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MOUNTAIN PARK ESTATES BLK 9 LT 6
Mountain PaPk Esta Block 9 Lot 6 #017-441-37 Municipality of Anchorage Development Services Department B u~3d'mg Safety DMsion On-Site Water and Wastev~ter Program, 4700 S. I~ragaw St. P.O. Eox 196650 ~cho~age..~ 99519-6650 www.~and~omge.ak, us (907) 343-7SO4 Page of ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION Well: [] New [] Ul~grade SEPARATION DISTANCES PID Numbe~ WastewaterSystem: [] New J~Upgrade ABSORPTION FIELD FI, FI. .' '~ ~'~' FI. TANK Septic [] Hotding [] S.T.E.P. [] Other. Septic Absorption UR Holding Put:llc, Pfivat e Tank Field Station Tan~ S~ ~e LIFT STATION BENCH MARK PERMIT NO, SW010462 AS BUILT PLAN 5.0 x Ox French 4 'Eff. I Well AS BUILT PLAN Pit Valve C~tnc. Septic Tk. Integrity .~ CO FROM TO DIST. A DIV. 53.3 B DIV 36.2 A REC01 10.1 B RECO1 34.5 A COl 52.1 B COl 63.1 A CO2 73.7 B CO2 70.3 A CO3 41.6 B CO3 41.6 A RECO2 $1.1 B RECO2 34.0 A MT 44.9 B MT 45.2 JAMES SIZEMORE & ASSOCIATES CIVIL ENGINEERS & SURVEYORS PERMIT NO. SW010462 AS BUILT PROFILE . ~.L."(I, [ 'p ~F tVC H,. JAMES SIZEMORE & ASSOCIATES CIVIL ENGINEERS & SURVEYORS MUNICIPALITY OF ANCHORAGE Development Sen/ices 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: Nov 06, 2001 Expiration Date: Nov 06, 2002 Permit Number: SW010462 ,.Legal Description: MOUNTAIN PARK ESTATES BLK 9 LT 6 Design Engineer: 0027 James Sizemore & Associates Owner Name: Rumford Owner Address: 5940 BEVERLY DRIVE ANCHORAGE, AK 99516-3101 Parcel ID: 017-441-37 Site Address: 005940 BEVERLY DR Lot Size: 23600 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage 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 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. *~'5. The following special provisions. ~:AT THE TIME OF CONSTRUCTION THE ENGINEER SHALL VERIFY A FOUNDATION CLEANOUT EXISTS AND ' !IF NOT WILL MAKE SURE ONE IS CONSTRUCTED. THE INSPECTION REPORT WILL NOT BE APPROVED 'IWITHOUT THIS FOUNDATION CLEANOUT. F Ft'I I~ I. )x Date: Date: Municipality of Anchorage Development Services Department Budding Safety Division ' On-Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage. AK 99519-6650 www,cLanchorage.ak.us (907) 343-79O4 ON-SITE SEWERJMVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLI'NG PrOperty owner(s) Mailing address (1) ~ address (2) Permit Number SWO 104~; ~. Day phone Zip Code Legal description (Lot. Block & Sub'd.) L ~:, ~ ~ I~OUI~/~//') Legaldescription (Section. Township & Range) 5 ~y ~/~ Lot Size ~/~,~ AcreslSq.Ft. 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 fudher certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. ~,('Sig n/' i"~nfatu/~re o~ ~r~ pedy~~~ owne~o~'r authorized agent) Permit Fees: ,'7--~,~. ~) Date of Payment: Receipt Number: (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: / 5.0 x 56.5 x 8.0, ption Trenc] ' Eff. Pit rter lc. Well LOT6,BL9, MTN. PARK ESTATES PROPOSED SEPTIC UPGRADE SITE PLAN SUBD. JAMES SIZEMORE & ASSOCIATES CIVIL ENGINEERS & SURVEYORS TEL. 907-345-1572 FAX-345-9669 Performed Foc Legal Description: Municipality of Anchorage Development Services Department , Building Safety Division On.ire Water and Wast~ter P~m Soils Log - Percolation Test Slo~ SiTe Pla~ v WA~ GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth Io Water After co 4- 7. 8- 9~ 17- 18- 19- s L O Date Gross Time Net Time Depth to Water Net Drop ,, I; ,/-,~ ,~ 0 /~ ~ / PERC~TE I~e~ (~t~) PER ED~ t/ TEST RUN BE~EEN ~n ~O ~ n COMME~S ~ PERFORMEDBYJ' ~i~~ '~~'~] CERTI~THATTHISTESTW'S ~ ' PERFORMED IN ACCORD~CE WITH ALL STATE AND MUNI¢ ;~IDELINES~E~;~ ;N THIS DATE. ~ATE: .)¢--~'~ ~/ WASTEWATER DISPOSAL SYSTEM LOT 6,BLOCK 9,MOUNTAIN PARK ESTATES SUBDIVISION 1.0 GENERAL 1.0 This project will involve the following: A) The existing Concrete Septic Tank shall be exposed and the integrity of the tank verified. B)A Bull Run Diverter valve shall be placed between the septic tank and the existing seepage pit. A new 4 inch line will run under lhe driveway to the replacement trench. This line will be insulated. C) A replacement Absorption Trench 5' x 56.5'x 8.0' deep with 4.0 ' of sewer rock beneath the Perfpipe shall be constructed. 1.1 Construction shall be in accordance with: the approved site plan and design drawings and specifications, Municipality &Anchorage permit with any special provisions or conditions. Deviations from the approved design drawings shall be coordinated and approved by the engineer conducting the inspections. 1.2 All construction procedures and material used to construct the system shall comply with Municipal and State Rel,mlations. 1.3 The homeowner shall be responsible for finish grading and seeding disturbed areas after the system is constructed and soil is compacted and mounded over the absorption trench. 2.0 DISPOSAL FIELD 2.0 The subsurface disposal field shall consist ora wide trench, 56.5 feet long, 5.0 feet wide and 8.0' deep with 4.0' &sewer rock beneath the perforated pipe (the effective depth ofthe trench). The trench shall be excavated 8.0 feet deep from existing ground surface. 2.1 Sewer rock shall be 0.5 - 2.5" screened gravel with less than 3 % passing the #200 sieve. 2.2 Cleanout pipes and monitor tubes shall be 4" diameter and installed as shown on the plan. The portion of the monitor tube extending through the sewer rock shall b perforated. All monitor tubes and cleanout pipes shall have waterproof caps conforming to Municipality of anchorage Specifications. 2.3 Filter fabric shall be placed over the sewer rock, and then 2 inch "blue board" direct burial insulation will be placed over the filter fabric. A minimum of 2 feet of unclassified backfill shall cover the insulation. 3.0 ENGINEERING INSPECTIONS 3.0 A minimum of'four engineering inspections will be required during construction of the system. One after the septic tank is exposed, one after excavation of the trench prior to placement of'sewer rock, one after placement of sewer rock and all distribution piping, cleanouts and monitoring tubes are in place. The final inspection shall be after the filter fabric is placed , the trench backfilled and the final grading is complete. 3.1 The contractor shall coordinate with the engineer at least 24 hours prior to start oF construction. PROBABLE IMPACTS TO ADJACENT PROPERTIES A) WELLS The proposed wastewater disposal system is designed in accordance with current Municipal Wastewater Disposal Regulations. The proposed 5' 8' deep x 62.5' long Absorption Trench is greater than 100 ft. from wells on this and surrounding lots. Therefore, there should be no adverse impacts on wells from this system. The construction of absorption system will not preclude construction ofsystems on adjoining lots. B) WASTEWATER. SYSTEMS The system is designed in accordance with current Municipal Regulations, and construction will comply with current regulations. There should be no adverse impact of adjacent disposal systems. C) RESERVED SPACE/SURFACE AND SUBSURFACE There is adequate space on the lot for a replacement disposal system, and still maintain the protective radiuses around wells. The placement ofthe septic system on this lot should not preclude building replacement systems on adjacent lots. D) DRAINAGE The topography on this lot and the surrounding lots is sloping varying from level tol 5 %. The area disturbed during construction of the system will be graded to prevent ponding of water. Construction of this system should not adversely affect drainage. GAAB-HD- I G£ 'ER ANCHORAGE AREA BORO! 1 DEPARTI~ENT OF ENVIROI~I~EI~TAL 0~UALII~ 3500 TUDOR ROAD ANC;HORAGE, ALASKA ggs07 27g-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME SEPTIC TANK: MAILING '~'~2 ADDRESS "~ z<~'c"~. /C:~';r,l~j~-)t.c,.~ /~,.~l:,,= PHONE_ DISTANCE FROM WELT ? LIQUID CAPACITY /~:~? GALLONS. MATERIAL (~('~/Z '(~:)/- ~ INSIDE LENGTH NUMBER OF / COMPARTMENTS INSIDE WIDTH DEPTH__ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER LINING MATERIAL ~.~'//('~'*.Z'-~.~-~ '~ Z-'~Z¢~. '~' NEAREST LOT LINEY~) ',~ L~ TOTAL EFFECTIVE ABSORPTION AREA {WALL AREA) OR WIDTH ~. LENGTH-~r"r"r"r"r"r'~---~ ~ , DEPTH DISTANCE FROM WELl / ~-) BUILDING FOUNDATION. SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION , NEAREST LOT LINE NUMBER OF ..... TRENCH WIDTH ABSORPTION AREA~'''/ SQ. FT. LENGTH OF EACH LIN~ ~ DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH , OF LINES IN. TOTAL,~P/ECTIVE IN. ABOVE TILE '~ , - WATER , BUILDING FOUNDATION. ,.'~)" SAMPLE ////2~'(/Z~- , NEAREST LOT LINE ~/ /~ '~' NEAREST .-- SEP[IC / SEEPAGE /~ / ,-_ OTHER , SEWER LINE ., TANK /~ , SYSTEM ~')~ , CESSPOOL , SOURCES~ DISTANCES: DIAGRAM OF SYSTEM DATE GREAiER ANCHORAGE AREA BORuUGH SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT TYPE AND SiZE OF FACILITY TO BE SERVED '~ ~ ¢ ~¢d; t: ~¢/~ ¢ so~L TEST RESULTS .~ -'' ~ NOT~ THI~ ~R~IT le NOT V~LI~ WITHOUT ~OIb FINAL I~PECTION= J4 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PiT /7 TO NEAREST LOT LINE. DIAGRAM OF SYSTEM WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. ., DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of EXCAVATION S FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, /HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE DESCRIbe SYS.TEM lB IN ACCORDANCE WITH SAID CODE. Ground 'dater' ~,nc-~.mtgz.e,.l= ~=~.~:/~! ....... :REATL'R ANCH©gAqi'; AREA BOROUGH ItEALTti O_!PAE'FMENT 327 EAGLE STREET ANCHORAGE, AL,qSKA 99501 0 1 3 4 ? 8 Der'th Feet Soil Charac't:e?'istics Ovo]t' bm'don; org'mlio moss~ Sil'~ wi~h few pebbles Ulaoi~t %ill with bouldm' '6o ~" diante%~w. Otlo l~ffoz' at 6 ~ ~ 3" wide~ Location Sketch Was Gmound Water Encountered?_~l~o if Yes, At What Depth Reading Date Time Net Time 20 rain - 2.0 I~lll ,,~ ...... Proposed Inst'all~'~ ,ri: Seepage Pit_ X Drain FJ. eJ.d Depth Of Inlet COMMENTS' ~ Del)tn 'Fo B~~fit Or ')'p~n~~ ..... . ' Test .erformed B~. ~m~ .... -:~("" q~" } "" : :' ~' ~q m -~?'P'O'S:T~e ,d-N' A:" CON'S P I C UOUS PLACE GRID .~,,,~/ D~/ FEE DATE , /,~ NO. g~ !c~"E / PAID MqIT Ng ER ) 3. Building Contractor ~¢ Legal Dos c ri pti on ~f~~ ~, S~reet Address ~~ 6, Descrtpt~on o¢ Work ~EW AL~E~TION ~DI~ION OT~ER 7, U~e o¢ NeN Structure A. Residential: ~ngle-Famlly~wo-Family~tulti-Family __Accessory Building B. Commercial: Retail-Wholesale Of£ice-Professional Combination Other C. Industrial: __~anufacturing___Storage__Processing D. Other: I hereby affirm that the above information and that sub- mitted in application for this penn£t is true and correct to the best of my knowledge. I understand that this permit is issued on the basis of that information and is subject to compliance wJth all pertinent codes and ordlnanc~s~of the Gre~r~'-X~chorage Area Borough. J/ (. 7 d J~/~ 7 o Appl~) ' AS DEFINED IN THE Z~INC O~$NCE, Slgnatur&of Zoning Officer