HomeMy WebLinkAboutSUMMIT ESTATES BLK 2 LT 8Summit
Estates
Block
Lo? 8
#015-072-11
O
Municipality of Anchorage
Development Services Department f~
Building Safety Division . . -
On-Site Water and Wastewater Program, 4700 Elmore 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: .~CqO l.~no,, PID Number: (:)lS~-o~z- t ~
Name:
[<¢,-~ -l'-~.:..r v~ Wastewater System: ~ New ~ Upgrade
Address:
~OC' ~, ~ ,~e-Z '- Number of Bedrooms: ABSORPTION FIELD
Phone:
~ D DeepTrench ~ Sha[IowTrench ~ Bed ~ Mound ~ Other:
LEGAL DESCRIPTION so,, Rating: Total Depth from original grade:
GPD/Ft2 Ft.
Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe:
Township: Range: Section: Fill added above odginal grade: Gravel Length:
Ft. Ft.
W ell.'' ~,~.' ~j¢,) . ~ New ~ Upgrade Gravel width: Ft. Number of lines: IDistance be~een lines: Ft.
Classification (Private, &~, C): Total Depth: Cased to: Total absorption area: Pipe Material:
Ft. Ft. Fta
Driller: Date Ddlled: Static Water Level: Installer: Date Installed:
Yield: GPM Pump Set at: Ft. Casing Height Above Ground:
~. TANK
SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P. ~ Other:
T~ Septic Absorption Lift Holding ~ublic/Private Manufacturer: ~ Capacity:
Tank Field Station Tank Sewer Line .A~F~ i A~ ~ GaL
Material:
Well I~~ ~.~ , ~ Number of Compadment,: ~
SudaceWater ~P,O~ ~~ LIFT STATION
Size: Manufacturer:
Lot Line ~C' ~ Gak
~O ~ ~ ~ "Pump 9n" level at: "Pump o~' level at: in. High water alarm at:
Foundation
~ in. in.
--~ O~ /~ Pump Make & Model Electd~l Inspections performed by:
Cuda~n
Drain
Remarks:
~X~'~) ~%~k ~..~ ¢~ ~c,A BENCHMARK
Location and Descrip~on:
Assumed Elevation:
Inspections pe¢ormed by: L~$ _Se,,-~A~3 Dates: Ist ~/i'l j0~
2nd ~.' ..... .~.(,
Development Se~ices Depa.mentApproval f ~"X9T~ '~
ConditionalApproval Date: ,. y~. '~v.~[u~,u.~
~ · ~)-'%'r; ";' "./ :~
5 ~' ~aS E. SPURK~ND
Reviewe0 and approved by: ~~ / ~, ~~te: ~ ' ~/O '}[(~
".,: ' F .:\ /'L ,-8,,t' '~/ ,,' ,, 8
/ .... ~ \..'..'..'=. '.~"'..':'.'.'.'.'.'.'.~..- 8 /: E 2,~.,r 56.8'
~ ~,~ .. , / ~'x, ~ ~
· ,.~ x~. '.... ..' ..."~. ,, . r 30.0
/ ~ ~-,~ ~B~:'.: .'>~' ~x,,~ ~ 3~.8' 67.0'
J q LL1T 9 ..4,.'~? ,/c.-"~.~..~ .... /
''~-',-!'r~'"~ ...... ~ IINSTALLED NEI¢ 1250 I
............. ".'-""~',f.f~'i-:~l-f-~t-~: '-1GALLON STEEL SEPTIC ~
L
22.4' 53.7'
22.8' 54.6'
24.4' 56.8'
30.0' 64.8'
31.8' 67.0'
32.5~ 67.8'
CLEAN£UTS .
ELEV.= ~-94.~- INSTALLED D£U~LE
T1 ~ '"-ELEV.= 93.0' ELEV.= 93.0' CONNECTED TL7
, I . '-' ---// EXISTING PIPING
I
CONNECTED ,~c~....
BENCH blANK GARAGE SLAB, ASSUMED ELEVATION 100 FEET
SPURKLAND ENGINEERING uq~TJ~J~JT~' ~u~z~,Jq J~ 2 J~ ~ SEPTIC SYSTEkl ASBUILT
203 · 15TH. AVENUE
ANCH. AK. 99501 KEN JARVI DATE: AUGUST 12, 2009
(907) 279-3916 5500 E. 97TH AVE., ANCHORAG~ AK 99516 SHEEnl/I GRID: 2437
PE~M~T ~ S~09013~ PID ~ 015-07~-]] SUMMITESTATES2~LS~],~G
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bregaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
~907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jul 30, 2009
Expiration Date: Jul 30, 2010
Permit Number: SW090132
Legal Description: SUMMIT ESTATES BLK 2 LT 8
Design Engineer: 0007 SPURKLAND ENGINEERING
Owner Name: KEN JARVI
Owner Address: 5500 E 97TH AVE
ANCHORAGE, AK 99516-6418
Parcel ID: 015-072-11
Site Address: 005500 97TH AVE E
Lot Size: 0 SQ. FT.
Total Bedrooms: 0 Permit Bedrooms: 4
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.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater program
4700 Elmora Road
P.O. Box 196650
Anchorage, Alaska 99507
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWERJ~VELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Property owner(s) ~,,,
Mailing address
Site address 5500
Legal description (Sub'd., Block & Lot) ~-~,'~',~',
Legal description (Township, Range & Section)
Lot Size Sq. Ft.
.Day phone 3~i1~-
Zip Code
Zip Code
RIt<, ~ L-~
Number of Bedrooms
THIS APPLICATION IS FOR ([~ all that apply):
Absorption Field []
Septic Tank
Holding Tank []
Priw []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade ~'
Renewal []
I 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.
(Sign'ature o~f property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number.
Environmental Consulting and Design
Municipality of Anchorage
Development Services Department
Building Services Division
On-site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
July 21,2009
Subject:
SEPTIC TANK PERMIT APPLICATION
SUMMIT ESTATES BLOCK 2 LOT $
Ladies and Gentlemen:
We are submitting an application to replace the septic tanks on the above referenced. During a septic
system adequacy test it was determined that Ihe existing tanks are leaking. The submittal consists of two
(2) drawings showing the present improvements on the lot (I) and the proposed improvements of the lot
(2), of which only the septic tank is subject to this permit application.
There are no wells within one hundred feet ofthe proposed replacement site. The installation of this septic
tank will not prevent wells and septic systems from being installed on the adjacent lots. There are no
developed or natural surface / sub surface drainage courses within 100 feet of the proposed septic tank
location. The proposed septic tank will not chahge the general slope oftbe area. Ponding ancot
concentration of surface runoffwill not result from this installation.
If you have any questions or are in need of additional information please contact me at 279-3916.
Sincerely,
L,ars up~lrkland, P.E.
203 West 15~h Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (907) 276-6013, SpurklandEng~gci.net
I ®
I
EAST 9?TH AVENUE
LOT 8
I
4-SDR~
~OUS~
I
LOT ? I
LOT 9
SEPTIC TANKS
APPROX, DRAIN FIELD
LOCATION JlNSTALL NEW 1250 '!
~'~"~ ~'":" 2C, ALLON STEEL SEPTICr
--
NO[E: THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC
LOCATIONS T4KEM £ROU ON-SffE W~TER 4ND W~SrE W~R
fiEP~R~ENT fl~UWrNTA~ON. ~ L~IONS SHO~ ARE
A pP~XI~ ~. '
SCALE, 1' = 50 FT.
INSTALL £BUBLE 2
CLEANBUTS
+/- 5 FEET COVER
CLEANDUT
, CONNECT TO
ff EXISTING PIPING :
..o~ ......... ~_,.
:%-Y~ :,-"-" '~.~,.
~ALLDN SEPTIC ~ANK m :'. 49th _~.,...A~,.,,.~
%2~...~..'~'
203 W 15TN. AVENUE
AK. 99501
PERMIT # SV09OflXX
SUMMIT ESTATES BLK ~ SEPTIC SI,STDI DE$1¢N
DATE: .lULl' 2O. 200~
KEN JARVI I I SHEEr:II! C, RID: 2437
5500 E. 9~ A~. 4~CHO~GE, ~ 99516 ~ ~
PID g 017-0~3-57 SUH~ITESTATESE~LBflI. flVG
I
LOT8
R~£NT I~"UMENT.4TION. AU. LOC,l~TOh~ :~vmv .~AT. !
50 0 50
$£A£D ]' = ]00 £~
LOT 7
AV~NU~
5PURKLANO ENGINEE£1NG
~-c~' .ff."~gso~ II
DATE: JULY 21, 2009
SUHHITES TA TESB2L BDI.§VG
Environmental Consulting and Design
;~ngle Family On-site Wastewater Disposal System
Construction and Material Specifications
Sub]eet Property:
Date:
Summit Estates Block 2 Lot 8
3uly 21, 2009
General:
2.
e
5.
6.
7.
The owner shall contract with a contractor to perfoffn the work outlined in these
spedfications and plans in accordance with the attached MOA permit. There is not
contractual arrangement between the contractor and the Engineer. The Engineer shall
be the owner's representative and will inspect the work to document the contractors
activities. Rnal acceptance of the contractors work rests with the owner and the MOA.
The scope of the work Indudes the Installation of a new 1250 gallon septic tank. The
location of the drain field Is shown on the attached site plan drawings. NI componentS of
the proposed septic system must be constructed a minimum of 100 feet from any surface
water or water wells In the area. A minimum of 4 feet of earthen cover is required over
the septic tank. If less than 4 feet of cover Is available, 2-inch thick, 40 psi, direct bury
board foam shall be Installed directly over the septic tank and all installed piping.
Construction shall be in accordance with the approved site plan and design drawings and
any spedal provisions noted on the Munldpal well and/or septic permit. All materials,
components, workmanship and construction practices shall comply with the Munidpality
of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA,
Development Services Department, On-site Water and Wastewater Program (DSD)
polides.
The contJ3ctor is responsible for obtaining all underground utility locates, layout of the
proposed system, and verifying and maintaining all required separation distances to lot
lines, surface water, wells, steep slopes, etc.
The property owner shall be responsible for final grading any depressions formed from
settlement of backfill material. The property owner Is also responsible for vegetation of
all areas disturbed by septic system installation activities.
Contractors installing wastewater disposal systems must be certified to do so by the MOA
DSD, On-site Water Wastewater Program. property owners installing their own systems
must receive advanced approval from MOA DSD prior to system installation activities.
The contractor shall ensure that ALL materials being used are in compliance with the
most current guidelines established by the Munidpality of Anchorage. Refer to
'Standards and Spedfications for Component Parts and Materials Used in the
Construction of On-site Wastewater Disposal Systems~, Dated December 2000, as
provided by MOA DSD, On-site Water and Wastowater Program.
203 West 15tb Avenue Suite 203, Anchorage, AK 99501,.Phone: (907) 279-3916
'----F~x: (866) 354-1597, Lspurkland~gci.net
Environmental Consulting and Design
Septic Tank Installation:
1. A new septic tank, of the size spedfied in the design drawings, shall be procured from a
qualified manufacture/supplier if the existing septic tank is found to be defective.
Construction shall Include two 4" diameter deanouts for pumping access.
2. The burial rating of the tank shall be adequate for the actual burial depth encountered.
3. The tank shall be level and suffidentiY bedded to prevent settling of shifting of the tank.
4. All standpipes on the tank shall extend a minimum of 12inches above the final grade.
5. Tanks installed with less than 4 feet of cover shall be insulated.
6. The sewer service line from the house to the tank shall have a minimum slope of 2%
unless prior approval is obtained from the engineer.
7. The inlet and outlet lines from the tank shall be bedded in drain rock or the soil shall be
suffidentiy compacted to prevent future settlement of the soil.
8. Septic tank inlets, outJets and deanouts shall be fitted with water tight couplings.
9. A deanout shall be installed I to 4 feet from the foundation.
10. Post tank deanouts shalt be installed per MOA requirements. Does not apply to
pressurized lines.
11. In areas with high ground water, the septic tank. shall be sufficiently anchored to resist
buoyancy forces when there is not adequate soil cover to resist uplift force. The
contractor shall refer to the engineer for direction regarding this matter.
12. The tank backfill shall be graded suffidentJy to ensure positive drainage away from the
tank.
13. All holding tank and lift stations shall have an audible and visible alarm inside the
residence being served.
14. All lift stations shall be wired In compliance with all MOA guidelines and the Uniform
Electrical Code. A municipal electrical permit and inspections must be obtained where
required by the HOA.
15. The contractor shall verify that the septic tank/lift station is a minimum of 100 feet from
any residential water well, 150' from any dass 'C' well and 200 feet from any community
water wells. Additional separation distances must also be maintained.
16. The contractor shall remove or abandon the existing tank in compliance with the Unform
Plumbing Code.
~nspections:
t.
A minimum of one inspection is required by the Hunidpality of Anchorage. These
inspections must be conducted under the supervision of a professional Engineer licensed
to practice In the State of Alaska.
2. The septic tank may be set in place, but may not be backfilled.
3. The contractor shall provide a legible copy of all field notes relating to system layout and
construction to the engineer for the use in preparing the record drawings.
4. The contractor shall coordinate all inspections with the Engineer. A minimum of 24 hours
notice is required pdor to the start of construction. If necessary, a preconstmction
meeting will be held on-site.
203 West 15th Avenue .Suite 203, Anchorage, AK 99501,.l'hone: (907) 279-3916
Fax. (866) 354-1597, Lspurkland~gcl.net
~700 ~r~g~w
P.O. ~x L96650
Pump Installation Log
~Szell DrilIi~g Permit Number: $~ .
Date of ~ssue:
~eg"I
P~P ~ka ~pt~ Setow Top ofWe~ Cas~g:
Pifles~ idap~r Bu~M Dep~: /~ feet
p~tiess A_dapt~r Installer:
Commen~:
I Property Ow~r
feet
A~ention: The pump in_~[ler mhnll provide a pm-rip installation log to the DSD ,mthi= 30 ck~ of pump
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
.-~UPGRADE
EGAL DESCRIPTION
LOOATION NO, O~OROOMS
DISTANCE TO:
Liq. capacity in gallons
DISTANCE TO:
IF HOMEMADE:
IWell~ IDwelling
DISTANCE TO: I Well
Top of tile to finish grade
Length
Type of crib
DIS~TO:
line
Width
Well
Depth
Building foundation
DISTANCE TO:
Total length of Ii es
Material benea ilo
Liquid depth
PERMIT NO.
J~jqui d-c ap~cfi-t~;~tn -§al [o[zs _, _
P,.M,TNO. 8
INeare't'°t"n;o
inches
Depth /
PEFIMIT NO.
OTHER
SOIL TEST RATING
REMARKS
s
DATE
LEGAL
72-013~ev. 3/78]
MUNICIPALITY OF ANCHORAGE
Department' ~ Health and Environment~ !Protection
825 %~ Street, Anchorage, AK. ~'~9501 '
264-4720
* * *
Permit # ~S~LI~ HANDWRITTEN PERMIT * * *
ON-SITE SEWER PERMIT~L3~D
Applicant: ./_~/%/ Mailing Address :~/~ ~ ~--
Location: ~/~ ~ ~"~' Phone Number:
/
Legal escriptio Z Z Lot size:
Type of Soil Absorption~y~tem I~: ~ I~°~IR~°~
Trench: Dr~nfield: Seepage Bed: __ Holding Tank:
Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.'
The gravel depth is '~he minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* ~ REQUIRED SEPTIC(HOLDING) TANK SIZE = /~ GALLONS *'*
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer lin~ is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * P~RMIT EXPIRES DECEMBER 31~ 1 9 8 3 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
Signe~:
the residence\ is' remodeled to
Applicant
include mor~ t.~./~ 3 bed. s. ~
ssued
~ER~ORUED ~OR: '~
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPART[VIENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~
PERCOLATION
TEST
B2B L. Street, Anchorage, Alaska 99501 204-4720
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: ~,., O'~' B "~t~ ~ ~., ~, '~
1
2
3
5~
6~
8-
9-
10~
1t
1~2
13
14
15
16
17
18
19
20-
,LG.o u'
'Zt..o
SLOPE SITE PLAN ·
WAS GROUND WATER
ENCOUNTERED? ~ pO
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
-J, HLO ~,.,% lo: ot o .~'0 ---
· ,' H%G I. O: ?..Z. o · ,~.
~r i cb '.$3
PERCOLATION RATE -'~ (minute~/inch)
TEST RUN BETWEEN ~"" ~ FT AND '~-~-'=-'=-'=-'=---~-- FT
! ..
CO~ENTS '~.&% ~3 l i~2~'~ ~ t.~ ~ ~' _/ .¢
MEMORANDUM
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCH
DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECTION DEPT. OF BEALTlt &
825 L Street- Anchorage, A aska 99501 ENVIRONMENTAL pi,OTECTION
ENVIRONMENTAL ENGINEERING DIVISION 'F ~ h
Telephone 264-4720
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not he processed. Please allow ten (10) days for processing.
PHONE I
1. PROPERTY OWNER
MAILING ADDRESS
'ROPERTY RESIDENT (If different from above)
¢?~o '7
2, BUYER
MAI LING ADDH ESS
II
3. LENDING INSTITUTION
MAILING ADDRESS
4, REALTOR/AGENT
MAILING ADDRESS
PHONE
PHONE
PHONE
"~, LEGAL DESCRIPTION
;TREET LOCATION
5~Io ~,~-~ ~.
6. TYPE OF RESIDENCE t
~ SINGLE FAMILY
[] MULTIPLE FAMILY
WATER SUPPLY
IND~VIOUAL*
[] COMMUNITY
[] PUBLIC UTILITY
NUMBER OF BEDROOMS
[] One [] Four [] Other
[] Two [] Five I
f~ Thre~ [] Six
* ATTACH WELL LOG. A well log is required for all wells dri~lled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
[~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date ~ ~
· -I~ system_is over-two (2) years old an adeqqacy test is required
[] PUBLIC UTILITY by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TiME TIME TiME
DATE DATE DATE
INSPECTOR INSPECTOR ~NSPECTOR
DIRECTIONS:
NUMBER OFBEDROOMS
TYPE OF RESmENCE
[~"/~1NG LE FAMILY
[] MULTIPLE FAMILY
' 2. WATER SUPPLY
[] iNDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Conoection Verified
3. SEWAGE DISPOSAL SYSTEM
[]INDIVIDUAL/ON -SITE
E3PUBLIC UTI LITY
Connection Verified
E]Septic Tank or []Holding Tank
Size: */' %",~ _ lf Tank is homemade
give dimensions:
TYPE OF TANK ~ ~.~_/~_j~
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
[] ONE [~¢"'~TH R E E ~] FIVE
E~3 TWO [] FOUR E.] SIX
PERMIT NUMBER
DEPTI4 OF WELL
DATE DRILLED
LOG RECEIVED
DATE INSTA L,L~D
__ INSTALLER
SOILS RATING
MANUFACTURER
MATERIAL
OTHER
Nearest Lot Line
5. COMMENTS
[] APPROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
DATE BY (Title)
LEGAL DESCRIPTION
72-010 IRev. 3/78)
'CHEMICAL & G~,.~£OGICAL LABORATORIES "~' ALASKA, INC.
TELEPHONE [g07}-279-4014 ANCHORAGE INDUSTRIAL CENTER
274-3364 5633 B Street
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE CC] MPLETED BY WATER SUPPLIER
I.D. NO.
Water Svstem Name Phone No
Mailing Address
Zip Ccde
State
City
Mo. Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
2 I
I
LOCATION
,, j
Time - Collected
Collected By
TO BE COMPLETED BY LABORATORY
Analysis snows this Water SAMPLE to be:
r~' Satisfactory
[] Unsatisfactory
E Samole [oo long n transit; sample should
not De over 48 nours old a[ examination
[o ndicate reliable results Please send
new sample.
Date Received
Time Received
Analytical Method:
D Fermentation Tube
D. Membrane Filter
Lab Ref. No. Result* Analyst
) U ...,'~? ~ .~L.[~?'~) . ·
I-lq
I F-f-]
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
BACTERIOLOGICAl-WATER ANALYSIS RECORD
Lab. NO.
Presumpt lye 1Omi leml ).omi 1omi loml 1,0mi O.lml
EMS.
_BGB
ALASKA
10-22-81
MUNICIPALITY OF ANCHORAGE
DEPT. OF ItE:L'[i! &
ENVIRONMENTAL ?TOTECTION
KEN JARVI
SRA BOX 75-J
ANCHORAGE AK
99507
SELLER - KEN JARVI BUYER-
SUBDIVISION-SUMOIT ESTATES
BLOCK-2 LOT-8&9
RECEIVFD
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A CRIB WITH AN AREA OF 426 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 180 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 180 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A
HOME OF 3 BEDROOMS.
THE SEPTIC TANK WAS PUMPED ON 6/17/81
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF
THIS 3 BEDROOM HOUSE.
750 IS ADEQUATE FOR
1220 IJJcst 25Ih Auenu¢ · Anchoretle, AIQsb 99503 · (907) 276-1361
:
825 "k" STREET
ANCHORAGE, AI_ASKA 99501
(907) 264-4111
GEOI{GE M. SULI IVAN,
f,AAYQR
DEPARTMENT OF HEALTH AND ENVIRONMENTALPROTEC?ION
October 14, 1981
Kenneth/Barbara Jarvi
Star Route A Box 75-J
Anchorage, Alaska 99507
Subject: Lot 8 Block 2 Summit Estates Subdivision
The on-site sewer system installed September 24, 1970 was an
approved system at the time of the installation.
On September 15, 1972, a survey was done by Frank Hildonin,
Land Surveyor Reg. ~1308S, showing a garage had been constructed
over the seepage pit. This is a violation of Ordinance #~8-68,
which was current at the time the system was installed and it
is still a current ordinance of the Municipality of Anchorage.
The log crib under the floor of the garage will eventually
collapse. Log cribs were never designed to bear a structural
load.
The present system is--not acceptable. A new two(2) compartment
septic tank of 1,000 gallons is required or another 500 gallon
septic tank, in series, with the existing tank and a new
absorption system will be required.
A permit will be required, from this office, prior to any
construction.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
James S. Roberts
Assocz~e Environmental Specialist
JSR/ljw
cc:
Alaska Mutual Savings Bank
% Linda Powell
1503 West 31 Avenue 99503
September 17, 1981
Kenneth/Barbara Jarvi
Star Route A Box 75-J
Anchorage, Alaska 99507
Subject:
Lot 8 Block 2 Summit Estates Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1)
The water analysis report needs to be submitted to
this office from the Chem Lab, 5633 B Street, for
our review.
(2)
Locate and expose the standpipes to the septic tank
and seepage area for our inspection and 'to insure
proper distance requirements are met.
(3)
The septic tank pumped with a receipt submitted to
this office for our review.
(4)
An adequacy test needs to be performed on the existing
leaching area~ This test will determine if the system
is adequate according fo National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this office for our
review.
Please notify this office for a reinspection when the noted
descrepancies have been corrected. If there are any further
questions, please call this office at 264-4720.
Sincerely,
James S. Roberts
Associate Environmental Specialist
JSR/ljw
cc: Alaska Mutual Savings Bank
I hereby certify that t have ~u~'eyed the following described properS, L~t.s ~"~ 9 $~ock
Addilion ~/'~IP ~/?~I ~.Y~, ~{/~/{, recording Precinct, Alaska, on~ l~al
Improvemen~ dluat~d thereon ar* wlthl~ Ihe proper~ lines and do no~ owrlap or encroach
on the prope~ ~ylng adjacent thereto, lhar no Improvemenl~ on prope~ lying adjacent thereto
~ncr~ch on the premI~* In que*fion and thai Ihere are no roadway*, tran*mi*~ion IIne~
Anchorage, Alad~a
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
GENERAL INFORMATION
Complete legal description
Location (site address) 5500
COSA#
Expiration Date:
Current Property owner(s)
Mailing address
Lending agency
Day phone
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: ~
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
[~ Individual On-site
[] Individual Holding Tank
[] Community On-site
[] Public Sewer
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of 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 On-Site 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 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 50q&~\r,~
Address ?,0.% ~, iSikA~_~
Engineer's Printed Name
DSD SIGNATURE
t~ Approved for
Disapproved.
bedrooms.
Phone
Conditional approval for
bedrooms, with the following stipulations:
By:
(Rev. 11/05)
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory ~
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's .Report
Other
Original Certificate Date:
Municipality of Anchorage.
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Elmore Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
LegalDescription: ~u~mi{' ~.5)1'~,{~ ~[oc~ ~ Lot ~ ParcellD:
A. WELL DATA
Well type ?civ~-~. IfA, B, or C provide PWSID # ~
Date completed p''
..... o~ Sanitary seal (Y/N). Y
Totaldepth 75~'ff. Casedto.?O + ~.
FROM WELL LOG
Date of test
O~5- O-~Z- II.
Well Log (Y/N) /%/'
Wires properly protected (Y/N)
casing height (above ground)
AT INSPECTION
Y
Static water level ~ ~ ~l,~,o~ ft.
Well production ~ Ev~,,~ g.p.m.
WATER SAMPLE RESULTS:
· Coliform ~ colonies/100 mL Nitrate (.o, FI mg/L
ArseniC: ~13 uglL date of sample:
B; SEPTIC/HOLDING TANK DATA
/
Tank Type/Material r/{NC~C~.
$i ft.
~ ,"{' g.p.m.
Other bacteria
Collected by.'
· coloniesll00 mL
Date installed
Tank size 1~50 gal. Number of.Compartments~ o~
Foundation cleanout iY/N). ~ ~' Depression over tank (Y/N) ~
Date of pumping ~-W Pumper
Cleanouts (Y/N) ¥
High water alarm (Y/N)
C. ABSORPTION FIELD DATA
Date installed. ~ltSi ~)3 Soil rating (g.p.d./ft~ or~
Length (o~ ft. Width -~ ft.
Total depth iO ft. Eft. absorption area ~, ft~ Monitoring tube
Date ofadequacytest '(,'lZ~ll°Cl ~ ~ltlo~ Results(Pass/Fail)
Fluid depth in absorption field before test O in. Water added :~00 gal.
Elapsed Time: lq, 5 min. Final fluid depth C) in. Absorption rate >=
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
System type D(~ 'Tccnc~
Gravel below pipe '-~ ft.
Depression over field.
For L/ bedrooms
New depth. I..5 in.
(~) g.p.d.
If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at/.in.
Datum ......
SEPARATION DISTANCES
Size in gallons .,,,/
"Pump off" level at ~
Cycles tested /
· SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot iOO ~
Absorption field on lot l OO ~-
Manhole/Access (Y/N)
High water alarm level at / in.
Meets alarm & circuit re~s?
'Public sewer main /V/A
I
Sewer/septic service line '2.5 ~4--
Animal containment areas 5'0 LI-
t
On adjacent lots ! OO ~'
On adjacent lots I Oo'~.
Public sewer manhole/cleanout
Holding tank /V'/A
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation
Property line .5' 4- Absorption field
Water main A//A Water service line lO ~' Surface water ,,
· Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
I O0 ~+ '
V/A
Property line '3c ~ Building foundation
Water Service line lO' ~' Surface water
Curtain drain /V, 0, {50'4-~ Wells on adjacent lots
F. COMMENTS
Water main /V'/A
Driveway, parking/vehicle storage
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 LA~$ ,-~pu~'~o,~c~
COSA Fee $,
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
Nitrate Advisory
Certificate of On-Site Systems Approval # 101153
A Certificate of On-Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block 2, Lot 8 of
Summit Estates subdivision. This inspection revealed a nitrate concentration
of 6.19 milligrams per liter (rog/L) was reported for the property's well
water sample. The Environmental Protection Agency (EPA) has established
a maximum contaminant level (MCL) of 10.0 mg/L for public drinking
water systems. While private wells are not subject to this regulation, EPA
standards are based on existing health information and can therefore be used
to gauge the relative quality of water from private wells. Please see the
attached "Nitrate Fact Sheet" for important information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On-
Site Systems Approval.
al
/20o 00' ·/0 e
LOT SURVEY CERTIFICATION
I hereby certify that I have surVeyed the property shown and deecribed
hereon, and that the Improvements situated thereon are within the prop-
erty lines and do not overlap or encroach on adjacent property and that
no ilT~rovements off adjacent property overlap Or enct'oQc:h olt the premlsee
In question and that there are no roadways, utility llne~, Or other visible
easements on said property exoqpt a~ indicated hereon.
/ 0o00'
S 69' .9'W
Eonemente of record other than tho~ ehown on
the plat Of ra~crd are not eholn hereon anlaet.~
othar.Hee noted.
LEGEND
Brass or Aluminum capped monument
0 Iron pipe end/or rebar recovered.
2x2 hub &tack recovered
· 5/8"x 30" rebar set this survey
· Fence Lir~e (Approx. Location)
o
/2O°0O'
nument ~er~d _ ~.. ; ~ 5
Scale
Ret.
Date
EB. No.
0 9-0¥/
Prepared by:
t~. L. BUTTON
t?eg/stered I_ond Surveyor
519 W. ~ighth Ave. Anchorage Al~ka 99501
............ SGS
SGS ReL# 1103286001
Client Name Spurkland Engineering Printed Date/Time 07/20/2010 15:28
Project Name/# Summit Estates B2,L8 Collected Date/Time 07/07/2010 11:35
Client Sample ID Summit Estates B2,L8 Received Date/Time 07/07/2010 12:30
Matrix Drinking Water Technical Director Stephen C. Ede
Sample Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic ND 5.00 ug/L EP200.8 C (<10) 07/07/10 07/19/10 KDC
Waters Department
Total Nitrate/Nitrite-N 6.19 0.100 mg/L SM20 4500NO3-F B (<10) 07/08/10 AYC
Microbiology Laboratory
E. Coli Negative 1 100mL SM20 9223B A 07/07/10 DI.C
Total Coliform Negative 1 100mL SM20 9223B A 07/07/10 DLC