Loading...
HomeMy WebLinkAboutBEEDE BLK 1 LT 2 (~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 2..64-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELl. INSPECTION REPORT NAME ~E L~,~ EW N~. OF BEDROOMS m~ ~~ Material~ No. ofcompartm~ ~ ~ Liq. capac~ons IF HOMEMADE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~Z ~ Z ~ Manufacturer Material Liquid capacity in gallons D~ DISTANCE TO: Well/~ ~' Foundation~ / Nearest lot tine~ ~ PERMIT NO. m~ Lengt~e~ ~ -- w~ lin~ Total leng~o~li~s Trench Distance bet ~Z Ho. of lines /Z/~ ~)--~ inches v~ ~ ~ ~ Top of tile to finish grade ~ Material beneath tile~_ Total effecti ~ ~ inches Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS . SOl L TEST RATI NG~~~ - .-~ APPROV~ DATE LEGAL 72-013 ;/78) PERMIT NO. P;FPLIL. HNT WALTER JACOBI JR LOCRTION CAN'T'ON RD LEJRL : '-' 'q I S ' TYF'E OF SOIL RBSORPTION =,Y_TEM TRENCH LOT c ~ c -,I.'E 4'.B000 -,QURRE FEET , "' II ' ' flH,:.:;IM_M NUMBEF.'. OF BEDROOM_, = -',': SOIL RRTING ,'SQ FT, BR.=" ') 100 TFIE REIglIIRED =,IZE OF THE SOIL RBSORPTION _.Y:.TEM IS [:.EF'TH= :_1L2 L El'-.16 TH= :1L _".4~. F'~ R R '-.-" E L [:,EPTI-t= 8 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). FLE,DIJIRED SEF'TI~3 TAr-~Fc] SIZE= PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY HELLS RDJ8CENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE HELL HILL SERVE. ........... T I..-IC, ,:' :; ', . ~ .- I I"-.ISPECT I 0[~'~:. i'::tRE REL.3. L, I BRCKFILLING OF RNY :.,T-,TEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE .:,UBJEL. T TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL AND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS i00 FEET FOR R PRIVRTE WELL OR t50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM 8 PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F"ERt'I I T E::-::F' I RES DECEI"IBER Z~l.. :t'._~8~-~ I CERTIFY THRT 1: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. Si: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMC~D~ED ~TO INCLUDE MORE THRN 3 BEDROOMS. PERFORMED FOR: LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-2224 SOILS LOG - PERCOLATION TEST DATE PERFORMED: SOILS LOG PERCOLATION TEST 1 2 3 4 5 6 7 8 9 SLOPE SITE PLAN 10 11 12 13 14 15 16 17 18 19 20 WAS GROU.D WATER E.COUNTE.ED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN CERTIFIED BY~ 72-008 (7/76) 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA # ~ ~¢~ ~3 ~) t GENERAL INFORMATION Complete legal description LOcation (site address or directions) Property owner Mailing address Lending agency Mailing address A Ih.~o~ f~e'~ n Day phone Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: Individual well ~" Community well Public water 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 5. STATEMENT As certified b investigation and/or waste' and type of str the Municipali supply and/or ordinances, a~ Name of Firm Address / Engineer's sig DHHS SIGN~ /~. Appr, Disa Con Additional C¢ The Municipality ol Approval Certificate professional engine, and their lending ins conduct inspection responsible for erro OF INSPECTION BY ENGINEER my seal affixed hereto and as of the validation date shown below, I verify that my )f this Health Authority Approval application shows that the on-site water supply rater disposal system is safe, functional and adequate for the number of bedrooms acture indicated herein. I further verify that based on the information obtained from ty of Anchorage files and from my investigation and inspection, the on-site water wastewater disposal system is in compliance with all Municipal and State codes, id regulations in effect on the date of this inspection. nature Date ~,TURE ~ved for -~ bedrooms. )roved. tional approval for bedrooms, with the following stipulations: ,mments Anchorage Department of Health and Human Services (DHHS) issues Health Authority ;s based only upon the representations given in paragraph 5 above by an independent ;r registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes titutions in order to satisfy certain federal and state requirements. Employees of DHHS do not s or analyze data before a certificate is issued. The Municipality of Anchorage is not rs or omissions in the professional engineer's work. 72-O25 (Rev. 1/91) Back MO,a ~21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /..o¢~/ J~/'oc~-~ /~,,~'~_ Z fD Parcel I.D. A. WELL DATA Well type Log present (Y/N) Total depth ~'~ I ?