HomeMy WebLinkAboutRIVER VIEW ESTATES BLK 8 LT 16 Municipality of Anchorage Page i 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: ~'bd c) 40 Z ul-9 PID Number: E) '~-'~0 *'I~
Name: ~ ~ LC~. ~ r~ I-,~¢* ~ Wastewater System: ~w D Up. grade
Address:
) ~ ABSORPTION FIELD
Phone: ~ ~ No. of Bedrooms:
(A~('.~C~_(b~ ~ ~,~ .. '~Ut~ a DeepTrench aShalJowTrench ~ed ~und ~Other
,~ GPD/S~. Ft.
Block: , Subdivision: Depth {0 pipe bottom from original grade: Gravel depth beneath pipe
Township: Range: Section: Fill added above original grade: Gravel length;
~ Number of lines: 0istance belween lines:
WELL: ~ew d Upgrade Gravel width: 1¢ Ft. ! 5 ~ ~ Ft.
Classification (~ivate, A,B,C): Total Depth: Cased To: Total absorption area: Pipe materiat: ~¢~
~_ Ft. ~/ Ft. ~.~¢ SQ. Ft.
Driller: , ~/~ ~ate Drilled: Static Water Level: Installer:
SEPARATION DISTANCES u Septic a Holding ~T.E.P.
TO Septic Abeorption Lilt Holding ~Private Manufacturer: Capacity in gallons:
Surface
w~t~, >/~' ~//~' ~ ~ ~/~' LIFT STATION
Size in gallons: J Manufacturer: .¢
Line .....
Assumed Elevation:
ENGINEER'S SEAL
Department of Healt~and Hu~ Serwces apprqvat ,',%, '
72-013 (Re','. 9/91) MOA 25
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: ~VY/~/qL¢¢~ PID Number: ~2"/~,-~
Municipality of Anchorage Page
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: ¢~V'.~/~O~ PID Number:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NIIMBER:SW940249
DESIGN ENGINEER:ANDERSON ENGINEERING
OWNER NAME:BINGPLAM ALLEN E &
OWNER ADDRESS:P.O. BOX 221804
ANCHORAGE, ALASKA 99522-1804
PARCEL ID:05079247
LEGAL DESCRIPTION: RIVERVIEW ESTATES BLK
16
8 LT
LOT SIZE: 46678 (SQ. FT.)
bTUMBER OF BEDROOMS: 4 THIS PERMIT: 4
PAGE 1 OF 2
DATE ISSUED: 7/19/94
EXPIRATION DATE: 7/19/95
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL 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 W~STEWATER 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)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
A~SORPTION 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:
A MINIMUM OF A 2 FOOT SAND FILTER SHALL BE PLACED BENEATH
THE PROPOSED BED TYPE WASTEWATER SYSTEM.
THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN COURSE
SAND WITH 4% OR LESS PASSING THE #100 SIEVE AND 2% OR LESS
PASSING THE ~200 SIEVE. A SIEVE ANALYSIS MUST BE PROVIDED
ON THE SAND USED OR IT MUST BE OBTAINED FROM A PRE-APPROVED
SOURCE.
RECEIVED BY: ~/w~~ ~, '~~
ISSUED BY: ~
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
July 7, 1994
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot 16, Block 8, Riverview Estates Subdivision
Well and Septic System Design
Impacts to Adjacent Properties
Dear On Site Services Engineer:
The terrain of the subject lot slopes gradually from north to south with a
high point at approximately the mid point of the lot. The lot then slopes to
a drainage ditch at the north property line. The lot has a good drainage
pattern which will not be impacted by development. The septic system
has been placed at least 100' from the open drainage ditch. A shallow bed
pressure distribution system has been designed for this lot to compensate
for the water table at 6' below the ground surface. If the systems are
placed as designed the following statements can be ~nade:
The system, if constructed as designed, will have no adverse impact
on the wells currently in use or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact
on existing septic systems in the area or those to be constructed in
the future.
o
The system, if constructed as designed, will have no adverse impact
on reserved space, either surface or subsnrface, on any lots located in
the area.
o
Sincerely,
Michael E. Anderson, P.E.
The system, if constructed as designed, will ha~v~e mo-~ad.vel/se impact
on drainage patterns in the area.
,.~
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
July 19, 1994
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Attention: Dan Roth
Subject:
Lot 16, Block 8, Riverview Estates Subdivision
Revised Septic System Design
Dear Dan:
Attached is the revised site plan and system design for the subject
lot. Following our conversation I modified the system to include a
header pipe at the midpoint of the laterals and raised the system to
provide additional separation from groundwater. In addition, I
increased the number of orifices per lateral and decreased the size of
the orifice opening. Calculations indicate the pump will still perform
efficiently. Please review the attached information and issue the
system permit based on this revised design.
Sincerely,
Michael E. Anderson, P.E.
Lot 16, Block 8, Riverview Estates Subdivision
DESIGN FACTORS:
Four Bedroom Home
Perc. Rate: 2 Min./Inch
Application Rate: .8 GPD/SF
SYSTEM REQUIREMENTS:
Shallow Bed System
1,500 Gallon S.T.E.P. System
Place Atop GP/SP Layer
4 Bdrms. X 150 GPD / .8 GPD/SF = 750 SF
750 SF / 15' Wide = 50' Long
Therefore: Construct a Pressure Distribution System Utilizing a
1,500 Gal. S.T.E.P. System with 3 Laterals, Each 45' in Length.
Pump Type: 20 OSI 05 tt4tF - 5 Stage
Three Laterals 45' Long
Orifices per Lateral 9 @ 5' Spacing
Orifice Size .1875" Facing Downward
Lateral Diameter 1" Manifold Diameter
1!
NOTE:
TYPICAL SHALLOW BED SYSTEM
(No Scale)
Remove all Material to Underlying
Cover over all components of system~:-:o,r
~ -'uury insulation.
Jos h,~ IA, 8~ou~ $,
SHEEr NO.
CALCULATED BY
CHECKED BY
SCALE.
OF
DATE
62o : I Z. ~Z
-, gL,, 31
= / ~ 7I)
(/- z 5'..) q' 57
350.00
200.00
100.00
zg.~t
0.00
0.00
i i i i i SINGLE PHASE, 6OHZ
-4, .......... ~ .4..~ ........ ~.-.i......~....-~ .............. ~.4..~ ......
...L..L ,.i ..... '~..'~.~...i..L.,..p...i..i..~..~....i...i_.P.~.....L.,..i...i..,..~..~..'~ ........ i...i..L.~.~ ~i4...i.. ,4...~.-,..P
'"~"~'" '+"i '" '"~"'~"~'" ~.'--,i.....4.....~...~...~...~.. 4..-~..~...i... .4.....~,..;,.....~...~...~ ........ ~...~...~...~... .~..4.., ..k.+....*..
'"i"'i" '"i"l ""'i'"i'"i" '-.~i"' "'i'" '"i'"?"i"? "i'"i'"i'"i'" --~.-...-i...i.. ,..~.4..~ ......... ~...~...i-'+ ..... ~"+' ?'*" d'"
~..i--~.....~.-~..~ ........... ~ "?'i"'!" '~"~"t-'r" ..~.....i...i....~..~...~ ........ i...!...,...~.., lll..!..i...+..~...-.~..
-..~..i...: ~ ...... i..J,..i.. ,.i...i....4... ¥.~...~...~....i..L.i...i... ...~...4..~., ..~...L.~ ....... ~...~...i...i..- ~ ..~...~.., ..i...i....4..
,..~...~-....~.. ~ ,~-.~...i...4,..~,.. ,.+...'~.i...~...~....-i-..i...i...~.. ..~...-.-i-.+. ,..~.4..~ ......... ~..+..~..,:... ~ .+.+....?..? --+.
~ ...~ ........ i...i.-.i--, ..'.~.'i'-' -"!" '..!.-'h "-~ ........... i.' .-.-F...-!...!.., ..~.-+d--' '"~ ......... .~"?'" '"~ ............. .t"V' "'i"'
..L~d.....~...~..~.....i...~...p~..~..~ ..... ~...}li..~,.~....i...i. 2o os! 05 HH~ - 5 ...i...i...
· 4 ........ ...... ....... ...............
......... i~ ...... ~'"~ ....... ~ ........ ~l, '"~'" "'~"~"' "i~'~ "~'"' ''~ ........ ~..-~.4.. i ....... ~..4...*....~ .+.+.+...t..t..~ .+..
;..b..i..,..-i ...... i--.i...!. 2'o'osr 0s'~HF'-'5 s~a~, ' '-. '+'.:;"i ......... r"~'"Ft ........ r"r"r""t'~""T'
5.00 10.00 15.00 20.00 25.0(P 30.00 35.00 40.00 45.00 50.00
NET DISCHAR~GE, GPM
~ORENCO s, ySTE,MS, INC "'~J
Municipality ol A~chorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Slreet, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
L~GAL DESCRIPTION: ~O~'/~, Be0 ~" ~ /~IVP..~ZV'II~;[A) Township, Range, Section:
WAS GROUND WATER
ENCOUNTERED?
.SITE PLAN
Re~ling Date
,,
PERCOLATION RATE
TEST RUN BETWEEN
COnDANCE WITH ALL STATE ANO MUNICIPAL GUIO£LIN£S IN EFFECT ON THIS [}AT& DATI:' _ 7/"// 9 q'
4,8 fitch. 4~85}
P6RFORMED FOR-'
DESCRIPTION:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section:
SLOPE
WAS GROUNDWATER V~'"~'
ENCOUNTERED? _
SITE PLAN
Reading D,,le Oroil Net Depth to Nel
~ ./~o /o ~ V~" / y~,, -
~ , .!: %o /o /~" /
~ "
PERCOLATION RATE ~ (minute.t/inch) PERC HOLE DIAMETER
TEST RUN EETWEEN ,----~ FTAND. ~=~ FT
CCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE
(Rev.
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
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
Day phone
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
4
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:
xxX.
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
(Rev, 1/91) Front MOA ~21
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 /~r~0 ~-¢'l'z ¢:0~J ~--"*J 6 / ~ ~P-~ ~/~ Phone
Address ~-~ O. gO,*. 2:~O "/-/$ ,z~ CH Ot,..prO -~'
Engineer's signature 7'~~¢~. ~ ~c,( _..---, Date /
DHHS ..SIGNATURE
Approved for ~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
By:
'f; ,'liPll
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 satish/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-~2~(Rev. 1/91) BaCk MOAtI21 '
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ~¢'''//~,.
A, Well Data
Well ?pe
Log present (Y/N)
Parcel I.D. O.~-0
If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~/ZD/¢/bL Driller
Total depth ~) /
Sanitary seal (Y/N) "(/
Cased to
'7/ t Casing height
Wires properly protected (Y/N)
FROM WELL LOG
Date of test
Static water level
Well flow ~ · ¢ .g.p.m.
Pump level1 ~ ,,~
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot ~ / O0
Absorption field on lot '> /0/)
Public sewer main ~/,'~
Sewer service line > /0
AT INSPECTION
.g.p.m.
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
~ C
WATER SAMPLE RESULTS:
Coliform
Date of sample:
Nitrate
Other bacteria
Collected by: ,,~, ~L-J/+t?~4 cA
B. SEPTIC/HOLDING TANK DATA
Date installed 7/Z 7; 'Z_,,¢ /
Cleanouts (Y/N)
High water alarm (Y/N).
Date of pumping
Tank size /5'~0(~ S .-/-7. ~.~. )~ Compartments
/
Foundation cleanout (Y/N) "'¢' Depression (Y/N)
'"1/ Alarm tested (Y/N) '"(/'
~__~o,d $~' A.u cr, 0 ~d Pumper r,,J 1~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot
To property line
Sudace water/drainage
On adjacent lots
Absorption field
Foundation
Water main/service line
72-026 (3/93)' Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed '~/'¢4, ~'7
Size in gallons (, ~'""O '2
Vent (Y/N) "(" "Pump on" level at
High water alarm level
Meets MOA electrical codes (Y/N)
Manufacturer
Manhole/Access (Y/N)
...,L ~" "Pump off" Level at
Cycles tested
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot "> /~2/-) ~ On adjacent lots
/ /
'~ ts~ C) Surface water '7 / z-¢
D. ABSORPTION FIELD DATA
Date installed '7/Z~
,/
Length ~ Width
Total absorption area
Date of adequacy test
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
Soil rating (GPD/FF)
Gravel thickness
Cleanout present (Y/N)
Results (pass/fail)
Depression over field (Y/N)
S for
After test
If yes, give date /~/~
.System type
Total depth
Bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
~ I
Well on lot '>- / ~ On adjacent lots ';'/~ 5- Property line
To building foundation
On adjacent lots
Surface water
Curtain drain /',,/
i
To existing or abandoned system on lot
,,'.J o/'J~ Water main/service line
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Engineer's Name /4~/
Date
HAA Fees ~)~
Date of Payment
Receipt Number
72-026 (3/93)' Back
Waiver Fee $
Date of Payment
Receipt Number
CTaEReL#
Client Sample ID
Matrix
ClientName
Ordered By
Project Name
Project#
PWSID
Commercial Testing & Engineering Co.
Environmental Laboratory Services mr~..~.~.~.~-.~-~-~-~r~.~r~r~r~r.~'.~r.~jj~jjjjjjjjj~fj~,
LABORATORY ANALYSIS REPORT
94.5107-1
L16 BLK8 RIVERVIEW ESTS S/D
WATER - '
ANDERSON ENGINEERING
ALAN ANDERSON
UA
WORK Order 82705
Printed Date 10/07/94 @ 21:54 hrs.
Collected Date 10/03/94 617:15 hrs.
Received Date 10/05/94 611:55 tu's.
Technical Director STEPHEN C, EDE
Released By: ~ ~'*. ~
Sample Remarks: ROUTINE SAMPLE COLLECTED BY: A.H.
QC
Parameter Results Qual
Allowable Ext. Anal
Units Method Limits Date Date hilt
Nitrate-N 0.28
mgfL EPA 353.2/300.0 10 10/05/94 MCE
* See Special h~stmctions Above
** See Sample Remarks Above
U = Undetected, Reported value is the practical quantification limit.
D = Secondary dilu"Lion.
UA = Unavailable
NA = Not Analyzed
LT = Less Than
Gl' = Greater Than
5633 B Street, Anchorage, AK 99518-1600 -- Tel: (907) 562-2343 Fax: (907) 561-5301
ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA
RIVERVIEW
LOT
P79-5
ESTATES SUBDIVISION
16, BLOCK 8
46,678 S.F.
NOTE'. NO OVERHEAD UTILITIES EXIST ON THIS LOT.
RIVER PARK DRIVF.
LOT 1 6,
RELATIVE ELEV, FROM
.-. · .- -'--ASSUMED DATUM(WP)
FOUND 5/8" REBAR(}YP)
, , I