HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 6 LT 4Lakeridge
Terrace
BIo.ck 6
Lot 4
#051-313-26
Municipality ofAnch'orage Page I of 3
Department of Health afld Human Services
Division of Environmental Services
On-Site Services Section 825 'L' Street Room 502
P.O. Box 196650 Anchorage. AK 99519-6650
v, ww.ci.anchorage.ak.us (907) 343-4744
ON. SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW000449 PID Number: 051-313-26
m.~: [-] Upgrade
MM&M Contractin!~ WastewaterSystem: (~ New
P.O. Box 670495 Chugiak~'AK 99567 ABSORPTION FIELD
688-1236 Three (3)
LEGAL DESCRIPTION 4 c.~e -+2.5
6 4 Lakeridge Terrace +2 Ft. · · .5
3 r,. 30 ,,.
Well: [] New : [] Upgrade c..~t.: J.2 rt. ' 4 ':'- . ·
Private 3.41 ~,. 141 rt. 360 re . Anch. Tank Kit: '
· Sullivan 10/30/00 110 n. MM&M Contracting: · 10/24/2000- '
SEPARATION DISTANCES .. Il'Septic IlHolding E;~IS.T.E.P. ~ ": ., IlOther. '"
Tank Field Station Tank ·S~,~U,, Anchora Tank ·. ..... 1,250 '.
wa. >100' >100' >100' N/A >25'~ Steel : . - ' '-'i Three (3) '
~u.s~'~w~" >100'>5,. >100'>10,. >100'>5,N/AN/A~\/ .~ff.2~5~0~..~.. "c~ Anch.~'~'~"LIFT STATIONTan.k/O~en(~o.. '" '' ""
F~,~,, >5' >10' >5' N/A 42. ~ · 42 '" ~ .
c~ None. Noted Orenfio ~.' Nite Owl Electric .' · '.
..,,.u: ..... BENCH MARK- ' '.
STEP Tank and Bottomless Sand Filter C6vered with "· ' · ·
2" of Direct Bury Insulation. . ' Back Deck . ·" '-
.' .... ~ . .:.. . - . · %. :' .' .'~ ...100
.:'.. . , - ~'.....; · ! .
.. . . . ......... . ... ..
nspectonsperformedby. MEA D . 10/24/2000 I~ht~ 1. · ~
· ' ' ' · -- ' ':"~'"/2'/2000 ~;~°.!~
· ' Department of Health and Human Servi. ces approval '. ~,~:~....' .~.%~ ·....~.~.
Reviewed and approved b;: ~__//J~/./~ Date. 'I-.~-~/L~'--'----~-./--
· Municipality of Anchorage Page 2 of 3
DEPARTENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 -Anchorage, AK 99519-6650 - 343-4744
On-Site Wastewator Disposal System or Well Inspection Report
Penuit Number SW000449
PID No. 051-313-26
Well.
Drainage Ditch
~ I ' ~)'~HI·
:'. "
A B
S1 41.0 62.1
S2 46.7 67.2
MH 48.5 69.4
M1 68.6 82.5
M2 98.0 112.5
M2
Mil
:.:'12.'.'X 30''Bottomless
'Sand:Filter -'
Bedroom
tlome
Air Co~pressor Placed-in
Crawl. Spgce. ~ir Gauge.in..
e.
..'.. :..:..!:. :... ".'...': .....:. ~,~>}_~,,-., :. .
· .-.--' ·. :. ' ._~.~.~:£~ :u., .... .... , · .
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. :.' . . : · . ~' ~' . ~ ',~:f~ ·
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· .~ .. .~.. , ~ , ; ~'~. ~ ·
PLAN AS-BUILT· .
SCALE J" = 30' · ' · ~ i%~.. ,'~< "..~:~
. ' ~'~, ~.'~,, ,~.~
. .. · '.-:: '. -. : ·. ,~%%%%~ . ..
MunicipalityofAnchorage '
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 - Anchorage, AK 995194~650 - 343-4744
On-Site Wastewater Disposal System or Well Inspection] Report
Permit Number SW000449
Page 3 of 3
PID No. 051-31'3-26
94.1
I97o 0 li.
--I---.
. - /"[1 , 250 GAL.
/I
STEP Tank
~ ', '102.8' .-
, Flushing /' .
Valve ... ·
2" Insulation And.
· ,,.',~eotext~le Fabric '.
/ 3' .
/ Filter Sand. '"., ~. -...
30'
6" of 3~8"·Pea
-Gravel
PHCIx~ NO. -' c~l~?C::,l~123B
D~c. :Z~ 2g1313 01:44Pt'1 P2
December 28, 2000 "
To Whom It May Concern:
RE: Eot 4, Block 6 Lake Ridge Terrace
'i~'Tr0y Houston'ofNight Owl Electric, state ihat ~he septic ss;stem at'the'
above referenced location.was Wired t0 code. *'* ' - * .'""- :. - ...,
.Thank You, * ' ' . ' '
'. · .- :i.. i :.. · '";'" . "
. " Received Time Dec.28, 2:39P~
,ertifi£B , 'ri[ting 't[0g
by
DOC CO. do3
SULLIVAN WATER WELLS
p,O.' BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE688-2750
OWNER OF LAND:
ADDRESS: ~ ',.3
LEGAL DESCRIPTION:
i?,-x. 6 2°7- q
I~ORE HOLE DATA
·DEPTH
PERMIT NUMBER: ~ ~ ? 'Oateoflssue~-,,O._~__-,,'7c'''3':
TAX IDENTIFICATION NUMBER: ~:9~'
s well I .ocated at.apl~roved'permit location? ~2~,-Y'e'~ ~ NO .
Method o f Drilling: '..t~-~r rotary ;..I cable tool '
.'Une~Type:' '/'3~"~" ' ' '
Casing Stlckup Above Ground: .-~ ' · feet
Static Water'L~vel: ! I ~ feet
ROCo,~e,~te: ~''° gpm
Method ~fTesting: ~;~//2.. " '
;J Screened: Start ' ' feet Slopped ' feet
G,&tT~,pe: /3~~r~''J~7~' Volume /~3~.~..T. '
..r~pth:r-o,,. "O ' '" ~eet. to - · ' .
· ' ' ' '
· WeI~ 151slnfe~eo up(~. completi0n
Comments: ' ' '"
. & d',4
f
DHIler's Name /-7.~, ('-,~~'''''~
· A'I-I'ENTION: It is the responsibility of tho I~POrt¥ ~wner to ~u~mit a copy of tho well IO~ to the'proper authority. Muni¢lpaliht
of ,~"~¢horage: Department of Health & Human Services and/or Oepadment o~ Environmental Con..qewatien. MatSu Borough.'.
Oepadment of Environmental Conservation..
' .Received Time I)ec.ll. 11:31AIl. . ·
PROPERTY OWNER MAINTENANCE
ON-$rFE WASTEWATER DISPOSAL
Anchozage D epa~ent ~ Hea[~ ~d Hu~ ~n, ic~ ~~ ~!
T~s a~eem~t B made ~or ~e pu~ose of mantling ~ on-s[~ ~e~ater d~pos~
s)~te~ on ~.e su~ect pxoperg',
~e proper~y owner(s) a~ee to ~e fo~$w~: . '
~e pro~er~' o~e~s) ~ ~ve ~ a~u~ ~pec~on of ~,e system ~e~ormed by a
~red ~ofe~io~ eng~eer. T~s ir~pecUon s~l v~ ~at ~ efflu~t and
' ~ted and ~e en~eer's s~teme~t Lhat ~,e syst~ m ~o~ng as ;es,~ s~l,
be fE~ aPmu~y x~ ~e
Property C~ner Name .' ..
(Notaxize Here) '
Subscribed to b~fore me tht'.~ 28th day of Deceh~ber
. ~Notnry public./and for the
State of ~. · '
2000.
000~ ' '" '
MUNICIPALIT~ 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: Oct 23, 2000
Expiration Date: Oct 23, 2001
Permit Number: SW000449
Legal Description: LAKE RIDGE TERRACE BLK 6 LT 4
Design Engineer: 0014 Anderson Engineering
Owner Name: MM & M Contracting
Owner Address: PO Box 670495
Chugiak, AK 99567-
Parcel ID: 051-313-26
Site Address: 015020 TERRACE LN
Lot Size: 30000 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. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of PJaska
Wastewater Disposal Regulations ( 18MC72 ) 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.
~'~5'."Th~'~ll~Ving special provisionsJ ....................
~I~ENGINEER SHALL IMPORT (1) ONE ADDITIONAL FOOT OF SAND IN ADDITION TO THE REQUIRED 2 (TWO)
ii FEET TO MAKE A TOTAL OF TI?REE FEET OF SAND ON TOP OF THE 1 FOOT 10 INCHES OF NATIVE '
.~.UNSATURATED INSITU SOIL. ...............
Received By:
Issued By:
Date:
· ' ANDERSON ENGINEERING'
P.O. BOX 240773 . ': ~ ..
I
. ANCHORAGE, AK 99524
'' 522-7773 522-6779 (FAX)
DATE:
TO:
FROM:
MEMORANDUM
October 12, 2000
Jeff Poet/Dan Roth
Mike Anderson, P.E.
RECEIVED
OCT 12 2000
Municipality ot Anchorage
Oept. Health & Human Services ·
SUBJECT:
Lot 4, Block 6, Lakeridge Terrace Subdivision
Well and Septic System Permit
Attached is the Property Owner Maintenance Agreement for the Bottomless Sand Filter
Septic System proposed for placement on Lot 4, Block 6, Lakeridge Terrace
Subdivision. It should complete the permit application requirements for this lot.
We recently measured the groundwater on this lot and found it to be 3' below the
surface relative to Jeff Garness' original test hole. The organic layer has been removed
so the water is currently slightly more than 2' below the top of the silty gravel layer
which percolated at almost 22 minutes per inch. It does appear therefore that 2' of
unsaturated soil is available on this lot at this particular location during the highest
groundwater levels of the year. A'Bottomless Sand Filter Septic System can
successfully be placed on this lot which meets the requirements of the Municipal
Ordinance.
PH~ NO. : 9076881238
Oct.. 11 Z:'~ 1~8:10AH P1
RECEIVED
OCT 12 2000
~'lumCrpahly Ol Anchora
Ue,oL Health & Human Se~gicees.
" · Muntcipalit~ of Anchorage
· · S25 "L" S~, ~cho~ge,.Ala~ki 99502~550. '
:" PROFF. RT~'O%~I~T~A~A~m~m~' .. :. .
' ' ~ WAS~EW~R DI~OS~ SYSTE~
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.~se pr~p~' 9wn~s) ~iH ha*e ~ ~u~ ~n of ~e ~t~ ~rfo~ed ~I. ~ '.' :
': : . ~ m~ ~u~ ~t~ p~S. · "~:....,.. · ....' ...' .. . '.. ..~. :.~ .. ..:"". ' ....... . . . :: '
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ANDERSON ENGINEERING J
P.O. BOX 240773 ·
ANCHORAGE, AK 99524
522-7773 522-6779 (FAXI
September 25, 2000
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot4, Block 6, Lakeddge Terrace Subdivision
Septic System Design and Permit Application,
Impacts to Adjacent Properties
Dear Onsite Services Engineer: . .
The'owner of Lot 4, Block 6, Lakeridge Terrace Subd. ivision intends to construct a three
bedroom home on the lot. We are therefore ~pply~ng for a permit to construct a well
and septic system 'on the lot to serve the new home. The attached Site Plan and
backup documentation identify the location and configuration of the new septic system
and the parameters used in the design. It also shows the location of the proposed well
on the lot and the 100' protective radius. Additional documentation shows the location
of other wells and septic systems in the neighborhood and their proximity to the new
well and septic system proposed for this lot.
Two test holes were placed on the lot by Alaska Water and Wastewater Consultants in
mid June of this year, Groundwater in the area of Test Hole No. 2 was found at 1' from
the ground surface during the water monitoring period. Groundwater in Test Hole No.1
however rose to within 3.5' of the surface, Soils in Test Hole No. 1 percolated at a rate
..,. : . between 20 .and 30 minutes per inch. We are therefore proposing to place a
~ bottomless intermittent sand filter absorption system in the area surrounding Test Hole
No. 1. The distribution piping will be placed 1' above the ground surface to provide 4.5'
clearance to groundwater.
A drainage ditch lies to the north Of this lot and provides an outlet for runoff from
... :..Terrace Lane, which fronts the lot. This ditch is dry for the majority of the year and only
contains water during periods of heavy rain or spring breakup. Both the septic tank and
the absorption bed will be constructed a minimum of 100' from this ditch even though it
does not appear to meet the definition of surface water.
:l'he ground surface on the lot is basically fiat in all directions. The new bed will be
constructed parallel to the contours of the surface in conformance with Municipal
requirements. Grading will be accomplished to assure surface drainage is away from
· the new trench.
If the system is constructed in accordance with our design the following statements
al~ply: ·
L~t 4, Block 6, Lakeridge Terrace Subdivision
September 25, 2000
Page Two
1. The system, if constructed as designed, will have no a~lverse impact on the wells
in the area or those to be constructed in the future.
The System, if constructed as desighed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
~ ~,~s.S~~-i, ' ~-~ ........ ~ .......
~~ WA~ & W~A~ J.~-
EVA LOK~ (807} ~89-~477 I O~ 2 ..................
?~ P~H FOR ~ HO~ LO~T~OH
LOT 4, BLOCK 6, LAKERIDGE TERRACE SUBDIVISION
Well
Drainage Ditch
I
Z
m
· .'.Ai~ C~mpr~ssor"Shall Be-a Thomas.'IhdusE~ies ' · '
Model 5070 As Supplied by Anchorage Tank.· '.'. ', ~.~%~ .
.'. Contractor Shall Provide.a 0- .10 PSI Pressure '. ·" ' ~ .~]~,
· _Gauge to Be Mounted in An Area Easily Accessible .~.~ ~, %%,
' ~'or: E~er~ Day Viewing.. . . ' ..... ' '. , ~.'~J.
.Air Line Shall Be ~" HDPE WraPPed With $," ' ~ [~%' ~ _';~'~
Pipe Foam InsulatiSn Inside S~hedule 40'PVC Conduit. ~ ~' ~ ' '[~%
.. . -
.. . . . ~ ~-~...~..~//.'~ .
SCALE 1" = 30' " ~.. ' .-'~
LOT 4, BLOCK 6, LAKE RIDGE TERRACE
SUBDIVISION
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
3 Bedroom Home
Perc. Rate: 20 - 30 MinJInch
Application Rate: 4 GPD/SF
3 Bedrooms X 150 GPD = 450 Gallons Per Day
Bottomless Inter. Sand Filter
1,250 Gallon STEP Ta'nk
· 2' Coarse Sand (See Spec.)
Atr Supply Line (Anch. Tank)
6" of 318" Pea Gravel
450 GPD/4 GPD/SF 112 LF (Width of Bed) = 9.38 LF Length of Bed
Therefore: Construct a Bottomless Intermittent Sand Filter System 12' Wide X 30' Long.
Distribution Piping to be Placed at 1' Above Original Ground Surface. Remove Existing Organic
and Fill Material to Sil~y Sand Below and Construct Bottomless Sand Filter. Place 2" of
Insulation' Over Bed to Prevent Frost Penetration and Freezing.
· Direct ·Bury I
Insulation
.I
PROFILE VIEW
· NOTE:
BO~i'OMLESS SAND FILTER DETAIL
· (NO SCALE) ,
Grade Area to Drain'Away.
Maintain 6' Separation From Bedrock.
Maintain 4' Separation From Groundwater.
Provide 3' of Cover or 2" Insulation and 2' Cover.
Grade Surrounding Area to Drain Away.
LOT 4, BLOCK 6, LAKE RIDGE TERRACE
SUBDIVISION
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
3 Bedroom Home
Perc. Rate: 20 - 30 Min./Inch
Application Rate: 4 GPD/SF
Bottomless I~ter. Sand Filter
1,250 Gallon STEP Tank'
.. 2' Coarse Sand (See Spec.)
Air Supply Line (Anch. Tank)
. 6" of 318" Pea Gravel:
': . .:',, .. . ~(~1/~"~ ...: · '.
': .... ' WEW
P~N ' '"'". · .."".
:-' ,-': .-...'.,....'.. '.-. . .. '. .~: ..' ...: ,.' . ....... .. . .,. .. ...... ....... · .. : ~:
' ..v.."" ~'' ~' :" ' ' ' "'"'--' ":' · ' "NOSCALE)' '' "'''''':' "'"" .':' .: :.':.' ....',-. '..". '...'. 'v.'
' · ' . . ' Prowde 3 of Cover or 2 Insul~bon and 2 Cover .... ~ '. ~J~-. · ,.'~, · .*~ · ':
. . . .. .:... . . ..... . ...... .... . .... ..... ...... 'i,~.. ~... ~ ... .
· .. ' - · .~ .': ' ' ' .:'.' '. :. .". ' ...-. -.. · h, 4~'? ·
................... ~ ~ · .
3 Bedrooms X 150 GPD = 450 ·Gallons Per Day: '
450GPDI4GPDISFI12LF(WidthofBed)= 9~38 LF L~ngth of Bed ;.
· !'. , "- Therefore: ': C~nstruct 'a Botlomless Intermittent Sand Filte~ System 12' Wide:X ~iO' Long. . .
· .... . 'i': Distribution PiPing to be Placed ai 1' ;~oVe Original Ground Su~fae~. 'Rem'ore E~xisfing Or[iani¢' . ' .. ': ~J: '.
:' ."' i '. :and .Fill Material to Silty S:ind Below and Construct Bo~ton:~less S~n~ Filter.'. Place 2" o[.
' ' · '. '" '" InSulatio~'Ove~''Bed to Preveht F?ost Penetration'and F~:~ezing."
~N~LI, EC~I.~'KTcPAr ~/4".I;~.~OL4OISICL,~dl~,.5 1 2 30 ,'lX~fO~Lg551~. ,
'.- "..':'.. :'.. ! ....~ 2r~r.c~,~r.o . (vo~s.~u~.~l,~ru~i~ i ~." ": '
· .'.'; "WASC..fl.O~"r¢~ VI'L~', ~IZSLZ~FPYGTJ, EOA'4~.
· '" :'" ~JT'i.r~Ff~fAkr,. i ""
PHONE (ga~) 337-617g
JSOIL LOG - pE~CO~T'iON TESTI ,
2RO~DWA~i
11 ' DAm RE N CLOCK N~ TIHE WATER ~VEL N~ ~OP
~ TI~. (~IN~S) ~l~ (INCHES)
12 8/1~ P~ H~ ~ PROOFED ~+ ~S PRIOR TO T~
W~ P[~ IN ACne. CE ~ A~ ~A~ ~D MUNtCIP~ G~D~N~ IN E~ ON
DA~~
'DEPTH TO
',~0b"NDWATER DATE,
~;s' e/~ s/oo'-
~.~' ~/:z2/oo -
ALAS~ WA]F_iR & WASTEWA~ CONSULTANT~, INC.
JSO~L LO0 - PERCO~TION TESTI
2~ ' SI A~ N t % j
Gc~M i OL.'CL r~ ..............
.
W~ PEF~ IN A~OR~GE W~ ~ STA~ ~O M~IGJPAL G~IN~ IN EreCT ON
~ROUNDWATER
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 4, BLOCK 6, LAKERIDGE TERRACE SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a
new 1,250 gallon combination septic tank and lift station and pressure
distributio,n, system. Work also in[:ludes the construction of a new 30'
long x 12 wide Bottomless Intermittent Sand Filter at the location
shown on the attached Site Plan. A minimum of 2' of coarse sand
meeting the specification from Anchorage Tank must be imported, a. nd
placed in the filter area. The 6" of pea gravel and distribution p~p~ng
must then be constructed atop the imported filter sand material in
conformance with specifications furnished by the supplier. The
distribution piping for the filter must be'placed .5' above the original
greund surface at the area shown on the Site Plan to provide a
minimum of 4' separation to groundwater. All fill and organic material
must be removed to the underlying silty sand. All work must be
completed in stdct conformance with the manufacturer's requirements
for installation of the intermittent sand filter.
