HomeMy WebLinkAboutRAVEN MOUNTAIN ESTATES #1 BLK 2 LT 5OF ,-
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: 5~¢15fl~'4~7 RID Number: ~,
~ Wastewater System: ~New D Upgrade
Name:
Address:~,O, ~ ~ ~¢¢~¢~o¢~ t ~ ABSORPTION FIELD
~No. of Bedrooms: ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
Soil Rating: Total Depth from original grade:
LEGAL DESCRIPTION ~,~GPD/Sq. Ft.
Lot: Block: Subdivision: ~ Depth Io pipe bottom from original grade: Gravel depth beneath pipe
Section: Fill added above original grade: Gravel length:
Township: Range: (t~% -~ Ft. ~ ~5 Ft.
Number of lines: Oislance between lines:
WELL: ~ New D Upgrade Gravel width: ¢ ~ FI. ~ Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Driller: Date Drilled: Stalic Water Level: Installer: ~ ' Date installed:
Yield: ' Pump Set at: Casing Height Above Ground: I TAN K
SEPARATION DISTANCES' ~Septio D Holding D S.T.E.P.
To Septic Absorplion Lift Holding ~ublic/Private Manufacturer: Capacity in gallons:
From Tank Field Slation Tank Sewer Lines ~
Material~ . Number of Compadments:
Su,~e ~ · LIFT STATION
Water ~ ~ ~
Lot ~ ¢ ~ ~ Size in gallons: Manufacturer:
Foundation ~ 0 ~ ~ ~ ~ ~ ~ ~ "Pump on TM level at: "Pump off TM level at: High water alarm at:
C~r[aiR ~ ~ ~ / ~ Pu~p Ma~e & Model Electrical Inspections performed by:
Drain
~ ~ Location and Descriptiom
~',~( bt~' Assumed Elevation:
Inspections performed by: D ¢:,~ Y-, ~a~l,gu~ Dates: 1¢ ~¢/~/¢~
2nd~
Department of Health__and Humane ~Services approval¢ -30.~
.eviewe nda roved
i2-013 (Rev. 9/9 I ~OA 25
I\
PC1
GUJIN~ TIE5
WELL
0 MONITERING TUBE
I CLEANOUTS
PERC TEST/T~ST PIT
W
LOT 5, BLOCK 2, RAVEN MOUNTAIN ESTATES //1
MOA PERMIT NO. SW950307
SITE PLAN
ASBUILT
20X16 HC
C02&3
LOT 6
UNDEVELOPED
Undeveloped
1500 GAL
TANK
id \
L L=33..N~ ./
[[~F: ]~ ENTE~PFqSE5
(seam ~' = 4o'~ I1~ - q~3-233q
LOT 5
28,498 s.f.
Z
PROFILE
ASBUILT
LOT 5, BLOCK 2, RAVEN MOUNTAIN ESTATES #1
MOA PERMIT NO. SW950507
SWEEPING
CLEANOUT
C04- INVERT 9,5.0
CLEANOUT
C02 & 3 INVERT 89.2
2" BLUE %
B°^T .,
FL IN 95.5
1500 (;;AL
SEPTIC
TANK
CLEANOUT
- ~3~D~"I~V~E~T 90.1
MONITOR TUBE -CLEA
MT1 INVERT 86.5 C06
SILT
BARRIER
PERF PIPE .~
HOLES DOWN1 2.6'
5.8'
)UT
NVERT 90.1
1.5"/ (BOTTOM LEVEL)
5/4-"-
SEWER ROCK
PROFILE (TYP)
NTS
_~_~?~..~0 G 9,2,.7
2.6 i", ~;:].
BOP #2
NO GRND WATER
Ic WN: ekb
KD: gmp
IPt~.[C1': 113 /
I~^~: ~/l/~
I~°^~: ^~
LPA~.: 3 of 4
[~J'"~f~/ DRILLING, Inc.
P.O. Box 110378 · 10330 Old Seward Highway
(907) 349-8535
ANCHORAGE, ALASKA 99511
DRILLING LOG
Well Owner SANURA K APF'LEGATE UseofWe]] DUHESTIC
Location (address of: Towns~/p, P,a~ge, Section, ff ]~own; or dLstance main road RAVEN ~,~OUNTAIN ESTATES #1, BLOCK 2, LOT 5
GIRDWOOD ,ALASKA
Size of casing 5"
Static water level 30
Screen ( ); Perforated .(
Describe screen or perforation ~''~
Well pumping test at q gallons:pe~ (~,~) (minute) for 1 hours with ~nn~
of drawdown~ :[rom static ~el:!.~.. '~ ~fi
START oATE: 02 OCTOBER 1~996 ~,~I'~
Date of eompletio~ 12 OCTOBcR!;:~99~,¢
-~n,,~ .~.' ~ WELL LOG
Depth in feet from ~, k~:-:~. ,~:i~,'.
ground surface Give details Of formations penetrated, size of material, color and hardness
0 TO 3
3 TO 6
6 TO 15
15 TO 42
4~ TO ~o ?7
TO
TO
Depth of Hole 60.27 feet Cased to 60.27 feet
ft. (~l~'~t ~ elow) land surface. Finksh of well (cheek one) open end (
r'
RECEiVeD
.TO
.TO¸
x );
~X
.TO,
.TO.
TO
TO
TO
lqWWA Certitied ~- ......
Certificate No's. 814 3~ 9i3
.TO
I -- CUSTOMER
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICEg
PoO. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW950307
DESIGN ENGINEER:SENTEC, INC.
OWNER NAME:APPLEGATE SANDRA K
OWNER ADDRESS:P.O. BOX 165
GIRDWOOD, ALASKA 99587
DATE ISSUED:10/03/95
EXPIRATION DATE:10/03/96
PARCEL ID:07603106
LEGAL DESCRIPTION:
RAVEN MOUNTAIN ESTATES #1 BLK
2 LT 5
LOT SIZE: 28498 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION 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 WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0) .
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
DATE:
Permit No.
On-Site
Legal Description: LOT 5, BLOCK
Municipality of Anchorage
DEPARTMENT OF HEALTH AND
ENVIRONMENTAL
P.O. Box 196650 Anchorage,
Wastewater Disposal
2,
HUMAN SERVICES
SERVICES DIVISION
AK 99519-6650 · Tel: 343-4744
System/Well Inspection
RAVEN MOUNTAIN ESTATES PID No.
Page
W.O.
Date
of
94115
4-17-95
Report
Narrative
This lot is located on Crow Creek Road, in Girdwood, Alaska. The elevation near this lot ~s
approx. 2500 feet above sea level and the general vegetation consist of native shrubs and
black spruce/cotton wood trees. ,The lot is approx. 13 feet lower than Crow Creek Road
which boarders the northwest side of the lot. A 20 to 25 feet wide embankment along Crow
Creek Road adjusts for this elevation change. The general drainage pattern, approx. 3% slope,
is from northwest to northeast. Boarding the northeast side of the lot is a steep slope, greater
than 25%. The distance from the embankment to the edge of slope is approx. 120 feet.
Two test pits were dug on 7/20/94, to a depth of 11 feet. The soils generally consisted of no
overburden, underlain by Poorly Graded Gravel With Sand And Silt (GP-GM) which was dense,
dry, and light brown in color, to the end test pits. Large cobbles were encountered frequently
throughout the test pit.
Percolation tests were performed between 4 and 5 feet below the existing ground surface and
were presoaked for 30 minutes. Both test pits had an average percolation rate of 15 minutes
per inch (0.8 gpd/square feet) (see attached soil well logs). No ground water was encountered
during excavation. Perforated monitoring tubes were installed to depth of excavation and
checked on 7/31/94 with no evidence of ground water.
The lot has no well or existing septic system.
DHHS has no records of on-site service permits issued in the immediate area.
The proposed system is designed for a 4 bedroom home requiring 750 square feet of
absorption area achieved by a 5.0' wide trench, 75.0' long by ~' deep with a 1500 gallon
septic tank. ~
P6rmif No.
On-Site
Legal Description:
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, AK 99519-6650 ~ Tel: 343=4744
Wastewater Disposal System/Well Inspection
LOT 5, BLOCK 2, RAVEN MOUNTAIN ESTATES PID No.
Page __of
W,O. 94113
Date 4-17-95
Report
I\
WELL
PERC TEST/TEST PIT
~] SPOT ELEVATION
P OPO=O WE,E SITE PLAN
RIO0.O0'
LOT 6
UHDEVELOPED
~0. 55'
ROPOSED ,OUSE ~
LOCATION
HOUSE
40X30
CLEANOUTS
RIO0, O0' %
NO DOCUMENTED
SYSTEMS W1TH[~I
LOT 5
28,498 s.f.
DATE: ~T~- 9 5 ,0. l~x 21~ ~¢3 _ 9~9,1 [;RID:
Undeveloped
/
UNDEVELOPED
Permit No.
On-Site
Legal Description:
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650' Anchorage, AK 99519-6650 ~ Tel: 343-4744
Wastewater Disposal System/Well
LOT 5, BLOCK 2, RAVEN MOUNTAIN ES1-ATES
Page of
W.O. 94115
Date 4-17-95
Inspection Report
PID No.
5' WIDE TRENCH
MONITORING ]IJBE
CAPPED - PERFORATED IN
SOLID MANIFOLD PIPE SEWER ROCK, SOLID ABOVE.
· CLEANOUTS AT BEGINNING PERF DOWN LAID LEVEL
FAND END OF TRENCH 3/4" TO 2 5"
75.0'
PLAN VIEW HTS
CLEANOUTS - CAPPED
1500 GAL
SEPTIC
TANK
ROCK. SOLID ABOVE. \
II SOMD Il ,~ II
"~ J, II HOLES DOWN I I ' /H END CAP
~rtl It V / I1~-
' REQUIRE~ (BOTTOM LEVEL)
~/4" - ~" /
SEWER ROCK
PROFILE (TYP)
NTS
DESIGN REQUIREMENTS
1. FOUR (4) BEDROOMS.
2. PERCOLATION TEST PERFORMED BY E B ENTERPRISES
ON 7/20/94-. RESULTS: 15.2 MINUTESflNCH (SEE ATTACHED).
3. WASTEWATER APPLICATION RATING:
0,8 GPD/SQ. FL
4. NO GROUND WATER AS OF 8 1-94-.
INSTALLATION:
1. 1500 GALLON SEPTIC TANK.
2. ABSORBTION AREA: 7.50 SQ. FT.
5, 75' LONG BY 5' WIDE TRENCH WITH 24" GRAVEL,
CONTOUR BACKFILL
TO SLOPE AWAY
FROM DRAIN FIELD
MONITOR TUBE - CAPPED.
IN SEWER
ROCK, SOLID ABOVE.
36" MIN
WATER
TABLE
BACKFILL
BARRIER
GRAVEL
PERFORATED PiPE
LAID LEVEL NTH
HOLES DOWN AND
CAPPED ON END.
LL OF
TRENCH
3/4" - 2.5"
SEWER ROCK
IMPERMEABLE
LAYER
TYP. CROSS
SECTION NTs
DWN: ekb
CKD: gmp
(BCAEE: ~D]
,F~errnit No
On-Site
Legal Description:
MunicipaliLy of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, AK 99519-6650- Tel: 343-4744
Wastewater Disposal System/Well Inspection
LOT 5, BLOCK 2, RAVEN MOUNTAIN ESTATES PID No.
Page
W.O.
Date
of
94113
4-17-95
Report
7
8
9
10
12
13
1
2
3
NOTES:
CONTRACTOR MUST READ THIS! COMPLIANCE IS MANDATORY.
ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH ON-SITE WASTEWATER TREATMENT AND
DISPOSAL REGULATIONS OF THE EPA DESIGN MANUAL.
INSTALL NEW 1500 GAL SEPTIC TANK AS SHOWN ON THE DRAWINGS. RECORD INLET AND OUTLET
ELEVATIONS OF THE TANK. TANK SHALL BE PLACED ON UNDISTURBED NATIVE SOIL. PLACE OUTSIDE
PROTECTIVE WELL RADIUS.
ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZED BY THE ENGINEER PRIOR TO ITS INCORPORATION
INTO THE SYSTEM.
CONTRACTOR TO LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATER WAYS,
SURFACE AND SUBSURFACE DRAINAGE FACILITIES, LAKES, PONDS, AND OTHER FACILITIES REQUIRING
SEPARATION DISTANCES FROM THE PROPOSED SEPTIC SYSTEM. NOTIFY THE ENGINEER OE ANY OBSERVED
CONFLICTS PRIOR TO CONSTRUCTION.
NOTIFY THE ENGINEER 24 HOURS PRIOR TO COMMENCING WITH CONSTRUCTION. A MINIMUM OF TWO
INSPECTIONS ARE REQUIRED. THE FIRST INSPECTION SHALL BE OF THE SUBGRADE, PRIOR TO PLACING
SAND FILETER. THE SECOND INSPECTION SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION
PIPING, STANDPIPES, TANK, AND OTHER COMPONENTS AS SPECIFIED.
CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED-LINED, AS BUILT DRAWINGS SHOWING ALL DATA
AS SPECIFIED IN THE ON-SITE WASTEWATER TREATMENT AND DISPOSAL REGULATIONS WITHIN .30 DAYS OF
THE FINAL INSPECTION. INVERTS AND SWING TIE LOCATES SHALL BE TO THE NEAREST TENTH OF A FOOT. THESE
AS-BUILTS SHALL BE USED TO DOUBLE CHECK THE ENGINEER'S INFORMATION PRIOR TO SUBMITTAL TO DHHS.
STAKE ALIGNMENT OF SYSTEM WITH MARKERS SHOWING THE PROTECTIVE DISTANCES FROM WELLS AND
OTHER BODIES OF WATER PRIOR TO BEGINNING INSTALLATION.
A SOILS LOG MUST BE PROVIDED OF THE TRENCH WALLS AND BED OF SUBSURFACE DISPOSAL FIELD IF THE SOILS
DIFFER FROM CONDITIONS UPON WHICH THE PERMIT WAS BASED.
ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE
ENGINEER.
SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MIN. SLOPE, AND .3:1 MAX SLOPE, AND IN SUCH A MANNER THAT
PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN
SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION.
ALL PIPE SHALL BE PVC CONFORMING TO ASTM 03034 OR
ENGINEER-APPROVED EQUAL.
MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS,
TRASH AND CONSTRUCTION DEBRIS.
RECORD THE FINISH GROUND ELEVATION OVER TOP OF BED.
;o
PERFORMED FOR:
· EGA~_ DESCRIP'r,ON: 13 If', 'X
1
2
3
4
5
6
7
8
9
10
11
12
13
14
~5-
17
~8
20
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
ar, ge. Sec. o,-,:
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED;'.
s
L
IF YES, At WHAT O
DEPTH?
.P
E
Depth to Water After ~
Monitoring? ~ Gate:
Reading ~ Gross Net . Depth to Net
~} ~,.~ Time Time ~i~l I~,~) Water Drop
PERCOLATION RATE /~'
TEST RUN BETWEEN
FT AND FT
COMMENTS
PERFORMED BY: 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}
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
WAS GROUND WATER , I
ENCOUNTERED? I~J /~
1
2
3
4
5
6
7
8
9
10
11--
12
13
14
15
16
17.
18
19
2O
DATE
PERFORMED:
Township, Range, Section:
SLOPE SITE PLAN
S
~ ,It,-{ 13 TF~:~"('- I IF YES, AT WHAT ~
~-~0~_-~ ~ /I e~'' DEPTH? p
E
Depth to Water After ~.a~..-.,- -7/ /~,
Monitoring? ~__ DaLe: '~/ ~
Reading ~ Gross Net . Depth to Net
~[ ~¢.~ Time Time ~lt¢~'~ Water Drop
H ',/~ ~,? i~ ~, ~ ~/>,,
PERCOLATION RATE I~ ,?~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN q FT AND 5 FT
~,~ ~,~o¢/o.~ -- ?so ¢ ~,.~;~..,~.,~ ~X ' ' - ' ~' ' '
PERFORMED BY: 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)