HomeMy WebLinkAboutSOUTH LAKEWOOD HILLS BLK 2 LT 5
Tom Fink,
Mayor
N unicipality Anchorage
Department of Health and Human Ser¥ices
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
January 30, 1990
Mr. Ray Hannah
PO Box ].10314
Anchorage, AK 99511
SUBJECT: Lot 5, BLK. 2, South Lakewood Hills. PIN #015-181-08.
Dear Mr. Hannah,
On December 5, 1989, this office received an as-built for the
septic system constructed on the subject lot. After reviewing
the as-built I called you on December 13, to clarify some
discrepancies on the design approved for installation and what
was installed. At that time you assured me that a letter would
be forth coming which would address these discrepancies as well
as providing a copy of the well log. To date my office has
received no information on either the septic system or the well.
Until these items are taken care of my office cannot consider
the septic installation approved. Therefore I urge you to
handle this matter as soon as possible. I am available for any
questions which you may have in this regard. Please feel free
to call my office at 343-4744.
Sincerely,
Daniel N. Bolles
On-site Services
db/lll
//I
MUNIClPALITY OF ANCHORA GE
DEPARTMENT OF HEAL TH & HUMAN SERVICES
On-Site Services Transmittal Sheet
The attached paperwork has
been reviewed and is being returned
for the following reason(s):
__ Discrepancy in legal description.
Discrepancy in number of bedrooms.
Calculation error.
__Water monitoring results missing or inadequate because
.~<~ Incomplete; needs ~:~// /pF.
Signature and/or stamp missing on
~ Additional info needed
Sewers/wells, curtain drains and streams within 200
feet not shown.
Area soil/well information needed.
__ Water sample unacceptable because
~le~se supply the ~ecessary lnEormaEion a~G re-suDmz~ you~
request. Your cooperation is appreciated.
Date ~/ ~ev~swer
/aen203-revg/89 [ ~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL. INSPECTION REPORT
Na--~e DISTANCES
TANKS --
~ SEPTIC ~ HOLDING ~,~AL~_
Manulac~urer Capac0y m gallons ~~
TYPE OF SYSTEM ~
~ TRENCH ~ BED ~ W. DRAIN ~ OTHER ~ ~ ~/
original grade ~, ~ FT ~' ~
Fill added above DriVel grade Gr~ve~ depth beneath pipe % . / ~/
I I~0 SOFT D-~OYY ~oh~ ~ 3~'
WELLS
~ PRIVATE ~ OTHER (Identify)
REMARKS: ~,~t~f Serf ~ (o~
I ~~-- ~ ~ ceHily that Ibis iflspeclio" WaS ped0rmed according ,0 all
81ale guidelines in ellecl on this date: IO[~ .9 .J : ~'7~,% C5- 3539
72-013 (3/85)
DE.!par'LmerH'. of lhm:~],'i',l'l & Human !i:h.:~r,v:i, ces
I.~ ....L S'Lpei.::!'~:, A~cl~(::mag(:~,, A'.iasl.;:a 9950:1 3/I. 3,-.472()
0
Fi' E R M ][ T
I]~,n'~(:!!r. l',lame: RAYHI]IxlD I .... :!~ [.,ARIII.II I'IANNAH
(]t'.~nli~r Addvc)ssi: I:':'. (iii,. / IX :I. J.....:, I..I
ANCIII]F:tAI3t:ii;, AK 99',5 i 1
.: I:.1" f.I(., lANK: Mil'~inlum 'l.:.o-(:a]. sl.::!pt;i,c 'Lank c:apacJ.'Ly: .I...~::.,~.. (.i:la].].oris. leach sepl:.:i.c
tar'lk rlil..!sL I"lavli.~ a'L leas'L, lit coln~:)~r"t'.rtl~;i.!l']'~,!~i., D~i:)~'.I'i 't.,:~ top
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WEI,.,I.: I-og rnus'L be subm:i, tted to [vJI.U"l].i:::i.p~;~].:i,'l'.y Of' Anc;:l"lor'age [}C'.;~p~l'trFffDl'it C) J' I.Jealth
and Ilumao Ser. v;i.c:c)~i w;i,'Lhli, rl :if~() days of well
A'f' 'I;[MI',~ OF I][)IqS'I]:IUC]":[CII~I ONE ADD I]'I']:OlxlAI.., SOILS TE,c.;'T' I'~IJ,ST BE DONE
IN ANO]'T'II]']:I AF.'.tii:A 01:::' 'l'l..lli~] "l"l::~li!.:.lxll::;l.,I AND StlBMITTI~i:D TI] THE DEI:;'AI::t]'MI~!~Ixr[
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CCtI'~ISTI:tlJC"[ Iii'ER li']qC:ii, NEI::]:';'.S ATTACHIZD AF:'F:'I::,t[IVED
I'HIS t:::'ti:i:l::/f"lI'l li!:XF:'IRES :12. /3 :1/f!19 AND VAI..Ii)
:t: CI!i:]:~'T :11 F:Y '1 Hr;~r ~
{oI'LI] l:;ty 't:.['i(i~? I"lull:i.c~l::~al:i. ty c)F (:'fl"ic:l"li:il'al,:l~ (MOA) and 'l'.l'~<',~ State of ('~]a~ka,,
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cl ;i,~itanc:(:,:'~ f Pc)Iii ally e.g( J,S'L ~l']g Wi+)], 1 ~, wt.:d~it, l.:~v~atf?r' d:i, spo,:~,al !~iy!]~Ll~l'~ Of puli I. :i.c
i:/l!illi::i urH::l~',u'st,':.u'ld t.I]a'L 'l'.he,) c;al:;/~.lct;i.'i'.y C:l'l' 'l'.lll}.? I:,otal fi~iy~it~:)lil ;i~i /I. I:)F)dl'(:)CIlli!ill ~2d]cI
Lot 5, Block 2, South Lakewood Hills
Septic System Specifications and Design Notes
l. This septic system design is based on the test hole log prepared by
Flattop Technical Services, dated 5/8/86, and subsequent groundwater monitoring.
The soil rating of 150 square feet per bedroom requires a total absorption area of
600 square feet for the proposed 4 bedroom residence, which will be accomplished
with a 60 foot long trench with 5 feet of gravel beneath the distribution pipe,
between 4' and 9 feet below ground level. An additional 6 inches of gravel is
required to surround the perforated horizontal distribution pipe. Filter fabric shall
be placed over the gravel before backfill with 4 feet of soil.
2. The configuration of the septic system shall be as shown on the site plan,
except that minor modifications may be approved or required by the engineer
conducting the inspections.
3. The septic tank shall be constructed out of concrete block to Municipally
approved standards.
4. All materials, construction practices and separation distances shall
conform to Municipal requirements.
5. Three inspections will be required: (1) Initial stakeout, (2) after the
trench is excavated, but before placement of sewer gravel, and (3) after the gravel
is placed, the septic tank is completed and the pipes connected, but before final
backfill.
........................... 14530 Echo Street
Anchorage, Alaskcr 9a~.~
FIGURE 6-3
TYPICAL TWO-COMPARTMENT SEPTIC TANK
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-I ....... Jl I
Liquid Level
Sanitary
Longitudinal Section
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, Outlet~-
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0
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEAL'FIIAND ENVIRONMENTAL PROTECTION
SOILS LOG - PERCOLATION TEST
[] SOILS LOG
PERFORMED FOR:
DATE
LEGAL DESCRIPTION: ,~O~ ~'~ /~/'/t~ ~.
1
2
~P
So. /.-c~b~to~,c,t I~,'lb
SLOPE
SITE PLAN
lO
12
13-
~4 --- 6, ~.
15-
16 -
17 -
~HEODORE F. MOORE
19- CE-3589
20 -
WAS GRQUND WATER S
ENCOUNTERED?
