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HomeMy WebLinkAboutPROSPECT HEIGHTS #4 BLK 2 LT 10 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 o'f 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: E,g~/q,.h--O O ~ PID Number: (PI ~'- I ~- ~ ~ Name: ~ O'~t 5. ~[~HA~ L Wastewater System: ~New D Upgrade Address: ~O~ll I~ tL~A~H ~t~ ABSORPTION FIELD Phone: I NO' °' B~rOOms:. ~eepTrench D Shallow Trench ~ Bed ~ Mound ~ Other LEGAL DESCRIPTION so, Rating: Total Depth from original grade: LO': J 0 BIoc~ .~,,**~Subdiv~ion:,.7//~ ~'1~¢ Deplh to pipe bo,om from o~n~l g,,de: F,. ~r, vel depth bene~,h pipe Township: J Range: [Section: ¢ Fill added above original grade: Gravel length: / WELL: '~New D Upgrade Gravel width: Ft. Number~nes: DistanceCe~een~ines: Classificati~rivate, A,B~O): Total Depth: Cased To: Total absorption area: Pipe material: Date Drilled: Static Water Level: Installer: Date installe¢: Yield: Pump Set at: Casing Height Above Ground: ~ GP. ~¢'r'ToH Ft. ~ Ft. TANK SEPARATION DISTANCES ~;ptic D Holding D S.T.E.P. To Septic Absorption Lift Holding ~Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~N C/4 'TAN ~ ¢~ O w~,~ i~o~ t ,.lO ~ 80j ,Material: 5~ Number of tom. merits: Sudace Water ~ JDOj > /~ LIFT STATION LineL°t ~ I ~ t Size in gallons:IJ Manufacturer: Foundation ~¢ jl~l "Pump on"level at: J "Pump off"level at: J High water alarm at: CudainDrain t~ ~ ~ ~ ~ ~--~J Pump Make & Model J Electrical Inspections pedormed by: Remarks: BENCH MARK Location and Description: J Assumed Elevation: ~j, ENGINEER'S SEAL Department of Health.and ~um~ Se~ces approval ~.. "'- . ' :~ Reviewed and approved by: Z~ · /¢-/~¢~ :. . PROPOSED x 124 TOBBEN SPURKLAND P.E. 205 W 15TH, AVENUE ANCH. AK, 99501 (907'1 279-391§ ..... II I II .... BENCH kIARK m x 178I x 141 ". ~ J ,,. \ c~7,. I Ix 1188 \ III FRENCH DRAIN x \ III iI SET TO 1250 SEPTIC TANK I I iI concrete J I / CROSS SXst~m N i / II x i~7 ii ~ AUC. 9, I ~ ~ iI I FINI~ FLOOR ASRU~Ffl FI FK l flfl, fl~ FT. I0201 HILLHAVEN CIRCLE DATE: AUG. 20, 1996 N/CHAEL NORRIS SHEET: 2/3 GRID: 2541 T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 James Cross P.E. Section Manager Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 Subject: SW950054 PID 015-132-44 Lotl0, Block 2 ProspectHeights #4 August20,1996 RECEIVED AUG: 2 3 1996 Municipality o'i' A~lOrlOrago Dept. Health & Human Servioea Gentlemen; Revised As Builts for this septic system are enclosed. The septic tank has been relocated outside the 100 foot setback from the platted creek that is not there. Also, as directed by you, the BULL RUN diversion valve has been set to direct flow to the upper trench and made inoperable by plugging the stem with concrete. Finally the replacement system has been shown where you suggested it. T .-ET-' '/ 'Z?~/e-~ /z:i~ -" /~ ":' t ~'~" ":'~ ':' '~' ~ ~'-:: :-: .. -/~ ,~. :-',~y~:"_-~. ~: ..E' : /;,~ ,~ ~" _: ' L - ~'~ ,,/ 100' $1[l~?lC SEIT-JAOI( LOT 10 EXISTING HOUSE 1,'t- 13 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUlV/AN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT ~ER:SW950054 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:MORRIS MICHAEL OWNER ADDRESS:10201 HILLHAVEN CIR ANCHORAGE, ALASKA 99516 PARCEL ID:01513244 PAGE 1 OF 1 DATE ISSUED: 4/20/95 EXPIRATION DATE: 4/20/96 LEGAL DESCRIPTION: PROSPECT HEIGHTS #4 BLK 2 LT 10 LOT SIZE: 103337 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 3 o THE ATTACHED APPROVED DESIGN. 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). THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: DATE: DATE: T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 1 Street;" Anchorage, Alaska 99501 April 11, 1995 Subject: Gentlemen; Septic System Permit Lot 10, Block 2, Prospect Heights #4 We are applying for a permit to install a well and septic system on this lot. The layout of the systems are depicted on the attached siteplans. A topographic survey of the lot was conducted this winter. Duo to heavy snow cover local features such as toes and tops of slopes were not identified. However, an analysis of the spot elevations indicated that the overall slope of the property is close to 30% with local variations from 25 % to 36%. AMC Chapter 15.65 Section 15.65.060 A. 2. States" A subsurface disposal field may not be located: a. On a slope greater than 25% unless the Department finds that the system will function effectively and in compliance with this Chapter. The Department shall base its decision upon the report of an engineer, on relevant test results, publications, engineering data or similar materials;" We request that permission be given to install a septic system on this lot. The justification for the permit is as follows: Both Oregon and Washington State allow installations of soil absorption systems on slopes with steepness up to 45%. The Oregon regulations stipulate that the soil shall be well drained with no evidence of saturation, while the Washington regulations require that" the land forms are stable". AMC 15.65 does not indicate the reasoning behind the 25% limitation on slope. However, Alaska State Wastewater Regulations, 18 AAC 72 have the same 25% limitation with the additional provision that" the Department will, in its discretion, grant a waiver from the requirement .......... if. ........... there is reasonable assurance that wastewater will not surface down slope, and that an unstable slope condition will not be created ........... " Since the State Regulations from Alaska, Washington, and Oregon, specifically state that slope stability is the concern behind the limiting slope requirement, with the added concern about wastewater surfacing, one can safely assume that the same concerns governed the writers of AMC 15.65. The four testholes excavated on this lot showed three feet of peat over gravelly or sandy material at the location of the proposed septic system. Bedrock was found at 15 feet. The soil strata follows the contour of the surface. There are no exposed cut slopes intercepting the soilstrata which could cause wastewater to surface. "Design Manual, Soil Mechanics, Foundations, and Earth Structures, NAVFAC DM-7, Department of the Navy Chapter 7" addresses slope stability. Three factors must be considered; Soiltype, Course grain soil with or without cohesion Fine grained soil with cohesion, Clay and Silt Groundwater Condition. Stability of course grained soils depends primarily on ground water conditions. With low groundwater, failures occur as surface sloughing until slope angle flattens to friction angle. With high ground water, slopes stability is approximately ½ friction angle. "Soil Mechanics in Engineering Practice" by Terzaghi and Peck reports values of the friction angle for dry sand from 28.5 degrees to 46 degrees. The variation is caused by the shape of the grains and density. The friction angle for silts is greater than for sand. With the absence of groundwater a natural slope of 28.5 degrees is stable. With high groundwater a slope with an angle of 14.25 degrees is stable. 14.25 degrees is the same as a 25.4 percent slope. Since most natural soil deposits have been consolidated and compacted the actual friction angle is greater than the minimum reported by Terzaghi and Peck. A friction angle of 33 degrees are often quoted as being conservative. Thirty-three degrees is equivalent to a 65 percent slope. By ignoring cohesion an additional safety margin is obtained. By design septic systems am not installed in saturated ground. We take precautions to install the absorption field four or more feet above the observed groundwater level. The groundwater observed in the testholes is most likely a result of snowmelt and may fluctuate. Additional observations will be made in late April and May. There am locations in the Anchorage area where the groundwater and bedrock conditions are similar to the conditions on this lot. Problems with slope instability has never been reported. However there are locations where slopes are failing due to groundwater. The soils in these conditions are always f'me silts. The road embankment along Rabbit Creek Road / Hillside Drive comes immediately to mind. Soil tests on the lots adjoining this road all show soils with very slow percolation rate. The installation of this septic system will not cause effluent to surface down slope or cause an unstable slopecondition to develop. Please process this application. Yours f~/ bben Sfurkland P.E. ' LI~? 7 I I I I I L[77-: I / I II II ! 100 150 ~00 ?50 300 SCALE: ]" TOBBEN SPURKLAND P.E. 203 W 15TH. AVENUE ANCH. AK. 99501 10, BLOCK 2 PROSPECT ttEIqttTS ~4 10201 H/IIHAV£N MICHA£I. MORRIS SEPTIC SYSTEM DESIGN DATE: MARCH 28, 1995 SHEET: 1/$ GRID: 2541 120 + x 126 e ( Tes~ I I ~. 1500 gal STEP Primory System III / / // ! '~- ~ I ~x i "'%i. 4. / / // / ////i III I I ~I / / Repbcemenl System x t67 ) N 167 SPURKLAND CE-2825 150 TOBBEN SPURKLAND P.E. I1£0~, Z05 W ISTH. AVENUE II ANCH. AK. 99501 (907~ 279-391~ E£0C£ 2 PROSPECT HEIGHTS 10201 HILLHAVEN CIRCLE I/ICHAEL t/ORRIS SEPTIC SYSTEM DESIGN DATE: MARCH 28, 1995 SHEET: 2/5 GRID: 2541 I ~ Monitor Stondard Trenches,, 50~ L on9 8~ Deep 3' Corem 1500 9al STEP Septic ~on~ D Monitor 4~ Topsoil 3' CoveP I-I/5" Shedule 40 PFC ND SCALE ]SO0 ~o~ STEP smpfic ¢onk TBSBEN SPURKLAND P,E, L~f 1~ ~L2~¢ 2 PBBSPE¢F HEfEHT3 ~4 SEPTIC SYSTEM DESIGN Anchomoge Ak 99501 lO'O] HILLHAVEN C/PCLE DATE: APPIL ]C 1995 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: L~DJ¢· IIDi~;~-~ 1 2 3-- 4 5 6 7 8 9 10 11 12 13 14 15 16 17, 18- 19 20 COMMENTS S; - ' (ENGINEER'S S~AL} DATE PER ORMtDi Township, Range, Section: SLOPE SITE PLAN WASGROUND WATER ENCOUNTERED? S IF YES, AT WHAT /¢ L DEPTH? O Do,t, t, wat. A,. ' Monitoring? , /'~ Dale: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE , ,,,~¢~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~' FT AND ~¢'"~-' FT PERFORMED BY: ~ I ~.~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNiClPAL GUiDELiNES iN EFFECT ON THtS DATE. DATE: A~.~,4~L JO{ / ~¢~ ~ 72-008 (Rev. 4185) I PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17, 18 19 2O COMME.TS K~.J~=,qJ DATE PERFORMED: Township, Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Deplh to Water After Monitoring? Dale: SLOPE SiTE PLAN J I Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ TEST RUN BETWEEN __ (minutes/inch) PERC HOLE DIAMETER FT AND FT PERFORMED.Y: ~..:¢ . . '77.- ~ CERTIFY THAT T..S TES. WAS PERFORMED iN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: AO~4~/~ ~_ ¢0. ) (~ ~ 72-008 (Rev. 4/85) I ~ DEPARTMENT OF HEALTH & HUMAN ~E~VI<3E$ a25 "L' Street, Anchorege, Aleska 99~2~650 $ '- -~::~~ A.O~ ~ ~ ~-. ..... Z /.'.V~ ,~ , ~ _ ' '~ ~.. '~ ~ _~ ~ S_ _1~ _~-_ ~"-S'~-'~'' N · MUNICIPALITY OF ANCHORAGE ' f : · UNIFORM SUMMONS AND COMPLAINT I DISTRICT COURT FOR THE STATE OF ALASKA L THIRD JUDICIAL DISTRICT AT ANCHORAGE, ALASKA ASE NO. I~ The undersigned, being duly sworn, upon his oath deposes and says: STflEETADD ~'~ r ~ ~ /¢~-J Middle CITY ~,~;~4~E STATE /~g-~;~ IN THE MUNICIPAL,TY OF ANCHORAGE STA E OF ALA ~A~DIp TH N ~N~ THERECOMM'TTHEFOLLOWIN~OEFEN~E: ~ ~+ ~z~ BELIEVE AND DOES BEUEV~;2f 7;¢ ;~l AND "EASON*BLE GR*UND TO THE OFFENSE HERE.N SET FORTH. OONTRARy TO LAW. SWORN AND SUBSCRIBED BEFORE ME ' .'y ( , , - ,,,s_. - _:.,.',,.F.:. ,., . NOTARY PUBLIC YOU must appear wdhm 5 days of ~-' ,~ ~ t~) between 8:00 A.M. and 4;30 P.M. ADDRE~S OF COURT 941 FOURTH AVENUE ANCHORAGE ALASKA I PROMISE TO APPEAR IN SAID COURTAT THE TIME INDICATED ABOVE: SIGNATURE X 91-073 (Rev. 2/91) (OVER) MOA #15 MUNICIPALITY OF ANCHORAGE -"'~-~' ,~.. UNIFORM SUMMONS AND COMPLAINT DISTRICT COURT FOR THE STATE OF ALASKA THIRD JUDICIAIj ~ISTRICT~T ANCHORAGE, ALASKA The undersigned} belng;'~ly sv~Orn, upon his oath deposes and says: IN THE MUNICIPALITY OF ANCHORAGE, STATE ~F ALASKA DID THEN AND THERE COMM T THE FOLLOW NG OFFENSE. ~% ~ ¢ .' DESCRIPTION OF OFFENSE: IN VIOLATION OF THE ANCHORAGE CODE OF ORDINANCES. THE UNDER- SIGNED FURTHER STATES THAT HE HAS JUST AND REASONABLE GROUND TO BELIEVE AND DOES BELIEVE THAT THE PERSON NAMED ABOVE COMMITTED THE OFFENSE HEREIN SET FORTH, COI~I-RARY TO LAW. oFF CE.'S S,GNATUBE ~/'"~/'"'~' / 9 /';','- ~ (Printed) SEE FOR EXpLANATIO~ OF YOUR RIGHTS ':. ::'R"V'US~/";'~:-;'S'U' ~ :~,/.~ ~., ,', ~.~ ~ x., · NOTARY'PUBL__ ~ ' ' ,VENUE ME INDICj(.,T~D ASOVE: IX) MUNICIPALITY OF A NCHORA GE DEPARTMENT OF HEAL TH & HUMAN SERVICES On-Site Services Transmittal Sheet TO: ~? ~z/~/r'L /)~/3 LEGAL: lOT I0 B/_k 2 ?~?~(r //~T~ ~4 The attached paperwork has been reviewed and is being returned for the following reason(s): __ Discrepancy in legal description and/or owner name. Discrepancy in number of bedrooms. Signature and/or stamp missing on Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system. __. Replacement disposal site not shown and/or tested. __ Calculation error in design. __ Show locations of all soils, percolation or water table tests. ~ Proposed system too deep for soil test submitted. ~/~,~ Topographic information missing or inadequate. Narrative missing or inadequate. __~ Additional soil/perc test needed. Sand filter requirements not satisfied. __Water monitoring results missing or inadequate because __ Incomplete; missing __Well log required. Water sample unacceptable because Ot her/o) YfPr~c Please supply the necessary information and re-submit your request. Your cooperation is appreciated. Reviewer~ Date LEA VE THIS FORMATTACHED TO PAPERWORK /203-rev. 4/93 Municipality of Anchorage Page / 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: .~'~-/C~ ~l RID Number: ~)/~b-- J~Z -- ~ Name: ~0P~[~ biIC~A~ ~ Wastewater System: ~New ~ Upgrade Address: /0 ~ i j~j~ ~ ~/~v~- ~ ABSORPTION FIELD Phone: ~.~ No. of Bedrooms:~ ~eep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other LEGAL DESCRIPTION so, Rating: Total Depth from original grade: Lot: ~ BIock:~ ~--O ~ ~ ~--~l~:Subdiv~i°n: ~ ~ Depth to pipe bottom from original,de: Ft. Gravel depth beneath pipe ~ Ft. Township: J Range: Section: Fill added above original grade: Gravel length: I WELL: ~New ~ Upgrade Gravel width: Number of lines: Distance between lines: Classification (Private, A.B,C): Total Depth: Cased To: Total absorption area: Pipe material: ~ Date Prilled: Static Water Level: Installer: Date inCalled: Pump Se~ Casing Height Above Ground: SEPARATION DISTANCES ~p~ic ~ Ho~di,g ~ S.T.E.,. TO Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity in ga,ohs: From Tank Field Station Tank S .... Lines~H ~ t~ 'T~H I~ J ~ ~ SuCace Water >i¢~I >i~ LIFT STATION LineL°t ~ i J ~ j Size in gallons: Manufacturer: Foundation ~01 11~1 "Pump on" level at: J "Pump off" ,eve, at: J High water alarm at: CurtainDrain ~ t~ ~- ~ ~ ~ Pump Make & Model J Electrical Inspections performed by: Remarks: BENCH MARK Location and Description: ~'~¢ 4 F J Assumed Elevation: , ENGINEER'S SEAL Inspections performe~ by: ~ ~ Dates: 1st ~ ~ Department of Health and Human Services approval,~. ,~ · .:' .... , ...:,. , ' Reviewed and approved by: Date: :q,., ,:.¢~'; .%.-" ':' ' 72-013 (Rev. 9/91) MOA 25 x BENCH I~tARN PROPOSED x 120 x 126 145 156 ~ X x 167 I iI I ~o x 178I x> I II X ~~ I Ix i X IIi 1.7 X / ~__/ I I / ~1 / III ~ ii I I ~ I I 20.3 W 15TH. AVENUE ANCH. AK. g§501 (907~ 279-3g li} 10,BLOCK 2 PROSPECT HEIGHTS 10201 HILLHAVEN CIRCLE ktICHAEL NORRIS SEPTIC SYSTEM ~S BUILT DATE: JUNE 29, 1996 SHEET: 2/3 GRID: 2541 IQ 57 FEET LONG LOWER TRENCH (.~ /V/on/for S~ondord Trenches: lOd' Lon9 Cover BULLRUN DIVERSION VALVE SET TO UPPER TRENCH MoA/~or UPPER TRENCH 47 FEET LONG Jo ~£50 6AL SEPTIC TANK NO SCALE 5 £% o£ Sep%ic /-- Mon/~om 4' M/n £over M/PO £/ 140 90X IE 97.05 ............. ' ............. ~ 88.0 , 85.5 ]$50 6AL SEPTIC TANK ND SCALE TBBBEN SPURKLAND P,E, ~03 WlJ%h Ave Anchorcge Ak 99501 779-~716 IILZT? 10 ?LZT£K £ P£S£PEC? HC[~H[£ #¥ 10201 HILLHAVEN CIRCLE MIKE M~£RIS SEPTIC' S?STEN AS ~}UiET ]]ATE, JUNE 29, 199E, Municipality o! Anchorage DEPARTMENT OF HEAL-TH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TES'r LEGAL DESCRIPTION:~J_~ j~/'.~ ~ 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17, 18 19 20 WAS GROUND WATER ENCOUNTERED? Township, Range, Section: SLOPE S IF YES, AT WHAT OL DEPTH? --P E SITE PLAN Depth lo Waler Alter Monitoring? __ Dale: Clead[ng Date Gross Net Depth to Net '~/ Time Time Water Drop PERCOLATION RATE / ~ (minutes/inch} PERC HOLE DIAMETER . ~ COMMC~.~-rm ~ ,O ~ ~ ~ * , T AND ~ FT PERFORMED BY: ~ ~ ~ . ~ CERTIFY ~H~ TEST WAS PERFORMED IN 72-~8 (Rev, 4185) ALPINE DRILL 'D07 345 0202 Jul. OF~. lg96 11:57 PM PO1 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT LOCATION OF WELL WATER WELL RECORD I~OROUi~H "i';, SUBDIVISION LOY BLOCK SECTION LOCATIONI~KETCH~ ~)OWNER:. ' ............. ~EP~H~ M~*URED F~OMt~oa,img top ~9round surface WELL DEPTH, ~)~ DATE O, COMPL~ION BOREHOLE DATA: Depth Depth of casing: ~.J It / ~,..' / Mate¢i~l Type and Color From TO ........  ,' ~ '~ "~ 7 DEPTH TO STATIC W~R L~EL; --- ~ ~ othor ......... ~.,,.~ ( .. (~ ?~',~l,J USE OF WELL~ domestic g irrigation ~ monitor WELL INTAKE O~NINO TYPE: ~ open end ~ screened : .. ~"open hole ~ perforated Depths of openings: to ft SCREEN TYP~: Dlam= ~,"" in, GRAVEL P~CK TYPE', Volume used: ~t~ to top: GROUT T Y~E', ~' Volume; M~nicipali[9 ct ~ncnor. - - PUMPING L~EL AND YIELD: , ft after h~s pumping gpm PUMPtNTAKE DEPTH: ft Horsepower: -.