HomeMy WebLinkAboutLODGEPOLE LT 1Lod
poi
Lot I
#015-061-41
Municipality of Anchorage Page -.~--~ of
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: ,~,1,~ ~ C[ O~'~ O PID Number: ~t
"~': ~ok~ [~~ Wastewater System: ~New ~ Upgrade
~"": 7~oo (%~11~ ~ ~ ABSORPTION FIELD
P.one: 5~--~ ( I"°'~eeroom,: mee0Trencn CShatlowTren=. ~Bed CMound tother
LEGAL DESCRIPTION so,, "'""~, ~ ~,o~,
WELL: ~ew ~ Upgrade ~.a.e, .,*m: ~O
c,.,,,,,.~o.,.,,.,..*.~.c,:~,v.~ ,o,.,D.~,.:i~U ,, C.~*~o:/~ ,, '°"'7;°¢~0"'~ ,~,, "'"*'"*"":~O~
'""~1~,.' ~ ~";~7,'"" o ,.,,.w.,.,~_:. ~., ..,.,,.,~.~ ~,~.~
SEPARATION DISTANCE5 ~,~ ~ Holding ~ ~.T.E.P.
From TIn~ F,e,* Stat,on TIn~ ~r ~,n.
su,,:. ;~o ~ LI~ STATION
Water
Li.e ~O~ e~l ,iz. m gallOnS: Manufacturer:
Cu.a~nDram M/~,~ ~ F P~l, E.~.,ca, ..~,ons
Remarks: ~ ~ G BENCH MARK
Depaflment of Health and Human Se~ices approval
Reviewed and approved by ~. ~ Date: ~'/o'~ I
Permit No..SW990560
2 2
Page of
Municipality of Anchorage
DEPARTMENT Or 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 Description: LOT 1, LODGEPOLE SUBDIVISION PID No.: 015-061-41
lO0' WELt RADIUS "'...
N 89'59'00' W 102.5'
_% i I 10' UIILIIY EASEMEN1
, .....
~ ~ ~ ~ ~SECON[
/ HOUSE
//I o ~ /
/ ~ ~ I ~ x
/ o
/ -- / /
/ m ~ //~
/ m LOT 1
MARK A B GRND. P~PE
ELEV. ELEV.
C02 8.2 54.0 95.62 LI
TCO1 9.7 54.7 99.32'
TC02 16.9 56,6 98.96'
C03 19.4 57.8 98.95 95.32
C04 19.4 57.8 98.95 95.32
DI~RTER 21.1 58.6 98.8S z /
C05 12.8 62.1 98.7 95.2
C06 55.1 82 97.84 95.2 ~ N 89'59'00" W 102.5'
C07 14.7 49 99.58 95.4 J /
C08 55,7 73.9 97.9 95.42 ~ /
MT1 50.7 78.3 97.54 ASBUILT /
SCALE:t~ -
kuT2 50.3 69.8 97.15 1"=~0' /
? r":'"' r'" ~ ~' "" ~ ."
.... _ -
~- ~-:~--,~. ~ ,~ ,
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 /WATER SUPPLY PERMIT
Initial
Date Issued: Sep 29, 1999
Expiration Date: Sep 28, 2000
Permit Number: SW990360
Legal Description: LODGEPOLE LT 1
Design Engineer: 0088 Anderson Construction & Eng'g
Owner Name: John Hawkinsen
Owner Address: 7700 Hillside Way
Anchorage, AK 99516-3827
Parcel iD: 015-061-41
Site Address: 005801 OLYMPIA CIR
Lot Size: 14350 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] SepticTank [] 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 ( 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.
Issued By:
Date: ~/,,~¢2/'¢'~
Date:
Michael N. Anderson, P.E.
14250 Goldcnview Dr.
Anchorage, Alaska 99516
Ph 345-3377
Fax 345-1391
Date September 20, 1999
Municipality of Anchorage
Department of Health and Human Services
On-site Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Lodgepole Subd. Lot 1
To Whom it may concern:
This a request for a new four bedroom septic system and well permit on the above lot. One test
hole was excavated on the north end of the lot. The soils were light gray silty sandy gravel with
no water observed during excavation. The peru rate was 12 minute per inch which translates
into a trench length of 58 feet with 6.5 feet affective depth. The adjoining lot to the east was
also tested and had water at 12.5 feet therefore 8 feet will be used as the bottom of the system on
both lots due to test hole on tot 2. The test hole on lot 1 is higher then the test hole on lot 2 by
approximately 3 to 4 feet this might explain the deeper test hole having water in the gravel layer.
The soils were the same on both lots except the bottom 4 feet of the test hole on lot 2 had clean
gravel. This gravel layer plus the neighbors existing septic system being only 50 feet away might
be some of the cause for the water in the test hole on lot 2.
This new system will not prevent future wastewater and well development on the adjoining lots
as the plan shows. The owner has requested that both the primary and secondary systems be
constructed at the same time for extended life of the system. The existing systems on the
surrounding lots appear to be performing adequately.
Please feel free to call with any questions concerning this system at 345-3377.
Michael N. Anderson, P.E.
iDESIGN CRITERIA: I ...... . '~
SOILS = Q.8 GPD/S~, ~/'
~600/0,8 ~ 750 SQ.~/REQ'D X'%
~TRENCH: /I
i8.0' DEEPI / . ~
:65' EFFEGTIVE ~ I ~ ~
WIDE / ~
LONG /
,
ADJAC NT / :
WELL RADIUS ~ ~ ~
, ~ ...... ~ ............ ~
~ < /10' UTILI~ ~E~ I / ~ I
/-' ~ · %.-' /: ~. -: ~i / HOUSE
/// { / , ~ x, II t
/ / ~ ' PROPOSED
,'/ I I i / ' I HOUSE
, ~, ~- --.
" '' "~ ~I '
', I ' / '
xx / / -OLYMPIA
I
', f ~- ) , , ,
"-.j i "L?' · ...,'
b.... . ..?...._ ...-- j ,'
~ROPOSED 1 O' WELL R~DIUS ~ ~ PROPOSED 100 WELL RADIUS
ADJACENT WELL RADIUS J ~, J
SEPTIO DESIGN PREPARED FOR
LODOEPOLE SUBDIVISION
PREPARED BY ~]~~~ ..................
M~CHA~ N. AN~SON, P.E.
1~250 N. GOLDENVIEW DRIVE
(907) ~-~77 / ~AX (907) ~-~9~
SCALE: ~"=~0' SEPT~M~E~ ~, ~999 '~f~S~L~
LSM
-17'
~~MOUND OVER
--DR^IN ROCK
-' WELq RADIUS
PROPOSED ~.~f~__LH_#LCO ~r C~
PROPOSED
HOUSE
LOT 1
/ I -OLYMPIA
SEPTIC' DESIGN PREPARED FOR
JOHN HAWKINSON
LOT 1
LODGEPOLE SUBDIVISION
LOT 2
PREPARED BY
MICHAEL N. ANDERSON, P.E.
14250 N. GOLDENVIEW DRIVE
(907) 345-3577 / FAX (907) 345-1391
CIRCLE-
SCALE: 1"=30' SEPTEMBER 1, 1999
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED;
WAS GROUND WATER
ENCOUNTERED?
Township, Range, Section:
SLOPE
SITE PLAN
11
12
13
14
15
16
18
19
2O
COMMENTS
IF YES, AT WHAT
DEPTH?
Oeplh to Water After/.
Monitor,no?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE / ~ [m,nutes~mct~) PERC HOLE DIAMETER
TEST RUN BETWEEN '~ FT AND 4~ FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
72-008 (Rev. 4/85)
CERTIFY THAT THIS TEST WAS PERFORMED IN
Rick I~, strom
Mayor
Municipality of Anchor. age.
Department of He lt,.h. and Human Serwces
825'L Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
htr p:fiwww.ci.a nchorag e.a k. us
Permit Number~ #_SW99D3F~ l)ateafl~.qae.: $-29-99 Parcel !den*mo-tlon Nomb~ 015-06~-41
Date Sm~: 4-~-00 Date Completed: 4-27-00 Is well located at approved permit location? ~ Y~ ~ No
L~ D~criptio~ ~ L~q~e Lot ~
Proper~ O~er Name & Addr~s: John Hawkinsen
ZTO0 H~e Way
Borehole Data: Depth (ft)
Sell Type, Thickness & Water Strata From To
stick-up 0 2
silty gra vel 2 18
gravelly silt 18 96
silt 96 113
gravelly silt 113 t23
silty Water sand & gravel 123 143
water sand &gravel ~ 43 t46
RECEIVED
JUN 2 7 2000
Mumc;pahty mt Anchorage
Oept, Health & Human Services
Method of Drilling [] air rotary [] cable tool
Casing type: steel
Wall Thickness: .025 inches
Diameter: _6 inches Depth: 146 feet
Liner Type:
Diameter:__ inches Depth: __
Casing Stickup above ground: 2 feet
feet
Static water level (from ground level): 64 feet
Pumping level: 146 feet after
2 hours pumping _6 gpm
Recovery Rate: _B gpm
Method of Testing: airlift
Weil Intake'OpeningType:
[] Open End []'Open Hole
[] Screened Start feet Stopped
[] Perforations Start- feet Stopped__
feet
feet
Grout Type: bentonite # 8 Volume: 1 bgs
Depth: Start 0 feet Stopped = feet
Pump: Intake Depth __ feet
Pump size __ hp Brand Name
-WePt Disinfected Upon Completion? [] Yes [] No
Methodof Disinfectiom -clerino tablets
Comments:
Well Driller:
Alpine Drilling & Enterprises
PO Box 170496
. AnChoragej AK 9051 ?
Attention: The welt~iller s~hail provide a well log to the property owner within 30 days of completion and the property
Mtmicipality of Anchorage '
George P. Wuerch, Mayor
Bttildlng Safety Division
P.O. Ik~x 19('~'m') · 4700 S. Bragaw Strcct
Anchorage, Alaska 99519-CF~'-~0 · (907) 343-8801
http://www.cl.mmhoragc.ak.us
Public ~rorks
Anderson Construction & Eng'g
ATTN: Michael N. Anderson
14250 Goldenview Drive
Anchorage, AK 99516-
August 10, 2001
Subject: Waiver Request forLODGEPOLE LT 1
Waiver # WR010067 Lot Line Request for Parcel ID 015-061-41
Dear Engineer:
Your request for a waiver of thc required 10 feet horizontal separation ofthe on-site wastewater
disposal system to the lot line has been approved. The approved separation distance is 5 feet.
This waiver approval applies to the current on-site wastewater disposal system and lot line
separation only. Any future upgrade to the on-site wastewater disposal system and lot line will
require all separation distances to be met or another waiver approval from this department.
Ifthere are any further concerns or questions regarding this waiver, please call our office at
343-4744.
Engineering Technician III
On-Site Water Quality Program
Michael N. Anderson, P.E.
Civil/Structural Engineering
4640 Shoshoni Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
August 10, 2001
Department of'Health and Human Services
P.O. Box 6650
Anchorage, Alaska 99519-6650
Re: Lodgepole S/D Lot I
To Whom it may concern:
This is a request for a waiver to the property line. The new system is 5 feet from the property line
which will require a waiver.
This waiver will not affect the future development ofthe neighboring properties due to the
locations of the existing wells and septic systems. The general drainage is to the north.
Ifyou have any question please call me at 345-3377
Sincerely
Michael N. Anderson, P.E.
M-nicipality of Anchorage
Development Services Department
Building Safely Division
On-Site Walet and Wastewa~' Program
4700 Bragaw Street
P.O. Box 19~50 Anchorage, AK 99519-~6~0
v,'~,w.ci.anchorage jk.u s
(907) 343-7904
Waiver Review Worksheet
WRY: WR010067 PID~; 016-061-41
Date Received: 8110/01
,H~#: HA010422 Permiffk
Legal Description:
Engineer. Michael N. Andemon. Andemon Construction & Enalneetinn
Applicant: John Hawklnsg0
Waiver Requested: $ feet from wastewater evstem to lot Iir19
Cnteda: Geology Points:
A. Water Ta~)le
B. Soil sorption ,
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
Waiver ts Granted: Waiver is not Granted:
List Conditions or Reasons for above:
Date: By:
Name of Reviewer
~~~~~~~~~~~~~~~~~i~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~i~~~~~~I
Rec~: 8525 Amount: $116.00 Date Paid: 8/10/2001
M-nicipality of Anchorage
Development Services Department
Building Safety Division
- Or>Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
wv~v.ci.anchoraga.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ~ [ '' ' Parcel ID:
A. WELL DATA -., . ·
we,, ~,~ '¢r~L~'. ,.-~.". "-' ¢ ~-=.:".::,~ ~',,,~,,.., ~ .. Wail, Log (Y/.) y
Totaldepth,~(~ f. Casedtol~ ff., : Casin~ height (above ground) "~(f In.
' FROM WELL LOG :' ' AT INSPECTION
Date of
Static water level
Tank size ~ ~. g;} gal.
Foundation deanout (Y/N)
Data of pu,;~pin.*, ,~ ~
~. O g.p.m.
Well production
WATER SA~PL~ RESULTS:
B. SEFTIC/NOLDING TANK DATA
Tank Type/Material ~ ~,-,-~ (
Number of Comparlments ~
Depression over tank (Y/N) ,/%/
Pumper /
C. ABSORPTION FIELD DATA,
g.p.m.
Other bact~ri~ ~ ~:doni~HO0 mi.
Data installed __~_~_~O 0
Cleanouts (Y/N) Y'
High water alarm (y/N} ~
Length (~l"~ferft. , Width ~,.,..~.~.0 ft. Gmvel belT pipe Ge 5'"' ff.
Total depth ¢8~,0 ft. _F.~. absorption area ~._ft2 Monitoring tube y DepieSsion over field ~
Date of adequacy lest ~ Results (Pass/Fail) ~ ' ' For g~ bedrooms
Fluid depth in absorption field before test //' in. Water added' ,,,,"~gal. New depth ~/in.
Elapsed Time: fmin. Final fluid depth /~in. Absorption rate >= ~ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date- · '
D. UFT STATION
Date installed. Size in gallons
"Pump on" level at~.__~._.~33~-~--~ ·
~ , Cycles tested Meets alarm & cimult requirements?
Absorption field on lot
Public sewer main ~ Public sewer manhole/cleanout
seWer/septic sewice line ! 0 d ~ '~' Holding tank ~t .~
SEPARATION DISTANCE~ FROM SEPTI~ TANK ,ON LOT TO:
Building foundation /O I ~.. property line T.~ I/.. Absorption field
Water main t4 ~,~ Water sendce line /~d Lt~'- Surface water
Wells on adjacent lots 100 I ~
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO; '
Building foundation / ,~. I ~ Water main ~1~
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Sepfic t~nkaLtt.statie~a on lot /e~ I.~
tn.
Property line .~
Water Service lin~ .' Oo t~.
Curtain drain, Ff//~
On adjacent lots
On adjacent lots
Surface water ' lee I/,. Driveway, parking/vehicle.storage
Wells od adjacent lots ~'0~1 '~
F. COMMENTS
G. ENGINEER's CERTIFICATION ' :'
I certify that I have detemtlned through ~eid inspections and
review of Municipal records that the above systems am in
conformance with MOA HA4 guidelines in effect on this date.
Engineer's Printed Name if /ee,
,'
HAA Fee $
Date of Payment
Receipt Number
(Rev. 12/00)
Waiver Fee $
Date of Payment
Receipt Number
~LC-36-31 C6:21 ~OtNCT~E EflVI~N?AC SRV 9GT§E15~01 T-:SC P 0:/C2 F-T46
CT&E Environmental Services Inc.
Laboratory Division
230 W. Potter Drive
Anchorage, AK 99518
Te[: (937) 552-2343
Fax: (907) 5~1-5301
CT&E Ret #'
Client Name~
Project Name:
Ct;ant Sample ID:
Matrix'
PW~ID
1014965001 Client PO#: n/a
Michaet N. AnderSorl PE P~ted Da'.cTT~ne: 08/08/01 00 00
Ilia Collect e,'* Date/Tittle:08/01/0t 13:35
Lod;lepole S/E) Lot 1 Receivecl Da:e/Time: 08/01/01 14:50
Drinxi,lg Water Te=hnical Dimctcl: Stephel Ese
Sampe Remar,~s:
^Aowable Prep Analysis
Resulls PQL Units k~e:hod Limits Date Dst,. ~nit
Total Colifornl (MF)
Ndrate
col/100 mi $M92220 08/01~01 KAP
0.5 mO~L EPA 300 10.0 05,'01?01 SCL