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CONTOUR ACRES #2 LT 2
Contour Acres #2 Lot 2 017-451-26 EXPIRED PERMIT Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: S I.1 M03 fib PID Number: D —ItIl z(, Name:E' Wastewater System: ❑New i� El Upgrade Atldress: 5600 Per'.1/n) Crrcic ABSORPTION FIELD Phone: (�0 - 375-7318 Number ofLJ .drooms / �eep Trench D Shallow Trench D Bed ❑ Mountl ❑ Other. LEGAL DESCRIPTION Soil Rating. ©B Total Depth horn original grade: n �T IDr GPD/Ft if f Ft. Block: LcL Subdivision: Lot C"*itr Arra *Z m an Depth to qpe bottom fro ginal grade: —S Gravel depth beneath pirpte' / ,+ -, Ft. . Ft Township: Range: L -- Section / /�� R3•" SS FIII added above original grade,. Gravel Length: z �yys�. YJ'✓•'.'TX R. JB Ft. Well: N ❑ New ❑ Upgrade Gravel the 0 Number of lines: Z Distance between lines: jpf Ft Ft Classification (Private, A. B. C): Total Depth:Cased m: Total absorption area: A36Ft' Pipe Matenal: Al "j�,J7.3e3y q- jgi0 Ft. Ft. Driller Date Drilled: Static Water Level: Installer �t%. %3tcr Datestalletl � i zoos FL I Yield: Pump Set at. Casing Height Above Ground. TANK GPM FL Ft. SEPARATION DISTANCES �� �� &/Septic ❑ Holding ❑ 3.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic/Private '. Manufacturer-- kook TC I< Capacity: From Tank Field Station Tank Sewer Line 11A50 Gal. well /iz 1�0 Material: .:y' - S�'ue ce2(ia� Pi fr.� caa Number of Compartments Surface Water - LIFT STATION - Slze: Manufacturer Lot Line O I l0 Gal. Foundation "Pump on' level at: "Pump off level at High water alarm a[ �2 VV k/t r(JNV in. in. in. Curtain Drain MIA ^ .1 ry Pump Make & Model Electrical Inspections performed by. Remarks: Absorb+;'ov% �;elt( 1,10g rDM 4f(, sic - BENCH MARK p� � � � � �] ,r' f�.meluk rids. ljd - Location and Description: 1�'l SIR.t9 1 TINvk re�.odeeeQ.+S 175 @K D S/T� Assumed Elevation: ��(jl� Ft. '�� nn�/ Inspections performed by: �l�� Iy"J P.6 Dates: 1a' R 119/0 Engineer's Stamp OF -4Ll�� 2nd ❑ (' A/As- �c� ........... QS�1t� Development Services Department Approval h ` 9 pt► Conditional Approval Date: e` 49th i `t •• • WILLIAM S.BU SS JQ 9_ • Qi 7492 J.� CE - Reviewed and approved by: Date: 3 ,i=% 0 pROFESS50NP� July 14, 2006 , Municipality of Anchorage On -Site Water and Wastewater 4700 S. Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Attn: Mr. Daniel J. Roth, Program Manager RE: Permit Number SW040366, Contour Acres #2, Lot 2, On-site Septic System Improvements As requested in your June 22, 2006 letter regarding my On -Site Wastewater Permit, I am submitting herewith the as -built inspection report. Please let me know if you have any questions or other data needs. I can be reached at 561-2120 during the day or via email to bk4boys@gci.net. Sincerely, William S. Burges Attachment: On -Site Wastewater Disposal System Report Plat Map amended to show location of septic tank, field, and clean -outs 22 Jun 06 Ahmicipdity, of Anchorage e ;hark Begic/t, Mayor Building Safety Div-isiotl P.O. Box 19GG50 • 4700 Bragaw Strcct Anchorage, Alaska 99519.6650 • (907) 343.8301 • Pax (907) 343.800 h ttp://u�w. man Lorg William & Kimberly Burgess 5600 Penny Circle Anchorage, AK 99516-3020 Subject: Expired On -Site Water and/or Wastewater Permit Permit Number: SW040366 Legal Description: Contour Acres #2 Lt 2 Dear Mr. & Mrs. Burgess: An On -Site Water/Wastewater Permit, number SW040366 issued by this office for a single-family system, will expire on 15 Jul 06. Permits are valid for 365 calendar days from date of issue. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A one-time renewal fee for a second year may be issued for a $115.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 343-7904. Sincerely, at -l -r Daniel J. Roth Program Manager On -Site Water and Wastewater Program Enc: Copy of permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 995196650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Date Issued: Jul 15, 2005 Expiration Date: Jul 15, 2006 Permit Number: SW040366 Parcel ID: 017-451-26 Legal Description: CONTOUR ACRES #2 LT 2 Design Engineer: 0815 Shannon & Wilson Site Address: 005600 PENNY CIR Owner Name: William & Kimberly Burgess Lot Size: 89497 SO. FT. Owner Address: 5600 PENNY CIRCLE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE, AK 99516-3020 This permit is for the construction of: 0 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 By h )Sibs Date: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. /)/ q' 457 — d& Permit Number SW Q3'Q_-�7 Property owner(s) Mailing address (1) 497aM Day phone C Mailing address (2) Zip Code 915 576 Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size 91 Acres/Sq.Ft. Number of Bedrooms y THIS APPLICATION IS FOR: Sewer Only 1501� 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: Date of Payment: Receipt Number: O3q/ Receipt Number: (Rev. 17100) Qom„ MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 25, 2003 Expiration Date: Aug 24, 2004 Permit Number: SW030327 Parcel ID: 017-451-26 Legal Description: CONTOUR ACRES 112 LT 2 Design Engineer: 0850 William A. Burgess Site Address: 005600 PENNY CIR Owner Name: William & Kimberly Burgess Lot Size: 89497 SO. FT. Owner Address: 5600 PENNY CIRCLE Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-3020 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 specked 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 By. Date: S/at/" 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 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERNAIT AppucATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 1 -4 ' q51 - -k(- Permit Number SW 0303 27 Property owners) Wiljipn � ktmhe,rIX Z3 rga55 Dayphone 3'!S_`I31?8 Mailing address (1) 5600 Peslay C" -Oe - Mailing address (2) trale.Mailingaddress(2) Noc_ oraae. MctskR Zip Code 41R-516 Legal description (Lot, Block & Sub'd.) Crn+Okr ftcre.s Lo'f 7, Legal description (Section, Township & Range) Lot Size 6 j , qq 4- Acre q.