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HomeMy WebLinkAboutSNOW LT 88A,` f S: 1 �� =i �= .,.�� ,�,.: MAR o b 1998 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW,-, 761 11 PID Number: () /R " 25 11 -3' Name: 5"�jrJa=v� QeT�25o'a�1 Wastewater System: JW New ❑ Upgrade Address: 2,000A- _P., `9znd JNja. Av3ct> k q`lsol ABSORPTION FIELD Phone: 7 1 No. of Bed ooms: ❑ Deep Trench Shallow Trench ❑ Bed []Mound ❑ Other LEGAL DESCRIPTION Soil Rating: 1 t7 (S�Np Ft Total Depth from oligiealg,a5' 5•'s 'L SA+dd GPD/Sq. . Ft. l//4 Lot: Block: Subdivision: Depth to pipe bottom frotp original grade: Gravel depth beneath pipe Q 88pt '� _�546Lj 3s Ft. 0.5r Ft. Township: Range: �� Section: '_ Fill added above original grade: I Gravel length:(, jt i ® r Zy r -�- 11 •� Z - Ft. Y I Ft. WELL: New ❑ Upgrade Gravel width: I S Number of lines: Distance between lines: 2 t�f Ft. FL Classification (Private, A,B,C): Total Depth: Cased To: Total absorptio area: Pipe material: Lf /Fa10 f P,IJP1Tc j � Ft. 6 Ft. ��J SQ. Ft. Sr Vi"3b Driller: hi r,Orth l.lf\t� le griller): D13/7151111 ZS 11 % Static Water Level: 1 U Ft. Installer: N rt f.t 6W5;C—• Dale installed: -PI Yield: Pump Set at: I I Casing Height Above Ground: TANK 10 GPM V. J`. Ft. a1 Ft. SEPARATION DISTANCES 14 Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: D 6KC Capacity in gallons: From Tank Field Station Tank Sewer Lines EX, 11500 r Material: Number of Compartments: Welh' IOL} 116' .._.°Z$h� �� L--Surfacetool Water F tool { �' LIFT STATION Lot Line I ifs } ( 3s # ,� .r_ Size in gallons: Manufacturer: 1 "Pump on" level at: "Pump of " at: High water alarm at: Foundationf6 �� Curtaln _ 1®� ' f �o .! Pump Make Electrical Inspections performed by: Drain BENCH MARK Remarks: Location and Description: �r A = -roe or- cmu A rt t eo i a4 -r Assumed Elevation: - ieU•c E r r 4 S ENGINEERING Dates: 1 st9 := Inspections performed by.S 17034 Eagle River Loop Road, No. 204 2nd` 0 �'j ..✓.; _._ , A� 7y ROBERT C. COWAN J Q Eagle River, Alaska 99577 yTQt a i �� c, ; CE - 8801 r ti�4 Sr Department of Health.and Human Services appi� O Reviewed and approved by: Date: 72-013 (Rev. 9/91) MOA 25 PERMIT NO. SW97021 1 PAGE 2 OF 2 Municipalit of Anchora e DEPARTMENT OF HEALTH AND HIJKAN SERVICES ENVIRONMENTAL SERVICES DEW&®IN P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Tele hone: 343-4744 ®N -SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 88A. SNOW SUBDIVISION ALT. SITE— ITE _l^ �> z .�> /�,%moi TH12,�/moi �^CO3 / 11 a P, . ,� �' cot ,. PO's <v �'i' / 0. MT1 i' i ' E, C04 TH11 E O '� �NOMDER(F 0 J W OCOe� MT2 E' \ NEW DRAINFIELDS P.I.D. NO. 018-251-32 WELL NEW 1500 GAV06 TANK of ti3OC P4440g. B �a°`' FCO 1 1.0 27 5 ao �0��5 `o 1500 GAL94 FD 45.5 67.0 S EPTIC .5' CO3 33.0 65.5 x a C04 84.5 99.0 X ECO3 MT1 84.5 99.5 °~ a. C05 —2-4.-5-T'47.5 `C04 = 98.5' C06 = 97.1'411/ C06 84.0 90.0 J \ITO 07 n 00 a ST1 98.1'ST2 ,,,--FINAL GRADE SCALE I" = 40' 94.7 1500 GAL94 93.3' 93.4' 2' SANG i r' � s ROBERT C. COWAN �Q MT1 = 93.8' FILTER S EPTIC .5' r` 9� Jr �4, 19� Vii, .� CE - 8801 r Af � � TANK a C04 C06 ECO3 MT1 MT2 = 99.3 C05 = 98.0 `C04 = 98.5' C06 = 97.1'411/ CO3 = 94.0" C04 = 94.0' 2' SAND C05 = COS = 93.3' 93.4' 2' SANG i r' � s ROBERT C. COWAN �Q MT1 = 93.8' FILTER MT2 = 92.7' FILTER r` 9� Jr �4, 19� Vii, .� CE - 8801 r Af � � a ♦ A7.7' s P1 o.r k: Ho. r-�sar-i. F. E. 907 746 4721 F. 01 MARTS MNSEN P.E. Consult;og Fngmeers Testing Laboratory - HCO2 BUX 7387, PMATF,R,AL-• SKA 99545 (907) 745-4721 FAX (907) 746-1721 Aug. 12, 1997 Project 9717 Quality Sand and Gravel P.U. Box 1456 Palmer, AK 99645 Subject: Sieve Analysis of Filter Sand Gentlemen: The following is the sieve analysis of the sample taken $15!97: Location: East Stockpile Sieve % Passing % Required for ADEC Filter Sand Group A Group B #4 100 #10 98 85-100 85-100 #20 75 60-90 - #40 33 25-50 - #60 10 0-15 - #100 3 - - #200 0.9 0 -Er 0-5 Coefficient of Uniformity Cil 2.8 4 Maximum Coefficiont of Curvature, Cc 0.9 1 Maximum Amount passing one sieve 42 45 Maximum and eetained on next The sample conforms to both Group A and Group B specifications. If you have any questions, please do not hesitate to call. Sincerely. �• Mark Hansen . 03/04/1998 14:34 9075629228 d4 LOCATION OF WELL PAGE 02 I STATE Of ALASKA ATMENT Of NATUHAL RESOURCES SION OF MINING & WATEFt.MGM*' WATER WELL RECORD.: L01r.. $LOOK 810TI0N1, 40VON.'. TOWNSHIP., RANGE 0 N, cis LOCATIONISKETCH' WELL 0 R:.:' . ... ... . . . . . . . . . DEPTHS MEASURED FRO M:Ocos�iniq top Oground surface' WILL D. DATE, to Dipth ofZ47 ft Depth.. In OOREHOLF. DATA:, oepth,.- Material Type and Color From To DEPTH"T TI C WATW.,LtV1 L. ft; below of casing,f u 1:04, kv r7i_ DOW lip ME7rHq 1A 21 USE OF.`., domoil6%., L:�lt? �/ i� publt ppfy otheIr CASiNd. 6K• U Ali" e_1 Casing - 6. &. ,° In;... WELL )PEN Cej f open , l v tic Dep1hi-edn3. S z er Length': .' GRAY.Ef Volurite' Deolh . u GROUT V -VO 0� le261 Depth, JWW ft to . ;T.HOD:., .7i DEVELO ENT.Mr . Duration PUMP[ ELAND PUMP1 E DEPTH.-'.'! ft .Horsepower: WEILL'D FECT0. UPON'-'COMPLETIONf�'& EM4W. CONTRACTOR INFORMATION: R R Regtste N I Q., u Inesp am St MAILWHITE COPY': ''&Xdw R/VIVISIQN 1012. MINING & WATER VIC Zz/ alonexure Or Aw"Onsou mespreffenlauve .3601.0-st, suits e0o. ii. ..Y. ANCHORAGE. AK 99603 5 3,1a .4 '7)76 242538, F 1 9 4ne.(90 )76242538,F .......... ........... SIX ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 /FAX(907)694-1211 Date: � 0 � `"f` ( q % HEALTHAUTHORITY APPROVALS RECEIVED Municipality of Anchorage SEWER&WATER DEPARTMENT OF HEALTH AND HUMAN SERVICES OCT 6 1997 MAIN EXTENSIONS 825 L Street Municipality of Allchoraq® P.O. Box 196650 - Dept. Health & Human Services Anchorage, Alaska 99519-6650 SEWER& WATER INSPECTION REFERENCE: L('J r S N 0 aL) S' / ENGINEERING STUDIES ANDREPORTS The septic inspections for the referenced property were performed on q/30/047 and )oh / ct'7 . Prior to submitting the On-site Wastewater Disposal System and/or Well Inspection WELL INSPECTION Report we are waiting for the SvAveyalt s 4-58viL7- to be &FLOWTEST completed. If we may be of further service please contact us. SITE PLANS Sincerely, ROAD DESIGN Robert C. Co an, P.E. SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 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 PERMIT NUMBER:SW970211 DESIGN ENGINEERS & S ENGINEERING OWNER NAME:SNOW WILLIAM T & WILDA OWNER ADDRESS:2000A E. 72ND AVE. ANCHORAGE, AK 99507 PARCEL ID:01825132 LEGAL DESCRIPTION: SNOW LT 88A LOT SIZE: 53460 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: ASIS 1� - 2L PAGE 1 OF 1 DATE ISSUED: 7/25/97 EXPIRATION DATE: 7/25/98 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 ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: Ile- r DATE: -112- 5 L` ISSUED BY: DATE: / y$ y 1C)- vq1 S&S\ lineeninG July 9, 1997 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, RE. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 "ATM HDRI APPROVALS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 SEWER&WATER MAIN EXTENSIONS REFERENCE: Lot 88A, Snow Subdivision SEWER & WATER INSPECTION request you issue a permit to drill a well and install a septic system to serve the proposed four bedroom house on the referenced property. Test holes were excavated and percolation tests performed. The approximate location of ENGINEERING STUDIES the test holes are located on the attached site plan. ANDREPORTS At the time of excavation water was encountered at 9 feet in test hole #1 and 11.5 feet in test hole #2. After seven day ground water monitoring water was found at 8.5 feet and WELLINSPECTION 10.5 feet, respectively. &FLOWTEST This property has enough area for a future septic upgrade which can be seen on the attached site plan. SITE PLANS We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. ROAD DESIGN - - If you require additional information, please contact us. Sincerely, SOIL TEST -)W PERCOLATION Robert C. Cowan, P.E. TEST RCC/mg Enclosure STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 1 = 50' SITE—PLAN DESIGN SCALE ~ z\ r -3 M -y ro co rzi?m Cn 10' UTILITY EASEMENT ------------------------------------------------------------ 70 ------- -------------------- -O � 70 O ��^�a�Y� o' + tr p r zu o o �p�q � m tP �DO�nCr N �� e d O O M y n _ C/)°x �` rnrd�I Z I -q z fel m O`y 9 �ZtlJ'�=]z`b n o II (100 t 0 0 H � IINII o cn z H� opo c�sXIv 0 I �' ayr x ^ 0 'V p K d o c z0K. 1 ii y .oM0 ziC) o 00 c)IH 1 1 I I xl I A V e>izo �� I Ix I I I ISI I •� � l7 � by yy I F I I I NI I zz n w o I Is I0 I IP I I o 0 a��n \ 1 I I I m O o -I I I I I 'b Z �N II II II II d co x��/gym LJo IJ J LJ b7 C/) sz� 0 "p n �y an O OHO Z=—I Zi VD O S O .1zmy NZo �I y Wit!`. �s. c 00 W Zzmo =" h-- �von 'y ® C]t�" C7H b oKoZc�^a p®J mpmz Q/Q V^^• Or ""y �' .T-01zr^_1AInm c -I T. z�ZD r l�n,(�/� \O `�r G1 NNW= -<mm m oco vv` A" -1 per~ J Z� rpo' fzo Cfl �v r zA r - z>; O mm�Dm Am oom t 0 nomZ mz V ➢<>Q y �_ O O �� vrnnG7 Nm ➢mom C) H M70 Amo a ZNo O k �� 0 O F_ A>� o= y N o a O o3- zz 1 13 zo o -i L zw CARLSON ST. �o oA,Frl l -0 .. j Z olg ,o S x �O 0 m ' � Air ` omn - rA•z� O <� de � vin�� H �zzw co Ns Np -1rV .r.Viz' WF ,1 Municipality of Anchorage w t DEPARTMENT OF HEALTH & HUMAN SERVICES? t t' 825 "L" Street, Anchorage, Alaska 99502-0650 �" •" "" SOILS LOG — PERCOLATION TEST , ^ .• �"'� n ROBERT C. COWAN J;� PERFORMED FOR: S T f - y,5 -J✓ P 4 7 E IZS C N DATE PERFORMED": x, `ow Z fP f} $ N G W �p Township, Range, Section: LEGAL DESCRIPTION: ' g DEPTH `FEET) 1 yr �� Z 0 6AvflC-s SILj 2 PI �2S 3 4~IC v. 5 6 ©.ff 7 i7�6 G 8- Vle 9 10- 11 0 11 12 13 14 15 16 17 18 19 &W/5w J.J&LL CR41)4'1) G.RA✓tiL �1".q.,.p 2-A�G,ir CoBD��S o c cA ss Fo.