HomeMy WebLinkAboutT15N R1W SEC 4 LT 16N
ction 4
Lo-I- :1. 6
! - 07:
-13
Municipality of Anchorage Page I of
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
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW010417 PID Number: 051-072-13
Nmne:
Craig and Laura Haws Wastewater System: New [] Upgrade
P.O. Box 771895 Eagle River, AK 99577 ABSORPTION FIELD
~o~: ,~ ~ ~o~-o~,: Shallow 5' Wide Trench
688-6821 Three (3)
Soll Rating: To(al Depth fr~m o~gmal ora(M:
LEGAL DESCRIPTION 1.2
Block: LOI: SuOdlvt~m: Depth to ~ bO~mn fi'om original grade: Gr~vel depth I{)e~'math pipe:
16 8.5
Town~: Range: ~_~cJJ_~o~: Fill added above ~ grade: Gravel Length:
15N lW 4 0 Ft. 39.5
Well: Existing 5 n. 1
Ft. n. 395 F~ ASTM D3034 PVC
F,. Charles Barr Cont. 10/15-16/01
-: I TANK
SEPARATION DISTANCES Ig septic [-] Holding I"] S.T.E.P. [-I Other:
Tc~O Septic AbsorptionUti Holding ~lc/Pnvmte
Tank Field Station Tank S~U,, Anchorage Tank 1,000
r,~,,,, ~
w,, >100' >100' N/A N/A >25' Steel Two
s~.~w,t., >100' >100' N/A N/A ~ / LIFT STATION - NONE ON LOT
~ ~. >5' >10' N/A N/A c.,,.
F~ >5' >10' N/A N/A .~,, ~. ~.~,,:
in. in.
c,,,.o,.~ None Noted P~m. ldake&Mo~l ~kl~ctior~p~rfo~medby:
Ra~: BENCH MARK
Existing Septic Tank Pumped, Crushed and
Backfilled. Existing Absorption Trench Abandoned Garal~e Slab ~ Midpoint
in Place. 100.0
Enoi~r',~mp
;..: 4~TM ,, .~-:~.-:,
Inspections performed by: Stuart Gilbert Dates: 1
2
$~'.. ca
Dep~,rtment of He~,lth a.cl Hum~,n Service~. approval
Reviewed and al)proved by' ate:
(~.~,. t0/~)
Municipality of Anchorage
DEVELOPMENT SERVICES DEPARTMENT
4700 South Bragaw Stree~ Anchorage, AK 99519-6650 - 343-7904
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number SW010417
PID No. 051-072-13
Page 2 of 3
Ex~st
A B
S1 90.5 86.2
S2 95.2 85.1
M1 111.3 92.8
C6 103.5 97.0
C7 114.0 95.5
C7
H1
C5
C3
Municipality of Aflchonlge
DEVELOPMENT SERVK:ES DEPARTMENT
4700 South Bragaw Sired Anchorage, AK 99519-6650 - 343-7904
On-Site Wastewater Disposal System or Well Inspection Repod
Permit Number SW010417
PID No. 0514)72-13
Palle 3 of 3
c.) ~ c4 ur.)
Sep.
90.~2
89, 9
Geotextile Fabric
.79.0
39.5.'
~ ,/",?. · ' ' ' ' ;'?7 e, %.
PROFILE AS-BUIL
1" = 10' ~ ~ '.',~c ~',:~ ~. / ~so~ :~ ~
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-S/re Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 9951~.6650
(90?) 343-7g04
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 03, 2001
Expiration Date: Oct 03, 2002
Permit Number: SW010417
Legal Description: T15N RIW SEC 4 LT 16
Design Engineer: 0014 Anderson Engineering
Owner Name: Craig & Laura Haws
Owner Address: PO BOX 771895
EAGLE RIVER , AK 99577-1895
Parcel ID: 051-072-13
Site Address: 021735 KNIK VISTA ST
Lot Size: 108900 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
tv': Disposal Field iv'! Septic Tank
Holding Tank [ I Privy i Private Well I 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 DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 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.
Received By:
Issued By:
Date: /0 --01
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
ON-SITE SEWEPJVVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-072-13
Permit Number SW 0 10~ 1 7
Property owner(s) Craig and Laura Haws
Mailing address (1) P.O. Box 771895 Eagle River, AK 99577
Mailing address (2)
Legal description (Lot, Block & Sub'd.) BLM Lot 16~ Section 4, T15N, RIW
Legal description (Section, Township & Range)
Day phone 688-6821
Zip Code
Lot Size 2.5 Acres
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Acres/Sq.Ft.
Number of Bedrooms Three
[--] Well Only []
[--I Water Storage []
[--I Jacuzzi []
[] Water Softening Unit []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev, 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
September 24, 2001
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject:
BLM Lot 16, Section 4, T15N, RIW
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of the subject lot is currently selling his house and must upgrade his septic
system to obtain a Certificate of Health Authority Approval. We are therefore
requesting a permit be issued for the construction of a new septic system to serve the
three-bedroom home. The attached Site Plan and backup documentation identify the
location and configuration of the new septic system and the parameters used in the
design. Also identified on the plans are the location of the existing septic system and
well on the lot and the test hole location. Existing drainage patterns are shown and will
not be altered by the development of the lot. A bluff exists near the south side of the lot
and the current system is less than 50' from the edge. The new absorption trench will
be more than 50' from any break in grade greater than 25%. The existing septic tank
will be pumped and removed from the site. The existing absorption trench will be
abandoned in place.
A test hole was placed near the location of the new absorption trench. This hole
indicated well graded to poody graded gravel with some sand and silt. The majority of
the material in the test hole was found to pass a No. 4 Sieve. A sand liner is not
required. Percolation tests in the material resulted in rates of less than I minute per
inch. No groundwater was found dudng placement of the test holes, and none was
noted dudng the monitoring pedod. We are therefore proposing to place a 5' wide
absorption trench system with 4' of gravel beneath the distribution pipe. The total depth
of the trench will be 12.5'. The distribution pipe will be placed at 8.5' below the ground
surface to provide sufficient drop from the house to the septic tank and then to the
absorption trench. The total length of the new absorption trench will be 38'.
The ground surface on the lot slopes as shown on the attached Site Plan with only
minor slopes near the proposed septic system site. The new absorption trench will be
constructed on a faidy fiat surface in conformance with Municipal requirements and
parallel to ground contours where possible. All components of the new septic system
will be constructed 100' from the existing well on the lot.
If the system is constructed in accordance with our design the following statements
BLM Lot 16, Section 4, T15N, RIW
September 24, 2001
Page Two
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be 'maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
SCOPE OF WORK:
1. Pump and Remove Existing 1,000 Gallon Septic Tank.
2. Abandon Existing Absorption Trench in Place.
3. Place New 1,000 Gallon Septic Tank.
4. Place 2 Post Tank Cleenouts.
5. Construct New 38' Long X 5' Wide X 4' Effective
Depth Absorption Trench.
6. Regrade All Disturbed Areas.
7. Revegetate Area As Required.
BLM ~ot 16, Section 4
T1 5N, RIW
i [ Existing Well
~ [ ~sorption Tren~~--~~ \ Hous~ [
N~E: No Conflicts With Existing
~11~ or Septic Syst~s in
the ~ea.
SITE PLAN
SCALE 1" = 50'
BLM Lot 16, SECTION 4, T15N, R1W
DESIGN FACTORS:
Three Bedroom Home
Peru. Rate: LT 1 Min./Inch
Application Rate: 1.2 GPDISF
SYSTEM REQUIREMENTS:
5' Wide Trench System
1,000 Gallon Septic Tank
4' Drainfield Rock
3 Bedrooms X 150 GPD 1 1.2 GPDISF = 375 SF of Absorption Area
375 SFI5 LF (Width)*.5 (Red. Factor) = 37.5 LF Trench Length
Therefore: Construct a 38' Long X 5' Wide X 4' Effective Depth Absorption Trench.
Flowline Elevation in Trenches to be 8.5' Below Original Ground Surface. Total Depth to
be 12.5' Below Existing Ground. All Components of the Septic System to be Outside the
100' Well Radii. Mound Over Trench to Provide a Minimum of 3' of Cover or Provide 2" of
Direct Bury Insulation and 2' of Cover.
NOTE:
8I
ag
' ~:.~_~ ' .~lat~ral~ - . .
~ : "; , _F.-." :':'
5'
~PICAL ~DE TRENCH SECTION
(NO SCALE)
Grade A~ ~er Trench to Drain Away.
Minimum 6' Secretion From B~r~k.
Minimum 4' ~mtion From Groundwater.
Minimum 1~' Secretion From Wells in the Area.
Municipality of Anchorage
Department of Health & Human Services
825 L Street, Anchorage, AK 99502-0650
SOILS LOG - PERCOLATION TEST
Performed For: Craig Haws
Legal Description: BLM Lot 16. Section 4. T15N. RIW
SLOPE
North
OG/OL
GWIGP
Some Silt
5
6
7
8
9
10
11
South
No
Was Groundwater
Encountered?
If Yes, What Depth?
Depth to Water
After Monitoring
Date:
None
~2~01
Date Performed:
SITE PLAN
See Site Plan
S
L
O
P
E
12
13
14
15
16
17
18
21
Bottom of
Hole
Reading Date Gross Net Depth To Net
Time Time Water Drop
13-Sop 5:05 1'
8:15 5 Dry 9"
8:16 1.25"
8:21 5 Dry 8.75"
8:22 1"
8:27 5 Dry 9"
Perc. Rate: <1 Min./Inch Perc. Hole Diameter: 6"
Test Run Between 8 Ft. and 9 Ft.
Comments: Test Cavity was Presoaked Prior to Test. More than 50% of Matedal Passes No. 4 Sieve.
Performed By: Mike Anderson. I, Michael E. Anderson Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 9124/01
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: BLM LOT 16, SECTION 4, T15N, R1W
GENERAL:
The scope of this project includes the removal and disposal of the
existing septic tank on the lot and the abandonment in place of the
existing absorption trench. It also includes the procurement and
placement of a new 1,000-gallon septic tank at the location shown on
the site plan. Work also includes the construction of a new 38' long X
5' wide X 4' effective depth absorption trench at the location shown on
the Site Plan. The distribution line in the trench will be placed at 8.5'
below the existing ground surface. Total depth of the trench will be
12.5' below the existing ground surface. The new septic tank and
trench must be constructed at least 100' from the well on the lot.
Construction shall be in accordance with the approved site plan,
design drawings, Municipal Permit with any special provisions or
conditions, and all applicable State and Municipal Wastewater
Disposal Regulations.
The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the
location of all lot lines.
Unless specifically agreed otherwise, the contractor shall be
responsible for final grading areas subsequently depressed from soil
settling. Property owner shall be responsible for revegetation of
affected areas unless specifically agreed otherwise.
Contractors installing wastewater disposal systems must be certified
by the Municipal Department of Health and Human Services for
system installations. Owners installing their own systems must receive
prior approval from D.H.H.S. before beginning system installation.
SEPTIC TANK INSTALLATION
1. A new 1,000-gallon septic tank must be procured from an approved
source and installed at the location shown.
A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts for pumping
access.
o
The septic tank shall be sufficiently bedded to prevent settling or
shifting of the tank.
All standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
Tanks installed without 4' of cover shall have a minimum of 2" of direct
burial insulation.
BLM Lot 16, Section 4, T15N, RIW
September 24, 2001
Page 2 of 3
A foundation cleanout shall be installed one to four feet from the
building foundation. Two cleanouts are required between the tank and
the drainfleld.
7. Final grading over the tank shall be such that a positive slope exists
away from the septic tank.
DRAINFIELD CONSTRUCTION:
The drainfield shall be constructed to the dimensions shown on the
design. The bottom of the trench shall be within 2" of level.
Distribution piping must be placed level with perforations down ato.p a
level bed of drainfield rock. Rock should then be placed over the pipe
to provide a minimum of 2" of cover.
A silt barrier or geotextile fabdc must be placed between the drainfield
rock and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations
shown on the design. The portion below ground must be perforated.
o
o
Contractor shall vedfy the septic tank and drainfield are a minimum
100' away from any pdvate water wells in the area, 150' from a Class
"C" Well or 200' from any community well.
Direct bury insulation must be placed over the distribution system if
less than 3' of backfill depth is available. Finish grade over the trench
must be mounded to prevent settlement or depressions.
Grade area surrounding the absorption trench to drain away.
A minimum 2' of accepting soil is required below the drainfield rock for
a 5' wide trench. Contractor shall verify this condition prior to
placement of the rock. All pockets of unacceptable materials must be
removed and replaced.
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic
tank manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated
and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and
ASTM D2662 or A.B.S. (perforated and solid).
Insulation shall be at least 2" thick extruded direct burial polystyrene
(Dow Chemical Co. Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Femco, or equal).
BLM Lot 16, Section 4, T15N, RIW
September 24, 2001
Page 3 of 3
5. A permeable geotextile fabdc (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing
the #200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These
inspections must be conducted under the supervision of a professional
engineer registered in the State of Alaska. The first inspection must be
conducted after the excavation of trenches, beds or pits and before the
installation of any gravel. A septic tank may be set in place, but may not
be backfilled.
The second inspection must be conducted after the placement of the
geotextile fabric, gravel, distribution piping, standpipes, cleanouts and
insulation. No backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction
notes for use in preparing the certified as-built of the completed system.
MEMORANDUM
DATE:
November 5, 2001
TO:
FROM:
Jeff Poet
Mike Anderson, P.E.
SUBJECT:
BLM Lot 16, Section 4, T15N, R1W
Septic System As-Built/Certificate of Health Authority Approval
Well Location
The well location shown on the as-built drawing for the lot is correct. The well location
shown on the Site Plan submitted with the permit application was is not correct. The
odginal site plan was based on a surveyed as-built which did not show the location of
the well. All components of the new septic system are outside the 100' protective
radius of the well on the lot.
Please let me know if further information is required before the Certificate of Health
Authority Approval can be issued for this lot.
GRE. ANCHORAGE AREA BO,
Dep~rtment of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
,,/ INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
,,'-I) / c:h~,~b ~_ /
NAME ~q¢!ll?~ ~,~2~C~_~l~-/.~ MAILING ADDRESS ¢'~DOX 6~ ~fl~e )~'0e~ PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER ~.~C~
MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY /~-~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION 30~'.,
ADDITIONAL ABSORPTION
OR WIDTH /~I, LENGTH I~-~1, DEPTH ~.¢/
CRIB SIZE: DIAMETER <~1 DEPTH (¢! DISTANCE FROM: WELL /'~O"
TOTAL EFFECTIVE
NEAREST LOT LINE -- ABSORPTION AREA (WALL AREA) ~2~ SQ. FT.
WELL:
CONSTRUCTION
BUILDING ,,.-, r- NEAREST
FOUNDATION /') ¢ LOT LINE
CESSPOOL
APPROVED?/L~/ DISAPPROVED
OTHER SOURCES
DEPTH ,~"-O ' DISTANCE FROM:
NEAREST SEPTIC //Fi SEEPAGE /20 *~
SEWER LINE TANK SYSTEM
REMARKS
DISTANCES:
INSTALLED By:~?
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form NO. EQ-031
DIAGRAM OF SYS?/~yr/
//
//
DATE ~/~¢/¢.~ APPROVED ~ ¢(' A
/
0 ~ E EI~.._ EERING ~ VT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 333-52~0
Russell Oyster Earl Ellis
694-2774 333-5240
Civil Engineering Surveying
Soils ~ Foundations Land Development
SOIL LOG
Performed for: ~/~/~/~ ~.~. ~.>~ ~ ~ ~/¢<~b~ ~/u~/2~,/~. ?76~7'7
Legal Description: zLmT' /6~ ~,
Depth (feet)
Soil Characteristics
0
1
2
3
4
5
6
7
8
9
lO
11
\
12
Ground Water Encountered: Yes No ~/ If yes, what depth
Proposed Installation: Seepage Pit ~/ Drain Field
Cpmments: 2~m~.~ ~F ~/~' y~.~ ~y/ 2~"~>~
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. 051-072-13
Expiration Date:
GENERAL INFORMATION
Complete legal description BLM Lot No. 16~ TtSN~ RtW, Section 4
Location (site address or directions) Knik Vista
Current Property owner(s) Craig and Laura Haws
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~
Public Water System
P.O. Box 771895 Eagle River, AK 99577
Three (3)
Day phone 688-6821
Day phone
Well
Day phone
TYPE OF WASTEWATER DISPOSAL:
[~ Individual On-site []
[-] Individual Holding tank []
r'~ Community On-site []
r-'l 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 pdvate or Class C well and may be reissued with
new 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.
4. 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 Anderson Engineering
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Pdnted Name Michael E. Anderson, P.E.
5. DSD SIGNATURE
Approved for .'~ bedrooms.
Disapproved.
Phone 522-7773
Date 1111101
.,_., /~ ~ ENGINEER S
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Odginal Certificate Date:
(Rev. 12/00)
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Watm' & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-6650
wvnv.ci.anchorage.ak.us
(907) 343-7~04
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Desc~pUon: BLM Lot t6, Section 4, T15N, RIw
Parcel ID: 051.072-t3
~WELLDATA
Well type Private
Date completed __
Total depth
If A, B, or C provide PWSID #
Sanitary saaJ (YIn)Y_
Cased te >40 fl.
FROM WELL LOG
Well Log (Y/N) N
W~res properly protected (Y/N) Y
Casing height (above ground) >24
AT INSPECTION
Date of test
10/28/2001
34.t
Well production
WATER SAMPLE RESULTS:
C~lform 0 celonies/lO0 mi.
Date of sample: 10/28/2001
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,000 gal.
Foundation cleanout (Y/N) Y_
Date of pumping
C. ABSORPTION FIELD DATA
g.p.m.
Nitrate t.24 mgJ~.
Collected by: Mike Anderson
Numbe~ of Compartmonts :2
Depression over tank (Y/N) N_
Pumpor New Conatmctlon
Date installed t0/16/2001 Soil rating (g.p.dJft~ ar ~/bdrm) 1.2 6PD/SF
Length 39.5
Total depth 12.5 fl.
Date of adequacy test
5.0 g.p.m.
Other bacteria 0 colonies/100 mi.
Date installed 10/15/200t
High water elarm (Y/N) N
System type 5'WideTmnch
ff. W'ztth $ lt. Gravel below pipe 4
Eft. absorption area 395 · Moniluring lube Y Depression over field N_
Results (Pass/Fail)
Fluid depth in absorption field before test in. Water added gal.
Elapsed Time: __ min. Final fluid depth in. Absorption rate >=
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
For bedrooms
New depth in.
g.p.d.
D. LIFT STATION
Date installed
"Pump on" level at. in.
Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/~iff station on lot >100.
Absorption field on lot >t00.
Public sewer main N/A
Sewer/septic service line >25'
Size in gallons
'Pump off' level at,
Cycles tested
in.
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots >100.
