HomeMy WebLinkAboutTURNAGAIN BLK 1 LT 9
Rick Mystrom,
Mayor
Mtmicipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Sox 196650 Anchorage, Alaska 99519-6650
343-4744
March 1, 1996
Thomas W Wilson
1831 Lore Road ~1
Anchorage, Alsaka 99507 2952
Subject: Lot 9 Block 1 Turnagain subdivision
Permit ~SW950025, PID $016-123-05
The subject permit, issued March 1, 1995 by this office for a
single family well and/or on-site wastewater system, has
expired as of March 1, 1996.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
when applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
S.' erely~,
Program Manager
On-site Services
Copy of Permit Attached
MUNICIPALITY OF ANCHOR.AGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW950025
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:WILSON THOMAS W & B0K SOON
OWNER ADDRESS:1821 LORE STREET
ANCHORAGE, AL 99507-2952
DATE ISSUED: 3/01/95
EXPIP~ATION DATE: 3/01/96
PARCEL ID:01612305
LEGAL DESCRIPTION:
TURNAGAIN BLK 1 LT
9
LOT SIZE: 19000 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERI4IT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHOR.AGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4?44 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THIS LOT MUST BE TIED INTO PUBLIC SEWEW BEFORE THE WELL IS
RECEIVED BY:
ISSUBD BY:
DATE:
DATE: 3/>)/
EXCLUSION NOTE
IT I$ THE RESPONSIBILITY OFTHE OWNER OR BUILDER,
PRIOR TO CONSTRUCTION, TO VERIFY' PROPOSED, BUILDING
GRADE RELATIVE TO FINISHED GRADE AND UTILITIES
CONNECTIONS, AND TO BET.ERMINE THE EXISTENCE OF
ANY EASE~4ENT, COVENANTS~. OR RESTRICTIONS WHICH
DO NOT APPEAR ON THE RECOIl'BED SUSDIVISION PLAT.
' " ~" NOTE
2ER~IFIED PLOT pLAN1' '..' ~ursor,~co,~.or,~.r~N*os~ ~'
' SHOWN ON THE RECORDED P~T, ARE NOT ;~
~HOWN H~EON. ' :i
I h
/ PROPOSED ~LE~S
ANCHORAGE RECORDING DISTRICT m ,~..,~ ~ ::. iiiI
~ ~ ~WHNG ~ ASSOCIATES '
. 1~6 HYDER STREE~ -
. ANCHORAGE, AL.ASKA 99501 ,~Y~ ~ : '~:~
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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # ~u\(m- i~,°~ -('~,.Z1 HAA # ~ ~Q~,°~ I ,* C, \ ~1~"
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent /q. ,'~.
Address
-rho,-,,~,.c cc/. z-.c/,~-~,o Dayphone
/V. ~. ~. Day phone
p.o. f3o~
~ ~ ? ¢~-'¢ 7
~7 - 3~o0
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.
72-025 (Rev, 1/91) Front MOA~21
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date sho~
investigation of this Health Authority Approval application shews that~
and/or wastewater disposal system is safe, functional and adequate for
and type of structure indicated herein. I further verify that based on the in
the Municipality of Anchorage files and from my investigation and ins
supply and/or wastewater disposal system is in compliance with all M
ordinances, and regulations in effect on the date of this inspection.
NameofFirm Flcc/'/c,p 7-~c/~,*;c~/ ~P~¢w_/ Phor
Address / '/Z'3 ~'
EngineeYs signature
DHHS SIGNATURE
Approved for
Disapproved.
bedrooms. '?
n below, I verify that my
he on-site water supply
qe number of bedrooms
ormation obtained from
;ction, the on-site water
~icipal and State codes,
Conditional approval for
bedrooms, with the
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHH,
Approval Certificates based only upon the representations given in paragraph 5
professional engineer registered in the State of Alaska. The DHHS does this as a cou rte
and their lending institutions in order to satisfy certain federal and state requirements.
conduct inspections or analyze data before a certificate is issued. The Municipa
responsible for errors or omissions in the professional enginee¢s work.
