HomeMy WebLinkAboutTIMBERLANE PARK #1 BLK 3 LT 12A ~//.-~/.~,.~ ~,~ 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
NAME PHONE c~o [~ NEW
George Johnson Construction 344-8042 [~]UPGRADE
MAILING ADDRESS
c/o GEOLAB, Inc. 1131 E. 76th Ave. ~101 Anchorage, Alaska
LEGAL DESCRIPT~ON ~ .~
Lot 12A Timberlane%Subdivis~n
LOCATION S/~' ])~k~,~[~dJ~ Iq~ NO. OF BEDROOMS
Hilltop Drive 4
]Well ~ Absorption area Dwel]ing not in PERMIT NO.
DISTANCE TO: city water 5 '
9~ proposed 14' 850023
~ ~ Manufacturer Greer Material Steel No. of compartments 2
Liq. capacity in gallons Inside length Width Liquid depth
I 1250 IF HOMEMADE: NA
~ ~ DISTANCE TO: Well Dwellin9 PERMIT NO.
~Oz NA
O Z ~ Manufacturer Material Liquid capacity in gaJJons
Foundation '
~ t ~ Nearest lot line PERMIT NO.
~ DISTANCE TO: Wel~ity water propose8 2~ 13' 850023
~ ~ Trench width 9istance between lines
~ No. of lines 1 Length of each line 74 ' Total length of lines 74
~ Top of tile to finish ~rade 4 ~ Material beneath~ti~e Total effective absorption area
~ 6.5' drain rocklnches 962 sqft/BR
Length Width Depth ~ PERMIT NO.
m NA
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ ClaSSNA ci%y Aa~erD pth Driller Distance to lot line PERMIT NO,
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
pIPE MATERIALS Cd~L iiui1 ~uu~e Lu TdZ[k~
ASTMD3034 tank %o field & Standpipes tZ,~
SOIL TEST RATING ~b'l'lVl~Z / Z~ in ~ra.LnZ melQ /
237 sq. f%./BR see let%er a~%ach(~c
INSTALLER
George Johnson Construction
REMARKS
Typar geotextile fabric used as
silt barrier in trench. Insulfoar
2" styrofoam used %o insulate
_ -
.. ZZ4U'~ ..~x~
"~t'*.....'t %~
APPROVED ~ATE LEGAL
72-013 (Rev. 3/78}
AF:'F'L. I L7,¢" ',IT: ['?EO, F,:~'siE' ' J []HNSON
AN[]HOFbqG~ _ P,I< 9'=?L=~ 16
CC-'N'I F',.CT' F:'I-'I[]NE[: ];,q. 5 ".5,q.:]; I
I...EG.,c'i,L.. OE:SCF~LF':~ SLhL:)I)).r.V]:E;'[('!iq~ T.'[PBBL:-?RL¢~NE F:'¢:IF~J< I_OT~
SECT :[ (.)N :: 24 i"Ob~NSH :[ F': [ ~i",] F;'.ANGE::: zI.M
OL_(]Ch:: :: ::!,
DEF:'TH :T'£] F'):F'E BC)T'TOH (F'T.) 4.~0
(BIRiqVEL. DEI:)TH (F'T'.O 0,, 5 3,, 0
TOTAL. DEP'I-H (F'T'.) 4.5 7.0
GRAVEL W]:DTH (!='!'.) 20,,0 5.()
GRF:~VIEL. LENGTH (FrT,,) 38,,0 59.0
E)F~AVEI._ VE)L.UHE: (CLi~ YDS; ) 28~ ;;:~ :5(~L 3
'1'~P. ll.::; S i Z E (GALS) i, 250.0 ,x-.~, 1,250 ,, C,
E;O):L. !::;:ATING (SQ,, F:'T',, /BR) 125 125
...... ~..t .............................. ..
[, :.- .... l,'l,:lql .,, HEAI...TI~ Ai'.!T) E. Nv .l.l'd:)bJ h..:l%I I .'f'",l .... [J] ....... [(]1.
P'""=.:~ ~:...., .._l S'TFREE£T · ~3,'.,~.,["., ~, J," ~".A ........ :~ AK 99501
:'3 5
qF:'F'I...ICP, NT: C/II GEOL.AB MARK NAROINI
:'CO DF;flE,E;S ,", i 12; 1 E 76 TI $i: I 01
ANCHE3FLAGE[:. AK 99502
]ONTAC'T I::*I-~OIqE: ~, 544--'S()42
,?.64- 472C,
fEE~ .E'_] ..,-_ E::_'.
..... L,q .............. ~E,,', ....... tJ~.,L]..2 ........ {_,,.!,, ]'ltI_...E.F~,..¢:.I .... I AF.I'... /- _42/ t- '_-' 12A J-d Ou..,..: .::,
IT,s;ted b,~,].ov, ar'e 'Ll",s:~ c, ptzc, r'!s availab].e 'Lo ycm%c*sigri:i.r',cl your sep't'..i
system. []hc>os~' Lhe q:d:.ion that best ¢i'Ls yC)L(r~
g,....f III l[) ~'.,.FE E.O~ [Or~ ,Fl., q'~ ' 4,,0
GRAVEL DEF'TF (F-.) ;: .~1 .
]-[TTAL DE]::'TH (FT.) 4;~ . / ,,
E)F4AVEL WIDTH (F'I".) 20.0~ I 5.0 . ~ ~y/'
59 ,, 0 , '
GFd),VEL.. L. EN~TF, (I::'I'.) :':~8.0 ~ ~
GRAVEL VOLUME (CLJ. YE)S. ) ~ 2F~. 2 ~ / . ~F~ "~
'TANi.::: SIZE (GAl._S) !,,~250,,0 .,~ :l.25(),,0
SOIl._ RATIIqG (SGL, FT,, /BR) J 125 . ' 125.. .
.l!-.i!. T ANI<. I'ILJSF HAVE: AT M::. ]OMF:'A
I certif'v that: ~ ~ "
for~;N"t by the bturizc:U]a].iiLy cif%JAnchcirage
2. I NJ.l]. :install. 'Lhe sys~item :i.n accordance ~*d.i:.h a:!.l MQA
and in (zcimp].i~.l]C~) (*;ith 'lzl'i~;~ design-crit'.er:i.a c~{' 'Lhi~i p~armit,,
:%. I ~J.].:L adhePe %c)'a].l MOA and St.a'Le of Alaska r:equ:i, remer~t.s .Fc}r t. he !~i(~t back
SE~I.,~eI"aig~ E:yf:itE)~! or'l 'Lh:i.s Elf' any adjacent, or nearby ].(:~t...
zl.,. I L.u]dE, pEs'ILal]Q '(.hat. '{]his p~.r'mit is v~],:i, cJ fop a m~;ixJ, mL.t6i
any ¢;)r!Iar'genl,z~rit will rE, quire afl addi'Li(]r'ial permit.
L.. ! I:"T. . STAT]:C)N.~.~e,.., II....' qc'~"AL_,._.E..D:' ~*'~p., AN ARE:A C!:)VEC~ED BY MOA ~..b.L L.D.,.,.I,~° ~ .... r ~, r~ (- ............ "¢') :'r~:,,
(I) AI'J .J.-,....L ,t~..[..AI.... I:::'IERMI'I~ AN[) "~,qp=~"'~'r', MUST B[C OE)TA1]\II:F.D'.~ (::P) .... .~.,..~'~::- -._4. L..I ....... c-:~
NOT BE,.,,~r~:':'r'PkCr::r~,-*., ..,.._,.¢ NITFJ, OJT ~N LI:' .............. ~:r,"rr-,I.~r..~L'F:- "'*~'¢-~:'=-'11 ....... L.,I"'IDN R. EPOFi'.T~ AND .......¢'"r~ THE
' ''& ENGINEERS, INC.
7125 OLO SEWARD HIGHWAY
ANCHORAGE, ALASKA 99502
(901) 349.6561
SOIL LOG
SOIL LOG
I.~ PERCOLATION
TEST
PERCOLATION TEST
BEDROOMS
LEGAL
1
2
3
4
5
6
7
SLOPE SITE PLAN
11
17-
18-
DEPTH
(FEET)
2248-E
w
L~:V( L L
WAS GROUND WATER
NCOUNTERED? /~O LS
O
P
AT WHAT
PTH?
Gross Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE ~'/ t S ~__
TEST RUN BETWEEN ..... FT AND
(minutes/inch)
FT
COMMENTS.
' GEOLAB
~07-344-8042
July I, 1985
Municipality of Anchorage
Department of Health and Environmental Protection
825 "L" Street
Anchorage, Alaska
MUNICIPALITY OF ANCHOI~&(~
DEPT. OF HEALTH &
ENVIRONMENTAL pROTECTIO~
RECEi_VED
Reference: Timberlane Subdivision Lot 12A £ocL,~
Gentlemen:
Attached is our as-built inspection report for Lot 12A of Timbertane
Subdivision. Also attached are copies of three percolation tests/soil logs
which have been performed on the subject lot. The system was constructed
with a design differing from the design given on Permit ~* 850023 due to
differing soil conditions and relocation of the proposed house location.
The soils encountered at the location of the system are the same as the
soils which were encountered in Test Pit 2 near the rear- of the lot. The
percolation rate for TP 2 was 22 mir/inch with a 237 sqft/BR rating. The
system as constructed was designed using the 237 sqft/DR rating. The
permit was issued based on TP 3 with a soil rating of 125 sqft/BR. The
permitted system would have been inadequate;.so a field re-design was done
to accomodate the soils at the exact site of the sy,,Stem.
Should you have any questions regarding this mattS[, please do not hesitate
to contact us at 344-8042.
5'ncerely,
David A. St y, . .
President
Beolo~ioal gonsultin~ · Testin~ Labora~or~ · I~uali~ Control · Septic 5~stem Desitin & Inspection
ENGINEERS, INC, SOIL LOG
7125 OLD SEWARD HIGHWAY
ANCHORAGE, ALASKA 99502
(907) 349-6561
TEST
PERCOLATION TEST ___.EDROOMS
SLOPE SiTE PLAN
W
7
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
6
Gross Net Depth to Net
14 =- Reading Date Time Time Water Drop
15¢ [ O O
~_?
19 - 2248-E
20-
DEPTH
(FEET)
PERCOLATION RATE .... -~'~ -~7~" ....... {minutestinch)
COM[¢ENTS
, ~ ~ /~(S~ ' ' CERTIFIED BY' . DA]E:
C~OL~B, Inc.-
- 1131 E. 76~h Ave.
Anc]~orage, Alaska
34~-80~2
~ilO1
SOIL LOG
P F~P, COLATION 'rEST
2
SLOPE
SOIL LOG
PERCOLATION
TEST
_ BEDROOMS
JOB NUMBER:_
BITE PLAN
5
6
?
0
15-
WAS GROUND WAIER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth Io
Reading Date Time Time Waler
Not
Drop -
2248-E
MUNICIPALITY OF ANCHORAGE /
DEPAR'i i~ENT OF HEALTH AND ENVIRONMENTAL, ,1OTECTION
DIVISION OF ENVIRONMENTAL HEALTH -
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
2/10/86
Application Date
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range) .-~ ~
Timberlane Park Lot 12A Block 3 Sec 24 T12N R4W
Location (address or directions)
Hilltop Drive
(b)
(c)
Applicant Name George Johnson Telephone: Home 3z~5-5431 Business
Applicant Address 3901 .Doroshin Ave, Anchorage, Alaska 99516
Applicant is (check one): Lending Institution]~;; Owner/builder []; Buyer []; Other [] (explain);
(d) Lending Institution
Address
Telephone
(e) Real Estate Company and Agent
NA
Address
Telephone
(f)
Mail the HAA to the following address:
GEOLAB
1131 E. 76th Ave. ~101
Anchorage, Alaska 99518
Please Call When Ready
TYPE OF RESIDENCE
Single-Famil~[ Multi-Family []
Number of Bedrooms 4
Other
WATER SUPPLY
Individual Well [] Community [] 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.
72-025 {11/84)
Page 1 of 2
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of thi~ Healtl~
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, ordinance% and regulations in effect on
the date of this inspection.
Name of Firm GEOLAB . Telephone 344-8042
Address 1131 E. 76%h Ave. ~101 Anchorage, Alaska
Date 2/10/86
Engineer's Seal
DHEP APPROVAL L~//'~
A,, oved,or
Approved r/~" Disapproved Conditional
Terms of Condition'al. Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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.
Page 2 of 2
72-025 (11/84)
MUNICIPALITY OF ANCHORAGE (MO~.,i
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720
Legal Description:
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
] 11986.
TimberlaneR~ ~V~3
Sec 24 T12N R4W
WELL DATA
Well Classification None MOA water If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) NA Date Completed NA Yield
Total Depth
Static Water Level NA
Casing Height Above Ground NA
Electrical Wiring in Conduit (Y/N) NA
Separation Distances from Well:
To Septic/Holding Tank on Lot NA
To Nearest Edge of Absorption Field on Lot
NA Cased to NA
NA
NA
NA
To Nearest Public Sewer Line
Cleanout/Manhole NA
Water Sample Collected by
Water Sample Test Results
NA
NA
Depth of Grouting NA
Pump Set At NA
Sanitary Seal on Casing (Y/N) NA
Depression Around Wellhead (Y/N)
; On Adjoining Lots NA
NA ; On Adjoining Lots NA
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot NA
; Date NA
NA
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed ~'/:~A~'
Standpipes (Y/N) Y
Depression over Tank (Y/N) N
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) NA
Separation Distances from Septic/Holding Tank:
To Water-Supply WeLl NA MOA. water
To Property Line 15 '
To Water Main/Service Line 75 m +
Course NA
Size 1250 gal No. of Compartments 2
Air-tight Caps (Y/N) Y Foundation Cleanout (Y/N)
Date Last Pumped NA new
NA ; for NA
Temporary Holding Tank Permit (Y/N)
Y
NA
To Building Foundation 8 '
To Disposal Field 5 '
To Stream, Pond, Lake, or Major Drainage
Comments
Page I of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata 237
Date Installed ~=./Z ~,'/"~ ~
Width of Field 3 '
Square Feet of Absorption Area 962
Depression over Field (Y/N) N
Results of Last Adequacy Test NA
Separation Distance from Absorption Field:
To Water-Supply Well HA MOA Water
To Building Foundation 18 '
Lot NA
sqft/BR Type of System Design Trench
Length of Field 74 '
Depth of Field 1 0.5 '
Gravel Bed Thickness 6 o 5 '
sqft Standpipes Present (Y/N) Y
Date of Last Adequacy Test NA new
To Water Main/Service Line 40 ~ +
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots 100 ' +
To Cutbank (if present) 30
NA
45'
Comments
D. LIFT STATION
NA
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that. I have checked, verified, or conformed to all M DA and HAA guidelines in effect on the date of this inspection.
Signed '.~ ~'zt ' t (~/~c~'~"J~¢-'~ Date
2/10/86
-- --GE~LAB
Company MOA No.
Receipt No. "~'~ ~-D ]
Date of Payment
/
Engineer's
Seal
Amount: $
Page 2 of 2
72-026 (11/84)