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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 I, ,, K~ D~ :........ , ~ ~'~ .... ~::.., :...~., ...:/ I I~ ~ , ,'..,' .?. ...... -' ~... v c nx A-C:39.~' B-C=48.1' A-D=46.G' A-E:56.0' ~ ~eSO OAL l . ~ C OF ~ ~ SCAL~, .TS ~ . ~ ~ ................. 4.~ ~ PREPARED FOR: W ANCHDRAGE, AK 99516 q ~ ............ ~ ~ s'~ LANG ~KMD 20441 PTARMIGAN BLVD. ~. - ~s~1ov ~ { .v........................`...............:...........................~...............................................::.~.......~............~..... 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