HomeMy WebLinkAboutHILLSIDE NORTH #5 BLK 3 LT 8
~ Municipality of rage ' Page '/ of
' DEPARTMENT OF HEALTH A~ID HUMAN SERVICES
' ' ' ENVIRONMENTALSE~VICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 ·Teiephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: -¢,.o' ~'~ / ~'~ PID Number: ~/~ ~
Name: ' Wastewater System: ~New C Upgrade
Addres,: " ABSORPTION FIELD
No. of Bedrooms: ~eep Trench ~ Shallow Trench ~ Bed ~ Mound D Other
Phone:
LEGAL DESCRIPTION sci, Rating: ~ ~ GPD/Sq. Ft. Total Depth~ /~fr°m original grade:
~ Subdiv~ion: ~ Depth to pip~ bottom from original grade: Gravel depth beneath pipe
Lot:
Block:
Township: ~ Range: ~ Section: Fill added above original grade: Gravel length:
~ Ft. ~ ~ Ft.
I
I
WELL: ~New ~ Upgrade Gravel width: ~ Ft. Number/of lines: Distance~between lines:Ft.
Pipe material:
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: ~ ~
~/~ Z~Ft. /~/ Ft. ~ SQ. Ft.
Drilter: Date Drilled: Static Water Level: Installer: Date installed:
~/~/~/~ ~b~ ~ Ft. '~~ ~ ~ ~
Pump Set at: Casing Height Above Ground:
Yield:
/~ GPM /~¢ Ft. ~- ~ Ft. TANK
SEPARATION DISTANCES ~eptic ~ Holding ~ S;T.E.P.
To Septic Absorption Lift Holding =ublic/PrivateManufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines A~
/
Number of Compa~ments:
Material:
Sudace ~ ~/~ ~/~ ~ ~/~ LIFT STATION
Water
Lot //~/ ~ / ~ ~ ~/ S,goin~811on,: M~ufaot~ror: t ~
Remarks: ~ ~ ~ ~ ~~ BENCH MARK
~ Location and Description:
I Assumed Elevation:
Inspections performed by: ~ ~ ~z~Dates: 1st ~ ~;d'~*h~/;~lF )~
Department of Healtl ~ and vices approval , '~'~. .
Reviewed and approved by: ~J~ Date: a -~' ~
Permit No. Page ~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICE8
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: Lot 8, Block ,3, Hillside North Subdivision Addn. //5 PID No.:
of ~/
77-013 A (?/FIl/ MOA ?.5
Permit No. Page ~,~ of ~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650A~chorage, Alaska 99519-6650. Telephone 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: Lot 8, Block 5, Hillside North Subdivision, Addn. #5
133J 6'~)[ 01 6'6 S~WV^ HLd3(] lV/OJ.
'7
~o
PID No.:
Pei'mit No.
Page .~ of ~"
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.0, Box 196650A~chorage, Alaska 99519-6650. Telephone 345-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: Lot 8, Block 5, Hillside North Subdivision, Addn. #5
6'0[ 016'6
PID No.:
~ ' i~////~///////////////////¥/
RECEIVED
APR 1 6 1996
Mun cipality of Anchorag, e
Dept, Health & Human Servmes
Alan R. Deubner
7100 Oline Circle
Anchorage, AK 99507
On-Site Services
Well and Septic
Municipality of Anchorage
April 16, 1996
Dear On-site services:
In August 1995, I, Alan Deubner, as owner with my wife Heike of Lot 8,
Block 3, Subdivision 5 Hillside North, installed an on-site septic system
designed by engineer Doug Kenley. This septic system is for a private
home I will be constructing soon.
I operated the excavator and installed the system with the help of my
wife only. Mr. Fred Kenley inspected the installation and found it to be
excellent.
My heavy equipment background started in Oregon in 1962 when I used a
backhoe to install irrigation pipe and dug under large stumps for blasting.
Since that time I have operated excavators, bulldozers, front-end loaders,
backhoes, snowplows, and boom trucks. In addition I have held a Class A
drivers license in Arizona and a Class 2 license in California.
Thank you. If you have any questions, please call me at 229-0690.
Yours very sincerely,
Alan R. Deubner
LOCATION OF WELL
· ~ STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
............ ~ DIVISION OF MINING & WATER MGMT
........ ~ WATER WELL RECORD
BOROUGH
SECTION QTRS
SECTION ]'ToWNsHIP
RANGEF_jW[~]E J MERIDIAN
LOCATION/SKETCH: ,
+
DEPTHS MEASURED FROM:~casing top ~-]ground surfac~
BOREHOLE DATA:
Material Type and Color
i
I~L L
Municipality ct A
Depth
From To
WELL DEPTH:
Depth of hole:
Depth of casing:
DATE OF COMPLETION
DEPTH TO STATIC WATER LEVEL:
//.-~.~ ft below ~'top of casing
i-'l ground surface
METHOD OF DRILLING: ~-air rotary [] cable tool
[] other
USE OF WELL: ~]~ domestic [] irrigation [] monitor
[] public supply [] other '
CASING STICK-U~~ft. Diam: ~ in. to/~//ft
Casing type: ,;;:~_.~/.4~ -~-'~n. to / ~.,~
'WELL INTAKE OPENING TYPE:./~] open end
[] perforate~open hole
[]screened
Depths of openings: to ft
SCREEN TYPE: D/am: in.
Slot/Mesh Size: Length: ft
GRAVEL PACK TYPE:
Volume used:
Depth to top:
GROUT TYPE: Volume:
Depth: from ft to ft
DEVELOPMENT METH~OD: ~
Duration: "~ ~
PUMPING LEVEL AND YIELD:'
/ ~'"C9 ft after ~ hrs pumping / -'~ gpm
PUMP INTAKE DEPTH: ft Horsepower: __
WELL DISINFECTED UPON COMPLETION? ~ YES [] NO
CONTRACTOR INFORMATION:
Registere~l Business Name ~ ~ ~ 1~ ~/
Signature of Authorized Respresent~e . Date
REMARKS:
PLEASE MAIL WHITE COPY OF LOG TO: /
DNR/DIVISlON OF MINING & WATER MGMT
3601 C St, Suite 800
__Anchorage, Ak 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
PAGE 1 OF 1
PERMIT NUMBER:SW950176
DESIGN ENGINEER:DOUGLAS T. KENLEY, P.E.
OWNER NAME:DEUBNER ALAN R & HEIKE
OWNER ADDRESS:7100 OLINE CIRCLE
ANCHORAGE, AK 99507
PARCEL ID:04103195
DATE ISSUED: 7/23/95
EXPIRATION DATE: 7/23/96
LEGAL DESCRIPTION:
HILLSIDE NORTH #5 BLK
3 LT 8
LOT SIZE: 140699 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT:
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 1S.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0) .
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
1JouglasT. Kenley, PE
HC01 Box 6034, Palmer, Alaska 99645
(907) 746-1073
June 12, 1995
Murdcipality of Anchorage
Health & Human Services
On-site Services
Percolation Test Results and General Site Investigation Report of Lot 8, Block 3, Hillside
North Subdivision, Addition #5.
Owner: Mr. Alan Dubner
On June 3, 1995, the above referenced 3.23 acre site was inspected for the suitability of installation of an
on-site waste water disposal system. The site is located in Stuckagain Heights towards the east side of the
Anchorage bowl at the north end of Oline Circle. The system is being designed to meet the requirements of
a four bedroom home scheduled for construction in the summer of 1995. The planned system will include a
1,250 gallon septic tank and a standard deep trench absorption system.
The site slopes from east to west with grade ranging from 0-25 %. The south end of the parcel slopes
towards Oline Circle at approximately 10%. The immediate area that has been selected for the waste water
disposal system has an average slope of 1% towards the west. The site is moderately treed with birch,
spruce, and alders. No obstructions were observed that would prevent surface water runoff.
On-site observation and physical survey shows that there are no water wells nor private waste water
disposal systems within a 100' radius of the proposed system. No surface water was observed at the time
of the inspection and it appears that there is no potential for contamination of future water wells.
One single percolation test was performed at the site in determining an adequate location for the waste
water disposal system. An initial test pit for soil classification was dug to a depth of 16-feet. The
substrata consisted of 2~foot of organic overburden overlying 3-feet of dense silty sandy gravel underlain
by sand with gravel and trace silt. Neither bedrock nor ground water was observed in the test pit. Due to
the adequately percolating soils one test pit was deemed sufficient for both the primary and secondary
absorption fields.
The percolation rate for the test pit was,found to be between 1-5 minutes at approXimately 4-feet below
grade and slightly less 1 minute per inch at a depth of 5-feet. The material was laboratory tested, by
Shannon & Wilson, and found to contain approximately 50% sand (passing #4 screen).
If there should be any questions concerning the percolation rates or characteristics of the site please call
Doug Kenley at 746-1073
Sincerely,
CE #8176
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DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
(EN!
7
8
10
11
12
13~
14-
PERFORMED FOR: ,~¢~..~.4.~ ~z~'.~',4.),.~,~---. DATE PERFOF
~w~p '
~ ~ ~ ~ /~~ ~ , Range, Section:
LEGAL DESCRIPTION: ~. ~
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT ~J~ pO
DEPTH?
E
16
17
18
19
20
Depth to Water After,
Monitoring? /~/m~ Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~ 7 (minutes/inch) PERC HOLE DIAMETER --
TEST RUN BETWEEN '"~//~ FT AND
COMMENTS
PERFORMED BY; ,~C~'~'~f,~_i'" ~'. ~_---~'.~"*/h~ I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
PERCENT COARSER BY WEIGHT
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PERCENT FINER BY WEIGHT
7100 Ollne Circle
Anchorage, Alaska
GRAIN SIZE CLASSIFICATION
May 1995 A.639
_--iii
Geotec**lniceJ & Environr~en~a~ Consul~anls
LOT 3
LOT ~
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DTIO00708
A PlAT OF
HILLSIDE NORTH SUBD., ADDN. No 5
& HILLSIDE NORTH ADDN. Ire. 1
A SUBDIVISION DF