HomeMy WebLinkAboutROLLING HILLS ESTATES BLK D LT 5I ol I lng Hill
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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~
LEGAL DESCRIPTION , ~ '
LOCATION ~
0 ~ 'DISTA'CE TO:
~ ~ ~8nufoctureF
~ -- ~ D STANCE TO' Well
~ Manufacturer ' I
Q m IWe)l
~z I DISTANCE TO: I /
~ N Top of tile to finish grade ~ Material beneath tile
~ ~ ~ngth Wid~ Depth
~ ~ ~ Crib diamete~ Crib depth
~ Well ' Building foundation
ICI~s Depth Driller
~ [ ~ Budding foundatlo~ Sewer line
Materi~--~_.~ ~.~.~
Width
Material
Nearest lot line
Distance to lot line
Septic tank
Nearest lot iTC., / ¢.
Trer~th inches
(~¢~ inches
q~
~'¢~:~ I E~UPGRADE
I
NO. OF BEDROO~
No. of ~_.~artments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
D istanc
Total e,~¢~ion area
PERMITCNO'.
Total effective absorption area
PERMIT NO.
Absorption area(s)
OTHER
PIPE MATERIALS~ . f2 ·
scm, ST AT, G
INSTALLER
REMARKS
~-,,1o ,- too',
DATE LEGAL
•i;ox 13000 $TAR Rotrzm A', A-NC$ORAGVq ALAIRKA 0050:2
SIX INCH WATER WELL DRILLED, AND CASiZD OUT TO THE DEPTH OF 12$ 3^
DRILLED AT THE RATE OF - 119400 PER FOOT.
PROPERTY OWNER 1 �AAIF.t ui'ifR 2777-6236
LOCATION OF WELL SITE'•- fit.'' ; ,,,,�F : D 5" a 1 -& �
DRILLER &Ail a _rJMLA dZ „A=pawt f1rt) ll4a lk,&LA
r
WELL LOG: : r" w t, i
0----33
Cow -we 4wra-� 2N fir'yA 'get -
95X 124
get 9 X124R if" -d" sand 0 -M -A 301 ktiy. 'Sl �t*�����n tom_• '-�1� __.__
124-1 Good Good mean t baa.Lat vtth a nrtoducftan o�Of rsi.th a
45
.Loot 4tand'ot, . nwsrng.
1/2 moua Sub_A=A ehogU &e 4jfataU4d 10_ t*k OU 1 o01L' .oM.
coat 119x00 X 125 12375oOO
Coat 0.4 kleu Seat: 121.00
COST INCLUDES ALL LABOR AND MATERIAL 1 Est COMPLETION OF SAID DRILLING:.
WRITE CHECK PAYABLE TO OAMPART DRILLING WORKS FOR THE SUM OF
THANK YOU VERY MUCH.
BEEWPI CLAUS OF RAMPART DRILLING WORKS
DATE__ lim 2nd_ 1070
BEftVftL� CHARGE b F 1i/.4 PtV6 WILP L AON AST DUE ACCOUNTS.__+
PERMIT NO.
FIPPLICFINT JBMES R. LITTER i844 E.
LOC~TION W. ~RD 8VE
LEGFIL L5 BLK D ROLL. lNG HILLS EST
TYPE OF SOIL FIBSORBTION SYSTEM IS: TRENCH
MR~IMUM NUMBER OF BEDROOMS = ~
DEPRRTMENT OF' HEFtLTH FINE:, EN',,,'IRONMENTFIL PROTECTION
825 '" L '" STREET., FINCHORRGE, RK. 995Et:'L
264'-472E~
)
,.._.1-.: 1 I"1 R',,,'E::
L.O'T' SIZE 53:~."_1¢} SL.':!LIFIRE FEET
SOIL F..HT I N ..~
'T'HE REQUIRED :SIZE ElF' THE SOIL RBSORPTION :_.,-r.:,TEfl IS:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEL.[:'.
THE DEPTN OP' FI TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFFICE OF THE
GR. OUND FIN[:.', THE BOTTOM OF THE E).,',CRVRTION (IN FEET).
TFIERE IS NO SE'r WIDTH FOR TRENCHES.
THE GRR',/EL DEPTH IS THE MINIMIJM DEPTH OF GRFIVEL. BETWEEN THE OUTFFILi.. PIPE
RND THE BOTTOM OF THE EXCRVFITION (IN FEET).
PERMIT FIF'PLIC:FtNT HH=, THE F,E.=,Ft.N.:,IE, ILI"fT TEl INFORM THIS [.,EFHF, FfIENF DLIRING ]'FIE
fHI :, F F.' _ F EF, t ~ RN[:, ]'HE:
it'.tSTRLLRTION INSF'ECTIONS OF RN'¢ WELLS RDJRCENT TO ' o
NUMBER OF RESIDENCES THRT THE WELL [,JILL ..... EK,E.
