HomeMy WebLinkAboutKNOLL ON THE WOLD BLK 1 LT 9 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: -~'~lJ~l~~0'~ PID Number:_- 0.31-
Name:~1"~, ~__~.'~J~ Wastewater System: ~New D Upgrade
Address: ~
~20 ~. 7M~ A~. ~ ~ ABSORPTION FIELD
,Phone: (~0~) No, of Bedrooms:
~ 5~- .~5~ ~ a Deep Trench XShalJow Trench g Bed ~ Mound ~ Other
Total Depth from original grade:
LEGAL DESCRIPTION Soil Rating: J,~ GPD/Sq. Ft. IO.~
Subdiv~ion: Depth to pipe bosom from original grade: Gravel depth beneath pipe
Township: Range:' ~ Section: Fill adde~ above original grade: Gravel length: ~
WELL: ~New ~ Upgrade Gravel width: / Number of lines: Oistancebe~een lines:
5 ., Ft. I Ft.
Classification (Private, A.B,C): Total Depth: ; Cased To: Total absorption area: Pipe material:
Date Drilled: Static Water Level: Installer: Date installed:
Cu~,~ Set ~ Casing Height Above Ground:l /TAN K
Yield: ~% GPM ¢)~ Ft. ~' Ft.
SEPARATION DISTANCE8 ~Septic U Holding g S.T.E.P.
To Septic Absorption Lift Holding Public/Private Manufacturer: CcpacJty in gallons:
From Tank Field Station Tank Sewer Lines A~.. %.k
Web ~* ~ ~/A N/A Material: S~! Number °f C°mpa'ments:2
w~ter I~ I~ LIFT STATION
Lot I Size in gallons: Man~
Foundation ~ t~ iOl~ ~, ~' "Pump on" ievel at: "Pump off" level at: ~mat:
I J A~umed Elevation: I
~ ENGINEER'S SEAL .
Depadment of Health and Human Se~ices approva~ -~.~'~. ,¢
72~)13 (Rev. 9/91) MOA 25
- /
PERMIT NUMBER: PARCEL ID NUMBER:
sw99o~o3 / AS BUILT D R AWl N C
/ '\
/ \
/, /'~~ ALTERNATE SITE
/ 'A B C WELL
/ ST~ 27.~ - }~.~ -
/ ST2 19.2 _ - 25.8 -
/ D~L~ ~.~~ 28.~ -
~ / DBL2 ~.~ --_ ~2.8 -
N / MT1 73.0 71.9 - -
002 127.7 - - 103.0
ALASKA WATER AND WASTEWATER CONSULTANTS, INC.
LEGAL DESORIPTION:
AS-BUILT OF SEPTIC SYSTEM ¥...
522-3542
GREG HAGELE (907) ~_
.
DATE:6/4/99 D~WN BY: ISOALe: I Page:
X.D.W. ~ = ~o' 2 OF ~
A B C WELL
ST1 27.2 - 17.2 -
ST2 19.2 - 25.8 -
DBL1 16.8 - 28.9 -
DBL2 14-.1 - 32.8 -
C01 72.6 71 .:7 - -
MT1 7,.5.0 71.9 - -
C02 127.7 - - 103.0
,ER*T SW990' .U.BER: 03 AS ' BUILT DRAWING P^ROE' 04' --03 'B 1NU*ER" --48
~0 M
~ OF 417~ %
6901 DEBARR ROAD, SUITE 28. ANCHORAGE, AK. 99504
YEOAL DESCRIPTION:
KNOLL ON THE WOLD, LOT 9, BLOGK 1
~PE OF WORK: .~ ~ ~
GREG HAGELE (907) 552-3542 ~¢~ ...~- ..' .?~
K.D.W. 1 = 40~ 3 OF 3 r°fess~°
LOCATIC, N OF WELL
LOCATION/SKeTCH:
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF MINING & WATER MGMT
WATER WELL RECORD
DEPTHS MEASURED FRDM:!~casln0 top ,--)gmuncJ surface
EOgENOLE DATA:
Matenal Type and Color
Depth
From To
CONTRACTOR INFORMATION:
Regls~r~'~ Bt~siness Name ~' '
WELL OWNER:
WELL DEPTH:
Dep,
Depth Of cesin'g:_~_~_~ft
DATE OF COMPLETION
D~?T~TO STATIC WATER LEVEL:
it below ["j~top of casing ~-I §round surface
METHO~ OF D~ILLING: ~[.eir rotary [] cablo
[] Omer
USE OF WELL: ~'domestic ~ irrigation [] monitor
[] public supply ~ other.
