HomeMy WebLinkAboutKNIK VIEW ESTATES BLK 3 LT 12 Municipality of Anchorage Page 1 of ~
DEPARTMENT OF HEALTH AN[;) 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: SW970224 PIDNumber: '051043i,~
Waldec Enterprises Wastewater System: ~'New [] Upgrade
~,ddress= ABSORPTION FIELD
9210 Vanquard'Drive Anc.. AK
'F;hona: I NO, of ~edrooms: '
344-5678 D DeepTrendh.~hall°wTrench ~ Bed ~ Mound ~ Other
LEGAL DESCRIPTION sog Rating: Total D0pth from original gra~o:
~ ~ GPD/Sq. Ft. ~,~
Lot: '~ BIock:~ ~"~bd~ ~ Dspth ,o pipe ~ttom from__orlginal..~grado: Ft. Gravel dapth beneath pipe ~,' Ft.
Number of lines: Dis~n~ ~n lin~:
WELL: ~ O New D ~ er.wm width: ~ ~ Fi. I ~ Ft.
~lassificatio~ (Pri~ate. A,B,C): ~. ~epth: Cased To: Total absorption area: Pipe material: ~ ~
Ft. Ft. ~7~SQ. F~.
~ield~ GPM Pump Set at:Ft. C~ing Height A~ve 6round:Ft, ~ TANK
SEPARATION DISTANCES ~pt,~ ~ Ho,d,.g : ~ S.T.E.P.
To Septic Abso~tlon Lffl Holding ~rlva[e Manufacturer: Capac[~yin gallons:
Sddace '
w.t., ~/~ ~/.C~' ~/~ ~ ~/~' LIFT STATION W~ _
.LOtLine ~1 // t~ ~ ~/~/ 81ze~ngallons:~nufacturer:
Foundation /~ / ~ ~/~ y~ ~ "Pump oh"lave, at: ~at: HIgh wateralarmat:
Cu~ainDrain ~ ~ ~ ~ ~ Pum~_ ~ Electrical. Inspections ped0rmed by:
Ftemarks: BENCH MARK
L~tion and Description:
A~umod Elevation:
Inspections pedormed by:~ Dates: 1st ~ ,'~o~
2nd ~/~/)7 ~,;~ ~; ............... .....
- ~~~ 7 ~ ~;'* MIOHAEL E. ANDERSON '~
Department of Health and Human ~e~ices approvm ~¢2. 43~-E ,~
Reviewed and approved by: ~~ ~ Date: /'/~ I ~~~
72-013 (Rev. 9/91} MOA 25
Permit No~
SW970224 Page 2 of 3
Municipality of Anchorage
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
LegaIDescription:L Lot 12, Block 3~-Knik View Estates PIDNo.:~ 05104314
.I
, : PLAN AS-BLT
1" = 30'
I~GEND
SP1 Septic Pump, compartment
SP2 " " "
C Clean Out
...................... MT Monitor Tube
' , ........................................ ~.~%~ ~- - .
~ . ~. , .~. . .~-~
.............. ~.. ~ ~...'.~. ~-~ ..... ~. ~ .~i ,.~ :,
_ ..................... .........
· '~ ................................ ~ ~ ~ ~. A~O,~
.............................. ~ m:. ~ 43~1.:
. · .~ .~%.. ..~: .
Permit No. SW~)70224 Page 3 of. 3
Municipality of Anchorage'
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
Legal Description:_L. ot 1 2, Block 3, Knik .View Estates
PID No.:L05104314
........... ~--" ELEVATION
AS -BLT
1" = 1'0'
~EGEN~
-- SP1 Septic Pump, compartment
SP2' " "
-- C Clean Out
MT Monitor Tube
· .'MICHAEL E, ANDERSON -4~SFE - ,
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, AnchoragE, Al~ka 99502-0650
SOILS LOG -- PERCOLATION TEST
10
11
12
13
14
15
16
17-
18-
20-
~',,Z~. SLOPE SITE PLAN
-
II1¢
WAS GROUND WATER
IF YES,, AT WHAT
DEPTH?
Reading Date Gr~ Net Depth to Net
Time Time Water
"7 :~ : ..¢./ .~. i ~ ~
/
72.,c~38 (Rev. 4/8~t
PERCOLATION RATE ...~'Z:~ (m,nute~mch) PER(: HOLE DIAMETER f
TF~TRUN'BETWEEN ~'~Z"' FTANO "7~.,~ :
PERFORMED IN
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMiLN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW970224
DESIGN ENGINEER:ANDERSON ENGINEERING
OWNER N/LME:WALDEC ENTERPRISES INC
OWNER ADDRESS:9210 VANGUARD DRIVE
ANCHORAGE, AK 99507
DATE ISSUED: 7/30/97
EXPIRATION DATE: 7/30~98
PARCEL ID:05104314
LEGAL DESCRIPTION:
KNIK VIEW ESTATES BLK
3 LT 12
LOT SIZE: 22064 (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 (18AAC80) .
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 SANE DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
SUBMIT THE EXACT SEPARATION DISTANCE FROM THE PROPOSED
SEPTIC SYSTEM TO THE 75% SLOPE LOCATED EAST OF THE
PROPERTY ON THE AS-BUILT AS DISCUSSED ON JULY 30, 1997.
DATE:
July 1, 1997
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot 12, Block 3, Knik View Estates Subdivision
Septic System Design
Impacts to Adjacent Properties
Dear On Site Services Engineer:
We hereby apply for a permit to construct an onsite septic system on lot
12, Block 3, Knik View Estates Subdivision. The attached site plan and
backup documentation identify the size and location of the new system to
serve the house to be constructed on the lot. The subclivision is .served by
a community water system and all required separation distances are
easily met.
Percolation tests completed on soils in the area of the new absorption
trench and alternate site indicated a rate of 14 to 15 minutes per inch.
We propose to place a 5' wide absorption trench with a total length of 57'.
Four feet of drainfield rock will be placed beneath the distribution pipe.
Total depth of the system will be 8'. No groundwater was found during
excavation of the testholes and none was noted during the monitoring
period. No surface water was noted in the area. '
The ground surface in the area of the new trench slopes at a rate of
approximately 4% from north to south. This slope increases toward the
south property line. 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
subdivision is currently served by a community water system.
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.
Lot 12, Block 3, Knik View Estates
July ,1, 1997
Page Two
The system, if constructed as designed, will have no adverse
impact on reserved space, either surface or subsurface, on any lots
located in the area.
The system, if constructed as designed, will have no adverse mpact
on drainage patterns in the area. The current drainage pattern will
be maintained.
Sincerely,
Michael E. Anderson P.E.
Attachments
AREA MAP
SCALE 1" = 60'
/
/
/
/
JUDD
2/
Z~
121,35_
Circle
EAST' '180,00
~" '~- 155.48
175.00
205.00
//' ~ 299.24
143.76
175.00
WEST 115.
~ = ' i ~ / i I% 57' LONG X
~ ~,-~-'~ ~/I ~1 i! t~ LONG EFFECTIVEDEPTH
ALTERNATE ~ ~,
SITE i ~
.
' : : ' :1 2
13
11~
VACANT
.... ;.___~___, ,
: ~ '2, / I !
REBECCA CIRCLE , ~ i [ ! ~ i i ' ~_ i
' ' ..... SCALE : 30'
LOT 12, BLOCK 3, KNIK VIEW ESTATES
DESIGN FACTORS:
Three Bedroom Home
Perc. Rate: 14 Min./Inch
Application Rate: .8 GPD/SF
SUBDIVISION
SYSTEM REQUIREMENTS:
5' Wide Trench System
1,000 Gallon Septic Tank
4' Drainfield Rock
3 Bedrooms X 150 GPD / .8 GPD/SF = 562.5 SF of Absorption Area
562.5 SF/5 LF (Trellch Width).5 (Red; Factor) = 57 LF Trench Length
Therefore: Construct a 5' Wide Absorption Trench With One Lateral 57'
in Length. Distribution Pipe in Trench Placed at 4' Below the Original
Ground Surface. Place 4' of Drainfleld Rock Beneath Distribution Pipe.
NOTE:
TYPICALWIDE TRENCH SECTION
(NO SCALE)
Grade Area Over Trench to Drain Away.
Minimum 3' of Cover over Septic System.
1GINEER'5 SEAL
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG --, PERCOI.ATION TEST
PERFORMED FOR: ~?I~'IEL'I'-
DATE PERFORN
LEGAL DESCRIPTION: ~' /Z.! ~LOC4~. :~t
7
8
9
10
11
12
13
14
15-
16-
17-
113 -
19-
20-
2 ~L.-.
Township, Range, Section:
SLOPE
I
S~TE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Oel~l tQ Wau ~ ,.,,/
M~tm'ing? · '
Gro~4 Net D~pth to Net
Reading Date Time Time Water Drop
~-/~,/77 ~'o, '- ~ '~
PERCOLATION RATE /"~'"' (m]nute~mch) PERC HOLE DIAMETER
T~T RU. ~ETWEE. ~ FT A.D ~
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE;
72-00~ (Rev. 4/85)
Munic, lpality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: ~"P/I,,J~'/...L /k~.-{~ DATE PERFORM
LEGAL DESCRIPTION= /~'~/Z, ~ ~ ~1~ Township, Range, Se=ion:
4
7
8
9
I
/
3 ~
WAS GROUND WATER
ENCOUNTERED? ./~
L
IF Y'E~, AT WHAT j
DEPTH? p
E
10
12
13-
14-
16-
18'
:20-
COMMENTS
Reedlng Date Gross Net Del3th to Net
Time ' Time Water Dml3
"/; ~o fl;" ¢, '/~.', / ',
Z;;'~ /¢' ~Z Ye.-" /"
PERCOLATION RATE /*~"~ (mmute~'mch) PERC HOLE DIAMETER
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DA'rE;
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 12, BLOCK 3, KNIK VIEW ESTATES SUB.
GENERAL:
1. The scope of this project includes furnishing and inStalling
a new 1,000 gallon tank to serve the proposed three
bedroom home. Work also includes placement of a new 57'
long X 5' wide X 4' effective depth absorption trench,
2. 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. -
3. The Oontractor shall be responsible for obtaining all
underground utility locates and for the layout of the septic
system and verification of the location of all lot lines.
4. 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.
5. 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
1. A new 1,000 gallon septic tank must be procured from an
approved source and installed at the location shown on the
Site Plan.
Lot 12, Block 3, Knik View Estates
July 1, 1997
Page Two
2. A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" c!eanouts
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.
6. 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 )ositive
slope exists away from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions: shown
on the design. The bottom of the trench shall be within 2"
of level.
2. Distribution piping must be placed level with perforations
down atop alevel bed of drainfield rock. Rock should then
be placed over the pipe to provide a minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between
the drainfield rock and the natural soil backfill.
4. 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, Knik View Estates
July 1, 1997
Page Three
5. 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.
6. 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
away.
trenches to drain
8. 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 1-41 or equal).
4. Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
Lot 12, Block 3, Knik View Estates
July 1, 1997
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 acopy of all field survey layOut and
construction notes for use in preparing the certified as-built
of the completed system.
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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # 0~,104314 HAA#
1. GENERAL INFORMATION
Completelegaldescription t,nt: 1~ Rlor,~- '~,
V~ e~., Estat~s
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
Waldec Enterprises, Inc. Dayphone
9210 Vanquard Drive Anchoraqe, AK 99507
Day phone
34ZI-s67R
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: Three ( 3 )
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
XXX
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:
Individual on-site
Holding tank '
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
?2-025 (Rev. 1/91) Fron! 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 Anderson Enqineerinq Phone 563-7155
Address P.O. Box 240773 Anchoraqe, AK 99524
EncneeCs eignature
Date 1 2/31/97
D..s S,G.ATURE
¢/ 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 DHHS 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.
72-025 (Rev. 1/91) Back MOACY21
Legal Description:
A. WELL DATA
Municipality of Anchorage R ~ C,~, i V [~
DEPARTMENT OF HEALTH & HUMAN SERVICES' '- ~
Environmental Services DivisiOn .!/~N: ,?. '[99g
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 34~:4744
MUnicipa![tY of Anchorage
Health Authority Approval Checklist DopL Health~& 14uman So.ices
Lot 12: Block 3~ Knik view _ParcetI.D.:
Estates
05104314!
Well type A
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
If A, B, or C, attach ADEC letter. ADEC water system number 2;'lJ~ 4, 0 9
Date completed
Cased to Casing height (above ground)
Wires properly protected (Y/N)~
FROM WELL LOG
g.p.m.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
AT INSPECTION
g.p.m.
Coliform Nitrate
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Date installed 9 / 3 / 9 ? Tank size
Foundation cleanout (Y/N) Y
Collected by:
1 ¢ ooo Number of Compartment,,; ..
Depression (Y/N)
Other bacteria
2 Cleanouts (Y/N) y _
N High water alarm (Y/N) N
Date of Pumping New
C. ABSORPTION FIELD DATA
Date installed 9 / 4 / 97
Length 57 ' Width 5 '
Effective absorption area_570 SF
Date of adequacy testNew Const,
Pumper _ c~n~hr.~.~i (~n
_ Soil rating (g.p.d./fF or fF/bdrm) · 8 _
Gravel thickness below pipe
. Monitoring Tube present (Y/N) ¥
Results (Pass/Fail)_ Pas.~
Fluid depth in absorption field before test (in.);
Fluid depth (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3/96)*
Immediately after
Absorption rate =
If yes, give date
System type ~c_h
4 ' Total depth 8 '
Depression over field (Y/N) N
For_ Three bedrooms
gal. water added (in.):
D. LIFT STATION -
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
Size in gallons
Public Water
None on Lot
"Pump off" level at*
System
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
"Pump on" level at*
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation > 5 ' Property line > 5 '
Water main/service line > 1 ~) ' Surface wateddrainage ~ 1 ~n '
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
> 1 0 ' Building foundation > 1 0 '
Absorption field > 5
Wells on adjacent lots
Property line
Surface water > 100 '
Curtain drain None on I,o~-.
ENGINEER'S CERTIFICATION
Water main/service line > 10 '
Driveway, parking/vehicle storage area
Wells on adjacent lots > 200 '
I certify that I have determined thru field inspections and review of Municipal
in conformance with MOA HAA guidelines in effect on this date.
Signature ~/~'~~ ~
Engineer's Name Hichae! E. And. er_=on, ?.E.
>5'
Date 12/31/97
HAA Fee $ .~/~¢%,. ¢'~
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number