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Home My WebLink AboutPEG LT 20B Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: .~u,}~ '10 2:=t¢~ PID Number: O ~1 - O"77.'- ~ Name: ~t~ ~A~ ;~ Wastewater System: D New ~ Upgrade Address: ~Sl~ ABsORpTION FIELD Phone: ~ ~ . ~ ~ D Deep Trench ~ Shallow Trench ~ Bed ' ~e~t~leM ~A~ Total Depth from o[iginal gra~e[ Lot: ~0 ~ Block: Subdivbio~ Depth to pipe bottom fro~original grade: Gravel depth beneath pipe Township: -- IRange: _ ~Section: -- =illaddedaboveori~inalgrade:3,~,. ~1 Ft. Gravellength: ~1 Ft. Number of lines: ~ Distance between lines: WELL: E~t%~New ~ Upgrade Gravelwidth: ~ 8t Ft, 8 I 30 Classification (Private, A,B,C): Total Depth: ~ Total absorption area: Pipe material: ~ ~o ~riller: ~Drilled: Static Water Level: Installer: Date installed: ~G IPump Set at: Icasing Height AbOve GrOund: ' TANK PM Ft. Ft. SEPARATION DISTANCES ~ Septic D Holding ~ S.T.E~P. To Septic Absorption Lift Holding =ubll¢/Private Manufacturer: Capacity I~allons: From Tank Field Station Tank ~ewerLInes ~0~ ~ J 500 Wel~' !00I+ leO~+ jOOi~ ~ ZSl+ Material: ~ea~ Number of Com~ments: Su,ace LIFT STATION Water I0~ t ~ ) oOl~ I OO I~ ~ Line ~1~ ~ ~ Size in gallons: I Manufacturer: Remarks: ~t~ ~ ~ ~~E BENCH MARK Location and Description: I Asaumed Elevation: Inspections pedormed by: S & S EN~IN=E.IN6 %~/~~"'~---~ ..... Department of He~~d p~man Se~ices approval -- '-~ - Reviewed and approved bY: ate://-/?- CF 72-013 (Rev, 9/91) MOA 25 PERMIT NO. SW970299 PAGE 2 o~' 2 Municip, g_.Li~¥~o. F Anchoro, oe DIE?ARTMENT OF ~AL/id AND HUMAN 8FRVICES FNVIRON~ENTAL SERVICES DIVISION P,E], ]]ox 196650 eAnchor(~ge, A[c~sko, 99519-6650eTe!,eohone: 343-4744 ON-SITE WASTE. WATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 2OB, PEG SUBDIVISION P.I.D. NO. 051--072--74 ST1 ST2 92.3' ~soo ca[ 92.1' S.T.E.P. 8YSTeu PROFILE VIEW N.T.$, ORIFICI~ O~T3 OL~ SCH 40 F~C LAT£.~.S OR[F~C£ SPAC£O 27 O.C MT40 50' A , B , T1 41.5 22.0 T21 4S.5', I 29.0:1 IH I 46.5 I 50.5 I IT1 56.5' I IT21 52.0' I 44.5'1 IT5 50.0' 49.0' IT4 48.0' 57.0' NEW 1500 S.T.E.P. TANK NEW BOTTOMLESS-~ SAND FILTER ~ blT~ -- -- '-~tdT4 A?H I ~ 2.]MT2 EXISTING 4 BDRy HOUSE (PLYWOOD WALLS) IMPERMEABLE (PLYWO00 TOP VIEW N.T.S. ULA'nON FILTER COV[R BARRIER., w~cs) WELL 1" = 40' ~T~ = BOITOML£SS SAND ,g3.3' WATE.I~ FOUND 90.7 B.O.H. PROFILE VIEW ORADE LINES (LEVEL) ROBERT C. CE -880l N,T.S, NO%/-- 12--97 WEI) 11:59 HEAVENLY LIGHTS ELECT CO 575 5894 491 Willow Street · Wasilla, Alaska 99654 Phone# (907) 373-3893 · l~ax# 373-3894 P.01 l November 4, 1997 William Fuller C/O Vista Real Estate Attn: Lola Pedersen 16635 Centerfield Drive Eagle River, AK 99577 REFERENCE: Lot 20B; Peg Subdivision Dear Mr. Fuller, Construction of the on-site wastewater disposal system located on the reference property per S & S Engineering design is essentially completed. The system is operational however a requirement that the intermittent sand filter be covered with top soil and seeded can not be accomplished due to winter conditions (topsoil is not available). Tweed Excavating will return to the property in the Spring, 1998 to add topsoil, final grade and seed the intermittent sand filter and other disturbed areas. This is not to be construed as a requirement to perform other landscaping and it will be up to the home owner to provide sufficient water to the areas to insure growth. The wood board fence located along the east property line will be repaired to the extent possible considering age and deterioration of the existing materials. If we may be of further service, please contact us. Sincerely, Richard S. Shaf~ Tweed Excavating RSS/gk cc S & S Engineering CoPy PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH A_ND HUM_AN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 A/~CHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM {UPGRADE) PERMIT PERMIT NUMBER:SW970299 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:FULLER WILLIAi~ H & DOROTHY P OWNER ADDRESS:21917 GLACIER RD CHUGIAK, ALASKA 99567 DATE ISSUED: 9/09/97 EXPIRATION DATE: 9/09/98 PARCEL ID:05107274 LEGAL DESCRIPTION: PEG LT 20B LOT SIZE: 41885 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 A_ND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18A2~C72) AND DRINKING WATER REGULATIONS (18AAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THIS PERMIT IS ISSUED FOR THE CONSTRUCTION OF A RECIRCULATING TRICKLING UPFLOW FILTER SYSTEM. AS A CONDITION OF THIS PERMIT, THE OWNER OF THIS SYSTEM AGREES TO MAKE ARRANGEMENTS FOR THE SYSTEM TO BE SAMPLED ONCE A MONTH FOR A MINIMUM OF 12 CONSECUTIVE MONTHS AFTER BEING PUT IN USE. THE ATTACHED PROPERTY OWNER AGREEMENTS BECOME A PART OF THIS PERMIT PACKAGE. ~~_~ zmo ~ ~ -- 0 0~0 z~ z~z O0 ~m~mm · Z NO WELLS/SEPTIC . W~TH~. ZOO'+ OF PROPOSED WELL/SEPTIC ~ ~ I 3_7~ ~Z~ , n ,~l f. F~ 0 ~ ~- ,.--~. ~o~' , ~-~ .- ~ PEG STREET ~ ' ,~. ~,.'., : ~ ..c~-~ N.T.S. 8GALE PROFILE Ii N.T.S. ~GALE CROSS-SECTION DETAIL '1 PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT /~r DEPTH? ~ p Depth to Water Alter Monitoring? ~'~' Date: lO-lq-q? SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop 3 ~: 2G 2~ V2" 2 '/z u ~ ~: ~ ~" - PERCOLATION RATE '2.~"* (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND "~ FT COMMENTS PERFORMED B~ & .~ F-NC.I kll~_~l~ I~J/~~'~ 1734 a ACCORDANCE.WIg~3 ~L ~¥Aq~"Y~I~I~OI~I~I~I~LI~tJ~L~INES tN EFFECT ON THIS DATE. =agra K~ver, Alaska 99577 72-008 (Rev. 4/85) CERTIFY THAT T~IIS TEST WAS PERFORMED IN DATE: :~O //~ /'~7 ROBERT C. COWAN, P.E. October 15, 1997 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYST EM DESIGN INTERMITTENT SAND FILTER SPECIFICATIONS Lot 20B, Peg Subdivision GENERAL STATEMENT OF WORK The work covered by these specifications and the plans consist of furnishing all labor, materials, tools, transportation, and equipment necessary to complete an intermittent sand filter system as described herein and on the attached drawings. All work under this project shall comply with the latest edition and addenda to all applicable codes, ordinances and standards including Municipality of Anchorage-Dept. of Health and Human Services (MOA)-(DHHS) septic installation guidelines and On-Site Waste Water Disposal Systems permits. 4 Bedroom single family home = 600 GPD Soil acceptance rate = 0.3 GPD/SF Use 2.0 GPD/SF for polished effluent 300 S.F. required Using a 15' wide bed with 0.5 effective depth 300/15 = 20 LF Construct bed as shown on attached site plan SITE INVESTIGATION The Contractor who proposes to complete this project must carefully examine the project documents, have full knowledge thereof, have investigated the site, and be satisfied with the conditions affecting the work. Conditions include, but are not limited to those bearing upon transportation, disposal, handling and storage of materials, availability of labor, water, electric power, roads, and uncertainties of weather, physical conditions at the site including all underground utilities, the conformation and condition of the ground, the character of equipment and facilities needed preliminary to and during prosecution of the work. The Contractor must be satisfied with the character, quality and quantity of surface and subsurface materials or obstacles to be encountered insofar as this information is reasonably ascertainable from an inspection of the site, including all prior exploratory work, as well as from information presented by the plans and specifications made a part of this project. Any failure by the Contractor to become acquainted with the available information will not relieve him/her from responsibility for performing the work as stated in these specifications and drawings. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page 2 Lot 20B; Peg Subdivision October 15, 1997 Location of utilities shown on the plans are not exact. Above ground utilities have been field located. Below ground utilities are shown as depicted on "as-built" plans. The Owner and his Engineer shall not be held liable for damages to utilities incurred during construction due to deficiencies or omission on the plans. At least twenty-four (24) hours prior to commencing work, the Contractor shall contract all local utility companies to obtain underground utility locates. The Contractor shall exert due care to prevent damage to utilities. Should a utility be damaged, the Contractor shall notify the utility company and shall have repaired at his own expense any damage resulting from failure of the Contractor to request an underground utility locate or to exert due care. If any utility company determines that a utility has to be temporarily raised, lowered, moved, guyed, shored, braced or otherwise protected during construction, it shall be done at the expense of the Contractor to the satisfaction of the utility company. INSPECTIONS Typically, there will be a minimum of eight (8) inspections required during the installation of the waste water disposal system. These inspections will occur as follow: Inspection of work in progress may be made by the Engineer and MOA-DHHS at any time. The following schedule of required inspections is to be adhered to. Twenty-four (24) hours notice is required prior to each inspection. Inspections can only be arranged during weekdays and during normal working hours. The following inspection schedule is to be strictly adhered to: 1. Septic tank/lift station is in place, but not backfilled. Sewer piping from building to tank is complete, properly bedded and backfilled. 2. Sand filter pit is excavated and prepared for filter construction. Prior to placement of filter liner material. Engineer to be notified with Contractor's schedule during actual construction of the sand filter to allow spot inspection during construction. Any deviation from reported schedule is to be reported to the Engineer. Final inspection of the sand filter with all pressure piping in place, but prior to placement of cover material. Flow testing of pressure piping at this time will require completion of lift station wiring prior to this inspection. 5. Inspection of open trench excavation of leaching trench as per MOA Code. Page 3 Lot 20B; Peg Subdivision October 15, 1997 6. Inspection of leaching trench prior to final backfill with all piping in place. Inspection will require pressure testing of leach field piping with sand filter pump in place. 7. Inspection of final grading. The Owner shall contract with the Contractor to perform the work outlined in these specifications, plans and in accordance with the attached MOA permit. There will be no contractual arrangement existing between the Contractor and S&S Engineering. S&S Engineering shall be the Owner's representative and will inspect the work as stated above to document the Contractor's activities. Final acceptance of the Contractor's work rests with the Owner and the MOA. S&S Engineering shall have no liability to the Owner or to others for acts or omissions of the Contractor or any other persons performing work on this project or the failure of the Contractor to carry out the work in accordance with these construction documents. S&S Engineering's inspecting Engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. All landscaping, fences, sidewalks, paving, driveways, utility markers and other improvements, removed to facilitate the Contractor's operations shall be fully restored to their original condition and location by the Contractor unless otherwise directed by the Engineer. Items damaged by the Contractor during removal, storage, or restoration, shall be repaired or replaced in kind by the Contractor. This work shall be considered incidental to the project. MINIMUM MATERIAL SPECIFICATIONS 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes ASTM D2241 Yes Yes ASTM D2239-74 Yes Yes installations in the Page 4 Lot 20B; Peg Subdivision October 15, 1997 Use of a type of pipe other than listed above must be approved by the inspecting Engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with water tight couplings (Caulder, Femco, or equal). 5. A permeable non-toxic silt barrier (Typar 3401, Mirafi 140kN, or equal) must be installed between the final leach field gravel layer and the native soil backfill. 6. All leach field gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current MOA or DEC requirements. A. General SEPTIC TANK/LIFT STATION The work under this section consists of the performance of all operations pertaining to furnishing and installing the septic tank/lift station and piping to the sand filter. B. Materials 1. Tank for Lift Systems a. Septic tank shall be a 1500 gallon two specifically for the use of Orenco Systems, assembly Orenco No. 4200. compartment steel tank Inc. patented lift station b. The tanks shall be designed for soil loading conditions as required by MOA and State regulations. The design or analysis shall be in accor- dance with accepted engineering practice and local regulatory agencies. Page 5 Lot 20B; Peg Subdivision October 15, 1997 c. All welding shall be in accordance with applicable codes and standards. Risers a. First compartment shall have a separate 4" pump out riser. The second compartment shall have a separate 4" pump out riser. b. An additional second compartment outlet riser shall be 12 gauge sheet steel and shall extend 12" (minimum), above surface grade, shall have a minimum nominal diameter of 24" and shall be capable of being equipped with the following: 1. A junction (Nema 4x) box or equal, bonded or attached to the riser. 2. UL listed electrical cord grips, installed in the J-box. c. A lid - shall be furnished with the riser. It shall be constructed of fiberglass or equivalent aggregate finish, meet H-10 loading requirements and have a latching mechanism. d. Riser installation - each riser shall be sealed or welded to the top of the tank in such a manner as to prevent infiltration of ground water. e. Lid insulation - 4" rigid extruded polystyrene shall be placed in the riser directly below and attached to the lid. f. Riser insulation - 2" sprayed shop applied urethane on circumference of riser with 46465 Tnemec coating. 3. Effluent Pumping Assembly a. Effluent pumping assembly shall be Orenco systems (TM) Model 20- OSI-05-HHF series consisting of the following: 1. 1/2 H.P. 110 volt or equal U.L. Listed effluent pump. 2. Screened pump vault (U.S. patent No. 4439323) 59" deep, 3/16" thick high-density PVC cylinder houses the pump, level controls and screen and serves as a baffle to prevent the screen from clogging. Page 6 Lot 20B; Peg Subdivision October 15, 1997 Fifteen 1 1/2" diameter holes are drilled in the vault at a level that places them at about the midway point in the depth of the septic. Flap check: Allows the vault to drain when removing the tank. Screen: 15" diameter cylinder of high-density polyethylene 1/8" mesh. 3. All piping shall be PVC or other non-corroding material. b. Pump controls and alarm system shall be Orenco systems SICTETMRO 110 volt with the following options consisting of: 1. Event counter 2. Elapsed time meter 3. Program timer 4. 10 watt heater 5. Remote alarm panel option with a minimum of 80 DB sound pressure at 24", operating temperature 30AC to 65AC, continuous sound to be located in the home. 6. Oil-tight visual alarm with push-to-silence feature. Automatic audio-alarm reset. 7. 15 amp motor rated toggle switch, double pole, double throw with three positions; manual (man), automatic (auto) and center (off) (H.O.A.). 8. Nema 4x-rated, fiberglass, or equal, enclosure with hinged cover. 9. All controls to be installed as per manufacturer's recommendations. 10. Control panel to be installed on outside wall of home within sight of septic tank/lift station. Page 7 Lot 20B; Peg Subdivision October 15, 1997 c. Piping from the septic tank to the sand filter is to be 1 1/4" PVC schedule 40 solvent weld piping properly bedded as described in Materials Specifications and sloped to drain back to the septic tank. Insulation board 2" thick and 2' wide centered over pipe is to be placed where soil cover is less than 4' depth over pipe. CONSTRUCTION SEQUENCE In order to insure proper inspection procedure, the system is to be installed in the following order: 1. Sewer line from house to tank 2. Septic tank/lift station 3. Sand filter 4. Leach field 5. Final grading CONSTRUCTION Pipe Grade and Alignment Variance of individual pipe sections from established line and grade shall not be greater than 0.02 feet, providing that such variance does not result in a level or reverse sloping invert. During the progress of the work, the Contractor shall provide instruments such as transits, or levels, for transferring grades from offset hubs or other construction guides from the control points and bench marks provided to the Contractor by the Engineer. The Contractor shall provide qualified personnel to use such instruments and who shall have the duty and responsibility for placing and maintaining such construction guides. Pipe Laying All pipe shall be laid with Class C bedding, free of large stones and organic matter. Page 8 Lot 20B; Peg Subdivision October 15, 1997 o Each section of pipe shall be handled carefully and placed accurately, the spigot end shall be fully inserted pointing in the direction of flow and glued in place to make a water tight seal. Each section of pipe shall be properly supported to insure true alignment and an invert which is smooth and free from roughness or irregularity. At all times, when