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Home My WebLink AboutLAKEWOOD HILLS #2 LT 21B ' ,~ Municipality of Anchorage Page [ of_, 4 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: ~'~_~<:;I-/OO~:)z{'' PIDNumber: 01~"-- I3+-c/I Name: ~.,~t~Z..~:~ ~)~,~"~"-~.~"-~[~l,J WastewaterSystem: '~ New D Upgrade Address: ~ JJO ~~O ~~ ~ ABSORPTION FIELD .,o~.: ~_~ J.o.o~Uroom,: O Deep Trench O Shallow Trench ~Bed ~Mound ~Other Total Depth from ~i~rade: LEGAL DESCRIPTION so, Rating: ~ GPD/Sq. Ft. Z ~-- Block: Subdiv~ion: Depth to pipe bosom from ~i¢~rade: Gravel depth beneath pipe Township; Range: Sectio~ Fill added above original g~ Gravel length: Number of lines: Distsnce~nlin~: WELL: ~ New ~ Upgrade Gravel width: ~ ~/~ Ft. ~ Ft. Classification (Private, A,B,C~ Total Depth: Cased To: Total absorption area: Pipe material: Date Drill~: Yield: ~ Pump Set et: Casing Height Above Ground: ~ GPM U~O~ Ft. I%i~+ ~ TANK SEPARATION DISTANCES ~ s,ptic ~ ,o~aing ~S.T.E.P. To Septic Absorption Lift Holding Pubhc/Prwate ~ Manufacturer: Capacity : From Tank Field Station Tank I Sewer Lines ~ /+ -- Number of Compa~ments: Water ! OOI~ [OO¢ Lot Foundatio~ ~, ~ ~/ ~ "Pump Oh"level at:.~e ~ ~"Pump off" level at:~ ,, ~ Higher,latin at: Cu~ain ~ ~ ~ ~' ~A PumEMake & Mode. Electrical Inspections pe.ormed by: Drain ~ ~.O · ~ Remarks: BENCH MARK Location and Description: Inspections pe~ormed by: ~/,F/9~ Dates: 1st ~ Depa~ment of Health and Human Se~ices approval -~,~*".. Reviewed and approved by: ?~ ~~ Date: ~ -~ -~ %[?g0F~SS~ FCD lt,O HH ~8.~ 13.75 HT1 41,0 t3,1 , HT~ 53,~ 53,0 ~ NT3 35.g 31.5 ' NT4 49.E 45.0 REVlSE~ ~ELL ~ SEPTIC SYSTE"' LOT 81 ~, LAKE~OOD HILLS PREP~RE~ FDR, C~ZEK CDNSTRUCT[DN PREPARED BY, ALASKA WATER & WASTEWATER DATE: 3/4/97 DRA~N: GARNESS SCALE: 1' = 30' ^ B C FCD 11,0 12,8 ~;1 18.5 10.2 S2 26.7 12.3 MH 28.,~ 13.75 MT1 41,0 t3.1 MT2 53,E 53.0 MT3 35.~ 31,5 MT4 49,E 45,0 18' x 20' BDTTDMLESS ISF '\ ND LINER DN BDTTDM, i,25 INCH PVC ~ ~ ~>~ o~'- 134--~i HEADER. ~ PVC AIR LINE mB ~ 1,a5 ~NCH PVC ~ L~NE F~DN THE STEP TANK, ~ ~ o AIR LINE CBIL ~~ --FLUSHING VALVE SPACED AT APPPRBX ~ (TYP), INSTALLED ~~ PER THE 'DRENCD' ~ FEET, DRENCD ~ DETAILS '~ASTEFLD~" TYP~ PRDVIDED BY ANCHORAGE TANK, XPRESSURE DISTRIBUTION SYSTEM LORENCB DESIGN~ AND SUPPLIED 4 INCH DIA, MaNITORING BY ANCHORAGE TANK~ TUBE AT EACH CORNER, SLDTTED 4' SOLID PIPE FINAL GRADE ELEVATIDN= ~ INCHES ~F RIGID · 94,85 TB 95.55, COVER~ ~INSULATION = 1.5 FEET TQ ~,~ FEET.~ / TOP SAND = 9~,95 BTM DF EXCAVATION ~~ 2 ~>~ 1~ BELOW THE TOP 6" LAYER OF 3~EA ~EL WITH THE PVC LATERAL~ BURIED MIDWAY IN THE STRATUM, ~'/-%~.:-, t .... ' ............ ..... ....... SEPTIC SYSTEM AS-BUILT : LOT 213, LAKEWnOD HILLS PREPARED FOR: CIZEK CONSTRUCTION PREPARED ]~Y' ALASKA WATER 8. WASTEWATER DATE: 3/97 DRAWN: GARNESS SCALE: NTS P?RMIT~ SW9'700~4' P.I,D.# 015-134-91 AS-BUILT DRAWING -TOP OF LID = 87.75 CROUND = 87.0 TO 87.5 MIN, COVER = 4.65 FEET. 82.35 NEY 1500 GALLON STEP TANK. ANCHORAGE TANK, INLET INV. = 81.86 TANK SET LEVEL ~ITHIN .08 FEET. INCH PRESSURE LINE TO BDTTOMLE$$ ISF 4 INCH DIA, PVC LINE FROM HOUSE, INV. e FCO = 82,34 SEPTIC AS-BUILT~ LOT 218, LAKE~/[]OD HILLS PREPARED FOR, CIZEK CONSTRUCTION ALASKA ~/ATER & ~/ASTE~/ATER DATE~ 3/98 ID~/N~ GARNESS SCALE: NTS CONDITIONAL CERTIFICATE OF COMPLETION MU NICIPA .LITY OF ANCHORAGE {BUILDING ~AFETY DIVI{BION 3600 EaSt Tudor Road ISSUE DATE: 02/24/08 CERTIFICATION EXPIRES: Thl,-. C,"rtificato is Issuod pursuant to tine requirements o}' SectiOn 307 cf the Uniform Duildin~l Code ce~tir'yinD that, al2 the time of issuance, this structure, or po;lion fine,eof, was in compliance with the various ordinances of the Municipality regulating building construct[on or usa, for the following: Building Permit No. ~7- 0357 Type of Work: ,~INGLE FAMILY,NEW Lot: 21R BIk: {)lie Addree~; 10261 HILLSIDE DR Street A~fdress: 7J20 ~CALERO CIRCLE Subdivlelom LAKEW'OOU HILL~ #2 Owner; DANG THOM^~ E & LYNN Y Clty~^NCIIORAQE st4~te; AK Zip; FINAL STR: 02/24/g8 BY; RFRGERON, PAUL L. FINAL MEOH~ 02/23190 BY: COLLINS, JOHNNIE L'3. FINAL EL.E~T.' 02/24/08 BY:THORNTON, RICHARD FINAL FIRE: OOlO0/O0 ~¥: FINAL I=LM8: 02/23/98 BY; COLLJN{~, JOHNNIE D. FINALZONE; 00/00/00 BY;' This Conditional Certificate of Occupancy has bee~ issued pending comp~fion of the f~llowin9 items by the dates Indicated: ceo ~[I, ~ 1,1998 1, ~RR[OR PAINT 2. ~ G~DE 4. By acceptance 0ft~d ~= " z os Co.~.~{ Of Oc=upanoy, 'agree ,0 comply with end complete the conditions listed hereon by the date indicated. AU?IqORIZI D OFFICIAL: STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT ~ WATER WELL RECORD LOCATION OF WEU. ~OU. GH . ~.~,~ ~Lc~'r~'~ BLOOK SECTION QTR8 8ECI1'ON TowNaNIP~..]N RANGE[] E LOCATION=KETCH=: . .'!*:~':':~: - WELL OWNER: [ ¥ :~ ' WELL DEPTH.' DEPTHS MEASURED FROM:~asing top I-'lgrouncl surface Depth of holei .,~ ,~/~ .ft~ DATE OF COMPLETION. ..~ BOREHOLE' DATA: Depth Depth of casing: ~. O~' ft : ~, /~.~ ~ / Materiat Type andColor From · To ft below l~'top,of casing li ground surf;Ice METHOD OF DRILLING:' /J~ air rotarY..~: ;'1"1 cable tool · , USE OF'WELL: ~ domestiC' []* irrigation: I-I monit~ ~.:";~. ~.~.~_~,/ '"' WELL INTAKE OPENING TYPE:' I~.opert end [] s. creened }4 ,~ ~// Slot/Mesh Sizei Length:' . ft- · · GRAVEL PACK TYPE: - '. ' , D~.pth ~o ' *~ . Depth: from ft to.. ft Munic pnlity of Anchornge PUMP INTAKE DEPTH'. f~ Horsepowe'~: .DepL Health & Humeri Service~ ' WELL DISINFECTED UPON COMPLETION?~YES [] NO CONTRACTOR INFORM~,TION: ...... : REMARKS: Regi~t~ed Business Name /. ' ,/ ' ~, DNRID~ISION OF MINING & WATER MGMT Si0nature of Authorize~ Respre~tive ~-,ate" ' 3601 C St, S~lte 800 ANCHO~GE AK 99503-5935 Phone {907)762~2538, F8~38071562-1384 ~0' UTtl IT¥ '~..S 00'04'00" F' HII.LSIDE DRIVE PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6~50 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970084 DATE ISSUED: 5/06/97 1 OF DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE: 5/06/98 OWNER NAME:CIZEK CONSTRUCTION OWNER ADDRESS:7110 SCALERO CIRCLEf~ ~.._/F//J / LAKEWOOD HILLS #2 mT 2lB [~ Q-'"' {'"'~4// [{]/~ LOT SIZE: 46110 (SQ. FT.) ~/ % %l~/%.-/ /' NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 y~~ THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: / 1. THE ATTACHED APPROVED DESIGN. IN ANCHORAGE MUNICIP~CODE" CHAPTERS ..... ~ 2. ALL REQUIREMENTS SPECIFIED 15.65 AND THE STATE OF ALASKA WASTEW~TER__ DISPOSAL^^,__A___ -- 15.55 AND REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 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: RECEIVED BY: ISSUED BY: DATE: DATE: 8471 Brookridge Drive N Anchorage N Alaska 99504 (907) 337-6179 ~ Fax (907) 335-3246 Consulting Engineers May 20, 1997 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref~ Revised Design, Well & Septic System for Lot 21 B, Lakewood Hills #2 S/D. To whom it may concern: A sewer/well permit was issued for this property on 5/8/97 (SW970084). Since issuance of the permit, it has become clear that, due to the house elevation, a lift station will be necessary. Given the fact that a lift station will be required, we have decided to change the drainfield design also. The revised design is for the installation of a Bottomless Intermittent Sand Filter (BISF). The BISF will take up significantly less space, will probably be cheaper to construct, and ideally will last longer. Specifications for the BISF package: a. Percolation Rate: 1.5 to 11 minutes/inch b. Allowable Application Rate for BSF: 2 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 300 ft2 £ Effective Depth: 3 inches below pipe invert per Orenco design g. Width: 18 feet h. Length: 20 feet. i. Effective absorption area = 360 ft2 (>300 ft2 OK) j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank". 1. Sand Material: Central Paving Products "Winter Road Sand" m. Washed Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than 1% passing the #8 sieve. We are proposing to excavate down to a maximum depth of 4 feet, place 6 inches of sand, install the air supply line, and cover it with 1.5 feet of sand. On top of the sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use a conventional STEP tank (Anchorage Tank), equipped with a programmable timer so that flow can be intermittently dosed to the ISF. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with DHHS' "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (5th floor, 9th & L St.). I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. TI ank you for your assistance. Sincerely, '.E., M.S. Joe Cizek Revised Design Package.wps LOT B1A, LAKEWOOD HILLS ~2 UNDEVELOPED RESERVE BOTTOMLESS IFS% PRIMARY BOTTOMLESS IFS~~ PROPOSED %N-STEP TA~ WELL EXISTING WELL LOT 2lC LAKEWOOD HILLS ~2 LOT 3, BK 2, HAMPTON HILLS S/D, UNDEVELOPED. WELL LOT 4, BK 3, HAMPTON HILLS PRIVATE WELL AND SEPTIC SYSTEM. HOUSE IS APPROXIMATELY 150 AWAY FROM THE WEST PROPERTY LINE, THERE ARE NO ENCRDACMENT CONCERNS, EXISTING WELL o LOT 5j BK 3~ HAMPTON HILL PRIVATE WELL AND SEPTIC SYSTEM. HOUSE AND WELL ARE GREATER THAN 200 FEET FROM THE PROPOSED SEPTIC SYSTEM, THERE ARE NO ENROACHMENT CONCERNS. THE WELL IS IN THE NORTHEAST PORTION DF THE LOT, PER M,D,A, RECORDS, NDTE~ THIS IS NOT A SURVEY. THE LOCATION OF ALL WELLS, SEPTIC SYSTEMS, AND STRUCTURES IS APPROXIMATE. THE CONTRACTOR SHALL VERIFY ALL SEPARATION DISTANCES FROM WELLS & SEPTIC SYSTEMS, PREPARED FOR: PREPARED BY: DATE~ REVISED ~/ELL/SEPTIC DESIGN~ LOT 21 B, LAKEWBBD HILLS JOE CtZEK ALASKA ~/ATER & WASTEWATER 5/80/97 IDRAWN: GARNESS ISCALE~, 1~ = 100' NOTE, THE AIR COMPREgSDR gNALL 3E A THOMAS INDUSTIRES, MODEL 5070, Ag SUPPLIED BY ANCHORAGE TANK, THE AIR LINE SHALL BE 1/2 INCH DIA, SCH, 40 PVC, INSULATED DATE~ 5180/97 DRAWN~ GARNESS SCALE~ 1' = 30' 18' x 20' BOTTOMLESS ISF NO LINER ON BOTTOM, 1,25 INCH PVC ~ NOTE~ DIMENSIONS OF ISF HEADER. MAY BE CHANGED TO X, MEET LATEST DESIGN PVC AIR LINE TO x~ ~ ) ~ ] ~ ~ [ } ? BY ORENCO & ANCHORAGE SAND FILTER- ' I ~ TANK, LINE FROM THE ~ -- ' ~ ~ ~ ? ~--FLUSHING VALVE SPACED AT APPPROX I ~ ~ ~ ~ ~ ~ ~ i ~ / (TYP). INSTALL 2 FEET, ORENCO ~' : ~ :, : ~ ~ ~ ~ ~ PER THE 'ORENCO' ~PRESSURE DISTRIBUTION SYSTEM SHALL ANCHORAGE TANK, ~E PER ORENCO DESIGN, AND SUPPLIED 4 INCH DIA, MONITORING BY ANCHORAGE TANK, TUBE AT EACH CORNER, AIR LINESHALL BE -~ PROVIDE 2' DF RIGID INSULATION 6' ABOVE BOTTOM >E X 2' COVER MIN, .,~,.. ,,~. '... '... . . r 8' L'YER '' '/8' PEA ~LX. ~' FEET 'F FILTER SAND, ''TERI'L SH'LL ~ITH THE PVC LATERAL~ BE CENTRAL P~VING PR~DUCT~ '~I~TER MID~AY I~ THE ~TRATUM, SAND'. ~R APPROVED EQUAL, PREPAREDREVISED SEPTICFoR~, JOE SYSTEMcizEK= LOT 2lB, LAKE~BOD HILLS g~ '......... ~~~~2~...~. .... PREPAREB BY, ALASKA WATER ~ WAgTEWATER DATE~ 5/~0/97 ~AWN: GARNE~S ~CALE~ NT~ '~~ PAGE 1 OF 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:SW970084 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES OWNER NAME:CIZEK CONSTRUCTION OWNER ADDRESS:7110 SCALERO CIRCLE ANCHORAGE, AK. 99507 DATE ISSUED: 5/06/97 EXPIRATION DATE: 5/06/98 PARCEL ID:01513491 LEGAL DESCRIPTION: LAKEWOOD HILLS #2 LT 2lB LOT SIZE: 46110 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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) A_ND DRINKING WATER REGULATIONS (18AAC80). 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 SA_ME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: /, \ DATE: DATE: 8471 Brookridge Drive ~ Anchorage ~ Alaska 99504 (907) 33%6179 ~ Fax (907) 338-3246 Consulting Engineers April 20, 1997 Municipality of Anchorage Departme~nt o£Health & Human Se.~w~s Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Well & Septic System for Lot 21 B, Lakewood Hills #2 S/D. To whom it may concern: The subject property is currently undeveloped. Cizek Construction is proposing to build a 4 bedroom house on the site, which will xequ~re the ~installation o£ a well and a septic system. Comments regarding the proposed systems are summarized as follows: 1. SOII,S: Attached is a log(Test Hole #J) which ~shows the soil profile, and the percolaJ4on test results. At a depth of 4.5 to 5.0 feet, the percolation rate was approximately 1.5 minute/inch. Also attached is a copy of the logs fox other soils tests done on this lot. In 1992 Allan Murfitt, P.E. performed two tests. I found the 1 inch PVC monitoring tubes he installed, and noted them as test holes #2 & #3. The west TH is much further to the south then actually shown on his drawing. The THs shown on my site plan were located by Lantech Surveying. On the site plan, I noted the soils/groundwater/nformation for Murfitt's west TH. ,4t Murfitt's east TH, I excavated a shallow test pit, and ran at percolation test at a depth of 4.5 to 5.0feet. After presoaking for 4 hour& the soil perked at approximately 1J minutes/inch. Attached is a log£or a soils evaluation done in 1979 by Construction Test Lab. According to the log, the soil is primarily a brown sandy gravel, visually rated a 125-150 gallons/day/bedroom 2. TRENCH DESIGN: a. Percolation Rate: varied from 1.5 minutes/inch to 11 minutes/inch. b. Allowable Application Rate: .8 gallons/day/fi2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 750 ~2 f. Effective Depth: 2.0 feet g. Reduction Factor = .7 h. Width: 5 feet minimum i Minimum Length: 105 feet. j Effective absorption area = 750 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPItY: See the attached site plan for topography information. The septic system will sit on the highest portion of the lot. The only slope concern is to the north of the proposed reserve trench site. Approximately 40 feet to the north of the northernmost trench, the lot slopes downward at approximately 30%. The slope from the trench down to the 30% slope is roughly 10-15%. The vertical drop to an arbitrary point, that is 50 feet to the north of the subject trench, is less than 12.5 feet, which corresponds to a slope angle of less than 25%. In short, the overall drop (slope) is less than 25%. The primary trench will be greater than 50 feet from this cutbank. It is my recommendation that the subject separation distance (for the future upgrade) be waived to 40 feet. Another option, when the system is upgraded, would be to install an innovative system that would only require installation of the southern trench. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you for your assistance. Sincerely, Joe Cizek Design Package.wps LOT 81A, LAKEWOOD HILLS UNDEVELOPED PROPOSED WELL EXISTING WELL LOT 21C LAKEWF1OD HILLS LOT 3, BK 3, HAMPTON HILLS S/D. UNDEVELOPED. WELL LOT 4, DK 3, HAMPTON HILLS S/D, PRIVATE WELL AND SEPTIC SYSTEM. HOUSE IS APPROXIMATELY 150 A~/AY FROM THE WEST PROPERTY LINE. THERE ARE ND ENCROACMENT CONCERNS. EXISTING WELL LOT 5, BK 3, HAMPTON HILL PRIVATE WELL AND SEPTIC SYSTEM, HOUSE AND WELL ARE GREATER THAN 808 FEET FROM THE PROPOSED SEPTIC SYSTEM, THERE ARE NB ENROACHMENT CONCERNS, THE WELL IS IN THE NORTHEAST PORTION OF THE LOT, PER M.O.A. RECORDS. NOTE; THIS IS NOT A SURVEY, THE LOCATION OF ALL WELLS, SEPTIC SYSTEMS, AND STRUCTURES IS APPROXIMATE. THE CONTRACTOR SHALL VERIFY ALL SEPARATION DISTANCES FROM WELLS & SEPTIC SYSTEMS. ~/ELL & SEPTIC SYSTEM: LOT 81 B, LAKE~/FIOD HILLS f~8 PREPARED FOR: JOE CIZEK PREPARED tiY~ ALASKA ~/ATER & ~/ASTEV/ATER DATE: 4/18/97 DRAV/N~ GARNESS SCALE~ 1~ = 100' 0E-7953 r /u: :.. :'.~ ~ : / WELL ~ SEPTIC SYSTEM, LOT ai s, LAKEWOO~ H~LLS ~a ~1'~~ .... :--..~ P~EPA~ED ~Y~ ALASKA VATE~ & WASTEWATE~ ~'f.._ ~E-~ .-'.~ BATE~ 4/18/97 DRA~N: GARNESS SCALE~ 1 THE TRENCH SHALL HAVE A MINIMUM TOTAL LENGTH OF 105 FEET. WITH NATIVE SOIL AND MOUND. MONITORING TUBE (TYP.) PERFORATED IN DRAINROCK. PROVIDE 2 INCHES OF BOARD INSULATION INSULATION SHALL COVER THE ENTIRE WIDTH OF THE TRENCH. r'ER FABRIC SILT BARRIER DRAINROCK SHALL BE SCREENED PER M.O.A SPECIFICATIONS. ~ TRENCH SHALL NO T EXCEED~ FEE T. NO TE: 1. 2. DRAINRO~CK ' FEET WIDE TRENCH SHALL RUN PARALLEL TO THE SLOPE CONTOURS. FOR LOCATION OF CLEAN-OUTS AND MONITORING TUBE SEE THE SITE PLAN. 3. CONSTUCTION PRACTICES, AND MATERIAL SPECIFICATIONS SHALL COMPLY WITH ANCHORAGE MUNICIPAL CODE 15.65, "WASTEWA TER DISPOSAL REGULATIONS". 4. INSTALLATION SHALL COMPLY WITH SPECIAL PROVISIONS NOTED ON THE SEWER PERMIT. 5. SMEARED BOTTOM AND SIDEWALLS SHALL BE RAKED. 6. BOTTOM OF TRENCH SHALL BE LEVEL. 2 INCH MAXIMUM VARIATION BETWEEN HIGH AND LOW SPOTS. DETAIL FOR 5 FOOT WIDE SHALLOW TRENCH: PREPARED FOR: ClZEK CONSTRUCTION ALASKA WATER & WASTEWA TER DATE: 4/21/07 DWN: GARNESS SCALE: NTS INCH DIA., ASTM F810 PERFORATED PIPE. HOLES DOWN. PLACE £ INCHES OF DRAINROCK OVER TOP OF PIPE, AND ACROSS ENTIRE WIDTH OF TRENOH. PiPE SHALL BE INSTALLED LEVEL (WITHIN .01 FEET). Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: '~[~__-~- ~--~t~----.~... LEGAL DESCRIPTION: I..A-IC,C..C~',cJOOO I-4'IL..L*_~ ~;~ ~- Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT N//~ ElL DEPTH? P E Oeplh to Waler After 1,4//~. ~%~{ l?/~ :~ Monitoring? Dale: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE I · '~¢ tminutes/inch) PERC HOLE DIAMETER - TEST RUN BETWEEN ¢~' ~'~ FT AND ~'° ~ FT ?/- PERFORMED BY:--_--~"~ U '~ f'%~ __~O ~ f~zJ'¢~ I ~--~ ~"~'~ CERTIFY THAT T/HIS TEjGT WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE' DATE: 72-008 (Rev. 4/85) & HUMAN SOILS LOG PE~OOLATION 1 2 3 4 8 7 g 13 _ 10 17 I8 19 2O WAS GROUND WATER IF YES. ATWHAT DEPTH? Gross Net Depth to Net Reading DaJe Time Time Water Drop pERCOLATiON RAT~ ~ (minules/inch) PERC HOLE DIAMETE. R ,,((D .. ]rEST RUN BETWEEN ,~"~ FTAND 7,0 FT . . _, ~ _ CERTIFY THAT,THIS TEST WAS PERFORMED ACCORDANO~ WI~H ALL STA~ AND MUNIC~PAL GUIDELINES I~T ON THIS DAT~. · ' ..................... ~ .... SLOPE SITE PLAN ' " kL~J~\· i i_F~4, ~. ?..' . . 2 · ' · Munlcl alll of Anchorage P Y OE'~A~T~E.T OF HEALTH & HUMAN 825 "L" ~rd~( ~'~3, taO~ST c~k~,~Cg '~mo O ~'g. 12 13 14 15 16 17 19 WAS GROUND WATER ENCOUNTERED;' IF YES, AT WHAT il,(~ ~...,. pO DEPTH? GROSS Nat Depth to Net Reading Date Timu Time Water Drop .:-. 20 ~L-~ PERCOLATION RATE ~Xminules/inch) PERC HOITE DIAMETER __b ,. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental ,Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ~.) / S-- .~¢ 1. GENERAL INFORMATION Complete legal description Location (site address or directions) I C) 'PT~/ -~ ILL. %, 07~~ Property owner Mailing address Day phone ~°zJ/~? - ~'';' ~-' [ Lending agency Mailing address Agent --- Address / Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/orwastewaterdisposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect Name of Firm Address Engineer's signature on the date of,~his inspection. t,~ ~/~a~teCa'td~ Phone ster/Ht rCe , '"~ Date DHHS SIGNATURE ',/ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional en9ineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Re~. 1/91) Back MOA · ~ ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES ;Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent ' -/ Address Day phone Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well X Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verifythat my investigation of this Health Authority Approval application shows that the on-site water suppl~/ and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site wate? supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date ol inspection. )f this Name of Firm / ozu ~st~;ne~.x l-rtZ. ~lrcl~ Address Engineer's signature Date 6. DHHS SIGNATURE Approved for Disapproved. bedrooms. Conditional approval for "~ bedrooms, with the following stipulations: Money shall be put in escrow to resolve the deficiencies itemized in Jeff Garness! letter dated March 6, 1998 (Attached) This work shall be completed by no later than June i5, 1998. Money in ~t~ ~h~l1 nnt h~ r~l~ un~l ~h~ ~ff~ hq~ g~V~ f~na] authorization. This system will not be approved until the work is complcte~ Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-O'25 (Rev. 1/91) Back MOA ¢Y21 Municipality of Anchorage ' ~z~.~_ '~\ DEPARTMENT OF HEALTH & HUMAN SERVICES ' Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-47i~4 · ,. ,,~ Health Authority Approval Checklist Legal Description: A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) [~-~"¢' '7--! ~/ t,.CclCL,~oO.~ ParcelI.D.: ~.)1~--- /.~'qF--q! If A, B, or C, attach ADEC letter. ADEC water system number ~ ~/~ %t" ~-"~' Date completed Cased to '~ 6 Casing height (above ground) Wires properly protected (Y/N) Date of test Static water level Well production FROM WELL LOG g.p.m. AT INSPECTION g.p.m. WATER SAMPLE RESULTS: Coliform / /_1 Date of sample: ~/~--/~ Nitrate /~-, Z3¢'(O ~'v~¢~//~ Other bacteria Collected by: ~--¢M?_,~J~--,.~ -~* B. SEPTIC/HOLDING TAN K DATA ] '*~'-C~ f~ %~-'~--~ Date installed ~/~2""~ Tank size !-~'~O Number of Compartments ¢~- Cleanouts (Y/N) Foundation cleanout (Y/N) V Depression (Y/N) ~ High water alarm (Y/N) %// Date of Pumping /~-~&-J Pumper C. ABSORPTION FIELD DATA Date installed ~/~"~' Length ~ Width Soil rating (g.p.d./ff2 or ff2/bdrm) ~ System type go'~ Gravel thickness below pipe z:~. ~'-/)Total depth Effective absorption area. '~ ~O Monitoring Tube present (Y/N) Y Depression over field (Y/N) ~a~est Results(Pass/Fail) For Fluid depth i~ ab~~ater added (in.):__ ,,;es, 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* Z~C'Z/' *Datum ~'~""TZ;.,,~ F. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line J O0 [~ On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~ Property line /~' (~' Absorption field Water main/service line I~) f~ · Surface water/drainage I OD/'f' / 00/ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Surface water Curtain drain Building foundation ~0 -- Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots ENGINEER'S CERTIFICATION,/ ,¢/ in conformanc~qth/~/~¢~ gu~ ~ines in effect on this date. Signature Engineer's Name . / Date I Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number 7320 East Chester Heights Circle ~ Anchorage - Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers June 24, 1998 RECEIVED Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 JUN 2 5 1998 Municipality of Anchorage Dept, Health & Human Services Attn: Donna Mears Reft Release of Conditional Health Certificate for Lot 2lB, Lakewood Hills. Dear Ms. Mears: The following deficiencies have now been corrected: 1. A low voltage remote alarm was installed in the garage. 2. The soil cover over the drainfield (bottomless ISF) is 2+ feet. 3. The pressure gauge now reads 2.6 psig. We are requesting that you issue a non-conditional HAA at this time. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance. ~i '"~Sincerely,,. Jeffi:¢~ G~ tmess, P.E., M.S. ?rir~ A,l[al ]k Wal er & Wal eW ll er March 6, 1998 7320 East Chester Heights Circle - Anchorage - Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers .... ~ ',,4VIP, Or Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 ReP. As-built Documentation, and Conditional Health Certificate for Lot 2lB, Bk 3, Mountain Park Estates #2. To whom it may concern: The new home on the subject property is now built and a HAA is required for the transaction to be completed between the builder and the homeowners. There are several items which have yet to be completed/corrected, consequently, we are requesting a conditional HAA. The deficiencies are noted as follows: DEFICIENCIES TO BE CORRECTED: 1. The lift station panel is mounted outside the house. A low voltage remote alarm was provided, but has yet to be installed. ~ ~ ~4 ~ !.~ ~ ~p~ ~,~,,rg~- 2. The soil cover over the drainfield (bottomless ISF) only has 1.5 foot of soil cover in some areas. This will be corrected next spring when the final grading is done for the property. 3. A pressure gauge was installed at the compressor so the property owners can monitor the pressure on the air line to the bottomless ISF. Based upon our experience with other ISF installations, the air pressure should be between 2.5 and 3.5 psig, however, the pressure on this system is only 1 psig. This is an indication that either the compressor is defective, the gauge is defective, or there is a leak in the air line. The contractor (Cizek Construction and Tweed Excavating) is going to have to troubleshoot this problem, and make the necessary repairs. This problem has been discussed with Robert Shafer, P.E., and Joel Cizek. If it becomes necessary to repair the air line, it will be done this spring, after the snow melts and the ground thaws. NOTES REGARDING THE CONSTRUCTION: 1. The pressure line from the lift station to the ISF, and the air line from the house to the ISF were not inspected by the engineer because the contractor had buried them. The engineer was not contacted regarding inspecting these lines. 2. The original ground elevations were not shot at the ISF. This was an oversight. The test hole next to the ISF had good soils to a depth of 10 feet, and no groundwater to a depth of 13.5 feet. Attached is photographs of the installation, which clearly show that the total system depth (at the top of the sand) is at ground elevation near the west end, and only several feet below ground elevation at the east end. In short, there are no separation distance concerns to groundwater or impermeable soils. If you have any questions, please contact me at 337-6179, or 244-9612. assistance. Sincerely,~t l~ ~am"es~, P.E., M.S. Jefl~e~ ?rinci~ Thank you for your Management ~tlo~e RAY'S 8ERVieF3 & SUPPLIF. S ~Q~JalMng in ~-sita wastewater d~sposai ~ys~emg Ma~h 5, ! Ice Cizek ?1 tO ~u:nlmro Circle Anchorage, AK 99516 Lot 2lB; Lakewood l-Iills 82 At your request ~re visited the r~¢nced property for the primary purpose of inkiating a start up of thc was~ewater disposal system (~-pfic tank, lift station, and botton'dess intenuJttent ~utd filter). The house was vacant at the time of our visit. The lift miation which is a part of a 1500 S.T.E,P. system r~uired the float assembly to bo installed and adjusted and a con.u~tion made in the manhole for the discharg~ line, This work was accomplished at the time of cur visit. Th~ ~'ontrol pancl for thc effluent diseh~ge pump tk~emIaly wa~ located oil the outside of the stn:cture in view of the manhole on the lift .~tation, A low volta, ge remote alarm was provided, hoWeVer Itad act been inslallcd "¢ fl~o time of tiffs visit. The power was off to the control panel and the septic lanY./lifl station was empty, The timer for the effluent discharge pump was set to run approximately $0 seconds or (0,$ minutes per hour), At this rate the dBclmriIe 8ssembly is capable of pumping approximately 3(;0 gallons to the intermittent sand filter in a 24 hour period, Adjustmems may need to be mad~ to this time control after the home b~comcs occupied. Adjustments will be evidem, if al~'l~ er~ sounded frequently Thc air compressor for ~e intermittent sand filtur was installed in the si, rage, This ¢ompre~or fllrnishcd by Orenco System$ is not furnished wi{h a pre.ute gause. It is my undec$tanding that you~ £ngine~ required you to install a i~rcssure saug~ an~ that tl~ readil~s on this gau§e is approximately I psi, This is less than we would anticipate (2 F: to 3'/: psi,) thor&ore indicating that there may be a problem with the pressure gauge, the compressor or a leak in thc line b~twccn the compressor and The line wtmre it entered the building. W~ will continue to work with you ted your £ngine,~r until this t~ re~olved, Since tho tank was emPW, we were unable to teal th6 system for $onxplote ~;yeto6 of effluent dJ. seharge. Tho total system was lef~ with the breaker off until the home is occupied, It i~ recommended that you notify us when the hous: becom~ occupied so we can r~wisit the propertlt, turn on the breaker and test the pumping cycles to be ~'ure everything i~ operational, It is also recommended that you encourage the homeowner to enter into +.he attached lmaintenanc¢ agreement. This agreertmat will give th6 homeowner the name of someone to call to insure a rapid respon$o in tho event of trouble anti will iltsure that the system is pro .pCtly nmintained mu it will continue to function aa des!lined. If we ina,/be Of ~rther service, please contact Raymond L, Sharer cc Alaska Waler and Wastewater ~ervicem Tweed Bxcavalin$ and Consh~uctiO~ P,O, Box 772804; Eagle P, mt, laska {907). 96.? 97