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Home My WebLink AboutW G PIPPEL BLK 3 LT 10 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: ,~/.u/¢70-~¢,/~ PID Number: ~-~ Name: ~ ~ Wastewater System: D New ~Upgrade *~dres,:~ 77~,43~ ~d~~ ~/. ABSORPTION FIELD Phone: ~- ~ ~ ]No ofBedrooms~ ~DeepTrench ~ Shallow Trench ~Bed ~Mound ~Other Total Depth from original grade: LEGAL DESCRIPTION SoilRating: / ~ GPD/Sq. Ft. ~-- Depth to pipe bottom from original r Lot: Block: ubdiv' i~n: ~ Ft. /0 ~Range: 3 ~;~/~ ~ Ft. Gravel depth beneath pipe~ Township: ]Seoti~¢ Filladdedab°ve°rigina~?d~ Ft. Gravel length: ~7 75 Ft. d~ Number of lines: Distance be~een lines: WELL: D New U Upgra ,ravel width: ~ Ft. / ~ ~ Ft Classification (Private, A,B,C): ~ ~Ft. Cased TO: Ft. Total absorption area:~ 2 SQ. Ft. Pipe ma~erial:~8/~ ~ Driller: ~ Date Drilled: Static Water Level:Ft. instal[er~ ~ ~ Date installed: ~i.~: ~ ~.m, S.,~,: ~F C~,,n~ ..~¢,*~ ~,o,n~: TANK ~GPM Ft, SEPARATION DISTANCES '~Se,tic U Holding U S.T.~.,. From TO S.ptlcTa.k *bsorpt[o.Field St.rio.Lift Holdl.gTa~k 'ublic/PHvat. ~a~uf. [..er: ' % ,w.r Li.e. ~.~ ~ ~ Well' /~O/.i /Ebt~ ~ ~ ~ Materlal~¢~ NumberofCompa~ment Surface Water 1¢~ /DD~ - - ~ LIFT STATION Lot -~ Size in gallons: ~ Manufacturer: Li.e /O~ /~'+ -- -- 'Pump on" level at; ~a,: ] High water alarm ~,: Foundation /P I.~ / 0 ~ -- -- Cudain~Drain... /~ /~t ~ ~ ~ ~umpM~lectricallnspections pedormed by: Remarks:'~ ~ ~D¢~ BENCH MARK / / ] A~um~ ~,.~io.: ENGINEER'S SEAL Inspections pedormed by: ~ ~¢z/~4¢ Dates: 1st /~/~/¢~ ~ ' ="49,~ Reviewed and approved by: Date:/- ~-¢~ '~;S¢: 72-013 (Rev. 9191) MOA 25 AS ]}UILT SYSTEM DETAILS/SITE PLAN Permi~ SW970340 W, 6, PIPPEL S/D, BLBCK 3, LBT 10 PID~O50-iOI-S3 PARK / ~ WATE~ LINE(eppno{, [oeeC,on) 5 PRBPBSED RESER'/E CLASS "C" WELL o 0 ]AL, S,T, 0 B-~=gl,~ F=~7,3~ I ~ ~000 GAL X s /I SEPTIC X ~./ ~a~ ~ SEWE~ ~c~ ~.~. ~ ~ ~ GEB~GE H~LL ~)~ 9TH~ .~ ~.~, ~x ~0~ KENNETH M. D~~ FIELD aooKs cou~u~ao: ~q~ ENGINEERING ~ ~O~sslOS~V~ 12/30/97 EAGLE RIVER, AK 9957? 8736 ,ACA~F,m97095. DWG aosuo.: 97093 (907}696-61ii/FAX (907)696-8111 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH kND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970340 DESIGN ENGINEER:KND ENGINEERING OWNER NAME:HILL ENTERPRISES WASHINGTON & OWNER ADDRESS:12333 END ST DATE ISSUED: 9/30/97 EXPIRATION DATE: 9/30/98 PARCEL ID:05010123 LEGAL DESCRIPTION: W G PIPPEL BLK 3 LT 10 LOT SIZE: 34800 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK 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 SANE DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: ~~ Co / MND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 September 24, 1997 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION SEP 24 1997 RECEIVED Subject: Sewer Upgrade Permit - W. G. Pipple S/D, Lot 10, Block 3 Gentlemen: Following a request from the owner, we conducted an investigation of the existing well and septic system for the subject property. Based on that investigation it was determined that the well would not meet municipal criteria and the septic system was within the 150' radius of the adjacent properties class "C" well. The owner requested we proceed with an upgrade for a three bedroom septic system. On September 16, 1997 we dug one testhole for the proposed upgrade. The results of this test are attached. The lot will be served by public water and the existing well abandoned. The proposed upgrade system will be placed approximately 35' west of the house and the existing system. As indicated on the site plan there is sufficient grade to maintain a gravity fed system for both the proposed and future reserve site. The existing tank and field will be abandoned in place. There was no ground water observed during monitoring of the testhole. As indicated by the site plan drainage arrows, natural drainage is away from this site and will be maintained after construction. There is no surface water within 100' of the proposed installation. There are no known curtain drains within 50' of the proposed installation. No wells exist within 100' of the proposed installation with the exception of the existing well which will be abandoned. The undocumented class "C" well is over 150' away from the proposed site. This upgrade should have no adverse effect on development of adjacent lots. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, ring attachments: On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WASTEWATER DISPBSAL SYSTEM/SITE PLaN /l w, PARKa' PIPPBL S/I),~BLOCK 3, LOT 1 z PRQPBSED ~ELL, EXCEPT aS NBTEO, l, 3 ~EDRBBMS X ~50 GAL,/DAY/~EDRBBM = ~50 GPD NB P~IVA~E B~ PU~LIC WELLS WITHIN ~0' OF ~. SAILS RATING, 1,S ~IN/INCH = APPL, RATE 1,~ GPD/SF 3. ~50 GPg/i,S GPD/SF = 375 SF 4, 375 SF /(50 x O,SRF) = 37.5'L 5. MIN, DESIGN SIZE = 1 TRENCH - 38' LBNG x 5' WIgE x 4' DEEP 6. DEPTH BF GRAVEL SELBW PIPE IS 4.0'. ~~ 7. T8TAL ~EPTH BF SYSTE~ IS 8,0' FRaM BRIGINAL GRADE, ~ O~ A~k NOTES: a. INSTALL 1000 aaLL.N SEPTIC TAN/, INSULATE TaN~ IF (~' C.V[~. ~ 3. INSULATE 1'BENCH WITH a' HS SUalaL rBaa IF <3' CBVaR. ~ .. } ~ 4. CBNTaaCTBa WILL ENSURE NAXlNU~ aX SLSPE INTB SEPTIC TANK. ~ c~_$,~/~ PREPARED Fn~: KND ENGINEERING ~¢~. ~.._C~*~ ~0441 PTARMIGAN BLVD I.~o _$x-~ GEORGE HILL EAGLE RIVER, AK, 99577 ~ ~ ~P~OFEssiOg~~ ~ P,B, BOX 770536 (907)696-6tH/Fax (907)696-81H ~~ EAGLE RIVER, ALASKA 99577 O~TE, 9/~3/97 B~IN6 ~ Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DEPTH 2 5 6 ~0 WAS GROUND WATER ENCOUNTERED? 11 12 S IF YES, AT WHAT //~///~ ~ DEPTH? p E 13 14 16 17 18 19 20 COMMENTS ,~]~ Township, Range, Section: '~'-J,-]. SLOPE SITE PLAN Depth to Waler ADer Monitorir[p -0~ gate: Gross Net Depth to Net Reading Date Time Time Water Drop / ?-/~-77 /.'o5' --- ~" - z /.'o? ;~,'~ ¥.y¥" / ~" ~ I : / ~ ~ ~ ,'~ ~ ~ " I ~W " /p i.'/¢ ~ ~ , ~ ff ,14 " I ~/y . PERCOLATION RATE /., ~' (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN -.~ ' ~- FTAND ~' '-~' FT PERFORMED BY' ~'/j~) ~/'//''~'~'~'~'~'~'~'~/~'~'/~4~/ ~J~ ~ ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ' - 0 // ' - I' ACCORDANCE WITH ALL STATE AND MUN~IPAL GUIDELINES IN EFFECT ON THIS ,ATE. DATE: ~--~q7 72-008 (Rev. 4/~) 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. # 050-I01-23 CERTIFICATE OF HEALTH AUTHORITY A'PPROVAL FOR A SINGLE FAMILY DWELLING HAA # 1. GENERAL INFORMATION Complete legal description W.G.Pippel Blk 3 Lot 10 Location (site address or directiorl~-~33 End Street, Eagle River Property owner Destyn Taft Mailing addresslg.3'~'~ Rnbl .qtreet. F, agle River AK 99577 Lending agency Mailin. g address ' Agent Address Day phone Day phone Ray phone = Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS:' 3 .... ' TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site [] Public sewer [] NOTE: If community wastewater system, provide written confirmation from St~te' ADEC ........ attesting to the legality and status of system. STATEMENT OF INSPECTION BY ENGINEER :: .. '~ i!~I'- As certified by my seal affixed hereto and as of thE; validation date shown below, I verify that my investightion 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 o0-sit¢ 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. KND Engineering Name of Firm --2044i ?tarmigan Blvd., Eagie River, AK 99577 Address Engineers signature ~~x---~ Phone DHHS SIGNATURE J Approved for ~ bedrooms. Disapproved. Conditional approval for 696-6111 Date bedrooms, with the following ~tjpulatio~s: corn ents:'m ' ' ~ Additional 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 pu.rch_asers of homes and their lending institutions in order to satisfy certain federal and state requirements. Empl(~yee~ of DHHS do not conduct inspections or analyze'data before a certificate is issued. The Municipality of.-Anqhora, ge .is not responsible for errors or omissions in the professional engineer's work. · · ' SEP u'7 1999 Municipality of Anchorage ,~V~!l~i~t:l~; O1: ANCHO~ DEPARTMENT oF HEALTH & HUMAN SERVI0~I~0N~qEHT^~-SE~WCE$ Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 34:~:~744 Health Authority Approval Checklist Legal Description: W.G. Pippel Blk 3 Lot l0 Parcel I.D.: 050-101,23. A. WELL DATA ,~ .; ~ , Well type Public If A, B, or C, attach ADEC letter, ADEC water system number :. N/A Log present (Y/N) N/A Date completed N/A Total depth N/A Cased to N/A Casing height (above ground) N/A Sanitary seal (Y/N) N/A . Wires properly protected (Y/N). · . N/A FROM WELL LOG AT INSPECTION Date of test N/A N/A ~ 'm: : ' static water level N/A N/A N/A N/A Well production g.p.m, g.p.m. WATER SAMPLE RESULTS: . :'~ Coliform ' Nitrate Other bacteria~ . Date of sample: . Collected by: B. SEPTIC/HOLDINGTANKDATA '. ' · : Date installed ]0/28/97 Tanks Ze ]000 Number of Compartments2` Cleanouts(Y/N), ¥ ' Foundation cleanout (Y/N) : ~ ,?-' DePression (y/N) N High water alarm.;(Y/N). '- ~ Date of Pumping 8/30/99 '~::' bumper JR's C. ABSORPTION FIELD DATA Date installed 11/11/97 Soil rating (g.p.d./~ or fWbdrm) 1.2 System.type Deep Trench Length 37.75' Width 5' Gravel thickness below pipe 4.3' TOtal depth 9' Effective absorption area 377 Monitoring Tube present (Y/N) Y Depression6Verfield(Y/N)~. N.. Date of adequacy test 8/30/99 Results (Pass/Fail) P For :'*:,:~^ c: ,- -'--,~ ::- 'bedrooms Fluid depth in absorption field before test (in.); N/A Immediately afterN/A gal. wate~ added: (in.): Fluid depth N/A (ins) M nutes, ater N/A Absorption rate = N/~;:~- Peroxide treatment (past 12 months) (y/N) N/A If yes, give date . N/A 72-026 (Rev 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) Size in ga ons. "Pump on" Level at* "Pump off" level at* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: N/A Septic/holding tank on lot Absorption field on lot Public sewer main N/A N/A N/A On adjacent lois N/A N/A On adjacent lots Public sewer manhole/cleanout N/A Lift station Sewer/septic service line SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: 10'+ 10'+ Absorption field Foundation Proper'b/line 25% · Wells on adjacent tots Water maiNservice line _ __Surface wateddrainage _100'+ N/A 5'+ 150'+ SEPARATION DISTANCI= FROM ABSORPTION FIELD ON LOT TO: 10'+ Building foundation ]0'+ 100'+ Property line Surface water Curtain drain No Known Water main/service tine ]0'+ 25% Driveway, parking/vehicle storage area Wells on adjacent lots 150'+ F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspection,. in conformance w/ 7 MOA HAA guidelines in effect on this date. S gnature ,~....~ :~'/~-~ ~ Engineer's Na~e 'K~nncth I~, ~1~t~s, P.E. 9/7/99 Date HAAFee $ "~ /~T~, Date of Payment_ Reoe pt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev, 3196)*