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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