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HomeMy WebLinkAboutMCMAHON #1 BLK 3 LT 33 QGREATER ANCHORAGE AREA BORUUGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: FROM WELL MANUFACTURER /~-z- MATERIAL C'~-~_~,~ COMPARTMENTS INSIDE LENGTH ~ / / //~ ~ INSIDE WIDTH 3~-- /LIQUID DEPTH ~ LIQUID CAPACITY GALLONS. NUMBER OF PITS / DI/~METER LINING MATERIAL ~"~ h3~~' CRIB SIE'~E~ __OR WIDTH DIAMETER BUILDING FOUNDATION , ~NEAREST LOT LINE ADDITIONAL ABSORPTION 8~ /<~¢ · LENGTH 34/, DEPTH / DEPTH DISTANCE FROM: WELL //c"~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) Z'/(O SQ. FT. WELL: BUILDING FOUNDATION __ CESSPOOl CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DEPTH DISTANCE FROM: ~NEARESTI. INE /~/'O/, TANKSEPTIC /2/~oy ,/ SEEPAGEsYsTEM //O / APPROVED. DISTANCES: · DISAPPROVED REMARKS .._'~'/'4'.~-'7~eI"'~"¢~IAG~,M OF SYSTEM / PIPE MATERIAL: LOT SLOPE: DATE , ~4 APPROVED / / .~,~ I~Y ~:" Grea3/r ANChORAge ARea BOR ,gh , ' · INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~ FIEld/ ~ ~' ., ' soil TEST RESULTS~ b 7--Z~ g~ NOTE: TH,. pE..ly ,5 NOT VALID WITHOUT ~OIE ~.T COMPLETION DA~ ANTICIPATED FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALIT'Y AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE ~ / MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~ I ~ " , D AIN FIELD F~UNDaTION TO SEEPAGE PIT ~ SEPT,CTANKTO SEEPAGe P,TWAL1 SEPTIC TANK ~ , SEEPAGE PIT DRAIN ~lElD TO NEAREST LOT LINE. ~/ · sEEPAGE PIT DRAIN FIELD : / _~ '~ , ALSO CONSIDEr AREA WELLS. WATER MAIN TO SEPTIC TANK .; SEEPAGE PIT EXCAVATJ0N:5 FEET In~'o UNDISTURBED SOil. E'~.~'~ GRAVEL BACKFILL CONFORM TO BOROUGH ~EGULATIONS REGARDING INSTALLATION!. ~ ~ .~ ~;~ [4(. 4;:~,. /} 'G~,Z... DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH oRDINANCE NO. 28.08 AND THAT THE ABOVE Test Hole No. 1 W.O. #174~7 Depth in Feet From To 0.0' 1.0' 1.0' 9.0' 9.0' 14.0' 14.0' 16.0' $oil Description F-4 Brown Sandy Silt NFS Brown very Gravelly Sand with traces of Silt, damp to dry, 6"-, S? to SP/SM F-2 Tan Silty Sand, damp, medium density, SM (representative percolation rate = 2 min./in.) NFS Brown Sand, damp, medium density, SW Bottom of Test Hole: Frost Line: Free Waterlevel: Remarks: 16.0! None Observed None Observed Strata dip diagonally to the east. Pit logged in center. 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 1. GENERAL INFORMATION Complete legal description Lot 33; Block 3; McMahon Subdivision~ Location (site address or directions) 3545 Doroshin, Anchorage, Alaska Property owner Mailing ~ddress Lending agency Mailing address. Ray Caginia 265-5593 Day phone 3545'Doroshin, Anchorage, Alaska Day phone Agent Donna Gunn/VISTA REAL ESTATE Address 3Onn P ~r~ An~hnr~g~ Ala~ 99503 Unless otherWise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~¢; /~ ¢-5' TYPE OF WATER SUPPLY: individual well xx× Community well NOTE: Day phone 562-6464 Public water community well system, provide written confirmation from State AD£C 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 AD£C attesting to the legality and status of system. 72~25 (Rev. 1/91) Front MOA#21 (Bonnie) 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/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 ail Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Phor~e " S & S ENGINEERING Address 170.34 Eagle River Loop RoacJ No. 204 tEagle River, Alaska 99577 Engineer's signature Date DHHS SIGNATURE Approved for ,~-~ ~_.//J// bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 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. 72-025 (Rev. 1/91) Back MOA ~21  Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /_¢b~ ~_ r' ['~U(._ '~. Ir ,¢/¢/~ Parqel I.D ~ { 7' ~ A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~-o~ ~/~,~ Driller Cased to L-/© + Casing height Wires properly protected (Y/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 ;2O 0 ; On adjacent lots On adjacent lots Public sewer manhole/cleanout Petroleum tank /OO~ WATER SAMPLE RESULTS: Coliform (~ Date of sample: ,~/~,~ lc~ l, Nitrate /~'~ Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed c~/~.~ ~_~ Tanksize i~(~O ~J~41~A4",CF-.~Compartments Cleanouts(~N) ~/F--$~. I Foundation cleanout (~N) ~4~s~_ Depression (Y/~ High water alarm (Y/N) ~J//~ Alarm tested (Y/N) ~ Date of pumping ~/\(~ / °~ ~. Pumper SEPARATION DISTANCES FROM SEPTIC/~f~L~i~;~,,C TANK TO: Well(s) on lot: lO0¢4- ' On adjacent lots To property line ~ AbsOrptiOn field Surface water/d rainage ~.00 f ~L Foundation Water main/service line 72-026 (Rev. 7/91) Front ' ' . CONTINUED ON BACK PAGE --- C.L_LI FT~.-.. STATION //~ Date i n'stal~.ed ¢~) Size in gallons --. Vent (Y/N) "P~'~h'p-o.n~.l evel at Manufacturer Manhole/Access (Y/N) "Pump off" level at High water alarm level '---. Cycles tested Meets MOA electrical codes (Y/N) _ ~ SEPARATION DISTANCE FROM LIFT STATION TO:~ Welt on lot On adjacent lots Surface wate~ D. ABSORPTION FIELD DATA Date installed ~'-~'.~'/~ Soil rating ~;~ ~ %F://~/?. System type ~_NC~ Gravel thickness Cleanouts present (~N) Date of adequacy test for ~r,O(~u~ f.,.l If yes, give date Total depth bedrooms Length '~ ~ Width Total absorption area Depression over field (Y/~_~ Results (e/fail) ~¢1~,~ Peroxide treatment (past ~2 months) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water ('00 Curtain drain On adjacent lots /0© '¢- Property line 60 % To existing or abandoned system on lot Cutbank ~5'~ot~ 6= 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 effect on the date of this inspection. Signature Engineer's Name Date $ & S ENGINEERING 17034 Eagle River Loop Roa~l Ea,cf e River, Alaska 995?7' HAA Fee $ Date of Payment Receipt Number ~ ~ .~Ri'~ ~-~'~ 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEER}NG CO. 5633 8 STREET ANCHORAGE, ALASKA99518 TELEPHONE (907} 562-2343 Chemlab Ref.l 92.1013 Sample t $ l~at[lx: WtTB~ FAX: (907) 551-5301 Client Sample I9 Collected : Received Ser~ Repozts to: ~3 POI :NONE ~ECBIWD 4.3 n~t/1 [PA 353.2 ROIFII~ 8AJ{PLE COLLECTED BY: J.~. TAO ~E~D ONLY ~OB LO~ NUWBBR, DESCRIPTION NO~ COMPLETE. ~eets Pezfor~ed " See Special Instructions tbove UA-Un~¥allable None Dete~ted ** See ~ple Re~zks Above No~ l~l~ed LT*Less ~n, G~-G~eate~ T~n Member of the SGS Group ($ocidtd Gdndrale de Surveillance) " MUNiCiPALiTY OF ANCHORAGE ,~- ~- (~ } '~,~/~_,L DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street- Anchorage, Alaska 99501 MUNICIPALITY OF ANCHORAGE DEPT, OF IdEALTH ENVIRONMENTAL ENGINEERING DIVISION ENVIRONMENTAL F,~O-rECTIoN Telephone 264-4720 FEB 4: !98'i REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES RECEI VI.L~ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow tan {101 days for processing. 1. PROPERTY OWNER PHONE MAILING ADDRESS ~,~/9 ~o ~ /5'.5"3,9 PHONE PRi~ERTY RESIDENT (if different from above) PHONE 2. BUYER MAILING ADDRESS 3. LENDING INSTITUTION I PHONE ,P_~zr_,9 $7-;gr-~.b,9~I ~ 7P' ?(o3 MAILING ADDRESS 4. REALTOR/AGENT I PHONE MAI LING ADDRESS 5. LEGAL DE/SCRIPTION / ~/33 &/~ STREET LOCATION L~ d~9,4~o6~_ ~O,~03/I/xJ 4~ K/LaY 6. TYPE OF RESiDENcE NUMBER OF BEDROOMs [] One [] Four ~J SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* *ATTACH WELL LOG. Awell log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date \(~['-~ ~-~ . If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SiDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TiME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY El ONE [] THREE [] FIVE [] OTHER I-3 MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE-DRiLLED I-3 PUBLIO UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERM"IT NUMBER []PUBLIC[] INDIVIDUAL/ONuTiLiTY -SITE DATE INSTALLED (~ ~ ? ,~ Connection Verified INSTALLER []Septic T.ank or [] Holding Tank Size: //c't'-~/J If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANOFACTURER LI , 0. TOTAL ABSORPTION AREA MATERIAL ~ ~ 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~'~'~APPROV ED FOR ~-.3 BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE .~ BY (Title) / /' ~E~L ~ESCRI~TIO~ ~ 72-010 (Rev, 3/78) Test Hole Log - Description Guide The soil descriptions shown on the logs are tbe best estimate of the soil's characteristics at the time of field examination and as such do not achieve the precision of a laboratory testing procednre. If tbe log includes soils samples, those samples receive an' independent textural classification in the laboratory to verify the field examination. The logs often include the following items: Deptb Interval -- usually shown to 0.1 foot, within that zone no significant cbange in soil type was observed through drill action, direct observation or sampling. Frost Classification -- NFS, Fl, F2, F3, F4, see "Soil Classification Chart" Texture of Soil - An engineering classification of the soils by particle size and proportion, see "Soil Classification Chart", note the proportions are approximate and modifidations to the soil group due to stratification, inclusions and changes in properties are included. Moisture Content - this is a qualitative measure: dry, no or little apparent surface moisture, damp, moisture forms portion of color, less than plastic limit, wet, no f~ee water, often soft, if cobesive soil, saturated, free water may be squeezed out, ifa free draining soil; dilatent at natural moisture content, if a non-plastic silt or fine sand'. (The moisture content is further defined by reference to Pi, LW, NP, M%or dilatency0 Density -- refers to more-or-less non-cohesive soils, such as sand gravel mixtures with or without a fine fiaction, derived from drilling action and/or sample data; usuall/ described as: very loose, loose, medium dense, very dense. General intent is to portray eartbwork characteristics.. Stiffness -- refers to more-or-less cohesive soils and fine grained silts of the clay-silt groups. Derived fi'om drill action and/or sample data. Very soft, soft, stiff, very stiff and bard are commonly used terms. Particle size The largest particle recovered by the split spoon is 1-3/8", Shelby tube 3", auger flights (minute-man) 2", Auger flights (B-S0 hollow stem) 6"-8". Larger particles are described indirectly by action of the drilling and. are referred to as cobbles, 3" to 8", or boulders 8"+. Therefore when reviewing tbe g.'adation sheets, if any, the description on the bole log must be considered for an indication of larger particles. Unified Soil Classification - This is a two letter code. See Unified Classification sheet for.further definition, in some cases AASHO and/or FAA soil classifications may be shown as well as the unified. Atterberg Limits -- useful for fine grained and otber plastic softs, PI; natmal moisture content believed to be less than plastic limit PI+; natural moisture content believed to be between plastic and liquid limits L~w+; natural moisture content believed to be greater than liquid limit NP; non.plastic, useful =s a modifying descriution of some silty materials. Dilj}t_q.[!c~x -- is the ability of water to migrate to tile su,'fitce of a saturated or nearly saturated soil sample xvbeu vibrated erjo!tcd - used as au aid to determine if a fine grained suJl is a slightly or non-pl;tstic silt or a volcanic ash. Rock flour -- finely ground soil that is not plastic but otherwise appears · similar xo a clayey silt. Organic Content - usually described as Peat, PT, sometimes includes discrete particles such as wood, coal, etc. as a modifier to an inorganic 'soil. Quantity described as; trace, or all estimate of volume, or, in case of all organic, -- as Peat. This may include tundra, muskeg and bog material. ~uck - a modifier used to describe very soft, semi-organic deposits usually occuring below a peat deposit. Amorphus peat organic particles nearly or fully disintegrated. Fibrous Peat -- organic particles more-or-less intact. Bottom of Testhole - includes last sample interval. Frost Line -- seasonal frost depth as described by drilling action and/or samples at the time of drilling. Frozen Ground - other than frost lina, described by samples, usually includes descript!on of ice content, often will include modified Unified Classification for frozen soils -- tbis is a special case related to permafrost studies. Free Water Level -- Tbe free water level uoted dining drilling. This is not necessarily the static water table at the time of drilling or at other seasons. Static water table deterndnation in other tban very permeable soils requites observation wells or piezometer install,,tions, used only in special cases. Blow/6" -- The number of blows Of a 140 weight free fal!ing 30" to advance a 2" split spoon 6"; the number of blows for a 12" advance is, by definition, the standard penetration. 5,4~°4 - natural moisture content of the soil sample, usually not performed on clean sands or gravels below the water tame. Type of Sample -- S_sP, refers to 2" split st'oou driven into thc sol! by 140 pound weight, a disturbed sample. _S, thin wall tube, "Shelby" used to obtain undisturbed samples of fine grained soil, .(.i, "grab" distm'bed sample from auger flights or w:dl of trench, C.Q, cut sample, undisturbed sample flora ~wdl of trench. l)ry Strength a useful indicator of a soil's clayey fiaction, N=None, L=Low, M=Medium, tl=lligb ~ro~ -- The samples a,'e placed n o pp.'entlv similar groups based or, color and texture z*iid are arbitrarily assiglled a group letter. [:urther disturbed tests including AtteJbe~g Limits. grdn xizc, moisture-density refleel the general distrub,:d characl, etistics of thc soils assigned to the group. This is an important pb:,se of thc soll amdysis and is used to ,9, ~lo,{~.~p~o 0o '~ -~ ~.~ o°~ o..q ~, ~ ~ ~: ~ ~- .~ ~. I I SOIL CLASSIFICATION CHART 30% GRAVEL CLAY CLAYEY \ CLAYEY OR SILTY SILTY SILTY ~ GRAVELLY SAND SAND CLAYEY /' SILTY GRAVEL SANDY GRAVEL SAND GRAVELLY SAND SANDY GRAVEL GRAVEL \ - 0 !0 20 30 40 50 60 70 80 90 100 GRAVEL (+#4 SCREEN) % BY WEIGHT NONFROST SUSCEPTIBLE SOILS ARE INORGANIC SOILS CONTAINING LESS THAN 3% FINER THAN 0.02 mm. GROUPS OF FROST-SUSCEPTIBLE SOILS: F1 GRAVELLY SOILS CONTAINING BETWEEN 3 AND 20% FINER THAN 0.02 mn;. F2 SANDY SOILS CONTAINING BETWEEN 3 AND 15% FINER THAN 0.02 mm. F3 a. GRAVELI_Y SOILS CONTAINING MORE THAN 20% FINER THAN 0:02 mm. Al'ID SANDY SOILS (EXCEPT FINE SILTY, SANDS) CONTAINING MORE THAN 15% FINER TIdAN 0.02 mm. b. CLAYS WITH PLASTICITY INDEXES OF MORE THAN 12. EXCEPT VARVED CLAYS. F4 a. ALL SILTS INCLUDING SANDY SILTS. b. FINE SILTY SANDS CONTAINING MORE ii-lAN 15% FINER THAN 0.02 mm, c. LEAN CLAYS WITH PLASTICITY INDEXES OF LESS THAN ].2. d. VARVED CLAYS. 4040 "B" STREET, ANCHORAGE, ALASKA 99503 PHONE: 907-27c)-2581 August 4, 1975 W~O. ~17447 Mr. A1 Swank 403 W. 22nd Ave, Apt. 207 Anchorage, AK 99503 Reference: Lot 33, Block 3, McMahon Subdivision Soil Test Dear Mr. Swank: Transmitted h~rein are the results of the soil testing performed on the above referenced property. Following this letter are: Test Pit Log Standard Explanatory Information Sheet 1 Sheets 2-4 A test pit was dug on the property by the owner using a backhole. The ~est pit was logged by Mr. O. M. Hatch, Senior Technician on our staff. Grab samples were taken from the wall of the test pit as needed to define the existing soil strata. Below the top foot of sandy silt on the surface was 8' of non-frost susceptible brown gravelly sand with some silt. Its unified classification being SP to SP/S~. This material will require 170 square feet of percolation area per bedroom. From 9 to 14' the soil turned to a silty sand with a unified classification of SM. A percolation test was run in this zone with at a rate of 2 minutes per inch, for an actual rating of 85 square feet per bedroom. From 14' to 16' the material was again non-frost susceptible being a brown sand and having a unified classification of SW, and a visual p~rcolation rating of 125 square feet per bedroom. No free water was observed in the test bit. If we can be of any further service to you in this regard or help clarify any of the data presented in this letter, please feel free to contact our office. Very truly yours, MRN: chc }~nclosr~re ALASKA TESTLAD /~ ~ MelVin R. Nicho.~s, C.E. Laborahory Supervisor