HomeMy WebLinkAboutWOODRIDGE BLK 3 LT 2Onsite File
Woodridge
Block 3
Lot 2
#020-093-02
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211034 PID Number: 020-093-02
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade
Name
NATHAN & DARCY HICKMAN
ABSORPTION FIELD -EXISTING
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
5141 WOODRIDGE DRIVE, ANCHORAGE
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
Fill added above original grade
Ft.
Gravel length
Ft.
WOODRIDGE 3 2
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
St
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ft'
Ft.
Well
100'+
__
25'+
TANK ® Septic ® S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1500 Gal.
Surface Water
100'+
--
Material
HDPE
Number of compartments
2
Lot Line
5'+
__
NA
Foundation
*7'+
__
LIFT STATION
Manufacturer
ORENCO
Capacity
1500 Gal.
Remarks *OUTSIDE OF SOIL BEARING PRISM.
Alarm location
GARAGE
Electrical installed by
RISING SON
Tankto
PIPE MATERIAL House to tank 3034 3034
Installer MIKE N. ANDERSON
drainf eld
Drainfield CO/MT 3034
Inspector FWC
BENCH MARK (Assumed elevation) 100 ft
Inspection1�1 3/17/21 3/18/2021
Location and description
Lnd
ection
3`d 3/19/2021 4'h
GARAGE SLAB
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
OF A
Conditional Approval: Date
.!
TH
• �:
• `. Curtis Huffman
Septic
Aprovedstem
pP JJ
JUYU/(!"�'
�c,`. CE 128991 •`�,�
��`P,F
Date ��1a���
•.,3/23/21•,.•��c�,
Note: this this approval does not include well permit requirements.
trcev uoiuLrirs/
HOUSE DETAIL
Scale: 1" = 20'
4'x8' LEAN-TO
2.0'x14.4' CANT
1.5'x10.5' CANT
THERE IS A 6'x6'
CONCRETE BLOCK
STRUCTURE UNDER DECK
1.5'x11.3' CANT
m
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NOTE: THE DRIVEWAYS AND PARKING AREAS ARE APPROXIMATE DUE TO SNOW & ICE COVER.
MUNI C I PALI TY OF AN CHORALE
0n it,e Water & Wastewater Program
PO Box 19GG5G 4700 Einime Road
Anchorage, Alaska 99519-6650 Phone: X007} 343.7904 Fax, 0075 343-7997
h 11 R:/NeoYw. m u n i .o rpram ite
Ctrl -Site Wastewater Disposal System Permit
Perm it Number., OSP211034
Work Type; Bep6r-Tank Upgrade
Tax Code Number: 02009302400
Site Legal AddreSS, WOODRIDGE BLK 3 LT 2 G_333T
Site Mail] n g Add"s� 5141 WOOD RI DGE DR, Anchorage
Owner, HICK MAN" NATHAN J.
Design Engineer. FIRST WATER CONSULTING
Th i s pe rrn it is for the construction of,.
FfFar_fivo r Afr%
Expirafion Date,
fgenr
y �
elanrtmeeer
Lot Size in Sq Ft,
Total Bedrooms:
I)MAMY)9
221&12022
40-1174
❑ Disposal Field Rf Septic Tank ❑ Holding Tank ❑ Privy L7 Pfivale Well ❑ Water Storage
All construction shall be in accordance with;
1. The attached approved design.
2. All requirements specified in Ancheraga MunIdpal code Chapters 1S.66 and 15.63 and Iha :S#ato of Alaska
a 5tewetee Disposar Regulakiom i;1 SAAO } an d D rinkIng ~Nater Regu'latiom (I6AAC84)
3. Th-@ wastowaier code req Dlres Inspections during the installation- The gnglnaer shall no the Development
Saryiceo aapwkmant p-ar AMS 16.615. Pno-vid8 netifiootion by Dolling (D07) i343 701364 (24/7).
