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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