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 6jj, Jrwdt s� Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 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 airtfiorized agent) Permit Fees: 700 Waiver Fees: Date of Payment: sk h 7 Date of Payment: Receipt Number: 4q,4 A p4mReceipt Number: (Rev. 12100) August 14, 2003 Municipality of Anchorage On -Site Water and Wastewater 4700 S. Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Attn: Mr. Jim Cross, P.E. RE: Contour Acres 92, Lot 2 Application for On -Site Septic System Improvements 49th WIMAM S SM CE - 7492 Attached is my application for On -Site Water and Wastewater permit to upgrade a septic system at the above referenced lot. The proposed septic system improvements will have little to no impact on adjacent properties for the following reasons. 1. No new on-site discharge will occur but existing discharge will be released in portion of site down slope from developed neighboring properties. 2. Lots are large, thereby allowing adequate room for new drain field and replacement field without encroaching on setback requirements or limiting potential for building on neighboring undeveloped lots. 3. Drainage will not be affected and is not a major consideration in design. The proposed septic system improvements coincide with remodeling of our residence under MOA Building Permit k 02-1343. We plan to break ground during the week of August 18, 2003 for an addition on the south side of our existing structure. While the excavator is here, I hope to install the new septic tank, which would initially be configured to discharge into the existing timber crib leach pit. I plan to replace the leach pit with a deep -trench drain field but will probably not tackle this aspect of the project until Spring -Summer 2004. In preparing the attached permit application and exhibits, I note that I am lacking the deep test hole and 7 -day monitoring to confirm the depth of the water table. I would appreciate it if you could review the application and approve the septic tank replacement portion of the application so this work can be initiated. Concurrent with the septic tank work, we will evaluate the depth of groundwater per the regulation and will deliver 7 -day monitoring results for your approval of the remainder of the application. On -Site Scwcr/Well Permit Application Contour Acres 42, Lot 2 August 14, 2003 Page 2 1f you have any questions or comments on this submittal, please contact me at 561-2120 (day) or 3454398 (evenings). Sincerely, William S. Burgess, E. Attachments: On -Site Scwer/Wcll Permit Application for a Single Family Dwelling Specifications for On -Site Septic System Site Plan Proposed Septic System Plan and Cross-section Absorption Arca Computations Percolation Test Results (3 sheets) On -Site Sewer Specifications Contour Acres 42, Lot 2 August 12, 2003 Page 1 Specifications for On -Site Septic System Improvements 1. General: 1.1. The scope of the project consists of installation of a new 1,250 gallon septic tank followed by 2 parallel 38 foot long absorption trenches containing a total of 5.5 feet of sewer gravel. 1.2. Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3. The contractor shall be responsible to obtain any necessary utility locates, and to work around buried utilities. 1.4. The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible, the contractor shall minimize damage to trees and existing lawn areas. 1.5. Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2. Septic Tank and Piping: 2.1. The new 1,250 gallon, 2 compartment tank shall be Municipality approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4 -inch cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid polystyrene insulation. 2.2. The waste line from the residence to the septic tank shall have a minimum slope of'h- inch per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8 -inch per foot. Pipe between the residence and soil absorption system shall be 4 -inch diameter D-3034 non -perforated. Distribution pipe in the absorption trenches shall be 4 -inch diameter F-810 perforated laid level. 2.3. All pipe connections to the tank shall be equipped with waterproof mechanical couplings. A cleanout shall be installed within 4 feet of the building foundation. A double cleanout shall be installed within 10 feet downstream of the septic tank. 2.4. A flow splitter shall be installed downstream of the double cleanout to evenly divide the water between the two soil absorption trenches. On -Site Sewer Specifications Contour Acres 42, Lot 2 August 14, 2003 Page 2 3. Soil Absorption System: 3.1. The soil absorption system shall be constructed by excavating two parallel trenches spaced min. 10 feet apart to a depth of 8 feet below the ground level in the vicinity of Test Pits # 1 and #2. 3.2. The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. Sand for leveling or serving as a filter material shall comply with Municipality specifications. 3.3. A total of 5.5.fect of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 5.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5 - inch to 2.5 -inch screened gravel, with less than 3 percent passing the Number 200 sieve. 3.4. Monitor tubes and cleanout pipes shall be of 4 -inch diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5. Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover shall be placed over the filter fabric. If the soil cover thickness is less than 3 feet, direct burial, rigid polystyrene insulation (2 -inches minimum) shall be placed over the top surface of the gravel in addition to the filter fabric. 3.6. The top surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes on the cover mound shall be no steeper than 3 horizontal to 1 vertical. 3.7. Unless specifically agreed otherwise, the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 3.8. Inspections: A minimum of 4 engineering inspections of the absorption system shall be accomplished during the course of the project as described herein. The septic tank requires 1 inspection after it is set level and the piping is connected but prior to backfill. The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. 1. Initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications, and construction procedures; 2. After the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information; 3. after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric; and 4. After rough backfill and grading is complete. t ... I: ;', .. I iii ,.:::, y' :•-i:i .:,-_ _ f��Y� B'yD1;59'oo"W 297.501 i i _. N. , ; I f , -- .S-• 9�i3�aL : t -'Z -- -..._ •. 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RECUIRE$FlrUtl20NING INSPECT{Ot1 {•SCS,'=„Y�• t i : : i. __PRIORT�UP CYFOR. ...F ... , .: '.... � • I Rose d L►SE ZQN�.: i � j` fax PRoOo56D iIDDIT/P l\\JJJ SET THIS d°TE 'n' cs•sT:bu•n•hn 'ni•; .;...... •... : s' ns nrirl SI?c �' - - NO CORNERS performed a Mortgagee's plat Plan Atr•roced pl r. certify that I have p AS -BUILT _ ...i... r--..-.. .:. ; ' ' i ; , 1 hereby ! , ; catinns s1:u1( not be' char.^cit; in4di(fiat{,' ' of the following described Property: f APED �r/ �"~y Co✓YOUR A d A obtaining la: w GRES 2� n; nitere i ictthout (first o B i , ,+!. '! . cLagSa vrdcr.and t:I - - - lyiI ------ t --.. . 4 . • , • Alaska. '+��Anchorage Recording :Precinct, �••' Improvements situated thereon are within the propel • , • • ". +_•••Ltf•. '« " do not overlap or encroach on the ProP��ryadja ! . j thereto, that no improvements on property ly 9 ' :5CA, 1L•E j = ° -,� «i Yldcika ' E , F, encroach on the premises in question and that t' i. '.,'• i:: 1t v Np„ a. . ,� . roadways, transmission lines or other visible easem • ' ' i ; , "•S property except as indicated hereon. ;...: __ .. *•s+ ch raga. Alaska E r� E/ Date 5 d at n day of _,-_•__ ;.; �.I.-. , •,,,,f,•s,,. this— FRED WALATKABP EASEMENTS OF RECORD, OTHER THAN Engineers and SUM THOSE SHOWN ON THE RECORDED _I ;. - ; : i 9071248-1666 PLAT ARE NOT SHOWN HEREON. 3C } t I Kr Co ssr+Sit l 49th Nr •n twwAM s BMW `��, a - 7492 LIMITS O{' Cleau o4+�c•) llca;iD, (N6e LMr� Me..ld F, II yq, anz I CoQ or�rAcns. 2r Lot7, I DrA„m Cir: CJs ai/.�� Fokudat;on PfoPDSED 5EPTIC SYSTEM gr�ruoi y PLNN AND CRoSs- SEcTIoN ��i! fi c° Sewer grc")el 60.5'Z.SIu.) / �I >� �Q M.N. SECTION �-/{' �Aa1 lOr MAy Ddi co e� rl y X3.5 Nn�-ftrf' 4' Dik. F-610 1D CO ft. -C. Nee- eea 0d � pl:ffcr Kr Co ssr+Sit l 49th Nr •n twwAM s BMW `��, a - 7492 LIMITS O{' Cleau o4+�c•) llca;iD, (N6e LMr� Me..ld F, II IJal;ve Sail RI( gr�ruoi F- 8 t ��i! PcrF, d�straKt(rh i� Sewer grc")el 60.5'Z.SIu.) / �I >� �Q M.N. SECTION �-/{' IAP, 2003 1 C0vl-i0kr ACrec -O!�Z I Lof" Z I CjrP3 Ey ARsow,f�T1oo AREA 6mpv--rA-rio Js r-� - TtirtG PrXis'i�reJ b�ret�I_s — PrDv�GPt Bei ���-� i✓ r{ be�rre,�s PAS, -r�f o- 6s-�7,D f �. i �` 3 �•� ay.n/m q: o� 3.0-q.o P! bps �rom 15.65.60 5NLao s2 bt5H-44 x.24 X1201 6.sorL4-im A-r-toL _ 11 Lt4r� x ISD3d�br�lrn.1 = �5D D•� Rr�/sg.a�e� �J•� Lf.5r -57.� -ro YrCNa� SDS c �5 zxS� GJ�oos� f� P°•�� .fes �� �-. OF ",� WILLIAM S, SU; 7492 'PROFESSIOIA Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Sl. P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.orglonsile (907) 343-7904 a— - - - w__ Soils Log - Percolation Test I Performed For. ISLLr G+Gs-s Re_&. -d .,,c -e- Date Performed: Legal Description: CC-VNkr Arcre4 sit- 2 J_rL 2_ Township, Range, Section: _ Slope TEsr r!D>< s f- F FTI Depth -mi. F;+e wad -T y SILT 1" � itoei- r•+..tie^ {p .76-28 2- 3- o — 9 gravltl.W :;1� - 0 sItND iC 9r /�A,�IIy 4 s - O 0CC0.sip.dl� KVV �'r• r C y bIkIC{ena [,GIAGiA� 1 tt, WILLIAM A WQ CE - 7492 A -Ili -o3 Site Plan s■■ WAS GROUND WATER 9- Depth to Water ENCOUNTERED? J 0 Presmk I/o/ox S 10- IF YES, AT WHAT DEPTH? L Depth to Water After D 11- Monitoring? E 12- Date: 13- 0.36 WILLIAM A WQ CE - 7492 A -Ili -o3 Site Plan ■MEMMMM ■■■■■■■N1■■ ■■■.ME■,1■■ ■■■MINME11L�■ ■■BERNE1113M ■■�EII�Taa��E�■EM110E ■M920MMENRIM■. ■MSENNUSI■■ ■EN. IMMMU■■ ■■MU■■■■■■ s■■ WAS GROUND WATER 9- Depth to Water ENCOUNTERED? J 0 Presmk I/o/ox S 10- IF YES, AT WHAT DEPTH? L Depth to Water After D 11- Monitoring? E 12- Date: 13- 0.36 y}3 SDS I0.35 �-�3z y3s 4F 3 B: ►D z8 M». 5.1 D 0.3S • 14- 15- 16- 17- 18- 19- 20 - COMMENTS Reading Date WAS GROUND WATER 9- Depth to Water ENCOUNTERED? J 0 Presmk I/o/ox S 10- IF YES, AT WHAT DEPTH? L Depth to Water After D 11- Monitoring? E 12- Date: 13- 0.36 14- 15- 16- 17- 18- 19- 20 - COMMENTS Reading Date Gross Time Net Time Depth to Water Net Drop Presmk I/o/ox 0.36 y}3 SDS I0.35 �-�3z y3s 4F 3 B: ►D z8 M». 5.1 D 0.3S • PERCOLATION RATE PERC HOLE DIAMETER •�'! TEST RUN BETWEEN (,,0 FT AND FT PERFORMED BY: Wiil; LtrM S• R_4.rgt'0P&1 �R Vo CERTIFY THAT THIS TEST A PERFORMED IN ACCORDANCE WITH ALLSTATE A D MUNICIPAL GUIDELINES IN EFFE ON THIS DATE. DATE: Q 0 L Municipality of Anchorage Development Services Department Building Safety Division yt On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.munl.orglonsite (907)340-7904 n Soils Log - Percolation Test L Performed For. By4 e.5 S�e.•.,ce Date Performed: Legal Description: C"� LU' Acres f -Z I (.-ocZ Township, Range. Section: Ycs+2, Depth •its. 0.gcL+.ic3 ML. mo o, Gray grcwe liy S:i{� SNND +0 r3rtW¢liy 5- -- occa,&.P..Al U661to v 6- o, 6111( .S CGbu aQ- 7- TYI) 1 SM/rnL R.+aT-o.� P:-I- . 77- C.a�nPl[te.� A Cl 49th *�'A W1UfAM S. SURCE53 O 3 CE . 7492 sf� Site Plan MENNEN Date ENCOUNTERED? Net Time Depth to Water S IF YES. AT WHAT DEPTH? L Depth to Water After O P MEMMOMMMEM E Siam 6:3y 5.6� 4l t ■■■■■■■■■■ .7gI,.:' 5.q3 0I:z PLI .5.47 MMEOMMMEEM x:33 .ZgnL:,� S.'i2 o•iS' �•:3c( MMMMENOM Lii 3 $:03 maµ:•. S.al o.zS' MMMMUMEMMU EMMMMMIMMEM MEMEMMEMEM MMMMEMMMMM MEMEMEMEME WAS GROUND WATER Date ENCOUNTERED? Net Time Depth to Water S IF YES. AT WHAT DEPTH? L Depth to Water After O P Monitoring? E Date: 9 Reading Date Gross Time Net Time Depth to Water Net Drop Pro-sp'k 9�B�02 Siam 6:3y 5.6� 4l t ?:03 .7gI,.:' 5.q3 0I:z PLI .5.47 �z x:33 .ZgnL:,� S.'i2 o•iS' �•:3c( S•�L Lii 3 $:03 maµ:•. S.al o.zS' PERCOLATION RATE & („raaoA d.) PERC HOLE DIAMETER r TEST RUN BETWEEN .$ FT AND FT PERFORMED BY: 0,-IIi0.M S. f3urq Ps5, P�• I -N, lM CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL S ATE AND MUNICIPAL GUIDELINES IN EFFE ON THIS DATE. DATE: Pj ei Municipality of Anchorage Development Services Department Building Safety Division yt Onsite Water and Wastewater Program 4700 South Bragaw Sl. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 Soils Log - Percolation Test I Performed For. gK-rL;GAA3__5""RCS���"^C'-L' Date Performed: Legal Description: CQ'n'I�G,� /Cr ,6 .0 Z , Lf2` Township, Range, Section: _ —rts'f J�le *S Depth // Liq'%�f.bliwrL StlL+j SIWV q34 I" 5rtwell.) Slll) An Yl 8 - Date Gross Time Net Time Depth to Water WAS GROUND WATER 9- 4 /5/os, ENCOUNTERED? 8 10- L IF YES, AT WHAT DEPTH?ph Depth to Water Aftero P 11- Monitoring? E 12- 3.16 Date: 49th WIttIAM S $UR CE • 7492 0 Reading Date Gross Time Net Time Depth to Water Net Drop frtsotik 4 /5/os, surd t! -t :ss z8�• 3.16 otsl' B:OL x.66 PERCOLATION RATE41�_PERC HOLE DIAMETER (� TESTRUNBETWEEN O FT AND FT PERFORMED BY: (a r l llama 5, Q V13 eSfa P E. I ��/ f,(,C(pN )• r +SIN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFE ON TTHIS DATE. DATE: /D / 0'Z R Municipality of Anchorage .� Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 6/'-%' Z{S/ - �& Permit Number SW - Property owners) Day phone -34(5- 4.329 Mailing address (1) OD 4.4 Mailing address (2) Zip Code 99374 Legal description (Lot, Block & Sub'd.) i o� Legal description (Section, Township & Range) Lot SizeAcres/Sq.Ft. Number of Bedrooms y THIS APPLICATION IS FOR: Sewer _Only rv__T� We1LOnly ❑ 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. 1 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: Date of Payment: Receipt Number: (Rev. 12/00) 0V' Waiver Fees: a r Date of Payment: 70q/. p,�, Receipt Number: OF August 14, 2003 �ys�P'"'"'� Municipality of Anchorage 49th On-Site Water and Wastewater 4700 S. Bragaw Street t – ^� s 1 wnu�e s sue P.O. Box 196650 '"s CE - 7492 Anchorage, Alaska 99519 6650It ,`\p`E Attn: Mr. Jim Cross, P.E. RE: Contour Acres #2, Lot 2 Application for On -Site Septic System Improvements Attached is my application for On -Site Water and Wastewater permit to upgrade a septic system at the above referenced lot. The proposed septic system improvements will have little to no impact on adjacent properties for the following reasons. 1. No new on-site discharge will occur but existing discharge will be released in portion of site down slope from developed neighboring properties. 2. Lots are large, thereby allowing adequate room for new drain field and replacement field without encroaching on setback requirements or limiting potential for building on neighboring undeveloped lots. 3. Drainage will not be affected and is not a major consideration in design. The proposed septic system improvements coincide with remodeling of our residence under MOA Building Permit # 02-1343. We plan to break ground during the week of August 18, 2003 for an addition on the south side of our existing structure. While the excavator is here, I hope to install the new septic tank, which would initially be configured to discharge into the existing timber crib leach pit. I plan to replace the leach pit with a deep -trench drain field but . _ I --_ —will probably not tackle this aspect of the prolecf until Spring -Summer 2004 In pr panng the attached permit application and exhibits, I note that I am lacking the deep test holt and 7 -day monitoring to confirm the depth of the water table. I would appreciate it if you could review the application and approve the septic tank replacement portion of the application so this work can be initiated. Concurrent with the septic tank work, we will evaluate the depth of groundwater per the regulation and will deliver 7 -day monitoring results for your approval of the remainder of the application. On -Site Scwer/Well Permit Application Contour Acres 42, Lot 2 August 14, 2003 Page 2 If you have any questions or comments on this submittal, please contact me at 561-2120 (day) or 3454398 (evenings). Sincerely, Will. Burgess, .E. Attachments: On -Site Scwer/Well Permit Application for a Single Family Dwelling Specifications for On -Site Septic System Site Plan Proposed Septic System Plan and Cross-section Absorption Area Computations Percolation Test Results (3 sheets) On -Site Sewer Specifications Contour Acres #2, Lot 2 August 12, 2003 Page 1 Specifications for On -Site Septic System Improvements 1. General: 1.1. The scope of the project consists of installation of a new 1,250 gallon septic tank followed by 2 parallel 38 foot long absorption trenches containing a total of 5.5 feet of sewer gravel. 