HomeMy WebLinkAboutLILAC PARK BLK 2 LT 1Onsite File
Lilac Park
Block 2
Lot 1
#015-211-25
Sept 8, 2020
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: New septic tank permit
Legal: LILAC PARK BLK 2 LT 1
To Whom it may concern:
This is a request for a septic tank permit on the above referenced lot. This tank replacement will not impact
any of the neighbors or encroach on any wells, septic or open water issues.
Sincerely
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201370, Rebecca Carroll, 09/18/20
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL DESCRIPTION
Township, Range, Section
TANKS
/{~ SEPTIC [] HOLDING
DISTANCES
WELL
LOT LINE
FOUNOATION
SEPTIC
TANK
//2
lq
ABSORPTION
FIELD
/0
WELL
/j-
AS-BUILT DIAGRAM IShow location of well, septic system, property lines, foundation,
driveway, water bodies, etc)
Material
Capacdy m gallons
No. gl Compartments
TYPE OF SYSTEM
[] TRENCH J~ BED [] W. DRAIN [] OTHER
Depth to pipe bottom Irom Total depth from original grade
original grade ,~' 0 FT '~"-'~"
Fill added above original grade Gravel depth beneath plpe
2" FT 0 .,,~" FT
Gravel Wnglh Gravel widlh
~ FT /~ '-J- FT
Total absorption area Dislance belween lines
~0,7 SQFT ,..~'"" / ET
Pipe material
Date Installed
Number of lines J Soil rating
I
/ ~,J~sQ ET
~O-/~' 2--
WELLS
[~PRIVATE [] OTHER {Identify)
Classification (A,B,C} Total Deplh F'f Cased to
i Installer Dale Installed:
REMARKS:
Scale: ~.,IT~C'
Inspections Performed by:
Date:
~ ~/"~ ~7 ' ~"~-'" ~' cerlily thai this inspecllon was periarmad according tO
(
Municipal and $1ala guidelines in allec, on this dale', _
Health Department Approval', _ . . _ . Date:
72-013 (3/85)
ENGINEER'S sEAL
' WATER WELL'RE¢ORO
STATE OF' ALASKA ~'
DEPARTMENT DP NATURAb. R~t~0UREs
Ol~!plon of Oe~log!col'~ Cieophysl¢ol 8urvey~
A,D,L,
OWNER OF WELL~ '.
2. WELL LO0
I
I-]giber ·
lB. WATER WELL CONTRAcToR's CERtlFICATIO~I I
I l J i '..iJ~'"~l iON
lJ',l'i'.J=~iiii I )(i!q~ !JiJ
i~l:::',:. I ()li:i.hll~l:i t]..JNJ ."/~ i~'~i'..)!]} ~:iii.!KJ:~ i[ t:~lii]~i:~ CIN kl;.:'./~'Ji 'i/'::~.'C).
ALASKA [1UIBOFlmerITAL COFITROL $ RUIC $, IrIC.
o ~nqin¢¢rin§ 6 ~nuir~nmcnl~l $1uc[ics
SPECIFICATIONS FOR BED WASTEWATER TREAT~IENT SYSTEM
LEGAL DESCRIPTION.. LOT 1, BLOCK 2, LILAC PARK SUBDIVISION
].0 GENERAL
1.1
1.2
1.3
1.4
1.6
The Drawings, sheets ]. through 4, shall be part of
this specification.
All materials and workmanship shall meet 'the
requirements of the Municipality of Anchorage,
Department of Health & Human Services (DIIHS), 'the
conditions of the permit, and all applicable rules and
regulations currently in effect.
All excavations and depths are advisory, aad are
to be verified or modified in the field by the
Engineer or inspecting agency.
It is the responsibility of the property owner or
installer to adhere to approved design for the
installation, to maintain the specified separation
distances and to have the appropriate inspections.
It is the responsibility of the property owner or
installer to report to the engineer any observed
conditions which would put the system in violation
of state or Municipal regnlations.
If the installation is not inspected by art AECS
engineer, AECS will not be responsible for the
installed system. An enginee, r at AECS should be
consulted prior to construction, to determine the
number of inspections that Nill be reqaired and to
explain what these inspections will involve.
2.0 SEPTIC TANK
2.1
If 'there is an existing septic tank it may be ased
if it meets the capacity requirement for the
residence. The stractnral integrity of the 'tank
must be verified.
2.2
The septic tank shall be a UPC-.approved
two-compartment tank, constructed of 12 gauge
steel with bitumastic coating and set level on
undisturbed soil. If the tank is buried at a
depth of 4 feet or less, it must be insulated with
an overlying layer of 2 iacb burial type
polystyrene rigid board insulation.
2 4
2 5
2.6
2.7
The septic tank shall be a minimum of 5 feet from
the house foundation, and a minin~um of 5 feet from
the absorption area.
Tile septic tank and bed shall be a minimum of 100
feet from any private well or body of water, 150
feet from Class "C" wells, and 200 feet from Class
"A" or "B" wells, unless otherwise specified.
Less than the required separation distance must
have prior approval or waiver by DIIHS or Alaska
Department of Environmental Conservation (ADEC).
Piping shall be fitted with a mechanical
watertight calder coupling on the outlet and inlet
of the septic tank. Piping shall be 4 inch solid
PVC ASTM D-3034 or cast iron, sloped a minimum of
1/4 inch per lineal foot on the inlet side and 1/8
inch per foot on the outlet side. If the piping
is buried at a depth ef 4 feet or less, it must be
insulated with an overlying layer of 2 inch burial
type polystyrene rigid board insulatien.
Cleanouts shall be installed as designated and
capped with air-tight rain caps (Jim Caps or
equivalent), and extend a minimum of 1 foot above
ground level.
If a lift station is required it shall be a
combination lift station septic tank per Anchorage
Tank and Welding, Inc. design. Specifications and
design drawings are on file with the municipality
and the engineer.
8,0 SEEPAGE BED
8.1
The gravel for the bed shall be 0.5 to 2.5 inch,
screened rock with less than 8 percent passing the
No. 200 sieve. All substitutes must have prior
DHHS approval.
3.2
The bottom of the e×cavation shall be level and
raked with the backhoe blade to ensure that the
bottom has not been compacted during excavation.
8,3
Sand, for leveling, shall have a size distribution
which meets the requirements of MOA code
15.65.077.
3.4 The distribution pipe shall be perforated 4 inch
rigid PVC with a minimum crush strength of 1500
8.5
3.6
3.7
3.8
poands and shall meet the approval of DHIIS for use
as drainfield pipe, All pipes shall he laid
level, and spaced according to 'the drawings.
Monitor standpipes shall be placed as shown in the
drawings. They shall be 4 inch rigid PVC ASTM
D-3034, or cast iron, The section shown with
holes may be either drilled 0.5 inch holes on 6
inch centers on opposing sides of the pipe, or a
section of regular perforated sewer pipe may be
clamped to the solid section with a no-hub
coupling or solvent joint. The perforated section
of the monitor tube shall be located tn gravel
only. The portion of pipe abeve 'the sewer rock
shall be solid. A rubber raincap (Jim Cap or
equivalent) shall be placed over the 'top of the
pipe.
Filter fabric is required.
The side slope of the mouad shall be slope 1 foot
vertical to 3 feet horizontal.
The bed shall be planted wltb a white clover and
red rescue mix, or with Kentucky bluegrass.
4.0 INSPECTIONS
4.1
This bed will require a minimum of three
inspections. The first inspection will be of tile
open excavation, to assure that tbe system is
installed in the proper soil strata, correct depth
and meet minimum specified design parameters.
4 2
The second inspection will be after placement of
gravel, monitor standpipes, and distribution pipe,
to verify proper installation and position of
pipes prior to backfill.
4 3
The thi,'d inspection will be after final backfill
grading and seeding to ensure 'that adeqaate soil
cover has been provided over the bed.
4 4
The inspection of the septic tank or lift station
installation can be incorporated with any one of
· the above listed inspections.
4 5
The lift station will require either an MOA
electrical inspection or certification by a
licensed electrician depending on whether the
building code applies to this part of the city.
ALASKA ENVIRONMENTAL
CONTROL INC.
CHECKED BY DATE-_
SCALE ~0)~ ~ -
0
Z
Z
0
H
H
.]
~ 0
Z
0
Z
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Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: ~/' ~ Z ~/,/~'_ PP/L. ~,~/~ Township, Range, Section:
1
2 /..o~-,~
4
5
6
7
11
12
13
14
15
16
17
18
19-
20-
COMMENTS
SLOPE
WAS GROUND WATER
ENCOUNTERED?
/
/ L
IF YES, AT WHAT
DEPTH~ //~ 0
E
Depth Io Water Aller /
Monitoring? ~ Date:
SITE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
,_~ z ~~ :.~ .~ ~
PERCOLATION RAYE '~ tmmutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN r~ FT AND "~ FT
PERFORMED BY: ' (~c ~',-o I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
' ' (b) ~'6 ~? ;,,;. ~'~" ..... Telephone: (home) _
(c) Lending ,nsd,.a~,,.-'.-',. ,, Telephone
Mailing Address
(d) Real Estate Company and Agent
Address
' (e) Mail the HAA to the following address: (or ch~k l~re ~, if hold for pick uP,) ' : ' ' "'" :~'":'"""' '
List contact person and day phone number below: -'. ; ,:;'. ..:
' .:: ' "i-: "::": --::::!'
:~ . .:
2. TYPE OF RESIDENCE ,
Single-Family ~. Number of bedrooms ~/
3; WATER SUPPLY:.: ::'" '.' ..
Individual Well ::. ' Community [] Public []
R::: ';~,:N~t~i:~:[f~0m,mp~?~:e'liiS~'te,~grn ust,~a~,~.~.'dt~er~:~Confirmation;.fro~ ,the ~tate Departme. nt 0f..En~.'.E."P~[r'°~ihenta!~'?,:; :'
Consei'Vation attesting to th legality and'statgs,
w ....... DlSP,....A,.,: . ...... : _ ,,
';:'::, Note;In commugl~. ~ system, must ~ave.~rRten conf rmat on f~om th~ State Depa~meBt.~f ;~nvironmentm¢:~,::t,:
: ,. ;: ,.,, ,. ,>., : ; ; .. -:, , .:
~2~2~ (Rev, ~/~) Peg e
· ::;:: - ,-:: ~ ...~:., ;.' :: ¢-, :,
leUO!llpuoo., '
peq tO JeqL
oCT o :L
MUNICIPALITY OF ANCHORAGE (MOA)
Health Aulhority Approval (HAA)
CHECKLIST - FEBRUARY 1984
843-4744
Legal Description: ~
A. WELL DATA
Well Classification
Well Log Present(~/N)
Total Depth 1¢?; Cased to
Static Water Level /Z~
Casing Height Above Ground /
Electrical Wiring in Conduit ~N)
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot //J
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
Water Sample Collected by
Water Sample Test Results ,~¢.. ¢-/,' ~)
PC' / ~' ;~'/~- If A, B, C, D.E.C. Approved (Y/N)
Date Completed ///>'///0 Yield
Depth of Grouting
Pu m p Set At ~.~,~/:-,~ o !-~ -~ '
Sanitary Seal on Casing t~;)N)
Depression Around Wellhead (Y/~,).
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
? Z..r'-/
; Date
,4, o
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed ~/b?¢¢, Size
Standpipes ~)N)
Depression over Tank (Y~)
Pumping/MaJnter~ance Contact on File (Y/N)
Holding '-I'an'k Hig h~.W.ater'Alarm. (Y/N) ,~,/,4;~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To W,~ter;SupplyW¢ll ' ~,//~ (
To Pr0¢brty Line.' ".'.'' "'' ~/'J /
To waterMa_i'n/serviceL1ne'"'i .,~ ZJ~ /
To Stream, Pond,' Lake or Major Drainage Course
No. of Compartments
Air-tight Caps ~/N)
Foundation Cleanout~N)
Date Last Pumped
;for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field _ /?./
Comments
72-026 (Rev, 7~88) Front
Page 1 of 2
C, ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absortion Area
Depression over Field (Y~)
Results of Last Adequacy Test
//,&,¢ Type of System Design
Length of Field
Depth of Field ,~,
Gravel Bed Thickness 0 ,3"-- , ' ,
Statndpipes Present~)/N) '"
Date of Last Adequacy Test /¢¢-~--~ /? ? o ·
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
SEPARATION DISTANCE FROM ABSORPTION FIELD:
/Z~ To Property Line /~
,.~ ,~' To Existing or Abandoned System on
; On Adjoining Lots .~ 5-¢) /
~ Z_~ ~ To Cutback (if present) /¢/~)-
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electric~-(~
Comments
Dimensions
Manhole/A~(-~ ) .~
"P.~km¢ Off" Level at
J Vent (Y/N)
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA guid~
inspection.
Signed
Company
Date /~
MOA No. C.~¢- ~'<0 fO) / 7__
ReceiptNo. ¢'~ /~ (~// ReceiptNo.
Date of Payment //(~'-./-- ~ Waiver Fee: $
Amount: $ ~ 7 (':) '?¢"¢"~ Date of Payment
~.~F~;~e~f{~e~§4~date of this
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
5633 B STREET , ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343
FEDERAL TAX I.D. #92-0040440
M!.C,L~'S!$ [',Lt~0Pf£ Iff ~,~,fi:D;
l')k ?', C :4
