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HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 3 LT 8AProspect
Height
Block
Lot 8A
#015-092-11
Municipality of Anchorage --over a 3 obi
0
Community Development Department Page 1 o 3
On -Site Water and Wastewater Program DEC 22 2011
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904
ON-SITE;WASTEWATER INSPECTION REPORT
Permit Number: OSP151062 PID Number: 051-092-11 ❑ New ❑✓ Upgrade
Name:
ABSORPTION FIELD
Bruce & Judy Palmer
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address
8151 Downhill Cir. Anchorage, AK 99507
❑ Other
Phone - _
Number of Bedrooms
Soil Rating -
Total depth from original grade
4
- GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
- Ft.
Subdivision Block Lot
Prospect Heights #1 3 8A
Fill added above original gradeGravel
Ft.
length
Ft.
Township Range Section
-
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft,
SEPARATION DISTANCES
To
Septic
Absorption
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station -
Tank
Line
- Ft?
Ft.
Well
147.7
N/A
NIA
N/A
132.8
TANK ❑+ Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer -
Anchorage Tank
Capacity
1,250Gal.
Surface Water
-
100+
N/A
N/A
N/A
Material
Steel
Number of compartments
2
Lot Line
63.2
N/A
N/A
N/A
NA
Foundation
24.6
N/A
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Gal.
Curtain Drain
50+
N/A
NIA
N/A
Pump on level at
Pump off level at
High water alarm at
Remarks Tank replace only
in.
in.
in.
- -
Pump make and model
Electrical Inspections performed by
PIPEMATERIAL Housetotank 3034 Teldkto 3034
drainfield n
Installer
A+ Home Services
Drainield 3034 COfMT 3034
Inspector Pannone Engineering Services, LLC.
BENCHMARK (Assumed elevation) 100ft
Inspection 4
1
Location and description
dates: 7/8/;1015 2-_
Top of Finished Floor
3a 4m
COMMUNITY DEVELOPMENT_ DEPARTMENT APPROVAL
Engineer's Stamp
Conditional Approval: Date
AT
48 TH
even nnome
_ 1
Approved W4�t�tX Date — /��lfA
CE 8149yr
., - •
Inspection Report1-1-12.doc
A B J
o� j j FC 31.5
Q o 0 0 ,.,., o T1 41.0 34.0
0 w w w m'o w T2 46.9 42.0 /
"- " oo DC 48.8 44.2
LEL7e.a
EC1 56.3 52.5
E�. �s.o
NEW 1,250 GAL
SEPTIC TANK et- �a.z
7A �
/ 9A
NOTES:
PANNONE ENG SVC, LLC
P.O. BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
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Steven R. Pannone /
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Dote
2/21/201;
RECORD DRAWING
scale
1"=60'-
P.I.D. NO
015 -092 -II
PERMIT NO
OSP151062
DRAWN BY:
-*;
PROSPECT HEIGHTS #1, BLOCK 3, LOT 8A
BRUCE & JUDY PALMER
8151 DOWNHILL CIRCLE
ANCHORAGE, AK 99507
NJC
PLAN
SheetOF 3
Permit Number: OSP151062
Tax Code Number: 01509211000
Work Type: SepticTank
Permit Effective Dates: April 15, 2015
On-Site Water and/or Wastewater System
Permit
MUNICIPALITY OF ANCHORAGE
Development Services Depadment
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Upgrade
to April 14, 2016
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: PROSPECT HEIGHTS #1
Site LegalAddress: PROSPECT HEIGHTS #1 BLK 3 LT 8A G:2441
Owner/Address: PALMER BRUCE J & JUDY J
8151 DOWNHILL ClR ANCHORAGE AK 995070000
Depa r t 1tleI~ t
Site Mailing Address: 8151 DOWNHILL CIR, Anchorage
Lot Size in Sq Ft: 123275
Total Bedrooms: 4
This permit is for the construction of:
N Disposal Field Y Septic Tank N Holding Tank N Privy N 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
Department 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.