1.2. Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3. The contractor shall be responsible to obtain any necessary utility locates, and to work around buried utilities. 1.4. The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible, the contractor shall minimize damage to trees and existing lawn areas. 1.5. Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all 2. Septic Tank and Piping: 2.1. The new 1,250 gallon, 2 compartment tank shall be Municipality approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4 -inch cleanout If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid polystyrene insulation. 2.2. The waste line from the residence to the septic tank shall have a minimum slope of %+- inch per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8 -inch per foot Pipe between the residence and soil absorption system shall be 4 -inch diameter D-3034 non -perforated. Distribution pipe in -- -- — the absorption trenches sha11 be 4 -inch diameter P-810 perforated laid level. 2.3. All pipe connections to the tank shall be equipped with waterproof mechanical couplings. A cleanout shall be installed within 4 feet of the building foundation. A double cleanout shall be installed within 10 feet downstream of the septic tank. 2.4. A flow splitter shall be installed downstream of the double cleanout to evenly divide the water between the two soil absorption trenches. On -Site Sewer Specifications Contour Acres #2, Lot 2 August 14, 2003 Page 2 3. Soil Absorption System: 3.1. The soil absorption system shall be constructed by excavating two parallel trenches spaced min. 10 feet apart to a depth of 8 feet below the ground level in the vicinity of Test Pits # 1 and #2. 3.2. The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. Sand for leveling or serving as a filter material shall comply with Municipality specifications. 3.3. A total of 5.5.feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 5.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5 - inch to 2.5 -inch screened gravel, with less than 3 percent passing the Number 200 sieve. 3.4. Monitor tubes and cleanout pipes shall be of 4 -inch diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5. Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover shall be placed over the filter fabric. If the soil cover thickness is less than 3 feet, direct burial, rigid polystyrene insulation (2 -inches minimum) shall be placed over the top surface of the gravel in addition to the filter fabric. 3.6. The top surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth Fill-slopes-on-the-mmi rnoundshalfbc no stce vertical. 3.7. Unless specifically agreed otherwise, the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 3.8. Inspections: A minimum of 4 engineering inspections of the absorption system shall be accomplished during the course of the project as described herein. The septic tank requires l inspection after it is set level and the piping is connected but prior to backfill. The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. 1. Initial stakeout with the contractor to establish the location of the system and to - - - ----- --discuss the plans, specifications, and construction procedures; ----- 2. After the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information; 3. after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric; and 4. After rough backfill and grading is complete. n`WWW A ,� s L nt Z I Drawl 6x ' 04 n ..� P�oPoSE� SEP"fIC SySTE�► P� �N AND CRo55-SEcTIoN o I SSD �tIID�� tw° /IST o J ID and Duca Ndo; v s°s� y"D.0.. F-810 ID �t Co Flod L7w �I�T P►- rl 1% ► E.w NT Co s .r 11 SSft Sit II // I� Fd ._ Chao 0AC& — OA.4-ive• 5e i l F.11 a—F.I+er FCQL riG dcstr;lat M / / / J _ S6tie, s g2 u ) S>:GTIoN A-4 LiM;TS 6F %fR J0.�iD r� A,,j: ,T..6e ow^ �uQ ZDD3 I coy%+oy r Acres .-�a,Lof Z 1 CeMP3 Ey : k1SP { &>oce,T1oN APEA GDt4NCrATiD'Js /1�Wn��r D•F f�Grr00r� - T►.YGL Qrfcisfinrj bt�mt»`s PtDv cb 6&A uf'3radt •fD 4 bOrDD,ns Parc. Ti.s+ 5k� �f{ ?• R• 6 M;a/rarC o bS� 7,D L15 i 3 �i•3 •�tacl. of 3.D -y.,) �rm'n l5.6S. 06 o Sw(,ecu�a,c¢ �%spa-sa.Q F.rpe� •�� 1 - Pere. Rot=(-isrw/sal,--} plc« ;uh fat- A8 A6sorL4-im kr•w = ( 4r3,vA x �Qr» = �SD r D -P? 9r sr¢ Usr -5,..br sewtk gra,4x .L,tIDS v�•�,,�z 3T.5A ---'---'-1'- -- �----, 1 -- -- i N ,... ::. .. ,..._..... ..:cn 1 Dmf i....... j. .. . OHO r' _w -TD_ m zo T O _............ Z I I- -•1• '. s goy_ .r;.. ?oma !-.3 If ; 16 ' �" �'� •.,,Q . Sir 3� TIN Gl 1 ui Ri I A' 0 -Zom N� - D .a H Seyg w$3m Zm�m - _ NilN ND= a0 m 0m ° o 0 cx `m iu�OoH Dp y ` 1^ �yN1Y — � O m0 O `G p .�,� mnj.N9m ... _.. ...... ._.. m F- m 0 m Z N, w c^ o. 0 n 3 m CLti EEL 050 In f o m 3 m 0 0 O C' >b 0sm mx -I �.rn 0 5OR .. -\> 0 -Zom N� - D .a H Seyg w$3m Zm�m - _ NilN ND= a0 m 0m ° o 0 0,-+N `m iu�OoH Dp v 5-w G3�Gm' �cJmmo ` 1^ �yN1Y mLA _ mnj.N9m Q ,� m F- '9n • . .r* OF Municipality of AnchorageEER 'PollDevelopment Services Department Building Safety Division 49th y4r Onsite Water and Wastewater Program 4700 South Bragaw St. TM P.O. Box 196650 Anchorage, AK 99519-6650 (�l WllltAMS749I4www.munl.orglonsite(907) 343.7904 )lf *t4_ 1 03 Soils Log - Percolation Test �h�°PRofcSS(oN Performed For. 13ttr8 CS.5 RO-s.-dz •c- Date Park Legal Description: CejN ,r- rte reA =f .2 jg-t2, Township, Range, Section: TEsr 40l<4�1 Depth 2-MIU 3- Date M." Poe sandy SILr Rest 0.01+ � {D 4-2D 9rp y 9I -M $,'I s - 4 -Shrub �V . Fo 9ra�ltlly Sa.0CL3 S1t_T d 41. 