HomeMy WebLinkAboutSKYHILLS PH 3 BLK 2 LT 95
kyhIIIs #3
Block 2
Lot 9
#011-122-51
Municipality of Anchorage
Development Services Department
Building Safety Division
OnSde Water and Wastewater Program, 4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99507 Page of
www.d.anchorage.ak.us (907) 343-7904
ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWO20113
PID Number. 011.122-51
Beth Ann Gartez
Wastewater System: ❑� New ❑ Upgrade
Aa 8100 Sky Mountain Lane Anchorage, AK 99515
ABSORPTION FIELD
F.,vw 248-1448
� V d s L 4
Cl Dw TrsrJl D sn•Inw TI M D e•d 13114 . 0 011,
DESCRIPTION
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Acreage Systems
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SEPARATION DISTANCES
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weean
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En 4jjy1At
Inspections performed by: A. Haraia
Dates: 1" 5/82(103
w�((�Q 1
2nd 5182003
e, 0..-•e.•e••,
A
Development Services Department Approval
i �'�.' ` �' S�Jp1
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Conditional Approval
Date:
........... ....
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MJCHAEL F ANDERSON to
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Municipality of Anchorage
Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number. SW020113
PID No. 011-122-51
99.2 98.0
V9.
98.3
EnmV �q F+WM
Geotextile Fabric
95.0 Drainfield Rods
95.0
86.9
F80.5
4T (french Length)
No Groundwater
519t02
a; 49th
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fir....»..... .» .
PROFILE AS -BUILT
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No Scale
•114 �''•ir.'d'Qi•
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SW020113
Legal Description:
SKYHILLS PH 3 BLK 2 LT 9
Design Engineer:
0003 S & S Engineering
Owner Name:
Beth Ann Gartiez
Owner Address:
7222 Hunter Circle
Anchorage , AK 99502 -
Date Issued: May 15, 2002
Expiration Date: May 15, 2003
Parcel I D: 011-122-51
Site Address:
Lot Size: 40169 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 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 DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
?alz
Date: _ S_ 115- Z
Date: 2
Municipality of Anchorage
• Development Services Department
Building Safety Division *S."
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-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.42/I — Permit NumberSW020//3
Property owner(s) g e,+A 14✓ih Gct/r^ t i e Z Day phone
Mailing address (1) %a as fkrt�Fe✓ C`2-c(e—
Mailing address
Zip Code Y95-69,
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot Size 140E 16q Acre Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms
Sewer Only IX Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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.
& S ENGINEERING
1
t /U34 Eagle River Loop Road No. 204
(Signature of property owner or authorized agent)
Permit Fees: ij 0 oWaiver Fees:
Date of Payment: e 17/0 L Date of Payment:
Receipt Number: 614-2- Receipt Number:
(Rev. 12100)
t PIgineEizing ROBERT C. COWAN, P.E.
CIVIL ENGINEERS
(907)6942979
FAX(907)694-1211
May 9, 2002
s�ry
Rl
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.OBox 196650
Anchorage, AK 99519
SEWER&WATER
MAINE TENSIONS
REFERENCE: Lot 9, Block 2, Skyhills #3
SEWERINSPECTION
It
It is requested that you issue a permit to install a septic system to serve the proposed
four bedroom dwelling on the referenced property.
ENGINEERINGSTUDIES .
A test hole was excavated and a percolation test performed. The approximate location of
ANDREPORTS
the test hole is located on the attached site plan. At the time of excavation 5/1/02 no water
was found. After monitoring, ground water was not found.
a LOWTesrDON
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.
SITE PLANS
If you require additional information, please contact us.
Sincerely,
ROAD DESIGN
SOILTEST
Roert
C. Cowan, P.E.
RCC/bjj
Enclosure
PERCOLATION
TEST
STRUCTURALS
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER......
