HomeMy WebLinkAboutCHUGACH PARK ESTATES BLK 1 LT 23
- 1 2
Municipality of Anchorage P.ge __ 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: S~ ' 930392 PID Number: ~-)Z_~\_
Name: Wastewater System: [] New [] Upgrade
.~ am NewLy
Address: ABSORPTION FIELD
8821 Raqqed Top Cir
Phone: 3 3 8-- 2 0 4 5 I No. of Bedrooms:
4 [] Deep Trench [] Shallow Trench I~Bed [] Mound [] Other
I
LEGAL DESCRIPTION sci, Rating:0. 8 GPD/Sq. Ft. Total Depth from5 original grade:
Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe
23 1 Chuaach Park Est. 4 . 5 Ft. 0 · 5 ' Ft.
Township: [ Range: - I Section: Fill adde. d above.qrig[nal grade: Gravel length:
T1 ~I ]~lWI ]%IF. I /a el ~ varies z 12o z. 5 Ft. 37 I Ft.
Gravelwidth: see pg 2/2 Number of lines: ISistan~ebetweenlines:
WELL: [Dx:New [] Upgrade 27 ! 2l ! Ft. 4I u I Ft.
Classification (Private. A.B.C): Total Depth: Cased To: Total absorption ~rea: Pipe material: so.Eld: d~ 0 ~ 4
Individual 500 Ft. 153 Ft. :,_, 867 SQ. Ft. perf: f810
DateDrLIled: Static Water Level:Installer: EX94-0184 Date~n~tall§d,:9
Driller: Sullivan 10/93 120 Ft. Gold--Star Excav. - - 3
Yield: 0 · 6 GPM IPump Set at: Ft. [ Casing ~eight Above Ground:Ft. TANK
SEPARATION DISTANCES ~ Septic [] Holding [] S.T.E.P.
TO Septic Absorption Lift Holding Public/Private :MaAufact~rer Capacity in gallons:
From Tank Field Station Tank Sewer Lines ' ~-~.ncn, Tank 12 50
Well 108 101 na na +100 Material: Number of Compartments:
Steel 2
Surface LI MT STATIC N
Water +100 +100 na na +100 N/A
Lot Size in gallons: I Manufacturer:
Line 53 23 na na
I
"Pump on" level at: I "Pump off" level at: ~ High water alarm at:
Foundation
I
I
9.5 1(/ ~
Curtain Pump Make & Model I Electrical Inspections performed by:
Drain +100 +100 na na +100
I
BENCH MARK
Remarks: Well was hvrofractured 11-6- 3
See attached report (S&S Engineers) Location and Description:
Garage slab @ corner nearest
Owner requested only 4-bedroom edge of absorption field
Assumed Elevation: 100 o 0
system be ~nstalled. I _4,~'~"~'"~. Ft.
1100 gal water strorage tank installed in ~'
h~use crawl space
Construct.~ing Engineers 12/2/9~"~ ''~ ' ' ~~ ~/.¢f/(¢ '~/~~
Inspections performed by'. ('~^ ~¢~"J-'"'~ Dates: 1st__z..27~
Department of Health~'~l~, ~,~/ / ..~/__ H u~an'Se~, ices a~'~_//./_ ~ %, ~..~:"~'~'ss'°"~ ~"-,~' '
............... by~2,~ ' , ',/ -/'
72-013 (Rev, 9/91) MOA 25
AS-]BUILT DETAILS
WASTEWATER ABSORPTION SYSTEM
LOT 23 ]}LOCK 1 CHUOACH PARK EST SUS
PERMIT ~ SW 930392 PlO ~___051-481-32
PAGE 2 OF
BOTTO~I OF TEST HOLE 84.0 5 --
4~ SOLID
4~ SOLID ~ 7
CB~ 0 ' Lx~4' SOLID [
wi tu~ w ~
UNCLASSIFIED
FILTER FABRIC \
% 30 LF 4' PERF
1850 6AL SEPTIC TANK
(ANCHORAGE TANK)
-- BACKF-I-L-L ~
/
SEWER ROCK
37
CT[VE WELL RAD
