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Home My WebLink AboutMEADOW RIDGE ESTATES BLK 1 LT 10 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: '5'~/~/.~O~/~ PID Number: ~).~/~Z g//l...~ N,~.', /~ ~/~/}/~, ~,~ Wastewater System: ~w' D Upgrade Address: ~/~ .~~/~ ~ ABSORPTION FIELD ~ ~ D Deep Trench ~hailowTrench D Bed D Mound D Other LEGAL DESCRIPTION so,, Rating: Tolal Depth from original gr~e~ * ~ GPD/Sq. Ft. Subdivision~ Depth Io pi~ bo~om Irom original grade: Gravel depth beneath pi~e~ 1 Township: Range: ~ Section: / Fill added above original grade: Gravel length: WELL:~ New D Upgrade Gravel depth: Number O~ lines: Dislance ~n lines: ~ ~. / ~t. Classllicallon (Private, A,~ Total Depth: Cased To: Total absorption area: Pipe materiah ~ ~ ~/~LI~ ~/~ ~ Ft. Ft. Dalejnstalled: Yield: Pump Set at: ~sing Heighl Above Ground: ~,~ ~,. ~,. TAN I( SEPARATION DISTANCES ~C ~ .o~n~ ~ S.~.~.,. To ~ptlc Absorption Li~ Holding ~J~c/Private, Me.lecturer: Capacity in galJons: / Material: / ~ NumberofCompaHments: Sudace ~ , w~t~ >//q >/~o' ~ ~ >/oo LIFT STATION LOt > -- , Size in gallons: I M~nufaclurer:~ Line -- /7/ ~/// / / ~ // Fou,datlo, Z ¢ / ? /~' / / / "Pump on" level aloft" level al: High water alarm at: Cu~ain Electrical Remarks: BENCH MARK Assumed Elevation: Inspections pedormed by~~~ Dates 1st .: '1 - ~ Depadment of Health and Human Se~ices approval "..:,,:" ~' .. . - ."?. · Reviewed and approved by: Date: ~ - / - ~ ' "~" .... 72-013 (1~1) MOA 25 Permit No. ~'t~l q3C)~gl., Page Z= of '~ Municipality of Anchorage 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 Legal Description: /-¢n--/~ ~--ocv.. I, /v~:~l~)O~,.I [Z~O(.,-C ~"'5"cCFr'&-h PID No.: 05"lq. bill- Permit No. '~" ~ q ~O4~ Page 3 of ,~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES BIVISlON P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LegalDescription: ~,'~'r lO.~ ~4~OU~./,~ ,l~"WSfl~d ~bl~ ~"al"A?~'3 PIDNo.: O~ I~GII~-.- M;c,~e[ E Anderson 4381 - ~ PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE //_ DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 /4 ANCHORAGE, ALASKA 99519-6650 ~ /~% ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930496 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:WORLD VISION INC OWNER ADDRESS:919 HUNTINGTON DRIVE MONROVIA, CA 91016-3111 DATE ISSUED:12/09/93 EXPIRATION DATE:12/09/94 PARCEL ID:05146112 LEGAL DESCRIPTION: MEADOW RIDGE ESTATES BLK T 10 1 L LOT SIZE: 26521 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK 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 (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 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: ISSUED BY: ~~ ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 December 3, 1993 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 10, Block 1, Meadow Ridge Est. Subdivision Septic System Design hnpacts to Adjacent Properties Dear On Site Services Engineer: The terrain of the subject lot slopes from east to west at rates from 8% to 10% toward the lake which bounds the property on the west edge. The septic system and replacement site must be placed outside the 100' setback from the lake. The subdivision is served by a community water source so the setbacks are easily attainable. If the system is constructed as designed the following statements can be made: The system, if constructed as designed, will have no adverse impact on the wells currently in use or those to be constructed in the future since the subdivision is served by a community water source. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse imPact on drainage patterns in the area. Sincerely, Michael E. Anderson, P.E. CATE ' SCALE ~ .- 10 :1 iq EAbOW N Ol- ~' RIDGE ESTATES SUBDIX/ISIOt4 LOT' IO~ BLOCK I c~V~RHE::AD UTIL~T lES r~,~ST ON ~'H~S I,.O'~. / ¢, F,P, CArat. {"'- 30' / Lot 10, Block 1, Meadow Ridge Estates DESIGN FACTORS: Three Bedroom Home Percolation Rate: 15 Min./Inch Application Rate: .8 GPD/SF 3 Bdrms. X 150 GPD / .8 GPD/SF 562.5 SF / 5 LF = 112.5 LF SYSTEM REQUIREMENTS: Shallow Trench System 5'-?t:£z' t~IPE 1,000 Gal. Septic Tank 3' Gravel Below Pipe = 562.5 SF 3' of Drain Rock 112.5 L.F. X .58 (Reduction Factor) = 65.25 L.F. of Trench Therefore: Construct Shallow Trench System with Two Laterals Each 33' Long. Distribution Pipe Set 4' Below Ground with 3' Gravel Beneath Pipe. ~,~ f ?~?- ~t~_ PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10, 11 12 13 14 15 16 17 18 19 20 · Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 · SOILS LOG -- PERCOLATION TEST ~iJ · (EN'GI'N'EES'S SEAL) '/~~"~/Z2 ship, Range, Section: SLOPE SITE PLAN ENCOUNTERED? /-//- / IF YES, AT WHAT ~3 DEPTH? ~ p E Deplh 1o Waler/,ter ~ , / ./..~Z;;~ MoAiloring? Dale', · Reading Date Gross Net Depth to Net Time Time Water Drop >/'-ir ~.'_<-I /~" /l ~! ~ ~: ~ ,.¢ It. ~ /./~ PERCOLATION RATE /'~ (minulesAnch) PERC HOLE DIAMETER _'~ /' TEST RUN BETWEEN ~ ~ FT AND /~C t~' FT COMMENTS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: PERFORMED FOR: , ~;, ' I~ (ENG!:NEEB,'S SEAL) .Municipalityof Anchorage .? ' I ~ ~ ~ '' Ir' ---- 825 "L" Street, Anchorage, Alaska 99502-0650 ~::,~o,, ~;' :~; SOILS LOGI PERCOLATION TEST ,, il-i~ j,,.'::, ,~.' LEGAL DESCRIPTION: 10 12 13 14 15- 16 17 18 20 Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER /%/ ENCOUNTERED? S IF YES, ATWHAT j O [.~ ~ . ~ ~.~=:=~ / DEPTH? . p E Deplh to Waler Alter // Monilorino? Date: , Gross Net Depth to Net Reading Date Time Time Water PERCOLATION RATE __ (m~nutestinch} PERC HOLE DIAMETER COMMENTS TEST RUN BETWEEN I FT AND FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE: Munlclpallly of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~ ~,f .~ /./~,~/¢~¢,K/"~Z:~¢' Township, Range, Section: WAS GROUND WATER ENCOUNTERED? 11 s L IF YES, AT WHAT ~ O 12 DEPTH? ' p E §eplh to Water After 13 Moniloring? '-'-'-'- Date: 14 15 16 18 Reading Date Gross Net Depth to Net Time Time Water Drop 2O PERCOLATION RATE '/~ [minutes/inch) VERC HOLE DIAMETER TEST RUN BETWEEN )~-"~' FTAND COMMENTS PERFORMED BY: /4. /~,~./~.~ ~ , ~,//'L~ ~____~//r~y 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 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 O ~"/"/- ~ / / ~ NAA # '",'-~ ¢:~C~\.L \ (~ ~ ~"~ 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner ._~'V2,o,-,¢1~- ~, (~LL~ ~ _[~ ~ Day phone Mailing address Lending agency Day phone Mailing address Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 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: 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 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 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 /~JJ) 1~'-77.$o,-,~ -~'~'J~/~-~-"L~I-~/'J/., Phone Address ~ Engineer's signature ~ e ~ Date DHHS SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date 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 DH HS does th is 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. 72-025(R6v, 1/91) Back MOA~I Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Parcel I.D. Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Driller Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level1 Cased to Casing height FROM WELL LOG Wires properly protected (Y/N) AT INSPECTION MuNtCIPALFJY OF ANCHOP. U~GE .~,,.-~/!FoNMENTAL SERVICES DIVISION g.p.m. .,,,,.~v, 2 5 1994 g.p.m. RECEIVED SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main t Sewer service line )' ZoO ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed //',Z.t/~/'¢ Cleanouts (Y/N) "7/ High water alarm (Y/N) Date of pumping /'~ O~c~J Tanksize J~/:300 ~A-~ . Compartments Foundation cleanout (Y/N) ~ Depression (Y/N) /"/ Alarm tested (Y/N) /~'//~ ~O~J STt~J /:~'/O ~J Pumper /kJ//Jc SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /',//A- To property line / 7 i Surface water/drainage On adjacent lots Absorption field ,,'V Foundation Water main/service line 72.026 (3/93)° 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 Sudace water D. ABSORPTION FIELD DATA Date installed //Z. '5-/~] ~/' Soil rating (GPD/Ft2) " Length ~ 7 ~ Width ~ / Gravel thickness Total absorption area ~'/~ ~" F'7'.z'Cleanout present (Y/N) System type L~,~ Total depth Depression over field (Y/N) Date of adequacy test A,J ~--u,J ~ ~ Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Results (pass/fail) T~ 5~ for I i.H~'~,''' Bedrooms O After test ~ /N/ If yes, give date /k///~ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~./' / 'T To building foundation On adjacent lots ~ .~ 0 ! Surface water ~> / 0 0 Curtain drain /~Jo ,',,J ~.¢ On adjacent lots AL/~ Property line // t To existing or abandoned system on lot Cutbank /X/o/J ~ Water main/service line 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?fe~:On the date 'of this inspection. Engineer's Name /~lr-:-~//~-3- ~ /~rJO~Z..(O2 Date ,~/'~ 5""/~ ~Z HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)' Back