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Home My WebLink AboutFOREST RIDGE BLK 2 LT 11 Municipality of Anchorage Page I of ~'- DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage. Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~ ;~ ~0 ~ PID Number: N,~,: ~ /~VES~?~ Wastewater System: ~New O Upgrade Address: ~ ~~ ~ B~/~ ABSORPTION FIELD Phone: INo. of Be~oms: ~ Deep Trench ~ShatlowTrench DBed~ound ~Other LEGAL DESCRIPTION s°" R"""o: ~ ~ GpD/sq LOt. / [ Block: ~~Subd~vis,on:~l~ ~pth I0 ~i~ ~tlom ftom~ ~ '~.~°ngmal etade:~Ft Gravel depth ~neath pi~. ~ / Fl Cless=bcal~on (Ptwale. ~,B.C): Tolal Depth: Cased TO: Tolal absorption area: Pi~ material: Y~eld: Pump Sel at: ~smg He~ghl A~e Ground: SEPARATION DISTANCES ~ Septic ~ HolUing ~ ~.E.P. s..,~e /¢ ~ /~ /¢ ~ ~ LIFT STATION Water Lot S~ze in galtons: [ M Line /~ ~ /~ ~ ~ ~ -- -- /~I ~~~ Foundation /~ [~ /~, -- -- "Pump on" level ,,: ~" I "Pump o,," level at: CudainDrain ~ ~4' ~ ~/ ~ D~;Pum Ma,e, M~el~J El~lrica, ,ns.ctions.~orm. b~ ~-~.~ . Remarks: ~¢¢ ~~ BENCH MARK ENGINEER'S SEAL S l S ENGINIERI~ inspections performed by' ~ E,g~ R~ ~ R~, H~s' 1st ~/~ . zna ~/~/-/~~~- Departmenl ot Healt~d Huma~lces approval · ~'../ _..-~'/ Reviewed and approved Date: ~ 72~)13 (Rev. 9/91) MOA 25 SW930027 2 2 Permit No. Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report FOREST RIDGE SUBDIVISION, BLOCK 2, LOT 11 01711288 Legal Description: PID No.: COt CO / NEW h X~§0 GAL S.T.E,P. ~4.0' SYSTEM NO WATER FOUND 4' BELOW ~~NEW 1,500 GAL S.T.E.P. ~YSTEM NEW 4 BDRM I c°'~7/ · - : {.ous~ I /~ NS. P~SSUelZE~ ~X~. ~E~ LOCATION/SKETCH: DEPTHS MEASURED FRO ~M~casing top nground surface BOREHOLE DATA: Materia, Type and Co,or Fr°mDepthT° "'11 RECE JUN 2 Ur OU SECTION QTRS STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATER WATER WELL RECORD JJ WELL OWNER: WELL DEPTH:~// Depth of hole: Depth of casing: DATE OF COMPLETION ft DEPTH TO STATIC WATER LEVEL: ft below ~top of casing ground surface METHOD OF DRILLING: ~ air rotary I'1 cable tool rq other USE OFWELL:yJ~ domestic [] irrigation [] monitor [] public supply [] other CASING STICK-UP: ft. Diam: Casing ~'~ in. to/~..~./It WELL Ilfi'AKE OPENING TYPE:/I~ open end [] screened r'] perforated [] open hole Depths of openings: to ft SCREEN TYPE:~. D;am: in. SloUMesh Size: Length: It. GRAVEL PACK TYPC-~.-~. Volume used: Depth to top: GROUT TYPE: ~ Volume: Depth: from ft to ft D VE O ENT Duration: PUMPING LEVEL AND YIELD: · /~ ftafter / h~'spumping? gpm PUMP INTAKE DEPTH: ft Horsepowec WELL DISINFECTED UPON COMPLETION? I~]~YES . [] NO . CONTRACTOR INFORMATION: b,gnature of Adthodzed R~spr~tative Date REMARKS: PLEASE MAIL WHITE COPY OF LOG TO: DNR/DIVlSION OF WATER · PO BOX 772116 EAGLE RIVER AK 99577-2116 HUNICIBAL~TY OF ANCHORAGE~ ~UIL~,ING SAF£TY BIVI~ION IHSPECTI~HS .(907)SG3-~4G~ IU~O~H~TIO~ (~07>7~[~-8211 NAMe: COCONY BLDZ~S BB~MIT ~: 98-0054 ~s:.