~; ,,, ,. ,.,., ..... WELL DISINFECTED UPON COMPL~ION? ~ YES ~ NO CONTRACTOR NFORMATION. ,.' [ . ...---:,. . ' · ~ ; REMARKS: :~," /~"--I . "/I ,l,t ..... 9-- I'l '"'"'"':" Registered Business, Nam?., ,. , .' I ~ :/ ~ ', , i..:' ' '. '.,: !, .... ...~. ~-¢ ~( t. ,.,,...,,,. L..."' b./??£; PL_E.:~.s~. UA~L WU~T~ COPY OF LO~ TO: 108 C++C~ PROPOSED BENCH ~tARK --'+~.~, .~ r~ x 1781 I / * ' x 141 ~ X ~ / ~x /188 , x 124 x 1~7 5 J ~' .. ~ I C *~ SET ~0 i250 SEPtiC FANK / / ' %~ 'J " ii I I *%+~+% '* CROSS x i20 ~167 /[/ ~ ~ ~ // ....~ .. ~ ~ / ......................... / ~:~¢~_q \ III / II ~ I FINIS/"/~[OOR TOBBEN SPURKLAND P.E. zo5 W lbTH, AVENUE ANCH. AK. 99501 BLOCK £ PROSPECT HEIGHTS 10201 HILLHAVEN CIRCLE ktlCNAEL IdORRIS SEPTIC SYSTEM AS BUILT DATE: AUG. 20, 1996 SHEET: 2/3 gRID: 2541 I© 67 FEET LONG LOWER TRENCH (~) Monlt:or Stondord Trenches: ~o, W/de ZOd' Lon9 9' Beep 5' Sewer rock 3' Cover rMonitor UPPER TRENCH BULLRUN DIVERSION VALVE SET TO UPPER TRENCH FEET LONG NO SCALE I© 6AL SEPTIC TANK Miro £i 140 5 P? oP Septio t~ock Moni%om 4~ M/n Cover over Tonk E9~58 aAL SE/ TZC TB]~]~EN SPURKLAND P,E, ~03 ~/15%h Ave Anchopage Ak 99501 IILlY? 10 ?LZiCK 2 P£ZTSPE£? HEIdH?£ #4 10201 HILLHAVEN CIRCLE MIKE SEPTIC SYSTEM AS BUILT I)ATE: JUNE 29, ]996 SHEET, 3/3 Gr~Z]~, 2541 .. N ~0'40'20', W 297.96' S 89'05'10" E ~(~2,3i' 100, 13 100' ~£PTt¢ LOT 10 XISTING HOUSE T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-39!6 Fax (907)-276-6013 Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 Subject: SW950054 PID 015-132-44. Lotl0, Block 2 Prospect Heights#4 July 7, 1996 RECEIVED JUL 8 1996 Municipality of Anchorage Dept. Health & Human Services Gentlemen; The As Builts for this septic system are enclosed. Please not that the Owner and Builder found that the proposed STEP tank could be replaced with a substantial cheaper standard septic tank. A cleanout was installed between the tank and the drainfield at approximately 75 feet from the tank. Also, please note, that a Bull Run Diversion Valve has been installed between the two trenches to facilitate switching between the trenches, thereby substantially prolonging the useful life of the drainfield. I realize that The Health Department object to the use of a diversion valve, but I maintain that there is nothing in the present regulations that prevents its use and that until the Department shows that 1. The installation of a diversion valve is detrimental to the operation of the septic system, or 2. The regulation clearly prevents the valve's installation, I will continue to recommend sequential use of multiple trenches. If the valve is found to be detrimental to the operation of the drainfield, it can be made into a flowsplitter by setting the valve at the halfway position, splitting the flow evenly into both trenches. The access pipe can be removed and the splitter buried to prevent future manipulation of the valve. Yours Municipality of Anchorage Page 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: ..C)~//(~0 0 5~ PID Number: 01..'~- / 9,2-- '~ Name: wastewater H O ~i S ~ tCHA ~ L System: New Upgrade Addrese: ' ABSORPTION FIELD I~ol ~LLHAv~ N Total Dopth from odoinal Orado: LEGAL DESCRIPTION So]lRating: Ocd~' GPD/~ I~ Lot: Block: Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: Range: Section: Fill added above original grade: Gravel length: -- ~" Ft. ~ = /~Ft. ~''New ~ U pg rude Gravel width: Number of lines: Distance be~een lines: WE LL: N ~ F~. ~ /~ + ~. Classification (Private, A,B,C): Total Depth; Cased To: Total absorption area: Pipe material: SQ. Ft. Driller:ALP/NE Date Drilled:~/l~/~Static Water Level: Installer:j~ Ft. ,S;A, Date installed: ,~ Yield: Pump Set at: Casing Height Above Ground: TANK SEPARATION DISTANCES ~Septic ~ Holding ~ S.T,E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Fieid Station Tank Sewer Lines ~ ~R~ ~ ~ Number of Compadments: Weir /~' /~1 >~ Material: ~/ Su,~e LIFT STATION Water ~o ~ ~ Nc u ~ Lot ~ I Size in gallons: I Manufacturer: Line ~0/ I Foundation ~[ I/~' "~ump on" lovol at: I"~u~. o"" '*w' ~t: CUDrainHain I~ i~o ~ Pump Make & Model Electrical Inspections pedormed by: Remarks: BENCH MARK Assumed Elevation: Inspections performed by: ~ Dates: 1st ~/~/~ ~~~'~o o o ................... · Department of Health and Human Se~ices approval -~,~,,.~.,_.,~,~,,.,.,,, ...... Reviewed and approved by: Date: ~ .. P£OPOSED x 108 108 *** ~ , BULL£UN VALVE x 120 ~ x 126 141 System £eplocement S/sfom x 167 156 ~:~ \ I ~ I I I ~ I r~ x 178 j ~ IfilI 7 ~ 1250 s£P ?AflK ~ Ill ~ ~ I ~x 1188 ~ I ~1 ~ i1~ / x 167~ ~ ~ I__ iI N I~I I ~ I iII ~ I ~ xl ~ I c~5 0 85 50 75 ioft  ~ ~ 1951 ~ I / ~ ~ FINISH FLOOR 150 TOBBEN SPURKLAND p-EI--~-~'."'~'. LOT 10, BLOCK 2 PROSPECT HEIGHTS 20._3 W 15TH. AVENUE Il ~o2o~ HILLHAVEN CIRCLE MICHAEL IvtO£RIS ANCH. AK. 99501 .L[ SEPTIC SYSTEM..AS BUILT DATE: 2UNE 29, 1996 sHE.ET: 2/5 ORID: 2541 Io- S fyondord Trenches: Wide SO' Lan9 Deep Se~/er rock Cover BULLEUN DIVENSION VALVE GAL SEPTIC TAN/< ND SCALE Monltyor 4' klin Cover 102.5~ ' IIC I~.~_ IE 7.05 Miro£1 140 ~ . Septic Rock ~ 85.5 ]~50 6~L SEPTIC TAN/< ND SCALE TIiIBBEN SPURKLAND P,E, ~71- lO BLD£K 2 PI:?DSPECT HEfGHTS 114 SEPTIC SYST~'M AS BUILT ~03 x,,/~.5th Ave 10~01 HILLHAVEN CIRCLE ])ATE: JUNE £9~ 199~ Anchorage Ak 99501 M]/<E M~]RRIS SHEE~, 3/3 GRi]), 2541 $ 89'0§'10" E 102,3i' 13 ./ 10 XISTINO HOUSE / Sos, / · .~ Under n~ elroumalan~e~ ahould gny ~g~ horoon be uaaU rot ~." / h ~ ~ , , , ~ ~enu~rUOllon or lot eulabb~h~ng pr~p~r~y Ilnoo 8UR~Y ~E~flFIOATIONI LANT[OH ha~ oon~u~tO~ ~ LAND ~: CONSTRUCTION 8URV£YORS-PLANNERS-ENGINEERS 44,0 WEST B£NSON BLVD. ~ ANCNORAGE, ALASKA 99503 (907) 502'5291 14 LOT 10, BLOCK 2, PROSPECT HEIGHTS NO. 4 LEGEND: SET FND 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 0/.,~ ~/"~;7- ~ L/L/ NAA# GENERAL INFORMATION Complete legal description tc .v rtq Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone ,~, 5- ~/Tb :5 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: '7 TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank ~ Community on-site Public sewer NOTE: ing to the legality and status of system. If community well system, provide written confirmation from State ADEC attest- 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 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal 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. NameofFirm '"~o~};>-¢-~,1 ~'~"~[J "~t-~. Phone Address Engineer's signature Date '"! / DHHS SIGNATURE Approved for '~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date -...':~T/he MUhid~ality of ADChbrage Department of Health and Human Services (DHHS) issues Health Authority Approval (~'~ertificat~a§'ed only upon the representations given in paragraph 5 above by an independent professional engih. ~;er registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lendin{]'idstitutions 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. 