HomeMy WebLinkAboutHUNDRED HILLS 1ST ADDITION BLK 4 LT 6Hundred
Hills
Block 4
Lot 6
#078-191-09
()
Municipality of Anchorage ,,,~','.~ >,.,
Development Services Department .~
Building Safety Division '~
On-Site Water and Wastewater Program, 4700 S. Bragaw SL
P.O. Box196650 Anchorage, AK 99519-6650 Page [ of
www.cl.anchorage.ak, us (907) 343-7904
Permit Number:. ,~' ~.4Vt O0~ ~)~ ~ 4 PID Number. I~ ? ~-- [ q [-- O ~
"-: ~odney/~/¢-/'calF WastewaterSystem: [] New [-IUpgrade
~'~tS O~rk¢;e~/~rracE. ~.p~,~J~;¢e4 ~" qqg77ABSORPTION FIELD
Well: ~ New D Upgrade n. ~ ~ r.
25~"" ~4~°W~ '"l ~ '~ TANK
SEPARATION DISTANCES ~Septic ~ Holding D S.T.E.P. D ~he~
Septic ~somtion L~ Holding Pubr~t~ ~
Tank F~ld Sta~on Tank S~r L~e ~ ~ t~ ~~
ilS' i o' V -' 2
"~ BENCH MARK
Opo:~t ~" too,,
Inspections pe~ormed by: ~{. m... ~1..~. ee~ Dates: ,.-....,~x.-v/.-~ -7---
Development Se~ices Depa~ment Approval t~.%% c~-ssol
~, ~.;..., ..... ..~
.ev~ewe~.~.~p~o~dby: ~~/~~t~: 3-21-o~ , , .......... .,~
c~. ,~, ~/I ~ ' ~ ;'-',..... ~_ .........
PERMIT NO SW000226 PAGg 2 OF 4
Municip. atit oF .A.n_c h o..r' c~ g.e.
DEPARTHENT OF HE~_THAND HUMAN SERVICES
ENVlRONHENTAL SERVICES DIVISION
P.D. Box 196650 eAncho~'age, A.~laska 99519-6650 · Te.i.e,ohone~. 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
L£OAL LOT 6, BLOCK 4, HUNDRED HILLS #1 P.I.D. NO. 078-191-09
LOT 3 / LOT 4
/
/
sou,. ,o.~ [ o~x~ LOT 8
EAGLE RIVER
PER.~? ~0. SWOOO22B PAGE 5 OF ~
Mumicip. a[i~c__y_~ _oF .~.0~ h.o.m g g.e.
DEPARTHFNT OF HFALTH AND HUMAN SF:RVICES
ENVIRONMENTAL SERVICF:S DIVISION
p.n. Box 196650 OAnchomoDe, Alosko 99519-66500Telephone= 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LECAL LOT 6, BLOCK 4, HUNDRED HILLS #1
PJ.D. NO. 078-'191-09
NEW 2000 GALLON
SEPTIC
rBM
& DBL2
C01
aT1
TH#3
PERi, IT ~'0, SW000226 PAC£ 4 OF 4
Municip. o, tit oF .A.n._c h.o.r' o, 9.e'
DEPARTHENT OF HEA~THAND IdUMAN SERVICES
ENVIRONMENTAL SERVICES BlVlSlON
p.n. Box 196650 ·Ancho,"o. ge0 AIQsko, 99519-6650 · Tetephone, 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 6, BLOCK 4, HUNDRED HILLS #1
P.I.D. NO. 078--191--09
ST1 ST2/99.9'
FINAL
~,~1~ -:';~W"2000 ~=~:~-~_ ~,
96'4'/
Is'-PT'C
FINAL GRADE
MT1 =90,9' ._/
MT2=90.9'
C01=101,4'
C02=103.3'
C01=95.8'
C02=95.8'
NO WATER FOUND
81.9' B.O.H.
A B
FCO 25.5' 63.5'
ST1 27,0' 83.0'
ST2 40.0' 91.0'
DBL1 44.0' 92.0'
OBL2 45.5' 91.0'
C01 57.5' 84.5'
MT1 59.0' 84.5'
C02 145.5' 95.0'
MT2 146.0' 95.5'
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
2
3
4
5
6-
7-
8-
9-
10-
11
Municipality of Anchorage
,..
DATE PERFORM~'F~/
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
I~pth to Waer
Idonitering?
