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HomeMy WebLinkAboutROCKHILL BLK 1 LT 3Rockhill Block Lot 3 #015-362-03 Municipality of Anchorage .":: Development Services Department :' ' Building Safety Division On-Site Water and Wastewater Program. 4700 S. Bragaw St. P.O. mox 196650 Anchorage. A~ 99519-6650 Page ~.d.anchorage.ek.u$ {907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. .5''t~-~ OlOIl~ PIDNumber: ~'o~,~ I~ ,~¢ ~.,',/1,/'n4,.y WastewaterSystem: [-INew l~Upgrade ~"'"~1 I{oc~<l~,t/ ¢,~-¢te, /~c6 ~5't~' ABSORPTION FIELD ~"~J'~) LEGAL DESCRIPTION ~"'~ ~',-e T~,,~,,,~ .~ B°CI~A'I/ ~" WelI://E~U'~. [] New [] UpgradeJ I I SEPARATION DISTANCES I~' septic I-I Holding I-1 $.T.E.P. [] Other, Septic , Absorption Lift Holding Publ~/Pi~vate p~'~pl',¢,*' J~/~'~'~'~,~t' I.,~C~:~ C,~. Tank Field Station Tank Sew~ tine ~' tot::,' ~\ // ~ / LIFT STATION s' / 'x /5 . .I X/\ .~'o¢~ ~=,~'¢~" ~"~"' /~'~' ~t~/.<' BENCHMARK ?,'o?t"/.v £ngineer's Stamp .~:, :-,..' o- _~ °, ~.,.'~ Inspections performed by: F[~.~o? '7'¢¢~ .~'~.,c. D~te$: 1= ..r'/~-~/~! ~: ~L~¥' Developmeat Services~ Depa~ent Approval [~ .~,,'.;r.t~,= ~. ~oc~E .-' Reviewedandapprovedby:~~~, ~"~Date: /~/10/0/ ~'~.,.'-. CE-3587 :,,..~ ~, .. · · ,-' PERMIT NO: 010119 PID NO: 015-362-03 PAGE 2 OF 2 NEVV 1300-GALLON POLYETHYLENE SEPTIC TANK EXISTING TRENCH PLAN VIEW SCALE: 1" = 30' SWING TIES FROM: COR. "A" COR. "B" TO: S.T.C.O. "C" 7.5' 24.5' S.T.C.O. "D" t1' 25.5' DBL C.O. "E" t3.$' 27.5' FROM - HOUSE INV. 94.2' 4' SOIL COVER 1300-GALLON POLYETHYLENE .SEPTI? TANK._ PROFILE VIEW SCALE: 1" -- 5' TO EXISTING NSOIL ABS. TR. V. 94.2' LOT 3, BLOCK 1, ROCKHILL SlD SEPTIC TANK REPLACEMENT AS-BUILT INSPECTION REPORT FLAI'~OP TECI [NICAL SERVICES SCALE: AS NOTED 14~30 EClIO STREET DRAWN BY TFM ANClIOI1.AGE. ALASY, A 99~ 16 AUGUST, 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) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: May 21,2001 Expiration Date: May 21, 2002 Permit Number: SW010119 Legal Description: ROCKHILL BLK 1 LT 3 Design Engineer: 0019 Flattop Technical Services Owner Name: JOHN 7 SUE WHITNEY Owner Address: 6201 ROCKHILL CIRCLE ANCHORAGE , AK 99516-6513 Parcel ID: 015-362-03 Total Bedrooms: 4 Site Address: 006201 ROCKHILL CIR Lot Size: 52988 SQ. FT. Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage construction must be in accordance with: 1. The attached approved design. 2. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of AJaska 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. Issued By: ~ Date: Date: 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 ON-SITE SEWERJWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SWO~O I I q Mailing address (1) Mailing address (2) ,,~ Legal description (Lot, Block & Sub'd.) L o ~ _~. Legal description (Section, Township & Range) Lot Size .S'2.; qS, Day phone Acre~ Zip Code Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Well Only Water Storage Jacuzzi Water Softening Unit I certify that the above information is correct. I further certify 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: Date of Payment: Receipt Number: (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: CP~IL & ENVIRONMENTAL ENGLNEERLNG * ENERGY CONSERVATION & ANALYSIS TIIEODORE F. MOORE, P.E. 14530 ECHO ST. PII: (907)345-1355 ANCHORAGE, ALASKA 99516 May 14, 2001 M.O.A. Dev. Svc. Dept. P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this submittal is to request a permit to replace an existing, 21-year old steel septic tank with a new 1300-gallon polyethylene septie tank to serve an existing 4-bedroom residence on Lot 3, Block I, Rockhill S/D. A site plan, installation specifications and a copy ofthe 1980 soils log indicating absence of any water table are enclosed. Please give me a call at 345.1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. LOT 27A ' . AB~DON ~-BDRM:~ .......... ~ '~ ' , ,1250 O~ ~ ~ ~ ~ ~ / , , ~ ~ INSTALL N~ FROM P.L , : ~ISTING ~. --~ SEPTIC T~K ". , , SOILABS. / ~ DBL / , , C.O. ~ ~ -... / , ,, , ', SEPTIC ,: ............. LOT 4 .' , LOT9 ~e. 0[.~ ~. LOT3, BLOCK 1, ROCKHILLSm ,' ,'"r ......... ~..~........~..~. ~OP ~Cl~C~ SER~C~ 14530 EClIO S~ET I INCH = 50 FEETD~wN BYTFM ~ClIO~GE, ~ ~516 MAY, 2001 ' ,' )F.',~;~?. ....... '~'~ NOTE: THmS ms NOT A SURVEYED P~T. ,. , -~' .. ~ ~.