72~zS(Rev. 1/91) Back MOA~¢21
)llowing stipulations:
, issues Health Authority
~ove by an independent
~y to purchasars of homes
~ployees of DHHS do not
1ty of Anchorage is not
MUNICIPAL/] Y O/~ ANCItORAGE
~.NVIRONMENTAL SERVICES DIVISION
Municipality of Anchorage APR 2 4 1998
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division R E CF I V F D
825"L" Street, Room 502 ® Anchorage, Alaska ggs01 · (g07) 343"-4'74'4 "--"'
Health Authority Approval Checklist
A. WELL DATA
Well type la'
Log present (Y/N)
Total depth
Sanitmy seal (Y/N)
IfA, B, or C, attach ADEC letter. ADEC water system number
Date completed 0"/ 19/],5-
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform 0
Date of sample:
Cased to / E t9 '
FROM ~VELL LOG
o/ I t~ I ~.~
Casing height (above grotmd)
Wires properly protected (Y/N)
AT INSPECTION
¥/n/ 9~
! b" g.p.m. _ g.p.m.
Nitrate
~. 0./~..~/~' Other bacteria /qo,'t r-~pvrhe~
Collected by: ~lat~.p 'T'ech~,ca[
B. SEPTICPrIOLDING TANK DATA
Date installed
Foundation cleanout (Y/N)
Date of Pumping
C. ABSORPIlON FIELD DATA
Date installed
Length Width
Effective absorption area
Date of adequacy test
Fluid depth in absorption field before test (in.);
Fluid depth (.ins.) Minutes later:
Peroxide treatment (past 12 months) (YfN)
Tank size Number of Compartments __ Cleanouts (Y/N)
. Depression (Y/N) High water alarm (Y/N)
Pumper
Soil rating (g.p.d./fl2 or fl%drm) System type
Gravel thickness below pipe Total depth
Monitoring Tube present(Y/iq) Depression over field (Y/N)
Results (Pass/Fall) For bedrooms
Immediately after gal. water added (in.):
Absorption rate -- g.p.d.
. If yes, give date
D. LIFT STATION 1~, fl.
Date installed Size in gallons.
Manhole/Access (YfN) "Pump on" level at*
High water alarm level at* *Datum
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Fo
Septic/holding tank un lot
Absorption field on lot
Public sewer main
Sewer/septic service line
Building foundation
Surface water
Curtaiu drain
ENGINEER'S CERTIFICATION
"Pump ol
; On adjacent lots
On adjacent lots
Public sewer manhole/cletmout
Lift station N' A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: N,
Building foundation Property line Absorption field
Water main/service line Surface water/drainage Wells on adjacent k
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: N.
Property Line Water main/set
Driveway, parking/vehicle storage ama
Wells on adjacent lots
I certify that I have determined thrn field inspections and review of Munic pal re~.~rdf~
ia conformance with MOA HAA guidelines in effect on this date.
Signature ~z-.~/x~x,~ ~. ~
Engineer's Name
level at*
130 '
ts
~ice line
HAA Fee $ ~ eS~d7 too
Waiver Fee $
Date of Payment
Receipt Number
]L[
'I '
1201 Rsmona St. 99515
SIX INCH WATER WELL DRILLED .......... OUT TO THE DEPTH OF
140 feet.
DRILLED AT THE RATE OF
PROPERTY OWNER Mr.
LOCATION OF WELL SITE
$23,00 PEr FOOT. Steel casing seated out to
Tom Wilson 261-9257
Lt. 9 Blk. 1 Sub: Turnagain
Bernie Claus of RAMPART DRILLING WORKS
DRILLER
RECEIVED
sandy fine gravel with 20% clay binder.
~¥ELL LOG:
O - 28' Silty
t20 ft.
Municipality ol Ancl3orage
Dept, Health & Human Services
28 - 69'
69 - 114'
114 - 120'
A sandy hardoan material.. A fin~ n~m~nt~d gr~vpl,
Coarse gravel with 35% clay.
A water bearing fine sand, Silty material oresent.
By 120 f~:
the water is pumping 15gpm. However, the fine silty sand in the water
formation indeed required several hours of development to pump clear water,
The drilling on dorm to 140 feet was in an even poorer auality material oro-
ducing very poor quality water. Casing was pulled by to 120 feet, & further
developing brought the water to near crystel ~arity. A 1/3 horsepower sub-
mersible pump must be used & not installed more than 45 feet below the pit-
less adapter. This well will be an excellant well if pumped at half capacity.
If this well is pumped at full capacity near the bottom of the well, the well
~ll begin to pump silty water. We went the extra mile on this one, & we were
successful.
Tom Wilson has paid
$3,220.00 Well cap:
$1,968.OO on this well. 140 ft x 23 dollars per ft:
$28.00 $~&~-*~*~* $1,280.OO Paid in full. Ck O991
6- ~9-95
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
WRITE CHECK PAYABLE TO .RAMPART DRILLING WORKS FOR THE SUM OF $1 ~ 280.OO
THANK YOU VERY MUCH. BE~~ ~
IE~AUS OF R KS
June 19th, 1995
DAT~
Thank you, Tom. Alot of work, but worth it! '
SERVICE CHARGEOF 1~% PER MONTH WiLL BE ASSESSED ON PAST DUEACCOUNTS.
CT&E Environmental Services Inc.
Laboratory Division
Laboratory Analysis Report
CT&E Ref.#
Client Sample ID
Matrix
PWSID 0
961103.9032
L9 Bi, TURNAGAIN S/D 11103-01
Drinking Water
Collected Date 04/01/96
Technical Director
Released By ~¥~-.,,-: °7::> ...~
Sample Remarks:
Parameter Resutts OC PQL Units Method Atiowab[e Prep Analysis Init
Qual Limits Date Date
Nitrate-N 0.100 U 0.100 mg/L EPA 353.2 04/02/96 EM8
200 W. Potter Drive, Anchorage, AK 99518-1605 -- Tel: (907) 562-2343 Fax: (907) 561-5301
3180 Peger Road, Fairbanks, AK 99709-5471 -- Tel: (907) 474-8656 Fax: (907) 474-9685
ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA
~~~ska~~ -c9503 · 277.C231
June 11, 1976
Mr. Robert Black
P.O. Box 3696
Anchorage, AK 99501
Re: Tract 9, Block 1
Turnagain Park Subdivision
Dear Mr. Black:
At the request of Mr. George Woods,'we have completed a
test boring on the referenced property and transmitted
herein are our recommendations for foundation construction
on the proposed structure.
Site Description
The Property is located at Mile 8 on the Old Seward
Highway. The lot slopes moderately in a westerly direction
toward the inlet with a steep bluff occuring on the west
boundary of the lot.
Subsurface Information
One test boring was drilled approximately in the center of
the lot and 130 feet east of the west property line. The
soils encountered below the thin organic layer consist of
sands with .var'Y~.iDg amounts of gravel. The soils were
silty
wet to a depth of 6 feet below the existing ground surface
and~ moist from minus 6 feet to the bottom of our test boring
at 16 feet. No bedrock, ground Water or frozen soils were
encountered.
Mr. Rober~ Black
Turnagain Park Subdivision
6/11/76
Page 2
Recommendations and Conclusions
Due to the wet soil condition to minus 6 feet, we recommend
either placing the footings directly on the moist sands
below 6 feet or excavate the footings area to 6 feet and re-
establish footing grade with a well compacted NFS sand or
gravel. The bottom of the perimeter footings shall have a
minimum exterior soil cover of 42". Minimum footing width
shall Be 16". A soil bearing value of 2000 PSF at minus
6 feet may be used for foundation design purposes. Perimeter
footing drains are recommended to direct possible ground
water seepage away from the structure. The footing drain
shall be sloped to drain away from the structure and may be
connected to a daylight condition at the western bluff zone.
Exterior grades shall slope away from the building a minimum
of 3% for 12 feet.
If you have any furthur questions,
Very truly yours,
CONSTRUCTION TEST LAB
Neal A. Hausam, P.E., L.S.
NAH/s s ~?"
enclosure
please contact our office.
CONSTRUCTION TEST LAB
"One test is worth a thousand opinions"
2204 Cleveland - Anchorage, Alaska 99503 -
277-0231
Hole No.
Location
Top Elev.
#1
center of lot
& aDout 130' E of W
Property line
Existin~
Sheet of ,
W.O. No.__~7~erator JM
Date
Client Robert Black
Project Tract 9, Block 1
Turnagaln Park Subd.
Depth CLASSIFICATION SAMPLE
Feet SYSTEM DATA LEGEND
~v~ Organic Topsoil
1 ~1.*/
2
3 /.>'.,/ Silty SanS, wet (SM)
4 ' ' /' GRAVEL
'/~*/' Silty Gravelly Sand,
5 ~
~/'/ wet (SP - SM) -.'..-'
>Y ' SAND · , ..
7 7.ol '" . .
8 ..o/., Silty Gravelly Sand,
9 /.~/ moist (SP - sM) ,' / /,
SiLT
10 .. ~
/. /
11 'o'e'/. / //,
13 ~'. .
f~/O Gravelly Silty Sand, CLAY
14 /' ~. moist (SP - SM)
0/O
15 .. · /
/
16 .o/. BotLom of Test ~ole ' ORGANIC
17 CONTENT
18 ,
19
PEAT
/em h
22 FROST
23
24)
25 WATER
26 ~ TABLE