HomeMy WebLinkAboutHYLEN CREST #3 BLK 6 LT 12
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: '<~J c~(22-.~[ PID Number: ~:)~o '~ ~7¢¢ -
Name:
~ ~c~ ~ ~~ ~ Wastewater System: ~ New ~Upgrade
Address:
INc. of Bedrooms:
Phone: ~ __~J ~ ~ DeepTrench ~ShallowTrench g Bed ~ Mound ~ Olher
LEGAL DESCRIPTI ON sog Rating: Total Depth from original grade:
O, & GPD/Sq, Ft, ~
Lot: j ~ Block: ~ ~Subdiv~i°n:~B~ ~ Depth to pipe bottom i,fr°m~°riginal grade: Ft. G ravel depth beneath~, ~pipe Ft.
Township: Range: Section: Fill added above original grade: Gravel length:
WELL: ~ g New ~ Upgrade Gravelwidth: ~ Numberoflines: Distanceb~t~eeniines:
Classification (Private, A,B,C): Total Depth: ~o: Total absorption area: ~ Pipe material:
.Driller: ~ ~[ed: Static Water Level:Ft, installer:~ ~¢~f~l~ ~¢. Date installed: ~
Y~ump Set at: Casing Height Above Ground:
Ft. Ft. TANK
SEPARATION DISTANCES ~s~,tic ~ ~o~di,~ ~S,T.~.~.
TO Septic Absorption Lift Holding =ublic/Private Manufacturer: Capacity in gallons:
From Tank Field Slation Tank Sewer Lines ~ ~ ~ ~ t~ I
Number of Oompadments:
Sudace
Lot ~t ~ J t Size in gallons: Manufacturer:
Foundation ~t J ~ J ~ I ~ ~ "Pump~l~on" level at: "Pump ~tt°ff" level at: High water~llalarm at:
Gu ~ain Pump Make & Modal Electrical Inspections pedormed by:
Remarks: ~ ~EQo¢~ ~u~CE oP ~ BENCH MARK
Location and Description:
p~l~ ¢IE&O. J Assumed Elevation:
~-OF AL
Inspections performed by: ~k¢¢~& ~¢¢~W~.Dates: 1st,
Department of Health and Human ~e~ices approv~ '¢~"""~[,~.¢~;~s~', ~' .'
Reviewed and approved by: D¢~ / ~, ~~ate: ~'//' ~ ~
72-013 (Rev. 9/91) MOA 25
AS - BUILT DRAWING
¢[,79 ~0
/,r ~.~r,. ~,o~ v .v ~r ar[ur-~2,~0 ~ ,~
NEW I'RENCIt ~ .., , .>o
~ q4,~5
BI)RM~-IQUSL. 5 x~ S'Ft
APPROX. I_OCA'It()N, ~ X -NEW 1250 GAll_ON
0[.' WATER LINE ~~ S.T,E.P, SYSTEM A B C
¢, ~. ~ F'CO 18.4' 12.0' ·
IIl/// ~' ~ __,D"¢ S]1 22.4' 12.3'
: / ¢~u~ S'1'2 27.4'
~//~ ~ / .. u~ Mn 29.2
/ ; ~ / ~ M'I'I · -- 20,2' 53.0'
x' z :: Mt2 -- 29.5' 26.0'
/ ~ ~ ; :: CO -- - ~ 56.5' 19,2'
~ / x -- OONNECI'ED TO
-- SYSTEM AND 1'0 BE
- ~'X ~. ::
~F- _ - xx ~ ~:~ AS A R'[:SEdV[. .... SirE.
xJ~ t~ox- / - _ _ _ , TANX ?m. Auhr?.?
A~S~ WA~ AND WAS~WA~ CONS~TA~S, ~C. .~ OF A
HYLEN CREST SUBDIVISION, LOT 12, BLOOK 6
'WPE OF WORK: .
DESIGN OF SEPTIC SYSTEM UPGRADE~¢ ..,cf
CHRIS RICE AND BARBARA WORD 694-2621 q~P' '"'-~;e. '. .........
DA'rE:8/6198i/ D~WN DY: ,SCAt.E: PAGF: '~
A,C,G. 1 = 40' 2 OF 2
Ii'AX TRA MITTAL
ALCAN ELECTRICAL & ENGINEERING 1NC.
PO BOX 91499
ANCHORAGE AK 99509
PHONE 907.-~63=2~787
90%$62-6256
Alaska Water & Waste Water
338-3246
Attn: JEFF GAI13tESS
From: Dave Curry
Page: 1 ofl
MESSAGE
Jef~
The electrical installation for the .,eptie lift station located ~ 10347 Stewards Dr. Eagle Kivex was
installed in accordance with current NF, C requirements ~d a complete functional teat was
per~rmed.
