The URL can be used to link to this page

Home My WebLink AboutHYLEN CREST #3 BLK 4 LT 8 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: ~"u,./9"z_>o I~ PID Number: (~350 ,~z~ ~ Name: ~ Vai~ ~t~ Wastewater System: ~New ~ Upgrade Phone: No. of~edrooms: ~Deep Trench ~ Shallow Trench ~ Bed B Mound ~ Other LEGAL DESCRIPTION so, ~atine: O, ~ OPe/Sq. ~t. To~a[ D~p,~l~ f~om~o~gi.¢ gr~d~:l~Z Lot:8 ~lock: [%~ Subdivision: Depth Io pipe bo~om from ori~nal grade: Gravel depth beneath pipe Towns':~ ¢~ ~n¢~ S~io~ ~Fill addedza~ve_ k°rigina*rade:~ Ft. Gravel length: ~ Ft. WELL: U New ~ Upgrade/ Gravelwidth: Number of lines: Uistance between lines: Classification (Private. A.B.C): ~%~Cased To: Total absorplion area: Pipe materiah Driller: ~~ D~te Drilled: Static Water Level: h~taller: Date instal ed: ' Yield~M PumpSet at: F Ft. TANK SEPARATION DISTANCES Cs~,~io u He,dine U S.T.~.~. TO Septic Absorption Lift HoMing Public/Private Manufaolurer: Capacity iR gallons: From Tank Field S,alion Tank S ..... Li .... ~~ ~ Well ~ Mslerial~ Number~ of Compartments: Water ~°O' ~tOO' ~ LIFT STATION Line ~t /O' i+ I~ / Size in gallons: Manufacturer: ~ ~~ ~ hwat ralarma, Foundation ~/ II ~ "Pump on' level a ~t: H~g e : CurtainDraiR ~.~, ~, ~ Pul~ ~ ~ctri~M Inspections perlormed by: Location and Description: Assumed Elevatio~ ENGINEER'S SEAL Department of Health and Human Services approval , · ~ 72 013 (Rev 9/91) MOA25 Permit No. ~'~ ~' OISZ~ Page ~' of '7_ Municipality of Anchorage 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 Legal Description: L.'i5 PID No.:OcJO ,~4 '7_7_. ENGI I'S SEAL 72-013A(2/91) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930154 DESIGN ENGINEER:CONSTRUCTING ENGINEERS, INC. OWNER NAME:EAGLE RIVER VALLEY DEV OWNER ADDRESS:P. O. BOX 141907 ANCHORAGE, ALASKA 99514 DATE ISSUED: 6/11/93 EXPIRATION DATE: 6/11/94 PARCEL ID:05047422 LEGAL DESCRIPTION: HYLEN CREST UNIT #3 BLK 8 4 LT LOT SIZE: 20292 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD 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 (iSAACS0). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. 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 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ABSORPTION SYSTEM DESIGN CALCULATIONS--STANDARD TRENCH REDESIGN PERMIT SW93015~ SCOPE OF PROJECT: The existing permit was based upon a design which had the field located along the lower property line. During excavtion for the house foundtion, the builder was required to relocate the house to the southerly portion of the lot. This required relocating the septic field. A new test hole was dug and monitored for ground water. No water was found in the new test hole for two weeks after it was dug; the previous hole, located lower on the lot, still has water at the same elevation as originally submitted. ABSORPTION ~.~EA CALCULATIONS: Minimum Size Required: 4 Bedrooms x 150gpd/bedroom = 600 gpd capacity Soils rating, proposed absorption design, 0.93 GPD/SF Weighted average: 8.0' x 0.8 gpd/sf = 6.4 gpd/f 4.0' x 1.2 gpd/sf = 4.8 gpd/f 11.2 gpd/f ~ 12' = 0.93 gpd/sf Minimum sizing: 600 gpd % 0.93 gpd/sf = 645 sf a~sorption area Due to depth of useable soil, Use standard trench design: 2.5' wide x 12' effective depth x 27' long trench = 648 sf IMPACT ON ADJACENT LOTS: There are no public or private wells within 150' of this proposed absorption system. The proposed absorption system has no adverse impact upon any adjacent lots as shown on attached site diagram. MODIFIED DESIGN SCOPE/CALCULATIONS PROPOSED WASTEWATERABSORPTION SYSTEM LOT 8 BLOCK ~ HYLEN CREST SUB, ADD #2 PREPARED FOR: MR. MIKE QUINN PO BOX 7'74042 EAGLE RIVER, AK, 99577 DRAWN BY CAL CONSTRUCTING ENGINEERS346-2000 9601 BUDDY WERNER DR 694-9098 ANCHORAGE, AK, 99516 6-30-93 DRAWING # 93-$2-0~-2(M) MODIFIED DESIGN DETAILS-WASTEWATER ABSORPTION SYSTEM (STANDARD TRENCH) .... STABDARD TRENCH DESIGN DETAILS PROPOSED WASTEWATER ABSORPTION SYSTEM LOT 8 BLOCK & HYLEN CREST SUBDIVISION, ADD PREPARED FOR: MR. MIKE QUINN PO BOX 774042 EAGLE RIVER, AK, 99577 NOT TO SCALE: DRAWN BY CAL CONSTRUCTING ENGINEERS 346-2000 9601 BUDDY WERNER DR 694-9098 ANCHORAGE, AK, 99516 6-30-93 DRAW~Nr, # 95-$3-06-2(M) (ENGINEER'S SEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 80~1.S LOG -- PERCOLATION TEST PERFO 3MED LEGAL DESCRIPTION: 1 2 3 4 5 6 7- :l 10- 11- 12 13 14 15, 16 17 18 19 20' WAS GROUND WATER ENCOUNTERED? D/', I'E PERFORMED: Township, Range, Section: SLOPE SITE PLAN, Reading / Date Gross Time 1o.*,I PERCOLATION RATE~_~ ' Z'/Z,~l,h-r~_o-~t~;-li~Ch) PERC HOLE DIAMETER Net Depth to Net . TEST RUN BETWEEN~_/,L _7$__, ~F1 ANDo_~ FT ,---. '-- - ....... ~ ~3~ ~ t~___ 72-008 (Rev. 4/85) SIT~ PL/%t~ .... WAST~WATER ~BSORPTION SYSTEM ./' ~ITE PLAN I)gT~IL~ PROPOSED WASTgW~TER ABSORPTION S¥STE~ LOY 8 BLOCK 4 H~LE~ CREST SU~DIVISION~ /%DD #2 PREPARED FOR: MR. MIKE QUINN PO BOX 774042 EAGLE RIVER, AK, 99577 S(:ALE: I" = 100' DRAWN BY (:AL CONSTRUCTIN~ ENGINEERS366-2000 9601 BUDDY WEP. NER DR 69~-9098 ANCHORAGE, AK, 99516 6-5-93 DRAWING # 93-81-06-2 A~SORPTION SYSTEM D~SI~N C~LCULATIONS-~WI~ TRENCH 8COPE OF PROJECT: A new amsorpt...on field is proposed for new four (.4) bedroom house. Lot is 'to be served by public water. ABSORPTION A, RE~ CALCULATIONS: Minimum Size Required: 4 Bedrooms x 150gpd/bedroom = 60() gpd capacity Soils rating, proposed absorption design, 0.8 gpd/sf Minimum sizing: 600 gpd -.'- 0.8 gpd/sf = 750 sf absorption area Due to depth of useable soil, Use wide trench design: (750 sf) + 5' W = 150 sfx Correction factor [(W+2)/(W+I+2D)] = ].50 sfx [(5+2} {- (5+1.1-(2)(4))] = 75' minimum trench length, 5' wi.de x 4' deep ~_~.o IMPACT ON ~DJACENT LOTS: There are no pub].ic or priw.~te wells within ].50' of this proposed absorption system. The proposed absorption system has no adverse impact upon any adjacent lots as shown on attached site diagram. ENGIN DESIG~ SCOPE/CALCULATIONS PROPOSED WASTEWATER ~$SORPTION SYSTEM LOT 8 BLOCK ~ ~YLEN CREST SUB, ADD #2 PREPARED FOR: MR. MIKE QUINN PO BOX 774042 EAGLE RIVER, AK, 99577 CONSTRUCTING ENGINE~R$3~6-2000 9601 BUDDY WEANER DR 69~-9098 ANCHORAGE, ~kK, 99516 DRAWN BY CAL 6-5 -93 DRAWING # Municipalily of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-.0650 SOILS LOG .... PEHCOLATION 'rEST PERFORIVIED FOR: ~"V~ \ \~L~~, ~':~)....., ~ ch ~ ' ............................. DATE PEF~FORMED:.~- LEGAL DESCRIPTION: L.~,~4 ~ ~' ~g~ ~(12 ~'i ~'¢''' f Township Range Section' ~¢4 %~"r ,~-. SLOPE SITE PLAN . ........ ~ I'[~1 ~ 1 4 5 6 7 8 9 10 11 12 13 14 15 '16 - 17 18 19 20 WAS GROUND WATER ENCOUNTERED? PERCOt. ATION RA'~E __.~.~ ~.._. (m,~utes,'Hmh) PERC HOLE DIAMETER CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIF'AL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) DE$IOlq DI~.TAIL$~,.WASTf:W/%TEt~ i%I~SO}IPTIO~ S~Z~TE~! (WIDL,] TRENCH) WIDE TRENCH DE$ION D~TAIL~ LOT 8 ~LOCK ~ H~LEN C~ST SUSDIVI~IO~, ADD #2 PREPARED FOR; MR, MIKE QUINN PO BOX 774042 EAGLE RIVER, AK, 99577 NOT ~0 SCALE: DRAWN 8Y 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 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address 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) Fronl 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. Name of Firm Phone ~-~r- ~o~,9 Address A~c~r:~lb-- ,A,~; 99~\G ~z_ P~,~-~ }~K ~95'~ EngineeCs signature ~ ~//~/~ t,4.,,.~ Date ~'-//- ¢% DHHS SIGNATURE Approved for '~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date ~-/~ Ill ~'-'PJJ/£fl~ The Muni¢ipslity of Anchorage Department of Heslth and Human Services (DHHS) issues Health Authority Approvsl Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHH$ does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and 8tare requirements. Employees of DHH$ do not oonduct inspections or anslyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissio, ,s in Lhe professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A, Well Data Parcel I,D, Well type Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing hei! Wires properly protected (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE ~: Coliform Nitrate Date of sampl .'~ B. SEPTIC/HOLDING TANK DATA AT INSPECTI g.p.m. ~.~ r,~ acent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Z Collected by: Other bacteria Date installed 3-u t_y L%,%T, Cleanouts (Y/N) 'V High water alarm (Y/N) Date of pumping ',~ [~ ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Tank size ~ ~Sc::) Compartments Foundation cleanout (Y/N) 'Y Depression (Y/N) i~¢, Alarm tested (Y/N) -- 5~ Pumper Well(s) on lot ~ G To property line z'l~ ' Surface water/drainage On adjacent lots Absorption field Foundation Water main/service line t- 72-026 (3/93)° Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) ~ SEPARATION~ LIFT STATION TO: Well ~ On adjacent lots D. ABSORPTION FIELD DATA Date installed Length 7_ <~ Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Width Manufacturer Manhole/Access ~es tested Soil rating (GPD/Ft Gravel thickness .Cleanout present (Y/N) Results (pass/fail) Sudace water System type ~.~--~jc t4 Total depth )¢o' Depression over field (Y/N) kJ for ~ Bedrooms After test If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 1'4 ,q On adjacent lots To building foundation On adjacent lots '~S~ Cutbank Sudace water Curtain drain -4-5'-0 Driveway, parking/vehicle storage area -v 5o Property line To existing or abandoned system on lot +1 oo' Water main/service line E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspect/on. Signature Engineer's Name Date ~-/[ ~ ¢' %- HAA Fee $ /' ~) ' ~ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)' Back