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THE TABLELANDS BLK 5 LT 7A
Municipality of Anchorage Page 1 of 3 Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.sk.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW040248 PID Number. 051.801.21 "7pinell Homes S i Wastewater System: New 1900 W. Northern Lights, Ste. 200 Anch. AK 99517 ABSORPTION FIELD Four 5' Wide Trench 344.5678 Sal R. v Total DWh Iran a,amd pale. LEGAL DESCRIPTION •8 CJ-WF? 1 Ft. 13 d Lot: S,mwam Degh n pp. began hda &,Snot ar. . Q. dWh b.rwMh P9.. 5 7A The Tablelands .5 Ft. .5 Ft TOWOKP Swan: FY.ddad •hor. orq^ p.w. Gl. L•Iglh. 2-3 Ft. 150 Ft. Well: AWWU Water System r...al w,dn. 5 Nunib•r d In.. 2 D,U bNra•n 10' Ft. CIUW,ralnn ff .We. A S. C): To DephC.esd to dot Muapbpn rw qa a,.l Ft. Ft 750 Fe ASTM 3034 PVC Dollar Dr. Dd Slrn WMar L.v Ft Pisano's Dirtworks 217.812005 Y,w P.O sal., c.a•a AW v. Crand. TANK DPM FI. FI SEPARATION DISTANCES Septic To I Septic Absorption lift Holding utgriprivate Anchorage Tank 1,250 Fran Tank Field Station Tank sewer une VAI >200' >200' NIA NIA >25' Steel Two (2) a 8'e"Wr. >100, >100, NIA NIA LIFT STATION — NONE ON LOT Lot Lhr >5' 1' NIA NIA cd FauNem >5' >10, NIA NIA �pQ' ` a a ti ti in. None Noted Panp MW Medal MrLral hnpacLen. p.dan•d by Culrrl0rein It " BENCH MARK Flow Sputter valve Placed to Assure Lven Flow. Upgraded crtmmad,ttl Paul: gladFAAMS Systern Finished Floor. 100.0 Ft Engineels Stamp Inspections performed by: T. Kimbrough Dates: 1M 21712005 491n r d...n 0 2nd 2/812005..._......_........._.. Department of Health and Human Services approval A� M,O+ALL k. AVD, RSD4= •� � �P�,t,.,� s+4 No. CF-4381 ,rf: •��i�fp ^ Reviewed and approved by: Date: ��/ ....... °' 4h �'!rCFESSt�P�� (tLa. toval a Permit No. SWO40248 THM '1 U Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report W J Q Page 3 of 3 PID No.: 051-801-21 r rcn�.n �cny �n i v U S U PROFILE AS -BUILT NTS 49th MICHAEL E. ANO:RSO! MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION. LOT 7A, BLOCK 5, TABLELANDS S/D PERFORMED FOR: SPINELL HOMES, INC. DATE: 2/7/2005 PROJECT No - PARCEL IDS{• TECHNICIAN: T- I KtMaRotlr,H DEPTH TEST HOLE K:3] (ret) 1 OB/OG 2 3 4 5 6 SILTY GRAVEL WITH SAND GM/SM 7 8 9 10- 11- 12- 13-- 0111213 BOH 14- 15- 16- 17- "I 41$161718 19 COMMENTS: SEE SITE PLAN WAS GROUND WATER ENCOUNIEREW YFS IF YES ® WHAT DEFTID R. DEPTH OF WATER AFTER MONITORING: 0% DATE OF MONITORING: DATE READING G OSS TIME MINUTES) NET TIME (MINUTES) DEPTH OF WATER (INCHES)NCHES INFT N DROP 8/8/05 TEST HOLE PRESOAKED PRIOR TO TESTING: 1 1400 10.0" CHARGE 2 1430 30 7.375" 2.625" 3 1430 10.011 RECHARGE 4 1500 30 7.1875" 2.5625" 5 1500 11.01, RECHARGE 6 1530 30 8.511 2.51' PERCOLATION RATE•I� 2.0(MINANCII) FERC. HOLE DIA. 6 (INCITES) TEST RUN BETWEEN: .5FT. and 6 FT. NO IMPERMEABLE LAYERS ENCOUNTERED. TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY TFIAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE- m 1 o �gNm Zo 0m�6 o g mm �R C v o0 m o �_�E Q N ? N N Nto Z U c N z N m* C) M=C?y;oogmm- fn m z b O E— Z O 2 Z ' D "b�ov<mrn m O = z zco mn -< o 0 amt-ZN-+rrnrrnOm 0 m E�ilmmv4:: Z m oocm� oN--4-4 N C�lo � 0-1A 00-4 - O �mnO�mD[D � M 0 z N z-<nmm-4n4mp- O ;uzoozmOoom�C N T =NNm-0 Fnmcp�i =D�Of*i o C7 nnmN m rz6N ozgi< z ��oo zo P z0 m—Z N�ovzmrn A-Digo O0 o o = m �� C• i111 - *S 4w Ar 0 h C' C7 2 ,os CA0 r— D 0 CC) O" D > N o" Z o CO U) O ncl) O ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 MEMORANDUM DATE: October 24, 2005 TO: Julie Makela, P.E. FROM: Mike Anderson, P.E. SUBJECT: Lot 7A, Block 5, Tablelands Subdivision Certificate of Health Authority Approval The septic system serving the subject lot was upgraded to a four-bedroom system from its previous three-bedroom status. The certified as -built of the upgrade is attached. All work was completed under the original permit and was completed within 1 year of its origination date. The system is now eligible of heath authority certification for a four- bedroom home. Please let me know if you have any questions. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 MEMO DATE: 1/1012005 TO: Joe Goodall WITH: MoA/On-Site Water and Wastewater FROM: Mike Anderson SUBJECT: Lot 7, Block 5, Tablelands Subdivision Well and Septic System Permit No. SWO40248 Revised Septic System Design Attached is a new Site Plan for Lot 7, Block 5, Tablelands Subdivision. The absorption system has been modified to accommodate a four-bedroom home. The existing 1,000 gallon septic tank will be removed and replaced with a new 1,250 gallon tank. In addition, the absorption trenches will each be extended 18'. This extension will place the east end of the southern trench within 1' of the lot line. A lot line waiver request is attached. An additional test hole and percolation test will be submitted with the as -built to verify soil conditions at the west end of the new absorption trenches. Please modify the existing septic system permit to allow the placement of the revised system. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) January 10, 2005 Municipality of Anchorage Building Safety Division On -Site Water and Wastewater Program 4700 S. Bragaw Street Anchorage, AK 99507 Attention: Joe Goodall Subject: Lot 7, Block 5, Tablelands Subdivision Lot Line Waiver Dear Joe: The owner of the subject lot wants to upgrade the existing septic system to serve a four- bedroom home. The system was only recently placed and is located at the best area of the lot for effluent absorption. The trenches will be lengthened in both the eastern and western direction. The eastern leg will be constructed at 1' from the east property line. We therefore request a lot line waiver be issued allowing the construction of the absorption trenches at this location. The subdivision is served by a community water system and no conflicts exist with the community wells in the subdivision. Similarly, no conflicts exist with septic systems on the adjacent lot. We therefore recommend the lot line waiver be issued allowing construction of the absorption trenches to within 1' of the eastern property line. Sincerely, cm'_� cja� Michael E. Anderson, P.E. 0.41-5.00 0116 . 214-&-r Mayor Mark Begich Municipality ofAnchorage P.O. Box 19W)50 • Anchorage, Alaska 99519.3650 • Telephone (907) 31348301 • Fac (907) 34,3-3200 4700 nragnw• Street • Anchorage, Alaska 99,-07 1/13/2005 Anderson Engineering P.O. Box 240773 Anchorage, Alaska 99524 "'.munl.org Building Safcty Division Subject: Waiver Request for The Tablelnds Subdivision, Block 5, Lot 7A Waiver Request #WR050005 Parcel ID #051-801-61 Permit # SWO40248 Dear Mr. Anderson: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 1.0 foot. Your request to modify the existing wastewater disposal system in order to meet the minimum size requirements ,for the'.4-bedroom - single-family dwelling is also approved. This modification involves the replacement of the existing 1,000 gallon septic tank with a 1,250 gallon septic tank and extending each of the absorption fields by 18 feet This waiver approval applies to the, existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Ju ie Makela, P.E. Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity •her Municipality of Anchorage Development Services Department =• Building Safety Invision On -Site Water and Wastewater Program ° 4700 Bragaw Street: " P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#: WRO50005 PID#: 051-801.61 HA#: _ Permit#: SW040248 Date Received: 1111112005 Legal Description: The Tablelands. Block S. Lot 7A Engineer. Anderson Engineering V,M�-lMw11:•u Waiver Requested: 1 foot from lot line Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: ............................................................................... Waiver is Granted: Waiver is not Granted. List Conditions or Reasons for above: Date: By. ame of Reviewer .............................................................................. t ' Rec#: OS62595 Amount i17s.00 Date Paid:V00S ST"4. Municipality of Anchorage Page 1 of 3 Development Services Department OnSile Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO40248 PID Number. (151-801,211d rpinell Wastewater System: New S i Homes 1900 W. Northem Li hts Ste. 200 Anch., AK 99517 ABSORPTION FIELD "Th�eg 5' Wide Trench 3 45678 Sod Its" Tar Dean 1 a ong W Peas: LEGAL DESCRIPTION .8 cPDrFre 1 Fr. 111 l La'. sLtdw EMM b Pp soma kan W" Vim. Grs depth b"r"n PM 5 7A Tablelands .5 Ft. .5 FL Towww Rave: Ssdurt Fa.aaed eOo.