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HomeMy WebLinkAboutHULTQUIST HEIGHTS LT 2Hultqui
H
ights
Lot 2
#020-044-04
SUeMITTAL
Municipality of Anchorage
On-Site Water and Wastewater Program · (907) 343-7904 Page (' of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: O 5¢ ~.'~ ~ '~:~ (-~ PID Number: (~2 O -~ -¢ ~
Dwelling:~Single Family(SF) ~ Duplex (D) ~ Multiple (SFand/or D) Project: ~New ~ Upgrade
Name: ~ ~(,~ ,, ~ ABSORPTION FIEbD
~ddress ~eep Trench ~ Shallow Trench ~ Bed ~ Mound
~ / ¢~0 ~ ,. ~.~ ~. UOther
LEGAL DESCRIPTION Depth to pipe inve~ ~om original grade Gravel depth beneath pipe
Subdivision BIo~ Lot ~1 ~t. ~, ¢ Ft
5~t[~ ~'/~ ~'[~ ~ ¢~ ~/~ ~/~. Filladded above odginal grade Gravellength
rownship, r o~ ~ ~ Z Range Seo[io.~/~ I/~ Ft. H~ Ft
~Wi~' Grovel width Beds: NumberofLines Distance be~een lines
SEPARATION DISTANCES ~t ~ Ft. ~ Ft.
-mm Tank Field Tank Une ~ ~ ~ F~ ~ ~ FL
Well /001~ i00(~ ~ ~/~ ~TANK ~Septic~S.T.E.P.~Holding~Other
Manu~cturer Capaci~
Su~m Water [0~1~ t 0 ~ ~ Material Number of mmpa~ments
Lot Line (~ ~0~ ~ NA LIFT STATION
Foundation 1~ r~ ~ ~ ' ~anufacturer Capacity
Cu~ain Drain ~j ~ j ~ Gal.
Remarks Pump on level at P~p~~ ~ water alarm at
PIPE MATERIAL House to tank ~¢ ) ~ drainffeld ~e
Installer ~,kt~,~,¢~ ~r~, D~infield )~( CO/MT
InspectOrlnspection ~~/~ ~ ~,A ~ ~'~1 ~ENCH MARK (Assumed elevation) I~
dates: I ~[;~ [(~> ~¢~0 tl/,~/~ .ocationanddesc~ption
COMMUNIT~VELOP~T~E~PARTMENTAPPROVALi. /
,...'..-.~. ,' ; ....
~,~ . CE v94~ ..~,:
~ ~,, ,' .'.~ ~
Inspection RepoK_,(
Permit No. 0SP151586
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: 545-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: T11N, R3W; SEC 2, SE4NW4NW4NW4&NE4SW4NW4NW4 PID No.: 020-042-02
I
EXISITN6 WELL
TC02 23
C03 25 ~50 ~~'~ ~ TCO2W~ ~ / m
coo ~. ~~.~'~co5 ~ ~ m
MARK ~ A B '\
,C01 4 31
C02 6 32
TCO1 13 37
TC02 25 46
CO5 25 50
C04 28 [ 52
C05 48 ', 6,3
MT ~35 ~60
C06 ~8 6,6
SEPTIC SECTION
Performed For:
Legal Description:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Road
P.O. Bo;( 196650 Anchorage, AK 99507
vcww c anchoraqe ak us
(907) 343-7904
Soils Log - Percolation Test
8-
9-
10-
11-
12-
13-
14-
15-
Slope
17-
18-
19-
20-
COMMENTS
Date Pefiormed:
Township, Range, Se~ion:
Site Plan
WAS GROUND WATER
ENCOUNTERED? ~ "~ ~
S
L
IF YES, AT WHAT DEPTH? /~-' O
Depth to Water After ~ p
Monitoring? 4'~' E
Reading Date Gross Time Net Time Depth to Water Net Drop
,,/"~./,, /[~,, '0~,. ~ " .~ '/
,,
PERCOLATION RATE 7.~ (minutes~nch) PERC HOLE DIAMETER
TEST RUN BET%~2EEN .~.~L_I T AND ~ FT
PERFORMED BY: I CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
Alpine Drilling & Enterprises
Well Log
Permit Number: #SW131386 Date of Issue: 11-8-13 Parcel Identification Number: 02004202000
Date Started: 11-9-13 Date Completed: 11-10-13 Is well located at approved permit location? x Yes [] No
Legal Description: TI1N R3W Soc2 SE4NW4NW4NW4Ne4SW4NW4NW4
Property Owner Name & Address: Pinard Paul E & Dorothy Hultquist Homes
20919 Elsie Drive
Chugiak, Alaska 99567
Borehole Data: Depth fit)
Soil Type, Thickness & Water Strata From To
Stick-up 0 2
Gravelly silt 2 11
Gravelly sandy silt H20 ] 1 17
gravelly silt 17 54
silt 54 58
bedrock 58 366
Method of Drilling x air rotary [] cable tool
Casing type: steel
Wall Thickness: .250 inches
Diameter: 6 inches Depth: 60.5 feet
Liner Type: __
Diameter: __ inches Depth: feet
Casing stickup above ground~feet ~,
Static water level (from ground level): 0+feet
Pumping level: 366 feet after
2 hours pumping 3 gpm
Recovery Rate: 3_ gpm
Method of Testing: air l~ft
Well Intake Opening Type:
[] Open End x Open Hole
[] Screened Start __ feet Stopped __ feet
[] Perforations Start __ feet Stopped __. feet
Grout Type: bentonite granules Volume: 1 bg
Depth: Start 0 feet Stopped ? feet
Pump: Intake Depth feet
Pump size hp Brand Nmne __
Well Disinfected Upon Completion? x Yes [] No
Method of Disinfection: chlorine tablets
Comments:
Well Driller:
Alpine Drilling & Enterrprises
PO Box 110496
Anchorage AK 99511
Municipality of Anchorage
Community Development Department
On-Site Water and Wastewater Program
4700 EImore St. · P.O. Box 196650 Anchorage, AK 99519-6650 · http://www.muni.orglonsite · (907) 343-7904
Legal Address:
Subdivision
Well Decommissioning Log
T ,~) t',/ R ~/cO Section ~-~ Lot__
On-site Water & Wastewatar Program codified contractor performing the well decommissioning:
BlockLot
~ ~'1~,, 4'~ '1,~ /v ~ ' ) ~ , ~ ~ y,/ e- ~t ~ ' /,~ ~ ~ '1~
Company:
AMC
1
5.55.060L1
Well decommissioning date ~ Method of decommissioning:
Location: Use the space below to provide a drawing of the property showing the following items;
North arrow
Decommissioned well.
Other water wells on the property,
Two separate swing-tie distances for each well shown on the drawing,
Note; The swing-tie distances shall be measured from either permanent structures or the property corners.
a.l'-I b.l-1 c.,12[
G:~Community Development\Development Services\Building Safety\On Site Water and Wastewater\Forms~Client Forms\Well Decommisioning form.doc
12/22/201~ 01:2: 907-3~5~0282 4LRIHE DRILLIb~ PA6E 01/01
Me, or
Development Se~vice~ l:)eportment
Building ,~fety bivision
)n-Site Watee & W~stewatee P~m
47oo Ehnore Ro~d
P,O, Box ~6650
Anchorage, A~ ~5C7
Pump Installation Log
Well Drilling Permit Number: S~V 3613a
Parcel Identification Number:?-~%42o~0~
Legal Deeeription
T11 N R3W Sec2 ~E4N'W4 NW4NW4 Ne4SW4N~W4Nw4
Pump Installation Date: 4/9f14
Date of Issue: ~l~-~a
Property Owner Name & Addrese:
Pi~lard Paul E & DaroIhy / Hultquist Homes
Pump Intake Depth ~elow Top of Well
Pump Manufacturer's Name: ao~sl
Pump ~[odel: 7GGI~413CL
Ca*ing: 354
feet
Pump Size ~,~ i~p
Pitlee$ Adapter Burial Depth. ~/^ feet
Pifle~ Adapter Manufacturer's Nam~
Pitiers Adapte~ Imtallcr: N/A
Well Di,'linfeeted Upon Completion? [] Yes ~ No
Method of Disinfection:
Pump IastnUer Name: Aamw Pump & Well' Serlio.e,
P,O, BOX 110496
LLC
Attention: The pump ~a~talle~fi,?~ali pro~,ide e, pump
installariorl log to the DSD wjt}fin 30 clays of pump installmion~
May 6, 2014
Debbie Wockenfuss C/O
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re;
Legal:
New septic system (15810 Elizabeth St. Tax ID 020-042-02)
Hultquist Heights Lot 1-3 (S12008-1) Review comments
Dear Debbie,
The letter is in response to your comments dated 5-5-14
1. Soils logs for lots 1 and 3 do not have seasonal high ground water monitoring.
A note will be added to the soils logs stating they were monitored through the seasonal high
water period of 2013,
2. The other soils log submitted is not labeled.
The soils logs will be revised in your office.
3. Water availability: based on info submitted, is there plenty of water for 2 additional wells?
How will these 2 additional wells affect the neighbors water supply.
The area has lots of water and the two new wells will not affect any of the neighboring wells.
4. Wrong scale is oh the site plan.
The scale has been revised for the '1 lx.17 sheet.
5. Septic reserve areas must meet the required separation to surface water.
The '10,000 square foot reserve area has been revised
6. Septic reserve areas must meet the required separation to a slope greater than 25%.
The reserve area on both lots .1 & 3 have been revised,
7. Septic reserve areas must meet the required separation to property lines.
The reserve area on both lots .1 & 3 have been revised.
8, What is the dashed line oval on lot 2?
Its the old septic from the house that was removed,
9. Label the contours.
The contours are 4' and have been labeled on the drawin¢
10. Please check the well info provided on the site plan. Some of the info appears incorrect.
The MOA well information has been included with the submittal which show we have lots of
water in the area.
Please call with any questions.
Sincerely,
Michael N. Anderson, P.E.
4661 Natrona Ave.
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
Permit Number:
Tax Code Number:
Work Type:
On-Site Water & Wastewater System Permit
OSP131386
02004202000
WellSeptic
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Effective Dates: November 06, 2013 to November 08, 2014
Design Engineer: ANDERSON CONSTRUCTION & ENG'G
Subdivision: T11N R3W SEC 2
Site Legal Address: T11N R3W SEC2 SEz~WzI~W4~W,~NE4SW4NW4NW4
Owner/Address: PINARD PAUL E & DOROTHY
20919 ELSIE DR CHUGIAKAK 995676144
G:3238
Site Mailing Address: 15790 ELIZABETH ST, Anchorage
Lot Size in Sq Ft: 214500
Total Bedrooms: 5
This permit is for the construction of:
Y Disposal Field Y SepticTank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Depadment at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions: __-- ~ ~' ' .... I ~:~ ' '~..
1. The existing well is to be decommissioned prior to final Inspection Repor~ approval.
2. The Engineer needs to do an additional test hole prior to the construction of the septic field.
Construction may proceed at your own risk before the 7 day water monitoring is complete. Please
submit stamped and signed results with the As-built Inspection Report. If the results require a
design change, construction of the system will stop pending On-Site review and approval.
Received By:
Issued By:
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 02~¢~ ~'~, ¢2. ---'~ 0'~-0 ' ¢"°c?--- -O ~
Property owner(s) ~.~ ( ¢-¢/,~, f ~- ~-/d.t ~.- z~
Mailing address
Phone:907-343-7904
~ax:907-343-7997
Day phone
Site address
Legal description (Sub'd., Block& Lot) 'f"///d', ['~..~ <;-c~.
Legal description (Township, Range & Section)
Lot Size ?--f~'!~¢O Sq. Ft. Number of Bedrooms
APPLICATION IS FOR:
([~ all that apply)
^bsorption Field ~
Septic Tank
Holding Tank []
Privy []
Private Well [~
Water Storage []
APPLICATION IS AN:
TYPE OF DWELLING:
Initial []
Upgrade []
Renewal []
Single Family (SF)
(w/wo ADU)
Duplex (D)
,~,~, Multiple Dwellings
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct, I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or author zed agent)
~yment:
Receipt Number:
Permit No.
Date of Payment:
Receipt Number:
Waiver No.
Permit App_J- :-
Michael N. Anderson, P.E.
Civil/Structural Engineering & Construction
4661 Natrona Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
Oct 15, 2013
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re:
Legal:
New septic system (15810 Elizabeth St. Tax ID 020-042-02)
T11N R3W SEC 2 SE4NW4NW4NW4&NE4SW4NW4NW4
To Whom it may concern:
This is a request for a replacement septic and well permit on the above referenced lot which is being
subdivide into 3 lots. The property has been purchased by Hultquist Homes and a single family home is
being conslructed at the old house site. One test hole was excavated at the east property line of the lot and
showed good silty gravels for the entire 18 foot depth. Water was observed in the test hole at 16 feet but the
static water level in the old shallow well was 15 feet which is about 50 feet away. This shallow well is to be
decommissioned due to location and depth. The old septic system is located within 50 foot of open water
therefore a new system is required, see site plan. The soils in the test hole consisted of various layers of
sandy gravels and silty sands throughout the entire test hole. A new simple deep trench was desig~aed witb
6 feet of effective depth is being proposed. The perc rate was 3 minutes per inch with an application rate of
1.2 GPD/SF which means the length is 52 feet.
The lot is flat at the septic area then slopes gently downhill to the southeast at about 5 percent with no cut
banks or slopes greater than 25 percent within 50 feet of the site. This new system will not impact any of the
neighboring lots.
Please call me if you have any questions.
Since~
Michael N. Anderson, P.E.
DE'ION CRITERIA:
, ~-MOUND OVER
(TH~I) ~. --~'~/--GRADE
5 BDRM X 150 = 750 OPD
SOILS = 750/1.2 = 625 GPD 2.o_ ORG I ~:------/~"'""-~R~EpRI
625 GA/14 = 45' ~ p~ABRIC
(1) TRENCH GM/GP ~--SEWER ROCK
9.0' DEEP H20015' OCT 2013
7.0' EFFECTIVE -lO.O
2.0' WIDE 12.o'I
45' LONG 18_ '
SEP~C RE~ SEC~QN
, LOT U.E
DECOMMISSIONED P~ ~ ~ ~-~_ :::::::
x, I ~ TO BE A~DONED m I
'~ I / ~
~ PROPOSED REPOT / --~I~N~
~ELL p-~ LOT LINE~ D~ ~E/OPEN I ~ :::::::~
/ m '~ I WA~R PER MOA [ J~::::.~
~/ ~,
.,~ s~ ~ ,,m ml~::
Septic Design Prepared for
CODY HULTQUIST
T11N R3W SEC 2 SE4NW4NW4NW4&NE4SW4NW4NW4
Anchorage, Alaska : -- = ,,,,-~
..~
Michoe/ N. Anderson, ~.E. ~r[:
....... n ....... ~ ..... ~--~-F-J .... /~ ......
/ ~ LOT UNE~ ~/ /
./ ! ~/ ~ /kk ~ I
t / / ~" i / ~ ') / LOT UNE~
/ i ;~'/ / / ~ /
PROPE~ , ,~ ~ / ~ , . ~-'''%., " ' ',
I '
~ aE ~o~Eo m~ ~'qC:';' :'
i ~ ~ ~ ~ SLOP~ >2~ /'/ ...........
~ / ~ S " ~ ~ T
I ~ I / /
CODY HULT~UIST
T11N R3W SEC 2 SE4NW4NW4NW4&NE4SW4NW4NW4
Anchorage, Alaska
Michael
N.
P.E.
~MICHAEL N. ANDERSON$~
~,;~,.. No. c~ 9~ .z~
ANCHORAGE, ALASKA 99516
545-5577 / FAX: 545-1391 SCALE: 1"=50'
Performed For:
Legal Description:
7-
8-
9-
10-
12-
13-
14-
15-
16-
17-
19-
20-
COMMENTS
Municipality of Anchorage
Development Se~ices Depa~ment
Building Safety Division
(907) 343-7904 ·
Soils Log- Percolation Test
~ ~ ~ ~ Township, Range, Section:
~f~. ~. Slope
WAS GROUNDWATER
ENCOUNTERED?
FYES, AT WHAT DEPTH?
o
[qr p
Reading Date Gross Time Net Time Depth to Water Net Drop
PERCOLATION RATE ~t~ (minutes/inch) PERC HOLE DIAMETER
EST RUN BETWEEN ~FT AND_~.,~FT ·
--"-- '
PERFORMED BY: ~f ~,~ I CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ,~1~//~!'~
Municipality of Anchorage
On-Site Water and Wastewater Program
(907) 343-7904
Certificate of On-Site Systems Approval
ParcelI.D. (.2ZO-O~-I?~-~ ~,
Expiration Date:
1. GENERALINFOR~ATION
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
-T///,(/ fZ ~k.)
Day phone
Day phone
2. TYPE OF DWELLING:
S
ingle Family (w/woADU)
Duplex
[] Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class __ Well
TYPE OF WASTEWATER DISPOSAL:
Individual ~
Holding Tank []
Community []
WaiverNarance reouest for
Received by:
COSA to be released to the engineer, unless othen,vise requested by the engineer,
Distance:
COSA Fee $ &~l
o ,eof, ,m .t
Receipt Number [ ."~
COSA# 05C..IqlZq}
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
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,
based on procedures outlined in the Certificate of On-Site 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 alt applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation,
Name of Firm
Address
Engineer's Printed Name
Phone
Date
DSD SIGNATURE
~ System #1 Approved for
System #2 Approved for __
Disapproved
Conditional approval for __
bedrooms
bedrooms
bedrooms, with the following
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7, ATTACHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
X
Nitrate Advisory
Arsenic Advisory
Other
Legal Description: '~/I.x.(/
A. WELL DATA
Well type ,~'tv~,
Date completed /[.//t)fl.'~
Total depth ~(/('~ ff.
· If more than t septic system is on the lot:
COSA Checklist # of
¢ © ~ ~--'~ b ~ Structure served by this system __
Ce ificate 0f On-Site Systems ApprOVal Checklist
IfA, B, otC provide PWSID #
Sanitary seal (Y/N)
Cased to 5'0u) ft.
FROM WELL LOG
Date of test '1/10 f/' ~
Sta~c water level ~-~ ~.~[~ ft.
Well production '~ g.p.m, g.p.m.
WATER SAMPLE RESULTS:
Coliform _..~_~colonie~lO0 mL Nitrate _~mg/L
Arsenic ~/fl)' ' ug/L Oateofsample.~.
Well Log (Y/N) y
Wires properly protected (Y/N) V
Casing height (above ground) ~ in.
AT INSPECTION
Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material ~ {--~ (.
Tanksize /~'0o gal.
Foundation cleanout (Y/N)
Date of pumping ~'~
Number of Compadments 2.-
Depression over tank (Y/N) /'~
Pumper . ~
Date installed
Cleanouts (Y/N)
High water alarm (Y/N)
Length
Total depth C~ ~"' ff.
Date of adequacy test
Fluid depth in absorption field before test ~'- in, Water added
Elapsed Time: ~ min. Final fluid depth ~ in.
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
ABSORPTION FIELD DATA
Date installed I1'[1~//~ Soilrating (g.p.d./~or f~/bdrm)
abso~tion area ~0 ~ Monitoring tube
Eft.
Results (Pass/Fail) ~
ft. Gravel below pipe -~, ~ ff.
Depression over field ,/~
For bedrooms
gal.' New depth in.
Absorption rate >L- ~ g.p.d.
If yes, give date ~
D. LIFT STATION .
Date installed Size in gallons Manhole/Access (~iN).
"Pump on" level at leve! at
Datum .~,. Cycles test~ Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
Animal containment areas
On adjacent lots . / 0 ~ ~ 1/'
On adjacent lots ( 0 0 t j~_
Public sewer manhole/cleanout
Holding tank
Manure/animal excrete storage areas
SEPTIC/t=t(~E:~IG TANK ON LOT TO:
Building foundation / 0 I Jr-
Water main h//,4.,
Wellson adjacen(Iots I I~ D~ Jo'
· ABSORPTION FIELD ON EOT TO:'
Property line ! 0 / J¢
Water Service line ! 0 I) ~'Jr-
Curtain drain /,~01~..)
Property line ~- D ~'~ Absorption field
Water ~ervice line ( o ~ Surface water
Building foundation
Surface water (00
Wells on adjacent lots
F. COMMENTS
Water main /~/
Driveway, parking/vehicle stc~age ~--
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name
Date
COSA brown sheet_lO-10-12.doc
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