HomeMy WebLinkAboutCRAIG LT 7Craig
Lot 7
#015-342-17
t ~ Municipality of Anchorage
Department of Health and Human Services
Division et Environmental Services
On-Site Services Section 825 "L" Street Room 502
P.O. Box196650 Anchorage, AK 99519-6650 Page // of
www.ci.anchorage.ak.us (907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL iNSPECTION REPORT
Permit Number: 5t,k~ ~(q o ~ -'7...._ PID Number: Ot ~' - -5~ 'Z.. -- f--~,-.
N..,.: ~--~d"~- 'X-'o¼~','~rl IwastewaterSystem: ~*-New I--IOpgrade
Address:
/D/~'/ ('~,~.t'~ ("~;'Y /Z.("~'¢'-. ABSORPTION FIELD
Ph ° n e~,.~jffl t~9~ i~ ~° NU m bet ,~.~Bedr~s:
, iTL~ ~eepTrench ClShal,owT,er~ch
LEGAL DESCRIPTION ~1 Rating: i
Well: New ~ Upgrade Oravel~: ~ ~
SEPARATION DISTANCES ~.p.~ ~ Holding ~ S.T,E.P, ~ Other:
Tank Field Station Tank ~ ~¢ ~
~..,~w~., coo l, ,.o t& % / LIFT STATION
Fouada~on ~'~ .~ ¢ "Pumpon'levelat '~ ~High~teram~at
BENCH MARK
Engineer's Stamp
Inspections peffo~ed by: mt ~t Dates: 1~t ~ [ffff~ q
Depa~ment of Health and Human Se~ices approval
~.vi.w~d a.d ~pp~owd b~ ~/~ ~ ~a~: ~ -~ ~-O ~ ' ~ ' ~ ~ '
~. ,,,~, ~- ,,.,.~ ..../~ . ~ ....
Permit No. _SW990312
Page 2 of 2
MunicipaIRy of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 1966,50 Anchorage, Alaska 99519-6650 Telephone: 545-4744
On-Site Wostewoter Disposal System and/or Well Inspection Report
Legal Description: LOT 7 CRAIG SUBDIVISION
PID No.: 015-342-17
,11II
\\
\
90.7'
S 89'55'51" W 272.02'
C03 C05
II
~ ~ ~BENCH MARK
· WELL
//'~'-x.~ 100' WELL RADIUS
/
/--
10' UTiLIfY CASEMENT
S 89'49'4/6/' E 272.76'
SCALE: 1"=50'
FINAL GRADE
MARK
C01
C02
TC01
TC02
CO.3
C0.4
C0,5
C0.6
MT
GRND. PIPE
A B ELEV. ELE~
25.1' /2.3' J98.5' J95.5'
53.4' /40.8. /98.8' /95.2'
62.6' 50.1' 98.9'
68.2' 55.5' 99.6' 95.0'
70.0' 57.4' 99.6' 95.0'
79.8' 69.7' 98.9' 94.5'
69.6' 48,6' 99.6' 94.4'
7f.O' 52,4' 99.6'
Municipality of Anchor. age
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
Rick Mystrom htr p://www.ci.anchora§ e.a k. us
Mayor
Permit Number: #SW 990312 Date of Issue: 9-2-99 Parcel Identification Number: 015-342-17
Date Started: ~ -Date COmpleted:-9~3-9~ Is well located at approvedpermit location?-~ Yes -~ No
L~egal Descriptio~i ' Cra~q Lot 7
Property Owner lq/ame & Address: Steven Johnson
7715 Port Offorcl Drive
Anchorage, Ak 99516
Borehole llata: Depth (ft)
Soil Type, Thickness & Water Strata From To
Stick-up 0 2
silty sandy gra vel 2 41
sandy silt 41 47
silty sandy gravel 47 5l
/cater sand~ gravel 51 56
sandy gravelly silt 56 61
4/ater sand & gravel 61 70
RECEIVED
SEP '14 1999
Dent L,:'. ~.tty et AnChorao,a
~ ' ' ,~.a~tn & Human ServiCes
Method of Drilling [] air rotary [] cable tool
Casing type: steel
Wall Thickness: .25 inches
Diameter: _5 inches Depth: 7__0 feet
Liner Type:
Diameter: __. inches Depth: __ feet
Casing stickup above ground: _2 feet
Static water level (bom ground levei): 43 feet
Pumping level: 70 feet after
_2 hours pumping 20+ gpm
Recovery Rate: 20+ gpm
Method of Testing: airlift
Well Intake Opening Type:
[] Open End [] Open Hole
[] Screened Start __ feet Stopped
[] Perforations Start__ feet Stopped
feet
feet
Grout Type: Bentonite # 8 Volume: 1 bag
Depth: Start_0 feet Stopped ? feet
Pump: Intake Depth feet
Pump size __ hp Brand Name
Well Disinfected Upon Completion? [] Yes .[--] No
Method of Disinfection:
Comments:
Well Driller: A/pine Drilling & Enterprises
P.O. Box 1~10496
,4nchorage, AK 99511 ~'
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 / WATER SUPPLy PERMIT
Initial
Permit Number: SW990312
Legal Description: CRAIG LT 7
Design Engineer: 0088 Anderson Construction & Eng'g
Owner Name: Steven Johnson
Owner Address: 7715 Port Orford Drive
Anchorage, AK 99516-1019
Date Issued: Sep 02, 1999
Expiration Date: Sep 01,2000
Parcel ID: 015-342-17
Site Address: 010181 CRAIG CREEK CIR
Lot Size: 59043 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] SepticTank ~ 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 ( 18AACS0 ).
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.
Da,e:?-2 -??
Michael N. Anderson, P.E.
14250 Goldenview Dr.
Anchorage, Alaska 99516
Ph 345-3377
Fax 345-1391
Date August 30, 1999
Municipality of Anchorage
Department of Health and Human Services
On-site Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Craig Subd. Lot 7
To Whom it may concern:
This a request for a new four bedroom septic system and well permit on the above lot. Two test
holes were excavated due to the owner changing the well location. The soils were gray sandy
gravel with no water observed after the seven day monitoring period, this seemed very strange
due to the large pond on the south side of the lot, but not water was found. The perc rate was 1.5
minute per inch which translates into a trench length of 42 feet with 6 feet affective depth. No
surface water was found and the lot slopes away to the south west.
This new system will not prevent future wastewater and well development on the adjoining lots.
The existing systems on the surrounding lots appear to be performing adequately.
Please feel free to call with any questions concerning this system at 345-3377.
Michael N. Anderson, P.E.
-ADJACENT
HOUSE
TEST HOLE (TH)
50' RADIUS 7
N 89'55'51"E 271.86' ./
DESIGN CRITERIA:
4 BDRM = 600 GPD
SOILS = 1.2 GPD/SQ. FT.
600/1.2 = 500 SQ. FT. REQ'D
TRENCH:
9.0' DEEP
6' EFFECTIVE
2.0' WIDE
42' LONG
Zl
N 89°49'56"W
-1 '~OR
9W
_ITY EASEMENT
OVER
ROCK
SEPTIC DESIGN PREPARED FOR
STEVE JOHNSON
LOT 7
CRAIG SUBDIVISION
PREPARED BY
MICHAEL N. ANDERSON, P.E.
14250 N. GOLDENVIEW DRIVE
(907) 345-3577 / FAX (907) 345-1591
SCALE: 1"=80' AUGUST 51, 1999
N 89°55'51"E 271.86' ~-
%% %% /r250 OALLONG TANK~ b ~/ ~ ~ Illl
x ~C.O. ~C.O. SYSTEM
DRIVE ~ ~
PROPOSE~) HOUSE
\
1 o 1.oj
10' UTILITY EASEMENT
× N 89°49'56"W
EXISTING 100'
WELL RADIUS
SEPTIC DESIGN PREPARED FOR
STEVE JOHNSON
LOT 7
CRAIG SUBDIVISION
120.2
272.76'
PREPARED BY
MICHAEL N. ANDERSON, P.E.
14-250 N. OOLDENVIEW DRIVE
(907) 345-5377 / FAX (907) 545-1391
SCALE: 1"=30' AUGUST 51, 1999
j
102.5
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG ~ PERCOLATION TEST
PERFORMED FOR:
2
3
4
5
6-
7
8
9
10
11
12
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
SITE PLAN
13
14-
15-
16-
17
19
20¸
.~OMMENTS
PERCOLATION RATE
TEST RUN eETWEEN
" ~- (minutes/inch) PERC HOLE DIAMETER
Z-/ FTAND ~ FT
PERFORMED BY: ~'[{- ~' ~- /~ K~ -L cf ~'~,r~ I CERTIFY THAT THiS TEST WAS PERFORMED
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATe ~/~ ~
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 "L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anohorage.ak.us
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
1.
HAA#
Expiration Date:
GENERAL INFORMATION
Complete legal description /---o E- ¢- ~ ¥'~5 ~ ~ ~,
ocation (site address or direc~ons) /¢/~ ~.% ~,~.~
Lending agency Day phone
Mailing address
Real Estate Agent
Mailing Address
Day phone
Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by:
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
[] Individual Holding Tank
[] Community On-site
Public Sewer
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of
Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent
professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are
required for the transfer of title (except between spouses) on properties served by a single family on-site
wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners.
Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by
a private or Class C well and may be reissued with new water sample results less than 30 days old. Cedificates
are ~al o for one year for properties served by Class A or B wells or a public water system. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
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
based on procedures outlined in the Health Authority Approval Guidelines for the Health Authority Approval
application show 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 applicable Municipal and State
codes, ordinances, and regulations in effect at the time of installation.
Address ~'-~. (~
Engineer's Printed Name
Phone
Date
DHHS SIGNATURE
Approved for Lc- bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulafib'~s;'"/,.';:.; ?
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
Reissue Date:
Municipality of Anchorage
Department of Health and Human Services ~ E ~ E I V E D
Division of Environmental Services
On-Site Services Section 825"L" Street Room 502 ~JUN 07 ~000
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-4744
/,,AUNiCtPALITY OF ANCHORAGE
?,IIRONMENTAL SERVICES DIVISI"
Legal Description:
A. WELL DATA
Well type ~ C~-v~
Date completed
Total depth '~-O ft
HEALTH AUTHORITY APPROVAL CHECKLIST
If A, B, or C provide PWSID #
Sanitary seal
Cased to ~
FROM WELL LOG
I!
Date of test ff./~[ ? '~
Static water level /-~ '~
Well production '~O
ft
g.p.m
Nitrate O~ '71'~g/I
Collected by: ~f At ./¢
WATER SAMPLE RESULTS:
Coliform ~ colonies/100 mi
Date of sample: ~,/
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material ~ ~-~t¢
Date installed ~/~/'/' ? Tank size ¢'7. ~-o
Cleanouts "f' Foundation cleanout
Date of pumping
C. ABSORPTION FIELD DATA
Parcel I.D.:
Well Log y'c ,¢
Wires properly protected ~"
Casing height (above ground) 2. ~
AT INSPECTION
./ g.p.m
in.
Other bacteria ¢ colonies/100 mi
gal
Depression over tank
Pumper ~
Number of Compartments %
__ High water alarm-'-
Date installed 't/'f(,~ ~ Soil rating (g.p.d./ft2 or ft2/bdrm) (, "4__ System type
Length ~-/ 'z...- ft Width ?-.- ft Gravel below pipe ~', ~ ft
Total depth /¢) ft Effective absorption area 5"~G fF Monitoring tube ~'
Date of adequacy test / Results (Pass/Fail) ~
Fluid depth in absorption field before test / in Water added /
Elapsed Time: / min Final fluid depth
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
__ Depression over field
For y bedrooms
__ gal. Newdepth/ in.
/ in Absorption rate >= ~ g,p.d.
~ If yes, give date~.-'''-'''-~
L_
72-026 (Rev. 01/00)*
D. LIFT STATION
Date in~ Si~
D at u __u_u_u_u_u_u_u_~~ Cycles
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/.JJ~n on lot_ /'~) o ''(' On adjacent lots _
Absorption field on lot _
Public sewer main
Sewer/septic service line
Manhole/AccesS _~
High water alarm level at _~ in
Meets alarm & circuit requirements_
fy.-
On adjacent lots _
Public sewer manhole/deanout
Holding tank ~.// -
SEPARATION DISTANCES FROM SEPTIC/I-~TANK ON LOT TO:
Building foundation ,-z- R' / .~. Property line ~-0 /¢ Absorption field __ ( 7,,/'/-
Water main _ ~.~ //~'
Drainage [b 0 t 4-
Water service line fc~ o
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line ~' ~' ~' '/'
Water Service line
Curtain drain _ ~ ~' -
Building foundation_ ~- ~/¢" Water main _ ~ ~'¢
Surface water, too (4- Driveway, parking/vehicle storage
Wells on adjacent lets ! ¢ ~ f~
F. COMMENTS
G. E.G,.EE.'S CE.T,FICAT'O"
· I have determ ned through field inspect ons and
I ~y~unici al records that the above systems are in ~...~ ..... -~,~
re' P ·
nformance with MOA HAA guidelines in effect on th~s date.
HAA Fee $
Date of Payment _ ~°~/'~ O '7~ ~'
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 01/00)*
0~-0~-00 ! i :$B ~ROb~-c'r.~ ~NVI RON,W~NT^L
· ~t~ma. O'f&E: I:nvironm~nt~i ~e~vice~ In~.
CT&E Ref.# ~00275D00!
Client Name Mike N.
~rojec~ Name/~ Lo~ 7 Craig
Clien~ Sample ~ Lot 7 Craig
~rk Drb~kiag Wa~er
Ordered By
Pwsm o
Remarks:
Clien~ PO~
Printed Date/Time 06/09Y2000 1:54
Collected Date/Time 06!07/2000 8:30
Receiwd Da~e/Timt' 06/07~2000 10:15
T~hnical Director Stephen C. Ede
Released~ ~