13-
14-
15-
16
17
18
~20/4
2O
Township. Range. Section:
SLOPE SITE PLAN
/ Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(m~nute~'mch) PERC HOLE DIAMETER __
COMMENTS
TEST RUN BETWEEN -- FT AND FT
S & S ENGINEERING
PERFORMED BY: ' ~ 7~'~4 ,"u~u ~'~;v=r ..... I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH AL~D~eI~IDELINES IN EFFECT ON THIS DAT~ DATE: ~ ~ /~ 0
72-008 (Rev. 4;85)
OWNER OF LAND
ADDRESS ~/~
( er dfie Drfllin ' og
b>. '1'
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
I
~,~ 77/~ E ~ STATIC LEVELOF~ATERFT
DATE-S~ed ' Ended
NUMBER
DRAW DOWN FT.
GALS. PER HR
KIND OF CASING
: .
/ ~"~3 O
..
KIND OF FORMATION: t,
!
From O 'Ft. to '~ !
From ·; Ft.~o .
From ~F Ft. to ~.J__~.__Ft.
From Ft. to__Ft.
From ".~-%~-~-~Ft. t~ ~"~"~ Ft.
From ~'.4)'"" Ft. Io '~ I Ft.
From~Ft. to Ft.
From.__Ft. to Ft.
Fromm. Ft. to
From.__.Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
'From Ft. to Ft.
From Ft. to__Ft.
From Ft. to_~Ft,
From ~Ft. to
From__Ft. to
From FI. to:
From Ft. to
From FI. to
From__,Ft. to
From__,Ft. to
Fromm, FI. to
FI. to__FI
Ft. to.~Ft.
__FI. lo Ft.
Fi. to
_.FI. lo FI
FLto Ft.
FI. to Ft.
FI. to Fi.
_Fi. lo Ft.
Ft.
Ft.
Ft
Ft.
Ft
Ft.
Ft.
MISCL INFORMATION:
DRILLER'S NAME
..... Drdhug og
'
DOC Co. Oba
SULLIVAN WATER WELLS
P.O. BOX670272, CHUGIAK, ALASKA99567 · TELEPHONE688.2759
OWNER OF LAND /~ ~,0() ex3
LEGAL DESCRI~ION ~: ~ 6~ q ~0 tO dd~d ~]~'
DATE - Started Ended
PERMIT ~UMBER
DEl'TH OF WELL ~// '~ ("~
Dow
KIND OF FORMATION: ~
From (.') Ft. to ':~ ! Ft <--,'q~r/O~ ~ iCK'~d-(9 From
From.:.:, Ft. to z. ~ Ft. (.~3 ~ ) 6:~( ~ g.~,d ~ /~-~ From
From " Ft. toS;,? Ft. ~' / L, 77 .) ' ' ' '< From
From Ft. to Ft. ~/ C 0 t~/~( ~d- Y From
From.~Ft. to Fl, From
From ~t. to~t. From
From Ft. to~ Ft.. From
From Ft. to Ft. From
F~om Fi, to Ft. From
From Ft. to_ Et From
~rom ~t, to~Ft From
From. Ft, to~Ft From
From. Ft. to Ft. From
From~Ft. to Ft. From
From~Ft. to._ Ft. From~
Ft. to_.. Fl
Ft. to. _Ft..
__ Ft. to. Ft.
__Ft. lo__Fl.
Ft. to Ft.
__Fl. to. FL
__Ft. to _Ft.
~Ft. to Fl.
Ft. to _Ft.
Ft. to Ft.
__Ft. to ' Ft._
Ft. to Ft.
Ft. to Ft
__Ft. to Ft.
.____Ft. to .... F~.
Ft. to____Ft
MISCL. INFORMATION:
DRILLER'S NAME
ROBERT C. COWAN. RE.
ROBERTA. SHAFER, RE.
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
RECEIVED
Municipality of Anchorage SEP 05 2000
DEPARTMENT OF HEALTH AND HUMAN SERVICRS
Munic~pahly o! ~ncnorago
825 L Street Dept. Health &Human Semites
P.O. Box 196650
'Anchorage, Alaska 99519-6650
The septic inspections for ~e ~eferenced property were
performed on ~-~-00 and ~ 29 L~. Prior to submitting
the On-site Wastewater Disposal Syste~ and/gr Well Inspection
Report we are waiting for the ~-~,~ ~,Fv~ to be
completed. ~
If we may be of further service please contact us.
Sincerely,
17034 NORTH EAGLE RIVER LOOP · SUffE 204 · EAGLE RNEP~ ALASKA 99577
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Sen/ices
On-Site Sen/ices Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(gO7) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Renewal
Date Issued: Jul 12, 2000
Expiration Date: Jul 12, 2001
Permit Number: SW000226
Legal Description: HUNDRED HILLS ISTADDITION BLK 4 LT 6
Design Engineer: 0003 S & S Engineering
Owner Name: Rodney Metcalf
Owner Address: 8913 Parkview Terrace Loop
Eagle River, AK 99577-
Parcel ID: 078-191-09
Site Address:
Lot Size: 235010 SQ. FT.
Total Bedrooms: 6 Permit Bedrooms: 6
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [] Water Storage
Ail 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 ( 18MC72 ) and Drinking Water Regulations ( 18MC80 ).
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:
Rick Mystrom.
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
August 25, 1995
Rodney D & Terry L Metcalf
11139 Aurora Circle ~A
Eagle River, Alaska 99577 8113
Subject: Lot 6 BLock 4 Hundred Hills 1st Addition
Permit ~SW940316, PID #078-191-09
The subject permit, issued August 25, 1994 by this office for a
single family well and/or on-site wastewater system, has
expired as of August 25, 1995.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
r~nS;geP~E' '
On-site Services
enc:
Copy of Permit
cc: S & S Engineering
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940316
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:OSTDIEK ELDON J
OWNER ADDRESS:P.O. BOX 771408
EAGLE RIVER, AK 99577-1408
DATE ISSUED: 8/25/94
EXPIILATION DATE: 8/25/95
PARCEL ID:07819109
LEGAL DESCRIPTION: HUNDRED HILLS 1ST ADDITION BLK
4 LT 6
LOT SIZE: 235010 (SQ. FT.) ~_
NUMBER OF BEDROOMS: ~$/THIS PERMIT:
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 SYSTEM UNDER 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:
ROBERT C. COWAN, P.E.
ROBERT A. SHAFER, RE.
HEALTH AUTHORITY
APPROVALS
SEWER&WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERINGSTUDIES
AND REPORTS
WELL INSPECTION
& ELOWTEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
May 24,
1995
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Sexvices
P.O. Box 196650
Anchorage, AK 99519
REFERENCE: Lot 6; Block 4; Hundred Hills Subdivision
Requeet ~ou issue a pe4mit to d~Lfl a well and install a septic system
to ~erve the p~opo~e~ ~ix bedroom house o~ the refe~d prope,¢~.
A test hole was excavated and a percolation test performed. The,
approximate location of the test hole is located on the, attached site
plan.
The monitoring tube within the test hole. has been checked and found to
be d~y.
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 n~ighboring propexties by the installation of the, proposed
septic system.
This design replaces S & S Engineerin~ design dated 8/9/94 and is to
be. installed under permit #SW940316 issued 8/25/94.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/gk
Enclosure
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
100'
?
/
/
/
/
SITE PLAN
C)
< ~I~
~o~
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: ~O
LEGAL DESCRIPTION: [.....~(2~
2
4
7
8
9
12
14
17
18
19-
20-
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT ~-~,/.~,
DEPTH?
Depth to Water ./~r
Monitoring? ~'~"~ Date:
SLOPE SITE PLAN
Gross Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE [,-z.~,-'~ (minutest~nch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND Lc FT
COMMENTS
$ & S ENGINEERING
PERFORMED BY: "¢ *~ ,~a~-','~l. ¢*' ~ ,.I ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
I~d3~ =~gle River L~p ~oad
ACCORDANCE WITH A~~h~UIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG w PERCOLATION TEST
LEGAL DESCRIPTION:~'c~'r (-~ '~.- ~ t.l,3,3OIZ.r%..~ Township, Range, Section:
SLOPE SITE PLAN
o~
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15-
16
17
18
19-
20-
WAS GROUND WATER \
ENCOUNTERED? ~'~ ~'~
IF YES, AT WHAT
DEPTH?
Depth lo Water Alter
Monitoring?I~ ~ Dale:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE \'Zp.',~ (mmutes/mch) PERC HOLE DIAMETER
TEST RUN BETWEEN %~- FT AND ~" F'r
COMMENTS
S & $ ENGINEEEING
PERFORMED BY: .~. o'xm~'~,~ --~.c'~'la .................. I~;u~, 1__,~3_ ~ l~m~el Nm_ ~ _ .ll'~/,~ W'~ ,3 ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
a !~ 7
72-008 (Rev, 4/85)
ROBERT C. COWAN, RE.
ROBERT A. SHAFER, RE.
HEALTH AUTHORITY
APPROVALS
SEWER&WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
CIVIL ENGINEERS
(907) 694~2979
FAX (907) 694-1211
REFERENCE:
Lot 6, Block 4, Hundred Hills S/D
May 24, 1995
GENERAL:
The scope of this project includes the installation of
a 2000 gallon septic tank and a leachfield trench to
serve the proposed six bedroom residence for the
referenced property.
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.
e
The contractor shall be responsible for obtaining any
necessary underground utility locates.
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.
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.
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.
Ail standpipes on the septic tank shall extend a
minimum of 12 inches above final grade.
17034 NORTH EAGLE RIVER LOOP . SUITE 204 . EAGLE RIVER, ALASKA 99577
Page Two
Lot 6, Block 4, Hundred Hills S/D
May 24, 1995
e
De
Septic tanks installed with less than 4 ft. of cover 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
(unless an effluent pumping system exists within the septic
tank). 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.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
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 (ruffed-up) before
gravel (sewer rock) placement·
e
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.
3e
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.
Monitor tubes shall be of four (4) inch diameter,
installed approximately in 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 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.
De
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.
Page Three
Lot 6, Block 4, Hundred Hills S/D
May 24, 1995
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:
Type of Pipe
Perforated Soli~
Cast Iron
ASTM D3034 (PVC)
ASTM F810 (HDPE)
ASTM D2662 (ABS)
Yes Yes
Yes Yes
Yes No
Yes Yes
Use of a 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, Fernco, 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.
Ail leachfield gravel (sewer rock) shall be 0.5"-2.5"
screened gravel with less than 3% passing the %200 sieve.
When sand is being used as a filter material, its gradation
specifications must conform to current M.O.A. or D.E.C.
requirements.
Page Four
LOt 6, Block 4, Hundred Hills S/D
May 24, 1995
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 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.
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.
e
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 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 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 contractors activities. Final acceptance of the
contractors 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/OWNER
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
August 03, 1994
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERINGSTUDIES
ANDREPORTS
WELLINSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 'L' Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Hundred Hills Subdivision; Block 4; Lot 6
Request you issue a permit to drill a well and install a septic system
to serve the proposed three bedroom house on the referenced property.
A test hole was excavated and a percolation test performed. The
approximate location of the test hole is located on the attached site
plan. The monitoring tube within the test hole has 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 halve an~D2A~questions, or require additional information for your
revie~se ~tact us.
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17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
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IVlunicipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: t~-r~ L~ ~'~J,~ k~ ~=, SLOPE SITE PLAN
WAS GROUND WATER \
ENCOUNTERED?
IF YES, AT WHAT L
DEPTH? ~ pO
E
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
Depth to Waler A~te_.cr. t
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ~--'~,'~ (minutes/inch) PERC HOLE DIAMETER
72-008 (Rev. 4/85) ,' ;: Jv~,r, AlaSKa ' /
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Hundred Hills Subdivision #1; Block 4; Lot 6
1. The scope of this project includes the installation of a 1000 gallon
septic tank and five foot wide drainfield to serve the proposed three
bedroom residence for 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.
SEPTIC TANK INSTALLATION:
1. A septic tank
manufacturer.
access.
is to be constructed by a certified septic tank
Construction shall include two 4" cleanouts for pumping
2. The septic tank shall be sufficiently bedded to prevent settling or
shifting of the tank.
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' of cover shall be insulated.
Page Two
Hundred Hills Subdivision #1; Block 4; Lot 6
August 03, 1994
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 ow~r the septic tank shall be such that a positive slope
exists away from the septic tank.
ABSORPTION TRF/qCH/DR~INFIELD INSTALLATION:
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.
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.
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.
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.
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 MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a
Municipally approved septic tank manufacturer.
Page Three
Hundred Hills Subdivision #1; Block 4; Lot 6
August 03, 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 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (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).
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. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel
with ].ess 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.
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 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.
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
Hundred Hills Subdivision #1; Block 4; Lot 6
August 03, 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
M U Il V CPU �,1 U kl Y O /\ H C H O l! �, J` GF__
�t
Development Services Department %Phone- 907-343-7904
On -Site Water & Wastewater Section -- Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 078 191 09
1. GENERAL INFORMATION
Expiration Date: moxck L d0
Complete legal description HUNDRED HILLS #1 BLOCK 4 LOT 6
V B46
Location (site addresss) HARP
Current property owner(s) METCALF
Mailing address
Real estate agent
2. TYPE OF DWELLING:
R Single Family (w/ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
Day phone
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
El
Private Septic
IT]
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request tor: N O N E
q Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ 550 Waiver Fee $
Date of Payment // ��Z I
Receipt Number 072 69.0
COSA# 05C.211 6 & 7
Date of Payment
Receipt Number
Waiver #
5. 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 Certificate of On -Site Systems 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.
Name of Firm C&M ENGINEERING Phone 8545558
Address 20182 TULWAR
Engineer's Printed Name CHARLES BALZARINI Date 11/20/21
6. DSD SIGNATURE
✓ System #1 Approved for
°F Al q
49 TH
5 bedrooms
System #2 Approved for _
Disapproved
Conditional approval for
CHARLES G BALZARId
bedroomsVIPF CE -13854
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_ bedrooms, with the following stipulations:
BY Original Certificate Date: A0/.20.2 J
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
COSA Checklist blue sheet
Nitrate Advisory
Arsenic Advisory
Other C&� 0UViSor4 X
=� WPIER,t
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14
BY Original Certificate Date: A0/.20.2 J
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
COSA Checklist blue sheet
Nitrate Advisory
Arsenic Advisory
Other C&� 0UViSor4 X
COSA Checklist yellow sheet
COSA Checklist
Legal Description: Parcel ID:
If more than 1 septic system on lot: COSA Checklist # of Structure served by this system
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled
Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date of Sample
Comments __________________________________________________________________________________
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective
Code-required soil cover over field
System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Adequacy test date
Results Pass For bedrooms
Fluid depth prior to test in
Water added gal
New depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
Comments/Deficiencies:
B.TANK DATA
Age of tank(s) years
Tank type/material6WHHO
Measured operating fluid level in septic tank
Standpipes/foundation cleanout per record drawing
Date of pumping
D.ABSORPTION FIELD DATA ______________________
Which system tested (date installed)
HUNDRED HILLS #1 BLOCK 4 LOT 6 078 191 09
11 1
+4.5
9/94 -
81
81
+24 C.Balzarini
11/6/21
48
11/10/2021
21
Septic
50
** Pending, See attachment and comment.
trench
2000 11/6/21
5
12.5 25
8 750
36
1440
4.5
24
750
NA
2000 NA
Cleanout and MT at start of field were repaired.
✔
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
From Septic/Holding Tank on Lot to:(Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Property Line > 5’ Yes if No ft
Absorption Field > 5’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10’ Yes if No ft
Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
F. ENGINEER’S COMMENTS
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 COSA guidelines in effect on this date.11/16/21
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The owner has pre-paid ARM services to pump the septic tank once the road conditions
are more favorable. The engineer does not expect negative impacts due to delaying the
pumping until the roads improve in the spring.
✔
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Septic Tank Advisory
Certificate of On‐Site Systems Approval # OSC211687
Subdivision: Hundred Hills 1st Addition Block:4, Lot: 6
The septic tank for this property is 21 years old. The average life for a steel septic
tank is 20 years. Typical replacement costs range from $7,000 to $11,000.
This advisory must be attached to all copies of the subject Certificate of On‐Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
ARM Services, LLC
12/2/21
Rodney & Terry Metcalf
654 Harp Circle
Eagle River AK 99577
To Whom It may concern ARM Septic Services, LLC has been prepaid for the referenced
property above to complete a 2000 gallon septic tank pumping in the spring of 2022.
Please call the the ARM office if anyone has any questions regarding scheduling.
Thanks so much,
Mariah Campbell
ARM Septic Services, LLC
907-688-9433
17933 Old Glenn Highway *Chugiak, AK 99567
Ph: (907) 688-9433 Email: ARMServicesAK@outlook.com
L�__!
Hundred Hills/ Subd.
Lot 3
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Lot 7
SCALE: 1"= 100'
AS-BUILT
AS-BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
in accordance with ASRLS Standards of the following
described property: LOT 6, BLOCK 4,
HUNDRED HILLS SUBDIVISION FIRST ADDITION
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
this 2nd day of November , 2021.
EASEMENTS OF RECORD, OTHER THAN FRED WALATKA & ASSOCIATES, L.L.C.
THOSE SHOWN ON THE RECORDED Engineers and Surveyors
FLAT ARE NOT SHOWN HEREON FB 21-6, pg47-48 BE 907-248-1666 g y
UNLESS OTHERWISE NOTED.
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered,
the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.