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Home My WebLink AboutRIVER VIEW ESTATES BLK 8 LT 4Riverview Estates Lot 4, Block 8 #050-792,-34 Municipality of Anchorage Page _ I 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 Name: ~;~/[ ~o~ ~,~t,'~ WastewaterSystem: ~New ~ Upgrade Addre~s~,go~ '97o:2 I~ ~/~, ~/~x/~ ~ ABSORPTION FIELD Phone: I NO, of Bedrooms: ~. ~ ~.--~'7~'-~ ~ ~ Deep Trench ~ShallowTrench ~Bed ~Mound ~Other Lot: ~ Block: ~ ~, V,~i~4¢A'~ Depthtopipebottomfmmoriginalgrade:~ Ft. Graveldep/h beneath pipe Number of lines: Distsnce between lines: WELL: ~ New ~ Upgrade Grave~width: -~ Ft. "~ / ~' Ft. Olassification (Private,~ ~ i~ '~' A,B,C): Totall~Depth: Ft. Cased~To:t~([ Ft, Total absorption area:.-~SQ Ft ~ '~ ~'~ Driller: Yield: ~. ~GPM PumpSetat: ICasingHeigMAboveGfound: SEPARATION DISTANCES ~ Septic D Holding D S.T.E.P. To septic Absorption Lift Holdin9 Public/Private Man facturer: ~ ~. Capacity in gallons: Fro~ Tank Fiord Station Tank Sewer Lines ~ ~ ;~ ~' Well- j~+ )00,+ .~ ~-- ~ Material: ~/~ /~ NumberofCompa~ments: water ~00'+- /00% ~~ LIFT STATION Line ~; ?7' "Pump on" level at: ~e>~water alarm at: Remarks: BENCH MARK Location and~escdptiom TOp ~"~ Assumed Elevation: / ENGINEER'S SEAL Inspections performed by E,~I. ...... Diva.. Alaska ggS~ Dates'.~nd~~lst ~'-~Y'-~ ~~ Department of Health and ~uman ~ervices approval ~;'.b ':?~-.;~ 72-013 (Rev, 9/91) MOA 25 PERMIT NO SW990250 PAGE 2 OF 3 Municip. olit;¥ of' Anchorcee DEPARTHENT OF HEALTH AND HUIv[AN SEIRVICI!:$ ENVIRONMENTAL SERVICES DIVISION P,B. Box 196650 eAnchopage, Alaska 99519-6650~ Telephone~ 343 4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 4, BLOCK 8, RIVERVIEW ESTATES Pip. NO. 050-792-54 ]LOT 2 LOT 3 / DECK LOT 3 ~. ' ENGINEEI~' PERMIT NO SW990250 PAGE 3 _ OF 3 Hunicip. aLid; of DEPARTMENT OF HEAl. TH ANU HUMAN SERVlCE:S FNVlRONIViEN'r'AL SERVICES DIVISION PE]. Box 196E, 50 eAncho~oge, a~o. sko, 99519 6650J~TeLephone: 343-4744 ON-SITE WASTIEWATER DISPOSAL SYSTEM AND/OR WELL. INSPECTION REPORT LEGAL LOT 4, BLOCK 8, RIVERVIEW ESTATES MT2 CO1 C02 CO1 P.I.D. NO. 050--792--54 CO3 C01 96,9' MT3 CO4 CO3 = 98.6' C02 = 97.0' C04 - 98.5' GRADE INSULAT = 94.8' 94,9' COS - 94..9' = 95.0' MT] = 92.0 MT2 = 91.9' MT3 = 91.8 98.0'-~ wFINAL GRADE 95.4'~ NEW 1000 GAL. POLY. TANK 95,1' · WATER FOUND ® 87.8' 86.8' B.O.H. MT4 = 91,9' A B FCO 21.0' 2.0' ~'T1 22.0' 7.5' ST2 23.0' 11.0' DBL1 25.0' 14.5' DBL2 25,5' 15.5' FS 26.5' 17,5' ~'01 28.5' 23.5' MT1 30.0' 28.0' C02 68.5' 70.0' MT2 65.0' 66,0' CO3 42.5' 31.5' MT3 43.0' 32.0' C04 79.0' 76.5' MT4 76.5' 74.0' by DOC Co. dba SULLIVAN ATER ELLS P.O. BOX 570272, CHUGIAK, ALASKA 99567 · TELEPHONE': 688-2759 OWNER OF LAND ADDRESS ~D ca,C; / Wall Thickness ~ inches inches, depth__ ,Z~ ~ feet LEGAL DESCRIPTION /'~l,/( PERMIT NUMBER ~ ~,,,~ 5'"'~ Date of Issue_~_ - TAX INDENTIFICATION NUMBER O~"'"O . '"~'e~A - ,~'~. Is well located at approved permit location? ~ ~ No Method of Drilling: ~air rotary ¢] cable tool Depth of well: /0 Casing Type Diameter Liner Type: Casing Stickup Above Ground: C~ feet Static Water Level (from ground level): /~',~,.~ ~ ~ f,,. feet Pumping level: feet after hrs. pumping gpm Recover Rate: ~ gpm Method of Testing: Well intake Opening Type: [~1 Open End ~"O~pen Hole [] Screened; Start feet Stopped feet ~] Perforations Start f¢~,~, Stepped. feet Grout Type:/'~t~J Depth: fram ~) feet, to '"""""""""""~' feet Pump Intake Depth: feet Pump Size .hp Brand Name Well Disinfected Upon Completion? ~"~s ~1 No Method of Disinfection: BORE HOLE DATA Com~nents: DEPTH ATTENTION: It is the responsibility of the property owner to submit a copy of the well Icg to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. Driller's Name_ ~ ,.~'~'""~'" AM 22 201,09:24a Anchorage V\fp,;l & Rimp bet 90124:'•0/42 P. 1-ttren I . 47,00 .0. pox btarkSevFcnA)V May 4,-16 wage, A.", 3%,,.507 Pump Installation Log Well Drilling Permit Number: SW_ Parcel Identification Number: 050 - 792 - 3 Ltgal Description Pt �'i v e-�— V *' � ES FE) S- L (q PUMP InsLallation Dat(: lf�./ / "/ 9 0 PURIP Intake Deptli Top of Well C.,,Sju, t'. 130 feet PUBIP I-VIaDufacturer's Name FURIP -Model: ''-/-%,) I —.,g -- Date of Issue, 1'raperty OtyneK Name & Address: "Rp a M 5 ,%7,m f 1--m �;Z 17, Vlq-� t tDG �- Nfup Site Y. ?,h v Pifless.Adapter Burial I)epth. 10 recc Pitle.ss Adapter Main tj fActurer's Name: Ritless Adapter lnqa1jer- /())4 W01 Disinfected Upon NO Method Of Disinfectiun: C"RIDICAIS. MIMP Installer Name- /Ctuj The PUMP irsia) ter shalt Pwrp inr-tafiaticl.q log to the DSD within 3o days of pump jnstaljatjoll. MUNICIPALITY OF ANCHORAGE Depa~fment of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box '196850, Anchorage, AK 995'19-8650 ¢07) 343-,1744 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date issued: Aug 04, 1999 Expiration Date: Aug 03, 2000 Permit Number: SW990250 Legal Description: RIVER VIEW ESTATES BLK 8 LT 4 Design Engineer: 0003 S & S E--ngineering Owner Name: Disetell Construction Owner Address: PO Box 770210 Eagle River, AK 99577- Parcel ID: 050-792-34 Site Address: Lot Size: 46433 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [¢~ Disposal Field [] Septic Tank ~] 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 Regulati<~ns ( 18AAC72 ) and Drinking Water Regulations ( t8AACS0 ). 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: Date: ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. ENGINEERrNG STUDIES ANDREPORTS WELL INSPECT[ON & PLOWTEST ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS July 29, 1999 MUNICiPALiTY OF ANCHORAGE . Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 4, Block 8, Riverview Estates S/D Request you issne a permit to install a well and septic system to serve the proposed three bedroom d~velling on the referenced property. Two test holes were excavated and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation, 7.-7-99, water was found at 9 feet. After seven days of ground water monitoring, water was found at 9 feet. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of riffs system will not prevent any future development on any of the adjacent properties. If you require additional infmrnation, please contact us. ~ ~nclosure 17034 NORTH EAGLE RIVER LOOP · SUITE204 · EAGLE RIVER, ALASKA 99577 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 , 1" = 60' DESIGN SITE-PLAN SCALE ~ ~ z--mm ~-m~ ~ " I Municipality ol Anchorage. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 6- 7 8- 9- 10- 11 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 13 - Oepth Io Water After 14- 15- 16- 17I 18- 19- s Reading Date Gross Net Depth to Net Time Time Water Drop ~ ~ ~ %.~ I ~1'1 ~ ~, ~ '1¢~~ 20 - I' PERCOLATION RATE __ (m~nutes/inch) PERC HOLE DIAME:TER __ TEST RUN BETWEEN c~ FT AND -~ FT COMMENTS 72-008 (Rev, 4/85) Municipality of Anchorage. DEPARTMENT OF HEALTH & HUMAN 'SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG --. PERCOLATION TEST S SEAL) 1 2 3- 4- 5- 6- 7- 8- DATE PEF Township, Range, Section: 11 13- 14- 15- 16- 17- 18- 19- SLOPE WASGROUNDWATER ENCOUNTERED? SITE PLAN S IF YES, AT WHAT OL DEPTH? [~) t P ddvgfl~i ~q, $., e Oepth Io Waler Afle..rt.,.,---c. c/ ,"~ Moniloring? i ^~ '~- Date:. /, ,) Reading Date Gross Net Depth to Net Time Time Water Drop 20- PERCOLATION RATE / ~/ (minutes/inch) PERC HOLE DIAMETER COMMENTS ~ T~ES~.~UN BETWEEN ~'~ -- FTAND PERFORMED BY: ~~_ CERTIFY THAI THIS TE T WAS PERFORMED IN 72-008 (Rev. 4/85)?/ ON-,SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 4, Block 8, Riverview Estates July 29, 1999 GENERAL: The scope of this project includes the installation of a 1000 gallon polyethylene Premier septic tank and leachfield trench for the proposed three bedroom house located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit witl~ 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 fi'om soil settling. Contraetors 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" eleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Page 2 Lot 4, Block 8, Riverview Estates July 29, 1999 Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet fi.om 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 TRENCI:I/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. 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 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 final gravel layer must not be less than twenty-four (24) inches. Insulation nmst be installed when the backfill depth is less thm~ thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the fom~ation of a depression after settling. Page 3 Lot 4, Block 8, Riverview Estates July 29, 1999 MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: T~vpe of Pipg 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 Stya'ofoam HI or equal). Septic tank inlets and outlets shall he fitted with watertight couplings (Caulder, Fernco, or equal). A pe~xneable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must confmTn to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of tlu'ee (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Page 4 Lot 4, Block 8, Riverview Estates July 29, 1999 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 bamer, 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 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 can3~ 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/iNSTALLER MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 050-792-34 Parcel I.D. # 1. GENERAL INFORMATION Complete'legal description [,or. 4, Block 8, Riverview Esr,ates Location (site address or directions) NHN Falling Water Drive ,PropedyownerDisotel Construction. Mailing address?0 Box 770210, Eagle River~ Lending agency Day phone. 694-5797 AK 99577 Day phone Mailin. g address Agent Address ~ay phone _ J NUMBER OF SEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water Unless otherwise requested, HAA will be held for pickup. 3 NOTt=: XXX If Community well system, provide written confirrnation 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~t21 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 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 Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~?n*,~ c.~, ...... Phone .... u ........ ~p koad NO, 2~ Address Eagle River,, AlasEa ~577 , EngineeCssignature ~,~~ ~ Date 1~/~/~ 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 Ateska. 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 DH HS 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. Legal Description: ~07' ~/ Municipality of Anchorage uL.t,'":-" ,. DEPARTMENT OF HEALTH & HUMAN ,.sERVICES ~'~' Environmental Services Division ., ,wu~¢c,,,~Li 825 L Street. Room 502 · AnChorage, Alaska 99501 · Health Authority Approval Checklist A. WELL DATA Well type Log present(~/N) Total depth Sanitary seal IfA, B, or C, attach ADEC letter. ADEC water system number Date completed ~' { ~'//c~ ~, Cased to __/"/~ / £' Casing height (above ground) Wires properly protected ~}N) Date of test Static water level Well production FROM WELL LOG AT INSPECTION '~' g.p.m. , g.p.m. WATER SAMPLE RESULTS: Coliform Date of Sample:_ [ ;~,/~,.~./q ¢ sEpTIC/HOLDING TANK DATA Date installed '~ / ~ ~/~/~/ Tank size Foundation cleanout CN) Nitrate (2. ~- Other bacteria ]o00 Depression (Y(~.)'/0 Collected by: __ $ & S ENGINEERING 17034 Eali/e River Laop Re,ad No, 204 E~gle River, Alaska 99577 Number of Compartr'nents ~ Cleanouts~/N)_ F4J' High water alarm (Y/~ ,,~ O Date of Pumping_~/ 4- - ~'~w Pumper ABSORPTION FIELD DATA Date installed ~/~'/~ ~ Length_ ~' ~ 'F~74~.-WJdth Soil rating r ft2/bdrm) O. 6 System type 4- Gravel thickness below pipe -~ Total depth Effective abserption area '2 5'--¢ ,~ ~- Monitoring Tube present ~/N) Y~.-J' Depression over field (Y~ ~ 0 Date of adequacy test ~J/,4.- - /¢ ~,..¢ Results (Pass/Fail) For ~) bedrooms Fluid depth in absorption field before test (in.); Immediately after ~~dded (in.): ._..._-./ Fluid depth _____ (ins) Min?te.~_.la.t.e~._----- Absorption rate = _g.p;d. Pe~,~ox_.~ide t..~t-rrrCEi (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycle, t~~~ Size in gallons ~ "P~off" level at* *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES PROM WELL ON LOT TO: .IOO ~ Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots / Co Y- On adjacent lots / Public sewer manhole/cleanout /V/4/ Lift station /,//,4 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~ Property line ,.("~6 Absorption field Water main/service line /0 /4- Surface water/drainage /oo .~ Wells on adjacent lots / 00 4- SEPARATION DISTANCE PROM ABSORPTION FIELD ON LOT TO: Property line /"J '7 Building foundation '~- 3 Water main/service line Surface Water ./O i~ -/'- Driveway, parking/vehicle storage area Curtain drain N 0 ru ~ lC N ~ ',¢ ~'/ Wells on adjacent lots / 0 0 "_./L F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal recor_~L~/l~t(~. ~stems in conformance with MO~ HAA guidelines in effect on this date. Signature ~(~/ ~ ~ Date I~/&~ ~ ~. (~ ..- ,,. HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number DEC-~9-199~ 16:~6 S&S ENGINEERING 907 69~ i21i P.O1/Oi Project Name~ C~e~t Sample Matrix Orde~d By PW$ID CorrecTed Rep,'u: ~ejec! ID mi~race-k O.SO0 o G.SflO m~/~. EPA $00,0 Clien~ ?tined ba~t/Time Collected Date/Time Reeeive~ Date/Time Technical Direc~r 12/2/)/199/) 13:53 12/22/199/) 15:10 12/22/1999 15:55 St=phen C. Ed¢ ('~10) 12/2~/1'~12127111~9~ iCL