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Home My WebLink AboutBRUIN PARK BLK 2 LT 8Bruin Park Lot 8 Block 2 #016-102-15 ~ Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825"L" Street Room 502 P,O, Sox 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (g07) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: ~ ~} .d~, ~) /q~ PID Number: ,ama: h~/~,// g;/:~C,f... WastewaterSystem: ~'New [] Upgrade Address: IIl~O ,~orr~/g),,-;~',/,4~./ ,4~/ ~C/~ ABSORPTION FIELD Pho,e: (~7) S~/--~-~2,,- Numbero, Bed,ocms:¢ [~DeepTrench~hal[owTmnch ~,ed [~Mound Total Depth i~r~rn o~glnal grade; LEGAL DESCRIPTION so, Ra,.g: /,2..'- O~' ~'--~-O ~,. Dep~ to p[~ bott~ from od inal grade: Grovel depth ben.th pi~: To.ship: ~nge: S~on: Fa added above ~g~nal grade: Grovel Well: ~New ~ Upgrade e~v~,~,~: ~ Ft. [ -- Ft. ~eld: /% G*U /Cq~,. 2.¢ ~,. TANK SEPA~TION DISTANCES ~sep6c D ~olding D S.T.E.P. D O~er: T~ Sapac Absortion LiE Holding ~Publirdvate Manufacturer: Capad~: Tank Field Sta,on Tank Sewer Line ~r~¢/~ ~--2 s,.,,,w,,,, /D~' ~ /~0'* -- · -- ~ / LIFT STATION Fo.,o.,o. /~ ~& lb~ ~ -- -- ~ ~.. ~.. Enginee¢s S~mp Depa~ment of Health and Human Se~ices approval '~%~ -~- Reviewed and approved by: ~~l ~ Date: .~/-0o .~-;+~¢, % AS-BUILT SYSTEM ]DETAILS/SITE PLAN Per'miS SW990861 ~ WELL ~ ~ WELL~ / ,/ B-J=55'4' ~/ ,' ~ ~ FINAL GRADE A-K=44.9' A-L=47,0, ~ ~i~5o GAL ~ ANCHDRAGE, AK 99516 ~'~ .......... ' ....... ~ (907)561-8888 ~'~SSlO~ ~ LANMARK 5/26/00 EAG~ R~R, ~ 99577-8736 ~c~.m 99042.0WG ~ s~: 99042 (907)896-6iIi/F~ ~¥-11-00 THU 03:04 P~ BITTNER PLUI'IBING FA× NO, 907 561 8184 ?, O1 825 "L" Slrco~ 190050 Anchorage, Aiaslm 99519-6650 I;brfnik Numbor,,~[- O ~ ( I')ate Of Issue .......... Parcel Identification Number d/,~.-./Da-/~O~8£& D;;to Started ~'..-].~)'_-.~.~ Date Comptet:ed ..~.,_.~.~._-....~...~ Is well located at approved permit location? y Yes ID No Property Owner Name & Address. E£EIVEu'' MAY 50 2000 Municipali~ of Anchorag~ .... ~ ............... Oe~t. He~l~h_&~~~, ~hod Of Drilling: D air rota~ ~ cable tool Casing 'l'yp e:~,.~.~_I Wall Thickness~_~_inches Diameter_J~_. nc' es, depthJ~.~yeet Liner Type; -,,'~_'"& ....Diameter inches, depth feet Casing Stickup Above GroundL~__~ V ~z. feet ;tatic Water Level (from ground level):__ o~ 0 feet ,lng Level: o~ 0 feet effer._J hrs. pumping_J~..._gpm Recovery Rat0: __.gpm Merited Of Tesfing:~.. wel! intake Opening Type: Screened; Start Perroratbns Start f~eeOpen End O Open Hole t Stopped feet __ feet Stepped__ feet GroutType; ~W,~j,__. Volume 'j' . ~a_ f~eet Depth; from feet, to_ Pump Intake DepthL_.~,-~'7 feet Pump Size. ~/~ hp Brand Name. ~ ~e I~/_ Well Disinfected Upon Completion? ~ Yes L1 No Method Of Disinfection: Comments: ^tlon(ion: Thc well driller shall provide a welt Icg 1,o the property owner within 30 days of completion and the I)ro0etI, v owner or the welt driller st'mil nrevide R well Inn to tha r)ent nf Health MUNICIPALITY OF ANCHORAGE Department of Health and Human Serv/ces On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519~6650 (907) 343-4744 Initial Date Issued: Jul 15, 1999 Expiration Date: Jul 14, 2000 Permit Number: SW990196 Legal Description: BRUIN PARK BLK 2 LT 8 Design Engineer: 0070 KND Engineering Owner Name: L H Construction Owner Address: 7941 Sandlewood Place Anchorage, AK 99507- Parcel ID: 016-102-15 Site Address: 011100 FOREST DR Lot Size: 41600 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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: ~ ~ Issued By: ,~/~ Date: WELL WaSTEWaTER DISPOSAL SYSTEM DETaILS/SITE PLaN ]}RUIN PaRK S/D, LOT 8, ]}LDCK ~ / / K D LOT 7 KENNETH ,/ / DESIGN DETAILS 4 BDRN X i50 GPD = 600 GPO 600 GPD/12 GPD PER SQ. FT, (i,8 NIN/IN,)= 500 SQ, FT (5OO/5'(W)) X ,70(RF) (2.0' GRAVEL) = 70 FT, TRENCH USE ! TRENCH - 70(L) X 5' (W) X 4'(])) Tot:o,[ dept:h oF syst:em is 5,0' From orfginat 9rade, Tot:at depth o¢ 9ro, vet betow dist:ribut:lon pipe is 4,0' , NBTES: 1. USE 1250 GALLBN SEPTIC TANK. INSULATE TANK IF <4' CBVER, 2, INSULATE TRENCHES WITH 8' HD BURIAL FDAM, 3, CDNTRACTDR WILL ENSURE MAXIMUM 8X SLDPE INTO SEPTIC TANK, 4, CONTRACTOR WILL ENSURE ALL SEPARATIONS TB ADJACENT V/ELLS & SEPTICS, PREPARE]} FDR: LH CBNSTRUCTIBN 7941 SANDLEWDBD PLACE, STE lO0 ANCHDRAGE, AK 99507 <907)522-1616 KMO sram: LANMARK CHECKED: KMD ASSUIL¥: LANMARK D^~: m'/o. treE: G~lr): 2653 ^CAI) riLE: 99042.DW Jo~ No.: 99042 Sc(ILe: 1~'= 100' PAGE 1 DF a ~) ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 I~: ~696-61t! 1696-83111 K WASTFWATER DTSPBSaL SYSTEH DETaTLS BRUIN PARK S/D, LF1T 8, ]}LOCK 2 S / 45,00' I0' SYST ~ED PREPARED FOR: EH CONSTRUCTION 7941SANDLEWOOD PLACE, STE 100 ANCHORAGE, AK 99507 (907)522-1616 ~^~: KMD CHECK£O: KMD SOUnO^R¥: LANMARK StAKiNg: LANMARK ^SOUrer; LANMARK oate: 6/23/99 cmo: 2633 Score: 1"= 20' PAGE 2 OF ~ ]~N~[]) ENGINEERING ~0441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 AOAO FILe: 99042.0WG JOB no.: 99042 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 June 23, 1999 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: New On-site Well & Sewer - Bruin Park S/D, Block 2, Lot 8 Gentlemen: The owner has requested we proceed forward to obtain a septic permit for a new system and well. One testhole was dug and a percolation test conducted on June 11, 1999. The results of these tests are attached. The general slope of this lot is from south to north although a steep slope is located in the rear of the house with grades in excess of 25%. The grade in the front of the property is from 2-5% and is directed away from the system. We have designed our system utilizing the percolation rate of 1.2 min./inch for the four-bedroom house, which is proposed for this lot. We propose to install a 5' wide shallow trench. The soils consisted of sand with some gravel and a percolation rate at 1.2 min./inch and the material appears to be uniform per the logs. Water was encountered at approximately 11' at the interface layer with the silt during the excavation and monitoring. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system although a small pond is located in the rear of the property with a small creek draining out of it, and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111~FAX 696-8111. Respectfully submitted, attachments: C~ On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 Performed for: Project: Depth 4- 5- 6- 7- 9- 15- 16- 18- 19- 20- SOILS PERCOLATION TEST LH Construction Lot 8 Blk 2 Bruin Park Date Performed: 6/11/9 TEST HOLE # 99-1 Org - soft, brown, moist SM/GM SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? YES What depth? 11' Depth to water after monitoring? 11' Date? 6/18/99 GP/SP/SW SM B.O.H. HOLE PRESOAKED PRIOR TO PERCOLATION TEST Readh~g Date Gross Net Depth to Net TLme Time Water Drop i 6/12/99 1:00 8- 2 1:05 5 rain 3 7/8" 4 1/8" 3 * 1:06 8' 4 1:11 5mh~ 3 13/16" 4 3/16" 5 * 1:12 8" 6 1:17 5 rain 3 7/8" 4 1/8" 7 * 1:18 8" 8 1:23 5 mitt 3 13/16' 4 3/16" 9 * 1:24 8" 10 1:29 5 min 3 7/8" 4 1/8' 11 * 1:30 8' 12 1:35 5min 3 7/8' 4 1/8" · Water Added Percolation Rate 1.2 (min/in) Perc Hole Diameter 6' I Test Run Between 5 feet and 6 feet I, Kem~eth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 016-102-15 1. GENERAL INFORMATION Expiration Date: Complete legal description Bruin Park Block 2: Lot 8 Location (site address or directions) 11100 Forest Drive Current Property owner(s) Paul & Joan Bittner Day phone 561-8822 Mailing address 11100 Forest Drive: Anchorage, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: ~ Individual On-site [] [] Individual Holding tank [] [] Community On-site [] [] Public Sewer The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 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 based on procedures outlined in the Health Authority Approval Guidelines for 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm KND_Engineering Address ~J)A41 PtarmigaLbBlV~L,~:agle River, Engineer's Printed Name Ken M. Duffus AK 99577 Phone 696-6111 Date 05/26/00 DHHS SIGNATURE V Approved for L.//. Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Expiration Date:_ Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Reissue Date: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: A. WELL DATA Health Authority Approval Checklist Lo+ %lock 2. Parce .D.: Well type '~¢"~ Vd +(. Log present (Y/N) Total depth / ~ ~ Sanitary seal (Y/N) Date completed Cased to / {-P'~ / If A, B, or C, attach ADEC letter. ADEC water system number Casing height (above ground) Wires properly protected (Y/N) Date of test Static water level Well production FROM WELL LOG /5 g.p.m. AT. INSPECTION g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed O°~/¢.~ /~01 Tanksize Foundation cleanout (Y/N) \/ Date of Pumping Nitrate ¢, (P ~ .~ Other bacteria Collected by: ~0 ~). "'~'~f~ //25'~ Number of Compartments .~ Cleanouts (Y/N) Depression (Y/N) /V' High water alarm (Y/N) /~//~ Pumper /V,/~ Y C. ABSORPTION FIELD DATA Date installed 0~ I~.~/c~¢l Soilrating (g.p.d./ft2orff2/bdrm) /,'7__ Systemtype J'~'¢//~ Length '~ / Width ~ / Gravelthickness below pipe ~. ¢-- / Total depth ~'~ Effective absorption area .5"¢0 ¢' ¢ Monitoring Tube present (Y/N) y Depression over field (Y/N) Date of adequacy test ~ Results (Pass/Fail) ~ _ F~_.._~or ~bedrooms Fluid depth in absorption field before test (in.); ~----4frcrl~'8'~ely after gal. water added (in.): Fluid depth ~ater: Absorption rate = _g.p.d. Perdxide treatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested ~ 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 Size in gallons ~ ,,~off" level at*. On adjacent lots On adjacent lots Public sewer manhole/cleanout /¢¢/¢" Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation /~/''~ Property line /'¢/'/'' Absorption field Water main/service line ~'/¢- Surface water/drainage SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Wells on adjacent lots ,/'¢¢/¥' Property line Surface water Curtain drain Building foundation Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots F. ENGINEER'S CERTIFICATION ItC~ecrotifnYfotrhjtalnhc~Vweit~e~4e~nA?i~eAdA' ' t~ruUi~el~dn iens~PneeCf~i°ecntSoanntdh' Enr~ineer s Name Date HAA Fee $ '~¢-~. ~') Date of Payment '~' Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)*