Received By:~
Issued By:
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Phone: 907-343-7904
MAR 3 ! 2015
Gretchen Stuller
Parcel I.D. 015-092-11
Property owner(s) Bruce Palmer
Mailing address 8151 Downhill Circle, Anchorage AK 99507
Day.phone 907-243-8007
Site address 8151 Downhill Circle, Anchorage AK 99507
Legal description (Sub'd., Block & Lot) Prospect Heights #1, Block 3, Lot 8A
Legal description (Township, Range'& Section)
Lot Size 121968 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
([~ all that apply)
Absorption Field []
Septic Tank []
Holding Tank []
Privy []
Private Well []
Water Storage []
APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
TYPE OF DWELLING:
Single Family (SF) []
(w/wo ADU)
Duplex (D) []
Multiple Dwellings []
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE I 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 ~)r authorized agent)
Permit/Ru~h Fees:
Date of Payment: ~
Receipt Number:
Permit No.
Waiver Fees;
Date of Payment:
Receipt Number:
Waiver No.
Permit App_L'- :. :2.,~c:
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-maih steve~panengak.com
Municipality of Anchorage
Development Service~ Department
On-Site Water & Wastewater Program
4700 Elmore Road
P. O. Box 196650
Anchorage, Alaska 99519
30 March 2015
Subject:
Prospect Heights #1, Block 3, Lot-8A
Septic Tank Upgrade Permit Request
Ladies and Gentlemen:
I am writing to request a permit to install an upgrade septic tank be issued for this property. The proposed system will serve a
existing four (4) bedroom house. Currently the existing tank is in failure. The existing 1250g steel septic tank will be replaced.
This lot is served by a private well. The surrounding lots are also served by private wells. There are no wells within 100' of this
system.
1. Surface Water: There is no surface water within 100 feet of the proposed septic.
2, Topography: The proposed tank replacement is located on the northern portion of the lot. The surrounding
topography generally slopes from east to west at approximately 2%-4%.
3. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is
complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and
"Issued for Construction" drawings will be issued.
The proposed installation will not affect the future development of the surrounding or existing lots.
If you have any questions or concerns, please contact me at 272-8218.
SincereJy,
......
Steven R. Pannone, P.E.
Owner/Civil Engineer
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
, NO WELLS OR SEPTfC SYSTEMS / /
~\ ~ I / i WITHIN 200' OF PROPOSED TANK
o°~ ,' REMOVE 12509 TANK (E) AND
' : ~ U, /REPLACE WITH 1250g TANK (P)
. .
FOR CONSmUCT~ON P,O. 80X 100217 AN6HORA6E, AK 99510 ~% ...... ';~
PHON~ (907) 272-8218 FAX (907) 272-82~1
PROSPECT HEIGHTS ~1, BLOCK 5, LOT 8A ~~ ~ ~ o15-o92-H
BRUCE PALMER ~%S~%
Cj ~ .... %~"%,' ,7 · ~ PERMIT NO.
8151 DOWNHILL CIRCLE '~¢~.~(¢~9%~ DSPXXXXXX
PLAN ANCHORAGE, AK 99507 ~(~S(~ Sheet
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION WILL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON SITE WASTEWATER DISPOSAL SYSTEMS,
2. SCOPE OF WORK: INSTALL 1250g SEPTIC TANK.
Z
Ow k-
<:0 0
©J
INSTALL
12509
SEPTIC TANK
PROFILE
ABBREVIATIONS
CU cOPPER
DESIGN PARAMETERS - DIP DUCTILE IRON PIPE
INSTALL SEPTIC TANKLEGENDTH TEST HOLE
NO. BEDROOM: 4 (600 gpd) WATER LINE/ FC FOUNDATION CLEAN OUT
TANK SIZE: 12509 W
WELL RADIUS T# TANK CLEAN OUT NO.
C# CLEAN OUT NO.
USE: -- SS -- NEW SEPTIC M# MONITOR TUBE NO.
12509 STEEL TANK R.I. RIGID INSULATION
DCO DOUBLE CLEAN OUT
DV DIVERTER VALVE
FS FLOW SPL117ER
BFG BELOW FINISH GRADE
OG ORIGINAL GRADE
FG FINISH GRADE
TS&:V TOPSOIL &: VEGETATE
NOT~S: PANNONE LNG SVC, LLC
FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, Al( 99510 .~_/,,,~..,...'
