HomeMy WebLinkAboutFOREST CREEK LT 5Forest Creek
Lot 5
#015-292-53
V
Municipality of Anchorage ';•,
Development Services Department 5;
Building Safety Division •. •,.
On-Ske Water and Wastewater Program. 4700 Bragaw St
P.O. Boz 196650 Anchorage, AK 995196650 Page of
www.d.enchorage.akus (907) 343.7904
ON-SrrE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. sW06Ws5
PID Number. 015.292.53
The Dittrich Company
Wastewater System: R1 New ❑ Upgrade
P.O. Boz 90411 Anchorage. AK 99509
ABSORPTION FIELD
lir 632.6730
V a 0(8 as Four
V Dw Whoa, D St T 0 D Bal O mane O otbar
LEGAL DESCRIPTION
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SEPARATION DISTANCES
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To
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Inspections performed by: A Harata -
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Dates: ' 1W 5/10/06 .•
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yk P
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Conditional Approval
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Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number. SWO60055 PID No. 015-292-53
a
X101.5
1,250 Galbn
Septic Tank
6.1 5.9
�f 49th
PROFILE AS -BUILT ;#0 k%0
'% ._
No Scale
88.4
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 5, DITTRICH SUBDIVISION
PERFORMED FOR. THE DITTRICH COMPANY
DATE: 5111/06 PROJECT No.:
PARCEL IDA: TECHMCIAN: A. HARALA
DEPTII TEST HOLE 3A
(feet)^
1
2
3
4
6
7
8
9
1(
11
12
13
14
15
OB/OG
•, POORLY GRADED SAND
SP
w ;
;.., SILT LENSES
16-
17--
18-
19-
BOH
6171819
BOH @ 17'
SITE PAN
SEE SITE PLAN
WAS GROUND WATER ENCOUNTERED? No
TH
ff YFS ®TvtuT GRIN :
DEPOF WATER AFTER MONITORING: NOW
VARIES
DATE OF MONfTLRtTG-S/1bi06
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH TO
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
5111
1
1:17
2.25"
2
1:27
10
Dry
8.5"
3
1:30
2.75"
4
1:40
10
Dry
8.0"
5
1:42
2.25"
--10 ---
-- D -
8.5"-- -
PERCOLATION RATE- 1.1 (MIN/INCH) PERC. HOLE DIA 811 MCIRS)
TEST RUN BETWEE�FT. and 6 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
SOILS ARE THE SAME AS ENCOUNTERED IN TEST HOLES NO. 3 AND 4.
TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 12/10/2006
M -W Drilling, Inc.
•P.O. Box 110378*AnchoN9e, AK 995110
•907-345-4000 • 907-345-3287 Fax•
,No.: 04-159 Parcel No.: 015-292-29
Permit No. SW04O209
• WeII owner. •
• Legal Description:
Groundwater Well As -Built & Loll
C'on—qt me—fon
♦ Use of Well: Domestic
♦HokDepth: 293' ♦CmingSl.<: 6" •Cased To. 292.73- ♦Material: A53Steel
*ArUjM,eAod A r RotaryP f �—
♦ Well Completion- ' open end X Screen Perforated Method:
♦Sereen/Perforadvirdescription: N/A
•Crorlt Notes: (1) Saek-No. g bentonite mwules
♦ Notes:
♦
Welt Derelopmust: Method: Air surge Notes: •
♦ Static water keel (Sjf7) 252' (aAore) (blow) fop of casing (TUC).
10 allows ermhsau(GPM)/9490"- e"� )for I boars
♦ Wetl gkld test at g p m static level (Sk2).
whir t Ott°/. of drawdown (DD) fro .
*Method: Air1iR '
•Date of eonWkdox: 22 September 2004 --- •. ' *Pump
Instalb.
feet
2 TO
3
O anics�_
Sil avel '
Sand: gravelly, wet
3 TO 37
7 T-0-4 4
TO —�
TO
TO .
TO
I- --F% No. i
with
95 To'107
S.1 vel: wet
Gravel: silty, wet
Alternatin thin la
Water vel: cot
107 TO 159
159 TO 287
-287 - TO __-293
TO —�
TO
TO .
TO
I- --F% No. i
with
r
Permit Number: SW060055
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Legal Description: FOREST CREEK LOT 5
Design Engineer: 0014 ANDERSON ENGINEERING
Owner Name: THE DITTRICH COMPANY
Owner Address: NHN KLINGLER STREET
ANCHORAGE. AK 00000-
Date Issued: Apr 13, 2006
Expiration Date: Apr 13, 2007
ParcelID: 015-292-53
Site Address: PO BOX 90411
Lot Size: 40145 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
❑✓ Disposal Field Q✓ 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.
inj_& Date:
r � -�l�/ T�/" t� Date: 17L -1Z -06
Municipality of Anchorage
Development Services Department
' Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcell.D. 015-292-53
Property owners) The Dittrich Company Day phone 632-8730
Mailing address P.O. Box 90411 Anchorage, AK 99509 Zip Code
Site address N H tJ Klingler Street Zip Code
Legal description (Sub'd., Block & Lot) Lot 5, Forest ((-r e_K
Legal description (Township, Range & Section)
Lot Size 40,145 Sq. Ft.
THIS APPLICATION IS FOR (® all that apply):
Absorption Field
ID
Septic Tank
F±1
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Number of Bedrooms Four (4)
THIS APPLICATION IS AN:
Initial
0
Upgrade
❑
Renewal
❑
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 owner or authorized agent)
Permit/Rush Fees: $460.00
Date of Payment: 416/20006 c I
Receipt Number.
(Rev. 11105) �T—
Waiver Fees:
Date of Payment:
Receipt Number.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 FAX
April 6, 2006
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 5, Forest Creek Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of the subject property intends to construct a new four-bedroom home on
the lot. The well to serve the home was constructed in 2004 under a previous permit.
We are therefore requesting a permit be issued for the construction of a new septic
system to serve the home. No conflicts exist with adjacent septic systems or wells
and the proposed septic system and well on this lot. The attached Site Plan and
backup documentation identify the location and configuration of the proposed well,
septic system and alternate site. The current drainage pattern is identified on the Site
Plan. The drainage pattern will be maintained after development of this lot is complete.
Test holes were placed on the lot during the subdivision phase of the project. These
holes indicated poorly graded sand with some gravel and silt lenses (SP) in the area of
the absorption trench and alternate site. The accepting soils were tested and found to
have a percolation rate of between 1 and 5 minutes per inch. Groundwater was not
encountered during the original test hole placement, and none was noted on May 15,
2004. Our design includes the placement of a new 1,250 -gallon septic tank along with
a 50' long by 5' wide by 4' effective depth absorption trench to collect and treat the
sewage generated in the house. The bottom of the trench will be 8' below the surface.
The distribution pipe will be 4' below the surface. A minimum of 3' of cover will be
placed atop the trench and a minimum of 4' of cover will be placed atop the new septic
tank.
The ground surface on the lot slopes at varying grades toward thenorthwest. The
ground slope in the area of the absorption trench is 16%. The absorption trench will be
constructed parallel with the slope of the ground surface as much as possible in
conformance with Municipal requirements. The new septic system will be constructed a
Lot 5, Forest Creek Subdivision
April 6, 2006
Page Two
minimum of 100' from the well on this and on the adjacent lots. It will also be
constructed a minimum of 100' from any surface water in the area.
If the system is constructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
49th *N
VKIull C A%OLNSCV
see w
com a wEnmDs eomawy
TRACT A
133,091 SF.
OPEN SPACE
S a139.321 a 015132i
229.73•
291.79
VACANT
VIGVR
LOT 3
LOT
10,013 Sf. �
4
� 10,211 &F.
s
S 9139'32[
a 0131'32
299.72'
299.72'
VACANT t
LOT 2L;
{21j
LSL�
40.012 S -F.
a 8759'32E
a 01s9'32i
299.71•
M.71 -
VACANT
t
VACANT
LOT 1
LOT
40.011 u.
Ig01 F.
r•
0 A
E ANOORMN
AREA MAP
SCLC 11.100'
O
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M)�\
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00 N
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LOT 5, FOREST CREEK SUBDIVISION
DESIGN FACTORS:
Four Bedroom House
Perc. Rate: 1 to 5 Min./Inch
Application Rate: .1.2 GPD/SF
SYSTEM REQUIREMENTS:
5' Wide Trench System
1,250 Gallon Septic Tank
4' Drainfield Rock
3 Bedrooms X 150 GPD/1.2 GPD/SF (Application Rate) = 500 SF Absorption Area
500SF/5 SF/LF'..5 (Red. Factor) = 50 LF Trench Length
THEREFORE: Construct an Absorption Trench 50' Long x 5' Wide x 4' Effective Depth.
Flow Line Elevation in Trench to be 4' Below Original Ground Surface. Total Depth to be
8' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench.
Natural
Backfill
Geotextile
I Fabric
6" I U 4" Perforated
t PVC (Holes Down)
4'0" 1 1 ,>---t— Drainfield Rock
5'
TYPICAL 5' WIDE TRENCH SECTIO
(NO SCALE)
NOTE: Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Wells in the Area.
Minimum 100' Separation From Surface Water or Streams.
Minimum 10' Separation From Water Services in the Area.
1
2
3
4
5
6
7
8
9
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 SOUTH BRAGAW STREET ANCHORAGE, ALASKA 99519-6650
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: Jamie Dittrich DATE PERFORMED: 2/7/2004
LEGAL DESCRIPTION: Proposed Lot S. Dittrich Subdivision
(jj� TEST HOLE # 3 SLOPE SITE PLAN
I I I t I I I I I OG/OL II
a
0
°
SP
Poorly Graded
Sand with Silt
°
Lenses - Gray
0II10-
11
12
13
a
14
15-1 °
17J ° e
IN
m�
N
WAS GROUNDWATER
GROSS
TIME
ENCOUNTERED?
NO
Some Silt IF YES, WHAT DEPTH?
Start 2/21
DEPTH OF WATER
None
AFTER MONITORING:
DATE:2/24/2004
1:18
10
' IS EOOr%
�a 49th
MX>I LNYIER
BOH @ 20'
S
L
0
P
E
SEE SITE PLAN
FOR TEST HOLE LOCATION
Varies
READING DATE
GROSS
TIME
NET
TIME
DEPTHOF
WATER
NET
DROP
Start 2/21
1:08
8.25"
1
1:18
10
Dry
8.25"
Recharge
1:19
8.25-
25"2
2
1:29
10
Dry
8.25"
Recharge
1:30
8.25"
3
1:40
10
Dry
8.25"
PERC RATE: " MIN./INCH PERC. HOLE DIAMETER:8"
TEST RUN BETWEEN 5 FT. AND 8 T.
COMMENTS: Test Hole Pre Soaked Prior to Test
TEST PERFORMED BY: ALAN HARALA I, MICHAEL . AND RSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 2/24/2004
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 SOUTH BRAGAW STREET ANCHORAGE, ALASKA 99519-6650
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: Jamie Dittrich DATE PERFORMED: 2/8/2004
LEGAL DESCRIPTION: Proposed Lot S. Dittrich Subdivision
TEST HOLE # 4 SLOPE SITE PLAN
111111111M OG/OL II
11
4
A
SM
Silty Sand Lense
DEPTH OF
WATER
m
�.
C'2
1:45
.
-4W
1
N
10
5
7.38"
Recharge
1:56
16
d
2:06
10
�4��gd7FEs9,.•.
17-'a
6
G
SP
7.5'
3
2:26
10
Poorly Graded
7.5"
Sand with Silt
. o
Lenses - Gray
n
8
WAS GROUNDWATER
9
ENCOUNTERED?
NO
S
" A
L
I0
Some Silt
IF YES, WHAT DEPTH?
0
II
DEPTH OF WATERNone
P
•
AFTER MONITORING:
E
12
o
DATE:
2/24/2004
S /S Zook
13-a.••�"__"��
GROSS
TIME
♦ a
„ ...,, V4e♦
DEPTH OF
WATER
o
C'2
1:45
.
-4W
1
A
10
Dry
7.38"
Recharge
1:56
16
�� No. CE I r
♦
2:06
10
�4��gd7FEs9,.•.
17-'a
Recharge
2:16
BOH @ 20'
SEE SITE PLAN
FOR TEST HOLE LOCATION
Varies
READING DATE
GROSS
TIME
NET
TIME
DEPTH OF
WATER
NET
DROP
Start 2/21
1:45
7.38-
1
1:55
10
Dry
7.38"
Recharge
1:56
7.5-
2
2:06
10
Dry
7.5"
Recharge
2:16
7.5'
3
2:26
10
Dry
7.5"
PERC RATE: 1_2 MIN./INCH PERC. HOLE DIAMETER:8*
TEST RUN BETWEEN 5 FT. AND 6 T.
COMMENTS: Test Hole Pre Soaked Prior to Test
TEST PERFORMED BY: ALAN HARALA I, MICHAFL F. ANDFRR;ON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 2/24/2004
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 5, FOREST CREEK SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a new
1,250 -gallon septic tank at the location shown on the Site Plan. Work also
includes the construction of a new 50' long X 5' wide X 4' effective depth
absorption trench at the location also shown on the Site Plan. The
distribution line in the trench will be placed at 4' below the existing ground
surface. Total depth of the trench will be 8' below the existing ground
surface. A separation distance of 100' from the well on this lot and on
adjacent lots and 100' between the septic tank and absorption trench and any
surface water must also be maintained. In addition, a separation distance of
10' between components of the septic system and any water service line is
required. A minimum of 3' of fill is required over the absorption trench and 4'
over the septic tank. In lieu of the required fill 2" of insulation and 2' of fill
may be placed.
2. Construction shall be in accordance with the approved site plan, design
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 all underground utility
locates and for the layout of the septic system and verification of the location
of all lot lines. The Contractor must also verify the location of wells in the
area and assure that the separation distances are met.
4. Unless specifically agreed otherwise, the contractor shall be responsible for
final grading areas subsequently depressed from soil settling. Property
owner shall be responsible for revegetation of affected areas unless
specifically agreed otherwise.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Department of Health and Human Services for system installations.
Owners installing their own systems must receive prior approval from
D.H.H.S. before beginning system installation.
SEPTIC TANK INSTALLATION
A new 1,250 -gallon septic tank must be procured from an approved source
and installed at the location shown.
2. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
Lot 5, Forest Creek Subdivision
April 6, 2006
Page 2 of 3
3. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial
insulation.
6. A foundation cleanout shall be installed one to four feet from the building
foundation. Two cleanouts are required between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive slope exists away
from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the design.
The bottom of the trench shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a level
bed of drainfield rock. Rock should then be placed over the pipe to provide a
minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield rock
and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations shown on
the design. The portion below ground must be perforated.
5. Contractor shall verify the septic tank and drainfield are a minimum 100' away
from any private water wells in the area, 150' from a Class "C" Well or 200'
from any community well.
6. Direct bury insulation must be placed over the distribution system if less than
3' of backfill depth is available. Finish grade over the trench must be
mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
8. A minimum 2' of accepting soil is required below the drainfield rock for a 5'
wide trench. Contractor shall verify this condition prior to placement of the
rock. All pockets of unacceptable materials must be removed and replaced.
Lot 5, Forest Creek Subdivision
April 6, 2006
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a Municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and
solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662
or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the
#200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These inspections
must be conducted under the supervision of a professional engineer registered
in the State of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation of any gravel. A
septic tank may be set in place, but may not be backfilled.
The second inspection must be conducted after the placement of the geotextile
fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No
backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction notes
for use in preparing the certified as -built of the completed system.
2006 4:22PM anderson engineering No -1515 P. 1
M -W Drilling, Inc.
•P.O.Box 110378•Anchorage,AK 99511•
•907-345-4000 • 907-345-3287 Fax•
Job No.: 04-159_ Poral No.: 615.292-29 ' Petmtt No. SW040209
• WeU Owner
♦ Legal Deerlption:
Gr�undwuter Well ,4sAuilf A LOP
Constructioll
• I1se of Well; Domestic
♦HokDepth: 293• •CAft5lre. 6" •Cased To: 292.73' •Material: A535teel
•Drip Method: Air Rotary
Pert.
• Well Completion- Open end X ScreenPerforated Method:
•Sereen/Perforadandeeription: NIA
•CroutNdtes: (!)Sock-No.Bbattoniteganules
• Notes:
• I#eUDemkpmemC
• Static wafer keel (11
• Wellyield urt of ,
wick
• Method:`
Method: Alruage Nates:•
z52' (abo;) (WOW) top of easing (TOC).
Lo— genons per pebuda (GPM)/ ) far 1 hours
�. of drawdown (DD) from stafic k%vt (SWL). -
•Dateofcomple#on. 22Septunber2004 •PurripinslalL-
Deptb In feet from
OP of eosin :
Detsih of formatims udra
size or material, color and hardness.
• 0
TO
2
Casing stickup
2
TO
3
Nanics
3
TO
37
Silty avel
37
TO
44
Sand: mvellyo wet
44
TO.
95
5 mvel
95 •
TO
10.7
Sil vel: wet
107
159
TO
TO
159
287
Gravel: sil wet
AlteTnatin thin la ars of wet sip
Water vel: cobble sfl to sli
vel and sip /cla a vel
t1 sun - cica:oed with de th
287 TO 293
TO
and ieldincreased
TO
TO
_
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o■••t•+�nt 1Vl�W 9ril .
NGWALeiMed-Coaveft
�►� e
Oort mmor's r.1 --"re No.1000
TO
TO
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TO
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
ON-SITE WATER SUPPLY PERMIT
Initial
Permit Number: SWO40209 b T%rr44r#cj4 "?AT S"
Legal Description: FIGGI R9LA6#F1-i,4DT4
Design Engineer: 0014 Anderson Engineering
Owner Name: DITTRICH COMPANY
Date Issued: Jun 18, 2004
Expiration Date: Jun 18, 2005
Parcel ID: 015-292-29
Site Address: OUR RD
Lot Size: 0 SO. FT.
Owner Address: PO BOX 90411 Total Bedrooms: 1 Permit Bedrooms: 1
ANCHORAGE. A 99509 -
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specked 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.
5. The following special provisions.
-WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN
DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND
NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL
SYSTEM HAS BEEN CONSTRUCTED.
THIS PERMIT IS FOR THE PROPOSED DITTRICH SID LOT 5
Received By:
LE
Date: 6 ^ 2.2.—c
Issued By: (T %= Date: _A //j/6
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
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. Permit Number SW
Property owner(s) Dittrich Company Day phone 636.8730
Mailing address (1) P.O. Box 90411 Anchorage, AK 99509
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) Lot 2. Block 2, Fischer Subdivision - (Lot 5, Dittrich Sub. Proposed)
Legal description (Section, Township & Range)
Lot Size TBD Acres/Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms TBD
Sewer Only ❑ Well Only
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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 owner or authorized agent)
Permit Fees: S
Date of Payment
Receipt Number.
(Rev. 12/00)
Waiver Fees:
Date of Payment
Receipt Number.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522.6779 (FAX)
FAX MEMO
DATE: 6116/2004
TO: Dan Roth
WITH: MoA/On Site Services
FROM: Mike Anderson
SUBJECT: Dittrich Subdivision
Test Well Locations
MESSAGE:
Attached is the revised drawing showing the location of the wells for the subject lots.
Let me know what you think.
2 Pages Being Transmitted. Please call 522-7773 if not complete.
ILJI YY LLL. LV V/"111VIVJ
SRYLLL 1'.100'
: TM Noll LOCAnONS
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522-6779 (F
MEMO
DATE: 6/9/2004
TO: Joe Goodall
WITH: MoA/OnSite Water and Wastewater
FROM: Mike Anderson
SUBJECT: Lots 1 and 2, Block 2, Fischer Subdivision
Well Construction Permits
Lots 1 and 2 of Fischer Subdivision are currently being subdivided into 6 lots and a
tract. An aquifer test is required prior to the completion of the subdivision. We are
therefore applying for permits to construct 3 wells on the property to complete the
aquifer test. The locations of the wells are shown on the attached drawings. Please
refer the information and issue the permits so the well can be constructed and the test
completed.
Please let me know if you have additional questions.
7
lei
tAD•L1• LUU4 W IDRM UVI000117 110•uJ01 Y• 19/ID
111
- - --I-
VENUE
344 r SWMN CIRCIE I
12
j 48-'
/ I 48-2
N 90'00'00'E 599.50'
CLASS B WETLANDS BOUNDARY
TRACT A
155.691 S.F.
OPEN.SPAC
,
I
i I
I
SEE OTE NO.
1
I I I 1
S o S 8 59'32'
'59'32"E 99.7
299.
N
I �
LOT 3 LOT 4 o
o ri 40.014 S. M
40. S.F: a bo / o
�0 0
to
o Y
b
o
z S 8915 "c
S 89'59'32'E.. .72'
299.72'
tq
oLo
T 5
O n.
" LOT 2 40,012 S.F.
n - 4
",O
S 89'59'32"E
FO'3YE' 2°
I— ' 299:11' ;
� o
Lotn
M
j o
LOT 6
v n
40,012 S.F
n
40,011 S.F: Z
S 89'59'32"E 599.40'.
LOT D ETAI L
SCALE: 'J" E8, / �Ic U
0 TEST HOLE LOCATIONS
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/onsfe
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015292-53
1. GENERAL INFORMATION
'Faje Le lDouy
COSA #
Expiration Date: ¢ d
Complete legal description Lot 5, Forest Creek Subdivision
Location (site address) 101041o;ngier Street
Current Property owner(s) The Oil' Cormany Day phone 632-8970
Mailing address P.O. Box 90411 Anchorage, AK 99509
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, COSA wX be held by DSO for pickup.
2. NUMBER OF BEDROOMS:
Four (4)
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
(]
Individual On-site .
Individual Water Storage
❑
Individual Holding Tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of OnSRe 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. (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 wort.
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, fund -anal and adequate
for the number of bedrooms and type of structure indicated herein. 1 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 Finn Anderson Engineering Phone 522-7773
Address P.O. Bax 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
5. DSD SIGNATURE
Approved for --- 4_ bedrooms.
Disapproved.
Date 12JIM006
a/ 49th
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineer's Report
Nitrate Advisory Other
B . f /6� Original Certificate Date: b `F n6
(Rev. 1U05)
Municipality of Anchorage
' Development Services Department
Building Safety Division
On-Ske Water b Wastewater Program •' "•
47W Bragaw, Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.mtmLorg/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Let 5. Fared Creek Subdvision Parcel ID: 016-M-53
A. WELL DATA
Watt type Prwate If A, B, or C provide PWSID # _ Wall Log (YIN) Y
Date completed1M_ Sanitary seal (YM) Y W res property pfd (YIN) Y
Total depth _M_fL Cased to Casing height (above ground) >24 in.
FROM WELL LOG AT INSPECTION
Date of test WON
Static water level 252 fi.
Well production 70 9.p.m.
WATER SAMPLE RESULTS:
Col form o colonieWI W ml -
Arsenic
LArsenic: NO mgA
B. SEFnC/HOLDINO TANK DATA
fL
Nitrate 1.47 mg/L Other bacteria 200L' colonies/1 W mL
Date of sample= 112212006 Collected by: F. LeDaa
Tank TypeAMaterial Seaedsted
Tank sae 1.250 gal. Number of Compartrneraa 1`0
Foundation deanout (YIN) Y Depression over tank (YIN) N
Date of pumping New ConWrIX00n Pyr
C. ABSORPTION FIELD DATA
Datainstalled 5n12oo6
Cleanout(YIN)
Y
High water alarm (YM) N
Date installed 5n046106 Soil rating (g.p.d.At2 or leftun)1 s OFU/SF System type s was Trardr
Length . 50 .. R Width 5 —ft. - Gravel below pipe 4 fL
Total depth 1x13 1L Eff. absorption area 50o fe Monitoring tube Y Depression over field N
Date of adequacy test New Cona . Results (Pass/Feiq For _ bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth____In.
Elapsed Time: min. Final fluid depth te. Absorption rate >= g.pA.
Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
'Pump on' level at _ in. 'Pump ofr level at _ in. High water alarm level at in.
Datum Cycies tested Meati alam b c=m mquirsnanb9
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/Iift station on lot >1W On adjacent lots >1W
Absorption field on lot >1W On adjacent lots >1W
Public sewer main WA Public sewer manhole/cleanout WA
Sewer /septic service kne >25' Holding tank WA
Annnal containment areas None Manure/animal excrete storage areas None
SEPARATION DISTANCES FROM SEPTICMOLDING TANK ON LOT TO:
Building Foundation >s Property kne W Absorption field i5
Water main >10' Water service line >t0' Surface water >1W
Wells on adjacent kits >1W
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property fine >10' Building foundation >19 Water main >10,
Water Service fine >10' Surface water >1W Driveway, palm ghehids storage >ys
Curtain drain Noes NOW Web on adjacent kts >1W
F. COMMENTS:
G. ENGINEER'S CERTIFICATION
1 091* that I have determined through field inspections and
review of Municipal records that the above systems are in
oadamance with MOA COSA gux*d1 res in effect on this dete.
Engineers Printed Name Michael E. Anderson, P.E.
'It�
Date 12AM oe �
r arawe�
COSA Fee S ✓ rJU Waiver Fee E
Date of Payment t D to Date of Payment
Receipt Number �l—"l 3/ Receipt Number
GO 5 r0
SCS ReLM
1066892001
AO DatesITImu an Alaska Standard Time
Client Name
Anderson Enginccring
Printed Date/Time
12/062006 8:31
Project Name/ll
Jo*4-Forest Creek Subdivision
Collected Date rime
11222006 12.17
Client Sample tD
T. # ; Forest Creek Subdivision
Received D■lell'ime
111=006 12:39
Alatria
Drinking Watcr
Ttcbnical Director
Stephen C, Ede
Samplc Remarks:
Parameter Results
Metals by ICP/MS
Arsenic ND
Waters Department
Nitrato-N 1.47
Microbiology Laboratory
Total Coliform 1 OD, No Coli
Allowable Prep Analysis
POL Units meow Container ID Limits Dare Dam Nil
5.00 ug/L EP200.8
0.100 mg/L EPA 3532
C (<10) 1129/0612/01/06 TK
D (<10)
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