Loading...
HomeMy WebLinkAboutLAKE O THE HILLS BLK 3 LT 3 , 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: SL~°IS°O~G PIDNumber: Name: AL ~ ~Y ~CH~oV~ Wastewater System: D New ~Upgrade Address: [t~O HOU~I¢ ~ ~". ~ ABSORPTION FIELD Phone: ~_~(~ ~No. of Bedrooms:~ ~eepTrench O Shallow Trench DBed ~Mound DOther LEGAL DESCRIPTION so, Rating: ~.~ GPD/Sq. Ft. Total Depth~lfrom original grade: Lot: Block: Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath p~pe Section: Fill added above original grade: Gravel length: '~ Number of lines: Distance between lines: WELL: ~sT/~ D New ~ Upgrade ~ Gravel width: ~'~' Ft.I ~ 1~/ Ft. Classification (Private, A,B,C): Total Dept~ ~ed To: Total absorption area: Pipe material: ~ Driller: ~ Drilled: Static Water Level: Installer: D~te installed: Yield: ~mp Set at: Cas,ng Height Above Ground: TANK .~ Ft. Ft. SEPARATION DISTANCES ~Septic~xlsT/~ U Holding ~~P. To Septic Absorption Lift Holding PubEc/Privale Manufacturer: ~ Capacity in gallons: From Tank Field Station Tank Sewer Lines Well* I o I I I I~ ~ ~ ~ ~ r~ ~ Number of Compa~ments: Sudace I ~oo~ LIFT STATION Water [ ~ + ~ ~ ~ Lot / i Size in gallons: Manufacturer: Foundation I ~ ~ ~/I ~ ~ ~ "Pump on" level at: ~at: High water alarm at: Cu~ainDrain ~.~ k~-. - P~IEl"td~ll~°~ped°rmedby: Remarks: ~ ~ ~ ~ 0~,:~ BENCH MARK  Location and Description: Assumed Elevation: $ & S ENGINEERING Department of Health ~ Huma~ices appro~ Reviewed and appr0ved by:~~~~~' Date: / ~.,~ 72-013 (Rev. 9/91) MOA 25 Pe,mit No. SW950086 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 LOT 3, BLOCK 5, LAKE O' THE HILLS 01533124 Legal Description: PID No.: ST2 ST~ ..... ]~I'S~: ............. 1250 GA[, EXISTING LEACHFIE ABANDO; ED SUCH THAT IT MAY BE USED IN THE FUTURE TI~ENCHES SCAEB GRADE Cp4 MT1 -84.4' 82.~ · ?6~B' :ISTING 1250i GAL i SEPTIC TAN~ Ih?EGRITY VERIFIED 7-28-~5 ~ Xw NO WATER FOUND 5-19-95 5001 GAL SEPTIC TANK fN'IEGRITY VERIFIEO 7-28-95 FCO 58' 24' -ST--t .... ~..~5't.~' ST2 ~7' 41' ST3 58' 47' C01 58' 47' FD1 59' 47' C02 59' 48' .~gDg....-~8~...59~. C03 96' 97' C04 ~6' 98' MT1 ~4' 96' C05 ~7' 82' MT2 ~7' 80' .~....!~.~....A~.~. C07 ~5' 61' CE-8801 72-013 A (1/93) ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. September 26, 1995 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD OESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 RECEIVED OCT § 199,5 i~,'iu,~,c,pa,~j, vi Anchora Oept Health & Human Ser~cees REFERENCE: Lot 3 Block 3 Lake O' the Hills Subdivision Dear Robbie, This is to inform you, that during the deepening of Test Hole %2 on July 29, 1995, I personally confirmed the soils do not appear to become "denser with depth." In fact, they appear to be uniformally the same. If we may be of further service please contact us. Sincerely, Robert C. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP · 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 (UPGRADE) PERMIT PAGE 1 OF 1 PERMIT NUMBER:SW950086 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SCHMOYER ALVIN JR & CYNTHIA A OWNER ADDRESS:il360 MOUNTAIN LAKE DR. ANCHOAGE, AK. 99516 DATE ISSUED: 5/24/95 EXPIRATION DATE: 5/24/96 PARCEL ID:01533124 LEGAL DESCRIPTION: LAKE 0 THE HILLS BLK 3 LT 3 LOT SIZE: 54461 (SQ. FT.) NUMBER OF BEDROOMS: 6 THIS PERMIT: 6 THIS PERMIT IS FOR THE CONTRUCTION 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 (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 5o THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DURING EXCAVATION OF THE TRENCH, A PERC TEST MUST BE AT RECEIVED BY' ? ROBERT C. COWAN, R E. ROBERTA. SHAFER, RE. HEALTH AUTHORI3Y APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE W/~STEWATER DISPOSALSYSTEM DESIGN May 19, 1995 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of H~alth and Human Services P.O. Box 196650 Anchorage., AK 99519 REFERENCE: Lot 3; Block 3; Lake O' The Hills Subdivision Req~t yo- is~ ~ p~mi~ t~ -pgr~d~ th~ ~eptie system s~rving Test hole~ were excavnted and percolation tests performed. The approx~ate locations of the test holes are located on the attached site plan. At the time of excavation, no water was encountered and after seven day ground water monitoring the monz~oring tube was found to be d~y. Attached is the. proposed upgrad~ design. We do not anticipate any adverse effects on n~ighboring properties by the installation of the proposed septic system. There are no points of contamination within the proposed w~llradias which can be seen on the attached site plan. The proposed 2000 gallon septic tank is to be placed outside the well protective radius. Attached is a site plan which depicts the location of the proposed tank. If you require additional information, please contact us. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 ~o C) Ld I-,- ~11 > m_Jo ~ ;flOH ROO~Q38~_~ XIS ONIJ_SIX3 ~ / / // NV'id 311S I 'al¥OS ,Og = ,,I. PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: / 3 ~-ff'~F_~ /-/'~./_~Township, Range, Section: I 2 3 4 7 8 9 10- 11 12 13- 14- 15- 16 17- 18- 19- 20- COMMENTS PERFORMED BY ACCORDANCE1 WAS GROUND WATER ~C~ ENCOUNTERED? IF YES, AT WHAT DEPTH? E Depth to Water After ~,~. y Monitoring? Dale: Gross Net Depth to Net Reading Date Time Time Water Drop lO:;co,~ ~ 1~4''' //:2 [ ~ ., ~" PERCOLATIO~.~RATE ~'-~ (minutes/m~h) PERC HOLE DIAMETER 17034 ~agle Riy~'r Loop Road No. ~ERTIFY THAT THIS TEST WAS PERFORMED IN ~ Eagle River, Al~ka 99577 ~ /~ /~ j~ rE ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ / ' -- 72-008 (Rev. 4185) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION:/~.~3T 7 8 9 10 11 12 13 14 15 16 17 18 19- 20- ~. ~-¢~X'F~ ~ ~'~/~'/~--A~nship' Range, section: " SLOPE SITE PLAN WAS GROUND WATER ~ ~O ENCOUNTERED? S ~ L IF YES, AT WHAT O DEPTH? p Depth tO Water A.er ~y ~ Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE z~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND ~ FT PERFORMED BY:I mu~ ~ ~xi~M~--- I - [ / v ~ - - Eagle River, Al~ka 995~ ACCORDANCE ~H ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: PERFORMED IN 72-008 (Rev. 4/85) Rmcj ROBERT C. COWAN, P.E. ROBERT A. SHAFER, RE. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 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 W~STEWATER DISPOSAL SYSTEM DESIGN REFERENCE: Lot 3, Block 3, Lake O' the Hills May 18, 1995 GENERAL: me The scope of this project includes the installation of a leachfield trench to serve the six bedroom residence on the referenced property and the replacement of the existing septic tanks. The existing septic tanks are to be excavated, pumped, crushed, and abandoned in place and a new 2000 gal. septic tank is to be installed. 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. e The contractor shall be responsible for obtaining any necessary underground utility locates. 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. 50 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: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 * EAGLE RIVER, ALASKA 99577 Page Two Lot 3, Block 3, Lake 0' the Hills May 18, 1995 3e e Se 6e Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Septic tanks installed with less than 4 ft. of cover shall be insulated. 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 ft. 