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)