HomeMy WebLinkAboutDIGEL LT 3bi*gel
Lot 3
#051-042-97
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-6650 Page of
www ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWO40324 PID Number. 0051-042-97
R.n. David Davis
Wastewater System: 0 New ❑ Upgrade
AaaLaaa
3630 E 42nd Circle No. 9 Anchorage, AK 99508
ABSORPTION FIELD
,noL" 688-9008 Three (3) Mw'�"a��"ia
131)eep TLaafil!Sr Tm .❑s,C ❑Maim ❑opw
LEGAL DESCRIPTION
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TO"Depnegn4A0'�°�°°
.7
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etch La s,EaweM
3 Digel
DaPm q PW paean Imo W woos
Go.N Cepa eeriaam poe
t Ft.
S FI
TLnwmep Rewe saaepLt
Fiaooee�aiPn W4
GLM Lanpn.
2-3 FI.
45 FI.
Well: ❑� New [3 Upgrade
G��
Munq 013
D'Mz'°"".,.M"e
FI.
5 FI
cW4n� (wmai,. A 0. cl
t" D.pm
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Tater aC,apeon a
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Private
63 F,
63 F,
675 F2
ASTM D3034 PVC
paieL
Do* DL
soot WMW LM
a W.
Dao lnaWiW
Sullivan Water Wells
8=003
o F,
Owner Installed
815 -woos
Y"m
25
PWV sat MGaMLp
rM,y 1 n Gnvio
TANK
GPM
Fl,
2 FL
SEPARATION DISTANCES
❑Septic El Holding ❑S.T.E.P. ❑Other.
To
Septic
Absorption
Lift
Holding
MWxlPnvate
•o'•"
v
From
Tank
Field
Station
Tank
Sewer Lim
Rays Services
1,300 GM
Wee
>100'
>100'
N/A
N/A
>25'
Meienr HDPE
Two (2) •
S.dapawe.
>100'
>100'
N/A
N/A
LIFT STATION
La LY"
>5'
>10'
N/A
N/A
.maw
Del
FaxmMun
>5'
>10'
N/A
N/A
'P,Ynp On'M.MM
'Pump dr MM aL
Fewn waia Ywm al
in
in
q
Golan Dr.n
None
Noted
PUr Mexa6Mp
Eb ingernaom peLa by
Au Electrical
Ramraa
Aftemate Site Constructed and Connected with
BENCH MARK
Diverter Valve.
Laaun ono Marnpaan
Finished Floor
Insulation Placed Over Entire System.
»..p
100.0 FL
e It Vw.
�'
th,'�flg(r�eef6,btaRlpl
•aN•,•
r'!`�� • ..,: tip' ;'r'- °'e
Inspections performed by: T. Kimbrough Dates: 1M 8/5/2005:•
2nd 8/6/2005
. o
^-MCHAZL a ANOERSCN
e' %E -4331w
P+t �> '•
Development Services Department Approval
,•'
Conditional Approval by:
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Reviewed and Approved by: 04 Date: ' ��—
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Municipality of Anchorage Page 3 of 4
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
Onsite Wastewater Disposal System or Well Inspection Report
Legal Description: Lot 3, Digel SID
TBM
n
U
PID No. 051-042-97
x
i u
L) 91.72—J M s Co
u U
96.82
X94.22
X93.7
M Y.�YYw Pw� (..►I Myr
C;eQtextllC F2bHc
ralnfleld Rock
Coarse Sand
L) 91.72—J M s Co
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96.82
X94.22
X93.7
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 WASTEWATER DISPOSAL SYSTEM ) WATER SUPPLY PERMIT
Renewal
Date Issued: Aug 06, 2004
Expiration Date: Aug 06, 2005
Permit Number: SW040324 Parcel ID: 051-042-97
Legal Description: DIGEL LT -3 i
Design Engineer: 0014 Anderson Engineering Site Address:
Owner Name: David Davis Lot Size: 49589 SQ. FT.
Owner Address: 3630 E 42 Circle #9 Total Bedrooms: 3 Permit Bedrooms: 3
Anchoage . AK 99508 -
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 tame day.
B. Covered, sealed, and heated to prevent freezing.
Received By.
6
Date: Ob 'k
Municipality of Anchorage
-�1 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. _bs-/ — OyZ- 951- Permit Number SW
Property owner(s) .bAV I O DAViS Day phone
Mailing address (1) 90L( wlcGAmAy g/, #P
Mailing address
Legal description (Lot, Block & Sub'd.) E�- LoT3
Legal description (Section, Township & Range)
Lot Size */1
45_0q Acresl5o
THIS APPLICATION IS FOR:
Number of Bedrooms 3
Sewer Only ❑ Well Only ❑
Sewer and Well E Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above informati n is correct. I further certify that this application is being made for a
Sing Family Dwelling and is iaccordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
A60 U)Permit Fees: %/5— "u Waiver Fees:
Date of Payment: 6 Date of Payment:
Receipt Number: Receipt Number:
(Rev. 12/00)
4�-zC:)- 05-
`17
s
`f7gra w 5 i
Ar'L. q j 5-1 %
)'-Aornn J)A v t p rq • ()A v ( S
CpWNe2�j,�ur4Jc.2,
520
-tt: S t,J Doo 3
/47th) %T(D e GOtaIjAttl—
A S Pee- vO2CorvVe�S� f �d�U oav y 2 v -off
haJ L5-
L N•4u: c etfr
R,.vd yAve � s e%o�.,�,..�� .:v L" 6..•t.,•s �3y/
Wo Kt,1 A� AIry
/L/o7 Jan.0 Jl'N trSo.L/f �GNw aNc.� 1 lb�e
e AK 6�,J
gti he 7
r
Certtfted► �ritttng Log
by
DOC Co. dW
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 688.2750
OWNER OF LAND: 1/4Jt 0 4 r1 J I.r
ADDRESS:
LEGAL DESCRIPTION:
DATE:
PERMIT NUMBER: tAO -IO X Date of Issue-p—
TAX IDENTIFICATION NUMBER: 011L- -
[swell located at approved peril location? Yve's J No
Method of Drilling: it rotary J cable tool
Depth of well: b 3
Casing Type = - Wall Thickness ' _o
inches
''
Diameter h inches, depth 63
feet
Liner Type: D *J t•
Casing Stickup Above Ground: '�
feet
Static Water Level: 0
feet
Recover Rate: 5 gpm
Method of Testing: It
Well Intake Opening Type: open end U open hole
-- -j Screened; Startfeet Stopped
feet,
U Perforations Start fe` Stomd
feet
Grout Type: �TJ•JiTG Volume SC)C(0-
Depth: from
feet, to
Well Disinfected Upon Completion? & :l No
Method of Disinfection: Ci -11 -ad, • ,S 570P1t0t
Comments:
feet
ie"
S•J
I: f I,. :1
C •a -s e w C, S; I c. /KJ /�
DJc t gjA4c,.l
Driller's Name g�
ATTENTION: It is the responsibility of the property owner to submit a copy of the well tog to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.
Municipality of .Anchorage
,hark Begich, Mayor
Bttilding Safety Dixision
P.O. Box 196650 • 4700 Bragaw Street
Anchorage, Alaska 00519.6650 • (907) 343-8301 • Fac (907) 343.8200
http://%%civ.mtini.org
July 19, 2004
David Davis
3630 E. 42nd Circle 99
Anchorage, AK 99508
Subject: On -Site Water and/or Wastewater Permit.
Permit Number: SW030302
Legal Description: Digel Lot 03'-1
Dear Mr.&: Mrs. Missal:
An On -Site Water/Wastewater Permit, number S W030302, issued by this office for a single-family
system, will expire on August 06, 2004 This permit was valid for 365 calendar days.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to
this office for review, approval and documentation. This as -built inspection report must be signed by
the licensed Professional Engineer who inspected the installation of the system. As -built inspection
reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. A new permit for a second year may
be issued for a fee of $115.00 if the renewal application is received on or before the expiration date of
the original permit.
When applying for a new permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well
permit.
If you have any questions, please call this office at 343-7904.
Sincerely,
Daniel Roth
Program Manager
On -Site Water and Wastewater Program
Enc: Copy of permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 6 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW030302
Legal Description: jDIGEL• LT "3
Date Issued: Aug 07, 2003
Expiration Date: Aug 06, 2004
Parcel ID: 051-042-97
Design Engineer: 0014 Anderson Engineering Site Address:
Owner Name: David Davis Lot Size: 49589 SO. FT.
Owner Address: 3630 E 42 Circle #9 Total Bedrooms: 3 Permit Bedrooms: 3
Anchoage . AK 99508 -
This permit is for the construction of:
❑V Disposal Field 0 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 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:
Date: v
Date:8 % 03
Municipality of Anchorage
Development Services Department
Building Safety Division
i 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
OKI -SITE SI=WEPJWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. Permit Number SW 030302
Property owner(s) i t l) 1-k 7 AJ k 5 Day phone hD-0 Z
Mailing address (1) 3C,30 P-- Y Z:� C f C. +--Lf 4 kLC(4 - 9 k 5_0 $
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) D 1 t= L i -r 3
Legal description (Section, Township & Range)
Lot Size—!Vci S-85 Acres q.Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
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 1qe above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordanA with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees: --'-�,,, ��'�''���2� f 00Waiver Fees: _
Date of Payment: DDate of Payment.
Receipt Number: _ G S lD 5zT—Receipt Number:
(Rev. 12/00)
3 9sgs
August 10, 2001
ATunicipality of Anchorage
George 1. ll'iterch, Mayor De p a r1 m e n t o r
Public Works
Bttilditlg Stlfety Division
P.O. Box 196650 • 4700 S. Bragaw Strcct
Anc)tormle, Alaska 9.7519-6650 • (007) 34:3$&301
h tt p://w���r.ci.nurhurra.nl<eis
David Davis
3630 E 42 Circle #9
Anchorage AK 99508
Subject: On -Site Water and/or Wastewater Permit.
Permit Number: SW000379
Legal Description: Digel Lot 3
Dear David Davis:
An On -Site Water/Wastewater Permit, number SW000379, issued by this office for a single-family
system, will expire on September 15, 2001. This permit was valid for 365 calendar days.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to
this office for review, approval and documentation. This as -built inspection report must be signed by
the licensed Professional Engineer who inspected the installation of the system. As -built inspection
reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. A new permit may be issued free of
charge for a second year if the application for the renewal is received on or before the date of expiration
of the original permit.
When applying for a new permit, the fees are: $320.00 for a wastewater permit and $120.00 for a well
permit.
If you have any questions, please call this office at 343-7904.
Since e ,
Jam s Cross, PE
Manager
On -Site Water and Wastewater Program
enc: Copy of permit
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Renewal
Permit Number: SW000379
Legal Description: DIGEL LT 3
Date Issued: Sep 15, 2000
Expiration Date: Sep 15.2001
Parcel ID: 051-042-97
Design Engineer: 0014 Anderson Engineering Site Address:
Owner Name: David Davis Lot Size: 49589 SO. FT.
Owner Address: 3630 E 42 Circle #9 Total Bedrooms: 3 Permit Bedrooms: 3
Anchoage , AK 99508 -
This permit is for the construction of:
7 Disposal Field Q Septic Tank E] 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 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.
Received By:
Issued By:
Date: 15 ' d
Date: J -1f--40
FFK�i DAVIS,DAVE&CANDY
FAX N0. : 619 440 0576 Sep. 06 2000 03:01PM PS
�'A 61 C,
7 °
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413 _ -/:�8
Il1eW �e �M � 1 � t�CIE
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fQ� o� Cit<��e� Fo,e ,g so�a,vr1
y you h AuL A,tiy
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MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW990317
Legal Description: DIGEL LT 3
Date Issued: Sep 07, 1999
Expiration Date: Sep 06, 2000
Parcel ID: 051-042-97
Design Engineer. 0014 Anderson Engineering Site Address:
Owner Name: David Davis Lot Size: 49589 SO. FT.
Owner Address: 3630 E 42 Circle #9 Total Bedrooms: 3 Permit Bedrooms: 3
Anchoage , AK 99508 -
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 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 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.
5. The following special provisions.
The ma)dmum depth of excavation shall be 3.5 feet below original grade.
Received By:
Issued By:
lQf
Date: /$
Date: 9.7-99
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522.6779 (FAX)
August 24, 1999
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject: Lot 3, Digel Subdivision
Septic System Design Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owners of Lot 3, Digel Subdivision intend to construct a three bedroom home on
the lot at the location shown on the attached Site Plan. The attached documentation
details the type and size of the septic.system. It also shows the location of the well
proposed for the lot and provides a 100' separation distance waiver. We are hereby
requesting a permit to construct a well and septic system on the lot.
Testholes placed on the lot revealed poorly graded gravels underlain by silty gravel.
Percolation tests performed indicate a rate of less than 1 minute per inch. Groundwater
was encountered at the 6' depth during placement of the testholes. The highest
groundwater level monitored through the fall and spring high water periods was 5.5'
below the ground surface. We have therefore designed a shallow absorption bed with
a maximum depth of 1.5' below the ground surface . A total of 2' of coarse sand will be
placed to provide the required 4' separation to groundwater. The absorption bed has
been designed for an application rate of .7 gallons per day per square foot to
compensate for the sand filter. Both the primary and reserve absorption beds will be
constructed at this time. A Zabel Z200 Flow Diverter will be placed to allow alternating
of the absorption beds as necessary.
The ground surface on the lot is fairly flat with only a slight 2% slope from east to west
and 1% from south to north. No conflicts exist between the location of the proposed
septic system and any well in the area.
If the system is constructed in accordance with our design the following statements
apply:
1. 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 reserved
Lot 3, Digel Subdivision
August 24, 1999
Page Two
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,
Wlit-aL Ems\
Michael E. Anderson, P.E.
Attachments
.LY -7
4Z -E
I I I
I
II
I � I
I I
I � I
I I •I
I I
no well I
or I 1
I I
septic I
areas :l
within
2001
I I
i ft
' I
I
I �
. I
I
� I
L 3' SECT10R LIKE ESHT.
I
Undeveloped
THIS PR
sue:
(proposed)
I
well I
1^ = 100,
t
IT
Wjell
I I
I
I I
I _ ~
�.• septicl W
area I I
-- c,
septic are
I I
I
well I
AREA MAP
SCALE 1" = 100'
I.N.•II \\�1�
NIYJ IJBD1I.I%
yell
:fy,THl
lA l.`..A.. el !.S
'Aa E A'•n UMN'
tee- L -T31
I Wejl Radios
1,000 Gal.
3 DR house .septic tank
(proposed)
ZS 15' x 45'
absorption bed
"j
5�
drive CO o T CO p monitor tube
(MT)
pcc I�y
Zabel
Flow
- I Directo
0 k -clean ou (CO)
MT ._ CIO MT
l5� .kIM:
ditek
Wne
At
SITE PLAN
SCALE 1" = 20' R.0 �. 49m .t*
KNiK VTISTA S - - ; .,--�
LOT 3, DIGEL SUBDIVISION
DESIGN FACTORS:
3 Bedroom Home
Perc. Rate: LT 1 Min./Inch
Application Rate: .7 GPD/SF
SYSTEM REQUIREMENTS:
Shallow Bed System
1,000 Gallon Septic Tank
2' Lake Otis Sand or Equal
3 Bedrooms X 150 GPD / .7 App. Factor = 643 Gallons Per Day
643 SF/15 LF (Width of Bed) = 43 LF Length of Bed
Therefore: Construct a Shallow Bed System 15' Wide X 45' Long.
Distribution Piping to be Placed at 1' Below Original Ground Surface. 2 '
of Sand Filter Required to Provide 4' Separation From Groundwater at
5.5' Below Ground Surface. 2" High Density Direct Bury Insulation and
2' Protective Cover Over Filter. ,
3
•�
t�
Natural Backfill
(3' Minimum)
.5'
i
��.
Geotextile Fabric or 2" Insulatio
0 O
t ,
_
n PVC
2
Drainfield Rock
Coarse Sang (See Specification)
2.5' , 5' r , 5' I' , if
i�IL nl,
�e�,gl
1
SHALLOW BED DETAIL %
(NO SCALE)
fl, kQ` . 4W -E .--MI"
NOTE: Grade Area to Drain Away. qjM
Maintain 6' Separation From Bedrock. �i\\\x\,1
Provide 4' of Cover or 2" Insulation and 2' Cover.
Maintain 10' Separation From Existing Absorption Bed.,
.� Municipality of Anchorage , r i•49V—T"k
DEPARTMENT OF HEALTH 8 HUMAN SERVICES /•
825 "L" Street, Anchorage. Alaska 99502-0650 �. C
SOILS LOG — PERCOLATION TEST �j E.
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David Davisav,1 �•••••••'
PERFORMED FOR: DGATE PERFORME�
LEGAL DESCRIPTION: Lot 3. Digel Subd. Township. Range, Section:
SLOPE SITE PLAN
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PERCOLATION RATE (mMutesnncn)DIAMETER
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TEST RUN BETWEEN Z FT AND SFT
COMMENTS The ground water was monitored through Fall and Spring high
seasonal `periods; the sallowest level was re orded at -5.61.
PERFORMED BY: 1CER IFY THATIS T SST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: 8 Sly 791 f
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PERFORMED FO
Municipality of Anchorage .
DEPARTMENT OF HEALTH 8 HUMAN SERVICES
625 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
David Davis _ DATE PER
LEGAL DESCRIPTION: Lot 3, Digel Subd. Township, Range, Section: `
D6PT.0. SLOPE SITE PLAN
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IF YES, AT WHAT r LO O 8
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PERCOLATION RATE < (minulevmch) PERC MOLE DIAMETER S
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TEST RUN BETWEEN 3 /4' FT AND Z 'T FT
COMMENTS Ground water was monitored through the Fall and Spring high_seas_onal
Deriods: the shallowest level was recorded at -5.5'
PERFORMED BY�A& 1 1 � & ^er TIFY IHgATTH..IS``T�� S� WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE 27
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ONSITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 3, DIGEL SUBDIVISION
GENERAL:
1. The scope of this project includes the procurement and placement of a
new 1,000 gallon septic tank. It also includes the construction of both
the primary and reserve absorption beds. Each bed will be 45' long x
15' location shown on the attached Site Plan. A Zabel 2200 Flow
Director will be placed between the beds to allow alternate use of the
beds. The total depth of the beds will be 5' below existing ground. The
distribution piping will be placed at 1' below the ground. Mounding
over the beds will be required along with 2" of direct bury insulation to
provide the minimum protective cover. In addition, a minimum of 2' of
coarse sand meeting the attached specification will be required to
provide the minimum of 4' separation from groundwater.
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.
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
The 1,000 gallon septic tank must be procured from an approved
source and installed at the location shown on the plans.
2. A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts for pumping
access.
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.
:j
Lot 3, Digel Subdivision
August 15, 1999
Page 2 of 3
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 bed 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 trenches 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.
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).
Lot 3, Digel Subdivision
August 15, 1999
Page 3 of 3
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:
A minimum of two inspections are required by Municipal Ordinance.
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.
FILTER SAND SPECIFICATION
Coarse Well Graded Sand
Maximum 2% Passing No. 100 Seive
Maximum 1% Passing No. 200 Seive
Parcel I.D.
Municipality of Anchorage
Development Services Department
Building Safety Division
Onsite Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519.6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
051.042-97
1. GENERAL INFORMATION
Complete legal description Lot 3. Digel subdivision
Location (site address) 22101 Knhk Vista Street Chuglak, AK
Current Property owner(s) David Dads
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
iijeLeDo (-)X
COSA# aro 544
Expiration Date: 2- — 7 – D %
204 McCarrey Street #D Anchorage, AK 99508
Unless otherwise requested, COSA will be held by DSD for pickup.
Day phone 8889008
Day phone
Day phone
2. NUMBER OF BEDROOMS:
Three (3)
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 OnSfte 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 On -Site 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 work.
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 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 Flml Anderson Engineering Phone 522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
6. DSD SIGNATURE
�G Approved for 3 bedrooms.
Disapproved.
Date ttnrzDDe
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: Original Certificate Date: //-7 — O r.
m«. 11asr
Municipality of Anchorage
• Development Services Department
Building Safety Division
Onsite Water b Wastewater Program • `•
4700 Bragew Street
P.O. Box 198650
Anchorage, AK 99519.6650
www.muni.orglor ke
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Lot 3 D4* SWXNVW ^ Parcel ID: 051.042-97
A. WELL DATA
Well type trW If A, B. or C provide PWSIO # _ Well Log (YM) Y
Date completed ersro3 Sanitary seal (YIN) Y Wires Property protected (Y/N) Y
Total depth 63 ft Cased to ft. Casing height (above ground) >24 in.
FROM WELL LOG AT INSPECTION
Date of test ever=
Static water level 0
Well production 25 g.p.m. 9 -P.M.
WATER SAMPLE RESULTS:
Coliform o oolomies/100 mL Nitrate .513 mg/L Other bacteria 0 coloniesMOO mL
Arsenic: wo moll Date of sample: 10/12/06 Collected by: F. LODOUX
S. SEPTICINOLDING TANK DATA
Tank Type/Material SW E Date installed ar5rA5
Tank size 1.300 gat. Number of Compartments T1MD Clea"AS (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (YM) N High water alarm (YM) N
Date of pumping New c0ndmIclim Pumper
C. ABSORPTION FIELD DATA
Date installed marcs Soil rating (g.p.d.&2 or felbdrm) 1 GPD/SF System type shdlow aw
Length
45 ft. Width 15 ft. Gravel below pipe •5 ft.
Total depth 4.5 ft. Eff. absorption area E5 fe Monitoring tube T Depression over field N
Date of adequacy test New CorWL Results (Pass/Fail) For _ bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) If yes, give date
D. LIFT STATION
Date installed
'Pump on' level at _ in.
Datum
E. SEPARATION DISTANCES
Size in gallons
'Pump ofr level at _ in.
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankllift station on lot >100'
Absorption field on U >1W
Public sewer main WA
Sewer /septic service line >W
Manhole/Access (Y/N)
High water alarm level at in.
Meeh alson & circuit Mquiremenb9
On adjacent lots >1W
On adjacent lots >1W
Public sewer manhole/cleanout WA
Holding tank WA
Animal containment area None Manure/animal excrete storage areas None
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >6' Property One>6_ Absorption field >6'
Water main WA Water service line >1m Surface water
Wells on adjacent lots >100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >1W Building foundation >10' Water main
WA
>100'
Water Service One >le' Surface water >101 Driveway, paAivigNs ade storage >26
Curtain drain Now Nowd Wells on adjacent kits >1W
F. COMMENTS:
G. ENGINEER'S CERTIFICATION
1 oerB/y that I have deteaWned through field inspactiona and
review d Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name Michael E. Anderson, P.E.
Date 11/1/2006
COSA Fee $ 6T 6b Waiver Fee $
Date of Payment _ I lb 110 1p Date of Payment
Receipt Numberi) i9 Receipt Number
(Rev. I IM)
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