HomeMy WebLinkAboutALTA'S VIEW LT 2Alta"s View
#051-312-47
_a_
' Municipality Anchorage
6
of _t
, Development Services Department
0
Building Safety Division
On -Site Water and Wastewater Program, 4700 Elmore St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW090134 PID Number: tO i (.-. —312-30
of 3
Name: Rich Moon
Wastewater System: New 5 Upgrade
Address: 17833 James Way
ABSORPTION FIELD
Phone: Number of Bedrooms:
223 2449 5
or Deep Trench 0 Shallow Trench 0 Bed 0 Mound 0 Other:
LEGAL DESCRIPTION
sail Rating: 1 GPWFI°
Total Depth from original grade: 9 Ft.
Block: Lot: Subdivision:
Depth to pipe bottom from original grade:
6 Ft.
Gravel depth beneath pipe:
3 Ft.
te.-1145
Township: T 15 NtanR 2 W SEC La! liorL. 1 14 5
Fill added above original grade:
0.5+ Ft.
Gravel Length:
91 Ft.
Well: Existinrfl New ❑ Upgrade
Gravel width:
6 Ft.
Number of lines:
1
_
Distance between lines:
— Ft.
Classification (Private, A, B. C):
Total Depth:
Ft.
Cased to:
Ft.
Total absorption area:
784 Fe
Pipe Material:
PVC 3034
Driller.
Date Drilled:
Static Water Level:
Ft.
Installer:
flwnpr
Date Installed:
9/11/09
Yield:
GPM
Pump Set at:
Ft.
Casing Height Above Ground:
Ft.
TANK
SEPARATION DISTANCES
in Septic ■ Holding ■ S.T.E.P. • Other:
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
'ohne/Private
Sewer Line
Manufacturer:Capacity:
Anchorage Tank
1500 Gal.
Well
1001+
100'—
NA
NA
25'+
Material: Steel
Numr of Compartments:
Surface Water
100'+
100'—
NA
NA
LIFT STATION
Lot Line
10'+
10'+
NA
NA
Size:
Gal.
Manufacturer.
Ilr-
Foundation
101+
10'+
NA
NA
'Pump on' level at:
In.
'level aC
igh water alarm at:
in.
in.
Curtain Drain
NA
NA
NA
NA
Pump Make & Model
cal Inspections performed .
Remarks:
❑WI'1C1" Construction
BENCH MARK
Location and Description:
Sidewalk Slab
@Mother In—LttWed Elevation:
100 Ft.
NorthRim Engineering
Inspections performed by: Dates: 1st 8/27/0`-
Engineer's Stamp
_,c,47,-.44,04.‘‘3/4110.
rid 9/11/U9
2
+rrr O$'Atte>
...,....e•
FP" y64; B A
Development Services Department Approval
Conditional Approval Date:
ti..
�' Lal ,:• 0 J
' f �� )
�a
10
et/^�••='�•��•=,'
Reviewed and approved by: ty/� ' / ate: ti -234
�
tot %,,,_.„ ; Steven W. Eng y
� • - r17.01 t
k k,r.
RECORD DWG MEASUREMENTS
A B
ST CO1 51 82
STCO2 54 78
DCO 57 77
CO 2 124 101
MT 60 79
Decommissioned
Septic Tank
Old Trench
L_
BLM 50' Easements
James Way
NORTHR/M
ENGINEERING
PO Box 770724
Eagle River. Alaska 99577
907.694. 7028
Powerline Corridor
New 1500 Gallon
Septic Tank
\
5 % slope MT
ouble C.O.'s
T15N R2W Section 25
BLM LOT 145
NEW TRENCH/TANK
SEPTIC SYSTEM
1' = 50'
RECORD
DRAWING
oma.:
9/30/09 2of 3
❑NIMdeJQ Q?J033e1
GN3 HCN❑SII
1/40
w
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o
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6 = uoi}onai
upua.il MSN do }uiod-pm o f
Opposing Cleanouts Between Septic Tank & Bed
}nouoap uoitopunod
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
r\1aRTHrIM
ENGINEERING
S❑ILS LOG - PERC❑LATI❑N TEST
Performed For: Rich Moon
Date Performed: 8/27/09
Legal Description: BLM Lot 145
DEPTH
(FEET)
Organic
SM Silty Sand
w/ Gravel
Denser @
Depth
T.H. Location: See Attached Design
Flat Terrain
Groundwater? No
Depth
Water Depth
After Monitoring. None
Date: 9/5
#
Date
Gross Tirne
Net Tine
Depth
Net Drop
1
8/27
0
--
5"
--
2
8/27
10
10 rnir.
7"
2"
3
8/27
12
--
5"
--
4
8/27
22
10 Hr.
7"
2'
5
8/27
25
--
5"
--
6
8/27
35
10 nir,
7"
2"
7
8/27
37
--
5"
--
8
8/27
47
10 nir,
7"
2"
9
8/27
50
--
5"
--
10
8/27
60
10 nir,
7"
2"
Percolation Rate 5 min,/inch Perc Hole Diameter 6'
Test Run Between 4' and 5'
Comments. Presoaked
Performed By NrrthRim Fng I CERTIFY THAT THIS TEST WAS
Performed in Accordance with All State/Municipal Guidelines in Effect
ON THIS DATE. DATE' 8/27/09
NORTHF?IM
ENGINEERING
PO Box 770724
Eagle Rher, Alaska 99377
907.694.7028
714
�°.
�
�:
* 9m-
e
T. H. 2
TESTHILE LIG
BLM LIT 145
` slim W
'� •., a
Vill
GEITECHNICAL
Date:
8/27/09 2rof 2
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & 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: SW090134
Legal Description: T15N R2W SEC 25 LT 145
Design Engineer: 0838 NORTH RIM ENGINEERING
Owner Name: RICHARD MOON
Owner Address: 17833 JAMES WAY
EAGLE RIVER , AK 99577-9254
Date Issued: Aug 04, 2009
Expiration Date: Aug 04, 2010
Parcel ID: 051-312-30
Site Address: 017833 JAMES WAY
Lot Size: 100000 SQ. FT.
Total Bedrooms: 0 Permit Bedrooms: 5
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
A. THE ENTIRE SUBSURFACE DISPOSAL FIELD IS NOT WITHIN 30 FEET OF A PERCOLATION TEST. THE
ENGINEER NEEDS TO DO AN ADDITIONAL PERCOLATION TEST PRIOR TO THE CONSTRUCTION OF THE
SEPTIC FIELD. PLEASE SUBMIT STAMPED AND SIGNED RESULTS WITH THE AS -BUILT INSPECTION
REPORT. IF THE RESULTS REQUIRE A DESIGN CHANGE, CONSTRUCTION OF THE SYSTEM WILL STOP
PENDING ON-SITE REVIEW AND APPROVAL.
c—
Received By ��
Issued By<i
Date:
Date:
Woo
Parcel I.D.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, Alaska 99507
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
os l- ala -3o
Property owner(s) /71 aft •rd W oon Day phone 46-94.-- S(SS
Mailing address /7e33 Jgrt f (eJcy t Ch�41c k -Zip Code 513-07
Site address S4 mss. e ✓ Zip Code
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
Lot Size -2 52 Ge1rC° Sq. Ft.
/oat oac, 107 L
775n! (Part)
S EC zs ,Behr GWS
Number of Bedrooms tti'7`Alai Afir= s -
THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN:
Absorption Field
Septic Tank
Holding Tank
Privy
Private Well
Water Storage
Initial
19' Upgrade
❑ Renewal
0
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and in accordance with applicable Municipal Codes.
re of property owner or authorized ag
Permit/Rush Fees: .' 3 r1) Waiver Fees:
Date of Payment: 7- t/ - O 9 Date of Payment:
Receipt Number: 0 _J 0 S C» Receipt Number. _
(Rev. 11/05)
TI -RIM
kg. NEERING
r�
July 23, 2009
NorthRim Engineering
PO Box 770724
Eagle River, AK 99577
907-694-7028
MOA On -Site Water & Wastewater Program
4700 Bragaw St
Anchorage, AK 99519
RE: T15N R2W SECTION 25, BLM Lot 145
Failed Absorption Trench
The referenced property has a flooded absorption trench. The design calls for a new
trench and new septic tank. Private water wells serve the area and no water well conflicts
are present with these large BLM lots. The BLM easements are shown and do not
conflict. The powerline corridor lies to the east and northeast.
The owner desires to construct this system himself. Another test hole is planned at
construction time on the east end of the trench to verify the soil.
Please review the wastewater system design for the single family home. I have included
design plans & specs, design guidelines, & soil tests. If there is need for additional
information or clarification please give me a call.
Sincerely,
teve Eng, PE, P11
Design Enclosures
T15N R2W Section 25, BLM Lot 145
SPECIFICATIONS & DESIGN GUIDELINES
Wastewater System Sizing: This is an existing 3 -bedroom, single family home. The
absorption bed has failed. A new design is submitted for a new trench & new septic tank.
The owner desires a 4 bedroom system + mother -in law apartment. The neighboring lots
are large and do not conflict with the new septic system. A new soil test was conducted.
A 6' deep trench will be excavated with new 1500 gallon septic tank. The old tank will be
removed or properly abandoned in place. Private water wells serve the area lots. No
adverse impacts are expected from septic system replacement. The easements are located
on the drawing and are not encroached upon. The soil tests revealed a sandy soil. A
conventional septic system will be used, application rate of 1.0 GPD/FT2. Trench Length
= 750 FT2/5'x 0.58 reduction factor = 87'; 1 linen 87', 3' effective depth.
Specification Requirements: All components and work must comply with the Municipality
of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and
Wastewater Regulations.
• Two compartment, 1500 gallon septic tank. Watertight couplings on inlet & outlet.
• 5' minimum between the tank and bed. 10' to property lines.
• 3' of cover is required for trench; 1" insulation for one foot soil cover may be used.
• Tank & solid pipe must be set on well compacted, stable soil.
• 4 inch diameter cleanouts with airtight caps are required 1' to 4' from foundation wall,
prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent
opposing cleanouts between the tank and the absorption field, not more than 10' from the
tank positioned to provide cleanout access towards the tank and towards the absorption field.
• All cleanouts must extend to at least ground level.
• In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron.
• Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock from drain -rock.
• Drain rock to be 1/2 inch to 2' /2 inch screened. Drain rock to be distributed uniformly
throughout the trench.
• Perforated pipe to be installed level with perforations down.
• Silt barrier (filter fabric) to be installed above the drain rock.
• Smeared trench sides must be raked or scarified before drain rock placement.
• The finish grade must be mounded to promote drainage over the trench.
• Insulation must be placed over any pipe installed under driveways or parking areas.
• Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS
ASTM D2661,
• Sewer Service Line is minimum 2% slope.
• Septic Tank to be pumped every two years or when required.
• Insulation board to be extruded direct burial polystyrene (Dow Styrofoam 111 or equal)
• Old Septic Tank to be removed or pumped, filled with sand/gravel, crushed, & buried.
DESIGN NOTES:
1. Total Depth of Trench is 6'.
Septic Site is on 5% Slope.
2. Sewer Service Line minimum 2%
slope.
3. Measure Distance To Well Prior To Excavation.
4. Lots Served by Private Water Wells.
\_No Conflicts
Powerline Corridor
New 1500 Gallon
Septic Tank \
Q TH1 \ ` \
Decommission Existing
tic Tank
Existing Trench
L_
BLM 50' Easements
James Way
Double C.O.'s 5 7. slope
NOR MIR 110
ENGINEERING
PO Soo 770721
Cogs Rl e , Alaska 99577
907.694. 7028
T15N R2W Section 25
BLM LOT 145
NEW TRENCH/TANK
SEPTIC SYSTEM
1' = 50'
PLAN
LAYOUT
talc
7/23/09 l of 3
Foundation Cleanout
Monitor Tube
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oxi W v
Q + L co
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U1 d > 0
£ O L
E O U S
L U ih U
C
W 0 *3Q
Effective Depth
1- 4.
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0473 E U U1
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R2W Section 25
Z
4.
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111
3
w
A
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2
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Z
W
NEW TRENCH/TANK
W
J
r -y
LL
O
0
i
ail •obi
*4 t'421 sic
is Near 5% Slope
c c
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to cz
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--
'.0 ; h
N w 3 a
+� Cu
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1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
S❑ILS LOG - PERC❑LATI❑N TEST
THRIM
c NEERING
Date Performed: 7/16/09
Performed For: Rich Moon
Legal Description: BLM Lot 145
DEPTH
(FEET)
l*'4WZ Organic
19 -
20
SM Silty Sand
w/ Gravel
Denser 2
•.. Q Depth
T.H. Location: See Attached Design
Flat Terrain
Groundwater? No
Depth
Water
After
Depth
Monitoring.
None
7/a3/o9
Date: "7/20%7
tl
Date
Gross Tine
Net Tine
Depth
Net Drop
1
7/17
0
--
5'
--
2
7/17
10
10 nir.
7'
2'
3
7/17
12
--
5'
--
4
7/17
22
10 nir.
7'
2'
5
7/17
25
--
5'
--
6
7/17
35
10 nir.
7'
2'
7
7/17
37
--
5'
--
8
7/17
47
10 nir.
7'
2'
9
7/17
50
--
5'
--
10
7/17
60
10 nir.
7'
2'
21 Percolation Rate 5 min./inch Perc Hole Diameter 6'
Test Run Between 3' and 4'
Comments: Presoaked
Performed By NorthRim Fng I..$J CERTIFY THAT THIS TEST WAS
Performed in Accordance with All State/Municipal Guidelines In Effect
ON THIS DATE. DATE: 7/23/09
NORTHRIM y.
e.-inc,
ENGINEERING * •-9m
•
*
T. H. 1
TESTHILE LIG
BLM LOT 145
PO Box 770724
Eagle River. Alaska 99577 Nii:.
907.694.7028 7llGEOTECHNICAL
Dote: Plat
7/23/09 I1
1
SIT NICIPALITY OF ANCHORAGE
Heali Land Environmental Protect n
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
279-2511, x 224, 225
/� /�INSP CTION REPORT ON-SITE SS/�EW�AGE�DISPOSAL SYSTEM�'�/
NAME%�h L6}acer6 (MAILING ADDRESS -J ..?.."J_-�_e-_174.9c/ --L">Fi%{ONE 69`J 3�
LOCATION L&w� g ri4'4 Ke LEGAL DE. SC R IPT ION L4- A-115-- t/ 11 ®F (-43SEPTIC TANK:
DISTANCE ff � �n� N MBER OF
FROM WELL.NI ' ___ MANUFACTURER C bSs'--TMATERIAL 'Qt2 1 N9%(bFAPA RTMENTS _!
INSIDE LENGTH INSIDE WIDTH__._..'"-._.__ LIQUID DEPTH � —L IOUID CAPACITV6 GALLONS.
/ / 20 ( TOTAL LENGTH., ---,7
DISTANCE FROM WELL (. FOUNDATION _ __ _NEAREST LOT LINE_...__.. _-____.OF LINE /
1DISTANCE BETWEEN LINES ____9..— TRENCHWIDTHIN. TOTAL EFFECTIVE
of Lines --
/��p
ABSORPTION AREA �-`/ 50 FT LENGTH OF EACH LINE L5c7
DEPTH OF FILTER / !r
DEPTH: TOP OF TILL TO FINISGRADE -
-_FINISHMATERIAL BENEATH TILE 6 IN ABOVE TILE ' IN
SEEPAGE PIT:
DIAMETER OR WIDTH__ ., f_ENGTH__., DEPTI-I
Log Crib Rings Crib Size: DIAMETER_.___DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
BUILDING FOUNDATION NEAREST LOT LINE
Well
Class: Depth:
Well Distance To: Lot Line
Bldg: Sewer Line:
Pipe Materials: el -a Pe-.
# of Bedroomq:
Installer: LAW 5pA9 Muon
Remarks:
SO. FT.
f I IIV. 1 I P (�
D ATE &_.:72_'(71' ROV ED
M 1..-8 I°-4 :E e_ :IC F== f=G 1_-._ T_ - TL- "-a ° c.: ®9- f --e r- e_. a --a c -c t.- rl Ln= -
DEPARTMENT 0E -A _FH[_THPROTECTION AND ENVIRONMENTAL PTs'!]T
825 L fTREET: ANCHORAGE, HF:: 995'N,, °
,,----/- (S'0 . 279-2511 _
A::2L DIN —SI E LJ F° F"a-F.M Y. -Ty-15-77_
PERMIT NO.. C 77679 :
APPLICANT HL, H N
LOCATION LOWER F I REL.HF:tE
LEGAL LT. 145 .E _STi 5F4F W
P. O. BX. 594 E. R.
694-2309
LOT SIZE 100000 SQUARE FEET
TYPE OF SOIL ABSOR9TION SYSTEM IS: TRENCH
• MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING t71 F'T/BR) = 230
THE REQUIRED SIZE OF THE: SOIL ABSORPTION SYSTEM IS:
I_-• EEO-" 11-1— L. E B°-"1 G -I F-1 !t5E3 e...S F: EI EEF_ F_•• E. F-" -Tr Y-1 — e;
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRA1NFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE.
GROUND:' AND THE: BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVE... BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
•Fes° EE ®_:®4_I 1 F- IF=:1D• °_: F= F=" -1_ TC ®^ : -r- F I P-4 F( S 1 r __ E = 1_ el n a e. =-e a a n 1.._._ 1_ e_e r °I
F="a=EC F=::F=&GEE F"I_nI'-gi-Y- oF=°-F- 1 e_ef-4
H PACKAGE PLANT MAY BE INSTALLED AT THE E-ERt1ITTEE:'= OPTION SUBJECT TO THE.
FOLLOWING CONDITIONS:
1. EITHER H CLASS I OR 11 NSF APPROVED PLANT MAY BE INSTALLED.
2. H CONTINUOUS MAINTENAFdf:E AGREEMENT IS REQUIRED. IF H MAINTENANCE
AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE :=OIL._
ABSORPTION SYSTEM AND/OR YOLI MAY E:E SUBJECT TO PROSECUTION.
1.".1 C) •_: _ :-• T: 1°4 55 F=° rE IC 1-3: CD Y-.15 h=1 F°IFE FP° FE c'e 4_c :1: R F= I :_• — — -
BACKFILL.ING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND •APPRO'/AI_. BY THIS
DEPARTMENT WILL BE SUBJECT TO PRO-SECUT1'JN.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL_ SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 2001 FEET FOR A PUBLIC WELL.
OTHER REQUIREMENTS t'1HY APPLY. SPECIFICATIONS AND COONSTRUC:TION DIHGF:AI'15 HF:E
AVAILABLE TO INSURE PROPER INSTALLATION.
F=° FE F' N1 1 t F -:w" f=" _d F_° E.. F. • F-.. c__ E. F°7 F-= F-_ F. 1
T CERTIFY THAT
1: 1 AM FAMILIAR WITH THE REQUIREMENTS FC'R ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHjRA'3E.
i'.: T. WILL.. INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE.
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROfrt'IS.
APDL 1 CAI`
ISSUED BY
i" AL LARSO !N
Y- 0
^0 Et E GEOT CHNI CAL Et DEVELC.�MENT CO.
Russell Oyster
694-2774
Soils & Foundations
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
Earl El/is
688-2280
Land Development
Performed for: Name: ,4L Lasa,,./ Tel. No. Vii' " -°0i
Mailing Address: Rc9.Sox: 671, E,twt Eit/,ct, /Mr, ?5'377
Legal Description: Lot" 467, 5,re-25`, 776-M; ,e2W,
Depth (feet) Soil Characteristics
0
1 Aft 6/4, y- p .'
2
3
5
6
7
8
9
10
11
12
13 sorrow/ o/C
14
yPct Cr ia3'T
/J(4,1 s' rc 4750.47 t't
£4,efoy vis F,Q5 p /.f/ Rican;
.%.tl) 2 e -ds 5L k W'7`,v/A! 4 leai 7:t/n y
-5214407 6,CG4dez . Per ei iT
15
16
Ground Water Encountered: Yes No V- If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments:
;30 04,,.
'7744 /119cg$ hr?e
t!
%';ems /emit;
:rt
e 2 &D 1/5,
7
Performed by:
atm
Date: ,i//3/77
M -W DRILLING, INC: C
MUNICIPALITY OF ANC1I0P 0
DEPT. OF 11EA;SH P.
JUN
DRILLING LOG
Well Owner
iaa V. Use of Well Da' 1.
Location (address of: Township, Range, Section, if known; or distance main road
L,>1 1'-15 "T15N i? 4.1 S7
Size of casing Depth of Hole -'0 feet Cased to 103 • 35 feet
Static water leve] ft (above) (below) land surface. Finish of well (check one) open end (
);
Screen ( ); Perforated ( ).
Describe screen or perforation_ td/A
Well pumping test at ,• gallons per- (hour) (minute) for hours with— ft
of drawdown from static level.
Date of completion /
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
TO
(;3.3 is.r*, st:i6kuD
] TO > OTcgantcs
Q TO 2.11 Silty gravel; cohhly
TO 2g
2 TO
TO a0
50 TO
TO 7.0
Sand
Silty
Sandy "v01
Sandy
lJv .1. hard an
:1.00 TO 150 - q-ce2n ba(M)dc, no UaLrar
TO
TO
TO
TO
TO
2 --STATE
Parcel I.D.
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS
051-312-47
Expiration Date: /0 "~ c~ _/_Oz.-
'1. GENERAL INFORMATION
Complete legal description Alta's View Lot 2
Location (site address) 17833 James Way, Eagle River, AK
Curreht Property owner(s) Rich Moon
· Mailing address same
· Rea ,;Estate Agent ' Owner
2. TypE: ~I?D'WELMNG:
Day phone 223-2449
Day phone 223-2449
Single Family (w/we ADU)
Duplex
Multiple Dwellings (Single Family and/or Duplex)
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class C Well
Public Water System
5
TYPE OF WASTEWATER DISPOSAL:
Individual []
Holding Tank []
Community []
Public Sewer []
Received by: ~--~---~-~
COSA to be released tO the engineer, unless otherwise requested by the engineer.
Date: ~7/
COSA Fee $
Date of Payment
Receipt Number
COSA #
Date:
Date of Payment
Receipt Number
Waiver #
5. STATEI~T~)~PECTION 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 vedfy 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 NorthRim Engineering
Phone 694-7028
Address PO Box 770724, Eagle River
Engineer's Printed Name
6. DSD SIGNATURE
Steve Eng
'v" System #1 Approved for
System #2 Approved for
Disapproved.
Conditional approval for
Date 7/22/2015
.a,-'~. .' .~, %'"r ~.
bedrooms. ~ ...~:.~7_~ :.~.- ~
bedrooms, with the following stipulati~~
~ WASTEWAIt:R ~
--';.'~.-,,. PROG R.A.~,'I
By: Ox_~/~~ ~.-/~ Original Certificate Date: 7' ~ ~:~- /~'
The Municipalit:~,~,~,,,,.,,,.,rage Devlopmen ervices ivision ( ) ssue
upon the representations given in paragraph 5 by an independent professionai civil engineer registered in the State of Alaska. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
COSA blue sheeLg-l-12.doc
X Nitrate Advisory
Arsenic Advisory
Other
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure serw~:l by this system __
Certificate of On-Site Systems Approval Checklist
LegalDescription: ~J''7--~'~(,,¢ ~//'~---f,4.) ,/0'7-- ~'
A, WELL DATA
Well type p IfA, B. or C provide PWSID #
Total depthd ~:~ ft. Cased to/~-,/. ~$ft.
Parcel ID: (:3SI- ,.~fZ'- z.( 7
Well Log (Y/N) '~/
Wires properly protected (Y/N) y
Casing height (above ground) /2 in.
FROM WELL LOG
Date of test ~'/~ ~/'7 7
Static water level " ft.
Well product[on ~ g.p.m.
AT INSPECTION
~2. o
ft.
(:3. ~.~' g.p.m.
WATER S. AM~LE RESULTS:
Coliform" (~) colonies/100 mL Nitrate .,~, ~'-~ mg/L
Arsenic
Collected by: /v/-~f,,~ ~",~
B. SEPTIC/HOLDING TANK DATA
Tank size /.,,~0 gal. NumberofCompartments
Foundation cleanout (Y/N) _7~7 Depression over tank (Y/N)
C, ABSORPTION FIELD DATA
Date insta!led~ Soil rating (g.p.d./ft2 or ~/bdrm)
Date installed
Cleanouts (Y/N)
High water alarm (Y/N)
SYstem type
Gravel below pipe
Total_.~/ej.91dePth. ~1~ ff. ,.. E, ffi~absorption area 7'~¢¢ ft2 Monitoring tube ~ Depression over field
~teofadeqUaCy. te~,~*/~ ~e,~Its(P~ssIF~,,) ~ - For ~ bedrooms
~[uiddepth¢:~'¢~?~bn~%~eforetest ~ in. Wateradd~ 7~¢.gal. Newdepth ~ in.
ElaPse~.Tim~~~~ Final fluid depth ¢ in. AbsorPtion
',.: ......-'~,~' ,/~
Any rejuv¢~natJaq $¢;~t (past 12 mo.) (Y/N & type) ~ If Yes, give date
D. LIFT STATION ,4J/~'
Date installed
"Pumo on" level at
Datum
Size in gallons
"Pump off" level at n.
Cycles tested
Manhole/Access IY/N)
High water alarm level at
Meets alarm & circuit requirements?
SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
Animal containment areas
/00
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation //G
Water main //
Wells on adjacent lots
ABSORPTION FIELD ON LOT TO:
Proper~y line
Water Service line
Curtain drain
On adjacent lots / ~ f~
On adjacent lots / 0 o ~
Public sewer manholelcleanout ,/'~ O
Holding tank /,~ ~
Manure/animal excrete storage areas
Property line /0 /'f- Absorption field ~"
Water service line / ~ ~'f- Surface water /~0~/"/"'
,/~' r'4' Building foundation /' 0 re... Water main
.
Surface water /~ O "~" Driveway, parking/vehicle storage
~' G ~'~' Wells on adjacent lots ,/~ O ff'
COMMENTS
'
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municioal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name ~" ~--/¢'...-'~/~ ~'~L/~
Date '~/ ~2/ /-'~
COSA yellow sheeL2-6-15.doc
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Water Well Advisory
Certificate of On-Site Systems Approval (COSA) # 1513 72
During a recent COSA on-site inspection and test of the potable water
supply well on Block , Lot 2 of Alta's View subdivision, the well's
productivity was determined to be 0.55 gallons per minute. The minimum
well productivity required by this Department (AMC 15.55) for a 5-bedroom
residence is 0.52 gallons per minute. Although the subject well currently
exceeds this minimum requirement, all parties concerned are advised that the
production capacity of the well may fluctuate. Restriction of non-critical
water uses such as washing cat's and watering lawns and gardens may be
required.
This advisory must be attached to all copies of the subject Certificate of On-
Site Systems Approval.
LOT 140
LOT 1
OLM ROAD
RESERVATION
(LOT 145)
OLD SEPTIC
TEST HOLE%
LOT 2 "~
LOT 1 46
CANT
/
/
JAMES WAY
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information Application Date
(a)
Legal Description (include lot, block, subdivision, se tion, township, range)
Lo2Y-11 /cants Name
(b) Ap tion (address or directions)
dal 9 4.2_)gci„. Telephone - Home Business
Applicants address
(c) Applicant is (check one) Lending Institution ; Owner/builder IX 1 ;
Buyerrr---7 ; Other (explain);
(d) Lending Institution
Address
Telephone
(e) Real Estate Co. & Agent
Address (i'O. 15/7
Telephone
(f) Mail the
'9c/-• 93 7 —/77, 4 %'/'r>soI
HAA to the/following address:
C OA/ cT `/a 6-0LA"
2. Type of Residence
Single -Family I 1
Number of Bedrooms
Multi -Family
dr
3. Water Supply -
Individual Well Community
Other (describe)
Public Ii
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 FT Holding Tank pi
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]
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 regula-
tions in effect on the date of this inspection.
Name of Firm
Address ea :' ` NOINE RiNC3
3?.'r 9 0}t
u,-,aLsi RIVFr1. PH, ALASK1,�,57:dSp/
617
Date 69V107'-S7J f7
6. DHEP Approval
Approved for
Approved
bedrooms
(ENGINEER SEAL)
Telephone
,e`� ssOF .q 4. !1
i�P'." •�S4b
ami. 911
,•
Robed A. Skater
;S"'.• No. lur-E
da]AaFa.......•..•' ���,�`�.
By arc/E./San-Jr ®� pROFEESION� /4fj�
Date �`®�vru.•a'�~r,
Disapproved Conditional
Terms of Conditional Approval
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS 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 REQUIRE-
MENTS. 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.
RR4/ej/D18
[Page 2 of 2]
(DHEP SEAL)
7-19-84
n n •
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
'AUG 31984
RECEIVED
A. WELL DPSTA
Well Classification 5, 17 If A, B, or C, D.E.C. Ap roved(Y/N)
Well Log Present N) Date Completed 5-19/97 97 Yield .1-6P,774
Total Depth /5 0 t Cased to /733,83-t Depth of Grouting
i
Static Water Level 85 Pump Set At a le,
Casing Height Above Ground 2St Sanitary Seal on Casing (aN)
Electrical Wiring in ConduitAN) 'N) Depression Around Wellhead (Y/N)
Separation Distances from Well:
/60
i
To Septic/Hg Tank on Lot
To Nearest Edge of Absorption Field on Lot ���
• On Adjoining Lots /Op /-1-
; On Adjoining Lots /Zk) /I
To Nearest Public Sewer Lie A -
Water Sample Collected By ,5 c5 CN
Cleancut/Manhole c� To Nearest Sewer Serve Line on Lot
80
�?. ; Date `7� I26V
�1 5frES-7i� it e�
Comments � G�E�t� ��--rev,) "T�i S � F=o -7-74,c; 1./F ---L c TC
T ie -DD 0Ct' /A/ exce or 9$Gv°rr9 4r O z //UG ry
r/t• o AIeg reer Asak'fls e tv.em-re 4 r �a free
B. SEPTIC/ G TANK DATA/ pe,40acc 6c/ 1?- ,
Date Installed 646o///77 Size /0e0 No. of Compartments 2 -
To Nearest Public Sewer
Water Sample Test Results
Standpipes(OIT) Air -tight Capse 9/N) Foundation Cleanout QN)
Depression over Tank (Y 7 Date Last P d6?////6154
Pumping/Maintenance Contract cn File (Y/N) //Q ; for `�j
Holding Tank High -Water Alarm (Y/N) 4/4 Temporary Holding Tank Permit (Y/N) 2
Separation Distances from Septic/Hutd5PAg
To Water -Supply Wall A10
To Property Line
To Water
Course
Comrents
Main/Service Line
N
Tank:
To Building Foundation
To Disposal Field
/0
To Stream, Pond, Lake, or Major Drainage
[Page 1 of 2]
2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorpt'on Strata 2-30) 42-- Type of System Desion /g6 -AKIN
Date Installed 6/77 Length of Field
9
Width of Field tD Depth of Field
Gravel Bed Thickness
7z
Square Feet of Absorption Area 69b li Standpipes Present MIN)
Depression over Field (Y ) Date of Last Adequacy Test 8/l / g q
Results of Last Adequacy Test >/777.$',CAc 7z n ,/ f&.)t / ,5EQ'
Separation Distance from Absorption Field:
To Water -Supply Well
To Building Fo ndation
Lot �7/a-
To•Water Main/Service Line
On
N
To Property Line /p Cr
To Existing or Abandoned System cn
30 -/-
joining Lots
To Stream/Pond/Lake/or Major Drainage
To Driveway, Parking Area, or Vehicle
Cucments
To Cutbank(i present)
Course
Storage Area Bo
D. LIFT STATION
Date Installed Dimensions
Size in Gallons Manhole Access (YEN)
".Pump On" Level at „ /"Pump
High Water Alarm Level at
Tested for Pumping Coles diming Adequacy Test. Meets MOA
Electrical Codes(Y/N) / ,q
f" Level at
Vent (Y/N)
Colmnents
** **
Check Permitted Bedroom Rating Against HAA Request
I certify that I have checked, verified, or
on the date of this inspection.
8 & ENGINEERING
qRu 190X
I Vr.G .E RIVER. ALASKA 'DOW/
PH, s94a?979
Signed
Company
KB1/d5/s
[Page 2 of 2]
conformed to all MOA HAA Guidelines in effect
2-15-84