HomeMy WebLinkAboutPARK HILLS #1 BLK 2 LT 10Pa k Hills #!
Lot 10
Block 2
#017-142-27
Municipality of Anchorage Page 1 of 3
DEPARTMENT OF HEALTH AND. HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 e Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SN980168 PID Number: 017-142-27
Nam.: Doug & Cynthia Morris Wastewater System: B New [] Upgrade
Add,.'-~: 3931 Edinburgh Drive ABSORPTION FIELD
P~o..: 243-6216 Four (4) '
LEGAUDESCRIPTION so~,*~,,.~: Totat Oepth from original grade:
wELL: .' ~ New , ~ Upgrade - 15 '
Alpine Dr&ii&rig ?/1 5/00 '27 ~. Acreage.S~s~em 6/23-24/98'
8 GPM Ft 2 FL '' '
· ' SEPARATION DISTANCES ' : ~ septic. 0 Holding e S;T_E.P.
F¢om Tank F,eld Stat,cc Tank e~rUnes 'AnchoraQe Tank I :250
Wel~ " >100' >100' N/A / >25' . Steel Two
S.dace >100' >100' N/A N/A N/A-' LIFT STATION N/A
Water
LOt >5' >10' N/A N/A N/A ~ize,nga,,ons:.. JManuf3cmrec
Une ' · '
. N/A "Pump on" ,evel a~ I "Pump o~[eve' at: 1 High water a'~ at:
Foundation >5 ' >10 ' N/A N/A . . .
~Cu~ain'Drain >50," . ,>50' N/A N/A, . · N/A, ~m, Make~'U~a. . ls~dca nspec onspedorm~by:...
Re~rks: · ' · - ' BENCHMARK ..
:' . ~- ~' .- Bottom of Monito~ Tube No. 1 . '
Inspectipns ped0rmed by~ ~n Dates: ls~
. Department of He'alth and Human Se"ices appr°val
Rev ewed and approved by: ~ ~ /~ ~¢Oate'
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, AK 99519-6650 343-4744
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number SW980168
PID No. 017-142-27
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House'
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.- :': ' ".PLAN AS;BUI
- -CALE I = '40'
Municipality of Anchorage Page 3 of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, AK 99519-6650 343-4744
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number SW980168
PID No. 017-142-27
O
/11,250 \ - '
102 . 7/ IGallon I.~ 1 no ~
[Septic Ta~k~J
102.7
2" Insulation
~100,55 Drainfield Rock
100.0
92.0
PROFILE
HORIZONTAL SCALE 1" = 10'
-~',-.- ~NO VERTICAL SCALE
. From ': ALPINE DRILL 907 345 0202 Bet. 17.2000 10:51 PM PO1
i~__~.~ Department of Healt,h,o2s "L' andstreet Human Services
P.O, Box 196650 Anchorage, Alaska 99519.6650
t~ick Mystrom http:l~,V~v.cl,anchor age.ak.us
Mayor
Permit Number: #SW see ofi~linal !o_qDate of Issue: see or~qi~al well Io.q Parcel Identification Number:
Date Slatted: 7-15-00 Date Completed: 7~15~00 Is well located at approved permit localion? [] Yes [] No
Legal Description: Pa~ Hills # 1 BIk 2 Lt 10
Properly Owner Name & Address: Doug Morris
Borehole D,~ta: .......
Soil Typo, Thickness & Water Strata
stick-up
organics & silt
gravelly silt
,silt
silty gravel
gravelly silt
water sand & gravel
Depth (it)
I:rnm To
0 2
2 7
7 22
22 27
27 33
33 83
83 86
Method of Drilling [] air rotary [] cable tool
Casing type: atoe.!
Wall Thickness: ,025 i,~cl~es
Diameter: ~ h~ohes Depth: ~ feet
Liner Type:
Diameter: ~ inches Depth: ~
Casing stickup above ground: 2 feet
feet
Static water level (from ground level): 27 feet.
Pumping level: 86 feet atler
~ hours putlaping 8 gpm
Recovery Rate: 8 gpm
Method of Testing: airlift
Well Intake Opening 'lPypc:
[] Open End [] Open I Iole
[~ Screened Start ,-- feet
[~ I>erforatio~ls Start __ ~t
Stopped .__ t~,et
Stopped feet
Grout Type: Bent{Lnite ti 8 Vnlume: ] bg
Depth: Start 0 l'eet Stoppvd + feet
Pump: Intake Depth __ feet
Pump size _ hp Brined Name .
Well Disinfected Upon Completion? [] Yes [] No
Method of Disinfection: Clorine Tablets
Comments:
Well Driller: Alpine Drilling & Enterprises
P O Box 1~0496
Anchorage AK 995~ ~
Altention: The well driller shall provide a well log to the property owner within 30 days el'completion and the property
Received Time Oct.18. 9:24AM
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Sen/ices
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Jun 12, 1998
Expiration Date: Jun 12, 1999
Permit Number: 8W980168
Design Engineer: Anderson Engineering
Owner Name: Doug & Cynthia Morris
Owner Address: 3931 Edinburgh Dr.
Anchorage, AK 99515-
Parcel ID: 017-142-27
Legal Description: PARK HILLS #1 BLK 2 LT 10
Site Address: 014721 PARK HILLS ClR
Lot Size: 50093 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field Icl septic Tank ~1 Holding Tank [] Privy
Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. AIl 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
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
June 2, 1998
Municipality of Anchorage
Department of Heath & Human Services
825 "1_" Street
Anchorage, AK 99502-0650
Subject:
Lot 10, Block 2, Park Hills Subdivision
Septic System Design
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 10, Block 2, Park Hills Subdivision intends to construct a
4 bedroom home on the lot. We are therefore applying for a permit to
construct a well and septic system on the lot to serve the house. The
attached site plan and backup documentation identify the size and location
of the new absorption bed to serve the home. It also shows the proposed
location of the well and the 100' protective radius. The property to the
east of the lot is currently undeveloped and will probably remain so due to
wet conditions.
Testholes placed on the lot revealed silty gravel and poorly graded sands
with a percolation rate of 12 minutes per inch. Groundwater was
originally found at 8' below the surface, but was recently measured at 4.5'
below the surface in the area of the proposed absorption bed. We are
therefore constructing an 80' long by 15' wide shallow absorption bed
with the bottom of the bed at .5' beneath the surface to provide the 4'
separation to groundwater. Direct bury insulation will be placed atop the
bed with 2' of cover. In lieu of insulation geotextile fabric may be placed
and a minimum of 3' of cover.
The surface of the lot slopes from east to west at a rate approximating
5%. There is also a minor slope from north to south of nearly 2%. The fall
of the lot is adequate to provide gravity flow from the septic tank to the
absorption bed. The service line will be placed under the new driveway,
but will be encased in steel pipe with insulation placed on top to prevent
freezing or crushing.
Lot 10, Block 2, Park Hills
June 2, 1998
Page Two
If the system is constructed as designed the following statements apply:
The system, if constructed as designed, will have no adverse impact
on the wells in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact
on existing septic systems in the area or those to be constructed in
the future.
3. The system, if constructed as designed, will have no adverse
impact on reserved space, either surface or subsurface, on any lots
located in the area.
The system, if constructed as designed, will have no adverse impact
on drainage patterns in the area. The current drainage pattern will
be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
LOT 10, BLOCK 2, PARK HILLS
THIS PROJECT~
LOT I
AREA MAP
SCALE 1" = 100'
/
/
' SITI-- PLAN
SCALE 1" = 40'
NOTE: Distribution Pipe Under D~
Sleeved in Steel Pipe and
veway Must be
~ulated.
LOT 10, BLOCK 2, PARK HILLS SUBDIVISION
DESIGN FACTORS:
SYSTEM FIEQUIREMENTS:
Four Bedroom Home
Perc, Rate: 12 Min./inch
Application Rate: .5 GPD/SF
Shellow Bed System
1,250 Gallon Septic Tank
4 Bedrooms X 150 GPD = 600 Gallons Per Day
600 GPD/.5 GPD/SF /18 LF Width = 80 LF Total Length of Bed
Therefore: Construct a Shallow Bed System 15' Wide X 80' Long,
Distribution Piping to be Placed at .5' Beneath Ground Surface. Mound
Over Bed 3'0 Provide 3' of Cover or Provide 2" of Direct Bury Insulation
and 2' of Cover.
Natural Backfill
~_ 2" Direct Bury Insulation
"".~ ~ 4" Pvc
~Drainfie].d Rock
2.5' 5' 5' 2.5'
NOTE:
SHALLOW BED SECTION
(NO SCALE)
Grade Area to Drain Away.
Maintain 4' Separation From Ground
Water,
Municipality cf Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage, Alaska 99502-0650
SOILS LOG -. PERCOLATION TEST
LEGAL DESCRIPTION: L<}-~' 10~ ~[..dt.,.,~. ~., Township, Range, Section:
1
2
3
$
14
20-
'PAr~.v- 14 i,,~ s~opE
~O~O ~ O~ WA~ GROUND WATER
~-~O ~ ENCOUNTERED?
DEPTH?
Reading
7:4,0
SITE Pi.AN
/, z~°4 I I I I,~_1
'/' ~/z." /"
~ '/z," /"
'l '/z."
PERCOLATION RATE ~. 0 (rnmute~'~nc~) PERC HOLE DIAMETER
COMMENTS ~'~'~ T~T RUN B~EEN ~ ~
-- ERFORMED IN
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
DATE PERFOR
LEGAL DESCRIPTION:
Townst~ip, Range, Section:
1
4
6
7
8
9
10
11
12
13
14-
15-
16-
17-
18-
19-
20
COMMENTS
5P
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
~F YEs. AT W.AT ID I st.
DEPTH? pO
E
Mo~it~dng? , "' OaP' ~
I
Gro~s Ne~ Depth to Net
Reading Date Time Time Water Drop
.~N~,o I~"
PERCOLATION RATE / ~ (m[nute~,nc~l) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AN_D '~ FT
PERFORMED BY: ,~, ~l/..~j"'~'7' I . ~I-IAT THIS TEST WA~ PERFORMED
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; ~ / ~ /~ ~;
iN
ON-SITE WASTEWATER DISPOSAl.. SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 10, BLOCK 2, PARK HILLS SUBDIVISION
GENERAL:
The scope of this project includes the procurement and
placement of a new 1,250 gallon septic tank. It also
includes the construction of a new 80' long by 15' wide
absorption bed at the location shown on the site plan. The
distribution piping must be placed at .5' below the ground
surface. Direct bury insulation will be required above the
bed to provide minimum cover to prevent freezing.
Construction shall be in accordance with the approved site
plan, design drawings, Municipal Permit with any special
provisions or conditions, and all applicable State and
Municipal Wastewater Disposal Regulations.
The Contractor shall be responsible for obtaining all
underground utility locates and for the layout of the septic
system and verification of the location of all lot lines.
Unless specifically agreed otherwise, the contractor shall
be responsible for final grading areas subsequently
depressed from soil settling. Property owner shall be
responsible for revegetation of affected areas unless
specifically agreed otherwise.
Contractors installing wastewater disposal systems must
be certified by the Municipal Department of Health and
Human Services for system installations. Owners installing
their own systems must receive prior approval from D.H.H.S.
before beginning system installation.
SEPTIC
1.
TANK INSTALLATION
A new 1,250 gallon septic tank must be procured from an
approved source and installed at the location shown. The
service line from the tank to the field will pass under the
new driveway and must be sleeved in steel pipe and
insulated to prevent freezing and crushing.
Lot 10, Block 2, Park Hills
June 2, 1998
Page Two
2. A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts
for pumping access.
3. The septic tank shall be sufficiently bedded to prevent
settling or shifting of the tank.
4. All standpipes on the septic tank shall extend a minimum of
12 inches above final grade.
5. Tanks installed without 4' of cover shall have a minimum of
2" of direct burial insulation.
A foundation cleanout shall be installed one to four feet
from the building foundation. Two cleanouts are required
between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive
slope exists away from the septic tank.
DRAINFIELD CONSTRUCTION:
The drainfield shall be constructed to the dimensions shown
on the design. The bottom of the trench shall be within 2"
of level.
Distribution piping must be placed level with perforations
down atop a level bed of drainfield rock. Rock should then
be placed over the pipe to provide a minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between
the drainfield rock and the natural soil backfill.
Monitor tubes must be 4" in diameter and installed at the
locations shown on the design. The portion below ground
must be perforated.
Lot 10, Block 2, Park Hills
June 2, 1998
Page Three
Contractor shall verify the septic tank and drainfield are a
minimum 100' away from any private water wells in the
area, 150' from a Class "C" Well or 200' from any community
well.
Direct bury insulation must be placed over the distribution
system if less than 3' of backfill depth is available. Finish
grade over the trench must be mounded to prevent
settlement or depressions.
7. Grade area surrounding the absorption trenches to drain
away.
A minimum 2' of accepting soil is required below the
drainfield rock for a 5' wide trench. Contractor shall verify
this condition prior to placement of the rock. All pockets of
unacceptable materials must be removed and replaced.
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a Municipally approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic
system installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C.
(perforated and solid), ASTM F810 or H.D.P.E. (perforated,
but not solid) and ASTM D2662 or A.B.S. (perforated and
solid).
3. Insulation shall be at least 2" thick extruded direct burial
polystyrene (Dow Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted
watertight couplings (Caulder, Fernco, or equal).
with
Lot 10, Block 2,
June 2, 1998
Page Four
Park Hills
5. A permeable geotextile fabric (Typar, Mirafi or equal) must
be installed between the final drain rock layer and the
native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than
3% passing the #200 sieve.
INSPECTIONS:
A minimum of two inspections are required by Municipal
Ordinance. These inspections must be conducted under the
supervision of a professional engineer registered in the State
of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation
of any gravel. A septic tank may be set in place, but may not
be backfilled.
The second inspection must be conducted after the placement
of the geotextile fabric, gravel, distribution piping,
standpipes, cleanouts and insulation. No backfill should be in
place at the time of inspection.
Contractor shall provide a copy of all field survey layout and
construction notes for use in preparing the certified as-built
of the completed system.
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 "L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
1.
017-142-27
GENERAL INFORMATION
Complete legal description Lot
Location (site address or directions)
Expiration Date:
10, Block 2, Park Hills Subdivision No. 1
Park Hills Circle
Current Property owner(s) Douq & Cynthia Morris Day phone 243-621 6
Mailing address 3931 Edinburgh Drive Anchorage, AK 99515
Lending agency
Mailing address
Day phone
Real Estate Agent
Mailing Address
Day phone
Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by:
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class
Public Water System
Well
Four ( 4 )
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding Tank
Community On-site
Public Sewer
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of
Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent
professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are
required for the transfer of title (except between spouses) on properties served by a single family on-site
wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners.
Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by
a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates
are valid for one year for properties served by Class A or B wells or a public water system. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
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
based on procedures outlined in the Health Authority Approval Guidelines for the Health Authority Approwd
application show 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 applicable Municipal and State
codes, ordinances, and regulations in effect at the time of installation.
Name of Firm
Address P.O.
Engineer's Printed Name
Anderson Engineering
BOx 240773
Mi~¼~l E_
DHHS SIGNATURE
Approved for
Disapproved.
Conditional approval for __
LiL bedrooms.
Phone 522-7773
Anchoraqe, AK 99524
Anderson, P.E. Date 1 0/25/00
'~ :2%:: ' ' ,'-
bedrooms, with the following stip~Jat~on~ '-'"-"
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Expiration Date:
Original Certificate Date:
Reissue Date:
-' Municipality of Anchorage
Department
of Health and Human ServiceR E C E I V E
Division of Environmental Services
On-Site Services Section 825 "L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650 OCT 2 5
www. ci.anchorage.ak.us
(907) 343-4744 MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
Lot 10, Block 2, Park Hills No. 1
Parcel I.D.:
01 7-1 42-27
A. WELL DATA
Well type __p~i~at e
Date completed 7 / 1 5 / 0 0 Sanitary seal __
Total depth 86 ft Cased to 86
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi
Date of sample: lO/18/00
B. SEPTIC/HOLDING TANK DATA
If A, B, or C provide PWSID # __
¥
ft
FROM WELL LOG
7/15/00
27 ~
8
g.p.m
Nitrate .5 mg/I
Collected by: MEA
Well Log Y
Wires properly protected Y
Casing height (above ground) > 24
AT INSPECTION
ft
g.p.m
Other bacteria 0 colonies/100 mi
Tank Type/Material septic / Steel
Date installed 6/23/98 Tanksize 1,250 gal
Cleanouts Y Foundation cleanout Y
Date of pumping. New Construction
C. ABSORPTION FIELD DATA
Date installed 6/24/98 Soil rating (g.p.d./ft2 or fl2/bdrm) .5
Length 80 ft Width 15 ft Gravel below pipe .5
Total depth 3 ft Effective absorption area1 , 20~2 Monitoring tube
Date of adequacy test New Const. Results (Pass/Fail)
2
Number of Compartments __
Depression over tank N High water alarm
Pumper
Fluid depth in absorption field before test in Water added__
Elapsed Time: min Final fluid depth in
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N
N
Shallow Bed
System type
ff
Y Depression over field N
For .__ bedrooms
gal. New depth
Absorption rate >=.__
If yes, give date
in.
in.
g.p.d.
N/A
72-026 (Rev. 01/00)*
F.
D. LIFT STATION - N/A
Date installed
"Pump on" level at.
Datum
Size in gallons __
in "Pump off" level at
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot> 100 '
Absorption field on lot > 100 '
Public sewer main N/A
Sewer/septic service line > 25 '
in
Manhole/Access
High water alarm level at in
Meets alarm & circuit requirements
On adjacent lots > 100 '
On adjacent lots > 100 '
Public sewer manhole/cleanout
Holding tank _ N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation > 5 ' Property line > 5 '
Water main N/A Water service line > 10 '
Drainage > 100 ' Wells on adjacent lots > 100 '
N/A
Absorption field > 5 '
Surface water > 100 '
Water main N/A
Driveway, parking/vehicle storages>_5 ' __
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line > 10 ' Building foundation > 10 '
Water Service line. > 10 ' Surface water > 100 '
Curtain drain None Noted Wells on adjacent lots > 100 '
COMMENTS
S~ptic
System was only recently placed in service.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effebt on this date.
Engineer's Printed Name Michael E. Anderson, p.E.
Date 10/25/00
HAAFee $ ¢:~¢O
Date of Payment /0,/'~
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 01/00)*