work is not in progress, open ends of pipe and fittings shall be securely and satisfactorily closed so that no undesirable substance will enter the end of the pipe or fittings. Bedding of Pipe for Sewer Lines The pipe should be bedded with Class C bedding materials, compacted to 95%. Native materials may be used as back fill material above the pipe, provided it is free of large stones and organic matter to a point one (1) foot above the top of the pipe. All pumping services shall be installed in accordance with the manufacturer's recommendations and standards, electrical installation is to be to code by a licensed electrical contractor, with Municipality inspection where required. If MOA inspection is not required, a licensed electrician is to provide a letter to the Engineer stating that the system meets or exceeds all applicable codes. Excavation Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.01 foot, on undisturbed or compacted to 95% classified sand fill material. Line excavated tank pit walls with 2" +35 PSI burial foam full depth of tank. Back fill between tank and foam with sand material and compact in a manner to prevent damage to tank surface coating. Create a level sand surface over the tank and add 2" burial foam +35 PSI directly over tank. Mound unclassified soil over tank location to a depth of 2' above finished grade to allow positive drainage away from tank and counteract buoyancy. Connections All connections to be as per MOA-DHHS and UPS requirements PVC 3034 piping with Caulder or equivalent couplings for inlet riser pipes. All tank connections are to be completely water tight. Page 9 Lot 20B; Peg Subdivision October 15, 1997 SAND FILTER The work under this section consists of the performance of all operations pertaining to furnishing and installing the sand filter. A. Materials 1. Sand Filter a. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand Specifications with the additional requirement that all but 1% of the materials passing the # 100 sieve be removed. A sample of the proposed filter sand must be submitted to the Engineer for testing one (1) week prior to construction. A sample will be taken from the sand bed during construction for purposes of quality control. If the sample does not meet specifications, all sand will be removed and replaced. b. The Contractor shall be responsible for providing pea gravel. Where pea gravel is specified, the pea gravel shall be a washed material containing no fines (0% passing the #100 sieve) and a maximum size of 1/4" diameter. c. The Contractor shall be responsible for providing round rock. Where round rock is specified, the round rock is to be washed gravel with rounded edges, well graded with maximum diameter of 1/2". d. The Contractor shall be responsible for providing the manifold assembly. The manifold assembly shall be the Orenco Model SFM 1036 or equivalent with orifice shields and flushing assembly. All drilled holes to be cleaned of burrs and pipes flushed, prior to assembly. Flushing valve to include riser to +12" above finish grade with extension handle provided to operate globe valve from the ground surface. e. The liner shall be Orenco Model LI or equivalent. 30 mil PVC cut and fabricated to provide water tight enclosure of filter sand volume. Seams are to be permanent as per manufacturer's recommendations. All connections, such as boot flanges, through sand filter to be permanently bonded to liner. Page 10 Lot 20B; Peg Subdivision October 15, 1997 f. The sand filter pump basin is to be Orenco Model PBSF1561FI with flow inducer and matching 15" diameter riser sections as needed to extend 12" above finish grade maintaining a water tight seal through the full length of conduit riser. PVC splice box is to be installed with a conduit seal kit. g. The filter secondary pump shall be an Orenco Model 20 OSI05HHF with appropriate float assembly and high pressure discharge assembly. h. The Contractor shall be responsible for providing filter fabric. The filter fabric shall be Orenco Model LIFF or equivalent. i. The Contractor shall be responsible for providing insulation. The insulation shall be +35 PSI board rated for direct burial. j. The 2" thick rigid insulation on the sidewalls of the filter box shall extend the full 4' height of the plywood box and be inside the plywood box. k. The linear air difuser line and compressor is available from Orenco, no model number available. The feed line from the house to the filter is HDPE arctic insulated pipe 3/4"-2" SDR-11 Maskell-Robbins or equivalent. 2. Construction of Sand Filter The sand filter construction is to follow procedures as outlined in the Orenco Installation Manual as applicable to this design. Care is to be taken to protect the integrity of the sand filter PVC liner material. This includes careful placement of soil material into the liner. Any perforation of the PVC liner material will require patching in a method that exceeds original manufacturer's strength. Rock, pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.01 feet) in filter, taking care not to allow mud or fine soil material into the filter or rock layers. This would include any soil material picked up by excavation machinery buckets while loading specified material. The Contractor should estimate filter material volumes such that allowance is made for wastage of material in contact with the ground at site. Work on the sand filter may be suspended at the Engineer's discretion due to inclement weather conditions, such as rainfall. The sand filter and material stockpiles will be completely covered by a tarp over night during construction until finished. Filter internal construction should be accomplished in one (1) day's time. Page 11 Lot 20B; Peg Subdivision October 15, 1997 The Engineer will reject any sand, round rock or pea gravel that does not meet specifications or is contaminated in transit or while handling. If such material is placed in the filter, all soil material may be required to be removed and replaced with new material. 1. General LEACH FIELD The work in this section pertains to furnishing all materials and installation of the septic leach field. 2. Materials o All materials shall be as approved by the MOA-DHHS for leach field construction. Leach field piping is to be fabricated to allow pressure distribution. All holes in the fabricated piping are to be deburred and flushed clean. Construction Construction is to be as per MOA-DHHS Codes and Guidelines. Drain Field a. The drain field is to be located in the position shown on the site plan. b. The bottom of each drain field excavation shall be level, plus or minus 1.5" or 0.13'. c. The leach field trench is to be excavated to the indicated depth. d. The 1 1/4" effluent pipe is to be level in the leach field. e. The drain field gravel is to be completely covered with typar fabric material. f. The area over the drain field and sand filter is to be finish graded to prevent ponding of surface water run off over and between trenches. Topsoil 6" and seed. Page 12 Lot 20B; Peg Subdivision October 15, 1997 5. Leach Field Dimensions Sand Filter = 3'+ Total Depth = 1 Drain Field Length --- 45' Soil Rating = 1.2 GPD/Sq.ft. Polished Effluent = 2.0 GPD/Sq.ft. Gravel Depth -- 0.5' Drain Field Width = 5' Bedroom Capacity = 3 ROBERT C. COWAN, P.E. August 28, 1997 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER &WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN MU~CIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 9951.9 REFERENCE: Lot 20B, Peg Subdivision Request you issue a permit to upgrade the septic system serving the existing four bedroom house on the referenced property. Also, we are requesting you issue a permit for the installation of a 2000 gallon recirculating septic tank with a trickle fdter and a upflow filter for disposal of on-site domestic waste water on the referenced property. The existing 1250 gallon septic tank is to be excavated, pumped, crushed, and abandoned completely. The existing septic sytem is to be abandoned completely. 'Test hole w.a~ excavated and percolation test performed. The approximate location of the test hole: ~ s located, on the attached site plan. At the dine of e~:cavation no water was encountered and after seven day ground water monitoring, water was fbund at 3.5 feet. ~m innovative system has been chosen for this site based upon the soil conditions, and groundwater levels. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require addition~ information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/mg Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 1" = 60' SITE-PLAN DESIGN ~-uoo =~= ~ ~~- ~ oo~ >~ ~ ~ ~ o ii z~o. < ~ ~ oom ~ m Z ~ o~ ¢ II 0 ~ ~ ..... ~o~~ ' ~ z m~ " ' ~m~ NO WELLS/SEPtIC omm ~ m ~O~''Z WITHIN 200'+ OF oOxv~ ~ m~.. . ~11 ~ ~ I 0 o ~ o ~ 0 ;~ . PEG STREET Fi.T.S. DESIGN Gl>OX Z ~ · 0 Fm)> Z~ DETAIL ...4 '-'c ~ r-m.~ © --i Ill FFI m Z 0 · -r1 L/) Fo C) ;;;;O FqlTI r'q ~J z Fq '-q C) Z--0 o--4 :~l-- --q Frl Fq om z~ -4O ; (.,.. ~, I~ ~ -lit O0 · , Ix.) Cl 'CZ_ N.T.S. DESIGN DETAIL 8GALE I-q Z-O }?. ;:".d ,~ 'b' <':.:~ .:. :/v-.: ?,..~ o ~ ~ ~o ox c Z N.T.S. ~CALE 0 C/~ I L-z'j C~ 0 J DFTAII C -0 PROFILE/CROSS-SECTION ~m mC) 0 0 Z © PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED:' ~ --~1 ..,. Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? DEFT.? Depth to Water Alter .~ Monitoring? ,~" Date: Reading Date Gross Net Depth to Net Time Time Water Drop ,./ PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN,,~t FT AND '~ F'~ COMMENTS PERFORMED BY: ~'~'~'"- ---, ~.~tl;~--- ~,vtrr'' ,'~p ~Oa~l NO, 204i .... ACCORDANCE WlT~[t ~'~~~L GUIDELINES IN EFFECT ON THIS DATE. CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: , '~ /:~ ~r~/~ ~ 72-008 (Rev. 4/85) ROBERT C. COWAN, P.E. 1997 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ,d~!D REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN RECIRCUI~TING SEPTIC TANK WITH A TRICKLE FILTER AND UPFLOW FILTER SPECIFICATIONS Lot 20B ~' ~ ~ Subdivision GENERAL STATEMENT OF WORK The work covered by these specifications and the plans consist of furnishing all labor, materials, tools, trm~sportation, and equipment necessary to complete an Recirculating Septic Tank with a Trickle Filter and Upflow Filter system as described herein and on the attached drawings. All work under this project shall comply with the latest edition and addenda to all applicable codes, ordinances and standards including Municipality of Anchorage-Dept. of Health and Human Services 0VIOA)-(DI-IHS) septic installation guidelines and On-Site Waste Water Disposal Systems permits. 4 Bedroom single family home = 600 GPD Soil acceptance rate = 0.7 GPD/SF (sand filter) Use 2.0 GPD/SF for polished effluent 300 S.F. required 'Using a 15' wide bed with 0.5' effective depth 300/15 = 20 LF Construct bed as shown on attached site plan SITE INVESTIGATION The Comractor Who proposes to complete this project must carefully examine the project documents, have full lmowledge thereof; have investigated the site, and be satisfied with the condkions 'affecting the work. Conditions include, but are not limited to those bearing upon transportation, disposal, handling and storage of materials, availability of labor, water, electric power, roads, and uncertainties of weather, physical conditions at the site including all underground utilities, the corr[brmation and condition of the ground, the character of equipment and facilities needed preliminm'y to and during prosecution of the work. The Contractor must be satisfied with the character, quality and quantity of surface and subsurface materials or obstacles to be encountered insofar as this information is reasonably ascertainable from an inspection of the site, including all prior exploratory work, as well as from information presented by the plans and specifications made a part of this project. Any failure by the Contractor to become acquainted with the available information will not relieve him/her from responsibility for performing the work as stated in these specifications and drawings. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ', EAGLE RIVER, ALASKA 99577 Page 2 Lot 20B; Peg Sub. August 28, 1997 Location of utilities shown on the plans are not exact. Above ground utilities have been field located. Below ground utilities are shown as depicted on "as-built" plans. The Owner and his Engineer shall not be held liable for damages to utilities incurred during construction due to defidencies or omission on the plans. At least twenty-four (24) hours prior to commencing work, the Contractor shall contract all local utility companies to obtain underground utility locates. The Contractor shall exert due care to prevent damage to utilities. Should a utility be damaged, the Contractor shall notify the utility company and shall have repaired at his own expense any damage resulting from failure of the Contractor to request an underground utility locate or to exert due care. If any utility company determines that a utility has to be temporarily raised, lowered, moved, guyed, shored, braced or otherwise protected during construction, it shall be done at the expense of the Contractor to the satisfaction of the utility company. INSPECTIONS Typically, there will be a minimum of seven (7) inspections required during the installation of the waste water disposal system. These inspections will occur as follow: Inspection of work in progress may be made by the Engineer and MOA-DHHS at any time. The following schedule of required inspections is to be adhered to. Twenty-four (24) hours notice is required prior to each inspection. Inspections can only be arranged during weekdays and during normal working hours. The following inspection schedule is to be strictly adhered to: 1. Recirculating septic tank/lift station is in place, but not backfilled. Sewer piping from building to tank is complete, properly bedded and backfilled. 2. Upflow filter tank is installed with infiltrator/piping in place (prior to placement of filter liner material). Engineer to be notified with Contractor's schedule during actual construction of the upflow filter to allow spot inspection during construction. Any deviation from reported schedule is to be reported to the Engineer. 4. Final inspection of the upflow filter with all pressure piping in place, but prior to placement of cover material. 5. Inspection of open trench excavation of leaching bed as per MOA Code. Page 3 Lot 20B; Peg Sub. August 28, 1997 6. Inspection of leaching bed prior to final backfill with all piping in place. 7. Inspection of final grading. The Owner shall contract with the Contractor to perform the work outlined in these specifications, plans and in accordance with the attached MOA permit. There will be no contractual arrangement existing between the Contractor and S&S Engineering. S&S Engineering shall be the Owner's representative and will inspect the work as stated above to document the Contractor's activities. Final acceptance of the Contractors work rests with the Owner and the MOA. S&S Engineering shall have no liability to the Owner or to others for acts or omissions of the Contractor or any other persons perfbrming work on this project or the failure of the Contractor to carry out the work in accordance with these construction documents. S&S Engineering's inspecting Engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. All landscaping, fences, sidewalks, paving, driveways, utility markers and other improvements, removed to facilitate the Contractor's operations shall be fully restored to their original condition and location by the Contractor unless otherwise directed by the Engineer. Items damaged by the Contractor during removal, storage, or restoration, shall be repaired or replaced in kind by the Contractor. This work shall be considered incidental to the project. MIN~ MATERIAL SPECIFICATIONS 1. Any septic tank proposed for installation amst be constructed by a Municipally approved septic 'tank manufacturer. 2. The following pipe materiais are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast kon Yes '/es ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes ASTM D2241 Yes Yes ASTM D2239..74 Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting Engineer. Page 4 Lot 20B; Peg Sub. August 28, 1997 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with water tight couplings (Caulder, Femco, or equal). 5. A permeable non-toxic silt barrier (Typar 3401, Mirafi 140XN, or equal) must be installed between the final leach field gravel layer and the native soil backfill. 6. All leach field gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current MOA or DEC requirements. RECIRCULATING SEPTIC TANK/LIFr STATION A. General The work under this section consists of the performance of all operations pertaining to furnishing and installing the septic tank/lift station and piping to the sand filter. B. Materials 1. Tank for Lift Systems a. Septic tank shall be a 2000 gallon two compartment steel tank spe&fically for the use of Orenco Systems, Inc. patented lift station assem- bly Orenco No. 4200. b. The tanks shall be designed for soil loading conditions as required by MOA and State regulations. The design or analysis shall be in accordance with accepted engineering practice and local regulatory agencies. c. All welding shall be in accordance with applicable codes and standards. 2. Risers a. First compartment shall have a separate 6" pump out riser. Page 5 Lot 20B; Peg Sub. August 28, 1997 b. An additional second compartment outlet riser shall be 12 gauge sheet steel and shall extend 12" (minimum), above surface grade, shall have a minimum nominal diameter of 24" and shall be capable of being equipped with the following: 1. A junction (Nema 4x) box or equal, bonded or attached to the riser. 2. UL listed electrical cord grips, installed in the J-box. c. A lid - shall be furnished with the riser. It shall be constructed of fiberglass or equivalent aggregate finish, meet H-10 loading requirements and have a latching mechanism. d. Riser installation - each riser shall be sealed or welded to the top of the tank in such a manner as to prevent infiltration of ground water. e. Lid insulation - 4" rigid extruded polystyrene shall be placed in the riser directly below and attached to the lid. f. Riser insulation - 2" sprayed shop applied urethane on circumference of riser with 46465 Tnemec coating. 3. Effluent Pumping Assembly a. Effluent pumping assembly shall be Orenco systems (TM) Model 20-OSI-05-HHF series consisting of the following: 1. 1/2 H.P. 110 volt or equal U.L. Listed effluent pump. 2. Screened pump vault (U.S. patent No. 4439323) 59" deep, 3/16" thick high-density PVC cylinder houses the pump, level con- trols and screen and serves as a baffle to prevent the screen from dogging. Fifteen 1 1/2" diameter holes are drilled in the vault at a level that places them at about the midway point in the depth of the septic. Flap check: Allows the vault to drain when removing the tank. Page 6 Lot 20B; Peg Sub. August 28, 1997 Screen: 15" diameter cylinder of high-density polyethylene 1/8" mesh. 3. All piping shall be PVC or other non-corroding material. b. Pump controls and alarm system shall be Orenco systems SICTETMRO 110 volt with the following options consisting of~ 1. Event counter 2. Elapsed time meter 3. Program timer 4. 10 watt heater 5. Remote alarm panel option with a minimum of 80 DB sound pressure at 24", operating temperature 30AC to 65AC, continuous sound to be located in the home. 6. Oil-tight vimal alarm with push-to-silence feature. Automatic audio-alarm reset. 7. 15 amp motor rated toggle switch, double pole, double throw with three positions; manual (man), automatic (auto) and center (off) (H.O.A.). 8. Nema 4x-rated, fiberglass, or equal, enclosure with hinged cover. 9. All controls to be installed as per manufacturer's recommendations. 10. Control panel to be installed on outside wall of home within sight of septic tm~,/lift station. c. Piping from the septic tank to the upflow filter is to be 1 1/4" PVC schedule 40 solvent weld piping properly bedded as described in Materials Specifications and sloped to drain back 'to the septic tank. Insulation board 2" thick and 2' wide centered over pipe is to be placed where soil cover is less than 4' depth over pipe. Page 7 Lot 20B; Peg Sub. August 28, 1997 CONSTRUCTION SEQUENCE In order to insure proper inspection procedure, the system is to be installed in the following order: 1. Sewer line from house to tank 2. Reckculating septic tank/lift station 3. Upflow filter 4. Leach fidd 5. Final grading CONSTRUCTION 1. Pipe Grade and Alignment Variance of individual pipe sections from established line and grade shall not be greater than 0,1 feet, providing that such variance does not result in a level or reverse sloping invert. During the progress of the work, the Contractor shall provide instruments such as transits, or levels, for transferring grades from offset hubs or other construction guides from the control points and bench marks provided to the Contractor by the Engineer. The Contractor shall provide qualified personnel to use such instruments and who shall have the duty and responsibility for placing and maintaining such construction guides. 2. Pipe Laying All pipe shall be laid on undisturbed soil or compacted to 95%. Ea Each section of pipe shall be properly supported to insure tree alignment and an invert which is smooth and free from roughness or irregularity. At all times, when work is not in progress, open ends of pipe and fittings shall be securely and satisfactorily dosed so that no undesirable substance will enter the end of the pipe or fittings. Page 8 Lot 20B; Peg Sub. August 28, 1997 3. Electrical Installation Electrical installation is to be to code by a licensed electrical contractor, with Municipality inspection where required. Electrical inspection report to be provided to the engineer as soon as available. If MOA inspection is not required, a licensed electrician is to provide a letter to the Engineer stating that the system meets or exceeds all applicable codes. 4. Excavation Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot, on undisturbed or compacted to 95% classified sand fill material. Line excavated recirculating septic tank and upflow filter pit walls with 2" +35 PSI burial foam full depth of tank. Back fall between tanks and foam with sand material and compact in a manner to prevent damage to the tanks surface coatings. Create a level sand surface over the tank and add 2" burial foam +35 PSI directly over tank. Mound unclassified soil over the tank locations 'to a depth of 2' above finished grade to allow positive drainage away fi.om tank and. counteract h'~oyancy. 5. Connections All connections to be as per MOA-DHHS and UPS requirements PVC 3034 piping with Caulder or equivalent couplings for inlet riser pipes. All tank connections are to be completely water tight. Page 9 Lot 20B; Peg Sub. August 28, 1997 UPFLOW FILTER Attached are drawings of both the Orenco "trickstep" tank (Recirculating septic tank) and the "Upflow" filter, prepared by Anchorage Tank. All materials and construction of the uplfow filter shall be installed as per drawings and specifications set by Anchorage Tank and MOA-DHHS MOUNDED LEACH FIELD BED 1. General The work in this section pertains to furnishing all materials and installation of the septic leach field. 2. Materials All materials shall be as approved by the MOA-DHHS for leach field construction. Leach field piping is to be fabricated to allow pressure distribution. All holes in the fabricated piping are to be deburred and flushed clean. 3. Construction Construction is to be as per MOA-DHHS Codes and Guidelines. 4. Mound System Installation a. Any peat or organic matter must be removed from the elevated mound site. b. The bottom of the basal bed area. as well as the top of the sand filter is to be within two inches of level. c. The distribution piping is to be ofPVC (ASTM D3034 or equal). All joints are to be solvent cemented. d. The side slopes of the top layer of the mound system must not be steeper than 33% (3:1). e. The top of the mound shall be covered with a minimum of 6 inches of topsoil and vegetated sufficiently to prevent erosion. The distribution pipes are to be embedded in sewer rock. Care should be taken to bacl~ll in such a way as to prevent damage to the piping system. Page 10 Lot 20B; Peg Sub. August 28, 1997 Silt barrier material must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Backfill over the final gravel layer must not be less then twenty-four (24) inches. Insulation nmst be inst',filed when the backfill depth is less than thirty-six (36) inches. •;-lc." Municipality of Anchorage `s' On-Site Water and Wastewater Program - (907) 343-7904 _ Certificate of On-Site Systems Approval Parcel I.D. 051-072-74-000 Expiration Date: IJoV 01 2 v 1 1. GENERAL INFORMATION Complete legal description Peg L2OB Location (site address) 21917 Glacier Vista Rd Chugiak, AK 99567 Current Property owner(s) Thomas & Carol Elliott Day phone 907-688-2572 Mailing address P.O. Box 672547 Chugiak, AK 99567 Real Estate Agent Brad Wilson Day phone 907-441-7178 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual E Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: , Received by: Date: �- / I( COSA to be released to the en ' eer,unless otherwise r nested by the gineer. ' �� d� � 7,-7-��77 / COSA Fee $ 52 co Waiver Fee $ Date of Payment 11.20/1 7 Date of Payment Receipt Number akt 332 (0cl Receipt Number COSA# OSC 111U1 `-r b Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Alaska Rim Engineering Phone 907-745-0222 Address 9131 E. Frontage Rd Palmer, AK 99645 Engineer's Printed Name Norman Gutcher Date 9/22/41Kt�a 44. OF ..n/ p �� •^e•••C•Y•te T.�1 �B •• . ) � 6 P ® e4.9 TH ` , 6. DSD SIGNATURE , 1 !qv;..,;;•,e„ n System#1 Approved for bedrooms rn= Norman K:Gutcher System #2 Approved for bedrooms AQ 9F• ••••••e••' 4 Disapproved @�`�®eR,O�� " Conditional approval for bedrooms, with the following stipulations: HiV c• 014 S1TE G�` . \v A1ER AN ER 1> W� � W PRS Rp,M By: IR C&uce'U Original Certificate Date: Val /18 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f - - If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system C&&tuf tate of On-Site Systems Approval Checkll st Legal Description: Peg L2OB Parcel ID:051-072-74-000 A. WELL DATA Well type Private If A, B, or C provide PWSID# N/A Well Log (Y/N) Y Date completed 5/84 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 100 ft. Cased to 40+ ft. Casing height (above ground) 45 in. FROM WELL LOG AT INSPECTION Date of test 6/17/97 7/20/17 Static water level 76 ft. 72.7 ft. Well production 6.3+ g.p.m. 6'4 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 0.661 mg/L Arsenic <MRL ug/L Date of sample: 8/16/18 Collected by: Brandon's On Site Services B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel / Anchorage Tank10/30/97installed 10/30/97 Tank size 1500 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) Y Date of pumping 10/13/17 Pumper Sanitary Pumpers C. ABSORPTION FIELD DATA Date installed 10/30/97 Soil rating (g.p.d./ft2 or ft2/bdrm) 1 .2 Soils System type Bed Length 20 ft. Width 18 ft. Gravel below pipe 0.5 ft. Total depth 3.5'-4' ft. Eff. absorption area 360 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7/20/17 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 1 .5 in. Water added 604.9 gal. New depth 3.5 in. Elapsed Time: 15 min. Final fluid depth 1 .5 in. Absorption rate >= 604.9 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) Non Known If yes, give date Non Known D. LIFT STATION Date installed 10/30/97 Size in gallons 1500 Manhole/Access(YIN) Y "Pump on"level at 41 .5 in. "Pump off' level at 40.5 in. High water alarm level at 48.5 in. Datum Bottom Of Tank Cycles tested 3 Meets alarm&circuit requirements? Y E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100Y+ On adjacent lots 100'+ Absorption field on lot 1001+ On adjacent lots 100'+ Public sewer main 25'+ Public sewer manhole/cleanout 100 + Sewer/septic service line 25'+ Holding tank 1001+ Animal containment areas 1001+ Manure/animal excrete storage areas 1001+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation + Property line 45+ Absorption field 100 + Water main 101+ 101+Water service line Surface water 1001+ 1Wells on adjacent lots 100 + ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 101+ Water main 101+ 1CYWater Service line + Surface water 100 + Driveway, parking/vehicle storage 10+ Curtain drain 501+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION ns- .44I%., I certify that I have determined through field inspections and of„t ,.' ` A �``_, - p review of Municipal records that the above systems are in ; 0y ; t^ ; A conformance with MOA COSA guidelines in effect on this date. •R' a `ti,�..}..1.:1.. k 4:t Engineer's Printed Name /14/^/NoNrJ l� Cru / I'%e 1,701 .4<'-(1 e----e ; r ✓f i'/V., Nononn 1:.C;o! her .J. Date il. / *a's L...-/1) COSA canary sheet_2-6-15.doc :N'1UNICIPALITY OF Al+ICHORAOE+Community Development Department•On-Site Water&Wastewater Progran:. P: 907-343-7904•F: 907-343-7997+P.Q.Box 196650 Anchorage,AK 99519-6650•http:i/www.muni.org/buildiu Intermittent Dosing Sand Filter Maintenance Log OwnerC°\r0 �S[-.C� Street Address 9 ":tt t 1 G) ac\ er vi 610.. PhoneLegal Desc.PI. G 1.,4- aQ ( PID Septic Tante: -Sludge level ; inches -Pumping: required g� q uired es co Pumping completed !;' ; no Absorption Field: - 1 -Liquid level ' inches -Flushing valves per approved design :&;; • -All flushing valves opel� . , distribution lines flushed, and flushing valves closed ;o; no Lift station: •Pump basket cleaned ;gas no -4 •Biotube effluent filter cleaned es no -Timer float setting 66 inches -High level float setting 57 inches -Reference point,Top • lSQc-- -Pump on `c C% seconds -Pump off minutes -Cumulative lifetime cycles 3 7 ij -Cumulative run time 1 Z5`',: � 0ars -Operation satisfactory 02) no Air System: -Air pump filter cleaned es no -Air pressure psi -Date of latest install or rebuild 0. •Air system operation atisfact ry not sat stictory Alarm System: .-�— •Dedicated electrical circuit, 'y yes_ no S ,?� -Audible and visual alarm inside dwellingna� Lr� •Float setting inches -Alarm system operation satisfactory not sati i ctary Comments: A a...moi ... .��\- vt-ek . w 6Q- /3t) AofR Pap, , Us ) ... Maintenance Provider: Technician L-r'`.'C`K`y" je- \5 �� (1 Date of maintenance vt/�I o Company L. 't ,5 5 ery � S J - I Signature Date 22, A?? ie 1DSF Maintenance Log_040313.cloc Invoice Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 727-8864 Fax 345-1391 August 24, 2018 THOMAS& CAROL ELLIOTT PO BOX 672547 CHUGIAK, AK 99567 Re: Septic Repair Legal: PEG LT 20B Description Excavation Services Provided: 1. Excavate sand filter system to install or expose the 8 missing blow-off pipes which are required by the MOA for the COSA. Total due this Invoice $ 2,500.00 Co mfle,kcl / 5/f B' 641,01.0 Sen+) Mat-SuTest Lab, �j� _/ BIOLOGY BIO1(1.i`]ii V Midtown Community Business Park 9131 East Frontage Road,Suite 15 Palmer,Alaska 99645 Phone:745-3005/Fax:745-3010 Website:www.matsutestlab.com E-Mail:matsutestlab.office@gmail.com Drinking Water Analysis Report Total Coliform Bacteria (SM9223B by Colilert) See Reverse Side For Instructions Client: "i L` I5 -c' (, I > PWSID# (if applicable): Mailing Address: Phone#: Results/Invoice (Please choose at least one): Fax: Email: Hard copy (To be mailed to address listed above) Legal Description of Property: \Cc' Lc,-} Sample Site Location: ! ' Delivered by: +' (I.E.: bathroom sink,outside hose bib) Date Sampled: US; t/61/$7 Time Sampled: Sampled by: Circle One: Standard Test S / Rush Test Circle One: Routine Test / Repeat Test / Special Purpose This Section to Be Completed by Lab Analysis Results: Lab ID # M180600 ,2[Satisfactory (Unsatisfactory Sample Rejected — Reason: Chromogenic/Fluorogenic Method Results: INCUBATOR# Total Coliform Present (P)/Absent (A) ( Yellow / No Color E. Coli Present (P)/Absent (A) ( Fluorescence / No Fluorescenr e ) I Received : AUG 1 t 2018 J By: I Started : AUG 16 Albt L, By: I Finished : AUG 1 7 2018 ( Lt (t-- By: ` at-Su Test Lab , L . . Water Quality Testing .= 9131 E Frontage Rd,Ste 15 ` 'mime BIOLOGY Palmer,AK 99645 CHEMISTRY (907)745-3005 mo tsu fes tlob,offic a @gmaiL corn Name: B.0.S. Lab ID#: M 180600 Client ID#: 18-00613 Date Sampled: 08/16/2018 Mailing Address: -- Time Sampled: 1248 Sampled By: AJ Legal Description: Peg Lot 20B Date Received: 08/16/2018 Sample Site Location: 0.H.B. Time Received: 1331 Health Guard I Parameter Method Result Unit MRL MCL Date Total Coliforms Colilert A --- --- --- 08/17/2018 (SM 9223B) E. coli Colilert A --- --- -_- 08/17/2018 (SM 9223B) Total Nitrate-N TNTplus 835/836 0.661 mg/L 0.200 10.0 08/17/2018 (Hach 10206) Arsenic Arsenic by ASV <MRL µg/L 1.0 10.0 08/17/2018 EPA 7063 Method Reporting Limit(MRL): the lowest concentration that can be reported reliably Maximum Contaminant Level(MCL): highest acceptable level in public water systems as set by EPA mg/L: milligrams per liter;1/1000"of a gram pg/L: micrograms per liter;I/1,000,000'of a gram Absent(A):none of this type of bacteria was detected Present(P):one or more bacterial cells of this type were detected Results Reported By: 614141, gum Anne Gleason Laboratory Analyst Ii Reviewed By: Signature: `7eH ltiAWialgt Jim Williams(Aug 10.2018( Email: matsutestlab.office@gmail.com � r B,o Mat-Su Test Lab, LLC 'BIOLOGY .1 Midtown Community Business Park 9161 East Frontage Road,Suite 15 Palmer,Alaska 99645 Phone:745-3005/Fax:745-3010 Website:www.mstl.biz E-Mail:mstl@mstl.biz Drinking Water Analysis Report Total Coliform Bacteria (SM9223B by Colilert) Client: �� . 17- �I eZ. MI,AL c oip, Mailing Address: cl1?)\r -�� }> ?.f) , PWSID# (if applicable): Qm1 A-er, A 119-GG Li; Phone #: oi7-0+5- 0 LZZ Fax# or E-mail: '07 '4 Legal Description of Property: Fax" L- - Z0 1,? Sample Site Location: 0I-( �� _ Deliverer Initials: (I.E.: bathroom sink,outsid h bib) Date Sampled: 7/I Lf 1 P ? Time Sampled: I 0,`i 2 cwt.- Sampler Initials: Circle One: Health Guard Test This Section to Be Completed by Lab Analysis Results: Lab ID # AR 17218 Satisfactory Unsatisfactory ❑Sample Rejected - Reason: Chromogenic/Fluorogenic Method Results: A Total Coliform Present (P)/Absent/Absent P ( ) (A) ( Yellow o Col r ) E. Coli Present Absent P / ( ) (A) ( Fluorescence / uoresc= ce ) Incubator# I Received : JUL 12 2017 1135 By: AL/ I Started : JUL 12 2017 1c05 By: / I Finished : JUL 1 3 2017 1 By: CA r - ____ISGS___ SGS Ref.# 1174488004 Client Name Mat-Su Test Lab,LLC Printed Date/Time 07/25/2017 12:46 Project Name/# M170433-AR17219 Collected Date/Time 07/12/2017 10:42 Client Sample ID AR 17218 Peg L-20B Received Date/Time 07/14/2017 12:58 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 A (<10) 07/17/17 07/21/17 ACF Waters Department Total Nitrate/Nitrite-N 0.967 0.100 mg/L SM21 4500NO3-F 13 (<10) 07/19/17 AYC Page 5 of 10 ti i � oc • f, ' • t,f f1 ' of • I • 3 . ,,s/ _ 3Yr SII !: .1 .reit! . . t k a� f� % . ,1 . likltiotth_. /r-e ‘ - {,0 0 e, Q° • �. ry0 . h `fl •v r: \I o� h floi. • . i\I i /1/fi" i mw � � i' . os•�', •`�so • , �1�, Y _j� r Fe a. •1 . • 0 • e 1• w ,3..zd'.�/A7 ox,wyr, Lk i c"s<OC•• r4 '. . .ytlt.4.07".40r.4?"; ••a - 'KW!? yW!?rrr.cPW lir' ,/,4e2,-0d • • • Ufa C��Triere,/,774-I,.11 �.� AS 6U!LT SEFIARD & ASSOCTATRS LAND SURVRYTNG 694-0829 I HEREBY CERTIFY -THAT I HAVE SURVEYED THE SCALE'. , FO, LOWING DESCRIBED PROPERTY: '�� 4.:":„ or 4 °°t ANO THAT NO ENCROACHMENTS EXIST EXCEPT AS �S7' iriA..••• • 6/ "•t ff. MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the"AGREEMENT" made and entered into as of this v2,)-- Day of AA.00, s-4- of 20 11? , by and between La`Tr\ ,(11Q i er- and [Aar° , herein the"OWNER,"and the Municipality of Anchorage,herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at(legal description) ?'L L . 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) 47117 Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. h-- It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, ``ll repairs or permitted alterations to the system. �D`P Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 64,711_--Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. OX:_-. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. I ' /y�jl`�-=-- Owner agrees that any sale or transfer of title of the property will not occur without a new �',fJ /r Certificate of On-Site Systems Approval. %� i-- Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. /, ,lig Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system,or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof,or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNS' By: ' �� ' <— --� (signature) Date: Icj /I (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this . day of Al,t 4t6t- 20 l 6, by Le% , K! e' • ARY PU ICFO' AL MYRTLE SJ.LEWIS-MOSBY M Commis ion expir s: ,, " . ,pJ .1 Notary Public 1 State of Alaska My Commission Expires Feb 21,2021 MUNICIPALITY: n Q By: .0COCULOC (signature) Date: a123/I ICQ)Oe e CA arra(I (print name) Title: (rev. 05/18/2018) • OWNER: • By: % "1—li7` (signature) Date: 55'3a"J I ✓o/ C.- gk/ty(print name) STATE OF ALASKA ss. • THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 9aday of Po.g31 6-t . 201$, by i-love la— y 14.42;o if,� MYRTLE S.J.LEWIS-MOSBY N ARY ; BLIC f O LASKA 1 Notary Public M Commission expires: ,V,,41,tiv4 c9.0a 1 1 State of Alaska 1 My Commission Expires Feb 21,2021 MUNICIPALITY: 0 By: .) / (signature) Date: $'/23/1 ROo2 0.Co.. Cwe ro l (print name) Title: (rev. 05/18/2018) 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 APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O~"'l -o'7~. 1. GENERAL INFORMATION Complete legal description Lot 2OB: Peg Subdivision Location (site address or directions) Pr.operty owner i'."Mailing address 'Lending agency "Mail.ing address Day phone 21917 Glacier Rd. Chuqiak~ AK 99567 · 376 Lone Elk Rd. Spear Fish, SD 57783-8645 Day phone Agent 5ola Pedersen/ Vista Real Estate Address Day phone __ 689-6458 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: e NOTE: 4 Individual well xxx Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: XXX Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 ? 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. S & S ENGINEERING Name of Firm 17~,34 F. aU',~ ,%,e, Loop ,'~,~,,; ;,;o. 264 Address Eagle River, Alaska 9~5,,77 Engineer's signature Phone 6'""~y ~~¢/ 7.'~ ... Date It /'>"/cf 7 Se DHHS SIGNATURE ' ,,~ Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date///- 2~- ~'7 The Municipality of Anchorage DePa.rtment 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) Back MOA~CZl Municipality of Anchorage D DEPARTMENT OF HEALTH & HUMAN SERVICES' E C E IV E Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 3~(~7'~ 1997 Municipality of Anchorage Health Authority Approval Checklist Dept. Health & Human Services Legal DescriPtion: L,o'~ ~o~, ~ ~OEG, ~"~.(3[ ¢151o,',} Parcel I.D.: -0-/2. -'7,/ A. WELL DATA Well type ~)¢,,~,JAI'E. . If A, B, or C, attach ADEC letter. ADEC water system number ~/~, Log present (Y~)) I'J'o Date completed ¢- V-. Total depth Cased to H'ol '~ Sanitary seal ~/N) 'l/E. ¢, Casing height (above ground) Wires properly protected ~N) Date of test Static water level Well production FROM WELL LOG WATER SAMPLE RESULTS: Coliform Date of'SamPle: B, sEPTIC/HOLDING TANK DATA Date installed Io. o n Tank size Foundation cleanout (~N) Date of pumping C. ABSORPTION FIELD DATA Date: iflStalled I o Leng,t.h ~O' r '~ Width Effective.absorption area [ Date of adequacy test /"J Pumper g.p.m. AT INSPECTION g.p.m. Nitrate O o ~ 15 Other bacteria 1 Depression (Y/N) Collected by: S& s ENGINEERING 17034 Eagle River Loop Road, No. 204 Eagle River, Alaska 99577 Number of Compartments ~ Cleanouts (~r/N) High water alarm (~N) Fluid depth in absorption field before test (in.); Soil rating ~or fF/bdrm) 1. Z(so~System type _~',~n I I t i ~ Gravel thickness below pipe ~-~ Total depth Monitoring Tube present (~N) ¥,~ Depression over field (Y/~ /'J o Results (Pass/Fail) - ' For L/L bedrooms ~ Immediately after -- gal. water added (in.): Fluid depth ~ (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) Absorption rate = .g.p.d. If yes, give date 72-026 (Rev. 3/96)* D= LIFT STATION Date installed Manhole/Access (~N) High water alarm level Cycles tested Size in gallons I ~'o "Pump on" level at* ~f Z "Pump off" level at* . *Datum SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: I Se ptic/holding tank on lot I oD 4- Ioo + Absorption field on lot Public sewer main Sewer/septic service line I On adjacent lots Joo 4- On adjacent lots ~ oo '{- Public sewer manhole/cleanout t,,]/.~. Lift station ) Oo ~ 'f' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: 14- 15 Absorption field Foundation Zo '5 Property line ---- Water main/service line ~ °~ ~' Surface water/drainage J o~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ~ '~o ~ ~ Water main/service line I t Building foundation Property line Surface water t Ioo 4- Curtain drain I~o~ ~-.~ o~J~ ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots I certify that I have determined thru field inspections and review of Municipal in conformance with M. OA HAA~guideli. nes in effect on this date. Signature ~/~Y//w/~' ' Engineer's Name Date ! I / I ~. / ~/"7 HAA Fee $ Date of Payment_ Receipt Number Waiver Fee $ record~ms are Date of Payment Receipt Number 72-026 (Rev. 3/96)* MOV-11-199~ ~1:10 CT~E ~I ANCHORAGE PAGE 03 P,02/03 976598OO1 Lt 20B, l~g S/D Outside Faucet ~ 20B. Pc8 S/D Ou~id~ Drink. inj W~r 0 CUcat POi Printed Date/Tiros 11/! 1/97 18:49 Collected lMte/Time 11/05/97 15:30 RK~Iv~ Dntegflme ! 1/06~97 09:58 Teehnle~! Director: itt~hen C, Ede I~e~tt$ ~ethmt tim~ts ~ate ~$te Init Tote[ CoLifoe~ O,00 0,100 ~/L ¢oL/lOOmL EPA 300,0 lO max 11/0~/97 GCP SXlfl 9~2Zg 11/06/97 TN~ i'/ · NAME LOCATION L {I, capacity in gallon~ ~ IF HOME.DE ] I~de ler.~ h '~, DISTANCE TO: IW. II Foundation DISTANCE TO: ~Well ~ J DISI'ANCETO: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street. Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE ~PQRA~ I /~-'~ kY ? I Materiel W,dth PERMIT NO. PERMIT NO. 'Meteri~l beneslh tile Toial ef'f~ti~ inch~ ~.,, :,, _ ~=z, '/~," ~'~' '"' ~&o~¥~, Crib depth-- J Total e~fmtiw I~i~tion Driller OiMance to lot line ~EEMIT NO. ~r line ~fiC tank Ab~rption areals) OTHER · INSTALLER' ~MARK$ -- ~-'P~- ,~,~ ~',~__.Z~_ 72-013 {Rev. 3/781 MUN I .C I PAL ! TY OI~' ANCHORA{~E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION G25 L 8TRE~T, ANCHORAGE, AK ~501 264-4720 APPLICANT: STRATA ADDRESSt- % S&S ENGINERRING EAGLE RIVER, AK 9~577 CONTACT PHONEt 894-2979 LEGAL DESCRIP: SUBDIVISION: NA LOT: 20B SECTION: 4 TOWNSHIP) IEN RANGE~ 1W LOT SIZEI 42000 (SO.FT..OR ACRES) BLOCKI NA I cerLlt¥ Lha~: 1. I am tamtliar with the requirements for on-,ire ,ewers and ~o~th by ~he Municipality o~ Anchor. age (MOA) and ~he Sta~e o[ Alaska. 2. I ~tll in,tall ~he my~em tn ac=opd~nce ~lLh all MOA cod~ and ~egula~iun~ and In compliance wi~h the design c~ite~ta o~ ~hts pepmtt. ~. I will ~dhe~e to all MOA and 8~at= of Alaska pequtpement~ ~o~ the ~et back dJ~[ances ~rom any e~tstlng ~ell~ waste~atep disposal system op oublic sewerage ~y~tem on tht~ o~ any adjacen~ o~ nearby lo~. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING THEN (1) AN ~LECTRICAL PERMIT AND INSPECTION ~T BE OBTAIn: (2) A~-~ILT9 WILL NOT BE APPROVED NIT~OUT AN ELECTRICAL' INS~CTION REPORT; AND (J) THE ELECTRICAL ~RK MUST BE DONE BY A.LICENSED ELECTRICIAN. ~' ~. MUNICIPALITY OF ANCHORAGE Ii'Sl DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION I~. ~:": 825 L ,Street, Anehorege, Ale,kl 99501 Telephone 204.4720 ON.SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~IAME I ¢~ X ~ ~¢~ ~ ................. _ , W,d~ ~ .,,,..c, ,o, ~ . / /,o....,,o. '-, ...,.,,o,,,.. ,,..,~.o. '"' DISTANCE TO: Building f~ndati~ ~¢ li~ ~tm rink '" J AbsorptiOn area(t) OTHER INSTALLER ~ ~ ~_. 72013 ~n,v. 3/7~1 ¢ / C,EP~F:THEHT OF HEALTH RHD ENVIRONHENTRL PROTECTION 825 L 'STREET, RN.r"HORRQE, RK 9950:L 264-4720 PERMIT NO: RPPL I CFff~.T: ~qDDRE$$; CONTACT PHONE: LEORL DESCP, IP: SEL..IEt~.. & 14,.='LL. Pm="F~.r.1 1' T LOT MAX. BEDROOMS: STRRT~ INC, EAGLE ~:IVER., ~K 99577 LI~TED CELOH ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC ~VSTEH. CHOOSE THE OPTION THaT BEST FIT~ YOUR ~IT£o BI--E':, DEPTH ?0 PIPE BOTTOM <FT. ) 2, S '+'* 'Gr~RVEL DEPTH <FT. ) 0. ~ TOTAL DEPTH <FT. h Y,. 0 GRAVEL HI[.,TH (PT. > 14. 0 GRAVEL. LEr~GTH (PT,) 2g~. 0 GRAVEL VOLUME (CU. ~'DS, > 14. S TANK SIPE (OAL~) i, Oee. o ** SOIL RATING '(SQ. PT. ,.¢DR) 85 *~, DEPTH TO PIPE BOTTOH < ~. 5 FT. P..E,.~LI!RE~ IN-~ULRTI~N ~'~ DEPTII TO PIPE BOTTOM ~ 4. 0 FT. MR'¢ REOUI~E R LIFT ~TRTION **.TF~flK MUS' HAVE RT LER~T TWO COMPRRTMENT~ NA I CERT I P',' i. i FtM F)~t".:LIRR }4ITH THE h'.EQt. I~EMENT5 FOR 0N-SITE SEIdERS AND IuELL$ R~ ~ET FORTtt B'¢ THE MUNICIF'tqLIT~, OF ~NCHOEROE (~OR) AND THE STATE OF RLR~KR.' ~. Z HILL IHSTRLL THE 9'¢STEH IN RCCOEDRNCE NITH RLL HOR CODES AND ~EGULRT[ONE, AND ~t~ COHPLIRNCE 14ITH THE DESIGN CRXTERXR 0F THI~ PEE~IT, ~. I 14~LL ADHERE TO ALL HOR AND STATE OF RLRSKR EEOUZRE~ENTS FOE THE ~ET BRCK DISTRNCE~ FROM ANY EXISTING P/ELL, 14RSTEI4RTER DISPOSAL SYSTEM OR PUBLIC 'SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NERRB~ uOT. 4. I LltmiC, E~STRND THAT THIS PERHIT IS VRLID FOR R HRXIff,.'M OF RNM ENLRRGEHENT WILL ~EQUIRE AN ADDITIONAL PERMIT. IF R LIFT'~T~TION IS I~STR~LED Itl RN RRER COVERED BV NOR 8UILDINQ THEt~ (~.;, AH ELECT~:ICRL PERH~.T AND INSPECTION MUST BE OBTRINED~ (2) RS-BUILTS IdILL NOT ~E APPROVED HITHOUT AN ELECTRICAL IH~PECTION REPORT; RHD (~) THE ELECTRICAL HO~t( HU$T DE [.,ONE 8'¢ R LICENSE[., ELECTRIC~RN. ~IGHED DRTE: MUNICIPALITY OF ANCHORAGE ( DEPARTMENT OF HE,'~LTH AND ENVIRONMENTAL PROTECTION SOILS LO(] - PERCOLATICN TEST ~OIL$ LOG r"J PERCOLATION TEST 10 11 12 13 14 15 18- 17- se'c4 SLOPE SITE PLAN ii' I"l"l,.'l i i Iili J II'll'l'llll l-I II ,141 ,111 1_~ I I F,~I I ol J.=l J IIHI L I,~..~ !~1 1'~i I~1 I I I I I~! I1 !! 'l,'l,,l"-J~l"r i I._1 LI I,~ 1.1,~,1 l_ I] - I -- 0 P /. IF YES. AT WHAT DEPTH) Grmt Net -I::~)~ to ~ Date T~ T~ W~ ~ . , ,, ~ ~ MUNICIPALITY OF ANCHORAGE I' e~ ~"~,~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street. Anchotoge, Alaska ~501 Tlllphonl 2~7~ ~ ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~ PHONE MAILING ADDRESS '~ ' ' ~ ~ ~:~l~Ity iff ~llom IF HOME.DEr Inli~ length W'idth L~qdid depth ~ DISTANCE TO: j w., F~nd.li~ jN..r.t lot line PERMIT NO, Len~h W~dth , ~th PERMit NO. J DISTANCE TO: OTHER ,IPE MATERIALS ' j ,, EE~. O~ fEALrH 8 IN~TAL~ER ' APP~O~' ") DAT~ LEOAL ' 72.013 tR~v. 3/?8) 00¢ Co. dl~ SULLIVAN WATER WELLS P. O, BOX 272, CHUGIAK. ALASKA 99567 · TELEPHONE OWNER OF LAND :_~, ¢. ,~¥ .:,' ,;' ,,~,, ,~ ,...,,~. o.~ ~ ..... ~'.:' ~x . C~,.~O DATE.S~ed :' ~ ' ~i Ended ~ .- .' PERMIT NUMRER DEPTH OF WELL STATIC LEVEL OF WATER DRAW DOcs'N FT. GALS. PER HR ! KIND OF CASING KIND OF FORMATION: From~ Ft. ta 'q Ft ..... From_ '-: FI. lo ~ . . Ft, From_ :;' .Fl. In ' ' Ft. *"." ', ',.'-* From_.;.l~_.Ft. to "7 ] __Fl, . From. ~FI. tn Ft .... " :,.":'.~ From :' ' LFt. to..f'7 Ft. '). ,'" From.~_Ft. to ,'.~.F! ',. From_.' '"'-FI. lo ; Fl. . ,4,~. From_ ~Ft. to__ FI,. From. Fl. in Ft. From. __Fl, to i i , Ft._ From--Ft, lo - Ft.-- From Ft. In.. Ft ...... From~FI. to_ _ Fl From~ FI. to . Ft. From~ Ft. to .. Ft. From_ Ft. to. ..... Fl From .... Ft, to ...... FI ..... From. Ft, lo~.. Ft. From :FI, to .. ~Ft, From.~Fl. to ... Fi From~ ~Ft. to--FI Fromm. Ft. to From.~Fl. to ...... Ft. From .... Fl, to ....... Fmm. ~Ft, to~Ft, From_ FI. to , .__Ft. From~Ft. to... Ft._ From~Ft. to FI, From .... FI. lo _ Ft. From_ Ft, In Ft._ From .. Fl. lo~.Ft, From_ FI.h, Fl. From. , Ft. fo_~Ft__ M1SCL. INFORMATION: 7.,, .&. . ':~ '~ DRILLER'S NAME · ' ~JN~¢IPALITT 0l~ AI~C~IORAOE D~V~S ~01~ OF DEP~E~ OF ~H ~D E~RO~AL ~OTECTIO~ 1. ~neral Info~tlon Appllca~ion Data ~'7' / ,/ (al I,eia1 Description (include lot, block, subdivision, section, ~o~shlp, ra~e) Location (address or directions) (c) applicant Buyer ~ (d) Lending Institution ~A t')1"t'" / Tal, ephone Address / . (e) Real gaCats Co. & Agent Address Telephone Mall the ~ to the folloving addressl ~",, ,. ~., /~'. ,',.~ ,~,,. /,,,~,,i, 2. T~vpe of R.esldence $1ngle-Fa~tly~ Nuaber of Bedrooms 3. ~ater Supply' Individual Co~munity ~ Public ~-~ Oepartnant of Env/ro~ental Conservation a:testt~ to the legality a~ status. ~ewale ~ts~al ~otet It c~Bunity wll lyltes, aust hRve witten coM i~ation froa th~ State Oepartaent of Envtro~ental Cossets:ion attesting to the legality a~ status. [Ps~e 1 of 2] ~trm ProvtdLn~ :nsoectlo-- ............. Ftle Seatch_t_Daca nnd [n~oma~ton Aa certified by m7 seal a~/xed hereto and as o~ tha va[/da:~on date aho~ be[or, vert~7 :hat my in.e~tga:~on of :his Health Authority Approva[ aho~ that the rater supply and/or ~stevatet d~s~.~sa2 syatea ts ~fa, f~ctton~ and ~equata for the number oj bedto~a and type ot structure tndIcat~ herein, Z ~utthet vetffy that~ baaed on the tn~omatton obtatn~ ~t~ the ~ntct~Itty o~ ~chotage ~tIea and tnveattgatton and tna~ctton, the o~atte ~tet aupp[7 a~/ot ~atevatet sy~te~ Ia tn co~pItance ~th ~. ~ntctpa[ and Stets c~ea~ otdtnancea~ and teguia- tLona in effect on the date o~ th/s Name of Ftrm <i~',.,. /~ /,*.~.-/ ":; - Telephone / ' P~EP ^pp, roval Approved for ~ bedrooms Approved ,~ D~sapproved Ter~s of CondO:tonal Approval (ENGIh~£R SF. AL) Coed Tim Hb~Z¢IPALITy Or AJ~CHOILAGE I~:PAR'L~ENT OP REALTH Al'lO E~IRO~ ~OT~CTION (DHSP) ISS~S lt~ALTH A~HORITY ~PROVAL aRTI~ZCATE$ BAS~ SOULY UmN ~ ~PRESE~- ATIONS G~VRN IN PA~PH 5 ABOVE BY ~ INDE~ PROFES~ gNGI~ER ~GISTER~ IN TI~ STATE OF ~S~. ~{g ~IgP ~gS ~IS AS A ~b~SY TO PU~(C~SKRS OF aOHE$ ~D THEIR ~NDINC INSTIT~IO~ IN ORDER TO SATISFY CERTAIN ~Dg~ ~D STATE ~QUIRE- Hg~$, ~IPLOYgES OF ~gP ~ NOT ~NDUCT INSPgCTIO~ ~ ~ALYZE ~TA ~EFORE A CERTIFICATE IS ISSUED. ~tg H~ICIPALI~ OF ~C}lO~g IS ~T ~SPONSIB~ FOR ERRORS OR ~ISSI0~ IN ~lg ~OFESSIO~L gNGI~ER'S RR~/eJ/OI8 [Page 2 of 2) (D}{EP S~LL) 7-19-8,~ Ae _~ELL Well Classificatio~ .. /0~., ~ ~_~ Total ~p~ /~; ~d ~ S~tic ~ter ~1 ~ / Casin9 ~lght ~ G=~nd ~ ' Ele~i~l ~=i~ in ~i~ (Y~) To ~pti~doldi~ Ta~ ~ ~t /~ ~ To ~a~st ~ of ~tion Field ! On Adjoining Lots t Or,, Adjoining __ To Nearest Public s. ,,s,,sm'~c,moLom:~ ~ ~A mt~ Installed _,..4'/.~ ~/¢,h', Size 7~ ¢'n No. Standpipes (__Y~N) ,/ Aid-tight Cal~ ,(Y/N) ./ Foundation Cleanout Dapresstc~ c~= Tank (Y/N) /~./ Date ~e~t Pun~ed, ~.~ Pumping/~.,dntenan~ ~ont~act on File ~Y/N) ~; f~,,, Holding Tank High-Water Alarm (Y/N) 2~_/~ Temporary Bolding Tar, k Permit .fY/N) ~'/~ Separation Distunc~s frau Sept!c/Boldin~ Tankt To Water-Supply Wall .... /W.~ ~' ... To Buildin~ FOUndation To Property Lira /~ ~' To Disl~sal Field . To Water ~airv'Servi~e Li~e ~'o~' To Stream, Pon~, Lake, a~ Major Drainage [Page 1 of 2] 2-).5-84 ABSORPTION' FIELD [1%TA Soils Ratir~ in Abso~tion St=ate ~ S' 4~ Typ~ Of Sys~m Dasi~ .. /J~{' Date Installed Width .of Field_ Length of Field., ' Depth of Field '~ ' Gravel Bed Thickness _ Date Irmtalled Size in Gallorm "Pump On" ~avel et High Water Alarm level at Electrical Codes(Y/N) Ccr~ents ! "Pum~ Off" level at vent · on th~ date of this inepecttc~. _ ** Check Permitted Bedroom Ratin~ AGainst ~AA Request ** certify that I have checked, verified, c~r cunfc~wed to all MOA BAA GUidelines in effect [Pag~ 2 of 2] QGRF ANCHORAGE AREA BO"' Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~-~ .~r~ CE MAILING ADDRESS PHONE LEGAL DESCRIPTION ~._/)~?~ ~_~.~ LOCATION SEPTIC TANK: DISTANCE FROM WELL MANUFACTURER MATERIAL~--ONCR~ NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY I00~) GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION ADDITIONAL ABSORPTION DIAMETER /22, . OR WIDTH Ctl', CRIB SIZE: DIAMETER NEAREST LOT LINE. LENGTH~0', DEPTH .~TM DEPTH ~' DISTANCE FROM: WELL ]/'/0' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~b SQ. FT. WELL: TypE ~'~ i~ I L/.. ~-"1~ BUILDING FOUNDATION CESSPOOl APPROVED CONSTRUCTION DEPTH NEAREST NEAREST LOT LINE , SEWER LINE DISTANCE FROM: , OTHER SOURCES DISAPPROVED REMARKS SEPTIC ~ SEEPAGE TANK I1'~0___0 ' SYSTEM //901 DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: ~'~ALLO~) Form No. LQ-031 DATE ~ G.A.A.B.