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Home My WebLink AboutT12N R3W SEC 23 E2NW4SE4SE4 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 Parcel I.D.# (~)\'~- ~.'~\- \~ HAA# ~ 1. GENERAL INFORMATION Completelegaldescription E~Ng~sE~SE~, SEC23, T12N, R3W, S.H. Location (site address or directions) 1 ?,1 2. 1 Rc, c,~r4 dg~ Av~. Property owner Mailing address Lending agency N./~ Mailing address Ag~ht : '. ' PSl~O Address N/A Ms. Jackie Horning 12121 Rockridqe Ave, Day phone 345-0456 Anchoraqe, AK 99515 Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well * Community well Public water Day phone 345-P4%6 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 If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. NOTE: 72-025 (Rev, 1/91) Front MOAw"21 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 of this Health Authority Approval application shows that the on-site water suppty 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. NameofFirm Theta Environmental Enqineerinq Phone Address 23254 Northwoods Dr. Chu~iak, AK 99567 EngineeCs signature ~~ -~____----~.~ Date 242-0755/688-0755 DHHS SIGNATURE Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Note: The well for this property meets e×istin~ State and Municipal Codes. here are nitrates pr~q~n~ TP ~= °'gg=~tod tb~t p~!oO~ e~=e4~g b~ performed to insure the wells continued suitability. Current nitrate o cen ........ --- ' ' ........... ~'~- : ~" '~ g/1 More information on nitrates is available from the On-site Services Program, 3q3-~7oo. DHHS, .... 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 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 engineer's work. .I ,RECEIVED Municipality of Anchorage NOV 2 § 1998 DEPARTMENT OF HEALTH & HUMAN SERVICES l~LIIJ~J Environmental Services Division ~UNICIPALITY OFANCHO~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · ~,~y~WCES mV~S~=~-~ Health Authority Approval Checklist Legal Description: ~ /Z. Parcel I.D.: A. WELL DATA Weft type g~L'J~TE Log present (Y/N) Y Total depth ~"~ ~c~ Sanitary seal (Y/N) IfA, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ~--~, ~'1- Casing height (above ground) Wires properly protected (Y/N) Date of test Static water level Well production FROM WELL LOG AT INSPECTION_ 't5 ?r 3(a,[aq ,/0 g.p.m. /, ~ g.p.m. WATER SAMPLE RESULTS: ~,. ~'~ ,~1/.~- Other bacteria Effective absorption a?~a:~0 t~"z' Monitoring Tube present (Y/N) ~ Depression overfield (Y/N) ~ Date of adequacy test Il~Iq I~ · Results (Pass/Fail) ~'~ For ,.?/ bedrooms Coliform (~ Nitrate (~) Date of sample: ! I I~" '~ Collected by: B. SEPTIC/HOLDING TANK DATA 'l~'- I=v'o~ G,~A~P ~c~ Date installed ~/~/~ . Cleanouts~/N) ~ Tanksize Z~/ Number of Compa~ments Foundation ~!e~nout ~/N) ~ Depression ~/N) ~ High water alarm ~/N) M I~ Dateo P LpingPumper ~ ~o~ %~$ C. ABsORPTION FIELD DATA r, ~ ~ ~AI{~ ~+ ~ ~=~S'm~D ~ ~'~T~ Da([.i,stailed.~ ~1~/~.~-. , Soil rating (g.p.d./~orff~d~) ,~ System~pe ~ ~ Len~:~ ((,'~ wi~h',:~'~ Gravel thickness below pipe ~ Totaldepth ~r Fluid depth in absorption field before test ~,1~); }, "~'~ J~' Immediately affer/00Ogal, water added .Q~.): Fluid depth I ,~.~ ~'-"((ins) Minutes later: Iq~'O Absorption rate = ~"O 0 g.p.d. Peroxide treatment (past 12 months) (Y/N) ~ If yes, give date J[ ] ! ~ 72~026 (Rev. 3/g6)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* ~J//Pi'- cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* kJ ( ~ 'Datum /~ (,4-- SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot _ ~ c~ /'~ 7' Absorption field on lot '~ I J ~ ~"7 Public sewer main Sewer/septic Service line "Pump off" level at* /~ Ig-- On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station ~T zoo ~' 7 ~T /oo F 1- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~ I ~ ~'T Property line '~'T (o ~T Absorption field Water ma[n/service line ~"3~-~.~'~'Surface water/drainage ~'~'/Oo P~'Wells on adjacent lots ®T /oo (=7 F. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Surface water Curtain drain ~'"(' 1{2 ¢3L Building foundation ¢.~?.. ~'w' Water main/service line ~'T /00 ~=1'- Driveway, parking/vehiclestoragearea Wells on adjacent lots Engineer's Name ~'~o,~-p 6, ~,o~,~c%,,J, ~),8, Date E.G,.EE.'S CE.T,F,CA.,O" I certify that I have determined thru field inspections ~ ' ' ' ~" "~" ...... ' ' ~ i are · in effect on this date. ~.. 4~' -' ~'gTH ~"~_ inconformancewithMOA~AA~id~es ~ndrewew°fMuntc/palrec~;~""the~g~'l Sign atu re ~'~-~ ~'"'~'~:¢~:~ ~t~ ...... ~.;~3 HAAFee $ '72 ~ ¢ ~ Date of Payment ] [ ./Z"'~-~--/~'~) Receipt Number ./~Z~/~'~ Waiver Fee $ Date of Payment. Receipt Number 72-026 (Rev. 3/96)* GREATER ANCHORAGE HEALTH DISTRICT 18 January 1962 Hr. and Hrs. Cene Ho~mming 12~$ I Street Anchorage, Alaska Re: Water and Waste Disposal systems on Homing prOperty To ~hom it may concern~ This letter is to ~tate that the water and waste disposal systems ~hich exist on the property o~ued by )ir. and I/rs. Homing ~ich is off O~11y Road and is Seward Hedidian, have been in,tailed, in~cted, and meet all o~ the present ~equtre~n~ [or and F.H.A. insured loan, the Alaska ~part~nt o~ Health and ~el~aee, And the ~eater 2fichoraEe Health DiStrict. ~is inspection ~as ~de on 26 September 1~1. ~e drilled ~ell is 56 f~et deep with a 6" $~eel cas/u/ and produce~ 10 ~allons per minute. ~e ~ell ts located 51 feet trom the nearest cas~ irm se~er. 96 feett fro~ the Septic tank and 117 feet from the seepage pit. ~e s~pttc tank is c~st~cted off ce~u~ bl~k and has a p~ged slab floor and top. ~e inside ~as ce~nted and tarred to ~ke t~ ~ater tiiht. ~e septic tank ~asu~eo 6 it. X 8 f~. X 8 Ft. and has a 2,880 8a11~ ca,city. ~e saepase pit i~ a lo~ ~alled pit ~ich ts 10~ X 10~ X 8~ liquid ~epth ~ich ts 320 iq. i~. off ~11 ar~a. ~e pit is in ~o~ sand and Stave1. Sa~itar~an Air Mail to Alaska Is Faster GREATER ANCHORAGE HEALTH DISTRICT 217 E STREET · P.O. BOX ~68 ANCHORAGE. ALASKA To ~ho~ it may concern: Sub~ec~: Inspection of Individual sewage and water system Water System wate~ tight to depth Distance to septic t~nk Distance from seepage pfc Distance f~mt nearest se~er Well pumper at 56 foot drilled well ~' steel 56 feet 96 feet 117 feet 51 feet 10 ~11ons per minute Waste Disposal System: The system contains the followin~ Septic Tank: Haterial Number of compartments total liquid capacity Inside length Insidd width Liquid depth Distance from building Distance from well Seapase pit: cement block 2;880 gallons 6 feet S feet 12 feet 96 feet Number of pits Outside demensions Liquid depth Linnin~material Distance from building Distance from~ll Distance from septic tank 1 10' X 10' 8 feet Log 32 feet 117 feat 12 feet Date of lnapectiont 26 SeptemSer 1961 Inspected by: David L. Duncan Sanitarian G,A.H.D. Air Mail to Alaska Is Faster . ® ✓ � Cly C ! CiS,S GE THETA ENVIRONMENTAL ENGINEERING 905 Jayme Court OF Anchorage, Alaska 99518-2444 344-1928 (907) 4194 Tlj •. ,� 0 Fax: (907) 349-2363 �+, ..... Tract 15 A, Sec 23, Township 12 N, Range 3 W 00 -1P,".> 0,4t ore �I. ,� Jacq-Horn Subdivision(Proposed) r�� . GE 8589 ROF-ESS ski€a` SITE NARRATIVE IX�`tQt'� Tract 15A, Sec 23, T1 2N, R3W is bounded by Alatna Ave and Lot 1 Block 1 Breitzman and Lot 1 of Amundsen Subdivision to the North, an unsubdivided 5 acres to the West, Lot 3, and 4A, Block 1 Chickadee Slopes Subdivision to the South, and Tract A-1 and B-1 Tengeberg Subdivision to the East. There is a home on Tract A-1 and B-1 with a water and wastewater system. Both Lot 1, Block 1, Breitzman have homes and water and wastewater systems. There is a home on the northern portion of the unsubdivided area to the west with both a water and wastewater system. All other lots adjoining the subject subdivision are vacant. There are no public wells on any of the lots and all wells are at least 100 feet from any existing or proposed wastewater systems in the proposed subdivision.. A 4 bed room home is located in the extreme Northern corner of Tract B of the proposed subdivision. This structure has both a well and wastewater system. The well is over 100 feet from the wastewater system. The wastewater system consists of a 2,000 gallon concrete block septic tank and a pit type soils absorption field. The system was installed by the owner in the early 1960s and no official records appear to exist concerning the exact size of the pit and the septic tank. However, septic tank pumping receipts exist and one is provided as an attachment. An adequacy test was not performed on the pit, however, it appears to be operating properly and serves the needs of the owner. Ms. Jacqueline Homing proposes to subdivide the 5 acres which compose Tract 15A into two 2.5 acre tracts, Tract A and B. The existing structure on the proposed Tract A is accessed from Rockridge Dr. Access to Tract B will be from Alatna Ave. It is proposed that any structure built on Tract B in the future will be at least a 3 bedroom home and the proposed systems for the Tract will be sized for a 4 bedroom home. Tract 15A slopes from the east to the west with the eastern portion fairly flat with a 5 to 10 percent slope. The north west portion of the proposed Tract B slopes up to 30%. While the eastern and southern portion of Tract A is fairly flat. The layers in test holes 2, 3, and 4 are fairly consistent and it appears this exists along and above the 928 ft elevation surface. It appears there is more than sufficient area where material exists which is suitable for on-site wastewater systems. Test hole 3 indicates there is a rather dramatic change in the soils encountered. However, this material is suitable for an on-site wastewater disposal system. Since a system exists on the proposed Tract B, there are only two replacement system locations indicated. The proposed Tract A has three system locations indicated since there is currently no system on the Tract. Page 1 of 2 Based upon these test holes and my observations, it is my professional opinion that a bed system may be installed in the areas indicated which will operate correctly and not impact the surface water below the system. The system which is near test holes 1,2, and 4 will require a sand filter since the material is too permeable to properly treat the waste water. It may be possible to obtain a waiver from the sand filter if the wastewater system is installed on the sandy layer and if a sieve analysis indicates the sand is close to the sand filter specifications. If the waste water system is installed on the sandy gravel layer, a sand filter must be installed. All systems should be a bed type system parallel to the slope of the lot. WELLS No impact to existing wells on the adjacent lots and Tract B is anticipated from systems installed on Tract A and B if they are properly installed and maintained. There is sufficient room on adjacent vacant lots to locate a well and wastewater system with no impact to either the adjacent lots or the proposed Tracts. WASTEWATER SYSTEMS No impact to wastewater systems on adjacent lots is anticipated from this system. RESERVED SPACE. Sufficient room exists to place replacement systems. DRAINAGE No impact on the drainage of the lot is anticipated from the proposed wastewater systems. All fills will be sloped to drain in the direction of existing drainage. The system will receive topsoil and seeding to prevent erosion. WASTEWATER SYSTEM DESIGN Percolation Rate: Test Hole #1, 2, 4 = less than 1 min/in. A sand filter is required. Test Hole #3 = 13.8 min/in. Per Table 1, A 90-48(S-1) Page 16, Test Hole 1,2, & 4, Loading rate(sand filter)(bed) = 0.7 gpd/sq ft = 215 sq ft/bedroom Test Hole # 3, Loading Rate(bed) = 0.5 gpd/sq ft = 300 sq ft/bedroom. Suggested System, Test Holes 1,2 & 4 = Bed. 4 bedrooms x 215 sq ft/bedroom = 860 sq ft. Suggested System, Test Hole 3= Bed. 4 bedrooms x 300 sq ft/bedroom = 1,200 sq ft. System to be installed in the strata which was percolated. Bottom of the system will be 6 inches into the strata which will be over 6 feet from the bottom of the hole. The Drainfields should be constructed to the Municipality of Anchorage Typical Bed Drainfield Requirements and Specifications(AMC 15.65). Page 2of2 Municipality of Anchorage 000, DEPARTMENT OF HEALTH & HUMAN SERVICES 001* ; , • , , , • ;•/ 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST O� BONA ,G F. GOD •: �® of •'��,� PERFORMED FOR: Jackie Horning DATE PERF •••• f Test Hole # 1 LEGAL DESCRIPTION: Tract A, Jacq-Horn Township, Range, Section: Tract 15a sec 23T_12NR3W EP H Manor SLOPE SITE PLAN 1 Organics 2 3 4 5 6 7 8 9 10 11 12 13 14 15 GM/SM, Silty Sandy Gravel Tan, Cobbles GP/GW Sandy Gravel, Dark Brown/Red, Few Cobbles ML, Silt, Thin, Tan 6inches thick SP, Sand, Poorly Graded Light Brown, Clean, Slightl Damp ML, Silt, Light Tan, Compact, Few Cobbles, Dry WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 0 NO S L N/A p E Depth to Water After Monitoring? Dry Date. 5, 6 It ==i -Gross-=; __�,pth to Time Water PERCOLATION RATE NA (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS 1-0 P rr• Perris fatter than 1 min/in Rer•ommend Sand Fi 1 ter If desired, sieve analysis could justify elimination of sand filter. PERFORMED BY: R rnAAp^ I $n_n a t A Ctnr3dan CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. -9/1 8/96 72-008 (Rev. 4/85) ® Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST ,® s�v�rvcirv5�c.� ��• _ �•0� 00 • t= �z0r fol u• • N. �s CE 8569 •'��'® I p •••...•��P�.� , PERFORMED FOR: Jackie Horning DATE PERFORME�N ®� Tract A, JACQ—HORN TEST HOLE # 4 Tract 15A LEGAL DESCRIPTION: M;innr Township, Range, Section: Sec 23, T12NR3W Dpi", OL, Organics SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 3M, Silty Sandy Gravel Pan GP/GW Sandy Gravel, Brown SP/SW Sand, Poorly Graded Tan Utz WAS GROUND WATER ENCOUNTERED? mn SM, Silty Sand, Tan � IF YES, AT WHAT C DEPTH? NA P E Depth to Water Atter Monitoring? 16.0 Date: 5/18/96 ML, Silt, Dry Tan Compacted J 20 U PERCOLATION RATE NA (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS Unable to Perc, rated at faster than 1 min/in Recommend Sand Filter If desired, sieve analysis could justify elimination of sand filter. PERFORMED BY: R. Godden I RonGodden CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: _.S -zi A / q R 72.008 (Rev. 4/85) Depth to Water 20 U PERCOLATION RATE NA (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS Unable to Perc, rated at faster than 1 min/in Recommend Sand Filter If desired, sieve analysis could justify elimination of sand filter. PERFORMED BY: R. Godden I RonGodden CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: _.S -zi A / q R 72.008 (Rev. 4/85) ® •.r Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Jackie Horning DATE PERFORMS �,A •15 Test Hole #2 Township, Range, Section: Tract 15A, Sec23T12NR3W LEGAL DESCRIPTION: SLOPE SITE PLAN PT Manor (F OL, Organics/Silty Sand 1 SM/GM Silty Sandy Gravel 2 Tan, Orange 3 GP/GW Sandy Gravel 0.a Dark Brown 4- 5- 6- 7- 8. 9 10 11 12 13 14 15 16 17 18 19 SP, Clean Sand, Brown ML, Silt, Dry, Compacted SP, Sand, Tan WAS GROUND WATER ENCOUNTERED? NL ML, Silt, Tan, Compacted S L IF YES, AT WHAT 0 DEPTH? NA P E Depth to Water Atter yQ^ ^ Monitoring? Dry Date: s 3011` 0 Gross Net Depth to Time Time Water 20 PERCOLATION RATE N/A (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS Unable to perc, rated at faster than 1 min/in Recommend Sand Filter If desired, sieve analysis could justify elimination of sand filter. PERFORMED BY: R. Godden I Ronald Godden CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1 •L9 72-008 (Rev. 4185) • r, •, ® � Municipality of Anchorage ... • DEPARTMENT OF HEALTH & HUMAN SERVICES 10, / .� 825 "L" Street, Anchorage, Alaska 99502-0650 ! • • •.. •�•'�-v_'• • 'd SOILS LOG — PERCOLATION TEST /�� :�C' �"(' ` `' •��w� CE Ea89 PERFORMED FOR: Jackie e Horning DATE PERFORMM��.T `• � Test Hole # 3, Tract BTrac_t\`15A LEGAL DESCRIPTION: cin •nnnr Mann Township, Range, Section: Tract 9'A - Tl 2NR* [W SLOPE SITE PLAN DEPTH OL, Organics 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1E 1E 1i 1E 1� SM, Silty Sand, Orange GM, Silty Sandy Gravel Tan iN GM, Silty Sandy Gravel, Tan, with thin clean sand layers SM, Silty Sand WAS GROUND WATER Tan, ENCOUNTERED? NO M. IF YES, AT WHAT DEPTH? NA Depth to Water Atter Monitoring? 13 . 5 Date: 5 / 18 / 9 6 IT 20 II—�I PERCOLATION RATE 13 - 8 (minutes/inch) PERC HOLE DIAMETER 6 i n— TEST RUN BETWEEN 3 • 0 FT AND 3 . 5 FT COMMENTS Sni 1 G rated a1- 1 1 A mi nli n hpt-waan ? n ft AnA Q R ft PERFORMED BY: R. Godden I Rg a 1 d Godden CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/1B/96 72-008 (Rev. 4/85) G�oss Time Depth to Water 20 II—�I PERCOLATION RATE 13 - 8 (minutes/inch) PERC HOLE DIAMETER 6 i n— TEST RUN BETWEEN 3 • 0 FT AND 3 . 5 FT COMMENTS Sni 1 G rated a1- 1 1 A mi nli n hpt-waan ? n ft AnA Q R ft PERFORMED BY: R. Godden I Rg a 1 d Godden CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/1B/96 72-008 (Rev. 4/85) TH e' :•.RONALD E. GODDEPJ:w� CE 6589' _IYELL 1 0 • IL' / 0 � W ins' I \ TWA p WP -LL X56 I Oler I T✓fir. ALA7-NA-- JUL to 1. Q'- r zz . .. AVE- _TRACTS' ,4 B L C /-/O�e V MANOuP, A -,5'L1BD I V1-57a/V of rR.4.CT 15A 'i=6AITAINS-5-,4C4eES ZY45 TA 5WIROMMiFN7•4L ,EJi/G//1ZERIA/6 2 IVALD a. 0.0005 I PE. OE V0-6'jAYAAF.C7:._ .ANCHORAag- 4X , 39 1 72-444 pegVVV 14 1 Q4 TG • /&-9,61 Cyr-- . R -C." -ZALP- 1 "=100' 6,R/D I 2 739