HomeMy WebLinkAboutKARIANNE HEIGHTS LT 3AKorrionn¢
Heights
Lot 3
#017-091-61
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825'L' Sb'eet Room 502
P.O. Box t9~650 Anchorage. AK 99519-6650 Page
www.ci.enchorage.ak.us (907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: _l~,~J~.~.t~ 0oo~-I"~. PID Number:.
~ g%t"'~Y..., ~-,=,,e I( WastewaterSystem: ~.New r~Upgrade
~'" O ~&/ [~2~,t'l-Crre[~_~ ABSORPTIONFIELD
LEGAL DESCRIPTION /, 2.-
Well: I~w ~--,,,,h,.~ E] Upgrade ~:~ O ,. /
SEPARATION DISTANCES ~ Sept~ ~ Ho~ing ~ S.T.E.P.
Septic A~ption LiR Holding Publ~r~h
Tank gieU Station Tank S~ Li., ~e~ T~
~., too t~ too ~4 { ~ ,/ LIFT STATION
~:"'"1" G~2h
F?' ~
Inspe~ionspedo~edby: ~c~[~.{,,~ Dates: 1~ o '~~~"~
2~ ~,fo.
Depa~ment of Health and Human Se~ices approval
R~w~d~.d~pp,owdbv:~~ O~t~: I--/~'Ot
'""'"" ~/F - / ',":._
Permit No. SW000042 Page 2 of 2
Municipality of Anchorage
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
Legal Description: LOT ,5 KARRIANNE HEIGHTS S/D
CRND P{PE
MARK A B [LEV. ELEV.
CO1 2.2 25.3 99.6 96.9
C02 10 23.8 99.7 97.1
'TC01 12.5 35 99.6
TC02 21 42.4 99.8
CO3 24 45.5 99.5 96.7
C04 25 47 99.6 96.7
C05 57.9 75.9 98.8 96.1
C06 lot 104.5 98.9 96,18
MT 69 80.5 99.1
10' UIILIIY
/
iscco.o)~
N£W 1,250 GALLON 01
AV[NU[-
SCALE: 1"=60'
WILL
PID No.: 017-091-61
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
Renewal
Date Issued: Apr 05, 2000
Expiration Date: Apr 05, 2001
Permit Number: SW000042
Legal Description: KARIANNE HEIGHTS LT 3 REM
Design Engineer:. 0041 AK Water & Wastewater Consulta
Owner Name: Rick Farrell
Owner Address: 6767 Double Tree Court
Anchorage, AK 99516-0000
Parcel ID: 017-091-61
Site Address: 006861 RABBIT CREEK RD
Lot Size: 40952 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
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 ( 18MC72 ) and Drinking Water Regulations ( 18MC80 ).
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.
PAGE ! OF 1
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 (UPGRADE) PERMIT
PERMIT NUMBER:SW960377
DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES
OWNER NAME:SCHOONOVER JOANN 50% &
OWNER ADDRESS:14720 RABBIT CREEK RD
ANCHORAGE, ALASKA 99516
DATE ISSUED:12/16/96
EXPIRATION DATE:12/16/97
PARCEL ID:01709161
LEGAL DESCRIPTION:
KARIANNE HEIGHTS LT
3 REM
LOT SIZE: 40952 (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 (18AAC8Q).
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 SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS: ') _ /
RECEIVED BY:
ISSUED BY:
DATE:
DATE:
September 3, 1996
Alaska Water & Wastewater
8471 Brookridge Drive ~ Anchorage ~ Alaska 99504
(907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
Municipality of Anchorage
Department of Health & Human Services
Division of Environmenlal. Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
~UNtCIPALIIY OF Ab,K;}'IORAGt''
....... VC~P~ Oh
DEC 0 $199B
RECEIVED
Re£ Sewer Permit for Lot 3, Karianne Heights.
