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HomeMy WebLinkAboutROLLING HILLS ESTATES BLK D LT 8 ~ " MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVlRONMEN'I'AL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM ANE~/OR WELL INSPECTION REPORT N^ME r? t P.O ~ UPGRADE LOCATION NO. OF BEDROOMS, DISTANCE TO: Well //~ ~ JAbsorPtJonarea Dwelling PERMITNO~~ ~ Liq' ~ai$~ll°ns IF ~M"MADE; Inside length Width Liquid depth O ~" DISTA~E TO: Well Dwell% X PERM,: ~ateri~l ~ -- b %~ ~ Liquid Man ufactumr~h % ~ ~ DISTANCE T~X.. Well / [ O Foundatlo~N~ NeareS~a, PER~IT N~~ ' Total le~lines Distance No. of Ii[es Lengt~f~h line Trenc~th between line~ - _ . inches ~ Materia~h tile ..... Total effective absorption area inches ~ Length /-- Width Depth PERMIT NO. Top of tile to fi~ grade ~ ~ ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line m DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank ~ Absorption area(s) SOl L TEST RATING / PERMIT NQ. APPL I F:RI'4T RUD"," E. PRRRON ±F'~23:-¢: E. 2EITH. LOCFtT ]: ON LEGAL LOT ':' S LOT SIZE ,_, BLKD ROLLING HILL'-'-; E_T. 'B.?.9.'9'B.'D. SQURF.:E FEET - "-- .... -' "- ' : TF. EN..H T'T'F'E OF '":;FIIL HB_,L,F. FTION :,T:TEi'i IS ' " MFI;:-:;IMLIM NJMBEF.' OF BEE,F.'_-Ci'"IS = 3: SOIL RFITING ,'S..] FT,."BR)= THE REQLIIREE:, SiZE OF THE SOiL FtB':;ORF'TION SYSTEM iS: , ...... -".," ~-- [:,EF"TH= IZ:, E F' T H =: t-C'~ L_ E I"-,I G'T Fl = 4.2: _.~."~. n . THE LENGTH DIMENSION IS THE LENGTH (IN FEET;) OF THE 'TRENCH OR DRRINFIELD. THE DEPTH OF' R TRENCH OR PIT IS THE DISTRNCE BETHEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETHEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). F'ERMIT RF'F'LICRNT HRS THE F..E.=,F_N=-,IE, ILIT.,,. TO INFL-iF. tM THIS [:,EF'RRTMENT DtIRING THE tNSTRLLRTION INSPECTIOI'.,IS ~"'~F FIN'-,.' HELLS FtDJFICENT TFI THIS F'ROPERT'-," FIND THE NUMBEF.: OF RESIDENCES THFtT THE HELl_ WILl.. SERVE. T [L--I C~ ,:'. ,=..-:' ..... ":, [ t'-,t :.5 F' E C:: -F :[ ~--, t'-,it"--:; FIt F: F F.: E L-~... IUt. Z F.: E [:. '-' "- ' * - ," B'T' BFICKFILLII'-,tG OF FIN'-r' :T:TEII H'[THOUT FINFIL INSF'EF:TIOt'.,t F-IND ItFFF. L,PL THIS DEPRRTMENT H ILL BE SUBJEL:T TO F'F.'] SE'; _ T I ddq. MINiMLIM DISTRNCE BETHEEN R HELL. RND RNY ON-SITE SEHRGE DISPOSRL SYSTEM I'=; iE~E~ FEET FOR R PRI'v:RTE HELL OR i5C~ TO 2~Z~-'-~ FEET FROM R PUBLIC: HELL DEPENDING UPON THE T'¢F'E OF' PUBLIC HELL.. MINiHUM DISTRNCE FROM R PRIVRTE HELL TO Ft PRIVRTE SEWER LiNE IS 25 FEET RND TO FI COMMUNIT'¢ SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MR'¢ RPPL'¢. SF'ECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLFITiON. I CER'T'iF'Y THRT :L: I RM FRMiLtRR HITH THE REQUIREMENTS FOR ON-SITE SEWERS RND HELLS RS SET FORTH B'¢ THE MUNICIF'RLIT'¢ OF RNCHORRGE. 2: I HILL INSTRLL THE S'¢STEM IN RCCORDRNCE WiTH THE CODES. 3.: I UNDERSTRND THRT THE ON-SITE SEHER S'¢STEM MRY REQUIRE ENLRRGEMENT IF THE RES i[:,ENC:E ~MO[~LE[:, TO INCLLtDE MORE THRN 3: BEDROOMS. ~ ~ R~'F'L~-~RUR R I['.~ E F'RE'R'N . -- ,~ ~ I , ,__[:'Y .... L_ ~-~ ....... ......... ....... / IO ' 4040 B STREE-I .:~, ANCHORAGE, ALASKA 99503 (907) 27~U~I:IALITY ©i July 5, 1978 W.O. ~A18498 Mr. John Bagoy c/o Karl Bachner 1135 W. 8th Avenue Anchorage, AK 99501 Subject: Subsurface Investigation, Block D, Rolling }[ills Estates Dear Mr. Bagoy: At: the request of Mr. Karl Bachner, we have conduc!:ed thc subject exploration. The scope of the investigatien includes ( ~ test holes and percolation tests on lots 4, 5, 6, 7, 8 and 15, 16, 17, Block D, Rolling Hills Estates. Inoluded with this transmittal are: ~--'! ~( ;'!~ Vicinity Map T~sL Hole Location Ske'Lch Test Hole Logs Sunnmary of Percolation Test Results Standard Explanatory Information Figure 1 Figure 2 Table A Table B Sheets 1-3 Exploration was conducted on June 22, 1978. A Nodwell mounted Mobi].e 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. As samples were recovered from the auger flights, they were sealed in plastic bags for protection of the sample a~d 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- mined. When drilling was completed, a 3/4" slotted PVC pipe was inserted into each hole to aid in determining the free level. For the percolation test %he 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 Municipalil-y of Anchorage, Department. of Public IIealth and EnvJro'nmenta'L Protection to evaluate the site fer pre]2esed on-site sewage Mr. John Bago?-~,,~ c/o Mr. Karl ]_ .Sider July 5, 1978 Page 2 treatment systems. Table B is a sun, nary of the results of the above tests. No free water was observed in any of the test holes. It should be noted, however, that the. 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 not hesitate to contact us. Very truly yours, ALASKA TESTLAB R. Mark Hansen RMH:rb Enclosures Melvin R. Nichols, P.E. Laboratory Manager Lot ti 8 Table A WO #18498 Logged~By: J. William~ Date: 6-22-78 Depth in Feet From To 0.0' - 10.0' 10.0' - 16.0' Soil Description F-4, b~own Sandy Silt (SM), NP. F-4, brown to grey slightly' Gravelly Sandy Silt, (ML), NP. Bottom of Test Hole: Frost Line: Free Water Level: 16.0' None Observed None Observed Sample Depth 1 5.0' 2 ~.O',u 3 15.0' Type of Dry M% Sample Strength Unified 16.9 G N SM I I 4 G N ~ 13.6 G N ML Remarks: 1. 3. 4. 5. 6. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. Dry Strength, N=None, L=Low, M=Medium, H=High. Group refers to similar material, this study only. General Information, see Sheet 1. Frost and Textural Classification, see Sheet 2. Unified Classification, see Sheet 3. TABLE B LOt NO. Minimum Observed Percolation Rate, Minutes/inch Required Absorption Area, square feet/bedroom 4 6.7 140 5 3.7 110 6 10.0 165 7 6.7 140 8 6.7 140 15 5.7 130 16 10.0 165 17 8.0 150 Because of the silty nature of the site soils and since silty soils sometimes tend to clog with use, we recommend a more conservative design value of 165 square feet/bedroom be used in spite of the above ratings. 0 0 i WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological ~ Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Please complete either lot lb ar lc.) A.D.L. No. la.liBorough Subdj¥~i~ion Let Sluck I-~'I V4qtr,. Section No. TownshlPN~] Rcnge Meridian ~c. Jl DmT~NC~ AND DmECT~O~ ~ROM ~O~D iNTERSECTIONS ~. OWNER OF WELL: . ,.'~:~:,~.~t '~.,::~,'2 . ~ ~ 6. ~ Cable tool ~Rolary ~ Driven ~ Dug ~ Test Well ~ Other: 8. CASING= ~ Threaded ~ Welded diam. i:' in. to ¥ M',~?'ft. Depth Weight ; '? Ibs./ft, Slot/MeSh Size: Length ,o. ST~T*C ~TE, LEVEL: .. ~ Above or ~ Betow land surface MtlNICJP~I~ OF AN~ Equipment used: DEPT. OF H~LI~ & 41985 utter __hrs. pumping g.p.m. I2,GROUTING Well Grouted: ~ Yes ~ No 0 Subm. O Jet D Cenfrifical 0 Other 14. REMARKS: t5. Wafer Temperature o ~ F ~ C MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) (b) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) y Applicant Address .... '-" (c) Apphcant ~ {c~e~ One): Lending Institution ; Owner/builder Uyer Telephone: Home ¢?' Business (d) Lending Institution Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: Single-Family UN' Multi-Family [] Other Number of Bedrooms ~ E)/'-' ¢ f WATER SUPPLY . Individual Well I~ Community FI Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesbng to the teg ahtv. and status. . · r ~ ,~' '~ ..... ~' ~, ~ SEWAGE/QISPOSAL ' ,i,'"-" ,,;'t~'i',, ! ,' OnSite [~ Public [] Community [] Holding Tank E]" ' Note: If community well system, must have ~ritten confirmation from the State Department of Environmental Conservation attesting to the legality and status. ":;;:.;, ,, ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 ~ JAMIS B. ROBERTS, PE, RLS Address =::c.:r.':r.: ; ,~u=v::,..c..t Date/./~/~//?/~-~ 360 West Be.$o. Blvd,, ~¢207 '- Anchorage, AK 99503 Telephone -~---~' ;,~ '--,/'~/-~ .~ NX." A ' DHEP Approved for (--~ "~-~bedrooms b Approved ,,~' Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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 engineer's work. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4729 Legal~Desc,ription: MUNICIPALITY OF ANCHORAG[~ DEPT. OF HEALTH & J~NVIRONMENTAL PROTECTION Well Classification '--?-~1/~'7~'~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) /¢¢~"~ Date Completed ~-~--- ,~-- ~¢:~-- Yield Total Depth /~_r/~ / Cased to /(?'~/_ Depth of Grouting Static Water Level '~TP~f: ~'~*'~ ~/'z~ ~dz'c~c-'~c-fcPump Set At ~' Sanitary Seal on Casing (Y/N) ¢.¢-~ Depression Around Wellhead (Y/N) //7 Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot /~'~ ! TO Nearest Public Sewer Line ~--~"'(-~ ~ Cleanout/Manhole ,,, 4r~-~,~:~b Water Sample Collected by Water Sample Test Results ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer ' To Nearest Sewer Service Line on Lot / / '/ ; Date Comments B. SEPTIC/HOLDING TANK DATA Date Installed 7-/- Standpipes (Y/N) ¢~'¢ Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well //7 / To Property Line ~'~' / To Water Main/Service Line Course Size /~_~-~D No. of Compartments y~.¢/4 Foundation Cleanout (Y/N) Date Last Pumped ~ ;for ~/'"~ Temporary Holding Tank Permit (Y/N) /(,//(2 To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Corn ments Page I of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /~'~"~ Date Installed Width of Field ,.~ / Square Feet of Absorption Area ~/_c, ~..~,, Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Welt /"2 ¢// TO Building Foundation -~ ~' ! Lot To Water Main/Service Line /)/'~'fl~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~¢-t.~_ ~'c. -..¢/~_ Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line ' ~~-c~ / To Existing or Abandoned System on ; On Adjoining Lots ~ ~ / 'f To Cutbank (if present) f'/'"¢'~ D. LIFT STATION Date Installed Dimensions Size in Gallons Manhoie/Acce~rC/N) "Pump On" Level at _~.:J~ui~"l~Off Level at High Water Alarm Level at ............... Vent (Y/N) Tested for ................ ¢ .... Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed JAMES B. ROBERTS, PE, R[~ate Company 360 West Benso~ Blvd,, #~I~)A No. Anchoreg~, AK 99,503 Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84)