The URL can be used to link to this page

Home My WebLink AboutNORTH WOODS UNIT 4 BLK 18 LT 10i. I -' Municipality of Anchorage page 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: Z'WqH o~z. PID Number: o~'/o Name:/~(~;~r~i,,OOO~:)S ..~,4Jc.,. Wastewater System: ~New ~ Upgrade Address: 7o~ ~~/~ ~o~r /~. ABSORPTION FIELD Phone: No. of Bedrooms: ~CH,~) ~ q~U/~ ~ ~ Deep Trench D Shallow Trench ~Bed ~Mound ~Other LEGAL DESCRIPTION so, Rating: ~.~GPD/Sq. Ft. Total Depth from original~, grade: Lot: Block: Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: [ Range: [ Section: Fill added above original grade: Gravel length: I I Z.O -2.~Ft. I 1 7 ; Ft. WELL: D New D Upgrade Gravel width: Number of lines: Distance between lines' ~.~ Ft. ~ /~ Ft Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Static Water Level: Installer: Date installed: Ft. ~--0~ ~ ~' ~ Yield: GPM [ Pump Set at: Ft. ICasing Height AbOve Gr°und:Ft. TANK SEPARATION DISTANCES ~Septic ~ Holding ~ S;T.E.P. To .' Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~ ~ Number of Compa~ments: WelF ~ ~ ~OO ~ ~ ~ ~ ~ Material:~gg~ Su,ace '+ '+ LIFT STATION Water /O0 /~ ~ Lot ~ ~ ~ ~ Si~~r: Line /O /~ ~ Foundation ~1 ~ ~ "Pump on" level at: I "Pum~water alarm at: Cu~ain ~ K~O~ ~ Pump Make & Model I Electrical Inspections pedormed by: Drain I Remarks: BENCH ~ARK Cocation and D*~eription: T~- T~ ~F ~0~/o~ ~ Assumed Elevation: I00,0 ENGI~~ S & S ENGINEERING ~ 17034 Eagle River Lo~ R~d, No. 2N ~,~.~.~.. Inspections performed by: ~.l. m~.~. ~l.~k~ ~s~7 Dates: 1st ~ - P -q4 ,~ Department of HealtB and Human Services approval - "~,: ,~,--*~;~, ~- Reviewed and approved by: .~ ?~~ Date: 7-/~' 9¢ ~ "'~;~"- 72-013 (Rev. 9/91) MOA 25 Permit No. $W940152 Page 2 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 NORTHWOODS SUBDIVISION #4, Legal Description: BLOCK 18, LOT 0 PID No.: 051064.56 SCALE CO1 C02 FINAL NEW 1250 iGAL S.T. N.T.S. NEW 1250 GAL. C06 SEPTIC LOT 1 (J DBL CO 97.9' 97.5 ~O6MT2 B1.0' NO WATER FOUND A B FCO ~3.0 4.0 CO1 32.5 23.0 C02 38.5 31.0 .co.~ .~.~.~. ~,.7.~. co4 '~5.0 6910 C05 ~0,5 62.0 C06i59.5 81.0 MT1 ~5.5 69.5 MT2 ~0.5 81.5 72-013 A (1/93) * MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940152 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:NORTHWOODS INC OWNER ADDRESS:709 INTERNATIONAL AIRPORT ROAD ANCHORAGE, ALASKA 99518-1123 PARCEL ID:05106436 DATE ISSUED: 5/31/94 EXPIRATION DATE: 5/31/95 LEGAL DESCRIPTION: NORTH WOODS UNIT IV BLK 18 LT 10 LOT SIZE: 28123 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 ALL 1. 2. THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM CONSTRUCTION MUST BE IN ACCORDANCE WITH: THE ATTACHED APPROVED DESIGN. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 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: (~ ,~., DATE: ~'// DATE: w%-- 3 I ROBERT SHAFER, P.E. ROGER SHAFER, P.E. May 18, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND .REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Northwoods Subdivision #4; Lot 10; Block 18 Request you issue a permit to install a septic system to serve the proposed four bedroom houseon the referenced propert¥. Test holes were excavated and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. The monitoring tubes within the test holes have been checked and found to be dry. This property has enough area for a future septic upgrade which can be seen on the attached site plan. This property is served by a Community Water System. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have any questions, or require additional information for your ~~~S contact us. /LSU/jk STRUCTURAL & ,MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 o II II oJ >..>- N¥]cl 311S ,OCj' = ,,I, O~I-SITE W~AT~ DISPOSAL SYST~I CONSTRUCTION PRACTICES and M~'I'SIAL SPECIFICATIONS REFERENCE: Northwoods Subdivision ~4; Lot 10; Block 18 1. The scope of this project includes the installation of a 1250 gallon septic tank and two leachfield trenches to serve the proposed four bedroom residence located on the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. 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. 5. Contractors installing wastewater 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 TAIl(INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4' of cover shall be insulated. Page Two Northwoods Subdivision ~4; Lot 10; Block 18 May 18, 1994 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' from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout 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. ABS(J~I-~ION TRf~CH/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 (roughed-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. e 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. 4e Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. 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. Se 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. 1. MA'£~IALSP~CIFICATIONS: Any septic tank proposed for installation must Municipally approved septic tank manufacturer. be constructed by a Page Three Northwoods Subdivision #4; Lot 10; Block 18 May 18, 1994 2. 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 (P¥C) 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. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N,' or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the ~200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSP~'flONS: 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. 3. The final inspection is to occur upon final grading of the property. Page Four Northwoods Subdivision #4; Lot 10; Block 18 May 18, 1994 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 contractor's 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 contractor's activities. Final acceptance of the contractor's 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/INSTALLER Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION:/,~O [ ~::'lg[ ~,]0[~'/~YV'O~O$ ~/P Township, Range, Section: SLOPE SITE PLAN 2 -- 3 ENCOUNTERED? S L IF YES, AT WHAT ~ O DEPTH? P E 5 6 7 8 9 10 11 12 13 14- 15- 16- 17- 18 19 2O ¢,. Deplh to Water Monilorino? DaLe: Gross Net Depth to Net Reading Date Time Time Water Drop ). 2~ ~ S ENGINEERING le River Loop Road N le River, Alaska 99577 PERCOLATION RATE H~ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN ~-~.~-"~ AND ~ FT ' ~. ~, ,, PERFORMED BY: ~%J .... ; ~~ ~ I ~¢ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL S~ATE AND MUNICIPAL GUIDELINE~ IN ~CT 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 2 3 4 5 6 7 8 9 I0 11 12 13 WAS GROUND WATER ENCOU,NTERED? IF YES, AT WHAT DEPTH? DATE PERFORMED: Township, Range, Section: 14 -- 15 16 17 18 19 2O SLOPE Depth to Water After Monitorino? ~ Date: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop COMMENTS $ & $ ENGINEERING 17034 Eagle River Loop Read Ne. PERFORMED BY: ~&~J~ ~;~., A;a~,a ~5~'~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINE 72-008 (Rev. 4/85) PERCOLATION RATE L~O (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN --! FT AND -~ FT CERTIFY THAT THIS TEST WAS PERFORMED IN ON THIS DATE. DATE: 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.# ~)~"/'~:)~'~' '"..,2~ NAA# ~'{ 1. GENERAL INFORMATION Complete legal description Lot 10; Block 18; North Wood~ Subdivision #4 Location (site address or directions) Blue Skies Drive Chugiak, AK Property owner Mailing address Lending agency Mailing address Agent Address Thomas ¢o. Larry Thomas P.0, Box 772785 Eaqle Riv~r~ Day phone 244-51~6 AK 99577 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well community well XX× 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. 72.4)25[Rev. 1/91) Front MOA~21 5, 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 verifythat 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, or, dina,rices, andsegul,~tions in effect on the date of this inspection.~. , .... Name of Firm -- ~ ) Phone L~ ~'/-7~"Z~,~ ~ Address 17034 Eagle River ,1~' R~.. ad I~_ ~_t~'. Engineer's signature / ~" / ~ ~- Se DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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 indepen, dent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze .data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.-- 72-4)25(Rev. 1/91) Back MOA~21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~-~" tO ~.v..-t ~ ~ot~oo~'~-z~ Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height FROM WELL LOG A. Well Data Well type ~ Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line Wires properly protected (Y/N) AT INSPECTION g.p.m. ; On adjacent lots g.p.r~. ~ ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed b, ,-- 7_-t -~ ~ Cleanouts (~/N) x/ High water alarm (Y~ Date of pumping Tank size 17...5-c) Compartments Foundation cleanout (~N) y Depressior~/~Y~D /J Alarm tested (Y/N) -/-~ ~J Pumper ~' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: / Well(s) on lot ~ -~ ~ on adjacent lots '~/~ To property line ~ ~ ~'' /~ / ~' Surface water/drainage Absorption field Foundation Z-~ Water main/service line 72-026 (3/93)° Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) ~ SEPARATION DIS~OM LIFT STATION TO: wel~on lot On adjacent lots Manufacturer Manhole/Access (Y/N) ~ "Pum~'~el at Surface water, D. ABSORPTION FIELD DATA Date installed ~- ?.A. --el ~ Length tl 7 / Total absorption area Date of adequacy test WaterJevel in absorption field before test Peroxide treatment (past 12 months) (Y(~- Soil rating (GPD/FF) Width ~-, 5- / Gravel thickness /,~ ~ ~' Cleanout present.(~N) ~/~4' -/~: ~/' Results (pass/fail) O, z./~ .System type "/'"'~--~'~ (.,, / Total depth /~ / y Depression over field (Y/..~ ~/ ~ for /-/ Bedrooms ~ After test ---"-- If yes, give date ~//~ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot '~-c~, To building foundation On adjacent lots ,$ Surface water Curtain drain On adjacent lots "J//~ Property line 3 5-' / To existing or abandoned system on lot Cutbank !,~ '/'~/~ Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I cer~fy that I have checked, verified, or conformep~o-~1~OA and HAA guidelines in effec~on the. dale of this inspect'on. Signature $ & S ENGINEE ~; ~ Engineer's NarneEa.~ ~; .... ],,- ~..~,~ _. ~a? ~o, ~0ul .~ ~;~ / ,~ :" HM Fee $ ~dpo, ~ '- Date of Payment /,~- ,2'~'-- ~F Receipt Number ,~ ~' ~::/J~ 72-026 (3/93)' Back Waiver Fee $ Date of Payment Rece pt Number