HomeMy WebLinkAboutVERN HAIK LT 8V rn Hoik
Lot 8
#051-061-86
of
,.,~ . ,. . Municipality of Anchorage Page 1 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P_O. Box 196650 · Anchorage, Alaska 99519q3650 · Telephone: 343~4744
.On-Site Was!ewater Disposal System and/or Well Inspection Report.
. PermitNumbeE SW000321 PIDNumber: 0_51-061-86
~- ' ' Wastewater System: ~ New [] Upgrade
MM&M Contrac~:ing
'"~'~: '-' ABSORPTION FIELD"
P.O. Box 6704'95 chUg.iak, AK'99567
ree (~) . .
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-' v,.Denartment of Health and Human Services aDnroval' '.
Rev ewed and approved by .~ ~. . ~;{" Date.~ o,o -.~%~-,~?.t~?
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HU MAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 - Anchorage, AK 99519-6650 - 343-4744
On-Site Wastewater Disposal System or Well Inspection Report
Page 2 of 3
Permit Number SW000321
PID No. 051-01-36
LOT 9
utility Easement
LOT 8, VERN
A. B
S2 11,5 34.5
C3 12.0 29.5
C4 33.5 14.7
M1 31.6 12.8
HAIK SUBDIVISION
Access tb Lot 9
PLAN AS-BUILT
SCALE 1" = 30'
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 -Anchorage, AK 99519-6650 - 343-4744
On-Site Wastewater Disposal System or Well Inspection Report
Page 3 of 3
Permit Number SW000321
PID No. 051-061-36
PROFILE AS-BUILT
1" = 10'
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
. P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Aug 23, 2000
Expiration Date: Aug 23, 2001
Permit Number: SW000321
Legal Description: Vern Haik, Lot 8
Design Engineer: 0014 Anderson Engineering
Owner Name: MM & M Contracting
Owner Address: PO Box 670495
Chugiak, AK 99567-
Parcel ID: 05t-061-86
Site Address: unknown
Lot Size: 22798 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well
[] Water Storage
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
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
August 16, 2000
Munici patity of Anchorage
Department of Health and Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot 8, Veto Haik Subdivision
Septic System Design and Permit Application
Imp~icts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 8, Vern Haik Subdivision intends to construct a three-bedroom home
on the lot. We are therefore applying for a permit to construct a new absorption septic
system on the lot to serve the home. The a[tached Site Plan and backup
documentation identify the location and configuration of the new septic system and the
parameters used in the design. The lot and surrounding area are served by a
community water system and separation distances are easily met between the septic
system and the water service on the lot.
Two test holes were recently placed on the lot in the area of the new absorption trench.
Both holes revealed similar materials with well graded sand. with some gravel with a
percolation rate of 1 minute per inch. No groundwater was encountered in either
excavation and none accumulated during the monitoring period. We have therefore
designed a deep absorption trench with 6' of gravel beneath the distribution pipe. The
total length of the trench will be 32'. The total depth of the trench from original grade
will be 9',
The ground surface on the lot slopes from south to north at approximately 2%. It also
slopes from east tO west again at 2% The new trench will be constructed parallel to
the contours of the surface in conformance with Municipal requirements. Grading will
be accomplished to assure surface drainage is away from the new trench. Mounding
will be required over the trench to provide a minimum of 3' of cover or 2" of insulation
will be placed and 2' of cover to provide protection against freezing.
If the system is constructed in accordance with our design the following statements
apply:
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 area is currently served
by a community water system.
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.
L~)t 8, Vern Haik Subdivision
August 16, 2000
Page Two
The system, if constructed as designed, will have no adverse im pact on reserve
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 wilt be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
LOT 9
Utility Easement
LOT 8, VERN HAIK SUBDIVISION
_~ 2%+-
Three
Bedroom
Home
1,000 Gallon
Septic Tank
~ 32',Lonq. X 3' W:
X 6 .Effective ]
Absorption Tren(
~TH2
~ [ ~ Alternate
Site
TH1
utility Easement
Access to Lot 9
r,-
Z
0
Z
0
SITE PLAN
' ' SCALE 1" = 30'
Water System
~':"": "- -'~"':"-':~ - AREA MAP
'" ' SCALE 1" = 100'
:f"' NOTE:" Area'Served By P~p~ic
LOT 8, VERN HAIK SUBDIVISION
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
Three Bedroom Home
Perc. Rate: I Min./Inch
Application Rate: 1.2 GPD/SF
Deep Trench System
1,000 Gallon Septic Tank
6' Drainfield Rock
3 Bedrooms X 150 GPD / 1.2 GPD/SF = 375 SF of Absorption Area
375 SF/12 SF/LF = 31.25 LF Trench Length
Therefore: Construct a New Absorption Trench 32' in Length With 6' of Drainfield Rock
Beneath the Distribution Lateral, Distribution Lateral to Be Placed 3' Below Existing
Ground. Total Depth of Trench to Be 9' from Existing Surface. Mound Over Trench to
Provided Minimum Cover of 3'.
