 2003 4. Air Compressor a. Air compressor shall be a THOMAS LINEAR SERIES model number 5060-A or 5070V -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. Leachfield bed (if required) V. 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 6, Block 2, Thunderbird Heights Subdivision August 12, 2003 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. Liner (if required - not required for bottomless sand filter) - OSI Model LI or equivalent. 30 mil PVC cut and fabricated to provide water tight enclosure of filter sand volume. Seams to be permanent as per Manufacturer's recommendations. All connections, such as boot flanges, through sand filter to be permanently bonded to the liner. Page 6 Lot 6, Block 2, Thunderbird Heights Subdivision August 12, 2003 b. 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 aand 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. c. The Contractor shall be responsible for providing pea gravel that shall be a washed material containing no fines (0% passing the 4100 sieve) and a maximum size of 1/4" diameter. d. 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'). e. Side walls and top of the filter box to be insulated with 2" direct burial polystyrene insulation. f. The Contractor shall be responsible for providing filter fabric. g. 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 �hC1�IVS MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-721-11 Expiration Date: 1. GENERAL INFORMATION Complete legal description THUNDERBIRD HEIGHTS BLOCK 2, LOT 6 Location (site address) 27231 SANDPIPER COURT, CHUGIAK, AK 99567 Current property owner(s) SCOTT & S1013HAN STRANG Day phone Mailing address Real estate agent I+"195i V1:1 i• U] a 1114:100111:0 WN:11Ie1 /:11;A:1 "I 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Private Septic Private Well ❑ Holding Tank. ❑ Water Storage ❑ Community ❑ Community Well ❑ Public Sewer ❑ Public Water System ® ; Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ nnI'M Waiver Fee $ Date of Payment K 12,(p�Date of Payment Receipt Number 859 ?A Receipt Number COSA # GjC ja ly may- 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 ANDERSON CONSTRUCTION & ENGINEERING Phone 345-3377 Address 4661 NATRONA AVENUE, ANCHORAGE, AK 99516 Engineer's Printed Name MICHAEL N. ANDERSON, PE Date 09/25/2019 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic `\ applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, AWG. OF AZ t . •• ' .' . local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the Of system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator the * :49!H-* well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by Fwh and Anderson Construction & Engineering. ficHAEL N. ANDERSON. / No. CE 9489 G , *......... j 6. DSD SIGNATURE System #1 Approved for 2 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipu`\tigntit{fff��rr' Original Certificate Date: q ,�" " / q 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 Septic System Advisory Well Flow Advisory COSA Checklist blue sheet X Nitrate Advisory Arsenic Advisory Other Legal Description: THUNDERBIRD HEIGHTS BLOCK 2 LOT 6 Parcel ID: 051-721-11 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system A. WELL DATA—PUBLIC WATER ❑ Well log is filed with Onsite (or attached) Date drilled Total depth _ft Cased to _ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test _ft. Comments B. TANK DATA —111312003 1300 -Gal Age of tank(s) 16 years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank 47" ® Standpipes/foundation cleanout per record drawing Date of pumping 6/13/2019 Well production at time of test _gpm Water storage tank volume_ gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate _ mg/L ❑ Nitrate less than MRL (ND) Arsenic —ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION - NA ® Required maintenance completed Age of lift station 16 years Lift station material HDPE Comments: D. ABSORPTION FIELD DATA — IDSF 24'L x 15'W x 0.25'ED — @ 2 sf/br = 360 SF Which system tested (date installed) 2003 ® ALL standpipes present per record drawing Total measured depth from grade 3 ft (max) Measured depth to pipe invert from grade _ft (min) ® N/A — pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced _gallons Comments/Deficiencies COSA Checklist.docx Adequacy test date 6/13/2019 Results N Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 600 gal