-0 ' Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. FROM WELL LOG ADEC water system number N. ,~. Date completed ~ 1<~8(2 Driller ~.~ ~. Cased to I~¢o~r~ c/,~ Casing height 16" Wires properly protected (Y/N) Y' Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot~e 8/' ~ c.c,. Absorption field on lot ~.,¢' ~ ¢. o, AT INSPECTION III ' g.p.m. [, '7 g.p.m. ; On adjacent lots ~ {c.o ' ; On adjacent lots ~> fcr~ ' Public sewer main /~./~ Public sewer manhole/cleanout Sewer service line WATER SAMPLE RESULTS: Coliform ~ ¢c,/ /t'oO~,~ Nitrate Date of sample: Petroleum tank "~,./~/'~* Other bacteria Collected by: F'(~fC-r.~.~ 7-~c4 B. SEPTIC/HOLDING TANK DATA Date installed 7 Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size Foundation cleanout (Y/N) N Compartments Depression (Y/N) /~/. A Alarm tested (Y/N) ~/~ /~ Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s)onlot~c~'l' .,Cr~/~ c.c.,, On adjacent lots To property line ~ .3'o' Absorption field Foundation '~ ~1'~' Water main/service line ~> Surface water/drainage 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm le~ Meets MOA electric~ SEPARATION DIST~ Well on lot D. ABSORPTION FIEL Date installed 7 Length ~"' Total absorption are Depression over fiek Results (pass/fail) Peroxide treatment SEPARATION DIS'f Well on lot''~ 9.~" To building foundati On adjacent lots ~ )n "Pump on" level at codes (Y/N) NCE FROM LIFT STATION TO: On adjacent lots DATA I {8o Width 3" (Y/N) N )ast 12 months) (Y/N) ~,NCE FROM ABSORPTION FIELD TO: ¢. o. '.~ On adjacent lots '"'" 5'O ' Manufacturer Manhole/Access (Y/N) "Pump off" level at Surface water System type -/-r¢~ c & Total depth ! ~- ' bedrooms Cutbank Cycles tested Soil rating Gravel thickness ¢ ' Cleanouts present (Y/N) Date of adequacy test for I<~o~,~ o~ If yes, give date Property line To existing or abandoned system on lot N.A. Water main/service line Surface water ~' Curtain drain /~(o~ E. ENGINEER'S CERTI I certify that I have che ! oo' Driveway, parking/vehicle storage area ~ /¢ ' PICATION ~ked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name Date ~/ HAA Fee $/)'~ O Date of Payment /.~L~ Receipt Number ;~,~"E~ 'L~2 72-026 (Rev. 3/91) Back MOA 21 Wniver Fee: $ Dnte of Pnyment Heceipt Number Municipality of Anchorage Department of Health and Human Services Torn Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 April 29, 1993 Ted Moore, P. E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 2 Block 1 Beede Subdivision Waiver Request 9WR930017, PID 9042-081-34, HA930187 Dear Mr. Moore: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are: well to the septic tank of 80 feet and well to leachfield of 95 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services Concur: ,~ On-site Services ljm:#6 WR% WR930017 PID% 042-081-35 Date Received: April 16, 1993 HA% HA930187 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet Permit Legal Description: Lot 2 Block 1 Beede Subdivision Engineer: Ted Moore, P. E., Flattop Technical Services 14530 Echo Street, Anchorage, Alaska 99516 Applicant: Allison Rein Waiver Requested: Well to septic tank 88 feet; well to leachfield - 95 feet. Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: X Waiver is NOT Granted: List Conditions or Reasons for above: N~f~Rev i ewe r Rec %: Amount: $ Date Paid: FOOT ~EP~R~TIO~ ~I~T~NE~ ~d ~IVE~ O~ THE { Tills FIL Tftt~TIo~ k, 2'4 T~.R TI-II~? ~'1o$7 ~F 2-/Y~- I~,IELL)' 1~t TH£ ,~/q'EA /°r/f'15 ! OIL- .~o R ~ T~ON /A FLAT TOP 1,435~ 14530 /iI CHUGACH 9 TA TE PARK CHUGACH STATE PARK '2 15054 15108 15154 3043 3044 GR. 3143 3144 267 COPYRIGHT 1990 JMR 258 258A 266 280 Upper Hillside Area Reference Map--P15A C~ & EN~ON~NT~ ENG~EER~G · ENERGY CONSERVA~ON & ~YS~ T~ODORE F. MOORE, P.E. '--Y~na",~o, 1993 14530 ECHO ST. PH: (907) 345-1355 ~CHORAGE, ~KA 99516' Dan Roth On-Site Services Section M.O.A. DHHS P.O. Box 196650 Anchorage, AK 99519 Dear Mr. Roth: RECEIVED MAY 1 ,.3 1993 Municipality of Anchora · Dept. Health & Human Set?ices Per your request I have redoubled my efforts to locate a driller's log for the well serving the Rein residence on Lot 2, Block 1, Beede S/D, located at 14361 Fairkytes Avenue. At my request Ms. Rein called Walter Jacobi (the property owner at the time the house was built) in Hawaii, and Mr. Jacobi recollected that the well had been drilled by Dotten Well Drilling. Although that company is no longer actively drilling wells in Anchorage, I was able to locate Earl Dotten and requested that he research their records for a driller's log. After searching through his records, Mr. Dotten told me he was unable to locate a log, or even f'md any documentation that he ever drilled this well. Unless you have other suggestions as to how I should proceed, I feel that I have exhausted every avenue in searching for this well log. I hope that you will be able to continue processing our waiver request utilizing the driller's logs for two nearby lots which I supplied along with my original waiver request. Please give me a call if you run into any more problems. Sincerely, Ted Moore, P.E. CIVIL & ENVIRONMENTAL ENGINEERING ~, ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. --~'~Anril~v16, 1993 14530 ECHO ST. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: By means of this letter we are requesting issuance of a waiver of the required 100 foot separation distance down to 80 feet between the private well and septic system components on Lot 2, Block 1, Beede S/D. A site plan and other relevant backup documents from DHHS files are enclosed for your review. Since these distances were noted and approved by the DHEP inspector at the time of installation, I understand that your office will not require payment of the normal waiver processing fee. There is no driller's log on file at DHHS, however the septic system inspection report indicates that the well was completed prior to 7/31/80. The closest lots for which we have been able to locate driller's logs are Lots 4 & 5, Block 1, Beede S/D (see enclosed). On April 2, 1993 we conducted an adequacy test of the well on the subject lot. At the start of our test the static water level stood at 11 ! feet below the top of the casing. Steady pumping of 65 gallons of water from the well at the maximum pump output of 6.5 gpm caused the water level to be drawn down to the level of the pump intake at 119 feet below the top of the casing. We pumped a total of 667 gallons of water from the well over a 5 hour period and determined that the sustainable yield of the well is 1.7 gpm, which is adequate for Municipal approval of a three bedroom residence. Water samples collected on April 5 were satisfactory, showing 0 coliform or other bacteria per 100 rnl., and 1.94 mg/1 of nitrate-N. According to the as-built inspection report the wastewater disposal system was installed in July of 1980 and consists of a 1000 gallon, 2 compartment septic tank followed by 26 lineal feet of soil absorption trench with 8 feet of sewer gravel and 4 feet of cover. The permit specifically okays a waiver to 80' between tank and well and 95' between trench and well. On April 2,' 1993 we measured the distance from the well to the septic tank cleanout pipe to be 81 feet, and the distance from the well to the standpipes at both the beginni.ng and the end of the soil absorption trench to be 95 feet. Thus it appears that the system was installed in accordance with the permit. The house was occupied at the time of our test. To assess the adequacy of the system, on April 2 we added 667 gallons of water through the cleanout at the beginning of the trench. No fluid ever built up in this standpipe at any time during the test, nor did the system ever back up into the septic tank. At the start of our test the fluid depth in the sump at the end of the trench was approximately 75 inches. This level rose 13.5 inches within the first couple of minutes and then remained at the same level until the water flow was stopped. The fluid level had receded to 6 inches below the original starting level within 20 minutes after the flow of water was stopped. This indicates that the fluid level in the sump is higher than in the rest of the trench (a frequently encountered situation) and that the trench has a surge capacity in excess of 667 gallons, which is approximately 1.5 times the design daily usage of a three bedroom residence. Based on our test data we concluded that the system continues to function adequately for a three bedroom residence. Since no driller's log for the well is available, the following assignment of points in accordance with DEC SCRO's separation distance waiver guidelines is based on shallow soil types reported as being ML and SP below 13 feet. An assumed depth of 50 feet to impermeable bedrock is extrapolated from the enclosed nearby well logs. The subject well is approximately 700 feet west of the wells represented by these logs where the bedrock depth can be expected to be slightly deeper, as it is further from Flattop Mountain. As is indicated on the site plan, the topography of the subject lot slopes fairly steeply down from east to west, but is generally level between the well and the septic system. As measured in the well, the depth to the aquifer is 110 feet below ground level. It is assumed that this aquifer slopes parallel to the ground surface, so there is essentially 0 gradient to the aquifer between the well and septic system. The following is a breakdown of how DEC waiver analysis points could be assigned. Category Points Depth to water table (110' - 12' = 98') Soil sorption ((38'x2.5) + (60' x 6.0))/98' 6.86 4.64 Permeability ((38' x 1.5) + (60' x 3))/98' 2.41 Water table gradient (assume 0% between well and septic) 2.9 Horizontal set>aration (81' to tank. 95' to trench) 2,24 tank 2.8 trench 19.05 tank 19.61 trench Based on these relatively high total points, it appears that the requested waiver can be safely granted without concern as to contamination of the well by virtue of proximity of the septic system. Please give me a call if you have any questions on this submittal. Sincerely, Ted Moore, P.E. FA/IR I I I I 1 I ENVIRONMENTAL ENGINI~'ERING DIVISION 825 L Street. Anchorlge. Alii..~1 Te,~ ~7~ . ISPOSAL SYSTEM AND/OR WELL IN~ECTION RE~RT __ .... ILEGAL D~SCRII~rlON ~ ..M,T .O.'~OO ~ ~/ j o.,,.gt.~o3 ~' IF HOMEMADE: 1 Inlide length Width DISTANCE TO: Well J Dwelling PERMIT NO. ,' M&flufKtur~ Mater~al Li~Jid caoaeit,f ~ ~ldloM /~ Foundat~o~14~.-,-~ / Nearest lot liml DISTANCE TO: No. of Itm~ linf Total a of till tO fiflish ~ f / ~neeth W~dth TyI~ of crib C~ib di~eler Crib depth Well Buildim:l f ouf~dation DISTANCE TO; ~ ~th DHII~ ITotal effective eMor~tion Mia Nearest lot line ,' Distance to lot lin DISTANCE TO: Building fou~Jatio,~ Sewer lin · '-) ,. -,~ --OTHER '~lpE MATERIA~ -- _ ,, PERMIT N~. RPPLIC~T WRLTER JRCOBI JR BOX 10-625 S. STR LOCRTI~ CROON R& LEG~ ~-'~*-'- ........ ~"~ LOT SIZE TYPE OF SOIL RESORPTION SYSTEM IS' TRENCH 4~e~e sgl, Jfl~ FEET MflXIMUM NUMBER OF BEDROOMS SOIL RRTING (.~Q FT/BR)" 1~ THE REQUIRED SIZE OF THE SOIL 8B$ORPTION SYSTEM IS: DEPTH-,,, 12 LENOTH-- "~ ORRYEL DEPTH"'- THE LENGTH DI~NSION IS THE LENGTH (IN FEET) OF THE TR~CH OR DRRI~IE%D. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE OROUND RND THE BOTTOM ~ THE EXCRYRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GR~L DEPTH IS THE MINIMUM DEPTH OF GRRVEL BET~ENT~ ~F~L RND THE BOTTOM OF THE EXCRVRTIO~ (IN FEET). ~QU ! RE~ SEPT I C TRNK $ I ZE-" "1000 ~RLL'ON$ PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING TI-~ IN~TRLLRTION IN~PECTIO~ OF RN~ WELL~ RDJRCENT TO THI~ PRO~RT~ R~ T~ NUMBER OF RE~IDE~ES T~T THE WELL WILL SERVE. ------ TWO (2) INSPECTIONS RRE REQUIRED ------ BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL ~ THIS ~PRRTME~ WILL BE SUBJECT TO PROSECUTION. MINIMUM OISTRHCE BETWEEN R WELL RND R~ ON-SITE SEWRGE DISPOSRL $~TEM IS lee FEET FOR R PRIVRTE WELL OR ~50 TO 2oe FEET FROM R PUBLIC ~LL DEPE~ING UPON THE TYPE OF PUBLIC WELL. MINIMUM &ISTflNCE FROM fl PRIVRTE WELL TO fl PRIVRTE SE~R LINE IS ~ FE~ P~ TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONST~CTION DIRGRRMS ~E RVRILRBLE TO INSURE PROPER INSTRLLRTION. I CERTIFY THRT 1: I RM FRMILIRR WITH THE REQUIREMENTS FOR ~-5ITE SE~R~ R~ ~LLS ~ SET FORTH BY THE MUNIClPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH T~ CODES. ~: I ~DERSTRND THRT T~E ON-SITE SEWER SYSTEM MRY REQUIRE E~OEMENT IF THE RESIDENCEM~~.__~IS REMODELED~TO INCL~E MORE THRN ~ BED~OMS. MUNICIFALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENYIRG.!IM~rAL IIf~TECTiON SOILS LOG - PERCOLATION TF.~ 2 3 4 6 6 8 10 11 1:2 13 14, 16- 16 17 18 10 2O ~ . '/'.EST RUN BETWEEN --- ............ ~ .......... ~ % _v~ , , , g ~, ~ ~,....;~..~ .-- . -, ................... ., . . %'~ ..... .....-'~-' WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? Gro. Net D~th t~ Net Time Time Wow DeoO PERCOLATION RATE , , (mlnut~l/K:h)