5- ' 0 OCCMip•..0.L L1'W!'�1.e 6-C a b1w(dl� n CGIAdA.I•Til� �' _ SM�ML 7- .� 11- 8 - Date Gross Time Net Time Depth to Water WAS GROUND WATER 9- q/o/D1, ENCOUNTERED? .Ip 8 10- '1, IF YES, AT WHAT DEPTH? L ■ENEMMMM1N■ Depth to Water After D 11- Monitoring? E 12- 5.11 Date: COMMENTS R Sites Plan ENNNNNEENE Date Gross Time Net Time Depth to Water Net Drop Petwk q/o/D1, N■■NNNNNIN■ stag 1&:32, ■ENEMMMM1N■ {k 1 9L.." ;t, B a^»• 5.11 0.36 r NNEMMU■KIBE MENEWANNIME NNEE MMOMMUNRIE■ �:Dk EN110. qq'3 �i c0 MMOMMENSIN■ ■ovaimi Q8µ»• ! 'li1Je LMN � ss 7 umm �:3 t ■■OM■E■N■E rl• 3 B:�D z8 M». 5•ID 0.35' Reading Date Gross Time Net Time Depth to Water Net Drop Petwk q/o/D1, stag 1&:32, 4.7s, {k 1 9L.." ;t, B a^»• 5.11 0.36 r �:Dk qq'3 �i �-30 Q8µ»• S:oB 0.3s' �:3 t yes rl• 3 B:�D z8 M». 5•ID 0.35' PERCOLATION RATE PERC HOLE DIAMETER TEST RUN BETWEEN A.O FT AND C, ..� FT PERFORMED BY: I.U�IIr`CLW1 -S 13L-..rqtAd PC V CERTIFY THAT THIS TEST}NA,s PERFORMED IN ACCORDANCE WITH ALLSTATE O MUNICIPAL GUIDELINES IN EFFE ON THIS DATE. DATE: Y !0 i ;o Municipality of Anchorage Development Services Department y Building Safety Division 49th y1 Onsite Water and Wastewater Program 4700 South Bragaw St. P.O. Boz 196650 Anchorage, AK 99519-6650 -r•r+; , «..... www.munl.orgfonsite Is WILLIAM S BUR (907)343.7904 �J, CE • 7492 Soils Log-P�ercolation Test ;r Performed Performed For. i 3yA G5 S 2 e-S:e,,Dale Performed: SGP , Legal Description: C -A40 Lr k-rG3 *-.Z. L -&t2 Township, Range, Section: 7C Si tpiE 2, Depth ,- Date OrgAMiCs� ML. Net Time Depth to Water td�•i1�. 2- -• Gt,ay grcwalt S:ll� �_, SItND io grpwelly 4 ' =_' SAw stLT' Q"� 5- �• - 000%AiMA.j COLLIGa r 6- - o, %R-lti , %5 Cc iA4r Rq P ., 5.13 717 6- -� ay WAS GROUNDWATER �— 9- -� � ENCOUNTERED? 8 10- O IF YES. AT WHAT DEPTH? U f>.,+ Depth to Water After P 1,- COWIpIcl a Mommorina? E 12- .5i;L 107. Date: 1 , 1 , , COMMENTS Tp-!.+ hgl C Reading Date Gross Time Net Time Depth to Water Net Drop Pr'sc-A C, lalo� simlf (o . 3y 5,67 03 Rq P ., 5.13 o r2(e ay S'.0 el z x:33 �•:3y S•6L S.RI 0.s5' PERCOLATION RATE !f - (7 (�) PERC HOLE DIAMETER TEST RUN BETWEEN S FT AND 7.6 FT PERFORMEDBY: 0:1 S. BLLrq"5, P. i✓• I Uy CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL S ATE AND MUNICIPAL GUIDELINES IN EFFE ON THIS DATE. DATE: $ OZ Municipality of Anchorage Development Services Department Building Safety Division yt On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage. AK 99519-6650 www.muni.orglonsite (907) 347-7904 n Soils Log - Percolation Test rm Perfoed For. Bu,rtj Gss RLs..'do,,r—e Date Park Legal Description: kc.,Qa .4 ;L. , LK. — Township, Range, Section: Slope "rts+ le tk3 F -r F --j F—F—T— Depth 6-I 1 11- 12- 13- 14- 15- 16- n- 16- 1s- 20 - WAS GROUND WATER ENCOUNTERED? � Li�brtLMStli4�5h1.1� 1 IF YES, AT WHAT DEPTH? y.�i.Orc�a..tue SMS - 2- P Monitoring? 3 3- e �• 9rati 9rnA)tlly s;lU� StacE:off 4- a.14. c& ' , e.. c&W 6-I 1 11- 12- 13- 14- 15- 16- n- 16- 1s- 20 - WAS GROUND WATER ENCOUNTERED? Date Gross Time S IF YES, AT WHAT DEPTH? L Depth to Water Aller P Monitoring? E Date: i WILLIAM s. eu �cJCE J49, 63 �6 FD Reading Date Gross Time Net Time Depth to Water Net Drop PrtsoAk 9 /bID7. StacE:off -Z. GS tIi l :3S z8r+:. 3.16 D.SI' ,+ti 8:05 81 3,16 0.51' B:DG x•66 PERCOLATION RATE ytn..uwA.rl+l PERC HOLE DIAMETER (� �• TESTRUNBETWEEN S.0 FT AND N.D FT PERFORMED BY: 11 I UCLA S. a km e5 fa P.C. I —'fjj ' CERTIFY THAT THIS TEQST WAS PERFORMED IN ACCORDANCE WITH ALL STA E AND MUNICIPAL GUIDELINES IN EFFE ON THIS DATE. DATE: 'IID / g L July 15, 2005 Municipality of Anchorage On-site Nater and Wastewater 4700 S. Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Attn: Ms. Julie Makela, P.E. RE: Contour Acres 42, Lot 2, On-site Septic System Improvements Per my August 14, 2003 communication with your department, I have been issued a conditional approval for replacing the septic tank at my residence in Anchorage, Alaska. I lacked a deep test hole and monitoring tube to conduct the 7 -day monitoring that was needed to confirni that the groundwater table was at least 6 feet below the bottom of my proposed drain field. This missing data is provided herein on an updated copy of the soils log for Test Hole #2; this test hole was extended deeper in September 2003 when the septic tank was installed. The monitoring tube extends to IS feet below the ground surface at Test Hole 92. No water was present in the casing when checked on Friday July 15, 2005 prior to preparing this submittal. This observation is well beyond the 7 -day waiting period and should constitute the monitoring data you need to approve the remainder of the permit application for installation of the drain field. I will be installing the drain field as the homeowner. I have no plans to sell the property at present. I am a registered professional engineer that specializes in geotechnical exploration and design. I am experienced in the construction methods and means needed to install the drain field and I have operated the equipment that will be needed for the site work. I understand that you need these assurances in order to approve the permit application because the work is to be accomplished by the homeowner and not a certified contractor. Please let me know if you have any questions or other data needs. I can be reached at 561-2120 during the day and at 345-4398 in the evening. I appreciate your timely evaluation and processing of this request. Sincerely, `' William S. Burgess, P.�. Attachment: Revised Soils -Log— Percolation Test (Test dole 42) Municipality of Anchorage Development Services Department Building Safely Division yr Onsite Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.munl.org/onsite (907)343.7904 Soils Log - Percolation Test Performed For. 13tA.r6� oS g (Z CS Date Performed: Legal Description: Cif- oy-r ' Acres it -2., LOtZ Township, Range, Section: Yrs+ I-ble'= Z COMMENTS ul:.ltti o�ga+.t cy, ML, Gray grCWtIiy s:lb ShND 'to graw¢Ily sa� dA., s(L'r u; 0CCCLA A( C46LleA r bov`l�..s LGGu,a� VII) , SM/IAL CeMPILt&< s1"/04 5a+^ZAya1.LvL -a.,+ P:+chelD& ,b IS Lqs f+ �yy vJr.♦0 J 4 JUL q /zo l03 WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? Depth to Water Amer ` Monitoring? r IS Date: IS eS Te WILLIAM S. BURS CE - 7492 ,y-07 Reading Date Gross Time Net Time Depth to Water Net Drop PrLsak `I/6 /era 3'4 S.6% 03 zq t":1 5.93 oy S 6� >r i:33 3q S•�L .l 3 8:03 0.s5' PERCOLATION RATE(�u��.w.) PERC HOLE DIAMETER TEST RUN BETWEEN �Fr AND ?,0 FT PERFORMED BY: G�; I I;AM S. Qurq eSS , P. F'. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL S ATE AND MUNICIPAL GUIDELINES IN EFFE ON THIS DATE. DATE: B of GrcATER ANCHORAGE AREA BORO"GH HEALTH DEPARTMENT NO 743 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME i�L� /Y✓C'd`tlr� r ADDRESS e JZ,,::J 1�.�1'�-f©� f/ - PHONE' LOCATION .f%e4',� �D/�� rc�• G>. �`!/s� LEGAL DESCRIPTION SEPTIC TANK: NUMBER OF DISTANCE FROM WELL���r MATERIAL ST.�`l.-- OMPARTMENTS ���i9.�✓ //.G �id.�,�'d!r�? /%'i% LIQUID ; LIQUID CAPACITY 4299 GALLONS. INSIDE LENGTH �� INSIDE WIDTH `-�- DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER- OR WIDTH_, LENGTH` �, DEPTH LINING MATERIAL,/- ®-0'- 42"ifa `•1'o�-'022 9 / DISTANCE FROM WELL,,&f�t BUILDING FOUNDATION, -,7,C9 ' NEAREST LOT LINE- TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) / ' SQ. FT. TILE DRAIN FIELD: DISTANCE FROM NUMBER OF LINE ABSORP N AREA */101 , FOUNDATI STANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE TOTAL LENGTH NEAREST LOT LINE OF LINES TRENCH WIDTH IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL'P'A1w `� cfi��i DISTANCE FROM ` WATER TYPE �.Jki�L.G.C� DEPTH-5ZBUILDING FOUNDATION. �� SAMPLE, NEAREST �OTHER��,kw NEAREST SEPTIC� LOT LINE SEWER LINE A9 TANK- SYSTEM. CESSPOOLS SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE 4 �z APPROVED FfEALTH AUTHORITY GAA13-FID-2 CREATE: ANCHORAGE AREA OROUGH Case No.Zeka'(.,L` HEALTH DEPARTMENT 327 Eagle St. Anc o e, � 99501 h , � ` 279-2511 27Z�� SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT 52-72-1 r,q NAME OF APPLICANT 4-4/ � �- MAILING ADDRESS.2ff0 2)4"'x+ S'! PHONE NO. RESIDENCE ADDRESS J , X44-1LOCATION OF INSTALLATION LEGAL DESCRIPTION__ IOU- L 6AV f -z APPLICATION TO INSTALL: SEPTIC TANK_, SEEPAGE PIT /Y , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY FINANCED THROUGHU P TO BLONSTALLED B'Y „e4�i- tl PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION W'7 BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS`,'? -S'ERVE AS �"'� ,PERMIT TO INSTALL A 614441�e AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ^�-^ SEPTIC TANK SIZES TYPE ° SEEPAGE AREA _TYPE - 0 DIAGRAM OF SYSTEM DISTANCES: /ao' e,44 _,e HEALTH AUTHORITY OR LICENSED099;1GNEF* L I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. ja DATE y_5_'ej;6 7 GW7 APPLICANTS SIGNATURE - GREATER ANCHORAGE AREA BOROUGF' HEALTH DEPARTMENT CASE ?� 327 EAGLE STREET' ANCHORAGE, ALASKA 99501 Performed For Paul Nichols Date Performed 4/70 Legal Description: of 2 B oc ivision Contour Acres SO= L — This Form Reports a: SO og�.x..x...... erco ati;n est 2 4 2 Depth Feet Soil Characteristics gray & brown silty sandy gravel (GM) 8_- 1 gray sand (SW) 10..A 4 gray sand + silt (ML) 12, 14 9 Was Ground Water, 1'r.countered? If Yes„ P.+ +;I"at L,epth Location Sketch Reading:ime -,,.......... a .......,. Net Time Depth To H2O Net Drop : 3 Ler Eco x, minurp Prop>sedSeepage Pit x� x!. Drain Field Depth Of Inlet Depth To Bottom O it Or Trench ANTS„ 193 s uare feet o rainage area 17 necessary per bedroom it Ung r'om a de th of 3 eet to 9 feet. The soil is lessermeable with de th below 9 feet. Test Performed By:_� E CarLjsje These recommendations are computed from '�- visual observation and based on the uni- Data Certified By: National Testing Service Infcied classification system. \�ilYYrw�. Date: GREATER ANCHORAGE AREA BOROUGH HEALTH DZPARTMENT CASE N 327 EAGLE STREET ANCHORAGE, ALASKA 99501 performed For Fa c hC)15 C.,n Date Performed - '7 0 Legal Description: Lot Block Subdivision 2"d A1 -Ma { i C vi. C` ,-1 TeL-kv�h This Form Reports a: Soils Lop,�M�°��_,�__T'ercolation Tes Depth Feet Soil Characteristics 00+ Q r3 axnl c 2 ---{ 1<=-1-1 V1 4 6 /© 12 CIQCICL1 Vt11 QC, vi:S1I a,Crcxvelk s'I .� Y t� 0,v1 0CCcts i 0L,2Cl• y T*I) Location Sketch Was Ground Water Encountered?Q 0 if Yes, At What Depth Reading Date Gross Time Net Time DepthTo �i20 I :ret Drop z � y • f 4 i i Was Ground Water Encountered?Q 0 if Yes, At What Depth Reading Date Gross Time Net Time DepthTo �i20 I :ret Drop z � • f - i Percolation- Rate inu e Proposed Install—ation;""•5eepage Pit Drain Field Depth Of Inlet Depth 7o Bottom Of Pit Or 'French COMMENTS: Tost Parforrrad I):&nS1=1--1 .0,Fol- iCRL '--CA1SL►t. �/j�,r'rS Data Certified By ` Dates . C`� Sag- <' GREATER ANCHORAGE AREA BOROUGH HEALTH DZMn A HENT CASE tJ 327 EAGLE STREET ANCHORAGE, ALASKA 99501 Performed Foraa I � 1(_' h C+ � son' on t � � Date Performed Legal Description: Lot --2 Block Subdivision Znc) /�c�cfi, f-,4 �~t C�• fc�c ►-� This Form Reports a: Soils Loa�Percolation 'gest Depth rept Soil Characteristics Location Sketch Qr.ianiC me t - 2 �y c4�7rciv Ell, G1nc1<x1 +01 9rRv c es M) • Was Ground Water Encountered?___ .,.�.-.._ If Yes, At What Depth �.. �_I I f Reading Date t i � { ITT , DepthTa ri2O i Net Drop • Was Ground Water Encountered?___ .,.�.-.._ If Yes, At What Depth �.. �_I I f Reading Date Gross Time Net Time DepthTa ri2O i Net Drop • i 1 i f ercola ion Kate in A Proposed Instal -1 -at -37 -on. Seepage Pit Drain field Depth Of Inlet Depth To Bottom Of Pit. Or Trench COMMENTS: Test ParformadU FAVr Data Certlfled By:..J r MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY i APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 0l'1 "' L1�1- �L HAA# 1. GENERAL INFORMATION Complete legal description Lot 2 Contours Ac!ce6 Subdivi6ion 02 Location (site address or directions) 5600 Penny Cincee. Anchorage, AK Property owner Many Fontney Day phone w-267-5330 h-345-6987 Mailing address 5600 Penny CiAeee Ancho&aa , AK Lending agency Day phone Mailing address Agent Day phone � ri ri race Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 �v 3. TYPE OF WATER SUPPLY: Individual well XXX IN Community well Public water 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 821 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 S & S ENGINEERING Phone 17034 Eagle River Loop Road No. 204 Address Patilp 8'vpr,, '-g'-- 99477 - Engineer's signature 6. DHHS SIGNATURE Approved for �% bedrooms. Disapproved. Conditional approval for Additional Comments By: at1TIC Date wOF Al 14 e� e, r fid •o •�' +� *�. eenso��ss�e.ed.. • p'e� ^ - No. 82 5 0a "".epee NN V %%Y0 LSS 0'%% bedrooms, with the following stipulations: Date 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 order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Beck MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST -1FZ Legal Description: L.o? Z Ccw1-0c11L AC fES Parcel I.D. S1V A. WELL DATA Well type &tyATF If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N. All completed �� w, / -7 / Driller u �� ��tt r !� Cased to 6 f — Total depth Z T Casing height Sanitary sealYDI) Wires properly protected&N) 3 FROM WELL LOG AT INSPECTION � - o z n ��X2/%3 Irr, Date of test Static water level / � � rrr, 9000d V Well flow g.p.m. 5.5 g. w i N Pump level NOT KEN Z SEPARATION DISTANCES FROM WELL TO: Septic/ n lot 9S ; On adjacent lots /Ov /t Absorption field on lot 1/K) f ; On adjacent lots Public sewer main �oN�� /'2�S��T Public sewer manhole/cleanout IJutiE Sewer service line �s 7 Petroleum tank �t/UN� f�Noc,litl *(2`) PA 1% F'2 -),-i YCE Go20S /N MGA F"/GE,S. WATER SAMPLE RESULTS: Coliform 01/00 J Nitrate Z"-7 ZL.Z� Otherbacteria / Date of sample: —I y3 Collected by: S. SEPTIC/HOLDING TANK DATA Date installed 1 jz�g %l "4 Tank size J" Compartments % CleanoutsY�N) _ Foundation cleanoutCY)N) YDS Depression (Y/& High water alarm (Y/( Alarm tested (Y/N) A�Al Date of pumping Pumper 4' &,tit r Sbeyic S' SEPARATION DISTANCES FROM SEPTI ANK TO: r Well(s) on ict On adjacent lots X00/' Foundation 5 To property lines —Absorption field j S Water main/service line Surface water/drainage A10NE 10KCSE,07- 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Da ' tailed Size in gallons Vent (Y/N) "Pump " High water alarm level / Meets MOA electrical codes_. Manufacturer Manhole/Access at SEPARATION --DISTANCE FROM LIFT STATION TO: on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested Surface water Date installed (' f Z e/? l -- Soil rating J 3 I�6wW/" System type SEQ10AL- 127— Length 27- Length ZD Width 16 ' Gravel thickness /Q / Total depth LZ -L " Total absorption area Zo to Cleanouts present &N) les Depression over field (Y,P A% Date of adequacy test Results ass ail) FA&5 for CTHAZf6! bedrooms Peroxide treatment (past 12 months) (Y/N) N07- KAJ(3tJAJ If yes, give date U SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot On adjacent lots f Dy �f" Property line �t To building foundation ZO r To existing or abandoned system on lot On adjacent lots 20 Cutbank '� 6L6'�Water main/service line 7L Surface water ���'`J� �`2����'T— Driveway, parking/vehicle storage area 7,5— 17z - Curtain Curtain drain AtAJC KA -A -41 "—J E. ENGINEER'S CERTIFICATION 1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S & S ENGINEERING 17034 Eagle River Loop Road No. 204 Signature Eagle River, Alaska 99577 Engineer's Name Date HAA Fee $ r-1 •v q Waiver Fee: $ Date of Payment S (� Date of Payment Receipt Number 2. 5 Receipt Number 72-026 (Rev. 3/91) Back MOA 21 CHEMICAL & GEOLOGICAL LABORATORY c� = 4 A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. ALABORAT.Oply 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 Chemlab Ref J :93.1164-3 REPORT of ANALYSIS Client Sample ID :L2 W CONTOUR ACRES Matrix : WATER Client Name :S & S ENGINEERING Ordered By :R.J.S. Project Name Project# PWSID :UA Sample ROUTINE SAMPLE COLLECTED BY: S.3. Remarks: QC Parameter Results Qual. Units Method ---------------------------------------------------------------------------------- NITRATE-N 2.21 mg/l EPA 353.2/300.0 Collected :03/22/93 4 17:50 hrs. Received :03/23/93 A 09:10 hrs. WORK Order :64252 Report Completed :03/25/93 Technical Director :STEP EN r,-EDE Released By Allowable Limits ------------------- 10 Extract Analysis Date Date Init -------------------------- 03/24/93 LLH ....................................................................................................................................... See Special Instructions Above UA - Unavailable See Sample Remarks Above NA - Not Analyzed U - Undetected, Reported value is the practical quantification limit. LT - Less Than D - Secondary dilution. �±�+ GT - Greater Than AIN SGS Member of the SGS Group (SocW6 GBnBrale de Surveillance)