HomeMy WebLinkAboutSKYWAY PARK ESTATES BLK 4 LT 2Onsite File
Skyway Park
Estates
Block 4
Lot 2
#019-141-14
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: OSP211300
Work Type: Septic Upgrade
Tax Code Number: 01914114000
Site Legal Address: SKYWAY PARK ESTATES BLK 4 LT 2 G:2729
Site Mailing Address: 11801 TOY DR, Anchorage
Owner: DOKOOZIAN NANCY W
Design Engineer: ARC TERRA CONSULTING INC
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date
Expiration Date
Lot Size in Scl Ft:
Total Bedrooms:
Dep<<rtinetiC
8/12/2021
8/12/2022
48349
❑ 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
Date:
Date: 12420,21
M
11!
a l a ny y� tt11 .; 4_ � 1,1111111
Development Services Department
On -Site Water R. Wastewater Section '—
ON-SITE SEPTICIWELL PERMIT APPLICATION
Parcel I.D. 019-141-14
Property owner(s) Cary Carrigan Day phone
Mailing address 11801 Toy Dr.Anehorage,AK
Site address 11801 Toy Dr. Anchorage, AK
s a c5
Legal description (Sub'd., Block & Lot) skyway Parthlock 4 Lot 2
Legal description (Township, Range & Section)
Lot Size 48,349 Sq. Ft. Number of Bedrooms 4
Phone: 907-343-7904
Fax: 907-343-7997
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
Initial ❑
Single Family (SF)
(w/wo ADU)
Septic Tank
Upgrade
Duplex (D)
❑
Holding Tank
❑
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
Dea Duffus
(Signature of property owner or authorized agent)
Permit/Rush Fees: 5q.5 Waiver Fees: _
Date of Payment: rl o?.3 2021 Date of Payment:
Receipt Number: y36Receipt Number:
Permit No. 03 02113CO Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211300, Rebecca Carroll, 08/12/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211300, Rebecca Carroll, 08/12/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211300, Rebecca Carroll, 08/12/21
MUNICIPALITY OF ANCHORAGE
Development Services DepartmentPhone: 907-343-7904
On Site Water & Wastewater Section Fax. 907-343-7997
Septic System Owner-ins1aRgLAqrqqM2Rt
The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner
to perform work on an on-site wastewater disposal system to serve that individual's owner
occupied, single-family or duplex home if the homeowner meets and agrees to the following
requirements:
I . The property owner and excavation equipment operator may perform work on no more
than one owner -installation project in a 12 -month period.
2. Owners projected active involvement with the installation:
PREVIOUSLY, -1 HE OWNER OPERATED A BACKHOE TO DIG THE TEST PIT IN SUPPORT OF -1 HE APPROVED DESIGN.
T141EGMERMLLHAVE A ROLL Or PRWMTAD"NfS1RARON- EQUIPMEMT OPERA- ON, COORDINI'WING FOR INSFEGMINS, AW QWUTY CafiFUL
3. The name of the excavation equipment operator: GARY CARRIGAN VOTH ASSISTANCE FROM ANDREWTOTELjor-F
4. 1 agree that there will be no monetary compensation for installation services rendered.
5. The name of the inspecting engineer: ARCTERRA CONSULTING, INC.
6. 1 agree to discuss the following items with the inspecting engineer:
a. Permit design criteria and specifications.
b- Inspection requirements set forth in AMC 15.65.070-
c. Advance notice given to the On-site Water & Wastewater Section for ail required
municipal inspections (AMC 15.65-070A)-
7, 1 agree to have the project -specific On-site Wastewater Disposal System Permit available
at the construction site for the duration of all related work.
8. 1 agree that if the system is an advanced wastewater treatment system (AWWFS), I will
obtain additional installation instructions and approval from the equipment distributor.
As owner of (legal description) 1180"1 TOY DRIVE - SKYWAY PARK ESTATES BLIP 4 LT 2
1 agree that the information above is true and accurate.
Owner=s printed name'. DOKOOZIAN NANCY W
Owners signature:�1 2 1
As�-) - Date. 20 4
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Municipality of Anchorage Page
DEPARTMENT OF HFALTH 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: --%~,}"}~ O 5~o PIDNumber: OI¢1 "f ~fl '-
Name: ~ O~'f% OO 'Z t~fJ Wastewater System: ~New ~ Upgrade
Address:
Phone: ~t, ~ - ~'~'~ INc. o¢Be~ooms: ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
Soil Rating: Total Depth from o[iginal grade:
LEGAL
DESCRIPTION
Township: I Range: i Section: Fill added above original grade: Gravel length: ~7 ~.I
WELL: ~ New ~ Upgrade Gravelwidth: ~ Numberoflines: Iuist~ncebetweeMines:
Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area: Pipe material:
Driller: Date Drilled: Static Water Level: Installer; Date installed:
I ~ Casing Height Above Ground:
Yield: ~ GPM Ft.
