HomeMy WebLinkAboutFOREST RIDGE BLK 2 LT 1Forest Ridge
Block 2
Lot 1
#017-112-98
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Municipality of Anchorage
Community Development Department Page 1 of 1
On -Site Water and Wastewater Program
4700 Elmore St. Y P.O.
Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: N/A
PID Number: 017-112-98 ❑ New ❑✓ Upgrade
Name:
Edwin Kim & Jacqueline
Kim Family Trust
ABSORPTION FIELD
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address
14900 Windsor Cir
❑✓ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
2 0 GPD/SF
N/A FL
LEGAL DESCRIPTION
Depth to pipe invert from original grade
N/A Ft.
Gravel depth beneath pipe
N/A Ft.
Subdivision
Block Lot
Forest Ridge
2 1
Fill added above original grade
N/A FL
Gravel length
20 Ft.
Township
Range Section
Gravel width
18Ft,
Beds: Number of Lines
7
Distance between lines
2.6 Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
360 Ft'
N/A
N/AFt.
Well
N/A
N/A
N/A
N/A
N/A
TANK ❑ Septic ❑ S.T,E.P. ❑ Holding ❑ Other
Manufacturer
Existing
Capacity
Gal.
Surface Water
N/A
N/A
N/A
N/A
Material
Number of compartments
Lot Line
N/A
N/A
N/A
N/A
NA
Foundation
N/A
N/A
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
N/A
N/A
N/A
N/A
Existing
Gal.
RemarksLined I.D.S.F. rebuild.
Removed and replaced
Pump on level at
Pump off level at
I
High water alar at
sand and distribution pipes in lined sand filter
in.
in.
in.
per original design.
Pump make and model
Electrical Inspections performed by
Installer
PIPE MATERIAL House to tank Tank to
drainfieltl 3034
A+ Home Services
Drainfield CO/MT
Inspector Steven R. Pannone
BENCH MARK (Assumed elevation) ft
Inspection 1 6/11/2014
Location and description
2na
30
4"
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
Conditional Approval:
Date+��
l 1�
nnotae
vena8149
l kA d
Approv
Date
lltttRiOtESC��►
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MUNICIPALITY OF ANCHORAGE
Community Development Department 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. 017-112-98
Property owner(s) Edwin Kim & Jacqueline Kim Family Trust Day phone
Mailing address 8750 Tower Estates Cir, Anchorage, AK 99516
Site address 14900 Windsor Circle
Legal description (Sub'd., Block & Lot) Forest Ridge, Block 2, Lot 1
Legal description (Township, Range & Section)
Lot Size 39,273 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑ Initial ❑ Single Family (SF) ❑X
Septic Tank ❑ Upgrade ❑X (w/wo ADU)
Holding Tank ❑ Renewal ElDuplex (D) E]
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.
property owner or
Permit/Rush Fees: --(Sr pirRau Aj, Waiver Fees:
Date of Payment:
Receipt Number:
Permit No.
Permit App_'
Date of Payment:
Receipt Number:
Waiver No.
Pannone Engineering Services «c
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panen ag k.com
June 11, 2014
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Forest Ridge, Block 2, Lot 1
I.D.S.F. Replacement Request
Ladies and Gentlemen:
I am writing to request a permit to replace an intermittent sand filter be issued for this property. The
existing sand filter is inundated. The sand filter will be replaced according to the original specs in the
same location as the existing filter. The lot is served by a private well, that is located over 100' from this
system. The surrounding developed lots are served by private wells that are located over 100' from this
system.
1. I.D.S.F. Design.
a. The replacement I.D.S.F. will be replaced per the specs in permit number: SW940250,
issued July 19, 1994
2. Surface Water: There is no surface water within 100 feet of the existing septic system. The
proposed upgrade will maintain at least 100 feet from all surface water and drainage ditches.
3. Topography: The topography in the area generally slopes to the east at approximately 20% in the
area of the proposed I.D.S.F. replacement.
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor Ave, Anchorage, AK 99510
Telephone: (907) 272-8218 FAX: (907) 272-8211
Page 2 of 2
The proposed installation will not affect the future development of the surrounding or existing lots. There
are no wells or septic systems within 100 feet of the proposed septic location.
If you have any questions or concerns, please contact me at 272-8218.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
Attachments
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99510
Telephone: (907) 272-8218 PAX: (907) 272-8211
Municipality of Anchorage
.� Development Services Department
Building Safety Division
On -Site Water 8 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 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number. SW020465 PID Number. 017-112-98
Name:PEGGY GONZALEZ
Wastewater System: O New ■ Upgrade
Address:
14900 S. WINDSOR CIRCLE
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 261-7698 4
ClDeep Trench U Shallow Trench Mad O Mound ■ Other*
LEGAL DESCRIPTION
son Rating:Total
2.0
Depth from aApinol gods:
N/A
CPO /sy.
n rt
Block: Lot: Subdivision:
Depth to pipe bottom from original prod.:
Crawl depth beneath pipe.
2 1 FOREST RIDGE
N/A rL
N/A rL
Township: Range: Section:
rlil added above original grad•:
oravel length:
— — —
N/A rt
20 iL
WELL: ❑ New 0 Upgrade
Gravel *Wth:
18
Number of Kne c
7
Distance between Ims:
2.6
Ft.
rt
Cloaifcation Private, A.8,C): Total
Coved To:
Total aboorption ons:
Pipe material:
R
R
360 so. FL
D 3034/ F-810/ SCH 40
Ddler. Dote "od:
Static water Lr.*:
krtoUr.
AKWWC
Date bulalled:
11/26/2002
s.
Tla d:
Pump Set At
Coming Height Above Ground:
TANK
CM
n
R
SEPARATION
DISTANCES
Cl Septic 0Holding 0S.T.E.P. 0Other
To
SepticUft
Uned ISF
Holding
ubge/Prlvots
Manufacturer.
capacity In gallow
From
Tank
Station
Tank
Sewer Lime
Well
—
100+
—
—
25 ' +
Yoterfal:
Number of Comportments:
Surface Water
—
100'+
—
—
—
LIFT STATION
Lot Line
—
10'+
—
—
—
Size In gollone:
Manulocbwer.
Foundation
—
10'+
—
—
—
Imp on Mnl al:
Pump off at
High water olorm at
Curtain Drain
NONE KNOW
Pump Mab
Electrical Inspections performed by
Remarks:
BENCH MARK
*RE—BUILT LINED I.S.F.
location and oeecdptlon.
TOP OF GARAGE SLAB
Assumed E4votion. 100.00
rt
ENGINEER'S SEAL
op000 ��
oa O
��.••• �gs;�00
AKWWC INC.
Inspections performed by: m Dates: 1ST 11 /26/02
Qoo
o * ` 4 v�0
... •.
2ND 11/26/02
QO fir Garness
Development Servic royal
—7953 'fReviewed
7eprtmeUtAA
and approved by: te:�03
Q�p 0,Professloft'oo
(Rev. 12/01)711'f-77
00400000
A 7 B
i �9`Oy FCO 30.41 18.04
ST1 35.99 25.61
,cP ST2 41.02 31.08
MH 43.36 33.46
i \ MTt 62.80 42.75
12/16/02 OF q
WN BY: "'�
ORA Op �••.... .... .
ALASKA N'VATER & WAS1'I?`�TAI R B s c T y00
CONSULTANTS, INC. sem'
^ -
6901 DEBARK ROAD. SUITE 29 •ANCHORAGE. AK 99504 • PHONE (907)357-6T?() • FAX (907)J3B•StL1 30. ........... .. ............. — D
PREPARED FOR: PHONE NUMBER: PACE NUMBER: Q .
PEGGY GONZALEZ (907) 261-7698 2 OF 3 QO 1 ey A. Gorn s;
LECAL DESCRIPTION: 10 19 `c4`x
LOT 1, BLOCK 2; FOREST RIDGE SUBDIVISION
TYPE OF WORK: 040e �'� fessto^o\�Q�
AS—BUILT OF REBUILT LINED I.S.F. 4000000��4
MT2 69.56
52.92
\
MT3 70.47
41.86
\
MT4 79.45
53.93
'
i
OLPT 72.4
49.2
N
EXISTING
4 BEDROOM
O
i
HOUSE
C
I
I Z
�
I
� .... ,a♦
FCO
C
('
I I
:aa
�
C --
II
I
I
$T1
II
i
ST2
1 U) i
I
I
ORIGINAL PUMP MH
VAULT •..:
O
II
.. ..f
II
i
I
I
I
I
IMTt
I EXISITNG 1500 CALLON,
I S.T.E•P. TANK /
I
I
JMT2
i
/
REBUILT 20 FE ET,BY 18 FEET LINED I.S.F.
4
I
,�
'I
II
EXISRNC DRAINFlELD
1
I
I
12/16/02 OF q
WN BY: "'�
ORA Op �••.... .... .
ALASKA N'VATER & WAS1'I?`�TAI R B s c T y00
CONSULTANTS, INC. sem'
^ -
6901 DEBARK ROAD. SUITE 29 •ANCHORAGE. AK 99504 • PHONE (907)357-6T?() • FAX (907)J3B•StL1 30. ........... .. ............. — D
PREPARED FOR: PHONE NUMBER: PACE NUMBER: Q .
