HomeMy WebLinkAboutTHE TABLELANDS BLK 4 LT 11AMunicipality of Anchorage
!/ Development Services Department }ti
Building Safety Division .., ..
- On-Sfle Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page / of 3
www ci.anchorage.ak.us (907)3417904 i
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
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Permit Number. S_ _ W U X33 PID Number: O_KI
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MUNICIPALITY OF ANCHORAGE
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 PERMIT
Initial
Date Issued: Nov 15, 2005
Expiration Date: Nov 15, 2006
Permit Number: SW050433 Parcel ID: 051-801-19
Legal Description: THE TABLELANDS BLOCK 4 LOT 11
Design Engineer: 0838 North Rim Engineering Site Address: NHN WHISPERING BIRCH DRIVE
Owner Name: SPINELL HOMES, INC Lot Size: 40000 SO. FT.
Owner Address: 1900 W. NORTHERN LIGHTS BLVD #2( Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE. AK 99517 -
This permit is for the construction of:
Q Disposal Field r;� 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.
Received By:
_ Date: (k� OS
Municipality of Anchorage
Development Services Department
\ Building Safety Division
On -Site Water and Wastewater Program
4700 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
Parcell.D. Iq Permit Number SW
Property
rn
s. D
phone3tJ[/" s671"'
Mailing address /loci IA) ,(/,,, fq eih (,P -j gl j Zoo _Zip Code 9 9-7'7
Site address
Code !i.Sl 7
v � /
Legal description (Lot, Block & Sub'd.) 6
Legal description (Section, Township & Range)
Lot Size Not b60 Acr s/Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms y
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.
E
(Signature of property owner or
Permit/Rush Fees: 11 L41 0(1 00 Waiver Fees:
Date of Payment: IDate of Payment:
Receipt Number: ��� �/�j Sfiq) Receipt Number.
(Rev. 09/04)
1TF
ENGINEERING
Northitim Engineering
17237 Bear Paw Circle
Eagle River, AK 99577
907.694.7028
November 10, 2005
MOA On -Site Water & Wastewater Program
4700 Bragaw St
Anchorage, AK 99519
RE: Tablelands, Block 4, Lot 11
A lot is being developed. The soil test was good. Groundwater was monitored during the
high water month of October and is not present. A conservative design has been
completed, similar to Block 4, Lots 22 & 23.
The neighboring lots are mostly developed. This site should not negatively impact any of
the other area lots. The lot slope is relatively flat and drops off in the rear of the lot.
Please review the wastewater system design for the single family home. I have included
design plans & specs, design guidelines, & soil tests. If there is need for additional
information or clarification please give me a call.
Sincerely,
leve Eng, PE, PH
Design Enclosures
�C2TI�r�IM
ENGINEERING Tablelands S/D, Lot 11, Block 4
SPECIFICATIONS & DESIGN GUIDELINES
Wastewater System Sizing: This is a new 4 -bedroom, single family home. Some of the
neighboring lots are not yet developed. Groundwater was monitored during the high time
of the year in existing subdivision test holes and was not present. A conventional septic
system is designed similar to the designs on lots 22 & 23, Block 4. This lot is over 1 acre
in size and no adverse impacts are expected from development. The neighboring lots are
similar. The lots are served by a public water system. No conflicts to the other lots will
take place by this septic system construction. The easements are located on the drawing
and are not encroached upon. Soil tests revealed sandy soil with low silt. An application
rate of l GPD/FT2 with 0.5 reduction factor for utilizing a 5' wide trench. Trench Length
= 600 FP/5'x .5 reduction factor = 60'; 1 line @ 60'. No bedrock was encountered.
Specification Requirements: All components and work must comply with the Municipality
of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and
Wastewater Regulations.
• Two compartment, 1250 gallon septic tank. Watertight couplings on inlet & outlet.
• 5' minimum between the tank and bed. 10' to property lines.
• 3' of cover or insulation is required for trench; an equivalent of 1" insulation for each foot
soil cover.
• Tank & solid pipe must be set on well compacted, stable soil.
• 4 inch diameter cleanouts with airtight caps are required 1' to 4' from foundation wall, prior
to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing
cleanouts between the tank and the absorption field, not more than 10' from the tank
positioned to provide cleanout access towards the tank and towards the absorption field.
• All cicanouts must extend to at least ground level.
• In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron.
• Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock from drain -rock.
• Drain rock to be %2 inch to 2'/2 inch screened. Drain rock to be distributed uniformly
throughout the trench.
• Perforated pipe to be installed level with perforations down.
• Silt barrier (filter fabric) to be installed above the drain rock.
• Smeared trench sides must be raked or scarified before drain rock placement.
• Backfill over drain rock must not be less than 36".
• The finish grade must be mounded to promote drainage over the trench.
• Insulation must be placed over any pipe installed under driveways or parking areas.
• Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS
ASTM D2661,
• Sewer Service Line is minimum 2% slope.
• Septic Tank to be pumped every two years or when required.
• Insulation board to be extruded direct burial polystyrene (Dow Styrofoam FII or equal)
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FRIM\ S❑ILS LOG - PERC❑LATI❑N TEST
r' IIM Date Performed: 11/2/05
INEERING
Performed For; Spinell Homes
Legal Description, Lot 11, Block 4
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
DEPTH
(FEET)
Slope < 5%
Groundwater? Nb
Depth
Water Depth
AC+o" Mnn1+nr1nn. Nnna Date, 11/8/05 & 10/25/05
#`
Organic
Gross Time
Net Time
Depth
Net Drop
1
SP
'
--
7'
Sand
2
11/2
;;• •:?
w/Gravel
.:'.
0.5'
3
11/2
5
--
;j.
--
4
11/2
7
2 min.
8'
0.5'
5
11/2
10
--
7.5'
--
6
11/2
12
2 min.
Slope < 5%
Groundwater? Nb
Depth
Water Depth
AC+o" Mnn1+nr1nn. Nnna Date, 11/8/05 & 10/25/05
#`
Date
Gross Time
Net Time
Depth
Net Drop
1
11/2
0
--
7'
--
2
11/2
2
2 min.
7.5'
0.5'
3
11/2
5
--
7.5'
--
4
11/2
7
2 min.
8'
0.5'
5
11/2
10
--
7.5'
--
6
11/2
12
2 min.
8'
0.5'
Percolation Rate 4 min./inch Perc Hole Diameter 6'
Test Run Between 3' and 4'
Comments)Pre-SankPCI
Performed By NorthRim Eng. I
Performed in Accordance with All
ON THIS DATE. DATE, 11/8/05
Z CERTIFY THAT THIS TEST WAS
State/Municipal Guidelines in Effect
THE TABLELANDS S/D
GEOTECHNICAL T.H. 1
LOT 11
BLOCK 4
/8/05 11 of 2
NORTHRIM
:~ism. y'
ENGINEERING
...
17237 Bear Paw circle
Alaska 99577
Eagle River,
907-694-7028
Z CERTIFY THAT THIS TEST WAS
State/Municipal Guidelines in Effect
THE TABLELANDS S/D
GEOTECHNICAL T.H. 1
LOT 11
BLOCK 4
/8/05 11 of 2
S❑ILS LOG - PERC❑LATI❑N TEST
TH, IM— Date Performed: 11/2/05
pt"
GINEERING
Performed For: Spinell Homes
Legal Description: Lot 11, Block 4
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
DEPTH
(FEET)
Slope < 5%
r
Groundwater? No
Depth
Water Depth n
ACI-- u....^1+�r.i.•^J•a Alnno nn+OI tt/Ans
#`
Organic
TIr1e
Net TIme
De th
SP
'
Sand
0
•. oc-�w �{'
8'
w/Gravel
2
11/2
2
2 Min.
8.5'
0.5'
3
11/2
5
--
8'
--
4
11/2
7
2 rain.
8.5'
0.5'
w
11/2
�ttom^
--
8'
--
Slope < 5%
r
Groundwater? No
Depth
Water Depth n
ACI-- u....^1+�r.i.•^J•a Alnno nn+OI tt/Ans
#`
Date IGross
TIr1e
Net TIme
De th
Net Drop
1
11/2
0
•. oc-�w �{'
8'
2
11/2
2
2 Min.
8.5'
0.5'
3
11/2
5
--
8'
--
4
11/2
7
2 rain.
8.5'
0.5'
11/2
10
--
8'
--
11/2
12
2 Min.
8.5'
0.5'
P65
Percolation Rate 4 Min./inch Perc Hole Diameter 6'
Test Run Between 3' and 4'
Comments: -
Performed By NorthRim Eng. I CERTIFY THAT THIS TEST WAS
Performed In Accordance with All State/Municipal Guidelines in Effect
ON THIS DATE. DATE: 11/8/05
THE TABLELANDS S/D
GE❑TECHNICAL T.H. 2
LOT 11
BLOCK 4
2 of 2_'
OF
NORTHRIM
ENGINEERING
17237 Boor Pow Clrclo
Cagle Ri"r, Alosko 99577
•. oc-�w �{'
?07-694-7028
THE TABLELANDS S/D
GE❑TECHNICAL T.H. 2
LOT 11
BLOCK 4
2 of 2_'
4 r..,,
Municipality of
p y Anchorage -ji A '-a
-
Development
s�
• Development Services Department
Building Safety Division y.
On -Site Water and Wastewater Program '
4700 Bragaw Street " "'
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. �%Jr/- So/- �S COSA #_
Expiration Date: — �� — p -7
1. GENERAL INFORMATION
Complete legal description 7-144-' 407-11
Location (site addressQ_ JDR (n/l-i t $PE/eIA16 B /RCI A /z&zz-
Current Property owner(s) .SP/.t1A5ZL 90.o►F f 7 -AX Day phone _Wc j-54C7J'
Mailing address r.✓ x oencv?rt/ G7 --r -0-oO
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ❑ Individual On-site
Individual Water Storage ❑ Individual Holding tank ❑
Community Class Well ❑ Community On-site ❑
Public Water System Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below. I verify that my Investigation,
based on procedures outlined in the Certificate of Onsite Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my Investigation and Inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations In effect at the time of installation.
Name of Firm A16 c f i letotl EAG Phone 49' 9 — %OLS
Address �/ 7.2 3 7 13EA2 P,A7..-r r204 -E
Engineer's Printed Name Date 'PZzlooe
01F AHL _ s.
Cir_._
it F '. Stemo w. E
C•,
5. DSD SIGNATURE `�t:�F� •,,. PE 6256
M
_� Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Nitrate -Advisory Other
(Rw.11,05)
Certificate Date: S —2,? -06
Municipality of Anchorage
,• Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: 'FPO-' 77#444`1 n/41 &Qr. - fOrit Parcel ID:
A. WELL DATA I) -W W U — PUB 4Cr
Well type & If A, B, or C provide PW SID # _
B.
Date completed
Total depth ft.
Date of test
Static water level
Well production
WATER 77c,ColiformArsenic:
FROM
TS:
Sanitary sea YIN)
Caged t ft.
iNEL OG
ft.
g.p.m.
mL Nitrate mg/L
Date of sample:
TANK DATA
Well Log (Y/N)
Wires properly protected IN)
Casing height (above nd) in.
AT INSPECTION
ft.
g.p.m.
i
I
Other bacteria colonies/100 mL
Collected by
Tank Type/Material < X 6fa9406-5- lC ^ .S!CEL
Tank size [ZSO gal.- Number of Compartments 2
Foundation cleanout (Y/N) V Depression over tank (Y/N) --Ar
Date of pumping NiffAn 1 Pumper
C. ABSORPTION FIELD DATA
Date installed a_/_E Q�_�'6 Soil rating (g.p.d./ft2 oof�lbdrm)
1.
Length �2 ' ft. Width
Date installed 1/dZ0
I
Cieanouts (YM)
High water alarm (Y/N)
System type T�2�i�1cN
Gravel below pipe ft.
I
Total depth jL4_ ft. *" Eff. absorption area L� ftz Monitoring tube 4— Depression over field Al—
Dale of adequacy test Ah5A- ) Results (Pass/Fail) For I I bedrooms
Fluid depth in absorption field before test _ in.
Water added_ gal. New depth_ in.
Elapsed Time: _ min. Final fluid depth _ in.
Any rejuvenation treatment (past 12 mo.) (YIN & type)
I
Absorption rate >= I g.p.d.
If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (YIN)
'Pump on' level at_i 'Pump off" level at_ in. High water alarm level at in.
Datum Cycles tested Meets alarm & circuit requi ements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO: PUE I C tr,. ,47'£r2.
Septic tanknift station on lot
Absorption field on lot
Public sewer main
Sewer /septic servj6e line
Animal containgfent areas
On adjacent lots
On adjacent lots
Public sewer m
Holding tank
excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
/ / r
Building foundation s -E Property line /Gf f Absorption field s 4
Water main a A0 /•f Water service line 16 r'r Surface water 0 /•i
.200' -'e -
SEPARATION
Wells on adjacent lots �Q -t'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line /O r{ Building foundation G rt Water main
Water Service line / (S /� Surface water ��Q /� Driveway, parking/vehicle storage Z 0 t'r'
Curtain drain I Wells on adjacent lots 2-00 rt'
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name .57-i5\6E
Date P- 2,Q
COSA Fee $ 7 r�us Z, Waiver Fee $
Date of Payment g - Z Z ' Date of Payment
Receipt Number g S O G Receipt Number
(Rev. 11/05)
y Sieftn W. Eng
PE 6256
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