1/91) ~ack MOA ~21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal Description: A. ~LL DATA Parcel I.D.: 0/5' - ! 5;2.-- Well type ~ Log present (Y/N) Total depth Sanitary, seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number y Date completed ~9~t9 ~ Cased to cfi 0 / FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date of sample: O '7/O fS/q~ Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION Nitrate ~ [--~ Other bacteria Collected by: % .~ , B. SEPTIC/HOLDING TANK DATA Date /q~ Tank size Fora Y/N) 7 Date of Pun~ing~:; ~ '¢/A C. ABSOR~ION FIELD DATA Date instal~e~ '/?. z [ 4 ~ Len~h ~O ' Width Number of Compartm~ .... High w alarm (Y/N) tg, g_/>~ System type Gravel thickness below pipe ~ t Soil rating (g.p.d./fi2 ~) Total depth Effectiveabsorptionarea ]~ MonitoringTubepresent(Y/N) ~L/ Dfi~exssionoverfield(Y/N)/~t~'~' /N4 ail) "~ 2 F~ ~ bedrooms Date of adequacy test _~ ~ ~ _ Result;;ass,~ ~ Fluid depth in absorption field[2 efore test (in)' ,/~ Immediately after /-;~al. water added (in.): / / I -, luiddepth ins. j"n,es ~'t ~ (,'~,.~ SPA' Peroxide treatment (p; ~) ~ If yes, ~ ~ ~ '-p ='%~ ~ ~t ~ Do LIFF STATION N LDb~ ~' Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested Size iix gallons "Pump on" level at* *Datmn "Pmnp off' level at* E. SEPARATION DISTANCES Absorption field on lot Public sewer main Sewer/septic service line SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot I ] ~ I i : On adjacent lots On adjacent lots ~ / Or.9 Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Z/O / . Property line bt9 ! · Absorption field I t Water main/service line ]00 Surface water/drainage,>/l.?O Wells on adjacent lots SEPARATiON DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation ]]o2 ! t Surface water Curtain drain /25 ~ / Owe9 ! HAA Fee $ Waiver Fee $ DateofPayment "7 ~/~-~-'~ ~',/~ Date of Payment Receipt Number 7 7 ~(D~/ Receipt Number Rev. 8/95 OSS: haa.wk, doc F. ENGINEER'S CERTIFICATION I certify that ! have determined thrufield inspections and review of/vlunicipal recordx~;~h~tthe abbye in conforntance with ~VIOA ~4A guidelines in effect on this date. Engineers Name t ~b~ ~, k i ot~ ¢~ .................................................................................................................. ~ ~? '.c, '~' ;'~:'~5522 '2 ........ / Water main/service line ] ~ Driveway, parking/vehicle storage area Wells on adjacent lots ~ / ~ t Properb CT&E Environmental Services Inc. Laboratory Division r,~,~'~,~,~',~',a~',a~'~,~,e-,~-,~ra~f,~,~,~jfjjjjj~ffjjfjf~jj~ Laboratory Analysis Report CT&E Ref.# Cl~enl Sample ID Matrix PW$1-[) 0 San.tple 962748,962748003 Lt 10 Bk 2 Prospec£ Hts No.4 Drinking Water Collecte(t Date 07/08/96 Technical Director: &ephcn C. Ede Released By~~ Nftrete-N Total coliform Results OC 0.100 u o PQL Unit~ Nethod A[towebLe Prep Anetysi$ ln{t L{mltu Date Oate 0,100 mg/L EPA 353.2 07/09)9~ 0 co[/lOOmL $M18 922~B 07/08/96 YAV U - Undotected LT - Less than GT - Greater' then D - Secondary Dilution J - 8elow the calil)rat~on ran 200 W. Potter Drive, Anchorage, AK 99518~1805 -- Tel: (907) 562-2343 Fax: (907) 561-5301 3180 Peger Read, Fairbanks, AK 99709-§471 -- Tel: (907) 474-8656 Fax: (907) 474-9685 ~NVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLOI~IDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA