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HomeMy WebLinkAboutGLENN VIEW ESTATES LT 6 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: '~,~,.J ~"] ~,~"~"-( PID Number:. ~t N~:/~ Wastewater System: ~ New D Upgrade /~-~ ~ ,~. - ~,~.~ ~% ~~ ,~ ~4~ ABSORPTION FIELD _ Phone: No. of Bedrooms: ~ ~ ~ ~ ~Deep Trench ~ Sha[IowTrench D Bed D Mound ~ Other LEGAL D ES CRI PTI O N soi~ Rating:~, ~ GPD/Sq. Ft. Total Deplh~, ~lfr°m original grade: Lot: Block: Subdiv~ion: Depth to pipe botlom Irom original grade: Gravel depth ben~ath pipe Township: ..... Range: ~ Section: Fill ~dded above original grade: Ft. Grovel length:~ Ft. I Number of lines: Dislance between lines: WELL: ~ New ~ Upgrade Gravel width: ~ Ft. ~ -" Ft. Classification (Private, A,B,C): To(al Deplh: Cased To: &p Total absorption area: Pipe material:/ ~~ ~ Ft. ~' Ft. ~l~ SC. Ft. ~ ~ /~ _ Driller~,~,O~ ~'~' Da~ ~: Slalic Water Level: Installer; D~te i~sta, led: Yield: Pump Set st: I Casing Heig~Above Ground: TANK ~ GPM ~, Ft., Ft. __ SEPARATION DISTANCES ~s~pti~ ~ Ho~i~g ~ S.T.E.., To Septic Absorption Lift Holding =ublic/Ptivale Manufacturer: Capacity in gallons: From Ta~k Field Slat[o. Tank Sewer Li.eS ~ ~ ~ '~ We,,' t~'~ ~'~ // / ~.l~ Material: Number of Co~padments: Water ~ + ~ ~ t~~ Lot ~ ~~cturor: Line ~ ~ ~t~ ~' [ ~ "Pump on" level at: ~ High water alsrm at: Foundation ~m' ~ [o ~ ~ ~ Pump Make & Model Electrical Inspeclions pedormed ~ -- Drain ~ Remarks~ ~ ~ ~_~ ~, BENCH MARK Location and Descripgon: ~ ~ Assumed Elevation: I ENGINEER'S SEAL Inspections performed by: ~, J~. Dates: 1st ~-L Department of Health and Human Services ap I' 12 013 (Rev 9/91) MOA 25 PERFORMED FOR: Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 1 2 3 4 5 7 8 '1 1 ~3 14 17 ~0 Township, Range, Section: SLOPE WAS GROUND WATER ~ ENCOUNTERED?I',,JO $ L IF YES, AT WHAT ,----.--- O DEPTH? p E r~ofliloring7 Date: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop , ~/~ o ~ ~ ~/~ AS-]BUILT SYSTEM D£TAILS/SITE PLAN P~-m~t swsToos7 i LE]T 6, GLENN VIEW ESTATES S/D PIDtt05t 43 ~HTH ~KND 97-1 LBT 6 LBT 5 ~~ T ~ 4 BDR~ RESERVE S TEM ~ ~ ~ ~/~7 ~ ~ REX TURNER FAn~F R~VF~ Al< 99~77 ~ b ~ aRCTIC DEVCB INC ~ ~O~stOB ~ PB BBX 34~' ' (907)695 6]H/F~x <907)696 ~ ~~' P~EMER, ALASKA 99645 DATE: 8/]a/97 IDRaWi~G ~ SCAI~E: AS NBTED~ 970t5 si SULLIVAN WATER' wELLS DATE- S~arted PgRMIT NUMBER DEPTH OF WEL. L ~_. STAT1C LEVEL OF WATER F'F. DOWN KIND OF CASING --~ pT~,ra~r~o~J~oRM~T~;~L~;"?.'. '" :': "'.' " - ~,?~,,~,~?~'~ ~.,,, ~ .. ~ .... . _ .~ _ rrom~rt, to~rt .... ~'/~WY ~...~ From ~,0m~'~,:,~ ~ ~,: 7-!_~.~~t ~/,-', ~' .~.o~?,o,.~ ~,. Fmm~_. Ft. to~Ft.~ From· Ft, From.' .,.Ft.'I~Ft, ~ .... Fl. . . , Fi,_, lo Ft. Io~_Ft, _ to~-Ft ..... to.' , ~Ft .... From Fl, ~:~,.~.,,~,.? ,. :..,,:..,. ,. From From.~ Ft, Io. From ._Ft. 1o _ MCSCL, 'I~FORMATXON: FI. .r ~FL __ FI, AUG '1 $1997 Municipality of Anchorago Dept, Health & Fluman Services DRILLER'S NAME _... ut::,-r d ~oT '7 L& PLOT PLAN __ AS BUILT _.~ SCALE I% 4.o' GRID Nv4 ~(~o Project No. ~(~l]~.l]~.