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HomeMy WebLinkAboutMOUNTAINSIDE VILLAGE #1 BLK 5 LT 3 Municipality of Anchorage Page / of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Ilnspection Report Permit Number: ~'~" C~--~ ~ / ~ ~ PID Number: ~-~)~ Name:~ ~ [/ ~ ~.~ ~ Wastewater System: ~ New D Upgrade Address: ABSORPTION FIELD Phone: No. of Bedroom ~ Deep Trench Shallow Trench [~ Bed ~ Mound ~ Other LEGAL DESCRIPTION so~,.~t~.~:¢ ,. ~ ¢~/s,.~,. Lot: ~ Block:S Subdiv~ion: ' ~ ~,-,~ Ft. .. / *,~ Ft. .-. ~¢0/.~"~/¢¢/~ ~[//~Deptht°pipeb°*°mfr°m°riginalgrade: Graveldepth beneath pipe f Township: ~/~_ ~Range: ~ ,~ecti°n: // FiH addedab~7°~nalgrade: Fi. Gravel leng~ Number of lines: Distance be~een lines: WELL: ~ew ~ Upgrade Gravel width: ~ Ft. / I .. Ft. --Olassificat'°9~' ~/[V¢'~~-~ (Private, .AB, .O): Tot;I-Depth: Ft. CasedTo: Ft. Total absorption~area:~ SQ. Ft. *i~ Driller:& I ¢[: ~ ¢ Date Drilled: Static Water Lev;;:. Installe~¢,¢~.~¢ Yield: GPM Pump Set at:... Ft." . Casing Height Above'~round:. Ft. TANK SEPARATION DISTANCES ~.tic ~ Holding U S.T.E.P. TO Septic Absorption Li, Holding 'ublic/PrivaeManufaoturer¢~~ Cap~cit' in ga[l°nT¢¢¢ From Tank Field Station Tank Sewer Lines IMaterial' ' dC Number of Compartment% w~,~ ~5~~' I~Z ~ ~/~ i~o~) :~¢ - [ su~o~ ~¢n¢ LI~T STATION Water Lh~te 5~' I;~' ~ ~ ~ ~O (.~) Size in gallons: Manufacturer: Foundation ~9' "Pump on" ,eve~~l at: ~.~' ~ 4 ~ .._ ,~ -~ ~ _ Curtain ~ ~ ~ ~ Pump Make & Model/~ctrical Inspections pedormed by: Drain Remarks: BENCH MARK Location and Description: ~ E~61~BEB'8 Inspections peflormed by: ~'~¢~ ~/~Ol~¢~Dates: lst¢ ~¢ 7 Depadment of Health and Human Se~ices approval ~ ~~/~/, ~ Date: ~-~o ¢~¢ Reviewed and approved by: 7~-913 (Rev. 9/91) MOA 25 LOT 3, BLK 5 MTN. SIDE VILLAGE SUBD. PERMIT NO.:SW97032 AS BUILT WELL & SEPTIC PLAN Scale: 1 = 60' ,/ JAMES SIZEMORE & ASSOCIATES CIVIL ENGINEERS & SURVEYORS Municipality of Anchorage DEPAR'rMENT 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 Wel~ Inspection Report Legal Description: },J~,~ ~'¢///_J.~¢o/~ PID No:: bF ~LF_. - TR616cF\ 72-013 A (Rev. 9/91 ) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HU~LAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970132 DESIGN ENGINEER:JAMES SIZEMOORE & ASSOCIATES OWNER NAME:ROGERS HELEN J OWNER ADDRESS:17901 MOUNTAINSIDE VILLAGE DRIVE ANCHORAGE, ALASKA 99516-5735 DATE ISSUED: 6/13/97 EXPIRATION DATE: 6/13/98 PARCEL ID:02017237 LEGAL DESCRIPTION: MOUNTAINSIDE VILLAGE ~1 BLK 5 LT LOT SIZE: 79230 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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. James Sizemore & Associates Civil Engineers & Sm-eeyors 6410 Switzerland Drive (907) 345-1572 Anchorage, AK 99516 WASTEWATER DISPOSAL SYSTEM LOT 3, BLOCK 5 MOUNTAINSIDE VILLAGE SUBD, ADDN. NO I 0.0 GENERAL 0.1 The scope of this project consists of installation of a 1000 gallon Septic Tank and two five foot wide by 44 feet lo9ng absorption trenches containing 2.0 feet of sewer rock. 0.2 Construction shall be as shown on the approved site plan and design drawings. Deviations from the approved design drawings shall be coordinated and approved by the engineer conducting the inspections. 0.3 All construction procedures and material used to construct the system shall comply with Municipal and State regulations. 0.4 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading areas after the system is constructed and soil is compacted and mounded over the wide trench disposal field and the Septic Tank. 1.0 SEPTIC TAN[< 1.1 The 1000 gallon septic tank shall have two compartments and shall comply with Municipality of Anchorage Requirements. 1.2 The septic tank shall be set level and shall be bedded as necessary to prevent settling or shifting of the tank. 1.3 All pipe connections to the septic tank shall be made with waterproof mechanical couplings. A cleanout shall be installed upstream of the tank within 5 feet of the house foundation. A double cleanout shall be installed downstream, within 5 feet of the septic tank. 2.0 SOIL ABSORPTION DRA1NFIELD 2.1 The soil absorption drainfield shall consist of two 5' x 44' x 4.0' trenches with a total of 2.0 feet of sewer rock, 2.0 ft. beneath the perforated drain pipe. 2.2 The bottom of the excavated shall be level within +/- 2". And compacted or smeared surfaces shall be raked to allow for proper i~ffiltration of effluent. This includes both the sides and bottom of the trench. 2.3 Sewer rock shall be 0.5 - 2.5", screened gravel with less than 3% passing the # 200 sieve. 2.4 Cleanout pipes and monitor tubes shall be 4" diameter and ionstalled as shown on the plans. The portion of the monitor tube extending through the sewer rock shall be perforated. All monitor tubes and cleanout pipes shall have waterproof caps conforming to Municipality of Anchorage Specifications. 3.0 ENGINEERING INSPECTIONS 3.1 A minimum of four engineering inspections will be required during construction of the system. One after the septic tank is set prior to its backfill, one after excavation of the absorption trench prior to placement of sewer rock, one after placemem of the sewer rock and the distribution piping, cleanouts and monitoring tubes are in place. The final inspection shall be after filter fabric is placed, the trench and the final grading are complem 3.2 The contractor shall coordinate with the engineer at least 24 hours prior to start of construction. If the contractor desires, a site visit with the engineer prior to start of construction can be arranged. PROBABLE IMPACTS TO ADJACENT PROPERTIES A) WELLS The proposed wastewater disposal system is designed in accordance with current Municipality of Anchorage Wastewater Disposal Regulations. The proposed drainfield will be constructed in accordance with these regulations. The separation distance fi'om wells on adjacent properties is greater than I00 ft. Therefore no unacceptable impacts are expected on the wells located on adjacent properties. B) WASTEWATER SYSTEMS The new drainfield will be constructed with good separation distance from systems on adjacent lots. Soils tests have shown the soil where the system is to be constructed is acceptable for an on-site disposal system, therefore there should be no unacceptable impacts of adjacent wastewater disposal systems. C) RESERVED SPACE/SURFACE AND SUBSURFACE The large lot on which this system will be constructed has ample space both surface and subsurface reserved for a replacement system. The proposed drainfield should not affect adjacent properties. D DRAINAGE The location of the drainfield will not interfere with any drainage. The area disturbed during construction of the field will be graded and sloped so as to not pond water. There fore this system should not adversly affect adjacent properties. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~ ; J~mes ~:. oizemore t ~ o # 1517 LE6AL OESCRmT,ON: L_ 5 [SL ?/ t t' ~,~/C F ~ownship, Range, Section: 1 2 3 4 5 6 7 8 9 I0 11 12 13 14 15 16 17 18 19 20 COMMENTS SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After ~;L ~ Monitoring? '~ Date: Reading Date Gross Net Depth to Net Time Time Water Drop :~Il ¢; ,~ " PERCOLATION RATE (~ (minutes/tach) PERC HOLE DIAMETER TEST RUN BETWEEN f'~ ~ d',~ FT ANDZ'¢(/~ FT PERFORMED BY: '-f* ,5;'~:~rp/~e ~~-~.~f5'~45"~ GERT,FY THAT 'mis T~ST - ~,/ . :.... ..~ ~ _ , /. . /. .:S PERFORMED IN ^OCOBDANCE W,TH ^~, ST^~E AND MUN,O, PA, ~,~EL~iES ,N EFFECt' ON ~H,S DATE. DATE: ~4/~' %/ ¢ 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES ,825 "L" Street, Anchorage, Alaska 99502-06,50 SOILS LOG -- PERCOLATION TEST · LE6AL DESORIPT,ON: ,~ ~ ]~L~' F//~/¢-//2' ~c-P/E~ '~ Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15- 16- 17 18 19 2o COMMENTS SLOPE WAS GROUND WATER ,?,~_ ENCOUNTERED? SITE PLAN IF YES, AT WHAT DEPTH? p E Oeplh to Water Aller ~ Monitoring? ~' ¢ ~ Date: ~'~ Reading Date Gross Net Depth to Net ~-~ [ Time Time Water Drop PERCOLATION RATE / 0 2'~) tmlnutestmch) PERC HOLE DiAMETER ~/~ 'rEST RUN BETWEEN ''~' ~-~ FT AND 4(~) FT PERFORMED BY: ~ ~> ~-~.~'~','~r'~ -I/~/" ~'~'-/~-~ Y THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS D k T EI DATE: ~ ¢ ¢::9 --M g 72"008 (REV. 4/~5)