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Home My WebLink AboutTERI #2 LT 1Teri #2 Lot 1 #050-751-26 (Kev Ub/U2/18) Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221191 PID Number: 050-751-26 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name Eric &Shannon Jensen ABSORPTION FIELD El Deep Trench El Wide Trench El Bed ❑Mound Site Address 31445 Prudhoe Bay Ave ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Teri #2 1 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 100'+ n/a n/a n/a 25'+ TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface water 100'+ n/a n/a n/a Material Number of compartments Lot Line 5'+ n/a n/a n/a NA HDPE 2 Foundation 10'+ n/a n/a n/a LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield CMM Drainfield CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) ft Inspdection X51 7/22/2022 7/23/2022 Location and description 3'd 2nd 4,h See Site Plan, Bottom of house trim @ A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date •••.• ��P�G. *•4ATM :* .... .. ....... ••$�eVen aririoRe Septic System CE 8149 Approved pp Lf% Date /Z 2 Z '• '••�, Note: this approvp oes not include well permit requirements. (Kev Ub/U2/18) �mmo ^^ I -i cn o 0 cc) C —I Z cn N DO -<;7 o T� KI W - K FTI O lv N o N C) �O11-1-on OCr'-)X 30. m rTl (N1i m0 C z z m Z oo D I O C) ��-0am06ONO rn � c0 D (n > D om� 0 00 ,-, m `� rn o fD Z77 CUM TZ M azo _0 o cn D P o * r m 0) 0) O Ln rn O LID m OC m1 D G7 0) O Z mai C) m cm n U)\ U) / C) Cb co / Cb CA rn cb Cb 1 I \ \ Ili /moo �� I If I / I / i (o p m > 1 CnKcc / O < / '- / O I m / Cn ti -' / O o mm o o Lo m H: 22 oLn J / V N 2 1 / / / / / / r r m O,/ / // 001 0 D� o I I / // / a a' N/ z m I _ / / I I N oo fJ / / I / / co 10 - / '> a / 0 _ I / I / � m NOTES: PANNONE ENG SVC LLC (C.1. 1088) REVISIONS DATE RECORD DRAWING P.O. BOX 1807 PALMER, AK 99645 OF 2023.12.12 PHONE (907) 745-8200 FAX (907) 745-8201 p{ SCALE DRAWN MMM TERI # 2 LOT 1 ... .. `_1"=so' '•'. * P.I.D. NO CHECKED ACP ERIC & SHANNON JENSEN "!elevei, ooriope 050-751-26 C1= 8149 PERMIT NO. SITE: 31445 PRUDHOE BAY AVENUE z023.121z. OSP221191 SITE PLAN EAGLE RIVER, AK 99577 SHEET 2 OF 2 ,00. ,I � `oo.0\ Of ,pL . Sbr N 90000'00" E 337.69' 0 Q N O CeQ W c 2 It ��.; �ii}r! ❑OCo LLI DECK N 66.8 r 5.9 a of W W r 2i U m 0 Q N o, () of 0 crLL_ 8•p' 'o ❑ w 2 W Q 6'LL DECK N 90000'00" E 337.69' 0 Q N O CeQ W c 2 It ��.; �ii}r! ❑OCo LLI \ O7i-Z FQ-z �p Q mT w U1 \ th �OQZo 0,Z¢ \ ON❑CS W W 00 ¢zocW�x U)0DU) l=-0 ¢ 01wdoE w WZOD LL Off UJ wou)wI- � F- O - p z z p OEQ ) O2 �� wnZOU(U)w ❑ \ ( Q W }F- Z OU` rn0�� 3� Q �F--2: ❑(-)Ir ,w�aWm� F=- Q w w \ �o tit W�OU �U-�p�� pz� W� CO \\ OZOC) UOQ! Z woHxww � ❑OZU W zF-�Z< LU 0 >0'cf U). ggw-.a 0 0 w`(0{Q-�(L(n 1 oiFWa=z U Ov 00 (-)- —0 ��a�� oLLQ¢0LLW O --- (b h cr:co z (naIUQ aNa¢o> nj \ ❑ ❑ U z Q ❑ oar �wzc O❑W �O<U�=W ❑� cw�WNW Ww h ❑ I LO O w�pwWoOm�QW ��¢z7w -- -- -- 200-3>wo<w L> o¢oom~ N' W w�wwt- Wa ��F¢W U) W U) -D ❑CnCn�LL': �z-�-'-� m,. 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Q�=tntAZDWSn to =mo0io 0 W F- D F- F F- ¢> F 0 - MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PUBox 1S00oO – 470OElmore Road — Anchorage, Alaska 8951e8650 Phone: 904 Fax: (907)o43-7997 Permit Number: [)SP221181 Work Type: SephcTankUpgnad* Tax Code Number: 05075126000 Site Legal Address: TER|#2LT 1 G:0704 Site Mailing Address: 31445pRUDHOEBAY AVE, Eagle River Owner: JENSENERIC &SHANNON Design Engineer: PANNONEENGINEERING SERVICES This permit {efor the construction of: Effective Date: 6/23/2032 Expiration Date: 6/23/2023 Lot Size in Sq Ft: 66385 [] Disposal Field 10 Septic Tank [] Holding Tank [] Privy 171 Private Well Water Storage .. . All construction shall beinaccordance 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 VVaetevvetar Disposal Regulations (1 8AAC72) and Drinking Water Regulations (1 8AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify -the Development Services Department per AMC 15.85.Provide notification bycalling (0O7)343-7984(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: e.`Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Received B) Issued By: URNAIUMCIPAUITY OF ANCHORAGE 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. 050-751-26 Property owner(s) Eric & Shannon Jensen Mailing address Day phone Site address 31445 Prudhoe Bay Avenue Eagle River, AK Legal description (Sub'd., Block & Lot) Teri #2 Lot 1 Legal description (Township, Range & Section) Lot Size 66,385 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) X❑ Septic Tank ElUpgrade X❑ (w/wo AD U) Holding Tank El Renewal❑ (D) ElRenewal Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ 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: 22 _ Waiver_Fees: Date of Payment: Date of Payment: Receipt Number: 17 y 06 Receipt Number: Permit No. % 2 I j Waiver No. Permit App_.:- :• :-..:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221191, Deb Wockenfuss, 06/23/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221191, Deb Wockenfuss, 06/23/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221191, Deb Wockenfuss, 06/23/22 Municipality of Anchorage Page 1 of 2 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW990218 PID Number: 050-751-26 Name: JOHN THOMSON wastewater System: ■ New ❑ Upgrade Address: PRUDHOE BAY ROAD ABSORPTION FIELD Phone: (907) 540-2020 No. of Bedrooms: 4 El Deep Trench IN Shallow Trench EI Bed ❑Mound 11 Other LEGAL DESCRIPTION Boll Rating: 1.2 Total Depth from original grade: 3.5 — 54Q. GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 1 TERI #2 1.5 — 3.0 Ft. 2.0 Ft, Township: Range: Section: Fill added above original grade: Gravel length: — — — 0.5 — 2.0 Ft. 75 Ft. WELL: ■New ❑Upgrade Gravel width: 5.0 Number of Una 1 Distance between lines: — Fl PL ClaeelDcallon (Private, A,B,C): I Total Depth: Cased To: Total absorption area: Pipe material: PRIVATE 115 FL 111 Ft. 536 so. Fl. ASTM D -3034/F-810 Driller. SULLIVAN WATER WELLS Date Drilled: 7/28/99 Static Water Level: 70 Installer. GREENE CONTRACTING Date Installed: 8/12-13/99 Ft Yield:Pump 20 Set AC Casing Height Above Ground: TANK oPM UNKNOWN 2 Ft. SEPARATION DISTANCES ■septic ❑Holding ❑S.T.E.P. To Septic Absorption Lift Holding Public /Private Manufacturer. ANCHORAGE TANK capacity in gollons: 1250 From Tank Field Station Tank sewer Una. Well 100'+ 100'+ — — 25'+ Material: STEEL Number of compartments: 2 Surface 100'+ 100'+ - - - LIFT STATION Water LotSize 5'+ 10'+ — — — in gallons: Manufacturer. Line 'Pump on' level at: 'Pump a al: High water alarm at: Foundation 5'+ 10'+ — — — CurtainPump Make el: Electrical Inspections performed by: Drain NONE KNOWN 1 Remarks: TANK AND DRAINFIELD WERE INSULATED. BENCH MARK Location and Description: BOTTOM OF WINDOW SILL AT NORTH EAST CORNER OF HOUSE. Assumed Elevation: 107.94 pt, ENGINEER188EAL go�Opp ooP� ............. 0 400 Inspections performed by: AWWC, INC. Dates: 1st 8/12/99 .4. ......