HomeMy WebLinkAboutSKYHILLS PH 1 BLK 3 LT 4SkyhIIIs Ph 1
Block 3
Lot 4
#011-262-40
CSL
— Municipality of Anchorage Page —i—of Z
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: S��i GQ D =3 PID Number:
Name:
Wastewater System: E3New ❑ Upgrade
�� l L. L S 1 M5---
Address: Ccf
ABSORPTION FIELD
Phone:
o. of Bedrooms:
Deep french ❑Shallow Trench 11 Bed ❑Mound ❑Other
—�
LEGAL DESCRIPTION
---
Soil Rating:
I, I-
Total Depth from original grade:
r-�i=
aPD/s _Ft,
_to
—_
Lot: Block: Subdivision: t�
7�
Depth to pipe bottom from original grade:
Gravel depth beneath pipe /)
q SV. `1 14- 1 L -L I
•� CJ Ft.
C7.-1; Ft.
Township:
T---
Ranges Section:
Fill added above original grade:
.).
Gravel lgth: I
en
tl O
I Ft
Ft.
WELL: ❑ New ❑ Upgrade
Gravel width:
V_
Number of lines:
t.
Distance between lines:
FL
-- Ft.
Classification (Private, A,B,C):
Total Depth:
Cased To:
Total absorption area:
Pipe material:
v-1 w/If
Ft.
Ft.
,v7 0-C)SO. Ft
—
FJ <f�Ib '�jb
—A--
Driller:
Date Drilled:
Static Water Level:
Installer:
Date installed:
Yield: Pump Set at:
—_ GPM— Ft.
Casing Height Above Ground:
-_— Ft.—
TANK
SEPARATION
DISTANCES
,,Septic ❑Holding ElS.T.E.P.
To
Septic
Absorption
Lift
Holding
Public/Private
Manufacturer:
Capacity in gallons:
From
Tank
Field
Station
Tank
Sewer Lines
/'l (,)A v>ZAO _
Il/ --J0
Material:
Number of Compartments:
WeIF
�-
---
--- '
'-� '--
c� I ` L.�—
a—
Surface
LIF:T STATION
Water
Lot
Line
t»
LAG
—
-
��—�—P
Size in gallons: Manufacturer:
Foundation
I
—
'Pump on" level at: Pum off' I el at: High water alarm at:
Curtain
,— _
_ ____
____
_ _____
Pump Make & Model
Electrical Iny ections performed by:
Drain�������
BENCH MARK
Remarks:
— --
-----------
---
Location and Description: /
r,r�i----
-----
Assumed Elevation: 0-e
0.0 ---
----
ENGINEEFr'S SEAL .:
Inspections performed by: G' — Dates: l
2nd --VEL)
Department of Healtb and litiman Services approval
Reviewed and approved by: —� � Date:
72-013 (Rev. 9/91) MOA 25
Standard Trench:
P' Wide
40' Long
10' Deep
6.5' Seiver rock
4' Cover
PRIMARY TRENCH
REPLACEMENT TRENCH
0
444
a
v
r t` 49th t�
r
E:
00 00,` �•• TUB SPURKL AND C;
10 tJ'T: No CE -2225 •.•�ti�
#�
� P •.. 4
1250 gal Septic tank P/0 STALE I� o,1RO"S,�...����
Monitor
=Clea nou is
4' Cover
II -11 _I_ II -II dI II -u 1 I HE ill I II IRW
IHIF F -LI II IHI T U I If -III -II I -
Silt Eorrier95� 12
2 -95.2
88. 88.7 91.12 91.08
6.5 ft of Septic Rock ----.-
IPSO gal, septic tank
Effeel/ve
NO SCALE
BENCH MARK: BASEMENT FINISHED FLOOfi
ASSUMED ELEV. 100.00
111BBEN SPURKLAND P.E. SKYNILS SID BK 3 LOT 4 SEPTIC SYSTEM SCHEMATIC
203 Wl5th Ave BILL SIMS DATE OCT. 22, 1999
Anchorage Ak 99501 SHEET 3 3 GRID:P2PP
—
PERMIT # SW990355 PARCEL ID J/ 011-262-40 SK1103043.DWC
1 9/1(I'260EOHXl Ob-d9d-IIO It OId ;SS066119 H .ZINN3,1
Z,7,7&70!210 £/Z 133HS 3A1b0 S77/H 1 NS y 'o26
oz -�oc c I c vol
SKIS 77/8 1OS66 '�V 'HONV
6661 2z '.LSO 31 V0 30N3IV 'H1Sl Al £OZ
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MUNICIPALITY OF ANCHORAGE 'X
Department of Health and Human Services M'M
On -Site Services Program
825 L Street, Room 502 APLcA
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Sep 23, 1999
Expiration Date: Sep 22, 2000
Permit Number: SW990355 Parcel ID: 011-262-40
Legal Description: SKYHILLS PH 1 BLK 3 LT 4
Design Engineer: 0007 Tobben Spurkland, PE Site Address:
Owner Name: Bill Sims Lot Size: 40594 SQ. FT.
Owner Address: 10633 Washgton Circle Total Bedrooms: 4 Permit Bedrooms: 4
Anchorage , AK 99515 -
This permit is for the construction of:
Disposal Field [✓] Septic "rank ❑ 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 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: % Z•3 5'S'
Date: 22
1����, i{)J':IJJ[,\il\.Ili�r."i,I 1.,10
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 4 BLOCK 3 SKYHILLS S/D
BILL SIMS
Municipality of Anchorage
Department of Health and Social Services
820 I Street
Anchorage, Alaska 99501
September 15, 1999
We are submitting an application for the installation of a septic system for this lot. The submittal
consists of three (3) drawings showing the present improvements on the lot and the adjoining
properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is
subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil
logs and percolation tests of applicable testholes are also enclosed. The septic system design is
based on the following :
No Ground Water or Impervious Layer to 16 ft.
Use Standard Trench
Soil Rating. From Testhole 09/14/99
1.5 min/in = 1.2 gal per sq.ft/day
No. of Bedrooms 4
Required Area per Bedroom: 150/ 1.2 — 125 sq.ft.
Total area required: 125 x 5 = 500 sqft
Testhole depth 16 feet
Bottom Rock At 10 feet
Top Rock At 3.5 feet
Rock Depth 6.5 feet
Total Trench Length 500 / 13 = 38.5 ft
USE 40 LF
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH 40
FT
TOTAL WIDTH 2
FT
TOTAL DEPTH 10
FT
ROCK DEPTH 6.5
FT
COVER 3
FT
SEPTIC TANK 1250 GAL
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoff will not result from this installation. Subdivision is served by public water system The installation of this
septic system will not prevent adjacent lots from development.
MUn-IF allty of Anchorage
DEPARTMENT OF -IEALTH & HUMAN SERVICES
625 "L" Street, Allnhorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
PERFORMED FOR:- B 1 �� `'1yy)s_-
� R
s �
Ar
fT ( ENGINESRj$ SEAL)-
*
E
e'0 0 c
T i,hn .
Cr: 0225
DATE PERFORM
LEGAI. DESCRIPTION: -_e4 1— 5y 3 5' ':UY U1_l\ Township, Range, Section:
— SLOPE SITE PLAN
D P OrZf,/�NlC9 [-----T ----- F ---- F--�
2
3
4-
6
7
6 ¢)'cot
9
Not Depth to
Time �7 Water
Net
Drop
C`
10
C`
11
CC
E it
12
—
C
13
It
14
,�
It
15
16
17
1 19
WAS GROUND WATER
ENCOUNTERED? -
S
L
IF `SES, AT WHAT 0 1 t
D0'TH? ._ P �+- --
E
Det..1•. to Water Aller/ I
Mvitorin117 U r� Dale:
Pcatling Date Gross
�14 Time
Not Depth to
Time �7 Water
Net
Drop
- --
I L2
E it
Ito
o L
It
,�
It
''11MMhh
�7 3U
4a �
20� qr`� (minutes/inch)
7-. (O 't
PERCOLXTION RATE / �- lminulesich) PERCRC HOLE DIAMETER
�0 I+
TLST RUN BETWEEN FT AND --L& FT ` PID
DISCLAIMER• Ccoil lsiwa -e- ro_nditions indic_a_t_e_d arP for the dates shown only.
Past and future presence and/or depth of gro,,ndwater can not be predicted
I I III 6 I1C JC UU V1 V a 6 1 U11J .
PERFORMED BY: L� s _ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUK ELINES IN EFFECT ON THIS DATI`.. DATE'
f
72-008(ReV. 4i05)
I I j I I I I I
I �
q 6
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4
I � BL acK 3� �
I N
BL OCK I J \`
3
V
49th������ P
..�o. %%s.....
TBE .PUR L Nut. - _ _ _ v_
•TO BEN,SPURKL. (aN➢.. �a I 1 I
No. CE -?225''. � I I — 20' DRAINAGE ES—UT
p.....OV.....I.• NPS, ..o I I I I 3 I I
'Y�S�
I I
I I,I
50 0 50 101 150 200 250 1300 1
SCALF:I 1" = 100 FT, I
I I I I I
TOBBEN SPURKLAND P.E. SKY HILLS BLOCK 3 LOT 4 SEPTIC SYSTEM DESIGN
203 W 15TH. AVENUE DATE: SEPT. 15, 1999
ANCH. AK. 99501 BILL SIMS
„- SKYHILLS DRIVE' SHEET: 1/3 GRID: 2227_
PF-RMIT # 94199 XXX PID # YY SKH03041.DW6
ZV
\
\ , \
. . . . . . . . . . . I
\
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Ep
II
STANDARD TEM: \ \
1 ,
1250 GAL S[� TIC TANK 1
T STANDARD TRENCH
\YI TOTAL LENGTH 40 FT
11
.mL a,2i;L uiEL
�� v�e s
n /
20' DRAINAGE ESMT GOVEREFFETIN£ ROf'3 FT 6.5 FT
�u�•��,o�
.�P.•• ..........Sn ---
--------- --------I -
r 49th
/1.....h.�........................... S joI
0'♦ AND
�:••• TO EN SPURKL
�♦ fps, _NO. CE-2225
.••,��,�
I
I I
I
25 0 1 25
50 15 100 125 150
1, - sa ET—_—_--------
��----__
TOBBEN SPURIQAND P.E. SKY HILLS BLOCK 3 LOT Q SEPTIC SYSTEM DESIGN
203 W 157H. AVENUE BILL SIMS DATE: SEPT 1.5, 1999
(NCH. AK. 99501
SKYHILLS DRIVE SHEET: 2/3 GRID: 2222
907 779-3916 —
��SKH03042.DI✓6
PERMIT # SW99 XXX PID N YY
—
PRIMARY TRENCH
Standard Trench:
2' Wide
40' L ong
10' Deep
1
REPLACEMENT TRENCH
Sit t Ba
7.0 ft of Se
Effeclive
IUBBEN SF'UKKLANO K.L.��
303 W15th Ave SKYHILLS SID DIC 3 LO 4SEPTIC SYSTEM SCHEMATIC
Anchorage Ak 99501 BILL SIMS DATE; SEPT. 15, 1999
a74-�Ql� SHEET: 3/3 GRED: 2222
LPERM/T // SW9900XX__ PARCEL ID // XX ____ SKH03043.DWC __j
G
1250 gat Septic tank
o
c
a
c
a
�
c
o
ra
1
REPLACEMENT TRENCH
Sit t Ba
7.0 ft of Se
Effeclive
IUBBEN SF'UKKLANO K.L.��
303 W15th Ave SKYHILLS SID DIC 3 LO 4SEPTIC SYSTEM SCHEMATIC
Anchorage Ak 99501 BILL SIMS DATE; SEPT. 15, 1999
a74-�Ql� SHEET: 3/3 GRED: 2222
LPERM/T // SW9900XX__ PARCEL ID // XX ____ SKH03043.DWC __j
Parcel I.D. 011-262-40
Municipality of Anc
On -Site Water and Wastewater
(907) 343-7904
Certificate of On -Site Systems
1. GENERAL INFORMATION
184
n,
3 or-
o
SAFETY n
Expiration Date: R-2 5 - i
Complete legal description Skyhills PHI, Block 3, Lot 4
Location (site address) 8345 Skyhills Drive Anchorage, AK 99502
Current Property owner(s) William & Cynthia Sims Day phone
Mailing address 8345 Skyhills Drive Anchorage, AK 99502
Real Estate Agent Kevin Taylor Day phone 244-7437
2. TYPE OF DWELLING:
Fx1 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Four
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual
0
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
FD
Public Sewer
❑
WaiverNariance
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 5�
Date of Payment q zq k
Receipt Number Gogq6 \„
Date:
Waiver Fee $ _
Date of Payment
Receipt Number
COSA#— 02=1 a Y50 �V NVt.o Waiver #
5. 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 On -Site 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 Anderson Engineering Phone 522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
6. DSD SIGNATURE
Date 9/27/2016
�01� OF
A4414N
System #1 Approved for bedrooms 04 !V� tV%ICHAEtE ANDERSON
11% CL -1,14-38,11S stem #2 Approved for bedrooms -4381
Disapproved ID ....
Conditional approval for bedrooms, with the following stipulations:
By: Original Certificate Date: �S
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
COSA blue sheet r '- c
Nitrate AdvisoK1
Arsenic Advisory
Other
If more than 7 septic system is on the lot:
COSA Checklist # Of _
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: Skyhills Phase 1, Block 3, Lot 4
A. WELL DATA AWWU Water System
Well type If A, B, or C provide PWSID #
Date completed Sanitary seal (Y/N)_
Total depth ft. Cased to ft.
FROM WELL LOG
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
ft.
g.p.m.
Parcel ID: 011-262-40
Well Log (Y/N)
Wires properly protected (YM)
Casing height (above ground) in.
AT INSPECTION
ft.
9 -
p.m -
Coliform colonies/100 mL Nitrate mg/L
Arsenic ug/L. Date of sample: Collected by:
B. SEPTICIHOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 9/27/99
Tank size 1,250 gal: Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) N
Dateofpumping g�Z ./tn Pumper AtG Z)bNa4�`S �LJAAr l6
C. ABSORPTION FIELD DATA
Date installed 9/27/99 Soil rating (g.p.d./ft2 or felbdrm) 1.2 GPD/SF
Length 40 ft. Width 3 ft.
System type Deep Trench
Gravel below pipe 6.5
Total depth 1 1 ft. Elf. absorption area 520 fe Monitoring tube Y Depression over field
9/8/16 Pass 4
_ft.
N
Date of adequacy test Results (Pass/Fail) For _ bedrooms
Fluid depth in absorption field before test 0 in. Water added 645 gal. New depth 0 in.
Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600 g.p.d_
Any rejuvenation treatment (past 12 mo.) (YM & type) N If yes, give date
D. LIFT STATION
Date installed Size in gallons_
"Pump on" level at in. "Pump off" level at
Datum
Cycles tested
Manhole/Access (YIN)
in. High water alarm level
Meets alarm & circuit requirements?
E. SEPARATION DISTANCES Property Served by AWWU Water System.
WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer /septic service line
Animal containment areas
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5' Property line >5'
Water main 0 Water service line >10
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >10'
Water Service line 0 Surface water >100,
Curtain drain None Noted Wells on adjacent lots >100,
Absorption field >5'
Surface water >100'
Water main >10'
Driveway, parking/vehicle storage >10,
F. COMMENTS
The back section of the septic tank is under the deck slab. A watertight cap
is in place at the surface of the concrete which allows access to the tank.
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 Michael E. Anderson, P. E.
Date 9/27/2016
COSA brown sheet 10-10-12.doc
in.
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Bait. (AM1,M)
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ISM E,ULDwa •21BAaf
S88° 7'48"W 258.91'
10' T&E ESMT
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UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES.
THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY.
LISTED DISTANCES PREVAIL OVER SCAUNG. REPRODUCTION MAY CAUSE ERRORS IN SCALE,
LOT SUI: SURVEY TYPE
SYMBOLS
FWNOATRU UR BUILT
❑ FINAL sTTUC7URE AS -BUILT
ozena¢
SET REBAR � '° DRAINAGE L� ASPHALT
❑ PLOT PLAN ... AS -BUILT ...LOT SURVEY ... TOPOGRAPHY
o FOUND REBAR �c WOOD FENCE "' CONCRETE
AS- LT ... No= $T RECERTIRCATON AS -BUILT ... NO CORNERS SET
OD9- ASSUMED ELEV. X X ---X- METAL FENCE ® WOOD DECK
PLOT PLANS & LOT SURVEYS
NOTE:
IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO
ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE
CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE
SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS,
TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE
ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW
THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS
MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED.
WHICH DO NOT APPEAR ON THE RECORDED SUBDi VIS'ON PLAT.
ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED.
SURVEY CERTIFICATION�B
i Prepared by
PLOT PLAN
OF ql ++�
f Robert E. Johns, Jr. & Assoc.
I M1amy aaNry bat I haw phyawty mawy.e�.��Q;.•°•
tla let bean eM a ata I
' '•••�iS,�
i Professional Land Surveyors
ab
A i °r Nw & Ma wt aan
h.fauna a mmRmea a.
a. moan as tna qm .w to ma bax w my
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, 700 Brink Drtve,
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m°Otlea° °11° °°a tO°°`t"
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,
ANCHORAGE, ALASKA 99504
Scale:
_YO
1FOUNDAT
Rec. Lot S.F.
Rea Plot Fide No.49tT
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AS-SUIT
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I. PWaf E b.. M1a�Y cant I
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Date surae d: =19/15/16
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Gate Drawn:
Grid:
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69/16/16
2322
16-346
FINAL STRUCTURE AS -BUILT
L Raba) E. JaM1ia, J., harmy mat I
m ,d:
ro ••'•.,
•I`♦
Legal Description:
certify
have ure .I!a an Arb tl t d at Me
abu°Yae m Mle 1°t MO that a4 tl,e
,._° �t�r
oa P •,,,,, •• ,,,.•°
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LOT 4 BLOCK 3
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SKYHILLS PH 1