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HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 29Wynter Park Block 1 Lot 29 #051-491-24 Mtlnicipality ol Anchorage Page _1__ o~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box '196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewaler DiSposal System and/or Well Inspeclion Reporl """:~+~or~ ~F~C5 Waslewaler System: D New ~Upgrade ' ~DeepT,ench OSha.owTrench nBed OMo.nd su~;~ [0~ (~+ ~ ~ LIFT STATION ~ ,, . . 170~ Eagle River Loop Road, No. ~ / / ]~, .............. ~ EOBrRT ~ COW~ P£R~,IIT ~0. SW990440 PACE 2 OF 3 Municip~tit oF .A.n._c h.o F ~ 97. DEPARTMENT OF HEA~.TH AND HUIVlAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 oAnchoptige, AI~sNQ 99519-6650® Telephone, 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 29, BLOCK 1, WYNTER PARK S/D P.I.D. ~0. 051-491-24 , / ' LOT 30 / ', ~~HEARTHSTONE ',~ .~'k. CIRCLE I ~' \ I L.' ........ ~.... 4- 10' UTILITY EASEMENT , ~> ........ 'x'..:~, L 0 T 4 ~ ~_~_ I PER~flT NO. SW990440 eAGE 3 OF 3 Municip. out of' Anchor'o.Qe DEPARTMENT OF HEAl. TH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 eAnchor~ge, Ai~sk~ 99519-6650 e Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 29, BLOCK 1, WYNTER PARK S/D P.LD. NO. 051--491--24 ST1 FINAL GRADE/ MT1 =84.9'j ]%1T2=84.9' NEW 1250 GALLON SEPTIC TANK C01=98.6' · NO WATER FOUND 78.9' B.O.H. ST~,/96.9' .~__./- 2" INSULATION FCO 22.5' 12.0' ST1 17,0' 22.0' ST2 11.0' 29.0' DBL1 10.0' 31,0' OBL2 10.5' ,.52.0' C01 18.5' 30.5' MT1 21,0' 31,5' C02 47.0' 64.5' MT2 43.5' 59.5' Municipality of Anchorage. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST p E R F O R M E D F O R :~ ~;~"~ /'~ ~'~ ~* 1 4- 5- 6- 7- 8- 9- 10 12 13 14 19- 20- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? E Oel~ lo Wiler Mu Mo~i~'ing? SITE PLAN Reading Date Gross Net DePth to Net Time Time Water Drop __ (mmute~'mch} PERC HOLE DIAMETER __ PERCOLATION RATE COMMENTS TEST RUN BETWEEN FT AND -- FT PERFORMED BY: 17034 Eagle River Loop Road No. 20ti "'V~/x~ ~ /~ CERTIFY T~T THIS TEST WAS PERFORMED IN Eagle River, Alaska ~S~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DAT~ 72..008 (Rev. 4/85)  November 13, 2000 MUNICIPALITY OF ANCHORAGE Anchorage, Alaska 99519 ROBERT C. COWAN, P.E. CML ENGINEERS (907) 694-2979 FAX (90'7) 694-1211 RECEIVED NOV 1 4 ZOO0 MUNICIPALITY OF ANCHORAGE REFERENCE: Lot 29, Block 1, Wynter Park Subdivision ENVIRONMENTAL SERVICES DIVISION Request you grant the following waiver for the existing four bedroom house ir,- the referenced property: a waiver of seven feet for the separation distance from the existing trench 'to the northeast lot line (Hearthstone Circle right-of-way). " The system has been installed and we therefore request a waiver for the separation distance between the existing trench and the northeast lot line at seven feet. We do not anticipate any adverse effects on the neighboring properties by the granting of this waiver. If you have any questions, please contact us. Sincerely, ~e~. Cowan, P.E. RCC/jhm 17034 NORTH EAGLE RIVER LOOP ~ SUITE 204 · EAGLE RIVER ALASKA 99577 Municipality ,of Anchorage Building Safety D~v~ston P.O. Box 19(~4k~0 * 4700 S. Bragaw Street Anchorage, Alaska !~)519-(W~-'~0 * (907) 3~13-8301 h I tl~://www.cl.m~chomgc.nk.us Public Works S & S Engineering ATTN: Robert Cowan, PE 17034 Eagle River Loop Rd, #204 Eagle River, AK 9957% January 08, 2001 Subject: Waiver Request forWYNTER PARK #I BLK 1 LT 29 Waiver # WR000099 Lot Line Request for Parcel ID 051-491-24 Dear Engineer: Your request for a waiver o f the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 7 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 3434744. Sincerely, JeffPoet Engineering Technician III On-Site Water Quality Program MUNtCIPALITY OF ANCHORAGE Department of Health & Human Services On~lte Services Waiver Review Worksheet WR#: WR000099 PID~: 051-491-24 HA~: Date Received: November 15r 2000 Legal DescrlpUon: Wynter Park #1~ Lot 29~ Block t. Engineer:. S & S Englneeringr Inc. 17034 North Eagle River Loop Road, Eagle River~ AK 995777 Applicant: Metweet Mortgage Sewlcea Waiver Requested: 7 foot lot. line waiver Criteria: 1. C.-.-.-.-.-.-.-.-~ ~ o g y A. Water Table B. Soil Sorpbon C. Permeability D. Water Table Gradient E. Horizontal Separation Points: Total: 2. Special Conditions: 3. Other, Permit~: SW990440 Waiver is Granted: List Conditions or Reasons for above: Waiver is not Granted: Date: /- ~- O ! Rec~: 0S06452 Amount: $115.00 d---fla~ efReviewer Date Paid: 111t~/00 MUNICIPALITY 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 PERMIT Date Issued: Dec 30, 1999 Expiration Date: Dec 29, 2000 Permit Number: SW990440 Legal Description: WYNTER PARK #1 BLK 1 LT 29 Design Engineer: 0003 S & S Engineering Owner Name: Metwest Mortgage Services Owner Address: 601 W. 1st Ave., Dept. 170000 Seattle, WA 99201-5070 Parcel ID: 051-491-24 Site Address: 024004 HEARTHSTONE DR Lot Size: 25246 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] SepticTank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2..NI requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) end 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. Received By: Oate: g- 2 2-gt: MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK ~)951g-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Dec 30, 1999 Expiration Date: Dec 29, 2000 Permit Number: SW990440 Legal Description: WYNTER PARK//1 BLK I LT 29 Design Engineer: 0003 S & S Engineering Owner Name: Metwest Mortgage Services Owner Address: 601 W. 1st Ave., Dept. 170000 Seattle, WA 99201-5070 Parcel ID: 051-491-24 Site Address: 024004 HEARTHSTONE DR Lot Size: 25246 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All 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 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 (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: .Tune 19, 2000 ROBERT C. COWAN, P.E. CML ENGINEERS (907) 694-2979 FAX (907) 694-12 t 1 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 29, Block 1, Wynter Park #1 Subdivision It is requested you £~v,.n[ ~perrait~to install a 1300 gallon polyethylene Premier septic tank and a septic system to serve the proposed four bedroom (existing two bedroom) dwelling on the reference! property. A percolation test was performed for a new trench site on 6/7/00. At this time the soils were found to be satisfactory for a 4 bedroom system installation. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, ob~ C. Cowan, P.E. Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RlVER. ALASKA 99577 B.J.J. R.C.C. '6- 19-00 1 OF , ering D}iSIGN CRITERIA: SOILS = 1.2 GPD/SO.FT. wo~K 5O0 DRAINFIELD C~ITERIA: ,o.o. , . HEARTHSTONE 7.5' EFFECTIVE J (2 E~CH) P~oPosEo 13oo GALLON " / ~LYETHYL[N~ SEPIIC TANK ~ ~ EAST ALT. S TE ~ ~ X ~ ~TH~~~ox, 5.0' WIDE 28' LONG '~o ~'' O 10 MINIMUM a WEST ALT. S m 13.0' DEEP I~SlALL ~CO ''H ~'N '5' OF 1 0 UTILITY EASEMENT Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502~650 SOILS LOG -- PERCOLATION TEST SLOPE 1 2 3 4 5 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16 17 18 19 20 ,~ ~ ;." .-JL;",.;,¢.'h DATE ,GO ......' c,' -- Range, Section: WAS GROUND WATER ENCOUNTERED? SITE PLAN Al Gross Net Depth to Net Reading Date Time Time Water Drop ~o ~,.~ ~'"-"/~ C ' ~ ~ -.~ ~ ~- ~ .' PERCOLATION RATE ~ (m,nutes/~nch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND ~'~""" FT COMMENTS ~%&SENGINEERING ~L~ ~.- PERFORMED BY; , 17_~1_~ _~_~l. ~;¥_.~_/_~_~ ~C=E ~c. 30~ ' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WIT~ ~[~ ~?~L GUIDELINES IN EFFECT ON THIS DATE. DAT~ ~ /~ ~/~O 724X~8 (Rev. 4/85) S04T. TEST TEST ROBERT C. COWAN, P.E. CIVIL ENGINEEI'~ (907) 694-2979 FAX (907) 694-121 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 29, Block l, Wynter Park # 1 S/D .Iune 15, 2000 GENERAL: The scope of this project includes relocation of the water line, the replacement of the 1250 gallon septic tank with a 1300 gallon polyethylene Pvmficr septic tank, and installation of a leachfield trench to serve thc existing F~,~a bedroom residence located 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 Wastcwater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, thc property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Depa.mnent for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RNER, ALASKA 99577 Page 2 Lot29, Block ~,WynterPark#1 $/D Jun®~5,2000 All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 fl. of cover shall be insulated. A foundation cleanout shall be installed one to four feet fi'om 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 dean toward the leachfield. The second cleanout shall be to dean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perfomt~ 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). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafl 140N, or equal) must be I installed between the final leachfield gravel layer and the native soil backfill. Lot 29, Block 1, Wyntar Park #1 $/D June t5, 2000 All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gr,_clarion specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections Will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted at~er the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Otten there Will be more than these 3 inspections required. Especially With the installation ofmulfiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance With the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owners representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the conlractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 0£ i On-Site Sewer/Well Permit Application -- ~'~ -- NOTE: Ap~l~caUo~ must be filled out completely SINGLE FAMILY DWELLING Parcel IdenUflcatlon N~mber Propedy Owner Name ~J~l~'+ //~/'~,?~ ~'l"V/~ DayPhone J'~O0-'7~'~-C~ Legal Description '~ I /,JVnf Lot Size ~ ~)/1/o/Acms~ Number of Bedrooms Inspe~ions will be condu~ed by: ~ApprovedEngineefin~Fi~ '~Municipafi~(pe~itfeeincluded) D~s your house ~n~in any of ~e foflowing: ~ Hot Tub ~ Swimming Pool ~ ~empy P~I ~ Jacu~i ~ Water So~ener Unit This appli~fion Is loc ~ Sewer Only ~ Sewer and Weft ~ Sewer Upgrade ~ Well Only ~ Water Storage I ce~ ~at ~e a~e info~aUon is ~.e~. I fu~er ce~i~ ~at S & S ~GINEERINO ~is application Is being made for a Single Family Dwelling and 170~ E~le Rlve~ L~p ~a.a N, ~ In a~o~ance with applicable Municipal C~es. ~le Rlv~, Alaska ~ ~er~efl Ddtler Waiver Fees: 72-012 (Rev. 4~8)' Receipt WaNerl December 14, 1999 ROBERT C. COWAN, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-12 ! I ROADDES~ TEST MUNICIPALITY OF ANCHORAGE Department of Health & Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 29, Block 1, Wynter Park #1 Subdivision It is requested you issue a permit to install a 1000 gallon polyethylene Premier septic tank and a septic system to serve the existing two bedroom dwelling on the referenced property. The existing trench was excavated, documented, and tested for three bedrooms. The results were satisfactory. See attached site plan, 2 pages, and soils log. 'r~ ~ pa, r,,~ ~ We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage pattems by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. Rccroj Enclosure 17034 NORTH EAGLE RIVER LOOP · SUffE 204 * EAGLE IR1VER, ALASKA 99577 mrrriag DRAINFIELD 9.0' DEEP 5.0' EFFECTIVE 5.0' WADE 28' LONG + 40' ALT. SITE: 15.0' DEEP 6,0' EFFECTIVE 2,5' WIDE $1' LONG LOT 29. BLOCK 1. B.J.J. R.C.C. )ESIGN CRITERIA: 2 BDRM = $00 GPD SOILS = 0.8 GPD/SQ.FT. 300/0.8 = .575 SQ.FT. REQ'D, LOT I C~ITERIA: WYNTER PARK S 12-14-99 OBTAIN PRIOR WORK 3O KEYBOX (APPRDX, LOCATION) UPGRADE TRENCH TOTAL F'LnV SPLITTER N~.,~ EXISTING EXISTING 1250 GALLON SEPTIC TANK, TO DE PUMPED CRUSHED, AND ABANDONED 1 OF2 REQUIRED TO ILITY LOCATES ANY EXCAVATION CE-CS01 CIRCLE CLEANOUT 1000 GALLON PBLYETHYLENC SEPTIC TANK INSTALL FCO LOT 28 10' UTILITY EASEMENT ~:~ LOT 29. BLOCK 1 WYNTER PARK S D B.J.J. R.C.C. 12-14-99 2 OF' 2 ~"'"~/ DRAINFIELD CRITERIA: ~o..~.o~,~.~,~ 2.5' WIDE 40' LONG MONITORING TUBE~ FINAL GRADE %~ 5.5' ~x-~:x..~ II:X"~z:~"~:x";"'l '~.'z:~.~ INSU~TION ~ ~ _ PROPOSED,~ ~ , ,ooo , POLY. TANK J ~ EXISTING DEEP TRENCH NO WATER FOUND ~.o' ~.o... PERFORMED FOR: LEGAL DESCRIPTION:. i 2 3 4 5 6 7 8- 9- 10- II 13- 16- ~0. Municlpalily of Anchorage DEPARTMENT OF HEALTH & tlUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99§02-0G50 SOILS LOG ~ PERCOLATION TEST "~ ~ wnship. Range, Section: .. SLOPE SITE PLAN WAS GROUND WATER ENCOUNTEnED? ,F YES. AT W,,AT DEPTII? Monilorlng? ~ ' . PERCOLATION RA'IE ~ Immures/tach) PE~RC HOLE DIA~,IETER __ COMMENTS 17034 Eagle River ~op Road No. 2G4 /-//I/" - . / / I, 9 ACCORDANCE WIIH L~IJ'~i~J~I~J~,~UIDELINES IN EFFECT ON Tills DATE, DATE: ' ' ROBERT C. COWAN, P.E. CML ENGINEERS (907) 694-2979 ON-SITE WASTEWATER DISPOSAL SYSTEM~x (907) 694.1211 CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 29, Block 1, Wynter Park #I S/D December 14, 1999 GENERAL: The scope of this project includes the replacement of the 1250 gallon septic tank with a 1000 gallon polyethylene Premier septic tank and installation of a leachfield trench to serve the existing three bedroom residence located 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 Wastcwater 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. 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 Depa~hnent. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP * SUITE 204 · EAGLE RIVER. ALASKA 99577 Page 2 Lot 29, Block t, Wynter Park #1 $~D November 22, 1999 All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 fi. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F$I 0 (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 (Caul&r, 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. '*4. ' Page 3 Lot 29, Block 1, Wynter Park #1 $/D November 22, 1999 All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the//200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation ofthe wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, lxenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER 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 lot 29~ Block 1~ ~?nter' Park Location (site address or directions) 24004 Hearthstone Drive.' .,.... ..- ...:,.-:.. Properties Pro'p~rtY~owner Ba.nk~-of New York ~; Lou/Aurora Day p.hone ~.a!linge~dress 'PO"Bo~ 671923, Chugiak, AK 99567 688-4939 .Mailing Unless NOTE: If community well system, provide written confirmation from State ADEC attest- ,. Jng to the legality and status of system. TYPE OI~ WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer . NOTE: 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 my 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 furtherverifythat 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 in~pection. Name of Firm ~; & ~ FNGINI=~;RING Phone (~ c/ /--/- 3.-~ '7 '~ · : 17034 Eagle R~ver loep Road No. 21)4 Address . . "~:; ~-;:r, '.;::~: ?'.-"7 j- ,' / /oo Engineer's sign.~ture Date - ~' */ DHHS SIGNATURE A.p. proved for __.. Disapproved. bedrooms. xx× Conditional approval for 2 bedrooms, with th~ followin~ stipulations: · he septic syste= on th~s.lot shall be up8raded pursuant to the a[tac~ed permit ~$~990~0 no [ate~ tha~'~une tS~ 2000. ~o~e~ sha~l he placed ~n escro~ for times the high bid from a minimum of 3 bids from certified contractors. Ihe balan of th- ~v~w F.~ ~hnll ~e re~ea~ed a~ter an approved Certificate of Health Authority Approval has been issued by the Department.' Additional Comments B~ Date · The Municipality of Anchorage Department of Health'and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professio nmi engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a .certificate Is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. RECEIVED Municipality of Anchorage FI~ 04 DEPARTMENT OF HEALTH & HUMAN SERVI~n Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist LeaalDescription: ~[~r~- ~OOr~C ~l ~e-I Ll-~Cl PamelI.D.:. A. WELL DATA Well type · ~ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed / Total depth Cased to Casing~ ground) ~ ~.~perly protected ~/N) Sanitary seal (Y/N) FROM WELL LO~..// AT INSPECTION Date of test Static water level Well production WATER ,~J~~ L'r~: g.p.m. Nitrate Other bacteria g.p.m. Collected by: SEPTIC/HOLDING TANK DATA Date installed ~v~ _ ~'~ Tank size Founda~ion cleanout (Y~ ~ Date of Pumping tl --,.~ ~l~t Pumper Number of Compartments ,2.- Cleanouts~/N) __ Depmssion~) *./ High water alarm (Y~ J/Ar ,,l~-Length' ~c? ' 'aWidth. ~.~" AGrevel thickness below pipe V-Effecu abso on ama Monitoring Tube present 4~N) Date of ededuacy test t[- ~ - ~ ~ Results~,/Fall) C. ABSORFTION FIELD DATA Dateinstelled ~'~Z.-- ~"~ Soil rating (g.p.dJfFor ~/1~rm) 'J/~" ~r ~',~ystem type ~-/~',~-~/ d pth · Depression over field (~ For ~ .bedroom~ · Fluid depth in abs%rl~,flon field before test (in.); 4~)' Immediately afte~ gal water added (in.): Fluid depth ~'~" (ins) Minutes later: /O Absorption rate = '/5-6 ~ g.p.d. Peraxide treatment (past 12 months) (~ vO* P~.. Ak~,~J If yes, giv~ date 72-026 (Rev. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) High water alarm level at* "Pump on" level at' arum SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main On adjacent lots ..~---""-"-"~ic Sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/NOLDING TANK ON LOT TO: ~undation C>I Pmberty line $ ~ ~ Jr Absorption field Watarmain/servicellne iO~<y Surtacewater/drainage ~'~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line I ~ ~ Building foundation 1¢~ Water main/sen, ice line Surface water ] o~~ ~' Driveway, parldng/vehicle storage area '" '~ Curtain drain ~Jl¥~- Wells on adjacent lots ~ ~ R ENGINEER'S CERTIFICATION ~ cerUfy that ~ have d~t~rmin~d thru ~e/d ~nspect~ns and ret8ew ~f Municipa~ rec~rd- ~` ~#~ ~b£ ~,J~,tems are in conformance with (VlQA HAA_guideline~in effect on this data. ~.,~, · .~'./T ~ ~ ~'.,?/' ,~ ".:.'.~'~, s,g.a~r, t '~'' --, " ' "~ --- Date /'~ ~ .~ F,, $ 5 ~' ~-~ Waiver Fee $ Data of Payment Receipt Number 72-026 (Rev. 3/96)'