HomeMy WebLinkAboutCOTTONWOOD HEIGHTS BLK 2 LT 1
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:
Name: ~'c ~=r~ T~ ~ ~=~ Wastewater System: ~ New ~, Upgrade
Address:~ 7~ ~ C~ ~,-', - ABSORPTION FIELD
Phone: ~ No. of Bedrooms:
~--~ ~/I ~ 'DDeepTrench ~hallowTrench DBed ~Mound bOther
LEGAL DESCRIPTION ~o,, Rating: Total Depth from original grade:
Lot: Block: Subdiv~ion: Depth to pipe bo~om from original grade: Gravel depth beneath pipe
Township: ~ Range: ~ S~tion: Fill added above original grade: Gravel length:
I
WELL: ~ New ~ U pg rade Gravel width: ~ / Number of lines: I Distance ~n lin~:
Clarification (Private, A,B,C): Total Depth: Cased To: ~Total absorption area: Pipe material:
Driller: Date Drilled: Static Water Level: Installer: Date installed:
SEPARATION DISTANCES ~S;ptic : Holding ~ S.T.E.P.
To SeDtic Ab~tion Lift Holding Publi~Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines
Matefiah Number of Compa~ments:
Sudace
Lot ~ ~/~ Size in gallons~facturer:
Location and Description:
Elevation:
, Ft.
ENGINEER'S SEAL
Depadment of Health and Human Se~ices approval
Reviewed and approved by:
72-013 (Rev. 9/91) MOA 25
Permit No. of 2
8W970366 Page 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196658 Anchorage, Alaska 99519-6658 Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: COTTONWOOD HEIGIHT$ LOT 1 BLK 2
PID No.: 05143101
S 89'56'13° E
310.00
.... .58ring. ~unoj,.L outfall of
--~ Spring
Water
Seepage
oeA,e
o~eos within
10' of drive
(
SWING TIES --s. ~,,.t,.,.th
A- C = 4,:3.4' NO ELLS OR
B-C = 26.2' s[P~CS,/
A-D = 42.3'
B-O = 41.5'
I000 ?.,,AL
lOUSE
LOCATION
Well
Power
Pole
310.00
S 89'56'13' E
aa - TEST HOLE
o - MONITOR TUBE
o - SEWER CLEANOUT
+ - WELL
~ - LEACHFIELD
EASEMENT
ELEVATIBNS
(NOT TO SCALE)
~ SE LOT CORNER MONUMENT
~ ASSUMED ELEV [] 168.77
ORIGINAL
GROUND
I LEVEL AT,
1' ~DED FILL ~ lO~.~
2~
100.00
91.8
SCALE 1"=50'
10/28/98
Permit No. SW970366 Page 2 of 2
P.O,
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVIGE$ DIVISION
Box 196658 Anchorage, Alaska 99519-6§58 Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: COTTONWOOD HEIGHTS LOT 1 BLK 2
PID No.: 05143101
S 89'56'13' E \
310.00
~2ring.. Runo_~ outfell ot
~ '--~Sprin9
w~ter
Seepage
r~
SWING TIES
Insulate
m~s uithin
10' of dri~
A-C = 43.4' NO WELLS OR
B-C = 26.2' s[P.cs.t +2o0'
A-D = 42.5' /
B-D = 41.5'
1000 GAL
TANIC
'IOU5P_
LOCATION
Well
Power
Pole
310.00
S 89'56'13' E
m - TEST HOLE
o - MONITOR TUBE
o - SEWER CLEANOUT
'~' - WELL
-- - LEACHFIELD
EASEMENT
ELEVATIONS
(NOT TD SCALE)
107.5'~ TANK
SE LOT CORNER NONUNENT
ASSUMED ELEV = 16E.77
--I
ORIGINAL -4
GROUND ~
LEVEL AT, O
'"
too. DO
8 9I.E
SCALE 1"=50'
10/28/98
Rick Mystrom,
Mayor
Municipality of Anchora ge
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
343-4744
October 16, 1998
Richard W Thornton
PO Box 770355
Eagle River, Alaska
99577 0355
Subject: Lot t Block 2 Cottonwood Heights Subdivision
Permit #SW970366, PID #051-431-01
The subject permit, issued October 14, 1997 by this office for a
single family well and/or on-site wastewater system, has
expired as of October 14, 1998.
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. Ail 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.
On-site Services
enc: Copy of Permit
cc: Eagle River Engineering Services
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:SW970366
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:THORNTON, RICHAED W.
OWNER ADDRESS:P.O. BOX 770355
EAGLE RIVER, ALASKA 99577
DATE ISSUED:10/14/97
EXPIRATION DATE:10/14/98
PARCEL ID:05143101
LEGAL DESCRIPTION:
COTTONWOOD HEIGHTS BLK
2 LT 1
LOT SIZE: 46500 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
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 (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 ) (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:
Eagle River Engineering Services
Louis Butera, P.E. 6q¢- '
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694~3297 fax
August 15, 1997
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re:
Cottonwood Heights Lot 1 Blk 2
Narrative & Permit Application
Dear Mr. Cross:
The proposed septic system
following reasons:
1.
2.
3.
4.
will have very limited impact on adjacent properties for the
The surrounding lots are large, allowing sufficient room for septic sites.
Immediate neighboring septic systems are all +30' distance.
Reserve space is adequate, due to absorption capacity.
Drainage will not be affected and is not a major consideration in our design.
The installation of the leachfield will require the culverting at a small spring that is located
within the required 100' setback distance to surface water. The spring is a minor feature and can
be effectively placed underground by installing the perforated culvert which is detailed in our
design submittal.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\1997\97-059-N~d~
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195
Eagle River, AK 99577-3294 (907) 694-3297 fax
LEGAL:
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
Cottonwood Heights Lot 1 Blk 2
8/12/97
A. GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage
Department of Environmental Conservation requirements.
Department of Health and State
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. It is always recommended that a surveyor locate the nearest lot line position and the location of any
easements.
9. Any remaining open test hole excavations shall be filled.
B. SEPTIC TANK
1. Septic tank shall have a minimum capacity of 1000 gallons and be of approved MOA design.
C. TRENCH
1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom.
2. The bottom of the trench shall be level, plus or minus 1.5".
3. The total depth of the trench excavation is not to exceed 6.5' at any point.
4. The effluent line within the trench shall be laid level within 0.03'.
5. The trench gravel is to be covered with typar fabric material.
6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed
over the leachfield.
7. The area over the trench is to be finish graded to prevent ponding of surface water runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 6.5' GRAVEL DEPTH = 3.5' under pipe, 2" over pipe
TRENCH LENGTH = 40' TRENCH WIDTH = 5'
SOIL RATING = 1..2 GPD/ft2 BEDROOM CAPACITY -- 3
SEPTIC TANK = 1000
Twenty-four (24) hours notice required for all inspections.
\1997~97-059-spc
LEGAL DESCRIPTION:L/e~Le~ ~/'e,~.
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2O
: COMMENTS
/. Muni~ipallty of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L". Street, Anchorage, .Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section:
SLOPE
WASGROUND WATER
ENCOUNTERED?
SITE PLAN
S
IF YES. AT WHAT ':'i
DEPTH? ' p
E
Oepth to Water?,Nt~r'-c-
MoniWing? Oat~ ~ -//~
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
(minutes/inch) PERC HOLE DIAMETER
FT AND ~ FT
~:: PERFORMED BY: CERTIFY THAT THIS TEST WAS PERFORMED IN
"ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; ¢:~- / ~' ~ ~ '~ (Rev. 4/85)
PERFORMED FOR: O~' ¢~ ~
LEGAL DESCR I PTION: CO ~[O~e~
4
10
11
12
13
14
19
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE
JJa ,'~4-$ /~/-- ~ I~lJ¢ ~Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
IF YES. AT WHAT t O
DEPTH? p
E
Depth to Water Alter
Monitoring? ~ ~' t¥'3~ Dale:
SITE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
't t 7.. '~2~ ~- ,,,,, ,";5' ~" I ~4
.ERCO'ATION R^TE
{minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN
FT AND 7 FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES tN EFFECT ON THIS DATE. DATE:
CERTIFY THAT THIS TEST WAS PERFORMED IN
72-008 (Rev. 4/85)
EAGLE RIVER
ENGINEERING SERVICES
· P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 97-059
Calculated By: LB
Date: 8/16/97
Legal: Cottonwood Est. Lot 1 BIk 2
Single Family 3 Bedroom Dwelling
TEST HOLE 2
Shallow Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 450 gallons
Percolation rate = 5 minutes per inch
Wastewater application rate = 1.2 gallons per day per square foot
Required absorption area = 375 square feet
Trench width (W) = 5 feet
Gravel depth (D) = 3.5 feet
'Required length = Shallow trench factor * Required absorption area / W
Shallow trench factor = (W + 2) / ON + 1 +2 D)
Shallow trench factor = 0.54
Total Excavation Dept/~ = 6.5 feet
Required length = 40 feet
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DOC Co. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
OWNER OF LAND
^°°.ESS
LEGAL DESCR,PT,ON
PERMIT NUMBER ~0~ Date of Issue
T~ INDENTIFIGATION NUMBER O~/ - ~/
~'es [~ No
cable tool
· ~ inches
o~ "0 feet
Is well located at approved permit location?
Method of Drilling: ,~ rotary
Depth ofwelh / O~
Casing Type ~Wall Thickness
Diameter ~, //' inches, depth
Liner Type: /~ ~3,,d ~
feet
feet
gpm
Casing Stickup Above Ground:
Static Water Level (from ground level):
Pumping level: feet after hrs. pumping
Recover Rate: ~) gpm
[] Open End [~l'Open Hole
feet Stopped feet
.fqet,~Stopped feet
feet, to ~
Method of Testing:
Well Intake Opening Type:
[] Screened; Start
[] Perforations Start
Grout Type:
Depth: from
Pump Intake Depth:
Pump Size .hp Brand Name
Well Disinfected Upon Completion? . O Yes {;},'No
Method of Disinfection:
Comments: ...
feet
feet
BORE HOLE DATA
iDEPTH
Driller's Name
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Mi~icipality
of Anchorage: DeP~tment of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of EnVironmental Conservation.
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak, us
July 8, 1999
Richard Thornton
PO BOX 770355
Eagle River, AK 995770355
Subject:
COTTONWOOD HEIGHTS BLK 2 LT 1
Permit # SW980294 PID # 051-431-01
The subject permit, issued 8/11/98 by this office for a single family well and/or on-site
wastewater system, is due to expire as of 8/11/99.
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.
A new permit must be obtained from this office for a well and/or on-site wastewater
system NOT installed by the expiration date. However a new permit can be issued free of
charge for a second year if the application for the renewal is received on or before the
date of expiration of the original permit for which a fee was paid.
When applying for a new permit after the original permit has expired or for more than a
second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well
permit.
If you have any questions, please call this office at 343-4744.
Sincerel
James Cross, PE
Program Manager
On-site Services
enc: Copy of Perrnit
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: Aug 11, 1998
Expiration Date: Aug 11, 1999
Permit Number: SW980294
Legal Description: COTTONWOOD HEIGHTS BLK
Design Engineer: ~
Owner Name: Richard Thornton
Owner Address: PO BOX 770355
EAGLE RIVER, AK 99577-0355
2LT 1
Parcel ID: 051-431-01
Site Address: 016013 PARKSVILLE DR
Lot Size: 46500 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
~-~ Disposal Field [] SepticTank [] Holding Tank ~-~ Privy
Private Well
~//'~ater Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Date:
DRIVE
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N 0~16'15,9"W 150,~ (R)
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