HomeMy WebLinkAboutNORTH SPARKS LT 1Onsite File
Date Received
STA —1-37 OF ALASKA
DEPARTMENT OF ENVIRONMENTAL CONSER17ATION
DOCUMENTATION OF CONSTRUCTION
I, GENERAL INFORMATION
Legal Description of the Location
- o 1 ®j L'�--,+ 1
Submitted by: (Check one)
0 Certified installer
0 Approved Homeowner
Registered Engineer
Installer Name:
10psite Wastewater System Serves:
0 Single Family. Number of Bedrooms
QL Duplex. Number of Bedrooms
0 Small Commercial Facility With Estimated
Design Flow of less than 500 GPD.
Mailing Address ALASKA WATER & WASTEWATER
CONSULTANTS. INC.
6901DERARD On - 0TjTn-q-- —n--
AN`---'1C.--'10E, Ad. D-9504
11. WATER SUPPLY SYSTEM (SECTION 11 IS OPTIONAL)
Source of Water and Containment (Check all that Apply)
Well (Drilled or Driven) 0 Surface (Identify)
Roof Catchment
0 Holding Tank 0 Other (identify)
Type of Water Supply System
0 SF/Duplex
Public
Treatment of Water (Check all that Apply)
0 None E] Chlorination
0 Filtration C] Mineral Rrm6val
0 Other:
Well Data Is the height of the well casing more the 12" above the ground? 0 yc,�-' El No
Is a sanitary seal or well cap installed an the well casing? E57Yes 0 No
Is drainage directed away from or around the casing within a radius of 10 feet of the well casing? ❑ Yes 0 No
Is well wire enclosed in conduit? ❑ Yes 0 No
Drum
j
Depth of Well (Feet)
available)
Static Water Level (Feet) Yield (0� available) 'Pump Rate (Ilavailable)Date
(If
ng11rih on Lot
Sewe, Lincs on Lot lAbsurpno,-,
Fecal
!-�.La on Lot
FCct,
Closest S.-ptic/Holding Tank on Ad'acent Lot
Feet
Closest Server Lines on A went Lot
Feet
Closest Edge of an Absorption Area on
Adjacent Lot: Feet
Indicate separation distance from toxic materials including fuel tanks, paints,lijbr' fits and other
petroleum based materials, pesticides, fungicides or herbicides to well casiner,
On Lot
Feed
On Adiacent Lot
Feet
Water Sample Taken by: (Name)
Sampler 6. Buyer 171 Engineer
[3 Banker C] Government Official
Address
Water Samnle Requltq:
Attach Copy 0 Satisfactory - Date E3 Unsatisfactory -Date
Comments/Recommendation
Ice At f Q—t;— TV is
Signature
TypedfPrinted Name
Title
Date
Note: 1. This section should be signed by a Certified Installer, Professional Engineer, DEC staff, or Owner/Builder
2, All public water systems must receive ADECp1an approvalprior to construction. See ISAAC80 State of Alaska Drinking lf'ater
Regulations for specific requirements.
WASTEWATER DISPOSAL Legal Description: - i"� I
I So-L-rks -SIA,
�91 Septic Tank with Conventional Soil Absorption System 0 Package Treatment Plant (requires engineered design)
0 Holding Tank: Material Type: Size in Gallons: Manufacturer:
0 Other - Specify Type 0 Alternate Onsite (requires engineered design)
0 Small Commercial System (< 500 GPD) With Estimated Daily Wastewater Flow of. Gallons Per Day (GPD)
Criteria Used to Estimate Daily Wastewater Quantity:
0 NEW SYSTEM REPAIR TO EXISTING SYSTEM
Certified Installer Installation Notification Date:
T
_
Name of Installer: L eoi-r r, k
IDate Installed:
System Installed: 0 By a Registered Engineer With Inspection by a Registered Engineer
0 By Ap2roved Homeowner (attach copy of ap2roval letter) 0 By a Certified Installer/Installer Number
Septic Tank: Material: Manufacturer: Size (Gallons): Number of Compartments:
Type of Soil Absorption System: 0 Deep Trench CR Shallow Trench 0 Seepage Pit 0 Bed
0 Mound 0 Other, Specify
Soil Classification:
Soil Rating: 17-S-
Dimensions/Size of Absorption Area: 5
Grading/Size of Distribution Rock: i Il ^ 4-1,
Thickness/Depth of Distribution Rock:
Percolation Test Results, Attach Copy of Report:
PercolationTest Performed by: R 0)b
Minutes 2er Inch SS, ft. per bedroom 1percolation
test results must be scaled/signed by a registered engineer
1-
List Eound cover in feet over: Septic Tank 't t- Absorption Area t i- Sewer Pi es tj ;
Cleanout Pipes/Ca ps Installed: 5 Foundation Cleanout:Lz,� Septic Tank: Monitor Tubes: Y-5
Indicate separation distances from septic tank or absorption area, whichever is closest, to all nearby:
jPublic drinking water sources within 200 feet: Private dririking -water sources wi"In"r. 1001 fect:
IN.-arest water bcd;cs (see IS AAC 722.020(b)): t00 -Ir Lot line:
Se2aration Distance from Onlot Sewer Lines to Public Drinking Water Source i a0 t-4- Private Sources: ic'O"ei
L
Separation Distance From Bottom of Distribution Rock to: Groundwater Table: Bedrock:
Separation Distance from Absorption Area to Slope exceeding 25%: '50t A-
Comments/Recommendations
I certify that de a gformaArt, and that provided in Section IV, is correct:
i CY
Cnatu
Typed/Pn*nted Name
Title, Reg./Cert No., Inst. No.
Date
NOTE:Hu. Vybs; by a Cert � Ins Her, Professional Engineer. DEC staff, or Approved Homeowner. Ifengineering se Sg:i.�'V41nJ
regist±n nd is signed, those blocks need not be coriplatcdfor engineered submittals.
Registered Professional
Engineer
v e arscaasa�c-siva vas .,z.�.
INSTRUCTIONS FOR DIAGRAM
in a plan view, locate and identify each of the following:
a) Well b) All Structures
e) Surface Water 0 Sources of contamination
h) Closest well on adjacent property
j) Closest edge of an absorption field on adjacent property
c) Septic Tank d) Soil Absorption System
g) Property Line (Include dimensions)
i) Closest septic tank on an adjacent property
k) All cleanouts and monitor tubes
?. Show distances between the well and each of the sources of contamination listed in 1.
3. Show distances between water bodies and each part of the onsite system listed in 1.
4. In a cross section view of the soil absorption area, identify each component and show the depth (thickness) of the following:
a) Soil Cover b) Absorption Material c) Water Table d) Bedrock e) Discharge pipes 0 Insulation
AS -BUILT DRAWING
ST1
28.7
43.7
ST2
34.2
53.5
DBL1
35.4
55.4
DBL2
35.4
56.3
COC
35.0
56.6
FS
35.5
56.5
C01
30.8
58.0
MT1
46.5
74.4
CO2
53.3
90.8
NEW DRAJNFIELD.
SIZED FOR 1
BEDROOM
EXISTING DRAJNnELD.
PASSED ADEQUACY
TEST FOR 3 BEDROOMS
ON 10/12/2001.-7
INSTALLED
SPLITTERS
SEE DETAIL
A
r
NOTE: PIPING
CONFIGURATION
BEFORE THE TANK
WAS NOT INSPECTED
R" AKVV'VVC- INC.
TRENCH
CSEPTIC
AR �
TH#1
-DBL2
-DBL1
\—EXISTING 1500 GALLON
SEPTIC TANK. INTEGRITY
WAS VERIFIED AND
FOUND M BE OF
GOOD INTEGRITY
A50�40
�
1isew�
DATE:
12/20/2002
DRAWN BY:
C.J.G.
ALASIU WATER & WASTE NVATER
CONSULTANTS, INC. SCALE:401
6901 DE-BARR ROAD. SUITE 2B * ANCHORAGE, AK 99504 _' PHONE (907)337-6179 * FAX (907)338-3246
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
TOM WEBSTER (907) 696-6999 2 OF 3
LEGAL DESCRIPTION:
NORTH SPARKS SUBDIVISION; LOT 1,
l'i?E OF WORK:
AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE
DF-iAll Qr' FI QVV
SPITTER DIAGRAM
f—DOUaLE CLEMOUTS
FMU TAW
o
Zo~ ?
't
'- M o Al A 5
PLOT PLA N
TERY ~ ~0
S¢,,le I"= 5'0'
IL-I-.& t,/o
~ohe ~'¢ Ho~n~h,/~ RE.
RO. F3ox 772865'
Eo~le Rive ,.,, Al&al. to.
/
/
4~4
./
//4¢
A.2 Bt4 I L T~ Yes
I
Go~F. L~L %7, Se[. 30, TIJ'~v, F~] W, $.M. iq/< P.O. Z3ox 772 865'
?,.o?o~ed ' A/OR'TH 5PA-RN $ ,51.z~DIVISIDM
PLOT PLA N
M 0 IV A 5 T E R Y ce r? 0 A D ~
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN OISTRICT OFFICE
437 "E" STREET, SUITE 303
/
ANCHORAGE, ALASKA 99501
STEVE COWPER, GOVERNOR
274-2533
July 7, 1987
Mr, Robert S. Hornsby
PO Box 772865
Eagle River, Alaska 99577
SUBJECT: Lot 2, NORTH SPARKS SUBDIVISION, Eagle River
8721-DA-151
Oear Mr. Hornsby:
The Department has reviewed the Engineer As-built plans for the
subject project. Final approval is hereby given for the sewer
system and the "Certificate of Approval" zs attached. Any
future expanszon of the subject project will requzre additional
approval from this of Fzce.
MPL:pkk
Sincerel y~/.} ~
Michael P. Lewis
Environmental Engineer
ENCLOSURE
L i STATE OF ALASKA
'~'E. PARTMENT OF ENVIRONMENTAL CONSERVATION
APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS
PROPERTY DESCRIPTION
Lot. Block & Subdivision or U.S. Survey
This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance
of the water supply and wastewater disposal systems.
WATER SUP~
recea~~nmental Conservation drink-
WASTEWATER DISPOSAL
The domestic wastewater system wa~:
[] inspected by the Department of Environmental Conservation and found to be in compliance with:~
applicable requirements of 18 AAC 72;
,,J~qnspected by a Professiona Engineer who certifies that the system complies with applicable re-
quirements of 18 AAC 72;
installed by a Certified Installer who certifies that the system complies with applicable requirements _ ..
of 18 AAC 72; or - ·
tested by a Professional Engineer who certifies that the performance of the system is satisfactory
and that the system complies with the minimum separation distances specified in 18 AAC 72.
This approval is valid for a [] single family/J~., multi-family unit with a total of -~ bedrooms.
18-0404 (Rev. 8/85) DISTRIBUTION: WHITE--BANKJLENDING INSTITUTION; CANARY--APPLICANT; PINK--DEPARTMENT
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/UESTERN DISTRICT OFFICE !
437 "E" STREET, SUITE 303
/
ANCHORAGE, ALASKA 99501
June 30, 1987
STEVE COWPER, GOVERNOR
274-2533
Mr. Robert S. Hornsby
PO Box 772865
Eagle River, Alaska 99577
SUBJECT: Lots 1 & 2, NORTH SPARKS SUBDIVISION, Eagle River
8721-FA-137
Dear Mr. Hornsby:
The Department has reviewed the Engineer As-built plans ¢or..the
subject project. Final approval is hereby given ¢or the.~{er.__..er~
system and the "Certi?icate to Operate" is attached' Please
note that upgrading work ?or the septic system on Lot 2 will
require departmental approval prior to construction. Any
?uture expansion o? the sub. ect project will require additional
approval ?rom this o??ice.
MPL:pkk
~/~~Sincerely ~..
Michael P. Lewis
Environmental Engineer
ENCLOSURE
"-~" STATE OF ALASKA ~_.l'
DEPARTMENT OF ENVIRONMENTAL CONSERVATION
CONSTRUCTION. AND OPERATION CERTIFICATE
[or
PUBLIC WATER SYSTEMS
APPROVAL TO CONSTRUCT
in
by
/J~ approved.
, Alaska, submitteC in accordance with 18 AAC 80.100
have been reviewed and are
[- conditionally approved (see attached conditions).
BY TITLE DATE
If construction has not started within two years of the approval date, this certificate is void and new plans and
specifications must be submitted for review and approval before construction.
APPROVED CHANGE ORDERS
Change (contract order no. or descriptive reference)
Approved by
Date
184)40? {R~. 11/83)
The "APPROVAL TO OPERATE" section must be completed and signed by the Department before any water
The construction of the ~'¢ public
water system was completed on --~ ' Idate). The system is hereby·
granted interim approval to operate for 90 days following the completion date.. ?~- .- - , -.~....-
As-built plans submitted during the interim approval period, or an inspection by the Department, has confirme~
the system was constructed according to the approved plans. The system is hereby granted final approval to
operate. -
'. ' ' ' . - . 2. YELLOW - WATER SYSTEM FILE {Comple e Section C)
· -. · '-"%?. 4. GOLDENROD. MDNFBOROUGH (Complete Section A) ',"
CHEMICAL & GEOLOGICAL LABO~TORIES OF ALASKA, INC.
TEEEPHOHE (907~ 562-2343 5633 B Str~ot
Anc~orao~, Ala~Ra 995~8
Drinking ,Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
/!~ PRIVATE WATER SYSTEM
Name Phone No.
Mailing Address
Oily State Zip Code'
Mo. Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
4 I
LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Date Received
Time Received
Analytical Method:
;taslySis shows this Water SAMPLE to be:
atisfactory
[] Unsatisfactory
[] Sampletoo long in transit; sample should
not be over 30 hours old at examination
to indicate reliable results. Please send
new sample via special delivery mail.
Membrane Filter
* No. of colonies/100 mi.
Lab Ref. No. Result*
F-~
FTq
FD
' J
Analyst
BACTERIOLOGICAL WATER ANALYSIS RECORD
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Membrane Filter: Direct Count
Verification: LTB
Final Membrane F[k~ Results
Reported By ,~/~~~
INIC = 1oo ~umberous To Count
BGB
Date
Time:
Coilform/100ml
O
ColJform/100ml
~ ~-/~,,/~2
OB = Other Bacteria
CHEMICAL & GEOLOGIC~ LABORATORIES OF ALASKA, INC.
/~", ~-'o-~\~",-'-'"~ FEDERAL TAX ID # 92-0040440
5a~ote~ec'o : ~A¥29 ~?
keq ~:
19347 .U .STE.'/DR
EASLE PJ\.'ER Al(, 99577
Special ~OUTI[E SAMPLE COLLEt~'EDBY T. WE~STE~5/29/87 0930
instruct:
Chemlab~e~ ~: 6396 EaDSmp{ iD: I NatEs×: Wate~
Allo~r~le
?ar~e~erTesteO ~esult/'U~its ~etn0a m~mts
TO'fAL COLIFORM 0 col/lOOmi
'g iests Perzormea
See Special lnstructlonsADove
See $arnpie RemarKs A~ove
L'f=Less Than. ~J'=greater ~han ..
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG-- PERCOLATION TEST
[] PERCOLATION
TEST
1
2
3
4
5
6
7
8
9
10
DATE PERFORMED: ~,~rAy //~, ;~'/~7
11
12
13
14
15-
16-
17
18
20-
WAS GROUND WATER .~0 ~L~
ENCOUNTERED?
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ebc~rt 8. H,
72-008 (6/79)
PERCOL/~ )N RATE (minutes/inch)
TEST RUN BETWEEN FT AND = FT
CERTIFIEDBY:'"'~L'~'~-~Lo~'H~'I~' DATE: ~'~"~,/~d~'~/~,,,~
MUNK_;IHALITY OF ANCHORAGE
,' ~ DF ~TMENT OF HEALTH AND HUMAN SER' ES
i~ "~ J Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~ - ' ~ DISTANCES
Address ~ TO SEP TIC ABSORPTION
TANK FIELD WELL
Phone(s). J Permi, No. / No. of Bedrooms WELL ~ (~-~1 ~ ~ ~ /
LEGAL DESCRIPTIO. LOT LINE ~ O C ~ ~,~
Township, Range, Section
j ~'~ / ~, '~ ~) AS-~UILT D:~RAM (Show ,oc~hon o: well, septic system, property, ..... ,OUndatlor
/ driveway, water bodies, elc.)
TANKS
~ oEPTIC ~ HOLDING
Material ¢~¢¢J NOI O' Compadments %
~ENCH ~ BED ~ W. DRAIN ~ OTHER
/
original
grade
~ Fill added above original ~rade Gravel depth benealh pipe
Gravel length Gravel~ldth
~'~ ET ~' ~ ET
Total absorphon area
Installer Date Installed
WELLS
~ PRIVATE ~THER fldenlilv)
Classification (A,B,C) ~ Total Depth I Cased to
FT~ FT
REMARKS:
Inspections Pedormed by:
,' - DE,r -tTMENT OF HEALTH AND HUMAN SER'"~.ES · ·
,, , ~-.j Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502. Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
' ' ___-~-..~. TO SEPTIC ABSORPTION
^dd,es~FflU~ ~' TANK FIELD WELL
-3Y 7 Ol57 3
LEGAL DESCRIPTION LOT LINE
A~BUILT DIAGRAM (Shpw Io~hon of well, septi~ system, property hnes, Iouneahon,
J ~ I ~, ~ ¢ ,r,veway. water ~d,es. etc.)
~ENCH ~ BED ~ W. DRAIN D OTHER CL.,,C~.,,. X
Fill adOea a~ve or,g,nal grade Gravel aepth ~nealh p[~ - ,
Total abso~phon area ] D~st~ce ~lween hnes ~, ~,
Q PRIVATE ~THER fldentifv) -~¢ / I~- ~ '
FT FT
REMARKS:
' ~ I I I I I I I
Inspections Pedormed by;
DE,' ' RTMENT OF HEALTH AND HUMAN SEP'"CES , ,
,, ~ Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
. ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
/~. ~ v <. ~, v)~*5' DISTANCES
. SEPTIC ABSORPTION
Add~s~ ' TANK FIELD WELL
A~BUILT DIAGRAM (Shpw ocat on o we . sepl
EPTIC ~ HOLDING · ~,,~ ~.~, ~.~,~
r+ / - '"'"'
TYPE OF SYSTEM - ~)~'""' "" ~"' .....
I
~ENCH ~ BED ~ W. DRAIN ~ OTHER c~,,, c~.,,. X ~ ~ ~e I
- _ ~ -- ,~ -~ , _~ ~ ~'
ong,nai~pth'° p,pe ~nom ,,Omgraoe a' ~ FT To/aldeplhlrom ong,na, grade~ -- /~ FT _~ L.* ]~
Fill aadeO above o..mal graOe Gravel aepth ~nealh pipe ' ' ~
' WELLS . ~ ,
~ PRIVATE ~THER {Identify} ~ / i~.._.~ -~,. ~,.,,c ....
~EMARKS:
Inspections Pedormed by:
7/)
Health Depa.ment Approvah ' ~ ~~ Dale: ~--'~
;:i'! 72-013 (3/85)
19347 Monastery Drive
Emgle River, AK 99577
Subject: Abandonment of On-Site Sewage Disposal System
Dear Sir:
Reference is made to the On-Site Sewage Disposal and/or Well
Inspection Report, dated 7-14-B7, and the As-Built, filed
with your office, which notifies you of the completion of
the new Septic System established under Permit #870157.
Further, the old On-Site Sewe~, established in 1984, under
Permit #840580, was abandoned with the following procedure:
1. the septic tank was pumped-out by Sanitary Pumpers,
2. septic tank was uncovered,
3. the deteriorated steel tank was thoroughly crushed,
4. back-filling was accomplished using a sandy
soils(mostly SW), and on-site gravels,
5. all standpipes were severed below grade and back~`
filled.
Sincerely,
Robert S. Hornsby, P.E.
" "~ ...... "~'~ ......... ~ii:. ~:. t, ~:.: .....
~.h ~. v.,~::. ~.,~:.~ ~ ~...~.~.~..~:::..~.~; (;~;':~) ,-,,-' ,' ' ~ "
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEAl-TH AND ENVIRONMENTAL PROTECTION
825 L, Street,, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
[~"SOI LS LOG
. [] - PERCOLATION
TEST
6
7
8
9
10
3
4-
OATEPEREOR ED: 3z.y//,
11
12
13
14
15
16
17
18
19.
20
144e.
COMMENTS
WAS G.OUNO WATER
ENCOUNTERED;)
~.cl,~:l¢~J ~.y z r~
IF YES, AT WHAT
DEPTH?:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLA IN RATE (minutes/inch)
TEST RUN' BETWEEN FT AND FT
'
72-OO8 (6/79)