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HomeMy WebLinkAboutALPINE TERRACE BLK 1 LT 9Alpine T r'r'oce Block Lot 9 #015-243-33 �. y V � �.J � Municipality of Anchorage Page ! o! ~ . 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: ~ PID Nurnbe~ ----~e pl~one: No, of B~room$: Deep Trench ~'1 Shallow Trench ~"Bed n Mound 0 Other LEGAL DESCRIPTION WELL: [3 New [3 Upgrade GPM SEPARATION DISTANCES To From Well* Surface Water Lot Line Foundation Curtain Drain Remarks: ~"/~ TANK Manufacturer: Materlah O Holding 0 S.T.E.P. Capacity in gatlonS; Number Of C o m ~,,~.rtment$: LIFT STATION BENCH MARK ENGINEER'S SEAL Inspections performed by: T~, 5. , Dates: ls 2~ Department of Heal[It and I~u~a.n..~e~.ices approval . Reviewed and approved by: ~'~'~?/ ~'~' SW,'NG TIES -- $$.7 Iooq 64L SEP~ I I I FRENCH DRAIN? NOT rOUND. 6 8EOROOU SYSTE~i I000 ¢4L SEPTIC '[.ANK I II BIOCYCLE UNIT 10X25 DRAIN PIELD TOTAL 06PTN 4 PT ROCK DEPTH 12 INCHES ~5 0 SCALD I' = 50 FT. 0 o 907' 279-$916 SHEET: 2/$ GRID: 2740 PERMIT # S~'0000458 PID fl 015-~43-33 AL ToIog£.DWG D,~AIN£1£LO 2~ FT FT-1 BIOCYCLE I fOOt, GAL $£P1'1C ~'ANK 95.5]: iI,qCOUPR£SSOR BIOCYCLE 6000 LEGEND: iNsuLATION ACrlVAI'EO SLUDC£ RE fNV 93.31 1000 CAL. SEPTIC TANK I. PRIMARY TREATMENT, SEPTIC TANK 2, AERATION TANK $. C/AR/F/CATION TANK 4, DISCHARGE TANK 5. SOIL ABSORPTION --~EPTIC SYSTEM SCHEMATIC J [OB ~~ H ~ ~_o...v J,.~,o£o~..~ I ., RECEIVED NOV 06 tO00 Mu,hC;pahl), ot Anchorage Oept, Health & Human Services MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 I O1:7o/oo ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 27, 2000 Expiration Date: Oct 27, 2001 Permit Number: SW000458 Legal Description: ALPINE TERRACE BLK I LT 9 Design Engineer: 0007 Tobben Spurkland, PE Owner Name: Raghbir S. Basi Owner Address: 11651 HiIIside Dr. Anchorage, AK 99516- Parcel ID: 015-243-33 Site Address: 011651 HILLSIDE DR Lot Size: 44000 SQ. FT. Total Bedrooms: 6 Permit Bedrooms: 6 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343.4744 ( 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: Date: 203 W 15th. Avenue, Suite 203 ANCIIORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 9 BLOCK 1 ALPINE TERRACE S/l} RAGHBIR S BAS! October 23, 2000 Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 We are submitting an application for the upgrade of the septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet lB), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3)- Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: Ground Water at 8 Ft. Use Standard Bed with BioCycle Soil Rating. From Testhole 10/19/00 I mirdin ~ 4 gal per sq.fi/day No. of Bedrooms 6 Required Area per Bedroom: 150/4= 37.5 sq.ft. Total area required: 37.5 x 6 = 225 sqft Bed Size I 0 x 23 ft Bottom Rock At 4 feet Top Rock At 3 feet Rock Depth 12 inches Total Trench Length 187.5 * .87/5 = 32.6 SYSTEM CONFIGURATION BIOCYCLE ~t/l l~oo(vAt_ ~-~'1¢ STANDARD BED TOTAL LENGTH 23 FI' TOTAL WIDTH 10 Fl' TOTAL DEPTH 4 FI' ROCK DEPTll I FT COVER 3 FT The installation of this septic system will not prevent wells from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concenlration of surface runoff will not result from this installation. I0 'I I- I ~~ ' 7"G~IODfOP7 40 907 p79-3916 sHEEI 12~ G£1D' 2740 p££MII # SVOOOOXXX pip # rr ,~L IOI091,DV6 ...... :~u~,A.D ..-. :, .. No, C£-P225 ' · 'C O00~DAL SEPTIC FRENCH DRAIN? 6 B£ORO01,1 SYSTEI~ I000 G~L SEPTIC TANK BIOCYCLE UNIT IOX25 DRAIN FIELD TO~AL DEPTH 4 ~ ROCK DEPTH 12 INCHES P.E. 203 W 15TH. AVENUE ANCH. AK. 99501 279-3916 ~LPINE IE'RRACE tJLOCX I LOT 9 11651 HILLSIDE DRIVE RAGHBIR S BASI PERNIT # SVOOOOXXX P1D # YY SEPTIC SYSTEW DESIGN DA~E: OCL 17, 2000 SHEE~: 2/3 GRID: 2740 AL TOIOgP, DVG 5 FT lO FT ~00000000© 0 0 0 ~ ~{ SPURKIAND P.E. 205 WISth Ave Ak 99501 PERMIT # SIVOOOXXX XX 4-INCH INSULATION 0 0 BIOCYCLE 6000 I000 GAL. SEPTIC TANK LEGEND: I. 2. $. 5. PR/WARY TREATI~ENT, SEPTIC TANK AERATION TANK CLARIFICATION TANK DISCHARGE TANK SOIL ABSORPTION LOT 9 BI{ I ALPINE TERRACE SEPnC SYSTEI~ SCHEUAnC 11651 HILLS/DE DRIVE DATE: OCT. 23, 2000 RACHBIR S. BAS/ SHEET: GRID: 2740 Al Municipality of Anchorage DEPARTMENT OF -~EALTH & HUMAN SERVICES 825 "L" Street. A.t:horage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 3 4 5 6 7- 8 9 10 11 12 13 14- 15 Township, Range. Section: SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Oepth to Water Alter Monitoring7 Date; SITE PLAN 17- 18 19 20 PERCOLATION RATE (mmutes/mcl~} PERC HOLE ClAMETER .~ TEST RUN BETWEEN FT AND FT DISCLAiMI=R~ ~rntlndwater cnndittnnR ~ndicatpd ar~ fnr the dates shown only. Past and future presence and/or depth of groundwater can not be predicted t~om these ooservaclons. PERFORMED BY: __ I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUll ELINES IN EFFECT ON THIS DATE. DATE: 72-008 IRev. 4~85) Gross Net Depth to Nit Feeding Date Time Time Weter Drop - , , PERFORMED FOR: LEGAl. DESCRIPTION: 4- 5 6 7 8 10 11 12 13 14 15 16- 17- 18 19 20- Munlcll:ellty of Anchorage DEPARTMENT OF -~EALTH & HUMAN SERVICES 825 "L" Street, A,t:horage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Deoth to Net Feadlng Date Time Time Wate¢ Drop PERCOLATION RATE {minute.'mob) PERC HOLE DIAMETER .~ TEST RUN BETWEEN FT AND FT DISCLAIMF~: O, rn.ndwater cnndttionR indicated are for the dates shown only. Past and future presence and/or depth of groundwater can not be predicted trom these observations. PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUll ELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4185) )CT-~'6-00 O~:~T PM 9~T~445941 8801 Rendon Drive Anchorage, AK g9507 TERRA FIRMA INC. Telephone: {,907) 344.5934 Fax: (907) 344.5934 ,.mait: tenl~e.t =REJECT NAME: PROJECT NO: SAMPLE LOCATION: SAMPLe. NO, ~E$CRiP~ION' OA'~b IESTED: RL::VlcWE 0 ny: ANC 1203 Let g. E, lock 1 00-S-1 .Pood¥ ~rd eand wi t~avel MQ RJPC % GRAVEL 28.9 USC: $~P % SA~O, 67.4 ~C: ASTM 015S7(un~ecte~l pcf ASTM ~718, OPTIMUM M.C NATURA~ ~.C PARTICLE SIZE ANALYSIS ASTM D42~/¢13~ i':l ;i ' ~ ......; : ~.;. !'ii:., . , .... "l,~il ';i'' ~.:,~ . 120.0 115.0 110.0 105 0 MOISTURE-DENSITY RELATIONSHIP , Ill ~ ; ,1~ ;... , ~ ~ I' ~ ~ , I ~ ~ . , ~ ' ~ ~ . .!~ , ' I'' ' ' ' i ' I [ .! : ! , ! ,- : : : [ i : ! ~' '1 100.0 2.0 4,0 $.0 8.0 10.0 12.0 1.4,0 1~.0 SIEVE ANALYSIS T1EST SIEVE TOTAL %I 3/4" 96 1/4' ' 76 #4 71 #10 53 ~0 35 · 40 21 #6~ 13 ~oo 3.7 HYDI~OMETER TEST ELAPSED DIAMETE~ TOT.~. % 0 1 2 15 30 60 250 1440 IPermeability IASTM D24381, Degradation {ATM T-13~ L,A. Abrasion (AA.SHTO T96~ PROPERTY OWNER AGREEMENT FOR TltE MAINTENANCE OF AN ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated ~ ~ 9, c~ .189~__, as made between the Municipality of Anchorage Department of Health and Human Services (DHHS) and the property owner(s) of: This agreement is made for the purpose of maintaining aa on-site wastewater disposal system on the subject property. The property owners agree to the following: Submit to the Municipality of Anchorage, on aa annual basis, an inspection and operation statement from a registered professional engLueer. This impection and operation statement shall verify that the engineer has inspected all effluent sad air pumps, timers, and alarms, md that any deficiencies have been repaired and that the system is functioning as designed. (Signature) (Signatm'e) State of (Printed Name) (Printed Name) ................................ N o:arize Here ........ gC~'~h;nd~r g. pegsonally appeared before ~ho is personally kno~ to me / ~ whose identity I proved on the bas~.s of~OlUaqoqJqO whose tdenti~'e I proved on the bath/affirmation of to be the signer of the ,bovy document, ,nd~ ae~noyledg%d Notary Public My commission expires {e}~[O~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 195650 Anchorage, AK 99519-6650 w,w/.ci.anchorage.ak, us (907) 343-79~4 CERTIFICATE OF H -F_.ALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O1~'- ~--'~.~-' 1. GENERAL INFORMATION Complete legal description I Location (site address or directions) Expiration Date: Current Property owner(s) Mailing address Day phone Lending agency Day phone Mailing address Real Estate Agent ~'D '~-~.C~$~'M. Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: ~, t~/I 5TA- Day phone 3. TYPE OF WATER SUPPLY: ' Individual Well Individual Water Storage Community Class .~ Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Cerfificstas 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 sewed by a single-family on-site wastewatar disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approve! are valid for 90 days from the date of issue for properties sewed 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 emissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the va{idatlon date sho~. below, I verify that my investigation, based on procedures outlined in the Health Aut,ho~ty Approval Guidelines for th~s application, shows that the on- site water supply and/or wasteweter disposal system i~{am) 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 flies and.from my investigation and inspection, the on-site water supply and/or wastewater d~sposal system is(are) in compliance with all applicable Mumcipal and State codes, ordinances, and regulations in effect at the time of installatio~. Name of Firm Address ~ ,~ ~ Engineer's Printed Name Phone Date DSD SIGNATURE J Approved for ~ Disapproved. Conditional approval for bedrooms. .. bedrooms, w'th the following stipulabons: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X ON-S,TE ~"= WATER AND ; WASTEWATER: PROGRAM ; ...... Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Mnnicipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 ~.ci.anchorage. ek.us (907) 343-79O4 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: WELL DATA we, type Date completed Total depth ~),~? ff. 'if A, B, or C provide PWSlD # tH//~ San~a~/~ea~ (Y/N) ~ cased to ~._n. FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Collfoml _~colonlas/lO0 mi. Arsenic: mg,/l. B. SEPTICdIO[ DING TANK OA~,o, · ft. g.p.m. Date of sample: Tank Type/Material ~P r IX e, ~--~1 '~ Tank size ~ gal. Number of Compartmente we, Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) e~H in. AT INSPECTION ~. & g.p.m. Other bacteria' = q colonies/100 mi. Cleanoute (Y/N) '7/ Foundation cleanout (Y/N) '~ D. of..=.,.°' Pumper ABSO~ON FIE~ eATA ~n~ Da~ of ad~ua~ ~st Ftui~ pe~ in abaton field ~ te= ~ in. ~r ed~ gal. ~psa Tree:/~ Fi~l fluid dep~ in. ~y ~juvena~on ~a~ent (~st 12 ~.) ~/n & ~) Depression over tank (Y/N) .t',{ High water alarm (Y/N) f'-I Soil rating (g,p.d./ft2 er-ftA/l~5~la) . q Eft. absorption area eq-7~ ~ Monitoring tube Gravel below pipe ~¢~ U Depression over field For ~ bedrooms New depth._~ in. ?~l~:~ gp.d. If yes, give date Absorption rate >= D. UFT STATION Date installed EJ Size in gallons / 'Pump o~ level at ..~.~. Cycles tested "Pump on" level at ~.~ in. Datum SEPA.ATION D,STANCES SEPARATION DISTANCES FROM WELL ON LOT Septic tanldliff station on lot 'IOIj ] t~ ~'~ Onadjacentlots Absorption field on lot Public sewer main Sewer/septic sen/ice line Manhole/Access (Y/N) High water alarm level at ~Z~ ~/z.. in. Meets alarm & circuit requirements? Building foundation ..~ ~ Water main 1"t/,6~ On adjacent lots Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/14(3~C:NG-'-~..NK ON LOT TO: Property line ,~ Water sen, ice line '~ ~ ~ Absorption field Surface water Wells on adjacent lots Driveway. parkinghmhicle storage SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation ,~ c~ Water main surface water / c, Property line Water Sewice line Curtain drain rt' F. COMMENTS Wells on adjacent lots G. ENGINEER'S CERTIFICATION 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 Pdnted Name ~/P/De'. ~u c J~.{~../4~ HAA Fee $ 3 Date of Payment Receipt Number ~-~ '7 (Rev. 12~1) Waiver Fee $ Date of Payment Receipt Number PR['D£NTIAL '~'ISTA ~AI- £$ ~002 · ~e. pored Robert: E. ~bhns, ~r. & Asooc. Profenslunal Land Surveyors ~AUGUS~ :23%;- 200~ 22191 ~, ~: ... : LOT %~; BLOCK' ~:, ~P~Ng TgK~C~ SUZD. AUG--23~2~6~ ~1:1G PM T SPURKLAHD 967 2T6 6613 Municipality of Anchorage Development Services Department Build~ag Sd~' Division On-$i~ W~' ~d W~wit~ Pro~m P.O. Box 19~0 ~o~ ~ ~19-~0 PROPERTY OWNER AGREEIV[ENT FOR THE MAINTENANCE OF AN ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated /9o~,4 ?~, 2vcoz. is made between the Municipality of,Anchorage Development Services Department (DSD) and thc property owner(s) of: This agreement is made for the purpose of maintaining an on-site wastewater disposal system on thc subject property. The property owners agree to the following: Submit to thc Municipality ct'Anchorage, on an annual basis, an inspection and' operation statement from ~ registered pmfessinnal engineer. This insl~ctlon and operation stattment shall verify that the engineer has inspected all effluent and air pumps, timers, and alarms, and that any deficiencies have b~en repaired and that the system is functioning as designed. i~naturc) (Signature) (Printed Name) (Printed Name) The ~crcgoing Instrument was acknowledged before mc by (Notar 's printed My Commission Expires ~UC-2~,-02 @5:3~PR FRO~-CT&E ENVII~t~NTAL SRV ,~t~_- CT&E Environmental Servlcoa Inc. , 9075~15301 T-IZO P OZ/9~ F-670 CT&£ Client Name i'roject Name/# Client Sampl~ ID ,Y[atrl~ Ordered By PWSID Sampl¢?,.~marks: I025423001 Tobben Spurklnnd P.E. Alpine Tenace L9, BI Alpine Terrace L9. BI Drinking Water 0 All D,~ted'rimes are Ala:~ka Standard 'Time Printed Date~.'lme 08~6~Q02 8:56 Cetlect~ Da~lme 0B~2~002 Recetved ~ate~ime 08~2,~002 16:00 Technical Di~etor Stephen C. Ede Refe.~d B~~ 0.624 PQL UnfP Allowable Prep Aaal)$ia Limits Date Date lail 0.200 mg/L EPA 300.0 (<'.10) 0s,'2~,02 JDT ~.icrobiolog~ La~c~a~o~ To:al Co[if'orm 4 OD, No Colt col/100mL SMI8 9222;1