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HomeMy WebLinkAboutSOUTHPARK #2 BLK 1 LT 17 Municipality of Anchorage Page t of ~ _ 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 Permit Number: ,~k/ ~'3OOG~ PIDNumber: 0200,~:2.1~, Name: L, VA'I N,E L~I ~ Wastewater System: ~New ~ Upgrade Address: 1~ ~E E~c~so~ b~. ~c~,~%/~ ABSORPTION FIELD Phone:¢~S.l~l~ [No. of~edrooms: ~ Deep Trench ~ShallowTrenoh ~Bed UMound ~Other LEGAL DESCRIPTION Soil Rating: O. ~ GPD/S% Ft. Total Depg~ f~o~ original grade: Lot: ~ ~ Block:~ ~OU~ P~ ~Subdivisi°m ~2 Dap h O pipe b0tt0m~.~from j°riginal~'~gpade: FL Grave dep~.~,h benea~ h ~.~pipe Ft. I I Fill added abov, original grade: Gravel length: WELL: EXtS~N~ New U Upgrade erpve, w,dt~, Number of lines: [oistancebetweenlines: Classification (Private, A,8,G): Total eepth: Cased To: Total absorption ~rea; Pipe male iai Ft Ft. ~3~ SQ. Ft ~ "NON -FEeF Driller; Date Drilled: StalicWaterLevel:Fh Inslaller: ~ ~ Date inst~ Yield:GPM J Pump Set at: Ft. Icasing HeightAb°ve Gr°und:Ft. TANK SEPARATION DISTANCES ~Septic U Holding U S.T.E.P. TO Septic Absorption Lift Holding ~ublic/Private Manufacturer; Capacity in 9allons: From Tank Field Station Tank Sewer Lines ~NC~O~A~E Well ) ~ ~ ~ ~ ~ Material: %~ Number of Con~rtments: Surface >/oo' >/oo' ~ >/oo~ LIFT STATION ~./~. Water LineL°t ~ ~ ~1 ~ ~ ~O i Size in gallons:I~ Manufacturer: Foundation ~1,0I O "Pump °n"levelat: I "Pump °ff'level al: I High wateralarm at: Curtain Pump Make & Model ~ Electrical Inspections performed by: Drain ~ ~ ~ ~ I Sys~ ,~t/~ ~e~ ~ BENCH MARK Remarks: ~4~,~ ~ ~/gz/¢~'~ ~. ~,~( ~[~ Z~ ~I~C~ ~t~n~ Assumed EleVation: Inspeations performed by: F~A~o¢ ~E~ %FcS Dates:lst Department of Healt~ um~n ~es approval ~. %,,. ~. ~v . Reviewed and approved b Date: '~ P~m~(~ 72-013 (Rev. 9/91) MOA 25 Permit No 5~v' Cl 5OO~(:1 Page 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: LoT 17., PID No.: O 2. OO,5'2 / G I 'LB.H, --L..L H 8DRM House ~'~ % ~c~ / ~ . ,,I.,,I /7~'; ' , , ~.~.':~'~ , / / LINE ANb / ~ E L . , , ~ , ~1 ~, ~, ,~,-.- ~.~'"' ~'":~ , ,~1 ,-..., ~ ' ~ ~l~top Technlc~i Semites ;- 14530 Echo Street 72-013 A (Rev 9/91 ) MOA 25 PermitNo. 5F./ C~O0~,~' Page .~ ' of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box '196650 · Anchorage, Alaska 995'19-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LoT t loo. l INVE P,'¢ PiPE Bo'rTo~ o F ~!at~Ol~ Tech~.ica! Services 14530 Ech6 Street Anchoraqe, Alaska 995]g t BASE IN V~,T -, 8(~,o ' ENGINEER'S SEAL '.:.:, *% CE-3589 .~ ~: ....... .'::4f? 72-013 A (Rev. 9/91) MOA 25 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALAS~ 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT~ PERMIT NUMBER:SW930069 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:LEWIS WAYNE F & CAROL C OWNER ADDRESS:13751 ARNE ERICKSON DR. ANCHORAGE, AK 99515-3953 DATE ISSUED: 4/23/93 EXPIRATION DATE: 4/23/94 PARCEL ID:02005216 LEGAL DESCRIPTION: SOUTHPARK ADDN 2 BLK LOT 17 1 LOT SIZE: 33868 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 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 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: ISSUED BY: / 875i ~. DI~OND BLVd. ANCHORAGE, ALASK~ ~9502-39~4 Hunicipality o~: Ar~c:hc-~r ag e? Division c,~ Environm~ntai Health Department o.F Health and Social. Services 820 I Streel: Anchorage, Alaska 995C)1 I._ewi ?:, Wa¥'nez, F- RECEIVED SO-e- APR Munic;pahty of Anchorage Dept. Health & Human Services A'[: a j::)r'~.:x::c)ns'kr'Lic:t:[cm"~ :[n!F~[:)r~c'Eiorl o~c tth:[s lo'k. we~ obse:,r'vecl gl"c)urid .... water at I0 feet in the groundwater monitor insi:a].].(¢~d in 1991. ]'his sha].low gr'oundwaLer level ir~va].idated '~:l'"~e sept:it: system desigr~ ~-~hic:h was the basis .For permits :~ SW92()0T59 and SW930069,, A bed syst:em c:an still be ins'Ealled at: the lcx:a'Eic~n shown on the original subm:itta]. ~ but it is desirable l:o loc:ate tile primary gravel,, The [.]r(::H.~r~d ~a'kE'r :i.l'~ the GWM a'~ i0 '~eet is r~ot: pr'i~z, sant at the ].ocatior~ of ti]is '[:~S1:['1(3],c~ ,B.{]Ci a design based on the top 8 T~]-et is ac:c:eptable~ The design is still based (::;n a perc:c~la'tion soil to be preva].ent~ we ~:~i].]. base the ].engtl'l o'[: t. he trenc:h on a pE')t"C:O].~t'~.ion l'"at:6) Of 60 m:[riLItE::,~[~ tO t:h6:, inch,, ANCHOR68E, 6L65K6 97501 SEPTIC SYSTEM L1DT :l 7 BLl]CK 1 $ l:i i.J T H PARK NAYNE LENIS Ncl 6rc~uncJ Water- or Impervious L.ayer to 12 I. Is~ ~i}tandard "['l"(~{'l'lc:h Soil. Rating,, F'rom test 04/28/93 ~zj rain/in = 0.8 gal/-Ft,,sq. 60 m:i.r;/in = 0.45 gaL/¥tosq 150/.45 = 333 sq..Ft.,. 'T'es.=,'kholl.? Total Depth i2 L.ess 4 feet 8 L..ess 2 .;:ee% Cover 6 Length of Trench 4. 4 x 333 / i2 = iii Gl]RAT .- [. STANDARD TRENCH ~' " USE TWO TRENCHES 2 × 56 FT ;. -~ '",'° TOTAL LENBTH 112 FT. '~\o=,i~'' .... " TOTAL DEPTH B FT. _ _ ....... __ ROCK DEPTH & FT. SEPTIC TANK 1250 GAL. The ins~:a!3, ation c3¢- tJ-iig: s(~ptic: system v~il], not prevent wells ~'.rom b~) ins~ta led ~Jn the adjacent 'Yh,~ pr(:)posed septic system wi ii not change the general slope J'"~?(~SL(].t] frc3fJ] tJJ:[ S instal ].at:ion,, 1.5 'Feet (::~f add:i, ti(::)l~al 'f:i. 1 1 wi] ]. b~::, plat:ed ovor the Septi~.: System Des:Lgn Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL)') LEGAL BESCRIPTION: LI, '~/7:. /'~ ~ / g~ Township, Range, Section: '~ll ~kd, ~ ~ SLOPE SITE PLAN 2 3 4 5 6 7 8 9 10 11 13 14 15 16 17 18 19 2O WAS GROUNO WA~E~ ENCOUNTERED? S IF YES, AT WHAT ~) DEPTH? P E DeCh to W3ter After Monitoring? Date: _ Gross Net Depth to Net Reading Date Time Time Water Drop ? PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER -- TI;ST RUN BETWEEN ~ FT AND '~ COMMENTS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) Municipalily of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL)- % 9 10 11 12 13 14 15 16 17 18 19 20 Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT ~3 DEPTH? P E Ooplh 1o Water After Monitoring? Date: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop ~/,~ ~ ~1 '~o ~ ~//~ ~//~ PERCOLATION RATE t ~ {minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~/~ FTAND ~ FT COMMENTS 72-008 (Rev. 4/85) SCALD 1' = IOOFT, SPURKLAND P,E, 203 W i5TH. AVENUE ANCH. AK. 99501 y~LOCK 1 SOUTH PARK #£ SEC, ~ ~iN R3W REVISED: apr# ~ 1993 SEPTIC SYSTEM DESIGN DATE, N~ 26; 1991 SHEET, 1/3 GRID, 3236 Foundation £1ean oU'~ n~ 1£50 gal Septic fa ])ouble Clean~ 1£ 3' IVide · 6' Long 8' 1)eep 6' Sewer rock 3' Cover ( I Foot Fill fid ££ALE Mira£! i40 ~' o£ Septic Rock TDBBEN SPURKLAND P,E. 203 ~15th Ave ~.chopcge Ak 9950i CI4s~r'~o~ts~il~Nonltor / ND SCLA£ LOT 17 BLOCK ] SOUTH PA£K #1 SECTION 3 TliN R3~/ F/A YN£ LEIVIS Exi£~:, Oround 4' Min Cover ~ '~over Tank 1250 gal, septic tank rED: APRIL 2£1993 SEPTIC SYSTEM DESIGN DATE, MARCH Il, 1992 SHEET, 3/3 GRID, 3236 Tom Fink, Mayor un cipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 March 25, 1993 Wayne F. & Carol C. Lewis 13751 Arne Erickson Circle Anchorage, Alaska 99515-3953 Subject: Lot 17 Block 1 Southpark Subdivision #2 Permit ~SW920039, PID ~020-052-16 The subject permit, issued March 25, 1992 by this office for a single family well and/or on-site wastewater system, has expired as of March 25, 1993. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by ~he expiration date. If you have drilled the well, a well this office for documentation of the close the permit. log must be sent to installation and to 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: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any questions, Sin~y, .~/ ~ On-site Services please call this office at 343-4744. enc: Copy of Permit cc: Tobben Spurkland, P. E. (907} 24B-§095 Huc~icipa!ity o~F Anchorage Diwision of E.qvironmen/:a] Health Department o.f Health and Social Services 82() l{ Street Anchorage.~ Alaska 99501 )'ac~ arv.,:.':',< .... ~ ;I. 992 RECEIVED Por'mit $~ SW920039 I_.eb'.,.':~ 91. v b'J~.'y'Fl~? F JUN 2 9 1992 Munbipali[y of Anchorage Dept. Health & Human Services Hay 2'7v J. 992 ! have revised the septic sys'!:em layout for t..c:rt 1], Block J.,~ South F:'ark ¢~2. Our -field :i. nspection d~,ter"mined thai: ther'e ar"e no surface drainage alc:n"~g the t, ves'~ property ]Line artd than the required 50 ~:ee'[: fr'om t:he ::~;3% hi].Iside slope. The ai::tach~.:~d ]ayc)u[: sh[)~; tl']c~ ].ocat:i. on of the I::)u~.]ding and t. he I I SPLITTER SEPTIC TANK P~INA£Y A~SD£PTIDN SE__CO~A~__Y ~2~o~Pr~ ~ I I I I I I I I I I \ X \ \ \ \ \ \ \ \ \ \ £CALE: I' = JOOFT, TOBBEN SPURKLAND 203 ~ 15TH, AVENUE ANCH. AK, 99501 17~ BLDCK i SOUTH PARK #£ SEC. flJN R3~/ REVI£ED: JUNE 28 1992 SEPTIC SYSTEM DESIGN DATE, N~ ~ I99I SHEET: i/3 GRID, 3236 3' Wide 48' Long lO' Deep 7' Sewer rock 3' Cover ND SCALE Foundation Cleon out 1250 gal Septic Double Cleo MimoF,i 140 7' oF' Septic /~ock SPURKLAND P,E, 203 ~15th Ave Anchor~e Ak 99501 3' Cover / NZ] SCLAE L[77 17 3L[TCK 1 SOUTH PARK SECTIDN 3 T]]N R3W WAYNE LEWIS Exist, Oround 4' Nih Co_ver ~ ~'Sver ?ark I250 gal septic tank revlse~ june2~ 1992 SEPTIC SYSTEM DESIGN ~ATE, MARCH II 1992 SHEET, 3/3 GRID, 3236 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:SW920039 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:LEWIS WAYNE F & CAROL C OWNER ADDRESS: 1049 WEST 5TH ANCHORAGE, AK 99501 DATE ISSUED: 3/25/92 EXPIRATION DATE: 3/25/93 PARCEL ID:02005216 LEGAL DESCRIPTION: SOUTHPARK ADDN 2 BLK 7 1 LT 1 LOT SIZE: 33868 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 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 FOLLOWING SPECIAL PROVISIONS. 1 SPECIAL PROV I S I ON~_~S_..~ DATE: DATE: LOT SEPTIC SYSTEM DESIGN 1 7 BLOCK 1 SOUTH PARK #2 WAYNE LEWIS No Ground Water' or Impervious Layer'to 16 ~t. Use Standard Trench ,.~oz 1 Rating. Required Area per B~:~ L..ess 6 fee~ 10 · -, ~eet Cover 7 From test 10/23/91 · 37 min/in = 0.4.5 gal/ft.sq. Number o~ Bedrooms 4 Length of Trench 4 x o ..... / 14 = 95 SYSTEM CONFIGURATION STANDARD TRENCH ~.~ TOTAL LENBTH FT. TOTAL DEPTH 10 FT. ROCK DEPTH 7 FT. COVER 5 FT. SEPTIC TANK 1250 GAL. 'The installatien o~ this septic system will net. prevent wells ~r'om be installed on the adjacent lots. Tlnere are no developed or- natcu"al sLur+ace / sub sur+ace drainage courses on this or the adjacent lots. The proposed septic system will not change the general slepe o¥ the area. Pending and/or concentration o~ surface runo~ will not resu].t ~rom this installation. Septic System Design l_ot 17 EIlock I South Park No.2 pg. 1 TRACT D $CtILD 1' = 100FT, N 300 ~P,E, ;:>03 ~/ 15TH, AVENUE ANCH, AK, 99501 17, BL[TCK i S[1UFH SEC, TYlN SEPTIC SYSTEH DESIGN DATE, N]]V. ~°6, 19~] SHEET, l./3 GR]]], 3836 PRIMA rI$N 6AL SEPTIC TANK I I I I I E~,e I I ! # APPROX. TOF Of- SLB?£ '86,9 54,8 $£C£N~ARY ABSO£PrlON '~ 8~4 I II I I I I I ] ~-,: , - Nk 4~z l/ [ / '""'~ ...... ' : '<'"~ I x. ~ ~.'.~. ..... -.'.""' ~X I iI lI ..... I N ~,, k,.r,:::-: %,0,' SohLD I' TBBBEN SPURKLAND P,E, 203 ~ 15TH, AVENUE ANCH, AK, 99501 BLOCK 1 SOUfH ?hRK SEC, ~INR3~ ~ATE, ND~ 2& 1991 sHEEr, I/3 ORZD, 3236 MiPoFi 140 7' o£ Septic Rock TDBB£N SPURKLAND P,E, 803 ~15~h Ave Anchorage Ak 99501 3' IF/de 48' Lon£ I~' Beep 7' Sever rock 3' Cover NO SCALE · Cle~nouts /--- 4' Topso# oni'toP NO SCLAE LOT 17 BLDCK 1 SOUTH PARK SECUDN 3 fllN R3IF IFA YNE L[IFIS -- Exist Gnound 4' Mm Coyer ~ -~over Tonk -I ' #1 SEPTIC SYSTEH ~ESI~N DATE, MARCH IL 1992 SHEET, 3/3 GRZD, 3£36 PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9' 10- 11 13- 14- 15 16 17 18 19 20 COMMENTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ,/ ~(ENGI~N EE~R'S'SEAL~ , DATE PERFORMED: i60/¢2-~'/~ /' Range, Section: WASGROUNDWATER ENCOUNTERED? IF YES, AT WHAT - DEPTH? . ~ E SLOPE SITE PLAN Oeplh to Water After ~ ~ '¢J~ ~_~ Monitoring? Gross Net Depth to Net Reading Date Time Time Water Drop ~ :o ,¢ ~o 1:4 ~7/~ /~1/~ PERCOLAtiON RATE ~'~ (minutes/inch) PERC HOLE DIAMETER 7ES~ RUN BETWEEN '--~ FT AND -~' ~'~Z., FT PERFORMED BY' ~ ¢ .¢~¢.~.~ .~Cg*~ I /-~ ~---~/ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WFI H ALL STA~E AND MUNICIPAL GUIDELINES iN EFFECT ON THiS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 7 8 9- 10- 11 13- 14 15 16 17 18 19 20- DATE PERFORMED: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? (ENGINEER~ ~EALi Deplh to Water After Monitoring? Date: Township, Range, Section: T[i~i I- N Reading Date Gross Net Depth to Net Time Time Water Drop ~ ~ ~o ~'~ /~ / 'i~, ~ ~ ~-- ~ V~v -- I ~1~ PERCOLATION RATE ~-~ (minutes/inch) PERC HOLE DIAMETER ~2 It COMMENTS 72-008 (Rev. 4~85) SENT BY:Xerox T~lecopier 1021 PERI:ORMED FOR=L LEGAL DE~CRIPTIO~ ' 9! 90?2553180 ,10-11- ; 4:45Prvl ; MUNICIPALITY OF ANCHORAGE DEPARTMENT OF )'~EALTH AND ENVIRONMENTAL PROTECTIC~N ~2B L. Str~e[, Ancho~e. Alaska gI~S01 264-4720 . SOILS LOG-PERCOLATION TEST 1 2 '! ,. W~,S {3~OUND WATER ENCOUNTERED? i"DEPTH? '.. , ,. ,. T~$1 14, 15- lB ,20 - Time Time. ~,~,~ .... 7.'%~' . · ?,~:) ....~, "' ':'.C '. Drop 203 ~ISTH. AVE, SUITE 206 ~C~ORA~E, AL~SK~ 9950! SPECIFICATIONS FOR SEPTIC SYSTEM INSTALLATION LOT 17 BLOCK 1 SOUTH PARK #2 SEC 5 TllN RSW 1.0 GENERAL 1.1 Owner is Wayne Lewis, 1049 W5th. Ave. Anchorage, Alaska 99501. Phone 265-3100 (w)~ 345-5259 (h). 1.2 Engineer is the person or entity hired by the Owner to inspect this project. The Engineer must be recognized by the Municipality of Anchorage~ Department o~ Health and Human 1.3 Contractor is the person or entity hired by the Owner to install this project. The Contractor must be recognizgd by the Municipality of Anchorage~ Department of Health and Human Services. ]..4 The Drawings~ sheets i through 3, shall be part of this specification. 1.5 Ali. materials and workmanship shall meet the require- ments of the Municipality of Anchorage, Department of Health and Human Services, the conditions of the permit, and all applicable rules and regulations currently in effect. 1.6 All excavation depths are advisory, and are to be verified and may be modified in the field by the Engineer. 1.7 It is tine responsibility of the Owner er the Contractor to adhere to the approved design, to verify that the speci- fied separation distances are met, and that the required 1.8 "l?~e Contractor or the Owner shall, report to the Engi- neer any observed conditic~n which would put the septic system in violation of State or Municipal regulations. 2.0 SEPTIC TANK 2.1 If there is an existing septic tank, it may be used if it meets the capacity requiremer~t fer the residence. The tank shall, be inspected by the Engineer, and its wa'Eer tightness and structural integrity shall be verified. 2.2 A new septic: tank shall be one fabricated by either Specifications for septic system installation Lot 17 Block 1 South Park 12 pg.1 Anchorage Tank and Welding er by Greet Tank Tine septic tank shall be a UPC-approved two-compartment tank~ constructed of 12 gaoge, or' better, steel with bitu mastic coating. The tank shall be set level en undisturbed soil.'rhe tank shall be covered with the equivalent of four feet of soil~ 2.5 The septic tank shall be installed a minimum of five feet frem the Ineuse foundation and a minimum o'f ~ive feet ~rem the absorption area. 2.4 The septic tank shall be a minimum o¥ 100 feet from any well serving a single residence; 100 feet ~rom any body of water, creeks or drainage ditches with flowing water; 150 feet fr~)m Class "C" wells, and 200 feet from Class A or Class B wells. 2.5 All pipe connections to the tank shall be mechanical watertight c:alder- couplings. Cleanouts shall be installed as designated and capped with air-tight rain caps. Clean- outs shall extend a minimom e~ 12 inches above final ground elevation. Provisions shall be made for landscaping and importation if topsoil. 2.6 Lift station shall be as manufactured by Anchorage Tank and Welding 5.0 ABSORPTION FIELD 3.1 Gravel used in the absorption field shall be 0.5 to 2.5 inch screened rock, with less than~ 3% passing the No. 200 si eve. 3.2 Sand, used for leveling or' for' filtering, shall have an e-~fective grain size between No. 40 sieve and No. i8 sieve. Uniformity coefficient slnall be less than 4. Not more than 5% by weight shall pass the No. 200 sieve. 3.3 4-inch perforated pipe shall be ASTM FSlO. For pres- sure distribution, pipe shall be Schedule 4.0 PVC or ABS. 3.4 Solid 4-inch pipe shall be Cast Iron or ASTM D3034. 3.5 Monitor standpipe~ shall be installed as shown. That section o¥ the pipe penetrating the gravel shall be per~o- rated, either by drilling 0.5" holes on 6-inch centers or by joining a section of F810 perforated pile to a solid section e f p i p e. 3.6 Geotextile shall be Mirafi 140. 5.7 Insulation shall be e;.:truded direct burial polystyrene. Dow Chemical StyroYeam HI 40. Specificatioes .For septic system installation Lot 17 Block 1 South Park 22 pg.2 3.8 Topsoil shall be a mi.'~ture of 40-60% 20-30% sand and more that 20% silt. All measured by volume. 3.9 Grass seed shall be Kentucky bluegrass. organic matter, quantities are 4.0 INSTALLATION 4. 1 Locate all underc~r ound utilities, property lines, future drive~,,~ys~ existing or proposed water wells, water' ways, surface and sub surface drainage ~acilities, lakes, pends.~ and all other facilities requiring separatien dis- tances from the propesed septic system. Notify Owner or Engineer of any observed possible conflict. 4.2 Stake aligoment of system with markers showing the protective distances from wells and water bodies. 4.3 Establish an elevation benchmark.. This BM shall be easily identifiable~ stable and permanent. An arbitrary elevation of 100 ~:an be assigned. 4.4 Install the tank as shown on the drawings. Record the inlet and outlet elevations of the tank. Tank shall be placed on undisturbed native soil. 4.5 Excavate the absorption field. Bottom of excavation shall be level and scarified. If sidewalls smears~ they shall also be scarified. Record elevation of beginning, middle and end o¥ trench. Record elevatioe of each corner aod center point of bed. Construction equipment shall not operate mn the floor' of the excavation. Any material com- pacted by the oper~ation of the construction equipment shall remeved and replaced with uncompacted materials. 4.6 Place the rock to the depth specified. Do net contami- nate rock with native materials or spoils from the excava- tien. Level the rock surface (+- 1") befere installing the perforated pipe. 4.7 Install the distribution pipe. Record the elevation of each joint. For' pressure system solvent weld the joints. 4.8 Cever ex cavat i insul atior].~ the distrib~ti6n pipe with rock~ and cover the with geotextile before backfilling and placing if required. 4.9 Ret:etd the ~inished greund elevation at the beginning, middle and end of trench. Record the finish ground eleva- tion at each cor'ner and at the midpoint of the bed. 4.10 Furoish a copy i:)f all survey nlotes to the Engineer. Specifications -t:or septic system installation Lot 17 Block I South Park 32 pg. ~]!i INSPECTIONS 5.1 A minimum ef three inspections are required. The first inspection will be of the open excavation. At this time the soil conditions will be observed and compared te the design assumptions. Ground water conditions or presence of bedrock will be verified. The second inspection will be after placement of gravel standpipes~ distribution piping~ tank(s) and other compo- nents as specified. The third inspection will be after' completion of the work. Any deficiencies will be noted and the Contractor notified. Such deficiencies shall be corrected within ten days. 5.2 All electrical work requires either an MOA electrical inspection or certification by an licensed electrician. Submit proof of inspection or certification to the Engineer. 5~3 Submit catalog data of all mechanical equipment. 5.4 Noti-~y Engineer at least 24 hours in advance of be- ginning any work. Specifications for" septic system installation Lot 17 Block 1 South Park 42 pg.4 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.# 1. GENERAL INFORMATION Completelegaldescription floc I~ F~/oc~ // _Co~F.f)art~ ~/D Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address ~,'-./.,.,¢y¢ e L,¢o,,.,L~ Day phone 15 6-~ ~' 5o~Fa'-~ ~'oo?; ~'~y 'Or ~e Day phone Day phone ~77 -o7oO Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: q Individual well Community well v- Public water 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. 72-025 (Rev. 1/91) Front MOA #25 5. STATEMENT OF INSPECTION BY ENGINEER o 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/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 inves_tLgation 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 on the date of this inspection. Name of Firm I= {~x Pt~ ~ T.~c,~ ~ '~ c~xf _C ¢~- ¢,'~ r ~'~' Phone Address ]~Z~ ~c~o ~. ~ ~c~o~, ~ Engineer's signature .~~ ~ ~ Date DHHS SIGNATURE '~ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date //~ 2- ? "~'.~ 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. 72~25 (Rev. 1~1) Back MOA#21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL. CHECKLIST Legal Description:_ 1'7 ,/I Parcel I.D. A. Well Data If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height Wires properly protected (Y/N) Well type C,'¢,s~-'. Log present (Y/N) .. Total depth Sanitary seal (Y/N) g.p.m. AT INSPECTION ; On adjacent lots FROM WELL LOG Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line g.p.m. ~ ~. ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size / ~-.5"d) ~ ( Compartments ~. Foundation cleanout (Y/N) Y' .Depression (Y/N) N, A. Alarm tested (Y/N) N,/J-. N-/~, (_. ~c<., co~-~f) Pumper N' ~- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot N, A. To property line 6'0 ' Sudace water/drainage On adjacent lots '-,> Absorption field 15" ;:> Foundation Water main/service line 72-026(3/93)'Front CONTINUED ON BACK PAGE C. LIFT STATION N, ~. Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at .Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed 5'/ ! o / ? ? Length l l~.,3- -FoH~-f Width Total absorption area 1,3 :~ ~ Date of adequacy test N,A. ( Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot N .A. To building foundation tO' On adjacent lots '-~ Sudace water Cudain drain E. ENGINEER'S CERTIFICATION Sudace water Cleanout present (Y/N) Results (pass/fail) Soil rating (GPD/FF) C, q,5'" System type "Tr'¢- c/~ Gravelthickness ~ ~1 ~ '~ ~' Total depth 8 ' y' Depression over field (Y/N) /,,h A. for ~[ After test fi(, /iL. If yes. give date ~,1, ,4. Bedrooms On adjacent lots -;~ ~ oc] ' Properly line 1.5' To existing or abandoned system on lot N, ,4. Cutbank /~,,4. Water main/service line > ~o, Driveway, parking/vehicle storage area I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on th.e date of this inspection. · .,,:~;, .,, Signature Engineers Name Date No¢ ¢~ HAA Fee $ _~Oc], O© Dateof Payment [\_ \,r,~.c~2> Receipt Number C~D t~O/ Waiver Fee $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL CONSE~¥/~TION ANCHORAGE DISTRICT OFFICE / 8013 E. DIMOND EILVD,, SUITE 3-470 ANCHORAGE, ALASKA 99515 October 8, 1993 Mr, Wayne Lewis 15648 South Perk Loop Anchorage, AK 9g516 SUBJECT: (907) 349-7755 Lot 17, Block 1 (15646 South Park Lp.); oouth Park Sub,, NO, 2 Class "A" Public Water System, PWStD #213475 Deer Mr, Lewis: I have completed ~ review of this office's Cites concerning the monitoring Ste, tUS of the above,referenced Class "A" Public Water System and found tile following: 1, The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on ~fcj2;~¢~r 3,1993,, This ¢.~ meet the provisions of 18 AAC 80,200(a), of th() State Drinking Water Regulations, 2. ' The lest inorganic Chemic~l Contaminants sample results were submitted to this Department on j~q~v.¢'~J2.ez.~l~, 1991. This cJ;~E~, the provisions of 11] M(,~80,200(a), of the State Drinking Water Regulations. 3. The last Radioactive Ocnt.~:vf~inants Sample result~ were submitted to the Department on j;~~4.., 1992. This ¢¢~e.¢. meet the provisions of 18 AAC 8O.2E)0(a), State Dr nking Water Regulation8, 4. The last Organic Chemical Contaminants/Volatile Organic Chemical (VO0) were submitted to this Department on N,.o. b~J~0.~, lggl, Based on analysis of the previous voo samples result~ holy0 been satlsfaeto(y. This ~ meet the prow~lons of 18 /v~O 80,200(a), State Drinking Water Regulations. Issuance of this letter does not {reply thru the above.referenced Class "&" Public Water System is in compliance with oti~er prov ,~, ans of t.~ e State Drinking Regulations. Unless otherwise noted, this letter is vatid for 30 days end is for the specified legat description' noted above only. Mr, Wayne Lewis Ootober 8, lgg3 If you have any questions on the ~bove ~r~fo n~l~on, please de ¢~ot hesitate to contact thi~ offioe et 349-7755, MLU/¢ STATE OF ALASKA DB'pAI~Tf~ENT OF ENVIrOnmENTAL OONSEI~VATION APPROVAl. OF ONi$1TE RESlDEi'¢'~"IAL WATER AND SEWER SYSTEMS pROPERTY D[{~GI~IPT~ON Lot, 17, BIOC~ i ~l~ south [~rk Subdivision A~ri%'n nD,2 ia ~ ' royal does i~ot constitute ~ guarantee (~f, any kind, explicit or implied, a0 ~o the pedormsnoe Th PP I and wa~tew~tor disposal of the water ~uPP Y ' A rece~t w~ter ~ample was teated and fou!~d to meet Oep~rtment of 5~vlronmentat Conservation drink- ing water ~tandard~ for total coliform bacterh~. ...... - ............. The dornestl syatef)3 was: of Envhonmenta[ E] In~pectud Dy the applicable req 18 AAO 72; [~.] Inspected by Ineer who qulrements of lB AAO ~ Ins~ltad by e C~r[Ifled of 1~ AAC 72: or [3 te~ted by ~ profeselon~l Englnce~ ~nd thru the .ystem 00replies This approval I¢ wild fO~' a ~ e,r~d found to be In comp{lance with the .~yetem r~ompllea with spplioabla re- the sy3tem (;om, plies with applicable requirements fk~s that the perfornlaaoe of tile system ie satisfactory u~m separation distances ~pe~tlled in 18 AAC 72. le f~[mlty i i tl,.famlly unit with a total of ...... bedrooms,'