~4o ~r t~cL ~z~T ~0~ t: eT: 11 ''BLOCK: 2 SUBD: RIDGE DAT~: 0/23/1993 'H~NT: I. OC}: [~OX C.O.L. ~'Y~'£ 01:' It~SI"ECZ'ION: EI,ECTJ,:ICAL t'II'IAL 0 0 0 0 EX['I.A 1NEB BELOW ~/WtlEN COEB~:CIION$ ABE HABE, BL£A$I: CALL fOR IHSBECI'ION 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 PAGE 1 OF 1 PERMIT NUMBER:SW930027 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:NORCOL INVESTMENTS OWNER ADDRESS:5240 MANYTELL AVE ANCHORAGE, ALASKA 99516 DATE ISSUED: 3/12/93 EXPIRATION DATE: 3/12/94 PARCEL ID:01711288 LEGAL DESCRIPTION: FOREST RIDGE BLK 2 LT 11 LOT SIZE: 47065 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 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 343-4329 OR 343-4681 AFTER BUSINESS 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. SEWER & WATER INSPECTION WELL INSPECTION & FLOW TEST SOIL TEST ~arch z, lmmJ ROBERT SHAFER. P E RCGER SHAFER. P.E ~unicipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 11, Block 2, Forest Ridge Subdivision Request you issue a permit to drill septic system to serve the proposed 4 referenced property. CIVIL ENGINEERS (907) 694.2979 FAX 694.1211 a well and install a bedroom house on the Two test holes were excavated and percolation tests performed. The approximate locations of the test holes ar~ shown on the attached site plan. The monitoring tubes withln the holes have been checked and were found to be dry. This property has enough area for a 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 require any additional information for your review, )lease contact us. ENVIkG Nt',~ ,\Tl .L ~.ER'. I~. -~ DIVISION[ ,...,,, 0 RECEIVED ~J4ES P. WILLIAMS civil Engineer 'OGER J. SHAFER, P.E. DrS~OSALSYSTEM CES~ON 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER. ALASKA 99577 I bATE ~.- I SHT. o,Aw. ,~ ~.~o. IcK°' · ~- cL~ I WE/J. . Lo-r Io \ \ DATE ~. SHT. ;~ ROGER J, NO- Il 15 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERI~J~ SPECIFICATIONS REFERENCE: Lot 11, Blk 2, Forest Ridge Subdivision March 2, 1993 GENERAL: 1. 0 The scope of work on this project includes the installation of a 1500 gallon septic tank effluent pumping (S.T.E.P.) system and a pressurized absorption bed to serve the proposed 4 bedroom house on 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. 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 INSTALL~TION~ 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. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. page 2 Construction practices Lot 11, Blk 2, Forest Ridge Subdivision March 2, 1993 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 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. PRESSUR~SED HOUND SYSTEH ~NSTALL~TION~ 2. 3. 4. 5. Any peat or organic matter must be removed from the elevated mound site (cut approx 2' over entire bed area). The bottom of the basal bed area as well as the top of the 2ft. sand filter is to be within two inches of level. The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. The side slopes of the top layer of the mound system must not be steeper than 33% (3:1). The top of the mound shall be covered with a minimum of 6 inches of topsoil and vegetated sufficiently to prevent erosion. The distribution pipes are to be embedded in sewer rock. Care should be taken to backfill in such a way as to prevent damage to the piping system. 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. 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. page 3 Lot 11, Blk 2, Forest Ridge Subdivision Construction practices March 2, 1993 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. me 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. 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 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 #200 sieve. 7. When sand is being used as a filter material, it's gradation specifications must conform to AMC 15.65.060D. page % Lot 11, Blk 2, Forest Ridge Subdivision Construction practices March 2, 1993 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. me 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. 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. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST v / LEGAL DESCRIPTION:/~.t'J'r // ~'~L~'~! [~E:~t, ['l[~v£Township. Range. Section: ~ SLOPE SITE PLAN D 12 13 14 15 16 17, 18- 20- COMMENTS WAS GROUND WATER p ENCOUNTERED? O IF YES. AT WHAT ~" ~' DEPTH? pO E De,th Io Water After . [~"~ ~ Reading Date Gross Net Depth to Net Oi~ Time Time Water Drop ~:00~ ~ ~" ~_~, ~ ~') ~o ~o S'/z" tvz" tips so ~ '/~ w ~ " PERCOLATION RATE *c~-L'{ (mmutesZmch) PERC HOLE DIAMETER ~ f¢ TEST RUN BETWEEN ,~ FT AND ~' FT PERFORMED BY; S & $ ENGIN£ERIN~ I """"'~'~\ ~"~ 17034 Eagle River LDo · ACCORDA.CEW, 72~ (R~. 4~) CERTIFY THAT THIS TEST WAS PERFORMED IN OATE: --fl {~} DEPARTMENT OF HEALTH & HUMAN SERVICES SOILS LOG -- PERCOLATION TEST PERFORMED FOR: / ~ /~/~ /~/~ /~4 DATE PERFORMED: LEGAL DESCRIPTION:~ / 4 ~/ ~ ~ ~Township, Range, Section; G/V~ 3- 4- 6 - - 13- 14- 15- 16- 18- ~9- 20- WAS GROUND WATER ~J ENCOUNTERED? 0 IF YES, AT WHAT ~ DEPTH? ~ pO E Depth Io Water Alter ~ Plloniloring? I-~y Oate: ~-)~'u/l~J~ COMMENTS SLOPE SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop I ~:lo=,~ - ~ ~/~" -- ~ :~ ~ ~ ~,. ~., .~:~S~ ~ ~" ~" PERCOLATION RATE CI'~;) {msnutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT ANDC~ft FT PERFORMED BY; $ & $ ENGINEERING ~ ~ .~ CER'I'IFY THAT THIS TEST WAS PERFORMED IN 17034 Eagla River Loop Road No. 204 ...... :V... .'~,,~._~--~ ACCORDANCE WITFE~R~,A~I~. ~J~ht~,~L GUIDELINES IN EFFL(.;1 ur4 ~r~S DATE. DATE: 724308 (Rev. 4~85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage. Alaska 99519-6650 343-4744 Parcel I.D. # 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 01711288 HAA# Forest Ridge.Subdivision~,~lock 2, Lot 11 Location (site address or directions) 5240 Manytell Avenue, Anchorage, AK 99516 Property owner Mailing address Lending agen~:y Mailing address Agent Address Norc61 Investments Day phone Day phone Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 4 NOTE: Individual well xxxx Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER DISPOSAL: NOTE: Individual on-site ×××x Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that investigation of this Health Authority Approval application shows 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 Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Phone s & s ENGINEERING, ~ ~ Address Engine,s signatur~l~ fl~, ~'~~~ Date 6. DHHS ~ Approved for' ~ bedrooms, t -~~ Di~pproved. Conditional approval for bedrooms, with the following stipulations: By: Additional Comments Date .,. The Municipality of Anchorage Department of Health and Human Sen/ices (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent ~rofessional en HHS does this a ~urchasem of homes Municipaiity of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~.>z.~,~' ! Z-,c-/'- // Parcel I.D. A. Well Data Well type ~ Log prese Total depth Sanitary se I~ AN) If A, B, or C, attach ADEC letter. ADEC water system number F'-)/,,z~ , .Cased to / ~'-!