HomeMy WebLinkAboutLOMA ESTATES BLK 3 LT 3 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 N~: '~/~ ~ H~ ~ ~ ~ N/~NC ~ Wastewater System: ~ New ~ Upgrade Address: 5~ 'T~o~u ~ ~ ~ ABSORPTION FIELD Phone: I NO. of Bedrooms: ~Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other Total Depth from original grade: LEGAL DESCRIPTION ~oilRati,g: ~,~ GPD~ ~ I Lot: ~ BIock:~ ge ~Subdiv~i°n:~~ 3epth to pips botl~ m. from original,~grade: Ft, Gravel depth beneat~pipe Ft. Township: Range: Section: Fill added ahoy,, original grade: Gravel length: Number of lines: 0ista.~een liaes: WELL: ~New ~ Upgrade G,a~widm: ~ Ft. ~ Ft. Classification~r~V~f~(Private' A,B.C): Tot~l~bDepth: Ft. Casedl~lTO: Ft, Total absorption ~e~ ~ SQ. Ft. Pipe~o.~qmaterial:g Pump Set at: Casing Height Above Ground: ~,e~: ~ ~.~ ~ ~ ,t. ~ ,,. TANK SEPARATION DISTANCES ~ Septic ~ Holding ~ S.T.E.P. To Septic Absorption Lilt Holding =ublic/Private Manufacturer: Capacity in gallons: From Tank Field Stalion Tank s .... u,~, ~NcI~ .~filF~ Well- lb0 ~O ~ ~ ~ Material: Number of C~a,ments: Sudace w~t.~ ~ [o Id~ LIFT STATION Lot ~t J~ j Size in gallons Manufacturer: Line Foundation I~ I ~ I "Pump on" leve~ at: "Pump off" level at: High water alarm at: Cu~ainDrain ~ 0 ~ ~ Pump Make & Model Electrical Inspections pedormed by: Remarks: BENCH MARK '~ / Locatio~ and D~script[on~ Assumed Elevation: ENGINEER'S SEAL Department of Heal. and H~man~ervices approval Reviewed and approved by: ~~~ Y~ Date:/-~/-~7 '~: ' .. 72-013 (Rev. 9/91) MOA 25 SWING TIES: AC 21.5 FT AL 77.5 FT BC JJ. 5 BL 59 AD J4.8 A~4 92.2 BD 42 BM AE 57.5 AN 94.2 I BE 45 BN 65 BF 45 AG 75 BG 44.5 _ ~H 76.5  BH 45 2 ~ENCHES 40 FI L I ~ ~2 FT TOTAL DEPTH ~ I ~ % 9FT ar ROCK I I I~ ~50 GAL SEPTIC TA~~ ~H I I , ~ ~ ', I , I , I ~,'~'-, No, CE aaa5 .,,~ / / - ',;~;~ ......... :...-~* / /.., . TOBBEN SPURKLAND P.E. ~OT ~ ~OCE ~ ~O~A ~A~ SEPTIC SYSTEM AS BUILT 205 W 15TH. AVENUE DATE: DEC, 17, 1996 ANCH. AK. 99501 EDWARD 5241 FAU~US CIRCLE SHEET: 2/3 GRIB: 3537 (9~7~ ~79-~916 S~9605~5 P/D ~ 020-0~2-32 LOEO3032. DWG Moni$or Cleon Du' C{eon Ou~ Sizondord ?menches: 2' Wide dO' LonO 9' Sewem 3' Cover Monitor Cleon Cleon ~ · 200 ~DW ~LITT~ ~ILT BARRIER 88.0 I IJ(~l 78. 7 FLOW SPLITTER INV ELE. 92.37 1~ SEPTZ'C TANK 72.~, NB SCALE ~ENCH MARK, ASSUMED ELEV. TOBBEN SPURKLAND P,E. II ~03 WlSth Ave II AnchoPo9e Ak 99501 77~ ~916 BLOCK 3 LO/VA ESTATE ED YA£HAK ~£4~ TAUt~US CI£CLE I I SEPTIC SYSTEM AS }}UILTS ]]lATE: ~EC, ./7~ ]~; SHEET, 3/3 ~RI~, 3337 · , STATE OF ALASKA ' DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT LOCA'TJON OF WELL WATER WELL RECORD LOCATIONISK~CH~ W~LL OWNER: ..... DEPTHS M~SURED FROM~cesing top ~groun~ surtace WELL DEPTH: _ , ~ DATE OF COMPL~ION Depth of hole:~ ft BOREHOLE DATA; D~pth ~aterial Type ~nd Color From To · ~ '' · DEPTH TO STATIC WATER L~EL;  METHOD OF DRILLING: ~'air rotary ~ cable tool ~ .~ /~ ~ other .,,, ,.,, ~/ 1..~. USEOF WEL~domestic ~ irrigation ~ monitor WELL INTAE OPENING TYPE: ~ open end g SOtesnea ._ ~'pertorat]d ~ open hole __. - Depths of openings: fl~ to t/~ Jt ~L SCREEN TYPE; Diam: in. Slot/Mesh Size; r.. Length: ft GRAVEL PACK TYPB: ~ VoJume used; .. Depth to top: . GROUT TYPE: Volume; Depth: from ft to ft DEC 19 19% PUM.IUe AND.YJ Lm ' " "uman 8ervJc, PUMP INT~E DEPTH: ft Horsepower: WELL DISINFECTED UPON COMPL~ION? ~YES ~ NO CONTRACTOR INFOR~J~ATION: REMARKS: n¢',j~st~Aea uusiness Name"' / ~" /~ .... /~' ' ~ / ~ '~ ~ o~ ~ / PLEASE MAIL WHITE COPY OF LOG TO: ~-~~//~~ /"-~ ~' 7~ DNR/DIVISION ~gnEture of Amh~r~ed Respres~tative ' ~,~ __~INI~ ~ WAT~E M~MT ~ Da... ~Ol C St, Suite 800 ANCHORAGE AK 99503-5935 Phone (907)269-8639, Fax (907)562-13B4 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960355 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:TEALL DORCAS OWNER ADDRESS:5241 TAURUS CIRCLE ANCHORAGE, ALASKA 99516 PARCEL ID:02009232 LEGAL DESCRIPTION: LOMA ESTATES BLK 3 LT 3 LOT SIZE: 46064 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:10/22/96 EXPIRATION DATE:10/22/97 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 (iSAACS0) . 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: RECEIVED BY: DATE: DATE: T SPU KEAN 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 3 BLOCK 3 LOMA ESTATE EDWARD YARMAK Municipality of Anchorage October 9, 1996 Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 We are submitting an application for the installation of a well and septic system for this lot. The submittal consist of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and septic system are subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: No Ground Water or Impervious Layer to 18 ft. Use Standard Trench Soil Rating. 48 min/in = .45 gal per sq.fffday No. of Bedrooms 4 Required Area per Bedroom: 150/.45 = 333 sq.ft.. Total area required: 4 x 333 = 1332 sq ff Testhole depth 18 feet Bottom Rock At 12 feet Top Rock At 3 feet Rock Depth 9 feet Total Trench Length 1332 / 18 = 74 ft Use 2 trenches at 40 ft. each SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 2 x 40 FT TOTAL WIDTH 2 FT TOTAL DEPTH 12 FT ROCK DEPTH 9 FT COVER 3 FT 1250 GAL SEPTIC TANK The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this lot. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. MUNICIPALITY OF ANCHORA(~; ENVIRONMENTAl. SERVICES DIVISION OCT 09 1996 RECEIVED VACANT LOT ~ VACANT LET 3 I L~TT 2 ~ ~ ' VACANT ~ ~ I / / / VACANT ~ VACANT / / >LOT 9 ~ 49th / S£ALE~ f" = lO0 F~, No, CE aaa5 / / 1 LITT ] EXISTING IMP£DVEMENTS ~/~ TOBBEN SPURKLAND P.E. II II 203 W 15TH. AVENUE ANCH. AK. 99501 (9071 279-..s? 1~, LOT 3, BLOCK 3 LOMA ESTATE EDWARD YARMAK 52~! TAURUS CIRCLE I I SEPTIC SYSTEM DESIGN DATE: SEPT. 12, 1996 SHEET: 1/$ GRID: 5337 % % P~OPO£E~ P£OPO£EP T, eEN£HES 2 T/eENCHES dO FT 1£ FT TOTAL JgEPTN 9 FT OF /~ZTCK 1250 6AL SEPTIC TANK P~ZTF~ £UIL~IN6 SITE % 50 75 100 I' = 50 FT, ® 49Us N SPURKLAND No. CE-~5 125 150 (907),_,'-"~c'.., ,.,,..,zn ! 6 TOBBEN SPURKLAND P.E. II II 203 W 15TH. AVENUE ANOH. AK. 99501 (907~ 279-:~916 PROPOSED IMPROVEMENTS I I TIVE SYSL I I I OPD£EB >- 1frei1 i i / LOT 3, BLOCK 3 LOMA ESTATE EDWARD YARMAK 5241 TAURUS CIRCLE SEPTIC SYSTEM DESIGN DATE: SOOTY 12, 1996 SHEET: 2/5 GRID: NB37 Moni~:or Cleon Ou Cleon Hut W/de 40' Lon9 Deep Sewer rock Cover Monli:or Cleon Ou Cleon ZTut 1_/250 9al Septic ~onk z 200 FLDW SPLITTER ND SCALE FLOW SPLITTER ND SCALE SEPTIC TANK BENCH ASSUMED ELEV, TOBBEN SPURKLAND P,E, a03 W15th Ave Anchopage Ak 99501 LI2T 3 BLOCK 3 LOMA ESTATE ED YA£MAK $24! TAU£US CIRCLE SEPTIC SYSTEM DESIGN DATE: SEPL SHEET, 3/3 GRID, 3337 PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEAL-TH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST z :~ '-% ~' '[ENGINEER'S SEAE' t~.~ [ PERFORMED%.??- ~ .... ; ~:,5;~) - . DATE LEGAL DESCRIPTION: LDH - Township, Range, Section: I 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS SLOPE WAS GROUND WATER ti__ ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E SITE PLAN Oeplh lo Water Alter i Moniloring? ~ Oale: ~1~ Date Gross Net Depth to Net ~'~/&/1 Time Time Water Drop PERCOLATION RATE '~1~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FTAND ?)~FT .ERFORMEO.Y: __, ,~ CERTIFY THAT THIS TEST WAS PERFORMED IN 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEAL'TH & HUMAN SERVICES 825 "L" Street, Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 4 8 10 11 12 13 14 15 16- 17- 18- 19 20 COMMENTS Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED;' S L IF YES, AT WHAT O DEPTH;) p E Depth Io Waler Alie! Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ~/~:~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FTAND PERFORMED BY:~, ~.5 -- '~P 'f"~ CERTIFY THAT ]'HI§ TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATI-.'. DATE: ~/~/~ ~ 72-008 (Rev. 4/85J iCUN~oPALITY OF MUNICIPALITY OF ANCHORAGE DEPArTMeNT OF HEALTH & HUMAN S[~VlO[~ Division of Environmental Se~ices On-Site Se~ices Section P.O. Box 196650 Anchorage, Alaska 99519~C 343-4744 Parcel I.D. CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address CD a 4Nc-/ Dayphone t Lending agency Mailing address Day phone. Agent Ad dress Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well Community .well 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, provide written confirmation from State ADEC attesting to the legality and status of system. 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 all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~-~ i~P¢ ~--/~t Address ~0 Engineer's signature DHHS SIGNATURE ~ Approved for Phone 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. 1t91) Back MOA¢¢21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SE,B~I~^L,r~ Environmental Services Division ENVIRONMENjA~ 825"L" Street, Room 502 · Anchorage, Alaska 99501 · (907) Legal Description: A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Health Authority Approval Checklist /:~K 3, Lo 1~.4 ~ Parcel I.D.: Date of test Static water level Well production If A. B, or C, attach ADEC letter. ADEC water system number Date completed Ii/f It'll tl ~' Cased to ~ o,~ ! ~ FROM WELL LOG Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION WATER SAMPLE RESULTS: Coliform N/~ Date of sample: ~'/~0/q 7 Nitrate Collected by: Other bacteria c~ /"'} I'~ B. SEPTIC/HOLDING TANK DATA Date installed 11/~5/qt~ Foundation cleanout (Y/N) Date of Pumping IM//& Tanksize /aO-~O Number of Compartments A Cleanouts(Y/N) . Depression (Y/N) 1~4 High water alarm (Y/N) Pumper 7 Co ABSORPTION FIELD DATA Date iustalled 1 ¢¢~ / q/~. Length ~ 0 ~ Width Soil rating (g.p.d./fl2 or v~ / Gravel flfickness below pipe System type ~J-'/ct.44 Total depth Effective absorption area Date of adequacy test Me.toting Tube present(Y/N) _ Results (Pass/Fail) lq/Fi Fluid depth in absorption field before test (in.); Fluid depth / (ins.) Minutes later: Inunediately after~gal, water added (in.): Absorption rate = ~'/ g.p.d. Depression over field (Y/N) For ~4//4' bedrooms Peroxide treatment (past 12 months) (Y/N) If yes, give date Do LIFT STATION ~N.}/~ Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons "Pump on" level at* *Datum "Pump ofF' lcvel at* Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/l'~ tm~ ou lot Absorption field on lot Public sewer main Sewer/septic service line ; On adjacent lots · On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/-I.t'OL-t~NC:r-T4rN'K ON LOT TO: BuiMing foundation e:~(,> I Property line ~ ~ I Absorption field 'c~O ¢ Water main/service line ~d~ Surface water/drainage--'~'1'/I~ Wells on adjacent lots ~ O1>! SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Buildiug foundation ~2 t Water main/service line ~ ~ ~ t Surface water /',4/~ Driveway, parking/vehicle storage area ]g,~ Curtain drain ~d/O Wells on adjacent lots J 140' Property line F. ENGINEER'S CERTIFICATION ::' I certqfi that I have determined thru field inspections and review of Municipal records m conJbrmance with MOA IL,M guidelines in effect on this date. EugmeersName Io ~ ~Ou~b~¢~ ~m -- HAA Fee $ Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Nmnber JLIN-02-1997 i?~ ii CT~E ESI ~1~ cT~E Envimnme.Zal Services Inc. RNE:HOR~qL]E ;T&£ Re[# ]lent Name 'roject Name/# 'lient gample ID Aatrix )rdered By ,WSID ~'~le Remark: 972683001 Tobben Sp~kland P. E, 3/3 Loma Estate 3/3 Loma £stute Drafting Water Client PO# Printed Date/Time 06102/97 16:25 Collected Date/Time 05/30/97 08:30 Received Date/Time 05/30/97 09:00 Technical Director: Stephe. C. Ede Tote[ geliform k~lts Dbte Date l~it PQL Um{t5 Method ...... ~ -- - 0.93~ O.lO0 mg/L SN]8 &5OO-NC3= 10 ~nax 05/30/9? JkJ 05/30/97 RAh~ g50~ ~/O COLI ¢0[/!00 NL. $Ht8 9222g _TWhl-06-1997 OE-',: 47 CTT_"~E ES 1 RHCHEiRRGE dl~l~[~ CT&E Environmer~tal Sem.,ices Inc- CT&E Ref.# Client Nmne Project Name/# Client Sample ID Matrix Ordered By PWSID S~mple Rema¢:~; 9'1283. 10(}2 Tobben Spurkl~ud P, E. N/A Loma Estate LI'3 Bik 3 Drinking Water Client PO# Printed Date/Time 06/06/97 08:32 Collected Date/Time 06/03/97 15:10 Received Date/Time 06/03/97 t6:40 Iechnical Director: Stephen C, Erie cot,- ~SCimk S~I8 722~S 06/03/97 RtdV