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SOUTHPARK BLK 2 LT 4
outhpark Block Lot 4 #020-491-18 Municipality of Anchorage - Development Services Department jam. Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 9951M650 Page I of 2 www ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: _S W O SO (7 7 PID Number: D ZO -Yo/ - /6 N' CrUce Sae•+;k1 Wastewater System: ❑ New ® Upgrade `i`61 t/ Tt/mCewcoa( 6.n, /4AcA, fk " 16 ABSORPTION FIELD Phone Nump•r of Smkoorn. I: YO -.9 0015 D Deep Trend. O Shall"TraaT V Baa D Malq O Omar LEGAL DESCRIPTION swR"'"° o•8 TotalDepth IrcanMaine! _TO.1 3. GPD/Ft' -fct^Cl(P 2 Ft. eiock Lot S".wwon Dh to pie edtam eom apvW pray ap Gravel aph w h ppe /,� 2 41 Sa C401 PLI^Ir 2. ] Ft. 0.75• Ft Tooven-P Fargo Seaan Fm amea aoove onprlai pna Gr" Larpth 1 11.0 Ft, `l3 Ft. Well: P.ciliC, ❑New Upgrade G'"w h Zo hl r /;,rine. D aum* eet.ean unee S cr/.all� ft. ( Ft CiafsAcaim (P.Mo A 6. CT Total DepN caeca to ToMI shiapuon w" 660 Moo Mmanal P Iii Ft. Ft Fp 1.ZS•'ai" CeAaa VO Dleler Date Drabs Stahc water Level Installer owe NaMil.a Ft �t 7/S/0— Twla Pump Set n Nei noov. Cr casarpph TANK � GPM Ft. FL xFr SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Lift Holding uclVPnvate Manulaau.r aper rr From Tank Field Station Tank Sewer Line Gai Mal.rW NunlDa OI Carpanmwa we Swf"wale, >/C,a r > Icor > rcr,r — 'l "t� ; ,t LIFT STATION Ex;t t La Lar SS to SO — ' +''' + Gu 'Perp On bvN M 'Pura dr MrM N Wph wnsr Yarm n Fourasan �J'. Pump Maw.6Moaet EbclntN NSP•ctwnspMamW OT Claim Dhw, — —. Remrrta �� �1sa;+ I r' I Soil on o(1 /Tun /Q (c�y�V trr FrtrC {p .• ;r BENCH MARK Ccn rm eX aCi<( 7/C1 '"aJC SGi C/Wn i Lltron ✓a D•arnphon�1 / Qf ��C4 fFUn n IU r 2 CN '/a ih raG,OIR ,f COtft7� 'Ll`•CCI( n} nAflr a q"&-ertr cct^ � cIGF �^ AasumN bvawn /sown Z. mo ole W /oSD u'rn o^ u o (�jO FL 7y, TYct.uCe QTrCaF,o4 an fT It me 1.0 r S'S' r / ftp Su^d un der- See,eo ri:rr,C(- Gee anal p -vi ea eA j /O/Lfb7/ ante by Glre Engineer's Stamp elle _�• ...,*a.... . 41 411" Inspections performed by: F'(u 1*e 7-chnrOt(Sec Dates: 1" 6/3y /os' yy.�'��: e,.0 IW ��. n9TH 2n" 6/30 /Os- pa :::...................... Development Services Department Approval •*;•• Reviewed and approved by: � Date:' -2 -D S a.eee.e.... THEODORE F. 9 ; `aaa CE-3589 nlry 1190) * e AV0 to PERMIT NO: SW050177 PID NO: 020-491-18 i BOTTOM T. H. #2 ELEV. 91.9 NO WATER 4129/91 SWING TIES: PAGE 2OF2 NEW 20'x 43' SOIL ABS. BED 43' w.1.0' ISF FILTER SAND & 0.75' GVL� BELOW DIST. PIPE / EXISTING 500 -GAL. LIFT STATION VALVES EXISTING SEPTIC FROM: COR. "A" COR. "B" TO: Q r VALVES "C" 36' 65' BED M.T. "D" 82.5' 90' BED M.T. "E" 110' 102' SOUTHPARK BLUFF DRIVE PLAN VIEW SCALE: 1" = 30' L. t TANK' ELEV. 100.9' Q r ISF FILTER SAND DIST. PIPE INV. � O ; h , LOT 4, BLOCK 2, SOUTHPARK SID 20' ................: THEODORE F. YOORE: CE -3589 . •..7/•GS-•.•f T SOIL COVER ORIG. GND. ELEV. 100.9' a_ s TO :;,GRAVELr FILTER FABRIC ISF FILTER SAND DIST. PIPE INV. ELEV. 98.5 TOP ISF FILTER SANDELEV.97.75Y LOT 4, BLOCK 2, SOUTHPARK SID SEPTIC SYSTEM UPGRADE BOTTOM EXC. AS -BUILT INSPECTION REPORT ELEV. 967 _ — CROSS SECTION FLATTOPTECII''ICALSERVICES SCALE:ASNOTED SCALE'• 1" 14530 ECI 10 STREET DRAWN BYTFM = S' ANCIIORAGI«ALASKA 99316 JULY.2005 MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SWO50177 Legal Description: SOUTHPARK SUBDIVISION BLOCK 2 LOT 4 Design Engineer: 0007 Tobben Spurkland, PE Owner Name: BRUCE SMITH Owner Address: 16121 TERRACEWOOD LANE ANCHORAGE, AK 99516 - Date Issued: Jun 16, 2005 Expiration Date: Jun 16, 2006 Parcel ID: 020.491-18 Site Address: 16121 TERRACEWOOD LANE Lot Size: 24141 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: Q 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. 5. The following special provisions. -THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST BE VEGETATED SUFFICIENTLY TO PREVENT EROSION. -NEED TO FIELD VERIFY SOIL CONDITIONS DURING CONSTRUCTION AND SUBMIT INFORMATION WITH AS -BUILT INSPECTION REPORT. Received By. Issued Date: Date: / Municipality of Anchorage Development Services Department Building Safety Division ` On -Site Water and Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 426 - V C71- / 9 Permit Number SW Property owner(s) aruce_ &n;11) Day phone 4,10400A Mailing address IWZI Terrace.wooA Lane_ Zip Code Site address ((0121 �ferrcxcewnocI Lane- Zip Code Legal description (Lot, Block & Sub'd.) Loi `I 96c -k. 2. &>,Il p r k Legal description (Section, Township & Range) Lot Size o41/41 Acr /Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 4 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade Is THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: Li(o0 •� Waiver Fees: Date of Payment: 611D /DS Date of Payment: Receipt Number:/(G Receipt Number. (Rev. 09/04) SpuNand Eimpomewolmg Environmental Consulting and Design SEPTIC SYSTEM DESIGN LOT 4 BLOCK 2 SOUTEIPARK Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 June 9, 2005 We are submitting an application for the installation of a septic system upgrade for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following : Replacement System Testhole 9 ft. deep Water at 8 feet Bed system Soil Rating. From Testhole 5/10/05. 1+ min/in - 0.7 gal per sq.ft/day No. of Bedrooms 4 Required Area per Bedroom: 150/.7 -215 sq.ft. Total area required: 215 x 4 - 860 sqft Bottom Rock At 3 feet Top Rock At 2 feet Rock Depth 1 foot Total bed Area 860 sq. ft. SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 43 FT TOTAL WIDTH 20 FT TOTAL DEPTH 5 FT ROCK DEPTH 1 FT FILTER SAND 2 FT COVER 3 FT The installation of this septic system 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 on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. 203 Nest 15r" Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEngCa gci.net Q I BL ICK I 5 _- - 12 'Yolz I W I I Ut Lot 9 Lot 5 Q W Lot 4 lr BLOCK 2 _ Lot 5 / SOUTHPARK _ ��U,r Fop 1'F SOU %HPARK SIT m_ — 50 0 50 100 150 m 250 800 SCALD P = 100 FT. .�.,.. 49th !^1 No. cE-e225 I iwoo'n ervnn�nu r.c.LUT 4 ifLUUK L SUUMPARK I I SEPTIC SYSTEM DESIGN 203 W 157H. AVENUE BRUCE SMITH DA Tr.- JUNE 8, 1005 (NCH. AK. 99501 (907) 279-3916 11 NE 16121 TERRACEWOOD LASHEET. 1/3 GRID: 3236 I PERMIT I SVOPDXXX PID # 016 -141 -XX SPK040,?I BVG I 5 i BLOCK 1 i i I Lot 9 I00 WWWOOOO • Lot 5 MULE STANDARD BED 4-80ROOM SYSTEM TOTAL LENGTH u ET TOTAL WDTH 20 ET / VsrHy sol con0bns prior b system In 1 TOTAL DEPTH TEST D£P1H I EDOT 2FEET E21ER SAND 10 TT COVER I 1 1 1 1 HOUSE °511u Li12PTER vuvr BLOCK 15 1 ♦ � Lot 4 1 dIOF \ 5p a _- , S THPARK SIT 25 0 25 50 75 100 125 150 SCALD I' = 50 f7. IlUtfbrt.N J AVNU F.L. 11 LOT 4 BLOCK 2 SOUTHPARK I I SEPTIC SYSTEM DESIGN I 103 W 15TH.TH. AVENUE ANCH. AK. 99501 BRUCE SMITH DATE: JUNE 8, 2005 1907)_279-3916 16121 TERRACEWOOD LANE SHEET. 213 GRID. -J236 PERMIT # PID It SPK04022DW6 I 4. 167VITM ASTM 3034 D?AI!£ TO AGAIN 6EOTEXTILE BACK FILL 3 VASWB SEVER RAX —� 2-1/2' KAM •.;. ...:.:/ITERSAND',1!:f 43' STANDARD BED NTS 43' MN17M TUBO I 37 --�{ 4-l- PERF PIPE -810 f h y � � • '. � •• 49th NA7ZR TUB£ ... �•••••i.. ».....».....»i / ............................................� .TOBBE SPURKLAND ♦c:. No. CE -2225 OBB£N SP.E. 203 W 15TH.TH. A AVENrN UE LOT 4 BLOCK 2 SOUTHPARK SEPTIC SYSTEM SHEMATIC (NCH. AK. 99501 16121 TERRACEWOOD LANE DATE. • JUNE 9, 2005 907 279-3916 BRUCE SMITH SHEET.33 CRID: 3236• � PERMIT # SV030XX PID # XX SPK04023BVG • Flattop Technical Services ' 14530 Echo Street AMup SIR UicaepSlyonSorg DEPARTMENT OF HEALTH & HUMAN SERVICES 825'L' StreeL Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST ` 'T. Nr. *z A PERFORMED FOR: MIKE `I' PAM JONES DATE 41 LEGAL DESCRIPTION:. L 4 R2 SOUTNPARk SDN Township. Range, Section: 5 DI PTH dT 1 SM RED LOAMY SILTY SAND 2.� SP GRAVELLY SAND 3 SM SILTY SAND 4 - SP COARSE GRAVELLY 65ANbj DAMP,. 6 5oME COBBLES 7 :tj H3,0 SM SILTY SAND B.H. SLOPE 10 WASGROUNDWATER V ENCOUNTERED? 1E5 11 S IF YES, AT WHAT �f L DEPTH? O O 12 P E 13 080 to war mw 1I1maWrkp? DR_.Y atlt: 14 15- 516 Gran Time Not Time Depth to Not Water Drop 16- 10:37 27 � 17- 1719 10: 9(3 21 Y .t 1l o 01.08.,0 2Ya 194 Ilio :do 23 Rwding Dab Gran Time Not Time Depth to Not Water Drop 727—m—sa 4 f 7 10:37 27 � 10: 9(3 21 Y .t 1l o 01.08.,0 2Ya START Ilio :do 23 It. 1f: 30 221 yff 2 ♦ 9 It: 12'. IS 2S Y -i II: l :W 2 21 9/ 1 tH o If* IC: oo 2S% :00 2 21 6/ U:n:4r 2 i, 20-{ Il:ly:4r t c/d I d T.µ?I2 PERCOLATION RATE L_ (minulmAnehl PERC HOLE OIAMETER rp_� TEST RUN BETWEEN s va FT ANO 4_ FT COMMENTS ARK RATF APPLIes To SfMILIAR sofcc FovND I" 'r.11, 03, „--- ---- -- - PERFORM D BY: — FLATTOP TEC N VCS I ,l_ jtt...� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE 72-M (Rev. 4M) Municipality of Anchorage Page 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: C,��j I � 0I QI PID Number: [iC.c) — C),L)l In Name:A T5 / Wastewater System: XNew ❑ Upgrade Address:� ABSORPTION FIELD Phone: hk No. of Bedrooms:ApiCn, / � ❑ Deep Trench ❑ Shallow Trench fH"Bed ❑ Mound []Other LEGAL DESCRIPTION Soil Rating:' Total Depth from original grade: S—I ll971 GPD/Sq. Ft Lot: L Block: Subdiv�'�>s>ion:/' Z 50;4 A r�� Depth to pipebottom from original grade: 2. 5 Gravel depth beneath pipe a' 5 al Ft. Ft. Township: Range: Section: Fill added above original grade:_ /• S Gravel length: Ft. Ft. U WELL: ❑ New ❑ gr a Gravel deptili— 20 Number of lines: Distance between lines: 3 w,p-1){ Fl Ft. Classification (Private, A,B,C): l Depth: Cased To: Total absorption area: Pipe material: 5T11 > FL Ft. /�`� SD. Ft. Driller: Date Drilled: Static Water Level: Ins alter: Date installed: Ft. Yield� Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES VEreptic OHolding tS-fE. P. To Septic Absorption Lift Holding Public/Private me7 ufaclurer: >1 i� Capacity in gallons: /�� From Tank Field Station Tank Sewer Lines �G Well ✓ / Material: ) Number of Compartments: Surface STATION Water ,/(LIFT Lot / ' �" V / Size in gallons: 500 Manufac�J'ter: e S• J'2WI 5 Line (/ /fiGa-Ifg1' Foundation 1?- Z 3 0 � / "Pump0on" level at "Pum; off" lth evel at: High water alarm at: Curtain -° f Pump Make &Model 51%A{ I{ I Electrical Inspections performed by: Drain AT25 Remarks: BENCH MARK Location and Description: SQw-P�- Y'nC.�e /✓dY�%--�Qr,� f: -'l ` /c�U,��� �a5s�,m�� Assumed Elevation: pc� _ ,Y) V. C �, a �,I n� ENGINEER'S SEAL m� i�Ci� Af��% 9 ko(hNPt,�y Inspections performed by: Dates: 1st -7-°°°° 2nd •.e°e •E. Knife el OF ���:•'°Robert ®C •, No. 4149-E Department of Health a ua ices approv I ®s�aF9 °,o,, °,,,• ��� Reviewed and approved b ate: 72-013 (1/91) MOA 25 vcownrou wiz. ca��, Man 01411 MW Mi In c, Gmto.. Ma: 01971 KNIEFEL ENGINEERING 8451 MILES COURT ANCHORAGE, ALASKA 99504 (907) 337-6560 December 4, 1991 Mr. John Smith, P.E. On -Site Services Manager Department of health and Human Services Municipality of Anchorage PO Box 196650 Anchorage, Alaska 99519-6650 SUBJECT: Southpark Subdivision As -Built, Lot 4, Block 2 Dear Mr. Smith: As per our conversation of this date, attached is the information you requested concerning the above system. 1. Copy of Sand Billing Information (Hobson Trucking) --- 113.5 tons sand / 3,0000/cy = 75 cu. yds. sand --- at 2' depth of sand = 75 cy x 27 cf/cy /2' = 1,000 sf --- therefore the sand would cover 1,000 sf at two foot thickness, or in the case of this system with 860 sf it would be 2.3 foot thickness, exceeding the design 2. Copy of Field Inspection Notes 3. Copy of ADS Letter regarding backfill requirements for manholes. 4. Original As -built submittal package. We would appreciate your expeditious handling of this matter as the owner is trying to close the loan by Friday of this week. Please let me know if you have any additional questions or comments. Respectfully Submitted, Kniefel Engineering X,� !� Robert Kniefel, P.E. cc: Acreage Systems re� "Zoo F ¢ e � y.e i=ara�wa¢ae aa¢e¢¢¢a.eme r•' i.......................,. a Robert E. Kniefel IIIi No. 4149•E e R DEC 03 '91 12:53 HDS BUILDERS 9072435612 TO: INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 3500 EAST TUDOR ROAD V Q$ 3 INSPECTION$ (907) 563.3464 INFORMATION (807) 786-8211 NAME J ' ( % / PERMIT NO. �, �� ..,..1.';111• t"jl STREET ADDRESS -- ----- ----/ PHONE.., IT 2i.' / LOT / BLOCK /4�..._-_ SUBDIV. /DATE FOOTING ❑ FOUNDATION ❑ BOND REAM O FRAMING - - ❑ INSULATION ❑ SHEETROCK ❑ STRUCT. FINAL _ ❑ OTHER ❑ ELEC.TEMP. ❑ ELEO. SERVICE - ❑ ELEC.ROUGH ❑ ELEC, FINAL ❑ OTHER ❑ FIRE FINAL ❑ ZONING ❑ PLBG. UNOGR. Cl PLDG. ROUGH ,.r ❑ GAS TEMP. ❑ GAS - --- ❑ MECHANICAL ❑ MECH. FINAL ❑ PLBG. FINAL ❑ OTHER ❑ 10 NONCOMPLIANCE OBSERVED ❑ CORRECTIONS ESSENTIAL AS EXPLAINED BELOW ❑ WILL REEXAMINE AT NEXT INSPECTION _-, ❑ DO NOT CONCEAL UNTIL REINSPECTED COMMENTS Iyw, 11' II i.: 5„ 11'•m i n, 1)-.� / v I 1 1 I I DO Na"EimlylTHID NOTIGE I 3452125 P01 BUILDER/OWNER (/ MAILING ADDRESS JOB LOCATION SUBDIVISION • M® E SA � f 1. i. ER EF Ilvf ntiY: ... 627 SOUTH 37th STREET WASHOUGAL, WASHINGTON 98671 (206) 835-8522 November 14, 1991 Acreage Systems PO Box 112848 Anchorage AK 99511 RE: Backfill for ADS HDPE Manholes - holes no larger than 4" ADS backfilling suggestion for residential non -traffic loading. Depths 0' to 15" Set on firm native soil. Backfill with native soil. Native soil should meet unified soil classification rating faster than 120 minutes per inch and have no large rocks. Depth over 15' Excavate 12" below manhole. Backfill with sand or gravel material. Compact backfill in 12" lifts. Sincerely, V � � William L. M'11er /im cm-mme ns number 1 in the land. WALTER J. NICKEL, GOVERNOR Uoi DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 3601 "C" STREET, SUITE 322 ANCHORAGE, ALASKA 99503 FOR: Sandor Manyoky 563-6775 October 30, 1991 PWSID # 213475 My review of the records on file in this office reveals that the South Park Subdivision (South Central Utilities) Class "A" Public Water System, is in compliance with the routine coliform bacteria samples requirements listed in Table C, and with the inorganic sampling listed in Table B of 18 AAC 80.200. Sincerely, 4 1 az /�V Byron Roys Environmental Engineer �,' pnutpd on racycIud paper b y ':; FY ? ZAJ) 1 1 1 I 7 •� 5 I V 1 f � 7 •� c - -- -- lam- �� n � -- � ---� - - --i�• _ _r� - -- - -- - --AV I-- N i- Cl�`'`L4 0 N old �7J PL v� ��z ��- ZV- z 10 Sur - I � _ � a �, 1 - ;1CV1 - e r Yr , %i c^O � y D Svkg A kL 6'aF 61 tol qcL Z — 1-111111 111 _: ICL NO Ur—.z 'a—S J1 Oct. 26,91 9:44 P.05 PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON --SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910101 DATE ISSUED: 5/16791 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES EXPIRATION DATE: 5/16/92 OWNER NAME:ARAI TSUGUO & GRACE OWNER ADDRF.SS:3706 BISQUIER DRIVE. ANCH,AK 99508-4803 PARCEL ID;01005136 LEGAL DESCRIPTION: SOUTHPARK BLK 2 LT 9 LOT SIZE: 29191 (SQ, FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT; 4 THIS PERMIT IS FOR THE CONTRUCPION OS: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE.. IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQ U1REMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND 171E STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (ISAACSO). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE: S/G 191 DATE: �� PT A PT Z� L9 BI T SEP' is SYSTEM LOT 4 BLOCK 2 o t•$ S PROP05ED Ir HovSE ASSORPTIOM SEb PEPL.ACCMENT SITS' /-�_ ! 5 Bz PROPOSEb I250 GAL 5,'t, T IZ3y C) i PRoPoSEb t3�0 TOP or wj 3o' �vr gA�lk 4-p S SS SOV`fHPARK BUFF bRtVt: co 73 ;. .. � `? o, ;r h YAC � �({� -(j •' . U T. R. 0 2 5� Pri c _ SYSTEM flattop Technical Se 14530 Echo Stree Anchorage, Alaska L L-, B2 SOVTH PARK ADDr SEPTIC SYSTEM SITE PLAN ScAL6: I" -3o' NOTEI,7HIS Is DATE: sly, A SURV8YFb pwN Sy.. ALL LoCATIot' ARE APPRoXtt1 N 20'd ib:F' T6`9Z,430 T6z8-6bz-Z06'ON d31 '3NI S31UIDOSSH 8 S6 ----------------------------------------------------- ,a 5yk t HHHS H_SUUIHIL- Ilk, TELNu .9u I 4'i :791 M Oct .26,91 9;43 ... F. 0'2-' PLAN VIEW ScALZ' I 'y,0 20� LL� B21 SDUYHPARK ADDN *I SOIL AB50R?TlDtI BE1b PLAN d~ CROSS SECT 10 N DATA'; 5/4! scA LE : As S 14OWN OWN BY: (i CovER MATERIAL M T MovNop 6 r ABOVE =6, GRADE 2" INSULATION FILTER FABRIC p . .•,, • O • • t� SEWI=R GRAVF-I. l;XCAVATION � FILTER SAN) MIO^pDiNT ,AT OF SYST�M� �� SECTION A -A ,CA LE ; i S Flattop Technical Service: 14530 Echo Street Anchorage, Alaska 9951 r LL� B21 SDUYHPARK ADDN *I SOIL AB50R?TlDtI BE1b PLAN d~ CROSS SECT 10 N DATA'; 5/4! scA LE : As S 14OWN OWN BY: (i CDS r�A"4 09/ / a 1� iWHD II.., r%.•.�.:1_1_:_ fJ- t_'t_r_ _ ..�`--' _Y—re's ..� O ;r'PFRF PIPE S00 6. srP lc ,rlr N,T 3071 h IF 111A AT,cn fA, �oF YSTEP`\' J Al: 2.51 c PLA ,I VIEW O .n V6 LtV. as a•ra r.Vt 20 � I �o j .. D SCALE: I•� to t.$ ! CovER MATERIAL ABOVE r nr M r r o G" c 'I ✓ ABOVE OR,G.GRA Fr 1 2 INSULA .ON� � j�LLT[-R FABRi� O + SEWER GRAVEL _— i FILTER 5010 SECTim A -A SCA L G : ` 5 Flattop Technical Se 14530 Echo Sire A.nchorage, Alas4a B2, SDUTN PARK ADDN *I <° �a SOIL ABSDRFTI0tA Mb r o PLAN �- CROSS SECT I ON n u n e o,til.:cssla::` o PATE. S/91 SCALE: As S14OWN PWN BY! 000 z Utz r--� /✓ z A Lpiif5T auS ' Lis fys-�m u��s ��>n, .sic✓ �� ..5�Gl�yy/ d"e�sn>7Z � J� //fes- •I±rS x�l uJ-Bd ObSG�f-1�G� 76 /-1 Cgr.D IB <l>.(`27 -Ilea' 7e� �DD�j �rsclrr„y r�p, y m*v/ a1 OZ -C /ls //m1o;2 07 1,16{)hr✓)�1`20'7 �i//GGf�Cb �(J/-i/.�j G7 c�Yl^Si4 ✓%'v� /mc�e. �-� /E�ii�/��/� �.?P ✓eco sus /// 9 > a,&/ OZ % k?Lo/ s m /d1z8/Y/ -#/c Srs� /S/ level / 01 Oc� 23 ,4a n `9 v J� s lr/�iie ���✓/fie/vim/� J^ee� /,—v /�ec4tl�/C //'JfJ/h /��Qn' r��. 2✓C� /I G/'i %/�' /r4�e//Y'ia//72d 7��/6f°7 �V 917C�'d� ! /yi �sGJ T' X,, V_e Sr07{ Aca,7 /�rrreC✓ 7416 lo /Lias /ie /ice. s reeves tlecn o / Tris /f/LaR-7 f1 r1 fhb tf9v000Q �� %�sYm( 4�vzt � l�s�c�o1,• %�/7G'i l e / O4 � � 11012341, / Ae,GPe Sl,_l /,4-1 u)' v7�.//fie ggryi � c✓Bt it ✓pU6� ,All � O12 //� 6i>S79A//A27Le2, % /%, /,w,/� 9,dl 4u/al>14 o/ ,g,/ rys� /s 07 1,16{)hr✓)�1`20'7 �i//GGf�Cb �(J/-i/.�j G7 c�Yl^Si4 ✓%'v� /mc�e. �-� /E�ii�/��/� �.?P ✓eco sus /// 9 > a,&/ OZ % k?Lo/ s m /d1z8/Y/ -#/c Srs� /S/ level / 01 Oc� 23 ,4a n `9 v J� s lr/�iie ���✓/fie/vim/� J^ee� /,—v /�ec4tl�/C //'JfJ/h /��Qn' r��. 2✓C� /I G/'i %/�' /r4�e//Y'ia//72d 7��/6f°7 �V 917C�'d� ! /yi �sGJ T' X,, V_e Sr07{ Aca,7 /�rrreC✓ 7416 lo /Lias /ie /ice. s reeves tlecn o / Tris /f/LaR-7 f1 r1 fhb tf9v000Q �� %�sYm( 4�vzt � l�s�c�o1,• 000 I cleo" zo' :- 4 <e.wfW ,6 -14 .r/! ...or .1~4 � //��W�iGe /0: 00 Am /O/z f/,?/. 75i elreoj m� / / V ��•e+ >s4 .40/4W.1 -/.r,.., .•1 k 8. ss anA4e os�e� cg. S8 e9 /4 /le'r-A /o 4 le -moll /0/2 ylTt� 0, �posa d BeQ� zo x 4-8 t 'rD SO A44 G oxeale zels v ea t4 aAPYr /I Tome! A,% )?Wlk DR. /o; 3o Aln TO X 4. D ' Ae/av IA 41,4v{ 5/ox, Sou4 8. 77' 7-P A4.44 Ale44� -e`/ev A/oo,4 .yy 7 ♦e / -- eilovA.4le 9.60 7%wc tt /. 6 7 � o/r eL m P/ 00T -;ZZ -9l W E D 20:04 A C R E A G E S Y $TEM S ACREAGE SYSTEMS, INC. - SUITE 343;, 1 601 E. NORTHERN LIGHTS BLVD. ! ANCHORAGE, ALASKA 99303-2511 V,a-- FAX # 345-2125 FACSIMILE TRANSMITTAL COVER LETTER THIS DOCUMENT !WITH COVER SHEET>,TOTALS TWO SEND TOD NAMED MR. JOHN SMITH COMPANY$ D.H.H.S ON SITE SEWER DAT6v OCTOBER 23s 1991 FAX N 343-4529 PHONE M 343-4744 P. 0 1 (907) 276-65SZ PAGES. FROM$ NAMED TAMARA SANDERSON SENDER FAX NUMBER$ 345-2125 PROBLEMS?? 343--2122 RED 4315 SOUTHPARK BLUFF DRIVE SOUTHPARK 03 SUBDIVISION, LOT 4, BLOCK 2 INVOICE #91041710 MESSAGED AFTER TALKING WITH YOU THIS AFTEh NOON, SYSTEM WAS CHECKED FOR WATER AND FOUND DRY. I HAVE ATTACHED A MAP TO VERIFY LOCATION. IF YOU HAVE ANY QUESTIONS, PLEASE CALL. Sincerel Tamara Sanderson Municipality of Anchorage T Department of Health and Human Services 825 "L" Street Tom Fink, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 November 25, 1991 Robert Kniefel, P.E. Kniefel Engineering 8451 Miles Court Anchorage, Ak 99504 Subject: Lot 4, Block 2, Southpark Dear Mr. Kniefel: This office has reviewed your as -built inspection report and Health Authority Approval application for the subject lot. Based on our review of these documents and our understanding of the design, construction and inspection of the on-site wastewater disposal system, there are several concerns and questions which must be addressed prior to approval by this office. On May 16, 1991 this office issued a permit for the construction of an on-site wastewater disposal system at the subject lot. The permit was issued based on a design prepared and submitted by Flattop Technical Services. On October 21 this office observed that the system had been completely installed. Flattop Technical Services advised that they had not been involved in providing inspection services during the construction of the system and that they knew nothing about the construction of the completed system. On October 23 this office contacted Acreage Systems. Our records indicated that they had notified our office of an anticipated inspection on July 18, 1991. They confirmed that they had completed installation of the system and that Bob Kniefel had served as the inspecting engineer. Lot 4, Block 2 Southpark November 25, 1991 Page Two On October 23 this office discussed the installation of the system with you. During that discussion, you reviewed our file which included a copy of the permitted design. You indicated that Kniefel Engineering was not involved with the inspection of the system, that you knew nothing about a design change requiring a lift station, that you had never been on the subject lot and that you would certainly have recalled inspecting the construction of a system that had been designed by Flattop Technical Services. You also indicated that you would contact Acreage Systems to determine why they had indicated that you were the inspecting engineer. On October 25, this office again contacted Kniefel Engineering and again you asserted that Kniefel Engineering was not involved with the inspection of the system. On November 12, this office received and as -built inspection. report submitted by Kniefel Engineering. After disclaiming any knowledge about the construction of the system on two separate occasions, we question the validity and credibility of an as -built inspection report which now asserts that the system was inspected by Kniefel Engineering. Based on our review of available information, this office has legitimate concerns and doubts about whether the system was installed in accordance with Municipal and State regulations and whether the system was ever inspected by an engineer during construction. Our concerns will be allayed if you can provide the following information: 1. Who was the engineer that inspected the construction of the system? AMC 15.65.150 requires that an engineer be present for a minimum of two inspections during system construction. It should be noted that the permitted design required five inspections by an engineer. 2. Who was the engineer that verified the suitability of the sand filter material? Did the material meet specifications? Was the sand filter properly installed? 3. Who was the engineer that authorized and initiated the field design change which required the use of a lift station? Was the design engineer consulted on this change? Why was this office not notified of the field design change? (please reference Engineer Bulletin 90-4) 4. Was the Acreage Systems lift station bedded and backfilled in accordance with the manufacturer's specifications? Has the lift station installation received approval from the municipal electrical inspector? Lot 4, Block 2 Southpark November 25, 1991 Page Three Given the apparent irregularities in the design changes, construction and inspection of this system, this office cannot approve either the as -built inspection report or the Health Authority Approval. If you can provide answers and information which satisfactorily address the above questions and concerns, this office will reevaluate the as -built inspection report and Health Authority Approval request. If you cannot provide the additional information, this office suggests that a third party engineer, preferably the design engineer, verify that the system was properly installed. Sincerely, 41�� Tau Smith, Program Manager, On-site Services cc: Acreage Systems, Inc. .xee Browning, P.E., Manager, Environmental Services, DHHS Robert W. Robinson, Civil Engineer, DHHS rl 1_ 1 — � i •� �. U t'� 1+\.'_i e cY y -11_:..R G G E i 4 x.6105 61jlisnlpy alla/BI6y U1,4jgj ., jyG: 9�En•.y191119 J16;�6 II'd Jw a powl to 58UIJe'=q 08RJ!O� Ivo it 6ulv�Bla-x;95 p-.:9 9 �ge15nlpe '61B1d UJoih'a lendq R1 �9Uen :ayeG yl"- JB.dd411 60;� 'Jv�J 6U@e. L t/PdQ u0l1"Jn Y.;'.,Oy 6ulij-'i I . a;lt 6v01 J0l G?1 - al9�a 1911.1 W,ueleq I'� —''yJ, .,�-� e UI, Upi1UB101G@U1�2'd; '�� 1i!"9 T Cl II 4 a r t )3' Kik �L . iN G-4 I' L'I'r�. ro I 6UILDINo SAFETY DIVISION MUNICIPALITY Or ANCHORAOe EF..`•T TUDOR ROAD --INS P£CTIOh 1 Lg FrEQUEST 563-J,164 I �3UIt i)INCi /ee flilfift�iQ.L�<<_1_�.�.n-.Y+ts�.0 P€ I1TTIE E LOT ---e,:L 91)"t)w CONTRACTOR }_ Jt yGRiPT�N OF WORK NF.'.4_r" ALTERATION rj ADDITION I I REPAIRS 1 IF Omens' SPEGIFY SINGLE aAU6i DUPLEX Dlvl COMMERGIA ()THER _. ...... -_ O 4Z, %cl OC�G`S ':SrkIn Odd cenformanco with plan .hack requiFgmAnls as per 16b Prints- FZ-0 INSPECTION RL001RIED .t �. •,,;AL3 ._. J �'pA'VPE '6 ^` — DATE..- L,)CATVI -51 rirCCC/ at ING---'SSU $rFFSTFFl L a Fnn IIF 3 UAYf"9ALL ti Tcr4L VAL , -B Ia .NaF d lPaa a kF� ba L ')Y. d 9 ,.x,99. iEE RrcEi' �MUIT 1F _ e. PERMIT NO. r4 Cl �"i3t,J weeGATE ZONING' l7iSTRICT�` __f.,. LICCNSE NO. _----. STATE LICENSE NO. HER I) RETAIL I I INDUST. ri PROP. Q I--- . — --- .—._ INSPECTION REQUIRED OF UNDATION EXCAVATION PRIOR PLACING ANY CLASSIFIED PILL ay - ` J rirCCC/ I a ti Kniefel Engineering 8451 Miles Court Anchorage, Alaska 99504 November 13, 1991 John Smith, P.E. On -Site Manager Department of Health and Human Services Municipality of Anchorage PO Box 196650 Anchorage, Alaska 99519-6650 Subject: Lot 4, Block 2, Southpark Dear Mr. Smith: R'; 3 F- N OV 12 19:1 D E; h C. � ��2'���IIt c% ril!�I fl&I7 .F.iE1'VIC0S Attached please find the as -built information and Health Authority paperwork for this lot. This lot has been the subject of an intensive review by your department and I feel it is necessary to present this information in addition to the standard information requested on the attached paperwork. This installation is for a new residence at the above location. The original design included a bed and sand filter design by Flattop Technical Services, During the construction of the house it was found the elevation of the house was such that the sewer outfall from the house was below the design elevation for the proposed bed. An approved lift station (Acreage DHHS #MS 91- 0203) was properly installed with an ABS SEVH4 pump. MOA inspections were called for on approximately 07-18-91. At the time of installation of the lift station the electrical power had not been extended to the pump and no testing could occur. Therefore the submittal of the as -built information was withheld since the inspection was ,not complete. The ground below the lift station was porous gravel which resulted in the use of a 2' sand filter for the bed. Therefore there was no need to install additional gravel on top of the existing gravel already in place. My office was contacted by Mr. Robbie Robinson of your staff regarding the need for the final as -built for building permit purposes. I checked the information and called Mr. Robinson and explained the lift station did not have power and had not been tested. We therefore could not provide the required as -built information. He stated he had personally reviewed the field depths and found that the bed was out of level by approximately one foot. When I suggested this may have been a comparison of the bed to the depth of the monitor tube he stated that was not the case. Subsequent to this conversation, Mr. Robinson visited the site with the installation contractor (Acreage Systems) and did confirm that the bed was level (+-0.01'). Lot 4, Block 2, Southpark On -Site System November 13, 1991 page two The attached paperwork provides the necessary approve the system for installation and the Health you have any additional questions or comments, hesitate to contact us. Respectfully Submitted, Kniefel Engineering Robert Kniefel, P.E. information to Authority. If please don't PAGE 1 OF yy 1 MUNICIPALITY OF ANCHORAGE &4_a IL, DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910101 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:ARAI TSUGUO & GRACE OWNER ADDRESS:3706 BISQUIER DRIVE ANCH,AK 99508-4803 PARCEL ID:02005136 LEGAL DESCRIPTION: SOUTHPARK BLK 2 LT LOT SIZE: 24141 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 0 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 5/16/91 EXPIRATION DATE: 5/16/92 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE:- �_A9 DATE: 'r `� w TOP of S' CvT BANk SEPTIC SYSTEM u LOT 4 BLOCK 2 PROPOSED S' SDRM Hou SE C ABSORPTION BED REPLACEMENT SITE PROPOSED 1250 GAC S,T. Y PRDPOSED 20 x q3 Bf D 3o' SOv-fHPARk BLUFF DRIv,� Ar ,. s eee ................... ° •oea•u a ••. .........6 THE000iF: F. ;hOORE Wiz.,,•.••. CE - 3539 w~ r✓ f � ®� tFA��1'4APRo��'°! LS B2 T.H.#2 T.N.13 5E PTIC SYSTEM O _Flattop Technical Service 14530 Echo Street Anchorage, Alaska 995'6 L 4, B2 SOUTH PA RK ADDN #? SEPTIC SYSTEM SITE PLAN SCALE: 1"=3o' NOTE'. THIS IS NOT DATE 1 5/91 A SURVEYED PLA- DwN [iY: ALL kocATI09S ARE APPRDMMATE rrj I Soo G. 5 EATI [ TfFAI lT 11 A 7 20 A PLAN VIEW scALE Go. BOT70K of t /: %CA VAT 10 N (AT MID -PAINT OF SYSTEM —� 2" INSULATION FILTER FASRI0.c I" =10' M T CovER MATERIAL MovNDED 6" ABovE oRiG. GRADE p :. I • p • r • I' SEWER GRAVEL I � • I..r • • • • • T FILTER SAND SECTION A —A SCALE.' *ar40"� t .4: ..o.•.....e...e. ay o. ee E('O�e�~je o[a'�a�'eye ... e .. �o a'�/a'e'(Ai•p�s 0.°TtICODORE p, MOORE e� ' 5",% CE -353.q Z' ®s °•. �. Flattop Technical Service: 14530 Echo Street Anchorage, Alaska 99,51r LL-, B2, SDUTH PARK ADDN * 1 SOIL ABSORPTION BED PLAN cl- CROSS SECT IO N DATE! 5%4l SCALE: AS SHOWN PWN BY" ----------------------- A PLAN VIEW scALE Go. BOT70K of t /: %CA VAT 10 N (AT MID -PAINT OF SYSTEM —� 2" INSULATION FILTER FASRI0.c I" =10' M T CovER MATERIAL MovNDED 6" ABovE oRiG. GRADE p :. I • p • r • I' SEWER GRAVEL I � • I..r • • • • • T FILTER SAND SECTION A —A SCALE.' *ar40"� t .4: ..o.•.....e...e. ay o. ee E('O�e�~je o[a'�a�'eye ... e .. �o a'�/a'e'(Ai•p�s 0.°TtICODORE p, MOORE e� ' 5",% CE -353.q Z' ®s °•. �. Flattop Technical Service: 14530 Echo Street Anchorage, Alaska 99,51r LL-, B2, SDUTH PARK ADDN * 1 SOIL ABSORPTION BED PLAN cl- CROSS SECT IO N DATE! 5%4l SCALE: AS SHOWN PWN BY" CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. May 14, 1991 PH: (907) 345-1355 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 This is the required design narrative to accompany the 4 bedroom sewer permit application for Lot 4, Block 2, Southpark S/D, Addn. #1. Copies of the soil test results and design drawings and specifications are enclosed. The measured perc rate for the proposed receiving stratum (see log for test hole #2) is only slightly slower than 1 minute per inch, however the comparable material in test hole #3 is a little cleaner, so we have included a 2' thick sand filter in the design to provide additional protection for the nearby underlying water table. Using an application rate of 0.7 gpd/sq. ft. as prescribed in the wastewater ordinance, this 4 bedroom residence will require 4 x 150 / 0.7 = 857 square feet of bottom area. This is best accomplished by a 20 ` wide by 43 ` long soil absorption bed. We are requesting a waiver of the normally required 15' width so as to lessen the difference in elevation from one end of the bed to the other due to the 2 - 3 % ground slope. This will also better accommodate the equally large proposed replacement bed site shown on the site plan. The downhill end of the proposed bed will be 30+ feet away from a low (2' - 3' high) cut bank, which should not create any daylighting possibility. The bed configuration is designed to stay more than 50 feet away from a higher cutbank in the vicinity of the SW comer of the lot. At the time of our groundwater monitoring during breakup there was no surface drainage within 100 feet of the proposed soil absorption bed or replacement site. This subdivision is served by a community water system, for which the wells are greater than 200 feet from the proposed septic system. The proposed project will have no impact on on wastewater disposal systems on adjoining lots, nor will it have any impact on reserved space/surface and subsurface, or on drainage. Please feel free to give me a call if you have any questions on this design. Sincerely, Ted Moore, P.E. Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345-1355 Lot 4, Block 2 Southpark S/D, Addn. #1 4315 Southpark Bluff Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of construction of a wastewater disposal system to serve a new 4 bedroom residence. The project includes a 1250 gallon septic tank followed by a 20' by 43' soil absorption bed with 1 foot of sewer gravel overlying 2 feet of filter sand. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. 1.3 All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.4 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 2.0 Septic Tank: 2.1 The septic tank shall be Municipally approved with a capacity of 1250 gallons and two compartments, and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.2 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. , 2.3 Special care shall be taken in positioning the tank to achieve the proper slopes for gravity flow from the residence to the tank and from the tank to the soil absorption bed. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by removing the surface soils to expose a gravelly sand stratum at a depth of approximately 5 feet below ground level at the midpoint of the system. 3.2 The bottom of the excavation shall be level. Medium pit run sand may be added as necessary for leveling, plus a minimum of 2 feet of medium pit run sand shall be placed over the entire surface of the soil absorption bed. Sand for leveling or serving as filter material shall comply with Municipal specifications. The top of the filter sand course shall be level. 3.3 A total of 12 inches of sewer gravel shall be placed on the top of the filter sand, with the perforated distribution pipes laid level in the sewer gravel such that the pipe inverts are no less than 6 inches above the top of the filter sand. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.6 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 3.7 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 4.0 Inspections: 4.1 A total of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sand leveling and/or filter material has been placed, (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (5) after final backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. Flattop Technical Services 14530 Ech o Street i, AI /lunlclpallly of 7(ncho ar ge 951 R DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST JON #2 PERFORMED FOR: MIKE -1- PAM JO `} ES DATE PER ADDN LEGAL DESCRIPTION:._ 151 SOUTH NARK 10 DEPTH PT 1 SM RED LOAMY SILTY SAND 2 SP GRAVELLY SAND 3 SM SILTY SAND 4 5P COARSE GRAVELLY 6 5AND/ DAMP 6 SOME COBBLES 7- 8 H20 SEEPS 9 SM SILTY B.N. 10- 11 12 13 14 15 164 1 17 ITT 19 SAND SLOPE Section: ,SEC WAS GROUND WATER `?E s ENCOUNTERED? 1 S IF YES, AT WHAT L O DEPTH? P E Depth to Water After L1 �29 /91 Monitoring? DRY Dale: (erv�,itagcp.0 acryr ....... 1. ? ............ It/ PLAN f ■■■..■REE a 91 MON Net Time Depth to Water Net Drop Ix"PResuq 4 14 91 N Cf%s�i!!!1�Ir,��� 27 218 IN /043 21 Vs to II. 08:30 2y 3/ START 11: 09: 30 23 3/ II: It: 3D 2 21 3/ 2 +H o If: 1z- IS 23 Vz iVAINIFOINN©J,NE ■aNNIMEN,IN■ I I : 14I IS 21 t H o II: is 00 NNGY� NOMMENNOWN 23 '/; MMI N. eqNl 21 S/ .■■■■■■■■■ 11:17: 9S 23 Vz Reading Date Gross Time Net Time Depth to Water Net Drop Ix"PResuq 4 14 91 to_ 39 27 218 /043 21 Vs to II. 08:30 2y 3/ START 11: 09: 30 23 3/ II: It: 3D 2 21 3/ 2 +H o If: 1z- IS 23 Vz I I : 14I IS 21 t H o II: is 00 23 '/; 11'. 17 : 00 2 21 S/ I �/ 11:17: 9S 23 Vz 20�tl:Iq:vs 7- 2I s/8 t �8 T.N2 PERCOLATION RATE L_ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN -3 YL FT AND FT COMMENTS PERK RATE APPLIES TO SfMILIAR 50)L FOutib IN T N il,3 How yER BECAVSE OP TIE COARSER NATURE OF TME SP IN 7N3 A SAND FILTER PERFORMED gy SE D• FLATTOP '1-ECy SACS I �'I/Crtc.,.,g CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: S/-31,91 72-008 (Rev. 4/85) - Flattop Technical Services 14530 Echo Street �N;[r���L�•.,'t Anchorage, Alaska 9951E °'°•°°••••°••••°°/•••••^°••• �.r Municipality of Anchorage 0' ....?.°•• DEPARTMENT OF HEALTH & HUMAN SERVICES THEOCO;;e r. ;aoOaE 825 "L" Street, Anchorage, Alaska 99502-0650 w' CC - 3589 •; SOILS LOG — PERCOLATION TEST �Oli ' 1r'°`°°••°°• °°•(°o`:® 'i t If I � AE'ia ps36 •=��cr PERFORMED FOR:MIKE 'I' PAM JONES DATE PERFORMED: 4/m �f II uu o ADDN # i LEGAL DESCRIPTION: B2 SOUTH PARK Township, Range, Section: SEC 3 T11 N . RSV DEPTH PT As 1 SM RED LOAMY SILTY SAND 2 SW COARSE CLEAN SAND 3 POCKETS OF ML -114 4 5 SP FINE SLIGHTL I 6 SILTY SAND 7 g.N• 8 9- 10- 11 1011 12 13- 14- 15- 16- 17- 18- 19- 20- WAS 314151617181920 WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT L DEPTH? O P E Depth to Water After Monitoring? Dale: SITE PLAN NEENNNERMIN i/:00110ME9-l�r�IVAN MILESE©J,NEMENNENMENEENNEEN Reading Date Gross Net Depth to Net Time Time Water Drop TN #) PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT ,6!Yt/ COMMENTS CSf �d (e K.�p C[S�'P..Gf GO// rn uta OT/' So 16' /Vo M7' InIrki/lee,( V r PERFORMED BY: FLATToTP TEC N S1/ S I Ila/ M'r'-en.C. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: _ 91,7191 72-008 (Rev. 4/85) Flattop Technical Services z�� �•'•.�r �,ty . 14530 Echo Street 6• {ENGIfl BEAt�e✓. Anchorage, Alaska 99516 .......................... Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES ! S.•° �••' °•° "•uie000,�e V. AMooue 825 "L" Street, Anchorage, Alaska 99502-0650 CZE -3589 SOILS LOG — PERCOLATION TEST 0 '" '•... JONES * � r'' 47/3 1 �p /��+� PERFORMED FOR: M I K 4- PAM JONES DATE PERFORMED: 4 / 1 ! -1I - I p ADDN # L LEGAL DESCRIPTION: 4 B2 SDuTNPARK Township, Range, Section: SEC 3 TO N , R31✓ - 1 2 3 4 5 6 7 8 9 10- 11 0 11 12- 13- 14- 15- 16- 17 21314151617 18 19 20 T. N #3 COMMENTS PT SM RED LOAMY SILT4 5P GRAVELLY SAND DRy COARSER THAN IN T-9. #2 D)5120NTINVOUS LENSES cc F ML SLOPE 5P GRAVELLY SAND DARKER 4- COARSER ABOVE 6 FEET. MORE. COBBLES 4- BOULDERS WITH INCREASIN6 DEPT11 WAS GROUND WATER B N• ENCOUNTERED? YES s IF YES, AT WHAT I L DEPTH? �O P E Depth to Water Alter Monitoring? DRy Dale: q/29 91 SITE PLAN ill■■i■�i�!\ Date Gross Time Net Time Depth to Water Net Drop all MEN ��■�e®wwells "■■i■■HNONE Il�® ■�.�... MANN ■■11��1�N N■ ■■■■■■■■SNS ■■■■ ■■■■ Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY: FLATTOP TECH SVCS I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: S'13 I9/ 72-008 (Rev. 4/85) Municipality of Anchorage Development Services Department s" a 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 CC �1 Parcel I.D. 020-491 to COSA #�cJC 1 o- 1 t ®� Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 4, Block 2, Southpark Subdivision Location (site address) 16121 Terracewood Lane Anchorage, AK 99516 Current Property owner(s) Terracewood Lane LLC Day phone Mailing address 3705 Arctic Boulevard, No. 411 Anchorage, AK 99503 Lending agency Day phone Mailing address Real. Estate Agent Day phone Malling Address UnlessotherwiQ requested, COSA will be held by DSD for pickup. Y 2,1144UMBER OF BEDROOMS: Four (4) 3 a TYEE OF WATR SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual ftlt::` ❑ Individual On-site ✓❑ Andivic(ual'VtLBferStorage El Individual Holding Tank El Comthunity Class Well ❑ Community On-site ❑ Public Water System ❑✓ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Phone 522-7773 Date a1 L ANDERSON Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements. Supplemental Engineer's Report Other By: Original Certificate Date: /-7— /2, (Rev. 11M) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.orglonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 4, Block 2, Southpark Subdivision Parcel ID: 020-491-18 A. WELL DATA Well type _ Date completed _ Total depth ft. Date of test If A, B, or C provide PWSID # Sanitary seal (Y/N) Cased to ft. FROM WELL LOG Well Log (YIN) Wires properly protected (Y/N) Casing height (above ground) in. AT INSPECTION Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Other bacteria colonies/100 mL Arsenic: _ ug/I Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 7/18191 Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 6/2112011 Pumper A Plus Home Services C. ABSORPTION FIELD DATA Date installed 7115/05 Soil rating (g.p.d./ft2 or ft2/bdrm) .8 SF/BDRM System type Shallow Bed Length 43 ft. Width 20 ft. Gravel below pipe .75 ft. 3"1 '1 Total depth 2.4- ft. Eff. absorption area 860 ft2 Monitoring tube Y Depression over field N Date of adequacy test 4110/2012 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 5.75 in. Water added 616 gal. New depth 6 in. Elapsed Time: 780 min. Final fluid depth 5.75 in. Absorption rate >= 600 g.p.d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed 7f18191 Size in gallons 500 "Pump on' level at 30 in. "Pump off" level at 18 in. Datum Bottom of rank Cycles tested 3 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Manhole/Access (YIN) Y High water alarm level at 40 in. Meets alar & circuit requirements? Y Septic tankilift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5' Absorption field >5' Water main N/A Water service line >10' Surface water >100' Wells on adjacent lots >200' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water main >10' Water Service line >10' Surface water >100' Driveway, parkingivehicle storage >25' Curtain drain None Noted Wells on adjacent lots >200' F. COMMENTS: Lot is Served byAWWUWater System. COSA Fee $ �( Date of Payment 44— U—(;), —(a Receipt Number co 0% j G (Rev. 11105) Waiver Fee $ _ Date of Payment Receipt Number �� -___.WBS _+". OF Al G. ENGINEER'S CERTIFICATION s �� 6�;'� 00* P491H� p, i certify that 1 have determined through field inspections and a . s.... o..... 0*00 .... .r review of Municipal records that the above systems are in a conformance with MOA COSA guidelines in effect on this date. • •"• " ' •'. p I. r 8 Al Engineer's Printed Name Michael E. Anderson, P.E. �JlhttklACi 'Wo Date 4/11/2012 �h_PA�fF4ar COSA Fee $ �( Date of Payment 44— U—(;), —(a Receipt Number co 0% j G (Rev. 11105) Waiver Fee $ _ Date of Payment Receipt Number aU" io.u� 0000rro AHLUS SS AP�GMT Tf�L s b 6$11T$ ♦ • ffq Tia FULL Ho V vrr A+ HOME SERVICE' 7501 E. 140th Avenue APy°'a Anchorage, Alaska 99516 CUSTOMER 345-1890 ti aP s � 3205 Azctk Bhw Aij Anchorage, AK 99503 Block Lot DATE DESCRIPTION 06-21- 1 110 lllll Miff at 15 Lane 513-633-1309 08!101700 gall 3 standpipes, 3 hoses Tank located n to N side of deck at gromd level Gallons Septic Leach Area Holding Tank ❑ PROBLEM AREA — CALL FOR MORE INFORMATION ❑ NEEDS TO BE DONE AGAIN IN 6 MONTHS Good Shape ❑ Sludge buildup on bottom ❑ Jim cap missing or ❑ Cut standpipe to 1' above ground needs replacing PAGE 01 INVOICE # 4 0227 AMOUNT $165.00 ❑ Floater on top ❑ Needs Septictrine iZ k •I -Z-vt 4 e- vri yv i,T H Municipality of Anchorage • Development Services Department ' Building Safety Division = _ On -Site Water and Wastewater Program 4700 South Bragaw St. s P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. O 2.0 - '/9/ - /6 HAA# 65&3 5D ? '7 - D 6 1. GENERAL INFORMATION Expiration Date: Complete legal description _ L a f c/. g /o c 4 Z_ Sc, u� nam k S l b Location (site address or directions) t 6 r z / Ter'rvLre cu c ,, -f QAe Current Property owner(s) 6 rur v 5.,,;ht Day phone yyo -9cc�,R Mailing address Lending agency Mailing address t 2 / Tt r�arc� [uao c( Lune /}n cAo-cre 4k 99S/� Day phone Real Estate Agent _FS 3 e�7 Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. p/e� .r& cu I r S �c e ,S, 'A'6 I0, 2. NUMBER OF BEDROOMS: Al "/yo'6008 4vA44 /;AA r -a £" '0$C.4 --'WP 3. TYPE OF WATER SUPPLY: Individual Well 11 Individual Water Storage El Community Class Well El Public Water System Ea TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank El Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 uest to supply 9DSD also Hsuupon eertificates fHealth reissuedlare vald for 0 days from the date of Issue for served by a private Class Cwell and may be with new water sample results less than 30 days old. (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 welts 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 wn below, , I verify Ut onmshows ihatlthe based on procedures outlined In the Health Authority App roval 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 frond the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply 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 ��o fes' c��n Phone Address /y5" 30 Ectio 5"f A}^chuccrgc 4A- 995"/6 A o cPoir F. r rave a Date T•� t� 'F'� �'�s Engineers Printed Name T Q 5. DSD SIGNATURE _k� Approved for T bedrooms. Disapproved. Conditional approval for bedrooms, with the following TH rE ; ........... THEODORE F. MOM ci • F. .-* Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: / r or (R" ,2M) Municipality of Anchorage .76 01, Development Services Department Building Safety Division ` On -Site water & wastewater Program ` • ` ` ` 4700 South Bragew St. P.O. Box 198550 Anchorage, AK 99519.6650 www.ci.archorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L.O I- , B /o c k 2 . Sc, u M102 A r k -S / D Parcel ID:_ Q 20 - Y 9 / - /$ A. WELL DATA t/. A. C Pa S l� c U-,, � Well type _ If A. B, or C provide PWSID # _ Well Log (Y/N) Date completed _ Sanitary seal (YM) _ Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: IJ • X Coliform cdonies/100 mi. Nitrate mg.A. Other bacteria colonies/100 ml. Date of sample: B. SEPTICIHOLDING TANK DATA Collected by: Tank Type/Material S;(/+ ?4-;: / SHo/ Date instalied '71146191 Tank size /Zia gal. Number of Compartments-?, Cleanouts (Y/N) Y Foundation cleanout (YIN)'r Depression over tank (Y/N) JV High water alarm (YAV) M. A. Date of pumping 7 / t'4 / oS' Pumper A Ir C. ABSORPTION FIELD DATA Date installed 7IELO Soil rating (g.p.dJft' or ft'Aodrm) ,� System type Q eaC 2 Length 13 ft. Width 20 ft. Gravel below pipe Q. 7S ft. Total depth 2. Y ft. Eff. absorption area 860 ft' Monitoring tube Y Depression over field M Date of adequacy test N• N. Results (Pass/Fail) P:L For Y bedrooms Fluid depth in absorption field before test 0 in. Water added V gal. New depth e_ in. Elapsed Time: - min. Final fluid depth 0 in. Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) N Absorption rate >= doe g.p.d. If yes, give date N • A. D. LIFT STATION Date installed 7 / 60 / 9 / Size in gallons YOO Manhole/Access (Y/N) Y "Pump on" level at ,3 in. "Pump otr level at 10 in. High water alar level at '!i2 in. Datum S AIN Cycles tested 3 Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: P.A. C P.t S r; t t. a k I-) Septic tank/Ilft station on lot Absorption field on lot Public sewer main Sewer /septic service line On adjacent lots _ On adjacent lots Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10 Property line SS Absorption field 'Y s Water main > -as-, Water service line > 25 " Surface water > rG0' Wells on adjacent lots > 700 ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10 Building foundation SO Water main > z.r' Water Service line > 7J" Surface water --* r oo ' Driveway, parkingivehide storage 7 .fri � Curtain drain No,+ stoles Wells on adjacent lots '> F. COMMENTS G. ENGINEER'S CERTIFICATION ; 491 •;"IF �a I certify that I have determined through field inspecV= and review of Municipal records that the above systems are in �.Jl;`• ••'•�.`• •'L• , i • • •T,TR conformance with MOA HAA guidelines in effect on Ibis date. , ' 1A REQ t5:.9 Engineer's Printed Name TA roc6.r F. Mw --e ha. AMP l �e Date T.. 1V 20 Zaps HAA Fee $ r> 3 0 .S!!L Waiver Fee $ Date of Payment 7 / 2 r SGS Date of Payment Receipt Number Receipt Number (Rev. 12/00) 80-65 SOUTHPARK SUBDIVISION LOT 4, BLOCK 2 24,141 S.F. GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI. R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE. ALASKA 99502 PHONE 248-5454 GRID I DATE 3236 F.B.I JOB NO. SS42 SOUTHPARK O M BLUFF DRIVE I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE. OFa111� ........44 *� 49IH * j , ...................... o r. . ... ........... ..... w .k o` �I �� •. LS -6091 • •.e^Pap ••....N•••••O qs #* Oi 'ofeaalonol -' ** 111 ■Tis*6 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. # C_2�� u�L HAA # "Ate -40414 GENERAL INFORMATION Complete legal description __ LoF 1, ifloc k Z Sou fA far 1T S //) Location (site address or directions) G,&i e Property owner Mike- 7a n er Day phone Mailing address l6l Z / % e r�acn cucvor� CrtnL (In cam: ,¢v 99s l� Lending agency FES 44�H l=ecQ IfMdtF cyto. Day phone Mailing address 100 o CrPc('f Dr•,',d /,nom /7-1< 9960 Agent NoAe Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS:�/ z a ,n n z 3. TYPE OF WATER SUPPLY: i1'f r Individual well r" r' r C C:? m Community well ✓ < z rT1r Public water o x <z u C. NOTE: If community well system, provide written confirmation from State Aa attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 7M25 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm F/aF)6e %ec%n(car Phone 3NS-l3s'S- Address l y Sar/ rc /7u fE_ c �� P 995 /(; Engineer's signature �`e Date SPnf '% r99s" 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments By: CAUTIC bedrooms, with the following stipulations: Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72025(Bev.1/91) Beck MOAnl Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: 1-0+ Hr 6 loci- 2, Sou%h Park Parcel A. WELL DATA Well type C l of,( A' If A, B, or C, attach ADEC letter. ADEC water system number Log present (YIN) Total depth Sanitary seal (Y/N) Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date of sample: Date completed Cased to FROM WELL LOG B. SEPTIC/HOLDING TANK DATA Nitrate Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION Date installed 7 / 18 / 9 / Tank size 12- SO Number of Compartments a Cleanouts (Y/N) f' Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (Y/N) N. /l Date of Pumping O /ZY /95 Pumper SS a -c -r C. ABSORPTION FIELD DATA Date installed 7/ 19 / 91 Soil rating (g.p.d./I1 or ft2/bdrm) 0.7 *d System type tied Length 1i5 Width 20 Gravel thickness below pipe 04- Total depth e.0 Effective absorption area 9 Oo Monitoring Tube present(YIN) Y Depression over field (YIN) IV Date of adequacy test 9 / Id'/ 9cs– Results (Pass/Fail) Part For IV bedrooms #Fluid depth in absorption field before test (in.); 0- 1. S' Immediately after rx 1 gal. water added (in.)- 'Z'4 , 5, 3 Fluid depth 3-3 Minutes later: 0 S' %y (in.) Absorption rate = GOG p.d. Peroxide treatment (past 12 months) (YIN) Nape k -o— If yes, give date 1y"4 * SeVu A cma( norlA Mon, /o l^ ktbm' �eJ/J�e f�e tr m z2 3 � O Z 3 v ID D 7� r —g.p.m. r-ew .m. O ®. m M i Co n mw1 Other bacteria 1=) _2 x �c m Collected by: Date installed 7 / 18 / 9 / Tank size 12- SO Number of Compartments a Cleanouts (Y/N) f' Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (Y/N) N. /l Date of Pumping O /ZY /95 Pumper SS a -c -r C. ABSORPTION FIELD DATA Date installed 7/ 19 / 91 Soil rating (g.p.d./I1 or ft2/bdrm) 0.7 *d System type tied Length 1i5 Width 20 Gravel thickness below pipe 04- Total depth e.0 Effective absorption area 9 Oo Monitoring Tube present(YIN) Y Depression over field (YIN) IV Date of adequacy test 9 / Id'/ 9cs– Results (Pass/Fail) Part For IV bedrooms #Fluid depth in absorption field before test (in.); 0- 1. S' Immediately after rx 1 gal. water added (in.)- 'Z'4 , 5, 3 Fluid depth 3-3 Minutes later: 0 S' %y (in.) Absorption rate = GOG p.d. Peroxide treatment (past 12 months) (YIN) Nape k -o— If yes, give date 1y"4 * SeVu A cma( norlA Mon, /o l^ ktbm' �eJ/J�e f�e tr D. LIFT STATION Date installed Maidiole/Access (Y/N) Y High water alarm level at* 38 Cycles tested E. SEPARATION DISTANCES Size in gallons 6700 "Pump on" level at* 23 "Pump off' level at* / Y *Datum 130f4n O SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot N. A. Oil adjacent lots Absorption field on lot N. A. On adjacent lots Iv. A Public sewer main N• A. Public sewer nimdnole/cleanout N- A Sewer /septic service line N. A. Lift station iv. A. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 33& 12 Property line li Absorption field 30' Water main/service line > to Surface water/drainage > I oo Wells on adjacent lots N,A. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 30 Water main/service line > Ia Surface water > t e,6 Driveway, parking/vehicle storage area 30 Curtain drain None S enn Wells on adjacent lots N. A, F. ENGINEER'S CERTIFICATION boivd on .+, «�pva� 1v be 1 certify that I_have detev "?et;Zu field inspections and revienv of Municipal records thQ4 t/ , avI.V systems are n conformance with MOA F1AA guidelines in effect on this date. p �� 1%% Signature Tz���o , - ne, L. d ;Y "., .; � — +� / 9 HT X i En ineer's Name 3r ^ ° " t' $ T'1 GU a{m ✓L F. l`tca� J +oaea o+u.++e«oo++.+p e. osa»j Date Se���m3er 19 /99St^•i..d:....o«.a THEODORE F. A400RE ; r a� CE -3589 _•` ,J$i :, HAA Fee $_300 Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 - CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY AfKT>1,-,,,,,v,,':,,q,�,,y�e4 CERVICES DIVISION ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAM�WL9WELLING Parcell.D.# n1�-'\�3� HAA# 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) W Location (address or, directions) , (h : hone j�' 6M 0+ 4KG Tele (home) Business 33�-bS1,0 (b) Property owner t � p ) Mailing Address '7 70(0 1315 N�Lza 0 (c) Lending Institution '' ` `- Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here )< if hold for pick up.) ' List contact person and day phone number below: Roz�ct=i-t- 2. TYPE OF RESIDENCE Single -Family Numberofbedrooms� 3. WATER SUPPLY Individual Well ❑ Communityx Public ❑ Note: If community well system, must,have'written col Conservation attesting to thlegality and status. 4. SEWAGE DISPOSAL On-site Public ❑ _Community ❑ f Holding Note: If community well system, must have written coi Conservation attesting to the Iegailty"and status: 72-025(Flm 7/88) , Pagel of 2;,< } v� � M tate Department of,Environmental _ 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm�Nte-ct. &N kOE-M1 �(r Telephone 33 7 -(PS40 Address v o 4 -S CT Date Ne'vi SySTeVA r✓i= �,• 2t+ W71- 7 Robert E. Rnie(ar 1i No. 4149-E t•�`�a`' �� Ft d ;gyp ••.......•`��..v OFESSO 6. DHHS APPROVAL i Approved for bedrooms by Date Zli Approved // Disapproved '/ Conditional �l Terms of Conditional Approval )V � rr r_; CAUTION, The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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. 7/88) Back Page 2 of 2 • MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA)^/ �'1 rnGF�ECKIS343�4 44UARY 1984 Legal Description: Z sM.l1'4i�/4A-IL of Ann OiaCJ2 A. WELL DATA 0-'uq. I^ iu nail Services Well Classification aA A If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) ''CYC Date Completed Yield Total Depth ----Cased to Static Water Level .� Casing Height Above Ground Electrical Wiring in Conduit (Y/N) ` Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: i To Septic/Holding Tank on Lot 7 ZW ; On Adjoining Lots 7 Lud i To Nearest Edge of Absorption Field on Lot 7 D ; On Adjoining Lots -7 Z0°) r To Nearest Public Sewer Line % Zoe To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot LutJ Water Sample Collected by Water Sample Test Results Comments ;Date CLAM "A" wcw - ?w S 1 D z' B. SEPTIC/HOLDING TANK DATA Date Installed % 11LA ( Size �. No. of Compartments Z Standpipes (Y/N) ! Air -tight Caps (Y/N) Foundation Cleanout (Y/N) Depression over Tank (Y/N) N Date Last Pumped N 6 -Ai Pumping/Maintenance Contact on File (Y/N) _ Holding Tank High -Water Alarm (Y/N) ;.for Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well '7 To Building Foundation To Property Line (A &r To Disposal Field To Water Main/Service Line 4.01 To Stream, Pond, Lake or Major Drainage Course AJ 1A Comments 72-026 (Rev. ]/86) Front Page 1 Of 2 rAl IL y C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 9__ 7 Type of System Design 9 Date Installed 7 -I a _q ( r Length of Field 4+r, if Width of Field Zd Depth of Field Z' X - Gravel Bed Thickness /.0 , Square Feet of Absortion Area Statndpipes Present (Y/N) Y Depression over Field (Y/N) Date of Last Adequacy Test /V dFUJ 11Y t /1.`x`1 Results of Last Adequacy Test l A SEPARATION DISTANCE FROM ABSORPTION FIELD: r To Water -Supply Well 7 Ud To Property Line To Building Foundation 30 To Existing or Abandoned System on Lot IJ to ; On Adjoining Lots 7 30 i To Water Main/Service Line To Cutback (if present) M1,4 To Stream, Pond, Lake, or Major Drainage Course AJ 1A To Driveway, Parking Area, or Vehicle Storage Area A/0 Comments — D. LIFT STATION Date Installed —Lot —411 Dimensions r0D qAL* -I+b Size in Gallons D Manhole/Access (Y/N) Y "Pump On" Level at 9Z? High Water Alarm Level at Tested for Z' "Pump Off" Level at Vent(Y/N) _ 93 Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) f Comments SYS 15,-\ 14Ao No oOw&& C4"nL„ Il N 0 /�`5i2oJ /��- AH �) i n/fr Gti✓ii L i`S'�.4-i /i � �' **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. r Signed Company 1CA01 Ova, &=;Wd, rfiurtiG Date — �� ��'"9� Engineer's Seal MOA No. Receipt No. Z_3 ZZ& \ 90-0 Date of Payment i � j3_ q I Amount: $ I—To ' 0o �' 12oh�it r Kni�r0 4 4749 r. r` Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. ]/88) Back Page 2 of 2 LOT A, BLOCK 2 Soils and Ground Water This lot appears to be entirely in the alluvial landform although some silt may be present in the northern portion of the lot. Soils encountered by Test Pits 15 and 28 and Test Boring 5-2 consist of coarse gravels with sand layers and with boulders and cobbles. No ground water was observed in either Test Pit 15 or 28. Ground water was found at 13 feet by Boring 5-2. Water was at seven feet in Boring 3-2A located near the north :Lot line. Location of Septic System The preferred septic system location is on the southern one-half of the lot. Soils in this area may be coarser and the chance of a high ground water table occurring is less probable. Design Absorption Area Based on percolation tests performed in Boring 5-2 located on Lot 5, the recommended absorption rate is 100 square feet per bedroom. The ground water table in the area proposed for the septic system should be checked before siting the house and designing the septic system. Test Hole #15 Depth in Feet From To 0.0' - 1.5' n Table A WO #A18753 Logged By: Client Date: 10-28-78 Soil Description Organic Topsoil. 1.5' - 3.0' Coarse Gravels, GP, NFS, damp. 3.0' - 12.0' Coarse Sandy Gravels with cobbles, GP/GW, NFS, damp. Bottom of Test Hole: 12.0' Frost Line: None Observed Free Water Level: None Observed Remarks: Test Hole Logged By Client Verified by Alaska Test -lab Type of Dry Sample Depth M% Sample Strength Group Unified 1 10.0' 4.2 G None C GW Remarks: 1. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. 2. Dry Strength, N=None, L=Low, M=Medium, H=High. 3. Group refers to similar material, this study only. 4. General :Information, see Sheet 1, 5. Frost and Textural Classification, see Sheet 2. 6. Unified Classification, see Sheet 3. Test Hole #28 Depth in Feet From To 0.0' - 1.5' 1.5' - 12.0' Bottom of Test Hole: Frost Line: Free Water Level: Table A 4� Topsoil. WO #A18753 Logged By: J.D. Mack Date: 1-9•-79 Description Coarse Sandy Gravels with boulders and cobbles throughout depth, GW/GP, NFS, damp. 12.0' None Observed None Observed Type of Dry Sample Depth M% Sample Strength Group Unified 1 5.0'-10.0' 4.8 G None C GW Remarks: 1. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. 2. Dry Strength, N=None, L=Low, M=Medium, H=High. 3. Group refers to similar material, this study only. 4. General Information, see Sheet 1. 5. Frost and Textural Classification, see Sheet 2. 6. Unified Classification, see Sheet 3. Bottom of Test Hole: Frost Line: Free Water Level: 16.0 Feet 1.0 Foot 13.0 Feet While Drilling Percolation Rate = 1 minute/inch with water level at 5.0 feet in PVC pipe Sa. Depth i Group Unified Test Hole #Lot 5, Table H WO #A19218 Date: 4/11/80 Block 2 5.0 Logged by: O. Hatch Depth in Feet 10.0 6.3 G N From To _ Soil Description 12.1 G L 0.0 0.5 Brown Peat, damp, soft, Pt Type of Sample, G=Grab, SPT = Standard 0.5 1.5 F-4, brown Sandy Silt, damp, dense, non -plastic, ML Dry Strength, N=None, L=Low, M=Dledium, 1.5 14.0 NFS, brown very Sante Gravel, trace silt, study only. 40 to 50% sand, damp, medium dense, rounded 2. particles to 3", saturated at 13' depth, GM/GW 14.0 16.0 F-4, brown Sandy Silt with trace gravel, 6. Unified Classification, see Sheet 3. saturated, non plastic, ML Bottom of Test Hole: Frost Line: Free Water Level: 16.0 Feet 1.0 Foot 13.0 Feet While Drilling Percolation Rate = 1 minute/inch with water level at 5.0 feet in PVC pipe Sa. Depth Type of Dry Blows/6" M% Sample Strength Group Unified No. 1 5.0 13.7 G N C GM/GW 2 10.0 6.3 G N C GW D ML 3 15.0 12.1 G L Remarks: 1. Type of Sample, G=Grab, SPT = Standard Penetration, U = Undisturbed. 2. Dry Strength, N=None, L=Low, M=Dledium, H=High. 3. Group refers to similar material, this study only. 4. General Information, see Sheet 1. 2. 5. Frost and Textural Classification, see Sheet 6. Unified Classification, see Sheet 3. Test Hole #5 Depth in Feet From To _ 0.0' - 0.5' 0.5' - 2.5' 2.5' - 8.0' 8.0' - 12.0' Bottom of Test Hole: Frost Line: Free Water Level: Remarks: Table A Soil Descri WO #A18753 Logged By: Client Date: 10-28-78 on Organic Mat. Silty Sandy Gravel with slight organic content F-1 - GM, damp. Silty Sandy Gravels, GM - F-1, damp. Coarse Gravelly Sands, SP - NFS, damp. 12.0' None Observed None Observed Test Hole Logged By Client Verified by Alaska Testlab Test Hole #Lot 3, Table G WO #A19218 Block 2 Date: 4/11/80 Dogged by: O. Hatch nth in Feet From To 2.0 Soil Description__ 0.0 1.0 Brown Peat, damp, soft, Pt 1.0 2.0 F-4, brown Sandy Silt, damp, stiff, non -plastic, Boring 3-2B - ML Feet 2.0 8.0 F-4, brown very Gravelly very Sandy Silt, 6.0 Feet damp to saturated, dense, non -plastic, ML Bottom of Test Bole: 8.0 Feet Frost Line: 1.0 Foot Free Water Level: Boring 3-2 - 2.0 Feet Boring 3-2A - 7.0 Feet Boring 3-2B - 6.0 Feet Boring 3-2C - 6.0 Feet Boring 3-2D - 4.0 Feet Sa. Type of Dry No. Depth Blows/6" M% Sample Strength Group Unified 1 5.0 9.1 G N D ML Remarks: 1. Type of Sample, G=Grab, SPT = Standard Penetration, U = Undisturbed. 2. Dry Strength, N=None, L=Low, M=Medium, H=High. 3. Group refers to similar material, this study only. 4. General. Information, see Sheet 1. 5. Frost and Textural Classification, see Sheet 2. 6. Unified Classification, see Sheet 3. oI1 co ON O d4 I� 0 H r -I �o �. 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