/J Casing height /~-°/"/- FROM WELL LOG Date of test Static water level ~'~ / Well flow Pump level1 Wires properly protecte~N)/ AT INSPECTION MUNICIPALIP/OF ANCHORAGE I~NVIRONMENTAL SERVICES DIVISION AUI~ 3 0 19~3 g.p.m, g.p.m. RECEIVED SEPARATION DISTANCES FROM WELL TO: Septi~ tank on lot /~-.~' / / Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots ,Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: ~-~/'/~ ~ /~'~'~' B. SEPTIC/NOL=DING K DATA Date installed '~//~./~' ~::~ Cleanout~N) High water alam~/N/) Date of pumping l Collected by: Other bacteria Tank size /~ ~'./5~"/-.-- Compartments Foundation cleanout(~.,~),,--/' Depression (~ J',w// Alan~ ,este(~/N) Pumper ,~ ;'/'~J~--- . SEPARATION DISTANCES FROM SEPTIC~TANK TO: '~;'~ ~' ':"~" I..-, Well(s) on lot /.~'-,.~' / On adjacent lots //,~:~) ~c- Foundation ,/~ To property line /~/-/- Absorption field J "~ / .Water main/service line Surface water/drainage I ~ "+' 72.026 (3/93)o Vro~t CONTINUED ON BACK PAGE C. UFT STATION Date installed Size in gallons VandeN) y 'Pump on' level at High water alarm ~evel ' Meets MOA electrical cod~) SEPARATION DISTANCE FROM LIFT STATION TO: On adjacent lots Manufacturer Manhole/Access~) "~ /~ 'Pump off" Level at Cycles tested We, on I t ~ ~"~ Surface water D. ABSORPTION FIELD DATA Date installed "~ II ~'1 ~ ~'~ Length "~-~ ' Width Soil rating (GPD/FF) z~. '~ System type / Gravel thickness O. ~' / Total depth Total absorption area Date of adequacy test Water level In'absorption field before test treatment (past 12 months) (Y/~)) Peroxide /-~-~ ~ ~ Cleanout present (Y~ Results (pase/lail) ,~/ ~//~,/.'7') Depression overfield (Y/I~ /'--/ / '"'~';g,,~_< ,'"~ ~. for ~ Bedrooms After test ~/~ . If yes, give date ~-.~/"/A SEPARATION DISTANCE FROM ABSORPTION FIELD TO: / Well on lot ! To building foundation On adjacent lots. ~.~ "7t'-' Cut~ank On adjacent lots .Property line /~ "'/- To existing or abandoned system on lot x...),/--/t . ~"~ ~-'~' Water main/service line /~, 5./- Sudace water / Curtain drain E. ENGINEER'S CERTIFICATION I cerb'fy that l have checked, vedfled,~j~r-~onfon'necl to afl MOA and I-IAA guidelines in effect o..~rt~t~_~ke~f this'l~.p~.;,ction. HAA Fee $ ~ · ~ Waiver Fee $. Date of Payment ~ ~'_/'~ ~ --~'~ Date of Payment Receipt Number ~'rO ?~'~'~'.~/~ Receipt Number 72-026 (3/93)' I~ack COMMERCIAL TESTING & ENGINEERING CO. ENVIRONMENTAL lABORATORY SERVICES REPORT of ANALYSIS Chemlab Ref.l :93.4333-1 Client Sample ID :Lll B2 FOREST RIDGE S/D ~atrix .. WA'~_R 5633 B STREET ANCHORAGE, AK 99518 TEL: (907) 562-2343 FAX: (907) 561-53OI Client Name :S & S E~GINEERING WORK Order :70050 Ordered By :R. SHA~u( Report Completed ..08/30/93 Project Name ; Collected .. @ hrs. Pro~ect~l : Received ..08/25/93 @ 12:30 hrs. PWSID .'UA Technical Director~S~HEN~C. EDE Released By .~. ?~..~ Sample Remarks: ROUTINE SAF~PLE cor-r~-c~-~.~u BY: UA. OC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init Nitrate-N 0.10 U mG/L EPA 353.2/300.0 10 08/26 LLH * See Special Instructions Above UA = Unavailable ** See Sample Remarks Above HA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Less Than D = Secondary dilution. ~T = Greater Than ~ S~'~S Membe, o! ,he $G$ Group (Soci~t6 G~n6rale de Su~eil,ance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO. UTAH. ILLINOIS. OHIO, MARYLANO, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA