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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~ ~