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Home My WebLink AboutT15N R1W SEC 18 LT 165 Municipality of Anchorage Page 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 Name: ~ ~UjC~ Wastewater System: D New D Upgrade Address: ABSORPTION FIELD Pno..: ~S~'~7'7/~O"O;~ iN°'°'a~°°~': ~DeepTrenc. DShallowTrenc. DBed ~Mound :Other Total Depth fro~ original grade: LEGAL DESCRIPTION Soil Rating: j.~ GPO/Sq, Ft, ~.6 Lot: ~ ~ ~ Block: Subdiv~lon: Depth to pipe bottom from orlgina~ grade: Gravel depth beneath pipe I I Fill added above original grade: Gravel length: ~ i WELL: ~ New D Upgrade Gravel width: ~ I Number of lines: iDistance~tweenlines: Classtfioation (Private, A,B,C): Total Depth: Cased TO: Total absorption area: Driller: Date Drilled: Stali~ Water Level: tnstaller: Date installed: Yield: Oaring Height Above Ground: SEPARATION DISTANCES ~s.otic : Ho~in. : TO Septic Absorotion Lift Holding Public/PrivateManufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~ ~ I O0 O Number of Compa~ments: W.t.r ioo~+ ~oo~+ -- LIFT STATION Foundation j~ ~1~ ~ ~ _ "Pump on" level at: "Pum " : High water alarm at: CuAain , ~ '~ ~N ~ ~ Drain BENCH MARK Remarks: ~Locatlon and Description: Assumed Elevation: J ENGINEER'S SEAL 7320Ea~ Chester~ts. ~e 4/Zr/~ ~ ........... ':'" Anchorage, Alaska 995~ 2nd : Depa~ment of Health and Human Se~ices approval -~ :~,., ...' { i~,? · ........:, ;,~L" Reviewed and approved by: ~-~ ~ ~ Date: 7-/~'~ '~R0~ESS~ 72-O13 (Rev, 9/91 ) MOA 25 ~[..,..o. AS-BUILT DRAWING 051-232-27 SW702g 1 RIG~-OF-WAY / ~ N~ 1000 AL N ,'% . PREP~EO ~: ~ Ok A T~s,. ,~w. SEC 1~. SW ~/~. LOT ~SS ~E OF WORK: AS-aUlLT O~ SE,T~C SYST~, U,~,AgE PR~[D ~R: PHONE ~o.~ c.u~c~s.a~ ~-~1~o-o~ '0~" 4 ~. ~o~ .....'~ BATE:7/1/98 u~ ~: SC~E: PAGE: J.L.M. 1 = 30' i OF 2 A B FCO 18.2' 27,8' $T1 15.5' 31.1' ST2 17,5' 34# BBL1 lg.0' 35,0' DBL2 20.1' 35.7' C01 27.6' 4.1.1' MT1 44,0' 52,2 C02 64.2' 70,7' ALASIC4k WATER & WASTEWATER 7a2o E. C~E.~, .TS. C~RC~ * ~C~O~O~, ~. 9~0~ ~."':" ':"7~ I SOlL LOG - PERCOLATION TEST I , ?" ' BLM LOT 165, SW 1/4, T15N, RIW, SECTION 18, " LEGAL DESCRIPTION: ~.~j.~ PERFORMED FOR: JOHN CRUICKSHANK ~;l~e ,,~.~ A. GorNess.:. DATE PERFORMED'. ~/25/fl~ ~- ~'.) ~-7~fi3 .-" ~ "..7 ..-' (feet) I [:: ~ } ORGANICS 2 ~ )~0%'~°~ SOIL C~SSIFICATIONS ~ GW ; ....... : ORG ~ GN CL ~o,~,o ~ SW HH ,o:,o~.,; SM ~ ~ OH SEE ATTACHED 6~ ~%~,,¢~ SC AS-BUILT DRAWING ~ o DEPTH TO 7-- .,~ ~,, DATE GROUNDWATE~ B ~ ~.~ c DRY 6/25/98 9-- ,,o,~,~,~ SP/SW , DATE READING ~,~o:~,,,, CLOCK NET TIHE WATER LEVEL NET DROP ~~, %~ TIHE (MINUTES) READING (INCHES) 14-- ~,o~ ~ ~' 15~ B.O.H. ~0~ 19-- PERCO~TION ~TE - (NIN./INCH) PERC. HOLE DIA. 6" (INCHES) 20-- ~ TEST RUN BETWEEN - FT. AND - FT. COHHENTS: CONFIRMATION TESTHO~ PERFOMED BY A~SKA WATER · WASTEWATER I, , CERTI~ THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS BATE. DATE: DEPTH TO DATE GROUNDWATE~ DRY 6/25/98 by DOC Co. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 , ~ OWNER OF LAND ~J~/'/"'J ,~ //~]'¥ O~.UtC,-~.~jO~RE HOLE DATA DEPTH LEGAL DESCRIPTION T/5'~J I,~J SEc /~P' T~ INDENTIFICATtON NUMBER O ~[~ Is welt located at approved permit location? ~ ~ No Method of Drilling: / ~ota~ ~ cable tool Casing Type ~T~ Wall Thickness ,~--~ inches Diameter ~ ~ inches, depth /~O~/~ Liner Type: Casing Stickup Above Ground: ~ feet Static Water Level (from ground level): ~ feet Pumping level: feet affer~hm, pumping gpm Recover Rate: ~ gpm Method of Testing: ~ ~ Well Intake Opening Type: ~ Open End ~Hole ~ Screened; Stad feet Stopped feet ~ Perorations Stad feet Stopped feet Grout Type: ~ ~ ~'~ Volume I~ Depth: from O feet, to feet Pump Intake Depth: feet Pump Size hp Brand Name Well Disinfected Upon Completion? ~s ~ No Method of Disinfection: ~N~*~,~ ~ ~ Comments: Dflllefs Name ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. 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:SW970291 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES OWNER N~ME:CRUICKSHANK MAURICE J & OWNER ADDRESS:lB671 MINK CREEK DRIVE CHUGIAK, AK 99567 DATE ISSUED: 9/02/97 EXPIRATION DATE: 9/02/98 PARCEL ID:05123227 LEGAL DESCRIPTION: T15N R1W SEC 18 LT 165 ~t~'/~- LOT SIZE: 130680 (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: THE ATTACHED APPROVED DESIGN. 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 (iSAACS0) . 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) 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 THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: z~/~. ~/~//-'~./~_ klaska Water & Wastewater $471 Brookridge Drive~ Anchorage ~ Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers August 20, 1997 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O Box 196650 Anchorage, Alaska 99519-6650 Reft Well & Septic System for T15N, R1W, SEC 18, SW 1/4, LOT 165 To whom it may concern: The subject property is currently undeveloped. The property owner is proposing to build a 3 bedroom house on the site, which will require the installation of a well and a septic system. Comments regarding the proposed systems are summarized as follows: 1. SOILS: Attached is a copy of the soils logs. Both logs indicated sandy soils which perked faster than one minute per inch. No groundwater, or impermeable soils were encountered to a depth of 17 feet. 2. TRENCH DESIGN: a. Percolation Rate: < 1 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 £ Effective Depth: 5.0 feet g. Reduction Factor = N/A h. Width: 2 feet minimum i Minimum Length: 37.5 feet. Proposed trench length = 40 feet j Effective absorption area = 400 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the l~fOlbk>sed septic system. 4. TOPOGRAPHY: The lot has a flat area on it where the house and septic system are going to be built/installed. See the attached plot plan, which shows elevation shots throughout the The new trenches will be greater than 50 feet from the steep eutbank. 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 on my digital pager at 1-800-481-1162. Thank you for your assistance. T15N, RiW, SEC ;8, SW 1/4, BLM LOT 168 UNDEVELOPED PROPERTY, CENTER LINE OF ALASKA RAILROAD 100' ALA~9~A SEE PLOT PL~ FOR THE-,~ /' I / T15N~ RIW, SEE lB, SW 1/4, BLM LOT 183A PRIVATE WELL AND SEPTIC SYSTEM, LOT IS OWNED SY THE SAME PERSON THAT IS BUILDING DN THE SUBJECT LOT (LOT WELL IS MUCH GREATER THAN 100 FEET FROM THE PROPOSED SEPTIC SYSTEM, SYSTEM WELL & SEPTICI T15N, R1W, SEC 18, SW 1/4, LOT 165 PREPARED FUR~ JOHN CRUICKSHANK PREPARED BY1 ALASKA WATER & ~/ASTE~/ATER 1' = 100' WELL FBACK FROM THE CREEK EREEK H SE 50 FDUT SETB~,CI~ FRUM CUTB~NK-~ ~ t / PROPDSE~ WELL ]00 FQUT CREEK SET~ACK/ WELL & SEPTIC' TI5N, R1W, SEC 18. SW 1/4. BLM LOT 165 PREPARED BY" ALASKA WATER & WASTEWATER SERVICES ]]ATE: 8120/97 DRAWN, G ARNESS SCALE, ~' = 30' '~~~'~~ TOTAL TRENCH LENGTH -- 40 FEET. TOTAL ABSORPTION AREA ~ 400 SOUARE FEET (MIN..). BACKFILL WITH NATIVE SOIL AND MOUND. LTER FABRIO SILT BARRIER. 