HomeMy WebLinkAboutHOMESTEAD HILLS #1 BLK 3 LT 18125
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
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241374
Work Type: Septic Upgrade
Tax Code Number: 01517340000
Site Legal Address: HOMESTEAD HILLS #1 BLK 3 LT 18 G:2636
Site Mailing Address: 4501 TRAPLINE CIR, Anchorage
Owner: CABLE VICKIE N
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
11 /13/2024
11 /13/2025
42938
❑✓ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
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: There are two inactive wells on this property. These are to be decommissioned prior to
issuance of any future COSA. Please provide decommission logs for these wells.
Received By: 5 F` (7
Issued By:
Date:
Date: / / :7�'
4
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. 015-173-40
Property owner(s) Vickie Cable
Mailing address 4501 Trapline Circle, Anchorage, AK 99516
Site address 4501 Trapline Circle, Anchorage, AK 99516
Day phone (907) 538-7747
Legal description (Sub'd., Block & Lot) Homestead Hills #1, Block 3 Lot 18
Legal description (Township, Range & Section)
Lot Size. 42,938 —Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(S all that apply)
Absorption Field
RX
Initial R
Single Family (SF)
(w/wo ADU)
Septic Tank
R
Upgrade RX
Duplex (D)
❑
Holding Tank
R
Renewal
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment: I 'Zo Z
Receipt Number:
Permit No.
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Permit App_'-'- : - I
November 5, 2024
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Homestead Hills #1 Block 3 Lot 18 - 4501 Trapline Circle
Septic system design
Dear On-Site Services Engineer:
The septic field for this property has failed, so we are submitting this permit application to replace
the STEP tank and rebuild the bed in place. The attached site plan identifies the locations of the
home, well, and septic system. No conflicts exist between this proposed system and any other well
or septic system, whether on this lot or adjacent lots.
Due to the limited area on the lot in the location of the existing system, we are proposing replacing
the bed in the same location. We have reviewed the previous design and confirmed that it meets
current code. The existing sand and contaminated soils will be removed and hauled away, and a
new compressed air line, sand filter, and bed will be placed in the same location. A low-pressure
gauge will be added to the compressed air line along with an alarm that will be audible to the
building occupants, and the alarm will be on a different circuit to the compressor.
The ground surface on the lot slopes mildly toward the northwest. There are no slopes greater than
25% within 50 feet downslope of septic system. Contours are shown on the site plan showing the
grade and direction of flow. Stormwater drainage will not impact this septic system. Wells on this
and adjacent lots are shown. The new system will be a minimum of 100’ from all wells and surface
water, and more than 5’ away from the septic tank. Please refer to the attached plan and profile
pages 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
OSP241374, Curtis Townsend, 11/13/24
//
/
/
//
//
//
// // //
//
//
//
//
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
1"=50'
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
HOMESTEAD HILLS #1, BLOCK 3 LOT 18
FEET
0 50 100
TR
A
P
L
I
N
E
C
I
R
C
L
E
SEPTIC PLAN
11/12/24
10' T&E EASEMENT
INACTIVE WELL
(TO BE DECOMMISSIONED)
INACTIVE WELL
(TO BE DECOMISSIONED)
4-
B
D
R
M
HOM
E
SHED
10'x20' ANCHOR EASEMENT
450
445
440
435
445
NEIGHBORING SEPTIC
EXISTING SEPTIC DISPOSAL BED
REBUILD IN PLACE
20'x20' BED, 6" EFFECTIVE DEPTH
w/ 2' SAND FILTER
AND AIR LINE FROM COMPRESSOR
PLACE MT'S IN EACH CORNER 1'
FROM EDGES OF BED
REPLACE EXISTING 1500-GAL
STEP TANK
MTMT
MT MT
EXISTING WELL
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241374, Curtis Townsend, 11/13/24
HOMESTEAD HILLS #1, BLOCK 3 LOT 18
TYPICAL IDSF BED SECTION
(NO SCALE)
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
DESIGN FACTORS:SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: 3 MIN/IN (FROM ORIGINAL
DESIGN)
APPLICATION RATE: 4.0 GPD/SF
SHALLOW BED SYSTEM - REBUILT
INTERMITTANT DOSING SAND FILTER
EXISTING 1500-GAL SEPTIC TANK
COMPRESSOR WITH PRESSURIZED AIR LINE,
GAUGE, AND LOW PRESSURE ALARM
BOTTOM OF SAND: 6' BELOW GRADE
BOTTOM OF BED: 4' BELOW GRADE
FLOW LINE ELEVATION: 3.5' BELOW GRADE
600 GPD / 4.0 GPD/SF = 150 SF BED REQUIRED (400 SF SPECIFIED)
11
4" PVC w/ 1
8"
ORIFICES EVENLY
SPACED @ 4 OC
11/12/24
3'
2'
20'
6"
6"
GEOTEXTILE
FABRIC
PROVIDE ADDITIONAL FILL TO
ACCOUNT FOR SETTLEMENT
DRAINFIELD
ROCK
MOA APPROVED
SAND
2' 4' 4' 4' 4' 2'
COMPRESSED AIR LINE: 3
4" w/ 1
8" HOLES @ 24" OC
MUST INCLUDE GAUGE DOWNSTREAM OF
COMPRESSOR WITH LOW PRESSURE ALARM
AUDIBLE TO BUILDING OCCUPANTS
ALARM MUST BE ON SEPARATE CIRCUIT
6"
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241374, Curtis Townsend, 11/13/24
TR
A
P
L
I
N
E
C
I
R
C
L
E
Taylor L. Dosch
No. 189892
R
E
GISTEREDPROFESSIO N A L L A N D S U R
VEYOR
Municipality of Anchorage Page 1 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 Inspection Report
Permit Number: S~,/~Oo~.~.:~ PID Number: 01~ - /7~- '~ ~
Name: ~YLO~ ~ .~ ~ WastewaterSystem: ~New D Upgrade
Address: ~ X ~~11~1~ 'ABSORPTION FIELD
Phone: No. of BeSoms: D Deep Trench B Shallow Trench D Bed D Mound ~Other
Soil Rating: // Total Depth from original grade:
LEGAL
DESCRIPTION ~ GPD/Sq. Ft.
Block: Subdiv~ion: ~ Depth to pipe bottom from original grade: Gravel deDth beneath pipe
Lot:
Township: I Range: I Section: Fill added above ori~i~al, rade: Gravel length:
Ft. ~ D Ft.
Number of lines: Distance between lines:
WELL: D New B Upgrade Gravel width: ~ ~ Ft. ~ ~ ~" Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Ft. Ft. ¢~ SQ. Ft. ~,¢P
Date inst~led:
Driller: Date Drilled: Static Water Level: Installer:
v~: [ .u~ sot at: C~i.~.oiCt i~ove ~ound: TAN K
GPM[ Ft. Ft.
SEPARATION DISTANCES ~ septic ~ Holding ~S.T.E.P.
Material: Number of Cerements:
we~ IZO I ~O I Z~ ~ 7~
su~c~ ~ LIFT STATION
Water
Lot Sizein gallons: Manufacturo~ ~
"Pump on" level at: "Pump off" level at: I H,~h wa~r~rm at:
Foundation ~ ¢ ~ ~ ~ q~ q ~
Cu~ain ~ Pump Make & Model Electrical Inspections pe~orme~by: ~ /
Drain ~ ~O~s I O~ ~ ~ ' ~ ~ ~ ~'~ ~[~ ~' ~
Remarks: BENCH MA~K
'ENGINEER'S,SEAL
~partmont of H~a~nd Hu~or~ie~ approval ~
Reviewed and approved by~~ Date /
85 0
25
1
[~. T~EN ~PURKL~ND ~
~ &>.. .....~
50 75 100 i25 rS0
SCALD Y" = 58 F[ . SAND FILTER
~5oo /
CON NfL ARB
/
/
RECEIVED
oOT 51995
MuniciPality ot Anohorage
Dept, Heai~'g,IHuman Services
TOBBEN SPURKLAND P.E. I ILOT
203 W 15TH. AVENUE:
ANCH. AK. 99501
(907~ 279-9916
18, BLOCK 3 HOMESTEAD HILLS S/D
JIM TAYLOR
¥501 TRAPLINE DRIVE
II SEPTIC SYSTEM AS BUILT
DATE: OCL 4, 1£95
SHEET: 2/4 GRID: 2656
o4
1500 GAL STEP TANK
n ~
t500 Cai STEP
RECE'VED
OCT 5 1995
'un/cipality of Anchorage
Health & Human ,Services
X94.83
BENCH WARK:
GARAGE FLOOR
ASSUMED ELEK {00.00 FT
TOBBEN SPURKLAND P.E.
203 W15lh Ave
Ak 9950!
LOT l& BLOCK 3 HOMESTEAD HILLS
4501 TRAPLINE DRIVE
JIM TAYLOR
SEPTIC SYSTEM DES/GM
DA TE: OCT. 4, 1995
SHEET: GPID: 2636
_1
3/4' AIR LINE I
AF ALL LOW SPOTS roi
Lateral and Or/ifice ShleM
TB 3BT?DR DF SAND
BDFT~ DF PEA GR~FEL
Air Supply
6" Halfpipe D3034, 6' Long
PVC, Holes Pointing Up
TOP VIEI¢
) 0 OhO O 0 0 0 O~OnO 0 0 0 O 0 0 0 O~O 0 0 Oc~ (~b-
97.4
~5, 9
F/Ifer £ond c~'
93.~5
CENTRAL PAVING REIAD SAND
94, 7-~
OOT 5 1995
Health & Human Servie.~
TOBBEN SPURKLAND P.E.
203 W 15TH. AVENUE
ANCH. AK. 99501
SIDE VIEI¢
BENCH MARK
OAR,4¢E FLOOR
ASSUMED ELEVATION I00.00 FT
18x20 SAND FILTER
LOT l& BLOCK $, HOMESTEAD HILLS
JIM TAYLOR
SEPTIC SYSTEM AS BUILT
DATE: OCT, 4, 1995
SHEET: 3/4 GRID: 8636
OC:T- 5-95 THU i 1 :E~6 ELECTRIC DF~CTOR IFIC: 'D~756~SE:~}2 P. ~2
'q~e Electric Doctor"
~ (907~61 222~
October 5, 1995
TO: Spurkland
FAX 276-6013
To whom it. may concern:
We have completed the hookup of the electrical
4501 Trapeze Circle h~ Anchorage, Alaska. This work ~x
and in conformity with State and local electrical code .
Our ~rm ia a licensed elech4cal coat~actor in the
RECEIVED
OOT' §lgg5
"' . ;..,I Anohoriwl
orfion for fl~e ~ station located at
~s performed by licena~d electricians
grate of Alaska uzxder Lic.# AA9 i48
iNSPeCT:ION I~]~(PORT
MUN.[C [PAL[T¥ O1' ANCHO~A:,~- 8LJ ILO LN~ ~';AJE'¢Y [~IVIGION
3500 ~A~:;']: TUBO~ ROAD
[N~Of~MAT'ION: (907) 78~821].
' INSP~CTIqMg: (907) 563-3464 ......... ================================
=======:============================ ................. .?~'.u.,,., ~ IT. ~: 9'5-8867.. .
.... 195
.1. 01.. z.
,,~' ~;, ra~PECT.. ION:
~.N.., PEi~ ~ ION.
TYPE OF "'~
lr, E].ectr:~c'al Serv:t¢(: ~: ............................................................
- ...........................................
~l~E~ SERVICES DIVISION
OCT 19 1995
RECEIVED
:, . .: ?
' . ~' /~ ~
rio NIIT R~HIVE TH(G NOTICB -_-;.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PAGE 1 OF 1
PERMIT NUMBER:SW950283
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:TAYLOR JAMES
OWNER ADDRESS:4501 TRAPLINE CIR
ANCHORAGE ALASKA 99516
DATE ISSUED: 9/20/95
EXPIRATION DATE: 9/20/96
PARCEL ID:01517340
LEGAL DESCRIPTION:
HOMESTEAD HILLS #1 BLK
3 LT 18
LOT SIZE: 42938 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT:
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 SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
iSSUED By~,~fl% ~J ~~/~
DATE:
DATE:
T. SPURKLAND P.E.
203 WEST 15TH. AVENUE SUITE 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
Jim Cross
Municipality of Anchorage
Department of Health and Human Services
On-Site Service Section
820 L Street
Anchorage, Alaska 99501
August 25, 1995
Subject:
Lot 18, Block 3, Homestead Hills
PID 015-173 -40
Septic System Upgrade.
Dear Mr. Cross;
I am submitting an application to install an "ORENCO" equivalent sand filter on this lot. The existing system was
disapproved by your Department due to surcharge of the drainfield. Due to topography and wells a conventional system
can not be installed on this lot. Testholes also show shallow groundwater and hardpan and/or dense non-percable silt.
At the location of the proposed sandfilter a very dense, but percable sand was found. We propose to install a sandfilter
without a liner, allowing the polished effluent to percolate directly into this dense sand. I do not see any problem with
this approach since any plugging or biomat formation will take place on the surface of the sand filter and not at the filter
/ naturel soil interface.
The testholes were left open for your inspection.
Yours
T.SPURKLAND P.E.
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 18, BLOCK 3 HOMESTEAD HILLS S/D
JAMES TAYLOR
Ground Water at 11 fi.
Impervious Layer at 13 fi.
Use Orenco Sand Filter
Soil Rating. From test Aug. 23, 1995
:- 3'm~in = 4 gal / sq. ft.
No. of Bedrooms 4
Required Area per Bedroom: 150/4 = 37.5 sq.ft..
Total area required: 37.5 x4 = 150 sq. ft.
Use "Bottom Less Filter"
Total Area 400 sq. ft.
Existing tank 5 feet deep. Use 1500 gal STEP with 4-foot riser
Testhole Total Depth 13 ft
Less 6 feet 7
Bottom of Filter at 5 feet.
SYSTEM CONFIGURATION
ORENCO SAND FILTER
STEP TANK 1500 GAL.
ABANDON EXIST1NG SYSTEM
The installation of this septic system will not prevent wells from be installed on the adjacent lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or
concentration of surface runoff will not result from this installation.
pg.1
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PER.O.MED FOR:
LEGAL DESCRIPTION: ~,-L3"~-/
1
2
3
4
5
6
7
8
11
12
13
14
15
16
17
18
19
20
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
s
IF YES, AT WHAT ~
DEPTH? ~ '~ P
E
Depth to Water A.er ~/~ /~,,--
Monitoring? ~ [ Dale: ~
Gross Net Depth to Net
Reading Date
~:IA ~ Time Time Water Drop
PERCOLATION RATE :;~ (m,nutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND ~ FT
~'~"'~ "~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; ~ ~ V* / ~ ~,-~
fJ '
72-008 (Rev. 4/85)
AVE,
11
×®
50
/
/
i3 14 'x x,
i00 150
SCALE; i' = I05 FT,
1_
300
/
/
TOBBEN SPURKLAND P.E. I ILOT
205 W 15TH. AVENUE
II
ANCH, AK. 99501
(907') 279-3916
18, BLOCK 3 HOMESTEAD HILLS S/D
JIM TAYLOR
4501 TRAPL/NE DRIVE
SEPTIC SYSTEM DESIGN
DATE: AU6UST 22, 1995
SHEET: 1/4 GRID: 2656
205 W 15TH. AVENUE
ANCH. AK. 99501
(~ ~)7'~ 279-3916
A~AN~DN
SCALE; ,"= dS FI ---- --~ EXIST, T£ENCH
I
I
1
~,EPLA£E EXLST,~f~/K ~/I?H /SOS 6AL,SI P
!
!
!
.I
18, BLOCK 3 HOMESTEAD HILLS
J//4 [AYLO£
450! TI?APL/NE DI?IVE
I I SEPTIC SYSTEM DESIGN
DATE: AUGUS1- 22, !995
SHEET: 2/,¢ GRID: 26J6
~ 2O ~
3/4' AIR LINE
ARCTIC PIPE
STEP IonW
6" Nalfplpe D2034, 6' Lan9
PV£, Holes Pointing Up
TOP VIEt
Cover
Lateral and OrHfiee Shield
4 ' ML1NI TOR
Air
3/4' - 2'
ARCTIC PIPE
INSULA TIDN
3/4' Woshed Rock
CENTRAL PAVING ROAD SAND
SIDE VIE Y
20.3 W 15TH. AVENUE
ANCH. AK. 99501
(907'~ 279-,3916
18x20 SAND FILTER
LOT 18, BLOCK $, HOMESTEAD HILLS S/D
JIM TAYLOR
SEPTIC SYSTEM DESIGN
DATE: AUGUST 25, 1995
SHEET: 3/4 GRID: 2636
1500 GAL STEP 1-ANK
I
//////////////////////////////////////////////////////////////////////~
~//~ /////,'//~/ ////////////////////~ ,
1500 Oal STEP
BENCH MARK:
F.F. FIRST FLOOR
ASSUMED ELEK 100.00 FT
?OBBEN SPURKLAND P.E.
205 ~VtSfh Ave
Ak 99501
LOT 18, BLOCK 3 HOMESTEAD HILLS S/D
4501 TRAPL/NE DRIVE
JIM TAYLOR
SEPTIC SYSTEM DES/ON
DATE: AUGUST 25, 199.5
SHEET: GRID: 2656
T.SPURKLAND P.E.
203 WlSTH. AVE. SUITE 203
ANCHORAGE, ALASKA 99501
SPECIFICATIONS FOR SEPTIC SYSTEM INSTALLATION
LOT 18, BLOCK 3, HOMESTEAD HILLS S/D
JAMES TAYLOR
1.0 GENERAL
1.1 Owner is James Taylor, 4501 Trapline Drive, Anchorage, Alaska 99516.
1.2 Engineer is the person or entity hired by the Owner to inspect this project. The Engineer must be
recognized by the Municipality of Anchorage, Department of Health and Human Services.
1.3 Contractor is the person or entity hired by the Owner to install this project. The Contractor must be
recognized by the Municipality of Anchorage, Department of Health and Human Services.
1.4 The Drawings, sheets 1 through 4, shall be part of this specification.
1.5 All materials and workmanship shall meet the requirements of the Municipality of Anchorage,
Department of Health and Htmmn Services, the conditions of the permit, and all applicable rules and regulations
currently in effect.
1.6 All excavation depths are advisory, and are to be verified and may be modified in the field by the
Engineer.
1.7 It is the responsibility of the Owner or the Contractor to adhere to the approved design, to verify that
the specified separation distances are met, and that the required inspections are performed. The Department of
Health and Human Services shall be notified at least two (2) hours in advance of each inspection. Notify DHSS
by calling 343-4744.
1.8 The Contractor or the Owner shall report to the Engineer any observed condition which would put the
septic system in violation of State or Municipal regulations.
2.0 SEPTIC TANK
2.1 If there is an existing septic tank, it may be used if it meets the capacity requirement for the residence.
The tank shall be inspected by the Engineer, and its water tightness and structural integrity shall be verified.
2.2 A new septic tank shall be one fabricated by either Anchorage Tank and Welding or by Greer Tank
The septic tank shall be a UPC-approved two-compartment tank, constructed of 12 gauge, or better, steel with bitu-
mastic coating. The tank shall be set level on undisturbed soil. The tank shall be covered with the equivalent of
four feet of soil.
2.3 The septic tank shall be installed a minimum of five feet from the house foundation and a minimum of
five feet from the absorption area.
2.4 The septic tank shall be a minimum of I00 feet from any well serving a single residence; 100 feet from
any body of water, creeks or drainage ditches with flowing water; 150 feet fxom Class "C" wells, and 200 feet from
Class A or Class B wells.
Specifications for septic system installation
Lot 18 Block 3 Homestead Hills S/D
pg.1
2.5 All pipe connections to the tank shall be mechanical watertight couplings. Cleanouts shall be installed
as designated and capped with air-tight rain caps. Cleanonts shall extend a minimum of 12 inches above final
ground elevation. Provisions shall be made for landscaping and importation if topsoil.
2.6 Lift station shall be as manufactured by Anchorage Tank and Welding
Effluent Pump shall be 20 OSI 05HH
Control Panel shall be OSI Simplex control panel with Elapsed Time Meter, Counter, Programmable
Timer, and Intrinsically Safe Control Relay.
Air Compressor shall be Thomas Industries Linear Compressor Model 5070.
3.0 SAND FILTER
3.1 Gravel shall be 3/8" washed pea gravel.
3.2 Sand shall be Central Paving Road sand with less than 4 % passing the #100 sieve, and less than 2 %
passing the #200 sieve.
3.3 Pressure distribution pipe shall be Schedule 40 PVC or ABS. Effluent and air.
3.4 Solid 4-inch pipe shall be ASTM D3034.
3.5 Monitor standpipes shall be installed as shown. That section of the pipe penetrating the gravel shall be
perforated, either by drilling 0.5" holes on 6-inch centers or by joining a section of F810 perforated pile to a solid
section of pipe.
3.6 Geotextile shall be Mirafi 140.
3.7 Insulation shall be extruded direct burial polystyrene. Dow Chemical Styrofoam HI 40.
3.8 Topsoil shall be a mixture of 40-60% organic matter, 20-30% sand and more that 20% silt. All quantities
are measured by volume.
3.9 Grass seed shall be Kentucky bluegrass.
4.0
INSTALLATION
4.1 Locate all underground utilities, property lines, future driveways, existing or proposed water wells, water
ways, surface and sub surface drainage facilities, lakes, ponds, and all other facilities requiring separation distances
from the proposed septic system. Notify Owner or Engineer of any observed possible conflict.
4.2 Stake alignment of system with markers showing the protective distances from wells and water bodies.
4.3 Establish an elevation benchmark. This BM shall be easily identifiable, stable and permanent. An
arbitrary elevation of 100 can be assigned.
4.4 Install the tank as shown on the drawings. Record the inlet and outlet elevations of the tank. Tank shall
be placed on undisturbed native soil.
Specifications for septic system installation
Lot 18 Block 3 Homestead Hills S/D
pg.2
4.5 Excavate the absorption field. Bottom of excavation shall be level and scarified.. Record elevation of
each corner and center point of bed. Construction equipment shall not operate on the floor of the excavation. Any
material compacted by the operation of the construction equipment shall removed and replaced with uncompacted
materials.
4.6 Place the sand to the depth specified. Do not contaminate sand with native materials or spoils from the
excavation. Level the sand surface (+- 1") before placing the pea gravel. Level the pea gravel before installing
the perforated pipe.
4.7 Solvent weld the joints.
4.8 Cover the distribution pipe with pea gravel, and cover the excavation with geotextile before backfilling
and placing insulation, if required.
4.9 Record the fmish ground elevation at each corner and at the midpoint of the bed.
4.10 Furnish a copy of all survey notes to the Engineer.
5.0 INSPECTIONS
5.1 A minimum of five inspections are required. The first inspection will be to lay out the installation with
the proper separation distances from the adjoining wells. The second inspection will be of the open excavation.
At this time the soil conditions will be observed and compared to the design assumptions. Ground water
conditions or presence of bedrock will be verified.
The third inspection will be after the placement of the air distribution piping, the fourth inspection after
placement of pea gravel and effluent distribution piping, standpipes, tank(s) and other components as specified.
A f'mal inspection will be conducted after placement of topsoil and cleanup. Any deficiencies will be noted and
the Contractor notified. Such deficiencies shall be corrected within ten days.
5.2 All electrical work requires either an MOA electrical inspection or certification by an licensed electrician.
Submit proof of inspection or certification to the Engineer.
5.3 Submit catalog data of all mechanical equipment.
5.4 Notify Engineer at least 24 hours in advance of beginning any work.
Specifications for septic system installation
Lot 18 Block 3 Homestead Hills S/D
pg.3
0~# 2/ $
Unear Air Compressors ~""~"~' ~
Dam Shee~
a14 AIRWAY AVENUE
Applica~ons
Limar Air G~q~r=~m~ are used t~
PmmuriaJ ak' ~oiis i~ ~and t~nr~
Slandatd Models
AIR~070~
Specifications
' ; ; ; ; [ i I I [ J l : ) , ; :
o z 3 4
ROW (~))
5- 9-00 38:08 PM ;ANCHOR. AGE TANK & W~LD~NG
0?125195 tZ:2$ 9503 459 2854 0P,~C8
'lINEAR COI~ItI1ESSOR SERI~
PRESSUHE ONLY -
0;~ ~/ S
t~ OO 3
DIb~NSIONS:
~ ~ mm
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING D~VISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
EW
[] UPGRADE
LEGAL DESCRIPTION
L4~7~ZJ.¢.N
Liq. IF HOMEMADE:
Well
DISTANCE TO:
DISTANCE TO: Well
No. of lines l Length °f~J,~i
Top of tile to finish grade
Length Widthf
ition area Dwelling
length W dth
Dwelling
Foundation~) /
TotaJ I~.~f/li nes
Material beneath tile
Depth
Crib depth
Type of crib Crib diameter
Well ' Building foundation
DISTANCE TO:
Depth Driller
DISTANCE TO:
Sewer line
Building foundation
NO. OFBEDROOMS
Material
Nearest 1o2~/
Trench~
inches
'7~.inches
PERMIT
No, of com~ments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO~/(~I ~_&) / 8
E) istance betw~.,~Z~
Total eff~e~rption area
PERMIT NO.
ITotal effective absorption area
Nearest lot line
Distance to lot line
Septic tank
PERMIT NO,
Absorption area(s)
OTHER
REMARKS
z >~
U
0 0 0 0 0 0 0 0 0 0
0
0
,-~
o
~ [XEPFIR'T'MENT OF HEALTH RN[., EN',,,'IRONMENTRL Pr...,JTECTION
' 825 "L."' STREET., RNCHORRGE.,
PERMIT NO. ( 8'1062L8 )
HF F L I _.NNT T - , c -. ..... -: ...... 2,- _..,.
LOCFITION TRFtPLINE & BERR F'FIW
L. EGFIL LOT L'18 BLK ~ HOME~TERr:,,.,HILI, S .,,LOT.~=c;,.IZE 43:560.,,S¢:!UFIRE FEET
TYPE OF SOIL FIBSORPTION SYSTEM I%: TRENCH
MRNIMUM NUMBER OF BEDROOMS = 4
SOIL. RRTING (SQ FT?BR)= ~95
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
'THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD,
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURF'RCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE ENCRVRTION (IN FEET).
F..':EL].~IJ I F:E[:., SEF"T I C: TIq~-~=..'. S I ZE:~'= ±25P-~, ,'3R[_L
PERMIT RPPLICRNT HRS THE: RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF ANY WELLS ADJRCENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
8RCKFILLING OF RNY SYSTEM WITHOUT FiNRL INSPECTION RND RPPROVRL BY THIS
DEPFIRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISF'OSRL S't'STEM IS
].00 FEET FOR R PRIVFtTE WELt_ OR ±50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRI',,,'RTE SEWER LINE IS 25 FEET FIND
TO R COMMUNITY ~;EWER LINE I~.; 75 FEET.
WEt. L LOGS RRE REQUIRED RND MUST 8E RETURNED TO THE DEPRRTMENT WITHIN id.8 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MRY RPPLY. SPECIFICFITIONS RND CONSTRUCTION DI~GRRMS FIRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
F>E 'F-:~'I I 'f" E:=~=:P ][ I-~:E$ [)EiZ:Ef'IE:EF~.: ]::iL.,
I CERTIFY THRT
±: I RM FRMILIRR WITH THE RE6!UIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
]:: I UNDERSTRND THFtT THE ON-SITE SEWER SYSTEM MFIY REC,!UIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
~" SOILS LOG
PERCOLATION
TEST
LEGAL DESCRIPTION:
1
2
7
8
12
18
2O
SLOPE
'9- ~S~-S'l
SITE PLAN
WAS GROUND WATER I~
ENCOUNTERED? yE'.f'. 0
P
IF YES, AT WHAT ///-7/ / E
/
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE /~Z' (minutes/inch)
TESTRUN BETWEEN ~
L. t5
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. # 015-173-40 HAA# HA950305
1. GENERAL INFORMATION
Complete legaldescription Lot 18 Block 3 Homestead Hills
Location (site address or directions) 4501 Trapline Drive
Property 'owner
Mailing address
Jim Taylor
4501 Trapline Drive,
Day phone 561-4440
Anchorage, Alaska 99516
Lending agency GMAC
Mailing address 460 Tudor Road
Agent Chuck Norton
Address
Day phone
· Day phone 346-2529
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: Four (4)
3. TYPE OF WATER SUPPLY:
NOTE:
NOTE:
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
Individual well xx×x×
Community well
Public water ,." ''~'~ '" .... ' '~ ~'''%
If community welt system, provide written confirmation f~o'~ ~tate AgE~ :~tteSt~.
ing to the legality and status of system.
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.
Nameof Firm Tobben Sprukland, P.E. Phone 279-3916
Address 203 West 15th Avenue 9203, Anchorage, Alaska 99501
Engineer's signature
Date
DHHS SIGNATURE
XXXX
$.T A P
Approved for four (4)
Disapproved.
Conditional approval for
DHHS ,
bedrooms.
bedrooms, with the following stipulations:
On-site Services has received the electrical inspection
as required on the Conditional Approval dated October 16,
This property is now in compliance and approved.
Additional/Comments
1995.
;By. ,.~
I'l I
The Municipality of Anchorage Department of Health and Humsn 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The M.ni¢ipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
DateOctober 20, 1995
72-025(Rev. 1/91) Back MOAF21
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. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1. GENERAL INFORMATION
Comp ete ega description /S X
Location (site address or directions)
Day phone
Day phone
Property owner
Mailing address ~,--~'~ .~J-~/),//'~-
Lending agency
Mailing address
Agent
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~
TYPE OF WATER SUPPLY:
Individual well
Community well
NOTE:
Public water
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.i~Y seal affixed hereto and as of the validation date shown below ver fy
investigation of this Health Authority Approval application shows that the on-site water
and/or Wast~at~r disposal system is Safe, functiOnal and adequate for the number of b'edroo~//!~ii':!i?:~
and type Of structureindicated herein. I further ~'erify that baSed °n the information obtained
the Municipality of Anchorage files and from 'my investigation and inspection, the on-site
'supply ~nd/0r wastewate~ disposal S~s(em i~:ih '~0'mPlianCe witfi"all Municil~al and state.code~i?i
ordinances, and regulations in effect On the date Of this inspection.-'
NameofFirn~-"~obben spUrkland, P.E; ...... ~' Ph'0ne 279;-3916
Address 203 West 15th Avenue #20~ Anchorage,
Engineer's signature ........
AlaSka 99501
for bedrooms;
%, u,sapproveo ' , -' '.:
Conditi,'?a! approval for · ~ ~ :: bedi°oms, w,th the foIlOWing etigOi~fiO)i;i:?:.i'~.~)~}:~(....
' '" Additional Comments
.. ~ ;,'7.,~., , -
By:
Date
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 courtesyto purchasers of homes
i, nd their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
or analyze data before a certificate is issued. The Municipality of Anchorage is not`? '"'
or omissions in the professional engineer's work.
' '; '~-O'~(Rev. 1/91) Back MOA~21 '
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAI~ ..~I~H
Environmental Services Division
825"L" Street, Room 502 · Anchorage, Alaska 99501
Health Authority Approval Checklist
Legal Description:
L-oTI~ 1'-3~ ]40Mt~fT~^O Parcell. D.: orS-- 1'-7%-- q LD
A, WELL DATA
Well type '~
Log present (Y/N) x./
Total depth c26~ '7 ~-~
Sanitary, seal (Y/N)
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to
FROM WELL LOG
Iqal
Casing height (above ground) ~ ~
properly protected (Y/N) X./
Wires
AT INSPECTION
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform /~W'~/
Date of sample:
Nitrate
~, ~.,~ c~ ~.t ~./ Other bacteria /~
Collected by: /4 - ~
B. SEPTIC/HOLDING TANK DATA
Date installed Q~/q~ Tank size //,9~9~ Number of Compartments _
Foundation cleanout (Y/N) x,/ Depression (Y/N)
Date of Pumping ¥'t//~,g/ Pumper
~2_ Cleanouts (Y/N). ~'//
High water alarm (Y/N)
Co
Date installed ¢//~ 7/¢ ,5"- Soil rating (g.p.d./ft~ or fl2/bdrm) /-/ System type ~a'-'~t 4¢ /
ti
Length ~LO Width r2~ L~ Gravel thickness below pipe ~' Total depth
Effective absorption area ¢/jz~ Monitoring Tube present(Y/N)% Depression over field (Y/N)
Date of adequacy test ~///x, Results(Pass/Fail) '~ For ~7// bedrooms
Fluid depth m absorption field before test (in.): ~'tt.~ Immediately after ,//~gal. wateradded (m.):
Fluid depth ~ (ins.) Minutes later: /~ Absorption rate = ~ g.p.d.
Peroxide treatment (past 12 months) (Y/N) ~ If yes, give date
D. LIFT STATION
Date installed
Manhole/Access (Y/N) / /'7/~
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot / ~'~ (-~
Public sewer main
Sewer/septic service line
Size in gallons
"Pump on" level at* tit
*Datum '1~
; On adjacent lots
: On adjacent lots
Public sewer manhole/cleanont
Lift station
Water main/service line > a,~
Driveway, parking/vehicle storage area
Wells on adjacent lots ~>//2-r.~ Property line
1 cert,.f? that I have determined thrufield inspections and review of Municipal records that the above systems are
F. ENGINEER'S CERTIFICATION
in c°n. Jbrmance~MO~AA gTid31ine~T i.n,effe~n this date'
Signature
Engineer's Name
Date
HAA Fee $
Date of Payment
Receipt Number
Rev. 8/95 OSS: haa.wk.doc
Waiver Fee $
Date of Payment
Receipt Number
7
Building foundation
Surface water
Curtain drain
"Pump ofF' level at*
t-t/o
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ~ a~ Property line ~ ~-~ Absorption field
Water main/service line ~r,~,t~ Surface water/drainage ~"//O Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Parcel I.D. #
1,
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
GENERAL INF(~RMATION
Compl.ete legal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent
~,5ol
5% _3 '1 o
Dayphone ~(o/- ~t/~/ 0
Day phone
Day phone
Address
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:
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.
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
Address ~ 0 '5 ~ l~-- ~ ~ ~ --~
Engineer's si
DHHS SIGNATURE
Approved for
Disapproved.
/~ Conditional
)roval for
oms.
with the following stipulations:
The Municip~ !,, of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Cer:i ~:ates based only upon the representations given in paragraph 5 above by an independent
professional e~ ,meet registered in the State of Alaska. The DH HS 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
respon~'~!hle for errors or omissions in the professional engineer's work.
72-025(R¢~'. /91) Back MOA#21
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
A. Well Data
Well type ~
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Parcel I.D,
If A, B, or C, attach ADEC letter. ADEC water system number
~'/ I ~ ~ / Driller ~
~,q-7 :~ Cased to ~ '/
y
Date completed
:~'77 Casing height
Wires properly protected (Y/N)
FROM WELL LOG
Date of test
Static water level N~
Wellflow N. · ~L _~ ~..~ g.p.m.
Pump level1 ~7~-
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot I/"7
Absorption field on lot
Public sewer main
Sewer service line
AT INSPECTION
RECEIVED
JUL 2 t 199§
g'p~n~.ugicipality of Anchorage
uept. Health & Human Services
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ~
Date of sample: 7/~>/,~ 5-
Nitrate
Collected by:
Other bacteria
B. SEPTIC/HOLDING TANK DATA
Date installed Y/~ A~ ! Tank size / ~- 5 0 Compartments
Cleanouts (Y/N) ~) Foundation cleanout (Y/N) 7 Depression (Y/N)
High water alarm (Y . 1~///.~ Alarm tested (Y/N)
Date of pumping (~/~ '-- l~r~"'' Pumper ~__,~ ~o ~'V
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot Ii '~
To property line ~
Surface water/drainage
On adjacent lots
Absorption field
Foundation
Water main/service line
72-026 (3/93)* Front CONTINUED ON BACK PAGE
C. LIFT STATION ~k///~
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
Meets MOA electrical codes (Y/N)
"Pump on" level at
Manufacturer
Manhole/Access (Y/N)
"Pump off" Level at
Cycles tested
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Surface water,
D, ABSORPTION FIELD DATA
Date installed ' '7//~ &,/~,,/
Length ~' -~
Total absorption area
Date of adequacy test
Width
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
Soil rating (GPD/FF) //q ~-- System type 7'~'~'~(~
Gravel thickness ~' Total depth
Cleanout present (Y/N) ~'/ Depression over field (Y/N)
Results (pass/fail) ('~ for ~ Bedrooms
c~ I '~ After test ~i o6 ~ ~- ~,5o,1,,
'"// If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Surface water
Curtain drain
! ~ G On adjacent lots "~ / ~
To existing or abandoned system on lot
Cutbank ~,~ e ~/~ Water main/service line
Driveway. parking/vehicle storage area
Property line ~-- ~
E. ENGINEER'S CERTIFICATION
I ce~'fy that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature ~
Engineer's Name
Date
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
T.SPURKLAND P.E.
203 W. 15th. AVE. SUITE 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
Municipality of Anchorage
Division of Environmental Health
Department of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
Subject: HAA Lot 18, Block 3
Homestead Hills
Gentlemen;
October 17, 1995
RECEIVED
OCT 1 7' 1995
D M.ur. uc~pahty et Anchorage
ept. Health & Human Services
1. HDPE coiled conduit was used for the airline. 1/8" holes on 24" center was drilled through the conduit,
resulting in holes on the top and the bottom of the line. This way any condensate or water flowing through the sand
and entering the line through the top holes could escape through the bottom holes. If the top holes should become
plugged by migrating sand or silt, the bottom holes should still be open.
2. Thomas Industries Linear Compressor Model 5070
3. Pump on for 30 sec. every 30 minutes.
4. No test was performed
5. Misprint on as built. Washed 3/8" pea gravel was used.
6. Amoco 4545. Tensile strength per ASTM-D-4632 is 90 lb. Permittivity per ASTM-D-4491 is 2.1.
7. Pumps were furnished by Orenco per specs.
8. No provisions were made for effluent sampling
9. No flushing/cleaning valves were installed, none were shown on the approved drawings. A riser was installed
so that hydrogen peroxide can be used to clean the lines if necessary.
10. Municipal inspection on Oct. 17, 1995.
Time ~ Time
Date Date Date
Inspector Inspector Inspector
Comments Conditional Approval
Date Sewer Installed . ~---..~ ..~ .~.,..~ Permit No. Septic Tank Size /
Soils Rating Well To Absorption Area Well Log Received
~ ~ Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
PropertY Owner ~ F~/~ ~ ~ /~'~ ~ ~ Phone
Mailing Address ~ ~ y fi ~ ~- ~ ~ '~
Address
Lending Institution /~ ~ ~ ~' ,~~ ~ ,~ ~ ~ ~ Phone
Phone
Realty Co. & Agent / )~ ~ t~/~-
Address
Leo~l Desoription
Type 9~ ResJdenoe
~Single Family
D Multiplo Family ~o. o~
D Other -
Wate~pply
~dividual A~ACH WELL LOG. A well log is required for all wells drilled since June
: Community 1975. For wells drilled prior to that date, give well depth (attach log if
: Publfc Utilit~ available.)
Sewag~isposal I ~ ~/
~lndividual Year individual Installed:
' : Public Utility When Connected to Public Utility:_
~ Holding Tank
NOTE: THE I~SPECTIO~ FEE ~UST ACCOMPANY EACH REQUEST BEFORE PROCESSING CA~ BE I~ITiATED.