. -'-" . ~'~{ ~ '. E. F' E' ~':,:" ! I ]: IF':: FZ
]'"'i...tC~ ,:' .=-.. ':, ."f I'.,.~SF"E..:C:"]F Z C~I"-41.":_; -- ~" -
E:FICI-:::FIL.,LING OF F:INY .:'r_,TEM WITHOUT FINRL IN.=,FEC'TI.N RND FtF'PRO',,,'FIL B'T' THIS
[:'EPFIRTMENT W ILL BE SUBJECT ]'O PRE'SE 7 L ]"I ON.
MINIMUM DISTFINCE BETWEEN FI WELL. RND FINY ON-SITE SEWRGE DISPOSRL.. S"r'STEM IS
:I. EIE~ FEET FOR R PRIVRTE WELL.; OR
tSEl TO 2EsZI FEIET FROM R PUBL. IC 14ELL DEPENDING UPON ]'PIE TYPE OF PUBL. IC WELL.
P.IELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 2:[,,"'-'~ DRYS
OF THE [,JELL. COMPL. ETION.
OTPER REI;!UIREMENTS MA~' FIPPLY. SPECIFICFITIONS RND CONSTRUCTION DIRGRRMS RRE
BVFtILRBLE TO iNSURE PROPER INSTFILLR'f'tON.
I CERTIFY THRT
:t..: I FtM FFIMILII=IR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS FIS SE'T'
FORTH B"r' THE MUNICIPRLITY OF ~NCHORFdGE.
2: I WILL INSTRLL THE S'¢STEM IN RCCORDRNC:E WITH THE CODES.
]:: I UNDERSTRND THRT THE ON-SITE SEWER S'T'STEM f"IRY REQUIRE ENLFIRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE [dORE THRN :~ BE[:,ROOMS.
RPF'LICFINT ..lEgalES R. IJTTER
4040"B" STREET
ANCHORAGE, ALASKA 99503
~. John Bagoy
c/o Karl Bachner
1135 W. 8th Avenue
(907) 278-1551
July 5, 1971
W.0. #A1849l
Dorothy Barrett ~;
THE BACHNE~,.
Commercia~JPi~L
Anchorage, AK
Subject:
99501
Home: (907) Z72-lg42
?~}~"~ r~ esiden tial
daska, 9950~ .
Offide: '(~7) ~4-159
Subsurface Investigation, BlockS'
Rolling Hills Estates Lc'~' /
Dear b~. Bagoy:
At the request of Mr. Karl Bachner, we have conducted the.
subject exploration- The scope of the investigation includes
test holes and percolation tests on lots 4, 5, 6, 7, 8 and
15, 16, 17, Block D, Rolling Hills Estates. Included wi~h
this transmittal a~e: ' ': .... %"
Vicinity Map
Test Hole Location Sketch
Test Hole Logs
Summary of Percolation Test
Results
Standard Explanatory Info,nation
Figure 1
Figure 2
Table A'
Table B
Sheets 1-3
Exoloration was conducted on June 22, .1978. A Nodwell
mounted Mobile Drill.B-50 rig was used~ The drilling equip-
ment is owned and operated by Denali Driling, Inc. Test
holes were located in the field and logged by Mr. Joe Williams,
staff technician with Alaska Testlab.
~s samples were recovered from the auger flights, they were
sealed in plastic bags for protection of the sample and
maintainance of their natural moiture content. In the
laboratory, the samples were visually classified and'the
moisture content and dry strength of each sample was deter-'
]nined.
When drilling was Completed, a 3/4" slotted PVC pipe was
inserted int~ each ]tole to aid in determining 'the free water
level. For the percolation test the hole was filled with
water and left overnight to saturate. On returning the next
day, the hole was refilled with water and the drop in the
water level carefully monitored over the next 60 minutes or
longer if necessary in order for the rate to stabilize. .We
understand this procedure is preferred by the Municipality
of Anchorage, Department of Public Health and Environmental
Protection to evaluate the site for proposed on-site sewage
. i~ Mr. Karl Bachner
~uly 5, 1978
Page ~
Table B is a summary of the results of
trea~J~ent systems.
the above tests.
No free water was observed in any of the test holes. It
should be noted, however, that %he free water level may
fluctuate seasonally or with precipitation-
We trust the above meets your present needs. If you have
any questions or if we may be of further service, please do
no% hesitate to contact us.
Very truly yours,
ALASKA TESTLAB
R. Mark Hansen
'RMH:rb
Enclosures
APPROVED. - ~ ~
~elvin R. Nichols, P.E.
Laboratory Manager
pep~h ~
From To
0.0' - 2.0,
2.0' - 5.0'
5.0'.- 16.0,
Bottom of Test Hole:
Frost Line:
Free Water Level:
Table A
WO #18498
Logged By: J- WilJ
Date: 6-22-78
__Soil D~scri~tion
Brown ~ea~tt, (Pt}. " '-'-----
F-2/F-3 Brown Silty Sand (SM) with trace
gravel. ~ ....
F-2/F-3 Brown ~ Sand
16.0' -
None Observed
-Sample Depth
1
2 5.0'
10.0'
3
15.0'
M% Type of Dry
~ S~a~pl~e Strength Unified
18.4 --~
18.2 G N SM
G L-N SM
12.4 G N SM
Remarks: 1.
Type of Sample, G=Grab, SP = Standard Penetration,
U = Undisturbed.
Dry Strength, N=None, L=Low, M=Medium, H=Hiq'h.
Grou~ r ~
. ezers to similar mater/a], this Study only.
General Information, see Sheet 1.
Frost and Textural Classification, see Sheet 2
Unified Classification~ see Sheet 3. '
TABLE B
4
5
6
7
15
!6
17
Minimum Observed
Percolation Rate,
Minutes/inch
6.7
3.7
10.0
6.7
6.7
5.7
10.0
Required
Absorption Area,
~quare feet/bedroom
140
165 -
140
140
130
165
8.0 150
so'Becausells. sometlmesOf, the. silty tend ~tonatUrecloc°f the site soils and since silty
.... . wi~h use, we recommend a more
~nse~va~f%espite of the design aboveVa[ii~eratings.°~ 165 square feet/bedroom be ~ed
Municipality of Anchora§e
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
wv~v.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS
FOR A
APPROVAL
SINGLE'S'FAMILY DWELLING
Parcel I.D. 01107229
1. GENERAL INFORMATION
Expiration Date:
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
ROLLING HILLS BLOCK D, LOT 5
5232
WEST 75RD AVENUE
JIM U'FFER
5252 WEST 75RD AVENUE
,ANCHORAGE~ AK 99502
Day phone
*ANCHORAGE~ AK 99502
Day phone
245-7816
Day phone
Unless ,¢~t~erwise requested, COSA will be held by DSD for pickup.
· ..,~ ~:-~::~ ~..,~. ?.,
;, ~ ~.!!,~ U.~..~.
2. NUMBER OF BEDROOMS: 3
TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
· Individual~:Well · Individual On-site []
Individual Water Storage [] Individual Holding tank []
Community Class Well [] Community On-site []
Public Water System [] Public Sewer ·
The MuniCipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wasteWater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems
ApprOval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, f verify that my
investigation, based on procedures outlined in the Certificate of Qn-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. 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(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGEi AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Phone 557-6179
Date
Engineer's Comments:
In conducting this evaluation, GEG, LtD. 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 previde
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 th(s report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
DSD SIGNATURE
Approved for 3
Disapproved.
Conditional approval for __
bedrooms.
bedrooms, with the fllowing stipulations:
Attachments: COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Maintenance Agreements
Supplemental Engineer's Report'
Other
Original Certificate Date:
(Rev. 11/05)
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
CHECKLIST
Legal Description: ROLLING HILLS BLOCK D, LOT 5
Parcel ID: 01107229
WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A
Date completed 6/2/1979 Sanitary seal (Y/N) YES
Total depth 125 ft. Cased to 125 ft.
Well Log (Y/N)
Wires properly protected (Y/N)
Casing height (above ground)
YES
YES
12+ in.
FROM WELL LOG AT INSPECTION
Date of test 6/2/1979 8/4/2010
Static water level 80 ft. 76
Well production 20 g.p.m. 9 g.p.m.
C=
WATER SAMPLE RESULTS:
Coliform O colonies/100 mi.
Arsenic~', '~ug./L.
SEPTIC/HOLDING TANK DATA
Tank Type/Material
Tank size . gal.
'Foundation cleanout (Y/N)
Date of pumping
ABSORPTIO~ FIELD DATA
Date installed
Length
Total depth
Date of adequacy test
Nitrate .~L_[~ mg./L.
Date of sample: 8/4/2010
Other bacteria (~ colonies/100 mi.
Collected by: GE(;; Ltd.
] PUBLIC SEWER]
Date installed
Number of Compartments Cleanouts (Y/N) ~
Depression over tank (Y/N} High water ala~~.
Pumper
Soil rating (g.p.d./ft2or ft~em type
Width /~ft. Gravel below pipe ft.
.ft. Eft. abs ft Momtonng tube
- ---,.,.'~ Results (Pass/Fail)
Depression over field
For__
bedrooms
b Fluid depth in efore test in. Water added gal. New depth
Elapsed T?~_ min. Final fluid depth in. Absorption rate >=
~juvenafion treatment (past' 12 mo.) (Y/N & type) If yes, give date
in.
g.p.d.
D. LIFT STATION
Date installed
"Pump on" level at
Size in gallons Manhole/Access ~ J
in. "Pump off" leveLa~L~ High water alarm level at
in.
~ ~ Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot N/A
Absorption field on lot
Public sewer main
Sewer/septic service line
Animal containment areas
Meets alarm & circuit requirements?
On adjacent lots 100'+
N/A On adjacent lots 100'+
75'+ Public sewer manhole/cleanout 100'+
25'+
Holding tank N/A
50'+ Manu~re/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I PUBLIC SEWER
Building foundation Property line Absorption field
Water main . Water service line. Surface water ~
Wells on adjacent lots ~
SEPARATION DISTANCE FROM ABSORPT~T TO:
Property line. M ~~undation. Water main.
Water service line ~ Surface water
C~i~~ Driveway, parking/vehicle storage
Wells on adjacent lots
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 ~ [ ,-I / / 0
COSA Fee $ "'/'~
Date of Payment
Receipt Number,
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
SGS ReL# 1103859001
Client Name Garness Engineering Group, Ltd Printed Date/Time 08/12/2010 8:10
Project Name/# Roiling Hills Est BD,L5 Collected Date/Time 08/04/2010 12:40
Client Sample ID Rolling Hills Est BD,L5 Received Date/Time 08/04/2010 13:00
Matrix Drinking Water Technical Director Stephen C. Ede
Sample Remarks:
4500NO3 - Total Nitrate/Nitrite - MS did not meet QC criteria, biased low. Refer to the LCS for accuracy.
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic 5.37 5.00 ug/L EP200.8 C (<I0) 08/10/10 08/11/10 NRB
Waters Department
TotalNitrate/Nitrite-N ND 0.100 mg/L SM20 4500NO3-F B (<10) 08/04/10 AYC
Microbiology Laboratory
E. Coli Negative I 100mL SM20 9223B A 08/04/I0 DLC
Total Coliform Negative I 100mL SM20 9223B A 08/04/10 DLC
DATE SCHEDULED / / TIME
SUBDIVISION ROLLING HILLS ESTATES
INSPECTOR
BLK/LT/TRACT BLK D LT 5
INDICATE NORTH
SIZE MAIN: ,/'..~ '
CONNECT LOCATION:
COMMENTS
INSPECTED BY: /~ '.5- ';..,.:...~.,__ IDATE:
IAT PROP. LINE:
DATE SCHEDULED 12/31t2009 TIME 12:00 am
SUBDIVISION ROLLING HILLS ESTATES
INSPECTOR ~"'..~¢~L.~"~,~ '~. ~~ .....
BLOC~LOT/TRACT BLKD/LTS/
6Z
\,
i3'b"
tl
SIZE MAIN: TYPE MAIN:
IDEPTH AT MAIN: AT PROP. LINE:
CONNECT LOCATION:
/ /
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1990_
--- 825 L Street - Anchorage, Alaska 99501
"- AUG 2,
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720R E C E 1 V E
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
~)IRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days fo~ processing.
1. PROPE~ OWNER PHONE
da'me~ ~ ~,~¢~ I~-~/~
PROPERTY RESIDENT (If different from above) PHONE
2. BUYER PHONE
MAILING ADDRESS
3. LENDING INSTITUTION ' 'PHON~
4. REALTOR/AGENT I J PHONE ..
MAILING ADDRESS
STREET LOCAT,ONd.~3a "//J. 7,3 >2 ,~ e c/
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One [] Four
[~/SING LE FAMILY [] Two [] Five
[] MULTIPLE FAMILY ~ Three [] Six
[] Other
7. WATER SUP~J.Y
~ INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
[~INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date tOt--tOt
If system is over two (2) years old an adequacy test is required
[] PUBLIC UTI LITY by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[~ SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
I-~' INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
I-~IIN DIVIDUAL/ON -SITE DATE ~NSTALLED
[~ PUBLIC UTILITY
Connection Verified INSTALLER
E~'Septic Tank or [] Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4.' DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
~E~'APPROV ED FOR ~-~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY (Title)
LE~L DESCRiPTiON
72-010(Rev. 3/78)