2 FEET MIN. -- 4 INCH DIA. PERFORA TED PIPE, WITH HOLES DOWN. SHALL BE LEVEL WITHIN ,01 PEET. PLACE 2 INCHES OF DRAINROCK OVER TOP OF PIPE. TOP OF DRAINROCK SHALL BE AT THE SAME ELEVATION OVER THE ENTIRE TRENCH WIDTH. TUBE (TYP). PERFORATED IN DRAINROCK. NO TE: 1. TRENCHES SHALL RUN PARALLEL TO THE SLOPE CONTOURS. 2. FOR LOCATION OF MONITORING TUBE, SEE BITE PLAN. 3. CONSTRUCTION PRACTICES, AND MATERIAL SPECIFICATIONS SHALL COMPLL Y WITH ANCHORAGE MUNICIPAL CODE 15.65, "WASTE- WATER DISPOSAL REGULATIONS". 4. INSTALLATION SHALL COMPLY WITH SPECIAL PROVISIONS AS NOTED ON THE SEWER PERMIT. 5. SMEARED BOTTOM AND SIDEWALLS SHALL BE RAKED. 6. DRAINROCK SHALL BE SCREENED PER M.O.A. SPECIFICATIONS. DIRTY DRAINROCK WILL BE REJECTED. TRENCH DETAIL: T15N, RIW, SEC 18, SW 1/4, LOT 165 PREPARED FOR: JOHN CRUICKSHANK ALASKA WATER & WASTEWATER SERVICES DATE: 8/20/97 DWN: GARNESS SCALE: NTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2 3 4 5 6 7 8 9- 10- 11 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? i~;' ~dza, ,'.y ,~, ~ ..'4~,// ;*4 :. ~^,~?,,,,.wj?s...'~.,~.~ Township, Range, Section: TI~,~ / ~ tho / ~ ~ s Deplh to Water After ~ v 13 Monitorino? ~ ~ Dale: E t4- 15 16 17 18 19 Gross Net Depth to Net Reading Date Time Time Water Drop 20 PERCOLATLON RATE__~ (minutes/inch) PERC HOLE DIAMETER t~ It' ~-.~7~, n , -- ~ /) ' '1'~. , PERFORMEDBY' A ~/)qfL[4 ~/' ~J~v~ I .~ ~ W~.TIFYTHATTHIS.T"STWASPERFO"M"DI" 72'008 (Rev. 4/85) PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 13- 14- 15- 16- 17 18- 19- 20- Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502~0650 SOILS LOG -- PERCOLATION TEST l DATE PER FO~ Township, Range, Section: ~7S~, ['~l~t~Jl~ SLOPE SITE PLAN ENCOUNTERED? S IF YES, AT WHAT O DEPTH? p E Depth lo Water A~r ~,.~ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE {minutes/inch) PERC HOLE DIAMETER __ COMMENTS PERFORMED BY: ACCORDANCE W 72-008 (Rev. 4/85) TEST RUN BETWEEN ~ FT AND ~ F? 0 ~,~, ~ 0 ~ ,.I~ 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 051-232-27 HAA# ~ GENERAL INFORMATION Complete iegal description T15N; R1W; Sec 18; SW ¼ of BLM Lot Location (site address or directions) Property owner Mailing address Lending agency Mailin. g address 18761 Mink Creek Drive John Cruickshank 18761 Mink Creek Drive AK Day phone 250-0656 Chuqiak, AK 99567 Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: Individual welt ×× Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individuai on-site Holding tank Community on-site Public sewer NOTE: xx 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 RECEIVED Munioi pallty of Anchorage APR 2 ;5 1999 DEPARTMENT OF HEALTH & HUMAN SERVIC~N~C~P~uw eF ~NC~O Environmental Services Division ENVII[ONMENTALSEI~VIC~ C 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal Description: L.~-r I~,~,~ .~ec~'~e~J t~,; l'~.~p; ~, I~J Parcel I.D.; A. WELL DATA Well type LoG present (~/N) Total depth Sanitary seal ~'N) If A, B, or C, attach ADEC letter. ADEC water system number ~'~5, Date completed ~1/'z'?/~1-/ Cased to I ~C) o~ Casing height (above ground) Wires properly protected ~/N) Date of test Static water level Well production FROM WELL LOG ~ /~7/q"/ g.p.m. AT INSPECTION g.p.m WATER SAMPLE RESULTS: Coliform -'~)' Date of sample: Nitrate ,, n?.,/Z_ Other bacteria Collected by: A. B. SEPTICIIII~Ii~IN~ TANK DATA Date installed Foundation cleanout (~N) Date of Pumping Tank size ~oo~ Number of Compartments ~ C ~)anouts (~'N). ~'~ ',/r~ Depresmon (Y/~ ~J o High water alarm (Y~ ~ o Pumper ~ C. ABSORPTION FIELD DATA Date installed ~o/~//~ Length ~ O Width Effective absorption area ~roo Date of adequacy test ~ ~ Soil rating ~--~-~cr ~/--drm) ) * ~- System type Gravel thickness below pipe 5~. I"/ Total depth Monitoring TuOe present (~'N) "(¢~ Depression over field (YA~) Results (Pass/Fail) For --~ bedrooms Fluid depth in absorption field before test (in.); ~ Immediately after -- gal. water added (in.): Fluid depth ~ (ins/Minutes later: Peroxide treatment (past 12 monthsl (Y/N) Absorption rate = If yes, give date .g.p.d. 72-026 (Rev. 3/96)~ APR-21-g0 17:11 FROM-CTE ENVIRONMENTAL 5615301 T-104 P.0B/06 F-007 CT&E Environmental 8ervicea Inc. Client Name ~Rleet Name/# Client Sample O~ered Sample 99159~0o1 ~ Wa:er & Wa~:gw~er Coasuhan~a In~. L 1~5 SW 1/4 S~ 18 TISN pressure Tan~ Dtlnkiug Waer 0 Printed Date/Time 0~J20/99 16:38 Colle~ed ~ie/T~e 04/15/99 12:35 R~v~ ~te~e ~/16/99 11:40 0 cot/loOm~ $~la 92Z~a 0.§00 U 0.500 ~a/L $PR $00,0 RECEIVED APR 2_~ 19~9 Municipality ot A~/CnOrage Dept. Health & Human Services ^PE-21-~g 17:11 ;ROM-CTE ENVIRONMENTAL 5615301 T-1~4 P06/06 F-gg? ZI~ CT&E Environmental Services Inc. Laboratmy Division ar arara~e'~, 200 W. Po~er Tel (907} 562-23~,3 )rinking Water Analysis Report tbr To;al Coliform Bacteria SAMPL~ DATE: MonTh 5AMPL[ TYP£ ~ Routine ~ Repea~ Sample (for rou;in~ ~i~h lab ref, no, _ ~ flpecl~l PurpOSe SAMPLE LOCATION PUBLIC WATER SYSTEM Day Year T~t~d Wafsr Untreated Water ,~ Sansf~¢iory Sampl= over 30 hours old, rcsult~ be unteh~ble a~w s~ple wa 5perl~l g~hv¢~ marl, Oa~ ~eiv~d Anatysia B~an ~ ~lytle~ Method; ~ Me.brine Ftlte~ m MM~MUG * Number of oolome~1100 mL ........ R~sall* Analyst EIEI 15EIB MMO-MUG R~alI: Total Callfnrm Membrane Filter: DIr~ Coaat Verification: LTD ...~.~--~------ BGB Fecal Coliform Co.flrmatlon Final Membrane Filter Res~IT~ Cllen~ nndtlod of unsatisfactory results: Spoge wtch Caloaics/l OO mi _ Cnllfmn/100 mi _ _.. Nle~ber of the S~18 G ro_~p iSoc,e~e Genor~ala ae Suave Ilaacel APR-18-1999 FRI 08:08 AM LRNTEOH/SL~NR FAX NO, 5816628 P, 02 // / /' ,/ / i/ \ \ ~ ,,00,~0,00 N ~ O. LIFT STATION Date installed Size in gallons ~ Manh~ _~off" level at* High water alarm evel at* Cycl~ ~ E, SEPARATION DISTANCES SEPARA~Ti~ON DISTANCES FROM WELL ON LOT TO: Septic/t~ tank on lot I OH I + Ioo Lt' Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/N~L=IN#~i TANK ON LOTTO: Foundation I q ~---+ Property line ~,.~.~ ~ Absorption field. Water main/service line ~ 0 t + Surface water/drainage ! o o I.~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Cu ~tain drain Building foundation ~e~ Water main/service line Driveway, parking/vehicle storage area ~/--,,Jo,.~J~ Wells on adjacent lots I00 ~'-~ ENGINEER'S CERTIFICATION J inconforma~VwUi~A~o inosineffoctonthisdato. Signature .. /,~A.~ /~., ~ _~ Engineer s Name ~ (J~ ~ Date ~/~ i Of+ HAAFee $ ~o~ '~r~ Date of Payment Receipt Number Z//~7~ Waiver Fee $. Date of Payment Receipt Number 72-026 (Rev. 3/96)* 5. STATEMENT OF INSPECTION BY ENGINEER A~s 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, andregulationsa,...~...uu.,,.../~l~in effect on the date of Name of Firm Address , ....... Engineer's signature Alaska Water & "~' ~is inspection. Phone Date Wastewater Consul~nts, Shall be PAID $/00-' .a~ or prior to, closing for the 6. DHHS SIGNATURE x~ Approved for-~l ~-~---- bedrooms. Disapproved. Conditional approval for bedrooms, with th-e 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 DHHS 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 net 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.