HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 6 LT 27olTd i
3
Municipality of Anchorage
Community Development Department J Pa 1 of 3
�N l 4 2018
On -Site Water & Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP171254 PID Number: 015-092-14 ❑ New N Upgrade
Name:
HAWLEY FAMILY TRUST
ABSORPTION FIELD
■ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address:
8000 DOWNHILL CIRCLE *ANCHORAGE, AK 99507
❑ Other
Phone: No. of Bedrooms:
Soil Rating:
Total Depth from original grade:
(907) 223-7621 *3
1.2 GPD/Sq. FL
10 MAX Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade:
SEE DWG. FL
Gravel depth beneath pipe:
7.01 Ft.
Subdivision: Block: Lot:
PROSPECT HEIGHTS #1 6 2
Fill added above original grade:
Gravel length:
SEE DWG. FL
50 Ft.
Owns Ip: -Range: - Section: -
Gravel width:
Beds Number of lines:
Distance between lines:
2.5 FL
-
Ft.
SEPARATIONDISTANCES
Total absorption area:
700
Number of trenches:
1
Dist. between trenches:
-
To
Septic
Absorption
Lift
Holding
Public/Private
From
Tank
Field
Station
Tank
Sewer Lines
SQ. FL
Ft.
Well
100'+
100'+
-
-
25'+
TANK ■ Septic ❑ S.T.E.P. ❑Holding ❑ Other
Manufacturer:
Capacity:
Surface Water
100'+
100'+
-
-
ANCHORAGE TANK
1250
N/A
Gal.
Lot Line
5'+
10'+
-
-
Material:
Number of compartments:
STEEL
2
Foundation
10'+
10'+
-
-
LIFT STATION
Curtain Drain
NONE KNOWN
Manufacturer:
:::�:
Ca y:
Gal.
Remarks: PER CONTRACTOR, OLD SEPTIC TANK AND SEEPAGE PIT WERE
"Pump on" level at:
"Pump ofP' level at:
High water alarm at:
DECOMMISSIONED PER UPC. TOP OF NEW SEPTIC TANK INSPECTED BY MOA
Pump Make & Model
Electrical Inspections performed by:
ONSITE EMPLOYEE TIM ECKLUND ON 5/31/2018.
PIPE MATERIAL
SEPTIC SYSTEM SIZED FOR 4 BEDROOMS
House to tank D3034 Tank to D3034
drainfield
Installer
ARM SERVICES
Drainfield D3034 CO/MT D3034
Inspector GEG, Ltd.
BENCH MARK (Assumed elevation)
108.51 Ft.
Inspection
Location and Description:
Dates: 1st 5/31/2018 2nd 5/31/2018
3rd 6/1/2018 4th -
BOTTOM OF TRIM @ POINT "B"
ENGINEER'S SEAL
Community Development Department Approval
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7;,,�
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Conditional approval: Date:
4
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•J Go ness.:
Q E 79 � •' o Q
Approved: l� Date:
po 0
LICENSE �ofessloc c
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#AECC834
Inspection Report _1-1-12.doc
PERMIT NUMBER:
OSP171254
PREPARED FOR:
\V
RECORD DRAWING
I N G
T_
A
B
C D
\
\
\
PER CONTRACTOR, WELL RADII WAS \
PHYSICALLY LOCATED BY THEMSELVES
AND A 100'+ SEPARATION DISTANCE TO
DRAINFIELD AND SEPTIC TANK WAS
CONFIRMED PRIOR TO CONSTRUCTION. \
\
FCO 4.34 20.7
DBL1 39.4 22.4 71.3 -
DBL2 39.7 23.2 72.1
\ DBL3 105.1 83.0 110.4
DBL4 105.2 81.3 110.1
ST1 105.5 81.4 109.1
ST2 107.0 82.4 106.5
DBL5 107.8 83.0 105.9
DBL6 108.2 83.4 105.7
MT1 101.6 76.7 86.8
C01 100.9 75.9 85.8
MT2 144.5 119.4 126.9
CO2 1146.2 i 121.1 1129.1
I/
II 100' WELL RADIUS
d �
� a
1
EXISTING 3 B
\ BEDROOM HOME DBL1 & DBL2
D
\ NEW 1250 GALLON
\ 0 FCO C STEEL SEPTIC TANK -
\ DBL5 & DBL6�
< MT1
Col
PARCEL ID NUMBER:
015-092-14
0
SHED
I
I
DBL3 & DBL4
/ / 'JST1
APPROXIMATE LOCATION
OF SEWER LINE
TESTHOLE LOCATION REVISED; INITIAL LOCATION WAS
'TIED" IN WITH RAGTAPE AND WAS APPROXIMATE. THE
SOUTHEAST PORTION OF THE DRAINFIELD WAS
T.H.#1 APPROXIMATELY 3-4 FEET OUTSIDE OF THE 30 FOOT
TESTHOLE RADIUS DURING INSTALLATION
MT2�> 10'x20' ANCHOR EASEMENT
NEW TREN H
C7 �
le-
---------------------------J L----------------
10' UTILITY EASEMENT
GARNESS ENGINEERING GROUP, Ltd
- CAIf�IAICC�IAI(� QAI CQ /1l1A1M 11 Tlwif+
3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507. PHONE (907) 337-6179 • FAX (907) 338-3246*WEB SITE, vnrwgamessengineenng. com
PREPARED FOR:
PHONE NUMBER:
PAGE NUMBER:
HAWLEY FAMILY TRUST
223-7621
2 OF 3
LEGAL DESCRIPTION:
DRAWN BY:
PROSPECT HEIGHTS #1; BLOCK 6, LOT 2
L.K.B.
