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HomeMy WebLinkAboutGLENN VIEW ESTATES NORTH BLK 1 LT 2Glenn View Estates North Biock 1 Lot 2 #051-821-15 Municipality of'Anchorage Development Services Department ..-'~ ~;: Building Safely Division On-Site Water and Wastewaler Program. 4700 S. Bragaw SL P.O. Box 196650 Anchorage. AK 99519-6650 Page ~v. ci.anchorage.ak, us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: ~,~'L4J~)3'~)~ ?.2. PID Number:. O,.5'/-o°.2/-/...~· N~: ~,,,,~,~,~ C/, _..~"/~C. Wastewator System: ~ New [] Upgrade """:'~Z~'$-~[O0 " "~"~'~'~ 4 ABSORPTION FIELD LEGAL DESCRIPTION '~ra""~ O. oo' Township: Range:. Se~Joa: F4 ~e~ ~ ~, ;,,~, .~ ~-,,~e; ~ Leavitt ~' FI. ~,. w,=,,. ~"T'~ )71 New / [] Upgrade ,/~ . ~ . SEPARATION DISTANCES ]~Seplic [] Holding [] S.T.E.P. [] Other:.  Septic Absc~i;on Eft Holding ~ubr,:~rivale Ma,,~.-~,. Remarks: BENCH MARK Engineer's Stamp Development Sea]ices Depart~qnt Approval'.. ,:oo, ..-'¢? ' ~. eO- ',o,o,,' .,~.~, / / / / / / / ? E E Z .~Cj'66 /~t'O.O0.O0 ~ ~ E WO Z 12}5 0 ~m I U o U U I- q- 0 0 I 0 0 cl 0 O' OLd il] ~. II L~O c~ U I.I I-- Z Z LU C:> T F- n Z W Wp- W ZO WO W MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Sep 24, 2003 Expiration Date: Sep 23, 2004 Permit Number: SW030392 Legal Description:/..G_!~o--rth-_BIb-~k-l.!.LL'_o~7 Design Engineer: 0838 North Rim Engineering Owner Name: M2Cl, Inc.' Owner Address: P.O. Box 670045 Chugiak, AK 99567- ParcellD: 051-821-15 Site Address: Unknown Lot Size: 42962 SQ. FT.. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ~-] Disposal Field ~-~ Septic Tank [~] 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 ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak, us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SW 0~0~ ?2. Day phone Property owner(s).. ,,/~' P_ [ j _7'~(~ Mailing address (1) ~. ~', ~ ~ ~'~ 7¢~ Mailing address (2) Legal description (Lot, Block & Sub'&) Legal description (Section, Township & Range) Lot Size ~ ~--P")"I ~ (~ ~ Acre~ .~ Zip Code Number of Bedrooms. THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool ~ Well Only I--'1 [] Water Storage [] [] Jacuzzi [] [] Water Softening Unit [] I certify that the above information is correct. I further certify that this application is being made for a Single Family' Dwelling and is Tn accordance with applicable Municipal Codes. (Signature of property ow e~0'~authorized agent) Permit Fees: ~ ~ OO Date of Payment: 0~1C6/[0~. Receipt Number: I ~'-~L~ ~ (Rev. 12100) Waiver Fees: Date of Payment: Receipt Number. NodhRim Engineering 17237 Bear Paw Circle Eagle River, AK 99577 907-694-7026 907-830-4186 September 17, 2003 Dan Roth MOA On-Site Water & Wastewater Program 4700 Bragaw St Anchorage, AK 99519 RE: 'Glen View Estates North, Block 1, Lot 2, Chuglak Dear Dan, Please review the submittal for the water & sewer design for the proposed single family home. The entire subdivision is undeveloped and served by a Public Water System. I have included design plans & specs, design guidelines, & soil tests. If there is need for additional information or clarification pleaSe give me a call. Sincerely, NorthRim Engineering Steven W. Eng, PE, Design Enclosures Glen View Estates North, Block 1, Lot 2 NorthRim Engineering SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is a single family home projected at 4 bedrooms. This requires a 1250 gallon septic tank. This lot is over one acre in size and no adverse impacts are expected from development. The neighboring subdivision lots are also over 1 acre and are on public water. No water wells are in the vicinity. The adjacent lots are undeveloped and no conflicts to the existing septic system, property line or water line are anticipated. Soil tests found typical soil for this area; a silty sandy gravel with denser underlying material. The system utilized a 5' wide trench with allowable reduction factor. An application rate of 0.8 GPD/FTz with 0.58 reduction factor for utilizing a 5' wide trench. Monitoring revealed groundwater at 11' depth. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. · Two compartment septic tank · Watertight couplings on inlet & outlet · 5 foot minimum between the tank and bed. 10 foot to property lines. · 3 feet of cover or insulation is required for trench; an equivalent of 1" insulation for each foot soil cover. · Tank & solid pipe must be set on well compacted, stable soil · 4 inch diameter cleanouts with airtight caps are required 1 to 4 feet from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10 feet from the tank positioned to provide cleanout access towards the tank and towards the absorption field. · All cleanouts must extend to at least ground level · In solid pipe runs, ASTM D-3034 may be used in lieu of east iron · Trench to be placed level, minimum of 4 feet to groundwater, 6 feet to bedrock from drain-rock · Drain rock to be ½ inch to 2 ½ inch screened. Drain rock to be distributed uniformly throughout the trench. · Perforated pipe to be installed level with perforations down · Silt barrier (filter fabric) to be installed above the drain rock · Smeared trench sides must be raked or scarified before drain rock placement ° Backfill over drain rock must not be less than 36" ° The finish grade must be mounded to promote drainage over the bed · Insulation must be placed over anY pipe installed under driveways or parking areas · Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, · Sewer Service Line is minimum 2% slope · Septic Tank to be pumped every two years or when required · Insulation board shall be extruded direct burial polystyrene (Dow Styrofoam HI or equal) (/') 3> rl-] z ° P"I 0 Fq Z n- O 0 ~ 0 n P,) < 0 ~O Fq Z Z --~ m ~ 0 -n o ~ n~ 0 P v ¢.-I- 0 .-I n 5" P~rfnrmed For: LeGal Description: Municipality of Anchorage Development Services Department Building Safety Division · On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 wvw. ci.anchoraae.ak.us (907) 343-7904 ' 2- 3- 4- 5- Soils Log' 'Percolation'Test 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- · _~.~c ~, COMMENTS Date Performed:' ,.t7",,q'7**~.t/,J': ~,~L 7..To,,.,nship. Range. Section: Slope Site Plan WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? / ~.~ · Depth to Water After Monitoring? Reading Date Gross Time Net Time Depth to Water Net Drop I ~ z ~.s .TS ~ z. (.~.Y' /~ ~. 7, I .~.~ PERCOLATION RATE /'~ (rrinutes/inch) PERC HOLE DIAMETER TEST RUN BETVVEEN .'~ FT AND ~[~ FT PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES' EFFECT ON THIS DATE. DATE: / Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoraqe.ak.us (907) 343-7904 Soils Log - Percolation Test Performed For: /~--~ ¢ I, --~/V C... Legal Description: ~'/_,.~4~f t///~_L,,J 5- 6- 7- 8- 9- 10- 11 12~ 13- 14- 15- 16- 17- 18- 19- 20- Date Peffo~ed: ~~ ~ ~/, L Zmownship, Range, Section: Slop~ Site Plan WAS GROUND WATER ENCOUNTERED? ~/~'..~" IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? // Reading Date Gross Time Net Time Depth to Water Net Drop - - g. ?s & z. 7.~' .7s' ~ 2 ~ .~ PERCOLATION RATE TE~T RUN.~EEN COMMENTS ~/'/'~UZ PERFORMED.~: x/~&Tfff~f/~ ,*vc~-, 1~'7~ ~ CERT,FYTHATTH,ST~STWAS PERFORMED IN ACCORDANCE WITH ALL STA~TE AND MUNICIPAL GUIDELINE~N'EFFECT ON THIS DATE. DATE: Municipality of Anchorage Development~Services Department Building Safety Division On-Site Waterland Wastewater Program 4700 SOuth Bragaw St. P.O. Box 196650 AnchOrage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 o ~ ¢ CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. (~' ~' ! '-' ~Z i-/..5- 1. GENERAL INFORMATION 0 Complete legal description ~/~,/' ~::fX~ Location (site address or directions) Current.Property owner(s) Mailing address L. ending agency Mailing address · Real Estate Agent Mailing