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Home My WebLink AboutT12N R3W SEC 33 LT 78 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · An.chorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~H/qB~Izl~ PIDNumber: ,¢lE-/j'-io~ Name:~'/, .,~"U pg rade ~ ,/Z,~,,r~) Wastewater System: D New Address: Phone:,¢~ --~-- ~.~ ~o.o, 8~rooms: ~DeepTrench ~ Shallow Trench ~ Bed ~ Mound ~ Other Total Depth from original grade: LEGAL DESCRIPTION Soil Rating: ¢ ¢ GPD/Sq. Ft Lei Block: Subdivision Derh to pipe bottom from original grade: Gravel depth beneath pipe Township: ~ I Range: I Section: Filladdedaboveorigi.algrade:Oravellength:~¢ WELL: ~,'d,'~ , Number ol lines: I O~st&nce belween ~[nes: ~ New ~ Upgrade ~ Gravel width: ~ Ft I - ~- Ft. SEPARATION DISTANCES ~ptio u Holding ~ S.T.E.P. Well I ¢%' I Zz' /~ /~ /a~ ¢ Material: ~ T~Z Number of Compartments: Surface w~t~, */~' +t~' [ ~/oo' LIFT STATION Lot / Size in gallons:~ Maflufac~urer: z ~ ~a[ ~ High water alarm at: Foundation ~ / ~ / ~_ 'Pump Oh"level at: .... : ENGINEER'S SEAL Department of Health and Human Services approval 'f,~N c~,~7~ 72-013 (Rev 9/91) MOA 25 Permit No, SW980149 Page 2 of 2 Vunicipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519 6650 Telephone: 345 .4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Lot 78 T12N R3W Sec, 33 ......... PID No.: 01825107 SWING TIES / / A-D = 26.0' SCALE 1' = 60' 329.34' 8/14/98 N 89059' .' 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 ¢07) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 04, 1998 Expiration Date: Jun 04, 1999 Permit Number: SW980149 Design Engineer: 0024 Eagle River Engineering Services Owner Name: Greg Morris Owner Address: 2840 E 144TH ANCHORAGE , AK 99516-3918 Parcel ID: 018-251-07 Legal Description; T12N R3W SEC 33 LT 78 Site Address: 002840 144TH AVE E Lot Size: 108900 SQ. FT, Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [¢'! Disposal Field i¢! Septic Tank [~ Privy ~ ] Private Well Holding Tank 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 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. 5. The following special provisions. Old system shall be abandoned in place Date: Date: Eagle I iver P.O. Box 773294 Eagle I,}iver, AK 99577-3294 Engineerin Louis Butera, P,E. ervlce s (907) 694-5195 tot (907) 694-3297 fax May 20, 1998 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Lot 78 T12N R1W Sec 33 Narrative & Permit Application Dear Mr. Cross: The proposed septic upgrade will have very limited impact on adjacent properties for the following reasons: 2. 3. 4. The surrounding lots are large, allowing snfficient 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. If you have any questions please call our office at 694-5195. Sincerely, Lonis Butera, P.E. RECEIVED IvOrY 2 0 1998 MuNICIPALIIY OF ANCHORAGE :NVIRONMENIAt SERVICES DIVISION \1 )97\98-029-NAR.DOC ~ ~Seppc ~ - TEST HOLE · - MONITOR TUBE o - SEWER CL~NOUT ~ - WELL NO SURFACE WATER ~SEMENT PROPOSEB L~CHFIELD NO KNOWN CURTAIN DRAINS ~- EXISTING L~OHFIELD LEGAL: Lot 78 T12N RSW Sec 55 CONTRACTOR: N/A .... ~.749 TH ~ / JOB~ 98-029 DATE: 5/8/97 ~ SCALE 1" = 60' ~~ EAGLE RZVER, AK. 99577 (907) 694-5195 FAX.. (907) 694-3297' EAGLE RIVER ENGINEERING SERVICES P,O, Box 773294 Eagle River, Alaska 99677 (907) 694-5195 ERES Project No.: 98-029 Calculated By: LB Date: 5/8/98 Legal: Lot78T12N R1W Sec33 Single Family 4 Bedroom Dwelling TEST HOLE Deep Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 600 gallons Percolation rate = 10 minutes per inch Wastewater application rate = 0.8 gallons per day per square foot Required absorption area = 750 square feet Trench width (W) = 3 feet Gravel depth (D) = 5 feet Required length = Required absorption area / 2 / D Required length = 750 / 2 Required length = 75 feet Total Excavation Depth = 8.0 feet / 5 98-029.xls 1:55 PM5/8/98 PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST i~, Louis A. Butera ,',~, ~ :~ .,,"~ DATE PERFORMED: ~' ~-*~' ?& Township, Range1 Section: ?-/2- ~/ /('3~-' ~"~ .