HomeMy WebLinkAboutHENKINS BLK 2 LT 1
Municipality of Anchorage Page I of 'Z
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: ~'c'J~J ~o~ ~'0 PID Number:
Name:~1~' ~~-~ Wastewater System: ~ New ~Upgrade
A~:. ~X ~70~ E~ ~~ ABSORPTION FIELD
No. of Bedrooms:
Phone: ~ -- ~O~ ~ ~ DeepTrench ~ShallowTrench ~ Bed ~ Mound ~ Other
Total Depth from original grade:
LEGAL DESCRIPTION ~oil Rating: J.~ GPD/Sq. Ft.
Subdiv~ion: Depth to pipe boEom from original grade: Gravel depth beneath pipe
Lot: I Block:~ ~{~ I' ! 7 Ft. O' ~ Ft.
Township: Range: Section: -- Fill added above original grade: Gravel length:
WELL: ~New D Upgrade Gravel width: ~ I Number of lines: Distance be~een lines:
Ft. [ ~ Ft
Clarification (Private, A,B,C}: Total Depth: ~:' Total absorption a[~: Pipe material:
Driller: ~ ~ Drilled: Static Water Level: qnstaller:Ft. ~'~
Yield~~ GPM PumpSet at: Ft. Casing Height AboveGround:Ft. TANK
SEPARATION DISTANCES ~eptic ~ Holding D S.T.E.P.
To Septic Absoft[on Lift Holding Public/Private Manufacturer: Cspacityin gsllons:
From Tank Field Ststion Tank Sewer Lin~ A~cH~e ~ IOoo
~Matedal: ~ Number of Compa~ments:
Sudace
Water IOOl+ /~+ -- ~ ~ LIFT STATION
Lot ' , ' Size in gallons: I Manufacture:
Line 1~ I -- -- --
Foundation Z~I~ ~1~ ~ ~ ~ "Pump on" level at: - ' . High water alarm ~t:
Cu~ainDrain ~ , ~, ~ ~ Pu~ectri~l Inspections pe~ormed by:
Remarks: ~ ~O~57e~ I' Lo~ LME BENC~
Location and Description:
I A~um~ Elevation:
ENGINEER'S S~L
Inspections pe~ormed by: ~h~ ~~ W~ates: 1st
Depadment of Health and Human Se~ices approval %*~".. ~-z~5~ ...~]
Reviewed and approved by: ~~ ~ Date: /¢-3¢-¢~
72-013 (Rev. 9/91) MOA 25
PER,,,Tsw980 80N.. R: AS ' BUILT DRAWING
~ [NOTE: THE WES~ AND NORTH LOT LINES
M-r2~2 ~ <-.~ /WERE ~AGGED DURING EXCAVATION,
/ ~ ~ ST~ ~.7 ~2.~
~ BaLl 18.8 -- 22.0
X ~ DBL2 18.8 23.1
~ ~ C01 52.6 56.0
~ ~02 ~2 1 104 2
: N~W I:O S:LON (
90.92 ~FflC f~K 90.64 ~ = 87.S9(~p.)OM OF PIPE
GROUNDWATER%~87 09 (~P)-
~ 82.56
HENKINS SUBBWISION, LOT 1, BLOOK 2 ....
AS-BUILT 0F SEPIIC SYSTEM
KIT VERCEL~ 696-7036
10/12/98 J.L.M. 1 = 40' 2 OF 2
A B
FCO - -
ST1 21.7 12.6
s'r2 19.3 __ 18,4
DBL1 18.8 22.0
DBL2 18.8 23.1
C01 52.6 56.0
MT1 53,1 57.7
~-02 82.1 1_04.2
M__T2 8 ! ._2_ 103.2
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR ~ ~l_~l%~D~D~ PID~ 051-292-16 HA~
Date Received: Oct 14, 1998
Legal Description: Lot 1 Block 2 Henkins Subdivision
Engineer:
Permit ~ SW980380
Jeff Garness, P.E., Alaska Water & Wastewater Consultants, Inc.
7320 East Chester Heights Circle, Anchorage, Alaska 99504
Applicant: Kit vercella
Waiver Requested: Lot line waiver of 1 foot from the west and north property line
to the new drainfield.
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: Waiver is NOT Granted:
List Conditions or Reasons for above:
Date: By:
Name of Reviewer
Rec ~: 04269/6198 Amount: $ 115.00 Date Paid: Oct 14~ 1998
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 '%" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
November 2, 1998
Jeff Garness, P.E.
Alaska Water & Wastewater Consultants, Inc.
7320 East Chester Heights Circle
Anchorage, Alaska 99504
Subject: Waiver Request for Lot 1 Block 2 Henkins Subdivision
Waiver Request #WR980074, PID #051-292-16, SW980380
Dear Mr. Garness:
Your request for a waiver of the required 10 foot separation
between an on-site wastewater disposal system and a lot line has
been approved. The waived distance is 1 foot from the west and north
property line to the newly installed drainfield.
This approval applies to the existing on-site wastewater disposal
system lot line separation only. Any future upgrade to the on-site
wastewater disposal system will require all separations be met or
another approval from this department.
If there any further questions or concerns regarding this waiver,
please call our office at 343-4744.
S~ncerely,
Daniel J. Roth
Civil Engineer
On-site Services
ijw #7
Alaska Water & Wastewater Consultants, Inc.
7320 East Chester Heights Circle N Anchorage - Alaska 99504
Phone (907) 337-6179 - Fax (907) 338-3246
Consulting Engineers
October 13, 1998
,/~dNIL. IHALI I ¥ (.~-
· 'mr~NMENfAL SERVICES DlVl$1(h'
Municipality of Anchorage
Department of Health and Human Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref.' Lot Line Waiver for Lot 1, Block 2, Henkins Subdivision
To whom it may concern:
We request that your department issue a 1 foot lot line waiver from the west and north to the new
drainfield. On September 29, 1998, we contacted your department and received verbal approval
for the waiver prior to the installation of the new drainfield.
I am unaware of any adverse impacts this waiver would have on adjacem wells or septic systems.
If you have any qt''';.''~ons, please contact us at 337-6179. Thank you for your assistance.
Prelid6htv
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Sep 23, 1998
Expiration Date: Sep 23, 1999
Permit Number: SW980380
Legal Description: HENKINS BLK 2 LT 1
Design Engineer: 0041 AK Water & Wastewater Consulta
Owner Name: Kit Vercella
Owner Address: PO BOX 770378
EAGLE RIVER , AK 99577-0378
Parcel ID: 05%292-16
Site Address: 019822 GILBERT RD
Lot Size: 17860 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [] Water Storage
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
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By: ,~4~ ? ~:/~'/ Date:
Issued By: ~..~///~ / ~. ~~ Date:
Alaska Water & Wastewater Consultants, Inc.
7320 East Chester Heights Circle - Anchorage - Alaska 99504
(907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
September 18, 1998
Municipality of Anchorage
Department of Health & Human Services
Division of Envkonmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref2 Septic Upgrade Design for Lot 1, Block 2, Henkins Subdivision.
The existing 3 bedroom house is served by a private septic system and by a private well. The
existing drainfield is surcharged and must be upgraded. Two test holes were excavated to the east
of the existing septic system. Comments regarding the proposed upgrade design are summarized
as follows:
1. SOILS: Attached are the logs which shows the soil profiles, and the percolation tests results.
Below the organics, the soil is a GW/SW material to a depth of 5.5 feet in test hole #1 and 5.0
feet in test hole #2. At 5.5 and 5.0 feet, the soils transition to a GM/SM material to a depth of
11.5 feet (bottom of both test holes). Groundwater was encountered during the excavation of the
test hole #1 at a depth of 8.5 feet. Two soil percolation tests were performed in each test hole
(see attached soils log for percolation results). We propose to install the upgrade drainfield in the
upper strata of the soils. It is our opinion that there is enough sand in the insitu soil to negate the
use of a sand filter. A soil sample can be provided if required by your department. Please advise
with guidance of any action your department will require.
2. TRENCH DESIGN:
a. Percolation Rate: <1 and 4.44 minutes/inch
b. Allowable Application Rate: 1.2 gallons/day/ft2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 375 ft2
f. Effective Depth: 0.5 feet
g. Reduction Factor = N/A
h. Width: 5 feet (minimum)
i. Minimum Length: 80 feet
j. Effective absorption area = 400 ft2 (>375 ft2 OK)
k. Maximum depth = 1.5 to 2.0 feet (on uphill side, remove all organics)
3.' SURFACE WATERS: There are no surface waters within 100 feet of the proposed
~upgrade.
4. TOPOGRAPHY: The general topography in the area of the proposed upgrade is a 5 to 10
percent slope running from approximately east/southeast to west/northwest, in short, there are no
slope concerns.
I am unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you
for your assistance.
~~~~~MSincerely' I A~l~//I
'-Teffr ~'~.G mess, P.E., .S.
Pres:
t t..f) ,' / ,' ..... -.-_. '~'"'~" /
? ~ / / / '"'--...~ /
.......... / %-- /,,, -.......
/ ... / /,, ,o,-,, ..._ ~
/ ~- / ?%.. '~'4,,,~.,o~,~ '-'~./
'--LJ / -~ -....
I ~"~-,~ // PROPOSED SEPTIC UPGRADE~. ND~q/E'Lo/~'""'D '
/ ~-.~.,/ / (SEE DESIGN, PAGE 2 OF 5)-7~ ~ ~ ~.~ /
~ ~ ~/.z! ~ ; ' ~- '.my, e- '~'- / \ i
~ z ./,,%y/,t / ,' ~-'"~'~' '~..../. '~ L
"~ / ,I I;'7,; I k,,z,~.,.. N' ,to "-~... ~
;' / ~o,- \~,ous~- / /,^/ ',~-..... '~ ....~
- 0. \ - -up "~--..
,' / ...... -.-..- -,~-~ /-/--'"--..... .Z% / //
/ / --.-_.. // ..... .. /x/'
........ ,,.~. "'4,,%,. ~" /-,/~ ......... '°' --.... .
/'"-~.. '"~",¢~.. // -"-->---~:c:~ ' / ~--//
/ -.-.._. //:" .~.. / D'/
7320 E. CHESTER HEIGH'rS CIRCLE, ANCHORAGE, AK 99504 ~.~(/
PHONE: (907) 337-617g/FAX'. (907) 358-3246 ~ """"
%;¥%.
,^ ; Jeff re~/
KIT VERCELLA 696-70;56 O~,i.,, ". .-"
\ ~ I ,k,'l/ "~ ~ .,,/' n-~..~ '
mSKA WA~R A~ WAS~WA~ CONSmTA~S, ~C.
~A~ ~sc~vr~o~,,
HENKINS SUBDIVISION; LOT 1, BLOCK 2,
~E~I~N OF THE ~EPTI~ ~Y~TE~ UPGRADE J .... ~ .......
KIT VERCELLA 696-7036
DA'ri:9/18/98 ~w~ BY: SCALE: PAGE:
J.L.M. 1 = 50' 2 OF 3
M~o n-TI
II
~ ~PPb~Nf P~OM ~PJlC fat,&
PLAN
NOf~ fh~/v'C,X!M~A P~FIH Af h~P{ ]
POINflS'FO ~ 2 Pl~l~f (OH fi'HILL ~),J
/~.!. OhgANI~5 ~ TO ~ ~MOV~O, J
PROFILE VIEW
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
7320 E. CHESTER HEIGHTS CIRCLE, ANCHORAGE, AK, 99504-
PHONE: (907) 337-617g/FAX: (907) 5.38-3246
LEGAL DESCRIPTION:
HENKINS SUBBIVISION, LOT 1, BLOOK 2,
POPE OFu~
DETAIL OF PLAN AND PROFILE OF DRAINFIELD
PREPAREO FOR: PHONE NUMBER:
KIT VERCELLA 696-7056
JDF~WN BY: J SCALE: J PAGE:
DATE:
o/18/98
.AL&SR, A WATER. & WASTE, WATER CONSULTANTS, INC. ~. OF' ~i
[SOIL LO(:; - PERCOLATION TEST] ~'~ -~_~ :.~7~
LEGAL DESCRIPTION: HENKINS SUBDIVISION; LOT 1, BLOOK 2, '"'! ...............
DATE PERFORMED: 9/11/91] ~j". ~ir-7953 ."
GW-SW .... GM~ CL PROPOSED sEP-rlc U,OPAO~%-~.
GC ;OL i(SEE DESIGN, PAGE 2 OF S)--d ~.-~ ~
SC
I DEPTH TO DATE
:GROUNDWATER ////~"
DATE READING CLOCK NET TINE WATER LEVEL NET DROP
TIME (HINUTES) READING (INCHES)
UPPER 2 4:24-:.30 2 MIN 30 SEC O" 6"
q]ENC:I-] 5 4-:25 6"
.... 4- 4:27:30 2 MIN 30 SEC O" 6"____
6"
5 4-:28
..... 6 4:30:.30 2 MIN 30 SEC O" 6"
6"
LOWER 2 4-;4-4- 30~MIN. 5 1/4-" 3/4-"
~BEN'CR-- ,3 4-:4-5
5 5:16 6"
19-- PERCOLATION RATE <1 & 40 (NIH,lINCH) PERC. HOLE DIA. 6" (INCHES)
(UPPER) (LOWER)
20- TEST RUN BETWEEN ,3.0-3.5 FT. AND 6.0-6.5 FT.
COHMENTS' PRESOAKS STARTED AT 11:00 A,M. (9/14-/98)
PERFOMED BY ALASKA WATER &: WASTEWATER I, , CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EI-I-ECT ON THIS
DATE. DATE:
DEPTH TO DATE
GROUNDWATER
8.5 g/11/96
6.5 9/14-/98
AL&SKA WATEI~ & WASTEWATFR CONSULTANTS, INC.
PHONE (907) 337-B179 * FAX (907])
ISOIL LOG - PERCOLATION TESTJ .~...:F,(~/_Tt/'~'".?~I,_ - ,-,,_,,.....,..._
LEGAL
DESCRIPTION:
HENKINS
PERFORMED FOR: KIT VERCELLA ~.-"~':.j,. "F'l ..... ~ ........
TESH HOLE #2
DEPTH i
(f.at) ORGANICS PAGE 1 OF 2
GW_SW :~'::": ', GP ML
GM CL PROPOSED SEPTIC UPGRADE
GC OL (SEE DESIGN, PAGE 20E
~ $p CH ~TH~.~ ~ ~ ~ /
GM-SH GROUNDWATER
IWlTH TRACES DRY 9/11/gB
OF CLAY/SILT ~.~ ---9/14/98/~.
10~ J
11 j DATE READING CLOCK NET TIME WATER LEVEL~ NET DROP
~ TIME (HINUTES) READING (INCHES)
~B,O.H. 6
12~ 9/lf/98 I 4:20
UPPER 2 4:30 10 MIN. 2
4 ~:40 10 MIN, 3 1/2" 2 1/2"
14 ~ 5 4:40
6 4:50 10 MIN, 3 1/2" 2 1/2"
6"
15 -- 7 4:50
16-- 8 5:00 -10 MIN. 3 3/4" ~ 1/4"
9 5:00
17-- 10 5:10 10 MIN.
6"
11 5:10
18-- 12 5:20 10 MIN. 3 3/4" 2 1/4"
19-- PERCO~TION ~TE 4.44 (HIN,/INCH) PERC. HOLE DIA. 6" (INCHES)
/
TEST RUN BETWEEN 2.5 ~. AN~/ LO FT.
20~
//I/
COMMENTS: PRESOAKS STARTED AT 11:00 A.M. (9/1
/ /// ~/f7
PERFOMED BY A~SKA WATER ~ WASTEWATER ', ~ .~g' ~ , CERTI~ THAT
THIS WAS PERFORME~ I~ ACCORDANCE WITH ALL STAT~,D ~DNICt~UIDELINES IN EFFECT ON THIS
DATE. DATE: ?/l"/e~
//
DEPTH TO DATE
GROUNDWATER
DRY g/11/gB
8.5 g/14/gB
AI.A, SKA WATEIL & WASTEWATEI~ CONSULTANTS, INC.
PHONE (907) 357-6179 s Fa,)((907) 33B-324§
J SOIL LOG - PERCOLATION TEST I
LEGAL DESCRIPTION: HENKINS SUBDIVISION; LOT 1, BLOCK 2,
DATE PERFORMED: 9/11/98
~e~, .. ...- .,~
DEPTH
(f..O TEST HOLE ~2
'~ro f ess~O~
1_i PAGE 2 OF 2
2-- SOIL C~SSIFICATIONS ~
3-- ~ ~ ~GP ~ML ~.
~ i GM CL
PROPOSED SE~IC UPG~DE
4-- 0 GC~, OL {SEE DESIGN, PAGE 2 OF ~--~
SW HH H?~~~~ '
5- ~ / , .
7-- ~ ~ GROUNDWATER
~ ~.0' 9/18/98 Ex~ ..
lO-- ~
11 ~ ~ DATE READING CLOCK NET TIHE WATER LEVEL NET DROP
TIME (NINUTES) READING (INCHES)
6"
0 9/14/98 I ~:17
12-
LOWER 2 4:47 30 MIN.
1 3 I 3 4:48
~ 4 4:18 ~0 MIN. 4" ~ 2"
1~-- ~ ..... 5 4:19
~ 6 4:49 30 ~IN. 4" 2"
19-- PERCO~TION ~TE 15 (MIN./INCH' PERC. HOLE DIA. 6" (INCHES)
/
20-- TEST RUN BETWEEN 5.5 ~ ,~ ~. A~ 6.0 FT.
co...N=S: ,:OO
// ///L,/
DATE. DATE:
DEPTH TO DATE
GROUNDWATER
DRY 9/11/98.
8.5 9/14/97~_
~.0' 9/18/98
GREA,ER ANCHORAGE AREA BOR,.JGH
Department of EnvironmentsI Quslity
3330 C Street
Anchorage, AIssk8 gg503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS /~¢/~._ (~-I~'~'i,, PHONE ~,~'~-
LEGALDESCR,PT,ON bi tg ~ l.~.,~b.,:
SEPTIC TANK:
DISTANCE
EROM WELL !
INSIDE LENGTH
NUMBER OF
MANUFACTURER ~ ~" MATERIAL .~.~_ ~ COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH ~ LIQUID CAPACITY J~'(~GALLONS.
RAIN FIELD:
DISTANCE FROM WELL
FOUNDATION
NEAREST LOT LINE
TOTAL LENGTH,~:2
OF LINES
NUMBER OF LINES I DISTANCE BET.W. EEN LINES ~'~/~ TRENCH WIDTH'~(¢~ IN.
ABSORPTION AREA Li~L'I 0 SQ. FT. LENGTH OF EACH LINE
i DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE '~) MATERIAL BENEATH TILE
TOTAL EFFECTIVE
IN. ABOVE TILE ~- IN.
WELL:
CONSTRUCTION
BUILDING ! NEAREST I NEAREST ~JF SEPTIC
FOUNDATION 7,~ , LOT LINE /-<~ ~ SEWER LINE J¢C.~ , TANK
CESSPOOL ~--"'~' OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DEPTH __ DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
i
sEWER LINE DEPTH: ~,,~-
DIAGRAM OF SYSTEM
"' -.iF:'i B:i",i(!i"i i"i :')" ivii:i[N :; i: J")J",l ]' :!i'; "i'bt~:~: J..i::.F,!i'iJ'i !'"i ,:: 'i .'.,. !:::F'iii:7'F ::' I')F::' 'l'HFii: ' [' JE: j:;: J%! iii: J'q I::)Fi: I'::,I:;i:FJ :[ J",ff:' ]: ]i~:l .[).
"."i~ji:.!' i';,J:::?"i'i.4 f"li.::' !:;;! "['{": !: r,~ ¥'" r)i:;;t I:::'?T ]?:; "b~::' i) :[ ?i'F:INC!E E?,E'r'i4EE:N THE: '::: iF;?F:f::uT:i:E ElF' THE
"i'F..ii.:~' (~i'~:F:!VE:i ~::,E:t:::'TH 'i ';:; Ti-d::: b'i 'i' '., 'i' J'"i i,' I::,F[F'TH "F:' ":i ;' :: ',,'F' !~:E"FI4IEZEN 'T'J...iJ.~: ": F:'F~ t F:' 7f
i.;:~i (iiii!::ii...
%
· NORTHWEST EXPLORATION
SERVICES, INC.
702 West 32nd Avenue · Anchorage, Alaska 99503
o. Telephone (907) 272-2716
August 27, 1976
Mr. Joe Blair
Dept. of Health and Environmental Protection
2516 E. Tudor Road
Anchorage, Alaska 99504
RE: Soils Log for Mr. Kit Vercella as per our telephone conversation of 8/27/76.
Dear Mr. Blair:
Attached please find a soils log performed by us for Mr. Kit Vercella on
August 26, 1976. The average perc rate as determined by visual inspection was
177 ft.2/bdrm, as shown. A percolation test was attempted in the interval from
-6.5 to -8.0 feet, but was unsuccessful in that the dense, silt~, sandy gravels
(GM) found below -7.0 feet prevented us from excavating a perc test hole to the
proper depth. As a result, we would recommend a septic system permit be granted
locating the leach trench in the upper seven feet of sandy gravels; which we
feel are of adequate permeability and thickness.
In order to insure that the trench is located in these acceptable materials
throughout its entire length, we will have someone from our office inspect the
open trench prior to placement of the sewer rock. In the event the acceptable
sandy gravels are not found throughout the length of the trench, your office
will be notified immediately so that remedial steps can be taken.
We hope this plan of action will meet with your approval in that we feel it
will be less expensive for Mr. Vercella and result in an adequate on-site sewage
disposal system. Should you have any questions regarding this matter, please
feel free to call me.
Sincerely,
NORTHWEST EXPLORATION SERVICES, INC.
Steven A. Johnson
Engineering Geologist
Attach.
SAJ/gp
Contract Drilling for Foundation investigation, Soil Sampling, Rock Coring, Grouting and Waterwells
MgNICIPALITY OF ANCHORAGE
Departmen[ of Healhh and Environmen[al P~.otecffion
SOILS LOG
PERCOLATIO~ ?EST
Performed for
Legal Descripnion
0
8
~ 10
121
14
16¸
Kit Vercella Date Performed
Lot 1, Block 2, Henkins Subdivision
8/27/76
Red-brown, sandy silt (M~)
Perc rate = 275 ft.~/bdrm.
Gray-brown, sandy gravel w/some silt and cobbles
to 6 inches (GW)
Perc rate = 135 ft.2/bdrm.
/ Perc test attemoted in this interval
Gray-brown, dense, silty, sandy gravel w/cobbles
to 1 foot (GM)
Perc rate = 250 ft.2/bdrm.
Total Depth = 16 feet
No warier table encountered.
A¥~RAGE PERC RATE FROM SOILS LOG = 177 ft.2/bdrm.
Date
Net Drop
minute
Percolation Rate
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELERHONE694-2588
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION ~L/4 /), /.o'7" /
DATE - Started t ot/.~*}//-1~__ Ended
PERMIT NUMBER / ~ ~ ~r ·,
DRAW DOWN FT.
GALS. PER HR
KIND OF CASING
.<._...~
DEPTH OF WELL
STATIC LEVEL OF WATER FT. /
KIND OF FORMATION:
From ~) Ft. to ~ Ft. Or-;~cr4d//~6%~ From__Ft. to
From 5 Ft. to t '~ Ft. c~..L,d'[' From Ft. to
From [ ~ Ft. to ~'~:~ Ft. F~z/../~-' ~ &;~(*~d-~,' ~ ~-/~'From Ft. to
c~' 557',~ ~
From ,~ c> Ft. to ') .~ Ft. ~ ~'z~ ~-&~ / ~Y~rom~.Ft. to
From :~-~ Ft. to /~5~' Ft. ~ ¢Y&~/.7,~ Frmn~.Ft. to
From .) ~ Ft. to .. Fromm. Ft. to~
From Ft. to~Ft From~Ft. to~
From Ft. to Ft Fromm_Ft. to~
From Ft. to~Ft From~Ft. to~
From Ft. to~.Ft. From~Ft. to.~
From Ft. to Ft. From' Ft. to~
From Ft. to Ft. From Ft.
From Ft. to Ft. From Ft. to.~
From Ft. to Ft. From Ft. to.~
From~Ft. to__Ft. From~Ft. to
From Ft. to Ft. From Ft. to~
From~.Ft. to Ft. From Ft. to
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft
Ft.
Ft
Ft.
Ft
Ft
.Ft
Ft,
Ft.
Ft.
MISCL. INFORMATION:
FIRII I FR'~ NIAM1r? / ": !
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
GENERAL INFORMATION
Complete'legal description
Lot 1; Block 2; Henkins Subdivision
Location (site address or directions)
Properly owner
Mailing address
Kit Vercella
19822 Gilbert Rd.
Chugiak, AK
Day phone
3011 Laurence Court Bend, OR 99701
'Lending agency
Mailiqg address
Agent
Address
Day phone
Roger Morris/Prudential Vista
16635 Centerfield Drive
Day phone
Eagle Rivert- AK
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3 ';'
3. TYPE OF WATER SUPPLY:
NOTE:
689-6464
XX
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.
XX
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-O25{Re¥.1/91) Front MOAiK21
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 verifythat based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
suppl~/and/or wastewater disposal system is in corn >liance with all Municipal and State codes,
ordinances, and regulations in ef~i~t~ia~l~-~3f is inspection.
Name of Firm ?' Wastewater C~onsuttaty~ ~ Phone ~? ~7-~/~]~
6
Disapprove.
Condftional approval for bedrooms, with th~ following stipulations:
Additional Comments
Date qfl
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 pu rchasem 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-{)25(Rev. 1/91} Back MOA~21
Legal Description:
A. WELL PATA
Well type PRIVATE
Log present (Y/N)
Total depth 5;5.25'
Sanitary seal (Y/N)
,, CEIVI:u
Municipality of Anchorage JUL 1 5 1999
DEPARTMENT OF HEALTH & .... HUMAN SERVIMu~ALiTY OF ANCHORAGE
Environmental Services Dlwslon ~NV~ON~ENTAtSERVlCES
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Health Authority Approval Checklist
HENKINS S/D; LOT 1, BLOCK 2 Parcel I.D.: 051-292-16
Date installed 9/29 - 10/1/98 Soil rating (g.p.d./ft2 or ft2/bdrm)
Length 80' Width
Effective absorption area 400 sq.
Date of adequacy test NEW
5' Gravel thickness below pipe
ft. Monitoring Tube present (Y/N)~ Depression over field (Y/N) ....
Results (Pass/Fail) - For .~
Fluid depth in absorption field before test (in.); -
Fluid depth - (ins) Minutes later: -
Peroxide treatment (past 12 months) (Y/N) NONE
72-026 (Rev. 3/96)*
1 ,? System type
.5' Total depth 3.2' - 4-.2'
NO
bedrooms
Immediately after - gal. water added (in,): -
Absorption rate = - g,p.d.
KNOWN If yes, give date -
lt3CJO Number of Compartments 2 Cleanouts (Y/N) YFR
Depression (Y/N) NO High water alarm (Y/N) NO
Pumper -
If A, B, or C, attach ADEC letter. ADEC water system number N/A
YES Date completed 10/8/76
Cased to 5;5.25' Casing height (above ground) 12"+
YES Wires properly protected (Y/N) YES
AT INSPECTION
9/29/98
;56'
g.p.m. 9,0 g.p.m.
FROM WELL LOG
10/8/76
7'
0
Nitrate 1 · 94 mq-,LT_, Other bacteria
Collected by: A.W.W.C.. INC
Date of test
Static water level
Well production 15
WATER SAMPLE RESULTS:
Coliform d -
Date of sample: 7/9/99
B. SEPTIC/HOLDING TANK DATA
Date installed -9~Tank size
.Foundation cleanout (Y/N) YES
Date of Pumping NEW
C. ABSORPTION FIELD DATA
D. LIFT STATION ~
Date installed N/A Size in gallons
Manhole/Access (Y/N) "Pump~ "Pump off" level at*
High water alarm level at* ~'Datum
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
100'+ On adjacent lots 100'+
100'+ On adjacent hots 100'+
N/A Public sewer manhole/cleanout N/A
25'+ Lift station 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation 5'+ Property line 10'-I- Absorption field
Water main/service line 10'+ Surface water/drainage 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 1' *
Surface water
Curtain drain
Wells on adjacent hots
5'+
100'+
Building foundation 10'4- Water main/service line
100'+
Driveway, parking/vehicle storage area
10'+
10'+
NONE KNOWN Wells on adjacent lots 100'+
* WAIVER GRANTED/~I 1/2/98 (# WR980074)
ENGINEER'S CERTIFICATION ~1 ~ .:~_~%~.~,,_
Icertifythatl heCtOr, ti~e~fiel~inspectionsandreviewofMunicipalreco~a; ~~~msare
in conforman~ with ~ ~ ~ideli~s in effect on this date. ~' ~/~~ ~
Signature ~ ~ ~~ ~':'~ ~ ~ ~%~ ~
Engineer'sName ~ / ,/ JEFF GARNESS ,¢ ....... ~-~
¢ , ............
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
CT&~ Ref,#
Client Name
Projec~ Nnmel#
093~0~00!
AK W~er & Wa~tewa~er con~ul~ras Inc.
Henkms SID
~t 1 Blk 20~id~ Hos~ Bib
Drinking W~er
o
Clie~l PO~
Primed Date/Time 07/14t99 13:31
Coil.'ted Da!ce/T~me 07/09/~ 0S:25
T~hni~{ Dire~or: ~phen C, ~de
___ ~ate
[n~;
~,g/L EPA 300.0 ~0 ff~x 07/0§/~ 07/09/99 SCL