HomeMy WebLinkAboutKNIK VIEW ESTATES BLK 3 LT 14L~ LR~L3 '
Municipality of Anchorage page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMFNTAL 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: -~ R~oc2~ PIDNumber: ~l-
Name:
~ ~.~ ~~ Wastewater System: ~New ~ Upgrade
Address: ~O ~O~ ~ 2LA ~ ,..~l~'~ A~ ~ABSORPTION FIELD
Phone' Jho, of rooms:
. ~ ~-~f~/ B~d ~Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
Soil Rating: Total Bept~ from original grade:
LEGAL DESCRIPTION ¢,L ~/s~. ~,
Block: ) Subdiv~ion: Depth to pipe bottom from original grade: G ravel depth beneath pipe
LOt: l~ ~ ~Y~O~ ~', ~' Ft. ~' Ft.
Township: Range: Section: Fil]~added above~original grade:/,~ Ft. Gravel length:~ ~,~l Ft.
WELL: ~ New ~ Upgrade Gravelwidth: Numberof lines: Distance between ]ines:
~' Ft. t ~ Ft.
A,B,C): Total Depth: Cased To: Total absorption area: Pipe materl~l:
Ft. Ft. ~ ~, SQ. Ft.
Driller: ~ Date Drilled: Static Water Level: Installer: Date ~nstal!ed:
Yield: GPMIPUmp~otat: ',. C,,i~%:. TANK
SEPARATION DISTANCES ~Septic ~ Holding ~ S,T.E.P.
To Septic Absorption Lift Holding Public/Privat Manufacturer: Capacityi~ gallons:
From Tank Field Station Tank Sewer Lines ~~ ~
Well' Material: Number of Compadments:
su,a~e ' ~ ~ UFT s'rATION
Water I~+ ~ + ,
Line ~ ~ ~O +
Cu~ain~Dra,~ ,¢~ '~ [¢0 t ~ ~ I~ PumpMake&MoOel,
Remarks: ¢ ~ ~.~% ~¢~ %~ BENCH MARl(
Location and Description:
~ I Assumed Elevation:
' ' 0 ENGinEER'S SEAL
Inspections performed by: ~%~k Dates: 1st ~s~A _
2nd ~(~ ~%
Department of Health and Human Services approval
Reviewed and approved by: ~ ~ Date:/Z -3/-~¢
72-013 (Rev. 9/91) MOA 25
AS-]3UILT SYSTEM DETAILS/SITE PLAN
LOT ].4, ]3LOCK l, KNIK VIEW ESTATES S/D
PID~',051 043-].6
Permlt~;SW960~64 LI3TS 17-18
VACANT
LOT 14
LOT 13
VACANT
]3ESIGN ?ETAIL S
3 BDRHS X 150 GPO - 450
450 GP]3/0,6 GP]3 PER S.F. = 750
750 S,F,/2 X 7 54'
USE 1,000 GALLON SEPTIC TANK.
A-C=44,2'
]3-C=13,9'
A-D=46,1'
]3-D=19,7'
A E--33,8'
]3-E=30,7'
A F-91,4'
]3-F-75,3'
VACANT
lO00 9o.t S.T
CD
,
MT
/
/
/
/ /
/
/
/
/
I]RIGINAL GRADE
SEWER ROCK
58.6'
SCAL E: NTS
PREPARED FOR:
MICHAEL DUINN CONSTRUCTION
P D BOX 77B64!
EAGLE RIVER, ALASKA 99577
KN]3 ENGINEERING
20441 PTARHIGAN BLVP
EAGLE RIVER~ Al<, 99577
(907)696-6111/Fcx (907)696-811]
]]ATE: i2/22/96 IDR~WIN6 .
SCALE: AS NOTED/ 96o6a-si
ZC~D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
November 12, 1996
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Incomplete on-site construction projects
Gentlemen:
As of this date we have several on-site septic and well permits which have not been
completed for various reasons. This letter is to update your department on those
projects and the reason for the delays in the submittal of the final inspection reports.
Permit # Project Name Status
SW960281 T14N, RIW, Sec 6, NE4SW4 Winter shutdown, Upflow filter system
installed; Well drilled; No f0r~ndation, no
electricity
SW960103 Woodridge Sub, Blk 2, Lot 1 Well and Septic installed; Have not received
survey as-built or well lo~;
SW960097 Glacier View Hts, Blk E, Lot 3 Well, Septic, and Foundation installed; Have
not received as--built survey or well lo$ .
SW950400 Hamann Sub, Lot 5A Well, Septic and Foundation installed; Have
not received as-built survey of well lo$
SW960195 River View Est, Blk 3, Lot i Well and Septic installed; Foundation not
done, no as-built survey, no well lo~j
sw960226 100 Hills 1st Add, Blk 4, Lot 8 I Well, Septic and Foundation installed; Have
I not received as-built survey or well lo$
SW960264 Knik View Est, Blk 3, Lot 14 Septic and foundation in; Have not received
as-built survey
SW960325 Rouse Sub, Lot 1 I Well and Septic installed; No foundation, no
as-built survey
SW960327 Hylen Crest #3, Blk 4, Lot 1 Septic installed; No foundation, no as-built
survey
Respectfully submitted,
1142 ~q} I]:D Engineering
Kenneth M. Duffus, ~E.
PAGE 1 OF
MUNICIPALITY OF ANCHORAGE ~Y~
DEPARTMENT OF HEALTH AND HUMAN SERVICES 6~_ ~ ~ko
P.O. BOX 196650, 825 "L" STREET, ROOM 502 ~
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:ST960264
DESIGN ENGINEER:AND ENGINEERING
OWNER NAME:WALDEC ENTERPRISES
OWNER ADDRESS:PO BOX 772641
EAGLE RIVER AK99577
DATE ISSUED~ 8/22/96
EXPIRATION DATE: 8/22/97
PARCEL ID:05104316
LEGAL DESCRIPTION:
KNIK VIEW ESTATES BLK
LOT SIZE: 30387 (SQ. FT.
NUMBER OF BEDROOMS:
3 LT 14
4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK 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 i
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:
RECEIVED BY:
ISSUED BY:
DATE:
DATE
K~D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
August 6, 1996
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 995119-6650
Subject: Lot 14, Block.~, Knik View Estates
Gentlemen:
On July 29, 1996, two testholes were excavated on the above lot. The results are
attached. We have designed a single deep trench to serve the proposed 4 bedroom
dwelling. There is also adequate space for the reserve area which is indicated on the
proposed site plan. This lot is served by Municipal water.
There are no public or private wells within 200' of the proposed installation site.
There are also no known curtain drains within 50' or any surface water ~vithin 100'.
The installation will have no adverse effect on neighboring lots.
We have designed the system utilizing both soils strata. ComputatiOns for soil
absorption was based on the lower rate of 16 minutes an inch. Based on the above
we are requesting that a permit be issued for the sewer system.
If you have any questions about this application, please contact me at 696-6111/FAX
696-8111.
Respectfully submitted,
lJ~ I~J V~)~ Engineering
Kenne~hM. Duffus~ .E.~
attachments:
On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Logs (2)
LOT16
VACANT
SZTE P AN
WASTEWATER DISPOSAL SYSTEM
LOT 14, BLBCI<.~, KNIK VIEW ESTATES S/D
NB WELLS WITHIN 200' BIz SYSTEM
LOTS 17-18
VACANT
LOT 14
LOT 13
VACANT
/
/
0
LOT 15 o
SEPTIC
PIPES
LOTS 4-7 VACANT
4 B]3RMS X 150 GPD GO0 GPO
600 GPD/0,6 GPD PER S,F, = 1,000 S,F,
1000 S,F,/~ X 7 = 71,4'
FBTAL DEPTH 8,0' FROM ORIGINAl_ GROUND,
NOTES',
2, CI~mRACTOR ¥~IUU ~SU~ ~X ~R~ ~R~' ,OUS~ m ~,m,
3, JMST~LL B' M~ INSULAT]UN ~N TANK AN~ [RENCH LINE.
