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HomeMy WebLinkAboutPROSPECT HEIGHTS BLK 1 LT 7Prospect Heights Lot 7 Block I #015-133-13 Municipality of Anchorage Page __1 of 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: ,~,~J../~'~l~ PIDNumber: ~)IF-'O - l',~'2:~'- __%me: ~[)AP-WL ~.. ~.j~_~-%- Wastewater System: [] New [] Upgrade Address: '~'~OI '~/. ~t~f, A ~'~,. ~),,y,,-~' ~ ABSORPTION FIELD LEGAL DESCRIPTION Soil Rati.g: Total Depth from original grade: 0¢ ~ GPD/Sq. Ft. Lot: ~7 Blocki ~.¢¢ ~ ,.j) ~¢~ ~Subdiv' ion'~, Cj ~ ~. Depth to pipe bottom from original grade:~ Ft. Grave/depth beneath pipe 7 Ft. ~T°wnship: Range: / Section: Fill added above original~grade: Ft. Gravel length: WELL: ~New ~ Upgrade Gravel width: Number of lines: Distance behveen lines: Classification (Private, A,B,C): Total Depth: Cased TO: Total absorption area: Pipe material: Date Drilled: StaticWater Level: Installer: .. , Date installed: ' Yield: Pump Set at: Casit~g Height Above Ground: SEPARATION DISTANCES ~Septic U Holding U S.T.E.P. To Septic Absorption Lift Itold[ng Public/PdVah Manufacturer: Capac[tyin gagons; Fro~ Taflk Field Station Tan* Sewer Lines AAo~a, TA~[C Welb ¢V~ ¢~¢' ' .... ~ ¢0 Material: ST~¢~-- Number of Com%~ents: Su~ace -- Water ~ o~t¢ 5~,~N LIFTST~TION LineL°t '~ ~ ~ ~ ~ ~ Size in gallons: ~ Manufacturer: / I Foundation High water alarm at: ~em~rks: B~NOH ~A~K Inspeotions performed by: _ Dates: 1st ~ a~ and H '" ' ' Depa~ment of He uman 8ewices approval .,,~ . .,, Reviewed and approved by: ate: -~ -[~' ~' ' ' 72-O13 (Rev. 9/91) MOA 25 G ~WING ~I£$ ~B I4 ?T AC 57 AD 68 AE 58.5 BE 55 74 75 Nell BENCH HARK =[OBBEfl SPURKLAND P.E. 205 W 15TH. AVENUE ANCH. AK. 99501 5907) 279-3916 SEPIIC TANK 1250 GAL. TWO TRENCHES: LENGTH 55 FI I'OTAL DEPTH I0 EFFECIIVE ROCK BEPIH 7 BULLRUN DIVERS/ON VALVE INSULATE LINE UNDER DRIVE WAY 25 o / / / / / / I // I / / / / / / / / 50 75 SCALE,. 1' = 50 f-L / / / / //'/ / / / / / / / / / IP5 IROSPECT IIEICtI?S BI( 1 PROSPECT DRIVE DARYL L. BENNETT LOT 7 SEPtiC SYS7TIZ AS BUILT BATE: APRIL 14, 2000 SHEET; 2/5 GRID: 2541 PE/~MIT # SW990358 PIP # 015-133 13 P£DOIO72, DW6 Si:ondord ?tenth; £' W/de 55' L on9 ]0' Beep ZO' Selver rock 3' Cover co co ~ co 'x~ ~~ · 20 Septic 'tont< x..~ ) BUZL RUM D/VERSION VALVE CO NO ~ C~eonou¢~ 3' Cover 84.7 D?ENCH //1 x, 82.1 [£ENCH ~ 85.10 ~ /E. 85,$2 7.0 £~ oP Septic Effective 77.5 TRENCH //1 74,9 TRENCH //2 NO SCALE BENCH MARK BOfTOM SID/NO ASSUMED ELEK I00.00 FT Anchorage Ak 99%0! PROSPECT ORIVE DATE' A ri/ 14 2000 t ]unic paliO, of Anchorage Department of Health and Human Services 825 "L" $1reet P.O. Box 106650 Anchorage, Alaska 09519-66fi0 h~p:tA~w DJ anchorage,ak,tis i'crmit Nmnht,.r; #.W 990358 Date of Issue: 9.27-99 Parcel l¢leuflfleatmn ~lim~)el"r Date Starl~]: 10-1 ~ -%-a~-Comph,ted 10' ~-'~ ...... .......... -~-~ - · .... .__r?-99 Is well loca~cd al approved permh location? f-'vo~riy Ow.er Name & Ad(Ir~s: Dali 1,. Bonnet{ 3901 West tntomattonol Road tim ehole Data: Deplh (fl) Method of Drilliug ~ air rott~y , Citable t~ Sod 1 x'oe, Thickness & Water Strata Prom To 0 2 4 4 '[1 605 RECEIVED APR 18 2000 Municipality Of Am;ho! Dept. Health & Human Gervice~ Stick-up otrlgnic & silt bed¢ock · J, ~roo/ Wall Thickness: _28 inches Diameter: ~ inches Depth: 20 Liner Type: l)iameter: .......... inches k)cplh: ..... Ca~hlg ~l:ickap above groumh ~ feet Static water level (~om tH'ound lewd: iLk.feet Pamping love: 6¢5 R~ct aHer Recovery Rate: .1.b gpm Welt Intake Opening 'i'll)e: [] Open End ~ Open [~] Perfi~ralicms Start ......... [~ct l)epth: glatt ~ Pump: leh~ke Depth. .. Pmnp size hp Brand Name Well D~s'ni~cted Hpon COm l:letifm? L~ Yes [' ] No Well Driller: Alpine Ddlling & Entomrisss P 0 BOx 'I ! 049l~ Ah ,i~oroge AK g957 MUNICIPALITY OF ANCHORAGE 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 / WATER SUPPLY PERMIT Initial Date Issued: Sep 27, 1999 Expiration Date: Sep 26, 2000 Permit Number: SW9903~8 Legal Description: PROSPECT HEIGHTS BLK Design Engineer: 0007 Tobben Spurkland, PE Owner Name: Daryl L Bennett Owner Address: 3901 West Intn'l Airport Road Anchorage, AK 99502- 1LT 7 Parcel ID: 015-133-13 Site Address: 010201 PROSPECT DR Lot Size: 102300 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 "rhis 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 ( 18AA080 ). 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. ()pen and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: / / / / / 49th I I I I I I / ffCALD Y - 50 FL / / ?OBBEN SPURKLAND P.£ 203 W I57H. AVENUE ANCH. A~ 99501 (907) 279-$916 IROSPECT I]£'JGIITS BIF ! LOT 7 PROSPECT DRIVE DARYL L. BENNETT SEPTIC SYSTEM DES/ON DATE: SEPL 15, 1999 SHEEL' 2/5 GRID: 2541 PE£MIT # £1'/990XXX PID # YY PRBO]O/~Db/G 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 7 BLOCK 1 PROSPECT HEIGHTS DARYL L. BENNETT Municipality of Anchorage Department of Health and Social Services 825 L Street Anchorage, Alaska 99501 September 14, 1999 We are submitting an application for the installation of a well and system for this lot. The submittal consists of tlu'ee (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and septic system is subject to this pe~xnit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and pereolation tests ofapplicable testholes are also enclosed. The septic system design is based on the following: No Ground Water or hnpervious Layer to 16 ft. Use Standard Trench Soil Rating. From Testhole 08/11/97 10 min/in = 0.8 gal per sq.ft/day No. of Bedrooms 4 Required Area per Bedroom: 150/0.8 = 187.5 sq.ft. Total area required: 187.5 x 4 - 750 sqft Testhole depth 16 feet Bottom Rock At 10 feet Top Rock At 3 feet Rock Depth 7 feet Total Trench Length 750 / 14 - 53.5 ft. USE 5S LF SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 55 FT TOTAL WIDTH 2 FT TOTAL DEPTH 10 FT ROCK DEPTH 7 FT COVER 3 FT SEPTIC TANK 1250 GAL The installation of this well and septic system will not preveut development of adjacent lots. There are no developed or natural surface / sub surface drainage conrses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or coucentratiou of surface runoff will not result from this installation. / / / / / // / // /// /// TOBBEN SPURKLAND P,E, 203 W 15TH. AVENUE ANCH. AK. 9950! .~907) 279-5916 IROSPECT HEIGHTS BI( 1 PROSPECT DRIVE DARYL L. BENNETT LOT 7 SEPTIC SYSTEM DESIGN DATE: SEPT. 15, 1999 SHEET: 1/5 GRID: 2541 PE£H/T tl P~D # P/~I~OIO?LDI/5 / / STANDARD SEPTIC SYSTEM: TANK 1250 GAL. TWO TRENCHES: LENDTH .55 ['l TOTAL DEPTH I0 FT EFFECTIVE ROCK DEPTH 7 FT BULLRUN DIVERSION VALVE INSULATE LINE UNDER DRIVE WAY 205 W 15TH, AVENUE ANCH. AK. 99501 ~907~ 279-5916 / / / / / / / i i / / / R / / 50 75 100 ID5 150 / / REVISION 0C£ 29, 1999 RELOCATE P/ELL / ///// / / / / / / II£IGHTS BI( 1 PROSPECT DRIVE DARYL L. BENNETT LOT 7 SEPTIC SYSTEM DESIGN DATE: SEPT, 15, 1999 SHEET: 2/5 GRID; 2541 PERMIT tl S~/g90XXX PIP # YY BULL RUN DIVE£SION VALVE ~0 9ol SepTic tank £' I,./ide 55' L on9 10' Deep ZO' Set,er roc/< 3' Cover SCALE C[eonouts Cover 7,0 Fi: of' Smp'~ic I~oct~ Effective / /VD SCALE 1£50 9ol. septic ion/< ~nchoroge Al< 99501 H PROSPECT DRIVE I I TJATE: SEP[, 15, 1999 DA£YL L BENNETT SHI ET .~ ..T GRID ~,~4] PERMIT// SW9900XX PARCEL /D // XX PROOIO75. DW$ MunlcJpallly of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG --' PERCOLATION TEST PERFORMED FOR: 1 3 4 6 7 8 10 11 13 14 Township, Ran e, Section: 15 ~onitorino? S SITE PLAN 16 18 19 2O ~. ~;T nUN ~TW~eN ~ ~T A.D ~__ FT thom these o~_t.FO~i~__~/ur' ~ep~n Ot ~ro.~nd~aeen can not be pnedlcted PERFORMED BY: ~, ~ ' ' '~ ~ ~ ACCORDANCE WITH ALL S~A'E AND MUNiC PAL GU D~t ,NES iN EFFECT ON THiS DA1 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 GENERAL INFORMATION Complete legal description L_o ~ Location (site address or directions) Current Property owner(s) Mailing address ~ ':~:'c~ i Lending agency Expiration Date: ~ A ¢'-/'L 'L.- ~ IZ-N N ~"T-~' Day phone ~ c/© _ '7 / / ? Day phone 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: TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: 'L~ Individual On-site ,/~ [] Individual Holding Tank [] [] Community On-site [] [] Public Sewer [] The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Cedificates 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. 72 0,25 ,Rev 01 00)' 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 Approval 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 / e, i,/'~ ~ ~'~ Address _ ,~ t~5 Engineer's Printed Name Phone DHHS SIGNATURE Approved for L1L bedrooms. Disapproved. Conditional approval for __ bedrooms, with the following stipulations. Additional Comments Attachments: HAA Checklist Septic System Advisory Well Ftow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Expiration Date: Original Certificate Date: Reissue Date: umc,pal,'ty 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 '(i CEIVEL JUL 24 ~.000 (907) 343-4744 MUNICIPALITY O~ ANCHOP, AGE ~' ~ 9ONME NTAL SERVICES DIVIP? HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type If A, B, or C provide PWSID # iq/A- Date completed jo/~/J~ Sanitary seal y Total depth /~),.~, ft Cased to ~-C) ft Date of test Static water level Well production FROM WELL LOG , /~ ft Parcel I.D.:OI~-1;~3 - 12, Well Log / Wires properly protected ~/ Casing height (above ground) ,~,~/ in. AT INSPECTION WATER SAMPLE RESULTS: Coliform ~) colonies/100 mi Nitrate 0,~'~ mg/I Date of sample: ~//~ 7//7/~-2 Collected by: '~...~ SEPTIC/HOLDING TANK DATA Tank Type/Material .~ e.r~ ,L; e~ Date installed 2,/,~/~, ' / Tank size I,~D gal Cleanouts __~Foundation cleanout ~ Depression over tank Date of pumping /"//A- Pumper ft _ g.p.m ABSORPTION FIELD DATA Date installed '~//~/,¢~' Soil rating (g.p.d./ft2 or ft2/bdrm) _. Water added Other bacteria ~.ll._~ colonies/lO0 mi Numbe~:of Compartments ,~ High water alarm Fluid depth in absorption field before test __ System type Length ,~',.~ ft Width ~ ft Gravel below pipe 7 Totaldepth /C~ ft Effective absorption areaT'TL~fF Monitoring tube Date of adequacy test I"'//~,. Results (Pass/Fail) . v/ /in Elapsed Time: / min Final fluid depth Any rejuvenation treatment (past 12 mo.) (Y/N & type). . Depression over field For ~'/ bedrooms ~//gal. New depth I-// in / Absorption rate >= C//g.p.d. If yes, give date 72-026 (Rev. 01/00)* D. LIFT STATION Date installed "Pump on" level at __ Datum E. Size in gallon~ in "Pump/~¢ level at in ,~es tested SEPARATION DISTANCES Manhole/Access High water alarm level at in Meets alarm & circuit requirements F. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/l~ st~tlort on lot I/-/¢~. Absorption field on lot Public sewer main Sewer/septic service line Buildihg foundation Water main ~ Drainage [-4 On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Property line '~' Water service line Wells on adjacent lots SEPARATION DISTANCES FROM SEPTIC/H._.,_ .... ~ ,~,.~K ON LOT TO: Absorption field Surface water SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~.~ Water Service line Curtain drain Ik.l¢ COMMENTS G. ENGINEER'S CERTIFICATION Building foundation ~ ~ Water main _ Surface water ~ ol4 ¢-- Driveway, parking/vehicle storageS.: /~') Wells on adjacent lots ,~ I certify that I have determined through field inspections and review of Munici¢~l records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name I ~,,h ¢~/ ~ .r ~[~ ~ Date ~ ~ ~ ~) / HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 01100)* T-OO9 P.O2/O~ CT&E R~f.~ 1{:)03340001 Client Nam~ Tobb~u Sp~rkl~nd Proj co; Name/# N/^ Client Sample Ii} Benne~ Matrix Dth~kmg Watee Ordered By PWSID 0 Sample Remaxks: Clien~ PO~ Re-Paid Colisfiq03 Prin~ed DateYTime 07/04/2000 18:44 Collecv~d Date/Time 06/27/2000 13:00 Received Date/Time 06/27/.9000 14:00 Technical Direetor,t Stephen C. Ede Released B,~~~.~ ~ Ddnkmg Wa~eF Andy$~s Report fo~ To, al Cotifo~m READ IN~TRdCTIONS ON RE-VER~E SiDE BI,FORE COLLECTING SAMPLE F~C'~,i~CTE ENVIRONMENTAL $81~301 T-676 P.06/0B F-22B CT&E Environmental Services Inc. Laborato~ Division ~~~~~ MuST BE COMPLETED B-Y WATER SUIS~L!E~ -- -' pUBMC WATEf~ ~YSTEM PRIVATE WATER Treated Water MMO-MUG SAMP{ E TYPE: · Repea~ Sample ~ Untreated Water Oa~e T,me. ~--- Special Purpose' 1 __ Client ~afified SACTERtOLOG1CAL WATER ANAYSl8 RECORD verification; LTl3 . BOt~