HomeMy WebLinkAboutKNIK HEIGHTS BLK G LT 8Knik Heights
Lot 8
Block G
#01 7-372-26
Municipality of Anchorage
· Department of Health and Human Services
Division of Environmental Services
O~-Slte Ser~ces Section 825 'L' Street Room 502
P.O. Box 196650 Anch(xage, AK 99519-6650 Page of
www.d.ancflomge.alcus (907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name:
~,~*~,~Ec,,., ~'.;~/;...; Wastewater System: C~New I-'1 Upgrade
I//~'1 /.~flsao~,{~ .~¥,,'eel~., 4~c~v#V. l~/~ ABSORPTION FIELD
LEGAL DESCRIPTION ~'"'~ /. 2-- ~,.~ ~.'~'--' /o ~,.
/~. 2,¢.. $6,,
Well: ~'New [--I Upgrade c,,~,~,:
n. ~ ~, TANK
SEPARATION DISTANCES l~t'SepUc I-I J-lolding n S.T.E.P. I'] Other:.
~ Septic Absotpfl~' Uff Holding ~uUlc.~'flvat~m'~a'*c ,.~
"'"'~: ~/&'o ^,C d:~o~-,.- BENCH MARK
~"1"~ c~*'~''''z ~.~ ~.'~ '~^~,~. o,~ s~d;~j
.,
Inspections performed by: ~'4/b ~(';~'~'¢~'/.~ Dates'
uepartment of Health and Human Services annroval
¢~. lira) t,~-/,p'/ // ,-' ' . ~ __ _ · · ~ . ' ................. ~?,,¥ ,,-'
AS-BUILT SYSTEM DETAILS/SITE PLAN Pern~# Svge0351
KNIK HEIGHTS S/I) BLOCK G, LOT 8 PID# 017-372-26
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W ANCHDRAGE, AK 99516
q ~ ............ ~ ~ s'~ LANG ~KMD 20441 PTARMIGAN BLVD.
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Municipality Df Anchor. age
Department of He 2a t. h' saI nfiet Human Serv,¢es
P.O. Box 196650 Anchorage, Alaska 99519-6650
Pick Mystrom htr p:l/www,cL anchor age.a k.us
Mayor
Permit Number: #SW 990341 Date of Issue: 9-20-99 Parcel Identification .Number: 017-372-26
Date Started: 3-7-00 Date Completed: 3-8-00 ls well located at approved permit location? [] Yes ~--I No
Legal D~scription'; Knik Hqhts Blk G It 8
Property Owner Name & Address: Matthew Korshin
11141 Hideaway Trail
Anchorage, Ak 99516
Borehole Data: Depth fit)
Soil Type, Thickness & Water Strata From To
stick-up 0 2
organic & silt 2 5
gravelly silt 5 15
silty gravel 15 33
sandy silt 33 75
water sand & gravel I gpm 75 78
silt 78 113
gravelly silt 113 154
water sand & gravel 1 gpm 154 156
gravelly silt 156 168
bedrock 168 307
RECEIVED
APR 18 2000
Municipality ot Ancho
DepL Iqealth & H - raae
Method of Drilling [] air rotary [] cable tool
Casing type: steel
Wall Thickness: .025 inches
Diameter: _6 inches Depth: 181 feet
Liner Type:
Diameter: inches Depth:
Casing stickup above ground: _2 feet
feet
Static water level (from ground level): 178 feet
Pumping level: 307 feet aRer
_2 hours pumping 20+ gpm
Reeovery Rate: 20+ gpm
Method of Testing: air lift
Well Intake Opening Type:
[] Open End [] Open Hole
[] Screened Start ~ feet Stopped
[] Perforations Start ~ feet Stopped
feet
' fe~t
Grout Type: bentonite # 8 Volume: I be
Depth: Start O feet Stopped:feet
Pump: Intake Depth ~ feet
Pump s~ze hp Brand Name
Well Disinfected Upon Completion? [] Yes [] No
Method of Disinfection: clodne tablets
Comments:
Well Driller:
Alpine Drilling & Enterprises
PO Box 110496
Anchorage AK 99511
Attention: The wefl'xtffi~'r~alt ~ a well log to the property owner svithin 30 days of completion and thc property
MUNICIPAUTY OF ANCHORAGE
Department of Health and Human Services
On-Site Sen.ices Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON.SITE WASTEWATER DISPOSAL, SYSTEM I WATER SUPPLY PERMIT
Renewal
Date Issued: Sep 20, 1999
Expiration Date: Sep 19, 2000
Permit Number: SW990341
Legal Description: KNIK HEIGHTS BLK G LT 8
Design Engineer:. 0070 KND Engineering
Owner Name: Mathew Korshin
Owner Address: 11141 Hideaway Trail
Anchorage, AK 99516-
Parcel ID: 017-372-26
Site Address: 013100 RIDGEWOOD RD
Lot Size: 43500 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
Ail 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.
5. The following special provisions.
This is a renewal of permit #SW980351.
Received By: ~~-
Issued By: ~
Municipalitx. of Ancho.rag¢
R,ckMystrorn. P.O, Box 196650 Anchorage. Alaska99519-6650
Mayor http:llwww.ci.anchorago.ak.us
August 10, 1999
Matthew & Jennifer Korshin
11400 HIDEAWAY TRAIL
ANCHORAGE, AK 99516- I 187
Subject;
KNIK HEIGHTS BLK G LT 8
Permit # SW980351 PID# 01737226
The subject permit #SW980351, issued by this office for a single family well and/or on-site
wastewater system, is due to expire as of 9/I 1/99.
If this is a well permit and you have drilled the well, a well log must be sent to this office
for documentation ofthe installation and to close the permit.
If this is an on-site wastewater systm and a licensed Professional Engineer has inspected
the installation, the original as-built inspection report must be sent to this office for review,
approval and documentation. All inspection reports must be submitted within 30 days of
construction completion.
A new permit must be obt&ined from this office for a well and/or on-site wastewater
system NOT installed by the expiration date. However a new permit can be issued free of
charge for a second year if the application for the renewal is received on or before the
date of expiration of the original permit for which a fee was paid.
When applying for a new permit after the original permit has expired or for more than a
second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well
permit.
If you have any questions, please call this office at 343-4744.
Sincere~~~__~
lames'Cross, PE
Program Manager
On-site Services
enc: Copy of Permit
MUNICIPALITY OF ANCHORAGE
Department of Health end Human Services
On-Site Services Program
925 L Street, Room 502
P.O. Box '196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WAS?EWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Sep 11, 1998
Expiration Date: Sep 11, 1999
Permit Number: SW980351
Legal Description: KNIK HEIGHTS BLK G LT 8
Design Engineer. 0070 KND Engineering
Owner Name: Mathew Korshin
Owner Address: 11141
Llpscomb. AK 99516-
Parcel ID: 017-372-26
Site Address: 013100 RIDGEWOOD RD
Lot Size: 43500 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 Ihe 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.
K~xqD ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
August 31, 1998
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: New sewer and well permit - Knlk Heights S/D, Block G Lot 8
Gentlemen:
On April 11, 1998, we excavated two testholes for the subject property. The results of
these tests and water monitoring are attached.
We propose to install a 2' wide deep trench. The first testhole (98-1) had tight soils
on top and sand and gravel below and registered water at 15.5' upon monitoring.
The second testhole (98-2) indicated no water and much better soils for the septic
system. We do not anticipate additional fill being needed over the system. This lot
slopes from northwest to southeast at approximately 2-7%, which is away from the
proposed house and any surrounding wells.
There are no public or private wells within 100' of our proposed system location
except as noted. There is neither surface water within 100' nor any known curtain
drains within 50'. There is a low area running through the property, but no water
was found between April to June. We do not expect that there will 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,
]I<I~] ID Engineering
Kenneth M. Duffus, P.E.
attachments:
On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Tests
WEI'L
& ¢ASTE /ATER DISPBSAL SYSTEM DETAILS/SITE PLAh
KNIK HEIGHTS S/D BLOCK G, LOT 8
4
Vacar
LOT 8
T8
LOT 9A
Vacant
LDT 9
DESIGN DETAILS
4 BDRM X 150 GPO = 600 GPO
600 GPD/I.8 GPO PER SQ, FT, (8.5 HIN/IN,)= 500.0 SQ. FT
(500/(8'($/) X 7'(D)) (7,0 GRAVEL) = 35,7 FT. TRENCH
USE I TRENCH - 36 (L) X 8' (~/) X 7'(D)
Total depth o¢ systen Is I0.0' From orlginat grade.
Total depth oF grovel below distribution pipe Is 7,0' ,
NOTES'
1. USE 1850 GALLON SEPTIC TANK, INSULATE TANK IF <4' COVER,
:3.
4,
INSULATE TRENCHES WITH 8' HD BURIAL FOAM.
CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK.
ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TD ACHIEVE
MIN. 3' COVER IF REQUIRED.
PREPARED FOR,
MATTHEW KDRSHIN
11141 LIPSCOM~ STREET
ANCHORAGE, AK 99516
(907)346-3554
o.zc~co: KMD
7/28/98
2836
98043
Scare: 1'= 100'
PAGE 1 DF 2
~_~ ~) ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-§736
(907]690-61Il/FAX (007)696-81tl
WASTEWATER DISPE]SAL SYSTEM DETAILS
KNIK HEIGHTS S/D BLBCK G, LDT 8
K
D
.BT 8
S CB
C
BD
S
12
PREPARED FOR:
MATTHEW KDRSHIN
11141 LIPSCDM]~ STREET
ANCHORAGE, AK 99516
(907)346-3554
o.~:~o: KMD
7/28/98
2836
,me No.: 98043
H :~9 -1
GAL, ;,T,
Scare, 1'= 20'
PAGE 2 OF 3
~) ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
{907)696-6111/FAX (907)696-8111
LegaID. 'p' :.,
· 'Ji~l~! IJ.~ ENGINEERING .',/ ~' "....'~
20441 PTARMIGAN B~VD.
so~s ~o~- ~.CO~AT~ON T~ST ";~'....~.~:
Performed for: ~~/~ Date Performed: ~/IL/~
6--
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
Con~nents: $0~
SEE ATTACHED SITE PLAN I
FOR HOLE LOCATION
I
IWas Ground water encountered? A./O Whatdepth?.~ff~,
Depth to water after monitorine? /-~'5! Date
Reading Date Gross Net Depth to Net
Time Time Water Drop
/
Percolation Rate /t//~t (mM/in) Perc Hole Diameter.__
Test Run Between feet and feet
,../
I, Kenneth M. Duff us, certily Ih,il tl~js lyst was performed in accordance with all Stale and Municipal guidelines in
effect on Il'ds date' , / /~-. ~.
·
2-
3-
4-
5-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
SEE ATTACHED SITE PLAN
FOR ItOLE LOCATION
IWas Ground water encounlered? z~/b What depth? /~,~
Devth to water a fief monitorin,',? __,~)._._._t"~ Date
I
Reading DateGross Net Depth to Net
TimeTimeWater Drop
/ 4-11-?A /,~:,~ - /1" _
~ /Z~:ll - i1" _
~ /o:sz /~;.7" ~,,
7 /~:~- //" -
~ p:f~/~,~1 7". ~"
/~ /~:~/~;,7" F"
// /~ :5~ ~ //"
IPercolation Rate. ,~, ~ (mtn/in) Perc Hole Diameter ~"
Tesl Run Oelweer~ ~ feel arid ~ feet
...... ....
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. 017-372-26
'1.
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Expiration Date:
Knik Heights S/D, Block G, Lot 8
13100 Ridgewood Road, Anchoraqe, AK 99516
Current Property owner(s) Matthew Korshin Day phone 562.2000
Mailing address /// ~/ t~.fTfO/')~J~..~"/~; /'~
Lending agency 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:
2. NUMBER OF BEDROOMS:
4
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Commun'~ 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 fTom the date of issue for properties
served by a private or Class C well and may be reissued ~vith 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.
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that n~y
investigation 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 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 in
compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the
time of installation.
Name of Firm KND Enqineerinq
Address ;20441 ptarmiqan Blvd., Eagle River, AK 99577
Engineer's Printed Name Kenneth M. Duffus
6. DHHS SIGNATURE
Approved for
Disapproved.
Conditional approval for
Phone 696-6tll
bedrooms.
Date .1112912000
[.~ .......~~
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checldist
Septic System Advisory
Well Flow Advisory ·
X
Expiration ~a~te:. 'z~ _ ~/ _ 00
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: / ~- - c~ - o o
Reissue Date:
Municipality of Anchorag~q~F: C F: [ ~ F:
Department of Health and Human Se-rv~ices--
Olvlslon of Environmental Sewtces
On-Sita Services SecUon 825 'L' Sb'eet Room 50:NOV 3 0 2000
P.O. Box*196650 Anchorage. AK 99519-6650
www.cLanchorage.ak.us
(907) 343-4744 UUN]CiPAUTY OF ANCHOR~
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Oescfipflon: ~<nlk Hetahto S/D. Block O. Lot 8
If A, B, or C provide PWSID # ~
Sanlta~/seal Y
Cased to t81 It
fl
g.p.m
WELL DATA
Well type 0rlv,te
Data completed 3/8/2000
Total depth 307 ft
FROM WELL LOG
Oata of Mst 318/2000
StaUG water level 178
Well production 20
WATER SAMPLE RESULTS:
Coliform 0 colonlesJ100 mi
Oata of sample: ~
SEPTIC/HOLDING TANK DATA
Tank Type/Matedat Steel
Nitreta 0.600 mgll
Date installed ~1S!99
Cleenouta v Foundation cleanout v*
Date of pumping Pumper
C. ABSORPTION FIELD DATA
Date Installed ~6J'69 Soil rating (g.p.d./ft'~ or ~/t:)drm)
Leflg~ 36 ft VWdth ~
Total dep~ ~0 It EffecUve ebsocpflon area SSO fl2
Data of adequacy test Results (Pass/Fail)
Fluid depth in absorption field before test In
Elapsed Time: mln Final fluid depth
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
Parcel I.O.:~
Tank size t250 .ga! .
Oepresslon over tank n
Well Log X
W~res property pmtectad Y
Casing height (above ground) 24
AT INSPECTION
In,
ff
g.p.m
Other bectada 0 colonies/lO0 mi
Number of Compartments 3
High water alarm na
System type trench
Gravel below pipe 7.63 fl
Mo~fiodng tube ¥ Depression over field L
For__ bedrooms
Water added gal. New depth in.
in Absorption rate >= g.p.d.
If yes, give date
D. UFT STATION
Data installed Size in gallons
'Pump on' level at -- in 'Pump off' level et -- in
Datum - CYcles tasted
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot t00' On adjacent lots t00'+
Absorption field on let 100'+ On adjacent lots t00'+
Public sewer main ?~;'+ Public sewer manhole/cleanout
Sewer/septic sewice line 25'+ Holding tank t00'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10'+ Property line
Water main 10'+ Water se~ce line
Drainage 100'+ Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+
Surface water t00'+
Wells on adjacent lots
Water Sewloe line
Curtain drain I00'+
F. COMMENTS
Manhole/Access
High water alarm level at ~ in
Meets alarm & ctmult requirements?
10o'+
Absorption field
Surface watar t00'+
Water main
Driveway, partdng/vehlc~e ~torage 25'+
I cert~ that I have determined through field inspections and
mvlew of Municlpe/ records that the above s~tems sre in
conformance with MOA I-IAA guidelines in effect on this date.
Engineer', Pdntad Name Kenneth M. Duff.
Date tl/29/2000
HAA Fee $ .'~ , ~ ~:) Waiver Fee $
Data of Payment //_/-~.~:~.E:)~ __ ~. Data of Payment
Receipt ,umber ~ O~/'~(:,~ (~"'7~'..~ Receipt Number
~K CT&E Envlronmen~l Services Inc.
Sample Remarks:
C..-'L- ? -
Priated DateffFIme 11/28/2000 16:28
Collected Date/Time 11/20/2000 15:15
Reedved DatelTIme 11/21/2000 16:12
Technical DJre~or Stephen C, Ede
PQL
UniL~ Mefl~M
LL,,nim D~m I~vc, Init
0.500 mg/L EPA 300.0 10max 11/20/00 SCL
Microbiology "r,abo:atmcy
To~d Co~ farm
coMI00mL SMI8 9222D
11/20/00 gAP