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Home My WebLink AboutNORTH WOODS BLK 3 LT 40 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 [] UPGRADE NAME MAILING ADDRESS LEGAL DESCRIPTION -- Liq capacity In ga ~ O'O F HOMEMADE: ~ ~ I Manufacturer ~ ~ ~ No. of linesa kengtj~ eac~e/ ~ Top of tile tO finish grade ~ -/ ~ ~ ~ngth Width ~ ~ ~-- C~ib di.m~t.~ ~ I DISTANCE TO; ~ lCI~ Depth ~ ~ Building foundation DISTANCE TO: I Absorptio)a,~a ! Inside length Dwelling Foundation/~_.~ Total I e n g(~o~.i n es Material, beneath tile Depth NO. OF BEDROOMS Dwelling /0 /' Mat. Width Material Nearest lot lin~/~ / Trench v~t~n ~.~ inches inches NO, of comp~ments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO, Distance bet we~/h~h Total effective ab~sorption area PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO, Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS ,,, ..--..L SOIL TEST RATING REMARKS APPROVED . /' DATE 72~13 ('R~v. 3/~"~) ~ LEGAL PERMIT NO. E:,EF:'FIF:TMENT I::.. /HE':F!LTH FINE:, EN',..,':[ RONMEN]'.SL. i-..rCI'FEC:T ~( ON :::.Z'5 "' L. '" :STF.:EET., .SNC:HORF-~GE., FiK. 2E;4-47'2E~ C-, .~-,,~ ..... ~;_7' 'T E .=. E t1.....~ E:_ ~F .... F" PC .tr-'~: E-I _. '""' "T" RPPL I CANT ~ j"j _- RTI 'Z N LEGAL :,-! E., Ef,I SK.AGG:B '£:r]N'E;T N r3 R T H H 0 0 D E; L4E~ Bi:: NCd~'.THl.,.tOOE:, ':.;LIE: F'O E,,-., [:, 3'H_ 31 FIK LO"f' E; I ZE 'T"r'F'E OF Sf]IL. :r~B'_:;ORF:'TI3N $"r'STEP'~ II;' TRENCH MR::-.', I I'4. MI,ILIMbEm~' OF BEDROOMS::- _ ." ,,c~ "',:-, S3IL RFITING ,::~;Q FT-.-"AR',= 2±:"-] ....... '-,..,::E OF ]'HE '_:,OIL .AE::5ORP]"ION S'¢S"FEM IS: ,¢-¢~' ~ THE L...ENGTH B, INENSZON IS; THE LENGTH ,::IN FEET) OF THE TRENCH OR DRRZNF'ZEL.D. THE DEPTH OF .8 TRENCH OR PIT ZE; THE DISTANCE BETI.,.IEEN THE SLIRFRCE OF THE GROUND AND THE BOTTOM OF TNE EXC.8VfiTION (IN FEE"F). THERE IS IqO SET I.'.IZDTF! FOR TRENCHES. THE GRR","EL DEPTFI ZS THE MINIMLIM DEPTH OF GRR","EL BETklEEN THE OU'TFRLL PIPE AND THE BO'rTOM OF THE E::.::CR',/RTZON (IN FEET). F'ERM I T FIPPL I CRNT t.-IFI:B THE .~E'_: F': N'51E I L I T¥ T i' INFORM "' ~ "- I f..Z '_-, DEPARTMENT DLIR I NG 'T'HE: EN'2'T.ALLRTI.')N ZN':_';PEC"I"ZZNS OF .8.N'¢ 1.4ELL'_:; FIE:,J.AC:ENT TO TH!L:.. F'ROPERT'¢ RND THE N_HEEF,.-' OF RESiE:,ENC:E2; TH.AT THE HELL HZ[..L. SERVE. ................ T' l--..~ ,.":} ,:: ~:: ::, Z ti"-,.," "_-% F" F_Z" C: 1- .-E. ~"'"_Z~ .~-41 .~:~. F~ F-: E ..F:: E ~:::." b,~ :T.. ~: [.~E E:, ........-'::.'~--,-'~"~:'*'1. .... L-~,'T~'-'-~ 'IF: I"qN'¢ %"?STEM I.,.IITHOLIT FIN. AL IN'SlF'Er':TtFIN ..... .AN[:, R'-,'-FFR_,-,,"*, HL EI'T' ]"HI:5 DEF'.AF.':TMENT HILL. BE ~iUE:JEC:T TO PROSEC:UTION. MINIMUM r..',ISTI::INCE BETHEEN .8 HELL.. AND .8NY ON-SITE :SEI.qRGE DISF'O2.;.AL SYSTEH IS ±~0 FEET FOR .8 F'RI',,,'.ATE HELL OR 'tSE~ TO ;::'C~C~, FEET FROM .A, PUBLIC: HELL DEF'EN[)ING UPON TFIE T'¢PE OF PUBLIC HELl.... MINIMUM F..',I'_-STF!NCE FROM FI PRI',,,'.ATE 14ELL TO .8 PRI',,,'8TE SEHER LINE IS 25 FEET TO R COMMUNIT'¢ SEF~.ER LINE IC; '?5 FEET. OTHER REQUIREMEN:FS M.8'¢ .APPLY. SPECIFiC.ATION$ FtNO CONSTRUCTION DI.AGRFIMS !::IRE FI',/.AIL.8E:LE TO INSURE PROF'ER INSTF¢_L.ATION. i CERTIF'¢ TH.AT :.1.: ! Fii"l F'AMILIFIR HITH '['HE REQUIREMENTS FOR ON-SITE SE.[,J. ERS RND HELLS a'.:;. SET FORTH Ah" THE MUNICIF'RLIT'¢ OF FII',ICHORRGE. 