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Home My WebLink AboutHILLSBORRO TR A Municipality of Anchorage Page —ot 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: S� ?.502,9"0 PID Number: Name: Mr: pu WQ_yne ? 8 Wastewater System: ❑ New ❑ Upgrade Address: ABSORPTION FIELD Phone: gro No. or Beoms: O %^ Z. Z ^ Z p ci p G� 6 ¢ O Deep Trench jlr,Shallow Trench ❑ Bed ❑ Mound O Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: Lot: Block: Subdivision: TR, GPO/Sq Ft Depth to pipe Oo om from original fgrade: Gavel depthbeneathpipe TOwnshi D: Range: Section: Ft Fill added above original grade: �'^ •O Ft Gravel length: i WELL 13 New 13 Upgrade Ft travel wi°'^:a Ft. Number line:: Distance Dabraes Classification (Private. AS,C): Total Depth: cased To: FL Ft' Ft Tool absorption roams, �r F P pe mateMl: AS Driller. Date Onlled: bLamwater Level ; Ft. SO Ft Ing Iter. GC }^pier° Data Instilled: Yield: Pump Set at Casing Height Above Ground: GPM Ft. Ft. TA K SEPARATION DISTANCES KSeptic ❑Holding 0S.T.E.P. To From Septic Tank Absorption Fuld Uh Station Holding Tank bliHPdvne 8•.vr Urns Manufacturer. G. , �, �—/^ GD 'Y In gallons: Z L Welh N a NA Material: S / Numberof C:o7m artm ents: Surface Water /NO/% A/on LIFT STATION Lot Line QQ T • ' • ✓ G '5 ,5 Size In gallons: Manufacturer, Foundation "Pump on- level at: 'Pump o8' level at High water alarm at: Drain Curtain N �„ }%, A, p A kPump Make 8 ModN Electrical Inspections Performed by. Remarks: No F`p n m BENCH MARK Location and Oeacript(on: 627i G s5 O Assumed Elevation: 16 ENGINEEL ��, ••,.d• �ay�w O'feJ 0E Inspectionsperformed by: .�am�S St ?� `� k41sl �r�o ates: lst Y-7-4� 4esa • ••c. 2nd -�?-46 X �' .•O••••MY Owe •• Department of,Health and Human Services approval b 47.6jornot F. e' ()S17 Epic fi•. •` �" Reviewed and approved b Date: �:9^•`•'••••••"'"' �,`•� 72-013(Rev. We) MOAT ++ 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: T R. Q U i L J—S B R RO sus n pinna, . Permit No. 5\4 Cr 50?_C/0 Page - 3 of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 e Anchorage, Alaska 99519-6650 * Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: A 14) L. L S � RO S ()kq 17 PID No.: )406 Af,j+-Ure j 100? Ti _..._.........._.........._.1 . ............. �2501 6a/. 4?. v4d W bene, ...... . ...................... ......... . --------- Bo+�, Te_i4oje . . . .......... . .......... ... .... ... ENGINEERS SEAL OF At 44 % *!40 v lamas F. S;,*~, % 6, 'P I-tick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 25, 1996 Duwayne Ruzicka PO Box 220172 Anchorage, Alaska 99522 0172 Subject: Tract A Hillsborro Subdivision Permit #SW950290, PID #020-451-02 The subject permit, issued September 25, 1995 by this office for a single family well and/or on-site wastewater system, has expired as of September 25, 1996. 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 $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. rely, ~ Cross, · · am Manager On-site Services enc: Copy of Permit cc: James Sizemore & Associates MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW950290 DESIGN ENGINEER:JAMES SIZEMOORE & ASSOCIATES OWNER NAME:RUZICKA DUWAYNE OWNER ADDRESS:lB711 PORTUGAL PL ANCHORAGE, AK 99516 DATE ISSUED: 9/25/95 EXPIRATION DATE: 9/25/96 PARCEL ID:02045102 LEGAL DESCRIPTION: HILLSBORRO TR A LOT SIZE: 100863 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: MUST ENTER TRENCH AT THE N~DPOINT OF THE TRENCH. RECEIVED BY:~,z//~? ~' ~%]~./ !~ ,$ / 1050 PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST J ~ ;LOPE SITE PLA~ 1 2 3 6 7 8 9 10 11 13 14 16 17 19 WAS GROUND WATER ENCOUNTERED? ,.~'~) ~ N S IF YES, AT WHAT DEPTH? ~.~ E (:i'F~,(. ~0nil0ring? /' ~ 0ale: Gross Net Depth to Net Reading Date Time Time Water Drop /::l / ~ p.- :p t ~_-' o ~ ..... 'Z_._. / '~/~ COMMENTS PERCOLATION RATE TEST RUN ~E:WEEN __ (minutes/tach) PERC HOLE DIAMETER ~r~ FT AND Z/. ,C.~ FT /, j/ U~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GU,DELII~ESIN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/851 Municipality of Anchorage L---'~DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLA'I"ION TEST ~/../~/,.~ Township, Range, Section:~ k~¢c/d,,-'~,/~ZL ~/// ~'///~//"~,~ ~/~ ~ ~G*~ o~sc.,~,o~:'7~;?C'-/-~k ')// /1~/:'/~/~ ~' ' ' ~ SLOPE ' SITE ~LAN / ' ' 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O 1 WAS GROUND WATER ENCOUNTERED? .~ ~-'~ ~ S IF YES, AT WHAT / OL DEPTH? ~' ~-;: P c/t4 .Jcl/'/ ~°~-~ //: E Oeplh to Wa~'r AileE?,,{. L ~ x/ MonilorinD? ~ ~ Date: w"~'- Gross Net Depth to Net Reading Date Time Time Water Drop 7~: '~7 270 PERCOLATION RATE '~" ¢¢-~(rf~inutes/,nch) PERC HOLE DIAMETER TEST RUN BETWEEN '''t ~' C'.-~.-.~~ FT AND ff~ - FT COMMENTS .... - ..... --. ~,, /" .. , ,/ ~' ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 6410 Switzerland Drive ~07) 345-1572 James $izemore & Associates Civil Engineers & Surveyors Anchorage, AK 99516 WASTEWATER DISPOSAL SYSTEM SPECiFICATIONS TRACT A, HILLSBORRO SUBDIVISION 1.0 GENERAL: 1.1 The scope of the project consist of installation of a 1250 gallon septic Tank and a five foot wide by 70.0 feet long wide trench drainfield. 1.2 Construction shall be as shown on the approved site plan and design drawings. Deviations from the approved design drawings shall be coordinated and approved by the engineer conducting the inspections. 1.3 All construction procedures and material used to construct the system shall comply with Municipal and State regulations. 1.4 Unless specifically agreed othe~wvise, the homeowner shall be responsible for finish grading areas after the system is constructed and soil is compacted and mounded over the wide trench disposal field and the Septic Tank. 2.0 SEPTIC 'rANK 2.1 The 1250 gallon septic tank shall have two compartments and shall comply with Municipality of Anchorage Requirements. 2.2 The septic tank shall be set level and shall be bedded as necessary to prevent settling or shifting of the tank. 2.3 Ail pipe connections to the septic tank shall be made with waterproof mechanical couplings. A cleanout shall be installed upstream of the tank within 5 feet of the house foundation. A double cleanout shall be installed downstream, within 5 feet of the septic tank. 3.0 SOIL ABSORPTION DRAINFIELD: 3.1 The soil absorption drainfield shall be a 5' x 70.0' x 5' deep trench with a total of 2.5 ft. of sewer rock, 2.0 ft. beneath the perforated drain pipe. 3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow for proper infiltration of effluent. This includes both the sides and bottom of the trench. 3.3 Sewer rock shall be 0.5 - 2,5" screened gravel with less than 3% passing the #200 sieve. 3.4 Cleanout pipes and monitor tubes shall be 4" diameter and installed as shown on the plans. The portion of the monitor tube extending through the sewer rock shall be perforated. 4.0 ENGINEERING INSPECTIONS 4.1 A minimum of four engineering inspections will be required during construction of the system. One after the septic tank is set prior to its backfill, one after excavation of the absorption trench prior to placement of sewer rock, one after the distribution piping, cleanouts and monitoring tube are in place. The final inspection shall be after filter fhbric is placed and the final grading are complete. 4.2 The contractor shall coordinate with the engineer at least 24 hours prior to start of construction. If the contractor desires, a site visit with the engineer prior to start of construction can be arranged. PROBABLE IMPACTS TO ADJACENT PROPERTIES A) WELLS The proposed wastewater disposal system is designed in accordance with current Municapality of Anchorage Wastewater Disposal Regulations. The proposed drainfield will be constructed in accordance with these regulations. The separation distance from wells on adjacent properties is greater than 100 fL Therefore no unacceptable impacts are expected on the wells located on adjacent properties. B) WASTEWATER SYSTEMS The new drainfield will be constructed with good separation distance from systems on adjacent lots. Soils tests have shown the soil where the system is to be constructed is acceptable for and an on-site disposal system, therefore there should be no unacceptable impacts on adjacent wastewater disposal systems. C) RESERVED SPACE/SURFACE AND SUBSURFACE The large lot that this system will be constructed on has ample space, both surface and subsurface reserved for a replacement system. The proposed drainfield should not affect adjacent properties. D) DRAINAGE The location of the drainfietd will not interfere with any drainage, The area disturbed during construction of the field will be graded and sloped so as to not pond water. The portion of the lot on which the system is being constructed has a gentle slope and therefore potential for erosion is slight. Effect on surface drainage is minimal.