'2-' 6" ;.- -
G~O~ex~ile
<-Fabric
~VC
Drair~f±eld
NOTE;
TYPICAL WIDE TRENCH SECTION
(NO SCALE)
Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum 10' Separation From Lot Line,
Minimum 4' Separation From Groundwater.
Minimum 10' Separation From Water Service Line.
Municipality of Anchorage
Department of Health & Human Services
825 L Street, Anchorage, AK 99502-0650
SOILS LOG - PERCOLATION TEST
Performed For: MM&M Contractina _
Legal Description: Lot 8 . Vern Haik Subdivision
10
11
12
13
14
15
16
OG/OL
SW
TESTHOLE NO.. !
Well Graded
Sands
with
Gravel
18
21
SLOPE
Bottom of
Hofe
Was Groundwater
Encountered?
If Yes, What Depth?
Depth to Water
After Monitoring
Date:
Date Performed:
SITE PL,~,N
See Site Plan
EP0%
No ! 2% ,,
None
8/15100
Reading Date Gross Net Depth To Net
Time 'ime Water Drop
1 9-Aug. 2:00 1" ·
2 2:12 12 11" 10"
3 2:13 1"
· 4 2:25 12 11" 10"
5 2:26 1"
6 2:38 I 12 11" 10"
Perc. Rate: 1.3 Min./Inch Perc. Hole Diameter: 6"
Test Run Between 4.5 Ft. and 5.5 Ft.
Comments: Percolation Cavity Presoaked Prior to Testing.
Performed By: Tim Kimbrough. I, Mich~ E. Anders n Certify That This Test Was Performed
Accordance With All State and Municinal Guidelines In Effect On This Date: 8/15100
Municipality of Anchorage
DeBadment of Health & Human Services
825 L Street, Anchorage, AK 99502-0650
SOILS LOG - PERCOLATION TEST
Performed For: MM&M Contractina
Legal Description: Lot '~. Vere Haik Subdivision
SLOPE
OG/OL
SW
TESTHOLE NO. 2
Well Graded
Sands
with
Gravel
Date Performed:
S~Tb PLAN
See Site Plan
10
11
12
13
14
15
16
17
18
21
Bottom of
Hole
Was Groundwater
Encountered? No
If Yes, What Depth?
Depth to Water
After Monitoring None
Date: 8/15100
EPI ,0%
S /
~ 2 % ,.//
Reading Date Gross Net Depth To Net
Time · l-line Water Drop
I 9-Aug 2:25 1"
2 2:37 12 13" 12"
3 2:38 1"
4 2:50 , 12 13" 12'
5 2:51 1"
Perc. Rate: 1 Min./Inch Perc. Hole Diameter: 6"
Test Run Between 4.5 Ft. and 5.5 Ft.
Comments: Percolation Cavity Presoaked Pdor to Testing.
Performed By: Tim Kimbrouah. I, Michael E. Anderson Cedi[y That This Test Was Performed
tn Accordance With All State and Municipal Guidelines In Effect On This Date: 8/15/00
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 8, VERN HAIK SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a
new 1,000 gallon septic tank at the location shown on the Site Plan.
Work also includes the construction of a new 32' long X 3' wide X 6'
effective depth absorption trench at the location shown. Distribution
pipe will be placed at 3' below the original ground surface. The total
depth of the trench from original ground will be 9'. Mounding over the
trench will be required to provide a minimum of 3.0' of protective cover.
In lieu of 3' of cover 2" of insulation and 2' of cover is acceptable.
-2.
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 responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the
location of all lot lines.
Unless specifically agreed otherwise, the contractor shall be
responsible for final grading areas subsequently depressed from soil
settling. 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.
SEPTIC TANK INSTALLATION
1. A new 1,000 gallon septic tank must be be procured from an approved
source and installed at the location shown on the plans.
A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts for pumping
access.
3. The septic tank shall be sufficiently bedded to ~revent settling or
shifting of the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
5. Tanks 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. Two cleanouts are required between the tank and
the drainfield.
~.ot 8, Vern Haik Subdivision
August 16, 2000
Page 2 of 3
7. Final grading over the tank shall be such that a ~ositive slope exists
away from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the
design. The bottom of the trench shall be within 2" of level.
Distribution piping must be placed evel 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.
4. Monitor tubes musl be 4" in diameter and installed at the locations
shown on the design The portion below ground must be perforated.
Contractor shall verify the septic tank and drainfield are a mimmum
100' away from any private water wells in the area, 150' from a Class
"C" Well or 200' from any community well.
Direct bury insulation must be placed over the distribution system if
less than 3' of backfill depth is available. Finish grade over the trench
must be mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trenches to drain away.
A minimum 2' of accepting soil is required below the drainfield rock for
a 5' wide trench. Contractor shall verify this condition prior to
placement of the rock. All pockets of unacceptable materials must be
removed and replaced.
MATERIAL SPECIFICATIONS:
1; Septic tanks must be constructed by a municipally approved septic
tank manufacturer.