�e SLOPE WAS GROUND WATER \/ f ENCOUNTERED? S IF YES, AT WHAT L O DEPTH? P E Depth to Water After Monitoring? ` Date: SITE PLAN SST 0 20 PERCOLATION RATE < 1 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN'� I72–FT AND /0 16 FT COMMENTS ' Na C 'i 0 V r q i l S & S ENGINEERING PERFORMED BY: 17034 magic River Loop R ad 145. ACWIY�&- - CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITr4QgJ@ ftM AR0k 1%WXL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) M U t- ACh � Municipality of Anchorage a� � DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 9• j r/. mar SOILS LOG — PERCOLATION TEST �.•... A _ ROBERT C. COWAN t PERFORMED FOR: S TE P 'e I E m S Al DATE PERFORMED: - ,6./ /'�%'• :`�'� i •� LEGAL DESCRIPTION:kbT o O 4 SN d W '54!> Township, Range, Section: DEPTH SLOPE SITE PLAN (FEET) 1 S14,7- 2 2 3 dk D' '9 4 � 5� �� p 6 ot) i 7 6•°t,' 8 ®•O Q 9 Vol 10- 11 10 �vao !/ a'✓ 1 11 � �YD , 12- 13- 14 2 13 14 15 16 17 18 19 20 COMMENTS 7 C- S 7 D W i,L,L- G44411 0 LAP -(,-.j ceR/0i j.s 0 CCA 55S"/0N4L (3jvLOL/Z WAS GROUND WATER `/� ENCOUNTERED? j S IF YES, AT WHATL DEPTH? /a O P E Depth to Water After Ir / Monitoring? X04 Date: ---- d --�1110 ROOM�— —W_���-- PERCOLATION RATE I (minutes/inch) PERC HOLE DIAMETER i t TEST RUN BETWEEN ' /2- FT AND �`� ' FT 6 L 4- #J �1- r N O P- Pr \ 4 & 4 ENGINEERING PERFORMED BY: 17034 p 1,'ne o CERTIFY THAT THIS TE/ST WAS PERFORMED IN ACCORDANCE WITH �t S LAIW3'rtnil;< §UL GUIDELINES IN EFFECT ON THIS DATE. DATE: �D /)? (� 7 72-008 (Rev. 4/85) HEALTHAUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN S& ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 88A, Snow Subdivision July 9, 1997 IGENERAL: ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX(907)694-1211 1. The scope of this project includes the installation of a 1250 gallon septic tank and two leachfield trenches to serve the proposed four bedroom residence located on the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 88A, Snow Subdivision July 9, 1997 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRADFMLD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 88A, Snow Subdivision July 9, 1997 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. NIRIEV" AMTERTAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pip Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Miirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Page Four Lot 88A, Snow Subdivision July 9, 1997 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre - construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER 0 • P!.,t Bpi • Municipality of Anchorage 6 8 9 10 On-Site Water and Wastewater Program i��� J FE (907) 343-7904 t: 1 ; \FT Y 14► JUN L 8 2018 1 Certificate of On-Site Systems Appricu I Parcel I.D. 018-251-32 Expiration Da -II of 81 a 1. GENERAL INFORMATION: Complete legal description SNOW; LOT 88A Location (site address) 14500 Rocky Road *Anchorage 99516 Current Property owner(s) Stevan &Carol Peterson Day phone 223-6076 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: 7/L71€ COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 5210.CO Waiver Fee $ Date of Payment '1 1 Ia kg Date of Payment Receipt Number 0 86-251 Receipt Number COSA# OSGN3r1 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. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: (�,/2,i 1 d oopOQQQQ In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o OF A °op in accordance with the guidelines and regulations established by the Municipality of Anchorage and • 4Q industry practices. The reported results describe the condition of the system/s on the date/s of the c' evaluation. Separation distances were measured to readily identifiable features. Hidden defects or � .• � 9 H / •._„O/ encroachments may exist that were not identified during the evaluation. The operational life of all wells ' * * O and septic systems depend upon a variety of variables, including but not limited to, soil conditions, / Q . groundwater levels (that may fluctuate during the year), quality of construction (materials and VA workmanship), and the water usage of the family utilizing the system/s. These conditions can vary,and Q ...I D are outside the control of GEG. Satisfactory test results do not guarantee future performance of the a fr ' Gor ess.' system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of 1901\130,2.• p__795 �Q� the well or septic system. GEG makes no representation whether an alternative well or septic system •'•.• Z�� red.•' Acocan be installed on the property in the event either of the current systems fail to perform adequately in e` ,,5 the future. The content of this report is for the sole benefit of the person/party that retained GEG to %�Paprof esslo�oQo perform the evaluation. Reliance upon the information provided in this report by any other person or 41�000.oa party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE X System #1 Approved for L( bedrooms ��� OC w�GhU;i xf System #2 Approved for bedrooms �- O 'S\1 .- D 76,o Disapproved • PER ' N ER o Conditional approval for bedrooms, with the followin� s �fa�i sPM s ^ Vi <C- .( l n/)dgr-n 1-,- ('f,`` V/l —C=(—w`- / 1 �� Original Certificate Date: 7- Z' 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 --XNitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc • 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: SNOW;LOT 88A Parcel ID: 018-251-32 A. WELL DATA *ARTESIAN WELL-TOP OF CASING PLUGGED Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES Date completed 8/28/97 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 106 ft. Cased to 106 ft. Casing height(above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 8/28/97 6/18/18 Static water level 0 ft. * ft. Well production 10 g.p.m. 4.7+ g.p.m. WATER SAMPLE RESULTS: Coliform rsi colonies/100 ml. Nitrate 00j't$ g./L. Collected by: GEG,Ltd. Arsenic: 4-5 ug./L. Date of sample: 6/18/18 21 YEAR STEELB. SEPTIC/HOLDING TANK DATA THE END OFD IT'S USEFUL LIFE.50TANI INC ES OF MAY BE APP NNG TANK ON 6/18/18 Tank Type/Material SEPTIC/STEEL Date installed 10/1/97 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank(Y/N) NO High water alarm (Y/N) N/A Date of pumping 6/21/18 Pumper NORTHLAND PUMPING C. ABSORPTION FIELD DATA I.BELOW EXISTING GRADE AT MONITORING TUBES' NORTH/SOUTH Date installed 10/1/97 Soil rating .p.d./ or ft2/bdrm) 1.0 System type DUAL SHALLOW TRENCH Length 61 +63= 124 ft. Width 5/5 ft. Gravel below pipe 0.5/0.5 ft. Total depth *4.9+ ft. Eff. absorption area 620 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 6/18/18 Results(Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 1007 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 - TESTED SOUTH TRENCH ONLY. NORTH TRENCH WAS DRY UPON ARRIVAL AND REMAINED DRY THROUGHOUT TESTING MONITORING TUBE IN SOUTH TRENCH EXTENDS APPROXIMATELY 8 INCHES BELOW INVERT D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on"level at in. "Pump off'level at wa er alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: �1• Septic tank/lift station on lot 100'+ On adjacent lots 7G t 1 W ZzlvE t--y— Absorption field on lot 100'+ On adjacent lots s ir NIIIII Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation .5'+ Property line 5'+ Absorption field 5'+ (ASSUMED) Water main 10'+ 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 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS ��r� Fe r *MET CODE AT TIME OF INSTALLATION �j�^� NO Iii con-DSFe- 1,1-3 u. cb,,. /4✓ r1.074. {?y Gv29S0 OF •f 4�� G. ENGINEER'S CERTIFICATION f '•.0* J '. �.• • v I certify that/have determined through field inspections and % 49 a - % review of Municipal records that the above systems are in • • conformance with MOA COSA guidelines in effect on this .••• •• ? ••g• •• date. ♦1^'; ffr P• Games.;_�= Engineer's Printed Name JEFFREY A.GARNESS :0 kJ -7••3 Date 1 ' '� `� . LICENSE •��;`e�•� 1*AECC884 (Rev.10/12/12) A; kalif - s ieh �Ge-iiSch - 6fisbo a01°r'° -- 22. 3 eve 74 A Me- _ �o.o Lor -14 1_L^T `I'.: 43 ./ I N r Il i-- ' L' PR- Ors - J a o r ��v- foo' 0 ...j* �.3'c.11,-)T '1 L,2'x:e.t..11' C1:G'F N . hyo P'1 +,' • 1 196.73' °o -5. 5 • , -..-- 0 81.61 :E;i:, a� 10.0' Z Tog.."( r 3 \0 2`o O4 6 I suP•rtc c�vo�0.45 1 A L 1•$ 4- ,s+ ��o a 11 ag•A ` 7.t' 0 4.i � 'c �`j',�y. 53,CD4Z ST. 0) Lor ES1 0) 0 0 N N 03 s I-- _ 0 iI• . '"P.'• ` ""):- 4-',"`hl 7.-"7'7.'), J y 0 3 4- r — -to t7Ltsc• al : fcOn r- i LcT...aB_8 ,s' LdT l►Sil�NT 0 7 0.1 • j ul CP 0 °' 0 I 0 L�Vi So0o NuC�GAt�-.- ._--- L 1t-+G PLOT PLAN ASBUILT •_ SCALE I„ ' 5°' GRID 3034 Project No. 97-1°1 Kenneth G. Lang 1731 George Bell Circle, Anchorage, Alaska 99515 (907) 345-6476 Phone ,,,.00000p‘ Registered Land Surveyor (907) 345-4625 Fax v OF q4 ' I hereby certify that I have surveyed the following described property: p'` .•• ..'-..T6-/ tQ Lot 88A. Snow Subdivision 0 Q• •• `{,,. •. - O Anchorage Recording District, Alaska. and that the improvements situated app thereon are within the property lines and do not encroach onto the property o* •' 49T" i'1 •OA adlacent thereto, that no improvements on the property lying adjacent thereto 0 r r 0 encroach on the surveyed promesis and that there are no roadways, trasmission Q 0 lines or other visible easements on said property except as Indicated hereon. Q '� 1'••• 0 ,1 is rn KENNETH G. LA 1{ G . 8�A Dated this the si G Day of t../W2� , 191$_, at Anchorage, Alaska G1/141.,-%... LS-5202 :,•�O �Vl It is the responsibility of the owner to determine the existence of any QQ SFR • •• ••5v�o� easements, covenants, or restrictions which do not appear on the recorded OO�b L AND ��' subdivision plat. OOOOooa ..2" x 9.7' COVERED PORCH 2.0" x 7.4' CANT _ 2.0• x 7.3' CANT 111111 ..1• t.. 11.5' 33.5' 2.0' 2 STORY N b RESIDENCE HOUSE DETAIL 11.0' o Scale: 1" = 30' o 2.0' 2 21.0' liii21411 � DECK I / i 30.0' I I 0 Lot 74 I Lot 738 'w Q I Lot 72 O /owI C) I rec"vE w�L, I p PRo S 89'59'49"E 429.97' RAD — — — 0 PAVER BLOCK\WALKWAY ASPh1ALT.. 1 \ ; „c? GRAVEL N 196.7' i 00 SEE 81.6' o —.— HOUSE 0 SEPTIC PIPES DETAIL ca / OD / 0 . .... Pi 8.2' x 12.2' SHED0 .110 WITH ATTACHED0 TRELLIS o Z 0 00, ......________„-----10' U) 10" ELECT. & TELECOM. EASEMENT (p 0 co Ui Lot 87 N N 89'59'49"W 299.99' Lot 89 J co co co U) O q 0 co o Lot 888 m w co IF 0. i'-' '',33-- \. R.,.500p, \ NUGGET LANE 1 PLOT PLAN AS BUILT X SCALE 1- _ MC-7)31 b'='`l GRID SW 3034 Project No. 18-289/R1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates , inc . (907) 522-6476 Phone acogo0p0 (907) 522-4625 Fax o O F q opo Professional Land Surveyors kenoiangsurvey.com v .. �Qs04 JonathonOlangsurvey.com OO O i hereby certify that I have surveyed the following described property: Q 49TH /N 7� v Lot 88A, SNOW SUBDIVISION (Plat No. 84-265) ! Anchorage Recording District, Alaska, and that the improvements situated thereon are Q i within the property lines and do not encroach onto the property adjacent thereto, that ` no improvements on the property lying adjacent thereto encroach on the surveyed o'/o KENN H . ' '� • o premises and that there are no roadways, transmission lines or other visible °0521A..".. �1it:5 r`% � easements on said property except as indicated hereon. �Q��`p� • 51202.•'• SJ� 1, D7D , 2�i1^ , at Anchorage, Alaska Q� a 044C)' 7 Dated this the S Day of 0 RaFESSIONP- ��O0000a� It is the responsibility of the owner to determine the existence of any easements, AECC963 covenants, or restrictions which do not appear on the recorded subdivision plat. yao8 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD LOCATION OF WELL r . , . .. _ . . , . . ,, _ . . . - BOROUGH SUBDIVISION LOT BLOCK SECTION OTRS SECTION TOWNSHIP RANGE MERIDIAN EN ❑E ``^ 9_ _0 S 0 ❑W LOCATION/SKETCH: WELL OWNER: v--/l DEPTHS MEASURED FROM:❑casing top Eground surface WELL DEPTH: DATE OF COMPLETION Depth of hole: 1b.6 ft j �� q 7 BOREHOLE DATA: Depth Depth of casing: /L:70... ft ¢ I l Material Type and Color From _ To 70 DEPTH TO STATIC WATER LEVEL: c_..... .. Y-� I+. ft below Atop of casing ❑ ground surface [� , Date: 1 2 F.--/ s METHOD OF DRILLING: /air rotary ❑ cable tool r,,,./� '7 El other r _! �_ ' USE OF WELL: domestic ❑ irrigation ❑ monitor �I! /� 4/ ❑ public supply ❑ other 4/ 3 CASING S71CK- ft. Diam: in. tO?t 7 _ Casing type: sQ_in. to/ ,ft 2moi.5„t"ee__e_ere,"4, WELL INTAKE OPENING TYPE:,.open end ❑ screened ./! ❑ perforated ❑ open hole 71-4-""li,i4(54 7/ Depths of openings: to ft 'f SCREEN TYPE: Diam: in. 73 Slot/Mesh Size: Length: ft GRAVEL PACK TYPE: /���,��;�� i?-7liY Volume used: Depth to top: �, ` /� GROUT TYPE: W y,, t t4f/ Q4 `p c( /O _Depth: from ft to ft DEVELOPMENT METHOD: r- Duration: --1 O rn D PUMPING LEVEL AND YIELD: d 1— `©rO ft after 7 hrs pumping de's gpn ZO PUMP INTAKE DEPTH: ft Horsepower: V\ WELL DISINFECTED UPON COMPLETION? YES ❑ NO 1 CONTRACTOR INFORMATIO : REMARKS: ' t•- t 7 � i I I Registe d Business Name 7, PLEASE MAIL WHITE COPY OF LOG TO: �$9/ DNR/DIVISION OF MINING &WATER MGMT Signature of A thorized esprese ative Date 3601 C St, Suite 800 ANCHORAGE AK 99503-5935 6. Phone (9071762-2538,Fax (907)562-1384 "NMENTAI MUNICIPALITY OF ANCHORAGE a DEPARTMENT OF HEALTH & HUMAN SERVICES x Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY " APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # C 1 5' — S ' 3 HAA #_- 1. GENERAL INFORMATION Complete legal description Lot ARA- Snow Suhdiv',-inn Location (site address or directions) NHN Nugget Lane Property owner Steven Peterson Day phone _349-5579 Mailing address 2000A E. 72nd Ave. Anchorage, AK 99507 Lending agency Mailing address Agent _ Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm -sem 5 ENGINEERING Phone (L 9 Y - }`l 7 `J Address 17034 Eagle River loop Road No. 204 Engineer's signature 6. DHHS SIGNATURE L— Approved for ty bedrooms. Disapproved. Conditional approval for Additional Comments M Date 3 / S_/`i S, bedrooms, with the following stipulations: Date S - i q `9 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 MAR 05 19H Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division AhS 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 - 2C)NVE N1 Al Serve.P� i-;fV! ., Health Authority Approval Checklist MAR 0 5 1998 Legal Description: L -0'i s8k _ !a90LJ S1 Parcel I.D.: 610 i,. , A. WELL DATA Well type PKv+ATE If A, B, or C, attach ADEC letter. ADEC watersystem number t4 Ar - Log presente'N) Date completed S /Z$// `17 1 i Total depth 166 Cased to )d(, Casing height (above ground) Sanitary seal &N) Y'kS Wires properly protected O/N) i z S FROM WELL LOG AT INSPECTION Date of test 8&8 7 r Static water level Well production O g.p.m. 9 -13 -m - WATER SAMPLE RESULTS: Coliform Nitrate 0 a Other bacteria Date of sample: 3 Collected by: g g, S ENGINEERING 17034 Eagle River Loop Road, No. 204 B. SEPTIC/HOLDING TANK DATA Eagle River, Alaska 99577 Date installed to ' R7 Tank size ISoo Number of Compartments 2 Cleanoutso/N) Ye's Foundation cleanout (21N) `IE$ Depression (Yf) /Jo High water alarm (Ya (J o Date of Pumping 1� evi Pumper C. ABSORPTION FIELD DATA SAa�R Date installed 1 o s i Soil rating (.p.d./ft2 r ft2/bdrm) f ©k `"stem type DRAM F#EwS Length )24'`1® 61' ) Width 5' Gravel thickness below pipe o i Total depth< Effective absorption area 6ZO Monitoring Tube present ON)' /Es Depression over field (YS /J m Date of adequacy test 0 E -J Results (Pass/Fail) For Lf bedrooms Fluid depth in absorption field before test (in.); Immediately after_ gal. water added (in.): "-- Fluid depth (ins) Minutes later: Absorption rate = g.p.d. Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* If yes, give date D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES Size in gallons "Pump on" level *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: 1 Septic/holding tank on lot 104 Absorption field on lot Public sewer main Sewer /septic service line 161 On adjacent lots mp off" level at* 10614 On adjacent lots ) ao I + Public sewer manhole/cleanout tJ/A Lift station N /A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: 1 1 1 Foundation 1e Property line yS = Absorption field i i} 1 I Water main/service line JU Surface water/drainage too Wells on adjacent lots o o 1 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line 135 1+ Building foundation :23 t Water main/service line 10 It Surface water 1de 1-F Driveway, parking/vehicle storage area 46 It Curtain drain 04e k,#,l0L'i Wells on adjacent lots 106, F. ENGINEER'S CERTIFICATION l certify that l have determined thru field inspections and review of Municipal in conformance witp MOA N A guidelines in effect on this date. Signature W,,VL , Engineer's Name / C Corm),J % Date 3 / 3— A V HAA Fee $ 3®• d Date of Payment 3 �' `;>S� Receipt Number 75_0 �4 Eo S 5-1�� 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number c. OF c; -0 ROBERT C COWAN f•C t i , are