HomeMy WebLinkAboutMOUNTAINSIDE VILLAGE #1 BLK 5 LT 4Mountainside
Village #1
Lot 4
Block 5
#020�172�38
10 2- - P>
Municipality of Anchorage Page ota
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 0 Anchorage, Alaska 99519-6650 0 Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: :5 W 9 PID Number:_QF), C) - �__) a _-zs _- ,
Nar"t—, .4 d V i,2
Wastewater System: New 0 Upgrade
Address:
- A)+, tf: a Ito ar t
ABSORPTION FIELD
Phone:
-3 4-6 4- t) 0
No. of Bedrooms:
14
0 Deep Trench N Shallow Trench 0 Bed 0 Mound 0 Other
LEGAL DESCRIPTION
Soil Rating:
Total Depth from on trial grade:
GPD/Sq Ft
_f__ C�
Lot: Block: Subdivision:
-il— 5 410-,fAl
Depth to Pipe bottom from on inal grade:
,
1�_)
Grant depth beneath pipe
-2—
Z4 t 4 15- /1)(' V
,. *r-/ e:> Ft
1 E5 Ft
Townsh
Rang
Section:
Fill added above original grade:
Gravel length: r
jl�
2_-ff(At)�: Ft
Ft
WELL: New 0 Upgrade
A\
-aravell width:
Num btrotlinew
betweer, lineir
ID370
Ft
Ft
Classification (Private. AB.C):
12f— jV a+ -e—
Total Depth:
Ft.
d To:
Case Ft.
Total absorption area:
7 so Ft
Pipe m jai- PC/ IyA, if U
A 5 T I Q �3<=)
Driller.
Date Drilled:
slalle water
"
L"Fit.
I fall
4ZE
Da�lnstalled'
94
Yield:
I Pump Set at
Ceding Height Above Ground:
TANK
GPM
Ft.
I Ft.
SEPARATION
DISTANCES
k�eptic 0 Holding 0 S.T.E.P.
To
Septic
Absorption
Lift
Holding
%elw/lortvate
Man f turer.
Z>!
Capacyl, in gallons:
From
Tank
Field
Station
Tank
senv"
sinve, Lines,
7—,�_,_
Welt,
11+
10
N1
is,/J�
I
_5
Material:
Number of Compartments:
Surface
n <�_
LIFT STATION
Water
Lot
61
Size in gallons:
I Manufacturer.
Line
Foundation
1 �"3140
/J[A
"Pump on" level at:
at:
Curtain
0 r)
r— —
"it Make & Model
Electrica by
I
Drain
,�fpectiomiperfonned
Remarks: Vrjj)6) tu,,� ty-?irocad 4ety,,7hill
--lBEINCH MARK
4-0 floto
Location and tio
0-0 Vp "� (P T
-F 15c-0 ic�f 5Y_,51e-,qi
.9,
door-
f) W 0 'r
t-(,e,(,7rjXyCr Z'd j(fCf-q,( �;&WL7
Assumed Elevation:
F,
OF -At
so see
or
Inspections by-.1194,10-fi Dates: 1st CAI
foe
performed
2nd JQf7e ir hzV
jo es F. Siz in a
'4r-cf,
0. # 13 7 E ..:
-sees. - de'
i ima n
Department of Hea�ltehllluma rvices approval
es'
44 P90 *
_r 4 lZe I
Reviewed and approved by Date:
z I
E
72-013 (Rev. SAH) MOA 25
k I
I
Permit No. Page of
Municipality of Anchorage
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
Legal Description: [-4P3L5MOVA17-,OrltVSIDE-VILL-A6,E- PIDNo.:
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A-5-BUIL'T PLA N"."
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# 1517 E
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I
Permit No. Page ?2 of
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 e Anchorage, Alaska 99519-6650 *Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: t-+ 6L-6 MOLMMOLSICE V;�-LAGC= PID No.:
1" 17-50 6,
L I III �,7
-40 ' 4-o
lot
+0
I G1
L I I X 41
P R6 F I L-�-_ !Z-';'
S 6 P T) C_ SYSTE M E
1 0
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................. . ...................... I.. ............ ...... .......
er
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Jamn F. S;zer
# 1517 E
ta
m.wrtiffirb Priolting lKog
by
Mc co'd"a
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 - TELEPHONE 688-2759
OWNER OF LANDWt4.cn, �J56 0 44A J 'SDEPTH OF WEL . L
ADDRESS STATIC LE%'ELOF* WATER FT.
LEGAL DESCRIPTION4�1'+ 6""c' DRAW DOWN FT.
DATE - Started
Ended
PERMIT NUMBER
From Ft. to _122Ft.
KIND OF FORMATION:
From—Ft.
A
Ft.
From Ft. to _122Ft.
to—Ft.
From —Ft.
From 0� Ft. to Ft.
1-147"
From—Ft.
From—Ft.
From -a—Ft. toZ�_Ft.
6Ed"LC-5-
From
From_E�Ft.t.jr>'a Ft.nd4-"-Y-5-
43
From 10 () Ft. to-4�_?_Ft.
11 LIZ C�
Ulz
/c4'Ft.to/ll Ft.
L?
i9k I
From
From—Ft. to—Ft.
si,-�Jm -
From /I I Ft. to /)? Ft.
rom
Ft. to_Ft.
From/-,�fl Ft.to!32 Ft
From —Ft.
to—Ft.
From—Ft. to—Ft.
a -a'0/71
From L Ft. to ZIFN Ft.
-
From —Ft. to—Ft.
From
Ft. to—
From—Ft.
to—Ft.
Ft.
From—Ft.
to—Ft.
From —Ft.
From_Ft.
to_Ft.
From—Ft.
From—Ft.
to—Ft.
From t. io—Ft
From
—Ft. to—Ft.
to—Ft.
MISCL. INFORNIATION:
GALS. PER HR
11
�IND OF CASING
From —Ft.
to—
Ft.
FronL_ Ft. to—Ft.
From —Ft.
to—
Ft.
From—Ft.
to—Ft
From t. io—Ft
From_Fl.
to—Ft.
Fr(,m_
Ft. to—
Ft.
From
Ft. to_Ft.
rom
Ft. to_Ft.
From —Ft.
to—Ft.
-
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to—Ft.
-
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to—Ft.
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to—Ft
DRILLER'SNAME A'
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 -L- STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW930331
DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES
OWNER NAME:ROGERS DANIEL C
OWNER ADDRESS: 0201723800088
PARCEL ID:02017238
LEGAL DESCRIPTION: MOUNTAINSIDE VILLAGE #1 BLK
5 LT 4
LOT SIZE: 90113 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE I OF 2
DATE ISSUED: 8/26/93
EXPIRATION DATE: 8/26/94
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
DUE TO THE FACT THAT THE DESIGN OF THIS MULTIPLE TRENCH
SYSTEM IS BASED ON THE PREMISE THAT EACH TRENCH WILL HANDLE
ONE-THIRD OF THE SEPTIC TANK EFFLUENT, A PRESSURE DISTRIBUT-
ION SYSTEM OR FLOW DIVERTER/SPLITTER DEVICE IS REQUIRED TO
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 -L- STREET, ROOM 502
ANCHORAGE, ALASKA 99519-4650
INSURE THAT EACH TRENCH SECTION RECIEVES ITS PROPORTIONATE
SHARE OF THE EFFLUENT. SEE7REVISED-DESIGN-11/l/93.-
RECEIVED B
ISSUED BY:
PAGE 2 OF 2
DATE: If t (61'93
DATE: /l/gz2k
�'(S- t7Ocl17,A01,7-0Cl(e 1,101t7e
�l / 1 19-7
-rAu
c t j4o. 7-A e 0 c�
vvfe�4�o !Fr ___ _OA; C
an C<
m If
'C"4 ll&cle
LOT 5
(VACANT)
LOT 17, BLK 3
(VACANT)
Lu
PROPOSED
WELL
Lu
LOT 4, BLOCK 5
fn
D
(j)
z
T.H.
0
x WL DRAINFIELD
E -n
0
SW x 1251
5WX4StDRAINFIELD
?r
a
AEPLACEMENT—/A,
DRAINFIELD
, ,
T.H.
N
�...PROPOSED
5 BEDRM.
FDN HOUSE
CO.
'BLXL RUIT PARKING
DIVERT R AREA
VALVE
DO
1500 SEPTIC TAN
LOT 11. BLK 4
(VACANT)
20 0 20 40 60
80
100
FEET
LOT3
(VACANT)
jr
LOT 4, BLK. 5, MOUNTAINSIDE VILLAGE
6,ww
PROPOSED WELL AND SEPTIC
SYSTEM
SITE PLAN
Ole MOORE ff
FLATTOP 7ECfMCAL SERVICES
I INCH - 60 FEET
C 3!; r .7 Ar
14530 ECHO STREET
REVISED BY TFM
...... 0 �o
ANCHORAGE, ALASKA 99516
OCTOBER, 1993
.Q
w
NOTE: THIS IS NOT A SURVEYED PLAT.
ALL LOCATIONS SHOWN ARE APPROXIMATE.
I
1500 GALLON
SEPTIC TANK
VW x 451
DRAINFIELD "All "BULL RUN"
DIVERTER
VALVE
45
. . . . . . . . . . . . . . . . - - - - - - - -
- - - - - - - - - - - - - - - z . . . . . . . .
S'W x 801 tM.T.
DRAINFIELD g4" NON -
4" PERF BUMP PERF
F-81 0 Co.
80
PLAN VIEW
.41 "All
FILTER FABRIC
+ 2" INSULATION
REMOVE PEAT 2'SOIL
IN THIS AREA COVER
AND REPLACE W
INORGANIC bUIL
2.5
6*'BUMP
co
t, G9AV5
Ee
MONITOR TUBE
CLEANOUT
2.75- SEWER GRAVEL
(2.25- BELOW PIPE)
77!
L4p BS, MOUNTAINSIDE VILL.
OF A
PROPOSED SEPTIC SYSTEM
-
jr A,.
PLAN AND CROSS-SECTION
SECTION "A—As
so C�_l
sir -A� F 1. T; f
09
.5 -0
....................
........ ... 7LOM
FLATTOP TECHNICAL SERVICES
=LE: AS SHOWN
THTODo.-�E F. s;
-c 1'14530
01
ECHO STREET
DRAWN BY: TFM
CC
ANCHORAGE. AK 99516
OCTOBER, 1993
02ttop Technica[Servk-es
14530 Echo Street, Anchorage, AK99516
Thone (907)345-1355
Lot 4, Block 5, Mountainside Village S/D
Mt. McKinley Drive
Wastewater disposal system installation
Specifications
Revised November, 1993
1.0 General:
1.1 The scope of the project consists of installation of a 1500 gallon septic tank and 2 parallel 5' wide
drainfields connected in series, with a total length of 125 feet.
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 with Municipal and State
requirements. All separation distances shall be in confonnance with Municipal requirements, unless
specifically waived.
1.3 Ile 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.
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 1500 gallon septic 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" cIeanOUL If the tank
is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation.
2.2 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 ininimum slope of 1/4 ... per foot, and the waste
line between the tank and the soil absorption system shall have a ininimum slope of 1/8" per foot. A
cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed
within 5 feet downstream of the septic tank.
2.3 A "Bull Run" diversion valve (available by special order from Alaska Pipe) shall be installed
downstream of the double cleanout to allow the flow of effluent to be directed to the upper or to the lower
drainfield. The valve shall be equipped with a handle extending to within 6 inches of the top of the riser.
The valve shall initially be set to direct effluent into the upper drainfield.
3.0 Soil absorption system:
3.1 The soil absorption system shall be constructed by carefully excavating the 5' wide trenches to a
maximum depth of 4.5' below the original ground level on the uphill side of the excavation. A3foot
wide band of topsoil and Ioam along the downhill side of each drainfield excavation shall also be removed
and replaced with inorganic soil to prevent horizontal flow of effluent.
3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to
allow proper infiltration.
3.3 A total of 2.75 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 inverts am no less than 2.25 feet above the
bottom of the sewer gravel. The non -perforated pipe connecting the drainfields; shall be constructed with
a 6" high "bump" to ensure that the upper drainfield fills completely before effluent flows on into lower
drainfield. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve.
3.4 Monitor tubes and cleanout pipes 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.
3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A n-Linimum
of 2 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 gra�el, in
addition to the filter fabric.
3.7 7be 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 2.5: 1.
3.8 All areas disturbed by the construction and side slopes shall be covered with topsoil and seeded to
promote rapid revegetation. Unless specifically agreed otherwise, this work shall be the responsibility of
the owner.
4.0 Inspections:
4.1 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 final backfill and
grading is complete. Ile septic tank requires one inspection after it is set level and the piping connected,
but prior to backfill. This inspection may be incorporated with any of the above inspections.
4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
,FL"ATTOP'TIF.CHNICAL...:SEMCES'�;�
CPIL & ENVIRONMENTAL ENGINEERLNG - ENERGY CONSERVAnON & ANALYSIS
THEODORE F. MOORE. P.E. August 13, 1993 14530 ECHO ST.
PH: (907) 345-1355 ANCHORAGE, ALASKA 99516
M.O.A. DHHS
P.O. Box 19-6650
Anchorage, AK 99519
DearSirs:
The purpose of this letter is to provide the required design narrative in support of our application for a
permit to construct water supply and wastewater disposal facilities on Lot 4, Block 5, Mountainside
Village S/D. located on Mt. McKinley Drive. 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 # 1. As can be seen from the soil
log, the native material between 1.25' and 10' below ground level is a sandy, silty gravel with a measured
perc rate of 5 minutes per inch. Using the slightly conservative soil application rate of 0.8 gpd/sq. ft.
specified in the wastewater ordinance for soils with a perc rate between 6 and 16 minutes per inch, the
proposed 5 bedroom residence requires a total absorption area of (5 x 150)/0.8 = 937.5 square feet. This
area could be provided by a 187.5' long standard 5' wide drainf ield with 6" of gravel beneath the
distribution pipe. With 2.25' of gravel beneath the horizontal distribution pipe the required length factor
is 0.67, reducing the required length to 125 feet. The proposed design consisting of 3 parallel 42' long
drainf ields connected in series has a total effective absorption area of 945 square feet.
The topography of the lot slopes down towards the west at 25% to 30%. To minimize the potential for
effluent daylighting, the drainf ield was designed to keep the sewer gravel entirely below the original
groundlevel. The material encountered in test hole #1 between 10' and 11.5 feet is predominantly
angular rock fragments which could easily be dug with a backhoe. Solid bedrock was encountered at
11.5 feet. As discussed with John Smith, we believe that the test holes have demonstrated that bedrock
in this area begins at orbelowadepth of atleast 10.5 feet. The drainfields are designed with the bottom
of the sewer gravel being no deeper than 4.5 feet on the uphill side of the excavation. This will resultin a
vertical separation of 7 feet from the solid bedrock encountered in test hole #1.
The proposed project will have no impact on present or future water supply and wastewater disposal
systems serving adjacent properties, nor will it have any impact on reserved space/surface and subsurface,
or on drainage.
Please give me a call at 345-1355 if you have any questions on this submittal.
S incerely,
0j:a '2�,�
Ted Moore, P.E.
LOT 17, BLK 3
(VACANT)
Lu
LOT 11. OLK 4
(VACANT)
PROPOSED
WELL
la
LOT 5
(VACANT)
PROPOSED
5 BEDRM.
HOUSE
1,500 GAL
SEPTIC TANK
PROPOSED
DRAINFIELD
3 @ 5W x 421
T.H. #i
ALTERNATE
DRAINFIELD
T.H. #2W SITE
LOT 4, BLOCK 5
20 0 20 40 60 80 100
FEET LOT 3
(VACANT)
49
THEODORE F. MOORE
CE -3589
a
LLJ
Do
(1)
CLEANour
11PICAL '
EAcg Emb
FROK IGOO 6AL
SFPTJC 'rAf4K _
M0141TOR
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rol
WPERF r-210--'
4z
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LOCATIO9 OF
(." Bump
4�Nom-kw
0-30314 11
4 " Buv%p,
,�A
j
PLAN VIEW
1"=10,
2"IN.SVLATION
FILTGR FASTC
2 , 9 LOAfA
T
L,AO 2
R Z75 TOTA L.
Al 6 Ve
1� 4' (:RAVEL
DEPTH
REMOOE PEAT 4LOAM
MAX IN THIS AREA
j.ExcAvATio;4 Alb IREPLACE WITH
IHOR6ANic SoiL 7' -ro BEDROC)c
SECTION"A-A"
oF At
. 4 T$;
7HEODORE F. AAOORC
CE -3589
T
lo,
CLEAtJovr
COVER MATERJAL K0141TOP 1
A.)
COVER 4MArERIAL
,ZwEr
4:RAvrL
IN PIPE
61ZAVE L
IZAC-1 vv,
E'D ?,OCY-
LOT 4. BLk 5 MT.SIDE VILLA
DRAIN FIELb
PLAR AtAb CRoss 5ECTIDK�-
SCALE' AS SHO1,14
bATE j3 19 3
M/m Ry-.
Flattop Technica(Services
14530 Echo Street, Anchorage, AK99516
Thone (907) 345-1355
Lot 4, Block 5, Mountainside Village S/D
hit. McKinley Drive
Wastewater disposal system installation
Specifications
1.0 General:
1.1 The scope of the project consists of installation of a 1500 gallon septic tank and 3 parallel 5' wide
by 42' long drainfields connected in series.
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.
AR construction procedures and material specifications shall conform with 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 'Me 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.
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 1500 gallon septic 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" cleanOUL If the tank
is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation.
2.2 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 fooL and the waste
line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foOL A
cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall. be installed
within 5 feet downstream of the septic tank.
3.0 Soil absorption system:
3.1 The soil absorption system shall be constructed by carefully excavating the 5' wide trenches to a
maximum depth of 4.5' below the original ground level on the uphill side of the excavation. A4foot
wide band of topsoil and loam along the downhill side of each drainfield excavation shall also be removed
and replaced with inorganic soil to prevent horizontal flow of effluent.
3.2 Ile bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to
allow proper inf iltration.
3.3 A total of 2.75 feet of approved ;ewer gravel shall be placed in the bottom of the excavation with
the perforated distribution pipes laid level such that the pipe inverts are no less than 2.25 feet above the
bottom of the sewer gravel. Ile non -perforated pipes connecting the drainfields shall be constructed with
a 6" high "bump" to ensure that the upper drainfield fills completely before effluent flows on into lower
drainfields. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve.
3.4 Monitor tubes and cleanout pipes 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.
3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum
of 2 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.
3.7 The top surface of the cover material shall be raised a n-dnimum 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 2.5: 1.
3.8 All areas disturbed by the construction and side slopes shall be covered with topsoil and seeded to
promote rapid revegetation. Unless specifically agreed otherwise, this work shall be the responsibility of
the owner.
4.0 Inspections:
4.1 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 final backfill and
grading is complete. The septic tank requires one inspection after it is set level and the piping connected,
but prior to backfill. 11is inspection may be incorporated with any of the above inspections.
4.2 Ile installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
TESTHOLE# 1 ANCHORAGE, ALASKA 99516
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: Lot 4. Blk. 5, Mountainside Vill. (Sm 11. T I I N. R 3 W)
DATE PERFORMED: July 23. 1993
PERFORMED FOR: Todd Jarvis / Dan Rogers
DEPTH SLOPE
(feet)
I —
11
Peat and Ash
SM Reddish Silty Loam
GM Sandy Silty Gravel
compacted in situ
dry when excavated
GM Sandy Silty Gravel
cJeaner. looser, but damper
than above
Angular Fractured
rock
Depth to Groundwater Date
None 712193
None _ 812/93
ui
0.
oF A4
bee
I
49T—H
00 04 go of 0
rHEODORE F. MOORE j- 99,
g. a - 35sq
4W
SITE PLAN
Date Reading
Clock
Time
T.H. #1
T H
Not Dro
(inchesf
T 4
LOT 4
10A3,30
27
AddWater
10: 1:00
24-27114
ru
11�07,QQ
4
Zi
43
.111-b
11:12:00
225/16
11/16
T.H. #2
T.H. #2
11:12:30
23318
#2
%2.0
5 225/16
11/16
Add Waler
It -IR -00
73 1/51
110
#3
11:23:00
LOT 3
1 1/16
Date Reading
Clock
Time
Not Time Percometer
(minutes) Reading
Not Dro
(inchesf
7123 _12Ulv�oak
10A3,30
27
AddWater
10: 1:00
24-27114
— _—_±—WAter I.vL
11�07,QQ
22 1/4-23 31%
# 1
11:12:00
225/16
11/16
dLWafer
11:12:30
23318
#2
11:17:30
5 225/16
11/16
Add Waler
It -IR -00
73 1/51
#3
11:23:00
1 5 1 225/16
1 1/16
11:23:30
237/16
#4
11:28:30
5 223/8
1 1116
PERCOLATION RATE 4.7 (minutesAnch) PERO HOLE DIAMETER 6'
TESTRUNBETWEEN 4.5 IFTAND 5 FT
COMMENTS:— Material between I 0.0'aurd 11.5' consists predomimintly of small rock fragments easily dug by backhoe. For vertical separation
purposes bedrock is considered to begin below 103'.
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: AV 13 -3
4 199
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
TESTHOLE# 2 ANCHORAGE, ALASKA 99516
SOILS LOG — PERCOLATION TEST
LEGAL DESCRIPTION: Lot 4, Blk. 5. Mountainside Vill. (Sec. 11, T I I N, R 3 V
DATE PERFORMED: July 23. 1993
PERFORMED FOR: Todd Jarvis / Dan Rogers
DEPTHFZZ;= SLOPE
(teati � Peat and Ash
SM
GM Slightly sandy
sifty gravel
densely compacted,
gradually becoming
somewhat siftier with
depth.
Fractured rock
B.H. Bedrock
12
13
14
15
Depth to Groundwater I Date
W
CL
9
V)
T H*
=4�
THEODORE F. MOORE
a-3589
SITE PLAN
..........
.................
Date Reading
Clock
Time
Not Time Percometer
(minutes) Reading
Not Dro
(Inchesf
7123
T.H. 01
-M7-379--
LOT 4
_122Lescoik
_LL4_740
11:54:30
23 3/4
— _AckLWater
11,55MO
27 1/4
ru
12:U7:47
22 112
Add W let
1108, 15
23 IjZ
T.H. 02
121115
5 22 1/8
1 318
Aft's
1 :4
23 3L4
12:18:45
110.
1 1/4
..........
.................
Date Reading
Clock
Time
Not Time Percometer
(minutes) Reading
Not Dro
(Inchesf
7123
-M7-379--
_122Lescoik
_LL4_740
11:54:30
23 3/4
— _AckLWater
11,55MO
27 1/4
12:U7:47
22 112
Add W let
1108, 15
23 IjZ
121115
5 22 1/8
1 318
ater
1 :4
23 3L4
12:18:45
5 __Z2 JL2
1 1/4
1119,15
23 112
—AAd-Wg1ei—
12:24:15
—
5 22 1/4
1 1/4
Add Waig
_IZZ4 AL_
23 3L8,
12:29:45
5 22 1/8
—
1 1/4
PERCOLATION RATE 4 (minutWnch) PERO HOLE DIAMETER 6-
TESTRUNBETWEEN 4 1/4 FTAND 4 3/4 FT
COMMENTS:- ll�lalcrial between 10.0'and 10.5' consists predominantly of small rock fragments easily dug with a backhoe. For vertical separation
purposes, bedrock is considered to begin at 10.5'.
PERFORMED BY FLATTOP TECHNICAL SERVICES. 1. J:�� 1�1� CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUID-:LINES IN EFFECT ON THIS DATE. DATE: 4 V 1311 /991
Municipality of Anchora(le
Department of Health and Human Services
Division of Environmental Services
On -Site Services Section 825 "L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-4744
CERTIFICATE OFHEALTHALITHORITY APPROVAL
FORASINGLEFAMiLy DWELLING
Parcel I.D. 010 —Ili —3$ HAA# 1(lti�rns�2 9 2
Expiration Date:
GENERAL INFORMATION
Complete legal description Lot 4, Block 5, Mountainside Village #1
Location (site address or directions)
17601 Mt. McKinleyDrive
Current Property owner(s) Todd Jarvis
Dayphone 345-1470
Mailing addressl7601 Mt. McKinley Drive, Anchorage, AK 99516
Lending agency NBA/John Keith Day phone
Mailing address PO Box 107025, Anchorage, AK 99510
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested. HAA will be held by DHHS for pickup. HAA picked up by
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
257-3668
TYPE OF WASTEWATER DISPOSAL:
Individual On-site Ei
Individual Holding Tank 03
Community On-site El
0 Public Sewer El
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of
Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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) on properties served by a single family on-site
wastewater disposal and!or water supply system. DHHS also issues HAAs upon request to home owners.
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 less than 30 days old. 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.
_^ 025 IRRY 01 001'
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 Health Authority Approval Guidelines for the Health Authority Approval
application show that the on-site water supply and.lor 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.lor wastewater disposal system is in compliance with all applicable Municipal and State
codes. ordinances. and regulations in effect at the time of installation.
I S & S ENGINEER ING
Name of Firm . _. L - *-.204 Phone 17 7 1/
Address
Alaska
Engineer's Printed Name Robert C. Cowan Date
6. DHHS SIGNATURE
__LL� Approved for bedrooms.
Disapproved.
Conditional approval for
Additional Comments
pCBERT C. CCWAN 11
CE .8801
bedrooms, with the following stipulations.
Attachments:
HAA Checklist Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
y:
Original Certificate Date:
Expiration Date: / C - / 17 - C C, Reissue Date:
5 0'5 , Re� 0
C .
Municipality of Anchorage i<KEIVELI A&
Department of Health and Human Services
Division of Environmental Services JUL 10 00
On -Site Services Section 825 �L" Street Room 502 0
P.O. Box 196650 Anchorage, AK 99519-6650 MUNICWAUIV O� AWZWkAok
www.ci.anchorage.ak.us - -1,nNMEKTALSMICES DIVI"'
(907) 343-4744
HEALTHAUTHORiTy APPROVAL CHECKLIST
Legal Description: LO 7' 'Y 13L.0cic Parcel I.D.:
A. WELL DATA
Well type ±*1 YA Tt If A, B, or C provide PWSID #
Date completed /)/q-3 Sanitary seal Irt -5
Total depth 14 0 It Cased to It (ft4&c-e)
FROM WELL LOG
Date of test h / CIJ
Static water level 4 3 It
Well production G 9 -p -m
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml
Date of sample: -211100
B. SEPTIC4HOLDING TANK DATA
Well Log YES
Wires properly protected Ye -r
Casing height (above ground) 0,+ in.
AT INSPECTION
-7 a It
(O's g.p.m
Nitrate 2� 7 7 mg/I Other bacteria 0 colonies/100 ml
Collected by: 5 & S ENGINEERING
17034 1 v�, Lonp Road No. 204
Eagle River, Alaska "577
Tank TypeVMaterial SCAT i c- / S Tt, e, L
Date installed C I 1 /91 #' . Tank size I ?, S' 0 gal Number of Compartments
Cieanouts Y9,5 Foundationdeanout 'YtJ Depression over tank A' D High water alarm
Date of pumping S-113100 Pumper A+ H4-"4 54Avict J
C. ABSORPTION FIELD DATA
I 1-a
Dateinstalled Co/)/ql Soilrating (g.p.d.=orft2/bdrm)-6---162' System type 5'Nasw w -r-g#,—Hcf
Length Width ft Gravel below pipe 2-LIA—ft
Total depth 1_�/A_ft Effective absorption area 8 0 7 Cftl"Aonitoring tubkY±LS_ Depression over field
Date of adequacy test i&Lo Results6y;Fail) P# fs For Jf bedrooms
Fluid depth in absorption field before test I I in Water added 6 3 3 gal. New depth '7 in.
Elapsed Time: 60 min Final fluid depth I'S V in Absorption rate >= 9 0 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) eor-'d 0cf'-soww If yes, give date -
72-026 (Rev. 01=)'
D. LIFr STATION
Date installed Size in gallons Manhole/A
"Pump on" level at in OPumpoff"levela High water alarm level at in
tested Meets alarm & circuit requirements
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot /00 + On adjacent lots
Absorotion field on lot 1 00 -t- On adlacent lots 0 0 -f
Public sewer main
Sewer /septic service line
14
xs- 4
Public sewer manhole/cleanout /9
Holding tank V 14
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation Is- * Property line -ox 0 4 Absorption field
S- I
I -
Water main IV Water service line /0 * Surfacewater 100 4 -
Drainage AJ /A Wells on adjacent lots / 0 0 �-
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10 Building foundation Water main — )v 1A
Water Service line 104 Surface water Driveway, parking/vehicle storage
Curtain drain NO -J#- Xhloavej Wells on adjacent lots /J0 4
F COMMENTS
G. ENGINEER'S CERTIFICATION
, ;,,, S
I certify that I have determined through field inspections and GI
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name R084tAr- C. Cot-/,fV
OMPT C COWA14
CE -8301
Date -7/ 9/oo
HAA Fee$ :�W- &0
Date of Payment '7- 10- OCD
RecelplNumber
72-026 (R@v. 01/00)'
Waiver Fee $
Date of Payment
Receipt Number
07-10-00 16:12 FROM -CTE ENVIRONIENTAL 5615301 T-547 P-02/02 F-054
CUE Environmental Services Inc.
JAL
CT&E Ref #
1003668001
CUentName
S & S En&eering
Project Name]#
Lot 4 Blic 5 Mmside ViUagc #I
Client Sample ID
Lot 4 Blk 5 Mmside Village 0 1
Matrix
Drinking Water
Ordered By
PWSrD
0
s2mple pxmmics:
ClitutPON
Printed Datdrime 07/17/2000 16:49
CoUccred Datt/Time 07/09/2000 14:00
Received Date/Time 07/10/2000 11:30
Technical Director, Stephen C. Ede
Released By
AUowable Prep Analybis
Parumer Results PQL Units method Luz�'ts Date Date Ink
Nizatc-N
2.77 0.500 mg& EPA300.0
10 max 07/1=0 SCL
Toud Colifonn 0 coL/100ml. SMIS 9222B 07/10/00 I�AP
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES,
Division of Environmental Services
On -Site Services Section
P.O. Box 196650 Anchorage,'Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # HAA # YA- 9 t4'0 5708
1. GENERAL INFORMATION
Complete legal description L 1; �L.5 Mouoioit? s;C[eq I/i lifac,
U 64, 7- 11 A/ e; 5 - Al
Location (site address or directions)
Property owner M '1� bl t1�2 7-OCIC4 J22; Day phone
Mailing address
Lending agency Day phone
Mailing address
Agent Day phone
Address
Unless otherwise'iequested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTIE:. If community well system, provide written confirmation from State ADEC aft4st-Z
.Ing to Me legality and status of system.
4. -'TYPE OF WASTEWATER DISPOSAL:
V)
Individual on-site
Z
.'Holdinbtank
Corn . muniily on-site
........
Public sewer
NOTE: If community wastewater system, providewritten confirmation from StateADEC,-...
attestir�g to*the legality and status of system.
?2-M(Ft"AMI) FrOM MOA#21
STATEMENT OF INSPECTION BY ENGINEER
Ascertified byrnysealaffixed heretoandasof thevalidation dateshown below, lverifythatmy
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 furtherverify 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 23e�cr& Phone
Address
Engineer's signature Date
4W
or Co
`49RA.
6. DHHS SIGNATURE 1517E.,*.:
S. .. . ...
Approved fo bed ro o m FEW
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
NY ", A
unicipality of Anchorage Department of Health and Human Services (DHHS) Issues Health uthority
...Appoal Certificates basea 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 courtesyto purchasersof homes
and their lending institutions In orderto satisfy certain federal and state requirements. Employees of DHHSdonot
conduct insliections or analyze data before a certificate Is Issued. The Municipality . of Anchorage.1s; no t
responsible for errors or omissions In the professional engineses work. C.:
72-= M.. IM) owk MOA Q1
Additional Comments
NY ", A
unicipality of Anchorage Department of Health and Human Services (DHHS) Issues Health uthority
...Appoal Certificates basea 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 courtesyto purchasersof homes
and their lending institutions In orderto satisfy certain federal and state requirements. Employees of DHHSdonot
conduct insliections or analyze data before a certificate Is Issued. The Municipality . of Anchorage.1s; no t
responsible for errors or omissions In the professional engineses work. C.:
72-= M.. IM) owk MOA Q1
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: t_4 5L_ 5 1)0%5�rcel I.D.
A_ Well Data
Welltype 10�'Wr?k If A, B, or C, attach ADEC letter. AD�C water system number
Log present (Y/N) y —Date completed --Driller
Total depth 140/ —Cased to Casing height r
Sanitary seal (Y/N) y Wires properly protected (Y/N) N
FROM WELL LOG
Date of test iew- /Vot)-'�,3
Static water level 17-3
Well flow —9 -P.M.
Pump levell
SEPARATION DISTANCES FROM WELL TO:
AT INSPECTION
-7 7'
rn
,q Z_
(-I
k"
, —9 -P.M.
12,5(
rri
�O
FS, �
rri
C7
z
Septictholding tank on lot �J 14 ; On adjacent lots AIC21� e
Absorption field on lot On adjacent lots >
Public sewer main �4 Public sewer manhole/cleanout—&)
Sewer service line Petroleum tank
WATER SAMPLE RESULTS:
Coliform Al b;l -r Nitrate /,'IS —Otherbacteria ' e0l7ff —
Date of sample: 5elf - 2-7 Collectedby: J, si-�_Ie-rntvre
B. SEPTICIHOLDING TANK DATA
Date Installed _.-JCJy7&- ?4 -Tank size Compartments
Cleanouts (Y/N) \Y- Foundation cleanout (Y/N) Depression (YIN)
High water alarm (YiN) A/ Alarm tested (Y/N) L�a
Date of pumping &IIA 0) Pumper
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK TO:
Well(s) on lot On adjacent lots C)rl Foundation
To property line Absorption field -Water main/service line
Surface water/drainage bl on P,
72-M6 P93)' Fmnt CONTINUED ON BACK PAGE
C. LIFT STATION
Date Installed
Size In gallons_
Vent (Y/M _
High water alarm level
Meets MOA electrical i
Well on lot
.. Pump
FROM LIFT STATION TO:
D. ABSORPTION FIELD DATA
.ss; (Y/N)
. Pump off" Level at
On adjacent lots _.Surface water
Date Installed 4(��*JSoil rating (GPD/Ft2) System type LV rdt?
Length 75 t
_:��-_Width _ 11; Gravel thickness Total depth
Total absorptio n area _Cleanout present (Y/M — Y Depression over field [Y/N) /V
Dale of adequacy test Results (pass/fail) for -4— Bedrooms
Water level In absorption field before test A,� ZFW After test
Peroxide treatment (past 12 months) (Y/N) It yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
W ell on lot )0 7? —Onpdjacert lots �> 100 _Property line
To building foundation 4 �2 To existing or abandoned system on lot P (9
On adjacent lots. . 71c;utbank A/42 t) C- ---�Water mairvservice line
Surface water N c2 1) e- Driveway, parkingIvehicle storage area - I Z'
Curtain drain /V C90 10
E. ENGINEERS CERTIFICATION
I cerffy ftt I have checked, vedfled� or conformed to all MOA and HAA guidelines in effect cirLkgdLgLe�of Mis inspection.
Signature '4nm'
Engineers Name
Date q 2::�
HAAFee$ Uor&lv
DateofPayment
- X
Receipt Number
72-026 PW)- Bxk
Waiver Fee $
Date of Payment
Receipt Number
OF A�`-�t
'14
J,," F. Sizemore
# 1517 E
Commercial Testing & Engineering Co.
zCt. I Lm' Environmental Laboratory Services
LABORATORY ANALYSIS REPORT
CT&E Ref.#
94A958-1
Units
Allowable Ext.
Method Limits Date
Anal
Date Init
ClientSamplelD
LA BLK5 MOUNTAINSIDE VILLAGE
mg/L
EPA 353.21300.0 10
09128/94 CNIR
Matrix
WATER
Client Name
SIZEMORE,MTES
WORK Order
82572
Ordered By
Printed Date
09/30/94
@ 07:51 hrs.
Project Name
CollectcdDate
09/27/94
@ 11:50 hrs.
Project#
ReceivedDate
09/27/94
@ 15:30 hrs.
PWSID
UA
Technical Director
STEPI IEN
C. EDE
Released
SampleRemarks: ROUTINE SAMPLE COLLECTED BY: JIM SIZEMORE.
Paramcler Results
QC
Qual
Units
Allowable Ext.
Method Limits Date
Anal
Date Init
Nitratc-N e A5
mg/L
EPA 353.21300.0 10
09128/94 CNIR
Soc Special Instructions Above UA-Unavailablc
See SamplcRcmarks Above NA=NotAnalyzed
U = Undetected, Reported value is the practical cluantification limit. LT=Lesslhan
T D=Secondaydilution. Gr=Greaterlban
5633 B Street, Anchorage, AK 99518-1600 — Tel: (907) 662-2343 Fax: (907) 561-5301
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