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HomeMy WebLinkAboutHAMPTON HILLS BLK 2 LT 1Onsite File ��� � rc .'s•�',y�. "�, �"� `�.ki�^""�" e�F �� Ow � Mill U.BNInr� r�/1�/ 7 A Anew Inspection Keport_1-1-12.doc On 1A, rt ,r �QV�( 07019'-VLle-4 kOt- 3- bead /YLZ Municipality of Anchorage Community Development Department Page 1 of 2 On -Site Water and Wastewater Program 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: OSP141486 PID Number: 015-134-34 ❑ New ❑✓ Upgrade Name: DAVID & JEAN HAUGEN ABSORPTION FIELD ❑ Deep Trench El Shallow Trench El Bed El Mound Address 10300 ELIES DRIVE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original de 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel pih beneath pipe Ft. Subdivision Block Lot HAMPTON HILLS 2 1 grade Fill added above originalGravel length Ft. Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total orption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line Ft' Ft. Well 139.4 N/A I N/A N/A N/A TANK EI Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1250GaL Surface Water 100+ N/A N/A N/A Material Number of compartments Lot Line 30.3 N/A N/A N/A STEEL 2 NA Foundation 35.7( N/A N/A I N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ N/A N/A N/A Gal. Remarks TANK REPLACE ONLY Pump on level at Pump off level in. High water alarm at in. Pump make model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield JOHN'S EXCAVATION Drainfield COIMT 3034 Inspector PANNONE ENGINEERING SERVICES BENCH MARK (Assumed elevation) 796.0ft Inspections, dates: 1 10/30/14 2 d 11/6/2018 Location and description 3'd 0 BOTTOM TRIM AT HOUSE POINT A COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp ��o\zoa OF AL �tl Conditional Approval: Date �Qs�a� *• TH • • Steven • annome•� Approved CR ��X D 1 PP � ate j a9 � $ CE 81 9� }�Aw �� R �1�fE5510N4.. Inspection Keport_1-1-12.doc On 1A, rt ,r �QV�( 07019'-VLle-4 kOt- 3- bead /YLZ 0, REMOVED 1 OOOg — -/ I / / PER IVOA CODE Ki -I INSTALLED 1250q SEPTIC TANK 1\ — I W/ DCO AFTER 1 LOT VACANT i L 785 < < LLJ 4BR HOUSE 13 Y A 's WELL (E) T - z 2 NO U V Y L- L- I- OR SEP ICS 30.1/796 795 — uj 800 < LLJ 4 815 820 \J—L� I A 8 TI 15.7 < 0 T2 13.6 29,0 DC I 115.7 34.0 DC2 20.8 34.8 1�111>11' � I I 0 �7 :D 1- :D < 0 O 0 uj 0 << < z Co < 0 w -i G. uj -i UJ -j u FG u 0 u n n 787.5 n n n 1250g SEPTIC TANK PROFILE SCALE: NTS NOTES: PAMONE ENG WC, LLC Date RECORD DRAWING P.O. BOX 102954 ANCHORAGE, AK 99510 11/8/2018 PHONE (907) 272-8218 FAX (907) 272-8211 Scale - *.* 1"=50' HAMPTON HILLS, BLOCK 2, LOT 1 ....... ELLD, NO ....... 015-134--34 DAVID & JEAN HAUGEN —Me :*po,nnope — DRAWN AC PERMIT NO. 10300 ELIES DRIVE CE 8149 OSP141486 SITE PLAN ANCHORAGE, AK 99507 Sheet 2 OF 2 On -Site Water and/or Wastewater System Permit 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 Number: OSP141486 Tax Code Number: 01513434000 Work Type: SepticTank Upgrade Permit Effective Dates: October 29, 2014 to October 29, 2015 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: HAMPTON HILLS Site Legal Address: HAMPTON HILLS BLK 2 LT 1 G:2540 Owner/Address: HAUGEN DAVID W & JEAN C 10300 ELIES DR ANCHORAGE AK 995076235 Site Mailing Address: 10300 ELIES DR, Anchorage This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 51800 Total Bedrooms: 4 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 Issued By MUNICIPALITY OF ANCHORAGE Community Development Department 'r Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-134--34 Property owner(s) David & Jean Haugen Mailing address 10300 Elies Drive, Anchorage, AK 99507 Site address 10300 Elies Drive_ Day phone Legal description (Sub'd., Block & Lot) Hampton Hills, Block 2, Lot 1 Legal description (Township, Range & Section) Lot Size 51,800 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ❑X Duplex (D) ElHolding Tank F-1Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ 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 authorized agent) Permit/Rush Fees: 40?1S2-11 Date of Payment: Receipt Number: C' Permit No. ��/fl�Cp✓�(p Permit App__- :.:'-._c Waiver Fees: Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com October 29, 2014 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: Hampton Hills, Block 2, Lot 1 Emergency Septic Tank Replacement Permit Request Ladies and Gentlemen: I am writing to request that a permit to install a new 1250 gallon septic tank be issued for this lot. The proposed system will serve an existing four-bedroom house. Currently the lot is developed. The existing septic system was designed and installed for three bedrooms, but the MoA parcel details indicate four bedrooms. The existing 1000 gallon septic tank is collapsed, putting the house out of service. Because we have not yet verified weather the house is actually three or four bedrooms I request that we be allowed to replace the tank as a four bedroom and verify the actual bedroom count during installation. If an appraisal confirms three bedroom the condition of the drain will be verified, and if it is operating an appraisal will be provided. If the house is confirmed at four bedrooms the drain field will be upgraded. The existing 1000 gallon tank will be abandoned per code. This lot is served by a private well that is over 100' from the septic system. The surrounding lots are also served by private wells that are over 100' from this system.. Upgrade Tank Design. a. See Sheet 1 of 1 of the plan set 2. Surface Water: There is no surface water within 100 feet of the proposed system. The proposed systems will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: Lot 1 slopes from sourtheast to northwest at approximately 5% in the area of the tank replacement. The proposed installation will be located in the eastern portion of the lot, behind the house, and next to the existing septic tank and absorption system. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 1/2 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 1/2 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 W— W� '�ASENI 1 �3 LOT 1 o �y 125Cg SEPTIC TANK WITH DOUBLE CLEAN C 3 4BR �4 M HOUSE n �E> - U�FMEN� z w w w a > c9 z� LOT VACANT NO WELLS OR SEPTICS Q I1 10 COLLAPSED 10000 SEPTIC TANK (E) WITH DCO AND DV nn M I \�M �\ 9� 77, WELL !E)'1 rl (heti � J rl, 1 w - NOTES PANNONE ENG SVC, LLC_ P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 _ ­oF Nk� '(� ... • .�qsl�) ����p. �y �� �..... ...: ... ....� Steven P. on'none"j ���Ps CE 8149�i� tF 11 FRON� OFESSI Dote 10/29/14 EMERGENCY TANK REPLACE Scale HAMPTON HILLS, BLOCK 2, LOT 1 DAVID & JEAN HAUGEN 10300 ELIES DRIVE ANCHORAGE, AK 99507 P.LD. NO 015-134-34 PERMIT No. osRxxxxxx PLAN Sheet "W HAGI o 4x 4j\ DEPAH'i lAAl"FtT 01' 1!1;—AL , t I Wlk�l 1 -Ci 011W uF lel h NVIFIONMIEN I'AA- 825 1. qtrent - Anwhnraofi, Alaska 'ViO'i Fone.ohnon 23z`. ,790, 1 �Af Ij! IVI I S. e f LJ UPGRADE MAI LING, ADDRESS :3 014: LL& 'kCLel AJ n Pi LEGAL DESCRIPTION LOCATION NO. OF BFDROOMSP )C"q —7-7A!b—soipPE5jyll-F NO. DISTANCE TO:// J -'i ` J yoos G02 1 h4anufactur r 109tol iq] No. of co attments LU U) Lici. capacity in gallons Inside length tfVidLo Liquid depth A? IF HOMEMADE. Well TWO PERMIT N0. DISTANCE TO: -j Manufacturer I Material Liquid capacity in gallons wT 0 Well DISTANCE TO: 1,2 — No. of Inn Length of eachDine Foundation rot, I lengtji of lines nch width ��� NO. Distance. between lines -j 2 Lu 7— 4/61-) lar D Top of tile to finish grade Material beneath tile Total effecw7 absorption area ul "Or,, lNidth inches Depth PERMIT NO. < r- m Type of crib Crib diameter Crib depth Total effective absorption area LU to Well DISTANCE TO: Building foundation Nearest lot line Class Depth �iJDriller Distance to lot line w DISTANCE TO: -Building fOUndation— Sewer line Septic tall k Absorption area(s) OTHER f PIPE MATERIALS SO] L TEST RATING j —INSTAL ,59 REMARKS F/e /d t&,k d, /7 c LEGAL APPROVED c DATE 72-013 (Rev. 3/78) r� m M r -I bn r o ca i 40: O: O : a): O N: �� 4-+ : �l: u': E+ w E+ w E+ w F+ w F F F F F F+ F F bb: , I~ or i' rm1 < H; i f^ a co: HH� V ro: :'. �: CI F F F F F H F F F F O F O F CH: : co: �+ ri �: W GrFi GF W w W H FF F F 4-1 r -i: [Wa gl �as •ri: O ' r i 44 z a �--fA; z U a Gra w 0 0 0 0 0 0 0 0 •� ® M o U A p o Q' 0 0 G 0.' i'i 0'n GL Gi w GY w Gra w G1�i w {' o rA A w w w w w w q cd W > cd m > r -I QI ri a) r'I (H z -i A m A �A r(d a� > > (1) o ce TUU) bO v3� i N +' _l Gd 'B4A r0 7 a) .J o: m tsfJ i4 C!7 W; -P Q a is i la ra: .ri : . d : a: Ul B v1 ce- Ui ad: r-� Ui O UI:, D W ; ;4 LUas r -I: U] : r r+ -P: F? PIAP •H: O i •ri •rli Qi (CC ri r -G a, cd: o; o: co: �; w; N; Cl; c0 O� .-E .4 GSI ;c4: v o c o •H: N : c): tiU: cd: �; z : Co. o O U2 V,) : c0 ti co: r -i F •-I p � o gyp: (\I Cl f0: O� A Ga O Im O O O O O O ;T4rl: uj �y O O O V4W. w w w w 7 o rn ^ E' w w w w w w w w w w w w z ~~^ ^ ~~ ~~ — .1 ^ "^~~ ~^ " ^ o~�, ��.nu��v~,r��vc�" DEPARTMEN� ]F HEALTH AND PROTIze "llON 825 �' �T�EET� 4NCFI[)RACE, AK" .i5O1 ` 264~472O �E E. L_ I__ J (A W 1: A ERE W kk_ LAJ Y.:� V:::" kWh FAT WVI I - 4^ PERMIT NO., ( 8OO]66 ) APPL.ICANT TIMBE8LINE IND., 352S E 15TH 272 ... 5226 LQCATION �LLIEB [}R L.E:GAL. iTg HAMP'TON HILLS S/[) LOT SIZE: 5OOOO SGUARE FEEl � Type of soil absorption system iso. DHAlNFIELD Maximum number of bedroD0s -- 3 So il rating (SQ FT/8R1�O The required size of the soil absorption syste-In is. 0J E-�' 11:..- -L U-0 = ^4 K_CT�_-����� "��� "��-�a %�' E- I. K��-t: � it == ^� The length dimension is the length (in feet) of the trench or drainfiGld" The depth of a trench or pit is the distance between the surface of the gr0u7d an thG bottom of the excavatj.oil (in feef). -t U-m q-� � ��lr-� Fc-.: A-H ;L*j. Ji. ��P-H I 1.'Ei- "�. The 9pavel depth is the noKimLm depth oP gravel between thG oij.tfall pipe aOd the bottain Of the excavation (ill U�<4 Q.. -a I. Ir. e_-." 4rj ���> I.-. I c� �^rjn_L�jmvjk' ��3 1. 7- e�-= I (_P"DC6 '.k. c-.:�^� ll S�-:- PePmit applicant has the responsibility -to inform this department during the installation inspections of any wells adjacent to this property and the nunber of residenCGS that the well will serve. Minimum distance between a well and ally on~site sewage disposal system I FAR E=:::I'F;I C;^K���1"'H �.=i deN F -o'! ��Lj I k­':;� k-.* PLA Ba[kfillin� of any SystOITI without final inspection and approv�l by this- depaPtnent will be subject to pPo5eCutioO" Minimum distance between a well and ally on~site sewage disposal system :is 10(} feet foP a pPivatg well or ISO to 200 fGet frm� a p(.1bliC. well dBr.)endjn g upon the -type of public wBll^ MiDiFoUm diStaDce fP0n a private well to @ private sewer line is L5 feet aOd to a connnunity sewer line :is 75 feet^ Well logs are required and must be returned to the department within 30 dii.-Iys of 1:1-10 well completion" Other requirements may apply. SpECificatiOns and construction diagrams are available to insure proper installation" I certify that 1' I arn familiar with the pequirgFoents fOP Dn~site sgwers an well� as Set forth by the Municipi�.ility of AnchDragG. 22 1 will install the system in aCcordari[e with the codes^ ]a I understand that the Dn.... site sewer syste-in may require enlargement if thG residence is remodeled to include more than ] bedrooms. ���7�- /�-06 t ' / 2-3 GNIR. L��.... ..... _�� 7�/ APPLICA�T TIM8�RLINE IND. '' v' �� / / c/� ��/ / /�4/,46 TIR UAI MAINE 1 A. P I ell oul"Yal ME] qy (17 1 g.w. V 141 1 (14 AXIS r'. mv, �-x � ".1G, - Y &M AM) A.. rod Q I Gl 141 1: F". -3 t.-" $Ay k"% f -X 'T' F w' 41 fill PTIA. i,,, Nq I- flifsli .15A i_ GC A I �31 1-11 to its t i URUO f"Muber a t- f- o o i )'- E 111%1 4, /`3:t} 2'_C) I­oqui Ped s i to Ili' As,? sulk airworp is An system is' c, eN I I -"t ii an 11 Me U 1)i thl V 1; r ell ch at' 'I P.1 111 F L fist ROFF 6 i 1 i S till (J�slancif �utuetrn the surkae 'It AT �jptj'_111-1 _.-scI4 I-) °016 tip Hit! '-) Y.1- '%"] t Will ( ill Feet) 1: €'n w, lie -10-rl 1: 1 tw t; w - a, tlr "l t dupth it Aw 10111kirstuss KPOn A gra"01 piq and kill; jolt Will of thiq rexcawavion (to OAK '­` l& -" r"; Owns 0 1111 .l f411 A 2' dopyw, 'rmo 1) c oluo i n C, of Sig, well"M.00MA to tylis Prnp.end nd tym� -vivtl Ulle-JA "Is c 11-1 :1 K P_; ' � 1- f 1 WAA-1 � ze, t�:_ �_­'T L.1 �1' 1'�z V-'-- it __� WO(F k L L Not 'A ally syl 'Am &A UPM HJUA hrr.•pl-" ot'l Upol. 13V 3ubject Minkinuin dfw'_;Jrlcb-atworwo a till! and -jjl'y oil --.;"Q' Ilywyaga CH111111-al y S A sit L t Q) 1, Q'I 10 1 -1 a a r a '.L' lief L or %l0 1131 i'.> ti "I uperod i t -f' top ton k ho 'c Mo wom 01-� %.w-"* few: 4 ry c' wo I it w 3 ell -1 ' "r z. -�r ttt tits i_.1 us-sk an't 1 0311 is IS 01,30, SO ngs A r 0 4 "al 4 1 wl 0 TV b e tAl I Wn 4 4 tri file sA 'V.Pisl '-A 4,q a F t tyq I t c 0 SY k i a f) , Wher requ woulants lWay 1pply. Sp.0 Stem! 10f, and coustructit-sit ili,__Fqi-,ami X1141 _i Y -_-j ; t --` o 11-.'. A 0 Ls S u P) 2 t-, P'll P �'_' P i t't'A k `4 1 ) -11 i ofis via hyph I kne- tit A thm, rotlArwall!" Par rNI -I i b; Owlers and 10CH ks as slaW -.Sri- 14 i i I t 11 Uy I I kilo oy'3 i.',tsjl t a 'icl: kl l: 6-q My, a i A 1001-0 khal, f city I, On -z PERFORMED FOR: LEGAL DESCRIPTI DEPTH (FEET) 2- 3 4 5- 6 7- 8- 9- 10 - 11 - 12 13 14 - 15 16 17 18 19 20 7� SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 11 PERCOLATION TEST 825 L. Strout, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST / Z > _ �-0 —Tf �' � DATE PERFORMED: aOPE SITE PLAN f A) d CCs ^r l / 3' Oil WAS GROUND WATER S ENCOUNTERED? .TII r r- L O P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) / 7 TEST RUN BETWEEN .— -F (aM6'"... - FT COMMENTS /(�" I �. I _iJ��-•7%� ' PERFORMED BY: CERTIFIED BY:.. > i a •'a- -DATE:,// 72-008 (6/79)-� :.i Duane L. Miller, P.E. 'SRA Box 2045B Anchorage, Alaska July 22, 1980 Mr. David -W. Haugen 3525 East 15t:h Avenue =Anchorage,- Alaska 99501 -Dear Mr..Haugen: This: letter -presents the.resultsof the, -soil investigation and percolation test performed. at„your:,.pr:oposed res-idential site in the Hillside area of Anchor -age. The -,:specific property is Lot 1 , Block 2, Hampton Hills. The propased:house:will be -a 3 bedroom structure. The soil conditions.. at :the lot•:were investigated by excavating four backhoe test pits in: May =1:980 A John Deere .450 bacvnoe was used for the excavations. -.The. -test, pits were excavated toy depths of 8 to 12 feet at the e-locatlonxshown.on the attached map. During the excavation.the soils.°encountered-..in:'the.-backhoe -pits were visually .classified on the basis -of- the iniflied-Soil Classification System. The conditions encountered .in:the- puts'are summarized on the at- tached plate. From the end of the .-cu l-.de-:s.ac:the property drops about 45 feet in elevation with average s_hoVe of abo-ut 2 horizontal to 1 verti- cal (2:1). The lower half .of -the property i --s. rolling with rela- tively flat conditions-, The .vegetationon the ht�consists predomi- nantly of large spruce trees. In all four test pits:_ -.the upper`-1__to-:2 feet -of material consists of organic silts.and silts. -.with consider -ab -le amount -of root growth and vegetation. In the_ sloping.areas`of. the site the organic silt is underlain by -sandy :gravel --to. dep.ths!'of -about 8 feet. A layer of silty clay about 6 inches-thick-:was:enc.ountered in both of the test pits on the. -slope at a depth of -about -8 'feet. Beneath the silty clay a silty sandy- gravels-was-encountered-to'the depths explored. In the lower area of .the site the-or.:ganic si-lt and silt is -underlain by sand and gr.aveT. The-s:andy- gravel is .underlain by sandy -silt to the depths ex.plored.� In'Test-P:it 31 -the sandy gravel was only 1 foot thick. At Test Pit 4 where the proposed sewage absorption field is to be loc-ated,-the surface silts were underlain by silty sand and sandy gravel to a depth of -8 feet. =From 8 feet to 12 feet, the depth explored, the sand and gravel -;was underlain by silt. Ground water is perched on top of the silt; seepage was observed to be occurring at a depth of 8 feet. A percolation test was performed at a depth of 5 feel. below existing grade in accordance with the procedures outlined in the Manual of Septic Tank Practice by the U.S. Public Health Service The results of the percolation test indicated a percolation rate of about 10 minutes per inch. Mr. David Haugen August 4, 1980 Page Two Based on the results`of�.the soil:?eondit:ions at the site and the percolation test, I. recommend the followiing for :design of the ab- sorption trench system. 1. A per.col.ation`rate- of 15 minotes per' inch is recommended for design. Th -i -s percolation -rate -would result in a re- quired 19D.square: feetcof - absorption trench per bedroom: a total of 570 square feet fta thre.e-bedroom house. Assum- ing that the --trenches 011=.be.48 inches wide, a total of 142 feet ''of.- trench would be`:required for the absorption field system:" .The tre'n'ch -'should be spaced so that the width of-'natura1 soil';hetween the trenches is at least twice the depth of::gravel ''in the trenches. 2 Because of the presence of '-Seepage at'S feet and the requirement for==4 feet o.f.vertical separation between ground water -and they -bottom.of the. absorption field, the absorption pi -pe and graveT backfill should be placed no deeper than 4 -:feet below existing ground. This will only result -in :about 2 feet.sof:: cover over the system. Con- sequently, to;protect-the-;system from frost penetration, a 2 -inch -thick layer ofa"Syr.afoam"--type closed cell insula- tion 'should be -placed -above-the gravel backfill. 3. The lower -area beneath the slope could be subject to con- siderable surface water_flow during -spring breakup. Unless the trenches -are sealed at the surface with a low permeable material, 7surf.:ace water°could percolate into the system and overload it -. Consequently, we recommend that the portion of the trench above.:the,insulation be carefully backfilled with- the -on=site „silt. The --silt should be free of or- ganic:material,,st.icks,or-rocks, which would tend to in- = -crease its permeabi-lity-and should be compacted. We trust this provides -the -information you require.- If you have questions, please call. Very truly yours, Duane L. Miller Civil Engineer 3696-E Attachment: Plate 1 DLM/kb Cti 4- - L7 4=-- -5-1114 S/4 G ./ = eG7 PraP�r7�t �/nc 1. TO '�T r =74- 1. TO MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date' _ 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) VIZZ-5 Cc 13 Location'(dadl.ress, or directions) (b), Applica�5t Name � � _:. IT��G/d n% ___ Telephone: Home �1���r�� Business �y�` ,ApplioantAddress.`,- 0Ci El. -L --5- C) y eNe,_# Alll�-9V.616 -_ (c)= � Applicant is (chepk;one):,Lending Institution E ; Owner/builder jg; Buyer 0 ;Other 0 (explain); (d),. Lending Institution'. -L, _ Telephone Address _ -- (e) Real Estate Company and Agent Address -telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family Multi-FamilyEl Other Number of Bedrooms 3. WATER SUPPLY Individual Well PI Community E7 Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite % Public E] Community 0 Holding Tank 0 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/©4) 5. ENGINEERING FIRM PROVIDIN. INSPECTIONS, TESTS, FILE SEARCH, DA I A AND INFORMATION 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 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 Wcl Telephone Address --12-00 4j_)_3 — Date2z�16 6. DHEP APPROVAU `3 Approved for _� bedrooms b®� q Bute Approved Disapproved — Conditional —_ Terms of Conditional Approval _ CAUTION 'rhe Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025 (11/84) A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: [i2 Ll 9AMP7"ON P ML,S D26/ n3u) -SEC /3 Well Classification INOiWOMN, If A, B, C, D.E.C. Approved (Y/N) N IA Well Log Present &N) Date Completed �6%<� Yield —! 83 GSM Total Depth Cased to Depth of Grouting Static Water Level _q qy / Pump Set At %/q r Casing Height Above Ground __210 Sanitary Seal on Casing O/N) Electrical Wiring in Conduit &N) Depression Around Wellhead (Yo Separation Distances from Well: ` To Septic/Holding Tank on Lot 126 On Adjoining Lots To Nearest Edge of Absorption Field on Lot 1 3O ; On Adjoining Lots 100 To Nearest Public Sewer Line To Nearest Public Sewer / Cleanout/Manhole N� To Nearest Sewer Service Line on Lot IV/A Water Sample Collected byy�FF K/�/CC11t1CK CAFCS� ; Date �d %SSE IV Water Sample Test Results S)qT« F2 7 Comments PE wEa Fzxa) ri�s r e/2z z B. SEPTIC/HOLDING TANK DATA Date Installed111 `1 6f/8-6_ Size 1 000 No. of Compartments Z Standpipes (�Y/N) Air -tight Caps (9N) Foundation Clean ut &N) Depression over Tank (Y/O Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ; for Holding Tank High -Water Alarm (Y/N)�Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: 7 To Water -Supply Well To Building Foundation/ To Property Line _— To Disposal Field To`Water Main/Service Line NTo Stream, Pond, Lake, or Major Drainage Course Comments Pagel of 2 72-026(11/84) VZ L! Hh` VIVIU/V If/6G._5 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 125 Type of System Design Date Installed f c?° — Length of Field _�{Q Width of Field Depth of Field i Gravel Bed Thickness Square Feet of Absorption Area Ti)© Standpipes Present (&N) Depression over Field (Y?& _ Date of Last Adequacy Test Results of Last Adequacy Test _ .5AA5r-i9GT9/S y Separation Distance from Absorption Field: To Water -Supply Well —Q To Property Line 1*0 Building Foundation — J_ To Existing or Abandoned System on Lot /V ; On Adjoining Lots - 519 r _ To Water Main/Service Line To Cutbank (if present) —w�ia To Stream/Pond/Lake/or Major Drainage Course % 0c)/ --f— To Driveway, Parking Area, or Vehicle Storage Area 30 1.1 Comments D. LIFT STATION Date Installed . Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) — Comments — Dimensions Manhole/Access (Y/N) — "Pump Off" Level at V Y/N) ** Check Permitted Bedroom Rating Against HAA Request ** Pumping Cycles during Adequacy Test. Meets MOA I certify that I hav eckeer lnformed to all MOA and AA guidelines in effect on the date of this inspection Signed t�/ Date - Company�I�-��- /ISG. MOA No. T& ` 2 Receipt No. i \ Date of Payment eg/�, � Amount: $ �OS, b -(--) R 77746#A4FY 7-5 ""' / A/gl / 10 6 Page #6? W19r6P SRMAuc Pa e 2 of 2 4'3 PVMId1V4 AccelPi "Y .S/ 76 P14eV 72-026 (11/84) 60459 ALASKA LJlnOnMenTAL COUROL Sei)o CCJ, InC. engineerinq & Environmental Sludies DAVE HAUGEN SELLER—DAVE HAUGEN 10300 ELIES DRIVE, ANCHORAGE ALASKA 99516 08/29/86 DAVE HAUGEN 10300 FLIES DRIVE ANCHORAGE ALASKA 99516 LEGAL:HAMPTON HILLS SUBDIVISION BLOCK 2 LOT 1 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE --08/22/86 THE TYPE. OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 400 SGPT. 'PILE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 676 GALLONS, RASED IPPON THIS TEST DATA THE: SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE, THE SEPTIC; TANK/PACKAGE PLANT WAS PUMPED ON 08/29/86 THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. FLOW TEST ON WELI. WELL FLOW DATE: -08/22/86 A FLOW TEST WAS PERFORMED ON THE WELL. 676 GALLONS OF WATER WAS PUMPED AT A RATE OF 4.83 GPM OVER A DURATION OF 2.35 HOURS. TILE; DRAWDOWN WAS 15.3 ' WITH A RECOVERY TIME; OF 1.0 MINUTES AND THE STATIC WATER LEVEL, WAS 89.9 FEET. THE WELL IS ADEQUATE FOR TIIIS 3 BEDROOM HOME:-. 1200 West 33rd Auenue, Suite B •Anchorage, Alaska 99503. 907) 560040 •QTR L SERVIIYIVIGIY I H. CONTROL SE:RVIC' INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907)561.5040 JOB --oz---- I !T 11rVjil/L. j7/tLS SHEET NO1 1 p CALCULATED BY__ a 1� DATE_? -t246/] 6—__ CHECKED BY_ — — DATE M �n' 61P s�Pr�c TANK 89 IOy C/O �g sy. �+ovSE FOunr0a7, An/ s8' 7`i, _ WELL ORATE COLLECTED Mo N DAY yr I.B. NO./ UBLIC 'SYSTEMS) NAME OF :SYSTEM SYSTEM ADDRESS CITY LOCATION WHERE SAMPLE WAS COLLECTED ­BYSI6NATU ) �a_.�.�_LF S TYPE OF SAMPLE (CHECK ONLY ONE TNIS COLD tt DRINKING WATER VCHECK TREATMENT TIMEE COLLECTED AM STATE 0 RAW SOURCE WATER Cl NEW CONSTRUCTION OR REPAIRS D OTHER(Specify)__ _ TYPE OF STEM PURLItSNDIVIDUAL CIRCLE CLASS ® C EL€PHONE NUMBER ZIP CODE [] CHLORINATED L] FILTERED WNTREATED OR OTHER IS THIS SAMPLE A CHECK SAMPLE TO A PREVIOUSNON-CO )RMING SAMPLE? YES NO PREVIOUS COLLECTION DATE ANALYSIS REQUESTED (IF OTHER THAN TOTAL COLIFORM) SEND REPORT? 70:(PRINT FULL NAME.ADDRESS AND ZIP CODE — NAME� ADDRESS l'�e)cf) P - STATE ZIP BACTERIOLOGICAL WATER ANALYSIS RECORD FOR LAB USE ONLY ID/TOTAL COLIFORMS FECAL COLIFORMS OTHER RESUBMIT SAMPLE Sample rejected ?Because: CHECK ONE OR MORE 0 Sample too long in transit. SSMple should not be over 30 hours Sample received too late in week Not in proper container Leaked out EJ Insufficient information provided. Please read instructions on forme. �j Other (Specify) RECEIVED FROM RECEIVED BY DATE ANALYTICAL METHOD: a% MBRANE FILTER 0 FERMENTATION TUBE Date & Time Started a/a, Date A Time Completed 1- _ i + LABORATORY ESULTS Ana1ystC����`.`i.�G��. ® Other Bacteria ® Test unsuitable because: ® Confluent Growth 0 TNTC SATISFACTORY ®'z UNSATIsFAcTORY E] Membrane Filter: Direct Count _�2 Coliform/1DOm7 Verification: LTB _ BGB Final Membrane Filter Results __Coliform/IOOmI Reported By Date Time . A.M. P.M. READ SAMPLE COLLECTION INSTRUCTIONS ON BACK OF FORM 'd INSPECTION APPOINTMENTS I ----'MUNICIPALITY OF AN(-HuKn` MUNICIPALITY OF ANCHORAGE O HEAPLTH &TION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT�IQP�RONM 1325 L Street - Anchorage, Alaska 99501 2 � � lair V ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 I I / REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW — CITIES DIRECTIONS: Complete all parts en page 1. Incomplete requests will not he processed. Please allow ten (10) days for processing. PHONE 1. PROPERTY OWNER MAILINGADDRESS fT L' /L.��1 <S —�-- PHONE PROPERTY RESIDENT (If different from above) - "a JD�I%NG INS I i i u I' V'� �. �5_q NG ADDKk:bt- MAILING ADDRESS DESCRIPTION U'-2 -T, I CATION #� L'�S e.j'-_j L i. TYPE OF RESIutNUr _ ,9L SINGLE FAMILY ❑ MULTIPLE FAMILY 7. WATER INDIVIDUAL* ❑ COMMUNITY ❑ PUBLIC UTILITY_ 9. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** ❑ PUBLIC UTILITY %- �j )-� �vc5 —3 _. -- ❑ ❑ One ❑ Four Other-- ❑ Two ❑ Five Three ❑ Six * ATTACH WELL LOG. Awell log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) — __YEAR ON-SITE SYSTEM WAS INSTALLED. ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. NOTE: THE INSPECTION FEE MUST 72:010®v. 6/79) 7.. TYPSIDENCE SINGLE FAMILY ❑ MULTIPLE FAMILY 2. WATE SUPPLY INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS ❑ ONE LIQ REE ❑ FIVE ❑ TWO ❑ FOUR ❑ SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3.. SEWWAAGE DISPOSAL SYSTEM PERMI NN BBEE Ea'HT6IVIDUAL/ON -SITE :PUBLIC UTILITY DATE INSTALLEC Con�tion Verified __Verified __� �eptic Tank or ❑Holding Tank INSTALLER Sizer If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tan WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS on Area ISewer L5 APPROVED FOR �� BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED 72-010 (Rev. 6/79) ❑ OTHER ALASKA RUIROWnTAL COnTROL SMIRS, InC. 6ngineerinq & 6nuironmental Studies MUNICIPALITY OF ANCHORAGE- x ENVIRONM-Ni,':;" .,_T:,C(ION RECEIVED JUNE 15 1981 DIANNE ORREN SRA BOX 2048-0 ANCHORAGE AK 99507 SELLER — DIANNE ORREN SUBDIVISION --HAMPTON HILLS BLOCK -2 LOT— THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 696 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SOILS RATING OF THE SYSTEM AT CONSTRUCTION WAS 225 AND NOW IS 232 SQFT/ BEDROOM. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. (j,�irvpp U OV peaoopop `V i Vhf' a° pompe �« e op ioo pooeoo o P Vf° 10^11 0 44 a 4 � �pHOFEW �i w'-'� 1220 West 25th Auenue a Anchorage, Alaska 99503 • (907) 276-1361