Dave Curry
Cell ~g40-0~44
Rick Mystrom,
Mayor
MnnicipaliW ofAnch, orag. e
~'.~,d}at ~lll~Plt oi: Heali. h aild Numan Se 'v ce,s
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
August 12, i998
Jeff Garness, P.E.
Alaska Water & Wastewater Consultants, Inc.
7320 East Chester Heights Circle
Anchorage, Alaska 99504
Subject: Waiver Request for Lot 12 Block 6 Hylen Crest #3
Waiver Request #WR980048, PID #050-474-38, HA980219
Dear Mr. Garness:
Your request for a waiver of the required 10 foot separation
between an on-site wastewater disposal system and a lot line has
been approved. The waived distance is 8 feet from the east property
line to the new leachfield.
This approval applies to the existing on-site wastewater disposal
system lot line separation only. Any future upgrade to the on-site
wastewater disposal system will require all separations be met or
another approval from this department.
If there any further questions or concerns regarding this waiver,
please call our office at 343-4744.
Sincerely,
Engineering Tecb
On-site Services
ljw #7
Applicant:
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR~j~O\~ PID# 050-474-38 Ha~~\~ Permit ~
Date Received: August 7, 1998
Legal Description: Lot 12 Block~Hyten Crest ~
Engineer: Jeff Garness, P.E., Alaska Water & Wastewater Consultants, Inc.
7320 East Chester Heights Cicle~ Anchorage~ Alaska 99504
Chris Rice & Barbara Ward
Waiver Requested:
new leachfield
Lot line waiver of 8 feet from the east property line to
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: Waiver is NOT Granted:
List Conditions or Reasons for above:
Date:
Rec #: 03997(4049) Amount: $ 115.00 Date Paid: 8-7-98
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box '196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jul 24, 1998
Expiration Date: Jul 24, 1999
Permit Number: SW980261
Legal Description: HYLEN CREST UNIT #3 BLK 6 LT 12
Design Engineer: Alaska Water & Wastewater Services
Owner Name: Christopher Rice & Barbara Ward
Owner Address: 10347 Stewart Drive Total Bedrooms: 3
Eagle River, AK 99577-9514
ParcellD: 050-474-38
Site Address: 010347 STEWART DR
Lot Size: 21294 SQ. FT.
Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank ~-] Holding Tank [] Privy
[] Private Well [~ Water Storage
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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered. sealed, and heated to prevent freezing.
Received By: ~¢~'-'~ ~ ~_~..]~', ¢~¢/~,~ Date:
Issued By: '~~ C d~,,~ Date:
Alaska Water & Wastewater
July 13, 1998
7320 East Chester Heights Circle ~, Anchorage ~ Alaska 99504
(907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Septic Upgrade Design for Lot 12, Block 6, Hylen Crest Subdivision
To whom it may concern:
The existing 3 bedroom house is served by a private septic system and community water. The
existing septic system is surcharged and must be upgraded prior to the sale of the house. We are
requesting a permit to install a conventional drainfield and a 1250 gallon S.T.E.P. tank.
Comments regarding the design are summarized as follows:
1. SOILS: Attached is a log which shows the soil profile, and the percolation test result. The
soil below the organics is primarily GM to a depth of 13 feet (bottom of test hole). No
groundwater was encountered during the excavation. Seven days later there was 6 inches of water
in the monitoring tube. A percolation test was performed at the 4.0 to 4.5 foot depth, which
perked at a rate oft 1 nfinutes/inch.
2. TRENCH DESIGN:
a. Percolation Rate: 7.1 minutes/inch
b. Allowable Application Rate: 0.8 gallons/day/f~2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 563 ft2
f. Total Depth: Generally 5 feet, but to be based on elevation that is 6 feet above the
bottom of the test hole.
g. Effective Depth: 3.5 feet
h. Width: 5 feet
i. Minimum Length: 61 feet
j. Effective absorption area = 565 f~2 (>563 ft2 OK)
k. Reduction Factor = 0.54
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: Beginning at the north side of the house, the lot is generally flat back to
the test hole, which is at the base of a steep cutbank. The flat area was cut into the side of the hill
during the initial development of the property. The entire trench is going to be placed at the base
of the cutbm~k which varies in depth below the original grade. Since the total depth below
original grade varies over the entire length of the trench, we are proposing to base the total depth
of the new trench on the elevation at the bottom of the test hole (elev. = 88.05). The bottom of
the new trench will be at 94.5 feet. I believe this approach to be conservative in terms of
separation t? groundwater.
At the top of the cutbank the lot slopes upward, from south to north, at a grade of approximately
twenty percent. In short, there are no slope concerns.
CLOSING: I am unaware of any adverse impacts this installation would have on adjacent wells
or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612.
Thank you for your assistance.