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).
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).
Lot 8, Vern Haik Subdivision
August 16, 2000
Page 3 of 3
5. 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:
Municipal Ordinance requires a minimum of two nspections. 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 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 inspection.
Contractor shal provide a copy of all field survey layout and construction
notes for use in preparing the certified as-built of the completed system.
Vlunicipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 "L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-4744
Parcel I.D.
1. GENERAL INFORMATION
Complete legal description
OERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
· //.~ - ' .... -
Expiration Date:
Lot 8, Vern Haik Subdivision
Location (site address or directions)
Current Property owner(s) MM&M Contracting Day phone 688-1 236
Mailing address '2.0. Box 670495 Chugiak, AK 99567
Lending agency
Mailing address
Day phone
Real Estate Agent
Mailing Address
Day phone
Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by:
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class A
Public Water System
Well
Three (3)
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site
[] Individual Holding Tank
[] Community On-site
[] Public Sewer
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Cedificates :-
Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independer:
professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval ar_:
required for the transfer of title (except between spouses) on properties served by a single family on-sh~
wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners
Certificates of Health Authority Approval are valid for 90 days from the date of issue for prope~ies served b,
a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificate~
are valid for one year for properties served by Class A or B wells or a public water system. The Municipaii:
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
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
based on procedures outlined in the Health Authority Approval Guidelines for the Health Authority Approval
application show 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 investigation and inspection, the on-
site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State
codes, ordinances, and regulations in effect at the time of installation.
Name of Firm Anderson Engineering Phone
Address P.O. Box 240773 Anchoraqe, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E. Date
DHHS SIGNATURE
Approved for __
Disapproved.
Conditional approval for __
522-7773
~11/7/00
* ~ ~ '~ '~:~:r ')'ENGINEERS ...'
bedrooms. '~'5 ~:~ ~, '.
bedrooms, with the following stipulations.
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Expiration Date: ,?_ ~ ? ~ C]~
Original Certificate Date:
Fleissue Dale:
75 025 ,Re,/ 0: 001'
Legal Description:
A, WELL DATA
Well type
Date completed __
Total depth
- Municipality of AnchOrage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 "L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.ancho rage.ak.us
(907) 343-4744
RECEIV
NOV 0 7 2000
,-, MUNICIPALITY OF ANCHORAGE
HEALTH AUTHORITY APPROVAL ~,~HECKLIS-~NVlRONMENTAL SEEVICES DIVISION
Lot 8, Vern Haik Subdivision
Community Water System
IfA, B, orC provide PWSlD # 211431
Nitrate
Collected by:
Sanitary seal __
tt Cased to
FROM WELL LOG
Parcel I.D.:
051 -01 -36
Well Log
Wires properly protected __
it Casing height (above ground) __
AT INSPECTION
Date of test
Static water level ft
Well production g.p.m
WATER SAMPLE RESULTS:
Coliform colonies/100 mi
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Date installed 9/12/00 Tanksize 1,000
Cleanouts Y Foundation cleanout Y
Date of pumping New Construction
C. ABSORPTION FIELD DATA
__ mg/I Other bacteria__
gal
Depression over tank __
Pumper
in.
ft
g.p.m
colonies/100 mi
Number of Compartments 2
N High water alarm N
Date installed 9/13/00 Soil rating (g.p.d./ft2 or it2/bdrm) 1.2
Length 32 ft Width 3 ft Gravel below pipe 6 ft
Total depth 8.Sft Effective absorption area 384 it~ Monitoring tube ¥
Date of adequacy test New Const. Results (Pass/Fail)
Fluid depth in absorption field before test in Water added__
Elapsed Time: min Final fluid depth in
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N
System type Deep Trench
__ Depression over field N
For bedrooms
gal. New depth___ in.
Absorption rate >= g.p.d.
.If yes, give date W/A
72-026 (Rev. 01/00)*
LIFT STATION - N/A
Date installed
"Pump on" level at
Datum
Size in gallons __
in "Pump off" level at __ in
Cycles tested
E. SEPARATION DISTANCES
F,
Manhole/Access
High water alarm level at __ in
Meets alarm & circuit requirements__
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Public Water System
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
Property line > 5 '
Water service line > 10 '
Wells on adjacent lots
Building foundation >5 '
Water main > 10 '
Drainage >100'
>100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line > 10 ' Building foundation > 10 '
Water Service line > 10 ' Surface water > 100 '
Curtain drain None Noted Wells on adjacentlots > 100'
COMMENTS
Absorption field > 5 '
Surface water > 100 '
Water main > 10 '
Driveway, parking/vehicle storage > 10 '
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 HAA guidelines in effebt on this date.
Engineer's Printed Name Michael E. Anderson, P.E.
Date 11/7/00
HAAFee $ (~ .z~'7~
Date of Payment
Receipt Number ~,,~'q-J'
Waiver Fee $
Date of Payment
Receipt Number
72-926 (Rev. 01/00)*