HomeMy WebLinkAboutSTOCKHAUSEN LT 25
Municipality of Anchorage Page I 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: /---~ ~"z~O~'~t~'l PID Number: ~~ ~
N~m~: ~[ ~Upgrade
~ C~ ~. Wastewater System: ~ New
~Ad(~s~ ~ ~0~ ~q~O ABSORPTION FIELD
Phone: ~ No of ~ooms: ~Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
LEGAL DESCRI PTIO N soi, Bating: ~, ~ GPD/Sq. Ft. Total Depth ,rom original grade:
Lot: ~ Block: Subdivision: )epth to pipe bottom from original grids: Gravel depth beneath pipe
Ft.
Township: I,~.~e: i~.c,,o.: Fill added above original grade~ Gravel length:
Fb [~ It.
WELL: D New ~ Upgrade Gravel width: ~ ~ Ft. ~I ~ ~ ~ Ft.
Classification (Private, A,B,C): Total Depth: Cased TO: Total absorption area: Pipe material:
Driller: Date Drilled: Static Water Level: Install~or: Date inslalled:
Yield:GPM IPump Set at: Ft. Icas'ng HeightAb°ve Gr°und:Ft. TANK
SEPARATION DISTANCES ¢Septic D Holding D S.T.E.P.
To Septic Absorption Lift Holding ~ubfic/Pdvate Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~, ~
w~u I1~/ JO~' ~ ~ ~ '~ Material~ Number of C~artments:
Surface t~ ~ ¢ LIFT STATIO~ /
Line Lot '~' .0' ~ ~ ~ Size in ga"°ns: I Manufacture~: ~
Foundat,on ~/ ¢~ , ~ ~ ~ 'Pump on" leap off" I,vel at: I High water alarm at:
CurlainDrain ¢O~ ~,)~ ~~ .~Mod., IS,ectdca,,nspectio.sper'ormedby:
Remarks: BENCH MARK
Location and Description:
I Assumed Elevation:
ENGINEER'S SEAL
Inspections performed by: 17o~ ~g~ River LQop Road~e~st. ~w~% ~
Department of He¢ and H Services apprpv ,, ,:-. ~
Reviewed and approved by: Date: '~- '" ::":' ,:'~ '
72-013 (Rev. 9/91) MOA 25
Perm~ No. $W950599
Page 2 of. 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
STOCKHAUSEN, LOT 25
Legal Description:
05106251
PID No.:
co! co
~T1
94.4'~%
85.81 85.8'~
· 79.8' NO,WATER FOUND
MT3
CO1 55.5 29
C02 91.5 80.5
C03 85.5 71
C04 48.5 60
C05 37.5 47
MTI 51 48.5
MT2 83 74.5
D.V. 58.5 36.5
5 BDRM. HOUSE
DECK
NEff 1500 GAL.-'-.._.__
SEPTIC TANK
SCALE f' = 40'
co
NEW TRENCHES
coz
ENGINEER'S SEAL
72-013 A (2/91) MOA 25
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE)
PERMIT NUMBER:SW930399
DESIGN ENGINEER:S ~ S ENGINEERING
OWNER NAME:CASEY VICTOR JR
OWNER ADDRESS:HC 80, BOX 5730 DR
CHUGIAK, ALASKA 99567
PERMIT
DATE ISSUED: 9/28/93
EXPIRATION DATE: 9/28/94
PARCEL ID:05106231
LEGAL DESCRIPTION: STOCKHAUSEN LT 25
LOT SIZE: 30056 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD 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 OR 343-4681 AFTER BUSINESS HOURS
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 BY:
ISSUED BY: ~
DATE:
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
September 23, 1993
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER &WATER
INSPECTION
ENGINEERING STUDIES
ANO REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOI~ TEST
PERCOLATION
TEST
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
Anchorage, Alaska 99501
STRUCTURAL &
MECHANICAL
INSPECTIONS
REFERENCE: Stockhausen Subdivision, Lot 26
Re.est you issue a Dermit to upgrade the seDtic system
serving the five bedroom house on the referenced l~roperty
THE EXISTING SYSTEM IS IN A STATE OF FAILURE AND
BACKING INTO THE HOUSE.
We request you expedite the issuance of this permit due to
~he unsanitary conditions.
~est holes were excavated and percolation tests performed in
the area of the proposed upgrade. Attached is the proposed
upgrade design.
This property has enough area for a future upgrade which can
be seen on the attached site plan. We do not anticipate any
adverse effects on neighboring properties by the installation
of the proposed septic upgrade.
If you have any questions or require additional information
for your review, please contact us.
O~
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
8\
II
U
z
3(lV;3Odfi ,0£ = ,,1.
REFERENCE:
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PI%ACTICES
and
MATERIAL ~PECIFICATIONS
Stockhausen Subdivision, Lot ,-2'6'
GENERAL:
1.
o
o
The scope of this project includes the installation of a
1500 gallon septic tank and leachfield trenches to serve
the five bedroom residence located on the referenced
property. The existing septic tank is to be excavated,
pumped, crushed, and abandoned in place.
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 b,/.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:
1. A septic tank is to be constructed by a certified septic
tank manufacturer. Construction shall include two 4"
cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded to prevent
settling or shifting of the tank.
3. Ail standpipes on the septic tank shall extend a minimum
of 12 inches above final grade.
4. Septic tanks installed with less than ~ ft. of cover
shall be insulated.
Page Two
Stockhausen Subdivision,
September 23, 1993
Lot 26
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/DRAINFIELD 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.
o
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 and
installed approximately in the locations shown on the
design. 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 trench must be
mounded to prevent the formation of a depression after
settling.
Page Three
Stockhausen Subdivision,
Septeraber 23, 1993
Lot 26
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation 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:
Tvpe 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.
o
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).
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.
o
Ail 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, it's
gradation specifications must conform to current M.O.A.
or D.E.C. requirements.
Page Four
Stockhausen Subdivision,
September 23, 1993
Lot 26
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:
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.
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.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: ~'Z>'['" '~"' ~'"G~,,Z.~..~, ,~,~,~.,..~$1~,Township, Range, Section:
,~ ~_.. SLOPE SITE PLAN
1
2
3-
5-
6-
?-
8-
9-
WAS GROUND WATER
10 - ENCOUNTERED7
11 - IF YES. ATWHAT L
DEPTH? pO
12- E
Depth to Water Altar
13 M0nit0rin~? ~ Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
14
16
17
18
19
20
PERCOLATION RATE
TEST RUN BETWEEN~ AND ~ FT
COMMENTS
17034 Eagle River LooI~ Road NO.
PERFORMED BY' - - - ~ .... -- /// /~/ CERTIFY THAT THIS TESTWAS PERFORMED IN
ACCORDANCE WiTH ALL STATE AND MUNiCiPAL GUIDELIN~ EF~T ON THIS DATE. DATE;
72-~8 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION:~'~~''' ~t'"g~-l,~'~,~(;,~'.~
SLOPE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19-
20-
DATE PERI
Township, Range, Section:
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH? /~ P
E
(ENGINEER'S SEAL)
neplh to Water Alter ~f?.~
Monitoring? "'~Z~'~/ Date:
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE''~'~
COMMENTS
$ & S ENGINEERING
17034 Eagle River Loop Road No.
PERFORMED BY:_~_~!_~ DI.~. ~ k-,
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI~/~FE~ON THIS DATE.
72-~8 (Rev. 4/~)
__ (minutes/inch) PERC HOLE DIAMETER L.~
~ FT
CERTIFY THAT THIS TEST WAS PERFORMED IN
DATE;
MUNICIPALITY OF ANCHORAGE ~ (~
( ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~ '"fo !
ENVIRON[VlENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ~//
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL DESCRIPTION ~ '
C~O ' k, ~. Absorpt~a~a Dwellingzo, PE"'ITNO.
Manufacturer Mate~ f~Z No. of compartments
50Z DISTANCE ~ ~ Ow. Iling P~IT NO.
~ ~ DISTANCE TO: Well Foundat,o~ / Nearest
~ No. of ii.es // ~ p PERMIT NO.
~ ~ Length of~.achJi ne Total I e~t~oUines Trench wi d~o inch es Distance between lines
~ 3~~) R~ inches Total effective so, tic, a
Length Width Depth PERMIT NO.
~ DISTANCE TO: ~ ~ ' dation
~ Cla~. Depth ~/ Driller Distance~ ~in~ PERMIT NO.
~ Buildin o ndation Sewer line ' ~)/
~ DISTANCE TO: ~ * ~ ' 8eptlc ta~ / Absorption area
OTHE~
PIPE MATERIALS ~C ~
SOl L TEST RATIN~o~ ~
72-013 (Rev. 3/78)
/'"% MUNICIPALITY OF ANCHORAGE ~'~'~'1
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL DESCRIPTION
LOCATION ' / ' ' t;' NO. OF BE~OOM8
~ DISTANCE TO: I~l'/o ( , I Absorpti)n~re~ Dwelling ~0
~ ~ Manufacturer No. of comp~me~s~,~ 0 ~
Liq. capacity in Cations Inside length Width Liquid depth
~ % ~ O IF HOME.DE: .......
~ ~ DISTANCE TO: Well Dwelling PERMI N
~r~ ,, DISTANCE TO: ~,~
~ ~'.~/ Top of tile to fini.~ grade " Matedal beneath tile , Total ef fec~ve absorp~rea
~< ~ Type ofz/cd~ Crlb.%diameter Crib,,/..deptfi Total e~fectiv~ a on area//
~ . Dt~TANCE TO: '
~ DISTANCE TO: 8uildingfoundation Sewerline ~ ¢~
OTHER
PIPE MATERIALS ~
72-013 (Rev. 3/78)
Permit ~
Applicant:
Location:
Legal Description: ~ ~ ~ ~q~
Type of Soil Absorption System Is:
Trench: /~ Drainfield: Seepage Bedl
MUNICIPALITY OF ANCHORAGE
Departmen~--~f Health and Environment~Protection
· 825 ~ Street, Anchorage, AK. 39501 '
264-4720
~* HANDWRITTEN PERMIT * * *
W~/OR ON-SITE SEWER PERMIT
~{C'~O ~ [-~. OO~eO3q [~ Mailing Address: ~ Q
Phone Number: ~82'~?'
Lot Size:
Maximum Number of Bedrooms:
Holding Tank:
Soil Rating(sq.ft/br) ~0~
The Required Size of the Soil Absorption System Is:
DEPTH // LENGTH ~'7 _ GRAVEL DEPTH ~ WIDTH ;
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOkD~) TANK SIZE = /~0 GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days Of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31~ 1 9 8 3 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that~x3-bedrooms.
Signe~: '//~>]./~'/< ~"~,~/ Issued by: ~ ~-X~
Applicant /
Date: ?~//
SWP/024 (1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
6-
7;
8
9
10
11
12
13
14
15
16
17
18
19-
20-
SITE PLAN
WAS ROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
CE - 5333
PERCOLATION RATE / ,¢~';q~ ~ ~1 (minutes/inch)
TEST RUN BETWEEN '~ FT AND ~ , FT
72-008 (6/79)
APPLIC,' JT FILLS OUT'UPPER HAL""ONLY
Property~Owner ~ f /.~ ~ , ~ ~
Address Zip Code
" ~/ ,/. /, ,/ /. : , ,i ~:~t Phone
Address -' ~ ~ ~ , :',~/// /;~ // /~ ~? // ziPcode
LegaIDescript~n ~-~ ~' ~0~~ ~
Water Supply ~
~Jndividual ' A~ACH WELL LOG. A w~l log Is required for all wells d~illed since June 1975.
~ Community ~ For wells drilled prier to that date, give well depth (attach log if available).
~ Public Utility
? Individual Year Individual Installed:
~ Public Utility When Connected to Public Utility:
~ Holding Tank
Time Time Time Time
Date Date Date Dale
Inspirer insp~tor Inspirer
APPLI( ' 'NT FILLS OUT UPPER HA:'--'! ONLY
Phone
Property Ov~er Victor/Diana Casey
Mailing Address S%ar _Route 2 Box 5730 Chu(~iak, Alaskazipc°de 99567
Buyer
S2~'4E
Address Zip Code
Lending Institution Alc~,ka Bank of Co~.erce Phone
C Street Branch
Address Zip Code
Phone
Realty Co. & Agent
Address Zip Code
Legal Description Lot 25 Stockhausen Subdivision
Street Location
Type of Residence
~ Single Family
E] Multiple Family NO. of Bedrooms fo'o.r
[] Other
Water Supply
I~:Xndividual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
[] Community For wells drilled prior to that date, give wes depth (attach log if available).
[] Public Utility
Sewer Disposal
[~[r~dividual Year individual Installed:_
[] Public Utility When Connected to Public Utility:
[] Ho]ding Tank '
NOTE; THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes:
C(~) APPROVED BEDROOMS *CONDITIONS OF APPROVAL
(
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
DATE It - ~,~ ~
Soils Rating Date ~wer Installed Well TO ~sorption Area ~ i ~ Well Log Received
~' I,.~-~ ~ ~-' WelltoTank ] ~ [ Septic T~k Size