4, SUBg[V[S[~N SERVE~ BY ~A WATER sYSrE~,
PREPARE]} FOR',
MICHAEL QUINN CONSTRLICTION
P 0 BOX 772641
EAGLE RIVER, ALASKA 99577
KND ENGINEERING
20441 P1ARM[GAN BLVD
EAGLE RIVERi Al<, 99577
(907)696 6111/Fax (907)696-81H
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCmPT~ON:
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
WAS GROUND WATER,v/I//O
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
Township, Range, Section:
SLOPE SfTE PLAN
Deplh Io Water Aller~////
~onilorifl§? ~/~r ~0) Oate:
/ i Date Gross Net Depth to Net
Time Time Water Drop
,'.;L ( o ~ ~. ~ 1/2
.'~ / o ¢ m 6 }/z .'/~
G 1// z /'..~;-
PERCOLATION RATE /~ (minutes/tach) PERC HOLE DIAMETER __
TEST RUN BETWEEN D- £~' FT AND (~ r~.~- FT
, . c,~ e,- ....)lnl-
f~,'~,'s~,c;'/~',4'."-o <~/ ' '
PErFORMeD By: r~ ~ 2~ ¢; ? ' Y~'~ /~ CERTIFY THAT THiS TEST WAS PERFORMED IN
ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES ,. EFFEC] ON T,IS DATE DATE:
72-008 (Rev. 4/85}
PERFORMED FOR_
Municipalily of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
82,'5 "L" Street, Arlchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPIlON
(FEET)
2
3
4
5
6
7
8
9
10
'11
12
13
14
15
16
17
18
19
2O
COMMENTS __
Township, Range, Seclion.
WAS GROUND WATER
ENCOLJNTERED?
SLOPE
S
L
IF YES, AT WHAT O
DEPTFI7 p
E
Oeplh to Water Alter
Moniloring? Date:
SITE PLAN
Readinq ' Date Gross Net Depth to Net
~ Time Time Water Drop
PERCOLATION RAIE tmmulesnnch) PERG HOLE DIAM']ER ,~
TES'r RUN BETWEEN ~ F T AND ,~ e~
ACCORDANCE Wlllfl ALL .'51A1[ AND MUNICIPAL GUIOE:[~NL~N [:ii ECl ON TI'il.E.[)AIE
17' 008 IRev 4¢85,
CERllfY THAI fttlS YEST WAS PERFORMED IN
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERPORMED FOR:
LEOAL DESCRiPtiON:
~ [/¢~ DATE PERFORM
Township, Range, Section:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
SLOPE SITE PLAN
WASGROUND WATER .~)
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
Depth t° Waler Alt,F/4 . ~,/'/~>/_
Monitoring? fro) Dale: , ~
,/¢L:'R~a- ,~./ Gross Net Depth to Net
o~ng Date Time Time Water Drop
7 ~ l 3~ ~ b,-7/8
PERCOLATION RATE / (~ . (mmuteshnch) PERC HOLE DIAMETER
TEST RUN BETWEEN__~¢ Z~ FT AND ~/~ ' ~ F'r
,/
A CCORDANCEWITHALLS}ATEANDMUNICIPALGUIDEUNESINEFFECTONTHISDATE DATE:
72-008 (Rev. 4~85)
PERFORMED FOR:__
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502~0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION:
(FEET)
1
2
3
4
5
6
7
8
9
10
'11
12
13
~4
15
16
17
18
19
20
COMMENTS
Township1 Range, Secl~on:
SLOPE
WAS GROUND WATER
ENCOUNTERED? ~
S
L
IF YES, AT WHAT ~ O
DEPTH? p
E
Oepth Io Waler After
Monitoring7 Dale:
SI] E PLAN
~-{ ¢C. ~'~j Gross Net Depth to Net
ReadiW9 Date Time Time Water Drop
PERCOLA~'ION RA}E
TES1 RUNBE~WEEN
Fl AND ~'~L F1
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 #
1. GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address.
~4~-/~. Day phone
Day phone
Agent
Address
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 A~)EC 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, 1191) Fronl MOAI¢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 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.
Name of Firm KND Engineering Phone ~/~'///
20~41 Ptarm~an ~vd.
Add ress - Eagle River, AK g9~77.87~
Engineer's signature :Z~*~:>~. ,C~/~-¢-,~ Date
.... ...
,
DHH~IGNATURE
Approved for ,~ bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
By: ~ .~'~;~ (..-~///~/// Date
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 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.
72-025(R(w. 1/91) Back MOAt¢21
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343,47~44
Health Authority Approval Checklist
Legal Description: .,A/~//¢_ (..,I/~.~.<.j ~,_eT'. g)~ ,. //4/ Parcel I.D.:
A. WELL DATA
\~ ~ If A, B, or C, attach ADEC letter. ADEC water system number
Log presen~(-¥~_ Date completed
Total depth % Cased to Casing height (above ground)C,
Sanitary seal (Y/N) Wires properly protected (Y/N);L~
FROM WELL E AT INSPECTION
Date of test
Static water level
Well production
'WATER SAMPLE RESULTS:
Coliform
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Date installed ~ 181 ~ Tanksize
Nitrate
Number of Compartments
g.p.m, g.p.m.
Other bacteria ~-,.
Collected by:
~'Z Cleadouts (Y/N) "-/
Foundation cleanout (Y/N) ? Depression (Y/N) ~ High water alarm (Y/N!
Date of Pumping ¢~¢-.~_,,1 Pumper
C. ABSORPTION FIELD DATA
Date installed cf Izo/~/rz. 17~,15-(¢- Soil rating (g.p.d./fF ~) O.~ System type~
Total
Depression over field (Y/N) ~
For ' :" '
bedrooms
Length ~ ~ ,~ Width 2- '
Effective absorption area r_~O ~
Date of adequacy test ~
Fluid depth in absorption field before test (in.);
Fluid depth ~ (ins) Minutes later:
Gravel thickness below pipe
Monitoring Tube present (Y/N) /
Results (Pass/Fail) ~/~
Immediately after--
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3/96)*
Absorption rate =
If yes, give date
__ gal. Water added (in.):
: .g.p.d.
D. LIFT STATION
Size in gallons
High water alarm level atManh°le/Acc~ss (Y/~) *~'~-~ ~ "Pump off" level at*
Cycles tested ~
E.SEPARATION DISTANCES
ROM WELL ON LOT TO:
Septic/holding tank on lot ~ On adjacent lots
Absorption field on lot ~nt lots
Public sewer main Public sewer
man hole/cl'Ga'neu~
Sewer/septic service line
Lift station
F.
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation ~o~ + Property line i oI 4- Absorption field
Water main/service line "50~ -ff Surface water/drainage tc-~.~Lt- Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line
Surface water
Curtain drain'¥ ~,~t ~
ENGINEER'S CERTIFICATION
Building foundation Io ~ -F- Water main/service line to 4-
Driveway, parking/vehicle storage area I,..~t ,t--
Wells on adjacent lots w,=, t~
Receipt Number
72-026 (Rev, 3/96)*
I certify that l havo detormined thru fiold inspections and roview of Municipal
in conformance with MOA HAA guidelines in effect on this date.
Signature
Engineers Name
HAA Fee $
Date of Payment
Waiver Fee $
Date of Payment
Receipt Number