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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) / /