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HomeMy WebLinkAboutDEER PARK BLK 3 LT 9beer Pork Lot 9 Block 3 #051-042-47 Municipality of Anchorage Page 1 of 5 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: SW000424 PID Number: 051--042--47 Name:sONYA WHITE Wastewater System: [] New · Upgrade Address: 22375 DEER PARK DRIVE CHUGIAK, AK 99567 .~ .ABSORPTION FIELD No. of Bedrooms:4 r~ c~(~h Ph°ns:(907~ 244--4540 ep Tren pilaw Trench [] Bed [] Mound []Other LEGAL DESCRIPTION o.6 s.~/~. ~ 8.5-9.5 .. 9 5 DEER PARK 0.94-1.94 r~ 7.56 -- -- -- 1.5--2.5 r~ 67 0ravel wklth: Number of linee~ Ioiatanoe between lines: WELL: [] New [] Upgrade .~ 2.5 FL 1I - 1015 ASTM D-5054/F-810 ~Ft, FL SQ. FL O,~,le~ ~ -~t. o,,e,: moU= Wore. L...b rn'*°"e~REEN GENERAL oot. inatelled: 10/10-11 O0 TANK SEPARATION DISTANCES · Septic [] Holding [] S.T.E.P. To Septic Absorption Lift Holding Publlc/Prlv.te From Tank Reid Station Tank Sewer Lines ANCHORAGE TANK 1250 Well 100'+ 100'+ - - 25'+ STEEL 2 Surface 100'+ too'+ - - - LIFT STATION W(3ter Lot 5'+ 10'+ - - -I Line Foundation 5'+ 10'+ -- - NONE KNOWN Drain I Remorks: BENCH MARK BO~q-OM OF SIDING AT POINT "B" 100.00 c,F Inspections performed by: AWWC, INC. Dates: 1st ~o/~o/2ooo~,~ ;..' ~/, ~ ~._, ~ ~2p.q[~ 2nd lO/11/2000 3rd 10/11/2000 I-p '": '" ~ru, A."Gac~.ss."" ~/~ . ~ -7953 .."~ Department of Health and Human Services approval '{~t=~ ' "-1 ........ '"'o~ ¢~.~ >~ Reviewed and approved by: ~¢-.~¢~/~ /c/. /4:)~ Dote: /E)-/7-oC ~;~o~',~: A S - B U I LTD R AWl N G I ST2 44.0 62.4 .-- I ~///////~ I 001 39.4 64.2 MT1 41.1 65,4 ' 10/13/2000 A B ST1 37.2 57.5 ST2 44.0 62.4 DBL1 4-5.5 63.5 DBL2 47.1 64.6 FCO 8.0 19.7 C01 39.¢ 64.2 MT1 41.1 65.4 C02 89.4- 103.3 MT2 86.9 100.9 AI.ASI(A WATER & WASTE~VATER c.,xG. ::: CONSULTANTS, iNC. ~~ ~CAL£: PREPARED FOR: PHONE NUMBER: PAGE NUk~BER: SONYA WHITE (907) 244-4540 2 OF 5 LEGAL DESCRIPTION: DEER PARK SUBDIVISION; LOT 9, BLOCK 3, I'¢PE OF WORK: AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE F FIkL¢ ~ ~ ~ (AV~.) 5~P~C MfCO - 8LII (AV~,) ~SI~ WATER & WASTEWATER c.~.~. SONYA WHITE (gO7) ~44-4540 DEER PARK S/D~ LOT B, BLOCK 3, ..~. ......... PROFILE DRAWING OF SEPTIC SYSTE~ UPGRADE 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: Oct 05, 2000 Expiration Date: Oct 05, 2001 Permit Number: SW000424 Legal Description: DEER PARK BLK 3 LT 9 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Sonya White Owner Address: PO Box 672389 Chugiak, AK 99567- Parcel ID: 051-042-47 Site Address: 022375 DEER PARK DR Lot Size: 42158 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] 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: Issued By: Date: Date: ALASI WATER & WASTEWATER September 26, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic System Upgrade for Lot 9, Block 3; Deer Park S/D To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The existing septic system consists of a 1500 gallon septic tank and "5-wide" type drainfields. The existing drainfields are completely surcharged and must be upgraded prior to the sale of the house. A test hole was excavated west/nm~hwest of the existing septic system. The proposed upgrade will be designed around the 30 foot radius of the test hole. We are proposing that a new 1250 gallon septic tm~k and a deep trench type drainfield be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached is a soil log which shows the soil profile, and the percolation test results. It is our opinion that a 0.6 application rate should be used due to the visual appearance of the soils 2. TRENCH DESIGN: a. Percolation Rate: 13.3 minute/inch b. Allowable Application Rate: 0.6 gallon/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1,000 ft2 f. Maximum depth: 9.5 feet g. Effective Depth: 7.5 feet h. Width: 2.5 feet i. Length: 67 feet k. Effective absorption area - 1,005 fl2 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 - Ph: (907)337-6179 ~ Fax: (907)338-3246 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 a proposed trench is to be installed on a slope that runs from approximately east/southeast to west/northwest at a 15 to 20 percent grade; in short, there are no slope concerns. The trench is to be installed parallel to slope contours. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerelyl/ JF~ .~]arness, P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, one soils log, and a 7 page construction specification letter which are all part of the design package for this' septic system. 6901 Deban' Road, Suite 2B ~ Anchorage, AK 99504 - Ph: (907)337-6179 - Fax: (907)338-3246 /i I '~ \ ~ ~ / /// APPROX ~TE~ LOT 5, BLOCK 2, ~~ ~ --..... ~ SE~C 9/26/2000 Al AS~ WATER & W~TEWATER C.J.G. PREP~EO FOR PHONE NUMBER: PAGE NUMBER: SONY, WH~T, (gO~) ~-~0 1 DEER PARK SUBDIVISION; LOT 9, BLOCK 5 ~E OF WORK: SITE P~N SOR PROPOSED SEPTIC SYSTEM UPGRADE ~ ~ ~ ,'~ ~CAVAT/ A TRENCH ~T IS /R ~/ / ~ / TH~I~/~ J ~ ~ ///BE USED ~ A RESERVE see NOTE: THE CON~CTOR E 100 FOOT WE~ ~IUS ~ggEg ~ x D~WN BY: 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK. 99504- . I SOIL LOG- PERCOLATION TESTI LEGAL DESCRIPTION: DEER PARK S/D; LOT 9, BLOCK 3, ~''"i ..... r~F" ~"-'"~""t""( PERFORMED FOR: SONYA WHITE DATE PERFORMED: 9/18/00 O~A~CS TEST HOL£ #1 DEPTU ~ (fee~ i ,~11 SOIL OLASSIFICAIIONS GW ~ GP ~ ML ~ GM CL i GC OL SW MH ~ SP CH  SH ~ OH SITE PLAN ~ SC = O0 GM/SM/ML DEPTH TO DATE MIX 3ROUNDWATERI DRY 9/18/00 DRY 9/26/00 10 11 DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TINE (HINUTES) READING (INCHES) 12 9/20/00 1 __ 5:30 __ 6" 2 4:00 30 3 3/4" 2 1/4" 13 3 4:00 6" 4 4:30 50 3 3/4" 2 1/4" 14 5 4:.30 6" __ 6 5:00 30 3 3/4" 2 1/4" 15 -- 15 _ _ __ 17 __ 18 19 PERCOLATION RATE 13.3 (HIN./INCF PERC. HOLE DIA. 6" (INCHES) 20 TEST RUN BETWEEN 7.0 , ,..~.,~.., 7.5 FT. COMMENTS: PERC-HOLE WAS PRE-SOAKED FOR 4+ HO/~E /~UN~GUIDELINES IN EFFECT' CERTIFY THAToN THIS DEPTH TO DATE 3ROUNDWATEF DRY 9/18/00 DRY 9/26/00 PERFORMED BY ALASKA WATER & WASTEWATER I, ~) THIS WAS PERFORMED I~ ACCORDANCE WITH ALL STAlfC-~' DATE. DATE: ¢4/,A///~0 Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING 051-042-47 1. GENERAL INFORMATION Complete legal description DEER PARK SUBDIVISION: LOT 9. BLOCK Location (site address or directions) 22375 DEER PARK DRIVE CHUOIAK. AK 99567 Property owner $ONYA WHITE Day phone (907) 24-4-4540 Mailing address 22575 DEER PARK DRIVE CHUGIAK. AK 99567 Lending agency Day phone. Mailing address Agent LAURA HAMILTON W/ PRUDENTIAL VISTA Day phone (907) 689-6506 Address 16635 CENTERFIELD DRIVE EAGLE RIVER. AK 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: ff community weft system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding Tank Community on-site Public sewer NOTE: xxx If community wastewater system, provide written confirmation from State ADEC lng to the legafity and status of system. 72-025 (Rev. 1/91 ) Front MOA #21 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $2620.00 at, or prior to, closing for the engineering services provided. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation data 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 fifes and from my investigation and ins ~,ction, the on-site water supply and/or wastewater disposal system is in compliance with all Munici i~nd State codes, ordinances, and regulations in effect on the date of this inspection. of Firm ALASKA WA'T'~ &/~/AS~, ER CONSULTANTS, INC. Phone (907) 337-6179 Name Address 6901 DEBARRF/OAD,IS¢I~'¢'2¢.//~ "-,HORAGE, ALASKA 99504 , / Engineer's Signature L~C/~/tt~vv~J~ ~ Date /o/~3//~ In conducthlg this evaluation, AWWC, In~/ ~tecYpted to""] ,vide a thorough, conscientious engineering analysis of the system in accordance with ADEC and M~)~/DP~S Guidelines & Regulations. The reported results described the performance of the system under the condltion~ encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of afl wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty for future estimate of how long the system w~ll continue to meet the operational requirements of the ADEC or MOA DHHS. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DHHS SIGNATURE P/" Approved for Ur Disapproved Conditional approval for bedrooms bedrooms, with the following stipulations: Additional Comments By: /¢.¢../../'..~ ...., J /.Z~.. ~ ~ Date / O - / '7 - O O 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 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. 72-025 (Rev. 1/91) Back MOA #21 Compu{er Version Legal Description: A. WELL DATA Well Type PRIVATE Log present (Y/N) Total depth 129' Sanitary seal (Y/N). RECEIVED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICEoScT Environmental Services Division 1 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744 MUNICIPAUTY 0F ANCHORAGE Health Authority Approval Checklis[ NwRc ENTAL SEP, VICES DtVISION DEER PARK S/D; LOT 9, BLOCK 5, ParcelI.D.: IfA, B, or C, attach ADEC letter. ADEC watar system number YES Date completed Cased to 128' 2" YES Nitrate 051-042-47 Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 Date of sample: 10/5/00 B. SEPTIC/HOLDING TANK DATA Date installed 10/10-11/00 Tanksize Foundation cleanout (Y/N) Date of Pumping NEW C. ABSORPTION FIELD DATA Date installed 10/10-11/00 Length 67' Width Effective absorption area 1015 SQ.FT. Date of adequacy test NEW YES Pumper - N/A FROM WELL LOG 6/10/81 94' 50 6/10/81 Casing height (above ground) * 12+/- Wires pro,oedy protected (Y/N) YES · WELL GRADED AROUND CASING AT INSPECTION 9/29/00 102' g.p.m. 6.09 g.p.m. 0.79 m.q/L Other bacteda 0 Collected by: A.W.W.C., [NC. 1250 Number of Compartments 2 Cleanouts (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) N/A Soil rating ~or ft2/bdrm) 0.6 2.5' Gravel thickness below pipe Monitoring Tube present (Y/N) YES Depression overfield (Y/N) Results (Pass/Fail) - For 4 *BELOW FINAL GRADE 'System type TRENCH 7.56' Total depth .10.5'-11.0' Fluid depth in absorption field before test (in.); Fluid depth - (ins) Minutes later: Peroxide treatment (past 12 months)(y/N) 72-026 (Rev. 3196)* Computer Version - Immediately after - gal. water added (in.): __ - Absorption rate -- - - If yes, give date - NO Bedrooms D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons "Pump on" ~' level at* 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 100'+ __ On adjacent lots 100'+ . Public sewer manhole/cleanout N/A __ Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5% Property line Water main/service line 10'+ Surface water/drainage 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation Surface water 100'+ Curtain drain NONE KNOWN F. ENGINEER'S CERTII~I~A'~; I certify that/hE ~r/~n~ ti ~ field inspections and review of Munic/pa/ r~.on ~/th~ /~bc s systems are in conformance with MOA HA~ gu ,i~v~ f~n this date. Signature "---' Engineer's Name NI JEFFREY A. OARNESS Date / 0 I ~ Absorption field Wells on adjacent lots 5'+ 100'+ 10% Water main/service line 10'+ Driveway, parking/vehicle storage area 25% Wells on adjacent lots 100% HAA Fee $ '*~,~,/~.~,C).OLd2 Date of Payment /'f__)-~/~- OC> 72-028 (Rev, 3/98)* CompuIer Verslon Waiver Fee $ Date of Payment Receipt Number ,.10-05-00 12:19 FRO~CTE ENVIRONMENT^L ? 5615301 T-070 P.01/02 F-820 CT&E Enviro.nmental Services Inc. Laboratory Divtsion 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907) 561-5301 CT&E Ref. #: Ctient Name: Project Name: Client Sample ID: Matrix: 1006112001 AK Water & Wastewater Cons. Deer Park Lot 9 BIk 3 Ddnking Water PWSID n/a Sample Remarks: Client PO#; nla Printed Date/Time: 10/05/00 12:00 Collected Date/Time: 10/03/00 11:27 Received Date/Time: 10/03/00 14:30 Technical Director: Stephen Ede Released By: ~ Parameter Results PQL Units Allowable Prep Analysis Method Limits Date Date Init Total Coliform (MF) 0 co11100 mi Nitrate 0,79 0.5 m§/L SM9222B 10/03/00 KAP EPA 300 10.0 10/03/00 SCL