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HomeMy WebLinkAboutCINERAMA TERRACE BLK 3 LT 1602000() � s,1 - os Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page of ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231003 PID Number: 020-561-05 Dwelling: Z Single Family (SF) [] with ADU 0 Duplex (D) El Two Single Family Project: El New N Upgrade Name BRET BERGLUND & CARYN SMITH ABSORPTION FIELD - EXISTING El Deep Trench El Wide Trench [:1 Bed 0 Mound Site Address 16361 BLACK BEAR CIRCLE, ANCHORAGE El Other Phone Number of Bedrooms 1 Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot CINERAMA TERRACE 3 16 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Absorption ' Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank i Tank Line Ft2 Ft. Well 100'+ 25'+ TANK N Septic El S.T.E.P. [1 Holding F-1 Other Manufacturer GREER Capacity 1000 Gal. Surface Water 100'+ Material Number of compartments Lot Line 10'+ NA HDPE 2 Foundation 10'+ LIFT STATION Manufacturer Capacity Gal. Remarks Alarm location Electrical installed by Installer JRS PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspdates: ection 1 s' 6/2/2023 2 ,6/3/23 Location and description 3 rd 4 th TOP OF MH / RISER ON -SITE WATER AND WASTEWATER SECTION APPROVAL Mkk Ak Conditional Approval: Date Aw" ;011 .* 7H . ... . ... �5 .... .... . ......... X, Septic System Approved '0 Curtis Huffman ##�<,q CE128991 Date * lac8/8/2023. . - AW 4 -Wall Note: this approval does not include well permit requirem nts. k ii'i 4 101 PID:020-561-05 PERMIT: OSP231003 Lot 15 o,J� Lot 1 u (3 �� 23.2' COVERED c �, �Op WALKWAY , STAKED 2 3.2' \ WELL / RADII + PRIOR TO / CO NS7. FCo 38.0 roo. ' X PZ�CL RADIUS 3} \� + I / — o RESIDENCE EXISTING SEPTIC BM: TOP OF RISER MH B 26.7' tK FIELD CO • DCO e C S.T. DECK SUPPORTS Y E D & EXISTING FIELDS ° RECONNECTED DECOMMISSIONED EXISTING e TO LINE EXISTING S.T. & INSTALLED NEW SEPTIC FIELDS 1000—GAL HOPE SEPTIC TANK WITH DCO. e • e A-C=33,2' B-C=19,8' A-D=37.4' B-D=23,6' A-E=41,7' B-E=27,5' SEPTIC SECTION SCALE, NTS CINERAMA TERRACE BLK 3 LT 16 PREPARED FOR: BRET BERGLUND & CARYN SMITH 16361 BLACK BEAR CIRCLE ANCHORAGE, AK 99516 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK©gmail.com SUPPORT SERVICE C • DATE: 8/8/2023 SURVEY: LANG DRAWN: FWCS SCALE: 1 " = 30' PAGE: 1 OF 1 OF AZ�6 CJ TH rtis Huffman wx CE 128991 8/8/23 eG10, PESSIOV ' Unsubdivided 0 PA C-4 7- to 0 r4 CJ PALL-: A LN 0 0. I'puw Lo• Ld j X ¢ UP V) 0 o 0 C 0- 0 r 0- x 0, - a' 0160> 4: E :e' C; C-4meot) c 0 E r 0 " > < c 00 V a C'4 eq 00 In tol 0cc a 'o m 0) 0 c r. 00 0 coo 0-00 V E " to 0 .20.10 ra Lo o > cl) 0 0.0.2 0 0 to IS z E:5 0 m 'a — WE 0.0- 0 .2 2 o a I- 0 L/).ce —g E =0 c S 5. 0.- 4513 c co C omt-c 0 04 —0 Sf V (f) c 0 04- LJ V m3t V cc ......Ev a 4- 0 c ix a 0 >* W. I c -5. V'o 0 0 0 0 0 X >� 0 =0 Uy 0 CL 0 9 -9,0, 2 E.} M WIC a 0.0 X: 0 0c < tm= CEO i c 0 .0 -4 O -j we 2 0 .0 in W. 0 cL E c 0 :5 o) c o of.- CLID 0 .,. a o 0= Ev ID Fo CL -<3:CCLO NO a 0a MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231003 Work Type: SepticTank Upgrade Tax Code Number: 02056105000 Site Legal Address: CINERAMA TERRACE BLK 3 LT 16 G:3341 Site Mailing Address: 16361 BLACK BEAR CIR, Anchorage Owner: BERGLUND BRET L & Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: cnr c o� 66 Department 1/25/2023 1/25/2024 201385 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Racei f By: sou P ci "1 �i rs t ( o'te f Issued By: Date: Date: 5 3 M UHMPAP 7 O['--= z%HCHOR„ OIE "Al Development Services Department -� Phone: 907-343-7904 On -Site Water & Wastewater Section �' Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 020-561-05 Property owner(s) BRET BERGLUND & CARYN SMITH Day phone Mailina address 16361 BLACK BEAR CIRCLE, ANCHORAGE, AK 99516 Site address 16361 BLACK BEAR CIRCLE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) CINERAMA TERRACE BLOCK 3, LOT 16 Legal description (Township, Range & Section) Lot Size 201,385 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial El Single Family (SF) El (w/wo ADU) Septic Tank 0 Upgrade El Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 9 2,5 - Date of Payment: 111Q / 2�o Receipt Number: '?oglq_�3 Permit No. 0SM133' !6013 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! January 19, 2023 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: CINERAMA TERRACE BLOCK 3, LOT 16 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank per the attached design to serve the existing 3-bedroom residence. We would recommend considering installing a 1500-gallon tank for future consideration and current operation. The MOA file does not show any groundwater and a HDPE tank is proposed to be installed. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231003, Deb Wockenfuss, 01/25/23 FIRST WATER CONSULTING CINERAMA TERRACE BLK 3 LT 16 DESIGN DETAILS: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231003, Deb Wockenfuss, 01/25/23 H � p. � Cy � i1. � • A �� � • 130, 00 0� nn A A M N T p p t7 ~ t}7 04 td 0 b p. � r' V1 wp N y°p•AH � 6" A r} 46 BO o r, p' L a w o F. M•44 p' N V d w w �' � .q �• D i P "• G w p Q� � I� � O d "04. R P n V it '. L1 7 N Owl 96 C R F O •.�+ ry brd p r 713 'A N p a J p pro W b p ti Cc N Li 0 r+ rL4 -0• 0 b. Ar CY off: V7 H J} 1- r■ h7p. 1-O N cp Ar AW sine+,W4,"4 5d.'• t 4 �� ?4-.4 LOT- L7 N in N aR r N \ r �? D � � 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 Repqrt Permit Number: ,S~t/ c[102q'~ PIDNumber: O2OII5'O7~ Name: C~qR~ ,StqlTH ~ BRET ~ERGLu~b Wastewater System: ~New ~ Upgrade Address: ~o. Box 2~o~ ~.~~ ~ ~z, ABSORPTION FIELD Phone: 1~°. of ~d ~r°°ms: ~ Mound ~ Other ~7~.7~ ~ Deep Trench ~ Shallow Trench B~ed LEGAL DESCRI PTION so, Rating.. Total Depth from original grade'. O. ~ GPD/Sq. Fl. Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Lot: ]G Block: ~ C IN ERA~ ~E~. 3. O Ft. 0.~ Ft. Township: ,1N [Range'. ~ W ISoction: I Fill added above ~riginal grade: Gravellongth: Gravel Number of lines: Distance between lines: WELL: ~New ~ Upgrade ~pr~ ,5~ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Static Water Level: , Installer: Date installed: Yield: GPM ~ Pump Set at: Ft. ~ Casing Height Above Ground:Fl. TANK I I SEPARATION DISTANCES ~s,~tio ~ Ho~,~ To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in 9allons: From Tank Field Station Tank Sewer Lines ~ ~0~ G~ ~A N~ Well 106 ¢ 125/ ~ ~ ~3 / Material: ~TEEL Number °f C°mpartments: Surface Water >lOC' >[co' -- -- >/oo¢ LIFT STATION Lot Size in gallons: ~ Manufacturer: I Curtain Pump Make & Model I Electrical Inspections performed by: Drain I Remarks: 5v¢~m f~ll~ p~c ~.~ BENCH MARK ~ Location and Description: ENGINEER'S SEAL ~eee~ eeee., e e ~. ee ee.~ ee~e~ Department of Health ~ H~man Services approval ~..;~¢~ooo~ ~eviewed and approved by: Date: - (1/91) MOA 25 Permit No. :SA/ Page ~ of 3 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 LegalDescription: LOT II% 'F:>LW3, CINERAP1A 'I-£Rff, AcE PIDNo.: O2Ol15'O2% ,~ 50~ I= 72-013 A (Rev. 9/91) MOA 25 )Ot W~LL ToP OF FouN~ATIo~ [ooo ~Ac ':J DI)RM .t 13 C ICl f Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 ENGINEER'S SEAL PermltNo. SI, v' e110293 Page ~' of .