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HomeMy WebLinkAboutDELUCIA LT 43 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: ~]~/ ~q~;~.-/ PID Number: L~)~/--/~/-- Name: ~/~O~ ~. f~ Wastewater System: ~ew ~ Upgrade Address: //2~ ~p ~~ ~ ~9~77 ABSORPTION FIELD Phone: ~ No. of Bedrooms: ~?~' ~/~5 ~ ~ ~ Deep Trench ~ShallowTrench ~Bed ~Mound ~Other Total Depth from original grade: LEGAL DESCRIPTION so,,,~,~: /.2 ~.~sq. ~. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth ben.th pipe Township: /~ I Range: /~ I Section: ~ Fill added above original grade: Gravel length: WELL: ~ New~7/s~ ~ Upgrade Gravel width: ~ Ft. Number /°f lines: Oistanceb~weenlines: Classification~/~ ~(Private' AB,C): T~t h: Ft Cased/ ~ /To: ~Ft. Total absorption area:~ SQ. Ft. Pipe,~material: Driller: Date Drilled: Slatic Water Level: installer: Date installed: ~v~_ D~,~u~ I~?~ /~o ~,. ~.~. ~~ Yield: ~ GPM I ~,. leasing HelghtAboveGround:F,. TANK SEPARATION DISTANCES ~eptic ~ Holding a S.T.E.P. To Septic Absorphon Ldt Holding ~Pnvate Manufacturer: Capacit~g~ns: w~,. ~' /~' ~/~ ~1~ ~/ ~ Ma,~r,.,:~f~ Surface Water ~/~ ~ LIFT STATION LineL°t ~ ~0 / ~ / Size in gallons: Manufacturer: Foundation ~ ~} ~/~ "Pump on" level at:' ~"~ter alarm at: Curtain ) p~e Drain ~/~ f f Pure ctrical Inspections pedormed by: Remarks: BENCH MARK Location and Description:  Assumed Elevation: ENGINEER'S SEAL Inspections performed by: ~ ~ ~ ~ Dates: 1st 0~/~/~. ~r~.~ .~.~,.' ........ ' E. ~ · ' ......... Department of Healt~d Human ces appr val ~;~:;..~. ¢ ~ ,/~,~c~-:.~':~ Reviewed and approved b f Date'/ ~;~' ?'~ '~ ....... 72-013 (Rev. 9/91) MOA 25 Permit No. ,~]~/ ?~ (~ '~Z./ Page ~" of ~ 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/~I/~ Z. -r 5'3 NBg'59'0'W 175.0 GAL SEPTIC TANK SCALE [] - · 0 -- + - ~9'59'0'W 1 ! O.5--1.0' ADDED FIU. NBB,O ORIGINAL 0 GRnUND LEVEL 95,0 ~NO I1. B~.O' SWING TIES: A - C =. 48,6 B - C = 38.5 A - D = ~4.7 B- D : 64.6 A - E = 57,0 B - E = 53.3 1" =40' TEST HOLE MONITOR TUBE SEWER CLEANOUT WELL PROPOSED LEACH FIELD ENGINEER'S SEAL ~..~ ............ ...W~ "L~ A. BU~RA .' ~ 72-013 A (2/91) MOA 25 I~ ~ ~59 ~ ~5S 969 ~ SB31AMBS H3BI S~ £~ dBS PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.0. BOX 196650, 825 "L" STREET, ROOM 502 / ANCHORAGE, ALASK 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940321 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:FRANK LINDA G OWNER ADDRESS:il832 OLD GLEN HIGHWAY EAGLE RIVER, AK 99577-0582 DATE ISSUED: 8/29/94 EXPIRATION DATE: 8/29/95 PARCEL ID:05114106 LEGAL DESCRIPTION: DELUCIA LT 43 LOT SIZE: 31363 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 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 C~IAPTER9 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 343-4744 (24 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: ISSUED BY: DATE Louis Butera, P.E. Registered Civil Engineer August 16, 1994 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Delucia, Lot 43 Narrative Dear Mr. Smith: The proposed septic system will have very limited impact on adjacent properties for the following reasons: 2. 3. 4. 5. The surrounding lots are large, allowing sufficient room for septic sites. Immediate neighboring septic systems are all +30' distance. Reserve space is adequate, due to absorption capacity. Drainage will not be affected and is not a major consideration in our design. Both subject and neighboring properties have established private wells. The proposed replacement site will require a 5' variance of the 50' distance requirement to a slope break of 25% or greater, to 45' setback. The natural slope is approximately 45-60% and is fully vegetated, and in our opinion will not cause an effluent surfacing problem. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \C :\WPWIN60\WPDO CS\ 1994\94-053A.NAR P.O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · Fax (907) 694-3297 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Delucia Lot 43 Ao GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. DRAINFIELD 1. The drainfield is to follow the natural land contour to maintain uniform total depth of the drainfield bottom. 2. The bottom of the drainfield shall be level, plus or minus 1.5". 3. The total depth of the drainfield excavation is not to exceed 7' at any point. 4. The leach line is to be laid level (+_0.02'), with 3.5' of gravel under pipe and with 2" gravel over pipe. 5. The drainfield gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. 7. The area over the drainfield is to be finish graded to prevent ponding of surface water runoff. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH = 7' GRAVEL DEPTH = 3.5' DRAINFIELD LENGTH = 41' DRAINFIELD WIDTH = 5' SOIL RATING = 1.7 GPD/ft2 BEDROOM CAPACITY = 3 SEPTIC TANK = 1,000 gallons Twenty-four (24) hours notice required for all inspections. C:\XVPWIN60\V~PDOCS\ ! 994\94-053 A.SPC 'l SLOPE B RE A.__..._~K N89o59,0,¥/ 175,~ LTE 000 GAL SEPTIC TANK PRQp HOU$~ '~ WELL +150' LOT LINE z ~_ APPROX N89°59'0'~/ 100,0 (~7 EXISTING WELL (1979, 240') NEEDELS LOOP NO SURFACE WATER NO KNOWN CURTAIN SEPTIC DRAINS SITE PLAN LEGAL: LOT 46 DELUCIA SUBDIVISION OWNER: DEAVER CONTRACTOR: N/A JOB // 94-053 DATE: 08/16/94 SCALE 1" = 40' EAGLE RIVER ENGINEERING SERVICES A P.O. Box 773294 EAGLE RIVER, AK. 99577 (.907) S94-S r 95 FAX: (907) ~94-3Z97 I~ - TEST HOLE · - MONITOR TUBE o - SEWER CLEANOUT -+- - WELL PROPOSED LEACHFIELD EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK 99577 (907) 694-5195 JOB SHEET NO. CALCULATED BY CHECKED BY SCALE Delucia Lot 43 OF DATE DATE 08/15/94 08/16/94 3 Bedroom Capacity Tank size = 1,000 gallons + (3-3)(250) = 1,000 Field capacity = (150) (3) = 450 gpd Perc rate = 1.7 min/inch 450 gpd + 1.2 application rate = 375 ft2 Area = 375ft2 + 5width = 75 ft2length 75 ft x 0.54 reduction rate for 3.5' gravel = 40.5' Recommended dimensions: Gravel width = 5' Gravel depth = 3.5' Trench length = 41" \1993\93-017A.CAL PERFORMED FOR: Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Township, Range, Section: 1 2 7 8 10 It 14 20 COMMENTS I l,,J .~ 1Al.C- o~ ~ 1%,psol~; LoAH, rs~N,, SLOPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT J~jl~ ~ DEPTH? p E ].,,, ,o Wa,.. ,,. rd t:e.~,,: ~/, o/'~q Moniloring? SITE PLAN N _._~. 5~r~- F LAb4 - Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN 1,1,~" %t,o~1[ p r-'l 1" ~o I'b' 1,7 (minutes/inch) PERC HOLE DIAMETER 5'~'' FTAND '~'J.5 FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: 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. # 051-141-06 CERTIFICATE OF HEALTH AU?HORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA# H~ 1. GENERAL INFORMATION Complete legal description Delucia Lot 43 Location (site address or directions) NHN Needels Loop, Chugiak Property owner Mailing address Lending agency Mailing address Agent Address Floyd Deaver P.O. Box 770582, Eagle River, AK Day phone 99577 Day phone 694-5195 msq N/A Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 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. X 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 inves.ti_gation 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 Eagle River Engineering Services Phone 694-5195 Address P.O. Box 773294, Eaqle River, AK 99577 Engineer's signature ~ Date DHHS SIGNATURE Approved for -~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Note~ mb~ w~] ] ~nr this property meets e~ sting State and Municipal Codes. There are nitrates present. It is continued suitabili~y~? Nitrate concentration is 7.2 zu~mum concentration ~s 10.0. mg/1. By: ~ ~ ~_/ /~~., ~- Date / mg/1. EPA The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 724325 (Rev. 1/91] Back MOA it21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Parcel I.D. A. Well Data Well type /~£////"Y7'~: If A, B, or C, attach AD~C letter. ADEC .water' .System n. umber Log present ~/N) ~ ~ Date completed / ? ?? Driller Cased to ~O/ Casing height ~/~'~ Total depth Sanitary seal (Y/N) Wires properly protected (Y/N) ~/ FROM WELL LOG AT INSPECTION o ~ g.p.m. G, ~ g.p.m. ~ Date of test Static water level Well flow Pump level1 ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout SEPARATION DISTANCES FROM WELL TO: Septic/t'~,~,g tank on lot /0.~ ! Absorption field on lot //~ / Public sewer main Sewer service line Petroleum tank ~100 / WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: 0 ~/~ 0/~ '~, ~.. /~f~/L.- Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size /000 Compartments Foundation cleanout (Y/N) ~<~ Depression (Y/N) /,//A Alarm tested (Y/N) /'~//,,~ - /~/~.2 Pumper //~//,'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /0-~ / On adjacent lots To property line '~ ~ ~ Absorption field -/- .~ / Surface water/drainage /V/,LI t/OD ' Foundation --~' Water faai~/service line 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 DISTA~'~ROM LIFT STATION TO: Well onl~-~'~ On adjacent lots D. ABSORPTION FIELD DATA Date installed Length Z~.~ f Total absorption area Date of adequacy test Width Manufacturer ~ Ma~N) "Pump off" Level at Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Cycles tested Soil rating (GPD/FF) ?' / Gravel thickness Cleanout present (Y/N) Results (pass/fail) Surface water System type Total depth Depression over field (Y/N) After test If yes, give date Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot //.~, t To building foundation I On adjacent lots ~ .~ 0 Surface water /"///~ Curtain drain On adjacent lots -~/'-/~ / Property line To existing or abandoned system on lot Cutbank /"//J~ Water m~a=~service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to afl MOA and HAA guidelines in effect on the date of this inspection. Signature ~ Engineer's Name £0L//5 ~L2~'~_--~/~: Date HAA Fee $ Date of Payment Receipt Number Waiver Date of Payment Receipt Number 72-026 (3/93)* Back 10/04/94 1~:~3 CT&E ENUIRONMENT~I_ LAB SERUICES ~ 9{3? 694 2fi. Zg? N0.755 ---- CommemJ~l Testing Co. & Engineering ~i £nvironm~l ~ora~o~ Se~i~s ~-_~ ........ _------ ........ ~ 5§33 B Street Anchoeege, AK 99,518.1600 'Tel: I907) 562-2.343 I~~ Member of fha 8G~ Group {S==i~t~ ~6nl~-rale de ~urveillance) ENVIRONMENTAL FACILITIES IN A{.,A~I'[A, COLORADO, FLORIDA. ILLINOIE,, IVIARYLA~D, NEW JERSEY, OHIO, UTAH. WF_.~T vIRGINIA ~3:~ CTEE ENUIRONMENT~ L~B SERUICES ~ 90? ~54 ::~? NO.755 ~03 CHEMICAL & GEOLOGICAL LABORATORY TELEPHONE (g07) 562-2~1~ 5633 B S~e~t Aacherege, Alaska a9518. COMMERCIAL TESTING & ENGINEERING C0. AK DIV Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER p USUCWATI=RSYSTEMI'D'# Lf I I I T-] RIVATE WATER SYSTEM P. O. BOX. 773294' I~ Treated Water [] Untreit~l Water TO BE COMPLETED 8Y LABORATORY '~I, nalysla shows this W~ler SAMPLE lo be: O~sfa~o~ Samp~ ~ ~ in transit; aam~e ~hou~ ~ ~ o~r ~ houm etd a examin~bn ~ [~e rei~bte msu~s, Pi~e send new s~ via ~l delive~ ma~. T~ ~N~ - [ ~ ~ No. ol colonie..~'100 mi, $^MPLE TYPE: ]:~oullne Ch~k ~le {for routine with tab mi. ~. SO. iai ~ ,~AMPLE ~. LOCATION READ INSTRUCTIONS BACTERIOLOGICAL WATER ANALYSIS RECORD COilform/l~J mi BEFORE COLLECTING SAMPLE TNTC = Too Numerous To Count OB = Other Bacteria Member of the ~IGS Group (~o~i~td Ge-n~rale de .~urveJ~lance)