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Municipality 0f AnchoragePage ! ,'. of
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: ~'~q½~32.1~ PID Number:
Name: Wastewat~r System: ~New' [] Upgrade
Address: ABSORPTION FIELD
4ahems: I No. of Bedrooms:
~C/~~ ~ ~~I ~ D Deep Trench D Shallow Trench DBed DMound DOther
Soil Rating: Total Depth from original grade:
LEGAL DESCRIPTION ~. ~,~s~. ~.
Lot: Block: Subdiv~ion: Depth to pipe bosom from original grade: Gravel depth beneath pipe
/~ / ~x~/ ~~ 2.7 Ft. ~.2 Ft.
I IsectiOn: Fill added above origtnal grade: Gravel length:
Townshlp~ Range:_ ' [.Z -- Z. ] Ft. ~ ~Ft.
WELL: ~ew ~ Upg rude Gravel width: ~ Ft. Number of/lines: ][Distance~ ~,n lin,:Ft.
Classlfi~tion (Private, A.B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Drille~ Date Drilled: S~ticWater Level: InstalJe~ Date installed:
Yield: GPM [ Pump Set at: Ft. [ ~lng Height Above Ground:. F,. TANK
S E PARATI O N D I STAN C ES ~septic ~ Ho~aing a S.T.E.P.
TO Septic Abso~tion Lift Holding Publl~Private Manufacturer: Capacity In gallons:
From Tank Field S~tion Tank Sewer Unes ~O~ ~ ~
WaIF /~ I /Z G I ~ _ ~ ~ Material~~__ . . :. .. Number of~Compaffments:
Sudace ,+ ,. .' , .
Water /~O /~ ~,. ,- ". ~ EIFT STATION
Lot '+ Size In gall°ns: [ Manufacturer: ~
Line /~ ~ /0 ~ ~ -
"Pump on" lev. I a~~' level at: I High water alarm at:
Foundation /~/ ~ -- -- .~', ;. ~', ;.
I
- -~~ ~~ -~ ' ~~, -.. I Electrical inspections pedormed by:
Cu~aln
Drain
Remarks: BENCH MARK
Location and Description:
I Assumed Elevation:
2nd - - ~.~ ~o~ c. COWA~
Department of Health and Human Se~ices approval ",~,<;':"~.a .........: ............. ,.,
Reviewed and approved by: ate://-/-~ '~' r" ~'~"~
72-013 (Rev. 9/91) MOA 25
Permit No,Sw940213 Page 2 of 2
Municipality of Anchorage
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
.... TUXEDNI PARK SUBD., BLOCK 1 LOT 14
Legal uescnpz~on: ' PID No.: 041022;~7
i . r-91.4'
co, .co .
N.T.S. 81.2
................................................................................................................................................................................................. (~.~
MT2)
i 74.7' N0~ WATER FOUND
,"' 'A B
FCO 39.0 9.0
:COt' 31'.~5 2~,0
C02 31.0 27.0
C03 54.5 63.0
:C04 56.0 30.0!
MT1 55.0 61.5:
MT2 56.5 ~1.0
72-013 A (1/93)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE
1 OF
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940213
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:GERKEN TED REV TRUST 50% &
OWNER ADDRESS:P.O. BOX 228
ILLIAMNA, AK 99606
DATE ISSUED: 6/29/94
EXPIRATION DATE: 6/29/95
PARCEL ID:04102237
LEGAL DESCRIPTION: TUXEDNI PARK BLK 1 LT 14
LOT SIZE: 91032 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT:
3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEMUNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
ISSUED By: ~/~./~~ _~j.~~ DATE:
DATE:
ROBERT SHAFER, P,E,
ROGER SHAFER, P,E,
June 06, 1994
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FI.OW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
'lEST
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 'L' Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Tuxedni Park Subdivision; Lot 14; Block 1
Request you issue a permit to drill a well and install a septic system
to servethepro~~~oomhouseonthereferencedproperty-
Test holes were excavated and percolation tests performed. The
approximate locations of the test holes are located on the attached
site plan. The monitoring tubes within the test holes have been
checked and found to be dry.
This property has enough area for a future septic upgrade which can be
seen on the attached site plan. We do not anticipate any adverse
effects on neighboring properties by the installation of the proposed
septic system.
If you have any questions, or require additional information for your
I ~vi~se c°ntact us'
/LSU/jk
STRUCTURAL &
),4ECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER. ALASKA 99577
0
~X
z~O~
~o
GN-SITE WA~ DISPOSAL SYST~
(II~S~Rlk"~I(I~ PRACTICES
and
MATERIAL SPECIFICATIONS
~: Tuxedni Park Subdivision; Lot 14; Block 1
1. 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.
2. 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.
3. The contractor shall be responsible for obtaining any necessary
underground utility locates.
4. Unless specifically agreed otherwise, the property owner shall be
responsible for final grading areas subsequently depressed from soil
settling. On all leachfield mound systems, the property owner shall be
responsible for ensuring a satisfactory vegetation growth over the
mounded area.
5. Contractors installing wastewater disposal systems must be certified by
the Municipal Health Department for system installations. Owners
installing their own systems must also receive prior approval from the
Municipal Health Department.
1. A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts for pumping
access.
2. The septic tank shall be sufficiently bedded to prevent settling or
shifting of the tank.
3. All standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
4. Septic tanks installed with less than 4' of cover shall be insulated.
Page Two
Tuxedni Park Subdivision; Lot 14; Block 1
June 06, 1994
5. 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 (unless an effluent pumping system
exists within the septic tank). These cleanouts shall be located on
undisturbed soil not more than 10' from the tank. The first cleanout,
in line, shall be to clean toward the leachfield. The second cleanout
shall be to clean toward the septic tank.
6~ Final grading over the septic tank shall be such that a positive slope
exists away from the septic tank.
1. 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 (roughed-up) before gravel (sewer rock) placement.
2. Once the gravel is installed, the distribution pipe is to be installed
level with the perforations faced downward. Gravel is then to be placed
over the distribution pipe to provide a minimum of 2 inches of cover
over the pipe.
3. A silt barrier must be installed between the final gravel layer and the
native soil backfill. Ensure the silt barrier covers the entire gravel
surface before placing backfill.
4. Monitor tubes shall be of four (4) inch diameter and installed
approximately in the locations shown on the design. 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.
5. 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 formation of a depression after settling.
MINIMUM~ SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a
Municipally approved septic tank manufacturer.
Page Three
Tuxedni Park Subdivision; Lot 14; Block 1
June 06, 1994
2. 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 (P¥C) Yes Yes
ASTM F810 (HDPE) Yes No
ASTMD2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the
inspecting engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene
(Dow Chemical Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, or equal)
must be installed between the final leachfield gravel layer and the
native soil backfill.
6. All leachfield gravel (sewer rocK) shall be 0.5"-2.5" screened gravel
with less than 3% passing the #200 sieve.
7. When sand is being used as a filter material, its gradation
specifications must conform to current M.O.A. or D.E.C. requirements.
Typically there will be a minimum of three (3) inspections required during the
installation of the wastewater disposal system. These inspections will occur as
follows:
1. 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.
2. 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.
Page Four
Tuxedni Park Subdivision; Lot 14; Block 1
June 06, 1994
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 will not coordinate,
direct or control in any way the contractor's activities.
The 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
contractor's activities. Final acceptance of the contractor's 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 carry 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
(ENGINEER'S SEAL)
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
p L /~wnship, Range. Section'
1
2
3
4-
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
6
7
8
9
10
11
12
13
14
15
16
17
IF YES, AT WHAT
DEPTH?
Depth to Water After ..~
Monitoring? ~'1~, Dat~
S
L
O
P
E
Gross Net Depth to Net
Reading Date Time Time Water Drop
la: o~ --- g" .--
:/~ Io,,~. 3~1~" ~
20
PERCOLATION RATE
TEST RUN BETWEEN~~/AND . ~.~_~ FT
/ /
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI~~T ON THIS DATE. DATE:
72~8 (Rev. 4/~)
Municipality
of
Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
·
LEGAL DESCRIPTION: ~!~, ~ [, Township, Range, Section:
1
2
3
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT ~ O
DEPTH? p
E
M0nilorino? L,)~-,V Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
:lZ ~0~ =~" lY~"
:~ to ' ~ ~/q~'
)
PERCOLATION RATE /3 (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN 6,,-Z~AND "~t'-.~' FT
COMMENTS
E le RI~ , _ .......... (/) . THAT THIS TEST WAS PERFORMED IN
72~ (Rev. 4/~)