~:~.- ~ ~. ALL LOCATIONS SHOWN A~ APPROXIMATE. Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345-1355 Lot 3, Block 1, Rockhill S/D 6201 Rockhill Circle Wastewater disposal system installation 'Specifications 1.0 General: 1.1 The scopeofthe project consists ofabandoning an existing 1250-gallon steel septic tank and replacing it with a new 1300-gallon polyethylene septic tank. 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. Ail 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. 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 oftopsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. Note: the upstreant end of the existing tank protrudes underneath an enclosed exterior stairway, which significantly complicates its abandonment and the connection to the new septic tank. Because of the confined worMng space, it may be necessary to fill the abandoned tank with gravel in order to allow the new waste line to cross a portion of the abandoned tank. 2.2 The new 1300-gallon, 2 compartment polyethylene 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. The top ofthe tank shall be covered with no more than 4 feet ofsoil. 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 waterproofmechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4" per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A double cleanout shall be installed within 5 feet downstream ofthe septic tank. r -%, ~ MUNICIPALITY OF ANCHORAGE ' ' 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 ~'~ f""~ ~ --I ;~[(~ LJ UPGRADE · COAT,ON Well DISTANCE TO: I -Jt'--I (~) ~) ' Manufacturer ~~ IF HOMEMADE: Well DISTANCE TO: Manufacturer Well DISTANCE TO: No. of lines Length of eac~ Width IAbsorption area inside length Dwelling Foundation Total length of Dwelling (~ ( Mate~~_~) Width Material Nearest lot line NO. OF BEDROO~7~ PE'M'T ~'o o ~0.5 Liquid de~pth ,, PERMIT NO. Liquid capacity in gallons PERMIT NO, Material beneath tile Depth Type of crib Well DISTANCE TO: Depth DISTANCE TO: Building foundation OTHER Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO, Sewer line Septic tank Absorption area(s) PIPE MATERIALS SOIL TEST RATt~ t,~5~ INSTALLER LEGAL PERMIT NO. APPLICANT JOHN W., WHITNE'T' RUL. KHt LL:, CF.:. LOCRT I ON .... c-. . LEARL L~' B=i ROCKHIL~~ r. lur-4 1 c:i F'RLIT'¢ IDF' I=lr~CHO~I=II3iE DEPRRTMENT OF HERLTH fiND ENVIRONMENTRL PROTECTION 825 ~L~ STREET, RNCHORRGE, RK. 9950i 264-4720 ( 800~05 ) SR8 BOX 4225 8NCH. : SUB? LOT SIZE .~,.:~J00 SQIJRRE 'FEET TYF'E OF ~UIL RBSORF'TION -,tr:,TEM I=,. TR. ENCH <SQ FT/BR' = MR,-'~IMUM NUMBER OF BEDROOMS = 4 SOIL RRTING THE REQJIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF ~ TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURF8CE OF THE GROUND 8ND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). RE[:. SEF'T I iS TRI'-tF::~ S I ZFii--~ ::L'--"=-- 0.:,, ._, GAL!: :C,I'-.IS PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE IN_TMLL~TION INSPECTION:, OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. TI--.IO .:: 2 ::, I ~-.ISPEC:'I- I Ol'-,IS ;---'F;~F REQLB I BRCKFILLING OF 8NY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT HILL BE =,UB,IE~T TO PRO=.EL:LTION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVRTE WELL OR t50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIBGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F'~F-:~-I I 'T E.'-::P ! RES [:,ECFME~EF-' _~:1_, -I ~q88 I CERTIFY THRT l: I RM FRMIL. IRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND HELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: t UNDERSTRND THRT THE ON-SITE SEWER SYSTEM WRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. S I GNED: .... ~z~-~ ............. ~--~ ~ ~ t/~ RPP~CR~T JOHN W, WHITNEY ~ / ~ . ,' '- / 276~222! SOILS LOG - PERCOLATION TEST PERFORMED FOR: '~0/'('- ~'''), , -, (J~ /~., ¢'7'"/U ~' y/, DATE PERI: LEGAL DESCRIPTION: [] PERCOLATION TEST 10 15- 16- 17 18 19- 20 COMMENTS ~,,i ,.~,- ~--. PERFORMED BY: C~:~//~ WAS ENCOUNTERED IF YES, AT WHAT DEPTH? Gross i Net Depth to Net , ' Time Time - Watg,r I Orop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN -- FT ~"o~ CERTIFIED 72-008 (7/76) Box 1369, STAR ~I,~.OUTE A ._.:.~. _~ANCHORAGE, 3d. ASK3k 99502 ~ .... ~__~..~-~-.__._ a~~~- ~:~:- - ............. : ~__::~: .-~ ~ ~ ~ SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF .DRILLED AT THE RATE OF ~7.Q~O0 PROPERTY OWNER /~, ~o/~ LOCATION OF WELL SlTF.. ~L, ~ DRILLER B~ ~ ag WELL LOG: PER FOOT. ~h,z~,_~ 344-73~o 45 ....79' s.t.t~ ~ wz, Or 35% ~.a~Lo S,~t,t. a~u~ o~ taa.t.e~ at. 79 ~ 79 ....94' ~:Zn.e. o.t,t~ ,~ar~t wZ,tA 15°~ ~'w.~e.L t~:z,te,vt.a~ ,~,ooct t~a;te~ p.,wduot~n. ~ 94 ~_~_~e. Th~ .Lo ~ ong4~'azea o~. ~ood waZe~ ~tZeZd. 1,0 ~,?l'flo I~.Lt._h. t~aZez comgn~ · to wZ~./v/~ 65 ~.e~ o4 .~~ t~e~ .~/wu~ ~e. pU~p. ed~ ~o~ 4-8 h.ou~ an.d. ~ ~ 7o.ta.L co.o~ o~ B.e~Ll~n~: $19 X COST INCLUDES ALL LABOR AND MATERIAL FOR COMPL~IION Of SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF ~1786,00 DATE THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART DRILLING WORKS SERVICE CHARGE;OF 1t/a% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNT$. PERMIT NO. 8PPLICRNT JQHN W. WHITNEY LOCRTION ROCKHILL U I F..ULE LEGRL '~E~?':"~'~;¢BLK i ROCKHILL SuB '.~ r-ILINI [:IPRLIT'~" ~)F R[~£:HORRGE DEPRRTMENT OF HERLTH RND ENVIRONMENTRL PROTECTION 825 ~L~ STREET, RNCHORRGE, RK. 9~50t 264-4720 Nil L PF~:~IIT 800094 ) ~ ' 4~.~ RNCH. SR8 BUX LOT SIZE ~44-i~i0 52000 SQURRE FEET MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVRTE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. NELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 30 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS 8ND CONSTRUCTION DIRGRRMS RRE 8YRILRBLE TO INSURE PROPER INSTRLLRTION. F"ERM ir T F.---.P ! RF'EZ; DF~3EI'IBEF~: :~:-t .. I L. ERTIF~ THRT I: I RM FRMILIRR WITH THE REQLIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RN,_:HORR~E. 2: I WILL. IN_,TMLL"-- - THE '="_,~_,TEM'-- IN REUORDMNCE ...... WITH THE CUDE=,. DATE RECEIVED dE TIME ~ /[~.~/%,.~,//~.,( TIME / DATE X . ~. ¢'J~'/~' DATE NSPECTOR INSPECTOR ~ (NSPECTOR ©~ _~ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~EPT. OF HEALTH &  825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTEC-~ION ENVIRONMENTAL SANITATION DIVISION JUL P, 5 1980 Telephone 264-4720 ..DuRsT .o.A...OVAL O. ,ND,V,D.AL WATE. AND S~~ ~i~ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROP..EI~TY OV~B MAILING ADDRESS PROPERTY RESIDENT iii different from above) PHONE PHONE 2. BUYER MAILING ADDRESS MAILING ADDRESS 4. REALTOR/AGENT ] PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION ;TR EET LOCATI ON 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One ~ Four [~ SINGLE FAMILY [] Two [] Fi~e [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For Wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE~* [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2. WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED ,3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or C-]Holding Tank Size: ,/_..~ ~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank IA sorption Area ISewer Line J Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS OVED FOR z~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompanv certificate) [] DISAPPROVED CHEMICAL & GI~,LOGICAL LABORATORIES ~.~' ALASKA, INC. TELEPHONE {907)-279-4014 ANCHO RAGE INDUSTRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name Mailing Address I.D. NO. Pl~one No. City SAMPLE DATE: MO. State Day Year ZpC~e SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. , I I I I LOCATION TO BE COMPLETED BY LABORATORY Ana ysis snows tn~s Water SAMPLE to be: [~'"Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to ~ndmate reliable results. Please sene new sam ole. · ? /.,i-',!~?,~ .,~ , Time Received Analytical Method: ~ Fermentation Tube [~Membrane Filter Lab Ref. No. I I I Result* Analyst * NO. of colomes/100 mi. or No of ~s~ve ~ortlons. READ INSTRUCTIONS BEFORE COLLE, CTING, SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date C ollecteci Source presumptive 10mi 10mi 10mi /0mi 10mi 1.0mi 0.1mi 24 Hours 48 Hour,s i Confirmatory 24 Hours 48 Houri EMB Broth 24 hours: , Broth 48 hours: Multiple Tube Report: 10m; TUPes Posltl~l/Total 1Omi portions Membrane Filter: Direct Count C°llf°rm/100ml Collform/100ml Raper te~ By Date Time. a.m.