4. From Chctober 16 to April 15, a subsurface still 9bsorpfion system under construclion during freezing weather
shall be eillher:
a. Opened a rid Closed on the same clay, or
h. Covered. staled, and heated to prevent freezing
Received By: Date_ 21=021
Issued By.. Date,
r
E
MUNICIPALITY OF ANCHORAGE
Development Services Department `'' Phone: 907-343-7904
On -Site Water & Wastewater Section - Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 020-093-02
Property owner(s) NATHAN & DARCY HICKMAN Day phone 907-229-2028
Mailing address 5141 WOODRIDGE DRIVE, ANCHORAGE, AK 99516
Site address 5141 WOODRIDGE DRIVE, ANCHORAGE, AK 99516
Legal description (Sub'd., Block & Lot) WOODRIDGE BLOCK 3, LOT 2
Legal description (Township, Range & Section)
Lot Size 40,174 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF)
0
(w/wo ADU)
Septic Tank
0
Upgrade Q
Duplex (D)
ElHolding
Tank
ElRenewal
ElMultiple
Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION
INCLUDES
A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: A225
Date of Payment: T9/7-1
Receipt Number: 71`6115
Permit No. O.sPZ I 1 U3 Lj
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
February 13, 2021
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC TANK UPGRADE PERMIT
LEGAL: WOODRIDGE BLOCK 3, LOT 2
The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic
tank on the above referenced lot. We propose to install a 1500-gallon HDPE STEP tank per the
attached design to serve the existing 4-bedroom residence. The lot and area are served by private
wells. The design will not impact any of the neighboring properties. Please contact us if you
have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211034, Deb Wockenfuss, 02/18/21
FIRST WATER CONSULTING
WOODRIDGE BLOCK 3, LOT 2
NO WELLS WITHIN
100' OF PROPOSED
SEPTIC TANK
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211034, Deb Wockenfuss, 02/18/21
-.
Found 5f8' czecFound 5f8"
Rebor Pod Rebor
S 89'58'31 E
js, 89.02, 30'
ns �p C Pad = Weft
F TorPrt 0,
beoRamoved o 2.0' x 14.2' m
Cantilever
14,6' x 10.2' - oc"', w
: 2.0'
.�Z Wood Shed on Skids' Cantileverx 17.0*:)i
SEE DETAIL BELOW
LOT t y 1.5' x
�. Cantilever p 9 4 fsl
sj°.,>1---r2.2' tYi
oto p Wood Deckin F"'
' 3.7' x 6:0& Stairs
oA Wood eck C—
'- `3s, Existing Found E
O, S 0 M.H. Multilevel 5/S.. W
k6 -b ty�b '% Wood Frame Reoor G'S
4~� ) House � 34`
Brick Asphalt & Brick 1
e e� Wood Deck
Retaining Paver Driveway
11
(�cooa & Steps Wald w R=24.44'
Found 5/8' SCG /... LOT 2 R=184.44' o 30.94'
Rebor {QQoa BLOCK 3 L=100.70'
,6' 5 Concrete Stairs --
Detached �F
C-4Garage r' Brick Retainin /
( Sp ^s QC D �. 3Walt
� `SO'p0- Q° -zoetic � ti
IR=280.40- Edge of
iL=35.94` Driveway
O
Q
R=20.04'
L=2$.07'
J
/';;
11 411
3.7' x 6.0'
15 a Wood Deck
2' Wood Wood Shed on Skids
Deck 148.9 Sq. Ft.
Wood Shed Detail
Scale: 1'=20'
SCALE 1 " = 40'
0 20' 40 80'
A
M
I hereby certify that an accurate survey of the following described
property:
LOT 2
+4��1
44
.�L'k'jkto
BLOCK 3
WOODRIDGE SUBDIVISION (81-234)
made on October 2. 2018 and that the improvements
49TH
situated thereon are within the property lines and do not overlap or
o
encroach on the property lying adjacent thereto, that no
...................
improvements on the property lying adjacent thereto encroach on
gee Kcrubetn koef :
N'o. 3143 z .
the premises in question and that there are no roadways,
transmission lines or other visible easements on said property except
7
as indicated hereon.
Anchorage Alaska, this 4th day of October ,2018.
�a/o� fZo Ig
A
M
Municipality of Anchorage Page /__of
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: .5' V/ (/ ~7 0~ 7,,;2 PID Number: __02 0
Name: ///~ rh/A// h/IC/~ A~'/~/ Wastewater System: J~ New [] Upgrade
Address: ?~)c~,-~ ~?C'Z//J/'/C'6'- ABSORPTION FIFLD
Phone: ,.~)X-,~c~ .. So~5~ IN°'°lBe7°ms: EiOeepTrenoh J~ Shallow Trench E]Bed E]Mound E]Olher
Total Depth from original grade:
LEGAL DESCRIPTION ~°"""g"g:/. O apo/sq.,t.