Address Un/ess otherwise requested, HAA wi//be he/d by DSD for pickup. NUMBER OF BEDROOMS: Expiration Date: Day phone C ffucr,,f , Day phone Day phone e TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~ Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] [] Individual Holding tank [] [] Community On-site [] ~ Public Sewer [] The MuniCipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations ,given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. e 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 Health Authority 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. Engineer's Printed Name ~ Approved for ~ Disapproved. ,- Conditional aPproval'for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory -Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other original Certificate Date: (Rev. 01/02) Legal De~, c~il: A.-WELL , ~TA Well ty~e Date cOrn ~let~d Total d~ h Date of test Stabc water el :Well production ' WATEI Coliform Municipality of Anchorage Developmentservices Department !. iBuilding Safety Division O6-SiteWater & Wastewater Program ' i4700 South Bragaw St. - P.O. Box i96650' Anchorage. AK 99519-6650 www.ci.anchorage.ak.us ~., : . (907) 343-7904 HEALTH :AU+HORITY APPROVAL CHECKL IS; If A, B; or.C Sanita~ 't6 FROM 3 ft. ~colonies/100 mi., iii .NJ (Y/N) 'iff' rog.Il. Wire~ (Y/N) height (above .; AT INSPECTION (WN colonies/100 mi. '~ mg./I, te of sam pie: .B. SEPTIC/HOEDING TANK DATA : !~: ; i '. ,~ - ''"~ Tank Type{Ua.ter!al~/-~ ~1¢(5,,¢'/'~C~~'r. ,~,/~AJ../,4,, ~~ . ~ '::Date installed Tankmze:.~ gal.'- ;'~,;?NumberofCompadments ~ · CleanOutS(y/N) . Fou~dabon cleanout (YIN) ~ ~, Depression over tank (YIN) /~' ; ,:High water alarm (YIN) ' ~/~ · · C. ABSORPTION FIELD DAT~ ;~,'~ ~ ~~' ' .... ~ I Date installed ,/O/t3/g~,~8oil rating (g.p.d./ft' o~) d,~ 2 . system type. ~/A, . ri . , , ~,~ . :~' ,, ' .... .'~ ., 'Length= i I~ ~ ff. ~- , ~Width -d -~ ff. : ' Gravel bel0w pipe ~ ft. Total dep{h ~.' ¢ fL Eft. abs0rPt~0n ~ea 7~0 fl~' 'Monitoring ti' ~; 2 ~p~;;~i'o~ 6ver feld Xf Dateofade uac test~ ' '~~ ' ' ~ ' ~' q Y --v--' "~ : Results(Pass/Fad,. ) · ,w~ , ~ .~. ~ ~ "~ .. ...F°r ~ bedrooms Fluid depth in ~bsorption field before test ~ ~ ";in. ~ Water added .." gal ;~ t ; , ' NewdeDth 'in · ' '~ ' , ' ''~ ,~ r { ' , - · ' ~ I b~ ' -- ~ ' .I / , . :' '.~ ~: ~': : , .: ,' , : : ,. ~,i~~ ' Elapsed Time~; min. '" Final fluid dePth n. ' 'Absorption:rate ~a g p d Any rejuvenation treatment {past ~2 mo.) (w~'& type) - ..: . ~ ff Ve~,. ~ive date D. LIFT STATION Date installed / "Pump on" level a Datum - SEPARATION DISTANCES Size in gallons r / Manhole/Access (Y/N) /,/' "Pump off' level at' i,,~. iH.!gh water alarm level at Cycles tested ' ,/ · Meets alarm & circuit requir~entS? in. SEPARATION DISTANCES.F'tS, OM WELL ON LOT TO: septictank/lift station o~ot ~ . ' ' -,., ~On adjacent 10ts · / Absorption field on~ .... "~ On adjacent lots" Public sewe~ ~ ' ~ ~ Public'sewer manh~eanout sewe~c se~ice line ~ Holding ~tank~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation .~ ~ . Prope~y line /0/~ .Absorption field Water sewice line /~ ~ Sudace water_ Water main / 0 '~ Wells on adjacent lots /~ 0 t~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line / 0 Wate¢Service line /O Curtain drain ,A,f/,,~ COMMENTS Building foundation ' / 0 ¢~' Surface water / Wells on adjacent lots I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Date' .,.,~"'/,,:~ b/'"/'0 r"/ Water main /",O "~: ~,- ' . .'.' Driveway, ~arking/vehicle storage t ~/ t~ HAA Fee $ ~ ~'D Waiver Fee $ Date of Payment ~'"'_ ~. ~ '-.,,'O- //Z Date of Payment Receipt Number ,~ ,,~ (~ /1/- ~ ~/2,~~::~ Receipt Number ASBUILT I HEREBY CERTIFY .THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY= AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. SCALE~,, ~ ~_z,.,~' DATE: GRID= FB; DRAWN: ASSOCIATES LAND SURVEYING 694-08~.9