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Home My WebLink AboutMOUNTAIN PARK ESTATES BLK 5 LT 8 Municipality of Anchorage Page 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: --~K)c/4/O~{~ PIP Number: 017'0(~{{~ Name: ~Upgrade ._~/-/~/Zyz. /~. ,/~/4,~-/d Wastewater System: D New Address: /.~0~ ~P~ ~/w ABSORPTION FIELD No. of Bedrooms: ~Deep Trench D Shallow Trench ~ Bed ~ Mound D Other LEGAL DESCRIPTION so~ Rating: ~. 7 GPD/~q. Ft. Total Depth from original/~/grade: Lot: Block: Subdiv~ion: Depth to pipe bosom from origina{ grade: Gravel depth beneath pipe Town~hip: ~ Range: ~ Section: Fill added above original grade: Gravel length: WELL: D New D Upgrade Grave~ width: Number of lines: Distance ~een lines: ~ Ft. ~ / ~ Ft. C~assification (Private, A,B,C): ~/~ Total Depth: Cased To: Total absorption area: Pipe material: ~/~ Driller: Date Drilled: Static Water Level: Installer: Date installed: Pump Set at: Oasing Height Above Ground: ~'"'": ~ ~,~ ~/~ ,t. ~ + .t. TANK SEPARATION DISTANCES ~Septic~Z/~ ~Ho~aing ~S.T.E.P. To Septic Absorption LiE Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~ ~ Material: Number of Compadments: su,~o~ '~ LIFT STATION Water /Od ldo ~ Lot Size in gallons: ~ Manufacturor: Line 2~ * 12.ff ~ t High water alarm at: "Pump on" level at: .... : Foundation ~.E' ~Z ~ Cudain Electrical Inspections pedormed by: Drain Remarks: BENCH MARK Location and Description: ~" ~ Assumed Elevation: /~.~ ~, S & S ENGINEERING 17034 Eagle River Lo~ Road, No. 204 performed by' ~..le.lvar. Alaska99577 Dates 1st //-/-~?~~- Inspections z '~ //~ Department of Health,an~ ~umap~ ,~," .... "';' ':.' ' e~lces approval Reviewed and approved by: ~ Date: .= ~ 72-013 (Rev. 9/91} MOA 25 Permit No.5w940412 Page 2 of 2 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 LegalDescriptioMOUNTAINn: PARK ESTATES, BLOCK 5, LOT 8 PIDNo.: 01706118 CO1 EXIST. 1250 GAL S.T. GRADE (co (co3) (co3~ co4) ! EXIST. 1250 SEPTIC TANK NEW 80.0' (MT1) · 73.7' I~O WATER FOUNI i A B ~C0 38.9 48.4 ~01 34.9 45.2 C02 31.0 42.1 I~.V. 26.8 39.£ Q03 30.4 39.[ Q04 43.1 34.4 MT1 35.8 \ AoMT \ < · % ~MT % WELL SCAhE r' = ,,.o'iLOT 8 ABANDONED SUCH THAt IT MAY BE USED IN 72-013 A (1/93) * ENGINEER'S SEAL DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940412 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:NAMEN SHERYL K OWNER ADDRESS:13300 ALPINE DRIVE ANCHORAGE, AK 99516 DATE ISSUED:10/26/94 EXPIRATION DATE:10/26/95 PARCEL ID:01706118 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES BLK LT 8 LOT SIZE: 35200 (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 PROVISIONS: ROBERT SHAFER, P.E. ROGER SHAFER, P.E. 12, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of H~alth and Human S~rvic~s P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 8; Block 5; Mountain Park Estates Req~e~ ~a~ l~u~ ~ p~ ~ u. pg,'m~t/~ ~ep.~:ie ~tem ~erui~ the bedroom hou.6e o~ the referene.~..d prope,~. A test hole was excavated and a p~rcolation test p~rformed. The approximate location of the test hole is located on the attached site plan. The monitoring tube within the.test hole has been checked and found to be d~y. An adequacy test was performed on the existing system. From this test J~was concluded that the system is in a state of failure. Attached is the proposed upgrade design. We do not anticipate any adverse effects on n~ighboring properties by the inst~tion of the proposed septic system. There are no points of contamination within the proposed w~lradi~ which can be seen on the attached site plan. If you have any questions or require additional information please contact u~. Sincerely, ROBERT C. COWAN RCC/gk ENCLOSURES 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 OZ ~0 Oz~mO~ z~ 0~o 0 oom~ ROBERT SHAFER, P.E. ROGER SHAFER, P,E. ON-SITE ~ASTEOIATER ~)ISFOSAL SI'STEM CONSTRUCTION FRACTIC. F_.8 MATERIAL SPECIFICATION~ CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER &WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN REFERENCE= Lot 8; Block 5; Mountain Park Estates GENERAL The scope of this project includes the installation of a leachfi~ld tren~ to s~rv¢ the three bedroom r~sidence located on the referenced property and excavation of the existing septic tank to v~rify its integrity. If the integrity of the existing septic tank is poor the existing septic tank is to be abandoned and a new 1000 gallon septic tank installed. The existing absorption bed is to be abandoned such that it may be used in the future. Construction shall be in accordance with the approved site plan and design drawings, Municipal p~rmit with any special provisions or conditions, and all applicable State and Municipal Wastewat~r Disposal Regulations. 3. The contractor shall be r~ponsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be r~sponsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Depar~ent for system installations. 0wn~rs installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manuf, acturer. Construction shall include two 4" cleanouts for pumprng a¢c~s. 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 inch~s above final grade. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Pa~ Two Lot 8; Block 5; Mountain Park Estates Otto§er 11, 1994 Septic tanks installed with less than 4' of cover shall 6e insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the lcachfield there shall be two adjacent eleanouts (u,2ess an effluent pumping system exists within the septic tank). Th~se cleanouts shall be located on undisturbed soil not more than 10' from the tank. The first cl~anout, in line, shall be to clean toward the lcachfield. The second cleanout sh~ be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSOI~PTIO~ TRENC~/~AINFIE£~ INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inch~s of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (roughed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the s~It barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be leSS than twenty-four (24) incheS. Insulation must be installed when the backfit2 depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after s~ng. I. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. Page Three Lot 8; Block 5~ Mountain Park Estates 0~tober 11, 1994 2. The following pipe materials are approved for use in septic system installations in the Muni~pality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and out~et~ shall be fitted with watertight couplings (Caulder, F~rnco, or equat). A permeable nontoxic silt barrier ITypar 3401, Mirafi 140/N, or equal) must be installed b~tween the final leachfield gravel layer and the native soil backfill. All lcachfi~ld gravel (sewer rock) shall be 0.5"-2.5" screened gravel with l~ss than 3% passing the #200 sieve. When sand is b~ing used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Typically there will be a minim~ of three (3) inspections required during the installation of the wastewat~r disposal system. These inspe~ons will occur as follows: The first inspection must be conducted after the excavation of ditches, pit~, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not b~ backfilled before this inspection. The s~cond inspection mast be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cl~anouts, and insulation, but before the placement of any other backfill. Page Four Lot 8; Block 5; Mountain Park Estates October 11, 1994 3. The final inspection is to occ~ upon final grading of the property. Often there will be more than th~se 3 inspections required, ~spec~y with the installation of multiple trenches, sand filters, pressurized distribu~tion systems, etc. Thu~, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction me,ting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to p~rform the work ou~ned in th~se specifications and plans and in accordance with the attached M.0.A. permit. There will be no contractual arrangement existing §etween the contractor and S & S Engineering. S ~ S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work r~sts with the owner and the M.0.A. S ~ S Engineering shall have no ~iabilityto the owner or to others for acts or omissions of the contractor or any other p~rsons p~rforming work on this~project or the failure of the contractor to carry out the work in accordance with th~se construction documents. S & S Engineering's inspecting engineer will not be r~ponsible for the construction means, m~thods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PEREORMED EoR: HEF yL LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O Township, Range, Section: WAS GROUND WATER ENCOUNTERED? COMMENTS 0.8 L IF YES, AT WHAT OEPT.? E Monitoring?Depth to Water Alter j~,,~ Date: /0/,7/~J ¢ 72-008 (Rev. 4/85) SLOPE SITE PLAN Gross Net w~th to Net Reading Date Time Time_._._..~. Drop 'fJz~l f4 I:~or.- ,~:z~i~/~~ like' ,, ~:~+ /~ ~,~ i y~ . i~,, ,, +:~o 13 ~l~ ~ " ~y[" ,, ~:44 o - ~z.. ,, 7:1~ o ,, PERCOLATION RATE TEST RUN BETWEEN __ (minutes/inch) PERC HOLE DIAMETER -- °O I, FTAND 5'1~ FT PERFORMED BY: ~o/f ~~0~ I ~~-- ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WlTH~~IPAL ~UIDELINE8 IN EFFECT ON THIS DATE. DATE: 17034 Eagle River Loop R~a~ Eagle River, Alaska ' ( DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION e*/,~ ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone264-4720 ~N'-~y~J~H- ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE J ~NEW LEGAL D~SC~I ~10 N ~ Z Manufacturer ' Material ~ No. of compartments~ Width Eiquid depth IF HOME.DE: O Z ~ Manufacturer Materia] Liquid capacity in gallons Well ~ Foundation~ ~ Nearest lot line PER~ .~ ~ ~!~ No. of lines r~) ~ Distanc~b~tween lines , ~j Length of each line Total length o[ lines Trench width ~ I Top o~tile to finish grade / Material beneath t~e Total effective absorption ~rea Length ~ / Width Depth / PERMIT NQ. / - ~ ~ Type of Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class ~. ~ Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) 72-013 IRev. 3/78) PERMIT'NO: DBTE ISSUED: BPPLICBNT: CONTBCT PHONE: LEGBL DESCRIP: LOT SIZE: I'diJ~J I C: I ~ tL I T'T' Cg, ~F~ F-I~-~.C:H, ~F~I~]E DEPBRTMENT OxP"~HEflLTH BND EN~IRONMENTBL P~OTECTION ~ L STREET.. ~NCHORBGE, PERt"'i ~ T CI~-~--$ITE --C.E~EP- ~:: ~ELL · 5"':'5'8' - . WILLIBM NRMEN SRR 1726-F .RNCHORRGE~ RE 9950? ~46-2704 SUBDIVISION: MOUNTAIN PBR~ ESTRTE LOT: 8 BEOCK: '5 SECTION: 26 TOWNSHIP: 22000 (SQ. FT. OR BCRES) I CERTIFY THBT: t. I ~M FBMILIBR WITH THE'REQUIREMENTS FOR ON-SITE SEWERS BND WELLS BS SET FORTH BY THE MUNICIPBLITY OF BNCHORBGE (MOB) BND THE STATE OF BLBSKB. 2. I WILL INSTBLL THE SYSTEM IN BCCORDBNCE WITH BLL MOB CODES BND REGULBTIONS~ BND IN COMPLIBNCE WITH THE DESIGN CRITERI8 OF THIS PERMIT. 2. I WILL BDHERE TO BLL MOB BND STBTE OF BLBSKB REQUIREMENTS FOR THE SET B8CK DIST8NCES FROM BNY EXISTING WELL, WBSTEWBTER DISPOS8L SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR BNY ~DJ~CENT OR NE8RBY LOT. IF B LIFT STBTION IS INSTBLLED IN 8N BRE8 COVERED BY MOB BUILDING CODES, THEN (t) BN ELECTRICBL PERMIT 8ND INSPECTION MUST BE OBTBINED; (2) BS-BUILTS HILL NOT BE RPPROVED WITHOUT BN ELECTRICBL INSPECTION REPORT; BND (2) THE ELECTRICBL WORK MUST BE DONE BY 8 LICEHSED ELECTRICIBN. SOIL LOG' PERCOLATION TEST PERCOLATION TEST PERFORMED FO : ........ L~OALDESOR'PT'ON:'L_.~- ~---"~/~-~'Z'--5 -X-'///~''"'J~''''' SLOPE 14 15 16 ~-~ BEDROOMS DATE PERFORMED: .... SITE PLAN TEST RUN BETWEEN .__ FT AND . FI Gross Net Depth to Net Reading Date Time Time Waler Drop WAS GROUND WATER ~ - ENCOUNTERED? ' - oL DEPTH? . . ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: 1 SLOPE SITE PLAN 9 10 11 12 13 14 15 16 OF ANCHOEAGE OEP]'. OF HEALTH & 17 RONMENTAL PROTECTION " VED 20 Gross Net Depth to Ne~ Reading Date Time Time Water Drop ,~ ;o'/- /~ 0,7 A 0,5/7- z',14. z:z1: lO z .._5 g /o - PERCOLA~ )N RATE ~ (minutes/inch) - TEST RUN BETWEEN / i FT AND /' '¢~ FT COMMENTS ~_~o.~. ~+,_,-,,~,~,,~ ~'o~,~ ~' /.Z. , MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION B25 L Street, Anchorage, Alaska 99501 264-4720 SOILS LOG-PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: ~ ;11 A)r:Lm~,r,J DATE PERFORMED: ~'-- ~-~ LEGAL DESCRIPTION: 3 4 5 6 7 8 9 10 11 12 13 WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? SLOPE SITE PLAN 14 15 16 s Reading Date Gross Net Depth to Net Time Time Water Drop 17 18 19 2O COMMENTS PERFORMED BY: ~r/OB ~t 72-008 (6/79) OF ANCHORAGE o~pr. o~ .r-'ALrH & NTAL P~OT~¢rION I¢iAY ?..~ RECEIVED- 6'q-o,9 q PERCOLATION RATE {minutes/inch) TEST RUN BETWEEN "~ ET AND ~'*~' ~* ET ALASKA Ci'}UIROI md IAL COI TROL I~n§ir~e~rincI 6 EnuironmcntoJ Sluclies 1.0 G 1.1 1.2 1.3 1.4 SPECIFICATIONS FOR ELEVATED MOUND DRAINFIELD SYSTEM - LOT 8 BLK 5, Mountain Park Estates ENERAL THE DRAWINGS SHALL BE A PART OF THIS SPECIFICATION. ALL MATERIALS AND WORKMANSHIP SHALL MEET THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE, THE CONDITIONS OF THE PERMIT, AND ALL APPLICABLE RULES AND REGULATIONS CURRENTLY IN EFFECT. ALL EXCAVATIONS AND DEPTHS ARE ADVISORY AND ARE TO BE VERIFIED OR MODIFIED IN THE FIELD BY THE CONTRACTOR. IT IS THE RESPONSIBILITY OF THE OWNER OR INSTALLER TO OBTAIN ALL NECESSARY PERMITS, EASEMENTS, OR WAIVERS REQUIRED FOR INSTALLATION OF THE SYSTEM. 2.0 SEPTIC SYSTEM 2.1 THE SEPTIC TANK SHALL BE A UPC APPROVED TWO COMPARTMENT TANK, SET LEVEL, AND INSULATED WITH AN OVERLYING LAYER OF 2 INCH BURIAL TYPE POLYSTYRENE. THE SEPTIC TANK SHALL REST ON UNDISTURBED SOIL. 2.2 INLET AND OUTLET PIPING SHALL BE FITTED WITH WATER- TIGHT CALDER COUPLINGS. PIPING SHALL BE 4 INCH SOLID PVC SLOPED A MINIMUM OF 1/4 INCH PER FOOT, WITH A MINIMUM OF 4 FEET OF COVER. IF LESS THAN 4 FEET, USE 1 INCH OF POLYSTYRENE FOR EACH FOOT OF COVER LESS THAN 4 FEET. 2.3 CLEANOUTS SHALL BE INSTALLED WITH CALDER COUPLINGS, CAPPED WITH AIR-TIGHT JIM-CAPS (OR EQUIVALENT), AND EXTEND A MINIMUM OF 3 FEET ABOVE GROUND LEVEL. 2.4 THE SEPTIC TANK SHALL BE A MINIMUM OF 5 FEET FROM THE HOUSE FOUNDATION, AND A MINIMUM OF 5 FEET FROM THE D R AINFIE LD. 3.0 DRAINFIELD SYSTEM 3.1 THE GRAVEL FOR THE BED SHALL BE SIZED BETWEEN 0.5 TO 2.5 INCH AND FREE FROM SIL~T OR SAND. 3.2 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL BE PLUS OR MINUS 2 INCHES. WITHIN LEVEL. 3.3 THE DISTRIBUTION PIPE SHALL BE 4 INCH RIGID PVC OR POLYETHYLENE. THE PIPES SHALL BE LAID LEVEL. OI~PT. O~ HEALTH & ~ONMENTAL PROTECIiON 1200 West 33rd Auenue, Suite B Anchoruqe, Alaska 9503 * (907) 276-1361 3.4 TWO OBSERVATION PIPES SHALL BE PLACED AS SHOWN IN THE DRAWINGS. IT SHALL BE RIGID PVC, ASTM D-3034. THE SECTION BELOW GROUND LEVEL MAY BE EITHER DRILLED 0.5 INCH HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE OR A REGULAR SECTION OF PERFORATED DISTRIBUTION PIPE MAY BE CLAMPED TO THE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT JOINT. A RUBBER RAIN-CAP (JIM-CAP OR EQUAL) SHALL BE PLACED ON THE TOP OF THE PIPE. 3.5 THE GRAVEL SHALL BE COVERED WITH A LAYER OF UNTREATED BUILDING PAPER OR A NONWOVEN FABRIC (SUCH AS MIRAFAR FIBRETE× 200 GRADE, POLY-FILTER X, OR EQUAL.) 3.6 IF INSULATION IS USED RATHER THAN MOUNDED BACKFILL, THE INSULATION SHALL BE DOW EXTRUDED BLUE STYROFOAM BOARD OR ARCO GEOFOAM EMBANKMENT INSULATION BOARD OF THE REQUIRED THICKNESS (1 INCH PER FOOT OF SOIL LESS THAN 4 FEET OVERLYING THE BED). 3.7 THE TOP OF THE BED SHOULD BE PLANTED WITH A WHITE CLOVER AND RED FESCUE MIX, OR BLUEGRASS. 3.8 IT IS CRUCIAL THAT CARE BE TAKEN IN CONSTRUCTION OF THE BED TO ENSURE PLACEMENT INTO THE PROPER SOIL STRATUM FOR PROPER OPERATION OF THE SYSTEM. ?ECIFICATIONS FOR LIFT STATION: Block 5, MOUNTAIN PARK ESTATES SUBDIVISION ~0 THE LIFT STATION 1.2 1.4 1.5 !.7 1.8 1.10 THE STOCK MATERIAL FOR THE LIFT STATION SHALL BE EITHER GALVANIZED STEEL (ASTM A-4444-76), OR ALUMINUM CULVERT, CAPABLE OF BURIAL TO 10 FT. 1.11 THE 36" DIAMETER PIPE FOR THE LIFT STATION SHALL HAVE A WELDED WATER TIGHT BOTTOM OF THE SAME THICKNESS AND COMPOSITION AS THE CULVERT. ALL PENETRATIONS OF THE LIFT STATION SHALL BE WELDED AND WATER TIGHT. ALL WELDS SHALL BE CLEANED OF SLAG. WELDS ON GALVANIZED STEEL WILL BE SPRAYED WITH ZINC RICH PAINT OR cOATED WITH BITUMASTIC. THE TOP CAP SHALL BE RAIN TIGHT AND SECURELY FASTENED WITH SCREWS. A TWO INCH LAYER OF POLYURETHANE FOAM SHALL BE GLUED TO THE INSIDE OF THE TOP CAP. ALL ELECTRICAL FITTINGS AND CONNECTIONS IN THE LIFT STATION SHALL MEET THE REQUIREMENTS FOR A WATER TIGHT SE RVIC E. THERE SHALL BE A HIGH LEVEL ALARM,PEABODY BARNES 6147 OR EQUAL SET AT THE LEVEL OF THE SOIL PIPE FROM THE SEPTIC TANK. THE BUZZER SHALL BE LOCATED NEAR THE ELECTRICAL CONTROL PANEL OR IN A LOCATION DESIGNATED BY THE HOMEOWNER. THE SUMP PUMP SHALL BE CAPABLE OF DELIVERING 10 GPM AT A HEAD OF 20 FEET. PROVIDE A CALDER COUPLING AT THE CONNECTION OF THE 4" SOLID PVC INFLUENT PIPE AND 4" STEEL NIPPLE. THE PUMP SHALL BE CONTROLLED BY A DIFFERENTIAL MERCURY FLOAT SWITCH, ADJUSTED TO ALLOW A TWO FOOT SPAN BETWEEN 'ON' AND 'OFF', AS SHOWN IN THE DRAWING. ALL RELAYS AND ELECTRICAL CONTACTS SHOULD BE LOCATED OUTSIDE THE CHAMBER TO PROTECT THEM FROM CORROSION, PREFERRABLY IN A DRY LOCATION WITHIN THE HOME. COAT THE INTERIOR OF THE CHAMBER WITH BITUMASTIC PAINT OR TAR TO APPROXIMATELY 3.5 FEET ABOVE THE BOTTOM. MOA BUILDING CODES: WHEN LIFT STATIONS ARE INSTALLED WITHIN THE MUNICIPALITY, AN ELECTRICAL PERMIT AND INSPECTION ARE REQUIRED. IN AREAS NOT COVERED BY MOA BUILDING CODES, THE SYSTEM SHALL BE INSPECTED BY A LICENSED ELECTRICIAN TO INSURE THAT THE ELECTRICAL I INSTALLATION IS IN ACCORDANCE WITH APPLICABLE CODES AND REGULATIONS. 1200 Wes~ 33rd Avenue--~--,~u te B ANCHORAGE, ALASKA 99503 Phone 276-1361 CI.~IECKED BY SCALE DATE 1200 West 33rd AvenubL~'Suite B ANCHORAGE, ALASKA 99503 Phone 276-1361 / CHECKED BY DATE 1200 West 33rd Avenue~$uite ANCHORAGE, ALASKA 99503 Phone 276-1361 CHECKED BY DATE · ~ ' ' ' ' Phone 276-:].3.61 CHECKED BY DATE C.~Reld, Jr. , ,1 EL. IsE.d FND. I" PIPE ~ EL. I00.0' I FND i' PIPE FND. 5/8" REBAR, EL. 141.0 LOT 8 BLOG~< 5 EST/~T ES NOTE: ELEVATIONS ARE ASSUMED EL.II3.2 85.0' 106.9' iL. II 1.7' EL.II5.5 pRoPOSED ond DRIV EWA% ~ REBAR EL. 106.0' NOTE: OBVIOUS ERROR EXISTS IN ROAD R.O.W, OF ALPINE DRIVE BETWEEN MT, PARK ESTATES SUB. AND SUN VALLEY HEIGHTS SUB. SCALE: I"= 40' CE~T[ ?[C/:,TE OF I, ~i~, !'ar?eh, t!'e u-dersicned, '-ereb." certi? t',',aL, to m? ~ed~e, no easeme2~s, covenants cr restrictions ~egally exist cn Unis proFerty which I have not revealed to the surveyor of t',,is tract, namely Let 8, Block 5, ~',ountain °ark Estates Sub- division. r'Cr)T f 'z I C ~,TE qF I hereb2' _e, .i .... t':.at a'~ asbui:t ..~li. ,.c1:; sum,e,, ¢~ ~8rk r~sta res ~' ~'~' ct ¢'aska has been TM ~ .,a.e me cr unce~ my ~irect sunervisien; that ir:Frcvements are situated as sho,,,n '- :ereo,, and that no visib~,e ease',';ents exist except as indicated hereon. _nc, oac,,. :e.,.s: _.ne Dated at ?,ncheF~ce~'-?%%as~'a- ,DUFF SURVEY ASSOCIATES, INC. of ALASKA · - PO 80X .104274 . ANCHORAG~ ALASKA gg510 ~07) 661-1286 '" DA'T'~SUR~/EYED: 6/7/84 DRAWN BY: TP 3"~r WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geologico[ 5 SeophysicelSurveys Drilling PermH No. LOCATION OF WELL (Please complete either la~ lb or lc.) A.D.L. NO. lo.liB .... gh Subdivision Lot GIock ih. Il I/4qtr$. Section No. TownshiPN[~ Range ED Meridian ~IDISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 5. OWNER OF WELL: ~ Street Address and Area of Well Location Feet Below 4. WELL DEPTH; (final) 5. DATE OF COMPLETION 2. WELL LOG Surface ~ fl; ~ -- ~ -- ~. Material Type TOp B~ttom~ fttlt~viom: ]~0~;'~'i coloP~ medium {.I ']~ 6. ~Cabl* tool ~Holo~V ~9riven b. az'(ll'iOa a, ~ Auger ~ darted ~ Bored ~ Other: ......... la 2~+ 7. USE: ~ Domestic ~ Public Supply ~ I.dustry · am~ ? 1 I~,: ?(~(3~;~ diem, in. to~ft. Depth Stickup~ft. ~0 ~'~; o Type: Dlometa r: h t3.I'(~k ~9~3 ~; ~ Backfilling Gravel pack ~d~4~ I0, STATIC WATER LEVEL: ~:.~.2 ft, Date water; 5 [:;P~[e Equipment used: I2;GROUTING Well Grouted: ~ Yes ~ No 14. REMARKS: 16. WATER WELL CONTRACTOR'S CERTIFICATION: 15. Woter Temperature This well wos drilled under my.jurisdiction and this report is Irue 1o the best of my knowledge end belief; Registered Business ~ame Controct License Number Authorized Representative Distribution: WHITE-State CANARY-Customer MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES, Division of Environmental Services On-Site Services Section · P.O. Box 196650 Anchorage[Alaska 99519-6650 343-4744 Parcel I.D.# {~ / "/0/~11 ~' 1, GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Lot 8; Block 5; Moun~n Park Estates w Location (site address or directions) Property owner Mailing address Sh~ryl K. Namcn Lending agency Mailing address 13300 Alpine Drive Anchorage, AK Day phone 13300 Alpine Drive Anchorage, AK 99516 345-0777 Day phone Bruce Bu~n¢.~/ Bu~n~t_~ Co. R~-.~y Day phone Agent Address 123 E. F,~eed Su~C~e 216 Anchora,qe, AK 99503' Unless otherwise requested, HAA will be h/eld for pickup. 3 NUMBER OF BEDROOMS: 72-025'(Rev. 1/91) Front MOA'#21: ' -' :. · '~, '. _' - · . .~ ,~ , ~. ~ ~ '279-9333 TYPE OF WATER SUPPLY: Individual well Community well Public water · NOTE: If community well system, provide written confirmation from State<~DEC attest- ~., -. ing to the legality and sMtus of system. '-~ ~* ' - * ' * TYPE OF WASTEWATER DISPOSAL: Individual on-site ' '" Communityon-site ._... ... NOTE: If communi~ wastewater system, prowde wri~en confirmation from State ADEC ... STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify thai my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposa! 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 compliance .with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~ ~ $ _~.~!G!.~:_~E~;Nc 17034 Eagle River Loop Road o 204 Address .......... ~ · Engineer's signature Phone DHHS SIGNATURE /'~ Approved for --~', bedrooms. Disapproved. Conditional approval for ROBERT C, COWAN [,r, ;- CF -8801 "~ ' bedrooms, with the following stipulations: Additional Comments ,....\ \;~, ': ~ · -, . "',/~.¢~, /' ,' ,~&' *Th~.:~unic pa ~ of Anchorage Depa~ment of Health and Human Sewices (DHHS) i~ues Health Authori~ Approval Ce~ificates based only upon the representations given in paragraph 5 above by an independent profe~ional engin~r registered in the State of Alaska. The DHHS does this as a cou~esy to purcha~m of homes and their lending institutions in order to ~tis~ ce~ain f~eral and s~te r~uirements. Employes of DHHS do not conduct inspections or anal~e data before a ce~ifi~te is i~ued. The Municipali~ of Anchorage is not .' responsible for errom or oral.ions in the prof~ional engin~(s work, '- Municipality of Anchorage Department of Health and Human Services H£ALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type P//-/P/'CJG-'~ Log present Total depth Sanitary seal(~) Parcel Date of test Static water level Well flow Pump level1 If A, B, or C, attach ADEC letter. ADEC water system number SEPARATION DISTANCES FROM WELL TO: Septic/hc~dlng tcnk on lot /(_20 l ,/_ Absorption field on lot / 0 0 fi4-- Date completed 0~,/~/~'~/- Driller Cased to ',~_5 I / Casing height Wires properly protecte(~N) Public sewer main FROM WELL LOG AT INSPECTION crt ~ o /,g c · On adjacent lots / O0 ~ ~ = ; On adjacent lots [00 r~ /0 0 r~ Sewer service line Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform (~/~'O0/pt'~ Nitrate ].-~'(_.o ~/'~ Other bacteria Date of sample: (I/01 [ ~ Collected by: ~~ Date installed ~[Z~ [ ~ Tank size /~0 ~ Compa~ments Cleanou~N) V~S Foundation cleanou~N) ~G¢ Depression (Y~ High water alarm (Y~ ~b Alarm tested (WN) MJ/~ Date of pumping ~/~ ¢/¢~ Pumper '4~ SEPARATION DISTANCES FROM SEPTIC~ TANK TO: Well(s) on lot /OO ~ On adjacent lots To property line /(~ C/.~ Absorption field Surface wateddrainage / //(2~ '"'7'"'~ Foundation ,~'/'~"- Water main/service line /0--~-- CONTINUED ON BACK PAGE 72-026 (3/93)* Front C. LIFT STATION /,-)o/J6¢ tc/'g-~'F--~¢7'-J~- Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at ~ Level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANC~ LIFT STATION TO: WeJ~d~"~ On adjacent lots Surface water D. ABSORPTION FIELD DATA ~'~E~,c-Jc~7'~ U~4~Ez-~- 77~,*-J~ D~ ~o~ Date installed ///~/ / ~ Soil rating (GPD/Ft2) ~' ? System type Length ~ ~ Width ~ ~ / , Gravelthickness ~ / Total depth Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y~) Cleanout preser~N) ("~__.~ Depression over field (Y~ /t.)O Results (pass/fail) /C7/¢/~ for %~ ~) Bedrooms ~/~ After test ~ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /CO/-~ To building foundation On adjacent lots ~2¢--3 Surface water /O~ Curtain drain ,/d ¢..~d~- On adjacent lots /(.30 ~ Property line To existing or abandoned system on lot Cutbank .--~-O /'¢~ Water main/service line ~_.O / /o /-/-- Driveway, parking/vehicle storage area / O /~/ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect ¢.a~.~a._te of this ~.%,~-~ ..~- -.~ ~;. ,~.... Signature ~n'. :. Engineer's Name /~0~/~,~- C. C'o t,.,~,~ '" Date , i //~'- / r'i .¢ ,}. HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number inspection, RO[~ERT C. COW.q:' 72-026 (3/93)* Back CT&E Ref.# Commercial Testing & Engineering Co. Environmental Laboratory Services LABORATORY ANALYSIS REPORT 94.5622-7 Client Sample ID 8 BLK5 MOUNTAIN PARK ESTATES S/D Matrix WATER Client Name S & S ENGINEERING WORK Order 10604 Ordered By R.J.S. Printed Date 11/07/94 @ 16:02 hrs. Project Name Collected Date 11/01/94 ~ 16:20 hrs. Project# Received Date 11/02/94 @ 17:00 hrs. PWSID UA Technical Director STEPHEN C. EDE Sample Remarks: ROUTINE SAMPLE COLLECTED BY: S.S. QC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init Nitrate-N . 1.56 mg/L EPA 353.2/300.0 10 11/04/94 CMR * See Special Instructions Above UA = Unavailable ?** See Sample Remarks Above NA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Less Than ~D = Secondary dilution. GT = Greater Than 5633 B Street, Anchorage, AK 99518-1600 -- Tel: (907) 562-2343 Fax; (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAh, WEST VIRGINIA / CIPA ITY OF D WSION Or APPLICATION FOR ~ALTE AUTHORITY ~PROV~ CERTIFICATE 1. ~ner~ Info~ation Application Date /~/~ (a) Legal Description (include lot, block, subdivision, section, to,ship, ra~e) Location (address or directions) (b) Applicants Name ,~?~t.. Applicants Address Telephone - Home~-~/~ Business (c) Applicant _is (check one) Lending Institution ~ ; Owner/build~r.~., Buyer~--~ ; Other~(explain); (d) Lending Institution Telephone Address .(e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. Type of Residence Singie-Family~--~ Number of Bedrooms 3. Water Supply- Individual Well~ ~alti-Family~--~ Other (describe) Community~-~ Public~--~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Sewage Disposal 0nsite ~ Public ~--~ Community ~--~ Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the ].egality and status. [Page 1 of 2] Engineering Firm Providing InspectionS, Tests~ File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, verify that my investigation of this Health Authority Approval shows that the 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 compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm ~<g~- --z~/~,O~ f /r~W_~ Telephone Approved ~. Disapproved _ Te~s of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPAkTMENT OF HEALTH AND ENViRoNMENTAL PROTECTION (DHEP) ISSUES ~ALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON TH~ REPRESENT- ATIONS GIVEN IN pARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN ~ STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY ~ERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF A/qCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 ae MUNICIPALITY OF ANCHORAG] DEPT. OF HE;.L~I[ & r~NVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: RECEIVED Well Classification ~ ~, Well Log P~esent (Y/N) Total Depth ~_ ~ / Cased to Static Water Level Casing Height Above Ground Electrical Wi~ing in Conduit (Y/N) Separation Distances f~cm Well: To Septic/Holding Tank on Lot To Nearest Edge of Absonlption Field on Lot To Nearest Public Sewer Line If A, B, c~ C, D.E.C. Approved(Y/N) Date ODmpleted ~./D/~/ Yield :a- /L~/~/~ ~_~ ~pth of ~ting ~ ~t At 2/ Sanit~ ~al on ~sing (Y~) ~ ~essi~ ~nd ~l~ead (Y~) ; On Adjoining Lots ;~o~ /o~- ; On Adjoining Lots /~6~ To Nearest Public Sewezr Cleanout/Manhole ~//k To Nearest Se~r Service Line on Lot Water Sample Collected By ~.~-~3. ; Date ;%l,~,/~q Water Sample Test Results ~AT~C--~,Q~ SEPTIC/HOLDING TANK DATA Date Installed ~/9~ Size Standpipes (Y/N) ~ Air-tight Caps (Y/N) Depression over Tank (Y/N) /V Date Last pumped No. of Cut%oa~tments 2- Foundation Cleanout (Y/N) ~ Pumping/Maintenance Contract on File (Y/N) --- ; for -- Holding Tank High-Water Alarm (Y/N) /J Temporary Holding. Tank Permit (Y/N) ~ Separation .Distances f~om Septic/Holding Tank: x To Water-Supply Well ; o0~- To Building Foundation ~ ~ To Disposal Field ~%~ To Stream, Pond, Lake, c~ Major D~ainage To P~operty Line ~-~ / To Water Main/Service Line Course ~.//~, Con~ents [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~./~ ~/ Width of Field .~! / Square Feet of AbsoL~ption A~ea Depression over Field (Y/N) Results of Last Adequacy Test Date of Last ~e_quacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness o.~ / Standpipes P~esent (Y/N) Separation Distanc~ f~cm Absorption Field: To Water-Supply Well To Building Foundation Lot ~//~ To Water Main/Service Line To Stream/Pond/Lake/c~ Major D~ainage Ccu~se ~ ~ To D~iveway, Parking A~ea, c~ Vehicle Stc~age A~ea Co, intents ~ _~ - ~ u/~4~- ~¥~H~. Y loa-~- TO P~operty Line %%; ' '21/ To Existing or Abandoned System cn ; On Adjoining Lots ~/~ To Cutbank(if p~esent) ~/~ Date Installed Size in Gallons "PLump On" L~vel at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA Comments Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, verified, o~ confcl~red to all MOA on the date of thi~ inspection. Company _~?.~__~ ~./?/>~ - ~.~ MOA No. / KB1/d5/s [Page 2 of 2] 2-15-84 BESSE, EPPS & 2220 EAST 88 AV~a~ (9O7) ~ 545Z Subdivision: Lot: Block: Client's N~: Address: Initial Reading o~ Meter: ',, , W/7',/~ ~/,¢T~7'~ ;,,u~ D/~f)u~r}~/v docu.-v z..e?~.% 77-I,,4-,v Production Rate: / GPM 2~-Ho~ Capacity