Subdivi~iom Depth to pipe bogota from original grade: Gravel depth benealh pipe
~ Fill added above original grade: Gravel length:
-
WELL: ~ New ~ Upgrade Oravelwldth: ~ Ft. ~ /O Ft.
C[assil[caUon (Private, A,B,C): Total Depth; C~sed To: Total absorption area: Pipe material:
Yield: ~/ GPM ~ Pump Set ~t:~ Casing Reign Above Ground:
TANK
/ ~ 5 ~. I ~ Ft.
SEPARATION DIS'rANCES ~ s.p,~ u ,o~d~,~
S.r~.~ ' ' ' LIFT STATION
Water /~O ~ /OO ~ /OO ~
Cultoln ~ump Make & Uodel ~ Electrical Insp~llons performed by:
Drain '--~ ~o~' ~¢r~ ~ ~ )OOSI o~J/ ~, O. ,
Remarks: / ~g/ o~ ~.~. ~. ~¢~o~ BENCH MARK
Locallon and DescrlpUon:
J
17034 Eagle River Loop Road, Ne. ~ ¢' ~ ~' g~ ~r
Department of Health Human Se~ice
Reviewed and approved bY: (]~ Date: /2 -~-~
72~)13 (Roy, g/91) MOA :25
PERMIT NO, SW970272 PAOE 2 o? 3
Municip. o,,Lit;__y_o¢ Ancho~'aQe
DEPARTHENT OF HEALTH SERV
AND FI UI'ffAN ICES
ENVIRONMENTAL SERVICES DIVISION
P,O, Box 196650 ®Anchorage, A~ska 99519-6650®TeLephone, 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL NSPECTION REPORT
beam. LOT 2 BLOCK $ WOODRIDGE SUBDIVISION P.I.D. NO.
A B C
FCO ,3.5' 21,5'
ST1 9.0' 15.5'
ST2 16.5' 9.5'
MH 18.5' 8.5'
MT1 17,5' 14.5'
MT2 75.0' 79,5'
MT$ 2`3.0' 27.0'
MT4 75.5' 88.0'
WELL
RADIUS
~,LT,
LOT 2
ST1
~UNDEVELOPE/~
UTILITY EASEMENT
1500 GAL
S.T.E,P, ~NK
)'~'WELL RADIUS
020-095-02
164th AVE,
40'
ROBERT C. COWAN
CE - 880 !
P'~RN~]"]' NO. SW97027.~2 PAc,~ .3 OF 3
Muni(-iocxLi-bv o¢ Anchor'o, ae
DEPARTHENT OF"'HEALTH AND HUM'AN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,O, Box 196650 I Ancho~o, ge Ato, sko, 99519-6650eTetephone~ 343-4744
ON-SITE WASTEWATER )ISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
L~OAL LOT 2, BLOCK 5, WOODRIDGE SUBDIVISION P.I.D. NO. 020--095--02
ORIGINAL GRADE
,-M'r2 = 101.1'
= 100.1'
/~MT1
MTJ MT / /- FINAL GRADE
__Ill ./
~,, ,NSU,~T,ON II / ~
..~ , /,.~---SEWER ROCK
o.~' EFFECTIVE t~--It] ~ :~ ---D~STRIBU~ON
/ / ~ ...... ~..~- FLOW
r-MT4 = 99.1' , MT3 = 99
MT/ MTY /- FINAL GRADE
/ % II . I.~SEWER ROCK
/ 0.5' EFFF~TIVEI 'Ill /~N .~" DISTRIBUTION PIPE ORIOINAL ORAD£
/ Z /~ t 1.5'',SAND FILTER
/ ~ - ~, ~ FLOW
MT4 = 96.0' J ~MT3 = 96.1'~LINE FROM S.T.E.P. TANK
INVERT 96.5' ~ '~ ~' ~'
BED CROSS SECTION
· 90.5'
WATER FOUND
82.0' B. O. H.
GRADE
From : ALPINE DRILL 90? 545 0202
0ct. 13.1998 11:42 PM PDI
LOCATION OF WELL
LOCATION/SKETCH:
DEPTHS MEASURr~O FROM)~).casino top [~ground surfac(
BOREHOLE DATA: Depth
Meteri~l Type and Color From TO
STATE OF ALASKA
[DEPARTMENT OF NATURAL RE$OUF~OE8
OIVISION OF MINING ~ WATER MGMT
WATER WELL RECORD
?I
W~LL DEPTH; Z~ DATE OF COMPL~ION
Depth o~
g:~!;:"r H 1'0 STATIC WATER Lf~V~L:
..... ,/.~ .... it below ~Ltop ¢ ¢~sing E] 9tourld ~urface
t~ .¢~ET.,O: OF D~ILLINO; ~-~ir rotary D cobto tool
L_' :thor
u~:: D~ WFLL: ~om~ti~ ~ irdgation ~ monitor
' [] p.~bHc supply 0 other
W~LL INTAKE OPENIN0 TYPE:~open end ~ screened
L} pc~fcr~ted ~open h01e
VED
2 8 1998
Municipality of Anchorage
'?it' ,~s ~ Si~e: ..... Length:, ft
-, PACK TYPE:
ft to ft
DE,,,iLOPMENT METHOD: _~
LEVEL AND IELD:
'~t ~fter
PUf,A? INTAKE DEPTH: .~ ft Horsepower; ~
WELL bI$!NPECTED UPON COMPL~ION? ~9 ~ NO
CONTRACTOR INFORMAT/~N: REMAJ¥,($;
r[~d ~usins~me// / ~ WHIT p __ LOG TO:
/~ _~ /~ . /'_ /--~/_ ~e~ PLEASE MAIL E CO Y OF
~rr. ~,_ [/ ~~ ~ ~[ Z¢ DNR/DIVISION OF MINING & WATER MG~T
~g~re OfZAuthorizbd Respt~tatwe Dete 3601 C St, Suite 800
ANCHORAG~ AK 99503-5935
Phone (907)762-2538,Fa~ (907}562-1384
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
625 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
December 9, 1998
Robert C. Cowan, PE
S & S Engineering
17034 Eagle River Loop Road
Suite 204
Eagle River, Alaska 99577
Subject:
Waiver Request for Lot 2 Bl6ck 3 Woodridge
Waiver Request #WR980089
Parcel ID #020 093 02
HA980420, SW970272
Dear Mr. Cowan:
Your request for a waiver of the required 10 feet horizontal separation from the
absorption field to property line has been approved. The approved separation distance is
0.0 feet.
This waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site wastewater disposal system will require all
separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-4744.
Sincerely,
Daniel J. Roth
Civil Engineer
On-Site Water Quality Program
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR~J-]~°~ PID~ 020-093-02 HA~ ~~ Permit ~ SW~70272
Date Received: November 4, 1998
Legal Description: Lot 2 Block 3 Woodrid~e
Engineer:
Applicant:
Robert C. Cowan, S & S Engineering
17034 Eagle River Loop Road, Suite 204, Easle River, Alaska
Nathan Hiekman
99577
Waiver Requested:
south property line
Lot liue waiver of 0 feet from the absorption field uo the
Criteria: 1. Geology:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
Points:
3. Other:
Waiver is Granted: ~ Waiver is NOT Granted:
List Conditions or Reasons for above: __~ f~6/F~
By:
Name of Reviewer
Rec 9: 04321/6834 Amount: S 115.00 Date Paid: Nov 4~ 1998
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, RE.
SEWER&WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUOIES
AND REPORTS
WELL iNSPECTION
& FLOW TEST
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
November 03, 1998
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
gmchorage, AK 99519
REFERENCE: Lot 2, Block 3, Woodridge S/D
"*W[~ONMEN'£AL SE~WCES OIV S
Request you issue a Health Authority Approval on the referenced prol)erty and
grant a waiver for the separation distance between leachfield and the south
property line at 0 feet. We do not anticipate any adverse effect on the adjacent
property since it is a right of way.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/skh
17034 NORTH EAGLE RIVER LOOP · SUITE204 · EAGLE RIVER. ALASKA 99577
PAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF NEALTH AMD HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
AMCHORAGE, ALASKA 99519-6650
ON-SITE WELL AMD WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW970272
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAMME:NATHAM HIClqMAN
OWNER ADDRESS:9925 RELIAMCE
ANCHORAGE, ALASKA 99518
DATE ISSUED: 8/25/97
EXPIRATION DATE: 8/25/98
PARCEL ID:02009302
LEGAL DESCRIPTION:
WOODRIDGE BLK 3 LT 2
LOT SIZE: 40174 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TAMK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDAMCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN AMCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 kND THE STATE OF ALASRA WASTEWATER DISPOSAL
REGULATIONS (18/LAC72) AMD DRINKING WATER REGULATIONS (18AACS0).
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 CONSTEUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AMD HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY: ?~/~/~ ~"~ DATE:
ROBERT C. COWAN, P,E.
SEWER&WATER
iNSPECTiON
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOWTEST
ROAD OESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
E)ES[GN
August 8, 1997
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
Depm'tment of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
Pd2FERENCE: Lot 2, Block 3, Woodfidge Subdivision
Request you issue a permit to drill a well and install a septic system to serve the
proposed foul' bedroom house on the referenced property.
Test holes were excavated and percolation tests performed. The approximate location of
the test holes are located on the attached site plan.
At the time of excavation water no water was encountered in test hole #1, and was
encountered at 5 feet in test hole #2, and after seven day monitoring water was found at 8
feet in test hole ltl, and 5.5 feet in test hole #2. A third measurement was taken in test hole
#1, and water was found at 5.5 feet.
This property has enough exea for a future septic upgrade which can be seen on the
attached site plan.
We do not anticipate any adverse effects on neighboring wells, septic systems or drainage
patterns by the installation of the proposed septic system.
if you require additional information, please contact us.
Sincerely,
Robert C. Cowan> P.E.
RCC/mg
Enclosure
17034 NO RTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
NOIS3d
NV'qd-311S
,09 =
qlVl30
z
NOlS3(]
z
·S'I'
PERFORMED FOR:
LEGAL DESCRIPTION: LO
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section:
1
2
3
4
5
6
7
8
9
10
11
13-
14-
15-
16-
17-
18-
19-
20-
COMMENTS
~.. ] SLOPE SITE PLAN
WAS GROUND WATER JV
ENCOUNTERED?
IF YES, AT WHAT
DEPTH? (~' 6 - ~.1
5' '&'
Depth Io Waler After
I~0nfteriflg? ~ Date:
Reading Date Gross Net Depth to Net
Time Tffne Water Drop
L/:~o/q6 I/ '. 'JO - .5" 9") ,/
u · 7) ~%"
PERCOLATION RATE
TEST RUN BETWEEN __
/~ 0 (m~nutesnnch} PERC HOLE DIAMETER __
. FT AND _____ FT
PERFORMED BY: ....... ~ .......... ~ ~ &- - ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WI ~.~ ~ A~ GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF PIEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION~~''07' ¢Q [~L..,~ ~ ~/00 ~)~li0~'~ Township, Range, Section:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT ..? O
DEPTH? p
E
Monilodng? Dale: (~ ~' '~ 7
I
Gross Net Depth to Net
Reading Date Time Time Water Drop
~z : o l q ~,~ ~ ~/~ " ~/~ "
~,, os- ~ ~'~ '1'/~" ~/~t" _
3 ', 07 ~ ~ '7 ,G- ~/~',
3' ~ ~r m ~,~ ~'~" ~/~"
PERCOLATION RATE -~" ~ (m~nulesnnch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ _ FTAND
,
_ CERTIFY THAT THIS TE~ WAS PERFORMED
17034 Eagle River Loop Roa~ No,
ACCORDANCE WI~j~~AL GUIDELINE8 IN EFFECT ON THIS gATE, DATE: ~ ~ ~ 7
72-008 (Rev. 4/85)
~R
ROBERT C. COWAN, P.E.
HEALTH AUTHORITY
APPROVALS
SEWER&WATER
INSPECTION
ENGTNEERING STUDIES
AND REPORTS
WELL INSPECTION
&FLOWTEST
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ONSITE
W,~STEWATER
OISPOSAL SYSTEM
DESIGN
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
REFERENCE:
GENERAL:
Lot 2, Block 3, Woodridge Subdivision
August 8, 1997
The scope of this project includes the installation of a 1500 gallon wastewater
S.T.E.P. system (septic tank) and two pressurized absorption trenches to serve the
proposed tbur bedroom residence located on 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 necessa]y 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 satisl~actory
vegetation growth over the mounded area.
Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department for system installations. Owners installing thek 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 manufacture]'.
Construction shall include two 4" cleanouts for pumping access.
The septic tank shall be sufficiently betided to prevent settling or shifting of the
tank.
All standpipes on the septic tank shall extend a n'dnimum of 12 inches above final
grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
17034 NORTH EAGLE RIVER LOOP "SUITE 204 · EAGLE RIVER, ALASKA 99577
Page Two
Lot 2, Block 3,
August 8, 1997
Woodridge SubdMsion
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. fi'om 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 TRENCII/DRAINFIELD INSTALLA~IION:
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.
Once the gravel is installed, the distribution pipe is to be installed level with the holes faced
downward. The distribution piping is to be ofPVC (ASTM D3034 or equal). All joints
are to be solvent cemented. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
A silt handier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel smface before placing backfill.
Monitor tubes shall be of four (4) inch diametei; installed approximately in the locations
shown on the design, and extend a minhnum of 12 inches above final grade. The portion of
the monitoring tube extending through the gravel shall be perforated fi'om 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 fial 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 ora depression after settling.
PRESSURIZED MOUND SYSTEM INSTALLATION:
1. Any peat or organic matter must be removed from the elevated mound site.
The bottom of the basal bed area as well as the top of the sand filter is to be within two
inches of level.
3. The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be
solvent cemented.
Page Tlu'ee
Lot 2, Block 3, Woodrklge Subdivision
August 8, 1997
4. The side slopes of the top layer of the mound system must not be steeper than 33% (3:1).
5. The top of the mound shall be covered with a minimum of 6 inches of topsoil and
vegetated sufficiently to prevent erosion.
6. The distribution pipes are to be embedded in sewer rock. Care should be taken to backfill
in such a way as to prevent damage to the piping system.
7. Silt barrier material 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.
8. 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 thhV-six (36) inches.
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipally approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe 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.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofomn HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulde~; Fernco, or
equal).
5. A permeable nontoxic slit barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfiald gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the ~2,00 sieve.
Page Four
Lot 2, Block 3, Woodridge Subdivision
August 8, 1997
When sand is being used as a filter material, its gradation specifications must confmrn to
current M.O.A. or D.E.C. requkements.
INSPECTIONS:
Typically there will be a minhnum 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 ,'ffter 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 ban'ier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. 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 necessmy, a pre-
construction meeting will take place on-site. The inspecting engineer will not coordinate, dkect 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. pe~rnit. 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 Engineeting 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.
CONTRACTO1ViNSTALLER
DEF:'ARTMliBxlT C)F HI!iEAI..TH AND ENVIFd]IxIMENTAI._ F'I:ROTEI:YFI[)Isl
F"ERIq ]: '1"
DA'I"E
E}505:1.4 ENG I NIii:EF~IEED DIES l' GN
OEI / 19185
AI:::'PI.. I CANT:
AT)DRESS ~
[;ON'TACT F'HONE ~
W ]: L.I.,. I AMS WOODWORKING
'78()0 DIF:BAI::;~R RD.
AI',I[] H OI:RAGI~::, AK 99504
:338-02.76
I...EGAI..
I.,OT SI
SLIBD:[VIStONJ: WI]ODRIDGE LOT:
SECT I OIq: 3 "I"[)WNSH I F': 1:1.1',1 I:RANf::)E, 3W
.l· 5h ([~D. F'T. OR
BL. OCK: 5
]: cer"L i ['y 'l:.hat:
1. I am t'ami].:Lar' with the peqLui. PemerrLs
,c:; I DlqlL::I}
AF"I::'I.. I [:',AI',IT:
I SI3LJIED BY
~oP'Lh by the MLu'iicil~ali'Ly of Anchacage (~E)h) arid the ~t. at~ of ~la~t=:a,,
3: w:i.].l :i. ns'La].l 'Lhe system :i.l'] accoPdance with ;~].l MOA c:odes ,?,lid i'egLl].at:i, oris,
and in cc)mpl:i, ance with thc~ des:i, gn c:pJ.'L~,r':La al' 'Lh:i.s pePm:i.{,,
I w:i. 1] adher'e 'Lc) ali. MOA arid Stat, e {::)t' Alaska r'eq{.,d. PemerrLs fop t, hc~ seL bacl<
, ~,~ DATE:
DATE:
, ,~.. o'. .. 6659
ANQHORAGF~. ALASKA
(907) 264-411 !
DEPARTMENT OF H~ALTH & HUMAN SERVICES
January 10, 1986
TO: Permit Applicant
Subject: Permit # 850514
Lot 2 Block 3 Woodridge Subdivision
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar year basis by authority of Municipal
Ordinance. A new permit must be obtained from this Department for any
well and/or on-site sewer system not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to this
Department for documentation .of the installation and to close the permit.
If a private engineer inspected the installation of the on-site sewer system
the original as-built inspection report(three part form) must be sent to
this office for review and approval,and for documentation.
If there are any further questions, please call this office at 264-4720.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
enc: Cop5, of Permit
COSA Checklist
Legal Description: WOODRIDGE BLOCK 3, LOT 2 Parcel ID: 020-093-02
If more than 1 septic system on lot: COSA Checklist #
of
Structure served by this system
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 1/21/1998
Total depth 165 ft
Cased to 29 ft (INTO BEDROCK)
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 24 in.
Date of flow test for COSA 2/8/21
Static water level at beginning of test 34 ft.
Well production at time of test 3.3 gpm
Water storage tank volume NA gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 0.205 mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date of Sample 2/8/2021
Comments __________________________________________________________________________________
B. TANK DATA
Age of tank(s) 0 years
Tank type/material STEP / HDPE
Measured operating fluid level in septic tank NA
Standpipes/foundation cleanout per record drawing
Date of pumping NA
C. LIFT STATION
Required maintenance completed
Age of lift station 0 years
Lift station material HDPE
Comments: NEW TANK W/ LIFT STATION
D. ABSORPTION FIELD DATA
Which system tested (date installed) 2/27/1998
ALL standpipes present per record drawing
Total measured depth from grade 2.8 ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective
Code-required soil cover over field W / INSUL.
System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Adequacy test date 2/8/2021
Results Pass For 4 bedrooms
Fluid depth prior to test 0 in
Water added 600 gal
New depth 3 in
Elapsed time 1400 min
Final fluid depth 0 in
Absorption rate 600 gpd
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Comments/Deficiencies:
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100’
Yes if No
ft
Neighboring Tank > 100’ Yes if No
ft
Absorption Field on Lot > 100’ Yes if No
ft
Neighboring Absorption Fields > 100’
Yes if No
ft
Community Sewer Main > 75’ Yes if No
ft
Community Sewer Manhole/Cleanout > 100’
Yes if No
ft
Private Sewer/Septic Line > 25’ Yes if No
ft
Holding Tank > 100’ Yes if No
ft
Animal Containment > 50’ Yes if No
ft
Manure/Animal Excreta Storage > 100’
Yes if No
ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No **7+ ft
Property Line > 5’ Yes if No
ft
Absorption Field > 5’ Yes if No
ft
Water Main > 10’ Yes if No
ft
Water Service Line > 10’ Yes if No
ft
Surface Water > 100’ Yes if No
ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No
ft
Community Wells > 200’ Yes if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10’ Yes if No
ft
Property Line > 10’ Yes if No *0 ft
Water Main > 10’ Yes if No
ft
Water Service Line > 10’ Yes if No
ft
Surface Water > 100’ Yes if No
ft
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No
F. ENGINEER’S COMMENTS
*MOA WAIVER. **Outside soil bearing prism.
G. ENGINEER’S CERTIFICATION
I certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance
with MOA COSA guidelines in effect on this date.
3/23/2021
MUNICIPALITY OF ANCHORAGE
DEPARTMENT 01: 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. # o2¢~-09:~-02
1. GENERAL INFORMATION
Complete legal description
Lot 2, Block 3, Woodrldge S/D
Location (site address or directions) 5141 Woodridge Drive, Anchorage, AK 99516
Prope~y owner Nathan Hickman Day phone 223-5699
Mailing address
Lending agency
Mailin. g address
Agent
Address
Pacific Alaska Mortgage/Henri Roos Day phone
2600 Denali, Suite 702, Anchorage, AK 99503
Day phone
258-7534
Unless otherwise requested, HAA will be held for pickup.
4
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
NOTE:
Individual well XXX
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:
XXX
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
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 Municipalify 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.
S & S ENGINEERING
Name of Firm .............................. Phone ~
Address Eagle River, Alaska 99577
Engineer's signature "2-Z-U,~.//-~..'-"----- Date
DHHS SIGNATURE
Approved for ¢
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
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 DH HS 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.
Municipality of Anchorage
DEPARTMFNT OF HEALTH & HUMAN SERVICES
Environmental Services Divisior'
825 L Street, Room 502 · Anchorage, Alaska 99501 ·
Health Authority Approval Checklist
LegalDescription:_~_,O'7' ¢ /~L~: ~':~ ~OoZ),e*Pd,-~. ParcelI,D.: O',,~O-Off ~-0;~
A. WELL DATA
Well type jo/q IV~
Log present L'~N)
f
Total depth
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed I / ~. ~ ./¢/o~
Cased to ~t~c~ To g.'~.Oasing height (above ground)
Sanitary seal (~/N) ¥ ~-J
Wires propeny protected(~/N)
Date of test
Static water level
Well production
FROM WELL LOG
AT INSPECTION
,
~ g.p.m. ~/~'"
g.p.m.
W~TER SAMPLE RESULTS:
Coliform
Date of sample:
B. SEPTIC/HOLDING TANK D.~TA
Date installed 2~/;z ~ / ~l ~? Tanksize
Foundation cleanout (~/N} _
Date of Fumping ~v/~- --/~ ¢v,,v _ Pumper
Nitrate O. f Other bacteria o
~ /~/~'/~ ~ Collected by: S & S ENGINEERING
17034 Eagle River Loop Road No. 204
Eagle River, Alaska 99577
I ~o 0 Number of Compartments P-- Cleanouts~/Nl. Y'~-$
Depression (Y~ AJ 0 . High water alarm (~'~N) ~"~ .f'
C. ABSORPTION FIELD DATA
Date installed ~/~ '?/c~
Length A~----- {;o ~,~..Width
Soil rating~or ft~/bdrm) I. 0 System type ~,~-~
Gravel thickness below p pa. O, ~- _ Total depth
Effective absorption area __ (o o o ~r Monitoring Tube present [~/N) ¥ J Depression over field (Y~t ,~ 0
Date of adequacy test ~ / 4- -/,, ~,,~' __ Results (Pass/Fail) For Y bedreoms
Fluid depth in absorption field before test (in.); __ Immediately after gal. water added (in.):
Fluid depth (ins) Minutes later: ~"~5'-s~o'~rate = g.p.d.
Peroxide t~.~.tm..~ent_(13ast--t-2~h"~'l~s) (Y/N) If yes, giw; date
72-026 (Rev. 3/96)*
D. LIFT STATION
Date installed ~/3.-~/q
Manhole/Access G/N) ~' ~--
High water alarm level at*
Cycles tested ~
E. SEPARATION DISTANCES
Size in gallons / ,~o ,~
"Pump on" level at* 2~ 3 "Pump off" level at* 3 3
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot /
Absorption field on lot / o 0
Public sewer main :¢
Sewer/septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ~ ~ Property line $~' 6 ~ Absorption field '3
Water main/service line I o 4- Surface watefldrainage /0o -~ Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line 0 ~ ~"~...+~,~.t
"- Building foundation / o -~ Water main/service line
Surface water ] b O ¢ ~" Driveway, parking/vehicle storage area
/
Curtain drain ~ 0 ~*'c ~c ~ 0 ~. ~J Wells on adjacent Iot~. /
F. ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections
in conformance wit~.A~_ idelines in effect on this date,
Signature
Engineer's Name
Date
HAAFee $. "'3~'"~E'2" ~o _(~b
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev, 3/96)*
NOV-IQ-98 0T:58 FROM-CTE ENViRONMENTAl
5615301
T.-51T P 02/03 F-630
SamPle Remaxks:
986552001
S & S Engineering
Ll 2 BI~ 3 Woodridge $1D
Lt 2 Blk 3 Woodridge S/D
Drinking Water
0
Client PO~
Prated Date/Time 1 t/09/98 12:34
Coll~cte. d Date/Thue 1 I105198 09:15
Received Date/Time 11/05/98 12:15
T~clatJr. al Dir~tor: Stephen C, EQe