PEGGY GONZALEZ (907) 261-7698 2 OF 3 QO 1 ey A. Gorn s;
LECAL DESCRIPTION: 10 19 `c4`x
LOT 1, BLOCK 2; FOREST RIDGE SUBDIVISION
TYPE OF WORK: 040e �'� fessto^o\�Q�
AS—BUILT OF REBUILT LINED I.S.F. 4000000��4
PERMIT NUMBER: PARCEL ID NUMBER:
SW020465 AS -BUILT DRAWING 017-112-98
USING S&S ENGINEERING'S BENCHMARK
(TOP OF GARAGE SLAB) WE FOUND THE ELEVATION AT
THE TOP OF THE SAND IN THE EXISTING SYSTEM TO BE
99.6 , RATHER THAN 100.00 , AS NOTED ON THE 1994
INSPECTION REPORT. WE RAISED THE SYSTEM BY ,2 FEET
MAKING THE NEW TOP OF SAND ELEVATION 98.8
VALVE AND COVER
MONTIORING TUBE
FILTER FABRIC
ALASKA WXTI✓R & NVAS FrEl WATER
CONSULTANTS, INC. --
6901 DEBARR ROAD. SUITE 29 • ANCHORAGE, AK 99504 • PHONE (907)337-6179 • FAX (907)338-324
PREPARED FOR: PHONE NUMBER:
PEGGY GONZALEZ (907) 261-7698
LEGAL DESCRIPTION:
FOREST RIDGE S/D; LOT 1, BLOCK 2;
TYPE OF WORK:
PROFILE AS—BUILT OF REBUILT LINED ISF
GRADE - 102.58 — 103.86
OF PIPE - 100.22
1
B.S.G.
LE:
N.T.S.
E NUMBER:
3 OF 3
-FROM S.T.E.P.
TANK
f Gorness'
4�� P fession�ob
Oppp�
Municipality of Anchorage Page I of
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: S/✓94OZSO PID Number: 017//29P
Name:
Wastewater System: ❑ New ❑ Upgrade
AJOAcc,e
Address:
z?vo ca�.� c/n«E
ABSORPTION FIELD
PAeRes
GE �j95/(p
No. of Bedrooms:
❑ Deep TrenchS hallow Trench C3Bed ❑ Mound ❑ Other
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade:
Z GPD/Sc. Ft.
?'
Lot: Block: Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe
2 7GL�T ZID6 r
Z Ft.
/ Ft.
Township:
Range:
Section:_
Fill added above original grade:
Gravel length:
O Ft.
(v SFt.
WELL: 0 New ❑ Upgrade
Gravel width:
Numberoflines:
Distance between lines:
Ft.
/
4r, Ft.
Classification (Private, A,B,C):
�,Q/Vf1T�
Total Depth:
Cased To:
Total absorption area:
Pipe material:
Ft.
Ft.
3173,6* SO. Ft.
M t7303V1 ?VC-
Driller:
Date Drilled:
Static Water Level:
Installer:
Date installed, py
Ft.
C 40,V L/D6PY
q-23'/I
Yield:
Pump Set at:
Casing Height Above Ground:
TANK
GPM
Ft.
Ft.
SEPARATION
DISTANCES
❑ Septic ❑ Holding XS.T.E.P.
To
Septic
Absorption
Litt
Holding
Public/Private
Manufacturer:
Capacity in gallons:
From
Tank
Field
Station
Tank
Sewer Lines
A7AA1,,4--
1,06
Welt,
134j'
`[j 5-/
IVY'
t
2St
Material:
SSCTG
Number of Compartments:
2
Surface
106'.1-
/00'r
/AD a
LIFT STATION
Lot
Line
,
/a t
/0,./-
/
/O
Size in gallons:
Manufacturer:
I 41vcfIORr}
/5'00
E % .E..
Foundation
3� ,
,
"Pump on" level at:
"Pump off' level at:
High water alarm at:
i,
JP
3k
33"
96*"
Curtain
NONe
KBO
Pump Make &Model
Electrical Inspections performed by:
Drain
OS OSHN
.O• /-I.
Remarks:
BENCH MARK
Location and Description:
7-EM - 716P OL' 6•1494C9 — SGiI$
Assumed Elevation:
/";lo .00
ENGINEER'S SEAL
�6a � t
S & S ENGINEERING
17034 Eagle River Loop Road, No. 204
Inspections performed by: Fill River, Alaska 99577 Dates: 1st 9 JS-9y
h st1tt�
M
2nd 9 -22 -9`/
-o g ROBERT C. COW AN i 4�.71e
Department of Hea d HumLe�vices approval.�
Ce-Saol ! ��PP✓✓
Reviewed and approved Date:
72-013 (Rev. 9/91) MOA 25
Permit No SW940250 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 Descriptior�OREST RIDGE SUBD.; BLOCK 2, LOT 1 PID No.: 01711298
113 A (1/93)'
30'
N
J
Q
LL
it
yO 1-i
S
V
u�
{W
9
that BUILT
AS
_ _ :::e rrorct! 3epl:: tr. abc•.'e av' that
r .m �. r.O ancrrx.ch.^.'ents t:xist extra: &. in,5i-
GA..:C?LSI IA• �K` Yii:.I h„ ri t..ha.
c4.tG'. It is the, :esgC.r ;i •'litY
Q-'ic 'fc>L' kict"? A`n'.. o:•:�es tC cc'.`.F2:Iili,e t11E; cS:-Bt:-'•'.:C? Gi aY,)'
L�•.iCtiOns q
whish 3o rot acp,a -+ .>_e re or`3 a EE.
ph- Vie -;aa s:A ivisvan plat. "rder 110
�..--. C -s s1.cc-�' any t?d t- ;ec;-: r, to .�=r•3 .cr
GAL J::i_ cPs
313.1 :-1..�a eLLy :.. itl.Ce. l.ns3
F.G. •J"" C1G• 17�.:'?AGE PFi %:?�^Ii;G Ji5'IF.L7:', biASM
—_—
1[
9
8
7i
H 6;
t`
z 5C
w
U
0
w 40
a
30
20
10
0
2C
GRAIN,SIZE DISTRIBUTION TEST REPORT
GRAIN S;ZE - mmV 1 0101 0.001
Lwl 1 ti 1 0,05-1
.4
_ A --'Nu
♦ 19
0 . 0
_ 49.5 "—
43.1
--------
35.8
---
r' 20
C.0
0.6
_—f.—.---
9 7.5
LL
050
030 015
A
16.56
8.02
5.12 1.256
0,3A5,
-moi o
21.13
9.84
4.52 0.525
U.Q78f
2.21
0.95-
0,74 0.465
0 ?951
MATERIAL
DESCRIPTION ---^-
5.5
14.7
010 Cc C,
0.1818 1.O8 44.2
0.2413 0,94 3.S
• BROWN GRAVEL WITH SILT AND SANG '� �"— — USCS AASH TO
SROWN SILTY GRAVEL WITH SAND GW -GM
9 ■ LT. BR.OWNSAN ) `�- GM
PrCJeCt No.: 230OC ' ---- '�''� SP
Protect: S 6 S ENGINEERING J Remarks:
jp Location: #10 I SAMPLE DELIVERED TO RPXA
lA Location: 09
�Location: LOT1, SLK2 FOREST RIDGE SAND FILTER
DatB: i0-pn-on
GRAIN SIZE DISTRIBUTION TEST REPORTI
RODNEY P. KINNEY ASSOCIATES � F19u a Na.4
COLONY BUILDERS 907 345 6934 P. OZ
INS{ECT ION REPORT:
. "'.4 hi(1NICIFALI'2Y! ANCHORAGE, BUILDING SACL+ DIVIss]:mi
0',00 EAST T UVO.P, ROAD
.,:va:.:u.-::. z: :x: ,::x n'<.__., ,........__. ,. .__.•_•.rx Li ! STsIQ v.'.)�
a'r't ljl t:, :1 lltp ,v
i;NY DU ; r,or:la = .° -
:1DI1t}::: S;: I990� u WINDSOR, CIP t•tIONE 9: r 4A-62.1 3
I,WX 7. BLOCK: a suvlrl: FOu $7 kdlO DAT V,
COtSHrVT : COP. WELL & SEPTIC ONLY Fn INSY
I.00K fiUY. CGrix U t; rt f,
'I'YPP; Or INSI'EC1.10u: tLrcnzICG.[,. F NAf
0 0
1
I NNO NONCOMPLIANCE MODSERVGIl__--- --1 [- -
2 CORRECTIONS-E-OGENTIAI.-
EXPLAINED BELOW
1: I WILL Rr;LXAMINL: Al NEXT INSPrei'ION f: 7 tit) NOT CS"NCEAL LIN IL T;CINSPE.CTED
COMMENTS':
r i
INSPECTOR: DATE j }
c �_�t�nw71--------___------..----
w N CORRGCTIONS ARE MADE. PLEASE CALL FOR INSPECTION
DO NDT REMOVE TItIS NOTICE
COLONY BUILDERS
..
LOCATION OF WELL
907 345 6934
STAT" F ALASKA
DEPARTMT 0 v
ENATURAL RESOURCES
DIVISION OF WATER
WATER WELL RECORD
P.01
BOROUGH
suaOrvWQNc. LOT
BLOCK.
SECTION QTnS
SECTION
TOWNSHIP
RANGE MERDIA'N
❑N
❑E
❑s
❑w
LOCATION/SKETCH: -7--
WE�LL' QWNER:
•
( �7�ti(.Df
DEPTHS MEASURED FROM:❑oasing top ❑ground surface
WELL DEPTH: DATE OF COMPLETION
Depth of holo _.2_ ft
BOREHOLE DATA Depth
MaterialType and Color From
Depth of casing:_ ,Z IQ_ft
To
DEPTH TO STATIC WATER LEVEL-
M ��
�_ft below Gtop of casing ❑ ground surface
a
J Z
Date:
METHOD OF DRILLING: ❑ air rotary ❑ cable tool
O other
USE OF WELL: (domestic Q irrigation. ❑ monitor
G
1141
❑ public supply ❑ other
CASING STICK-UP• tt. Diam• 6 in. tol--lofft
G118,
Casing type: in. to ,�ft
WELL INTAKE OPENING TYPE: ❑ open end ❑ screened
0
❑ perforated ftd open hole
k2 iv
Q
Depths of openings: to ft
IF
SCREEN TYPE: Diam: in.
Slot/Mesh Size: Length: ft
GRAVEL PACK TYPE:
Vollune used: Depth to top:
GROUT TYPE: Volume:
Depth: from It to it
DEVELOPMENT METHOD: Qu
Duration: /...9.r ,
PUMP NG LEVEL AND YIELD:
ft after hrs pumping gpm
PUMP INTAKE DEPTH- ft Horsepower:
WELL DISINFECTED UPON COMPLETION? -4-,1 YES ❑ NO
CONTRACTOR INFOR ATION: REMARKS:
� e
Reg red vsmess Name
PLEASE MAIL WHITE COPY OF LOGr{f0:
9 ommnns(ON OF WATER d;
ignature of quth nzed espresent veat0 a PO BOX 772116+,
EAGLE RIVER AK 99577-2116
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM
PERMIT NUMBER:SW940250
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:NORCOL INVESTMENTS
OWNER ADDRESS:2340 LOREN CIRCLE
ANCHORAGE, AK 99516
PARCEL ID:01711298
LEGAL DESCRIPTION: FOREST RIDGE BLK 2 LT 1
LOT SIZE: 39273 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF 2
/ fr -Y as
9fi.4v
z-
r9�tt@t6�o (�►�
PERMIT
DATE ISSUED: 7/19/94
EXPIRATION DATE: 7/19/95
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS) .
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THE SAND USED IN THE FILTER SHALL BE CENTRAL PAVING PRODUCTS
ROAD SAND WITH LESS THAN 1% PASSING THE #200 SIEVE AND LESS
THAN 3% PASSING THE #100 SIEVE.
THE ATTACHED HOMEOWNERS AGREEMENT SHALL BE PART OF THIS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PERMIT.
FOUR MANDATORY INSPECTIONS BY DHHS PERSONEL WILL BE
CONDUCTED DURING CONSTRUCTION. THESE WILL OCCUR AT:
A) WHEN THE FILTER IS FRAMED AND THE UNCOVERED LINER IS IN
PLACE.
B) AFTER THE AIRLINE IS INSTALLED, BUT NOT COVERED.
C) AT THE TIME OF THE PRESSURE TEST OF THE DISTRIBUTION
LINES.
D) AFTER FINAL GRADING. -
RECEIVED P
ISSUED BY:
PAGE 2 OF 2
DATE: - 0 -?
DATE: 1 1 1 q i 7f-
to
HEALTHAUTHORITY
APPROVALS
July 08, 1994
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
CIVIL ENGINEERS
(907)694-2979
FAX 694-1211
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 'L' Street
SEWER &WATER P.O. BOX 196650
MAIN EXTENSIONS Anchorage, Alaska 99519-6650
SEWER WATER
INSPECTION REFERENCE: Forest Ridge Subdivision; Lot 1; Block 2
ENGINEERING STUDIES
AND REPORTS Attached is the completed design for the installation of the
Intermittent Sand Filter for the referenced property as per our letter
dated June 16, 1994.
WELLINSPECTION A test hole was excavated and a percolation test performed. The
&FLOW TEST approximate location of the test hole is located on the attached site
plan.
This property has enough area for a future septic upgrade which can be
SITE PLANS seen on the attached site plan. If you have any questions, or require
additional information for your review, please contact us.
Since y,
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
A. Shafer, P.E.
jk
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
LEGAL FOREST RIDGE SUBDIVISION, BLOCK 2
ya ����thPp DRAWN J. ANDERSON CKD. R.A.S. DATI
STRUCTURES, EASEMENTS, OR ENCROACHMENTS
SHOWN ON THIS SITE PLAN ARE AS SHOWN ON
AN AS—BUILT SURVEY DRAWN BY:
A GASTALDI LAND SURVEYING
IT IS THE RESPONSIBILTIY OF THE CONTRACTOR
TO VERIFY EASEMENTS, REQUIRED SEPARATION—
DISTANCES, AND PROPERTY LINES PRIOR TO
E9C�E 41VCRL RSVP CONSTRUCTION. i -----
DESIGN CRITERIA:
4 BDRM = 600 GPD
APPLICATION RATE FOR I
POLISHED EFFLUENT = 2 GPD/SQ.FT.
600/2 = 300 SQ.FT. REQ'D
DRAINFIELD:
3' DEEP
2' SAND FILTER IN ACCORDANCE WITH
,
M.O.A. SPECS.
(I'
1' EFFECTIVE
5' WIDE
60' LONG
W
SAND FILTER:
h
20' X 18'
BDRM
SEE SHT 2 OF 3
o
AND SHT 3 OF 3
Q
HOUSEDRIVE
_E
•I�
PRESSURE DIST. SYSTEM
Im
PUMP=20 OSI 05HH--5 STAGE( -30 GPM)
1
2 LATERALS- 28' LONG EA. - 15 GPM/LAT
15 HOLES/LAT. (2' D.C.) 30 HOLES TOTAL
= +1 GPM/HOLE
I Lo
1/4" DIA. HOLES FACED DOWNWARD
i
1-1/4" DIA. LATERALS
cn
1-1/4" DIA. SOLID MANIFOLD
AI.L PORTIONS OF SYSTEM
WITH LESS THAN 3.5' OF
COVER REQUIRE INSULATION
- N
7-5-94 1 SHT. 1 OF 3
PROP.
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PROP.
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PROP. SAND FILTER
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CONTRACTOR IS REQUIRED TO
OBTAIN UTILITY LOCATES
f
PRIOR TO ANY EXCAVATION
9IdH
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WORK.
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I THE ENC,WEER Nor VTR! THE
PROP. PRESSUREt
ETES �I NS D DESIGN
DIST. TRENCH
NECESi4Rr, TO MEET SnE
CONprtI0N5.
LEGAL FOREST RIDGE SUBDIVISION, BLOC
DRAWN J. ANDERSON I CKD. R.A.S.
Orifice Shield
1/4" Orifice w/
SOLE RryEP,removable plug
z
COVER
1/8" Orifice-/ L-1/2•' Dia. SCH 40
PVC Laterals
CONDUIT
1 1-2• Insul. SHIELD duemu aevd)"P�= PSP
1/2' DIA, SCH 40 PVC LATERALS-�
1.25" Ola. SCH 40 BOOT The boot p GRAI
—Flange is bonded to th 30 Mil liner ,/ 3' under
e Insul. +35 psi �'P. TEP / Lateral.
Ends] �R�at,yed� d SAND
TO DnaU3ER PSE PIPE 1/m_Pada Rar"o nld'4n</tae° a"°{n
_C PVC CAP — — — — —
SAND FILTER PERIMETER -I
SUPPORT FRAME: 1/2' Plywood
Sheets
f -
Z
2, LOT 1
DATE] -5-94
\-27 SAND LEVELING LAYER �•, !V
,rrff � zD"
below 30 Mil PVC liner
" CASS 125 SLOTTED PVC PIPE
,v
he under -drain may be laid
EFFLUENT
24a DIA -
8" EXTRUDED BURIAL
FROM THE
POLYSTYRENE INSULATION
SEPTIC
Mil PVC Liner
TANK 24•'
INSUL.
J
LINE
O3/4"-2"
JACKETED 6••
0.
INSULATED ARTIC PIPE _
a
1/8" Orifice-/ L-1/2•' Dia. SCH 40
PVC Laterals
CONDUIT
1 1-2• Insul. SHIELD duemu aevd)"P�= PSP
1/2' DIA, SCH 40 PVC LATERALS-�
1.25" Ola. SCH 40 BOOT The boot p GRAI
—Flange is bonded to th 30 Mil liner ,/ 3' under
e Insul. +35 psi �'P. TEP / Lateral.
Ends] �R�at,yed� d SAND
TO DnaU3ER PSE PIPE 1/m_Pada Rar"o nld'4n</tae° a"°{n
_C PVC CAP — — — — —
SAND FILTER PERIMETER -I
SUPPORT FRAME: 1/2' Plywood
Sheets
f -
Z
2, LOT 1
DATE] -5-94
\-27 SAND LEVELING LAYER �•, !V
,rrff � zD"
below 30 Mil PVC liner
" CASS 125 SLOTTED PVC PIPE
,v
he under -drain may be laid
lat.
24a DIA -
8" EXTRUDED BURIAL
DEPRESSION
POLYSTYRENE INSULATION
OR APPROVED EQUAL
Mil PVC Liner
SHT.2 OF 3
RGLASS LID, BOLT, NEOPRENE
(ET AND POLYSTYRENE INSULATION (OPT)
I" Dia. PVC Has &
Valve Assembly 4" MONITOR PIPE SLOTTED
/ IN GRAVEL LAYER, ONE EACH
CORNER OF BED (TYPJ
PVC THREADED CAP CLEAN OUT
VC
HOSE (CPT —� #3 REBAR
wsul.km 0-e VIDE MALE ADAPTER
Sand neer Effluent mecieese PVC RISER
ssEswss�--e• 8"R PV PVC COUPLING
-1" HOSE & VALVE ASSY. FLUSHING 2'• DIA CL200
LINE FLUSHING LINE
--PUMP BASIN 15'DIA.x6l" HIGH AND, Backfill between
w/ NEOPRENE GROMMETS the plywood and the
AIR line excavated walls
�C= ABOVE BOTTOM OF SAND -
i=1/z'
IIIlilillllllllllllllllllllllll `-'2" Insnl. +35 psi
Burial Rated
4" PVC CAP
BMERSIBLE PUMP
)SI w MF -AF FLOAT ASSY.
1 4" PEA GRAVEL
I/'0 Round Rock
around and r -drain
3
w
z
a
CL
CL
LEGAL FOREST RIDGE SUBDIVISION, BLOCK 2, LOT 1
DRAWN J. ANDERSON I CKD. R.A.S.I DATE7-5-94 SHT3 OF 3
F9��E
RIVER AL
30 MIL PVC LINER ORIFICE SHEILD
12,E ORENCO MODEL LI 1
24°
4" PVC CAP -
TRANSITION
to difuser
line
1" or 1-1/4" DIA. PVC
BOOT (The boot flange
is bonded to 30 mil.
liner)
Effluent from
septic tank
'/4" -2" JACKETED�
nsulated HDPE ARTIC PIPE
1-1/4" DIA. CL200 PVC
TRANSPORT LINE
1/2" DIA. SCH 40 PVC LATERAL W/.
O 1/8" DIA. ORIFICE SPACED 2' O.C,�
PUMP BASIN 15" DIA.
4" DIA.�CLASS 125 SLOTTED PVC PffP:
(CUT 1/4" WIDE SLOTS 2-1.Z2" DEEP
AND AT 4"
32"
O
0 0��
24"
w
J
2" INSULATION 2" SLOTTED 4 ,('VC PIPE (cut 1/4"
Vi around perimeter wide slots O.C.-orient slots
of filter down to drain.
z 20' x 18'
SAND FILTER W/ PUMP BASIN
REBAR, locate one
each corner clean-out
ITOR TUBE
TO PUMP CONTROL
PANEL:Model SSF-1PTCT
-4" PVC CAP
�TO DRAINFIELD
ORENCO
linear air
difuser
2" DIA. CL200 PVC
FLUSHING LINE
2" FLUSHING VALVE w/8" PVC
access riser and fiberglass cover
Proposed Forest Ridge Subdivision; Lot 1; Block 2
ENT SAND FILTER
DESIGN
INTERMITTENT SAND FILTER SPECIFICATIONS
Forest Ridge Subdivision; Lot 1; Block 2
The work covered by these specifications and the plans consist of furnishing all
labor, materials, tools, transportation, and equipment necessary to complete an
intermittent sand filter system as described herein and on the attached
drawings.
All work under this project shall comply with the latest edition and addenda to
all applicable codes, ordinances and standards including MOA-DHHS septic
installation guidelines and On -Site Wastewater Disposal Systems permits.
4 Bedroom single family home = 600 GPD
Soil acceptance rate = .06 GPD/SF
Use 2.0 GPD/SF for polished effluent
300 S.F. required
Using a 5' wide drainfield with 1' effective depth
300/5 = 60 LF
Construct drainfield as shown on attached site plan.
SITE INVESTIGATION
The Contractor who proposes to complete this project must carefully examine the
project documents, have full knowledge thereof, have investigated the site, and
be satisfied with the conditions affecting the work. Conditions include, but
are not limited to those bearing upon transportation, disposal, handling and
storage of materials, availability of labor, water, electric power, roads, and
uncertainties of weather, physical conditions at the site including all
underground utilities, the conformation and conditions of the ground, the
character of equipment and facilities needed preliminary to and during
prosecution of the work. The Contractor must be satisfied with the character,
quality and quantity of surface and subsurface materials or obstacles to be
encountered insofar as this information is reasonably ascertainable from an
inspection of the site, including all prior exploratory work, as well as from
information presented by the plans and specifications made a part of this
project. Any failure by the Contractor to become acquainted with the available
information will not relieve him/her from responsiblity for performing the work
as stated in these specifications and drawings.
Locations of utilities shown on the plans are not exact. Above ground utilities
have been field located. Below ground utilities are shown as depicted on
"as -built" plans. The Owner and his Engineer shall not be held liable for
Page Two
Forest Ridge Subdivision; Lot 1; Block 2
July 07, 1994
damages to utilities incurred during construction due to deficiencies or
omissions on the plans.
At least 24 hours prior to commencing work, the Contractor shall contact all
local utility companies to obtain underground utility locates. The Contractor
shall exert due care to prevent damage to utilities. Should a utility be
damaged, the Contractor shall notify the utility company and shall have repaired
at his own expense any damage resulting from failure of the Contractor to
request an underground utility locate or to exert due care. If any utility
company determines that a utility has to be temporarily raised, lowered, moved,
guyed, shored, braced or otherwise protected during construction, it shall be
done at the expense of the Contractor to the satisfaction of the utility
company.
Typically, there will be a minimum of eight (8) inspections required during the
installation of the wastewater disposal system. These inspections will occur as
follows:
Inspection of work in progress may be made by the Engineer and MOA - DHHS at any
time. The following schedule of required inspections is to be adhered to. 24
hour notice is required prior to each inspection. Inspections can only be
arranged during weekdays and during normal working hours. The following
inspection schedule is to be strictly adhered to:
1. Septic tank/lift station is in place, but not backfilled. Sewer piping
from building to tank is complete, properly bedded and backfilled.
2. Sand filter pit is excavated and prepared for filter construction.
Prior to placement of filter liner material.
3. Engineer to be notified with Contractor's schedule during actual
construction of the sand filter to allow spot inspection during
construction. Any deviation from reported schedule is to be reported to
the Engineer.
4. Final inspection of the sand filter with all pressure piping in place,
but prior to placement of cover material. Flow testing of pressure
piping at this time will require completion of lift station wiring prior
to this inspection.
Page Three
Forest Ridge Subdivision; Lot 1; Block 2
July 07, 1994
5. Inspection of open trench excavation of leaching trench as per MOA code.
6. Inspection of leaching trench prior to final backfill with all piping in
place. Inspection will require pressure testing of leachfield piping
with sand filter pump in place.
7. Inspection of final grading.
The Owner shall contract with the Contractor to perform the work outlined in
these specifications and plans and in accordance with the attached MOA permit.
There will be no contractual arrangement existing between the Contractor and S &
S Engineering. S & S Engineering shall be the Owner's representative and will
inspect the work as stated above to document the Contractor's activities. Final
acceptance of the Contractor's work rests with the Owner and the MOA.
S & S Engineering shall have no liability to the owner or to others for acts or
omissions of the Contractor or any other persons performing work on this project
or the failure of the Contractor to carry out the work in accordance with these
construction documents. S & S Engineering's inspecting Engineer will not be
responsible for the construction means, methods, techniques, sequence,
procedures or the safety precautions incident to this project.
All landscaping, fences, sidewalks, paving, driveways, utility markers and other
improvements, removed to facilitate the Contractor's operations shall be fully
restored to their original condition and location by the Contractor unless
otherwise directed by the Engineer. Items damaged by the Contractor during
removal, storage, or restoration, shall be repaired or replaced in kind by the
Contractor. This work shall be considered incidental to the project.
Page Four
Forest Ridge Subdivision; Lot 1; Block 2
July 07, 1994
MINIMUM MATERIAL SPECIFICATIONS
1. Any septic tank proposed for installation must be constructed by a
Municipally approved septic tank manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Type of Pipe
Perforated
Solid
Cast Iron
Yes
Yes
ASTM D3034 (PVC)
Yes
Yes
ASTM F810 (HDPE)
Yes
No
ASTM D2662 (ABS)
Yes
Yes
ASTM D2241
Yes
Yes
ASTM D2239-74
Yes
Yes
Use of a type of pipe other than listed above must be approved by the
inspecting Engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene
(Dow Chemical Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, or equal)
must be installed between the final leachfield gravel layer and the
native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel
with less than 3% passing the #200 sieve.
7. When sand is being used as a filter material, its gradation
specifications must conform to current MOA or DEC requirements.
Page Five
Forest Ridge Subdivision; Lot 1; Block 2
July 07, 1994
SEPTIC TANKAIFT STATICN
A. General
The work under this section consists of the performance of all operations
pertaining to furnishing and installing the septic tank/lift station and piping
to the sand filter.
B. Materials
1. Tank for Lift Systems:
a. Septic tank shall be a 1500 gallon two compartment steel tank
specifically for the use of Orenco Systems Inc. patented lift station
assembly Orenco No. 4200.
b. The tanks shall be designed for soil loading conditions as required by
Municipal and State regulations. The design or analysis shall be in
accordance with accepted engineering practice and local regulatory
agencies.
c. All welding shall be in accordance with applicable codes and standards.
2. Risers
a. First compartment shall have a separate 4" pumpout riser. The second
compartment shall have a separate four inch pumpout riser.
b. An additional second compartment outlet riser shall be 12 gauge sheet
steel, and shall extend 12 inches (minimum), above surface grade, shall
have a minimum nominal diameter of 24 inches, and shall be capable of
being equipped with the following:
1. A junction (Nema 4x) box or equal, bonded or attached to the riser.
2. UL listed electrical cord grips, installed in the J -box.
c. A lid - shall be furnished with the riser. It shall be constructed of
fiberglass or equivalent aggregate finish. Meet H-10 loading
requirements and have a latching mechanism.
Page Six
Forest Ridge Subdivision; Lot 1; Block 2
July 07, 1994
d. Riser installation - each riser shall be sealed or welded to the top of
the tank in such a manner as to prevent infiltration of ground water.
e. Lid Insulation - four inch rigid extruded polystyrene shall be placed in
the riser directly below and attached to the lid.
f. Riser Insulation - two inch sprayed shop applied urethane on
circumference of riser with 46465 Tnemec coating.
3. Effluent Pumping Assembly:
a. Effluent pumping assembly shall be Orenco systems (TM) model
20-OSI-05-HHF series consisting of following:
1. z H.P. 110 volt or equal U.L. listed effluent pump.
2. Screened pump vault (U.S. patent No. 4439323) 59 inches deep, 3/16
inch thick high-density PVC cylinder houses the pump, level
controls and screen and serves as a baffle to prevent the screen
from clogging.
Fifteen 1z" diameter holes are drilled in the vault at a level that
places them at about the midway point in the depth of the septic.
Flap check: Allows the vault to drain when removing the tank.
Screen: 15 inch diameter cylinder of high-density polyethylene 1/8
inch mesh.
3. All piping shall be PVC or other non -corroding material.
b. Pump controls and alarm system -
Control shall be Orenco systems SICTETMRO 110 volt with following
options consisting of:
1. Event counter.
2. Elapsed time meter.
3. Program timer.
4. 10 watt heater.
Page Seven
Forest Ridge Subdivision; Lot 1; Block 2
July 07, 1994
5. Remote alarm panel option with a minimum of 80 DB sound pressure at
24 inches, 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 lk" PVC schedule
40 solvent weld piping properly bedded as described in Materials
Specifications and sloped to drain back to the septic tank. Insulation
board 2" thick and 2' wide centered over pipe is to be placed where soil
cover is less than 4' depth over pipe.
[���iy Y: .N �.� 97•. I�..N
In order to insure proper inspection procedure the system is to be installed in
the following order:
1. Sewer line from house to tank
2. Septic tank/lift station
3. Sand filter
4. Leachfield
5. Final grading
Page Eight
Forest Ridge Subdivision; Lot 1; Block 2
July 07, 1994
1. Pipe Grade and Alignment:
Variance of individual pipe sections from established line and grade shall not
be greater than 0.02 feet, providing that such variance does not result in a
level or reverse sloping invert.
During the progress of the work, the Contractor shall provide instruments such
as transits, or levels, for transferring grades from offset hubs or other
construction guides from the control points and bench marks provided to the
Contractor by the Engineer. The Contractor shall provide qualified personnel to
use such instruments and who shall have the duty and responsibility for placing
and maintaining such construction guides.
2. Pipe Laying:
All pipe shall be laid with Class C Bedding, free of large stones 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 watertight 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 securely and satisfactorily closed so that no undesirable substance will
enter the end of the pipe or fittings.
3. Bedding of Pipe for Sewer Lines:
The pipe should be bedded with Class C Bedding materials compacted to 95
percent. Native materials may be used as backfill material above the pipe,
provided it is free of large stones and organic matter to a point one foot above
the top of the pipe.
Installation. All pumping services shall be installed in accordance with the
manufacturer's recommendations and standards. Electrical installation is to be
to code by licensed electrical contractor, with Municipal inspection where
required. If MOA inspection not required, a licensed electrician is to provide
letter to the Engineer stating that the system meets or exceeds all applicable
Codes.
Page Nine
Forest Ridge Subdivision; Lot 1; Block 2
July 07, 1994
4. Excavation:
a. Excavate to proper depth to allow gravity flow, install tank level,
tolerance 0.01 foot, on undisturbed or compacted to 95 percent
classified sand fill material. Line excavated tank pit walls with two
inches +35 PSI burial foam full depth of tank. Backfill between tank
and foam with sand material and compact, in a manner to prevent damage
to tank surface coating.
b. Create a level sand surface over tank and add two inches burial foam +35
PSI directly over tank. Mound unclassified soil over tank location to a
depth of two feet above finished grade to allow positive drainage away
from tank and counteract buoyancy.
5. Connections:
a. All connections to be as per MOA - DHHS and UPS requirements PVC 3034
piping with Caulder or equivalent couplings for inlet riser pipes.
b. All tank connections are to be completely water tight.
SAND FILTER
The work under this Section consists of the performance of all operations
pertaining to furnishing and installing the sand filter.
A. Materials
1. Sand Filter:
a. The contractor shall provide a washed sand to meet ASTM C-33 Concrete
Sand specifications with the additional requirement that all but 1
percent of the materials passing the #100 sieve be removed. A sample of
the proposed filter sand must be submitted to the Engineer for testing
one week prior to construction. A sample will be taken from the sand
bed during construction for purposes of quality control. If the sample
does not meet specifications, all sand will be removed and replaced.
Page Ten
Forest Ridge Subdivision; Lot 1; Block 2
July 07, 1994
b. Contractor shall be responsible for providing pea gravel. Where pea
gravel is specified, the pea gravel shall be a washed material
containing no fines (0 percent passing the #100 sieve) and a maximum
size of ;" diameter.
c. Contractor shall be responsible for providing round rock. Where round
rock is specified, the round rock is to be washed gravel with rounded
edges well graded with maximum diameter of i".
d. Contractor shall be responsible for providing the manifold assembly.
Manifold assembly shall be the Orenco Model SFM 1036 or equivalent 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 +12 inches above finish grade with extension handle provided to
operate globe valve from ground surface.
e. Liner - Orenco 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 liner.
f. Pump Basin - Sand filter pump basin is to be Orenco Model PBSF1561FI
with flow inducer and matching 15 inch diameter riser sections as needed
to extend 12 inches above finish grade maintaining a water tight seal
through the full length of conduit riser. PVC splice box to be
installed with a conduit seal kit.
g. Filter Secondary Pump - Orenco Model 20 OSI 05 HHF with appropriate
float assembly and high pressure discharge assembly.
h. Contractor shall be responsible for providing filter fabric. filter
fabric shall be Orenco Model LIFF or equivalent.
i. Contractor shall be responsible for providing insulation. Insulation
shall be +35 psi board rated for direct burial.
j. The 2 inch thick rigid insulation on the sidewalls of the filter box
shall extend the full 4 foot height of the plywood box and be inside the
plywood box.
k. Linear Air Difuser Line and Compressor - Available from Orenco Systems,
Inc. - no model number available. Feed line from house to filter is
HDPE Artic Insulated Pipe 3/4"-2" SDR -11 Maskell-Robbins or equivalent.
Page Eleven
Forest Ridge Subdivision; Lot 1; Block 2
July 07, 1994
2. Construction of Sand Filter:
Sand filter construction is to follow procedures as outlined in the Orenco
Installation Manual as applicable to this design. Care is to be taken to
protect the integrity of the sand filter PVC liner material. This includes
careful placement of soil material into liner. Any perforation of the PVC liner
material will require patching in a method that exceeds original manufacturer's
strength.
Rock, pea gravel, and filter sand are to be hand leveled to proper depth
(tolerance within 0.01 feet) in filter, taking care not to allow mud or fine
soil material into the filter or rock layers. This would include any soil
material picked up by excavation machinery buckets while loading specified
material. Contractor should estimate filter materals volumes such that
allowance is made for wastage of material in contact with ground at site. Work
on the sand filter may be suspended at Engineer's discretion due to inclement
weather conditions such as rainfall. The sand filter and material stockpiles
will be completely covered by a tarp overnight during construction until
finished. Filter internal construction should be accomplished in one day's
time.
The Engineer will reject any sand, round rock 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.
i •:gym• x �
1. General
The work in this section pertains to furnishing all materials and installation
of the septic leachfield.
2. Materials
All materials shall be as approved by the MOA - DHHS for leachfield
construction. Leachfield piping is to be fabricated to allow pressure
distribution. All holes in fabricated piping are to be deburred and flushed
clean.
3. Construction
Construction is to be as per MOA - DHHS Code and guidelines.
,ENGI`JEER'S SEAL)
e ..c Municipality of Anchorage. _"
DEPARTMENT OF HEALTH & HUMAN SERVICES q.
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST n
' s.777
PERFORMED FOR: I�JIL.L `p'i=0� _ DA RFO � �� ' L''.'.�'I:' '
LEGAL DESCRIPTION: LI I Imo, rbRES7 %t Drir
PE H di2G
2 Q G
t • cS/�/SGJ SI(,7rk �o
3 : p c �SRAuc(c 7 SANG
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
e, Section:
SLOPE
WAS GROUND WATER {1 �,�
ENCOUNTERED? � '^�
IF YES, AT WHAT
DEPTH?
,7 Depth to Water After
I�•4'��' Monitaring7 Date:
SITE
IEMMENNOME
www"M NOWNEEM
■
■■.■,'..M.
■■■■■■.■WN
Reading Date Gross
Time
Net
Time
Depth to
Water
Net
D op
;OS
to •.
5
' 3
o
i8
S/Q
`i
U
8
t 2 ,•
uPERCOLATION RATE •0�� (minutes inch) PERC HOLE DIAMETER
��n �1 TEST IRUN BETWEEN r�,S FT AND I IS FT
COMMENTS -ISH- EXCfrva7Zn NF-" I) -Cl( iSH[7 6H ff'GN6.S7 FAJL4 OF LO7�
PERFORMED BY: b= *QNpBWl dm -I a ogle Kfyer Loop Road No. 20&RTIFY THAT THIS TEST WAS PERFORMED IN
s�� y�� g Iver, Alaska 99577
ACCORDANCE WITH ALLSTATE AND NRY # ti IR IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
PERFORMED
�''L��EJJGAL DESCRI
TC'ST �Ita Mjy PT,Id
,
its 6EJTI
1 1
L-
2 1l
3
4 J J-
5 S�
6 L
7
1
8
9
10
11 T 3
4
12
13-
14-
15-
16-
17-
18-
19
3141516171819
20
COMMENTS
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
OR&4t,xcs
Pr=+7 — A6,4 y Eh-wm '! a
CONIC • -Coons.
cq - i�utF- cc-Ay/s«7
&o.0
DATE
Section:
SLOPE
(ENGINEER'S SEAL)
Noa
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT 1 ? SfNG- P
DEPTH? _Izy
SI �'r S7A�u0lN�,E
Depth to Water After
Monitoring? Date:
®`®mm
'LHOOLATION RATE (minutes/inch) PERC HOLE DIAMETER
EST RUN BETWEEN FT AND FT
S & S ENGINEERING
PERFORMED BY:f7 I p Koado. 204 CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE Wd9IC4Ri_VQ1AAk*k11p%UMIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
~tiu
A
n ♦m
!fi
Noa
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT 1 ? SfNG- P
DEPTH? _Izy
SI �'r S7A�u0lN�,E
Depth to Water After
Monitoring? Date:
®`®mm
'LHOOLATION RATE (minutes/inch) PERC HOLE DIAMETER
EST RUN BETWEEN FT AND FT
S & S ENGINEERING
PERFORMED BY:f7 I p Koado. 204 CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE Wd9IC4Ri_VQ1AAk*k11p%UMIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
e Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: �ILl..• 1T+j'LDl�
(1 LEGAL DESCRIPTION: L07 I I15UC„L� %ZbE'C ? oa%L Township,
"` ORGPwIcs
1
GM .
2 - l7N�iz St_Yy
5tU7 w/�l�
3 GiLgi/¢l..
4
5-
6 40
7-
8
9
Section:
SITE I
10
WAS GROUND WATER
ENCOUNTERED?
11
S
IF YES, AT WHAT L
O
12
DEPTH? P
E
13
Depth to Water After
Monitoring? Date:
14-
15-
16-
17-
18-
19-
m
41516171819
m
20
PERCOLATION RATE
TEST RUN BETWEEN
COMMENTS
(minutes/inch) PERC HOLE DIAMETER
FT AND FT
S & S ENGINEERING
PERFORMED By j7034ra1gI6KIvertMpRoadN*.2u4I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE SlogIR bSTAM"11 90nIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
e Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: IILL (AWCO/L. DATE
LEGAL DESCRIPTION: LOl I/ BL/C 2 %awig? Ap"Township Range Section:
�` t}.y
1
2
3-
4-
4 5
5
&0•Ar•6
7
8
9 -
to
11
EP H
Ol�l.,t-MStCS
�Ek? — S ArrUit/i*T60
S'toppao Dore iO
G�}TLtRA-'Tf+11 CM+D?101u
w err. W�'iL 601 K
lro7d �'-�-
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
SLOPE
1 1
LI y
1
� 4-(
1.11•
—,a
�r
YI^c.
12 DEPTH? IN
13 Ilepth to Water After
Monitoring? gate:
14-
is-
16 -
17
4151617
18-
19-
20-
COMMENTS
81920
COMMENTS
(ENGINEER'S SEAL)
F
L.
s
pu Y'
SITE
N
TA
6 L$
sp
PERCOLATION RATE (mmutesmmh) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
PERFORMEt *t S ENGINEERING
CERTIFY THAT THIS TEST WAS PERFORMED IN
17034 Eagle River Loop Road No. 204
ACCORDANggVf Tk,04 Wllik&ggg"NICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
HEALTHAUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
ANDREPORTS
WELLINSPECTION
& FLOW TEST
June 16, 1994
MUNICIPALITY OF ANCHORAGE -
Depantment o5 Heatth and Human Setv.ieez
Attn: Jim Ct06s
P.O. Box 196650
Anchotage, AK 99519
REFERENCE: Lot 1; Block 2; Foteet Ridge
Deat Mt. Cto66,
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
Attached ate togs bot the pteti,m.inaty 6oit .investigation and a Site
plan gat development o6 the tebetenced ptopetty. Request you cons.idet
this ptopetty as an aeeeptabte site bot the development o6 an
intetm.ittent sand 6.i, tex Project bot d.i,6posat on -,site a6 domestic
waate water.
SITE PUNS O T A. SHAFER, P.E.
/g
k
kNCLOSURES
ROAD DESIGN l/
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTE WATER
DISPOSAL SVSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED
LEGAL DESCRIPTION:LA-V (! DV—;4I hn2a7
TAT 4xr—
Mp��Pia
1
1
PE+7 — A614ty S*zuAMj%
2
y L
ct2Gq�lc • SaLS,
3
4-
5-
5
6-
67
7
8
l
CI{ - i WE CL4yf s7f-z 1
s
S�raaA�r�7
(ENGINEER'S SEAL)
DATE PERFORMED:
D, Range, Section:
SLOPE SITE PLAN
10 (�jp,({, ENCOUNWAS TERED? WATER
ENCOUNTERED?
11 Ta' S
IF YES, AT WHAT Com` lNG� P
12 DEPTH? _(Z4
SI 2r S?ADINFE
13 Depth to Water Aber
Monitoring? Date:
14-
15-
16-
17-
18-
191
4151617181s
20
COMMENTS
'ERCOLATION RATE, (minutes/inch) PERC HOLE DIAMETER
EST RUN BETWEEN FT AND FT
S & S ENGINEERING
PERFORMED 1'7034 Eagle River 7o4I CERTIFY THAT THIS TEST WAS PERFORMED IN
C�pG� oact o.
ACCORDANCE ixgie4UWA+�iAV 2f=IPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72.008 (Rev. 4/85)
(ENGINEER'S SEAL)
e +.� Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES';,
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST t� pts
PERFORMED FOR: �IL.1., 1AVLon- DATE PERFORMED:
LEGAL OESCRIPTION:Lar i3(.K�, ia2jr:g? I�Do& Township, Range, Sectiom
i- f' Zit SLOPE SITE PLAN
(l QR.L�li'Nlf.S
1
2 GM�GH� 17G1v52 �c-ry N
�fL7 I"11�6#7
3- tslaiEl xL
4
5
6
7
8
9
10 WAS GROUND WATER /
ENCOUNTERED?
11
IF YES, AT WHAT
12 DEPTH?
Oeplb to Water. Alter
13 Monitoring? gate:
14
15
16-
17
18
19
201
COMMENTS
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
S & S ENGINEERING
PERFORMED Byi7O34EasteltiverLMPRaailNo.204 1 CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE' WPy10OLdS7'A>I4"ll 9RMIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4185)
(ENGINEER'S SEAL)
e Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 " U' Street, Anchorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: LL- TA.w,L. DATE PERFORMED:
LEGAL DESCRIPTION:�� 6a 2-
2
2 1 L � 1 �7 — � (�iuiZA•ZEO
L
Ll
3-
4 yly
5 a
LCL
a.0'µ,6
8-
9-
10-
11 91011
12
13-
14-
15-
16-
17-
is-
19-
20-
COMMENTS
3141516171t;1820COMMENTS
S•10?PEO D%4& '(e
�q 7aR4-'!k'/1 C"fflOAAS
yr MND k)4gvL 6u1 -
WAS GROUND WATERya
cninnnurcocro
Section:
SITL PLAN
PERCOLATION RATE
TEST RUN BETWEEN
(minutes/meh) PERC HOLE DIAMETER .,.
FT AND FT
PERFORMEtSIOr? ENGINEERING ( CERTIFY THAT THIS TEST WAS PERFORMED IN:
17034 Eagle River Loop Road No. 204
ACCORDANCE_ Tkiog, Wliikggg.4ftNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-006 (Rev. 4/85)
COPY
ROBERT SHAFER, P.E.
Q _ / ROGER SHAFER, P.E.
aD4 CIVIL ENGINEERS
(907)694.2979
go FAX 694-1211
JUL 2 0 1994
Bi.et Taylor cviu:I:c;Nali1y of Anchorage
HEALTHAUTHORITY
Norcol Investments OePt• Health & Human Services
APPROVALS
2340 Loren C.incle
Anchorage, AK 99516
REFERENCE: Lot 1; Stock 2; Forrest Ridge Subdivision
SEWER & WATER
MAIN EXTENSIONS
Dean Mn. Taylor,
Attached .is penm.it #SW940250 -issued by the Municipality o6 Anchorage
(M.O.A.) bon an on-site wastewateA dispo6al system to be .installed on
SEWER&WATER
the ne6eAenced property. The on-site wa6tewater di6posal system
INSPECTION
designed bon this property consists o6 an inteAmittent sand 4iZtet
with a S.T.E.P. system and standard ab6onpti.on dnain6.ietd.
Request you pay 6peciat attention to the special pnovistons on the
ENGINEERING STUDIES
AND REPORTS
/_i
permit which .include a requitement bon 6oun mandatory .inspections by
per6onnel 6nom D.H.H.S. The time o6 these .inspections .is noted as A
thru D. In addition we wiU requ,ine a minimum o6 seven inspections to
be per6oAmed by this o66t.ce. These .inspection times ane noted on page
WELL INSPECTION
2 and page 3 o6 the standand6 speci6.ications attached to the design
&FLOW TEST
and permit.
Ma. Jim A/-itUamz wiU be the primary .inspector on this project.
There6ore .it Witt be nece6sany bon you to coordinate youA .inspections
SITE PLANS
with him through this o66t.ce. In the event that Mr. W-%P-.Qiam6 .is
unavaitabte 6or an .inspection at any time during the project, a
substitute .in6pecton wiU be pnov-i.ded by this ojjice. No inspections
wiU be bypassed, overlooked on missed during the construction o6
ROAD DESIGN
these bac titi.e6.
Also attached with this tetter is the property owneA'6 agreement 6oA
the .intermittent sand 6.itteA wastewateA disposal system requited by
the M.U.A.. Request you sign this agreement, have .it nototized, and
SOIL TEST
return the original to this o66.iee.
A6teA the system has been completed and placed .into operation we wit
PERCOLATION
begin the 5ampting and temperatuAe monitoring as Aequited by paragraph
TEST
2 o6 this agreement.
16 we may be o6 6unthen 6env.iee, please contact us.
STRUCTURAL&
MECHANICAL
Sinc y,
INSPECTIONS{5j
��w.✓
A. SHAFER, P.E.
���
ONSITE
RAS gk
WASTEWATER
DISPOSALSYSTEM'
DESIGN
NCLOSURES
17034 NORTH EAGLE RIVER LOOP SUITE 204 EAGLE RIVER, ALASKA 99677
PROPERTY OWNER AGREEMENT
INTERMITTENT SAND FILTER WASTEWATER DISPOSAL SYSTEM
This agreement, dated 'lal- / ZZ , 1994, is made between the Municipality
of Anchorage Department of Health and Human Services (DHHS) and the property
owner(s) of �OCEST Z/Dlj,!!C v'�u�2�i ✓/5/6n/i rvc ocL Z LAS- /
This agreement is made for the purpose of designing, constructing and testing an
intermittent sand filter on-site wastewater disposal system on the subject property.
The property owner(s) agree to the following:
1. The property owner(s) will allow DHHS and its representatives access to the
subject property as required during the design, construction and testing of
the wastewater system.
2. The property owner(s) agree to bear all costs involved in a testing program
which will sample the effluent from this wastewater system for a period of
one year. This testing program will involve the engineer on this project,
sampling the effluent every other month for 12
months for: total suspended solids, BOD5, fecal coliform, nitrates, and total
kjeldahl nitrogen. Also determined on the same sampling schedule will be
the septic tank effluent temperature and the sand filter effluent temperature.
The property owners will pay all engineering and laboratory costs involved.
All data will be furnished to DHHS in a timely manner.
Proper y O ' er Property Owner Name
(Notarize Here) /
Seoartt to and sutscribcd Eefot a ma ihiszz4l
aay ei:19-±'T
17itsF,cs r;:y slarx^''sea
O�p4E B4'�O
• Municipality of Anchorage
On -Site Water and Wastewater Program'
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 017-112-98
1. GENERAL INFORMATION
Complete legal description FOREST RIDGE BLOCK 2 LOT 1
Expiration Date: 2- 2
Location (site address) 14900 SOUTH WINDSOR CIRCLE ANCHORAGE AK 99516
Current Property owner(s) EDWIN KIM & JACQUELINE REV. FAMILY TRUST Day phone
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
8750 TOWER ESTATES CIRCLE ANCHORAGE AK 99516
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
Day phone
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY:
Individual
Individual Well
®
Holding Tank
❑
Individual Water Storage
❑
Community
❑
Community Class Well
❑
Public Sewer
❑
Public Water System
❑
Waiver/Variance request for: Distance:
COSA Fee $ 4Aa -
Date of Payment glWg,
Receipt Number 65Zl 0
COSA# D5(cI&t166
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation,
based on procedures outlined in the Certificate of Oh -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 9/6/2016
Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. 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 of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen OF encroachments, deficiencies or discrepancies exist. Ar �'� L�
04, LP 1,
OA
6. DSD SIGNATURE
System #1 Approved for _�_ bedrooms.
System #2 Approved for
Disapproved.
Conditional approval for
a
bedrooms.
bedrooms, with the
9 KENNETH -11. DUof
vus /
FAW
rocEbsroNb� i
OFgNaVir;
WATER AND
✓� WASTE VAl o^
Original Certificate Date: Gf —13—! r 2
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
Septic System Advisory
Well Flow Advisory
COSA blue sheet_70A0-12.dw
Nitrate Advisory c
—
Arsenic Advisory r. _
Other
If more than 1 septic system is on the lot:
COSA Checklist # _of _
Structure served by this system _
Certificate of On -Site Systems Approval Checklist
Legal Description: FOREST RIDGE BLOCK 2, LOT 1 Parcel ID: 017.112.98
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID # _
Date completed 9/111994
Sanitary seal (Y/N) Y
Total depth 213 ft.
Cased to 208 ft.
FROM WELL LOG
Date of test
91111994
Static water level
67 ft.
Well production
9 g.p.m.
WATER SAMPLE RESULTS:
Coliform NE6 colonies/100 mL Nitrate NO mg/L
Arsenic: Nb ug/L Date of sample: 812412016
B. SEPTICIHOLDING TANK DATA
Tank Type/Material STEEL 1 STEP
Tank size 1500 gal. Number of Compartments 2
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 24+ in.
AT INSPECTION
8.24.2016
102 ft.
4.9 9 -
p.m -
Collected by: ARCTVRRA
Date installed 9/15.2311994
Cleanouts (Y/N)
High wateraiann (Y/N) Y
Date of pumping 812412016 Pumper ONE STOP 1 Lined ISF Serviced by Larry Betts
C. ABSORPTION FIELD DATA
Date installed 9115.2311994 Soil rating (g.p.d./ft2 or ft2/bdrm) 2.0 System type SHALLOW TRENCH W1 LINED ISF
Length 65 "` ft, Width 5 ft. Gravel below pipe t ft.
Total depth 3_4 ft. (Measured 8124Hs) Eff. absorption area 375.5 ft3 Monitodhg tube Y Depression over field N
Date of adequacy test 8124/2016 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 0 in. Water added 740 gal. New depth 1 in.
Elapsed Time: 1 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION
Date installed 9115.23!1994 Size in gallons 1500 Manhole/Access (Y/N) Y
"Pump on" level at TIMER in. "Pump off level at TIMER in. High water alarm level at 45 in.
Datum BOTTOM OF TANK Cycles tested 2 Meets alarm & circuit requirements? Y
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 1004
Absorption field on lot 1001+
Public sewer main 754
Sewer /septic service line 251+
On adjacent lots 1001+
On adjacent lots 1001+
Public sewer manholelcleanout 100'+
Holding tank 1004
Animal containment areas 50'+ Manure/animal excrete storage areas 1001+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 54 Property line 5'+ Absorption field 51+
Water main 101+ Water service line 101+ Surface water 100'+
Wells on adjacent lots 1001+
ABSORPTION FIELD ON LOTTO:
Properly line 10'+ Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 1001+ Driveway, parking/vehicle storage 104
Curtain drain 50'+{NONE KNOWN) Wells on adjacent lots 100'+
F. COMMENTS
VACANT SYSTEM PRE-SOAKED PER CODE PRIOR TO TESTING. LINED ISF REBUILT IN 2014.
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.
OF .AL \
�• �� 4�'
Engineer's Printed Name KENNETH. M. DUFFUS /��F• �tj- � f
Date 9/11/2016 * 4 TH ` a /
COSA canary sheet_2-5-15.doc
A &ENNE1 7 M .f.
Af
p�FFjS310��V �
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE
AND (guyer)
THIS MAINT NANCE AND REPAIR AGREEMENT made and entered into as of this
J Day of U — of 20]"by and between ( 14F -JS o
I ELLE SATp
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Maintenance and Repair Agreement agree as follows:
1. Advanced Wastewater Treatment systems. Municipality grants permission to
Owner to utilize and operate an Advanced Wastewater Treatment System
(AW WTS), described as Lined Intermittent Sand Filter
located at (legal description).
Forest Ridge Blk 2 Lot 1 14900 S Windsor Circle
2. Definitions.
Alteration. Any change to the design or function of an AW WTS that includes the
installation or removal of any parts, components or pieces not included in the
original construction permit and design.
Certificate of On -Site Systems Approval (COSA). An approval by the
Municipality of existing water and wastewater disposal systems given at the time
of property sale and title transfer in accordance with Anchorage Municipal Code
(hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate
for the homes that they support and meet the codes that were in place at the time
of system construction.
Damage. Any man-made or natural change in a system that would inhibit the
system from performing as designed.
Maintenance and Repair. The scheduled and as needed replacement of existing
parts, components and pieces of an AW WTS that were included in the original
design which would allow the AW WTS to continue to perform as designed.
Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to
construct and operate an AW WTS.
H. Owner agrees that the AWWTS installation and maintenance requirements as
provided by the AW WTS vendor/installer and approved by the Municipality are
the governing guidelines for the construction, maintenance and repair of the
Owner's AW WTS.
I. Owner agrees to provide and maintain a telephone connection to the AW WTS as
required by the AW WTS approval.
6. Nonwaiver. The failure of either parry at any time to enforce a provision of this
Maintenance and Repair Agreement shall in no way constitute a waiver of the
provisions, nor in any way affect the validity of the Maintenance and Repair
Agreement or any part hereof, or the right of such party thereafter to enforce each
and every provision hereof.
7. Amendment.
A. This Maintenance and Repair Agreement shall only be amended, modified or
changed by a writing, executed by authorized representatives of the parties, with
the same formality that this Maintenance and Repair Agreement was executed
with, and such writing shall be attached to this Maintenance and Repair
Agreement as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this agreement, the only authorized representatives of the parties
are:
a. Owner: b1 I-11 t-tFLLE�✓1�
b. Municipality: Director, Community Development or designated authority
C. Any attempt to amend, modify, or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and
Repair Agreement shall be brought in the Superior Court for the Third Judicial
District of the State of Alaska at Anchorage. The laws of the State of Alaska shall
govern the rights and obligations of the parties under this Maintenance and Repair
Agreement.
Municipality of Anchorage _
Development Services Department
Building Safety Division w
On -Site Water & Wastewater Program (N,
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. 017-112-98 HAA# HP 3 0 O g 3
1. GENERAL INFORMATION Expiration Date: G —,a O - 03
Complete legal description _FOREST RIDGE SUBDNISION; LOT 1, BLOCK 2
Location (site address or directions) 14900 S. WINDSOR CIRCLE * ANCHORAGE. AK 99516
Current Property owner(s) PEGGY GONZALEZ Day phone 261-7698
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
3111 "C" STREET * ANCHORAGE, AK 99503
Day phone
Day phone
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class -Well
Public Water System
4
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.
TYPE OF WASTEWATER DISPOSAL:
®
Individual On-site
❑
Individual Holding tank
❑
❑
Community On-site
❑
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid
water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water
system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's
work.
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid S at, or prior
to closing for the engineering services provided.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. i further verify that based on the
information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm ALASKA WATER & NIASTEWATER CONSULTANTS, INC. Phone 337-6179
Address 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date •3 8 U
Engineer's Comments:
In conducting this evaluation, AKWWC, inc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
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, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
Conditional approval for 3 bedrooms, with the tllowing stipulations:
At the time of title transfer the new property owner shall
sign the attached Maintenance Agreement which shall be returned
to this office before a Unconditional approval is issued.
Attachments:
HAA Checklist x— Manitenance Agreements X
Septic System Advisory Supplemental Engineer's Reort
Well Flow Advisory Other
By: r/ '(J. Original Certificate Date: 3 - z,)
(Rev. 12101)
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: FOREST RIDGE SUBDIVISION, LOT 1. BLOCK 2. Parcel ID: 017-112-98
A. WELL DATA
Well type PMA -TE If A. B, or C provide PWSID# N/A
Date completed 9/1,1994 Sanitary seal (YM) YES
Total depth 213 ft. Cased to 208 ft.
FROM WELL LOG
Date of test 911.[1994
Static water level 67 ft.
Well production 9 g.p.m.
WATER SAMPLE RESULTS:
Well Log (Y/N) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 12+ in.
AT INSPECTION.
10/4/2002
97 ft.
6.85 g.p.m.
Coliform 0 colonies/100 mi. Nitrate 0.2 mg./L. t or bacteria 0 colonies/100 ml.
3/7/2003
Arsenic _.NJA mg./L.Date of sample: t 4 200 Collected by: AKWWC, INC.
B. SEPTIC/HOLDING TANK DATA
TankType/Material STEEL/S.T.E.P. Date Installed 99/15-23/1994
Tank size 1500 gal. Number of Compartments 2 Cleanouts (YM) YES
Foundation cleanout (Y/N) YES Depression over tank (YM) NO High water alarm (YM) YES
Date of pumping 3/14/2003 Pumper McDONALDS PUMPING
C. ABSORPTION FIELD DATA *BELOW OWNG GRADE. MONri0RINO TUBE
ONLY EXTENDS 4 INCHES INT'0 ORNNROCK
Date installed 9/1s-23/1994 Soil rating p.d r ftlbdrm) 2.00 System type **UNED I.S.F. J SO r!
Length 65 ft. Width 5 ft. Gravel below pipe 1 ft.
Total depth 23.04 ft. Eff. absorption area 373.5 ft' Monitoring tube YES Depression over field NO
Date of adequacy test 10/4/2002 _ Results (Pass/Fait) PASS For .3bedrooms
Fluid depth in absorption field before test U in. Water added 623 gal. New depth 0 in.
Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date -
"LINED I.S.F. RE -BUILT ON 11/26/2002
D. LIFT STATION
Date installed 9/15-23/1994 Size in gallons 1500 Manhole/Access (Y/N) YES
"Pump on' level at TIMERin. "Pump off" level at TIMERn. High water alarm level at 45 in.
Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? YES
E. SEPARATION DISTANCES
! o:� SEPARATION DISTANCES FROM WELL ON LOT TO:
r
!' Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main N/A
i
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
LINED I.S.F. WAS RE—BUILT ON 11
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in "' ' • ..• • ' • "'
conformance with MOA HAA guidelines in effect on this date.
Q e e A. Go ss.:
Engineers Prin ed ame JEFFREY A GARNESS S —7
Date s Pr
ON 41o�a�
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HAA Fee $ 7 1 Waiver Fee $
Date of Payment 3� $�3 Date of Payment
Receipt Number Receipt Number
(Rev. 12/01)
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THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN
EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL
STRUCTURES OR FENCEUNES.
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON.
NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE P
OR LOCATE STRUCTURES.
ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS.
AS -BUILT SURVEY
SCALE: 1••47
1 HEREBY CERTIFY THAT 1 HAVE PERFORMED A
MORTGAGEE'S INSPECTION OF THE FOLLOWING
DESCRIBED PROPERTY.
LOT 1, BLOCK 2. FOREST RIDGE SUB.
ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT
THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE
WITHIN THE PROPERTY LINES AND THAT NO VISIBLE
ENCROACHMENTS EXIST OTHER THAN NOTED.
DATED AT ANCHORAGE. ALASKA THIS _19TH_
DAY OF _MARCH 2003._.
HOLT LAND SURVEYING 8895. FB104-61
TEL 345.5513
t
MUNICIPALITY OF ANCHORAGE
rh n b, • DEPARTMENTkOF HEALTH & HUMAN SERVICES
Division'of Environmental Services
'4"r§°+ iTd °JofN ki n I•.7odv t
Od-31te Services"Section
r +cp+ '$ i `33 p ) '•' '' *?F Y ze a� ^ ,r l 3 e t
P O Box 1966501^Anchorage, Alaska 99519-6650 49'
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Ir a
ab",aa
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„;", x+,CERTIFICATE OF.HEALTH AUTHORITY
jrax r'APPROVAL FORA/ SINGLE FAMILY DWELLING
.,.:
Parcel i D# 0 i 7 i i a q $'' •HAA # F[A9 46652-
aS6
1,GENERAL INFORMATION
Complete legal description 'Lot -1; Block" 2; Forest Ridge Subdivision'
d Location (site address or directions)
:14 900 South Windsor Circle, 'Anchorage, Alaska
r t n�4
PrO 8 oWn@r Bill Taylor 7-.'
p rty Day phone 244-6231
.a
NORCOL INVESTMENTS, 2340 Loren Circle, Anchorage, Alaska 99516
a, x
° Lending agency ' Day phone
A
xF Y
;Mailing address's
3 requested,,
.DROOMS
Day phone
x attesting to the legalityand status
FMM MOAim
d,Y ✓. (M 1 tl !(
5. STATEMENT, OF INSPECTION BYj,, ENGINEER
✓r
As certified by my seal affixed,hereto and asrof the validation date shown below, I verity that myy r
investigation of this Health AuthontyrcApproval appl(cationr shows that sitwater suppl
the on e y �r
and/or wastewater disposal system is safe, functional and adequate for tha,number of bedrooms
and type of structure indicated herein. I furtherverifythat 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 1s in&compliaince with all Municipal and State codes,
ordinances, and regulations in effect on, the date of this inspection.:.
I
Name of Firm �S & S ENGINSERIN6Pho
ne
17034 Eaailk - a No.
204
Address
Engineer's signature a> b0 Date
OMz�
f
rc. a wf � I .. .... n14.�+ • upr:
ROBERT C. COWAN iR
,
6. DHHS SIGNATURE
5 r ��i7.32►.a1" ,,�
1" dq r. { ♦ p G
1
Approved for bedrooms
y ,
Disapproved.a wx,
Conditional approval for ibedrooms;' with. the' following stipulations: .
G
1
The Municipality of Anchorage Departmer
Approval Certificates based only upon the
professional engineer registered in the State
and their lending institutions in order to satis
conduct inspections or analyze data be,fc
responsible for errors or omissions in the p
72-025(Ra.1191) Beck MOAM
Municipality of Anchorage
Department of HealthAand�Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Fu? -err 2 )DGE � IRLmK Z i LOT I Parcel I.D. D/7//2L??
A. Well Data
Well type PR/Vf/TE If A, B, or C, attach ADEC letter. ADEC water system number 4A
Log present &N) yes Date completed 9 / 91/ Driller 46PiNE DP411, A)&
Total depth 21? Cased to ?OFA Casing height Z'
Sanitary seal &N)
Date of test
Static water level
Well flow
Pump levell
FROM WELL LOG
/07'
21,3
SEPARATION DISTANCES FROM WELL TO:
Wires properly protected @V)
AT INSPECTION
Septic/keWft tank on lot 1311, ; On adjacent lots
Absorption field on lot /406'J ; On adjacent lots /00
Public sewer main 75-1 t. Public sewer manhole/cleanout ioO 'a
Sewer service line 26-'+ Petroleum tank NIA
WATER SAMPLE RESULTS:
Coliform (T C01b1)ieE116 ^1 Nitrate 67 /o Other bacteria
Date of sample: // -// - 99 Collected by: 5 �S- EAt &I JEEAIAJ6-
B. SEPTIC/FJ TANK DATA
Date installed q -23-9y Tank size 16M 679L.. Compartments 2.
CleanoutsQN) YaS Foundation cleanout(@N) YF -S Depression ()tq A/0
High water alarm(9N)
tested (DN) YES
Date of pumping A)/L1 .6JEW T-AMk Pumper
SEPARATION DISTANCES FROM SEPTIC/f-i@Lf3 TANK TO:
Well(s) on lot 139' On adjacent lots /W 1¢- Foundation
To property line /d f Absorption field 6-1 Water main/service line In �
Surface water/drainage AV I-i-
7z-026(W3)•Front CONTINUED ON BACK PAGE
C. LIFT STATION
1 11
Date installed 9 -Z3-99 Manufacturer— (1CHopw x T NK
Size in gallons 1500 6-,9a. Manhole/Access(@N) %1-s
Vent NO r✓O "Pump on" level at 4.3 1 "Pump off" Level at ?3 "
High water alarm level 9611 Cycles tested
Meets MOA electrical codes Y&S-
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot /39 On adjacent lots /w Surface water !Od '-A-
D. ABSORPTION FIELD DATA
I�xQrvnazea
Date installed 9 -23-99 Soil rating (GPD/Ft2) 2 System type WADE' pRA1.0F/EcD
Length 6,51 Width 5' Gravel thickness / 1 Total depth 31
Total absorption area 37ZS 0 Cleanout present (Y&N /Uo Depression over field (1Q9 A.ln
Date of adequacy test AM NEW SYSTErn Results (pass/fail)
Water level in absorption field before test
Peroxide treatment (past 12 months)
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
test
yes, give date
Well on lot /46 On adjacent lots /y'-%- Property line Al
To building foundation To existing or abandoned system on lot AJ114
On adjacent lots /01 Cutbank CC ' t Water main/service line_
Surface water A;U ' f Driveway, parking/vehicle storage area
Curtain drain AJQ0 )5 AMWA)
E. ENGINEER'S CERTIFICATION
Bedrooms
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
a OFAf.
Signature /VGX' +�l ZZ
Engineer's
Namg & S ENGINEERING
17034 Eagle River Loop Road No. 204
Date Eagle
9! ,�-s Al
HAA Fee $ tion ^ cro
Date of Payment //'z.A^���
Receipt Number 5_1? ( 77 310
72-026(3/93)' Back
Waiver Fee $
Date of Payment
Receipt Number
;a 5 ROBERT C. COWAN i
��G'i�`•°a CE -8801 r'e