HomeMy WebLinkAboutPROSPECT HEIGHTS BLK 2 LT 16A 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
MAILING ADDRESS
LEGAL DESCRIPTION
PHONE [~EW
,~..~b/~c.~, [] UPGRADE
LOCATION
DISTANCE TO:
Manufacturer
Liq, capacity in gallons
DISTANCE TO:
Manufacturer
Well
IF HOMEMADE:
Well
12 J Well
u~O J'~'~', DISTANCE TO'. /~,z¢~'~ ~·/f,/' ,.
~ ~- Z I No. of nes Length of each line
i-- Top of tile to finish grade !
J Length Width
~ DISTANCE TO: Well
~ IClass Depth
~ I Building foundation
DISTANCE
TQ
I
Absorption area
I nside length
Dwelling
Dwelling
IWidth
Foundation
/.~ ~
Total length of lines
Material
Nearest lot line
Trench wid~o¢'/ inches
Material beneath tile
Depth
(~'~ ~ f inches
NO. OFBEDROOMS
PERMITNO.
No. of compar,~n~.ents
Liquid depth
PERM .T NO, ~.
~ ~ ~//o~
Liquid capacity in gallons
PERMIT NO.
Distance betwee¢~7,~ ¢
Total effective a~sor,r~t~on area
7
PERMIT NO.
Crib depth
Building foundation
Driller
Sewer line
Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
PERMIT NO.
Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
/¢,l/
R EMAR KS
APPROVED
DATE LEGAL
/
DEPRRTMENT ~ HERLTH RND ENVIRONMENTRL ~'?.OTECTION
o.-.._, L STREET, RNCHORRGE., RI-.'.'.'.
PERMIT NO. ( 800418 )
264-4720
SF.:B ~._.,'., --::i C: MN..H
8PPLICBNT TIMBERLINE HOMES
LOCRTION PROSPECT DR.
LEGRL LT ~8 BLK '2 PROSPECT HTS _,D ~ ~ LOT SIZE
TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH
MR)<IMUM NUMBER OF BEDROOMS = 2 SOIL RRTING (SQ FT?BR)=
THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM
120000 SOURRE FEE[
, /~
C~I~ ) '
.5
[)EF" T[q= ~L2 LE f-~3TH= 57 GF: R~'EL [:,EPTH= e] ~bX_)
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE E~CRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTFI IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE E~CRVRTION (IN FEET).
PERMIT RPPL!CRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT THE NELL WILL SERVE.
BRCKFILLING OF RNY S"r'STEM WITHOUT FINRL INSPECTION RND RPPROVRL BY TFIIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
=,EHR~E DI=,FO=,ItL SYSTEM I=,
MI' II [:, '- ~ F: '-' '--
NIM_M I~THN_.E BETWEEN R WELL RND RNY ON-SITE '- , A '-
1OO FEET FOR R PRIVRTE WELL OR :L50 TO .'--'00 FEET FROM R PUBLIC NELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PR'IVRTE '-nEWER LINE IS 25 FEET.RND
TO R COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS RRE REQUIRED ~ND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS
OF' THE NELL COMPLETION.
OTFIER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVFIILRBLE TO INSURE PROPER INSTRLLRTION.
F"EF-~'~-I I T E:=-CP I F-:ES [Z:.EE:E~.IE:ER -----':=- 1..
I CERTIFY THRT
±: IRM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELL'_-] RS; SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
R: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
2:: I UNDERSTRND THBT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE I~MO[:,ELED~I[.~J[:,E MORE THRN --< BEDROOMS.
SIGNED: -~PPLIC:RNT TIFtBERLEJqE HZ]I~--- -'---
4040 "B" STREET
ANCHORAGE, ALASKA 99503
(907) 278-1551
August !2, 1980
W.O. #A19411
Grid: 2441
Mr. Bob Lutje
Timberline Homes, Inc.
SRA Box 31L
Anchorage, AK 99507
Subject:
Subsurface Investigation for Suitability of
On-Site Waste Water Disposal System for
Lot 16A, Block 2, Prospect Heights Subdivision
Dear Mr. Lutje:
Transmitted herein in accordance with your instructions are
the results of the above referenced investigation as per-
formed by us on August 4, 1980. The scope of this project is
an investigation for suitability of on-site waste-water
disposal system.
Included in this transmittal are:
Test Hole Location Sketch
Test Hole Log
Explanatory Information
Figure 1
Table A
Sheets 1-3
The exploration was conducted using a continuous flight
solid stem auger. The rig is owned and operated by Denali
Drilling, Inc. Drilling was supervised, the test hole
logged and percolation test performed by Mr. O.Mo Hatch,
engineering geologist with Alaska Testlab.
The log of this test hole is included as Table A of this
report. In interpreting the log, it would be helpful to
utilize the explanatory information contained in Sheets 1 to
3 of this report.
When drilling was completed a 3/4" slotted PVC pipe was
inse_cted in the hole to aid in determining the free water
level. For the percolation tes!~, the test hole was filled
wii-h water and left overnight to sa'turat:e. On returning the
next day, the hole was refiiJed with water and the drop in
water level carefully monitored over the next 60 m~nutes.
Mr. Bob Luhje '/%
'Timberline Homes, Inc.
~ugust 12, 1980
Page 2
This procedure is not a standarized percolation test, how-
ever, we understand that the Municipality of Anchorage,
Department of Public Health and Environmental Protection
prefers test performed in this manner to evaluate a site for
a proposed on-site sewerage system.
The test hole had collapsed to 10', when the geologist
returned to take the percolation test. Using the above
test, the observed minimum percolation rate was 20 minutes
per inch. We suggest the sytem be designed for an absorp-
tion area of 225 square feet per bedroom. This recommenda-
tion is based on criteria in the "Manual of Septic-Tank
Practice", U.S. Department of Health Education and Welfare,
Public Health Service.
We recommend that the seepage trenches be inspected prior to
installing the system as the above recommendations are based
on the results of a 6" test hole. The seepage trench will
provide a much clearer picture of the subsurface condition
than the test hole. If conditions are different than
encountered in the test hole, it may be necessary to lengthen
or enlarge the trcnches.
No water table was observed during drilling. Therefore,
it does not appear that the water table will interfere with
the construction or operation of the system.
We hope this report meets your present needs. If we can be
of further service, please feel free to contact us.
Sincerely,
TLB:rb
Enclosures
APPROVED
Melvin R. Nichols, P.E.
Laboratory Manager
ALASKA TESTLAB
-~Terry L. Barber
~-Geologist
Test Hole #1
Table A
WO #A19411
Date: 8/7/80
Logged by: O.M. Hatch
Depth in' Feet
From' To
0.0' - 1.0'
1.0' - 6.0'
6.0' - 8.0'
8.0' - 11.0'
11.0' - 16.0'
Soil Description
Brown Peat, moist, soft.
Brown Silty Sandy Gravel with occasional
cobbles, subrounded, ~" max. gravel, moist,
poorly graded, medium dense~
Brown Gravelly Sandy Silt, poorly graded
subrounded gravel, 6" maximum size, moist,
medium dense, non-plastic.
Brown Gravelly Silty Sand, poorly graded,
3" max., subrounded gravel, moist, medium
dense.
Brown Silty ~andy Gravel with occasional
cobbles.
Bottom of Test Hole:
Frost Line:
Free Water Level:
16.0'
None Observed
None Observed
For..~.~ ....... [2 ........... .)i ......................
Date completed....':;: ......
Depth of ~11_).2_..:._;.::_._:.4__.5_ ................... _2_.i. ..................... : ....... : .......... : .................
She.?~ ca~9§...~.= ........... ~L._._:..~___: ................... :__._: .................................................
~--.D~$t~-~O ~:.~: ...... ~_~_'. ................... ::...:. ........... ' .................. : ................ - ..............
D~stance:to water while pumping ............ .~ 0 ............................ :at rate
Of.; ....... ~;,_._,'1 90 ............... ;._,gallons per hour. '
'~_ -- : --: I',;ceftify 'Ih~ al~bve,-t~im and corre
" --'- ':'- DOTTEN DRILLING CO.
-- John's Road
SPENARD, ALASKA
~e a~vise yo~ ,to attach this certificate to your de~d.
IVIUNICIPALITV OF ANCHORAGE
DEPARTI~IENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONIVIENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
2(}4-4720
Date /~J' ~"¢/
Application
GENERAL INFORiVIATION
(a)
Legal Description (include lot, block, subdivision, section, township, range)
(/
Location (address or diro~tions)
Applicant Name ~vm ~qgC/~ ~1n
Telephone: Home ~¢¢ff~ ~¢¢/ Business
ApplicantAddress _ ~tO~O~__JO ~O~ec'/ D~-'~e ~ ~cgcr~
(c) Applicant is (check one): Lending Institution []; Owner/builder [~'; Buyer []; Other [] (explain);
(d) Lending Institution .~' ¢'& ~ ~4/~¢-~'/L.,~,,¢.¢ ~ ~ Telephone
Address ~ ~0 ~ ~
(e) Real Estate Company and Agent
Address
Telephone
(f)
Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family [] Multi-Family []
Number of Bedrooms '~
Other
WATER SUPPLY
Individual Well [] Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite [] 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.
Page 1 of 2 72-025 (11/84)
ENGINEERING FIR{VI PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFOHMATIO~,~
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my we. st gat on of ir ,.,,
Authority Approval shows that the on-site water supply and/or wastewater disposal systern is safe, fund~orml and
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtsined
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 ef¢ect on
the date of this inspection.
