HomeMy WebLinkAboutTIMBERLUX #2 BLK H LT 5 Municipality of Anchorage Page ' 1 of 3 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: SW 970072 PIDNumber: ,01827150 Na~,e: Wastewater System: I~ew [] Upgrade Spinell Home. s, Inc. Address: 9210 Vangard Drive, Anch, AK ABSORPTION FIELD I No. of Bedrooms: Phone: 344-5678 ,~ mDeepTrencl~ r-I Shallow Trench [~ed r-IMound r3Other Total Depth from originai grade: LEGAL DESCRIPTION S°ll Rating: ~.3(. 0 GPD/Sq. Ft /,~' Lot: Block: Subdivielon: Depth to pipe bottom from original grade: Gravel depth beneath pipe 5 H Timberlux No. 2 /0~=' Ft o~' Ft. Township: Range: Section: Fill added above original grade: Gravel length: ~' Ft. '~'-~' Ft. WELL: liil~ew [] Upgrade ~rave~ width: Numberer lines: IDistancebeiweenli,es: / 5 Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased TO: Total absorption area: Pipe m at e rial[..~-~X'-/~.~ Private 185 Ft. 147 Ft. ~O SQ. Ft. I~/o! ~/~ Driller: Cate Drilled: StaboWaterLeYel: ~,stalle~. Datei,stal~ed: /0/~..'/~7 ' Alpine Drillinq 9/11 /97 ,]4 Ft. ,qr~ n~]'] ~4nm~.~ .Tn~_ Yield: 4 GPM J Pump Set at: Ft. Ca~ing Height2Above Ground:Ft. TANK SEPARATION DISTANCES n Septic [] Holding B~S.S.T.E.P. To Septic Absorption : Lift Holding P-o~tie~P[ivate Manufac~rer. Capacity in gallons: From Tank Field Station Tank Sewer t. lnes ~/~/' - "7~N~/ ~,! , ! NumPer of Compartments: Well~ ~,O! /oZ... / / ~'/Oo' ~laterial: ~.T.,~.~;.[., Sa.ace LIFT STATION Lot ~ ' ~ e. ~ I,~','%/~-, ;",,'~/~ & Orenco Systems Line /C~ ! /'~ / ~' /~' / Size in gallons: Manufacturer: Foundation ~ ~. ~ ~,~- / ~'- /-/ ~ ~/~x/.~[. ~,, Curtain /~/,~ / / ~'~ / Pump Make & Model Jl%Eiectrical'lnspections Performed by: Drain Orenco Fuchs Electric r Inc. Remarks: Pq losIO3HHF]BENCH MARK Location and Description: I Assumed Elevation: Inspections performed by: ~, ~ Dates: lSLL°~,~7i · Department of Healt~h_ and Human Services approval ~.,,~_--' .,~21~1 Reviewed and approved by: ~/~.~.~ ~. /~. ¢.~./0 permit No. SW 970072 Page 2 of 3 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 LegalDescription: T.ot 5f Blk H, Timberlu×Subd., No. 2'PiDNo.: 01827150 MANYTELL · -'AVE. 100!' setback from septic tank 4381-E. driveway" tank 4 BR House · MH 1 MH'2 CO' 3 MT 1 CO 5 CO 6 CO 7 MT 2 / 'A B / 3.7 35.'3 43~5 48~9 55 ~527 .37.7 .9 .35'.6 34.4 42 35.6 41.9 PLAN. AS-BLT 1" = 20' 'A ' 13' abs reserWsite 7 TH X CO 1 ~,, Co4 co 3' gal. , recirculating tan~ SP1 S~ptio Pump, ~ompartment 1 / SP2 " '# ' " ~ 2 / C Clean Out . MT Monitor Tube 'l Perh~it No. SW 970072 Page 3 of. 3 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 LegalDescription:.L°t 5r Blk H~ Timberlux Subd. ~ No. 2 PIDNo:: 01827150 DOW 91 .85 ELEVATION" AS-BLT 1" -- 10' BENCH MARK: Garage Slab= 100.( Invert Elev: C/0 6 = 103.0 C/0 7 = 103.0 LOCATION OF WELL ,~ ',~ .¢' ... STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD Els LOCAT[ONISKETCH: DEPTH~ MEASI BORI~iOUE DATA: Materia! Type .end Color .,/ / IRED FROM~ca~in~ top i--~ground sutfa¢~ · Depth From To ri ' II '~- ' . ;r,? // · ' WELL DEPTH: DATE OF COMPLETION Depth (~f h~)re: ',/.',~,~' ft / Oept~ ~ ~ng: ./~ ~ ~ ~. ' ~" METHOD OF DRILUNG~./F~ air rotary "F'~)cal~le tool .El.nme[ ·: · OF WEl-li::'ii~'dom~io 'El irrigation ~ monitor ~ :Publio ~pp[y ~ 'ether ' ~ ~AKE OP~G ~PE: .~ open end ~ ~ceened . Depth~ of openTngs: ' ": to" ~'~" SletJMe~h Size: ' , 'G~V._ .AcK ~ . Volume used: Diam: ~n. Length: ft Depth' to ~;op: ............ ,- GROUT. TYPE: · Depth; .fi'om · ft to · D~?ation: ' e~' ft after ~/ his pumping '~'?, gpm D~PTN: ~ Horsepower: Wbq-L DISINFECTED UPON COMPLETION? ...~ YES E] NO CONTRACTOR INFO FOVIATION: RogUed Business .am.e ,/' ~/ ,~' Signature R~sptes~itive . Date 3601 C St, Suite 800 ANCHORAGE AK 99S03-5535 · Phone (907}762-253~, FOX (907)562-1384 PROPERTY OWNER AGREEMENT FOR THE MAINTENANCE OF AN ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated ]/. /~/.- r 199~s made between the Municipality of Anchorage Department of Health and Human Services (DHHS) and the property owner(s) of: This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owners agree to the following: Allow the Municipality of Anchorage the perpetual right of entry to the property during normal working hours, to allow for effluent sampling or evaluating the general state of repair or function of the system. Submit to the Municipality of Anchorage, on an annual basis, an inspection and operation statement from a registered professional engineer. This inspection and operation statement shall verify that the engineer has inspected all effluent and air pumps, timers, and alarms, and that any deficiencies have been repa/red and that the system is functioning as designed. (Signature) (Printed Name) , h () -(signature (Printed Name) (Notarize Here) STATE OF ALASKA ) THIRD JUDICIAL DISTRICT ) This is to certify tht on this /t~ dayof ]~/~h/'~r'/~4 ,19 q:~ before me appeared Joshua and Julie Ruf, to me known and acknowledged voluntarily signing and sealing the same. NOTARY PUBLIC FOR ALASKA My commission expires: ~//_q/~/ Christina Henderson, Notary Public State of Alaska My Commission Expires 9/19/2001 Rick Mystrom, Mayor Municipality of Anchorage Department of Hea th and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Dear Homeowner/Prospective Buyer: The on-site wastewater disposal system you are purchasing/installing is an "alternative" wastewater disposal system. This system, known as a "Recirculating/Upflow Filter Septic System", is undergoing testing within the Municipality of Anchorage under the Alternative System section of the Wastewater Disposal Regulations (AMC 15.65). There are certain risks involved with the ownership of one of these systems: 1. The technology used in this system has been shown to be effective in other areas. The system is currently undergoing a two year testing period in Anchorage under the guidance of the Department of Health and Human Services (DHHS) and the State of Alaska Department of Environmental Conservation (ADEC) to determine its effectiveness in a subarctic environment. 2. Changes to the Wastewater Disposal Regulations (AMC 15.65) through Municipal Assembly action will be necessary prior to this system being approved as a standard system. 3. The system for this property received a vertical separation distance waiver from both State of Alaska and Anchorage Municipal Codes to ground water. This waiver was granted due to the system's expected performance within the site conditions on this property. I (we) certify that I (we) have read the above statements and am (are) aware of the risks outlined. I (we) a~Iso certify that I (we) am (are) in the process of purchasing (property legal description): i~u?~a~s~urcha s er Name) Purchaser Name) (P~ser Signature) Notarize Here STATE OF ALASKA ) ) SS. THIRD JUDICIAL DISTRICT ) Thisisto certify tht on this i~ day of ~77~ , 19~~'' before me appeared Joshua and Julie Ruf, to me kno~vn and acknowledged voluntarily signing and sealing the same. NOTARY PUBLIC FOR ALASKA My commission expires: ,/ Christina Henderson, Notary Public State of Alaska My Commission Expires 9119/200~ PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUM/LN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ~ ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970072 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:SPINELL HOMES OWNER ADDRESS:9210 VA~NGARD DRIVE ANCHORAGE, AK. 99507 DATE ISSUED: 4/24/97 EXPIRATION DATE: PARCEL ID:01827150 LEGAL DESCRIPTION: TIMBERLUX #2 BLK H LT 5 LOT SIZE: 39510 (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 (18/LAC72) AND DRINKING WATER REGULATIONS (iSAAC80). 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 SANE DAY B. COVERED~ SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. 1 OF 4/24/98 1 SPECIAL PROVISIONS: 1.) ENSURE A MINIMUM SETBACK OF 100FT. BETWEEN SEPTIC SYSTEM AND ALL SURFACE WATERS. 2.) THE UPPER SIX INCHES OF THE MOUND MUST CONSIST OF TOP SOIL, AND BE VEGETATED SUFFICIENTLY TO PREVENT DATE: MEMORANDUM DATE: TO: FROM: April 24, 1997 Jim Williams, MOA- DHHS Mike Anderson, P.E. RECEIVED APR ~ 4 1997 Municipality of A SUBJECT: Lot 5, Block H, Timberlux Subdivision Well and Septic System Permit I have revised the shallow bed system proposed for Lot 5, Block H, Timberlux Subdivision to an elevated mound system in accordance with our conversation of April 11. The groundwater level in Testhole No. 1 has recently risen to within 5' of the surface as opposed to 7.5' below the surface as determined on our last measurement of March 25. The system is now designed for a maximum water level of 2' below the existing ground surface. The owner of the lot has also agreed to install a 240' long X 24" diameter culvert in the ditch fronting the lot to assure a minimum of 100' separation from any surface water. The ditch is now dry and apparently remains so much of the year. It is, however, a drainage course and, as such, considered surface water. The culvert will be placed during the installation of the septic system and will follow the contours of the existing ditch. All other aspects of the design package remain the same. The total dynamic head will increase by 4' as a result of raising the elevation of the distribution piping. The specified pump, however, will be able to deliver the effluent through the distribution piping at nearly 5' of head even with the additional elevation. No adjustment is required. Please review the attached system profile and advise if additional information is required before a permit can be issued for the construction of a well and septic system on Lot 5, Block H, Timberlux Subdivision. March 27, 1997 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 5, Block H, Timberlux Subdivision Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: We hereby apply for a permit to construct a well and onsite septic system on Lot 5, Block H, Timberlux Subdivision. The attached site plan and backup documentation identify the size and location of the new system as well as the proposed location of the well to serve the house to be constructed on the lot. Groundwater was located at a depth of 7.5' below the surface so a pressure system has been designed to assure a separation distance of 4' from groundwater. A percolation test completed on the soils in the area of the new absorption beds indicated a rate of between 15 and 30 minutes per inch. We propose to place a 15' wide absorption bed with a total length of 100'.. Total depth of the system will be 2' below the surface. A 1,500 gallon S.T.E.P. tank and pressure distribution system will be installed. The drainage patterns on the lot will not be affected by the construction of the new system. The ground surface slopes at a gradual 0 to 2% slope from the northwest to the southeast. If the system is constructed as designed the following statements can be made: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. Lot 5,,Block H, Stanley Subdivision March 27, 1997 Page Two The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Some surface grading may be required to assure a minimum of 100' separation between surface water and all components of the septic system. Grading and filling will not impact the current drainage patterns. Sincerely, Michael E. Anderson, P.E. Attachments AREA MAP .... .SCALE 1" = 100' -- -- ~r.~'.o'o'- .... ~ss.oo ' "~g~-- ~' ~ I' Js.o_.o~ 182.48 2TZ0'O- .... 185.00 J 2 188.00 MANYTELL 182,g6 Avenue ¢~q P AREA MAP .... SCALE 1" = 100' _~88._.oo_ 188.08 'li MANYTELL Avenue _ .... 1.~85.0.._0 ....... 182.48 2"~ 0'0-- 185.00 // ~78.~ MANYTELL AVENUE PROPOSED WELL 6 4 BEDROOM HOME ALTERNATE SITE ~ NOTE: GRADING MAY BE REQUIRED TO ASSURE 100' ~ SEPARATION BETWEEN SURFACE WATER AND SITE _P_LAN ~~ NOTE:MAINTAIN 100' SEPARATION BETWEEN WELL AND SEPTIC SYSTEM ON LOT 6. 7 SYSTEM PLAN NO SCALE PROPOSED FOUR BEDROOM HOME 1" PVC DI.STRIBUTION LINE MONITOR TUBE 1,500 GALLON S.T.E.P. TANK NOTE: AL'L COMPONENTS OF SEPTIC SYSTEM MUST BE A MINIMUM 100' FROM ALL WELLS IN THE AREA. LOT 5, BLOCK H, TIMBERLUX SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home Perc. Rate: 25 Min./Inch Application Rate: .4 GPD/SF Groundwater Level : 2' Elevated Mound System New 1,500 Gallon S.T.E.P. Pressure Distribution System 4 Bedrooms X 150 GPD = 600 Gallons Per Day 600 GPD/.4 GPD/SF -- 1,500 SF ! 15 LF (Width)= 100 LF Total Length Therefore: Construct an Elevated Mound System With Two Beds a Total Length of 100' and 15' Wide. Distribution Piping to Be Placed 2.5' Above Existing Ground Surface. NOTE: TYPICAL ELEVATED MOUND SECTION (NO SCALE) Minimum 4' Separation from Ground Water. Grade Area Over Mound to Drain Away. Minimum 3' Cover Over Mound or Direct Bury In= t xxx Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG ~ PERCOLATION TEST DATE PERFORM! LEGAL DESCmPT,ON: /~?'~'~ ~U'- /'/ 5 6 7 8 9 10 11 12 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS . Township, Range, Section: SLOPE SITE PI-AN I11 II ,I II IlK III III I'1 WAS GROUND WATER ENCOUNTERED? S IF YES, ATWHAT .7~/Z./ (~ DEPTH? P Monitoring? '7' ~z. ' Date: Gross Net Depth to Net Re~ding Date Time Time Water Drop t. ~ :' z~' / ~ ~, 'lc" ~/~" ~/~ pERcOLATION RATE ,~4,~ (minute~/inch) PERC HOLE DIAMETER TEST RUN BETWEEN '~ ~ AND ~ ~ · NIC]PAL GUIDELINES IN EFFECT ON THIS DATF- DATE;' ~/Z7/¢ 7' ' ACCORDANCE WITH ALL STATE AND MU . ' / 72-008 (Rev. 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 7 8 9 10 11 12 13 14 15 16 17 18 19 2O Township, Range, Section: II1[ II1 II WASGROUNDWATER ENCOUNTERED? SITE PLAN IF YES, ATWHAT DEPTH? pO E Gross Net Depth to Net Re'ding Date Time Time Water Drop ~. ~.; s o /~' 5'" 3/+" / PERCOLATION RATE /¢~ (minuteshnch) PERC HOLE DIAMETER T=TRU. SrrW~.. Z- rr^.o g rr COMMENTS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 72-008 (Rev, 4/85) SHEET NO. CALCULATED BY CHECKED BY SCALE OF I DATE 350:00 200.00 150.00 100.00 0.00 0.00 do.oo · .'40 OSI 05 HH - 2 stage* NET DISCHARGE, GPM ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: Lot 5, Block H, Timberlux Subdivision GENERAL: The scope of this project includes the procurement and installation of a 1,500 gallon S.T.E.P. Tank with a lift station and the construction of a total of 100 Linear Feet of 15' Wide absorption bed. Surface grading may be required to assure a minimum of 100' separation between surface water and any component of the septic system. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The Contractor shall be underground utility locates system. responsible for obtaining all and for the layout of the septic Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. The property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. LIFT STATION INSTALLATION 1. The lift station is to be constructed by a certified tank manufacturer. Construction shall include an 18" manhole for access to the lift station. Lot 5, Block H, Timberlux Subdivision March 27, 1997 Page Two The lift station shall be sufficiently bedded to prevent settling or shifting of the tank. All standpipes on the lift station shall extend a minimum of 12 inches above final grade. 4. Lift stations installed without 4' of cover shall have a minimum of 2" of direct burial insulation. A foundation cleanout shall be installed one to four feet from the building foundation. No cleanouts are required between the lift station and the drainfield in a pressure distribution system. 6. Final grading over the lift station shall be such that a positive slope exists away from the septic tank. ABSORPTION BED CONSTRUCTION: The absorption bed shall be constructed to the dimensions shown on the design. The bottom of the bed shall be within 2" of level. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion in the drainfield rock must be perforated. 5. Direct bury insulation must be placed over the distribution system when less than 3' of backfill depth is available. Lot 5, Block H, Timberlux Subdivision March 27, 1997 Page Three Finish grade over the bed must be mounded to prevent settlement or depressions. MATERIAL SPECIFICATIONS: 1. The lift station must be constructed by a Municipally approved septic tank manufacturer. An Orenco 20 OSl 05 HHF - 5 is recommended. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: A minimum of two inspections are required by Municipal Ordinance. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation Lot 5, Block H, Timberlux Subdivision March 27, 1997 Page Four of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of the second inspection. The contractor is responsible to assure that all separation the area are met. during the layout of the system distances from adjacent wells in MEMORANDUM DATE: TO: July 6, 1997 Jim Williams, MOA- DHHS J~ ~L FROM: Mike Anderson, P.E. SUBJECT: Lot 5, Block H, Timberlux Subdivision Septic System Construction Permit No. SW970072 We have not received final word from ADEC conceming the issuance of a waiver between the absorption field and the ditch fronting Lot 5, Block H, Timberlux Subdivision and are assuming it will not be approved. We have therefore decided to install a mcirculating lift station septic tank with trickling filter and upflow filter and are requesting a revision to the permit originally issued for this property. This system as manufactured and supplied by An6horage Tank has been approved for use in new construction. In addition, the use of this system requires a much smaller absorption bed and allows a minimum separation of 2' to groundwater. The absorption bed designed for use with this new system will be 15' wide and 20' long. The accepting soil percolates at less than 30 minutes per inch, but we are designing the system for the slower percolation rate to provide additional absorptive area. The distribution piping will be placed at 1' above original ground which will provide nearly 5' of separation from the highest measured groundwater on the lot. The alternate site is shown on the attached site plan and is within 100' of the ditch. If it becomes necessary to use the alternate site the ditch will be encased in culvert to provide the necessary separation. Sufficient area is available between Testholes No. 1 and 2 to provide more than 80' separation from the ditch. Please review the attached information and revise the permit accordingly. The owner is anxious to move on with construction of the septic system. LOT 5, BLOCK H, TIMBERLUX SUBDIVISION. DESIGN FACTORS: , Four Bedroom Home Perc. Rate: LT 30 Min./Inch Application Rate: 4 GPD/SF SYSTEM REQUIREMENTS: Mound System Upflow Filter With Tank Pressure Distribution System 1" Coarse Sand 4 Bedrooms X 150 GPD = 600 Gallons Per Day 600 GPDI4 GPD/SF = 1,50 SF 150 SF/ 15 LF (Width of Bed) = 10 LF Total Design for 20 LF of Bed.' Length of Bed Required. Therefore: Construct' a Shallow Bed System 15' Wide X 20' Long. Distribution Piping Placed at 1' Above Ground Level. Placement of System to be in Accordance with Specifications Provided by Anchorage Tank. /-~0" Io~J TYPICAL MOUND SECTION (NO SCALE) NOTE: Minimum 4' Separation From Ground Water Grade Area to Drain Away. 0 HEAD 50" BD MANHOLE 7% HUB W/6"~ HOLE IN TANK BAFFLE 50" BD MANHOLE TANK HEAD RECIRCULATING L~FT STATION SEPTIC T.~,NK WITH TRICKLING FII.TER & UPFLOW FILTER (L/~ ,,_,~,~,,~ --~ a'ai'll::l /AOqJdll V 'Oil ~1~1~ ! ~.1. ~¥110101~~ U'a.Lqka 9NIq~lOlU.L H.LI~ ~NV.L o~zaas NO~ZV~.S .711 SNI/Vl1101'110:i~ NOLLVO01 .LO;I'OUd :::IINYN u3wolsno ~:1111-1 A~O'lddll ILl 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. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 01827150 NAA# 1. '*GENERALINFORMATION Completelegaldescription Lot 5r Block H, Timberlux Subdivision No~ 2 Location (site address or directions) 4740 Manytell Avenue Property owner Mailing address Lending agency Mailing address Agent Address Spinell Homes Dayphone 344-5678 Anchoraqe, AK 99507 Day phone Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickupl Four (4) NOTE: Individual welt ×X Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site ×× Holding tank Community on-site Public sewer 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#21 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/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verifythat 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 on the date of this inspection. Name of Firm Anderson Enqineerinq Phone 563-7~ 55 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's signature ',~.,¢-~'~t.~_~' ~ ~4c,t¢~-'--~ Date 10/22/97 Approved for bedrooms. Disapproved. Conditional apprpval for bedrooms, with the following stipulations: By: Additional Comments Date 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 orderto 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 (Rev. 1/91) Back MOA~t21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICESP% E C E IV E Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 34~11'~4PZl2 1997 Mun cipality of Anchorag, e Health Authority Approval Checklist Dept, Health & Human Serwces Legal Description: A. WELL DATA Well type Private Log present (Y/N) Y Total depth 1 8 5 ' Sanitary seal (Y/N) Lot 5~ Block H: Timberlux Parcel D.: 01827150 If A, B, or C, attach ADEC letter. ADEC water system number Date of test Static water level Well production 4 WATER SAMPLE RESULTS: Coliform 0 Date of sample: 1 0/7/97 B. SEPTIC/HOLDING TANK DATA Date installed 1 0/2/97 Foundation cleanout (Y/N) Date of Pumping New C, ABSORPTION FIELD DATA Date completed Cased to 1 47 ' Y FROM WELL LOG 8/11/97 34' 8/11/97 Casing height (above ground) 2 ' Wires properly protected (Y/N) Y AT INSPECTION g.p.m. Nitrate .1 mq/L Collectedby: Otherbacteria Alan Harala g.p.m. Tank size 2 ~ 000 Number of Compartments 2 Cleanouts (Y/N) _ y Depression (y/N) N High water alarm (y/N) y Pumper Construction Date installed I 0/'2 / q 7 Soil rating (g.p.d./fF or ft2/bdrm) 4.0 Length 2 ¢) ' Width 1 3 ' Gravel thickness below pipe Effective absorption area ~ Monitoring Tube present (Y/N). Y Date of adequacy test NRw Con~t-_ Results (Pass/Fail) Fluid depth in absorption field before test (in.);. Fluid depth (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* Immediately after Absorption rate = If yes, give date System type ~d 6" Total depth 3 ' __ Depression over field (Y/N) N For bedrooms __ gal. water added (in.): g.p.d. D. LIFT STATION Date installed 1 0/2/97 Manhole/Access (Y/N) y High water alarm level at* 55" Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: >100' >100' >20' Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line Size in gallons 500 "Pump on" level at* ~ "Pump off" level at* *Datum ~nk On adjacent lots > 1 O O ' On adjacent lots __ > 1 0 0 ' Public sewer manhole/cleanout Lift station > 1 0 0 ' >100' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation > 5 ' Property line > 1 0 ' Absorption field > ,5 ' Water main/service line > 2 0 ' Surface water/drainage > 1 0 0 ' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain >100' >10' Building foundation >10' Water main/service line >20' 100 ' Driveway, parking/vehicle storage area > ;' 0 ' '~¢,n¢, nn 'r.,~f Wells on adjacent lots > 100 ' F. ENGINEER'S CERTIFICATION I certify that I have d~ in conformance with MOA HAA guidelines in effect on this date. Signature '~t¢,~ ~ Timer Engineer's Name Date 10/22/97 HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number OCT-i?-lg9? 09:59 CT~E ESI ANCHORRGE g075615~01 P,02/02 CT~E ReL# CI/ent Nme Pro~ect Name/# Client Sample Il) Matrix Order~ ~y PWSID Rample Remarks: N{trate-M 976210001 Anderson Engineering Private Well Water Lot ~;,Blk "H", Timberklux S/D Drinking Water 0 0.1130 U D.IO0 mg/L CHeat Printed Date/Time 10/16/97 20:01 Collected Date/Time 10/07197 00:00 Receiv~l Date/i~ne 10/08/97 14:30 Tecludcal Director: Stephen C. Eda , Released By~ ~ EPA ]0O.0 10 max 10/09/97 atp TOTAL P. 02