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Home My WebLink AboutT15N R1W SEC 18 LT 107 .. Municipality of Anchorage Page I of ~-. 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 Permit Number: ..~uJ ~/~ oi,~ I PID Number: o~ i .- 1'7'z. -2 I Name: 6r~,c~ ~. ~o~e~ Wastewater System: ~ New D Upgrade Address: Phone: ~-~1~ No, of~drooms: ~ Deep Trench ~ShallowTrench ~Bed QMound QOther LEGAL DESCRIPTION SoilRating: I. O GPD/Sq. Ft. Total Depth fro~origlnal grade: Lot: ~ O~ Block: ~ Subdiv~ion:~ Depth to pipe bottom fr~nal, grade: Ft. Gravel depth beneatho,pipe~ Ft, Section: Fill added above original grade: Grav I length: Number of lines: Distance between lines: WELL: U New ~ Upgrade Gravel width: ~ Ft. '~ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: A~ Date Drilled: Static Water Level: installer: Date installed: Yield: ~ ~ GPM Pump Set at: Ft. JCasing Height Above] GroundFt. TANK SEPARATION DISTANCES ~Septic D Holding D S.T.E.P. To Septic Absorption Lift Holding ~ublic/Prlvat~ Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines A ~ ~E ~ /O O Number of Compa~ments: Sudace I~ ~ Lot Size in gallons: Manufacturer: Foundation ~, ~1~ -- -- -- "Pump on" level ~t: I High water alarm ~t: Cu~ainDrain ~ ' ~o~ ~l~. ~ P~del ElectrlcallnspectJonspedormedby: Remarks: BENCH MARK Location and Description: Rewewed and approved Date: ' .4 72-013 (Rev. 9/91) MOA 25 Permit No. $W950181 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 Description' LOT 107, SEC. /1,/ · 8, T15N, R1W PIDNo.: 051-172-21 ~ / 17' / .31' .Z. N / 37' 43' 61' 87' 72' ,/ALT. S TRENCHES (DOE STALLED FLOW NOT EXTEND UAI2S f' = 40' GRADE 8T2 ~EW ~ i000 GAL I~x-~- GEFTIC ~n~ ~, ~, CO1 95.1~ -NEW 100C SEPTIC ,NK C03 = 95.7'- C04 = 95.6' ROBERT C, CE -8801 72-013 A (Rev 9/91) MOA 25 ;4 ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. SEWER&WATER INSPECTION ENGINEERING STUOIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PLANS ROAD DESIGN $OILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS Date CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 RECEIVED 9 1996 Municipality ot An{3h_orag. e Dept, Health & Human ~;erw~e~ The septic inspections for the referenced property were performed on 8-~ and ~-9-~ . Prior to submitting the On-site Wastewater Disposal System and/or Well Inspection Report we are waiting for the ~-~ b*-~ ~ to be completed. 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 : q66~ £~ 'un£ 8&OP 889 106 : 'ON BNOHd ]BNNB~ ~OlS I~l : WD~ 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 1 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW950181 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:MORONEY BRUCE J 50% & OWNER ADDRESS:P.O. BOX 672074 CHUGIAK, AK 995657 DATE ISSUED: 7/28/95 EXPIRATION DATE: 7/28/96 PARCEL ID:05117221 LEGAL DESCRIPTION: T15N R1W SEC 18 LT 107 LOT SIZE: 79000 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 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) 4o 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:k DATE: ROBERTC. COWAN, RE. ROBERTA. SHAFER, RE. J~y 24, 1995 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER &WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REFORTS WELL INSPECTION &FLOWTEST SITE PLANS ROAD DESIGN BOILEEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE W~STEWATER DJSPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of H~alth and H~man Services P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 107; Sec. 18; T15N; be.d,,toom house on ,the A test hole ms excavated and a percolation test p~rformed. The approximate location of the t~st hole is located on the attached site At the ;C~e of excavation, water us encountered at 9 feet and after seven day ground water motoring water ~ found at 8 feet. This property has enough ar~a for a fat~re septic upgrade which can be seen on the attached site plan. We. do not anticipate any adverse effects on neighboring w~s, septic systems or drainage patter~ by the i~t~ation of the proposed septic system. There are no points of contamination within the proposed w~ll radius which can be seen on the attached site plan. If you require additional information, please contact as. Sincerely, Robert C. Co~n, P.E. RCC/gk En~osure 17034 NORTH EAGLE RIVER LOOP SUITE 204 EAGLE RIVER, ALASKA 99577 SCALE SITE PLAN I DESION PERFORMED FOR: LEGAL DESCRIPTION: ~ ~,(~'~ DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~' ~'~"~ Township, Range, Section: ~l~g SLOPE SITE PLAN 5 6 7 8 9 10 11 12 13 14 15 16 17 18- 19- 20- WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT DEPTH? {5~ P E DeplD to Waler After ~:~, Date: Mollilorieg? Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/tach) PERC HOLE DIAMETER __ COMMENTS TEST RUN BETWEEN FT AND __ FT s & s s.m. ses. MI~'~ Eag,e ~wer ~gp ~gaa ,'~g..~u,.~ i//(_~(z/ ~ . CERTIFY THA[./~THIS TE~· WAS PERFORMED ACCORDERgII~Jl~;rAL/[I~ItN~'L~Rt'/Li~;TMUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE: ~_c~ .L) ~ .~ ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. HEADHAUTHORITY APPROVALS SEWER & WATER MAIN EXTE~IONS SEWER & WATER iNSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SiTE PLANS ROAO DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 REFERENCE: Lot 107, Section 18, T15N R1W July 24, 1995 GENERAL: 1. The scope of this project includes the installation of a 1000 gallon septic tank and five foot wide drainfields to serve the proposed three bedroom residence for the referenced property. 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. 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. 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. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade· 17034 NO RTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 107, July 24, Section 1995 18, T15N R1W e 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. 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 inches 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. 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. Page Three Lot 107, Section July 24, 1995 18, T15N R1W MINI~{UM I~.TERIAL SPECXFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use ii1 septic system installations in the Municipality of Anchorage: Type of PiR9 Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial 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. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7e When sand is being used as a filter material, its gradation specifications INust conform to current M.O.A. or D.E.C. requirements. Page Four Lot 107, Section 18, July 24, 1995 T15N R1W 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. 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/OWNER HIDDEN NW 1154 40 COPYRIGHT 1989 JMR ~(~ 41 49 North Municipality Area Reference Map--lB 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 -,~ ! NAA# ~t ~-~- C~ [~ (~J ~ ~-~ 1. GENERAL INFORMATION Complete legal description Lot 107; Sec 18; TISN; Location (site address or directions) Brown Avenue Chu~x'.ak, AK Property owner Mailing address Lending agency Mailing address Bruce Morone, q Day phone P,O. - v .. ,~;o~ oo,. 672074 C!~u~,~;a~s~ AY, c .... 688-4078 Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well ;~X;'~ Community well Public water ~NICIPA[ITY OF ANCHOi~GE F-NVJROi*~tENTAL SERVICEs D~VI$10N JUN 24 ]996 RECEIVED NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. 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) Fronl MOA #21 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 verify that based on the information obtained from the Municipality of Anchorage fifes 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 S & S ENGINEEEING 17034EagleRIverl.~p~aa~i';~.2C4 Phone C~c~-)-'q '~ Address ~agle Rlver~ Alaska 99577 Engineer's signature ~. '_,~/~ ~z_~ ~"~£ .~____~ Date DHHS SIGNATURE "~ Approved for -~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: By: Additional Comments 'The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineeCs work. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Serwces Division 825L Street, Room 502' Anchorage, Alaska 99501' (907) Health Authority Approval Checklist Legal Description: A. WELL DATA L~,-r Io'/, ~"- I~; ~15/',11 I~lu.) ParcelI.D.: 0~1~ l-/~-7,1 Well type Log present ~/N) Total depth Sanitary seal Date of test ,( Cased to FROM WELL LOG ~ ..-/- '~ If A, B, or C, attach ADEC letter. ADEC water system number '""'" Date completed E "'7- ~1~ · 2.'Z.c) I Casing height (above ground) Wires properly protected~) AT INSPECTION Static water level ~ '7- Well production .-~ "7 WATER SAMPLE RESULTS: g.p.m J g.p.m, Coliform ~ Date of sample: ~,//~]/'~ B. SEPTIC/HOLDINGTANK DATA Nitrate O. I(~ ~1/~//--- Other bacteria ~ Collected by: ~ ~l~g L~i[~i.._~ ,~ Date installed <~ - ~- ~t ~ Foundation cleanout {~'N) Date of Pumping C. A~B$ORPTION FIELD DA?.~ Date installed Length WO (z~/~ idt Tanksize Iooo Number of Compartments 'Z. Cleanouts(~i'N). Y Depression (Y/~ I~J High water alarm (Y~ t,) Pumper Soil rating (g,p.d./fF or fF/bdrm) I g,/,p/l~ System type Gravel thickness below pipe O. ,~ Total depth E~ecilve absorption area ~50 ~ Monitoring Tube presenl~) Y' Date of adequacy test ~ I A' -' ~..t Results (Pass/Fail) -~ Fluid depth in absorption field before test (in.);. Fluid depth (ins) Minutes later: Peroxide treatment (past 12 months) Depression over field (Y~). For ~ bedrooms Immediately after~ gal, water added (in.): Absorption rate = '~- g.p.d, If yes, give date 72-026 (Rev. 3/96)* LIFT STATION Datf~,installed ~i., , ~ Manhole/Access (Y/N) ...~Po/~p on" level at* "Pump off" level at* High w~ *Datum ~ted SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot I Absorption field on lot t Public sewer main Sewer/septic service line On adjacent lots I oD On adjacent lots Public sewer manhole/cleanout IJ Lift station I,I/j~ SEPARATION DISTANCES FROM SEPTIC/HOLDINGTANK ON LOTTO: Foundation ~,~'Z.I Property line I0~'~ Absorption field Water main/service line ~O I-t' Surface water/drainage ~oo ~ '{- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Properiy line J o I ~. Building foundation ~o ice Water main/service line Surface water ~ oot + Driveway, parking/vehicle storage area Curtain drain I~ //~ Wells on adjacent lots Ioot+ F. ENGINEER'S CERTIFICATION Wells on adjacent lots I certify that I have determined thru field inspections and review of Municipal records that SignatureinC°nf°rmancewi~M~OA~~effect°nthisdate'~ ~ Engineer's Name /~/~,~7- ~'~. ~'~./~,~J Date (~ /~"/ / ~'(-' 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment - Receipt Number ~ ar~