HomeMy WebLinkAboutMEADOW RIDGE ESTATES TR B1Meadow Ridge
Estates
Troct B!
#051-461-02
Municipality of AnchOrage
Department of Health and Human Services
Division of Environmental Services
On-Site Services SeclJon 825 "L" Street Room 502
P,O. Box 196650 Anchorage, AK 99519-6650 Page of
www.ci.anchorage.ak.us (907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: ~ ~D6~) ~[ PID Number: ~5'/- 4//~/_ DZ.
~,~e: /~Or,~/,~,~,~__' WastewaterSystem: [] New ~.Upgrade
^"~eS'~ lO,2'5" ,F~,'d4~,, C*~zc~;,~z ZI ~' '~ 75-~ 7 ABSORPTION FIELD
LEGAL DESCRIPTION soil~,,.: /. 2- aPO~ ~.¢ p~.
7~.~CT ~] ~e4~¢~t~ 2~ ~.~/~¢~j., Dep~h,opipe~o,omflromodgl.lgm.e: Gravel depth be~eath pipe=
g~ Grave~wfd~h: Numberof,ines: I DistancebeJwee~,ines:
We,: [] New [] p,.
Classification (PHvale. A. e. C}: T~ Case6 lo: To,al abso~p~Jo, area: Pipe Male.al:
· ~/. ,~, ~r ~7 ~'Y' p~ ~'~/~
SEPARATION DISTANCES ,,l~'Septic [] Holding [] S.T.E.P. ~] Other.
Tank Field Station Tank Sewer Line ~g)~/'/, '~"-/~'fi~ '~ /~) 4~2)~ Gal.
~,a~a,~/O~"' I0~>" -- -- ~/ L,FTSTAT,O~~
"~: Y ~¢ ~ BENCH MARK
.........
Inspections pedormed bY: ~ ~ '¢~z~¢ Dates: l~t /O/2~~
Depa,ment of Healt~and Human Se~ices app~ ~~7.'"',~
/ I
AS-BUILT SYSTEM DETAILS/SITE PLAN Pernit~ §W000461
TRACT B1 MEADOW/RIDGE EST, PID~ 051-461-02
'
'
,
,,,
,,,,,
', , / sc~E:
B-C=21.8' ~__~ 00~
A-E=34.0'
~ ~--[000 GAL u ~ -
A~ ~ PREPARED FOR: SCALE~ NTS
~" ...... '~'~a 2,025 FERNDALE
*/~D TH~ ~ * CHUGIAK, AK. 99567
F,~CD aoo~s co~..~o: ENGINEERING
~.o~.Y: SEWARD o.~: VBG
~'%2 ....................... ;~ ~'"~= SEWARD m~o, K~D 20441 P?A"~IGAN BLVD.
~.~ ~~ ,~U,L,: SEWARD o~E: n/7/oo EAGLE RIVER, AK 99577-8736
o8~~ ~ ...............................................................................
~~ o~. nm: ~o: NW1362 :'"'":":'='"'"'"'"='""::' ..:......:..:.............=....=.............:................................................:.'...'
~CAD~,,[:OOO61.DWG ~.o.: 00061 (907)696-Olil/FAX (907)696-Blll
1 NGINE11RING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
November 7, 2000
Municipality of Anchorage
Dept. of Health & Human Services
On-site Services Section
P.O. Box 196650
Anchorage, AK 99519-6650
RE: Sewer permit/lot line waiver - Meadow Ridge Estates Tract B1
Gentlemen:
During the as-built process we encountered a problem with the system being in
close proximity to the lot line. The system was constructed within 10 feet of the
property line (see attached as-built survey). The system is still located within the
testhole radius and we do not expect there to be any adverse effect on adjacent
lots by the location of this system. We are therefore requesting a waiver to 3.3
feet to lot line at this time.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
KND Engineering
Attachments:
Survey
As-built
Inspection Report
HAA w/waters
Well Log
NOV-09-00 THU 03:B6 PM FAX: PAGE
Matanuska Electric
Association, Inc.
P.O. Box 2929
Palmei; Alaska 99645-2929
Telephone: (907) 745-3231
Fax: (907) 74,5-9328
November 9, 2000
Brent
KNDEngiueefing
FAX868-3793
Re: Tract B-1 Meadow Ridge Estates
We have no objection to the septic field in the utility easement. Please be advised that the
property owner will be responsible for repairs to the septic system due to MEA's
construction, operation and maintenance activities within the easement.
Right-of-Way Administrator
MTD OSP ERG Fax:907-?61-26~6 Nov 9 '00 1~:~6 P. 01
CALL
YOUR
COMPANY
NON-OBJECTION TO ~ASElVlENT ENCROAC~,'..~.'. ~'~'~J~NT
.. .lAg -~.. .
By thru dooumont Mat~uska T~Icphoao Assocmt].o% ~.
encroac~nt oF a septle system w~hM ~¢ pl~aed ~'e:~]~ement upon Tract B-l, ~eadow ~dge
~states Subdivision~ Plat 72-261, Anchorage ~egO~ Dis~'ict, Third Judicial Dis~iCt, Palm,r, Maska.
Plc~o b~ advised that MTA
of thc ~¢a a/t~d.
buried or a¢ria/toleQm~=icadons
doCs not au~ori~o
This document is, in no ~vay, an agreement to vacate any portion of the utiliW easement and should not be
interpreted as such_
Issued for Matat~uska Telep[~one Association~ Inc. this 9th day of November, 2000, by,
.4/ . Rea/Estate & Properties Supervisor
THiS IS TO cERTIFY, that on tl'fis 9t;11 day of November, 2000, before me the rmdersig=ed, a Notary Public in
and for the State of Alaska, duly commissioned and sworn a, such, personally appeared Bonnie Bailey known
to me and to me known to be tl~e individual nan~ed in and who executed the foregoing/nsmunent and
acknowledged to me that he signed and sealed the same as a vohmtary act and deed Ibr the uses and pta-poses
therein mentioned.
IN WITNESS WHEREOF, I have herem~:to set my ha~d and official seal ~e day a~d year first above written.
Not,wy Publi~/n and for t'~OC,8 lt'zTg_ _ __~.C~_
My conm~dssion expkes: ~ [ - O~
GRANTORS ADDRESS: GRANTEES ADDRESS:
Matanuska Telephone Assomatlon, I~m. Kevm S. & Ch~!,~i~¢mbuckle ,,,?~ ;:., , ,%.. ;.~
· P O. Box 3550 .... *,
ASBUILT SBWARD & ASSOCIATES LAND SURVE~
HEREBY CERTIFY .THAT I HAVE SURVEYED THE SCALE:
OLLOWIN6 DESCRIBED PROPERTY:
~~/~~~-~ ' DATE:
ND ~AT NO EN~OACHMENTS EXIST ~CE~ AS
DIOA~D. IT IS THE RES~NSIBILITY OF THE
tN~ TO D~ERMINE THE EXISTENCE OF ANY 6RID~
41CH DO NOT ~PEAR ON THE RE~D~ ~BDI-
S ON PLAT. UNDER NO CIRCUMSTANCES S~
IY DATA H~EON BE USED FOE CONSTRUCTION
FENCE LINES, OR FOR EST~LISHIN6 ~ND- DRAWN:
~Y LINES. ~
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196660, Anchorage, AK 99619-6650
(9O7) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 27, 2000
Expiration Date: Oct 27, 2001
Permit Number: SW000461
Legal Description: MEADOW RIDGE ESTATES TR
Design Engineer: 0070 KND Engineering
Owner Name: Hornbuckle
Owner Address: 21025 Ferndale
Chugiak, AK 99567-
B1
ParcellD: 051-461-02
Total Bedrooms: 3
Site Address: 021025 FERNDALE ST
Lot Size: 260924 SQ. FT.
Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
Ali 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:
Issued By: Date:
~D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
Oct 19, 2000
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Sewer Upgrade - MeadowRidge Estates, Tract B1
Gentlemen:
The owner has requested that we obtain a permit to upgrade the referenced
property's septic field, which has been determined to be in failure. On Oct. 10, 2000
we dug one test-hole for the proposed system. The results of the test are attached.
The general slope of this lot is from east to west at a grade of approximately 2 - 4%,
with a small portion of the yard at 20-25% that will be re-contoured to make the
slope less than 20%.
We have designed our system utilizing the testhole we excavated for the existing 3-
bedroom house. Although the other soil stratas were not percolated, the material
appears to be significantly the same as the percolated strata. The lot is served by
public water. We propose to install a 5' wide trench. 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.
Respectfully submitted,
I1~b41~ Engineering
Kenneth M. Duffus, P.E.
attachments:
On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WASTEV/~TER DT~PIqSAL ~YSTEM ~ETATLS
TRACT Bi MEADIqWRIDGE EST,
,,,,, / /
,,,' / ~ PF1RTIFIN ElF ~., ~ o
] ~'~' \~,X^~;n~,~-n '""..~-A~t4~*,-~. ~,,~EXTSTING
STAND PTP===''==''~-= '"' ~ ~ ~
~~..:.:.{~FPR~ ~E g N E'~'"'".L.¢ CA T ~ ON
'. i:.v '". .......
'.' .,C ...'. ~'...:7' ~ ~ '-,
· ' I' · ~-4X
,.o-~s~ D ' , .......
. PRDPDSED ~
~'~l( ~/~ ~"o~ ~RJVE
~. t~ ~......... ~ .............................
.'. ~. --- ./.