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 (ruffed- up) before gravel (sewer rock) placement. e 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. Se 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,installed approximately in the locations shown on the design, and extend a minimum of 12" above final grade. 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. Page Three Lot 3, Block 3, Lake O' the Hills May 18, 1995 Be 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: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. e The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 30 Insulation shall be at least 2" thick extruded direct buria], 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 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. e Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 8 When sand is being used as a filter material, it's gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Lot 3, Block 3, Lake O' the Hills May 18,1995 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. 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 contractors 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 contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Five Lot 3, Block 3, Lake O' the Hills May 18, 1995 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 MAILiNdADDRESS iLL,AL DESCRIPTION - LOCATION NO. OF BEDROOMS I w~ Absorption area Dwelling PERM I~ ~ Manufacturer~ 1 Material.-- ~ No. of compartments Liq. c~ity in gallons Inside length Width Liquid depth (~ ~ IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation Nearest lot line PERMIT NO. =~ ~ DISTANCE TO: ~ ~ ~ No. of Hnes Length of each line Total length of lines Trench width Distance between lines ~ ~ ~ inches ~ of tile finish Material beneath the Total effective Top to grade ~ inches Length ~ Width Depth PER~IT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS REMARKS I APPROVE~ DATE LEGAL 72-013 i"IF~X]:i-'iUf't HL'hlE[:~. OF Ei~EDROOHS = (5 THE LENGTH DIHENS:i_'ON !S THE LENGT'H ,::IN FEET) OF:' ERC:H SI[:,E FOR R SEEF'RGE PiT. THE DEF'TH OF' R T.E:ENE:H OR PIT Z% "FHE DZSTRNE:E BETHEEN 'THE '_E;URF'F!CE E)F THE GROUND RNE:, 'THE DE.'JTTOi'd OF THE: EXCFI',/F:!TION ':.' IN FEET::'. 'TI-If/ L3Rla',/EL.. DEF'TH !E; THE HiN!HU!"! DEPTH OF' GF~:!h',,,'E:L. DETHEE:N THE OUTFFIL.L. F'ZPE FIN[::' 'THE E:OT'T'OJ"I Of:' THE: E:;:':;CF!VRTIOtq r b.~.! ]., IaF'F'L.]:"'~?.Fr' i--IFI2~ 'r~dF' ,q?[::"::P-',~.4'::TF. TI tTh.' TI"'I iNF')E'h! THIS E:'EF'F~F~:Tr'IENT F:, Pih 7J 'THI:' i NSTFiL.LFIT I ON I NSF'EE:'TZ Cfi,IS OF RNh.' HELLS R[i:,.irFP2EWF "r 1' "FH i S F:'I:~:EiF:'ER'T'¢ RF,!E:, THE ~,lt..f lE,,:.r. {)[: ~'F":;TDENC:ES ~''FT "FFIF' !.,.!E'L! H'rLL ,:;p'~,,,c- i'"!!f.~!!fiLii"1 [:-'iS'TFINCE BEiTHEEN R HEL.L RN[:-' FIN'.? ON-SITE SEHRGE DiSPOSRL S'~'S"['E:PI IS 'I..EiE~ FEET FE!R F! P,?t',,,'F!T.'E HE:LL. OR 21..EiE! TO 20El FEET FF::OI"I F! P!JE~L. iC i.,.iE:L.L. DEF'EI'.,E:,ING UF:'C'iN 'THE Th.'F'E OF' PLIEE_ZC: I.,.iEL. I~_. h'IIN:f!'dUi'"l !)tS'i'RNCE: F'F:::O!"'! R F'RIV!:;:TE HELL TO FI PF::I',,,'RTE SEHER L. INE: iS 2~5 FE:ET i:INE:, TO F! C:Oh1HUNIT'r' Sf.:iHER LINE !S 'FEi I:::'EE'i". OTHER RE;G!UiREi','tEN'rS i',IF!'¢ RF'F'L.'.?. SPEiE:II:.-ICF. iT'!ONS R!'.,iE:, CONS'TRLJCTiON E:,IRGRRifiS RF[:Ei Rk..-'R I L.F!BLE TO Z.NSLIf;i:E PROPER I NSTI::!LL. RTI ON. I CERT ]1 F'k.' T!.,.!R"F 2.: I RI'"I FFIidlL. tFiR HI'TH TFiE REE:!UI.f;':E!"iENT:5 F'()[[: ON...-SITE SEHERS [~N[:) HEL, L.S FIS SET FORTH B'¢ THE FIUNICIF'RLIT'¢ OF RNE:HORRGE. 2: I HILL. iNSTRLL. THE S'¢S'T'Ei'i IN FiCCORDRNCE 1.4I"f'H THE C:ODES. :J(: i LINDERS"FRND THRT THE ON-SITE SEHER S'?'STEP! i"tf~h" D. EE:!L~iRE EhlL. F]RGEFIENT iF THE F:ES!DENCE~E; REI',tOE:,ELED 'T'O INE:LUDE i',IORE THFiN (5 /,I RF'F'L t C:Fff'4'T r:,7~JI F'h!ENT CO Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS .~J 6¢,~- ~' LEGAL DESCRIPTION PHON E~7/7~ -- ,~[~ ~:~¢:) SEPTIC TANK: . DISTANCE .. FROM WELL q ~:'" MANUFAC'TU REP NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH_ .LIQUID CAPACITY GALLONS. SEEPAGE PIT: NUMBER OF PITS -- DIAMETER OR WIDTHTM. LINING MATERIAL ~'o'>1<::' ~i~I~CRIB SIZE: DIAMETER / BUILDING FOUNDATION I NEAREST LOT LINE ADDITIONAL ABSORPTION LENGTH~, DEPTH /6 ' DEPTH /'~"DISTANCE FROM: WELL / / 7 TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ]-~ ~ ~- SQ. FT. WELL: BUILDING FOUNDATION __ CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED DISTANCES: INSTALLED PIPE MATERIAL: ~// LOT SLOPE: Form No. EQ-O31 NEAREST SEWER LINE DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK __ SYSTEM DIAGRAM OF SYSTEM GrE;aTEr ANCHOrage Area BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C"STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT { INSTALLATION LOCATION LEGAL DESCRIPTION PERMIT NO. MAI L'NG AODReSB:/"/ > 7 PHONE INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PiT ~ DRAIN FIELD / F,NANCEDTHROUGH TOBe,NSTALleD/ BY e · OTHER SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SePTiC TANK 5~ FOUNDATION TO SEEPAGE PIT , DRAIN FIELD SEPTICTANKTO SEEPAGE Pit WALL /~ SEPTIC TANK ., SEEPAGE Pit 2~ , DRAIN FIELD SEEPAGE Pit /~ ALSO CONSIDER AREA WELLS. , SEEPAGE Pit TO NEAREST LOT LINE. WELL TO SEPTIC TANK /~ ~ DRAIN FIELD WATer MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK· /~ ~ SEEPAGE PIT /~U J DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT Fitted WITH Airtight REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GR/F~TER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE . G'~.=,TER ANCHORAGE AREA BOROUGH uepar'cment of Environmental Quality 33S0 "C" Street Anci~orage, Alaska 99503 Legal Descri This form report's'. ~o~-6T~-s-T~-'-_~- Depth Feet 3- 5- 7- 8- lO- ll · ~ 12- !3- Date performed Percolation test Was ground water encountered? If yes, at what depth? ' '-Read i ng Date Gross Time Net Time Depth to H20 Net Drop minute, -] .L Proposed in~-~i, allation: Seepage Pit ..... .Drain Field D.~?th of Inlet . f]euth to bottom of pit or trench Percolation rate MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) I LoT' Location (address or directions) (b) Property owner Mailing Address TelePhone: (home) 3 ~-G-i~/~/Z~Business { ~ '50-O ,'~'. LA4L¢ (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: or check here/l~, if hold for pick up.) List contact person and day phone number below: ' - 2. TYPE OF RESIDENCE Singie-Family~/ Number of bedrooms 3. WATER SUPPLY ndividual Well ~' Community [] Public [] · Note: f commun ty we system,' must:hav,~ written confirmation from, the Stat~ Departmentof Environmental 4. DISPOSAL . . ....... . . . .,.. -, SEWAGc¢,,.. ~ P '.. ~ ' :'c': ..... - . On-site ublic © Community[] Holding Tank []. ' Note:'lf oommu~it~'W~i/syStem: must i~ve'wHtier~ o0'n:f'irmatiofi'];ror~' ,h~'State Department of ¢' Conservation attes~inc~ ;[°' glt~e lecailt and statusg" y ':- . .': : ;:}..!;,: ' i' j.. ;,' :;~--:-:;;;-.:i;~.;;;-~;';;:;,~ ;;~;~,.2;-;;':¢i:'-',';,:~;;,:::i;;'i~¢¢~:~;;'-'-:.Envi~nmental 72425 {Rev, 7/88) Page I of 2 leuop,!puoo leeS s,Jeeu!bu3 . , . 'uoqoedsm mql ¢0 elep eqj uo 33ej~e u~ suoBelneeJ pue ~se~ueulpJo '~ePoo 'pue led!o!unR lie ql~ eSueHd~oo ui'm mels~s esodmP~ejeMeiS~M j~/pae.