HomeMy WebLinkAboutMCMAHON BLK 2 LT 11
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 Dis. posal System and/or Well Inspection Report
Permit Number: ci"~ ¢~-~O PID Number: O1~ (:~ ~ I1~_
Name: Wastewater System: [] New '~ Upgrade
Address: . ABSORPTIONFIELD
Phone: No. of.'B?~oom~: [ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
Soil Rating: Total Depth from original grade:
LEGAL DESCRIPTION o, ~ ~,o/s,.~. //.
Lot: Block: Subdiv~ion: Depth to~ipe boRom from original grade: Gravel depth beneath pipe
Township: Range: Section: Fill added above original grade: Gravel length:
~' ~ ~,~, Ft. ~ ~ Ft.
Gravel width: Number of lines: Distance baleen lin~:
WELL: ~ New Q Upgr~ Z ' ,., Ft. ~ ~ Ft.
Classification (Private, A,B,C): ~ Cased To: Total absorption area: Pipe materi~l:
Driller: ~~~ Date Drilled: Static Water Level:Ft. Installgr:~ ~'~ ~V~ Date ~l~jinstalled:
'~GPM PumpSetat: Ft. ICasingHeightAb°veGr°und:Ft. TANK
SEPARATION DISTANCES ~s~ptic ~ Ho~ing ~ S.T.E,~.
To Septic Absorption Lift Holding Public/Private Manufacturer: Capecity in gallons:
From Tank Field Station Tank Sewer Lines ~ T~I~
Material: Number of Compa~ments:
su,~c~ LIFT STATION
Water / ¢~ +
Lot Size in gallons: ~ Manufacturer:
Line ~O' /O~
"Pump on" level at: ~level at: High water alarm at:
Foundation
/~
Cu~ain ~del Electrical Inspections pe~ormed by:
Drain -
BENCH MARK
Remarks: ~ ~ ~&~ ~ ~ ~.
Location and Description:
Assumed Elevation:
ENGINEEr'S SEAL
Inspections pe~ormed by: G,~aem~ ~. ~, Dates: 1st ¢/z~/r~ ~'
Department of Heal Ih and l ~m,~ ~ ~ rvice ,:,,"~',"~,,.:..,_- .~,-~-~
._
Reviewed and approved by:
72-O13 (Rev. 9/91) MOA 25
Nelbors well
septic
t~c~ed gre~e~
proposed
C.O, A B
1 22,5' 42,6'
2 22,9' 51,8'
3 29,6' 55.5'
4 34,7' 56.7'
5 35,4' 56,7'
6 42,3' 56,1'
7 94.9' 70.5'
8 95,8' 71.0'
9 108.9' 93,3'
10 181,9' 90,3'
11 143,6' 97.3'
V~v~
C~\Work\ll-2MCMA,])WG
AS-BUILT
WASTE~ATER ABSDRPTION SYSTEM
Lo~s 11BLDCK 2 McM~hon Subd,
Exls't. dro. ln .Field -
to ?emo. ln,
New 1850 g sep"clc
Foundo,~lon
Insi;o. tled.
j 3-5% Ld -r
N~ew ])r(~ln Fie Long 8'
/ 10' U~ll, ~emeng:
Exlsi:, Well
Nelloors welt
(>.nd sep'l;Ic
lo, co.-I:ed greo,'l;er
't:h~n 100 .Fee't;
.From pFoposed
sYs~cem~
an-out
I
Isi:. Well
/I
/
/
/
/
/
/
PREPARED FDR,
Richard B~ker
12600 Lorraine S~ree~
Anchor~ge~ AK 99516
(907) 345-5435
PANNDNE ENG, SVC
P, 0, BOX 142025
ANCHORAGE, ALASKA 99514
274-0308, 272-8218 F~x
]ATE, 8-29-96 I AS-BUILT
~CALEi 1'=50'
I
Soil R~lng = 250 s?/br
4 Bedroom House
1000 s? Rqd
Deslgn~ B' E?-Fectlve
Il' Total ])epth
2' Wide, 63' Long
To't;o.[ o. bsorpi:lon = 10~ s-P
AS-3UILT DETAILS
WASTEWATER ABSORPTION SYSTEM
Lo'cs 11 BLOCK 2 McMc~hon Subd,
~Eni ~OiINnH
o)
o
L.
Q.
I,I
I
IADNV~3
lrlON¥3~3
!