Sincerely,
Principal
I '""-----._ NOI'E:
I J -~-'-~ BENCHMARK IS
iI -~'~'"~ 1. ALL SURROUNDING PROPERI1ES ARE SERVED
BOTTOM OF" T-1-11 DY A COMMUNe' WATER ~D PR~ATE
I ~ SIDING = 100,00 SEWER S~S'~MS, NO POINTS OF CON'rAMINATION
I ~ ........ WITHIN 2OD'+ OF PROPOSED SEP~C UP~E,
I ~ 2. 'lite CONTRACTOR IS R~PONSIBLE FOR HAVING
~ THE ~ST PROPE~ LINE F~GED [~Y A REGISTERED
j ~-- PROPOSED BRAf~FIELB
' J ~ 61' LONG BY 5 WIDE _~ THE BOTTOM OF THE T~
' ~BY 5' DEEP W/ 3.5' OF WILl_ BE AT EL~.=: 94.5
~ SEWER I}RAINROCK ~OTrOM TH = 88.05
~: ~ ~ H20 AT 88.55
- ~ ~ ~i / DIAM~ER HOLES
, ~ ~ ~ / ~ ON CENfER
~ LOT 13, BLOCK 6 r~ /
~ t]tYLEN CREST S/D ~ I ~TH¢~ ~ ~OPOSEO ~25o ~AL.
p ~~~ / S,T.E.P. TANK W/
t~ ~ --CO
~ ~ EXISTING 5 --CO/'--EXISTING SEPT C TANK TO
II ~ BDRM HOUSE .~ ~ ~E FILLED WITH SAND
I ~ / z-~CONNECT TO OLD TRENCH
~_~ // /WITH 1 1/4" HDPE PIPE ALL
'. ~:~~ / / STAINLESS FRYINGS CONNECT
! .~ ~ ' i~/]/ WITH STAINLESS STEEl_ BANDS.
~ APPROX. LOCATION-% /? ~ )~ Fh/ / NO HOSE CI~PS
-- .... -. / /
~'~_~ '- - - -- ~ :::: AREA
PREPPED BY:
A LAS WAT[[R WASTEWA R o¢
HYLEN CREST SUBDIVISION, LOT 12, BLOCK 6 ~/.;.: ..... #ft.t...~; ....
DESIGN OF SEPTIC SYSTEM iJPGRADE ~-..~. .:...
~"~e~ ~. Game ..
CHRIS RICE AND BARBARA WORD 694-2621 u~'¢.' ' .' '~
A.C.G. 1 = 40' 1 OF 1 '~%~?or...~°~
-ALASKA. WATER & WASTEWATER
PHONE (907) 337-f117fl * F~ (907) 33B-3246
PERFORMED FOR: CHRIS RICE AND BARBARA WORD
DATE PERFOBMED: 7/6/fl8
TEST HOLE
DEPTH ~
,:. solk C~SSIFICATIO~S
~- ~ GC OL
i
6B
SM OH
SC
DEPTH TO DATE "~-~
~ GrouNDwATEr
6" ~OM B,0.H. 7/13/98 "--.._ E~YnOX ~X~ ...... -
DATE READING CLOCK NET TIME ~ATER LEVEL NET DROP
TIME (MINUTES) READING (INCHES)
7~7~g8 , PRESOAK PERIOD BE[AN
- I 5:39
- 2 6:09
3 -6:09 - 6"
' '4 - ~:~9 ~0 ~~/4" 4 qT~"
- 5 _ 6~'- - 6,,
30
e 7:09 i 3/4" 4 ~/4"
2 PERCO~TION ~TE 7,1 (HIN,/INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4,0 FT. AND 4.5 FT.
COHHENTS: BENCHMARK IS THE BOSOM OF SIDING (100.00)
PERFOMED BY A~SKA WATER & WASTEWATER I, , CERTI~ THAT
THIS WAS PERFORMED IN ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS
DATE, DATE:
Address
MUNICIPALITY OF ANCHORAGE
DE 1TMEN'r OF HEALTH AND HUMAN SER1
Environmental Health Division
825 %" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
DISTANCES
Phonets) I Permit No. No ol drooms
LEGAL DESCRIPTION
TANKS
~J~S~PTIC [] HOt. DING
--~'--~- [~-~--Ma,eria, No. olCmpadments
TYPE OF SYSTEM
~TRENCH ~] BED [] W. DRAIN [] OTHER
I
grade
~. O Fl ~ FT
~,0 et L~., ,~.. ' FT
60, 0 FT ~- ET
Total absorphon area
~m~ sQ Ft
~ SEPTIC ABSORPTION
TANK FIELD WELL
WELL ~//~ /kJ / ~
I !
LOT LINE ~.~ ~ q ~--a;~
II
FOUNDATION ~ ,~ ~ ~o ( ~ ~
AS-BUILT DIAGRAM (Show Iocahon of well, Septic system, properly hnes, Ioundatlon,
driveway, water bodies, etc.)
sQ FT
FT
WELLS
[] PRIVATE
FT Cased to
REMARKS:
FT
Scale:
Inspections
I ~r~__~t~. ~,J ~_..~j~.~__C~/____.~,-- ~ ~~e~ cedily that Ihis inspectiou was perierlmmd according to all
~umlicipal and State guidelines in ellecl m)this date:
Health Depadment Approval: - · -
72-013 (3/85)
P.O. bOX 5650
~', C;,
A~ I ..,HORAGB, ALASKA 99502~065C,
(907) 264-4111
DEPARTMENT OF HEALTH & HUMAN SERVICES
January 10, 1986
TO: Permit Applicant
Subject: Permit # 850584
Lot 12 Block 6 Hylen Crest Subdivision
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar year basis by authority of Municipal
Ordinance. A new permit must be obtained from this Department for any
well and/or on-site sewer system not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to this
Department for documentation of the installation and to close the permit.
If a private engineer inspected the installation of the on-site s'ewer'system
the original as-built inspection report(three part form) must be sent to
this office for review and approval,and for documentation.
If there are any further questions, please call this office at 264-4720.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
enc: Copy of Permit
DEF'ARTMIENT CIF:' I"II':':AI...'IH AND I::NVIR[]NMEi]',f't'AL PI:i'.[:)TI:ZCTION
825 I... STRIEI::T, ANCHOI:'~AGE, AK 9950 :[
264""'472.0
¢2~5 () 584
()9 / 11/85
I~IARK '1'I GNIER
.1.2',20 VA[.,L. IEY DR:I:VE:
AI',II:]'"I[)RAE~E, Al< 995()4
276-44 11
SUBD :1: V I S I (IN = I-WL..IEN CREST
SEC'/I' I E)I',I: 8 'I"[)WI',IL::~H I F':
2 :[2<¢4 (SC, i. i:=1". OR
3
L.OT~ 12 BL.E)CK: 6
I/IN RAIqGE ~ 1W
?,y!i:tE, In. Chc)O:::e '(.I]8 c)pt:i.c)l'l that b6)st
'IF" F~ lEE ~"4 ~[:~-'"11
DIEI:::"T'H ]13 F:' :1: F:'E BE)'I"'f'[)M (F:T ,, ) (' 4 ,, 0
GRAVIEI... DEPTH (F'T.) ~ ~ (),,5
't"OTAI./ DEPTH (F:"f'.) El 5 4,, 5 5
GRAVEL. W :1: DTH (FT,,) 2j 5 ;L'7,, ()
(2}RAVEl ..... /C)L..UME (CU,, YDS. ) l~ ~ ::~ :l.. 5
'T'AIqI< S :1: Z E (GAI...S) :1., OO~) <~ .~..:. :I., ()C~O ,, O .~.x- ~, .~..:.
S,::,]: L RAJ' I NG (S,:;,. F: T'. /BR ) /:i.: ~ :l. ,'~:.,5
.,4",'.. 'I"ANK MUST HAVE AT LIEAST TWO [X:,, PA~'MENTS
:1: c e l" t :i. f y 't: I"l a't:.:
:1. ,,:[ al'fl f am :i. ]. ;j. aP ~,~ :J, th th (~ P e CI'Lt J. P 6)fni;~lq'~',. S ~' (:)1" i:)r]'"':::
for'tl"i by the Mun:[cip¢:<l:Lty of' An:hor'age (MOA) and the State c)f' Alasl-::a.
2.. I will. ir'~sta].l the system :i.n ::::::::::::::::::::::::::::: with al:l. M[JA c:c~ch.::fi::: and r, egu:l, at:i. ons,.,
arid :i.n comp:l, iar~ce ~i't'.h the des:i, gn cp:i. teP:i.a ::)¢' this per'm:[t,,
::5,, ]: w:i.:l. 1 a(:ll'~pe '[.(:) ali. MOA and State ()f Alasl<a r'eclu~.PemerrEs f(~p th(:.: :::i(:.Ft:. back
d:[s'[.arices f r'om any ex ist :Lng Nell :, wastewa'{:.er' d:i. sposal ::ys't. em of pub ]. :i.(::
i:i(.:gMel"Etg(,~:) sys'l',,f)m E)l"l th:i.s or' any ~:A{J.j¢~/E::~Fit Cie
4. :1: t.u](:Jel'::Fl'..al]CI that this pePmit is valid fop a maximum of 3 bel:ir'ocmls arid
any enlal-gemel"r~.. ~:i.l:t. Pequ:i.r'e an additi(:r)al per'mit'..,,
]:F A I..:I:F:"I" !:i;'I"AT:[EIIq IS :I:I',ISTAL. L.I::D IN AN AREA CI:)VI:.:RED BY MOA Blr. J:I:I...DII~JE.; COl)ES,
THEN (1.) ~1'.1 ELIEC'I'RZCAL I:::'EIRM:I:T AND :[ IqSF:'E[;T :I: [IN MUST BE E~I:¢f'A:I:IqED~ (2) AS-I:.:dJII...TS
WILl.. NOT BE API::'ROVED MI'f'HOUT AN IF:L.EI2TRZCAL ZNSF:'EEYTZON REI::'ORT; AND (3) THE
EI....ECTI::;;:I:CAL. M[)RK tdtJST BE DONE BY A LZCEN~:;ED EI.:.ECTRI[;:I:AN.
AF: ~': L. ]: (.:;ANT'. MAJ::I'.::
I'Ot..., I G 650
ANCI tORAGE. AI_ASI<A 99502 0650
(907) 264 4 I I 1
DEPARTMEN'f OF t4E^L]'It AND ENVIROI',IMEN[AL PROTECTION
Permit ti: 840292
January 3]., 1985
TO: Permit Applicant
SUBJECT: Lot 12 Block 6 Hylen Crest Subdivision
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
i984.
Permits are issued on a calendar year basis by authority
of Municipal Ordinance. A new permit must be obtained from
this Department for any well and/or on--site sewer system not
installed by 'the expiration date.
If you have drilled the well, a well log needs to be sent
to this Department for documentation of the installation
and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, the original as-built inspection report
and the yellow copy must be sent to this office for review
and approval, and for documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Keith E. Bandt, SupeYvisor
Environmental. Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057
MUN I C I PAL I T'.r' OF ANCHPPAGE
DEPFIRTMENT C HEALTH AND. ENVIRONMENTAL ITECTION
825 u STREET., ANCHORAGE., 8K 99b~.-~l
264-4}'28
PERMIT NO:
DATE ISSUE[:,:
APPLICANT:'
ADDRESS~
CONTACT PHONE
OI'-,t--:S I TE SEWER P E F~.'. I'.'1 ][ 'T'
840292
05,..'04/84
MARK F JERLING
BOX ~4~ KRTLIAN DRIVE
EAGLE RIVER., AK 99577
~94-40~6
LEGAL DESCRIP
LOT SIZE:
LOT LOCATIOH~
MA>~ 8ED.ROOMS~
SUBDIVISION: HYLEN CREST LOT:
SECTION: 8 TOWNSHIP~ i4N RANGE:
2~294 (SQ. FT. OR ACRES)
STEWART DRIVE
BLOCK: 6
LISTED BELOW ARE THE OPTIONS AVRILABLE TO ~r'OU IN DESIGNING '¢OUR SEPTIC
S'¢STEM. CHOOSE THE OPTION THRT BEST FITS YOUR SITE.
DEPTH TO PIPE BOTTOM '..FT. )' % ~/
~AvEL DEPTH (FT.,) ~ ~_
'f'OTAL DEPTH (FT.:' \ /0
GRAVEL WIDTH~',FT. ) ' 5
GRAVEL LENGTH (FT. ', '. 0
~RAVEL VOLUME (C_.'¢DS.) ¢ ~
:I'ANK SIZE (GALS) .0 ~:
.... OIL RATINb (Sq. FT./BR) ~
'mA TANK MUST'HAVE AT LEAST TWO COMPARTMENTS
BE[) I,.-,-I ,~ [:. F-: _Ft//I
0,5
ir'.E ..0
--;'.'.4, 0
22. 4
125 /
I CERTII="¢ THAT:
i i. I 8M FAMILIAR WITH'THE RE~UIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY ]~HE MUNICIPALITY OF ANCHORAGE '::MOA) AND THE STATE OF
; 2. I WILL INSTALL THE S"r'STEM IN ACCORDANCE WITH ALL Mf]A CODES AND REGULATIONS.,
AN[:" IN COMPLIANCE WITH THE DESIGN CRITERIR OF THIS PERMIT.
3. I WILL' ADHERE TO ALL MOA AND STRTE OF ALA--,."]KR REQUIREMENTS FLF.. THE SET BACK
'DISTANCES FROM ANY Ek.',ISTING WELL, WASTEWRTER DISPOSRL SYSTEM OR PUBLIC
. SEWERAGE S'¢STEM ON THIS OR AN"," RDJACEHT OR NERR8'¢ LOT;
4. ;I' UN[.EF,.~TRN[.' THAT THI:"] PEF.:MIT IS '¢ALID FOR A MAXIMUM OF ?. BEDROOMS RND
' .. ANY ENLARGEMENT WILL REG~.UIRE AN RDDITIONAL PERMIT.
1F A ,LIFT STATION IS INSTAl. LED IN AN AREA C'OVERED BY MCIR BtJILDING CODES,
THEN' (4> AN ELECTRICAL PERMIT AND INz, FEL. TILN MIJz, T 8E OE, TAINED; (2) R=,-BUILTS
~4ILL NOT BE APPROV~ WITHOUT 8N ELECTRICAL INSPECTION REPORT; 8ND (2:) THE
ELECTRICAL WJRK MUST BE DONE BY 8 LICENSED ELECTRICIRH.
............
