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Home My WebLink AboutSANDY ACRES LT 3Sandy Acres Lot 3 #015-501-42 Municipality of Anchorage Page 1 of 3 Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.sk.us (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO50192 PID Number. 015.50142 Zen Investments LLC Wastewater System: New Ate... P.O. Box 240186 Anchorage, AK 99524 ABSORPTION FIELD 24 23.0838 Fo. Runewur a a•e4 epen 24 5' Wide Trench LEGAL DESCRIPTION Td.I Wpm km txg liy • .8 GPWe 7 Fl. 8k La &W um 3 D -PM m pp• Eoean Idn avP pe0• G,e 0eP1n Ew.wm pp• Sandy Acres 3 F1. 4 FE Tp+`" Rwq•' Sawn. FYeCbee on",;Nid Ciaaitogln 1.3 Ft. 63 Ft. Well: New �+ 1M..C•r d Y.•• D.Nenn 0.1-ean k 5 F1. 1 - FE C1rMlwrwn (Pm"•, A 8, ck Tdal Wpr1. Ce to del eworppp. w•l q.. Private 111 F1. 111 FE 630 Fe ASTM 3034 PVC OMW Alpine Deb Cdre SNFo Www L•rw 8/5/05 65 FE Whitters Landscaping • b 7111-1212005 TeiIC 20 Pw. smAO dour' >2 TANK GPM r1. Ft SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption LM Holding ubrNRnvata From Tank Field Station Tank sewer Line Anchorage Tank 1,250 Wee >100, >100' N/A NIA >25' Steel Two (2) s.nedrwew >100' >100' WA NIA LIFT STATION — NONE ON LOT La L. >5' >10, N/A NIA ow Fd.Wwn >5' >10' NIA NIA �"°� ""'p ` " m ti In ti Cine.'Dr.n None Noted P..np M.l"""°°'' E" iaiii irwp•d'd"p."mmWby, Re * BENCH MARK Finished Floor 100.0 Ft Engineer's Stamp °Z. Inspections performed by: AH Dates: 1" 7111/05 ; 49th to ♦. 2nd 7112105 %....... , Department of Health and Human Services appr Val I L c! MICHAEL E ANDERSON ♦ if No CC -4381 w Reviewed and approved by. Date: I 0 D ♦♦i�� •�„- Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK 99519-8655 - 343-7904 Permit No. SWO50192 On -Site Wastewater Disposal System or Well Inspection Report SANDY ACRES SUBDIVISION LOT 3 44,228 S.F. N 8YS6'15'E 165.00' J_ lo_T. h E. Eswr.�.�--- �. 7H2 C5 qj ``!SVT CIRCLE PLAN AS -BUILT SCALE 1' - 50' Page 2 of 3 PID No. 015-50142 A IS St 1 38.7 33.5 62 1470 41.7 G 72.8 c5 76e 65A Mt 1682 762 Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SWO50192 GARAGE PID No. 015-50142 N Y 2 f U S r U PROFILE AS -BUILT Scale: 1' - 10' Permit Number: #SW SO 0192 Date of Issue: 6-28-05 Parcel Identification Number: Q15-501-4 Date Started: 8-5-05 Date Completed: 8-6-05 Is well located at approved permit location? ® Yes ❑ No Legal Description: Sandy Acres Lot 3 Property OwnerName & Address: Hagen Investments, LLC PO Box 240186 Anchors a Alaska 99524 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soff Type, Thickness dt Water Strata •h ROf1 ALPINE DRILLING FRX NO. : 907 345 0202 Jan. 25 2006 12:13PM P1 0 2 3 7 2 3 7 61 Wall Thiekness:.250 inches Diameter: ¢ inches Depth: 111 feet Liner Type: r: inches Depth: fat tickup above ground: g feet slit 61 ALPINE DRILLING & ENTERPRISES Permit Number: #SW SO 0192 Date of Issue: 6-28-05 Parcel Identification Number: Q15-501-4 Date Started: 8-5-05 Date Completed: 8-6-05 Is well located at approved permit location? ® Yes ❑ No Legal Description: Sandy Acres Lot 3 Property OwnerName & Address: Hagen Investments, LLC PO Box 240186 Anchors a Alaska 99524 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soff Type, Thickness dt Water Strata From . To Casing type: steel stick-up organics & slit silt gravelly silt 0 2 3 7 2 3 7 61 Wall Thiekness:.250 inches Diameter: ¢ inches Depth: 111 feet Liner Type: r: inches Depth: fat tickup above ground: g feet slit 61 70 ater level (from ground level): ¢5 feet t'Ruccorvery silty gravel 70 78g level:111-feet after silt 78 102pumping ZZ -0 gpm silty sand water sand & gravel 102 108 108 111 Rate: s20 gpm Method of Testing: Piz Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Stag feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentorrite M!Iules Volume: I br Depth: Start Q feet Stopped Z feet pump: Intake Depth feet p Lp size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller. Alpine Drilling b Enterprises PO Box 110496 Anchorage AK 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property . .L. �..