The URL can be used to link to this page

Home My WebLink AboutWAGERS LT 24C 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 Permit Number: ~,A) ~;2~¢),¢.~_~ PID Number: N~m.: ~~ Wastewater System: ~ew D Upgrade Address: ~ ~ ~/~ ~/~ ABSORPTION FIELD Phone~____ ~¢~ INo. of Be~oms: ~DeepTrench ~ Shallow Trench BRed ~Mound ~Other Total Depth from original grade: LEGAL DESCRIPTION S°il Rating: Township: Range: Section: Fill added above original grade; Gravel length: Gravel ~: Number of lines: ~ Dis~anc~tween lines: WELL: ~New Q Upgrade ~¢ l.~¢~¢ ~ Ft. /I Ft. Classification (Private, A,B,C): Total depth: Cased To: Torsi absorption apea: Pipe material: Yield: Pump Set at; C~sing Height Above Ground: SEPARATION DIS'rANCES ~s,,t~o ~ Holding ~ S.T.E.P. TO Septic Absorption Lift Holding ~/Private M8nufact~rer: Capacdy in gallons: Surface ' ~ ~/d LIFT STATION Lot / Size in gallons: Manufacturer: * "Pump on" level at: I "Pump off" lev~gh water alarm at: CudaJn ~/~ / 'ump Make~rical Inspections pedormed by: Remarks: ~*¢_~ L~ ~ G~ ~ ~ BENCH MARK Location and Description: Assumed Elevation: E~61NEER'S SEAL Inspections performed by: ~d~; D~tes: 1st Department of Heal~ and HumanCervices approval 72-013 (1/91) MOA 25 Permit No. Sw950253 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICI=S ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 54.3-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal BescripUon: WAGERS LOT 24C PID No.: 015-141-55 A 29992 1250 GAL. SEPTIC TANK I00, WELL LBT § 89'5 SCALE 1"--60' I Oo, WELL SWING TIES: · MONITOR TUBE A - C = 38.0 o SEWER CLEANOUT B - C = 59,2 ~- WELL A - D = 85.0 LEACNFIELD B -- D - 76.4 .... EASEMENT ELEVATIDNS (NBT TB SCALE) FINISH 11/30/95 ENGINEER'S SEAL '.e.." 4 9 TH ~ ",.Xv~ · ·. :~.C~?-:--.:: ._-~..:....~ · :$~-:: ...................... : ;&: '~ '~ d~'~'. LOU~S A. BUTERA .' ¢,,,; '~?¥".. c~-~ .."~2¢ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW950253 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:HIGGINS PATEICE C OWNER ADDRESS:ill00 OUR RD ANCHORAGE, AK 99516 DATE ISSUED: 8/30/95 EXPIRATION DATE: 8/30/96 PARCEL ID:01514155 LEGAL DESCRIPTION: WAGERS LT 24C LOT SIZE: 47242 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTIOM 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 (iSAACS0) . 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 I S SUED BY : Louis Butera, P.E. Registered Civil Engineer August 23, 1995 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Wagers Lot 24C Narrative & Permit Application Dear Mr. Cross: The proposed well m~d 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. We have adjusted our design absorption rate up one category to take into account the silt soil classification. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \G:\WPDOCS\1995\95-082A,NAR P.O. Box 773294 · Eagle River, Alaska 99577 , Telephone (907) 694-5195 , Fax (907) 694-3297 I ~ PROP, W E L~,.~- ~ TH1 I LE]T 24C I < ~ 250 GAL HSE APPROX, WELL RADIUS I 100, [ ~ELL, Ill LDT 24D I I · MONITOR TUBE 4- WELL NO KNOWN CURTAIN DRAINS - PROPOSED LEACHFIELD .... EASEMENT S I T E P LA N LEGAL: WAGERS LOT 24C CONTRACTOR: HAGMEIER A EAGLE RIVER ENGINEERING SERVICES P.O. ~o~ 7?3294 ~AGLE RfV~R, A~. 99577 (907) 694 5185 FAX: (907) 694-3297 EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 95-082 Calculated By: LB Date: 8/23/95 Legal: WAGERS LOT 24C Single Family 4 Bedroom Dwelling TEST HOLE Deep Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 600 gallons Percolation rate = 8.4 minutes per inch Wastewater application rate = 0.6 gallons per day per square foot Required absorption area = 1000 square feet Trench width (W) = 3 feet Gravel depth (D) = 10 feet Required length = Required absorption area / 2 / D Required length ~-~'i090 /; Required length = 50 Total Excavation Depth ~= 14.0 feet / 10 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Wagers Lot 24C 08/23/95 1. The well and septic plan are for a single family residence only. 2. The drawing mid or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health requirements. 4. All 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 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. 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 14' at aoy point. 4. The sewer line shall be laid level 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' 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 = 14' GRAVEL DEPTH = 10' under pipe, 2" over pipe TRENCH LENGTH = 50' TRENCH WIDTH = 3' SOIL RATING = 0.6 GPD/ft2 BEDROOM CAPACITY = 4 SEPTIC TANK = 1,250 gallons minimum Twenty-four (24) hours notice required for all inspections. G:\WPDOCS\1995\95-082A.SPC Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: Township, Range, Section: 11 12 13-- 14 15 16 17 18- 19- 20- COMMENTS WAS GROUND WATER ENCOUNTERED? SLOPE SITE PLAN s IF YES, AT WHAT /.4 ~ DEPTH? p E Deplh Io Water After Monitoring? P'~' Date: ~- ~- ~'.r' Reading Date Gross Net Dapth to Net Time Time Water Drop ) s-/~--~'~i I;/'/ /~'",'~, g ~ ~, I '~ ~ ),'y¢ /~ ~... 4z//~ I z/¢~ PERCOLATION RATE ~' ~' (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~' -- FT AND ~ . FT PERFORMED BY: I ~,"'~'~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ - p'' 3 ~ ~'5' 72-008 (Rev. 4/85) Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIF'TION~ ~'/4~ ~-r2' L. ~ ~' ~, Township, Range, Section: 1 2 3- 4- 5- 6 7 8 9 10 11 12 ~ 3 _,.~ -h/'W~-'~'p 14 16- 17- 18--- 19- pa~'r~~ ~x T/V COMMENTS SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT Oeptll to Waler Alter Monitoring? ~? Oale: ~ -~a- ~'~ SITE PLAN Gross Net Del]th to Net Reading Date Time Time Water Drop PERCOLATION RATE ~" (~ {m~nute~lnchl PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND ~7 FT PERFORMED BY: I . ~ ~'~,/--~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/8,5) MUNICIPALITY OF ANCHORAGE BEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel CERTIFICATE OF HEAl_TH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 015~141-55 HAA #_ 1. GENI-'RAI. INFORMATION Complete legal description Waqers Lot 24C Location (site address or directions) 11100 Our Road, Anchorage Property owner ~lagmeier Const. Co., Inc. Mailing address ~%204 C!e. veland, Lending agency N/A Mailing address Day phone Suite 201. Anchorag~AK qqs]6 Day phone 248-6789 Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: 4 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. TYPE OF WAS'rEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. ? 72-025 (Rev 1/91) Fron[ MOA #21 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 flies 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. Name of Firm Eagle River Engineering Services Address P.O. Box 773294, Eag~le River, Ak Engineer's signature Phone_694-5159 99577 Date DHHS SIGNATURE bedrooms. Approved for ¢ Disapproved. Conditional approval for ~ - bedrooms, with the following stipulations: Additional Comments Date ~ __ Approval Certificat'es 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 req uirements. Em ployees 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 engineer's work. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Streel Room 502 · Anchorage, Alaska 99501e (907) 343-4744 Health Authority Approva Checklist A. WELLDATA Well type ff~l¢[(, _ If A. B. er C. attach ADEC letter. ADEC water systelll nultlber Log present (Yin) rote completed Total depth 5 ~]~ ' Cased to ~%¢~ Casing height (above ground) Sauita~ seal fyi) _ ~ Wires properly protected (Y~) FROM WELL LOG Date of test Static water level Well prodaction WATER SAMPLE RESULTS: Coliform Date ofsa,,,ple: B. SEPTIC/ItObD1NG TANK DATA Date installed Foandation cleanoat (Y/N) Date of Pumping Nitrate g.p.m. AT INSPECTION / / / / / / / / / g.p.m. / / ~"~' Z22~,//~- Other bacteria '-.(~ Collected by: Tank size /2¢ 5¢ Number of Compartmeats '~Cleanouts (Y/N) /~/~__~ ~/¢'5 . Depression (Y/N) /q/fi High water alarm r¥/N~ /t/~¢ Pmnper /k//~ C. ABSORPTION FIELD DATA Date installed W,/¢O Length ~ ~-' ' Width Effective absorpuon area Date of adequac} test A///~ Field depth itt absorptim~ field before test (m.); Fluid depth /A//F~ .~ ins.) Minotes later: Peroxide (rea(meat (.past 12 moathst (Y/N) Soil rating [g.p.d./fta o~ft'M~mt) _/"), [p System type Immediately after-- gal. witter added Absoq>fioa rote - ¢ ~lr~ g.p.d If yes, give date -- Gravel thickness belo;~ p~pe_ / O ' Total depth /9' ' Monitoring Tabe present(Y/NI t/L75Depression over field (Y/N) ,,~/& Results (Pass/Fail ~£2//¢ ~-g For ~ bedroonts D. LIFT STATION fi,////] Date installed Manhole/Access (Y/N) ~ ~fimp on level at· High waler alarm leveD~~ ~ale~ested ff'¸ off' level E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/lltqrlihg tank ou lot Absorption field on lot Public sewer main $~/septic se~ice line O11 adjacent lois , Oil adjacetlt lots _ Public sewer umnhole/cleauout Lift statmn SEPARATION DISTANCES FP, OM SEFFIC/HO~G TANK ON LOT TO: Building lbundation -__ -¢5'- Property line /-/ge ' Absmptmn field Water.mahffsepeice line ,'~/a ' Surface water/drainage./-/?)~9 Wells on adjacent lots SEPARATION DISTANCE PROM ABSORPTION FIELD ON LOT TO: Building foundation ~-°~" _ Water nmledscrvice line P'/o ' Sorfi~ce water '/~ ___ _ Driveway, parking/vehicle storage area //,9 Ctlrlail~ drain ~ff, A/d. ~ff/:/'f. Wells on adjacent lots ~-/oo ' ENGINEER'S CERTIFICATION _ Property lille I certify that I have determined lhrufield inspections and revtew of 3/[unicipal records ill coq/brlnance with iVlOA HAA guidelines in effect on Ibis date. "~' Eugineer's Name d Oe/5 _~d~.(d t']., _ /~ Date HAA Fee Receipt Number Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ _ Date of Paymen[ __ Receipt Number CT&E Environmm'ltal Services Inc. L~bm-atory D{visio. ~' .~J~,~ cT~ ~,~ ~,0~-~ [~borato~ Analys~s Report 200 W. [~ottor ?rive, A~}ohom~e, Al( 99§18-160[; -- Tel: (907} §62-2343 Fox; {907) 561-5301 ENt/IRONMEN'I'AL. FACILITIES I~J ALASKA, CALIFOllNIA, FLORIDA, tLLINOIg. MARYLAND, MICHIGAN, MI~SOUI~I, NEW JERBEY, 0HI0, W~S¥ VIRGINIA