TYPE OF WORK:
DATE:
I,_ RECORD DRAWINGS
6/13/2018
N
1" = 40'
w
eJ,..�e....�...,
:�Ge.�'y
♦/ i
CE -79 3
LICENSE %
#AECC884
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1,
A"Tk0, MUNICIPALITY OF ANCHORAGE
/I; On-Site Water&Wastewater Program >:.,�
PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 =
http://www.muni.org/onsite 115j;
I)c partuilnt
INCH 0RPGE
On-Site Wastewater Disposal System Permit
Permit Number: OSP171254 Effective Date: 10/13/2017
Work Type: Septic Upgrade Expiration Date: 10/13/2018
Tax Code Number: 01509214000
Site Legal Address: PROSPECT HEIGHTS#1 BLK 6 LT 2 G:2440
Site Mailing Address: 8000 DOWNHILL CIR, Anchorage
Owner: HAWLEY FAMILY TRUST Lot Size in Sq Ft: 98010
Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 3
This permit is for the construction of:
0 Disposal Field El Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well 0 Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Illk
Received By: _ All. Date: v
Issued By: /�J�7 "jr,. Date: C2,,A
MUNICIPALITY OF ANCHORAGE
Community Development Department .. % Phone: 907-343-7904
Development Services Fax: 907- 343-7997
On-Site Water& Wastewater Program
Mayor Dan Sullivan
On-Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 015-092-14
Property owner(s) TED HAWLEY Day phone 223-7621
Mailing address 8000 DOWNHILL CIRCLE"ANCHORAGE,AK 99507
Site address 8000 DOWNHILL CIRCLE *ANCHORAGE,AK 99507
Legal description (Sub'd, Block&Lot) PROSPECT HEIGHTS#1; BLOCK 6, LOT 2
Legal description (Township, Section & Range)
Lot Size Sq.Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING:
®all that apply) Initial ❑ Single Family(SF)
Absorption Field ® (w/wo ADU)
Septic Tank ® Upgrade Duplex(D) ❑
Renewal ❑
Holding Tank ❑ Multiple Dwellings El
Privy ❑ (SF and/or D)
Private Well El
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR:
NO SAND FILTER ON SOILS THAT PERCOLATE FASTER THAN 1 MIN/INCH Distance: N/A
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP. Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 54•1 Waiver Fees:
Date of Payment: //2.9//3". Date of Payment: 11/251 6 i
Receipt Number: //�� I 0C Of� Receipt Number: l OW2
Permit No.
tJ5 Pt T 2 Waiver No. 05V 1? O 3
(Rev.01711)
elif it° di lib monies
GARNESS ENGINEERING GROUP, Ltd 1[1�✓nrcc/ 1rc.ihsic'nf }v•dYn
CIVIL&ENVIRONMENTAL ENGINEERS De1er
October 12, 2017
Municipality of Anchorage
Development Service Department
On-Site Water&Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Proposed Septic System upgrade for Prospect Heights#1; Block 6, Lot 2
To whom it may concern:
The existing 3 bedroom house is served by a private well and septic system. The drainfield is in a state of
failure and needs to be upgraded. One testhole was excavated on the property and the drainfield is
designed within its 30 foot radius. We are proposing to install a new 1250 gallon steel septic tank and
deep trench type drainfield. Comments regarding the design are summarized as follows:
1. SOILS: See the attached 2017 logs which show the soil classifications, groundwater monitoring, and
the percolation test results. Attached is a sieve analysis for the soil that was perked. As can be seen on
the attached sieve by DOWL, the soil classifies as a GP-GM. Based upon the GP-GM soil classification,
the percent passing the #200 sieve (8.29%), and the percent passing the#4 sieve (49%). It is reasonable
to believe that the interstitial space between the gravel particles is filled with enough sand/silt particles so
as to negate the need for a sand filter. A recent water sample indicated no bacteria present and elevated
nitrate levels of 7.8 mg/I. Based upon the location of nearby wells (see attached drawing) with elevated
nitrate levels, it is reasonable to believe that the elevated nitrate levels for the subject lot are not direct
result of the existing seepage pit. As can be seen on the attached drawing, several wells up-gradient of
the proposed septic system have significantly higher nitrate levels. Based upon this fact, we believe that
the septic systensup-gradient are a more likely the cause of the elevated nitrate levels in the general
area. Based upon this information, we believe that a sand filter is not necessary and a deep trench type
drainfield should be permitted for installation.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface water concerns.
4. TOPOGRAPHY: As can be seen on the attached topography drawing, the average topography
around the proposed drainfield is 15%. There are slopes greater than 25% in the vicinity of the drainfield;
however, they are up gradient from the proposed drainfields.
We are unaware of an adverse impacts this installation would have on adjacent wells or septic systems.
If you have any quest';ns, please contact us at 337-6179. Thank you for your assistance.
Since -ly,
-y�. e M.S.
Presid:r t
3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259
Phone: (907)337-6179' Fax: (907)338-3246'Website: www.garnessengineering.com
'\
\
1
I
CONIFER HEIGHTS,
BLOCK 2,LOT 14 / \ CONIFER HEIGHTS. CONIFER HEIGHTS;
/ / CONIFER HEIGHTS; \ BLOCK 2,LOT 6 BLOCK 2,LOT 1
/ / BLOCK 2,LOT 7 \
/// i 1p0 o.wLL RADIUS \I
I
I
l\ /!
\ /
- `\
•/ DOWNHILL CIRCLE
/ \
/ � -
/ �
/ \ / -
/ \ •
/ \ / \ PRIVATE WELL AND
/ \ / \ SEPTIC SYSTEM
I'100'WELL RADIUS X00 t.�,E `\
I �� +l)/us . I
1 I
PROSPECT HEIGHTS#1;
\ /I I BLOCK 6,LOT 1
\ / ‘ 1
\ / \ /
\ / \ /
N.
047\ /N
.$, PROSPECT HEIGHTS#1; N.
N. //
UBLOCK 6,LOT 3
—rZ
—1
/ N
)i / \`
/ \ PROSPECT HEIGHTS#1;
/ / 1
\ BLOCK 6,LOT 15 SEPTIC AREA
I \
, 100'WELL RADIUS I // \\
ci
I / \
/ \
PROSPECT HEIGHTS#1; / / \
SLE: \\ BLOCK 6,LOT 6A/ / / }
III
1"=100' \ / I 100'WELL RADIUS I
\ / I O.I^
N.
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♦4.44 ',/
GARNESS ENGINEERING GROUP, Ltd ; I 491 ;
CIVIL&ENVIRONMENTAL ENGINEERS
3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE.AK 99507'PHONE(907)337-6179'FAX(907)338-3246•WEBSITE www garnessengneenng cam 0• •• • •)• lb ;
PREPARED FOR: PHONE NUMBER PAGE NUMBER. .y --mess /
TED HAWLEY 223-7621 1 OF 2 ���,° C 79 ° k"05 .
JJ�, • \
PROJECT/LEGAL DESCRIPTION: DRAWN BY: • O Z , r
PROSPECT HEIGHTS#1; BLOCK 6, LOT 2 L.K.B./D.J.G. I�Peb••p•..........
�^ •3 •''�� �•`
TYPE OF WORK DATE LICENSE '1�'PROFESS
••.
SITE PLAN 8/23/2017 _#AECC884
PPIPPIIIPP-
// ....\
DESIGN CRITERIA: GEG,Ltd.HAS A 8 PAGESPECIFICATION Q
DESIG
NUMBER OF BEDROOMS:3 LETTER THATAPERTAINSOFL THIS A.TO NOTE:THE CONTRACTOR
OBTAIN A COPY OF THE LETTER CONTACT
GALLONS PER DAY(GPO):450 GEG.BY PROCEEDING FORWARD WITH THIS SHALL HAVE THE WELL RADII
PERCOLATION RATE/S:<1 MIN/INCH INSTALLATION,THE ENGINEER.WELL DRILLER, FLAGGED BY A REGISTERED
PROPOSED APPLICATION RATE 1 2 CONTRACTOR AND PROPERTY OWNER AGREE LAND SURVEYOR PRIOR TO
MINIMUM DRAINFIELD SQ.FT.:375 FP THAT THEY HAVE READ THESE CONSTRUCTION.
SPECIFICATIONS AND AGREE TO ACCEPT THE \
1 DRAINFIELD DESIGN: TERMS AND CONDITIONS OUTLINED.
MAXIMUM DEPTH 10 FEET `
IWIDTH: 2.5 FEET
/ LENGTH:50 FEET
L EFFECTIVE:7 FEET INSTALL DOUBLE CLEANOUTS
1 ACTUAL SQ.FT.:700 FT' AT MIDPOINT OF SEWER LINE
I qui 1/1
V 100'WELL RADIUS — 0 SHED
4 G. APPROXIMATE LOCATION OF
/ PROPOSED SEWER LINE TO
\ p FOLLOW SLOPE CONTOURS
1 ,,Z1INSTALL DOUBLE CLEANOUTS
BEFORE AND AFTER SEPTIC TANK
\ INSTALL FCO EXISTING 3 /
\ BEDROOM HOME \\\\\ '''7\0,-, / {�
\\ a
40,'
\ O PROPOSED 1250
GALLON SEPTIC TANK
�� 10% / u�i
\ s
ei0 A.,,- ce-- -.
7
• T.H.#1 ;: PROPOSED DRAINFIELD
`
1 ' y
M \o
EXISTING SEPTIC TANK AND SEEPAGE PIT •
TO BE DECOMMISSIONED PER UPC
M
o� /-10'x20'ANCHOR EASEMENT
7,, II
11I
10 UTILITY EASEMENT ��
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AP 0
GARNESS ENGINEERING GROUP, Ltd , : 4'11• •
CIVIL&ENVIRONMENTAL ENGINEERS t •
3701 E.TUDOR ROAD,SUITE 101•ANCHORAGE AK 99507'PHONE 1907)337.6179'FAX(907)338-3246'WEBSITE www garnessenglneenng corn
•
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0t'L•• e = '•. ess : gs.
TED HAWLEY 223-7621 2 OF 2 I���s,'•• C ) 9 ,`• �
PROJECT/LEGAL DESCRIPTION: DRAWN BY: !b f . ><,:�• �
PROSPECT HEIGHTS#1; BLOCK 6, LOT 2 D.J.G. �1�cQ•••••••• .. ••• •bx +
TYPE OF WORK: DATE: +4LICENSE M r"' ,S.iO♦•'
SEPTIC SYSTEM DESIGN UPGRADE 1011112x17 #AECC884 M **
GARNESS ENGINEERING GROUP, Ltd * � 4'1'- .��*
- • CIVIL&ENVIRONMENTAL ENGINEERS
3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 907'PHONE(907)337-9179'FA%(907)3363296.WEBSITE www ,,se 9a",, gi'�ae��.yu�.
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SOIL LOG - PERCOLATION TEST •jG'%,',� CE`7953 ess• liF-
LEGAL DESCRIPTION: PROSPECT HEIGHTS#1; BLOCK 6,LOT 2 �• �''•.• .• c �
PERFORMED FOR: TED HAWLEY
DATE: 8/9/2017 .�+��FESSI�O �4.•
LICENSE aaasw
DEPTH ----- #AECC884 , +
(feet) ORGANICS
p,;r;_ . TEST HOLE #1
1 ;..:;,
, .: I
1, ' •. SOIL CLASSIFICATIONS SITE PLAN
2 —
'• ` ' GW .1- ORG
,.::a: .
MI GP
E ��: r 1I IIi!11 CL
4 r,F.`'t:s r fII% GC I OL i'--
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• N YAI D, SW MH
,• `'' SP7, CH c.3..''t: loll//: SM / ,i �� OH (gyp
ie•' I. .
I-- •:.'.."; '‹S‘;.' A
z.ik` 1 DEPTH TO
7 �-��'� DATE
': �,.t = • GROUNDWATER (<'fCi N
r
8 ---...z...-.."7, DRY 8/9/2017
■
-;='7= GP-GM DRY 8/17/2017 SCALE.
r4' r 1'=100'
.: sr: I
10 —4,..:4-.;':. _ .
�''' ' ■ CLOCK NET TIME WATER LEVEL NET DROP
DATE READING
11 —1. : ■ TIME (MINUTES) READING (INCHES)
`r:• r 8/10/2017 ABSORBED MORE THAN 5 GALLONS IN LESS THAN 1 MIN 2 TIMES
12
13 —c---,...7:
�3
1 .
14 � '
Vi :;
i,. r .
15 I..'–`.'.71.
r
B.O.N.
17 —
18 —
PERCOLATION RATE <1 (MIN./INCH) F'tRC. HOLE DIA. 6 (INCHES)
19 —
TEST RUN BETWEEN 4.5 FT. AND 5.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: n YES •NO
SOILS LOGGED BY: DAVID GARNESS PERCOLATION TEST PERFORMED BY: ERIK WIDGER
COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER ORf D IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 714-/(
Client: Garness Engineering Group Ltd- Particle Size Distribution-
Project: Prospect Hts-#1
41kD 0 W ASTM D422
Work Order: A35072
Location: Be L2 T111 Lab Number 2017-932
Received 8/15'2017
Reported 8.011'201&'20'7
Engineering Classification: Poorly Graded Gravel with Silt and Sand. GP-GM
Frost Classification: Mot Measured
Size Passing Specification
S• 100%
100 � � ir 1
1 1 1 1 1 1 11 1 1 1 1 1 1 1 I 1 K" 79%
90 - -4- 1 1- -I----1--1 I a 14 1 1 1 1 1 -41 1- r 74%
1 11111 1 ( 1 1 I II I W 71%
80 1-- 1 1-4--4--4- 1 1 1 1 I -4-1 I w e t%
C-
I I I I I I 1 1 1 1 I I I59%
4► 70 1 ; 1 I -1--4 1 1 1--1--- 1 - I 1 44 49%
> 1 1 I I I I 1 1 1 1 I II
.a 60 1- 4---1 1 1- 1 . 1 1--1- I - ! 1 M10:we�,�4r Sample 11252$w10 40%
cn I 1 1 I 1 1 1 1 1 I I W20 31%
50 1--_I---I. L- 1 1 1`- 1 1--1--1 1 - I _.1. _
•tie 110 040 Z2%
i 11 I 11 1 1 1 1 1 1 I I
080 15%
40 I__1__-1--1 14__.1_1_ 1 . 1 l I I 1 i 1 _I.
1 1 1 1 I I I 11111 I 010
0 10%
c L. _1_4_1--1--1--4 1 J-1. 11. 1,1 ! Kzao s.
e 30 1 1 1 1 i 1 1 1 1 1 11 11 710.1 Weight d Fine Fraction aeo 9p
CU 20 . -1--I--I I I j I 1- L1 II ! I
I I 1 I II I I I I I
10 1 1 1 I 11 t 1 l 1 11
i l l I II I ii 1 1 1 1 11 1
0 J I 1 1 1111JJ If , I ! 1 1 1 1 . I -
100 10 1 01 0.01 0.001
Particle Size (mm) ,
Maria E. Kampsen. RE • 4041 B Street • Anchorage • Alaska • 99503 • 9071'562-2000 • Fax 907563-3953
IIPPrilEP—
SGS Ref.# 1175588001
Client Name Garness Engineering Group,Ltd Printed Date/Time 08/18/2017 11:15
Project Name/# 8000 Downhill Circle Collected Date/Time 08/14/2017 14:30
Client Sample ID 8000 Downhill Circle Received Date/Time 08/14/2017 14:46
Matrix Drinking Water Technical Director Stephen C.Ede
Sample Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Waters Department
Total Nitrate/Nitrite-N 7.80 0.100 mg/L SM21 4500NO3-F B (<10) 08/16/17 AYC
Microbiolo9 Laboratory
E.Coll Negative 1 100mL SM21 9223B A 08/14/17 K.W
Total Coliform Negative 1 100mL SM21 9223B A 08/14/17 K.W
xe°1
GREATEr, ANCHORAGE AREA )ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM o APPLICATION & PERMIT
NAME OF APPLICAN~L~'
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
PERCOLATION TEST RESULTS
MAILING ADDRESS /~- 6~/~ /~,~
PHONE
LOCATION OF INSTALLATION
~/ ., SEEPA~E PIT. ~ ,OflAl~ FIELD ,OTHEr.
T0 BE INSTALLED BY
ANTICIPATED DATE 0F C0~PLETION
I
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE /'~_~0(_~ TYPE SEEPAGE AREA
DISTANCES:
Health Authority
TYPE --~'
DIAGRAM OF SYSTEM
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
DATE ~ -~'~ ~ APPLICANTS SIGNATURE ~z_.--,.-~/.-~.-.,~z~.~ ~.-~" ....
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. #
1. GENERAL INFORMATION
Complete legal description I. ot
HAA #
Prospect Heights Subdivision
Location (site address or directions) 8000 Downhill Circle,
Anchorage
Property owner Charles Hawley Day phone 562-4673
Mailing address 8000 Downhill Circle, Anchorage, AK 99516
Lending agency National Bankof Alaska
Mailing address 1500 W. Benson Blvd., Anchorage, AK
Agent
Address
Day phone 257-3434
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:
X
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:
X
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
o
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seaJ affixed hereto and as of the validation date shown below, I 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.
Name of Firm Environmental Management,//
Address 907 E. Dowl' ,z~/; AncJaorag~,/AK
99518
Phone. (907) 562-2580
DHHS SIGNATURE
/~' Approved for
Date
bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
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 p.rofessional engineer's work.
72-025 (Rev. 1/91) Back MOA
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
Ao Well Data
Well type Private
Log present (Y/N)
Y
Parcel I.D.
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed 1969 Driller Wayne Dotter
Total depth 210 Ft,
Sanitary seal (Y/N)
Date of test
Static water level
Cased to
Y
40+ Ft, Casing height 10 in.from G.L.
Wires properly protected (Y/N) Y
FROM WELL LOG AT INSPECTION
1969 10-11-93
148 Ft. 155 Ft. from top of casing
g.p.m. 3.5 g.p.m.
Well flow 2.5
Pump level1
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot 97 Ft, (Please see
Absorption field on lot 122 Ft.
Public sewer main N/A
· Sewer service line N/A
; On adjacent lots 100+ Ft.
prew_ous perm,_t)
; On adjacent lots 100+ ?t ~
Public sewer manhole/cleanout N/A
Petroleum tank N/A
WATER SAMPLE RESULTS:
Coliform 0 Colifo:cm/100 ml
Date of sample: 10/11/93
Bo SEPTIC/HOLDING TANK DATA
Date installed 1969
Nitrate
3.68 rng/L
Collected by:
Other bacteria
D, Neogi
Tank size 1250 Gal, Compartments 1
Cleanouts (Y/N) Y
High water alarm (Y/N) N
Date of pumping 10/5/93
Foundation cleanout (Y/N) ¥ Depression (Y/N)
Alarm tested (Y/N) ~'~'
Pumper Northland Pt~.ping
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot 97 Ft, .On adjacent lots 100+ Ft, Foundation 31 Ft.
TO property line 103 Ft. Absorption field 25 ~t. Water main/serviceline
Sudace water/drainage N/A
72-026 (3/93)* Front CONTINUED ON BACK PAGE
C. LIFT STATION N/A
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
"Pump on" level at
Manufacturer
Manhole/Access (Y/N)
"Pump off" Level at
.Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Surface water
Do ABSORPTION FIELD DATA
Date installed 3969 Soil rating (GPD/FF) 115
Length 20 Ft. D±a. Width 20 Ft. D±a. Gravel thickness
Total absorption area .377 Sq. Ft. Cleanout present (Y/N) ¥
Date of adequacy test 10-11-93 Results (pass/fail) Fass
Water level in absorption field before test 4 Ft. 6._5 :Lq. from bottom
Peroxide treatment (past 12 months) (Y/N) N
Ft./BdrnMystem type CRIB
6 Ft. Totaldepth 10 Ft. from G.L.
Depression over field (Y/N) N
for 3 Bedrooms
After test 4 Ft. 6.5 ~'z. from bottom
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot 122 Ft. On adjacent lots 100+ Ft,
Property line 78 Ft.
To building foundation 56 Ft.
On adjacent lots 100+ Ft.
