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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 / / / i i I / ! / / : / / / / / / / i / ! ! / ! / i i i ! I 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.