E
IF YES, ATWHAT i
DEPTH? i
Gross Net Depth to Net
Reading Dato
Time Time Water Drop
PERCOLATION RATE
(minutes/iJlch)
TEST RUN BETWEEN FT AND
COMMENTS ~q¢O/Pt/r~ ~'/~ff,~ ~-*"~/,D C/1 ~'0~ _~,0' ~ ~, ~ ' '1~ ~ ~
I FT
72-008 (6/79)
CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANAINSIS
TIIEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 ANCItORAGE, ALASKA 99516
February 9, 1987
Ray Hannah
6740 O'Malley Rd.
Anchorage, AK 99516
RE: Soils Test Lot 5, Block 2, So. Laltewood Hilis
Dear Mr. Hannah:
In May of 1986 I prepared a visual soils log for a test~hole
dug on the subject lot. Later in the year the Mnnicipality made
a requirement that all soils reports include water table
monitoring, so you arranged later in the summer to have the hole
re-excavated and a monitor tube installed. T checked tho monitor
tube on February 6, 1987 and fonnd the water level to be at 14.5
feet below the ground surface. Thus, installation of a soil
absorption system in the SP strata above 9 feet still appears to
be the best alternative.
Please call me if you have any questions.
Sincerely,
Ted Moore, P.E.
N unicipahCyof
Anchorage
P.O. B, 196650
ANCHORAGE, ALASKA 99519-6650
(907) 264-4111
TONY KNOWLES,
MA YO R
DEPARTMENT OF HEALTH & HUMAN SERVICES
June 23, 1986
Raymond Hannah
6740 O'Malley Road
Anchorage, Alaska
9951.6
Subject:
Lot 5 Block 2 South Lakewood Hills Subdivision
On-site Sewer & Well Permit #860125 - Issued May 15, 1986
On May 20, 1986, The Anchorage AssembJy approved a new ordinance
regulating oo-sJte wastewater disposal systems (septic systems).
All septic systems constructed after the effective date of this
ordinance are subject to the provisions of this ordinance.
Our records show that you currently hold a permit for the installation
of a septic system. We strongly urge that you contact this office
prior to constructing your system. Any changes in the code that could
impact the constrnction requiremeuts of your septic system will be
identified and brouBbt to your attention. Please contact the
· Enviromnental Services Division at 264-4720
Thank you for your cooperation.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/SSM/ljw
A urdcipality
P.O. BOX 196650
ANCHORAGE, ALASKA 99519-6650
(907) 264-4111
TONY KNOWLES,
MAYOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
May 18, 1987
Raymond Hannah
6740 O'Malley Road
Anchorage, Alaska
99516
Subject: Lot 5 Block 2 South Lakewood Hills Subdivision
On-site Sewer & Well Permit #860125
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of May 15, 1987.
Your permit expired on the date of issue basis by authority
of Municipal Ordinance existing at that time. A new permit
must be obtained from this Department for any well and/or
on--site sewer system not installed by the expiration date.
The new permit will come under the calendar expiration date
as per the Wastewater Ordinance (effective May 20, 1986).
If you have drilled the well, a well log needs to be sent to
this Department for documentation of the installation and to
close the permit.
If a private engineer inspected the installation of the on-site
sewer system the original as-built inspection report (three-part
form) must be sent to this office for review and approval, and
for documentation.
If there are any further questions, please call this office
at 343-4744.
Si,Dele ly 9" ~,~
R.W. Robinson '
Program Manager
On-site Services
RWR/ljw
enc: copy of permit
DEPARTHE!]xlT OF:' I"tlL::AI...TH AND i~i]~VIROIqMEIqTAI.. I:::'Fr, tOTILU]:TICII\I
825 1. S'H:/IZIZT, AIxICHC)Fd~GE~ Al::: 99',:.50 i
,"::'. 64 '"' 4 '72 ()
PERM:[ T NO:
D A Tli!: :1: S S LJli!D: 05 / 14/~::~6
CC)N'I'ACT F:'IIONE.:
I::/A Y M OIq)':) I IANixlAf I
6740 OMAI...L.EY FiD
ANCI~OI::;~AI.'JI~i: ~, Al< 99',5
:5Zl. 6" '2 :l 4 1
BI,.,[)[]K:
DI~]::" rl.I 10 F:'IF:'E DOI'I'[:IM (F:T,,) 4. () 4.0 4.0
GF(AVI!J,. DI}i.l:::'] I'1 (1:::"1 . ) 5,, 0 (),, 5 3,, ',5
II) IAI. Dli:l::'l'[[ (1::1~) 9,,() 4,,5 7.5
L':ff~:AVEL. W:[D'III (I::'T~) ' ':;'
GR(:iVI~:I... I,.I~;:IxlG'I'I"I (F::'T.) 60.0 4 ~ ,. 0 6t~; ,, ()
[::)FU.~VE].. VOI....IJHE (CLI., YDS.,) ::;(),, 6 33.5 Zl.8,, :?
TANK S :[ ZE (GAI...S) ~., L]50 ,, 0 .~-.~. :1.., 250 ,, 0 .~-.~. 1,2~;.~;(). 0
· ~:-~[. FANK MU~-~'I HAVE AT LEAST TWCJ COMF'AR]'MIZIqT!~
'L:Lfy Ll'lat:
[(::~r"t:.l't by {lie Muil:i.c:ipa].:ity (::)[ Al'ichor. age (MI]A) arid 'Lilac. State c:)~
i w:i].] :Lin~[;La].]. 'Lh~..~, ~[~y~[;'L~::)lil :i.l'~ a~(::;(:::l:)l-(:l~:~[l(:::~..) ~i[.h all HC)A codes al"H::l PeCiL~].at:i.c)ns
and J.l'l cC)ml::)].:i, allc::c~, u,,Q.Lh Lll[c, (tJ(~?~:i.(:)ll (]PJ, t[~PJ,~'./ c)f' ti'liS pc.mm:i.t,,
I ~,~:L:l.:l. adll(.:,r.~:) i:.() all MOA and 9L. aL(~ (::)~ A].aska r'~).)cluir, emc.~nts FcH' the sc?L back
]: L.u]d[?pc~'Lc~rl~J t. ha'L thifi~ I::)epm:Lt is va~],J.d fI::)P at I~f':~.(:[l~l.ll~ (:)~' .~. be:,dr, c)(;:)ms and
arty c:~nlal~gem~:L~rrL w:i,].l r't:.,)(:luir~) an add:it:i,c)nal
]:1:: A I.II::'T S'I'A"I:I:ON ]:S ]:N,~i]H"AI-L..ED IN AN AREA COVI~i:RED BY MOA BUII..DING CODES~,
IllEN (:[) AN EI...I~:CTRJ:CAI.. F:'IERM:[ t' AND INGF'EC]' :[[)N MUST BE OBTAINED; (2) AS""BU:[L."I'S
W]:L.I.. NOT BIZ AI:;:'I::'ROVED WI TI'II::]U"[' AN IB.JZC]'I:~I CAL INf3F'EC"I'):[]N I:~I~]::'[)RT; AND (:3) 'FHE
I:~]...I~L:TR:I:CAI. I.~JC}RK MI. IS I' BE DONE DY A LI[:;EN~B:D ELE[: I'RICIAIxl,
AF::'H..J:CANT~ RAYI"IOND I'IAIqlxlAH ..... ~ ........... Z ............................
]: [~iSIII:i:D '
PFt~ N
MUNICIPALITY OF ANCHORAGE
DEPARTMFNT OF HEALTH AN[) ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99E01 264-4720
SOILS LOG - PERCOLATION TEST
[] SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
DATE PERFORMED:__~-/%~~ / ~d
SLOPE
4-
5-
6-
7
8
SITE PLAN
10
11
12
13
14
15
16
17
18
19
2O
WAS GROUND WATER S
ENCOUNTERED? -- N~ L
O
P
E
iF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN
COMMENTS
FT AND
~ A~' ',,, ~e?~
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE ~
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
,/
P.O. Box 196650 Anchorage, Alaska 99519-6650 ~_~..2~//L/.
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWFLLING
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Address '~d'oO ~c, ~'c:~'~, ,~
j
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~ _
TYPI-' OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
lng'to the legality and status of system.
4. ' TYPE OF WASTEWATER DISPOSAL:
If community well system, provide written confirmation from State ADEC attest-
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025(1~ev, 1/91) Front MOA#21
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 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 aH Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm F
Address / ~/_¢~ O
Engineer's signatu.re,
DHHS SIGNATURE
/-~ 'Approved for /c"~) U,/~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional comments
The Municipality of Anchorage Dep~rtment of'Health and Human Servioes (DHHS) issues Health Authority
Approval Oertificates based onl7 ,,Pon the representations given in paragraph § 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,
RECEIVED
MunicipaliW. of Anchorage
DEPARTMEN'f' OF HEALTH & HUMAN SERVI~
EnVironmental Se~ices Division E~I~o~ENTAL .
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Health Authority Approval Checklist
If A, B, or C, attach ADEC letter, ADEO water system number
Date completed
Legal Description:_
A. WELL DATA
Well type ¢'~'/*
Log present (Y/N)
Total depth ___L_~Z~ '___ .......... Cased to ..... ~_L& ........ Casing height (above ground)
Sanitary seal (Y/N) ~ Wires properly protected (Y/N)
FROM WELL LOG AT INSPECTION
Date of test __
Static water level
Well production '?~ g.p.m. -7. / ¥ --~
g.p,m,
Nitrate ~. 9,~ ,'~q/~ __ Other bacteria _
Collected by: _ /-~/~
WATER SAMPLE RESULTS:.
Coliform O ¢ol //o0 ~Z
Date of sample: _ 9 {i0/99
a. SEPTIC/HOLDING TANK DATA
Date installed
/ ~-' / 7 / ,¢?__ Tank size /'2-5"o ¢/ Number of Compartments ~ Cleanouts (Y/N).___
,,/
· Depression (Y/N)
Pumper
Foundation cteanout (Y/N)
Date of Pumping
C. ABSORPTION FII-"LD r)ATA
Date installed
Length ~'/¢ Width
Effectiw~ absorption area 5','¢ ~ '
Date of adequacy test
Fluid depth in absorption field before test (in.);
Fluid depth _~
Peroxide treatment (past 12 months) (WN). ~/o,~ ~'
_Soil rating (g.p.d,/ft~orfF/bdrm)./5"~ ~ Systemtype
~ ' Gravel thickness below pipe ,5~.0' Total depth _ Cz
Monitoring Tube present (Y/N) Y' Depression over field (Y/N)
Results (Pass/Fail) _ ~,,.r/ For ~' bedroom,,~
Immediately afterl//~5 gal, water added (in.):
Absorption rate = ~ ¢c~ g.p.d.
~'~o~.~--~ If yes, give date ~/. '"~, __
72.,026 (Rev. 3/96)*
D. LIFT STATION /,J.//.
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested
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
Size in gallons
"Pump on" level at*
*Datum
On adjacent lots
On adjacent lots
~> /oo,
Public sewer manhole/cleanout
Lift station ~, ,4.
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation 5-' Property line I~ ' Absorption field
Water main/service line '~ lc, ' .Sudace water/drainage
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line ~ .¢' Building foundation / o'
Surface water '~ Icc,
Curtain drain I~lo,~,
F. ENGINEER'S CERTIFICATION
I certif~
in conformance with MOA HAA guidelines in effect on this date.
Signature ,'~/~e~_
Engineer's Name -~'A ,~o ~/o~.
Date ..Ce,~/-.~r Id.,
"Pump off" level at*
Wells on adjacent lots
Water main/service line -~ t~,
Driveway, parking/vehicle storage area
Wells on adjacent lots ~ /o~'
~ systsms am
CE-355~
HAA Fee $ ~0o
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
JAN-03-19~O
09: 02
P, 02
TOTAL P. 02
T-916 P.0Z/O3 F-Z41
CT&E Ret.#
ClJcm Name
Projec~ Name/~t
Marrt~
Ordered By
PW$ID
~'amplc Remarks:
99484400!
FJauop T~xhuica[
L~ ~ BIk 2 ~. ~w~d
L[ 5 ~lk 2 ~. ~w~d Hilh
Drink{rig W~er
Clicm PO~ Pre-Paid Colis/N03
Printed Du~e/'l'hne 09/~,4/99 16:09
Coll~2ed l,,ltefI'ime 00110/99 14:15
R~cejved D,.tefJ'imc 09/10199 15:35'
T~t~I l,i~or: S*eph~ C.
o
· 0.980
0.500
sH10 9222B
EPA ~00.0
09110199 KAP
09/10/99 SCL