HomeMy WebLinkAboutSOUTHFORK NORTH BLK 1 LT 2
Municipality of Anchorage Page _ 1
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:
LEGAL
Lot: ~.~ Block: I Subdivision:
Township: I Range: I Section:
WELL: ~I New [] Upgrade
of *'~
Wastewater By, stem: ~ New [] Upgrade
ABSORPTION FIELD
Deep Trench ~ShallowTrench [] Bed [] Mound [] Other
Soil Rating: I¢ ~ GPD/Sq. Ft.
Depth to pipe bottom from original grade:
~.5' Pt.
Fill added above original gradl: ~ Ft.
Total Depth from original grade:.~'~
Gravel depth beneath pipe ~.
Gravel width: ~g'~Fl, Number of lines:j Distance~between lines:Ft,
TANK
SEPARATION DISTANCES
TO
From
Well'
Surface
Water
Septic [] Ho[ding [] S.'T.E.P.
er: /C' Cap~city in gallons: I "~'~ 5 ¢
Material: ~'"',
Number of Compartments:
LIFT STATION
Lot
Line
Curtain
Drain
Remarks:
Size in gallons: [ Manufacturer:
"Pump on" level at;
High water alarm at:
Electrical Inspections performed by:
BENCH IVIARK
Location and Description: "-'~..) /~ CC ~d~ ~// ~¢¢~d
,~; & S ENGINEERING
17034 Eagle River Loop Road,
~ections performed by: ~:--,¢~-m,,er,-~dae~q---- Dates: 1st
2nd ~'~ f7-~'
~rtment of Health and Human Services approval
PERMIT NO SW9801 29 PACE 2 OF 3
ivlunicip. ~[i-~ oF Anchox-aQe
DEPARTMENT OF HEA~_.TH AND HUNAN SIERVlC[--S
[:NVlRONMENTAL SERVICES DIVISION
P,B. Sox ]96650 eAnchoPage, Atasko 99519 6650e Telephone~ 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL. INSPECTION REPOR'F
].gE;AL LOT 2, BLOCK 1, SOUTHFORK NORTFI ?.Lb. NO. 078-141-18
LOT ~l
1250 GALLON
SEPTIC TANK-
CB3
SCALE: t" = 60'
~ ~OBERT C, COWAN
~ CE-8801
LOT 3 ~,
PERMIT NO. SW980129 PAGE 3 OF 3
Municip. ckit oF AnchorcQe
DEPARTMENT OF HEALTH AND HUHAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.~. Box ]96650 OAnchorage, Alaska 99519-6650 O TeLephone: 343-4744
ON-SITE WASTI:WATER DISPOSAL SYSTEM AND/OR WELL. INSPECTION REPORT
LEGAL LOT 2, BLOCK 1, SOUTHFORK NORTH
P.L]). NO. 078--141--18
---FINAL GRADE
72.5' ~ST1 ST2
66.(~ " ] - SEPTIC ~,,~, .~,
~ TANK oo.m
CO1
M'['2 C02 COl
C02
53.2'
53.7'
GRADE
A [3
FCO 21.0 90.0
ST1 169.0 116.5
ST2 176.0 124,0
DBL1 184.0 132.5
DBL2 186.5 135.0
C01 252.5 190.5
MT1 253.5 192.0
C02 236.0 194.0
MT2 237.0 195.5
C03 52.0 69.0
C04 159.0 106.0
MT2
47.9
INSULATION
CO1 - 50.3'
50.3'
MT]. 47.6'
·
WATER FOUND ®
41.6' 13.0.H.
42.1'
by
DOC Co. dba
SULLIVAN ' VATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99~;67 · I'ELEPHONE 688-27~i9
LEGAL DESCRIPTION
PERMIT NUMBER ~OJ~ of Date of Issue_,~._._~;~_..~?_.
TAX INDENTIFICATION NUMBER ~:~_]._~.-]~/
Is wetl located at approved permit Iocat.~? ~s E] No
Method of Drilling: ~l-elTrotary ¢.3 cable tool
Depth of well: '~ ¢
Casing Type _~'7~',,'_ _Wall Thickness ~ o}:~0 _inches
Diameter ~// .... inches, depth .,~ ~'"" feet
Liner Type; _
Casing Stickup Above Ground:_ I~ feet
Static Water Level (from ground level): ~ '~ feet
Pumping level:, feet after...__ hrs. pumping ____gpm
Recover Rate: ~ gpm
Method of Testing: /~/'[~., ..-.
Well Intake Opening Type: (;;~en End ~] Open,Hole
~] Screened; Start feet Stopped feet
~] Perforations Start feet Stepped_ feet
Depth: from .... ~') feet, to '""""~" feet
Pump Intake Depth: feet
Pump Size __ hp Brand Name
Well Disinfected Upon Oompletion? 13'T~es [J No
Method of Disinfection: .CJ/J~, (;,~,'~-,J'fi ,~.
Comments:
. BORE HOLE DATA
DEPTH
_EE6ELV E D ._
Dept. Health & Human Services
Driller's Name _ ./~
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of EnvJronmental Conservation.
SEWER&WATER
INSPECTION
WELLINSPECTION
ROAD DESIGN
$OILTEST
PERCOLATION
TEST
; ROBERTC. COWAN, RE.
IqOREI~T A. SHAFER, RE,
CIVIL ENGINE~ERS
(907) 694-2979
FAX (907) 694-1211
RECEIVED
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICESD ~hlyvl
825 L Street ·
P.O. Box 196650
Anchorage, Alaska 99519-6650
The septic inspections for the referenced property were
performed on ~/~ and ~-/~?-~ . Prior to subm±tting
the On-site Wastewater Disposal System and/or Well Inspection
Report we are waiting for the ~%oh to be
completed.
If we may be of further service please contact us.
Sincerely,
Robert C. Cowan, P.E.
17034 NORTH EAGLE RIVER LOOP o SUITE 204 ° EAGLE RIVER, ALASKA 99577
MUNICIPALITY OF ANCHOt~AGE
DEPARri~E~r OF HEALTH ~ ~ SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, D~LASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PER/~IT
PERi, IT NUMBER:SW980129
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAblE:LINDHOIA~ JOHN THOMAS &
OWNER ADDRESS:4715 EAST ll2TH AVENUE
ANCHORAGE, 3~LASKA 99516
DATE ISSUED: 5/22/98
EXPIRATION DATE: 5/22/99
PARCEL ID:07814118
LEGAL DESCRIPTION:
SOUTHFORK NORTH BLK
1 LT 2
LOT SIZE: 452965 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
THE ATTACHED APPROVED DESIGN.
ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 ~ 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) Dd~D DRINKING WATER REGULATIONS (18AACS0).
THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UN]DER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE S~%ME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY: ~'~~
ISSUED BY:
DATE:
ROBERT C. COWAN, P,E.
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
ROAD DESIGN
SOILTESE
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
May 8, 1998
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
Department of Health and Hmnan Services
P.O. Box 196650
Anchorage, Al<.. 99519
REFERENCE: Lot 2, Block 1, Southfork North Subdivision
Request you issue a permit to drill a well and install a septic system to serve the
proposed three bedroom house on the referenced property.
A test hole was excavated and a percolation test performed. The approximate location
of the test hole is located on the attached site plan.
At the time of excavation no water was encountered, and after seven days ground water
monitoring tube tested ground water at 10, 5 r-'r,
This property has enough area for a future septic upgrade which can be seen on the
attached site plan.
There are no points of contamination within the proposed well radius which can be seen
on the attached site plan.
We do not anticipate any adverse effects on neighboring wells, septic systems or
drainage patterns by the installation of the proposed septic system.
If you require additional information, please contact us.
Sincerely,
RCC/mg
Enclosure
17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA99577
1" -- 50'
SCALE
SITE PI.AN
OETAII.S
n
rl~I-
:~o~
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
2
3
4
5
6
7
8
9
10
11
13-
14-
15-
16
17
18
19
2O
DATE
~o~r~ ~lpl'ownshiP, Range, Section:
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
s
IF YES, AT WHAT I
E
Menitoring? Dale:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~' J' (minutes/inch) PERC HOLE DIAMETER VI '~I,)/~L-
TEST RUN BETWEEN '"__ FT AND --~ FT
COMMENTS
~"~.~ ENGINEERING
ACCOHDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES/' u"--IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4185)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
(J, O.H.
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19-
20-
'"% '~ ~, ...... ^'"'..7.~"~,
DATE PERFORMED=~
Township, Range, Section:
SLOPE SITE PLAN
Gross Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE '( __ (m~nutes/mch) PERC HOLE DIAMETER ~/I
TEST RUN BE'fWI~EN .~ at ~ -~
F'r AND __ FT
17034 Eagle River Loep Road, No, 204
PERFORMED BY~ag;~ ~A;v.i', A~:~: 99~7 I . CERTIFY THAT THiS TEST WAS PERFORMED IN
72-008 (Rev. 4/85)
·
Percent Passm
#16
No, 20
No. 40
#50
No. 60
ti 80
NoA00
No.200
0.02mm
[ /~ #[S96S~99L06 SVq£S8£ V]SVqV! ~d 00;~
ROBERT C. COWAN, P.E.
HEALTH AUTHORITY
APPROVAl S
ENGINEERING STUDIES
ANDREPORTS
WELL iNSPECTION
& ELOW TEST
SO]LTEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
REFERENCE: Lot 2, Block 1, Southfork North Subdivision
May 8, 1998
GENERAL:
The scope of this project includes the installation of a 1000 gallon septic tank
and a leachfield trench to serve the proposed three bedroom residence located on
the referenced property.
Construction shall be in accordance with the approved site plan and 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 any necessary underground
utility locates.
Unless specifically agreed otherwise, tbe property owner shall be responsible fol'
final grading m'eas subsequently depressed fi'om soil settling.
Contractors installing wastewater disposal systems must be certified by the
Mmficipal Health Department for system installations. Owners installing their
own systems must also receive prior approval fi'om the Municipal Healtb
Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent settling o1' shifting of the
tank.
All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
17034 NORTH EAGLE RIVER LOOP , SUITE 204 · EAGLE RIVER, ALASKA 99577
Page Two
Lot 2, Block 1, Southfork North Subdivision
May 8, 1998
A foundation cleanout shall be installed one to four feet from the building foundation.
In the line between the tank and the leachfield there shall be two adjacent cleanouts
(tmless an effluent pumping system exists witlfin 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 towm'd 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 TRENCH/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 downwm'd. 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 battier covers the entire gravel surface before placing backfill.
Monitor tubes shall be of fonr (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
from 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 must be installed when the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent the fon:aation of a
depression after settling.
Page Ttn'ee
Lot 2, Block 1, Southfork North Subdivision
May 8, 1998
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe. 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 thm~ listed above nmst be approved by the inspecting
engineer.
Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco,
or equal).
A permeable nontoxic silt ban'ier (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 gn'avel with less than 3%
passing the #200 sieve.
When sand is being used as a filter material, its gradation specifications must conform
to current M.O.A. or D.E.C. requirements, which ever requirement applies.
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of
the wastewater disposal system. These inspections will occnr as follows:
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.
Page Four
Lot 2, Block 1, Southfork North Subdivision
May 8, 1998
The second inspection must be conducted after the placement of the silt barrier,
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 xvill not coordinate,
direct or control in any way the contractors activities.
']?he 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 can'y 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