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'..
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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)
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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