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HIDDEN HILLS BLK 1 LT 16
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: ~1d¢17o/97 PID Number: _ ¢)///2/?/ _ N.me: ~o~ ~v~_~o~ Wastewater System: D New ~Upgrade Address: ~4// ~u/~ ~' ABSORPTION FIELD ~ No. of Bedrooms: ~6/¢~.~ ~ ~ ~Deep Trench ~ Shallow Trench ~'Bed ~ Mound, D Other LEGAL DESCRIPTION so, Rating: Total Depth from original grade: ~ ~ GPD/Sq, Ft. i Lot: Block: Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe /~ / /~/~E~ /~/~ ~/~ ~ Ft. ~ Ft. Township: Range: Section: Fill added above original grade: Gravel length: g Fi. ~ Ft. WELL: ~ New ~ Upg ride Gravel width: Number of lines: Distance between lines: ~ Ft, / ~ Ft. Classification (Private, A,B,C): ~/~ Total Depth: Cased To: Total absorption area: Pipe material: ~P/O P~/~ Driller: Date Drilled: Static Water Level: Installer: Date installed: Yield: GPM Pump Set at: Ft. Casing Height Above Ground:Ft. TAN K SEPARATION DISTANCES ~Septic ~ Holding B S.T.E,P. To Septic Absorption Lifl Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~ ~ ~ Well' ~ J~l Z-~ /+ iMateriah ~_~ Number°fC°mpadments: Sudace W~t~r /¢¢'¢ /¢¢'~ ~* LIFT STATION Lot / facturer: Line // / ~/ - Foundation ~' //% / "Pump on" level at: High water alarm at: ~ Electrical Cu~ain ~ ' - ~0~( ~ ~o ~ ~ ~ Pump Make & Modal Inspections pedormed Drain Remarks: BENCH MARK Location and Description: T'~- ToP oF /~ ~ ~T /~/~ ~ ~/~ ~/~ Assumed Elevation: -" ." ':-, J': *:- .J"~, S & S ENGINEERING .~..'. ,':'.j' '%.L4,, ~, Inspections performed by: ~.¢. m~.,, A~.,k. ~S77 Dates: 1st 7 - ?- 99 /~:/,.,,/'~ . ,V ~nd '/'.:'~.L Department of Reviewed and approved by: Date' / ' ,, Permit No. sw940197 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 LegalDescription:l-HDDEN HILLS SUBD., BLOCK 1, LOT 16 PIDNo.: 01112141 icol CO~ FINAL GRADE 91 NEW 1000 GAL SEPTIC TANK LOT; 1 6 100' WELL WELL 1000 GAL:: SE; CO MT C04 78.3 ~ 72.3' NO WATER FOUND i A B FCO 8.5 156.~ CO1 59.0 i07.~ D.V. 70,5 96.0 CO3 liS.0 52.0 CO4 131,0 35,5 ~i'l' 12~,0 44.5 TANK sc^L~ r' = 40' 72-013 A (1/93) EXIST~ USED~: IN THE FUTURE \~ NEW TIiENC} ENGINEER'S SEAL MIINICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUHSER:SW940197 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SEVERSEN GORDON OWNER ADDRESS:6411 QUIET CIR ANCHORAGE, AK DATE ISSUED: 6/24/94 EXPIRATION DATE: 6/24/95 PARCEL ID:01112141 LEGAL DESCRIPTION: HIDDEN HILLS ELK 1 LT 16 LOT SIZE: 26707 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 7'HIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD 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) 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: / ISSUED BY: DATE: DATE: ROBERT SHAFER, P.E. ROGER SHAFER, P.E. June 11, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTIDN./i~ & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Hidden Hills Subdivision; Block 1; Lot 16 Request you issue a permit to upgrade the septic system serving the three bedro~mhouse on the referenced property. An adequacy test was performed on the existing system on May 13, 1994. From this test it was concluded that the system is in a state of ~?failure. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. 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. Attached is the proposed upgrade design. 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 reviewS? contact us. ,~/~/LSU/jk ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 © \ 0 NV-ld 311S ] ,Og = ,,~ (ENGINEER'S SEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: 7 8 9 10- 11 12 13 14 15- 17- 18,- 19, DATE PERFORMED: ~'¢Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? s L IF YES, AT WHAT ¢'~ O DEPTH? p TE PLAN E Depth to Water After ~,-') monitoring? "/"*'"/~'~'7 Oat~: Reading Date Gross Net Depth to Net Time Time Water Drop 20.- P R /O E COLATION RATE -- tm~ u~/~nch) PERC HOLE DIAMETER COMMENTS / / : ~~ ~ / / / ~ CERT FY THAT TH S TEST WAS PERFORMED IN Eagle River, Alaska 99577 /// ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINE~~N THIS DATE. DATE: 72-008 (Rev. 4/85) CkN-SITE WASTEWAT~ DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Hidden Hills Subdivision; Block 1; Lot 16 1. The scope of this project includes the installation of a leachfield trench to serve the three bedroom residence located on the referenced property. The existing septic tank is to be excavated to verify its integrity. If the integrity of the existing septic tank is poor the existing septic tank is to be excavated, pumped, filled with sand and abandoned in place and a new 1000 gallon septic tank installed. 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 INSTALLAT~)N: 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 Hidden Hills Subdivision; Block 1; Lot 16 June 11, 1994 5. 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. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. 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. 2. 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. 3. 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. 4. 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. 5. 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. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. Page Three Hidden Hills Subdivision; Block 1; Lot 16 June 11, 1994 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pip~ 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" 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 (Typar 3401, Mirafi 140/N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All 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. 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. Page Four Hidden Hills Subdivision: Block 1; Lot 16 June 11, 1994 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 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 & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDRESS Well area DISTANCE TO: Liq. capacity in gallons IF HOMEMADE: Well ~ ~..~ DISTANCE TO: \ ~ ~¢5 No. of lines ~. Length of each linez~_ / Top of tile to finish grade ~ ~ Length Inside length ~,~ ~ ~ Dwelling Type of crib Width J Foundation Total length of lines~ Material beneath tile Depth Crib depth Building foundation PHONE [] NEW '~\~ "-'lO~ [] UPGRADE lDwelling Material Width Material Nearest lot Pine Trench width ~ '~ inches ,-~ ~ (~tt inches NO. OF BEDROOMS 3 PERMIT NO. No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. Distance between lines Total effective absorption area PERMIT NO. Total effective absorption area Nearest lot line DISTANCE TO: Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING REMARKS DATE LEGAL ... , . . j , ~p~ L. CI C: I:':1 "!" I 0 N I,.E[GF:II H ]Z I)DEiI',,I H I l.J. Ei:J.d; H I[Z:,DEN HI L.L.~E; THE RE%!U I RE:[::, S :1: ZE OF:' THE ';!!;O 1[ I... I::IB:::i;OF~:F:'T I ON '.'S"r".!!;TE:i'd 1' :5: THE [r..Eiil",l(.:iTH [::, :[ I'"IE:I'.,I~; :[ O1"4 1' '.:~; THE LEI'4G'Hq ( I I'.,t FEET .':, O1:;: 'T't'IEE TI';~:E:I",IC:H CE;i: [::,I:;i:FI I NFI ELD. 'THE [::,EF"I"H OF' I::1 'TI~!EI'.,ICI-] OR F':[T :[:E; THE DI%TFII",IC:E; E',IE'I"HIL:iEH'q THE ."i!;IJf4:F:'l::ll.':::E: ()1::;' THE Eit:;d.)l. Jl'.,l[) I:::rND THE Ei:OTTOH OF "FHFii E:::.:Xi:FI'v'RTION ,:: I1'.4 THEF..:E:: 1% I'.,tO :[i;l:T.'l" 1.,.I I Ii:,TH FOr~: I'HE: Gf;;:I::I'v'EL [::,EF'TH .[5:'; 'THE f,IlNTI"IL.IP'I DEF'TH OF GRF;I'v'E:L.. 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Performed For Leaal ~escrintion: Lot 1 This Form Re%ores Soils 2204 Cleveland Anchor-age, Alaska 99503 Gordon Seversen Date Performed B1 oc~: 16 Yes 6-28-78 Subdivision Hidden Hills Subdivision Percolation Test Yes neDth Feet Soil Characteristics 10 Brown Silty Sand 14 16 Bottom of Test Hole Was Ground Water Encountered? I¢ Yes, At what Denth? No Readinq Date 6-30 6-30 6--30 6--30 6-30 6-30 6-30 Gross Time Net Time %_0__ m in _ ____ 1 DJ~n _!_0__ m i Ik__ 10 m i~____ Depth to H20 __ ~ ~ Net Dron - 1--1/4 ---- 7-/~---- _ -~//~ _ ___~.¢.~__ ~_1_~_._ Percolation Rate ~"/14 ,Hinute Prnposed Installation: Seenaoe Pit Drain Field De~th of Inlet Depth To Bottom Of Pit Or Trench CoU~ENTS: 180 Sq. ~ drainage area required .per bedroom. Test Performed By_ .~"a~ ~~a'~ Data Certified B~: c?g Date: 6-30-78 M-W DRILLING, INC. DRILLING LOG Well Owner Gordon Severson 1 MUNICIPALITy OF .'w~eNTAL v~,OTt!~TiON RECEIVED Use of Well Dom. Location (address of: Township, Range, Section, if known; or distance main road Lot 16 Block 1 Hidden Hills Subdivision, Ancb. ora~e Size of casing. 6" Depth of Hole -Static water level'. _ft. ~/~19~> Screen ( ); Perforated ( 194 feet Cased to 194.2 feet (below) land surface. Finish of Well (check one) open end '( XX ); ). Describe screen or perforation - Well pumping test at I0 gallons per of drawdown from static level. 9/27/78 Date of completion (minute) for.. 1 _hours with 100% x~. WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 _TO 2 Casing stickup 2 .TO 5 5 .TO 5O 65 .TO. 75 75 .TO 146 :[.46 .TO. ].70 170 _TO 180 180 .TO. 194 __TO __TO. TO __.TO ~O ____.TO Organics Silty sand Silty sand & ~ravel Loose silty gravel~ Sandy clay Water sand & gravel 3--CONTRACTOR