HomeMy WebLinkAboutKASILOF HILLS BLK 7 LT 24
MUNICIPALITY OF ANCHORAGE
D[ RTMENT OF HEALTH AND HUMAN SER ES
Environmental Health Division
825 "L'1 Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~o.~c;fe,b 4~/~,~ ~r~ DISTANCES
Phone(si /Pelmd No No of Bedrooms
LEGAL DESCRIPTION
WELL
TANKS
[] SEPTIC [] HOLDING
LOT LINE
AS-BUILT DIAGRAM (Show Iocahon of well. septic system, property hnes. Ioundahon,
Mater~ai ~ No of Compadments
Sj-ee!
TYPE OF SYSTEM N,A,
~TRENCH ~ BED ~ W, DRAIN ~ OTHER
FT Fq
ET
~f
8Q FT
Number el lines JrS°d I~hn9 SQ F%¢ Pn)e nmtenal
WELLS tE'~¢_ct'ioff
[~ PRIVATE [] OTHER (Identify)
Classn,catlon (A.B.C) ]olal Depth ET Cased lo FT
ce"dy Ihat Ihis inspection was ,edormed according lo all
Scale: ENG
Inspections Performed by
BElle
~EAL
THEODORE I:, MOORE
', C~ - 0009
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
025 L, Street, Anchorage, Ataska 99501 264-4720
SOILS LOG - PERCOLATION TEST
~. SOILS LOG
PERCOLATION
TEST
PERFORMED EOR: ER~ ~O~'deO R,~f ~Wt~
DATE PERFORMED:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19,
20-
COMMENTS
PERFORMED BY:
Grauetl7 $,t(- (.~m~.)
dr]~¢c w. dtf~
~tr~ ~ WOa(d WAS GROUND WATERENCOUNTERED?
be ~ to~er ~ao
~O'~/~ ff/'n~ IF YES, AT WHAT
DEPTH?
CE-3589
tlr
SLOPE
SITE PLAN
S
L
O
E
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND ~. FT
Ftaf%p ~c& ~er¢i¢% CERTIFIED BY:~~~ ~: ~ DATE:
72-008 (6/79)
FLATTOP TECHNICAL SERVICES
·
CIVIL & EN'~qRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSTS
THEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 July 21, 1986 ANCHORAGE, ALASKA 99516
M.O.A. Dept. of Health and Human'Services
P.O. Box 6-650
Anchorage, AK 99502
RE: Holding tank for Lot 24, Blk 7, Kasilof Hills S/D
Dear Sirs:
The existing septic system serving the ~.ubject lot is
failing, due to poor soils and a high water table, ~resulting in
effluent daylighting adjacent to the driveway. On May 5, I
conducted a new soils test in order to determine the proper
course of action for an upgrade. As shown on the attached log,
the surface organic layers permit water to percolate down to an
underlying gravelly silt, but this layer is unable to perc at an
adequate rate for construction of a soil absorption system.
Based on my observations and soils tests, it is my opinion
that there is no suitable site for a soil absorption system, and
that a holding tank is the only feasible solution for this lot.
I would propose to install a 2000 gallon tank Just downhill of
the existing 1000 gallon septic tank in the vicinity of the
existing absorption trench. Ail required separation distances
can be met in this location.
Please accept this letter in lieu of a site plan, and feel
free to call me if you have any questions.
Sincerely,
Ted Moore,
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENI'AL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264.-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
MAILINGADDRES&,~
LEGAL DESCRIPTION
ILOCATI,ON
~ Well ~ I Absorption.area
I I I
N Z I Manufacturer
I Liq. c~city in gallons ~ IF HOMEMADE: Inside length
~ ~ ~ I Well - ~ Foundation
~ = I DISTANCE TO: I ¢~/~ V(, ~?~ ~d
~ ~ ~ Top of tile to finish grade Mater ~ beneath tile
-- ~' I ~gth Width Depth
~ ~ Typeofcrib Crib diameter ~ ~ /~ Crib depth
~ ~ ~/~I
~ ~ DISTANCE TO: Well / Building foundation
~ ~ ~Cla~, I . ~ I Depth Driller
-- ~ .J DISTANCE TO: Building~ .~,~g~d ~ion Sewer line ~ [~_~
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
NO. OF BEDROQMS
I Dwelling/ ¢ PERMIT NO, .
/ L~.~.~.~,/Materi I No. o~mpartments~
Width Liquid depth
PERMIT NO,
Material Liquid capacity in gallons
~arestTot line PERMI~ ~Q.
] Dis{an~e.betw~en Pines
I Trench wi~,~ inches Tota~t,ve~l ' absor p~.~ area
P~ MIT NO.
Total effective absorption area
Distance to ioi lin~ PERMIT
Septic tank, ~ / I Absorption ~rea(~)
w/¢¢ .1-'¢-, I ¢-/{)d~ t-"¢,
DA'rE
LEGAL
DEPARTHENI'" ' HEALTH AND ENVIRONNENTFIL, ~'"'OTE'C:TION
,.,¢._..... , .... TR..EEl., F)NCHORRr3E., AK. b-~ ..... t
PERMIT NO. < 780z.,o~..', )
DRVID GIERSDORF
SIDOROF I_FINE
RPPL I CRNT
L. CICRT ION
LEGAL
L. 24 B ? KRS!LOFF HILL~;
..,~";R_~. W4TH RNCFI
LOT SIZE
TYPE OF SOIL ABSORBT~ON SU, STEN IS: TF.'ENCH
MFIXIMJM 1%4UI'~O~R OF BEDIq, LIOM~., = ~
>L IL RflTING (L:K.! FT,-'BR::,= '1._,._
THE REQUIREE SIZE OF THE SOIl. ~B_ORFIlON ;;,t>lbM Ix,q:
If)EF'qFH==., "F'"' J.__nEI~'~tZ~TJ-'-II~ 5';-'--;.) .... ~' :': ' "'"'
THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE 'FRENCH OR DRFIINFIELD.
THE DEPTH OF R TRENCH OF..' PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION <IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRFtVEL DEPTH IS THE MINIMUM DEPTH OP' f3RRVEL. BETWEEN THE; GUTFFdLL F'IPIE
RND THE BOTTOM OF THE E:*CIqVRTION (IN FEET).
PERMIT RPPLIE:RNT HBS THE RESF:'ONSIBII_ITV TO INFORM TI-IlS [~EF'FIRTT'IENT DURING THE
IN=.PEC'fIUN=, OF RNY HELLS RDJRCENT TO THIS PROPERTY FIH[:' THE
INSTRLLFtTION '- '' ' ~
NLJMBER OF RESIDENCES THRT THE WEL,L WILL SERVE,
' "' '~ ' T '"' "-'f"l~ '
BRCKFILLING OF RNY SYSTEM WITHOUT FINRL IN,:,FE. CT..ON RND RFFP,._/RL E:Y THIS
DEPRRTMENT WIt_L BE SU~,JEC:T TO PROEECJTION.
MINIMUM DISTRNCE BETWEEN A WEL. L FiND ANY ON-SITE SEWAGE DISPOSAL. S?STEM IS
±00 FEET FOR R PRIVfqTE WELL) OR
~.50 TO 200 FEET FROM fl PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WEL.L..
WELL. LOGS RRE REQUIRED RND MUST BE RETURNED TO TNE DEPRRTMENT WITHIN E(O DRYS
OF THE WELL COMF'L.ETION.
OTHER REQUIREMENTS MAY RPPL'T'. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS fiRE
RVRILRBLE TO INSURE PROPER IN¢~TRLLATION.
I CERTIFY THAT
1: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SII'E SEWERS fit. JO WEL. L..S RS SET
FORTH BY TNE MUNICIPALITY OF RNCHORRGE.
2~: ~ WILL INSTf~LL THE SYSTEM IN RCCORDRNCE WITH TNE [::ODES.
g: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCEsiGNED: .._~~~:~IS ?~CID~ED TO INCL.UDE F1OREE ~Rl'4.2~ BEDROOMS.
~L~NT DR',/I[~ GIE~DORF
,, ' 9...
the drilling company, Ina, · 8901 toloff, box 8718, anchorage, alaska · 99500 ,~/
.%
May 6, ]978 ['.!).C.
Mr. Dav±d
8138 West 4th Avenue
Anchorage, A]aska 99501
Test l[ole and Soil I.og Report for Sanitary System
Lot 24, Block 7, KSs]off It]]]s SubdSvision,
Anchoragc, A] asl:a
Dear ;,Ir. Ciersdor~:
We are submitting herewith thc' test boring results and our comments
regarding soil conditions encountered at thc subject site. ThEs in-
vestigation was performed :tn accordance with your request of }lay ],
1978 and those procedures outlined bv the Municipa]itv of Ancherage,
Department of Environmental Qua]it)'.
A single test hole was drilled within the subject site area for the
purpose of defining gcmeral subsurface soil conditions for tile pro-
pnsed sanitary system. Drilling vms accompl ish(,d with an auger typc
drilling rig and the test holc was extendcd to a total depth
feet below ~FOtllld SuFf~t('e, ;l[ thKs depth auger I-ChIS;l{ W~IS (?tlcottl~-
toted in material which was thought to be bedt'ock. Thc
of the test hole is enclosed.
Groundwater ,,,'as not encountered in the l:est hoic ,.,.'h~]e drilling.
A percolation test was perlorme~ J-rom a depth indic:at:ed and reflects
average infilti-at~on from that depth to the bat-tom oJ' tho hole.
We appreciate beiiqk,, given LhSs opportunft:y [o bc of sew[cc to you.
Shr?u]d you have any qucstions with rt?,,al'd [o the .l.ovt, please do
not hesitate to contact us.
W i l l i mn }:;.
Prt~ident:
2.
, anchorage · fairbanks .ale~
T.H.1
5-4-78
anic Material
Sandy Gravel with
some silt and
cobbles (GM)
0.0~
0.5'
Lot 24 Block 7
O T.H.1
No Scale
Test hole location is
approximate only and
has not been located
by survey methods.
Silty Sand with
trace gravel (SM)
Sandy gravel wit~
some silt and
cobbles (GM)
Grading into what
appeared to be
bedrock at 13.0'.
3.5~
4.5'
No Water Table
-13.0' T.D.
Log represents location
of Test Hole Lot 24,
Block 7, Kisloff Hills
Subdivision, Anchorage,
Alaska
David Giersdorf
Log of Test Hole
Lot 24 Block 7
Kisloff Hills Subdivision
Anchorage, Alaska
PERCOI,,\TION TEST
David GieYsdorf
T.D.C. No. 78A-069
May 4, 1978
EI,APSED
10:35 0 9.25
10:45 ]0 1t.50
10:55 10 12.75
]1:05 ]0 13.75
11:15 ]0 15.25
1]:25 lO 16.50
111:35 10 17.75
1]:45 ].0 i9.25
0
2.25
I 25
1 O0
1 5o
[ 25
1 25
1 30
10.00 Tot:al Drop (
7.00 >ifnute.:~/inch
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PRO'rECTION
DIVISION OF ENVIRONMENTAL HEALTN
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
GENERAL INFORMATION
(a)
Application Date
Legal Description (inchJde lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicant Name L~'(e¢~'~'l ¢c¢4.~ ~e.~-elephone: Home Business ~O~,~"¢~-"Y~
Applicant Acidress __~ Y& P~P(~ /0¢~ '~'¢..CO,"~C~.~_ /¢,,¢.~¢.,~ ~ '~!
(c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain);
(d) Lending Institution
Address ¢
(e) Real Estate Company and Agent _
Address __¢~'
Telephone _~
(f) Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family I~ Multi-.Family
Number of Bedrooms _.
Other
WATER SUPPLY
Individual Well [i~ Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite [] Public [] Community [] Holding Tank E¢.
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 (1~,84)
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION ~
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 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 _1~'~¢4',~("~¢ "r',¢.¢.~14 ~.¢~f ,.~¢~¢..=.r Telephone 3 ~ ~
Address I~¢ ~4~ ~ ~ ~O~ ~ ¢~t¢
Engineer's Seal
Approved for ~L~__~ bedrooms by ~
Approved ~ Disapproved¢ Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered ia the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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.
Page 2 of 2
,~'C7 ~, MU~NICIPALITY OF ANCHORAGE (MOA)
P~? . ~' H.EALTH AUTHORITY APPROVAL (HAA)
C% ,-~'7'~]? ~: ~CKLIST FEBRUARY 1984
~ ~"-~ /~' .-~ ~ 264-4720
2~ ....... ~. o Legal Descnpt,on: ~ ~ ~. e[OCl~
WELL DATA ~~,° '~O
Well Classification P~ ¢~ If A, B, C, D.E.C. Approged (Y/N) ~ ~,
Welt Log Present (Y/N) ~ Date Completed ~/~/7~ Yield . J,
Total Depth ~OO' Cased to ~, ~ ~ Depth of Grouting N~,
S~a~ic Wa~er Leval ~ ~ Pump Set At ~, ~ 77 ~
Casing Height Above Ground ~ ~' Sanitary Seal on Casing (Y/N)
Electrical Wiring in Condui~ (Y/N) ~ Depression Around W~llhead (Y/N)
Separation Distances from Well:
To~olding Tank on Lot ~ ~ ~ (~8' ; On Adjoi%ng Lots ~ I~
To Nearest Edge of Absorption Field on Lot ~,~. ; On Adjoining Lots ~
To Nearest Public Sewer Line ~'~. To Nearest Public Se~er
Cleanout/Manhole ~ ~, To Nearest Sewer Service Line on Lot
Water Sample Collected by ~i~ ~ ~ ; Date ~/~
Water Sample Test Results ~¢~¢~¢~ -- ~¢ c¢~4~¢~ ¢~ ¢~¢~
Comments
~/HOLDIN6 TANK DATA
Date Installed P/ I / ~ Size ~O~el ' No. of Compartment~
Standpipes (Y/N) ~ __ Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N) N
O~pression over Tank (Y/N) ~ Date Last ~umped
Pumping/Maintenance Contract on File (Y/N) ~ ; for
Holding Tank High-Water Alarm (Y/N) ~ Temporary Holding Tank Permit (Y/N)
Separation Distances fro~Bti}c/Holdino Tank:
To Water-Supply Well ¢~ To Building Foundation ¢ 2 ~
To Property Line ~¢* To Disposal Field ~ 4.
To Water Main/Service Line ~ ~. T~ Stream. Pond, Lake, or Major Drainage
Course ~
Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present)
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed ~~-* ~' ~ Date
Company ~(~¢~'~ ~'~C~ .¢~"~' MOA No.
Receipt No. _(~Lb
Date of Payment tO
Amount: $ ~.o .~
Page 2 of 2
72-026 (11/84}
THEODORE F. MOORE
· , . .'
CE- 3589 ,
Engineer's Seal
TO
ISAAC~ PUMPING SER' 'E
Norm Tibbetts (Owner)
6218 Quinhagak
ANCHORAGE, ALASKA 99507
PLEASE REPLY ~ NO REPLY NECESSARY
i',/iUi'~,!IC!P~\i,I'I Y ()I:
MEN r (),r: I' ,\ rll ,~.', L'k VI ',C N FN~'''i PliCYrfC~]'i~ICIPALI'fY O~ ANCHORAGE
1~ CIION
I;2~ ! s1~,:i .\~chm ,~;:~, ,'.l:~l;, e ,- ~ DEPT. C
i~NViRONh/r,~I,, t.
~ i One ~TJ Four : '
SINGLE F/',Mti.': Two ~ ~ Five
~_] MLJt.T!Pi F F.,'¥'.IiI:',' ~ 'l'hl~e [' Six
'1. WA FER SUPPt. Y
~ iNDIViDU/~L' ' :ATi x,(Y,i L'.qit L LQ(S. A weii loq is r,ri~ir~d ~o~ all ,.',mis d,
, : ~, '., e,ls drilled prior to that (h~t:~, qivn
IND1VfDUAI. ON-51T[~ ....
NOTE: 'YIIE INSPEC-il )N FEK /viLIS I' f',3Z(~'ql','k.q'f :,n.L': I o, (?d .S" [:Kl:or¢l~ Id-lO(; fSSIN(; CAN I~E iNITiA
~ ~'lh;i SUPPLY
TiIREE ; ] FIVE (~} OTHER
FOUR ' .~ SIX
, LICUFILIIY
;%:~,~t~c',ion Ve~ifi~x! i LOG I{ECI IVi [-~ ................
: ,,,' 1~'. DiSPOS/',L SYST.i'~.~ ?F ~ :.r
, ~ ), ,CL ()F~-SITE !-c5,',~: F,~;c,xMi~ ......................
~ ~ ,,,~o~', ;~,,~A.~',,~? ,~ ~;~': .... r~,,..,., [ ..... j r.J~.s,;:,ot
',,', ~ L J. J'O: