HomeMy WebLinkAboutGREENBROOK BLK 4 LT 3
' -' ~., ' MUNICIPALITY OF ANCHORAGE k~/
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
NAMEr-s. ON-SITE SEWAGE DISPOSAL SYSTEM A~I~i~:~L INSPECTION REPORT
PHONE ,-~ EW
LEGAL DESCRIPTION
LOCATIO~ NO. OF BED~OMS
/
Well Ab~Ta Dwellz,, ~ /~ PERMIT NO.
O ~ DISTANCE TO:
~ Manufacturer G ~ Material ~/ No. ofcompartments
Li~ ~y in gallons IF HOMEMADE: Inside ]ength Width Liquid depth
Well Dwelling ~0,
~OZ~ ~ DISTANCE TO: . / /
0 ~ < Manufacturer / / Material ~ Liquid capacity in gallons
~ Well Foundati~/..~/~ Nearest lot line PERMIT NO.
~ ~ No. of lines ~ Length of each I~ne~ Total length o~ Trench width ~ Distance between lines ,
~ ~ Top of tile to finish grade ~ ), ' ~/ Material beneath til~ ' g / Total effective
~.~ 1~ inches /
~ Length . ~idth ~ ~th ~ P~~
~ ~ T~pe of crib Crib diameter Crib depth tire absoroti~
~ / Well ~ Building founda~on Nearest lot line
~ DIST~CE TO:
~ Class Depth Driller Distance to lot line PERMIT NO,
Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
SOIL TEST RATING /] i '-
REMARKS L:
--
APPROVED DATE LEGAL
72-013 (Rev, 3/78)
[;,~PFIRTHENT OF HEFILTH RNB, ENVIR'~NHENTRL F'~'ZTE 3T ION
':'":'~"'L" ;,TREE r. ~NF:Hn~'ROE,
~, ~-4 ,' ~U
F'ERHIT NO. ,:' ,=.~d,' .... ::' p¢~.
RF'F'LICI::INT DICK WRIGHT SRR E:FX a._:-i FINCH.
LOCRT I ON TERESR C I I~f':LE
LEGRL LOT ~: E:LK 4 GREENE:ROOK %IJE: LOT SIZE
TYF'E OF :,L IL FIBSORF'TION ""'"-'~F'" TRENCH
MFIXIf'IUf'I NLIME:ER OF E:E[:,ROOMS = 4 SOIL RRTING (SQ FT,."BR>=
THE REQUIRE[:' =,IaE OF THE 'q~qlL RBSORF'TION SYSTEM
a'l,.' ~z 4 SQ JRRE FEET
[- E [- T Fl ...... L E i¢-~ a'27.~ "IF' H === .;4 ..~. a.~ F: a %-" E L [:. E F' -F F~
THE LENGTFI [:, I MENS I ON IS THE LENGTH ,::IN FEET::, OF THE TRENCH OR [:,RRINFIEL. D.
TFIE E:,EF'TFt DF R TRENCH OR PIT IS THE DISTRNCE E,E~14EEN THE =,LFFR_.E OF THE
13~'.OI_IN[:, RND THE EOTTOH OF TFIE EXCRVRTION (IN FEET).
TFIERE IS NO SET WI[:,TH FOR TRENuH-:,. -'~,'-"'~' BETWEEN THE OUTFRLL PIPE
THE OF:RYEL [:,EF'TH IS; THE HINIMUM DEPTH OF =
RND TFIE E:OTTOr'I OF THE EXC:R',,,'RT~ON ,::ZN FEET).
F'E¢:M!T RPF'LICRNT HAS THE RESPONSIBILITY TO INFORM THIS [:,EPRRTMENT D.~'iNG THE
F'~ L F ERT · FIN[:, THE
!NSTRLLRTION INSPECTIONS 0F FINY' t,.IELES R[:,JRCENT TO )fHIS ' '- ' '"
NUHE:ER OF RESIDENCES THRT THE WELL WILL. SER',,,'E.
BRCKFILL!NG OF FINY SYSTEM WITHOUT FINRL INSF'ECTION RN[:' RPF'ROYRL E:Y THIS
[:,EF'RRTMENT WILL BE SUBJECT TO F"ROSECUTIEN
MINI[~I_IM [:,ISTFINCE BETWEEN R WELL RN[:' RNY ON-SITE SEWRGE [:,I=,FU¢,RL =,~-_,1EM IS
' p [:,EF'ENf') f NG
i00 FEET FOF: R F'RI',/RTE WELL OR t50 TO 200 FEET FROM R FU_,LIC WELL
T ..... - OF F'UE:LIC NELL.'
UF'ON THE .*rr~ -
HIN!MUH [~ISTRNCE FROH R F'RI',,,'RTE WELL T3 ~ F'RIV~TE SEWER LINE IS ~ FEET
TO ~ ~:UMH_NI~ SEWER LINE IS ~ FEET.
OTHER REQUIREMENTS HRY RF'F'LY. -,F'E IFIL.~TILN:, RN[:' ~-:nN~T~' CTION E:,IRG~:aHg RRE
FIVRILRE~LE TO INSURE PROPER INSTRLLRTION.
I CERTIFY THRT
t: I Ar'l FFIHILIFIR WITH THE ~:EQLII~:EMENTS FOR ON-SITE SE!.'.tEF:S RNC' NELLS AS SET
FORTH EiY THE ~'II_INICIF'RL ITY OF RNCHOR:RGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORE:'RNCE I,.tiTH THE COQES.
3:: I I_INE:,ERSTFtNE:' THFIT THE ON-SITE SEI4ER :,xz,~Er, HAY REQUIRE ENLet~:GEMENT tF THE
Lot 3, Bl~ck 4
Table J
WO ~A19708
Date: 4/8/81
Logged by: O. Hatch
Depth in Feet
From To
0.0 1 .0
I .0 2.0
2.0 7.0
7.0 16.0
Soil Description
Brown Peat
F-4, Brown Sandy Silt, ML, moist, stiff, NP
F-l, Brown Silt~ 'S_andy Gravel, GM, moist,
medium dense, poorly graded, 3" maximum
F-4, Brown ~and~ ~ilt, ML, ~race gravel, moist,
stiff, NP
Set 3/4" perforated PVC pipe to run perc test
and to monitor water table elevation.
Perc Rate = 14.6 minutes/inch.
Bottom of Test Hole:
Frost Line:
Free Water Level:
16.0 Feet
1.5 Feet
4/8/81 - None Observed
4/9/81 - 12.5 Feet
Alaska Tesdab
4040 "B" $1reet 'Anchorage, Al~sk~ 99503 Phone (907) 27~1551 ( Telecopier (907) 272-5742
April 17, 1981
W.O. ~A19708
Second and Fourth Anchorage
Limited Partnership
4611 Business Park Blvd.·
Anchorage, Alaska 99503
Attention: Mr. Les Pace
Re:
Subsurface Investigation ~or Suitability of On-Site Sewage
Disposal,~Lot 4, Block 1;~Lot 2, Block 2; Lot 3, Block 2; - '
I~t 8, Block 2; Lot 9, Block 2; Lot 10, Block 2; ~~~
Block 2; Lot 19, Block 2; Lot 26, Block 2;~L~,-~/o~ 33~--
~ot 4, Block 4; Lot ~, 'Block 4; ~ot 12, Bl~~Ot~, /~
Block 4; Lot 14, Block 4, Gfeenbrook Subdivision'
Dear Mr. Pace:
During.March and April of 1981, we drilled a 15 foot boring on
each of the above lots and placed a perforated, 3/4 inch PVC pipe
in each hole so that the water table could be monitored over a
period of time and a percolation test run in the hole. Tile holes
were drilled using a Nodwell.mounted, Mobile.B50 drill rig owned
and operated by Denali Drilling, inc. The drilling was supervised
and the test holes logged by Mr. Ted Krupka, senior technician,
and Mr. O.M. ~atch, geologist with Alaska Testlab.
After the holes were drilled, our technician returned on several
occasions and checked the water level in each of the test holes.
After a period of time the holes were saturated, left to stand
overnight, saturated again and a percolation test run. The
percolation test was run by monitoring the'drop in the w~ter
table elevation at 10 minute intervals for a minimum of one hour.
The percolation rate listed in this report was computed using the
Slowest 20 minutes of that percolation test.
Included with this report is a'test hole location sketch for each
lot an~ a log of the b6ri'ng placed on each lot.
The results of this exploration are described as follows:
Lot 4, Block 1
The water table elevation measured in the test hole at this site
remained fairly constant at about 12 feet. The percolation rate
measured on April 15 was 6.0 minute~/inch. Because of the need
to keep. the system shallow and ~he high silt content, we reco~e'
a more conserw~tive design p~rcolation rate of 10.0 mlnutes/lnc
~econd and Fourth Anchorage
Limited Partnership
April 17, 1981
Page Two
We recommend 'the sewage system be placed as high as possible, in
the upper 4 to 8 feet, to avoid high water problems during the
spring breakup.
Lot 2, Block 2
The test hole was placed in the front of the lot~ and this is
where we would recommend the on-site sewage disposal system be
placed. The lot slopes considerably to the back,"where it appears
there may be a high water table. The water table in the test
hole was observed at 8.0 feet on March 18, during the peak of
breakup then lowered to 10.5 feet by April 9. The percolation
rate measured on April 15 was 4.0 minutes/inch. However, we
recommend using a more conservative percolation rate of 10.0
minutes/inch, due to the silt content of the soils. We also
recommend that the disposal system be kept as shallow as possible.
It may require mounding to provide adequate insulation and yet
maintain the necessary separation between the system and the
ground water level during spring.runoff~
Lot 3, Block 2
The disposal system on this lot should also be located at the
front of the lot, near the test hole, as this lot slopes downward
to the back. The water level ih the test hole was measured at
11.6 feet on April 18, but had measured at 8.1 feet on March 9.
The water level was encountered at 11.4 feet on March 15, and the
percolation rate on this date was 12.5 minutes/inch. We recommend
a mounded sewage disposal system be used to maintain the necessary
separation from the seasonal high water level, and adequate
insulation of the system.
i~-t 8, Block 2 ~.
When drilling the test hole, no water was observed within the 16
" foot depth hole at this site. The following day, April 9, water
was observed at 7.6 feet. The water level in the test hole was
8.2 feet on April 15. This water is probably surface seepage
from thawing conditions. The percolation rate was measured at
5.5 minutes/inch, however, we recommend a design rate of 10.0
minutes/inch because of the silt content. A mounded sewage
disposal system due to the high spring water level, should be
used.
No water was observed in the test hole while drilling, but was
found at 7.8 feet the next day, April 9. The water is probably
surface seepage from thawing conditions. The measured percolation
~/\'1 I ~ ALASKA TESrL/\II
Second and Fourth Anchorage
Limited Partnership
April 17, 1981
Page Three
rate was 5.2 minutes/inch, however, we recommend a design rate of
10.0 minutes/inch. Since the seasonal~water level is quite high,
we recommend a mounded dispos&l system so sufficient 'separation
is achieved.
Lot 10, Block 2
The test hole was located in the southwest corner of the lot~ and
we recommend that 'the sewage disposal system be~placed in this
area. The water level is quite near the surface towards the
front of the lot. The water level while drilling on April 8 was
9.0 feet, then was found at about 12 feet over the next few days.
On April 14, the percolation rate was measured at 2.5 minutes/inch.
We recommend that a more conservative rate of 10.0 minutes/inch
be used, due to the silty nature of the upper soils. The system
should, be placed as high as possible, in the upper 8 to 10 feet,
to avoid conflicts with the seasonal high water, mounding may be
necessary for insulation.
Lot 17, Block 2
No ground water was encountered while drilling on this lot on
April 8, or when checked again April 9 and April 16. The measured
percolation rate was 5.4 minutes/inch, .however, we recommend a
more conservative design rate of 10.0 minutes/inch because of the
siltier nature of the soils°
Lot 19, Block 2 ~
No water table was observed in the 16 foot test hole while drilling
on April 8, or on April 9. The percolation rate was measured at
8.9 minutes/inch, however, we recommend a more conservative
design rate of 10.0 minutes/inch because of the silty nature'of
the soils. The system should be placed as high as possible, as
high seasonal water levels were found in the immediate area.
Lot 26, Block 2
The test hole was drilled nea.r the center of the lot April 8, and
no water was observed. The test hole was als0 found dry April 9.
~The measured percolation rate was 6.2 minutes/inch.
~---~3-~t_ 3, Block ~--~->
~ water was obs_rved in the test hole at this site while drilling
on April 8, but was at 12.5 feet the following day. The measured
percolation rate was 14.6 minutes/inch. . The disposal system
should be kept as high as possible t.o avoid conflicts with the
Second and Fourth Anchorage
Limited Partnership
'April 17, 1981
Page Four
seasonal high water.
Lot 4, Block 4
The measured water level in the test hole at this site r~mained
fairly constant and high. Saturated conditions were encountered
at 12 feet while drilling on March 14. The water table elevation
was found at 6.8 feet on March 23, at 6.8 feet on April 9, and at
8.3 feet on March 16. The measured percolation rate was 40
minutes/inch. Because of the high ground'water, a shallow mounded
disposal system should be used.
Lot 6, Block 4
The high water level at this site necessitates a highly mounded
system; or using insulation to provide frost protection while
maintaining the necessary separation between the disposal system
and the seasonal high water. While drilling, saturated conditions
were encountered at 13 feet. On'April 18, the water level was
measured at 5.4 feet, then at 5.1 feet on April 23, the water
level had lowered to seven feet by April 9, and then to 7.5 feet
on April 15. However, much of this water is probably from surface
water and melting seasonal frost. The measured percolation rate
was 3.8 minutes/inch, however, we recommend a more conservative
design value of 10.'0 minutes/inch.
Lot 12, Block 4
Again, the disposal system should be placed as high as possible
at this site. The water level in the test hole remained fairly
constant at eight feet. The water level was measured at 2.8 feet
on March 8, but it appeared that this high level was caused by
infiltration of surface water, and was not the true.water level
at the time. The measured percolation rate on March 17 was 3.4
minutes/inch, but it is recommended the more conservative value
of 10.0 minutes/inc~ be used, because of the high silt content of
the.upper soils.
Lot 13, Block 4
The test hole was drilled near the center of the lot on April 7,
and no water was observed. Again on April 9, no water was detected.
On April 15, the measured percolation was 9.0 minutes/inch. We
recommend the disposal system be placed between 5 and 11 feet, to
avoid the surface silts.
Lot 14, Block 4
No water wa's encountered while dril'ling, on April 7, or when
<A'I- I=) ALASKA '[ESI'LAB
Sgcond and Fourth Anchorage
Limited Partnership
April 17, 1981
Page Five
checked April 9. The measured percolation rate was 4.0 minutes/inch.
We recommend a more conservative rate of 10.0 minutes/inch be
used, since the upper soil is silt.
If you have any questions regarding these tests~ please Feel free
to call.
Very truly yours,
ALASKA TESTLAB
Ca~l A. Bassler
Geotechnical Engineer
Approved by:
Melvin R. Nichols, P.E.
Manager
CAB/mg
Attachments
cc: Ralph' Westover, Tryck, Nyman & Hayes
N
6
5
30 , 30
e
5
g
8 ~
9
/0
',g
Lo't 4¥ Block 1
Table A
WO #A19708
Date: 3/14/81
Logged by: T. Krupka
De_~th in Feet
From To
0.0 0.5
0.5 7.0
7.0 15.0
Soil Description
Peat
F-3, Brown ~ Sand, SM, silt to 40%, moist
F-2/F-3, Brown Silt~ Sand, SM, silt to 25%,
saturated below 12'
Set 3/4" perforated PVC pipe to run perc test
and to monitor water table elevation.
~erc Rate = 6°0 minutes/inch.
Recommended Design Perc Rate = 10o0 minutes/inch
Bottom of Test Hole:
Frost Line:
Free Water Level:
15.0 Feet
1.0 Foot
3/14/81 - 12.0 Feet
3/18/81 - 11.9 Feet
4/9/81 - 12.5 Feet
4/14/81 ~ 1.2.0 Feet
6
5
5
30
3O
Lot 2, Block 2
Table B
WO #A19708
Date: 3/14/81
Logged by: T. Krupka
p~pth in Feet
From To
0.0 - 0.5
0.5 15.0
Soil Description
Peat
F-3, Brown Silt~ Sands SM, with 10% ~ounded
gravel, well graded sand, 40% silt, plastic,
moist, firm, occasional cobbles below 10',
saturated at 15'
Set 3/4" perforated PVC pipe to run perc test
and to monitor water table elevation.
~Perc Rate = 4.0 minutes/inc~.
Recommended Design Perc Rate = 10.0 minutes/inch
Bottom of Test Hole:
Frost Line:
Free Water Level:
15.0 Feet
3.0 Feet
3/14/81 - t5.0 Feet
3/18/81 - 8.0 Feet
3/23/81 - 8.9 Feet
4/9/81 - 10.5 Feet
4/15/81 - 9.0 Feet
Lot 3, Block 2
Depth in Feet
From To
0.0 0°5
0°5 12.0
12.0 15.0
Table C
WO #A19708
Date: 3/14/81
Logged by: T. Krupka
Soil Description,__ :
Peat
F-3, Brown ~ Sand, SM, 10% round'ed gravel
to 3/4", silt to 30%, moist, firm
F-2/F-3, grey Silt~ Sand, SM, silt to 20%,
saturated, firm
Set 3/4" perforated PVC pipe to run perc test
and to monitor water table elevation.
Perc Rate = 12.5'minutes/inch
Bottom of Test Hole:
Frost Line:
Free Water Level:
15.0 Feet
2.5 Feet
3/14/81 - None Observed
3/18/81 - 11.6 Feet
3/23/81 - 10.4 Feet
4/9/81 - 8.1 Feet
4/15/81 - 11.4 Feet
259.39
-'40
/4,
/5
, 4
Lot 17, Block 2
Table D
WO #A19708
Date: 4/8/81
Logged by: O. Hatch
Depth in Feet
From To
0.0 1 .0
1.0 2.0
2.0 16.0
Soil Descrip>ion- _
Brown Peat, Pt
F-4, Brown Silt, ML, moistt stiff, NP
F-4, Brown Gravell~ Sandy Silt, ML,-moist,
stiff, NP, 3" maximum
Set 3/4"'perforated PVC pipe to run perc test
and to monitor water table elevation.
Percolation Rate = 5.4 minutes/inch.
Recommended Design Perc Rate = 10.0 minutes/inch.
Bottom of Test. Hole:
F~ost Line:
'Free Water Level:
16o0 Feet
1.0 Foot
4/8/81 - None Observed
4/9/81 - None Observed
4/16/81 - None Observed
.Lot 19, Block 2
Depth in Feet
From To
0.0 1 .0
I .0 2.0
2.0 13.0
13.0 16.0
Table E
WO #A19708
Date: 4/18/81
Logged by: O. Hatch
Soil Description
Brown Peat
F-4, Brown San~ Silt, M~, moist, stiff, NP
F-2, Brown Silt~ Gravell~ ~and,.SM, moist,
medium dense, 3" maximum
F-4, Brown Gravell~ Sandy Silk, ML, moist,
stiff, 2" maximum, NP
Set 3/4" perforated PVC pipe to run perc test
~and to monitor water table .elevation.
Perc Rate = 8.9 minutes/inch.
Recommended Design Perc Rate = 10.0 minutes/inch.
Bottom of Test Hole:
Frost Line:
Free Water Level~
16.0 Feet
1.0 Foot
4/8/81 - Nohe Observed
4/9/81 - None' Observed
Lot 10, Block 2
Table H
WO ~A19708
Date: 4/8/81
Logged by: O. Hatch
Depth in Feet
From To
0.0 1 .0
1.0 2.0
2.0 12.0
12.0 15.0
Soil Description
Brown Peat
F-4, Brown Silt, ML, stiff, moist, ~P
F-4, Brown ~ravelly. S__and~ Silt, ML,~moist
to saturated, stiff, 3" maximum, NP
F-2/F-4, Silty Sand, SM~ saturated, stiff, NP
Set 3/4" perforated PVC pipe to run per¢ test
and to monitor water table elevation.
MeaSured Perc Rate = 2~5 minutes/inch.
Recommended Design Perc Rate = 10.0 minutes/inch~
Bottom of Test Hole:
Frost Line:
Free Water Level~
15.0 Feet
1.5 Feet
4/8/81 - 9.0. Feet
4/9/81 - 12.0 Feet
4/14/81 - 11.7 Feet
Lot 26, Block 2
Table
WO #A19708
Date: 4/8/81
Logged by: O. Hatch
Depth in Feet
From To
0.0 1 ,0
1.0 8.0
8.0 11 .0
11 .0 16.0
Soil Description
Brown Peat
F-2/F-4, Brown Gravell~ Silty Sand, 'SM, occasional
cobbles, moist, medium dense
NFS/F-2, Brown Gravelly Sand, SP, trace silt,
moist, medium dense, 3" maximum
F-l, Brown Silt~ Sand~ Gravel, GM, occasional
cobbles, moistt medium dense
Set 3/4" perforated PVC pipe to'run perc test
and to monitor water table elevation.
Perc Rate = 6.2 minutes/inch.
'Bottom of Test Hol~:
Frost Line:
Free Water Level~
16.0 Feet
1.5 Feet
4/8/81 - None Observed
4/9/81 -.None Observed
Lot 4, Block 4
Depth in Feet
From To
0o0 0.5
0.5 6°0
6.0 15.0
Table K
WO #A19708
Date: 3/14/81
Logged by: T. Krupka
Soil Description
Peat
F-4, Brown ~ilty Sand, SM, moist, firm
F-3, Gr&velly. ~ilt~ Sand, SM, occasional
cobbles, moist, firm~ becomes saturated at
12'
Set 3/4" perforated PVC pipe to run perc test
and to monitor water table elevation.
Perc Rate = 40 minutes/inch.
Bottom of Test'Hole:
Frost Line:
Free Water Level:
15.0 Feet
1.0 Foot
3/14/81 - 12.0 Feet
3/18/81 - 6.0 Feet
3/23/81 - 6.8 Feet.
4/9/81 - 7.0 Feet
4/16/81 - 8.3 Feet
Lot 6, B16ck 4
Depth in Feet
From To
0.0 15.0
Table L
WO #At9708
Date: 3/I4/81
Logged by: T. Krupka
Soil Description
F-3, Brown ~i~!.t~ ~ravel_q~ Sand, SM, well graded,
particles rounded to 3/4", moist, firm, becomes
saturated at 13'
Set 3/4" perforated PVC pipe to run perc test
and to monitor water table elevation.
Perc Rate = 3.8 minutes/inch.
Recommended Design Perc Rate = 10.0 minutes/inch.
Bottom of Test Hole:
Frost Line:
Free Water Level:
15.0 Feet
2.5 Feet
3/16/81 - 13.0 Feet
3/18/81 - 5.4 Feet
3/23/81 - 5.1 Feet
4/9/81 - 7.0 Feet
4/15/81 - 7.5 Feet
Lot 12, Block 4
Depth in Feet
From To
0.0 7 ~5
7.5 15.0
Table M
WO #A19708
Date: 4/14/81
Logged by: T. Krupka
Soil Description
F-4, Brown Silt~ Sand, SM, silt to 40%, firm,
moist
F-3, Brown Gravelly. ~ilty. Sand, SM, occasional
cobbles, firm, moistt becomes saturated at 15'
Set 3/4" perforated PVC'pipe to run perc test
and to monitor water table elevation.
Measured Perc Rate = 3.4 minutes/inch°
Recommended Desing Perc RAte = ~0.0 minutes/inch.
Bottom of Test' Hole:
Frost Line:
Free Water Level:.
15.0 Feet
1.0 Foot
3/14/81 - 15.0 Feet
3/18/81 - 2.8 Feet
(Apparently from surface·
water intrusion)
3/23/81
4/09/81 -
4/16/81 -
7.8 Feet
7..8 Feet
8.5 Feet
Lot 13, Block 4
Table N
WO #A19708
Date: 4/8/81
Logged by: O. H~ch
Depth in Feet
From To
0.0 1.0
1 .0 2.0
2~0 8.5
8.5 11.0
11.0 16.0
Soil Description
Brown Peat
F-4, Brown Silt, ML, moistf stiff, NP
F-4, Brown Gravelly Sa__~ndy ~ilt, ML moist,
stiff, 6" maximum, NP
F-2, Brown Silty Gravelly. Sand, SM, moist,
medium dense, poorly graded, 2" maximum
F-4, Brown Gravell~ Sandy. Clayey. Silt, ML,
moist, stiff, 2" maximum, PL- to NP
Set 3/4" perforated PVC pipe to run perc test
and to monitor water table elevation.
Perc Rate = 9.0 minutes/inch. System should
be placed between 5.0 Feet and 11.0 Feet.
Bottom of Test Hole:
Frost Line:
Free Water Level:
16.0 Feet
1.5 Feet
4/7/81 -'None Observed
4/9/81 - None Observed
Lot 14, Block 4
pepth in Feet
From To
0.0 1 .0
1.0 11 .0
11.0 16.0
Table 0
WO #A1970'8'
Date: 4/8/81
Logged by: O. Hatch
Soil Description
Brown Peat
F-4, Brown Gravelly ~andy Silt, ML, .moist,
stiff, occasional cobbles, NP
NFS/F-2, Brown Gravelly Sand, SP, trace silt,
moist, medium dense, 2" maximum
Set 3/4" perforated PVC pipe to run perc test
and to monitor water table elevation.
Measured Perc Rate = 4.0 minutes/inch.
Recommended Design Perc Rate = 10.0 minutes/inch.
Bottom of Test Hole:
Frost Line:
Free Water Level:
16.0 Feet
1.5 Feet
4/7/81 - None Observed
4/9/81 - None Observed .
MUNICIPALITY OF ANCHORAGE .
DEPARTMENT OF HEALTH & HUMAN SERVICES
i. D v s on of Environmental Services ~ ,~ '
· t °n ,
On-Site Services Sec ' '
P.O. BOX 196650 Anchorage, Alaska 99519-6650
343-4744. F~'~ ? ~'~ ·1997
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR. ^ S.N 'E FAM,LY . R ECE/VED
1, GENERAL INFORMATION
Completelegaldescription ~07 ~] ~V,,~ ~ r2.~l~
Location (site address or directions)
Property owner
Mailing address
Lending agenSy
Mailing address
Agent
Address
Dayphone ~'~- ~bl'~-~
Day phone
Day phone
J
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: /7/
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water ~- I O ~ ~/~
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF wASTEWATER DISPOSAL: .~' - .*~: .-,' '.
Individual on-site _ ..~ :,
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/§1) 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.
NameofFirm -~'~¢/~,~e~ c:~)ou¢~<.L,~d2 ~1~.~. Phone ,~Z'7~-,~t)J~
Address ~0 ~ I,¢/ /,f~/¢/ # ~ .~
Engineeds signature ~~~
Date
DHHS SIGNATURE
APproved for 4
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments UTILITY EASEMENT ADVISORY: The wastewater disposal system
absorption trench serving this property is partially located within a'.~Qtility
easement. At some time in ~he future, it may become necessary t~ partially or
completely abandone and relocate the existing absorption field if the utility
."Y'~:_ . ~ Date 2 -2C-
The Munic!pality 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 DH HS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage ~s not
responsible for errors or omissions in the professional engineer's work.
72-025 [Rev. 1/91) Back MOA ~
Municipality of Anchorage
· Environmental Services Division .~v~,~
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 3~4744%~,~',/%~
.' '
Health Authority Approval Checklist
Legal Description: ~,~2,,~ ~ I./) ~~.¢~d,~/ % parcel I.D.:
A. WELL DATA
Well type ~/~
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
FROM WELL LOG
g.p.m.
If A, B, or C, attach ADEC letter. ADEC water system number b~ ) ~) '~/-"~ ~
Date completed
Cased to Casing height (above ground)
Wires properly protected (Y/N)
AT INSPECTION
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
g.p.m.
Coliform
Nitrate Other bacteria
Date of sample:
Collected by:
B. SEPTIC/HOLDING TANK DATA
Date installed
Foundation cleanout (Y/N)
Date of Pumping ~/6,/~'7
C, ABSORPTION FIELD DATA
Date installed ?/~7/~ /
I
Length c7 ,[,~ Width
Tanksize /~-~¢,~,~f¢ Number of Compartments ~ Cleanouts (Y/N)
/ Depression (Y/N) ~ High water alarm (Y/N)
Soil rating (er ft~/bdrm) / ~¥-) System type
~.,~,~ Gravel thickness below pipe,/~" Total depth
Effective absorption area '~C¢) Monitoring Tube present (Y/N)_F__ Depression over field (Y/N) __
Date of adequacy test ~ '7 Results (Pass/Fail) For
Fluid depth in absorption field before test (in.); ~ Immediately after/EglCgali~water added (in.):
Fluid depth ¢/~'- (ins) Minutes later: ~4~(' Absorption rate = *~ ¢ ¢P(-~ g.p.d.
Peroxide treatment (past 12 months) (Y/N) ~"1 If yes, give date
bedrooms
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Size in gallons
"Pump on" level at*
*Datum
"Pump off" level at*
Cycles tested
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
On adjacent lots
On adjacent lots
Public sewer main
Sewer/septic service line
Public sewer manhole/cleanout
Lift station /""////-~-
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ~¢~. I ~ Absorption field
Property line ~C)t /'
/
Water main/service line ~-~ Surface water/drainage t-I )'o Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line ~ Building foundation
Surface water ~ If-.> Driveway, parking/vehicle storage area
Curtain drain ¢"~ ) C) Wells on adjacent lots ~//-'~
ENGINEER'S CERTIFICATION ~--~
I certi~/that I have determined thru field inspections and review of Municipal rocordstha~.1he ~boF~ystems-a~:o
in conformance with MOA HAA guidelines in effect on this date.
Engineer's Name '~ ~.~1
Date
HAA Fee $
Date of Payment c~/~ d)/~.7~--
Receipt Number .
72-026 (Rev. 3/96)*
Waiver Fee $ //~
Date of Payment ~d/~
Receipt Number
~S
S
RS
(EET.$UITE NO.
~/~ RESAR SET
5~ R~BAR FOUND
DATUM AS~UM~ D
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date "/ /
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicant Name ~r /~i La~repce
Applicant Address ~ ~0 ~c~
(c)
Telephone: Home 3'¥.5- - .~.~.~.~.~.~.~.~.~.~1 P_ Business ~
Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain);
(d) Lending Institution 'J~gcl-,rf~r~,O,~.
Address ~o./ /.,~d'. /~o~r~_/~',_~
(e) Real Estate Company and Agent
Address
(f)
Telephone '/%)' ~
Mail the HAA to the following address: .
TYPE OF RESIDENCE
Single-Family [] Multi-Family
Number of Bedrooms
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 sy§tem, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page ~ of 2 72-025 (11,84)
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 this Health
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, ordinances, and regulations in effect on
the date of this inspection.
NameofFirm /~'1,~/",~. -/"e~a'~ccd' ~'~,-v'~c~ Telephone ~ I~-
Address
Date ~/~ / ¢¢
THEODORE F. MOORE ¢
~¢xfi- '.. ..' ~?'~ Engineer's Seal
DHEP APPROVAL
Approved for ~'D L(.'~"~bedrooms ~y~- ~'k.,~. ..L ~ ,, ~., ~ ,Q¢~ Date
Approved ~ Disapproved
Terms of Conditional Approval
CAUTION
The Muncipaiity 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
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
Legal Description: /,-o~' ..~
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
APR ] 1986
Cv,E I V E O
WELL DATA
Well Classification
Well Log Present (Y/N)
Total Depth
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Welh
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
· x~- If A, B, C, D.E.C. Approved (Y/N) '¢'
Date Completed Yield
Cased to Depth of Grouting
Pump Set At
Sanitary Seat on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lot~
; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed '7/~?/~1 Size
Standpipes (Y/N)
Depression over Tank (Y/N) tN
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well ~
To Property Line ~
To Water Main/Service Line ;~
Air-tight Caps (Y/N)
No. of Compartments
Foundation Cleanout (Y/N)
Date Last Pumped
; for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Course
Comments
Page 1 of 2
72-026(11/84}
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
19o
Square Feet of Absorption Area 7
Depression over Field (Y/N) N
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot /~1, ~.
To Water Main/Service Line '~
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments .5' ~,.~ ~/"¢f~
,~? ',,~ c.o. c~ ea~
,~,c~r~ Type of System Design
Length of Field ~',~' '
Depth of Field ~. ~'~
Gravel Bed Thickness ¥. ~ ~
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line ,~ ¢
To Existing or Abandoned System on
; On Adjoining Lots ~ !~
To Cutbank (if present) /~. ~,
D. LIFT STATION N,~,
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Cedes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
Page 2 of 2
72-026 (11/84)
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed ~"~ ,-~' ~ Date ~//-~/~'
Company F[~/"/~/¢ ~n~/~e~OA No. ~--~
Receipt No. ~ ~ ~ 5 ~ ~~-~
Date of Payment d- / J'~ ~&~.. ....... :~q~
Amount: $ ~ ~
~ ~%THEODOR8 F. ~OORE ff ~
~,-(6~ *. CE - 3589 .' ~ ~t
%%'...
~ ~_. 'ee~,e.~ ~ ~
;;,:%-~t:, _ , .. ..t
DEPT. OF ENVIRONMENTAL CONSERVATION / /
/
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA g9501
BILL SHEFFIELD, GOVERNOR
Telephone: [907)
Address:
274-2533
DATE: April 10, 1986
PWS I.D.#210346
To Whom it May Concern:
According to records on file in this office the
Water Regulations
GREENBROOK SUBDIVISION
Water System is in compliance with the State Drinking
'~xSi ncerely, ~
Andhorage/W~tern District
Supervisor
.-~qme ',~ j Time ,~,,~e
Date Date Date
Inspector Inspector Inspector
Comments Conditional Approval
Date Sewer Installed Permit No. Septic Tank Size t .,~_,.~0
"7 -- ~ Holding Tank Size
Soils Rating Well To Absorption Area Well Log Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY . .
Property Owner ~ /~/4 ./~"~..~' ~ 5- ~ / Phone
Mailing Address
Address
Lending Institution Phone
Address
Phone
Realty Co. & Agent
Address
Legal Description
Street Location l
Type~of Residence
~ Single Family
[] Multiple Family No. of Bedrooms
./.-
[] Other
Water Supply
4~ Individual ATTACH WELL LOG. A well log is required for all wells drilled since June
Community 1975. For wells drilled prior to that date, give well depth (attach log if
[] Public Utility available.I
Sewa/g~J;Nsposal
~r Individual Year Individual Installed:
[] Public Utility When Connected to Public Utility:_
[] Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,