HomeMy WebLinkAboutJOHNSON HEIGHTS PHASE 2 LT 2A ohn
on
Heights Phs.
Lo't 2A
050-972
-O9
Municipality of Anchorage Page I 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: ,,~wOOO¥,¢'? PID Number: 0 .,~0- ~72.-0~
Wastewater System: ~t' New n Upgrade
ABSORPTION FIELD
Address:
LEGAL DESCRIPTION
lot:
~q n
WELL:
Classificat~on (Private, A.B.C):
Driller:.
Yield:
Subdsviaion:
w ! ~. !7
New ~ Upgrade
Total DeDt~: Cased To:
Date Drdl~: S~bc Water Level:
Pum~ Set at:
SEPARATION DISTANCES
Line
Cu~ain
Put31ic/Pnva~e
Sewer Lines
[~' Deep Trench rq Shallow Trench [] Bed [] Mound [] Other
Soil Rating:
Oemh to p~oe bottom f;om ongmal grade:
/ Ft.
·; .ut, .-d aDc'ye or~gi.,~; grade;
Gravel wi(3th: /
· .~ Ft.
Total al3eorptlon area:
'770 SO. ~t.
Installe~
TANK
J~ Septic ~ Holding
Manufacturer.
Material:
Total Depth from original grade:
~,,
Gravel Cepth beneath pipe
Gr=vel lengm: .~' /
NumOer of lines: I 0~$t3nce ber~nlme~:
Pipe material:
Dam install~:
r-ze-O~
Inspections performed by: E. ~,, [:, ,$ Dates: 1st _~
2nd
Department of Health and Human Services approval
Reviewed and approved by:
72-013 (Rev. 9/91) MQA 25
LIFT STATION
Pum. Mal~ & Motel I Elecmca, Inspections performed ..:
BENCH MARK
Location and Description:
To~ ~ f w~,,ll.
Assumed Elevation:
. laS'.:: ~:,
ENGINEER'S SEAL
- ~%~.~ /
Numl3er of Compartments:
Capacity in gallons:
I~'00
~S.T.E.P.
Permit No. SW000457 Page 2
Municipoli[¥ of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Aloska 99519-6650 Telephone: 343-4744
On-Site Wastewa[er Disposal System and/or Well Inspection Report
of 2
Le§ol DescripUon: JOHNSON HEIGHTS PHASE II, LOT 2A
PID No.: 050-972-09.
S89'59'00'E 300.16'
LOT 2A
S89'59'00'E 300.25'
Scole 1°=60.
A B
C 170.9' 189.3'
D 150.0' 195.5'
I~ - TEST HOLE
· - MONITOR TUBE
o - SEWER CLEAN OUT
'4,- - WELL
EASEMENT
r- -_ - ~ - PROPOSED LEACH FIELD
~ - DRIVEWAY
- ~.. POWER POLE
ENGINEER'S SEAL
,~' ~ .' ........':~-
~ ~ ......................... ~.~
~ ~% LOUIS A. SUPRA .:~ ~
J.n-.05-2001 lZ:3~m Frm-SPIIIELL HOLES IIlCi 00734419TI; 1'-310
MuKmipality of AnchOrage
Departme ,nt of He~th .nd Human Servic. e~
Pemit Number:. ~W ooot~ ])ate ot]~m~. ~27-00_ P~n~! Zaeu~k
· . l?3~eRacheiAve.
Cming stidmp above
P~mp: lmtnl~ Itnpth I~net
~pmp~y
P.OOi/~iOl F.-$50
MUNICIPALITY OF ANCHORA GE
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 I WATER SUPPLY PERMIT
Initial
Date Issued: Oct 27, 2000
Expiration Date: Oct 27, 2001
Permit Number; SW000457
Legal Description: JOHNSON HEIGHTS PHASE 2 LT 2A
Design Engineer: 0024 Eagle River Engineering Services
Owner Name: Clifford & Ginger Fletcher
Owner Address: 17348 Rachel Ave.
Eagle River, AK 99577-
Parcel ID: 050-972-09
Site Address:
Lot Size: 54450 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit is for the construction of:
[] Disposal Field j-~ 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.
/q-dj/
70 L,,.,IPE PPF /Z', /T LL) ' L.o G.
Date:
Date: ,]O "- 2 7--00
· Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
October 14, 2000
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Lot ~ Johnson Heights t,~,~
Narrative & Permit Application
Dear Mr. Cross:
The proposed well and septic system installation will have very limited impact on adjacent properties for
the following reasons:
The surrounding lots are large and all but 1 have wells and septic systems located so as to
allow sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
Reserve space is adequate, due to absorption capacity and lack of water table.' This is a
recently platted lot and was subject to scrutiny during the platting process.
4. Drainage will not be affected and is not a major consideration in our design.
If you have any questions please call our office at 694-5195. ·
Sincerely,
Louis Butera, P.E.
L2000\00-066NAR.DOC
LOT lA
SEPTIC
PIT
S59'59'00"E 300.16'
LOT 2A
1500 GALLON TANI4
I00.00'
PROP.
HOUSE
NO SURFACE WATER
NO KNOWN CURTAIN DRAINS
LOT 3 - SEPTIC +30'
/
./
NO SEPTICS +100'
WELL
S59'59'00"E 300.25'
I~ - TEST HOLE
· - MONITOR TUBE
o - SEWER CLEAN OUT
+ - WELL
EASEMENT
r- ~-~ - PROPOSED LEACH FIELD
~ - DRIVEWAY
~-,- - POWER POLE
WELL/SEPTIC
SITE
PLAN
LEGAL: LOT 2A JOHNSON HTS. PHASE 2
OWNER: CLIFF FLETCHER
CONTRACTOR: N/A
JOB#OO-O66WSJ DATE:5/18/01 J SCALE 1" =50'
A EACLE RIVER ENGINEERING SERVICES
P.O. Box 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297
LOT lA
SEPTIC
PIT
S59'59'00"E 300.16'
LOT 2A
1500 GALLON
PROP.
HOUSE
,t
NO SEPTICS +100'
R~IO0.O0*
WELL
NO SURFACE WATER
NO KNOWN CURTAIN DRAINS
S59'59'00"E 300.25'
LOT 3 - NO WELL OR SEPTIC
B~ - TEST HOLE
· - MONITOR TUBE
o - SEWER CLEAN OUT
+ - WELL
EASEMENT
r- -- -~ - PROPOSED LEACH FIELD
~ - DRIVEWAY
· ,- - POWER POLL
WELL/SEPTIC
SITE
PLAN
LEGAL: LOT 2A JOHNSON HTS. PHASE 2
OWNER: CLIFF FLETCHER
CONTRACTOR: N/A
JOB#OO-O66WSI DATE: 10-14-001 SCALE 1" - 50'
A EAGLE RIVER ENGINEERING SERVICES
P.O. Box 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (90?) 694-3297
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: Lot ~Johnson Heights ~--~
October 14, 2000
A. GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health and State
Department of Environmental Conservation requirements.
'4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to mcet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain ali necessary permits or easements and to locate any
adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. It is always recommended that a surveyor locate the nearest lot line position and the location of any
easements.
B. SEPTIC TANK/LIFT STATION
1. Septic tank shall be 1500 gallon tank of MOA approved construction set level (within 0.03').
C. TRENCH
1. The trench bottom elevation is to be no greater than 8' deep referencing the ground surface at the test
hole location. The bottom of the trench excavation shall be level, plus or minus 1.5".
2. The effluent line within the new trench shall be laid level within 0.03'.
3. The trench gravel is to be covered with typar fabric material.
4. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed
over the leachfield. Mounding over the leachfield is acceptable.
5. The area over the trench is to be filled and finish graded to prevent ponding of surface water runoff
over the trench.
6. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to the
Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 8' GRAVEL DEPTH = 6' under pipe, 2" over pipe
TRENCH LENGTH = 52' TRENCH WIDTH = 3'
SOIL RATING = 1.2 ~;PD/ft2 BEDROOM CAPACITY = 5
SEPTICTANK = 1500
Twenty-four (24) hours notice required for all inspections.
L2000\00-066spec. do¢
EAGLE RIVER
GINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
roject No.: 00-066
ulated By: LB
Date: 10/14/00
Legal: Johnson Heights Lot 2 .4,
Single Family 5 Bedroom Dwelling
TEST HOLE i
Deep Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom =
Percolation rate =
Wastewater application rate =
Required absorption area =
Trench width (W) =
Gravel depth (D) =
750 gallons
I minutes per inch
1.2 gallons per day per square foot
625 square feet
3 feet
6 feet
Required length = Required absorption area / 2 / D
Required length = 625 / 2
Required length = 52 feet
Total Excavation Depth = 8.0 feet
/ 6
~.~.. .......... .~
~-"' ..~J2'..
LOUIS A. BUTERA
.........
~ESS~ ·
00-066cal.xls 1:31 PM10/14/00
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG ~ PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
d,.~,o )
lO
WAS GROUND WATER
ENCOUNTERED?
DATE PERFORMED:
Township, Range, Section:
SLOPE SITE PLAN '-,
11
12
13
14
15
17,
18
19
20
COMMENTS -~"/'~'~
PERFORMED BY; ~'~'~
S
IF YES. AT WHAT L
DEPTH? ..,~.,~.,4f 0
P
E
Depth to Wau Alter
Moaitm'ing? ~I?,":/' Da~ -Y-"'~-'~S" ,
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ~'I~~''1~ (minutes/inch) PERC HOLE DIAMETER ~' '/
TEST RUN BETWEEN ~°'$- FT AND .~"L,~" FT
I ~~'~'-" CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE;
72-008 (Rev, 4/85)
Municipality of Anchorage
Development serVices Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Expiration Date:. ,~" -~ O - ~ /
Current Property owner(s)
Mailing address
Day phone
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: ~'
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
[~ Individual On-site []
1"'-] Individual Holding tank r-]
[] Community On-site []
[] Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) 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) for properties served by a single family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. 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
ne,,,/water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with
valid water samples.) 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.
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is(are) 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(are) 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 Pdnted Name
DSD SIGNATURE
/.~ Approved for ,~
Disapproved.
Conditional approval for
Phone ,d~F~./,-'<'-/'~J'''
Date _ / ¢
.~ ~.'~_"*"~%5 ~
~.~.
~ ~. ~ Louts A. Butera
~''- "Z ~:'~ ~,,,¢~3~~0 ~- "~
bedrooms. ;~ ~ ........
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic'System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: /0 - -~ - 4:P//
(Rev. 1~/00)
Legal Description:
A. WELL DATA
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak, us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
We, type
Date completed
Total depth ~ ff.
Date of test
Static water level ft.
Well production g.p.m.
WATER SAMPLE RESULTS:
Coliform /~ coloniesll00 mi.
Date of sample:--~,~/~ ?~/~?/" Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material .S'/-~./'
Tank size /s-~>; gal. Number of Compartments
Foundation cleanout (Y/N) .~..
Date of pumping
C. ABSORPTION FIELD DATA
Date installed <~'-
Length
Total depth ~:~ ft.
Date of adequacy test
Well Log (Y/N) .Y'
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
ff.
g.p.m.
If A, B, or C provide PWSID #
Sanitary seal (Y/N) Y
Cased to/~- ff.
FROM WELL LOG
77
in.
Nitrate /-'~)- mgJI. Other bacteria .~ coloniesll00ml.
.:~
Depression over tank (Y/N)
Pumper ,, ~/4
Date installed
Cleanouts (Y/N) /~'
High water alarm (Y/N)
System type
Soil rating (g.p.d./ft~ or ~/bdrm) /' ~-
ft. Width ~ ft.
Eft. absorption area 77~ f~ Monitoring tube .
~ Results (Pass/Fail) /~ ¢;/
Fluid depth in absorption field before test '-'- in. Water added"-'
Elapsed Time: ~" min. Final fluid depth '"'- in.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) ~v' o
Gravel below pipe _ . 7
~Y Depression over field
~ gal.
Absorption rate >=
For ~ bedrooms
New depth -- in.
~ 2~o g.p.d.
If yes, give date -'"-'
LIFT STATION
Date installed '~n flallons M.~3hole/Access (Y/N) ,,,,""
"Pump on" level at ,,~i~. 'Pump ofl" level at in.~/ High water ala~el at _
Datum -~-- Cycles tested ,,," Meets alarnf & circuit requirements?
E. SEPARATION DISTANCES
in,
SEPARATION DISTANCES FROM WELL ON LOT TO:
/
Septic tank/lift station on lot ! ~' -~-
Absorption field on lot
Public sewer main
Sewer/septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ! ~ / Property line ~
Water main /v' Ja Water service line
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line '5,~ /
Water Service line
Absorption field
Surface water
e/,~ /
Building foundation
Curtain drain
Surface water ~/~'~
Wells on adjacent lots
Water main
Driveway, parking/vehicle 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 ,/-
Date
HAA Fee $
Date of Payment
Receipt Number
(Rev. 12/00)
Waiver Fee $
Date of Payment
Receipt Number
0CT-19-01 11:31 FROI, t-CI'&E ENYIRo~NT~L SRV 901'5615301 T-99~ P. OI/OZ F-"559
CT&E Environmental Services Inc.
Laboratory Division
200 W. Potter Ddve
Anchorage, AK 9cJ518
Tel: (907) 562-2343
Fax: (907} 561-5301
CT&E Ref. #:
Client Name:
Project Name:
Client Sample ID:
Matrix:
1(]17324001
Eagle River En§ineefing Set, ices
Wa
Lot 2^ Johnson Hts Phase 2
Dr~king Water
PWSID
Sample Remad~s:
Client PO#: r~a
Prin~ed Date/Time: 1 0/19/01 11:1 §
C~llected Date/Time: 10/16/01 17:25
Received Date/Time: 10117/01 09'.20
Tech~cal Director:. Stephen Erie
Released
Parameler
Resutts PQL Units
Allowable Prep Analysis
Method Umits Date Date Init
Total Califorrn (MF)
Nitrate
TNTC OB colllO0 mi
1.2S 0.5 mg/L
SMS222B 10/18~D1 KAP
EPA 300 10.(~ 10/16/01 SCL
CT&E Environmental Services Inc.
Laboratory Division ms/ja~- -~~-__~.~m~,a'~'~r~'A;~r~~~
200 W. Potter Drive
)rinking Water Analysis Report for Total Coliform BacteriaTe~:A"d'°"'""
..... MUST BE COM~"FED BY WATERSU?PLIEK [ TO BE COMPLP:IED BY LABORATORY
· '' -'-' J,~ F~ais factory
y PRIVATE WATER SYSTEM Cl Uttsatisfactory
Day Year
Treated Watt
Untreated Water
D
SAMPLE DATE: .
Mouth
SAMPLE TYPE:
Routine
Cl Repeat Sample (for routine s~mple
with lab ref. no. )
D Special Purpose
s^~rL~: LocAX~o~
Date Received
Time Received
Analysis Began
$ample over 30 hams old, results
be mtr~iiablc
Sample too long in trattsit; sample should
not be ove~ll~ou/s old at examinat/on
to indicat~ ~liable ~esults. ?le',~a: send
new sample via special delive)'y rnai).
\ -q oc o
Analytical Method: ."l~Membrnne Filter
t~ -MMO-MUG
Commerttm
+ Numl~rofcolonies/lO0 mi.
l~sult*
Time Collected
Collected By
[,:,~r~, L ~,~
Dat~:
Analyst
Anch Vbks Jun
Date: Time:
Clie,t notified ofunsaflffactory results:
,'.' : BACTERIOLOGICAL WATER ANALYSIS RECORD
MMO~MUG Relatt: Tote Coliform E. CMl
Membrane Filter:. Dlml Count C) Colonies/100 mi
Veri~c~llon: LTB BG'B COLI FIRM
Coliform Conrucmatton
Speke ~ith
Timr.
Reported By
· FUter..Rt~tts , ~
[]
Foxed
Ctdlform/100 mi
[]
TIVTC'- T~ ~meT~L~ TM
~~ MW of the ~G8 Group (Soci&fl~ G~nMsle de SMIlence)
Z/.6-J tO/lO'd ZSE-Z tO~StBS106 A~S WJN~I~II~5 ::l?J.3-1*lO8:J It:Bi tO-BZ-i30