HomeMy WebLinkAboutNORTH SLOPE BLK 2 LT 3No th
lope
Block
Lot 3
#0§0- § 11 - 25
e Municipality of Anchorage .."
Development Services Depadment
Building Safely Division
On-Site Water and Wastewater P~ogram. 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page
~.ci.an~orage.ak.us (907) ~43-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
, Permit Number:' 5~0 tO7 ' PlO Number:
"~': ~ ~/~ ~O~fi Wastewater System: ~ New ~ Upgrade
~*'":Sq iD F;; ; ~.~r~d[ qq~V ABSORPTION FIELD
Well: ~ New ~ Upgrade ~:
i ~,.,.~....,~..~
~,~.~ ~,,. [ ~,,. ~ Fo,,, ~;~"~/~
~n~a~ '"l ~ ,, TANK
SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P. D Othe~
Septic Abso~tio~ Lift HoMing Publi~[kat~
Tank Field Station ~er L~e ~ ~
s...w.,.I~[' lOOt ~/ LIFT STATION
"~': BENCH MARK
Op oT
+ Io~r
Engineees Stamp
/'~,, .... ~....~,~,,
Inspections pedormed by: ~._~
_, ........... _...~,, ~__~~ ..........
Development Se~ices Depadment Approval / '
Reviewedandapprovedby: LL~ Oate: fiqla ~. .':~?~
PERMIT NO. SWO00107 PA~E 2 oP 3
Municipali-t oF .A.n_c h.q F a g.e.
DEPARTMENT OF HE~,~_-I'HAND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 eAnchoroge, Atosko 99519-6650eTetephone: 343-4744 '
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
L£OAI~ LOT $, BLOCK 2, NORTH SLOPE P.I.D. NO. 050--511--25
~ L...-- Fco
~ ~ /10~ If/ST2 SEPTIC TANK
' LOT 4
~.. .I ~
C01~ -~/~ . ~ ~ ALL PIPES WERE LOCATED USING AN
MT ~ -¢3~* ~ ~ AS-BUILTwI~iAMSURV[YD. PERFORMEDFLEMiNG BY:
'*~,o' .,.. ~ SC~LZ: ~' - Bo'
~T2'COZ ~ ~E~~M P~ -~,
.~<~ ~,. 4,~,,.'-.
/'4~ ..... P',. ~' .~ .
PERMIT NO. SWO00107 PACE . 3 OF 3
Municip. o,[i't¥ of' Atqchor'cige
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.D. Box 196650 eAnchor~lge, At~lsk~i 99519-6650eTetephone: 343-4744
ON-SITE WASTEWATER D~SPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LECAL LOT 3, BLOCK 2, NORTH SLOPE
P.I.D. NO. 050-511-25
ST1 ST2 / 98.8'
FINAL
CO'i
CO~
MT2 MT1 CO1 = 57.5'
AL GRADE
III ~CO1 -- 53.'7'
, IC02 = 53.8'
MT2 = 50.6'-/ ~--MT1 = 51.1'*
*SOME FILL FELL
IN MT DURING
CONSTRUCTION
WATER FOUND ® 45.6'
43.6' B.O.H.
A B C
FCO 58.0' 10.0' -
ST1 46.0' 9.0' -
ST2 5,5.5' - $5.0'
DBL1 59.0' - 34.0'
DBL2 61.5' - 34.5'
C01 - 156.0' 144.0'
vlT1 - 157.0' 145.0'
202 - 187.5' 188.0'
vtT2 - 186.5' 186.5'
30,5 - 80.0' 81.0'
01/01/1999 00:01 6002259 SULLIVAN PAGE 01/01
by
CO. dt>a
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUG1AK, ALASKA 99567 · TELEPHONE 68B-i~l~J
BOREHOLEDATA
OWNER OF LAND: ~"'~'~ H,) ~Z 1" F~D~-'~ ~
ADDRESS:
LEGAL DESCRIPTION: /~,.)0~.T't4. -TL~ ~?E
DAVE:,
PERMIT NUMBER: O ~ ~ Dale of Is~e~-l~
T~ IDENTIFICATION NUMBER:~- ~/( - ~
Is well I~at~ st appmv~ pe~it I~ation? ~ ~ No
Meth~ of Drilling: ~ota~ '~ c~le tool
Depth of well: J 0 z~
Casing Type _~..W&II 'l~ickness ~ ~"~ ' . inches
Diameter ('~ f! inches, depth [ O ?-"J feet
Liner Type: ?0'~ ~
Casing Stickup Above Ground: ~ · feet
Static Wa[e? Level: "-'J O feet
Recover Rate:~ ['5' gl3m
Method of Testing: ,,O,~_ Vi.
Well Intake Opening Type: o~J~pen end ~3 open ho~e
'.J Screened; Start feet Stopped feet
.,I Perforations Sta~ ,re%L, ~topped feet
Volume
Grout Type: ~J~J,''''O''5*T'~'
Depth: from o feet, to_ 09. <~ feet
Well Disinfected Upon Completion? "~'es 13 No
Method of Disinfection: Z~ ~,O ,x,,i,J ~'
Comments:
DEPTH
~
A'Ig'ENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Dep~Tu'tment of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Consewation.
Driller's Name
To: Bob Cowan
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 gg519-665Q..'
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/VVELL SUBMITTAL COMMENT SHEET
Legal description: North Slope Block 2 Lot 3
.~The attached paperwork has been reviewed and is being returned for the following reasons:
Original signature or stamp missing on ~
Calculation error in design.
Additional soils information needed.
Water monitoring results inadequate. ~
Discrepancy in information submitted. ~
Topographic information missing or inadequate.
Incomplete; missing
Incomplete; missing ~
Additional adequacy test information needed.
Water sample t~nacceptable.
Measured/proposed distances/dimensions missing.
Locations of all soils, percolation and water monitoring tests not shown. ~
Proposed system too deep for soils information submitted.
Well log required. ~
Omission in narrative.
~ [] Insufficient fill over tank or field.
- [] Other. need well lol~ and well
Name of reviewer: Joe Goodal! Date: 8/28103
Please supply the necessary information and re-submit your request.
LEA VE THIS FORM ATTACHED TO THE PAPERWORK
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchocage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: Jul 15, 2003
Expiration Date: Jul 14, 2004
Permit Number: SW030250
Legal Description:~NORTH SLOPE BLKii 2 LT 173 7
Design Engineer: 0003 S & S Engineering
Owner Name: Chad Wilffong
Owner Address: 5910 Fiji
Anchorage, AK 99507-
Parcel ID: 050-511-25
Site Address: 030615 PRUDHOE BAY AVE
Lot Size: 120051 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction ~ust 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 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
A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
must be either:
Received By:
Issued By:
Date: ~ /[J-/o.~
Municipality of Anchorage
Development Services Department
Bu,ding 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-$!TE SEWER~/VELL PERMIT APPLICATION .( ...
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
Permit Number SW
Property owner(s) ~-,, o. ~ '~ ~'---~,---,---~,.--.~
Mailing address (1) ~-"~'~\ (~
Mailing address (2)
Legal description (Lot, Block & Sub'&) I. _ ~N-
Legal description (Section, Township & Range)
Lot Size ~ - c::~,~.Ft.
;z D/
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
X,~--~o...,,,Day phone L~"~'"~ -'~c:L\~4
Zip Code
Number of Bedrooms
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 ow'~er~agent) ~--~
Permit Fees: ~ I.~'O. a~
Date of Payment: ,. :~l '~ [0)
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
MUNICIPALITY OF ANCHORA GE
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 I WATER SUPPLY PERMIT
Initial
Date Issued: May 16, 2000
Expiration Date: May 16, 2001
Permit Number: 8W000107
Legal Description: NORTH SLOPE BLK 2 LT 3
Design Engineer: 0003 S & S Engineering
Owner Name: Chad Wilffong
Owner Address: 5910 Fiji
Anchorage, AK 99507-
Parcel ID: 050-511-25
Site Address:
Lot Size: 120051 SQ, FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
~'1 Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
Ail 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 ( 18MC72 ) 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 constnJction during freezing weather
must be either: A. Open and closed on the same day,
B. Covered, sealed, and heated to prevent freezing.
Received By: '-~'~/~ ~ Date:~'-/7- °°
Issued By: Date:
VVTLL n~rECTIO~t
&FLOWIES!
SOILIEST
TEST
I~CIIAI~CAL
t:~l~r'C~N. SYS l EM
ROBERT C. COWAN. P.E.
April 13, 2000
CIVIL ENGINEEI'IS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
D~artment of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 3, Block 2, North Slope S/D
It is requested that you issue a permit to install a well and a septic system to serve the
proposed four bedroom dwelling on the referenced property.
A test hole was excavated and a pemolation test was performed. The approximate
location of the test hole is located on the attached site plan. At the time of excavation
4-6-00, water was found at 14.5 feet. After seven days of ground water monitoring, water
was found at 13 feet.
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.
Ifyou require additional information, please contact us.
Sincerely,
RCCrojj
Enclosure
17034 FlOr'lTl I EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER. ALASKA 99577
'1" = 60'
DESIGN
I SITE-PLAN
UNDEVELOPED
II 0 II ~
/
/
/
/
/
~o
Municipality o! Anchorage.
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG m PERCOLATION TEST
I.~\. CF .~Rnl
. ~ ~ .. ..1..,,~,,,: ...,
PERFO.MED FOR: ~/_.T DATE PERFORME~
' '-' '
si
LEGAL DESCRIPTION: L ~ "'Township, Range, Section:
SLOPE SITE PLAN
5
6
7
9
10
12
14-
~..1~ ~00,
19
~0
/
/
/
/!
/
/
/
t
WAS GROUND WATER (.~__
ENCOUNTERED? ,
IF YES0 AT WHAT /4~,
DEPTH? pO
E
Depth I° Wa(er Aller/'~ /
Moniloriflg? / ~ Date:
Reading Date Gross Net Depth to Net
4/~./~1.~/'~"cTime Time Water Drop
/ / _ _ ~,~/,~,, ._./~,.
~0 ~ ~ II ~ ~
PERCOLATION RATE ¢ ~'' (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ,~ FT AND ~;~ FT
COMMENTS
PERFORMED BYI70'~a ~',,~I,, ~v-- I ~p DA~~ He. ~N I ~ CERTIFY T~T THI~TES~ WAS PERFORMED IN
72~ (R~. 4/~)
RODERr C. COWAN, P.E.
$E'w~rl & WATER
L~t J EXT Et~)(~-m
WTt LIt~PECTIO~
& rlowiEsr
r'~ri~TlO~l
IES!
STnLK:TUflAL &
WASTEWATEri
~$PC~AL SYSTEM
CIVIL EIqGIIqEErtS
(907) 694-2979
FAX (907) 694-f211
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Lot 3, Block 2, North Slope S/D
April 13, 2000
GENERAL:
The scope of this project includes the installation of a 1250 gallon septic tank
and a new trench to serve the proposed four 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 Wastewater 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
Department.
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.
Thc septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
17034 HORTH EAOLE RIVEr{ LOOP ,, SUITE 204 · EAGLE RIVER. At. ASEA 9957'7
'Page 2
Lot 3, Block 2, North Slope S/D
April 13, 2000
All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
Septic tanks installed with less than 4 ft. ofcover 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.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
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 (rafted-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 ofcover 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, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. 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 xvhen the backfill depth is less than thirty-six (36) inches. The
finish grade over the trench must be mounded to prevent the fo,mation of a depression
after settling.
'Page 3
Lot 3, Block 2, North Slope $/D
April 13, 2000
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The follo~ving 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 F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type ofpipe 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 (Caul&r, Femco, or
equal).
A permeable nontoxic silt barrier Crypar 3401, Mirafi 140N, 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, 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:
· Page 4
Lot 3, lllo~k 2, North Slope $/D
April 13, 2000
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 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. pemfit 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 perforating 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
F.I~ ,OMi': .mC;OR I'~qRINEE
PHONE NO. : ~6235138
S~p. 11 2000 11:20RM P1
RECEIVED ·
SEp 1.7 2000
,, MuniCipal. . ·
°oPL Health ~{ 'qnCho
· : ~,oO~ces
·
t