SIGNED
APPLICANT: MARK F 'JERLING~'
s
ENClNEERS, INC.
7125 OLD SEWARD HIGHWAY
ANCHORAGE, ALASKA 99502
(907) 349.6561
PERPORMEB FOR: _MA¢,~'; ,-~-.¢,.u~e.
SOIL LOG
r~'"S O I L LOG
~/ PERCOLATION
TEST
PERCOLATION TEST
BEDROOMS
JOB NUMBER:
_DATE PERPORMED:
LEGAL DESCRIPTION:~_i~r~ ~"~
2
7
g
SLOPE SITE PLAN
11
12
13
14
15
WAS GROUND WATER
CE # 6266
s
L
O
P
E,
IF YES, AT WHAT
DEPTH?
W E
Reading Dale Gross Nel Depth to Net
Time Time Water Drop
DEPTH PERCOLATION RATE (minules/inch
(FEET)
TEST RUN BETWEEN ....... FT AND FT
PERFORMED BY: ~¢t ~T~ ___ CERTIFIED BY: ......... DATE: ....
[907 563-3t42
4500 Business Park Blvd.
Datum Building "B"
Anchorage, Alaska 99503
Datum Engi_neerin_g_
& Surveying, Inc.
April 11, 1986
John Kennedy
Municipality Of Anchorage
Department of Helath
825 L Street
Anchorage, AK 99501
Re: Lot 12, Block 6 Hyland Crest Subdivision
Dear John':
As per your request I have drafted a cross sectional view of the septic
leachfield on the above noted residence. The drawing shows original ground and
final grade after fill was placed. During excavation of the area for the home
approximately 4' of fill was placed on the designated septic system site. This
allowed a trench system to be installed and still remain over 4' above any water
noted in the percolation test. We hope this answers any questions in regard to
this system.
Please feel free to call with any future questions.
Sincerely,
DATUM ENGINEERING & SURVYEING, INC.
Mark T. Johnson
Materials Engineer II
MTJ/jg
DATUM ENGINEERING & SUr~VEYING, INC.
4500 Business Par ~d.
Datum Building "t~ '
ANCHORAGE, ALASKA 99503
{907) 563-3142
JOB
SHEET NO.
CALCULATED BY
CHECKED BY
SCALE
OF
DATE
0 o
P.O. Box 196650
MUNICIPALITY OF ANCHORAGE /'~
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
Anchorage, Alaska 99519-6650
343-4744
Parcel I.D.# 050-474-38 x~
1. GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
HAA #
Lot B1ock..G . HYl ' Crest Subdivision #3
Location (site address or directions)
Property owner Chris Rice &
Mailing address
10347 Stewart Drive
Eagle River,
Barbara Ward
A~
Day phone 694-2621
Lending agency
Mailing address
Day phone
Agent'
Address
Manny Escab~do Jack White ~.E. Dayphone 762-5854
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 3
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:
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 ver!fy 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.
~ , .Phone .~....2-7 ~ / ''~ ~'
Name of Firm Alaska ~'aier & ~'a~iewaier ~.~ ~,~._-¢,~¢~ i_.,~ c,
Address 7320 East Chester Hts. Circle
Anchorage, Alaska ')9504
Engineer's signature Date r/6,/~ (~
ALASKA WATER & WASTEWATER CONSULTANTSr INC
SHALL BE PAID $2217.50 FOR ENGINEERING
SERVICES PERFORMED. ~i
DHHS SIGNATURE
L// Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
By: f') .//////.~ ~ / ~/ ./'~~ Date
The MunicipaliW of Anchorage Depa~ment of Health and Human Se~ices (DHHS) i~ues Health Authori~
Approval Ce~ificates 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 cou~esy to purchasem of homes
and their lending institutions in order to ~tis~ ce~ain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a ce~ificate is issued. The Municipali~ of Anchorage is not
responsible for errom o.r o~issions in the profe~ional engin~¢s work.
72-025 (Rev. 1/91) Back MOA ¢21
Municipality of Anchorage AUG 0 7
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division ,MUNICIPAt. rIY OF ANr. J~)
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907)"'~-~-Ng~L
Health Authority Approval Checklist
LegalDescription: ).-¢'r I~,, t~uoc~. ~ ~Y[.r~4 C¢.~' ~[ ParcelI.D.:
A. WELL DATA
Well type ~
If A, B, or C, attach ADEC letter. ADEC water system nLJmber
Log preseht'~~ Date completed
Total depth ~-'-'6ae~t (above ground)
Sa,,ita~-" Wires properly protec"'""'-t~
FROM WELL LOG
AT INSPECTION
Date of test
Static water level
Well production
g.p.m.
WATER sAMpLE RESULTS:
g.p.m.
Coliform ~------"- Nitrate
Other bacteria
Date of sample: ~----
S. SEPTIC/HOLDING TANK DATA c~ ~--~.__.~
Date installed ~,/H./~/~
Foundation cleanout (~lN)
Date of Pumping /~ P.- c~
Collected by:
Tank size 1 7.¢'o Number of Compartments '~-- Cleanouts ~N) Y5'.¢
Depression (V~ /k.~O High Water alarm (~N) '¢~-~
Pumper ~ '
C. ABSORPTION FIELD DATA
Date installed ~,/H'/ct 0
!
Length ~, J Width
Effective absorption area
Date of adequacy test
Soil rating~or PEJi;,¢rm)
5
O. '~ System type .'~E
I
Gravel thickness below pipe ~.~' Total depth
Monitoring Tube preSent(~N) CE~ Depression over field (V(~
Results (Pass/Fail) For --~ bedrooms
Fluid depth in absorption field before test (in.); -'-'--
Fluid depth (ins) Minutes later:
Immediately after --'gal. water added (in.):
Absorption rate = ~ ,g.p.d.
Peroxide treatment (past 12 months) (Y/N)
If yes, give date
72-026 (Rev. 3/96)*
Do
LIFT STATION
Date installed
Manhole/Access ~N)
High water alarm level at*
Cycles tested
I
Size in gallons
"Pump on" level at* /~ 'Z I~ "Pump off" level at*
*Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic~tank on lot On adjacent lots
Absorption field on lot ~ .._~Qrr-adJ~ lots
Public sewer main ~~'~
Sewe'r'7~tic service line Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ~ Property line --~ I Absorption field
Water main/service line lOt+ Surface water/drainage /oo~'ff Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line "~'~' Building foundation J -~ I I.{.
Water main/service line
Surface water ~ oO~¢r' Driveway, parking/vehicle storage area
Curtain drain I,~0~4F_.. ~4~¢t.J Wells on adjacent lots
ENGINEER S CERTIFICATION // ~SPec'r~¢~4 ¢,~¢0~.T, ,
I certify that, have/d~rflC'/ed~leld inspections and review of Municipal ,eco~.~4~.t..~a~.~ms are
in conformance ~t* ¢¢~J-I¢ ~Juid~ines in effect on this date.
S gnature ~//~ ~"-~
En-ineer'sNa~ ' ¢ ¢ ~~ ~' ~~
Date ~ / ~/~ ~.
¢~/
HAAFee $ ?~
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver
Date of Payment
Receipt Number
38
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ,-/. 1(~(:2_
OF ON-SITE SEWER AND WATER FACILITY
264-4720
GENERAL INFORMATION
(a)
(b)
(c)
Application Date July 8, 19gg
Legal Description (include lot, block, subdivision, section, township, rang~)
Lot 12. Block 6 Hylen Crest, Sec. 8, T14N~ R~LW
Location (address or directions)
10347 StewELrt Drive Eagle River
Applicant Name H.I].D. c/o Telephone: Horoe .r~/a . Business 563-3333
Applicant Address Assoc±ated Brokers 640 W. 36f~ Ave. Rt-~.. #1 Anchn'c~ge 9950R-5807
Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain);
(d) Lending Institution n/~ Telephone
Address
(e) Real Estate Company and Agent n/a
Address -.
Telephone
(f) Mail the HAA to the following address:
Pick up by engineer
TYPE OF RESIDENCE
Single-Family ~ Multi-Family []
Number of Bedrooms 4
Other
WATER SUPPLY
Individual Well [] Community ~ Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite [~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 (11184)
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I~I'R'~cC~(~f'OF ANCHORAGE (MO./
AUTHORITY APPROVAL (NAA)
CM~CKLIST - FEBRUARY 1984
264-4720
~ Legal Description:
WELL DATA
Well Classification ~
Well Log Present (Y/N)
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
if A, B, C, D.E.C. Approved (Y/N) /
Date Completed Yield
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes (Y/N) _
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well '~.,,.2¢¢.~ '
To Property Line '¢',/~ /
To Water Main/Service Line f./'¢
Course ,'"~'.//~
/~¢F' ~'- Size /¢ ~ ¢ ~.~ No. of Compartments
Air-tight Caps (Y/N) ,)'/ Foundation Cleanout (Y/N) _,,"/'"
Date Last Pumped
· for
Temporary Holding Tank Permit (Y/N)
To Building Foundation ,¢ /
To Disposal Field ~ ?
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026(11/84)
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ,/~'~c ~--
Width of Field ~'- ~
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well ~'~..2Do
To Building Foundation ¢~-"~ /
Lot ~,~
To Water Main/Service Line '~'/~
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
Type of System Design
Length of Field ,.~¢
Depth of Field
Gravel Bed Thickness
¢.,4~(¢ ~ Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line '/'/(~ /
To Existing or Abandoned System on
; On Adjoining Lots z~'¢ /
To Cutbank (if present)
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have cJ~cked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed "~~~ Date
Company
Receipt No.
Date of Payment
Amount: $
Eagle Rivlr Engin~rlng Services MOA No.
P. 0. Box 773294- _ . / ~,,
Page 2 of 2
72-026 (11/84)
To
EAGLE RIVER ENGINE[RING SE[ ~'~:IPALITY OF ANCHORAOf:
DEPT. OF HEALTH &
P.O. Box 773294.9957F~VlRONMENTAL PROTECTION
EAGLE RIVER, ALASKA
,IUL ~L 9 1988
Phone 694-5195
RECEIVED
:f: ,~ ~'
LETTER
[] Please reply [] No reply necessary
aNCHORAGE/I~ESTERN DISTRICT OFFICE /
3,~01 C STREET. SUITE i334
/
~NCHORAGE , ALASKA 99503
STEVE COWPER, GOVERNOR
56D-~775
DATE:
PUSIO #: __~-_L~_ ~j&_c.., .........
To Uhom It May Concern:
Accord]hq to the r'ecords on ¢ile in this ee¢ice, the ............
~ 'r' d ~ * ~ / (~ [dater' System is in compliance with the
q!ate oC Alaska Dp~nk'inq Ha~e~ Regulations.
PSh:sa
Sincerely',
/~x~_.Ronald S. Kle~n
Environmental Field Officer
MUNICIPALITY OF ANCHORAGE
DEPAR i'ME. NT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICA] E OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
i. GENERAL INFORMATION
(a) Legal Descriptior~ (include lot, block, subdivision, section, township, range)
[ ocatio~ [adch ess or di~ ections)
(b) i:qcpiicant Name ~--~V- %(~¢~¢ __ Telephone: Home ~q ~%~,-,
Applicant Address ~1% ~T~% 0¢, ~. ~ (~
(c) Applicant is (check one): Lending Institution ~; Owner/builder ~Buyer ~; Other ~ (explain);
Business '¢-q G" L~q~.!/.
(d> Lend. id'¢'lnstitutibn ~ (~,C' ~"/-//,~" /V~,/_f/ Telephone
.'{Address
(f)
TYPE OF RESIDENCE
Single-Family [~"'Multi-Farnily
Number of Bedrooms
Other
WATER SUPPLY
Individual Well [] Community (~'/ Public []
Note: If community well system, rnust have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite [~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 {i t/84)
~¥.i~ ' "~-=i¥~i?,!,.; Fi'c.~ ',.'i.;OVIt21N~i; ~NSPECI'IONS, TESTS, FILE SEARCH, DATA AND INFORMATION
/\r~ ce~ [~i:i~d h~, ~y ~)al ~ffixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Aulho,-ity A~rov~d shows tha~ the on-site water supply and/or was[ewater disposal system is safe, functional and adequate
fo~ the RL~rnbet of bedrooms and type of structure indicated herein. I fudher verify that based on the information obtained
h-om the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
was[ewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of [his inspection.
Name of Firm ~ ~~ ' ~d~ Telephone
/
Address __L~o ~~ ~ ~U¢, ~,,
Engineer's Seal
Approved for bedrooms by Date
Approved ~v Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection {DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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.
Page 2 of 2
WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264~4720
Well Classification
Well Log Present (Y/N)
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTIOh
APR
Legal Description: L..~T' ,'Z., ~ ~'~'~ E D
If A, B, C, D.E.C. Approved (Y/N)
Date Completed Yield
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed ~,D-t~-~$ Size L(~¢~O No. of Compartments "2..
Standpipes (Y/N) __Y Air-tight Caps (Y/N) Y' Foundation Cleanout (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
TO Water-Supply Well f~/45.-
To Property Line '~'7..
To Water Main/Service Line
Course
Date Last Pumped
I~/.~- ; for ----'
Temporary Holding Tank Permit (Y/N)
Y
To Building Foundation
To Disposal Field ~'
To Stream, Pond, Lake, or Major Drainage
Comments
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
Type of System Design
!
Length of Field
1
Depth of Field ~r.
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Water-Supply Well
/
To Building Foundation
Lot ¥',/I,
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area. or Vehicle Storage Area
To Property Line "Zc[.
To Existing or Abandoned System on
; On Adjoining Lots GO r 4---
To Cutbank (if present) ~
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (.Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have cheqked/.~'erified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed g~t,,~' T', ~ Date
MOA No. ~-I-
Company
Receipt No.
Date of Payment
Amount: $ (~
Page 2 of 2
72-026 (11/84)
DE~. OF ENVIRONMENTAL coNsERV~TION~//' ~
ANCHORAGE/~ESTERN DISIRICT OFFICE
437 "[" SI~[[I, S~II[ 303
ANCHORAGE, ALASKA 99501
DATE
PWS I.D.# ~/ ~cL_ ~ ~
To Whom it May Concern:
According to records on file in ~chis office the ~--/~kjz_~ Cv~-~N~
Water System is in compliance with the State Drinking
Water Regulations
Sincerely,