On adjacent lots >100'
Public sewer manhota/cleenout N/A
Hcflding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5'
Water main N/A
Wells on adjacent lots _>100.
Prope~y line. >5'
Water service line >10'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Properly line >t0'
Water Sewice line >10'
Cudain drain None Noted
F. COMMENTS
Building foundation >10'
Surface water >100.
Wells on adjacent lots >100'
Absorption field >5'
Surface water >100'
Water main >10'
I:~veway, pastJng/vehicie storage >~0'
in.
G. ENGINEER'S CERTIRCATION
I ce. filly that I have determined through field inspections ~d
rawew of Municipal records that the above systems are in
conformance wfth MOA HAA guidelines in effect on this date.
Engineer's Printed Name Michael E. Anderson, P.E.
Date 11/1/2001
HAA Fee $
Date of Payment
Receipt Number
(~v.
,,/,/o /
Waiver Fee $
Date of Payment
Receipt Numbe~
1'40~-~1-:~:::~1 G~:53 CT&E ESI
CT&E Envlroflmoflml Servloos Inc.
90"~620119 P.01/94
C'F&E Rd'd~ I 01756100 ! Client PO#
CbutNamo Andorson Enginom~f l)rJntod Dalw'Tfme 1 !/01/2001 8:19
ProJeetWame/~ N/A ColiocUd DaWTim. 10/2a/2001 14:00
OJeut hmpb ID BLM lot 16 Rocdvod Date/Time 10/29/2001 15:30
M~rriz DFink~g WoMr TeebnJml Director Stop#eh C. IF, de
Ordorod By Rdea#d By
Staple Remarb:
AJIow~ble ~ Andytis
Init
Nitrs~.N 1.24 0.$00 mr/L EPA 3OO.0 (<10)
! 0/29/0 ! SCL
Tmal CoiEorm
~ol/iOOmL, SMI8 9~1~ (<1)
10/29~1
Received Time Nov. 1, 8:49AM
Page 1 of 1
From Stuart Gilbert <stuarte@alaska.net>
Date Wednesday, October 31, 2001 8:18 pm
To "Mike Anderson,P.E." <andengr~gci.net>
SubJect BLM Lot 16
Well test data:
Lot 16 BLM
Well Test
October 29, 2001 (no well log)
A 4 hour well test was performed using an Acoustic Well Probe to read
water levels in the well and a water meter connected to a garden hose
from which to read flow rate and water volume being pumped from the
well.
Flow was unrestricted for 4 continuous hours ~t a constant flow rate of
5 gallons per minute. 1,200 gallons were pumped from the well. Pump
stayed running while the level dropped from the static of 34.1' below
the top of pipe to 41.1' below top of pipe. Test was conducted while
pump ran continuously and sucking sound was audible from pump sucking
air so water level remained at the pump intake throughout the test.
Recovery was 100% in 30 minutes.
I believe that the total depth of the well is approximately 80'. Well
is cased to about 41'. I believe that I was picking up the echo of the
drive shoe since I could not get a reliable water level reading below
41.1'. Pump intake is at approximately 50' since I was getting sporadic
readings in that vicinity that always returned to 41.1'. It is common
to get unreliable readings while in bedrock.
RESULTS
Well produced 5 gallons per minute for 4 hours therefore passes the test
for a 3 bedroom home.
Well cased to more than 40'.
Sanitary seal in place, wires in a protective conduit and well stick up
24"
http://augustine.gci.net/frame.html 11 / 1/01
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 16; Section 4; T15N; RIW
Location(address ordirections)
Glacier Road
(b) Property owner Ma.qRie Borrecco
Mailing Address
Telephone : (home) 688-3027 Business_
(c) Lending Institution
Mailing Address
Telephone
(d) Real Estate Company and Agent' JACK WHITE COMPANY/L~nda Banner
Address 10928 Eagle River Road, Eagle River, Alaska 99577
Telephone 694-5500
(e) Mail the HAA to the following address: (or check here E~, if hold for pick up.)
List contact person and day phone number below:
S & S ENGINEERING/694-2979
17034 Eagle RivQ_~ Loop Road. Suite_ 204
EaglQ_ River, A~aska 99577
2. TYPE OF RESIDENCE
Single-Family,~ Number of bedrooms
3. WATER SUPPLY
Individual Well [] Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site[}( Public [] Community [] Holding Tank []
Note: If oommunity well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legailty and status.
72-825 (Rev. 7/88) Page 1 of 2
A. WELL DATA
Well ClassifiCation
Well Log Present (Y~)
Total Depth L),/~, !
Cased to ~ ~
Static Water Level '~" J
MUNICIPALITY OF ANCHORAGE (MOA)
Health Authority Approval (HAA)
MUNICIR~E ~K~.~qO~l~.~ R U A Ry 1984
ENVIRONMENTAL S E R Vt C E~ 4~$'¢l~¢j~J~J
SEP 1 5 1988
RECEIVED
~ Date Completed d,~,
Depth of Grouting ~
Legal Description:
Casing Height Above Ground
Electrical Wiring Jn Conduitd~N)
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot
If A, B, C, D.E.C. Approved (Y/N)
Yield o/c2~t. ~j:2,,~,~ ~
Pump Set At (--~---,
Sanitary Seal on Casing~N) /v'
Depression Around Wellhead (Y~
; On Adjoining Lots / C)Z2 /'~
j ,~:~ I ; On Adjoining Lots
.To Nearest Edge.of Absorption Fiel~.~,~//~ot
To Nearest Public Sewer Line To Nearest Public Sewer
To Nearest Sewer Service Line on Lot /~./~
Water Sample Collected by ~ ~l~'~:z-~,~J~ ; Date
Water Sample Test Results ~F~~ ~ ~/~
Comments ~ ~ ~ ~-~--~e.
B. SEPTIC/~ TANK DATA
Date Installed ~'~'~'~7:~ S ze ,/~C)E2 No. of Compartments
Standpipes~/N) f Air-tight Capsd~YN) F Foundation Cleanout
Depression over Tank (Y/d~j) /"J , Date Last Pumped
Pumping/Maintenance Contact on File (Y/N) . /J/.'~ ; for '"--'---
Holding Tank High-Water Alarm (Y/N) /,'~- Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well //f~ ! To Building Foundation
TO Property Line . .. / r2 /'¢' To Disposal Field /'~ '(,'
To Water Maj'~/.Service Line / ,~
To stream, POnd. Lake or Major Drainage Course / 42~ /~
J
Y
72-026 {Rev. 7/88) Front Page 1 of 2
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
~~k 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907)562-2343
FEDERAL TAX ID # 92-0040440
ANALYSIS REPORT BY SAMPLE for Work Order ~ 9054
Date Report Printed: SEP 12 08 @ 12:59
Client Sample ID:Li6, SEC 14 T1SN R1W SM
PWSID :UA
Collected SEP 6 88 @ h~s.
Received SEP ? 88 @ 17:00 h~s,
Preserved with :4 DEG, C
Client Name : S & S ENGINEERING
Client Acct: SNSENOP
P.O.$ NONE REC'D
Req ~
Ordered By
Analysis Completed ;SEP 9 EE Send Reports to;
Laboratory Supe~¥b~or :STEPNEN C. EDE 1)S & S ENGINEERING
Released By
Special
Instruct:
Chemlab kef ~: 2518 Lab Smpl ID: 1 Matrix: WATER
Allowable
Parameter Tested Result/Units Method Li~tts
NITRATE-N 2.4 rag/1 EPA 353.2 10
Sample RON~INE SAMPLE
Remarks:
Tests Per£o~med See Special Instructions Above UA=Unavailable
None Detected *' Nee Sample Remarks Above
Not Analyzed LT=Less Than, GT=Greate~ Then