HomeMy WebLinkAboutHIGHLAND TERRACE #4 TR 6B
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/_ ¢'~F-r,,:')Disp°sal'S,y-stem(~,u.-) and/or Well Inspection ,R~port
Permit Number: _~ '~,~OOH~ ~'~oi~ PIDNumber: o~ -'~tt ~1
Name: ~OdN ~M¢ 141~ ~&sF¢~W Wastewater System: ~ New ~ Upgrade
~'~ q~eo,~BSORPTION FIELD
Phone: ~-~O No. ofBe,~ ooms: ~DeepTrench ~ Shallow Trench ~Bed ~Mound DOther
Total Depth from ori.gina[ grade:
LEGAL DESCRIPTION Soil Rating: i~'Z GPD/Sq. Ft.
Lot: /r, Block: Subdiv~ion: ~ Deplh to pipe bottom from originalgrade: Gravel depth bene~h pipe
Range: IS Fi I added above or ginal grade: Gravel length:
Township:~ ~/ecti°n: ,~ I. ~ ' ~ ~ Ft. ¢~ Ft.
WELL: ~. ~,~., ~ New ~ Upgrade Gravel width: ~ Number of lines: D~stance between Pines:
Classification~ ~ ~(Private' A,B,C): T°tallDe~th:~O0 Ft. Cased~,~ ~To:,~.~ Total absorption,~area: SQ. Ft. Pipe material:~OiO
~riller: Dale ~rilleO: Static Walor kovol: Installer: ~ato installe~:
Yield: ~O ~ Pump Set St: Casing Height Above G~ound:
SEPARATION DISTANCES ~,s~¢ic u .oui.~ u
To Septic Absorption Lift Holding Public/Privale Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~ ~ ~ . ~¢ ~ j O (~
Welt- IOOt¢ i~''~ -~ ~ 2¢~ Material: ~'r~ ~C Number of Compadments:
Su~8oe ·
Water ~OOii local -- -- LIFT STATION
Lot Size in gallons: Manufacturer:
Foundation Z~ ~ . ~ "Pump on" level at:~ ~~1 at: High water alarm at:
Cu~ainDrain '~ = ~%~ ;~ ~'~': 6 ¢~ -- -- ~/lElectrical Inspections pedormed by:
Remarks: O4~/¢.,, '~-4¢~¢-¢.a ~,,~ BENCH MARK
Location and Description:
Assumed
Elevation:
~.:-/?F, t.)~- 4/_ ~.
~ '~ .'
Inspections performed by'~ ~ ~ ~NOIN;~IN8 ~'""¢~¢"//¢'~'~
'17o34 RaCe myer Loop ,oad, .o. ~es: 1 st '~' I ~ .- ';/6 ~.:,/:~
Ea~le River, Alaska 9957~ 2nd ~ - 16 -- 'l_6 ~,., ¢...~,, ~OS2~T
Department of mea~n aha muman ~erwces approval ,,...: .........
Reviewed and approved by: te: ~¢--~ .... :"<:'"
72-013 (Rev. 9/91) MOA 25
Permit No, SW960048 Page 2 of 2
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
Legal Description: TRACT 6B, HIGHLAND TERRACE S/D #4 PIDNo' 050-311-19
DRI\/'~W~ y
fCC 9' ).4,
;'ri 26' 1 '
;T2 31 ' ~7'
;q3L! 33' [9'=). A -
)BL2 34' _[9'
;01 99' )3'
;04 ~7' lB2'
AT1 198' 1
B f AS-BUILT SUI ,0
DRAWN BY:
V ILLIAM D. FLEMING J
ALT, ST
Fl ~AL GRA~
TANK
~LL
(Rev. 9/91) MOA 25
DOC Co, dba
P.O. BOX 670272, CHUGIAK, ALASKA 99567 * TELEPHONE 688.2759
OWNER OF LAND ~J~ H~-.~ ~"')/~ tC,~' ~7~7-'
ADDRESS
DEl'TH OF WELL
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
PERMIT NUMBER
GALS, PER HR ,
KIND OF CASING ~_' ~' ~)
KIND OF FORMATION:
From O Ft. to ~)-
From ,-~ Ft.
'FromZ Ft.
From ~~'~Ft.
From--~' ~ Ft.
From Ft.
From.~_D"~ Ft.
From~g ~ Ft.
FromC~ '/'~ Ft.
From .~ '~ .~"" Ft.
yr_om ?~ ~' Ft.
From3( Ft.
Fro m 5_~:~_ F t.
Fro m-~.4-~ Ft.
Fromm5? ,q'~' Ft.
From~o~l Ft.
From Ft.
. Ft,
to ~& Ft. Z~:3c ~'c
to .Y~ Ft. (~,-~_/)~c)Cg~
to '~0w'' Ft../3,&,~ 0¢<
Frm/?n,,( ,h ,,,.0 ~ C.A.J /~ 7"'"'
Ft. to_ _ Ft.
From__Ft. to_ _Ft,
~ from. Ft. to_ -Et
to Ft. S/ 9~<7? From~_rt, to_ _Ft.
to 3,, 5 Ft. ~d/2¢~¢ ~/EE,~) FrLm, rt. to_
to ~/~ Ft. /O~Kd~& c>~~'~ ~[ From . .Ft. to_~-et.~
J~'f Ft ~d~ b~ ~ ~4,c:~ ' From' '~ Ft to Ft
to
to J,)l; Ft. ~ff3C~ ~ From Ft t~ Ft
to37~"'"Ft ~/2,3C~ c,dc~',~ From Ft. to<:,W~,~
to ~ &l Ft ~-O / From FI. to Ft.
to ffO~ Ft. ~zq~ROC~" ()ff~9 _ From Ft. to Ft.
to FI From Ft. to_ Ft.
MISCL. INFORMATION:
C~ ~ S' 'Fa
DRILLER'S NAME /~,.'~"~/~/ .... "" '~ '
ROBERT C. COWAN, RE.
ROBERTA. BHAFER, P.E.
HEALTH AUTHORITY
/~PPROVALS
SEWER&WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
ANDREPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
Municipality of Anchorage
DEPA/ITMENT OF HED~LTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE:
The septic inspections for the referenced property were
performed on 7-1u-?~ and 7~lG-¢& . Prior to submitting
the On-site Wastewater Disposal System and/or Well Inspection
Report we are waiting for the [~¢~,,'t"D~ to be
completed.
If we may be of further service please contact us.
Sincerely,
Robert C. Cowan, P.E.
17034 NORTH EAGLE RIVER LOOP o 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
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW960048
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:PROFFETT JOHN & HILDE
OWNER ADDRESS:P.O BOX 111253
ANCHORAGE, AK. 99511
PARCEL ID:05031119
PAGE 1 OF 1
DATE ISSUED: 4/11/96
EXPIRATION DATE: 4/11/97
LEGAL DESCRIPTION:
HIGHLAND TERRACE #4 TR
GB
LOT SIZE: 292897 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
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 (iSAACS0) .
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:
THIS PERMIT REPLACES PERMIT #SW940128 WHICH EXPIRED
05-17-95. WELL WAS INSTALLED IN JULY OF 1994 UNDER
PERMIT SW940128. ENSURE A MIN. SETBACK OF 100 FT.
BETWEEN EXIST~G~AN D~~ED SEPTIC SYSTEM.
RECEIVED BY:
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. @ox 196650 Anchorage, Alaska 99519-6650
343-4744
May 17, 1995
John & Hilde Proffett
PO Box 111253
Anchorage, Alaska 99511 1253
Subject: Tract 6B Highland Terrace Subdivision #4
Permit ~SW940128, PID ~050-311-19
The subject permit, issued May 17, 1994 by this office for a
single family well and/or on-site wastewater system, has
expired as of May 17, 1995.
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, approval and documentation. All 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 have any questions, please call this office at 343-4744.
.~cerely,
Cross, F.~.
Program Manager
On-site Services
enc:
Copy of Permit
cc: S & S Engineering
PAGE 10P 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940128
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:JONES PAUL & CAROL
OWNER ADDRESS:P.O. BOX 770862
EAGLE RIVER, AK 99577
DATE ISSUED: 5/17/94
EXPIRATION DATE: 5/17/95
PARCEL ID:05031119
LEGAL DESCRIPTION: HIGHLAND TERRACE TR
6B
LOT SIZE: 292897 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
o
4 o
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
THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS
FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UlVDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
RECEIVED BY:
DATE:
DATE:
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
April 29, 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
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
Munici)ality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 'L' Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Highland Terrace Subdivision #4; Tract 6B
Request you issue a permit to drill a well and install a septic system
to serve the proposed three 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. The monitoring tube within the test hole has 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. 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
review, pleas~ contact us.
LSU/jk
17034 NORTH EAGLE RIVER LOOP . SUITE 204 , EAGLE RIVER, ALASKA 99577
RES. ROAD & UTIL ESMT
o~
,--4
(IN-SITE WASTEWAT~a{ DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATMbtIAL SPECIFICATIONS
REFERENCE: Highland Terrace Subdivision #4: Tract 6B
1. The scope of this project includes the installation of a 1000 gallon
septic tank and a leachfield trench to serve the proposed three 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 TANK 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
Highland Terrace Subdivision #4; Tract 6B
April 29, 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.
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 (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.
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 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°
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.
MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must
Municipally approved septic tank manufacturer.
be constructed by a
Page Three
Highland Terrace Subdivision #4; Tract 6B
April 29, 1994
o
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.
MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be
Municipally approved septic tank manufacturer.
The following pipe materials are approved for use
installations in the Municipality of Anchorage:
constructed by a
in septic system
o
Type of Pipe Perforated
Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM FS10 (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" thick extruded direct burial polystyrene
(Dow Chemical Company Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
A permeable nontoxic silt barrier (TI. par 3401, Mirafi 140/N, 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
Highland Terrace Subdivision ~4; Tract 6B
April 29, 1994
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:
1. 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.
2. 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.
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 J.n 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
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION:
6
7
8
9
10
11
12
13
14
15
16
17
18
19-
20-
COMMENTS
~ ~S /~k~/'~, J /"~/'//'~ Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT --~... O
DEPTH? p
E
Monitoring? Date:
SITE PLAN
Gross Net Oepth to Net
Reading Date Time Time Water Drop
( /m/qS' F
/
S & S ENGINEERING , j/ ~/'..-~--% ~
PERFORMED BY: i 7034 Eafjie, Riwr L~op R~Rc~ [~io. 2¢~" ..7 T.¢.~.?/-?.~ -- CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WIT~[i~gtJI~I~qE..a~I~I~L GUIDELIN ~.G THIS DATE. DATE:
72-008 (Rev. 4/85) /
/