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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 V'NSVqV ":IE)VEIOHON¥ g# 'Ni3(]V 'NOISI^Iq8~S HIEION ::I(31g"1"11H E; NOO-IG 'g .LO'I gC]Q 'EIBNGn:aQ NV'IV '1~(] o® z d FROLIOK WiMP ROAD SOUTH ¥~SV~V 'B~V~OHONV ga 'NQQV 'NOI~IAI~8~ H~ON g ~OOq8 'g £0l ~3N8~0 NVIV '~ 8 Z ~ o Z Z ILl n'" I-- Z 0 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 , .. ml o,:...; ,..~ ...,, :i ':}, " ''" :.. :.'~ · ~ , .. ,... . .,, .,,. ,;.. , .. :,...  , . .:; · ; , : . ; , · . .... ~: ~ ~. . .... , . , . , . , . · ..... -- , · · · ; :~ ,:; , . · ~ '1~':' ~':' ' :';' :''' ;'''~~''' ~ '';' ;';' :' ' '' .... ''' '' ....... ~ N C ~ , · · :.,: ,.: .... ,;.: ,:. .:, -- :,:. ;.., ~; :,:. ~,.,~:,.. _ ~ ,,;~:~~,, ~:. ~:i;:~:, . ~:~. , ~:~,;~:~:.~1~, ,..., :~ ~. : : : :: : : : : : :: 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 ~ 2..eTs cc -;' ii."::';.: ' DTIO00708 A PlAT OF HILLSIDE NORTH SUBD., ADDN. No 5 & HILLSIDE NORTH ADDN. Ire. 1 A SUBDIVISION DF