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Municipality of Anchorage Page / 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: ~$'~' ? EO~O ~' PID Number: O~o~ ¢//-
.ama: ,¢./~.'/. A40~ ~ ~ Wastewater System: ~ New ~ Upgrade
*~'~: ~ o. ~ ~o~ ~e ABSORPTION FIELD
Phone: ~-~O/~ I N°'°fB~r°°ms: ~ Deep Trench ~ Shallow Trench ~Bed ~'Mound D Other
Total Depth from original grade:
LEGAL DESCRIPTION ~o,,~,~: O, ~ ~/s~.~. /'(+~
Lot: Block: Subdiv~ion: )epth to pipe boAom from original grade: Gravel depth beneath pipe
~V ~ ~ ~ I.~ .~. o.~ ~.
Township: I Range: ~ Section: ~ added above original grade: Gravel length:
/¢~ / ~/ ~ ~ 5',. 7 Ft. EO ~.
Number of lines: ~9istan~be~niines:
WELL: ~ New ~ Upgrade ~rave~width: ~ Ft. ~ ~ Ft.
Clarification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Dat DrXled: StaticWater Level: installer: Date installed:
Yield: Pump Set at: TAN K
O, ~ GPM ~/ZWO ~J W Ft. ~ Ft.
SEPARATION DISTANCES ~ s~mio u Ho~m~ ~
TO Septic Absorption Lift Holding ~ublic/P¢ivate Manufacturer: Cap~clty in gallons:
From Tank Field 'Station Tank SewerLines ~Hg~Gd ~/~ /~ ~0
Sudace
w~t., /oo'/ /oo~ LIFT STATION
Lot si~ ~. g~,o,s: I u~*tu~*r:
Line /O ~ /O ~
Fou.dation ~¢' :0' / ~ "pump on" level ~~' level at:
Drain
BENCH MARK
Remarks: ~ ~/~ ~r~ ~¢~ ~M~¢~,/~ ~ ~ 4 ~ ~ ~a
Location snd Description:
A~um~ Elevation:
/dO Fl,
17034 Eagle River Loop Road, No. 204 ["~"'~/¢~"~
Inspections performed by: Eagle give.: Al..b~ ~PS~ Dates: 1st /~' g;' ~ ~;.~' Y/~/~ ,~.:.~,-g~..--..;'
Depa~ment of Health and~u~an~e~ces approval ~ ,~.~? ~'" ............
Reviewed and approved by: ~~ ~ Yd~ Date:/Z'Z~-?~
7e-013 (Rev. 9/91) MOA 25
P~RYlT NO SW980,308 PACE 2 OF 3
MunicipoAi't oF Anchor'o.c]e
DEPARTMENT OF HEA~THAND HUH'AN SERVICES
ENVIRONMENTAl SERVICES DIVISION
P.D, Box 196650 eAnchor~ge, Aklsku 99519-6650eTe[ephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEOA[~ T14N, RlW, SEC. ,3,3 E2NW4 & W2NE4
P.I.D. NO. 050--411--02
MT1
TH
· C01
CO:]
C02
-NEW BED
DBL1
DBL2
~NEW 1250 GAL.
SEPTIC TANK
TRACT g
D3M S/D
40.045 ACRES
WELL
Municip. c~U~ oF
DEPARTMENT OF HE~_THAND HUH'AN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,O, Box 196650 eAnchor(ige, Ataska 99519-6650·Telephone, 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~OA~ T14N, R1W, SEC. 35 E2NW4 & W2NE4
P.I.D. NO. 050-411-02
ST1
A B C
FCO - ,.3.0' 58.5'
ST1 56.5' 52.5' -
ST2 61.0' 60.0' -
DBL1 62.5' 62.0' -
DBL2 65.5' 63.5' -
301 70.5' 52.5' -
~T1 85.0' 63.0' -
VtT2 106.0' 111.0' -
302 109.0' 111.5' -
303 111.5' 113.0' -
11/24/98 15:52 FAX 9072652141 NBA CO~! LOAN DBPT
OWNER OF LAND
SULLI vAN.WATeR
P.O, BOX 670272, CHUGIAK, ALAS~ 99567 ~ ~LEPHONE E88-2759
BORE HOLE DATA
DCPTH
[~ 002/002
ADDRESS
LEGAL DESCRIPTION
PERMIT NUMBER ~. l~'l~ ~ ~ - Date of Issue ~
· T~ INDENTIFICATION NUMBER ~ ~-~'~
Is well located a~ approved perm, Io~ ~g NO
Method of Drilling: ' ~r rota~ ~ cable tool
Depth of well: _ .~ ~
Casing Type~Wail Thickness ~~inches
Diameter ~ ~ I~ inches, depth_ 14 ~ ,.Jeet
Liner Type: ~ ~
Casing Stickup AboVe Ground: ~ ~.. jeer
Static Water Level (from ground level):_ ~ feet
Pumping level;~ feet after ' hrs. pumping ~pm
Method of Testing: ~
Well In{ake Opening Type: ~ Open End ~n Hole
~ 'Screened; Sta~ ' fee{" Stopped _ ~ect
~ Pe~oratbns Sta~ ' feet Stepped feet
Grout Type: ~ ~, ~ ~~lume ~;
Depth: fm~ ~ feet, to_. feet
feet
Pump Intake De~th:.
Pump ~ize _bp Brand Name
Weil Disinfected Upon CompleQon? ~ g No
Aethod of Disin~ection: ~
Driller's Name
ATTENTION: it is the responsibilitY of the property owner to Submit a copy of the weJl log to the proper'authoritY. MunicipalitY
of Anchorage: Department ot Health & Human Services and/or Department of Environmental ConserVation. MatSu Sorough:
Department of Environmental CanserVation.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL OEECR,F ,ON:
2
3-
4
5
6
7
8
9
10
11
12-
13-
14-
15-
16-
17-
18-
19-
20-
WAS GROUND WATER
DEPTH? pO
E
Depth lo Waler Aiter
Gross Net Depth to Net
Reading Date Time Time Water Drop
- /i ~S¢ .~0~,~ q" 3'/
PERCOLATION RATE /~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN / FT AND ~- FT
COMMENTS
ACCORDANCE wll,/e34 L~a~lTiRl~lill~da{/%lli.Ej~fs ~N EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85) Eagle Rlver~ Alalka
SEWER&WATER
WELL INSPEC flON
& FLOW lEST
ROAD DESIGN
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
~'ROBERTC. COWAN, EE.
ROBERTA. SHAFER, RE.
Date.' //~'' Oxy- ~'
Municipality of Anchorage
DEP~LRTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
RECEIVED
NOV 9 99g
'unici ality of Anchorage
Del~t HeaPlth & Humeri Services
REFERENCE:
The septic inspections for the referenced property were
performed on /0v~-~ and /o-~-g~ . Prior to submitting
the On-site Wastewater Disposal System and/or well Inspection
Report we are waiting for the ~H~L ~ ~ to be
completed. P~
If we may be of further service please contact us.
Sincerely,
Robert C. Cowan, P.E.
17034 NORTH EAGLE RIVER LOOP ' SUITE 204 · EAGLE RIVER, ALASKA 99577
/ffO
MUNICIPALITY OF ANCHORAGE
Department of Health and Haman Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Aug 18, 1998
Expiration Date: Aug 18, 1999
Permit Number: SW980308
Legal Description: T14N R1W SEC 33 E2NW4 & W2NE4
Design Engineer:~4~ ~ ~ ~,ZL~ ~L~
Owner Name: Rich Monroe
Owner Address: PO Box 202458
Anchorage, AK 99520-2458
ParcellD: 050-411-02
Site Address:
Lot Size: 40045 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Ho[ding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. Ali 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 ( 18AACS0 ).
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.
~,'Th~:,f?~llowing special provisions~
' AT'HE.TIME OF CONSTRUCTION. THE ENGINEER SHALL PERFORM AN ADDITIONAL PERCOLATION
-TEST iN ACCORDANCE WITH THE E.P.A. ON-~ITE WASTEWATER DES GN MANUAL PAGE 41.
~ .THE AS-BUILT INSPECTION REPORT W LL NOT BE APPROVED W THOUT THE PERCOLATION-TEST
~DOCUMENTATTACHED: ' ' ' ' _
'~E SAND USED IN THE FILTER LAYER MUST BE A CLEAN COARSE SAND WITH 4% OR LESS PASSING:
!THE #100 SIEVE AND 2% OR LESS PASSING THE ~200'S EVE A S. EVE ANALYSIS MuST BE pRovI DED.."0N
THE SAND USED OR OBTAINED FROM AN APPROVED SOURCE.
Received By:
Issued By:
Date:
Date:
SEWER & WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERINGSTUDIES
AND REPORTS
WELL iNSPECTION
& FLOW TEST
ROAD DESIGN
SOILTEST
STRUCTURAL &
MECHANICAL
fNSPECTIONS
ONSITE
WASTEWATER
DISPOSALSYSTEM
RESIGN
ROBERTC. COWAN, EE.
ROBERTA. SHAFER, RE.
July 29, 1998
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OFANCHORAGE
DepartmentofHe~thand Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: SW 1/4, NE 1/4, Section 33, T14N, R1W
Proposed Tract B, D3M S/D
Request you issue a permit to install a septic system and well to serve the proposed
four bedroom house on the referenced property.
Two test holes were excavated and percolation tests performed. The approximate
location of the test holes are located on the attached site plan.
~,~ g'
At the time of excavation 7/3/98 water was encountered in the test holes.~ After seven
days of ground water monitoring of test holes #1 & #2 water was found at 7.5' & 8.5'
respectively.
We do not anticipate any adverse effects on neighboring wells, septic systems reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the
adjacent properties.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/mg
Enclosure
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
S91¥130
NOIS30
39V3S
,09 =
Municipality of Anchorage
825 "L" Street, Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
~,. ........ :~.,
DATE PERFORMED:' ~
LEGAL DESCRIPTION: ~'~-C ~ ~ ,~,/~'/./ ~/ ¢,J Township, Range, Section:
SLOPE SITE PLAN
1
2
3
4
5
6
7
8
9t
10-
11
13-
14-
15-
16-
17-
18-
19-
20-
WAS GROU.D WAT"R y'E-
ENCOUNTERED?
IF YES, AT WHAT ! ~-
DEPTH? ~) pO
E
Deplh lo Water After ~ ~.- /
Monitoring? /-~' Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
/00.5' Ia ,,~,~, ¢.5" I"
MO° to ~,~ ~,~" 1"
PERCOLATION RATE /0 (minuteshi~ch) PERC HOLE DIAMETER
TEST RUN BETWEEN / FT AND ~ FT
COMMENTS
PERFORMED BY: S~_& $ ENGINEERINg. , ~ ~'~-/Z/ff~--- CERTIFY THAT THIS TEST WAS PERFORMED IN
~34 Eagle R,ver Loop Road Ne. 2.~ ..... F: T THI DATE DATE' ' '~7 / ~' -f / ~ ~/
ACC OR DAN C E WIT~J~ J~V~ AJ~I~J~L G UIDELI[~ co , .... EC ON S . .
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
1
2
3
4
5
6
7
8
10
11
13-
14-
15-
16-
17
18
19
2O
SLOPE SITE PLAN
WAS GROUND WATER
E~GOUNTERED?
IF YES, AT WHAT
DEPTH?
Deplh Io Water Alter~ ~. *'
Monitoring? o .-~
Gross Net Depth to Net
Reading Date Time Time Water Drop
~t~ c /13 o -
llqO lO .,,~ 0~' I~'
PERCOLATION RATE /0 (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN [ FT AND ~ FT
COMMENTS
PERFORMED BY: 17034 ~aale River Leop Road No, ~0~ '~ CERTIFY THAT [HIS TEST WAS PERFORMED IN
Ea~leRiver, Alaska 99577 ~ ' ' "/ /~t ~ / '~' ~
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
ROBERTC. COWAN, RE.
ROBERTA. SHAFER, RE.
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
ROAO DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
CIVIL ENGINEERS
(907) 694~2979
FAX (907) 694-1211
REFERENCE: SW 1/4, NE 1/4, Section 33, T14N, RIW
July 28, 1998
GENERAL:
The scope of this project includes the installation of a 1250 gallon septic tank and a
leachfield B~-~> to serve the proposed four bedroom residence located 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.
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:
A septic tank is to be constructed by a certified septic tank manufacturer. Construction
shall include two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank.
17034 NORTH EAGLE RIVER LOOP ° SUITE 204 · EAGLE RIVER, ALASKA 99577
Page Two
SW 1/4, NE 1/4, Sec. 33, T14N, R1W
July 28, 1998
All standpipes on the septic tank shall extend a minimum of 12 inches above final
grade.
4. Septic tanks installed with less than 4 fl. of cover shall be insulated.
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 moro 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. Two flow dividers shall be installed sending 3/4 flow to longer
trench and remaining 1/4 flow to shorter trench.
Final grading over the septic tank shall be such that a positive slope exists away from
the septic tank.
ABSORPTION' t3"~ O YDRAINFIELD INSTALLATION:
Excavate the proposed ~o 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, installed approximately in the
locations shown on the design, and extend a minimum of 12 inches above final grade.
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:/~a must be mounded to prevent the formation of a
deprossion after settling.
Page Three
SW 1/4, NE 1/4, Sec. 33, T14N, RlW
July 28, 1998
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be constructed by a Municipal 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 Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the inspecting
engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chem/cal
Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted w/th watertight couplings (Caulder, Femco,
or equal).
5. 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.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
7. When sand is being used as a filter material, its gradation specifications must conform
to current M.O.A. or D.E.C. requirements, which ever requirement applies.
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:
Page Four
SW 1/4, NE 1/4, Sec. 33, T14N, R1W
July 28, 1998
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.
3. 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 constmction. If necessary, a
pre-construction meeting will take place on-site. The inspecting engineer will not coordinate,
direct or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these
specifications and plans and in accordance with the attached M.O.A. permit. There will be no
contractual arrangement existing between the contractor and S & S Engineering. S & S
Engineering shall be the owner's representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the contractors work rests with the
owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor
to carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR/iNSTALLER