HomeMy WebLinkAboutMINDYER MANORS BLK 2 LT 1
t MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
~' 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME . IPHONE [] NEW
l 2 pl/ d yet
LOCATION NO. OF BEDROOMS~
PFF
~ DiSTANCETO~ Well /:01 Absorption area/~/ Dwelling~ ~ , ~, PERMI~g
, Material/. No. of compartments
~ ~ biq. ca~a~t~ [, galJons IF HOME=DE: Inside lengt= Width Liquid depth
lOUd
~ ~ DISTANCE TO: ~ell D~llin9 PERMIT NO.
O ~ ~ Manufacturer Material Liquid capacity in ~ollons
~ Well ] ~a/ Foundation Nearestlotline~2
Total length of lines. Trench ~idth Distance between lines
~ ~ Top of tile to finish grade~ ~ ~aterJal beneath tile Total ~ffective absorption area
: O/ -- ~ 6' inches ~
Length Width Depth PER T
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundatfon Nearest lot Hne
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO,
Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
SOl L TEST RATING . , --
REMARKS / '
IIIP,' ",, ,
I
APPROVED DATE LEGAL
72-013 fRev. 3/78)
F'ERMI T NO.
DEF'FIRTMENT ~.~ ,FIEFILTH FIND EN',/IRONMENTFIL ~FJTEF:TIL]N
..... '"L~' STF-!EET.. RNCHORRGE. FIF'..'. 995El1
264-4720
"]"~"".~' "---:; 1. TE :---~E~-.-~EF~." F'EF-."~'.I 1. 'T
( L=:2:E~2L.'~7 )
RF'PL I CRNT
LOCRT I ON
LEGRL
SCOTT D. SELFRIE:,GE SRR 4.C1EI4-W
LOT ~IBLK 2 MINDYER blRNORS SUB
LOT SIZE
T'¢F'E OF 'BOIL HE,:,_RFTION SYSTEM IS: [:,RRINFIELD
hlRXIMUM NLIME:ER OF E:EE:,ROCIMS =
248-03:EIC1
9'9'9'9'99 S~-.':!URRE FEET
SOIL RRTINO '::SQ FT,.'"BF.:)= ':,'":'.~
THE REQUIF. iED SIZE OF THE SOIL RBSORF'TION .:,T:,TErI'-'"- IS:
[:.EF"TI,,,I= 7 tL Ef-.~L~T..= .-- z-: C-~F-:R"-.-"EIt [:"EPTH= 2:. 5
THE LENGTH [:,IP'IENSION IS THE LENGTH ,.'.'IN FEET::, OF THE TRENE:H OF.: [:,RRINFIELD.
THE DEF'TH OF ~ TF.'.ENCH CF.' PIT IS THE [:,ISTFtNCE BETWEEN THE SURFBZ:E OF THE
GRD_IND RND .THE BOTTOM OF THE EXCF¢,/8TION (IN FEET).
THE TF.."EP-,~C:H I..l Z [:.TH 1. ~--'; 5. O~E-,,Z', FEET.
THE F' -" ,-
-~RH.,EL DEF'TH I:, THE MINIMUM DEF'TH OF GRR',,,'EL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE E,--,[.MvHTION (IN FEET::,.
PERMIT RPF'LICRNT HRS THE RESPONSIBILIT'¢ TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSF'EC:TIONS OF FIN'¢ WELLS R[:,JRCENT 'FEI THIS FF..LPERT=' '- ' ' "RND THE
NLIMBER OF RESIDENCES THRT THE HELL HILL SERVE.
Tt.-IC, (: 2 > 1' ~-~SF"EC:T I C,~-~S RRE F-:E,].~L~ 1. F-:E[:.
BRC:KFILLING OF RN'T' .:,~_-,TEH WITHOUT FINRL INSF'ECTION RND RPF'RO'v'RL E:Y THIo,
DEPRRTMENT WILL BE SLIBJEIE:T TO PRnSECLITION.
MINIMUM DISTRNCE BETWEEN R HELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
±EtC1 FEET FOR R PRI',/RTE WELL OR .'15El TO 2EIE1 FEET FROM R PUBLIC WELL DEPENDING
UPON THE T'¢PE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRI',/RTE SEWER LINE IS 25 FEET RND
TO R COI',iMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS I"]R'¢ RPPLY. SPECIFICRTIONS RND CONSTRUCTION [:'!RGRRMS RRE
R',,,'RILRBLE TO INSURE PROPER INSTFtLLRTION.
I CERTIFY THRT
±: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RN[:, WELL'-'] RS SET
FORTH E:'¢ THE MLINICIPRLITY OF RNCHORRGE.
2: I HILL INSTRLL THE SYSTEM IN RCCOF.~[:,RNCE WITH THE CODES.
Z;: I UNDERSTRND THRT THE ON-SITE SENER SYSTEM MR'¢ REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMO[:,ELE[:, TO INCLUDE MORE THRN ]: BEDROOMS.
.... ,..
P O U Q~q 6-650
ANGHORAGE, ALASKA
(907) 264-4111
! O;IY </'IOV/i ES.
;: ;','JXT.,iEx~ OF Hi~lO f ENVIRONMIENTAI_PRO]ECTION
~Permit #: 820603
· January 31, 1983
TO: Permit Applicant
Subject: Lot 1 Block 2 Mindyer Manors Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel%
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057
"i'Ht::: ......... r.,::c,"~ ¢~, r"!F' .i:q. 'TRfEF,!CH OR ¢'TT. T': 'THg ...... DZi};TF~NCE:. FF']",FF'H "['J'"IIE ':" ~;,x'~ '.: n~'
TNF ................. Gi;'¢¢,,,'F' bl::F,'r'kl,, ...... T'q THE .... '~'~r..."'iT~'~' DFPTH · ,r"~: G~TF!',,,'EL E':T'..,,, ...::c:" THE "'.i'~'i:'c.,.. , ,,,,,~_ ,., ..c"i'~':'
I::~F,iD 'r'xlF:~,I:'"T ..... --.,1, Cfi:::' TUF' k":'""- ~, , -,' !' , ,"3" '¢,, .... l!..~ ,:: ]:~.,j ,-'c','-', ....
· Date: ~ ~ - '~'- Barb
De th in F o-/-/8 er
From
0.0' _ 0.5'
0.5' _ 7.0'
Brown Pe_~at, Pt, wet to saturated, soft.
density, Group B.~ ~, SM, mediu3n
7.0' _ 20.0, .F-3, bt. owen ~
, , ~r, Gro
Up F. damp to
Bottom of Test Hole: 20.0.
Frost Line:
Free Water LeVel:
None ObServed
NOne Ohs'erred
Type
5.0' 8.9 G L
70.0' 70.7 G N B SM
~ 5.0 ' ~- 6 G
20.0 ' ?2.0 G N-L F SM
L-/~I F SM
SM
emarks:
Type of Sample, G=Grab, SP
U = UndistUrbed· = Standard Penetration,
2. Dry Strength, N=NOne, L=Low, M=Medium,
3. Group refers to s/milar mater '
4.
5. ~al ~nformation _ ial, t~ H=High.
6 U~~ and Textur~ i.see Sheet ~ -~s study only.
· ~rled Clao~~ C~assific . ~
' ~r~cation, ~ ~/lo,, see Sheet 2.
' ~= oneet 3.
~ 2
Bl~ck 2
8 Min/inch
~12 Min/inch
15 Min/inch
15 Min/inch
12 Min/inch
12 Min/inch
Measured~ting.
Estimated rating. Keep
system in SW portion of lot.
Estimated rating. Keep
system well above stream
and wet area. May encounter
shallow subsurface water.
Estimated rating. Control
shallow subsurface water or
find a spot on the lot
where it does not present
problem.
Visual rating. Control shallow
subsurface or find an area on
the lot where it does not
present a problem.
Visual rating. Control shallow
surface water or find an area
found on the lot where it does
not present a problem.
20 Min/inch Measured rating. System needs
to be kept to the rear of the
lot to avoid problems with
· shallow subsurface water.
2 20 Mln/inch Measured rating. Keep th~--~
system to the rear of the tot~
~__7 ............... '--~ to avoid problem with shallow
" ~ subsurface water.
3 20 Min/inch Measured rating. Keep the
system mid-way between the two
streams to avoid shallow
subsurface water.
(Continued)
20 Min/inch
Estimated rating. Keep the
system mid-way between the two
streams on the ridge to avoid
problems with shallow subsurface
water.
Slotted, 3/4" PVC pipe was placed to full depth in test
holes #1, #5, and #7 and a percolation test run in those
holes. The results of those percolation tests are:-
Test Hole #1: 1'0 minutes/inch
Test Hole' #5: 8 minutes/inch
I .~ddition, to drilling the holes and running a percolation
test, our geologist walked the entire site, mapping out the
paths of the two streams that transverse the site. It
became obvious from the drilling, and from walking the site,
that there were areas of poor drainage the ground surface
and shallow soils were saturated. Four major areas where
this occurred were identified and are mapped out by ~he
geologist. These are shown on Figure 1. In addition, there
were two areas where seepage was coming out of road cuts and
those were also identified on the enclosed Figure 1.
It should be noted that shallow, subsurface water was
encountered in test holes #4, #4A, #2, and #6. There is
some problem with subsurface water on this site.
Except in the areas immediately adjacent to the two streams,
we do not-~eel that this shallow, subsurface water is true
ground water, or even perched water. It is our opinion,.
that it is merely surface runoff associated with the heavy'
rains of the past two months that has not drained'properly
and has saturated certain areas of the site. This saturation
generally extends to a realtively shailow depth, i.e., less
than 10'. In other cases, it is following more permeable
seams and may exist relatively close to the surface say
less than 10' ,
Based on the data that we have collected there should be no
problem, from a Permeability standpoint, with constructing
on-site sewage disposal systems to meet Municipal standards
on all proposed lots within the subdivision. Additional
soils and percolation data may be present to give specific
design values for certain lots. We refer you to Table B
included in this report, that is the summary listing of each
lot of the subdivision with an estimated percolatio~ rate.
However, due to the presence in some areas, as identified on
Figure ] of shallow, subsurface water, it may be necessary
to do additional testing to verify locations on specific
lots~where shallow, subsurface water will not affect the on-
· ALASKA ENVIRONMENTAL
CONTROL SERVICEr tNC.
1200 West 33rd Avenue~-duite B
ANCHORAGE, ALASKA 99.503
Phone 276-1361
SHEET NO.
CALCULATED BY
CHECKED BY
SCALE
~ ~ / ~ , >/.9 ~
I
Z-
DATE
,ALASKA ENVIRONMENTAL
CONTROL SERVICEr !NC.
1200 West 33rd Avenue~uite B
ANCHORAGE, ALASKA 99503
Phone 276-1361
SHEET NO. -'~ ~_ __~ OF
CALCULATED BY '~' ~ DATE
CH~:CKED BY
SO^LE / "----
DATE
0 0 0 0 0 0 0 0 0 0 0 0
~ :-..] -] ~ ,-.] ~] ,-] ,.-] ..] ~ -] ~
0 0 0 0 0 0 0 0 0 0 0 0
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
Parcel I.D. #
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include 10t, block, subdivision, section, township, range)
~/
Location
'~elephone: (home)
Business
Telephone
Mailing Address
(d) Real Estate Company and Agent
Ad dress
Telephone
(e) Mail the HAA tO. the following address: (or check here'J~k if hold for pick up.)
List contact person and day phone number below:
TYPE OF RESIDENCE
Single-Family'~ Number of bedrooms -~
WATER SUPPLY
Individual Well~ Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
SEWAGE DISPOSAL
On-site'J;~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72-025 (Rev. 7/88)
Page 1 of 2
5, ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, Iverifythatmyinvestigation 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 /dF~-~'~I' Telephone
Address /¢f~..- /~' ~..~ /~z/4¢ /¢~
Date
t
6. DHHs APPROVAL
Approved for ~'~..._.bedrooms by
Approved ~ Disapproved
Terms of Conditionol Approval
Conditional
Date
The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval
cerificated 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 DHHSdonotconductinspections
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.
72-025 (Rev. 7/88) 8ack Page 2 of 2
O~ '
~.NVi~,ONMeN[t-'~ ~~ ' -Health Authority Approval (HAA)
~/ CHECKLIST - FEBRUARY 1984
i[~,~ ~ ' 343-4744
A. WELL DATA
Well Classification
Log presentON) __
Well
Total Depth ~ Cased to
Static Water Level --¢
Casing Height Above Ground
Electrical Wiring in ConduitON)
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot /~¢'0 -/--
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
Water Sample Collected by /~'"~)'
Water Sample Test Results ~,4~
Date Completed
/ Depth of Grouting ,~J'/~"~
Pump Set At
//'/" Sanitary Seal on Casing 0/N)
Depression Around Wellhead (YO
Z
If A, B, C, D.E.C. Approved (Y/N)
~'-/Z- -~'~- Yield /'~
!
; On Adjoining Lots /o'~ ~'-
; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
/'J,~'7'// ;Date ¢-~'2'-~/~
B. SEPTIC/HOLDING TANK DATA
Date lnstalled 7-~-~~ Size
Standpipesi~N)
Depression over Tank (Y~_.~
,/
Pumping/Maintenance Contact on File (Y/N) ,,~//~ ; for
· . ,~',~... · , /
Holding T~p~~~ (Y/N) ~/~ Temporary Holding Tank Permit (Y/N)
SEPAR~0:~OI~C g~S EPTI C/HO L D I N O TANK:
To Wat~r=S~ply ~{ ~ ~ ~ ~ To Building Foundation
To Property Line . , ~/ To Disposal Field
To Wate[ ~a~g/Ser, vme .Mpe ,'~ ~ /¢ ~
To Stream Pond, kake. ot~M¢td~;~rmnage Course /~
Comments ~ ~2;¢;~ ~*~ ~
/,~Z~ No. of Compartments ~
Air-tight Caps CN) Foundation Cleanout (Y{~)
Date Last Pumped
72-028 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absortion Area 72-0
Depression over Field (Y(~)
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
J Type of System Design/,
Length of Field ~-
Depth of Field ~ ¢/~
Grave~ Bed Thickness ¢-~
Statndpipes Present ~N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots
To Cutback (if present)
To Water-Supply Well
To Building Foundation ~'¢/''/-
Lot · x-)/
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Sto'rage Area
Comments
D. LIFT STATION
Size in Gall6'Crs~,~
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
**Check Permitted Bedroom Rating Against HAA Request**
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
r,_,,~,~.,~ Pumping Cycles during Adequacy Test.
I certify that I have checked, verified, or conformed to all MOA and HAA guideli
inspection.
Signed
Company
Date
MOA No.
Receipt No.
Date of Payment
Amount: $
72-026 (Rev. 7/88) Back
;nrt~.~l~on the date of this
, ,
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
FEDERAL TAX ID # 92-0040440
ANALYSIS REPORT BY SAMPLE for Work Order ~ 12989
Date Report P~inted: MAY 2 89 @ 16:32
Client Sample ID:LI, B2, MINDYER ~ANOR
PWSID :UA
Collected APR 28 89 @ 11:45 ks.
Received APR 28 89 @ 15:00 h~s.
Presezved with :AS REQUIRED
Client Name : A E C S
Client Acct : AKECSRP
P.O.~ NONE REC'D
Req ~
Ozderod By : A. WIEN
Analysis Completed :APR 28 89 Send Reports to:
Laboratory Superviso% :STEPHEN C. EDE 1)A E C S
Roieased By; 2)
Special
Instruct:
Chemlab Ref ~: 5065 Lab Smpl ID: 1 Matrix: WATER
Allowable
Paramete~ Tested Result/Units Method Limits
NITRATE-N ND(O.I) mR/1 EPA 353.2 10
Sample SA}dPLE COLLECTED BY A. WIEN
Remarks:
1 Tests Performed * See Special Instructions Above UA=Unavailable
ND= None Detected "See Sample Remazks Above
NA= Not Analyzed LT=Less Than, GT=Greater Than
· tF _ APPLICI~ )T FILLS OUT UPPER HAL' ONLY
Pr~pe[ty ~C~ ~'~er
Phone
~5~ 747~
Mailing Addre~ ~R~ 4OO4-~
Address Zip Code
Lending Institution ~L~ ~']tJ~A~ ~AV/IV~ -~K Phone
Address [ dO~'
' Zip Code
Realty Co. & Agent ~ Phone
Address Zip Code
Legal Description ~T
Street Locati~ ~
Type of Resi~nce
Single Family
Multiplo Family ~o. of Bedroo~
~ Othor
Water Supply
~ Individual ~.~.( ),2r>/ ~ ~ A~ACH WELL LOG. A w~l Icg is required for all wells drilled since June 1975.
Community ~ For wells drilled prior to that date, give well depth (attach Icg if available).
~ Public Utility
Sewer Disposal
~ IndN[d~al ~ - Yoar Individual InstaHod:
Public Utility ~[ ~ ~U~ When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EAGH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time I Time
Date Date/ J [~/*~ ~ Date Date j /
Inspector O~L~i_~_~ Insp ~t°~ C~ ~3~~.~ ----L- ' Insp~ct°r Inspector ~ ~'
Field Notes: J~ ~'^ ~'0j~''x O ~O~.~ ./~~
~ ~l~,.i ~ ~"~, ,'~-~'._ .~NV, J~RONM,':-NTAL PROTECTION
,RECEIVED
(.~)APPROVEDBEDROOMS ~. _. ~/~ ~. I = *CONDITIONS OF APPROVAL
( ) DISAPPROVED ~ i~"~-'~-~"X ~ ~-~1, <~_./o-~-
DATE
BY:
Soils Rating Date Sewer Installed Well To AbsorPtion Area /~ ~'i Well Log Received .
~2/'- ~ ~--- We,. to Tank /~Z.- Sep.e T~ S,~e
72-023 (3/82)