The URL can be used to link to this page

Home My WebLink AboutCHUGACH PARK ESTATES BLK 1 LT 8Chugach Park Estates Block 1 Lot 8 #051-48-147 ' Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: -~ ~ ~'70C) ~ / PID Number: Name: ~~ ~ ~~ ~,~_~ Wastewater System: ~ New ~ Upgrade Address: ~ ~o~ ~3 ~ ~ c~,~ - ABSORPTION FIELD I No. of Phone: ~- a~ 7 ~ ~ D~prrenc~ ~ ShallowTrenc. ~Bed D Mound ~ Other ~il Rating: Total Depth from original grade: LEGAL DESCRIPTION o. 7 Lot: ~ Block: Su~iv~ion: ~ to ~i~ ~om ~m o~ginal grade: Gravel ~epth beneath pipe Township: ~ Range: I S.tion: Fill a**. above original ged*e: Gravel lengt.: Cl~ifiation (Private. A.B.C): Total Oe~t.: Cas~ To: Total abso~tion a~a: Pipe mamnal: Drille~ Date Qrill~: Static Wat~ L~I: In~lle~ Date installed: Yield:IPump Set at: I ~ing Height A~ Ground: S E PARAT! O N D ISTAN CES ~s,,,~ ~ Holding ~ S.T.E.P. To ~ A~n Lift Holding 3u~i~P~te Manufa~ure~ Capaci~ in gallone: From Tan. R~ Station Tank S~ Lin. ~~ ~ Material: Number of CompUmat: Sudace w=t,r ..... LI~ STATION Cu~ain ~ Pump Make & M~el I El~tncal Insp~t~ons pedormeO by: Orain ~ ~ I Remarks: BENCH MARK L~tton and Description: Assume~ Elevation: ENGINEER'S SEAL ~~// ~~ Reviewed and approved by: ~ ~ ~' / ~ ~ Date: ~-~- ¢7 72-013 tRev, 9/91) MOA 25 Permit No. ~ ~ ~ '7 ~ ~ ~ / Page :~ of /"/ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LegalDescription: L. O7-~c .~L./¢ ~-./d-ct~.~-,4. c? ~)4 ~ PIDN( ~' 72-013 A (Rev. 9/91) MOA 25 Permit No. ~ ~/~'7 C~ ~ ~ / Page -~ of c/ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Descril3tion: LO'7 ~ 51../(. ! ~ /qG' (.~t-~f-/ ?,~,~ /~ ~-5"'1'. 72-013 A (Rev. 9/~1) MOA25 Permit No..4 ~-v c~ '7 o o ~ I Page ~ of /7/ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report 72-013 A (Rev. 9/91) MOA 25 MARK HANSEN P.E. HC;02 ~,OX 77,87. ?,,Li.,MEIt, ~.LS~ ggBt5 t9071 7~721 746 4721 ¥,~X (907) 746.4721 Quality Sand and Gravel PO, Box1456 Palmer, AK 99345 May 15, 1997 Project 9717 P.01 Subject' Sieve Analys',s of F~iter Sand Gentlemen 'File follo'w'~ng ~', tho s.c,.,e ar:a:vs:~ or the sample taken 5/14/9.7: Sieve % Pass~¢~g % Required for ADEC Filter Sand Group A Group B #4 100 #10 98 85 -100 #20 73 60 - 90 #40 32 25 - 50 fc6U 8 0 - 15 #100 2 ' ~200 0,7 0 - 5 Coeffic. ler~t of Ljniforr,'~:ty C~ 2 9 Coefficie?~t of Curvat~r¢~ Cc C'. 8 Ap"~ouf'~t passic~g one sieve 41 a~"~d retained or'~ next 85-100 4 Maximum I Ma×imum 45 Maximum l"t'~e sample conforms to both Group A arid Group B specifioatior'~s. Ii '¢o~,1 h@'qe 8r'w queSliOF~$, olease do not hesita(e to call Mark Hanser'~ r.ll_lr-~ i c: i F IL I T'~ iDF Rr-ll]:H~ ~R~]E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. 9950± 264-4?20 ~IELL PEEI£-I IT PEF.:MIT NO. ( 78002i ) LEE SULLIVA~ EAGLE RI'¢ER L8 B& CHI_IGRCH PARK EST RPPL I C:RNT LOCRT I ON LEGAL · ~_. ,. EAGLE R I'¢EF.: PO B 0',,,: · ~ ~' 694 LOT SIZE 56000 SQUARE FEET MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 [:,FLYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS 8RE RVRIL8BLE TO INSURE PROPER INSTALLATION. I CERTIFY' THAT ±' I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH E:~' THE MUNICIPRLIT'¢ OF ANCHORAGE. RPPLI¢:RNT LEE SIJLLIVRN ISSUE[, erlifiei rillittg A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588 OWNER OF LAND /r~/C~- ~oc~.~ ~' ~ DEPTH OF WELL ADDRESS ~ /~oX c:)7~ Cqugr~/< STATIC LEVEL OF WATER FT. LEGAL DESCRIPTION Lo~ ~ d&/< I C~o~c~ ~ ~A~ DOWN FT. DATE-Started / /~//'7~ Ended ~/~ /Tg GALS. PERHR / / / ~ PE~IT NUMBER 3 · O~ ~ / KIND OF CASING KIND OF FORMATION: From O Ft. to ~ Ft. 0 u~,~ ~ a,~O~ ~-~ From__Ft. to__Ft. From ~ Ft. to ~ Ft. S4~ ~ ~ &~& From~Ft. to__Ft. From ~ Ft. to /0~ Ft. ~T ~'~~ From Ft. to Ft From t ~ j Ft. to / 7o Ft. ~ 0 ~' ~'~C From~Ft. to Ft, From ]70 Ft. to 1~'D Ft. ~/~' ,~ From~Ft. to Ft From t~O Ft. to ~[ Ft. ff~O~ C~o~ From Ft. to Ft. From_ ~D / Ft. to ~,)~ Ft. ~<~ ~~ rZ~oc~ From Et. to.~Ft. From ~ :D Ft. to,~ ~ Ft. ~ L m ~ ~- ~ ~<' Fromm. Ft. to. Ft. From ~ ~q Ft. to ~1 Ft. Z ~¢< ~ ~ &e~ ~o~ra~t. to Ft. Ft. to Ft. From .'~[ Ft. to~q Ft. ~r~< ~O C~~g~fr°m FromD~ Ft. to~ Ft. CC~r ~ 6~d~L From~~t. to Ft From '~ ~ ~ Ft. to__Ft. ~o~L/~ From Ft. to.~Ft. From~Ft. to__Ft. From Ft. to Ft. From~Ft. to__Ft. Fromm. Ft. to Ft. From Ft. to Ft. From~Ft. to Ft. From Ft. to Ft. From ~ Ft. to__Ft. From Ft. to_~Ft. From Ft. to.~.Ft. MISCL. INFORMATION: DRILLER'S NAME '~':-': '~ ........ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970091 DESIGN ENGINEER:O & E ENGINEERING, INC. OWNER NAME:RONALD & HANNA FLODIN OWNER ADDRESS:P.O. BOX 672365 CHUGIAK, AK. 99567-2365 DATE ISSUED: 5/14/97 EXPIRATION DATE: 5/14/98 PARCEL ID105t48147 LEGAL DESCRIPTION: CHUGACH PARK ESTATES BLK 1 LT 8 LOT SIZE: 54500 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SANE DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE SAND USED IN THE TWO FOOT FILTER LAYER MUST MEET MOA SPECIFICATIONS OR COME FROM A MOA APPROVED SOURCE. RECEIVED BY: ~ ~ DATE: DATE: STEVEN FLODIN, PE PO BOX 671269 CHUGIAK, AK 99567-1269 PHONE 688-7111 APRIL 27, 1997 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services PO Box 196650 Anchorage, AK 99519 REFERENCE: Lot 8, Block 1, Chugach Park Estates Request you issue a permit to install a septic system to serve the four bedroom house on the referenced property. Two test holes were excavated and percolation tests performed. The approximate location of the test holes are located on the attached site plan. At the time of excavation no water was encoumered in the test holes. The two monitoring tubes within the test holes were checked and found to be dry. Additionally the existing monitoring tube on the lot was checked and found to be dry. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on the neighboring wells, septic systems or drainage patterns by. the installation of the proposed septic system. There are no poims of contamination within the proposed ~vell radius which can be seen on the attached site plan. A well permit was issued on January 24, 1978. The well was drilled on February 2, 1978. Attached is a copy of the well log. If you require additional information, please contact me. Sincerely, Steven Flodin, P.E. Enclosure LOT 9 Exis-tinQ WeLL LOT 8 Existing ",,/eLL LOT 3 VACANT i 0~ RDNAL~ ~ HANNA FLORIN LOT 8 ~LDCK 1 CHUGA~H PARK ESTATES LDT 7 DESIGN CRITERIA 4 BEDROOM = 600 GPO SOILS = ,7 GPD/SQ.FT, 600/,7 = 858 SQ,FT, REQUIRED BED DESIGN 7' DEEP, 2' SAND FILTER (FROM MOA APPROVED SOURCE) 4' DISTRIBUTION PIPES TO BE PLACE]D ON 6' OF .SEWER ROCK WITH 2' OF SEWER ROCK TB COVER ]5' WIDE, 58' LONG INSTALLER NEEDS TO VERIFY ALE EASMENTS, UTILITIES AND PRDPERTY LINES PRIOR TO CONSTRUCTION, ~2z~z C_) I,I Zr-1 ~-- ~] J r~lili (/9 rYL J (_9 L~l [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 g Street, Anchorage, Alaska 99501 :264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: 1 SLOPE SITE PLAN 10 11 12 13 14 15 16 17 18 19 2o WAS GROUND WATER S ENCOUNTERED? /~/O L IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN COMMENTS 72-008 (6/79) [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: ~OT SLOPE SITE PLAN 10 11 12 13 14 15 16 18 5TEVEN ~ FLODIN ~ 420D.E 20 WAS GROUND WATER S ENCOUNTERED? ~/0 l E IF YES, AT WHAT DEPTH? COMMENTS PERFORMED BY: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ / (minutes/inch) TEST RUN BETWEEN ~-- FT AND ~ FT 72-008 (6/79) Municipality of Anchorage Development Services Department , ' . . .~ .Budding Safety Division ·, On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519;6650 www.ci.anchorage.ak.us (907) 343-7904 · CERTIFICATE OF HEALTH AUTHORITY ,~PPROVAL FOR A SINGLE FAMILY DWELL1NG ' Expiration Date: 1. GENERAL INFORMATION Compl;~e legal description ./,,~½ ~ ~'/~' Location (site address or directions) CurrentPropertyowner(s)~'~h~ ~//~/V~/~ ~'/¢~/A/ Dayphone, Lendin'g agency _~'~"'~vot, f~,~' "'~,q/dK, Dayphone Real Estate Agent ,~x'/,¢¢~ ~/~/','t/,'5c~ Day phone Unless othe~vise requested, HAA will be held by DSD for pickup. 2. 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 Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragr~'-ph 5 by an independent professional civil engineer registered in the State of AJaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. 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 re;'~sued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties 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 englneer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Inve.'stigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) sa[e, 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in ,effect at the time of installation. Phone 7 Date 5. DSD SIGNATURE Approved for Disapproved. Conditional approval for bedrooms.' ENGINEER'S STAMP bedrooms, with the' following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ~-"". c,/. 01 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 v~v.ci.anchorage.ak.us (907) 343-7904 Legal Description: WELL DATA Wall type ~l~,c Date completed ~hh~' Total depth ~OZ lt. Date of test Static water level HEALTH AUTHORITY APPROVAL CHECKLIST · d If A, B, or C provide PWSID # Sanitary seal (Y/N) FROM WELL LOG g/75 lt. Well production WATER SAMPLE RESULTS: Coliform [/~ colonies/100 mi. Date of sample: ~./~/t~/ SEI~rlCfflOLDING TANK DATA Tank Type/Material Tank size J~ gal, Foundation deanout (Y/N) Date o,f pumping I/ we, Log (Y/N)), Wires property protected (Y/N) Casing height (above ground). AT INSPECTION g.p.m. Number of Compartments Depression over tank (Y/N) Pumper J~'3 .. colonies/100 mt. / Date installed ~/~'/~7 Cleanoute (y/N) / High water alarm (Y/N) C. ABSORPTION FIELD DATA System type ~_/'~ 2~ Length ~'~ lt. Width /,~ ff. Gravel below pipe ~o ~' ff. Total depth g(,I .. E.. a~sorptio, a~ 67/) f~ Monitoring tube ~ Depression over.eld Date of adequacy test '/~?/~/'' ~Resul~,~Pass/Fall) ~ -- For ~ bedroems~ Fluid depth in .bserption flald befere =, J~tn.~/~ '~ %ter addad~ gai. New dept~i~. ~1~ · Elapsed Time: ~1~ rnin. Final fluid depth ~in.TM Absorption rate >= "/,.,2~ g.p.d. Any rejuvenation treatment (past 12 mo.) (y/N & type) fle If yes. give date O. UFT STATION ~ Size in gallons~ ~/N) E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot ' /D~ _4* Absorption field on lot IZ~? Public sewer main Sewer/septic sen, Ice line "],~ On adjacent lots /00 / 'l- On adjacent lots /~)0 I 4- Public sewer manhote/cteanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~ ?/_F property line Water main ~1/6,... Water service line Wells on adjacent lots /O.P / ~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line. Water Se~ce line. ~ 7 Curtain drain Building foundation ~0 Surface water /']/A. Wells on adjacent lots Absorption field / ~,~' / ~ Sudace water ~/~.~ Water main D~iveway, parking/vehicle storage F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I ha~ dete~d ~m~h fie~ ~ a~ m~ew of Munid~ m~s ~m ~e a~ s~ms am ~ .n~.en~ ~ MOA ~ g~ellnes ~ effe~ ~ ~ data. (Rev. 12/~0) ' - , Adequacy Test Kimbedy I. Mahoney, PE PO Box 770224 Eagle River, AK 99577 Date Test Began Date Test Complete Client's Name Address Property Legal and Physical Address rest Data I Accum Water Ht Water Ht Meter Time GPM Total Gal in Tank PiUFLD Comments Start 7',/~' ~o ~ 7/~'~-~-~-" ' '// ~,:r I~: /'1 ~,5I~¢ 7/ ~.~ II ;~1~ ¢. ~ ~t/ 7`/ j1'.55 ,~,5 b~to71//z r~Yz ~:o~ Test Performed by: Pa~e 1 of I Adequacy Test Date Test Began: We~l Depth: ,'~oz / Static Water Level (top of casing): Client's Name Address Property Legal and Physical Address Ddller: Casing: Date: Kimbedy I. Mahoney, PE PO Box 770224 Eagle River, AK 99577 ,/~, , , ~t,, t,~'#~,/ Date Drilled: ..~02_ ~ screen: ~,'~,~.,,~ Test Data Elapsed time since pumping Depth to~ Pumping Meter Time started/stopped, min. water, ft. /1:{ecover,/ Rate, GPM Remarks Start q '. q ~1 ~ i,./~ q:~,/ 4o ~0:~q 15 /,¢k ~ ~, 7~ /5-z ~,/_ ,n :/'/ 25 //-//~ 0 ¢, q ,/~.~7 /_~ .. i ~ 30 ? 45 /,',,~' 2_ ~, z /s--~,¢Z /0 :$q ,5o /q~' Z ro :'-/q55 I'¢~' //: I '79o /~/7 I ¢,,5 ,~-~-Z /I '-"/~420 ~,O 180 240 Recove~7 ~ '.0.~ 10 , Ifll~ 15 20 25