\\ J.III L 11 1. .... \. 1.. �. .L n �. n... .... n. T. ... ..'.1.1. in J.... •L.. •..t... ` MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number: SWO50192 Legal Description: SANDY ACRES SUBDIVISION LOT 3 Date Issued: Jun 28, 2005 Expiration Date: Jun 28, 2006 Parcel ID: 015-501-42 Design Engineer: 0014 Anderson Engineering Site Address: P.O. BOX 240186 Owner Name: HAGEN INVESTMENTS, LLC Lot Size: 44228 SO. FT. Owner Address: P.O. BOX 240186 Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99524 - This permit is for the construction of: Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued Date: 6-zs�os Date: o Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 995196650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. nI5-'s l- 4Z Permit Number SW Property owner(s) Hagen Investments, LLC Day phone 242-0838 Mailing address (1) P.O. Box 240186 Anchoraae. AK 99524 Mailing address (2) (0(e'45 Luliad Circle Arm AK Zip Code Legal description (Lot, Block & Sub'd.) - Lot 3, Sandy Acres Subdivision Legal description (Section, Township & Range) Lot Size 44,228 SF Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms Four (4) Sewer Only ❑ Well Only ❑ Sewer and Well ® Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Waiver Fees: Date of Payment 6 - ZZ - D S Date of Payment: Receipt Number. t9 6 `/ ?757 Receipt Number. (Rev. 12100) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX June 21, 2005 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 3, Sandy Acres Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer. The owner of Lot 3, Sandy Acres Subdivision intends to construct a new four-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to serve the new home. No conflicts exist with adjacent septic systems or wells and the proposed septic system and well on this lot. The attached Site Plan and backup documentation identify the location and configuration of the proposed well, septic system and alternate site. The current drainage pattern is identified on the Site Plan. The drainage pattern will be maintained after development of this lot is complete. Test holes were placed on the lot in May of 2003, which indicated well graded to poorly graded gravel with with lenses of silty sand in the area of the absorption trench and alternate site. The accepting soils were tested and found to have a percolation rate of 3.6 minutes per inch. Silt lenses percolated slower at 17 minutes per inch. The system is designed with an application rate of .8 GPD/SF. No groundwater was found in the test hole during placement and none was monitored during the ensuing period. Our design includes the placement of a new 1,250 -gallon septic tank along with a 63' long by 5' wide by 4' effective depth absorption trench to collect and treat the sewage generated in the house. The bottom of the trench will be 7' below the surface. The distribution pipe will be 3' below the surface. A minimum of 3' of cover will be placed atop the trench and a minimum of 4' of cover will be placed atop the new septic tank. The ground surface on the lot slopes at varying grades from north to south as shown on the Site Plan. The absorption trench will be constructed parallel with the slope of the ground surface as much as possible in conformance with Municipal requirements. The Lot 3, Sandy Acres Subdivision June 21, 2005 Page Two new septic system will be constructed a minimum of 100' from the well on the adjacent lot. It will also be constructed a minimum of 100' from any surface water in the area. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments 49th` MICHAEL E. ANDERSON 4 No, CE -4381 . O'MALLLY ROAD .rsenc M&W !� .rsrartr rrurcT a ; (A r N D ' � e� rerrat rr nus• T Q r- �1 � W O i fou rarrrrrt rsaor BLM LOT 2 i•.O 5��••1�tu a it ��• 2 SANDY ACRES SUBDIVISION 0 0 n N F W) N on 0 0 LOT 3 44.228 S.F. 89'56'15'E 165.00' 10' T. & E. ESMT.��\� I ate \ —N -- ----- I -PO •O� ` 63' Long x 5' Vide \� fs411 W I5�• x 4' Effective Depth U I ,t. Absorption Trench \\ 1.250 Gallon ` Septic Tank I \\ a FY rt I '*. Z g1. rt I „ O I X X _ I I �^•a A.C. DRIVE slab n I EL - 520' WI I" x ® I o -r- I `\ 19' � 8SJ• \\ m +r0 \ 'O LULIAD RCLE 0 N 89'56'15'E 114.94' 15' T. & E. & GAS -,,, 52 528' i SITE PLAN SCALE V - 40' LOT 3, SANDY ACRES SUBDIVISION DESIGN FACTORS: Four Bedroom House Perc. Rate: 3 to 17 Min.11nch Application Rate: .8 GPD/SF (Average) SYSTEM REQUIREMENTS: 5' Wide Trench System 1,250 Gallon Septic Tank 4' Drainfieid Rock 4 Bedrooms X 150 GPD/.8 GPD/SF (Application Rate) = 625 SF Absorption Area 625 SF/5 SF' .5 (Red. Factor) = 62.5 LF Trench Length THEREFORE: Construct a 63' Long x 5' Wide x 4' Effective Depth Absorption Trench. Flow Line Elevation in Trench to be 3' Below Original Ground Surface. Total Depth to be 7' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Trench. Natural Backfill 2'6" 3' Cover Over Trench Geotextiie Fabric 6" ed I�—PVC (H els Down) 4'0" 1 I ,, — Drainfield Rock 5' TYPICAL 5' WIDE TRENCH SECTION (NO SCALE) +ter NOTE: Grade Area Over Trench to Drain Away. a Minimum 6' Separation From Bedrock. _ Minimum 4' Separation From Groundwater. Minimum100' Separation From Wells in the Area. Minimum 10' Separation From Water Services. Minimum 100' Separation From Surface Water or Streams. MILINEL E INOERSp1 1 9 ' A .ASKA WATER & WASTEWATER *,:• y CONSULTANTS, INC. ....... . ..... ...... «.-d,.m SOIL LOG — PERCOLATION TEST .. . . ................ LEGAL DESCRIPTION: SANDY ACRES SUBONISION; LOT 1-4, 6/23/2003 •' ppm• '•. -7853 PERFORMED FOR: . TONY BLOMFIELD DATE: s^• •. ... ( 4 ... �o'e CIA td' feet ____ ORGANICS TEST HOLE o�r.�•Ie 1 ---_- - -- c=ca SILTY LOAM SOIL CLASSIFICATIONS LOT UN - GP ML TH13+ TH+ +TH12 3 GM CL r* GC OL -� 4 0 9 SW MH •• • S'p CH '^ 5 SM i OH' LAT 4 LOT 3 6 SC o J 7 Sf��4 OF Ate DEPTH OUNDQ ER DATE g ��p'• �� •• / 15 5/23/2003 SITE PIAN 4924 : * 14.50 6/4/2003 1'100' e .... .. j •�• .. ' :13' 10/15/C4 .. ....... OT IN- T c ' •• : AUCNAFL I. ANDER ..... •^� 10 ;''• CE -4381 • `' 4�� •/t ' u -p•r % " CLOCK NET TIME. 44frp ZATE READING WATER LEVEL NET DROP 11 v,,,,,,... TIME (MINUTES) READING (INCHES) Qo'►`S'►pe`ti 6/4/2003 1 3:40 - 6' - 12-1. .. . •; .•.• 2 4:10 30 2 1/2- 3 1/2- 2'-.13 -.13 "` •••• 3 4:10 - 6- - •%•••'• 4 4:40 30 3 1/8- 2 7/8- 14 14— 00 ;. SP 5 4 4D - 6' - 00 ::� 6 5:10 30 4 1/4 — 1 3/40 15 .%O ;. 7 5:1 D - 6' - •••, : :• 8 5:40 30 4 1/4- 1 3/4' 16 .D.O.H. 17 ' 18 PERCOLATION RATE 17.1 (MIN./INCH), PERC. HOLE DIA. 6 (INCHES) , TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: NICK HEITSTUMAN COMMENTS: PERFORMED BY AKWWC. INC. 1, JEFFREY A. GARNESS. CERTIFY. THAT THIS W LRFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: 6/zei ALASKA WATER & WASTEWATER I'UIL LUV - r ' -- LEGAL DESCRIPTION: SANDY ACRES SUBDMSION: LOT 1-4, PERFORMED FOR: TONY BLOMFIELD DATE: 5/23/2007 ( oRCANIcs EST HOLE #2 !-off 1 PAGE 1 OF 2 * DRY 5/23/2003 -=== SANDY LOAM SOIL CLASSIFICATIONS 6/4/2003 2— ---- ORG TH{3+ GP ML 3 Rl SM GM CL 3 GC ' OL 6• SW MH 8:30 r..'tii; .•.'. SP CH 5 4.� SM i OH 1 - CW/GP - 6 SC m .o;,,.:z 7 491y -- 9 I �WCHAEL [. ANDERSO" CE•4331 10 i!; fp01; 5,0 11 SM'�\\,ES 12 13 14 17�• 1, 18 1 DEPTH TO f kpl DWATER DATE * DRY 5/23/2003 CORY 6/4/2003 :a PDrV 10/1510 6' TH{3+ ......I.. I... /. I............ x[7953 o? DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 5/28/2003 1 L II UN: - 6' TH{3+ + 4TH#2 10 2 1/4' 3 3/4* 3 0 6• - 1 8:30 1 10 3 1/2- C 5 8:30 1 - 6. - 6 8.40 m 3 3/16- 3 16•7 2 13/16- 7 8:40 - W - B LOT 4j 10 LOT 3 •'2 13/16- 0 O - 6'in - J 0 10 3 3/16' 1 2 13/16' SITE PLAN 9:00 - 6' 1•-100' I LOT UNE 10 T DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 5/28/2003 1 B:10 - 6' - 2 8:20 10 2 1/4' 3 3/4* 3 8:20 6• - 4 8:30 1 10 3 1/2- 2 1/2- 5 8:30 1 - 6. - 6 8.40 1 10 3 3/16- 3 16•7 2 13/16- 7 8:40 - 6• - B 8:50 10 3 3/16- •'2 13/16- 0 - 6'in - 0 10 3 3/16' 1 2 13/16' 9:00 - 6' - 9:10 10 3 3/15- 2 13 16 19� PERCOLATION RATE 3.6 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: NICK HEITSTULUW COMMENTS: PERFORMED BY AKWWC, INC. 1, JEFFREY A. CARNESS, CERTIFY THAT THIS ERFORMED IN ACCORDANCE LHRH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ALASKAI WATER 8c WASTEWATER CONSULTANTS. INC. � ISUIL LUG - rr-M v ^llw. . ,...,,, LEGAL DESCRIPTION: ' SANOY ACRES SUBDIVISION: LOT 1-4, PERFORMED FOR: TOME BLOMFIELD DATE. 5/23/2003 (feet) ffEST HOLE #2 �-oT 3 1 (.1 PACE 2 OF 2 WATER LEVEL NET DROP "" •' •• 'D SOIL ASSIFICATIONS TIME (MINUTES) GW ==_= 2 W OR'G Tajo-. 6 0 2003 r GP ML 3 3 3 16 2 W GM CL fits o„S,wO�*e:� 3 8:20 GC OL 4 Z°� 6' (INCHES) SW 8.30 MH 3-1/2" 2 12 0 20 �'. •. SP 8:30 CH•. 5 N COMMENTS: SM i OH 10 3 3/16" 2 13/16" WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: SC 7 6 W J 7 O 2 B F- 9 � W F- 10 --1 ,A 11 12 IGROUNDWA ERI DATE .....T .NX..a...a......... ey A. GdrTeee: C 7953 e* SEE SITE PLAN ON PACE i OF 2 49n fl •� "••• 16— (.1 CLOCK NET TIME WATER LEVEL NET DROP "" •' •• 'D E READING TIME (MINUTES) READING (INCHES) ....., MICHAGEL E. ANDERSON 9:00 6 2003 1 8:10 — 6" E-4381 L Oc,^•� 10 3 3 16 2 8:20 10 fits o„S,wO�*e:� 3 8:20 - 6” - PERC. HOLE DIA. 6' (INCHES) 4 8.30 10 3-1/2" 2 12 20 5 8:30 - 6" - COMMENTS: 6 8:40 10 3 3/16" 2 13/16" WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7 8:40 - 6" - 8 8:50 10 3 3/16- 3 16" 2 13/16- 16 (.1 - 6" - 0 10 3 3/16" 2 13/16" 17 9:00 6 (/7 10 3 3 16 2 13 16 18 W PERCOLATION RATE 3.5 (MIN ✓INCH) PERC. HOLE DIA. 6' (INCHES) 19 W V) TEST RUN BETWEEN 7.0 FT. AND 7.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ONO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: NICK HERSTUMAN COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. CARNESS, CERTIFY THAT THIS 1 AS ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 3, SANDY ACRES SUBDIVISION GENERAL: The scope of this project includes the procurement and placement of a new 1,250 -gallon septic tank at the location shown on the Site Plan. Work also includes the construction of a new 63' long X 5' wide X 4' effective depth absorption trench at the location also shown on the Site Plan. The distribution line in the trench will be placed at 3' below the existing ground surface. Total depth of the trench will be 8' below the existing ground surface. A separation distance of 100' from any well and 100' between the septic tank and absorption trench and any surface water must also be maintained. In addition, a separation distance of 10' between components of the septic system and any water service line is required. A minimum of 3' of fill is required over the absorption trench and 4' over the septic tank. In lieu of the required fill 2" of insulation and 2' of fill may be placed. 2. Construction shall be in accordance with the approved site plan, 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 all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. The Contractor must also verify the location of wells in the area and assure that the separation distances are met. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK INSTALLATION A new 1,250 -gallon septic tank must be procured from an approved source and installed at the location shown. 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. Lot 3, Sandy Acres June 21, 2005 Page 2 of 3 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 6. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trench to drain away. 8. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. Lot 3, Sandy Acres June 21, 2005 Page 3 of 3 MATERIAL SPECIFICATIONS: 1. Septic tanks 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: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. Parcel I.D. 015-50142 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 S�F Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description SANDY ACRES LOT 3 Expiration Date: Z -c?" " / Location (site address) 10675 LULIAD CIR ANCHORAGE AK 99516 Current Property owner(s) Mailing address Real Estate Agent TODDLOGAN Day phone Day phone 2. TYPE OF DWELLING: " ® Single Family (w/wo ADU) t.�l %6i lh�i�A ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) APR 2 2 2014 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well n Individual E Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Pubiic Vvater System LJ Public Sewer r L� WaiverP✓ariance ra4ust .for: NONE Distance:_ Received by: Date:" COSA to be released to the b gineer, unless otherwise requested by the engineer. COSA Fee $ -- I Date of Payment � 2_ !/ Receipt Number o2_nc� >, COSA# oeDC►q V41 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, 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 SPURKLAND ENGINEERING Address 203 W. j5TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND 6. DSD SIGNATURE System #1 Approved for Y bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, Phone 279-3916 _ Date 4/14114 OF A t`le r 10 F7 n:: I; 11 L D •,fir r ��By `� ��`� with the following t pulations: By: Original Certificate Date:_ The Mci Ry. r ®rage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheer f _i ., If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: SANDY ACRES LT 3 A. WELL DATA Well type PRIVATE Date completed 8/5/05 Total depth 111 ft Date of test Static water level Well production If A. B, or C provide PWSID # Sanitary seal (YIN) Y Cased to 111 ft FROM WELL LOG 8/5/05 65 20 WATER SAMPLE RESULTS ft. =w Coliform NEG colonies/100 mL Nitrate 0'219 mg/L Arsenic ND ug/L Date of sample: 4/11/14 B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1250 gal. 2 Foundation cleanout (Y/N) Y Date of pumping 4/10/14 Parcel ID: 015-501-42 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 24+ in. AT INSPECTION 4/11/14 ARTISIANAL ft 5.25 9.p -m. Collected by: ANSON MOXNESS Number of Compartments _ _ Depression over tank (YIN) N Pumper ISAAC'S PUMPING Date installed 7/11-12/05 Cleanouts(Y/N) Y High water alarm (Y/N) N C. ABSORPTION FIELD DATA Date installed 7/12/05 Soil rating (g.p.d./ftp or ft2/bdrm) 0.8 System type 5' TRENCH Length 63 ft. Width 3 ft. Gravel below pipe 4 ft. Total depth 7-5 ft. Eff. absorption area 630 fe Monitoring tube Y Depression over field N Date of adequacy test 4/11/14 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 17 in. Water added 630 gal. New depth 24'5 in. Elapsed Time: 210 min. Final fluid depth 21'5 in. Absorption rate >= 600 g p d Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons in. "Pump off' level at E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Septic tank/lift station on lot100+ Absorption field on lot 100'+ Public sewer main NA Sewer /septic service line 25'+ Animal containment areas 50+ Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots100 + Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5'+ Water main NA Water service line 10'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Curtain drain NONE KNOWN I�40Y, ir,I=1:k&I G. ENGINEER'S CERTIFICATION Surface water 100'+ Wells on adjacent lots100+ I certify that l 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. Engineer's Printed Name LARS SPURKLAND Date 4/14/14 COSA brown sheet_1010-12.doc Absorption field 51+ Surface water 100'+ Water main NA Driveway, parking/vehicle storage 10' in. S . 4. :.. j J/ E. SPURKLAND. j 15 LLp,V1j 6M1U -z, Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015 501-42 COSA # C24fito g' Expiration Date: y 170 /0(7 1. GENERAL INFORMATION Complete legal description Lot 3, Sandy Acres Subdivision t Location (site t3ddress) 10675 Luliad Circle Current Property owner(s) Hagen Investments, LLC Day phone 242-0838 Mailing address P.O. Box 240186 Anchorage, AK 99524 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Four (4) 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of Onsite Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of Onsite 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. S. DSD SIGNATURE t/ Approved for _+ bedrooms. Disapproved. Phone 522-7773 Date =5/2006 Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrd(e Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By Original Certificate Date: r o 0 (R.. 1195) Municipality of Anchorage Development Services Department 'j Building Safety Division On -Site Water d Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995196650 1 www.muni.orylonso (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description:��r tLs �4 Parcel ID: 015-501-42 A. WELL DATA Well type Private K A. B. or C provide PWSIO S _ Well Log (YM) Y Date completed 815/05 Sanitary seal (YM) Y Wires property pry (Y/N) Y Total depth 111 ft. Cased to 111 ft. Casing height (above ground) >18 in. FROM WELL LOG AT INSPECTION Date of test 815105 Static water level 65 ft. fl. Well production 20 9.p -m. 9 P.M. WATER SAMPLE RESULTS: Coliform % coloniss/100 mL Nitrate 0. 1 mg/L Other bacteria '0 colonies/100 mL Arsenic: 5_LQ mgA Date of sample: l -- IS -0 6 Collected by: LH. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Se 'dSteel Date installed 7/11106 Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation dewxxd (YIN) Y Depression over tank (YM) Y High water alarm (YIN) N Data of pumping Now Construction Pumper C. ABSORPTION MELD DATA Date installed 7/12105 Sod rating (g.p.d./ft or fe1bdrm) .8 GPDISF System type 5• wide Trend, Length 63 ft, Width 5 ft. Gravel below pipe 4 ft. Total depth 8 ft. ER. absorption area 830 fe Monitoring tube Y Depression over held N Date of adequacy teat New Const. Results (Pass/Fait) For _ bedrooms Fluid depth in absorption field before test in. Water added_ gat. New depth In. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (pest 12 mo.) (Y/N b type) N If yes, give date D. LIFT STATION Date installed NIA Size in gallas Manhole/Access (Y/N) 'Pump ori level at _ in. 'Pump ofP level at _ in. High water alarm level at in. Datum Cycles tested Meets alarm 6 circuit reo mnenta, E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAft station on lot >100' On adjacent lots >100' Absorption field on lot >100' On adjacent lots >100' Public sewer main NIA Public sewer manhole/cleanout NIA Sewer /septic service line >25' Holding tank N/A Animal containment areas N/A Manurelanimal excrete storage areas N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property wo >5' Absorption field >5' Water main NIA 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 NIA Water Service line >10' Surface water >100' Driveway ahxage >10' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS: G. ENGINEER'S CERTIFICATION I cerhry that I 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. Engineer's Printed Name Michael E. Anderson. P.E. Dale 1125/2008 COSA Fee $ S% SI `f 1 75 ( R ILS/{ Date of Payment 11 -ail% a 01:4xio t1 Receipt Number\QiCS�- (Rev. 11tm) Waiver Fee S Date of Payment Receipt Number J, 49th 01-27-06;13:20 ; SCS Itcf.N 1060293001 Client Name Anderson Engineering Project Name/0 Lot 3 Sandy Acrd Client Simple ID Lot 3 Sandy Acrd 111atrUe Drinking Water PWSID 0 Sample Remarks: ;907 561 5301 # 2/ 4 All Dntcs/rimm are Alaska Standard Timo Printed Dalr TIme 01/26/2006 1430 Collected Date/rima 01/18/2006 13:39 Received DateMme 01/18/2006 14:03 Technical Director Stephen C. Ede Allowable Prep Analysis Panvneter Results ML Units Method Container ID Limits Dale Date Init Metals by ICP/MS Arsenic 5.00 U 5.00 ug/L CP200.8 C 01/23/06 01/23/06 WAW Waters Department Nitratc•N 0.100 u 0.100 Microbiology Laboratory Total Coliform TNTC On mg/L EPA 300.0 B (<.10) eol/100mL SM209222B A (<-I) a 01/18/06 DSH 01/18/06 TLF 2004-148 SANDY ACRES SUBDIVISION LOT 3 44,228 S.F. 3' n 138.7' ��ac m $ S+ I N I 3 z I 59.8' n fV 37.8' EXWNI z 11GARAGE c - 1 - 29.8' 1 "=40 0011 11 WELL I � \ M LULIAD CIRCLE GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE, ALASKA 99502 PHONE 248-5454 IGRID 2537 I DA�3/2006 I F.B. JOB NO. 05-16 1 SAS3 N 89.56'15"E 114.94' 15'T. do E. do GAS ESMT. I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. R IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE BUILDING DETAIL SCALE: 118=20' GARAGE DETAIL SCALE: 1 "=20' OF A41� Ar 9Iki.: •......................a1 • A Gastaldl 0 i •. i 1 AW �� •. LS -6091 : • •. s^s0�, ••..•...N•••dhJ* '0'v 'otessiona%' a �Iausso N 89.56'15"E 165.00' 10' T. do E. ESMT. \ \ I \\ ?o• \\ \ k1 \ SEPTIC SYSTEM ui : \ azl • Q I o � OEGK I ^I �� n N 3' n 138.7' ��ac m $ S+ I N I 3 z I 59.8' n fV 37.8' EXWNI z 11GARAGE c - 1 - 29.8' 1 "=40 0011 11 WELL I � \ M LULIAD CIRCLE GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE, ALASKA 99502 PHONE 248-5454 IGRID 2537 I DA�3/2006 I F.B. JOB NO. 05-16 1 SAS3 N 89.56'15"E 114.94' 15'T. do E. do GAS ESMT. I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. R IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE BUILDING DETAIL SCALE: 118=20' GARAGE DETAIL SCALE: 1 "=20' OF A41� Ar 9Iki.: •......................a1 • A Gastaldl 0 i •. i 1 AW �� •. LS -6091 : • •. s^s0�, ••..•...N•••dhJ* '0'v 'otessiona%' a �Iausso