HomeMy WebLinkAboutNORTH WOODS UNIT 4 BLK 18 LT 7
Municipality of Anchorage Page '1 of 3
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: ~W 9~-0093 PIDNumber: 051-064-39
Name:Wastewater System: ~New [] Upgrade
M M & M Contractinq
Address; ABSORPTION FIELD
P. O. Box 6704R5 Chuaiak qq567
INc. of Bedrooms: ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound G Other
Phon~: 688--~236 3
Soil Rating: Total Depth from original grade:
LEGAL DESCRIPTION o, 45 G~u/s~. ~t.: 9'-10'
Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe
7 18 North Woods ~4 3 ' - 4 I Ft. 6 I Ft
Township: Range: ~ Section: Fill added above original grade: Gravel length: T~ench 91- 4
15N ]WI 3~ va, r4~ d - 1.d Ft. m~ $0 '' "~,_ Ft.
WELL: D New D Upgrade Gravelwidth: ~u%ger~f~nes: ~s(ance between lines:
3 ' Ft 2 20 I Ft,
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area; Pipe material:
Co~unitv Water Ft.; Ft. ] ,~R SO. Ft.
Driller: Date Drilled: Static Water Level:Installer: Date installed:
Ft. ~ M ~ M ~on~_r. ,l~n~. 1994
Yield: I Pump Set at: Casing Height Above Ground: TAN K
GPM~ Ft. Ft,
SEPARATION DISTANCES ~ Septic ~ Holding ~ S,T.E.P.
TO Septic Absorption Lif~ Holding Public/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines Anchorage Tank 1000
Material: Number of Compartments:
Well _ NA Steel
sur~o~ +100' LIFT STATION
Water +] ~ ~]~ .
Lot Size in gallons: Manufacturer:
Line 18' 10 +10~
Foundation 7 ~ ~0 Il -- "Pump on" level at: "Pump off" level at: High water alarm at:
Curtain Pump Make & Model ~ Electrical Inspections performed by:
Drain +50 ~ +50 ~ +50 ~
I
Remarks: BENCH MARK
Location and Description:
F~r~t .F~ ~+ ~!ider, ~uth side
~ ~ ' Assumed Elevation:
1'~ h ~ Fl,
ENGINEER'S SEAL
Inspections performed by: RAT,/~n Dates: 1st 6-8-~a [.....
, --
2nd 6-9-94
Department of Hea~n~~~~H~~:rViCes approval '~~',,, ¢ .,~% ~g¢ %...~.~/:¢~'
Reviewed and appr vd bo e ' · , ~
72-013 (Rew 9/91) MOA 25
AS] UILT DETAILS
~/ASTEWATER ASSORPTION SYSTEM
LOT 7 BLOCK 18 NORTHWOBDS #4 SUB
PERMIT SW940093
P,I,D, 051 064-39
A-B = 34,0'
A-D = 48,0'
o A.E,C,S,
E-B = 36,5;
E-D = 8.5;
I)-O = 45,5'
5-H = 20,0'
PREPARED FOR~
MM & M CONTRACTING
PO BOX 670495
CHUGIAK, AK, 99567
KND ENGINEERING
20441 PTARMIGAN BLVD
EAGLE RIVER, AK, 99577
907-694-2359
DATE, 6-89-94 IDRA~/ING #
SCALE, 1' = 50' ~ AS-BUILT
ASSU LT DETAILS
TRENCH PRE]FILES
LOT 7 ]3LOCK 18 NORTHWOO]3S 84 SU]3
PERMIT SW940093
P~I,I}, 051-064-39
W
~ CLEANOUTS (TYP)
[3
D2 (~ FINISHED GRADE FINISHED GRADE
UNCLASSIFIED FILL (FRBM TRENCH EX)
r- "1 FILTER FABRIC
~[000 GALLD~ (~ (~PIPE BGTTnN
SEPTIC TAN SEWER RF1CK
-8' MIN,-
BOTTOM OF TESTHOLE
5'MIN,
BOTTOM OF
FINISHED GRADE FINISHED GRADE
UNCLASSIFIED FILL (FRBM TRENCH EX)
FILTER FABRIC--~
O TANK ~ PIPE
BOTTBM
SEWER ROCK
RENOH (~ (~MO~ITOR TL
BOTTOM OF TESTHOLE
1, 1,000 GALLON SEPTIC TANK WITH 2~ NIGH DENSITY POLYSTYRENE
INSULATION,
2, LOCATION OF A,E,C,S TESTHOLE CORRECTED DURING LOT SURVEY.
3, ALL SOLID PIPE IS D3034. ALL PERFORATED PIPE IS FSlO,
4. BENCHMARK IS LANDING ON SOUTH SIDE DF DWELLING,
PREPARED
MM & M CONTRACTING
Pi] BOX 670495
CHUGIAK, AK. 99567
KND ENGINEERING
20441 PTARMIGAN BLVD
EAGLE RIVER, AK, 99577
907-694-2359
DATE: 6-29-94 /DRAWING ~
NOT TB SCALE 1 AS-BUILT
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:SW940093
DESIGN ENGINEER:KND ENGINEERING
OWNER NAME:NORTHW00DS INC
OWNER ADDRESS:709 W.INTERNATIONAL APT RD.
ANCHORAGE, AK 99518-1123
PAGE 1 OF 1
DATE ISSUED: 4/25/94
EXPIRATION DATE: 4/25/95
PARCEL ID:05106439
LEGAL DESCRIPTION: NORTH WOODS UNIT IV BLK 18 LT
7
LOT SIZE: 24920 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
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 343-4744 OR 343-4681 AFTER BUSINESS HOURS
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 PR0VISIONS:
DATE:
DATE:
KNb ~NG~R[NG
(907)694-2359/FAX (907)696-8111
April 7, 1994
On-Site Services
DHHS
825 L Street
Anchorage, AK 99501
Dear Sirs:
REF: Lot 7, Blk 18, North Woods #4
Attached is our request for an on-site sewer permit for the above lot.
This subdivision is serviced by a public water system; the service line enters from Blue Skies
Drive. As shown on the site plan, there are no conflicts with existing on-site sewer systems or
with potential reserve areas.
This lot is generally flat but has as area of 20% slope on the south side. There is adequate area
on the north portion of the lot to install both an original and a replacement system. The natural
slope will provide positive drainage away from the proposed installation site. There is no
surface water within 100 feet of any portion of the proposed installation.
We performed two soil tests on this property; in addition a third test was previously done by
A.E.C.S. in 1986. It appears that the soil gets progressively better towards the southern portion
of the lot. The design we are submitting is based on the worst case soil test. However, as part
of this permit we are requesting that we be allowed to alter the design in the field if we can
substantiate soil consistent with T.H. #2, which has an application rate of 0.6 g:p.d. This will
enable us to reduce the total line length to 63 feet, using 6 feet of gravel. The reserve area will
remain at 84 feet.
Thank you for your consideration of this request. If there are any questions, please call me at
694-2359 or leave a message.
Sincerely,
Kenneth M. Du~
KND Engineering
Attachments:
On-Site Sewer Application
Wastewater Absorption System Details
Site Plan
Soils Log/Percolation Test(3)
SITE PLAN
WASTEWATER ABSBRPTION SYSTEM
LOCK 18 NORTHWODDSi~4 SUB
SEPTICV
UNDEVELUPED
SEPTIC
8
SEPTIC
9
TRACT A-i-A
UNDEVELOPED
THIS SUBDIVISION SERVED
DY PUBLIC rATER SYSTEN
LOT SIZE:
LESS, PERIMETER
HOUSE FOOTPRINT AND DRIVEWAY
TOTAL AREA AVAILABLE FOR
ABSORPTION SYSTEM
24,920 SF
3,291 SF
6,161 SF
15,467 SF
PREPARED FOR~
MM & M CONTRACTING
PD BOX 670495
CHUGIAK, AK, 99567
KND Engineering
20441 Ptarmigan Blvd
Eagle River, AK 99577-873
DRAWING #
SCALE, I':IO0' 94-S1-030i
DESIGN DETAILS
WASTEWATER ABSORPTION SYSTEM
LnT 7 BLOCK 18 NBRTHWOODS ~4 SUB
CLEANDUTS (TYP)
SEPTIC
Z
ORIGINAL & FINISHED GRADE
UNCLASSIFIED FILL (FROM TRENCH EX)
FILTER FABRIC --~
SEWER ROCK
42' TRENCH (TYP)
.I
/
/~,
4" PERFORATED LATERAL (TYP)
ABSORPTION SYSTEM SIZE CALCULATIONS~
SOILS RATING = 0.45 GPD/SF
BEDROOM = 450 GPD
~50 GPO - 0.45 GPD/SF = lO00 SF TRENCH AREA /
FROM SOIL TESTS, BOTTOM OF TRENCH e 10'= 6' TRE~H
1000 SF - (2)(6,) = 8~.3' MIN TRENCH / ...... % .............. ~
USE 2 EACH 42L x 6 D x 3'~ TRENCH F~ 84' LENGTH
PREPARED FOR:
MM 8~ M CONTRACTING
PO ]}OX 670495
CHUGIAK, AK, 99567
KND Engineering
20441 Ptarmigan Blvd.
Eagle River, AK 99577-
NOT TI] SCALE
'36
Munlclpall~ Of Anchorage
8~5 ,,g- Street, Ah;horaCe, AI~g~
~OIL~,LOG ~ PERCOLATION
" .:<,,'1 <:"
R~.nge,
Drop
.............. ~]kF ..........
A~CORDANCE WITN A~L ~TAT[~ Alii) MUNICIPAL QUIO/I,,IN~ IN EFF~(;T O~1 THIS DATE,
PERFORMED FOR:
LEGAL DESCRIPTION:
2
3
4
5
6
7
8
9
10
11
12
13-
14
15
17
18
19
20
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
COMMENTS
'~'., c- wnshJ
~ c~oo~'a'~lO p. Range. Section:
SLOPE
/
WAS GROUND WATER
ENCOUNTERED7
IF YES, AT WHAT
DEPTH?
Depth to Water After
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water V,V--J~ Drop
I ~.~, ~ ~ ~0 ~ L~/~{' q4~-
z I ~ o~ ~ ~,~ 7 '///.
PERCOLATION RATE ~ -~' (minutes/tach) PERC HOLE DIAMETER -
TEST RUN BETWEEN ~ FT AND '7 FT
PERFORMED BY: 4~_~ I (~" (_~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
7
8
10
13
14
15
17
20-
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
COMMENTS
~,~ZT.4.~.~._~c;.~.~Z[TownshiP, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? P
E
Depth to Waler After
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time t,X~*A Water),4~d,~ Drop t~V...~
-- -~/7 ~:,o - 4 --
PERCOLATION RATE ~'7 (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN (- FT AND ~ FT
it
PER.ORM~D BY: ¥~I ./__ ~ CERT,''"AT TH,S TEST WAS pE..ORMEO,.
^CCORO^.cE W,TH ALL STATE A.D MUN,C,.AL GU,OEL,.ES,J"EOT-O"%'S O^TE. DATE'.
72-008 (Rev. 4/85J
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
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
051-064-39 HAA#
1. GENERAL INFORMATION
Complete legal description
Lot 7: Rloek 1R; ,~n~*~ Woods !!4
Location (site address or directions) Blue Skies Drive
~ , Chuqiak~ Alaska .
',, Property owner M'"%1 ~ M (7on~-ra~-~-~g Dayphone 6RR-12~6
Mailig. g. address',....~... . P';,zl~. BoX 670495, Chuqiak, Alaska ~567
Lending ag~y~ .~r~: ~,i Day phone
Mailing address ,
Agent" ' ' '~'
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 3
TYPE OF WATER SUPPLY:
Individual well
Community well xx
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 [Rev. 1/91) Front MOA #21
Address 20441 Ptarmiqan Blvd. , E. R. , Alaska
Engineer's signature ~-~
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 thatbased 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.
NameofFirm KND Engineering, Ken Duffus, P.E. Phone 694-2359
99577-8736
Date ~,/Z¢,/~ ~'
D/~S SIGNATURE
Approved for
Disapproved.
bedrooms.
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.
72-025 (Rev. 1/91) Back MOA #'21
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
LegalDescription: Lot 7, Blk 18, North Wood~amelI.D'
A. Well Data Community Water
Well type
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Date of test
Static water level
051-064-39
If A, B. or C, attach ADEC letter. ADEC water system number
Date completed Driller
Cased to Casing height
Wires properly protected (Y/N)
Well flow
,g.p.m.
SEPARATION DISTANCES FROM WELL TO:
Absorption field on lot
Public sewer main
Septic/holding tank on lot ; On adjacent lots
.~t lots
WATER SAMPLE RESULTS: ~
Coliform ,.~-.~ate
D_ate~ Collected by:
~-~ Public sewer manhole/cleanout
Petroleum tank
Other bacteria
B. SEPTIC/HOLDING TANK DATA
Date installed 6'1 3'94 · Tank size 1000
Cleanouts (Y/N)" ,¥ : i ,r~!~i!i~,~Foundation clean0ut (Y/N)
High water alarm (Y/N) i ~ ;, t~?;,~ '" '~
Date Of pumpj ,ng,,,, .,~iA ~=.~.ew.~s tern Pumper
SEPArAtiON DIBTANOE8 ~ 8EPTIO/HOLDING
Well(s) on lot ?%,:N,~: :;,; ~:;; On adjacent lots
To prope~y line lB' ~2 - 5'
Compartments 2
Depression (Y/N)
TANK TO:
Sudace water/drainage
Alarm tested (Y/N)
~u v F,,^~-s~r-'=on field Tr.
+100'
Foundation 7 '
Water main/service line
+10'
72-026 (3/93)* Fro~t CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N)
"Pump on" level at
High water alarm level
Meets MOA electrical codes (Y/N) ~
SEP~FF STATION TO:
~lTon lot On adjacent lots
Manufacturer
Manhole/Access (Y/N) ~
~Level at
~tested
Surface water.
D. ABSORPTION FIELD DATA
Length 47,~ ~7'
Total absorption area
Date of adequaCY test
Date installed 6-13- 94
Width $ '
1008
NA
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
s f Cleanout present (Y/N)
Results (pass/fail)
Soil rating (GPD/Ft~) 0 - 45
Gravel thickness
Well on lot N A
To building foundation
On adjacent lots +
Sudace water +100
Curtain drain + 50
System type T rP~ ~h
10'-11' from
Totaldepth finish grade
,,, Depression over field (Y/N) N
for Bedrooms
E. ENGINEER'S CERTIFICATION
After test
If yes, give date
On adjacent lots +gnn, Property line Tr.
To existing or abandoned system on lot NA
Cutbank + 5 (~ ' Water main/service line
Driveway, parking/vehicle storage area 34 '
~1 - 10'
+10'
I cer~ that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on t_h~.c~ate of this inspect'on.
Signature ~.
EngineeYs Name
H~ Fee $ ~ ~___./ Waiver Fee $
D.e of Payme. ~ ~/~ Date of Payme~
Recei. Numar ~f ~ .eeo,pt .amir
