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HomeMy WebLinkAboutCONTOUR ACRES #2 LT 6 ~ Municipality of Anchorage Page / 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: ~PJ ~ 5 0~)~-.~ PID Number: ~/'~ ~.~/' N~me: ~~ ~ Wastewater System: ~ew C Upgrade Address: Phone:~ 5 ~ NO. of Bedrooms: - ~/~ ~ ~eep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other Soil Rating:_ Total Depth from original grade: LEGAL DESCRIPTION O,~5 ~,o/s~. ~. t~ Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: ~ Range: ISecti°n: Fill added above original grade: Gravel length: /~ Gravel ~ Number of lines: WELL: ~ New ~ Upgrade ~/~ ~ Ft. / /~ Ft. Classification (Private, A,B,C): :Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Dritled:~0~ ~r Static Water Level:Ft. Installer:~,,~,~ ~ ~ Dateinstalled~/~ SEPARATION DISTANCES ~eptic ~ Holding ~ S.T.E.P. To Septic Abaorption Lift Holding ~Private Manufacturer: Capacity in~ Fro~ Tank Field Station Tank Sewer Lines ~ Well ~/~0/ ~/~/ ~/~ ~/~ ~5/ Material: 5~, Number°lC°repaYments: Water Line PlO~ plO~ k) Ol Size in gallons: Manufacturer: Cu~ainDrain ~/~ ~ Pum~ectrical Inspections pedormed by: Remarks: BENCH MARK Location and Description:  Assumed Elevation: Department of Health uman~ices approval / Reviewed and approved by: / Date ~ 72-013 (1/91) MOA 25 Permit No. Page 2 of 2 Municipality of Anchorage DEPARTMENT Of HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 545-¢744 On-Site Wastewater Disposal System and/or Well Inspection Report VACANT Legol Description: CONTOUR ACRES .2 LOT 6 PID No,: 0/¢- Z/~/--%?¢~ LOT ~ N e9'59~0' v CALE 1"=60 500 GALLON SEPTIC TANK APPROX HOUSE WELL PENNEY CIRCLE ELEVATIONS (NOT TD SCALE) TOP OF CONC, FOUND FOOTER 111,3E ASSUMED ELEV. AVE. ORIGINAL GROUND LEVEL '~HTl 88,5 MT~ 88,6 0  NO GWT 82.5 SWING TIES  - MONITOR TUBE - SEWER CLEANOUT -~ - WELL ~ - LEACHF1ELD -- -- - EASEMENT 7/17/95 ENGINEER'S SEAL ~ L%."' ~,~'".~o, ~-:~.;~; .... ::~.~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW950043 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:MUNTER JAMES A & ELIZABETH D OWNER ADDRESS:5701 PENNY CIR ANCHORAGE, ALASKA 99516 DATE ISSUED: 4/11/95 EXPIRATION DATE: 4/11/96 PARCEL ID:01745122 LEGAL DESCRIPTION: CONTOUR ACRES #2 LT LOT SIZE: 89494 (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 (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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: DATE: Louis Butera, P.E. Registered Civil Engineer April 5, 1994 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Contour Acres F2 Lot 6 Narrative & Permit Application Dear Mr. Cross: The proposed well and septic systems will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance. 3. Reserve space is adequate, due to absorption capacity and large lot size. 4. Drainage will not be affected and is not a major consideration in our design. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \C:\WPWIN60\WPDOCS\1995\95-019A.NAR 0 P.O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · Fax {907) 694-3297 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Contour Acres//2 Lot 6 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. 1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The bottom of the trench shall be level, plus or minus 1.5". 3. The total depth of the trench excavation is not to exceed 10' at any point. 4. The trench gravel is to be covered with typar fabric material. 5. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. 6. The area over the trench is to be finish graded to prevent ponding of surface water runoff. 7. 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 I.EACHFIELD DIMENSIONS: TOTAL DEPTH = 10' GRAVEL DEPTH = 7' under pipe, 2"over pipe TRENCH LENGTH = 120' TRENCH WIDTH = 3' SOIL RATING = 0.45 GPD/ft2 BEDROOM CAPACITY = 5 SEPTIC TANK = 1,500 gallom minimum Twenty-four (24) hours notice required for all inspections. C:\WPWIN60\WPDOCS\1995\95-019A.SPC LBT 5 NFl WELL +100' LF1T 3 TH [] 500 GALLDN SEPTIC T/~NK WELL PE'N I~ E-Y--OIR2:T_ E -- 50' [- NO SURFACE WATER NO KNOWN CURTAIN DRAINS WELL &: SEPTIC SITE PLAN LEGAL: CONTOUR ACRES #2 OWNER: MUNTER LOT 6 CONTRACTOR: N/A JOB # 95-019 DATE: 04/05/95 SCALE 1" = 60' A EAGLE RIVER ENGINEERING SER WCES P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 [] - TEST HOLE · - MONITOR TUBE o - SEWER CLEANOUT 4- - WELL PROPOSED LEACHFIELD EASEMENT EAGLE RIVER ENGINEERING SERVICES P,O. Box 773294 EAGLE RIVER, AK 99577 (907) 694-5195 SHEET NO. OF CHECKED BY DATE SCALE !Single Family 5 Bedroom Dwemng Co,tour AcreS' #2, LOt'6 5 Bedroom CapacitY = 750 GPD Soil R_ate..= 33 min/~ch, and 22 min/inch :. = 0,45 GPD/ff2. application rate for trench .system Required Absorption Area = 750 gpd / 0.45 application rate = 1,666 square feet 1,666 S'F/ (7' rOCk'=x 2) ~ 120' Gravel Depth Gravel l~ngth Total Depth = 7' = 120' = 10'- C:\VfPWqN60VNPDOCS\ 1995\95-019A:CAL PRODUCT 204-1 (Single Sheets) 205-1 (Padded) ~® Inc., Groton, Mass, 01471. To Order PHONE TOLL FREE t-800-225-6380 Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: Township, Range, Section: SLOPE SITE PLAN ENI DEl Oepth PE ¢ GROUND WATER JNTERED? /V'O 11 YES, AT WHAT 'H? 12 4It to Waist After ; 3 ,g? ~e~, Oar. Gross Net Depth to Net Reading Date Time Time Water Drop I *, ]/:~ ~o ~,~ ('-Io '~' ~/15 " & " 11: ~ ~ ~,~ C ' - I. ~;,~ ' ~11~" 14 15 16 17 18 19 2O :OLATION RATE ~'..7 (minutes/inch) PERC HOLE DIAMETER ~:~ / TEST RUN BETWEEN ~ FT AND 6',J- . FT COMMENTS PERFORMED BY: ~'""/~ ~',~" I ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THISOATE. DATE: 72-008 (Rev. 4,85) Municipality ol Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: "~"' I ~,'~ ,,J~ ,~ ¢,~ I~.v' LEGAL DESCRIPTION: ~,.,.v'7""o~,. ~ ,~." ¢'~.¢ '~'.,,~. DATE PERFORMED: Zo/-& Township, Range. Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE SITE PLAN WAS GROUND WATER JNTERED? YES, AT WHAT DEPTH? Water After g? Date:. S L O P E Gross Net Depth to Net Reading Date Time Time Water Drol3 / /~ / ~,'~'~" /5' ,'..,;., ~ '-/I '~.4~~ ~ ~/~" ~. ~f I~" : I/ " ~ ~- 11 ~ ~ Iol/~ " PERCOLATION RATE TEST RUN BETWEEN ~' "/ (m,nutes/incl~) PERC HOLE DIAMETER .~, .C FT AND ~"'J'- FT PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL. GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev 4,85J CERTIFY THAT TH,S TES WAS PERFO.MED ,. Munictpalily ol Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "1." Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~h/7"o1.. ~ ,.~'" *CJ ~'~ Z,,/'A Township. Range. Section: ,~,,~ 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE GROUND WATER ;OUNTERED? /V'O S L S, AT WHAT O PTH? p E lo Waler Alter~ g? r,/ Oale: 3'/~,,/'~,s- SITE PLAN Reading Dete Gross Net Depth to Net Time Time Water Oroo PERCOLATION RATE__~-/~ (m,nuteslJnct3) PERC HOLE DIAMETER ~' /~' TEST RUN BETWEEN 7 FT AND ~ FT PERFORMED BY: ~-~:3 ~'.~- I =~=~=---=~:~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; . . 72-008 {Rev 4,85) PAt:~WAV ATRIUH BLDG P,O2/m):) BTATi OF ALASKA DiViSION OF M~ h WAT~ MGMT WAT~ WELL RECORD ~,~/.V~,,,~ ~L.--,~_.,~ Serv,ces BONOUGH OUlIONItl0N LOT ii,om( I~OTKUt GTI&t ~,~i'tON TOWNItM IMNM ON OB LOCATION/BKETCH: WELLOWNEK, ~"~- ~/~\- ~- · I ' ii . I ~l~PlPUq~ _llr41~ ~UREDI FRO~l~cm~ina top I:],r~.nd surface WE.L or~'H, , _.. DATe OF COMPLET~ -- I ' r O~ al BOREHOLE DATA= OW/th Depth of ~llhlO:.~l~~' ft ~/ I ~,' !~.~ .Material Type and, C_rn~'_ Fr~m To plgS~14 1~ ST&TIC WATIR , - METHOD OF D4tlI,MNO; ~'?Z'~-~'~'-' - '"" ' -': ..... ' ' ' ' , · '-" / '"" ' - / ' ~ INTA~ OPENINg3 TYI~: [] open end [] .,:reenecl . ~ ~' ~ ~ t.~ ~-:.-._.,~__~ s~,: -' L,.mh; f~ :.~--~-~.<-~ -,~ 4~,'z,~,.,~ --- .. , ' ' / GROUT TYI~ Volumm ~/~<'""':' . :~,/. ~,. ,,/:__? ,,'~<"~ 4~' o,,~...~.,c.,,.... . .. PUMPING LIVe. AND YIEI,D; PUMP fffl'AKE DEPTH: ft Hompower: WIB.L IXSIN~KI UPON,GOIdPLETION~T~, YEti,' I'! 'HO m II ('~ ~ PLEASE MAIL WHITE COPY OF LOG 1'0: · ~...,.,~.,e~.~.-.~ DIlRffXvleION OF MINING & WATER MOMT Parcel I.D. # 017-451-22 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA # 1. GENERAL INFORMATION Complete legal description Contour Acres #2 Lot 6 Location (site address or directions) 5701 Penny Circle, Anchorage Property owner Mailing address Lending agency Mailing address Agent Address James & Elizabeth Munter Day phone 345-0165 12457 Alpine Drive, Anchorage, Ak 99516 N/A Day phone N/A Day phone e t¸ , Unless otherwise requested,. HAA will be held for pickup. NUMBER OF'BEDROoMs: TYPE OF WATER SUPPLY: '.: ~ :individual well , .Community well x Public water NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding, tank Community on-site Public sewer If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ,, ,. ',:,.; 1,!!1 ~, ";? ,' ~'...h ' ~ , , ',, .,.,)> ,,. , If community wastewater system, provide written confirmation from'State ADEC a~esting to the legality and status of system. NOTE: 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 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. Name of Firm Eagle River Engineering Services Phone 694-5195 Address P.O. Box 773294, Eagle River,' Ak 99577 Engineer's signature Date... Se DHHS SIGNATURE v~' Approved for J-'- Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date ~//- / 7- ,he Municil~ality of,~{~n'chorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificat~s.;baSed only upon the representations given in paragraph' 5 above by an independent P oTess~oma[ 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 Legal Description: A. WELL DATA Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825%" Street, Room 502 · Anchorage, Alaska 9950~ · (907) 343-47~ Health Authority Approval Checklist '~ Well type /~£/t,/,q"/'~' IfA, B. or C. attach ADEC letter. ADEC water system number Log present (Y/N) .y~'~ Date completed Total depth ,gTt b9 ~ / " Cased to, / ~ / ~ Casing height (above ground) /"/ Sanitary seal (Y/N) .Y~-'~ , , Wires properly protected (Y/N) FROM WELL LOG Date of test /9 ~'/Z9 ?./~ ~ Static water level /.~ '~ ! Well production ~ WATER SAMPLE RESULTS: AT INSPECTION Coliform /~ Date of sample: //~ g ~ 9 ~" B. SEPTIC/lt~hlt~l~ TANK DATA Nitrate /o~75' '~' ~/" Other bacteria Collected by: ~: ~' Date installed ~ Foundation cleanout (Y/N) Date of Pumping /~1//} Pumper ABSORPTION FIELD DATA Tank size /~00 Number of Compartments ~ Cleanouts (Y/N) Y~----~ ~/~-'~ Depression (Y/N) /~a High water alarm (Y/N) Fluid depth in absorption field before test (in.); Fluid depth ,,/3)//~- (ins.) Minutes later: Peroxide treatment (past 12 months) (Y/N) Immediately after gal. water added (in.): Absorption rate = g.p.d. If yes, give date Date installed 0 ?.//~-/~5 Soil rating (g.p.d./ft: or--fg/Mrm) /~/-~ 5 System type' Length /~ Width ~,"~ Gravel thickness below pipe 7 / Total depth Effective absorption area ]{P~O/~ Monitoring Tube present(Y/N) )/~'~ Depression over field (Y/N) Date of adequacy test ~////~-/~/~4,TResults (Pass/Fail) tD,/Ja~ C For ,~ bedrooms Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* "Pump off" level at* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/lm~iag tank on lot d-/~)/~ ~. ; On adjacent lots Absorption field on lot ~/OO J ; On adjacent lots Public sewer mare ~}///~ Public sewer manhole/cleanout Sewer/septic service line ~ ~.~ ¢ / Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~ ~ ' Property line 7~_/~ t Absorption field Water m~.,_'_~./service line 7~ }0 ~ Surface water/drainage ~t/ bT.) t Wells on adjacent lots SEPARATION DISTANCE FROM ABSORlYrION FIELD ON LOT TO: Building foundation ~/O / Water n,r2rdservice line Surface water Curtain drain Driveway, parking/vehicle storage area Wells on adjacent lots P/~t9 / Property. line ~-/0 / F. ENGINEER'S CERTIFICATION eq re I certi that l have determined thru teld ins ections and review ofMunicipal records~1~h · ~ . .fi. .P . In conJbrtnance wtth MOA ~ gutdehnes tn effect on this date. Engineer s Name ~0/5 ff~~/.r6'~"'-'~..' Date 11 -/~ ~ q ~ · ............................. ~-~ ............................... , ......... : ......................... ~r~~ ....... HAA Fees ~~ .... Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc Date of Payment Receipt Number GT&E E~wifonmenM Sen~M In(:. _ I~LI L _ . III CTGu ~e£.# 95.50o3-3 ~£~ ~:~e 3:0 L~ C~C)FLY)~ ~ #2 IRA 353.~ 10. r Z S 0° OI'W c O0 SO<' OI'W 00,8 :~' S 0° O1' W 300,83" ~00. O0 C BIRCH ROAD ~.~5" S 0° 01' ~/ BASIS OF BEARING ( BETWEEN TWO ~ONUMENTS) ..,. i/t : ! .... ..... ! ....... : :.:',,,.'...! ; ....... 0 © 0 C