IrlONV~FI3
NOII¥IINllDJ
PREPARED FDR~
Richord
12600 Lorraine
Anchorage, AK 99516
(907> 345-5435
PANNDNE ENG, SVC,
P, D, BOX 142025
ANCHORAGE, ALASKA 99514
874-0308, 278-8818 FAX
DATE, 8-89-96
NOT TO SCALE AS-BUILT
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW960260
DESIGN ENGINEER:STEVEN R. PANNONE
OWNER NAME:BAKER RICHARD A & ROBIN R
OWNER ADDRESS:12600 LORRINE ST
ANCHORAGE, AK. 99516
PAGE 1 OF
PARCEL ID:01704112
DATE ISSUED: 8/21/96
EXPIRATION DATE: 8/21/97
LEGAL DESCRIPTION:
MCMAHON BLK 2 LT 11
LOT SIZE: 36380 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION 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 (18AACS0) .
3. 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)
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:
ENSURE SECOND CLEANOUT TO SEPTIC TANK IS INSTALLED.
RECEIVED BY:~
ISSUED BY:
DATE'
Steven R. Pannone, P.E.
Consulting Engineer
(907) 272-8218
P.O. Box 142025
Anohorage, Alaska, 99514
(907)272-8218Fax
July 29, 1996
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519
Subject:
Lot 11, Block 2 McMahon Subdivision, 12600 Lorraine St.
Upgrade Permit
Gentlemen:
My firm was contacted to investigate the possibility of installing of a replacement system at the above
referenced property. The existing trench type system has failed. The owners report slow draining of the
lower fixtures and minor backing-up of the drains. The system was installed in 1978. I was requested to
investigate the possibility of installing a new system adjacent to the existing system. A single test holes was
excavated on July 17, 1996 The soil report and percolation test results are attached. Additional soils will be
verified at the time of installation. No ground water was encountered.
The lot is approximately 0.84 acres in size and is served by a community water system. It slopes to the
southwest at a rate of approximately three to five percent. The proposed installation will be located greater
than 100 feet away from any well and 25 feet from the water service lines. The surrounding wells and septic
systems are located greater than 100 feet from the proposed installation. The existing septic tank will be
inspected and if found competent, reused. A new tank will be installed if the existing tank is not found
competent. The existing soil absorption field will be reused. A diverter valve will be installed between the
septic tank and the two drain fields. The new drain field will be selected for use. A foundation dean-out will
be installed.
Please contact me at 272-8218 if you have any questions about the proposed installation.
Sincerely,
Steven R. Pannone, P.E.
Attachments:
C:\WORK\I 1-2MCMA. O01
DESIGN DETAILS
WASTEWATER ABSORPTI[]N gYSTEN
Lot~ 11 BLDCK 2 McM~lhon Sulod,
1~0N¥'490
3Ertl BOIINBH
i~0N¥393
I,I
I
II
r-]
N/
N
l~BN~39J
PREPARED FDR:
Rlch6rd B6ker
18600 LorrWne Street
Anchorage, AK 99516
(907) 345-5435
I~DNV3qJ
NDIIU~rNADJ
PANNBNE ENG, SVC,
P, 0, BDX 142025
ANCHDRAGE, ALASKA 99514
274-0308, 272-8218 FAX
DATE~ 7-89-96
NDT TD SCALE DESIGN
7~k
Nelbors weLL
~nd septic
th~n lO0 ~eet
~o~ proposed
SySteM.
DESIGN '
WASTEWATER ADSORPTION SYSTEM
Lots 11 DLOCK 8 McM~hon Subd,
Exist, drain ?leld -
to remain,
3-5%
Exist. 1250 g septic
-t:nk - to be verl?led.
8md cLean-out to be
Founds%Ion ch
to be Ins~LLe~
Exls~c. WeLt
,\
Nelbors weLL
and septic
Lacn'ted greater
than~O0 ?eel
?rom proposed
sysi:em~
I
Ist, WeL(
I
/
/
C,\~'or k\iS-2VVUE.I)WG
PREPARED FOR,
Richard B:ker
12600 Lorraine Street
A~chor~ge, AK 99516
(907) 345-5435
Soil R~ting = 250 sF/br
4 Bedroom House
1000 s? Rqd
Deslgn~ 8' E??ec~lve
11' TotoL Depth
2' Wide, 63' Long
Total ~bsorptlon = 1022 s£
PANNDNE ENG, SVC
P, D, BOX 142025
ANCHORAGE, ALASKA 99514
874-0308, 872-8218 Fox
~)ATE, 7-89-96 I DESIGN
~CALD
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE
LEGAL DESCRIPTION: ~.[I ['~ ~ [~O-~A~r~ ~:~'-~:~
I
2
3
4
5-
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT . O
DEPTH? p
E
Depth to Water A_fle%c~..,-,r
Monitoring? ~ Date:
SITE PLAN
Gross Net Depth ~a~, c,~' Net
Reading Date Time Time Water Drop
PERCOLATION RATE !'~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND ~ F'r
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
'" MUNICIPALITY Of ANCHORAGE
- DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LOCATION ~ NO. OF BEDROOMS
~ell Absorpt~rea Dwelling ~ PERMIT NO.
DISTANCE TO: ~O ~ ~[
~ z Manufacturer Mater~al No. o[ compartments
~ ~ Li.. ca~a~ty~allons ,F HOME.DE: Inside ,engt. Width Liquid depth
.~'~ DiSTANCETo:WeI..~ ~. Dwelling PERMITNO.
O ~ ~ Manufacturer ~~ Material Liquid capacity in gallons
~ Well Foundation Nearest lot line PERMIT NO.
NO. of lines Length of ~line Total length of liDes Trench width Distance between lines
~O~ Top of tile to finish grade~ Material beneath tde ~ ~O inches Total effective absorption~ ~ ~ areao
Length Width Depth PERMIT NO.
~ ~ Type of crib Cr~b diameter Crib depth TotaJ effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
.
SOIL TEST RATING~ ~O ~ Ne~0~S xO ~O ~1{
INSTALLER ~ ~
~eMA~KS ~
72-013 (Rev.
, I~[:.F'F:iRTt'tENT O1:: r'!EF:ILTH FIND E:N',,,'
8;.:f5 '" L." :.:5 TIRE.!:S I., I'.":ih!CHL3R!.'tL:iE., F'll.-:..
· 3' ~,::.-,,,~,
LOC:FIT Z ON L. ESL Z E
LEGF:IL. tJ..~. B2 F'ICHF:!HON S,.."Ii:, LOT SIZE ::i:65t~8 SI::¢JFiI:RE F'EtET
t"1F!;,.;',:I:HLff,'! I'.,.'LII',IE:[F.F~: OF:' E:E[:,F~tOOHS .... $ SOIL. tRRTiNEi ,:::!~;6! F']",-."E~F'.:: ....
THE F.':EL::!Lt t RIEO S Z ZE OF' TFtE SO :[ L I::IE','_:-.:OF.:F:'T ]: O1'.,! .":];'.r':.'STE:H ]: 'S:
~
Ot~O4J: ~ H. (¢ ~ ~0
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THE DEF"FH OF FI 'T'F?.ENE:H EtF:: F'!T I£.~; THE £:,Z~;TFtNCE E:ETI,.IEE:N 'T'HE :.-'5.,LIF'.F'F:ff~:E OF' THE
GREIIJNI:';, FIND iTHE E',E:FT'TE~H OF: THE E:',:-::CI:::!VFITION ,:: ]:1",! F'EET).
'T'HERE Z:E; bio SET N:[E:,TH F'OR I"RENCHEff;.
THE: ..... ' ""' '''~ ....... . ....
.: f. ~ ,a:::l.~.~ [.. I::F 1 H ]: :~: T'H[E I"I I t'..!, :1: I"!UH E:,Ef:'TH OF: GRF!',,,'EL E:E:T'HEE:N THE r)l I'I'F'FiLL..'- F' :'[ F'IE
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i",ILIHE~ER OF' !RE:'-::_';t!?,ENcE:~; "FI'"!FFT THE 1.4I:~i:LL. HILL ~SEtR',/'E.
...................... -!f'" ~.....!! ,::Z~ ,:: ;?. i:,, ZE ~"-J :.:E; F::" E:E E: T' :E C:;~ !h.,,:J '.?.;; if=~ F;-'.". E!~ !F~:: E: C:.;':.,. L~ .':111 ~::;i: IE E), ........................
, BR(::I.:::I:::' :1: L.L :[ NG OF FIN"r' :."5'T'fSTEI"! !.4 ].' THOLIT F
[::,EEI:'I::iI;~:".['I"'!Ei'.4"I" I.,.!:[ L.L BE ~;UELTEE:T TO F'Fi:OSECIJT ]: O1",1.
