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HomeMy WebLinkAboutMCMAHON BLK 3 LT 1McMahon Block 3 Lo? I #017-042-01 Municipality of Anchorage Page 1 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744- On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW990125 PID Number: 017--042--01 Name:ANITA SINGLETON Wastewater System: [] New · Upgrade Address: 3500 HUr. MAN ROAD, ANCHO~E, AX ~ ABSORPTION FIELD No. of Bedrooms: Ph°ne:/907~ ~5--0~75 D Deep Trench M Shallow Trench D Bed D Mound D Other Soil Rofing: To~i Depth from ofiglnol grade: LEGAL DESCRIPTION 0.~ ~P~/S,. ~ 9.6 Lot: Block: Subdivision: Dep~ to p~pe boffom fram original grade: Grovel dep~ ~ne~ pipe: 1 3 McMAHON 7.1 ~ 2.61 Township: Range: Section: RII added ~ve original g~de: G~el lang.: - - - 0 - 1 ~ 85' (63 + 22)  Grovel wi~: Number of Ilnee: Di~n~ between lines: WELL: D New D Upgrade 5 ~ 3 - Classific~on (Private, ~B,C): [To~l Dep~ Total abso~fion ama: 685.5 PiPeASTUm~eHal: o Date Thralled: OHIle~ ~ ~e Drilled: Static Water ~vel: In¢olre~ ¢*~ I .. ATCHESON ENT. 7/15/99 - 7/14/99 ~e]d:4d: m~ SetSet At:At: ~ Casing Height ~ove Gmund:R. TAN K / SEPA~TION DISTANCES = Septic ~ .o~ding D S.T.E.P. Manufectumn Ce~c[~ In gallons: To Septic Absorption Lift Holding =ublic/PHvut~ From Tank Reid Station Tank S*~*r U,. ANCHORAGE TAN K 1000 M~eflal: Number of compo~en~: Well 100% 100% -- -- 25% STEEL 2 s~,~ ~oo'+ ~oo'+ - - - LIFT STATION Water Size in ~al[ons: Manufactum~ Line "Pump on" level at: ~~ High water ala~ ~: 5'+ 10'+ Foundation Droin - NONE KNOWN I I R~m.rk~: BENCH ~ARK BOSOM OF SIDING AT NORTH CORNER OF HOUSE. ~aumed aevoUon: 100.00 ~ oF ~f/1 inspections peEo~ed by: AWWC, INC. Dates:lst 6/,0/99 3rd 7/14/99 ~rS~-G~ss.: ~ Depa~ment of Health and Human Se~Jces approval u0~ ',~. ~ .... .,.' Reviewed and approved by: ~//~~~~ Date: ¢' q -~ PERMIT NUMBER: AS BUILT D~I~WlNG PARCEL ID NUMBER: SW990125 ' 017-042-01 \ / HUFFMAN ROAD I / ~EMENT / INSTALLED FLOW ~ J ~ ~ ~ CO2 I DIVERTER (FD) ~ ~ I ~ ¥~MT2 ~ ~.' N~ 1000 GALLON ~ ~ NEW 5' WIDE EXISTING TRENCH TO REMAIN :: ~ IN P~CE FOR FUTURE USE :~ ~ ~ AS A RESERVE SITE. ~ :~ / ~ . / V / Y / --~.~v~ DBL2 - 22.5 13.2 / / ST1 - 25.2 15.6 -I / ST~- ~.~ 1~.~ / DBL5 - 51.5 18,6 / / F~ - ;4.~ ~.~ / / I I / co~ ~.~ ~.~ - MT1 29.6 17.5 - ~ , ~ /~ C02 6~.8 5~.7 - ~ /~ ,~ MT2 63.9 54.0 - / ~ . ~uO' ,,. C05 25.5 49.~ - / / ~EL{ ~. MT5 24.8 49.4 - I ~ ' ~/us ' I 6901 DEBARR ROAD, SOl~ 2B. ~CHOmGE, ~. 99504 ~_ ~.~..[~[~~- PHONE- (907) 5~7-6179/F~: (907) 338-~246 LEGAL DESCRIPTION: ...... AS BUILT DRAWING OF SEPTIC SYSTEM UPGRADE ~.~..A-.;.~ ........ - ~ W. fJr~lA. ~ess~ , PREPPED FOR: PHONE NUMBER: ANITA S NEELTON (907) 645-0475 · ,- ~. '_ . . ' DATE: ID~WN BY, ISCA~' . I PAGE. PERMITsw9901NUMBER:25 AS 'BUILT I)RAWING PARCEL017--042--011D NUMBER: / h4~W I000 ~,d.l. Okl ~ ~NP - ~,~ / ' TH~I *ORIGINAL GRADE - ~ %0_ ~T_ I NOT FILL G~DES* 5 g I i ////9', /// /, I I ?/' z z / ,//. ' z' I~////1 / / / , / ~ ~fOM - ~.~ (AV~) = ~ - 82,55 ~AS~ WATER AND WAS~WATER CONS~TANTS, ~C, McMAHON SUBDIVISION, LOT 1, BLOCK 3 ,, PROFILE AS-BUILT 0F NEW SEPTIC SYSTEM ANITA SINGLETON 345-0475 I I DATE: 7/30/99 ID~WN BY: SCALE: A.C.G. N,T.S. 3 OF 3 Department of Hea/th 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 PERMIT Upgrade Date Issued: Jun 08, 1999 Expiration Date: Jun 07, 2000 Permit Number: SW990125 Legal Description: MCMAHON BLK 3 LT 1 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Anita Singleton Owner Address: 3500 E HUFFMAN RD ANCHORAGE , AK 99516-2109 Parcel ID: 017-042-01 Site Address: 003500 HUFFMAN RD Lot Size: 33670 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 rmit is for the construction of: posal 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. Received By: Issued By: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B N Anchorage - Alaska 99504 (907) 337-6179 - Fax (907) 338-3246 Consulting Engineers July 1, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Septic Design for Lot 1, Block 3, McMahon Subdivision RECEIVED JUL 7 1999 Municipality o! Anchorage Dept, Health & Human Services To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing septic tank had collapsed and was replaced on June 10, 1999. At this time it was also confirmed that the existing trench was in a state of failure and in need of replacement. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached is the soil log which shows the soil profile, and the percolation test results. The soils below the organic layers are an ML to a depth of 5.5 feet. The soil below the ML lay to the bottom of the test hole (15.5') was a GM material. No groundwater was encountered during the excavation of the test hole. A percolation test was performed between the depth of 8.5 feet to 9.0 feet which had a percolation rate of 12.3 minute/inch. This corresponds to an application rate of 0.8 GPD/sq. ft. 2. TRENCH DESIGN: a. Percolation Rate: 12.3 minutes/inch b. Allowable Application Rate: 0.8 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 562.5 ft2 f. Total Depth: 9 feet g. Effective Depth: 2.5 feet h. Width: 5.0 feet i. Reduction Factor: .64 i. Length: 80 feet (see attached detail drawing) j Effective absorption area = 625 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The area where the proposed trench is to go is virtually flat. In short, there are no slope concerns. I am una~vare of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance. Sincerel~ I/k."L/~ ness, .., M.S. Pres NOTE: Attached is a site plan drawing, a design drawing, a detail drawing of the proposed trench, one soil log and a 4page construction specification letter which are all part of the design package for this septic system. Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B N Anchorage N Alaska 99504 (907) 337-6179 N Fax (907) 338-3246 June 7, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Tank Replacement for Lot 1, Bk 3, McMahon S/D. 3500 Huffman road, Anchorage, Alaska. To whom it may concern: The existing 3 bedroom house is served by private septic system, and a private well. The existing 1000 gallon fiberglass septic tank has collapsed and must be replaced immediately. The old tank will be removed and replaced with a new 1000 gallon steel tank. Attached is a 1" = 30' scale drawing which shows the location of the proposed septic tank. There are no surface waters within 100 feet of this proposed upgrade. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or on my cell phone at 244-9612. Thank you for your assistance. Sincerely, Presic~er~t TRACT 2 SIEFKER S/D TRA~T 1 SIEFKER S/D HUFFMAN ROAD TRACT 15 SIEFKER S/D TRACT 16 SIEFKER S/D EXISTING SEPTIC SYSTEM / GRACE BRETHREN CHURCH //J sPROPOSED SEPTIC SYSEM EE DESIGN, PAGE 2 OF 3. EXISTING THREE BEDROOM HOUSE TH~I LOT 2, BLOCK McMAHON S/D // // f / L/------- gt / LOT 3, BLOCK 5 McMAHON S/D ~ LOT 4, BLOCK McMAHON S/D ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 357-6179/FAX: (907) 338-3246 LEGAL DESCRIPTION: McMAHON SUBDIVISION, LOT 1, BLOCK 5 1YPE OF WORK: SITE PLAN PREPARED FOR: PHONE NUMBER: ANITA SlNGELTON (907) 545-0475 DATE: , IDRAWN BY: ISCA : IPAGE: 7/1/99 I K.D.W./A.C.G. 1 = 100' 1 OF2 LOT 1, BLOCK 1 McMAHON S/D LOT 11, BLOCK 1 McMAHON S/D \ \ PROPOSED TRENCH , - SEE D~^,~ P^OE \ / 3OF3 / ~ \ ~~ -- / ~N~ 1000 ~ALLON / ~ ~ ~ , ] ~Z ] /SEPTIC TANK (6/10/99)~ : I / ~ :: / / ] I / / / / ~ I / / / / / / ~ I / / NOTE: THE CONT~CTOR SH~ ~VE THE 100' ~ELL ~DIUS ~D THE 10' S~CK FROM THE ~ PROPER~ LINE F~GGED BY A REGI~ERED SU~OR PRIOR TO CON~RUC~ON. McMAHON SUBDIVISION, LOT 1, BLOCK 3 ' ~PE OF WORK: DESIGN FOR SEPTIC TANK UPGRADE ~..~. PREPARED FOR: PHONE NUMBER: 645-0475 ANITA SINGELTON (907) DATE:7/1/99 D~WN BY: I SCALE: [PAGE: K.D.W./A.C.G. 1 = 30' 2 OF 5 ?I. AN Vll:W ---- I .... I I I1~,I- I o I I I I I I I I McMAHON SUgDIVISION, LOT 1, BLOCK 3 ,~;~ .... 7,~r~ .... ;-..; .... P~N AND PROFILE DRAWING Of PROPOSED TRENCH J; e~ ess/ ALASKA WATER & WASTEWATER CONSULTANTS, INC. [S01L LOG - PERGOL~TION TEST[ McMAHON SUBDIVISION; LOT 1, BLOOK 3 LEGAL DESCRIPTION: DAlE PERFORMED: ~/25/~ ~h~f~ ~-7~53 ..":~ TEST HOLE ¢1 DEPTH ~ (fee 1 .... ORGANIC 2 [SITE PL~,~ ML ~ GM CL II~ SP CH / I 6 SC , /  DEPTH TO DATE / I I / GROUNDWATER / ~ 11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIHE (NINUTES) READING (INCHES) 12 6/28/99 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING 13 1 5:40 6" ~ ~ 2 6:10~- 30 3 3/16" 2 13/16" 14 ~ ~ ~ -' 6:11 6" 4 6:41 50 3 1/2" 2 1/2" 15 ~ -~ 5 6:42 6" 16 ....... - 6 - 7:12~- 50 5 9/16" 2 7/16' 18 19 PERCOLATION RATE 12.3 (MIn./INCH) PERC. HOLE DIA. $ (INCHES) 20 TEST RUN BETWEEN 8.5 FI. AND 9.0 FT. COMMENTS: PERFORMED BY A~SKA WATER & WASTEWATER. I, dEFFR~ A. GARNESS, CERTI~ IHAT THIS ~As P[RF~¢Q ~. ACCOR~A.C[ W~TH ALL STAT[ A~Q UU.~C~PAL OUmU.[S ~ IFF[CT O. DEPTH TO DATE GROUNDWATER DRY 6~2__5d/~9 , ' :.--_:2:5 '"~- STREET., RNCHOF.:AGE., FtK. 9~.....*_d. AF'F'LIp~NT DENNIS KELLE'¢~ ..,, a~O0~.. 28a6 TEL_EQIJFINR M:E,.'k~:/~k~, 6/1ii LOE:B:'r ZON HUFFMRN RORD~ puu-- .~-.. % ~ ~:~:2:t8 SQUARE FEET I]~-~HL L1 B3: MCMRHON SI_IB[;, LOT ~'YPE OF SOZL RBSORBTZON SYSTEM ZS: TRENCH MRXII'"IUM NUMBER OF BEDROOMS = 3': SOIL. RATING (SQ FT?BR)= t50 ]'HE REQUIRE[:, SIZE OF' 'THE SOIL RBSORP]"ION SYSTEM IS: I[:::, E F'-F Ht = :E: IL. E_' Nt ~]i 1- H = '? ~_-5-. ~3 F-: R"-,," E L [:, E F' l- !--I = THE LENGTH DIMENSION IS THE L. ENGTH (IN FEET) OF THE TRENCH OR DRRINFIEL. D. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AN[) THE BOTTOM OF THE EXCAVATION (iN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRRYEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXC:RYRTION (IN FEET). F" R C: t-::: F-I G E F" L Fi I'-,I 'T ~3F'T }] Ft PRC:KAGE PLANT MAY BE INSTALLED AT THE PERMITTEE'"S OPTION SUBJEC:T TO THE FOLLOW I NG CON[:' I T IONS: :L. EITHER A CLASS I OR II NSF APPROVE[:, PLANT MAY BE INSTFtLLE[:,. 2. Ft CONTINUOUS MAINTENANCE RGF.:EEMENT IS RELqUIRED. IF R MFIINTENANCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM AND,.."OR YOU MAY BE SUBJECT TO PROSECUTION. T~.-~] .:: 2 }-. I ~SF'EC:]- ~ C~l'-~S RE:F_- E:E,;."LI ~. BAF:KFIL. LING OF ANY SYSTEM WITHOUT FINAL INSPECTION AN[:, APPROVAL BY 'THIS [:,EPAF.'.TMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTFINCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS t00 FEET FOR R PRIVATE WELL OF.'. 200 FEET FOR A PUBLIC WELL OTHEF.'. REQIJIREMEN"f'S MAY RPPI_Y. SPECIFICATIONS AND CONSTRUCTION [:,IAGRAMS ARE AVAILABLE ]"0 INSURE PROPER INSTALLATION. I CERTIFY THAT :L: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLc; AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2:: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 2:: I UN[:,ERSTRN[:' THAT THE ON-SITE SEW~'. SYSTEM MAY REQUIRE ENLARGEMENT IF THE RES]E:'ENCE ]5 REf'lOE~LED TO ]NCLU[:'~_ FI~;E THAN 3: BEDROOMS. S I GNED: ........... ~ ........... ~ ..... AR~'L. I CRN~' [:,ENN I S K~LEY J MUNICIPALITY OF ANCHORAGE HeaT~-~'and Environmental Protect'F'~n Fourth Floor West 825 L Street Anchorage, Alaska 99501 279-2511, x 224, 225 REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE , !lt_ ~ [,~ ~ NUMBER OF FROM WELL__~_O© MAf",IUFACTURER ............... '~ ~RIAL ..... ~'Z__~--C%~COMPARTMENTS .... INSI[)[]] LEN(~TH ............. INSID!i WlD1 tt ~ _.. EIQUID [}['Pilt ......... I IQI ID CAPACll'Y GAt_LON-g. I TOTAL LENGTH DISTANCE r'ROM WELL L~:._'?'~_FOUNDATION.__~0...'~___NEAREST LOT t. INE _ ~.O OF L.,NE 9 of Lines % OiSTANCE SECretE, UNES _~/~__-,RENCH W,D~S_~ iN. TOTAL EFFECTIVE ABSORPTION AREA___ %SC____ SQ. ET, LENGTH OE EACH LINE DEPTH: TOP OF TILE TO FINIStt GRADE ........ MATERIAL BENEAT~t 'FILE .... IN. ABOVE TILE ~ IN, SEEPAGE PiT: Log Crib Rings BUILDING FOLJNDATION __ DIANE Fr..R ........ OR WIDTH ..... LENGTH ..... DEPTH Crib Size: DIAMETER ..... DEPTft ..... DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE ...... ABSORPTION AREA (WALL AREA) SQ. FT, Well _--~ ~ - Class:j~__~, Depth: Well DZstagc% To: Lot Bldg: ~0 Sewep,Line: Pipe M'~.~er_~'ls: _~ # of Bedrooms: ~_ Installer: _~--__-- i ! r1 -~ 1 I _ i DATE .......... APPROVED 5()11,S I,()(i - Iq'SROI,ATION TI.:ST - ?~:f?r,)~d co. 5- .... ::~..:~::_~.?::~: .......... : .... t~t~ ,'e~for,,,:~ ~ ~. tega~ UesCrlpLSOl]: ~, l~B]ook z }:c~=ho~ o~r .......................... '~- Thio form rel)or~s. Soils log X Percolation test FU e t 9 - S:'.i 12 - 13-' .14 .- (200) (2o~) (~oo) (200) ' Fl~t Was ground water encountered? .... _~'m ....... If yes, at what depDl? Reading Date__ Gross Time Net Time Depth to Writer~ Net Drop - 'ill 1.11£ 11-i, 1.71 :l:'i f/il :1'7:1.i:1 i:./.l i 111_~ i'-i'!: ::i'ii'i ii.,'i11:11111-1211 i'1 .li'i l.'i:.:ill----i Pc rcol a [ i on Fa [e llll I/U · P roims ed. i. s t a I I a'{ ~]~'.- ' },bhl~,T, le P i t Dra i ,~ I' i e 1 d ,,(.I UI [o bi, ttom of pi t or · ~Ou COUu~UOLI~ qNOU.,~ bo O,~ conslm.~-ea proc~l_cal iora s~,epe.:~ I':Q {Nil (i;/7,1) w~har¢~ =[. Dpahn~ P.~.. . Vichxrd x. g?~hh '' July 6, 1977 976278 Mro Dennis Kelley 3807 Carlton Apartment $4 Anchorage, Alaska 99503 Subject: Permit Expiration Dear ~r. Kelley: A permit issued by this department for well and/or on-site sewer installation on Lot 1 Block 3 Mc Mahon Subdivision has expired since the issue date exceeds one (1) year. In the event you still plan to install the well and/or on-site sewer system, a new permit is required. The original soil test may be used to obtain a current permit° If the well has been drilled, a well log should be sent to this department to document the installation date° If you have any questions regarding the above matter, please do not hesitate to contact this office in~%ediately at 279- 2511~ extension 224 or 225. Sincerely, Les N. Buchholz~ Sanitarian I~NBotjh .... *', ~'~'~ LJ ~"4 ~'~ u2: LIE., '~ L.. I ~Z~ F' ~q .-; I.. EF HK f MEN I HEFILTH RN[:, EN',,,' J RONMENTFII_ ,::O"E'ECT I ON '* 25:tE~ E. TUDOR RD., RNCHORRGB RK. 276-2221 LOCFt]"Z ON HI~FHFIN R~:, LEGRL L.& Bi: MCMRHON SUBE:, LOT SZZE 3:Z;2~8 SQLIRRE FEET """-" :' - '-'"-" ' I~ T'¢F:'E OF SfDIL HE,=,uRETILI~ m~=FErl : TRENC:H~% MR::.::iMIJM N_IIE, ER OF EE[,RO]MS = ~: -- 'F'HE RE6!IJlRED SIZE OF THE SOIL RBSORPTIOH ~'¢ST~t ]"HE LENGTH [,ZMEN%ZON ZS THE LENGTH~ ,::IN FE~T:: '::E~F,., THE TRENCH OR DRFIZNFIELD. THE [:,EPTH OF R TRENC:H OR F'IT Z~%DZSTRF~E:E B~TWEEN THE 31JRFFICE ElF GROUND RNE:, THE BOTTOM OF THE E;:.:;E~'¢RT!ON 4~ FEET). THERE ~=, NO SET W~DTH FOR rRENCHE ..... THE GRFIVEL. DEPTH ZS THE NZNINUM ~:,EPTH OF GRR~/EL BETWEEN THE OUTFRLL PZPE FIND THE BOTTOM OF T~ E;:.02R',/RY~II~(ZN. ,', FEET). ~:~: ~l; ~:~ ~._~ X ~: ~ ~:, ~' -- %" ~ ' E:PIF:KFtl [ lNG OF RN'¢ '-5',"~'F~t'1 WITHOI_IT FIN~IL I¢~SPEC. TION RN[., RFFFROvFIL B'¢ 'I'HIS DEPFIR'I"MENT W II_L BE SUBJECT TO FRUbEL. t~T~N. MINiFtUH [:,ISTRNCE BETWEEF[ R WELL RWD ~N'¢ ON-SITE SEWRGE [:,ISF'OSRL S"r'STEM &EI8 FEIET FOR R PRIVRTE W~LL OR 288 F~E'I" FOR R PUBLIC WELL. REQUIRE[:' R[~[:'~ MUST BE R~TLIRNED TO THE DEPRRTMENT WITHIN ]:(I DR'CS WELL LOIS2; RRE OF' 1"HIE WELL COMPLETION. ~ SPEC I F I CFIT IONS RND CONSTRO(:T I ON DI~RRMS RRE R',,.'RI LRBLE TO INSUR. E PROF'E;R i E:ER"FIF'¢ 'THFIT &: I FIM FBMILIBR WITH THE REQUIREMENTS FOR ON-':;ITE SEWERS FIND HELL'u] FI~; h';ET FOR]'H B'¢ THE MUNICIF'FILIT9 OF FINCHORFIGE. 2: I WIL. L INSTRLL THE S'¢STEM IN FICCCIRDFINC'.E 14ITH THE CODE'_-]. 2:: I L.INDER"~TFIND THRT THE ON-f:;ITE SEWER S'¢STEM MFI'¢ REQUIRE ENLFIRGEMENT tF THE F;.':ESIDENCE IS REMODELED TO INCLUDE MORE THFtN 2~ BEDROOMS. I z,.::,t_ll;:.[. B"r' .......... DH1 E WELL CONSTRUCTION LOG Orilling Co.(/'~:'[~(.'~ /~t' ti!il/fi (~1/,:/ /~.--.,'[ /, .; ~ i * I. .l-) ... -., I Orilleri "~ I.'(Ii! ,/',/[/4'l~( // Type of rig "--t LCJL Well location: (address & legal description) J /'~'/ ,"}("'-- //(('( ,h'; ! ,_)t',: tr--,t Depth of well ~((~ ft, Casing: depth. ft. diam. ~ in. Static water I.vel ~?'~ ft. (-e?§.bVe, below) land surface. Date Finish of well: O_pe_~.-end] screen, perforated, open-hole, other) Describe intervals and size: Wa,I yield tested by (pumping,/[L~_;2~.~J air)at ~' for ~ hours with ft. of drawdown from static Iovel. Date well completed /fP- /' '- (' / Nearest community Location sketch or remarks gal/mi~. DRILLER'S MATERIAL LOG Depth below land surface in feet ?L: /to Give description of strata penetrated (size of material, color, hardness of drilling, and water content) __to m. to --t o __to __to to, --to to__ --.to · ' / Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (9O7) 343-79O4 Parcel I.D. 017-042-O1 '1. ' GENEI~,L INFORMATION CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Expiration Date: 3 Complete legal description , McMAHON SUBDIVISION; LOT 1t BLOCK 3 Location (site'address or directions) 3500 HUFF'MAN ROAD * ANCHORAGE, AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ESTATE OF JUANITA SINGLETON Day phone 345-0475 Day phone DIANA STEPHENS w/ HOMES UNUMITED Dayphone349-3476/244-1278 517 W. 12th AVENUE ANCHORAGE, AK 