HomeMy WebLinkAboutHOLLY HILL BLK 2 LT 4
, Municipality of Anchorage Page I of..~--
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: ~'~-/-.C~.O~. I,~;z~' ' ._. PIDNumber: O}~ -
N~: .'~-~Se_~ ~ Wastewater System: D New ~Upgrade
Address: ' -- ':
Phone: , ooms: ~Deep Trench D Shallow Trench ~ Bed ~ Mound ~ Other
LEGAL D ESC RI PTI O N soil Rating: Total Depth fr~m original grade:
e ~ GPD/Sq. Ft.
Lot: ~ BIock:~ ~ [(~Subdivi~i°n:~; [~ Depth to pips bottom from original, grade: Ft. Gravel depth beneath~P~e Ft.
Township: ~ Range: ~ ~ [Section: ~ Fill added above original grade: I Gravel length:
Number of lines: Dis~n~ ~n lin.:
WELL: ~ New ~ Upgrade erav.~:~'~ ~ ~t. [ ' ' Ft.
Classification (Privste, A,B,C): To~al Depth: Cased To: Torsi absorption area: Pipe material:
Driller: Date Drilled: Static Water Level: Installer: Date installed:
Yield: Pump Set at: Oasing Height Above Ground:
GPM Ft. Ft TANK
SEPARATION DISTANCES ~Sep~c a HoYden, a
TO Septic Absorption Lift Holding Public/Private Manufacturer: Capacity In gallons:
Surface
Water ~( ~ LIFT STATION
Lot Size in gallons: Manufacturer:
Line ~ 0 J 0 ~ ~
Foundation ~ ~ ~ ~ -- -- ~ "Pump on" level at: "Pump off" level at: J High water alarm at:
Cu~ai~ Pump Make & Model J Electrical Inspections pedormed by:
Drain
I
Remarks: BENCH MARK
Assumed Elevation:
· ~GINEER~S SEAL
Department of Health and Human Services approval ~ ,~
Reviewed and approved by: ~ ~ ~~ Date: /- 2~-~ ~,, -; "' ~.~
72-013 (1/91) MOA 25
TOUUEN SPURKLANU P.E. LOF 4 ~LgCK 2 NBLL Y HILLS S/~ SEPTIC SYSTEM ~S UU[LT
~03 U 15TH. AVENUE ~ATE, SEP~ l, 1992
SEC, &
ANCH. AK, 9950~ 713] HEfl~E~ZDN LDflP SHEET, ~/3 GR~9, ~135
I4
4' MDNITDR
4O
I6
S tondard Trench:
60' LDNG TDTAL ND SCALE
9' DEEP
6' DF SEWER RD£K
3' rain, Cover -- Cleonout$
1' oddltlonol Fill /~~
or ~o, insulation Moni~c°m
4 ' oF ~1~ over
87,65 89.58 1 I 89,55
6 Fee~ o~ Septic Rock ]000 GAL SEPTIC TANK
TOBBEN SPURKLAND P,E.
AVENUE
ANCH. AK. 99501
LD? 4 .BLZTCK ~ HDLLY HILLS S/£
SEC?IDN 4, []SN R3W ~A VID C~EWDSDN
BENCH MARK~ TRAILER TONGUE
,.~. I00,00 ASSUMED
SEPTIC SYSTEM ASBUILT
])ATE, DEC, 30,, 1993
SHEET, 3/3 GRI~, £I35
Torn Fink,
Mayor
unicipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
December 15, 1993
David A. & Kathleen M. Crewdson
7131 Henderson Loop
Anchorage, Alaska 99507 2542
Subject: Lot 4 Block 2 Holly Hill Subdivision
Permit #SW920418, PID ~014-081-12
The subject permit, issued December 15, 1992 by this office for a
single family well and/or on-site wastewater system, has
expired as of December 15, 1993.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by.the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
~ogram Fyanager
On-site Services
enc:
Copy of Permit
cc: Tobben Spurkland, P.E.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW920418
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:CREWDSON DAVID A & KATHLEEN M
OWNER ADDRESS:7131 HENDERSON LP
ANCHORAGE, ALASKA 99507
DATE ISSUED:12/15/92
EXPIRATION DATE:12/15/93
PARCEL ID:01408112
LEGAL DESCRIPTION: HOLLY HILL BLK 2 LT 4
LOT SIZE: 8987 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK 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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
RECEIVED BY:
DATE:
LOT
203 W 15th. Avenue, Suite 206
ANCHORAGE, ALASKA 9950!