!"1 ]1 i'q Z HUH t?,.'.il %'T'FINCE BEi'TI.,.IEEN Fl NELL RND FIN? Ot",1--:~; t 'YE: ~!;E:'.!.,.IRC~E
::LE!,.3 F:E:ET I:-"OI:R FI F'!R ]: ',,,'RTE t.,.IEL.L; OF,'
:j. Si.:-'~ 'T'O ;?.~;~(i!i FEE'I' r.::'RCiH FI PL.IBLZE: NELL [:.',EP[ENE:,ING IJPON THE 'T'T'[.:'E O1::' F'UBL]:E: I.,.!E:I...I. ....
HELL. LOG:~¢ I::II:;:E: RE[;!IJtF..:EE:, FINE:, t',ILtL:;T EffC RETLIRNEE) TO THE L':,EF'Ftf;..'THE:NT I.,.t]:THIN
OF THE I,.IEL. L C:OHP/..ETIOI'-,I.
OTHEIR I:;:[.':.'~...-.!i..t.T.I;..'!i~::t"tEf.,!.'t":F2; t"tFI'¢ fftPF:'I....'9. 'SF'I-ZE:ZFIC:FIT]:ON:E; F:IND CON'/:;TF'.UC:I"IO!'-,I
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i E:E!:~:"f' i F"T' THF!T
:1.: .t.' F:IH FFff"IILtlaI:::'. !.,.ItTH THE' REL::¢J].'F?.EH[~NT:L.'; F'OR ON...-STTtE :E,E!4E:R'.:~; FII",IE:, NEL.L.:i~:; FIL:.: 'SET
F'OF;'.'t"!-.t E','-r' T'HE HLII',t I E: .1.' F'FtL :11 "f'"r' OF"
::2: :i: !-'.fILL ]:NST'FIL.L THE: ff;"r':i~;TEr"l ]:N FICC:OF::[.'.',F-INC:E:: I.,.!ITI...! THE C:OE:,E'L4;.
2:: I UNE:'EF.'.'.'.:;TFIN[:) "t"HffI'F 'THE Ot'.,f-'.'-SITE: :SEI.,.IER ff;'T":"~;T..r:~:H..r"iR'¢ ff.':E:':6:¢J:[F?E~ Ei'.&.FII:;..'GE!"ttENT ZF' THE
F?.E::~;]: DE:I",IC:E I E; RE:I"IODEL. E:E:, :TO Z NCL. LtDE i"IOF.:E THF:IN 4 BE:[::,F::OOH:i~;.
August 31, 1977 R&M No. 751230
John T. Jones
3230 E. 41st Avenue
Anchorage, Alaska 99504
Subject: Soil Investigation for Sanitary Sewer System, Lot i1, Block 2,
McMahon Subdivision, Anchorage, Alaska
Dear Mr. Jones:
At your request of August 25, 1977, we conducted a subsurface soils
investigation 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 August 26, 1977, consisted
of a test hole drilled to a depth of 20 feet below the existing ground
surface. The test hole was sited according to your instructions and its
location 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 approximately 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 horizontal. At the
time of the investigation, the site had original vegetation consisting
of spruce and brush. 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. The symbols used in Drawing A-01 are explained in Drawings
B-01 and B-02. 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 in the test hole. 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
2.6 minutes per inch.
We appreciate 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
additional service.
Very truly yours,
R & M CONSULTANTS, INC.
Stephanie Hoag~J~
Staff Geologist
SH:JMB:gld
Attachments:
Jim McCaslin Brown, Ph.D.
Head, Earth Science Department
Drawings A-01, B-01, B-02; Table
Lot 11, Block 2
McMahon Subdivision
Lot 11
100'
T.H~
Not to Scale
Distances shown are approximate
and have not been measured by
surveying methods.
TEST ttOLE LOG
Scale: 1"-3'
SILTY S~D ;~ITH ORGANIC
· MATER_IAL (SM+Pt)
Orangeish Brown -With Twigs
S~;D W~SO~ SILT,
TRACE GRAVEL .(SM)
· Bro~n, Slightly Moist
3.0t
GRAVEL W/SO~m SAND AND
SILT (GM)
Brown, Slightly Moist
SAND W/SO~ GRAVEL ~ND
SILT (S~4)
Brown
SILTY SA~ID W/TRACE
GP~AVE L (SII)
Brown
11.0'
13.0'
GRAVEL I;/SO~{E SAND AND
SILT' (GM)
__17.0'
Groundwater was not encountered.
20.0'
T.D.
