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Home My WebLink AboutKNIK VIEW BLK 1 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 ~nspection Report Permit Number: .~u,J ~'1 o '2.(,~' PID Number: O~1 -O~1 - Name: ~C~ I~C, /~: ~_,~ A~o~¢~ WastewaterSystem: ~New DUpgrade Address: ABSORPTION FIELD IND. of Bedrooms: Phone: ~&8 ' ~O~ ~ ~ Deep Trench O Shallow Trench ~Bed ~Mound ~Other Total Depth from original grade: LEGAL DESCRIPTION s°" Rating: J. 2 q~/sq. Fl. IO Lot: ~ Block: ] ~lSubdiv~i°n:~ ~ [ ~ Deptl~ to pipe bottom~from original grade: Ft. ~ ravel depth beneath pipe Ft. Township: ~ ] Range: ~ Section:~ Fill added aboveo.~o[iginal~de:.~ ~.~ Ft. Gravel length: ~ ~ Ft. WELL: D N w ~ Upgrade Gravelwidth: I Number of lines: Dislance between lines: I Classificatlo.c~(Private., A.B.C):Att Total Depth: ~ ~ Ft. Total ~bsorption ar.~'~fl~ SQ. Ft. PipeA.~maleria,:~.~, /~O Driller: ~: StatlcWaler Lsvel: Installer: Date installed: Y~mp Set al: O~sing Height Abo~e ~round: .~. ~. TANK SEPARATION DISTANCES ~s~,ti~ u Holding ~ S.T.E.P. To Septic Abso~tlon Lilt Holding Publlc/Pri~ate Manufacturer: Capacity in gallons: Number of Compadments: Sudace w~t~ Ioo~+ Io*'+ ~ ~ -- LIFT STATION Lot , , Size in gallons: [Manufacturer: Foundation ~ 2~ ~ ~ Remarks: BENCH MARK Location and Description: Assumed Elevation: ~.~;~,,.,~: ........ : ...... Inspections performed by: $&S~N~m~INe Dates:lst ~-5-~ ~-,~-,,~ ...... ~ .... Eagle River, Ala~kl~ 9~577 ~ ~ ,~ ~. ~ Department of Heal~ and~ Human Sgrvices approval '~,,,~) ~,:t , ,,,~.~,..,_..:-. ?:,- 72-013 (Rev. 9/91) MOA 25 ~ IlO, SW970265 P.~,,B 2 01' 2 Hunicip. o,/it oF Anchoro, qe DEPARTMENT OF HEA~TH SERVI AND HUMAN CES ENVIRONMENTAL SERVICES DIVISION P,D, Box 196650 ~,..Anchor'o. ge, A[o. sko. 99519-6650eTetephone~ 343-47,44 ON-SITE WASTEWATER UISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LOT 1, BLOCK 1, KNIK VIEW ~/D 051-0,51-24 FCC ST1 ST2 DEL DEL C01 MT1 C02 A B 11.5' 31.5' 1 4.0' .33.0' 18.5' 56.5' 20.0' 58.0' 20.5' 58.5' 50.5' 44.5' 51.5' 46.5' 40.5' 75.5' /- DRIVE / APPROX. LOCATIO? OF WATER LINE)' / / ,× / ~/ =NEW TRENCH ALT. SITE~c°2 ST1 STP, NEW ~4 1000 GAL SEPTIC .8' TAN}( GRAD~ ~. MT CO ~ C01 = 99.g' t?(94.?' 94.8' MT1 = 88.%/ & NO WATER FOUND 82,7' B.O.H. APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER & WAIER INSPEC11ON ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST SFRUCTURAL & MECHANICAL INSPECTIONS ONSIfE WASTEWATER DISPOSAL SYSTEM DESIGN ROBERT C. COWAN, RE. ROBERT A. SHAFER, P.E. Municipality of Anchorage DEPARTMENT 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 SEP 9 1997 Municipality of Anchorage Dept. Health & Human Services REFERENCE: performed on~-~ ~Y- - and ~~ . Prior to submitting the On-site Wastewater Disposal System ~nd/or Well Inspection Report we are waiting for the ~ZtA/~/~ ~/L/ to be completed. 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 PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH A~ND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970265 DESIGN ENGINEER:S & S ENGINEERING OWNER NA~ME:LEROY ALDER~ OWNER ADDRESS:P.O. BOX 670045 CHUGIAK, ALASKA 99567 DATE ISSUED: 8/19/97 EXPIRATION DATE: PARCEL ID:05103124 LEGAL DESCRIPTION: KNIK VIEW BLK 1 LT LOT SIZE: 20000 (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 (18A~%C80). 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 SA~ME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. 1 OF 8/19/98 SPECIAL PROVISIONS: ISSUED BY: DATE: DATE: ROBERT C, COWAN, P.E. SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELl. INSPECTION & PLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN July 31, 1997 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCItORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 1, Block 1, IGnik View Subdivision Request you issue a permit to install a septic system to selwe the proposed three bedroom house on the referenced property. A test hole was excavated and a percolation test performed. The approxhnate location of the test hole is located on the attached site plan. The monitoring tube ;vithin the test hole has been checked and found to be Tkis property is served by a Conmnunity Water System, and has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional infom~ation, please contact us. Sincerely, Robert C. Cowan, P.E. RCU/m, Ellclostlre 17034 NORTH EAGLE RIVER LOOP . SUITE 204 o EAGLE RIVER, ALASKA 99577 · = 4.0' SITE-PLAN SCALE oo 04"u ,;:0 \ ;~-u U) --4 m~ lO' UTILITY EASEMENT C) Zo 6') F- DESIGN oo o mca z~ KNIK VISTA DRIVE I)EVELOPE~~co° q Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: ~"~ t 3 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 2O · Township, Range, Section: " WAS GROUND WATER ENCOUNTERED7 DEPTFI? . pO E Depth to ',¥ater,/~r ,, f~onitoring? ~.Oate: '~/,~''cl 4? SLOPE SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop 7.~. 3',~,,o~'" / '~' 3. ~ ~ 1" PERCOLATION RATE '~ -- (mmutest~nch) PERC HOLE DIAMETER TEST RUN BETWEEN ~- FT AND (--'"' FT COMMENTS PERFORMED BY: 17034 E"-g!"