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Home My WebLink AboutCOTTONWOOD HEIGHTS BLK 1 LT 21 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~.~t.A '~ ~o'z~? PID Number: CE; i - ~ ~i Name: p~... ~Nt~. LU~O~ Wastewater System: ~ New ~ Upgrade Address: ~ ABSORPTION FIELD Phone: [ No. of Bedrooms: ~ ~DeepTrench ~ Shallow Trench D Bed ~ Mound D Other LEGAL DESCRIPTION sci, Rating: t. ~ GPD/Sq. Ft. Total Depth from o~i~al grade'. Subdiv~ion: Depth to pipe boEom from original grade: Gravel depth beneath~ ~ot: ~ ~[oc~:~ C~'r~~ H~I~T~ '~ ~t. Township: I Range: [Section: Fill added above or.inal ~rado: Gravel length: Number of lines: Distance between lines: WELL: ~,5~New ~ Upg~ Gravel width: ~ Ft. i ~ Ft. Classificat~n (Private, A,B,C): ~ Cased To: Total absorption area: Pipe material: ~t~ ~ ~ ~ Ft. Ft. ~OO SQ. Et. ~ ~*- Driller: ~ Date Drilled: Static Water Level: Installer: Date installed: ~ [ Pump Set at: ] Casing Height Above Ground: ~,~ ~,. ~. TANK SEPARATION DISTANCES ~ Septic ~ Holding ~ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~O~ ~ ~ [ ~ WelP i~~ i~O~~ ~ ~ ~ Material: ~.~ Number of C~pa~ments: Surface Water loot+ i¢,~ .... -- LIFT STATION Lot I~ I Size ~n gall°nS: I Manufacturer: Line ~ .- ~ ~ -- Foundation ~ & ~1~ ~ ~ ~ "Pump on" level at: ~: I High water alarm at: Cu~ainDrain N~ ~.~, j~ ~ P~ [ Electrical Inspections pedormed by: Remarks: BENCH MARK Location and Description: Assumed filevation: Inspections peflormed by:s&s ~N~IN~RIN~ Dates: 1st q '~ff-q~ 1 '~~ 17034 Eagle River Loop Roa~, No. 2~ ', ' Department of Health and Human 6e~ices approval ~ ~x. /:~ ~.~ .. ,~, Reviewed and approved by: I ~ Date: 2 -24 -gX '~',~.~' 72-013 (Rev. 9/91 ) MOA 25 SW950297 2 2 Permit No. 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:LOT 21, BLOCK 1, COTTONWOOD HEIGHTS S/D PIDNo.: 051-431-12 FCO 33.0' 4.0' ST1 50.0' 37.0' ST2 54.0' 45.0' DBL1 56.5' 46.5' DBL2 57.5' 48.5' C01 76.0' 76.0' C02 82.0' 67.5' ////-ALT. ~[TE MT1 75.0' 75.5' co~ I ST2 I / III I" ~NE~ TRENCH~ co~ .~ NEW 10(t0 GA ~1 SEPTIC TANK~ , Cdt = 82.6; C0~8 - 8~.9 / STI ST2 FINAL GRADE ~ ~000 ~AL ~ CO~ SEPTIC . C02 79.0~ · =............~ 68.0 B.O.H. 72-013 A (Rev, 9/91) MOA 25 er ifiei rilling by DOC Co, (:lb:, SULLIVAN WATER WELLS P.O. SOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 OWNER OF LAND ADDRESS / ~,' /? '/, ' LEGAL DESCRIPTION ~" ?) DATE - Started PERMIT NUMBER ) GALS. PER HR KIND OF FORMATION: From , .,. Ft. to ,. From ~'~ Ft. to ..)a" Ft. From ,~' Ft. to i J":¢,.Ft. From .,~ ,.. ,., /~,~..'. From ,~¢ t, o Ft. to _7 ~ ::~Ft. &-)/~ ~ C;. t; F~.)4 From.. to/'),:~ ~ .Ft. l~,'z.?2 ,}C_ ~' -(" . (C~2 .Fr°m. toZ_, Ft. ~,>,.7~/4 ¢~-, ~- ~'~ ~::~_ From From ,'~>.:~0 Ft, From '-~/~ UFt. From__ Ft. ?,% 'i' .Ft. From<~- From ,,,) o "-:? ... Ft. From (~-~'~) - Ft. From ...... Ft. to ........ Ft.,. . .i .... :~ From Ft. to .Ft. From Ft. to Ft. From~Ft, to ..Ft. From__Ft. to .Ft. From_~_Ft. to.~Ft. MISCL. INFORMATION: ,.Ft. to~.Ft. .... Ft. to Ft. Ft. to .. Ft.. Ft. to ' Ft, FL to . , Fl Ft. to ,_ Ft.~ Ft. to Ft. Ft. to _Ft. _Ft. to.~Ft. .Ft. to ,Ft. .Ft. to Ft. From Ft. to.~_Ft, From Ft. to. _Ft From From DRILLER'S NAME 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 1 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT2 PERMIT NUMBER:SW950297 DATE ISSUED: 9/27/95 DESIGN ENGINEER:S & S ENGINEERING EXPIRATION DATE: 9/27/96 OWNER NAME:LUEDTKE PAUL M OWNER ADDRESS:16128 PARKSVILLE DR ANCHORAGE, ALASKA 99516 PARCEL ID:05143112 LEGAL DESCRIPTION: COTTONWOOD HEIGHTS BLK 1 LT 21 LOT SIZE: 45037 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION 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 (18AA072) AND DRINKING WATER REGULATIONS (18AAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DATE: DATE: 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 WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940356 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:LUEDTKE PAUL M OWNER ADDRESS:P.O. BOX 100151 DR ANCHORAGE, ALASKA 99510 DATE ISSUED: 9/21/94 EXPIRATION DATE: 9/21/95 PARCEL ID:05143112 LEGAL DESCRIPTION: COTTONWOOD HEIGHTS BLK 21 1 LT LOT SIZE: 45037 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS ISSUED BY:_~/~-~// DATE: DATE: 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:SW930352 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:LUEDTKE PAUL M OWNER ADDRESS:P.O. BOX 100151 ANCHORAGE, AK 99510 DATE ISSUED: 9/10/93 EXPIRATION DATE: 9/10/94 PARCEL ID:05143112 LEGAL DESCRIPTION: COTTONWOOD HEIGHTS BLK 21 1 LT LOT SIZE: 45037 (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 (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: [,_ 0 k_A-] · DATE: ~.~./~ DATE: ROBERT SHAFER, P.E. ROGER SHAFER, P.E. September 2, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, AK 99519-6650 REFERENCE: Cottonwood Heights Subdivision, Block 1, Lot 21 We request you issue a Dermit to drill a well and install a seDtic system to serve the DroDosed three bedroom house on the referenced proDerty. A test hole was excavated and a percolation test performed on the referenced property. The approximate location of the test hole is located on the attached site plan. The monitoring tube within the hole has been checked and found to be dry. This property has enough area for a future septic upgrade, which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. ROAD DESIGN for your review, I Since~ly, SOIL TEST ~ PERCOLATioN~O]~)ert A. Shafer, If you have any questions, or require additional information please contact us. P.E. STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSALSYSTEM DESIGN RAS/LSU/lsu i 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 40' SITE PLAN SCALE ~ PARKSVILLE rq z DRIVE b'~ ~ O,---3 Z---t :~ -o 0 © O~ z%~ z~ ~ o~ O~ m 0~ Z~ 0 o~=~ ~ 0~ °¥S z~z zo O~ ~ z Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~"~(/~..( _ !--~ bT ~---E- DATE PEF~ LEGAL DESCRIPTION'. v~(')~,2('.Vt/~/(~J[:) ~"~_ / L~//~/T°wnship' Range, Section: SLOPE 1 2 3 4 5 6 7 8 9 10 11 12 13 WAS GROUND WATER ENCOUNTERED? 14 ¥)o,C), 15 16 17 18 19 20 SITE PLAN S L IF YES, AT WHAT ~ O DEPTH? P E Depth to Water After Monitorino? 4/~ Date: ~ ~ / ~ q~- Gross Net Depth to Net Reading Date Time Time Water Drop ~'.10 f~ ~ 1~4'" ~ ;. ~ ~ S ~l~'' ~ v~ " ;'~ g ~'1~" l ~" : ~ % ff q~" I.V~"' PERCOLATION RATE q (m~nutes/mch) PERC HOLE DIAMETER 't~ ! r , TEST RUN BETWEEN ~ ~-- FT PERFORMED ~~,~ ........ I ~ GERTIFY THAT THIS TEST WAS PERFORMED IN 72-008 (Rev. ~z85) ~ ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES an~ MATERIAL SPECIFICATIONS REFERENCE: Cottonwood Heights Subdivision, Block 1, Lot 21 GENERAL: 1. o o The scope of this project includes the installation of a 1000 gallon septic tank and a leachfield trench to serve the proposed three bedroom residence on the referenced property. 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 owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. Page Two Cottonwood Heights Subdivision, Block 1, Lot 21 September 1, 1993 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 ft. 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 that a positive slope exists away from the septic tank. ABSORPTION TRENCH/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 and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page Three Cottonwood Heights Subdivision, Block 1, Lot 21 September 1, 1993 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally 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 ASTM D3034 (PVC ASTM F810 (HDPE ASTM D2662 (ABS Yes Yes Yes Yes Yes No Yes Yes Use of a type of pmpe 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, Fernco, or equal). o 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. Ail 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, it's gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Cottonwood Heights Subdivision, Block 1, Lot 21 September 1, 1993 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 backfilled 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 of any other backfill. o The final inspection is to occur upon final grading of the 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 is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre- construction meeting will take place on-site. O 8- E GEOTECHNICAL ~ DEVELOPMENT CO. Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 688-2280 Soils 8' Foundations Land Development SOZL LOG Perfomed for: Name: , :' ', ,':- - ~- ,,-'~ ~,\.~ ~,~,::~ Tel. No. Depth (feet) Sol] Char~cterlst~c~ 0 3 4 5 lO ll __ No ~ If yes, what depth Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: Performed by: