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HomeMy WebLinkAboutGOLDENVIEW PARK PH A1 BLK 1 LT 3Goidenview Park Ph A 1 Block 1 Lot 3 #018-273-02 a Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: SW080018 PID Number: 018-273-02 ❑ New ❑✓ Upgrade Name: Thomas & Terese Moll ABSORPTION FIELD ❑ Deep Trench El Shallow Trench ✓❑ Bed ❑Mound Address 4900 Rabbit Creek Road Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 •8 GPD/SF 3.6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.1 Ft. Gravel depth beneath pipe 1.5 Ft. Subdivision Block Lot Goldenview Park Phase Al 1 3 Fill added above original grade 7-8 Ft. Gravel length 50 Ft. Township Range Section Gravel width 15Ft. Beds: Number of Lines 3 Distance between lines 5Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 750 2 Ft Two > >1017t. Well >100' >100' N/A N/A >25' TANK p Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1 1,250Gal. Surface Water >100' >100' N/A N/A Material Number of compartments Lot Line >5' >10' N/A N/A Steel Two NA Foundation >5' >10' N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Gal. RemarksExisting Septic Tank Decommissioned i n Pump on level at in. Pump off level at in. High water alarm at in. Accordance with Municipal Code. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 Guaranteed Services Drainfield F810 CO/MT. D3034 Inspector A. Harala BENCH MARK (Assumed elevation) 100.Oft Inspection�s' 6/11/2008 dates: 2.a 6/12/2008 Location and description 3°' 5/14/2014 4`h Garage Slab. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL 1114 �� �•• •�'S'���♦ Conditional Approval: Date AV G); r •• r�.. 49TH � .�♦ �.. 0000. ... ... .,....:.... 0 /0060 ........................... �� MICHAEL E. ANDERSON : ♦ J,: CE -4381 ..4�'r AW Fp '••0000•• • Approved Date �� �/ 1 RO FF`WOO �vo � inspection Kepon_1-1YIL.aoC n ZOL p O s a za c is cr NAV rn II ' N W02'39"E 306.42' E 2Au� rm I / mt— 9, u, a " j n / m S =4 tm7 I 50 00` cn w rn cn w i0 o 1 1 1 I 1 s 1 1 ►�'®� \n'rn —1. Y I erg 1L gat rn CD rTl F — _1•'' \ +_ tea. \ 3.*Z.*0.00 S g1 ,*9 -LL 3.*?.tr0A4 S I 4 —� 4 g tdIlia:}®l�ie A, Or - 06 '� ----------r�,---- --- I t-1 � z o cy I—zr'� .® C) (A c� O P.a Permit Number: SW080018 Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 on c Finished Grade Existinq Ground 74.1 --," 1 N H lS 83.6 76.2 —Drainfield Rock 72.6 Groundwater @ 67.2 6-11-08 66.2 15' PROFILE AS -BUILT - Scale: V= 10' PID No. 018-273-02 .•W OF ��e •••�P�E .....q �•.., AV A- : v 49th '::... c..z?. ,:� :� . 0 �'; MICHAEL E. ANDERSON •� No. CE -4381 ♦� �.pR�FESSi�NPi••v DATE MUNICIPALITY OF ANCHORAGE GROSS TIME .��&VaILmUVA1,' DEPTH To WATER DEVELOPMENT SERVICES DEPARTMENT ���P1 •.., •♦0�� 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650' 2:13 2.25" 49th ....:.........SOILS 2:43 LOG -PERCOLATION TEST;�RZA 10.13" 7.88" 3 2:44 - 1. MICHAEL E. ANDERSON ;' j 2.50" LEGAL DESCRIPTION: GOLDENVIEW PARK PHASE Al, BLOCK I, LOT 3 ,#� NO. CE -4381 3:14 PERFORMED FOR: THOMAS MOLL 10.25" ei p ... •� ♦4141,e11 DATE: 6-4-08 PROJECT No.: 3:15 RESS �• 2.00" PARCEL ID#: TECHNICIAN: A. HARALA Professional En ineersStamp: DEPTH TEST HOLE 2 " (feet) 1flTrM OB/OG SLOPE SITE PLAN 2 3 4 5 GW/GM 6 7 8 9 10 BOH WAS GROUND WATER ENCOUNTERED? No IF YES a WHAT DEPTH? S DEPTH OF WATER AFTER MONITORING: 9 O 11 DATE OF MONITORING: 6-11-08 12 13 (MINUTES) (MINUTES) (INCHES) (INCHES) 14 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 16 17 18 19 6 3:45 30 9.75 7.75" 20 PERCOLATION RATE: 3.9 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 2 FT. and 3 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 6-11-2008 DATE READING GROSS TIME NET TIME DEPTH To WATER NET DROP 1 2:13 2.25" 2 2:43 30 10.13" 7.88" 3 2:44 2.50" 4 3:14 30 10.25" 7.75" 5 3:15 2.00" " MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Mar 12, 2008 Expiration Date: Mar 12, 2009 Permit Number: SW080018 Parcel ID: 018-273-02 Legal Description: GOLDENVIEW PARK PHASE Al BLOCK 1 LOT 3 Design Engineer: 0014 ANDERSON ENGINEERING Owner Name: THOMAS P. & TERESE R. MOLL Owner Address: 4900 RABBIT CREEK ROAD ANCHORAGE. AK 99516 - Site Address: 4900 RABBIT CREEK ROAD Lot Size: 114270 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: n 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 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. THE ENTIRE SUBSURFACE DISPOSAL FIELD IS NOT WITHIN A 30 FOOT RADIUS OF A PERCOLATION TEST. THE ENGINEER NEEDS TO DO AN ADDITIONAL PERCOLATION TEST PRIOR TO THE CONSTRUCTION OF THE SEPTIC FIELD. PLEASE SUBMIT STAMPED AND SIGNED RESULTS WITH THE AS -BUILT INSPECTION REPORT. IF THE RESULTS REQUIRE A DESIGN CHANGE, CONSTRUCTION OF THE SYSTEM WILL STOP PENDING ON-SITE REVIEW AND APPROVAL. DECOMMISSION OLD CRIB AT TIME OF CONSTRUCTION IF NECESSARY. Received By: Date: 3—IL-61 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-273-02 Property owner(s) Thomas P. & Teresa R. Moll Day phone 306-2442 Mailing address 4900 Rabbit Creek Road Anchorage, AK Zip Code 99516 Site address 4900 Rabbit Creek Road Anchorage, AK Zip Code 99516 Legal description (Sub'd., Block & Lot) Lot 3, Block 1, Goldenview ParkSubdivision, Phase Al Legal description (Township, Range & Section) Lot Size 114.270 Sq. Ft. Number of Bedrooms Four (4) THIS APPLICATION IS FOR (® all that apply): Absorption Field ID Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION IS AN: Initial Upgrade Renewal11 El El 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. M'r�jj E- � (Signature of property owner or authorized agent) Permit/RushFees: 1-/ 110 Date of Payment: Cqoj y /o0p Receipt Number. �riY) (Rev. 11105) Waiver Fees: Date of Payment: Receipt Number. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 MEMORANDUM DATE: March 7, 2008 TO: Deb Wockenfuss FROM: Mike Anderson, P.E. SUBJECT: Lot 3, Block 1, Goldenview Park Subdivision Phase Al Septic System Permit Upgrade Permit We have reviewed your comments and made the following revisions: 1. An additional percolation test will be completed during construction of the absorption bed with results submitted with the As -Built Inspection Report. If the results require a redesign construction of the system will stop pending On Site review and approval. 2. The reserve site will be the existing absorption bed with an extension to the southwest to accommodate the four-bedroom system. 3. The old crib was abandoned in 1990. The location is shown on the Site Plan. 4. The subdivision to the south of this lot is served by City water and sewer. No information is available on the lot to the west, but the new absorption bed is more than 100' from any well on the lot. All other features within 200' of the new system are shown on the Site Plan or Area Map which are both drawn to scale. 5. Cleanouts in the existing bed have been added to the Site Plan. Please advise if additional information is required prior to issuance of the upgrade permit. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) February 25, 2008 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 3, Block 1, Goldenview Park Subdivision Phase Al Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The existing absorption system on the subject lot has failed and must be upgraded prior to issuance of a Certificate of On Site System Approval for the property. We are therefore requesting a permit be issued for the upgrade of the septic system to accommodate the four-bedroom home on the lot. The attached Site Plan and backup documentation identify the location and configuration of the existing and proposed septic system. The existing septic tank will be pumped, crushed and backfilled with sand. The absorption system will be abandoned in place. Also identified on the plans are the locations of the existing well and Rabbit Creek at the south property line. No conflicts exist between the proposed septic system and the wells on this or adjacent lots. Drainage arrows are shown indicating the current drainage patterns. The drainage patterns will be maintained after construction. The test hole was placed on the lot when the existing septic system was constructed in 1994. This test hole indicated gravel with cobbles and silt were found. The percolation rate was determined to be 4.2 minutes per inch. Additional test holes will be placed during construction to verify the soil conditions. A revised design will be submitted for approval if conditions are different than those anticipated. We are proposing to construct a 1,250 gallon septic tank and a 50' long by 15' wide absorption bed with .5' of gravel beneath the distribution pipe. The distribution pipe in the bed will be placed at 2.5' below the surface with the total depth at 3'. Groundwater was noted at 9' below the ground surface during placement of the initial test hole. The ground surface on the lot slopes slightly to the west in the area of the absorption bed. The bed will be placed parallel to the contours of the ground as much as possible Lot 3, Block 1, Goldenview Park Phase Al February 25, 2008 Page Two and in conformance with design criteria. A minimum of 100' will be maintained between all components of the septic system and the proposed well and from any surface water in the area. If the system is constructed in accordance with our design the following statements apply: 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, w EA fit" Michael E. Anderson, P.E. Attachments V C -A!'.. C e\XRSCv RAWT CREEK ROAD Lar 5A BLDCK B Ttweeam 110. 1 U E �.n City\ Sewer�� City \Water 1 � ............... ., i 4..th /..1 .s.... .............. . .� AREA MAP 0. ;NIpUEL C ANDERSON = SCALE V = IOU' 1No. CE-4381 ••••............. SwMy11 ��� 593 • ,•** 111 00 . iiiIs 1j ` •• N 00'02'39 3 .t2' I I 1111 „'•_ / U R- 13 3 [I \ \ N I N Ik I 1 I m00 v CD \ W I N N / 09'LS 3.1L,fo.00 S a�b S 2 �9'tL 3.tL,10m S I 3A180 M31A39418e R.m D � J I R• LOT 3, BLOCK 1, GOLDENVIEW PARK SUBDIVISION PHASE Al (LOT 1B, BLOCK B, TIMBERLUX SUBDIVISION NO. 1) DESIGN FACTORS: SYSTEM REQUIREMENTS: 4 Bedroom Home Shallow Bed System Perc. Rate: 1-5 Min./Inch 1,250 Gallon Septic Tank Application Rate: .8 GPD/SF 1' Total Depth Drainfield Rock 4 Bedrooms X150 SF/Bedroom/.8 GPD/SF(Application Rate) = 750 SF Absorption Area 750 SF/15 LF (Width) = 50 LF Bed Length THEREFORE: Construct A 50' Long x 15' Wide Shallow Bed as Shown Below. Place Distribution Piping at 2.5' Below Original Ground Surface. Provide T of Cover Over Bed and 4' of Cover Over Septic Tank. In Lieu of Fill Provide 2' of Insulation and 2' of Fill. Place Diverter Valve to Insure Even Flow to Each Bed. Existing Ground 2.0' .5' O .5' Geotextile Fabric O O Drainfield Rock 4" PVC Underlying GM 5' 5' 2.5' TYPICAL BED SECTION ....�•OF•��.��� (NO SCALE) oe,,` ........................C.is, �'J: • ``r�� NOTE: Grade Area Surrounding Bed to Drain Away. Minimum 6' Separation From Bedrock..... ' 49th Minimum 4' Separation From Groundwater. 7. f"...�4�...... ..._....' Minimum 100' Separation From Wells in the Area. ♦"" n ♦ Michael E. Anderson µ Minimum 100' Separation From Surface Water or Streams. . ♦��� : No. CE -4381 F' Minimum 10' Separation From Water Service Line. sem'•,_ ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 3, BLOCK 1, GOLDENVIEW PARK SUBDIVISION PHASE Al GENERAL: 1. The scope of this project includes the procurement and placement of a new 1,250 -gallon septic tank at the location shown on the Site Plan. Work also includes the construction of a new 50' long X 15' wide absorption bed at the location also shown on the Site Plan. The distribution line in the bed will be placed at 2.5' below the existing ground surface. Total depth of the bed will be 3' below the existing ground surface. The new absorption bed and septic tank must be placed a minimum of 100' from all private wells and any surface water in the area and 10' from the water service line on the lot. A minimum of 3' of cover is required over the absorption trench and 4' of cover over the septic tank. The existing septic tank must be pumped, crushed and abandoned on site or removed from the property. The existing absorption system will be abandoned in place. 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 Development Services Department Building Safety Division On Site Water and Wastewater Program for system installations. Owners installing their own systems must receive prior approval from the On Site Water and Wastewater Program before beginning system installation. SEPTIC TANK INSTALLATION A new 1,250 -gallon septic tank must be procured from an approved source and installed at the location shown. Lot 3, Block 1, Goldenview Park Phase Al February 25, 2008 Page 2 of 3 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 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 levet. 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 3, Block 1, Goldenview Park Phase Al February 25, 2008 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 Page of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 5 940 33 PID Number: Q091— Qi !i - CA Name: � Wastewater System: XNew Upgrade F . Addres : ^ ,. • d` ABSORPTION FIELD Phone vi No. of$pdrooms:. •'�ij O Deep Trench O Shallow Trench Xeed O Mound ❑ Other n 0 LEGAL DESCRIPTION Soil Rating: 0 Total Dep'! lOrrori Iyal grade: GPD/S Ft. � Lot: Bloc Subdivision• .. Depth to pipe bottom Irom original grade' Gravel depth beneath pipe Township: Range: Section: Fill added above ongin ] grade: Gravel length: , Ft Ft. WELL: ❑New ❑Upgrade ' Gravel width: `7 Number of lines: Distance between lines: w Ft. Ft. Classification (Private. A.9.C): Total Depth: - Cased To: I Total absorption area: 5 U Pip�materlal: - Ft. Ft. Ft. Driller. Date Drilled: Static Water Level: Insl)alterw Date Installed: Yield: Pump Seta: Cs>,ng Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES Xseptic (3 Holding 0S.T.E.P. To Uptk Absorption Uh HoldingbikMnv&t Manufacturer. Capacity In gallons: From Tank Field Station Tank S•w•runas jc2�' Welt /Ui 1O 77 �� .�� 5Z MatenAh_ r� Number of Compartments: walee 107 40' LIFT STATION Line r �o r 5o' � Size In gallon Manutacturor. . Foundation r 9 / i v _ //� "Pump on" level at: _ Pu _ -1!"e a : High water alarm at: 1 O '\ I / Curtain - Pump Make a Model Electrical Inspections performed by Drain Remarks: O x i5+/7 BENCH MARK Location and Description: ! /�e r /��) �nAssumed Elevation: (r) Ft ENGINEER'S SEAL �OFAI- Inspections performed by: � �' 5� ���ates: lct_ � • l� r°°...� 7�I •1 ••' �. ✓!j. �.." ( a 2nd —c: JOmcs F. S'c�inoro% Department of Healt an-di- l�uman5ervices appro al c'• OF 1517E j.,• 9F . Ic=s-l�� c r.� .2 Reviewed and approved by ,� Dates3/s!! PP-JFE551CY1P�� �`\V\\\\tri 72-013 (RM. arae) MOA 25 Permit No. S W ? A0332- Page Z- of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Lo T- 18 D L-8 T/ MBER L UX No. l PID No.: 72-013A(1/93)' C.•- ... .... ..... ..... ... ...... ....... ... .... ..... ... ... .... ........ ... ........... ....... .......... ... ... ... ... ... ...... ... ..... o..... ... ......... ... ... ... ... ... .... ... .<......................................... :................................................ ......... ............................................................................... Wel1 J�CI�j� r 1� OL4 q /iCs 2.y J --.!3 1 Y 3Qcc>•, 4�� orf, Praih , an J , G.p. _............_...._.._..� ._f.....1 ...._...............:..............._...._..._PL..',py�.._........._............................._......__._ _... ...._.__.............._. - �� Pr t000 Gal 5 i eel ..........................._a°..il._4,.5..........._......................................_............:....._..;............................ _............. ................. ................ se- P4-ic7;4 ....... _............................................................................. _. _.............. _. _....... ENGINfE@j>S SEAL ! of iIL �°t, AZ u I LT S1 s.► .............'dv jW . H....0 •ap'�r..ue...u. a1 ..• • !cines F. �izc:no.o .� � � 1517 E t i 72-013A(1/93)' Permit No. SWg4033Z Page J of_-� Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: i_ If 3 R L, B 7-1 M 8ELR L V,X "�'[ PID No.: Cones lab, SA 140V561-- .................. .:......... ............................ >CI.R976 ' ire R 6oTT' TEST 966 72-013 a (11" t Ge G'eJ s;de T e, ENGINEER'S SEAL P ••' ••qst J r` Jamin F. zcmoro .' W iP •. A' 1517E : v PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE /?/ L DEPARTMENT OF HEALTH AND HUMAN SERVICES f(J P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 911b© lQ:rDr4u ln-�- ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940332 DATE ISSUED: 9/02/94 DESIGN ENGINEER:JAMES SIZEMOORE & ASSOCIATES EXPIRATION DATE: 9/02/95 OWNER NAME:REGNART RONALD I & OWNER ADDRESS:4900 RABBIT CREEK RD ANCHORAGE, AK 99506 PARCEL ID:01827108 LEGAL DESCRIPTION: TIMBERLUX #1 BLK B IT 1B LOT SIZE: 108116 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL Prl RECEIVED ISSUED BY: DATE /iv/Ias�L/I l� Neu) I I -V C R r- F--i�- T):-____-- 9 LI —5 E,- c -F i C- TI -S, c , 0, 1501,01 f ipe C r 110 0, 5 1 TEL PLA N N -l-15 BLhBjTIME;ERLUA 5 U B 13, dJ'N Fr NO. I SEPT rc- SYS TF -M UPGRADI -:. 15 -1 T E- P L, N N- -- JAME�5'-'31ZEMORE Scale � AS S DC. le- �ASSDC- P\Wcti, 11"=co' xu L&Ti._Ifl dl-_ �l Tg3e m AA 9 ---1T 1 2 ,o;�'Il \ .3 0 �- o -�• a s t� �G.GS�`JC t Iy ,71 ti lops xu L&Ti._Ifl dl-_ �l Tg3e m AA 9 ---1T 1 2 ,o;�'Il \ II II �I Monitor "{ u e:. I I rr �I II II r'osS T Con, So I tdr,� Pe +o Pe� r -P II ,I II P+iC.ih -JA oU lol e. C.0 Mon. Tu 6e�I-I-9-9 7 - l'-o`� So•vVC.r Roc.Ar 45 'meq Z _ C T I ON. -.A_=A L) B D LK 13 TIM8E.F\LUX '5u -BD., UNITN0,1 _SEPTIC SY5TEM UFGRAD PLANT sEc.T(ON 'JAMES 5l�£Iv10R£ `` I�c�.l�. -4'A-55 06, R Nc 11 - 1 ": 60 V,OITD -�c X\3,1 -138W F O N -j 8 8( I y.Ol��T1V1U VQaUE� kAi `'P-19 ";�" i co i 133 V,OITD -�c X\3,1 -138W F O N -j 8 8( I y.Ol��T1V1U VQaUE� kAi `'P-19 ";�" James Sizemore & Associates Civil Engineers & Surveyors 6410 Switzerland Drive Anchorage. AK 99516 (907) 345-1572 WASTEWATER DISPOSAL SYSTEM SPECIFICATIONS LOT 1B. BLOCK B1 TIMBERLUX SUBD. UNIT NO. 1 1.0 GENERAL: 1.1 The scope of the project consists of installation of a new 15' by 38' bed drainfield to replace an existing timber crib disposal field. The existing septioc tank will be inspected during the installation of the drainline from the septic tank to the new drainfield, and if the existing tank is rusted out, it will be replaced. 1.2 Construction shall be as shown on the approved site plan and design drawings. Deviations from the drawings shall be co-ordinated and approved by the engineer conducting the inspections. 1.3 All construction procedures and material used to construct the system shall comply with Municipal and State regulations. 1.4 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading areas after the soil is compacted. Placement of topsoil and reseeding all areas disturbed by construction is also the responsibility of the homeowneer. 2.0 SEPTIC TANK: 2.1 Should a new septic tank be necessary, the replacement tank whall be a 1000 gallon septic tank and shall conform to the Municipality of Anchorage regulations. 2.2 The septic tank shall be set level and shall be bedded as necessary to prevent settling or shifting of the tank. 2.3 All pipe connections to the septic tank shall be equipped with waterproof mechanical couplings. A cleanout shall b e installed within 5 feet of the house foundation. A double cleanout whall be installed within 5 feet downstream of the septic tank. 3.0 SOIL ABSORPTION DRAINFIELD: 3.1 The soil absorption drainfield shall be a bed type constructed to the dimensions shown on the drawings. The bottom of fthe 15' by 38' bed shall be excavated to a depth 3' below the original ground level. The bottom shall be excavated level. 3.3 A total of 1.0 feet of sewer rock shall be placed over the excavated area. The perforated distribution pipes shall be spaced as shown on the drawings and at least 6 inches of sewer rock shall be beneath the invert, with the pipes being placed level. Sewer rock whall be 0.5 - 2.5" screened gravel, with less than 3 8 passing the #200 sieve. 3.4 Cleanout pipes and monitor tubes shall be 4" diameter and installed in locations shown on the drawings. The portion of the monitor tube extending through the sewer rock shall be perforated. 3.5 Approved filter fabric shall be placed over the top surface of the sewer rock. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation will be placed over the entire top surface of the sewer rock. 4.0 INSPECTIONS: 4.1 A minimum of three engineering inspections will be required during construction of the system. One after setting of the septic tank, one after excavation of the bed area prior to placement of the filter sand, and one after placement of the distribution piping. In addition to the three mandatory inspections it is suggested that prior to start of construction that the contractor and the engineer hold a site meeting to discuss the project. 4. The contractor shall coordinate with the engineer at least 24 hours prior to start of construction. PROBABLE IMPACTS TO ADJACENT PROPERTIES A) WELLS: The proposed disposal system is designed in accordance with the current 1994 Municipal wastewater Disposal Regulations. The proposed system replaces a timber crib that was constructed in the mid 1960's. Since the new disposal system has a septic tank for the solids, and the disposal bed has the proper separation between the bottom of the bed and the ground water table, and the separation distances from thje wells on adjacent properties is greaterr than 100 ft., the possible impact on the adjacent wells should be less than the existing timber crib. B) WASTEWATER SYSTEMS The size of this lot should minimize the impact on adjacent wastewater systems. C) RESERVED SPACE/SURFACE AND SUBSURFACE There is enough space on this lot to put in another replacement system and still maintain the required protective radiaa between wells and the disposal system. D) DRAINAGE The location of the disposal system will not interfere with any drainage. The area disturbed during construction of the system will be graded and sloped so as to not pond water. �reNGINEER' SEAL) l• jr� Municipality of Anchorage ghr�' DEPARTMENT OF HEALTH 6 HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 a f SOILS LOG — PERCOLATION TEST PERFORMED FOR: I 1 l r/C�/ / 'Rei=•••�'-•.`;'J� DATE PERFORMED: ZV LEGAL DESCRIPTION: L I S BL,{�- 77, ✓nI I0& 14, Range, Section: R3Lu IFE�f uR.11 Yl 1 y� 2 C-obbfe-**7".1 3av['Ily, !-(race- 4 5 0 7 91'�— fE2,n 5-e,✓ r 10 WAS GROUND WATER ye s ENCOUNTERED? IF AT WHAT 9, —o ' P DEPTH i % 12 DEPTH? E Depth to Water Ager�j 13 mmit"ing? Dae: t -V 14 15 16 17 18 19 20 COMMENTS Reading Date Gross Net Time Time Depth to Water / Net Drop e % =moi`^ 2Z 12 PERCOLATION RATE 4. Z- (minutesnnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY: �' C� n�� '�— �' - CERTIFY THAT HIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. Mas) =:1 Vo MUNICIPALITY OF ANCHORAGE - • - •DEPARTMENT,OF HEALTH & HUMAN SERVICES Division of Environmental Seryices On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744. CERTIFICATE OF HEALTH AUTHORITY, .. . APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.# t�18-x'11-08 HAA#. HARticbrta. - 1. -GENERAL INFORMATION, _Complete: legal -description !/M 85 R LUX SU g p U)V 17- /V0, Location (site address or directions) ' ..,Property owner.- Day phone Mailing address` Lending agency Day phone Mailing address Agent - Day phone 'Address Unless otherwise requested, HAA will be hgld or pickup, s 2 _.,NUMBER .OFBEDROOMS •--3. -TYPE OF.WATER SUPPLY:.—__..--- ....... UPPLY .— ...-..._ _ Individual well Communitywell,_• Y. --- _ ^Public water �_ ��, = lh ` _. .. NOTE: . if community, well system; provide written_confirmation from Slate_AD_�C fittest- � % Ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: " " < Individual on-site W Ey r _�� %-�c �C'%• Holding tank ,A A 1 ,Community on-Sitev ..7 •. S T,' -^:1f': ?. L:[c") , y': ,a 7 at.. iZLL^ii.. L .i njJrm Public sewer,Al _ t NOTE: if communitywastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. rxassln«.1N,) hon, MOAN21 S. 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 of this Health Authority Approval application shows thafthe on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein.I 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 In with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. " "Name of Firm ("`o1:�e�' Gii�lr-/� fitS�C ......Phone 3 > 7 �^�O i Address ~R. � 2 QS Engineer's signature/ Date ,�•► OF --------- — _.... _.. _--�r 6 DHHS SIGNATURE -- -- U' e tsv t A roved for bedrooms - - .l1tP •««.••A�� PP \\R�FE551CN e •, , ._Disapproved Conditional approval for t�°' a° a bedrooms; with the following stipulations t (Additional Comments \\. I'A 7, l `) '" � .� • '.:��''. ..., i.. _ . 7.75' . `Q By:, Data The Municipality of Anchorage Department`of Health and Human Services (DHHS) Issues Health Authority Approval Certificates based only upon the representations given in.paragraph_5 above by an Independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is Issued. The Municipality of Arichorage isnot responsible for errors or omissions in the professional engineees work.' ` ` -' nets m•+. +,nt 8K MOA m Legal A. Well Data ® Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST f1r/ Well type 19h v a is If A, B, or C, attach ADEC letter. ADEC water system number Log present (YM) /`i Date completed Driller Total depth 3 118/ Cased to > / Oo Casing height /Z- Sanitary seat (YM) y Wires properly protected (YM) FROM WELL LOG Date of test Static water level Well flow Pump levetl SEPARATION SEPARATION DISTANCES FROM WELL TO: SeptWholding tank on lot O Z ; On adjacent lots } Z%© f Absorption field on lot / r) : On adjacent lots >- Public sewer main N f A Public sewer manhole/cleanout Sewer service line -7-5/ Petroleum tank A% OSE WATER SAMPLE RESULTS: Coliform 0 Nitrate 1,rq-1 Other bacteria C:) Date of sample: J,-74, / 75 Collected by: J- B. SEPTICIHOLDING TANK DATA icy Date installed Se, % Y4 Tank size CC(-) 6-0/ Compartments Z Cleanouts (Y/N)._y : Foundation cleanout (YM) y Depression (Y/N) r High water alarm (YIN)'- - IV44 Alarm tested (YM) Date of pumping ' /VCI;Y 7 2 P T Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I O L ( On adjacent lots �� �/ Foundation l�0 To property line ?CO) r Absorption field Surface water/drainage > / (go 7 Z Water main/service line / 00 T2-0 r.W)•Fmnt CONTINUED ON BACK PAGE T U., L' AT INSPECTION fmn T E �e b 7 P? m N g °C m 3 6 �— ao z 7 9.p -m. rn ", o z z SeptWholding tank on lot O Z ; On adjacent lots } Z%© f Absorption field on lot / r) : On adjacent lots >- Public sewer main N f A Public sewer manhole/cleanout Sewer service line -7-5/ Petroleum tank A% OSE WATER SAMPLE RESULTS: Coliform 0 Nitrate 1,rq-1 Other bacteria C:) Date of sample: J,-74, / 75 Collected by: J- B. SEPTICIHOLDING TANK DATA icy Date installed Se, % Y4 Tank size CC(-) 6-0/ Compartments Z Cleanouts (Y/N)._y : Foundation cleanout (YM) y Depression (Y/N) r High water alarm (YIN)'- - IV44 Alarm tested (YM) Date of pumping ' /VCI;Y 7 2 P T Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I O L ( On adjacent lots �� �/ Foundation l�0 To property line ?CO) r Absorption field Surface water/drainage > / (go 7 Z Water main/service line / 00 T2-0 r.W)•Fmnt CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer— Size anufacturer_ S¢e in gallons� Vent (Y/N) Py High water alarm level Meets MOA electrical codes (YM) SEPARAT�DISTANE-FROM Weil�WE D. ABSORPTION FIELD DATA on' level tested LIFT STATION TO: Level at On adjacent lots Surface water Date installed I& I %� Soil rating (GPD/Ft) 0-6 System type aN� Length �J r Width I Gravel thickness Total depth- �, / Total absorption area 5 % Cleanout present (Y/N) _Depression over field (Y/M / V r/ Date of adequacy test Feb• -7 %5 Results (pass/fail) f" for 73 Bedrooms Water level In absorption field before test N� �� After test Peroxide treatment (past 12 months) (Y/N) Bctl Sy5fe-71K yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot r On adjacent lots O6 Property line To building foundation To existing or abandoned system on lot �L On adjacent lots > �J6 r Cutbank i)01? a Water maWserv'ice line ? !toot Surface water Driveway, parkingNehicle storage area Curtain drain nN0/2 e E. ENGINEERS CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signatuf �'Q— _ r ..: l •e,� Enginee(s Name..Y n? /%-i« �!-�/�/�%'� r� .......� =ZITj> Date NAA Fee $ c� - Date of Payment a /.--- Receipt zReceipt Number -717 ��00 11-026 (=)' Back Waiver Fee $ Date of Payment Receipt Number ez� REQUEST FOR APPR.OVA.L OF INDIVIDUAL SEWAGE AND WATER. FACILITIES (Fill out in Triplicate) ✓G/ 1. 13aeo of person requesting approval 2. ttanw of prop 3. Legal descri CT 4, Number'of. bedrooms in house_, �� /" Z 41X S. Water Analysis: a. Bacterial b. Detergent 6. Well data: /%✓/ a. Type��//-/�'�� b. Depth_ r 1. ) `G c. Casing Size o"�n� o" d. Distance from well to closest existing or proposed: /!!j 1. Sewer line e c, GGG��� 2. Septic tank 1p / j 3. Seepage Area ZQ L /, 4, Cesspool' i S. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. /0,0/7 7, Sewage disposal system. a. Age of system �L�orJ b. Septic tank capacity in gallons /Zo tt c. Name of septic tank manufacturgr 1. If "home made" show diagram on reverse side of this form. d: Disposal field or seepage pit size and type 1. Distance to property line 6 �{- to house foundation P. Percolation, Test results f. Percolation Test performed by 4 Use the reverse side of this form to show diafram. Diagram should include the fojlowine information: property lines; -well location, house location, n�rt.ic tank location, disposal area location, location of percolation test, a:,d direction of Around slope. 9. The lufornation on this form is true and correct to the best of my knowledge. Signature of Applicant Date Signed TO BE FILLED OUT BY HEALTH DEPARTMENT PEPSOHHEL T�Ine above described sanitary facilities are hereby approved, subject to the 'ollowinp conditions: Conditions: ✓flG%L�i F7 The above described sanitary facilities are disapproved for the following reasons: Approval is valid for one year following the date of approval. CPJ:cw