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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 ~