HomeMy WebLinkAboutHILLSIDE NORTH #7 BLK 5 LT 2AHillside North
Block 5
Lot 2A
#041-033-29
Nov -08-2022 11:33 AM Anchorage Well & Pump Service Inc 9072430742 #2759 P 1/ 2
MUNICIPALITY OF ANCHORAGE
Development Services Department W Phone: 907-343-7904
OP -Site Water & Wastewater Section Fax: 907-3437997
Pump Installation Log
Well Drilling Permit Number:
Parcel Identification Number: 041 _ 033 - 29
Date of Issue: - -
Legal Description Block Lot Property Owner Name & Address:
MOORE MATTHEW E & HADLEY SHAWN L
HILLSIDE NORTH #7 5 2A 7035 TULUGAK CIRCLE
ANCHORAGE, AK 99507-1264
I Pump Installation plate: 99 - 07 _ 2022
Pump Intake Depth Below Top of Well Casing:
Pump Manufacturer's Name: STA -RITE
Pump Model: S7P4HS07231-02
IPump Size: .75 hp
195 feet
Pitless Adapter Burial Depth: 15 feet
Pitless Adapter Manufacturer's Name: MARTIN ON
Pitless Adapter Installer:
Well Disinfected Upon Completion? )(Yes 0 No
Method of Disinfection: PELLETS
Comments:
Pump Installer Name: _
Company: -
Mailing Address.
City:.- -
ANCHORAGE WELL & PUMP SERVICE
7640 KING STREET
ANCHORAGE, AK 99518
907-243-0740
State:
Attention: The pump installer shall provide a pump installation log to Ora-sitc within 30 days of pump installation.
Nov_08.2022 11:33 AM Anchorage
Well & Pump Service Inc
9072430742
#2759
P 2/ 2
W � 4 ).,
MUNICIPALITY OF ANCHORAGEwo> V
# Afte
Development Services Department Phone: 99;K-343-7974
On -Site Water & Wastewater Section Fax, 7343-7997
Dump Installation Log
Well Drilling Permit Number. Date of Issu - -
Parcel Identification Number: Q41 - 033 - 9
Legal Description Block Lot Property Owner N e & Address:
MOORE MATTH E & HADLEY SHAWN R
HILLSIDE NORTH #7 5 2A 7035 TUL.UGA IRCLE=
ANCHORAG , AK 99507-1264
Pump Installation bate: 11 - 07 - 2022
Pump Intake Depth Below Top of Well Casing:
Pump Manufacturer's Name: MYER
Pump Model: 75C311 -8S 16
Pump Size: `75 hP
Pitless Adapter Burial Depth: 15 /MAR-T
Pitless Adapter Manufacturer's Name:INSON
Pitless Adapter Installer:
Well Disinfected Upon Compleon? ! Yes ❑ No
Method of Disinfection: PETs
Comments:
Pump ltnsta r Name:
ANCHORAGE WELL & PUMP SERVICE
Compo : 7640 ICING STREET
ANCHORAGE, AK 99518
Mail ne Address: 907-243-0740
City. State:
E r
,�e "s
3�5�OG
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
Municipality of Anchorage Page 1 of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 a Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: PID Number:
Name:
Ma f t MooreI Shawn l%a/l�
Wastewater System: El New El Upgrade
Address:
ABSORPTION FIELD
972d CPpper Dr. Rk 99S'07
Phone:
3 3 7 - o I A/ Al
No. of Bedrooms:
ylXDeepTrench
❑Shallow Trench ❑Bed ❑Mound ❑Other
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade:
�. 2 �
o GPD/Sq. . Ft.
Lot: Block: Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe
2 J 1-1'r IIS/G(e AjarA i* 7
2.2 Ft.
6' O Ft.
Township:
Range:
Section:
Fill added above original grade:
/.
Gravel length: I
7 2
0 Ft.
Ft.
WELL: l$ New El Upgrade
Gravel width: 2 _
S
Number ,f lines:
Distance between lines:
Ft.
Ft.
Classification (Private, A,B,C):
Fri va Il-e
Total Depth:
24ir Ft.
Cased To:
20 Ft.
Total absorption area:
-720 SQ. Ft.
Pipe material: F-810 Pecf
D-303Y AAOA Peri
Driller:
Alpine DV-1111nf
Date Drilled:
8/2.3/90
Static Water Level:
l-/7 Ft.
