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HomeMy WebLinkAboutCHUGACH PARK ESTATES BLK 1 LT 18Chugach Park Estates Block 1 Lot 18 #051-481-37 Municipality of Anchorage Page. ~ of._.~_ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Waslewater Disposal Syslem and/or Well Inspection Report Permll Number: 5 {~J 000~..~ I PID Number: "":C~ I D;so~ll WaslewalerSyslem: ~,ew ~Opgrade PO~ox 77G~IO Ea~ l~ ~;*~,/K ~577 ABSORPTION FIELD Ph~.: " ]NOOIB~ooms:~ ~Deep~ench ~Shallowlrench ~Bed ~Mound OOther WELL: a N~w ~ U.~e ~"'""""': IS,,. = I ~.~ F,. SEPARATION DISTANCES ~s,,,~ ~ no~d~.~ O S.T.[.~. Well I0~' I Ig' ~ -- --"'""":~lr~*~h~ ~'~,;? l~ I~ ~ LIFT STATION Lot ,o,,.~,,o. 3&'~' '"-"-'"-'": '" '"~'-'"'""-": Remarks: ~v~[ ~ ~ c~,~z~4~¢.r~a ~r, BENCH MARK i ENGINE · EAL ,nspect,ons performed by:~~~ Dales: 1si /---~ u~ 2ndT'~q'd~ I -- Deparlmenl of Heallh and Human ~erv~ces approvm e~,,~ PER,lIT NO SW000251 PACE 2 OF 3 MuniciDol. i"cv oF .A.n_.ch,o,,r'gg.e. DEPARTMENT OF HEALTH ANL) I-IUIVIAN SERVICES ENVIRONMENTAL SERVICES DIVISION · P.O. Box 196650 ~..Ancho~ge, A_~sk~ 99519-665.0 O Te. i.e,ohone, 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL NSPECT ON REPORT LEGAL LOT 18, BLOCK 1, CHUGACH PARK ESTATES P.I.D. NO. 051--481--:~7 TH#2 CO DeL1 & NEW 1000 GALLON HOPE SEPTIC TANK CE - 8801 PERMIT NO..Sw000251 PACE 3 OF 5 _.. Mu n_icip. 9_t i~ y_o. f' DEPARTM~N/ o~ Ht=AL/H AND HUMAN SERVICES ENVlRONHENTAL SERVICES DIVISION · P.O. Box 196650 ~._Ancho~'age, A.~iaska 99519-665.00Te..I.e. phone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 18, BLOCK 1, CHUGACH PARK ESTATES P.I.D. NO. 051-481-37 ST1 ST2 /- 100.8' FINAL SULATION 97'3'J ~ ~-97.1' O0 7"--',-,,~ 1WT1 2n C02.~''~'100'1' WOUND SLOP[ NOT __0 I1 [.. ,. .t,,..,.,, ..D.A., I:-., ,4,..,,,-,SAND :. I','." *',i' '.~" '.;::,,'.,'.- ':~. ":~- I' ~;' 97.0~ k96.5' 96.5J ~97.0' WOUND SLOPE NOT  O 3:1 GRAD[ A B CO5 50.0' 65.0' ST1 52.5' 65.0' ST2 56.5' 69,0' DBL1 59.0' 71.5' DBL2 60.0' 72,5' CO1 75.5' 85.5' MT1 65.5' 74,0' CO2 95.0' 87.0' MT2 98.5' 95.0' NO WATER FOUND 89.5' B.O.H. FR0/*I : DI$0TELL CONSTRUCTION,/. .~ FaX NO. : ! 907 6960215 Sap, 08 2000 05:24PH P2 OWNER OF LAND OOC Co. [ILLIvAN WATE WELLS P.O. BOX 670272, CHUGIA~(, ALASKA 99:~67 · TELEPHONE $88-275g ADDRESS s ~ LEGAL DESCRIPTION / zaT' iDc: PERMIT NUMB ER b_Q.b_..b___~_,~_.~ Date ct' Issue TAX INDENTIFICATION NUUBER_C)~'_/_._ .~/~'/ _ .~:~ I,~ well IDea!ed at approved permit location? ~-'Ye'~ i'-I No Method of Drilling: ~r rotary [~ cable tool Depth ofwell: _ ~o~ I Casing Type ?~..~.~._Wall Thickness ~ c~.~ inches D~ameter. ~ inches, depth_ ,~,~ ~ feet feet feet gpm Liner Type: .'L) Casing Stickup Above Grouna:. Static Water Level (from ~round level):. Pumping level:~feet after hrs. pumicing Recover Rate: _ ':~ gpm Method of Testing: _/~Z 6ORE HOLE'DATA DEPTH Well Intake Opening Type~ ~;;~'~en End I'1 Open Hole C~ Screened; Start_ feet Stopped feet Depth: from ' ~ feet, to "-'--"- feet Pump Intake Depth:__ fc~t Pump Size hp Brand Name__ Well Disinfected Upon Completion? ,(~.-Yfs ~ No OCT 04 20C0 0 '~o',,c,pa/ay ot Anch~-an,~ apt. HeaJth & Human Se~'~.e,~ __ 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 ' · Department of Environmental Conservation. Services and/or Department of Environmental Conservation. MatSu Borough: MUNICIPAUTY 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 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Jul 21, 2000 Expiration Date: Jul 21, 2001 Permit Number: SW000251 Legal Description: CHUGACH PARK ESTATES BLK Design Engineer:. 0003 S & S Engineering Owner Name: Carl Disotell Owner Address: PO Box 770210 Eagle River, AK 99577- Parcel ID: 051-481-37 1LT18 Site Address: Lot Size: 62997 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage Ail construction must be in accordance with: 1. The attached approved design. 2. Ail 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 Io each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to Apdl 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: "~ ~ ~J~/~- Date: Date: ROBERT C. COWAN. RE. ROBERTA. SHAFER. PF July 14, 2000 CIVIL ENGINEERS (0o7) FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 18, Block !, Chugach Park Estates It is requested that you issue a permit to install a well and a septic system to serve the proposed three bedroom dwelling on the referenced property. Two test holes were excavated and percolation tests performed. The approximate Iocation~ of the test holes are located on the attached site plan. At the time of excavation 6/26/00 water was not found. After ground water monitoring, no water was found. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. Ifyou require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC o3 Enclosure 17034 NORTH EAGLE RN~R LOOP * SUffE 204 * EAGLE RN~R, ALASKA 99§77 SITE-PLAN DETAIL DESIGN t moo 0 0'0 zo j -- Mm'dcipalily o! ARchorage DEPARTMENT OF HEALTI I & IIUMAN SERVICES 825 "L" Sl~'eet. Anchorage, Alaska 99502-0650 so,.s _oG - .E.co.^'no. TEST LEGAL 2, 3- 6 7 8 9. 10- 11 13 14 15 17- 18- 19- 20- SLOPE WAS GROUND WATER ENCOIJNTERED? IF YES. AT WIIAT DEPTII? · 'l- 13oo o 0ro$$ Time SiTE PLAN PERCOLAIlON RAIE ~ I ~ IES1 RUN BETWEEN '~ ^CCO,D^,CE w,T,,L[[~ £tl~[= ri,,,. Loop read ,o. ~ E~ ~,er, ~.~J~ GUIDELINES IN EFF t CT ON 11liS DALE. DATE; Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~.~ ~,~ ...... DATE PERFORMED:([%~",~-'.~'~*~.' ~ ,,," <~ ~ Township, Range, Section: 3; 4- 5 6 7 8 9 10 11 13- 14- 15- 16- 17- 18- 19- 2O ~..~ ~. SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? Oe~ to Waer ~er C,,q**-/' 7 - ,J d * ~ Mo~itori~6? ~ §ate: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ ~ {m~nutes/mch) PERC HOLE DIAMETER l TEST RUN BETWEEN "~' FTAND ~'~""~"' FT COMMENTS PERFORMED BY: $ & S ENG INI=KD IId~ I CERTIFY THAT THIS TEST WAS PERFORMED IN ROBERTC. COWAN, RE. (~ ,, IqOBt:H r A. SHAFER, PF, ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS ClWL ENGINEERS (~o7) 694-297~ FAX (907) 694-1211 REFERENCE: Lot 18, Block 1, Chugach Park Estates July 14, 2000 GENERAL: The scope of this project includes the installation of a 1000 gallon septic tank and an absorption bed 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 or ADEC Authority to Construct 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, the property o~vner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property mvner shall be responsible for ensuring a satisfactory vegetation gro~vth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department or ADEC if required, for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health 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 or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 * EAGLE I:t~/ER, N.ASKA 99577 Page 2 Lot 18, Brock 1, Chugach Par~ Estates 3. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. ofcover shall be insulated. 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. 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 toward 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. LEACtlFIELD BED INSTALLATION: Excavate the proposed Bed Area to the depth shown on the design. The bottom of the excavation shall be within 2 inches of level. If the bottom of the excavation becomes smeared, it must be raked or scratched (m/Ted-up) before gravel or sand placement. Ifa sand layer is required, place sand over entire excavation to the required depth shown on the design. The top of the sand layer must be within 2 inches oflevel. Sewer rock shall be placed uniformly throughout the entire bed. Perforated distribution pipe must be installed level with perforations down. Gravel depth below the perforated pipe shall be a minimum of six (6) inches. Gravel depth above the perforated pipe shall be a minimum of two (2) inches. The total gravel depth throughout the entire bed shall be a minimum oftwelve (12) inches. The perforated distribution pipes must be no more than six feet apart. The distance between the outermost perforated distribution pipes and the sidewall of the absorption bed must be no more than three feet. Silt barrier material 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. Monitor tubes shall be of four (4) inch diameter, installed at 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 depth shall be perforated six (6) inches below the bottom of the horizontal distribution lines. The monitoring tube should not extend below the bottom of the gravel surface. 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 finished grade over the bed must be mounded to prevent the formation ora depression after settling. 8. A mound system is to have the upper six inches oftop soil and be seeded for vegetation. Page 3 Lot 18, Block 1, Chugach Park Estates Jul~ ~4, MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Twe &Pipe Perforated ~;olid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 0-tDPE) Yes No ASTM D2662 (ABS) Yes Yes Usc ora type of pipe other than listed above must 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 barrier {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 gravel with less than 3% passing the/t200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current MOA or ADEC requirements. INSPECTIONS: 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: The first inspection must be conducted after the excavation ofditches, 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 4 Lot 18, Block I, Chugach Park Estates July 14, 2000 The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, eleanouts, 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. Ifnecessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached MOA permit or ADEC Authority to Construct. 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. 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 Municipality of Anchorage Department of Health and Human Service,, Div!~ion of Environmental Services On-Site Services Section 825 'L' Street Room 502 RD, Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak,us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORiTY'AI PROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-481-37 1, GENERAL INFORMATION Complete legal description Lot 18. HAA# 0 ! ~ 011 Expiration Date: Block 1: Ch.?ach P~rk ~q~m~Oq Location (site address or directions) NHN Plat.qPk Drive Current Property owner(s) Mailing address PO Lending agency, Mailing address Carl Disotell Day phone Box 770210, Eagle River~ AK 99577 Day phone -694'5797 Real Estate Agent Mailing Address Day phone Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 3 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 I-] [] Community On-site [] I'-I Public Sewer [] The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners, 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 less than 30 days old. 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, 72.025 (Rev. 01,'00)' Se Se 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 the Health Authority Approval application show that the on-site water supply and /or wastewater disposal system is 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 in compliance with all applicable Municipal and State codes, ord. i.qa_nces, and regulations in effect at the time of installation. S & S ENGINEERIN[~ 17034 Ea~le River Loop Road No. 204 Name of Firm F-agl9 p. iver~ Ataska 99577 Phone 6 c~ ~_ ~ ? ~ Address /0 Engineer's Printed Name Robe,:t: C. Cowan Date //~'/ /' ....,. ,., .,, ..,~..,'- ~ , DHHS SIGNATURE ' ' ' '" c -edOl / Approved for ~ bedroom{. ' "~"'- .." '? - Disapproved. ~,. ~.~.....~.~....-~. Conditional approval for __ bedrooms, with the following stipulations.' Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Expiration Date: Original Certificate Date: ! - ~ - C) ! Reissue Date: 72.025 (Rev. Municipality of Anchorage Department of Health and Human Sen/Ices Division of Environmental Sendces On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage. AK 99519-6650 www. ci.anchorage.ak.us (907) 343-4744 HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescription: L-~,'r' Ich ~ I ~.wuc~,,.f.d ~2~.¢..~,~. Parcel I.D.: ~/' '~4~' $7 A. WELL DATA Well type Date completed Total depth Date of test Static water level Well production ft FROM WELL. LOG_ ~ .o .g.p.m If A, B, or C provide PWSID # __ Sanitary seal ~JE5 Cased to ~;~/ ft .WATER SAMPLE RESULTS: Coliform ~ colonies/100 mi Date of sample: B. SEPTIC/HOLDING TANK DATA Nitrate ~, S" mg/I Co,ected by: 5 Tank Type/Matedal ~o~~f;4' ¢v.~ Date installed '/'/-~'~ Tank size Casing height (above ground) AT INSPECTION We, Log Wires properly protected In. g.p.m Other bacteria ~ colonies/lO0 mi /~ gal Depression over tank . Cleanouts ~/~ Foundation cleanout Date of pumping "/~ -- ^/~-4~) Pumper ABSORPTION RELD DATA Date installed ~" ~' '/'~ o Soil rating (g.p.d./ft2 or ft2/t3drm) ~' ? Length /'~ ft Width /S' ff Gravel below pipe ~/-<" ft Total depth /'//'~/~ ' "-' ft Effective absorption area ~'~"' ~ Monitoring tube Date of adequacy test "/,~-,u~ Results (Pass/Fall) Fluid depth in absorption field before test - . in Water added__ Elapsed Time: -"-'--:-rain Final fluid depth ;n Any rejuvenation treatment (past 12 mo.) (Y/N & type). ' Number of Compartments Z ~/~ High water alarm __ System type ~' _ Depression over field For -'"' bedrooms 9al. New depth~ in. Absorption rate->~ g.p.d. .If yes, give date 72.02~ (R~v. 01,~0)· D. LIFT STATION Date installed Size m gallons . · Manhole/Access 'Pump on" level at in "Pu~ level at ~es tested? E. SEPARATION DISTANCES in Meets alarm & cimuit requirements SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Io~ ~ On adjacent lots /o o / +' Absorption field on lot I ~ D f On adjacent lots I o~/'"- Public sewer main ~',/&- Sewer/septic ~ervice line .25'' ~- Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main Drainage /~ Property line ~'& ' Water service line Z$'/'~ Wells on adjacent lots /oo //' Absorption field ~' Surface water I~lp/+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '?~/ Building foundation ,Z~/~ Water main ~1/~ Water Service line 75'~ ~'' Curtain drain ~E- KMo~.I~J F. COMMENTS Surface water /o~ ~* Wells on adjacent lots I~ Driveway, parking/vehicle storage /~' G. ENGINEER'S CERTIFICATION I certify fha{ 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 HAA Fee $ Date of Payment Receipt Number 300. Waiver Fee $ Date of Payment Receipt Number 72-02~ (Rev.