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HomeMy WebLinkAboutCORONADO BLK 2 LT 5Coronado Block 2 Lot 5 #050-121-15 K 1 V LJ ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for: Joe Morris Date Performed: 5/17/06 Project: Coronado B2, L5 TEST HOLE # Depth 18- 20- ORG/OL SEE ATTACHED SITE PLAN FOR HOLE LOCATION SW -clean sand w/ occasional cobles 6-10' B.O.H. Was Ground water encountered? NO What depth? NA Depth to water after monitoring? DRY Date? 5/24/06 Reading Date Gross Time Net Time Depth to Water Net Drop 1 2 3 4 5 6 VISUAL 125 SF/BDRM 7 8 9 10 11 12 Water Added Percolation RateVISUAL (min/ in) Perc Hole Diameter_ Test Run Between feet and feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State guidelines in effect on this date. GAAB-HD-I GPcATER ANCHORAGE AREA BOROtle H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION MAILING 2 / x'`25 ADDRESS7�- 7 �'�'� HONE— A, ONE / i! B EGAL DESCRIPTION SEPTIC TANK: v�-+�Da NUMBER OF / DISTANCE FROM WELL S 47 MATERIAL COMPARTMENTS LIQUID CAPACITY �(j —GALLONS. INSIDE LENGTH INSIDE WIDTH DEEPTHD SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER –0 --OR WIDTH, LENGTH, DEPTH_, LINING MATERIAL DISTANCE FROM WELL r�/j� BUILDING FOUNDATION/ NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) v A SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELI FOUNDATION , N TOTAL LENGTH OF LINES NUMBER OF LINES DISTANCE �LENG�THOF TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT.EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE Off W ELL:fVoI- /Al %!� DISTANCE FROM WATER TYP , DEPTH BUILDING FOUNDATION.�SAMPLE NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE SEWER LINE—,TANK SYSTEM CESSPOOL , SOURCES DIAGRAM OF SYSTEM DISTANCES: C� 37- DATE 14:VI15 IoI7 APPROVED HEALTH AUi ORITY GAAB-HD-2 GREATEI,, ANCHORAGE AREA _ JROUGH Case No. HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT .:Z COJF- MAILING ADDRESS 7_2 PHONE N0.���"��� RESIDENCE ADDRESS LOCATION OF INSTALLATION LEGAL DESCRIPTION 'C j 56' 7POaG1:S APPLICATION TO INSTALL: SEPTIC TANK V , SEEPAGE PIT V , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY 3 -Bp (am FINANCED THROUGH TO BE INSTALLED BY PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION 24 AJoY7Le BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT ,� ���_ , PERMIT TO INSTALL A THIS IS TO SERVE AS n� AS DESCRIBED BELOW, SIZE OF UNIT TO BE SERVED 8Dko"l � SEPTIC TANK SIZE A TYPE s TFZ!�I— SEEPAGE AREA TYPE Lac I ce,6Py that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No above described system is in accordance with said code. DATE ` � APPLICANTS SIGNATURE '^G ' ( %6A rl h,..l s MUNICIPALITY OF ANCHORAGE MUNICIPALITY -0' ANCHORA DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF N_ ff`& 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PPOTE-CTION • ENVIRONMENTAL ENGINEERING DIVISION ,JUN 12 1981 Telephone 264.4720 NUMBER OF BEDROOMS REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEINEFRE0 SSE Q DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Pleases allow ten (10) days for processing. 1. PROP T OG� ¢. X Two ❑ Five (O HONE'/or Q MAILING ADDRESS 7. WATER SUPPLY PROPERTY RESIDENT (If different from above) ❑ INDIVIDUAL* PHONE z. Bu ER since June 1975. For wells drilled prior to that date, give well PHONE 6 ge MAIL NG ADDRE 8. SEWAGE DISPOSAL SYSTEM 3. LEN iNG INSTITUTIO / INDIVIDUAL/ON-SITE** PHONE If system is over two (2) years old an adequacy testis required ❑ PUBLIC UTILITY AILING ADDRESS loor/ 3 s" S NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. .5 ,�� 7L k u& 4. TO/R/AGENT I PHONE Al G ADDRESS 5. LEGAL DESCRIPTION ( (2 ,ola-/ 6--.4 N/-�a�c, STREET LOCAT ON 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS SINGLE FAMILY ❑ One b four ❑ Other X Two ❑ Five ED MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL* ATTACH WELL LOG. A well log is required for all wells drilled 0 COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM **If INDIVIDUAL/ON-SITE** individual/on-site, give installation date l /. If system is over two (2) years old an adequacy testis required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. iz-viu�s/iui THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED. TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON -SITE ❑ PUBLIC UTI LITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR Z— BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompan; cer ficate) ❑ DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72.010 (Rev. 3/78) W-.1',,AH I INM N1 Of- HUIJI I ANO EMIMONMENT,1 L PRO1 FCI'I()N June 19, 1981 Ed.sel L. /Margaret E. Scott % Dolores Oesau Red Carpet Greatland Box 633 Eagle River, Alaska 99577 Subject: Lots 5 and 6 Coronado Subdivision Approval for the individual sewer and water facilities cannot be granted until the following i -L( ---ms have been completed: (1) The septic tank pumped with a receipt submitted to this office. (2) The cleanout on the septic tank needs to be raised above ground level. This will need to be reinspected by this office. (3) An adequacy test needs to be performed on the exist'.ing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljW cc: Home Federal Savings and Loan 535 D Street 99501 kQ a a Mun�dpafiity Anchora- -o ce Z)I-flF T 825 "t-" -E 71qlr-I Is I/ A 9 9 5 0 ANCHCMAGU, AlLiV 100/) 264-4111 CEop. S U 1- L I V,� N, MA) OP W-.1',,AH I INM N1 Of- HUIJI I ANO EMIMONMENT,1 L PRO1 FCI'I()N June 19, 1981 Ed.sel L. /Margaret E. Scott % Dolores Oesau Red Carpet Greatland Box 633 Eagle River, Alaska 99577 Subject: Lots 5 and 6 Coronado Subdivision Approval for the individual sewer and water facilities cannot be granted until the following i -L( ---ms have been completed: (1) The septic tank pumped with a receipt submitted to this office. (2) The cleanout on the septic tank needs to be raised above ground level. This will need to be reinspected by this office. (3) An adequacy test needs to be performed on the exist'.ing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljW cc: Home Federal Savings and Loan 535 D Street 99501 NVO $4001 L. Seatt box 7*3 Sade River$ Alaska, 0"77 tpWdCTs Cos syadoSubdivist000 Basle liver, Alaska goer ifs►. Scott r This is to Aire out merit seavoriaties rosaWas the water Ilse exteraioa s Iota Ceram& diwisios. The Stats of Alaska, Adwiaistrtiw Code, SW tslo 1, "Water Supply," Station goo -psis "quires prsllaftor r plan sabeiasiaas for sWidLvisior water Ifto *atmwLawo All drawings* sposifieftle ►as, +a�i�iid,,ather +d a w at be preop ►red ► a rogtots ,� profsesiaoal sagiosere, Bowles" is a cagey of Subehapter Is "Water supply, for yaw inrraimtiar, *tattoos tpe thra tss ass reelt helpful in required design oube#ssice faro, ploase consider this letter as dor notice to esa w an fWther wends on the project until plans hats been submitted and approved. UVIn R. L. OUNCAN, Me C. medical Director iXr W. IMUMV; inill dRslsrr 010ow RECEIPT FOR CERTIFIED MAIL -206 co M C.O N N • SENT TO POSTMARK OR DATE STREET AND NO. CITY, STATE, AND ZIP CODE EXTRA SERVICES FOR ADDITIONAL FEES Return Receipt Deliver to Shows to whom Shows to whom, Addressee only and when when, and where delivered delivered ❑ ❑ m fee ❑ 35¢ fee 500 fee rvu rurm asuu nu INWWA1.GE UOVERAGE PROVIDED— (See other side) Nov, 1964 NOT FOR INTERNATIONAL MAIL • '� Municipality of Anchorage s On -Site Water and Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-121-15 1. GENERAL INFORMATION Complete legal description CORONADO BLOCK 2 LOT 5 Expiration Date: i- "P Location (site address) 17320 N_ Eagle River Loop Road Eagle River AK 99577 Current Property owner(s) JOSEPH R. MORRIS _ Day phone Mailing address Real Estate Agent _11643 CELESTIAL STREET, EAGLE RIVER AK 99577 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class A Well ❑ Community ❑ Public Water System ® Public Sewer ❑ WaiverNariance request for: 1 ' Received by �., �� ,t •.r� r::,:� Date: COSA to be released to the engineer, unless otheMise•requested by the engineer. COSA Fee $ 524a, c9' Waiver Fee $ Date of Payment Receipt Number D 5558 COSA# IJSUL((QQ,;� Date of Payment Receipt Number Waiver # 6. 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 ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS V7/14 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The Flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the - evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a !�`� system will function satisfactory for current or future _ OF A occupants or can ArcTerra guarantee that no unseen r Lf IlI encroachments, deficiencies or discrepancies exist. Ar �Q �t� �� A0Ti�-u.1 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for 0 bedrooms. bedrooms, with the fo OF WATER AND Original Certificate Date: The VyrfWalit ;!5 c orage Development Services Division (DSD) issues Certificates of On-Sde 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 sheet 10-10-12.tlx If more than 1 septic system is on the lot: COSA Checklist # of _ Structure served by this system _ Certificate of On -Site Systems Approval Checklist Legal Description: CORONADO BLOCK 2 LOT 5 Parcel ID: 050.121.15 A. WELL DATA — PUBLIC WATER Well type If A. B, or C provide PWSID # Well Log (Y/N) Date completed Sanitary seal (Y/N) Y Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level Well production 9.p -m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate _mg/L Arsenic: ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC I STEEL Date installed 8/2012006 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping /-g'/l/ Pumper S C. ABSORPTION FIELD DATA Date installed 812012006 Soil rating (g.p.d./ft2 or ft2/bdrm) 125 System type TRENCH Length 50 ft. Width 3 ft. Gravel below pipe 5 ft. Total depth 13.9 ft. (Measured 116/14) Eff. absorption area 500 ft2 Monitoring tube Y Depression over field N Date of adequacy test 1/612014 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 3 in. Elapsed Time: 10 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Datum Size in gallons "Pump off' level at _ in. Cycles tested E. SEPARATION DISTANCES - PUBLIC WATER WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line Animal containment areas SEPTIC/HOLDING TANK ON LOT TO: Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas Building foundation 5'+ Property line 51+ Absorption field 5'+ Water main 104 Water service line 101+ Surface water 1004 Wells on adjacent lots 200'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 101+ Surface water 1001+ Driveway, parking/vehicle storage 104 Curtain drain 50'+(NONEKNOWN) Wells on adjacent lots 200'+ F. COMMENTS ADEC record documents attached. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name KENNETH M. DUFFUS Date 1/7/2014 COSA brown sheet 10-10-12.doc in. I 25' 25' I LLJ LLjry U) J QW H U) to LLJ J Z LLJ U LOT 7 BLK 2 LOT 6 BLK 2 LOT 5 SEP -11C BLK 2 YENTs ® 1 LOT 4 BLK 2 ANCHORAGE RECORDING DISTRICT ASBUILT OF: CORONADO SUBDIVISION LOT 5 BLK 2 PLAT 66-34 SURVEY CERTIFICATION: I John L. Schuller have conducted a physicalsurvey Wthis property as s�lown on this drawing and that the improvements situated thereon are within the property lines and no encroachments exist other than noted. EXCLUSION NOTES:It is the owners responsibility to determine the existence of any easements, covenants, or are which do not appear on the recorded subdivision plat. RK ORDER NUMBER: "Tt SCA1E: E-Y,W AUG 23, 2006 1'=40' kndencOak.n 06-038 : x0 JLS NW252 060 1xHYPoNR ei GRAVEL D/W �z x� be U 4.0' x 10.5' Z<� N a NLL� b o woxg o CG a 3 ro 1 LOT 9 BLK 2 LOT 10 BLK 2 LOT 12 BLK 2 ���� oF...AZ—",X,1, *r'?r 4 TIi r ... J ....... P ....... •.SOHN L. SCHULLER: 0 LS -10408 _a`''te!/ Z ID ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)868-3791/FAX (907)868-3793 l LDateeceivedSTATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION DOCUMENTATION OF CONSTRUCTION ERAL INFORMATION Legal Description of the Location CORONADO S/D, BLOCK 2, LOT 5 Submitted by: (Check one) ❑ Certified Installer ❑ Approved Homeowner ® Registered En meet Applicant Name JOE MORRIS Onsite Wastewater System Serves: ❑ Single Family. Number of Bedrooms ❑ Duplex. Number of Bedrooms ® Multi -Family. Number of Bedrooms 4 ❑ Small Commercial Facility with Estimated Design flow of less than 500 GPD. Mailing Address 11643 CELESTIAL ST. EAGLE RIVER, AK 99577 II. WATER SUPPLY SYSTEM SECTION IS OPTIONAL Source of Water and Containment (Check all that Apply) ❑ Well (Drilled or Driven) ❑ Surface (Identify) ❑ Roof Catchment ❑ Holding Tank ❑ Other (Identify) Type of Water System ❑ SF/Duplex ® Public Treatment of Water (Check all that Apply) ❑ None ❑ Chlorination ❑ Filtration ❑ Other: ❑ Mineral Removal Well Data Is the height of the well casing more than 12" above the ground? ❑ Yes ❑ No Is a sanitary seal or well cap installed on the well casing? ❑ Yes ❑ No Is drainage directed away from or around the casing within a radius of 10 feet of the well casing? ❑ Yes ❑ No Is well wire enclosed in conduit? ElYes ❑ No Date Drilled Depth of Well (Feet) Static water Level (Feet) Yield (Ifavailable) Pump Rate (Ifavailable) Separation Distance from the Well Casio to each of the followin sources of contamination: Septic/HoldingSeptic/Holding Tank on Lot Feet Sewer Lines oMcasin Abso tion Area on Lot Feet Closest Se tic/Hold' Tank on Adjacent Lot Closest Sewert Lot Closest Ed e of an At,— tion Area on Adjacent Lot Feet FeetFeet Indicate separation distance from toxic materials including fuel tankts and other petroleum based materials, pesticide, fungicides or herbici: On Lot: FeetOnAdacntLot: Feet Water Sam le Taken b : ame Sampler is: ❑Buyer ❑ Engineer Banker ❑ Government Official Water Sample Result Attach Co ❑ Satisfacto ❑ Unsatisfactor❑ Comments/Recommendations: I cerci • that the above inform 'on and that provided in Section IV is correct: Signature / Typed/Printed Name Kenneth M. Duffus Title P.E. / CE -7116 Date 111/10/06 Note: 1. Th section shou! be signed by a Certified Installer, Professional Engineer, DEC staff, or OwnerlBuilder 2. Allwater s s&ms must receive ADEC plan approval prior to construction. Se I8 AAC 80 State of Alaska Drinking Water Regulations for specific requirements. DISPOSAL Type of Wastewater System: ® Septic Tank with Conventional Soil Absorption System ❑ Holding Tank: Material Type: ❑ Other— Specify Type ❑ Package Treatment Plant (requires engineered design) Size in Gallons: ❑ Small Commercial System (<500 GPD) With Estimated Daily Wastewater Flow of: Criteria Used to Estimate Daily Wastewater Quantity: Manufacturer: Gallons Per Day (GPD) LOT 5 FNmeWSYSTEM ® REPAIR TO EXISTING SYSTEM Certified Installer Installation Notification Date: f Installer: WALKER CONTRACTING Date Installed: 08/20/2006 System Installed: ❑ By a Registered Engineer ® With Inspection by a Registered Engineer ❑ By Approved Homeowner attach copy of approval letter ❑ By a Certified Installer/Installer Number Septic Tank: Material: Manufacturer: Size (Gallons) Number of Compartments: Steel Anchorage Tank 1,250 2 Type of Soil Absorption System ® Deep Trench ❑ Shallow Trench ❑ Seepage Pit ❑ Bed ❑ Mound ❑ Other, Specify Soil Classification: SW Soil Rating: 125 sf / bdrm Dimensions/Size of Absorption Area: 501 x 3'W x 5' ED / 500 sq. ft. Gradin Size of Distribution Rock: 32 CY 0.75-3" Thickness/Depth of Distribution Rock: 5' Percolation Test Results, Attach Copy of Report: Percolation Test Performed by: Kenneth M. Duffus / KND Engineering, Inc. Minutes per Inch: VISUALS . ft. per bedroom: 125 Percolation test results must be sealedlsi&ned by a re 'stared wgmeer List ground cover in feet over: Septic Tank: *4'+ Absorption Area: *4'+ Sewer Pipes: *4'+ Cleanout Pi s/Ca s Installed: Foundation Cleanout: Y Se tic Tank: Y Monitor Tubes: Y Indicate separation distances from septic tank or absorption area, whichever is closest, to all nearby: Public drinking water sources within 200 feet: 200'+ Private drinking water sources within 100 feet: 100'+ Nearest water bodies (see 18 AAC 72.020(b): 100'+ Lot line: 10'+ Separation Distance from On -lot Sewer Lines to Public Drinking Water Sources: 100'+ Private Sources: 25'+ Separation Distance from Bottom of Distribution Rock to Groundwater Table: 4'+ Bedrock: 6'+ Separation Distance from Absorption Area to Slope exceeding 25%: 50'+ Comments/Recommendations: Old septic was tank emptied, crushed and disposed of per code. *Minimum ground cover with 2" insulation installed as needed(DOW Chemical Co. Styrofaom HI (Blue Board)) w/ filter fabric (Typar 3401). Other materials: ASTM D3034 pipe, Schedule 40, and Ferneo couplings. 18"+ vertical separation maintained from waterline and sewer service line. Sewer service line incased in 20' 6" Schedule 40 carrier pipe centered across waterline. I certify that the above informal' and that provided in Section IV, is correct: Typed/Printed Name Title,RegJCert No., Inst. No. Date eSignatu Kenneth M. Duffus P.E. / CE -7116 11/10/06 ust be s ned by a Ceri edInstaller, Professional Engineer, DEC Staff, or Approved Homeowner. Ifengineering seal bearsprinted name, n number, d, those blocks need not be com feted or en 'veered submittals. Frank Murkowski, Governor ,�� i NJ r-1,' uL 1 j u � 555 CORDOVA DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE, AK 99501 Phone: (907)269-7519 Fax: (907) 269-3487 DIVISION OF WATER http://www.state.ak.us/dec/ WASTEWATER DISCHARGE PROGRAM November 27, 2006 Kenneth M. Duffus, P.E. 20441 Ptarmigan Blvd. Eagle River, Alaska 99577-8736 Re: Coronado Subdivision, Block 2, Lot 5 -Final Operational Approval for a Wastewater Treatment and Disposal System-ADEC Plan Tracking Number 5674 Dear Mr. Duffirs: On November 15, 2006 we received the record drawings for a 1,250 gallon two compartment septic tank and a deep trench type onsite soil absorption system. The effective depth for the soil absorption field is 5 feet and length is 50 feet per the approved design. A three bedroom home with a detached one bedroom apartment are served by this wastewater system. The Department has reviewed the record drawings finding them in conformance with the approved construction plans for the onsite wastewater treatment system; therefore per Wastewater Regulations 18 AAC 72.240 final operational approval is issued. The completed "Certificate to Construct" for the wastewater system is enclosed. Please use the above plan tracking number with any correspondence regarding this system. This approval does not imply the granting of additional authorizations nor obligate any state, federal or local regulatory body to grant required authorizations. Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18 AAC 15.195- 18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC 15.185. Informal review requests must be delivered to the Division Director, 555 Cordova Street, Anchorage, Alaska 99501, within 15 days of receiving the decision. Adjudicatory hearings requests must be delivered to the Commissioner of the Department of Environmental Conservation, 410 Willoughby Avenue, Suite 303, P.O. Box 111800, Juneau, Alaska 99801, within 30 days of the decision. If a hearing is not requested within 30 days, the right to appeal is waived. Thank you for your cooperation. If you have any questions please do not hesitate to contact me at 269-7519. Respectfully, William R. Rieth, P.E. Environmental Engineer Enclosure: As stated cc: William Smyth, WW, w/o enc. State of Alaska Department of Environmental Conservation CERTIFICATION OT CONSTRUCTION FOR DOMESTIC WASTEWATER SYSTEMS Instructions: 1. Within 30 days after the construction, installation, or modification of a project is completed, the. owner, the contractor(s) responsible for constructing the project, and aregistered engineer responsible for construction inspection, must complete and sign this form declaring that the project was constructed in accordance with the most recent Department -approved plans, or in accordance with the attached as -built drawings. 2. If a project is being completed in phased construction, a map shall be attached showing That portion of the project being declared completed on the date stated in the Owner's Section. Completion. of each phase of a project must be declared as it is completed. Additional* Certification of Construction forms are available from any Department.of Environmental Conservation office. . ............................................................................... Please type orprint, except forsignature: SECTION A- Owner's Section " Name and brief description of project: OAJ— S i rl OASTMca "E2 SySiDK . Name of Owner: �bSEi'Ft N�stzi�i5. J� ADEC Project No. Address: ((lOt( CELES7/At- S'1'. Date Project Completed: 1XV 1 a6041 GAG2c 2t�al �kK " �1t7S7 t I certify that I am the owner of the above-referencedproject. I further certify that this project was constructed in accordance with the latest plans submitted to and approved by the Alaska Department of Environmental Conservation (ADEC), or in accordance with the attached as -built drawings. I understand that I may be required to take remedial measures to correct any construction which was completed without prior ADEC approval, which departs from the approved plans, and which is found to be inconsistent with the applic requirements of ADEC wa ew ter disposal regulatio (18 72). rl)t nJ1�1.�1 1/i GAJ l // /1 1 1{ / fir 17l 1 i!i / .q i (Please Sign in In I Date f ..1 SECTION B- Contractor's Section certify that I (or an individual under my direct supervision) have conducted an inspection of the project referenced in Section A, or portions of the proj ect which I.had the responsibility for constructing, and that to the best of my knowledge and information, the project, or those portions. was or were constructed in accordance with the latest plans submitted_ to and approved by the Alaska Department of Environmental Conservation, or in accordance with the attached as -built drawings. /.l Name of Contractor Signatur of Contractor (please sign in.ink) Date For multiple contractors, if applicable: Name of Contractor Signature of Contractor (please sign in ink) Date Name of Contractor Signakure of Contractor (please sign in nk) pate SECTION C- Engineer's Section I. certify that I (or any individual under my direct supervision) have conducted an inspection of the above referenced project, and that to the best of my knowledge and information, the project was constructed in accordance with: (check one of the following) the latest plans submitted to and approved by the Alaska Department of Environmental Conservation ❑ in accordance with the attached as -built drawings. Signature of Profe 'onal Engineer State of Alaska Responsible for Construcho Professional Engineer (Please Sign in Ink) Registration Number - Typed or Printed Name of Professional Engineer �t to Date AS -BUILT SYSTEM DETAILS/SITE PLAN C❑R❑NAD❑ S/D, LOT 5, BLOCK 2 h � xq u 18M -"'COR. WALK V / 'o f .n EL=100.0 KND H IIFFjllll N B M N89'S J T00"E 185.00' st.t' 'o MGT op-- C14.O' 50., W b r W O C) < i[1 z U, 75.4 _ w O = w N L p CO < 3 CD B 320' A SRt '0. FCD x N LOT a 2 ® LOT 4 EILK 2 A—D=14.0' FIELD BOOKS B—D=35.8' A—E=15.3' 102.3 102.0 B—E=29.5' W B—F=35.0' d d C—F=62.8' �a B—G=50.0' o� DDD: NW252 ADAD FILE: 06038.dwq C—G=35,1' 06-038 ox c 1250 GAL nN SEPTIC :r w TANK AW OF FS 11111 �* 49,TH /�_ ,A nL1YlYGL R'111. CE -7116 µ11134 �,$w / �O1''ESSIONP�. �� 1250 GAL STEEL S.T. 19'57'00"E 177.24' 1) 20'-6' CARRIER PIPE, SCH. 40. 2) 4' SEWER HAS 18" VERTICAL SEPERATION TO WATER UNE U Y ' cf j FINAL GRADE FILTER FABRIC & INSULATION 50.0' PREPARED FOR: JOE MORRIS 11643 CELESTIAL ST. EAGLE RIVER, AK 99577 (907)441-9117 FIELD BOOKS CO TED: BODNDARM DRAWN: kmd STMNQ' (NECKED: KMD ASBDILT_SchuIIer/KND DALE: 11/10/C OM FILE: DDD: NW252 ADAD FILE: 06038.dwq ve Ne" 06-038 ADEC Permit : 5674 Io z LoT 11 K 2 .n a p 0 z 0 40 1GRAPHICS SCALE LOT 12 6LK 2 8 O ABBREVIATIONS BOH = BOTTOM OF TESTHOLE CO = CLEANOUT MT = MONITORING TUBE FCO = FOUNDATION CLEANOUT lEl l) ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)896-5lll/FAX (907)098-8111 ..XNDEngLneering.e m/knAengOak.net 0.5' 5.0' —L BOH 74.8 SCALE: NTS 4•T c,Ku QMNID.M S+ and AM ABBREVIATIONS BOH = BOTTOM OF TESTHOLE CO = CLEANOUT MT = MONITORING TUBE FCO = FOUNDATION CLEANOUT lEl l) ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)896-5lll/FAX (907)098-8111 ..XNDEngLneering.e m/knAengOak.net