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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,