HomeMy WebLinkAboutSKYHILLS PH 1 BLK 3 LT 5
Municipality of Anchorage Page _5.__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: ¢'¢~\~0~)r7~O _ PIDNumber: OLI-.
.~.... ~. ~~ Wastewater System: D New E0 Upgrade
~, ~, ~ [ ~ o (~ ~-~ ABSORPTION FIELD
Phone; Nc. of Bedrooms: ~Deep Trench ~ Shallow Trench O Bed D Mound ~ Other
LEGAL DESCRIPTION So~,,a,.~: Total Depth from original grade:
/. ~ GPD/Sq~Ft¢ ~ I
,~ .~>/ ~ I .:~ ~,. ~ ~,.
Township: ~ Range: ~ Seclion: Fill added above original grade: Gravel length:
I
I
t '-~2_ ~t. ~ Ft.
WELL: D New [3 Upgrade ~rave~width: ~ ~ Ft. ~
~assification (Private, A,B,C): Total Depth: C~ed To: Total absorption area: Pipe material:
~[2 ..... Ft' Ft. ,~) SO. Ft.
~ri[ler: Date Drilled: Static Water Level: Installer:
Yield: GPM PumpSetat:Ft. C~,~,,,,~¢,A~o,~,ou,,,: TANK
SEPARATION DISTANCES ~Se¢~o ~,o~n~ ~ S.~.~.~.
From Tank Field Station Tank Sewer Lines /&- N C~' .'yA¢ A ~, g. ~ O
SudaOewater - ...... ........ LIF'r STATIqN
Lot Sizein gallons: Manufacturer:
Line ~,~ ~ .... ~
~- "Pump on' level at: "Pump ~' le~¢a~: High water alarm at:
Foundation
Oudain Pump Make & Model I Electrical InspeoI¢o~s pedormed by:
Drain .... ~
I
Remarks: BENCH MARK
Assumed Elevation:
ENGINEER'S SEAL
Dopadm~nt o~ Hoal~ and Human 8~i~ appro~a~ :..
Reviewed and approved by: ~/~ Date: ~-~-¢~
72~15 (Rev. 9/91) MOA 25
TOBBEN SPURKLAND P.E.
205 W 15TH. AVENUE
ANCI-L Al(, 9950!
. (907} 279-S9~6
N
B5 50 75 lO0 1~5
£CALL: 1' = 50 ?~
150
SWING TIES:
AC
5-BEDROOM SEPTIC SYSTEM BC
2000 GAL SEPTIC TANK AD
STANDARD TRENCH DD
TOTAL LENGTH 50 FT AE
TOTAL DEPTH II FT BE
ROCK DEPTtt ? FT
SKY l/ILLS B£OCI( 3 LOT 5
dim Mc£ORk/A£l(
SKYHILLS DRIVE
SEPTIC SYSTEM AS BUILT
DATE: OCT, 22 J~99
SHEEL' 2/5 GRID: 2222
PERIqlT # S1~9903~0 P/D # 011_-12£-~7 SKHO305ZDI,/6
PRIMARY TRENCH
£tomdord [Hench:
2' I¥ide
$0' L on9
Ii' Deep
ZO' Sewer rock
4' Co vet
ND SCALE
~-- C(eonoui, 5
~ 4~ Cove~" ~,
92.0
85,~
7,0 £~ o£ £ep~ic I~ock
Effeciive
92,0
85. 0
90.25
~000 9o1, septic ~onlc
BENCH ~tARK: TOP FOUNDATION
ASSUMED ELEK I00.00 FT
L~FDBBEN SPURKLAND P,E,
~03 WlSth Ave
Anchor'oge AR 99501
SI{YHILLS S/I) BI{ 3LOT 5
dlld ~cCO£~IACK
ISEPTIC SYS'FECH SCHEMATIC
DATE: OC[, 22, 1999
SHEET: .~/~,~ GRID,
PARCEZ ID // 011-122-27 SKHO3055. DWO
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 995'19-6650
(907) 343-4744
ON-SITE WAS'rEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Sep 08, 1999
Expiration Date: Sep 07, 2000
Permit Nomber: SW990320
Legal Description: SKYHILLS PH 1 BLK 3 LT 5
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: Jim McCormack
OwcerAddress: PO Box 100600
Anchorage, AK 99510-
Parcel ID: 011-122-27
Site Address: 008325 SKYHILLS DR
Lot Size: 40766 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit is for the construction of:
[] Disposal Field ~,/~ Septic'rank ~ Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached apl)roved 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 eitller: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
203 W 15th. Avenne, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 5 BLOCK 3 SKYHILLS S/D
JIM McCORMACK
Municipality of Anchorage
Depatlment of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
August 16, 1999
August 31, 1999
We are submitting an application for the installation of a septic system for this lot. The submittal
consists of three (3) drawings showing the present improvements on the lot and the adjoining
properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is
subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil
logs and percolation tests of applicable testholes are also enclosed. The septic system design is
based on the following:
No Ground Water or Impervious Layer to 17 ft.
Use Standard Trench
Soil Rating. From Testbole 07/27/99
<1 rain/in = 1.2 gal per sq.fl/day
No. of Bedrooms 5
Required Area per Bedroom: 150/1.2 = 125 sq.ft.
Total area required: 125 x 5 = 625 sqft
Testhole depth 17 feet
Bottom Rock At 11 feet
Top Rock At 4 feet
Rock Depth 7 feet
Total Trench Length 625 / 14 = 44.6 ft
USE 50 LF
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH 50 FT
TOTAL WIDTH 2 FT
TOTAL DEPTH 11 FT
ROCK DEPTH 7.0 FT
COVER 4 FT
SEPTIC TANK 2000 GAL
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change tbe general slope of the area. Ponding and/or concentration of surface
runoff will not result from this installation. Subdivision is served by public water system The installation of this
septic system will not prevent adjacent lots from development,
4
3
\
\
£CAL£~I K = lO0 FL
//
6
,/,
TOBBEN SPUNKLAND P.E.
205 ~ 15TN. AVENUE
ANCH. AK. 99501
_(907) 279-$916
SKY HILLS BLOCK 3 LOT 5
JIM McCORMACK
SKYH/LLS D£/VE
SEPTIC SYSTEM DES/GM
DATE: JULY 50, 1999
SHEET: //5 GRID: 2222
PE£MIT # SF/99 XXX PIG # YY SKI-102051, D~/6
N
~5 50 75
£CALD l' : 50 FI,
5-BEDRO0~t SEPTIC SYSTEM
2000 GAL SEPTIC TANK
STANDARD TRENCH
TOTAL LENGTH 50 FT
TOTAL DEPTH 11 ET
1£5 150
TOBBEN SPURKLAND P.E.
205 W 15TH. AVENUE
ANCH. AK. 99501
.(907) 279-5916
\
\
\
\ \ \
\ \ \
\\\
\
\
SI(Y t/ILLS ELOCI( 3 LOT 5
JIM A~cCORMACI(
SKYN/LLS DRIVE
SEPtiC SYSTEId DESIGN
DALE: JUZ Y SO', 1999
SHEET: 2/3 GRID; 2222
PEP, MIT II S~/99 XXX PIt ii yy SKHO.?O52. DVG
PRIMARY TRENCH
£tondord ?tenth:
Wide
50' L on9
ZO' Server rock
Cover
REPLAOEMEN[ [RENCH
SCALE
~ ('leonouts
~ d' £ovem
2000 9ol Septic ~onk
£//%-
7,0 P~ aP Stop,lc Roct~
Effective
ND SC/~LE
2000 9ol. septic '~'onk
TOBBEN SPURKLAND P.E, II
~03 WlSth Ave
II
Anchorage Ak 99501
~7~-~?lfi
SKYI-IILL$ S/B BI( 3 LOT 5
JIM McCORMACK
SEPTIC SYSTEM SCH£HAT[C
~^TE: JULY 5~ 1999
SHEET, ~/~ GRID: 2222
PERMIT ~z PARCEL ID // XX SKHOJO53, DWG
PERFORMED FOR:
Munl ;i!:ality of Anchorage
DEPARTMENT Or -iEALTH & HUMAN SFRVICF. S
825 "L" Street, Aut:horage, Alaska 99502-0650
SOILS LOG- PERCOLATION TEST
//' ' (ENGINEER'S S~AL)'"~
DATE PERFORMED: - .-.
LEGAl. OESCRIPTiON: L.~J¢{.~ J."~/~-~
2
4
6
10
11
13-
14
15
16
17
18
19-
20-
DISCLAIMER:
Past and future presence
'trom these ~J~-S, ~rvations.
PERFORMED BY: _
Township, Range, Semion:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
Time Time Water Drop
__
PERCOkATION RATE I1~_/ (minutes/tach) PERC HOLE DIAMETER -- ~ l~
GrnnndwatRr (;zpditions ind~cat~.,J are for the dates showh on]~.
~;~d/or depth of groundwater can not be p~edicted
I /, ,,~ CERTIFY THAT THIS TEST WAS PERFORMED IN
/
ACCORDANCE WITH ALL STATE AND MUNICIPAL GL.,h~[~LINESIN EFFECT ON THIS DA]F DATE: _ ~/~ ~' ~
72-008 (Rev. 4/85)
August24,1999
Jim and Debbie McCormack
10641 Makushin Bay Circle
Anchorage, Alaska 99515
Home Phone 344-9260
Work Phone 265-2878
Fax 263-2582
ECEiVED
AUG 26 ]999
MUnicipality of A ~chorsgo
Oopt. Health & Human Services
Mr. Jim Cross, Manager
On-site Services
Municipality of Anchorage
Dept. of Health and Human Services
825 L. Street, Suite 502
Anchorage, Alaska 99501
Re: On-site septic installation Lot 5 Block 3 Skyhills Subdivision
Dear Mt'. Cross:
We are requesting that Thorne Ferguson, Sr. be allowed to install our septic system
although he is not a licensed installer in the Municipality of Anchorage. Thorne is my
wife's father and is a retked general contractor. He is donating his services to help us build
our house. He has been an operating engineer for over 30 years and is also doing our site
preparation and foundation excavation. Thorne has installed septic systems in the pastHe
is known to our septic engineer, Tobben Spurkland, and he is comfortable working with
Thorne on this installation. The installation will be supervised by Spurkland and is a fakly
straight forward system. Thank you.
y Jim McCormack
attached: copy of septic permit request
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 011-122-27
1. GENERAL INFORMATION
Complete legal description Skyhills Ph1 133 L5
Location (site address) 8325 Skyhills Drive
Expiration Date:
Current property owners) James & Debra McCormack Day phone
Mailing address Same
Real estate agent Day phone
2. TYPE OF DWELLING:
Fx1 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
❑
Private Septic
n
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
0
Public Sewer
❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 6-5b
Date of Payment a elf
Receipt Number
COSA# 088 -1g15 -V
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
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 Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or
wastewater disposal system is (are) 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 (are) in compliance with all applicable Municipal and State
codes, ordinances, and regulations in effect at the time of installation.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA
COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time
of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on
the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not
guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot
provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole
benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly
recommends buyers hire their own engineer to evaluate this report.
Name of Firm Pannone Engineering Services
Address P.O. Box 1807 Palmer, AK 99645
Engineer's Printed Name Steven R. Pannone P.E.
Phone (907) 745-8200
Date If irf
Ol Ak kk H
iT
6. DSD SIGNATURE • • • • • • • • •
t, System #1 Approved for bedrooms Steven � f onnone
11#0
. CE 8149
System #2 Approved for bedrooms �+ s� .
Disapproved l�l00or;sto�=
Conditional approval for bedrooms, with the following stipulations:
,tkkkW_((, ( Owir
J ON -s17
` -per , T
VI/Qe-r`e
- . AND rn
" 1)))))))))W1jI
By: Lr Gy�i� Original Certificate Date: 1 z 3 / _
The Municipality of A orage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
COSA Checklist blue sheet
Nitrate Advisory
Arsenic Advisory
Other %niL 4 Ado I r�
COSA Checklist
Legal Description: Skyhills Ph1 B3 L5 Parcel ID: 011-122-27
If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled
Total depth ft
Cased to ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test
Comments Served By AWWU
B. TANK DATA
Age of tank(s) 20 years
Tank type/material S°°°`Steel
ft.
Measured operating fluid level in septic tank
❑ Standpipes/foundation cleanout per record drawing
Date of pumping 9/9/2019
D. ABSORPTION FIELD DATA Deep Trench
Which system tested (date installed) 914/99
®❑ ALL standpipes present per record drawing
Total measured depth from grade 11 ft (max)
Measured depth to pipe invert from grade 4.0 ft (min)
❑ NIA — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
On Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes ❑ Nc
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by
Date of Sample
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date 11/5/2019
Results E✓ Pass For 5 bedrooms
Fluid depth prior to test 0 in
Water added 750 gal
New depth 25 in
Elapsed time 200 min
Final fluid depth 0 in
Absorption rate >750 god
Any rejuvenation treatment (past 12 months) n/a
If yes, enter date
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'
✓l
Yes
Community Sewer Manhole/Cleanout > 100'
ft
Yes
if No
ft
❑ Yes
if No ft
Neighboring Tank > 100'
❑ Yes
if No
ft
Private Sewer/Septic Line > 25' ❑ Yes
if No ft
Absorption Field on Lot > 100'
❑ Yes
if No
ft
Holding Tank > 100' ❑ Yes
if No ft
Neighboring Absorption Fields
> 100'
Surface Water > 100'
0
Animal Containment > 50' ❑ Yes
if No ft
ft
❑ Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75'
❑ Yes
if No
ft
❑ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter
distances if less than required)
Building Foundations > 10'
Yes
if No
ft
Surface Water > 100' ❑✓ Yes
if No ft
Property Line > 5'
Q Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
Yes
if No
ft
Private Wells > 100' Q Yes
if No ft
Water Main > 10'
✓V Yes
if No
ft
Community Wells > 200' Q Yes
if No ft
Water Service Line > 10'
0 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'
✓l
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
0
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
Yes
if No
ft
Private Wells > 100' Yes if No
Water Service Line > 10'
Yes
if No
ft
Community Wells > 200' ❑✓ Yes if No
Surface Water > 100'
0
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
1 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. t�t
COSA Checklist yellow sheet
ft
ft
DEVELOPMENT SERVICES DEPARTMENT
On -Site Water and Wastewater Section
www.muni.org/onsite
Septic 'Tank Advisory
Certificate of On -Site Systems Approval # OSC191554
Subdivision: Skyhills Ph 1 Block:3, Lot: 5
,tt. .!J
4
The septic tank for this property is 20 years old. The average life for a steel septic
tank is 20 years. Typical replacement costs range from $6,000 to $9,000.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
vY AMR`s�'�"ti,?r"� 'r',:%y015
2%
� a9�51� 665Ux wuuw�ri�°natr� orgy
HOUSE DETAIL
30'
04 c
-6
0
N90*00,00"w 257.69'
60.5'
,q -
LA
'Co
71.2'
OD
EXISTING
WOOD FRAME
HOUSE
CIO
123.9'
25 .9'
IST No
F E
HOUSE
E
N88*2748"E 258.9 1' -----------
--------------
C'A
%
OF
.7
49TH
LEGEND SURVEYOR'S CERTIFICATION
5/8" REBAR
�j "Richard L. Besse I HEREBY CERTIFY THAT I HAVE SURVEYED THE
0 SEPTIC PIPEVA 4094—S PROPERTY DESCRIBED ON THIS PLAT AND THE
IMPROVEMENTS SITUATED THEREON ARE
�tbpe, z �e. LOCA -
q ED AS SHOWIN M4 THIS PLAT.
1 4 2e)lq
NOTES DATED THIS OF tlptren
1 IT SHALL BE THE RESPONSIBILITY OF THE BUILDER OR OWNER TO VERIFY DATE:
THAT BUILDING LOCATION SHOWN MEETS ALL SUBDIVISION COVENANTS 26NOV1 9 AS—BUILT
AND ZONING ORDINANCES, SCALE: LOT 5, BLOCK 3
2. IT IS THE RESPONSIBILITY OF THE BUILDER TO VERIFY ALL ELEVATIONS
WITH RESPECT TO ALL UTILITIES. REC. PLAT: SKYHILLS SUBDIVISION
1 THIS PLAT REPRESENTS THE PARCEL OF PROPERTY DESCRIBED BELOW 98-134 LOCATED WITHIN SEC 9, T12N, R4W,
TAKEN FROM THE RECORDED PLAT DESCRIBING THAT PARCEL. SEWARD MERIDIAN, ANCHORAGE
INSTRUMENTS RECORDED PRIOR TO OR AFTER THE FILING OF THE RECORDED LOT AREA:
PUT ARE NOT SHOWN ON THIS PLAT. 40,766 sa.fL RECORDING DISTRICT, ALASKA.
4. THE INFORMATION SHOWN ON THIS PLAT IS FOR THE USE OF LENDING FLD. BK.: 899-17
INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING
STRUCTURES AND PLATTED LOT LINES OR EASEMENTS, THE PLAT IS NOT DWG: JIMPP.DWG
TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCES.11 -Y
GRID: En_qj eerl
5, THERE ARE NO OVERHEAD UTILITY LINES LOCATED ON THIS PROPERTY 2222
DRAWN BY: 1890 W. Jaime Marie Circle
MLK Wasilla, Alaska 99654