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)