~ 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 LegalDescription: ZoT 16, l~Lk' 3, CI~ERAPIA '[E~RACE PIDNo.: O2o11503 TBP1 TOP oF' v,jOO .. ~(, ~ou~t~. ~o~ Ioo.o ! ,f Iooo GAL SEPTIC_ TANK INVERT ELEV: / OU'~LET q 3,.$ '-- Flattop Technical Services 14530 'Echo Street Anchorage, Alaska 99516 72-013 A (2/91) MOA 25 VERTICAL SCALE: I 't=.~ ~ NO HoRI 7..oN'r~L ,.~¢AL~ UPP~: ~ TRr=NC H 'DIST. P~PE Vt~T '.- '7&.%? B~,TH ENGINEER'S SEAL STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATER WATER WELL RECORD LOCATION OF WELL .- BOROUGH SUBDIVISION LOT BLOC~ SECTIO~QTRS SECTION TOWNSHIP. RANGE.. ,,. ., MERIDIAN .;~ /6 ~ []s []w LOCATION/SKETCH: WELL OWNER: DEPTHS MEASURED FROM:[]casing top I--Iground surface WELL DEPTH: DATE OF COMPLETION Depth of hole: ~./7/ ~ ft BOREHOLE DATA: Depth Depth of casing: Material Type and Color From To DEPTH TO STATIC WATER LEVEL: .~.~-~-~.~ ,,.LPU) ,U) ~"~__ . "~'- ft below [~top of casing [] ground surface Date: ~ / Y"~It'7 ~~ ~ / "5 METHOD OF DRILLING: '~ air rotary [] cable tool bo'e,~t~hcr'ed Ge~Coc~ I ~ ~ ~ [] other USE OF WELL: '{~ domestic [] irrigation [] monitor H=ard ~Sedcoc~ ~ 4g ..? 9/ ~ [] public supply [] other CASING STICK-UP:~ ~ .ft. Dia,mj in. to ft Casing Wp, e: ,,'¢~* ~,~4~ . '~g'o ~ in. to ft ~"~' ~'~'/ e & P/'~ WELL INTAKE OPENING TYPE: [] open end [] screened Depths of openings: to ft SCREEN TYPE: - - Diam: in. SlotJMesh Size: Length: ft GRAVEL PACK TYPE: Volume used: Depth to top: GROUT TYPE: ---. Volume: Depth: from ft to ft DEVELOPMENT METHOD: .d'~-f-¢--~. , Duration: · PUMPING LEVEL AND YIELD: _~'- ft after / hrs pumping ~ gpm PUMP INTAKE DEPTH: ft Horsepower: __ WELL DISINFECTED UPON COMPLETION? [~YES [] NO - CONTRACTOR INFORMATION: Regi;st~ed Business Name, Signature of Authorized Representative Date REMARKS: ~f-r'~l'~ ofexcr ~h~nc ~e{~een PLEASE MAIL WHITE COPY OF LOG TO: DNR/DIVISlON OF WATER PO BOX 772116 EAGLE RIVER AK 99577-2116 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910293 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:SMITH CARYN H 50% & OWNER ADDRESS:P.O. BOX 242013 ANCHORAGE, AK 99524 DATE ISSUED: 9/17/91 EXPIRATION DATE: 9/17/92 PARCEL ID:02011503 LEGAL DESCRIPTION: CINERAMA TERRACE BLK 6 3 LT 1 LOT SIZE: 201385 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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 (iSAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. RECEIVED BY: 6~-,~ ~ ISSUED BY: ~O~-(~ ~m]l-f-~ DATE: DATE: OP TECHNICAL CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 September 12, 1991 ANCHORAGE, ALASKA 99516 John Smith M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Mr. Smith: As we discussed on the phone this moming, the following is a written response to your "pink slip" comments dated 9/10/91 with regard to our application submitted 8/20/91 for a permit to install on-site water supply and wastewater disposal facilities on Lot 16, Block 3, Cinerama Terrace S/D. With regard to the question of whether the installation of a sand filter is warranted, it is my contention that the GM material with a measured perc rate of 40 minutes per inch (which underlies the faster percing GP/GM material in which the drainfield is proposed) will provide adequate filtration complying with the intent of the wastewater ordinance as allowed in paragraph 15.65.060.D.4. It is my understanding that the basic intent of a fila'ation layer is to ensure that partially treated effluent must pass through at least 2 feet of material with a percolation rate slower than 1 minute per inch before it encounters either a groundwater table or bedrock. The proposed configuration will accomplish that goal. With regard to the question of the sizing of the contact surface between the GP/GM stratum and the underlying GM stratum, please refer to the enclosed cross-section which I have marked up. For the proposed drainfields, the needed contact width based on an application rate of 0.45 gpd/sq, ft. is 8.8 feet. Assuming there is no flareout of the effluent towards the uphill side of the slope as it percolates down thru the GP/GM, the required flareout towards the downhill side is 3.8 feet. Since the total drop needed to achieve this is 4.3 feet, the required flareout slope is slightly steeper than 0.9:1.0. Refering to pp 252 - 252 of the EPA design manual, the assumed flareout slope to be used in designing soil absorption mounds is 3:1. Applying these flareout slopes to this specific situation indicates a total potential contact width of over 30 feet. (It is recognized that all of this width could not be counted in practice, because the footprints of the flareouts from the two drainfields would overlap, but in any case the potential contact width would be something over 15 feet). Please note that we did attempt to be quite conservative in sizing the drainfields, using an application rate of 0.8 gpd/sq, ft. instead of the 1.2 gpd/sq, ft. specified in the ordinance for soils with perc rates faster than 5 minutes per inch. I trust that this analysis will alleviate your other concerns. Please give me a call if you have further questions. cc: Bret Berglund RECEIVED S£p 13 1991 D MUnicipality of Anc ept. Health & Hurn~?~orage ~'~ oervices Sincerely Ted Moore, P.E. L ~- 57' ^ PLA'N VIEW ~^~: ,"; ,o' . ~~ _ ,1~ ~ I '/ ~.//~lS~glEut~o~ PIP[ ~ }~  ' ' . ~:......'[...~. ~;.~ · ,. .'~ ~ ~,~..% CE-8o89 .. ,~ ~ ~,l. atto~ Technical Services ,' 14530 Echo Street 'Anchorage, Alaska 9951~ ABSORPTION PLAN ~- CRoss pA-rs: T£RR. SECTION As 5 Horn ?1~/ ~7 TI=IT CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 August 16, 1991 14530 ECHO ST. ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our request.for a permit to install water supply and wastewater disposal systems for a 3 bedroom residence on Lot 16, Block 3, Cinerama Terrace S/D. Soils'tests including visual logs and percolation test results, a site plan, design plans and specifications are enclosed for your review. The proposed design calls for two parallel 5' wide by 57' long drainflelds to be constructed in the vicinity of test hole #3, with replacement drainfields designated just above and below these. The measured percolation rate in the proposed absorption stratum is faster than 1 minute per inch. The design does not include a sand filter because the measured percolation rate of the underlying stratum is 40 minutes per inch (see log for test hole #1), and also because the use of a sand filter would cause the drainfield to be elevated to the point where effluent daylighting could become more of a concern. The design of the drainfields is conservatively based on 0.8 gpd/sq, ft. to allow for localized variations in soil permeability which may be encountered during construction. The required area for the proposed 3 bedroom residence is (3 x 150)/0.8 = 562.5 square feet. The proposed drainfields will have a total bottom area of 570 square feet. The topography of the lot slopes to the southwest at 10% - 40%. The slope is 20% at the proposed construction site, with an average 24% slope extending for 100 feet below test hole #3. The proposed project will have no impact on present or future water and wastewater systems on adjacent lots, nor will it have any impact on reserved space/surface and subsurface, or on drainage. PleaS~ give me a call if you have any questions on this submittal. Sincerely, Ted Moore, P.E. L. OT 15' I-O7' 1 6 I I 1 1 I 1 1 7'.0,? I I I I I I I I I I I Flattop Technical services -14530 Echo Street Anchorage, Alaska 995~ ~ 501/-.br: I "-.' b"O ' D tObl, S F, L ^ PLAN VIEW ~:,,~, ,": ,o' II _----~~!. . II{..&t-~ .,~-~~~. I... ,.,,..:1' ~ 12" SEWER (.'OF' SEWEi~ CRoss SECTION A-A SCALE :1 "--~' ~.l. attol~ Technlcal Services ......... 14530 Echo Street Anchorage, Alaska 99516 1~/3 C~NERAMA T£RR. ABSORPTION PLAN ',. e..Ross SECTION DwN BY' ~., FlattOp Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345-1355 Lot 16, Block 3, Cinerama Terrace Black Bear Circle Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of the installation of a 1000 gallon septic tank followed by 2 parallel 57' long by 5' wide soil absorption drainfields. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. 1.3 All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 2.0' Septic Tank: 2.1 The septic tank shall be a 1000 gallon Municipally approved tank with two compartments, and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot A cleanout shall be installed within 5 feet of the building foundation, and a doubl~ cleanout ~hall be'installed within 5 feet downstream of the septic tank. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed in the vicinity of test hole # 3 by first stripping the peat and shallow silt strata off the proposed 5' wide by 57' long drainfields to expose the top of a slightly silty sandy gravel stratum at a depth of approximately 2.5 feet below original ground level. 3.2 Once the surficial material is removed, 5 foot wide level drainfield bottoms are to be cut into the silty sandy gravel by maintaining the existing elevation of the exposed gravelly material on the downhill side of the drainfields and removing excess material from the remainder of the drainfield. Particular care shall be taken to ensure that the bottom of the excavation is level and that the drainfield is not over- excavated. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 12" of approved sewer gravel is to be placed in the bottom of the drainfields, with the perforated distribution pipes buried level, such that the pipe inverts are no less than 6" higher than the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 The non-perforated pipe connecting the distribution piping in the upper and lower drainfields shall incorporate a 2 inch high "bump" ha the line as it leaves the upper drainfield causing effluent to favor initial distribution to the upper drainfield. 3.5 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.6 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 3.7 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 4.8 All areas disturbed by the construction and associated side slopes shall be covered with 4 inches of topsoil and seeded by the owners to promote rapid revegetation. 5.0 Inspections: 5.1 A total of 4 engineering inspections will be required during the course of the prOject: ' (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes and connecting pipe with the "bump" have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after final backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. PERFORMED FOR= ~'Iattq~ Technical Services 14530 Echo Street ./[nchorage, Alaska 99516 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG-- PERCOLATION TEST BRET BUR6LANb LEGAL DESCRIPTION: L 16~ 7 8 9 10 11 12 13 14 15 16 17 18 19 20 B 5 6 N£R4H/I GRAVEL Lo^ M GP SLI GH TL',/ 5A Nb',/ GRAVE L ML 'TAN GRAVELL'{ SILT .... INb~STINcT 'r'RA~J$1TION TAN- BRO~NI SI Ly'~ GRAVEL POCKE't$ oF SANb¥ PoCK~T~ oF M1 i), fl. 8OU~.bEl~S COMMENTS PERC T~ST 1N PoC~<ET 'TE~.Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT O DEPTH? H.~. p E p. yIq ' ]~.¢.L, Depth to Water Aller~ Dale. Mo~ltorinD? . SITE PLAN SITl'PI.AN Reading Date Gross Net Depth to Net . Time Time C~iN~) Water Drop 12tl~ 2~ 5?4RT I~ lo 2 ~ ~/~ · l I:~ 3~ 22 y~ v/e PERCOLATION RATE L~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BEI'WEEN ,~'.2~ F'rAND ....,.~'.'7,-,c- FT OR' P,~ RT lC (,/L ~.~/.,,-~ ,SILTY PERFORMED BY: FLA'I'TO?' 'TE¢i-/ SV'¢S i ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: __ ~'///~' ~/ PERFORMED FOR: FlattG~ Technical Services 14530 Echo Street .~nchorage, Alaska 99518 MUnicipality Gl Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG'-- PERCOLATION TEST T.H. ~z BRET BUR6LANb 4 6 6 7 8 9 10 11 12 14 15' 16 17 18 19 2O 'COMMENTS 'TE,~,Township, Range, Section: SLOPE GRAVELL"/ LOAHt ~ I~Av£ L GlvI B'Eo~N SILT'/ GRAVE. L OCC~.S~oN,~L LARGE BouLbER WAS GROUND WATER ENCOUNTER ED? ~,~0 SITE PLAN A [- A-i,T.~,C H~: b .. ITl' p;.Ag S I,F YES, AT WHAT L DEPTH? .... ",~. pO E Depth lo Water Alter Monlloring?., ~[~Y Dale:, Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER FT AND . _ FT PERFORMED BY: __FLATTO?' "t"ECH St/CS, _'7~'.._.~: ~'Lo.~¢_ ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 {Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ~ Fid t/g)//' PERFORMED FOR: P/attsp Technical Services 14530 Echo Street Anchorage, Alaska 99516 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG:-- PERCOLATION TEST BR~'T BUR~LANb LEGAL DE$CRIPTION: L /(0. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15' 16 17 18 19 2O PT ~L '['Eib,Township, Range, Section: .~£( ~_, T Il Iq, R S IV' : SLOPE SITE PLAN IS~0NTIN 5TRATU Ft .~LOPE~ 'To FIfLL SILT 54Nb¥ Ft /~ TE. E tA L WAS GROUND WATER ENCOUNTERED? (~I~IL IAI~ TO No S IF YES, AT WHAT L DEPTH? ~,A' pO E Depth Io Water After 13/~,'' Monitoring? DRY Dale: SIT[' p:.Ag Reading Data Gross Net Depth to Net Time Time ~,~IN) Water Drop <iN~j 12°' PRESo~ "//2 3 2.;~l:lg 1'7 $/~ ~:52~ I~' 2~, +N,.o ~:s~-~:sv f~',~v~ -~ -?-8 2; S~J 2 I +H~o 3'.oo; I~ 2'/ ~,F PERCOLATION RATE ~ ~ (minutes/inch) PERC HOLE DIAMETER .... .~ . TEST RUN BETWEEN L'/¢'O FT AND ~'~' FT COMMENTS ,,~ROUNb 5~OPES ~ 20% ~. T. th ~:3 ~t% Fo~ ioo' D0~N~h~.Z . J .,P~c B~NCl./ ~) 3~, pE'I~C TEST HOLE ,~CCEPTE'b .~' GAL - CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~/~ 72-008 (Rev. 4/85) PERFORMED FOR: LEGAL DESCRIPTION:. PT 1 2 4 5 6 7 8 I~.H. 9 10 11 12 13 14 15' 16 17 18 19 20 FIatt6~ Technical Services 14530 Echo Street Anchorage, Alaska 99516 Municipalily of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG-- PERCOLATION TEST BRET BuRd~LANb COMMENTS . T.H. I~ ~ ~t~.~ No M.T. gET B 5 C N R,Ztyl/t 'l'E,~?ownship, Range, Section: 5E'C.. I_, T Il SLOPE SITE PLAN $~,L,T"/ sAP, b'/ GRAVEL POCKETS OF GP NOT eL~ITE AS CLE/~N As, soic ~N T,H. 14%tSTiNCT T~AN$1TION WAS GROUND WATER ENCOUNTERED? S P_A N DEPTH? N.~, Monlloring? Dale: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE · TEST RUN BETWEEN CONF.I I~M ~ONTt N L/tTy -- {minutes/inch) PERC HOLE DIAMETER ______ __ FT AND FT Olc' STIi~/~T/~ IN T.~/. ~Z. PERPORMEDev: FLATTOP' 'T~¢t~ SI/CS , ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev, 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ,, ~/~'~/ Lo'T ~Flattop Technical Services 14530 Echo Street /~nchorage, Alaska 9951~ TE5~ CINERAIvtA TERR. HOLE LOCATION SITE PLAN A 5uI~vE~{ED PLAT ALL /.oC~TIoN S 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 GENERAL INFORMATION Complete legal description 3 Location (site address or directions) 1'51,~ c l, c 8 ¢r, r C ~ r c Property owner Mailing address Lending agency Mailing address Agent N,~'. Address t Day phone Day phone Day phone 9q5'o~ Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: = NOTE: Individual well v" Community well Public water 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 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation 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 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 ~' /~ ~.~ 7-~cA~,'~.= ! ~qer~,;c ~,.~ Phone Address Engineer's signature af-.../,.~...¢.~¢..~ ~ ~ Date DHHS SIGNATURE _~ Approved for ~.~ bedrooms. Disapproved. G' ¥$-- Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representation§ given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this 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 I*21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description' ~.. !~/ ~ ~'~'//~/"~'~ 7-¢~-~, Parcel I.D. A. WELL DATA Well type (~ ~"/' If A, B, or C, attach ADEC letter. Log present (Y/N) Y' J Date completed Total depth 8-~O ' Cased to -.~ ~"' Sanitary seal (Y/N) ADEC water system number "//P--,~ / ) ~ -- Driller ,~lt~,~,~e l.:>r, I1,~,~ Casing height Wires properly protected (Y/N) FROM WELL LOG Date of test ~ / .,~ 0 ! ~ ~ Static water level 75- ' '-' Well flow ~O Pump level u(,~ ~ g.p.m. AT INSPECTION N. ,,4' .MUNtCIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION g.p.m. REC£1V£D SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots ;:> too' Public sewer manhole/cleanout N. At, Petroleum tank WATER SAMPLE RESULTS: Coliform 0 col ltoo~ Date of sample: ~ { t 8 Nitrate O, ~ I ~ /-/.. Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed 7 /.~ ! <2 ~ Cleanouts (Y/N) 'r' High water alarm (Y/N) Date of pumping Tank size IOc'o ~'~I Compartments Foundation cleanout (Y/N) Y' Depression (Y/N) N, &, Alarm tested (Y/N) N, i~1./~. (.. ~.4¢u) Pumper N. SEPARATION,DISTANCES FROM SEpTIC/HOLDING TANK TO: Well(s) on lot ' IOE"' .... 0n adjacent lots '7~ Ioo' To property line ? -/~ ' Absorption field Surface water/drainage :> ~o~ Foundation / '7' Watermain/serviceline ;> ~,~" 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION N, A-. Date installed ; Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION 'DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed 7 lit / ? ~ Length / I ~¢' Width Total absorption area ~ 7o m' Depress!on over field (Y/N) /'4 Results (pass/fail) N./~, Peroxide treatment (past 12 months) (Y/N) N SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot [~J" On adjacent lots ~. coo' To building foundation Surface water Soil rating O. ,~ ~,,~t.~l.Ft ~ System type Gravel thickness Cleanouts present (Y/N) Date of adequacy test for If yes, give date Property line To existing or abandoned system on lot $' ,.,-,~'~, ~___.Zr~ Total depth 3, bedrooms On adjacent lots ~, .?o ' Surface water ;:> ~oo° Curtain drain N, ,4, Cutbank N,/~, Water main/service line Driveway, parking/vehicle storage area 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 ~r'~T'-~ Engineer's Name Date /41~-~ ~ HAA Fee $ /~.~ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21