HomeMy WebLinkAboutSKYLINE VIEW #1 BLK 3 LT 15
kyl i*ne View
Block 3
Lot 1
#051-191-31
Municipality of Anchorage Page ( of 2—
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Diss/posal System and/or Well Inspection Report
Permit Number: ���7 PID Number:
Name ,/
Wastewater System: New ❑ Upgrade
Address: D
/s {lax O,?o/7� Vis,'// A/L
ABSORPTION FIELD
Phone.
No. of Bedrooms:
❑Deep Trench Xshallow Trench ❑Bed ❑Mound O Other
LEGAL DESCRIPTION
Soil Rating: I
'7-
Total Depth from original grade:
910- —
GPD/Sq. Fl.
/ • V
Lot: / Block: Subdivision:)
I
Depthtp pipe bottom from original grade:
` 'I
Gravel depth beneath pipe
?a.8
er(CI /E l�/�i1i
, OZ — -3, 1 _ Fl.
Y, ?1 / y0 1If #2 Fl.
Township:
_.S
Range:
Section:
Fill added above original gr do:
+
Gravel length:/
r. r (10 FL
37
WELL: O New Up
Grave/l width:
"/✓.
Number of lines:
Z
Distance between lines:
eN FL
Ft.
Classification (Private, A,B,C):
a Depth:
Cased To:
Total absorption area: L
Pipe material: D,7 O 3 C7
Ft.
Ft.
CCS ZS "� SQ. Fl.
F 0//0
Driller:r-IS
Dale Drilled:
Static Water Level:
Installer:
Date installed: �1
✓� /�i
Ft.
/
Yield:
Pump Set at:
Casing Height Above Ground:
TANK
GPM
Fl.
Ft.
SEPARATION
DISTANCES
Septic ❑ Holding ❑ S.T.E.P.
To
Septic
Absorption
Liu
Holding
Public/Private
Manufacturer: l/-
Capacity in gallons �D T
From
Tank
Field
Station
Tank
Sewer Lines
a4. q
_m
Well
/vd/
/�d /r
Material: � /
Number of Compartments: 2-
/(JD
/prJ��
–
—
LIFT STATION
Watere
LotJo
0 /�
_
Size in gallons:
Manufacturer:
Line
Foundation
____
-,
.—
"Pump on" level at:
"P " level at:
High water alarm at:
Curtain
�} / ¢
r¢
Pump Ma odet
I Electrical Inspections perlormed by:
Drain
v
v
Remarks:
BENCH MARK
Location and Description:
Assumed Elevation: Ft
ENGINEER'S SEAL
OF AC��®p�1
2r�c Dates: 1s S/z 9�
®tOpOp
Inspections performed by: io
,... °.;a.,�®
2nd
e
O oe°q a• e °. f. •.. .•
AD /5 1�
Q® V4n�4s Kenne.h M. ius 4
Department of Health and Human Services ap ro al
0® CF 71
�. 64-Date:��'� 3-'
Q99Fo°(l1F X,
0����Mc�f Ate•
Reviewed and approved by:
72-013 (Re,. 9/91) MO/. 25
AS -BUILT SYSTEM DETAILS/SITE PLAIXI Permit SW980104
SKYLINE VIEW S/D, IST ADDN.,BL[IC1< 3, L❑T I PID#051-191--31
TH EARL BARNARD (85 SF BDRM)
K D .�1 RESERVE SYST M
TR H #t2
PRIMARY S 'TEM M ❑
G F
O
°° C❑ TR N H 41
° SPLI TER- T :198-1
l� 00 GAL, S.T E
1 a C LIj WELL �
CO
SCALE- I" = 50' �'i✓'
A—C-72.4'98.12 97.84 98.12
O CLCANDUi CPNp���tEA MONK DR lUB CLEANOUT
B -C=73.1/ s 0.EOFIE
T c p�SpJ FINAL GRADE
-
a
W FILTER FABRIC,, VARIES
13-D=83.0' o
A -E=102.3' AN 1500 GAL — --05,
N SEPTIC 9 3.2 6 93.28
B—E=103.6' 4 TANK
A -F=135.5' SEWER ROCK o.
B—F=134.2' 94.11 93.84 89.30 TRENCH 1 8930
A-0=99,3' —- 340 - --�
MONITOR TUBE SLEAIMo
B-15=94.9' CLEANOUT 97.06 FINAL GRADE
7.06
A -H=133.5' FILTER rAPR[C
VARIES
B -H=128.2' L_
05'
SEWER ROCK
TRENCH 2
34.2'
PREPARED FOR:
KAY WILLIAMS
P.O. SOX 874747
WASILLA, AK 99687
FIELD BOOKS
corAPUTEO:
BOUNDARY:
BARNARD
DRAM:
KMD
STAKING:
BARNARD
CHECKED:
KMD
ASBUILT,
BARNARD
DATE:
10/8/
DWO. FILE:
GRID:
NW1159
ACRD FILL: 98045.DWG1. JOB ND' 98045
SCALE FITS
38
I
82.30 BON
DEAF BUJ ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AIS 99577-8736
907)696-0111/rax (907)696-81.11
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW980104
DESIGN ENGINEER:KND ENGINEERING
OWNER NAME:WILLIAMS JAY & KAY
OWNER ADDRESS:22920 DOTBERRY DR
CHUGIAK, ALASKA 99687
PARCEL ID:05119131
LEGAL DESCRIPTION:
SKYLINE VIEW #1 SLK 3 LT 1
LOT SIZE: 107250 (SQ. FT.)
NUMBER OF BEDROOMS: 5 `PHIS PERMIT: 5
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC 'TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
v c\
PAGE 1 OF 1
DATE ISSUED: 5/08/98
EXPIRATION DATE: 5/08/99
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 B
ISSUED BY:
DATE: 4" '
DATE: j /�P
KIND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
11/FAX (907)696-8111
April 30, 1998
Municipality of Anchorage
Dept. of Health & Human Services
On -Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: New sewer permit - Skyline View S/D, 1st addn., Block 3 Lot 1
Gentlemen:
On April 17, 1998, we excavated one testhole for the subject property. The results of
this test and water monitoring are attached. We also monitored previous testholes
and didn't find any water in them.
We propose to install a 5' wide deep trench. The testhole indicated no water, and
based on the surrounding area testholes we do not anticipate ground water in the
testhole or encroaching on the system. Additional fill will be placed over the system
to provide a minimum of 3' of cover when complete. This lot slopes from southeast
to northwest at approximately 2-7% which is away from the proposed house and any
surrounding wells.
There is an existing well on the property. There are no public or private wells
within 100' of our proposed system location except as noted. There is neither surface
water within 100' nor any known curtain drains within 50'. We do not expect that
there will be any adverse effect on adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
�4�i1�1f� Engineering
Kenneth M. Duf s, P.E.
attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WELL & WASTEWATER DISPOSAL_ SYSTEM DETAILS/SITE PLA
SKYLINE VIEW S/D, 1ST ADDN„BL❑CI< 3, LOT 1
NO PUBLIC WELLS WITHIN 200' OF
PROPOSED SYSTEM.
NO PRIVATE WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT AS NOTED.
NO SEPTIC SYSTEMS WITHIN 200' OF
PROPOSED WELL EXCEPT AS NOTED,
ALS
* 4 9 III
K) NNULIi M DV..
!CE -7116
1�'Ib1''ESSIOo, Aw
-------------
DOTBERRY DRIVE
J=T
L BARNARD (85 SF/BDRM)
I
RES VE
�\ TH T.
Nl'a 500 GAL. S.T. �98-1
��
0 -SPLITTER 0
WELL • C �T 2
r
did P POSED PRIMARY SYSTEM
� _ � FCO
I � 1
e WELL
...
ELDER DRIVE
DESIGN DETAILS
5 BDRM X 150 GPD = 750 GPD
750 GPD/1.2 GPD PER SQ. FT. (1.1 MIN/IN.)= 625 SQ, FT
625/5'(W) X 0.5(RF) (4.0' GRAVEL) = 62.5 FT. TRENCH
USE 2 TRENCHES, 32'(L) X 5'(W) X 4'(D)
Total depth of system is 8.0' from original grade,
Total depth of gravel below distribution pipe is 4.0'
NOTES;
1. USE 1500 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER.
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.,
3. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INT❑ SEPTIC TANK.
4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED,
PREPARED FOR+
KAY WILLIAMS
P.O, BOX 874747
WASILLA, AK 99687
FIELD BOOKS
COMPUTED:
BOUNDARY BARNARD
DRAWN'
KMD_..
STAKING:BARNARD
CHECKED_KMD
ASBUOI BARNARD
DATE;
4/30
DWT lq[F:
GRID:
NW115'
ACAD HIS, 98045.OWG
deB NO.:
98045
Scale: 1'= 100'
PAGE 1 OF 2
&L.AV LU-) ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696 6111/FAX (907)696-8111
WASTEWATER DISPOSAL SYSTEM DETAILS
SKYLINE VIEW S/D, 1ST ADDN,,BL❑CK 3, LOT 1
U I I I L_f-1J\L_ L)"1\INS
RESERVE SYSTEM-
#98-1
P❑SED PRIMARY
OI'_ AZA
-4.9TH.. ... y*o
KPNNE'1'H M. DI
.p `. CE -7116
Z)%,AW
1�01'�S510I1A
PREPARED FORT
KAY WILLIAMS
P.O. BOX 874747
WASILLA, AK 99687
FIELD BOOKS
COUPUIED:
BOUNDARY:
BARNARD
DRAT` KMD _.
STAKING
BARNARD
GIIEQ(EU: KMD
ASBUIIT
HARNARD.
DAT., 4/30_/
018Cntr:_—
GRID: NW115
ACAD LIFE:
98045A)WG
bB NO: 98045
ro-
SYSTEM
Scale) 1'= 20'
PAGE 2 OF 2
LUS 1�l dJJ ENGINEERING
20111 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577 87136
.._ _ _ _._
I nC .1!1%
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
4��
\— J 825 "L" Street, Anchorage, Alaska 99502 0650
SOILS LOG — PERCOLATION TEST m ; Kenneth M. DufliW
CE 116
� Fpp ••.....•NPv
PERFORMED FOR: J�_�f �l Q VY1 S DATE PERFORMED:,O\�Y�`��4
LEGAL DESCRIPTION: S/}ct 11n. , I/eu)'4I S3 Ll Township, Range, Section: 'ry- 11 98 — /_
DEPTH SLOPE SITE PLAN
(F& P roO lM11t W/e5 r I --'
1 � /"�A�i s �r �irow✓)
N
2 -b
3
o , c•rG , oc .
4
5
6
D
7
t
6 �
9
10
c
11 �(
12-
13'-
14
2 13' 14
�4
15
16
17
18-
'9
20
COMMENTS
Co 66 le,5
,8.0. H •
WAS GROUND WATER
� /._
ENCOUNTERED?
_L/(7
S
IF YES, AT WHAT
L
O
DEPTH?
A P
E
Depth to Water Aher
Monitoring?
/
Date: `f'z' 96
PERCOLATION RATE _—LL_
L/ Immulev)nch) PERC HOLE DIAMETER
TEST RUN BETWEEN 7 FT AND -"2 FT
PERFORMED BY: KNrJ G✓I�IYI Pyr c cna I i�Eir�1f2Ss�zrB
----7 CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPALL GUIDELINES IN EFFECT ON THIS DATE. DATE
72-009 (Rev, 4V99)
•
rM
.......... ........... .....................................................................................................
JAY WILLIAMS DRILLING 3768447
I
oil 11 "Al hi
0 0
P.01
.0
m
0
X
o
Q
X\r
CO
CP
co
O o 'w iNO
f) 0 r) ;CL m1b i 9
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rt i :(D
i fp 10 P'l :(D
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in i0 io
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....................................................... ................... .... .... I I ..........
JAY WILLIAMS DRILLING 3768447
P.02
8 1�
Municipality of Anchorage
On -Site Water &Wastewater Program
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel LD. 051-191-31
Expiration Date:
1. GENERAL INFORMATION
Complete legal description SKYLINE VIEW #1 • BLOCK 3 LOT 1
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
19151 DOGWOOD CHUGIAK AK 99567
DEBORAH KINDERED Day phone
19151 DOGWOOD CHUGIAK AK 99567
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
688-9705
3. NUMBER OF BEDROOMS:
3
4. 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
1
❑
Public Sewer
❑
Received by: ���s Date:
COSA to be released rc the engineer, unless otherwise requested by the engineer.
COSA Fee $_.,. —1 0 Waiver Fee $
Date of Payment G Date of Payment
Receipt Numker ,,...��OrrO1RO-� Receipt Number
COSA# _____ QM 101-1 Waiver#
6. 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. 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 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, 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 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 bedrooms.
Disapproved.
Conditional approval for
Phone
337-6179
Date I 2-t (9
tOF f�rrrri
ON-SITE+'
WATER AND
�® WASTEWATER o^
PROGRAM
bedrooms, with the following stipulations:
The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.
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
By: i Original CertAiicdte Dalfer _ ! 3
(Rev. 11105)
If more than 1 septic system is on the lot:
COSA Checklist # _of_
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: SKYLINE VIEW #1; BLOCK 3, LOT 1 PardellD: 051-191-31
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A
Date completed 7/11/70 Sanitary seal (Y/N) YES
Total depth 230 ft. Cased to 104 ft.
FROM WELL LOG
Date of test 7/11/70
Static water level 70 ft.
Well production 11 —
9 -p.m -WATER SAMPLE RESULTS:
Coliform U colonies/100 ml. Nitrated') mg./L.
Arsenic: d ug./L. Date of sample: 12/17/12
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL
Tank size 1500 gal. Number of Compartments 2
Well Log (YIN) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 12+ in.
AT INSPECTION
12/18/12
`a
Collected by: GEG. Ltd.
Date installed 5/12-10/15/98
Cleanouts (YIN)
YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A
�S
Date of pumping 1 — 3 Pumper J(2
C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE WEST/EAST
Date installed 5/12-10/15/98 Soil rating (g.p.d./ft or !bdrm 1.2 System type DUAL TRENCHES
Length 2 ® 34 (68) ft. Width 5 ft. Gravel below pipe 3.8/4.0 ft,
Total depth *8.3/7.7 ft. Eff. absorption area 625+ ft2 Monitoring tube YES Depression over field NO
Date of adequacy test **12/18/12 ' Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added 530 gal. New depth Din.
Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 450+ g,p.d,
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date —
**WEST TRENCH TESTED ONLY. EAST TRENCH WAS DRY DURING INSPECTION.
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N
"Pump on" level at in. "Pump off level High water alarm level at in.
Cycles tested Meets alarm & 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 N/A Public sewer manhole/cleanout N/A
Sewer/septic service line 25'+ Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line /4 + Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle 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 COSH guidelines in effect on this
date.
Engineer's Printed /Name JEFFREY A. GARNESS
Date tI ZI f 13
(Rev. 11/05)
Jan 151309:07a Peter Green 907-688-9869
' 8377Z
DOTBERRY DRIVE
0
r7 0
1 N89°59'00"E 327.24 m
30 ---
`Fcund bent s' rebar, reset Set¢" rehar
3'
c LOT 1
r
Well
W
'Deo 05ryF��
1 �
Story Frame Garage
Jeots `
Sep1Ac
c
ceP�L
0
om Lot 2
M
0
0
z
[L Detected rebar under
large rock in frozen ground,
n set lath nearby
_____ _ ____
30 / -__-_ __. _ _'10'UTILITY EASEMENT
I N89`59'00"E 327.40
0 0
M ELDER DRIVE
—
—�—— — —— —— —--
1
SCALE:
EASEMENTS OF RECORD. OTiERihAN
THOSE 8hO N ON THE RECORDED
?LST ARE NOT SHOM HEREON.
r
gcth
00
k�4
°.Frail Walatko: i
F- 12 8, F9'=541
As.e NET AND CORNERS SET MIS DATE
[ nareor eeniry uu[ I na re �e.rosmaa a N1—BLn laapa.
el [ne ron°w pacsUond propaay:n 1DQ l
5'Mi9EW SU9DIVICMN tet POITQh S
(W
An_.nq s RamMirg MaziF, A'asAs. and[vl eas
Impewemm6sllua[ed L'wm°n aR-vnNin WY VN) lin.°s
aIMd not°radapni 6nvaaCM1 an a4r pnpeM Nirg
agacen[ Pere¢, Ina: no impsavemenu m be popery I.Hy
eEp hal P1. n^pwM on[nopeon ip 09ea an]
P£t Pere nra nc roadwe.s, va[umssun tines n WM1s
awpan. sanenls °n sad pmeeM exrEp[as inairsM1,c
nese ^.
Dana at A'tm°ra9e, Al—Na
[ma_9[M1 eay ar Jam:ary zDla.
FRSD W9 TK &RSSO IATES
6°En8lnecrv�en65�neyors
(90)2<9-1666)
p.2