HomeMy WebLinkAboutBONNIE VIEW LT 13Bonni
View
Lot 13
#017-422-22
Municipality of Anchorage Parle I.
Development Services Department
On-Site Wate~ and Wastev~atef Program
4700 South Bmgaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www,ct.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW010282 PID Number: 017-422-22
Spinell Homes~lnc. WastewaterSystem: New
9210 Vanguard Drive Anchoraget AK 99507 ABSORPTION FIELD
~'": ~"~"~: Intermittent Bottomless Sand Filter
344-5678 Four (4)
LEGAL DESCRIPTION 4 o,~ 6
13 Bonnie View 3.5 F,. .5
1 .. 30
Private 527 ,. 20Ft. 360 Fe ASTM D3034 PVC
Alpine Drilling19/18/ol ls ,~ Spinell Homes 9/6-11/01
v,~: .25 c.~ I "~'~s"~. Ic'~' "'~"'~:2. TANK
SEPARATION DISTANCES S.T.E.P.
Tank Field StaUo~ Tank S~L~ Anchorage Tank 1,500
w,, ~',100' >100' >100' N/A >25' Steel Three(3)
~.,~w.. >100' >100' >100' N/A ~ / LIFT STATION
u,u. >5' >10' >10' N/A 250 c~. AnchorageTank/Orenco
~ >5' >:tO' >10' N/A 43 ~.43
c~.~,~ ~lone Noted Orenco Municipality of Anchorage
~ Air Compressor and Gauge Located in Garage. BENCH MARK
Current Gauge Reading is 3.0 psi. Garage Slab.
Filter Sand From Quality Sand and Gravel in Wasilla. 100.0
Well Hydrofractured to increase production from .25
gpm to .55 gpm. Engineers Stamp
Inspections performed by: A. Ha rala Dates: 1" 9/6/01
Department of~n/~,Huma/~Services approval ·
Munlclpalny o; Anchorage
DEVELOPMENT SERVICES DEPARTMENT
4700 South Bragaw Straet Anchorage, AK 99519-6650 - 343-7904
On-Site Wastewater Disposal System or Well Inspection Report
Page 2 of 3
Permit Number SW010282
PiD No. 017-422-22
12'x 30' bottomless . .---~...~----"----.~--~--IMT2
sand filter absorption './ f/~
Elevations: '
Sand bottom: 90.9
Air line: 89:4
Sand top: 93.12
Distribution line: 93.4
Garage slab: 100.0
Leqend:
CO cleanout
MT monitor pipe
SP stand pipe
Swing Ties:
A B C
SP1 26.7 42.9.
SP2 34.0 $0.0
MT1 103.2 98.6
MT294.3 94.7
-. //
, Air line:
Gal
.reserve, area ..'
Plan . View AS-BLT
1" = 30'
Neher Ridge
,Plan
View AS-BLT
1" = 30'
Drive'-'
Municipality of Anchorage
DEVELOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK 99519-6650 - 343-7904
On-Site Wastewater Disposal System or Well Inspection Report
Page 3 of 3
Permit Number SW010282
PID No. 017-422-22
"' 12'x 30' bottomless
sand filter absorptior~
Elevations:
Sand bottom: 90.9
Air line: 89.4
Sand top: 93.t2
Distribution line: 93.4
Garage slab: 100.0
Leg. end:
CO cleanout
MT monitor pipe
SP stand pipe
,Elevation View AS-BLT
1"=10'
Municipality of Ancho.rage
Department of Health and Human Serv,ces
825 'L' Street
P.O. Box 196650 ^nchorage, Alaska 99519-6650
R/ck Mysfrom ht~://www, ct.an~.alcus
Mayor
Permit Number:. #SW 010-2 Date of Issue: 6-30-01
Date Started: 9-16-01 Date Completed: 918-01
Property Owner Name & Address:
Borehole Data:
Soil Type, '[~ickness & Wat=r Strata
Stick-up 0 2
gravelly .~Tt 2 13
bedrock 13 EO,7
Bonnie View Lot
Spinnel[ Homes
9210 Vanguard Drive
Anchorage, Ak 99507
Depth (It)
From To
Parcel Identification Number:. 017-422-2
Is well located at approved permit location? [] Ym [] No
Method of Drilling [] air rotary [] (:abe tool
Casing type: steel
Wall Thickness: .025 inches
Diameter:. _~ inches Depth: 20 feet
Liner Type:
casing stickup above ground: _2 feet
feet
Statle water level (fi~om ground lex, eD: ,Y8 feet
Pumping level:, 507 fcct after
~ hours pumping .25 gpm
Recovery Rate: ,25 gpm
Method of Testing: airlift
Well Intake Opening Type:
r-I Screened Start fc~t Stopped__
[] Perforations Start feet Stopped
Grout Type: ]~entonite # 8 Volume: I bf
Depth. Start 0 feet Stopped_+ feet
Pnmp: Intake Depth ~ feet
~ ~ ~ Brand N.-~ __
.Well Disinfected Upon Completion? [] Yes [] No
Method of Disinfection: trot/no Tablets
Comments:
Weft Driller:.
Alpine DnTling & Entetptfses
P 0 Box 110496
Anchorage AK 99511
Attention: The well driller slmll provide a well log to the propo~ owner within 30 days of comple~ion and me property
WATER'~LL = 'fES'f YUMP REPORT
' Well ~: ~ $ ~ ~o~D~
~eH Info~n:
To~lDepth: ~O~ DcptholCa~: ~0~ ~~' T~
.~ · ,
Time ~'ater '[ Flow Remarks
L~ I GPM
PERFORMED FOR:
LEGAL DESCRIPTION:
5
6
7
'8
9.
11
14,
15-
16-
17-
187
19-
20-
Municipality of Anchorage
· Development Se~ices Department '
· 4700 South Bragaw Street Anchorage. AK 99519-6650
SOILS LOG - PERCOLATION TEST
Township. Range. Section:
SLOPE.
WAS GROUND WATER
ENCOUNTERED?
I
,/
s - ~/! - -t
IF YES, ATWHAT J L ~ /o
PERCOLATION RATE '~ (mmutes.,mch) P[RC HOLE DIAMETER ,,~ i, . .
I , CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE ~NITH ALI. STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
PERFORMED FOR:
LEGALDESCRIPT, O.: L-19, r~'~"~ ~/l~-W
'- ~
~.mo~.em S~i~ oepa~en[ ~. ~ ~ ,,,~: ·. , .... ~ -
· 47~~wS~t ~ge.~l~66~ - *~j-. C~-,,c_l
SOILS
LOG
PERCO~TION
~ST
Township. Range, Section:
flu
111
9=
10-
11
13-
14-
15-
16-
17.
18-
19-
20-
ENCOU~ERED?.
IF YES, AT WHAT'
' 5 Fff-~?' ~.~/17/
:1
N !
Reading Date Gross Net DePth to Net
1,4~ *.* ~,.:o.)
pERCOLATION RATE "~'~'~ {mm~e~mch) PERC HOLE DIAMETER
PERFORMED BY: /~/
CERTIFY THAT THIS TEST WAS PERFORMED IN
· ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATF: ,
724X)8 (Rev. 4/85)
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 I WATER SUPPLY PERMIT
Initial
Date Issued: Jul 31, 2001
Expiration Date: Jul 31, 2002
Permit Number: SW010282
Legal Description: BONNIE VIEW LT 13
Design Engineer: 0014 Andemon Engineering
Owner Name: Spinell Homes
Owner Address: 9210 vanguard Dr.
Anchorage, AK 99507-
Parcel ID: 017-422-22
Site Address:
Lot Size: 24150 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
Ail 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,
Received By:
Issued By:~ Date: 7- ''~ "~/
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/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 017-422-22
Permit Number SW
Property owner(s) Spinell Homes
Mailing address (1) 9210 Van.quard Ddve Anchora.qe~ AK 99507
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) Lot 13, Bonnie View Subdivislon
Legal description (Section, Township & Range)
LotSize ~-~[)~) Acres/Sq. Ft. Number of Bedrooms Four
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Day phone 344-5678
[] Well Only []
[] Water Storage []
Jacuzzi
Water Softening Unit
I certify that the above information is correct. I further cedify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
Ii!':i!:i ,ANDERSON ENGINEERING
P.O. BOX 240773: .:' :i:
'ANCHORAGE,:AK 99524
522-7773 ~-! ': i: .:i 522-6779 (F~X);
MEMORANDUM
DATE: September 7, 2001
TO: Dan Roth
FROM: Mike Anderson. p.l=.
SUBJ£CT: Loi 13, Bonnie View Subdi¥ision
Permit No. $W010282
Exploration during construction of the septic system proposed for Lot 13, Bonnie View
Subdivision did not yield sufficient usable material for placement of a conventional
system as originally designed. We are therefore proposing construction of an
intermittent .bottomless sand filter system instead. Suitable material was found near
Test Hole Nos. 6 and 7 (attached) at a depth of 5'. The bottom of the sand filter will be.
placed at or near that depth with the bottom of the distribution piping at 3' below the
surface.
Please amend the current well and septic 'system construction permit for this lot to allow
for placement of an intermittent bottomless sand filter system. Let me know if you have
any questions or need fudher information.
Please let me know if additional information is required.
..!
0
. - . ·, · ~.~ ~ ~
LOT 13, BONNIE VIEW SUBDIVISION
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
4 Bedroom Home
Perc. Rate: 5-7 MinJInch
Application Rate: 2 GPD/SF
.... 4 I~edrooms X-150-GPD~--600 Gallons Pdr~Day
Bottomless inter. Sand Filter
1,500 Gallon STEP Tank
2' Coarse Sand (See Spec.)
Air Supply Line (Anch. Tank)
6" of :3/8" Pea Gravel
600 GPD/2 GPDISF 112 LF 0Nidth of Bed) = 25 LF Length of Bed
Therefore: Construct a Bottomless Intermittent Sand Filter System 12' Wide X 30' Long.
. Distribution Piping to be Plac'ed at 3' Below Odginal Ground Surfa~:e. Backfill Over and
Around New System to Provide Sufficient Co~er.
'PROI It E vIEw
NOTE:
BoTrOMLESS SAND FILTER DETAIL
(NO SCALE)
Grade Area to Drain Away~
Maintain 6' Separation From Bedrock.
Maintain 4' Separation From Groundwater.
Provide 3' of Cover or 2" Insulation and 2' Cover.
Maintain 100' Separation From Wells in the Area.
Grade Surrounding Area to Drain Away.
LOT 13, BONNIE VIEW SUBDIVISION
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
4 Bedroom Home Bottomless Inter. Sand Filter
Perc. Rate: 5-7 Min./Inch 1,500 Gallon STEP Tank
Application Rate: 2 GPD/SF 2' Coame Sand (See Spec.)
Ai~' Supply Line (Anch. 'tank)
6" of 3/8" Pea Gravel
.................. 4 Bedrooms X 150 GPD = .600 Gallons I~er Day ..................................................
600 GPD/2 GPD/SF 112 LF (Width of Bed) = 25 LF Length of Bed
Therefore: Construct a Bottomless Intermittent Sand Filter System 12' Wide X 30' Long.
Distribution Piping to be Placed at 3' Below Original Ground Surface. Bacldill Over a~d
Around New System to Provide Sufficient Cover.
' '.
I · h'~i~OL2fl~r.~ . (tl3.g~.Sia~tl~.R~l:~ '
I ,,W&5~LO~, ~ ~ V~
·
BOTi'OMLESS SAND FILTER DETAIL
(NO SCALE)
NOTE:
Grade Area to Drain Away.
Maintain 6' Separation From Bedrock.
Maintain 4' Separation From Groundwater.
Provide 3' of Cover or 2" Insulation and 2' Cover.
Maintain 100' Separation From Wells in the Area.
Grade Surrounding Area to Drain Away.
PERFORMED FOR:
$-
$
10-
PERFORMED
Municipality of Anchorage
· Development Se~ices Department
· 47..00 South Bragaw Sb'eet Anchorage, AK 99519-6650
SOILS LOG - PERCOLATION TEST
~ownship. Rang~, Sectioni
JlJ'
' WAS GROUND WATER ".J
' '". ENCOUNTERED? ·~ '
DqfhJoW]ta-N~' ' : :": · ' ..
Readin9 Date Gros~ Net D~pth to Net
t~';~'7 '~ ~.z~' z..';~'
I~': ~'3 ~ -I.,~ ! · ~..:~ ~
PERCOU~TION R~TE -~.~ {m~"~ute~'m~) PERC HOLE DIAMETER ,.~
CERTIFY THAT THIS TEST WAS PERFORMED IN
A~.CORDANCE VflTH AU. STATE AND MUNICIPAL GUiDELiNES iN EFFECT ON THiS DATE. DATE:
3-
4-
5
6
15
19-
20-
COMMENTS
,SLOPE . . 'SITE PLAN
I,.;1'
'lit'
I!~.
LII
-'~ llil,
~lvt
· It~J
ENCOUNTERED?
IF YES, AT WHAT
Reading' Oate' Gross " .' Net Depth lo Net '
Time .' ' Tm~e Water " DrOp
:'~1~/~ ~:~ ~ .f~,~ -..-
PERCOLATION RATE Irmnu~es'ec~) PERC HOLE DIAMETER '
T~T.RU. eETW£EN '"*'"/' ;'. FT ^.O"' ~ '~; n
PERFORMED BY: , CERTIFY THAT THIS TE~T WAS PERFORMED IN
ACCORDANCE W1TH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 13, BONNIE VIEW SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a
new 1,500 gallon combination septic tank and lift station and pressure
distribution system. Work also includes the construction of a new 30'
· long. x..12'- wide ..Bottomless.. Intermittent..Sand. Filter ..at .the .location ...........................
shown on the attached Site Plan. A minimum of 2' of coarse sand
meeting the specification from Anchorage Tank must be imported and
placed in the filter area. The 6" of pea gravel and distribution piping
must then be constructed atop the imported filter sand matedal in
conformance with specifications furnished by the supplier. The
distribution piping for the filter must be placed 3' below the original
ground surface at the area shown on the Site Plan to provide a
minimum of 4' separation to greundwater. All work must be completed '
in stdct conformance with the manufacturer's requirements for
installation of the intermittent sand filter.
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.
The Contractor shall be responsible for obtaining all undergreund utility
locates and for the layout of the septic system and verification of the
location of all lot lines.
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.
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/LIFT STATION INSTALLATION
The 1,500 gallon septic tank/lift station must be constructed by a
certified tank manufacturer. Construction shall include an 18" manhole
to provide access to the lift station.
2. The septic tank shall be sufficiently bedded to prevent settling or
shifting of the tank.
3. All standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
4. Tanks installed without 4' of cover shall have a minimum of 2" of direct
burial insulation.
Lot 13, Bonnie View
· September 6, 2001
Page 2 of 3
5. A foundation cleanout shall be installed one to four feet from the
building foundation. Two cleanouts am required betweep the tank and
the drainfield.
6. Final grading over the tank/lift station shall be such that a positive
slope exists away from the septic tank.
ABSORPTION BED CONSTRUCTION:
1. The absorption bed shall be constructed to the dimensions shown on
................................. the design,...The bottom of the bed.shall be within 2"...of level.- ................. : ......................
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 b~rder or geotextile fabdc must be placed between the drainfield
rock and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at tt~e locations
shown on the design. The portion below ground must b(~ perforated.
Contractor shall vedfy the septic tank and drainfield are a minimum
100' away from any pdvate water wells in the area, 150' from a Class
"C" Well or 200' from any community well.
o
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 trenches to drain away.
A minimum 2' of accepting soil is required below the drainfield rock for
a 5' wide trench. Contractor shall vedfy this condition pdor to
placement of the rock. All pockets of unacceptable materials must be
removed and replaced.
MATERIAL SPECIFICATIONS:
The lift station must be constructed by a Municipally approved septic
tank manufacturer. An Orenco 20 OSl 05 HHF-5 pump is
recommended. Anchorage Tank is a recommended supplier for the
materials required for this project.
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).
2. Insulation shall be at least 2" thick extruded direct budal polystyrene
(Dow Chemical Co. Styrofoam HI or equal).
Lot 13, Bonnie View
· September 6, 2001
Page 3 of 3
3. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Femco, or equal).
4. A permeable geotextile fabdc (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
5. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing
the #200 sieve.
....................... EQUIPMENT SPECIFICATIONS: ..............................................................................
Air Supply Line shall be a Wasteflow Emittedine, ~" inside diameter
from Anchorage Tank. Line shall be insulated with ½" foam pipe wrap
inside a 2" Schedule 40 PVC Jacket buded a minimum 3' below the
surface.
Air Compressor shall be a Thomas Industries Model 5070 as supplied
by Anchorage Tank. Compressor shall be located in the garage or
crawlspace.
A pressure gauge calibrated from 0 to 10 PSI shall be furnished and
installed in line with the air line. The gauge shall be mounted in an
area which provides easy viewing and is seen on a regular basis such
as the entrance to the home.
Material for Filter Sand must be classified as a masonry sand and
meet the following gradation:
50% or More Passing the No. 4 Sieve
2% or Less Passing the No, 100 Sieve
1% or Less Passing the No. 200 Sieve
INSPECTIONS:
A minimum of two inspections are required by Municipal Ordinance.
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.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522-6779 (FAX)
MEMORANDUM
DATE:
TO:
FROM:
SUBJECT:
July 29, 2001
Dan Roth
Mike Anderson, P.E.'~
Lot 13, Bonnie View Subdivision
Septic System Design and Permit Application
I have reviewed your comments and revised the septic system design for the subject lot
accordingly. The effective depth of the absorption trenches has been reduced to 3.5'
allowing a separation distance to groundwater at 5.5' as previously agreed. In addition,
dimensions have been added to the absorption trenches and the septic tank.
Please let me know if additional information is required before the construction permit
can be issued.
:..~!:':::*.::. ~ i~ ~ ~: P.O~~ BOX '240773
522-7773 ~?:~,:: ~ ;. ~'.'5~779
July 19, 2001
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject:
Lot 13, Bonnie view Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:.
The owner of Lot 13, Bonnie View Subdivision intends to construct a four-bedroom
home on the lot. We are therefore applying for a permit to construct a new well and
septic system on the lot to serve the new home. The attached Site Plan and backup
documentation identify the location and configuration of the new septic system and the
parameters used in the design. Also identified on the plans is the location of the
proposed well and alternate site along with the test holes. Existing drainage patterns
are shown and wile not be altered by the development of the lot.
Test holes were placed near the location of the new absorption trench and alternate
site. These holes indicated silty gravel and sand with some cobbles. Percolation tests
in the material resulted in rates between 5 and 17 minutes per inch. No groundwater
was found dudng placement of the test holes but did develop during the.monitoring
pedod at depths approximating 11'. We are therefore proposing to place 2-5' wide
absorption trenches with 3.5' of gravel beneath the distribution pipe. The total depth of
the trench will be 5.5'. The distribution pipe will be placed at 2' below the ground
surface. A lift station will be required to pump the effluent from the septic tank to the
trenches due to the changes in elevation on the lot. In addition, the alternate site will be
an intermittent bottomless sand filter at the location shown.
The ground surface on the lot slopes as sh.o. wn on the atta. ched Site Plan with varying
grades from west to east. The new absorption trenches will be constructed on a faidy
flat surface in conformance with Municipal requirements and parallel to ground contours
where possible. ..
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
. · Lot 13, Bonnie View
July 19, 2001
Page Two
septic systems in the area or those to be constructed in the future.
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.
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,
Michael E. Anderson, P.E.
Attachments
.... . o~....... BENJAMIN ''~
/6'
" AREA
"' ....... : ' " : .... 1"=100'
/
#CU
Four"
Bedroom
House
500 Gallon
Tank
®
~ THD
hate Site
Intermittent
Bo' Sand Filter
2-59' Long X 5' Wide
X 3.5' Effective Depth
Absorption Trenches
ovo~ )'lOl~lJ.Vd
N
SITE PL, AN
SCALE 1" = 30' ·
LOT 13, BONNIE VIEW SUBDIVISION
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
Four Bedroom Home
Perc. Rate: 6 Min./Inch
Application Rate: .6 GPD/SF
5' Wide Trench System
1,500 Gallon STEP Tank
3.5' Drainfield Rock
4 Bedrooms X 150 GPD 1.6 GPD/SF = 1,000 SF of Absorption Area
1,000 SFI5 LF (Width)*.58 (Red. Factor) = 116 LF Trench Length
Therefore: Construct Two 58' Long X 5' Wide X 3.5' Effective Depth Absorption Trenches.
Flowline Elevation in Trenches to be 2' Below Original Ground Surface. Total Depth to be
5.5' Below Existing Ground. All Components of the Septic System to be Outside the 100'
Protective Well Radius. Mound Over Trenches as Necessary to Provide 3' of Cover.
1'6"
3~6"
1" PVC ASTM D3034
Dra]tn~iel(] Rock
NOTE:
TYPICAL WIDE TRENCH SECTION-
(NO SCALE)
Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum 10' Separation From Lot Line.
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Wells in the Area.
.'
. ~ent of Health & Human Se~i~
825 L S~t, ~chom g e. ~ ~2~
SOILS L~ - PERCO~ON ~ST
P~ F~: Paul Palmer Date
L~al ~ption: Lot 13. ~nnie ~ ~.MMsion
4
5
6
7
8
9
10
11
PT/OL
GM
with
Coarse Sand
SLOPE SITE PLAN
North
South
Was Groundwater
Encountered? No S
If Yes. What Depth? L
Depth to Water O
After Monitoring · 1 1 ~' . p
Date: 7/1/01 E
See Site Plan
12
13
14
15
16
17
18
21
Bottom of
Hole
Reading Date Gross Net Depth To Net
Time Time Water Drop
I 6/19101 6:25 1.125'
2 6:55 30 2.875' - 1.75"
3 6:56 1 '
4 7:26 30 2.69' 1.69"
5 7:56 30 4.38' 1.69"
6
Perc. Rate: 18 Min./inch Perc. Hole Diameter:. 8'
Test Run Between 3 Ft. and 4 Ft.
Comments: Testhole Presoaked Prior to Percolation Test.
Performed By:. ~ I. J~J~a~,.~a~ Certify That 'This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 6 /? ~ ! n'~
From-$PINELL HOLIES
90?34410?$ T-465 P.O02 F-O20
Municipality of Anchorage.
DEPARTMENT OF HEALTH & HUblAN SERVICES
825 'L' ~treet, Anchorage, Alaska 99502-0850
SOILS LOG -- PERCOUI, TION TEST
PERFORMED FOR: ~?~.J ~.t
6-
7'
8-
10-
DATE PERFORMEI
TowMhlp, Range, Section.'-.~,,%.[.
WAS GROUND WATER ~,)~,
ENCQ4JNTEREO? _
11-
12-
13-
15-
16-
17-
18-
19,,
20-
IF YES, AT WHAT
C~TIFY T~T THI~ T~T W~ P~OflMEO IN
~o~eceived Time, Jun.12. 6:54AM. DAT~ ~/3~/~t.~
........................... · ...... ~,~ Ur~CT o~ T~:S
PRESSURE DISTRIBUTION
CALCULATION
Elevation at Highest Discharge Point
Pressure at Highest Discharge Point
Liquid Level in Tank (Elevation)
Diameter of Holes in Distribution Line
Diameter of Distribution Line
Hole Spacing in Distribution Line
Length of Transport Line
Diameter of Transport Line
Q = 12.4d'Z'l~~= 12.4(.1875)(.1875) 5V~-
= .9748 GPM/Orifice
· = .9748' 30
= 29.2 GPM
TDH =(117-102) + .0192(29.2)(29.2)
= 15 + 16.4
Therefore 30 Orifices {~ 3.3' Spacing
+ .000995(29.2) (60)
(1.5)
+ 4.25
117'
5' Head
102'
.1875- (315")
3.3'
60'
1.5"
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'J 20OSiOSHHF.SsIage: · i i i ~ .: s t ·
50.00
0~0
NET DISCHARGE, GPM
(2B'2~COLONIALROAD ROSEBURG, OR97470 (503)6T3-016SI
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 13, BONNIE VIEW SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a
new 1,500-gallon combination septic tank and lift station and pressure
distribu~{on system. Work also includes the construction of 2 - 59'
long X 5' wide X 3.5' effective depth absorption trenches at the
location shown on the attached Site Plan. The distribution line in the
trench will be placed at 2' below the existing ground level to provide a
minimum of 4' separatior~ from groundwater. Direct bury insulation
may be required to provide the minimum coverage required over the
new bed. In lieu of insulation 3' of cover may be placed atop geotextile
fabric over the new trenches.
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.
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.
Unless specificaily 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.
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 begi.nning system installation.
SEPTIC TANK/LIFT STATION INSTALLATION
The 1,500-gallon septic tanldlift'station must be constructed by
certified tank manufacturer. Construction shall include an 18" manhole
to provide access to the lift station.
The septic tank shall be sufficiently bedded to prevent settling or
shifting of the tank.
Ail standpipes on the septic tank shall extend 'a minimum of 12 inches
above final grade.
4. Tanks installed without 4' of cover shall have a minimum of 2" of direct
burial insulation.
A foundation cleanout shall be installed one to four feet from the
building foundation. Two cleanouts are required between the tank and
the drain field.
Lo[ 13, Bonnie View
July 19, 2001
Page 2 of 3
6. Final grading over the tank shall be such that a positive slope exists
away from the septic tank.
DRAIN FIELD CONSTRUCTION:
1. The drain field shall be constructed to the dimensions shown on the
design. The bottom of the trenches shall be within 2" of level·
Distribution piping must be placed level with perforations down atop a
level bed of drain field 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 drain field
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,
Contractor shall verify the septic tank and drain field 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.
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 trenches to drain away.
A minimum 2' of accepting soil is required below the drain field rock for
a 5' wide trench. Contractor shall verify this condition pdor to
placement of the rock. All pockets of unacceptable materials must be
removed and replaced.
MATERIAL SPECIFICATIONS:
The lift station must be constructed by a municipally approved septic
tank manufacturer. An Orenco 20 OSI 05 HHF-5 pump is
recommended.
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).
Lo[ 13, Bonnie View
July 19, 2001
Page 3 of 3
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 fabdc, 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.
COSA Checklist
Legal Description: BONNIE VIEW LOT 13 Parcel ID: 017-422-22
If more than 1 septic system on lot: COSA Checklist #
of
Structure served by this system
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 9/18/2001
Total depth 527 ft
Cased to 20 ft (INTO BEDROCK)
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 18 in.
Date of flow test for COSA 10/6/2020
Static water level at beginning of test 95 ft.
Well production at time of test 0.23 gpm
Water storage tank volume 2 X 300 gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 0.406 mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date of Sample 10/6/2020
Comments __________________________________________________________________________________
B. TANK DATA
Age of tank(s) 19 years
Tank type/material STEP / STEEL
Measured operating fluid level in septic tank *43”
Standpipes/foundation cleanout per record drawing
Date of pumping 10/5/2020
C. LIFT STATION
Required maintenance completed
Age of lift station 19 years
Lift station material STEEL
Comments: *FLUID AT FLOAT LEVEL
D. ABSORPTION FIELD DATA
Which system tested (date installed) 9/11/2001
ALL standpipes present per record drawing
Total measured depth from grade 6.25 ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective
Code-required soil cover over field
System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Adequacy test date 10/6/2020
Results Pass For 4 bedrooms
Fluid depth prior to test 0 in
Water added 600 gal
New depth 1 in
Elapsed time <1 min
Final fluid depth 0 in
Absorption rate 600 gpd
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Comments/Deficiencies:
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100’
Yes if No
ft
Neighboring Tank > 100’ Yes if No
ft
Absorption Field on Lot > 100’ Yes if No
ft
Neighboring Absorption Fields > 100’
Yes if No
ft
Community Sewer Main > 75’ Yes if No
ft
Community Sewer Manhole/Cleanout > 100’
Yes if No
ft
Private Sewer/Septic Line > 25’ Yes if No
ft
Holding Tank > 100’ Yes if No
ft
Animal Containment > 50’ Yes if No
ft
Manure/Animal Excreta Storage > 100’
Yes if No
ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Property Line > 5’ Yes if No
ft
Absorption Field > 5’ Yes if No
ft
Water Main > 10’ Yes if No
ft
Water Service Line > 10’ Yes if No
ft
Surface Water > 100’ Yes if No
ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No
ft
Community Wells > 200’ Yes if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10’ Yes if No
ft
Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No
ft
Water Service Line > 10’ Yes if No
ft
Surface Water > 100’ Yes if No
ft
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No
F. ENGINEER’S 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.
10/09/2020
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Well Water Advisory
Certificate of On‐Site Systems Approval # OSC201557
Subdivision: Bonnie View, Lot: 13
This well’s productivity was determined to be 0.23 gallons per minute. The
minimum well productivity required under (AMC 15.55) for a 4‐bedroom residence
is 0.42 gallons per minute or 150 gallons per day per bedroom. Although the well
production does not meet this requirement, water storage has been provided to
meet minimum code requirements.
This advisory must be attached to all copies of the subject Certificate of On‐Site
Systems Approval.
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
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 017-422-22
GENERAL INFORMATION
Complete legal description T,n r
Location (site address or directions)
HAA# [~O tCtl
Expiration Date:
12640 Neher Ridge Dr.
Current Property owner(s)
Mailing address
Lending agency
Tom Blair
PO Box 233004 Anchorage,
Day phone 344-7408
AK 99523
Day phone
e
Mailing address
Real Estate Agent
Mailing Address
Ray Hiekmnn / Pr,,don~4.l Dayphone
Unless otherwise requested, HAA will be held by DSD for pickup.
NUMBER OF BEDROOMS: 4
e
TYPE OF WATER SUPPLY: '
'individual Well
Individual Water Storage
Community Class __ Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank r"i
community' On-site []
Public Sewer
I
The Municipality of Anchorage DevelOpment services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 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-site wastewater disposal and/or water
supply 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. (Certificates may be reissued for a pedod 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 profes, sional engineer's work.
e
STATEMENT OF INSPECTION BY ENGINEER
-As certified by my seal affixed hereto and as of the validation date shown below, I vedfy 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
bedm0ms and type of structure indicated herein. I further vedfy 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.
NameofFinm S & S En§ineerin§
Address 17034 N. Eagle River Loop Ste. 204 Eagle
Engineer's Pdnted Name Robert C, Cow~n
5. DSD SIGNATURE
X.
At the
Approved for
bedrooms.
Disapproved.
Conditional approval for
time of title transfer,
maintenance agreement
Phone 694-2979
River, AK 99577
Date 5~//~/O~
4 bedrooms, with the following stipulations:
the new property owner ~hal~ ~gn the attached
which shall be returned'tothis office b'efore an'unconditional
approval is issued.
AdditionalComments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
SupPlemental Engineer's Report
Other
Original Certificate Date:
(Rev. 01/02)
Legal Des~ 3ben:
--A.'"----------W~-LL[DAIA - ,'~ ;
Well ty~' g~".'/:)-T' ~ ::, If A, B, or C Provide PwsID# ~
Datec~mp!etedq_/~,] I. :'., Sanitary~seal(~N)
Total depth'fi 15 o"/ft. , ~ ' i: Casedt~ 3"°-~'"~R .
ii!~ I! EROM.WELLLOG
Date of,test
Static water e
I i i i muniCu.u, 9SafetyOfAnchorflge : '., :' :. ~: ~DiVision
;: i~ DeVelopment' Se
"'" ,~i ~ices Depa
. On-Site Water & Wastewater Pro,ram '
'. .4700 South Bra~aw St. .~.~
.:, :p.O. Box 196650 Anchorage, AK 99519-6650 ,~;
: . ~.ci.anchorage.ak.us .
. ~ ~ (907) 343-7904 :
HEALTH AuTHoRITY~APPROVAL CHECK~
Weft,hog ~) .Y* ~ .
.... :AT INSPECTION ~
.... .,"'.. 0.3
Well pro~ucuon.. , g.p.m. 'L . g.p.m.
WATE~ SAMPLE, RESULTS:., '... i~
' , t~ /:I[ ...... : t: , .......
Col form ~. ~ .' colonies/lO0 mL. Nitrate rog.II. Other bact~riat ~ colonies/lO0 mi.
Ar~3 ;_ ~ ". D te 0f sample: Collected S,~}S ENGINEERING
-- . ~ Eagle River L~p Road No, 2~
B. SEPTIC/HOLDING TANK DATA
[ .... .,,,~ .... ' 1. ' :',l,~ , J , I / / lo -
Tank T,~e/Matenal. ~ / ,. Date installed ,' q ..
Tank size !~¢~ gal., '.. ';NumberofCom)adments ~ Cleanouts~N)
Foundahon cleanout ~/N)'Y~] Depression over tank (Y~
Date ou ing..... '~.'mper / ,' ~
C. ABSORPTION FIELD DATA /..':',.' . . .. '~[
, I U/o I ,. ~',Soil rating.
Date insta e~ R/ ~g,p.d~
'' , v ' r;ft~/bd[m)' ''~
L n~-engt"' :' I~ '; ' ; ....~ '~: ' '
~ O ' ""'f[.'~:; , ' 'Wid~t'h"' I ~' fL Grave below pipe ff.
. I I~ , , ." ': ' 2 · · ~'~' ' ' · '
Total depth~ ft. .: Eft. absorption area ~% ~t Monitoring tube : D~press,on over field.
Date of adequacy test ~/r~/oy... ~ Results~Fai)P~Sf.--:~F,, For ~ bedrooms
Fluid de~thlid absorption field before test ~Y in. Water added ~7 gal.:;~ ;; ' New depth ~Yin.
filaps~li~:~/~' miff.-'~: ' Finalfluiddepthpgv in. ~ Absorption~te~.:>= boo g.p.d.
Any rduVenation treatment (pa[st 12 mO:) N & type) ~ ~ iff'y'es, give date
,; ; ii ~' .
LIFT STATION
Date installed
"pump on" level at ~ '(' '~in.
Datum T'o~
E. SEPARATION DISTANCES
Size in gallons /
"Pump oM level at/~/A ''~n.
Cycles tested
SEPARATION DIsTANCES FROM WELL'ON LOT TO:
'septic tank/lift station On lot ~ / o 0 ¢"f-
Absorption field On lot / O o ' +
Public sewer, main ' ' ,~J lA
Sewer/septic Service line ~ , ~-5", ~-f-~ ~ .,
Manhole/Access (~/N) 9' '~..,r
High water alarm level at ~ / 6"
Meets alarm & circuit requirements? 'Y~C'J'
On adjacent lots ] 0 o
On adjacent lots / 0 o
Public sewer manhole/cleanout
Holding tank /~//,4
in.
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation
Water main
Wells on adjacent lots
Properly line ,-~ ''/'-
Water service line /o
Absorption field'
Surface water
>,./4,
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10 -+- Building foundation ! ~ ''/- Water main
water Service line ~ o -/- Surface water ] o o
Curtain drain t~ o,.,,r, .~ g~Wells on adjacent lots
~ '"~ ,...~ ~:;*.,'. ?.:;.: ....... .. .. .,
F. COMMI~N;I'S'"' ;' '
,.. , .'.~ L'~
Driveway. parking/vehicle storage
!
)oo 4
J oo
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 HAA guidelines in effect on this date.
Engineer's Printed Name
Date . .' 5"-//'--
HAA Fee $. ~ 30. "~'
Date of Payment
Receipt Number
(Rev. 12/0i)
· Waiver Fee $
Date of Payment
Receipt,Number
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.cLanchorage.ak.us
(9O7) 343-79O4
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.. 017-422-22
1. GENERAL INFORMATION
Complete legal description --Lot 13, Bonnie View Subdivision
Location (site address or directions) Neher Rid.qe Ddve
HAA# /--/~-O~_~
pi tion Date:
Current Property owner(s) Spinell Homes
Mailing address ,9210 Vanquard Drive
Lending agency
Mailing address
R'~al Estate Agent
Mailing Address
Un/ess otherwise requested, HAA wtTI be held by DSD for pickup.
2. NUMBER OF BEDROOMS: _Four¢4)
Anchoraqe~ AK 99507
Day phone 344-5678
Day phone,
Day phone
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site []
Individual Holding tank
Community On-site ~
[] Public Sewer []
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-site wastewater disposal and/or water
supply 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 cf 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 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 vedfy 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
Address P.O. Box 240773 Anchoraqe, AK 99524
Engineer's Printed Name Michael E. Anderson~ P.E.
5. DSD SIGNATURE
X Approved for 4
Disapproved.
Conditional approval for
bedrooms.
Phone 522-T'/73
Date 4/11/02
; / ,-, -ENGINEER
,.,,
~, ,) ..,,.....o..,\~.
bedrooms, with the following stipulations:
Additional Comments
Attachments: HAA Checklist
Septic System Advisory
Well Flow Advisory
,/
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Odginal Cedificate Date: .'~/~ ~_,//(~ ~
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Wata~ & Wastewater Program
47oo South I~ St.
P.O. Box 196650 Anchorage, AK 99519-6650
www,cL anchoraga,ak, us
(9O?) 343-n~04
HEALTH AUTHORITY APPROVAL CHECKLIST
WELL DATA
Wee type Pn'vate
Date completed 9/lSr~01
Total depth 527 ft.
Lot 13, Bonnie View Subdivblon
Pan:el ID: 017422-22
Date of test
Static water level
Wee ;xoduct]on
WATER SAMPLE RESULTS:
CcdJform 0 colonies/lO0 nd.
Date of sample:
B. SEPTIC/NOLDING TANK DATA
Tank Type/Material STEP/Steel
Tank size t~,00 gal.
F(]undaUon deanout (Y/N) Y_
C. ABSORP~ON FIELD DATA
Date trls~Jled 9/1 t/200t
Total depOl 6 ft.
ff A, B, or C provide PWSID # __
Casedto 20 fl.
FROM WELL LOG
gflBr20ol
t8 ft.
.25 g.p.m.
Well Log (Y/N) Y
w.'es propedy protected (y/N) Y
Casing he,Iht (above ground) 24
AT INSPECTION
4~d2002
15 ft.
~ g.p.m.
Nilrate 1__ mg./I.
Collected by: A. Harata
Number of Compartments ).
Depression over tank (Y/N) N_
Pumper.
Date in=staffed 9~2001
Ckwnouta (y/N) y
High water alafln (Y/N) Y
So~ raUng (g.p.d./ft~ or ~fndnn) 4 GPD/SF System type Bottomless Sand filter
fi. W1dt~ 12 ft. Gravel below pipe ..5 ft.
Eft. absorpUon araa 360 ~ Monitoring lube Y Depressk3n over field N_
Resulta (Pass/Fall) For bedrooms
New depth in.
g.p.d.
If yes, give clare
Ruid depth in abso~tlon field before test in. Water added gal.
Elapsed T~me: min. Final fluid depth in. Absorption rata
Any'rejuvenation treatment (past 12 mo.) (Y/N & type) N
UFT STATION
Date installed 9/6/2002
'Pump on" level at 43in.
Datum Bottom of Tank
E. SEPARATION DISTANCES
S~?.e in gallons 250
'Pump off" level at 43 in.
Cycles tested Ne~Const.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot >11)0'
Absorption field on lot >t00'
Public sewer main N/A
Sewer/septic sewice line >25'
Manhole/_Ac~_s (Y/N) V
High water alarm level at 45
Meets alarm & circuit requirements? Y
On adjacent lots >100'
On adjacent lots >150"
Public sewer manhole/cleeneut N/A
Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Abserption field >5'
Sudace water >100.
Building foundation >5'
Water main N/A
Wells on adjacent lots >100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >5'
Water sewice line >10'
Buliding foundation >10'
Surface water >100'
Wells on adjacent lots >100'
iff.
Property line >10'
Water Sewice line >10'
Curtain drain. None Noted
COMMENTS
G. ENGINEER'S CERTIFICATION
review of Municipal records that the above systems am in
conformance with MOA HAA guidelines in effect on this date.
Engineers Printed Name Michael E. Anderson, P.E.
HAA Fee $
Date of Payment
Receipt Number
(~. '~oo)
Water main >11}'
Omeway, pa~ ~age >25"
Waiver Fee $
Date of Payment
Receipt Number
P-656
BONNIE VIEW SUBDNISlON
LOT 13
24,437 S.F.
N 89°55'20"£ 209.78'
EXI~I1NG
BUILDING
20g.78'
N 89°55'20"E
FINAL STRUCTURE AS-BUILT
AS-B U I L T i HE~E~Y CER11FY THAT I HAV[ SURVEYED THE
P~P~ D~I~ ~ ~D ~T NO
~ ~D SUING ~CR~HM~ ~ ~C~i ~ IN~.
d~ ~ ~1, ~LS. ff ~ ~E ~NSIBI~ OF ~E OWN~ TO
4726 W~ ~ A~UE ~I~MINE ~E ~CE OF ~ ~
~CHO~ ~ 99~2 ~ OR ~I~ONS ~ICH ~ N~
PHONE 2~-~4 ~P~ ~ ~E ~ SUBD~ION P~T.
UND~ NO C~CUM~ ~OU~ ~ ~TA
G~D ~ H~ON BE US~ FOR CON~U~ON OR FOR
2~ 1/0~2~2 ~SHING BOUND~ OR ~CE UN~.
~CHO~E RE~RDING D~I~, ~
F.B. ~OB NO.
01-~7 ~l~ NOTE: NO C~NERS SET THIS DATE.
OF
.Y 49~.,
~ 30' c~
o bJ
Z Z
Apr-§9-ZO02 °Ol:20pm From-$PIHELL N0bE$ INC 90T344tOT6
T-48Z P.OOI/ODI F-551
~Juuz
INSPECTION REPORT
MUNIGIFALITY OF ANCHORAGE, BUILDING SAFETY DIVISION
4700 SOU~H BRAGAW
~ ] CORJ~CTIOH$ ~'~ $ET,~IAL ,'~ F. XPLA~ t, IED I~E LOW [ ] CCO Appl~e~ [C,~3mm ~'~13 Below)
COMMENT~: (FOR I,~ISPECTOR USE oNLY]
2,el 'al, l~T-*l,i,C-/_O~ ~;amOH lleUTd:~ ellO:~l RD gO *,Jdu