HomeMy WebLinkAboutT15N R1W SEC 18 LT 102
Municipality of Anchorage Page 1 of. 2
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW990297 PlO Number: 051--172--27
Name:
DIANE DUNN WastewaterSystem: [] New · Upgrade
Addrese:
19520 ADRIAN CHUGIAK, AK 99567 ABSORPTION FIELD
No, of Bedrooms:3
Ph°ne:\907!/'~ 688--3469 [] Deep Trench · Shallow Trench [] Bed [] Mound [] Other
LEGAL DESCRIPTION o.6 c.D/s.. ~. 6.o - 9.0 rt,
102 - - 4.0 - 5.0 ~ *5.95 rt.
Township: 15N 1W 18 0.5 - 1.0 r~ 76.0 Ft,
WELL: [] New [] Upgrade 5.0 F~ 1 -- F,
j r~ rt. 754- so. r~ ASTM D-3054/F-810
(
rt. RASMUSSON ENT. 9/9/99 - 9/10/99
,., rt. TA.K
SEPARATION DISTANCES · S,pBo [] ,o,d~,g [] S.T.E.,.
To Septic Absorption Lift Holding =ubllo/PnYateMonufacturen Capacity In gallons:
Field StoBon Tank s~w.r Un.. ANCHORAGE TANK 1000
From Tank
Well 100'+ 100'+ - - 25'+ STEEL 2
SurfeCewater 100'+ 100'+ - - LIFT STATION~
Lot 5'+ 10'+ - -I ~.~
Line
FoundeUon 5'+ 10'+ _ _ ' r ' ' ' ~
Drain NONE KNOW~
I
Remarks: * USED A 0.50~ REBUCTION FACTOR. BENCH MARK
TOP OF DECK NEXT TO FRONT DOOR.
100.00 rt.
Department of Health and Human Services approval '~lh.~¢_~' ... .... ^¢~,
Yc~'//'/~%~' '~"~ '~7 ~'*' ........... ~'~
Reviewed and approved b ~ f~:~'-1~ Date: ~'-,,~- c/. ~'¢~,~rofe.¢o~,=~':~
P£RM~T NUMBER:
sw99o:~97 AS-BUILT DRAWING ,,^RCE, ,B NU,,6EB,
051-172-27
% ADRIAN AVENUE
- /
r uA~GE ~ ~ ~[~NG CRIB TO BE
~ USED ~ A RESERVE SffE
~ ~c~ ~ /~ /
~ ~ ~ ~ ~ /~ow~,v~.~,/
~ %~ / ,~ /
~A N~ 1000 gALLON~% ~'.W / TH~IA ///
~ SEPTIC TANK ~'// ~/ J -
FCO 34,5 5,7
ST1 63.6 73.8
ST2 69.2 79.8
FD 73.0 83.8
DBL2 72.3 82,8
C01 61,8 80.2
MT1 62,0 ' 79,8
C02 114.8 - 39.3
idT2 114,0 39,3
C03 97,0 109.8
CRIB 69.5 68.6
A B C05
FCO 34,5 5,7
ST1 63.6 73.8
ST2 69.2 79.8
FD 73.0 83.8
DBL2 72.3 82,8
MT1 62,0 79,8
C02 114.8 - 39,3
MT2 114.0 - 39.3
CO3 97.0 109.8
CRIB 69.5 6B.B
F ~'~ ~u~ ~s3 /////"4/,I
Af I~Ef ~ 94,90 Af ~f - 94,~ ¢O.44 (AV~,)
~AS~ WATER ~ WASTEWATER CONS~T~TS, ~C.
6901 0EBARR RO~, SUIIE 2B. ~CH0~OE, AK. 99504
TOWNSHIP 15N, RANGE 1W, SECTION 18, LOT 102
AS-BUILT OF SEPTIC SYSTEM UPGRADE~~uor¢¢,~frhrY-:"~es~,:
688-5469
D~AN[ DUNN (~07) E-7~Y ..'
DATE:g/16/99D~WN BY: SCALE: J PAGE:
K.D.W. ~ = 40' 2 OF 2
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 PERMIT
Upgrade
Date Issued: Aug 23, 1999
Expiration Date: Aug 22, 2000
Permit Number: SW990297
Legal Description: TI5N R1W SEC 18 LT 102
Design Engineer: 0041 AK Water & Wastewater Consulta
Owner Name: Diane Dunn
Owner Address: 19520 ADRIAN AVENUE
CHUGIAK , AK 99567-6636
Parcel ID: 051-172-27
Site Address: 019520 ADRIAN AVE
Lot Size: 60548 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 ). ( 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: _ __ ~_ .....
/
Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2B ~ Anchorage ~ Alaska 99504
(907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
July 30, 1999
Municipality of Anchorage
Depm~ment of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Reft Septic Upgrade Design for Lot 102, Township 15N, Range lW, Section 18
To whom it may concern:
The existing 3 bedroom house is served by a private septic system and a private well. The
existing septic system consists of a 1000 gallon septic tank and a crib type drainfield. The
existing crib is surcharged. A test hole was excavated on the property for the purpose of
upgrading. We propose that a new septic tank and drainfield be installed. Comments regarding
the proposed design are summarized as follows:
1. SOILS: Attached is a log which shows the soil profile, aud the percolation test results. The
soils below the organic layers are a GM/ML material to a depth of 15 feet (bottom of test hole).
No groundwater was encountered during the excavation of the test hole. A percolation test was
performed between the depth of 6.0 feet to 6.5 feet which had a percolation rate of 17.1
minute/inch.
2. TRENCH DESIGN:
a. Percolation Rate: 17.1 minutes/inch
b. Allowable Application Rate: 0.6 gallons/day/ft2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day _
e. Minimum Absorption Area: 750 ft2
f. Total Depth: 8.5 feet (max.)
g. Effective Depth: 4 feet
h. Width: 5 feet
i. Reduction Factor: 0.50
j. Minimum Length: 75 feet long
k. Effective absorption area = 750 ft2
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: As can be seen on the attached design, the lot is generally flat; in short
there are no slope concerns.
I am unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you
for your assistance.
.E., M.S.
NOTE: Attached is a site plan drawing, a design drawing, a soils log, and a 4page construction
specification letter which are all part of the design package for this septic system.
/ ' iiiI
SEC 18, LOT 92 /Oj /
T15N R1W, OONCERNS
-(APPROX, LOCA~ON~ J / ~ ~ 150 WELL ~D]US/
6901 DEBAR ROAD SUITE 2B, ANCHO~G~, ~ 9950fi
TOWNSHIP 15N, RANGE lW, SECTIO~ 18, LOT 102
SITE P~ FOR SEPTIC SYSTEB UPGRADE :,,,~
DATer7_30_99// D~W~ BY: SCAL~: 'AGE:
ADRIAN AVENUE
~ ~ -- -- [-' ~ '"'"' ~ ~. ~ "~ /BE COMPLETELY ABANDONED I
--.... f--EXISTING SEPTIC TANK TO
/
/
~ ~ / /-- EXISTING CRIB TO BE /
~ ~ I -- '%%/ /USED AS A RESERVE SITE /
~ ~ A ~--J--~ ~-~ /
'-J ZOLLJ FCO A X, I II /
~ ~ f./) ~ ( ° ) \ I o ~ INSTALL FLOW
/
,/
r'O '--J ~ '. / I/°/MT /
~ co~_gco / m/4,,
SEPTIC TANK~ I - - ~,~--~ .... [-- .... /
.~ EXCAVATE 8.5 FEEq' DEEP MAXIMUM ~ ./
--.. BY 5 FEET WIDE BY 75 LONG, ADD / /
~' 4 FEET OF CLEAN, WASHED DRAINROCK. /
~, / /
"x // / /~ /x / / / ~ /
\ / /
~. \ / / E, /
___..--" \ / i1~ //
ALASKA ~/ATER AND '¢/ASTE~f/ATER CONSULTANTS, INC.
~,o, cE.^,, RO^B SU,TE ,B, ,~c.oRA~E. ,~ ,,BO, ¢;.~- ~.....~>
TOWNSHIP 15N, RANGE 1W, SECTION 18, LOT 102
TYPE OF WORK:~"~
DESIGN FOR SEPTIC SYSTEM UPGRADE :....~
PREPAREO FOR: PHONE NUMBER:
DIANE DUNN 688-3469 qi~ ~'. ' ~] ,,.' ,.-s'-~,-~-"
DATE:7/,O/99 DRAWN BY: I SC^LE: I PA~E:
J.L.M. 1 = 30' 2 OF' 2
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
69°, ~E.^...o^., su,.6 2~. ^.o.o~cE, ^~. ~o~
l SOIL LOG - PERCOLATION TEST1 _
PErFOrMED FO~: D~E DUNN ~.
DAT[ PE~FO~UE0: ~/t~/*~ ~?...
I I
~PT.~ TEST HOLE ¢1 '
~ [SITE ~L .......
GC OL -
DEPTH TO DATE N
GROUNDWATER
~1~ ~ .... ~12~19~ _ /
10 /
11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP
TIME (MINUTES) READING (INCHES)
12 7/21/99 PERt, HOLE W~ PRESOAKED &+ HOURS PRIOR TO TE~I~G
2 3:46 30 4 5/16" 1 11/16"
14 3 3:40 __ 6"
-- 4 4:10 30 4 1/4" 1 3/4"
15 5 _ 4:10 6"
16 6 __ 4:40 30 4 1/4" 1 3/4"
19 PERCOLATION RATE. 17.1 ,(HIN./INCH) PERC, HOLE DIA. 6 (INCHES)
20
TEST RUN BETWEEN 6,0 FT, AN~./ 6.5 FT.
PERFORMED BY A~S~ WATER ~ WAST~ATER I, ~ ~ , CERTI~ THAT
TH~S WAS PERFORMED CN ACCORDANCE W~TH ALL STATE ~N~¢ 9~I~UlDELINES IN EFFECT ON THIS
DATE. BATE: ¢ ! ~/~4 ' '
DEPTH TO DATE
GROUNDWATER
DRY 7/20/99
DRY 7/28/99
QGRF'
~'R ANCHORAGE AREA BO ..... 'GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
OISTANCE [~ )._ I
FROM WELL
INSIDE LENGTH
MANUFACTURER
INSIDE WIDTH
LEGAL DESCRIPTION ~°'~' /&'~- ~'/'-/¢ ~//~-/d' .~'/g./'.~'i{/i
NUMBER OF
MATERIAL (-~¢('l"~L-~r'~-- COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY //)()C7 GALLONS,
SEEPAGE PIT:
NUMBER OF PITS --
LINING MATERIAL
BUILDING FOUNDATION
DIAMETER /~)O' OR WiDTH2,~'' LENGTH,,,~.~"i DEPTH ~'~'
(~[~;-~'CRIB SIZE: DIAMETER g DEPTH DISTANCE FROM: WELL /~' .
TOTAL EFFECTIVE
NEAREST LOT LINE__. , ABSORPTION AREA (WALL AREA) ~l~] SQ, FT.
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
. DISAPPROVED
f DEPTH
' DISTANCE FROM:
NEAREST SEPTIC
SEWER LINE TANK SYSTEM
REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No. EQ-O31
DATE
GREATER ANCHORAGE AREA BOROUGN
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C'' Street
ANCHORAGE, ALASKA 99503
Performed For___~_~~
Legal Description: Lot Ib'C~Block
This Form Reports Soils
Soil Test Must Be Logged To 4'
Depth
Feet Soil Characteristics
4'
5'7/
12''
Was Ground Water Encountered?_~A/~
If Yes, At What Depth?
Case #
Dated Performed_.~o-~-
Subdivision ~m~_~.J._~ T/.~_~I~
Percolation Test
Below Proposed Seepage System
Reading Date Gro
Time
Net Time
Depth to H20
Percolation Rate Minute
Proposed Installation: Seepage Pit__~y~ Drain Field
Depth of Inlet Depth t'o Bottom o-f--Pit or Trench
COMMENTS: ~ Crib: ~'~J~' ~o~ '
Net Dro
Test Performed BY_
Date
Certified
BY:
Date:
MUNICIPALITY OF ANCHORAGE
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. #
051-172227
GENERAL INFORMATION
Complete legal description
cERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
,. HAA #
T15N; R1W; Sec lB; Lot
102
Location (site address or directions)
19520 Adrian
Chugiak, AK
Property owner· Diane Dunn
Maiiin'g address' I 9520 Adrian
Lending agency,:.,
Mai!!n.g address
DaY Phone ?688-3469 .
Chuqiak, AK 99567
',Day ~hone
Agen~:::.Brook Stiltner/Remax of E.R.
Address
-.-.-..??phone
694-4200
Unless otherwise requested, HAA will be held for pickup.
3
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well XX
NOTE:
4'- TYPE OF WASTEWATER DISPOSAL:
NOTE:
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
Individual on-site xx
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 com
or_di, na.n.ces., an~.d regulations in effec_~-'f~ ~
· Wastewat
EngineeYssignature' L ~, .:/ ~.
Wastewater Consulton~ ~,
Shall be PAID $ ~ q7¢ o .
or prior to, closing for the '
Engineering Se~ices Prell. '
DHHS SIGNATURE
b//' Approved for
Disapproved.
bedrooms.
Conditional approval for
lliance with all Municipal and State codes,
is inspection.
bedrooms, with th-e 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 orderto 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.
72-025(Rev. 1/91) Back MOA~r21
ces Division S ~c~3
825 L Street, Room 502 Anchorage, Alaska 99501 (907) ~4v~r~.k~.~,. ·
Health Authority Approval Checklist
Legal Description: T15N, R1W~ SEC. 18; LOT 102 Parcel I.D.: 051-'172-27
A. WELL DATA * PER 1973 iNSPECTION REPORT.
Well type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number N/A
Log present (Y/N) NO Date completed pRIOR TO 1~3./7.~
Total depth *62' Cased to 4-0'+ Casing height (above ground) 18"+
Sanitary seal (Y/l', YES Wires properly protected (Y/N) YES
FROM WELL LOG AT INSPECTION
Date of test J 6./29./g9
Static water level J ,35'
Well production J g.p.m, 3,r) g.p.rn.
WATER SAMPLE RESULTS:
Coliform -{;P Nitrate ~'~ "~ ~ f~(~///' Other bacteria
Date of sample: ¢~ '- '~.(-~ '- ~:l~ Collected by: __ A.W.W,C., INC.
B, SEPTIC/HOLDING TANK DATA
Dateinstalledo/a/~ - O/lO/~, Tank size ~nnn Numberof Compartments 2 Cleanouts(Y/N)YES
Foundation cleanout (Y/N) YES Depression (Y/N) Nn High water alarm (Y/N) NO
Date of Pumping NEW Pumper -
C, ABSORPTION FIELD DATA
Date installed 9/9/99 - 9/10/99 Soilrating (g.p.d./ft2orft~/bdrm) 0.6 Systemtype TRENCH
Length 76' Width 5' Gravelthickness below pipe ~..q.~' Totaldeptt¢.5' - 9.5'
Effective absorption area 754. SO FT Monitoring Tube present (Y/N)yFS Depression over field (Y/N) NO
Date of adequacy test NEW Results (Pass/Fail) __ For ...---------"-"-'~rooms
Fluid depth in absorption field before test~ added
(in.):
Fluid d~ter.' Absorption rate = g.p.d.
e treatment (past 12 months) (Y/N) If yes, give date
72-026 (Rev. 3/96)*
D. LIFT STATION a~~
Date installed Size in g
~ "Pump off" level at*
Manhole/Access
(Y/N)
High wate~ *Datum
C~ted
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
100%
100'+
N/A
25'+
On adjacent lots. 10o%
On adjacent lots 100'+
Public sewer manhole/cleanout
Lift station N/A
N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 5'+ Property line 5'+ Absorl~tion field
Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots
5'+
100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line 10'+
Building foundation 10'+ Water main/service line
10'+
Sudace water 100%
Driveway. parking/vehicle storage area
25'+
Curtain drain NONE
F. ENGINEER'S CERTIFICATION,
I certify that I
,nconforman~bwit~;
Signature ~
Engineer's Nam~/~[~
Date
HAA Fee $
Date of Payment
Receipt Number
~OWN Wells on adjacent lots 100'+
dEFFREY A. GARNESS
field inspections and review of Municipal !~e~m$ are
.lines in effect on this date. ~'~~
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
.~& OT&E Envlmnmenlml 8e~'vice~ In c.
881~301
POL wnit~
SEP'23'gg 11:00 FROM'CTE ENVIRON~HTAL
,4~., CT&~ S:nviranm~*l
Services
lnG,
5816301 T-182 P.01/02 F-612
CT&E Ref,# .995122001 Clim~ ~
Clllmt Name AK Wazer & W~tc'waT~r Con~ult~nts.ln¢, ~t~ ~e 09/23/~ 11:02
CH~t S~ple',~ L102. S18 T15N R1Wl~.i~e HB ', ~dvM ~e~e 09/21/~ 09:30
T~ ~r~ ~u C. ~e
AILCW~ULe Prep
uni~ #eZhJ~ ~im{~ _._~Ke Date
EPA ~oO.0 10 mm~ 0~/211~ 09/~1/99 s£c