HomeMy WebLinkAboutPARADISE VALLEY BLK 1 LT 13 Municipality of Anchorage~/ ~
Development Services Department ~'~ ~:
Building Safety Division
On-Site Water and Wastewater Program, 4700 S. Bragaw St. ~ ~
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: .~'XL,/~ ~,, ~.,c~:~, RID Number: ~ ~ ~ '-- ~
Name~j~ ~ ~ )~., /~~.~ Wastewater System: ~ New ~ Upgrade
Xddress:F~ ~"~ ~)X ] I~5C'~ ~¢ ABSORPTION FIELD
Phone: ~ ~ ~~? Number of Bedrooms:~ ~ Deep Trench ~Shallow Trench ~Bed ~Mound ~Oiher:
Soil Rating: Total Depth from original grade:
LEGAL
DESCRIPTION
BI~ Lot: ~u~division:
~ ~ )~ ~~ (.~ ~ ~//~y- Depth to pipe bottom from original grade:~ , ~ Gravel depth beneath pipe:~
T~nship: Range: Section: Fill added above original grade: Gravel Length:
Well: ~New ~ Upgrade ~w~ width: ~ Ft, Number~of lines: Distance between lines:
Classification (Private, A, B, C): Total Depth: Cased to: ~ Total absorption area: Pi~ Material:
Dn ler:- -- x ~ - Date Drilled: ) Static Water Level: Installer: Date Installed:
Yield: GPM Pu~p Set at: Ft. Casing Height Above Ground:
/ ~ ~ ~t. TAN K
SEPARATION
DISTANCES
~Septic ~ Holding ~ S.T.E.P. ~ Other:
Manufacturer: ~ Capacity:
To Septic Absorption Lift Holding ~ublirPrivate
Tank ~ Field Station Tank Sewer Line ~ d O'~" ~ ~ Gal.
Well ~'~ ] ~'J '~ ~ ~ ~ Material:~ "¢~'~/i ~¢ Number °f C°mpa~ments:
SuffaceWater ~/~)¢~ ~-~ ~ ~//~ ~~ LIFT STATION
Lot Line f~/ ~/ Size: Gal.Manufacturer:
~ ~ "Pump on" level at: "Pump o~' level at: High water alarm at:
Foundation I~¢~ f~,~ ~ in. in. in.
Cudain Drain ~/ ~ ~ Pump Make & Model Electrical Inspections pedormed by:
Remarks:
BENCH MARK
Location and Description:
Assumed Elevation:
Engineer's Stamp
Inspections performed by: ,.~. :? i :e-,:~:~ Dates: 1s,¢-/0-¢~ ~- '~~:~__h
Development Sewices Depa~t Approval ~7~x~ :2.%} ~:~ ~. ,~,~
Reviewed and approved by: ,; :://~ ....... ~
Municipality of Anchorage
Development Services Department
Building Safety Division ~ ~
On-Site Water and Wastewater Program, 4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99507 Page of
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: sw020293 PID Number: 020-424-33
Name:
Glen and Randie Mead Wastewater System: [] New [] Upgrade
Address:
P.O. Box 110505 Anchorage, AK 99511 ABSORPTION FIELD
Phone: Number of Bedrooms:
4 [] Deep Trench 17~ Shallow Trench [] Bed [] Mound [] Other:
Soil Rating: Total Depth from odginal grade:
LEGAL DESCRIPTION .6 GPD~Ft' 6 Ft.
Block: Lot: Subdivision: Depth to pipe bottom from odginal grade: Gravel depth beneath pipe:
I 13 Paradise Valley 3.0 Ft. 3 Ft.
Township: Range: Section: Fill added above original grade: Gravel Length:
1.0 Ft. 116 Ft.
Well: [] New [] Upgrade Gravel width: Number of lines: Dist .... between Ii ....
5 Ft. 2 > 10 Ft.
Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material:
Private 121 Ft. 120.5 Ft. 1,000 Ft2 ASTM D3034 PVC
Ddller: Date Drilled: Static Water Level: Installer: Date Installed:
M-W Drilling, Inc. 5/20/03 84 Ft. Owner Installed 9/10-12/2003
Yield: GPM Pump Set at: Ft. Casing Height Above Ground:
10+ 2 Ft. TANK
SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other:
T~ To Septic Absorption Lift Holding )ublic/Pdvate Manufacturar Capacity:
Tank Field Station Tank Sewer Line Anchorage Tank 1,250 Gal.
Material: Number of Compartments:
well >100' >100' N/A N/A >25' Steel Two (2)
surface water >100' >100' N/A N/A ~ / LIFT STATION
Size: Manufacturer:
Lot Line >5' >10' N/A N/A Gal.
"Pump on" level at: "Pump off" level at: High water alarm at:
Foundation >5' > 10' N/A N/A in. in. in.
Pump Make & Model Electrical Inspections performed by:
Cur[Bin Drain None Noted
Remarks:
Owner Installation Verified by Anderson Engineering BENCH MARK
Location and Description:
and Pomranning Excavation. Septic System Meets Basement Slab.
Assumed Elevation:
Municipal Code. 100.0 Ft.
Inspections performed by: J' Sizemore Dates: 1st 9/10/02 ~,~*,u,, .(~_-~ ~!
Development Services Department Approval ~'-~ :' 49 T_.H ~:-'~
'~ %'~ MICHAEL r: AN:DER,SON
Reviewed and approved by: < ~'~/¥: 2- / ~J-Jj "i,~ROlr[S$1~%~...~?
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cLanchorage.ak.us
(907) 343-7904
ON*SITE SEWER/VVELL SUBMITTAL COMMENT SHEET
To: lames slzemoore
Legal description: paradise valley block I lot 13
The attached papenvork has been reviewed and Is being returned for the following reasons:
Original signature or stamp missing on
Calculation error in design.
Additional soils information needed.
Water monitoring results inadequate.
Discrepancy in information submitted.
Topographic information missing or inadequate.
Incomplete; missing
Incomplete; missing
Additional adequacy test information needed.
Water sample unacceptable.
Measured/proposed distances/dimensions missing.
Locations of all soils, percolation and water monitoring tests not shown.
Proposed system too deep for soils information submitted.
Well log required.
Omission in narrative.
Insufficient fill over tank or field.
Other. need additional as-bullt Info: who Installed the system? when was system Ins~alled?
Name of reviewer: [oeqoodall Date: 8/13f03
P/ease supp/y the necessary information and re-submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program. 4700 S. Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-6650 Page of
www.ct.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: .~'~/(~) ~,~",.~' PID Number: (~.<~--,~' ~___.~t
'~'"'F. ~. ~X IIo5o~ A~J'z,4,~ ABSORPTION FIELD
Pt~: ~ ~L,~ --~.,~G~ Numbec,lBed¢~m~:,~_. r'lDeepTm~h~Shed~Tre~fl =Bed rlMou~d rlOthe~:
SEPARATION DISTANCES i~sep,c [] Holding [] S.T.E.~. [] Omer.
Tankd Field Slation Tank Se~r Line: A I~ C ~°
"""'"'~': BENCH MARK
Engineer's Stamp
Development Services Department Approva,~-~-¢'..~'-
Reviewed and approved by: Date:
~ ~0~
~~ I
:-/---. /
~ - .
~ STI 56.3
6 4
B ST1 I . L[ACH~E~
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~ co: ~:
/
B dT1 53.0 /
A C03 23.5
B C03 52.7
A MT2 26.1
B 56.0
.-'49~
=IMTE
LOT 16
I
/
LOT f3 ~B~L.K 1. PARADISE VALLEY SUBDIVISION
· , ~f"ELL & SEPTIC SYSTEM
JAMES 51ZEMORE ~ ASSOCIA~S
~ i45-1572 FAX: 345-9629
OR~ BY: ~D HKD BY: ~S ~-29-97
3558 1 ~ 2
STV020293
AS BUILT DETAILS
' i-'
'~"~': -.-,; 2.~" *' '
JAI~ES SIZEI~ORE & ASSOCIAIES
· CIVIL ENGINEERS & SURVEYORS
M-W brillin9, ]:nc.
eP.O. Box 110378·Anchorage, AK 9951te
e907-345-4000 · 907-345-3287 Fax·
Job No.: 03--131 Project No.: N/A
Permit No.
SW020293
Groundwater Well ,4s-Built & Log
· Well Owner: Glen & Randie Meade
*LegalDescrlptlon: Paradise Valley, Block It Lot 13
Anchorage, ^laaka
· Use of Well: Domestic
Construction
· lloleDepth: 121' ·CaslngSl~e: 6" ·CasedTo: 120.5' ·Material:
· DrllIMethod: Air Rotary
......................... Perf. -
· Well Completion- Open end X Screen __ Perforated Method:
· Screen~Perforation description: None
· Grout Notes: (3) Sacks- No. 8 bentonite granules
A 53 Steel
· Notes:
· Well Development: Met/tod: Air surge Notes:
· Static water level ($WL) 84' (aba;'0 (below) top of casing (TOC).
· WeHyleldtestat lO+ . gallonspermlnute(GPM)/~tt)for I hour
with 100% of drawdown (DD) from static level (SWL).
· Method: Air lift .,
· Date of completion: 20 May 2003 · Pump Install: Well Log
Depth in feet from
top of easing. Details of formations penetrated~ size of material~ color and hardness.
0 TO 3 Casing stickup
3 TO 5 Fill
5 TO 95 Boulder gravel
95 TO 103 Boulder gravel: damp
103 TO 121 Water gravel: with thin silt beds
TO
TO
TO
TO
TO
TO
.TO
TO
TO
July 28, 2003
Municipality of Anchorage
Mark Beglch. Mayor
Building $,'ffcty Division
P.O. I~x 19(~50 · 4700 Bn~gaw Street
Anchon~gc, Alaska ~3519-C~50 · (907) 3~3-8301· F~x (907) 3~3-82(X)
h t t I~://www. mu n i.t~rg
Glen & Randie Meade
P.O. Box 110505
Anchorage, AK 99511
Subject:
On-Site Water and/or Wastewater Permit.
Permit Number: SW020293
Legal Description: Paradise Valley Block 1 Lot 13
Dear Glen & Randie Meade:
An On-Site Water~Vastewater Permit, number SW020293, issued by this office for a single-family
system, will expire on August 13, 2003. This permit was valid for 365 calendar days.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as-built inspection report must be sent to
this office for review, approval and documentation. This as-built inspection report must be signed by
the licensed Professional Engineer who inspected the installation of the system. As-built inspection
reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. A new permit for a second year may
be issued for a fee of $100.00 if the renewal application is received on or before the expiration date of
the original permit.
When applying for a new permit, the fees are: $400.00 for ~ wastewater permit and $150.00 for a well
permit.
If you h33je any questions, please call this office at 343-7904.
Jam~s C;oss, P.E.
Manager.
On-Site Water and Wastewater Program
Enc: Copy ofpermit
MUNICIPALITY OF ANCHORAGE
Developmen~ Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Aug 13, 2002
Expiration Date: Aug 13, 2003
Permit Number: SW020293
Legal Description: PARADISE VALLEY BLK 1 LT 13
Design Engineer:. 0027 James Sizemore & Associates
Owner Name: Glen & Rand[e Meade
Owner Address: Po Box 110505
Anchorage, AK 99511-0000
Parcel ID: 020-424-33
Site Address:
Lot Size: 19674 SQ~ FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:.
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
Ail 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 ( 18MC72 ) and Ddnking Water Regulations ( 18MC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to Apd115, a subsurface soil absorption system under construction during freezing weather
must be either:. A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Issued By: I ~
Date:~j~
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWEPJWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Permit Number SW
Propertyowner(s) ~-'J~-,,,gr) ~'. Z~:{',~-"//';(?~ yr~,~'~_. Dayphone
Mailing address (1) ~. ~/'~ ll~
Mailing address (2). Zip Code
Legal description (Lot, Block & 8ub'd.) L'o~ J ~, ~l~ l/ ~~;~[)~//~Y
Legal description (Section, Township & Range)
Lot
Size
¢--,-~;~-/~' ~.-t .~Acres/Sq. Ft.
THIS APPLICATION IS FOR:
Sewer Only [ J
Sewer and Well []
Sewer Upgrade []
THIS PROPERTY CONTAINS:
Hot Tub []
Swimming Pool []
Therapy Pool []
Number of Bedrooms
Well Only []
Water Storage []
Jacuzzi []
Water Softening Unit []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(S~nature of property owne~ or,~orized agent%
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
5-5-/:).°0
Waiver Fees:
Date of Payment:
Receipt Number:
i ~.
//I ' '
/ ~ / '~
/
LOT 11
.1517 E
LOT 16
LOT 15
/
LOT 13, BLK 1, PARADISE VALLEY SUBDWISION
PROPOSED WELL & SEPTIC SYSTEM
Si'nj PLAN
dAMES SIZEMORE &:'ASSOCIATES
ANCHORAGE. ALASKA
'FEL~' FAX: 345-9629
RWN BY: VND .flF$ .1-2g-g7
3538 1 OF 2
· 1250 GAL SEPTIC --,,.,~-----,---.,Ir
0 0
DOUBLE
C.O.
ZABEL FLOW
DIVIDER
4" DIA. PERF.
PIPE ~
i111=
PLAN
1"=20'
II1_~1111~
~1111
SEWER .,. ,, ,..,, .,.,-,..
, FABRIC
II1_~1111~
.~:~'~ SECTION
o;.'~." 'r:...~, ~ =o
: Jomes F. Size{note..'
,ez-,,,.,'... · ·. o · ··
C.O. TYPICAL
EA END OF
TRENCH
MONITORING
TUBE
~)- 5'x43.5' LONG
ENCH LEACHFIEL[
CLEANOUT
MONITORING
TUBE
LOT 13, BLK 1, PARADISE VALLEY SUBDIVISION
PROPOSED SEPTIC SYSTEM
PLAN AND SECTION
JAMES SIZEMORE &: ASSOCIATES
ANCHORAGE. ALA~A
TEL: (907)345-1572 FAX: ~907;)345-9629
DRWN [}Y: VND CHKD BY: ~FS [OAT[: 3-6-97
SCALE: ~11 noted GRID: ,~558 ~SHT: 2 OF 2
6410 Switzerland Drive
(907) 345-1572
James Sizemore & Associates
Civil Engineers &
Surveyors
Anchorage, AK 99516
WASTEWATER DISPOSAL SYSTEM SPECIFICATION
LOT 13, BL. 1, PARADISE VALLEY SUBDIVISION
1.0 GENERAL:
1.1 The scope ofthe project consists ofinstallationofa 1250gallon septicTank
and two five foot wide by 58 feet long absorption trenches containing 3.5 feet of sewer
gravel.
1.2 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.
1.3 All construction procedures and material used to construct the system shall
comply with Municipal and State regulations.
1.4 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.
2.0 SEPTIC TANK
2.1 The 1250 gallon septic tank shall have two compartments and shall comply
with Municipality of Anchorage Requirements.
2.2 The septic tank shall be set level and shall be bedded as necessary to prevent
settling or shitting ofthe tank.
2.3 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.
3.0 SOIL ABSOKPTION DKAINFIELD:
3.1 The soil absorption drainfield shall be two 5' x 58' x 6,5' deep trenches with
a total of 3.5 ft. of sewer rock, 3.0 ft. beneath the perforated drain pipe.
3.2 The bottom of the excavation shall be level. Any compacted or smeared
surfaces shall be raked to allow for proper infiltration of effluent. This includes both the
sides and bottom of the trench.
3.3 Sewer rock shall be 0.5 - 2,5" screened gravel with less than 3% passing the
#200 sieve.
3.4 Cleanout pipes and monitor tubes shall be 4" diameter and installed as shown
on the plans. The portion ofthe monitor tube extending through the sewer rock shall be
perforated.
4.0 ENGINEERING INSPECTIONS
4.1 A minimum of four engineering inspections will be required during
construction ofthe 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 placement
of the sewer rock and the distribution piping, cleanouts and monitoring tube are in place.
The final inspection shall be after filter fabric is placed, the trench and the final grading are
complete.
4.2 The contractor shall coordinate with the engineer at least 24 hours prior to
start ofconstruction, lfthe contractor desires, a site visit with the engineer prior to start
of construction can be arranged.
PROBABLE IMPACTS TO ADJACENT PROPERTIES
A) ~VELLS
The proposed wastewater disposal system is designed in accordance with current
Municipality ofAnchorage Wastewater Disposal Regulations. The proposed drainfield
will be constructed in accordance with these regulations. The separation distance from
wells on adjacent properties is greater than 100 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 and an on-site disposal system, therefore there should be no unacceptable
impacts on adjacent wastewater disposal systems.
C) RESERVED SPAC 'E/SURFACE AND SUBSURFACE
The large lot that this system will be constructed on has ample space, both surface
and subsurface reserved for a replacement system. The proposed drainfield should not
affect adjacent properties.
D) DRAINAGE
The location ofthe 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. Therefore this system shouldn't adversely affect adjacent properties.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVtCES
825 'L" Street, Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
SLOPE SITE PLAN
1
2
3
4
5
6
7-
8-
9-
10
11
12
13
14-
15-
16-
17-
18
19
20
/
/
/
/
/
/
/
ENCOUNTERED?
IF YES. AT WHAT
DEPTH? pO
E
M~ilotiflg? ~' x/V
Gross Net Oeoth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ff ~t,o im,nutes~[ncl~) PERC HOLE DIAMETER 6
TEST .un BETwEEN~o~ FT AND ~'t ~ FT
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINI~S IN EFFECT ON THIS DATE. DATE.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street, Anchorage, Alaska 99502-0650 p
SOILS LOG ~ PERCOLATION TEST
PERFORMED FOR: ~ / /~ ~ DATE PERFORIV~'[~
LEGAL OE;CRIPTION: L ~.~ ~M ~::z~/"ac:~ [/'4:~l~ownship, Range, s;ction:'7"//,~J
/
/
11 IF YES, AT WHAT
DEPTH? pO
12
Oepth to Waer AlterA i/,~
Reading Date Time Time Water Drop
14-
16-
17
18
19
PERCOLATION RATE -- [m,nutes~,ncnl PERC HOLE DIAMETER ~:~
TEST RUN BETWEEN ~t ~' FTAND ~ FT
COMMENTS
Rick Mystrom,
Mayor
Department of HeaRh and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
343-4744
April 17, 1998
Kurt Steinert
Lane B Steinert
18628 Harlequin
Anchorage, Alaska
99516 6112
Subject: Lot 13 Block 1 Paradise Valley Subdivision
Permit #SW970059, PID #020-424-33
The subject permit, issued April 14, 1997 by this office for a
single family well and/or on-site wastewater system, has
expired as of April 14, 1998.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must 'be sent to this office for
review, appr~ al and documentation. Ail inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you~ave any questions, please call this office at 343-4744.
Sinder~ly,// ~
Program Manager
On-site Services
enc: Copy of Permit
cc: James Sizemore & Associates
PAGE
1 OF
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:SW970059
DESIGN ENGINEER:JAMES SIZEMOORE & ASSOCIATES
OWNER NAME:KURT & LONA STEINERT
OWNER ADDRESS:18628 HARLEQUIN PLACE
ANCHORAGE, ALASKA 99516
DATE ISSUED: 4/14/97
EXPIRATION DATE: 4/14/98
PARCEL ID:02042433
LEGAL DESCRIPTION:
PARADISE VALLEY BLK
1 LT 13
LOT SIZE: 19674 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
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 (18A_AC72) AMD 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:
DATE:~'-~
DATE:
ISSUED BY:
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 from
wells on adjacent properties is greater than 100 fi. 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 and an on-site disposal system, therefore there should be no unacceptable
impacts on adjacent wastewater disposal systems.
C) RESERVED SPACE/SURFACE AND SUBSURFACE
The large lot that this system will be constructed on has ample space, both surface
and subsurface reserved for a replacement system. The proposed dralnfield 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. Therefore this system shouldn't adversely affect adjacent properties.
LOT 13
LOT lg
LOT 20
RECEIVED
APR ] 4- 1997
MU~H¢, al'
- 'P' ~ty o! AHchorage
wept, Health & Human Serv~es~_
LOT11
~"'~ PROPOSED
~ ~/~2~' WE~L ~-~:,. ~-,~
,~ '~ X I RESIDENCE~, m
~ x ..... ¢-~F-,~/ 5 ~nT,l~--~ , LOT 14
LEACHFIELD ~
DRAIN ~ENCHI~----~--~ ~ ~ ~ SEPTIC TANK
I ~_ ~----~----~,] ~ZABELFLOW
LOT 12 ~ %~ : m~ ~, I DI~DER
1517 E ¢" LOT 16
LOT ,15
LOT 13, BLK 1, PARADISE YALLEY SUB~IVISION
PROPOSED WELL & SEPTIC S~TSTEM'I
iSITE PLAN
JAMES SIZEMORE &~ASSOCIATES
~ ANCHORAGE, ALASKA
TEL: ~ 345-1572 FAX:~ 34-5-9629
DRWN BY: CHKD BY: ',:
3538 1 OF 2
,1250 GAL SEPTIC
TANK~,,~
ZABEL FLOW
DIVIDER
DOUBLE
C.O.
C.O. TYPICAL
EA END OF
TRENCH
MONITORING
TUBE
.(i.F~)- 5'x45.5' LONG
ENCH LEACHFIELD
4" DIA. PERF.
PIPE ~
III1_--
III
SEWER
ROCK -- J
PLAN
1 "=20'
~)
FILTER
FABRIC
SECTION
/CLEANOUT
~MONITORING
/TUBE
LOT 1,3, BLK 1, PARADISE VALLEY SUBDIVISION
PROPOSED SEPTIC SYSTEM
PLAN AND SECTION
JAMES SIZEMORE &: ASSOCIATES
ANCHORAGE, ALASKA
TEL: (907;)345-1§72 FAX: (907)345-9629
DRWN BY: VND I CHKD BY: JFS /DATE: .3-6-97
SCALE: aa noted [GRID: 3538 [SHT: 2 OF 2
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: [ /~(~'~ DATE PERFORMED:__
LEGAL DESCRIPTION: ~-~ [ 3 ~. L..f p~3~5~C.~/C~wnship, Range, Section:7~///~//~ .~JVI _~-;e~__.. /?
SLOPE SITE PLAN
5
6
7
8
9
10
11
12
13
14
15
16
17
18-
19-
20-
.rsoff. I e-
ENCOUNTERED?
S
IF YES, AT WHAT
DEPTH? p
E
Depth t0 Water Alter A
Monitoring? vV(~
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE -~ ~ (minutes/,nch) PERC HOLE DIAMETER ~-~"
TEST RUN BETWEEN~',,~ ET AND ~¢ ~) FT
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELIN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: ~' ! /~ ~'- DATE PERFOF
LEGAL DESCRIPTION: L/..':~ ~---[ ~z'~r~a~]~///'4:?/~ownship, Range, section:'/-'//,~v~ ~1~ ~ ~ 5~_~c.. [ [
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED? MO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16-
17-
18-
19-
20-
IF YES, AT WHAT
DEPTH7
Oepth to Water AlterA / w~
Monitorino? ' ''f v Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~f, .~" ET AND ,-~ ET
COMMENTS
/1 -/ ,~ ~ ~ ~ -
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI~ IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/~) v
6410 Switzerland Drive
(907) 345-1572
James Sizemore & Associates
Civil Engineers &
Surveyors
Anchorage, AK 99516
WASTEWATER DISPOSAL SYSTEM SPECIFICATION
LOT 13, BL. 1, PARADISE VALLEY SUBDIVISION
1.0 GENERAL:
1.1 The scope of the project consists 0finstallation of a 1250 gallon septic Tank
and two five foot wide by 58 feet long absorption trenches containing 3.5 feet of sewer
gravel.
1.2 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.
1.3 All construction procedures and material used to construct the system shall
comply with Municipal and State regulations.
1.4 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,
2,0 SEPTIC TANK
2.1 The 1250 gallon septic tank shall have two compartments and shall comply
with Municipality of Anchorage Requirements.
2.2 The septic tank shall be set level and shall be bedded as necessary to prevent
settling or shifting of the tank.
2.3 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.
3.0 SOIL ABSORPTION DRA1NFIELD:
3.1 The soil absorption drainfield shall be two 5' x 58' x 6,5' deep trenches with
a total of 3.5 ft. of sewer rock, 3.0 ft. beneath the perforated drain pipe.
3.2 The bottom of the excavation shall be level. Any compacted or smeared
surfaces shall be raked to allow for proper infiltration of effluent. This includes both the
sides and bottom of the trench.
3.3 Sewer rock shall be 0.5 - 2,5" screened gravel with less than 3% passing the
#200 sieve.
3.4 Cleanout pipes and monitor tubes shall be 4" diameter and installed as shown
on the plans. The portion of the monitor tube extending through the sewer rock shall be
perforated;
4.0 ENGINEERING INSPECTIONS
4.1 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 placement
of the sewer rock and the distribution piping, cleanouts and monitoring tube are in place.
The final inspection shall be after filter fabric is placed, the trench and the final grading are
complete.
4.2 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.
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519
September 2nd, 2002
RE: Permit # SW020293
Dear Sirs,
PLease consider this letter notification of our intent to install our own
septic system at Paradise Valley BLK I LT 13.
We installed our o, wn septic sys~tem for the house we built in the Mat-Su
Valley in 1997./~L/~ ~///J~. ~-~ ~ ~~,
We are aware of the requirements specified in the Anchorage Municipal
Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater 0isposal
Regulations (18AAC72).
Our engineer wilt be Jim Sizemore and Assoc. (345-1572).
Our contact number is 345-5000 or 360-8056.
Thank You,
Glenn and Randie Mead
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 020-424-33
COSA# ii)
Expiration Date: ~'""- ~/ /~-/ ]
GENERAL INFORMATION
Complete legal description Lot 13, Block 1, Paradise Valley Subdivision
Location (site address) 6o20 Greece Ddve Anchorage, AK99516
Current Property owner(s) Glenn and Randie Mead
Mailing address 6020 Greece Ddve Anchorage, AK 99516
Lending agency
Day phone
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well []
IndividUal Water Storage []
Community Class ~ Well []
Public Water System []
Four (4)
TYPE OF WASTEWATER DISPOSAL:
Individual On-site []
Individual Holding Tank []
Community On-site []
Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a p~ivate or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. 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,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Anderson Engineering
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
bedrooms.
DSD SIGNATURE
\/Approved for J7/''
Disapproved.
Conditional approval for
Phone 522-7773
Date 1/28/2011.
bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
(Rev. 11/05)
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: 8,~ - i 1.-I '-/I
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Elmora Road
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Lot 13, Block 1, Paradise Valley Subdivision
Parcel ID: 020-424-33
A. WELL DATA
Well type Private
Date completed 5/20/03
Total depth 121 ft.
Date of test
Static water level
Well production
If A, B, or C provide PWSID # Well Log (Y/N)
Sanitary seal (Y/N) Y ..... Wires properly protected (Y/N)
Cased to 12o.5 f. Casing height (above ground)
FROM VVELL LOG AT INSPECTION
5/20/03 1/26/11
84 ft. 89.4 ft.
10+ g.p.m. 6.1 g.p.m.
Y
Y
>18 in.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL Nitrate 2.52 mg/L
Arsenic; N/D ug/L date of sample: 12/6/10
Collected by:
A. Harala
SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,25o gal. Number of Compartments Two.
Foundation cleanout (Y/N) Y Depression over tank (Y/N)
Date of pumping 10/18/10 Pumper
9/10-12/02
Date installed
Cleanouts (Y/N)
N High water alarm (Y/N)
Y
Northla.nd Pumping
N
Co
ABSORPTION FIELD DATA
Date installed 9/10-12/02 Soil rating (g.p.d./~ or ft2/bdrm) .6 GPD/SF
Length 116 ft. Width 5 ft.
Total depth 7 ft. Eft. absorption area 4,000 ~ Monitoring tube
Date of adequacy test ;1/26/11 Results (Pass/Fail)' Pass
Fluid depth in absorption field before test 17/36 in. Water added 641 gal.
Elapsed Time: 1,357..,. min. Final fluid depth 17/36 in. Absorption rate >=
Any rejuvenation treatment (past 12 mo.) (YIN & type)
System type 5' Wide Trench
Gravel below pipe 3 ft.
Y Depression over field N ....
For 4 bedrooms
New depth 30/.36.. in.
g.p.d.
6OO
If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at
Datum
in.
Size in gallons
"Pump off" level at
Cycles tested
in.
Manhole/Access (Y/N)
High Water alarm level at
Meets alarm & cimuit requirements?
in.
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot >100
AbsorPtion field on lot >100
Public sewer main N/A
Sewer/septic service line
Animal containment areas
>25'
>50'
>100
On adjacent lots
On adjacent lots > 100
Public sewer manholelcleanout
Holding tank N/A
Manure/animal excrete storage areas
N/A
>100'
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5' Property line >5'
Water main N/A Water service line >10'
Wells on adjacent lots >100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO'.
Property line >10°
Water Service line >10'
Curtain drain None Noted
Absorption field
Surface water
>5'
> 100'
Building foundation >10'
>100'
Surface water
Wells on adjacent lots >100'
· Water main
N/A
Dfivewayl parking/vehicle storage >25'
F. COMMENTS
G. ENGINEER'S CERTIFICATION
. .
I ~ that I have datelined though field inspections eno
mview of Municipal m~s that the above sy~ems am in
confo~ance w~h MOA COSA guidelin~ in effect on this date.
Date ~1/28/2011
D~e of Payment ~ ) J~ I I D~e of Payment
Receipt Number ~~~ Receipt Number
(Rev. 4/10)
Z