••••• D 2nd 8/13/99 O 3rd 2/17/2000 Jetfr A. rness: Q Department of Health and Human Services approval•. -7953 ; \coops ��p°"/'r• Reviewed and approved by �� `� Date: A-- no �oA� d afesslo 0 oO0�000�6 72-013 Rev. 0/01) MOA 25 PERMIT NUMBER; AS—BUILT DRAWING PARCEL ID NUMBER: SW990218 050-751-26 Af IM.Ef e 102.91 __�l fOP OF fANK 1 NSW 1250 GALLON ATaw, IO2.41 IM/ERFdr P 16 %FflC TANK INVERT of PING Af IM.Ef - IOL83 Af atti"Ef - IOI.63 INVERT a PIPE --I0I35(AVG) POITOM OFTWu - 9935(AV&) ALASKA WATER AND WASTEWATER CONSULTANTS, INC. oo�oo 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 336-3246 �0�,�\\.,••��•• TERI SUBDIVISION #2; LOT 1 0 * ;• N WORK:OF DESIGNOF SEPTIC SYSTEM UPGRADE AND WELL LOCATION � .!••• Ga PARED FOR: PHONE NUMBER: A m e r A. GOrn ss, JOHN THOMSON (907) 240-2020 0 79 a� E: DRAWN BY: SCALE: PAGE: �4�ar '• •••••••••''• cA�O 2/21/2000 K.D.W. 1 = 40' 2 OF 2 Prof es plus 100 C \c : N� SE \ . n .. N00M FC B DBL1 GRAVEL. RAV gEDA DBL2 DRIVEWAY / C01 M\1 TH#2 ��NEW BRRMNFIELD NEW 1250 GALLON SEPTIC n� TANK �� \ TH#1 MT2 � CO2 A B C ST1 53.5 28.7 49.3 _ ST2 61.3 36.7 55.7 ALTERNATE ' DBL1 63.0 38.3 57.3 SITE DBL2 64.0 39.3 58.0 C01 52.6 36.5 60.3 MT1 54.7 37.4 61.0 d CO2 1 126.8 107.7 125.3 MT2 T124.5 104.9 122.0 -- 10' UTILITY EASEMENT--- --- _ _— — ------------ PRUDHOE BAY AVENUE 14f C49 FINN-GRADE-109.8(AVGJ /'FINN. C2ZAnE - 105.76 5n / 5f2 0061" QM 102,85 I Ll OIZIGINN- C�PDi 0935 Af IM.Ef e 102.91 __�l fOP OF fANK 1 NSW 1250 GALLON ATaw, IO2.41 IM/ERFdr P 16 %FflC TANK INVERT of PING Af IM.Ef - IOL83 Af atti"Ef - IOI.63 INVERT a PIPE --I0I35(AVG) POITOM OFTWu - 9935(AV&) ALASKA WATER AND WASTEWATER CONSULTANTS, INC. oo�oo 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 336-3246 �0�,�\\.,••��•• TERI SUBDIVISION #2; LOT 1 0 * ;• N WORK:OF DESIGNOF SEPTIC SYSTEM UPGRADE AND WELL LOCATION � .!••• Ga PARED FOR: PHONE NUMBER: A m e r A. GOrn ss, JOHN THOMSON (907) 240-2020 0 79 a� E: DRAWN BY: SCALE: PAGE: �4�ar '• •••••••••''• cA�O 2/21/2000 K.D.W. 1 = 40' 2 OF 2 Prof es OCT -25-99 MON 10:55 AM SULLIVAN WATER WELLS 688 2759444444444444 P.01 Qjxrtiffejh by Priffling DOC Co, dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99687 a TELEPHONE 688.2759 OWNER OF LAND /ciW.J WOMSt` tJ GORE HOLFDATA DEPTH ADDRESS 7 13 f4-ji #t LEGAL DESCRIPTION o I °Z PERMIT NUMBER"pAld"�" Date of Issue-7�-Q� TAX INDENTIFICATION NUMBER-465t- Is 651-Is well located at approved permit location? 6 -Ws ❑ No Method of Drilling: r rotary O cable tool Depth of well: Casing Type s 7V4 L Wall Thickness , a s� inches Diameter_ inches, depth— L --feet Liner Type: /L)DH1>^ Casing Stickup Above Ground: OZ' feet Stant Water Level (from ground level): -70 feel Pumping level:—feet after hrs, pumping gpm Recover Rate: dL% gpm Method of Testing: 414 Well Intake Opening Type: 49-Cpen End ❑ Open Hole 0 Screened; Start feet Stopped feet C] Perforations Start fept Stanped feet AT Grout Type:8&re-Jd7i' Volume Isv4AV Depth: from a) feet, to !77 feet ,P Cyr Pump Intake Depth: Pump Size hp Brand Name Well Disinfected Upon Completion? ji-Ws' 0 No Method of Disinfection: Cv7e� e.dG $ f i�/►'i Comments: / 'O r i;, % �� 3`l `t a ,Je' S'71C-K Ljr r4.4 o 1 L khn s, ^JIO l�R.9u,�� cavy /i' i x eel J',4. -Jo 6944 � �JE%— Sq,J� GSA✓�� . c«r 1n 1 x.O S/�1..lrQ GQR✓ �__��.9� /1%1 yea WEi 'ro+Jo 6'C4jL>4. R 't!4 c — t RECEIVED f =R 4. 911Arot _r do�i-p1<a ' t � -luman Services Driller's Name 1241a.l 'w� =�— ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. 'Oeowdill 00%60000 /.grazier 4 IN MUNICIPALITY OF ANCHORAGE �31L �% ✓Ic^.C'I/1 Department of Health and Human Services rd_ t . 99 klce)o , 1 3n vv1 On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650XCCx�ICti'�/� (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW990218 Legal Description: TERI #2 LT 1 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: John Thomson Owner Address: 17343 Santa Maria Eagle River , AK 99577 - Date Issued: Jul 27, 1999 Expiration Date: Jul 26, 2000 Parcel ID: 050-751-26 Site Address: Lot Size: 66385 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑✓ Private Well ❑ Water Storage 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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: Date: Issued By: �/ / `_� I LSZW Date:��79L Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B — Anchorage — Alaska 99504 (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers July 22, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Z Ref: Proposed Well and Septic Design for Lot 1, Teri Subdivision To whom it may concern: The proposed 4 bedroom house will be served by a private septic system and a private well. Two test holes were excavated on the property. Comments regarding the proposed upgrade design are summarized as follows: 1. SOILS: Attached are logs which shows the soil profile, and the percolation test results. In both test holes, the soils below the organic layers are a GM material (with some roots) to a depth of 4 feet in both test holes and then transitions to a GM/SM material to a depth of 15 feet (bottom of both test holes). The soils at the bottom of both test hole (at 15 feet) were visually rated to be impermeable. Groundwater was encountered at 14.5 feet in both test holes during the excavation. Seven days later, groundwater was found to be at 9.5 feet in TH#1 and at 12.2 feet in TH#2. A percolation test for TH#1 was performed between the depth of 4.5 feet to 5.0 feet which had a percolation rate of <1 minute/inch.. A percolation test for TH#2 was performed between the depth of 5.0 feet to 5.5 feet which had a percolation rate of <1 minute/inch. It is our opinion that due to the high percentage of sand, the insitu soils will serve as a sand filter. A grab sample can be provided if deemed necessary. 2. TRENCH DESIGN: a. Percolation Rate: <l minutes/inch b. Allowable Application Rate: 1.2 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 500 ft2 f Total Depth: 5 feet (maximum on uphill side.) g. Effective Depth: 2 feet h. Width: 5 feet minimum i. Reduction Factor: 0.70 j. Minimum Length: 75 feet long k Effective absorption area = 536 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: As can be seen on the design drawing, the proposed drainfield is to be installed parallel to a 15 to 20 percent slope running from northeast to southwest. In shorts, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you fnr vnnr as.ci.ctnnre , M.S. NOTE: fltlaehed is a site plan drawing, a design drawing, two soils logs and a 4 page construction specification letter which are all part of the design package for this septic system. LOT C-1 TERI S/D #2 PROPERTY DEVELOPED. WELL AND SEPTIC ARE UNKNOWN. PRIOR TO DRILLING WELL, THE DRILLER SHALL FIELD VERIFY THAT ALL SEPARATION DISTANCES WILL BE MEr. cum M AY m TRACT1A1A SIERRA VISTA S/D SERVED BY PRIVATE WELL AND SEPTIC. (NO ENCROACHMENT) PROPOSED FOUR \ BEDROOM HOUSE � I \ TERLOT 3 I S/D #2 ' /LOT >&\ TERI S/ Ag FA. T #1 F PRUDHOE BAY AVENUE 1v/b7d1 ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 28. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 _EGAL DESCRIPTION: ;t 2- TERI SUBDIVISION; LOT 1 TYPE OF WORK: SITE PLAN FOR SEPTIC SYSTEM DESIGN AND WELL LOCATION PREPARED FOR: PHONE NUMBER: JOHN THOMSON (907) 240-2020 DATE: DRAWN BY: SCALE: PAGE: 7/22/99 K.D.W. 1 = 100' 1 OF 2 F 1.....::* . w,........' A. Gayness; o —7953 � Profes&(o &o f i cum M AY m TRACT1A1A SIERRA VISTA S/D SERVED BY PRIVATE WELL AND SEPTIC. (NO ENCROACHMENT) PROPOSED FOUR \ BEDROOM HOUSE � I \ TERLOT 3 I S/D #2 ' /LOT >&\ TERI S/ Ag FA. T #1 F PRUDHOE BAY AVENUE 1v/b7d1 ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 28. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 _EGAL DESCRIPTION: ;t 2- TERI SUBDIVISION; LOT 1 TYPE OF WORK: SITE PLAN FOR SEPTIC SYSTEM DESIGN AND WELL LOCATION PREPARED FOR: PHONE NUMBER: JOHN THOMSON (907) 240-2020 DATE: DRAWN BY: SCALE: PAGE: 7/22/99 K.D.W. 1 = 100' 1 OF 2 F 1.....::* . w,........' A. Gayness; o —7953 � Profes&(o &o GRAVEL DRIVEWAY NOTE: THE CONTRACTOR SHALL FIELD VERIFY THAT A GRAVITY FLOW SYSTEM IS FEASIBLE PRIOR TO CONSTRUCTION. IF A LIFT STATION IS REQUIRED, THE CONTRACTOR SHALL NOTIFY THE HOMEOWNER/BUILDER PRIOR TO CONSTRUCTION. ` BOG i ^yqe INSTALL FCO ` INSTALL DOUBLE ` CLEANOUTS \ v0 0 TH#2 \ `\ \ ALTERNATE SITE. WILL \ COQ o \ ` \ REQUIRE LIFT STATION. MT \\\ \ /PROPOSED 1250 GALLON �q° \�\� TH#I SEPTIC TANK MT CO PROPOSED DRAINFIELD. EXCAVATE A TRENCH THAT IS 75 FEET LONG BY 5 FEET WIDE THAT IS 5 FEET DEEP (MAX). ADD 2 FEET OF CLEAN, WASHED, SEWER DRAINROCK. 1- _ _ _ i _ _ _ 10' UTILITY EASEMENT -- ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 !. Q�, ° PHONE: (907) 337-6179/FAX: (907) 338-3246 TER] SUBDIVISION #2; LOT 7 DESIGN OF SEPTIC SYSTEM UPGRADE AND WELL LOCATION �..:::/�...�. PARED FOR: PHONE NUMBER:000 m ff A795a3rnes cGQ JOHN THOMSON (907) 240-2020 DRAWN BY: SCALE: PAGE: 4440^ad P�ofessi00O& 7/22/99 K.D.W. 1 = 40 2 OF 2 ��\"Qsfx oma' ALASKA WATER & WASTEWATER CONSULTANTS, INC. SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: TERI SUBDIVISION #2; LOT i PERFORMED FOR: JOHN THOMSON DATE PERFORMED: 7/1/99 (feet ORGANIC TEST HOLE #1 1 2 GM WITH SOIL CLASSIFICATIONS SOME ROOTS GW ORG GP ML GM CL 4 GC � OL 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS: GM/SM BOTTOM IMPERMEABLE °o SW J MH foe>, SP CH SM / OH SC DEPTH TO GROUNDWATER DATE 14.5' 7/1/99 9.5' 7/8/99 7/8/99 FT. AND 5.0 FT. URMYNY PROPOSED FOUR BEDROOM HOUSE \AGC � �Fti c, STH#2 �c�F DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/8/99 FT. AND 5.0 FT. _ MSN• — Z— NS _ PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFQRMFD IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON ALASKA WATER & WASTEWATER CONSULTANTS, INC. 690PHONEARR ( 07) 337 SUITE T79 26 FAX (9070) 338 9504 3246 SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: TER] SUBDIVISION #2; LOT 1 PERFORMED FOR: JOHN THOMSON DATE PERFORMED: 7/1/99 (fe t) ORGANIC TEST HOLE #2 1- 2— DATE 14.5' 12.2' 7/1/99 —7/1/99 GM WITH SOIL CLASSIFICATIONS FT. AND 5.5 FT. 3 SOME ROOTS GW GPML ORG a a" V�P(E �t LL GM - GP�val CL 4 -- ---- / GC OL o°o o SW _ _ MH 5 °> ouo �, SP SM CH OH 6 SC 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS: GM/SM BOTTOM IMPERMEABLE DEPTH TO GROUNDWATER DATE 14.5' 12.2' 7/1/99 —7/1/99 WATER LEVEL READING NET DROP (INCHES) 7/8/99 FT. AND auw MNFMAY PROPOSED FOUR BEDROOM HOUSE A � \ G��Fti c, � STH 22 \�C" -------------------- DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/8/99 FT. AND 5.5 FT. V�P(E - GP�val - -- - -- ---- PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.0 FT. AND 5.5 FT. PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFOIRMEb IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON • '� Municipality of Anchorage On -Site Water and Wastewater Program fl (907) 343-7904 5 n F s r v Parcel I.D. 050-751-26 Certificate of On -Site Systems Approvalu Y Expiration Date: 1�j 1(-C.i-l'� 1. GENERAL INFORMATION Complete legal description Teri #2,L of 1 Location (site address) 31445 Prudhoe Bay Ave. Current Property owner(s) Kenneth et all TakakuWa Mailing address Real Estate Agent 31445 Prudhoe Bay Ave. 2. TYPE OF DWELLING: Fx1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance reauest for: Received by ,l, t Date' `COSA to be released to the e,igineer, unless otherwise requested by the engineer. COSA Fee $ JF0�/ Date of Payment g ! �/C j Receipt Number 67 1246 COSA # d5dLV3X Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering. Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Alk. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE pp� L✓SISystem #1 Approved for '7 bedrooms System #2 Approved for bedrooms Disapproved Date 10/31/13 Conditional approval for bedrooms, with the following stipulations: By Original Certificate Date:_ O 0 Thenicl iry of A rage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet E c If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Teri #2, Lot 1 Parcel ID: 050-751-26 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 7/28/99 Sanitary seal (YIN) Y Total depth 115 ft. Cased to 111 ft FROM WELL LOG Date of test 7/28/99 Static water level 70 Well production 20 ft. g. p. m. Well Log (YIN) Y Wires properly protected (YIN) Y Casing height (above ground) 24 in. AT INSPECTION 10/30/13 55 ft 3.2+ g.p.m. WATER SAMPLE RESULTS: Coliform ' e1# colonies/100 mL NitrateQ•r15 5 mg/L Arsenic N ug/L Date of sample: ��`d��<' )�i Collected by: J >> B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 8113/99 Tank size 1,250 gal. Number of Compartments 2— Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (YIN) /N High water alarm (YIN) N Date of pumping i ')/I c� i 3 Pumper ;V2 s Pt,, C. ABSORPTION FIELD DATA Date installed 8/13/99 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 GPD/BR System type Shallow Trench Length 75 ft. Width 5 ft. Gravel below pipe 2 ft. Total depth 6.1 ft. Eff. absorption area 536 ft2 Monitoring tube Y Depression over field N Date of adequacy test 10/30/13 Results (Pass/Fail) PBSS For 4 bedrooms Fluid depth in absorption field before test 17 in. Water added 614 gal. New depth 19 in. Elapsed Time: 210 min. Final fluid depth 17 in. Absorption rate , 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) No If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off' level at Datum Cycles tested _ E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer/septic service line 25+ Animal containment areas 100+ Manhole/Access (Y/N) _ in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION l certify that i have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date 10IZT1 13 COSA brown sheet -1 0-10-1 2.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 10+ in. I HEREBY CERTIFY THAT i HAVE +EYED THE SCALE. �-y DATE. XCEPT AS Y OF THE rd� OF ANY GRID= MONS MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services i On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519.6650 (907)343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel I.D. # 050-751-26 HAA # r ICIM(0 J 1. GENERAL INFORMATION Complete legal description TFRI SUBDIVISION #7• LOT 1 Location (site address or directions) PRUDHOE BAY AVENUE MailingL-roperly owner JOHN THOMSON Day phone 240-2020 address 17,343 SANTA MAGA DRRIVER, '• 99577 Lending agency Mailing address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water = NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding Tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 1191) Front MOA #21 Computer Version 5. STATEMENT OF INSPECTION BY ENGINEER As Certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I 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 Municipd State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's Signature 6. DHHS SIGNATURE Approved fors—bedrooms Disapproved Conditional approval for Additional Comments A Phone (907) 337-6179 ;Nlfe Z bedrooms, with the following stipulations: Date a' .'). S D O The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an Independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending Institutions in order to satisfy Certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Computer Version Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERAL VIVED !�Environmental Services Division 825 t "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 34f-�42 4 2000 MVIWIJPALI IV UI' ANLIIUMGE , Health Authority Approval Checklist nnnIMLNTA. SHVICFS 01VI�- Legal Description: TERI SUBDIVISION #2: LOT 1 Parcel I.D.: 050-751-26 A. WELL DATA Well Type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) YES Date completed 7/28/99 Total depth 115' Cased to 111 Casing height (above ground) 2' Sanitary seal FROM WELL LOG Date of test 7/28/99 Static water level Well production 20 g.p.m. WATER SAMPLE RESULTS: Wires properly protected (Y/N) YES AT INAPFCTIM] g.p.m. Coliform Nitrate ' 170 ✓nQ 4- Other bacteria QCT Date of sample: 2/17/2000 Collected by: A.W.W.C., INC. B. SEPTIC/HOLDING TANK DATA Date Installed 8/13/99 Tank size 1250 Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) Date of Pumping NEW Pumper C. ABSORPTION FIELD DATA Date installed 8/13/99 Soil rating (g.p.d./ft2 orft2/bdrm) 1.2 System type TRENCH Length 75' Width 5' Gravel thickness below pipe 2' Total depth 5.5' Effective absorption area 536 SQ.FT. Monitoring Tube present (Y/N) YES Depression over field (YIN) NO Date of adequacy test NEW Results (Pass/Fail) - For 4 Bedrooms Fluid depth in absorption field before test (in.); - Immediately after - gal. water added (in.): - Fluid depth - (ins) Minutes later: - Absorption rate = Peroxide treatment (past 12 months) (Y/N) - If yes, give 72-026 (Rev. 3/96)' Computer Version D. LIFT STATION Date installed Manhole/Access (Y/N) Win" level at* "Pump off' level at* High water alarm level *Datum High E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septictholding tank on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer/septic service line 25'+ Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain F. ENGINEER'S t certify that I i of Municipal 0 with MOA H.A, Signature Engineer's JEFFREY Building foundation 10'+ Water main/service line 10'+ Driveway, parking/vehicle storage area 10'+ Id inspections and review stems are in conformance this date. Gn HAA Fee $ � / Date of Payment �,(��/ (7 Receipt Number ` 7 h 72.026 (Rev. 3/86)' Computer Version Wells on adjacent Waiver Fee $ Date of Payment Receipt Number 100'+ �6F o0 0 ,� p00o ................ ........ y A. Garness;' E-7953 .}� 02-23-00 16:21 FROM -CTE ENVIRONMENTAL ALCT&E (Environmental Services Inc. vvw o. rR�'rr. vrmrrr rrra 5615301 T-046 P.02/03 F-772 CUE Ref.# W00651001 Client PO# Client Name AK Water & Wastewater Consultants Inc. Printed Date/time 02/232000 10:07 Project Name/ft Tert S/D #2 Lt 1 Outside WB Collected Date/time 02/172000 16:35 Client Sample ID Terl S/D #2 Lt 1 Outside H/B Received Dateirime 02/18/2000 12:00 Matrix Dunking Water Technical Directs Stephen C. Ede�/� Q Q Ordered By Released «��F�'� PWSID 0 Sample Remarks Al law0te Prep Anatyeis oarnmecer Results PDL units Met1101 Limits Date Date Imt WATERS DEPT Nitrate -N 0.707 0.500 m0/L EPA 300.0 MICRO LAS Total Coliform 0 col/100m4 SM18 92228 (00) 02/18/00 SCL 02/18/00 JDT