HomeMy WebLinkAboutHOMESTEAD HILLS BLK 1 LT 1Homestead
Hills
Block 1
Lot 1
#015-173-15
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING
DIVISION
825 L Street - Anchorage, Alaska 99501
Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
❑ NEW
C-4UCI , ld A T=T! 10U
U
UPGRADE
MAILING ADDRESS
UA Rc 17 3 — 1
/fie; i�-
0
LEGAL DESCRIPTION
Cyai 7 )zz �sT
LOCATION
NO. OF BEDROOMS
�2-L
Well
Absorption area
Dwelling
PERMIT NO.
81%0
DISTANCE TO:
Uy
P Z
Manufacturer
Material S
No. of compartments
UJ Q
�.Liq.
capacity in gaInside length
ton's-L-
IF HOMEMADE:
Width E
Liquid depth A
A
®� �
Well
Dwelling
PERMIT NO.
DISTANCE TO:
Manufacturer
Material
Liquid capacity in gallons
Well
Foundation ,�
Nearest lot line
PERMIT NO.
1i'/07-f,Es
=
DISTANCE TO:
Ap _
�
2
Z
Z
No. of lines Length each line
Total length of lines
Trench width
30 inches
Distance between lines
N
I
_
�$
>q
¢
F
'�
Top of the to finish grade
Material beneath the
Total effective absor tion area
Z
3j %
(,o inches
Length
Width
Depth
PERMIT NO.
F�
Type of crib
Crib diameter
Crib depth
Total effective absorption
area
4
Well
Building foundation
Nearest lot line
DISTANCE TO:
Class
Depth
Driller
Distance to lot lineRMIT
PENO.
Building foundation
Sewer line
Septic tank
Absorption area(s)
DISTANCE TO:
OTHER
w
PIPE MATERIALS
LA$'14 'V& " e' z -j
-i
SOIL TEST RATING
P�; biz
INSTALLER a
1p v/, eV—-�
I �
REMARKS
1. Z 6 t9 .
i
I i✓• . DON
]
�J
r
a�
. 001°9 • A 6 4 �
E
O e
v
a erre m
•a No. 2 5-E "r �°
„•"
•a,oaaaa® �y ®.
4%'%OFESSIOX 'W
.
APPROVED DATE LEGAL
C
~ M U 1h,,U I C]" `V` C3 F:�" ��PAC�..
* DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
^ ^ 825 L STREET, ANCHORAGE, AK 99501
' 264 .... 472O w
.
C.".) P111~-- IE -1; Jr. --T-- ����W����� ��F������-r
PERMIT NO: 840758
DATE ISSUED: 09/06/84 ^
APPLICANT: C/8 BESSE EPPS POTTS CHUCK NORTON
ADDRESS'.. 2220 E 881'H
ANCHORAGE, AK 99507
CONTACT PHONE. 349~6451 `
LEGAL DESCRIP: SUBDIVISION:
HOMESTEAD HILLS
LOT: 1
BLOCK: 1
SECTION: 22
TOWNSHIP: 12N
RANGE: 3W
`
LOT SIZE- 21404 (SQ"FT^
OR ACRES)
'
MAX BEDROOMS: 4
Listed below are the options
available to you
in designing
your septic
system. Choose the option that
best fits your
....
��.... ��������������
-~K�z E..--., P.,A jr:-: ii -i
B"D/EE' 113
11^,p ~ 13��WC,11 ][ ��
DEPT}f TO PIPE BOTTOM (FT")
4"0
4"0
4110
GRAVEL DEPTH (FT.)
6°0
0"5
3"5
TOTAL DEPTH (FT")
10.0
4.5
7"5
GRAVEL WIDTH (FT")
2.5
16,0
5"0
GRAVEL LENGTH (FT")
29"0
32"0
37.0
GRAVEL VOLUME (CU. YDS.,)
17.5
19.0
27.5
TANK SIZE (GALS)
1,250"0 **
1,250"0 *.x.1,250"0
**S
SOIL
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
.... �.... ��������.��������
I certify that:
1" I am 1*amiliar with the requirements f'or on~site sewers and wells as set
forth by the Municipality of* Anchorage (MOA) and the State of' Alaska.
2" I will install the system in accordance with all MOA codes and regulations.
and in compliance with the design criteria of this pgrmit"
3" I will adhere to all MOA and of' oAlaska requirements for the set ba(7..k
' distances f*rom any existing well, wastewater disposal system or, p�blic
sewerage system on this or any adjacent or nearby lot"
4" I understand that this per0it is valid �or a u
m�xim' of' 4 bedrooms and
anywill require an additional permit"
``
IF A LI T STATION IS IN121TALLED I^ AN AREA COVERED BY MOA BUILDINGCODES.,
THEN (2) AN ELECTRICAL 'PERMIT AND INSPECTION MUST BE OBTAINED; AS--BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3)THE
ELECTRICAL WORK.* IJUST' IjE 1".)ONE BY A LICENSED ELECTRICIAN"
GIGNED . DATE:
... ... .... _
APPLICANT: C/O BESSE EPPS POTTS H
�UCK NORTON . .�
' `
ISSUED BY DATE:
.~-�~��-~--~�-~~�---�~
. y~,
`
[/ /-
IVICII iGWALI i Y CIF ANIGHUHAGL
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264.4720
SOILS LOG — PERCOLATION TEST
p( Sams COG-
goo 7's`�
Ll PERCOLATION
TEST
PERFORMED FOR: CAULK I QJAToAl DATE PERFORMED:
LEGAL DESCRIPTION: ih/" IES'P,=A4 4414tc SS,.)
EPTH ORGAIWC5 SLOPE SITE PLAN
(FEET) v.IL-T"
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17-
18,
19•
20•
COMMENTS
1
GVH
WAS GROUND WATER S
ENCOUNTERED? Na L
O
P
IF YES, AT WHAT E
DEPTH?
i
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
SAY
PERFORMED BY: d� t�iJ CERTIFIED BY: DATE:
* v 1
GRE 'ER ANCHORAGE AREA BO' JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503 S' 12 7 -3 -5 T
a__-,,. i/� 5w 9- o-&
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM 3yel'-03611
NAME�ko d 1,
JE/jSL^J MAILING ADDRESS _3 2)0 de, PHONE
LOCATIONre/ A-- T_Q LEGAL DESCRIPTION
SEPTIC TANK:
r�
DISTANCE '10t r / _ ` NUMBER OF
FROM WELL (d MANUFACTURER �2Ec MATERIALyCOMPARTMENTS '
INSIDE LENGTH INSIDE WIDTH � LIQUID DEPTH LIQUID CAPACITY _/090 GALLONS.
SEEPAGE PIT: # /
NUMBER OF PITS �. DIAMETER OR WIDTH / , LENGTH—, DEPTH
Co G�2iR a0 Pqu"-' /
LINING MATERIAL CRIB 51ZE:6K0''DIAMETER—DEPTH �2 DISTANCE FROM: WELL t4a 0
`/ TOTAL EFFECTIVE ( ,
BUILDING FOUNDATION/�NEAREST LOT LIN♦0 ABSORPTION AREA WALL AREA � SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE 6�
BUILDING
FOUNDATION
CESSPOOL
APPROVED
DISTANCES:
wo�
(0 CONSTRUCTION
NEAREST
LOT LINE
, OTHER SOURCES
DISAPPROVED
INSTALLED BY: /J ,6---
PIPE MATERIAL.
LOT SLOPE:
REMARKS:
DEPTH DISTANCE FROM:
NEAREST SEPTICSEEPAGE /�? /`
SEWER LINE—,TANK��, SYSTEM L/
REMARKS
BEA 13 2..
DIAGRAM OF SYSTEM n
� Xo P �5f
E
01
G�rif
SIiJGLE
$xg �Zv /000
(o
G.A.A.B.
S
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
? 3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
�eex¢eo n„
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME OF APPLICANT �"
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK Lo
TYPE AND SIZE OF FACILITY TO BE SERVED 3
MAILING ADDRESS
L S S
PERMIT NO.
PHONE
SEEPAGE PIT /c3X 04%(! , DRAIN FIELD OTHER
FINANCED THROUGH TO BE INSTALLED BY
SOIL TEST RESULTS C) NOTE: THIS PERMIT IS NOT VALID 'WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
J (we
SEPTIC TANK SIZE �0 6 TYPE SEEPAGE AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK V
FOUNDATION TO SEEPAGE PIT / ( f DRAIN FIELD _
SEPTIC TANK TO SEEPAGE PIT WALL
l �
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK �f SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS,
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
l*
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIT , DRAIN FIELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
G.A.A.B.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE/2/�� APPLICANT'S SIGNATURE
October 2, 1979
TO- Whom It May Concern
Subject: Homestead Hills Water Supply
This department has had no complaints on water quality at
the above mentioned subdivision. There appeass to be
no problem with the water quality at this time.
If there are any further questions, please contact this
office at 264.4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
Municipality of Anchorage
On -Site Water & Wastewater Program'
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 015-173-15 Expiration Date: 1lo3 1 Ll
1. GENERAL INFORMATION
Complete legal description HOMESTEAD HILLS; BLOCK 1 LOT 1
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
4301 TRAPLINE DRIVE *ANCHORAGE AK 99516
PRISCILLA JENSEN Day phone 346-1545
4301 TRAPLINE DRIVE *ANCHORAGE AK 99516
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY:
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
N
Individual. Nater Storage
❑
Individual Holding tank
❑
Commu(,f, Class A Well
E
Community On-site
❑
Public N :`:er System
❑
Public Sewer
❑
Received by: �!y y Date: q
COSA to be released to ha engineer, unless otherwise requested by the engineer.
� _j /'
COSA Fee $__ i Loo
Waiver Fee $
Date of Payment i Date of Payment
Receipt Number _ /� SSSS �� Receipt Number
COSA* Waiver #
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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. t 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(are) in compliance with alt applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm
Address
GARNESS ENGINEERING GROUP, Ltd.
3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, UD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
6. DSD SIGNATURE
System #1 Approved for bedrooms.
System #2 Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following
Phone 337-6179
Date Z (3
Original Certificate Date:
The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Ala. -Aa.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
(Rev. I IM)
If more than 7 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: HOMESTEAD HILLS; BLOCK 1, LOT 1 Parcel ID: 015-173-15
A. WELL DATA
Well type A If A, B. or C provide PWSID# 211669 Well Log (Y/N)
Date completed Sanitary seal (Y/N)_ Wires properly protected
Total depth ft. Cased to ft. Casin (above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. ft.
-Weproduction g,p.m. 9—
p.m-WATER SAMPLE RESULTS:
Coliform colonies/100 ml. Nitrate mg./L. Collected by: GEG. Ltd.
Arsenic: ug./L. Date of sample:
B. SEPTIC/HOLDING TANK DATA *UNDER DECK, NEXT TO FOUNDATION.
Tank Type/Material SEPTIC/STEEL Date installed 8/9/85
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) *YES Depression over tank (Y/N) NO High water alarm (YIN) N/A
Date of pumping 8/15/12 Pumper NORTHLAND PUMPING
C. ABSORPTION FIELD DATA *BELOW EXISTING GRAD
Date installed 8/9/85 Soil rating (g.p.d./ft`or /bdrm 85 System type TRENCH
Length 35 ft. Width 2.5 ft. Gravel below pipe 5.0 ft.
Total depth *9.08 ft. Eff. absorption area 350 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 8/14/12 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 0 in. Water added 640 gal. New depth 0 in.
Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date —
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N
"Pump on" level at in. "Pump off" level i_ . High water alarm level
Cycles tested Meets alar & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main
Sewer /septic service line 25'+
Public sewer manhole/cleanout N/A
Holding tank
Animal containment areas 50'+ Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation
Water main
5'+
Wells on adjacent lots 100'+
100'+
Property line 5'+ Absorption field 5'+
Water service line 10'+ Surface water 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Properly line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parldngtvehide storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date O(' 137,1 13
(Rev. 1110.5)
p
Z�� �4p4Spq�� e9�°o
� oo�
�Q N
On
O o
,roo ooz a„o£so.os
R
zez sros-
v
m N
'o 0
O ® n c
w o
N a
,0 6f a
4O OOZ M„0£,SO.ON
o£ �
;a c
0 0
a i 3 in
Iv
6 O 3
o£ �
in C
o
-
-
3�0
LC