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Home My WebLink AboutSTUCKAGAIN MANOR BLK 2 LT 3 Municipality of Anchorage Page / of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: o<~U~,,OzO) I-~ PID Number: ~zq [ - ~ _~ '~:SI¢~ g~/~s~;~ Wastewater System: ~New ~ Upgrade Address: /~bz~ G~/~G~ ~Z ABSORPTION FIELD Phone: ~_~ ~DeepTrench ~ Shallow Trench ~Bed ~Mound ~Other Total Depth from original grade: LEGAL DESCRIPTION S°""a~'"~: /.~ ~,~S~.~, ~,~--~ ~ ~ Depth to pipe boaom f,om odginal grade: Gravel depth beneath pip~ Township: IRange: I~on: Fgladdedaboveor[ginalgrade:~ ' -- ~ .~ Ft. Gravellength: ~ Ft. N~mber of lines: I Oistaa. n lin~: WELL: New O Upgrade Gravel width: ~ Ft. [ ~e Ft. p Set at: ~ Casiog Height A~ve Ground: Yield: ~O GPM ~'~ ~ Ft. Z Ft. TAN K SEPARATION DISTANCES ~s~pti~ ~ Ho~Ui.g ~ S.T.E.P. ~rom TO SeptiCTank AbsorptionField StationLift HoldingTank Pu,gc/Privatesewer Lines Ma~fact u rer:~ ~ Capsc[ty i. gallons: Sudace ' ' LIFT ~TATION Water /~ ~ ]~ ~ ~ ~ /~ ~ Fou.dataon /b~ /0+ ' -- "Pump on" ,e~ I "Pump off" level at: ~ water alarm at: Pump Mak 0del I Electrical Inspection~rmed by: Cudain / Drain /~ + /~ 2 ~ ~ Remarks: BENCH MARK J Assumed Elevation: ENGINEER'S SEAL Department of Health and Human Se~ices approval ~-¢.... Reviewed and approved by: ~~ ~. ~ate' ~'/'~ 72-013 (Rev. 9/91) MOA 25 aS-BUILT SYSTEM DEYalLS/SITE PLaN swss01ss STUCKAGAIN HANBR S/D, LBT 3, 9LBCK a PID~O41~Oa3~03 33' Section Line Esm~ B-C=40,P' ~ ~ ~ A-D=69.2~ ~ ~ ~ ~ ~ ~ ~ FINISHED GRADE ~-D=46,9~ -- ] / ..... ' 8-E=53,4' ~ ~ - U ~1000 GAL A-F=67,3' S /I SEPTIC X ~ ~AN~ SE~ER ROCK ~-F=55,0' . PREPARE]} FBR, SCALE, NTS ~ ~0 ~ "'~ ~ BELL BUILDERS ~ ~ O~-Til~ .~ ~ .ou~: HOLT .R~,,a: ~,'~. ~ ./' STAKiNG; HOLT CHECAEm K~D 20441 PTArmIGAN .BLVD. ~ ~% ~ ASBUILT: HOLT oAm 8/21/98 EAGLE RIVER, AK 99577-8736 *c~. m~: 98064.DW6 ao. so: 98064 (907)696-6111/F~ (907)696-glll AUG-22-1998 12:86 DELL BUILDERS INC P.01 .'"' --~ ~,,.~.~, ~.o RECEIVED P O ~OX 110578 ARCHORAGE, AK 995~-03~8 345-4000 FAX 345-3~87 AUG 26 1998 MunJcipala, ,~i ,*,~uaOrage WlTl~ i~ UCO.~H Dept. Health ~. Human Services 0t~ TO StAtiC J~ATD. L~l,: ~Ai~W'A Cer~i/ied C~ntra~to~ C~rUlieate No'.. 814, MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Sen/ices Program 825 L Streef, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: May 29, 1998 Expiration Date: May 29, 1999 Permit Number: SW980138 Design Engineer: 0070 KND Engineering Owner Name: Steve Bell Construction Owner Address: 18622 Guillemont Anchorage, AK 995'16- Parcel ID: 041-023-03 Legal Description: STUCKAGAIN MANOR BLK 2 LT 3 Site Address: Lot Size: 50114 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] SepticTank [] Privy [~] Private Well [] Holding Tank [] Water Storage All construction must be in accordance with: 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 (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. Received By:~~ 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 May 21, 1998 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Stuckagain Manor S/D, Lot 3, Block 2 - Well and Septic Permit Gentlemen: Following a request from the owner, on May 7, 1998 one testhole for the proposed on-site septic system was dug. The results of this test are attached. The lot is to be served by individual well as indicated on the attached site plan. As indicated on the site plan the system can be served by gravity. A 1000-gallon tank will be installed for the proposed 3-bedroom residence. Additional fill will be placed over the system to provide a minimum of 3' of cover when complete if required. As indicated by the site plan drainage arrows, natural drainage is away from this site and will be maintained after construction. There is no surface water within 100' of the proposed installation. 21tere are no known curtain drains within 50' of the proposed installation. No public or private wells exist within 200' of the proposed installation excepted as noted on the drawing. This on-site septic system should have no adverse effect on development of adjacent lots. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, Attachments: On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test ELIE & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN STUCKAGAIN MANOR S/D, LET 3, BLOCK 8 VACANT LOT 2 LOT 3 FAR VACANT in-z/? DESIGN DETAILS SEPTIC LOT 3 BORN X 150 GPD = 450 GPD 45(~ CPI)/1,8 GPO PER SQ, FT, (2 MIN/IN,)= 375 SQ, FT (375/5'(V/)) X 0.5'(RF) (4,0' GRAVEL) = 37,5 FI-, TRENCH USE 1 TRENCH - 38 (L) X 5' (V/) X 4'(D) To~¢L depth o~ sys~cem is 6.0' {'rom original grade, To~L depth o£ gpcve~ below distribution pipe is 4,0' , NnTES~ 1, USE 1000 GALLON SEPTIC TANK, INSULATE TANK IF <4' COVER, INSULATE TRENCHES V/ITH 2" HD BURIAL FOAM, 3, CONTRACTOR V/ILL ENSURE MAXIMUM 2Z SLOPE INTO SEPTIC TANK, 4, ADDITIONAL FILL ~/ILL BE ADDED OVER SYSTEM TD ACHIEVE MIN, 3' COVER IF REQUIRED, PREPARED FOR: STEVE BELL DELL BUILDERS 18622 GUILLEMONT DR, ANCHORAGE, AK 99511 FIELD BOOKS COMPUTEO: BOUNDARY:s. HOLT O~AIm: KMD SLAKING: S. HOLT CHECKED: N~D AS~U~: S. HOLT ACAD FILE: 98064.DWG DATE: 5/21/98 JOS No.; 98064 Sc(lie: 1"= 100' PAGE 1 BF 2 ~ ENGINEERING a0441 PTARMIGAN BLVD. EAGLE RIVER, AK 995?7-8?36 (90?)696-6tit/PAX (907)696-81ti K F 3 WASTEWNTER ]DISPBSAL SYSTEM ]DETAILS STUCKAGAIN MANBR S/I), LnT 3, BLBCK a FC r 1000 GAL, PBSED T #98- E E St PREPARED FBR~ STEVE DELL BELL DUILDERS 18622 GUILLENBNT DR, ANCHI]RAGE, AK 99511 FIELD BOOKS BOUNDARY: S. HOLT DRAWN: KMD STAXINB: S. HOLT CHECKE0: KMD ASBUJLT: S. HOLT ACAD FILE: 98064.DWG DAm 5/21/98 cRuD: 2043 JoB No: 98064 Score: 1'= 20' PAGE P BF 2 ~N~) ENGINEERING 20441 PTARMIGAN BLVD. gAGLE RIVER, AK 9957"/-8736 (907)696-6Iii/FAX (907)696 8111 · , /7'~,_.'~ Municipality of Anchorage ~ ~ . ~. ~ ,I,, so,.s.oG-.E.oo.*T,o. TEST . ,,,,c,,%_;p.,% ~/_ ~ . ,~ .. ~D¢/.~Township, Range, Section: l~-/ ~ LEGAL DESCRIPTION:~N ~N ~ ~ ~ ~/~ SLOPE SITE PLAN 6 7 8 9 lO- ll 13- 14- 15- 16~ 17- 18- 19- 20 WAS GROUND WATER ~/ ENCOUNTERED? ,,,t,,D iF YES, AT WHAT DEPTH? Monitoring? Dale: Gross Net Depth to Net Reading Date Time Time Water Drop / a'. 7- ?,~ ¢.'/0 ~ ~" ~ 9:2/ ~,~ NYz" 7. % 9:2~ ~ ~" PERCOLATION RATE TEST RUN BETWEEN (mlnutes/~nch) PERC HOLE DIAMETER ~ ''~ FT AND /-~ FT z'~/,',?/~v/V,4 , ~ ;,'./,.~ / ~. b~der~ER~,~ m^T m,s TEST WAS PERFORMED IN PERFORMED ACCORDANCE WI~H ALL S~ ~,lc ~ND MUNICIPAL GUIOELINES IN EEFECT ON THIS DATE DAI'E: 12-008 (Rev %85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # . 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailir~g address Lending agency Mailing address Agent Address Day phone Day phone Unless o~herwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: 72-025 IRev. 1191) Front MOA #21 Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 KND Engineering 20441 Ptarmigan Blvd. Address Eanle River. AK 995T'/-87;~ Engineer's signature ~ Phone DHHS SIGNATURE · //' Approved for -r' H }~ ~ E bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 engineer's work. · Municipality of Anchorage AUG 2 DEPARTMENT OF HEALTH & HUMAN SERVICES,~uNICJPALrrY Environmental Services Division ".'!RONMENTAL 825 L Street, Room $02 · Anchorage, Alaska 99501 · (907) 848-4744 Legal Description: A. WELL DATA Well type Health Authority Approval Checklist d If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production Cased to FROM WELL LOG Date completed WATER SAMPLE RESULTS: Casing height (above ground) ~' Wires properly protected (Y/N) %/ AT INSPECTION g.p.m. Coliform ,~ Date of sample: ~ lID/?~ B. SEPTIC/HOLDING TANK DATA Date installed 7/~/?~:~ Tank size Foundation cleanout (Y/N) Y Nitrate / ~), ~ 3 ,-nj ,// Other bacteria Collected by: //J.,90 Number of Compartments ~-- Cleanouts (Y/N) Depression (Y/N) W/ High Water alarm (y/N) Date of Pumping /t~ Pumper C. ABSORPTION FIELD DATA -.' Date installed Length ~ ~ ' Width Effective absorpti00 area ..~5~'~ ~ Monitoring Tube present (Y/N) ~/ Depression over field (Y/N) Date of adequacy test. /~//~ Results (Pass/Fail) // For ./ Fluid depth in absorption field before test (in.); ' I m~ediately after gal. w~r added (in.): Fluid depth / (ins) Minbtes later: / Absorption rate = /// g.p.d. Peroxide tr aea//tm/tment (past 12 months)(y/N)// If yes, gi~ate . Soil rating ~r ~;~d,,,~ /'~- System type ,~. ~ Total depth /~) . Gravel thickness below pipe /~, bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) / High water alarm level at* / Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at**Datum "Pump off" level at* __ SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot /D~) ~ Absorption field on lot /OO t ../_ Public sewer main / ~(-~ ! '~ Sewer/septic service line /~ (~) 4~ On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation /~) t4, Property line / O ~* Absorption field :~ '~' Water main/service line ~.~ ¢ Surfacewateddrainage /~0 ''~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Properbj line /~:~ v- Building foundation /~ ¢ Water main/sewice line ~5~ '~ __ Surface water_ /~O ¢"P Driveway, parking/vehicle storage area ~.~ ~ Curtain drain //~ C~ [ ¢ Wells on adjacent lots / OO ~+ R ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records tha~f~_~systems are in conformance with~MOA HAA guidelines in effect on this date. S gnature H~Fee $ '~;)~> ~ r WaiverFee$ Date of Payment _~ . Date of Payment ReceiptNumbe,~/~?,.¢ ('~¢¢) RoceiptNumber 72-026 (Rev, 3/96)* NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456 3116 ·FAX 456 3125 8005 SCHQQN STREET ANCHORAGE, ALASKA 99518 (907) 349 1000 · FAX 349 1016 POUCH 340043 PRUDHOE BAY, ALASKA 99734 (907} 659-2145 · FAX 659-2146 Report Date: 8/13/98 KND Engineering Date Arrived: 8/10/98 20441 Ptarmigan Blvd. Sample Date: 8/7/98 Eagle River, AK 99577-3736 Sample Time: Arm: Ken or Dee Collected By: Dee Client ID: Block 1, Lot 3 ** Legend ** MRL = Method Reporl Level Client Project #: MCL = Max~ContaminantI~vel Source: Stuckagaln Manor B - prosealt In Method Blank NTL Lab//: A156933 E = Estimated Valu~ Sample Matrix: Water u = Abow MCL Date Date ] Method Parameter Units Result MRL Prepared Analyzed SM 4500 NO3 Nitrate-N mg/L 0.23 0.10 8/12/98