(907)
SEPTIC SYSTEH DESISN
4 BLOCK 2 HOLLY HILLS S/I)
;)AVID CREWDSON
No Ground Water or Impervious Layer to 15 ft.
Use Standard Trench
Soil Rating.
From test 12/01/92
15 min/in = .8 gal/min
Required Area per Bedroom:
t50/.8 = 187.5 sq.ft..
Testhole Total Depth 15
Less 6 feet 9
Less 3 feet Cover 6
Rock Depth 6
Number of Bedrooms 3
Length of Trench 3 x 187.5 / 16 = 46.8 ft.
SYSTEi~ CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH
TOTAL WIDTH
TOTAL DEPTH
ROCK DEPTH
COVER
SEPTIC TANK
VERIFY INTESRITY OF EXISTIN8 TANK
PUMP, CRUSH, AND BACKFILL
EXISTIN8 LO8 CRIB
The :Lnstallation o.F th:Ls septic system will not prevent wells
fr"om be ins'~al lect on '~:he ad.jacent ].ot~.s.
There are no developed or" natural sur.Face / sub surface drainage
c::ourses on th:i.s or the adjac:en'E lo't:s.
The proposed septic system will. not c:hange the general slope o~
the area. F:'ondir'n;t and/or' concen'l:.r'a'Eion of surface r'uno+f w:Lll rio'l::
r-esu].t .From th:Ls installat:Lon.
E,~eptic System Desi
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
625 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: D.'~k/I,~;2~ A' C'~--~'%~¢'~'~Ol'~
LEGAL DESCRIPTION: Lo Jr ~~ ~ ~o[1~
1
2
3-
4-
6-
7
8
9
10-
11
12
13
14
15
16
17
18
19
20
· . (ENGINEER'~ SEAL) -~.~ '~
DATE PERFORMED:
Township, Range, Section:
SLOPE
WAS GROUND WATER mi
ENCOUNTERED?r~'c~
IF YES, AT WHAT O
DEPTH? P
E
Depth to Water After ! ' y~l,,/?
Mollitorillg? ~ 'v' ~,1 Date: ~.~
SITE PLAN
]~1 .LL.
Gross Net Depth to Net
Reading Date
"r'l~ Time Time Water Drop
PERCOLATION RATE J-'~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN 7 FT AND 7 Y~., FT
COMMENTS
PERFORMED BY: ,~ ~..~d.d.~ I ~ '~ CERTIFY THAT THIS TEST WAS PERFORMED IN
LOT 6
LOT 7
0 L£T
LOT lQ
L£T
LOT 12
k
LOT I
I L£T i
I
LOT 2
Of 2___~
LOt 3
I
ILgT 7
£ EHTY £ECDND
1~ 1~ 200
SCALE; 1' = 100 FT,
Public Se~er and
in
Go fewoy S/D
N
250 300
TBBBEN SPURKLAND P,E,
203 W i5TH, AVENUE
ANCH, AK, 99501
LDT 4 2LOCK 2 HOLLY HILLS S/2
SEC, 4, T12N RSW
7131 HENDERSON LOOP
SEPTIC SYSTEM DESIGN
DATE, ]IEC B~ 1992
SHEET, I/3 GRID, 2135
f
I CLEAN OUT AND M£NITDR
"~---I £
TDBBEN SPURKLAND P.E, LOT 4 BLOCK ~ HDLL Y HILLS S/2 SEPTIC SYSTEH
~03 ~ JSTH, AVENUE 2EC, 4, TI~N ~3~ 9ATE, 2E~
ANCH, 6K, 9950I 7]3] HEN~E~2DN LBDP SHEET, ~ GRIg,
f~A7~ P79-~m~
4'MONITO£ "-~r
4, CLEAN OUT ~
DOUBLE C, D,
$00 GAL, CONCRETE ~ 40
SEPTIC TANK, -
VERIFY INTEGRITY
OF TANK AND
BAFFLES,
INSTALL
FDUN~A FION
CLEAN
FILL IN LOG CRIB
OUT
60' LONG TOTAL ND SCALE
1' additional ~i# ~
or ~' Insulo ~lon Moni~om
4 ' o~ Fifi over ~ank // ~' Cover~
Miro~i 140
6 Reef o~ Septic Rock / EXISTING SEPTIC TANK
VERIFY INTEG~IT~ ~AFFLES
CAULKER COUPLINGS
TB~DEN SPURKLAN~ P,E, LOT 4 ~LDCK 2 HDLLY HILLS S/D
R03 W15TH, AVENUE DATE, ~EC, ~ 199~
ANCH, AK, 99501 SECTION 4, [i~N
~q.~ ~_~ 9AVI~ CREWDSDN SHEET~ 3/3 GRID, ~13S
203 H15TH. AVE. SUITE 20~
ANCHORAGE, ALASKA 99501
SPECIFICATIONS FOR SEPTIC SYSTEM INSTALLATION
LOT 4 BLOCK 2 HOLLY HILLS S/D SEC 4 T12N RSW
GENERAL
1.1 Owner is David Cr"ewdson~ 7131 Hendersor~ Loc)p,~ Anchor-
age~ Alaska 99507. Phone .}].;44-8 :[ ('~2
1.2 Engineer is the persor~ or ent:i, ty hir'ed by the Owner to
inspect this pro.ject. The Engineer must be r'ecogn:i, zed by the
Muni cipal :L ty of Anchorage, Departmerr[: of Heal t.h and Human
Servi ces.
1.3 Contractor is the persc;n or enti't:y hired by the Owner
to install this project. The Contractor must be r'ecognized
by the Municipality of Anchc)rage~ Department of I.'{ealtl'~ and
Human Services, The Owner may act as his own c:ontractor.
1,4 The Drawings, sheets 1 through :3~ shall be par't, o.f this
spec :i. f i c at :i. on.
1.5 All materia].s and workmartship shall meet the r"equire ....
ments o.F the Muni(:::ipalit. y of Anchc)rage, Department o.f Flealth
and Human Services~ the conditions of the permit, and all
app].icable rules and regulat:[or~s currently :[n e-f.Fe(::t.,
1.6 All excavation depths are advisery, and are to be
vet if:led and may be modi.f:ied in the .f:ield by the Engineer.
1.7 It is the respc~nsibitity c~f the Owner- or the Contractor
to adhere to the approved design~ to verify that the speci-
fied separation d:i. stances are met,~ and that the requ:i, red
~nspections are performed.
1.8 The Contractor or the Owner shall r'el::)or't to the Engi-
neer any observed condition which would put tl"te septic
system in v:i. olation of State or Municipal regulati¢::~ns.
2.0 SEPTIC TANK
2.1 If there :i.s art exist:Lng sept:Lc tank~ it may be used
it meets the capacity requirement .for the r"esider~ce. The
tank shall be inspec:ted by the Engineer.~ and '.i.t.s wa'l::er
t:i. ght:ness and str"uctural ir'rl:egr"ity ~ha'.[1 l:)e ver"i+ied.
2.2 A new septic rani< shall be one fabricated by either'
Anchorage Tank and Welding er by Greet Tank
Spec:i .F i cat i OhS ,For' s~el~t :i. c system instal 1 at i on
The septic: tank shall be a UPC-approved twc)-compar"tment
tank,~ constructed o~ 12 gage~ steel with bitumastic coating.
The tank shall be set level on undisturbed seil. The tank
shall be cc~vered w:i, th the equivalent, cH~ ~our ~:eet cH: soil ~
but not mere than 6 ~:eet~ ul'~less the tank is c:onstructed e-F
10 gage steel or better.
2.3 "Fhe septic tank shall be installed a rnin:i, mum o.t: five
4:eet from the house .t:eundaticln and a minimum (:).~ .¢.ive ~:eet
Yrom the absorptif0r', area.
2.4 The sept. ic tank shall be a minimum e¥ 100 ~:eet ~rom any
well serving a single residence; 100 ~eet ~rc~m any body
water-~ creeks or drainage ditc:hes with ~lowing water; 150
Yeet ~rom Class "C" wells~ and 20() .t:eet ~rom Class A or"
Class B wells.
2.5 All pipe connections t.o the tank shall be mec:hanic:al
watertight c:alder couplings. Cleaneuts shall be installed
as designated and capped with air-tight ra:i.n caps. Clean-
outs shall extend a minimum e~ 12 inches above ¥inal greL~nd
elevation. Provisic:)ns shall be made ~er ].andscap:i. ng and
imp(~rtation :i..~ tc~psoil.
2.6 Lift sta'i'.'.:i, or~ shall be as manufactured by Anchorage Tank
and Weldin~
5.O ABSORPTION FIELD
· 3.1 Gr'avel used in the absorptior~ ~:ie].d shall be 0.5 to 2.5
inc:h screened rc~(:::kv with less than 3% passing the Nc). 200
3.2 Sand,~ used .~or levelinq of ~or ~:i. lter'ing~ shall have an
e.~.t:ective grain size between No. 40 sieve and Ne. 18 sieve.
Un:i.¥or'mity coe~.~ic:ient shall be less t. han 4,, Not mc)re than
5% by weight shall pass the Ne. 200 sieve.
3.3 4-inch per-~orated pipe shall be ASTM F'810. For pres-
sure distr'ibutien~ pipe shall be Schedule 40 PVC or ABS.
.3.4 Solict 4-imzh p:i. pe shall be Cast Iron of ASTM D3034.
3.5 Mc~nitor standpipes shall be ins{:alled as shc~wn,. That
rated~ either by drilling 0.5" heles on 6-inch centers c~r by
o't: p i p e.
3.6 Gec~t. extile shall be Mira¥i 14().
3.7 Insulation shall be extruded direct burial pc)lystyrene.
Dow Chemical Styre.~oam HI 40.
3.8 Topso:[l sl"iall be a mixt'ure o.F
20-30% sand al"'~d mor'e that 20% si 1 t::. A11
measured by volume.
3.9 Grass seed shall be Kentucky bluegrass.
ol'"g an i c matter
quantities are
4.0 INSTALLATION
4. i L..c~cate al 1 ur'~clerc.:lrc~ur'Jd uti i i ties,~ pr"oper'[:y 1 ines~
tances from t. he prol~c~sed septic: system. Notify O~ner or
Engineer of any obserw:.~d possible con-~l:Lct.
4.2 Stake alignment of system with markers showing the
protective dist. ances ~rom wells and water boclies,,
4,,5 Establish an elevation benchmark. 'This BM
easily :ldent:l~::fable,~ stable and permanen'l:, An
elevation ef 100 c:an be assigned,.
shal 1 be
arbitrary
4.4 Install the 'l':.ar~k as sl"~own c)n the draw:i, ngs,, Record 't:he
:i. nle't:: and outlet elevations o't: 't':.l"~e tank. Tank shall be
[:)].aced on ur'u::l:i, stur"bed nat:i, ve soil.
4.5 Excavate the absorption field. Bottom o~ excavat:ion
shall be level and scar:if led. I~ sidewalls smears,~ they
shall also be scarified. Record elevation of beginning~
middle and end of trench. Rec:orcl elevat:i, on o~ each corner
and center pe:i. nt of bed. Construction equ:ipment shall not
operate on the ¢loor o~ the excava't::ien. Any material corn .....
patted by the operation o.~ the cor]stl"Uc:tion eqLtJ, pnlent shall
re[fioved aFld replac:ed with uncompacted materials.
4..6 F:'lace the roc:k to tine depth specified. Do not contami-
nate roct.,: with native materials or spoils ~r[::)m the excava ....
'~:ion,, Level the rock surface (..~ ..... 1") before install:lng 'l:he
per'fo)rated pipe.
4,7 Install the distribut:ic~r~ pif,:~e,, Record the elevat:i, or~
each joint. For pressure system so].verrl: weld the .joints.
4.8 Cover 'l::he distribt.d:.:ion pipe with rock, and covel .... I:.he
excavation with geotextile l:)e¢ore back,ill:lng and pla(::ir~g
i t'"l E4. t,,t 1 a ~*, :[ o I"~ ~ if required.
4,9 Ret:oral 'l::he ~in:ished gr'ound elevation at the beg:lnnir~g~
m:i. ddle and end o.F trench. Record the 'Finish ground elewa ....
't'.:i. or'l at each cor'r~er arid at 't::he midpoint 0¥ the bed.
4. 1() F:'urnish a copy o.¢ all sur'vey notes to the Engineer.
Spec:i..F:i. ca'l::ions for septic: system :i. nstallation
5.0 INSPECTIONS
5, 1 A minimum o¥ three inspecti(,:~ns are r'equired,, The
~:iF"St ir'ispe(::tiorl ~,~i:l, 1 be o¢ the op6~l] exc:avation,, a'[; this
't:.:i. me the soil cor~dit:i, ons will be obserw~¢d and compared
the design assumptions. Ground water conditions or presertce
o.¢ bedrock w:i. ll be veri~:i, ed.
The second inspectic~n will be a.J:ter pla(::emerrt:
star'~dpipes~ dis'~':ribut:~on piping,~ tank'.'s) arid or, her
ne. nts as spec:if i ed.
gravel ~
6' omp (:;) ....
The third inspectic)r"~ will be aft. er completic)r~ o~ the work.
Ar]y det;ic;ierl(;:ies w:i.l], be f'lote(J and
Suc:h def:i, cier]cies shall be (:::orr'e(z'f:ed wi't:hirt ten days,,
5.2 Al:[ electrical work requir"es either an MOA electrical
:i. nSl::)ect i on or c::er t :i. ~ :i. c at i c~r~ by an licensed el ec't::ri ci an.
Subm:i.t pr'c)c~¢ (::)¢ inspec:tiort or' c:er'J:'.:i, fica'~.:Lorl to the Engineer,
5.3 Submit c:atalog data of all mech,'~.~"lical equipment,,
5.4 1'4ot:L~:y Engineer at least 24 hours :i.n advance of begin .....
ning any work,,
Tom Fink,
Mayor
unicipality Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
January 8, 1990
David & Kathy Crewdson
7131 Henderson Loop
Anchorage, Alaska 99507
Subject: Lot 4 Block 2 Holly Hills Subdivision
Permit #890266, PID #014-081-12
The subject permit, issued by this office for a single family
well and/or on-site wastewater system has expired as bf December
31, 1989.
Permits are issued on a calendar year basis by authority of the
Municipal Code of Regulations. A new permit must be obtained
from this office for an well and/or on-site wastewater system
not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to
this office for documentation of the installation and to close
the permit.
If a private engineer inspected the installation of the on-site
wastewater system, the original as-built inspection report
(three-part form) must be sent to this office for review,
approval and documentation.
When applying for a new permit, the fees are: $90.00 for an
on-site wastewater permit; $50.00 for a well permit; $140.00 for
a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely,
John Smith, P.E.
Program Manager
On-site Services
JW/ljm:200
enc: Copy of Permit
"Kids Are Our Future"
.t: N !ii:8' ~.'.'&.. L..
TH
:!: '.iii~[i!;I..l[E D
[' ~::)P CI'"~ ~::~v .... ..I.,~:,'" ?h..]r'~:J.c:'~.,. I..)" ~.,]. :i.'Ly ...................... (::~.[~ (~l"X:::h(::H"a~.(::t6? (!"IC)(.~) and
::~;,, .~. ~,~:i. :L 1. adl"u~e~;:, 'Lc) al. :I. k!(3F~ .... ,'"
d:l.~[[[4:.au"x:::e[~[. ~'r'am any. (.~,x:i.~uL:i. ng ~,,~.~):I.:1.~, ~.~a~'L~,,~a'L(.:~,t" cl~.~H::~c)~[i~a]. ~ ~, ,~ .~ of I . . .~ .,. ,...
z!. ~ ]] L.u'~ (::J ~;~J" ~;'(:. ai'"~(::l 'L h avl 'L h ~. ~B i::)(.:~, r' [~ :J. '~:. :J. ~[F, 'va ].1.(.."" {~ (::) r' ~ rl~a>[ :i.
peoEI doo~I uosa~puoH
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
MEMORANDUM
May 17, 1974
TO:
FROM:
SUBJECT:
File ~
C. S. McKechnie
On-site sewer system - Lot 4, Block 2, Holly Hills Subd.
4-bedroom, single family dwelling
On May 16, 1974 Mr. Carl Westfall called the office regarding the sewer
system on the above lot. Mr. Westfall advised in 1970 he installed the
system at this location. He advised the system was inspected by John Lee,
however, it was not approved as the septic tank was only a 500 gallon tank.
(homemade tank) The pit is 20'x20' with a lOxlOx6' crib. He was advised
the system would be approved when the tank size met specifications. The
tank was not upgraded at this time.
Mr. Westfall will be contacting this office to obtain a permit to install
a new septic tank. Joh Lee advised that he recalls the system and the
seepage pit is approved (soils test attached) No other paperwork in file.
ko
HEALTH DEPARTMENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99501
CASE
Performed For dn~ ~J~.~m~i _ . . Date Performfd ~jL4,~]C~ ~'q~; (3
Le. gal Description: Lot~Block 2 ~ ........ 5ubdzvls~on _~nJ~,,_ ~x' ~ , ,
This Form Reports a: Soils Log~ ~.~ . .Fe~tion TeS~ ..............
Depth
Feet
Soil Characteristics
Was Ground Water Encountered?
If Yes, At What Depth
Reading
Gross Time
Date
Net Time
Location Sketch
Depth To H20
Net Drop
ate' i'/ .......... Minut~
Proposed Instali~t~o~:--Seepa~e Pit L/ Drain Field
Test Performed
Data
Date