HomeMy WebLinkAboutMOUNTAINSIDE VILLAGE #1 BLK 6 LT 2
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: OSP231351
Work Type: SepticTank Upgrade
Tax Code Number: 02017230000
Site Legal Address: MOUNTAINSIDE VILLAGE #1 BLK 6 LT 2 G:3439
Site Mailing Address: 6976 BIG MOUNTAIN DR, Anchorage
Owner: HOGARTH PAUL EDWARD
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
�,»cnt
�o
fi
WLC ■J'..
Dc
10/16/2023
10/15/2024
82714
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
3
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
Special Provisions: The existing trench may need to be located in order to ensure that the required separations
will be met.
1 5 r
Issued By:
Z�L
Date:
Date: Z2
MUNICIPALITY OF /ANCHORAGE
Community Development Department «= Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 020-172-30
Property owner(s) Paul Hogarth Day phone 907-250-1130
Mailing address 6976 Big Mountain Drive, Anchorage AK 99516
Site address 6976 Big Mountain Drive, Anchorage AK 99516
Legal description (Sub'd., Block & Lot) Mountainside Village #1 Block 6 Lot 2
Legal description (Township, Range & Section)
Lot Size 82,714 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑ Single Family (SF)
Septic Tank
19Upgrade
❑X (w/wo AD U)
Holding Tank
❑
RenewalDuplex (D)
❑
Privy
❑
Multiple Dwellings
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
L
(Signature of property owner or authorized agent)
Permit/Rush Fees: 12- �— Waiver Fees:
Date of Payment: 1 0� 1 Z/ 2,0 -L..3 Date of Payment:
Receipt Number: Q gl 3 2 Gz Receipt Number:
Permit No. 0 S P Z I,/ 3 5 ( Waiver No.
Permit App_'- : -
❑X
October 10, 2023
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Mountainside Village #1 Block 6 Lot 2 - Big Mountain Drive
Septic Tank Replacement
Dear On-Site Services Engineer:
The owner of the above lot has a septic tank that has reached its end of useful life, so we are
submitting this permit application for its replacement. The attached site plan identifies the
location of the home as well as the wells and septic location. No conflicts exist between this
proposed system and any other wells or septic system, whether on this lot or adjacent lots. We
are replacing the septic tank with the same size (1250 gallons) designed for 4 bedrooms.
The new septic tank will be a minimum of 100’ from all wells and surface water. Please refer to
the attached plan for the septic design. If this design is followed, there will be no adverse impacts
to adjacent properties.
Sincerely,
Benjamin Schiller, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231351, Deb Wockenfuss, 10/16/23
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
1"=50'
EXISTING TRENCHES TO
REMAIN IN SERVICE
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
2CO
MOUNTAINSIDE VILLAGE #1, BLOCK 6 LOT 2
FEET
0 50 100
BIG
M
O
U
N
T
A
I
N DRI
VE
3-
B
D
R
M
H
O
M
E
SEPTIC PLAN
10/10/23
RETAINING WALL
RETAINING WALL
DECOMMISSION AND
REMOVE EXISTING SEPTIC
TANK. DO NOT UNDERMINE
EXISTING RETAINING
WALLS ON EITHER SIDE
NEW 1,250 GALLON SEPTIC
TANK. SUPPORT EXISTING
RETAINING WALLS IF
NECESSARY WHEN INSTALLING
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231351, Deb Wockenfuss, 10/16/23
PLOT PLAN ___ AS BUILT _X SCALE 1�_= 60__ GRID _ SW 3439 Project No. _ _23-4741A1___
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates, inc. (907) 522-6476 Phone
ken®langsurvey.com
Professional Land Surveyors jonothan®longsurvey.com ,.? OF At ll
trovis®langsurvey.com r !
.e��-' �
I hereby certify that I have surveyed the following described property:
LOT 2, BLOCK 6, MOUNTAINSIDE VILLAGE SUBD. — ADDN. No. 1 (PLAT No. 83-348)
Anchorage Recording District, Alaska, and that the improvements situated thereon are
within the property lines and do not encroach onto the property adjacent thereto, that
no improvements on the property lying adjacent thereto encroach on the surveyed
premises and that there are no roadways, transmission lines or other visible
easements on said properly except as indicated hereon.