SEPARATION DISTANCES ~s.ptio u Ho~ng ~ S.T.~.~.
TO Septic Absorption Lift Holding =ublic/Pdvate Manufacturer: Capacityin gallons:
Fro~ Tank Field Station T~nk Sewer Lines ~'~ ¢.~G~ T~ I'~'
Material: Number of Compadments:
Sudace
w~t~r ioo~+ ~o¢~+ ........ LIFT STATION
Foundation ~1t jot .... "Pump on" level at: .~~at:- High water alarm at:
C.rtain -- ' ~')~ Y~¢~ ~ ..... PumpMake~lectrioallnspectionspedormedby:
DrainI
Remarks: BENCH
Location and Description:
r' I Assumed Elevation:
Inspections pedormed by: S&SENGIN.ERING Dates: 1st ' -N-~C
Department of He~ Ith and~-r%'m[1 ~emces approval ,~?,,',.. ..':.,~'
72~15 (Rev. 9/91) MOA 25 ',j/
SW9601 50 2 2
Permit No. Page of
Municipality of Anchorage
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
LOT 2, BLOCK 4, SKYWAY PARK ESTATES 019-141-14
Legal Description: PID No.:
......... EASEMENT
mNEV 12SO GAL/ S]'I 4.0' 44.0'
co~'~ DBL1 :1.5' 50.0'
~ o~ MT/ 1.0' 54.0'
~ ;5.5' 82.0'
Al [. SITE
~0
COl
MT1
ST1 ST2 MT2 CO;
~ 971~' i~ [NAB GRAD~;~
/
~/ ~INSULATION ~/
NEW
1250 3AL = -~
~,.
M'rl~,l,2 = 9o,8'90.~/
72-013 A (Rev, 9/91) MOA 25
~O'd q~lOl
I.ODATION OF WELL
LOCATIONISKETCHt" .. -: '
STATE OF ALASKA
· DEPARTMENT DF NATURAL RESOURCES
DIVISION OF MINING & WATER MGMT
WATER WELL RECORD
TOWN~IHIP
r'ls
WELL OWNER:
DI:PTHS MEASURED FROM:~aslng lop ['lgropnd au
ROREHOLE DATA~ Oepth
Material Type· and Color From
WELL, DEPTH; . _ ,'
Depth o! hOle:.._g~..,~_~,.__tt
Depth el
DATE OF COMPLE
DEPTh TO STATIC WATER LEVEL:
~'~ ~ It below ,,~ tap of casing
led OF DRILLING: ~r'air rotary [] cable tool
[] irrigation l~ monitor
[~ other
,Casino t/pa:
..WELL INTAKE OPENING TYPE: [] open en~l L$]."'acreenacJ
71 per/orated [] open hole
Slot/Mesh Size: .~ O t.eng[h: ~ ft
GRAVEL PACK TYPE:
VOlume used: Depth to top:
GROUT TYPE: Volume:
Depth: from It to It
D~ELOPM~T METHOD: .,
Duration;
PUMPING L~EL AND YIELD:
It alter pumping ~
PUMP INTAKE'DEPTH: _ . . ft Horsepower:
WE~L DISINFECTED UPO~ COMpL~ION~
ft, Diem;
CONTRACTOR INFORMATION: ' ' · .' .. '.: .... ""
~O'd ~&9~ ~g
lINING & WATER MGMT
¢ $l, Suite 800
· · · - ' . · ANCHORAGE AK 99603-Sg3§
~&g&-~q- C&OE,) 90:60 96GT-F'O-D3(]
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, RE.
SEWER&WATER
INSPECTION
WELL INSPECTION
& FLOWTEST
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
RECEIVE[)
SEC) 5 1996
Municipality of Anchorage SERVICES 0~unict'mlity of A ~chorage
DEPARTMENT825 L StreetOF HEALTH AND HUMAN -pt, health & Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
he septic inspections for~e/ referenced property were
performed on ~/q/?$ and q& . Prior to'submitting
the On-site Wastewater Disposal Syste~ and/or Well Inspection
Report we are waiting for the >0u,v~a¢/~ ~ ~ to be
completed.
