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HomeMy WebLinkAboutPTARMIGAN LT 5R�M .� © � \ « e a z a > y ± ± a 4 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. 13ox 196650 · Anchorage, Alaska 99519~6650 · Telephone: 343~4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~/~/ ~O:~Z3~ PID Number: ~ ~[~ ~ ~ _ U=m.:~ ~f/L ~/~/~ FD~_ Wastewater System: ~Now D Upgrade Address: (2) ABSORPTION F=IEL. D~ .~o~.:(rg~. ~9~ ~Sm I"°'dB~°°~': ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other Total Depth from original grade: Subdlv~ion: 3ep[h to pipe bottom from original grade: G ravel depth beneath pipe . Number of lines: ~Distance ~lw~nlines: WELL: i~°~,,~=~New ~ Upgrade erave~w~dth: ~ Et, ~~ /7 ~t~ Pi e material: Clarification (Private, A,B,C): Total Depth: Cssed To: Total absorption area: .alger: O~,e .ril,ed: Static Water Level: Installer: SEPARATION DISTANCES ~Soptic ~ Holding D S.T.E.P. To ~ptlc Abso~tlon Lift Holding ~Privsle Manufacturec Capacity in gallons: Material; Number of Compa~ments: Surface Water ~/~0 / > NM LIFT STATION Lot Line ~5 /~/ /~ I Size in gallons: Manufacturer: Foundation ~ ~ ~j~ "Pump on" ,~ve, at: ~~[ at: I High water a,arm at: Cu~ain Drain ~]~ > p~ ] ~ctr~d m~,~ti~s pe~ormed by: A~umad Elevation: Inspections pedormed by: ~ ~ ~ Dates: 1st 2nd Depadment of Health. a~um ices approval Reviewed and approved by: Date:/ 72~)13 (Rev. 9/91) MOA 25 Permit No. SW 960309 P/age 1 of Municipality of Anchorage DEPARTMFNT OF HEALTH AND HUMAN SERVICES ENVlRONMEN'FAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 545 4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Descrip[ion: LOT PTARMIGAN SUB, 42 PROP HSE ~ PID No.: 050 362 38 LOT 5 PROP WELL SITE ~ END OF PROFILE LINE o DIVERSION VALVE ~ TEST HOLE · MONITOR TUBE o SEWER CLEANOUT + WELL .... EASEMENT ~ NEW LEACHFIELD ~- EXISTING LEACHFIELD SWING TIES (NI~T TB SCALE) ~ ^SSUHED ELEV = lO0,O0 -~ SCM~ 1" =60' 10/18/96 ENGINEER'S SEAL 07-14-2000 04:24AM FROM E.R. Engineerin~ Sucs. TO ON 5I rE P.O1 SULLIVAN WATER WELLS ~L TT~ Fr~m____Ft. zo F~om . Ft, to__~ Ft. From Ft. (o__ Ft, [roam . Ft. to Ft. Ftorn Fl. to. Ft. From Fr, to ..... Ft._ From, ,FL ~_ Ft. MISCL, I~FORMA, I~ION': Post-it' Ca× Note 7871 Da~o~/jt./J~t~l~aS;s~ 1' FI, Ft. Fl. , . TOTAL P.01 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960309 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:KIEHL CYRIL & LOIS OWNER ADDRESS:9901 AMTISKA EAGLE RIVER, AK 99577 PARCEL ID:05036238 DATE ISSUED: 9/24/96 EXPIRATION DATE: 9/24/97 LEGAL DESCRIPTION: PTARMIGAN LT 5 LOT SIZE: 143312 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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 O~LY 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 SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING~ SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY :_Z/~ Eagle I iver t ,n ,ineerin Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel E,~le PJ,,0r, AK 99577-329,~ (907) 694-3297 September 7, 1996 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Ptarmigan Lot 5 Narrative & Permit Application Dear Mr. Cross: The proposed well and septic system will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance. 3. Reserve space is adequate, due to absorption capacity and lot size. 4. Drainage will not be affected and is not a major consideration in our design. Both the primary and reserve trenches shall be constt"dcted at this time. They shall be connected with a Bull Run type diversion valve with the intent to switch the field of use biannually. Sincerely, Louis Butera, P.E. \I996\96-071^-N^R.DOC If you have any questions please call our office at 694-5195. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED DATE PERFORMED: 0 /0~ 5/~ LEGAL DESCRIPTION: 1 2 3 4 5 6 7~ 8 9 10 11 12 13 14 15 16 17, 18- 19- 20- H~bN e~N~ C. oN~--~'T Township, Range, Section: SLOPE _WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT OEPTH? .-- pO E Moniloring? ~ Y Oat~ ~"/~-~ SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ---~ ~ (m,nu[es/,nch) PERC HOLE DIAMETER COMMENTS PERFORMED BY: ~.,;~, ~,~e~, ~,,/£.,-,..-'c~ r.~.,.x~¢ I _ ~-~- CERTIFY THAT THIS TEST WAS PERFORMEO IN ACCOROANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON THiS DATE. DA'rE; ,~"~ Eagle River Engineering Louis Butera, P.E. P.O. Box 773294 Eagle River, AK 99577-3294 (907) 694-5195 t~l (907) 694-3297 fax Ptarmigan Lot 5 09/07/96 Single Family, Four Bedroom Dwelling Calculation 4BR x 150gpd = 600gpd Soil rate = 4.6 minutes/inch = 0.8 gpd/SF trench application rate Absorption area requirement = 600 / 0.8 = 750 SF Gravel depth = 7' Drainfield length = 750 SF 14' = 54' LF Recommended Trench Dimensions: Total depth Gravel width = Gravel thickness below pipe = Gravel length = 10' 3' 7' 54' \1996\96-071A-CAL.DOC ) SEPTIC LOT I i LOT 2 WELL +100' 4 5473.48 5298.29 ~ - TEST HOLE I - MONITOR TUBE EFFLUENT LINE SHALL BE INSU~TEO WITH 2" 35PSI BURIAL o - SEWER CL~NOUT FOAM UNDER & WITHIN 10' OF THE DRIVEWAY + - WELL NO SURFACE WATER ~SEMENT ----~ PROPOSED L~CHFIELD NO KNOWN CURTAIN DRAINS II- EXISTING L~CHFIELD JOB~ 96-071AmDATE: 09/11/961 SCALE 1" = 60' A EAGLE RIVER ENGINEERING SERVICES ~¢ '.LOUISA. BUn~RA.' EAGLE RIVER, AK. 99577 (907) 694-5195 FAX; (907) 694-3297 . SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAl.: Ptarmigan Lot 5 09/07/96 GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. 9. Any remaining open test hole excavations shall be filled. SEPTIC TANK 1. Septic tank shall be 1,250 gallon, minimum, MOA approved. TRENCHES 1. Both the primary and reserve sites are to be developed, They shall be tied together utilizing a Bull-Rm~ type diversion valve to allow biannual switching. 2. The trenches are to follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The bottom of the trenches shall be level, plus or minus 1.5". 3. The total depth of the trench excavations are not to exceed 10' at any point. 4. The effluent line within the trenches shall be laid level within 0.03'. 5. The trench gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. The area over the trench is to be finish graded to prevent ponding of surface water runoff. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH = 10' GRAVEL DEPTH = 7' under pipe, 2" over pipe TRENCH LENGTH = 54' each TRENCH WIDTH = 3' SOIL RATING = 0.8 GPD/ft2 BEDROOM CAPACITY = 4 SEPTIC TANK = 1,250 gallons, minimum Twenty-fonr (24) hours notice reqnired for all inspections. \ 1996\96-071 a-spc.doc 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. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ..//..~-~ L~t-~, 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Lending agency Mailing address Agent Address Day phone Day phone Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well J¢ Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 {Rev 1/91) Front MOA ¢21 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 re(~ulations in effect on the date of this inspection. · ' · Name of Firm p ~ ~.. ~oa.i ~ ,] ~, ~r~ ...... Phone Address Engineer's signature Date DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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 purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. · rr " - CEIVED Municipality of Anchorage JUL 1 ;5 ; 000 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division MUNIC~¢AUTY '~Ip~NMENTAL SERVICES DIVI~ 82,5 L Street, Room 502 · Anohorage, Alaska 99501 · (907) 343-4744 Legal Description: A, WELL DATA Well type pj-;v'¢~'~ Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Stafi~ Water level ',~ ~ ~ Well production WATER SAMPLE REsuLTS: Coliform ~ Date of sample: 2~5- -~ B. SEPTIC/HOLDING TANK DATA Health Authority Approval Checklist Parcel I.D.: If A, B, or C, attach ADEC letter. ADEC water system number Date completed 5'/? 7 Cased to o~! / Casing height (above ground) FROM WELL LOG ? Wires properly protected (Y/N) ~,~ AT INSPECTION Nitrate /~', ,~ q ,~'%~/~- Other bacteria Collected by: ,~'.~'~-,--.e' e ~' Date installed I 0 - ~" ~ ~ Tank size I~ ~' 0 Foundation cleanout (Y/N) ,,vg ~ Depression (Y/N) Date of Pumping ,NJ, d ~- I,,~e~' Pumper C. ABSORPTION FIELD DATA Date installed ~ 0 - 7 - '~ ~ Soil rating (g.p.d./ff~ or ff~/bdrm) Length ~,'~ ' Width ~ / Effective absorption area Ii 5'1 ). Date of adequacy test ~/g /'~"~ ~^ '''~ Results (Pass/Fail) ---'--~ Fluid depth in absorption field before test (in,); / Fluid depth -~- (ins) Minutes later: "-----' Peroxide treatment (past 12 months) (Y/N) g.p.m. Number of Compartments ..~ Cleanouts (Y/N) ~/d.5 High water alarm (Y/N) ////~ Gravel thickness below pipe Monitoring Tube present (Y/N) ¥e5 System type /)ee? 7ye '7 / Total depth J~. I Y- __ Depression over field (Y/N) For ~ bedrooms Immediately after-----" gal. water added (in.): ~ Absorption rate = ~ g.p.d. 'If yes. give date ~ 72-026 (Rev. 3/96)* Manhole/Access~__ High wat,~arm leve' at* Cy~s tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum "Pump off" level at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot I ;~ 5" Absorption field on lot Public sewer main + I 0 0 Sewer/septic service line .{- I o 0 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation '~ ? Water main/service line SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Su rf~.tce water Curtain drain ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and revie~ in conformance with MOA HAA guidelines in effect on this date, Signature Engineer's Name Date 7" I ~-' 0 0 On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station +lO0 Absorption field I ~ / Wells on adjacent lots Water main/service line Driveway, parking/vehicle storage area I (~ Wells on adjacent lots I $ £ / HAA Fee $ ,~' ~ Date of Payment Receipt Number 72-026 (Rev, 3/96)* Waiver Fee $. Date of Payment Receipt Number