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HomeMy WebLinkAboutSECLUDED HILLS BLK 1 LT 4111dued Hills Block 1 Lot 4 #017-343-04 susmiTTAL Municipality of Anchorage SEP OS2O18 Community Development Department Page 1 of 2 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP151242 PID Number: 017-343-04 ❑ New ❑✓ Upgrade Name: RAYMOND& SANDRA WESTIN ABSORPTION FIELD Address 5200 SECLUDED CIRCLE EDeep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.8GPD/SF 12.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 4.0 Ft. 8.0 Ft. SECLUDED HILLS 1 4 Fill added above original grade Gravel length Township Range Section N/A Ft. 50.0 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 2.5Ft, N/A N/A Ft. To Septic AbsorptionHolding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Lift Station Tank Line 8001 Ft' Ft. Well N/A 189.1 NA N/A 78.9 TANK ❑ Septic 0 S.T.E.P. ❑Holding 0 Other Manufacturer Capacity Surface Water N/A 100+ NA N/A l 6Gal. Material.�i S Number of compartments Lot Line N/A 43.4 N/A N/A ��jj Steel NA Foundation N/A 71.9 N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain N/A 50+ N/A N/A Gal. Pump on level at Pump off level at High water alarm at Remarks UPGRADE DRAIN FIELD ONLY '• in. in. Pump make an. odel Electrical Inspections performed by PIPE MATERIAL House to tank Tank to 3034 Installer drainfield ARCTIC TERRA LLC Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 104ft Inspection s, Location and description dates: 1 8/13/15 2"`' 8/13/15 3rd 1/12/15 4th 4/26/15 E BOTTOM HOUSE TRIM COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp ��\\\fix Conditional Approval: Date .G OF A�`.nkh� *•• 49TM ..*9 ••tle'ven A. 'Pannorae 0 �% E 8149 aeza / Q� -'Approved Date /I1/fr 11 ,�4 Inspection Report_1-1-12.doc DESIGN PARAMETERS �� 1 , / - \ \ �\ PRIMARY SEPTIC SYSTEM \ _ \ NO. BEDROOM: 4 (600 gpd) / I PERC RATE: 8.7 MPI / ly / I \ \ t SOIL RATING: 0.8 GPD/SF ( l \ % 4 1 \ AREA RQD: 750 SF N \ l „A SYS. TYPE: DEEP TRENCH 8.0'ED1 MIN LENGTH: 47 LF 10 l'L ,^,�\ W// 1 \ I W)._____-- USED: U�-SEPTIC AREA (E) / / 1 1 1 50 LFx2.5'Wx8.0' E.D., 12.0' TD ) 1 / / TOTAL IAR1 800 SF I _ I / i M M \� / \EXISTING DRAIN FIELD IN FAILURE 10' ORS/ N RE-USE AS RESERVE FIELD - INAG=eqs�„ 1250. SEPTIC TANK CO \ II I \ I \ NT %INSTALLED DIVERTER VALVE I —INSTALLED RIGID INSULATION OVER 1 i 1 ( / \C1 F.-1' 49 8 / 'ALL PARTS OF LINE UNDER DRIVEWAY I . w l \ \ M � } y s Si FC (E) 1 I SECLUDED CIRCLE .......4.. ` IVEW Y / w 'TH-1 1 \ DV A ~ / \ \ I • ��� A B 1 l 9 46R / ID b . LOT \ \ HOUSE (E) WELL 1(E) ' \ I \ INSTALLED NEW DRAIN FIELD { / I \ 1 I \, I 50'LF x 2.5'W x 8.0'ED x 12.OTD\ y LOT VACANT INSTALLED CLEAN OUTS AND NO WELLS OR SEPTICS ,A A BMONITOR TUBE. \� s, i I DV 22.3 39.7 1 \ \ \ N k > Cl 83.6 76.1 ` \ \/ , \ oco \ `le M1 83.0 75.5 1 \ } o \ w��y\�W� C2 92.5 70.9 �i\ ` \ To �, /.\ o 6' \ \ r \ Ct ,--FILTER FABRIC D W 0 Ct 0 w> Q w DRAIN ROCK 6" ABOVE PIPE INV z¢ > 4 w m w > v 0I- 4" 0 DRAIN PIPE 00. F.G. 88 TH-1 1 o ORGANICS _ 1 2- 54.0 / ` 84.0 8' SEWER ROCK i SAND AND SILTY SAND DRY PROFILE SCALE: NTS 70.0 7/22/15 18 BOH DATE PERFORMED: 7/15/15 NOTES: �������\ Date PANNONE ENG SVC, LLC OF A�ill 5/10/2018 RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 r'�� 'qcS' 11 PHONE (907) 272-8218 FAX (907) 272-8211 %goP �\ �y*+/ Scale DRAWN BY: 5*. 49 I. / 1"=50' ACP 1 •••• 1ra�� •. .. I P.I.D. NO — SECLUDED HILLS, BLOCK 1, LOT 4 • 7-343-04 RAYMOND & SANDRA WESTIN �i tevenE�81onno � PERMIT NO. 5200 SECLUDED CIRCLE �,Fcstcpteibeei \ r/ OSP151242 PLAN ANCHORAGE, AK 99516 a� Sheet i li A?OFESSI4N�� 2 OF 2 On -Site Wastewater Disposal System Permit 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 Permit Number: OSP151242 Tax Code Number: 01734304000 Work Type: Septic Upgrade Permit Effective Dates: August 03, 2015 to August 02, 2016 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SECLUDED HILLS Site Legal Address: SECLUDED HILLS BLK 1 LT 4 G:2937 Owner/Address: WESTIN RAYMOND H & SANDRA C LIVING TRUST WESTIN R H W & S L C W/TTEE 5200 SECLUDED CIR ANCHORAGE AK 995163038 Site Mailing Address: 5200 SECLUDED CIR, Anchorage Lot Size in Sq Ft: 55466 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field N 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. Special Provisions: Cleanouts/monitor tubes will be required to be repaired for any future COSA. l,cf"" X0 3 7 S Received By: Date: Issued By: Date: l3 MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program ANCHORAGE Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-343-04 Property owner(s) Raymond & Sandra Westin Day phone Mailing address 5200 Secluded Circle, Anchorage, AK 99516 Site address 5200 Secluded Circle Legal description (Sub'd., Block & Lot) Secluded Hills, Block 1, Lot Legal description (Township, Range & Section) Lot Size 55,466 Sq. Ft. APPLICATION IS FOR: (® alt that apply) Absorption Field ❑X Septic Tank ❑ Holding Tank ❑ Privy ❑ . Private Well ❑ Water Storage ❑ Number of Bedrooms.4 APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) ❑X (w/wo ADU) Upgrade 7XDuplex (D) El El Multiple Dwellings ❑ . (SF and/or D) 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. property owner or authorized agent) Permit/Rush Fees: Jlo /� Date of Payment: iaq //6 Receipt Number: 14-1 to G Permit No. 051?1512y2 Permit App_.;- : - L.�c Waiver Fees: Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve(tpaneneak.com July 23, 2015 Subject: Secluded Hills, Block 1, Lot 4 Septic System Upgrade Permit Request Design Narrative This is a design narrative for a permit to install an upgrade septic system to be issued for this property. The proposed systems will serve an existing four (4) bedroom house. Currently the lot is developed. The existing drain field is in failure and will be re -used as a reserve. The system will utilize an existing 12508 septic tank and new conventional drain field. This lot and the surrounding lots are served by private wells. There are no wells within 100' of the proposed septic system 1. Soils. One test hole was performed in the vicinity of this system by Pannone Engineering Services in July of 2015, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 18' below the surface in the test hole monitor tube in July of 2015. Bedrock was not encountered in the test hole. Based on the results of the percolation tests and overall soils appearance; an application rate of 0.8 gallons/day/square was used for a conventional wastewater system in the area of these test holes. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography slopes from the east to the west at approximately 10%-12% in the area of the septic system. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes. S. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. Mailing:.P.0. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. - 2. SCOPE OF WORK: INSTALL NEW DIVERTER VALVE AND SOIL ABSORPTION SYSTEM, 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 18.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 18.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. - - i i SEPTIC AREA (E).44 W W / � U I j t 70, p` EAEM DRAIN FIELD (E) N? 12509 SEPTIC TANK (E) IN FAILURE INSTALL DIVERTER VALVE RE—USE AS RESERVE INSTALL RIGID INSULATION OVER L 17.4 ANY PART OF LINE UNDER DRIVEWAY p - II 'jI� 'Is ss / DRIVEWAY I TH-1 �� /,�\1 SECLUDED " CIRCLE FOUNDATION CLEAN OUT (E) 1 4BR HOUSE ,'i JI / LOT 41 (E) WELL'(E) _ UPGRADE DRAIN FIELD (P LOT VACANT 1 50LF x 2.5'W x 8 0'ED x 1 2 0'TD NO WELLS OR SEPTICS I. - I INSTALL CLEAN OUT AND MONITOR TUBE AT EACH END i � qA DESIGN PARAMETERSw —�w� -PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd)` TANK SIZE: 12508 - PERC RATE: 8.7 MPI SOIL RATING: 0.8 GPD/SF \ -�� ABBREVIATIONS AREA ROD: 750 SF TH TEST HOLE SYS. TYPE: DEEP TRENCH 8.0'ED `, r - PROPOSED P MIN LENGTH: 47 LF - 1 ( ) /II/// (E) EXISTING USE: X/ "Co CLEAN OUT NO. - 50 LFx2.5Wx8.0' E.D., 12.0' TO - I 'MT MONITOR TUBE NO. TOTAL AREA: 800 SF ; TYP TYPICAL - NOTES: �7��T 7�7� �+7�7 `Q'�'��-r _yT�� FOR CONSTRUCTION P.� �B�XO1�014217 ANC ANCHORAGE, AK 99 0 'C��IF A gist 7/31/2015 PHONE (907) 272-8218 FAX (907) 272-82119��+ Scale 1"=50' ... .. ..... P.LD. NO SECLUDED HILLS, BLOCK 1, LOT 4 / 017-343-04 RAYMOND & SANDRA WESTIN / S'tev CE 8149 nom% PERMIT NO. 5200 SECLUDED CIRCLE Vis.i OSP151242 PLAN ANCHORAGE, AK 99516+lel \\\"��`' SheetOF 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 TEST HOLE 1 OR ORGANICS SMI SAND AND SILTY SW SAND BOH DATE PERFORMED: 7/15/15 SOILS LOG - PERCOLATION TEST SLOPE X TH WAS GROUND WATER - ENCOUNTERED? N IF YES, AT WHAT DEPTH? -DRY DEPTH TO WATER AFTER MONITORING? -DRY DATE: 7122/15 SITE PLAN 1 TH-1 7 i I 1 LOT SLOPE TH X READING DATE CLOCK TIME NET TIME WATER LEVEL READING NETDROP 1 7/15/15 8:40 --- 7.53 2 8:50 10 MIN 9.58 2.05 3 8:50 - --- 7.53 -- 4 9:00 10 MIN 8.82 1.29 5 9:00 --- 7.53 --- 6 9:10 10 MIN 8.84. 1.27 PEROLATION RATE 7.9 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS: Test hole excavated by ARCTIC TERRA. Prec hole was presoaked. Test run for at least one hour. Last 3 readings reported PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PP,O�. BNOio E EN SVGE,C, LL0 PHONE (907) 272-8218 FAX (907) 272-8211 +++�\� :r '��OF AC'gsil1 %q)..- ?y+� j*.. *�) ..... .. .. .. ...017-3a3-04 Ste've'n 'F2' annone CE 8149 ter/ (t�F��O ES510NP Date 7/31/2015 FOR CONSTRUCTION Scale NTS P.I.D. NO SECLUDED HILLS, BLOCK 1, LOT 4 RAYMOND & SANDRA WESTIN 5200 SECLUDED CIRCLE ANCHORAGE, AK 99516 PERMIT NO. OSPI51242 SOILS LOG Sheet Municipality of Anchorage a "` Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 05PNO3 PIDNumber: 0lT-3Y3-0Y Name: Buy Wastewater System: ❑ New ❑ Upgrade Address: n 520(11 S"c`l114&ea 995i6 ABSORPTION FIELD �X�s}rte Phone: Number of Bedrooms: 'i ❑Deep Trench El Shallow Trench [I Bed [I Mound ❑Other: LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/FtZ Ft. Block: Lot: ee rr Subdivision: ( J�'°G�+41A N 117 Depth to pipe bottom from original grade: Gravel depth beneath pipe: t Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel Length: Ft. Ft. Well: `� ❑ New F] Upgrade Gravel width: s: Number of lineDistance between lines: Ft. Ft. Classification (Private,A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Ft. Ft. Ft? Driller. Date Drilled: Static Water Level: Installer:I Date Installed: , Ft. 10AC56 E)(Ckk)ATIA Zv jl Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES [(Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic/Private Manufacturer: Capacity: From Tank Field Station Tank Sewer Line Greer Gal. Well ((qy,�j + Material: 5 feel Number of Compartments: 2 Surface Water 100f} LIFT STATION Lot Line e 5 Size: Manufacturer �• Gal. Foundation5 i LA "Pump on" level at: n. "Pump off' level at: in. High water alarm at: in. Curtain Drain •--•—� Pump Make & Model Electrical Inspections performed by: Remarks: 74-11k 4&rl, Pe4 PQA BENCH MARK Location and Description: F Assumed Elevation: 100 Ft �� Inspections performed by: LAPS outbdo c) Dates: 1St 4-20�1) P N.1k, .... O F �{ 4,Q �e 2nd Development Services Department Approval ' q :4 u If Conditional Approval Date: � •c ��.S��•.�. SPUR KLAND • , 3 ° i t `��i811 .. �1 Reviewed and approved by: Date: P�GrE�SIOtii^` ti" (Rev. 04/06) � "'� � I I I LI SWING TIES A B C 42.0' 7.5' — I I INSTALLED NEW 1250 GALLON STEEL SEPTIC — D '04'0 — — CONNECTED TO EXISTING DRAIN FIELD RECONSTRUCT DRIVEWAY ISLAND. I I ABANDONED EXISTING A : = S� SEPTIC TANK PER MOA I I I CODE R£OUIR£MENTS I I I I � i I I Lot 4 / I I i I I I i I I � I I SECLUDED HILLS 25 0 25 50 75 100 125 150 SCALE., 1' = 50 FT. +/-7 FEET COVER DOUBLE CLEANOUTS ELEV.=99.4' FOUNDATION CLEANOUT .7 �w "I!,r1041 OF .•��•P.`� q�,•���i Ar ,w 49 h �"= .................. ....... '- CONNECTED TO 1250 GALLON SEPTIC TANK 0 �, . 00 EXIST DRAINFIELD ' ' """' c' i L S SPURKLAND •; •1C No. CE-11500?Ar • BENCH MARK ® A' ON SITE PLAN •••44NOFESS �0 ASSUMED ELEVATION 100 FEET SPURKLAND ENGINEERING SECLUDED HILLS BLK 1 LOT 4 SEPTIC SYSTEM ASBU/LT 203 W TH. AVENUE ANCH. AKK..99501 BUFF WESTIN DATE. • JULY 18, 2011 (907) 279-3916 5200 SECLUDED CIR., ANCHORAGE, AK 99516 SHEET. 1 1 GRID. 2937 PERMIT # OSP 111103 PID # 017-343-04 SHBIL4DI.DWG On -Site Wastewater Disposal System Permit 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 Permit Number: OSP111103 Tax Code Number: 01734304000 Work Type: Septic Upgrade Permit Effective Dates: June 20, 2011 to June 19, 2012 Design Engineer: SPURKLAND ENGINEERING Subdivision: SECLUDED HILLS Site Legal Address: SECLUDED HILLS BILK 1 LT 4 G:2937 Owner/Address: SPURKLAND ENGINEERING 203 W 15TH AVE STE 203 ANCHORAGE AK 99501 Site Mailing Address: 5200 SECLUDED CIR, Anchorage This permit is for the construction of: Lot Size in Sq Ft: Total Bedrooms: 55466 4 N 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. Received By: Issued By '---' ° Date: �� s ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 014 - 3 y,' O y Property owner(s) 3 u f f we5 t, j Day phone 3/5' I �l Mailing address 5_200 SeLj Irl Ci'.: ; AoJofGye, AK gffl (o Site address -- SAID Legal description (Sub'd., Block & Lot) N IIs Bl r-.1 Lo I Ll Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4/ THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Initial ❑ Absorption Field ❑ Septic Tank Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature/of property owner or authorized agent) Permit,/,Rush Fees: 3-01�) ,_ 1�"°k Waiver e Fees: Date of Payment: Date of Payment: Receipt Number: CG,� �1 b Receipt Number: Permit No. 055 ' I 0 �) Waiver No. GABuilding\On Site\Forms\Client FormsTermit App_010411.doc (Rev. 1/11) E[MU1 dfle� lun g Environmental Consulting and Design June 13, 2011 Municipality of Anchorage Development Services Department Building Services Division On-site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Subject: SEPTIC TANK PERMIT APPLICATION Secluded Hills Block 1 Lot 4 Ladies and Gentlemen: We are submitting an application to upgrade the septic tank for this lot. The existing septic tank serving the above referenced property is 30 years old and the owner would like to replace it. The submittal consists of one (1) drawing showing the present improvements on the lot and the proposed improvements of the lot, of which only the septic tank is subject to this permit application. The existing tank is located beneath a driveway island that consists of a landscaped flower bed. This island will be rebuilt after the septic tank is replace to ensure that it is impossible to drive or park above the septic tank. There are no wells within one hundred feet of the proposed replacement site. The installation of this septic tank will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses within 100 feet of the proposed septic tank location. The proposed septic tank will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or are in need of additional information please contact me at 279-3916. Sincereiv, rkland, P.E. 203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng@gci.net I LI I I INSTALL W, --W 1250 GALLON STEEL SEPTIC TO EXISTING DRAIN FIELD T DRIVEWAY ISLAND. I I I ABANDON EXISTING SEPTIC TANK PER MOA CODE REOUIREMENTS I I I I I I I I I Lot 4 I I I I I I I I I I I i SECLUDED HILLS I I I 25 0 25 50 75 100 125 150 SCALE, 1' = 50 FT. DOUBLE CLEI / 5 FEET COVER CONNECT TO EXIST DRAINFIELD 1250 GALLON SEPTIC TANK FOUNDATION CLEANOUT OF TGO .:........... ......... S SPURKLAND No. E-11500 BENCH MARK ® "A" ON SITE PLAN ASSUMED ELEVATION 100 FEET SPURKLAND ENGINEERING SECLUDED HILLS All 1 LOT 4 SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE ANCH. AK. 99501 BUFF WESTIN DATE. • JUNE 13, 2011 (907) 279-3916 5100 SECLUDED C/R., ANCHORAGE, AK 99516 SHEET: 1 1 GRID. 2937 PERMIT # OSP 111055 PID # 017-343-04 SHBIL4D1,DVG SpHrk�and Eno LJ UeaLJ l Ll LJ O Environmental Consulting and Design Single Family On-site Wastewater Disposal System Construction and Material Specifications Subject Property: Secluded Hills Block 1 Lot 4 Date: June 13, 2011 General: 1. The owner shall contract with a contractor to perform the work outlined in these specifications and plans in accordance with the attached MOA permit. There is not contractual arrangement between the contractor and the Engineer. The Engineer shall be the owner's representative and will inspect the work to document the contractors activities. Final acceptance of the contractors work rests with the owner and the MOA. 2. The scope of the work includes the installation of a new 1250 gallon septic tank. The location of the drain field is shown on the attached site plan drawings. All components of the proposed septic system must be constructed a minimum of 100 feet from any surface water or water wells in the area. A minimum of 4 feet of earthen cover is required over the septic tank. If less than 4 feet of cover is available, 2 -inch thick, 40 psi, direct bury board foam shall be installed directly over the septic tank and all installed piping. 3. Construction shall be in accordance with the approved site plan and design drawings and any special provisions noted on the Municipal well and/or septic permit. All materials, components, workmanship and construction practices shall comply with the Municipality of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA, Development Services Department, On-site Water and Wastewater Program (DSD) policies. 4. The contractor is responsible for obtaining all underground utility locates, layout of the proposed system, and verifying and maintaining all required separation distances to lot lines, surface water, wells, steep slopes, etc. 5. The property owner shall be responsible for final grading any depressions formed from settlement of backfill material. The property owner is also responsible for vegetation of all areas disturbed by septic system installation activities. 6. Contractors installing wastewater disposal systems must be certified to do so by the MOA DSD, On-site Water Wastewater Program. Property owners installing their own systems must receive advanced approval from MOA DSD prior to system installation activities. 7. The contractor shall ensure that ALL materials being used are in compliance with the most current guidelines established by the Municipality of Anchorage. Refer to "Standards and Specifications for Component Parts and Materials Used in the Construction of On-site Wastewater Disposal Systems", Dated December 2000, as provided by MOA DSD, On-site Water and Wastewater Program. 203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net All a g g 7911111111 Environmental Consulting and Design Septic Tank Installation: 1. A new septic tank, of the size specified in the design drawings, shall be procured from a qualified manufacture/supplier if the existing septic tank is found to be defective. Construction shall include two 4" diameter cleanouts for pumping access. 2. The burial rating of the tank shall be adequate for the actual burial depth encountered. 3. The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank. 4. All standpipes on the tank shall extend a minimum of 12inches above the final grade. 5. Tanks installed with less than 4 feet of cover shall be insulated. 6. The sewer service line from the house to the tank shall have a minimum slope of 2% unless prior approval is obtained from the engineer. 7. The inlet and outlet lines from the tank shall be bedded in drain rock or the soil shall be sufficiently compacted to prevent future settlement of the soil. S. Septic tank inlets, outlets and cleanouts shall be fitted with water tight couplings. 9. A cleanout shall be installed 1 to 4 feet from the foundation. 10. Post tank cleanouts shall be installed per MOA requirements. Does not apply to pressurized lines. 11. In areas with high ground water, the septic tank shall be sufficiently anchored to resist buoyancy forces when there is not adequate soil cover to resist uplift force. The contractor shall refer to the engineer for direction regarding this matter. 12. The tank backfill shall be graded sufficiently to ensure positive drainage away from the tank. 13. All holding tank and lift stations shall have an audible and visible alarm inside the residence being served. 14. All lift stations shall be wired in compliance with all MOA guidelines and the Uniform Electrical Code. A municipal electrical permit and inspections must be obtained where required by the MOA. 15. The contractor shall verify that the septic tank/lift station is a minimum of 100 feet from any residential water well, 150' from any class'C' well and 200 feet from any community water wells. Additional separation distances must also be maintained. 16. The contractor shall remove or abandon the existing tank in compliance with the Unform Plumbing Code. Inspections: 1. A minimum of one inspection is required by the Municipality of Anchorage. These inspections must be conducted under the supervision of a Professional Engineer licensed to practice in the State of Alaska. 2. The septic tank may be set in place, but may not be backfilled. 3. The contractor shall provide a legible copy of all field notes relating to system layout and construction to the engineer for the use in preparing the record drawings. 203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net SpuMendg g Y Environmental Consulting and Design 4. The contractor shall coordinate all inspections with the Engineer. A minimum of 24 hours notice is required prior to the start of construction. If necessary, a preconstruction meeting will be held on-site. 203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net �— MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSP6CITION REPORT NAME amA\j MOtQ> WF_II4 NEW 3-Uj -/01/ 1:1ADE MAILING ADDRESS LEGAL DESCRIPTION r LOCATION 00 -Pe 1(mov" NO. OF BEDROOMS q Uy DISTANCE TO: Wel N T (ti Absorption area ( 0 _ Dwelling '�- PERMIT NO. 61067-9 N Z N Manufacturer ti-- C_ c5 vCLQ c I O K k Liq. capacity in g©ons Inside length IF HOMEMADE: Materi [ Width No. of compartments p2 Liquid depth �UZ DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons [] w= DISTANCE TO: Well Foundation Nearest lot line PERMIT NO g ( L° u. Z F_ Z c No. of lines ( Length of each jige� 4 Total length o� nes 5 Trench width inches Distance between lines Q I_ Top of tile to finish grade Material beneath tile Total effective absor tion area w O Length Width Depth PERMIT NO. Q N wa Type of crib Crib diameter Crib depth Total effective absorption area w N _ Well DISTANCE TO: Building foundation Nearest lot line J J Class Depth Driller Distance to lot line NO. LU � Building foundation DISTANCE T0: Sewer line JPERMIT Septic tank a ption ares) OTHER PIPE MATERIALS SOIL TEST RATING I�JD C, P;y o S INSTALLER CLARi) CONST REMARKS APPROVED DATE LEGAL 72-013 (Rev. 3f 8 ) THE REQUOF THE SOIL HBSORPTION SYSTEM IS: 11 JQ *0 E: PA �� �������� ������� � THE LEMGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DUiINFIELD. THE DEPTH OF H TRENCH OR PIT IS DISTANCE BETWEEN THE SURFACE OF THE 13R0jND AND THE BOTTOM OF THE E::..-,C8VHTIO� (It -,I FEET'). THERE IS NO SET WIDTH FOR TWNCHES. THE GRHVEL DEPTH IS THE mNIMUM DEPTH QF GRHVEL 8ETWEEN THE OUTFALL FIIPE AND THE BOTTOM OF THE EXCFlYHTION (AN FEET). ���� E�, F::" -V I �flo VNI l< 1: L :1- 13�� PERMIT APPLICANT HHS THE RESPONSIBILITY TO INFORM THIS EjEPHRTMENT THE INSTTLLHTION INSPECTIONS OF ANY WELLS AD..J'ACENT TC'I T-1IS PROPERT� AND THE NUM�E� OF RESIDENCES THHT THE WEL.L WILL SERVE �0.4 IC'_"ff I V-4 1E..] I- I IC -D VJ �F'��"� BHCKFILLING OF FlNY SYSTEM WITHOUT FINHL HND RPPF',!OVAL BY THIS DEPRITT MENT WILL BE SUBJECT TO PROSECUTION MiNIMUM DISTHNCE BETWEEN H WELL AND ANY ON~SITE SEWAGE M I� :100 FEET FOR H PRIVHTE W1H.LL OR 150 TO 20@ FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM FR"_111 H PRIVHTE WELL TO H PRIVRTE SEWER I INE IS 25 FT`ET HND TO H COMMUNITY LPNE IS 75 FEET. OTHEF., MHY APPLY. AND CONSTRUCTION DIHGRHMS HRE AVHJLRB�E' TO INSURE PF:OPER INSTALLATION. FOOFTEMM 1: "T" X FAMN Eon P::- EH.'. 0_1 E�.'_ I� I CERTIFY THAT 1� I HM F�MILIHR WITH THE REQUIREMENT5 FOR ON�SITE SEWERS HND WELLS HS SET FORTH BY T�� MUNICIPHLITY OF HN�HORHGE. OR: I WILL INSTALL THE SYSTEIl IN WITH THE COD�S -`.� : THAI- TI -IE ��EITHF� RESIDENC� I.S. F`:EMODELED TO INCLUDE MORE 1"HHI4 el �EDROOM� SI ~K- -------- ~�� J ISSUED BY—_. Y4�0 ������������� �� ������r~������� �3-0 8 DEPARTMENT [ HEHLTH HND ENVIRONMENTHL OTECTION 825 /L STREET/ HNCHORRGE/ HK. 99501 11) WA—"T 1: F, PH.-;U M -9 � T_ PERMIT NO � HPPLICAN T RHYMOND 24]^5]02 LOCATION LEGHL L4 B1 SECLUDED HILLS LOT SIZE 60000 SQUARE FEET TYPE OF SOJL HBSORPTION SYSTEM TRENC:H MHXIMUM NUMBER OF BEDROOMS � 4 SOIL RHTING (SQ FT/BR)� 150 THE REQUOF THE SOIL HBSORPTION SYSTEM IS: 11 JQ *0 E: PA �� �������� ������� � THE LEMGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DUiINFIELD. THE DEPTH OF H TRENCH OR PIT IS DISTANCE BETWEEN THE SURFACE OF THE 13R0jND AND THE BOTTOM OF THE E::..-,C8VHTIO� (It -,I FEET'). THERE IS NO SET WIDTH FOR TWNCHES. THE GRHVEL DEPTH IS THE mNIMUM DEPTH QF GRHVEL 8ETWEEN THE OUTFALL FIIPE AND THE BOTTOM OF THE EXCFlYHTION (AN FEET). ���� E�, F::" -V I �flo VNI l< 1: L :1- 13�� PERMIT APPLICANT HHS THE RESPONSIBILITY TO INFORM THIS EjEPHRTMENT THE INSTTLLHTION INSPECTIONS OF ANY WELLS AD..J'ACENT TC'I T-1IS PROPERT� AND THE NUM�E� OF RESIDENCES THHT THE WEL.L WILL SERVE �0.4 IC'_"ff I V-4 1E..] I- I IC -D VJ �F'��"� BHCKFILLING OF FlNY SYSTEM WITHOUT FINHL HND RPPF',!OVAL BY THIS DEPRITT MENT WILL BE SUBJECT TO PROSECUTION MiNIMUM DISTHNCE BETWEEN H WELL AND ANY ON~SITE SEWAGE M I� :100 FEET FOR H PRIVHTE W1H.LL OR 150 TO 20@ FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM FR"_111 H PRIVHTE WELL TO H PRIVRTE SEWER I INE IS 25 FT`ET HND TO H COMMUNITY LPNE IS 75 FEET. OTHEF., MHY APPLY. AND CONSTRUCTION DIHGRHMS HRE AVHJLRB�E' TO INSURE PF:OPER INSTALLATION. FOOFTEMM 1: "T" X FAMN Eon P::- EH.'. 0_1 E�.'_ I� I CERTIFY THAT 1� I HM F�MILIHR WITH THE REQUIREMENT5 FOR ON�SITE SEWERS HND WELLS HS SET FORTH BY T�� MUNICIPHLITY OF HN�HORHGE. OR: I WILL INSTALL THE SYSTEIl IN WITH THE COD�S -`.� : THAI- TI -IE ��EITHF� RESIDENC� I.S. F`:EMODELED TO INCLUDE MORE 1"HHI4 el �EDROOM� SI ~K- -------- ~�� J ISSUED BY—_. Y4�0 4 1 xSOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION O PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: .M• O b / W ES-rO'y tDDATE PERFORMED: � % 1001 LEGAL DESCRIPTION: �:r% 1 ��eOC�� � � s �C441D� Ld jqas DEPTH SLOPE SITE PLAN 1 (FEET) 'B rWWV1 L.0 a'W I--1-TI I I I I I F -I 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: 72-008 (6/79) G re.wy c-' 1 L -b ML c OF A/ FA WAS GROUND WATER S ENCOUNTERED? O L O P IF YES, AT WHAT E t DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE _ TEST RUN BETWEEN FT AND CERTIFIED BY: U I (minutes/inch) FT DATE: TVA A9 IK SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION El PERCOLATION •. ii TEST \ 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: "RM #Aoht� W ESTo y DATE PERFORMED:— LEGAL ERFORMED:—LEGAL DESCRIPTION: LOT76LOU(I • SE C-LVbMZ H I LL.4 SLOPE SITE PLAN 2 -s 3- .. 4 �' E" 1 V1 G �✓ 1M, 6 F . ! ' Jam" S;.06 7 l 9- i 10 11 WAS GROUND WATER ENCOUNTERED? 12 - IF YES, AT WHAT DEPTH? 13 Date Gross Time Net Time Depth to Water OF A`As`f,1P 14 15- r Y ° 49TH :fit 16 -......... . t N. 222.5-E c� Ju.oJ 25, 1971 17- w •. 18 19 20 - COMMENTS N s (� L O P E Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN FT AND (minutes/inch) FT 72-008 (6/79) a` I�Q SOILS LOG MUNICIPALITY OF ANCHORAGE / , • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Ll PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: 1106A%AOK Oki kC.S10" DATE PERFORMED: 6-0-91 LEGAL DESCRIPTION:L+l'.JI- r,ZELinnC.1 /I Depth to Water Fes) � r� W w �r�.vl. ' :• � • 3 r •i V1 Gcx.1/L (� s 5 �r • 6 r 7 co��eh� 8 � 9- r 10 10 L C �I� 11 WAS GROUND WATER �C ENCOUNTERED? 12 i v IF YES, AT WHAT y DEPTH? 13 14— v✓ 15 ,��•CSF AZj 11j1 16 17j'*' 49TH 18 :. . �'. 2225-E J NE 25, 1971 <u 20— COMMENTS 0 COMMENTS PERFORMED BY: 72-008 (6/79) 1:; e.CLi SLOPE � L 0 P E SITE PLAN Reading Date Gross Time Net Time Depth to Water Net Drop s PERCOLATION RATEr _(minutes/inch) TEST RUN BETWEEN FT AND FT CERTIFIED BY: Y r DATE: 4-z -e R. H. Westin SRA Box 375-R Anchorage, AI< Permit T 810839 FOIIC Of 1fECI -III AN'!, PHOI i January 4, 1982 Subject: L9"Bl SECLUDED HILLS SUB A permit issued by this department fc.r a well and/or sewer system has expired as of December 31, 1901. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date, If an engineer inspected the installation of the on-site sewer system, please have them send us the as-bui.lts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, v/ J Les N. Buchholz Program Managers-��� Sewer and Water Program Enclosure: Copy of Permit F` FOIIC Of 1fECI -III AN'!, PHOI i January 4, 1982 Subject: L9"Bl SECLUDED HILLS SUB A permit issued by this department fc.r a well and/or sewer system has expired as of December 31, 1901. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date, If an engineer inspected the installation of the on-site sewer system, please have them send us the as-bui.lts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, v/ J Les N. Buchholz Program Managers-��� Sewer and Water Program Enclosure: Copy of Permit raw Ns :11 CT 1: 10" 5:1 A .. I -W- "1, 13417 fit ���0 PQ fit 40- F---� DEPHRTMPI T ' HEHLTH HMD ENYIRONMENTHL OTIi- CTION 825 ,L STREET, HNCHORHGE/ HK99"�1 264~4720 PERMIT ( 8108]9 ) HPPLICHNT RHWESTIN SRH BOX ]75~R 279-1484 LOCRTION NHN �ECLUDED CR LEGAL LOT'9~�LK J. SECLUDED �r� J]V\Q �\_J LOT SIZE 80000 SQUHRE PEET V \ MINIMUM DISTHNCE BETWEEN H WELL HND HNY ON—SITE SEWHGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNCE FROM H PRIVHTE WELL TO H PRIVHTE SEWER LINE IS 23 FEET HND TO H LINE IS 75 FEET. WELL LOQS HRE MUS"T BE RETURNED TO THE D2PRRTMENT WITHIN ]0 DHYS OF THE WELL COMPLETION. OTHER MHY MADLY. SPECIFuCHTIONS HND CONSTRUCTION DIHGRHMS ARE HVHILHBLE TO INSURE PROPER INSTHLLHTION 1 1- X E.- C::, �,1 E-.1 01,--� ���� �!- ;�H : 11- 1 CERTIFY THAT' 1: I HM FHMILIHR WITH THE REQUIREMENTS FOR ON—SITE SENERS HND WELLS HS SET FORTH BY THE MUNICIPHLITY OF HNCHORAGE 2� I W�LL INSTHLL THE �YSTEM IN HCCORDHNCE WITH THE C8DES SIGNED�__..... ... __...... ....~~^. ............. ..... .... .... .. -..�~~ HPPLICH ESTIN ISSUEDBkU. �� �p-~~ '� � ,/ / !•34._i '# a ,-1 C. C! -_ .€ € r, .y = ? 3C <..:1-4 k.'-! 1- It _-i �- r#, °-Hl r AND , I •'S 1— ie t'}=i='t di;°rh3rt11' s f -IH ;:tt; Cf:;+fihr.:tltlii. r—'-ssrE+ �= TI 1i3 APPI t. I C-1 ft't r .a r{. s__l a ,11' C s"tti HIM i.� [,lt'r >? r � d .y l>}t_t�i;� ; ��_ _. .•. m [ fJ I! It_tT'3 i:+ I'a Tr=ity d !'k:t ld ri BO -,1_ } ;r r(i r1i !`�' +ljt '.� [ rP t= #•1'r?± c [7 C'}f't C Jt "'r a 1 t :s4 (' �:= 3'ir,, +!- ; a , � t. I_ t -, �: t3 { !� t'(t.� � .'`_' is i . -ia'±,1l� 4 #`'i lt;� _ 1 i_ ! �r �.yl . (' i •1`'.r•#1_> t,'{'�C' I t ter! l r TY 'E Ml;hllrlUis fllI'_t;4ri.,, s-Ri_rr7 8 E_ r�j �I ;-'Fe.cvii tr flt•rO j'+;t ii !.�i:+i•ii'lt�l'r� r'r` r+li � 1_�r•t:' C`a � s%:T, F,.T: a t sr 1C� 111 t_ i h:!' rt.r; ? It :C; 'ro n- ±1! its bt .,u + t711!'!.,`.- r F om hitt'r' 1:1P;'s_'d. #�';�tfrs, t�t�a_s� "r`+a t�l'�:t_t;,:r� r-'�t;;=•r;`�e CiI'�:1'�ll.�_sis�C+:±ra- IL I 1! I HN Ffflll i!„ M 1411"M 1fi S f I tt !,! E TH IT i s`:ri(; i .. I {:tar+ a . H.175 t,1:` V 61,111, 0 0 z I F, a N: 0 -P tJ rl F; 0: -P: --ir-i Qi r -i t-4 C; 0 ID Q) (3); t)JQ o Qla!> p Cd (d cl; 4-1 U) U) tid to 4) CO M C) 41 41 4,-j �1" 4, qQ 0: 0 (D U; n: N i C\l i C\I; m (Y-): Cli C-): w to:to: 0 0 0 0 0 0 0 0 0 0 0 0 F" IJI z > (Y,) : C) C4 u C\j N 0 C) 0 0 O C7 0 0 0 CN Di a � C?. x W, m M 41 Q U1;: cc < Q� . . . . . . rc); 'CO IJLII: ro to): (J) U)i U) LLI u): F4. rc5 i,j c3: Q) I 4: cdc; co w f cd i: W, -A: 0: Q: U) iu U) i Lvj) U); 40u): w9o); qo Cq Wco: 40(j): 'A U. Co cD Oj 0: 00: co: N Ni 0, 0, ti; OI pq ON: cr,: Z 0 < U) x 0. rx 0 CC) lr�: NiCO C) ! C\,: \0 0 LI) (X V) V) \D: -41 C) 0 0 0 o o C) 0 u C� a u): a MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services�� DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # L�t 1 - 3L1 - . 1✓` HAA # �_\ 12) r:--%L\=IA 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) -5C (*j_' L.2 E_') il bi G LL_ (02 N 2 v Uel Location (address or directions) 502 O0 S�P 1 cl� C: r A-ky. A -K 9,7S'/ ( (b) Property owner Qq:�LUDKO Ules�; n Telephone: (home) 3y'r - toil _ Business 34a- 77 Mailing Address (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address Telephone Telephone (e) Mail the HAA to the following address: (or check here if hold for pick up.) List contact person and day phone number below: _ 2. TYPE OF RESIDENCE Single -Family Number of bedrooms —� 3. WATER SUPPLY Individual Well g Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) 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 regulations in effect on the date of this inspection. Name of Firm 7; bbeo Si,urkr-« l�•t= Telephone .2 - 5O 9s, Address 67,5I V1'X Date Engineer's Seal r 6. DHHS APPROVAL Approved for bedrooms b Date 1GAZ7 c) Approved �— Disapproved / _Conditional A4 Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 Geo aG� \0 MUNICIPALITY OF ANCHORAGE (MOA) \���5��, • Health Authority Approval (HAA)j O' CHECKLIST 343-4 44FEBRUARY 1984 Legal Description: Loi �� / S4=G4uD2D /fGl1 Sec, ot-7 ! /a A6 ie 3 V A. WELL DATA Well Classification If A, B, C, D.E.C. Approved (Y/N) f/A Well Log Present (Y/N) Date Completed y/AF/S/ �g Yield PM Total Depth5a4 Cased to ^' Depth of Grouting 'J 92ma Static Water Level .28-5 Pump Set At $• err, Casing Height Above Ground ak� Sanitary Seal on Casing (Y/N) Y Electrical Wiring in Conduit (Y/N) i Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot //0 ; On Adjoining Lots > o� To Nearest Edge of Absorption Field on Lot I ao ; On Adjoining Lots To Nearest Public Sewer Line N.ek To Nearest Public Sewer Cleanout/Manhole /VA To Nearest Sewer Service Line on Lot ia' Water Sample Collected by /PG ; Date Water Sample Test Results C06 / / WAIf Comments B. SEPTIC/HOLDING TANK DATA Date Installed 7%9/ Size 1-aSo No. of Compartments 7-V a Standpipes (Y/N) Z Air -tight Caps (Y/N) %� Foundation Cleanout (Y/N) X, Depression over Tank (Y/N) U Date Last Pumped 8IA111e6> L SaccGs Pumping/Maintenance Contact on File (Y/N) n% ;for Holding Tank High -Water Alarm (Y/N) N/A Temporary Holding Tank Permit (Y/N) N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well / 10 To Building Foundation To Property Line To Disposal Field To Water Main/Service Line 5 To Stream, Pond, Lake or Major Drainage Course N& pie-, Comments 72-026 (Rev. 7/88) Front Page 1 of 2 .2c) C. ABSORPTION FIELD DATA Soils Rating in Absorption /Strata Type of System Design Dc-eo / eH Date Installed 7/S/ Length of Field �/45 Width of Field 3� � Depth of Field Al Gravel Bed Thickness Square Feet of Absortion Area %moo " Statndpipes Present (Y/N)o Depression over Field (Y/N) Date of Last Adequacy Test 10/1/90 Results of Last Adequacy Test ss �o Y, % oV r ecaj�ro0 rias SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well To Building Foundation Lot N/ To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Property Line Io I To Existing or Abandoned System on On Adjoining Lots . > 30 To Cutback (if present) Y/A To Driveway, Parking Area, or Vehicle Storage Area _ o , V wde.r %>ri v e uJ'a.>/ Comments D. LIFT STATION N/A Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. "Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. -~ Signed "1' _ I Company I olo er► Aur L 1� Date MOA No. Receipt No. 0 '?a"?57S�C3 7 3 Date of Payment S —1-/0 Amount: $ 0 06 Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/68) Back Page 2 of 2 Engineer's Seal V a•.nNk N�'Hl4 F'' �n4 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. Y 5633 B STREET •ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562.2343 a e, FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order t 27708 Data Report Printod: OCT 3 90 4 14:25 Client Sample IDA43; SECLUDED HILLS PWSID :UA Collectod OCT 1 90 4 10:00 his. Received OCT 1 90 A 11;20 his. Preserved with :AS REQUIRED Client Nano TOBBEN SPURBLAND, P.B. Client Acct TOBBENS P.O.# NONE RECEIVED Req t Ordered By : TOBBEN SPURT<LAND Analysis Completed ;OCT 1 90 Send Reports to: Laboratory Supe la STEPHEN C. EDE 1)TOBBEN SPURSLAND, P.E. Released By t���-�-. /� -' 2) •...................�.......................................................sw....... a........................ ............wu.....• Special FAX RESULTS UPON COMPLETION, 248-5085." Instruct: Chemlab Rof 1: 903977 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result Unite Method Limits -----------------•--------------------------------------------------------------------- ------------- NITRATE-N 1.1 mgll EPA 353.2 10 Sample ROUTINE SAMPLE, Romarks: SAMPLE COLLECTED BY T.S. .............................................................................................................. 1 Teats Performed See Special Instructions Above UA -Unavailable ND- None Detected " Sea Sanple Remarks Above NA- Not Analyzed LT -Lose Than, GT -Greater Than 171 '.� 20 T IIH1 0—f, —100 ' Ehl W1 !� �1�F* 6751 W Dimond Anchorage Alaska 99502-3904 (907)246-5095 RESIDENTIAL WELL INSPECTION LEGAL: LOl 4, .`_SECLUDED HILLS LOCATION: 5200 SECLUDED CIRCLE OWNER: RE:YMOND `vVESTIN WELL. CLASS: RESIDFNTIAL SINGLE FAI1ILY INSTALLATION REQUIREMENTS MET: Yes WELL LOG AVAILABLE: WELL YIELD FROM WELL LOG: PUMP YIELD FROM TEST: DATE OF INSPECTION: Yes 5 gal. per minute 4.5 gal. per minute OCT. 1 1990 TEST PROCEDURE: WELL WAS LOGGED WITH AN ACOUSTIC PROBE, WATER LEVEL. WAS FOUND AT 2.85 FEET BELOW TOP OF CASING. AT A CONSTANT PUMPING RATE OF =1.5 GALLONS PER MINUTE THE WATER LEVEL DROPPED TO 296 FEET AFTER 1 MINUTES OF PUMPING AND REMAINED AT THAT LEVEL FOR THE DURATION OF THE TEST', 90 MORE MINUTES, THE RECOVERY WA5 MONITORED FOR. I5 M MINUTES, DUPING THIS TIME THE WATER LEVEL ROSE TO 287 FEET, 90 RECOVERY, TEST FOR E.COLI AND TOTAL NITROGEN: A sample of water taken from the well was tested for, E Coli and nitrates on October 3, 1990 E. Coli 0 Total Nitrogens 1.1 mg/l E,Coli allowable 0, Max. allowable total nitrates 10.0 n,g. /l. TLST RESULTS: This well meets the requirement of the Municipality of Anchorage THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR MORE THAN FOUR HOURS. The Municipal requiren-rent for well flow is 150 gallons of water per bedroom tier clay. This ,tell e?',coed:- this re.qulrement, The assessment of the condition of the well applies only to the cor-11.1ci c., a<: 0-,e, were on the clay the well was tested. The flow rate may change due to sUbsurface conditions that can not be observed from the surface, or from changes in the land use or other factors that may impact the aquifer feeding the well. 6751 w Dhf end Anrhorarie Alaska 99909-W04 1907) 2<10-5095 SEPTIC SYSTEM ADEQUACY TEST l.HJAL: I_i)t 4, t1liir;k I Sp(IUCIeCI Hill: L.00ATIOtl: '3eclrlcled Circle OWNER: Raymond Westin RESIDENCE: SingleFrirnily 4Bedroonis WATER SUPPI.-Y: Onsite Weil, 5urvinrl tliis Res;idericeOnly SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: 4-13edroom Systern TANK: Anchorage Tank Steel two Compartments 1250 gal. ABSORPTION SYSTEM: Deep Trench ABSORPTION AREA: 720-1- sq. ft. SOIL RATING: 150 sq, ft, Fier Bedroorn INSTALLATION DATE: Augu-t. 1951 DATE OF LAST PUMPING: August 21 , 1990 Isaac^ DATE OF TEST: October 1. 1990 TL T' PROCEDURE: System was: inspected and measured. Tank was found with five feet: of cover and 46 tric .. of liquid. Cleanoul. to trench was 6 ft. deep and dry. Trench monitor tLibe +„';9I I r, =,At deep "A/ith ' ” of liquid. 00) gallon:; of clean water was added to the trench while the waterlevels in the tans: and n-lonitor tribe were rnonitored. T fie water level in the tank did not rise while the level in the tube rose 16,5 inches. Durinq the next 90 minutes the water level in the Sump dropped 1.75 iriches, indicating that approximately 50 gallons of water was absorbed by the soil during this period Exlended to a 24 hour period this equals approximately 800 gallons TEST RESULTS: Thi^ septic, system meets the code requirements of the Municipality of P,ncliorage. Aseptic system is required to absorb 150 gallons per bedroom per, 24 hours. 'I'he operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the ,'stern. These conditions ere outside the control of the evaluator of this system. 'Ne can therefore not give any estimate of how long this system will function satisfactory for current or f1,t1Jl_H occupants. Time Time Date Date 'T Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Installed Permit No. 4 Septic Tank Size /mss ( Holding Tank Size Soils Rating es Well To Absorption Area Well Log Received s Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY tet- Property Owner tt--�— Phone Mailing Address _ t Buyer �� n Address b Py_\tC_ Lending Institutions ` - �z.FC c, Phone Address Realty Co. & Agent �� Phone Address —�E5-f�� 6 Legal Description C-�jC/�/ Street Location C''it(kCG , (,�:X11S �, t 1,1_ C �z� L(Arsc-2- Type o_ f gssldence LYSIngle Family CI Multiple Family No. of Bedrooms. j�� 0 Other Water ply P CCff Individual ATTACH WELL LOG. A well log is required for all wells drilled since June ❑ Community 1975. For wells drilled prior to that date, give well depth (attach log If ❑ Public Utilit� available.) Sawa isposal� r'Individual Year Individual Installed: CI Public Utility When Connected to Public Utility:___ CI Holding Tank NOTE: THE INSPECTION FEE FAUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,