Installer:
606 Groeoewe
Date installed:
9//B/9g
Yield:
Pump Set at:
Casing Height Above Ground:
K
TANK
30 GPM
Ft.
Z Ft.
SEPARATION
DISTANCES
19 Septic ❑ Holding ❑ S.T.E.P.
To
Septic
Absorption
Lift
Holding
Public/Private
Manufacturer:
/�,..
"r
Capacity in gallons:
/?SO
From
Tank
Field
Station
Tank
Sewer Lines
(!- '
Well-
160'
)63'
—
-
]2y '
Material:Number
S pve1Surfac
of Cogtpartments:
G
Water
Water
�1C:27'
>LGt�'
'"'
—
LIFT STATION r'�/• A.
Lotr
ISO
I eo �
-
Size in gallons:
Manufacturer:
Line
"Pump on" level at:
"Pump off" level at:
High water alarm at:
Foundation-
68'
7s'
-
-
Curtain
-
_
Pump Make & Model
Electrical Inspections performed by:
Drain
-
Remarks: p5x1-v� -r/ cfee Ah
BENCH MARK
!
j,rrip/e0{
Location and Description:
T40'r oT Coper-el-e blocI- z4vund&17e1n
/n dej- n yv ' Juke
64 )t" 10da. /iCIA XAaCAW- n on Perf e 2
Assumed Elevation:
-exlCll to l rnu /Yn iu / {matin i errel o f
/00.0
ENGINEER'S SEAL
Gtulluw off! /Yis �n><tiB fvcrch anc� n K to A""
W r l h Ij 1"e t;,rJcc,-W rnJu/a /4un
Inspections performed by: Flor LW TiCAn lea" SSC Dates:1 st 9/ 1-7196
tra>9b�`
2nd 9119 /
C54
2n*-e-..L;_
......eonm ana av sm.
Department of Health and ma Services approval
`n
Date: /D-6 -
,. .
Reviewed and approved by:
72-013 (Rev. 9/91) MOA 25
PERMIT NO: SW980214
PID NO: 04103313
A •
IR 00
W
LOT 2, BLOCK 5,
s;
HILLSIDE
NORTH #
--------------------------
SITE FOR SIMILAR
REPLACEMENT TRENCH
rc
"
,
rc
a
, rc
, a
m
, rc
\.1250 GALLON
T.H. SEPTIC TANK
#1
72' LONG SOIL ABS. TRENCH
W. 5.0' GRAVEL BELOW PIPE
•4E OF q.qs�
�
*co-49—
� w 9TH •.
10100
THEODORE F. MOORE <
�'"o,. �••• CE - 3589 •.�cAV
'ifs ••Soso$*'
0•��
��1L 40fesslef-01"
DRAINAGE
EASEMENT
SWING TIES:
9
FROM: COR. "A" COR. "B"'
TO:
S.T. C.O. "D"
77'
100'
S.T. C.O. "E"
85'
107'
DBL. C.O. "F"
87'
109'
,TR. C.O. "G"
82'
103'
TR. M.T. "H"
95'
115'
TR. C.O. "1"
143'
168'
INV.
71.3'
PERMIT NO: SW980214
PID NO: 04103313
SOIL
PAGE 3OF3
2'+ SOIL COVER
RIGID INSULA
RIGID INSULATION — 1250 SEPT LLON CATANK L74 0'
2' LONG SOIL ABS. TRENCH WITH
.0' SEWER GVL. BELOW DIST. PIP
BOTTOM TRENCH
ELEVATION 66.3'
OF A4 44
J w9TH*0�040�
.........................
THEODORE F. MOORE
'••
CE -3589 ,; �cmA
vo
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1L g'ofess�°.t
.3'
INV.
73.7'
LOT 2, BLOCK 5, HILLSIDE NORTH SID #7
SEPTIC SYSTEM INSTALLATION
AS -BUILT INSP. REPORT - PROFILE VIEW
FLATTOP TECHNICAL SERVICES NOT TO SCALE
14530 ECHO STREET DRAWN BY TFM
ANCHORAGE, ALASKA 99516 SEPTEMBER, 1998
4
LOCATION OF WELL
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF MINING & WATER MGMT
WATER WELL RECORD
CONTRACTOR INFORMATION: REMARKS:
Registefed Business Name 7
•.._ ,,,.., '>�.,� �., <- _ PLEASE MAIL WHITE COPY OF LOG TO:
"— DNR/DIVISION OF MINING & WATER MGMT
Signature of AuthorizedY Respresentative Date 3601 C St, Suite 800
ANCHORAGE AK 99503-5935
Phone I90712RQ-f2R7q Fer 1Qn7199Z?_1'40e
BOROUGH -
*SUBDIVISION
ir
LOT
BLOCK
SECTION QTRS
SECTION
TOWNSHIP
,RANGE
MERIDIAN
, `i5lcif✓
��
❑N
EIS
❑E
W
LOCATION/SKETCH:
WELL OWNER: t
-�-�. r
DEPTHS MEASURED FROM:('casing top ❑ground surface
77
WELL DEPTH:�... DATE OF COMPLETION
Depth of hole: .;<��.-" � ft
BOREHOLE DA T A: Depth
Depth of casing: r/J ft SS- / ":? O?>/
Material Type and Color From To
DEPTH TA STATIC WATER LEVEL:
C/ft below r`\j top of cussing ❑ ground surface
Date: O l I O
r/IGd.� rte. ��iPU�
�%
METHOD OF DRILLING: Lair rotary ❑ cable tool
❑ other
1
/
USE OF WELL: [Tdomestic ❑ irrigation ❑ monitor
(�c
-LrS
❑-public supply ❑ other
CASING STICK-UP: ft. Diam: 455' in. to�ft
Casing type: . � 45 --in. to -t�F7ft
WELL INTAKE OPENING TYPE: ❑ open end ❑ screened
❑ perforated Geopen hole
Depths of openings: to ft
g
SCREEN TYPE: Diam: in.
Slot/Mesh Size: Length: ft
GRAVEL PACK TYPE:
Volume used: Depth to top:
r
r �.
GROUT TYPE: fume:
Depth: from ft to ft
C i
DEVELOPMENT METHOD:tF)
Duration: -7.
Z6
flClunici alit
PUIYIPING LEVEL AND YIELD:
— '=/t" ft after �_ hrs pumping J
ealth & i luman Sergi
gpm
a
PUMP INTAKE DEPTH: ft Horsepower:
WELL DISINFECTED UPON COMPLETION? OWES ❑ NO
CONTRACTOR INFORMATION: REMARKS:
Registefed Business Name 7
•.._ ,,,.., '>�.,� �., <- _ PLEASE MAIL WHITE COPY OF LOG TO:
"— DNR/DIVISION OF MINING & WATER MGMT
Signature of AuthorizedY Respresentative Date 3601 C St, Suite 800
ANCHORAGE AK 99503-5935
Phone I90712RQ-f2R7q Fer 1Qn7199Z?_1'40e
c
M oA God`/
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:SW980214
DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES
OWNER NAME:MOORE MATTHEW E &
OWNER ADDRESS:9720 COPPER DRIVE
ANCHORAGE ALASKA 99507
PARCEL ID:04103313
LEGAL DESCRIPTION:
HILLSIDE NORTH #7 BLK 5 LT 2
LOT SIZE: 193842 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF 1
DATE ISSUED: 7/01/98
EXPIRATION DATE: 7/01/99
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 (18AAC80).
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: DATE:
ISSUED BY: L/��1�.. 00.4 DATE: 2';z / 18
CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS
THEODORE F. MOORE, P.E.
PH: (907) 345-1355 June 9, 1998
M.O.A. DHHS
P.O. Box 19-6650
Anchorage, AK 99519
Dear Sirs:
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
The purpose of this letter is to provide the required design narrative in support of our application for
a permit to construct wastewater disposal facilities on Lot 2, Block 5, Hillside North Subdivision —
Addition 47, located on Middlerock Road. Soils logs, perc test results, a site plan, design drawings and
specifications are enclosed for your review.
The proposed system will be constructed in the vicinity of test hole # 1. As can be seen from the soil
log, the native material between 3 feet and 7.75' is a slightly silty sandy gravel with a measured perc
rate of 4 minutes per inch. Using a slightly conservative soil application rate of 1.0 gpd/sq. ft., this
proposed 4 -bedroom residence requires a total absorption area of 600 square feet. The proposed 71 foot
long trench design with an effective gravel thickness of 4.25 feet has a total absorption area of 603
square feet. A site for a similarly configured replacement trench is also shown on the site plan.
