HomeMy WebLinkAboutROBIN HILL #3 BLK 3 LT 4R o bi'* n HI'O 11
Block
Lot 4
#017�394�14
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? XX Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 01 of 03
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP221203 PID Number: 017-394-14
Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade
Name
STEFAN REARDEN
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
12921 Mountain PI. Anchorage, AK 99516
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
9079033088
104
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
ROBIN HILL #3 3 4
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ft2
Ft.
Well
>100'
>100'
N/A
N/A
>25
TANK ❑® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Greer Tank
Capacity
1500 Gal.
Surface Water
>100'
>100'
N/A
N/A
Material
Number of compartments
Lot Line
>5'
>10'
N/A
N/A
NA
Polyethylene
2
Foundation
>10'
>10'
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Remarks Tank only. Tank is insulated.
Gal.
Tank serial # 1784
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank D2661 Tank to
drainfield D3034
Stefan Rearden (Homeowner)
Drainfield Existing CO/MT D1785
Inspector Harold COlgroye
BENCH MARK (Assumed elevation) 100 ft
Inspdatecct sn I5c 7/2/2022 2nd 7/6/2022
Location and description
3`d 4,h
Top of concrete deck pile.
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
E���®moo
OF ALS\d
Conditional Approval: Date
� 0
49Th
�?
Septic Syste '��
+
0 .Harold B. Colgrove . �
,P, . '• CE11907 . ,q
Approved , y„-� �` Date
� -
'04
'8/1.0/22 * 000
Note: this approval does not include well permit requirements.
� �,
®� Professi�—
®® ®®4®
�Kev ub/u2/iu)
PLAN AS -BUILT 12921 MOUNTAIN PLACE
yr �.� OF \
A.�®0
,*IV49TH
15 ".Harold B. Colgrove :
CE11907 q
-8110/22-•'',A�,.g'°
��a Arofessia�
ROBIN HILL#3. BLK 3. LOT 4 LEGEND
2CO- DOUBLE CLEANOUT
FCO- FOUNDATION CLEANOUT
MH - MANHOLE
SV - SEPTIC VENT
A
B
FC01
34.75
8.7
FCO2
35.4
13.7
2CO
56.4
32.5
MH
48.3
29.2
SV
52.9
31.2
2CO- DOUBLE CLEANOUT
FCO- FOUNDATION CLEANOUT
MH - MANHOLE
SV - SEPTIC VENT
ROBIN HILL #3 BLK 3 LOT 4
PERMIT # OSP221203 PID # 017-394-14
TH N
u u t7 0
L.L LL
100.7'
2" INSULATION
96.7'
----------------------
96.0' 1,500 Gallon Poly 95,9'
Septic Tank
90.4'
OF
49TH
V5 .'.Harold B. Colgrove : m�
4 �� '• CE11907 q
�11 zolessi0,0,
®®®®®eCO
PROFILE AS -BUILT
(NO SCALE)
Nm
1) BEARINGS AND DISTANCES RECORD PER PLAT NO. 74-56
2) DISTANCES ARE EXPRESSED IN U.S. SURVEY FEET.
4 8��T 3) BUILDING IS MEASURED TO THE TRIM.
4) IT IS THE OWNERS RESPONSIBILITY TO DETERMINE THE EXISTENCE OF ANY EASEMENTS,
COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT.
^,• 10 5) THE SHED ENCROACHES 4.8' INTO THE 10' UTILITY EASEMENT.
.;SHED T/l/ S6 0 / 0f 50' 100,
q.191
����
0.'
64
o GREENHOUSE
z 91.9'
® I :rte rte; O
O
o a�jcj
,ter-,, ,-,�;<� LEGEND
O WELL
® ELECTRIC METER
LOT 4, BLOCK 3, GAS METER
ROBIN HILL```�'�•`8 5 ;��
0 CLEANOUT/VENT
u,
SUBDIVISION
SEWER MANHOLE
PLAT 74-56 FENCE
r,1�u�r�rY O�
l GRAVEL DRIVE - 01
54,388 SQ. FT. ,:J�-�
00, A
MO�iyTgiN �lll , `. .0, 2 -STORY
HOUSE
qcF
WITH
ATTACHED .o -ti
GARAGE
OF A� V k I HEREBY CERTIFY THAT I HAVE
'` S PERFORMED A SURVEY OF THE
..T FOLLOWING DESCRIBED PROPERTY:
LOT 4, BLOCK 3, 6�1ij
TH * fr ROBIN HILL SUBDIVISION NO.3 OF
LOCATED WITHIN THE ANCHORAGE yco i
/ RECORDING DISTRICT, ALASKA, AND
THAT THE VISIBLE IMPROVEMENTS DECK w �
StaC ..Wessel SITUATED THEREON ARE WITHIN d ��
`� •' N0. 107877 �� THE PROPERTY LINES AND NO
��`P��c9 • 1l\ 08_29_22 . • ���� VISIBLE ENCROACHMENTS EXIST
A .. • • *
�P�� i OTHER THAN NOTED. ESsI0NN� `� DATED AT ANCHORAGE, ALASKA
THIS 29TH DAY OF AUGUST 2022. BUILDING DETAIL
THIS AS -BUILT IS A REPRESENTATION OF THE CONDITIONS
THAT WERE FOUND AT THE TIME THE SURVEY WAS AS -BUILT REV. 2 PO BOX 110485
PERFORMED AND THAT THE DOCUMENT DOES NOT ANCHORAGE, AK 99511
CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY PROJECT NO. DATE OF FIELD SURVEY a
INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY 1248 AUGUST 11,2022 aklands@aklands.com 1ANDS3
DISCLOSE. THE INFORMATION CONTAINED ON THE DRAWING (907) 744 -LAND ��nd Surveying —
SHALL NOT BE USED TO ESTABLISH ANY PROPERTY LINES, MOA GRID MAP FIELD BK. AND PG. https://akiands.com
FENCE, STRUCTURE ,OR OTHER IMPROVEMENTS. SW2838 03/74-75
06/22/2022
l
6 11i
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-394-14
Property owner(s) Stefan and Devki Rearden Day phone (907)903-3088
Mailing address 12921 Mountain Place, Anchorage AK 99516
Site address Same
Legal description (Sub'd., Block & Lot) Robin Hill #3, Block 3, Lot 4
Legal description (Township, Range & Section)
Lot Size 54,388 Sq. Ft. Number of Bedrooms Four (4)
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) Q
(w/wo ADU)
Septic Tank
Q
Upgrade Q
Duplex (D) ❑
Holding Tank
❑
Renewal ❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES
A WAIVER REQUEST FOR:
N/A
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:Waiver Fees:
Date of Payment: 6Z1D�22 Date of Payment:
Receipt Number: 277032_ Receipt Number:
Permit No. OS P a a 1 ' -(D -"--) Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Harold B Colgrove, P.E.
16942 Ludlow Cir
Eagle River AK 99577
(907)351-0706
June 10, 2022
MOA Development Services Department
On -Site Water & Wastewater Program 4700 Elmore Rd
Anchorage, AK 99507
Subject: Robin Hills #3, Block 3, Lot 4 -12921 Mountain Place Septic System Design
Dear On -Site Services Engineer:
The existing 1,500 -gallon steel septic tank installed in 2005 on the subject lot conflicts with a new
covered deck to be installed per building permit R13-1568 and needs to be relocated. We are submitting
this permit application for the replacement of the existing septic tank with a new 1,500 -gallon poly
septic tank. The attached site plan identifies the location of the home and the existing well and existing
and proposed septic tank site. No conflicts exist between this proposed system and any other well or
septic system on adjacent lots.
Wells on this and adjacent lots are shown. The new septic tank will be a minimum of 1 00'from the well
on this lot and 100' from all wells on adjacent lots and surface water. The tank will be a minimum of 10'
from the house foundation and 5' from deck supports.
Please refer to the attached plan sheet for the septic design. If this design is followed, there will be no
adverse impacts to adjacent properties.
Sincerely,
Harold B Colgrove, P.E.
��of A%�,1
,�.
49TIi
..�.,...
.p Harold B. Colgrove: ma
' aP� '• CE11907 s
•/10/2022 • ",VOW
`�V 1 'ofessi ��
\ ` Lot 1A
\ � Lot 113
1 �
\
I � \
100' Lot 4 ,\
\
1 \
EXISTING WELL
Lot 3 100, \ \
/ DECOMMISSION EXISTING EXISTING WELL
C TANK P IR MDA
CODE
-1 _" EXISTING ABSORPTION
STRENCH ERVICE TO REMAIN IN ^ ",",4-BDRM HOME
2117
2CO
CON NECT TO EXISTING
DISTRIBUTION LINE
NEW 1,500 GALLON SEPTIC
TANK w/20" MANWAY.
MINIMUM 10' FROM
FOUNDATION AND 5'
FROM DECK SUPPORTS
IVCGNT-AUN PLACE \
0 50 100
1 FEET
1" = 40'
Lot 5
OF`N,k, 12921 MOUNTAIN PLACE
ROBIN HILL #3. BLK 3. LOT 4 LEGEND
"I NOTE; CO- CLEANOUT
491ff , NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE 2C 0- DOUBLE C LEANOUT
• " " • ...... ....... • . !� PROPOSED SEPTIC SYSTEM FC O- FOUNDATION C LEANOUT
FS - FLOW SPLITTERVALVE
.. ..'I NO CONFLICTS WITH WELLS ON SURROUNDING LOTS. NO CONFLICTS MH - MANHOLE
I V5 '.Herold B. Colgrove: �� � WITH EXISTING WELL OR SEPTIC SYSTEM.
,1 ��• CE11907 s /� MT - MONITORING TUBE
iDe SV - SEPTIC VENT
Professio��
TH - TEST HOLE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Senft System Owner-instafler Agreement
The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner
to perform work on an on-site wastewater disposal system to serve that individual's owner -
occupied, single-family or duplex home if the homeowner meets and agrees to the following
requirements:
1. The property owner and excavation equipment operator may perform work on no more
than one owner -installation project in a 12 -month period.
2. Owner's projected active involvement with the installation:
Installation of new 1,500 gallon poly septic tank and decommission of old 1,500 steel septic tank
3.
The name of the excavation equipment operator: Stefan Rearden (Homeowner)
4. 1 agree that there will be no monetary compensation for installation services rendered.
5. The name of the inspecting engineer: Harold Colgrove
6. 1 agree to discuss the following items with the inspecting engineer:
a. Permit design criteria and specifications.
b. Inspection requirements set forth in AMC 15.65.070.
c. Advance notice given to the On-site Water & Wastewater Section for all required
municipal inspections (AMC 15.65.070A).
7. 1 agree to have the project -specific On-site Wastewater Disposal System Permit available
at the construction site for the duration of all related work.
8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will
obtain additional installation instructions and approval from the equipment distributor.
As owner of (legal description) Robin Hill #3 Block 3 Lot 4.____`_�_._
I agree that the information above is true and accurate.
Owner's printed name: Stefan Rearden
Owner's signature: Date: 06/10/2022
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Sfte Water end Wastewater Program, 4700 S. Bragaw St.
P.O. Sm 196650 Anchorage, AK M19-6650 Page / of
vvvvw.cl.&nchorage.ak.us (907) 343-7904
ON-SITE WASTEWATERDISPOSALSYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SWO50168 PID Number: 017-394-14
IUM Stefan Rearden
Wastewater System: EjNew E3 Upgrade
Ad� Site: 12921 Mountain Place
ABSORPTION FIELD
P� sw� 4
(3 Dwp`fm� 0 Shii�Tm� E311ad 13M.M 13oi,
LEGAL DESCRIPTION
sol ftav
1.2
TMID"M�OVmfq�
C�*12
9.0 Ft.
3 4 Robin Hill #3
Demioppe iiwiftv.*V�grsm
Z5
13� dom � V, We
3.5
T. 0 Rarg.
Fffi�s�wignoqmft
G� L&Vft
0
54
Well: [3 New [3 Upgrade
5.0
FL
NA Pt
�(ft"%.A,B.C).
Tfti Depin
cli�w
Tml�rpaonem
private
146
86 Pt
500 Fe
ASTM 3034 /ASS 0.25"mil
oftw
Alpine 1
o.* 0�
9/312005
�Wiift'�L
1�ftl
Homeowner
Sept. 16,2005
Ft
Y�
5
�Ps.t�
TANK
oml
noty t 1
2 Pt
SEPARATION DISTANCES
E)Septic (JI -folding [3S.T.E.P. E3 Other.
To
Septic
Absorption
Uft
Holding
�Ublic/;�rivste
wm—aZw
!"iACAY
From ��
Tank
Field
Station
Tank
se�er um
Anchorage Tank & Welding
1500
173
200
NA
NA
170
M.W.t
steel
N.�Oc*.P�
2
100+
100+
NA
NA
LIFT STATION
Let LIM
74
21
NA
NA
NA G"
F�n
5
26
NA
NA
1
1
iri
C~ brain
I NA
NA
I NA
NA
�Pm�&M�
E�l kw� peft.w o'
Conditional approval requested. Require 8"
BENCH MARK
additional soil cover over tank. Well pump not
garage slab
yet installed.
A....d E..�
100.0 Ft
k 4- �e ry
coylip el V
.4
4
V Tu
49 LH .7
Inspections performed by: Cindy W. Ellis, P.E. Dates: I't 9/15/05
2"d 9116/05
Development Services Department Appro;a-1
Cin W. Ellis
Conditional Approval by: Date:
CE. os77
I....
. ............
la
........
Reviewed and Approved by: d4� _Z_�Dl)ate: LL8
nt�. 12=)
1500 gal steel
septictank
Insulated w/
5 -wide trench, 54' long 4" rigid foam
3.5* effective depth 1 1
I '/ ST2
DCO
#2
0 Z/"'�
AS -BUILT
Lot 4 i 100,
well
:New4 BR
0:
us
Hous:ee
P
(:D
Robin Hill *3, Ellk 3, Lot 4
Record Drawing of Septic Upgrade
Stefan Rearden Watkins Engineering, Inc
Parcel ID: 017-394-14
Permit No. SWO50168
0�_
Cindy W. Ellis, P.E. P.O. Box 110443
June 27, 2006 Anchorage, Alaska 99511-0443
Scale 1 Inch - 40 ft Phone: (907) 349-1851, Fax (907) 349-1934
A
B
FCO
7.5
36.8
STI
8.1
38.4
ST2
14.1
44.3
DCO
18.4
47.0
Col
82.9
103.2
MT1
80.0
101.0
CO2
36.4
69.9
MT'2
31.3
67.6
CO3
29.4
67.2
Cindy W. Ellis, P.E. P.O. Box 110443
June 27, 2006 Anchorage, Alaska 99511-0443
Scale 1 Inch - 40 ft Phone: (907) 349-1851, Fax (907) 349-1934
FCO
98.53
91.75
NOTE:
RELATIVE DEPTfI OF
TEST I]OLE = 85.75
No WaLer
MT1 COI
Robin Hill #3 Blk 3 Lot 4
Record Drawing of Septic Installation
Stefan Rearden
Parcel ID: 017-394-14
Permit No. SWO50168
Cindy W. Ellis, P.E.
