HomeMy WebLinkAboutROCKHILL BLK 2 LT 27Rockhill
Block 2
Lot
27
#015-063-24
Municipality of Anchorage....i~::l:s ~.:"
Development Services Department
Bulldlng Safety D~vislon ',~
On-Site Water and Wastewater Pr~ram, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page ef
www. ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: .,~'~O.~OO~4O PID Number.
N~.~,: _~C.~.j3t ~ ~4~> WastewaterSystem: [~New [] Upgrade
phone: Number?~edro~m~ ~]~epTmnch ~] ShaIIowTrench I'l Bed 1'I Mound r'l Other.
Sol Ra~ng: Tot~ Dep~ ~om O~g~nat or,de:
LEGAL DESCRIPTION I. ~-
e!ock: Lo~ Subdivi~on: D~olh lo pipe bottom ~om original grade: Gravel ~ beneath pipe;
Township: Range: Seaion: :a added above ~iglnal ~ide: C~'l~el Le~
SEPARATION DISTANCES El/se~ti~ 1:3 Holdi~ [] s.'r.~.~. [] Omer.
Septic ^bsorplion Litt Holding Public/~rivlle I~tnufactu~ec, Ctp~aty:
Tank Field Station Tank Se~er Une t~NLH. TA t,a~L
""~'*': BENCH MARK
En~njeer'~.Stamp
Reviewed and approved by: Ii ~ Date: ~
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~0 ~
I0 FT DEEP
FT. Sglffi'R
SCALE, I' = 50 FI;,
I[OBBEX SPURKLAND P.E.
205 W I$[H. AVENUE
ANCH. AK. 99501
PERMIT # SVOSOO40
SCOIT JOHANNES
~A/N TREE DRIVE
SEPI1C SYSTEt,; AS BUILT
DATE: OCT. 2I, 2003
SNEEr: 2/3 ~,RID:
PID # 015-063-24 ROHO2272.BV6
- O0 0 0 0
Standard Trencht ~ £888 ga! Sept/c tank
E' Vide ~
68' Lon0
I8' ~eep ~
6.8' gewer rock ~
4' Cover ~ ~ ~ A/?~
~...,.~, ..................................
~.....v..~..~.~~.~
~ ~Honlgor
Oeanout~
/
6,0 t~ o~ Septic Rock / ~ ~880 gal ~eptlc tank
Effective
NO SCALE a~ ~ ~
TDBBEN SPURK~AND P.E. ~0~ 2~ BK 2 ~OC~I~ ~/fl S~PTIC SYSTEM SCHEMATIC
~03 ~lS~h Ave S~O~ ~O~J~NES ~ATD O[T. ~I,
Anchorage Ak 9950~ ~ ~ ffi SH~T,
PE~IT ~ S~03~40 P~EL Iff ~ 015-0~3-24 ~OHO2273. D~8
Municipality of Anchorage
Department of Health and Human Services
825 'L' Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
Rick Mysttom http:l/www.ci.anchorage.ak.us
Mayor "* ": '
Permit Number: #SW 030040 Date of Issue: 3-10-03
Date Started: 4-2-03 Date Completed: 4-4-03
Legal Description: Rockhill BIk 2 Lt 27
Property Owner Name & Add tess: Scott Johannes
Parcel Identification Number: 015-063-24
ls well located at approved p~rmit location? [] Yes [] No
Anchorage, Alaska 99516
Borehole Data: Depth (ft)
Soil Type, Thickness & Water Strata From To
stick-up 0 2
organics & silt 2 4
silty gravel 4 7
silty sand 7 23
silty sandy grave/wet 23 42
gravelly silt wet 42 90
silt 90 125
gravelly silt 125 178
silty gravel wet 178 165
gravelly silt 185 232
gravelly clay 232 292
bedrock 292 385
Method of Drilling [] air rotary [] cable tool
Casing lype: steel
Wall Thickness: .250 inches
Diameter: _6 inches Depth: 294 feet
Liner Type:
Diameter: ~ inches Depth: .~
Casing stickup above ground: _2 feet
feet
Static water level (from ground level): 225 feet
Pumping level: 385 feet after
_2 hours pumping _/gpm
Recovery Rate: 1 gp,m,
Method of Testing: .airlift ,. ....
Well Intake Opening Type:
[] Open End [] Open Hole
[] Screened Start__ feet
[] Perforations Start__ feet
Stopped feet
Stopped ~ feet
Grout Type: Bentonite #8 Volume: I bg
Depth: Start 0 feet Stopped ? feet
Pump: Intake Depth ~ feet
Pump size hp Brand Name
Well Disinfected Upon Completion? [] Yes [] No
Method of Disinfection: chlorine tab/ets
Comments:
Well Driller:
Alpine Drilling 8, Enterprises
PO Box 110496
Anchorage Alaska 99511
Attention: The well driller shall provide a xvell log to the property oxvner within 30 days of completion and the property
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(gO7) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Mar 10, 2003
Expiration Date: Mar 09, 2004
Permit Number: SW030040 Parcel ID: 015-063-24
.~'~i'~'~:i~i~'~R'OCKHILL' SUBDIVISION i BLOCK 2 i'.'LOT 27 !
Design Engineer: 0007 Tobben Spurkland, PE Site Address: NHN MAIN TREE DRIVE
Owner Name: SCOTT,~'OHANNES Lot Size: 51504 SQ. FT.
Owner Address: NHN MAIN TREE DRIVE Total Bedrooms: 5 Permit Bedrooms: 5
ANCHORAGE, A 99507-
This permit is for the construction of:
~ Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [] Water Storage
Ail 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:
Municipality of Anchorage
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
Parcel I.D.
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
0/5"-0¢~ - 2.4-
~ Permit Number SWO.~70,CD
Property
owner(s)
Mailing address (1)/V/Y/~ /~f~-I*.,' )"/~'E F:_
Mailing address (2)
Legal description (Lot, Block & Sub'd.) ~. ~'~ ~"~,
Legal description (Section, Township & Range)
Lot Size ~"'/~, .,~'~¢- Acre~?J
Day phone
Zip Code
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Number of Bedrooms
[] Well Only []
. Water Storage []
[] Jacuzzi []
[] Water Softening Unit []
I certify that the above information is correct. I further cedify that this application is being made for a
Single Family Dwelling and is in accordance with applicable MuniciPal Codes.
(Signature of property owner or authorizTagent) ~
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
T.gPUPd LAt D P.E.
203 W lSth. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(90'/) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 27 BLOCK 2 ROCKIlILL S/l)
SCOTT JOHANNES
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
Anchorage, Alaska 99519-6650
March 5, 2003
We are submitting an application for the installation of a well and septic system for this lot. The
submittal consists of three (3) drawings showing the present improvements on the lot and the
adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the ~vell and
septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system,
(sheet 3/3). Soil logs and percolation tests of applicable test holes are also enclosed. The septic
system design is based on the following:
No Ground Water or Impervious Layer to 16 ft.
Use Standard Trench
Soil Rating. From Testhole 02/18/03
<1 min/in= 1.2 gal per sq.tUday
No. of Bedrooms 5
Required Area per Bedroom: 150/1.2 -- 125 sq.ft.
Total area required: 125 x 5 = 625
Testhole depth 16 feet
Bottom Rock At 10 feet
Top Rock At 4 feet
Rock Depth 6 feet
Minimum Trench Length 625 / 12 = 52 ft.
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH 60 FT
TOTAL WIDTH 2 FT
TOTAL DEPTH 10 F'r
ROCK DEPTH 6 let
COVER 4 FT
SEPTIC ANK 2000 GAL
The installation of this well and septic system will not prevent wells and septic systems from being installed on the
adjacent lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoffwill not result from this installation.
.5O 0
TOBBEN SPURKL4NO P.E.
203 I~ 15TH. AVENUE
ANCH. AK. 99501
(~0~) 2~-3~
PERMIT # SVO3OXXX
' /
~ iiI
~ IIi I
\ I
~ Ill I
VACANT
Ping # OI6-]4]-XX
SEPTIC SYSTEV OESIGN
flATE: /CEE. 14, 2003
SHEET: I/3 C, RID: 2438
ROHO2271.~gP/G
; 'P;.., .-..-.:~ / ,~"' .,?..,..~ .......... ~ .'.'...::',.?~, ,
,t/:i!i!i7 .11 ......
,,:l ," / ',:i,, .......
",:',. /,/
,, :~!'] /
--I
~' $C~££~ 1~ = 50
'
roeeEN SPURK~NO P.E. LOT 27, BLOCK 2, ROCKHI[,[, $/B sEPnc SrSTEM OESt~N
205 W I51H, AVENUE
ANCH. AK. 99501 SCOTT JOHANNES OATE: MAI'CH 5, 2003
(907) 279-$916 MAIN TREE ORIVE SHEET: 2/, C, RIO: 2,~8
PERI, fIT II SVO3OXXX PZ9 # O]6-14]-XX R£HO££7~OVG
Standard Trench;
£' Vide
68' Long
18' ~eep
6,8' Sewer rock
4' Cover
SI! ~ £arrler .
NO SCALE
· -0 0I
£000 gol Septic
, Monitor
NO SCALE
6.0 f't: of' Sep,tlc Rock
Eff~ctiw
0
~OOO gal septic tank
TBDDEN SPURKLAND P.E, II
~03 Vl5th Ave
Anchoroge Ak 99501
LOT 22, BK 2 ROClO~lt[, $/B
SCOl-f JOHANNES
[SEPTIC SYSTEM SCHEMATIC
DATE, ~ARCH $, 2005
PERAtlT ~ SWOJOOXX PARCEL Iff j~ OIG-14I-XX ROHO2275.DWG
Pe,,'formed For:
Legal Descripticn:
1-
2-
3-
4-
5-
6-
7-
8-
g-
10-
11-
12-
13-
14-
15-
16
17-
1~-
20-
S.o s Log - Percolation Test
Slc~e Site Plan
COMMENTS
Municipality of Anchorage
Development Services Department
Building Safely Division
On-Site Water and Wastew'ater Prcgram
4700 South Bmgaw SL
P,O, Bex le,6650 Anchera~;e, A~ 99519-6650
w,,vw.cl anchcr~qe.ak.us
(~c07) 343-79o4
I I
WAS (~ROUND WATER
F,.NCCIJ:'ITE R?~ ? N 1:3
S
L
tF YES, AT V ,~-tAT DEPTH? O
Depth to Water AP, et ' .~ p
Monitoring? ~ E
Re3ding
[ Da',e I Gross'rime I NetTime I Dep~,h toWaterI
I
FER~CL~,TtO,"! PATE ~ r~n,;le.t'~.c.'~) FERC HOLE OIA,'.IETEA
TEST R~JN
Net Drcp
PERFORMED IN ACCORDANCE V'tTH A.L STATE AND MUN;CIPAL GU[~IN EFFECT ON TH'S DATE OAT=' ~' ~'/~:~_.~
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Ahchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
GENERAL INFORMATION
Complete legal description L-o
Location (site· address or directions)
Current Property owner(s)
Mailing address.
Expiration Date: ~" ,.~ I - 0 /,./t.
· Day phone
Lending agency
Mailing address
Day phone
Real Estate Agent
Ma!ling Ad'd~'ess
· unless otherwise requested, HAA will be held by DSD for pickup.
2. ,"NUMB'ER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual WaterStorage
Community Class ~
Public Water System
Day phone
Well
TYPE OF WASTEWATER DISPOSAL:
~ Individual On-site E~'
[] Individual Holding tank []
[] Community On-site []
[] Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority Approval'are
valid, for 90 d,ays 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,~)ne 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.
Legal' DeScription:
A. WELL' DATA:
- MunicipalitY'of AnChorage
Development serVices Department
Building Safety Division
on-site Water & Wastewater Program
'~ ' 4700 South Bragaw St..
P.O. Box 196650. Anchorage, AK 99519-6650
~' i. www.ci.anchorage.ak, us
: . ~(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Date completed ~-~-0 '~;'" i' IS~nitary se~l (YIN)~ ~res properlY~p~otected ~/N)
:..~ Casing height' (above ground)
V
.2? in.
Date'oftest ' :
Static Wate=~ level
Well production
g.p.m.
WATER.SAMPLE RESULTS: ,,,,. i '~ I ' ~' ; [
'Colifoi' ,m ' colonies/100 mi.. Nitr~{~
: ' ', :.i '.
'Arsenic::,. mD.II. ,. ;. ,. ! . '~[ ' · =.'~
Date, of sample:
B.' SEPTIC/HOLDING TANK DATA '.; ~, ': i, r
:' :7 ,", [~; ',,: !~'.' I :...~!/ ,
tankType/Material ~ ~ t.."' i~,
Tank{iz~ i'~/J4LU g~l. ' ~:'NUm'ber°f~0:mpa~ments
Other bacteria' '; ~ colonies/100j:pl.
Clean0uts (Y/N)' ' ~'//
Foun~at,,9g cleanout (Y/N) ~ : Depression over tank (Y/N).' [i~ High water'ala~ (Y/N)
Date in, ,st~l!e~. ~-Y~O ~ .S0il rating ,(g.p.a.ift2 orft~/bdrm)i. Li ~ ' ',. Syster~lJI~t~p~~
Total d, ep!h..~ltO ft.. E~f. absorp!,on a[ea [ 7A) ft';'Monitoring tube, ~_~.',' Depression over field
Date of.,a,d, equacy test /~ ~ ' ' ~i:i ?,, Results (pass/Fail) .~ ~-I~ , : : ~ ~ :,' For ~ bedrooms
Flu d depth in absorption field before'teSt L ~L2'i in ' :Water'a '~,'~n= I ' : :' ' ' : ~''; a'"*h ~
'Absorption rate >= g.p.d.
Elapsed Time:,' v min. ' . .'), Final fluid depth ~" in.
(past 12 mol)I(y/Nl & type) ,:-:
Any re Livenation treatment
.:,':i'- :.!:]j:..~, - ' '!
f /e , give date
!2-23-03 ~5:48~J ;ROLI-CT&E ESI, SGS EflV SERVICES 90TSE15381 T-93B P.OI/O1 F-T62
! 2~ W. Po~er Drive
Water lysis Repo for Total Colifom Bacteria
Tel: (907}
~ INSTRUCTION~ ON ~FE~E SIDE BEFO~ CO~EC~G 8~PLE Fax: 1907) 661-5301
MusT BE COMPLETed B~/ WATER'SUPPLIER
I'1 PUBLIC WATER SYSTEM I.D. # III1'111
I~ Seem ReJnlt~ [] Send hJvolct
· ,~ ~l.m: ~p Cod[;
Month Year
SAMPLE TYPE:
'~ Routine G Treated Water
/O Repeat 8ample (for routine sample ~L. Untreated Water
with lab ref. no. )
f
12 Special Purpose
Time Collected
SAMPLE LOCATION Collected By
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
Satisfactory
[] Unsatisfactory
[] Sample over 30 hours old, r~sults may
be unreliable
[] Sample too_long in transit; sar,pie should
not be over~Dbours old at examination
to indicate reliable results. Please smd
new sample via special delivery mail.
Date EeceiYed
Time Reteived .)
Analysis Began
Ann. lytl~-,I Method: B, Membrnne Filtrr
o MMO-MUG
Analynt
JUn
Date: Time:
Client notified of unsatisfactory results:
p.-
Commel~t~:
Date:
Pt,~,e Ih. Jar
BACTERIOLOGICAL WATER ANALYSIS RECORD
MMO-MUG Result: TotMCeliform
Membrnne Filter: Direct Count
Verification: LTB
Fe~! Coliform Confirmation
Final Membrane Filter Re~lU
£. Cot;
O~ / ~ t~.~;~f~,&. , Colonlux/100 mi
BGB COLIF1RM.
Spoke with
Time:
~ j~:f~'¥' ' ColiformllO0 mi
[]
Fnxed
[]
I:I:;L h s,.,,,, m,.i.,l .'-;~a at s.s Im _ti00 WeS1 Prater Dr,ye. AnchoreGe. NC 99518-1605 t IE, O?l Sb"2-Z]43 ! 1907) 561-6.301
/
~bh-atm. S~$'Srnup IS~t:t G&airalm am Sur,ed'utcm)
SGS Ref.#
Client Name
Project Name/#
Client Sample ID
Matrix
Sample Remarks:
1037931001
Tobben Spurkland P.E.
Lot 27. B2 Roe 'khill
Lot 27, B2 Rockhill
Drinking Water
All Dates/Times are Alaska Standard Time
Printed Date/Time 12/19/2003 7:30
Collected Date/Time 12/15/2003 15:15
Received Date/Time 12/15/2003 15:37
Technical Director ..~ Ste~bel~C. Ede
Release d~~ff/~
Allowable Prep Analysis
Parameter Results PQL Units Method Container ID Limits ' Date Date
Waters Department
Nitrate-N
0.100U 0.100 mg/L EPA 300.0 B (<=10) 12/15/03
Microbiology Laboratory
Total Coli£onn
TNTC OB col/100mL SMIB 9222B A (<=I) 12/15/03
DKC