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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)