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Home My WebLink AboutMIEBS LT 1Miebs Lot ! #018-191-30 Municipality of Anchorage Department of Health and Human Services { Division of Environmental aervicea On-Site Services Section 825 "L' Sheet Room 502 P.O. Box 196650 Anchorage, AK 095194650 Page 1 of 4 www.cl.anchorage.ak.us (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPEClION REPORT Permit Number: SW000356 PID Number: 018-'191-30 Rnn Mi,~h~ WastewaterSystem: [] New [] Upgrade 1414~ I nkn i3fig Pkwv_ .qgRIR ABSORPTION FIELD 4 13 ~..~T,.~ ~ S~,,~,T,,,~h [] e~ D ~,~ [] o~: 5-wide .34~-0530 LEGAL DESCRIPTION ~n~.,~: ~1.'~ ~ 0 Well: [] New [] Upgrade c.,v~,,.~. 5 F~. Private ~,. ~ ~~ ~ F8101~0~4 PVC ~ T~K SEPARATION DISTANCES ~ septic ~ Holding ~ S.T.E.P. ~ ~her: ~ Sep~c ~sorption ~ Holding PuMiCe ~r~ Tank Field S~flon Tank S~U.. Anch Tank wa 120 143 110 Steel 2 Line from house to drainfield Insulated with 2" H~id BENCH MARK In~ulatlon. T~nk In~ulatod with ~ RJ. ~a~ement Finish Floor ~00.0 Engineers S~mp ~Xp. .......... , 9.. ,[ ...~ ,. Inspe~ions ~do~ed by: Pannone Enq. Svc Dates: 1~11/1712000 Depa~ment of Health and Human Se~ices approval Reviewed and approved by: ~~ ~/. ~Date: ~'~-OI ~v~-,.. P~RH~T NO, SVOOO3S6 AS-BUILT P.U~. NG, ~ASTE~ATER A~SORPTION SYSTEM ~ LOT 1 MIE~ % .... i REP _ACEMENT SYST~ ~5' WI~Ex7OLFxe~ EF ~ Il C4 ~ LOT 1 I ~L,,. B ' "~2~ ~/.. MIEBS S/D NEW 12509~' q'7/ I x~ ~ ~z i ~ ~ /~J:. m ~ EXiBT,~ x ~ ~ EXZST'6 ~[N- ~_ ~~ ' co ~ u ~ ~ ~IEBS S/D ',~XVo~A~DRAVINGXI-MIEBS.D~G T1 36.2 ~8.7 AS-BUILT~ ~. T8 41.3 44,3 4 BE~RBOM HOUSE ~ ~ ~ 47.5 49.B SBIL ~ATING~ ~E5 ~e' A -'%~a C3 60.6 81.6 500 SF RQD,5-VI~E TRENCH, -~ ~ %z -~ MT 69.6 6~.5 E.O' EFF.TDTAL =EPTH = 5' m_..A .................. ~.....m TH1 76.4 77.3 7~' LONG,TGTAL AREA=350 SF ' .........Ponnonej~ ~ PREPARED FOR' PANNDNE END, SVC. LLC t4t45 L~ke at~s PN*y ANCHORAGE, ALASKA 99510 '~e~.~-~- (907) 345-0530 872-8~1B Phone & ~t iiil~mm~ )ATE, 18-4-00 AS-BUILT SCALEm A.~-glHTIT T1FTATIR P,Z.~. No, om-191-3o P£.M,T NO, ~vooo3s, LOT 1 MIENS - · , I I ! ?~'~ ~=., ,~. ~ ~ i1,~ ~ .-~'"'"'~';~., / ~ ~z ~ ~Y.~ / minim II '~&'~n.~I~_~~~ / Anchorage, AK 99516 ANCHORAGE, ALASKA 99510 "'~C~~ / ,~o~, ~-o=~o Municipality of Ancho.rage Department of Health and Human Services 825 'L' Street P.O. Box 196§50 Anchorage, Alaska 99519-6650 Rick Mysfromhttp:/Nnvw .cl.a nche~age.a ~.us Mayor Permit Number: #SW 000356 Date of Issue: 9-7-00 Date Started: 11-29-00 Date Completed: 12-1-00 ~ Description: Property Owner Name & Addr~s: Borehole Data: Soil Type, Thickness & Wata' S~ata stick-up ~ravel . sandy silt cobbly gravel sandy silt cobbly gravel w/bldr~ sandy silt silty gravel silt water sand & gravel RECEIVED Municipality et Anchorage Dept. Health & Human Services Parcel Identification Number:. 018-191-30 Is well located at approved permit location? [] Y~ [] No ~feibs Lot Ben Meibs 14145 Lake Otis Pkwy Anchorage. Ak 99516 Depth (fl) From To 0 2 2 17 17 31 31 55 55 70 70 133 133 148 148 156 175 175 181 Method of Dritling [] air rotary [] cable tool Casing type: steel Wall Thickness: .025 inches Diameter: 6 inches Depth: 181 feet Liner Type: Diameter: ~ inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 107 feet Pumping level: 181 feet a~er 2 hours pumping 40 gpm Recovery Rate: 40 gpm Method of Testing: airlift Well Intake Opening Type: [] Open End [] Open Hole [] Screened Start ~ feet Stopped [] Perforations Start ~ feet Stopped feet Grout Type: Bentonite # 8 Volume:/be Depth: Stun 0 feet Stopped + f~t Pump: Intake Depth feet Pump size __ hp Brand Numc -- Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: Clorfne Tablets Comments: Well Driller: Alpine Drilling & Enterprises P 0 Box 110496 Anchorage AK 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of complet;on and the property. MUNICIPALITY OF ANCHORAGE Department of Health end 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 I WATER SUPPLY PERMIT Initial Date Issued: Sep 07, 2000 Expiration Date: Sep 07. 2001 Permit Number: SW000356 Legal Description: MIEBS LT 1 Design Engineer: 0062 Pannone Engineering Services Owner Name: Ben Miebs Owner Address: 14145 Lake Otis Pkwy Anchorage, AK 99516- Parcel ID: 018-191-30 Site Address: Lot Size: 48949 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 ( 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: Patmone Engineering Sen'ices. LLC Consulting Engineers (,90T~ 227-3522 P.O. Box 1(12951 Anchorage, Alaska, 99510 (907)272-8218 F*[x August 27, 2000 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 1 Miebs S/D Well & Septic Permit Gentlemen: My firm was contacted to investigate the possibility of installing of a new system at the above referenced property. Currently the lot is undeveloped. A single test hole was excavated on February 15, 2000 and the information is attached. Ground water was checked on Mayl5, 2000, and water was found at nine (9) feet. No bedrock was encountered in the test hole. The lot is approximately 1.25 acres in size. Lot 1 slopes to the southwest at a rate of approximately 1 percent. The proposed installation will be located in central portion of the lot. The proposed location will be greater than 100 feet away from the proposed well serving this property and 25 feet from the water service lines. The surrounding systems are located greater than 100 feet from the proposed installation. The lots surrounding this lot are developed, but do not conflict with the proposed installation. The proposed installation will not impact the future development of the surrounding or existing lots. See attached design. The nexv system will maintain over six feet vertical separation to the bedrock and over four feet vertically to the ground water. The owner may install both the primary and reserve drain-fields at the time of installation. Please contact me at 272-8218 or 227-3522 if you have any questions.~,~Y"~"~?,,, Sincerely, ,, ~9... ,~ ...._~,-, one, P.E. Attachments: C:\WORK\LETTER8\ 18TRUEMBLER. DOC ~'~ ~o, DESIGN PZ.:, .o, oi~-~-,~ WASTEWATER ABSDRPTIrlN SYSTEM ~ LOT 1 NIEBS X ~' '..-./ . . :~ 'Xl~lrfi, ............ ~ ~ :'~ - R~PLAC~M~NT ~Tm:M / PRIMARY ~RAIN FIEL~ .... ~BS ~XIST d ~ ND~ELL~ DR SEPTICS ~/XIST'G ~RAIN- ~DT 8 FIELO ~ MIENS ~ EAST ~ESIGN, ~ ~ ~ .~ 4 ~E~RDDM HOUSE eee PERC RATE 1.7 MIN/IN .... ~e~ SOIL RATING, 125 500 SF RQD,5-~IDE TRENCH, [ / 49~ ~ ~ ~ E.O' OFF.TOTAL DEPTH = 5' REDUCTION ~--~9~ ........... ~'"'~ 70' LfNO,TDTAL AREA=350 SF ..... ~ PREPARED FOR~ PANNDNE ENO, SVC, LLC 14145 L~ke Ot)s Pkey '~%~..,~ ANCHORAGE, ALASKA 99510 (907) 345-0530 878-8818 Phone & Fox -8~%~ ~t~ DATE, 8-85-00 DESIGN P,I.I). NO' 017-37E-13 PERMIT ND' DESIGN DETAILS WASTEWATER ABSDRPTIDN SYSTEM LDT I MIEBS C,\~or N\I]RAWING\13-HKNIK.I)~/G g PREPARED FOR, M~. I)en Mlebs 14145 Lake ntis Pkw¥ Anchor's, ge0 AK 99516 (907) 345-0530 W I,I I PANNDNE ENG. SVC. P. 0. BDX 10~954 ANCHDRAGE0 ALASKA 99510 P7~-8818 PHDNE & FAX ]]ATE' 1-17-00 NDT TD SCALE DESIGN 8OIL8 LOG - PERCOLATION TEST PANNONE ENGINEERING SERVICES P.O. BOX 102954 ANCHORAOE, AK 99510 (go7} 272-8215 DATE PERFORMED: LEGAL DESCRIFIION; Lot 17~ BLM Lots OR OP BOIl 8andy O,'awl W/Cobbl~ WAS GROUND WATER ENCOUNTERED? YES IF YES, AT WHAT DEPTH? 9.0' DEPTH TO WATER AFTER MON1TORINO? 9.0' DATE: 5-154)0 TE~T HOLE DROP PEROLATION RATE _1.7 {rain/bach) PERC HOLE DIAMETER 6 inchei TEST RUN BEWTEEN 3 FI' and 4 FT COMMENTS: Test hole excavated b.y A+ Home Svc. Test Hole was presoaked before pere test. PERFORMED BY: Scott Crowther, P.E. I CEr~l-il~¥ THAT THIS TEST WAS PERFORMED IN ACCORDANCE ~vrl'ld ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TE,,qT. .Municipality of An. cho,rage. ' -, Development Services Department .,..-...~'.~ :'.. i :.:;,,~ ;"BfiiidingSaietyDivisi~q~' '.,'~.;~'.~' .' ~.' .. · . ~- ,'..~ . 4700 South Bragaw Street. . --... -,, .~ ., -"" ...... ;: (907} 343-7904 ·, : CERTIFICATE OF HEALTH AUTHORITY APPROVAL' ~:" EO~ A:SI'N~LE FAMIE~' DwEEuNG':'' :' "" ParcelI.D. 018-'191-30 ' -- .. : · ' 1, ' GENERAL INFORMATION :. ' ' ' " ' ' ' Complete legal description- Lot Location (site address or directions) Current Properly owner(s) Ben Miebs Day phone 345-0530 Mailing address,. . 14145 Lake Otis Parkway~ Anchora,qe,'AK 99516 Lending agency Mailing address Real Estate Agent Mailing Address "- Day phone Day phone Unless otherwise requested, HAA will b6 held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual HoIding 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 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 Anchoi'age is not responsible for errors or omissions in the professional engineer's work. · OF RY ENGINEER ' ..' ..... : .... ~ ....... · '..' AS cerhfied by my seal aff~xed h, ereto and as of the~vahdahon date show~ below I verify that mymvesi~gahon ~ ,< ~. · ·.: ,,based on p(-~o~ures outhned in the.~alth Aut, hofity Approval Gfildehn~s for th~s Health Authorii¥ 'p4>provai ~, · .: · .',- :apphcahon shows thaLthe,on-s~te ,water supplyan~or',w, astowater dLsposal system ~s safe ;[unchonal and :,,: ·. .... ' adequate for the n~mber 6f bedroom~ and ty~:~ of strUcture ~ndlcated herein, i further.~;enfy that based on the "' ' : informat on'6bt§i~,'d fi:om' the' M[Jnicipa,[lity of An~h6rag~'.f{ e?'a~l fr6m'~ ir~'v~tigati0~ ~d l;3sp"e'~ii~ ' t~ on-, '" ,';' · ess-P.O.!Box '102954~ Anch~ AK 99510 .... '"" ': " Engineer's Pnnted Name Steven R. Pannone'P.E; ' ,' ' '" Date. - 3/2512001 ...... EngneersOomments In conduct ng an adcq lacy lest, la cnptloprovdcat orough, conscen ous . engmccnng~ayssoffle~'slcm~naccordancemthk{OADHt SGmdchnes&Regulamns Thc ,, . .., ' reported rcsu ts describe fl,c 10~'fformancc of the system under thc cond t ohs cncoun crcd a the ! n c of thc ,:' ' ~'~-J""t '~'_ :" '°";"-~-'-~{r-: ' .lest, and t, cparahon distances mcasurc/J lo rcadffy ~dcnttfiablc features. The opcrahonal life ofallv, clls and . , sept,c~stemsdepcndonthclocal~odcond,t,on gromd,natcrlc~clsfl~atma> fluctuatcdunugfl~e)car .,~: , .,.;.,;. ~"~'~ -.. ,,.,..% ~, . and Ihe ',~ aler usage ofth~ fam,ly bc,ng scr.,'~I b) the wa slem. The~e condd,ons are outside fl~e control or . ~ .. ,: - . .... , ~ .. · '.- the evaluator of this wa'stem All wa's cms evenluall;, fail and sahsraclory test resulls do not guaranlce ,.. -~, future performance of the wa'stem, nor do they guaranlo~ fl~al fl~cre ~re no h~ddo~ detects or cocroachments. ~~;; "PES can fl~ercfor~ riot prm~d~'anv warranty for ~uture pcrform~c~hoi: gk'e afiv Csfimatd ofho(v long the. ~ wa stem "~ ri continue to mcct Ibc oPcratm"~l rcquu'cmc~ls of the ^D£c or {~40^ DHII$. The conlcnl of' · th~sr~p~rhsf~rthes~lcbcn~fth~v~m.~s~edab~v~Anyr~hanc~up~n~rus~rth~srep~r~b) an) ~,~."~*°**_$~O'~"~- ...'"~' ,~ Other person or part)' ~s not authorized nor x~ll ~t confer an)' legal right ~d~atsoevcr ..... ,. 6.,DHHSSIGNATURE .... . ~- ' %. ' - .'. · ' . ' · ' · , : . · C~3nditionk{ ap~ro{/al for.' ..v,. I~ed'r0oms, w~th t~e following Siipf[ations: ; ..:. Additional Comments '~ :' :..WASTEWATER .." ~ '... By: Expiration Date: Attachments: HAA Checklist Septic Syst&m Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Reissue Date: Municipali,ty. ,. of Anchorage. ' Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak, us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot I Mieb$ A. WELL DATA Well type Private Date completed '1113012000 Total depth !~( ft FROM VVELL LOG Date of test I I Static water level Well production WATER SAMPLE RESULTS: Coliform I~ colonies/100ml Date of sample: ~1/2512001 B, SEPTIC/HOLDING TANK DATA C$ IfA, B, or C provide PWSID # Sanitary seal ¥ Cased to /~l ft Parcel I.D.: fl gp.m Nitrate - ~-' mg/I Collected by: Well Log Wires properly protected ¥ Casing height (above ground) 24 in. AT INSPECTION gp.m Tank Type/Material steel Date installed 1111712000 Tank size 1250 Clear'uts v Foundation cleenout v Date of pumping Pumper NEW ABSORPTION FIELD DATA Other bacteria ~ colonies/100 mi Fluid depth in absorption field before test -- in Elapsed Time: -- mtn Final fluid depth Any rejuvenation treatment (past 12 mo.) (Y/N & type). (Rev. 11/99) gal Number of Comparlments 2 Depression over tank I1 High water alarm n/~ , Date installed 111171;t000 Soil rating (g.p.d./ft= or ft=lbdrm) 0.8 System type S-WIDE Length 70 ft Width.5 ft Gravel below pipe Total depth _5 ft Effective absorption area 350 ft~ Monitoring tube _Y Depression over field N__. Date of adequacy teat __ Results(Pass/Fail) NEW For 4 bedrooms Water added gal. New depth in. in Absorption rate >= g.p.d. If yes, give date .D. LIFT STATION Date installed 'Pump on" level at Datum Size in gallons. in"Pump off' level at Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 120 Absorption field on lot 143 Public sewer main NIA · Sewer/septic service line, 7~- in t Manhole/Acce$.~ High water alarm level at ~ in Me, ets alarm & circuit requirements?. On adjacent lots 100+ On adjacent lots 100+ Public sewer menhole/cleanout .._NIA ,Holding ~nk .7~-~- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 18 Water main NIA ' Property line ~0+ Waler sen/ice line 50+ Absorption field 10+ Surface water 100+ Drainage 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO. Property line :~$ Water Service line 100 Curtain drain 100+ Building foundation ~4 Surface water 100+ Wells on adjacent iots 1~- Water main NI~, Ddveway, paddng/vehide storage F. COMMENTS G. 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 Stevel] R, Parlnone. P.E. Date 3-25-01 HAAFee $ -~0~) C:tJ Date of Payment 0 I Receipt Number <::~b ~" ' (Rev. 11/99) ~ ~.'-. No CF 8149 Waiver F~ $ Date of Pay~nt R~eipt Numar