2:: I HILL INST'ALL THE S'¢'"STEI'"I IN 'ACCORDFINCE 14ITH THE CO[:'ES. 3:: I UNDEFRS;TFIND ]"FIB]" 'THE O.N-L:,ITE SEHER '--q'?'STEM MR'¢ REC.!UIRE ENLF!RGEMENT tF THE RESIDENCE I:.:.; REMODELE[:, TO INCLL![:'E t"tORE TH'AN :2: BE[:'ROOi"IS. ','4'.. . El Russell Oyster 694-2774 Performed for: Legal Description: Depth (feet) 0__ 11__ 12__ 13-- 14__ 15 16__ O & E ENG-,;NEERING & DEVELOF'iMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG Mailing Addressr ~'?z'P , //~- ~'~/ /~- ¢z~o, ~,~,~,~ ~ .. Soil Characteristics Earl Ellis 688-2280 PLOT PLAN PERC. TEST Ground Water Encountered: Yes /'~No__ If yes, what depth Proposed Installation: Seepage Pit Drain Field. ~ Comments: Performed by Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES /~.. ~,~vr~ $~ Division of Environmental Services ~ '~k/c.~ ~"~ On-Site Services Section Ii~] ,~' O&,l$/o, · P.O. Box 196650 Anchorage, Alaska 99519-665~)~,. 343-4744 L" Cji'/. ~.-/ APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) -~"-~"~'~' "~-'~:-~ :"->/-~'-~:',"~:'~ -~-"~"~'~-'-'-~,-~'- Property owner z~ ..~, _~:¢.~,,~,~_~- Day phone Mailing address -Z' ',~'~/"/~/~'~-~z'"-"'~'"~"~:'-r ~:~- ~'~-/'"~'~'~','-'~'--- /-~.~- . ~-~"~'.? Lending agency Mailing address Day phone Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 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 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 inves!i_gation 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 ~COl EngineeCs signature Phone DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. Date ~/!'4 I ~ ~ bedrooms, with the following stipulations: Additional Comments By: __.- 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. 72-025 (Rev. 1/91) B~ck MOA #21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, A aska 99501· (907) 343-4744 Health Authont A roval Checklist LegalDescription: Z,~- ~z",~ ,~',~",.¢ 4.-.2o,-~'~e.-'o~ Parcel I.D. : ~.¢-/- A. WELL DATA Well type ~/~ ,'¢,~d.~r~' If A, B, or C, attach ADEC letter. ADEC water system number ,g-/~ ,~ 0 / Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production :o72 ateErfii~of sample: Date completed Cased to FROM WELL LOG Casing height (above ground) Wires properly p~ ~/..A-T~NSPECTION Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed b/~ ~/~ / Tank size/~vo~ d~- Number of Compartments __ Foundation cleanout (Y/N) AJ Depression (Y/N) A./ High water alarm (Y/N) Date of Pumping ~7,~ 6'~5~.v~' Pumper .~,'~a C. ABSORPTION FIELD DATA Date installed ~//~//'~/ Length_ ~,ff.. ~c/ Width ,~ Cleanouts fi/N) /x/ Fluid depth in absorption field before test (in.); Fluid depth .~//'/,~.~ (ins.) Minutes later: Peroxide treatment (past 12 months) (Y/N) Immediately after gal. water added (in.): Absorption rate = /G--,q'~ g.p.d. If yes, give date Soil rating (g.p.d./ft2 or ft2fodrm) ~le~' System type ~-)-~&~ ~,~'/ Gravel thickness below pipe ~,~,'~ Total depth Effective absorption area $,~ ~-',/'~ Monitoring Tube present(Y/N) )/ Depression over field (y/N) Date of adequacy test ~'//~5/',/'~ Results(Pass/Fail) .z74~-.5 For ,~ bedrooms D. LIFF STATION Date installed Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line HAA Fee $ _Q: t'~((:, Date of Payment Receipt Number Size in gallons "Pump on" ~level at* ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~'r' ~v~,) Property