?/
OF ~3J PREPARED FaR,
........................... ?~ ~ ~
~A~ ......... ~ '"'"~ ~ HORN~UCKLE
rm~o aOOKS
~NO~Y: SEWARD o~: VBG
'~a ....................... ~ ~ 's~o"r: S[WARO o'r~: ~O/~Z/O0 D~BD BIVK~, AK gg577-8786
~ ~ ~o~ o~..~, .,~, .........................................`....~.~.~..~~...~~..~.......~.....~......................~.~...........~~...~~~.~...~~~.....~~~......~...~.~~..~
~~ NW1562 ...............................................................................
WELL
3
3
WASTEWATER DISPFISAL SYSTEM
TRACT B! MEADBWRIDGE EST,
17
18
TI
DETAILS/SITE PLAN
HDRNBUCKL£
21025 FERNDALE
CHUGIAK. AK. 99567
(907) 688-6777
~F~ELD BOOKS
o~.o^.Y: SEWARD o.^~: VBG
ST~ING: SEWARD m~Eo: KMD
ASBUILT: SEWARD
^c~ riLE: 00061.DWG
0/17/00
NW1562
00061
Sca[e: 1'= 100'
PAGE 1 OF 8
]~) ENGINEERING
~044! PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)698-6111/PAX (007)696-8111
~ILS / .'
3 BDRM X 150 GPD = 450 GPD
450 GPD/1.2 GPD PER SI], FT, (4 MIN/IN.)= 375 SI], FT
(375/5'(W)) X .7(RF) (~,0' GRAVEL) = 52.5 FT. TRENCH
USE 1 TRENCH - 53 (L) X 5'
TotQL depth o~ syste~ is~r~.2~o~ o~igin~[ g~Qole.
Total clep~h oF g~veL IoeJo~"c~i~ibuSo~ pipe is P.O' .
NOTES:
1. RELrICATE EXISTING lO00 GAL. SEPTIC TANK.
INSULATE IF <4' DF COVER.
P. INSULATE TRENCH WITH ;::'" HD DURIAL FOAM.
3. CONTRACTOR WILL ENSURE MINIMUM 2X SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN, 3' COVER IF REI]UIRED.
5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS & SEPTICS,
PREPARED FUR:
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
Performed for:
Project:
Depth
(Feet)
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
SOILS PERCOLATION TEST
LINDA FRANK
Meadow Ridge Tr B1
Org/SM - Rootmat
Loose reddish brown
GP/GW -brown sandy gravel
Date Performed: 10/10/00
TEST HOLE # 00-1
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO
Depth to water after monitoring? N/A
What depth? N/A
Date? ~F).O
GP/SP - boulders to 10', gray
Sand silty clay, more dense
With depth ~ ~/F--
-- B.O.H.
Hole presoaked prior to test
Reading Date Gross Net Depth to Net
Time Time Water Drop
1 10/10/00 10:45 7-1/2"
2 10:47 2 rnin 6 1/4" 1-1/4"
3 10:49 2min- 5-1/2" 3/4"
4 11:01 2 min 5" 1/2"
5 11:03 2min 4-1/2' 1/2"
6 11:05 2 min 4" 1/2"
7 * 11:10 7-1/2"
8 11:12 2 rnin 6-3/8" 1-1/8"
9 11:14 2min 5-1/2' 7/8"
10 11:16 2 n~n 5" 1/2'
11 11:18 2rain 4-1/2" 1/2"
12 11:20 2 rain 4" 1/2"
· Water Added
19-
20-
Percolation Rate 4 (rain/in) Perc Hole Diameter 6"
Test Rrm Between 3__ feet and __4 __ feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines 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 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. 051.461-02
1.
GENERAL
INFORMATION
Complete legal description ,Uead6'~ Ridge
Expiration Date:
Estates Tract B1
Location (site address 0r directions) 21025 Ferndale, Chugiak, AK 99567
Current Property owner(s)'; H0rnb,uCkle .... Day phone
Mailing address
Lending agency
Mailing address
21025 Ferndale~Chugiak, AK 99567
Day phone
Real Estate Agent
Linda Frank
Day phone
4
Mailing Address
Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by:
NUMBER OF BEDROOMS: 3
TYPE OF WATER SUPPLY:'
Individual Well
Individual Water Storage
Community Class
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
[] 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 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.
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verity that my inw;stigalion
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
adequate for the number of bedrooms and type of structure indicated herein. I further verity that based on tile
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 ;~nd State
bodes, ordinances, and.regulations in effect at the time of installation.
Name of Firm K'ldn I=ngil3e~.rin0
Address ~n44~ Pf~rmio~n I:~1~_ Riva, r, AK
Engineer's Printed Name I(~nn~fh
Phone ~-q~-R111
Date. ~ ~/n?/~nnn ......
DHHS SIGNATURE
~ Approved for ~
Disapproved.
Conditional approval for
Bedrooms, with tho followino stipulations:
~TA~P
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Expiration Date: ! ! - ~'~ ~ /
(Rev, 11/99)
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: /
Reissue Date:.
Legal Description:
Municipality of Anchorage
Department of Health and Human
Division of Environmental Services '''-'~ E I V E
on-site services section 825 "L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us NO~J 0 '~ 2000
(907) 343-4744
MUNICIPALITY OF ANCHOEAGE
HEALTH AUTHORITY APPROVAL CH~RI~TAL SERV~CESD~WS~ON
Meadow Ridge Estates Tract B1
A. WELL DATA
Well type Public
Date completed __
Total depth
Date of test
Static water level
Well production
If A, B, or C provide PWSID #__
Sanitary seal ~__
Cased to fi
FROM WELL LOG
WATER SAMPLE RESULTS:
Coliform colonies/100 mi
Date of sample:
B, SEPTIC/HOLDING TANK DATA
Tank Type/Material Steel
Date installed .10/28/2000 Tank size
Cleanouts ¥ Foundation cleanout ¥
Date of pumping Pumper
C. ABSORPTION FIELD DATA
Date installed
Length 56.3
Total depth 4.25 ff
ft
,g.p.m
Nitrate
Collected by:
mg/i
Parcel I.D.: 051-461-02
Well Log __
Wires properly protected __
Casing height (above ground)
AT INSPECTION
in,
g.p.m
Other bacteria
colonies/100 mi
(Rev. 11/99)
Date of adequacy test Results (Pass/Fail) For 3 bedrooms
Fluid depth in absorption field before test in ~Water ~ in. '--'-
rT , ----
· ~on treatment (past 12 mo ) (Y/N & type) If yes, give date
Soil rating (g.p.d./ft2 or ft2/bdrm) t.2 System type Trench
fi Width 5 ff Gravel below pipe 2.01 fi
Effective absorption area 375+ ft2 Monitoring tube ¥ Depression over field
1000 gal Number of Compartments 2
Depression over tank _n High water alarm n/a
D. LIFT STATION
Date installed
Size in gallons
Manhole/Access
"Pump on" level at in"Pump off" level at in High water alarm level at in
Datum Cycles tested _ Meets alarm & circ~? __ .....
E, SEPARATION DISTANCES
SEP,~RATION DISTANCES FROM WELL ON LOT
Septic tank/lift station on lot cent lots
Absorption field on lot / On adjacent lots
Public sewer m~-'~ Public sewer manhole/cleanout
SeweCTs~septic service line Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation _10'+
Property line t0'+
Absorption field 10'+
Water main 2,~'+
Water service line
Surface water lnn'+
Drainage 100'+
Wells on adjacent lots ~nn'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 3'+
Building foundation 10'+
Water main 25'+
Water Service line 2.~'+
Surface water lnn'+
Driveway, parking/vehicle storage _2~.i'+ .....
Curtain drain inn'+
F. COMMENTS
G.
Wells on adjacent lots ~nn'+
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 Printed Name I(~nnnfh
Date 11107100
HAA Fee
Date of Payment
Receipt Number
(Rev. 11/99)
Waiver Fee $ / /:_~"~ /-~
Date of Payment
Receipt Number
KND Engineering
ATTN: Kenneth M. Duffus, PE
20441 Ptamigan Blvd.
Eagle River, AK 99577-
November 09, 2000
Subject: Waiver Request forMEADOW RIDGE ESTATES TR B1
Waiver # WR000095 Lot Line Request for Parcel ID 051-461-02
Dear Engineer:
Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater
disposal system to the lot line has been approved. The approved separation distance is 3 feet.
This waiver approval applies to the current on-site wastewater disposal system and lot line
separation only. Any future upgrade to the on-site wastewater disposal system and lot line will
require all separation distances to be met or another waiver approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office at
343-4744.
Sincerely,
Engineering Technician III
On-Site Water Quality Program
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
On-Site Services
Waiver Review Worksheet
WR#: WR000095 PID#: 051-461-02 HA#: HA000565
Date Received: November 7~ 2000
Legal Description: Meadow Ridge Estates, Tract B1
Engineer: KND Engineering
2044'1 Ptarmigan Blvd., Eagle River, AK 99577
Applicant: Hornbuckle
Waiver Requested: Lot-linewaiver
Permit: SW000461
Criteria: 1.
Geology
A. Water Table
B. Soil Sorption
C. Permeability
D, Water Table Gradient
E. Horizontal Separation
2. Special Conditions:
3. Other:
Points:
Total:
Waiver is Granted: .
List Conditions or Reasons for above:
Waiver is not Granted:
Date: j/- ~- O (~
Rec#: 06850 Amount: $115,00
Date Paid: 1'1-7-00