HomeMy WebLinkAboutT15N R2W SEC 25 LT 53 N2"Iplol 5N R2W
Secti*on 25
Lot 53 Nj4lL/**2
t t.
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of
Oil -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP231203 PID Number: 05128106000
Dwelling: 9 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 9 Upgrade
Name
Phil and Debora Lamb
ABSORPTION FIELD
❑ Deep Trench fffl Wide Trench ❑ Bed ❑ Mound
Site Address
16037 Shims St., Eagle River, AK 99577
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
907-250-7273
3
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Subdivision Block Lot
53 N1/2
Ft.
Fill added above original grade
Ft.
Gravel length
Township Range Section
T15N R2W 25
Ft.
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ft'
Ft.
Well
>100'
>100'
_
_
>25'
TANK ❑® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Greer, 10' max burial
Capacity
1000 Gal.
Surface Water
>100'
>100'
_
_
Material
Number of compartments
Lot Line
>5'
>10'
-
-
NA
Polyethylene
2
Foundation
5.96'
9.5'
-
_
LIFT STATION
Manufacturer
Capacity
Remarks Existing field closer to tank than record. Disposal line of previous shallow
— Gal.
grade. No water/debris in MT time of construction, Owner notified of risk, see Letter.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank PVC Tank to PVC
drainfield
Eagle Glacier Excavating
Drainfield PVC CO/MT PVC
Inspector Rod Kinney, PE. and Jared Kinney EIT
BENCH MARK (Assumed elevation) 100 ft
Inspection 1s, 8/3/23 8/3/23
Location and description
d
dates: 3a 8/4/23 4' 8/8/23
N.E. garage concrete slab
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
En i e Stamp
�OFq
Conditional Approval: Date
1
49TH
..,..... ...........
RodneCyEP5 eyJr.•;��
Septic System
Approved ���- Date
PROFessiot"
-Not his approval does not include well permit requireme ts.
kllc —1— ivy
IESS 50' ROW & UTILITY RESERVATION
30' ROW (PLAT #71-264)
20' ROW RESERVATION
V-71E'er I
VA
v__j
"l 0 T 3
4 T13M—EXPOSED CONCRETE SLAB AT
EAST GARAGE DOOR 0 EL. 100'
ESS
ESS
y PLAT #77-246 EXISTING ATTACHED
LOT 1 COVERED DECK
E
EXISTING ATTACHED
LOT 32 , LOT 31LEESS
OPEN DECK
X
EXISTING DETACHED
DECK
NEW 1,000 GALLON
POLYETHYLENE LOT 54
SEPTIC TANK, SEE
LOT 52
50' ROW & UTILITY
RESERVATION
30' R
LOT 57__]
AS -BUILT
OF A P
ow
9TH
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P. Kinney Jr.: -A,
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essi
SHEET NOTE
ESS
THIS FIGURES,
ESS
N112 LOT 53
U)
S112 LOT 53
ESS
U)
M I SEPTIC SYSTEM
LAYOUT UNKNOWN,
V) SEE MOA ON-SITE
HISTORICAL RECORDS
ESS FOR S1/2 LOT 53,
T15N, R2W, SEC. 25
— — — — — — — — — — — — — I
50' ROW & UTILITY
RESERVA71ON
PIONEER DR 20TBLM PATENT
RESERVATION ESMT-1 30' ROW--"
F— — — — — — — — — —
LOT I I LOT 2
SHEET NOTES
1. NEW GREER 1,000 GALLON, 10' MAX BURIAL
POLYETHYLENE TANK. SEPTIC TANK INSTALLED PER
MANUFACTURER'S INSTRUCTIONS. INSULATED 20"
DIAMETER MINIMUM RISER OVER FIRST COMPARTMENT, PER
15.65.205.F.1.
2. 2" OF R-20 INSULATION BOARD, MEETING ASTM C57E
TYPE VI INSTALLED OVER NEW SEPTIC TANK.
3. NEW DOUBLE CLEANOUT INSTALLED DOWNSTREAM OF
NEW SEPTIC TANK.
4. NEW PIPE AND FITTING MEET ASTM D3034. FEMCO COUPLING
(#1056-54) CONNECT SEWER LINES TO NEW TANK.
GRAPHIC SCALE
100 0 so IDO
I inch - 100 feet
N 1/2 LOT 53, SEC 25, Tl 5N, R2W, S.M.
ANCHORAGE RECORDING DISTRICT
VICINITY MAP
8/23/20231 FIGURE 1
LOT 3
LEGEND
BUILDING
PROPERTY LINE
— — — —
— — EASEMENT LINE
WELL
ESS
EXISTING SEPTIC
SYSTEM
TBM=100.00'
GRAPHIC SCALE
100 0 so IDO
I inch - 100 feet
N 1/2 LOT 53, SEC 25, Tl 5N, R2W, S.M.
ANCHORAGE RECORDING DISTRICT
VICINITY MAP
8/23/20231 FIGURE 1
67.5' BEND, SEE
NOTE 2, THIS SHEET
GRAPHIC SCALE
10 0 5 10
1 inch = 10 feet
CONNECTION TO
EXISTING 4"
PVC
N112 LOT 53
EXISTING DISPOSAL FIELD,
SEE ONSITE RECORD DOCUMENTS
uj_ I
- 4.50 L.F. 4" SOLID PVC
-NEW 1,000 GALLON
POLYETHYLENE SEPTIC SYSTEM,
SEE SHEET NOTE 1, SEE FIGURE 1
WELL R=100'
NOTES:
1. REINSTALLED DETACHED DECK SUPPORTS
' MUST NOT BE LOCATED OVER NEW SEPTIC
TANK.
2. 67.5' BEND IS COMPOSED OF ONE 45' AND
ONE 22.5' FITTING. POINT OF INTERSECTION
OF THE DEFLECTION IS SHOWN.
3. SEPTIC TANK OUTLINE SHOWN IS THE
PROJECTED OVERALL LENGTH AND WIDTH.
DIMENSION SHOWN IS THE SHORTEST
DISTANCE FROM THE FOUNDATION BACK
WALL TO CURVED EXTERIOR CORNER OF
SEPTIC TANK.
N 1/2 LOT 53, SEC 25, Tl 5N, RM S.M.
ANCHORAGE RECORDING DISTRICT
1
• 9TH I
�s Rodne P. Kinney Jr.: ti
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Ilk e%•8/23/2023.• AV
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SEPTIC LAYOUT
8/23/20231 FIGURE 2
SWING TIE TABLE
STRUCTURE OCORNER
OCORNER
CO1
21.5
7573
CO2
CO3
21.9'
22.1'
13.2'
14.3'
MH1
21.5'
10.8'
ST1
21.9' 1
12.1'
MT1
34.5'
13.6'
CONNECTION TO
EXISTING 4"
PVC
N112 LOT 53
EXISTING DISPOSAL FIELD,
SEE ONSITE RECORD DOCUMENTS
uj_ I
- 4.50 L.F. 4" SOLID PVC
-NEW 1,000 GALLON
POLYETHYLENE SEPTIC SYSTEM,
SEE SHEET NOTE 1, SEE FIGURE 1
WELL R=100'
NOTES:
1. REINSTALLED DETACHED DECK SUPPORTS
' MUST NOT BE LOCATED OVER NEW SEPTIC
TANK.
2. 67.5' BEND IS COMPOSED OF ONE 45' AND
ONE 22.5' FITTING. POINT OF INTERSECTION
OF THE DEFLECTION IS SHOWN.
3. SEPTIC TANK OUTLINE SHOWN IS THE
PROJECTED OVERALL LENGTH AND WIDTH.
DIMENSION SHOWN IS THE SHORTEST
DISTANCE FROM THE FOUNDATION BACK
WALL TO CURVED EXTERIOR CORNER OF
SEPTIC TANK.
N 1/2 LOT 53, SEC 25, Tl 5N, RM S.M.
ANCHORAGE RECORDING DISTRICT
1
• 9TH I
�s Rodne P. Kinney Jr.: ti
j CE7955 q���
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SEPTIC LAYOUT
8/23/20231 FIGURE 2
105 2.33 --{
100 F.F. EL.=100.17•
95
all
FINISHED GRADE
i
' . . . . . . . . . . . . . . . . . . . . . . . . . . .
2"'INSULATION,
TYP.
EXISTING DISPOSAL FIELD,
SEE ONSITE RECORD DOCUMENTS
.........................
2.09;
NEW 1,000
.GAL SEPTIC
TANK
.......... .............
LJ
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.8r 3 L.F. 4.50 L.r. 3.08 L.F.' EXISTING
80 . . _ . . . . . . 4" SOLID PVC, 4" SOLID :PVC 4" SOLID_ PVC . . . . . . . . . . . . . . . .
AS -BUILT
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NOTES:
1. NO WATER DETECTED IN MONITORING TUBE (8/4/2023).
H: 1'=10' V: 1"=5
�&RPKI N 1/2 LOT 53, SEC 25, Tl 5N, R2W, S.M. PROFILE
ANCHORAGE RECORDING DISTRICT
8/23/2023 FIGURE 3
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Al
August 23, 2023
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 Elmore Road
Anchorage, Alaska 99507
Attention: Mr. Curtis Townsend, PE
Subject: Septic Tank Replacement
T15N, R2W, Section 25, Lot 53 N1/2
Eagle River, Alaska 99577
Final Inspection Report
Dear Mr. Townsend:
Project No. 23 -RK -1940
The purpose of this letter is to request final approval for the subject septic system.
Attached is the Final Inspection Report, Septic System As -Built, and Survey As -Built.
The following describes departures to the permit's approved design:
1. The existing sewer line upstream of the new septic tank was removed up to and
including the existing building cleanout;
2. The pre -construction orientation of the previous septic tank indicated that there
was at least one (1) bend before the septic tank; however, the sewer line does not
exit the building perpendicular to the foundation. Two (2) bends, a 45 and 22.5 -
degree elbow, were installed in series to connect to the new septic tank from the
building.
3. The new tank was installed 0.19' higher than indicated in the permit application.
The adjustment provided a minimum slope of 2% from the home to the new septic
tank and 0.3% from the new septic tank to the existing disposal field.
Discrepancies between the property's historic onsite record information and constructed
septic system became apparent after the system was exposed. Historical records of the
property indicate that the original septic system served a trailer home prior to the
construction of the existing house. Accurate information about the septic system was not
provided in the original construction or after it was connected to the new home.
Inconsistencies included:
® Existing tank to foundation separation — Recorded ±7'; Observed ±5.4'
® Existing tank to disposal field — Record :L7'; Observed 4:4.7'
16515 Centerlield Drive a Suite 101 a Eagle River, AlaSOa 13 99577
907.694.2332 n Fax 907.694.1807 11 www.rpfta.net
Septic Tank Replacement
T15N, R2W, Section 25, Lot 53 N1/2
Eagle River, Alaska 99577
Final Inspection Report Page 2 of 3
The new septic tank was installed with a separation from the disposal field of 4.19',
which is less than the 5' code requirement. Separation could not be met due to:
® Availability of space between the home and existing disposal field.
® Available elevation drop between septic tank outlet and disposal field.
There was no groundwater or seepage from the existing disposal field observed during
the installation of the new septic tank. After the placement of the new septic tank, the
tank was backfilled to stabilize the surrounding excavation and install new pipe. The tee
to the disposal field was exposed after the new lines were connected to the existing
building and disposal field.
Historical record documents on the system did not indicate existing pipe slopes.
Measurements were taken to gather information on the system. No cleanouts were
installed in the original disposal line downstream of the septic tank or in the disposal
field. Approximate slopes downstream of the septic tank could not be verified or
calculated. The existing disposal line was exposed during construction and was found to
have a nearly flat slope. As previously indicated, the new septic tank was installed at an
elevation higher than design to provide a grade down to the field. A grade of 0.3% was
achieved at the outlet of the new septic tank, while a minimum of 2% was maintained for
the inlet pipe.
The owner of the property was notified of the risks associated with a nearly flat disposal
line and they wanted to proceed with the septic system as built. Risks discussed included:
The potential of settlement which may create sags and ponding in pipe.
Increased chance of freezing if standing wastewater is present in the pipe.
Increased chance of blockage in the disposal line.
Mitigation factors that will reduce the risk of the abnormal system operation include:
® Ensure a downward gradient was achieved from the tank to the disposal field.
® Compaction of subgrade and bedding to minimize settlement over the pipe.
® The placement of 2" of insulation over the disposal line to increase freeze
protection.
® The installation of a double cleanout to provide maintenance access to the
disposal line.
• The new septic tank will reduce the chance of solids entering the disposal line.
The tank was installed within 10' of the home's foundation; however, the tank was
installed outside of the footing's bearing prism described in 15.65.205.B.I.c, reference
Exhibits 1 and 2.
Septic Tank Replacement
T 15N, R2W, Section 25, Lot 53 N 1 /2
Eagle River, Alaska 99577
Final Inspection Report Page 3 of 3
Please contact us if you have any questions at:
Rodney P. Kinney Associates, Inc.
16515 Centerfield Drive, Suite 101
Eagle River, Alaska 99577
Phone: (907) 694-2332
Email: jaredk@rpka.net
Sincerely,
RODNEY P. KINNEY ASSOCIATES, INC.
/4-/( -
Jared Kinney, EIT, AK-CESCL Rodney P. Kinney, Jr., P.E., S.E.
Principal
Attachments:
• Final Inspection Report
® Signed and Stamped As -Built
® Survey As -Built
® Exhibit 1 — Plan View (8/23/2023)
• Exhibit 2 — Profile View (8/23/2023)
RPK:jbk
*r.�. • 49TH `p
,�6 %Rodney P. Kinney Jr..' ti
�r '• CE 955 q
Ike
e
MUNICIPALITY OF ANCHORAGE orient
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road .�
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite v
Department
On -Site Wastewater Disposal System Permit
Permit Number: OSP231203 Effective Date: 7/27/2023
Work Type: SepticTank Upgrade Expiration Date: 7/26/2024
Tax Code Number: 05128106000
Site Legal Address: T1 5N R2W SEC 25 LT 53 N2 G:0753
Site Mailing Address: 16037 SHIMS ST, Eagle River
Owner: LAMB PHILIP J & DEBRA A Lot Size in Sq Ft: 54450
Design Engineer: RODNEY P KINNEY ASSOC INC Total Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: l �5
Issued By:
Date: 7
2 'Zo'L 3
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP231203
Work Type: SepticTank Upgrade
Tax Code Number: 05128106000
Site Legal Address: T1 5N R2W SEC 25 LT 53 N2 G:0753
Site Mailing Address: 16037 SHIMS ST, Eagle River
Owner: LAMB PHILIP J & DEBRA A
Design Engineer: RODNEY P KINNEY ASSOC INC
This permit is for the construction of:
Effective Date:
Expiration Date:
�ncnt S
0
U h
Department
Lot Size in Sq Ft:
Total Bedrooms:
7/27/2023
7/26/2024
54450
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By:
Issued By:
Date:
Date:
3
YY OF G H
Development Services Department,,/ Phone: 907-343-7904
On -Site Water & Wastewater Section — Fax: 907-343-7997
ON-SITE SEPTICNVELL PERMIT APPLICATION
Parcel I.D. 05128106000
Property owner(s) Philip J and Debra A Lamb
Mailing address 16037 Shims Street
Site address 16037 Shims Street
Day phone 907 440 0920
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section) T1 5N R2W SEC 25 Lt 53 N2
Lot Size 53,979 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
(® all that apply)
Absorption Field ❑
Septic Tank
El
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
APPLICATION IS AN:
Initial ❑
Upgrade ❑
Renewal ❑
THIS APPLICATION INCLUDES A WADER REQUEST FOR:
None anticipated at this time.
TYPE OF DWELLING:
Single Family (SF) El
(w/wo AD U)
Duplex (D) ❑
Multiple Dwellings ❑
(SF and/or D)
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes _ a ,
(Signature of property owner or authorized agent)
Permit/Rush Fees: Z Z S Waiver Fees:
Date of Payment: �%� Z Zz3 Date of Payment:
Receipt Number: Z SI 5 S Receipt Number:
Permit No. C5 S� Z 3 1203 Waiver No.
GADevelopment Services\Building Safety\On Site water and Wastewater\Forms\Client Forms\Permit Application.doc
�- R odney P. K inner A ssociates, inc.
Consulting Engineers a Surveyors
July 26, 2023
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 Elmore Road
Anchorage, Alaska 99507
Subject: Septic Tank Replacement
T15N, R2W, Section 25, Lot 53 N1/2
Eagle River, Alaska 99577
Design Review and Approval to Construct
Dear Townsend:
The purpose of this letter is to request a review and approval to replace the septic tank for
the subject property. Supporting documents and forms attached to this letter include:
1. Figures 1, Site Plan stamped and signed by a licensed professional engineer;
2. On -Site Septic/Well Permit Application;
3. On -Site Water and Wastewater Fee Form;
4. As -Built;
5. Exhibit 1 — Plan View stamped and signed;
6. Exhibit 2 — Profile View stamped and signed; and
7. Fees
The septic system is designed for a three (3) bedroom home that is currently served by a
private well. A new polyethylene septic tank, pipe, and cleanouts will be installed as
shown on Figure 1, in accordance with the Municipality of Anchorage Wastewater
Disposal Code 15.65. No work is anticipated to be performed on the existing disposal
field. Figure 1 shows the location of the existing on-site water and wastewater systems in
the area as well as the replacement septic tank for the subject property.
Surfaces on the east side of Lot 53 NI/2 are gently sloped, with grades ranging from 1%
up to 8%. Grades near the existing septic system generally direct runoff to the east and
then south towards the southern boundary. Surface cover is generally composed of
mowed grass and delineated with thick natural vegetation.
There is an attached deck that extends from the east wing of the existing house. Half of
the deck has been covered and the other remains open. A detached deck, supported by
small concrete deck blocks is located immediately south of the described attached deck.
The 10 by 16 -foot deck is movable and will be relocated in order to install the new septic
16515 Centerfield Drive ■ Suite 101 ■ Eagle River, Alaska ■ 99577
907.694.2332 1 Fax 907.694.1807 0 www.rpka.net
Septic Tank Replacement
T15N, R2W, Section 25, Lot 53 N1/2
Eagle River, Alaska 99577
Design Review and Approval to Construct Page 2 of 4
tank. The detached deck is less than 30 -inches above the existing grade and will be
reinstalled after the new septic tank is backfilled. A note will be provided to prevent the
placement of deck supports over the new septic tank.
Septic systems and private wells depicted in Figure 1 are based on record information.
The site plan was generated using the latest available as-builts. RPKA conducted a site
visit on 6/26/2023 to verify features shown on the as -built and take both vertical and
horizontal measurements of the existing system. Additionally, new site features were
measured and added to the site plan provided.
RPKA conducted another site visit on 7/19/2023 to as -built the single family home's
footing from the crawl space. Vertical elevations were held relative to the temporary
benchmark located on the exposed concrete slab at the northern garage door. The
temporary benchmark was given an assumed elevation of 100 -feet.
One (1) 1000 -gallon, 10 -foot maximum burial Greer polyethylene tank will be installed
in accordance with the manufacturer's installation instructions. An insulated riser made
by Greer will be installed on the first compartment and a 4 -inch standpipe will be
installed on the second. Cover over the new tank is anticipated to be a maximum of 4 -feet
with 2 -inches of R-20 insulation meeting ASTM C57E, Type VI.
The existing sewer line upstream of the new tank will be removed up to the first
horizontal bend and replaced with new 4 -inch, schedule 40 polyvinyl chloride (PVC)
pipe. A new double cleanout will be installed downstream of the new septic tank; the
existing pipe will be removed and replaced with new PVC pipe. All PVC pipe and
fittings will meet ASTM D3034.
The new septic tank meets or exceeds the following requirements of 15.65.205.B:
• Located greater than 5 -feet from the nearest property line (actual distance 73.6').
• Located greater than 10 -feet from the nearest water main or water service line.
• Decks greater than 30 -inches above grade and their supports are located more
than 5 -feet from the new septic tank.
• Decks 30 -inches and lower will be specified to not have supports located over top
the new septic tank.
• No surface water is located near the proposed project, flow path to nearest surface
water is greater than 100 -feet.
• The new septic tank is located more than 100 -feet from depicted private wells on
Figure 1.
• There are no Public Water Sources located within 200 -feet of the new septic tank
and other components of the existing septic system.
Septic Tank Replacement
T15N, R2W, Section 25, Lot 53 N1/2
Eagle River, Alaska 99577
Design Review and Approval to Construct Page 3 of 4
The new septic tank will be located within 10 -feet of the house, however as-builts of the
building's footer indicate that the new septic tank will not be installed within the bearing
prism, as described in 15.65.205.B.1.c. Please refer to the attached signed and sealed
graphics supporting this determination of this regulatory requirement:
• Exhibit 1 — Plan View
• Exhibit 2 — Profile View
The septic system serving the house is centrally located within the property, which
provides substantial separation from the property lines and from existing systems that are
adjacent to the subject lot. There appears to be ample room to the east and south for a
reserve absorption field.
In the case of a blocked or failed absorption field, sewage may back up over the septic
system and flow down gradient. As previously indicated grades would direct overflow
east away from the house and to the south towards the southern property line. The flow
length from the septic system to the southern boundary is approximately 100 -feet.
Surfaces along this flow path are composed mostly of good grass cover and naturally
forested areas containing thick vegetated cover. Discharges from the septic system would
need to be significant, for flows to reach the southern boundary. Sewage does not appear
to be directed toward the private well serving Lot 53 S1/2.
Potential impacts to adjacent properties appear to be minimal.
Septic Tank Replacement
T15N, R2W, Section 25, Lot 53 N1/2
Eagle River, Alaska 99577
Design Review and Approval to Construct Page 4 of 4
Please contact me if you have any questions at:
Rodney P. Kinney Associates, Inc.
16515 Centerfield Drive, Suite 101
Eagle River, Alaska 99577
Phone: (907) 694-2332
Email: jaredk@rpka.net
Sincerely,
RODNEY P. KINNEY ASSOCIATES, INC.
Jared Kinney, EIT, AK-CESCL
Attachments:
• Signed and Stamped Site Plan (Figure 1)
• On -Site Septic/Well Permit Application
• On -Site Water and Wastewater Fee Form and Fee
• T15N R2W SEC 25 LT 53 N1/2 As -Built
• Signed and Stamped Exhibit 1 — Plan View
• Signed and Stamped Exhibit 2 — Profile View
RPK:jbk
Rodney P. Kinney, Jr., P.E., S.E.
Principal
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~ ~' MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
MAILING ADDRESS
LEGAL DESCRIP~y~
, ?
DISTANCE TO: I Wel~¢~
Manufacturer ~_._/~, ~
Liq. I F HOMEMADE:
Well
DISTANCE TO:
Le.gth ~e~ .* +
Type of crib
DISTANCE TO:
Class
Width
Well
I Absorptio~" / ~
Inside length
[] UPGRADE
tF..A g¢2 / NO. o~ ~EDRO0~
~,~,~///' No. of co~artments
Width
Material
Materia beneat~/t ~_
Depth
LOCATION
Liquid depth
PERMIT NO.
Liquid capacitv in gallons
Total effective absorption area
PERMIT NO,
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller Distance to lot line
DISTANCE TO: I~uilding foundation Sewer line
OTHER
PIPE MATERIALS
SOl L TEST RATING
INSTAELER
REMARKS
MUNICIPALITY OF ANCHORAGE~,~
Department~'--'~ Health and Environmenta~ ?rotection
825 ~ Street, Anchorage, AK. J9501 /~
~ 264-4720
~' ~"~ * * * HANDWRITTEN PERMIT * * *
Per~it ~~l/~r~ ~ W~ AND/OR ON-SITE SEWER PERMIT
Applicant: ~-~C~/~ ~~ Mailing Address: '
Location: Phone Number: ~r~
Legal Description: size: "
Type of Soil Absorption System Is:
Trench: Drainfield: Seepage Bed: __ Holding Tank:
Soil Rating(sq.ft/br)
Maximum Number of Bedrooms:
The Required Size of the Soil Absorption System Is:
DEPTH /~ /
LENGTH -~'~-~ GRAVEL DEPTH ~'/ WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
· * REQUIRED SEPTIC(HOLDING) TANK SIZE = ~0~0 GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences'that the well will serve.
· * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
· * * PERMIT EXPIRES DECEMBER 1 9 8 3 * *
I certify that:
(!) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will $a~Ttall the system in accordance with codes.
(3) I und~d~st~/~hat~e $~n-site sewer system may require enlargement if
~es/~~~eled to include mo r~ t~ 3 bedr,~
Signe~ ///~// Issued
~P i~<~/~// ~ Date:
SWP/024(1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTiVlENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 g Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
SITE PLAN
1
2
3
4=
5-
6-
7-
8-
9-
10-
11-
12
13
14
15
16
17
18
19
20-
COMMENTS
PERFORMED BY:
72-008 (6/79)
WAS GROUND WATER /~ [
ENCOUNTERED? ~
E
IF YES, AT WHAT
DEPTH?
~' Gross Net Depth te Net
/ ~Reeding Date Time Time Water Drop
PERCOLATION RATE ~(~inu~es/inch)
TEST RUN BETWEEN . FT/~ND :~' FT
0
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
051-281-06 '. HAA # F'.~ ~::A \ , ~'- ~, ~ (~'~
1. GENERAL INFORI~ATION
Complete legal description N 1/2 of Lot 53, Section 25, T15N, R2W
Location (site address or directions) 16037 Shims Street
Property owner Jr~hn ~, Ann Co_penhauer
Mailing address PO Box 772142, Chugiak, AK 99567
Lending agency
Mailing address
Day phone 696-5010
Day phone
Agent
Address
Target Realty/Debbie
PO Box 774627, Eagle River, AK 99577
Day phone 694-2388
2. NUMBBR OF BEDROOMS:
3, TYPE OF WATER SUPPLY:
Unless otherwise requested, HAA will be held for pickup.
NOTE:
XXX
Individual well
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER D~$POSAL:
NOTE:
XXX
Individual on-site
Holding tank
Community on-site
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting fo the legality and status of system.
72-025 (Rev. 1/91) Front MOA,~21
5. 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 s & S ENGINE[.,",~iNG
~, ............ Phone ('~:i'~- ~*-:/ ~ ~
1. ;3~.,,.~,.,.j,,,. ,~ve~ Loop l~oad No. 204
Address i:~gle River, AJasJca 99577
DHHS SIGNATURE
~/ Approved for -~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Date~/- ~:_7~Z~7
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 indopendent
professional engineer registered in the State of Alaska. 'The DHIdS does this as a coultesy to purchasers 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.
I\Lg, r I V [:L/
JAN 27 1999
M u nici Pa~6fVAWCc~AO~ ~
DEPARTMENT OF ~'~(:[--~4'~[A~I~J~ICED~ [ C E I V E D*
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) ~ 1~
MUNI~IPALll Y OF ANCHO~GE
Health Authority Approval Checklist fiNVIEQNMENTAL SERVICE8 DI~ISJO~
Well type ~[~ If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) ~_~ ~ Date completed
/ ~
Total depth Cased to , - :
Sanitary seal (Y/N) ~/~
/
FROM WELL LOG
Date of teet /-~-/~ ~ 8 ~
Static water level ~/ ~.~ /~
Well production ~ ~
Casing height (above ground).
Wires properly protected (Y/N)
AT INSPECTION
g.p.m. /
g.p.m.
WATER SAMPLE RESULTS:
Coliform
Date of sample:
B, SEPTIClHOLDINGTANK DATA
Date installed F-/¢- ~¢~ Tank size
Nitrate , ¢(~ 7
Collected by:
/~ Number of Compartments
Foundation cleanout {~N) ~/~-~ Depression (Y/~ DO High water alarm (Y/,~
/
Date of Pumping .~--/~' FF Pumper ~'~-~ ~ ~) u ~ ,o, r~ (~
Other bacteria
17034 Eagle River Loop Road No. 204
Eagle River, Alaska 99577
~-- Cleanouts (Y/N) /~
C. ABSORPTION FIELD DATA
Date installed 4~'/¢~ ~ ~
Length ,~ ~- / Width ~ / Gravel thickness below pipe
Effective absorption area ~
Date of adequacy test /'~/-~'-
Fluid depth in absorption field before test (in.);
Fluid depth (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
Soil rating (g.p.d./ft2 or ff~/bdrm) o ,¢~-~,~System type
~ / Total depth
Depression over field (Y/~
For ;~-.' . :- bedrooms
/ 7//Immediately afterF~gal, water added (in.): .
Absorption rate = ~/',~) *'¢'-' g.p.d.
~,J oH~ ~a~w'~f yes, give date
72-026 (Rev. 3/96)*
ate Size in gallons
installed %
Manhole/Access (Y/N) ~'~ "Pump on" level at* "Pump off" level at*
High water alarm level at* -'"'"""*Dat' m
Cycles tested ~~
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot /'(~ /-~
Absorption field on lot //~'~
Public sewer main ,,/~.~
Sewer/septic service line
On adjacent lots
On adjacent lots /~
Public sewer manhole/cleanout ./'--]//~'
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDINGTANK ON LOTTO:
Foundation '7 /¢
Property line /(¢ /
'¢-' Absorption field
Water main/service line ,/(¢7// Surface water/drainage /~(~
SEPARATION DISTANCE, FR~M ABSORPTION FIELD ON LOT TO:
Property line /D
Wells on adjacent lots /5'~) ~"'/-'
Surface water
Curtain drain
Building foundation .,,~O ( ~- Water main/service line
Driveway. parking/vehicle storage area
Wells on adjacent lots /f/~ ~7L
F. ENGINEER'S CERTIFICATION
I certif~
in conformance w/th MOA HAA guidelines in effect on this date.
Engineer's Name ~0 0 ~/~..-,.r (~ ~'o ~,~
Date I /~ / ~ ?
CE-8801
HAA Fee $
Date of Payment
Receipt Number ~/-/~'~- (.</zp //
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include 10t, block, subdivision, section, township, range)
N ~ of Lot 53, S6~tion 25, T15N, R2W, SM.
Location (address or directions)
16037 Shims Street
(b) Property owner John Copenha;,o_~.
Mailing Address P,0.~ox 772142
(c) Lending Institution PHH U.S.¢/[ortqaq6 Corp.
Mailing Address N~;,J
(d) Real Estate Company and Agent
Telephone: (home) 6,~- ~nl0 Business 243-1902
Ea.qle River, Alaska 99577
Telephone
Address
Telephone
(e)
Mail the HAA to the following address: (or check here,~ if hold for pick up.)
List contact person and day phone number below:
S & S ENGINEERING
Eagle River, Alaska 995~
2. TYPE OF RESIDENCE
Single-Family;~:2. Number of bedrooms 3
3. WATER SUPPLY
Individual Well I~ Community [] Public []
Note: if community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status; ~
4. SEWAGE DISPOSAL
On-site iD( Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72-025 (Rev. 7/88) Page 1 of 2
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./~--~-%~ :" ":MUNICIPALITY OF ANCHORAGE (MOA) ~
~ (;~e~j~_-~:jl :::';>~ Health Authority Approval (HAA)
, ,:'>'' ~.,~..~.,/ CHECKLIST- FEBRUARY 1984
~:-~' ~'~:~ ~ ,~, 343-4744
Legal Description: ~ ~ -.
A. WELL DATA
Well Classification I¥'~i~\'~ I ~ zS~t~
Well Log Present (Y~j:~ ~ Date Completed
Total Depth 0~- Cased to ~vc;;'t"~ Depth of Grouting
Static Water Level "~'~;" !
Casing Height Above Ground
Electrical Wiring in Conduit ¢~/N)
If A, B, C, D.E.C. Approved (Y/N)
J ¥----. Yield
Pump Set At L.~-'-"
SEPARATION DISTANCES FROM WELL:
To Sel~tic/Holding Tank on Lot
To Nearest Edge of Absorption Field 9n
To Nearest Public Sewer Line i4/J~/
Sanitary Seal on Casingd~d~N)
Depression Around Wellhead
Lot
To Nearest Sewer Service Line on Lot
Water Sample Collected by ~ ~ ~ ~:::~'
Water Sample Test Results ~6..-~¢~ ...---
Comments
; On Adjoining Lots
~, ~. ; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
B. SEPTIC/HOLDING TANK DATA
Date Installed ~¢3f¢~"4~r~Size I ~;:>¢::;'~:~ No. of Compartments
Standpipes4_l~/N) '~ Air-tight Caps ¢i~/N) ~ Foundation CI.eanout(~!~N)
Depression over Tank ('Y~ f~ i Date Last Pumped
Pumping/Maintenance Contact on File (Y/N) I 1~ ; for
Holding Tank High-V~ater Alarm (Y/N) /~' Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water.Sup~)ly Well
To Property Line,
To Water Main/Service Line
To Building Foundation '7 ~'~
To Disposal Field ~71
To Stream, Pond, Lake or Major Drainage Course
Comments "'~ ,'~,~--¢,~¢i~;~-----~. / ~¢~
72-026 (Re~. 7/88) Front Page 1 of 2'
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absortion Area
Depression over Field (Y~:~
Results of Last Adequacy Test
Type of System Design
Length of Field ~ ~
Depth of Field ~,~
Gravel Bed Thickness Lc)~
'-'¢~:~;;~"¢' Statndpipes Present~/N)
~ Date of Last Adequacy Test ~/~/'~
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Property Line
To Water-Supply Well
TOLotBUilding Found~i~_
To Water Main/Service Line
To Existing or Abandoned System on
; On Adjoining Lots "-~c;;'l ~
*/.
To Cutback (if present)
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION
Date Installed
Size in Gal s~...........~
"Pump On" Level at %
High Water Alarm Level at ~
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
~'-~"'"'"~"--~ ~P. umping Cycles during Adequacy Test.
**Check Permitted Bedroorg Rati[~g Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in ef~e~
inspection.
Signed S & S ENGINEERING
17034 Eagle Ri~er ~oop Road No. 204 ·
Company ~.~'~ ......
Date ~¢~/~/~
MOA NO. C~ ~L¢
Receipt No. ~/"'~
Date of Payment
Amount: $
Receipt No.
Waiver Fee: $
Date of Payment
72 026 (Rev. 7/88) Back
Page 2 of 2
' ~ CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
~,,.--~'~'o~.~.~,,~'.~ FEDERAL TAX ID # 92-0040440
ANALYSIS REPORT BY SAMPLE fez Work Order # 18955 Date Report Pminted: DEC 21 89 @ 17:05
Client Sample ID:N 1/2 L 53 SEC 25
PW$ID :UA
Collected DEC 20 89 @ 11:00 }ms.
Received DEC 20 89 ~ 12:45 hrs.
P~ese~ved with :AS REQUIRED
T15N R2W
Client Name : $ & S ENGR
Client Acer : iNSENGP
P.O,$ NONE RECEIVED
Ordered By : BOB SI~ER
Analysis Completed :DEC 20 89 Rend Reports to:
Laboratory Supe~v~is, or~:$TEPNEN C. E~E.~ 1)S & S ENGR
Releaeed ~y : ~(~~.~ 2)
Special
Instruct:
Chemlab Ref $: 8979 Lab impl ID: 1 Matrix: WATER
Allowable
Parameter Tested Result Units Method Limits
NITRATE-N 0.63 mR/1 EPA 353.2 10
Sample SAMPLE COLLECTED BY R.P.
Remarks:
I Tests Performed ' See Special Instructions Above UA=Unavailable
ND= None Detected "See Sample Remarks Above
NA- Not Analyzed LT-Less Than, GT=Gzeatez Than