line ~ ~ Absorption field Water main/service line ,g~",z~rgSufface water/drainage xJ~',.2,~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation ~g~9 ,~ ,~'/~ Property Line 7'~'/~'/4.Water main/service line Surface water A.f~ Driveway, parking/vehicle storage area Curtain drain Wells on adjacent ots ENGINEER'S CERTIFICATION I certify that I have determined thrufield inspections and review of Municipal records th.a_~t~'~jt~'~,ls in conformance with MOA HAA guidelines in effect on this date. Signature Engineer's Name I~Ugl~ s W~ver Fee $ Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc Douglas T. Kenle¥, P.E. HC01 Box 6034, Painter, Alaska 99645 (907) 746-1073 February 29, 1996 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref.' Adequacy Test at Lot 40, Block 3, Northwood Subdivision Gentlemen: The subject property is served by a public well; therefore, the adequacy test was for septic only. The system, installed in 1981 by Skaggs Excavating, consists of a 1000 gallon septic tank with a drain field in an L shape, comprising 82' overall. A previous report on file at the municipality states that it has a sump at the end of the drain field and that it is a 5' wide trench with 3' of septic rock beneath the drain tile and 3' of ground cover. A review of the initial perk test on the property also revealed that there was water present 10' below grade at that time. On the initial visit to the property on February 13, 1996, the sump was found to have a depth of 43-7/8" of water in it. Probing revealed, however, that the invert of the pipe was located 37" below the surface of the ground or 52-1/4" from the bottom of the sump. Upon further examination, the water level was found to be 8-1/8" below the invert of the pipe. A discrepancy is noted in that the sump was installed approximately 16" below the depth where gravel was purported to be on the original inspection report. This discrepancy caused confusion regarding the initial reading of 43-7/8" of water in the sump. Since no holes were found to indicate that the existing sump was perforated, a monitoring tube was driven by an independent contractor employed by the property owner. Therea~er, two separate tests were performed. The first adequacy test was performed on February 22, while the residents were on a I-1/2 week vacation. The monitoring tube, which had been driven to a depth of 60" from the surface, had a total of 10-1/2" of water in it, and the existing sump had 39" of water in it, indicating that the water level had dropped since the initial visit. Comparing the two water levels ~om ground level indicated that they were in agreement. The water level at the start of the test was 13-1/4" below the invert of the pipe. Water was introduced at an average rate of 4.4 gallons per minute over a two-hour period, with the water rising at approximately 1/2" in each 10 minute increment, for a total rise of 6-3/4", which put the depth of the water 6-1/2" below the invert pipe. The water did not stop rising during the test. The test was stopped after 665 gallons of water had been introduced. In readings 24 hours later, the water level in the sump measured 43-1/2". The absorption rate calculated at only 205 gallons (450 gallons required for three- bedroom residence). A second test was performed on February 24 at a higher elevation in the trench. The initial reading at the beginning of the test was 50-1/4" of water in the sump. Water was introduced at the rate of 6.4 gallons per minute. An attempt was made to bring the water level to the bottom of the invert. Flow was reduced to approximately 2 gallons per minute for a one-hour period, after which time the flow was cut back to approximately 0.5 gallons per minute. The water was left running overnight as it was determined that it would take about 15 hours for the water level to reach the invert of the pipe. The water was stopped at 8:25 a.m. on February 25. It was noted that the water level was 1" above the invert of the pipe. A total of 1380 gallons of water had been introduced into the system. The reading in the sump was 53-1/4" (1" above the invert elevation). It was determined from a reading 12 hours later, showing a 50 1/2" water level in the sump, that the absorption rate was equal to 1556 gallons in a 24 hour period. The system did operate effectively although it was only within the top few inches of the system. Douglas T. Kenley, P.E., # 81'76 HUSTON.XLS Douglas T. Kenley Civil Engineer State of Alaska C.E. 8t75 SEPTIC SYSTEM ADEQUACY TEST Legal Description Applicant Date of Test SYSTEM DATA Tank Volume Number of Bedrooms Absorption system -Hu,m,beccf Absorption required (1.5 daily flow) TEST DATA TIME FLOW VOL. TANK LEVEL TUBE LEVEL COMMENTS (gpm) (gals) System Passed Sysytem Fail~d: Comments Douglas T. Kenley Civil Engineer State of Alaska C.E. 8'176 HUSTON.XLS SEPTIC SYSTEM ADEQUACY TEST Legal Description Applicant Date of Test SYSTEM DATA Tank Volume Number of Bedrooms Absorption system Absorption required (1.5 dally flOW) System Passed ,,/ Sysytem Fail~d: Comments ~.t~,~w/ ~ ~.~'.,~,,~, TEST DATA TIME FLOW VOL. TANK LEVEL TUBE LEVEL COMMENTS (gpm) (gals)' rJ ~ DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME ~ ~, ~ ~ /~ TIME DATE DATE ' DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALI I Y C)l- ANt--IdUK/~t~j~ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PRO~I~j~Iig'i:~MENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 jUN 2 6 198i ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C E t V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES :)IRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing, 1. PROP,~E~TY OWNER, PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAI LING ADDRESS 3. LENDING INSTITUTION 1 PHONE MAILING ADDRESS 4. REALTOR/AGENT I PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET L.~:~) CAT I O1~ 6. TYPE OF RESIDENCE [~'/SING LE FAMILY [] MULTIPLE FAMILY NUMBER OFtBEDROOMS [] One [] Four [] Two [] Five J]Z]~--~Three [] Six [] Other 7, WATER SUPPLY [] INDIVIDUAL* E~'~"~SOM M U N I Ty [] PUBLIC UTI LITY ATTACH WELL LOG. Awell Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ,[~]--~JI'NDIVIDUAL/ON-SITE** //67~// YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS E~ 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 RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED E~ PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: ~_~ )(-.~) If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENT~- [~APP ROY ED FOR .~' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev, 6/79)