HomeMy WebLinkAboutHYLEN CREST #3 BLK 6 LT 5
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 Systern and/or Well Inspection Report
Permit Number: .~<~ v/'4/~,,] ¢'~/[.,-.-2 ,~ ~/ 7 PID Number: O'~~<:~ ~' 7z/
Name: Z '"~' ~ _Z~/~ ~ · Wastewater System: gYN'~ew [] Upgrade
Address: ,/ ~",¢'¢/¢";-"¢'" ABSORPTION F~ELD
No of'l~ed ;oc~ms:
Phone: d' '~ ~' ~ '~ ~- 42'/? ~ [E~'O"~ep Trench [] Shallow Trench [] Bed [] Mound [] Other
Tolal Depth from original grade:
LEGAL DESCRIPTION Sod,a,ng: /,' 7- GPO/Sq. Ft. ~-' O"
Lot: ~,~ Block: Subdivision: Depth to pipe boltom Irom original grade: Gravel depth benealh pipe
Range: f Fill added above original grade: ! Gravel lenglh:
WELL: [] New /¢///~ [] Upgrade Gravelwidth: .2. Ft. Number of lines:~ 'lDista~cebetweenlines:l / 2% Ft
Classification (Pk~ate, A,B,C): Total Depth: Ft. Cased To: Ft. Total absorption ~'area: ,z~/z~ SQ. Ft. /,f~,~/%'". ~/~'3 ,Pipe material:
Driller:./,[j/;~ Date Drilled: Stalic Water Level: I nstallep~M,,,,,~r: . .,* ~/~ Date installed:....~
Yield: / GPM Pump Set at: Ft C~sing Height Above Ground:Ft. TAN~ / "'
SEPARATION DISTANCES F~eptic [] Holding [] S.T.E.P.
TO Septic Absorption Lift Holding ~ublic/Private Manufacturer' Capacity in gallons:
From Tank Field Station Tank S .... Lines Xb--¢ ~ *_ '~'~*'~, A
Material:E, , ¢ Number of Comportments:
We,, ;Z..¢O> 200, .... 2¢¢--* >¢~f' 'z-.
Surface
Water ,//---)O-¢' /DCq - ~ /Z~Off- LIFT STATION
Lot Size in gallons: Manufacturer:
Foundation Z %~'~ i ~, L-) ..... "Pump on" level at: "Pump o . High water alarm at:
CurtainDrain ~ ~ ~, ~ ~ Pump Make & Model Electrical Inspections performed by:
--~ BENCH MARK
~ Location and Description:
/ / Assumed Elevation:
Anchora[te, Alaska 99508 ¢,'c;;,,'ooo
1345 Rudakof Circle, Suite ~01. 2nd ?/6'~/,'z/~ ~ -~: , ,"'/~-""d,.
/~c horage,~ Alaska.995~}8, ....... ¢~%"o No
uepartmen! of ~emtnhano muman ~erwces approvm ~(]'.t¢/:,,,oo.
Reviewed and approved by , . Date:/2 -2-~/ ~..,~.~.~,..
72-013 {Rev 9/9t) MOA 25
AS-BUILT
PERMIT NO. SW910267 LEGAL DESC. L5, B6, HYLEN CREST #3 PID 0504-7451
H'~ C~EST IS SERVED
BY A COMMUNIT'( WA'I~R SYSTEM
NO WELLS ARE W3THIN 200 FEET OF 'THE
PROPOSED SYS~,I OR 3HE REPLACEMENT SYSTEM
DAlE 11/15/91: REVISIONS m~"r co~'m~'m SHEET NO,
DESI~NEO ~'~L. .~ ~ SITE PLAN
DRA~ BY~ MET PR~OT SEPTIC SYSTEH
c.~D,Y:~ L5 ~6 HYLEN CREST ~3
~PRO~O
AS-BUILT
PERMIT NO. SW910267 LEGAL DESC, L5, B6, HYLEN CREST #5 PiP 0504,74-51
8
· ~ HYi~N CREST JS SI~RVED
~. BY A COMMUNITY WATER SYS']T~.M
NO V~LLS A~E 'bill, IN 200 FEET OF THE
PROPOSED SYS'II~ OR THE REPLACI~ENT SYS'IT~I
o^~ ,/to/s, ,~zs,oNs ~ ~"~"~' DETAILS SHEET NO.
OE~ONED B~ ~o, DA~
~.A~ .Y, ,~ '"~ SEPTIC SYSTEH 3 /
OF
CHE~EO BYJROE L5 B6 HYLEN CREST ~3 / 3
APPRO~ BY: %R
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 'W~ AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW910267
DESIGN ENGINEER:VEI CONSULTANTS
OWNER NAME:ROELFS VERNON L &
OWNER ADDRESS:10308 LEDOUX LANE
EAGLE RIVER, ALASKA 99577
DATE ISSUED: 9/03/91
EXPIRATION DATE: 9/03/92
PARCEL ID:05047431
LEGAL DESCRIPTION: HYLEN CREST UNIT #3 BLK
5
6 LT
LOT SIZE: 20764 (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:
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 PROVISION>/ ~/
RECEIVED BY: Y~'~'----~ ~-
ISSUED BY:~~/ : ~~
-- ~/ y
DATE:
DATE:
VEl Consultants
Architectural, Engineering and Surveying Consultants
Serving All of Alaska
Offices: Anchorage, Eagle River, and Palmer
August 23, 1991
Municipality of Anchorage
Department of Health & Human Services
825 L Street
Anchorage, AK 99501
1345 Rudakof Circle, Suite 20i
Anchorage, Alaska 99508
Fax: (907) 338-5386
Phone: (907) 337-3330
Re: Lot 5 Block 6, Hylen Crest, 3rd Addition, Septic System
Gentlemen:
Our client, Hamann Construction, requests an on-site sewer permit
for the above referenced lot.
Attached is the design for the septic system, consisting of two (2)
11" x 17" sheets with three (3) soils log-percolation tests. Lots
in the area are 0.5 acre in size and are served by public water.
The subject lot and the adjacent lots slope towards the road
(Stewart Drive) to the south. Slopes generally range from 15% to
20% with some slopes approaching 25% towards the back (north) of
the property.
Soils consist of well-drained silty-sandy gravel with one (1) foot
of topsoil. The two (2) test holes at the front of the property
had groundwater at the 10-foot depth during monitoring in the
spring. However, none of the test holes have shown water since
that time, in spite of the recent two-week rainy period. There are
no surface drainages on the lot or adjacent lots. The slope of the
lot and the subsurface gradient is towards the road right-of-way,
and there will not be any impact on either of the two (2) adjacent
lots.
The road is in a small fill section across the front of the
property, so there is no road cut/escarpment across the front of
the lot.
If there are any questions, please do not hesitate to call.
Sincerely,
VE~ CONSULTANTS
Vernon L. Roe~fs, '~E
Principal
Attachments As Noted
cc Bob Hamann, Hamann Construction
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264.4720
SOILS LOG-PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
2
4
7
8
SLOPE
7-'/¢ ; .
SFrE PLAN
10
11
12
13-
14-
15
16
17
18
19
2O
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Tirne Water Drop
I ~'
TEST RUN BETWEEN ~ FT AND ~ FT "
COMMENTS
PERFORMED BY:
72-008 (6/79)
/
VE!
CONSdLI~ANTS CERTIFIED BY~ ~- ~:<ATE:
1345 ~udakof Circle, Suite ~01 '
Anchorage, ~aska ~508
~77
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
14
15
16
17
18
19
2O
DATE PFRFORMED:,
S'LbPF '~ -/
~ $01L8 LOG
PERCOLATION
TEST
WAS GROUND WATER //V/ S
ENCOUNTERED? /~ L
OEPTH?IFYES'ATWHAT N~//,fFjA;h7 E
I U~.~Dr .......... q~"' ,<~ PERCOLATION'RATE ~, mMutes/inch)
/.
TEST RUN BETWEEN FT AND ~, FT
COMMENTS
PERFORMED BY:
Gross Net Depth to Net
Reading Date Time Time Water Drop
72-008 (6/79)
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
9
lO
11
12
13
14
15
16
17
18
19-
20
COMMENTS
PERFORMED BY:
72-008 (6/79)
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] PERCOLATION
TEST
~'~ '~'-/~/' DATE PERFORMED:
/ SLOPE
SITE PLAN
/.7
VEI
13~,§ Rudakof Circle, Suite 201
Anchora§e, Alaska 9~508
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT /0 ' ~.'~'~(-'
DEPTH?
t Gross Net Depth to Net
Reading Date Time Time Water Drop
d / //
I II
~: .~,, ~ MUNICIPALITY OF ANCHORAGE
'(k~ Department of Health & Human Services
~ ~r~ ' DIVISION OF ENVIRONMENTAL SERVICES
343-4744 '
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
Parcel I.D. # 05047431 HAA # ~ ~:~°l ~ ('")~==¢-~ '
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 5, Block 6, Hylen Crest Subdivision #3
Location (address or directions)
Stewart Drive, Eagle River
(b)
(c)
Property owner L & B Inc. Telephone: (home]596-3249
Mailing Address ]4R?R Terrace lane, Eagle River, AK 99577
Lending InstitutionFirgt National Bank of Anchorag'eelephone 265-3064
Mailing Address P ~ Rn~ lCiF~72F): Annhnrag~; AK C~qF;lO - At. tn: M~. D~hb~
Real Estate c°m~anyand Agent None
Business 696-3249
N~wg~nt
Address
Telephone
(e) Mail the HAA to the following address: (or check here []. if hold for pick up.) ....
List contact person and day phone number below:
VE! CONSULTANTS
1345 Rudakof Circle,
phone 337-3330
Suite 201, Anchorage, AK 99508
TYPE OF RESIDENCE
Single-Family ~ Number of bedrooms
3. WATER SUPPLY
Individual Well [] Community;]~[ Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
, Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL '
On-site []QX Public [] Community [3 Holding Tank [] ' :
Note: If community well system, must have written confirmation from the State Department of Er~vironmental
Conservation attesting to the legality and status.
72-025 (Rev. 7/88) Page 1 of 2
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.~eeu!§ue I~UO!ssej. o.~d ~.uepuedepu! u~ ,~q e^oq~ S qcle, l~,~d u! ue^!8 suo!l, el. uese.,de.~ eq~. uodn/~1"o peseq pe:l. eO!,tl.,eo
leAO.~dd'~,94.,oq~.n¥ q~,leeH senss! (SHHa) seo!^.~e$ u~tunH pus Lp, leeH ~,o ~.ueu~..~ede(] eSe,,oqou¥ j.o ,~,!l~d!o!unlAI eLI.L
le^o.Jdd¥ leUO!].!puoo j.o suite1
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
If A, B, or C, attach ADEC letter.
Date completed
Parcel I.D.
A. WELL DATA
Well type ~,¢¢~1~'~
Log present (Y/N)
Public sewer main
Sewer service line
WATER SAMPLE RESULTS:
Coliform
Date of sample:
ADEC water system number ~,/~
Driller
Total depth ~k Casedto Casing height
Sanitary seal (Y/N) ~ Wires properly protected (Y/N)
Date of test FROM WEL~LOG AT INSPECTION
Static water level
Well flow , g.p.m.
Pump level
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot ; On adjacent lots
Absorption field on lot · On adjacent lots
Public s~er manhole/cleanout
Petrol~ tan k
Nitrate \, Other bacteria
Collected by: ",~
B. SEPTIC/HOLDING TANK DATA
Cleanouts (Y/N)
High water alarm (Y/N)
Date of pumping //.//'~
Tank size /,~ <~-~ ¢,¢~.//
/
Foundation cleanout (Y/N) ?
· /¢//~ Alarm tested (Y/N)
//¢"~/-~ Pumper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot .;¢~¢~"¢ ~...~¢//-/;.) O n adjacent lots
To property line ..~.O. ¢ / Absorption field
Surface water/drainage /~[~ ~'
Compartments ,,~
Depression (Y/N)
Foundation
/ Water main/service line
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
r Manufacturer
,, %~ Manh01e~Access (y/N)
Pump on'"~l vel at / "Pump off" level at
,,/~/,¢~ Cycles tested
Meets MOA electrical codes (Y/N)
S EPARAT'O N D'STAN CE FR OM LI F;~;lc~nNt 7o~; ~ Surface water
Well on lot
D. ABSORPTION FIELD DATA
Date installed /'¢//,¢"/¢ /
Length u¢,~. / Width
Total absorption area
Depression over field (Y/N)
Results (pass/fail)
Peroxide treatment (past 12 months) (Y/N)
Soil rating X .~/¢/¢~4~yst e m t y p e
Gravel thickness ¢/ / Total depth
Cleanouts present (Y/N)
Date of adequacy test /~'/?'~
for bedrooms
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot /¢//,¢,~ ."~ On adjacent lots '~',~)/-P -/' Property line
To building foundation J-~., ,¢~ / To existing or abandoned system on lot
On adjacent lots
Surface water
Curtain drain
Cutbank ./c~/// Water main/service line
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
/
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effec!.c.n,4bC,~g4te of this inspection
Engineers Name
Date //
Anchorafe, ~aska 99508
HAA Fee $ / ~ D ' (~ Waiver Fee: $
Date of Payment //'~/~ ~ Date of Payment
Receipt Number A 3 ~ ~'~ ~2~2) Receipt Number
WALTER J, HIC, KEL, GOVERNOR
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE DISTRICT OFFICE
3601 "C" STREET, SUITE 322
ANCHORAGE, ALASKA 99503
563-6775
November 13, 1991
FOR: VEl Consultants
PWSID # 213289
My review of the records on file in this office reveals that the Hylen Crest Subdivision
Class "A" Public Water System, is in compliance with the routine coliform bacteria samples
requirements listed in Table C, and with the inorganic sampling listed in Table B of 18 AAC
8O.2OO.
Sincerely,
Byron Roys
Environmental Fngineer
BR/cf
NOV 1 5 1991
VEl CONSULTANTS
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