Dated this the __°'!__ Day of __ -'�___, 2� 1: , at Anchorage, Alaska
It is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
49TH *�
I • • • • KENNETH G. LANG �
5202 • 0 A
�IliF�F4p �� Ss�
U11k FsSW
State of Alaska AECC963
Municipality of Anchorage Page 1 of "~
DEPARTMENT (DF 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
Permit Number: .5't4,/¢~ Ol~'~ PIDNumber: 0'~017
Name: [;:;~;t..¢41 ~0~¢ f'h Wastewater System: ~ New ~ Upgrade
Address:~?7~ ~,?W~o~.~,~ R~ ? ~f¢ ABSORPTION FIELD
V No,~l Bedrooms:
Phone: 3~ ~ ~ ~ B Deep Trench ~ Shallow Trench BBed DMound ~Other
L E G A L D E S C R I PTI O N Sol, Raling: Total Depth from original grade:
I, O GPD/Sq, Ft. 0
Lot: Block: Subdivision: ~ ~ Depth to pipe botlom from origiaal grade: Gravel depth beneath pipe
Township: ~ Range: Section; v Fill ~dded above original grade: Gravel lenglh:
' ' Number of lines: Distance between lines:
WELL: ~ New ~ Upgrade Gravelwidth: ~ Ft. ~ I~' Ft.
Classification (Private, A,B,C): Total Depth: ~ Cased To: Total absorption area: Pipe material: ~- ~ f~
Driller: Date Drilled: SlaJic Wa~er Level: Inslallerl Date installed:
Yield: Pump Set at: Casing Height Above Ground:
SEPARATION DISTANCES ~ Septic ~ Hoid[ng ~ S.T,E.P.
To Septic Absorption Lift Holding ~ublic/PrlvateMB~tll~c[urer: Capacity in gallons:
Material; Number of Compartments;
Surfaco LIFT STATION (N.
Lot Size in gallons: Manufacturer:
~ "Pump on" level at: "Pump off" level at: ~ High water alarm
Foundation
CurtainDrain . . . . ,, - .... Pump Make & Model Electrical Inspections performed by;
. Localion and Descriplion:
I Assumed Elevation:
ENGINEER'S SEAL
Department of Heal and $¢rvi es approval · ..?.-, ,
Reviewed and approved bY:,/
72-013 (Rev. 9/SI) MOA 25 ~J'~'"
Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 e Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: .~lx.,, e 30 /5'~. PIDNumber:
Name:
~1~o ~ ¢~ c ~o r~ Wastewater System: ~ New ~ Upgrade
Address:
Phone:
~ Z~- ~ ~ N~ of 8~roo,es: ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
LEGAL DESCRIPTION so,, Radng: Total Depth from original grade:
J . O GPO/Sq. Ft.
Lot:
Block:
Subdivision Deplh Io pipe boltom from original grade: Gravel depth benealh pipe
Township: II N ~ange: ~ ~ ............... lSocti°n l/ ,~-- -- bill added ab°ve°riginalgrade:~. O Ft. Grave[length:~o~ / ' ~ / ~O'''1' Ft.
WELL: ~ New ~ Upgrade Gravelwidth Number of lines: Dis~ance between lines:
~ Ft ~ J¢ Ft.
Classification (Privale, A,B.C): Total Depth: Cased To: Total absorption area: ~ipe materiah
Fi Fl ~O~ SQ. Ft.
Driller: Date Drdled: S~a[ic Water l.evek Installer: Date i~stalled:
SEPARATION DISTANCES ~ s~.tio ~ .o~n~ U S.T.~.~.
TO Septic Absorplion Lift Holding ~ublic/Private Manufacturer; Capacity in gallons:
F~OB Tank Field Sial .... Tank S ..... L .... ~nchorm¢~ ~ I
Number of Compartments:
Surface
Water >~OO' > ~ .... LIFT STATION
Lot -- Size in gallons: Manufacturer:
Foundation "Pump on' level at: "Pump off" level at: High waler alarm al:
Gurtain Pump Make & Model ~ Electrical Inspections pedormed by:
Drain - - ~ ~
I
~¢,marks: ~3 )~ ~ P~'~'~7 ~e~¢ BENCH MARK
ENClNEER'S SEAL
Inspections performed by: F'[~¢~ 7~c4 %¢c Dates: 1st 7/7o¢¢~
Department ot Hoalth and .uman Sorvicos approval ~~~'~
Reviewed and approved by: ........... Date: ..........
72-013 fR0¥ g/91) MOA 25 ~.~k%~4~?.-),.v~,~'~
PERMIT NO: SW930142
PID NO: 02017230
NOTE: DRIVEWAY WAS
CONSTRUCTED TO MATCH
ORIGINAL GRADE. SO NO
CUTBANK WAS CREATED.
