HomeMy WebLinkAboutHILLSIDE NORTH #7 BLK 5 LT 3Hillsid No th #7
Lot 3
Block
#041-033-14
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 %" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
w',w/.ci.anchorage.ak.us (907) 3434744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: ~>o.)c~OOD ~" t PID Number: ~//
Name:
~;E /?-,4¢/"1~Z> Wastewater System: [] New [] Upgrade
Add,ess:
u ~'~ 7 o~.~ C~'ffrF~'? ~ ~z ~ ~frr ABSORPTION FIELD
LEGAL DESCRIPTION ~, ~.ng: TO.I ~p~ ~ ~g~l grade:
Well: ~ New ~ Upgrade o~ ~:~ Ft. Numb~ ~lln~:[ [ O~s~n~ Iln~:Fi.
SEPA~TION DISTANCES ~sepEc D ~o~dfng D S.T.E.P. ~ O~e~
T~o Septic ~so~fion ~ff Holding Publi~ffml, Man~r~ ~:
Tank Field S~fion Tank Sewer Line ~4~, ~ I
~ ~D E~EM~/e~ D/~ /~ ~ BENCH MARK
.'
,nspectionspedormedby: [¢HD ~N~/"'~IN~ Dates: 1~t '/~/dO :
Depa.ment of Health and Human Se~ices approval
Reviewed and approved by: Data:
AS-BUILT SYSTEM DETAILS/SITE PLAN pe~-M~ swoooosl
HILLSIDE NORTH S/D, ADDN~7,LOT 3, BLOCK 5 PID~ 04i-033-i4
A-C=49,0'
/
~ PREPARE~ FBR: SCALE, NTS ~
FIELO BOOKS I c~.u~o: ENGINEERING
s~o~v: SEWARD n~: VBG
~__~sslO~ ~ SEWARD 10/12/00 EAGLE RIVER, AK 99577-8736
AC*, ,,k~: O005.OWG ~ "0': 00005 (907)696-6111/FAX (907)696-81~1
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
Performed for:
SOILS PERCOLATION TEST
Lee's Custom Designs Date Performed:
Project: Hillside N. S/D, Add. No. 7, B5, L3 TEST HOLE #. 00-3
Depth
(Feet)
ORG- brown, moist
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
GM-reed dense, cobbles to 8'
w/cobbles
Was Ground water encountered? NO
Depth to water after monitoring?
What depth? NA
~-,~
Date?
density decreasing w/depth
HOLE PRESOAKED
PRIOR TO TEST
Reading Date Gross Net Depth to Net
~ ).b~&~0 Time Time Water Drop
i - 1:00 8"
2 1:10 10 rain 5 15/16" 2 1/16"
3 1:11 5 15/16'
4 1:21 10 ~rdn 4" 1 15/16'
5 * 1:22 8'
6 1:32 10 rnin 6 4/16" I 12/16'
7 1:33 6 4/16'
8 1:43 10rain 4'7/16" 1 13/16'
9 * 1:44 8"
10 1:54 10 rain 6 4/16" 1 12/16'
11 1:55 6 4/16'
12 2:05 10 min 4 8/16" 1 12/16"
· Water Added
SEEPS AT 21'
BOH
Percolation Rate 5.71 (rnin/in) Perc Hole Diameter 6"
Test Run Between 4.5 feet and 5.5 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with aH State and Municipal guidelines in
effect on tbis date.
~ b
c' Y
DOC CO db~.
SULLIVAN ATER WELLS
P.O. BOX 0Z02721 ~IUGIAK;' ALASKA 99507 · TELEPHONE 688-2759
OWNER OF LAND
ADDREBS //5'/_:7" Czd
LEGAL DESCRIPTION
O,_.v_ ..4' /. oT' 3
PERMIT NUMBER r} thr~,b ¢;'./Date of Issue 4' -. "7
' TA~d'~IFICATIbN
Is weil- bcated at approved permit location? ~ [] No
Method of Drilling: ~fC'rotary [] cable tool
Depth of welt:
Casing Type ~'.7!= ¢.l- Wall Thickness . ¢,,3~"'O inches
Diameter ~2// inches, dept,h, '~1 feet
Liner Type:
Casing Stickup Above Ground ~.,
..vt %et
Static Water Level (from ground level)~ ~"O feet
Pumping level: feet after hrs. pumping gpm
Recover Rate: ~ gpm
Open End [~ Open Hole
feet Stopped feet
feet
fee
Method of,,Testing: RI
Well Intake Opening Type:
[] Screened: Start
~ Perforations Start
Grout Type:
Depth: from
Pump Intake Depth:
Pump Size hp Brand Nam6
Well Disinfected Upon Completion?
Method of Disinfection: ~
Comments:
BORE HOLE DATA
Driller's Name
ATTENTION: It is the responsibility of the property Owner t~3 submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department Of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation. · '
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
¢O7) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Apr 07, 2000
Expirafion Date: Apr 07, 2001
Permit Number: SW000051
Legal Description: HILLSIDE NORTH #7 BLK
Design Engineer: 0070 KND Engineering
Owner Name: Lee Raymond
Owner Address: 11517 Old Glenn Hwy
Eagle River, AK 99577-
5LT 3
Parcel ID: 041-033-14
Site Address:
Lot Size: 150718 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
~j Disposal Field ~ SepticTank ~ 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.
Received By: '"~~ Date:
Date: ~' - 7- ~ 0
MND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
March 27, 2000
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject:
New On-site Well and Sewer -Hillside North S/D, Addn. #7, Block 5,
Lot 3
Gentlemen:
The owner has requested we proceed forward to obtain a well and septic permit for
new on-site systems. One testhole was dug and a percolation test conducted on
March 1, 2000. The results of this test is attached. A previous testhole conducted by
DH[ Engineers was conducted with the plat of the development. This testhole was
located with monitoring tube adjacent to the new testhole. The general slope of this
lot is from east to west although the proposed house sits on a small knoll, which
directs at a maximum grade of approximately 5-10% until it reaches a steep slope as
indicated on the drawing. We have designed our system utilizing the percolation
rate of 5.71 min./in, for the four-bedroom house, which is proposed for this lot.
We propose to install a 2' wide deep trench. The soils consistently percolate at 5.7
min./inch and the material appears to be uniform per the logs. Water was not
encountered during the excavation or monitoring.
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.
Res
>ectfully submitted,
/j~/E Duffus, P.E.
~ments: On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WELL & WASTEWaTER
HrLLSI]]E
9ISPI]SaL SYSTEH DETaILS/SITE
NI]RTH S/D, A]]DN~'7,LI]T 3, BLI]CK 5
PLAN
LOT /
5 46 '
-.4°
ACA
DESIGN DETAILS
4 BORN X 150 GPO = 600 GPO
600 GPD/0.8 GPO PER SQ, FT, = 750 SQ, FT
750/(2 X 8,59 <8,5' GRAVEL) = 44,12 FT, TRENCH
Use 1 trench 44,5' (L) x 2'(W) x 8,5'(9)
To'coL depth DP system is 12,5' Prom originaL
To~aL depth DP 9rGveL betow pipes is 8.5',
NDTES~
1, USE la50 GALLON SEPTIC TANK, INSULATE TANK IF <4' COVER,
2, INSULATE TRENCHES ¥//2' HD BURIAL FI]AN ~F LESS THAN 4' BF COVER,
3, CONTRACTBR W~LL ENSURE NAXIMUH aX SLOPE INTO SEPTIC TANK,
4, ADDITTBNAL FILL WILL DE ADDED OVER SYSTEM TB ACHIEVE
MIN, 3' COVER,
PREPARED FOR:
LEE'S CUSTOM DESIGN
LEE RAYMOND
11517 OLD GLENN HIGHWAY
EAGLE RIVER, AK 99577
FIELD BOOKS
COMPU lEO:
BOUNDARY: SEWARD DRA~: KMD
STAKING: SEWARD CHECKED: KMD
ASBUILT: SEWARD
OW3. FILE:
APAD FILE: 00005
3/27/00
2143
Jo~ No.: 00005
Sc(iLe: 1'= 100'
~) ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(90?)696-6111/FAX (907)696-811!
PAGE 1 DF a
K
~/ASTE~/ATER
HILLSIDE NORTH
d Primary
D
DISPOSAL SYSTEM DETAILS
S/D, A]}])N~7,LOT 3, BLOCK 5
TH $KN]3f
sed Reset'
10-15%/
CO¸
PREPARED FOR:
LEE'S CUSTOM DESIGN
LEE RAYMOND
11517 OLD GLENN HIGHWAY
EAGLE RIVER AK 99577
FIELD BOOKS
COMPUTEO:
BOU.D^R¥: SEWARD OR^U: KMD
STAXlNG: SEWARD c.[cx[o: KMD
SEWARD
^c^D r,be 00005
e^m: 3/27/00
GRID: 2143
· ~oB No.: 00005
Scc~[e~ 1"= 20'
PAGE 2 OF 2
~D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907/696-61il/r~X t907/69~-~iil
~D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
SOILS PERCOLATION TEST
Performed for:
Lee'$ Custom Designs
Date Performed:
Hillside N. S/D, Add. No. 7, B5, L3
TEST HOLE # 00-1
Depth
(Feet)
ORG - brown, moist
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
GM- med dense, cobbles to 8'
w/cobbles
Was Ground water encountered? NO What depth? NA
Depth to water after monitoring? NO Date? 3/9/00
density decreasing w/depth
B.O.H.
19-
HOILE PRESOAKED
20- PRIOR TO TEST
Reading Date Gross Net Depth to Net
Time Time Water Drop
1 3/1/00 1:00 8"
2 1:10 10min 5 15/16" 21/16"
3 1:11 5 15/16'
4 1:21 10 rain 4' 1 15/16'
5 * 1:22 8"
6 1:32 10 min 6 4/16" 1 12/16"
7 1:33 6 4/16"
8 1:43 10 mh~ 4 7/16" 1 13/16"
9 * 1:44 8"
10 1:54 10 rain 6 4/16" 1 12/16"
11 1:55 6 4/16'
12 2:05 10 rain 4 8/16" 1 12/16"
· Water Added
Percolation Rate 5.71 (n4n/in) Perc Hole Diameter 6'
Test Run Between 4.5 feet and 5.5 feet
I, Kenneth M. Duffus, certify that this test was performed h~ accordance with all State and Mtmicipal guidelh~es in
effect on this 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 196550 Anchorage. AK 99519-6650
www.ci.anch0rage.ak.us
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 041-033-14 HAA
.... ,.?.-,.~-~ .... Expiration
Date:
1. ,'GENERAL INFORMATION
~:- -,~ Complete legal descnpbon HILLSIDE NORTH S/D ADDN. #7,'LOT 3, BLOCK 5
"' "Locati;3n~(~i;~dteS!iordirections) : '
::~' (' Current P[op~.6~'~&r(s) LEE ~YMOND Day phone
', 12 .Mailing ~ddress- 11517 OLD GLENN H~ ~OLE RIVER, AK 99577
Mailing ~ddress
Day phone
Real Estate Agent - Day phone
Mailing Address. : - ·
Unless otherwise requested, HAA will be held by DHHS for pibkup. HAA picked up by:
2. NUMBEROF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well []
Individual Water Storage []
Community Class __ Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL;~ "-
~divid~al omsite ~ :' :~ '
Individual Holding tank-', ;-; []
Commumty On-site ' :22,, []
Public Sewer []
The Municipa ty of Anchorage Depa~m~nt 6f Health and Human Services (DHHS) ssues C, er~i~c~t6s o~' Health
Authonty Approval (HAA) based only upon the representations g~ven ~n paragraph 5 by an ~ndependent 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. Cedificates 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. Cedificates are valid for one year for propedies 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.
