HomeMy WebLinkAboutHYLEN CREST #3 BLK 6 LT 8Uyl
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Block 6
Lo'l- 8
#050--47 34
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP251025
Work Type: SepticTank Upgrade
Tax Code Number: 05047434000
Site Legal Address: HYLEN CREST #3 BLK 6 LT 8 G:0057
Site Mailing Address: 10331 STEWART DR, Eagle River
Owner: FRANKL DAVID &
Design Engineer: VEI CONSULTANTS
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
2/6/2025
2/6/2026
20709
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By:
AC S s�
Date:
Issued By:
Date:
4
Septic Tank
Holding Tank
Privy
Well
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 050-474-34-000
Property owner(s) David FrDa2n:k:ql Mary BldWush
Day phone 9 o-1 — _Z3 c, -- q -9
Mailing address 10331 Stewart Drive, Eagle River, AK 99577
Site address Same
Legal description
Lot 8, Block 6, Hylen Crest #3
Number of Bedrooms 4
Engineering Firm VEI Consultants - Scott Roelfs, PE
Building Permit Number
APPLICATION IS FOR:
(E] all that apply)
Absorption Field R
ED
F�
El
F�
Not Applicable F*
APPLICATION IS AN:
Initial
El
Upgrade
El
Renewal
EJ
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Permit/Rush Fees- 2 S7,
Date of Payment:
Permit No. (2S 0 _Z'
Waiver Fees:
Date of Payment:
Waiver No.
Distance:
Civil Engineering and Surveying Consultants 1345 Rudakof Circle, Suite 201
Serving All of Alaska Anchorage, Alaska 99508
FAX: (907) 338-5386
Phone: (907) 337-3330
January 17, 2025
Municipality of Anchorage
Development Services
On -Site Water and Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Re: Septic Tank Replacement and Upgrades for Lot 8, Block 6, Hylen Crest Sub'd #3
Narrative and Permit Application
To whom it may concern,
VEI Consultants was contracted to design a septic tank replacement at the above
referenced property. The existing single family residence on the property has four (4)
bedrooms and was constructed in 1992. The existing steel septic tank is now 33 years old
and the homeowner would like to address the tank before any problems arise. Also,
adequacy testing of the existing drainfield was completed to determine its condition. The
results (outlined later in this narrative) suggested that modifications to the effluent
discharge piping are necessary to more evenly distribute the effluent between the two
existing wide trenches.
The house and wastewater disposal system locations are shown on the attached Site Plan,
Sheet 1. We request that you approve the attached permit application for the replacement
of the septic tank (with integrated effluent lift pump) and upgrades to the effluent discharge
piping configuration.
Surface Water & Topography
There are no surface waters within 100 feet of the proposed system. Additionally, no
seasonal surface water has been observed collecting anywhere on the property. The
general slope of the lot is from North to South. Based on survey data, the slope where the
tank is being constructed is approximately 5%.
Design Information — Tank
VEI conducted a field investigation that included verifying the existing horizontal as -built
survey and determining elevations of the existing septic system components. Measure -
downs to the pipe inverts, septic tank water level and bottom, and bottoms of both trenches
were performed. This information is reflected in the design drawings. The existing tank
will either be properly abandoned in -place or removed. The proposed tank elevation was
On -Site Wastewater Disposal System — Narrative, Lot 8, Block 6, Hvlen Crest Sub'd 93
January 17, 2025
Page 2 of 3
determined using a 2% slope to the tank from the existing foundation cleanout pipe invert
elevation. Connections to the existing piping will be made upstream of the existing
foundation cleanout (a new foundation cleanout will be installed), and north of the existing
tank (effluent pump discharge piping will be reused).
The new tank location allows for a 9.0' clearance from the house. Site constraints make it
preferable to have the tank closer than 10' to the house. With the current design, the
bottom of the tank will be outside the soil bearing prism. The bearing prism is shown on
the section view. The proposed tank installation will not alter the existing site topography
or drainage patterns. The ground surface above the new tank will be graded to ensure
positive drainage.
The effluent lift pump was sized to meet the requirements of the original design: 30 gpm
split between the two trenches and 5' of pressure drop across the orifices. Using an
elevation difference of 33 ft (114' +5'-86') and friction losses of 13 ft (88' of 1.5" PVC
Sch 40, doubled for minor losses) we determined our target design point to be 30 gpm @
46 ft. The Orenco model PF 3005 pump was chosen, with a published point of 32.5 gpm
@50ft.
Design Information — Existing Wide Trenches
Two separate adequacy tests were performed on the existing absorption trenches starting
on July 12, 2024 (Test #1) and again on August 16, 2024 (Test #2). For both tests:
• The system was being actively used and did not require a pre-soak.
• The pre -test water depth was recorded in both trenches and tank.
• The nearest hose spigot was used to add 9 gpm to the foundation cleanout
(upstream of the tank) for 67 minutes, a total of 603 gallons.
• For the following 24 hours the monitoring tubes in the North and South trenches
and tank were used to periodically record the water depths.
The graphical test results for both trenches are attached to the end of this narrative. Test # 1
revealed that both trenches have drastically reduced percolation rates below a certain water
level; approximately 0.6' depth in the North trench and 2.2' depth in the South trench.
Above these critical depths the percolation rates were normal. The purpose of Test #2 was
to verify these critical depths by increasing the pre -test water depth. Water was added until
the depths in both trenches were above the critical depths, then the 600 gallons was added
and water depths logged over the next 24 hours. The findings of Test #2 validated the
critical depth findings and the conclusion that, over time, the South trench has been
receiving more effluent than the North trench and has a shorter life expectancy.
To extend the life of the absorption system, we have designed modifications to the effluent
discharge piping to more evenly distribute the effluent between the two existing wide
trenches. A ball valve will be installed to throttle effluent flow to the South trench and
increase flow to the North trench. This ball valve will need to be adjusted after
On -Site N"astewater Disposal System — Narrative, Lot 8, Block 6, Hylen Crest Sub'd 93
January 17, 2025
Page 3 of 3
construction (VEI intends to assist with this) until the proper effluent flow distribution is
obtained.
There are no adjacent private wells within 100 feet or community wells within 200 feet of
the proposed system. We do not expect there to be any adverse effect on adjacent lots by
the construction of this system.
If you have any questions, please contact me at (907) 337-3330.
Sincerely,
VEI CONSULTANTS
Scott T.
Adequacy Test Results — North Trench
Adequacy Test Results — South Trench
As -Built by Louis Butera
Proposed Tank Replacement Design Drawings (3 pages)
Construction and Material Specifications (3 pages)
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SEPTIC UPGRADES
PLAN - Pg 2
PROFILE - Pg 3
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4-BEDROOM
HOUSE
EXISTING \ \ \
WATER
SERVICE
STEWART DRIVE
14 /
13
NOTES: BLOCK 2
1. SUBDIVISION IS SERVED BY CITY WATER. WATER MAIN
IS LOCATED IN STEWART DRIVE. WATER SERVICE
ENTERS THE SOUTH SIDE OF HOUSE IN THE GARAGE
(>10' SEPARATION).
2. NO SURFACE WATER OBSERVED WITHIN 100 FEET OF
THE PROPOSED SYSTEM.
EXISTING
SEPTIC
SYSTEMS
A
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— — — — — — — — — — — —
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SEE THROTTLING VALVE DETAIL
(THIS SHEET)
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SILT BARRIER
THROTTLING VALVE DETAIL
(SOUTH TRENCH)
SWING TIE DISTANCES Om
COMPONENT
FROM POINT 'A'
FROM POINT 'B'
FROM POINT 'F'
FOUNDATION CLEANOUT
TBD
TBD
TANK 1ST COMPARTMENT
TBD
TBD
TANK 2ND COMPARTMENT
TBD
TBD
THROTTLING VALVE
TBD
TBD
S TRENCH MON TUBE
62.4
73.5
N TRENCH MON TUBE
75.7
92.7
NOTES:
1. 1500 GALLON POLYETHYLENE SEPTIC TANK (LIFT / DEEP
BURIAL GREER TANK) WITH MANWAY RISERS (20"0 MIN,
INSULATED TO 4' DEPTH) SERVING BOTH COMPARTMENTS,
ALSO PROVIDE AND INSTALL COUPLINGS, PUMPING SYSTEM
AND PIPING, AND CONTROLS.
\goo ''X
2. SUBDIVISION IS SERVED BY CITY WATER. WATER MAIN IS
,�-1_.____ o LOCATED IN STEWART DRIVE. WATER SERVICE ENTERS THE
SEE NOTE 1 o I V SOUTH SIDE OF HOUSE IN THE GARAGE (>10' SEPARATION).
—+ 3. NO SURFACE WATER OBSERVED WITHIN 100 FEET OF SYSTEM.
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10, TO PROPERLY ABANDON OR REMOVE EXISTING SEPTIC TANK AND PIPING
OHOUE BETWEEN CONNECTION POINTS
L 'r'�-1� POINT "A" FOR SWING TIES
r, �
A ° POINT "F" FOR SWING TIES
9' TO L� CONNECT TO EXISTING 4" PIPING
x AND INSTALL CLEANOUT
HOUSE w UPSTREAM OF BEND EXISTING
REMOVE I 4—BEDROOM
AND + HOUSE
REPLACE BOTTOM OF SIDING ELEV = 100.0
EXISTING (BENCHMARK)
FENCING
AS NEEDED VEI CONSULTANTS
1345 RUDAKOF CIRCLE
POINT "B" FOR SWING TIES I
SEP11C SYSTEM UPGRADE — PLAN
LOT 8, BLOCK 6 Consultants
HYLEN CREST SUBDIVISION, UNIT 3
PHONE: 337-3330
HORZ SCALE: 1-=10' I DATE: 1/17/2025 1 GRID: NW0057 Pg 2 OF 3 1345 R AGKOAKCI 99501
95 1 X:
. CONNECT EFFLUENT
................................
: : PUMP DISCHARGE
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PRESSURE PIPING
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............ ...... ............. ........... ...... .... .. .........................
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SLOPE TO DRAIN BACK TO TANK
................ ........ ..... . ......... — ........... ........... (SEE DETAIL ON SHEET 2)
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1345 RUDAKOF CIRCLE
SEPTIC SYSTEM UPGRADE — PROFILE VE1
LOT 8, BLOCK 6
Consultants
HYLEN CREST SUBDIVISION, UNIT 3
"ONE: 337-3330
q Pg 3 OF 3 NCHORAGE,
SCALE: 1-=5' 1 DATE: 1/17/2025 1 GRID: NW005 1345 RUDAKOAKF CIR99508 1201
1 PA
Civil Engineering and Surveying Consultants 1345 Rudakof Circle, Suite 201
Serving All of Alaska Anchorage, Alaska 99508
Phone: (907) 337-3330
January 17, 2025
ON -SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS
LEGAL DESCRIPTION: Lot 8, Block 6, Hylen Crest Subdivision #3, Anchorage
Recording District
GENERAL:
1. The scope of this project includes the installation of a new 1,500 gallon
polyethylene septic tank (with STEP effluent lift package) to serve an existing 4
bedroom single family residence on the referenced property. The existing steel
septic tank shall be decommissioned in -place or removed and disposed of, in
accordance with the Uniform Plumbing Code. Existing pumps, piping, and controls
shall be removed and disposed of properly. The existing effluent discharge piping
to the existing drainfield will be reused.
2. The scope also includes the installation of a new ball valve and modifications to the
effluent discharge piping near the existing wide trenches. The purpose of these
modifications is to better distribute the effluent between the two trenches by use of
a throttling valve.
3. Construction shall be in accordance with the approved design drawings,
specifications, municipal permit with any special provisions or conditions, and all
applicable Municipal Wastewater Disposal Regulations. Any deviation from the
design drawings and specifications requires engineer approval.
4. The contractor shall be responsible for obtaining any necessary underground utility
locates.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Onsite Water and Wastewater Section for systems installations. Owners
installing their own systems must also receive prior approval from the Municipal
Onsite Water and Wastewater Section.
SEPTIC TANK INSTALLATION AND EFFLUENT PUMPING SYSTEM
1. Septic Tank shall be a minimum of 1,500 gallons. The tank shall be constructed of
polyethylene and shall be pre -approved by MOA for installation. The contractor
shall ensure that the fill over the tank does not exceed the burial depth rating.
2. The effluent pump system shall consist of a simplex pump, float controls, control
panel, and appurtenant piping and valves. The pump shall be a 120v, '/z hp Orenco
model PF 3005 with a design discharge of 32.5 gpm @ 50 ft of head. The pumping
system shall be installed in accordance with the manufacturers' recommendations.
On -Site 1,17astewater Treatment and Disposal System — Specifications, Lot 8 Blk 6, ilvlen Crest Sub 'd 93
January 17, 2025
Page 2 of 3
The effluent piping in the tank shall be perforated to allow effluent to flow back for
cold weather protection. The effluent pipes shall be uniformly graded so that the
contents can be drained back to the tank for freeze protection. If cover is less than
3 feet, insulate with 2 inches insultation. Always maintain 2 feet of cover.
3. Control panel for the effluent pumping system shall be UL listed and suitable for
interior and exterior mounting. It shall be fitted with high level alarms. These
alarms shall be on a separate electrical circuit from the pump controls. The high
level alarms shall be located inside the dwelling (or attached garage) and register
both visually and audibly.
4. Septic Tanks installed with less than 4 feet of cover shall be insulated. Minimum
cover with insulation shall be 2 feet. Insulation shall be placed immediately above
the top of the tank.
5. Construction shall include two 20 inch (minimum) diameter watertight manway
risers serving both compartments of the tank. The riser, including the cover, shall
be insulated with 4 inches (minimum) insulation extending to 48 inches below
grade, or to the tank insulation. The insulation shall be of a MOA approved type
suitable for below grade applications. Exposed insulation above grade shall be
protected from UV damage. The riser lid shall be secured (lockable) to prevent
unintended access. The riser lid shall match the final grade.
6. All septic tanks shall be fitted with watertight couplings, approved by MOA, at the
pump out attachments and on the inlet and outlet of tank.
7. The septic tank shall be sufficiently bedded with proper material and compacting to
prevent settling or shifting of the tank, in accordance with manufacturer's
recommendations.
8. The sewer piping from the foundation cleanout to the septic tank shall be 4 inches
laid at a minimum 2% slope. If cover is less than 3 feet, insulate with 2 inches
insulation. Always maintain 2 feet of cover.
9. The effluent discharge piping from the septic tank to the absorption trenches shall
be 1.5 inches laid at a minimum 2% slope to drain back to the tank. If cover is less
than 3 feet, insulate with 2 inches insulation. Always maintain 2 feet of cover.
10. Insulation shall be placed over any wastewater line or pipe over which a driveway,
parking, or vehicle storage area may be constructed.
THROTTLING VALVE
1. Ball valve shall be PVC true union style, Spears True Union 2000 (or approved
equal by engineer).
2. Surface access to the ball valve shall be provided, by use of cleanout pipe or other
means as approved by the engineer. Valve will need to be manual actuated with
system in use. A fabricated key will be required (to be provided by contractor).
3. Freeze protection of the valve and the bypass piping is of the utmost importance.
Bypass piping shall be sloped to drain back to the tank. Insulate all with 2 inches of
insulation. Always maintain 2 feet of cover.
Ore -Site 6Vastewater Treatment and Disposal System — Specifcations, Lot S Blk 6, Hylen Crest Sub'd #3
Januag 17, 2025
Page 3 of 3
MINIMUM MATERIAL SPECIFICATIONS:
l . A MOA approved septic tank manufacturer must construct any septic tank
proposed for installation.
2. Insulation shall be at least 2 inch thick extruded direct burial polystyrene (Dow
Chemical Company Styrofoam HI, Insulfoam R-Tech IV, or equal)
3. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder,
Fernco, or equal).
4. The following pipe materials are MOA approved for use in septic system
installations:
Type of Pipe Perforated Solid
Cast Iron Yes Yes
ASTM D3034 or F789 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
ASTM D2751 (ABS) Yes No
**Use of a type of pipe other than listed above must be approved by
the inspecting engineer.
5. The pressure effluent discharge piping shall be PVC, Schedule 40, or equal as
approved by engineer. Installation shall be in accordance with manufacturer's
recommendations.
6. Geotextile silt barrier shall be permeable and nontoxic. Ensure that the silt barrier
covers the entire gravel surface before placing backfill.
INSPECTIONS:
Typically, there will be several inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
l . A preconstruction site meeting.
2. An inspection must be conducted after the excavation of all native material for
the tank has been completed and proper bedding placed. MOA requires 2 hours
notice for this inspection.
3. An inspection must be conducted after the tank has been set in place with
distribution piping and cleanouts installed, but prior to backfill.
4. An inspection must be conducted after installation of effluent discharge piping
and throttling valve, but prior to placement of insulation, silt barrier, or backfill.
5. The final inspection is to occur upon backfill and final grading of the property.
The inspecting engineer is to be contacted at least 24 hours prior to the start of
construction. The engineer shall be notified '/2 day prior to a required inspection.
Sco T--Aoeif�. /
CL. 1-82,4
Municipality of Anchorage Page // 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: ~, ~'~/~ .~- PtD Number:_
N,~'. Wastewater System: ~New ~ Upgrade
Address: ABSORPTION FIELD
Phone', No, of BeSoms:
~ ~_ ~/~~ U Deep Trench ~ShallowTrench OBed ~Mound OOther
DESCRIPTION so, Ratlng:_.~ ~ Total Depth from~dgl,al grade',
LEGAL
~ GPD/Sq. Ft.
Lot: Block: Subdivision: Depth lo pips bottom from original grade: Gravel depth beneath pipe
Township: /4 ~ IRange: / ~ Section: ~ Fill added above original grade: Gravel length*.
WELL: D New ~ Upgrade Gravel~6pt~ ~'~ Uumberofllnes: Oislance~[w~nllnes:
' ~ Ft., ~ /~ Ft,
Classification (Private, A,B,C): Total Dept~ ~To: Total absorption area: Pipe material:
Driller: Date Drilled: Static Water Level: Installer:
SEPARATION DISTANCES n Septic a Holding ~,T.E.P.
To Septic Absorption Lift Holding ~Privste Manufacturer: Capacity in gallons:
From Tank Field Stallon Tsnk Sewer Lines ~r~,~ ~
SurfaCewater //~ ~/~ ~/4 ~// W/A LIFT STATION
~ Size Ingallons: Manufacturer:
Line
Location and Description:
I Assumed Elevation:
Deparlmenl et Heallh and Human Serwces' app
Reviewed and approved by: ~.¢~ Date: /
72.-O13 (1/91) MOA 25
Permit No. SW 92-0062 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: Hylen Crest; #3, Lot 8, Block 6
PIDNo.: 050-474-34
]LEVATIDNS ~ TOP or Lin
-- ASSUH[D EL[~/ : ~OO.00'
:NUT TU SCALE)
O
SWING TIES
TANK,
A-C=9,6'
B-C--~3'
FIELD:
A-D=63,5'
A-E=76.6'
F-D=74,2'
F-E=93,0'
+ - KEYBOX
~ - TEST HOLE
e - MONITOR TUBE
o - SEWER CLEANOUT
~mtm+.- PROPOSED LEACHFIELD
--:--- EASEMENT
SCALE l' = 50'
72-013 A (2/91) MOA 25
FRI 1 :~ :06 Mc~CL INTOOK LS--ER
ENG ]: NEER
Halmar Eleotrio
PO. Box 1745,Eagle River Ak.
Ph. or Fax 694-9993
99577
Billed
L & B construction
14828 Terrace Lane
Eagle River,AK. 99577
Date:
I~v:
07-02-92
92038
Legal:
Bid:
Hylen Crest ( Dave & Tammy Miller)
it. 8 bik. 6
~4,200.00
Rough-in: $3,150.00 Paid:
Trim-out: Paid:
Poet-It"' brand fax transmittal memo 7671
~alanoe:
$3,150 · O0
~o.oo
Extras=
Lighting totals:
$0.00
110 CFM fan master bath
Seourity RI.
Juno IC-2 Recessed Lites
~Wer~t .ration to code
$45.00
$175.oo
~25o.oo
$200.00
3
additional outlets
Wired 2 speaker stations
Floor outlet
Additional phone and TV jack
$43.50
NC
NC
$56.00
~xtras total~
$769.50
L~92038
Thank You
Total Amount Due:
$3;919.50
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HU~N SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW920062
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:MILLER A DAVID ~ TA~Y L
OWNER ADDRESS:18808 DRIFTWOOD BAY DRIVE
EAGLE RIVER, ALASKA 99577
DATE ISSUED: 4/20~92
EXPIRATION DATE: 4/20/93
PARCEL ID:05047434
LEGAL DESCRIPTION: HYLEN CREST UNIT #3 BLK
8
6 LT
LOT SIZE: 20704 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
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 (iSAAC80).
3. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
EC .IVED
To
EAGLE RIVER ENGINEERING SERVICES
P,O. Box 773294
EAGLE RIVER, ALASKA 99577
LETTER
Phone 694.5195
p ~ ~,) /~ t2 ~'~7' Subject
[] Please reply [~"No reply necessary. SlGNEO
Louis Butera, P.E.
Registered Civil Engineer
April 7, 1992
John Smith, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Hylen Crest//3, Lot 8, Block 6
Narrative
Dear Mr. Smith:
The proposed septic system will have very limited impact on adjacent properties for the
following reasons:
1. The area has large lots allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity, and community well
services.
4. Drainage will not be effected and is not a major consideration in our design.
5. We are requesting a lot line waiver to allow for use of one trench for initial
system, and also to allow for a partial replacement site without the use of a lift
station.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
P.O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · F~ (907) 694-3297
EAGLE RIVER
ENGINEERING SERVICES
P. O. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694-5195
9z-u3J
JOB Hylen Crest #3,
Lot 8 Blk 6
SHEET NO, OF
CALCULATED BY L.B DATE
CHECKED BY DATE
SCALE
4 Bedroom = 600 GPD
Soil Rating ~ = 10 min./inch
Trench Design (a~ 0.8 GPD/ft2
Required Area = 100/0.8
750 square feet
Sewer Gravel Depth = 9'
Length
Total Depth
Trench Width
NOTE:
= 42'
= 11'
2" 35 PSI insulation, in addition to soil cover, to be installed on leachfield located
within 10' of driveway
LEGAL:
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LOT 8, BLOCK 6, HYLEN CREST//3
Ao
GENERAL
1. The septic plan is 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.
TRENCH
1. The trench is to follow the natural land contour to maintain uniform total depth
of the trench bottom.
2. The bottom of the trench shall be level, plus or minus 1.5".
3. The total depth of the trench excavation is not to exceed 11' at any point.
4. The trench gravel is to be covered with typar fabric material.
5. Soil or combination of soil and extruded board insnlation to a depth of 3' or
equivalent is to be placed over the leachfield.
6. The area over the trench is to be finish graded to prevent ponding of surface
water runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200' to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 11' GRAVEL DEPTH = 9'
TRENCH LENGTH = 42' TRENCH WIDTH = 3'
SOIL RATING = 0.SGPD/FT2 BEDROOM CAPACITY = 4
SEPTIC TANK SIZE = 1,250 GALLONS
NOTE:
2" 35 PSI insulation in addition to soil cover to be installed over leachfield
located within 10' of driveway.
Twenty-four (24) hours notice required for all inspections.
9l,c~,. ~..~...~-....~c S 89°$6'45'
/
9a,49
Lilt 9 .,. LBT 8 / L[3T 7
~ TH a ~ / -~-
~ ~ ~0, j
o ~ ~ REPLACEMENT ~
HBUSE
-~
~ 360'
18,5'~ ~-m-x ~ ~uusr
"~ e~ ~ ~ X{ TH 1 ~osS,.LC PARTIAL~EPTIC
~ '~ ~ ~EPLACEMENT AR~BED~
+ - / --
o - SEWER CLEANOUT ~ ~ ~~ S 89056'45'
::::xm',~- PROPOSED L~CHFIELD ~=145> ~ 77,91
EASEMENT
NB SURFACE WATER +100'
CHHHUNITY WELL +800' DISTANCE
NO KNOWN CURTAIN DRAINS
S E PT I C S I T E P LA N
LEGAL: LOT 8, BLK 6 HYLEN CREST fi3 ~.~..,
OWNER: A,DAV[D & TAMMY MILLER
CONTRACTOR:
HAMANN
FAMOTDI IATIAM__________..______.____'.'''~-~''xU'.llW'~, INC.
JOB ff 92-om~1 DATE: o~/o6/921 SCALE 1 = 40'
A EAGLE RIVER ENGINEERING SERWCES
P.O. Box 7732~4
EAGLE RIVER, AK. 99577
(90?'.) 694-5195 FAX: (90?'.) 694-3297
PERFORMED FOR:
LEGAL DESCRIPTION:
Munlclpallly of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:
Township, Range, Section: ~/~ ~ ~
SLOPE SITE PLAN
1
2
3
4
5
6
7
g
10 WAS GROUND WATER
ENCOUNTER ED?
Gross Net Depth to Net
Reading Date Time Time Water Drop
11 s
L
IF YES, AT WHAT /
DEPTH? /~' p
12 E
Ilh I0 Waler After,. ~///?/q
13 MonltorlnD? /~: Dale,.
14
15-
16
17
18
19
PERCOLATION RATE ~"
TEST RUN BETWEEN ~ FT AND ~ Fl'
COMMENTS T/..c-5- 7-/-£~;/..z:-- 4,~ /
FERFORMED BY: ~ t ,'"~"~ /~,- c, I ~-> ~="~- ':~";'"""~-~'~-"CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: . ~//?/? A.
72-008 (Rev. 4/85)
.%
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
Munlcipallly of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section:
SLOPE SITE PLAN
6
7
8
9
GROUND WATER
10 ICOUNTERED?
lid'
IIII
1
, AT WHAT ,/./~ O
DEPTH? ~'~ P
12 E
,th Io Waler AIl}r
13 ~g? ,~ Bale:
PE
Gross Net Depth to Net
Reading Date Time Time Water Drop
14
15
16
17-
18
19
20
3OLATION RATE
~E-¢T /-/o/..r5 /¢r¢¢~ /~'C,~Z, ~/~ TEST RUN BETWEEN ~ FTAND ~ FT
COMMENTS
PERFORMED BY: ~-'/'~W'~'"'¢' I ~~ERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~//?/¢ ~'
72-008 (Rev. 4/85)
Louis Bulera, P.E.
Registered Civil Engineer
April 29, 1992
Dan Roth
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
iV£D
APR 0 1992
Munic
Dept. He ~ ' ~Chorao~
' ~ ' '~t~'iat] Set/5-'
vice8
Re: Hylen Crest #3, Lot 8, Block 6
Narrative ~ Revised design
Dear Mr. Roth:
We are requesting a modification on permit number SW920062, issued April 20, 1992, on the
above referenced lot. We request moving the primary septic leachfield to the approved reserve
area.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
P.O. Box 77329,t · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · [,'ax (907) 694-3297
9]'"c" ~'-~_~~'~ 3 89°56'45' E
92,49
~q 5' x 4o.~' h
~CENENT
HBUSE . ~
/5' O~ WATER LINE~
rlLlTy ~ ~ x>~ ASPHALT
~3,00~ ~ o
T H 1
+ - ~ox ~.~ ~ ~~ ~ o
~ - TEST HOLE N~
· - MONITOR TUBE- ~'0~~
o - SEWER CL~NOUT S 89~56'45' E
~IHIIHH~- PROPOSED L~CHFIELD R=]d~> ..... ~ 77,91
EASEMENT
ND YEARRDUND DRAINAGES +100'
CDMMUNITY WELL +~00' ~ISTANCE
NO KNOWN CURTAIN DRAINS
SEPTIC ~ITE PLAN ,-~" ~ "~
LEGAL: LOT 8, ~LN 6 HYLEN CREST ~3
OWNER: A.DAVID ~ TAMMY MILLER
CONTRACTOR: HAMANN CONSTRUCTION, INC.
,,~ 92-055i, DATE: 04/29/921 SCALE 1 = 40'
JOB
~ N ...... , ~,
EAGLE RIVER ENGINEERING SERWCES ~.~.. c.-~ ..,~,
P.O. Box 773294
EAGLE RIVER, AK. 99577
(90?) 694-5195 PAX: (90?) 694-3297
LEGAL:
SPECIFICATIONS FOR ON-SITE SEI~rlC SYSTEM
Revised 04/29/92
LOT 8, BLOCK 6, HYLEN CREST #3
Co
GENERAL
1. The septic plan is 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 tlmt a surveyor locate the nearest lot line position and
the location of any easements.
LIFT STATION
1. Anchorage Tank lift station to be wired to code by a licensed electrician. Control
panel to be placed inside house.
DRAINFIELD
1. The trench is to follow the natural land contour to maintain uniform total depth
of the trench bottom.
2. The bottom of the trench shall be level, plus or minus 1.5".
3. The total depth of the trench excavation is not to exceed 5' at any point.
4. The trench 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 trench is to be finish graded to prevent ponding of surface
water runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to m~y Class "C" well, or 200' to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 5' GRAVEL DEPTH = 3.5'
TRENCH LENGTH = 81' TRENCH WIDTH = 5'
SOIL RATING = 0.SGPD/FT2 BEDROOM CAPACITY = 4
SEPTIC TANK SIZE --- 1,250 GALLONS + LIFT STATION = 1,500 GALLONS
NOTE: 2" 35 PSI insulation in addition to soil cover to be installed over drainfield.
Twenty-four (24) hours notice required for all i~tspections.
EAGLE RIVER
ENGINEERING SERVICES
P. O. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694-5195
92-033
jo~Hylen Cre~J; #3, Lot 8, Blk 6
SHEET NQ OF
L.B. 04/29/92
CALCULATED BY DATE
CHECKED BY DATE
SCALE
PRESSURIZED SYSTEM SIZING ~
Flow rate f/tom lift station = 30 GPM ..........
'Ii 'i'""Twc~lat~ral~"fr0m °n~central manif01d i = 15"GPM per latera
Lateral length ~ i .~= 40,5' (off Central manifold)
1 5" diameter manifold ;lines With
From Figure 7!29 .(EPA): RecOmmend .:
· " rlfiCe
Lateral distribution holes will bei3/16 (o': )
Asstiming 5' pi:essure :drop from ::across ·orifice
Ofificearea (A) i = 0.00021ft2
CdA~ ; ! i (orifice,equation Cd = 0.6)
0.6 (0,Q002) -,/': 6414 (5)' ... (5' head, 3/161' orifice hole) , .................
0.0021 ft3/gec' '~ "
~ Q = 0 92 GPM ' '
15 OPM pet lateral recluires::
15 GPM
0.92
= 16 holes per 40.5.'...:latgral @.2 5!.spacing a!ong,lat.e..ratpipe
EAGLE RIVER
ENGINEERING SERVICES
P. O. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694-5195
R2~033
JoB My±en Crest #3, Lot 8, Blk 6
SHEET NO. OF
CALCULATED BY L · B, DATE--0 4 / 2 9 / 9 2
CHECKED BY DATE-
SCALE
SYSTEM DESIGN
Revised 04/29/92
4 Bedroom = 600 GPD
Soil Rating = 10 min./inch
Drainfield Design @ 0.8 GPD/ft:
Required, Area = 600/0,8
= . 750 square feet.
Sewer Gravel Depth = 35'
Total Length = 81'
Total Depth = 5~
Trench Width = 5'
NOTES:
2" 35 PSI insulation, in addition to soil cover, to be installed on drainfield.
Two trenches 40.5' long to be installed with full pressurized distribution.
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 99519-6650
www,ci,anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAl_
FOR A SINGLE FAMILY DWELLING
Parcel I.D. DS-C, -- ~'-/- ?w
GENERAL iNFORMATION
Complete legal description ~ ~, 7- ,~;' ,~//~" ~,
Location (site address or directions) /~: '.7 :z /
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
HAA #
Expiration Date:
Day phone
Unlessothe~erequested, HAAwNbeheldbyDSD~rpick~.
NUMBER OF BEDROOMS: Z-/
Day phone
Day phone
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site
[] Individual Holding tank
[] Community On-site
[] Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 less than 30 days old. (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 Health Authority 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 flies 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.
Eagk River Eng n,eCn¢
Name of Firm P.O. ~x 77~, ~e ~,
Address
Engineer's Printed Name ~ ~ ~ ,.~ ~%~
DSD SIGNATURE
Approved for
Disapproved.
Conditional approval for
Phone
Date /b~, J ,~. 7, D--,,.' 3..
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By:
(Rev. 12/00)
Original Certificate Date:
.D;." ' ~ EI,:F'T.$TATIO N
Date.:ihstalled ¢',/.P,;,/9.~ Size..i~ gallons.
"Pump on" level at ~.Z. in. ' · "P~Jmp~offi!-Ieve~at;::~?:
Datum ,~,~.~¢~.'" T~,-, A' Cycles tested '
;.'.' .Manhq e/Access (y/N) /V' ......
.High.water. alarm level at ¢¢'..¢' ~n.
SEPARATION DISTANCES
SEPARATION DISTANCES FROM'WELL ON LOT 'FO.:
Meets alarm & circuit requirements?
S~'ptiC'.tank/liff st.atibn
Absorption field: on lot
Public sewer main;
S~wer-/~epfic.'s~F/i~e; line....; '::'~!.,~/~,¢ -
'/~'/~' - ' · .- On ~djacent lots
/u',~ On adjacent 'lots
Publ'ic'.sewer. manhole/cleanout ,az/4
R0ldir~g 'f~a n.k~.; .... /v/cf ~
SEPARATION':.D.ISTAN'CES"F'ROM-'SEPTIC/HOLDING"TANK ..ON.'EO~-TO:
Building.feundation 5- /: Property. line ~ / Absorption field
Water main ¢-/~ ~. Water service line ~/~- ' Surface wa~er
Wells on adjacent lots /¢¢~" .
SEPARATION'DISTANCE FROM.ABSORP.TION FI'ELD...:'ON EOT 71'O:
Property line
Watb¢'SS'rvi'ce.iine ¢2' ~'~'"'"
Gurtain'drain -
Building foundation ..5-Y. '/
Surface water :' ~'~'/' '-"
Wells.'.on adjacent, lots. '~/*'¢~' ", '
Wa(er mai'n ',".~
Driveway,' pa~kingNetiicle storage.'" '.?~ ·
F. COMMENTS
: : ,~,~ . · ....~
G. ENGI.NEER;S.'CERTIFICA~FION'., ' "'!" . ,.~_~'.~.. O~.
......... :
- .~e .... ..-. ~,: ~.,. ~,~ ..
f ce/f(ty E~.~ I.h~ve delermieed ti~rougi~ he~dinspectibns.'ahd~.: . .. ~ ~. . .~
review, of Municipal re~ords that the.above System~ ,~e i~ : ' . . .: . ~.,~.~.~ , ~
'conform~nce'.with ~OA:HAA:. g~id~linbS 'ih.-~ff~'~..¢his.dat~,..--' ' '. ..... ~' ~'~~,~
Engi6eeKs Printed Name' Z'¢ ~,~." ~ . . ' .':'. '~~
Dat~ .].~ ~:;¢-~'..L~ '~:,..".. '.' .'"...' . ';"-: . ::.':': '~ ",' :~E47~".:
. .: .
..... :..
.........
. Da~e of Payment ] ~ ( ~ ~ ~ Bate of Payment
Be'ceip.t Number....~HS: ~¢~. Receipt Nu~¢.r..._. . ..
(Rev. 1'2/~0)
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 99519-6650
www.d.anchora ge.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLI
1. GENERAL INFORMATION
HAA # I"1,~. /'~1011'7
Expiration Date: /.--/ o ~ - C~) ,,O_
Completelegaldescdption ~.~!~1'5 ('!¢~;~3c '~,~; Lc~.t ~
Lo~tion (site address or directions) ~ ~ ~1 ~+EL~-~ ~r I~ ~
Mailing address ~ ~~} ~T'" ~)(~;
Lending agen~ ~ ~ Day phone
Mailing address
Real Estate Agent
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site
[] Individual Holding tank
[] Community On-site
[] Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil
engineer registered in the State of A~aska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for proper'des served by a private or Class C well and may be re:ssued with
new water sample results less than 30 days eld. (Certificates may be reissued for a period of up to one year with
valid water samples.) Certificates ere valid for one year for properties served by Class A or B wells or a public
water system. The MunicipaIity of Anchorage is not responsible for errors or omissions in the professional
engineer's work.
e
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 Health Authority Approval Guidelines for this appIication, 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 apptlcable Municipal and State codes, ordinances,
and regulations In effect at the time of installation.
Name of Firm ~a~le ];~J. ver ]~n~[..-leeZ'~l~ ~ez'~ce~*'
-P.O. Box 273~, Ea~le ~yer,
Address
Phone
Engineer's Printed Name 'l
DSD SIGNATURE
[,-"" Approv(~d for ~
Disapproved.
Conditional approval for
'-'1"~ ~. b'{' e-. V'~.-,Date
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: /?L .. ~ _ 0 1
Municipality of Anchorage
Development Services Department
Building Safety Olvialon
On-Site Water & Westewater Program
4700 South Bmgaw St.
P.O. Box 196650 Anchorage. AK 99519-6650
wwv.ci.anchorage.alLus
(9O7) 343-7O04
HEALTH AUTHORITY APPROVAl. CHECKLIST
WELL DATA
' Well type ~o. J3h~ if A, B, or C provide PW$1D # 1~ fuji. Well Log (Y/N)
Date completed Sanitary seal (Y/N) Wires pmpedy pmt~ ~~'~
Total depth fl. Cased to ft. Casing ~l;m~e ground) in.
FROM WELL LOG AT..JNSPECTION
Date of test
Static water level ~ ft.
Well production J / g.p.m, g,p.m,
WATER SAMPLE ~'~:
Coliform / colonies/100 mi. Nitrate mg./I. Other bacteria colonies/ID0 mi.
~e of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material ~'~-~
Tank size ~ gal. Number of Compartments
Foundation deanout (Y/N)
Data of pumping I°lz, loo
Date installed ~/~ I~J :::)
High water alarm (Y/N)
Ce
ABSORPTION FIELD DATA
Length <::~1 It. Width ~ ff.
Total depth _~ It. Eft. absorption aree'7_.~f~ Monitoring tube .
Parcel I0: ~.-~ -q 'Tq-~ J3L
System type~Ct, tl ow '~"'f~C~
Gravel below pipe -~ 5 ft.
y Depression over field /%J
Date of adequacy test c'~-jOJ Results (Pass/Fall) P~$~ For Lt bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in,
Elapsed Time:,~ min. Fina~ fluid depth in. Absorption rate >= -F (~2~)O g.p.d.
Any rejuvenation tmatmant (past 12 mo.) (Y/N & type) 1%O Iq~.. ]Crt OCt> r) If yes, give date
D. MF~'. STATION
Date installed ~/~/C)~
'Pump on" level at ~.. in.
Datum ~
E. SEPARATION DISTANCES
'Pump off' level at ~ in.
Cycies tested ~
Manhole/Access (Y/N) -
High water alarm level at
Meets alarm & circuit requirements?
sEP Tio. D,sTANcEs FRO W .L O. LOT TO:
Septic tank/lift station on lot /~ ]{~r On adjacent lots
Absorption field on lot ~/[//~ On adjacent lots
Public sewer main )'~,~ Public sewer manhole/deanout
Sewer/septic service line ~ Holding tank ~ IA
r
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation Property line I ~ t Absorption field
Water main -~ ~ I~ ~ Water service line ~ ID I Su~'face water
Wells on adjacent lots
in*
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line ~)
Water Service line
Curtain drain t~t
Building foundation
Surface water
Water main Jr-~ (::) ~
D~.eway. pa~,g/vehici, storage'V~ 0 ~
Wells on adjacent lots
F. COMMENTS
H~A~ce $ ~
Date of Payment
R ipt .umber
(Rev. 12/00)
Waiver Fee $
Date of Payment
Receipt Number
Parcel I.D. #
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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
(}50-474-34 HAA # '~ ~,0\ .~.('~ L..\ ~\
GENERAL INFORMATION
Complete legal description
Hylen Crest ~3, Lot 8, Block 6
Location (site address or directions)
10331 Stewar~ Drive, Eagle River, AK
Property owner
Mailing address
David & T~,,uy Miller Day phone msg 694-5195
18808 Driftwood Bay, Anchorage, AK
Lending agency N/A
Day phone
Mailing address
Agent
N/A Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
NOTE:
Public water
x
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
NOTE:
Public sewer
If community wastewater system, provide written confirmation from State AD£C
attesting to the legality and status of system.
72-025 (Rev. 1/91) Fronl MOA 1~21
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 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 in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm Eagle River Engineering Services
Address P.O. Box 773294, Eagle River, AK
Engineer's signature ~
99577
Phone 694-5195
Date
DHHS SIGNATURE
Approved for ,~:n4/'L (_~') bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
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 Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72~)25 (Rev. 1/91) Back MOA~f21
Legal Description:
A. WELL DATA
Well type
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Municipality of Anchorage /~
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
¢-/V££/,4 P-.~¢'F ..CZ Parcel I.D.
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed Drill,
Cased to Casing heig
Wires properly protected
FROM WELL LOG
CIPALHY OF ANCI IORAGE
ENVIRONMENTAt. SERVICES DIVISION
Date of test
Static water level
Well flow
Pump level
SEPARATION DISTANCES FROM WEL
; On adjacent lots_
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
Nitrate Other bacteria
Collected by:
Tank size ? ~500 Compartments
Foundation cleanout (Y/N) ~'¢ 5 . DePression (Y/N)
~'~ ~ Alarm tested (Y/N)
/~/~ ~ /W'~'/.~ Pumper /',//.,4I
Septic/holding tank on lot __
Absorption field on lot __
Public sewer main __
Sewer service line
WATER BULTS:
D'~tte of sample:
B. SEPTIC/HOEBtN~ TANK DATA
Date installed ~fi/Z ~2//<] Z--
Cleanouts (Y/N) ~"~' ~;
High water alarm (Y/N)
Date of pumping
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
/
On adjacent lots Foundation
Well(s) on lot /¢/~
To property line
Surface water/drainage
Water main/service line '¢' /0/
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
Date installed
Size in gallons
Vent (Y/N)
High water alarm level ,Z/- 5 /~
Meets MOA electrical codes (Y/N)
C. LIFT STATION
/ oo
Ye' ~ "Pump on" level at
Manufacturer O~¢N~:~
/
Manhole/Access (Y/N) ~/E' ..%
"Pump off" level at
Cycles tested
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot /M/~ On adjacent lots
Surface water
D. ABSORPTION FIELD DATA
Date installed
Length ~' / I
Total absorption area
Depression over field (Y/N)
Results (pass/fail)
Width
Soil rating ~' ~'6'pD//¢
Gravel thickness 2, '~ / Total depth
Cleanouts present (Y/N) Y~' -~
Date of adequacy test /V'///~' ¢
for ,'~
System type .~z,z/,4 /-Lb /,O F'/~£,A/~/
/v £ A)
bedrooms
Peroxide treatment (past 12 months) (Y/N)
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot /V/A
To building foundation
On adjacent lots
Surface water ~///4
Curtain drain /Al//4
On adjacent lots ¢- ,¢4¢0 / Property line /O /
To existing or abandoned system on lot ,/k//¢4
Cutbank ,/,,//,4 Water main/service line ,¢~ ~'¢ /
Driveway, parking/vehicle storage area ¢- ~'0 )
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature ~
Engineer's Name
HAA Fee $ / ~.,'~ 0 0
Date of Payment ~-(~,~9,2-.';
Receipt Number ~-3~F
Waiver Fee: $
Date of Payment
Receipt Number
72-026 (Rev. 3/91) Back MOA 21
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