This log depicts subsurface soils
observed %~ithin the test hole at the
location shown.
See Drawings B-01 and B-02 for
explanation of symbols.
TABLE I
PERCOLATION TEST
John T. Jones
R & M NO. 751230
2:50
2:51
2:52
2:53
2:54
2:55
2:56
2:57
2:58
2:59
3:00
3:05
3:10
3:15
3:20
3:30
3:40
3:50
ELAPSED
TIME
0
1
2
3
4
5
6
7
8
9
10
15
20
25
30
50 Io
60 IO
FEET
1.85
2.00
2.15
2.25
2.35
2140
2.45
2.50
'2'.50
2.55
2.60
2.70
DROP IN'
FEET
0~00
0.15
0.15
0.10
0. o
0.05
O.05
0.05
0.00
0.05
0.05
0.1.0
2.85 .0.15
3.25
3.45 0:2o
3.75
Total Drop: 1.9 Feet
2[6 Minutes/Inch
SOl LS
CLASSIFICATION~ CONSISTENCY AND SYMBOLS
CLASSIFICATION: Identification and classification of the soil {s accomplished in
accordance with the Unified Soil Classification System. Normally, the grain size
distribution determines classification of the soil. The soil is defined according to
major and minor constituents with the minor elements serving as modifiers of the
major elements. For cohesive soils, the Clay becomes the principal noun with the
other major soil constituents used as' modifier; {. e. silty clay, when the' clay particles
are such that the clay dominates soil properties. Minor soil constituents may be
added to the classification breakdown in accordance with the particle size proportion
listed below; i.e. sandy silt w/some gravel, trace clay.
no call - 0 - 3% trace - 3 - 12% some - 13 - 30%
SOIL CONSISTENCY - CRITERIA: Soil consistency as defined below and determined
by normal field and laboratory methods applies only to non-frozen material. For
these materials, the influence of such factors as soil structure, i.e. fissure
systems, shrinkage cracks, slickensides, etc., must be taken'into consideration
in making any correlation with the consistency values listed below. In permafrost
zones, the consistency and strength of frozen soils may vary significantly and
unexplainably with ice content, thermal regime and soil type.
Cohesionless
N*~lows/ft) Relative Density -
Loose 0 - 10 0 to 40%
/V[edium Dense 10 - 30 40 to 70%
Dense 30- 60 Y0 to 90%
Very Dense - 60 90 to 100%
*Standard Penetration "N": Blows per foot of
a 140-pound hammer falling 30 inches on a
2-inch OD split-spoon except where noted.
Cohe sire
T- (tsf)
Very Soft
Soft
Stiff
Firm
Very Firm
Hard
0 - 0.25
0.25 - 0.$
0.5 - 1.0
1.0 - 2.0
2.0 -4.0
-4.0
DRILLING S~f NIB OLS
WO: Wash Out WD: While Drilling
WL: Water Level BCR: Before Casing Removal
WCI: Wet Cave In ACR: After Casing Removal
DCI: Dry Cave In AB: After Boring.
WS: While Sampling TD: Total Depth
Note: Water levels indicated on the boring logs are the levels measured in the
boring at the times indicated. In pervious unfrozen soils, the indicated elevations
are considered to represent actual ground water conditions. In impervious and
frozen soils, accurate determinations of ground water elevations cannot be obtained
within a limited period of observation and other evidence .on ground water elevations
and conditions are required.
DWN: L.D.S.
CKD: G.L.B.
D.ATE: 3-
SC.AL E: N/A
GENERAL NOTES
]IFB. N/A
GRID N/A
PROd. NO GENERAL
DWG. NO. B-OI
STANDARD SYNiBOLS
ORGANIC MATERIAL
COBBLES ~ BOULDERS
CONGLOMERATE
SANDSTONE
MUDSTONE
LIMESTONE
IGNEOUS ROCK
METAMORPHIC ROCK
ICE, MASSIVE
ICE -SILT
ORGANIC SILT
SANDY SILT
SILT GRADING TO
SANDY SILT
SANDY GRAVEL,
SCATTERED COBBLES
(ROCK FRAGMENTS)
INTERLAYERED SAND
~ SANDY GRAVEL
SILTY CLAY w/TR. SAND
St ..... 1.4"
Ss ..... 1.4"
SI ..... 2.5"
Sh ..... 2.5"
Sx ..... 2.0"
Sz ..... 1.4"
Sp ..... 2.5"
Hs ..... 1.4"
SAMPLER TYPE SYMBOLS
SPLIT SPOON
SPLIT SPOON
SPLIT SPOON
SPLIT SPOON
SPLIT SPOON
SPLIT SPOON
SPLIT SPOON,
SPLIT SPOON
WITH 47~ HAMMER
WITH 140# HAMMER
WITH 140# HAMMER
WITH 340-~z HAMMER
WITH 140# HAMMER
WITH $40# HAMMER
PUSHED
DRIVEN WITH AIR HAMMER
Ts .... SHELBY TUBE
Tm .... MODIFIED SHELBY TUBE
Pb .... PITCHER BARREL
Cs , ,i, , CORE BARREL WITH SINGLE TUBE
Cd .... CORE BARREL WITH DOUBLE TUBE
8s .... BULK SAMPLE
A ..... AUGER 'SAMPLE
G ..... GRAB' SAMPLE
HI ..... 2.5" SPLIT SPOON DRIVEN WITH AIR HAMMER
NOTE; SAMPLER TYPES ARE EITHER NOTED ABOVE THE BORING LOG OR ADJACENT TO IT AT THE RESPECTIVE
SAMPLE DEPTH.
TYPICAL BORING LOG
BOt~/NG NUMBE~-..~.E H.
DATE Dt~ILLED--~iO_ 21_ 70
SAMPLEt~ TYPE~,Ss
WA TEt~
Gt~ADATIONAL
Ss
FF'OZEN
Cd
Elev. 274.6 .~-- ELEVATION IN FEET
All Semples Ss''~''SAMPLE'~ TYPE
o'.
ORGANIC MATERIAL I'
Consid. Visible Ice 0'-7' ICE+ML
ICE -SILT
Estimote 65% Visible Ice
SANDY SI LT
~APP~OXIMATE STRATA CHANGE
Little ~oNoVisible Ice I~SSO~ Vx ~IC~ DEZC~IPTION ~ CLA~IFICARON
72~ 57.1°/o,85.gpcf, 28~ GP~ (CO~PS OF ENGINEERS METHOD)
~ ~ ~ ~ ~UNIFIED 0~ FAA CLASSIFICATION
~ ~ ~ --TEMPERATU~ °F
~--WATE~ ¢ONT~NT
--BLOWS/FOOT
SAMPLE NUMBE~
SANDY GRAVEL
26'
95 SCHIST ~ GENERALIZED SOIL 0~ ROC~ DESCBIPTION
LOCATION ~0 ' ~ D~ILL DEPTH
~ VZD.-WHILE Dt~ILLING, A.B-AFTEt~ BOt~ING
EDWN: L.D.S.
G,L.B,
F~. 1972
R&M CONSULTANTS, INC,
EXPLANATION
OF
SELECTED SYMBOLS
F.B. N/A
~RBI'D: N/A
J PROJ. NO GENERAL
· J~DWG. NO. B-02
ALL D-~LUN G
P. O. Box 4ii9
Anchorage Alaska 99502
~//~..~ Phone 34~i-5567
JOB LO~ATION
TIME WELL LOG DEPTH WELL LOG
,.
· ? 4/~ /;..6,,., ('/_~,,~.~
/0
/3,
k
LOT SURVEY CERTIFICATION LEGEND:
(!~ Bross Cop Monument
Lot ::~__, Block _~-.~ Ama ' Sq, Ff. e Ire. Pipe
~ o Steel Pin
~~~~/~,__ .... ~ Survey Hub ~ Tock
Pier File No. Zoning
Anchorege Recording District, Alaska
~-~-~ k2 J :~1] ~U..~ K5 ,~.c"m~.~,
1. General Information
(a) Legal Description (include lqt, block,
bfO-NICIPALITY OF ANCHORAGE
DIVISION OF ENVIRON~NTAL HEALTH
DEPARTMENT OF ~mALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR ~ALTH AUTHORITY APPROVAL CERTIFICATE
Application Date 8/,~l~
subdivision, section, township,, range)
Location (address or directions)
(b) Applicants Name ~ b~ ~~ Telephone - Home Business
Applicants Address }~OO ~O~N~
(c) Applican~is (check one) Lending Institution ~ ; ~er/builder~
Buyer~ ; Other~ (~plain);
(d) Lending Institution ~L~ ~T~-~- Telephone~-~q'77
(e) Real Estate Co. & Agent ~ p a?
Telephone H&~' /~
(f) Mail the HAA to the following address:
2. Type of Residence
Single-Family~
Number of Bedrooms
3. Water Supply-
Individual Well[~rl
Multi-Family
Community
Other (describe')
Public~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status°
4. Sewage Disposal
Onsite ~ Public ~-~ Community ~-~ Holding Tank ~
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]
5. Engineering Firm Providin~ Inspections~ Tests, File Search2 Data and Information
0
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 regula-
tions in effect on the date of this inspection.
Name of Firm
Address
Date ~ ~-~~
DHEP Approval
Approved for_~'
Approved ~
Terms of Conditional Approval
CAUTION
THE MVJNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGtLAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER HEGISTERED
IN THE STATE OF ALASKA. T~ DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES ~ND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
.MENTSo E~PLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSb-ED. THE MUNICIPALITY OF ANCHORAGE IS NOr ILESPONSIBLE FOR ERRORS
OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK.
(DHEP SEAL)
RR4/ej/D18
[Page 2 of 2]
7-19-84
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
AUG ,5 1984
RECEIVED
Well Classification ~_~
Well Log P~esent (Y/N)
Total Depth ;~ Cased to
Static Water Level ,,,.,,~'~
Casing He ight Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances f~om Well:
To Septic/Holding Tank on Lot
To Nearest 'Edge of Abs°~Ption Field on Lot
TO Nearest Public Sewer Line
Legal Description: LO'~ l I? '~,:
If A, B, ~ C, O.E.C. ~pro~d(Y~)
~te ~91e~d ~/7 ~ Yield
N O~ ~NO~pth of Grouting
~ ~t At
Sanit~y ~al on ~sing (Y~)
~essi~ ~nd ~l~ead (Y~)
; On Adjoining Lots lDO
; On Adjoining Lots
To Nearest Public Sewer
Cle anout/Manhole ~///~
Water Sample COllected By
Water Sample Test l~esults
Cc~rents
TO Nearest Sewer Service Line On Lot
B. SEPTIC/HOLDING TANK DATA
Date Installed ~/~/~ Size l~%O No. of Cu~artments
Standpipes (Y/N) 6)~ Air-tight Caps (Y/N) y Foundation Cleanout (Y/N)
Depression over Tank (Y/N) ~ Date Last Pumped ~f~
Pumping/Maintenance Contract on File (Y/N) ~//~ ; for ~/A
Holding Tank High-Water AlaFm (Y/N),~/~% . Temporary Holding Tank Permit (Y/N)
Separation Distances f-rom Septic/Holding Tank:
To Water-Supply Well I i O +
To P~operty Line ~6) +
TO Water Main/Service Line ~///~
course N 0 N, F--
Co~nts
To Building Foundation ':
To Disposal Field
To Stream, Pond, Lake, or Major D~ainage
[Page 1 of 2] 2-i5-84
C. ABSORPTION FIELD DATA
D®
Soils Pating in Absorption Strata
Date Installed ~/~ [7~
Width of Field '.~2)
Square Feet of Absorption A~ea
Depression over Field (Y/N)
Results of Last Adequacy Test
Type of System Design
Length of Field
Depth of Field I ~
Gravel Bed Thickness
Standpipes P~esent (Y/N)
Date of Last Adequacy Test
Separation Distano~ f~om Absorption Field:
To Water-Supply Well I qO 'k To P~operty Line I Ot .%-
To Building Foundation ~ To Existing or Abandoned System on
Lot N ~364 ~- ; On Adjoining Lots 76 :-p
To Water Main/Service Line ~//A To Cutbank( if Im~esent) N ~)~ ~-
To Stream/Pond/Lake/c~ Major D~ainage Course NO ~ ~
To Driveway, Parking Area, c~ Vehicle Storage Area ~O+
LIFT STATION ~
Date Installed
Dimensions
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Manhole/Access (Y/N)
"Pu~ Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
~ets MOA
Electrical Codes (Y/N)
C~nts
** Check Permitted Bedroom Rating Against HAA 9squest
I certify that I have checked, verified, o~ conformed to all MOA HAA Guidelines in effect
on the date of this inspection.
Signed
Company
KB1/d5/s
Date ~/~
[Page 2 of 2]
2-15-84
CONSULTING ENGINEER
203 W. 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
LARRY LUEDKE
ERA PRIORITY ONE INVESTMENTS, INC.
