HomeMy WebLinkAboutT15N R2W SEC 25 LT 52T15N, R2W,
Section 25
Lot 52
#051-281-43
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 "L" Street Room 502
RD. 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.J'~/-
1. GENERAL INFORMATION
Complete legal description -~ ,/'~,
Expiration Date:
Location (site address or directions)
Current Property owner(s~ercit~n ~
Mailing address
Lending agency
Mailing address
Day phone
Day phone
Real Estate Agent
Mailing Address
Day phone
Unless otherwise requested, HAA will be held by DHFIS 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:
[%t, 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 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
Address
?gle River Engineering Services
t .O. Box 773294, Eagle River, AK 99577-329'k
Phone
Engineer's Printed Name
DHHS SIGNATURE
Approved for L./Z bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations.
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Expiration Date: /,¢ - /-'- ,/D o
Original Certificate Date:
Reissue Date:
ECEI
VE
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES ~JUN ;~0 ~.000~...__~
Environmental Services Division
825 L Street, Room 502. Anchorage Alaska 99501.
Legal Description: T ] -~ ~",~
A. WELL DATA
Well type
Log present (Y/N)
Total depth .2 ~' 0 ~'~-
Sanitary seal (Y/N) Ye
Health Authority Approval Checklist
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to
FROM WELL LOG
Date of test ~ ~ 1~-~/~"
Static water level
Well production 5 g.p.m.
WATER SAMPLE: RESULTS:
Coliform
Date of sample:
B, SEPTIC/HOLDING TANK DATA
Nitrate
Casing height (above ground) + I,~ ~n
Wires properly protected (Y/N) ,v'e ~-
AT INSPECTION
~, 7 g.p.m.
0.~ mill Otherbacteria I colonies/~oom]
Collected by: £t,~ineer
Date installed ~-2~-'fg 'Tanksize 1~5'0
Foundation cleanout (Y/N) /v' Depression (Y/N)
Date of pumping Z ~. )/¢4t'$ o/~/ Pumper /V,/,~
C. ABSORPTION FIELD DATA
Date installed ~-,,?/, - ~ ¢ Soil rating (g.p.d./ft2 or fF/bdrm) 0. 7
Number of Compartments .2- Cleanouts (Y/N) ~/
/V' High water alarm (Y/N) lY//)
Length 5 7 / Width
Effective absorption area ~'¢'7
Date of adequacy test ~ 2 ye
Gravel thickness below pipe
Monitoring Tube present (Y/N)
Results (Pass/Fail) ,Ocr 55
Fluid depth in absorption field before test (in.); /i/,//~
Fluid depth j[/'/,z/ (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N) fi/
72-026 (Rev. 3/96)*
System type 8¢~
O, ,,q Total depth ._,C /
. Depression over field (Y/N) jl/'
For ¢ bedrooms
Immediately after/Y/fl gal. water added (in.): ////~
Absorption rate = ~0~ g.p.d.
If yes, give date
D. LIFT STATIO~//
Date installed
Manh/ccess (Y/N)
Hi,~ater alarm level at*
/O~cles 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 0 0
Absorption field on lot + I00 /
Public sewer main
Sewer/septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation I S / Property ne [ I 0 / Absorption field I.~
Water main/service line ~¢ 10O / Surface water/drainage 4- I 0O ~'¢Wells on adjacent lots
-{- I00
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 7 .3 / Building foundation 1 9 / Water main/service line
Surface water '~ l0 0 / Driveway, parking/vehicle storage area +
'/Io/
Curtain drain /V/,~ Wells on adjacent lots 4- 100
R ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections
in conformance with MOA HAA guidelines in effect on this date.
Engineer's Name LoU~5
Date ~'- ~ ~
HAA Fee $ '~,
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
Municipality of AnchoragePage / 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: .¢'/4/¢~,~/~'~ PID Number: ~"-/'~-'~"/
Name: ~,¢,¢~,/~, ~/~ Wastewater System: ~New O Upgrade
~,~,,: ABSORPTION FIELD
Pnone~?_ 7 ~ ¢-- ~Z-~ ~ Deep Trench ~ Shallow Trench ~Bed O Mound a Other
Total Depth from original grade:
LEGAL DESCRIPTION s~,,~.,,.~:¢, ~ GPDISq. Ft ~9~-~ /~1
To..~,p: Rang 2~ ~cc ~ ~ F~ J~ z F~.
~1'--~ ~' wid'~ / Number OI lines: J 0,si,ncc baween I,ges:
WELL: ~New g Upgrade Ft 3 /~ ~¢~ ¢-[ Ft.
v,.,u: .~.~ ~.~ JP.m.S~,~,: J Casing He,grit Above Ground: TANK
SEPARATION DISTANCES ~epJic C Holding e S.T.E,P.
su,~o~ ,/~, LIFT STATION
LOt / S~ze m gallons: J Manufamurer:
Line ]/¢ ~ / 7~/
Curtain ~
Drain ~ /~
Remarks: ~/ ~'/¢~ ~/ ~y-~ /¢/~ BENCH MARK
Location and Oesceiption: ~ ,~'/~
/ ~,~
ENGINEER'S SEAL
Inspections performed by: ~E¢ Dates: 1st ~-z~*¢~~, ~.~¢~..~
Department of HeaVy,man Services approval ',~,.
Reviewed and approved by' [ ' Date: [- 7-~
72-013 [Rev 9~911 MOA 25
Permit No,
8W980174
Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchoro§e, Alosko 99519-6650 Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description:
LOT 1
ROSANNA
LOT 2
ROBANNA
Lot 82 T15N R2W SEC 28
PID No.: 05128143
SEPTIC BED I WELLS
N 89'58'00' ~
A
HOUSE
SWING TIES
A-D = 55'
B-O = 76'
A-C = 54'
B-C = 48'
8-E = 21'
A-E = 76'
SEPTIC
+zO'
I---
Ld
L,d
F--
T
Z
ELEVATIDNS
(NDT TO SCALE)
SCALE
0
+
89'57'55' E
1 "=60'
TEST HOLE
MONITOR TUBE
SEWER CLEANOUT
WELL
EASEMENT
298,02
PIONEER ]]RIVE
3/17/99
EN~NEE~e SEAL
05/18/1999 16:16 907?4530?2 AROHIBALD DRILLING PAGE 01
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 198650 Anchorage, Areska 995tg-$650
Permit Number~Date Of Issue -__ __ Tax Identification Number.9.?.__.01.61-~
Date Stlrte~l ~_fl_5__~jR Date Completed .6__'l.~_9.JL_ Is well Io~ated et approved permit location? []: Yes O No
Legal Oa~rt~iien, Bleak Lot Pmpe~y Owner Name & A~drm~a:
T15 NR 2W SEC.25 52 Gordon Lumpkln
Lot 52 5~1 Serrano Dr.
Pioneer Dr. Chugla. k, AK Waeilla, AE 996~4
~mhol~ Oa~: Oe~h "' ' ~thod ~O~lllng: ~ air ~ta~ O ~bie~l
~il T~e & Thiekne~ & Water Strata F~ To
Liner ~:~Diammer~hes, ~h 1 8~
_~a & ~rav~] ~ 20 ~atng~l~up~oveGmund: ~ .... feet
S~d 20 40 ~mplng Level: f~ alter h~, pumping~pm
R~RMe~ ~ ~m
Well intake O~lng ~:
~d e$one 60 80 ~ Soreen~: ~a~ .feet S~_ fee
~ Pe~o~ns ~ f~ S~pp~ fern
S~datoae ,80 100
~o:t ~Aa[e 100 240 D~h;
P~
Pu~Size _bp Brand Name
Post-it~ Fax Note 7671
,,,Mumc?~lmty ol Anonor~ C~ ~ ,~ A~ ZIp gq~5
Post-it~ Fax Note 7671 Oate..~ ./~;. ~r~lk /
To _"~"~.]y,~ ~,~.~ Fmm~/~
Attention: The well driller shall provide a Well log to the property owner within 30 days of completion,.
~g3NICIPALITY OF ANCHORAGE
DEP~,RT~ENT OF HEALTH ~ HU~ 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 PER/4IT
PERMIT NUMBER:SW980174
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAI~E:LRMPKIN GORDON O & NANCY C
OWNER ADDRESS:531 SERRANO DRIVE
WASILLA, ALASRA 99564
DATE ISSUED: 6/15/98
EXPIRATION DATE: 6/15/99
PARCEL ID:05128143
LEG/%L DESCRIPTION:
T15N R2W SEC 25 LT 52
LOT SIZE: 108900 (SQ. FT.)
NL~4BER 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:
THE ATTACHED APPROVED DESIGN.
ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AIqD THE STATE OF /YLASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
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 ONLY PERMIT)
FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED /LND CLOSED ON THE SAME DAY
B. COVERED, SEALED ~ HEATED TO PREVENT FREEZING
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN C0/LqSE
SAND WITH 4% OR LESS PASSING A ~100 SIEVE AND 2% OR LESS
PASSING A ~200 SIEVE. SAND USED MUST BE FROM AN APPROVED
SOURCE OR A SIEVE ANALYSIS PROVIDED.
Rick Mystrom,
Mayor
Mnnic pal ty of Anchorage
Department of Health and Human Services
625 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
August 27, 1997
Gordon 0 & Nancy C LumpkiD
531Serrano Drive
Wasilla, Alaska 99645 7755
Subject: T15N R2W Section 25 Lot 62
Permit #SW960266, PID #051-281-43
The subject permit, issued August 26, i996 by this office for a
single family well and/or on-site wastewater system, has
expired as of August 26, I997.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
krhen applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
j~C,erely' ~
O a/~l,, e s ross, P.E.
P~gram Manager
On-site Services
enc: Copy of Permit
cc: Eagle River Engineering Services
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW960266
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:LUMPKIN GORDON 0 & NANCY C
OWNER ADDRESS:531 SERRAND DR.
WASILLA, AK. 99654
DATE ISSUED: 8/26/96
EXPIRATION DATE:
PARCEL ID:05128143
LEGAL DESCRIPTION:
T15N R2W SEC 25 LT 52
LOT SIZE: 108900 (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 (iSAACS0) .
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 ONLY 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.
1 OF
8/26/97
SPECIAL PROVISIONS:
THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN
COARSE SAND WITH 4% OR LESS PASSING A #100 SIEVE
AND 2% OR LESS PASSING A #200 SIEVE. A SIEVE ANALYSIS
MUST BE PROVIDED ON THE SAND USED.
RECEIVED BY:
ISSUED BY:
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
August 7, 1996
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Lot 52, T15N R2W Section 25
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.
4. Drainage will not be affected and is not a major consideration in our design.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\ 1996\96-072A-N^R.DOC
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL:
Lot 52, T15N R2W Section 25
08/26/96
GENERAL.
1. The well & septic plan is 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. The septic tank shall be an MOA approved 1,250 gallon septic tank
BED
1.
4.
5~
6.
The bed is to follow the natural land contour to maintain uniform total depth of the bed
bottom.
The bottom of the bed shall be level, plus or minus 1.5".
A 2' filter sand layer shall be required at a total depth of 7'. Material shall be an
MOA approved filter sand.
The total depth of the gravel layer is not to exceed 5' at any point.
The effluent line shall be laid level within 0.03'.
The bed gravel is to be covered with typar fabric material.
Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent
is to be placed over the bed. Mounded side slopes not to exceed 3:1.
The area over the bed is to be finish graded to prevent ponding of surface water runoff.
The septic tank and Ieachfield 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:
BOTTOM OF 2' FILTER SAND LAYER = 7' below grade
BOTTOM OF GRAVEL LAYER = 5' b~,l,.o,3~v~jgrade t,,/'
SAND FILTER THICKNESS = 2' of'~-BtEC'approved material
GRAVEL THICKNESS = 6" under pipe, 2" over pipe
BED LENGTH = 57' BED WIDTH = 15'
SOIL RATING = 0.7 GPD/ft2 BEDROOM CAPACITY = 4
SEPTIC TANK = 1,250 gallons minimum
Twenty-four (24) hours notice required for all inspections.
\1996\96-072a-spc.doc
~ SEPTIC BED I WELLS
+100'
~97,94
N 89°58'00, W
LOT 1
ROi]ANNA I
BED DETAIL
NOTE'. PRESSURE TANK TO BE ~ - TEST HOLE
PLACED IN SHOP, WATER LINE · - MONITOR TUBE
~o 2's' ./~ FROM SHOP TO PROVIDE o - SEWER CL~NOUT
5'~/ HOUSE WITH WATER, ~ - WELL
~SEMENT
jo 5, NOTE: POSSIBLE 20' UTILITY OR
L~CHFIELD
~ 2.5, / SECTION EASEMENT ON SOUTH BOUNDARY. ~- - EXISTING L~CHFIELD
IT IS THE RESPONSIBILITY OF THE
OWNER TO VERIFY LACK OF EASEMENT NO SURFACE WATER
PRIOR TO WELL CONSTRUCTION, NO KNOWN CURTAIN DRAINS
WELL/SEPTiC SITE PLAN
LEGAL: LOT 52~ T15N R2W SEC.25
OWNER: LUMPKIN
......
77 s4
EAGLE RJVER, A~. ~577 ~l?Or~ss~o~~
LOT 2
ROBANNA
N£1~"O~ ALTE""*' S ~x~57'55' E
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No,: 96-072
Calculated By: LB
Date: 8/12/96
Legal: LOT 52 T15N R2W SEC 25
Single Family 4 Bedroom Dwelling
TEST HOLE
Bed Subsu~ace Wastewater Disposal Field
Water use at 150 gallons per bedroom = 600 gallons
Percolation rate = 0.3 minutes perinch
Wastewater application rate = 0.7 gallons per day per square foot
Required absorption area = 857 square feet
Bed width(W)= 15 feet
Gravel depth (D) = 1 feet
Required length = Required absorption area / Bed width
Required length = 857 / 15
Required length = 57 f, ,
Total Excavation Depth = 7.0 f~ , Z
2' Sand Layer of ADE~ O~
filter sand required r~l
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
10-
11
13-
14-
15
16
17
18
19
20
~_.LA'7' >,.//7'H
COMMENTS
DATE PER ORMED:
Township, Range, Section:
SITE PLAN
SLOPE
WAS GROUND WATER
ENCOUNTERED? , ~{~
S
IF YES, AT WHAT ~ ~
DEPTH? p
E
Oepth to Water Alter ~ ~/.~. ~
Monilorino? ~r~ Da~e:
Reading Date Gross Net Depth to Net
Time Time Water Drop
/ ,.-
7. ,- Z/~5 ~.' ~2.', ~,~,
(~ . ~ ;/~ ~, ~o,, ~,,
PERCOLATION RATE ~' / (mlnules/inch) PERC HOLE DIAMETER ~'~ II
TEST RUN aETWEEN '~ FTANO 5 FT
PERFORMED SY: /'"/,TN , z~Pg$ ~ERTIFY THAT THIS TEST WAS PERFORMEO IN
ACCORDANCE WITH ALL STATE ANO MUNICIPAL GUiDELiNES iN EFFECT ON THIS DATE, OATE:
72-00S (Rev. 4~85~
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
DATE PERFORMED:
Township, Range, Section: "r')5~J ,,P~2
3
4-
5
6
7
8
9
10
11
12
13
14-
15-
16-
17-
18
19
20
COMMENTS
SANoY G,eAv~/
SLOPE SITE P [.~N
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, ATWHAT
..--.--. O
DEPTH? p
E
(]eplh lo Water Aller
M~nitoring? ~J"'-'~ Dale:
Reading Date Gross Net Depth to Net
'r~me Time Water Drop
~~ 2:~ ~/ ~ ?0~ ~"
PERCOLATION RATE ~' /
TEST RUN BETWEEN ..~
. (m~nules~lnch) PERC HOLE DIAMETER . _
FT ANO ~ FT
I" Municipality of Anchorage Page
' 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: ..4'/.~'¢~:'~'/~ '-{ PID Number: O~--/'~--~"/~
Name: ~ ~ Wastewater System: ~New D Upgrade
Address:
~/ ~,,~Z ~., ~7/~ ~k ~? ABSORPTION FIELD
Phone: ~ NO o~edrooms:
~-7~'~ ~ Deep Trench Q Shallow Trench ~Bed QMound QO~her
Total Depth from original grade:
LEGAL DESCRIPTION so,~,n~:~. ~ ~,s~.~ ~%-~ /~'
Township: Rang 2~ ~C~ ~ ~ J~ ~ / FL
WELL: ~New Q Upgrade ~lwidt~ / F[ ~ /~ ~, ¢-~ Ft.
~.,~: ~,~ ~ ..~s~,~: I TANK
~ GPM ~ ~/r~( Ft
I
SEPARATION DISTANCES ~,c ~ ,o~n~ ~
m From Ta.X Field Slat,o~ Tank Sewer Lmnes ~. ~ . /C f ~
Surface ~ /
w~ ,/.~. ~/~. */~' LIFT STATION
Lot ' Size 'n gamm°ns: I Manu'acmrer: ~
Line //¢ ~ /
Remarks: ~/ ~'/~r ~,~/ ~r~ J~ BENCH MARK
;ocation and Description:
I Assumed Elevation:
ENGINEER'S SEAL
Inspections performed by: $~ Dates: 1st ~-z~-¢~. ~.,~~~ ~ ff~?~m] ~
2nd~-~d-~ ~,,.~,.~
Department of¢~ ~e ~',
Heal~n~ ~man Services approval[_ 7-7~ ~*'~"~;'~o..~,~%~CE4m
Reviewed and approved by: ~~ /~' Date:
72-OI3 (Rev 9~91 ) MOA 25
Permit No. SW980174
Page_ 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 Telephone: 345-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: Lot 52 T15N R2W SEC 25
PID No.: 05128143
LOT 1
ROSAflNA
LOT 2
EOSANNA
SEPTIC 8ED I WELLS
297.94
N 89°58'00' ~/
A
HOUSE
SWING TIES
A-D = 35'
B-O = 76'
A-C = 54-'
B-C = 48'
8-E = 21'
A-E = 76'
SEPTIC
+30'
L~
Ld
F--
-n
ELEVATIONS
(NOT TO SCALE)
SCALE 1"=60'
~'57'55' E
298.02
PIONEER DRIVE
TEST HOLE
MONITOR TUBE
SEWER CLEANOUT
WELL
EASEMENT
./I I%..o% U
X 90.7
3/17/99
~8 SEAL
~.?...." ...~'...~ %
05/18/1999 1G:lG 90?74530?2 ... ARCHIBALD DRILLING PAGE
Rick Mystrom,
Meyer
Municipality of Anchorage
Department of Health and Human Services
826 "L" Street
P.O. Box 196650 Anchorage, Araska 995t9-6650
Permit Number.~w~q_~ol ?,[ Date Of Issue -... Tax Identification Number~2 ~0_.t:~.- 5'~2
Date ~terted .~_'i 5 ~8 D~te Completed F; 'L~_9.~_ ls well to~ated at approved permi~ Io~etion? ~ Yes O No
Legal De,l~rtptlon Block Lot Property Owner Hame & AC~dm~a: .
T15 RR 2W S~C.25 52 Gordon Lum~kin
Lot 52 521 Serraao Dr.
Pioneer Dr. Chugiak, AK Waellla, AK 996~4
~mhele Oa~: OeWh ~thad ~ Odlllng: ~ air ~taw ~ ~ble ~1
~il T~e a Thickne~ a Water Strata F~
Liner T~:~Diam~er~es, ~h
~ ~ ~raval . S 20 ~atng ~l~up ~ove ~mund: ~ ,fe~
~ Weir bvol (~m ground I~el): BO fe~
S~d 20 40 ~mplng Level: f~ after hm. pumping gpm
C~ar~ I~d ~ Gr~ve1 4~ 60 ~h~TlMIng:
Well Intake O~lag ~: ~ Open End D O~en Ho~
Sand e.~one .. 60 80 O Screen~; ~a~ feet 9~ fe~
D Pedo~ne ~ , , f~ S~pp~ fe~
~d at one ~0 1 00
Soft ~hale 100 240 D~h; ffo~ : O ~,to 6~
Pu~ Size _bp Brand Name
...... Well D~f.f~ U~ C~tJon? ~ '~
, Mun~c~pahty ol Anc~or~qe C~ ~=~ ~. ~ ~ ~ Zip
Attention: The well driller shall provide a Well log to the property owner within 30 days of complelion,.
MUNICIPALITY OF ANCHORAGE
DEP~RTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ~J~AS KA 99519-6650
PAGE 1 OF 1
ON-SITE WELL AND WASTENATER DISPOSAL SYSTEM PERMIT
PERMIT ~ER:SW980174
DESIGN ENGINEER:EAGLE RI~-ER ENGINEERING SERVICES
OWNER NAME:LUMPKIN GORDON 0 & NANCY C
OWNER ADDRESS:531 SERRANO DRIVE
WASILLA, ALASKA 99564
DATE ISSUED: 6/15/98
EXPIRATION DATE: 6/15/99
P~RCEL ID:05128143
LEGAL DESCRIPTION:
T15N R2W SEC 25 LT 52
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT:
THIS PER-MIT 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 ~NCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ~J~ASKA WASTEWATER DISPOSAL
REGULATIONS (18~21C72) 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 ONLY 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 SD/gE DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN COARSE
SD~N-D WITH 4% OR LESS PASSING A $100 SIEVE AND 2% OR LESS
PASSING A $200 SIEVE. SAND USED MUST BE FROM AN APPROVED
SOURCE OR A SIEVE ANALYSIS PROVIDED.
Rick Mystrom,
Mayor
Mun cipal ty of Anchorage
Department of Health and Human Services
825 %" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
August 27, 1997
Gordon 0 & Nancy C Lumpki~
531 Serrano Drive
Wasilla, Alaska 99645 7755
Subject: T15N R2W Section 25 Lot ~3
Permit #SW960266, PID #051-281-43
The subject permit, issued August 26, 1996 by this office for a
~single family well and/or on-site wastewater system, has
expired as of August 26, 1997.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. Ail inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
j~e~erely' ~
oa~,.es ross, P.E.
P¢ogram Manager
On-site Services
enc: Copy of Permit
cc: Eagle River Engineering Services
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AMD HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW960266
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:LUMPKIN GORDON O & NANCY C
OWNER ADDRESS:531 SERRAND DR.
WASILLA, AK. 99654
DATE ISSUED: 8/26/96
EXPIRATION DATE:
PARCEL ID:05128143
LEGAL DESCRIPTION:
T15N R2W SEC 25 LT 52
LOT SIZE: 108900 (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 (iSAACS0) .
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 ONLY 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.
1 OF
8/26/97
SPECIAL PROVISIONS:
THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN
COARSE SAND WITH 4% OR LESS PASSING A #100 SIEVE
AND 2% OR LESS PASSING A #200 SIEVE. A SIEVE ANALYSIS
MUST BE PROVIDED ON THE SAND USED.
ISSUED BY:
': Ea le River En ineerin Service
Loui~ Bu~era, P.E.
.P.O. Box 773294 (907) 694-5195 tel
Eagle Pdver, AK 99577-3294 (907) 694-3297 fax
August 7, 1996
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Lot 52, T15N R2W Section 25
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.
4. Drainage will not be affected and is not a major consideration in our design.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\ 1996~96-072A-NAR.DOC
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL:
Lot 52, T15N R2W Section 25
08/26/96
GENERAL
1. The well & septic plan is 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 b.e 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. The septic tank shall be an MOA approved 1,250 gallon septic tank
BED
1.
4.
5.
6.
The bed is to follow the natural land contour to maintain uniform total depth of the bed
bottom.
The bottom of the bed shall be level, plus or minus 1.5".
A 2' filter sand layer shall be required at a total depth of 7'. Material shall be an
MOA approved filter sand.
The total depth of the gravel layer is not to exceed 5' at any point.
The effluent line shall be laid level within 0.03'.
The bed gravel is to be covered with typar fabric material.
Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent
is to be placed over the bed. Mounded side slopes not to exceed 3:1.
The area over the bed 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:
BOTTOM OF 2' FILTER SAND LAYER = 7' below grade
BOTTOM OF GRAVEL LAYER = 5' bt~otl~v,~grade 6~g'
SAND FILTER THICKNESS = 2' of:&q~ffapproved material
GRAVEL THICKNESS = 6" under pipe, 2" over pipe
BED LENGTH = 57' BED WIDTH = 15'
SOIL RATING = 0.7 GPD/ft2 BEDROOM CAPACITY
SEPTIC TANK = 1,250 gallons minimum
Twenty-four (24) hours notice required for all inspections.
\1996\96-072a-spc.doc
~ SEPTIC BED I WELLS
+100~
897,94
N 89'58'00' W
LO* , I N
EOBANNA
NEIGHBOR ALTERNITI S 57'55' E
PIONEER D~! ./E
BED DETAIL
NOTE: PRESSURE TANK TO BE ~ - TEST HOLE
PLACED IN SHOP, WATER LINE
MONITOR
~o 2.5' .// FROM SHOP TO PROVIDE o - SEWER CL~NOUT
5'~ HOUSE WITH WATER. + - WELL
~, NOTE: POSSIBLE 20' UTILITY OR PROPOSED L~CHFIELD
~ 2.5' SECTION EASEMENT ON SOUTH BOUNDARY. I- EXISTING L~CHFIELD
IT IS THE RESPONSIBILITY OF THE
OWNER TO VERIFY LACK OF EASEMENT NO SURFACE WATER
PRIOR TO WELL CONSTRUCTION. NO KNOWN CURTAIN DRAINS
WELL/SEPTiC SITE PLAN
LEGAL: LOT 52, T15N R2W SEC.~5 ~2~.. ....
JOBff 96-072AIDATE: 08/26/961 SCALE 1" = 60'
~ P.O. Box 77~4
Ax.
· x (907) 694-5195 FAX: (907) 694-3297
N 89°58'00, ~/
LOT 1
ROBANNA
/ ~ PROP ~ X~..X 12SD GAL
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 96-072
Calculated By: LB
Date: 8/12/96
Legal: LOT 52 T15N R2W SEC 25
Single Family 4 Bedroom Dwelling
TESTHOLE
Bed Subsur[ace Wastewater Disposal Field
Water use at 150 gallons per bedroom = 600 gallons
Percolation rate = 0.3 minutes perinch
Wastewater application rate = 0.7 gallons per day per square foot
Required absorption area = 857 square feet
Bedwidth0N)= 15 feet
Gravel depth (D) = 1 feet
Required length = Required absorption area / Bed width
Required length = 857 / 15
Required length = 57
Total Excavation Depth = 7.0
2' Sand Layer of ADE~ O~
filter sand required
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:.
LEGAL DESCRIPTION:
DATE PERFORMED:
Township. Range. :Section: "'~}SfiJ ~2
3
4-
5-
6
7
8
9
tO
11
12
13
14
15
16
17
18
19
20
COMMENTS
~LAY~Y EAt. iD
/qo l~/A76~
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
I-
N
L
IF YES, AT WHAT __....
DEPTH?
Oeplh to Water' After
MoAitoring? /'~ r'.>, Dale:
PERCOLATION RATE '~ / (mmutes/,nch) PERC HOLE DIAMETER ~//
PERFORMED BY: /~/'-/~ , ~ ~ ~ CERTIFy THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDeLiNES IN EFFECT ON THIS DATE. DATE:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
/...
OATE PERFORMED:
Township, Range, Section: "~}5~/ ~.
5
6
7
8
9
10-
11
13-
14
S~DY G,R,'~v~/--
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, ATWHA~'
DEPTH?
OeplJ1 lo Water A~er ~;-- -,,:~ - v~
Manilming ? ~2,-~ Oat~
SITE PLAN
15
16
17
18
19
20-
PERCOLATION RATE ~' / (mmules~nch) PERC HOLE DIAMETER ..
TEST RUN BETWEEN 5 FT AND ~ FT
PERFORMED BY: ~/~ ~'~" I ~,~:'-' '~ ~'~ ~" - CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCOROANCEWITHALLSTATEANOMUNiCiPALGUIDELiNESiNEFFECTONTHISOATE. DATE,