99501 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank 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 new water sample results less than 30 days old. (Certificates may be reissued for a pedod 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. Note:Alaska Water and Wastewater Consultants, Inc. sha/I be paid $1110.OO at, or p#or I to closing for the engineertng services provided. I 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown be/ow, I vertfy that my investigation, based on procedures outlined in the Health Authortty Appreva/ Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, funcEonal end adequate for the number of bedrooms and type of structure indicated herein. I fur~her vedfy that based on the information obtained frem the Municipality of Anchorage fi/es 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 lnctallation. Name of Firm ALASKA WATER &: WASTE'WATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE. AK 99504 Engineer's Printed Name JEFFREY A. GARNESS. P.E. Date 337-6179 Engineer's Comments: In conducting this evaluation, AWWC, Inc. attempted to provide a thorough, conscientious ~ngineedng analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the peWotmance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may · fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there ara no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty or futura estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal dght whatsoever. DSD SIGNATURE ~ Approved for .,tttt{.tt_fEqr(rr~ ?) bedrooms. ~2~r.' ...... ' .y6~?. Disapproved. ~.' ~ e~= '~ Condit)onal approval for __ bedrooms, with ~e flZowmg sbpulatm~; WATER AND , m- ~ i WASTEWATER 2 j ~ t PROG~M ~ ~ NBT~ THE VELL F~R THIS PROP~RTY HE~TS ~X]ST]NG STAT~ AN9 HUN~C~PAL C~9~S, THERE ARE NITRATES PRESENT, ~T ]S SUGGESTE9 THAT P~R]~]C TESTING ~E PERFDRH~9 TD ]NSUR~ THE V~LLS CDNT]NUE9 SUITAbILiTY, CURRENT N~TRAT~ CONCENTRATZBN ]S 8,07 ~o/L, EPA HAX~HUH CDNC~NTRAT]DN ~S 10,0 ~o/L, HBRE ]NFDRHAT~DN ~N NITRATES IS AVAZLA~LE FRUH THE BN-S~T~ SERVICES PRBGRAH, AT 343-7~04, <Y'Y, gyj))""~i)) ) )""-' Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other ,~~---- Original Certificate Date: i ~ - / ~7~' O t' Legal Desalption: A. WELL DATA Well type ProrATE Municipality of Anchorage Development Services Department De-Sfie Water & Wsstewater Pmgrm'n 4700 80ulh Oragsw 8L p.o. Box 196850 Anchorage, AK ~9519-6850 HEALTH , .UTHORITY . PPROVAL CHECKLIST McMAHON SUBDIVISION; LOT 1, BLOCK 3 Parcel ID: 017-042-01 If A, B, or C provide PWSID~ Date completed 6/10/1977 Sanltap/seal (Y/N) YES Total depth 86 ft. Cased to 86 ff. FROM WELL LOG Date of test 6/10/1977 Static water level 62 .fl. Well pmducflon 8 g.p.m. WATER SAMPLE RESULTS: wall Log Wires properly protected Casing height (above ground) AT INSPECTION 11/29/2001 55 ft. 4,3 g,p.m, 'Coliform, 0 colonies/100 mi. Date of sample: 11/29/2001 SEPTIC/HOLDING TANK DATA Nitrate 8.07 mg./L. Collected by: Tank Type/Material. STEEL Tanksize 1000 gal, Number of Compartments 2 Foundation deanout (y/N) Yr~5 Depression over tank (Y/N) NO YES YES 12+ In. Date of pumping C. ABSORPTION FIELD DATA Date installed 7/13-14./lees Soil rating ~rft~edrm) 0.8 Length 85 ft. Wldth 5 ft. 12/13/2001 Pumper DENALI SEWER AND DRAIN S~-tem ~ TRENCH Gravel below pipe 2.61 Total depth 9.s .ft. Eft. absorption area 685.5 flz Monitoring tube YES Date of adequacy test 11/29/2001 Results (Pass/Fall) PASS Ruid depth in absorption field before test 8,5/6.5 in. Water added 583 gal. Elapsed'rime: 110 min. Flnalfiuiddepth 11/11.5 in. Absorption rate >= 4~50+ Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date Depression over field. NO For 3 bedrooms Newdepth 12/12.5 in. g.p.d. Date installed 7/13-14/1999 Cleanouts(Y/N) YES Hlgh wateralarm(Y/N) Other bacteria 0 colonies/100 mi. AWWCt INC, LIFT STATION Oate installed Size In gallons "Pump on" level at in. ~~at----~r~. Cycles tested SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanlUlilt atation on let100'+ AhsorpUon field on lot 100'+ Puhllo sewer main N/A Sewer/septic sewlce line 25'+ High water alarm level at in. Meets alarm & circuit requirements?. On adjacent lots 100'+ On adjacent lets 100'+ Public sewer manhole/cleanout Holding tank N/A N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ,5'+ Property line 5'+ Absorption field Water main N/A Water service line 10'+ Surface water Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water sen/ice line 10'+ Curtain drain NONE KNOWN COMMENTS Bulldtng foundation 10'+ Surface water 1 GO'+ Wells on adjacent lots 100'+ 5'+ Water main, Drtveway, parking/vehicle storage 2'+ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspec~one and mt4ew of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Pdntejd Na?te Data / 2.~/i..~/0/ JEFFREY A. GARNESS Date of Payment Receipt Number IRev. ~2~30) Waiver Fee $ Date of Payment Receipt Number ~EC-05-01 0l:l?Ptl FR0tI-CTIE ENVJROP;iI[NTkL SRV ztK CT&E Environmental Servtce. Inc. 9075615301 T-?90 P.02/03 F-701 CT& £ Re f./t Client Name Project Name/.# CIIrnt Sample ID Matflx Ordered By PWSID Snmple Remarks: 1018218001 AK Water & Wastewater Consultants Inc. McMahon S/D Lot I Bk3 McMahon S/d Lm I Bk 1 D~inking Water Client PO# Printed Date/Time 12/05/2001 R:57 Collected Date/Time 11/29/2001 15:10 Received Date/'rime 11/29/2001 17;05 Technical Direct. or,/ Stephen C. £de Rcleased~ ~ Re,suits PQL Units Mefl~d Allowable Picp Anal~si.s Limlu Date Da~e Init Wa~ers De~ar=ment Nitrate-N 8.07 0.500 mlVL EPA 300.0 Microbiology Laborat:o~' Total Coliform coVl00mL SMIS9222D (<10) 11~0/01. SCI f<l}, 11/29/01 KAl