DISPOSALSYSTEM
DESIGN
I 7034 NORTH EAGLE RNER LOOP c SURE 204 i EAGLE RIVER, ALASKA 99577
1 " = 40' DESIGN SITE -PLAN
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15 TELECOM ELECTRIC,
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AND GAS EASEMENT
Municipality of Anchorage
y...n......w.
t GINEER'S
Development Services Department
f40
Building Safety Division
• -�.� On -Site Water and Wastewater Program
4700 South Bragaw St.
�..«. th
P.O. Box 196650 Anchorage, AK 99519-6650?,
k us
i0~M 4ti/2
ROBERT C. COWAN
907) 343r7904
C�
O+\• CE -8801
Soils Log - Percolation Test
%1W
Performed For: Sd-rN 4�m Gr7R7- r a Z /
Date Pertonned:_ S'/ d � 0 -2
Legal Description: LO;- 'j 13LOCK 3 SKY flue.S 4r3 Township, Range, Section:
Depth
1
�Y
Gross Time
Net Time
Depth to Water
Net Drop
2-
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16-
19-
20-
19-
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COMMENTS
COMMENTS
Ff0e.
SArJO WAS GROUND WATER
ENCOUNTERED? Jyo
S
IF YES, AT WHAT DEPTH? -- L
Depth to Water After 0
Monitoring? D(2y E
E
Date: -4
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
jkc
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- - 1111.--.."" rcrt�, nULt UTAMETER (7 ••
TEST RUN BETWEEN (o FT AND. `7 FT
PERFORMED BY: pll Sic'tr C. (�')w4✓ I 4LCERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: q /0'L
s&sN
;zne xihG ROBERT C. COWAN, P.E.
OIVIL ENGINEERS
(907)694-2979
FAX(907)694-1211
WALTHAUMORITV
ON-SITE WASTEWATER DISPOSAL SYSTEM
APPROVALS
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
SEWER & WATER
MAINE%TENSIONS
REFERENCE: Lot 9, Block 2, Skyhills #3 Subdivision
May 10, 2002
SEWER&WATER
INSPECTION
GENERAL:
1. The scope of
of this project includes the installation of a 1300 gallon HDPE
ENGINEERINGSTUDIES
AND
ti
septicand a neve trench
eco serve the proposed four bedroom residence
REPORTS
all the property.
2. Construction shall be in accordance with the approved site plan and design
WELLINSPECTION
SFLOWTEST
drawings, Municipal permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
3. The contractor shall be responsible for obtaining any necessary underground
SITEPLANS
utility locates.
4. Unless specifically agreed otherwise, the property owner shall be responsible
ROAD DESIGN
for final grading areas subsequently depressed from soil settling.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department for system installations. Owners installing their
SOILTEST
own systems must also receive prior approval from the Municipal Health
Department.
PERCOLATION
TEST
SEPTIC TANK INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer.
STRUCTURALa,
Construction shall include two 4" cleanouts for pumping access.
MECHANICAL
INSPECTIONS
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
17034 NORTH FAGLE RIVER LOOP - SUITE 204 � EAGLE RIVER, ALASKA 99577
Page 2
Lot 9, Block 2, Skyhilis #3 Subdivision
May 10, 2002
3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
5. 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.
6. Final grading over the septic tank shall be such that a positive slope exists away from the
septic tank.
ABSORPTION TRENCEUDRAINFIELD INSTALLATION:
1. 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 (ruffed -up) before gravel (sewer rock)
placement.
2. 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.
3. 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
4. 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.
5. 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.
Page 3
Lot g, Block 2, Skyhills #3 Subdivision
May 10, 2002
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
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 (PVC)
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.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or
equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfieid gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
7. 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.
Page 4
Lot 9, Block 2, Skyhills #3 Subdivision
May 10, 2002
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:
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
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. 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 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 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.
CONTRACTOR/INSTALLER
Parcel I.D.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
011.122-51
1. GENERAL INFORMATION
COSA # D$ DO I LI
Expiration Date: '02.— 6 ' O 9.
Complete legal description Lot 9• Block Z Skyhms Subdivision No. 3
Location (she address) 8100 Sky Mountain Lane Anchorage, AK 09515
Current Property owner(s) Beth Gattiez
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
8100 Sky Mountain Lane Anchorage, AK 99515
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: Four (4)
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
Day phone 248.1448
Day phone
Day phone
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 On -She 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 Onsite 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 Onsite 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. (Cefcates 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, 1 verify that my investigation,
based on procedures outlined In the Certificate of Onsite 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 Anderson Engineering
Address P.O. Box 240773 Anchorage, AK 99524
Engineers Printed Name Michael E. Anderson, P.E.
Phone 522.7773
Date 1/2912008
j,{
J 49th lv
�kL 61CHALL E. ANDERSON
6. DSD SIGNATURE•NorCE-4381r�
-Approved for bedrooms. •��'�xE�
'Disapproved.
Conditional approval for bedrooms, with the following stipulations:
_
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
..-Nitrate Advisory _-. _.. ..
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineets Report
...._._Other
By: Original Certificate Date: ' D
(R• ruos)
r...
Municipality of Anchorage
•"� Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Lot 0. Block 2. 154111s Subdivision No. 3 Parcel ID: 011-122-51
A. WELL DATA
Well type awvw If A, B, or C provide PWSID # _ Well Log (YM)
Date completed _ Sanitary seal (YIN) _ Wires properly protected (YIN)
Total depth ft Cased to ft Casing height (above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. ft.
Well production •g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mglL Other bacteria - colonies/100 mL
Arsenic: _ ugA Date of sample: _ Collected by:
B. SEPTICIHOLDING TANK DATA
Tank Type/Material SePllcmteel IDate installed 518/2003
Tank size 1.250 gal. Number of Compartments Two Cleanouts (Y/N) Y
Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YM) N
Date of pumping 9212007 Pumper Denali Sewer and Drain
C. ABSORPTION FIELD DATA
Date installed 5/812007 -_ Soil, rating. (g.p.0112 or,ft?/bdrm) •e Dao/SF System type Deep Trench
Length 47 ft. Width 3 ft. Gravel below pipe 8 IL
Total depth 11.5 ft. Eff. absorption area T5Z ftZ Monitoring tube Y Depression over field N
Date of adequacy test --12810e •_-• •--- --- - Results (PasslFaio m Pasa - -- *For 4 -bedrooms
- -Fluid depth in absorption field before test 0 ' in. Water added 600 gal. New depth 0 ' ' in. - ---------
Tank
-----•-
Elapsed Time: 0 min. Final fluid depth 0 in.. Absorption rate >= 600 g.p.d
Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) N If yes, give date
D. UFT STATION
Date installed Size in gallons
'Pump on' level at _ in. 'Pump off' level at_ in.
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot >too'
Public sewer main N/A
Sewer /septic service line >25'
ManhoWAccess (YIN)
High water alarm level at
Meets alar & circuit requirements?
On adjacent lots
On adjacent lots
>100'
>100•
Public sewer manhole/cleanout NIA
Holding tank N/A
Animal containment areas None Manurelanimal excrete storage areas None
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation >S Property line>S Absorption field >S
Watermain WA Water service line >10 Surface water >100•
Wells on adjacent lots >100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >1a Building foundation >10' Water main >10'
Water Service line >1e' Surface water >1W Driveway, parking/vehicle storage >25'
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS: Property is Served by AW WU water system.
G. ENGINEER'S CERTIFICATION --%ILI
t
I certify that I have determined through field inspections and �W» a9
review of Municipal records that the above systems are in 7+ F
conformance with MOA COSA guidelines in effect on this date. ? -
fAiy WCNAEL E. ANDERSON
---- Engineer s Printed Name Michael E Anderson, P.E. No. CE -43M
Date 1129=08 sss,ROF:SSO, •
COSA Fee -a - - -- - ----- - - Waiver Fee $
Date of Payment % /9- q 0,g Date of Payment
Receipt Number 'L/7111 Receipt Number
(Rev. 1 1105)
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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.cl.anchorage.sk.us
(907) 343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: Mike Anderson
Legal description: Skvhllls No.3 Block Lot
❑Permit ®C.O.S.A. ®Inspection Report
The attached paperwork has been reviewed and is being returned for the following reasons:
1. Absorption field only large enough for 3 bedrooms.
Name of reviewer. Jeff
Date: February 1, 2008
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK