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HomeMy WebLinkAboutNEWBY LT 2ANewby Lot 2A 015-081  O Municipality of Anchorage Development Services Department Building Safety Division . On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND]OR WELL INSPECTION REPORT Permit Number: OSP101242 PID Number: 015-081-29 Name: JAMES NEWBY Wastewater System: [] New [] Upgrade Address: 9600 GROVER DR., ANCHORAGE, AK 99507 ABSORPTION FIELD Phone: Number of Bedrooms: ~ [] DeepTrench [] Shallow Trench [] Bed [] Mound [] Other: LEGAL DESCRIPTION Se, Rating: Total Depth from original grade: 0.8 GPD/Ft2 9 Ft, Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 2A NEWBY 3 Ft. 6 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 0.96 - 1.49 Ft. 47 Ft. Well: [] New [] Upgrade Gravelwidth: Number of lines: ] Distance between lines: 2 Ft. I[ - - Ft. Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Private-Existing Ft. Ft. 563 Ft2 D3034 Driller: Date Drilled: Static Water Level: Installer: Date Installed: Ft, Sanders & Sanders 11/04/2010 Yield: Pump Set at: Casing Height Above Ground: GPM Ft. Ft. TAN K SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other: T~ To Septic Absorption Lift Holding 'ublic/Private,Manufacturer: Capacity: .rom Tank Field Station Tank Sewer Line Anchorage Tank 1250 Gal. Well 100~+ 100'+ 100% NA 25'+ Material: Number of Compar[ments: Steel 2 Surface Watar 100'+ 100'+ 100'+ NA ~ / LIFT STATION Lot Line 5L{' 10'+ 5% NA~ Size: Manufacturer: 1250 Gal, Orenco - Anchorage Tank Foundation 5'+ 10'+ 5% SA "Pump on" level at: "Pump off" level at: in. High water alarm at: 44" in. 42" 48" Curtain Drain NA * 50% NA NA Pump Make & Model Electrical Inspections performed by: Franklin 244504i~117-1/2hp Ed's Electri~ Remarks: · None known, lO gauge deep burial STEP installed. BENCH MARK Location and Description: Previous existing absorption field and septic tank were Bottom of Siding decommissioned in place per UPC. Assumed Elevation: 100 Ft. Engineer's Stamp Inspections performed by: ArcTerra Dates: 1st 11/4/10 --~'"~,*~..~'~'.~. 2® 11/4/10 Development Services Department Approval Reviewed and approved by: 9.~' /Un~:,,J~,,~',/,~ Date: /'~ 2_./0 ~&~:' ,~": / AS-BUILT SYSTEM DETAILS/SITE PLAN PERMIT # OSP101242 NEWBY LOT 2A RID# 015-081-29 ,' ',-- , x -; .~..:~.~.~`J~;.``~;~:?~:?..:~:.~1~`:~:..:~`?.*.*f::~;;~:~:`~?...;/.~:`~:::f..%..~ _ ._.. _.___.___ :~ × ~< :< × :: i 10' Utility Easement ' '~ LOT 2A E ' ~%'x NEW . ~" % 101250GAUGEGAL i ~ '?' i'= ~ ;'i; ] 7 F- : STEPl CONDUIT ,f 2.~" "'.]': ]~ , , STANDPIPES "~''" 3' TBM :z: m FCO PANEL ~¢ ~"'1";'"'"':" : ":'"' ..... :< o Well ~: hain link fence I [  32.0 ~j;): : A .. , .,,:. , ...~.... ;~.,..~.. ','....,..,,.. ,' .. . . .. ~","~.. indow well (typ) · × × × x × '~ .(.'-:..,.::'-;...,_~ g B-C=48.9' ~ - CA-D=63.8'.~ , = ° ° = ~- ~ FINAL GRADE ~ / B-D=53.9 I A-E=118.8' ' ~ ¢, A-F=98.4' SEWER ROCK z~B-F=98.3' ~ ~ _~ ~..~-~~ J 4,, I "° ~'"'"'- ~"' ~ ~ oF SCALE: NTS _e3 ~,~,..~., . - · '~.~.~,~ ~ · PREPARED FOR: 'I ,% -: ~ ~ ~.22 ....... .',,, ¢'' '~' '"' .... · ~ · AK. 9957"/ 10GA 1250 GAL \ CHERYL MOORE 16151 NICKLEEN ST. ANCHORAGE, AK 99516 FIELD BOOKS COMPUTED: eou.~¥: BOUNDARY DRA~: BMW STAKINg: STAKING CHECKED: KMD -. ASBUlLt: WAL DATE: 1 1/g/1 0 2459 / ACAD nE: FILE ~o~ No.: 10-172 Inspection Report Municipality of Anchorage, Building Safety Division 4700 Elmore Road INFO & HELP (907) 343-8211 INSPECTION: VOICE (907) 343-8300 · FAX (907)249-7777 · www.muni.org Name KENNY Permit # 10-1071 Company Address Grid Subdivision Work Description ED'S ELECTRIC Inspection Date 09-Nov-201 0 AM 9600 GROVER DR Phone 272-4591 SW2439 244 NEWBY LOT 2A BI( n/a TR n/a Elec Only: Replace with a new septic system Insp. performed/prepaid 2 / 1 Permit Technician BARGANIER, TONY A. Comments or Directions Inspection Type Electrical:Final Electrical Comments (for inspector use only) Inspector : .............. ............................... Date Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit OSP101242 01508129000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: October 26, 2010 to October 26, 2011 Design Engineer: ARC TERRA CONSULTING INC Subdivision: NEWBY Site Legal Address: NEWBY LT 2A G:2439 Owner/Address: NEWBY JAMES S 9600 GROVER DR ANCHORAGE AK 995070000 D (; l. a r t m e n t' I/ -" Z~ Site Mailing Address: 9600 GROVER DR, Anchorage Lot Size in Sq Ft: 59093 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Date: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www. muni. org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-081-29 Property owner(s). JAMES NEWBY Mailing address 9600 GROVER DRIVE, ANCHORAGE, AK Site address 9600 GROVER DRIVE, ANCHORAGE, AK Legal description (Sub'd., Block & Lot) NEWBY LOT 2A Legal description (Township, Range & Section) Lot Size 59093 Sq. Ft. Day phone .Zip Code 99507 Zip Code 99507 Number of Bedrooms 3 THIS APPLICATION IS FOR ([~ all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. ARCTERRA (Signature of property owner or authorized agent) Permit/Rush Fees: $530.00 Date of Payment: 10/19/10 Receipt Number: ~... /~ 7(~ (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: AR P RRA ©ON~UL~IN~, IN© 212 E. 51st Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 October 19, 2010 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit - Newby Lot 2A The owner has requested we proceed forward to obtain a septic permit to upgrade the failed leachfield on the subject lot. The general slope of this lot is from east to west at a grade of approximately 0-3 %. On October 11, 2010 a testhole was performed to investigate soils and groundwater. The results of this test are attached for your review. The proposed upgrade will serve the existing 3-bedroom house. Due to the elevation of the basement, we propose to install a 1250-gallon STEP tank and one 47' long pressurized deep trench. Groundwater was not encountered during excavation or at monitoring. The existing septic tank will be decommissioned per the UPC. The property and adjacent lots are served by on-site private wells as shown on the plans. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868-3792/FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Attachments: On-Site Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test Owner/Contractor Specs 20441 PTARMIGAN BLVD · EAGLE RIVER, AK 99577-8736 · PH (907) 868-3791 ° FAX (907) 868-3793 WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN NEWBY LOT 2A T Woll WELL RADII & E,~SEMENTS / · ~ PRIOR TO CONSTRUCTION Scale: 1"= 30' : DESIGN DETAILS PAGE 1 OF 2 3 BDRM X 150 GPD :450 GPD .... 450 GPD/0.8 GPD PER SQ. FT. (7 MIN/IN.)= 563 SQ. FT (563 / 2 x (6' GRAVEL) = 47 FT. TRENCH :' USE 1 TRENCH-47' (L) X 2' (W) X 6' (D) Total depth of system is 9' from odginal grade. : Total depth of gravel below distribution pipe is 6' " NO PUBLIC WELLS WITHIN 200' OF ' ,~O~OS~D SYSTm. NOTES: NO PRIVATE WELLS WITHIN 200' OF PRo~osEg SYSTE~ EXCEPT*S NOTEg. 1 .INSTALL 1250 GAL STEP & INSULATE TANK IF <4' COVER. NO SEPTIC SYSTEMS WITHIN 200' OF ~.; PROPOSE~ WELL EXCEPT AS NOTm 2. INSULATE TRENCHES WITH 2" HD BURIAL FOAM IF < 3' OF FILL. ,. MIN. 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. CONTRACTOR WILL ENSURE ALL SEPA~TIONS TO ADJACENT · - WELLS, SEPTICS EASEMENTS, PROPER~ LINES, ETC... ~~. ' PREPARED FOR: '__~__: CHERYL MOORE .. ~ FIELD BOOKS COMPU~: · B~NDARY: BOUNDARY DRA~: BMW NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. WASTEWATER DISPOSAL SYSTEM DETAILS NEWBY LOT 2A PRESSURIZED DISTRIBUTION SYSTEM HOLE SPACING DESIGN 1, RESIDUAL HEAD = 5' 2. HOLE SIZE = 3/16" = 1.00 GAL. PER HOLE @ 30 PSI 3.30 GALS (PUMP DELIVERY)/1.00 GALS./HOLE = 30 HOLES 4.47 LF LATERAL/30 HOLES = 1.6' SPACING PER HOLE 5. ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS· _Well Scale: 1"= 100' PAGE 2 OF 2 PREPARED FOR: CHERYL MOORE 16151 NICKLEEN ST ANCHORAGE, AK 99516 FIELD BOOKS co~4~u~o.- eou.o~Y= BOUNDARY ~: BMW ~Ne STAKING ~iL?: WAL FILE: FILE ~£~: KMD ~)^~ 10/19/10 ~m: 2439 ,x)s .o.: 10-172 CONSULTING, INC 212 E. 51st Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST Performed for: Cheryl Moore Date Performed: 10/11/2010 Project: Newb¥ Lot 2A Depth ORG/OL 1- TEST HOLE # TH 10-1 SEE ATTACHED SITE PLAN FOR HOLE LOCATION 3- 4- 5- 6- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- SM -gp/sp pockets top 6' w/occ, boulders to 1' B.O.H. HOLE PRESOAKED PRIOR TO TESTING Was Ground water encountered? NO Depth to water after monitoring? DRY What depth? NA Date? 10/18/2010 Reading Date Gross Net Depth to Net Time Time Water Drop 1 10/12/10 1:00 6" 2 1:30 30min 1 5/16" 4 11/16" 3 * 1:30 6" 4 2:00 30 min 1 5/16" 4 11/16" 5 * 2:00 6" 6 2:30 30 min 1 6/16" 4 10/16" 7 8 9 10 11 12 · Water Added Percolation Rate 6.62 (min/in) Perc Hole Diameter 6" Test Run Between 6 feet and 7 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. CONSULTING, INI3 212 E. 51st Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: NEWBY LOT 2A GENERAL: 1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a single-family residence on the referenced property as delineated on the attached Municipality of Anchorage (MOA) permit and site plan. Construction shall be in accordance with the approved site plan and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 2. ArcTerra Engineering & Surveying, Inc. (ArcTerra) assumes no responsibility of the accuracy of the as-built survey provided by the owner or owner's representative. 3. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or use of dwellings on or adjacent to property, nearby public wells, etc. 4. The contractor shall be responsible for locating any necessary underground utilities, easements, property lines and surface water. The owner and/or contractor shall ensure, if deemed appropriate, that a registered land surveyor prior to construction flags all setbacks. The contractor shall be responsible for verifying all pertinent separation distances and component layout. 5. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 6. The MOA Development Services Department On-Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK/HOLDING TANK/LIFT STATION INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent damaging, settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade. NEWBY LOT 2A October 19, 2010 Page 2 of 4 4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leach field there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. 7. All H.D.P.E. tanks shall have a vertical length of 4-inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy forces in high-groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed-up) before gravel (sewer rock) placement. 2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturer's specifications and MOA requirements. 20441 PTARMIGAN BLVD · EAGLE RIVER, AK 99577-8736 · PH (907) 868-3791 · FAX (907) 868-3793 NEWBY LOT 2A October 19, 2010 Page 3 of 4 MINIMUM MATERIAL SPECIFICATIONS: 1. A MOA approved septic tank manufacturer must construct proposed for installation. 2. The following pipe materials installations: Type of Pipe Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Insulation shall be at least 2" any septic tank are MOA approved for use in septic system Perforated Solid Yes Yes Yes Yes Yes No Yes Yes thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5'-2.5' screened gravel with less than 3% passing the #200 sieve. If deemed necessary, a sieve analysis should be performed. 7. When sand is being used as a filter material, its gradation specification must conform to current MOA or ADEC requirements. INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any other backfill. 3.The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached MOA permit. All materials, components, and construction practices shall comply with the MOA's and the State of Alaska's latest ordinances, regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to notice a material or construction non- compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing between the contractor 20441 PTARMIGAN BLVD · EAGLE RIVER, AK 99577-8736 · PH (907) 868-3791 ° FAX (907) 868-3793 NEWBY LOT 2A October 19, 2010 Page 4 of 4 and ArcTerra. ArcTerra shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the MOA. ArcTerra shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. ArcTerra's inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGE HAVING READ AND ACCEPTED THESE SPECIFICATIONS. 20441 PTARMIGAN BLVD · EAGLE RIVER, AK 99577-8736 · PH (907) 868-3791 · FAX (907) 868-3793 z:%GREL.;R ANCHORAGE AREA BOR, ~.,1'1 (~i Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT NAME LOCATION SFPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH ON-SITE SEWAGE DISPOSAL SYSTEM MA, L,NO ^DDRESSPHONE LEGAL, ESCR,PT,ON '~. "~ NUMBER OF LIQUID DEPTH LIQUID CAPACITY/~OGALLONS. TILE DRAIN FIELD: DISTANCE F'ROM WELL NUMBER OF LINES __/ ABSORPTION AREA __~)/~'~/ DEPTEI: FOUNDATION ~¢ ~/- TOTAL LENGTH .NEAREST LOT LINE ~-'~ 'Y: ~¢,~ ¢ __ _OF LINES DISTANCE BETWEEN LINES __/~/~_ TRENCH WIDTH '~'6 IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE ___Z¢~ TOP OF TILE TO FINISN GRADE q l DEPTH OF FILTER j~_~_,' ~/ , MATERIAL BENEATH TILE__ 1~. ABOVE TILE IN, WELL: TYPE ___ BUILDING FOUNDATION__ CESSPOOL APPROVED ..... CONSTRUCTION NEAREST NEAREST LOT LINE ____ SEWER LINE__ OTHER SOURCES DISAPPROVED DEPTH SEPTIC SEEPAGE TANK__ SYSTEM REMARKS DISTANCE FROM: DISTANCES: SEWER LINE DEPTH: /-~ / PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ-032 DIAGRAM O1: SYSTEM G.A.A.B. (.~ ~ GRB ER ANCHORAGE AREA ~ ~ ' i ~ Per~4~T NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 :,.=~'~- ~ TELEPHO~IE ;~74-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT .A.E * APPL,CANT ' MA,L,NG AD*E~¢/ /¢~'" *ONE 'NSTALIAT,ON LOC--O. ' , INSTALLATION OF: SEPTIC TANK ~ .,, . -- SEEPA6~ PIT.q FINANCED THROUGH TO BE INSTALLED COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED· BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION bY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTANCES, FOUNDATION TO SEEPAGE PI]' SEPT,C TANK TO ,.T~LL SEPTIC TANK '- .. SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD ., DEAIN --, SEEPAGE PIT , ALSO CONSIDER AREA WELLS, WATER MAIN TO SEPTIC TANK .. SEEPAGE PIT - DRAIN FIELD SEPTIC TAN K, /~(.'.~ . .SEEPAGE P'T . DRA,N TO RIVEE, LAKE. STREAM. I' ' '-:'-~ ! I--~ j !~"~LF',~;.'/'~-I~ 1,4~,. ....... I '- I ..... ! '-~..t-~--1 ' ' l~J ~'*' ~ ,:, ;.. _~ . ' ~ ..... ~ - I.j. ~.~ I-" ' ~ ~ ~ ' X-: ~ ~ · ~ ~ .... CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST lEON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT PITTED WITH AIRTIGHT REMOVABLE CAPS. co..o...o.o.o.:7,o.. ~ OERTIFY ~HAT ~ AM FAMiLiAR W~TH THE REQUIREMENTS OF GREA~E~HORA~EARE~B~.~UGH~/~:.r_,~~,~8 ¢__¢x 7 THE ABOVE GREATER ANCUORAGE AREA BOROI Department of Environmental Qu,.ity 3330 "c" Street Anchorage, Alaska 99503 Depth Feet i--z SOILS LOG - PEROLA'PION TEST er', ormed for c~/~-~,~ _~' /~Fz, ~* O P '..- -- .... ~-~= ..-= .... ~,~:-= __ ~ ate erfo m~d ~--/~-)~ ~ ...... %~W ~. ~¥ 5- 6- 7- / Was ground water encountered? , at what depth? Reading Date Gross l'ime Net Time Depth to Water Net Drop Percolation rate minute. - · Proposed i ns tat 1 a t ~=~-6h-:-' '-~}]~!~a--(.te Pi t brai n F icl d '0~:pth of Inlet ................... . DeptITT6' ]~-STt~ii[-o¥-i)it or tre. nch ............................. COI.IMENTS: 040 (6/?4) ~(,ndHAuk, ALAS~,q ~9502 -' RECEIVED Performed For Bri:~,z C. onstruction . Oa'te Pe~$m~]~'~/2~7.3.. Legal Description: Lot Block Subdivision T12N, R3W, NB 1/2, Sec. ~This Form Reports Soils~Log x ~er~.~J~$~u~u~y .... Depth . . Feet Soil Characteristics ]~'rown sandy silt Gray silty sand (SM) w~Doorly graded sand.seams w/scattered gravel below 6' W~s Ground Water Encountered? No If Yes,'At What Depth? - Reading Date Gross Time ' Net Time Depth to H20 I Net Drop Percol"~'t'i'on ~ate Minute Proposed Insta]'lation: Seepa9e Pit x Drain Field Depth Of Inlet Depth To Bottom Of Pit O~ Trench COMMENTS: 205 so. ft. of drainage area is required Der bedroom T~S-t performe'd By_ ~.E. Carlis~.e_ D-a-t'a certi'fl~d By: ALASKA MINERAL & MATERIALS LAB,' INC ~ ; Date: ...... July '30, _2~73. 'DO NOT FILL IN USG' ,Io. / Location {address o£: Township, Range, & Sectfon [if known); distance from road: Siz~ of Casing_ epth o~ Hol _ e~t. Cased to... <~ ~ M feet. Static water level_ .~ ~eet (~) {below) land surface. [check one) ~en end {~): Screen { ): Per~orated Describe screen or per~orations: ~'tell p~ing tost at--gallons ~$ ~ [min) ~6~ ~eet o~dra~down ~rom static Finish of ( hours 'with Remarks Depth in"~eet from ground surface ~,']ELL LOG ..,. . . .... '' G~ve det'a~fs"4£ formations penn'rated, size of' material, color) and hardness ....... ~. ~ . ,~ -- ~.,,~- . .... I' ; . ~ " ~ f/.'_ ,o ia' tO tO to to CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 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 Parcel I.D. 015-081-29 1. GENE~L INFORMATION Complete legal description NEWBY LOT 2A Location (site address) 9600 GROVER DRIVE, ANCHORAGE, AK 99507 Current Property owner(s) JAMES NEWBY Day phone Mailing address 9600 GROVER DRIVE, ANCHORAGE, AK 99507 Lending agencY Day phone Mailing addreSs Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [~ [] Individual Holding Tank ~ [] Community On-site [] [] Public Sewer [--] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedfy 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 fror~the Municipality of Anchorage files and from my investigation and nspection, the on-site water supply, a ~,d¢or Wastewater. disposal system is(are) in compliance with all applicable Munici ai' andp State codes, ordLn~e~s, and regulations ~n effect at the time of installation. N~e of Firm ARCTERRA CONSULTING, INC. Phone 868-3792" Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 11/09/2010 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these vadous and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. DSD SIGNATURE j/'/' Approved for _~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X (Rev. 11/05) / Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage DevelOpment Services Department Bui!ding 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 CHECKLIST Legal Description: NEWBY LOT 2A A. WELL ,DATA Parcel ID: 015-081-29 W~e!! ~ ~A~ il~.A,B, orC prOVide'PWSlD:# Well Log (Y/N) ¥ Date completed-tO,3,1975 Sanitary seal (Y/N) Y__ Wires properlY protected (Y/N) ~ Total depth 86.5 lt. Cased to 86.5 ;It. Casing height (above ground). 2a,+ in. FROM WELL LOG AT INSPECTION Date of test 10-19715 10-15-10 Static water level 66 ff. 66 lt. Well productiOn 5 g.p. m, 5.33 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100mL Nitrate 4.44 Arsenic: ND ,mg/I Date of sample: 10/15/2010 B. SEPTIC/HOLDING TANK DATA ~ mg/L Ca Collected by: A~cTe~a Tank Type/Material STEP/Steel Date installed 11/04/10 Tank size 1250 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) ¥ Date of pumping NA- New Tank Pumper ABSORPTION FIELD DATA Date installed 11/04J2010 Soil rating (g.p.d./ft2 or ~/bdrm) 0.8 System type Deep Treach Length 4? lt. Width --2 ff. Gravel below pipe 6_~ff. Total depth 9.96 lt. (Measured 11/8/10) Eft. absorption area 563 fi2 Monitoring tube Y Date of adequacy test NA - New Fluid depth in absorption field before test __ in. Depression over field N Results (Pass/Fail) Pass For 3__ bedrooms Water added gal; New depth in. Elapsed Time: min. Final fluid depth ~ in. Absorption rate >= __g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If Yes, give date --- D. LIFT STATION · Date installed 11/~201_0 Size in gallons 1250 Manhole/Access (Y/N) Y "Pump on' level at 44 in. "Pump off" levelat 42 in. High water alarm level at 48 in. Datum Bottom of ?aak Cycles tested 2_ Meets alarm & circuit requirements? Y__ SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ PubliC'sewer main: 75'+ Animal containment areas 50'+ On adjacent lots..100'+ On adjacent lots 100% Manure/animal excrete storage areas I00'+ Building foundation 5% Property line 5'+, Water main 10'+ Water serviCe line 10'+ Wells onadjacent lots too'+ sEpARATION'DISTANCE FROM ABsORpTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water Service line 10'+ Surface water lOO'+ Curtain drain 50'+ (Nose Know. t) F. COMMENTS SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Absorption field S'+ ' Surface water lO0'+ Water main 10'+ Driveway. parking/Vehicle storage WellS on adjacent:lots ~:00'+ . 10'+ G, ENGINEER'S CERTIFICATION , .:~.~.'~ ' certify that, have determined through field inspections and ~~" review of Municipal records t/mt the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name I(ENNF. TH M. DUI~IrUS Date 1i/09/10 . ,,, COSA Fee ~ ~P ,-~ -- ,]-,~0 Waiver Fee $ .... Date ofPayment I t/°~/[~ ///~-/0 Date ofPayment !' ! Receipt Number ~) ~) ~' ( [ C _/~ / 5 ~ ~ Receipt Number (Rev. 11/05) m ,-~m ~s~ ,-I '-r z Z 49 / 10' Utility Easement / NOO°O6'18"W 155.39 54.0 1 Story Frame House with basement 54.0 32.0 .o 32.0 / / / / / / / t / / / / [ NOO°O6'18"W 155.63 GROVER DRIVE GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received June 23, 1976 Time of Inspection Date of Inspection.~vtC~.Q~ ~.S REQUEST FOR APPROVAL OF /q/~7~Y~Y3zAF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval requested by: Alaska MUtual Savinqs Sank % Chris Anderson Mailing Address: ~a_ia~x 1120, 99510 2. Property Owner: James S & Betty A Newby 4. 5. 6. Phone: 274-3561 Phone: 344-5359 Mailing Address: , BQX 101,27, 99502 Legal Description: ~12N R3W Section 14 NW~ NW¼ SE¼NE¼ Location: Abbott Road, Hillside Drive right at Grover Type of facility to be inspected Sinqle Family No. of bedrooms 3 Well Data: Individual A. Type ~ B. Depth C. Construction ~J~49/'~-~.~2-~-c~_ D. Bacterial Analysis Sewage Disposal System: On-site system ~ A. Installed B. Installer C, Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: 1. Size 2. Manufacturer 1. Absorption Area 2. Material Total length of lines A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination , Absorption area ., Sewer Lines ..... , C. Absorption area to nearest lot line __ LQ-034 (1/74) Page 1 of two pages Page 2 of two pages - R~ st for Approval of Individual er & Water Facilities legal Description T12N R3W Section 14 NW½ NW~ SE¼ NE¼ Comments Approv~ for one year from date signed Greater Anchorage At~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) 1. Type of Inspection: 2. Property Owner: 6-17-76 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION JUN 2 3 1976 RECEIVE[) CMRO VA FHA CONV James S. and Betty A. Mailing Address: ]~ox ].0127 3. Name of Buyer: Refinance Anchorage~ Ak 99502 Day Phone 344-5359 Mailing Address: 4. Name of Lending Institution: Mailing Address: ]?.0. Box 1120 Anchorage, ^k 995]_0 Phone 5. Name of Realtor or Agent: None Mailing Address: Phone Day Phone Alaska Hutual Savings Batik Chris Anderson 274-356]. 6. Legal Description: ;~f 1/2 b]W 1/4 SI-', 1/4 NJ,: 1/4 Sec ].4 T12N R3W Location: Abbott Rd. Hillside Dr. Right on Grover 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: o SF No. Bdrms. Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) One EQ-037 (1/74)