B =
C : 36.5
SCALE l' = 50'
20 LF 4' PEPF
PREPARED FOR:
SAM NEWSY
8821 RAGGED TOP CIR
ANCHORAGE, AK, 99508
SECOND TEST HDLE LDCATION
~SION CRITERIA FDR REPLACEHENT SYSTEN,
600 6PD /I,26PD/SF :500 SF
CONSTRUCTING ENGINEERS
9601 BUDDY WERHER DR
ANCHORAGE, AK, 99516
346-~000
HC83 BOX 198A MYRTLE DR
EAGLE RIVER, AK, 99577
694 -9098
DATE, 5-5-94
SCALE AS SHOWN
DRAWING ~
MODIFIED AS-BUILT
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUM~,N SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
2
3
7
10
14
17-
18-
19-
20-
COMMENTS ~{') i-1~ O~,~'-- TO IC...~
DATE PERFORMED:
Township, Range, Section: -T t %/',J G1 bO t,J e ~//~r...~ I ~-
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S~
L
IF YES, AT WHAT O
DEPTH? p
E
Depth to Water Nter
Monitoring? Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ 5- s'- s4 --.' -"' ~", --'
PERCOLA'I'ION RATE '~ (minutes/tach) PERC HOLE DIAMETER __
TEST RUN BETWEEN~5 FT AND ~ FT
PERFORMED BY: ~_~L ~'"'~'~/~G I CERTIFY THAT THIS TESI' WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~/-~-~) +
72-O08 (Rev. 4/85)
( erlifie rilling
by
OOC Co. dba
SULLIVAN WATER WELLS
P.O. BOX 6702'!'2, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
OWNER OF LAND
ADDRESS/ ,~ ~.~ 670?3/
LEGAL DESCRIPTION IO'~- c~? Chtdga<.~-~
DATE- Started Ended:: [ ~/~'~
PERMIT NUMBER
,_VT/~/OT,_x/~F,EI'TH OF WELL
STATIC LEVEL OF WATER Fr. [ ~O
DRAW DOWN FT.
GALS. PER HR / I~
KIND OF FORMATION:
From 0 Ft. to ..
From ~0~ Ft. to
From q Ft. to _
From ~ Ft. to
From~Ft. to . .
From4{ Et. to ...
From. ~ Ft. to
From/f_~ ~ Et. to ._
From~=~___ Ft. to
From 7 g Ft. to
From ~'~ Et. to 4~,~"" Ft.
From q.~ Ft. to Il --] ~'Ft.
From !]~. Ft. to
From /Z~_ ~"'Ft. to/.~..~7 Ft.
From/53 Ft, to/'/O Ft.
From/7~1 . Ft. to"~ [ ~ Ft.
From~ ~ 1~ Ft. to-231~ Ft.
Ft.
Ft.
Ft.
Ft.
.Ft.
Ft.
Ft.
From
Ft.
Ft.
From~Ft.
Ft.
From Ft.
t o.__ Ft,
to Ft.
to Ft.
to Ft.
to Ft.
to__Ft,
MISCL. INFORMATION:
FT 7 Tn -
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 WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW930392
DESIGN ENGINEER:CONSTRUCTING ENGINEERS, INC.
OWNER NAME:RAYCHEL JEROME &
OWNER ADDRESS:24575 PARK DRIVE
CHUGIAK, AK 99567
DATE ISSUED: 9/22/93
EXPIRATION DATE: 9/22/94
PARCEL ID:05148132
LEGAL DESCRIPTION: CHUGACH PARK ESTATES BLK
T 23
1 L
LOT SIZE: 54535 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT:
5
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 (iSAACS0).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 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:
DATE: ~/2.~/~_~
DATE: ,,/~//~ ~
WATER AND WASTEWATER ABSORPTION SYSTEM
:5
II:SS: PERZI4ETER SETBAO(S,
BUILDING FOOTPRINT..
TOTAL AREA AVAILABLE FOR
~U~SOeeTZ~ SYS~E~...
SITE PLAN DETAILS
PROPOSED WASTEWATER ~SORPTION
~T 23 B~CK i C~GA~ P~ ESTATES
SCALE: 1" = 1~~
CONSTRUCTIN~ ENOI~ERS 346--2000
9601 BUDDY WEBER DR 69&-9098
~CHO~GE, ~, 99516 9-12-93
SYSTEM
SUBDIVISION
338-2045
DRA~N BY CAL
ABSORPTION SYSTEM DESIGN DETAILS
CONSTRUCTION NOTES
1. Bottom of Bed to be scarified prior ~o placing sewer rock.
2. Contractor to minimize use of mect~nicaL ~uipment on excavated area.
3. Bed ~o be Level incLudi~ bottom of bed and dis%ribution LateraLs.
4. Minimum 2' cover over p~pes with 2" ND insulation, or 4' ground cover.
5. Finished instaLLation to be top-soiL and seeded by owner.
ABSORPTION AREA CALCULATIONS:
Minimum Required: 5 Bedrooms x 150gpd/bedroom = 750 gpd capacity
Soils rating, proposed addition, 0.8 gpd/sf
Minimum sizing: 750 gpd % 0.8 gpd/sf = 938 sf absorption area
Bed Design: Use 24'W x 40'L bed (minimum) w/ 4 ea 4" Perf pipes
on 6' centers, each 34' long.
IMPACT ON ADJACENT LOTS: There are no private wells within 100' of this
proposed absorption system. The proposed absorption system has no adverse
impact upon any adjacent lots as shown on attached site diagram. The lot is
to be served by a private well on-site.
ENG] SEAL
DESiG~ D~TAiL~
PROPOSED WASTEWATER ABSORPTION SYSTEM
LOT 23 BLOCK I CHUGACH PARK SUB
PREPARED FOR: SAM NEWBY
8821 RAGGED TOP CIR
ANCHORAGE, AK, 99508
338-2045
NOT TO SCALE
ORA~/N BY CAL
CONSTRUCTING ENGINEERS346-2000
9601 BUDDY WERNER DR 69~-9098
ANCHORAGE, AK, 99516
9-12-93
DRA~ING # 9~-S2-09-5
PERFORMED FOR:
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: /'"'~'~ ~;~1 C.hufl~.T.h'~',~C ~rTownship, Range, Section: t, JE,~/~· ~'1~- T)~'~ ~)~'-~
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
WAS GROUND WATER
ENCOUNTERED? NO
SLOPE SITE PLAN
S
L
IF YES, AT WHAT ~ O
DEPTH? P
E
Oepth lo Water
Monitoring?
A
F
1-
#
Gross Net Depth to Net
Reading Date Time Time Water Drop
·
¥ 4," --
PERCOLATION RATE~ Il'/'' {m,nutes/,nch) PERC HOLE DIAMETER ~"
TEST RUN BETWEEN ~ FT AND ~ FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE;
72-008 (Rev. 4/85)
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 AU'FHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1. GENERAL INFORMATION
Complete legal description
Lot 23, Block 1, Chuqach Park Estates
Location (site address or directions) T4, ] ] b,~,-q D~'~ ye
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
Sam Newby
8821 Ragged Top Cir
Day phone
338-2045
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: W~l~r (4)
TYPE OF WATER SUPPLY:
Individual well X
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
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 Constructing Engineers
9601 Buddy Werner Dr
Address Anchorage, AK, 99516
346-2000/694-9098
Phone
Engineer's signature
Date 4-25-94
DH/~ SIGNATURE
Approved for
Disapproved.
bedrooms.
Conditional approval for bedrooms,
with the following stipulations:
Additional Comments
Date '~/,'~"~
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.
72-025 (Rev. 1/91) Back MOA #21
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: T,-I-. 2~.. R1]~_ l: C..h~gR~h Parcel I.D.
Park Estates
A. Well Data
Well type In(~ividua~f~ .,~.: _ A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) y Date completed 10/93 Driller Sn
Total depth 500 Cased to 153 Casing height
Sanitary seal (Y/N) ¥ Wires properly protected (Y/N)
m ~
FROM WELL LOG
AT INSPECTION
Date of test 1 [3./93
Static water level 120
0.2
Well flow
Pump level1 unk
Note: 1100qal water st~age
SEPARATION DISTANCES FROM WELL TO:
108'
Septic/holding tank on lot
Absorption field on lot 101 '
Public sewer main + 1 0 0 '
Sewer service line 102 '
g.p.m.
0.6
unk
tank installed in
Well hydrofracture~
11-6-93. Well tested
by S&S engineering
g.p.m,
house crawl
+100'
; On adjacent lots
; On adjacent lots + 10 0 '
Public sewer manhole/cleanout + ! 0 0 '
Petroleum tank + 100 '
space
WATER SAMPLE RESULTS:
0
Coliform
4-7-94
Date of sample:
Nitrate
0.52
Collected by:
0
Other bacteria
SO
B. SEPTIC/HOLDING TANK DATA
Date installed 12-39 93
Cleanouts (Y/N) Y
High water alarm (Y/N) N/A
Date of pumping New
Tank size 1 2 5 0 Compartments 2
Foundation cleanout (Y/N) Y Depression (Y/N)
Alarm tested (Y/N)
Pumper NA
N
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
108'
Well(s) on lot
To property line 53 '
Surface water/drainage
On adjacent lots + 100 ' Foundation 9.5 '
Absorption field 5 ' Water main/service line + 50 '
+100'
72-e2s (3~3)' F~, CONTINUED ON BACK PAGE
C. LIFT STATION N/A
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
"Pump on" level at
Manufacturer
Manhole/Access (Y/N)
"Pump off" Level at
Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Sudace water
D. ABSORPTION FIELD DATA
12/2/93
Date installed
Length $ 7 ' Wlo'th
Total absorption area _ · ~.&~ ~.~anout present (Y/N)
Date of adequacy test N/A New Results (pass/fail)
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
Soil rating (GPD/FF) 0.8
2 7 '/21 ' Gravel thickness
Y
0.57
System type Be d
/.b De/ow fg
Totaldepth 5' below OG
Depression over field (Y/N) N
for Bedrooms
After test
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot 101 '
To building foundation
On adjacent lots + $ 0 '
Sudace water + 10 0 '
Curtain drain + 10 0 '
10'
On adjacent lots + 10 0 ' Property line 2 3 '
To existing or abandoned system on lot na
Cutbank 5 0 ' Water main/service line + 5 0 '
Driveway, parking/vehicle storage area + 2 5 '
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conDrmed to al MOA and HAA guidelines in ~
Signature
Engineer"s Name Henry H.
Date 4- 2 5 - 9 4
Wilson
#fect ~~_ i~LinspectiOn.
AZ,- % ·
HAA Fee $
Date of Payment
Receipt Number
72-026 (3/93)' Back
Waiver Fee $
Date of Payment
Receipt Number
WATER WELL ADVISORY~
During a recent Health Authority Approval on-site inspection and
tes~ of the potable w.a~.ter supply well on Lot ~ ,' Block /
was de%~rmined to be ~ gallons per mlnune. The minimum well
produqtivity required by this department (AMC 15.55) for
a ~--.. bedroom residence is~,~-~ gallons per minute.
Although the subject well currently exceeds this minimum
requirement, all part'les concerned are advised that the
production capacity of ~he well may fluctuate. Restriction of
noncritical water uses such as washing cars and Watering lawns
and gardens may be required.
This advisory must be attached to all copies of the subject
Health Authority Approval.
~LI ENT:
:~E&L?H &uT~OR[1¥
f.~.WE R & WA?ER
STUDIES
SdT£ PLAN~
I~[nCOLA t~ON
~T~TURAL &
RGGERSHAF£~, P E
WELL RECOVERY
CIVIL ENGINEE.~S
FAX 694 12~'
WELL LOCATION (legal):.. ~C~% ,,~_~&-~ k--.~-~o.C-..k~..
T~ST D~E: ~% -~ 5 - a~ ......... TESTED
-, , -.
WELL DEPT~: ~ WELL ,DR!L~
CASING DEPTH:
1) Draw water down [o pump.
2) Shut ~ump off 15-60 min.
-record time
-re~ord meter reading
3) Turn pump on. Drawdown.
4) Shut pump off.
-record time
-record me,er reading
5) Calculate gal./min, recovery.
DATE DRILLED:
Casing ~eight:
Sanitary
Wires in'Conduit?~_._
Grading O.K.?~__~~
Pump Depth~
Samp~e~
TRIAL
o?~ ~,, oo ~..?, % - ......
FLOW ~TE NOT GU~TEED'-SUBBEQuE~T~%~IATION8 C~ OCCUR~
OFF \';..'. 1.-_o _----'
~_~ START TIME: \\' ~"~'~_ STATIC WATER LEVEL: