HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 4H LT 19A MUNICIPALITY OF ANCHORAGE
DE 1TMENT OF HEALTH AND HUMAN SER' iS
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Aurora Contractors
2901 Rose, Anchorage Alaska 99516
Phonets}
561-6611 850110 3
LEGAL DESCRIP~rlON
Lot [- Bio TSubd,vls~on
19 ~ ~ '~
I Rabbit CK Hei§h~s
i1N ~'
TANKS
F,~ SEPTIC [~ HOLDING
Greer 1000 Gallons
Ma,e.~,,Steel
TYPE OF SYSTEI~I
~'FRENCH [] BED [] W. DRAIN [] OTHER
3.5 FT 7.5
i FT 3.5
14.8
)z-~'J~O(,.-~t" J~o SO FI 10 FT
2J 445 SO FT 3034 PVC
~,urora Contractor 7-19-85
WI=LL$
~ PRIVATE [] OTHER (Identifv)
C~assd,cat,on iA ~.C, ~otai ~u(~H] ] Cased to
C I:T 180 FT
;4[,; ~rilling 6-14-85
REMARKS:
DISTANCES
SEPTIC
TANK
WELL
LOT LINE
FOUNDATION
105 ft
22.5 'Ft
2~. 7 ft
ABSORPTION
FIELD WELL
104 'Ft
10 ft 2.5 ft
40.8 ft 30.2 ft
AS-BUILT DIAGRAM tShow Iocahol] of well. septic system, properly hr/es, foundation.
Scale: ~O =- I't
Inspechons Pet~or~.ed by
Date
7-22-85
, /'~¢£~'~ .~Z~L~-~_~ ___~ __ cerlil¥ thai ,his inspeolion was ped0rmed acc0rdi.0 to all
MunicipoI and Slate guideIines in ellecl on this dafe:
Health Department Approval:
72 013 (3/85)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
[] SOILS LOG
PERCOLATION
TEST
PERFORMED FOR: Lionel Urban
DATE PERFORMED: 4/1_7/85
LEGAL DESCRIPTION: Lot 19 Block 4
1 ~ ?ibrous
..1 1/1 Brown Peat
Pelc Zone
2
3
4
5
6
7
8
9
10
11
12
13 --
14
15
16
17
18
19
2O
COMMENTS
Rabbit Creek Heights
Brown SiltZ Sandy
Gravel (OM)
with occasional cobbles
SLOPE
SITE PLAN
Water Seepage
WASGROUND WATER
ENCOUNTERED? Yes
IF YES, AT WHAT
DEPTH? 131
Reading
Date
Time
6.
~ca±e bu' ,per ;~quare
Net Depth to Net
Time Water Drop
No
24 hfs Satura io Perio Waber
~,.¢/,,..¢; .......;-.,~,.~. ~/~7/U5 0 hrs 1 1/2"
'~ .' L~,~aoi~,,,o~.~ ~ i 4 0 hrs~ 5 1/2" 1/2'
~.--~%,, .... , i¢~ERCOLATION RATE 60 ,mn pe~ ~noh (mmuteshnch)
(~Y'&~:~ TEST RUN BETWEEN , ~ , FT AND ,~ FT /
32~ square feet of drainage area required per bedroom
/
PERFORMEDBY: NPC
CERTIFIED BY: Alaska Test Lab DATE: 4/17/8g
72-008 (6/79)
FV1-W DRILLING, Inc.
P.O. Box 10-378 · 10300 Old Seward Highway
(907) 349-e~3s
ANCHORAGE, ALASKA 99511
85-189
DRILLING LOG
Well Owner A~ror~ C~n~-r~rtL.ion _Use of We]l Dc~m -
Location (address of: Township, Range, Section, if known; or distance main road L19, B4, Rabbit Creek Hts., Anchorage
Size of casing 6" Depth of Hole 180 feet
4"---160-180
Casedto 6"=162.9 feet
Static water level
Screen ( ); Perforated ( X ),
Describe screen or perforation 4" perforated liner,./~0/-/~>0 /
Well pumping test at 2 gallons per (hRRr) (minute) for 4 ' hours with
of drawdown from static level.
30 ft. (~) (below) land surface. Finish of well (check one) open end (
100%
);
Date of completion 20 June 1985
WELL LOG
Depth in feet from ~
ground surface Give details of formations penetrated, size of material, color and hardness
2 TO 6
6 TO
TO
TO
TO_
__TO.
TO_
~TO.
TO
__.TO.
.TO.
____.TO.
,TO.
40
40 53
53 60
60 80
80 100
100 125
125 140
140 180
Clayey Gravel
Coarse 8ravel;cobbl%
Boulder grave].
Cobble. gKa. vel; wet
Tight gravely hard_pan
Cl'ay
Clayey gravel
$Iave]? clay
Grava]y hard?~n; wntmr mm~p~ ~n mmmll grmvml ~rdngmrm
1 -- Cus'rOMER
5. 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, based on procedures outlined
in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater
disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at
the time of installation.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test,
and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil
condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone
6. DSD SIGNATURE 2I \ I\1`
XSystem #1 Approved for 3 bedrooms
v System #2 Approved for bedrooms
Disapproved
Conditional approval for 3 bedroon
Date 11/10/2014
iJc,4,t� t?F Al.,q`S''��
.j Seven R.•Pannone
,• CE -8149
AW
Amw
with the following stipulations:
Zrts�2C- ori ne-PR+/jue rd &-oL0,1"V Peru \\�`�� 9Fttrr►rn,f(61,/
z 0 --
A
D
�-S \A
h, CqJ
PROG
YX
FAIr cFR ..�
gy Original Certificate Date: R/�'t� ,9
The unicipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet �
1.
B'IUNICIPALI'f¥ OF ANCf4OEtAGE
DEPARTMENT OF I-tEAt..'i"I-t AND ENVIRO~IIS'IENTAL PROTEC¥1ON
DiVISiON OF ~:;NVlt';IONBIENYAL
CEFiTIFICATE Of-INSPECFION FOR HEAl_TIt AUrFHORITY APPROVAl.
(.)F ON-SITE SEWEI-I AND WA't-ER FACILITY
264-4720
Application Date ._
¢¢ Et',MI.iA ~ ii',]t:'O R t¥1A'fl C'N
Ca) Legal Description (include lot, bloc;l(, subdivision, section, township, range)
Location (address or di~ecbons~
Applica'nt Address ,-' ~ , ~'-
Cc) Applicant is (check o¢~e): Lending institution
Cd) .endinq Institution ~_ _~. ~ __~Z.~. ~;.:;~_;_ ~f~; ' '" Teiophono ............
Address ~- .14)]'. ~.qji~ .
Ce) Real l~staio Company and Agent
'i-eiehhone .................
Cf) Mall the I tAA io the following address:
S~ng!e FamHy,-d Multi Falnily ~1 Othai'
Number of Bedrooms. _
WATi;. R SUPPL'!
h~diviclual We',t lei" ()omrnunity b-] Public
Note: If o()mt rit!l~lty well system, fYit.isi have writter~ coflflrrnatior~ fi'om the Stale [)er)al trnont of E~i r¢~ronrnental Conservation
attesting to the legality and status
Onstte 15 ['ubiic [~1 (;o,~mlunity 17] I-tolcling -[alqk E']
attesting to lhe Iooahty and stat(m
Page I of 2
and i~s ~fi ti ~e va id~ i ol dado 51~owll below, t verliy ti ~at my
on-giro water sHpply arid, or wastewater disposal oysl.,in oo¢ ~, ~dr,~.,:o,,,,, az!d a(x:,:,.,m
. fdes arid from rny iriveslioatlon al~d inspectK)n, tho on..site
CAIJTI
WELL DATA
Well Classification (-'
Well Log Present (Y/N) '~
Total Depth t~C~ Cased to
Static Water Level ~0' ~,E~z..o~ ~.Iv4E:~ ~o1'-~.~¢_~.. _
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
MUNICIPALITY OF ANCHORAGE (MOAJ
HEALTH AUTHORITY APPROVAL (HAA)
CHECI(LIST - FEBRUARY 1984
Legal Description: ~1' I~) ~.-
If A, B, C, D.E.C. Approved (Y/N)
Date Completed ~'~'~ Yield
Depth of Grouting
Pump Set At
~¢~ Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
To Nearest Edge of Absorption Field on Lot _l
To Nearest Public Sewer Line
Cleanout/Manhole ~ To Nearest Sewer Service Line on Lot
Water Sample Collected by ~)~-'f~E-,4 ~-t,-~':~-t~'~=;
__ 40~¢~:)~__; Date
Water Sample 'rest Results
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
Comments
B. SEPTIC/HOLDING TANK DATA
Date installed "~"J~C~tt"¢"~:~--Size ~ No. of Compartments
Standpipes (Y/N) _ y ~ Air-tight Caps (Y/N).
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) _
Separation Distances from Septic/Holding Tank:
/
,~) Foundation Cleanout (Y/N) Y
Date Last Pumped ~
; for
Temporary Holding Tank Permit (Y/N)
To Water-Supply Well [
To Property Line _-- 1
To Water Main/Service Line
Course ~
To Building Foundation
To Disposal Field (~
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026(11184)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed '~ ~ ~'~
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test ~ ~/~,
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design __~:)
Length of Field
Depth of Field '7, .~
Gravel Bed Thickness
Standpipes Present (Y/N) ~
Date of Last Adequacy Test N./A- ),3~..)
/
To Property Line 't O
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present)
Comments
D. LIFT STATION
Date Installed -~--~'b~t...h~, ~
Siz6 in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I hav.e check_ed, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
/r/~4~//¢,,~'~'~'-'~' Date- 0¢"~ ~-~ -- --
Signed
Company,~,~/'~/vt('/~'-E,~.~W6.~/~. MOA No. 'ST'i~c~'?'~
Receipt No. _?_b
Date of Payment
Amount: $ ,/A~
Page 2 of 2
72-028 (11/84)
.~-. ' Engineer's Seal
~. ¢ ,, E.K. McMIIlan