HomeMy WebLinkAboutKNIK HEIGHTS BLK H LT 1
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: .~{,V ~ ~/-~ ~) PID Number: ~/~ ~ ~/
Name:
~ .~/~ Wastewater System: New ~ Upgrade
Address:
~ ~~/) ~o/ ~/~ ABSORPTION FIELD
Pho~__ ~ ,o. of B~oms: ~eep Trench ~ ShaliowTrench ~ Bed ~ Mound ~ Other
Total Depth from original grade:
LEGAL DESCRIPTION so~..~.~: /, ~ G,O~s~.~. /~
Lot: Block: Subdivision: Depth ~o pipe bottom Irom original grade: Gravel depth beneath pipe
t ~' ~z ~ 5, ~ ~,. ~./ ~,.
Township: Range: Section: Fill added above original grade: Grave~ length:
-~ ~. ~ ~.
Gravel ~: Number ~linos: Distance ~[w~n r~ne~:
WELL: ~New ~ Upgrade ~/~ ~ Ft. ~ Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
P~/v~T~ ~ 1 ~,. ~ / ~,. ~O SQ.
Driller~//~~ ~//~t~i~ Static Water Level: Installer: Date installed:~
Yield: /~ GPM Pump~Set at: Ft. Casing Height~Above Ground:Ft. TANK
SEPARATION DISTANCES ~ptic a Holding ~ S.T.E.P.
To Septic Absorption Lift Holding ~/Private Manufacturer: Capacity in gallons:
Fro~ Tank Field Station T,nk Sewer Lines
Material: Number of Compa~ments:
Surface
w~, ~, LIFT STATION
Lot J Manufacturer:
Une //~ ~/~ ~/p
F°undat'°" ~ ~ ~/~ ~t~ "Pump °n" level at: 1~
Drain
I
Remarks: BENCH MARK
Location and Description:
Assumed Elevation:
Inspections pedormed by: ~ ~¢5 Dates: 1st EY/5//¢~'
~ 2nd ~/~1/~ ~ "~"~.... .............. .~'~'~"~
Department of Healt.~ Hum ices approval
.
Reviewed and approved by: ,, Date:/ ~'
72-O13 (1/91) MOA 25
Permit No, ~/~¢;~)/.~ Page 2 of__
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 345-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: KNIK HTS. LOT 1 BLK H
PID No.: 017-572-01
SWINO TIES
A-C = 45,6
8-C = 59.8
A-D = 75.1
B-D = 88.75
A-E = 75.6
B-E = 75,4
° MONITOR TUBE
o SEWER CLEANOUT
WELL
LEACHFtELD
EASEMENT
ELEVATIONS
(NOT TO SCALE)
797
9/12/95
ENGINEEWS SEAL
........... '.:.:~,
~ %'. LOUIS A. BUTERA .' ~2
-. ~TATE OF ALASKA
DEPARTMENT OF NATURAl, RF, SOURCES
DIVISION OF MINING .& WATER MGMT
,i ..;~ , I ,' , .. , . , WATER WEM~ RF_,CORD
LOCATION OF WELk ., '
.... _: .... ~: J_._
LOCATIO N/S~ ETCJ'h WELl, OWNER,'
tin~o~, c,
DEPTH5 MEASUPZ-D FROM:~cadng top [~ground surface ~WELL DEPTH: 'DATE O~ O'I~MFI~ION"
I~OREHOtE DATA: ~ Del)tn of mslng:,~'.../_~_...ft
Matmtal Typ~ and C, dor From To
DE,GTH TO STAT~ WATER LEVEL:
~ ~ /.,~":~ f~ ~Iow El' ~o~ of c~; D arou~ ~urface
~,~,__._~~ METHOD OF DRILLING: [~:~'alr rotary [] cajole tool
/ ~ '~ U$~ OF Wl~.L:
.~_.~~~.~b~ _c~ ~ [] ~,,~,.~o!~
~L INTAKE O~C~
/~ /~ 51e~eshS~e:, ~ngth: It
/bl / ~ ~; ,~, .
.......... ' ~P~G ~ A~ Y~
~MP I~AKE ~
W~ DI$I~E~ UPON ~OMP~N? ~ ~ NO
Health & Human
99503-5935 - - ....
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:SW950139
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:HAGMEIER JOHN C & JUDITH A
OWNER ADDRESS:12800 BAINBRIDGE RD
ANCHORAGE, ALASKA 99516
PARCEL ID:01737201
LEGAL DESCRIPTION:
KNIK HEIGHTS BLK
H LT 1
LOT SIZE: 43500 (SQ. FTo)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
PAGE 1 OF
DATE ISSUED: 6/30/95
EXPIRATION DATE: 6/30/96
THIS PERMIT IS FOR THE CONTRUCTION 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 (18AACS0) .
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
ISSUED BY:
Louis Butera, P.E.
Registered Civil Engineer
June 21, 1995
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Knik Heights Lot 1, Block H
Narrative & Permit Application
Dear Mr. Cross:
The proposed well mid septic system will have very limited impact on adjacent properties for the
following reasons:
1. The surrounding lots are large, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to lot size.
4. Drainage will not be affected and is not a major consideration in our design.
If you have any questions please call our office at 694-5195.
Sincerely, ~ ~
Louis Butera, P.E. (7'3 ~
· ,< >
\G:\WPDOCS\i 995\95-050A.NAR
PO gn~: 77929d , I/,.aolo I~ivm. hlaqka qqg77 , Tolon}mno ttll~7~ gClA.glOg o ~av f0/371 t~CIA '~OIY7
LOT 9
LOT ]8
I TRENCH
PROPOSED
t t0x 1250 GAL
I -'- ~] TANK
~ PROPOSED AC DR[VEWAY
~ LOT 1 ~ HOUSE
LOT 2
SEPTIC GO
VENTS
30'
~ TEST HOLE
· - MONITOR TUBE
o SEWER CLEANOUT
~ WELL
PROPOSED LEACHFIELD
NO KNOWN CURTAIN DRAINS EASEMENT
WELL &:: SEPTIC SITE PLAN
LEGAL: KNIK HEIGHTS LOT 1, BLK H
OWNER:
CONTRACTOR: HAGMEIER
JOB// 95-0S0AI DATE: 06/21/9.SJ SCALE 1" = 60'
A EAGLE RIVER ENGIN~£RIN¢ S£RWC£S
P.O. Bom 773294
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: Knik Heights Lot 1, Block H
1. The well and septic plan is for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health
requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the
field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the
contractor to meet Municipality of Anchorage requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements
and to locate any adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation
requires engineer approval.
8. It is always recommended that a surveyor locate the nearest lot line position and
the location of any easements.
TRENC~
1. The
3.
4.
5.
6.
o
trench is to follow the natural land contour to maintain uniform total depth of
the trench bottom.
The bottom of the trench shall be level, plus or minus 1.5".
The total depth of the trench excavation is not to exceed 14' at any point.
The sewer line is to replace the existing sewer line that leads to the existing pit.
The trench gravel is to be covered with typar fabric material.
Soil or combination of soil and extruded board insulation to a depth of 3' or
equivalent is to be placed over the leachfield.
The area over the trench is to be finish graded to prevent ponding of surface water
runoff.
The septic tank and leach field must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 14' GRAVEL DEPTH = 8' under pipe, 2" over pipe
TRENCH LENGTH = 35' TRENCH WIDTH = 3'
SOIL RATING = 1.2 GPD/ft2 BEDROOM CAPACITY = 4
SEPTIC TANK = 1,250 gallon minimum
Twenty-four (24) hours notice required for all inspections.
C:\WPWlN60\OLDDOCS\I995\95-050A.SPC
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
EAGLE RIVER, AK 99577
(907) 694-5195
JOB
SHEET NO OF
CALCULATED BY_ DATE
CHECKED BY DATE
SCALE
Single Family 4 BedroOm Dwelling
Knik Heights Lot 1, Block H
4 Bedroom Capacity = 600 GPD
Soil Rate = 1.3 min/inch = 1.2 GPD/ft2 application rate for trench system
Required Absorption Area = 600 gpd / 1.2 application rate = 500 square feet
500SF / (8' rockx2) -- 35'
Trench Dimensions:
Gravel Depth = 8'
Gravel Length = 35'
Total Depth = 14'
G:\WPDOCS\1995\95-050A.CAL
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR=
LEGALDESCR~PT~ON= ~O'/' / ~-- //
2
3
4
5
6
7
8
9
10
11
12
13
14-
15
16
17
18
19
D/zY ~D~v~4
COMMENTS
Township, Range, Section:
SLOPE
SITE PLAN
WAS GROUNO WATER
ENCOUNTERED?
S
L
iF YES, ATWHAT O
DEPTH? p
E
Depth to Water Aller_
Monitoring? ~ r~ Oate:
Reading Date Gross Net Depth to Net
Time Time Water Drop
/ ~//?/9~ _~-~
z... '" /.7.: o,~ 7, ~ " ~ ',- ?" & "
g '" .17.;/~ 7, ~" ~ ':- ?" &"
q "' /7~; 17 7. 7" ~.- ? ', (¢"
PERCOLATION RATE
TEST RUN BETWEEN
/'"'~ (minutes/tach) PERC HOLE DIAMETER _
-- FT AND ~ FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
CERTIFY THAT THIS TEST WAS PERFORMED IN
DATE:
. MUNICIPALITY OF ANCHORAGE ~
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services '
.... -- '- :~'-:-:'::-~,~ '.: On-Site Services Sect on .... .-,C~,,._~ . - -: -...-
P.O. Box 196650. Anchorage, Alaska 99519-6650
'. ".-':.- :~:' 343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # 017-372-01
1. GENERAL INFORMATION
-. Complete iegaJ description
Knik Heights
Lot 1, Block H
Location (site address ordirections)
13000Bainbridge Road, Anchorage
.'Property owner "J0~;~c~eier Const Co Inc
Day phone 248-6789
Mailing'a'ddress' 220_¢'Cl'eveland. Suite 201, Anchorage, Ak 99517
Lend'ing agency N/A -
Mailin~'~dd~ss "':;: /
-Agent N/A
Day phone
~-~ ..:-::-. :.,_,.. - ~:;.. Unless otherwise requested,: HAA Wll! be held for Dlckuo., .'.' ·; ~ - : ':...; '.:..':--,~:..~,'~;;,.\~?..,~:~
- : '--.-;-.,~,:..',~; ,','-"- .-'-,..~:" ,-,-:...-~.",'~-:-t~?,=r.,.h~... -.:'.~:.--.. .":. . ,,,~. - - .... -. - .".'.-, . - .'- -.-7;',7~-~:7:~'~.','~-'
:-,..'?.-<"-, ......
.':- · .'.; ?,:':'~; <',%? ' .... ' ' '
- ,. ,..,.,. ,, 8.,,.~.,,TYPE OF WATER SUPPLY.
.;::
...... "' ':"' ................ "' ....... ~ '" ' ""' ;::,¢Tt% - ?;:¢ ',- ' - . · ' :;- "'-' '~'~?(:*"¢'"
'"' " "-
. :,_.?,.; :...
E tern, p de written confirmation from State ADEO :. ing to the legahty and ~tatus of system -. ' -
-': ~,.p- .'.:.- :-.',~u ,*,,
4, .. TYPE OF WASTEWATEt ~IS~OSAL:
· : ' '"-¢~-'"'(~'",".'.'a'" '~- ,' '- :';'u ~ ~ ~.' ;
... .., ...:..._. ..... .., ,,..
.' .:: ;.-;'::~-. ?,.,,:'.~;;;:;;,:'~-: ¢:.: :.:. ;;.,-, Commbnity:0n:~ite':
¢ ';¢'-;. ' ,-~.;'-:. '--'. ', ..... '-. ~u~ ~ ;~;~ *~" ..... '. :-" ': ' ,. -'-'. - '- ' .7~' ¢///'~1 "='4-)~("
: · "(-.'~,:;: ,;..':'.'%%.;';-:~::';',;' '5'' :'~'.'.'-:';'..
- :' ;.-'¢¢:' ':~' ~u~=: ? ' ~r communitywastewater s~tem, provide written confirmation from State
' -,' ;?..'; :'."~ '." *'"" -'-'*' attesting to the:~g~l~'tY ahd status Of system,.." ':- ;"' ' ..y-':i¢ '%' .'
Day phone '
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 i
and/or wastewater disposal system'is ~afel fur~cti0nal and adequate for the number of bedro°m~
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.
694-5195
Name of Firm Eagle River Engineering Services
Address P.o. Box 773294. Eagle River, Ak
EngineeCs signature ~
DHHS SIGNATURE
' ~/' Approved for
99577
Phone
bedrooms.
D sapproved. - .... ~' ,,. ". '. '
. . .... ~...:-.,:-~ r .;,.'... '. '' .
Conditional approval fOr,,"
Date
' "'-' -bedrooms, with the following stipulations:
Additional Comments ....
, Date /¢) -
~.. '. . : .. ,, · .. ; :,:-
~!:. ~2rAo ,~,llfv nf ~.h~ra~'e'~'D~*O'artr~en~'of 'Ft~altl~ a'nd H~man Services (DHHS) iss6es Health Authority
· ':'~%~;~roval C~"~'iii'~,a'~l~;~'~ed (~n'ly"'u'ppf~'.t~e'[,gp.resen. t~.t.!0nsl given in p.aragraph 5.'abo. ve by .an indep..endent
· . i?p.'¢of~,~iona engi~' .~'r,e'~istered in'th~.St.,at9 of Alas. kg.: T. he DHHS does this.as a courtesy to purcnasers of r~omes
a~d,~hi~i~:l~hdin~l"!~r~stf{utions in order to satisfy'certain federal and state requ,remen, ts.. E .m..ploy, e~.s o! DHHS .do no!
conduitS' inspe'd%ions or analyze data bef. orea certificate is issued. The Mumclpauty o~ ancnorage ~s not
responsible for errors or omissions in the professional engineer's work.
72.~25 (Rev. 1/91) Back MOA ~21
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825"L" Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Legal Description:
A. WELL DATA
Well type /2,/d/V.,~'~
Health Authority Approval Checklist
A, B, or C~ attach ADEC letter. ADEC water systeul nunlber
Parcell.D,: /5)/~7- ,.~7~' ~O,/
Log preseut (Y/N) _
Total depth 7/? /
Sauitary seal (Y/N)
Date completed
Cased to ~ / .
Casing height (above ground) ~/-/~_//
Wires properly protected (Y/N) Y~---~
D 0
FROM WELL LOG
AT INSPECTION
Date of test
Static water level /
Well production /
/
WATER SAMPLE RESULTS:
g.p.m.
Coliform '~ Nitrate
Date o£ sample: /~//51/5)ff'--- Collected by:
B. SEPTIC/t4OLDING TANK DATA
Date installed 0~ff~//?~ Tamksize_ ./:2-~g) NumberofCompartmeuts_ ~_,--_Cleauouts(Y/N)
Foundation cleauont (Y/N) __ ~ 5 Depression (Y/N) ,Z/t9 High water alarm (Y/N)
Date of Pumping /5/~//t) Pumper ,A//,4
C. ABSORPTION FIELD DATA
Date iustalled
Length _~ ~ / Width
Effective absorption area
Date of adequacy test ,Az/~//t/
Soil rating (g.p.d./ft2 or fl2/bdrm) _~_' ~-~ System type
~ / Gravel thickness below pipe ~/, / / Total depth /
Monitoring Tube present(Y~) ~ Depression over field (Y~)
Results (Pass/Fail) ~/~ For ~ bedrooms
Fluid depth in absorption field before test (in.); ,A//,gl hnmediately after gal. water added (ill.):
FMddepth /"///3r (ins.) Minutes later: ::: ' Ab,~;i'PtiOn rate = .g.p.d.
Peroxide treatment (past 12 months) (Y/N) ,A//~ If yes, give date
LIFT STATION /V//~
Date installed ~nw-----~'~/~
Manhole/Access (Y/N) ~q~'fi~ level at* ~Pump off lcwl at*
High x~mr~ *Datum
E. SEPARATION DISTANCES
Septic/tm,!ding tm~k on lot
Absorptiou field on lot
Public sewer main
SEPARATION DISTANCES FROM WELL ON LOT TO:
2L/~Q(~ / ; On adjacent lots
v~//90 / On adjacent lots
fi,//.,4 Public sewer manhole/cleanout
Se~ev/septic service line ~ ~-~-~ ! Lift station
SEPARATION DISTANCES FROM SEPTIC/IrtOLqDING TANK ON LOT TO:
Building foundation 7~ ~ / Property line "/~/tQ / Absorption field
Water mare/service line 7~/(~ / Surface water/drainage /~/tg0 ~Wells on adjacent lots
7 /DO /
/,90 /
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation ~//~ / Water maim'service line -/~ /~ /
Surface water 7~/00 / Driveway, parkiug/vehicle storage area '~//9
Curtain drain.jffYZ/~ ,ff~/P,4l,/g~ ,fi/~Wells on adjacent lots 7~/~)(~) / Property line
F. ENGINEER'S CERTIFICATION ~..:.,..7'~ ~ ,~ '..~ 'h~. ~,
I certi[.9 that I have r&termined thrufield inspections and review of~fullicioal rea~at'th~b;~x~:v&~nr are
in conformance. * ,ith MOA lt:M g uiclelines in effiect on this date. ~ 6~ '..* ~,~:~*'~ ; ~.-~ % , ~.c~ Oa
Date /0 - .* ¢- ~'F ~2".., ..,~"~$~~
............................................................................................................ 23~~2 ...............
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Paymeut
Receipt Number
Rev. 8~95 OSS: haa.wk.doc