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HomeMy WebLinkAboutD3M TR BOnsite File 5 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: ~$'~' ? EO~O ~' PID Number: O~o~ ¢//- .ama: ,¢./~.'/. A40~ ~ ~ Wastewater System: ~ New ~ Upgrade *~'~: ~ o. ~ ~o~ ~e ABSORPTION FIELD Phone: ~-~O/~ I N°'°fB~r°°ms: ~ Deep Trench ~ Shallow Trench ~Bed ~'Mound D Other Total Depth from original grade: LEGAL DESCRIPTION ~o,,~,~: O, ~ ~/s~.~. /'(+~ Lot: Block: Subdiv~ion: )epth to pipe boAom from original grade: Gravel depth beneath pipe ~V ~ ~ ~ I.~ .~. o.~ ~. Township: I Range: ~ Section: ~ added above original grade: Gravel length: /¢~ / ~/ ~ ~ 5',. 7 Ft. EO ~.  Number of lines: ~9istan~be~niines: WELL: ~ New ~ Upgrade ~rave~width: ~ Ft. ~ ~ Ft. Clarification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Dat DrXled: StaticWater Level: installer: Date installed: Yield: Pump Set at: TAN K O, ~ GPM ~/ZWO ~J W Ft. ~ Ft. SEPARATION DISTANCES ~ s~mio u Ho~m~ ~ TO Septic Absorption Lift Holding ~ublic/P¢ivate Manufacturer: Cap~clty in gallons: From Tank Field 'Station Tank SewerLines ~Hg~Gd ~/~ /~ ~0 Sudace w~t., /oo'/ /oo~ LIFT STATION Lot si~ ~. g~,o,s: I u~*tu~*r: Line /O ~ /O ~ Fou.dation ~¢' :0' / ~ "pump on" level ~~' level at: Drain BENCH MARK Remarks: ~ ~/~ ~r~ ~¢~ ~M~¢~,/~ ~ ~ 4 ~ ~ ~a Location snd Description:  A~um~ Elevation: /dO Fl, 17034 Eagle River Loop Road, No. 204 ["~"'~/¢~"~ Inspections performed by: Eagle give.: Al..b~ ~PS~ Dates: 1st /~' g;' ~ ~;.~' Y/~/~ ,~.:.~,-g~..--..;' Depa~ment of Health and~u~an~e~ces approval ~ ,~.~? ~'" ............ Reviewed and approved by: ~~ ~ Yd~ Date:/Z'Z~-?~ 7e-013 (Rev. 9/91) MOA 25 P~RYlT NO SW980,308 PACE 2 OF 3 MunicipoAi't oF Anchor'o.c]e DEPARTMENT OF HEA~THAND HUH'AN SERVICES ENVIRONMENTAl SERVICES DIVISION P.D, Box 196650 eAnchor~ge, Aklsku 99519-6650eTe[ephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEOA[~ T14N, RlW, SEC. ,3,3 E2NW4 & W2NE4 P.I.D. NO. 050--411--02 MT1 TH · C01 CO:] C02 -NEW BED DBL1 DBL2 ~NEW 1250 GAL. SEPTIC TANK TRACT g D3M S/D 40.045 ACRES WELL Municip. c~U~ oF DEPARTMENT OF HE~_THAND HUH'AN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O, Box 196650 eAnchor(ige, Ataska 99519-6650·Telephone, 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~OA~ T14N, R1W, SEC. 35 E2NW4 & W2NE4 P.I.D. NO. 050-411-02 ST1 A B C FCO - ,.3.0' 58.5' ST1 56.5' 52.5' - ST2 61.0' 60.0' - DBL1 62.5' 62.0' - DBL2 65.5' 63.5' - 301 70.5' 52.5' - ~T1 85.0' 63.0' - VtT2 106.0' 111.0' - 302 109.0' 111.5' - 303 111.5' 113.0' - 11/24/98 15:52 FAX 9072652141 NBA CO~! LOAN DBPT OWNER OF LAND SULLI vAN.WATeR P.O, BOX 670272, CHUGIAK, ALAS~ 99567 ~ ~LEPHONE E88-2759 BORE HOLE DATA DCPTH [~ 002/002 ADDRESS LEGAL DESCRIPTION PERMIT NUMBER ~. l~'l~ ~ ~ - Date of Issue ~ · T~ INDENTIFICATION NUMBER ~ ~-~'~ Is well located a~ approved perm, Io~ ~g NO Method of Drilling: ' ~r rota~ ~ cable tool Depth of well: _ .~ ~ Casing Type~Wail Thickness ~~inches Diameter ~ ~ I~ inches, depth_ 14 ~ ,.Jeet Liner Type: ~ ~ Casing Stickup AboVe Ground: ~ ~.. jeer Static Water Level (from ground level):_ ~ feet Pumping level;~ feet after ' hrs. pumping ~pm Method of Testing: ~ Well In{ake Opening Type: ~ Open End ~n Hole ~ 'Screened; Sta~ ' fee{" Stopped _ ~ect ~ Pe~oratbns Sta~ ' feet Stepped feet Grout Type: ~ ~, ~ ~~lume ~; Depth: fm~ ~ feet, to_. feet feet Pump Intake De~th:. Pump ~ize _bp Brand Name Weil Disinfected Upon CompleQon? ~ g No Aethod of Disin~ection: ~ Driller's Name ATTENTION: it is the responsibilitY of the property owner to Submit a copy of the weJl log to the proper'authoritY. MunicipalitY of Anchorage: Department ot Health & Human Services and/or Department of Environmental ConserVation. MatSu Sorough: Department of Environmental CanserVation. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL OEECR,F ,ON: 2 3- 4 5 6 7 8 9 10 11 12- 13- 14- 15- 16- 17- 18- 19- 20- WAS GROUND WATER DEPTH? pO E Depth lo Waler Aiter Gross Net Depth to Net Reading Date Time Time Water Drop - /i ~S¢ .~0~,~ q" 3'/ PERCOLATION RATE /~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN / FT AND ~- FT COMMENTS ACCORDANCE wll,/e34 L~a~lTiRl~lill~da{/%lli.Ej~fs ~N EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Eagle Rlver~ Alalka SEWER&WATER WELL INSPEC flON & FLOW lEST ROAD DESIGN PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ~'ROBERTC. COWAN, EE. ROBERTA. SHAFER, RE. Date.' //~'' Oxy- ~' Municipality of Anchorage DEP~LRTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 RECEIVED NOV 9 99g 'unici ality of Anchorage Del~t HeaPlth & Humeri Services REFERENCE: The septic inspections for the referenced property were performed on /0v~-~ and /o-~-g~ . Prior to submitting the On-site Wastewater Disposal System and/or well Inspection Report we are waiting for the ~H~L ~ ~ to be completed. P~ If we may be of further service please contact us. Sincerely, Robert C. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP ' SUITE 204 · EAGLE RIVER, ALASKA 99577 /ffO MUNICIPALITY OF ANCHORAGE Department of Health and Haman Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Aug 18, 1998 Expiration Date: Aug 18, 1999 Permit Number: SW980308 Legal Description: T14N R1W SEC 33 E2NW4 & W2NE4 Design Engineer:~4~ ~ ~ ~,ZL~ ~L~ Owner Name: Rich Monroe Owner Address: PO Box 202458 Anchorage, AK 99520-2458 ParcellD: 050-411-02 Site Address: Lot Size: 40045 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] SepticTank [] Ho[ding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. Ali 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 ( 18AACS0 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. ~,'Th~:,f?~llowing special provisions~ ' AT'HE.TIME OF CONSTRUCTION. THE ENGINEER SHALL PERFORM AN ADDITIONAL PERCOLATION -TEST iN ACCORDANCE WITH THE E.P.A. ON-~ITE WASTEWATER DES GN MANUAL PAGE 41. ~ .THE AS-BUILT INSPECTION REPORT W LL NOT BE APPROVED W THOUT THE PERCOLATION-TEST ~DOCUMENTATTACHED: ' ' ' ' _ '~E SAND USED IN THE FILTER LAYER MUST BE A CLEAN COARSE SAND WITH 4% OR LESS PASSING: !THE #100 SIEVE AND 2% OR LESS PASSING THE ~200'S EVE A S. EVE ANALYSIS MuST BE pRovI DED.."0N THE SAND USED OR OBTAINED FROM AN APPROVED SOURCE. Received By: Issued By: Date: Date: SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERINGSTUDIES AND REPORTS WELL iNSPECTION & FLOW TEST ROAD DESIGN SOILTEST STRUCTURAL & MECHANICAL fNSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM RESIGN ROBERTC. COWAN, EE. ROBERTA. SHAFER, RE. July 29, 1998 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OFANCHORAGE DepartmentofHe~thand Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: SW 1/4, NE 1/4, Section 33, T14N, R1W Proposed Tract B, D3M S/D Request you issue a permit to install a septic system and well to serve the proposed four bedroom house on the referenced property. Two test holes were excavated and percolation tests performed. The approximate location of the test holes are located on the attached site plan. ~,~ g' At the time of excavation 7/3/98 water was encountered in the test holes.~ After seven days of ground water monitoring of test holes #1 & #2 water was found at 7.5' & 8.5' respectively. 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. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/mg Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 S91¥130 NOIS30 39V3S ,09 = Municipality of Anchorage 825 "L" Street, Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~,. ........ :~., DATE PERFORMED:' ~ LEGAL DESCRIPTION: ~'~-C ~ ~ ,~,/~'/./ ~/ ¢,J Township, Range, Section: SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9t 10- 11 13- 14- 15- 16- 17- 18- 19- 20- WAS GROU.D WAT"R y'E- ENCOUNTERED? IF YES, AT WHAT ! ~- DEPTH? ~) pO E Deplh lo Water After ~ ~.- / Monitoring? /-~' Date: Gross Net Depth to Net Reading Date Time Time Water Drop /00.5' Ia ,,~,~, ¢.5" I" MO° to ~,~ ~,~" 1" PERCOLATION RATE /0 (minuteshi~ch) PERC HOLE DIAMETER TEST RUN BETWEEN / FT AND ~ FT COMMENTS PERFORMED BY: S~_& $ ENGINEERINg. , ~ ~'~-/Z/ff~--- CERTIFY THAT THIS TEST WAS PERFORMED IN ~34 Eagle R,ver Loop Road Ne. 2.~ ..... F: T THI DATE DATE' ' '~7 / ~' -f / ~ ~/ ACC OR DAN C E WIT~J~ J~V~ AJ~I~J~L G UIDELI[~ co , .... EC ON S . . 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2 3 4 5 6 7 8 10 11 13- 14- 15- 16- 17 18 19 2O SLOPE SITE PLAN WAS GROUND WATER E~GOUNTERED? IF YES, AT WHAT DEPTH? Deplh Io Water Alter~ ~. *' Monitoring? o .-~ Gross Net Depth to Net Reading Date Time Time Water Drop ~t~ c /13 o - llqO lO .,,~ 0~' I~' PERCOLATION RATE /0 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN [ FT AND ~ FT COMMENTS PERFORMED BY: 17034 ~aale River Leop Road No, ~0~ '~ CERTIFY THAT [HIS TEST WAS PERFORMED IN Ea~leRiver, Alaska 99577 ~ ' ' "/ /~t ~ / '~' ~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ROBERTC. COWAN, RE. ROBERTA. SHAFER, RE. SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST ROAO DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694~2979 FAX (907) 694-1211 REFERENCE: SW 1/4, NE 1/4, Section 33, T14N, RIW July 28, 1998 GENERAL: The scope of this project includes the installation of a 1250 gallon septic tank and a leachfield B~-~> to serve the proposed four bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two SW 1/4, NE 1/4, Sec. 33, T14N, R1W July 28, 1998 All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 fl. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not moro 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. Two flow dividers shall be installed sending 3/4 flow to longer trench and remaining 1/4 flow to shorter trench. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION' t3"~ O YDRAINFIELD INSTALLATION: Excavate the proposed ~o 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. 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. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the:/~a must be mounded to prevent the formation of a deprossion after settling. Page Three SW 1/4, NE 1/4, Sec. 33, T14N, RlW July 28, 1998 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 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 Chem/cal Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted w/th watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield 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. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Page Four SW 1/4, NE 1/4, Sec. 33, T14N, R1W July 28, 1998 The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of constmction. 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