Construction shall be in accordance with the approved site plan,
design drawings, Municipal Permit with any special provisions or
conditions, and all. applicable State and Municipal Wastewater
Disposal Regulations.
The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the
location of all lot lines.
Unless specifically agreed otherwise, the contractor shall be
responsible for final grading areas subsequently depressed fro.m soil
settling. Property owner shall be responsible for revegetat~on of
affected areas unless specifically agreed otherwise.
Contractors installing wastewater disposal systems must be certified
by the Municipal Department of Health and Human Services for
system installations. Owners installing their own systems must receive
prior appreval from D.H.H.S. before beginning system installation.
SEPTIC TANK/LIFT STATION INSTALLATION
The 1,250 gallon septic tank/lift station must be constructed by a
certified tank manufacturer. Construction shall include an 18" manhole
to provide access to the lift station.
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. Tanks installed without 4' of cover shall have a minimum of 2" of direct
burial insulation.
Lot 4, Block 6, Lakeridge Terrace
September 25, 2000
Page 2 of 3
5. A foundation cleanout shall be installed one to four feet from the
building foundation. Two cleanouts are required between the tank and
the drainfield.
6. Final grading over the tanldlift station shall be such that a positive
slope exists away from the septic tank.
ABSORPTION BED CONSTRUCTION:
1. The absorption bed shall be constructed to the dimensions shown on
the design. The bottom of the bed shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a
level bed of drainfield rock, Rock should then be placed over the pipe
to provide a minimum of 2" of cover.
3. A silt barrier or geotextile fabdc must be placed between the drainfield
rock and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations
shown on the design. The portion below ground must be perforated.
Contractor shall verify the septic tank and drainfleld are a minimum
100' away from any private water wells in the area, 150' from a Class
"C" Well or 200' from any community well.
Direct bury insulation must be placed over the distribution system if
less than 3' of backfill depth is available. Finish grade over the trench.
must be mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trenches to drain away.
A minimum 2' of accepting soil is required below the drainfield rock for
a 5' wide trench. Contractor shall verify this condition prior to
placement of the rock. All pockets of unacceptable materials must be
removed and replaced.
MATERIAL SPECIFICATIONS:
The lift station must be constructed by a Municipally approved septic
tank manufacturer. An Orenco 20 OSI 05 HHF-5 pump is
recommended. Anchorage Tank is a recommended supplier for the
materials required for this project.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid),'ASTM D3034 or P.V.C. (perforated
and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and
ASTM D2662 or A.B.S. (perforated and solid).
2. Insulation shall be at least 2" thick extruded direct burial polystyrene
(Dow Chemical Co. Styrofoam HI or equal).
Lot 4, Block 6, Lakeridge Terrace
.September 25, 2000
Page 3 of 3
3. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Femco, or equal).
4. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
5, All drain rock shall be .5" to 2,5" in diameter with less than 3~o passing
the #200 sieve.
EQUIPMENT SPECIFICATIONS:
Air Supply Line shall be a Wastefiow Emitterline, %" inside diameter
from Anchorage Tank. Line shall be insulated with %" foam pipe wrap
inside a 2" Schedule 40 PVC Jacket buried a minimum 3' below the
surface.
Air Compressor'shall be a Thomas Industries Model 5070 as supplied
by Anchorage Tank. Compressor shall be located in the garage or
crawlspace.
A pressure gauge calibrated from 0 to 10 PSI shall be furnished and
installed in line with the air line. -The gauge shall be mounted in an
area which provides easy viewing and is seen on a regular basis such
as the entrance to the home.
Material for Filter Sand must meet the following gradation:
50% or More Passing the No. 4 Sieve
2% or Less Passing the No. 100 Sieve
1% or Less Passing the'No. 200 Sieve
INSPECTIONS:
A minimum of two inspections are required by Municipal Ordinance.
These inspections must be conducted under the supervision of a
professional engineer registered in the State of Alaska. The first
inspection must be conducted after the excavation of trenches, beds or
pits and before the installation of any gravel. A septic tank may be set in
place, but may not be backfllled.
The second inspection must 'be conducted after the placement of the
geotextile fabric, gravel, distribution piping, standpipes, cleanouts and
insulation. No backfill should be in place at the time of inspection.
Contractor shall provide a copy of ali'field survey I~yout and construction
notes for use in preparing the certified as-built of the completed system.
:D~pa' nt'o th an, d Human Sorvic s:'
' --' 'On-Sit~'Sen/ices S~:ticn 825 L Street :Room 502 '.. '.
,'P.O. Box 196650 .Anchorage. ;AK ,99519-6650: --
· - ' ~ '. ' '- '- - w;,vw.ci.anchorage.ak:us
?,, .'. · . (907) 343-4744 ', ''· '.
· :: CERTIFICATE OF HEALTH AUTHORITY· PROVAL'~'~", .': ... . -'-- ,'. '·
"' ~:'SINGLE F/(I~IlL~ DWELLING
"' FoR ' ' '
I~ .... 'pt' L(~t 4;'BI0 k 61 idge T h-a'ce S~bai ion ' '-'
· . . Corn ere egaldescn ~on c LakEr e vis ;':',.. , '' ::""
's r n ' ,,' · ,.
Current Properly. . .6~r~er(s), I~IM&M Contractinq' ' ' . Day phone 688.1236 i : · ' ." :
.Mailinga'ddiess:: P.O. Box670495 Chu.qiak~'AK99567. ~ . - .~. : : . -.., .
Lending ~g~ncy '-.," . .. ' ' :'" "'":'" '"' '"' ' " "-' '":"'"'"' ' -'
.,.: Mailing address -' ,' ' · . ' ' ....
· Real Est nt' ' · 'p o
Mailing Address .-' ' ':.:' ..... "' ''' "' ' '-" '
· ' ' ·.Un/ess otherwise requested, HAA ~ill be he/c~ b~ DHHS forpickup.:l-IAA picked up by:,. ' ':'" : . ':,, ' · - .
ooMs: -'"' '
2. NUMBER OFBEDR :- Three [3) · · · .~, .
3. ·TYPE OF WATER SUPPLY: - TYPE OF WASTEWATER Bi~;POSAL:':: ,.:
Individual Well: - [] Individual On-site -:- rX] ~ ' ' '""
Individual Water Storage [] Individual Holding tank '.' - 'El '-~ ·
Community Class Well ['-I .' Community On-site ": -, ~ :' ~',' ,"
Public Water System. [] ' Publid Sewer ri
The Municipality of Anchorage Depadment of Health and Human Services (DHHS) Issues Cedifi~ates of Healt;~
Authority Approval (HAA) based only upon Ihe representations given in paragraph 5 by an independent professional
civil engineer registered in the State of Alaska. Cedificates of Health Authority Approval are reqblred for the transfer
of title (except between spouses} on propedies sen/ed by a single family on-site wastewater disposal and/or water
supply system. DHHS also issues HAAs upon request 1o home owners. Cedificates of Health Authority Approval
are valid for 90 days from the date of issue for propedies sen/ed 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 Muni,cipality of Anchorag~ is not responsibIe for errors or .
· omissions in the professional engineer's work· , ·
. , 5.. ~.T.A.T.E.MENT,OFINSpECTiON.BY. ENG NEER ':'" -" -' "'~, - ' ,- ,. '.' .' ,-'~ ~ . '
. .. ,As ce, rtl~ed.by..m,y s. ea.! ,affixed he~eto and as of the vahdatlon date ~,hown b~ nW' ':.--,-'.'1,~"." '" · ".: · ' -' , ~'. ' '
· · . ..... . . ~. . - ; ,~t~ ~upp~y ana/or..was[ewa er,e~sposal's stem s~saf '
· ' ' '.co~es',~r ............. . '. ...... · ...... ~. , pp ~caule Mun cipal and S Ate' '."' .';'" .
. . , . . ' ....... - ... r'none - 522-7773; · ~,': · . - ·
. Exp ration Date:..· ,~ - '~ .-,~'O ¢ ....
(Rev. 110,'99)
"Municipality of Anchorage "'
Department of Health and Human Sen/Ices
Division of Environmental Services
On-Site Sewices Section 825 'L' Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
r ' www.ci.anchorage, ak.us
(907) 343-4744
Legal Description:
A. WELL DATA
HEALTH AUTHORITY APPROVAL CHECKLIST
Lot 4, Block 6, Lakertdge Terrace
Parcel I.D.:
051-313-26
Well type
Date completed .1 0 / 3 0 / 00Sanitan/seal
Pr~vete
Total depth 1 41 ft Cased to
FROM WELL LOG
Date of test 1 0/30/00
Static water level 1 1 0
Well production 2 0
If A, B, or C provide PWSID #
¥
141
WATER SAMPLE RESULTS:
It
g.p.m
Well Log Y
Wires properly protected ¥
Casing height (above ground) > 2 4
AT INSPECTION
It
g.p.m
in.
Coliform 0 celonies/lO0 mi Nitrate · 5
Date of sample:. 12/20/00 Collected by:
SEPTIC/HOLDING TANK DATA
__ mg/I Other bacteria 0 colonies/100 mi
MEA
Tank Type/Material STEP/Steel
Date installed 1 0/24/00 Tank size
Cleanouts ¥ Foundation cleanout
Date of pumping New Const. ructlon
ABSORPTION RELD DATA
1,250 gal Number of Compartments Three (3)
Y Depression over tank N High water alarm Y
Pumper.
Date installed 1 0/25/00 Soil rating (g.p.d./ft2 or It2/bdrm) 4GPD
Length 30 It Width 1 2 It Gravel below pipe .5
Total depth +3 orptlon area 360 fF Monitoring tube
Date of adequacy test New Const. Results (Pass/Fall)
Fluid depth in absorption field before test in Water added
Elapsed Time: min Final fluid depth in
Any rejuvenation treatment (past 12 mo.) (YIN & type). N
Systemtype Bottomless Saner
Filter
It
¥ Depression over field N
For bedrooms
gal. New depth in.
Absorption rate >= __ g.p.d.
If yes, give date N/A
72-026 (Rev. 01~00)'
D. MFT. STATION
Date installed 10 / 24 / 00 Size in gallons 250
"Pump on" level at 42 in 'Pump off' level at 42 in
Datum Bo~.~.om of ?ank Cycles tested New Const:.
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot> 100 '
Absorption field on lot > 10(} '
Public sewer mairr N/~,
Sewer/septic service line > 25'
Manhole/Access ¥
High water alarm level at 44 in
Meets alarm & circuit requirements ¥
F.
On edjacent lots >100'
On adjacent lots > 100 '
Public sewer manhole/cleanout N/A
Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation > ~5 ' Properly line > 5 '
Water main t~/A Water service line > 10 '
Drainage >100' Wells on adjacent lots >100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Properly line > 10 ' Building foundation > 10 '
Water Service line > 10 ' Surface water > 100 '
Curtain drain None Not. ed. Wells on adjacent lots > 100 '
COMMENTS
G. ENGINEER'S CERTIFICATION
Absorption field > 5 '
Surface water > 100 '
Water main
Driveway, parking/vehicle storage > 50 '
. 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 HJ. chael ~.. Ande=son, P
Date 12/29/00
Waiver Fee $
Date of Payment
Receipt Number.
HAA Fee $
Date of Payment
Receipt Number
(Rev. 01,~0)°
1Z~28-00 11:05 ' FROI/,-CTE ENVIRONi, ENTAL
~lkK CT&EEnvironmentaIServiceslnc.
T:729 P.02/03 F-524
CT&E Re£# 1007846001
Client Name Anderson Engineering
Project l~a me~ n/a
Client Sample ID Lot 4 Bk 6 Lakeridge Terrace
MatH~ Drinking Water
Ordered By
PWSID 0
Sample Rem',~ks:
Client PO#
Printed Date/Time 12/28/2000 I 1:04
Collected Daft/Time 12/20/2000 10:30
Received Date/Time 12/20/'2000 13:20
Technical Director Stephen C. Edt
Released.~~
Nitrme-N · 0.500 U
PQL
0.500
Units Heth~x~
mg,/L EPA 3O0.0
Atio~able Prep ltnatysls
Limits Date Date Init
'10 max 12/20/00 SCL
Total Coliform
col/l OOmL SMI8 9222B
12/20/00 KAP
Received Time Dec.2$, 11:08AM