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HomeMy WebLinkAboutPROSPECT HEIGHTS BLK 2 LT 18A
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? XX Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
Municipality of Anchorage Page i of ,~'~
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~2)~// qc~.CC_j ~).,- PIDNumber:
Name: ~U~ ~ ~~ ~~ Wastewater System: VNew ~ Upgrade
Address:
~ ~) ~,~ ~ ~ ~c[~),~ ABSORPTION FIELD
Phone: No. of Bedrooms:~
~ ~ Deep Trench~__ShallowTrench ~ Bed ~ Mound ~ Other
LEGAL
Soil Rating:
DESCRIPTION
Total Depth from origina~ grade:
~ Subdivision:, Depth to pipe bottom from original grade: Gravel depth beneath pipe
Township: j ~ ~ Range:~ ~ ~IJ Se~tion~. ~ t Fill added above original grade: Ft. Gravel length: ~ ~ Ft.
~New D Upgrade Gravel d~: ~ ~f¢~ Number of lines: Distance betwee, lines:
WELL:
.¢ .t. ~ I O ~t.
Clas~ation (Privet, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
~ Date Drilled: Static Water Level: Installer: Date installed:
Yield: ~ I Pump Set,a~: Casing Height Above Ground:
~, g~o~ ~,. ,~'~. TANK
SEPARATION DISTANCES ~.t~c ~ Holding ~ S.T.E.P.
To Septic Absorption Lift Holding Public/Private Manufacturer: .~ Capacity in gallons:
From Tank .i.,, 1
Well ~00 ~ Material:¢ ~ Number of C~admonts:
Surface
Water >k~O >/~,o LIFT STATION
Lot Size in gallons: Manufacturer:
Line t/0 i ~
Cu~ain Pump ~ake & RoWel ~ Electrical Inspections pe~ormed by:
Drain
I
Remarks: BENCH ~ARK
Location and Description:
I Assumed Elevation:
Inspections performed by: ~ &~¢¢¢- D,tes: 1st
~..m~n~ of Health and H.man Services _~__ _.annrnv. I
Reviewed and approved by: ~°~~--0~,,,~ Date:~ --~/~ ·
72-013 (1/91) MOA25
3 I N I q3 O~ I HO ~XO0 80 ; ~ NOW ~6-- I S--9~
PAGE
1 OF
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW920038
DESIGN ENGINEER:ANDERSON ENGINEERING
OWNER NAME:MULHOLLAND DAVID J & KRISTI A
OWNER ADDRESS:550 EAST TUDOR ROAD
ANCHORAGE, ALASKA 99503
PARCEL ID:01509108
DATE ISSUED: 3/25/92
EXPIRATION DATE: 3/25/93
LEGAL DESCRIPTION: PROSPECT HEIGHTS BLK
ISA
LOT SIZE: 150282 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
2 LT
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
/
March 24, 1992
RECEIVED
MAR 2 4 1992
l~;u; .... ~J~,;.,y of Anchorage
Dept. Health & Human Services
Municipality of Anchorage
Department of Health & Human Services
P.O. Box 196650
Anchorage, Alaska 9951%6650
Attention: Susan Oswalt
Reference: Lot 1SA, Block 2, Prospect Heights
Subject: Septic System Permit
Dear Susan:
I have modified the septic system design for the subject lot in accordance
with our conversation today. The sizing of the system is apparently
correct based on the shallow trench system with 4' of gravel beneath the
drain pipe. In the event the alternate site requires development the line
exiting the septic tank will be encased in 6" steel pipe in the area beneath
the driveway to prevent crushing or other damage to the line. Finally, I
have affixed an original stamp and signature to the soils log for Test Hole
No. 3. Please advise if further information is necessary prior to issuance of
the septic system permit.
Sincerely,
Michael E. Anderson, P.E.
March 15, 1992
Municipality of Anchorage
Dept. of Health & Human Services
Environmental Services Division
825 "L" Street, Room 502
Anchorage, Alaska 99501
Subject:
Lot 18A, Block 2, Prospect Heights
Septic System Design
Impacts to Adjacent Properties
Dear On Site Services Engineer:
I have reviewed information available on lots adjacent to the subject
property and have conducted an 0nsite investigation. No systems on
adjacent properties are located within 200' of the planned systems on this
property.
The terrain of this lot gently slopes as shown on the attached site plan.
Soils encountered in the three testholes located on the lot were fairly
consistent and excellent for an onsite septic system. Groundwater was not
observed in the monitor tubes. The following comments are appropriate
for this lot:
The system, if constructed as designed, will have no adverse
impacts on the wells currently in use or to be placed in the future
on lots located in the area.
The system, if constructed as designed, will have no adverse
impact on existing septic systems in the area or those to be
constructed in the future.
The system, if constructed as designed, will have no adverse
impact on reserved space either surface or subsurface on any lots
located in the area.
o
The system, if constructed as designed, will have no adverse
impact on drainage patterns in the area.
Sincerely,
Michael E. Anderson, P.E.
,os &o,- I&A, ~ Z., P~ s~L-cy /-/'rs.
SHEET NO. OF
CALCULATED By. /"~ ~'7~ DATE
CHECKED BY DATE
SCALE
'750 cb.~'b. ~ .Z. =-/,ZS'~.' r='~,~ Q~
HOUSE DETAIL
SCALE 1"=25'
PROPOSED
HOUSE
? FINISH FLOOR=102,0'
Michael E. Anderson
4381. E
PLA~IIC UONUIdlN! ~-,I I
= /~0
PK
IN SIDE
50'
JOB
SHEET NO,
CALCULATED BY.
CHECKED BY
SC^LE I~1~ ~
OF
DATE
DATE
./
Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
December 2, 1992
Tobben Spurkland, P. E.
203 West 15th Avenue #206
Anchorage, Alaska 99501
Subject: Lot 18A Block 2 Prospect Heights Subdivision
PID #015-091-08, Permit #SW920038
As-built Submittal
Dear Mr. Spurkland:
The as-built drawing submitted by you on November 10, 1992 for
the new on-site septic system on the referenced property cannot
be approved by this office for the following reasons:
The site of the absorption field is not at the location
approved by Permit #SW920038 dated March 25, 1992. The
approved site cannot arbitrarily be changed without the
written approval of this o~fice.
The site depicted on the site plan (Sheet 1 of 3)
attached to your'.~as-built is in the vicinity of the
site designated as the reserve site. You must confirm
that there is still sufficient space for the reserve
site.
The explanation given (in the "Remarks" section of the
as-built) for changing the original site was "location
moved due to surface water (Pond)." There is no pond
shown on the site plan (Sheet 1 of 3) attached to your
as-built.
~Tobben Spurkland, P. E.
December 2, 1992
Page Two
o
The soil test dated May 2, 1992 at the site of the
absorption field showed a percolation rate of 22
minutes per inch which has an application rate of 0.6
gpd/sf. For a five (5) bedroom house, this would
require 1,250 square feet of absorption area. Based on
four (4) feet of gravel below the perforated pipe, the
total length of the five (5) foot wide drainfield is
125 feet. The as-built shows the combined length of
the two trenches to be 96 feet. Your explanation (in
the "Remarks" section of the as-built) for the 96 feet
of trench was "visual rating of soil better than .6
gal". Visual soil ratings will not be approved, and
the deviation from the percolation rate must be
approved by this office PRIOR TO CONSTRUCTION.
Assuming that you were at the site during construction and both
inspections, it was your responsibility to have the construction
discontinued until each of the above permit deviations were
reviewed and approved by this office. By copy of this letter,
the owner is hereby advised that the on-site wastewater system
is not approved, and that continued operation can result in the
issuance of a Notice of Violation and possibly a Citation. You
are therefore strongly urged to rectify the herein defined
discrepancies within the next fifteen (15 days.
If there are any further questions, please call our office at
343-4744.
Civil Engineer
On-site Services
cc: David Mulholland
550 East Tudor Road 3~.~ .... [/~
Anchorage, Alaska 99503 .
Michael E. Anderson, P. E.
Anderson Engineering
PO Box 240773
Anchorage, Alaska 99524
T_ SF'URKLAND P. F_
203 WEST 15TH. AVENUE SUITE 206
ANCHORAGE, ALASKA 99,501
(907)
DAvid Mulholland
Jo East Tudor Rd.
Subject: Lot|8A, Block 2 Prospect Heights
July 14, 1993
Dear Mr. Mulholland;
Bob Nielsen and myself checked the soils conditions at the site
of the septic system on June 30, 1995. This inves~tigation was in
response to a letter from The Municipality of Anchorage, Depart-
ment of Health and Human Services, dated December 2, 1992, where
discrepancies between the installed septic system and the permit
for the installation of the septic system were addressed. To
SOmmarize: The Municipality would not approve the installation
until the discrepancies were corrected.
The most severe point was that the septic system did not have
the physical size required for a 5-bedroom system. The total
length required is 125 feet. The installed system has a 'total
length of 96 feet. With other words, the system must be e~tended
50 feet.
A condition that was not addressed bv the Municioality is the
pond. Any septic system must be 100 f~et from an,x' surface water.
I measured 75 feet +- between the septic system ~d the closest
edge of the pond. I suggest that you fill in the-low area be-
tween the drive way and the proper pond to obtain the proper 100
feet separation.
John Smith signed off on your system based on my assurance that
any deficiencies would be 2orrected. A response to the letter
from the Health Department stating that the four iEems have been
addressed and that the system meets the requirement of the Munic-
ipality is required in order to prevent future pr~,blems with the
residence. ,
Yours
Tobben Spor~14~nd P.E.
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
2
3
4
5
6
7
8
9
10
11
12
13.
14
15
16.
17
18
19.
20
Township, Range, Section:
SLOPE
SITE PLAN
S
IF YES, AT WHAT OL
DEPTH;:' ~
P
E.
neplh to Water Alter
Monilorin§? ~
Reading Date Gross Net Depth to Net
Time Time Water Drop
, t,j~ ~;~o ,~--- lc. ,y,,
~ ' ~:~ ~ 11,~7 .~1
PERCOLATION RATE /'~ (minutes/inch) PERC HOLE DIAMETER ~'V
. TEST RUN BETWEEN ~'
FT AND ~ ~ FT
COMMENTS · '
PERFORMED By: /L~., ~J/',/~/~./J J ' ~(~----~¢(~'"~t~IFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON TH S DATE DATE' '-~"/~'
72-008 (Rev. 4/85) ' '
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
2
3
4
5
6
7
8
9
10-
11
12
13
14
15-
16
17
18,
19
2O
DATE PERFORME
COMMENTS
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YESi AT WHAT
DEPTH?
SITE PLAN
Depth lo Water After.,,,,.,,.~
Monitoring? _ ~ Date:
Gross
Time
Net
Time
Depth to
Water
I6. D7
Il,
Reading
Date
.I
I
PERCOLATION RATE /~ (minutes/inch) PERC HOLE DIAMETER ..
72-008 (Rev. 4/85)
Net
Drop
PERFORMEDIN
~ ~--, ---, o ~..~..~ I'11'1 L.T, ~,,,~T I~O C L · ~ · C
~ ........ -- .. P . ~2
DEPARTM;NT OF H~LTH & HUMAN SERVICE0 St~t, Anohorage, Al~ka
LOG ~ ~ROO~ON TEST
LecsAL -- - ~[~. SLoPe sate
2
3
4
5
6
7'
8'
9
10
11
T2
13'
15-
16-
17-
WA~GROUNO WATER ,~...,~.~
ENGOUNTEREO? _ ~'"'~C'"['P~..I
JF YES, AT WHAT ///~~ ~
DaP'rill [ ,rt"' · ~
'rF.~T RUN OF, TWE~ FY ~ND ~ ~ FT
$ & S ENGINEER Fl - '
~RFORM~ ....... /I L ~( .. ~IFYTHATT~I~ T~/W~ P~FORMEDI~
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
MUNICIPALITY OF ANCHORAGE ~
DEPARTMENT OF HEALTH & HUMAN SERVICES >¢,u~,Y oE ANCH©i~A:~
Division of Environmental Services £N,./iR~,L SERVICES O,V!.~',CN
On-Site Se~ices Section
~/
P.O. Box 196650 Anchorage, Alaska 99519-6650 ,.~p 0 ~ "* q'
343-4744
GENERAL INFORMATION
Complete legal description L..o~'- ~ ¢o ~- ) ~ ~-- ~-j
Location (site address or directions) ~-~.~(--J O
Property owner ~/f~ ~ ~--P~;¢ ~"lld ~t-~LL~,:~ODay phone
Mailing address ~:~----- ~ -~OV~-
Lending agency
Mailing address
Agent
Address
Day phone
Day phone
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 INSPEC=I'ION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, l 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 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 effect on the date of this inspection.
Address
Engineer's signature ~~~~~'~~
DHHS SIGNATURE
Approved for '~'
Disapproved.
Conditional approval for
bedrooms.
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/gl} Back MOA #21
MUNiCiPALI.rY OF ANCHORAC~:
ENVIRONMENTAL SERVICES DIVIS~,
MUnicipality of Anchorage 05 '1907 1~
DEPARTMENT OF HEALTH & HUMAN SERVICES~P
Environmental Services Division
825 L Street, Room 502. Anchorage, Alaska 99501. (907)~ .,~3~ ~47.4~4[/[~ [.~
Legal Description:
A. WELL DATA
Well type
Log present (Y/N)
Total depth
Health Authority Approval Checklist
~.O'~' [ ~ ,~' - (~I/_. ~. Parcel I.D.:
IfA, B, or C, attach ADEC letter. ADEC water system number
'~.-/~-- ~- Date completed '7///~'Z
Cased to zd¢O/ Casing height (above ground)
/Z
Wires properly protected (Y/N)
Sanitary seal (Y/N)
FROM WELL LOG
Date of test "7/~ /~' Z
Static water level 3 5-- / z~ /
Well production { '~' g.p.m. / ~ ~' +
AT INSPECTION /
WATER SAMPLE RESULTS:
Coliform (~
Date of sample:
Nitrate
~ c~ ~) C~ m~/J~ Other bacteria
Collected by: ~-~'~ ~--~ ~
B. SEPTIC/HOLDING TANK DATA
Date installed ~:~/c~_ Tank size ,/~-Z~ Number of Compartments.?-'
Foundation cleanout (Y/N) ~"~"~ Depression (Y/N) /~JO High water alarm (Y/N) /~J
Date of Pumping ~'/~r'/4;) ~ Pumper ~L.O /'1
g.p.m.
__ Cleanouts (Y/N) X'/'t~--~-'~
C. ABSORPTION FIELD DATA
Date installed ¢c5/~'~- Soil rating (g.p.d./fF orJ~ ~' ~
Length ~'~ Width ~ ~::;""" Gravel thickness below pipe
Effective absorption area (~0 Monitoring Tube present (Y/N) V
System type
,~_r
Total depth
. Depression over field
Date of adequacy test c//~F'/C/~- Results~ (,P, ass/~.a, il)~/~'f For_ ~' bedrooms
Fluid depth in abso[ption field before test (in.); ~ ~' ~;~mmediately after~'~_ gal. water added (in.): ~/,
Fluid depth ~r/4' E~S'T'(ins) Minutes later: ~,4-~,~' ~ Absorphon rate = .g.P. ·
Peroxide treatment (past 12 months)(Y/N) ~//3r- If yes, give date /~'J/~'
72-026 (Rev. 3/96)*
Date installed -~.~_~~
Manhole/Access (Y/N) ~_ "Pump off" level at*
High water a~ *Datum
Cycle ed
E, SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot / ~) 0 On adjacent lots
Absorption field on lot /OO /
On adjacent lots
Public sewer main jkJ f¢~l-~ Public sewer manhole/cleanout
Sewer/septic service line ;;;Z ~ (~ Lift station /d
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ~-~ z~'/ Property line
Water main/service line /O/4- _Surface wateddrainage
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line /'0 /¥- Building foundation
/
/o0 '*-
Absorption field ~'-~--/~¢'
Wells on adjacent lots /00 f'¢-
Water main/service line /~)/¥-
/00 rd-
Surface water
Curtain drain /'J ~ Wells on adjacent lots
ENGINEER'S CERTIFICATION
I ce/fify that I have~ete~/r~/ned. C~r~fie 'inspections and review
in conforrnanc~/th/M.f~.A~(~de,, ~s in effect on ,his date.
Signature ( _-///"¢/7/~'/v /(~
, -?
Engineer s Name ~-.U~---~ .,~'-
t
Driveway, parking/vehicle storage area
I00 ~+
are
HAA Fee $ ~ .' ~
72-026 (Rev. 3/96)*~'~:~z -
Waiver Fee $
Date of Payment
Receipt Number
August 24, 1997
Jack White Real Estate
3201 "C" Street
Suite 200
Anchorage, Alaska 99503-3994
3 t[ s]k W ter & W tew lter
84~1 Brookridge Drive N Anchorage - Alaska ~9504
Phone (907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
Attn: Clair Ramsey
Subject: Well Test for Lot 18A, Bk 2, Prospect Heights Addn #1. 9300 Prospect
Drive. Dave and Kris Mulholland Property
Dear Clair:
Per the request of Mr. & Mrs. Mulholland, I performed an adequacy test on the subject well. Per
the drilling log, the well is 240 feet deep, with bedrock at 38 feet. The bedrock portion of the
well is lined with PVC pipe. Prior to starting the test (8/24/97) the water level was 46 feet below
the top of the casing (BTC). Water was pumped at an average rate of 3.69 gpm for 80 minutes
(295 gallons), which caused the level in the well to drop 143 feet, to a depth of 189 feet BTC.
The flow was then reduced to an average flow rate of 1.59 gpm for the next 160 minutes, during
which time the water level in the casing rose to 176 feet BTC. In short, at a flow rate of 1.59
gpm, the well was gradually recovering. Based upon this data, it can be concluded that the well
production exceeds 1.5 gpm, or 2160 gallons per day. This Municipality of Anchorage requires
that a well, serving a 5 bedroom house, produce at least 0.52 gpm, or 750 gallons per day.
If you have any questions, please contact me at 337-6179,
1-800-481-116~
Jeff~ t3~. Garness, P.E., M.S.
Prifi 9al
244-9612, or on my digital pager at
SEP-O~-1997 S~'.~0 CT~E E~ ANCHOR. AGE
· ~ CT&E Environmental Servioes inc.
'Fill
CT&E Ref,#
Client Name
l~roj~t Name/#
Client Sam. pie 1D
Matrix
Ordered By
PWS~
9750,58001
AK Water & Wastewarel Servict:s
9300 Prospect
9300 Prospect
Drinki~g grater
Sample gemark~:
Cliem PO#
PHnted Date,/Timc 09/02i97 19:37
Collected Date/Time 08/27/97 18:55
Received Date/Time 08/28197 12:40
Technical Diret.~or: Stephen C. Ede
~itrato-N
total coliform
C.100 Ro/L $1418 bSOD-NO3F 10 ~ax 08/2g/97 .Igi.
cel/100mL $1dlB ~ZZ8 0~/Z8/~7 l~',~
TO :~T¢8.%246 P. ~2
.:d L
'25'
HOUSE
FROI"I COHFIUN I TY*CH ! ROF'R,'qCT I C$CL
2O %
/"' SEPTIC PIPES
5(I'
Z
157.8
SEE DETAIL
LOT 18A ~