New depth 3 in Elapsed time 10 min Final fluid depth 0 in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) N If yes, enter date WE 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 if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Wells on Adjacent Lots: Property Line > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Absorption Field > 5' ® Yes if No ft Water Main > 10' ® Yes if No ft Water Service Line > 10' Community Wells > 200' ® Yes if No . _ ®Yes if No ft Surface Water > 100' If septic tank is under driveway comment below _ ®Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No 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 ft ft ft ft ft ft ft ft ft Azo �.�F. AMrG. ENGINEER'S CERTIFICATION ��'•� I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance :49 TH with MOA COSA guidelines in effect on this date. `A MICHAEL N. ANDERSON., Gr No. CE 9469 COSA Checklist.docx 9/25/19 o0 �T F'ESSIONAti ft ft ft ft ft ft ft ft ft PALITY Or ANCHOR ACE • Community Development Department • On -Site Water R Wastewater Program 907.343-7904 • F: 907-343-799', • P.O. Box 196650 Anchorage, AK 99519-6650 • http:Vww+ .muni.org Intermittent Dosing Sand Filter Maintenance Log Owner Street Addressl?. 31 $,„ A P r. Phone907-b -V_0,3 Legal Desc..jh t, rt ap,_><„ rot id l t_ PPI K Septic Tank: *Sludge level _ 0 inches -Pumping: required es no 'Pumping completed es no Absorption Field: i 3 3,>ne_ t0. -Liquid level inches *Flushing valves per approved design es no -All flushing valves opened, distribution lines flushed, and flushing valves closed &n Lift station: *Pump basket cleaned es n •Biotube effluent filter cleaned es no V Kc t -Q *Timer float setting inches •High level float setting Linches -Reference poin(3; gy�ic,r •Pump on�_seconds -Pump off_minutes ' -Cumulative lifetime cycles_ Cumulative run time LV - hours ,Operation satisfactory es no do z _Air System: -Air pump filter cleaned es no -Air pressure --Y_osi -Date of latest install or rebuild ,IoS `( -Air system operation satisfactory Alarm System: 1 not satisfactory t� -Dedicated electrical circuit no -Audible and vis esual alarm inside dwelling yes 1n1- -Float setting _inches •Alarm system operation atisfactory not satisfactory Comments: ...........`io:.e...2.....S.ytsir1�....�a....G....c ..........Noy..... ......pc Q .. ...w.Pas,- ..Pan�1....Np...�'o.�2folotl ..:4�t!wl .......................................................................................... ............................................................................................................... I aintenance Provider: Technician l ^ rr�� 12,, S Date of maintenance��)2 j Company Signature Date /4-1-5,42 (�( Municipality of Anchorage Development Services Department !�Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. . P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907).343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O s1 • —1 X I — 11 1. GENERAL INFORMATION Complete legal description, Rsdj�AT- C- cowq.V HAA # CJM t1� p Expiration Date: 2 ��•��� Lot 6; Block 2; Thunderbird Heights Subdivision Location (site address or directions) a Current Property owners) Linda Frank Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Sandpiper Ct. Day phone 694-1373 10900 Corrie Way Eagle River, AK 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System 91 Day phone, Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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 S & S Engineering Phone' 694-2979 Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577 Engineer's Printed Name Robert C ' Covan Date ..0;F4,'G_ OF ? WMEET C. COWAN 5. DSD SIGNATUREC', cS-Sao) Approved for bedrooms. 14t+ jw+,F�,CrS `ott� Disapproved.►ca* X Conditional approval for �_ bedrooms, with the following stipulations: had main*ananno agreement, shallbe returnedto theonsite Water and I • , • • • • 11 before an unconditional approval is issued. Additional Comments 1i�° P�� : '•:C��., 4� WATER AND •; rn PROGRAM Attachments:.. HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other ByC Original Certificate Date: 1 r+ a (Rev. 01102) FF1 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 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Le -r 11tvubEcLr1�t2D 14EW35ParcelID: 0S.1'-7 A. WELL DATAtihjGlC 9Tn _ Well types If A, B, or C provide PWSID # _ Well Log (Y/N) Date completed" Sanitary seal (Y/N) Wires properly protected (Y/N) Total depth ft. Cased to It. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level Well production 9.p -m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate r ` mg./l. Other bacteria colonies/100 mL Arsenic: mg./I. Date of sample: Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material �J flc F�p� Date installed ! I 3 O 3 (300 �9�,' x(63 f Tank size gal. Number of Compartments 2- Cleanouts (�yv) ; Foundation cleanout&) -451 Depression over tank (YO �O High water alarmaNy y5 5 Date of pumping KJEU-) SVSTVh Pumper C. ABSORPTION FIELD DATA Date installed '1(3 D Soil rating (g.p.d.W or ftp/bdrm) a• System type Length 1 ft Width I ft. Gravel below pipe (fafn 490Z,I.. Gn4o L� Total depth ft. Eff. absorption area 360 fe Monitoring tube v -S Depression over field �d Date of adequacy test � 5VS-MH1 Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water added— gal. New depth= in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= g•p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date Date installed -111.3 LbSize in gallons 550 Manhole/Acces�l) YES "Pum on" level at p It in. High water alarm level at q8 I in. P � in. "Pum off' level at DatumLUbw Sy S7 -M61 Cycles tested — Meets alarm 8 circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: -POF3 LiC.' b -3A 1T 2 Septic tank/lift station on lot — On adjacent lots Absorption field on lot Public sewer main Sewer /septic service line On adjacent lots Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Ito Property line I I 4 ( Absorption field S l+ Water main Ib 1 �- Water service line 1014- S rf p 14- u ace water _ i Wells on adjacent lots r�a13'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line IctI Building foundation I S I Water main tO t ' Water Service line 10 i- Surface water /C7o /i- Driveway, parking/vehicle storage lO f Curtain drain ALO/J6- 16XZNR1lU Wells on adjacent lots X00 F. COMMENTS G. ENGINEER'S CERTIFICATION C.) I certify that i have determined through field inspections and / review of Municipal records that the above systems are in y conformance with MOA HAA 9uidelines in effect on this date. "' 4 A RpBERT'C. COWAN Y ry CE -8801 Engineer's Printed Name d,8 eAr C, cdwiyr/ Date i r /S`/o �% ell �:�• ...»....••� titi fi0i%SS10� �ivaf HAA Fee $ L4 30, 0a / '7,r 0. Cx,rH) Date of Payment I/ /,r / o y Receipt Number 0 a 0 46 o f (Rev. 12/01) =V >,U•. Weiaer Fee $ Date of Payment iLgk0 l Receipt Number C/o 5' p 0 e N% Ndvog" c/ 9 y3i ASBUILT SEWARD & ASSOCIATES LAND SURVEYING 694-0829 1 HEREBY CERTIFY THAT 1 HAVE SURVEYED THE SCA -E, FOLLOWING DESCRIBED PROPERTY: / +►� OF AC %N T.f%��•d�,®�.A��i�ilfa��®,� z-° DATEf AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE 4 tri �.. OWNER TO DETERMINE THE EXISTENCE OF ANY GRID= ... � ••'• ••••• d EASEMENTS; COVENANTS] OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB' LS -3918 ••' �+ I ANY DATA HEREON BE USED FOR CONSTRUCTION /o/-s/.� 1 v j OF FENCE LINESt OR FOR ESTABLISHING BOUND- ARY LINES. DRAWN '+ TAxu� • Municipality of Anchorage*"'` Development Services Department Building Safety Division Onsite Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 PageOf www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATERDISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: !�WO303Yq PID Number: oSl-%aI—// Nam L; yj 40 ,Wastewater Arl IC System: JZ New ❑ Upgrade ABSORPTION FIELD IM00 Phone: iii�A //' 7 Number of Bedroom:�r 7 („y p Deep Trench D Shallow Trench ncn p Bed Mound ONer: r Sail Rating: Total Depth from original grade: LEGAL DESCRIPTION a, 0 GPD/FP I Ft. Stork: Lot: Subdiviaio / t / t Depth b pipe bottom homodgin i rid` : Gravel depth beneath pipe: `� M S u I% t �� IF : Township: Range: Section: Fill added above anginal grade:Lf Gravel Largth: ^/ Ft. p5 I Ft. Well: C1 New ❑ Upgrade Gravel width: 5 Ft. Number of lines: Distancebetweern linea: `�, J FL Cage- Classification (private A B, C): Total Depth:d b: Total absorption area: P' e Matedal. Q 40 a'r't NIt R { Ft. Fts lie Dnliec Dab Drill Static Water Level: In�W{�� s Fa Pale Inelalletl: �'-3 —O� Fl Q liso Yield: mp Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES p(Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic/Private ml aaurer. r apadty: From Tank FFiielld Station Tank S Line /-� / 1300c.1. t /Il tl�.- f mot �^ ^ewer )5-} Matenal: QP N5rof Compartments: Well p( t L �tt LIFT STATION Surface water OV I t t ( 128: 5-56 nu anurer. t `C/ Lot Line I al. �, Foundation1 ( 16 1 s 'Pump on' level at In 'Pump off level at: —{ Q J(J in. High water Me" ac q In. P... Ma a 8 Mo el Electncal In\spections performed b &1 Curtainorar 04e a a otih WDl Remarks: BENCH MARK Location and Description: �. tl aSUdI�tion ® Ft. a a~M ? c9, Eayle River {'Zp Roiiinad,Ne.Da es: Inspections performed by:17u3a 1`t `raglarilthw d�7S 2ndl -3- ©3 % tompT c. COWAN Developme Services Department Approval %sY1�C�PjSfL OI l Reviewed and approved by: Date: It to 9-A a` M1�C/-8 ,. y tttl O p;:_].......may (Rev. tubo) t�1�1\ia�'"�� PERMIT NO. SW030349 PAGE 2 OF 3 Municipalit 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 LOT 6 BLOCK 2, THUNDERBIRD HEIGHTS P.I.D. No. 051-721-11 i NEW 1301 HDPE SEF DBL1 TMT NEW FAT ALBERT S. LOT 7 i NEW 4 BEDROOM HOUSE w 7y1, SCALE: V f +; SAREA SE I • �. .•.W.w.4 w. I / •. N 1 \ ••••y .. • ••t I •'e � ROBERT G COWAN f �� CE - 8801 yr�` .... w NEW 1301 HDPE SEF DBL1 TMT NEW FAT ALBERT S. LOT 7 i NEW 4 BEDROOM HOUSE w 7y1, SCALE: V f +; SAREA SE I • �. .•.W.w.4 w. I / •. N 1 \ ••••y .. • ••t I •'e � ROBERT G COWAN f �� CE - 8801 yr�` .... w PERMIT No. SW030349 PAGE 3 OF 3 Municipalit of Anchora e DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.D. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 6 BLOCK 2 THUNDERBIRD HEIGHTS P.I.D. NO. 051-721— GRADE 51-721— INSULATION 93.1' — I NEW 1300 GAL. POLY. TANK MT1=99. DIST. LIN GRADE � 96.6 92.8' 96.7' CONDUIT 1Y," DISCHARGE PIPE 550 GALLON FAT ALBERT WITH PUMP ASSEMBLY GRADE ORIGINAL GRADE INSULATION ascus en mJ �aaxo a uxa �— BOTTOM OF SAND=97.7' NO GROUNDWATER FOUND N.T.S. 84.7' B.O.H. P'_ �a� Nov 02 0.4 06:13p NN 02.20W 15:17 i Beverly Olds 90'7 696 0576 000-000-00000 ' 3+ W o If E Iectr i c, L L C Po Box 241572 An eh or ageAK.99524 Phone 907-240-8270 Fax 907349.1825 November 2, 2004 To Whom It May Concern: RU: F.ot 6 Block 2 Thunder Bird I leighta Woli'Glectric ccr lics chat all electrical in ubovc sorted building and lift. %Utitm is wired to th,: National Cslcetric Coele. tima�ely Welt Wmolin a Performed For: Legal Description: lift S t OAw Depth Ron WAS GROUND WATER - - Date ENCOUNTERED? A%b Net Time � g IF YES. AT WHAT DEPTH? N R L O Depth to Water After P Monitoring? E Date: Reading Date Groes Time Net Time Depth to Water Net Drop t�ewDn-� n �i o v b '�• � �� � 30r' 3L a 3oB A a v ("o" O S'I/V 2 y ,I PERCOLATION RATE I pnkwtte m) PERC HOLE DIAMETER b' TEST RUN BETWEEN �FT AND _FT COMMENTS 4 It PERFORMEDBY: �.,mu rk I CERTIFY THAT THIS TEST WA PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL G LINES IN EFFECT ON THIS DATE. DATE: ilzerlalf '' U 3 a 8 YZ ' 2 ►h.,, I Mllitnidpality of Anctiorage 41-11' Development Services DepartmentBuilding Safety Division h On -Site Water and Wastewater Program ^ 4700 South Bragaw St. 0 2 P.O. Box 196M Anchorage, AK 99618-6660 www.d.anchorage.ak.us N 3 0 (907) 343-7904 R�` r is n�+t3 ONS -SITE SEWERIWELL SUBMITTAL COMMENT SHEET 2 eLegakdescription: THUNDERBIRDwEtGHTS13+DBLOCK2LOI6 ' The attached paperwork has been reviewed and is being returned for the following reasons: .112s a rQ Original signature or stamp missing on z 3❑ Calculation error in design. _ Additional sails information needed. �p ❑ Water monitoring results inadequate. �[] Discrepancy in information submitted. _ a c� Topographic information missing or Inadequate. _ �❑ incomplete; missing,_ s❑ Incomplete; missing _ a 4❑ Additional adequacy test information needed. T { ❑ Water sample unacceptable. _ i; 3 0 ❑ Measured/proposed distances/dimensions missing. 3 ),aa❑ Locations of all soils, percolation and water monitoring tests not shown. M t -a ❑ Proposed system too deep for soils information submitted. _ ! , 3 Well Jog redirect: �, ' �a ❑ Omission in narrative. d `❑ Insufficient fill over tank or field._ ` ^® 'Other.' SEPTIC SYSTEM mn CLOSE TO SURFACE WATER ORIGINAL TEST HOLE MYSTERIOUSLY MOVED L hf ON SITE PLAN NEED TO PAY RE DESIGN FEE OF $115,44, BECAUSE DESIGN CHANGE WAS NEVER NOTIFIED AND INSPECTIONS WERE NOT CALLED IN NEED TO COMPLETE A NEW TEST HOLE WITH GROUND WATER MONITORINQ AND PERC TEST FOR THE ALTERNATE SITE THE MOUNDED IDSF WILL REQUIRE TOPSOIL AND 9itA13SiINF Name of reviewer: JOE QWDALL Date: 11/8/2004 Please supply the necessary information and re -submit your request.