HomeMy WebLinkAboutBIRCH HILLS TERRACE #2 BLK 1 LT 7itch Hills
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lock I
Lot 7
050- ! 4 !
-30
Municipality of Anchorage pa.e / 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:
Name:
LEGAL DESCRIPTION
PIDNumber: 0~0 -/z// - ~0
Waslewaler System: J~New rq Upgrade
ABSORPTION FIELD
ri Deep Trench j31/Shallow Trench ri Bed ri Mound ri Other
$oll Rating: Total Depth from origin al/grade:
Cla~lfl~ti~ (Private, ~B,C); ~ T~ ~ To: /gill lb~tlon area:
SEPARATION DISTANCES
We,, ~//,4 /V/,4 /vl,~ /Vhl /Jl,~
Sudace
Lot
Cu~aln
Remarks:
so Ft.
TANK
~Septlc ri Holding
Manufacturer:.
Gravel depth beneath pipe
$, ~
6,.., ~,ngtn:
..m.7,.,-:
Pipe material:
ri S.T.E.P.
Capacity in gallons:
Number of Compartments:
LIFT STATION
*'Pump On level it: ~llt: j High water alarm at:
BENCH MARK
Location Ind Delctlption:
Inspe..ctions performed by:
Department of Health.;~ H~man Se~rces approval
Reviewed and approved by: /~'.,~. ~//~ ~/~"-~ Date:
Permll No.
Paga ~ o! ~
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: ~,/'2
]38.72
N 89'38'10'
i-ii. _
PID No.:
LDT 7
SCALE 1'=60'
S~/ING .TI[-~ .. _
A - C = 77,6
B - C = 53.6
A-D=86
B-D=65
A - E = 91,3
B-E=72
_A ._-_ F_--_ 93
B-F=74
A - G = 96.6
B - G = 78.5
A - H = 117
B - H = 102
A - I = 132
B - I = 120
(ENGINEER*S SEAL)
RECEIVED
Munlctpallly of Anchorage
DEPAR,T, .MENT OF HEALTH & HUMAN SERVICES NOV 1 8 1997.
825' L Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST Municipality of Anchorage
Dept. Health & Human Servi~-~
PERFORMED FOR:
~0 r ~'4~,~.~ DATE PERFORMED: ~_.~/~".,~C~
LEGAL DESCRIPTION: ~ ~ ~/~/ ~ Townsl~ip, Range, Section: '~ /~ ~ SLOPE SITE PLAN
.. . ; , , ,,,
,~', ,'~
N
IF YES, AT WHAT
DEPTH?
Oepth to Wmr Mcr
Monitoring? Ih |
s
L
Il' o
E
14 - Reading Date Time Time
18 ............... · ,
20 -
PERCOLATION RA3E ~ · ~' (m~nute~lnch) PERC HOLE DIAMETER (. h
Depth to Net
Water Drop
COMMENIS
ACCORDANCE WlIH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
72-008 {Rev. 4,85)
CERTIFY IHAT THIS TEST WAS PERFORMED IN
DATE:
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 PERMIT
PAGE 1 OF
PERMIT NUMBER:SW920113
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:MORROW ROGER L & ANNETTE
OWNER ADDRESS:P.O. BOX 770112
EAGLE RIVER, AK 99577
DATE ISSUED: 5/29/92
EXPIRATION DATE: 5/29/93
PARCEL ID:05014130
LEGAL DESCRIPTION: BIRCH HILLS TERRACE #2 BLK
LT 7
1
LOT SIZE: 40471 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK 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:
THE TOTAL DEPTH OF~THIS DRAINFIELD MUSTNOT EXCEE~ SIX
FEET BELOW GROUND LEVEL SO AS TO MAINTAIN THE REQUIRED
SIX FEET OF VERTICAL SEPARATION FROM POSSIBLE BEDROCK.OTHER
THAN THAT RESTRICTION THE SYSTEM MUST BE INSTALLED IN
ACCORDANCE WITH THE APPROVED ENGINEER'S DESIGN DATED 5/26/92
RECEIVED B y~J/~z~'-~~ DATE:
ISSUED BY:~ ~~- ~- e~ DATE:
Louis Butera, P.E.
Registered Civil Engineer
May 26, 1992
John Smith, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Birch Hills Terrace//2, Lot 7 Block 1
Narrative
Dear Mr. Smith,
The proposed septic will have
following reasons:
1.
2.
3.
4.
If you have any questions please call our office at 694-5195.
very limited impact on adjacent properties for the
The area has large lots allowing sufficient room for septic sites.
Immediate neighboring septic systems are all +30' distance.
Reserve space is adequate, due to absorption capacity, and public water connect.
Drainage will not be effected and is not a major consideration in our design.
Sincerely,
Louis Butera, P.E.
P.O. Box 773291 · Eagle River, Alaska 99577 · Telephone (907} 69.1-5195 · Fax (907) 69.1-3297
LEGAL:
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LOT 7, BLOCK I, BIRCII IIILLS TERRACE//2
GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health
and State Department of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the
field by the engineer.
5. All excavations and depths are advisory and are to be verified or modified in the
field by the contractor to meet Municipality of Anchorage, Department of
Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements
and to locate any adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation
requires engineer approval.
8. It is always recommended that a surveyor locate the nearest lot line position and
the location of any easements.
DRAINFIELD
1. The drainfield is to follow the natural land contour to maintain uniform total
depth of the drainfield bottom.
2. The bottom of the drainfield shall be level, plus or minus 1.5".
3. The total depth of the drainfield excavation is not to exceed 6' at any point.
4. The drainfield gravel is to be covered with typar fabric material.
5. Soil or combination of soil and extruded board insulation to a depth of 3' or
equivalent is to be placed over the leachfield.
6. The area over the drainfield is to be finish graded to prevent ponding of surface
water rtmoff.
7. The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 6.5' GRAVEL DEPTH = 3.5'
DRAINFIELD LENGTH -- 41' DRAINFIELD WIDTH = 5'
SOIL RATING = 1.2 GPD/ft: BEDROOM CAPACITY -- 3
SEPTIC TANK SIZE = 1,000
Twenty-four (24) hours notice required for all inspections.
LOT !
LOT I WELL LOCATED 23' N OF LOT LINE
SEPTIC SYSTEM +30'
I0' UTILITY EASEMENT
33' BLH SECTION LINE EASEMENT
--~ .... ~ ..... ~mIII~ ......
138.72
N 89'38'10' W
LOT 6
LOT 13 LOT 7 ~
VACANT z ro .~..~ --
~ ~LL LOT 7
~v.v~ BLDCK 2 ~ - TEST HOLE
· - MONITOR TUBE
N0 CURTAIN DRAINS .. ~ - SEWER CL~OUT
PUDL]C ~ATER SYSTEH ,:,::,:::::- PROPOSED L~CH?IELD
NB SURFACE WATER .... ~SEMENT
OWNE~: ROGER & ANNETTE MORROW ~? ~:~ ~.~
CONTRACTOR. N/A
. ,, , ~.~... ....
JOB ~ 92-062 DATE. 05/11/92 SCALE 1 -
P.o. 77 s4
(907) 694-5195 FAX: (907) 694-3297
EAGLE RIVER
ENGINEERING SERVICES
P. O. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694-5195
JoEBirch Hills Terrace #2, Lot 7 Blk 1
SHEET NO, OF
C~LCUL^,EO EY L · B · D^TE 0 5 / 2 6 / 9 2
CHECKED BY DATE
.... i..__-! ee Bedroom Single Famdy Residence -. : .......... ;
....... 2-...-Soi rating'.for.wide drainfield = 1.2 GPD/ft2 ................... :..-..: ......................
: Required absorption area = '450/1.2 = 375 square feet ; ~ ~ :
; , i Length = 375/5 x 0.54 =,~u.5' .' :'
PERFORMED FOR:
LEGAL DESCRIPTION:
2-: ', '?'
Municipality of Anchorage
OE.A.T?T OF .EAST. · SE.V,C S
825 "L Street. Anchorage, Alaska gg502~650 ~'~ ~'~%; LoUSSc~735 Am ~u~era ~:~~~
_
SOILS LOG PERCO~TION TEST { ~; ,... ...- ~.
~ ~_~P9-[~,~ ?-
Township, Range. Section: 7'
SLOPE SITE PLAN
N
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT I I · O
DEPTH? p.
E
13-
14 - ~leeding Oate Gros~ Net Depth to Net
Time Time Water Drop
15 - $,,,e ~ s'-/~ ,~/~
17- .~ " ~':~,"; /.~ ,-,,~ .~"~- ~' ~/,,.'::z '~,,.
18-
lg-
20-
COMMENTS
PERCOLATION RATE .
TEST RUN BETWEEN
'~ ° ,~ (m,nutes~gnch) PERC HOLE DIAMETER
~ FTAND ~..~FT
PERFORMED BY: ~- ~. ~ ~' I ~~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: ,~'~ ~/~ ~-
72~ (R~. 4/~)
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-141-30
Expiration Date:
1. GENERAL INFORMATION
Complete legal description Birch Hills Terrace #2, Block 1, Lot 7
Location (site address) 1_7637 Lacey Drive, EAGLE RIVER, AK 99577
'Current Property owner(s) Ro§er Morrow
Mailing address same
Lending agency
Mailing address
Real Estate Agent Buyers Real Estate
-.~' Mailidg.~.A~ddress. ,
· ~:: .- Un!ess ot_herC/vi.~'.requested, COSA will be held by DSD forpickup.
:2. NU M B ER;:O F 'B~t~'D ROG MS:
3. TYPE OF WATER SUPPLY:
Individ.uai Well
IndiVidual Water Storage
Community Class __
Public Water System
Day phone 696-1484
Day phone
Day phone 561-2227
3
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site []
[] Individual Holding Tank []
Well [] Community On-site []
[] Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems 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 COSAs upon request to homeowners. Certificates of On-Site Systems 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. (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
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 Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) 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 NorthRimEngineering Phone 694-7028
Address PO Box 770724, Eagle River
Engineer's Printed Name Steve Eng Date 7/20/2011
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The
assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow
and absorption rates may change due to subsurface conditions that may not be observed from the surface,
changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the
water usage of the family being served by the system. The operational life of all well and sept
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system.
DSD SIGNATURE
~'"/Approved for -~
Disapproved.
Conditional approval for
9ptic systems are
bedrooms.
bedrooms, with the following stipulau~Gdz.~:~c~*~'''
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By:
(Rev. 11/05)
Original Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Birch Hills Terrace #2, Block 1, Lot 7
A. WELL DATA - Public Water
Well type na If A, B, or C provide PWSID # Well Log (Y/N) n__~a
Parcel ID: 050-141-30
Date completed na Sanitary seal (Y/N) na Wires properly protected (Y/N) na_
Total'depth na ft. Cased to na ft. Casing height (above ground) na in.
FROM WELL LOG AT INSPECTION
Date of test na na
Static water level na ft. na ft.
Well production na g.p.m, na g.p.m.
WATER SAMPLE 'RESULTS:
Coliform NA colonieS/100mL Nitrate
Arsenic: na mg/I Dat~e of sample: na
SEPTIC/HOLDING TANK DATA
Tank Type/Material Sel:~c/Stee]
NA mg/L
__Collected by: NA
Date installed 9/1/92 Tank size 1000 gal.
Number of Compartments _2
High water alarm (Y/N) N
A~SORPTION FIELD 'DATA
Date installed 9/1/92 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2
Length 41 ff. Width _Sft. Gravel below pipe 3.5 ft.
Eft. absorption area 380.ft2 Monitoring tube Y
Date of adequacy test 7/15/11
Fluid depth in absorption field before test
Elapsed Time: 10 min. Final fluid depth
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N__lf yes, give date --
Cleanouts (Y/N) ~ Foundation cleanout (Y/N) Y Depression over tank (Y/N) __N
Date of pumping 7/18/11 Pumper Sanital7 Pumpers
System type Deep Trench
Total depth _7 ft.
Depression over field N__
Results (Pass/Fail) Pass For 3__ bedrooms
0 in. Water added 450 gal. New depth 0 in.
0 in. Absorption rate >= 450+ g.p.d.
D. LIFT STATION
Date installed na
"Pump on" level at na in.
Datum na
E. SEPARATION DISTA~ES
Size in gallons na
"Pump off" level at
Cycles tested na
SEPARATION DISTANCES FROM WELL ON LOT'TO:
Septic tank/lift-station' on lot aa
Absorption field on ]'(~t na
Public sewer main 1~A~
Sewer/septicservice lin® na
Animal-containment areas p_a
na in.
Water Service line 10'+
Curtain drain, (No~e'Y~ow~)
F. COMMENTS
Manhole/Access (Y/N) n..~a
High water alarm level at na in.
Meets alarm & circuit requirements? n..~a
On adjacent lots ha'
On adjacent lots na
Public sewer manhole/cleanout NA
Holding tank ~a
Manure/animal excrete storage areas
na
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10% Property line ;tO'+
Water main NA Water service line ;tO'+
Wells on adjacent lots ;tOO'+
SEPARATION: DISTANCE 'FROM ABSORPTION FIELD ON LOT TO:
Property line ;tO'+ Building foundation ;tO'+
Surface water ;tOO'+
Wells on adjacent lots ;tO0'+
Absorption field 5'+
Surface water ;tOO'+
Water main NA
Driveway, Parking/vehicle storage ;to'+
Icertifythatl. havedeterminedthroughfieldinspectionsand
review of Municipal records that the' above systems are
conformance with MOA COSA guidelines m effect on. this date.
Engineer's Printed ,Name Steve Eh§ , .
Date 7/2~2011 i .
·
COSA Fee $490.00
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
AS-BUILT
hereby certify that I have surveyed the following described
Anchorage Recording Precinct, Alaska, and that the improve-
ments situated thereon are within the property lines and cio not
overlap or encroach on the property lying adjacent thereto, that
no improvements on property lying adjacent thereto encroach
on the premises in question and that there are no roadways,
~ansmission lines or other visible easements on said property
except as indicated hereon.
Dated at Eagle River, Alaska
ROBERT C. JOHNSON
SCALE: Registered Land Surveyor No. 880-LS
I" = L!L~' Box 77-0456, Eagle River, Alaska 99577
Phone (907) 694-2543