To whom it may concern:
The subject lot has a burned out structure on it which is going to be rebuilt. The new house will
have 4 bedrooms, and will be served by the existing well, and a new septic system. The old septic
system is undocumented and will be abandoned. Comments regarding the new septic system are
summarized as follows:
I. Soils: Test hole itl consisted of 18 inches of overburden/silt underlain with 2 feet of silty
gravel, & 7.75 feet of silty sandy gravel. The bottom 12 inches of the test hole was silt, which
was assumed to be impermeable. The soil, at a depth of 5-5.5 feet, perked at approximatel~ 4
minutes per inch. No groundwater was encountered.
Test hole it2 consisted of 18 inches of overburden/silt underlain with 2 feet of coarse gravel, and
7.5 feet of sandy gravel. The bottom 12 inches of the test hole was silt, which was assumed to be
impermeable. The soil, at a depth of 4.5-5.0 feet, perked at less than I minute per inch (,.96
minutes per inch without presoaking). No groundwater was encountered. Since the grcn'el soils
are underlain by silt (bottom 12 inches of test hole) I am proposing to install a shallow trench
system without a scmd filter.
2. Trench Design:
a. Percolation Rate: l-5minutes/inch
b. Application Rate: 1.2 gallondday/ft2
c. Number of Bedrooms: 4
RECEIVED
DEC 0-3 1996
Municipality of Anchor'age
Dept, Health & Human Sen/Ices
d. Design Flow: 600 gallons per day
e. Minimum Absorption Area: 500 ft2
f. System Type: $ wide trench
g. Effective Depth: 3 feet
h. Total Depth: $ feet
i Width: $ feet minimum
j. Reduction Factor -- .58
k. Length: 60 feet.
I. Effective absorption area -- 517 ft2
3. Surface Waters: There are no surface waters within 100 feet of. the'proposed septic' s~;stem.
4. Slop~: The lot is generally flat, consequently, there we no slopes in excess 0f25% within 50
feet of the proposed trench.
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 on my digital'pager at
1-800-481-1162. Thank you for your assistance.
Sincerely, ///
J~. e;~, P.E., M.S.
Pfinc~fl
Mike Layton Design.wps
RECEIVED
· 'DEC 03 1996
Munici~ality of Anchorage'
DepL Health & Human Services
.~E:PT IC ~
~ L ~PllC
VACANT U~T.
LJ3T 3, BiO!
Pv'r. VI:U. &
~:PTIC
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SEPTIC UPGRADEI
PREPARE~ FDR~
PREPARE~
~ATE~ 9/3/96
LOT 3, KARIANNE HEIGHTS
MIKE LAYTDN
ALASKA WATER & VASTEVATER SERVICES
.. I ~RA~N, GARNESS ISCALE, 1' = 100'
W
Z
NORTH PROPERTY LINE
UTILITY EASEMENT
PRIMARY TRENCH
60 FEET LONG,--~
NOTE, CONTRACTOR SHALL
BE RESPONSIBLE FOR
LOCATING THE UTILITY
EASEMENT AND LOT
LINES, IN ADDITION,
THE CllNTRACTOR SHALL
VERIFY THE SEPARATION
DISTANCE TO A]3JACENT
WELLS PRIOR TO INSTALL-
ING THE SEPTIC SYSTEM.
TH
60 FEET LONG.
,T.
C/O,
;/0
NEW 1250 GALLON
SEPTIC TANK,
PVC (B3034)
SLBPEB AT 1/4'
PER FOOT.
C/n
THERE IS AN OLD SEEPAGE
PIT TB THE NORTH OF THE
HOUSE, THE CONTRACTOR
SHALL REMOVE TOP AN]3 FILL
WITH SOIL.
GENERAL LOCATION
OF DRIVEWAY AN]3
PARKING AREA,
WELL
·
SEPTIC UPGRA]3E,
PREPARED FOR'
PREPARED
DATEI 9/3/96
LOT 3, KARIANNE HEIGHTS
MIKE LAYTBN
ALASKA WATER & WASTEWATER SERVICES
]3RAWN, GARNESS SCALE' 1° = 30'
CE-7953 ·
THE TRENCH SHALL HAVE A MINIMUM LENGTH OF 60 FEET, AND A TOTAL
EFFECTIVE ABSORPTION AREA OF $17 SQUARE FEET.
MONITORING TUBE CTYPJ
PERFORATED IN DRAINROCK.
["~BACKFILL WITH NATIVE SOIL AND MOUND.
[TOPSOIL& RESEEDINO SHALL BE RESPONSIBILITY
OF THE PROPERTY OWNER.
PROVIDE 2 INCHES OF BOARD INSULATION
IF SOIL COVER IS LESS THAN $ FEET.
INSULATION SHALL COVER THE- ENablE'
WIDTH OF THE TRENCH.
FABRIC 81LT BARRIER
DRAINROCK SHALL Bi
SCREENED PER M.O.A
SPECIFICATIONS. ~
' · ' * ' ,*. ,. ' . . , PERFORATED PIPE. HOLES
~ I ENTIRE WIDTH OF TRENCH.
~ 6 F~T W{~ b~ PIPE SHALL B~ IN~ALLED
NOTE: J- I LEVEL' ~WITHIN .Of FEET).
TRENCH SHALL R~ PARALLEL' TO THE SLOPE CONTOURS;'
FOR LOCATION OF CLEAN-OUT~ AND MONITORING TUBE~
SEE THE SITE PLAN.
3. CON~TUCTION PRACTICES, A~ MATERIAL SPE~FICATIONS
SHA~ COMPLY WITH ANCHORAGE MUNICIPAL CODE 15.65~
· WASTEWATER DISPOSAL REGULATIONS% I IONS
4.INSTALLATION SHALL COMPLY WITH SPECIAL PROV S
NOTED ON THE SEWER PERMIT. '
~. SMEARED BOTTOM AND SIDEWALLS SHALL BE RAKED ..... ~
6. BOTTOM OF TRENCH ~HALL BE LEVEL. 2 INCH MAXIMUM I ~~, I
PERFORMED FOR:
L~GAL DESCRIPTION:
1
2
3
4
5
7-
8-
10-
12'
~3-
~4-
~5
16
17 ~',
18
10
20
DEPARTMENT OF HEALTH & HUMAN SERVICES ......... ~ /
SOILS LOG -- PERCOLATION TEST r~ ~j~,,~o~- ~.~1~~.~-.~ ~.~
DAT~ PER~ORM~
~ ~1~ Township. Range. Section: ' . .
SLOPE ."SITE P~AN
WAS GROUND WATER
ENCOUNTERED? ~) ,
IF YES. AT WHAT
DEPTH?
PERCOLATION RATE '~* I '~J'(m)nuleSAnchJ PERC HOLE DIAMETER
TEST RUN BETWEEN '~"~ ..ETAND''~'''*~ FT. - '
72-0~8 (Rev. 4/85}
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERPOR,VIED FOR:
LEGAL DESCRIPTION: L.,O'~ '~'D ~ I ~3.,'~J/~/~---,
1
2
3
4
5
6
7
8
9
10
tt
12-
14-
15-
16-
17-
18-
19-
20-
~OMMENTS ~t - ~.._ t..o ~,v ~'J3
. DATE PERFORMED;
Township, Range, Section:
SLOPE .' SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES. AT WHAT /%)k pO
~anltorlno? ,. Dal~ ,,
~ERCOLATIOt~ RATE
TEST RUN BETWEEN
~ '~' (minuteSJinch) PERC HOLE DIAMETER
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., C)[,c~-. -oql - C [
1, GENERAL INFORMATION
Com'plet'e legal description
HAA# O I O O I r,,
Expiration Date:
Location (site address or directions) ~'~ ~'~
Curr~nt P.'roperty owner(s)
Mailing address ~--_~,~,,
Lending agency
bay phone
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by:
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class
Well
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
[] Individual Holding Tank
[] Community On-site
Public Water System
[] 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 cf 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 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 engineer's work.
72.025 (Rev. 01.'00)'
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 investigation
based on procedures outlined in the Health Authority Approval Guidelines for the Health Authority Approval
application show 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 im;estigation and inspection, the on-
site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State
codes, ordinances, and regulations in effect at the time of installation.
Name of Firm
Address ~(,' ~,
Engineer's Printed Name
DHHs SIGNATURE
. [/ Approved for Lit- bedrooms.
Disapproved.
Conditional approval for ~
/'~. J~g'ev~_o~ P,a. Phone
A
bedrooms, with the following stipulations.
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Expiration Date:
Original Certificate Date: _ ./-- ] ~' -/'3I
Reissue Date:
75.025 (Rev. 01,~0)'
'Municipality of Anchorage ·
Department of Health and Human Services
Division of Environmental Sewices
On-Site Services Section 825 q." Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-4744
Legal Description:
HEALTH AUTHORITY APPROVAL CHECKLIST
Parcel I.D.:
A. WELL DATA
Well
Date completed ~wJ~v,v~ Sanitary seal
Total depth cf0 It Cased to
If A, B, or C provide PWSID #
¥
FROM WELL LOG
Date of test _.
Static water level \0 It
Well production ./ g.p.m
WATER SA~3LE RESULTS:
Coliform ~ colonies/100 mi
Date of sample: ,/IF~
B. SEPTIC/HOLDING TANK DATA
Tank Type/Matarial
Date installed q/ll/eo Tank size.
Cleano, _ut.s..:.~/'--'~,, ~'ound~,tion cleanout
~:.~k' ,.....
Date of pumping ~,(
C. ABSORI~ON. FIELD DATA
Nitrate (::~, ~ mg/I
Collected by: h4
Well Log.
Wires properly protected
Casing height (above ground)
AT INSPECTION
'-~ ~ {'- g.p.m
Other bacteria g colonies/100 mi
in.
gal Number of Compartments ~
Depression over tank /%4 High water alarm
Pumper ~
Date installed 'f//~/e ,~
Length ~ It Width %'- ff Gravel below pipe '~, o It
Total depth '~, mff Effective absorption area~'?~, fF Monitoring tube ~ Depression over field./%,4
Date of adequacy test / Results (Pass/Fall) / For /'~ bedrooms
Fluid depth in absorption fiald before tast ,,-'"' in Water added/ gal. Nowdepth,/ in.
Elapsed Time:,./ min Final fluid depth / in Absorption rate >= ,,/g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) ,/ If yes, give'date,..-'~'~
Soilrating (g.p.d./it2orft2/bdrm) /~-- Systemtype ~,//,u~ -~,,~,,~,,-~,
72~2~ (Rev. 01~00)'
D. LIFT STATION
Date installed Size in gallons
'Pump on" level at ~ in
~ Cycles tested
E. SEPARATION DISTANCES
High water alarm level at __ in
Meets alarm & circuit requirements
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lifl-s,~i~t on lot
Absorption field on lot /o~
sewer main ~J//~
Public
Sewer/septic service line
SEPARATION DISTANCES FROM SEPTIC/BQL=E~NG TANK ON LOTTO:
Building foundation /~;/~
Water main /v/~4
Drainage I o~ t .(..
On adjacent lots
On adjacent lots /~o
Public sewer manhole/cleanout
Property line
Water service line
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation ~O
Surface water f u o ~-f-.
Wells on adjacent lots
Absorption field 'z_ 5'/F
Surface water /0 o I'/--
Property line
Water Service line
Curtain drain
Water main
Driveway. parking/vehicle storage
~o t~
F. COMMENTS
Go 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 /~1~-~
Date
HAA Fee $ ~J ~, ;,
Date of Payment
Receipt Numbor
Waiver Fee $
Date of Payment
Receipt Number
72-0~ (Rev.