Name of Firm ~a.~t_¢¢
Address / ~.~ 0
Date ~ ~ ~ff
Telephone
o~3 ~ ~ ~ Engineer's Seal
'"'
DHEP APPROVAL
Approved for~.~*~&~bedr°°m;bY ~~~/ Date ~
Approved__ ~ Disapproved
Conditional
Terms of ConOidonal Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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.
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720
Legal Description: i~,1~
ICUNiCiPALIT; OF Ai-4CHORAGT:
DEPT. OF HEALTH &
mw ox m'r^L
1986'!
WELL DATA
Well Classification
Well Log Present (Y/N)
Total Depth
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments ¢' ~'~' ~ ~/
~¢1 ucx~-6 IfA, B, C, D.E.C. Approved (Y/N)
Date Completed ;~""~czcxcy,¢ I¢~'! Yield
Cased to~ :~' ~ ¢ Depth of Grouting ~.
~q~ PumpSetAt ~" I3l'
~.~ ~ v' Sanitary Seal on Casing, (Y/N)
Depression Around Wellhead (Y/N) /~
; On Adjoining Lots
i~/~i~' ; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on
· -r'~ f~ ; Date ~'/I
B. SEPTIC/HOLDING TANK DATA
Date Installed II /lO/~rO Size I00¢)~
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:
To Water-Supply Well I~"
To Property Line ~ ~ '
To Water Main/Service Line /~.
Course ~ (OO ~
No. of Compartments
Foundation Cleanout (Y/N)
Date Last Pumped ~"/'l~' /~'~
; for
Temporary Holding Tank Permit (Y/N)
To Building Foundation ~ I ~
To Disposal Field ~ ~
To Stream, Pond, Lake, or Major Drainage
Comments
Page I of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field /.~,~, e
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well J
To Building Foundation
Lot ~lr
/~'¢__~¢7~ Type of System Design
Length of Field ~'?
Depth of Field 6" r
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
.¢,,'- 3 b cc./rc, o**,_.r
To Property Line ~'¢ ¢
~ f'~ ~i~r '.~ ¢~¢' ¢, ¢, To Existing or Abandoned System on
; On Adjoining Lots ~ ~O ~
To Water Main/Service Line ~ /~. To Cutbank (if present)
To Stream/Pond/Lake/or Major urainage uourse
To Driveway, Parking Area, or Vehicle Storage Are;
D. LIFT STATION
Date Installed
Size 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 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed ~~ ~' ~ Date ~/ 7/ ~
Company ('~'~¢~'~',/¢ ~'~¢/~ '¢f/F-'J' MOA No. ~.~¢~-O~
Receipt No. q On
Date of Payment c~_
Amount: $ (.4
Page 2 of 2
72-026 {11/84)
Engineer's Seal
DATE RECEIVED
~:~ -,~ INSPECTION APPOINTMENTS ~
TIME /) ~ //~x / TIME /
DATE DATE (///L? ~ ~ DATE C~ -~h -
INSPECTOR
INSPECTOR INSPECTOR
MUN CIP~ NcHORAG~.,,
?;to~ECTION
~UNICIPALITY OF ANCHORAGE ENVIRONMENTAL
DEPARTMENT OF HEALTH & E"VIRONMENTAL PROTECTION
825 L Street-Anchorage, Alaska 99501 AP R 2 2 1981
ENVIRONMENTAL SANITATION DIVISION
RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten {10} days for processing.
1. PROP~RT~ OWNER PHONE
' MAI'LI~ ~DDRE8~ ' ~ ~ ~ '
PROPERT~ RESIDEN~(If dCfferent fro~ above) / ' ~ PHONE
2. BUYER PHONE
MAILING ADDRESS
M~IEIN~ ADDRESS
4. REALTOR/A~EN~ ' ~ ~ ] PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
/
6. TY~E OF RESIDENCE
/~ SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
I
NDIVIDUAL*
COMMUNITY
[] PUBLIC UTILITY
NUMBER OF~BEDROOMS
[] One [] Four [] Other
[] Two [] Five
Three [] Six
*ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
72-010 (Rev. 6/79).~-~
1. TYPE OF RESIDENCE
E] SINGLE FAMILY
[] MULTIPLE FAMILY
THIS SIDE FOR OFFICIAL USE ONLY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[~] INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified _
[]Septic Tank or []Holding Tank
Size: ~--~:~
give dimensions:
TYPE OF TANK
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE [] OTHER
[] TWO [] Four [~] SIX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
_ If Tank is homemade SOILS RATING
MATERIAL
TOTAL ABSORPTION AREA
4. DISTANCES
WEL
Absorption Are~-a to near
5. COMMENTS
ANCHORAGE CESSPOOL PUMPING
Star Route A, Box 144
ANCHORAGE, ALASKA 99502
Phone 344-2632 or 344-2453
Lot
- (
Eli C(
[] DI
DAT~
',-O,O ,Re,. 6,,., - i0i74 *" c"'m' --d ,.,.,ned .oo
aCCompanied by this bill,