PHONE (907) 272-8218 FAX (907) 272-8211 ~',6"'~.'.~01" ~'"'.'~-fl I' ScoeNTS
~ ..... 'CS:NV'~.,,,¥/· ¢ ~.,.,:,. ,,,o
ALFRED BENNETT~no...~.e ~.~'.~. JERMIT NO.
9700 BUDDY WERNER DRIVE f~,¢~.. ,,?~.~.~,17..~.,._.~-~,. )sPxxxxxx
ANCHORAGE, AK 99507 .~it,~£¢M,;::~-~,~,..,,.~ Sheet
DESIGN
DETAILS
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMEN'rAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~ ~.~ '~ ,~T/-- ~/~Y (~" _Z/~- ~] UPGRADE
MAILING
LEGAL DESCRIPTION
LOCATION NO. OF~DROOMS
~ ~ DISTANCE TO; I ~ell [ 00/ + ~bsorp,io~ar~a Dwellin~ O ~ PE..IT NO.
~anufacturer
~ ~ Mate~ No. of ~m~artments
Liq. capacity in gallons Inside length Width Liquid depth
~ ~$O ~FHO~DE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O ~ ~ Manufacturer Material Liquid capacity in gallons
~ DISTANCE TO; Well /OO/ + Founda~n5 / NeareSl~e, + pE~Td~a ¢ q
~ -- O Total ~n~h~f lines Trench width Distance between lines
~ ~ Z No, of lines ~ Length of each~ne
-- _~ inches
~ Top of tile to finish grade q 5e , .aterial beneath tile ¢ ~ Total effective absorption area
a inches ~ ~ O
Length Width Depth PER~IT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
a Well Building foundatiou Nearest lot line
~ DISTANCE TO:
~a DISTANC~ TO: Building foundation Sewer line Septic tank Absorption area{si
OTHER
PIPE MATERIALS ~ ~ '~, )
SOILTESTRATING / ~ : ¢ ~0
INSTAELER ~
REMARKS ~' ~
APPROVED DATE LEGAL
PERMIT NO. ( 780484 )
APPLICANT _ROGER DALRVMP~
LOCRTION BUDDY WERNER DRIVE
LEGAL LOT 8R 8K ~ PROSPECT HTS
'I'VPE OF SOIL RBSORBTION SVSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4
DEPARTMENT OF HEALTH FIND ENVIRONMENTAL PF. tOTECTION o,=.. '"L" ...TREET, ANCHORAGE., AK.
C~~~-- :--~. X T'E
..__. .
....., ...
,~ / , ~',"~' ':'" F'-''"~''-' '''
LOT SI~E 'i.';'±9~]~. S6.d__~=IF.".E F'~E[T, ~ ·
SFIIL RATING (SL.':! FT,."BR)= '165
THE F,:EF.,.!I_IIRED SIZE OF THE SOIL ABSORPTION S"r'STEM IS:
[:, E F'l' H == :l.k_--i L_ E ~-,~_3'l"H = :.~6 ,3RR%-'EL. []:-, l:---_ F' 7' F~ = ~];
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF a TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL. BETWEEN THE OUTFRL. L PIPE
AN[) THE BOTTOM OF THE EXCAVATION (IN FEET).
PEF,':MIT AF'PLICRNT HR.=-, THE RE~FUNz, IE, ILI] 'r TO INFORM TFIIS [:'EPARTMENT DIIRING THE
INSTRLLFITION IN=,FEL. TILN.=, OF ANY WELLS N[.JMbENI TO THIS PF.'.PEE] ~' RN[:' THE
NUMBER OF F,.E_,IDEHL. E.=, THAT THE WELL WILL SERVE.
T&-~] ,::.;--Z" ::,I t'ql_-_. F.'"- "FZL. T- -- ][ C~t'-,t'}_; RF-:E F.:: [-],]:.~ Et I F-:; F'[:
" ....... ' ' F ' ,' - B 'T'
E, HL.t...FILLING OF I~]N'¢ S'¢S'FEM WITHOLIT FINAL INSPECTION RND HFPF.,_I,ML THIS
[EFHETi'IENT WILL BE ~IIB.TEI~:T TO PR--'q, EC TION
MINIMUM DISTANCE BETWEEN R WELL RND RNa; ON-SITE SEWAGE DISPOSRL. SYSTEM IS
&00 FEET FOR A PRIVRTE WELL; OR
±50 TO 200 PEEl' FROM R PUBLIC WELL DEPENDING UPON THE T~PE OF PUBLIC WEL. L.
OTHER REQUIREMENTS MA9 APPLV. SPECIFICATIONS AND CONSTRUCTION DIAGRRMS BRI?'
AVRILABLE TO INSURE PROPER INSTAt_LRTION.
F'EI;~:~--1 I T E,'--::P I Ri. ES] [:,E~-~::Ef-IBEF.: _-----::IL..
I CERTIFV THAT
:t.: I AM FAMILIAR WITH THE RE6!UIREMENTS FOR ON-SI'rE SEI4ERS AND WELL'_-] FIS SET
FORTH B'.? THE MUNICIPAL. lTV OF ANCHORAGE.
2: I WILL INSTALL THE SVSTEM IN FICCORDFtNCE WITH THE CODES.
]:: I UNDERSTAND THAT THE ON-SITE SEWER S~r'STEM MAY RE6.'UIRE ENLARGEMENT IF' THE
RES I [:'E(~? REM ~F~TO~. i I"~]iL U [:'E i~0~ THAN 4 E:EDROOMS,
4040 "B" STREET
ANCHORAGE, ALASKA 99503
(907) 278-1551
May 24, 1978
W.O. #A18452
-Grid #2441
Roger Dalrymple
Box 3-176
Anchorage, Alaska 99501
Subject: Subsurface Investigation for sUitability of..
On-Site Sewer, Lot 8A, Block 3, Prospect
Heights Subdivision
Dear Mr. Dalrymple:
Transmitted herein in accordance With your instructions, are
the results of the above referenced investigation as performed.
by us on May 23, 1978. The scope of this project is the
investigation for suitability of an on-site sewerage system. .~
Included in this transmittal are:
Test Hole Location Sketch
Test Hole Log
Explanatory Information
Figure 1
Table A
Sheets 1-3
The exploration was conducted using a continuous flight
solid stem auger. The rig is owned.and operated by Denali
Drilling, Inc. Drilling was supervised 'and the test hole
· logged by Mr. O.M. Hatch, geologist for Alaska Testlab.
The log of the test hole is included as Table A of this
report. In interpretinq the loq, it would be helpful to
utilize the explanatory-information contained in Sheets 1-3
of the report.
When drilling was completed a 3/4" slotted PVC pipe was
inserted in the hole to aid in determining the free water
level. For the percolation test, the test hole was filled
with water and left overnight to saturate. On returning the
next day, the hole was refilled .with water and the-drop·.in
the water level carefully monitored over the next 60 minutes.
This procedure is not a standardized percolation test,
however, we understand that the Municipality of Anchorage,
Department of Public Health and Environmental Protection
prefers tests performed in this manner to evaluate a site
for a proposed on-site sewerage system.
Test Hole #1
Table A
Date: 5/22/78
Logged by: O.M. Hatch
WO #A18452
Depth in Feet
From To
0 1.0
1.0 3.0
3.0 16.0
Soil Description
F4, brown Peat, Pt., damp, soft.
F4, brown Sandy Silt, ML, wet.
F2, brown Slightly Silty Very Gravelly Sand,
SP/SM, poorly graded, all sand sizes present,
damp, medium density, rounded to subrounded~!
particles to 3".
Bottom of Test Hole:
Frost Line:
Free Water Level:
16.0'
None Observed
None Observed
REMARKS: Layer from 1.0'
.to 3.0' wet from thaw water.
Soil is siltier below 12.0'.
Mr. Roger Dalrymple
May 24, 1978
Page 2
Using the above test, the observed minimum percolation rate
was 10.0 minutes/inch.
No water table was observed during drilling. It should be
noted though, that the free water level normallY flUCtuates
seasonally and with precipitation.
We hope this report meets your present needs. If we can be
of further service, please feel free to contact us.
sincerely,
ALASKA TESTLAB~
Robert Co Stinnett
RCS:bjc
enclosures
APPROVED:
Melvin R. Nichols, P.E.
Laboratory Manager
Test Hole Lo9 - Description Guide
The soil descripttons shown on the logs are the best estimate of the soil's
characteristics at the time of field examinatton and as such do not achieve the
Frecision of a laboratory testing procedure. If the log includes soils samples,
those samples receive an independent textural classification in the laboratory
to verify the field examination.
The logs often include the followmg items:
Depth Interval - usually shown to 0.1 foot, within that zone no
significant change in soil type was observed through drill action, direct
observation or sampling.
Frost Classification - NFS, Fl, F2, F3, F4, see "Soil Classification
Chart"
Texture of Soil - An engineering classification of the soils by particle
stze and proportion, see "Soil Classification Chart", note the
proportions are approximate and modifications to the soil group due to
stratification, inclusions and changes in properties are included.
Moisture Content -. this is a qualitative measure:
d_~, no or little apparent surface moisture,
damp. moisture forms portion of color, less thau plastic limit,
wet, no free water, often soft, if cohesive soil,
saturated, free water may be squeezed out, ifa free draining soil;
dilarent at natural moisture content, if a non-plastic silt or fine
sand. (The moisture content is further defined by reference to PI,
LW, NP, M%or dilatency.)
Density - refers to more-or-less non-cohesive soils, such as sand gravel
mixtures with or without a fine fraction, derived from drilling action
and/or sample data; usually described as: very loose, loose, medium
dense, very dense. General intent is to portray earthwork
characteristics.
Stiffness - refers to more-or-less cohesive soils and fine grained silts of
~ clay-silt groups. Derived from drill action and/or sample data. Very
soft, soft. stiff, very stiffand hard are commonly used terms.
Particle size - The largest particle recovered by the split spoon is
1-3/8", Shelby tube Y', auger flights (minute-man) 2", Auger flights
(B-50 hollow stem) 6"-8". Larger particles are described indirectly by
action of tile drdling and are referred to as cobbles, 3" to 8", or
boulders 8"+. Therefore when reviewing the gradation sheets, if any,
the description on the hole log must be considered for an:indication of
larger particles.
Unified Sod Classification - This is i two letter code. See Unified
Classification sheet for further definition. In some cases AASHO and/or
FAA soil classifications may be shown as well as the unified.
Atterberg Limits - useful for fine grained and other plastic soils.
:PI; natttral moisture content believed to be less than plastic limit
Pi+; natural moisture content believed to be between plastic and liquid
~-mits
L__.~; natural moisture content believed to be greater than liquid limit
· NP; non-plastic, useful as a modifying description of some silty
~t~rials.
Dilatency - is the ability of water to migrate to the surface of a
saturated or nearly saturated soil sample when vibrated or johed -- u~ed
as an aid to determine if a fine grained soil is a slightly or non-plastic
silt or a volcanic ash,
Rock flour - finely ground soil that is not plastic but otherwise appears
similar to a clayey silt.
Organic Content - usually described as Peat, PT, sometimes includes
discrete particles such as wood, coal, etc. as a modifier to an inorganic
soil. Quantity described as; trace, or an estimate of volume, or, in case
:of all organic, - as Peat. This may include tundra, muskeg and bog
material.
Muck - a modifier used to describe very soft, semi-organic deposits
usually occuring below a peat deposit.
Amorphus peat - organic particles nearly or fully disintegrated.
Fibrous Peat - organic particles more-or-less intact.
Bottom of Testhole - includes last sample interval.
Frost Line - seasonal frost depth as described by drilling action and/or
samples at the time of drilling.
Frozen Ground - other than frost line, described by samples, usually
includes description of ice content, often will include modified Unified
Classification for frozen soils - this is a special case related to
permafrost studies.
Free Water Level - The free water level noted during drilling. This is
not necessarily the static water table at the time of drilling or at other
seasons. Static Water table determination in other than very permeable
soils requires observation wells or piezometer installations, used only in
special cases.
Blow/6" - The number of blows of a 140 weight free falling 30" to
advance a 2" split spoon 6"; the number of blows for a 12" advance is.
by definition, the standard penetration.
M% - natural moisture content of the soil sample, usually not
p-'~'rformed on clean sands or gravels below the water table.
Type of Sample - .
S.__P, refers to 2" split spoon driven into the soil by 140 pound
weight, a disturbed sample,
S~ thin wall tube, "Shelby" used to obtain undisturbed samples
of fine grained soil,
~i~ "grab" disturbed sample from auger flights or wall of trench,
C, cut sample, undisturbed sample from wall of trench·
Dry Strength - a useful indicator of a soil's clayey fraction, N=None,
L=Low, M=Medium, H=High
~ -- The samples are placed into apparently similar groups based
on color and texture and are arbitrarily assigned a group letter. Further
disturbed tests including Atterberg Limits, grain size, moisture4iensity
relationship, etc. may be performed on the group and are assumed to
reflect the general distrubed characteristics of the soils assigned to 'the
group. This is an important phase of the soil analysis and is used to
.:'staudardize the various qualitative determinations and to reduce the
' number of quantitative tests necessary to describe the soil mass.
.SOIL
CLASSIFICATION
CHART
30% GRAVEL
CLAY
CLAYEY
OR
SILTY
CLAYEY CLAYEY
SILTY SILTY
CLAYEY
SILTY
SAND
GRAVELLY SAND
GRAVEL
SANDY GRAVEL
\/
SAND GRAVELLY SAND DY GRAVEL GRAVEL
0 10 20 30 40 50 60 70 80 90 100
GRAVEL (+#4 SCREEN) % BY WEIGHT
~NONFROST SUSCEPTIBLE SOILS ARE INORGANIC SOILS CONTAINING LESS THAN 3% FINER THAN 0,02 mm.
· GROUPS O F F ROST-SUSCEPTI BLE SOl LS:
F1 GRAVELLY SOILS CONTAINING BETWEEN 3 AND 20% FINER THAN 0.02 mm. - '
F2 SANDY SOILS CONTAINING BETWEEN 3 AND 15% FINER THAN 0.02 mm.
F3 a. GRAVELLY SOILS CONTAINING MORE THAN 20% FINER THANO:02 mm. AND SANDY SOILS
(EXCEPT FINE SILTY, SANDS) CONTAINING MORE THAN 15% FINER THAN 0.02 mm.
b, CLAYS WITH PLASTICITY INDEXES OF MORE THAN 12. EXCEPT VARVED CLAYS.
F4 a, ALL SILTS INCLUDING SANDY SILTS. . ~ :.. .
b, FINE SILTY SANDS CONTAINING MORE THAN 15% FINER THAN 0~02 mm:
r_, LEAN CLAYS WITH PLASTICITY INDEXES OF LESS THAN 12.
d, VARVED CLAYS.
PERMI~~ NO.
...... -~- "---- & I' ~--I!,,~ JI.. ! "IF- IJ~
DEPRRTMENT ~'~ HERLTH RND ENVIRONMENTRL~"F,'OTECTION
825 " STREET~ RNCHORRGE~
264-4720
NELL PERr-1 I T
788_?.3:2 )
8PF'LICRNT ROGER DRLRYMPLE BOX ~-i76 RNCH 274-i485
LOCRTION CORNER GLRCIER & 8LPINE
LEGRL L 88 B ~ PROSPECT HTS, SUB LOT SIZE 12~275 SQURRE FEET
MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
100 FEET FOR R PRIVRTE WELL~ OR
150 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL,
WELL LOGS 8RE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
F'ERM I T F.'-<F' I REiS [)ECEr-IE:ER ----<l.. 1-~TE:
I CERTIFY THRT
l: I RM FRMILISR WITH THE RE~UIREMENTS FOR '~ ~ '- c ~
EN-:,ITE :,EWER-. AND WELLS AS :,ET
FORTH BY THE ~UNICIPRLITY OF RNCHORRGE.
WITH THE CODES.
V~. 2
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. # ~)l_z-~-¢-~,°l~-I\ ~'~
1. GENERAL INFORMATION
Complete legal description not
Block 3; Prospect Heights Subdivision
Location (site address or directions) 9500 Buddy Werner, Anchorage, Alaska
Property owner
Mailing address
Lending agency
Mailing address
Dr. Royce Morgan
Day phone 346-3315
9500 Buddy Werner, Anchorage, Alaska
Day phone
Agent Colleen Moening/JACK WHITE COMPANY
Address 3201 c Street, Anchoraqe, Alaska 99503
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 4 ~
TYPE OF WATER SUPPLY:
NOTE:
Day phone 762-3105
Individual well xxx
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
xxx
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
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 #21
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
Address
ENGINEERING
17034 Eagle River Loop Road No, 204[
r~;v~., A!~_*[c', 9°.577 ' '" "'"
Engineer's signature
DHHS SIGNATURE
Approved for z~
Dis,approved.
Conditional approval for
Phone
bedrooms.
bedrooms, with. the following stipulations:
Additional Comments
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.
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
A. WELL DATA : .
Well type {'~uCr?~. . If A, B, or C, attach ADEC letter. ADEC water system number
Log present (~N) V~-S Date completed ,..~-,'?, [-3r'8
Total depth ~00 · Cased to c.~0 r~
Casing height
Sanitary seal (~)/N)
FROM WELL LOG
Date of test
Static water level
Well flow
Pump level
SEPARATION DISTANCES FROM WELL TO:
Septic/h~:mg tank on lot
Absorption field on lot
Public sewer main ~J//'l-r
Sewer service line ,~(~
/OO '/-
Wires properly protected
AT INSPECTION
/0~
g.p.m.
/6'1
; On adjacent lots
; On adjacent lots
/nO 7-
Public sewer rnanhole/cleanout Petroleum tank
WATER SAMPLE RESULTS:
Coliform {~
Date of sample:
Nitrate
B. SEPTIC/H'~L~"~G TANK DATA
Date installed '-~ - ~1 -~ ~
Tank size
~___~,O r~ff-/.,~ Other bacteria
Collected by: ,~ ~ ~
Compartments
Cleanouts ~N). 0/"3 E
High water alarm (Y/~)~
Date of pumping
Foundation cleanout (~/N)
Depression (Y/(~
Alarm tested (Y/~:~.
Pumper /~¢-/-/
SEPARATION DISTANCES FROM SEPTIC/~ TANK TO:
Well(s) on lot f/on t~
TO property line (0 +
Surface water/drainage
On adjacent lots
Absorption field
foo %,
lO0 './
Foundation /0 ,t-
/O /' Water main/service line ~O
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
C. LIFT STATION /
//
~Size in gallons ~
Vent (Y/N)
Manufacturer
Manhole/Access (Y/N)
"Pump off" level at
High water alarm level Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot On adjacent lots Surface water
D. ABSORPTION FIELD DATA
Date installed
Length ~0
Width
Total absorption area
Depression over field (Y/~.)~
Results (~)s/fail)
-2,o BF'
Soil rating /~ S~//&,~ System type
Gravel thickness ~ /
Total depth
Cleanouts present (~)'N) O~J ~.¢ ~ 0¢¢~
Date of adequacy test ~ ~.-~
for ~ bedrooms
Peroxide treatment (past 12 months) (Y/(~ /~O7
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Surface water
Curtain drain /~O/'~
On adjacent lots /00 ~ Property line
To existing or abandoned system on lot
Cutbank /00 -/- Water main/service line
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA g~idelines in effect on the date of this inspbction.
S & S ENGINEERING
17034 Eagle River Loop Road No, 204
Signature
Engineer's Name
Date
HAA Fee $ /~ .?¢¢d
Date of Payment
Receipt Number
Waiver Fee:4~''
Date of Payment
Receipt Number
t · MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE
DEPT OF I !~ALTi'~ &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTL[~)RON~EN~ L ' 'i-~CTION
825 L Street - Anchorage, Alaska 99501 i~ ~,L ·
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW~E~R~F!~C~ ~l¥l~~L)
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing.
,1, PROPERTY OWNER Home 344-1750 I PHONE
DAY, Richard L. and Sally M. Work 277-2~61
MAILING ADDRESS
PROPERTY RESIDENT (If different from'above). PHONE
~..' BUYER PHONE
SAIv~
MAILING ADDRESS
SAME or NHN Buddy Werner Drive, Anchorage, AK 99507
3. LENDING INSTITUTION PHONE
~laska Mutual Savings Bank Attn; Debbie Johnson 274-3561 ext.
MAILING ADDRESS
P. O. Box 1120, Anchorage, Alaska 99510
4. REALTOR/AGENT I PHONE
N/A
I
MAILING ADDRESS
249
5. LEGAL DESCRIPTION
L8A, B3, Prospect Heights Subdivision
STREET LOCATION
NHN Buddy Werner Drive~ Anchorage, AK
6. TYPE OF RESIDENCE
I~ SINGLE FAMILY
[] MULTIPLE FAMILY
99507
NUMBER OF BEDROOMS
[] One ~ Four
[] Two [] Five
[] Three [] Six
[] Other
7. WATER SUPPLY
~ INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM
J~INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date ld-~ '~(~. .
If system is over two (2) years old an adequacy test is required
[] PUBLIC UTI LITY by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
72-010(3/78)
February 29, 1980
~. CHEMICAL & Gi~,..~OGICAL LABORATORIES t. 'ALASKA, INC.~.
.~ ' TELEPHONE (907)-279-4014 ANCHORAGE INDusTRIAL CENTER
274-3364 5633 B Street
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
Water System Name
I.D. NO.
Phone No.
Mailing Address
City State
Mo. Day Year
Zip Code
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no, )
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
I
I
LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
[] Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
[] Fermentation Tube
[] Membrane Filter
Lab Ref. No. Result* Analyst
I I I-T-I
*No. of colonies/lO0 mi. or No of Positive portions
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Rev, 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Collected Source
Lab. NO,
24 Hours
48 HOUrs
ConfirmatorY
24 Hours
48 Hours
EMB
Multiple TUbe Report~
Membrane Filter= Direct Count
Verification= LTB.
Final Membrane Filter Results
Reported By.
Broth 24 hours=
Broth 48 hours..
10ml Tubes Positive/Total 1Omi Portlolle
Collform/lO0ml
_BGB
Collform/].O0ml
· Date
~arch 5, 1980
R~enar~ L./Sally M. Day
% 3606 Rhone Circle
~xchorage, Alaska 99503
Subject: Lot 8A Block 3 Prospect Heights Subdivision
Approval for your individual sewer and water facilities
can not be granted until tl%e following items have been
compteted~
(1) A well log submitted to this depart~n~ for our
(2) ~e water a~alysis report be delivered to this office
from Chem Lab~ 5633 B Street, for our review.
If there are any f,~t~b3~r questions~ please contact this
office at 264~4720.
Sincerely,
Robert C. Pratt~
nssoclate Specialist
}~CP/ljw
Alaska Mutual Savings Bank
% Debbie Johnson
Post Office Box 1120 99510
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIV.~D .
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
"~ SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO ~ FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY "~, ~)
~ INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG R EC EIV~x~.~, 0
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
~ INDIVIDUAL/ON -SITE DATE INSTALLED
~PUBLIC UTILITY
Connection Verified
I N STA L ~,E~R
'~Septic Tank or ~ Holding Tank ~)
Size: tc'-~ If Tank is homemade SOILS RATING
give dimensions:
TYPE CE TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line I Nearest Lot Line
I
WE LL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[~f~PROVED FOR ~ BEDROOMS
~[~__ CONDITIONAL APPROVAL (letter must accom~'~certificate)
DISAPPROVED p ,~ ~/,.~
DATE 3--'~[ iBY(Title} ~'-~'~/
LEGAL DESCRIPTION
72-010 (Rev. 3/78)