HomeMy WebLinkAboutTALUS WEST BLK 3 LT 12
Municipality of Anchorage Page 1 of_.3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Bo,~ 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW980201
PIDNumber: 015-201 -43
Norman & Diana Buboltz WastewaterSystem: n New [] Upgrade
11876 Wilderness Dr. Anch., AK ABSORPTION FIELD Existir
Phone: 3 4 5 -- 4 3 7 3 I NO. Of Se~roonls:
Four O Deep Trench D Shallow Trench Q Bed r~ Mound ~ Other
LEGAL DESCRIPTION ~Soil Rating: Total De.tn from original grade:
.. 3 Talus Wes~ ~L ~.
WELL: D New ~ Upgrade Gravel wiath: ~ Number of lines:
Existinq Ft Ft. .~ ¢ ~ SO. Ft.
Viel=: ~ Pump Set at: ~ Oasm~ He,~m A~ove
'~-;~;: SEPARATION DISTANCES ~e~,~: S Ho~,.~ C S.T.~.
Fro~';'" :~''' :; Tank F~ Station Tank S~U.. Anch. Tank 1 . 250
:~' wem~, >100 >100' N/A N/A >10' Steel ~ ~-'
?~Su~ace= >.~00~ >100' N/A N/A N/A LIFT STATION :None
Cu~ain
Remarks: Septic ~ank a~d t~o pos[ BENCH MARK
tank c!eanouts placed under Lo~tion an~ D~cdption:
this permit. Side of House.
.~ ~ ~um~ m...~io.: 1 00.0
Inspections pedormed by: H~A Dates: 1st ~/29/9~ ~ .................
Padment of Health and Human Se~ces app ~ ~'
De ~oval ~/~ .
Reviewed and approved by: ~ ate: ,ff q' ~ ~7'%7~';q"'~"'
UmF~H I IVI~_IN I Ur mi:AL I Pi ANU PIUMAN
ENVIRONMENTAL SERVICES DIVISION
P.O: Bo~ 196650 · Anchorage, Alaska 99519-6650 · Telephone: 3~-47~
On-Site Wastewater Disposal System and/or Well Inspection Repod
Permit Numbe~ SW980201
PID Numbe~ 015-201-43
~ ~ Abs~rption ~
under~ this perm~t.~ Exi~stin~
: system remains in ~serv~ce.
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Bo:~ 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number:. SW980201 PID Number. 015-201 -43
:~ ....... i'~ ~'~ ................ : ........... -~ '
2" Insul ~t .on
~ank
PROFILE AS'BUiLT ! i
SCALE
10'
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 WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jun 25, 1998
Expiration Date: Jun 25, 1999
Permit Number: SW980201
Legal Description: TALUS WEST BLK 3 LT 12
Design Engineer: Anderson Engineering
Owner Name: Norman & Diana Buboltz
OwnerAddress: 11876 Wilderness Drive
Anchorage, AK 99516-2234
This permit is for the construction of:
[] Disposal Field [] Septic Tank ~ Holding Tank
Parcel ID: 015-201-43
Site Address: 011876 WILDERNESS DR
Lot Size: 18514 SQ. FT.
Total Bedrooms: ,8' i~ Permit Bedrooms:
Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
2. The attached approved design.
All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
3. Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
4. (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
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.
Date:
Date:
June 22, 1998
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot 12, Block 3, Talus West Subdivision
Septic System Design
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
We are hereby applying for a permit to construct a new septic tank on Lot
12, Block 3, Talus West Subdivision. The attached site plan and backup
documentation identify the size and location of the new tank to serve the
four bedroom home. The original tank was placed in the early 1970s with
the absorption trench. The tank has now caved in creating a safety hazard
in the yard and backing effluent into the house. It is imperative the tank
be replaced immediately to avoid damage to property and impact to public
health.
The new tank will be placed in the exact location of the old tank. In
addition, two new post tank cleanouts will be installed for future
maintenance of the system. Soils surrounding the system are clean silty
gravels and will provide satisfactory bedding for the tank. The well on
the lot and those on adjacent lots are more than 100' from the tank and
are shown on the site plan. No conflicts exist between the septic system
and wells in the area.
The surface of the lot is flat in the area of the tank making placement of
the new tank relatively uneventful. The existing absorption trench was
not inspected for adequacy, but according to the property owner is
currently operating without problems. The owner of the property is aware
that the trench will require upgrading if the house is to be sold as four
bedrooms.
Eot 12, Block 3, Talus West Subdivision
June 22, 1998
Page Two
If the system is constructed as designed the following statements apply:
The system, if constructed as designed, will have no adverse impact
on the wells in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact
on existing septic systems in the area or those to be constructed in
the future.
