HomeMy WebLinkAboutSOUTHFORK NORTH BLK 1 LT 1Onsite File
078 � 141 � 19
For COSA, please r the
Municipality of Anchorage
• Building Safety Division
On -Site Water & Wastewater Program
Field Audit Report
Date: _Time:
Legal Description:.
Site Address: _a�u AN
Engineer/Firm: U
Inspection Findings:
Document Type: �C� kfCC4
Initials• )Bz[
Follow-up Notes:
Municipality of Anchorage
Development Services Department
=
Building Safety Division
On -Site Water and Wastewater Program, 4700 S. Bragaw St,
P.O. Box 196650 Anchorage, AK 99519-6650 Page/ of 3
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT
Permit Number: i O 30 (02 PID Number: 0 %<P-
Name. j—l::,� SG
Wastewater System: X New El upgrade
Address:
X13 Qum -::-T caq r, H oco g
ABSORPTION FIELD
Phone: / ^�_ 3,2cP 6 Number of Bedrooms: , /
UY [ �
t r<Deep Trench EIShallovi Trench ❑ Bed ❑ Meund ❑ Other.
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade:
61
GPD/Ftp
Ft.
Block: 1 Lot: / Subdivision: �j ^, pry/-�
97'H
Depth to pipe bottom from original grade:
3. S
Gravel depth beneath pipe:
/ r 0% 1182 < IVC)!'
Ft.
— Ft.
Township: Range: Section:
Fill added above criginal grade:
Gravel Length:
5o
Fl.
Ft.
Well: [0 New ❑ Upgrade
Gravel vac h:
3_
Number of lines:
�
Distacce betNeen lines:
Fl.
Ft.
ClassificationPrivate, A. B. C):
Total Depth:
Cased to:
Total abscrpGcn area:
Pipe Material: j'7
PVC
/
Ft.
41 Ft.
OG F1'
.363
Driller.
,S'V,4i�( 6
Date Iled:
/0 o
Static WateT Level:
Z `T FL
Installer.
C/-�SF r hlco"
Date ns Ile
/� P// � 8
Yield: � Pump Set at:
Casing Height Above Ground:
TANK
GPM / Ft.
! FL
SEPARATION DISTANCES
Septic ❑ Holding ❑ S.T.E.P. ❑ Other:
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
PubliGPrivat
Sewer Line
Manufacturer.
PR�iyt ir2
capacity:/
�29(/ Gal.
Well
0 1
/ 3o -
-
Z.�f
Material:
�
Number of Co anmer.ts:
z
Surface Water
(cp't
10014
-
-
IFT STA ON
Lot Line
27/
/ U rf'
—V
Size:
Zl.
`darufadurer.
Foundation
'
30
/LS•'
'Pump cn' lev t
in.
'Pump level at:
in,
High wager a mat:
in.
Pum � fake E Model
Inspections per; ed by:
Curtain Drain
�
—
rctrical
Remarks: iV yv� ,A) EX J,_ L
BENCH MARK
Location and DescripGcn:
0
Assumed Elevation:
3.2
TQ • Ft.
Engineer's Stamp
o:Fs.A44sea,
�I
p
Inspections performed by: /��OV f ,„ ,c�j Dates: 15'P[410�
v :' %
0 $-
2nd (22 03
••��, o•sa•'n .?k�
Development Services Department Approval
r.•.. rSt
��n `. L• 19 •�aW,l4
�
Reviewed and approved by: /i / Date:
v�J • PE 6256 : s
�F9'•,� .•a' w,�+
(Rev. 12.'00)
/
I �ROFE5SO4'�p""'
Cot
(4-
0
(U
V)
'r
b
F-
cuCD
0
m0.)
to 00
.cVd 00 r-(C)O1Lo
u
0
cn r4) LC) 4
r-1
LL-
(n
Z
CU
-a
-r
2
Y
c
F- D
<>
-0 0
E @
Cl 0
im
Cl)
(10
z 00_,- q:
Ld
LLJ
C X 4,
-U—) 4- W LLJ (f)
(U
N,
00
Lti< C-4 00 4- r-
o C3 (1)
LL- M F-
000
LLJF-
(Y-
D
E
D
U)
m
C:C: U) 0
-
< C5 (5
Lli
(n
<
q) q) E E
L- L- a
F --a
U
m0
C,4
..F-
<
F
ry
- c5do
f::)
D
M
41 —",C
ry
:3 c C: v
V) 0 0
z 0
V) z Fo - Fo - 0
< u
L
u
w
L
<
4
4, dw
'o-
cu
0>
LO
(i
U-
kkk
4- -Y
CLC
LpX
E
I
0.
No
ZUA
Ept
0)
4-
d
7z cu
X W
CU
L
",Z
fC L
W
S
U
M
C5
L
0 I
f—
OJ 4
+
'
O
~
Iuss i
-P
S
oo
O
Cj-
d +,
O
1
ur
n
I
O
o
Wi
O
>
F-
O
U
U
jn
��
w
M
0NLL-
L
4
�
0
0
�I
u
U
o
d
a
L
L
L
j
q
'c
0
—
Ln
:'
°i
Q
M
W
3 J
O
W H
O�
O
> 0
U
II
oi
Q D-
z
Q
z
W
H
3
O
z
Q
>
✓�
+
_
U
Q
W
cu
60
z
ULLJ
�l
N
O
II
OL
:5
o
+,
>
o
i�
110n,
W
W
d-3
�c
+
d
II
CD
u
LLJ
OJ
44
@J
�_CL
C)
L
+'
d L
LD O1
_
p E LTJ
d
W
-P
d
>
LOA���
@J
,+
i
o -:
CI -d
l`
OJ
O
X >
Lr
(lJ Q
Cl)
W
�
0%
f� '• J
W U
0- _
��� •• �,
0
cu
�
d
M
ON
U
II
Z
O
O
>
0
O
o
�
w
Z
�
W
�ertf tiedrir�ig 'Log
by
Doc CO. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 *TELEPHONE 688-2759
OWNEROFLAND: /F� %Jr=�zfjJ.J BORE
/)0 /3Jx" 77/0,,13 F� I
ADDRESS: _ F"
LEGAL DESCRIPTION:
DATE:
PERMIT NUMBERQ J 11, Date of Issue
TAX IDENTIFICATION NUMBER: O 7 1< / -
Is well located at approved permit location? U es O No
Method of Drilling: LQair rotary O cable toot
Depth of well: -�.2O
Casing Type "Wall Thickness � � s � inches
r�
Diameter inches, depth feet
Liner Type: _> �" -
Casing Stickup AboveGfound: feet
Static Water Level: O feet
Recover Rate:_gpm
Method of Testing: i �Z
Well Intake Opening Type: O open end 0 open hole ,
O Screened; Startfeet Stopped feet
O Perforations Start feet Stoed feet
�
pp
Grout Type: ! 3.f i r Volu< r rme i A U
Depth: from feet, to j feet
Well Disinfected Upon Completion? t�es O No
Method of Disinfection: 0,J-) o-= C;- J
Comments:
'ell 7/ob
(fro S ,. - t S. r, c t J l
Driller's Name i7,
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough:
Department of Environmental Conservation.
t � .
Driller's Name i7,
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough:
Department of Environmental Conservation.
Certifteb w1ritting log
by
DOC CO. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 686-2759
OWNER OF LANDxt-1J 51 c 64 J:3 r�j
ADDRESS:
LEGAL DESCRIPTION: SO 14TH FO K K n1 o,t : H
131,K I /-a
DATE: 6 1 ZI 1 n 3
PERMIT NUMBER: D S 010 a Date of Iss��u��e.�L. -�y- 0-3
TAX IDENTIFICATION NUMBER: Olt --F�— d _
Is well located at approved permit location? 4--l?es j No
Method of Drilling: Ik6l1rrotary .J cable tool
Depth of well: 4 C(
Casing Type %r' tF Wall Thickness inches
1�)
Diameter �� / inches, depth feet
Liner Type:
Casing Stickup Above Ground: aZ • feet
Static Water Level: a el feet
Recover Rate: 6 gpm
Method of Testing: A r *�-
Well Intake Opening Type: 4.4<r n end J open hole
..1 Screened; Start feet Stopped feet
J Perforations Start feet Stopped feet
Clfr
GroutType:1),F- 0"',rt Volume
Depth: from feet, to °� J feet
Well Disinfected Upon Completion? 4eYes J No
Method of Disinfection: C'tl4°.4,.v : 70 IJ/0"I
Comments:
C 1'tVLt UHIH
DEPTH
C.4Sr.•16 STIc.KJ/°
o JE nz r3.,a.0,=.J
g'Y 0 ,QQA.J t C`'0 v L OPCS
Driller's Name /Z tl
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough:
Department of Environmental Conservation.
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
ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Apr 29, 2003
Expiration Date: Apr 28, 2004
Permit Number: SW030102 Parcel ID: 078-141-19
Legal Description: fSouthfork North Block 1 Lot 1'
Design Engineer. 0838 North Rim Engineering Site Address: NHN
Owner Name: Ken Everson cto Northrim Engineering Lot Size: 223035 SQ. FT.
Owner Address: 17237 Bear Paw Cir. Total Bedrooms: 4 Permit Bedrooms: 4
Eagle River. AK 99577 -
This permit is for the construction of.
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by catling
(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:
Issued By:
Date: 2 S o�
Date: 2 5 aJ
-\ 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
07$'- /q/ - /q
Parcell.D. Z i�CCc/G S0111FFCorMAr Permit Number SW030/02
Property owner(s) 1(:6-40 ,S_A!5i rj &r Day phone
/7.237 QErAt- /.r,., C..iaccC.
Mailing address (1
Mailing address (2) Zip.Code 975'77
Legal description (Lot, Block & Sub'd.) iV �Io17TN 'Riak I IL4 I
Legal description (Section, Township & Range)
Lot Size _Acr /Sq.Ft. Number of Bedrooms 5/
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only ❑
Sewer and Well 0 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.
C W
(Signature of property owner or ab(iorized agent)
00
Permit Fees: SSS Waiver Fees:
Date of Payment: !�/2Tj�0 > Date of Payment:
Receipt Number: 3;11
<< ZSZ Receipt Number:
(Rev. 12100)
NorthRlm Engineering
17237 Bear Paw Circle
Eagle River, AK 99577
907.830.4186
April 23, 2003
Dan Roth, PE
MOA On -Site Water & Wastewater Program
4700 Bragaw St
Anchorage, AK 99519
Dear Dan,
Please review the submittal for the water & sewer design for the proposed 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,
NorthRim Engineering
Steven W. Eng, PE, PH
•�� 'K : : b•�3y�11
VN
l
N
to
o
CD
c�
N
n
LL
O
N
0
II
+'
0
N
W
O
W
J
�
Y
a
Z
Q
�
Y
J
�
o
L`
�::D
00
-iV)
•�� 'K : : b•�3y�11
VN
l
N
to
i
i
U
N
" •
3
Q.
0
V
o
VN
l
N
to
U
obi
(Y
3
Q.
0
0
W
a
d
L
0
w
L
N
CL
v
3
0
c
0
o,
1`
C
CL
a,
s
3
F• -
4m
L
O
o +'
T
L
s
0
tL
L
N
la.
c /
3
O
A
o,
Q
a
a
w
r
L
L
0
t
w
CL
L
d
d
a
a
c
3
O
L
toO
Y
U
O
L
a
a,
CQ
0
v
Zn
E
3
1-'
Y Z
Uy
0 O�
J 0
pq V..
D
00
J (/)
W
J
LL
U 0
w CL
F—
06
tL Z
W Q
W J
A Q.
T
I a���jl��al1�a11!
1 � •0 •0 1
A%'Aj .1
I , 11: 11. •11: •1
I all%I11�,111%I�'!
�N�N�N�y
ice:
L
d
d
a
a
c
3
O
L
toO
Y
U
O
L
a
a,
CQ
0
v
Zn
E
3
1-'
Y Z
Uy
0 O�
J 0
pq V..
D
00
J (/)
W
J
LL
U 0
w CL
F—
06
tL Z
W Q
W J
A Q.
T
4+
3
O
d
w
U
c
0
41
a
a
3
0
a
v
w
Y
d
F
u
0.
d
N
W
d
3
i-�
d
PO
N
1
3
O
c
C5
v
U
Ol
c
N
O
CL
0.
0
s
u
c
d
t
0.
Q!
N
Q
0
F
O
N
CL -P.s
ti l� lei
A
N
2
V O
O Y
J
A O
Clo
J "
3 -i
w ~
r• --o LL.
> a
Q�
A n -
Z Y
W z
2
U ~
Z U
W u
Q' F—
F— CL
W
V)
0
v
N
i
0
Cu
N
v
�C9 in
�Z up
zW a
cr g�
Oz ��
2w �$
o s
N
L
N F
>
c d
0
0tl
O CY
S
ow
o u
L
cu.Q
O
O
N
CL -P.s
ti l� lei
A
N
2
V O
O Y
J
A O
Clo
J "
3 -i
w ~
r• --o LL.
> a
Q�
A n -
Z Y
W z
2
U ~
Z U
W u
Q' F—
F— CL
W
V)
0
v
N
i
0
Cu
N
v
�C9 in
�Z up
zW a
cr g�
Oz ��
2w �$
Lot 1, Block I, Southfork North SID NorthRim Engineering
SPECIFICATIONS & DESIGN GUIDELINES
Wastewater System Sizing: This is a single family home projected at 4 bedrooms. This
requires a 1250 gallon septic tank. This is a large 5 acre lot and no adverse impacts are
expected from development. The neighboring lots are multi -acre and do not conflict with
each other. The adjacent lot to the north is already developed and outside of the 200 foot
radius of any impact. The lot to the south is likewise developed with no conflict. Down-
slope of the site is uninhabited to Ililand Drive. Soil is excellent for subsurface disposal.
A 15 foot deep monitoring tube revealed no groundwater.
Water Well: 6 inch in diameter, surface grouted to 20 feet, ground sloped away from well,
casing extending minimum of 18" above ground level, pitless adaptor at 10 foot depth,
stainless steel well screen, all componenWworkmanship meeting State of Alaska
Drinking Water Regulations. Specification Requirements: All components and work must
comply with the Municipality of Anchorage Specifications & State of Alaska Drinking
Water Regulations and Wastewater Regulations.
• Two compartment septic tank
• Watertight couplings on inlet & outlet
• 10 foot minimum between the tank and bed. 5 foot to property lines.
• 3 feet of cover or insulation is required; 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 feet 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 feet from the tank positioned to provide cleanout access towards the tank and
towards the absorption field.
• All cleanouts 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 feet to groundwater, 6 feet to bedrock from
drain -rock
• Drain rock to be'/2 inch to 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 bed
• 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 shall be extruded direct burial polystyrene (Dow Styrofoam III or
equal)
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.ct.anchoraoe. ak. us
(907) 343-7904
Soils Log - Percolation Test
(ENGINEER'S SEAL)
Performed For.
kFA/
F (/Ffl
SO'n/
Depth b
Date Performed:
Legal Description:
4 /, B/,
•S/SUTf/Fc.]R
(G
//
Township, Range, Section: �
L. dq FM
ORQ441eS
4-
5-
6-
-5-6- r7 Sy4/JQ J
6.
9-
10-
11-
12-
-
10-
11 -
12 -
13-
14-
15-
13 -14 -15
16-
16 -
COMMENTS
COMMENTS
■■■■ ■■■■.■■■■No■
����ri���NMEMO
NENONosoEMEN NEON MENMEMN NEON MEN�
No
so
NN
ME
EMMM OMEN NONE
MEMO NONE MEMO
■■■■ NEON NNo
ONE
MOMMMEME
WAS GROUND WATER No
ENCOUNTERED?
8
IF YES, AT WHAT DEPTH? L
Depth to Water Amer °
P
F'
Monitoring? NoaE
Date'#//46/03
Reading
Date
Gross Time
Net Time
Depth b
Z•.
ETER
PERCOLATION RATE �`(.WOSA rT) PERC HOLE DIAM
TEST RUN BETWEEN _Fir AND FT
FY THAT
PERFORMEDBY: _.�fd.�%�I„� e,r I CERTITHIS TEST WAS
PERFORMED IN ACCORDANCE WITH AAS-1AND MUNICIPAL GUIDELINES IN EFFE T ON THIS DATE. DATE: i7 a
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.c! anchoraoe.ak.us
(907) 343-7904
Soils Log - Percolation Test
For. - 4- � �-
Performed FoKE� E(/fIl Q'dA/ Date Performed: P
Legal Description: L / tf / . 5is u r-6 F Ak, n/ Township, Range, Section:
i t) o2rilrV(r 3
If
t
11-I 1 .
12- /'
COMMENTS
G/Yi
�f`rry srq,.ra y
WAS GROUND WATER
ENCOUNTERED? A/O
S
IF YES. AT WHAT DEPTH? L
Depth to Water Amer D
P
Monitoring? i1/en/F E
Dale: / o
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
/Z/0
54
/
S�It
4 „
2
r
s%"
YZ `r
PERCOLATION RATE e— tnwamnh) PERC HOLE DIAMETER
TEST RUN BETWEEN S FT AND FT
PERFORMED BY: A/ar liG/L7j, I �< t �� CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL UIDELINES IN FFECT ON THIS DATE. DATE: of