If we may be of further service please contact us.
Sincerely,
Robert C. Cowan, P.E.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 ' EAGLE RIVER, ALASKA 99577
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 WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW960150
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:DOKOOZION, J.P.
OWNER ADDRESS:1700 SHORE DRIVE
ANCHORAGE, AK.99515
DATE ISSUED: 6/26/96
EXPIRATION DATE: 6/26/97
PARCEL ID:01914114
LEGAL DESCRIPTION:
SKYWAY PARK ESTATES BLK
4 LT 2
LOT SIZE: 48349 (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 (18AAC72) AND DRINKING WATER REGULATIONS (18AACS0) .
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
RECEIVED BY: .--~7 ~/~ }
HEALTH AUTHORITY
APPROVALS
SEWER&WATER
MAIN E~TENSIONS
SEWER &WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELLINSPECTION
& FLOW TEST
SITE PLANS
ROA{] DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DIS?C~AL SYSTEM
DESIGN
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, RE.
June 3, 1996
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 2, Block 4, Skyway Park Estates
Request you issue a permit to drill a well and install a
septic system to serve the proposed four bedroom house on
the referenced property.
A test hole was excavated and percolation test performed.
The approximate location of the test hole is located on the
attached site plan.
At the time of excavation no water was encountered in the
test hole. After seven day ground water monitoring water
was encountered at 11 feet in 'the test hole.
This property has enough area for a future septic upgrade
which can be seen on the attached site plan.
We do not anticipate any adverse effects on neighboring
wells, septic systems or drainage patterns by the
installation of the proposed septic system.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan,
RCC/gk
Enclosure
PoE0
MUNICIPALITY OF ANC,,HOP, AGE
~NVlRONMENTAL SERVICE8 DIYISlON
JUN 1 0 1996
RECEIVED
17034 NORTH EAGLE RIVER LOOP · SUITE204 · EAGLE RIVER, ALASKA 99577
~llL I-'LAN I L)E$1tSN
1
/
TOY DRIVE
EDGE OF GRAVEL ROAD
0
0
/y (>: ~ : :, 67
10' UTILITY EASEMENI'
//
_J
HEALTH AUTHORITY
APPROVALS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELLINSPECTION
& FLOWTEST
SiTE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL &
MECNANICAL
INSPECTIONS
ON SITE
W,~TEWA] E R
DISPOSAL SYSTEM
DESIGN
ROBERTC. COWAN, RE.
ROBERTA. SHAFER, RE.
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-'1211
REFERENCE:
Lot 2, Block 4,
June 3, 1996
Skyway Park Estates
GENERAL:
The scope of this project includes the installation of
a 1250 gallon septic 'tank and a five foot wide
drainfield to serve the proposed four bedroom
residence for the referenced property.
Construction shall be in accordance with the approved
site plan and design drawJ_ngs, Municipal permit with
any special provisions or conditions, and all
applicable Stats and Municipal Wast·water Disposal
Regulations.
The contractor shall be responsible for obtaining any
necessary underground utility locates.
Unless specifically agreed otherwise, the property
owner shall be responsible for final grading areas
subsequently depressed from soil settling. On all
leachfield mound systems, the property owner shall be
responsible for ensuring a satisfactory vegetation
growth over the mounded area.
Se
Contractors installing wast·water disposal systems
must be certified by the Municipal Health Department
for system installations. Owners installing their own
systems must also receive prior approval from the
Municipal Health Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified
septic tank manufacturer. Construction shall include
'two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to
prevent settling or shifting of the tank.
Ail standpipes on the septic tank shall extend a
minimum of 12 inches above final grade.
17034 NORTH EAGLE RIVER LOOP * SUITE 204 · EAGLE RIVER, ALASKA 99577
Page Two
Lot 2, Block 4,
June 3, 1996
Skyway Park Estates
Septic tanks installed with less than 4 ft. of cover shall
be insulated.
A foundation cleanout shall be installed one to four feet
from the building foundation. In the line between the tank
and the leachfield there shall be two adjacent cleanouts
(unless an effluent pumping system exists within the septic
tank). These cleanouts shall be located on undisturbed
soil not more than 10 ft. from the tank. The first
cleanout, in line, shall be to clean toward the leachfield.
The second eleanout shall be to clean toward the septic
tank.
Final grading over the septic tank shall be such that a
positive slope exists away from the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on the
design. The bottom of the excavation shall be within 2
inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (ruffed-up) before
gravel (sewer rock) placement.
Once the gravel is installed, the distribution pipe is to
be installed level with the perforations faced downward.
Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
A silt barrier must be installed between the final gravel
layer and the native soil backfill. Ensure 'the silt
barrier covers the entire gravel surface before placing
backfill.
Monitor tubes shall be of four (4) inch diameter,
installed approximately in the locations shown on the
design, and extend a minimum of 12 inches above final
grade. The portion of the monitoring tube extending
through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This is
equivalent to the effective depth of the gravel as noted on
the design.
Backfill over the final gravel layer must not be less than
twenty-four (24) inches. Insulation must be installed when
the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent
the formation of a depression after settling.
Page Three
Lot 2, Block 4, Skyway Park Estates
June 3, 1996
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be
constructed by a Municipally approved septic tank
manufacturer.
The following pipe materials are approved for use in septic
system installations in the Municipality of Anchorage:
Type of Pipe
Perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be
approved by the inspecting engineer.
Insulation shall be at least 2" thlck extruded direct
burial polystyrene (Dow Chemical Company Styrofoam HI or
equal).
4e
Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
A permeable nontoxic silt barrier (Typar 3401, Mirafl 140N,
or equal) must be installed between the final leachfield
gravel layer and the native soil backfill.
Ail leachfield gravel (sewer rock) shall be 0.5"-2.5"
screened gravel with less than 3% passing 'the #200 sieve.
When sand is being used as a filter material, its gradation
specifications must conform to current M.O.A. or D.E.C.
requirements.
Page Four
Lot 2, Block 4,
June 3, 1996
Skyway Park Estates
INSPECTIONS:
Typically there will be a minimum of three (3) inspections
required during 'the installation of the wastewater disposal
system. These inspections will occur as follows:
The first inspection must be conducted after the
excavation of ditches, pits, trenches, or beds and
before the installation of any gravel. A septic tank
may be set in place, but may not be backfilled before
this inspection.
The second inspection must be conducted after the
placement of the silt barrier, gravel, distribution
lines, standpipes, cleanouts, and insulation, but
before the placement of any other backfill.
The final inspection is to occur upon final grading of
the property.
Often there will be more than these 3 inspections required°
Especially with the installation of multiple trenches, sand
filters, pressurized distribution systems, etc. Thus, the
inspecting engineer is to be contacted at least 24 hours prior
to the start of construction. If necessary, a pre-construction
meeting will take place on-site. The inspecting engineer will
not coordinate, direct or control in any way the contractors
activities.
The owner shall contract with the contractor to perform the work
outlined in these specifications and plans and in accordance
with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and
S & S Engineering. S & S Engineering shall be the owner's
representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the
contractors work rests with the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to
others for acts or omissions of the contractor or any other
persons performing work on this project or the failure of the
contractor to carry out the work in accordance with these
construction documents. S & S Engineering's inspecting engineer
will not be responsible for the construction means, methods,
techniques, sequence, procedures or the safety precautions
incident to this project.
CONTRACTOR/OWNER
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:j~0z '~-
........
"',: :' ?'
Township, Range, Section:
9
10
11
12
13
14
15
16
17
18
19-
20-
COMMENTS
SLOPE SITE PLAN
WAS GROUND WATER IV 0
ENCOUNTERED?
IF YES, AT WHAT "- ~-
DEPTH? pO
E
Oeglh I,D Waler AlLer II ~
Monitoring? Date:
I
5'~7~
Gross Net Depth to Net
Reading Date Time Time Water Drop
~/~-,~/~.~ I -; ~ ~ 3 - ,~ w,,, ,, _
/~'. mi ~" /"
121 q7 ~"
~ ~ ' q~ ia"
PERCOLATION RATE __ (minutes/tach) PERC HOLE DIAMETER
TEST RUN BETWEEN ...~-~ __ FT AND 7 -- FT
S & ~ I:N(~INI:I=I~IN{~ ?~,t~,/fff/~~'z'~-~ CER*IIFY THAT THIS TEST WAS PERFORMED IN
PERFORMED BY: '170~E"lt~ie River L.~
ACCORDANCE WITI~a~J~ ~'Aell~ ~J~L GUIDELINES IN EFFECT ON THIS DATE, DATE:
72-008 (Rev, 4~85)