The system, if constructed as designed,
impact on reserved space, either surface
located in the area.
will have no adverse
er subsurface, on any lots
The system, if constructed as designed, will have no adverse impact
on drainage patterns in the area. The current drainage pattern will
be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attaohments
LoT 13
J
_%
LOT 12
Tr~
New 1,250 Gallo
Septic Tank with
2 Post Tank Cle
Four
B~d~60m
Home
SCOPE OF WORK
1. Remove Existing Septic Tank and Disp'ose.
2. Place New 1,250 Gallon Septic Tank.
3. Place Two New Post Tank Cleanouts.
.~ 4. Regrade Area to Preconstructi0n Condition.
"'~ ................ '~:" SITE PLAN
~ ~" ~'~'"" "~ ......... ~" "f' 30'
~',~,. 4381-~ /,??, SCALE 1" =
LOT 11
Well
O
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 12, BLOCK 3, TALUS WEST SUBDIVISION
GENERAL:
The scope of this project includes the procurement and
placement of a new 1,250 gallon septic tank. It also
includes the construction of two new post tank cleanouts
in the distribution line between the new tank and the
existing absorption trench. The existing tank must be
removed from the site or crushed and backfilled on the lot
at a location 100' from all wells in the area.
Construction shall be in accordance with the approved site
plan, 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
underground utility locates and for the layout
system and verification of the location of all
obtaining all
of the septic
lot lines.
Unless specifically agreed otherwise, the contractor shall
be responsible for final grading areas subsequently
depressed from soil settling. Property owner shall be
responsible for revegetation of affected areas unless
specifically agreed otherwise.
Contractors installing wastewater disposal systems must
be certified by the Municipal Department of Health and
Human Services for system installations. Owners installing
their own systems must receive prior approval from D.H.H.S.
before beginning system installation.
SEPTIC TANK INSTALLATION
A new 1,250 gallon septic tank must be procured from an
approved source and installed at the location shown.
Lot 12, Block 3, Talus West Subdivision
June 22, 1998
Page Two
A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts
for pumping access.
3. The septic tank shall be sufficiently bedded to prevent
settling or shifting of the tank.
4. All standpipes on the septic tank shall extend a minimum of
12 inches above final grade.
5. Tanks installed without 4' of cover shall have a minimum of
2" of direct burial insulation.
A foundation cleanout shall be installed one to four feet
from the building foundation. Two cleanouts are required
between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive
slope exists away from the septic tank.
DRAINFIELD CONSTRUCTION:
The drainfield shall be constructed to the dimensions shown
on the design. The bottom of the trench shall be within 2"
of level.
Distribution piping must be placed level with perforations
down atop a level bed of drainfield rock. Rock should then
be placed over the pipe to provide a minimum of 2" of cover.
A silt barrier or geotextile fabric must be placed between
the drainfield rock and the natural soil backfill.
Monitor tubes must be 4" in diameter and installed at the
locations shown on the design. The portion below ground
must be perforated.
Lot 12, Block 3, Talus West Subdivision
June 22, 1998
Page Three
Contractor shall verify the septic tank and drainfield are a
minimum 100' away from any private water wells in the
area, 150' from a Class "C" Well or 200' from any community
well.
Direct bury insulation must be placed over the distribution
system if less than 3' of backfill depth is available. Finish
grade over the trench must be mounded to prevent
settlement or depressions.
7. Grade area surrounding the absorption trenches to drain
away.
A minimum 2' of accepting soil is required below the
drainfield rock for a 5' wide trench. Contractor shall verify
this condition prior to placement of the rock. All pockets of
unacceptable materials must be removed and replaced.
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a Municipally approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic
system installations in the Municipality of Anchorage:
Cast Iron (perforated and Solid), ASTM D3034 or P.V.C.
(perforated and solid), ASTM F810 or H.D.P.E. (perforated,
but not solid) and ASTM D2662 or A.B.S. (perforated and
solid).
3. Insulation shall be at least 2" thick extruded direct burial
polystyrene (Dow Chemical Co. Styrofoam HI of equal).
4. Septic tank inlets and outlets shall be fitted
watertight couplings (Caulder, Fernco, or equal).
with
Lot 12, Block 3, Talus West Subdivision
June 22, 1998
Page Four
5. A permeable geotextile fabric (Typar, Mirafi or equal) must
be installed between the final drain rock layer and the
native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than
3% passing the #200 sieve.
INSPECTIONS:
A minimum of two inspections are required by Municipal
Ordinance. These inspections must be conducted under the
supervision of a professional engineer registered in the State
of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation
of any gravel. A septic tank may be set in place, but may not
be backfilled.
The second inspection must be conducted after the placement
of the geotextile fabric, gravel, distribution piping,
standpipes, cleanouts and insulation. No backfill should be in
place at the time of inspection.
Contractor shall provide a copy of all field survey layout and
construction notes for use in preparing the certified as-built
of the completed system.
I:K ANLUUI(AL~I: ANI:A BO~ UGH
~/-,
Department of Environmental (~uaJity
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL,.,
INSIDE LENGTH ---.
MAN U FACTU RE RL(~/~' ~!/d' ',.S (/2:E·/;~
NUMBER OF
MATERIALL~"/?~'~. ~(///"/J'//)~2~2~COMPARTMENTS ,,2
INSIDE WIDTH .... LIQUID DEPTH -~ I IQUID CAPACITY. /-~---/;~) GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER
LINING MATERIAL.~LL!O /-cL~k~¢?:) CRIB SIZE:
BUILDING FOUNDATION -~[ i
OR WIDTH'~'-~, ,/TLENGTH,~ ,~/ DEPTH
DIAMETER¢;4:¢) DEPTH ('~ DISTANCE FROM:
TOTAL EFFECTIVE
ADDITIONAL ABSORPTION,
NEAREST LOT LINE ~(/ !
WELL
ABSORPTION AREA (WALL AREA) d-~2--~ SQ. FT.
WELL:
TYPE
BUILDING
FOUNDATION
APPROVED
CONSTRUCTION ~' ~¢/~i/.,~///(~'
NEAREST / NEAREST f./. SEPTIC
LOT LINE /(? SEWER LINE /4') TANK
OTHER SOURCES /vd,.'L¢
DISAPPROVED REMARKS
DISTANCE FROM:
SEEPAGE /
SYSTEM /~,,!~9
DISTANCES:
DIAGRAM Of SYSTEM
INSTALLED BY:
PIPE MATERIAL:
APPROVED /)f
G.A.A.B.
Form No. LQ-031
Grea~Er ANChorage AREA BOrOUgh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99§03
TELEPHONE 274-4S6,
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
PERMIT NO
NAME OF APPLICANT
iNSTALLATiON LOCATION
LEGAL DESCRIPTION ~ ~ 7-
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
MAILING ADDRESS
SEEPAGE PIT . DRAIN FIELD
PHONE
· OTHER
NOTE: THI~ PERMIT IS NOT VALID WITHOUT BOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION,
SEPTIC TANK SIZE /2~r~) TYPE ~/~/~' ~/~-E~ SEEPAGE AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTG
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
-'~WELL TO SEPTIC TANK /l~/~ /
/..T /
., SEEPAGE PIT
/
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRI~ CROSSING GAP OF
EXCAVATION 5 Feet INTO UNDISTURBED SOil.
4 INCH DIAMETER CAST [RON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH A~RTiGHT REMOVABLe CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
LICENSED DESI~; NCR
I CerTIfY THAT I AM Familiar WITH THE REQUIREMENTS OF GREATER ANCHORAge AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~ ,. .~1
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaske 99507 279~8686
Time of Inspection /~
Date of Inspection
x<~ r~~ REQUEST FOR AP~OVAn OF
~ I~IVIDUAL SEWER & WATER FACILITIES
FOR
Address: Phone
A. T yDe~_~ , B. Depth
7. Sewage. Dis.6os~l System: ..
E. Disposal Field: Total Lengt~f Lines = . ,
Dtstences: , .
A. Well To: Septic Tank ~t ,~Absor~ Area /~2~/ , Jewer Line~
B. Foundation to Septic Tank f~+ ~oti~~ ~ .
C. Absorption Ares to Nearest Lot Line ~x .,<= ,-~ ~
Req,~ezt for Approval of inoiviouai Sewer & Water Facilities
Page Two
9, Comments:
~v~ Ap?royal Valid for One Year From Date Signed
Gr~e~ Anchorage Area Borough, DeF~rtment of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true
and accurate representation of the subject sawer and water facilities located at:
Signed Date
and Sewe~r
,artment of Environmental Quali~
:uestionnaire
~ te. Time
Subdivision ~'/~L f( 3 ~g_~Jc~.' ~// '
· , Block
Owner's Name: ~./~/~/))~S />/. /~zfYz~ ~////~g//~ /~,
Mailing Address: ~.~. /~ 6.~?v =~.~.~ ~ ~;~ ~(~/~o~,
Questions:
1. How many bedrooms are now in your house?
2. How many bedrooms were in the house at the time of purchase~
3. ~vere the basement bedroom walls roughed in" at the time of purchase?
4. Was the basement bathroom plumbing "roughed in" at the time of
purchase? ~
5. Did the realtor or builder inform you that you would have to enlarge the
existing sewer system if you finished the basement bedroom (s)?
6. If on a public~ water supply, do you always have an adequate supply of
water?
Is the pressure always adequate? ,~
Who was the builder? ~/~/~/~'~ ~)~/~T~
Who was the home purchased from?
OTHER COMMENTS: