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Home My WebLink AboutTROLL KNOLL BLK 2 LT 13 Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~t~WO/qS" PID Number: Address: LEGAL DESCRIPTION Lot: Block: lY TOwnship: I Range:. I ~ectlon: WELL: CI New n Upgrade Classification (Pnvara, A,B,C): ~,Y / ~'~. Total Depth: Cased To: D~lller: Date Drilled; Static Water Lev~: Ft. Wastewater System: PI New J~'Upgrade ABSORPTION FIELD ,E[Deep Trench I'1 Shallow Trench ~oil Rating: Subdivision: ~. Depth to pipe bottom f~om Odginel grade: SEPARATION DISTANCES Fill added above original grade: /.Crt Gravel width: Total absorption area: :~>qso Ft. [3'Bed ~ Mound n Other Total Depth from original grade; Gravel depth beneath pipe ~, Ft. Gravel length: ~.Ft Number of lines: / Ft Pipe material: F~PIO ~ ~. Date InstallS: 7-P Well' Surface Water Lot Line Foundation Cu~atn Drain Remarks: TANK ~6eptic E] Holding n S.T.E.P. Manufacture~. Capacity in gallons: Material: Number of Compartments: LIFT STATION Pump Make & MOtH I Electrical Inspecflona ber/ormed BENCH MARK Location and Description: Elevation: ENGINEEI~S SEAL ., .' ·: Inspections pedormed by: ~. m~.,,~.,~. ~s~ Dates: 1st ~-~-~ Depadment of Heal~ and Hu~n S~ices approval Reviewed and approved by: ate: 7-~ 2 T2.Q13 (Rev. ~91) MOA 25 'Permit No.SW940195 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description:TROLL KNOLL SUBD,, BLOCK 2, LOT 15 PIDNo.: 05152107 CO1 C02 MT C04 101.8'J '~ ............................................................................. 95.7'J · 89.7' NO WATER FOUND ............ ~ NEW · 1000 GAL SEPTIC TANK 1000 CAL. SEPTIC TANK A B FC0 16.5 C0t 101 106.0 C02 107.5 111.8 C03 105.0 108.0 CO4-.130.5 129.5 MT 107.8 110.0 i TRENCH ~2~13 A (1/93)° PAGE 1 OF I MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940195 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SICKLES LAREN J & LOIS A OWNER ADDRESS:23736 HILLTOP DR CHUGIAK, AK 99567 DATE ISSUED: 6/24/94 EXPIRATION DATE: 6/24/95 PARCEL ID:05152107 LEGAL DESCRIPTION: TROLL KNOLL BLK 2 LT 13 LOT SIZE: 38230 (SQ. FT.) ~ER OF BEDROOMS: 3 THIS PERMIT: 3 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ~'/. DATE: DATE: June 06, 1994 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMANSERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 ROBERT SHAFER, P.E. ROGER SHAFER, P.E, CIVIL ENGINEERS (9B7) 694-2979 FAX 694-1211 REFERENCE: Troll Knoll Subdivision; Lot 13; Block 2 SITE FLANS ROAD OESIGN SOIt. TES? Request you issue a permit to upgrade the septic system serving the three bedr~ house o~ the referenced An adequacy test performed on the existing system for Health Authority Approval purposes found the absorption capacity of the existing system to be inadequate. Existing facilities were located per the platted well radius established for a co,unity well in 1974, however to meet current requirements for a Class A well the upgrade must be located as shown on the attached site plan. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. Themonitoring t~be within the test hole~has been checked and found to be dry. Attached is the proposed upgrade design. This property is served by a C~xmm~nity Water System. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If .you have any_questions, review ~/~e~Ttact us. //~/LSU/jk or require additional information for your 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ,, EAGLE RIVER. ALASKA99577 LEGALTROLL KNOLL SUBDIVISION, DRAWN J. ANDERSON I CKD. R.A.S. DESIGN CRITERIA: $ BDRM. = 450 GPD SOILS = t.2 GPD/SO. FT. 450/1.2 = 575 SO.FT. REO'D TRENCH: 8' DEEP 6' EFFECTIVE c.~./ba (~ 2.s' W~D£ ~.~ 5,1.5' LONG CONTRACTOR IS REOUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. EXISTING 1000 SEPTIC TANK (1974) VERIFY INTEGRITY (ErnST. UNO£R m¢~$) EX'STING *CO x) ALL PORTIONS OF SYSTE,~{ WITH LESS THAN 3.5' OF COVER REQUIRE INSULATION. LOT/ BLOCK 2,. LOT. I DAIF-~--9--94 120' ~LL DBL CO / / / / I /. / I RAT STRUCTURES, EASEMENTS, OR ENCROACHMENTS SHOWN ON THIS SITE PLAN ARE AS SHOWN ON AN AS-BUILT SURVEY DRAWN WILLIAM D. FLEMING IT IS THE RESPONSIBILTIY OF THE CONTRACTOR TO VERIFY EASEMENTS. REQUIRED SEPARATION DISTANCES, AND PROPERTY LINES PRIOR TO CONSTRUCTION. CLIENT Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 #L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST PERFORMED FOR:~I'~'J LEGAL OESCRIPTION:I I"~t [~Z ! "~ )~/~'~/J~ Township, Range, Section: SLOPE 1- 11'- '~' '( 13- ~. ~t/, 14 ***~ '-" ' 15- 16- 17- 18- 20- WASGROUNDWATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? f p E Immming? ,,-tAr~' I Om: . Gross Net Reedlng Date Time Time Il :R -* · '~:T~ :07 :/? -, :,,~ SITE PLAN Depth to Net Water Drop Troll Knoll Subdivision; Lot 13; Block 2 The scope of this project includes the installation of a leachfield trench to serve the three bedroom residence located on the referenced property. The existing septic tank is to be excavated to verify its integrity. If the integrity of the existing septic tank is poor the existing septic tank is to be excavated, pumped, crushed, and abandoned in place and a new 1000 gallon septic tank installed. 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 Wast,water Disposal Regulations. 3. 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 Department. INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouta for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Page Two Troll Knoll Subdivision; Lot 13; Block 2 June 06, 1994 Septic tanks installed with less than 4' 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' 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. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (roughed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 1. Any septic tank proposed for installation must be Municipally approved septic tank manufacturer. constructed by a Page Three Troll Knoll Subdivision; Lot 13; Block 2 June 06, 1994 2. 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 (P¥C) 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, Fernco, Or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, Or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the ~200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. 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: 1. 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. 2. 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. Page Four Troll Knoll Subdivision; Lot 13; Block 2 June 06, 1994 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 contractor's 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 contractor's activities. Final acceptance of the contractor's work rests with the owner and the M.O.A. 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. ODNTRACTOR/INSTALLER QGRF'~TER ANCHORAGE AREA BOr~,UGH · Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAMEJ"~"'I ~'~0S MA,L,NG ADDRESS £'X r/7 ~'~.t,~'< PHONE SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER ~'r~ ~r~. MATER,AL ~ "U~B~" O~ COM"A"TMENTS ~ INSIDE WIDTH LIQUID DE~H lIQUID CAPACITY /~ GALLONS. SEEPAGE PIT: NUMBER OF PITS I DIAMETER ~/~' OR WIDTH ~"~, LENGTH'~, DEPTH LINING MATERIAL /O~.~ CRIB SIZE: DIAMETER ~.~/r DEPTH ~ ~ISTANCE FROM: TOTAL EFFECTIVE BUILDING FOUNDATION "7/ NEAREST LOT LINE WELL - ABSORPTION AREA (WALL AREA) ~ ADDITIONAL ABSORPTION TYPE CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE , SEWER LINE TANK __ DISTANCE FROM: SEEPAGE SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL= LOT SLOPE: REMARKS: Form NO. EQ-O3$ DATE ~.A.A.B. GREATEr ANCHORAGE AREA BOrOUGh SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT LEGAL. DESCRIPTION ...A.CEO 'r. Rouo. /'70 OTHER NOTE~ THIS PERMIT 15 NOT VALID WITHOUT ~OIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THr' DEPARTMENT OF' ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES. REQUIREMENT SEPTIC TANK TO SEEPAGE PIT WALL DRAIN FIELD SEEPAGE PIT ^~so DONSIDER AREA '~/ATER MAIN TO SEPTIC TANK BRAIN FIELD DRAIN FIELD GRAVEL BACKFILL CONFORM TO I~OROUGH REGULATIONS REGARDING INSTALLATION. OA,E ~;~ AFP.,:A.T'..,G.AT..E '"" ,o,..o. Bo-0,, ~'' ~/...) ' 28-68 AND THAT THE ABOVE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Divlslon of Environmental Services On-Site Services Section P,O, Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description ** Location (site address or directions) Property owner Mailing address Lending agency Mailing address 23756 Hi~.top D~u¢ Cflug.~k, AK La~en 5~c~¢6 Day phone 5105 N.E. 150iff Cou~t F~n¢ouu¢~. ~A 9868~ Unless otherwise requested. HAA will be held for pickup. NUMBER OF BEDROOMS: 5 ~,' TYPE OF WATER SUPPLY: Individual well Community well Public water Day phone Day phone AK 99577 NOTE: 694-9035 If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site 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. STATEMENT OF'INS~'cCTION 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 end type of structure indicated herein. I further verify that based on the information obtained from the Municipality et Anchorage files and Irom my Inves!i. gation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Phone' Address Engineer's signature Date DHHS SIGNATURE , ,)~'. Approved for -~ Disapproved, Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date 7-22 -~'~ 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 professional engineer registered in the State of Alaska. The DHHS 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 Ancho[age is not responsible for errors or omissions in the professional engineer's work, Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~-/2oz-~ ~.~oo~ ~._oc~.'~, co~'/3 Parcel I.D. A. Well Data Well type ~.~,.,~x~/~'y' If(~B, orC, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed D, Total depth Cased'to- Casing height Sanitary seal (~(./N)~''~'~ Wires properly protected ~)~'~'"'-~-~_ _ FROM WELL LOG AT INSPECTION Well flow . Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 20q ~ Absorption field on lot 2 od ' Public sewer main ; On adjacent lots ; On adjacent lots Sewer service line Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/;I~I~31~II~ TANK DATA Nitrate Collec'~'L~:i-by: Other bact~ri~ Date installed Cleanouts ~1) High water alarm (Y/N) Date of pumping '7 - s' - '~ ~' Tank size /,~,oo d:,~- Compartments Foundation cleanout (~N) ¥~-'<; Depression (Y/~) ,~,/~-- Alarm tested (Y/N) ,4~,,,/~- /~*/,d-- Pumper SEPARATION DISTANCES FROM SEPTIC~ ........... TANK TO: Well(s) on lot =o ~' To property line '/ Surface water/drainage On adjacent lots /oo ' ~- Foundation /'00 ' Absorption field ~-- ' Water main/service line ~2.ms ('~3)* F~t CONTINUED ON BACK PAGE C. UFT STATION Size in gallons Vent (Y/N) High water alarm level Meets MOA ~ Manufacturer ~.~Manho~~ ~ Cycles tesl~"'~ SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lois Surface water D. ABSORPTION FIELD DATA D, ate installed i '7- .r - ~' v Soil rating (GPD/Fff) /. 2.. System type Length ' ~J '~ ' Width 2. ~" Gravel thickness ~. ' Total depth F' ' .TOtal absorption area :7,cq ~. ,/'] Cleanout present (~N) V~-<; Depression over field (Y.{~ 'Date-ohadeQuacy test Results (pass//all) k3r Bedrooms Water level In absorption field before test After toot Peroxide h'ea~,u~ ~tl~sl (WN) If yes, give~at~ _ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain -2 oo' On adjacent lots /oo / v- Property line To existing or abandoned system on lot Cutbank .~'o ~4- Water main/sewice line Driveway, parldng/vehicle storage area //o E. ENGINEER'S CERTIFICATION I cerbTy that I have checked, ve#fied, or conformed to all MOA and HAA guidelines in effect on the date of ~'s~i~,gection. Signature Engineer's Name Date .AA Fee $ Date of Payment Receipt Number ~ ~3)* ~ck ' Waiver Fee $ Date of Payment Receipt Number