HomeMy WebLinkAboutDAUGHERTY LT 2Daugherty
Lot 2
#015-461-37
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP221258
PID Number: 015-461-37
Dwelling: 0 Single Family (SF)
❑■ with ADU ❑ Duplex (D) ❑ Two Single Family Project: X New ❑ Upgrade
Name
RYAN C & JESSICA T VOIGT
ABSORPTION FIELD
❑ Deep Trench ❑■ Wide Trench ❑ Bed ❑ Mound
Site Address
8221 UPPER HUFFMAN ROAD
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
2
0•8 GPD/SF
0.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
0 Ft.0.5
Gravel depth beneath pipe
Ft.
Subdivision
Block Lot
DAUGHERTY
2
Fill added above original grade
3.0 Ft.
Gravel length
2 @ 40 Ft.
Township Range Section
Gravel width
5 Ft.
Beds: Number of Lines
NA
Distance between lines
NA Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
400 Ft2
2
6.0 Ft.
Well
100'+
100'+
100'+
NA
25'+
TANK ❑ Septic ❑■ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
1500 Gal.
Surface Water
100'+
100'+
100'+
NA
Material
Number of compartments
Lot Line
51+
10'+
51+
NA
NA
Steel
2
Foundation
10'+
10'+
10'+
NA
[LIFT STATION
Manufacturer
Capacity
Remarks *pressurized pipe cleanouts are schd 40 pvc
Orenco
250 Gal.
Alarm location
Outside of House
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 danTank to schd 40 pvc
Red Dog Masonry, Inc.
Drainfield schd 40 PVC Co/MT3034*
Inspector PES
BENCH MARK (Assumed elevation) 1242.0 ft
Inspect v 10/20/22
11/18/22
Location and description
es:
2�a
3'' 11/22/22
41" 11/23/22
Bottom House Trim @ A
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date•
• •.
.•
*: 4A TM •:*
.... .......
••$even 12. aniioAe
•• CE 8149
..2024.01.05
Septic System
Approved
Date Z 29 2Dz.
Note: this approval does not include well permit requirements.
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Water & Wastewater System Permit
Permit Number: OSP221258
Work Type: WellSeptic Initial
Tax Code Number: 01546137000
Site Legal Address: DAUGHERTY LT 2 G:2741
Site Mailing Address: 8219 UPPER HUFFMAN RD, ADU, Anchorage
Owner: VOIGT RYAN C & JESSICA T
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms
1»cn�
`0
i
Department
8/3/2022
8/3/2023
99135
0 Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions: A test hole is required to be completed in the location shown on the site plan prior to
_,n/construction of the absorption field. Test hole shall confirm separation to seasonal high groundwater and
percolation rate. If results require a design change, construction shall stop pending approval of a change order.
Please submit results with inspection report (or change order, if required).
CO ZZ Fi 'e L A d ey1n Ghaaq--ri
k1n j'V ////O/Zz
Received By: Date:
Issued By: t✓��� l Date: g 3 '-9
2
MUNICIPALITY OF ANCHORAGE
i
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 015-461-37
Property owner(s) Ryan Voigt Day phone
Mailing address 8221 Upper Huffman, Anchorage AK 99516
Site address 8221 Upper Huffman, Anchorage AK 99516
Legal description (Sub'd., Block & Lot) Daugherty L2
Legal description (Township, Range & Section)
Lot Size 99,135 Sq. Ft. Number of Bedrooms 2
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption FieldX❑
Initial FRI Single Family (SF) X❑
Septic Tank FX -1
ADU) Upgrade ❑
Upgrade
Holding Tank El
❑
(D) Renewal ❑
Renewal
Privy ❑
Multiple Dwellings ❑
(SF and/or D)
Private Well X❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: p d Waiver Fees:
Date of Payment: I I I I D Date of Payment:
Receipt Number: 03 .� b to G Receipt Number:
Permit No.__L S P 2 1 � 5 '�E Waiver No.
Permit App_-'- : ,_.,:c
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221258, Rebecca Carroll, 08/03/22
DESIGN PARAMETERS
PRIMARY SEPTIC SYSTEM
NO. BEDROOM: 2(300 gpd)
TANK SIZE: 1250ga1 S.T.E.P.
PERC RATE: 5.5 MPI
x SOIL RATING: 0.8 GPD/SF
AREA RQD: 375 SF
SYS. TYPE: WIDE TRENCH 0.5' ED
s MIN LENGTH: 75 LF
USE:
75.OLFx5.0'WxO.5' E.D., 0.5' TD
WITH t0.5' OF SAND
TOTAL AREA: 375 SF
I
1
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1 PES TH 01
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3N ' II
1245
1
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WELLS/,SEPTICS \
200 AWAY \
�r-
WELL RADIUS
_ss —ss — NEW SEPTIC
ABBREVIATIONS
TH
TEST HOLE
(P)
PROPOSED
(E)
EXISTING
CO
CLEAN OUT NO.
FC
FOUNDATION CLEANOUT
FS
FLOW SPLITTER
MT
MONITOR TUBE NO.
TYP
TYPICAL
_ PRIMARY/RESERVE
/ /
u u
LIMIT OF FILL
I
,
S P�TIC /
I
2
\
�a EA /
1
200Y TH /„
I
PRIMARY/RESERVE DRAIN
FIELD (P)
75.01-F x 5.0'W x 05ED
x 0.5'TD
ADD 3.0' FILL AND RIGID
INSUATION
INSTALL MONITOR TUBE AT
EACH END
/
I
INSTALL 1250gai(MIN)
S.T.E.P. TANK
/
INSTALL FOUNDATION
CLEAN OUT
( EXISTING
I
HOUSE
1
I
/ I DRIVEWA\ I I
1240F--
— I I
-- to v 2BR r I !
w �
WELL E I
i -p \Ie DRIVEWAY
N
cl WELL P GRAVEL I I,
1 ! I PAD J //
SCALE:
_ I
'1245 WELLS/SEPTICS /1250 11255 \1260 I
200'+ AWAY -4 11
NOTES: PANNONE ENG SVC LLC C.1. 1088)REVISIONS DATE
CHANGE ORDER P.O. BOX 1807 PAU.�ER, AK 99645 '(� REV 07.25.2022 � 1/09/22
PHONE (907) 745-8200 FAX (907) 745-8201 .cF•' m'• ��
; 49 .',� REV 07.27.2022 1" = 50'
DAUGHERTY L2 P.I.D. NO
DRAWN DRM RYAN VOIGT •tleven R, amore 015-461-37
8149 PERMIT NO.
8221 UPPER HUFFMAN OSP221258
SITE PLAN ANCHORAGE, AK 99516 SHEET
1 OF 1
NOTES & SPECIAL PROVISIONS: C0 - I
I. SCOPE AND SPECIFICATIONS:
I.I. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MOA COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE
WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55.
1.2. CONTRACTED WORK WILL BE IN COMPLIANCE WITH MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) DIVISION 10 & DIVISION 20 AS APPROPRIATE.
1.3. SCOPE OF WORK: INSTALL NEW SEPTIC TANK, AND SOIL ABSORPTION SYSTEM. INSTALL WELL
1.4. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 4.5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF
THE EXCAVATIONS LESS THAN 4.5 FEET BELOW! EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY.
1.5. STRUCTURES DEPICTED ON THE SIT PLAN ARE BASED UPON ONE OF THE FOLLOWING: CONCEPTUAL PLOT PLAN DEVELOPED BY OWNER; A PLOT PLAN DEVELOPED BY RLS; OR A
SURVEY AS -BUILT.
2. CONSTRUCTION SPECIFICATIONS:
2.1. ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM THOSE USED TO PREPARE THE
DESIGN
2.2. EXCAVATE THE DRAIN FIELD. BOTTOM OF EXCAVATION SHALL BE LEVEL AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING. MIDDLE AND END OF TRENCH BOTTOM. CONSTRUCTION
EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF THE CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND
REPLACED WITH UNCOMPACTED MATERIAL.
2.3. PLACE THE SEVIER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO t1" PRIOR
TO INSTALLING THE PERFORATED PIPE.
2.4. ALL PIPE SHALL BE PVC CONFORMING TO ASTM D3034 OR ENGINEER APPROVED EQUAL. MINIMUM SOIL COVER SHALL BE 3 FEET OVER THE PIPE AND 4 FEET OVER THE SEPTIC TANK.
ONE INCH OF INSULATION MAY BE SUBSTITUTED FOR 1 FOOT OF SOIL COVER.
2.5. ALL INSULATION SHALL BE 2- THICK DOW! HI -40 INSULBOARD OR ENGINEER APPROVED EQUAL. CENTER INSULBOARD WIDTH OVER SEPTIC TANK OR LINES.
2.6. GEOTEXTILE SHALL BE MIRAFI 1405 OR ENGINEER APPROVED EQUAL. LAP ALL JOINTS 2 FEET MINIMUM.
2.7. COVER THE DISTRIBUTION PIPE WITH A MINIMUM OF 2' OF SEVIER ROCK AND COVER WITH GEOTEXTILE BEFORE PLACING INSULATION AND BACKFILL.
2.8. MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS.
2.9. SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MINIMUM SLOPE AND 3:1 MAXIMUM SLOPE AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE
FILL SHALL BE LEFT AT 6' HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MOA CODE.
2.10. RECORD THE FINISH GROUND ELEVATION OVER THE BEGINNING. !MIDDLE AND END OF SYSTEM.
2.11. MAINTAIN 5' SEPARATION BETWEEN PERCOLATION HOLE AND THE DRAIN FIELD TRENCH.
2.12. EXPOSE. PUMP AND FILL LOG DISPOSAL CRIB OR CONCRETE TANK WITH SOIL TO ABANDON IAVI WITH !MOA CODE IF NEEDED.
3. CONTRACTOR RESPONSIBILITIES:
3.1. THE CONTRACTOR SHALL FAMILIARIZE THEMSELVES WITH THE SITE CONDITIONS AND LOCATIONS OF ALL LOT LINES, EASEMENTS, WELLS (E & P), SEPTIC SYSTEMS (E & P) AND SHALL
MEET MINIMUM SEPARATION DISTANCES OR AS NOTED.
3.2. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON
THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE YORK.
3.3. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS. OTHER THAN THE ATTACHED.
3.4. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES.
3.5. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE
ENGINEER.
3.6. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY D15CREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/1-IMITATIONS POTENTIALLY CAUSING THE NEED TO
MODIFY THE DESIGN.
3.7. AT THE COMPLETION OF THE WORK. THE CONTRACTOR SHALL SUBMIT RED -LINE AS -BUILT DRAWINGS TO THE ENGINEER. THE RED -LINES SHALL INCLUDE PIPE LENGTHS. ORIGINAL
GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS.
3.8. THE CONVZACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION. TOP LIF PIPE WITH CLEAN -OUTS AND MON)TOR TUBES INSTALLED,
INSTALLEb TANK AND FINAL GRADING.
.. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WILL BE PERFORMED IN ACCORDANCE WITH THE APPROVED PERMIT, AND ANY AND ALL CHANGE ORDERS, AND
THAT THE AS -BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED.
CONTRACTOR: BY.,
SOILS LOG
TEST HOLE 1
OR ORGANICS
1
2
3
4 GM
SILTY GRAVEL
5
6
7
8
WAS GROUND WATER
9 BOH ENCOUNTERED? Y
PERCOLATION TEST
SOIL TEST RESULTS/ANALYSIS
• PERCOLATION RATE 5.5 (minlinch)
• PERC HOLE DIAMETER 6"
• TEST RUN BETWEEN 2 FT AND 3 FT.
10 -
IF YES, AT WHAT
DEPTH? -601 COMMENTS: Test hole excavated by BROWNSON BROS
NET TIME
WATER
LEVEL
READING
NET DROP
12 —
---
5.5030
WDATE
MIN
11.00
5.50
DATE PERFORMED:
10/17/2022
---
5.50
---
30 MIN
11.00
5.45
,•7rEVISIONS
---
5.50
---
6 1
3:00
11 30 MIN I
11.00
1 5.44
SOIL TEST RESULTS/ANALYSIS
• PERCOLATION RATE 5.5 (minlinch)
• PERC HOLE DIAMETER 6"
• TEST RUN BETWEEN 2 FT AND 3 FT.
10 -
IF YES, AT WHAT
DEPTH? -601 COMMENTS: Test hole excavated by BROWNSON BROS
11 —
DEPTH TO WATER AFTER PERFORMED BY: PES. I CERTIFY THAT THIS TEST WAS PERFORMED IN
12 —
MDNITORINGI -4.51 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT
DATE: 10/24/2022 ON THE DATE OF THIS TEST.
13 -
DATE PERFORMED:
10/17/2022
_® E OF A�0
,•7rEVISIONS
NOTES:
PlANNONE EMG SVC, LLC (C.I. 1088)
P.O. BOX 102954 ANCHORAGE, A 99510 ®-••-•
••••..
-J....
DATE
CHANGE ORDER
PHONE (907) 272--8218 FAX 907) 272-8211 6
• • -••-•
Steven R Pannone
11/02/22
DAUGHERTY L2 0
g
SCALE
NTS
,�
P.I.D. NO
015-461-37
DRAWN 1
RYAN VOIGT G�
8221 UPPER HUFFMAN
No. CE -8149 ,,'
c'sT'�N
����
w ®
SOIL LOG
m
PERMIT NO.
OSP221258
ANCHORAGE, AK 99516
Rio CI\1IL�
®�tea�,000
SHEET
2 OF 2
Municipality of Anchorage �r '
Development Services Department
\� Building Safety Division
On-Site Water and Wastewater Program. 4700 Bragaw St.
P.O. Boz 196650 Anchorage. AK 99519-6650 Page 1 of 3
www.cl.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW060327 PID Number: 015-461.37
"'""
ave Donaldson
Wastewater System: E]New ® Upgrade
Add,...
ier Huffman Road
ABSORPTION FIELD
Pkana: Hurrc.r ol9adroonr:
0 Deep Tleneh ®sl4llay. hancn D Bed 0 Maund 0 OtMr
LEGAL DESCRIPTION
sal Pat"
TalM Depth Ir mO ple.I grade
1.2 opox?
4' Ft.
Block: Lot S.W,vr ial:
Dph W pFa IxAt m ham o" a� Q,wla
Graval depth Itvr.h pipe:
2 Dau he
.5' Fl.
3.5' Fl.
To.nanip: Ran": s°man:
Fa add" a1mve gfpinal Wada.
Gravel Length:
2.0 Ft.
56 Ft.
Well: El New Upgrade
Gravel eMh:
ahmE.r of Ines
D4a n Mna llkw:
5.0 Ft.
1
Ft.
CIa.uMaoon (Pavata. A B. C):
Toll Depth:
Cu.d b:
T" aowpoan vu:
Pp. Mal.r.al:
EXISTING PRIVATE
Fl.
Ft
519 Fr
3034 PVC
D1,1W
Date D"W
stww wow LMI:
Irolapsr:
Data kN1ahecl
Ft
Mike N. Anderson P.E.
71112006
y,ol
Pure sat M:
C. ""' """"a ara Grvmd:
TANK
GPM
Fl.
Ft
SEPARATION DISTANCES
® Septic ❑ Holding El S.T.E.P. ❑ Other:
To
Septic
Absorption
Lift
Holding
ubIlUPrivate
ap1f°
h'
From
Tank
Field
Station
Tank
sewer une
ANCHORAGE TANK
1000"
""
109'
101'
-
-
60'[
M.Iar'.I
STEEL
Nu t of cpp.na»m*
2
s.,tM,.wM«
100+
100+
-
-
LIFT STATION
Lw Li"..
10+
16.5'
-
-
•.
250 GM
N°'���•,.
Orenco/Anch.Tank
50+
50+
.
.
•PaaV-PYrp
off bvN M'.
Hqn water Malm M.
FOYadaliM
+40 Ir
+36 M
+45 in.
100+
50+
Pump Mak° a Model
Eii w" knp.caan. pMormed by
Curtain Drain
P2005
MOA I ED'S ELECTRIC
RavExisting Es
Existing Fieid Abandoned In Place. Exist'g tank abandoned per
BENCH MARK
Lautan and Dpian
Code.
Garage Finish Floor
Aouand Eievooh.
100.0 FL
Inspections performed by: Mike Anderson, P.E. Dates:!" 7!112006
2nd 71112006
Development Services Department Approval.�TH
......
Conditional Approval Date:
64
Reviewed and approved by: Date: 9 —1 _09
(a�.oaM)
i
4-5%
m
EXISTING SEPTIC TANK AND\ // r F
FIELD ABANDONED PER MOA El / W
CODE. • ;r `4-5% zo
r 2
i � S
1
0
X BMm
100
1
I
1
EXISTING OUTHOUSE
u
WELL
94.8' NEW 250 g o Q L
S.T.E.P.-------
m
TANK
----------------------------------------
H U F F M A N
— — --------------------------
HUFFMAN ROAD - PROPERTY LINE
ep ic esign repore or �� \
RECORD DRAWING DAVE DONALDSON�OFACq�I�
LOT 2, DAUGHETRY "' A •- .�Z. I
SUBDIVISION
Prepared By:
MICHAEL N. ANDERSON, P.E.
4640 SHOSHONI DRIVE
(907) 345-3377/ FAX (907) 345-1391
SCALE: 1"=40' AUGUST 25, 2009
*(�y�(4�/9//�TH ,*
M1' CHAYN' -ANDERSON
I�Fc, C 469
s
EXISTING WELL J ��
100' RADIUS
PROPERTY LINE
NEW DR
�
56 LF X 5'W, W, 3. 3.5'ED'ED
SWINGTIES
4-5%
CG
A
B
FC
6
—
C7
4e.6
67.7
�� 4-5%
71
T2
523
57.5
70.4
74.3
NEW 1,250 GALLON
LS
59.2
75.6
STEP TANK
MI
66.2
91.1
DOUBLE C.O.—,,,
E7
65.3
4-57. I
4-5%
m
EXISTING SEPTIC TANK AND\ // r F
FIELD ABANDONED PER MOA El / W
CODE. • ;r `4-5% zo
r 2
i � S
1
0
X BMm
100
1
I
1
EXISTING OUTHOUSE
u
WELL
94.8' NEW 250 g o Q L
S.T.E.P.-------
m
TANK
----------------------------------------
H U F F M A N
— — --------------------------
HUFFMAN ROAD - PROPERTY LINE
ep ic esign repore or �� \
RECORD DRAWING DAVE DONALDSON�OFACq�I�
LOT 2, DAUGHETRY "' A •- .�Z. I
SUBDIVISION
Prepared By:
MICHAEL N. ANDERSON, P.E.
4640 SHOSHONI DRIVE
(907) 345-3377/ FAX (907) 345-1391
SCALE: 1"=40' AUGUST 25, 2009
*(�y�(4�/9//�TH ,*
M1' CHAYN' -ANDERSON
I�Fc, C 469
s
DESIGN CRITERIA:
3 BDRM X 150 = 450 GPD PERC RATE 3 MIN/IN 106'7
SOILS = 450/1.2= 375 SF -0.5'
5 WIDE TRENCH, 35ED, RF=0.54
375/5 X 0.54 = 40.5'LF
(1) TRENCH -8.5'
4.0' TOTAL DEPTH
3.5' EFFECTIVE RF=0.54
5.0' WIDE -14'
56' LONG
0 -WELL
1
\
PROPERTY LINE %,OT 2A LOT to
GINA0,HILLS S/D GINAMI HILLS
PROPOSED SEPTIC
I
I
EXISTING SEPTIC
TANK AND FIELD TO
BE ABANDONED
o
I OLD LOG
I CABIN/STORAGE SHED
"LOT 2I
RECORD DRAWING
/J %ELL
EXISTING HOUSE
106.21
MD -4.0
AYERS 102.71
s n'
lA
1
1
1
I
i
i
EXISTING WELL,
100' RADIUS I WELL
I
� 1
1 `
I
I �•
I
I
/
/ EXISTING WELL,
/
100' RADIUS
--- I LOT 1
DAUGHERTY S/D
-
UPPER H U F F M A N ROAD
-
-ot
DAVE DONALDSON
LOT 2, DAUGHETRY
SUBDIVISION
Prepared By:
MICHAEL N. ANDERSON, P.E.
4640 SHOSHONI DRIVE
(907) 345-3377/ FAX (907) 345-1391
SCALE: 1"=100' AUGUST 25, 2009
BOUND OVER
;RADE
ER FABRIC
RIGID INSULATION
5'0 PIPE
R ROCK
�l
d
*:-49TH M -•.*
. _.......I......
r �C469 •�
rU `'
POST IN A CONSPICUOUS PLACE
ALL WORK MUST BE INSPECTED
r� A 24-HOUR NOTICE IS REQUIRED FOR INSPECTION SERVICE -
'��1 INSPECTION REQUEST LINE (907) 343.8300 OR FAX REQUEST (907)
Pr 249-7777
MUNICIPALITY OF ANCHORAGE
BUILDING SAFETY DIVISION
4700 ELMORE ROAD
TELEPHONE (907) 343-8211
ELECTRICAL PERMIT
RETROFIT
SITE ADDRESS: 8221 UPPER HUFFMAN RD
PERMITEE/OWNER: DONALDSON DAVID L & MARY ALICE
CONTRACTOR: ED'S ELECTRIC INC
LOT: 2 BLOCK1TRACT: SUBD: DAUGHERTY
TYPE: RETROFIT
PROPOSED WORK: R-3 RESIDENTIAL, SINGLE FAMILY
WORK DESC. septic lift station
REMARKS: lb
TOTAL CONSTRUCTION VALUATION: $.00
Total fees for $112.00
this issuance:
Total payments for $112.00
this issuance:
C
Department
NO: 06--9898
Date: 12/15/06
Permit Issued By: DAY, JINNY R.
ALL WORK IN STRICT CONFORMANCE WITH PLAN
CHECK REQUIREMENTS AS PER JOB PRINTS.
FIELD INSPECTION REQUIRED
Approvals:
INSPECTION REQUIRED OF
FOUNDATION EXCAVATION PRIOR
TO PLACING ANY CLASSIFIED FILL
CONTACT THE UTILITY FOR APPROVAL OF SERVICE EQUIPMENT AND LOCATION PRIOR TO INSTAL-
LATION. SERVICE CHANGES MUST BE SCHEDULED IN ADVANCE WITH THE UTILITY COMPANY
AND THE BUILDING SAFETY INSPECTION SECTION.
I HAVE READ THE ABOVE APPLICATION AND KNOW THE CONTENTS THEREOF: THE SAME IS TRUE AND CORRECT.
I FURTHER AGREE THE ABOVE WORK WILL BE DONE IN ACCORDANCE WITH ALL STATE, MUNICIPAL LAWS, AND
ORDINANCES.
PERMIT EXPIRES IN 360 DAYS IF WORK IS NOT COMMENCED
Signature of permitee or Agent:
Printed Name:
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 6 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 05, 2006
Expiration Date: Oct 05, 2007
Permit Number: SW060327 Parcel ID: 015.461-37
Legal Description: DAUGHERTY LT 2
Design Engineer: 0088 ANDERSON CONSTRUCTION & E Site Address: 008221 UPPER HUFFMAN RD
Owner Name: DAVE DONALDSON Lot Size: 99135 SO. FT.
Owner Address: 8221 UPPER HUFFMAN RD Total Bedrooms: 3 Permit Bedrooms: 3
ANCHORAGE. AK 99516-2520
This permit is for the construction of:
❑.r Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By: r/' t% V_r Date:
Issued By: (=f: Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
\' _! On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
ON-SITE SEPTIC/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. N E) _ L461- 3?
Property owner(s) �cv r_*— \)o na I S U r7 Day phone S 7 9 -
Mailing Mailing
Code
Site address Zip Code
Legal description (Sub'd, Block & Lot)
Legal description (Township, Section & Range)
ti/n
Lot Size " I "I. 13 5 Sq. Ft.
THIS APPLICATION IS FOR (®all that apply):
Absorption Field
❑
Septic Tank
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Number
Number of Bedrooms
3
I42963U", 19
Initial
❑
Upgrade
Renewal
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: y t'OD� aO Waiver Fees:
/
Date of Payment: �l/2pp�l!l-�pp0 (D Date of Payment:
Receipt Number: UU�OO� Receipt Number:
(Rev. 11/05)
Michael N. Anderson, P.E.
CiviUStructural Engineering & Construction
4640 Shoshone Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
Sept.29 2006
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Daugherty S/D Lot 2,
To Whom it may concern:
This is a request for a new septic permit to upgrade the existing 3 bedroom residence. The test hole
excavation was completed near the northeast corner of the property, the soils consisted of loose
silty/sandy gravel for the top 4 or 5 feet, then tight silty gravel below to the bottom of the hole at 14 feet.
Water was observed at 9 feet and after the 7 day monitoring period the water level was at 8.5 feet. The
perc rate was 3 minutes per inch, this seemed very fast when compared to the old perc from Lee Reed of
21 minutes per inch, therefore an application rate of 0.8 will be use for the design. A new 5 wide trench
will be utilized due to the high water table at 8.5 feet. The application rate of 0.8 gallons per day per
square foot has been used for the 5 wide trench for a total length of 56 feet. Another test hole was
excavated near the old system and found to have high water therefore the old system will abandoned in-
place.
All the of leach field area has a gentle slope of about 4 to 5 percent from the east to the west. The
neighboring lots will NOT be impacted by this new system. As can be seen from the plan the lots are
large and have lots of room to use, minus the area shadowed out by the existing wells.
If you have any question please call me at 345-3377
Since
Michael N. nderson, P.E.
DESIGN CRITERIA:
MOUND OVER
(THJI) b
GRADE
3 BDRM X 150 = 450 GPD
-0'S
TER FABRIC
-0.5ff2'
SOILS = 450/0.8 = 562 GPD
RIGID INSULATION
5 WIDE TRENCH
562/5 X 2 = 56' moo/
PIPE
LAVERS
-4.0
5 °• ER ROCK
(1) TRENCH -s.s' 4
4.0' DEEP
5.0' EFFECTIVE
5.0' WIDE -ta'
56' LONG
i
.• �o_ N
+• WELL
PROPERTY LINE \i.OT 2A
LOT 1A i
GINAMI•\HILLS S/D
GINAMI HILLS %/D
PROPOSED SEPTIC=- __
�'�
,�'��---`�♦♦♦\
i
\;
EXISTING WELL.
♦♦♦♦100' RADIUS
i WELL
I
�
' W
4 / IN
\
\
ti
EXISTING SEPTIC ( WELL
TANK AND FIELD TO •
♦ �'
__
_
JP
BE ABANDONED i
I
° `\\ EXISTING HOUSE
��
`—EXISTING WELL,
z
\\
100' RADIUS
OLD LOG \\♦♦
$ABIN/STORAGE SHED
I LOT 2 �'--'
� LOT 1
IJ DAUGHERTY S/D _ _ _ _ _ _ _ _ _ _ _
DAUGHERTY S/D
— UPPER H U F F M A N ROAD —
VP�
Septic Design Prepared For
DAVE DONALDSON
���P(EOF
,...,.,
LOT 2, DAUGHERTY SUBDIVISION
Anchorage, Alaska
�io
49 TH ?.
Prepared By....•
....%.�.js..................I
MICHAEL N. ANDERSON, P.E.
4640 SHOSHONI
�j •••0�•�•• ••'
0 t^' MICHAEL N. ANDERSON :
DRIVE
9
��0 ` No. 670
(907) 345-3377 / FAX (907) 345-1391
SCALE: 1'=100' SEPTEMBER 29, 2006
PROPERTY UNE EXISTING WELL
`
100' RADIUS
`
PROPOSED DRAINFIELD
'---�---
�— 4-57.
I I �
/ 301 �
1 7HS3
�— 4-57,
1 1 1
I I ,
I I �MT i
,-
–
�—
4-57. - – – –
–
_
PROPOSED 1.250
GALLON STEP TANK
DOUBLE C.O.
.— 4-57.
`.
EXISTING SEPTIC TANKVAND/FIELD
TO BE ABANDO.
EXISITNG LEACH FIELD /
INSTALLED IN WATER TABLE 4-57.
1
1
1
1
�
I
1
WELL
1
EXISTING OUTHOUSE 1
�1
��
V� .
G
:
`. r
v
`
GO
------------------- --- ---------------
–HUFFMAN ROAD–
PROPERTY LINE
Septic Design Prepared For
,•.
DAVE DONALDSON
.............. ��♦..
LOT 2, DAUGHERTY SUBDIVISION
-
Anchorage, Alaska
49 TH
Prepared By
.....r................t..... ....... ........ �
MICHAEL N. ANDERSON, P.E.
4640 SIIOSIIONI DRIVE
• • : ...............
I 'MICHAEL N. ANDERSON:.
���� ` No. E 69
(907) 345-3377 / FAX (907) 345-1391
SCALE: 1"=40' SEPTEMBER 29,
2006
Municipality of Anchorage
Development Services Department
Building Safety Division
y1
on -Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Boa 196650 Anchorage. AK 55519-6'050
www cianchorage.ak us
(907)343.7904
yew,• : �•�-'+1
9
.... e,.. -a
- MICHAEL N. ANDERSON 'Ce
Pi_•, CE -9469 .•�`�;
Soils Log - Percolation Test 1I
Percm-ed For. t —cfv Lf �✓1 __Da'c Per!ormet.
Legal Description: t r)+ Z , % &4w Township. Range. Section: _
� Sinne
Depth
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
COMMENTS
VtJaKtL �
L001C-.,,
Srr� 14.1 /Sarl l� y
(.T rave(- \-
C-, M/% M
eG
4 V
WAS WATER
Date
ENCOUNTERED?
�
Depth�Vlater
_
S
IF YES. AT WHAT DEPTH?
q'r0 L
0
Depth to Water After
P
M18lonitoring?
Date'
p . 7 E
9 21 0 (o
Site Plan
.1
Reading
Date
Gross Time
Net Time
Depth�Vlater
Net Drop
j Oto P
rsVa
2N hr
•
DMr✓1
yy
/O -.r
�rr
3e5"
(oar
3.S"
f
PERCCLATICN RAT= r0 (r. Ierixnl PERC HCLE DF-LIETFR (p
TESTR'NE-TYv'EEN Z_ F,- AND FT
if
PERFORMED BY: K eiu e0,1 -4 1'(4I-1 I CERTIFY THAT THIS TEE ST
PERFORMED IN ACCORDANCE WITH ALLSTATE AND AfUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: N L 06
l `
\ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
i� ENVIRONMENTAL ENGINEERING DIVISION
825 L Street • Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
No; e)"&Lkoo
PHONE
[: EW
❑UPGRADE
MAILING ADDRESS
S A
a s Ztz
LEGAL DESCRIPTION
�2 D t1i
LOCATION
NO.OF BEDROOMS
3
Y
DISTANCE TO:
Wei
Absorption area
DwellingU S 7
� /�r
PERMIT NO9;2&['7s-
Cir J
62
6z
WQ
Manufacturer
Material
�L
No. of compartments
N~
Lie. capaoel gallons
7
IF HOMEMADE:
Inside length
Width
Liquid depth
d Y
J02
DISTANCE TO:
Well
Dwelling
PERMIT NO.
Z4
Manufacturer
Material
Liquid capacity in gallons
O
W=
DISTANCE TO:
Well
Foundation
Nearest lot Ime
PERMIT NO.
E',ZO r1S'
u. Z
Z
No. of lines
Length of each line
Totat length of lines
it f
Trench width
Inches
Distance between lines
H
O
Top of tile to finish grade
µz�
Material beneath file
'57/ inches
Total effective absorpti area
W
t7
Length
W.dth
Depth
PERMIT NO.
Q H
a.
W d
Type of crib
Crib diameter
Crib depth
Total effective absorption area
U.1
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
J
Class
Depth` t
Drillerl
Distance fo to line h
PEHMIT NO. 2d
W
3
DISTANCE TO:
Building 1 undation
, JYI
Sewer line
7
Septic tank
f0
Absorption area(sl
OTHER
+
PIPE MATERIALS t^
-r IZV,n JoW D n3
SOIL TEST RATING
INSTALLER
C _L
Y1
REMARKS
t
X
C
k
of n
s
APPHOVED
DATE LEGAL
77-013 (Rev. 3778) 0
INVOICE NO.
5w
%1,
1402
GAJ �l,L 1.0�cz
SOLD TO 1 / h I7 �` )) :7 I r� ` " )'1
SNIPPED TO
STREET & NO. _��_I /� ,�� •�� ',j `,f STREET & NO.
CITY �1 )� i l� r'- Y .�. I c` F-� 1' �I �l `� l' 1 CITY
�USTGMER'S ORDER
SALESMAN
TERMS
Up I I -I
VIA
-DATE
) 01 - r,
vric?
rr
--_
r. �a i r 'a ti 111 i7 ��Y 1 ✓1.LS1rS.LJ._i� l�
_�I _
___
—
� — �� I ``I [•ice' .S > s, �
I
A
Igo
--
MUNICIPALITY
" 14 I /vii- (�'� DEeL oE_
F ANCH
�,L�
RAc4
ENVIRONMENT
PROTE
ION
�
APR -1
—
RECE
VES
1
-
7M 73fi lNvoicl-
e
40,
qyq t � t l_I r -.t I �� I r" Fi L I T' -r' CIF=
DEPARTMENT _. HEALTH AND ENVIRONMENTAL xOTEC
S25 'L' STREF,T: ANCHORAGE, AK 99501
264-4720
t4E7L_IL F1r4E> F'
PERMIT NO. C 820495
APPLICANT DAVID DONALDSON
LOCAT I O d1
LEGAL L2 DA! IGHERTY
SPA CON 2428 99502
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
LOT SIZE
I.
La
MAXIMUM 14UFIE'ER OF BEDROOMS = 2 SOIL RATING CSC! FT/6
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
i
C•EF'TH== E LEt4GTH= c5" C;F:Fik'EL C•EF•TH== —
THE LENGTH DIMENSION IS THE LENGTH <IN FEET? OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET?.
THERE IS NO SET WIDTH FOR: TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION CIN FEET?.
F:Em=!tJ I F:EC• �.EF•T I 1-: -rnr,ivt c I E'E= �Lcic11=1 #3n, L-Clr-•1�—,
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE
INSTALLATION INSPECTION_ OF ANY HELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER: OF RESIDENCES THAT THE WELL WILL SERVE.
---
FELT I Jr -J- rHF:E
F:ECAU
I F -EC'
BACKFILLING OF
ANY SYSTEM WITHOUT FINAL INSPECTION AND
APPROVAL
BY THIS
DEPARTMENT WILL
BE SUBJECT TO PROSEC_.UTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR: A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC_. WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL r_OMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATION'= AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
I FSE=• C•E1_ ErlEDEE: F: - 1L 1'DE.,2'
t
I CERTIFY THAT
1 I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT!` IF THE
RESIDENC IS PEMO SLED TO INCLUDE MORE THAN s BEDROOMS.
SIGNED : J1---------okl-----------------
r ✓ b
APPLICANT DAVID DONALDSON /V
Ie.e.liED C',DATE-
-------- -- -------------- - ----- V4. C+
SOILS LOG
C 1�'
MUNICIPALITY OF ANCHd ASE �y
• 7\i DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION X PERCOLATION
TEST
825 L. Street, Anchorpe, Alaska 99501 2644720
T
SOILS LOG — PERCOLATION TEST / q �y
PERFORMED FOR: I)F7yt[�11)QnnLASQt) y DATE PERFORMED: l0•O'Oz
LEGAL DESCRIPTION: DALLQYSP.r sS`th. Lai 2
1
2
�3
v
4
r� 5
I, -8
� 9
10
it
12
13
14
15
16
n
18
19
20
(00_ O r'q 13rim 1$1I+
(CaM)-3i1+y,9rzjve-1
zandy IsiIty ,yrave.l
r �rybtlnd
Ln -:V ulhIIy,ray AQ15'OO'/bdrM
(GM)_ Very silly PDt:..ke-ts
(CzP)-g ;all ynra+eUQIso a /Bdrtn
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(6m) -very S;Ify,
graveb
Ae le al SI ri"
SLOPE
WAS GROUND WATER S '1
ENCOUNTERED? L
O
P
IF YES, AT WHAT j
DEPTH?
tr
SITE PLAN
Reading
Date
Gross
Time
Net
Time I
Depth to
Water
Net
Drop
K2
IIt3y
a
.915,
IW
+ HZO
W &IS:3a
+ HLO
13.69
11:5fo:30
9
.910
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IrHZa
12:07:r
e
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2:I
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-97
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12:17r S"
$
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PERCOLATION RATE OC (minutes/inch)
TEST RUN BETWEEN FT AND db FT
t
PERFORMEDBV: Mne FrirlOne aVnSnn CERTIFIED BY: DATE: M '/r—Vry
f't94 e 1 a�
2-
72-008
72-008 (6/79)
ALASKA RUIROIImEEL C011TROL SCRUICES, Inc.
Enginttrinq & Enuironmtntal Stadits
PERCOLATION TEST DATA SHEET
CLIENT DnLyiA 7io 81 son DATE Jo
ADDRESS '
ZIP CODE
LEGAL LOCATION y % u _ ( •o+ 7 -
TOTAL
TOTAL DEPTH OF HOLE ft.
ZONE TESTED (�,s ft TO r% ft
READING q
CLOCK TIME
NET TIME
DEPTH TO
DATUM
NET DROP
RATE (min/in)
HZ O
+ NZp
1113o
11141: a
a
Z: Z3
-7
.1 —
tH2,0
11=52:15
L_Q�_�t
'8"
7,:20
Z:t9
:1
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ZO
12: :30
INNO
-�'�
g
' L
12 :114: H5
J Q
2_'QX.
IS
FINAL PERCOLATION RATE /y (Iqva�eae) (min/in)
PERFORMED BY Mtnc Pe r lanp- Jt )anon
1'eJge Z o(? Z
1220 Wtst 25th Autnut • Anchorage, Alaska 99503 • (907) 276-1361
I C�
'la
KOu,Q-v, C3-, Q\
u=/ u �A4-.c-1
i
'l �� .
� ullulgLtzxt�
�4
I,
+ r� g SOILS LOG
IA`l MUNICIPALITY OF ANCFIORAGE
-- QQ�—
r.i DEPARTMENT OF IIEAITH AND ENVIRONMENTAL PROTECTION 0 PERCOLATION
TEST
►.a.h 6.650, And.w".. Alu4. 99:02 1762221
SOILS LOG — PERCOLATION TEST
PERFORMED FOR per" DATE PERFORMED: �O�ZL�iB
LEGAL DESCRIPTION: ( IZ- L.1 I 5Lj I SE 1 4-• Z T I7. —J, R jL-T SM '
_�rI� SLOPE SITE PLAN
V'L' Orlliww sA o1I uN-jr W4,Wf
. 1 1 9s-cL�ldvt
2 $11Fyuj�. ia«e 5raw•I, fai1c.
JL
3 St9 - 170 5QFff9A -
4 /r
5 ` G+aVrl vl� s�f�
6 �•
7 �? 7 4P IN sna% I
.. • .�Ui�,l /
•' 1 c(! �' "''�'t"'" .k WA�ROUNDWATER �..J�S S' _
1 11 a(2 a A
r i 1i 55$ ENCOUNTERED? -+yil L
GP 1 P t
12 IF YES. AT WHAT 1 E'I I
DEPTH? IZS 10
!I 13-
14
3 14
is-
16-
17-
is.
5181718
19
v,
20
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-_____
•' 1 c(! �' "''�'t"'" .k WA�ROUNDWATER �..J�S S' _
1 11 a(2 a A
r i 1i 55$ ENCOUNTERED? -+yil L
GP 1 P t
12 IF YES. AT WHAT 1 E'I I
DEPTH? IZS 10
!I 13-
14
3 14
is-
16-
17-
is.
5181718
19
v,
20
i
1
TESTRUN ION RATE
TEST RUN BETWEEN FT AND
►ERFORMEDSY: CERTIFIED
72 o06 (7n6)
FT
f
=mmm�'7
_-__-_,
mmammm
_-m__
-_____
TESTRUN ION RATE
TEST RUN BETWEEN FT AND
►ERFORMEDSY: CERTIFIED
72 o06 (7n6)
FT
f
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519.6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 0/45'• 46 /- 37 COSA# O C1 0.2 `l 6'
1. GENERAL INFORMATION Expiration Date: / aZ -- / — O Cl
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
DAUGHERTY LOT 2
8221 UPPER HUFFMAN *ANCHORAGE, AK
DAVID DONALDSON Day phone C/O AGENT
8221 UPPER HUFFMAN *ANCHORAGE. AK
Day phone
BETH SIMPSON W/ KELLER WILLIAMS Day phone 865-6556
101 W. BENSON BLVD. SUITE 503 *ANCHORAGE, AK 99503
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
0
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
0
Individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSE$ also issues COSAs upon request to homeowners. Certificales 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 samples. (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 engineers work.
4. STATEMENT OF INSPECTION BY ENGINEER
5.
As certified by my sear-iRxed 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 (les 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name .JEFFREY A. GARNESS, P.E. Date v e OC
Engineer's Comments:
In conducting this evaluation, GEG, UD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identif able features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report Is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
Conditional approval for
bedrooms, with the filowing stipulations:
Attachments:
COSA Checklist Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineer's Report
Nitrate Advisory Other
By: // rN, det Original Certificate Date:
(Ra. 11105(
YOF1'
,Ah
ON-SITE
WATER ANC
: WASTEWATE
Municipality of Anchorage °,
�• -� Development Services Department
Building Safety Division
On -Site Water 8 Wastewater Program,
4700 Bragaw Street
P.O. Box 196650
Anchorage. AK 99519.6650
www.muni.org/onsite
(907)343.7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: DAUGHERTY LOT 2 Parcel ID: O y6 f — 3 7
A. WELL DATA *TO BEDROCK
Well type PRIVATE if A. B, or C provide PWSID# N/A Well Log (Y/N) YES
Date'completed 6/14/82 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 187 ft. Cased to '24 ft. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 6/14/82 8/20/09
Static water level 21.5 ft. 25 - ft.
Well production LINK g.p;m, 1:46 g•p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml. Nitrate 0.178 mg.IL. Other bacteria 0 colonies/100 ml.
Arsenic: NO ug./L. Date of sample: 8/19/09 Collected by: GEG Ltd.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEP/STEEL Date Installed 7/1/2006
Tank size 1250 gal Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) YES
Date 'ofpumping 8/20/09 Pumper MCDONALDS PUMPING
C. ABSORPTION FIELD DATA E ow FiNAL GRA
Date installed 7/11/2006 Soil rating (g.p.d./feo !bd 0.8 System type TRENCH
Length 56 ft. Width 5 ft. Gravel below pipe 3.5 ft.
Total depth •5.83 ft. EH. absorption area **518 ft' Monitoring tube YES Depression over field NO
Date of adequacy test *8/21/09 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 110 in.; Water added 111 Ogal.New depth34 in.
Elapsed Time: 250 min. Final fluid depth 28 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes. give date
'TRENCH PRESOAKED WITH 1000 GALLONS ON 8/20/09
•'518 PER CALCULATIONS AND 564 PER INSPECTION REPORT'
D. LIFT STATION
Date installed 7/1/2006 Size in gallons 1250 Manhole/Access (Y/N) YES
"Pump on" level at 40 in. "Pump off" level at 36 in. High water alarm level at 45 in.
Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? 'YES
*PER MIKE ANDERSON AS—BUILT DRAWING
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot "' 100'+ On adjacent lots 100'+
Absorption field on lot 100'+
Public sewer main N/A
Sewer /septic service line 25'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Holding tank
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
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 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots "100'+
F. COMMENTS
••PER MIKE ANDERSON,P.E. AS—BUILT DRAWINGS (NO CLEANOUTS AT ENDS OF TRENCH), MOA APPROVAL PENDING.
G. ENGINEER'S CERTIFICATION P Ur, .. \4tJ4
I certify that I have determined through field inspections and g 4
review of Municipal records that the above systems are in 0"' •' •"' • ' ..•' • •"" """
conformance with MOA COSA guidelines in effect on this Q
date. '•.Je r ess.-
Engineer's Printed Name JEFFREY A. CARNESS QQ1P r ' CE -795
Date E37, 0
�4nd PreLaipn�� o
COSA Fee D^ �� nt^ S " Waiver Fee $
Date of Payment Date of Payment
Receipt Number Receipt Number
(Rev. 11105)
.e u..... a X
:' r
8 89'5654*t 329.99
----------- upper _Aff an -P ad-------------------.
i
SGS-
PWSID 0
Sample Remarks:
Paramcter Results
Metals by ICP/MS
Arsenic
Waters Department
Total Nitraic/Nitrite-N
Microbiology Laboratory
Colony Count
Total Coliform
Fecal Coliform
4
Printed Datc/rime 08,262009 16:34
Collected Datelrime 08/192009 16:30
Received Daterrime 08202009 8:10
Technical Director Stephen C. Ede
Allowable Prep Analysis
PQL Units Method Container ID Limits Date Date Init
ND
5.00
SGSRcLH
1094303001
Client Fame
Garness Engineering Group, Ltd
Project Name/0
Daugherty L2
Client Sample ID
Daugherty L2
Matrix
Drinking Water
PWSID 0
Sample Remarks:
Paramcter Results
Metals by ICP/MS
Arsenic
Waters Department
Total Nitraic/Nitrite-N
Microbiology Laboratory
Colony Count
Total Coliform
Fecal Coliform
4
Printed Datc/rime 08,262009 16:34
Collected Datelrime 08/192009 16:30
Received Daterrime 08202009 8:10
Technical Director Stephen C. Ede
Allowable Prep Analysis
PQL Units Method Container ID Limits Date Date Init
ND
5.00
ug/L
EP200.8
C
(<I0)
08.24/09 0826✓09
NRR
0.178
0.100
mg/L
Sh1204500NO3-F
11
(<10)
0821/09
R3T
0 col/100ml-
SM20922211
A
(600)
08'20/09
SDI'
0 col/100ml-
SS1209222B
A
(<1)
0820/09
SDP
0 col/100ml-
SM209222B
A
(<I)
08.20/09
SDP
r
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date /47/�'
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
LoT 2 �AUO�f -Vr/ -1h
Location (address or directions)
FZ-Z•1 U -PAI /hi/5rhi5✓ •
(b) Applicant Name IMA YJOd% EV * Telephone: Home -3k- OLiS Business 7!0'03A
Applicant Address 6'bZ-1 10PIW IAIAF lfxl 2b�,f � .975-14,(c) Applicant is (check one): Lending Institution E3; Owner/builder )y; Buyer ❑ ; Other ❑ (explain);
(d) Lending Institution 14fAien4( /Telephone 561- 3Slr S
Address L13oo 1-akc i3 Fl.ne�. /tk
(e) Real Estate Company and Agent IJ'A
Address
Telephone
(f) Mail the HAA -to the following addrenss:
IJAv I0 -NnraIA-sz r1
2. TYPE OF RESIDENCE
Single -Family Multi -Family ❑ Other
Number of Bedrooms 3
3. WATER SUPPLY
Individual Well Community ❑ Public ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite Public ❑ Community ❑ Holding Tank ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025(11,84)
r
W
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 verily 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
Address
Date _
Telephone
995-03
of•ALq,
* 497p
(htedi% Seal
;. REID, J •� JAI
.2251
.2251 ,•
•..........
protmie-Ni
6. DHEP APPR9Y9�' ���
Approved for _y! bedrooms b ! _vale d 6
Approved jos Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an Independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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.
Page 2 of 2
A. WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
MUNICIPALITY OF ANCHORAGZ
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
APR 181986
Legal Description: zo! z Rft_,JhAtAQ_
Well Classification ?XI11/tTE If A. B. C. D.E.C. Approved (Y/N) /"/�
Well Log Present &) Date Completed �O "�7'�Z Yield V�J 4PN
Total Depth /67' Cased If
� Depth of Grouting —�
Static Water Level 3S.S Pump Set At AJ114
i
Casing Height Above Ground='Z Sanitary Seal on Casing �N)
Electrical Wiring in Conduit ON)
— Depression Around Wellhead (yo
Separation Distances from Well:
To Septic/Holding Tank on Lot On Adjoining Lots t
To Nearest Edge of Absorption Field o Lot SOS ; On Adjoining Lots f
To Nearest Public Sewer LiTo Nearest Public Sewer
Cleanout/Manhole Al To Nearest Sewer Service Line on Lot SS
Water Sample Collected by ECS TEF` Af ; Date
V
C
B. SEPTIC/HOLDING TANK DATA
Date Installed 6 "L9"�T' Size Z"r f"h No. of Compartments 17—
Standpipe (Y N) Air -tight Caps (Y ) Foundation Cleanout Y N)
Depression over Tank (Ye Date Last Pumped -A'
Pumping/Maintenance Contract on File (Y/N) AIA ; for 'Allx
Holding Tank High -Water Alarm (Y/N) IJA Temporary Holding Tank Permit (Y/N)
Separation Distances from Septic/Holding Tank:
To Water -Supply Well //z To Building Foundation So
r J.
Property Line 520 't'To Disposal Field %
To Water Main/Service Line Al l� To Stream, Pond, Lake, or Major Drainage
Course 6(1,4
Comments
Page 1 of 2
72-02b111,84I
Z_ L Dr 4n4x��
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata ��S C'f Type of System Design�
Date Installed Length of Field 6 /
Width of Field 3 Depth of Field %
Gravel Bed Thickness s r
Square Feet of Absorption Area 100 Standpipes Present (Y N)
Depression over Field (Y�l A� Date of Last Adequacy Test -- �� ���0
Results of Last Adequacy Test SEzr h7mhleJ ?ESuLTs
Separation Distance from Absorption Field:
/
To Water -Supply Well /0
To Building Foundation _<7
r
Lot
To Water Main/Service Line N//r
To Stream/Pond/Lake/or Major Drainage Course _
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION
Date Installe
Size in Gallons'
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Comments
To Property Line SO t
To Existing or Abandoned System on
r
On Adjoining Lots
To Cutbank (if present) � A
/O f
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
�— Vent(Y/N)
during Adequacy Test. Meets MOA
Check Permitted Bedroom Rating Against HAA Request ••
Icertify that Ihaec/I�d,veril d, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed Gi l . A-- Date 11---:
Company!��GS MOA No. 8�0"' �� OF A(� 4
�'
so
Receipt No. %-1�8L yy,,,� i�Q.•' �- 0
Date of PaymentC.
�' (8 - 7`�, �� i *`;= 49T" •';�*
Amount: $ bio �..... ..O
Page 2 of 2
72-024 111,841
...:...... ..a
!OY C. REI 0, J '
CE -2251• C a
•.......•• tie
ALASKA u UIR011 nTAL WOOL S&JUS, IX
Enginecrinq 6 Enuironmental Studies
I
04/17/86
DAVID DONALDSON SELLER -DAVID DONALDSON DAVID DONALDSON
8221 UPPER HUFFMAN 8221 UPPER HUFFTNIN
ANCH3ZA E AK ANC[KRPCE PIC
99516 99516
60144
LECAL:DAUGHERTY SUBDIVISION BLOCI, 0 Uzi 2
IADEiQUP TEST FCR SEWER SYSTEM
)WECLVCY TEST DATE -04/16/86'
THE TYPE OF ABSORPTION SYSTEM 15 A TRENCH WITH AN AREA CF 640 SOFT.
THE SYSTEM 1S CAPABLE CF A3ZEPTING 450 G41.LCNS CF WATER PER DAY.
THE SURGE CAPACITY CF THE SYSTEM IS 1200 GALLCNS.
BASED UPON THE TEST DATA THE SYSTEM IS PCCEPTABLE FOR A
3 BEDROOM HJ] E.
SEPTIC TAN, ADEQUACY
THE EXI STI W� SEPTIC TANG AULUNE CF 1000 IS ADEQUATE Fiat
THIS 3 BEDROCM HOUSE.
THE SEPTIC TAN,/PACKAGE PLANT WAS RAPED CN 4/16/86 .
FLOW TEST ON WELL
WELL FLAW DATE -04/16/86
A FLM TEST WAS PSUM�ED ION THE WELL. 90 CALLCNS CF WATER WAS
RAPED AT A RATE CF 1 (PM OVER A DURATION CF 1.5 HOURS.
THE DRA%%aXN WAS 35.9 ' WITH A REOOVERY TIME CF 100 MINUTES
AND THE STATIC WATER LEVEL WAS 35.8 FEET.
THE WELL IS ADEQUATE FCR THIS 3 BEDPMM HIvE.
0
00
0.
C RFA, JR. � 11
•• .2251 : • t;r
t
12W West 33rd Auenue. Suite E 9 Anchorage, Alaska 99503 • (907) 5615040
C
Time
APPLI'" MT FILLS
OUT UPPER HA'-" ONLY
Tlme
Property Cvrer ii3,vl
n���SH
Date
Phone
Mailing Ajc'fan • j(��
,�, aQj n „ ra
k . Zip Code qCiS 0
3y5 -DdR,s
Buyer
Inspector
inspector
,C.ir-�s
Field Notes.
/y 0
Address
Zip Code
Lending Institution Afp_.k4 $L6 DJ &Mrio111C.S [.<.l';t (A.,. an
Phone
Address SDD
r•[l. Ak.
zip Code0
563-3760
Really Co. 6 Agent
DATE �— �' Z— f
Phone
Address
Solis Rating
Zip Code
Well To Absorption Area / 6xb
Legal Description Dfr)(AI (L e S, L Lot =
II
Septic Tank SIZE �J Q
SG
Street Location
Well to Tank
r
��. 04wN6
Type of Residence
'
,k Single Family
0 Multiple Family
No. of Bedrooms
Ci Other
Water Supply
r
Individualn
1 1
�'`
ATTACH WELL LOG. A well log is required for all wells drilled
depth log
alnce June�975.
It available).
Community `
' LCV
�11
For wells drilled prior to that date, give well (attach
❑ Public Utility C
Sewer Disposal
Z
Individual
Year Individual Installed: r r U
Public Utility
When Connected to Public Utility:
L) Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REGUEST BEFORE PROCESSING CAN BE INITIATED.
C
Time
Time
Tlme
Time
Date
Date
Date
Date
Inspector
Inspector
Inspector
inspector
,C.ir-�s
Field Notes.
/y 0
MUNICIPALITY OF ANCHORAGE
DEPT. OF H°ALTH is
ENVIRVIL11 NTAL PROTECTION
JUL 201933
RECEIVED
( 3 APPROVED BEDROOMS
'CONDITIONS OF APPROVAL
I ( 1 DISAPPROVED
I
f ) CONDITIONAL APPROVAL'
DATE �— �' Z— f
BY:
Solis Rating
Date Sewer Installed
Well To Absorption Area / 6xb
Well Log Receivedt
Septic Tank SIZE �J Q
SG
— t orf y
Well to Tank
irntiii,an