HomeMy WebLinkAboutT12N R3W SEC 33 LT 97T12N, R3W,
Section 33
Lot 97
#018-262-10
Municipality of Anchorage Page _1 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
P,ermit Number: 59¢] C~L~ O ~'~ PlD Number: ~ ~ ~ I~
Name:Wastewater System: ~ New ~ Upgrade
Address: ABsoRPTION FIELD
Phone: IN° °%re : ~DeepTrench ~ShaltowTrench rBed ~Mound ~Other
Tolal Deplh from odgina~ grade:
Lot: Block: Subdivision Depth Io poe boltom from odgin~ grade Gravel depth ben~j~th pipe
T°w~ilP~--'~ '~ I .1"8~ .1~"°"°~ ~ Fill addod above original grade Gravel length:
Gravel width: Number of hnes: IBistancebe~ween lines:
WELL:
New
Upgrade
Ctassigcation (Private, A.BC) TolalDoplh: Ft CasedTo: Ft fotalabsorpbonarea;10¢ ~ SQ Ft Pipe~ v~material: ~,
Driller: Date Drilled: Stalio Water LevelF, Ifistaller: ~ C'~¢~ q'/Z ~ .....
Yield:GPM IPump sera, Ft Ic~'"'''''¢''*~°'~o'°""°F, TANK
SEPARATION DISTANCES u Septic ~ Ho~ding ~S.T.E.P.
TO Septic Absorplion Lilt HoIdm9 ~ubl[c/private Manufacturer: Capacity in 9allons:
Material: ¢ LC'_ Number olC~panmems:
Wen I~O 150
surt~c~ L I FT STATIC N
Water N ,~ ¢
Lot Size in gaUons: Manulacturer
"Pump on" ,evel at I "Pump o'"' level ab [ High wat~rm at:
Foundation ~ ~ ~ O &~ ~ ~ ~.
Remarks: BENCH MARK
~NG[NEER'S ~EAL.
Inspections performed by: Dates: 1st
Department of Heal~ and Human Services apProval ,
72-0t3 (Rev 9/91) MOA 25
N
£5
££ALE: 1" ~ 50 FT.
250
I'FOBBEN SPURKLAND P.E. /~JO~ 9~, ,~E~'. 30° ~/~/V R~Z SEPTIC SYSTEM ASBUILT I
202 W 15TH. AVENUE DATE: SE?E 8, /994
ANCH. AK. 99501 RICK STONE
14610 ELNOI~E SHEET: 2/$ GRID: 5055
(907/ ~79-3~16
1204 I/
I-I/4" PVC
SCHEDULE 40
SECTION A-A
6" Hollpip~
I 1/4 PVC Holes Pointfi~g Up
99.8
6" Sewer Rock
I-1/4" Dislibulion Pipe
2' Lake OHs Gravel
SECTION OF BED
NO SCALE
TESTHOLE
GROUNDWATER ~ I0~
lOl. O
100~
99.8J I 91'.
1-1/4" Discharge
1250 GAL STEP TANk
BENCH MARK:
J TOBBEN SPURKLAND P,E. II
205 W 15TH. AVENUE II
ANCN AK 99501 /I
LOT 97 SEC. 33 ~fl2N R3tf
RICK STONE
14610 E{MORE ROAD
SEPTIC SYSTEM ASBUILT
DATE: SEPT, 8, 1994
SHEET: 2/5 GRID: 5055
~AGE
sYSTEHS
~:';'MUNICIPALITY OF ANCHORAGE, ~UILDIN~ ~ ""
FaAMJNO ........... [3 UL~O. FINAl,
INOU~TION ....... ITl OTHER .........
OOMMENT8 ........ F' '
DO HOT REMOVE THIS NOTICE
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPAR~%~ENT OF HEALTH ~ H~ SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
~CHO~GE, ALAS~ 99519-6650
0N-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW940333
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:STONE RICHARD M & DIANN
OWNER ADDRESS:14610 ELMORE ST
ANCHORAGE, ALASKA 99516
DATE ISSUED: 9/02/94
EXPIRATION DATE: 9/02/95
PARCEL ID:01826210
LEGAL DESCRIPTION: T12N R3W SEC 33 LT 97
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD 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 (18AAC?2) AND DRINKING WATER REGULATIONS (iSAAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2~HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
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:
THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN COURSE
SAND WITH 4% OR LESS PASSING THE #100 SIEVE AND 2% OR LESS
PASSING THE #200 SIEVE. A SIEVE AN;%,LYSIS MUST BE PROVIDED
ON THE SAND USED OR OBTAINED FROM f/2~ APPROVED SOURCE.
DATE:
T.SPURKLAND P.E.
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASICA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 97 SEC. 33 T12N R3W
RICK STONE
Groundwater at 10 Ft.
Use Bed
Soil Rating. From test 7/19/94
~ 3 ft. 8 rain/in = .5 gal / sq. ft.
~ 5.5 ft 40 min/iu = .3 gal/sq, ft.
Use 3 feet as bottom of system
No. of Bedrooms 3
Required Area per Bedroom: 150/.5 - 300 sq.ft..
Total area required: 3 x 300 - 900 sq. ft.
Existing tank 150 feet away. Use 500 gal STEP
Use 2 feet of Lake Otis Gravel as Filter Material
SYSTEM CONFIGURATION
BED
TOTAL LENGTH 60 FT.
TOTAL WIDTH 15 FT.
TOTAL DEPTH 3 FT.
LAKE OTIS GRAVEL 2 FT.
ROCK DEPTH 0.5 FT.
COVER 3 FT.
SEPTIC TANK 1000 GAL. SUNSET PLASTIC
STEP TANK 500 GAL.
ABANDON EXISTING SYSTEM
CHECKINTEGRITY
The installation of this septic system will not prevent wells fi'om be installed on the
adjacent lots.
Septic SySteln Design
Lot97 Sec. 33 TI2N R3W
There are no developed or natural surface / sub surface drainage courses on this or
the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding
and/or concentration of surface runoff will not result from this installation.
Pressure Calculations;
Assume 30 feet of total head los.
Pump Delivery at 30 Ft. = 33 gal/rain
Discharge
p~l/~jlnchhole 0.43
gal/mln
Total no. of holes: 33/.42 = 80
Spacing of holes: 3 x 55 x 12/80 = 24.75
USE 2~inches.
Septic System Design
Lot97 Sec. 33 TI2N R3W
PERFORMED FOR:
LEGAL DESCRIPTION:
3
4
7
lg-
13.-
14 -~
16-
.17-
'18-
20-
COMMENTS
Municipality o! Ar~chorage
DEPARTMENT OF HEALTH & IdUMAN SERVICES
825 "L'1 Street, Anchorage, Alaska 99502-0650
SOILS LOG --. PERCOLATION TEST
Lo'F T1
Township, Range, Section:
SITE PLAN
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, Al' WFIAT O
E
I
PERCOLATION RATE __(¢~ (mmutes/~nch) PERC HOLE DIAMETER
1 ES [ RUN BETWEEN '~ FT AND ~ '//,~ FT
PERFOEMED 13Y ~ ............... CER]~FY THAT THIS TEST WAS PERFORMED IN
~ t~ j
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SI~RVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PEI}COLATION TEST
LEG~L D~SCR,P~,O~: L ¢Z7 fl -L
5
6
7
8
9
10
11
12
13
14
15-
16-
17-
18-
19~
20-
DATE
Township, Range, Section: ]~SITk PLIANCY// ~2 ~
SLOPE
WAS GROUND WA'FER
ENCODNTERED?
/,~onitoring? l~ D~lc: _
O
P
E
Net Depth to
Time Water
~ ,~ 7 7~
Net
Drop
CERTIFY TH T THIS TEST WAS PERFORMED iN
72-008 (Rev. 4/851
TOBBEN %PLIRKLAND P.E.
203 W 15TH. AVENUE
ANCH. AK. 99501
(9o7'~ 27~-~1~
RICK STONE ] DATE: AUGUST 15, 1994
14810 EL~ORE SHEET: 1/Z GRID: 3035
30 75 100 1£5 150
SE'ALE: 1~ bO f I
ExlsL Sunset
TOBBEN SPURKLAND P.E.
203 W 15TH. AVENUE
ANCH. AK. 99501
[9o7/ 279-29t6
LOT 97, S156. 33 TI2N R3~r
R/CK STONE
14610 ELMORE
SEPTIC SYSTEM DESIGN
DATE: AUGUST 15, 1994
SHEET: 2/5 GRID: 3035
tl -1/4 PVC ~vilh 1/$" holes ol 25~
~ A
PLAN VIEW
NO SCALE
6O
120~ If
I-I/4" PVC ~ )J
SCHEDULE 40 (
500 GAL STEP TANK
SECtiON A A
Existing 1000 Sunsel Plastic lank
5 Ft. of Cover
/ Topsoil
1 1/4" Distibution Pce ~.
Nirofi 140 / ~/I TESNOLE 500 goI STEP tonk
GROUNDWATER ~ 10~
2' Loke Otis Grovel
BENCH NARK:
SECtiON OF BED
NO SCALE
TOBBEN SPURKLAND P.E.
205 W 15TH. AYENUE
AK. 99501
LOT 97 SEE. 33 T12N
R/CK STONE
14610 ELIdORE ROAD
SEPTIC SYSTEM DESIGN
DATE: AUGUST 16, 1994
SHEET,' 2/5 GRID: 5055
GRE! ~' ANCHORAGE AREA BOR"" "t
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT oN]§~TE SEWAGE DISPOSAL SYSTEM
LOCATION LEGAL DESCRIPTION "~'/'~"'~jt) R ;'~(J~ -¢¢"
SEPTIC TANK:
DISTANCE ( ,__ NUMBER OF
FROM WELL [~L9 .(- MANUFACTURER ff~,~_~i_c'_'~ MATERIAL £j- ~-~*'=~ /~2;-~''~) COMPARTMENTS
/
INSIDE LENGTH -- INSIDE WIDTH ~ __ LIQUID DEPTH '~] _ LIQUID CAPACITY J~¢~'~JGALLONS.
T4:~E=~E E-D:
FOTAL LENGTH
DISTANCE FROM WELL ~]5 T~FOUNDATION '"- NEAREST LOT LINE ~¢"'~' ! OF LINES ~ '] I
NUMBER OF LINES ~.~.__ DISTANCE BETWEEN LINES '-- 'FRENCH WIDTH_~.~ IN TOTAL EFFECTIVE
ABSORPTION AREA z~/'~z~' __SQ. FT. LENGTH OF EACII LINE j ~ /~_/ /.~ ~1 }_ ~ J
DEPTH OF FILTER
OEPTI4: TOP OF TILE TO FINISH GRADE ~f!' MATERIAL BENEATH TILE --:'~ _tN. ABOVE TILE--'~/2_ IN.
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
ION O~OL, t',J _ DEPTH DISTANCE FROM:
CONST RUC]
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE TANK /¢',,~ ' ~ SYSTEM /~:-~ J:
OTIIER SOURCES ._.
APPROVED
DISAPPROVED _ REMARKS _. .
DISTANCES:
INSTALLED BY: .....
SEWER LINE DEPTI4:
d
PIPE MATERIAL: ~6~5~ }r'0¢l
LOT SLOPE:
DIAGRAM OF SYSTEM
GREATER ANCHORAGE AREA BOROUGH "'1~-Y'"}--"~ ,,/%
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT '%.
INSTALLATION LOCATION
LEGAL DESCBiPTiON __ %,) .~. 4/,
INSTALLATION Of: SEPTIC TANK //~- SEEPAGE Pit ,--, DRAIN f~E4=~) _, OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED ' _ ~3 ' / 2~ ''
F~NANCED ThrOUGH TO ~E INSTALLED BY
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTME:NT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE~,REQUIRENIENT~
DRAIN FIELD
/
. SEEPAGE PIT -- '/g'~ -~
--, ALSO CONSIDER AREA WELLS.
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL _
5
SEPTIC TANK --, SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK ~
WATER MAIN TO SEPTIC TANK /~ , SEEPAGE Pit
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH Al RTIGHT REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DEscrIBED SYSTEM IS IN ACCOrDaNCE WIth SAID CODE, ,/} ~ _¢/~_*_
~ APPLICANTS SIGNATURE . ~
GR[]AI'ER AHCIIOk/\GL /,!~/\ UOl(OI;(Jii
~)epartment of IZnvironmental ()ual-ltv
3330 "C" Street
Anchorage, Alaska ~J0blJ]
Del) th
Feet
8-
10-
-~--~q 1
12 -
13-
14 ~-
Was ground water encountered?
If yes, at wnaL dui~th?
Reading [)ate (}ross Tirne Net Time Del)th to Water Net iJro~
....................... ::: :::::: :: :::::::::~::: :: :::::::::::::::::::::: :.: :.:::_:: :::: :: :-::::
Percolation ra~e minute.
Proposed insta]latl~: --~)a~le Pit []rain FiF, Id
:~ / [ -- . // -'
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
GENERAL INFORMATION
Complete legal description
Location (site address or directions) } LtL ('~1C.' L~. L i~--t C (? ~
Day phone ~ ~ '~-- '7 / 71~
Lending agency Day phone
Mailin. g address
Agent '~----i¢ ~'~ I-c~v v~ .~ ['~-i~'(¢~')L Dayphone
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 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.
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 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.
Engineer's signature
Date
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 satisty 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.
k /MunicipalitY of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 "L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.ancho rage.ak.us
(907) 343-4744
N~UINI~IPALII'¥ OF ANCHOP, AG[:
"dPONMENTAL SERVICES DIVIe!
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
Parcel I.D.: ot~ - ,2~Z--lo
A. WELL DATA
Well type ~
Date completed !///¢-//~/
Total depth D¢-7 ft
If A, B, or C provide PWSID # h'//A Well Log y
Sanitary seal ~ Wires properly protected ~./
Cased to ~ '7 ft Casing height (above ground) i (~ in.
FROM WELL LOG AT INSPECTION
Date of test J/./-2//~~/ c~'~/?/¢/C~
Static water level c~-/) ft ~ ~) ft
Well production ~'~-~ g.p.m /¢¢. ,¢- g.p.m
WATER SAMPLE RESULTS:
Coliform ¢:¢ colonies/100 mi Nitrate ~ ~-~ mg/I
Date of sample: ~//7/Oo Collectedby:--~_..~
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material ~"T').~ ;~>...~'~--,~7~
Date installed ~/'~/~ !
. . Tank size /~.,~6-~ gal
Other bactbria N-P colonies/lOC mi
Number of Compartments ~
__ High water alarm \/
Cleanouts ~_Foundation cleanout ~ Depression over tank
Date of pump n~ g ll/I 71 ~ ~ Pumper J.~ ~.&C',
C. ABSORPTION FIELD DATA
Date installed~/¢~ Soil rating (g.p.d./ft2 or ft2/bdrm) O.-.~ System type
Length ~.~ ft Width //:~ ft Gravel below pipe E2,_~ft
Totaldepth ~-~ ft Effective absorption area /,~¢,C"fF Menitoringtube ~,/~)Depression over field
Date of adequacy test ~//~/2,//~r2 Results (Pass/Fail) ~ For -~ bedrooms
Fluid depth in absorption field before test / /¢) in Water added ~)~,¢ gal. New depth,~ >~),.~ in.
Elapsed Time: ~'-/~l¢.~.~b~ Finalfluiddepth/"('o) in Absorption rate >= ¢,~-Og.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) ~"-/ If yes, give date __
72-026 (Rev. 01/00)*
D. LIFT STATION
Date installed ~//~/~t/
"Pump on"level at ~,~ in
Oatum /, / r//-/
E. SEPARATION DISTANCES
Size in gallons
"Pump off" level at (¢ ¢ in
Cycles tested
Manhole/Access
High water alarm level at
Meets alarm & circuit requirements
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot !
Absorption field on lot
Public sewer main
Sewer/septic service line
On adjacent lots )' / ~
On adjacent lots '~ /~
Public sewer manhole/cleanout
Holding tank '%/,///,'~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Building foundation ~.~ Property line
Water main ~ /"/~. Water service line .~,,~-_~'
Drainage -~ /.~z2'"O' Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line L] O
Water Service line ,~d3-D Surface water ~"! / O
Curtain drain /"4/0
F. COMMENTS
Building foundation l ~-/O Water main
Absorption field
Surface water
lo-cC"
Wells on adjacent lots
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name
Date
/zo
Driveway, parking/vehicle storage
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 01/00)*
08-22-00 16:0~ FNOM-¢TE ENVIRONMENTAL
~1~K CT&E Enmranmental Serwce~ Inc,
T-055 P.02/05 F-lO4
CT&E Ref.~ 100476500 I
Client Name Tabben Spurldand P,£.
Project Name/# Lot 97 Sec 33
Client Sample ID La[ 97 Sec 33
Matrix Drinking Wa[er
Ordered By
pWSID 0
Clienl PO~ Pre-Paid Cotis,~O3
Prinled Dale/Time 08122/2000 14:13
Collected Date/Time 05/17/2000 16:15
Received Date/Time 08117/2000 16:45
Technical Directo/ Siephen C, Ede
Released~~ ~~----~
Sample Remarks:
EP300 Nit~atc: Laboratory Con~ol Saraplc waS outside acceptance cri*~ria (89.7%). Sample value may b* bias iow.
Param~tcr Rcsulm FQL britts Ivlethod Limi,~ D~; Date init
0.500 D 0.500 mg/L EPA 300.0 10 miLx 08/17/00
SCL
Total Cohfo~*
col/100r/'d- SM18 9222B
08/17/00
JDT