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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