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Home My WebLink AboutT12N R3W SEC 14 S2NW4SW4NW4T12N R3W SEC 14 2NW4 W4N W4 #015-061-28 Municipality of Anchorage " Development Services Department " Building Safety Division Onsite Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 995196650 Pager of Z www.d.anchorage.ak.us (907) 3437904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: S w O y d 2 2 ICPID Number: O 6- 06 /- 2,8 Nacre: Q r000 ue /,Corr Af Wastewater System: ❑ New Upgrade Address * Su</•t Y S03 3 "A"Si. ABSORPTION FIELD Phone: /�O of sedroam. C !` R Deep TMnCh o &MICA.TMOCh ❑ Bad 0 Mpma ❑ other:. LEGAL DESCRIPTION Sol Rating: Tob Deed ana grel gado: 0 elock: Lot SubWwSim; '/#/, r/ti r/4r Depth to Pipe boltam5ornodgem grade: Gravel death beneath pipe: S'/g: A114., S w /V w 11Ft. S Z FI. Township: Range: Section: Fd added ate" a" Wade: Gravd Landis: 1. Fl V O FI. Well: �x, fr ❑ New ❑ Upgrade Gravel widit 2- Number otfars I Distance between lines: — .7 F6 Ft. Classification (Private.0.9/C)): TotalDeplh: Cased to/ TOWabsdpEanarea:t 6Tjr PfpeWlenal: N'U C • iO3H /- I"lV4k 6o FL 7 6a FL F1' /•2.ti-� Lea.d Yb PVC Duller. Dam p91d: 196 Static water L. Dean Date fQ 7 FL FL Y fd: Pump Set at —j 6a Casing Heigi+t Above GrauW: 2•S TANK GPM Ft. FL SEPARATION DISTANCES ❑ septic ❑ Holding IRS.T.E.P. ❑ Other. To From Septic Tank Absorption Feld Lift Station Holding Tank lutiodprivate Sewer Line mail A^G4Ora '%a.rIt loeencs, capaotx 2060 Gal. - Well 107' Ian' 107' _ /se Malenat Sitio/ NumEaof Comparprents: 2 Surface Water > lam. -0 IC01 > 1440r _ LIFT STATION surer. Lat Line 1-30, TOr 13G a O i -e^ CO 'Purry off levdat Kemp of feud atHigh eater alarm at Foundation 1149, 1/ 0 a 1 1!9 — Z ?. in. I S m. Is, M. Current Drain — — Purr, Make S Model Ih Electricalimamslions performed W. .. dt l M G- A Remarks: W411 /PV/- stev<t' bnow s e eor-Ae BENCH MARK Laatian arp lhsaPtwn: rucVr LTC,/ ori Amt .vfa//a/iun. Can n k raw. ace+ t.lr wf Aweafw.a assumed Eevaaon: C9Pa inq/ N': funk f Stt u i SAe•u/n on .pFt. Iianafanr0f on lt<ct G. unk rd amu✓.n kr d' /»utk f-r3hn w sa•/ Engineers Stamp §, Inspections performed by: 1= la J-/VP-/VP7ee4 SvC Dates: 1Sl 71/ /4Y V it k -NJ ; 2 nd !oY Approval ................a..aa°nw . .7/1 Development Se ices Department a...:!�^f......�Cat Reviewed and approved by: Dater `s m THEODORE F. MOORE°.� 1� '„° CE -3589 op e�, PERMIT NO: SW040226 PAGE 2 OF 2 PID NO: 015-061-28 SWING TIES: PROPERTY i LINE FROM: COR. "A" COR. "B" COR. "C" TO: DBL. C.O. "D" 27' 34.5' C.O. "E" 92' 120' 65 -FOOT LONG STEP C.O. "F" 126' 157' SOIL ABS. TRENCH STEP M.H. "G" 138' 170' w. 5.2' EFF. GRAVEL TR. M.T. "H" 131' 156' 5-BDRM HOUSE TR. M.T. "I" 150' 166' ,. PUMP R 100' 65' y. LARM f. 'A'• WELL I 65 -FOOT LONG SOIL ABS. TRENCH w. 5.2' EFF. GRAVEL BOT. TRENCH ELEV. 88.6' CROSS-SECTION SCALE: 1” = 5' I: I�;ly III';'I Iry;�yll I INVIbl'I;��' 896 IH�hYI;M��i; II BOT. T.H. #3 ELEV. 78.3' jM.T. DRY 6/4104 ILO S 1/2, NW 1/4, SW 1/4, NW 1/4, Sec. 14, T12N, R3W SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES SCALE: AS NOTED 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 JULY, 2004 I , r DBL. C.O. TBM C.O. R( T.H. .D.. E.. > #3 , „H„ 2000 -GALLON STEP TANK 1.25" DIA. SCHED. 40 PVC VIEW F 'ir.,. 3/16" HOLES @ 18" :. ,N.Ipl::. ,'•°,•PLAN `'<e SCALE: 1" = 30' G„ TH° mw� , ua.mssse•e.a„0.e. ......m... PUMP CONTROL BOX MOUNTED ON POST ...„,i"m THEODORE F. MOORE a° jr CE • 358® e .° 3' SOIL ,��''�'a�'rr�,�»='. a ��-�,• +3 COVER ORIGINAL GROUND II ;<= 4' SOIL COVER „. INV. ).; II STEP 93.8' I'' RISER ss;{ 1.25" SCHED 40 PVC 65 -FOOT LONG SOIL ABS. TRENCH w. 5.2' EFF. GRAVEL BOT. TRENCH ELEV. 88.6' CROSS-SECTION SCALE: 1” = 5' I: I�;ly III';'I Iry;�yll I INVIbl'I;��' 896 IH�hYI;M��i; II BOT. T.H. #3 ELEV. 78.3' jM.T. DRY 6/4104 ILO S 1/2, NW 1/4, SW 1/4, NW 1/4, Sec. 14, T12N, R3W SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES SCALE: AS NOTED 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 JULY, 2004 FROM : BRICK'S ELECTRIC RightFax Y FAX NO. : 770-2933 7/14/2004 7:32 PAGE 1/1 Jul. 19 2004 01:46PM P1 RightFax Inspection Report Municipality of Anchorage, Building Safety Division 4700 South Bragaw Page lufI INSPECTIONrVOICE 343.8300 INSPECTION: FAX (907)249-7777 INFOs343-7962 Name Srickwell;Inc- Bill Permit 04-8329 Address 9701 BIRCH RD Phone 440-9351 345.2923 Legal Inspection Data 7/15/2004 AM Subdivision T12N R3W SEC 14 Comments or Directions PM OK fAM Full. shanks Inspection Retro Electrical Reinspection N NONONCOMPLTANCE OBSERVED Q CORRECTIONS ESSENTIAL AS EXPLAINED BELOW E] WILL RE-EXAMINE AT NEXT DO NOT CONCEAL UNTIL REINSPECTION INSPECTION cOMMENTW (for inspamr use only) Inspector v Date: file://C':N.Ycogmrnu/a20F'iiesURightFax\()utgoia&\ 100001sES.000 7114/2004. ' MUNICIPALITY OF ANCHORAGE yt�I ��ym Development Services Department Ill f V-t6b On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 25, 2004 Expiration Date: Jun 25, 2005 Permit Number: SWO40226 Parcel ID: 015-061-28 Legal Description: :!ZN R3W SEC 14 SMMISW41M4 Design Engineer: 0019 Flattop Technical Services Site Address: 009701 BIRCH RD Owner Name: BRUCE WRIGHT Lot Size: 204600 SQ. FT. Owner Address: 3000 A STREET STE 400 Total Bedrooms: 5 Permit Bedrooms: 5 ANCHORAGE, AK 99503-0000 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permitonly ). 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: / Z 9 / oK Issued By: 12 `OO/ Date: (o Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-- 0&(-2!.00 Permit Number SW O tf 0 g Property owner(s) 13^4 c e 14-0 Day phone{ - 38 ?-2C+09 Mailing.address (1) P.G. 3a x Z-74/ Mailing address (2) .S/ct n wcjc ,Pl, W A Zip Code 9,9 2 9 Z Legal description (Lot, Block & Sub'd.) S '/;Nw ��ti. Su+ ""Y N Gu r/�r J Legal description (Section, Township & Range) Sac I y % / 2 A6 fZ 3w a. iy ?.,Y/ (0w Lot Size JF Acres/0q.-Ft Number of Bedrooms S' THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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 Fees: Waiver Fees: Date of Payment: it I1& _ Date of Payment: Receipt Number: 25"3 9 _ Receipt Number: (Rev. 12/00) -- CIVIL & ENVMONMENTAL ENGINEERING • ENERGY CONSERVATION &ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 June 14, 2004 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade to 5 -bedroom capacity the wastewater disposal facilities on the S %2, NW '/4, SW '/4, NW '/4, Sec. 14, T12N, R3W, S.M., located at 9701 Birch Road. No Municipal records were found for the present system that serves the existing residence, which was built in 1962. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole # 3. As can be seen from the soil log, the native material between 1.5 and 7 feet below ground level is a clean gravelly sand with a measured perc rate of less than one minute per inch. Because the in-situ material is predominantly sand no additional sand filter should be required. Using the soil application rate of 1.2 gallons per day per square foot specified in the wastewater ordinance, this 5 -bedroom residence requires a total absorption area of (5 x 150)/1.2 = 625 square feet. The proposed 63 -foot long trench design with an effective gravel depth of 5 feet has a total absorption area of 630 square feet. The topography of the lot in the area of proposed construction is a gentle ridge sloping downwards towards the south southeast at approximately 10%. The exact location of the existing waste line exiting the house is unknown; however it is probably less than the presently required 25 feet from the well, but more than 10 feet. As I discussed with Dan Roth on 6/14/04, this configuration can continue to be approved for this residence. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. A site for a similarly configured replacement trench is shown on the site plan. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, J Ted Moore, P.E. WELL LOT 7 V� SEPTIC AREA `� °---- --'---'` ---------- THEODORE smmORE �o- CE~3589 -- UNSUBDIVIDED � ` WELL LOT SEPTIC LODGEP[}LES/D ` 4" D-3034 ----'----''''''' Nor ABANDON FOUR (4) EXISTING SEEPAGE PITS EXACT LOCATIONS UNK. 1.25" DIA. SCHED.4OPVC .INSTALL 2000 -GALLON STEP TANK 4" D-3034 FROM HOUSE w. DBL. FDN. C.O. +ADD'L. C.O. @ 75' M.T.—\ "A" 7 STEP TANK .25" DIA. SCHED. 40 PVC 1.25" DIA. SCHED. 40 PVC w. 3/16" HOLES IN BOTTO @ 18" ON CENTER 5.3 1 5 63 -FOOT LONG SOIL ABSORPTION TRENCH w. 5.0' EFFECTIVE GRAVEL betw. 2.0'& 7.0' b.g.l.. PLAN VIEW SCALE: 1" =10' SOIL COVER MONITOR TUBE ORIGINAL GROUND FILTER FABRIC 1.25" DIA. SCHED. 40 PVC. w. 3/16" HOLES @ 18" O.C. - 2 1/2" SEWER GRAVEL BOTTOM OF EXCAVATION CROSS-SECTION "A" - "Al SCALE: 1" = 5' M.T Tm TyO bG006pWe < `F {'� Y me YS �''F,Jc v eu a�e eis ee'eJm eu s e a��Js�'m/m m//�®��e��e�ajv c�e emm. e.T!... ..... m0ems m THEODORE G. MOORS . C:-3589 G FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE I I # 3 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: -S1J2-RW1/-4-SWJX NW-lJA,..Sp-c--t4-TJ2N-R3.W-S-M---- DATE PERFORMED: PERFORMED FOR: DEPTH Pt. (feet) ........ ... SM Reddish sandy loam R1 9 SP Clean gravelly sand 6 VA 8 GM Silty sandy gravel 1-41,1101 Lenses of SM 11 14 TA SM/ML Gravelly silty sand 15 Damp 16 SLOPE L -J' PERCOLATION RATE <<I - (minuteslinch) PERC HOLE DIAMETER TEST RUN BETWEEN -2.5 FT AND 3.0 FT COMMENTS: No sand filter Should be needed because � -situ 'Ina in -Pmdom- ntly_Sand. PERFORMED BY FLATTOP TECHNICAL SERVICES. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: d /-'g 0 0 20%.20 10 I 0 0 HOUSE 135 T.H. 50/. 5% WE #3 DRIVE 2 0. 0 SEPTIC 164 20% NK 175 183 5% GAR, 120 T.H. #1 0% 58 #2 Depth to Groundwater Date o �gjqun we er 5/26/04 Monitor tube dry S-/-4/04LO E 0% 5%--- 3 I Date Reading Clock Net Time Ti (minutes)Reading rcom Pe omete, Net Drop g (inches) 2 12" Presoak --1T �resoak 27 1/2 —2f-1—/2---- --- Start -- "l Add —water 12:: J01-2-0 233/8 201/2 27/ 8 #2 12:22:20 1/2.--- Add water 12:22:35 ---1 .20 233/8 #3�12 �Z3 35- 201/2 27/8 L -J' PERCOLATION RATE <<I - (minuteslinch) PERC HOLE DIAMETER TEST RUN BETWEEN -2.5 FT AND 3.0 FT COMMENTS: No sand filter Should be needed because � -situ 'Ina in -Pmdom- ntly_Sand. PERFORMED BY FLATTOP TECHNICAL SERVICES. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: d /-'g FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 1 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: __Saj2_N_1L�L1L4,._SWI/A_NWj 4, SeC._14—L12N_R3W—S,M, DATE PERFORMED: -May-2.6,2004- PERFORMED Mak26,2004PERFORMED FOR: _$RICeJ(Yri9ttt DEPTH ps� SLOPE erg r ....... HEOQDOR A600RE : ! LESSC 'P .'4 40 SITE PLAN 6 7 8 9 10 11 12 13 14 15 16 17 Small water seep GM/ML Silty gravel Damp, lenses of ML,SP More MML @ East end of T.H SP Clean gravelly sand B.H. 18 19 20 Depth to Groundwater Date 11 Small seen CaD 6.0' 5/26/04 I Monitor tube dry 6/4/04 3LO 0% 5111, Date Reading Clock Net Time Percometer Time (minutes) Reading Net Drop (inches) 5/26 12' Presoak 273/8 Start 11:23:20 23 3/8 a #1 11:24,20 1 20 7/8 21/2 — - Add water 11 24.45 - 23 3/8 92 112545 Add water 11:26:05 — 23 3/8 _ #3 1127:0_1 211/16_ 25/16_ LTJ _ PERCOLATION RATE <1 (minutes/inch) PERC HOLE DIAMETER -6'_— TEST RUN BETWEEN_ 3.0 FT AND 3.5 FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I . �� _ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: DEPTH Pt SLOPE (feet) SM Reddish sandy loam 2 3 5 6 7 8 9 10 11 12 15 16 17 18 19 Water seeps all around T.H. ML Gravelly silt SP Clean sand Cobbles below 17' 01F. ACF ..........° THEODORE F. AfCORE m CE - 3589 SITE PLAN Depth to Groundwater Date 20--F----=1 B.H. II I_. -----i u PERCOLATION RATE _ (minuteslnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND__ FT COMMENTS: NNerc test conducted. SP stratum too lee and too many seeos above. PERFORMED BY FLATTOP TECHNICAL SERVICES. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 45'I & J y_, FLATTOP TECHNICAL SERVICES 14530 ECHO ST. _� ANCHORAGE, ALASKA 99516 t TEST HOLE # 2 SOI LS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: _81/2.NW1L4 SW]L4._NlNjl4„S.BC_14, T12N.._R.310C,_S IN,___ DATE PERFORMED: —__May_ 2.6.2004_._. PERFORMED FOR: _.__ BruOyWAjgttt_ DEPTH Pt SLOPE (feet) SM Reddish sandy loam 2 3 5 6 7 8 9 10 11 12 15 16 17 18 19 Water seeps all around T.H. ML Gravelly silt SP Clean sand Cobbles below 17' 01F. ACF ..........° THEODORE F. AfCORE m CE - 3589 SITE PLAN Depth to Groundwater Date 20--F----=1 B.H. II I_. -----i u PERCOLATION RATE _ (minuteslnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND__ FT COMMENTS: NNerc test conducted. SP stratum too lee and too many seeos above. PERFORMED BY FLATTOP TECHNICAL SERVICES. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 45'I & J y_, Tfattop TechnuatSem*,es 14530 Echo Street, Anchomge, Ax 99526 Phone (907) 345-1355 S %, NW %, SW %, NW %, Sec. 14, T12N, R3W, S.M 9701 Birch Road Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandoning an existing septic tank and multiple seepage pits and installing a 2000 -gallon STEP tank that discharges effluent into a 63 -foot long soil absorption trench containing a total of 5.3 feet of sewer gravel. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank and up to 4 seepage pits which are not to be retained in service must be properly abandoned by thoroughly pumping, removing the tops and backfilling with soil. 2.2 The new 2000 -gallon, 2 compartment STEP tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot. A cleanout shall be installed 1 - 4 feet from the building foundation, or a double cleanout at the point of attachment. The contractor shall verify that the existing sewer line from the house has a minimum separation from the well of at least 10 feet. 3.0 Lift station: 3.1 The lift station shall be installed in the second compartment of the STEP tank. The lift station package shall be an "Orenco" system as supplied by Anchorage Tank. 3.2 The contractor shall be responsible to obtain the necessary Municipal electric permit and inspection, and shall provide a copy of the electrical inspector's report to the engineer overseeing the construction of the wastewater disposal system. 3.3 The lift station shall be equipped with a watertight, insulated manhole riser and cover extending a minimum of 6" above final grade with positive surface drainage away from the manhole. The contractor shall be responsible for determining the necessary length of the manhole riser. 3.4 The on, off, and alarm floats shall be set at the elevations specified by the lift station supplier, and their proper operations shall be verified by the contractor. 3.5 The discharge line from the lift station to the soil absorption system shall be 1.25" dia. Sched 40 PVC. All pipe connections in the distribution system shall be glued, and the ends of all pipes capped. 4.0 Soil absorption system: 4.1 The soil absorption system shall be constructed by excavating a trench to a depth of 7 feet below original ground level. The long axis of the excavation shall parallel an existing contour 4.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. Sand for leveling or serving as filter material shall comply with Municipal specifications. 4.3 A total of 5.3 feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe invert is no less than 5 feet above the bottom of the sewer gravel. The perforated distribution pipe shall be 1.25" diameter schedule 40 PVC with 3/16" diameter holes drilled in the bottom spaced 18" on center. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 4.4 Monitor tubes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 4.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 3 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 4.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 4.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 5.0 Inspections: 5.1 A minimum of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and grading is complete. The STEP tank requires one inspection after it set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. Municipality of Anchorage Development Services Department*A` Building Safety Division On -Site Water and Wastewater Program TY 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O fS`"06f - 28 HAA # Expiration Date:/ o ` , G - 1. GENERAL INFORMATION Complete legal description 5r�� NW try S w 14 N w'10 Sac /Z1V� R 3!!t! S. M, Location (site address or directions) 9-70( ? w -c4 Current Property owner(s) f3ryk-ce C!/rreAt Day phone 364 38 7-20oj Mailing address 3000 444 Sf 914#14 Kfsa( Anal4 ALC 9250 Lending agency Day phone Mailing address Real Estate Agent f>a ut W,#%P&o Re. Nox Pion. Day phone 7 27 -3SOo Mailing Address 26od 4Grd0 -.A Sl` 4,mc4go-Ve 64�c 99 S413 Unless otherwise requested, HAA will be held by DSD for pickup. Pl ~-f Ce l f Aa t0o 4,C -114e roe e -T z -r-3300 when ready for 120t& -tv 2. NUMBER OF BEDROOMS:. S 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 Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 verify that my investigation, based on procedures outlined in the Health Authority 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 F6/&o rCeAn; ca/ Serriccm Phone 7,VS'- I:fr5r Address_ 1,Y53o Echo Sf Engineer's Printed Name 771ta=fonv F Pic o•r Date 7/z1 /e y 5: DSD SIGNATURE Approved for _ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory ON-SITE= • 1464ER AM) ER rt'00, Maintenance Agreements Supplemental Engineer's Report Other B y: 414 � O— Original Certificate Date: r%— �o 0 (Rev. 01ro2) 1Vl UMI Developn nn_Sito NI 1-77 y._ti If r,196Z rage e artment _. _.. .. �_:. ram <'•��. .. sat er Y. VUi�s 3W gee✓l'YG��4�ty�m, ft. m4 Y n .'%. �x!"-��%'5z.`�,v��i.{�"��."3hi' r O� ma,/1'acena' � �coloptesl100 mL i64N'fis"•�,^:a9i-ks,arch'�'+��:+'.,acE.�a�f�Z'm�5"�4 16V Collected by la Elo�r �':e/ : •� ✓e, 3 stem{typred, �, ON -Y .:.— --. Gravel below pipe Depressron�ove ft. ns µ t..*..:kt.r .. in. gallons XA Manhole/Access (Y/N) off level at 18 in. High water alarm level at kr in. cent lots 2! (OW I Absorption field 12, Building foundation 1/0' Water main Surface water > 10dDriveway, parking/vehicle storage :2! -7= Wells on adjacent lots too V ined through field inspections and 4 m en dithat -the 'above systems are in IAA guidelines in effect on thhl'date. CE - 35238 C Waiver Fee $ & Date of Payment Receipt Number Jul 21 04 11:06a David Windsor 16071 2767414 p.3 g BIRCH ROAD Affix NOT'03'00"W 330.00' 1 mg Sol P.L.O. HIGHWAY RESERVATION ------------------------------------- 12' ____ _ -__ _ __ --__ g4 12' TRAIL AND WALKWAY EASEMENT------------------------------------- > ----- --------- ----------- W�y .__ _ _______ _ ____ L1 ______ I 2 AND WALKWAY EASEIAENT o' TRAIL ------ — — -------------------- ' mag N a x v ' N�y 0 n I A ON 1 m C N D E 71.9 r- v Z z J a u 47.8 V) U)y $ e ae u., w N In 0)ro o —> z C w �€ 46 0 � N q `O [WO Z °J (nom © e o m O n N O f z Rs i �� a� ,.. v o NV) g o Z 0 0 :g€g so L4 ? L r S� • G ; `y `, 'o u}3 D q$e'xm c � 9 A� 2g� Sg- y�Qn O :SOL p � C4' A o c9dbas%4'�1 28 3 gBQ ZE ,nA Poo :' s: :CO '� O lsou 0 F$' TiRP 13 g> N00'03'00"W 330.15 ❑e0 LOT LOT 17 18 i Tom= � 07-19-04 01:41PM FROM -CUE ESI, SGS ENV SERVICES SGS Ref.# 1044072001 Client Name Flattop Technical Srv. Project Name/# 9701 Birch Road Client Sample SD 9701 Birch Road Matrix Drinking Water Sample Remarks: Parameter Waters Department Nitrate -N Microbiology Laboratory Total Coliform 9075615301 T-132 P.02/03 F-282 i f i i All Dates/Times are Alaska Standard Time printedDate/Time 07/152004 16:23 Collected Date/time p7/132004 15:15 Received Date/Time 07/1320 15:33 Technical Director �,,.. teph . Ede Releasedip ✓ ... _AOowpl ...Results PQL units MetMOO Container ID Limit I I i 3.53 0.100 mg/L EPA 300.0 B (< 10h 0 coVIOOznL SNG0 9222E prep Analysis !nit 07/13/04 JIB 07/13/04 PKC