Loading...
HomeMy WebLinkAboutMOUNTAIN PARK ESTATES #2 BLK 5 LT 9Mountain PaPk sta s lock Lot ! 7-023 '-33 O  Municipality of Anchorage ::;!'-.'. ~. Development Services Department Building Safety Division ~.~ On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number: ~h/OlO.~,~ PID Number: Ot't ,i.,. ~ ~, [o./ /.,G/h, ~-'e. Wastewater System: [] New ~ Upgrade ^o.,. I ~O y O /..u/d,r~ e, /~o,~' ; ~:/5"1~' ABSORPTION FIELD LEGAL DESCRIPTION 4:~. 6' ~,~,~, ~. 0 ~. BmcX Lol Subdivi~o~: ~ to pipe ~ ~ ~iginal O,lOe: Gravel dll~h beneath p~pe. Tow~smp RIngl Section: Fill added atx~e ~iginal g~m:le: GrlVel Length: ~.,S' ~l. ¥6'"e 3'0' *= ~ *" ~,. Well: ~')~,1..('~' [] New [] Upgrade '~.&" FI. Cl~e~ Io Mlletlll Ordler Dill Dnll~ Static Wlt~ Lev~: ~1~ Dill InltlllH '"'~ I"" s.,., I c..,~ ~,~ o~: TANK ~1 ~"1 SEPARATION DISTANCES ~ Septic ~ Holding ~ S.T. EP. ~ Other: ' T~To Septic Absorption Lift Holding Publi. P.vat, Tank Field Station Tank S~r Line ~ C ~ ~ ~ rtom ~ w,,, lO~' 107' -- -- ~Z~' ~1 'P~ ~' lev~ II 'P~p o~ lev~ J[ J Pu~ ~kl & ~ EI~I ~l~l pJff~m~ by ~ ~,~ ~a ~,te ~ ~~ BENCH MARK Engineer's Stamp Inspections pedormed by: FI~ ~c4 ~uc Dates: 1't I0/~/0[ 2~ to/~/o/ ~:'" ..... "~'"':'"~ Development Se~ices Depa~ment Approval ~~**~ Reviewed and approved by: .~~ ~/~ Date: i /' ~ -0 t --.. ....... ..:.,., PERMIT NO: SW010382 PAGE 2 OF 3 PID NO: 017-023-33 ORIGINAL ,"'" - 49-FOOT LONG ,' SOIL ABS. TR. , WELL i_, R 100' / / ~.~ C.O. ",; ZABELFLOW ~z/ .~, SPLITT~ NEW 46-FOOT LONG "L,~ ,,, ,,' ~ /--'- TBM ~ LOT 9, SOIL ABS. TRENCH ~ ~/ _ ?/ ,'; ~ BLOCK 4 NEW 30-FOOT LONG ~/ J ~/ ,' ~ ,, SOIL ABS. TRENCH "N" ~ "K" ~, ~ LOT10 W. 5.0' EFF. GRAVEL. : ~ ~ WELL SWING TIES: ~.:~.... (,.~.,- /,, ,' FROM: COR. "A" COR. "B" COR. "C" '~'" "~ ,~, ::/..~ ;:' ~ ... TO: ~"**'*' ................ ' S.T.C.O. "E" 40' 42' '~ . T~;~c~.~: ;. ~.~,,o~E ' DBL. C.O "F" 43' 44' . · ¢~ - 3,,,,-, · VALVE "G" 44.5' 45' SPLITTER "H" 46' 37' TR. C.O. "1" 48' 31.$' TR. M.T. "J" 72' 83' TR. C.O. "K" 76' 86' TR. C.O. "L" 47' 37.$' TR. M.T. "M" ~9' 104.5' LOT 9, BLOCK 5, MOUNTAIN PARK EST. #2 TR. C.O. "N" ~9' 104' SEPTIC SYSTEM UPGRADE AS-BUILT INSPECTION PLAN VIEW FLATI'OP TECHNICAL SERVICES SCALE: 1" = 25' ]4530 ECHO STREET DRAWN BY TFM ANCHORAOE, ALASKA 99516 NOVEMBER, 2001 PERMIT NO: SW010382 PAGE 3 OF 3 PID NO: 017-023-33 GROUND ELEV. FILTER FABRIC INVERTS Q 92.85'-- 5.0' EFF. GRAVEL -- BOTTOM TRENCH ELEV. 87.85' INV. 93.3' INV, 93.6' T.H. #1 GROUND ELEV. 97.8' BOTTOM ELEV. 80.1' NO GROUNDWATER LOT 9, BLOCK 5, MOUNTAIN PARK EST. #2 SEPTIC SYSTEM UPGRADE AS-BUILT INSPECTION CROSS-SECTION FLATrOP TECHNICAL SERVICES 14530 ECHO STREET ANCHORAOE, ALASKA 99516 NOT TO SCALE DRAWN BY TFM NOVEMBER, 2001 MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-~904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Sap 19, 2001 Expiration Date: Sep 19, 2002 Permit Number: SW010382 Legal Description: MOUNTAIN PARK ESTATES #2 BLK Design Engineer: 0019 Flattop Technical Services Owner Name: Douglas White Owner Address: 13040 LUPINE ROAD ANCHORAGE , AK 99516-3227 5 LT Parcel ID: 017-023-33 9 P-561 Site Address: 013040 LUPINE RD Lot Size: 20130 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: v' Disposal Field r ~ ~ Septic Tank Holding Tank ! ~ Privy r ' Private Well i ~ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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: ,~~ ~,,~ Date: Issued By:,~ Municipality of Anchorage Development Services Department Budding Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLI'NG Permit Number PrOperty owner(s) Mailing address (1) I-7o ¥o L..~ ,ne Mailing address (2) Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size ~_~___~) 1~:~, Acres/Sq. Ft. Day phone Zip Code Number of Bedrooms THIS THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade PROPERTY CONTAINS: Hot Tub Swimming Pool a , Therapy Pool Well Only [] Water Storage [] E} Jacuzzi [] E] water Softening Unit [] I certify that the above information is correct. I further cedify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes, (Signature of property owner or authorized agent) Permit Fees: .~ ~ ~'? Waiver Fees: Date of Payment: (~, ~,,,,~(~ \ Date of Payment: Receipt Number: ~,00{~ Receipt Number: (Rev. 12/00) '~ VO CIVIL · ENV~ONMENTAL ENG~qEERING · ENERGY CONSERVATION · ANALY~B THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (90'/) 345-1355 ANCHORAGE, ALASKA 99516 September ! 2, 2001 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 9, Block 5, Mountain Park Estates, Unit 82, located at 13040 Lupine Road. The existing system is operating in a slightly surcharged condition. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole #1. As can be seen from the soil log, the native material above 17.7 feet consists of several distinct layers of silt and sand. While the deeper sand strata are obviously very permeable, they are too thin to conduct meaningful percolation tests. Two percolation tests conducted at the depths of SM and ML strata 4.5 and 5.75 feet both encountered atypically sandy material and had perc rates of less than 5 minutes per inch. In and effort to take into account the highly variable nature of the soil, I have based the design of the upgrade on an average soil application rate of 0.6 gpd/sq, t~., which corresponds to an average perc rate of 16 - 30 min./inch. Thus, the necessary absorption area for this 3-bedroom residence is (3 x 150)/0.6 = 750 square feet. The proposed 75' long trench design with an effective gravel depth of 5.0 feet has a total absorption area of 750 square feet. The topography of the lot slopes gently down towards the west-northwest at approximately 3%. While no groundwater was encountered in test hole # 1, indicating that the underlying silt is somewhat permeable, water was encountered in test hole 82 located north of the existing septic tank at a stabilized depth of 10' - 9". For this reason the upgrade trenches are sited in the vicinity of test hole # 1. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems servin8 adjacent properties, nor will it have any significant impact on reserved space-surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. LOT 4, BLOCK 1 GREENBROOK S/D NO WELL WITHIN 200 FEET LOT 3, BLOCK 1 GREENBROOK S/D SEPTIC AREA ' , LOT 8~-~' , SEPTIC ', o o ' , AREA ' ~ ABANDON EXIST. ! ~1250-GALLON ~*-FOOT LONGI /:' ~1000-G^LLON WELL-~ ' ' */. ~ gt2 /, G~VELDRIVE : , SOIL ASS. TRENCH ''-' ; ',,,W. 5.0' EFF. GRAVEL WELL -- ', LOT 16 BLOCK 4 (VACANT) L15, B4 LOT 9, BLOCK $, MOUNTAIN PARK ESTATES #2; WELL AND SEPTIC SYSTEM SITE PLAN FLATTOP TECHNICAL SFRVICES 1 INCH = 50 FEET 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 SEPTEMBER, 2001 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. ZABEL FLOW "A" ~ SPLITTER .... ~ / DIVERTER ~ ~ ' -- 11 .o.I ~ous~ f i ' a-''~,, ~o o~,~,N~._ "~.o. I /~.o.~ ABS. TRENCH ~ ~ ~MT "A" ~ '* P~N VIEW SCALE: 1" = 10' CLEANOUT - MONITOR TUBE BACKFILL 6" ~ ORIGINAL GROUND FILTER FABRIC ("4 4" F-810 PERF. o~ - 2 1/2" GVL. BOTTOM EXC. 10'+ SECTION "A - A" SCALE: 1" -- $' LOT 9, BLOCK 5, MOUNTAIN PARK EST. #2 SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECHNICAL SERVICES SCALE: AS SHOWN 14530 ECHO STREET DRAWN BY: TFM ANCHORAGE, AK, 99516 SEPTEMBER, 2001 LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR: DEPTH Pt. (feet) 1 17.7- B.H. 2O FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST Lot~9_, Block 5, Mountain Park Estates, Unit August 30~220~01~ .... Doug White SLOPE SM Reddish sandy loam Dry, SM Gray silty sand Soft, smears ML Gray sandy silt Hard, smears SP Clean, dry gravelly sand __ ML Silt lens SP Clean, dry, gravelly sand ML Gray sandy silt Hard, smears SPISM Somwhat sily sand ML Gray sandy silt Hard, smears SPISM Somewhat silty sand ML Gray silt Dense, hard, cohesive % EXISTING r-T.H, f~2 I ~__EXISTING SOIL #1 ABS. TRENCH PROPERTY LINE Depth to Groundwater Date No groundwater 8/30101 Monitor tube dry 9/6101 -- 3% Date Reading Clock Net Time Percometer Net Drop Time (minutes) Reading (inches) 8/30 12" Presoak 27 1/2 12"Rasoak 16 1/2 - 27 3/8 ....... Add water & start 11:43:30 23318 .......... #1 11:51:30 8 17 114 '- 6 118 - Add water 11:51:45 23 318 #2 11:59:45 8 17 118 6 114 Add water 12:00 23 318 #3 12:08 8 17 114 6 118 PERCOLATION RATE 2 (minutes/Inch) PERC HOLE DIAMETER _ 6, TEST RUN BETVVEEN 4.25 FTAND 4.75 FT COMMENTS: Sand lenses were approximately 1' higher at east end of test hole than west end. While very beneficial, these lenses were too thin and inconsistent to conduct parc test. Will parc <<1 min./inch. See log for T.H. #2 for second parc test conducted in ML stratum. PERFORMED BY FLATI'OP TECHNICAL SERVICES. I__'"'~- ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ / / 1~ O / TEST HOLE # 2 LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR: FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST Lot 9, Block 5, Mountain Park Estates, Unit #2 August 30, 2001 Doug White DEPTH (fa, M) 1 2 3 4 5 ML Gray sandy silt Pt SM Reddish sandy loam ML Gray sandy silt SP Fine to medium sand Dry, vadable texture Wet near bottom of stratum Water seeps ML Gray silt Dense B.H. SLOPE % I% Depth to Gro~Jndw~t~r Date W~ter seeps g~ 11.0' 8/30101 W~ter at 10'-9" 9/6101 SITE PLAN EXISTING ~--T.H. #2 SEPTIC TANK l [ 3-BDRM / EXISTING SOIL #1 ABS. TRENCH *~---- PROPER'~ LINE 3% Note: The parc test shown on this sheet was actually done in test hole #f Clock NM Time Percometer Net Drop Date Reading Time (mlnute~) Reading (Inche~) 8/30 12' Presoak 27 318 Resoak 27 1/2 Start 12:55 23 318 #1 1:05 10 18 5 318 Add water 1:05:30 23 1/2 #2 1:15:30 10 18 718 4 518 Add water 1:16 23 9116 #3 1:26 10 19 318 4 3116 Add water 1:26:30 23 9116 ~4 1:38:30 10 19 7116 4 118 PERCOLATiON RATE TEST RUN BETWEEN 3 (minute~/inch) PERC HOLE DIAMETER ...... ~ _ _ 5.5 FTAND 6.0 FT COMMENTS: Parc test data only applies to Test Hole #1. Both perc tests encountered atypically sandy material compared to stratum as a whole. Recommend using 0.6 gpd/sq. I~. for sizing trench sidewalls. While beneficial, the gravelly sand lenses were too thin to parc. PERFORMED BY FLATTOP TECHNICAL SERVICES. , .,j~'J ~ CERTiFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~;~/"~/ ~.. O{~/ q:lattop Technical Semrces 14530 Bocho Street, ,gnchoraOe, AK 99516 Phone (907) 345-1355 Lot 9, Block $, Mountain Park Estates, Unit #2 13040 Lupine Road Wastewater disposal system installation Specifications 1.0 General: 1. l The scope of the project consists of abandoning an existing 1250-gallon septic tank and installing a new ! O00-gallon septic tank that discharges into 75 lineal feet of soil absorption trench containing a total of 5.5 feet of sewer gravel. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. Ali construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. The contractor shall locate the south property line so that he can maintain the required I O-foot separation from it. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing 1250-gallon septic tank, which is not retained in service, must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 2.2 The new 1000-gallon, 2 compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The tank shall be set as shallow as possible consistent with the waste line from the residence to the septic tank having a slope of 1/4'" per foot. The waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. A "Bull Run" diverter valve shall be installed allowing effluent to be switched back to the original trench. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by constructing 2 parallel trenches with a total length of 75 feet. They shall be spaced a minimum of 10 feet apart and excavated to a depth of approximately 10 feet below 8round level for the eastern trench. The south ends ofthe trenches shall be no closer than 10 feet from the south property line, as determined from the as-built property survey. 3.2 The bottom of the excavations shall be level and at the same elevation. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 5.5 feet of approved sewer gravel shall be placed in the bottom of the excavations with the perforated distribution pipes laid level such that the pipe inverts are no less than 5.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened 8ravel, with less than 3% passing the #200 sieve. 3.4 A "Zabel" flow splitter shall be installed to evenly divide the effluent from the tank between the two trenches. Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extendin8 throu8h the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer 8ravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A minimum of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. Tom Fink, Mayor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4?44 February 3, 1993 Wayne & Patricia Higa 13040 Lupine Road Anchorage, Alaska 99516 Subject: Lot 9 Block 5 Mountain Park Estates S/D %2 Permit %SW920011, PID ~017-023-33 The subject permit, issued February 3, 1993 by this office for a single family well and/or on-site wastewater system, has expired as of February 3, 1993. 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: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. ~bNn Smith P'Jo gr am Manager On-site Services enc: Copy of Permit cc: Anderson Engineering Douglas & Michelle White MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920011 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:HIGA WAYNE & PATRICIA OWNER ADDRESS:13040 LUPINE RD ANCHORAGE, ALASKA 99515 DATE ISSUED: 2/03/92 EXPIRATION DATE: 2/03/93 PARCEL ID:01702333 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES #2 BLK 5 LT 9 LOT SIZE: 197800 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: January 29, 1992 Municipality of Anchorage Dept. of Health & Human Services Environmental Services Division 825 "L" Street, Room 502 Anchorage, Alaska 99501 Subject: Lot 9, Block 5, Mountain Park Estates No. 2 Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: I have reviewed information available on lots adjacent to the subject property and have conducted an onsite investigation. Systems located on other properties in the neighborhood are shown on the attached area map. Systems located west of this property are in excess of 300' away. In addition, these lots are served by a community water system. The terrain of this lot is relatively flat. It slopes gently from south to north at 2 to 3%. It also slopes from east to west at 3 to 4%. The existing system on the lot is not operating at required capacity to serve a three bedroom house. The attached report from Gilfilian Engineering provides background information regarding the system. This design upgrades the existing system to provide capacity for a three bedroom house. The system, if constructed as designed, will have no adverse impacts on the wells cm'rently in use or to be placed in the future on lots located in the area. The system, if constructed as designed, 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 reserved 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. ":~""'-: Sincerely, Michael E. Anderson, P.E. PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, A,chorage, Alaska 99502~650 2 3 4 5 6 7 8 9, 10- 11 12 13 14 15, 16- 17 18 19- 20- COMMENTS ~.-C, 'T~ ,r'- ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; 72~ (R~. 4/~) oKI2.. ~A, ENCOUNTERED? SITE PLAN .... ;... ~t,~1 Depth to Water Altor Monitoring? ~0 ~.,~_ Date: S IF YES, AT WHAT L DEPTH? ~ O P E Reading Date Gross Net Depth to Net Time Time Water Drop 'z/ ' " ,uh~,~ ~6' Hid PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~/~" FT AND ¢~'~ FT LEGAL DESCRIPTION: L~..4)i ~L,K ~ ~[JTAI~J '~d~K' Township, Range. Section: fT' ~A~ ~ SLOPE Municipality of Anchorage 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 12 13 14 15 16- 17- 18- 19- 20 WAS GROUND WATER ENCOUNTERED? $ L IF YES, AT WHAT ~ O DEPTH? p E Oepth lo Wlte.r After Monitoring? Reading Date Gross Net Depth to Net Time Time Water Drop COMMENTS 'P~--'I'~ ~,. '1'~-r PERFORMEO BY: .~J~ I ~'~ ~~Y THAT THIS TEST WAS PERFORMED 'N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATEi DATE: //~ ~/~ '~ 72~ (R~. 4/~) PERCOLATION RATE ~ (minutes'inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~" FT AND '~F FT SHEET NO. OF CALCULATED SY DATE CHECKED BY SCALE DATE /'~ 0°o::., · ",/(.'31 'C) 0 .I //0 O0 JOB SHEET NO. CALCULATED BY OF¸ CHECKED BY DATE SCALE DATE _ CALCULATED BY. DATE CHECKEO BY. CATE ~.. i i: t,i,.-.,.. ~ : ~ ......... ~. i ! ":"~., ' "! ~ ....................... ~'"I:"i,~'~'i'"":":;'?'"""i ~:. ..... i: .... ; .... i ........ i ........... ! ...... ! ....... ~, ~, ,I . I:k,~ i ~ i ~ ,~?' ~'~'~ ' ~ : ~ ~ ~ ~;~ ~ ~ ~ ~'"'"':'~ ......... .......... ............ ~ ............. r '-~ ~ ~ ......... ........... .......... ~:'""~ ........... ~"'":"~ ~ ............ ............. '~I' ............. ~ ~ ~ ~ ........... ............. ............. ........ , )~ ; .. ~ ..~.. ~..~ ........... ~ ....... ~.. ; ? .......... ~ ........... ~ ..... .......... ~ ................. ~ ............. ~ ........... ~ ....... ..~ ~ ........ ...-.-~ ~ [ .................... ~ .......... ~ ....... ........ ~ .... ~ ....... ,.~.- :...~.......~ ............ ~ ...~ ........ ~ ............ ~ ............ ~ ........... + ...... ~ .... ~ ........... ~ .......~ ..... : ......... ~ ........... ~ .......... 4.~ ........... : .... : ~ ~ ' ~ : ........... ~ .......... ~ ............ ~ ....... i ............................. .. ~ ; :: ............. ~ ............. ~..,:.~ ...... ~ ...... ~ .......... ~ = ....... ~ ........ : ~ ....... ~ ~ ........ ~ ......... ~ ........ ~ ..... ;~ - ~ ~ ~ ............................. ~,.,....~......~ ............. ..........~ ............... ~ .......... ~ ......... ~ .......... ~ ............ ~ ............. ~ ...... ~ , ~ ~ , ~,~: ~ ~ ~ ~ ~ ~.~x~.~. ....... .:~".~..~ :. : =:~, :~ ~ ~ ..... ~ ... ~ ~~ ~ , ............ ........... .... ~~~,~. MUNICIPALITY OF ANCHORAGE i~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAI LING~DDR ~SS ~ - NO. O~EDROOMS LOCATION L"~p' ~' ~11 ~[ Absorption are~ PERMI~NO.~/ ~ Z Manufacturer ~ Materi~,~ . No. of comp~nts  Liq. c~ity i~gallons Inside length Width Liquid depth /~1~O IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ ( Manufacturer Material Liquid capacity in gallons ~ D,STANCETO: Well /~O' Found~tio~, NeareS?~lr~' ~ PERMIT NO. ?/~. ~g inches No. of ,ines~ Leng~h~ Total ;engt~ ~i~ , Trench w~h~ Distanc~Zhn lines ~ Total ef~ti~e-~b)prption area "~ Top of tile to finish grade y/ Material beneath t,le ~ inches Length Width Depth PERMIT NO. ~ N Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: PIPE MATERIALS SOl L TEST RATI NB INSTALLER REMARKS / ~ APPROVED ~ -- DATE LEGAL 72-013 3/78) DEPRRTMENT ."-=: HE'RLTH AN[:, EN',,,'IF.:ONMENTRL.'~'~:OTECT I ON 825". q'FREET., RNCHORRGE., RK. '_'az. _.02. 264-4720 RPF'LICRNT C.C. BLICK E:ONST. 6605 E. 2L2TH., L3:RTION LUF _NE ST. L E]RL LOT "=-.~ E:LK 5 MT. PK. EST. ~,2 .... ' FF..EN_.H T'¢F'E OF ':;I-IIL RE:SF~F.:PTION S'~'STEI"t IS ' ' F' I"tR::.:;IMLIM NUMBER CIF EEDRECMS = 4 SOIL RFtTING <SQ FT,.E,P..)- ,:,-. THE F.:EI2UIRED SIZE OF ]'fiE ,--I -"-- '' ] · :,L IL. HE, z, UF.'.FTI .N S'¢STEM IS: THE LENGTH DIMENSION IS THE LENGTH ,'.:IN FEET.'.', OF THE TRENCH OR DRRINFIELD. THE DEF'TH OF' R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF 'THE GROUND RND THE BOTTOM OF THE E::.:',CRVRTION <IN FEET:.". THERE IS NO SET WIDTH FOR TRENCHES. THE GRR'v'EL DEPTH IN'; THE MINIMUM DEPTH OF' GRR'v'EL BETWEEN THE OLITFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION ,::IN FEET>· PERMIT RF'F'LIL-:RNT HRS THE RESF'ONSIB!I_IT'¢ TO INFORM THIS DEF'RRTMENT [,UF.'INF3 THE INSTFILLRTtON IN=,FE_.TILN_~ I]F RN'¢ WELLS FtE:,.'.fRCENT TO THI'-'; F'ROPERT'T' laND THE .NLIMBER OF RESIDENCES THRT TFIE I.,.tE[_L WILL SER"E. RRF:KFIL[ TNG OF RN'T' S'T'STEM WITHOUT FINRL IN=,FE...]ION RND RF'F'RF¢¢RL B'T' THI=, DEF'RRTNENT WILL BE SUBJECT TCI PROSECUTION. MINIMUM DtSTRNCE BETP~EEN R WELL RND RN'¢ ON-SITE SEWRGE DISPOSRL SVSTEM IS 200 FEET FOR R PRIVRTE WELL OR ±50 '.TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE T'¢PE OF PUBLIC W. ELL MINIMUM DISTRNCE FROM R PRIVF4TE WELL TO R PRIVRTE SEWER LINE IS 25 FEET' RND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED RtqD MUST BE F.'.ETL~RNED TO THE DEPRRTMENT WITHIN ]:0 DRYS OF THE WELL COMPL. ET!ON. OTHER RE~::!UIREMENTS MFI¥ RPP[2¢. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE FIVRILRBLE TO YNSI_IRE PROPER INSTRLLRTION. I CFRTIF'¢ THRT J.: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEI.4ERS RND WELLS RS SE]' FORTH B'¢ '.THE MUNICIF'RLIT¥ OF FfNE:HORRGE. 2]: I W I/.L I NSTRLL THE S'¢STEM IN RCCORDRNCE WITH THE CODES. 2: ! LINDERSTRND THRT THE ON-SITE SEWER S'¢STEM MR'¢ REQUIRE ENLRRGEMENT IF THE RESIDENCE tS REMODELED 'TO INCLUDE MORE THRN 4 BEDROOMS. DEPTH= -~ LENGTH; 4~ GRAVEL DEPi'H--- 4 " NSULA TEST HL~ lO~ WATER WELL DR~LL1NG PUMP SALES & SERVICE (907) 243-7893 KEN JOHNSON C.C. BUCK CONSTRUCTION P.O. BOX 141 GIRDWOOD, ALASKA 338-2412 WATER WET.T. LOG REI Lot 9 Blk 5 MTR Estates Sub. 0 ft. to 15 ft. t5 ft. to 23 ft. 23 ft. to 48 ft. 48 ft. to 50 ft. 50 ft. to 55 ft. 55 ft. to 62 ft. 62 ft. to 67 ft. 67 ft. to 70 ft. 70 ft. to 74 ft. 74 ft. to 75 ft. 75 ft. to 81 ft. 81 ft. to 86 ft. 86 ft. to 95 ft. 3163 LINDEN DRIVE ANCHORAGE, ALASKA 99502 ~IAY 4 1981 Brown silt Bro~ silt trace of gravel Gravel and brown silt Glacial till Hardpan.ocourse gravel & silt ( compact..tight ) Glacial till Cement gravel ( tight ) S~nd & course gravel..water bearing..10' head bails dry..poor recovery Hard pan.'.course gravel & silt compact Water bearing S~nd gravel tight 17' head bails dry.. poor recovery Hardpan & cobbles ..very tight Water bearing sand and gravel..small se~ms tight in compact formation., low head 5'..bails dry H~rdpan gravel and gray silt 95 ft. to 119 ft. Same with brown silt 119 ft. to 127 ft Bro~ silt drills open 127 ft. to !28 ft Boulder 128 ft to t32 ft course ~ravel & brown silt 132 ft to 138 ft s~me but very tight 6" drives 138 ft to 148 ft Brown silt trace of gravel drills open 148 ft to 187 ft course ~ravel & brown silt ( tight ) 1' drives 187 ft to 189 ft cobbles & gavel/ brown silt 189 ft to 195 ft course gravel and brown silt 3' open 195 ft to 200 ft Rock...casing refus~l 200 ft to 215 ft Rock... weeps ~ to ~ gpm PERFORATE 67 ft to 70 ft...74 ft to 75..81 ft to 86 ft No water came in after perforating... Filled well to surface ~nd run surge plock., water came in. E~y 2 GP~ Drawdown Static 60 ft. 1720 5 61 May GP~ Drawdown 174o ?.5 30920 4 62.6 1745 8.3 65.3 0925 8.3 70.0 1746 8.3 66.3 0945 8.0 71.0 1800 8.3 67.0 lO00 shut down 1810 shutdown to change power 1830 7.9 64.0 1840 7.9 65~6 let pump r~ over night Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING' Parcel I.D. ~! '7. - <:2 ~,.3' - 3,~' GENERAL INFORMATION Complete legal description Location (site address or directions) Current Property owner(s) Mailing address Lending agency Expiration Date: ~-.-- ('~ '-' O ~ Day phone Day phone Mailing address Real Estate Agent Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 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 [] [--] Community On-site [] [--[ Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HA,A) 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) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. 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 may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER Se 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 this application, shows that the on-site water supply and/or wastewater disposal system is(am) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage 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: I~-/'/o.~ '~'~d~,,~ i¢~/' _~'gr~,','¢~'j, Address / ~i/~' ,~ ~ ,~C_~ ._('/t, ¢,~r~cJ.~o~.x.~.~, Engineer's Printed Name ~ ~ Phone Date . DSD SIGNATURE t/"f Approved for f'~ bedrooms. Disapproved. Conditional approval for ENGINEER'S STAMP bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: //- (Revl~O0) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Westewater Program 4700 South Bragaw St. P.O. Box 196650 ~e, AK 99519-6650 www.ci,ancherage,ak.us (~07) 343-?~4 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~,.0~'.~) /~/~',~ P/e,~nJaun P~r ~=.~,~'~' i~Z Parcel ID: 01'7' -~..3'- 3~ A. WELL DATA Well type' ~-}u',*/"~ If A, B, or C provide PWSID # Date completed ,~-/¥/~1 , Sanitary seal (Y/N) Y' Total depth ~ lb' fl. Cased to ~O~ ft. · '. , FROM WELL LOG Dateoftast . .. ,,¢'/~/,~'/ "· · Static water level ~'C~ ft. Well production ~ g.p,m. ,., ,well Leg (Y/N) 'r' Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION zy in. ~/, f .t- g.p.m. WATER SAMPLE RESULTS: Coliform O colonies/100 mi. Dateofsample: IO /Z,y lot Nitmto ~ ¥~ mg./I. Other bacteria . ~ colonies/100 mi. B. SEPTIC/HOLDING TANK DATA Tank Type/Material 5~_~ IL~c / -~'/'~'1 Tank size I ~O(./ gal. Number of Comparlments Foundation cieanout (Y/N) ~' Depression over tank (Y/N) Date of pumping '~,/~,'/' N¢~.~ Pumper ~/, N Oata insta~led t ~ / ?..y / ~ / Cioanouts (y/N) ~' High water alarn~ (Y/N) /~/*/~, C. ABSORPTION FIELD DATA . . .. Date installed Length Total depth IO,O fl. Data of adequacy test Fluid depth in absorption field before test ~ in. Elapsed Time: min. Final fluid depth Any rejuvenation treatment (past 12 mo.) (Y/N & type) Soilrafing (g.p.d./ff~er~/bdrm) 0.~'~ System~p,e, ff. Width ~,,~" ft. Gravel below pipe Eft. absorption area -~ ~ Monitoring tube ~,/k ( N'~ Results (Pass/Fail) Water added in. Y' ' Depression over field ~ , For ~ bedrooms gal. New depth in. Absorption rate >= ,~..4~ g.p.d. If yes, give date D. UFT STATION ~/. ~*. Data installed Size in gallons. Manhole/A__~_ss (Y/N) 'Pump on" level at in. 'Pump off' level at in. High water alarm level at in. Datum Cydes tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic'tank/Ira station on lot Absorption field on lot Public server main SeWer/septic service line ' On adjacent lots '~, 1~4~, '- On adjacent lots ~ Public sewer mhole./cie~n~ul ;' Holding tank ~J. ~.. · : ' sEPARATION DISTANCES FROM SEPTIC/HOLDiNG TA~NK ON LOT TO: Building foundation Water semce line ~' ~0 Surface water Water main ~/. ~'~ * Wells on adjacent lots ~, ~00 ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Water Service Curtain drain Building foundation Surface water '~ Wells on adjacent lots Water main ~. ,4. I:hiveway. parking/vehicle st~'age F. COMMENTS G. ENGINEER'S CERTIFICATION I c,~tify that I have determined through ~e/d ~nspect~ns and review of Muni~pal records that the above systems ere in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Date ' HG'~'~ t3~/' .&~ '~oo~ ": HAA Fee $ Date of Payment Receipt Number (Rev. 12/00) Waiver Fee $ Date of payment Receipt Number