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HomeMy WebLinkAboutKASILOF HILLS BLK 5 LT 8 ,,~~ MUNICIPALITY OF: ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAl_ PROTECTION !'~ ~)1 ENVIRONMENTAL ENGINEERING DIVISION 825 L. Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~EGAL~CR~TION .~ * . t ~. LOCATION /J . ~ ' I _ fJ ~O. OF BEDROOMS . Z ._. / I ~ateria~ ~ _ ¢ ~1 No. of comp~r¥~ents WA)~ ' / ~/~/ ILiq..~V i,, ~,o,~, I ....... b,,id~ length I Width --I Liquid depth ~ ~ISTANCETO: IWell Dwelling ]PERMITNO. ~ranufacturer Materiel -"~~S I- Well .'.~ ~ _. Founda{0~ ~/ ~~ [PERM~N~-~ DISTANCE TO:I //~ ' ~ lo / ¢~ ' ( I ....... ~ I ~ ~' ,~inches I Top of tile t~i~rade ~ -- Material bCneat~{~ --_. J Total efff~-~sorption area Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line ~ Build~ng fou~,dat,o~, Sewe~ lin~ Se~,,~ ~an~ Absorption are~(s) ~] NEW [] UPGRADE OTHER PIPE MATERIALS . SOILTESTRATING iNSTALLER I Y~¢) DATE I_EGAL F'EP. HIT i::] P I:::' I_ i C:i::It",] T · r'F:qTION L.8 Bt5 KFISILOF HILLS :5,.."[:, HI~EFiL.]r'H FIN[:, ENV :r F:O!'.,IME:I'.,!'r'F~IL.. ':OTECT :1: ON ~ ~ / 2 ~ 4 -' 4 Z 2 r.:3 ' C~ f!"..4 ...... ~[~5 :~: 'T I[~EZ .155 E-Z ].~.r~ ~:.~ IF;q. F" EE: II:;~: ~'"!I :Z ""F / ~, ~_ t,.c~ LOT S:I::~E ?,:,i~E;~;;~'.8 '.E;QI. JFIFRE FEET 'T'HE LE:NGTH [:, I HE:NS 1 0?.4 I S "I"FtE: LE:NGTFI ,:: I N FEET ;:, 0t::: THE 'FREhlC:H O1:;;: ..F.:,Fi:i:~ '.[ NF' I EL.I:,. TFIE I:::,I}![F'TH OF Ft TI:;'::ENCH OF: PIT IL:; THE .P,,ISTF!I'.,I(3E [:.',ETt.,.IE[~.:i'.,! THE SIJF.:FFIC:E OF THE Grq'.OI...IND FIN[::, THE E',OTTOM CIE:' THE E::.::CFt',,,'FtTI ON ,:: I I'.,! FEET ::,. 'THEB:E~: Z S I'.,IO SET I.,.I]:E:,T!~I FOB: "FF.'::ENC:HES. THE:: :' - ' '~j,:-.., ~H, Et.. EJE~:~I"I,.IE"_~.~:I'~]E Ol ITF'!:::IL.L F']:I:::'I!!!: _lq.l'- El DEF'TH THE MII'..flMLIH E:,E:F:'TFI OF ...... -... F:II'.,!I:::, THE El ::: T'T' Z !"! 01::' THEE I:... L H t I' ]: ON ,' I r.,I F'EET ::, I:'EI:;;:MIT FIF'F'LICFINT HFIS THE .F.'.F_:'~F'C~N'~IDiLITV 'T'O INF'O~;'.H THIS DE. JF'F:I~?.THEI'.,IT D_.I:;'.II,I: 'TFIEi: I I'.,IS'T'FIL~L.I:::I'T :!: ON ~ r.,tSPECT~. :ff.,lq OF:' FIt",t"r' I.,!ELLS t:::IE,.~TFIr":I::_:I'.,IT TO TH I :"-""; PFi:OF'EI;if!"'~" F~f'.,I[:, THE I'.,IL.IHE',E~i:;? L3F I:;~:ES _T. DEI'.,ICES THFIT THE 14EL. L. !41 L[ ....... E[., E.. . . '-' "- .... HFFF .., H.. THIS E:qCI<FILI_II",IG FF FIl'.,Ih" .:,~.,rE.It HITHI3LIT F:[I'.,II::tI_ ZI'.,ISF'ECTION FINE:, - '-"- E:"r' I:::,[E:F'FIFi:TME:NT I,.I ILL E:E SUE:.:rECT TO F'F' '_' 'SE' "_' _ T ]:" '.,!, M I I'.,I I I'"IUM ..r..', I ST'FII'.,IC:E DE. TI.,.IE:E!]'q F1 NELL FINE:, F1N'~' ON-.S I TE SEI.,JFIGE !13EI FEET FOR FI F'F:I'v'FtTE I.,.!ELI_ OR ::LSl~il TO ;2~)~:3 FEE:T FROM Ft I..-.'LJE:I_IC HEL. L [:,EPEi'.,!DIi'.,I(3 I...IF'ON THE 'T'/F'E OF:' F'IJE:t_IC I.,.IE.L.I_. M!I'.,IIML.tM t)ISTFINC:E F'K'.OH I::1 F'F'.:[VFITE I.,.IELL T'O F:I F'FRIVFITIE SE!,.tEF: LIi'.,IE IL.::; 25 FEET FINE:, TO I::l COMMUI'.,t ! Th.' SEI.,.IEF'. L I !'.,IE: :I: S ?'5 FEET. NIE'L.L I_OGS FIRE IREQLIIFtE[:, FINI)MIJST E',E F'.ETLIP. i'.,IED TO THE [:,EPFIF..'THEI'.,IT H ITHIi'.,t OF T'Hli!~. NEI_I_ COt"'IF'L. ET 1' 01'.,I. O"FH~:~F?. I';~EQIj I F?.EHEI'.,ITS I'"lFth.' FIF'F'L'~-'. SF'EC I F I CFtT IONS IqI'.,tD COI'.,ISTF;IJCT I ON I::tVFI I L.F!E~L.E TO ]: I'.,ISI..IE~'.E F'P. OF'EF]: I I'.,I'_:';TFtLI_FIT t ON. I CEF.:T!F'"r' THF!T :I.: I t":11"1 FI:II'"!II_!F'II:~: I.,.IITH THE P. ELql. J lF:EMEI'.,ITS FOR ON-SI-FE St~EI.,.IEF:S F:II'.,I[) NELI_S F:r:_.':; SET F'O!;~:]"H E!?~' THE HLli'.,t I C I F'FIL l "1"'~' OF FINCHOF?.FIC. iE. 2: ]: I.,.IIM.... II'.,ISTFILI_ THE F:;"r'S-I"EM I1",! FIC:COF-!DRNCE 14ITH THE CO[:,ES. Z: I I...INDEP. STFIN[::, THFIT THE OI'.,I-SITE SEI.,.IEP. S"r'STEM MF't'~' P. EQU:[F4'.E EI",IL_I:::IF;:('~iEMI~ENT IF THE RES I DENCE I S F'..'EMODELE[:' TO ]: NCLJ...IE:'E MOF.'.'E THI::IN :!::: E',EDFi:OOMS. BORING NUMBER Date Completed: 9/19/78 SOIL DESCRIPTION SANDY SILT %~/ organics down to 1.5', brown, soft SILTY SAND w/SOME GRAVEL (SM) gray-brown, med. dense, moist 2.5~ SILTY SAND w/SOME GRAVEL (SM) numerous cobbles, gray, dense, dry 8°07 Refusal on Cobbles 15.0'T.D. No Groundwater Encountered LOCATION SKETCH No Scale NOTE: OISTANCES SHOWN ARE APPROXIMATE AND HAVE NOT BEEN MEASURED BY SURVEYING METHODS, EXPLANATION ~N/"ROZ~N GROUNO ...... ~J~.~ ~.. OR6ANIC MATERIA~ ~;,~!-~1 / Little Visible Ice 0:10' Vx I1~'~ ¢ Ss, 72,5X I% 85.9 pcf I L ~w~r~R co.rEar SA~P~ER TYPE ~1 BEDROCK TYPICAL SOILS LOG ~ ~.~-~Fr~R BO~/N6 Ss /4 " SP~IT SPOON WITH 140 L~ HAflflER ~p 2.~" SP~IT SPOON~ PUSHED ~ BULK SAMPLE SAMPLER TYPE SYMBOLS ~ -- ORGANIC MAT~RIA£ ~ GRAW££ ~ CLAY ~ COBBL£$ 8 SCALE. SOILS LOG Jl Lot 8, Block 5, Kasilof Hills Subd. Anchorage, AK /eWe. NO ~--~1 / PERCOLATION TEST Table 1 R & M NO. 851147 TIME EI~APSED TIME INCHES DROP IN INCHES 11:26 0 58.0 --- 11:27 1 60.0 2.0 11:29 3 61.9 1.9 11:31 5 63.5 1.6 11:36 10 65°2 1o7 11:46 20 68°4 3.2 11:56 30 71.0 2.6 12:06 40 72.6 1.6 12:16 50 74.4 1.8 12:26 60 75°6 1.2 4.6 inches /,~ ,~ 6.5 minutes per inch September 21, 1978 ROM No. 851147 Mrs. Linda Martin c/o Real Estate Corner of Alaska 555 West Northern Lights, Suite 202 Anchorage, Alaska 99503 Attention: Mr. Jim Arnesen Subject: Soil Investigation for Sanitary Sewer System, Lot 8, Kasilof Hills Subdivision, Anchorage, Alaska Dear Mrs. Martin: Block 5, At your request of September 8, 1978, we conducted a subsurface soils inves- tigation at the proposed location of the sanitary sewer system on the subject lot. The investigation complied with those procedures required by the Municipality of Anchorage Department of Health and Environmental Protection. This investigation, which was accomplished on September 21, 1978, consisted of a test hole drilled to a depth of 15 feet below the existing ground sur- face. The test hole was sited according to your instructions and its loca- tion is shown in attached Drawing A-01. Drilling was accomplished with a rotary drill rig using continuous flight solid-stem auger with an outside diameter of 6 inches. A sample was taken at the depth shown on the soils log in Drawing A-01. The sample will be held in storage at our lab for approxi- mately six months. In addition, all material brought to the surface by the augers was continuously monitored by an experienced engineering geologist. The topography at the drilling site is generally steeply-sloping to the west. At the time of the investigation the site had original vegetation consisting of grasses, brush and burned over trees. The top of the test hole was located at original ground surface. The soils encountered in the bore hole are shown in the test hole log in Drawing A~01. This log displays specific conditions encountered at the test location. However, subsurface conditions may vary in other parts of the lot without any apparent surficial evidence of the change. Groundwater was not encountered. Bedrock was not encountered. At the time the hole was drilled seasonal frost was not present and permafrost was not encountered. A percolation test was performed within the bore hole at the depth shown in the attached Table 1. All depths were measured from the top of the hole. The data in Table 1 show average infiltration from the depths indicated to the bottom of the hole. The measured percolation rate was 6.5 minutes per inch. September 21, 1978 Mrs. Linda Martin Page -2- We appreciated this opportunity to be of service to you. Please contact us if you have any questions concerning this letter or if we can be of addi- tional service. Very truly yours, R&M CONSULTANTS, INC. //~Gary Smith / "Senior Geologist GS/kah/12-B INCH WATER WELL Drilled AND caSED OUT TO THE depth OF _ tilled aT The rATE Of /]27,00 PEr FOOT. RoPErTY OWNEr l/~L, £q~L ~M~ .9-921 Conco4z~ £-cu%e 9.3502 355 ~eeZ. 265-8227 243-0278 ,CL. ~!: B,Lk.. ~ Stab. ," DCATION OF WELL SITE RILLER ~J.~ CJ~JJ~ of ~cz.tlI. f)/J..'a..L D~.~.LJJ%g. /,]o,,Lk....o. 'ELL LOG: 0 .... 77' 77---2_3 ' $~ ~e ~L. 7.5~ catvF. Ro ~c~,~ ~od~on, ~t~ou~ ~w~e 240 ~e~. 325--327' 344--347' CooZ of D*~¢: ~21~00 X 353 .fi~e~: ~7455.00 Co4~ of 5e. LLSe_oA: $20.00 / )ST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. RITE CttECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUNI OF ;~t7475°00 THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART DRILLING WORKS SERVICE CHARGEOF 11/~% PER MONTH WILL BE ASSESSED 'ON P~$T DUI~-7~C(~. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING i ?.~..~ - ~\ HAA# ~1 ,~ .~ (~~' ~-i ~\ 1. GENERAL INFORMATION Complete legal description Lot 8; Block 5; Kasilof Bills Subdivision Location (site address or directions) __~- Property owner Mailing address Lynn Martin Day phone 346-3471 Lending agency G.M.A.C. Mailing address Day phone Agent 5¥nda Martin Day phone 346-3471 Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: Individual well × Community well Public water 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 NOTE: Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev 1/91) Fronl MOA ~121 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/orwastewater 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 Address 17034 Eagle River Loop Road No. 204 Engineer's signature DHHS SIGNATURE '/ Approved for Disapproved. bedrooms. Conditional approval for Phone bedrooms, with the following stipulations: Additional Comments ~-~-~----~ ~'z"~c'~q? Date By: 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~)25 (Rev. 1/91) 8ack MOA #21  Municipality of Anchorage ~ Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:./~r)--/' _~ [ ~t-~(_l( ~/~!L, OF /~Cc.~~OParcel I.D. ¢/'~- /~ ~'- // A. WELL DATA Well type Log present (~-TN) Total depth Sanitary seal ON) -- IfA, B, orC, attach ADEC letter. ADEC water system number Date completed C( _~©-~ [ Driller Cased to ~' -~ ~b '~o(~- Casing height Wires properly protected ~__.)'N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot / Public sewer main Sewer service line g.p.m. AT INSPECTION ; On adjacent lots . ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: /() '~c~(~-c~ 2~ k.~O/'~ - ~'~ L::%-E~'('C:t¢ Other bacteria Collected by: ~_.~ c~_ ..~ B. SFPTIC/HOLDING TANK DATA Date installed Cleanouts (~/N) High water alarm (Y/I~L)) Date of pumping Tank size [L~oO 6f~C Compartments Foundation cleanout ((Y)N) L(r~ ~,Z, Depression (Y/~ Alarm tested (Y/I~) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot l0 To property line /O'+ Surface water/drainage On adjacent lots Absorption field /O© ~'k Foundation ~O t4- Water main/service line 7~-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE! C, LIFT STATION / Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~)5_~.~ _c~:> Length ~c'l~ Width Total absorption area "¢~ Depression over field (Y/(~ r,,.-) Results (pass/fail) Peroxide treatment (past 12 months) (Y/(~_ Soil rating G ra~/el-thJckness 6 ( q%'~¢'¢ C~a/nouts present (~¢)'N) Date of adequacy test for ~ ~---PO0uu~d If yes, give date System type ~-~')_P_c.~M- Total depth O/oF-- bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot / To building foundation On adjacent lots ~ ~ Surface water /_~(--J "/- Curtain drain ?/~/I/~ k~0f//,-' On adjacent lots /00 ' ~' Property line -/,~ r ~¢ ~7' To existing or abandoned system on lot /'~'///¢ '/' Cutbank ~/,/nt' Water main/service line ~(.3 /0 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. S 8, S ~NGINEERING 17034 Ea[i!e River Loop Road No, 204 Signature Eagle I¢ive', Aiasl(a 99577 Engineer's Name HAA Fee $ Date of Payment Receipt Number 72 026 (Rev. 3/91~ Back MOA Waiver Fee: $ Date of Payment Receipt Number tqOb'-- 2--'B. 2 t'lOb~ 'D : 44 P. E~5 CHEMI'CAL & GEOLOG{CAL LAFIORATORY DIVISION OF COMMERCIAL TES, lNG & ENGINEERINO CO. Client ~ple Collected ocr 26 92 ~ 15:50 I~*, ~?0~ ~ OCT ~7 92 ~ 1~:30 hrs. Req8 : Parameter ~eul~s Umits ~etho3 ki!cuabl~ Llmt~ YlIRi!~~N ~(O.lO) mj,'i ~) 353.2/390.0 10 Sample ~0~I~ $~ COLLECTgD ~I)- ~o~ Detected " APPLI¢ NT FILLS OUT UPPER HAl ONLY ~roperty Owner I_ !. ~J.,'.)/d ~i~ ~ i,J i~_ /~ ~ ,,~ ) i._ :%i /, //"?/t /'<:-7/' ,. /.] Phone ,. Address Zip Code {' - ~ Phone Lending Institution ¢:~ ~ ~:.,l( ,[4 , [ ',L' '] ~,.c;~ ~ Address Zip Code Realty Co. & Agent ~ ~..~ ~ ~-:;, Phone Address Zip Code Type of Resi~nce f ~.~ngle Family ~ '~ Multiple Family No. of Bedroo~ ~.~? 't~ :,' ~.z~ ~ Other Water Supply .. ~ Individual ~ ,~ ~./ ~ A~TACH WELL LOG. A well Icg is required for all wells drilled since June 1975. '~ Community ~¢~ ~ ~¢ /LCd/ , For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Ulility ~ Sewer Disposal ~..Individual Year individual Installed: ~':-~ ~;-' ~:;;~. Q Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time \ Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ~ J MUNICiP'~ Li r'r 01- ANCHOfo, OB -- DEPT, OF HEALTH ~)-q,~ ENVIRONMENTAL PROTECTION M^Y ( .~"~'-APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( )CON. DITIONAL APPROVAL* Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received ~ - (~( Well ,o Tank Septic Tank Size 72-023 (3182) tn:;u t ati~zi o