HomeMy WebLinkAboutSKYHILLS PH 2 BLK 3 LT 11
Municipality of Anchorage Page 1 of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES F)IVlSION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/of Well Inspection Report
Permit Number: SN990092 PIDNumber: 011-122-37
~.e: Wastewater System: ;[XNew [] Upgrade
Crown Pointer Inc.
^ddres~: ABSORPTION FIELD
P.O. Box 112313 Anch., AK 99511
-- Five
Phone: 345-- 6277 NO. of Bedrooms: ~ Deep Trench [] Shallow Trench E] Bed E] Mound [3 Other
LEGAL. DESCRIPTION SoilRating: . 6 GPD/Sq. Ft. TotalDepthfromoriginalgrade:l 3
-- ,S division' gepth to pipe bottom from original grade: Gravel depth beneath pipe
Lot: 1 I Block: 3 Sky Hi~s Phase 2 4 ' Ft. 9 ' Ft.
Township: I Range;' I Section: Fill added above original grade; Gravel length:
I
3 ' Ft. 7 0 ' Ft.
Gravel width: ~ Number of lines: I gistance between lines;
WELL:
New
Upgrade
3
-~assification (Private, A,B,C): Total Depth: Cased To; Total absorp.~ .~ar. ca~ion r ' Pipe material;
Municipal Water Ft. Pt. /,zou SO. Ft. ASTM D30~4 PVC
'~'rifler: Date Drilled: Static Water Level;Installer: Date.Its/tv'ns ailed:
Ft. LH Construction 3/25/99
-~eld: J Pump Set at: Casing Height Above Ground TANK
-- GPMJ Fl, Ft,
SI-'PARATION DISTANCES ~ Septic
[] Holding [] S.T.E.P.
To Septic Absorption Lift Holding Pubtic/Prlvate Manufacturer: Capacity in gallons:
From Tank Field Statlon Tank Sewertine$ Anchorage Tank 1 , 500
Number of Compartments:
WeJ~ > 100 ' > 100 ' N/A N/A N/A Material: Steel Two
s.dace >100' >100' N/A N/A N/A LIF'r STATION- N/A
Water
Lot > 5 ' > 10 ' N/A N/A :N/A Sizein gallons: Manufacturer:
Line
Foundation > 5 ' > 10 ' N / A N / A N /A 'Pump on" level at: "Pump off" level at: High water alarm at:
Cullain :ump Make & Model I ElectriCal Inspections performed by:
Drain None Noted on Lol .
Remarks: BENCH MARK
Location and Description; Garage Slab
Assumed EJevation:
100.0
Inspections performed by: -HEA _ Dates: lsL~5/99
2nd_ 5/25 / 99_.:'¢
Department of Health and Human Services approval
72-O18 (Rev. 9/91) MOA 25
Municipality of Anchorage Page 2 of 3
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
Permit Number SW990092
PID No. 011-122-37
Five
Bedroom
Home
S1
S2
M1
Alternate Site
PLAN AS-BUI
SCALE 1" = 40'
A
S1 55.9
S2 65.9
C4 87.3
C5 86.8
M1 84.6
B
62.9
68.0
02.1
5345
59.1
Municipality of Anchorage Page 3 of 3
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
Permit Number SW990092
PID No. 011-122-37
9O 8
97.0
Geotex~].~Fabric
Drainfield Rock
75 0
70'
81 .4
PROFILE AS-BUILT
HORIZONTAL SCALE 1" = 10'
NO VERTICAL SCALE
'0.8
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'~9-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date issued: May 11, 1999
Expiration Date: May 10, 2000
Permit Number: SW990092
Legal Description: SkyHills PH 2 BIk 3 Lot 11
Design Engineer: 0014 Anderson Engineering
Owner Name: Crown Pointe, Inc
Owner Address: PO Box 112313
Anchoage, AK 99511-2313
Parcel ID: 011-122-37
Site Address: unknown
Lot Size: 41064 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
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 ( 18AA072 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 Ilours pdor 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:
DATE:
TO:
FROM:
SUBJECT:
MEMORANDUM
May 1, 1999
Onsite Services Engineer
Mike Anderson, P.E.
Lot 11, Block 3, Sky Hills Subdivision
Septic System Permit
RECEIVED
MAy 4 1999
O Pah
edt. H~,~,, ty ut ~ ,
~ta~On e. . ~je
The owner of Lot 10, Block 3, Sky Hills Subdivision has decided to construct a five
bedroom home on the lot. Our previous application for tun onsite septic systmn
construction pmrnit was for a four bedroom home. We have therefore modified the
pertinent pages of the design to reflect the five bedroom home and have changed the permit
application to reflect five bedrooms. Please switch the attached pages with their
counterparts previously submitted and issue the permit for a five bedroom home.
Thank you for your assistance with this matter.
April 26, 1999
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot 11, Block 3, Sky Hills Subdivision
Septic System Design Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 11, Block 3, Sky Hills Subdivision intends to construct a five bedroom
home on the lot. We are therefore requesting a permit to construct a septic system on
the lot to serve the house. The subdivision is served by the Municipal water system so
a well permit is unnecessary. The attached site plan and backup documentation
describe the proposed system and show the location of the new system.
The testholes placed on the property revealed poorly graded silty sands which
percolated at rates between 18 and 22 minutes per inch. Groundwater was not
encountered during the excavation nor was any noted during the monitoring period.
We have therefore designed a deep absorption trench with 9' of gravel beneath the
distribution pipe. The trench will be 70' tong with a total depth of 12'.
The ground surface on the lot slopes to the east from the proposed house location at a
rate approximating 5%. This is the area of placement for the absorption trench. The
trench will be constructed perpendicular to the slope. No conflicts exist with other lots
in the area where septic systems have been or will be constructed. All segments of the
new system will be constructed a minimum of 10' from the water service line and 10'
from all lot lines.
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 fu[ure. The subdivision is currently
served by a community water system.
2. 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.
Lot 11, Block 3, Sky Hills Subdivision
April 26, 1999
Page Two
The system, if constructed as designed, will have no adverse impact on reserved
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. ']'he current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
SkyHili bdi ion s Su vis
2C
lO
Vacant
Vacant
Vacant
5
Vacant
Vacant
12.
EVAN~ c0LrRT
~NC~D AC~S
4o
Vacant
AREA MAP
SCALE 1" : 200'
UNSIJS01VI0~D
C)
N 05o12,21,,E 201.08'
10' T. & E. ESMT
(~ _cD ~
0
~ 0
LOT' 11, BLOCK 3, SKY HILLS
DESIGN FACTORS:
Five Bedroom Home
Perc. Rate: 18 to 22 Min./Inch
Application Rate: .6 GPD/SF
SYSTEM REQUIREMENTS:
Deep Trench System
1,500 Gal. Septic 'rank
9' Drainfield Rock
5 Bedrooms X 150 GPD / ,6 GPD/SF = 1,250 SF of Absorption Area
1,250 SF/18 SF/ LF of Trench = 70 LF Trench Length
Therefore: Construct a Deep Absorption Trench System With One Lateral
70' in Length with 9' of Drainfield Rock Beneath the Lateral.
Distribution Pipe in Trench Placed at 3' Below the Original Ground
Surface.
Natural
2'6" Backfill
Geotextile
6" Fabric
4" Perforated
PVC (Slots Down)
Drainfield
Rock
NOTE:
TYPICAL DEEP TRENCH SECTION
(NO SCALE)
Grade Area Over Trench to Drain Away.
Minimum 3' of Cover over Septic System.
Maintain 10' Separation From Lot Line.
Municipality of Anchorage.
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
4J
5-
6-
7-
8-
10-
11-
12~
13
14
16
20
L H Construction, Inc. DATE PERFORMED:
SLOPE SITE PLAN
Ih
WASGROUND WATER
ENCOUNTERED?
COMMENTS Perc cavity was
IF YES, AT WHAT
DEPTH?
Time Time Water Drop
PERCOLATION RATE '~'~ (m~nutes/~nch) PERC HOLE DIAMETER
presoaked prior to testing.
· Michael E. Anderson ~.D/
ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~
Municipality of Afichorage.
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:. L H Cons%rue%ion, Ine. DATE PERFORM
LEGAL DESCRIPTION: L---I I/ .~'.-~ ,"~J~//1~'1t~ ~'/.J~ Township, Range, Section:
I / SLOPE
1
2
3
4
5
6
7
8
9
10
11
12
13-
14-
15-
16-
17-
18-
19-
20-
COMMENTS
?ere
WAS GRDUND WATER .~!
ENCOUNTERED?
/v
SITE PLAN
IF YES, AT WHAT
DEPTH?
Oeplh ~o W~er Aller ~
Malit~ino?
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE t~-~ -- (m,nutes/mcl~) PERC HOLE DIAMETER
TEST RUN BETWEEN ,~ FT AND FT
cavity was presoaked prior to testing.
Michael ~. Anderson .~/ /,~
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. DATE: ~/~,*~
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 11, BLOCK 3, SKY HILLS
GENERAL:
The scope of this project includes the procurement and placement of a
new 1,500 gallon septic tank. It also includes the construction of a
new 70' long x 3' wide x 9' effective depth absorption trench at the
location shown on the attached Site Plan. The total depth of the
trench will be 12' below existing ground. Mounding over the trench
may be required to provide a minimum of 3' of protective cover.
Constructien 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 layeut 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. The 1,500 gallon septic tank must 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. Ail standpipes on the septic tank shall extend a m~nimum 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.
Lot 11, Block 3, Sky Hills Subdivision
April 26, 1999
Page 2 of 3
7. Final grading over the tank shall be such that a positive 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 level 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 must 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 minimum
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.
2. 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.F!. (perforated, but not solid) and
ASTM D2662 or A.B.S. (perforated and solid).
3. 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 11, Block 3, Sky Hills Subdivision
April 26, 1999
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:
A minimum of two inspections are required by Municipal Ordinance.
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 shall provide a copy of all field survey layout and construction
notes for use in preparing the certified as-built of the completed system.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
011-122-3'7 HAA#
GENI-'RAL INFORMATION
Complete legal description
Lot 11~ Block 3, Sk~ Hills Phase 2
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailin. g address
Crown Pointe, Inc.. Daypgone. 345-6277
P.o. Box 112313 Anchoraqe, AK 99511
Day phone_
Agent
Address
Day phone '
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: F±ve (5)
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
XXX
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of System.
TYPE OF wASTEWATI-'R DISPOSAl.:
Individual on-site
XXX
Holding tank
Community on-site
Public sewer
NOTE: 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 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 'Anderson Engineerinq Phone 522-7773
Address P.O. Box 240773 Anchoraqe, AK 99524 '
Engineer's signature ~- ~ {/f~ Da;~o 9/21/99
DHHS SIGNATURE
J A?proved for F / ~/~'
Disapproved.
Conditional approval for
bedrooms.
bedrooms, With the following· stipulations:
Additional Comments
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 engineefs work.
Municipality of Anchorage
DE:PARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division S EP 2 ~ 199~
825 L Street, Room 502 · Anchorage, Alaska ,<)9501 · (907) 343-4744
Municipahty u~ Anchorage
Dept. Health & Human Services
Health Authority Approval Checklist
Legal Description:
A. WELL DATA
Well type
Log present (Y/N).
Total depth __
Sanitary sea~ (WN)
Lot 1~, Block 3, Sky Hills
Phase 2
Municipal Water System
Parcel I.D.:
011-122-37
IfA, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to
FROM WELL LOG
Casing height (above ground)
Wires properly protected [Y/N)
Date of test
Static water level
Well production
WATER SAMPLE RESULTS: - Mun icipal
Coliform
Date of sample: __
B. SEPTIC/HOLDING TANK DA'rA
Date installed 5 / 2 5 / 9 9
Foundation cleanout (Y/N)
Date of Pumping _ r~,:,w
C. ABSORPTION FIELD DATA
Date installed 5 / 2 5 / 9 ,9
Length 7 0 ' Width
AT INSPECTION
g.p.m.
Water System
Nitrate _
Collected by:
Other bacteria
Tanksize 1,500 Numberof Compartments 2 _Cleanouts (Y/N)_ y
Y Depression (Y/N) N High water alarm (Y/N) _ N
Pumper
Soil rating (g.p.d,/tt~ or fF/bdrm) _. 6
Gravel thickness below p~pe _ 9 '
Effective absorption area 1,2 6 0 Monitoring Tube present (Y/N) Y ~ Depression over field (Y/N)
Date of adequacy test--New Const. _ Results (Pass/Fail) __?ass For__ ~'i v~
g.p.m.
System type _Deed Trench
· Tota depth ' 6 '
N
Fluid depth in absorption field before test (in,);
Fluid depth (ins) Minutes ater:_
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev, 3/96)*
Immediately after_ .. (,iai. water added (in.):
Absorption rate = _g,p.d.
f yes, give date N ./A
bedrooms
LIFT STATION - N/A
Date installed
Manhole/Access (Y/N),
Size in gallons
"Pump on" level at*
*Datum
"Pump off" level at*
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation > 5 ' Property line > ~, Absorption field > 5
Water main/service line > 1 0 ' Surface water/drainage > 1 00 ' Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line > 10 ' Building foundation > 10 '
On adjacent lots
Public sewer manhole/cleanout
Lift station
>100'
Water main/service line > 10 '
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
On adjacent lots
Surface water > 100 '
Curtain drain None Ob.~ervRd on [,oh
F. ENGINEER'S CERTIFICATION
Driveway, parking/vehicle storage area
Wells on adjacent lots > 1 0 0 '
I certify that I have determined thru field inspections and review
· in conformance with MOA HAA guidelines in effect on this date.
Signature ~ ~-~ ~'~'"
Engineer's Name Michael E. Anderson
Date 9/21/99
HAAFee $ ,'~(~7'~. C~£>
Waiver Fee $
Date of Payment
Receipt Number
Date of Payment
Receipt Number
72-026 (Rev, 3/96)*
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELLON LOT TO: - No Well on Lot
Municipal Water System