HomeMy WebLinkAboutUPPER EAGLE RIVER ESTATES BLK 2 LT 5A
¢' · 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
Wastewater System: ~New ~ Upgrade
Address: ~0~% ~/,/ ~¢/ /~.~,~ /~ ¢¢~0¢ ABSORPTION FIELD
Phone:
No.
Bedrooms:
~ D Deep Trench ~hallow Trench D Bed D Mound ~ Other
Total Depth from original grade:
LEGAL DESCRIPTION so~,.~: ~' ~ ~/s~..~. ~ ~'
Township:/~ IRange~ ~ ISection:/~ Filladdedaboveodginalgrade:,,~ ' Ft. Gravellength: ~ Ft.
Number of lines: ~ Distance between lines
WELL: ~New D Upgrade Gravelwidth: ~ Ft. ~I --~-- Et'.
Yield:~ Pump Set at:~ Casing Height Above Ground
TANK
SEPARATION DISTANCES ~Septic U Holding D S.T.E,P.
TO Septic AbsoCption L~fI Hold~ng Public/Privet( Manufacturer: Capacity in gallons:
From Tank F,eld Station T~nk Sewer Lines ~, ~ ~¢~
Material: Num~of Compadments:
Water ~Z~ - ~ LIFT STATION ~ --
LOt 3 ¢ ~ '~0 Size in gallons: ~Manufacturor:
Line ,
Foundation :~¢ ~¢ .~ "Pump on" level at: ~ at: I High water alarm at:
performed
by:
Curtain
Remarks: BENCH MARK
Location and Description;
Assumed Elevation:
ENGINEER'S SEAL
Department of Health and Human Services approval -d~. c.~7~ ....~
72-013 (Rev 9/gl) MOA 25
Permit N6.
· SW980013 Page. 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchoroge, Alosko 99519-6650 Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legol Description: Upper Eagle River Estates Lot 5A BIk 2
PID No.: 05078128
A i
SWING TIES
N 89'48'55' E
10' UTILITY £AS£H£NT 300.19 I
LOT 5A
DRIVE
C WELL
300.22
g 89'42'B6' ~/
A-C = 162'
B-C = 118'
A-D = 133'
B-D = 57'
ELEVATIONS
(NOT TO SCALE)
Scale 1" =50'
6/12/98
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW980013
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:SHOTTS ROBERT A & SUZANNE K
OWNER ADDRESS:6025 RIL WAY
ANCHORAGE, ALASKA 99504
DATE ISSUED: 2/02/98
EXPIRATION DATE: 2/02/99
PARCEL ID:05078129
LEGAL DESCRIPTION:
UPPER EAGLE RIVER ESTATES BLK
2 LT 5A
LOT SIZE: 49524 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
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 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:
DATE:
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
January 15, 1998
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Upper Eagle River Estates Lot 5a Blk 3
Narrative & Permit Application
Dear Mr. Cross:
The proposed well and septic system will have very limited impact on adjacent properties for the
following reasons:
1. The surrounding lots are large, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity.
4. Drainage will not be affected and is not a major consideration in our design.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\1997~96-029-NAR.DOC
Eagle River Engineering Servxces
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5196 tel
Eagle River, AK 99577-3294 (907) 694-3297 f~x
LEGAL:
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
Upper Eagle River Estates Lot 5A BLK 2
1/15/98
A. GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health and State
Department of Environmental Conservation requirements.
4. Ail soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. It is always recommended that a surveyor locate the nearest lot line position and the location of any
easements.
9. Any remaining open test hole excavations shall be filled.
B. SEPTIC TANK
1. Septic tank shall have a minimum capacity of 1000 gallons and be of MOA approved design.
C. TRENCH
1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom.
2. The bottom of the trench shall be level, plus or minus 1.5".
3. The total depth of the trench excavation is not to exceed 7.5 at any point.
4. The effluent line within the trench shall be laid level to within 0.03'.
5. The trench gravel is to be covered with typar fabric material.
6. Soil or combination of soil and extruded board insulation to a depth of 3.5' or equivalent is to be
placed over the leachfield.
7. The area over the trench is to be finish graded to prevent ponding of surface water runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 7.5' GRAVEL DEPTH = 4' under pipe, 2" over pipe
TRENCH LENGTH = 56' TRENCH WIDTH = 5'
SOIL RATING = 0.8 GPD/ft2 BEDROOM CAPACITY = 3
SEPTIC TANK = I000 gallons
Twenty-four (24) hours notice required for all inspections.
\1998\96-029-spc.doc
LOT.~~4B
N 89*48'55' E
UELL +[00' LOT 5A
I
I 300.16
S 89~48'86' ~
~ - TEST HOLE
m - ~ONITOR TUBE
o - SE~ER CL~NOUT
NO SURFACE ~ATER + - ~ELL
EASEMENT
NO KNOWN CURTAIN DRAINS PROPOSED LEACHFIELD
NO CONFLICTING ~ELLS/SEPTIC SYSTEMS ~ITHIN 200' I- EXISTING LEACHFIELD
WELL/SEPTIC SiTE PLAN
OWNER: SHOTTS
~o~ ~e-o~9 ~[: ~/~o/~sI sc~ ~ = s~'
P.O. Box 773~94
EAGLE RIVER, AK. 99577
(907) 694 5195 FAX: (907) 694-3297
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage. Alaska 995024650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION: /~"d' ~'-~'~,./¢- ~/'~,* ~-~£~
1
2
3
4
5
6
7
8
9
10
11
12
DATE PERFORMED:
Township. Range. Section:
COMMENTS
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
iF Y~=S, ATWHAT ~,~ --
E
PERCOLATION RATE /~"- ('m~nuteshnch) PERC HOLE DIAMETER .
TEBT RUN BETWEEN -~ FT AND ~ / FT
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL D E SCR I PTIO N:/~f,~,~-f
2
3
4
5
6
7
8
9-
10-
11
13-
14-
15
16
17
18
19
DATE PERFORMED:
Township, Range, Section:
-/7 / /
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH? ~ ~J//~
Deplh to Water After
Moniloring? ~£ ~ Date:
Reading Date Gross Net Depth to Net
Time Time Water Drop
20
PERCOLATION RATE )~'~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN 5~ FT AND ~ FT
COMMENTS
PERFORMED BY: /~/~-J;- I ~ CERTIFY THAT THIS TEST WAS PERFORMED iN
ACCORDANCE W~TH ALL STATE AND MUNICJPAL GUIDELINES IN EFFECT ON THiS DATE. DATE: ,,4~ ~ oQ c) -- ~P
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
DATE PERFORMED:
LEGAL DESCRIPTION: I~,,~,m,-,. E~./~ ~.'v~.! ,~,~ /-~ j72
77/l
1
2
3
4
5
6
7
8
9-
10-
11
13-
Township, Range, Section: "1~'~..{ N ~,1 t,,) SE~- 1'7
SLOPE
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
-IN-
S
IF YES, AT WHAT ,¢/j (~
DEPTH? ~" p
E
Depth lo Water Afte~
Monitoring?
14-
15-
16-
17
18
19
20
Reading
.7
Date
Gross
Time
Ak -
Net
Time
Depth to
Water
Net
Drop
COMMENTS
PERCOLATION RATE __
TEST RUN BETWEEN . .
(minutes/inch) PERC HOLE DIAMETER
FT^ND ~'>- FT
PERFORMEDB¥: , CERT,,,T,ATTH,STESTWASPERPORMEO,"
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
EAGLE RIVER
ENGINEERING SERVICES
P.O, Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 96-029
Calculated By: LB
Date: 1/20/98
Legal: UPPER EAGLE RIVER ESTATES L5A B2 TEST HOLE 2
Single Family 3 Bedroom Dwelling
Shallow Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 450 gallons
Percolation rate = 15 minutes per inch
Wastewater application rate = 0.8 gallons per day per square foot
Required absorption area = 563 square feet
Trench width (W) = 5 feet
Gravel depth (D) = 4 feet
Required length = Shallow trench factor * Required absorption area / W
Shallow trench factor = ~ + 2) / (W + 1 +2 D)
Shallow trench factor = 0.50
Total Excavation Depth = 7.5 feet
Total Excavation Length = 56 feet
SINGLE FAMILY ON-SITE WORKSHEET
ERRS PROJECT NUMBER: 96-029 CALCULATED BY:
LEGAL DESCRIPTION: UPPER EAGLE RIVER ESTATES L5A B2
NUMBER OF BEDROOMS: 3
WATER USE PER BEDROOM: 150
PERCOLATION RATE: 15
DEPTH TO GROUNDWATER: 14
DEPTH TO IMPERMEABLE LAYER; 14
ANTICIPATED DEPTH OF COVER: 3.5
MOUND OR BED SYSTEM
WASTEWATER APPLICATION RATE:
ABSORPTION AREA REQUIREMENT:
MINIMUM BED LENGTH
12 FEET WIDE BED
15 FEET WIDE BED
TRENCH SYSTEM
WASTEWATER APPLICATION RATE:
ABSORPTION AREA REQUIREMENT:
SHALLOW TRENCH OPTIONS
5 FEET WIDE TRENCH
LB
GALLONS
MINUTES PER INCH
FEET
FEET USABLE SOIL STRATA
FEET TOTAL USABLE DEPTH:
USABLE SOIL STRATA DEPTH:
0.5 GALJSQ.FT
900 SQ.FT
8
4.5
75 FEET
60 FEET
0.8 GALJSQ.FT
562.5 SQ.FT
DEEP TRENCH OPTIONS
3 FEET WIDE TRENCH
EFFECTIVE REQUIRED TRENCH EFFECTtVE REQUIRED TRENCH
DEPTH (FT) ENGTH (FT) DEPTH (FT) ENGTH (FT)
1 98 4 70
2 79 4.5 63
2.5 72 5 NA
3 66 5.5 NA
3.5 61 6 NA
4 56 7 NA
8 NA
9 NA
DESIGN SPECIFICS
FIELD SYSTEM:
GRAVEL DEPTH:
TRENCH OR BED WIDTH:
LENGTH:
TOTAL
EXCAVATION
DEPTH:
S
4
5
56
(B=BED, S=SHALLOWTRENCH & D=DEEP TRENCH)
FEET
FEET
FEET
7.5 FEET
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.# ~b-~0- ~'~'" (~'¢ NAA# '~.~ c'~-,,~\ ~_.,.~.
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner /~// ~-~'~,v.
Mailing address G~- ~ ~//_
Lending agency
Day phone
Day phone
Mailing address
Agent Day phone
Address
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, t/91) Front MOA#21
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.
Eagle River Englneerb g Services
Name of Firm P.O. Rox 77~9,0~: ~=gl~ ~;.,.~, A~r .~. ~7.3o.9,~ Phone
Address
Engineer's signature
DHHS SIGNATURE ~
~'~' Approved for [~d~
Disapproved.
Conditional approval for
bedrooms.
Date_ //-/~' ' 9~
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 DH HS 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 engineeCs work.
72-025 (Rev, 1/91) Back MOA f~21
Municipality of Anchorage ~
DEPARTMENT OF HEALTH & HUMAN SERVICES'
Environmental Se~ices Division ~w41o
1998
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907)
~unicJpality of Anchorage
,. .Dep~ Health & Human 8erv~ce~
Health Authority Approval ChecKdst
Legal Description: .~/P~-,~ ~m~'~,~,/~/ ,~'~cx' ~"'~ ~-~-~/~ /~2 Parcel I.D.:
A. WELL DATA
Well type Az'v,, ?~c
Log present (Y/N) ~/~$
Total depth ~' ·
Sanitary seal (Y/N) ,,V~.~
Date completed
Cased to ~" ~
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 AT INSPECTION
g.p.m.
WATER SAMPLE RESULTS:
Coliform ~ Nitrate
Date of sample: -~N~-, //~)' - ~',~
~_2 ,~ ~' ~ ,,~
Collected by:
Number of Compartments ~- Cleanouts (Y/N) /V~_~
High water alarm (Y/N) --,/f/"¢ -
B. SEPTIC/HOLDING TANK DATA
Date installed 'L/_ ~.. ~_ ~,~ Tank size
Foundation cleanout Cf/N) /ff~' Depression (Y/N)
Date of Pumpi~'+ ''~,/V'''~ ~'' i' :, ;:Pumper --/4~'~ --
C, ABSoRpTIoN FIELD DATA'~ i:---
Date installed ~-~' ~'- ~'~ Soil rating (g.p.d./fF or fF/bdrm) ~'' ~'
Length -~'~'~ · Width ~ · Total depth ~'
Gravel thickness below pipe zT~' / / "
Effective absorption area +5'-~".7 ~ Monitoring Tube present (Y/N) ~¢-~ Depression over f e d (Y/N).
Date of adequacy test --.,4/~ -- Resu ts (Pass/Fail). ./4/'/ For '/~'/~ bedrooms
Fluid depth in absorption field before test (in.); .//.~ Immediately after/4//gal, water added (in.):
Fluid depth /~',~ (ins) Minutes later: ,4~.~ Absorption rate = /~//~ g.p.d.
Peroxide treatment (past 12 months) (Y/N) -"/',~ If yes, give date
System type .5'~/~
72-026 (Rev. 3/96)*
.FT STATUe.
Date installed Size in gallons
Manhole/Access (Y/N) "Pump on'~~~
High water alarm level at* ~*Datum
"Pump off" level at*
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
g
Septic/holding tank on lot /
Absorption field on lot /
Public sewer main
Sewer/septic service line
On adjacent lots
On adjacent lots '¢-/'¢'¢"
Public sewer manhole/cleanout
Lift station ,.,,4~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ~2..~" ? ¢ /
Property line Absorption field /
Water main/service line +~'~ ~ Surface water/drainage ~'/~"~ ' Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line '~ ~:~ /
Surface water '¢/¢'~ '
Curtain drain
F, ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections and review of Municipal,
in conformance with MOA HAA guidelines in effect on this date.
Signature--S-- __
Engineer's Name ~"~'~-~/~' -~' .~ ,~-~;
Building foundation ~4- ' Water main/service line d-.~¢
Driveway, parking/vehicle storage area /-)"¢ ~
Wells on adjacent lots 4-- /¢¢) ¢
HAA Fee $
Date of Payment;
Receipt Number'-'
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3~96)*
NOV-O6-1998 17:48 CT~E ESI ~NCHOR~GE
Matr'i~
PW$I~
Sampl~
9~6494001
~gle Rivet
Upper E,R F. st. LSA ~lk 2
Upper E.R E.~t. L 5A Bllc 2
Drinking Water
Client PO~
Printed ]~tedTlme 11/06/98 10:4'/
Col[c~tedDatedTime 11/t13/98 12:30
Re~IvedDatetTlme I 1/0~/98 16;40
To~lmieal D~rector: Stephen C.
Total COliform
o,100 re/L
~o[/101~..
· ~l l~ble Prep AnaLysis,
EPA 300.0 '10 mx Jt/{~l~ 11/o¢,?)e
SNIa 9222a ~ 1/03/9a
0 Municipality o~ Anci~orege
ept, Health & Human Services