HomeMy WebLinkAboutKENO HILLS #6 BLK 2 LT 7 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: ffV~ ~'70~ 7(~ PID Number: ~-17/' ~7
Name: ~, ~ ~ ~ ~/~ Wastewater System: ~ New D Upgrade
Address;
&?~o ~~/~ ABSORPTION FIELD
Phone:J ~No. ofeed~s: ~D~p Trench D Shallow Trench D Bed D Mound D Other
Total Depth from original grade:
LEGAL DESCRIPTION s°""~'"~: /.~ ~s~.~.
Lot: ~ Block:~ ~// Subdiv~n~/~//~ ~ Depth to pi~ bosom from original~g~de: Ft. Gravel depth beneath pipe ~ Ft.
Township: I Range: ~ S~tion: Fill add~ above original grade: Grovel length:
I
I
Number of lines: ~ Bist~ ~tw~n lin~:
WELL~ ~New D Upgrade Gravel width: ~ Ft.I Ft.
Classification (Pri~e, A,B,C~ Total Depth: Cased To: To~l absorption area: Pipe material: ~ ~ ~ ~
SEPARATION DISTANCES ~septic ~ Holding D S.T.E.P.
To ~ptic ~tion L~ HoMing ~ublic~ri~tei Manufa~urer: ~ci~ in gallons:
From Tank Field S~tion Tank ~wer Lin~ ~ ~~ /~ ~
Weft' /~ I~ /~ ~1 ~ ~ ~ /~ ~ Mate~al: ~ ~ ~ Num~r°f~mpa~men~:
Su~a~ , -- -- LIFT STATIO~
Lot Size in gallons: I Manufactum~~
,or _. _
Foundation
Cu~ainDrain /~ I~ /~OOI ~ ~ ~ Pump ~1 ~ Electri~l Ins~ctions pedorm~ by:
Remarks: BENCH MARK
L~tion and D~criptlon:
[ ~sum~ Elevation:
ENGINEER'S SEAL
Inspections pe~ormed by: ~ ~S&r~ Dates: 1st ~ ~ ~z: ? :'~ '.~
/ 2.dZ/ Y "'"" ""'"'"""'
Depaflment of Health and Human Se~ices apprevm
~~ "~'~/~"~'~
Reviewed and approved by: / /~. ~ate: 7-~ '~ 'i~p~~
72-013 IRev. 9/91) MOA 25
AS-BUILT SYSTEM DETAILS/SITE PLAN
KENB HILLS S/D, ADDN, 06, BL~ICK 2, LOT 7 PID~O20-i71-37
A-C=ll,O' ~ ~
B-C=28,6' = ~ ~/ ~
~ °~ FINSIHE~ GRADE
A-D=17,9' ~ ~'~
>~=s~,s' ~ ~~ --/ , -~- w~. i.
B-E=39,5' ~ /~ SEPTIC J~ ~ ~
A-F=64,0' ~ / ~AN~ SEWER ROCK 6,0,
I "~'~' I
~ ............ O~ ~,~ ~ ~ PREPARED FOR~ SCALE~ NTS .::
t...~ ~. .
" FIELD BOOKS CO"PUEO: ENGINEERING "~
· , ..~'~6~ *S~U,L~: GASTALDI ~*~: 6/25/99 ~AG~ g~V~, AL-, ~.99577-8736
~ ~ss~o¢~ ~ :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
~~ ~w~. nm ~.~: 5458
~CAO ~,.~: 97095.DW6 0o~ .o.: 97095 (907)696-6111/FAX (907)696-8111
MAY.,24.]999 12:i4PM NORTHRIM CONST./ 'RE ,NO. 7152 L :
1201 m.'.,t~ou;~ ,.,t. 99515 A~CHORAGE~,
344- ?14
E~iX iNCH WATER WELL DRILLED
DRILLED AT THE RATE OF
PROPERTY OWNER ~.r. & Mrm, (Mike &, Patty) ~,].len 31~5-615~ 729-g693
LOCATION OF WELL SITE
DRILLER
. OUT TO THE DEPTH OF ,30,5 fc..,et.
PER FOOT. St~el cosing ~e~t~d nut to 28 ft..
WELL LOG;
0 - 17' "'lty mnn~]y fine ,,fr,'~ve]. with 1,5% c]..~'.~y binder
19- ~.,8 Co,~rse graval w.,.."th 2~ .c]my m~teri:~!. ~6 to .~S' : Con,].emerita.
3S - .305' B~drock. .i ,~dJ. ment~,r~ rock
By ~S5 feet, thia Well ~.,~',~ showing 1/~ gpm production out of crscka
from ~90 to ~85 ft. By P~O lsat, t~is Well w~,~.~ m~kin~ ] ~/~ ~;~m, ,..lth new
t'/r.t~r ~ram .;'~.~,~ to 24.8 ft, ~.g,sin, '..v~t~r merely coming in from cr~:,cka an~
f,!ssure~ in th~~, rock. Wa were showing 3 !/P gpm to v~ry near 4 g?m by 280 ft.
.\ thin pnroua area yi~.l~i~g water from ~6~ to 264. help~.d ~.].ot The ouslity
nf t.;at~r app..eaPa¢~ to be very ghee]. After tWO flays we continuer~ to 305
My contm~ttaD was that we would ~et 6 gpm. There was a good ?rou~ araa
of watar be.~,ring material from 291 to 298 feet, showing an lncre~se t~
full production of eight ~allons per minute, Water pnoduction comes beck up
~o within 1~5 f~et of th~} surf"ce. One bnr~npo~'.,er i~ubm~r~ib].~ pu~y ahoul~] ~e)
in:~ta].]. [~O fa<,t off tho drj?].mY, bottom of .%05 feet..2!ac, thimw,.~t~r
,.;al.I.! m'"ke 10 gpm for ~horfi ~]urstion pump!ag of ;ebou% twr~ hour~:~ ~.fter: 'f.ul~
more .n:n .'bout ton i:,ercont, Po~aib].y aomewb..~t more in arid. ae:o~cna,
ar mo~!].ir."tien bs.,ck. I ju~.;t r~lca~e(~ th~ br:~'kes~ No s~t-up cost:, ..
CO~T INCLUDES ALL ~BOR AND MATERIAL FOR COMPL~ION OF ~AID DRILklN~
WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE ~UM OF :~? ?~500,00 . .
THANK YOU VERY MUCH,
CLAUS O~ RAM ORK~
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
PAGE 1 OF 1
PERMIT NUMBER:SW970376 DATE ISSUED:10/21/97
DESIGN ENGINEER:KND ENGINEERING EXPIRATION DATE:10/21/98
OWNER NAME:T~O~SL~D ~o~RT ~ & CLE~ F~''-
OWNER ADDRESS:~MIKE & PATTY ALLEN
8900 HUNEYSUCKLE ST. #2 ANCK, 99502
PARCEL ID:02017137
LEGAL DESCRIPTION:
KENO HILLS 06 BLK
LOT SIZE: 113631 (SQ.
NUMBER OF BEDROOMS:
2 LT 7
FT.)
4 THIS PERMIT:
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
.THE ATTACHED APPROVED DESIGN.
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).
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)
FRqM 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
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
ISSUED BY:
WASTEWATER
KENO HILLS
VACANT
CaNT LOT
LET 7
I_BT 8
DISPOSAL SYSTEM/SITE
BLOCK 2, LST 7
PLAN
LET lO
LOT 11
DESION CRITERIA
1, 4 BEDROOMS X 150 GAL,/DAY/BEDROOM = 600 GPO
2, SOILS RATING~ 1,4 MIN/INCH = APPL, RATE 1,2 GPD/SF
3, 600 GPO/l,2 GPD/SF = 500 SF
4. 500 SF /(2' X 6') = 41,67'L
5, NIN, DESIGN SIZE = 1 TRENCH - 4P' LONG x 2; WIDE x 6' DEEP
6, DEPTH OF GRAVEL BELOW PIPE IS 6,0',
7, TOTAL DEPTH OF SYSTEM IS 8,0' FROM ORIGINAL GRADE,
NOTES', ~
1, TIE INTO TRENCH AT ENOPOINT, .
8, INSTALL lgSO GALLON SEPTIC TANK, INSULATE TANK IF ~4' covER,
3, INSULATE TRENCH WITH 2" HB BURIAL FOAM IF.<3!' COYER,
4, CONTRACTOR WILL ENSURE MAXIMUM ~X SLOPE iNTo SEPTIC TANK,
PREPARED FOR:
MIKE ~ PATTY ALLEN
CHUGIAI<, ALASKA 99567
:' SEPTIC
KND ENGINEERING
a0441 PTARMIGAN BLVD
EAGLE RIVER, AK, 99577
(907)696-6111/F~lx (907)696-8Ill
DRAWING ~
SCALE: 1" = lO0' 97095-S1
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Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
COMMENTS,
SLOPE SITE PL~
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT j[/,~ L
DEPTH? ,?f. pO
E
1
Gross Net Depth to Net
Reading Date Time Time Water Drop
Z /1:15 l ,~L'. g,.~l~ ~"
~ ~ n:/~, ~ u;''° -
/ / :17: ~ /.~;. ~ [~"
- ''
. ~
Depth to Water After_ Date:
Monitoring? _Z~'~'F
I '
PERCOLATION RATE ~ / ' ~ '"
(minutes/tach) PERC HOLE DIAMETF~R
TEST RUN BETWEEN ~ FT AND 7 FT
WAS PERFORMED IN
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
,
(FEET)
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2
3
4
5
6
7
8-
9
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COMMENTS
L o.
Township, Range, Section:
SLOPE
WAS GROUND WATER
/Vt-)
ENCOU.TE.ED?
DEPTH? pO
E
Depth to Woter Alter /~/g;/q///
Monitoring? ~ Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
/ /~-/-¢7 //.'/,¢ ~ ¢'" ~
~ 1/.'/7.'¢5 7.75 ~,,,,/~ 6"
3 .~ //:/¢~',,u ~
//:¢~: ~o ~, ~~/~ ~ "
Im,~utes/~nch) PERC HOLE DIAMETER ~:~ ';
TES'i' RUN ~ETWEEN ~,5' F~r AND 5',
I /
WAS PERFORMED IN
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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # 020-171-37 HAA #
1. GENERAL INFORMATION
Complete legal description
Keno Hills S/D #6, B2; L7
Location (site address or directi6ns) '
Property owner Mike & Patty Allen Day phone
Mailing addresSgq{~O ~.". .... ...... :,...~.Dr_ ~. Anchorage._ AK 99502
Lending agency Day phone
Mailin, g address
Agent .Day. phone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 4 '~
TYPE OF WATER SUPPLY:
Individual well
Community well
NOTE:
Public water []
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
Individual on-site
Holding tank
Community on-site " ~
Public sewer
If community wastewater system~ p~ovide written Confirmation from State ADEC
attesting to the legality and status of system.
72-025 (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 verifythat 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"dat~'Of this insPe~tiOn~ .....................
KND Engineering '696-6 ll 1
Name of Firm Phone
20441 Ptarmigan Blvd., Eagle River, AK 99577 ':'
Address -
#
DHHS SIGNATURE
[,/,x Approved for
Disapproved.
Conditional approval for
bedrooms.
Date
bedrooms, with the following stiPulations:
Additional Comments
,f.':,lllSil
The Municipality of Anch0rage,Department o~ 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 Alask_a, The DHHS does this as a courtesy to purg~hesers 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-~3~5(Rev;~/91) Back. MOAa~t ' ................
M ....... nchora-e JU~ ~iii~'~1999
unmcmpamny oT ~ g ~, ~: ,' '~L '.
DEPARTMENT OF HEALTH & HUMAN SER~I~ESP~L!TY o~ ANcHorAge-~ ~
Environmental Se~ices Division ~NWRO~m~A~SeRWC~S ~Vl~~
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 ?:': ~ -~,~. ~'~:
Legal Description:
A. WELL DATA
Well type Ind.
Log present (Y/N)
Total depth 305'
Sanitary seal (Y/N)
Health Authority Approval Checklist
Keno Hills S/D, Addn. #6, B2, L7 Parcel I.D.:
020-171-37
If A, B, or C, attach ADEC letter. ADEC water system number..--,. -
11/3/97
Date completed
Cased to 38' Casing height (above ground) , 2.3'
Y.
Y Wires properly protected (Y/N)
Date of test
Static water level 115'
6
Well production
WATER SAMPLE RESULTS:
0
Coliform
Date'of sample: 6/24/99
B. SEPTIC/HOLDING TANK DATA
Date installed 5/7/98 Tank size
FROM WELL LOG AT INSPECTION
11/3/97 New
N/A
N/A
g.p.m.
Nitrate
Collected by:
g,P.~
Other bacteria
KND Eng. (Dea) r .. ;._~
1250 Number of Compartments 2
__ Cleanouts :(~1,) Y
Foundation cleanout (Y/N) Y Depression (Y/N)
New N/A
Date of Pumping Pumper
N
High water alarm I~:'/N):~. ,~'~ .... ....... .... ~v~,,.:~ ~) .........
Soil rating (g.p.d./fF or fta/bdrm]
Y
Effective absorption area 546 SF
Date of adequacy test New
Fluid depth in absorption field before test (in.);
Fluid depth N/A (ins) Minutes later: N/A
N
Peroxide treatment (past 12 months) (y/N)
Deep Trench
1.2 System type~
Gravel thickness below pipe 6.0' Total depth 1 l' +A,,
Monitoring Tube present (Y/N). Y Depression 0verfleld (Y/N)7:::~,~,c~ Results (Pass/Fail) P For -, A:~ c? r 2
N A N/A
Immediately after / gal. watef~,added:,:(in.~:.
Abso~tion rate = N/~: c ..::q.p~. ..........
If yes give date ~ ' ....
C. ABSORPTION FIELD DATA
Date installed 5/8/98
Length 45.5' Width
72-026 (Rev. 3/96)*
LIFT STATION
N/^
Date installed
Manhole/Access (Y/N)
Size in gallons
~"Pump on" level at*
"Pump off" level at*
High water alarm level at*
*Datum
Cycles tested
E, SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
- ]Off+ ]00'+
On adjacent lots
100'+ 100'+
On adjacent lots
N/A ....... N/A
Public sewer manhole/cleanout
10ft+ N/A
Lift station
SEPARATION DISTANCESFROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation 10'+
Water main/service line
Property line 10'+ Absorption field ]0'+
! 0'+ 100'+ 100'+
, :~Surface water/drainage Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line Iff+ Building foundation ]0'+ . Water-main/service line 2.5'+
Surface water [Off+ Driveway, parking/vehicle storage area 25'+
Curtain drain No,Known Wells on adjacent lots 100'+
ENGINEER'S CERTIFICATION .... .
I certify that I have determined thru' field inspections and review of Municipal records th~a~
~ Kenneth M. Dt~, P.E.
Engineer's Name
Date
6/29/99
HAAFee $
72-026 (Rev. 3/96}*
Waiver Fee $
Date of Payment
Receipt Number
CT&E Ref.#
Cliem Name
Project Name/#
Client Sample ID
Matrix
Ordered By
PWSH)
993019001
KND l~ngineerLug
Keno H/lis, B2 L7
Keno Hills, B2 L7
DrL,~ing Water
§ampl~Remark~:
PQ~
Total CoLiform
Nftrate-N
o
0.500 u
Client PO~
Primed Da~e/Time 06/28/99 17:30
Colletteg Date/Time 06/24/99 17:00
Received Date/Time 06/25/99 13:05
Technical Director: Stephen C. Ede
0.500 mg/L
ALLOwaBLe Prep AnQLysis
SH18 922~B
EPA 300.0
06/25/99 Kip
10 max 06/25/9900/Z5/99 SCC