The topography of the lot slopes down towards the west. The proposed house will be located on the
top of a hill and the proposed septic system on a bench which slopes gently down towards the west at
approximately 10%, located halfway down the hill. Below the bench the hill slopes down at 30 — 35%
for another 25 vertical feet. The configuration of the proposed original and replacement soil absorption
trenches maintains a 25 -foot setback from the point where the slope starts to exceed 25 %, however it is
not possible to achieve the 50 -foot setback called for in the wastewater ordinance. Thus, a variance is
requested from this provision of the ordinance. From a practical viewpoint, the design setback should be
more than adequate to avoid any problem with effluent daylighting through the sideslope, since the
natural slope is no steeper than allowed for fill material in mound system construction.
The proposed project will have no significant impact on present or future water supply and
wastewater disposal systems serving adjacent properties, nor will it have any significant impact on
reserved space -surface and subsurface, or on drainage.
Please give me a call at 345-1355 if you have any questions on this submittal.
Sincerely,
T�
Ted Moore, P.E.
LOT 1, BLOCK 5
I (VACANT)
LOT 1, BLOCK 4 /
OF MN
Ae TH .*
d.............1 :a
i THEODORE F. MOORE i
+�, %CE -3589 :0�cA
• O�
1t 0 to ss�o
UNSUBDIVIDED
LAND
NOTE: CONTOURS PROVIDED BY
ARCHITECT -CONTOUR INTERVAL = 4'
TOPOGRAPHY SLOPES DOWN TO WEST
'ALL 1250 GALLON SEPTIC TANK
DIA D-3034 NON -PERF PIPE
"All
INSTALL DOUBLE CLEANOUT CONSTRUCT 71 -FOOT LONG
SOIL ABSORPTION TRENCH
4" DIA F-810 PERF PIPE WITH 5 -FT TOTAL SEWER GVL.
CLEANOUT MONITOR TUBE I CLEANOUT -
71
PLAN VIEW
SCALE: 1" = 10'- 0"
"All
CLEANOUT
MONITOR TUBE
ORIGINAL
GROUND 3
1 �— ♦����r\\1
AV/OF•m�',
FILTER FABRIC / O�•4rH
lD / * • • is
4" F-810 PERF PIPE 0Lo
�
THEODORE R MOORE .4
1/2" - 2 1/2" GRAVEL— i i �• i• CE - 3589 •i �C�j
''s�@p ••••••••N••• _AF
111 Pb fe s sle 11, -"4'
BOTTOM OF
EXCAVATION
L2, BLK. 5, HILLSIDE NORTH #7
SECTION "A - All PROPOSED SEPTIC SYSTEM
SCALE: I"= 5'- 0" PLAN AND CROSS-SECTION
FLATTOP TECHNICAL SERVICES SCALE: AS SHOWN
14530 ECHO STREET DRAWN BY: TFM
ANCHORAGE, AK, 99516 JUNE, 1998
Flattop Technical Services
14530 Echo Street, Anchorage, AK 99516
Phone (907) 345-1355
Lot 2, Block 5, Hillside North S/D — Addn. #7
Intersection of Middlerock Road and Tulugak Circle
Wastewater disposal system installation
Specifications
1.0 General:
1.1 The scope of the project consists of installation of a1250 gallon septic tank which discharges
into a 71 foot long soil absorption trench containing a total of 5 feet of sewer gravel.
1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor
deviations from these drawings may be allowed or required by the engineer conducting the inspections.
All construction procedures and material specifications shall conform with Municipal and State
requirements. All separation distances shall be in conformance with Municipal requirements, unless
specifically waived.
1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around
any buried utilities.
1.4 The contractor shall provide adequate cover material and rough grading over all system
components to ensure that proper drainage is achieved after settlement and that there are no residual
depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas.
1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading
after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the
construction.
2.0 Septic Tank:
2.1 The new 1250 gallon, 2 compartment septic tank shall be manufactured of concrete, steel or
other Municipally approved material and shall be set level on undisturbed soil. Each compartment shall
be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it
shall be insulated with 2 inches of approved burial type, rigid insulation.
2.2 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The
waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the
waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot.
A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be
installed within 5 feet downstream of the septic tank.
3.0 Soil absorption system:
3.1 The soil absorption system shall be constructed by excavating a 71 foot long trench to a depth of
7.25 feet below ground level in the vicinity of test hole #1.
3.2 The alignment of the trench shall follow the existing contour of the land and the bottom of the
excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper
infiltration. Sand for leveling or serving as filter material shall comply with Municipal specifications.
3.3 A total of 5.0 feet of approved sewer gravel shall be placed in the bottom of the excavation with
the perforated distribution pipes laid level such that the pipe inverts are no less than 4.5 feet above the
bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing
the #200 sieve.
3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on
the design drawings. The portion of the monitor tube extending through the sewer gravel shall be
perforated.
3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A
minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less
than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the
gravel, in addition to the filter fabric.
3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the
surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill
slopes shall be no steeper than 3:1.
3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have
the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and
seed to promote rapid revegetation of all areas disturbed by the construction.
4.0 Inspections:
4.1 A minimum of engineering inspections will be required during the course of the project: (1)
initial stakeout with the contractor to establish the location of the system and to discuss the plans,
specifications and construction procedures, (2) after the native material has been excavated to expose the
infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test
information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected
up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and
grading is complete. The septic tank requires one inspection after it is set level and the piping
connected, but prior to backfill. This inspection may be incorporated with any of the above inspections.
4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
TEST HOLE # 1 SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: Lot 2, Block Hillside North #7
DATE PERFORMED: May 79, 1998
PERFORMED FOR: Matt Moore and Shawn Hadley
DEPTH SLOPE
(feet) Pt.
1
GP Black, silty sandy gravel
..:......:......:....
2 Many cobbles & boulders
GM Yellow silty gravel
3 Many cobbles & boulders
4
13-
14-
14.25
15-
17
18
19
GP/SP Slightly silty sandy gravel 0%
Many cobbles, few boulders
GP/GM Somewhat silty sandy gravel
Water flowing into T. H.
GM Silty gravel
Dense
B. H.
Depth to Groundwater
Date
Water 11.75'
5/29/98
Water 11.25'
6/5/98
OF A4
AV '60 00
49 _ •�I
000 90000000000*000000*60
THEODORE F. MOORE i �r
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SITE PLAN
,
QO ,
QO
/Qv '
200 T. H.
T. H.
#2
\ TG o
\<GG' DEE
HIGH
\ C<F
T. H.
\
10%
. ..................... .....
i
j 35% ... ... -
0%
Date Reading
Clock
Time
Net Time
(minutes)
Percometer
Reading
Net Drop
(inches)
5/29 12" Presoak
Add water & start
4:06:15
231/2
#1
4:11:1 b
5
217/8
15/8
Add water
4-11-30
233/8
#2
4:16:30
5
213/4
15/8
Add water
4:17
235/8
#3
4:22
5
111/16
20
PERCOLATION RATE 4 (minutes/inch) PERC HOLE DIAMETER 7"
TEST RUN BETWEEN 4 25 FTAND 4.75 Ft'
COMMENTS: _Material encountered in perc test hole appeared to be somewhat siltier than typical of stratum.
PERFORMED BY FLATTOP TECHNICAL SERVICES. IJ�� CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: P l9 199
TEST HOLE # 2
LEGAL DESCRIPTION
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED: May 79, 1998
PERFORMED FOR: Matt Moore and Shawn Hadley
DEPTH SLOPE
(feet) Pt -_I
GM Black silty gravel
GM Yellow silty gravel
GM Dark gray
Silty, cobbley gravel
B.H.(Bedrock)
............ ..........
0%
Depth to Groundwater Date
Nn frep water 5t?9198
6/5/98
w
o -
O
co
rr�E OF A, �k1
`V� •,,.........:.V
* 49"
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i THEODORE F. MOORE i �r
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tie ,�'•.....••a' Ei
♦,,d �ofe ss%a f'P�
SITE PLAN
/ QO
/ V'k-
/Ove
/yyy� 200 T.H.
#1
T.H.
#2 0
\<GG' DEE
HIGH
T.H.