+ MVr We Geer LWVM 2-3 FL 118 Fr. .vr wdrt. 14 n a kna. D.r•rce e"ween k Well: AWWU Water System 5 Fr. 2I >10 FL CW"rraan(Prrv"e.,% S. C): TOW Dean: Casa b: ar.bwpkan ral 590 FF F p "W. I ASTM 3034 PVC Fr. FL Dalen D.re Dnlied soot Wr" Leer: Paisano's Dirtworks VM6 . 8118-1912004 FL Purysr" ca"° AOoeecolna. TANK DPM FI. Ft SEPARATION DISTANCES ® Septic ❑ Hording ❑ S.T.E.P. ❑ Other. To From Septic Tank Absorption Field lift Station Holding Tank ubiwPrwate sewertJne Anchorage Tank 1,000 V" >200' >200' NIA WA >25' Steel Two (2) >100' >100' WA WA LIFT STATION — NONE ON LOT s'e.L.w"er Lair. >5' >10' WA WA cr Fanarion >5' >10' NIA WA �`� ti ano ti w " a iiL in. Noted P7wMrs barrW traps Fe .r by. Dwna.nNone Re " " BENCH MARK Finished Floor. 100.0 FL Engineer's Stamp J Not, h �tY Inspections performed by: T. Kimbrouoh Dates: 1" 8118104 4th" 2n° 8119104 Department of ealtand Human Services approval ltNo �. �t MICHAEL ANDE E. -4381 ON t w l •♦♦•assn lnx e.1/ ed and approved by Date: . SSXq • % �� - ���|$|�� - _ _a. : x- \� y �& .5 -EL* ' / �� & ' § � % @ § k \m 12 E w® ; .(�f ki / i • 0< \ ° ; i \ \�/ k § ( —© " k { \[ S � | \ Q \w7{ \ )\\\ j /$ | \ \. § ! u ] �J" $ g |/}.�- ® • `|�■■�;;� @ too® )A - � ----- \ f i � i i i | �®� G � § / ƒ • Permit No. SWO40248 TBM = v u d U Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage. AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report W J Page 3 of 3 PID No.: 051-801-21 97.05' Drnlnfleld Rock Drnlnfleld Rock PROFILE AS -BUILT Scale: 1' . 20' N s u N n S U 95.93' 96.15' ,i 49th 1" ACL C. ANDER,. No. CE -4381 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 7, BLOCK 5, TABLELANDS S/D PERFORMED FOR: SPINELI HOMES DATE: _8/18/2004 PROJECT No' PARCEL IDX TECHNICIAN: T.L. KIMBROUGH DEPTH TEST HOLE #2 (rccq 2 READING G OSS TIME MINUTES) 3 DEPTH OF WATER (INCHES) SANDY GRAVEL TEST HOLE PRESOAKED PRIOR TO TESTING: SOME COBBLES TO 10" 4 3:11 SP -GP 5 6 3:41 30 7 2.5" SILTY GRAVEL WITH SAND 3 3:42 GM 8 MEDIUM DENSE 9 4:12 30 10 11 12 13 14 15 16 17 18 19 SLOPE <5% SITE PLAN TH2 0 THI 0 t 9 i BOH WAS GROUND WATER ENCOUNTERED? YF5 IF YES 9 WHAT DErMi 70 DEPTH OF WATER AFTER MONITORING: 0% DATE OF MONITORING: DATE READING G OSS TIME MINUTES) NET TIME (MINUTES) DEPTH OF WATER (INCHES) NET DRQQP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 8/18 1 3:11 8" 2 3:41 30 5.5" 2.5" 3 3:42 8.12" 4 4:12 30 6.1211' 2" 5 4:13 8" 6 4:43 30 6" 2" PERCOLATION RATE• 15 (?,llN NClI) FERC. IIOLE DIA g�� (INCIIES) TEST RUN BETWEEN: 3 FT. and 4 Ff. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. SAME SOIL CONDITIONS AS TH I. TEST PERFORMED BY VETECH ENGINEERING TECHNICAL SERVICE. I, MICHAEL E. ANDERSON CERTIFY THAT TMS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 12/8/2004 MUNICIPALITYOFANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 1 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 0 (907) 343-7904 VV ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jul 07, 2004 Expiration Date: Jul 07, 2005 Permit Number: SW040248 _ Parcel ID: 051-801,M(gl Legal Description: THE TABLELANDS SUBDIV00"LOCK5LOT 7' Design Engineer: 0014 Anderson Engineering Site Address: 22801 WHISPERING BIRCH DRIVE Owner Name: SPINELL HOMES, INC Lot Size: 40000 SO. FT. Owner Address: 22801 WHISPERING BIRCH DRIVE Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. AK 99577 - This permit is for the construction of: Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked 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. ADDITIONAL TEST HOLE NEEDS TO BE PERFORMED FOR ALTERNATE SITE DURING CONSTRUCTION Received Issued Date: L ' Date: Municipality of Anchorage Development Services Department : Building Safety Division ; Onsite 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 aaa FOR A SINGLE FAMILY DWELLING Parcel I.D. D51- 261-21 Permit Number SW Property owner(s) Soinelt Homes, Inc. Day phone 344.5678 &Mailing address (1)1900 Norden Udit BNA. Sine 201 Anchoram AK 99517 Mart rgaddress (2) =Dl ftp , ctp� 6C Zip Code 9'1$7� Legal description (Lot, Block 8 Soba) Let 7A Blodr 5. Tablelands Subdivision Legal description (Section, Township & Range) Lot Size 40.000 SF AcreslSq.Ftt Number of Bedrooms Thum f3) 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 auttioraad agent) Permit Fees: -fNI7S / Waiver Fees: Dale of Payrnent �1- 6 ���01� Dale of PWTient un Receipt Hunger 5'152Z J 1522 1XA _ Receipt Nunter_ (Rev. t2m ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX July 3, 2004 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 7A, Block 5, Tablelands Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 7A, Block 5, Tablelands Subdivision intends to construct a new three- bedroom home on the tot. We are therefore requesting a permit be issued for the construction of a new septic system to serve the new home. The subdivision is served by a community water system and no conflicts exist with adjacent septic systems or wells. The attached Site Plan and backup documentation identify the location and configuration of the proposed septic system and alternate site. The water service line is also shown. The current drainage pattern along with spot elevations are identified on the Site Plan. The drainage pattern will be maintained after development of this lot is complete. A test hole recently placed on the lot indicated silty sand and gravel in the area of the absorption trench. The accepting soils were tested and found to have a percolation rate of 13 minutes per inch. Seepage was noted at 6' below the surface with water accumulation at 7'. During the monitoring period, however, the groundwater level was found at 6'. Our design includes the placement of a new 1,000 -gallon septic tank along with 2 - 57' long by 5' wide with no effective depth absorption trenches to collect and treat the sewage generated in the house. The bottom of the trenches will be 1' below the surface. A flow splitter valve will be placed to assure even flow to each trench. The distribution pipe will be 1' below the surface. A minimum of 3' of cover will be placed atop the trenches and a minimum of 4' of cover will be placed atop the new septic tank. The ground surface on the lot slopes at shallow grades from north to south as shown on the Site Plan. The absorption trench will be constructed parallel with the slope of the ground surface as much as possible in conformance with Municipal requirements. The Lot 7A, Block 5, Tablelands July 3, 2004 Page Two new septic system will be constructed a minimum of 10' from the water service proposed for the lot and on adjacent lots. It will also be constructed a minimum of 100' from any surface water in the area. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, �'✓��1ti a� E 0,4---dL, Michael E. Anderson, P.E. Attachments [W�Awa MICHAEL E. ANDER" \, No. CE -4381 , ell } .06.9.t 300.00,00 N 'v 0Z r � d A . =�� I o'►t a e�6 : 1 S` 1 I g 1 I � 1 t N� n r pMCw I I ' n > 1 8.2I = r I I M Y 1 Do U 1 1 co J 1 I Q m `^ $ 0 g t.arc ... •/- .J i Z q r(� u ,- DRNE tr 1 0- d 1 to w i 1 m _ W --- t - ; > rota t ILli mo30�o " Q I \\ R rn WI �I I V! _ _ y I— I ig 1 \ I I y+ I g I 1 b. n I E x ^ I I I I 1 I 9 q6► I LOT 7A, BLOCK 5, TABLELANDS SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom House V Wide Trench System Perc. Rate: 13 Min./Inch 1,000 Galion Septic Tank Application Rate: .8 GPDISF No Drainfield Rock 3 Bedrooms X 150 GPD1.8GPD/SF (Application Rate) = 562.5 SF Absorption Area 562.5 SF/5 SF =112.5 LF Trench Length THEREFORE: Construct 2 - 57' Long x 5' Wide x No Effective Depth Absorption Trenches. Flow Line Elevation in Trenches to be at Original Ground Surface. Total Depth to be 1' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Provide 2" of Insulation and 2' of Cover if Necessary. Natural Backfill Geotextile 6" Fabric 4" Perforated \—PVC (Holes Down) 5' TYPICAL 5' WIDE TRENC NOTE: (NO Drainfield Rock SECTIOP' Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 10' Separation From Water Services in the Area. Minimum 100' Separation From Surface Water or Streams. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION. LOT 7 BLOCK 5, TABLELANDS S/D PERFORMED FOR- SPINELL HOMES DATE: 6/2312004 PROJECT No • M0442 PARCEL ID, #' TECHNICIAN: T.L. KIMBROUGH DEPTH TEST HOLE # 1 (Lcct) 1 2 READING OB/OG NET TIMEJ (MINUTES) 3 DROP NF NC (INCHES DRY REDDISH BROWN WELL GRADED TEST HOLE PRESOAKED PRIOR TO TESTING - 6/231 SANDY -GRAVELS W/ COBBLES TO 10' 4 SP -GP 2 6 30 WATER SEEPAGE 2.5" 7 3 DAMP GRAY SILTY -SANDS 8.12" W/GRAVELS SOME COBBLES TO 10' 8 4 MEDIUM COMPACTION 9 5.75" GM 10- 11' 12- 13- 14 15 16 17 18 19 a 4'1. 49th L ANDERSON WAS GROUND WATER ENCOUNTERED' YES BOH ff rEs @ wIIAT DErnr 6' 0% DEM OF WATER AFTER MONITORINQ 6' DATE OF MONITORMG: 6/29i0N. DATE READING GROSS TIME (MINUTES) NET TIMEJ (MINUTES) DEPTH OF WATER (INCHES) DROP NF NC (INCHES TEST HOLE PRESOAKED PRIOR TO TESTING - 6/231 1 5:05 8" 2 5:35 30 5.5" 2.5" 3 5:36 8.12" 4 6:06 30 5.75" 2.37" 5 6:07 8" 6 6:37 30 5.5" 2.37" PERCOLATION RATE: 3 (MIN/INCI I) PERC. HOLE DIA g. " (INCHES) TEST RUN BETWEEN._FT. and _4FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY VETECH ENGINEERING TECHNICAL SERVICE. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE- 7/02/2004 ONSITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 7A, BLOCK 5, TABLELANDS SUBDIVISION GENERAL: The scope of this project includes the procurement and placement of a new 1,000 -gallon septic tank at the location shown on the Site Plan. Work also includes the construction of 2 new 57' long X 5' wide with no effective depth absorption trenches at the location also shown on the Site Plan. The distribution line in the trenches will be placed at 1' below the existing ground surface. Total depth of the trench will be 1' below the existing ground surface. A flow splitter valve must be placed to assure even flow to each trench. A separation distance of 10' from any water service and 100' between the septic tank and absorption trench and any surface water must also be maintained. A minimum of 3' of fill is required over the absorption trenches and 4' over the septic tank. In lieu of the required fill 2" of insulation and 2' of fill may be placed. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. The Contractor must also verify the location of wells in the area and assure that the separation distances are met. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK INSTALLATION A new 1,000 -gallon septic tank must be procured from an approved source and installed at the location shown. 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. Lot 7A, Block 5, Tablelands July 3, 2004 Page 2 of 3 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 6. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trench to drain away. 8. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. Lot 7A, Block 5, Tablelands July 3, 2004 Page 3 of 3 MATERIAL SPECIFICATIONS: Septic tanks must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. ' Municipality of Anchorage J,, , Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ek.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING e1 Parcel I.D. 051.801 LPN HAA# 141of -- Expiration Date: y,PCj5 1. GENERAL INFORMATION Complete legal description Lot ?A, Block 5 Tablelands Subdivision Location (site address or directions) 22801 Whispering Birch Drive Current Property owner(s) Soineli Homes Inc. Day phone 3445678 Mailing address Lending agency Mailing address kteal Estate Agent Mailing Address 1900 Northern Lights Blvd Anchorage AK 99517 Unless otherwise requester!, HAA will be held by DSD for pickup. Day phone Day phone ---"JMBER-0F B6DRO0AASkk'�3)- o Tip Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ ® PublicSewer u Bris ate-rZystem The Municipality of Anchorage Development Services Department (DSD) 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) for properties served by a single family on -she wastewater disposal and/or water suppy 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 less than 30 days old. (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, 1 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 Finn _Anderson Engineering Phone 522.7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date . 1218/2004 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: -------._ __ . _._..---- ----------__ -ter. Attachments: HAA Checklist - X Septic System Advisory Well Flow Advisory Mm Maintenance Agreements Supplemental Engineer's Report Other By: ��, . _ r+ Q_. Original Certificate Date: (a«. IM 4 Municipality of Anchorage , •°, • Development Services Department Building Safety Division ` OnStle Water & Wastewater Program a " 4700 South Bragaw SL P.O. Box 196850 Anchorage, AK 99519-6650 www.ci.arxhorageak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot Te ar.ck R Tablelands Su loft Parcel ID: 0514OW G� A. WELL. DATA i i wen type _ If A, B, or C provide PWSID s _ Well Log (YIN) Date completed _ Sanitary seal (YIN) _ Wires property p (YIN) Total depth R Cased m R Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level it 1L i Wen production 9.p-m. 9•p•m- WATER SAMPLE RESULTS: Coliform ool nlesM00 ml. Nitrate mg.A. Other bacteria ootonies/100 ml. i Date of sample: Collected by. B. SEPTIWHOL.DING TANK DATA Tank Type/Material Saotlef8teai Date instaOed BP18R004 Tank efts 1.000 gal. Number of Compartments f Cleanouts (YIN) Y Foundation deanout (YIN) X Depression over tank (Y/N) y High water alarm (YM) N Date of pumping Pumper New Conatnletion C. ABSORPTION FEW DATA Date insta08d ¢08/4004 Soil rating (g.p.dA? or fe/bdrm) .8 GERIN System type S YVide Shallow Trench Length 118 R Width S fL Gravel below pipe .5 fL Total depth 4.6 ft Eff. absorption area late Monitoring tube X Depression over field H Date of adequacy test Results (Pass/Fan) For _ bedrooms Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in. Elapsed Time: _ min. Final fluid depth _ In. Absorpt(on rate >- g.p.d• Any rejuvenstlon treatment (past 12 mo.) (Y/N & type) N If yes, give date D. UFT STATION Data installed Size in gallons Manhole/Access (YM) 'Pump on' level at _ In. 'Pump oir levet at _ In. High water alarm level at in. Datum Cycles tested Meets alarm b circuit requkenreMs? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankMft station on lot WA On adjacent lots WA Absorption field on lot WA On adjacent lots WA Public sewer main WA Public sewer manhole/clesnout WA Sewer /septic service line WA Holding tank WA SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation >T Property One W Absorption field W Water main MW Water service fine >17 Surface water Aw Wells on adjacent lots >2W SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property One >10' Building foundation >10' Water main >10' Water Service One >10' Surface water >1W Driveway, pad&WveMcie storage W Curtain drain None Noted Wells on adjacent los >2W F. COMMENTS G. ENGINEER'S I cer* that I have determined through field inspections and a;` 4th review of Municipal records that the above systems am in conformance with MOA HAA guff Ines in effect on this date. 15 ,ararAM c wacemn Engineer's Printed Name Michael E Anderson. 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