Surface water N/A
Cudain drain N/A
To existing or abandoned system on lot N/A
Cutbank N/A Water main/service line N/A
Driveway, parking/vehicle storage area 10 Ft.
E. ENGINEER'S CERTIFICATION
/
Signature ~~ i ~~
En~ Name , ~}~
Date _
HAA Fee $ ~,,~(~
Date of Payment
ReceiPt Number
Waiver Fee $
Date of Payment
Receipt Number
COMMERCIA~ TESTING & ENGINEERING £0. AK DIV
CHEMIC'AL & GEOLOGICAL LABORATORY
TELEPHONE (907) 562-2343 5633 B Street
Anchorage, Alaska 99518.
----- Drinking Water ,~nalysJs Report for Total Coliform Bacteda
Ma~[ng Address
TO BE COMPLETED BY WATEI~ SUPPLIER
PRIVATE WATER SYSTEM
SAMPLE TYPE: Mo. Day ¥1ar
[] Routine
[] Check Sample (for routine sample
with lab ref. no. ) E] Treated Water
[] Special Purpose E] Untreated Water
SAMPLE Time Collected
No. LOCATION Collecled By
, I
I
,,1
5i I
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
TNTC = Too Numerous To Count
OB = Other Bacteria
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
'{~Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 30 hours old at examination
to indicate reliable results. Please send
new sample via special delivery mail.
Date Received ~)////~
Time Received , -/~2j~--
Analytical Method: Membrane FI,er
* No. of colonies/lO0 mi.{
Lab Ref. No. Result*
BACTERIOLOGICAL WATER ANALYSIS RECORD
Membrane Filter: Direct count
Verification: LSB
Fecal coliform confirmation
Final Membrane Filter Reaulls
BGB
collforrn/100 mi
Date
PART ONE OF TWO:
Coliform/100 mi
COMMERCIAL TESTING & ENGINEERING CO.
ENVIRONMENTAL LABORATORy SERVICES
......... REPORT of ANALYSIS
!~i~![<~:3hemlabRef-# :93.5414-1
Client Sample ID :L2 B67 PROSPECT HEIGHTS SUBDIVISION *
Matrix =WATER
5633 B STREET
ANCHORAGE, AK 99518
TEL: (907) 562-2343
FAX: (907) 561-5301
Client Name :ENVIRONMENTAL MGMT INC (EMI) WORK Order
Ordered By : :72017
Project Name : Report Completed :10/14/93
Project% : Collected :10/11/93 @ 09:00
PWSID :UA Received :10/11/93 @ 17:25
Technical Director:STEPHEN C. EDE
_ Released By
Sample Remarks: ROUTINE SAMPLE Cor.r.~cT~D BY: D. NEOGI. 8000 DOWN HILL C~RCLE.
hfs.
Oc Allowable Ext. Anal
Parameter Results Oual Units Method Limits Date Date
Nitrate-N 3.68 mg/L EPA 353.2/300.0 10
Init
10/13 LLH
See Special Instructions Above ...............................
~ee gample ~emarks
Undetected, Reported value is the practical quantification limit.
Secondary dilution.
~SGS Member of the SGS Group (Soci6,6 G~n~raie de Surveillance)
ENVIRONM{r~T,a~ ec~,,~ ............
UA = Unavailable
NA = Not Analyzed
LT = Less Than
GT = Greater Than
INCORPORATED
Nov. 3,1993
Municipality of Anchorage
Department of Health & Human Services
Attn: Dan Roth
Divi~;,-,~. of Environmental Services Section
On-Site Services Section
P.O. Box 196650, Anchorage, AK 99519-6650
O/5--
Subject: Health Authority Approval for Lot 2, Block 6, Prospect Heights Subdivisions
Dear Mr. Roth: oc 0 oo ~ ~
Here are the documents we discussed on the phone. ·
- Memo for Record
- Application for Water Rights
Sincerely,
ENVIRONMENTAL MANAGEMENT, INC.
Dhruba Neogi
Civil Engineer
Memo for Record Oct. 19, 1993
Subject: Calculations for Charles Hawley's well and septic systems(Lot 2, Block 6
Prospect Heights)
Well logs and specific data on the septic system were not available on the
subject property. Per discussion with Robby Robinson, to estimate the on site
conditions a survey of adjoining properties was conducted. In addition, data from the
original installers of the septic system was obtained. The results are listed below.
Survey of other properties in Block 6 of Prospect Heights subdivision:
Property
Number soilr~ing
of bedrooms ffsq per bdrm
absorption Well log
field size (sqft) present
Lot1* 2 540 yes
Lot 3* 3 85 345 yes
Lot6A* 4 100-125 544 yes
Lot15* 3 115 384 yes
Lot 4 - 504 yes
Lot5A . yes
Lot 7A 4 85 504 yes
* a~acentlots
Information from septic installer's (Jack Hall) receipts:
Septic Tank: 1250 gal - single compartment
2 ring concrete crib
pipe - 30 ft and 20 ft
sewer rock - 30 cubic yards
Calculations:
Facts/Assumptions:
1. Absorption field is 6' deep (This is equal to the depth of the crib)
2. Sewer rock was used to build absorption field.
3. 115 sqft per bedroom soil rating assumed (based on adjacent lots)
4. Native soils can add at least 3.75 feet of effective radius to the
absorption field made from the sewer rock.
Diameter of sewer rock absorption field - 13.5 ft
Effective diameter - 20 ft Area = 3.14(20 ft)(6 ft) = 377 sqft
The results seem consistent with properties in the area with similar designs.
State of Alaska
Department of Natural lh~sourees
Division of Lands
Water. Resources Section
Application for Water Rights
Please type or print
ADL ~o.
1. NaMe(s) of applicant(s) and mailin? address(es) ~ht /q ¢~C~'~ ~ ~,'
2. Source from which water will be or is bain9 taken:
ia) Grolmd water (i.e., drilled or excavated well}: Yes i/ ilo
{b) Surface water (check appropriate space): Stream__ River ' Lake Sprinn
~OTE: If dam or other alteration of water body is planned, Form 10-128 must also be con~leted.
(c) Geographical n~me of surface w~ter source (if unnamed so state):
3. Legal description of property where water is taken:
(al fractional part , Section__, Township , Panoe
{b) If applicable, also state U. S. Survey number, and block and lot number, or Subdivision and block and lot number:
4. Does applicant Own the land at point of taking: Yes ~" No
If "lie", name and address of present owner:
5. Has easenent or right of Way been acquired to cross these lands: Yes
D. Legal description of property where water is used:
(al Fractional part.~.,~,~ d-q ~ , Section , Township
lb)
l(eridian
Heridian
(If "Yes", supply cody of same)
If applicable, also state U. S. Survey number, and Mock and )et number, or Subdivision and block and )et number:
7. Does applicant own the land at the point of use: Yes ~ lto ; Patented Dnpatented eineral claims
If "tie", name and address of present owner:
8. State type of use: Full time ~ ; Part tin~ . Fully describe the use ~01~1 ~¥1C ,' ~C~-- )'/~· ~{{L~
Example of types: Domestic, i.e., family or multifamily
residential, recreation cabin, co~nercia), industrial, agricultural, mining, municipal, ccw~munity system, power general on, etc. Use separate pope
if necessary.
10. Estimated amount of water to be used, or if already in operation, amount used. Express in aallons per day (pp~) or cubic feet per second (cfs), uslno
Ouantity Reference Sheet attached to this form. {Give basis for amount on Quantity ReferenCe Sheet.)
II. State tin~ required to perfect your use for amount of water requested
)2. If application is for a surface water source, state na~s and addresses of any persons who may be affected by your withdrawal aivino their location of
use (i.e., 500 feet upstream, one mile dc~nstream, lakeshore property Owner, etc.). '
lO-lOg (g36) -1-
13. If apPliCation is for a ground water source, state na~es and addresses of any other persons using ground water within 1500 feet of your point
taking, including their location of use (i.e., 120g feet north, 15DO feet south, etc.).
of
14, (al ]f application is for ground water source presently in , attach copy of driller/s log with name and address of driller.
(bT If no driller's log, supply all known information Intake depth, screened~-~tatit l~vel, drawd~n, total depth.
1S. I$ the location of your water taking and use within a borough: Yes ~'/ fig
16. 0ate when your water use f r~t began or is expected to begin ~ ~ C ~_~ ~ ~ )~q~' /
IH£ APPLIC~IT HERE~Y CERTIFIES THAT THE STATEI~NTS APPEARIRG I4EREIN ARE TO TX£ 8£ST DF HIS KXOWLEDGE lRUE AXD CORRECT.
Si.onature of applicant
Oate a~p 1 i c,tti on~ com'pl ered
Subscribed and sworn to before me this - ..... day Of
-2-
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