HomeMy WebLinkAboutRABBIT CREEK #2 BLK 1 LT 3Rabbit Creek
#2
Block 1
Lot 3
#017-063-36
Municipality of Anchorage
Page 1 of 3
Development Services Department
On -Site water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL
INSPECTION REPORT
Permit Number: SW040206
PID Number: 017.063.36
DavName:
id Cobb Wastewater System: Upgrade
Address:
7160 Our Own Lane Anch, AK 99516
ABSORPTION FIELD
Phone: Number of Bedrooms:
345.0522 Three 3
Shallow Bed
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade
Block: Lot: Subdivision:
1 3
•� GPD/Ft'
Depth to pipe bottom from original grade:
2.5 Ft.
Gravel depth beneath pipe:
Rabbit Creek No. 2
2 F,.
5
Township:
P: Range: Section:
Fill added above original grade:
Ft.
Gravel Length:
5-1 Ft.
40
Well: Existing
Gravel width:
15
Number of lines: Distancebe ween lines:
Classification (Private. A, B. C : Total Depth: Cased to:
FL
Total absorption area:
3 5 Ft.
Pape Material:
Ft. Ft.
Driller
600 Ft,
ASTM 3034 PVC
Date Drilled: Static Water Level:
Installer
Date Installed:
Yield Ft.
:
Acres e S stems
7/13.1512004
Pump Set at: Casing eight Above Ground:
GPM Ft. Ft.
TANK
SEPARATION DISTANCES
STEP
- To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
ublic/Private
Sewer Line
Manu acturer: apacity in Gallons:
Anchorage Tank
1,000
Well
>100,
>100,
NIA
N/A
>25'
J
Material Number of Compartments:
Steel
Two (2)
Surface Water
>100'
>100'
N/A
N/A
LIFT STATION
Lot Line
1'
>10,
N/A
N/A
�e:
Manu acturer:
Gal.
Foundation
>5'
>10,
>5'
NIA
"Pump on" level at:
•Pump off' level at:
High water alarm at:
in.
in.
Curtain Drain
on
Noted
Pump Make & Model
Electrical Inspections performed by:
Remarks:
BENCH
nsu a wace ver an an e ,
LpcafipnandDeapriplpm
Back Door Porch Stoop
Assumed Elevation:
100.0
Ft.
Engineer's Stamp
*'glw%h
OF ♦���P� ...♦tS♦r♦
Inspections performed by: MEA Dates: tat 7/14/047
49th i
.... ..... .. ...
....................r
2"d 7/15104
...................
Department of Health and Human Services approval
..
:.MICHAEL E ANDEesov
Reviewed Date: C7—
vwed and approved by: /�
Re e %
NO. CE -4381 ;
�♦ ��.�
0,,
Ott,
F
Municipality of Anchorage
Permit No. DEVEOPMENT SERVICES DEPARTMENT
SW040206 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 Page 2 of 3
On -Site Wastewater Disposal System or Well Inspection Report PID No. 017-063-36
SANE
\I GRAVEL WELL
pUR pWN �. Zo5.a7
ASPHALT
DRIVEWAY
OB • ul A
Throe Bedroom
House
Quonset
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LLJ
cA Tt+°`-EPSEM�NT
C SS a,N p4EF N
j15• PCGE
GQNZaQ�Ep olll--
I' PGC�5S6, P'tEa j
15 i
Existing Septic Tank Pumped, Crushed
and Backfilled.
d�0
no
A B
51 60.6 74.2
52 66.9 80.6
C4 107.4 121.5
C6 106.0 120.8
M1 80.3 95.0
In
V\ -\W AS -BUILT PLAN
SCALE 1" = 40'
LOT 3, BLOCK 1, RABBIT CREEK SUBDIVISION NO. 2
rA
49th W
MICHAEL E. ANDERSON
N0. cE-0381
Municipality of Anchorage
Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number: SW040206
PID No. 017-063-36
8,2
U N
in y UU
2' Insu(.
1,000 Gallon
Septic Tank
93,7 9NM3,6
z
98.0
U
—_ — —
— —
— —Geotextile Fabric_
_
95.3
Dralnfleld Rock
95,3
94,8
40' (Bed Length)
6.0.0
98.0
2' Insulation and Geotextile
5� O O O
.5 Drainfield Rock 95.3
94,8
2.5' S' S' 2.5'
••••.rrpr
•OF
49th^�'; ♦♦
........
PROFILE AS-BUILT
=MICHAEL E. ANDERSON
Scale: 1" = 10'
♦S No. CE-43e1'..`�
♦♦♦•�
ESo
•••••�.
,
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 PERMIT
Upgrade
Permit Number: SW040206
Legal Description: RABBIT 'CREEK 1ff['X_ LT`"37
Design Engineer: 0014 Anderson Engineering
Owner Name: David Cobb
Date Issued: Jun 18, 2004
Expiration Date: Jun 18, 2005
Parcel ID: 017-063-36
Site Address: 007160 OUR OWN LN
Lot Size: 51178 SQ. FT.
Owner Address: 7160 Our Own Lane Total Bedrooms: 3 Permit Bedrooms: 3
Anchorage , AK 99516-3731
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by 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:
C
Date: Z Z O�
Issued By:
Date:
Municipality of Anchorage
• *� Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 017.063.36 Permit Number SW
Property owner(s) David Cobb Day phone 345.0522
Mailing address (1) 7160 Our Own Lane Anchorage AK 99516
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) Lot 3, Block 1, Rabbit Creek Subdivision No 2
Legal description (Section, Township & Range)
Lot Size 1 , —1� Acres
THIS APPLICATION IS FOR:
Number of Bedrooms Three (3)
Sewer Only ❑ Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
0o s.
Permit Fees: 3 Waiver Fees: V75'
Date of Payment: IF- 7JC"/ O `r
Receipt Number: b
(Rev. 12100) ..
Date of Payment: /o -/ % - D
Receipt Number:
June 11, 2004
Municipality of Anchorage
Development, Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 3, Block 1, Rabbit Creek Subdivision No.2
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The existing septic system on the subject lot has failed and must be upgraded to serve
the existing three-bedroom home on the property and to obtain a Certificate of Health
Authority Approval. We are therefore requesting a permit be issued for the construction
of a new septic system. The attached Site Plan and backup documentation identify the
location and configuration of the existing and proposed septic systems. Also identified
on the plans are the locations of the existing well. No conflicts exist between the
proposed septic system and existing well and those on adjacent lots. Drainage arrows
are shown indicating the current drainage patterns. The drainage patterns will be
maintained after construction. The existing septic tank will be pumped, crushed,
backfilled and abandoned in place. In addition, a portion of the existing bed will be
properly abandoned to provide sufficient area for the new septic tank. The existing tank
is currently located within the 100' protective radius of the well. The location of Rabbit
Creek bisecting the lot diminishes the area available for an upgrade site. A lot line
waiver is required to allow construction of the new absorption bed at approximately 1'
from the lot line.
The test hole placed on the lot indicated poorly graded sands with gravel with varying
amounts of silt in the area of the new absorption trench. The percolation rate for this
material is between 1 and 5 minutes per inch. No groundwater was found during
placement of the test hole, and none was noted during the monitoring period. Some
groundwater has been found in the past in the area at 8' below the surface. We are
therefore proposing to place a new 1,000 -gallon septic tank and a 38' long by 15'
absorption bed to treat the effluent generated in the house. The elevation of the
distribution line in the absorption bed will be 2' below the surface and the total depth will
Lot 3, Block 2, Rabbit Creek Subdivision No. 2
June 11, 2004
Page Two
be 2.5'. Sufficient fill will be placed over the bed and septic tank to prevent frost
penetration and possible freezing.
The ground surface on the lot slopes at shallow grades from east to west and north to
south toward Rabbit Creek. The bed will be constructed parallel with the slope as much
as possible in conformance with Municipal requirements. The new septic system will be
constructed a minimum of 100' from the existing well and any surface water in the area.
If the system is constructed in accordance with our design the following statements
apply:
1. The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
wj'-'k �
Michael E. Anderson, P.E.
Attachments
,�7.
49th
MICHAEL E. ANDERSON
No. CE -4351
pUR pW
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Gravel
OWER UNEP—�"� Asphalt
ODM.? Driveway
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OW Gel.
Se tics
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Crush, Backfill and Abandon Existing
Tank. Demolish Existing Absorption
Provide Area for New Septic Tank.,
0
SITE PLAN
SCALE 1" = 40'
LOT 3, BLOCK 1, RABBIT CREEK SUBDIVISION NO 2
' .49th
MICHAEL E. ANDERSON
No. ci: ami
LOT 3, BLOCK 1, RABBIT CREEK SUBDIVISION NO.2
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Three Bedroom House Shallow Bed System
Perc. Rate: 1-5 Min.Anch 1,000 Gallon Septic Tank
Application Rate:.8 GPD/SF
3 Bedrooms X 150 GPD/.8 GPD/SF (A plication Rate) = 562.5 SF Absorption Area
562.5 SF/15 SF (Width) = 37.5 LF Bed Length
THEREFORE: Construct a 38' Long x 15' Wide Shallow Bed as Shown Below.
Place Distribution Piping at 2' Below Original Ground Surface. Provide 2" of insulation
and 2' of Cover Over Bed. Maintain 100' Separafion From All Wells in the Area.
1.5'
.5'
NOTE:
2.5'
2" Insulation & 2' Cover (Min.)
O O
Drainfield Rock 4" FVC
Underlying GP/GM
5' 5' 2.5'
TYPICAL BED SECTION
(NO SCALE)
Grade Area Surrounding Bed to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Wells in the Area.
Minimum 100' Separation From Surface Water or Streams.
Minimum 10' Separation From Water Service Line.
1
2
3
4
5
6
7
8
9
10
11
12
13
17
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 SOUTH DRAGAW STREET, ANCHORAGE, AK99519-6650
SOILS LOG - PFRC01 ATION TF -CT
PROJECT #
PERFORMED FOR: Dave Cobb DATE PERFORMED: 6/2/2004
LEGAL DESCRIPTION: Lot 3 Block 1 Rabbit Creek Subdivision No. 2
TEST HOLE # 1 SLOPE SITE PLAN
Organic Material
OL
d'
,�,..•: Poorly Graded Gravel
With Sand and Silt
GP/GM
e' •
d:
y.
s '4
p
WAS GROUNDWATER
ENCOUNTERED? No S
L
IF YES, WHAT DEPTH? 0
DEPTH OF WATER None P
AFTER MONITORING: E
•. Bottom of Hole
DATE: 6/10/2004
49th••.
MICHAEL E. ANDERSON
�1c ` No. cE-4mi
SEE SITE PLAN AND
SUBDIVISION CONTOUR MAP
READING
DATE
GROSS
TIME
NET
TIME
DEPTH OF
WATER
NET
DROP
Start
6/2
4:15
8.0"
1
4:25
10
Dry
8"
Recharge
4:26
8,01,
2
4:36
10
Dry
81,
Recharge
I
1 4:37 1
1 8.01,
3
4:47
10
Dry
8"
PERC RATE: 1.25 MIN./INCH PERC. HOLE DIAMETER: 6"
TEST RUN BETWEEN 3 FT. AND 4 T.
COMMENTS: Test Hole Pre Soaked Prior to Percolation Test.
TEST PERFORMED BY: MEA I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 6/11/2004
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 3, BLOCK 1, RABBIT CREEK SUBDIVISION NO. 2
GENERAL:
The scope of this project includes the procurement and placement of a
new 1,000 -gallon septic tank at the location shown on the Site Plan.
Work also includes the construction of a new absorption bed 38' long
X 15' wide also at the location also shown on the Site Plan and at the
configuration shown. The distribution line in the bed will be placed at
2' below the existing ground surface. The existing septic tank must be
pumped, crushed, backfilled and properly abandoned. In addition, the
existing absorption bed must be properly demolished to provide
sufficient area for placement of the new septic tank. The new tank
must be placed outside the 100' protective radius of the well on the lot.
2. Construction shall be in accordance with the approved site plan,
design drawings, Municipal Permit with any special provisions or
conditions, and all applicable State and Municipal Wastewater
Disposal Regulations.
3. The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the
location of all lot lines.
4. Unless specifically agreed otherwise, the contractor shall be
responsible for final grading areas subsequently depressed from soil
settling. Property owner shall be responsible for revegetation of
affected areas unless specifically agreed otherwise.
5. Contractors installing wastewater disposal systems must be certified
by the Municipal 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 INSTALLATION
A new 1,000 -gallon septic tank must be procured from an approved
source and installed at the location shown if the existing septic tank is
found to be defective.
2. A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts for pumping
access.
3. The septic tank shall be sufficiently bedded to prevent settling or
shifting of the tank.
Lot 3, Block 1, Rabbit Creek Subdivision No.2
June 11, 2004
Page 2 of 3
4. Ali standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct
burial insulation.
6. A foundation cleanout shall be installed one to four feet from the
building foundation. Two cleanouts are required between the tank and
the drainfield.
7. Final grading over the tank shall be such that a positive slope exists
away from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the
design. The bottom of the bed shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a
level bed of drainfield rock. Rock should then be placed over the pipe
to provide a minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield
rock and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations
shown on the design. The portion below ground must be perforated.
5. Contractor shall verify the septic tank and drainfield are a minimum
100' away from any private water wells in the area, 150' from a Class
"C" Well or 200' from any community well.
6. Direct bury insulation must be placed over the distribution system if
less than 3' of backfill depth is available. Finish grade over the trench
must be mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
8. A minimum 2' of accepting soil is required below the drainfield rock for
a 5' wide trench. Contractor shall verify this condition prior to
placement of the rock. All pockets of unacceptable materials must be
removed and replaced.
Lot 3, Block 1, Rabbit Creek Subdivision No. 2
June 11, 2004
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic
tank manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated
and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and
ASTM D2662 or A. B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene
(Dow Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing
the #200 sieve.
COARSE SAND:
1. Coarse Sand must be graded as follows:
50% Passing No. 4 Sieve
3% Passing No. 100 Sieve
1% Passing No. 200 Sieve
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These
inspections must be conducted under the supervision of a professional
engineer registered in the State of Alaska. The first inspection must be
conducted after the excavation of trenches, beds or pits and before the
installation of any gravel. A septic tank may be set in place, but may not
be backfilled.
The second inspection must be conducted after the placement of the
geotextile fabric, gravel, distribution piping, standpipes, cleanouts and
insulation. No backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction
notes for use in preparing the certified as -built of the completed system.
June 11, 2004
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Lot 3, Block 1, Rabbit Creek Subdivision No. 2
Separation Distance Waiver
Absorption Trench to Lot Line
Dear On Site Services Engineer:
The septic system on Lot 3, Block 1, Rabbit Creek Subdivision has failed and must be
replaced. Unfortunately, the area available for an upgrade is limited due to the
presence of Rabbit Creek bisecting the lot near its midpoint and the location of the
existing well. We are requesting a waiver to place the absorption bed within 1' of the
north and west property lines. This is the only area remaining on the lot suitable for an
upgrade to the existing septic system.
Placement of the new absorption trench at the existing location does not impact wells or
adjacent septic systems. We therefore recommend a waiver be issued allowing the
new trench to be constructed at V from the north and west property line.
Sincerely,
Michael E. Anderson, P.E.
49th
MICHAEL E. ANDERSON
N0. CE -4381 •
Municipality of.
' P.O. Bos 196656 • Anchors re 9l ska 99,519-6650 • Telephone (907) 343-8301 •Pam (907) 343-8200
4700 Bra rine Strect • Anchorage, Alaslw 995107 "1 ° T Y
nntm�.muni oiq
Magor Mark Begich
Building Safety Division
6/15/2004
Anderson Engineering
P.O. Box 240773
Anchorage, AK 99524
Subject: Waiver Request for Rabbit Creek #2 Block 1 Lot 3
Waiver Request #WR040038
Parcel ID #017-063-36
Dear Mr. Anderson:
Your request for a waiver of the required 10 feet horizontal separation from the
Absorption Field to the Property Line has been approved. The approved separation
distance is 1 foot.
This waiver approval applies to the existing Absorption Field to the Property Line
separation only. Any future upgrade to the on-site wastewater disposal system will
require all separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
0 oodall
it Engineer II
On -Site Water & Wastewater Program
Community, Security, Prosperity
o MUNICIPALITY OF ANCHORAGE NO
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
'PHONE
❑NEW
NAME
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MAILINGADDRESS
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LEGAL DESCRIPTION
(fit, -1 b � I` r: e C r • y, 1 f—
NO. OF BEDROOMS
LOCATION
-
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Absorption area
Dwelling
rt
PERMIT NO.
djCh
DISTANCE TO:
�.-'
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Manufacturer Material y.,
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No. of compartments
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in gallons Inside length Width
IF HOMEMADE:
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Well DwellingPERMIT
EDISTANCE
NO.
TO:
_
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Material
Liquid capacity in gallons
W
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Well
Foundation
Nearest lot line _
PERMJT NO.
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DISTANCE TO:
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5
%<-t�`�''"''
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No. of lines Length of each line
/E; /ii
Total length of lines Trench width
} ) 8 C) inches
Distance between lines
Sy
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To of tile to finish grade
p
Material beneath the
Total effective absorption area
_
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-
Length Width
Depth
PERMIT NO.
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Type of crib Crib diameter
Crib depth
Total effective absorption area
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Building foundation
Nearest lot line
DISTANCE TO:
_
Class Depth
Driller
Distance to lot line
PERMIT NO.
J
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Building foundation
Sewer line
Septic tank
Absorption area(s)
DISTANCE TO:
OTHER
PIPE MATERIALS
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SOI L TEST RATING
INSTALLER
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APPROVED DATE
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72-013 (Rev. 3/78) 11 -- ...- _ —11 -1— 'i--) � re --i
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DEPARTMENT k HEALTH AND ENVIRONMENTAL - OTECTIUN
, HNCHORHGE/ HK� 99501
825 'L' STREET
264-4720
VD V-4 FE 0-�E_- II.pj E:::, III -0 P' E:-: FZ '11 1'T
PERMIT NO. ( 822-0070 )
�PPLIC�NT ��VI� COBB
LOCHTION
LEGAL L]B1 RABBIT CREEK S/)
BX 408 C SRH HNCH
�44~4]27
LOT SIZE 999999 SQUARE FEET
TYPE OF SOIL HBSORPTION SYSTEM DRHINFIELD ^
MHXIMUM NUMBER OF BEDROOMS � ] SOIL RHTING (SQ FT/BR)� l�m
T E REQUIRED SIZE OF THE SOIL ABSORPTION 5-Y5TEM
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T|1E LENGTH C/IMEN��ION IS THE LENGT|�1 (IN FEET) OFTTHE
NTRENCH
ORDRHI/NFIELD-
THE �EPTH OF H�T-ENCH OR PIT IS THE DISTHNCEFB�TNED/nc SURFACE `F
GHOUuD HND THE B'TTOM OF THE EXCRVHTION (IN EE/). ������ ��������_
/'� �'"V-0�� ~�^��"~'�P~UK�- VA �^U][�»-�~8^~U ][�� !:»^TWEENTHE O||TFF||| PIPE
n �� EE P-1
THE MINIMUM DEPTH OF GRHVEL BE ~ -~
THE GRHYEL DEPTH IS
THE EXCHyF|TION (IN FEET).
HND THE BOTTOM U ~
���� �����~�� ~��������
PERMIT HPPLICHNT HAS THE RESPONSlBILITYDTOC�m
INFORM THIS DEPHRTMENTNDURING THE
D THE
INSTHLLHTI-N lNSPECTIONS OF HNY WELLS M JA / /v THIS .�.~�_
NUMBER OF uESIDENCES THAT THE WELL WILL SERVE.
���������� ����4� ����� H���������� —^--
~-^-~-- ' SY5TEM WITHOUT FINAL
DEPARTMENT WILL BE SUBJECT TO PROSECUTION-
MINIMUM DISTHNCE BETWEEN H WELL HND H�Y0ON~SITEFSEWHGEpDISPOSRLSYSTEMDEPENDING
100 FEET FOR H PRIYHTE WELL OR 150 TO 200 FEE/ ny,/ .. ~~L^~WELL.
UPON THE TYPE OF PUBLIC WELL�R TO A PRIVATE SEWELINE IS 25 FEET AND
MINIMUM DISTHNP
CE FROM H RIVHTE WELL
TO H COMMUNITY SEWER LINE IS 75 FEET. ONS', HND CONSTRUCTION DIHGRHMS ARE
OTHER REQUIREMENTS MHY APPLY. SPECIF ICHT
HYHILHBLE TO INSURE PROPER INSTALLATION.
-T~ F—::-������ �E������� ��.'
I CERTIFY THAT
HR WITH THE REQUIREMENTS FOR ON�S�T� SEWERS HND WELLS HS SET
1�RIHHMYFHMIL1UNICIpHLITY OF ANCHORAGE.NCE WITH THE CODES
ru / W"LL^'I'�S^HLL T�E SYSTEM IN HCCOR�HSySTEM MRy REgUIRE�E�NLHRGEMENT IF THE
�' / U�DERS~H�D
THAT THE ON-SITE SEWER ] BEDROOMS
3� � umCE I/ "EMODELED TO INCLUDE MORE TI
-
RESIDEN S x
SIGNED:
AWLIFFINT
A --/'7��.�� V4.. 0
ISSUED G
pan,
)r ,r r_,;! ii111 .. _ orF_
.Permit #4: 821.069
January 31, 1983
TO: Permit Applicant
Subject: Lot 3 Block 1 Rabbit Creel:Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as staged on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-buil_ts
for our files and documentation.
7'f there are any further questions, please call. this office
at 264-4720.
Sincerely
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water. Program
RCP/ljw
enc: Copy of Permit.
SWP/057
DEPARTMENT u HEALTH FIND ENV , .0TEi TIOr•-I
,D25 't._' '�TF:EE 7, ANC:HORAC9E, AK:. 9950:1.
PERMIT Nil 821.069 ',
A'F'L I ANT DAVID C:CIBE; BO'ex: 408-C: '::;RA AkIC:IH 9951",-17 -:44•-43-:27
LO")CATION
LEGAL L" E,:1 RABBIT CREEK S.,'D LOT SIZE 999999 SQUARE: FEE]"
TYPE OF-' :_OIL ABSORPTION SYSTEM :C'=.: DRAINF= IELD
11K%UM IC•1 NUMBER OF BEDROOMS = 'SOIL F:ATIhIG �:_,Q FT/Ec;R:,.-= 1.5:7
THE REQUIRED SIZE OF THE .=,OIL- ABSORPTION SYSTEM I S :
I_- L_. F-" " r" I A =' -4- 1_ E= PA ID " If- ILA :.— �:91-79a_; F? 1 i''"° C L._ �d � N=.' ...N _ I A �'Wn
THE L_EPA iTH DIMENSION is THE I_Er•ciTH ::ItI FEET;OF THE TRENCH OR DRAINF:CELD.
THE Df PTI -I OF A TRENCH OR ITT IS; THE DISTArdC:E. BETI.-JEEN THE SURFACE OF THE
GROUND AND THE BOT ,rom OF THE. E,•,C;FI',+AT I ON (IN FEET?.
r F -I F`--:.: I' I �•_ E= I" -J 1r- IFA I;• -I l I-- -_' VA 1 15. 92e ID 10 r___ 1E.: FE ...I.....
THE. i iRA4;'I .'I_ DEPTH I..-; 'T'HE MINIMUM DEF' -rt -I OF GRAVEL BETWEEN THE OUTFALL F'IF'E
FIND THE BOT`rOP1 OF THE EXCAVATION (IN FEET:).
I v " I C e:;=! J F: � �_ IE= F=' "I__ ::I: e 9 1,-4 N '-^ .= new n�Y _ x n �i o-=9 N__ N n =� N° �I
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INF'OF'M THIS DEPAIr:TMErAT CIURIN13 THE
INS:TAI_LArIOI%l Ird'_;PE:C:TICit•d'= FIF ANY WELLS AD:IAi:0.11' TO THIS F'ROPERT4' ANC, THE
t•,il_IMBER OF RESIDEt.-I ES THAT 'THE WELL WILL. SERVE.
_...- �... _..- -I"' I. -A nC�n °== ]C P -.N sas F- F--: n7 N :r cK r-4 ass, n F-! FF_ F-�° E G-! 9_1 T. N�=" FW.. I---._.-_ __......
BFIC KF I L.L I NG OF. Flr'd'r SYSTEM W I THOI_IT F' I NAL.. I S-';PEC:T I Card FIND APP :ClVAL... BY "I`H I'';
DEPAR"rMENT I. -JILL BE SUBJECT TO PROSECUTION.
I'•1INIMUM DISTANCE BETWEEN ISI IdEI__L. AND At•d'•r' ON -'SITE '_;El.dAGE DIE.F'CISAL. SYSTEM IS
:100 FEET FOR A PRIVATE I.-JEL.L OR 1.50 TO 200 FEET FROM A PUBLIC: WELL DEPENDIN13'
UPON THE TYPE OF PUBLIC I.-JEI_..L.
I'1Ir•dlCIA-1 DI'_;1"ANC:E: FROM H PRIVATE- bJELL TO A F'R1:''rATE SEWER L.Ir'E IS 25 FEET IAND
TO A C OVICrU.. N I `I-'SEbJER LINE I = FEET.
OTHE.F: F.E:�TJUIREMEP-M MAYIMP'E'L',•'. SPEC: I'FIi�ATIC N'S; AND C:Otd�;Tf'I_IC:TICMrd D:CIIi�F:AC'1_ FIRE
TO INSURE FF'CiF'ER Itd'_TAL..L_HT:COr•d.
I" n F;�: I'° I 1 -1- � o � � � Imo° � =: Ic. F w _ � I"" -I �• F:, Imo° �- '_� ..t .
I C:EE'"r I F',•' THAT
l: I AM FAMILIAR w I TH THE. REQUIREMENTS FOR ON-SITE SE LIERS AND kIELL.S AS SET
FORTH BY 'THE h1UNIf-IPFIL-ITY Of= ANCHORAGE:.
I WILL. I risTAI._L TI -IE ' YSTEC4 IN AC C:ORDANC:E WITH THE CODES.
_ . -IND
_r,:WF ThlPll' THE ON-SITE E FI.dEF' SYSTEM C1Ar' F:EG!LIIk:E EhdL.h9lm:iaEC'1ErdT IF TE1E.
RE'_,IDENC:E I'S,.REr'1ODE:L.E D TO INCLUDE MORE: THAN 3 BEDROOMS. �
.........
�_..__..._SC�3rdE[;/c.
1P(CANTDAVID
DAti� ID COBB
Pe.- _T ��/ 'v 4. Epi
z
SOILS LOG
MUNICIPALITY OF ANCHORAGE
- DE=PARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
a� d%
= SOILS LOG — PERCOLATION TEST
PERFORMED FOR: -o7t C' k"3
DATE PERFORMED:
LEGAL DESCRIPTION: R. o.� 'i� C 't'{ -'C- '^ B
P F SLOPE SITE PLAN -
f(!- if ET 1 0(u,lr_f—F I 1 1MELA
1
2
3
—04
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
y ;'�'\ 5'1 1�
CtiM�.�gJce iAei
r. lune b>>
WAS GROUND WATER tACS
ENCOUNTERED?
IF YES, AT WHAT (, /
DEPTH?
Il a. t P{c I\D1e 6"
S
L
0
P
E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
3'os'4.S
Ip ,"
.96
,.1-6
t i�
•. V.
i"ik;�rJ
"3'16`3/a
43�
q h
9
ttIV7J
3'
l.lv
Lf
I. 1.3s
3 5 00
f3
PERCOLATION RATE
TEST RUN �. ,Vj; AN
�,�!�,,m beil ccn 1 cutid y j ��
PERFORMED 8Y: u +GtL.I; r'�-r�?�'l�i':J iJ•�� _CERTIFIED
7 2-00 8 (6/79)
3j
(minutes/inch)
�'ti72 FT AND 7 FT
DATE: Z
--- ❑ SOILS LOG
t- sheet 2 L 7_ S heet
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: f✓7r�� t1c, b'b ! 7 DATE PERFORMED: —lq'�
LEGAL DESCRIPTION:u-b�—� Usi
DEPTH SLOPE SITE PLAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
s
L
O
P
E
Reading
Date
Gross
Net
Depth to
Net
Time
Time
Water
Drop
-t
d
j
•I
10 ti
60
-
-1N,_O
4.1q
—
a (1S0
yt30
YR
Li 4D
t'i
zU
q"
_
to
�.
�'
;, )'1
iii .n�✓i
�'�
15
PERCOLATION RATE
JJJ TEST RUN BETWEEN
Jlh 6 e-Vw
PERFORMED BY: trt�z _CERTIFIED BY:
72-009 (617 9)
r 3 (minutes/inch)
FT AND FT
DATE: V
Municipality of Anchorage
• Development Sero -ices Department
Building Safety Division z `�
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. 17-063.36 HAA # DR lJLL
Expiration Date: 1A — / — 0 l 1
i. GENERAL INFORMATION
Complete legal description Lot 3 Block 1. Rabbit Creek Subdivision No. 2
Location (site addressor directions) 7160 OurOwn Lane
Current Property owner(s) . David Cobb Day phone 345,0522
Mailing address 7160 Our Own Lane Anchorage, AK 99516
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: Three 3
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
7
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 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 professional engineer's
work.
—O N BY ENGINEER
4. STATEMENT OF INSPEC i i
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 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.Q. Box 240773 Anchorage AK 99524
Engineer's Printed Name Michael E. Anderson. P.E. Date 8/2812004
5. DSD SIGNATURE
L-`� Approved for bedrooms
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
OF qti�;��,�
J N G�
Additional Comments ��IATFR AND
,WASTEWATER .
i/I71N
Attachments:
HAA Checklist X
Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: /� Original Certificate Date: C ^ �'
(Re,. 12M)
Mune
Develapsr
rI- n.-
tt(iiage F
p� j�3jip' 4
pgtMent
rogram
w
.avui� v�een ouuurvkmon rvo Faroe[ ID 097 D63 "38
M
� �� w ,,�, � ti ��� 1.a5�ng nelgni (above ground) 24 In
..�.ia.u��ke,,:<e'.•�.aa.:a'a�.:.ca.x��w-xw�s.»ee.«.a.-......��v».,,.�:».;':n .-. ^.,„s.._ : ......... :. .. .�, v. .. �"�
YM 8/2812004
ft. 74
's",r"�u-.'.'��",F��'fe✓t'?:.��..,A`a''�F^em''.;-:,fir_''",f"e.:�„w"'a'"�A;a'�'iari`'tv�'v-,
gPm 8�8 8p'm
.,��eei�q� � mate installed 7I13)2b04
Number of,�Compartments 2 Cleanouts (Y(N) Y
Y"` Depressaon'overtavk {Y/N N High water alarm' (Y/N) N
Pumper New Construcfion
ti
Results (Pass/Fail)
" i A,4 i �
e e oretest in. Water ac iP� gar " "'
uk
bedrooms
,a
iepth in.
9�Pd
[•vt
in.
t
records that the above systems are i . ..............
i
... ..
fOA HAA guidelines in effect on th s date ` ...
§' y f :MICHAEL E. ANDERSON
a ne Michael E Anderson. �P E �� s`:, No, cE ase
Not
p®S
Waiver Fee $
Date of Payment �, •_
�/ Receipt Number
Jul
W
0
N
N
20 04 10:05a
SUR
OWN
§5 5
- 5
5
S
1
11
1
Gfl
FA
Dave Cobb
907-345-0522
LANE
WELL
GRAVEL\`
ja
ACR IVEWAY \`
N
124.9
5'
5 IyI—
J
1
D -
D Ilc
}
N
DECK N
3
_ o
/ / / DCNTPCL EASEME„1t \ \ \ Z
5
/ �h• pCCES \
\
Ileo- N
�P
> O
N
G� v
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN
EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL
STRUCTURES OR FENCELINES.
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ARE NOT SHOWN HEREON.
NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES
OR LOCATE STRUCTURES.
ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS.
P.
4
o
;c OF
na .SHANE A. HOLT.-
LS-69
OLT:LS-69 1 4 ASG
4�.eo ..... Ap
AS -BUILT SURVEY
SCALE : 1 "^ 40'
I HEREBY CERTIFY THAT I HAVE PERFORMED A
MORTGAGEE'S INSPECTION OF THE FOLLOWING
DESCRIBED PROPERTY.
LOT 3. BLOCK 1, RABBIT CREEK SUB. NO, 2
ANCHORAGE RECORDING DISTRICT. ALASKA AND THAT
THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE
WITHIN THE PROPERTY LINES AND THAT NO VISIBLE
ENCROACHMENTS EXIST OTHER THAN NOTED.
DATED AT ANCHORAGE, ALASKA THIS 16TH
DAY OF JULY 2004
HOLT LAND SURVEYING 4192,F838-30, 113-t 0,GPS.1
TEL. 345-5513113.31
8-28-04;10:49AM;
SGS Ret:#
1045411001
Client Name
Anderson Engineering
Project Name/4
Lot 3, Block 1, Rabbit Creek
Client Sample ID
Lot 3, Block 1, Rabbit Creek
Matrix
Drinking Water
Sample Remarks:
;907 5675301
All Dates/Times are Alaska Standard Time
Printed Date/Time 08/27/2004 6:43
Collected Date/Time 08/24/2004 14:30
Received Date/Time 08/24/ 004 15:10
Technical Directo�Ste n C. Ede
Releasee
A- 2
Parameter Results P L Allowable Pre
Q Units Method Container ID Prep
Analysis Init
--- ts Date Date
Waters Department
Nitrate -N 1.01 0.100 mg/L EPA 300.0 B(<=10) —10) 08/24/04 J7B
Microbiology Laboratory
Total Coliform 1 OB, No Coli coUl00mL SM20 9222E A�-
( I) 0824/04 DKC