HomeMy WebLinkAboutGLENN VIEW ESTATES LT 19
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: ~t/~ q(~ ~2~('~/,.o'Z. PID Number: OS/- ~'Z / ~ ~
Name: AFe~[~ ~VC~. /~C~ WastewaterSystem: ~New ~ Upgrade
Phone: ~--~O00 /.o. s~ ~Deep Trench ~Shallow Trench ~Bed ~Mound ~Other
LEGAL DESORI PTI ON Soil Rating: /, Z GPD/Sq. Ft. Total Depth from original
.. Subdiv~ion: . Depth to pipe bottom~l gr~e: Grsveldepth benealh pipe/
'Township: Range:~ti Fill added above original 9rade: Gravel length:
Number of lines: Distance belween lines:
WELL: ~New ~ Upgrade Gravel width: ~ Ft. [ ~ Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Driller: Static Water Level: Installer: Date installed:
Yield: Pump Set at: ~ Casing Height Above Ground:
SEPARATION DISTANCES ~Septic U Holding U S.T.E.P.
To Septic Absorplion Lilt Holding ~ub[ic/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines A~CA %~{~
Well' / O01¢ /~O+l --. -- __ Material: .5~ ( Number of Compadments:
Sudace I+ ~- ~
w~t~ ID0 lDO+ - LIFT STATION
LineL°t /~ ~ ~ ~ ~ ~ ~ ~ Size in gallons: I Manulacturer: ~
Foundation / ~ ~ / ~ I~ -- ~ ~ "Pump on" level al: /~~el/at: High water alarm at:
CudainDrain /~ ]D~I ~ ~ ~ ~ Pu~~~ Electrical Inspections pedormed by:
Remarks: BENCH MARK
Location and Description:% ~ O~
Assumed
Elevation:
EN61NEES'SSEAL
Inspections pedormed by: ¢~PE¢~,aeCr,'n~ Dates:lst fl ,¢:..-
Department of Health and Human Services ap
Reviewed and approved by: , , Date:/2 - ~-~ ~?O~ss~9*~¢,,~
72-013 (Rev. 9t91) MOA 25
iK
AS-BUILT SYSTEM
GLENN VIEW
i'
DETAILS/SITE PLAN
ESTATES S/D, LOT 19
TH ERES
SYSTEM
Pe~'mlt SW98006a
PID~051-581-56
A-C=ll,9'
B-C=84,5'
A-D=lg,2'
B-D=aG,0'
A-E=aG,i'
B-E=40,7'
A-F=53,7'
B-F=;:>3,9,
bJ
I~.'~-O,O0
SFD
LilT
WELL
19
MT
TH ~98-1,~
:ERVE SY~ES
SCALE, 1' = 50'
10838 101,30
1 50 GA '
~ -'~SEPTIC ~,
· ~' 98,83! 97,94," .
, 101,57
\ 97,67
I 9~1,8 a
FINISHED GRADE
loa.14 ,.,,.
97,64
SEWER ROCK
PREPARED FBR~
REX TURNER
ARCTIC DEVCB, INC,
P,O, BOX 3489
PALMER, ALASKA
58'
99645
FIELD BOOKS co~PUl'Eo:
80UND,~J?¥: LANG ~^~: KMD
sT^m~: LANG m~o: KMD
~ ASeUlLT: LANO OA~:: 11/19/98
^c,~ n~ 98052.DW0
SCALD NTS
g0441 P't"AR Iq-,A BLVD.
~' NWl 360
.~ No,: 98052
EAGLE RIVER, AK 99577-8736
/~0716~-61 ll/FIX 1907)6~6-81il
IUk~NLK tJUNSI. Fax:90r'-?aS-8555 Nov 25 '98 12:05 P.02
' · . . ' · : . .".,:~.~n'..~:.'...~.".d'.'.':" ' . ,: ·
· 'SULLIVANWATER" WELLS
. ' ' " ....;~'-. ' ".'h.,. ' ·
'.. ,, . ~'.::?..... :.'
oWNER
OF ~ND ~Jt~A ~a~i~' ' '. BOR~ HOLE DATA :
~RMIT NUMBER~¢~ Date of I~sue~- /4/'.~. _
well located at,pproved pe~it le~tion? ¢ ¢ NO
,thod of Ddlling: Cta~ . ~ cable t~l ~.~ t /~
,si,g Type ~Wall Thickness. ~..~ .?Chas. i
ameter ~ ' _ inches, depth /~/. f~t
~er Type: ~ .......... .. .., ........
Ising Stickup Above Ground: ~ feet
atic Water Level (from ground level): . ._!~ ~ feet
imping level: ~et after bm. pumcng. 'gPm ."
,cover Rate: ~ gpm
9thod afTesting: ~~~ .......
ell Intake Opening Type: ~:nd ~ Open Hale
, Screened; Sta~ feet Stopp~ ~et ___ '.
PerDitions sta~. feet Stopped .. ~et
~ut ~ype: ~, r~ Volume . ~ ~ 4 ~
,pth: from ~ feet. to ~ ~et
~mp In,kc Depth: f~t
4rap Si'ze .hp Brand Name
~11 Dlsin~ed Upon Completion? ~ No
eth~ of Disinfection: ~~.
L '
O ~M_ ?? {Cl p. ~1 i t.y .0. I Anon?age
AI-rENTION: It ia the responsibility of the prope~ owner to submit a copy of the well Icg to the proper' authority. Municipality
cf Anchorage: Department of Health & Human Services and/or De, pertinent of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.
t Oh CoP ?
PAGE 1 OF 1
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:SW980062
DESIGN ENGINEER:KND ENGINEERING
OWNER NAME:ARCTIC DEVCO INC
OWNER ADDRESS:P.O. BOX 3489
PALMER, ALASKA 99645
DATE ISSUED: 4/14/98
EXPIRATION DATE: 4/14/99
PARCEL ID:05152156
LEGAL DESCRIPTION:
GLENN VIEW ESTATES LT 19
LOT SIZE: 69095 (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:
RECEIVED BY: ~ .... ~--~~~-~
ISSUED BY:~/~ ~,
DATE
D TE:
K~D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
March 26,1998
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: New sewer/well permit - Glenn View S/D, Lot 19
Gentlemen:
The owner has requested we proceed forward to obtain a well and septic permit on
the subject lot. There is two previous testhole which were dug during the
preliminary plat process and we excavated a third hole. We have designed our
system utilizing the testhole we excavated for the four bedroom house which is
proposed for this lot. The results of the existing test and water monitoring are
attached.
We propose to install a 5' wide deep trench. The original testhole indicated no
water, and we did not find any water during our monitoring. 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
except as noted. There is neither surface water within 100' nor any curtain drain
within 50'. We do not expect there to 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,
~(i~J ~ Engineering
attachments:
On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
K D
AS-BUILT
SYSTEM gETAILS/SITE PLAN
LET 19, GLENN VIEW ESTATES S/D
L[]T 17
ILOT 16
~To~o
TH ERES
LE]T 18
LBT 15 /
LOT 14
l_mT ao VACANT
VACANT
LEIT 18
DESIGN DETAILS
4 BDRM X 150 GPD = 600 GPD
600 GPD/1,8 GPO PER SQ, FT. = 500 SQ, FT
(500/(59) X O.5(RF) (4,0' GRAVEL) = 50 FT, TRENCH
Total depth oF system is 6,0' From orlglnat grade,
Total depth oF grave[ below distribution pipe Is 4,0' ,
NBTES:
1. USE 1R50 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER.
8, INSULATE TRENCHES WITH 8' Iq]] 3URIAL FOAM.
3, CDNTRACTBR WILL ENSURE MAXIMUM 8% SLOPE INTO SEPTIC TANK.
4, AD]]ITIBNAL FILL WILL BE ADDED OVER SYSTEM TB ACHIEVE
MIN, 3' COVER IF REQUIRE]],
PREPARED FOR:
REX TURNER
TURNER CBNST, CB,, lNg,
P,O, BOX 3489
PALMER, ALASKA 99645
FIELD BOOKS
HGUNDARY: .. 9t{AY, N: KMD
SLAKING: I AN(; ' ClIECKED: ~M~ .......
LNGINLI~]I~IN(,
g0441 PTARMIGAN BLVD.
' ' ' ~ AK 995?5-8736
EAGI,E RIVER,
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" SIreet, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
..;
~ Kenn ' ~
PERFORMED
, SLOPE SITE PLAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
· //1 ~ :~ l.~
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT /~ 0L
DEPTH? P
E
J
Gross Net Depth to Net
Reading Date Time Time Water Drop
-~ ~.,~ -- ? ;, .~_.
Depth Io Waler
~onitoring?
PERCOLATION RATE
COMMENTS /- -
TEST RUN BETWEEN ,~-~
tm~nules~nch) PERC HOLE DIAMETER 6? 1;
..FT AND ~'~ FT
72-008 (Rev. 4/85)
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
WAS GROUND WATER
ENCOUNTERED?
(FEE'F}
2
3
7
8
~0
13
14
~7
~0
IF YES, AT WHAT
DEPTH?
SLOPE SITE PLAN
J
Gross Net Depth to Net
Reading Date
Time Time Water Drop
Z j; o:. '7'//¢"
~:~ :~ ',/I ~ .~ ,~'~ '/'V~ " : '/~ "
Depth l0 Waler Alle½
TEST RUN BETWEEN
tm)nutes/~nch) PERC HOLE DIA/VlE fER __
_ FT >",NO J~ FI ,
PERFORMED BY: ,~'~)/-~" ,~ f~}C-;C/,>~_.C~_~'//(*(t~_ I ,
Parcel I.D. #
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
RECEIVED
NOV 30 1998
MUNICIPALITY OF ANCHORAGE
ENVII~ONMI~NTAL ,S~VICES DIVISION
1. GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailin. g address
Address
rcF;c De ,co
Day phone
Day phone
Day phone
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 system.
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.
EngineecS signature ~. ~ Date /~,/~
DHH$ SIGNATURE
Approved for '¢
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with th-e following stipulations:
Additional Comments
Date /2 -Y-~'~
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 DH HS 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 engineeCs work.
72-025 (Rev. 1/91) Back MOA i~21
RECEIVED
Municipality of Anchorage NOV 3 0 '1998
DE"PARTMENT OF HEALTH & HUMAN SER~t~EL~uT~ oF ^NC~o~e~ i
Environmental Services Division ~NW~O~Nr^LS~WC~s
825 L ¢'
otreet, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Health Authority Approval Checklist,
LegalDescription:L lqParce,,,D.:
A. WELL DATA
Well type "-'~ ~.-~'-~'
Log present (Y/N)
Total depth '
Sanitary seal (Y/N)
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to /~'
Casing height (above ground)
Wires properly protected (Y/N)
Date of test
Static water level
FROM WELL LOG
Well production
W,~TER SAMPLE RESULTS:.
AT INSPECTION
g,p.m. / g.p,m.
Coliform ~ Nitrate
Date of sample: /I//'~/~/g~
B, SEPTIC/HOLDING TANK DATA
Date installed q///~/?~, _Tanksize t'~.~/-_~
/ /
Foundation cleanout (Y/N) . y
Collected by:
Depression (Y/N) /~/
Other bacteria ~
Number of Compartments ~ .Cleanouts (Y/N)_ ¢
High water alarm (Y/N) /bT/~
Date of Pumping ~ Pumper
Soilrating (g.p.d./ft~orfF/bdrm)_ /, ~ System type ~/~
Gravel thickness below pipe ~', ~-'_ Total depth _.~,/~.~ ~/~._.~ Z. /
Imm~ely after gal. wate/(in.):
Absorption rate = / . g.p.d.
If yes, give date /
Fluid depth in absorptio~j~d before test
(in.);
FlUid depth / (ins) Minutes later:
Peroxide trea/past 12 months) (Y/N)
72-026 (Rev. 3/96)*
bedrooms
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at* /
Cycles tested //
E. SEPARATION DISTANCES
/
"Pump on" level at*
*Datum
Size in gallons
~ump off" level at*
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot /{r~(.~
Absorption field on lot
On adjacent lots
On adjacent lots
Public sewer main
Sewer/septic service line ~_,,~ /4-
Public sewer manhole/cleanout /~)(~ ' ~'
Lift station /['/~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation /(~ 4- Property line /~) ¢- Absorption field
Water main/service line ,~ ''~ Surface water/drainage .,/~)/--~ 4- Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line
Surface water / ~) (-~ ' -/"''
CurrY. in drain
Building foundation /~) ¢4- Water main/service line ~,~ ¥'
Driveway, parking/vehicle storage area
Wells on adjacent lots / ~) (~
ENGINEER'S CERTIFICATION
I certify that I have determined' thru field' inspections and review of Municipal recor~a~e~,~.o......
in conformance wi~h MOA HAA guidelines in effect on this date. ~. :
Date
HAA Fee $
Date of Payment
Receipt Number
?%~. ~tems are
Waiver Fee $
Date of Payment.
Receipt Number
72-026 (Rev. 3/96)*
NOV ~4 '98 04:~9PM HTL ~HCHOR~E P.t×£
NORTHERN
3330 INDUSI'RfAL AVENUE
8005 8CHOON STREET
POUCH 340043
KND Engi~e,~dng
20441 Ptarmiga~ Blvd.
Eagle River, AK 99577-3736
TESTING LABORATORIES, INC.
FAIRBANKS, ALASKA ~9701 (907) a56-:.1116 ' FAX 45§-3125
ANCHORAGE, ALASKA 99518 [907) ,?,49-1000 · FAX 349-1016
PRUDHOE ~AY, ALASKA 99734 (~07) 65D-21a§. PAX §59-2146
Aim;
Glenn View Lot 19
A159130
Wa~er
Report Date: ! 1/24/95
Date Axfiv~: 11/2of98
8~mple Date: 11/19/98
$~ple Time: 12:00
Collected By: Brent
** Legend **
MR~ = M~od R~'t L~vcl
MCL ~ ~ ~
E = ~ V~u~
M = M~x ~c
' ~ MCL
D = ~ To Dilufi~
Client ID:
Client Project #:
Sour~;
NTL Lab#:
Sample Matrix:
Comments;
Method Parameter
Date Date
Units Result MiLL Prepared Analyzed
SM 4500 NO3 E
Nitrate. N
2.17 1.25 11/20/98
'Reported By: Stephanie K. Co~ling- -
Chemistry Suporvisor
RECEIVED
NOV 1998
Municipahty et A
Oept. Health & Human Ser¥ice.~
NOV 24 '98 04:29PM NTL ANCHORAGE
NORTHERN TESTING LABORATORIES, INC.
333(') INDUS rP, IAL AVENUE FAIRBANKS. ALARKA 99701 (907) 456-:~116 , FAX 456-3125
8005 SCHOON STREET ANCHORAGE, ALASKA 99518 (907) 2,~9-1000 , FAX 34.9-1016
DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA
KND Engineering
20441 Ptarmigan Blvd.
Eagle River,
AK 99577-3736
Date Received: 11/20/98
Date Analyzed: 11/20/98
Date Reported: 11/23/98
Next Sample Due:
Time Received; 12:40
Time Analyzed: 15:30
Time Reported: 09:59
Comments
Phone Number: ( )696.6111 s =
Fax Number: ( )696-8111 U =
POS =
Collected by: BRENT ND =
Sample Type: Private water Systems TNTC =
CG =
Method of Analysis; Membrane Filtration (SM 9222 HeM --
B) SA
comments:
Old =
R =
NT = NO Test
· # Colonies/t00 mi ** # Colonies/mi
Sample Sample Total* Fecal Other' HPC**
Date Time Coliform Coliform Bacteria Result Lab# Location Comments
11/19/98 12:00 0 ND 3 NT AC10709 GLENN VIEW L19 8atisfaotow
Satisfactory
Unsatisfactory
Positive Test Result
None Detected
Too Numerous To Count (>200 Colonies)
Confluent Growth
Heavy Sediment Masking, 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
Sherri L. Trask Environmentel Analyst
Northern Testing Laboratories, IncAnchorage, AK
11/23/98
RECEIVED
NOV 5 0 1998
[ViuHIOlpahty ,.)t ~=,¢~lOl age
Ibep~. Health & Human Services