June 27, 2006
No Scale
STI ST2
100.87 DCO
99.05
1500 GALLON
STEEL SEPTIC TANK
N.T.S.
FINAL GRADE = 99.66 - 100.18
FILTER FABRIC
SEWER ROCK
5.1.0
TRENCH
N.T.S.
95.60
95.25
MT2 CO3
Watkins Engineering, Inc
NOTE:
ORIGINAL GRADE
99.72 - 100.75
up M-01
AS -BUILT
P.O. Box 110443
Anchorage, Alaska 99511-0443
Phone: (907) 349-1851, Fax (907) 349-1934
f��OF A
k� ............
r
R"' 49 1-H
CIN W.
10577
Page I of I
Maricle, Kathleen R.
From:
Cindy Ellis [cwellis@gci.net]
Sent:
Wednesday, January 17, 2007 4:13 PM
To:
Maricle, Kathleen R.
Cc:
'Stefan Rearden'
Subject: Robin Hill #3 Blk 3 Lot 4
Attached is the lab report for the water sample on the subject property. The owner is applying for his
Certificate of Occupancy.
I had previously submitted the inspection report and septic asbuilt, with a comment that additional soil cover
was needed over the tank. THE SOIL HAS BEEN ADDED OVER THE TANK, and I request that the
condition be removed.
Please let me know if you need anything further.
Thank you,
Cindy W. Ellis, P.E.
Watkins Engineering, Inc.
(907) 349-1851
1/17/2007
ALPINE DRILLING & ENTERPRISES
Permit Number. #SWg§Pj6
I Date of Issue: 07- Parcel Identification Number: 017-394-14
Date Started: 9-2-05 Date Completed: -Rn37O5 Is well located at approved permit location? 0 Yes El No
Legal Descripdon: Robin Hill #3 Block 3 Lot 4
Property Owner Name & Add rem: Stefan Reardon
1221 Mtn Place
Anchorage, Alaska 99516
Borehole Data:
Soil Type, Thicimess & Water Strata
Depth (ft)
From TO
Method of Drilling (D air rotary []cabletool
Casing type: steel
stick-up
0
2
Wall Thickness: 2,0 inches
organbs zilt
2
3
Diameter. § inches Depth: 86 feet
Silt
3
13
Liner Type: _
gravelly slit
bedrock
13
81
81
146
Diameter. — inches Depth: _ feet
Casing stickup above ground: 2 feet
Static water level (from ground level): §Lfeet
Pumping level: 146 feet after
? hours pumping gpm
Recovery Rate: gpm
Method of Testing- air lift
Well Intake Opening Type:
0 Open End 0 Open Hole
El Screened Staxt_fcct Stoppcd_feet
El perforations Start_feet Stopped feet
Grout Type: bentonite granyles Volume: L.&
Depth: Start 0 feet Stopped feet_
Pump: Intake Depth_ fed
PL=p size _ hp Brand Name
Well Disinfected Upon Completion? E] Yes No
Method of Disinfection: chlorine tablets
Comments:
Well Driller. Alpine Drilling & Enterprises
PO Box 110496
Anchorage AK 99511
Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property
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AneWwqa. AI(99519-MO
ROW PUMVi-NICIlIrtion Log
43-:7777
Well DrUfts PwmH Nwnbar. Dau of Ime:
r artel HaMcitim N =ben
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pump &a --��bv
"bw Adaptaftrial Depths la feet
Pid"oAdaptarlastaUer. roLL)-
WvHDhb*deduv=c*n2vlcAoD?,, Yes (3 No
Moiboda(bbWecdow. L�Iorrf*c-
commacir
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V %4
FP
SGS ReEN
1070083001
Client Name
Watkins Engineering
Project Name/N
Robin Hill #3 Blk 3 Lot 4
Client Sample ID
Robin Ifill #3 Elk 3 Lot 4
Nistris
Drinking Water
PNVSID
0
All Date&fflmes art Alaska Standard Time
Printed DatefTime 01/12/2007 16:56
Collected Date/Time 01/03/2007 13:00
Received Dalefrime 01/03/2007 14:40
Technical Director Stephen C. Ede
Smptc Remarks:
Allowable PMP Analysis
Pammcwr Results POL Units Method Container ID Limits Date Date Init
Mistals by
ICP/KS
Arsenic
Waters Department
Total Nitrate/Nitritc-N
Microbicslc�
Laborattory
Total Colirom
aut
IND
0
5.00 ug/L EP200.8
0.100 mg/L EPA 353.2
C (<10) 01/10/07 01112/07 TK
B (<10)
cot/lOOmL SN1209222B A (<I)
01/08/07 JDS
01/03/07 DPT
A40
ORDr. RED .'
STF-FAN REARDEN
440 WEST BENSON BLVD. # 200
ANCHORAGE. ALASKA 99503
2005-L
MUNICIPALITY OFANCHORAGE
Development Services Department
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 I WATER SUPPLY PERMIT
Initial
Date Issued: Jun 07, 2005
Expiration Date: Jun 07, 2006
Permit Number: SWO50168 Parcel ID: 017-394-14
Legal Description: ROBIN HILL #3 SUBDIVISION BLOCK 3 LOT 4
Design Engineer: 0070 KND Engineering
Owner Name: STEFAN REARDEN
Owner Address: 12921 MOUNTAIN PLACE
ANCHORAGE. AK 99516 -
Site Address: 12921 MOUNTAIN PLACE
Lot Size: 54388 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit Is for the construction of.
R- Disposal Field Z 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 Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
-NEED TO DO AN ADDITONAL PERCOLATION TEST DURING CONSTRUCTION AND SUBMIT SOIL LOG WITH
AS -BUILT INSPECTION REPORT.
Received By -
Issued
Date:
Date: 61blor
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 SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
�Lu
Parcel I.D. 017,T?�'111 Permit NumberSJ8�.
Property owner(s' Day phone —13EL-2 9DA_
Mailing address (1) 32A21 Mt pla��ge, AK 99511f;
Mailing address (2) &Dq0&,fer.1 y T)lf Code
Legal description (Lot, Block & Sub'd.) Rnhin Hill #_1P R10 I
Legal description (Section, Township & Range)
Lot Size__����Acres/(g
THIS APPLICATION IS FOR:
Number of Bedrooms
Sewer Only E3 Well Only F-1
Sewer and Well Z Water Storage
Sewer Upgrade EI
THIS PROPERTY CONTAINS:
HotTub El Jacuzzi F-1
Swrimming Pool Water Softening Unit El
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.
taiynature ot property owner or authorized agent)
Permit Fees: 4 U__ 00 UNL�Anu&r_ Waiver Fees -
Date of Payment: I Q/ Vlcl� �_
Receipt Number: �Pkn
(Rev. 12100)
Date of Payment:
Receipt Number:
YNDENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-8111
June 2,2005
nicipal I Anchorage
Ser�
%n t ices Department
Mu ' 0
Developm
On_Site Water er astewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: New sewer/well permit — Robin Hill :3, Block 3, Lot 4
Gentlemen:
The owner has requested we proceed forward to obtain a septic and well permit on the
subject lot. On February 11, 2005 two testholes were performed by Cindy W. Ellis, PE
for the proposed system. The results of these tests are attached. The general slope of
this lot is cast/west (bowl) at a grade of approximately 5-10%.
We have designed our system utilizing the existing testholes that were excavated for
the proposed 4-bedroorn house. The lot will be served by an individual well, located on
the northeastern portion of the lot. We propose to install one 5'wide shallow trench.
Water was not encountered during the excavation or during monitoring.
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100'of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be any adverse effect on
adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111 /FAX 696-8111.
Respectfully submitted,
IrMD Engineering, Inc.
7�:Mneth M. D f s, P.E.
Attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log /Percolation Test
Owner/ Contractor Specs
1:2
WELL
& WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN
ROBIN HILL SUBDIMSTION #3 BLK 3 LOT 4
E -ST
XI
WtLL
LO
T I
T EXIST
'�EPTIC
BASIS OF
WtLL
PROPOSED -1 0
LOT 4
GAL SEPTC
PROPOSED DRAINHELD
PER AMC 15.65 #2
ASSUM6 EXI
ELEV�' SEPTIC
#1
EXIST—
WELL
EXIST"
SEPT
NO PUBLIC WELLS WITHIN 200' OF
PROPOSED SYSTEM.
NO PRIVATE WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT A OTED,
NO SEPTIC SYSTEMS WITHIN 2U OF
PROPOSED WELL EXCEPT A!
Avl-q, OF AZ
Ar
KE Ad.
CE -7 k
& -
Ar
, d.,
EXIST
SEPTIC[ EXIST
WIfLL
Iq SEE PACE 2 FOR','�',
DIMENSIONS FROM -
PROPERTY CORNERS
LOT .5
& SEP71C DESIGN
','PROP SED
HOUS
EXIS
EXIST
SEPTIC,�'.
4 BDRM X 150 GPD - 600 CPD
600, GPD/1.2 CPD PER SO. FT. (2.1 MINAN.)= 500 SO. FT
(500/ 5' (W)) x 0.54 (RF) (3.5' GRAVEL) - 54 FT. TRENCH
USE I TRENCH – 54- (L) X, 5- (W) X 3.5- (D)
Total depth of system Is 6.5 from original grade
I depth of gravel below distribution pipe is 3.5'
(SEPTIC DESING PER AMC 15.65)
NOTESi
1. INSTALL 1500 CALLON SEPTIC TANK & INSULATE IF < 4' COVER
2. INSULATE TRENCHES WITH 2" HD BURIAL FOAM IF < 3' COVER
3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEP71C TANK.
4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS. SEPTICS. LOT LINES. FOUNDATIONS AND ALL OTHER SETBACKS.
Scale: 1"= 100'
PAGE 1 OF 2
RELD BOOKS 00~m
90""O'DON QLACI OR4- AT PREPARED FOR:
D13 STEFAN REARDEN
0
AS�T. %�AIE 12921 Mt. Place
5 26 05
8 8 ANCHORAGE. AK 99516
mc- 2838
336-2904
ACAD Fa. Xe
jW
WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN
ROBIN HILL SUBDIVISTION #3 BLK 3 LOT 4
Scale- 1"= 30'
PAGE 2 OF 2
A—C - 30.2
B—C = 185.5
A—D - 75.8
B—D — 201.7
A—E — 114.8
B—E — 164.0
A—F - 144.4
B—F - 192.2
A—G - 170.9
B—G — 165.9
9 TH
ici
CE— 6
,e7 .400
low
S 100, Aor
0
nELD BOOKS
90UNDMt DON
STMW�- —
A�kt
0� ME�
7�,X,�A
NOTL
FLAG WELL RADIUS PRIOR TO CONSTRUCTION
ABBREVIATION
CO — CLEANOUT
MT — MONITORING TUBE
FCO — FOUNDATION CLEANOUT
MkftTED.
DRAm: AT PREPARED FOR:
CHECKM: DB — STEFAN REARDEN
OAM 05/26/05 12921 Mt. Place
cmo-. 2838 ANCHORAGE. AK 99516
336-2904
JOB N.,
alK\1NIDENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
696-6111 / FAX (907) 696-8111
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS
LEGAL DESCRIPTION: Robin Hill #3, 133, L4
GENERAL:
1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a
single-family residence ort the referenced property as delineated on the attached Municipality of
Anchorage (MOA) permit and site plan.
2. Construction shall be in accordance with the approved site plan and design drawings; MOA
permit with any special provisions or conditions, and all applicable State and Municipal
Wastewater Disposal Regulations.
3. KND Engineerin& Inc (KND) assumes no responsibility of the accuracy of the as -built survey
provided by the owner or owner's representative.
4. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the
design plans or drawings prior to commencing work. These discrepancies could be, but not
limited to, possible encroachments, surface water, varying soils, unplatted easements, types or
use of dwellings on or adjacent to property, nearb public wells, etc.
5. The contractor shall be responsible for locating a y
ny necessary underground utilities, easements,
property lines and surface water. The owner and/or contractor shall ensure, if deemed
appropriate, that a registered land surveyor prior to construction flags all setbacks.
6. The contractor shall be responsible for verifying all pertinent separation distances and
component layout.
7. Unless specifically agreed otherwise, the property owner shall be responsible for final grading
areas subsequently depressed from soil settling. On all leachfield mound systems, the property
owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded
area.
8. The MCIA Development Services Department On -Site Water & Wastewater Program must
certify contractors installing wastewater disposal systems. Owners installing their own systems
must also receive prior approval from said MOA Department.
SEPTIC TANK / HOLDING TANK / LIFI` STATION INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall
2. include two 4" cleanouts for pumping access. mpacting to prevent
3. e the final grade.
4. The contractor will
5. g foundation. In the
ts (unless an effluent
an ese c eanou s s a ocated on undisturbed
soi n t more th n 10 feet from the tank. The second cleanout, in line, shall be to clean toward
the septic tank.
6. Final grading over the septic tank shall be such that a positive slope exists away from the septic
tank.
Reference: Robin I fill 83, 113, L4
Date: 06102/05
Page: 2 of 3
7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank
extending to the bottom of the tank to above grade to monitor ground water.
8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy
forces in high -groundwater areas.
9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence.
10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA
guidelines.
11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform
Plumbing Code. The contractor is solely responsible for the abandonment procedure.
ABSORPTION TRENCHIDRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the
excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared,
they must be raked or scratched (roughed -up) before gravel (sewer rock) placement.
2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations
facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum
of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure
the silt barrier covers the entire gravel surface before placing backfill.
4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion of the
monitoring tube extending through the gravel shall be perforated from the bottom of the trench
to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as
noted on the design.
5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be
installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the
trench must be mounded to prevent the formation of a depression after settling.
6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent
Dosing Sand Filter, etc ... ) shall be constructed, installed, maintained and monitored per
manufacturer's specifications and MOA requirements.
MINIMUM MATERIAL SPECIFICATIONS:
1. A MOA approved septic tank manufacturer must construct any septic tank proposed for
installation -
2. The following pipe materials are MOA approved for use in septic system installations:
Type of Pipe Perforate 52M
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company
Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or
equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between
the final leadifield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing
the #200 sieve. If deemed necessary, a sieve analysis should be performed.
7. When sand is being used as a filter material, its gradation specification must conform to current
MOA or DEC requirements.
Reference: Robin Hill #3, B3, L4
Date: 06/OZ/05
Page: 3 of 3
INSPECTIONS:
Typically there will be three (3) inspections required during the installation of the wastewater
disposal system. These inspections will occur as follows:
1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds
and before the installation of any gravel. A septic tank may be set in place, but may not be
backfilled before this inspection.
2. The second inspection must be conducted after the placement of the sewer rock, distribution
lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any
other backfill.
3. The final ir-uspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required, especially with the installation of multiple
trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted
at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take
place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's
activities.
The owner shall contract with the contractor to perform the work outlined in these specifications and
attached plans and in accordance with the attached MOA permit. All materials, components, and
construction practices shall comply with the MOA's and the State of Alaska's latest ordinances,
regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to
notice a material or construction non-compliance does not relieve the contractor of his/her
responsibility to correct such deficiency. There will be no contractual arrangement existing between
the contractor and KND Engineering, Inc. KND shall be the owner's representative and will inspect the
work as stated above to document the contractor's activities. Final acceptance of the contractor's work
rests with the owner and the MOA.
KND shall have no liability to the owner or to others for acts or omissions of the contractor or any other
persons performing work on this project or the failure of the contractor to carry out the work in
accordance with these construction documents. KND's inspecting engineer will not be responsible for
the construction means, methods, and techniques, sequence, procedures or the safety precautions
incident to this project.
BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR
WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER
ACKNOWLEDGES HAVING READ AND ACCEPTED THESE SPECIFICATIONS.
10
Watkins Engineeflng, Inc.
RO Box 110443, Anchorage� AK 99511
(907)349-1851 fax 349-1934
February 24. 2005
Stefan Rearden
6040 Beverly Drive
Anchorage, AK 99516
RE: Robin Hill #3, Block 3, Lot 4
12921 Mountain Place
Potential Well & Septic Development
Dear Stefan,
Thank you for calling me to evaluate the potential for well and septic development on
the subject lot in Anchorage. I prepared a site plan, and we dug two test holes on
February 11, 2005. The site plan and the results of the test holes are presented below.
The two test holes prove up sites for both a primary and a reserve soil absorption
system, as required by the Municipality of Anchorage for development.
All surrounding lots are currently developed with private wells and septic systems.
Please refer to the attached site plan. None of the wells' protective radii encroach upon
the subject property. This leaves many options open for development. I located the
potential well site in the northeast corner of the lot. However, it could be moved, as long
as it maintains a 100 ft separation distance to any septic system.
Wells in the area are typically about 350 ft deep and produce low volumes, some less
than 1 gallon per minute (gpm). It may be necessary to install a storage tank at the
house to provide sufficient water. The well to the southeast, however, on lot 5, is only
71 ft deep, and produced 3 gpm. For budgeting purposes, I would recommend $15,000
for a well, pump, and storage facilities.
Two test holes were dug on February 11, 2005, and encountered soils of sufficient
quality to install a conventional septic system. Test hole #1 was dug to a depth of 15 ft,
encountering a silty sand from 2.5 ft to I I ft, which would be a suitable strata for a soil
absorption system. A percolation test was run from 4 to 4.5 ft, with a rate of 3.7 minutes
per inch (min/in). No ground water was encountered when the hole was dug or after
more than 7 days of monitoring. These parameters are suitable for a conventional
septic system design for 4 bedrooms.
Watkins Engineering, Inc. to Stefan Reardon
February 24, 2005; page 2
Test hole #2 was dug to a depth of 15 ft, and encountered soils similar to Test hole #1.
Test hole #2 had somewhat cleaner sand. The percolation test between 5.5 and 6 ft
had a result of 2.1 min/in, which is somewhat better than for TH#1. No groundwater
was encountered during the digging of the hole or after more than 7 days of monitoring.
These parameters are also suitable for a conventional septic system design for 4
bedrooms.
The cost of the septic system depends upon the placement of the house, and if gravity
flow can be achieved. I would estimate the cost of the septic system to be between
$13,000 and $18,000, including engineering, permitting, and installation.
Thank you again for the opportunity to provide these engineering services. If you have
any questions, please call me at 349-1851.
Sincerely,
Cindy ZEllis, P.E.
President
Cc: Tina Tidwell
Alaska USA
1A
Septic
Area
0
fT72 4
Septic
Area
"'q
Robin Hill #3, Block 4 S
zSeptic
Area IB/
9 . Block 3
7
Potential
Well Site 0
Septic
Area
Robin Hill #3, Blk 3, Lot 4
Watkins Engineering, Inc
..... At 'kql
Potential Well & Septic Development
Site Plan
Septic
Stefan Rearden
"00,
................ ..........
Area Robin Hill
Cindy W. Ellis, P.E.
P.O. Box 110443
CE - 10577
February 11, 2005
Anchorage, AK 99511-0443
Scale Y - 100'
Phone: (907) 349-1851 Fax: (907) 349-1934
........
Septic
Area
0
fT72 4
Septic
Area
"'q
Robin Hill #3, Block 4 S
zSeptic
Area IB/
9 . Block 3
7
Potential
Well Site 0
Septic
Area
Robin Hill #3, Blk 3, Lot 4
Watkins Engineering, Inc
..... At 'kql
Potential Well & Septic Development
Site Plan
t
49 LH
Stefan Rearden
................ ..........
Cindy W. Ellis, P.E.
P.O. Box 110443
CE - 10577
February 11, 2005
Anchorage, AK 99511-0443
Scale Y - 100'
Phone: (907) 349-1851 Fax: (907) 349-1934
........
Lot ]A Robin Hill #3, Block 3
do,
Lot I B
Lot 4 00
Potential 0
Well Site
TH#2
--30 ft
TH#1
S
e e-
10 eS%
A�
ocp
Robin Hill #3, Block 4 Lot 5
I ot 9
Robin Hill #3, Blk 3, Lot 4 Yn.A.�'
Potential Well & Septic Development Watkins Engineering, Inc.
4
Stefan Rearden ...........
ClndyW. Ellis, RE P.O. Box 110443 E - 10577
February 24, 2005 Anchorage, Alaska 99511-0443
-1851, Fax: (907) 349-1934
Scale I inch - 40 ft Phone: (907) 349
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.muni.orglonsite
(907) 343-7904
Soils Log - Percolation Test
Performed For Stefan Rearden Date Performed: 2111/05
Legal Description: Robin Hill #3, Elk 3. Lot 4 Township, Range, Section:
Slope Site Plan
F -F -F -T-1 I I t -T I I I i i i - i
1
1
1
Depth
orj
0rj4fI;CS
1.5
W Loam
Z's
Int-
ENCOUNTERED?
NO
/ q sard
4
6j'ad
TrrI7
8DR
WAS GROUND WATER
Date
Gross Time
ENCOUNTERED?
NO
Net Drop
1
2/11/05
2:56
IF YES. AT WHAT DEPTH?
6
L
Depth to Water After
0
P
Monitoring?
DRY
E
Date:
2/24105
3:07 - 3:17
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
1
2/11/05
2:56
0
6
—
2
3:06
10
1.375
4.625
3/4
3:07 - 3:17
10
3.5
2.5
5/ 6
3:19 - 3:29
1 10
3.0
1 3.0
7/8
3:30 - 3:40
10
3.5
9/10
3:42-3:52
10
3.312
11/12
3:54 - 4:04
10
3.312
PERCOLATION RATE 3.7 (-nlitewh) PERC HOLE DIAMETER a
TESTRUNBETMEN 4 FT AND 4.5 FT
COMMENTS
PERFORMED BY: Cindy Ellis I James Salas CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDEJINES IN EFFECT ON THIS DATE. DATE: ?--Z4-06
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.muni.orglonsite
(907) 343-79D4
Solis Log - Percolation Test
Performed For. Stefan Rearden Datelperformed: 2t11/05
Legal Description: Robin Hill #3. M3, Lot4 Township. Range. Section:
IT 02- Slope Site Plan
F—F—F-71 I I I I I I I
Depth
% or.
1- /09
sm IwT� or
C&"S"a
10-
it -
12.1 1 12.6
13- r4L
14-
15� 7rrT-
16- E�00
17-
18-
19-
20 -
COMMENTS
fe I
ENCOUNTERED?
NO
Gross Time
Net Time
IF YES. ATIM-LAT DEPTH?
— L
Depth to Water After
0
P
Monitoring?
DRY E
Date:
2/24105
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
1
2/11/05
2:19
0
6
—
2
2:29
10
1.25
4.75
3/4
2:31 - 2:41
10
1.812
4.188
5/6
2:42 - 2:52
10
1.25
4.75
7/8
2:58 - 3:08
10
1.25
4.75
9/10
3:10 - 3:20
10
1.25
4.75
11/12
3:21 - 3:31
10
1.25
4.75
PERCOLATION RATE 2.1 (�uteVmh) PERO HOLE DIAMETER 6
TESTRUNBETMEN 5.5 FT AND 6.0 FT
PERFORMED BY: Cindy Ellis I James Salas 1 W&11� CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUID V INES IN EFFECT ON THIS DATE. DATE: .2--z4-o5