~18dns Je~e~z'uo eql uoBoedsu~ pue'uoRe6~iseAm'~m moji pue Sel!J ee~o~guv ~o ~ll~dio!un~ eq~ moJ~ peu!elqo uo.3e~Joju! emi uo peseq ~Bq~ ~ JeA JeqlJn~ I 'me~eq pelempu~ eJnjonJ3s ~o ed~ pu~ s~ooJpeq ~o jeqmnu eq~ Jo~.ejenbepe pue'leUOBOUn~ 'NOI&VBHQJNI aNY V~VO 'H0aVaS Bqld 'S~SaZ 'SNOI~O~dSNI ONIOIAOad ~a14 ONIBttNIDN3 'g A. WELL DATA Well Classification ['~'~' :~ UA T'~ Well Log Present (Y/N) ~ Date Completed Ut ~,al~. Total Depth 1 2.~ Cased to '~ Z~r~) Depth of Grouting Ut Static Water Level ~2- / Casing Height Above Ground ~ ~ Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot [ 0 -~ To Nearest Edge of Absorption Field on Lot .~ To Nearest PubliC SeWer Line l,J To Nearest Sewer Service Line on Lot Water Sample Collected by ~ MUNICIPALITY OF ANCHORAGE (MOA) [ ~ . _. A~Je.~o~uthority Approval (HAA) t~t~i~jktlT¥ ur ......... ,'~",,~,,z~,/ ;i~.~II~[~T - FEBRUARY 1984 EN~ENTAL SER, VI 343-4744 JUN 8 1990 Legal Description: ~-- RECEIVED Water Sample Test Results Comments If A, B, C, D.E.C. Approved (Y/N) Yield ~ ~ cl ~"~ Pump Set At '~/ I L <5 Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ~2 [ CO ~ ~. 0 ; On Adjoining Lots '~ I ~ o To Nearest Public Sewer Cleanout/Manhole hO //~ I SEPTIC/HOLDING TANK DATA / Date Installed '7~ ~2.- Size ]~'5'~i ~'~o No. of Compartments Standpipes (Y/N) y t~.~ Air-tight Caps (Y/N) Depression over Tank (Y/N) ~ ~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~.J//A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line ~ [ O (_3 To Stream, Pond, Lake or Major Drainage Course Foundation Cleanout (Y/N) '7'~,~ Date Last pumped ~ - ~ -- ~j O N-'lO ;for h'J ,//A 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 ~ / 7 Width of Field 3 o Type of System Design Length of Field ~- ¢ Depth of Field / 6, Gravel Bed Thickness / Z. Statndpipes Present (Y/N) Date of Last Adequacy Test Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~ To Building Foundation 3 ~'- Lot I ~- To Water Main/Service Line ~ IoO To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line ~-¢ To Existing or Abandoned System on ; On Adjoining Lots '~ l 0 0 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 Electrical Codes(Y/N) ~_~_. Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at 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 guidelines in effect on the date of this inspection.~ Signed ~ "'.' ~ .... ~' ~, :%(~- Engineer's Seal Date Receipt No. Date of Payment Amount: $ / ~,/~¢ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 KNIEFEL ENSINEERIN~ 8441 MILES COURT ANCHORAGE, ALASKA 99504 (907)337-1121 HEALTH AUTHORITY RESULTS AND ANALYSIS Date of Testing: June 1, 1990 Legal Description: Lot 3, Block 3, Lake O' Hills Subd. Street Address: 11360 Mountain Lake Number of Bedrooms: Six (6) Results of Well Flow Test: Passed Average Flow Rate -- > 6 gpm Results of Laboratory Water Analysis: Passed Coliform -- 0 colonies Nitrate-N --<0.£ mg/ (10 mg/1 allowable) Testing Laboratory: Northern Testing Laboratory Results of Septic System Adequacy Testing: Passed Approvals: The system consists of a 28' x 30' crib with three concrete rings. The system and well passed the adequacy tests. These test results are based upon conditions present at the time of the testing. The tests followed standard Municipality of Anchorage testing procedures. A~ HOMF~ SERVICES, INC INVOICE # CUSTOMER 15900 Francesca Drive Anchorage, Alaska 99516 345-1890 or 345-2444 SEND THIS COPY TO: Municipality of Anchorage DOH P.O. Box 196650 Anchorage, Alaska 99519-66. Block Lot DATE DESCRIPTION AMOUNT NORTHERN TESTING LABORATORIES, INC. 2505 FAIRBANKS STREET ANCHORAGE. ALASKA 99503 907-277-8378 * FAX 274-9645 600 UNIVERSITY PLAZA WEST. SUITE A ~ FAIRBANKS. ALASKA 99709 907-479-3115 · FAX 479-0547 Drinking Water Analysis RePort for Total Coliform.Bacteria TO BE COMPLETED BY CLIENT [] PUBLIC WATER SYSTEM I.D. # ~]~ PRIVATE WATER SYSTEM Date Received Time Received City State SAMPLE DATE: 00 O/ ~0 Phone Z~'7-//z''''/ Mo. Day Year Purchase Order No. ZiD Code SAMPLE TYPE: ¢ Routine [] Special Purpose [] Check Sample (for original contaminated sample with lab reference no. Sample Time No. Location Collected 2' [] Treated' Water [] Untreated yVate, r ) Collected by t 6~7~t' Laboratory Ref. No. 9 Signature of Representative FOR LABORATORY USE ONLY MAIL HOLD FOR PICKUP TO BE COMPLETE/DBY LABORATORY Received at: [] Anch. [] Fbks. i Next Sample-Due - - *'--- - COMMENTS: SATISFACTORY UNSATISFACTORY RESAMPLE OTHER BACTERIA TOO NUMEROUS TO COUNT Direct Verification COunt LSB BGB U R OB TNTC Final *No, of Tota Colifor~ Colonies per 100 mis. Reported by / ,/ Date I Time SAMPLING INSTRUCTIONS FOR THE TOTAL COLIFORM ANALYSIS WATER SAMPLES MUST REACH THE LABORATORY AS QUICKLY AS POSSIBLE, WITHIN 30 HOURS AFTER COLLECTION. SAMPLES OVER 48 HOURS WILL NOT BE ANALYZED. COLIFORM SAMPLES ARE RECEIVED BY THE LAB MONDAY THRU FRIDAY (8 A.M. UNTIL 3 P.M.). SAMPLES RECEIVED AND ANALYZED AFTER 3 P.M. ON FRIDAY WILL BE CHARGED DOUBLE THE UNIT PRICE. PLEASE NOTE: Carelessness in collecting and handling the samples may lead to inaccurate results and may necessitate resampling. 1 ) If you are sampling directly from the well make sure that you obtain as CLEAN a sample as possible. 2 ) If you are collecting the sample from a faucet REMOVE any aerators or screen attached to the outlet. 3 ) Let the water RUN for approximately 3 minutes. 4 ) Remove cap aseptically by holding the bottle in one hand and the cap in the other. 5 ) DO NOT RINSE the bottle with the sample. Fill to the neck of the bottle (about one inch from the top), AVOID splashing. 6 ) Replace cap and foil and close SECURELY, but not too tight. 7 ) AVOID freezing or heating sample. 8 ) COMPLETE the report form under the section "TO BE COMPLETED BY WATER SUPPLIER." Please be sure to list name, address, date and time the sample was taken, a phone number that we can reach you at between the hours of 8 A.M. and 5 P.M., and whether the water being sampled is from a public or private water system. 9 ) If mailing the sample, place the bottle and report form carefully in the mailer kit provided and affix proper postage. 10) Please DO NOT TAPE BOXES, they are reusable. Also, to facilitate the sample analysis we recommend mailing on a Monday via Express or Special Delivery. THANK-YOU HAVE A NICE DAY! NORTHERN TESTING LABORATORIES, INC. 2505 FAIRBANKS STREET 3330 INDUSTRIAL WAY ANCHORAGE, ALASKA 99503 FAIRBANKS, ALASKA 99701 907-277-8378 · FAX 274-9645 907-456-3116 ° FAX 456-3125 Kniefel Engineering 8441 Miles Ct. Anchorage AK 99504 Attn: Robert Kniefel Report Date: 06/08/90 Date Arrived: 06/01/90 Date Sampled: 06/01/90 Time Sampled: 1140 Collected By: RK Our Lab #: Location/Project: Your Sample ID: Sample Matrix: Comments: A101095 L3, B3 Lake of the Hills Water Method Parameter Flag Definitions U = Below Detection Limit DL Stated in Result B = Below Regulatory Min. H = Above Regulatory Max. E = Below Detection Limit Estimated Value Units Result Flag EPA 300.0 Nitrate-N mg/1 0.1 U Reporte cois Rodigari Anchorage Operations Manager ,/ ' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION  825 L Street - Anchorage, Alaska 99501 ' '~ ,~ ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete alt I}ar[s on page I. Incomplete ~equests will not be processed. Please allow ten (10) days for processing. 5. LEGAL DESCRIPTIO / / ~ 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [~] One [] Four [] Other . SINGLE FAMILY [] Two [~] ~:ive ,_: MULTIPLE FAMILY [] Thlee Lg~ Six 7. WATER ~IpPLY ~ INDIVIDUAL' : ~ COMMUNITY ) PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM INDIVl DUAL/ON-SITE _, PUBLIC UTILITY ATTACH WELL LOG. A well log is required for all wells drilled If Wstem is over two {2) ~ears old an adequac~ test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72 010~3/78j ~ THIS SIDE FOR OFFICIAL USE ONLY ', DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME -rIME DATE DATE DATE INSPECTOR ........................ INSPECTOR INSPEC] OR DIRECTIONS: 1. TYPE OF REsIDENcE NUMBER OF BEDROOMS ONE L~J THREE [~ FIVI~ [~ OTHER SINGLE FAMILY '.! MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY _} INDIVIDUAL DEPTN OF WELL .-- COMMUNITY -' DATE DRILLED _-; PUBLIC UTILITY Connection Vmified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER : ~ INDIVIDUAL/ON 'SITE DATE INSTALLED ...... : PUBLIC UTILITY Connection Verifie(I _. _ INSTALLER [~:Sel}ficTank or (?HoldingTank Size: If Tank is homemade SOILS RATING give din~cnsions: TYPE OF TANK MANUFACTURER TOTAL AI3SORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding___ Tank Absorption Area Sewer Line Nearest Lot Line 5. COMMENTS ~ ........ ~r~'~ ...... [ ( }.q %.. :.:,-:: , .~-~'-~! ; ' · .... · ~ ] APPROVED FOR ~ _ BEDROOMS ~,~CONDITIONAL APPROVAL (letter must accompany certificate) ~Z.J DISAPPROVED - ~)--A~- .r-- ...... / t EG/\L DESCRIPTION 72 010 (R~',,. 3/78) C~IIEMICAL & GI~,__~LOGICAL LABORATORIES '¢_. ALASKA, INC.~ 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: ', \ I.D. NO. ~ater System Name Phone No. '.:-'. ~::'.., .t", '~'" ~ "© ' Mailing Address , , city _~ State . ._ .~; .... Zip~ode Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose :::] Treated Water [] Untreated Water SAMPLE NO. I I l LOCATION I I Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis snows this Water SAMPLE [o be: '~' Satisfactory :[- Unsatisfactory [] Sample too ~ong in transit: sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst I-!' ? .' :/I':. ~ I I-T-] I : I r-[-i *No. of ¢olonms/lO0 mi. or No. of Pos~twe aorlion$ READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source Time Received 13.m. Lab. NO. Presumptive ZOml lOml 1Omi lOml lOml 1,0mi O.lml 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB Broth 24 hours: Broth 48 hours: Multiple Tube Report; 10mi Tubas Positive/Total 10mi Portions Membrane Filter: Direct Count Collform/100ml verification: LTB BGB Final Membrane Filter Results / . Collform/lOOml Reported By Date ~' '-' / ' ~ - ' ALASKA I1UIROilmeI1TAL CONTROL SeBUIC S, IllC. I~nclineerinc1 8 ~nuJronmentol Studies /~UNICIPALITY OF ANCHORAQE /"':PT OF I~:/'\I.T!~ ,% ENVI& ~)$q!~dI,H'A _ F,40 Fi;6 4 1982 RECEIVED J~L',1L1~R¥ 2 1982 RAINIER MORTGAGE 4797 BUSINESS PARK BLVD ANCHORAGE AK 99503 SELLER - HANNAN BUYER-MARTIN/AGNEW SUBDIVISION-LAKE OF THE HILLS BLOCK-3 LOT-3 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 1392 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 900 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 644 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 6 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 12-12-80 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 GALLONS IS INADEQUATE BY 500 GALLONS FOR THIS HOUSE OF 6 BEDROOMS° 1220 LlJesf 25th Auenue · Anchorage, Alaska 99503 · (907) 276-1361