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