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HomeMy WebLinkAboutWILLIAMSON #3 BLK 2 LT 37Wi lliam$on #3 Lot 37 Block 2 #015-074-33 "~ Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Sec~on 825 "L' Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 Page of w'ww.ci.anchomge.ak.us (907} 3434744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: ,~¥,1 '~/)?')0/') ('~,, PID Number: ff~ [,~- 0 '~-q ~ L~.~ Name:,.~(~ ~)C}~<~__j~ WastewaterSystem: ~New ~ Upgrade ~ ..... ~000 ~. ~'~ ~51(~ ABSORPTION FIELD LEGAL DESCRIPTION ~"~u"~: I"~ GPD~ To~lDep~gl~lgmde: ~ Ft. Number el/neE: ~ D~ SEPA~TION DISTANCES ~Septic D Holding D S.T.E.P. D O~en To Sep~c Abso~Eon ~ Holding PubliC,rate su..~w.~.. ~'+ JO0'~ HA HR ~ /i LIFT STATION F~n~ation roi+ 10'~ HA ~/~ 'Pump on' ,eve, at: 'Pump o. ,e~- J High mt.r alam a,: BENCH MARK ,nspectionspedormedby: ~ ~~{~S Dates: ,st ~'~'00 ~~ epn~ment of He~m nnd Humnn Sewmes n-~ ~ ~~h~ .... ~ ~ Reviewed and approved by: ~~ ~, ~~ate' ~-/0 -~~- -~. L~'~2~ AS-BUILT SYSTEM DETAILS/SITE PLAN Permit SWOOOOSE~ WILLIAHSnN S/D, ADDN fi3. 3LFICK 2, LnT 37 PI:D~:0:15-074-33 ............. ' :4: ...... ~ IELL e'~x,,lO0' WELL ,,R~DIUS , J.~;.;" . \ © ".{" v..' .-: -: , ~E, ~'=50' DE1 ^-c=~,¢~ B-C=4~,4~ B-D=46,0' ~ ~ ' A-E=~3,8' ~ · ' A-F=61,6' SEWER ROCK ~-F=7~,5' ~ ~ I ~ .................... "'"'~e" ~ ~' '' .......................... %j ~s~o.~ --.... ._..,,-, .......... .,,...,,..,,,..,,,,,..,,..,,:,,,,,,,,.-,,....,,....,,:..,,,,,,,,. i~000 GAL ? /ISEPTIC \ ~ ~  A"K~ SEWER RBCK ~ JEFF BASSETT 5000 E. 98TH AVE, ANCHORAGE, ALASKA 99516 FIELD BOOKS co~Pu~: ~D ENGINEERING BC~JNDARY: LANG ,,AH: VBG ST~KING: LANG CH[CgE~: KMD 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 ASGUlLT= LANG D^~: 7/15/00 2457 ^cA,,u~: 00013.0WG '~"°': 00015 (90?)§96-6111/FAX {907)§98-§11! Rick Mystrom Mayor Municipality of Anchorage Department of Healt,h. and Human Services 825 "L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http:/hvww.ci.anchorage.ak.us Permit Number: ~rSW 000082 t~rteof ]ss~: ~ Parcel ldeu~jfieatinn _Nllmh~r~' D~5-~74-33 Date Sm~: ~ Date Completed: ~-~0-00 Is well located at approv~ permit location? ~ Y~ ~ No ~gal D~cripfion~' W~li~n ~3 ~ 2 L~ 37 Pro~ O~er Name & Addr~s: Jeff BnssO~ 5000 E 9~t~ Ave Borehole Dalm DePth (ft). Soil Type, Thiolmess & Water Strata From · To stick-up O' 2 silt 2 4 gravelly silt 2 18 silt 18 23 silty gravel 23 35 gravelly silt 35- 125 silty wafer sand& grave/ 125 135 silt 135 151 gravelly cobbty silt 1SI 2~0 silty water sarrd'~ grave/ 210 2t9' water sand &~gravel 2~9 221 .RECEIVED AUG 08 2000 Municipality u~ ^n(;no~ age~ ~ Dept. Health & Human Servicers' Methe-.tof. Drilling[7<]ai~ota~"y [] cabletool Casing type: steel· Wall Thickness: .025 inches Diameter: 6 inches Depth: 221 feet Liner Type: __ Diameter: .__ inches Depth: __ Casing sfickup above ground: _2 feet Static water level (from ground tewet): 194.feet Pumping level: 221 feet after 2 hours pttllllJing 20gpm Recovery Rate: '20 gpm Method of Testing: :air l~ Welt Intake-Opening-Type: [] Open-End [] ©w,, Hole ' [] Screened- Start' -feet Stopped [] Perforations. Start- feet- Stopped · feet Grout Type: bentonite # 8 Volume: 1 bgs Depth: Start _0 feet Stopped -- feet Pump: Intake Depth feet Pump size __. lap. Brand Name __ Well Disinfected Upon Completion? [] Yes [~] No Method-ofDisinfectiom c/od~e toO/ets Comments: Well Driller: Alpine Drilling & Enterprises PO Box l~to4g6' Arm _horage, AK gg51.l Attention: 'The well driller 8hall provide a well log to the property owner within 30 days of completion and the property 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: May 03, 2000 Expiration Date: May 03. 2001 Permit Number: SW000082 Legal Description: WILLIAMSON #3 BLK 2 LT 37 Design Engineer: 0070 KND Engineering Owner Name: Jeff Bassett Owner Address: 5000 E. 98th Ave. Anchorage, AK 99516- Parcel ID: 015-074-33 Site Address: Lot Size: 43825 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 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 ). ( Net 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~ 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 April 24, 2000 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: New sewer & well permit - Williamson #3, Block 2, Lot 37 Gentlemen: The owner has requested we proceed forward to obtain a well and septic permit on the subject lot. On May 9, 1998 we dug two testholes for the proposed system. The results of these tests are attached. The general slope of this lot is from west to east at a grade of approximately 1 - 5%. We have designed our system utilizing the northern testhole we excavated for the 3-bedroom house, which is proposed for this lot. The lot will be served by an individual well. We propose to install a 5' wide shallow trench. Water was encountered during the excavation at a depth of 9'. Depth of water after monitoring was 1.5" at 11.88'. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, Ik~l~ Engineering attachments: On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WELL PLAk DRIVE ~. Ith AV~ ~.. Tract ~ Lot 15 Lot 18 WELL Lot 57 SEE WETLANDS BOUNDARY DETAIL VACANT S 89'55'45"W (R) 550.00' (Cl) DESIGN DETAILS 3 BDRM X 150 6PD = 450 GPD 450 6PD/i,8 6PD PER SQ, FT, (___ MIN/IN,)= 375 SQ. FT (375/5'(W)) X O,58(RF) (3,0 GRAVEL) = 43,5 PT, TRENCH USE 1 TRENCH - 43,5 (L) X 5' (V/) X 3'(D) To"cc( dep.ch o£ sys.cem is 5,0' f'pom or'lgln0, t gpo. de, To.co, t dep.ch oF 9r'o. vet betow dis.cr'ibu.cion pipe is 3,0' . NBTES~ i, USE lO00 GALLON SEPTIC TANK, INSULATE TANK IF K4' COVER, B, INSULATE TRENCHES V/ITH 8' HD DURIAL FOAM. 3, 4, CDNTRACTBR WILL ENSURE MAXIMUM 2X SLOPE INTO SEPTIC TANK. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TB ACHIEVE MIN, 3' COVER IF REQUIRED, PREPARED FOR: JEFF BASSETT 5000 E, 98TH AVE. ANCHORAGE, ALASKA 99516 FIELD BOOKS COMPUTEO: 8OUNDA~Y; LANG OR^',',~: KMD STA~IN6: LANG CHECKEO: KMD ASBU[LT: LANG DW8. RLE: ACAD FILE; 000132.dw, 4/15/00 2457 ,~o~ .o.: 000132 Seal, e: 1"= 100' PAGE 1 OF ~ ~D ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 t (907)69~-6111/F~X (907/696-8111 K WASTEWATER WlLLIAHSBN S/D, ADDN, DISPOSAL SYSTEH DETAILS BLOCK 2, LOT 37 ).0' 20.0' SE]3 PIq] MA S TH PREPARED FDR~ JEFF BASSETT 5000 E, 98TH AVE, ANCHDRAGE, ALASKA 99516 FIELD BOOKS BOU"D^R¥: LANG OR^m: KMD ST~XlN~ LANG CHECKEO; KMD ^SaU'L~: LANG FILE: ^CAD RLE: 000152.dwc. 4/15/00 2457 ~o~ ~0.: 000152 Sco,[e~ 1"= 20' PAGE 2 DF 3 ~N~) ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907t696-6111/FAX t907/696-8111 Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Streel, Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: JLa'K) ~157l/~,~. 2 10 11 13- 14 15 16- 17- 18- 19 20 § 6' 7- 8 9 COMMENTS fl,. '-' ENCOUNTERED? DEPTH?IF YES. AT WHAT O~p~ · WaI~M~r.-,~ Reading Oate Grow Net Depth to Net Time Time Water Drop I ~.14.~$ i:z~ _ 7. _ Z 1 .'-.~ff ~'~,.~ /" &" q Z:ol ~,'~ l~/~" ~ ~/~,, ~ Z:O7 5~,'~ I~/q'' 7 ~ Z:~ ~ 7 ,' ~ Z: ~ ~;~ I~/~'' ~,/~" /o Z:lq wm~'~ 1~/~'' CO D NCEWIIHALLSIATEANDMUNICIPA-JGUIDELINE$1NEFF£CTONIHISDAIE DATE 72-008 |Rev. 4/~5) Municipality ol Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" StTeeL Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST pE.FORMEDFOR: J~ ~'2~-- 3 6 7 8 9- 10- 11 12 13 14 16- 17- 18 19 2O WASGROUNDWATER ENCOUNTERED? S Reading Dete Gross Net Depth to Net Time Time Water Drop I S.16,.?~ I:~O - /o,, _ Z 1:~3 3~im 7" ~ ~ /:~q - /o,, _ ~ 1:37 ~ ~;~ 7~" Z~/~" ~ I .'6~ - /~" - ~ I:~1 ~ ~;~ 7~" ~/~" PERCOLATION RATE TEST RUN BETWEEN __ ACCO"DA ~/ · .... / · NCE WITH ALL STATE AND MUNICIP.~"CzGUIDELINES IN EFFECT ON THIS DATE DATE: ,,~/c~ /~,~ 72-008 IRev. 4/85) / I Municipality of Anchorage Department of Health and Human Services Division of Envi~'onmental Services On-Site Services Section"825 "L' Street' Room 502 ·P.O.'BoxY196650 Anchorage, AK' 99519-6650 - . . wWW.ci.anchbrage.ak.u~ " , (907) 343-4;,744 . "' '-: "CER"rlFI~TE:OF HEALTWAUTHORITY APPROVAL ..'.i 'i F:(~RA' SINGLE' E. AM. IL.yD~E~.L_I~9.:~:i.:_ _~?? ' ' Date: , · -:-.1 GE~ Mailing Address :i "unle'ss'othbrc/iSb requested,.NAA will be held,b, Jz DF/NS for pickup. NAA ~icked Up by:' '_ 3..~EOFWATERSUPPLY: - .--.. ~EOFWAST~ATERDISP~SAL:~:~:-_,. . ' Individual WaterStorage.... . ...~ ~ ~ -: ~; ~,:- :Individual Holding tank '-. ' C~m~n~Class'' ' Well U - . '~ommUni~on-s~te' '-'.,~" .:' Publi~.W~{e~ system ~ ' ~ . ,. Public Sewer' '. ~ ~: ~ ~'.~ ~.' t o~He Ith a d:Hu (DHHS) The Municipali~ of Anchorage DepaAmen a n man.Se~ices Issues Cemflcates of Health Authori~ ApCroval (H~) based, only upon the representations given in paragraph 5 by an independenl professional civil engineer registered in the State-of Alaska· Cedificates of Health Authori~ App~0val are required for the transfer-of title (except be~een spouses) on propeAies se~ed by a single family on-site wastewater disposal and/or water supply ~ystem. DHHS also issues H~s upon request to home owners. Ce~ificates of Health Authod~ Approval are valid for 90 days Eom the date of issue for prope~ies se~ed by a private or Class C well and may be reissued with new water sample results less than 3p days old. CeKificates are valid for one year for propeAies sewed 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 enginee(s work. 5. STATEMENT OF INSPECTION BY ENGINEER As'certified by my seal affixed hereto and as of the validation date shown :)elow 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, further verify that based on' the information"obtained from.the Municipality of Anchorage files and from my investigation.and inspection, the on:-site watsr supply' ~nd/or wastewater disposal system is in compliance wth a 'applicable Municipal.and State codes ordinances and reguatons'n effect at the tree of n~tallaton. - , · ' ' ' ' '~' ", ' % ' Name of Firm KND:Enoineerino ' ' Address-204410Ptarm~oan-Eaole R~ver. AK §9677 Engineer'sPrinted Name' :K~hhei~' DUffad :'~ Phone 696-6111 , 6.,: DHHS'SIG~TORE''=;= ~.' ',. bedrooms; .,., .. Disapproved; Conditional approval for · ' ' r be'drooms,'with the following stip~l~i~h~: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Expiration Date: Main!enance Agreements Supplemental Engineer's Report Other Original Certificate Date: Reissue 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 ~4UNiCIPALffY OF ANCHORAGE HEALTH AUTHORITY APPROVAL CHECKL i °N E ^ sE wc s Legal Description: Williamson #3 B2 L37 A. WELL DATA Well type Private If A, B, or C provide PWSID # __ ,! Date completed -~'j~/~)D Sanitary seal _Y Total depth ,~/ ft Cased to ,~-/~ FROM WELL LOG Date of test -- i ~ ft Static water level Well production '~,~ g.p.m WATER SAMPLE RESULTS: Well Log ,,~' Wires properly protected _Y ft Casing height (above ground) AT INSPECTION g.p.m in. Coliform 0 colonies/100 mi Nitrate . 2.06 .mg/I Other bacteria 0 colonies/100 mi Date of sample: 7/26/2000 Collected by: KND Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Date installed 5/19/2000 Tank size 1,000 gal Number of Compartments2 Cleanouts Y Foundation deanout Y__ Depression over tank N High water alarm NA Date of pumping. Pumper C. ABSORPTION FIELD DATA Date installed 0 Soil rating (g.p.d./~orft~/bdrm);8~'/,,~ Systemtype Shallow Trench. Length 49,2 ft Width 5 ff Gravel below pipe 3.09 ft Total depth_4 ff Effective absorption area 375 ft2 Monitoring tube T Depression over field N Date of adequacy test Results (Pass/Fail) P Fluid depth in absorption field before test in Water added Elapsed Time: __ min Final fluid depth __ in Any rejuvenation treatment (past 12 mo.) (YIN & type) For 3 bed rooms __. gal. New depth.__ Absorption rate >= __ If yes, give date in. g.p.d. (Rev. 11/99) D. LIFT STATION .Date ~installed /// ~ize in ga Ions // "Pump on" level at--in 'Pump off' level at / in E, SEPARATION DISTANOES Manhole/Access ~ High water alarm ~¢~t __ in Meets alarm &/~bit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots I 0 O' + Absorption field on lot 100'+ On adjacent lots I 0 0 ' + Public sewer main 100'+ Public sewer manhole/cleanout I 0 0 ' + Sewer/septic service line 100'+ Holding tank NA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10'+ Property line I 0 ' .~ Absorption field 1 0 ' + Water main 25'+ Water service line 2 5 ' + Surface water I 0 0 ' + Drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation I 0'+ Watermain I 0'+ Water Service line 10'+ Surface water I 00'+ Driveway, parking/vehicle storage I 0 ' + Curtain drain None known Wells on adjacent lots I 0 0' + F, COMMENTS 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 Printe N me Kenneth M, Duffus / / HAAFee $ ,'~ Date of Payment Receipt Number (Rev. 11/99) Waiver Fee $ Date of Payment Receipt Number