4241 B STREET SUITE 202
ANCHORAGE, ALSKA 99503
RESIDENTIAL WELL
AUGUST 13,1984
INSPECTION
LEGAL
Lot 11, Block 2, McMahon
LOCATION
12600 Lorraine Street
OWNER
Jones, John and Kay
TYPE OF WELL
Residential
WELL LOG AWAILABLE Yes
INSTALLATION REQUIREMENTS MET Yes
WELL YIELD FROM WELL LOG 6 GPM.
DATE OF TEST
August 8, 1984
TEST PROCEDURE
On August 8 the well was pumped at a rate of
7 gpm. for a total time of 75 minutes. The
waterlevel at the beginning of the test was
47 feet below the top of the wellcasing.
After delivering 205 gallons the waterlevel
stabilized at 53 feet and remained at that
level for the rest of the test. The pump is
set at 100 feet.
TEST FOR COLIFORMS
The well water was tested for Coliforms on
August 8.Test was negative.
TEST RESULTS
This well meets all the requirements of the
Municipality in effect on this date.
This assessment of the condition of this
well applies only to the conditions as of
this date. The flow rate of the well may
change due to subsurface conditions that may
not be observed from the surface, changes in
land use and other factors that may impact
the conditions of the aquifer feeding the
well.
CONSULTING ENGINEER
203 W. 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
LARRY LUEDKE
ERA PRIORITY ONE INVESTMENTS.INC.
4241 B STREET, SUITE 202
ANCHORAGE, ALASKA 99503
SEPTIC SYSTEM ADEQUACY TEST
LEGAL
LOCATION
OWNER
RESIDENCE
WATER SYSTEM
SEPTIC SYSTEM
DATE OF TEST
TEST PROCEDURE
TEST RESULT
LOT 11, BLOCK 2, MCMAHON
12600 LORRAINE STREET
JOHN AND KAY JONES
SINGLE FAMILY, FOUR BEDROOMS
ON SITE WELL
FROM MUNICIPAL RECORDS: TANK:1250 gal. Greer Steel
ABSORPTION SYSTEM:Deep trench,67 feet
long, 10 feet of rock
ABSORPTION AREA:1340 sq.ft.
SOIL RATING: Permit written for 330,soil
log and perc test shows 85 to
125
INSTALLATION DATE:September 1978
8/8/84
Drainfield was charged with water at a steady
flow of 7 gpm. A total of 600 gallons of
water was added to the trench. At the begin-
ning of the test the water depth in the sump
was 16.5 inches. After adding 600 gallons of
water the water depth was 30 inches. 20 hours
later the water depth was measured again. At
this time it was 12.5 inches. The 600 gallons
of water hasd been absorbed by the system.
This system meets the requirements of the
Municipality of Anchorage as of the day the
system was tested. There is no quarantee that
the system will continue to meet these requi-
rements. The operational life of all septic
system depends on the local soil conditions,
groundwater levels that may fluctuate during
the year, and the water usage of the family
being served by the system.
~ MUNICIPALITY OF ANCHORAGE DEPT. 05 i:;ALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT~¥11~ME~]'AL
825 L Street - Anchorage, ~laska 99501
~ ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be preceded. Please allow ten (10) days for processing.
PR'OPERTY R~IDENT (If different ~rom ab0~e) ' ' , ' ' PHONE
2. BUYRR C / ~FH~ E
MAILING ADDRESS
3. LENDING INSTITUTION ~ PHONE
I
MAILING ADDRESS
4. REALTOR/AGENT ~ PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREEELOCA ,ON>
· 7,
6. TYPE OF RESIDENCE
[~NG LE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] One ~Four [] Other__
[] Two [] Five
[] Three [] Six
7. WATER SUPPLY ~ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
[~N DIVI DUAL/ON-SITE*~
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
: THIS SIDE FOR OFFICIAL USE ONL~
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
'-DATE DATE DATE
I NSP ECTOR INSPECTOR I NSP ECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEP~'H OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE iNSTALLED
[~PUBLIC UTILITY ~r-'_ ~ ~
Connection Vet f ed, INSTALLER
[~]Septic Tank or [] Holding Tank
Size: !e~-~'''° If Tank is homemade SOILS RATING~
give dimensions: ~"~-
TYPE OF TANK MANUFACTURE~
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCES Septic/Holding"lJa/'~"'~-''"q~'''~ Nearest Lot Line
nk Absorption Area Sewer Line
I
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
~ APPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED .~~
DATE BY (Title)
LEGAL DESCRIPTION ~ Iv
72-010 (Rev. 3/78)