FINAL GRADING OVER
DRAINFIELDS HAS
OBSCURED THE
ORIGINAL
CONTOURS
OF THE
LAN B.
LOT 2
TEST
HOLE
#5
TEST
HOLE
41'x5'
DRAIMFIELD/-~ :: "H" , ,
PAGE 2 OF 2
POSSIBLE LOCATIONS
REPLACEMENT
DRAINFIELDS
30' x 5' DRAINFIELD
250 GAL. SEPTIC TANK
SWING TIES:
FROM: COR. 'A" COR."B".
TO"
S,T. C.O. "C" 51' 45'
S.T.C.O. "D" 54' 53'
DBL. C.O. "E" 55' 53'
M.T. "F" 60' 91'
C.O. "G" 88.5' 133'
N. ENDDST PPE NV ~831~ N. ENDDIST. PIPE INV. ~ 87.4",, ,' '. El ,,--.~ ~.l:'
END DIST; PIPE INV: ~ 83;1' END DIST. PIPE INV. ~ 87.4. "'~;~i,
TUBE II II ' --~- 2' SOIL COVER +
-INV. INV.
87.9'
. /. FILTER SAND :
ELEV. /
82.4' , ...... /. ~,.
7' ~0' LONG DRAINFIELD
i ONG DRAINFIELD
T.H. #5 GND. SURF. @ 83.1' \T.H. #7 GND. SURF. @ 83.1'
T.H. #5 BEDROCK @ 76.5' ~ ~T.H. #7 BEDROCK@ 77.1'
NO WATER @ TIME OF INST. NO WATER @ TIME OF INST.
87.4' 87.9'
ELEV.
86.8
1250 GALLON
SEPTIC TANK
88.3'
CROSS SECTION
NOT TO SCALE
L 2, BLK. 6, MTNSIDE. VILL. ADD. #1
SEPTIC SYSTEM INSTALLATION
AS-BUILT INSPECTION REPORT
FLATTOP TECHNICAL SERVICES
14530 ECHO STREET
ANCHORAGE, ALASKA 99516
SCALE: AS NOTED
DRAWN BY TFM
REVISED FEB. '97
00¢ 9'o, u~a
SULLIVAN WATER WELLS
,O. 0OX 870272, CHUGIAK. ALASKA 9B567 · TELEP HONE 688.2759
DRAW DOWN FT.
DATE · Started Ended ....... d~ ...... GALS, PER HR
KIND OF FORNIATION: .,
From C~ __ Fl, to_'<'/ Ft
From Ft. to FI1
d
e,o~/"7 F et to. /
From ........ Ft. to ~Ft,__ From
From~ Ft, Io .... Ft.
From Fl, to ........Ft ................................
From .......... Ft. to~Ft ...............................
From Ft, to
From____ Ft. lo
From ..... Fl. tO
From ...... Fl. to ......... Ft
.. From ..... Fl, to_ ........ Ft,
FL io ......
_Ft. Io F
From__ .Ft, to
From ...... Ft to_ .Ft,
From ....... Ft,
From ..... Fl, 1o ........ Ft.
From
From
Fl, to ..... Ft .....................
.Ft. to ...... Ft.- I -- J
Fr~m ...... Fi, [o~
MISCI,. INFORMATION:
FEB 4 199~
Municipality of Anchoraoe
Dept. Health & Human Services
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW930142
DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES
OWNER NAME:ROGERS DANIEL C
OWNER ADDRESS:17901 MOUNTAINSIDE VILLAGE DRIVE
ANCHORAGE, ALASKA 99516
DATE ISSUED: 6/08/93
EXPIRATION DATE: 6/08/94
PARCEL ID:02017230
LEGAL DESCRIPTION: MOUNTAINSIDE VILLAGE #1 BLK
6 LT 2
LOT SIZE: 82714 (SQ. FT.)
NUMBER OF BEDROOMS: 4 [PHIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
THE ATTACHED APPROVED DESIGN.
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 (iSAAC80).
THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS
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 SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
DATE: ' - ~/'~/~-~
DATE: ~--
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW920146
DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES
OWNER NAME:ROGERS DANIEL C
OWNER ADDRESS: 17901 MOUNTAINSIDE VILLAGE DR.
ANCHORAGE, AK 99516
DATE ISSUED: 6/22/92
EXPIRATION DATE: 6/22/93
PARCEL ID:02017230
LEGAL DESCRIPTION: MOUNTAINSIDE VILLAGE #1 BLK
6 LT 2
LOT SIZE: 82714 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
THE ATTACHED APPROVED DESIGN.
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 (ISAACS0).
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THIS DRAINFIELD MUST BE INSTALLED IN ACCORDANCE WITH THE
APPROVED ENGINEER'S DESIGN DATED 8/91 HOWEVER A SIX FOOT
VERTICAL SEPARATION BETWEEN BEDROCK AND TRENCH BOTTOM MUST
BE MAINTAINED THROUGHOUT THE ENTIRE LENGTH OF THE TRENCHES.
RECEIVED BY:
ISSUED BY:
/
DATE:
TTOP TECHNICAL
CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS
THEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 December 30, 1991 ANCHORAGE, ALASKA 99516
M.O.A. DHHS
P.O. Box 19~6650
Anchorage, AK 99519
Dear Sirs:
The purpose of this letter is to provide the requh'ed design narrative in support of our application for a
permit to construct wastewater disposal facilities on Lot 2, Block 6, Mountainside Village S/D, located on
Big Mountain Drive. Soils logs, perc test results, a site plan, design drawings and specifications are
enclosed for your review. Although the site plan designates a location for a well, we are not applying for a
well permit at this time, because the property is just in the process of being marketed. The purpose of this
submittal is to obtain DHHS review and concept approval of the proposed septic system - actual
construction quite possibly will not take place within the initial per,nit period.
The proposed system will be constructed between test hole #5 and #7 . As can be seen fi'om the soil
logs, the native material between 2' and 4.5' deep in this area is a slightly silty sandy gravel with a
measured percolation rate of 1.7 minntes per inch. Bedrock was encountered at 6' below ground level in
both test holes, and for design purposes a 6' bedrock depth is assumed to be applicable for the entire area
encompassed by the proposed drainfields. Tile proposed system was designed using the soil application
¢--~-~f 170-~d'-/s~.-j4. specified in the wastewater ordinance fol' filter sand which will be used to achieve
~%+ s~-pm'afion between the bottom of the sewer gravel and bedu'ock. A fora' bedroom residence
requires a total absorption area of (4 x 150)/1.0 = 600 square feet. The proposed design of two 5' wide
drainfields having a total length of 120 feet has a total absorption area of 600 square feet. The unequal
length configuration of tile design was chosen to allow futm'e installation of similarly configm'ed
replacement drainfields utilizing a total of only 3 pm'allel alignments.
The topography of the lot in the vicinity of the proposed drainfields slopes to the northwest at
approximately 25%, with steeper slopes above. The lower edge of the ~ower replacement dramfield wall
-7*be approximately 30 feet uphill fi'om the top of a 10 foot high cutbanl~ ~.~[{'l{;a~h~-l~t-'bgk
Because of the good permeability characteristics of the native soils overlyin~-~h'e-~Sr~kYw-~-bT~ie~e this
configm'ation will not pose a threat of effluent daylighting in the cutbank below. By the time the effluent
has traveled 30 feet horizontally it will have ample opportunity to filter into cracks ill the bedrock, as is
evidenced by the fact that the roadside ditch below the cutback shows no evidence of being subjected to
surface flow.
The design concept is quite similar to that recently utilized in the soil absorption system recently
constructed on the adjacent Lot 1, Block 6, located just to the south of the subject property. To ensm'e
even distribution of effluent to the two drainfields, an "Orenco" lift station w!th pressurized distribution
pipes will be installed. To match the 30 gpm pump output with an average 5 residual head and flow
0.5 gpm, a total of 60 holes are to be ch'illed on 2' centers. Since the two drainfields have an elevation
differential of 4', the design calls roi' 1/8" diameter holes in the lower drainfield and 5/32" diameter holes
in the upper.
The proposed project will have no impact on present or future water supply and wastewater disposal
systems serving adjacent properties, nor will it have any impact on reserved space/surface and subsm'face,
or on drainage.
Please give me a call at 345-1355 if you have any questions on this submittal.
Sincerely,
Ted Moore, P.E.
LOT
TA~K W', L~FI' 5TA,.
PROPOS~b
'~:0' J~Nb HO~
,PROP.
LOT 3
VACANT
I! //
/ /
//
I
/ / !
/ / /
5E PTIC
5¥5T~ M
PRo~OSEb
HouSE'
~ ?~OPOSEb ~/EL.L
LoT
BLoc
Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
L2, B~, J~0UNTAIN£1D~ V~L~.A~2
SEPTIC 5¥STEI'~
SITE. PLAN
SCALE; I/~--~O/
D,qT~: cl//cl i
bWN BY: ~
NOTE: THIs 1,5 NO
ALL
ARE A~P~'oT tMAT
A
(JV~t'~ PRESSURE
IzRo~ LIFT STATION
NONITOR TUBE.
J( '~0' I
I
-¢C~ ¥o PtzC ~A
PLAN V~EW
SCALE '. I"
~EPTIC q~ff ST'E i',1
VIL
$CAL[: AS NOTED
DA'TE' 8Jill
Flattop Technical Services
14530 Echo Street, Anchorage, AK 99516
Phone (907) 345-1355
Lot 2, Block 6, Mountainside Village S/D
Big Mountain Drive
Wastewater disposal system installation
Specifications
1.0 General:
1.1 The scope of the project consists of installation of a 1500 gallon septic tank with an integral lift
station and conslruction of two pm'allel 5' wide soil absorption ch'ainfields with a total length of 120 feet.
1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor
deviations from these drawings may be allowed or reqnired by the engineer conducting the inspections.
All construction procedures and material specifications shall conform with Municipal and State
requirements.
1.3 All separation distances shall be in conformance with Municipal requirements, unless specifically
waived, as is the case of the 30' separation between the lower reserve drainfield and the top of a cutbank.
1.4 The conta'actor shall be responsible to obtain any necessary utility locates, and to work around any
buffed utilities.
2.0 Septic Tank:
2.1 The septic tank shall be a 1500 gallon Municipally approved S.T.E.P. tank with two
compartments, and shall be set level on undisturbed soil. Blasting or jack-hatrnnering of bedrock may be
necessary to achieve adequate bm'iai depth. Each compartment shall be equipped with a watertight
manhole cover and a 4" cleanout in addition to the manhole riser giving access to the lift station pump. If
the tank is buffed less than 4 feet, it shall be insulated with 2 inches of approved bm'ial type, rigid
insulation.
2.2 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The
waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot. A cleanout
shall be installed within 5 feet of the building foundation. The pressure distribution pipe leading from the
tank to the dralnfields shall be 1.25" diameter schedule 40 PVC.
3.0 Lift station:
3.1 The lift station shall be installed in the second compartment of the 1500 gallon S.T.E.P. tank
shall be an "Orenco" package system as supplied by Anchorage Tank. An alternative lift station package
may be substituted at the discretion of the engineer, provided it has been pre-approved by the Municipal
Health Department.
3.2 The contractor shall be responsible to obtain the nes, essm'y Municipal electric pemqit and
inspection, and to provide a copy of the elect~'ical inspector s report to the engineer overseeing the
construction of the wastewater disposal system.
3.3 The on, off, and alm'm floats shall be set at the elevations specified by the lift station supplier, and
their proper operations shall be verified by the contractor. The visible and audible alm'm box shall be
mounted inside the residence.
4.0 Soil absorption system:
4.1 The soil absorption system shall be constructed by carefully stripping off the shallow peat and silt
loam slxata along alignments paralleling the natural contours of the ground to expose the top of a slightly
silty sandy gravel stratum. The snipping width shall be 9' wide and the two drainfields with a combined
length of 120 feet shall be spaced 15' on center.
4.2 The bottom of the stripping excavation will not be level. The bottom of the excavation shall not be
driven on, and any compacted or smeared surfaces shall be raked to ensure proper in£fltration. The sand
utilized for leveling and filter material shall comply with Municipal specifications. Sufficient sand shail be
placed in the excavation to create a 5' wide level compacted surface at the elevation of the original gq'ound
level on the uphill side of the excavation.
4.3 Prior to placement of sewer gravel, it will be necessary to create a containment berm of less
permeable soil over the sand, particularly on the downhill side of the ch'ainfield. A total of 9 inches of
approved sewer gravel shall be placed on top of the sand. Sewer gravel shall be 0.5" - 2.5" screened
gq'avel, with less than 3% passing the #200 sieve. The 1.25" diameter schedule 40 PVC perforated
distribution pipes laid level such that the pipe inverts are no less than 6 inches above the bottom of the
sewer gravel. Holes shall be drilled on 2' centers in the bottom of each distribution lateral, with the holes
in the lower drainfield being 1/8" diameter, and the holes in the upper ch'ainfield being 5/32" diameter. All
PVC pipe joints in the discharge and distribution pipe network shall be glued and the ends capped.
4.4 Monitor tubes shall be of 4" diameter and installed in the locations shown on the design
ch'awings. The portion of the monitor tube extending through the sewer gravel shall be perforated.
4.5 Approved filter fabric shall be placed over the enth'e top surface of the sewer gravel in addition to
2" of rigid burial type insulation. A minimum of 2 feet of soil cover is to be placed over the filter fabric.
4.7 The top surface of the cover material shall be raised a minimum of 6 inches higher than the
sun'ounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill
slopes shall be no steeper than 3:1.
4.8 All areas disturbed by the construction shall be covered with 4 inches of topsoil and seeded with
an approved gq'ass seed to promote rapid revegetation. The owner shall be responsible for ensuring that
the grass does grow.
5.0 Inspections:
5.1 A total of 5 engineering inspections will be required during the course of the project: (1) initial
stakeout with the contractor to establish the location of the system and to discuss the plans, specifications
and construction procedures, (2) after the native material has been excavated to expose the infiltrative
surface to ensure that it conforms with the soil test info~vnation, (3) after the sand leveling and filter
material has been placed, (4) after the sewer gravel is in place and the dista'ibution pipes have been laid and
connected up to the septic tank, but prior to placement of insulation and filter fabric, and (5) after final
backfill and grading is complete. The septic tank requires one inspection after it is set level with the lift
pump and the piping connected, but prior to backfill. This inspection may be incorporated with any of the
above inspections.
5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
PERFORMED FOR; DAN
LEGAL DESCRIPTION:...~
PT
1
2
4
5
6
~.H.
7
8
9
10
11
12
13
14
15
17
18
19
20
COMMENTS
,~' ...... ]4530 Echo Street
~fichorage, Alaska 99516
Munictpalily of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
m.~.~ 5
SILT LeAr'4
SLI~P, TL,,( SILTY
SA~b¥ 6~v~
VlLb~d~Township, Range, Section: SLOPE
WAS GROUND WATER
ENCOUNTERED?
$
IF YES, AT WHAT L
DEPTH? 0
P
Depth lo Water ^ller,Dr~~ '~ '~" ]~,G,L, E
MonJlodnD? Bate: _.-'2_./I..,~/¢fl
S'ITE PLAN
Reading D~te Cross Net Depth to Net
Time Time (t41N1 Water Drop
~O 3:3Z
............. ~:~Z: 30~ 3 22 I
PERCOLATION RATE I.~___ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN _ ,~ .... FTAND :~'~'__FT
PERFORMED BY: _.i~/A~T_TZap.~_~_~._E.~.~ ,~l./L" ~ --I __.T,,~-- ~ CERTIFY THAT THIS TEST WAS PERFORMED iN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFEC1 ON THIS DATE. DATE: ~//'~2' ¢/~/'
72-008 (Rev, 4/85) ....
LEGAL DESCRIPTION:
PT
1
2
~P/~
3
B.~.
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
14530 Echo Street
~.chorage, Alaska 99516
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
T. ~.'~ ~
5LIgH'rL¥ SILTY
GRAVEL
BEbEOCK
VILI./}d~ownship, Range, Section: 5E'C
SLOPE SITE PLAN
LoAI~,
WAS GROUND WATER
ENCOUNTERED?
IF YES, ~T WHAT
DEPTH?
Depth 10 Waler ADer
Monitoring? Dale:
Reading Date
N
Gross
Time
Net Depth to Net
Time Water Drop
PERCOLATIONRA]E -- (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN __ FTAND FT
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~_.fted //¢[
72-008 (Rev. 4/85) .....
PERFORMED FOR:
LEGAL DESCRIPTION: ,~,,~
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19,
20-
, ":::-' 14530 Echo Street
~chorc~ge, .~lo, skc~ 99516
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG ~ PERCOLATION TEST
T.~.~I
ViLL~d~fownship, Range, Section: 5£¢
SILT"{
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
fleplh iD W~ter After
~oflilorJflo?
Reading
PERCOLATION RATE
N
tlJ I0"
Date:
Time
SITE PLAN
Net
Time
Depth to Net
Water Drop
TEST RUN BETWEEN
COMMENTS
(m~nules/inch) PERC HOLE DIAMETER
FT AND -- FT
PERFORMED By: ,?/.ATTop I'ECH ~E¢-% _ I _.~-~_~ CER~IFYTFIATTHISTESTWASPERFORMEDiN
ACCORDANCE WITH ALL_ STA~E AND MUNiCiPAL GUiDELiNES iN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85}
PERFORMED FOR: DA ~
LEGAL DESCRIPTION: ~,,2
1
2
3
4
5
6
7
8
9
lO
11
12
13
14
15.
16
17
18
19
2o
COMMENTS
,' ...... 14530 Echo Street
~fichorage, Alaska 99516
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
T.~.-~ 2-
5147'[
'w Ff H
VlLL~/o~Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Daplh Io W~Ler Aller
MonilorJno? _. ~)P~Y
SITE PLAN
Reading
Dale
-L/!d~,__ _
PERCOLATION RATE
TEST RUN BETWEEN
Gross
Time
q:2, o
~:25 - t4:26:
q: 31
q:33
q:3q
_fi:
Net Depth to
Time (.~ i~~) Water
~o'/~ - ~
~ ~/~
(mJnules/inch) PERC HOLE DIAMETER
.... FTAND "~ ' '~ FT
Net
Drop (I ~/')
J
J V~.
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; ~1 //O /'~ /
72-008 (Rev. 4/85) ....
PERFORMED foR: PAN
LEGAL DESCRIPTION: ]..2
P'F
1
2
3
7
8
g
10
11
12
14
17
18
lg
2O
COMMENTS
3.4530 Echo Street
~.Cb. orage: Alaska 995].6
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
T. ~1 .'U~ 3
ViLL..~6c-q-ownship, Range, Section: 5£C H
SLOPE
WAS GROUND WATER
ENCOUNTERED?
s
L
IF YES. AT WHAT 0
DEPTH? p
E
q'3"
Deplh to Water ^ller
Monitoring? O P~y Oale:. '7/I,~/q /
g'ITE'PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
(minutes/inch) PERC HOLE DIAMETER
FT AND ~ FT
PERFORMED
FZATTOp
BY:
'1'eON
,~l/c
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON 'rH;S DATE. DATE;
72-008 (Rev. 4/85)
~ - .... 14530 Echo Street
~fich. orage, Alaskc~ 99516
Munlclpalily of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
T. ~1.'~ ~
PERPORMED FOR: DAN RC)GE~ $
LEGAL DESCRIPTION: ].2 , ~ ~
1
2
3
4
B.~/. beb~ocH
5
6
7
8
9
10
11
12
13
14-
15-
16
17
18,
19-
2O
PT
6M 5~TY
COMMENTS
VlLL~d~ownship, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
l}eplh to Water ^[te~
Moniterin0? {)ale: __
SITE PLAN
Gross Net Depth to Net
Reading Dale
-rime Time Water Drop
PERCOLATION RATE
TEST RL~N BETWEEN
(m,nutes/inch) PERC HOLE DIAMETER
FT AND __. FT
__Fz ATTO p
PERFORMED BY:
,-~.~C.,,~ .--t ~J~L~. /,'7-O~,-,~ CERIIFY TItAT THIS TEST WAS PERFORMED iN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Re~, 4/85)
PERFORMED FOR: Df/}N
~-att-o~ T6ch'fildaI
.... 14530 Echo Street
:afichorage, Alaskc~ 99516
Municipality of Anchorage
DEPARTMENT OF HEALTP{ & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
T.~.~7
ROC~E'R $
LEGAL DESCRIPTION: ,L 2
PT
.l~(o [~TNSIDE VILb,4d~[ownship, Range, Section: 5£C Il T II N
---- SLOPE ~'ITE PLAN
1
3
4
5
6
7
8
9
10
11
12
13
14
15
16-
17
18
19-
2.0
R~bDI.~H 5ANDY goAl, a
GP/G~ SLIGt~TL"( SILTY
WAS GROUND WATER
ENCOUNTERED?
IF YES, ATWIIA[
DEPTHZ N,A,
Dq~lh to Water ^ller ~"~"
Monilorino? __~_~_'1' __ Dale:
Reading Da te
s
)ss Not Depth to Net
ne Time Water Drop
PERCOLATION RA] E .... {n.nutes/mch) PERC HOLE DIAMETER
TEST RUN BETWEEN ...... r:l AND ____ FT
ACCORD~,NCE WITH ALL STATE AND MUNiCiPAL GUIDELINES IN EFFE. C'I ON THISDA'I-E. DATE.
72-009 (Rev. 4/85)
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. # "¢220 / 7,Z30
1.
GENERAL INFORMA'rlON
Complete legal description ~.o f'
Location (site address or directions)
HAA #
Property owner
Mailing address
Lending agency
Mailing address
Agent (',).
Address
Day phone
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: ~
3. TYPE OF WATER SUPPLY:
NOTE:
Individual well
Community well
Public water
~UNiCI?ALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DWISION
RECEIVED
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
NOTE:
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.. ~' A-,z~?,.,~cy
Name of Firm .~/~ ~c~ ~'~/ Eg~ ~ Phone
Address 1 YS' ~o ~c~o ~/~ ~ o~ ~
Enginee¢ssignature ~~ ~ ~ Date ¢4~ ~, 1~7
DHHS SIGNATURE
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 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.
72-025 (Rev. 1/91) Back MOA #21
· MUNiciPALi...
Municipality of Anchorage
DEPARTMENT OF HFALTH & HUMAN SERVICES
.... Environmenta Se~ ces D v s on
825 L Street, Room 502 · Anchorage, Alaska 99501e (907) 343~7~4
Legal Description:
A. WELL DATA
Well type
Log present (Y/N)
Total depth _
Sanitary seal (Y/N)
Health Authority Approval Checklist
t/il J~dn#t ParcelI.D.: 08017~.TE)
IfA, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to ~O '
Date of test
Static water level I
Well production I t9
WATER SAMPLE RESULTS:
Coliform 62 cc, I /(oo
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Date installed '7 / c}~ Tank size
FROM WELL LOG
~/~3
Casing height (above grmmd)
Wires properly protected (Y/N)
AT INSPECTION '~
g.p.m, g.p.m.
tl.~edt t,tnc~l'erd 19 r,or '~ ;r~.cpe~ ~'r.,~ ~ ~4o
Nitrate ~. 8 1 ~ [ ~ Other bacteria No~ e ~
Collect~by: ~(~h~fl Tec~ ~c
Foundation cleanout (Y/N) ¥ Depression (Y/iq) gl
Date of Pumping N.A. (~t,~tdPumper N. A,
C. ABSORPTION FIELD DATA
Date installed '7 ,/?.ff Soil rating (g.p.d./ft2 or fl%drm)
Length I ~ t ' Width 3' ' Gravel thickness below pipe
Effective absorption area ~tgot- C7' Monitoring Tube present(Y/N)
Date of adequacy test N .A. ( ctn~qec~} Results (Pass/Fail)
Fluid depth in absorption field before test (in.);
Fluid depth (ins.) Minutes later:
Peroxide treatment (past 12 months) (Y/N) N
I E,5~,/~ Number of Comparm~ents
High water alm'm (Y/N) N.A.
1.0
Immediately after
Absorption rate =
ffyes, give date
System type or'
O.,5' ' Total depth
Depression over field (Y/N)
For ¥ bedrooms
__ gal. water added (in.):
'e~, 6'00 g.p,d.
hi, A.
D. LIFT STATION N. g,
Date installed Size in gallons
Manhole/Access (YfN) "Pump on" level at*
High water alarm level at* *Datum
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot I ~ 'E '
Absorption field on lot I 'ES' '
Public sewer main lq, A,
Sewer/septic service line '> ~,S- '
; On adjacent lots
.; On adjacent lots
Public sewer manhole/cleanout
Lift station N. ,4.
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
"Pump off" level at*
Building foundation I oc ' Property line '7 d- ' Absorption field ,5- '
Water main/service line ~> %6" Surface water/drainage > t r_,,o ' Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation
Surface water >, I oo '
Curtain drain
F. ENGINEER'S CERTIIqCATION
PrOperty Line I ~ ' Water main/service line
Driveway, parking/vehicle storage area
Wells on adjacent lots > l ce O '
Date of Payment
Receipt Number ~y~;~ C~
Rev. 8/95 OSS: haa.wk.doc
HAA Fee $ ..~00 __o~
Date of Payment
Receipt Number
Waiver Fee $
I certify that I have determined thrufield inspections and review of Municipal records that the above systems are
in conformance with MOA IiAA guidelines in effect on this date. ~ /gc]~eq, t~ctc¥ Pc.r/:/ r~o½
· becattr~ ~o'et/ o~'xe?/~ ~e~o ot ~,~
Signature ~'-~ ~. ~..,.' ''";,..
Engineer's Name -'F'~eo ~--.~o ~"g tr=. t"/oo,T~ /Efi~.q, oefihg Seal~ Hemi::: ?,
!