HomeMy WebLinkAboutROSEBUD HILLS BLK 1 LT 8 Municipality of Anchorage Page / 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: .~VV/~*7~:)I[C~ PIDNumber: O1~-~'(~1 - ~
Name: ~ ~ ~ ~ Wastewater System: ~ew ~ Upgrade
I/ZP ~ FZd ~ ABSORPTION FIELD
Phone: [ No. of~Bedroo ~Deep Trench B Shallow Trench ~ Bed B Mound ~ Other
Total Depth from original grade:
LEGAL DESCRIPTION so,,~,~g: ~,~ GPD/Sq. Ft. /~.~ -- /~, 7
-- Subdiv~ion: ,/. /~ Depth to pipe boEom from originalgrade: Gravel depth beneath pipe
Township: I Range: I Section: Fill added above original ~e: Gravel length:
Number o~lines: Distance be~n lines:
WELL: ¢ New ~ Upgrade Gravelwidth: ~ Ft. ~ Ft.
Classification (Private, A.B¢C): Total Depth: Cased To: Total absorption area: Pipe material: ~
Driller: .... I Date Dril~d: StaticW~Level: ~ ~~ ~. installed: ~/~
Yield: I -- I Pump ~at: Casing Height Above Ground:
.7b ¢"~1 ~/¢n ct. I ~ ~'' TANK
SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P.
TO Septic Absorption Li. .olding Public/Private Man~cture~ ~ Capacity i~ gallo~s:
From Tank Field Station Tank Sewer Lines ~¢ ~¢ ~
, ¢~ Mat, riaJ; U¢ t¢¢ [ Num,er of Compadments: ~
Sudace
w~t,~ /~¢~ /¢¢~ ~ - -- LIFT S N
Lot , , Size in gallons: I Manuf~
Line /~ ~ /0 ¢ ~ ~
Cudai,Drain ~ /~ ~l /~ ¢1 -- -- ~ P~& Model Electrica[~pedormed by:
Remarks: ~ ~ ~D~ ~~ ~~ BENCH MARK
Location and Description: ~ ~~ ~
Assumed Elevation:
ENGINEER'S SEAL
Inspections pedormed by: ff~ ~ Dates: 1st 7-1~ ~7 ~*.~,..~.,~.,
Deparlmenl ol Heallh and Human $ewices approval
72-013 (Rev. 9/91) MOA 25
AS-BUILT SYSTEM DETAILS/SITE PLAN P~,m,-~ SW970119
LET 8, BLOCK 1, ROSEBUD HILLS PID~017 381 33
/ /
35,3'
4a.a' )
8a,a' ~7 5 0 I
F=80,4' k J
~ ~ FINISHED GRADE
3 ~1~50 G&L~
~ / ~ANL ~ SEVE~ ROCK j ~.~.
OF
z ~ PREPARED FOR', SCALE, NTS
T llaO W. 77TH APT. A
~ ANCHORAGE, ALASKA 99518
~s~u,[T: BLS ~$: 5/9/98 EAGLE ~IVE~, AK 99577-8736
~~~ DWG. FILE: GRID: 2837
Acta F~.[: 97027.DWG .OB .o.: 97027 (907)696--6111/FAX (907)696-8111
~' STATE'OF ALASKA' ' '
. /
· ~ DEPARTMENT OF NATURAL' RESOURCES .\
· ' : J DIVISION'OF MINING & WATER MGMT '
· " WATER WELL RECORD
CAYION OF W LL .. .-'
BOROUGH J ..,,-a SUBOIV~ION LOT BLOC~ SECTION QTRS SECTION TOWNSHIP RANGE MERIDIAN
DEPTHS MF.~SUREb FROM:J~casing top ~grou~d su.ace ~L DEPTH: ~ ~ DATE OF-COMPL~ION
Material Type and Color From To ' - -
.~~ DEPTH TO STATIC WATER L~EL:
,
" ~ USE OF WELL: ~domestic ~ irrigatioh D monitor
' . .., ~ pedorated ~ open ·hole
~ Slot~esh Size: Length: ft
G~VEL PACK TYPE:
'. Volume used: Depth to top:.
" Depth: from ft to ft
P~MPING L~EL AND ~LD:
~ft after ~ hfs pumping , 7~ gpm
PUMP INTAKE DEPTH: · ft Horsepower: ~
W~L DISINFECTED UPON COMPL~ION? ~ YES ~ NO
3NTRACTOR INFORMATION:
~ ;gj, stered Businel;~ Name.· ·
~fi-ature ot Authorized RespresentatiYe
Date
REMARKS:
PLEASE MAIL WHITE COPY OF LOG TO:
DNR~IVlSION OF MINING & WATER MGMT
3601 C St, Suite 800
Anchorage, Ak 99503-5935
FEB 24 'gB 03:4BPM HTL AHCHORAGE P.2/4
NORTHERN TESTING LABORATORIES, INC.
3330 INDU$'FRrAL AVENUE FAIRBANKS, ALASKA 99Y01 (907) 456-3116 · FAX 456-3125
8005 SCHOON STREET ANOHORAGE, ALASKA 99,518 (907) 349-1000 ,, FAX 349-1016
DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM
KND Engineering
20441 Ptarmigan Blvd,
EnnJ~-.ElYer,.. AK g9577-$736
Data Received: 2/11/9B Time Received: 15:15
Date Analyzed: 2/12/88 Time Analyzed;- 16:00
DateRe~erted:,- 2/-t8/98- Time. Rm3orted;' 1,5:28
Next Sempl~Due:
Cerements
Phone-N~mber! ~": []
Fax Number: U []
POS =
Collected by; KR ND =
TNTC []
Sample Type', Privatewetar.Systems. CG =
Method of Analysis:- Membrar~_J~iltration.(SM~g222.I-ISM =
a) SA
Comments:
Sample SimPle
Date Time
Oid--
R
[,fl'
Total* Fecal Other* HPC**
Coliform Coliform Electe~a Result.
Unsatisfactory
Positive'Test Result
None Detected
Too Nemero. us .'Fo. Count. (~,~208-Ootonies)"
Confluent Growth
L,4eav~ Se(f, iment. Maskln~,:Rescdts'M~':Not'Ba'f~lt~le' '
Snm.~le.,A~e >31CLH.ours Bkrt <48-1Z'~_!~ Eesults. May
Net-Be-R~able
· Sam,,p[c-A~e~>4~'Hours~'Too-(Nd:Fo~'Anat~
Resaml3ie. Requimd
No Test
Loeatien. Cemme~s.-
2/11198 14:00 0 ND
0 NT AC6177x ROaEeUD, 51 L8 eal~l'actep/ "
Sharrl L. Trask Envfmnmmnt91 Analyst
Northara l'e~ting LaboratoN~, In~ Anehera~e~AK-
FEB 24 '98 OB:4BPM HTL ANCHORAGE P.
NORTHERN TESTING LABORATORIES, iNC.
3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 4~6.3116 * FAX 456-3125
8005 8CHOON STREET ANOHORAGE, ALASKA 99518 (907) 349-1000 · FAX 349-1016
110441 Ptarmigan Blvd,
Baslo River, AI~ 99f7%3736
Attn:
Client ~:
Client Pmj~t ~:
~0~rcc:
~ L~b~:
S~ple Ma~:
Co~e~t~:
Rosebttd Block 1 Lot 8
A154204
Water
Method Parameter Unit~ l~sult
Rel~ort Date: 2/24/98
Date Antved: 2111198
Sample Date: )./11195
S~ple ~m~: 14:00
Co~e~ B~: K.~
MCL - ~ ~t
B - ~~BI~
=
D ~ ~To Dillon
Dat~ Date
SM 4500 B
Nitrate-N r~/L ~
0.10 2/2;/9S
Chemistry Supct~isor
c ?y
PAGE
MUNICIPALITY OF kNCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW970119
DESIGN ENGINEER:KND ENGINEERING
OWNER NAME:JOHNSON RONALD I
OWNER ADDRESS:5735 RIDGEVIEW DR
ANCHORAGE, ALASKA 99516
PARCEL ID:01738133
DATE ISSUED: 6/04/97
EXPIRATION DATE: 6/04/98
LEGAL DESCRIPTION:
ROSEBUD HILLS BLK
1 LT 8
LOT SIZE: 50417 (SQ. FT.}
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL 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 ( 24 HOURS ) {NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 1.5 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: ~~'~'
'~D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
May 13, 1997
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: New sewer/well permit - Rosebud Hills S/D, Block 1, Lot 8
Gentlemen:
On April 12, 1997, we excavated two testholes for the subject property. Subsequent to
the completion of the testholes we were made aware of a recent permit being issued
on the adjacent property which would adversely impact the proposed septic system.
Therefore, on May 3, 1997, we excavated two additional testholes at the request of
your department to verify potential areas for septic systems. The results from the
tests showed that testhole 97-2 provided the only viable location for the septic
system. The results of these tests and water monitoring are attached.
We propose to install a 5.5' deep 2' wide trench. There was no water found after one
week of monitoring in testholes #2 and #3. Due to the depth of the accepting soils
there will be sufficient cover.
There are no public or private wells within 200' of our proposed system location
except as noted. There is neither surface water within 100' nor any known curtain
drains within 50'. The surrounding lots are developed and we do not expect that
there will be any adverse effect on adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
~bqI!~ Engineering
attachments:
On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WASTEWATER IS? SAL SYSTE /S TE
LOT 8, BLOCK 1~ ROSESUD HILLS
' CONTOUR ACRES NO,2, LOT
PLAN
: SEPTIC
RESERVE
~ ESMT.
LOT 7
~97-3 0 PRIMARY
RIDGEVIEW DRIVE
DESIGN CRITERIA
1. 3 ]~EDRODMS X 150 GAL/DAY/BEDROOM = 450 GPO
2, SOILS RATING, 20 MIN/INCH = APPL, RATE 0.6 GPD/SF
3, 450 GPO/O,6 GPD/SF = 750 SF
4, 750 SF /(2' x 5,5') = 68,2%
5. MIN. DESIGN SIZE = I TRENCH - 69' LONG x 2' WIDE x 5,5' DEEP
6, DEPTH DF GRAVEL BELOW PIPE IS 5,5',
7, TOTAL DEPTH OF SYSTEM IS 13.0' FROM ORIGINAL GRADE.
NOTES:
1, TIE INTO TRENCH AT MIDPOINT,
2. USE 1000 GALLON SEPTIC TANK, INSULATE TANK IF <4' COVER.
3, INSULATE TRENCH ~/ITH 2' HD ]DURIAL FOAM IF <3' COVER.
4, CONTRACTOR WILL ENSURE MAXIMUM BY. SLOPE INTO SEPTIC TANK.
PREPARED FOR:
NICK & JOANIE VAN DER VEUR
1120 ~4. 77TH APT, A
ANCHORAGE, ALASKA 99518
KND ENGINEERING
20441 PTARMIGAN BLVD
EAGLE RIVER, AK, 99577
(907)696-6111/Fax <907)696-8111
DATE, 5/9/97 DRA~/ING if
SCALE: 1w = 100' 97027-s!
Municipalily of Anchorage
DEPARTMENT OF FIEALTH & HUMAN SERVICES
825 "L" Street. Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL
. Section: /'~
~ SLOPE SITE PLAN
(FEET)
WASGROUNDWATER
ENCOUNTERED?
S
L
IF YES, AT WHAT ,~/ I 0
DEPTH? ~ . p
E
1
2
3
4
5
6
7
8
9
10
'11
12
13
14
15
]8
]9
20
CO~MEN~S_ _,X//,~_l~-['~ ~'/
/ _<o// '
Deplh 10 Water Alter
Monilorin§?
Dale
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
{n',,nutes~mch) PERC HOLE DIAMETER
]ES] RUN BETWEEN ____ Fl AND ..... FI
Municipality ot Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL D E S C R I PT I O N: ~,.~' ~'//~'"~/Y/(~
DEPTH
2
3
4
5
6
7
9
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
~/,,~/J/~ Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
DEPTH? p
E
Depth to Water Alter .,/,,//,~.
Monitoring7 ~ Dote:
SITE PLAN
I I
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~'~2~-~ tmmutes/mch) PERC HOLE DIAMETER
TEST RUN BETWEEN 7,''~'' FT AND' B,~ FT
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
~.: Kenneih M. Du~ ; ~ I
r~ ~ c~,7~ ./~1
I I
DATE PERFORMED: 7
T°wnship, "ange, secti°n: '~'~ '~:~.,~
SLOPE SITE PLAN
5
6-
7
8
9
10
11
12
13
WAS GROUND WATER
ENCOUNTERED?
14
15
25
S
IFYES. ATWHAT ,/~,//~ OL
DEPTH? p
E
Deplh lo Waler Ailer~ ,/~,//..,,..,
I~onitoring7 ,~'~ Dale:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE2~2~ Lmmutes/mch) PERC HOLE DIAMETER
TESTRU,NBETW~EN 7Y~..FTAND c-~lJ~" FT
DEPArTmENT OF HEALTH & HUMAN
~~""~1
825 "L" SJ[eeJ, Anchorage, Al~sk~ gg502-0~50 ~
SOILS LOG -- PE~OOLATION TEST
DATE PERFORMED:
Township, Range, Section: ~'~
SLOPE SITE PLAN
I
WAS GROUND WATER ./
ENCOUNTERED?~/~,~
S
IF YES, AT WHAT / ~3
DEPTH? ~ p
E
Oeplh to Waler Alter
Monitoring? Dale:
Gross Net Depth to Net
Reading Date Time Time Water Drop
/ ~'-~-~7 ~'~ ~ ~, ~/,~" ---"'
7~ .' 00 30~i ~
1
2
3
4--
5--
6
7
8
9
10
'1 1
12
13-
14
15
16
17
18
19
2O
COMMENTS ,
' ' /~,,/.,d~
'~E.~O..ED~,', /(,'//)~r~,n~x~ ......
, /~/~/~rf/J~ ~ERTIFY THAT THIS TEST WAS PErfORMED IN
e' ~ Municipality ot Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
SOILS LOG-- PERCOLATION TEST
LEGAL OESCR,PT,ON:~'~:~//~ ~k/, Township, Range, Section:
Gross Net Depth to Net
Date Time Time Water Drop
' ?; ii IO~,~ '-/ " 2/8"
7 :1~ - 3 s/~ ,, _
7:~ /~ ;"' "
: - _ ,,
7: 3~ 1o~/~ ~,.~ . ~//~,,
7 :~ /~;~ ~'~/~" //~"
7 '47 - ~
7 .'5~ lO.iH ' /~/~"
14
15
17
18 IA-
19
PERCOLATION RATE Im,nutes/mch) PERC HOLE DIAMETER ~'
. TEST RUN BETV~EEN ~ FT AND ? FT
//
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
CERTIFICATE OF HEALTH AUTHORITY'APPROVAL
FORA-SINGLE- FAMILY DWELLING .......
GENERAL INFORMATION
Complete legal description. L,
Location (site address or directions)
Current Property owner(s) ~'~, ~
Day phone
Mailing address
Lending agency
Mailing address
Real Estate Agent
Day phone
Day phone
Mailing Address ·
Unless otherwise requested, HAA will be held by DSD for pickup.
NUMBER OF BEDROOMS: /7/
TYPE OF WATER SUPPLY:'
Individual Well
Individual Water Storage
Community Class .
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
~ Individual On-site
[] 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
enoineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
titl~ (except between spouses) for propedies served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon reqdest to homeowners. Certificates o[ Health Authority Approval are
valid for 90 days from the date of issue for propedies served by a pri~ate 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.
Municipality of Anci orage
Development Sei'vices Department
Building S~fety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
Legal Description:
HEALTH AUTHORITY APPROVAL CHECKLIST
Parcel ID:
Ao
WELL DATA
Well type I~q v..~-~--~
Date completed ?/q'~
Total depth '~ (~ ~' ft.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform C~' colonies/100 mi.
/
Arsenic: f mg.ll.
If A, B, or C provide PWSID # /
Sanitary seal (Y/N) __y__
Cased to /~" ft.
FROM WELL LOG
I '~'Z.-- ft.
6;), ~ ~ g.p.m.
Nitrate (~, °t I ~ng./I.
Date of sample:
Well Log (Y/N) ~
Wires properly protected (Y/N) y
casing height (above ground) Z,
/ ~ 'z.__ ft.
~-, '7_... g.p.m.
Other bacteria ¢_/~olonies/100 mi.
Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material ,5
Tank size ( '7. ,~ o gal.
Foundation cleanout (Y/N)
Date of pumping
Number of Compartments
Depression over tank (Y/N) ~"-(
7.-/1'7//~ t'-'/ -Pumper
C. ABSORPTION FIELD DATA
Date installed 7/?
Length
Total depth ~ ft.
Date of adequacy test
Date installed 7/~' ':7-
Cleanouts (Y/N) y
Highwater alarm (Y/N) J
System type ,0 e,,. p ~.~ ~,,,-. ~..
Gravel below pipe ~-1', ~ ft.
Soil rating (g.p.d./ft= or ft=lbdrm) 0,~,
ft. Width ~., (.2 ft.
Eff. absorption area~"~..,ftt Monitoring tube . .
?---/¢0¢7/ Results (Pass/Fail) e, ~ ~,
Fluid depth in absorption field before test Z' 'Z. i~. Water added/r.~ al..
Elapsed Time: :~Z~ 0 min. Final fluid depth ~.~.,~'~. Absorption rate >=
Any rejuvenation treatment (past 12 mo.) (YIN & type) ~,
Depression over field
For ,~ bedrooms
Ne,', depth?, ;~./
~Or~ fi' g.p.d.
If yes, give date
Michael N. Anderson, P.E.
Civil/Structural Engineering
4640 Shoshoni Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
March 1, 2004
Municipality of Anchorage
Department of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Re: Lot 8 Block 1 Rosebud Hills Subd.
To Whom it may concern:
This is a letter of rationalization for upgrading the existing septic system from a 3 bedroom to a 4
bedroom system. The asbuilt drawings from KND Engineering show a 1250 gallon septic tank, this
was verified by pumping of the tank by Andy from Around the Clock Pumping. The perc rate used for
the leach field design and installation was 0.6 gpd/ft. A 4 bedroom system at this rate would require
1000 sq-ft, we have 952 sq-ft. The actual perc rate from KND Engineering was 6.875 minutes per
inch, which equates to an application rate of 0.8 gpd/ft, or 750 sq-ft, for a 4 bedroom system.
A 4 bedroom perc test was done on the existing leach field and passed smoothly. The field had 2.2
feet of water in the system with 6.9 feet of effective depth. This perc test consisted of pumping 1000
gallons of water into the system which only raised the water elevation 12". After 12 hours the water
elevation was back to the original 2.2 elevation.
The reserve area will not be impacted by this upgrade or the neighboring systems.
If you have any question please call me at 345-3377
Sincerely
michael N. Anderson, P.E.