HomeMy WebLinkAboutPREUSS #3 BLK 5 LT 9Pru ss
Block
Lot 9
#050-571-32
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program, 4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99507 Page
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: sw090076 PID Number: 050-571-32
Name:
STAN STAPLES Wastewater System: [] New [] Upgrade
Address:
10136 LOUIS PLACE, EAGLE RIVER AK. 99577 ABSORPTION FIELD
Phone: Number of Bedrooms:
3 13 DeepTrench [] Shallow Trench [] Bed [] Mound [] Other:
Soil Rating: Total Depth from original grade:
LEGAL DESCRIPTION 0.8 GpD/Ft2 14.0' Ft.
Block: 5 Lot: 9 Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe:
PREUSS #3 7.6' Ft. 6.4' Ft.
Township: Range: Section: Fill added above original grade: Gravel Length:
0.6-1.2' Ft. 46.0' Ft.
Gravel width: Number of lines: I Distance between lines:
Well: [] New [] Lpg 3'+ Ft. 1l N/A Ft.
Classification (Private, A, B, C): Total Depth: _~'- Cased to: Total absorption area: I Pipe Material:
EXISTING
~ Ft. Ft, 614.4' Ft2 ASTM3034/F810PVC
Driller: ~ Date Drilled: Static Water Level: Installer: ! Date Installed:
Ft. HOME OWNER INSTALLER 6/6/09
GPM,I mp at:Ft. ] casing Height Above Ground:Ft. TANK
SEPARATION
DISTANCES
[] Septic [] Holding [] S.T.E.P. ~]--] Other:
T~To Septic Absorption Lift Holding ~ublic/Private Manufacturer: ~ Capacity:
.rom~
Tank Field Station Tank Sewer Line EXISITNG~ Gal.
Well 100'+ 100'+ ............................ 25'+ 'Mat~ Number of Compartments:
SurfacaWater 100'+ 100'+ ............................ ~Size: Manufacturer:LIFT STATIO....,..~J
Lot Line 5'+ 10'+ ............................ N/A Gal.
Foundation 5'+ ~0 I..~ ........................... 'Pump °n" level at: "~ IHigh water alarm at:
Pump Make &,~3etel'''~- Electrical Inspections performed by:
Curtain Drain .............. NONE KNOWN ..............
Remarks:
BENCH MARK
Location and Description:
BOTTOM OF SIDING @ POINT A
Assumed Elevation:
100.0' Ft.
S&S Engineering Engineer's Stamp
Inspections performed by: ~r~8~! s. Birchwood Lp. Rd. Dates: 1~t 6/6/09
Ct=g ko
99567
Development Services Department Approval
Conditional Approval Date:
Reviewed and approved by~)i~ 2 ~, '/-L~' Date:
(Rev. 04/06)
PERMIT NO SW090076 PAGE 2 OF 3
Municipo. kiisy o¢ Anchox'c~ge
DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION
ON-SITE WATER AND WASTEWATER PROGRAM, &700 BRAGAW STREET
P,13, Box 196650 ®Anchorage, ALaska 99519-6650 ®Tetephone~ (907) 343-7904 ·www,ci,anchorage,ak,us
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 9, BLOCK 5, PREUSS #3 S/D P.I.D. NO. 050--571--32
% ¥¥ I I I Ill~ I ~J I
OF PROPOSED
SEPTIC SITE
/
SEP
.~..A~EA
100' WELL RADIUS
LOT 8
:
EXISTING 1250 GALLON~ /. r,,, LCJMTI -
STEEL TANK -~~ ~ .-
C01
TBM
/ HOUSE ~":, ' :':'."~. :' ~ C.~..;'. (.,~
100' WELL RADIUS
EXISTING TRENCH
'
z" = 40'
PERMIT NO. SW090076 PAGE 3 OF 3
NunicipaLi~y o£ Anchomage
DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION
ON-SITE WATER AND WASTEWATER PROGRAM, &700 BRAGAW STREET
P,B, Box 196650 ·AnchoPc9e, ALaska 99519-6650 I le(ephone', (907) 343-7904 ·www,ci,cnchopcge,ck,us
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 9, BLOCK 5, PREUSS #3 S/D P.I.D. NO. 050-571-32
FINAL GRADE ~
ORIGINAL
GRADE=99.4'
MTl=85 4]/
MT2 85 4
MT3=85.4'
C01=100.6'
02=100.0'
~-~ ~ C01=91.8:
C02=91.8'
NO
·
WATER FOUND
79.4' B.0.H.
A B C
DV - 50.4' 35.9'
C01 75.8' 45.5' 64.5'
MT1 76.5' 44.0' 65.4'
C02 44.5' 26.5' -
MT2 47.7' 27.8' -
MT3 79.0' 48.0' 72.4'
N. T. S.
Pedormed For:
Legal Descriplion:
Municipality of Anchorage
Development Services Department
Building Sa[ely Division
On-Site Waler and Wastewaler Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.munl.org/onsite
(907) 343-7904
Soils Log - Percolation Test
,, ,~,, Dale Performed:~
Sile Plan
Deplh
(Feet)
~ t
15- ¢
~8-
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT DEPTH?
Depth lo Water After ~
Monitoring?
Date:
Reading Date Gross Time Net Time Depth Io Water Net Drop
PERCOLATION RATE ~, I (mlnuleCinch) PERt HOLE DIAMETER
TEST RUN BEIWI~EN t~ FT AND~ FT
PERFORMED.V: Z'S . , CERT,FYTHATTN,STESTW^S
PERFORMED IN ACCORDANCE VVITHALL §TATE AND MUNICIPAL (~IDELINES IN EFFECT ON THIS DATE. DATE:
MUNICIPALITY OF ANCHORAGE
Development Services Depa~'lment
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
Date Issued: Jun 02, 2009
Expiration Date: Jun 02, 2010
Permit Number: SW090076
Legal Description: PREUSS #3 BLK 5 LT 9
Design Engineer: 0003 S & S ENGINEERING
Owner Name: STAN STAPLES
Owner Address: 10136 LOUIS PLACE
EAGLE RIVER, AK 99577-
ParcellD: 050-571-32
Site Address: 010136 LOUIS PL
Lot Size: 0 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
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 Aiaska
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: ^. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date:
Date: ~ ,~/./~
Municipalily of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, Alaska 99507
www. muni.orglonsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Property owner(s) STAN STAPLES
Mailing address 10136 LOUIS PL, EAGLE RIVER AK.
Site address 10136 LOUIS PL, EAGLE RIVER AK.
Legal description (Sub'd., Block & Lot) PREUSS #3, BLOCK 5, LOT 9
Legal description (Township, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms 3
Day phone 694-5741
Zip Code .99577
Zip Code 99577
THIS APPLICATION IS FOR (l~ all that apply):
Absorption Field []
Septic Tank []
Holding Tank []
P~vy []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
I certify that the above information is correct. I further certify that this application is b~ing made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes,
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment: _ C~,/~ ~,/~
Receipt Number:.
(Rev, '11/05)
Waiver Fees:
Date of Payment:
Receipt Number:.
ROBERT C. COWAN .
CIVIL ENGINEERING
May26,2009
PH: 907.694-2979
FAX: 907,694-1211
STRUCTL~. &
MUNICIPALITY OF ANCtIORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
REFERENCE: Lot 9, Block 5, Prcuss #3 Subdivision
It is requested that you issue a permit to install a new deep trench(upgrade) to serve
the existing three bedroom house on the referenced properD, . A diverter valve will
be installed to allow the existing 3 bedroom trench to be used at a later date.
A test hole was excavated and a percolation test performed. The approximate location of
the test hole is located on the attached site plan. At the time of excavation (5/I 1/2009)
water was not found. Afler seven days of monitoring, no ground water was found. The
proposed site is 7.0' higher than the road and driveway, the septic system will be installed
starling at 8.0' below grade to insure no daylighting of effluent. No cross section drawing
should be required.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you require additional information, please contact us.
E.
Enclosure
15861 S. Blrchwood Loop Road - C. hugiak, Alaska 99567
II
5-1o%
5-10%
' ~--5 V'I d $IhO':l-
5-1o%
mN3fl3S¥3 ),ll-Illfl ,01
5-10%
5-10%
5-10%
5-10%,
5~10%
,Or = ,,t NOlS30 N¥]d-311S
10.
11.
12-
13-
15-
16-
~7-
18---
20-
Pelto¢med
Legal De.$olpllon:
3.--
Municipality of Anchorage
Developmenl Services Depa~lmen!
Building Safety Division
Soils Log - Percolation Test
/Jo ~b~-~,
COM~tENTS ~'%' ~
Dale PeHofmed:
' Township, Range, Section:
/
/
/
I
/
/
!
1
!
WAS GROU~O WA'~ ER ~0
PERCOLATION RATE {me~e~a~ch ) I~RC HO~E DL~MEI'ER
!
O ED IN ACCORDANCE W1TH ALL ~TATE AND MUNICIPAL (~IDELINE$ IN EFFECT ON TI'IlS DA! E* DAI E:
SO~TEST
ROBERT C. COWAN .
CML ENGINEERING
PH: 907-694-2979
FAX: 907-694-1211
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Lot 9; Block 5; Preuss #3 S/D
May 26, 2009
GENERAL:
The scope of this project includes the installation of new deep septic trench to
serve the existing three bedroom residence located on the referenced property.
A diverter valve will be installed to allow existing 3 bedroom trench to be
used at a later date.
Construction shall be in accordance with the approved site plan and 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 any necessary underground
utility locates.
Unless specifically agreed otherwise, the property o~mer shall be responsible
for final grading areas subsequently depressed from soil settling.
Contractors installing wastewater disposal systems must be certified by the
Municipal Development Services Department or ADEC if required, for
system installations. O~ers installing their own systems must also receive
prior approval from the respective agency.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access. All HDPE
septic tanks are required to have a 4" monitoring pipe installed next to the
tank extending to the bottom of the tank.
15861 S. Birchwood Loop Road - C, hugiak, Alaska 99567
Page 2
Lot 9; Block S; Preuss #3 Subdivision
May 26, 2009
The septic tank shall be sufficiently bedded to prevent settling or shifting ofth~ tank.
All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
Septic tanks installed with less than 4 ft. of cover shall be insulated. All HDPE septic
tanks are required to be covered with a minimum of 2" direct burial insulation, and a
maximum of 4 feet of cover.
A foundation cleanout shall be installed one to four feet from the building foundation. In
the line between the tank and the leachfield there shall be two adjacent cleanouts (unless
an effluent pumping system exists within the septic tank). These cleanouts shall be
located on undisturbed soil not more than 10 fi. from the tank. The first cleanout, in line,
shall be to clean toward the leachfield. The second cleanout shall be to clean toward the
septic tank.
Final grading over the septic tank shall be such flint a positive slope exists away from the
septic tank.
ABSORPTION TRENCII/DRAINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on the design. The bottom of the
excavation shall be within 2 inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (ruffed-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 silt barrier covers the entire gravel surface before placing backfill.
Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion
ofthe 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.
Page 3
Lot 9; Block 5; Pr®uss #3 Subdivision
May 26, 2009
Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thidycsix (36) inches. Th~
finish grade over the trench must be mounded to prevent the formation of a depression
after settling.
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
.Type of Pipe Perforated .Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 CHDPE) 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 outlets shall be fitted with watertight couplings (Caulder, Femco, or
equal).
A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
All leachfield gravel (sewer rock) shall be 0.5"-2.5' screened gravel with less than 3%
passing the #200 sieve.
When sand is being used as a filter material, its gradation specifications must conform to
current M.O.A. or D.E.C. requirements, which ever requirement applies.
Page 4
Lot 9; Block 5; Preuss #3 Subdivision
May 26, 2009
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be baekfilled before this inspection.
The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement ofany other backfill.
3. The final inspection is to occur upon final grading ofthe property.
Often there will be more than these 3 inspections required. Especially with the installation of
.multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer
ns to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-
construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or
control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between 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 contractors
activities. Final acceptance ofthe contractors work rests with the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor to
carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR / INSTALLER
Municipality of Anchorage .....'~ ~,.
Development Services Department
Building Safety DMsion
On-Si~e Wa~er and Wastewater P~mm, 4700 S. ~ragaw St.
P.O. Box 196650 ~omge. AK 9951~650 Page of
~.d.an~omge.ak.us (907) ~79~
ON~ITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Pe~itNumber: SW040250 PIDNumbe~ 050-571-32
Start ~taoles Wastewater System: D New ~ Upgrade
10136 Louis Place Ea~le RNer. AK 99577 ABSORPTION FIELD
LEGAL DESCRIPTION ~w
5 9 Pmess ~3
Well: ~ New ~ Upgrade ~'~:
r~ Calkins Const.
SEPA~TION DISTANCES ~ Septic ~ Holdi~ ~ S.T.E.P. ~ Othen
Tank Field S~ti~ Tank ~rLi~ Anchorage Tank 1250
w~ 100'+ 100'+ NA NA ZS'+ Steel Z
~w,t. 100% 100% NA NA ~ / LIFT STATION
*none known BENCH MARK
Post tank cleanouts installed Comer of concrete slab by door
1 O0
Engine,s S~mp
Inspe~ons pe~o~ed by: KND Engineering. Inc. Dates: 1 ~~
Development 8e~me~ Depadment ~pproval g~ ~fi~
AS-BUILT SYSTEM DETAILS/SITE PLAN Pe.r~lt svo40e50
PREUSS #3, BLOCK 5, LOT 9 PID# 050-571-32
, ,- Lot 8
' ':~ BLock 5 I
I I~)
I I~
'
,
,
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,
I
I
I :SCALE, 1' = 50'
I
B-D=33.4' ~ - ~ ~ ,~
~ /.~ TANK [~ ~[) '::" ~'~ ' "'~'~]'V'~<:'~::'r '~:~'
'"'"-~,o,~ Lo~x~ ~L~CC
''<.'. '-'""= ::.=-V/7.: ~ ~:' ...... ENGINEERING
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
Initial
Date Issued: Jul 08, 2004
Expiration Date: Jul 08, 2005
Permit Number: SW040250
Legal Description:~'PREUSS/f3 BLK :'5 LT~ '9 ~
Design Engineer: 0070 KND Engineering
Owmer Name: STAN STAPLES
Owner Address: 10136 LOUIS PLACE
EAGLE RIVER, AK 99577-
Parcel ID: 050-571-32
Site Address: 010136 LOUIS PL
Lot Size: 22890 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] DisposalField [] SepticTank [] Holding Tank [] Privy
[] Private Well
[] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.55 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 dosed or~ the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:.
Issued By:.
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 SEWEPJVVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-571.32
Permit Number SW
Property owner(s) Stan Staples
Mailing address (1) 10136 Louis Place Eagle River, AK 99577
Mailing address (2). .Zip Code
Legal description (Lot, Block & Sub'd.) Preuss Sub& Addn #3, Block 5, Lot 9
Legal description (Section, Township & Range)
Lot Size 22890 Sq. Ft.
^cr
Number of Bedrooms 3
Day phone 694-5741
THIS APPLICATION IS FOR:
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)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
]t~X~X~D ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
II
(907)696-6111 / FAX (907)696-8111
June 30, 2004
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: New sewer permit - Preuss Subd. Addn #3, Block 5, Lot 9
Gentlemen:
The owner has requested we proceed forward to obtain a septic permit on the subject
lot in order to replace the tank that was determine, d to be in failure. The general si.ope
of this lot is flat, except for the are around the driveway which is where the sephc ~s
located. The septic tank and field are deep enough however that no daylighting m
visible or anticipated.
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100' of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be'any adverse effect on
adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
~I~2) Engineering
Attachments:
On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN
PREUSS #3, I)LDCK 5, LOT 9
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~ NIVA~ ~LL: Vt~IN ~ ~ NOTES'
~SCD SYSTEN CX~PT AS
~ ~PTIC SYST[H$ VI~ ~' ~ X. CONTRACTOR TO ~[~OV~ EXISTING SEPTIC TANK AN~ R~PLAC~ VITH
~ ~ cx~ *t ~T~ 1~50 GALLON ~EPTIC TANK, INSULATE TANK IF
~, C~NTRACTDR ~ILL ENSUR~ MINIMUM ~ SLOPE INTO ~EPTI~ TANK,
~, ADgITI~NAL FILL VILL ~ A~9[D OVER SYSTEM TD ACHIEV~
4. CONTRACTOR ~ILL INSURE ALL $EPARATIDN$ TD ADJACENT
~ ~ .................. ~ ~ PREPARED FOR:
.'"' ~ ~TAN ~TAPLE~
..... ' ........................... ' ...... (907) 694-5741 PAGE 1
~ ~: ~G ENGINEERING
'~ ~ ~ ............. ~' ~ ~ ~*~ 6/50/04 EAG~ RIVER, AK 99577-8736
~/ASTE~/ATER DISPnSAL SYSTEM DETAILS
PREUSS #3, BLACK 5, LF1T 9
Ki!~J D EX]~ST'/NG
TO BE PU~P,--'D~
~l] Ah-FY REMOVED
..._w~ u / REPLACED ~ ~11'H
C~ / A :1250 GAL gEPT/C
/ TANK
FLAT
" ..... A '"'".'~" PREPARED FDR~
· ...~'.~'~'~," .~[,~ ~ STAN STAPLES
(907) 694-574[ PAGE
tkO."'"' ~~
"~ ~ KMO 20441 PTARMIGAN BLVD.
......... ~ ~"~ ~/30/04 EAG~ RIVER, AK 99577-8736
MUNICIPALITY OF ANCHORAGE
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
NAME , IP.HONE ~'N EW
LEGAL DESCRIPTION
~LOCATIO~
~ ~ DISTANCE TO: J We,l
N Z Manufacturer ~'~ Material~.7~~ No. of compartments
~ ~ Liq. cap[~,~ i~al,o ns IF HOME.DE: Inside length Width Liqui
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O Z ~ Manufacturer Material Liquid capacity in gallons
No.o,,,n.~/ L..,,, To,., ,D~, ,,~. Trench~d~ Distance b~p~es
-- inches
~ ~ Top of tile to finish grade , , Material beneath tile ~ Total effec~v~s~on
inches
Length Width ~ Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
m Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
REMARKS /
'fl
APPR~ DATE LEGAL
72-013 v. 3/78)
L. E 131'::1L
T"?F'E 3F' 'SO :!: t... 1:::1[: 'F;Cff;?BT.'[ Ot',! S"r':E T?:']"I ~ S: TF;?.EN(?H
THE I...i:~]",IGTH E' ): r,'lEl',t::.~; ]: O1'.4 I S THE LEN(!iTH ,:: :1: I'-,! I='IiF. ET ::, Ot::: THE: "FFi:E]'.,!CH OF'. I')1:;~:1::1:i: NF' :( E:[..[:,.
THE [:,Et:::'TH OF: I::! 'TI:~:E!]',ICH Cfi;;: PIT ):S THE [:, ): STI:::i!'.,I(]':I:!:': E',[/!:TI.,.IEEN Ti..-IB SUFi:FI::!(]:E E~!=' THE
GFi:OUN[:, I:~I'.4D THE E;OTT(:)H Ci!= THE: I~.:.':::'::CFI',,,'FtT!'OI'.,! (IN I:::EET).
'TI-.IE:t:,~:E :!::::]; N() .'.:.i;1:5¥ 14 :l: t)'l"H F:'Ot:;~: TF..'.ENCHEi:S.
THE GF::FI',,,'EI... [:,E:F'TH
FIi'.,![:, THE; E:OTTOH OF 't"HE EF,:CFI',,,'I::IT ): (:)N ,:: I t'.,! I:::'I:~]E;T ).
t-,1LIi',1 [:, I S'f'I'::I!'.~CE: B!!!!:TI.,.IE:.f~:iq I::1 I.,.IELL. i"::1i'.,tt:::, FtN"r' Oi",t"'"S t TE' SEi:I.,.IFI('iiE: I::, .'1: SI:::'OSFII.~. St?S'/"E:I',! ]:
FEET I::OF: FJ F'Fi~i]:',/'I:;IT[? [,J.[~:L[...; I~IF.'.
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i=I',,,'I=I]:L. Ft['.:~LE!: -I"O :,r.N:SUI:~:[~: F'I~:I_-.IF::'f:~Fi: J:I"&:;TFII....f_...F:IT!OI",!.
): C:EF..'T ]: F'"r' THFIT
::L: :!: I:::ll"'l FF:II"IlL:!:F~F.t [,.I!TH THE
FOF;:"t"H E;"r' THE I"ILIi',I!CIF'FIL. IT'-~" OF' !:::INCHC~F::FIGE'.
2: I I.'.I:(LL. II",ISTF1LL TH[~. S'.?STKCr,1 I1'-,1 I::tC:C:OF.-t[:,FINC:E: I.,JZTH "I"HEt
5:: ]: I~.II'.,t[::,E:t;i:'..'....;"I"F:tt'-,I[:, THFIT THE ()I'.,I-':~:;ITE SEI.,.IE:F: S'./::ii;TE:I"i HI=I'./ F:E~:!!..I1F::fi!i: [~::l'.,IL.I::lFit~]~:l',111i~l'.,l'l" ):F: Ti--IE:
F:F£S ]: I)[i.:ixtC[!!: Z S F::EH()DEI..E~[:, TO
April 18, 1979 R&MNo. 951111
Mr. Don Zi,~erman, Jr.
P.O. Box 396
Eagle River, Alaska 99557
Subject: Soil Investigation for Sanitary Sewer System, Lot 9, Block 5,
Pruess Subdivision, Eagle River, Alaska
Dear Mr. Zi,:nerman :
At your request of April 17, 1979, we conducted a subsurface soils investi-
gation at the proposed location of the sanitary sewer system on the subject
lot. The investigation complied with those procedures required by the
Municipality of Anchorage Department of Health and Environmental Protection.
This investigation, which was accomplished on April 17, 1979, consisted of a
test pit excavated to a depth of 14 feet below the existing ground surface.
The test pit was sited according to your instructions and its location is
shown in attached Drawing A-01. Excavation was accomplished with a backhoe.
Ail material excavated was continuously monitored by an experienced
engineering geologist.
The topography at the excavation site is generally horizontal. At the time
of the investigation the site had original vegetation consisting of aspen and
birch trees. The top of the test hole was located at original ground
surface.
The soils encountered in the excavation are shown in the test hole log in
Drawing A-0]. This log displays specific conditions encountered at the test
location. However, subsurface conditions may vary in other parts of the lot
without any apparent surficial evidence of the change. Groundwater was not
encountered and bedrock was not encountered. At the time the hole was
excavated seasonal frost was not present and permafrost was not encountered.
We appreciated this opportunity to be of service to you. Please contact us
if you have any questions concerning this letter or if we can be of addi-
tional service.
Very truly yours,
R&MCONSULTANTS, INC.
Ernest R. Rahaim
Staff Geologist
GS/rm/12-U
ANCHORAGE FAIRBANKS JUNEAU VALDEZ WA$1LLA
IBER 2 Date Completed: A-17-79
SOIL DESCRIPTION
[AL .25 '
SANDY GRAVEL, GW
NumerOUS Cobbles
Test Pit 2
David
NOTE: DISTANCES sHOWN ARE APPROXIMATE AND HAVE
NOT BEEN MEASURED BY SURVEYING METHODS,
EXPLANATION
14' T.D-
_
i%, 8,5.9 pcf
~--DRY DENSITY
,4TER cONTENT
,LOH/$/FOOT
-SAMPLER TYPE
H/ATER TABLE
BEDROCK
H/D,-WHILE DR/LUNG
Ss /.4 "SPLIT sPOON HI/TH 140 LE. HAMMER
SPLIT sPOON Hl/TH 340 L~. HAMMER
Sz 14" _ ..... ~,.r.u 3,40 LB HAMMER
SAP ~4USER SAMPLE
ORGANIC ~ GRAVEL
MATERIAL
8
BOULDERS
~ CLAY ~ COBBLES
~-~ SILT ~ BEDROCK
~ SAND ~ ICE, MA~IVE
ILot 9, Block 5
Pruess subdivision
Eagl~ Diver, Alaska
~~i '""- '
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. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1. GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
Day phone
Day phone
Day phone.
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~ N
TYPE OF WATER SUPPLY:
individual well
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA ~21
STATEMENT OF INSPECTION BY ENGINEER
As certified by myseal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application 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 verifythat 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
Address ~
Engineer's signature
DHHS SIGNATURE
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
By'. Date
'hi'Iii'ii
The Municipality of Anchorage Depadment of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does th is as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Back MOA #21
~ ,Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
A. WELL DATA
Well type /'~'/IJ/*l'~~''~'' If A, B, or C, attach ADEC letter.
Log present (Y/N) ~ F'/~-~- Date completed
Parcel I.D.
Total depth ! Z,~ /
Sanitary seal (Y/N) .y
ADEC water system number
Driller
Cased to I 7~¢] ~ Casing height
Wires properly protected (Y/N)
FROM WELL LOG
Date of test ,~-/~,,/~
Static water level
Pump level
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot //~
Absorption field on lot /~'
Public sewer main
Public sewer service line
; On adjacent lots
;On adjacent lots /'~'
Public sewer manhole/cleanout "~'~'~'
Petroleum tank
/oo
WATER SAMPLE RESULTS:
Coliform
Date of sample:
Nitrate Other bacteria
Collected by: zj
B. SEPTIC/
Date installed ~./~/7 ~
Cleanouts (Y/N) Y
High water alarm (Y/N)
Date of pumping
Tank size / O ~ ~ Compartments
Foundation cleanout (Y/N) /Y Depression (Y/N)
Alarm tested (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOt~,iN~ ~^N~'TO:
Well(s) on lot //~
To property line Z~
Surface water/drainage
On adjacent lots
Absorption field
72-026 (Rev. 3/91)Front MOA 21 CONTINUED ON BACK PAGE
LIFT STATION
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
Meets MOA electrical codes (Y/N)
"Pump on" level at
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Date installed
Length
D. ABSORPTION FIELD DATA
'7.- .~ Width
Total absorption area
Manufacturer
Manhole/Access (Y/N)
"Pump off" level at
Cycles tested
Surface water
Soil rating 4¢¢5~
G~vel thickness 7 Z "'
Cleanouts present (Y/N)
Date of adequacy test
for --5
Depression over field (Y/N)
Results (pass/fail) __
Peroxide treatment (past 12 months) (Y/N)
System type -~-'-'-'-'-'-'-'-'-'~P /~-~'
Total depth
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Surface water
Curtain drain
On adjacent lots
Property line
bedrooms
/?
, To existing or abandoned system on lot
Cutbank /~ / Watermain/service line--~
Driveway, parking/vehicle storage area __/0
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature
Engineer's Name
Date
HAA Fee $
Date of Payment
Receipt Number
72~)26 (Rev. 3/91) Bac~< MOA 21
Waiver Fee: $
Date of Payment
Receipt Number
D. R. DAYTON, P.E., R.L.S.
HC 78 8ox 1026 Chugiak, Alaska 99567
[907) ~'~'1~
696-2417
May 26,1992
WELL FLOW TEST
Legal Description: Lot 9, Block 5, Preuss Subd. Addn #3
Date of Test: May 13, 1992
Depth of Well: 129' taken from well log
Static Water Level: 93' measured at time of test.
Standards: The Municipality of Anchorage requires a flow of 150 gallons
per day per bedroom, this 3 bedroom home requires 450
gallons per day.
Test: The well was pumped at an average rate of 4.2 gallons per minute
for 2 hours.
Results: The well produced 500 gallons in 120 minutes. The maximum
drawdown during the test was 1.3'. The drawdown fully recovered
in-less than 30 'seconds.
Conclusion: The well is adequate to meet the Municipality of Anchorage
Standards for a 3 bedroom house
· D. R. DAYTON, P.E., R.L.S.
HC 78 Box 1026 Chugiak, Alaska 99567
[9o71
696-2417
May 26, 1992
ADEQUACY TEST
Legal Description: Lot 9, Block 5, Preuss Subd. Addn ~3
Date Performed: May 13, 1992
Septic Tank:l,000 gallon, 2 compartment, steel tank
Absorbtion System: 23' x 6' effective depth, deep trench
Soils Rating:85 sq. ft. per bedroom
Daily Design Flow: 3BR x 150 gallons/day/BR = 450 GPD
Test: 500 gallons of water were injected into the absorbtion system
in a 2 hour period.
Results: The system accepted more than a daily design flow in 2 hours
with no rise in the monitor tube liquid' level.
Conclusion: The absorbtion system is currently functioning adequately.
(DHHS Records)
(DHHS Records)
(DHHS Records)
CHEMICAL & GEOLOGICAL LABORATORY
A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO.
5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343
ANALYSIS RESULTS for INVOICE # 53748
Chemlab Re£,# 92.2100 Sample # 1 Matrix: WATER
FAX: (907) 561-5301
Client Sample ID
PWSID
Collected
Received
Preserved with
L9 B5 PRUESS SUB ADD #3 Client Name :DAVID DAYTON, P.E.
UA Client Aect :DAVIDDA
MAY 13 92 @ 13:30 i~s. BPO{ :
MY 14 92 ~ 10:30 Es. Req# :
AS REQUIRED Ordered By :DAVID DAYTON
PO{ :NONE RECEIVED
Analysie Completed : )[%Y 15 92
Laboratory Supervisor :,~EPHEN C. EDE
Send Reports to:
1)DAVID DAYTON, P.E.
Parameter Results Units Method Allowable Limits
NITRATE-N 3.5 mg/1 EPA 353.2 10
Sample ROUTINE SAMPLE COLLECTED BY: D.R. DAYTON.
Rems[ks:
1 Teete Performed ' See Special Instructions Above UA=Unavailable
ND= None Detected "See Sample Remarks Above
NA= Not Analyzed LT-Less Than, GT=Greater Than
~SGS Member of the SGS Group (Soci~t~ G~n~rale de Surveillance)
DATE RECEIVED
~ INSPECTION APPOI NTM ENTS (~~17
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOI~EpT' OF H:ALTH &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECT[ON
(~ ENVIRONMENTAL SANITATION DIVISION NOV 6 1979
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SF:~FJ~I~I~V~
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10} days for processing.
1. PROPERTY OWNER HONE
MAI LING ADD:5~. : ~-'~- ~ (~ ~/~.~
PROPERTY RESIDENT (If different from above} / /' PHONE
2. BUYER PHONE
MAI LI NG AD~/~:/, ~:~ .~.. ~//.~/.~.~
3, LENDING INSTITUTION / PHONE
MAILING ADD,R, ESS / · /~ /
4. REALTOR/AGEnT i / P.HQNE ~
MAILING ADDRESS ~~ ~/:.~:.. ' //
STR E ET,]LO~;ATI ON_ :
6: TYPE OF RESIDENCE'
[~ SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One [] Four
[] Two [] Five
~- Three [] Six
[] Other
7. WATER SUPPLY [~ INDIVIDUAL~
[] COMMUNITY
[] PUBLIC UTILITY
*ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
INDIVI DUAL/ON-SITE*~
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
72-010 (Rev. 6/79)
'1
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [~] ONE [] THREE [~ FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SiX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY ~.~ -~'~ ~
Connection Verified INSTALLER
[] Septic Tank or [~] Holding Tank , ~,.'2) ,4 ~
Size: /~ C~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/Holding,~/j ~ Tank Absorptions_//ooArea Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
~ CO~DITIO~Ak A~BOVAk {letter must accompan~ certificate)
72-010 (Rev. 6/79)
Anclkor 44e
825 "L" STREET
ANCHORAGE, ALASKA
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF H EAL'Ft4 ,,'*,ND ENVIRONMENTAL PROTECTION
November 29, 1979
(2)
D & L Construction
Post Office Box 596
Eagle River, Alaska 99577
Subject: Lot 9 Block 5 Preuss Subdivision 03
Approval for your individual sewer and water facilities
can not be granted until the following items have been
completed:
A well log submitted to this department.
The top of the well casing sealed with a sanitary seal
so that it is water tight.
The water analysis report be delivered to this office
from Chem Lab, 5633 B Street, for our review.
~/ (4) A four(4) inch cast iron cleanout needs to be installed
in the septic tank.
Please notify this department for a re-inspection when the
noted descrepancies have been corrected. If there are any
further questions, please contact this office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Security Pacific Mortgage
1011 East Tudor Road - Suite 190 99507