(~th ~a Ltl~g9 L~ 1731George Bell Circle ~ Anchorage, Alaska 99515 (907'1 345-6476 I Hereby certify that [ have surveyed the rollowing describedproperty: ~_~_~[~ O' , .... . Recordin~ District , Alaska , and that ~e improvements, situated. ,,..'~'~ ~"' '~'.' * ...... "." .'"),~ "~,l~ t ereon are wtthln the property nes and do no e lcroacll o111o tl~e proper~y :v:k~,- adjacent thereto, thai no ~mprovements on the property lymgadjacent thereto s~,~3, ~C-.r~., .~-~". · encroach on tile surve ed remlses aod that there are no roadways, transmission v.,....~..........~ Dated flus thc ~ Day of _~O~T ........... 19~_, at Anchorage, Alaska u~ i':. ** . ..... It Is the rcsponslblhly oF thc owner to deternlllle tile oxlstoliCC OF ally casements, ~ tz',~ **....** ts or rost~ictious xvhich to ol a ¢llY Oll lng recorded suhdivision p al ~b?'t#[<~¥ PAGE 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:SW970037 DESIGN ENGINEER:KND ENGINEERING OWNER NAME:ARCTIC DEVCO INC., REX TURNER OWNER ADDRESS:P.O. BOX 3489 PALMER, AK. 99645 PARCEL ID .~4~ 126 ~'r~O~i '-~ ~ tI ~ 1 OF DATE ISSUED: 3/18/97 EXPIRATION DATE: 3/18/98 LEGAL DESCRIPTION: LOT SIZE: 55419 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION 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: PRIOR TO TRENCH INSTALLATION, PERFORM ADDITIONAL SOIL/PERCOLATION TEST(S) TO CONFIRM SUITABILITY OF GM FILL, AND SUBMIT/SOIL LOGS/PE~C. DATA W/A-B. RECEIVED BY: - ISSUED BY: DATE ~D ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 March 4, 1997 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196660 Anchorage, Alaska 99519~6660 Subject: Lot 6, Glenn View Estates S/D - New sewer/well permit Gentlemen: Following a request from the owner regarding the proposed development of the referenced property, we are submitting a request for a well and septic permit. Previous testhole work was conducted by Eagle River Engineering Services for the proposed system and replacement field. There was no water observed in the testhole at the time of excavation and the results of that test are attached. We propose to install a single 7' deep 2' wide trench. Although this design utilizes separate soils strata's, the soils are essentially the same on-site material with similar classification and structural consistency. Based on observation this material will percolate at or above the underlying material. If required, additional fill will be placed over the system to provide a minimum of 3' of cover when complete. There are no public or private wells within 200' of our proposed system location. There is neither surface water within 100' nor any curtain drain within 50'. We do not expect that there will be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, J~,~ l¥J L~ Engineering Kenneth M. Duffug;', P.E. attachments: On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WASTEWATER DISPOSAL kOT 6, GLENN VIEW LBT 5 VACANT PRIHARY SYSTEH- SYSTEH/SITE ESTATES S/D LOT 6 ~ PLAN LOT 14 VACANT PROPOSED WELL P~43~.5o LOT 7 ,\ VACANT LOT ]3 VAGANT DESIGN CRITERIA 1. 4 BEDROOMS X 150 GAL,/BAY/BEBROOM = 600 GPD 2, SOILS RATING: %25 NIN,/INCH = APPL, RATE 0,8 GPD/SF 3, 600 GPD/O,8 GPD/SF = 750 SF 4, 750 SF /(2' x 7') = 53,6'L 5, NIN, DESIGN SIZE = 1 TRENCH -- 54' LBNG x 2' WIDE x 7.0' DEER 6, DEPTH OF GRAVEL BELLOW PIPE IS 7,0'. 7, TOTAL DEPTH BF SYSTEM IS 9,5' FROM ORIGINAL GRADE, NI~-I-E S', TIE INTO TRENCH AT MIDPOINT. 2, USE 1250 GALLON SEPTIC TANK, INSULATE TANK IF <4' COVER. 3, INSULATE TRENCHES WITH ~' HB BUR~AL FBAH IF (3' COVER, 4, CONTRACTOR WILL ENSURE NAXINUH 2F. SLOPE INTO SEPTIC TANK PREPARED FUR: REX TURNER ARCTIC DEVCB, INC, P.O. BUX 3489 PALMER, ALASKA 99645 KND ENGINEERING 20441 PTARHIGAN ]}LVD EAGLE RIVER, AK, 99577 (907)696 6ill/Fax (907)696-8111 DATE: 10/31/96 DRA~ING II SCALE: 1' = 100' 96o96-s Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" SIreet. Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: G /z,~ vE/.. --F'/ P E /ZooT' SLOPE SITE PLAN WASGROUND WATER ENCOUNTERED? 7 8 9 10 11 12 13 14 15 16 18 19 20 S L IF YES, AT WHAT O DEPTH;) p E Oeplil Io Waist After Gross Nat Oec3th to Nat Reading Date Time Time Water Oroo / ~z.//~l~ [. ,. 9, ~7 1o '? '1/~" I ~1/~" ~ ~ ~: ~ to ~ ~l/w / ~1t~ ', q ' ~:5~ to q ~ttu~ t PERCOLATION RATE ~ (m~nuleS/mCln) PERC HOLE CDIAMETER TEST RUN BETWEEN L FT AND _ ~7 - FT COMMENTS PERFORMED BY: ~ ~'' ~'~.~ I ~ CERTIFY THAT THIS TE ED [N Parcel I.D. # MUNICIPALITY OF ANCHORAGE ~/~1~ ~AI. IT"~ DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION Division of Environmental Services On-Site ServJce~ Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING RECEIVED 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner \'--~,4~.,-r~_ 2.~-~%-c'.//Lr"z~-~.,_.-'-~c~. Day phone Mailing address --CC) ~=~-~-. 2¢A ~c~ , ~L-~-~Z.. ,/~.~. ~t,~'5'3'- Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 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 sysfem. 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. 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. KND Engineering Phone Name of Firm 2044i Piazmigan Add tess Eagle River, AK 99577-8736 Date 15/I~ q~ DHHS SIGNATURE ~ Approved for '~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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) 8ack MOA N21 MUNI¢IP^LIT¥ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division ~U~ ]3 199~ 825 L Street, Room 502 * Anchorage, Alaska 99501 * (907) 343-4744 Legal Description: L.~=~-'6 ~ ~,~,'~ ~,------------------~ '~_~ Parcel I.D.: A. WELL DATA W~eil type ~0~ Log present (Y/N) k/ Total depth Sanitary seal (Y/N) Date of test Static water level Well production WATER SAMPLE RESULTS: If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to Z. ~?,' .%'~ Casing height (above ground) Wires properly protected (Y/N) _ AT INSPECTION ~ g.p.m. '"'""~. g.p.m. FROM WELL LOG Coliform Date of sample: B. SEPTIO/HOLDING TANK DATA Date installed Foundation cleanout (W~) Date of Pumping 0 C. ABSORPTION FIELD DATA Date installed ~g'~ lq"/ Length ~-~'Z.- Width Effective absorption area _~ Date of adequacy test t-~ Fluid depth in absorption field before test (in.); Fluid depth ~ (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) Nitrate ~¢~, 5'~2. Other bacteria Collected by: Tanksize ~7~0 Number of Compartments ~. Cleanouts (Y/N) "/ _ y Depression (Y/N) ~-I High water alarm (Y/N) ~1/~ Pumper ~/~ Soil rating (g.p.d./fF or~Z/bdrm) ¢,, lc _ System type '-J:rc~ "Trz.,~--~¢.'~, Gravel thickness below pipe ~,-~' _Total depth Monitoring Tube present (Y/N) \/ Depression over field (Y/N) ~-\ Results (Pass/Fail) ~ For '~ bedrooms gal. water added (in.): ' Immediately after Absorption rate = ~ ~ .g.p.d. If yes, give date 72-026 (Rev. 3/96)* LIFT STATION Date installed ~ Manhole/Access (Y/N) High water alarm level at* Cycles tested Size in gallons  p off" level at" *Datum E. SEPARATION DISTANCES E SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ~.o~' -~ Absorption field on lot ~,=, "¢ On adjacent lots too~- On adjacent lots ~. c)o ~ -t- Public sewer main ¢ I1~ ~\c~:)~-~'~ Public sewer manhole/cleanout Sewer/septic se~ice line Z~~ ~ Lift station ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation lo~ ~ Prope~y line ~ot ~ Absorption field Water main/se~ice line ~%~+ Sudace water/drainage ~t ~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~.c~ .,¢ Building fOundation lc, ~ Water main/service line Surface water \~x-~t ~ Driveway, parking/vehicle storage area '"2. Curtain drain~ L~ot ~ Wells on adjacent lots ENGINEER'S CERTIFICATION in conformance with MOA HAA guidelines in effect on this date. Signatur Engineer s Name HAAFee $ ~.- ~ Receipt Number '~/~c~d 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number ~'~ ..... AU~ 13 '9? 07:55AM NTL ANCHORAGE P, 1/3 NORTHERN TESTING LABORATORIES, INC. 3350 INI,)US I'RIAL AVENU~ FAIRBANKS, ALASKA 99701 (907) 456-3116 · FAX 456-3125 80(.)5 SCHOON S'~'R~:F f ANCHORAGE, ALASKA 99518 (907) 349-1000 , FAX 349-1016 DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA KND Engineering 20441 Ptarmigan Bird, Eagle River AK 99577-3736 Date Received: 8/7/97 Time Received: 16:45 Date Analyzed: 8/8/97 Time Analyzed: 15:00 Data Reported: 8/12/97 Time Reported: 09:22 Next Sample Due: Comments Phone Number: $ = Fax Number: U POS = Collected by: SO ND = TNTC = Sample Type Untreated Routine CG Method of Analysis: Membrane Filtration (SM 9222 HSM = B) SA = Comments: Satisfaoton~ Unsatisfactory Positive Test Result None Detected Too Numerous To Count (>200 Colonies) Confluent Growth Heavv Sediment Maskin¢~, Results May Not Be Reliable Sample Age >30 Hours But <48 Hours, Results May Not Be Reliable = Sample Age >48 Hours, Too Old For Analysis = Resample Required Old R NT = No Test * # Colonies/100 mi ** # Colonies/mi Sample Sampla Total* Fecal Other~ HPC** Date Time Coliform Coliform Bacteria Result LaW Location Comments 8/7/97 12:05 0 ND 0 NT AC5851 Lot #6 Glenv{ew SatisfaCtory Sherri L. Trask Environmental Analyst Northern T~stfng Laboratories, Inc Anchorage, AK 8/12J97