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Home My WebLink AboutHUNDRED HILLS 1ST ADDITION BLK 4 LT 4�,, c r) P,( -- k I I — C)%-) Municipality of Anchorage Page-j— of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: e�, P I D N u m be r: 0 1-2; 101 1 --) -;1- Name: Wastewater System: El New 11 Upgrade Address: ABSORPTION FIELD q-4-00 -e,. Phone- No. "room f B Brooms: El Deep Trench 0 Shallow Trench `Bed 0 Mound 0 Other !2__ LEGAL DESCRIPTION Soil Rating: at Depth from origina!1,grpde: &`._+GPD/Sq. Ft. Lot- Block- Subdivision- Depth to pipe bottom from original grade: ' t �q_ 4�u �-6 Gravel depth beneath pipe "Ft. 4,D o,��_' L)_�G 2_!gr; Ft. Township: Range: I Section: Fill added above original grade: Gravel length: I - 0 Ft. � Ft. WELL: 0 New El Upgrade GravelAapUi4W V$". I _:Z( Numbe•/ines: Distance b7tween lines: (I Ft . Ft. _QlastIffication (Private, A,B,C): Total Depth: Cased To: Total absorption area44.1 Pipe material: t'? Ft. S- Ft. Q. Ft PIC— Driller: Date Drilled: Static Water Level: jp&tajler: Date instalied: Ft. ,7 Yield: Pump Set at:: I Casing Height Above Ground: TANK GPM Ft. SEPARATION DISTANCES -Z�Septic 0 Holding 0 S.T.E.P. _771cling To Septic Pt'c 77—pfi.n Lift ;7 C Public/Private iclPrivwe Manufacturer: capacity in gallons: From T Tank Field Station Tank Sewer Lines JJz24k�.gr_-ia�d V-- Well 10-,71 Material: Number of Compartments: Surfac Watere 1004 LIFT STATION Lot Line I C)'-+- I C) I -i- — — Size i — Manufacturer: Foundation "Pump on" level at: I "P High water alarm at: Curtain Pump Make & Model Electrical Inspections performed by: Drain Remarks:,IAA'� -z:: >, �1 -; �� BENCH MARK Location and Description: Assumed Elevation: A., IW% q V ot 6 & S DIGINEERING 01 Q1 r; G 17034 Eagle River Loop Road, No. 2M Inspections by: Dates: 1stI'Sle performed 577 River-Atu*w Eit ag , 2nd 1.. c J. HAFER - Department of Healthl,and Human,"Services approval OR Reviewed and approved by: Date: - -L z z 72-013 (1/91) MOA 25 Permit No. 1201�� Page of �— Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: No.: C � �Gl Gd t CoZ.. �i 1 opca c, P�G �r .•j_3_g2� G'a � � Zcr°' e_4 02 17,0 a tNEa-1 JGbd Gt.PL�_ z E Vices � 72-013 A (Rev.9/91) MOA 25 1 N October 20, 1992 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY Municipality of Anchorage Municipality of Anchorage APPROVALS DEPARTMENT OF HEALTH AND HUMAN SERVICES Dept. Health & Human Services 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 SEWER & WATER MAIN EXTENSIONS REFERENCE: Lot 4; Block 4; Hundred Hills Subdivision Dear Susan, SEWERER INSPECTIONECTION p Y Now that the septic system has been installed on the referenced property we know how far it is from the "cutbank". (The natural topographical change in grade is greater than 25%.) As depicted on sheet 2 of 2 of the septic inspection report the top of ENGINEERINGDRREPORTS STUDIES the cutbank is approximately 35 ft. from the existing leachfield. AND REPORTS pp Y g However, due to the topography, this point is actually higher in elevation than the leachfield bed. The point on the hillside at the same elevation as the leachfield bed is approximately 50 ft. away. WELL INSPECTION Therefor, effluent would have to travel 50 ft. horizontally to daylight SFLOW TEST through the hillside. Given the heavy vegetation and organic soil cover, and the fact that no confining soil layers were found to a depth of 15 ft., we feel the possibility of daylighting is very small. SITE PLANS With this information we ask you to approve the situation as it exists as opposed to placing fill over the hillside to increase the distance to the cutbank as originally proposed. Sincerely, ROAD DESIGN / SOIL TEST ROGER J. SHAFER, P.E. RJS/tv PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 ® Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST VIE jam,:1. PERFORMED FOR: �-F-- DATE PERFORMED: LEGAL DESCRIPTION: ram+, I1� Township, Range, Section: p€P�TH- SLOPE SITE PLAN (F Ee I 1 2 4 5 6 ,. °Ja 0 a' p 7- 8- + 9 D, 10 s d W 11 °e 12 - 6• J 13 • 0 14 0 15 -�'0 A 16 17 18 19 20 COMMENTS I1 WAS GROUND WATER ENCOUNTERED? ICJ s IF YES, AT WHAT L O DEPTH? p E Depth to Water Aft� jj� ,� Monitoring? �3�_1"` . Date: Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE I (minutes/inch) PERC HOLE DIAL ftTER 1 TEST RUN BETWEEN FT AND , FT PERFORMED BY: S & S ENGINEERING I CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loofa Roado. � �� -1 �o ACCORDANCE WITH S j&rA W6 GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev_ 4/851 ATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATER WATER WELL RECORD LOCATION OF WELL BOROUGH SUBDIVISION LOT BLOCK SECTION QTRS SECTION TOWNSHIP RANGE MERIDIAN ,, - � Er �. I — [IN DE CIS Ow LOCATION/SKETCH: WELL OWNER: I / L DEPTHS MEASURED FROM:0casing top Oground surface WELL DEPTH: DATE OF COMPLETION Depth of hole: /00 _f t Depth of casing: 1(20 ft BOREHOLE DATA: Depth %13terial Type 3nd Color From To DEPTH TO STATIC WATER LEVEL: /-/-7 ft below 19 1 top of casing 13 ground surface Date: _-2 Z'/0 METHOD OF DRILLING: air rotary El cable tool ao 4 0 other 4 USE OF WELL: ':,0 domestic El irrigation 0 monitor 13 public supply 0 other CASING STICK-UP: ft. Diam: 6 in. tozzv� ft Casing type: j in, to ft M 4 WELL INTAKE OPENING TYPE: A open end 11 screened n perforated El open hole Depths of openings: to ft SCREEN TYPE: Diam: in. Slot/Mesh Size.Length: ft GRAVEL PACK HYPE: Volume used: Depth to top: RECEIVED GROUT TYPE� Volume: Depth: from ft to ft OCT 161992 DEVELOPMENT METHOD: 14116a"P Duration: 01,11,36-110614ty OT ncAhor— & HM8n I PUMPING LEVEL AND YIELD: ft after ___/_ hrs pumping_gpm PUMP INTAKE DEPTH: ft Horsepower: _ _ WELL DISINFECTED UPON COMPLETION? "0 YES EJ NO - CONTRACTOR INFORMATION: Register d Business Name gnature of Arforized Res p!*Sentative Date REMARKS: PLEASE MAIL WHITE COPY OF LOG TO: DNR/DIVISION OF WATER PO BOX 772116 EAGLE RIVER AK 99577-2116 PAGE 1 OF 1 f /'' c % MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES 1.2 ;off P.O. BOX 196650, 825 "L" STREET, ROOM 502 ' ANCHORAGE, ALASKA 99519-6650 ON -SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920156 DESIGN ENGINEERS & S ENGINEERING OWNER NAME:JIM DEWINTER.-- OWNER ADDRESS:7400 E. 20TH AVENUE ANCHORAGE, ALASKA 99504 PARCEL ID:07819107 LEGAL DESCRIPTION: HUNDRED HILLS 1ST ADDITION BLK 4 LT 4 LOT SIZE: 109563 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 6/26/92 EXPIRATION DATE: 6/26/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. PROVIDE TESTHOLE AND MONITORING AT SITE OF REPLACEMENT SYSTEM. 2. FILL MUST BE ADDED TO PROVIDE 50 FOOT SETBACK TO SLOPE IN EXCESS OF 25%. APPROVAL WILL NOT BE GRANTED UNTIL ENGINEER VERIFIF FILL PLACEMENT. lr 6 RECEIVED BY: DATE: C - " f ISSUED BY: v DATE:' June 8, 1992 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS a e i� y� Munic� aZi o Anchorg DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L StAeet P.D. Box 196650 Anchorage, A2a6ka. 99519-6650 SEWER&WATER MAIN EXTENSIONS REFERENCE: Lot 4; Btock 4; Hundred H.i (t,s Subdiv,i6 ion; Reque,st you .is.6ue a permit to instaU weU and aseptic 6y6tems on the re6menced property aA shown on the attached site plan. SEWER&WATER INSPECTION The ao.itz test u.6ed .in the design o4 the aseptic sy,6tem was peAc ormed during the cAeation o6 the 6ubdiv,i,6 ion. Since the 6o-i 2s were shown to be very good, there .ia no rea.6on to isu,6pect vatciations, and this i,6 ENGINEERING STUDIES e6zentiat.ty a remote subdi.v.izion, we propose the -second test hole AND REPORTS required 4or the a ternate site be excavated ducting the development o{) the property. These are very t akge .iota in th,i,s subdivision we do not anticipate any WELL INSPECTION papnti.c adverse e4Uec.tz on neighbo,%ing propert u by the insta22atxon o6 the & FLOW TEST proposed weU and septic a ystema . 16 you have any queationa or require add.itionat .in6ormation 4or your review, pteaae contact ua. SITE PLANS S.incerety, / ROAD DESIGN ROGER J. SHAD R, P.E. RJS/gm SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Vti Erlgincering, Architectural and Surveying Consultants P.O. Box 774649 Se ruing All of Alaska Eagle Ricer, Alaska 99577 (907) 694.3574 PERFORMEDFOR: Hundred Hills SUb'd, First Addition DATE PERFORMED: 7/14/87 LEGAL DESCRIPTION: (.1 1 1 /L-7 Ref. Pt. #t` 304 DEPTH 1 TO S O11 SLOPE SITE PLAN (FEET) p 1 2 3 4 5 6 Silty Sand & Gravel 7 Sample #11 8 GM, Silty Sandy Gravel, Cobble 9 8" Minus Some Boulders 10 1' to 1 1 /2 ' WAS GROUND WATER ENCOUNTERED? 11 IF YES, AT WHAT 12 DEPTH? 13 I Depth to weer Aber Monitoring? _ 14 15 Bot tom .. OF AL S1 18 j 9 TH 00 19 ,r s; Vemon L Roelb f 5107 ? 20 COMMENTS 1 No S L O rc P E y r Date: ®® Depth r .AWAZIWA PERCOLATION RATE 0.47 Immutesnnch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 4 FT AND 4 1 12 FT PERFORMED BY: _—SELL i DATE t y b m 1" = 60' SCALE ZA10 41t �y° r° onaNp aZr-oRl b 17�r`� Rai �F�A 11 00P rTl O `i = �' Z:71u\ 0 C: �6 o/ is, m n� rn i rn O — Z- OPIF � 3'7 �a 13 cn 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental 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. # 0 HAA # C1 Q L)l . Olt, 1. GENERAL INFORMATION Complete legal description Lot 4; Block 4; Hundred Hills Subdivision Location (site address or directions) Mile 7.8+.-Hiland Road Property owner Jim DeWinter' Day phone 333-5877 Mailing address .- 7400 E. 20th Avenue; Anchorage, Alaska 99504 Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup 2. NUMBER OF BEDROOMS: 2 3. TYPE OF WATER SUPPLY: Individual well X Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on -site X Holding tank Community on -site Public sewer NOTE: 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 021 5. 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 investigation 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 S & S ENGINEERING Phone 17034 Eagle River Loop Road No. 204 Address Eagle River, Alaska 99577 Engineer's signature 6. DHHS SIGNATURE Approved for Z-- bedrooms. Disapproved. Conditional approval for Additional Comments 0 1tITir Date k 5R - f �--�12-- ()F A,( 1�upc�p3�*�9' �!► �l p� �� ROC -Eh JAHAFER f 54 N0. 8215 s: bedrooms, with the following stipulations: Date u 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. 72-025 (Rev. 1/91) Back MOA #21 Municipality OfAnchorage Department OfHealth & Human Services rHEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Parcel iCi A. WELL DATA Well type - If A, B. orC. attach ADEC letter. ADECwater system number �� Lugpreoen"+~..,) Dateoomp|oted Driller Total depth Casedto 'k C��C> Casing height ' \ � Sanitaryooe|6?N) FROM WELL LOG Date oftest Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Wires properly proteotado?N) A.p.m. M _+ < rT1On adjacent lots cj- / . � AbaorpUonfie{d on kd _; On adjacent lots Public sewer main Public sewer nmonho|a/c|eanout ' | Sewer service line Petroleum tank WATER SAMPLE RESULTS: Co|ifonn Nitrate Other bacteriaDate of sample: A= Collected by: e� Date installed IL Tank sizeCompartments ___-_Z- -�� C|eanoutoON) Foundation o|eanou^aSPN` ' —Depression (YoM +--J High water alarm (YYN) Alarm tested MYN Date nfpumping '` Pumper_____ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: ` \ VVe||(s)onlot On adjacent lots Foundation � / -To property line —Absorption field —Water main/service line Surface water/drainage k 6->c;> � � � � 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed . Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA "Pump off" level at Cycles tested Surface water _ Date installed Soil rating C2 System type T��_� 1 , r Length Width l2' Gravel thickness Total depth n Total absorption area Cleanouts present4'N) Depression over field (Y6SIS Date of adequacy test 4 r JY + for 0 Peroxide treatment (past 12 months) (rp t If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot \ c On adjacent lots Property line t --� r 4- To building foundation To existing or abandoned system on lot bedrooms r On adjacent lots' Cutbank--� W ter main/service line Surface water Driveway, parking/vehicle storage area -11�� Curtain drain __- - A' E. ENGINEER'S CERTIFICATION 1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S ENGINEERING 17034 Eagle River Loop Roast No. Signature Eagle river, Alaska 99577 �re A Engineer's Name 1�--1�-`i'2--� ry Date R G SHAFF�'m N 8215 4: HAA Fee $ 176,66 Waiver Fee: $ Date of Payment ZQ'` A —L� _ Date of Payment Receipt Number ��% Receipt Number 72-026 1Rev. 3/911 Rack MOA 91