~ 1 2 3 4 5 6 7 8 9 10 11 12 14 15 16 17 18 19 2O COMMENTS SLOPE SITE PLAN I IIlllll lll WAS GROUND WATER ENCOUNTERED? lDO S L IF YES, ATWHAT O DEPTH? p E Depth to Waler After ,~ Monitoring? ~r? Dale: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE / ~ (minutes/tach) PERC HOLE DIAMETER °~' // TEST RUN BETWEEN ~/"~' FT AND ~ ~','' FT PERFORMED BY: 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: '~ ~-'Z~'~ -¢;oE Ea 'le I(iver ] n ineerln Services Lmds Butera, P.E. P.O. Bo,: 773294 (907) 094-5195 t~l H~lo 1~,,~,-, ~\K 99577 3294 (907) 694 3297 fax LEGAL: SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM Lot 78 T12N R1W Sec 33 5/20/98 A. GENERAI. 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 tile Anchorage Department of Health and State Department of Enviroomental Conservation reqairements. 4. All soil tests are advisory to tile design and are to be verified or lnodified ill 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 Eavironmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any a4jaceat molti-fanlily wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation reqoires engineer approval. 8. It is always recommended that a surveyor locate tile nearest lot line position and tile location of ally easelllents. 9. Any remaining opeo test hole excavations shall be filled. B. SEPTIC TANK 1. Septic tank shall have a minimum capacity of 1250 gallons and is to be of MOA approved design. C. TRENCI 1 1. The trench is to Follow the natural land contour to maintain uniform total depth of the trench bottom. 2. Tile bottom of the trench shall be level, plus or ~ninus 1.5". 3. Tile total depth of tile Irench excavation is not to exceed 8' at any point. 4. Tile sewer line is to replace tile existing sewer line that leads to the existing pit. Tile effiuent line within tile 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 insalation to a depth of 3' or equivalent is to be placed over the leachfield. 7. Tile area over tile 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 ally Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH - 8' GRAVEL DEPTH 5' under pipe, 2" over pipe TRENCI-I I,ENGTH = 75' TRENCH WIDTH 3' SOIL RATING 0.8 GPD/ft5 BEDROOM CAPACITY - 4 SEPTIC TANK 1250 Twenty-four (24) hours notice required fol' all inspections. \1997\98-009-spec.doc To: Municipalily of Anchorage 8/3/98 I intend Io inslall ti new septic %,slem and water linc on my properly here in Anchorage. 2840 East 1,[4 Ih. Arc. Anch. Mc l.o! 78 TI2N R1W Sec. 33 Permit l~ 8W980149 QualiS~clions: 1500 lh's. Backhoe Install septic syslems in bush Alaska Iocalions 1984 - 1990 I will inslalI this system per Mmfi, and D.E.C. spccificalions. I also will have Ihis work inspected by lhe engineering service that designed the system, as required. GR ER~ANCI~IORAGE AREA BOROU DEPARTMENT OF ENVIRONMENTAL QIJALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM LOCATION MA~LJNG ADDRESS ~/~/~ / ~'j. ,~ -,'/~ PHONE SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY NUMBER OF .,~ MATERIAL_,~'/~.F2(?].'~_ ,g~ J-cc'£ COMPARTMENTS GALLONS. INSIDE LENG~tt INSIDE WlDflt -~ DEPffl ~ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS_. / OUTSIDE DIAMETER LINING MATERIAL NEAREST LO[ LINE ,--- OR WIDTH~L_Z /'~'' LENGTH~/7~_~-I , DEPTH /2 · ~.~o/~, DISTANCE FROM WELL //~ ...... BU L ) NO FOUNDATION~/PI'~-.~ IOIAL EFFECTIVE ABSORPTION AREA (WALL AREA}~.~~'~ ' SQ. FL TILE DRAIN FIELD: DISTANCE FROM WELl FOUNDATION. NDMBER OF lINES .. DISTA.~LC~'BET~,'VEEN LINES ABSORPTION AREA ~ ~ SQ. FT. LENGIH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE TRENCH WIDTH DEPTH OF FILTER MATERIAL BENEATH fILE _ LOTAL LENGTH · OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE__ WELL: TYPE!/,fl)~V ~P46Le,b~ , DEPTH /~c~ ' NEAREST SEPTIC LOT LINE ~' ~ , SEWER LINE .... TANK DISTANCE FROM WATER ~'~N ~.O~ SAMPLE BUILDING FOUNDAIIu ,~__ ~__~ ..... ' ~.~. / SEEPAGE , SYSIEM //'~$' , CESSPOOL ~/~/L:/: NEAREST OTHER ., SOURCES DIAGRAM OF SYSTEM DISTANCES: DATE 0 ~Z/}~. ,/2J2 /~/ Tm/~ APPROVED GREATER ANCHORAGE AREA BORudGH DEPAR'rMF-NT OF ENVIRONMENTAL OUALIT¥ 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLAT[ON LOCATION MAILING AddreSS COM~ LETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACI(FILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE ~UDJECT TO PROSECUTION. FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PET SEPTIC TANK TO SEEPAGE PIT WALL MINIMUM DISTANCES, REQUIREMENTS / WE._ TO SEPT,O TAN DRAIN FIELD /O5'" WATER MAIN TO SEPTIC TANK DRAIN FIELD -- SEPTIC TANK, -- SEEPAGE PIT TO RIVER, LAKE. STREAM SEEPAGE PIT , DRAIN FIELD .... CAST~I ¢J~_[~J~_~AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. FITTED WITH AIRTIGHT REMOVABLE CAPS GRAVEL BACKFILL CONFORM TO B O R?(~'~k~. %;~ I//~ U L/;IONS~]/~REGARDIN. G/; INSTALLATION. DIAGRAM OF SYSTEM ] CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-88 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ,? ;,*'/[/7 ) / / topsoil inter,faded GM Silty, sandy gravel (225) m~d ML Silt~ fine saud (2'75) 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 Completelegaldescription L~'7- ~' '7-/~×p/ ~ ~/ ~c, ~ Location (site address or directions) Property owner ~/'~q "~/'-'"~" ~ Day phone Mailingaddress 'Z'Y-~/O /£- [qV//r ~.e. , Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 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. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~325 {Rev. 1/91) Front MOA ¢21 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 R fl 8o× 7732Dd Phone ~aCe River, AK 99577 Address 694-,filR5 Engineer's signature ~~ i'"=- Date DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. 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 representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to pu rchesers 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. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval CheCklist A, WELL DATA Well type ~J'~',~ T¢ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) //~ Date completed Total depth /~ t~'a~ ~-?a,~r'JCased to ~ Casing height (above ground) Sanitary seal (Y/N) Y~ Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test .~/A ~' -/~'.~ ~ Static water level / c/~?. o/' Well production ~J' g.p.m. __ ''P ~' '~ g.p.m. WATER SAMPLE RESU.~: Coliform Date of sample: Nitrate ~. / ~ t./ ___ Other bacteria B. SEPTICIHOLBING TANK DATA~/'~'~/ .~7,r~,,~/~//./l;y~.'r~,~,) Y~, Date installedT-~'~-z¢-~Tank size IZ~o~l~,,~ Number of Compa~ments~/~ Cleanouts ~/N) ~/I Foundation cteanout (Y/N) ~c~ Depression ~/N)~¢~' High water alarm (Y/N) ~ ~ ~ D,e of Pu~i'~n; ~'~,';';;;~" Pumper ~ ~ -- C. ABSORPTION FIELD DATA ' a '~t II ~ oo,,radng (g.p.d.lff~orff~/bdrm)~'~'~ System~pe'~'~b /~/~ Length'~k:~ ~ ~(, width ~"I) ¢',. Gravel thickness below pipe:~' y~i f~al depth ¢,' :~' ~ Effective absOrption ~ . ~ Monitoring Tube present ~/N~ ~ Depression over field (Y/N)~/~ ~> Date of adequacy test ~A~:~ Results (Pass/Fail) ~; For ~ bedrooms Fluid depth in abso~tion field before test (in.); ~A Immediately after ~gal. water added (in.):. ~ Fluid depth . ~ (ins) Minutes later: ~ Absorption rate = ~ g.p,d. Peroxide treatment (past 12 months) (Y/N) ~ If yes, give date ~ 72-026 (Rev. 3/96)* D. LIFT STATION ,,~o ~.~_- Date installed ~~Size in gallons~ ~ -'" Manhole/Access (Y/N~~t* ~ --"Pump off" level at* Hic~tS-----~~~*Datum E. SEPARATION DISTANCES l~/ SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot [~-¢-// o/~'/(/?~'~ ~ ?9) Absorption field on 1ct /~. ~ Public sewer main --/1/,'~ -- Sewer/septic service line ~4)':Z On adjacent lots ~-/~O / /~/Oo / On adjacent lots +/¢'¢' //~-/~, ~ Public sewer manhole/cleanout ~--A,f~ ~ Liffstation '-- ,/[/.,4 - SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: . ~j- //.,*-~ ~Z~_'~'d / ~'~¢' //Z/~ Foundation ~/~/~7~ Propertyline /~, /'~Ji~¢;;~' Absorptionfie[d ~ Water main/service linet~¢~/~z'¢ ~ Surface water/drainage /f/-~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Propertyline /2~///~-'z~' Building foundation /~//~ Water main/service line Surface water ./[//¢ Driveway, parking/veh c e storage area. Curtain drain /1/~ Wells on adjacent lots +/'~ ' /¢'/~" F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal in conformance with MOA HAA guidelines in effect on this date. HAA Fee $ ~J~'~, C~{ ) Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)*