(Rev. 11/9g)
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 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 ail applicable Municipal and State
codes, ordinances, and regulations in effect at the time of installation.
Name of Firm KND I::nr~in~_rinr~
Phone G.qR.G'l11
Address 20441 PTARI~II~AN RI Vll I::A~I I= RIt/FR, AK' nn577
Engineer's Printed Name K'~nn~t'h
DHHS SIGNATURE
~ Approved for
Disapprove&
bedrooms.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
Attachments: ' HAA Checklist
Septic System Advisory
Well Flow Advisory
'cf//
Expiration Date:
(Rev. 11199)
X
Ma ntenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
Reissue Date:
RECE)VED
Municipality of Anchorage
Department of Health and Human Service iCT 2 0 2000
Division of Environmental Services
On-Site Services Section 825 "L" Street Room 50~
uNICIPALITY OF ANCHORAGE
P O Box 196650 Anchorage, AK 99519-66~1w,,~
· ' vlr~un~1~-~lAL SERVICES DIVISION
www.ci.anchorage.ak.us
(907) 343-4744 ~.~
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
A. WELL DATA
Well type PRIVATE
Date completed 5/23/2000
Total depth 340 fit
HILLSIDE NORTH S/D ADDN. #7, LOT 3, BLOCK 5 Parcel I.D.: 04i-033-14
Date of test 5/2312000
Static water level 50
Well production 3.0
IfA, B, or C provide PWSID #__
Sanitary seal _Y
Cased to 41 fit
FROM WELL LOG
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi
Date of sample: 10/12/2000
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEEL
Well Log Y
Wires properly protected Y
Casing height (above ground) 24 in.
AT INSPECTION
ft ft
g.p.m g.p.m
Nitrate 1.3 mg/I Other bacteria ~ colonies/100 mi
Collected by: KND Engineering
gal Number of Compartments 2_
Depression over tank _N High water alarm
Date installed 6/7/2000 Tank size '1250
Cleanouts Y Foundation cleanout _Y
Date of pumping Pumper
C. ABSORPTION FIELD DATA
Date installed ~f?/"¢~,z9 Soil rating (g.p.d./ff2 or ff2/bdrm) 0.8
Length 60.0 fit Width 2.0 ft
Total del~th '12.5 fi[ Effective absorption area t000 ft2
Date of adequacy test Results (Pass/Fail)
Fluid depth in absorption field before test __ in
Elapsed Time: __ min Final fluid depth
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
(Rev. 11/99)
Monitoring tube _Y
For
Water added
in
System type DEEP TRENCH
Gravel below pipe 8.35 fit
Depression over field N__
bedrooms
__ gal. New depth___ in.
Absorption rate >= __ g.p.d.
if yes, give date
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10-18-00 09:22 FROM-CTE ENVIRONMENTAL
Zt~.~ C T&E Environmental Services Inc.
5615301
T-607 P.02/08 F-601
CT&E Refit;
Client Name
Project Nome/#
Client Sample ID
Matrix
Ordered By
PWSID
S~m~ple Remarks:
1006380001
KND Engineet~ag
Hillside N S/D No.7 L 3 B 5
Hillside N S/D No.7 L 3 B 5
Drinking Water
0
Client PO#
Printed Date/Time 10/17/2000 18:01
Collected Dategrime 10/12/2000 12;00
Received DateJTime 10/12/2000 13:10
Technical Director Stephen C. Ede
Released B~
AttoNohte Prep AnaLysis
Parameter ResuLts PQL Unito Rethad Limits Date Date Init
Nitrate-N 1.33 0.500 mg/L EPA 300.0 10 max 10/12/00 SCL
Total Coliform
0 coFlO0mL SM18 9222B 10/12/00 JDT