HomeMy WebLinkAboutPREUSS #4 BLK 8 LT 6P uss #4 Lot 6 Block 8 #'050-572-50  Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825'L" Sbeet Room 502 P.O. Box 196650 Anchorage. AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: ,~t, JO002~'7 PID Number: 050 - .~'??-- 5'0 Name: ~ELL~[ ~ ~AI~A~,~ ,,~446,/-IV4A} WastewaterSystem: []New ~Upgrade Address: 2o&c~ LUC4~ AVE./ EA~u~.~lv~t. t AK. 0q~'77 ABSORPTION FIELD 5.. / ~GPM Ft.~sing Height Above Gr°u~:F,' TANK SEPA~TION DISTANCES ~Sep~c ~ HoId~ng ~ S.T.E.P. ~ O~e~ r~ Sep~c Abso~on Lift ~olding Publ[~dmh Manu~a~rer: Tank Field S~on Tank Sewer Line / - _ ,. / -- ,i ~ /DO Inspectons pedormed b'~3 ~''eg~ .,, · 9-- Depa"ment of Health and Human Se~ices appr~va{ aS-SUILT SYSTEM ~ETAILS/SITE PLAN PERMIT~ SWOOOPS? PREUSS S/D BO, LOT 6 PID~ 050-578-50 MAIN ~ATER LINE ....... ........... ............ " '." ~ '"":".~ I " '"'-. -. -...."..,,~' ~'~ ~ Fs'.~"~'~~''' / B-D=84.3' ~ ~ c-~=a~.~' ~ ~ B-E=17.5' ad C-E=3~.O' m~ .~__ . FINISHED GRABE A-F=31.7' ~ = _ . .................................................................................. B-F=17,9' ~ ~ ~0~0 GAL - . - A-G=49.B'B_G=78.9, ~A~ ~ SEWER ROCK / ~ ~ ........................ ~ ~ PREPARED ~?" H~ ''''''~ '$ KELLY, .AR.A,A SULLZVAN  ~O~Oe LUCUS ~V~NU~ * X 9 T ~ * EAGLE RIVER, AK. 99577 ANCHORAGE, AK 99507 . . FIELD BOOKS CO.PU~O: ~ ENGINEERING ." ~ C~-711;~:/.~ ~ ..NO~ SEWARD o.A~: VBG ~m~""' .......... "~ S,~,N~: SEWARD ~o: KBO ~04~1 P~AR~IGAN BLVD. ~ ........................... ~ ASSU,L~: SEWARD o~: 9/26/00 gAGLB gI~gg, l~ 99877-8788 *c~o n,~ O0022,DWG ~"0': 00022 {907~696-61 (907) 344.-555~ "SPARROWS" ELECTRIC INC. 7310 Bu~en Dri~ · Anchorage, AK 9950? FAX: (907) 344.5B'48 2000 CONffiTRUCTION: TO ~ ~ MAY CONCa~I RECEIVED. O~T O~ ~'0¢0 Health a Humrm 8orvices ~=R01~SIONAL~.Y YOURS: MUNICIPALITY OF ANCHORA GE Department of Health and Human Services 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 PERMIT Upgrade Date Issued: Jul 27, 2000 Expiration Date: Jul 27, 2001 Permit Number: SW000257 Legal Description: PREUSS ~ BLK 8 LT 6 Design Engineer: 0070 KND Engineering Owner Name: BARBARA SULLIVAN Owner Address: 20608 LUCAS AVENUE EAGLE RIVER , AK 99577-8781 ParoDI ID: 050-572-50 Site Address: 020608 LUCAS AVE Lot Size: 19600 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy Private Well [] Water Storage 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 (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. Date: Date: 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907) 696-6111/FAX (907) 696-8111 July 13, 2000 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Septic System Upgrade - Preuss Block 8, Lot 6 Dear Gentlemen: The owner has requested that we proceed forward to obtain a septic permit to upgrade and replace the existing septic tank on the subject lot. The existing septic tank will be abandoned in place and in accordance with municipal. There is no public or private within 200' of our proposed septic tank and existing field location except as noted. There is no surface water within 100' of the proposed and existing field and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the replacement of this system's septic tank. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, ~blI~) Engineering Attachments: Wastewater Absorption System Details/Site Plan Testholes WELL g, VASTEWATER DISPFISAL SYSTEM DETAILS/SITE PLAN PREUSS :S/I? ]38, LET 6 ............... ...... .............. I PR0rE~ ,,-~'; O ~'""' 7 ~ 8 I /I 3 31 'I 3 ~ESZGN 4 ~gRN X 150 GP~ = 600 600 GPD/L8 GPD PER ~, FT, (8,4 N[N/[N,)= ~00 S~, FT (500/5'(~)) X O,7(RF) (8,0' 6R~VEL) = 70' FT, TRENCH U~E ~ TRENCH- 70'(L) X 5'(~) X ~'(g) Total depth oF ~ys~e~ Is 4,0' FrOM original grade, PRDP~SE~ SYSTEH, TO~I depth o? gr~vel below distribution plpe Is ~.0' . NB PRIVATE ~ELLS V[TH[N ~00' ~F NOTES~ NB SEPTIC SYSTEMS VITHIN aO0' DF 1, USE 1~50 GALLUN SEPTIC TANK, INSULATE TANK IF <4' COVER, ~, INSULATE TRENCHES ~]TH ~' H9 ~UR~AL FUAH,, 3. CONTRACTOR W~LL ENSURE NAX~NUH ~N SLOPE INTO SEPTIC TANK, 4, A93~TIONAL FILL ~ILL BE A3~E9 OVER SYSTEM TO ACHIEVE H~N, 3' COVER, 5, O~NER TO INSTALL GR]N3ER PUMP ~NSIgE HOUSE ~~ 6, SYSTEH PRESURIZE9 TU TANK KELLY & BARBARA SULLIVAN ....... ~ ................................. :, ......... PAGE 8~N~V: SEWARD o~: VBG D~. ~m ~D: NW56 ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: *o~.m 00022.DW6 ~.,o.: 00022 (907)696-6111/F~ (907)696-8111 WaSTEWATER DISPFISAL SYSTEM DETAILS PREUSS S/~ S8, LBT 6 , , . ~ .~ .::-'.;' '" '/. TANK ~ . ~ ~ CXISTING SEPTIC I , ', i I! ........... .......~y~ ~ PREPgRED FBR~  EAGLE RIVER, aK, .......................................................... , PAGE , ~"~:'"~ ....... FIELD BOOKS ~PU~: ~ ENGINEERING B~ND~Y: SEWARD ~RA~: VBG '~ ~ "' ~" '~ ~ g0441 P~MIGAN BLVD. ~ ~" ........... ~ ~ sT~m SEWARD mE~: KMD ~ss[O~ ~ SEWARD 6/28/00 EAGLE R~R, AK 99577-8736 ~~ ~' ,m ~,~ NW56 .................................................................... ,c~ ~m 00022.DWG ~ "*': 00022 (907)696-6111/F~ (907)696-8111 Performed for: B. Sullivan Project: Preuss Depth (Feet) 1- ORG 2- 3- GM/GP 6= w SM--increasing density w/depth 10- 11- seeps 12- 13- -- D.H. 14- 15- 16- 17- 18- 19- HOLE PRESOAKED 20- PRIOR TO TEST SOILS PERCOLATION TEST Date Performed: Blk 8 Lot 6 TEST HOLE # 00-1 SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? Yes Depth to water after monitoring? '] t 5 / What depth? 10' Date? Reading Date Gross Net Depth to Net Time Time Water Drop 1 6/21/00 1:00 8" 2 1:10 10 min 3 9/16" 4 7/16" 3 * 1:10 8" 4 1:20 10 rain 3 14/16" ' 4 2/16" 5 * 1:21 8" 6 1:31 10rain 3 14/16' 4 2/16" 7 * 1:31 8' 8 1:41 10min 314/16" 4 2/16" 9 * 1:41 8" 10 1:51 10min 3 14/16' 4 2/16" 11 * 1:51 8' 12 2:01 10min 3 14/16' 4 2/16" · Water Added Percolation Rate 2.42 (rain/in) Perc Hole Diameter 6" Test Run Between 4 feet and 5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. sGRE, ._ ER ANCHORAGE AREA BOr_ JGH Department of Environmental (~ualit¥ 33;30 C Street Anchorage, ^laska 99§03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL /~" NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY / ~ ~-<::~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER --OR WIDTH /g/L~, LINING MATERIAL~'~A~-~//~_~ CRIB SIZE: DIAMETER__ BUILDING FOUNDATION /~/, NEAREST LOT LINE /g/.t . ADDITIONAL ABSORPTION ~/r/ /~F/~.~' LENGTH/-~-~' DEPTH / / _DEPTH ~ DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ,~-- SQ. FT. WELL: TYPE /~i~/~ GUI LDING /~ ~ ~/~ FOUNDATION~ ~ / , CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE ~_~t OTHER SOURCES DISAPPROVED  ./~ DEPTH NEAREST SEPTIC SEWER LINE TANK_ REMARKS DISTANCE FROM: SEEPAGE SYSTEM INSTALLED BY, PIPE MATERIAL~ ~'~./C~ S~'- LOT SLOPE: REMARKS: ,~ (~/.4~ ¢' Form No, EQ-031 DIAGRAM OF SYSTEM GrEATEr ANChORAgE AREA BOROUgh 3330 "C" STREET ANCHORAGE, ALASKA 99503 PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK ~ TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SO~L TEST RESULTS ~OJ ~ ~ COMPLETION DATE ANTICIPATED MAILING ADDRESS SEEPAGE PiT ~ PHONE , DRAIN FIELD OTHER FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTIO~ BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK'- FOUNDATION TO SEEPAGE PIT ., DRAIN FIELD SEPTIC TANK ,SEEPAGE PIT ., DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAge PIT/(~ DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD TO RIVER, LAKE, STREAM. , SEEPAGE PIT ~ DRAIN FIELD C~AST IRON INTO AND OUT Of SEPTIC TANK AND INTQ CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. / SEEPAGE AREA TYPE ~IAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATE/~ANCHORAGE AREA BOROUGH ORDI[~ANCE NO. 28-68 AND THAT THE ABOVE GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVTRONMFNTAL QUALTTY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case # 14 ,14 Dated Performed_ _. -7 Lot Performed For Legal Description: This Form Reports Soils Log_~_. Percolation Test__ Soil Test Must Be Logged To ~' Below Proposed Seepage System - Depth Feet Soil Characteristics 1~_ 'r,p..~: ~~;l~ 4-- 5~ 6~ 7~ 8~ 9~ ll~ 13~ 14~ Was Ground Water Encountered?__~_~ , If Yes, At What Depth? Reading Date Gross Time Net Time ! Depth to 1t20 Percolation Rate Minute Proposed Installation: Seepage Pit Depth of Inlet COMMENTS: I Drain Field Depth to Bottom of Pit or Trenc!~ I Net Dropl Test Per,formed BY Date CertiFied BY: Date: 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. 050-572-50 Complete legal description · Preusg Block 8, Lot 6 Location (site address or. directi°f~s) 20608 Lucas Avenue; Eagle River, AK 99577 Current Property owner(s): Kelly & Barbara Sullivan Day phone Mailing address 20608 Lucas Avenue, Eagle River, AK 99577..:.. ' Day phone Lending agency Expiration Date: Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up.by: NUMBER OF BEDROOMS: 4 3. TYPEOFWATER SUPPLY: Individual Well Individual Water Storage Community Class ___ Public Water System Well [] [] [] [] TYPE OF WASTEWATER DISPOSAL:' Individual .On-site Individual Holding Community On-site Public Sewer -- The Municipality of Anchorage Department of Health and Human Services (DHHS) ssues 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 propedies 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 well~ Or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. (Rev. 11/99) 5. ,STATEMENT OF INSPECTION BY ENGINEER As certified by my sea[ affixed hereto and as of the validation dare'shown below, I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm KNr~ F:n0in¢~,ring Address _2~1441 Pf~rrni0an Rlvrl ~=ngl¢. IRiv~r, Engineer's Printed Name I(~nn~fh M ~ufCH~ ~,14' _q _q .fi 7 7 Phone fi-qfi-fit t t Date f).q/R fl/20 rIB DHHS SIGNATURE Approved for ~ h Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Expiration Date: / 0 ~ .;'"'"'"'"'""~' ~, ~ ~) ~/ (Rev. 11/~9) Maintenance Agreements Supplemental Engineer's Repor[ Other Original Certificate Date: Reissue Date: Municipality of Anchorage I~r: ~ [~ Department of Health and Human SerVldes~ E ~ V E Division of Environmental Services On-Site Services Section 825"L" Street Room 502 OCT 0 2 ?00(] P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak:us (907) 343-4744 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Pre-n-~ Block 8, Lot 6 Parcel I.D.: 050-572-50 A. WELL DATA Well type PUBLIC Date completed __ Total depth ft Date of test Static water level Well production ~D~of sampla: IfA, B, or C provide PWSID #__ Well Log __ Sanitary seal Wires pro~__ Cased to __ _ff Casing ~e ground) FROM WELL LOG ~N~PECTION Nitrate mg/I Other bacteria colonies/100 mi Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Concrete Date installed 06/10/1974 Tank size '1250 gal Number of Compartments 1_ Cleanouts ¥ Foundation cleanout_Y Depression over tank n High water alarm na Date of pumping 9/8/2000 Pumper JR'S C. ABSORPTION FIELD DATA Date installed ~0 Soil rating (g.p.d./ft2 or ff2/bdrm) 1.~2 System type Trench Length 75 ft Width 5 ff Gravel below pipe 2 ft Total depth 4-~5 ft . Effective absorption area 500+ ft2 Monitoring tube y Depression over field n~ Date of adequacy test Results (Pass/Fail) ... ~ Fluid depth in absorption field before.... N.ew depth --i~. · enation treatment (past 12 mo.) (YIN & type) n If yes, give date Rev. 11/99) D. LIFT STATION Date installed ~q/8/20nn Size in gallons .~nn "Pump on" level at44 in"Pump off" level at 42 in Datum Trip nf ~n,,iA, r Cycles tested 3 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Se~ Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation --10' Water main 10'+ Drainage 100'+ Property line 10% Water Service line 10'+ Curtain drain ,Ina,+ F, COMMENTS Property line 10'+ Water service line ~)'+ Wells on adjacent lots tnB'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 10' Surface water '~on'+ Wells on adjacent lots tnn,+ Manhole/Access Y_ High water alarm level at 48 in Meets alarm & circuit requirements? Absorption field 10'+ Surface water t00'+ Water main -10'+ Driveway, parking/vehicle storage 2A' __ MntP. rinl nnnRiRfRn nln%n whnlR frRnnh 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 effect on this date. Engineer's Printed Name I(~nn~th Date N~/~NI~NNN HAA Fee $ ~'~_ (-~, Date of Payment Receipt Number (Rev. 11/99) Waiver Fee $ Date of Payment Receipt Number l. Approval requested by: Mailing Address: 2. Property Owner: Mailing Add~ess: 3. Legal Description: 4. Location: !EATER ANCHORAGE AREA BOROUGH ~p'artment of Environmental Oualit? 3330 "C" Street, Anchorage, Alaska 99503 27a~g61 Date Received 9/24/74 Time of Inspection Date of Inspection_ 2/24/74 REQUEST FOR APPROVA£ OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conventional Totem Realty 516 E. Fireweed Lane Frank Romaine Phone: Phone: 272-0571 Lot 6, Block 8, Preuss Subdivision Eagle River Road 5. Type Of facility to be in§pected 6. Welt Data: A. Type Drilled C. Construction Standard 7. Sewage Disposal System: 1974 B. I. Size 1250 gal 1. Absorption Area A. fnstalled C, Septic Tank: D. Seepage Pit: Single No.'of bedrooms 4 B. Depth 390' D. Bacterial Analysis Satisfactory Installer Hamilton 2. Manufacturer Hamilton 14xl5xll' 2. Material Concrete Rings E. Disposal Field: Total length of lines Distances: A. Nell to: Septic tank 120' , Absorption area Nearest lot line , Other contamination B. Foundation to septic tank 8' C. Absorption area to nearest lot line , Sewer Lines , Absorption area 14' !9' · " i g-' , two pages F.Q. -034. !/7~.I Pa e ~ of , Page 2 of two pages - Req~-est for Approval of Individual ~..~,~er & Water Facilities Legal Description Lot 6~ Block 8, Preuss Sub. Comments Approv~b/ ~ /~ Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 10/3/74 certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date E0-034 (1/74)