- Ri'c? La~,p gea8 No. 2~ ~ ' _ ' CERTIFY THAT THIS T~T WAS PERFORMED IN 72-008 (Rev. 4/85) ROBERT C. COWAN, P.E. HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & ELOW T EST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONS]TE W,~,STEWATE R DISPOSAL SYSTEM DESIGN ON-SHT~ WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 REFERENCE: Lot 1, Block 1, Knik View Subdivision July 31, 1997 GENERAL: The scope of this project includes the installation of a 1000 gallon septic tank and a leacbfield trench to serve the proposed tln'ee 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. All standpipes on the septic tank shall extend a minimum of 12 inches above fmal grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 1, Block 1, Knik View Subdivision July 31, 1997 A foundation deanout shall be installed one to four feet from the building foundation. In the line between the tanlc and the leacbfield 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 more 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. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/D~I~LD INSTALLATION: Excavate the proposed trench 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 enth'e gravel surface before placing bacl~lll. 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 fi'om the bottom of tile 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 t~'ty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed fbr 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: Page Tltree Lot 1, Block 1, Knik View Subdivision July 31, 1997 Type of Pipe Perforated. Solid Cast h'on Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use ora type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil bacldill, All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to cmrent 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: 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. Page Four Lot 1, Block 1, Knik View Subdivision July 31, 1997 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 construction. If necessmy, 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 fl~e contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. pemfit. 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 perfmming work on this project or the failure of the contractor to can3, 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 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. # O5"/- 0~,1-~ 1. "GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Location (site address or directions) ) ,v ~.,~. ','- ~?._ Property owner' .L~.go'/ " .... uaii.ing addre~S'f~.cl. [lox (2'7 ~2¢~ Day phone c-t.tu ¢. ~4~:_ 44' !':: L."Lending agency~ ' ',, Ma'iling address Day phone Agent Address - Day phone 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. 72-025 (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 $ & $ ENGINEERING 17u;¢4 t:agie ~iver La~p ~.uad NO, 2~ Phone Address Eagle River, Alaska Engineer's signature . . ~ Date I~/~ [~ 7 DHHS SIGNATURE Approved for j2 Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date /2 - /2 - ¢7 The Municipality of AnChorage Department of Health and Human Services ;;:,HHS) issues Health Authority Approval Certificates based only upon the representations given in paragrsph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy 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. ~2-O25 (Rev, 1/91) Back MOA ~1 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-474~4 Legal Description: A. WELL DATA Well type Health Authority Approval Checklist J..o-r I ,~ ~l. oc/z. ~., kbt[V- ~e¢ ~POarcel I.D,: ~'/'L~s¢ i~/~,~ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Total depth Sanitary seal (Y/N) FROM WELL LOG Date of test ~'~' Static water level Well production __ g.p.m. WATER SAMPLE RESULTS: Coliform Nitrate Date of sample: Collected by:, B. SEPTIC/I~I~L=~I~TANK DATA Date installed Foundation cleanout~)N) Date of Pumping C. ABSORPTION FIELD DATA Casing ;ieight'(above ground) Wires properl~ Protected (Y/N) AT INSPECTION Other bacteria Tank size ! o0~ Number of Compartments' ~ Cleanouts (~N). ~E.~' Depression (Yd~D ~o High water alarm (Y~:~. t~o Pumper ' Date installed . ~ - ¢- el-/ _ Soil rating ~r ft2/bdrm) I. ~ _ System type_ Length ~Z~' ' Width ~. 5 1 Gravel thickness below pipe ~ ~Total depth IO'- I I ' Effective absorption area ~ ~l~ Monitoring Tube present (~N) V~% Depression over field (Y/I~ Date of adequacy test ~',~ ~-~.~ Results (Pass/Fail) ~-- For ~ bedrooms Fluid depth in absorption field before test (in,); ~ Immediately after ~ gal. water added (in,): Absorption rate = ~ g.p.d, If yes, give date -~ Fluid depth ~ (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (Y/N) High water a!arm level at* ~ Size in gallons "Pump off" level at* *Datum SEPARATION D. ISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot '20o~ + Absorption field on lot Public sewer main On adjacent lots ~ic sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~, I Property line 3?- ~ Absorption field Water main/service line I0 ~.b Surface wateddrainage l oct4' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ! (, Building foundation ~8 Water main/service line Sudace water ~ Oo ~+ Driveway, parking/vehicle storage area Curtain drain ~o~ J~o¢~J Wells on adjacent lots ~ cot t' ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal recor(~'~tha't.~he,abO)..b,~ms are ... in conformance with MO~ H~A g~idel~s in effect on this date. ~ :v,.,, · .... Signature ~Z~ Engineer's' Name 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number