10%
35%
0%
Date Reading
Clock
Time
Net Time
(minutes)
Percometer
Reading
Net Drop
(inches)
5/29 12" Presoak
Start
4:48:30
233/8
#1
4:49:30
1
Ad —water
4:49:45
231/2
#2
4:50:45
1
22
Add water
4751
23112
#3
4:52
1
22
1 1/2
Add water
233/8
4:53:15
1
21 7/8
1 1/2
#5
4:54:15
1
201/2
1 3/8
IFO
4:55:15
1
191/8
1 3/8
LV PERCOLATION RATE 1 (minutes/inch) PERC HOLE DIAMETER 611
u TEST RUN BETWEEN 5.5 FT AND 6.0 FT
COMMENTS: Material encountered in perc test hole appeared to be somewhat cleaner than typical of stratum.
PERFORMED BY FLATTOP TECHNICAL SERVICES. I J CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: d1:9 1999
Z"
CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS
THEODORE F. MOORE, P.E.
PH: (907) 345-1355
June 30, 1998
M.O.A. DHHS, On -Site Services — Attn: Jeff
P.O. Box 19-6650
Anchorage, AK 99519
RE: 2/5 Hillside North #7 —Septic Permit
Dear Sirs:
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
In response to your request for further analysis regarding the setback of the proposed soil
absorption trench from slopes in excess of 25%, I revisited the site on June 29 with the owner to further
assess options that might satisfy your department. They are as follows: (1) Place additional soil in areas
between 25 and 35 feet from the trench as necessary to reduce slopes to 25%. This would accomplish the
objective you stated; (2) Reduce the size of the soil absorption trench by eliminating the safety factor used
in the original design and redesign on the basis of 1.2 gpd/sq. ft. This would result in the construction of
a 59 -foot long trench, instead of the proposed 71 -foot trench, and would allow the system to maintain the
requested 35 -foot separation from slopes in excess of 25%. (3) Determine whether the horizontal distance
between the trench and the intersection of a hypothetical surface sloping downwards at 25% from the
ground surface at the trench, and natural ground at the point where that surface daylights, is greater than
35 feet.
I spoke with Jim Cross this morning and he indicated that if the conditions described in option (3)
are found to exist, then the permit could be issued without modifying the original design. Accordingly, I
have prepared the enclosed cross-section illustrating the relevant slopes. This demonstrates that the point
of intersection between the hypothetical 25% slope and natural ground is 62 feet from the edge of the
proposed trench. Not only does this exceed the 35 -foot distance for which you indicated a waiver could
be granted, but it also exceeds the 50 -foot distance called for in the ordinance, so no waiver is needed.
Assuming this rationale is acceptable to you, please proceed with issuance of the permit. Since the
proposed well location has been changed by the owner since the time of my original submittal, I am also
enclosing a revised site plan showing the currently proposed well location, and a relocated position for the
septic tank, necessary to maintain the required 100 foot separation from the new well site. Please feel
free to give me a call if you have further questions regarding this submittal.
Sincerely,
Ted Moore, P.E.
•44', OF
••�•r rr.rr�rr Q;. rrS'�1
y= 49 T"
.r THEODORE F. MOORE
' i. •.• CE - 3589 •;
,1\ ro...5l0 �+
NOTE: CONTOURS PROVIDED BY
ARCHITECT - CONTOUR INTERVAL = 4'
TOPOGRAPHY SLOPES DOWN TO WEST
LOT 1, BLOCK 5
j
I
(VACANT)
LOT 1,BLOCK 4 /
(VACANT) j
LOT 2, BLOCK 5,
j
HILLSIDE NORTH #7
j
/ 1250 GALLON
/ SEPTIC TANK
l�
LOT 2, BLOCK 4
71 -FOOT LONG
ROPOSED
(VACANT) ,'SOIL ABS. TRENCH
PP
Op./
W. 4.25' EFF. GVL.
OV�/ eR/A / /
t�
4z4 UNSUBDIVIDED
LAND
/I /sp/P
T.H.
i,
v
100' '
SITE FOR
I�
\ REPLACEMENT
PROP. DRIVE '
\ ABS. TRENCH
I
v 109 OFFSET
/-
\ T
TTH
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t FROM PLATTED PROPOSED
DRAINAGE ESMT.
/
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100'OFFSET WELL SITE
v FROM STREAM
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HIGH
T.H.RAINAGr
EASEMENT
•44', OF
••�•r rr.rr�rr Q;. rrS'�1
y= 49 T"
.r THEODORE F. MOORE
' i. •.• CE - 3589 •;
,1\ ro...5l0 �+
NOTE: CONTOURS PROVIDED BY
ARCHITECT - CONTOUR INTERVAL = 4'
TOPOGRAPHY SLOPES DOWN TO WEST
MUNICIPALITY OF ANCHORAGE Aak
• DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On -Site Services Section CEM
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # 011 - c33 - 13 „ HAA # W�ftf1 C QQIQL
1. GENERAL INFORMATION
p4l
3.
4.
Complete legal description Noe tri #7
Location' t ite'address or directions)
70 3S i U! o4- Cr rc re
Property owner
Matt Mao �N %Ski c� Wr. tk«PI-e y
Day phone 2 7 7 ' 63 3.3
Mailing address
Lending agency-
:N .f3 /1 >306b1
Gv, rtA
Day phone 2s7 —3_cti
Mailing address`
P.O. Sox I v70zS, /}"+cho
re i> k 99S14
Agent Non a Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: `/ `,
TYPE OF WATER SUPPLY:
Individual well 1�
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.
72-025 (Rev. 1/91) Front MOA e21
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 r /a F/r,o %+ctin«c./ SL -Cs Phone 3 YS- I3 S,5 -
Address x.1530 cho Sf. A-nC4orctt��. � k 99si�
Engineer's signature �� Date 71? 1Y 2, 1999
6. DHHS SIGNATURE
Z Approved for 4 v R bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Note: The well for this property meets existing State and Municipal Codes.
There are nitrates present. It is sueaested that Deriodic testing be
performed to insure the wells continued suitability. Current nitrate
More information on nitrates is available from the On—site Services Program,
P14149, 949 4744 -
Additional Comments
By:
. . .
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 engineers work.
72-=(Rev.191) Back MOAN21
iI � 1. �1 e'- In✓
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES JUL 0 2 1999
Environmental Services Division
825 L Street, Room 502 • Anchorage, Alaska 99501 • (q04Qgfi47W4 ANCHORA
CNVIRONMENTAt SERVICES DIVISION
Health Authority Approval Checklist
Legal Description: a f 2� t
3/ k S I it / I,p cfe /dor 41) $� 7 Parcel 1. D.: 0 7
A. WELL DATA
Well type PV fi If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) Y Date completed 8/ 2 319S.
Total depth 2 °/S' Cased to 20' (!k, hel-dwoc*asing height (above ground) 2
Sanitary seal (Y/N) Y Wires properly protected (Y/N) `r
FROM WELL LOG AT INSPECTION
Date of test
Static water level Y/
Well production 30 g.p.m. g•p-m-
WATER SAMPLE RESULTS:
Coliform O col
// oo /n,C Nitrate
G. 7/ mog /
Other bacteria t4ole ((/2B/9v)
Date of sample: G
/3 /99 . i�' /26/99
Collected by:
F Lo l-Lnn cti Se - s -
B. SEPTIC/HOLDING TANK DATA
Date installed `I / 19 / 9,, Tank sizeI ?--907z Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (Y/N) N. A:
Date of Pumping ,N- A. (Tl<w� Pumper /V• A.
;2
C. ABSORPTION FIELD DATA T
Date installed 911,9199- ` " " "�$oil rating (g.p.d./ftp or ft2/bdrm) 1, o System type Ti to c 6
Length 7 2' 'Width;., _2• S' Gravel thickness below pipe S O Total depth
Effective absorption area 'zU*p Monitoring Tube present (Y/N) Y Depression over field (YM) A/
Date of adequacy test t i F!• ( new L Results (Pass/Fail) P0 -v For Y bedrooms
Fluid depth in absorption field before test (in.); 6 Immediately after_ gal. water added (in.):
Fluid depth (ins) Minutes later: Absorption rate = > GO0 g.p.d.
Peroxide treatment (past 12 months) (Y/N) N If yes, give date N, .4
72-026 (Rev. 3/96)*
D. LIFT STATION N• A�.
Date installed
Manhole/Access (Y/N) _
High water alarm level at* _
Cycles tested
E. SEPARATION DISTANCES
Size in gallons
"Pump on" level at* "Pump off" level at*
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot 160 On adjacent lots > too
Absorption field on lot 163 On adjacent lots moo'
Public sewer main NI • A. Public sewer manhole/cleanout N • 4.
Sewer /septic service line '> ZSLift station N. 4,
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation 66' Property line ►SLo' Absorption field S'
Water main/service line > mao' Surface water/drainage > 100' Wells on adjacent lots > r001
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 120' Building foundation 7S' Water main/service line >100'
Surface water > (00' Driveway, parking/vehicle storage area > 100'
Curtain drain > ► uo 1 Wells on adjacent lots too
F. ENGINEER'S CERTIFICATION
! certify that I have determined thru field inspections and review of Municipal record stems are
in conformance with MOA HAA guidelines in effect on this date.'' • • • • .
Signature
�sy.•IW,i• o�440t, i�.d+f4 •`.
Engineer's Name -Fheo �10,t r•
i THE OIt6 F AAOOR& P
Date 7 u (�2'- /,4.99 �� % CE - 3589 •'�
HAA Fee
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
JUN -30-99 09:15 FROM -CTE ENVIRONMENTAL
5615301 7-323 P 01/01 F-772
zIL CT&E Environmental Services Inc.
gjW Laboratory Division
t,
200 W. Poi Drrve
AnChor899, AK 99518.1605
)rinking
Water Analysis Report for Total Coliform Bactana Tel (907) 562.2343
TO BE COMPLETED BY LABORATORY
READ 1NSTRUCTIOP 561-5301
PL �D s�WA`�RgUPPL�R QL[ACTINGSAMPLE 4huw� than V r1SAMPLE to be:
MUST BE COM Ana y
0 PUBLIC W ATER SYSTEM l.D. III F111=11 —I
San factory
tj PRIVATE: WATER SYSTEM_
III $tn4 80"M0 Strrd Invorcr Tio!
Flat �o TOCA" rca/ WillG�1.
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5-1
1NS30 ��6, Sri.
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kilii,,Ap»�
Stud Re>.rlu Q Ssnd Invoice
0
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sAMPL£ DATE. Month Day
SAMPLE TYPE
P Routine
ly Repeat Sample l
with tab rcf- no -
0 Special Purpose
SAMPLE LOCATION
0
outinc sample 9
2,alis Nlaslde Noah ;��
Comments:
0 Unsansfactory
CI Samplc over 3U hours old, results may
be 417chable
q Sample too long to transit; sample should
not be over 48 hours old at exammdaon
to indicate le rchil resuhs. Please a
new sample via ipcCtal delivery ml.
ail.
Date Received
Time Received
Anal Bean
Analytical Method: Membrane Fther
C) MO -MUG
Analyst
C
4--A
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Ancn Fbks inn u
Sentfo A.A•E.C. Fawl
Time
Collected
Water T,mr f �—
Dacct
Client notified of unsatisfactory results: 11Collected
By Spoke wdh Faxed
Pfto eq
2 Ys Pn —:nr M - I Time
?ww Prw
RACTERIOLGIGICAL WATER ANALYSIS RECORD
E. cilli
MMO-MUG Result: Total Coliform Colonies/100 All
Ntembrane Filter: Direct Count Aff, ,-----
BGB �COLIF1R
---
Vtri ication: LTB �,-
Fecal Coliform Cunflrmatioa Culiforra l00 m1
Final MemUrane Filur Results b�
Date Time --
Rcported By !L
rntr - to. v.wrro To CO.
Oe . (hilar yuru.w
Momber of me SGS Group (SiG_�arate ae S� S rva `'e1"^
ENvtRONMENTAL FACILITIES IN ALASKA, CALIFORNIA. FLORIDA. ILLINOIS, MARYtANO, MICMaGAN. MISSOURI NEW JERSEY, OHIO. WEST VIRGIN(
AL9
CT&E Environmental Services Inc.
eAro""AV""wA®e..o.Ar®a
CT&E Ref.#
Client Name
Project Name/#
Client Sample ID
Matrix
Ordered By
PWSID
Parameter
Total Coliform
Nitrate -N
I
992474002
Flattop Technical Srv.
N/A
Lot 2 Blk 5 Hillside N. # 7
Drinking Water
C
Results PDL Units
25 06/100 ML, NO COLI
6.71 0.500 mg/L
Client PO#
Pre -Paid Colis/NO3
Printed Date/Time
06/10/99 12:20
Collected Date/Time
06/03/99 14:30
Received Date/Time
06/04/99 12:50
Technical Director: Stephen C. Ede
Released By
Allowable Prep Analysis
Method Limits Date Date Init
SM18 92226 06/04/99 KAP
EPA 300.0 10 max 06/04/99 06/04/99 SCL