CASING STICK-UP: . ~ It, Dial: /_~ in, to__.ft
Casing WP~: m. to fl
WELL INTAKE OPENING TYPE: ~ open end ~] screened
[] pefloreted [] open hole
Depths of ooenings: 7 Y to It
SCREEN TYPE: Dial: in.
SloqMesh Size: it
GRAVEL PACK TYPE,
Volume used:
Depth to top:
GROUT TYPE: Volume;
Depth: from f! to
DEVELOPMENT METHOD: m ~ f ~
Durstion;
PUMPING LEVEL AND YIELD:
ft after hfs pumpin ~' -/~
PUMP INTAKE DEPTH: __ ft Horsepower:
WELL DISINFECTED UPON COMI~LETION? ~J~YE$ [] NO
REMARKS:
/i~//o/~ PLEASE MAIL WHITE COPY OF LOG TO:
DNRIDIVI$1ON OF MINING & WATER MGMT
uate 3601 C St, Suite 800
ANCHORAGE AK 99B03-5935
Phone {907)269-a$39, Fax (907)B62-138~-
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box '~96650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Renewal
Date Issued: May 21, 1999
Expiration Date: May 20, 2000
Permit Number: SW990103
Legal Description: KNOLL ON THE WOLD BLK I LT 9
Design Engineer: 0041 AK Water & Wastewater Consulta
Owner Name: Greg Hagele
Owner Address: 320 West 76th #6
Anchorage, AK 99518-0000
Parcel ID: 041-031-48
Site Address: 007301 MONTAGNE CIR
Lot Size: 75452 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field ~ Septic Tank [] Holding Tank [] Privy
[] Private Well [] 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 ( 18AA072 ) 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.
This is a renewal of permit #980114. The well Icg shall be included with the As-Built.
Issued By: Date: -~-~/' ~'~
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, 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 14, 1998
Expiration Date: May 14, 1999
Permit Number: SW980114
Design Engineer: 0041 ALASKA WATER & WASTEWATE
Owner Name: Greg Hagele
Owner Address: 320 West 76th Ave #6
Anchorage, AK 99518-
Parcel ID: 041-031-48
Legal Description: KNOLL ON THE WOLD BLK 1 LT 9
Site Address:
Lot Size: 75452 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
~¢'1 Disposal Field ~ Septic Tank
FL~ Privy ~¢'i Private Well
~ Holding Tank
~ Water Storage
L~
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: '~-~ - ~,-J~ c_ c:~-~¢'.-¢~- Date:
Issued By: "'~,¢'~ C J~,~ Date: ,.~-
Alaska Water & Wastewater
April 24, 1998
7320 East Chester Heights Circle ~ Anchorage - Alaska 99504
(907) 337-6179 - Fax (907) 338-3246
Consulting Eagineers
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Well and Septic Design for Lot 9, Knoll On The Wold S/D
To whom it may concern:
The proposed 4 bedroom house will be served by a private septic system and a private well.
Comments regarding the proposed design are summarized as follows:
1. SOILS: Attached are logs which shows the soil profile, and the percolation test results. Test
hole #1 (TH#l) will be used for the primary site. The soils below the organic layer are dense silt
to a depth of 6 feet in TH#1 and are a silty, sandy mixture to a depth of 6 feet in TH#2. The soils
below the ML and SM/ML layers are a loose sandy gravel mixture to a depth of 7 feet in TH#1
and a coarse sand/gravel mixture to a depth of 10 feet in TH#2. The soils below the SW/GW
layers are a fine uniform sand with light silt (SP) to a depth of 17 feet (bottom oftestholes). No
groundwater was encountered during the excavation of the test holes. The percolation tests were
performed between the depth of 8 feet to 8.5 feet in TH#1 and at 9.25 feet to 9.75 feet in TH#2.
The percolation rate was greater than 1 minute/inch. No bedrock, or impermeable soil was
encountered. The insitu sand should negate the need for a sand filter.
2. TRENCH DESIGN:
a. Percolation Rate: <1 minutes/inch
b. Allowable Application Rate: 1.2 gallons/day/122
c. Number of Bedrooms: 4
d. Design Flow: 600 gallons per day
e. Minimum Absorption Area: 500 122
f. Total Depth: 11 feet (max.)
g. Effective Depth: 4 feet
h. Width: 5 feet minimum
i. Minimum Length: 60 feet
j Effective absorption area = 600 122 (>500 122)
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: Beginning at the southwest property line, the lot slopes downward from
south to north at a grade of approximately five to ten percent (see design). In short, there are no
slope concerns.
I am unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you
for your assistance.
Sincerely,
Princ~alI
FEET ~'EEP(N~.) BY 60 FE~' LONG
WI~ ~ FOOT OF S~VER D~INROCK,
D~INF'IE~ MUST BE INSTATED
~ PARRALLJZL TO COUNTORS,
INSTALL DIlL CO
PROPOSED 1250 GALLON
SEPTIC 'rANK
NOTE: TRE CON1RACI'OR IS REQUIRED 'FO HAVE 'litE ]
I SOUTH~ PROPERLY UNE FLAGGED BY A REGIS'rERED/
[LAND [;U~OR PRIOR TO CONSTRUCTION. J
PREPARED DY:
zE~AL DESCRIPTION:
P(PE OF WORK:
ALASI ,, WATER 'tY/ASTEWATER.
AL. DESCRIPTION:
KNOLL ON THE WOLD SUBDIVISION; LOT 9,
DESIGN FOR WELL AND SEPTIC
~ARED FOR: PHONE NUMBER:
GREG HAGELE (907)522-3542
IDRAWN BY: I SCALE: PAGE:
PREPARED FOR:
)ATE:
'x
r
- ~ ........ ~ ,"~ '-r-~.~:~ CIRCLE ~R/-_ ,,
PREPPED BY:
KNOLL ON THE WOLD SUBDIVISION; LOT g,
I~VE OF
SITE PLAN
PREPARED FOR: PHONE NUMBER:
6~E6 HAGELE (g07)522-~542
~(., ".. ........... "~,~
eA-rE:4_24_98/[ DroWN r~Y: SCALE: PAGE:
J.L.M, 1 = 100' 1 OF 2
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVIC~
825 "L" Street, Anchorage, Alaska 99502-065f~,
SOILS LOG -- PERCOLATION TES'~i
LEGAL DESCRIPTION: /_/_C/ / ,~,~0/..,.t,..,' O~,J "'tHF-
10
11
12
13
14
15
16
17
18
19
2O
[~/O'&~ Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
S
IF YES, AT WHAT L
DEPTH? ~ pO
E
Depth to Waler Alter
Reading Date Gross Net Depth ~F- Net
Time Time Water Drop
: ~. ,. I ,,-~.., 2."
PERCOLATION RATE ~----~.~.~L (m,nutes/,nch) PERC HOLE DIAMETER
TESTRU,.ETWEEN E',O TAND
COMMENTS
7A2~0C0:~RDeAv%!,It~'A:L STATE AND MUNICIPAL GUIDELINES'~:F~ECT ON
825 "L" Street, Anchorage. Alaska 99502-0650/'~°/~" ~? ~ ~.~.~/~'Jl~ltY/ ~ -/~.'~. ~4 ~.'~,¢'~'y'.,~,-.-; I/;¢~L°'" ° ~"~
SOILS LOG -- PERCOLATION TEST ;~
9 oa
LEGAL DESCRIPTION: ~ I ~OL~ O~ ~ ~0~ Township. Range. Section:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15-
16-
17
18
19
20
-~- "" P %16-,~':f ~ IF YES, AT WHAT
"~c7. DEPTH?
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
Depth lo Water ADer ROt,, //L~J~[,~/~i
Monitoring? 'L'/~L~ Dale: . .
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE "~ (m~nutes/mch) PERC HOLE DIAMETER __
~ j ,TEST RUN BETWEEN ~'~5 FT AND (:~'~'~'~ FT
ACCORDANCE ~';LL STATE AND ;UNI;IPAL GUIDELiNE~ EFFECT ON THiS DATE. DATE: /]/~/~*
72-008 (Rev. 4/85~
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
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
041-031-48 HAA# ('~ ~0~cz
GENERAL INFORMATION
Complete legal description
Lot 9; Block 1; Knoll On The Wold Subdivision
Location (site address or directions)
NHN Montagne Circle
Anchorage, AK
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
Greg Haqele
320 W. 76th Ave. #g
Day phone
Anchorage, AK
522-3542
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 4
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.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
XX
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
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 wastewat, e. r~CiS-p~8~f'~t~'~ji~/~r~ ;ompliance with ali Municipal and State codes,
ordinances, and reguf~ba.r]&~.¢_f'ject,~n the ~Jal
. ~mwarer (Jonstllfat
Name of Firm ~.1 DeBarr Road._S~
Address /
Engineecs signatu'r6~ ~
of~his inspection.
~;a/nc' Phone
Date
/
.... Alaska Water & '~,~'-,-
Wastewater C?su_l~ants, /nc, ::
Shall be PAID ~ ~ _ ~
~ p~r to, closing for the ~,
Engineering Se~ices Provid~ ~¢
6. DHHS ~IGNATURE '
/ Approved for ~U~ 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.
72~251Rev. 1/91) El~cl( MOA~21
Municipality of Anchorage ~ ~ C F_ I V~
DEPARTMENT OF HEALTH & HUMAN SERVICES JUN 0 ~ 19
Environmental Services Division ,vtUNI(LIP^LIfY O,~ AN
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907~~^LSERVlCES DIVISION
Health Authority Approval Checklist
Legal Description: J(, ,ll ~, ~ I Parcel ..D.: O'I'1 - (.;31 ' 4'S'
A. WELL DATA
Well type ¢)t~.~
Leg present (Y/N)
Total depth 7~'
Sanitary seal (Y/N)
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to 7~ ~ Oasing height (above ground)
Wires properly protected (Y/N) Y
FROM WELL LOG
AT INSPECTION
Date of test /O//O/~8
static water level ~
Well production _ ~ - lO
WATER SAMPLE RESULTS:
Coliform ~ Nitrate
Date of sample: ~/,~,_,A/cl"l
g,p.m.
I./ g ,,IL Other bacteria __.~
Collected by:
g.p.m.
B. SEPTIC/HOLDING TANK DATA
Date installed J~/,"~J ' 5/¢~L~./~Tank size ~ Number of Compartments ~ Cleanouts (Y/N).
Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (Y/N)
Date of Pumping ~._~_,,J '~4k~
C. ABSORPTION FIELD DATA
Date installedS/~,l ' ,~/~/~_~ Soil rating ~or fF/bdrm) /,9. System type 81~Jlo,~
Length ~O* Width. Gravelthickness below pipe 3.6,1 Total depth
Effective absorption area ,.~5 '~ a. Monitoring Tube present (Y/N) Y Depression over field (Y/N)
'~ate o~~ Results (Pass/Fail) For bedrooms
Fluid depth in absorption field be;~~y after gal. water added (in.):
later:
Minutes p.d.
Fluid depth (ins) Abs o rpt~ o~~....~..~_
Peroxide treatment (past 12 months) (Y/N) If yes, give date
72-026 (Rev. 3/96)*
D. LIFT STATION
Man h ole/Access (y/N)~'~"~-~.~.,
High water alarm level at*
Cycles tested
SEPARATION DISTANCES
Size in gallons
"Pump on" level at* "Pump off" level at*.
Sewer/septic service line
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot IO~) t ~ On adjacent lots /(:~) / 'f'
Absorption field on lot /OO ~ ~' On adjacent lots
Public sewer main N/A Public sewer manhole/cleanout
N/A Lift station /V//~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ~¢¢' Property line 5 ¢¢" Absorption field
Water main/service line /D¢'J' Surface water/drainage I~)O ~+ Wells on adjacent lots
F.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line ~)~ ¢' Building foundation /O~ ~''
Surface water
Curtain drain
ENGINEER'S CERTIFICATION //~
I certify that I hCv~t~ inspections
SignatureinConf°rmantwith/¢~n~i~~ee/~ffectOn thisdate'
Engineer's Name~'/'
Date
Water main/service line
Driveway, parking/vehicle storage area ~
Wells on adjacent lots I~' '/-
HAA Fee $.
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
CT&Ii I~nvi~enme~tal Se~uicas Inc.
~pleRemar~s:
Ali Water & W~st¢~a~r Co~ti~lta.n[s Inc.
t<moll on a~ Wold ~ 9, Bk l
~oll on ae Wold ~t 9, Bk !
D~ing Wa~e~
Client pOS
Printed Date/Time 06/01!99
Colkctcd Date/Time 05/251!~9 t 6:00
Received Da~e/Time 05;26/00 l I:SO
Technical Director: 8tephen C. Ede
I.~ 0,500 mg/L EPA )O0,O
ALLowabLe Prep AnaLy~i~
Limi~ Date ~a[e lni~
05/26/~9 KAP