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Home My WebLink AboutOVERLOOK ESTATES #1 LT 3A, ' Municipality of Anchorage Page 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: --~'/.,~ c~(gl~)~/'// PID Number: 0~:~ -~::~q/- ~ Name: ~U~ ~~ Wastewater System: ~New ~ Upgrade Address: ~ ~0~ ~7/~ ~,A~ ~qS~ ABSORPTION FIELD Phone: ~' ~7~ J No. of Bedrooms: ~ ~ Deep Trench ~ShallowTrench ~ Bed ~ Mound ~ Other Total Depth from original grade: LEGAL DESCRIPTION So, Rating: /' ~ GPD/Sq. Ft. Depth to pipe bottom from original grade: Gravel depth beneath pipe Lot: ~ Block: Subdiv~ion: Township: ~ [ Range: ~ Section: . Fill added above original~, orade: Gravel length: Ft. Ft. ~ Number of lines: Distance between lines: WELL: ~New D Upgrade Gravel width: ~ Ft. ~ - Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Pump Set at: - Casing Height Above Ground: TAN K Yi.~d: / ~.M ~UCU~D~. ~ ~. SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P. To Septic Absorption Lilt Holding Public/Privat~ Manufacturer: Capacity in gallons: From Tank Field Station Tank S .... Lines ~. ~ ~ ]00 ~ Number of Compartments: Well- I~O', IO~ f ~ ~ ~'~ Material: SteEL surface ~ water /~O', /bo ) 2 LIFT STATION Lot /0l~ ~ ~ size in gallons: Manufacturer: Line I~ ~ Foundation ~ i~ /~ ~ ~ "Pump on" level at: ~e~t: High water alarm at: CudainDrain ~ ~ ~ ~ ~ ~ -- ~ Electrical Inspections pedormed by: Remarks: BENCH MARK Location and Description: ~d Elevation: Inspections performed by~ · s ~N~IN~ Dates: 1st ~'/$ -~ 1 ~ 17034 Eagle River Loep EOad,~ 2nd. R'lq'?~ ~:,, CE'-~80i Eagle River, Alaska ~5~ ~ ~ '- I - ~ 7 Department of Health and Human Services approval %t~-~:~.~ ....... .. -' Reviewed and approved by: Date: ·/?~?~ -/ I .,. 72-013 (Rev. 9/91) MOA 25 No. SW960241 PAaE 2 OF 2 Hunicipatlty of' Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONHENTAL SERVICE8 DOVISION P,D, Box 196650~Anchorage~ ALaske 99519-6650~Tetephone~ 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT ,3, OVERLOOK ESTATES ADDITION #1 S/D P.I.I). NO. 068-041-28 WELL loo' WELL \ \ \ \ FCO BSL CO' - ALT. SITE \ \ ~ \ ST1 ST2 MT CO CO1 = 81.8' n / FINAL GRADE C02 80.0' ~ 1000 GAL I~'- , COZ = '78.:3' · [ ~'80.8 TANK ] MT 1 = . WATER FOUNI) ?0.~' ~6.~' A B FCO 5.0' 26.5' ST1 19.5' 4-1.0' ST2 25.5' 46.0' DBL1 29.5' 4-8.5' DBL2 :31.0' 50.0' C01 40.0' 54.0' C02 58.0' 83.5' MT1 50.5' 75.0' 1000 GAL. SEPTIC TANK -NEW TRENCH 10-JUL-97 16:39 FROM:SPINELL HOMES ][NC ID:9073441976 PAGE STATE OF ALASY, JX DEPAR. TM.ENT OF NATURAL RESOURCES ., .- .... -., -:': ...... , ...... ". .... · * · DIVISION OF. MINING & WATER MGM-i- . .-., : ~ -.,:".. ''..'-:, :.": -:- .,~,.':?;" '~.'c":~.~ -:'2~NATERW~LLRECORD " LOCATION OF WELL . ':... ' ' - . '. .. , ...... ~,-,.... ;, :. .,, · ,-;~b~ · ., .-..~ .-- -....: BOI~OUeH S'JBDNiSIO~ LOT,., ~&OCK. '" ' SECTIO~ OTRS ... ~, , ~0N~ j 'T~IP ~E ~u~. ~ '"'~'~s 'Ow LO~TION/SK~CH: ~ 0~: D~THS M~SUR~ FROM:~caslng top ~ground su~ace ~ t B~H:~ DATE OF COMPL~ION Oep~ of ~le: ~ ~ ~ ft BORmOLE DATA: Depth Depth gl ~eSi~g: O L ~ ./~ / / Mac.iai Type and Color From TO " / / M~HOD OF DRILLING: ~ir ro~ D cable tool ~L INTAKE OP~ING ~E: ~ op~' end , J Depth~ 0f openings: to ~~ SCRE~ TYP~ Oiam: in. G~V~ PACK Volume used: DeDth to top: D~OPM~T M~HOD: n.~~ Duration:,, PUMP~G ~ ~D ~ ~ ~ after ~ hfs pumping / gpm c -- ~ DISINFE~ UPON COMP~~ ~E~ ~ NO 1/1 CONTRACTOR'INFORMATION: REMAI~KS; :~' ': JUL 1 5 1997 ..... ~egist~ed-BuSiness Name .. / ~- Municipality of Anchorage / ~ - Y ' PL~SE ~IL WH~t' HeaLth & Human Services ~Respresen~e DN~NISION 0F MINING ~ WAI~ Signature of Aut~dZed ~ate ~ BOX 107005 MGMT ANCHO~GE AK ~9510-7005 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 ~OF ~1, ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960241 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SIEGAL STEVEN &TAMMY OWNER ADDRESS:P.O. BOX 671169 CHUGIAK, ALASKA 99567 DATE ISSUED: 8/08/96 EXPIRATION DATE: 8/08/97 PARCEL ID:06804128 LEGAL DESCRIPTION: OVERLOOK ESTATES #1 LT LOT SIZE: 651312 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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 (18AAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED $~: ~/ ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. July 24, 1996 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN iD(TENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 3, Overlook Est. Addition Request you issue a permit to drill a well and install a septic system to serve the proposed ~ee bedroom house on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation, water was encountered in test hole at 10 feet and after seven day ground water monitoring, water was found at 10.5 feet. This property has enough area for a future septic upgrade which can be seen on the attached site plan. This property is served by a community water system. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, an, P.E. RCC/gk Enclosure /~UNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION JUL 29 1996 RECEIVED 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 PERFORMED FOR: Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST -'- .... DATE PERFORMED: "~'r~' ~ '' Township, Range, Section: 1 2 3- 4- 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O t SLOPE SITE PLAN WAS GROUND WATER"~ ENCOUNTERED? i L IF YES, AT WHAT DEPTH? tO O P E Deplh to Water After j OI il Monitoring? I~ Dale: COMMENTS Gross Net Depth to Net Reading Date Time Time Water Drop '1- J~-% "p ~..s'- ~ I ~. G" ~/~" S & S ENGINEERING PERFORMED BY: 17034 Eagle River Loop Road No. 204 ACCORDANCE WI'~i~j'~EA~I~'I~I.~I~AL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) PERCOLATION RATE ';~- (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN I--J.~' FT AND '~.5 FT I · CERTIFY THAT THIS TEST WAS PERFORMED IN ROBERT C. COWAN, P.E. ROBERTA. SHAFER, RE. HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE pLANS ROAO DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 REFERENCE: Lot 3, Overlook Est. Addition July 24, 1996 GENERAL: 1. 2e e The scope of this project includes the installation of a 1000 gallon septic tank and a leachfield trench to serve the proposed three 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. Se Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP . SUITE 204 . EAGLE RIVER, ALASKA 99577 Page Two Lot 3, Overlook Est. Addition July 24, 1996 e Se e Septic tanks installed with less than 4 ft. 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 more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/D~AINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. e 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. Page Three Lot 3, Overlook Est. Addition July 24, 1996 De 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. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. e The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3e Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). e Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 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. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the %200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.Ao or D.E.C. requirements. Page Four ~ : .:!. ~ · Lot 3~ Ov.~rlooh~Est. ~dd~±on ~1 July 24, ].99~ 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: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any grave].. A septic tank may be set in place, but may not be backfilled before this inspection. Tile 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 tile 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.0oA. Page Five Lot 3, Overlook Est. Addition July 24, 1996 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 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Env ron.mental 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 Parcel I.D. # (~6~-OW!-~'~' 1. GENERAL INFORMATION Complete legal description Lot 3; Overlook Estates #1 Location (site address or directions) NHN Vantage Drive · '~>' ' ' Eaqle River, AK ~' : '- Property owner'" Steve Siegel Day phone ~' ' .. ·Mailing~ddress-' :' P.o. Box 671169 . Chugiak, AK 99567 ;4 · Lending agencY ~ Day phone ~ Mailing address- · Agent Day phone Ad dress 688-3786 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: Individual well xxx Community well Public water 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 ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA#21 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 inves!i_gation 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 $ & $ ENGINEERING 17034 Eagle River Loop Road No. 204 Address .~,~ DB ....Ar~.L-.. ~Q.?? , Engineers signature .... Phone Date ?///"///~? DHHS SIGNATURE v/ Approved for Disapproved. Conditional approval for bedrooms. 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 #21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division .... -- 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) :343-4744 Health Authority ApProval Checklist Legal Description: ~-~'~ ~ ¢~)U~J.~}O~' ~' /f/o .~- Parcel I.D.: A. WELL DATA Well type ~'~,AT-~ Log presen (~) Total depth ..~ <~/.,~ I Sanitary seal ~)J) ~'..~ Date of test Static water level Well production If A, B, or C, attach ADEC letter.- ADEC water system number Date completed I c~' /~- C~) Cased to ~ ~. ' Casing height (above ground) Wires properly piotected ~N) FROM WELL LOG AT INSPECTION ~ g.p.m. // g.p.m. WATER SAMPLE RESULTS: Coliform Nitrate o II ~ Other bacteria Date of sample: (~- B. SEPTIC/HOLDING TANK DATA Date installed ?"/q-~ Tanksize Collected by: Number of Compartments Foundation cleanout ~N)~--% Depression (Y~) /~o Date of Pu~Pi'~i: :~'. Pumper C. ABsO'R~TION FIELD DATA ~ '.~ Dat~ instajled ' ?'/4- ?~ ' Soil rating (g.p.d./ft~ or fF/bdrm) Length: '. ~' Width .~i~5''~ Effective. labsOrption area' ~0~ ¢¢ Date of adequacy test '/~ L.~ High water alarm (~) /~o J, ~. System type Gravel thickness below pipe Z~ Total depth Monitoring Tube present~;~l) ~/~'~ Depression over field (Y~ Results (Pass/Fail) For Fluid depth in absorption field before test (in.); Fluid depth -- (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) /V/,~ Irhmediately after ---gal. water added (in.): Absorption rate = - .g.p.d. If yes, give date bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) ~ High water alarm level at* ~ *Datum SEPARATION DISTANCES Size in "Pump off" level at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic)holding tank on lot Absorption'field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation · ~'?+ Property line /o '-/- Absorp!ion field t~ Water main/service line lO ~'/" Surface water/drainage /Oo Lt- Wells on adjacent lots I IOO SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Building foundation Surface water [ 00 i ~ Driveway, parking/vehicle storage area ,.~'O '-/- Curtain drain ENGINEER'S CERTIFICATION I certi~ that l have determined thru field inspections and review of Municipal r'ecords.~~ms a~e in conformance with MOA HAA guidelines in effect on this date. Signature -~Z~/~/'~--~ ~~ Engineer's Name /d¢~F C': 0¢ ~¢~ Date ~ /~Y /~ '7 HAA Fee $ '"~ Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number ~UL~02-~997 ~8:~1 CT&E ESI ~NCHOR~E ~l~l~l,, cT&E IEnvi~'o~men~al Service~ Inc. CT&E Ref,# 973492001 Client IVamc S & S Euginceriag Project Name/// N/A Client Sample ID Lt 3 Overlook EstYOtScl Matrix Drinki~g Water Ordered By pWS1D ~rks: Results o,112 Nitrate~N 0 Client PO# Printed Date/Time 07/02/97 16:43 Collected Date/Time 06/30/97 15:10 Recelved DateJTime 07/01/97 Technical Director: Stephen C. Ede P~3L Atlowable Prep Analysis Units Method Limits Date Date [ntt 0.100 mg/L $M18 4500-NO3F 10 max 07/02/97 JBL 07/01/97 RAM. cot/lOOmL $M18 g222~