HomeMy WebLinkAboutPROSPECT HEIGHTS #4 BLK 2 LT 2APPo
H
pect
ights
Block 2
Lot 2A
#015-091-61
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP221414
Work Type: SepticTank Upgrade
Tax Code Number: 01509161000
Site Legal Address: PROSPECT HEIGHTS #4 BLK 2 LT 2A G:2441
Site Mailing Address: 9900 HILLHAVEN CIR, Anchorage
Owner: KINN JERRY M & DEBRA L
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING
This permit is for the construction of:
Effective Date
Expiration Date:
0` c•
d�
ti r.
Department
Lot Size in Sq Ft
Total Bedrooms:
10/13/2022
10/13/2023
196341
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By:
Issued By:
Date:
Date: 0 / 3 -ZO Z Z
If
MUNICIPALITY OF ANCHORAGE �-
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section U�*Fax: 907-343-7997
ON-SITE SEPTICM/ELL PERMIT APPLICATION
Parcel I.D. 015-091-61
Property owner(s) KINN
Mailing address 9900 HILLHAVEN CIR, ANCH AK
Site address SAME
Day phone
Legal description (Sub'd., Block & Lot) PROSPECT HEIGHTS #4 BLK 2 LT 2A
Legal description (Township, Range & Section)
Lot Size PROSPECTKIWS. SL 2LT2 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) ED
(w/wo ADU)
Septic Tank
ElUpgrade
ElDuplex
(D) ElHolding
Tank
ElRenewal
El
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 1560 Waiver Fees:
Date of Payment: /U / aa Date of Payment:
Receipt Number: 007Zg6 Receipt Number:
Permit No. QS p(';) -al L11 Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Oct 8, 2022
Municipalities of Anchorage
On-Site Water and Waste Water Section
4700 Elmore Rd
Anchorage, Alaska
Phone 343-7904
Re: New septic tank permit
Legal: PROSPECT HEIGHTS #4 BLK 2 LT 2A
To whom it may concern:
This is a request for a septic tank permit on the above referenced lot. Currently the
residence has two tanks plus a 500 gallon STEP. If the inspection finds the STEP
tank needs to be replaced it will be also. This multiple tank replacement job will not
impact any of the neighbors or encroach on any wells, septic or open water issues.
The tank will be decommissioned per the Uniform Plumbing Code (UPC).
Sincerely
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221414, Curtis Townsend, 10/13/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221414, Curtis Townsend, 10/13/22
Municipality of Anchorage Page { 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: ~VJ ~1oO~¢~O PID Number:
Name:~iOt-hf~¢_O ~.~pG~_~.LC. Wastewater System: .~t New '~Upgrade
Address:
~,~oo ~U~~ -._.,, . ABSORPTION FIELD
. . ~ ~ Deep Trench D Shallow Trench ~Bed ~ Mound ~ Other
Soil Rating: '~ T~ ~epth from original grade:
LEGAL DESCRIPTION ~s~.~,../..
Lot: ~ Block: Subdivision:
, .'. ' ' , Ft. f Ft.
Township: [ Range: ~ Section: Fill added above original gra~: ~ Gravel length:
' ~.' - - Ft.
WELL: D New% / O Upgrade Gravelwidlh: /~ Numberoflines: Dista~e~tweenlines:
. Ft.
Cfassilicat,on ,Privat e.A.,.C,: ~/ Tolal ,epth: Cased To: ,oral absorption ,rea:
V FL Ft.
Driller.' '~ ~ Date Drilled: Static Water Level:Ft. Installer: / D~installed:
Yield: Pump Set at/ ~ I Casing Heighl A~ve Ground::
GPM/X "'' "'. TANK
SEPARATION DISTANCES ~ Septic ~ Holding ~S.T.E.P.
Well [ ~ I R O ' [ ~O I ~ Maleriah Number of Compartments:
Surface
Water {i~/ I~¢~ I~o/ ~ LIFT STATION
Line ~ lob/ ~ O / ~1 ~O/ Manufacturer:
~ "Pump on" level at: I .... lev High water alarm at:
Curtain ~ ~ Pump Make & Model Electrical Inspections pedormed by:
Drain ~ ~ ~ ¢~ Q~
Remarks: '~¢~ F~,~ ~'~'~O¢ %¢O~%t~ BENCH MARK
[..[%~~ ~.~,~ ,~ Location and Description:
' ¢ ¢ ENGINEER'S SEAL
~ 62 ,." /~ "% ~,
~,
Inspections performed by: ~o~'~ ~,~. Dates: lst~~
49th_
o o ......
Department of Heal~uman Services approval
Reviewed and approved by: Date: ~- 2-~
72-013 (Rev. g/gl) MOA 25
Permi! No, ~-~I,A) C~t~(.~) Page ~-
Municipality of Anchorage
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
Legal Description:
Per.~it No. C~ CI~o'z~1:~ Page ~ of_ q'
Municipality of Anchorage
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
72~)13 A (Rev. 9/91) MOA 25
EN.~E. AL
~2~~' ................
MARK W.
~'~ CE- 7760
Permit No. 5Wq (00~]) Page
Municipality of Anchorage
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
Legal Description: '~-4;:~'~(--'~- ~ g~q/ ~ ¢~ t{'~/''~ ~-~ PID NO.:
72-013 A {Rev. g/gl) MOA 25
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW960380
DESIGN ENGINEER:MOUNTAIN ENGINEERING
OWNER NAME:GOTTSTEIN DAVID RICHARD
OWNER ADDRESS:3868 SHANNON CIRCLE
ANCHORAGE, AK 99503
PARCEL ID:01509161
DATE ISSUED:12/23/96
EXPIRATION DATE:12/23/97
LEGAL DESCRIPTION:
PROSPECT HEIGHTS #4 BLK
2 LT 2A
LOT SIZE: 196341 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
THIS PERMIT IS FOR THE CONSTRUCTION OF:
SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
THE ATTACHED APPROVED. DESIGN.
ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASICA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80) .
THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL P ROVIf ,I~S~,
RECEIVED BY:
ISSUED BY:~ ~/~
DATE:
DATE:
" W telr & W tew ter
December 18, 1996
8471 Brookridge Drive ~ Anchorage ~ Alaska 99504
Phone (907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Septic System. Lot 2A, Bk 2, Prospect Heights S/D #4. Gottstein Residence.
Attn: Dan Roth
Dear Mr. Roth:
Per our discussion, on 12/18/96, further research regarding the size of the STEP tanks used for
the subject septic system revealed the existing tanks are 1500 gallons, and not 2000 gallons as
required. The original designer, Mark Pearson, P.E., is going to prepare a design package for the
septic tank upgrade, and will submit it (with the permit fee of $320.00) to your department. We
are requesting that a conditional Health Authority Approval be issued with the following work to
be accomplished next spring:
Install new 1000 gallon, single compartment, septic tank before the "north" STEP
tank. The burial depth rating of the tank shall be compatible with the actual burial
depth. In addition, install double clean-outs between the new septic tank and the
existing 1500 gallon STEP tank.
b. Repair cracked fitting on PVC pressure line in "south" lift station. The specific
fitting is the elbow just before the PVC line exits the S.T.E.P tank.
Replace the HDPE (ASTM FS10) stand pipes in both drainfields with ASTM D3034
PVC. Excavate 6 inches below grade, cut offHDPE pipe, provide coupling, and
extend PVC pipe 12 inches above grade.
d. Repair all damage caused by excavation, topsoil/reseed if necessary.
If you have any questions, please contact me at (907) 337-6179, or on my digital pager at
1-800-481-1162. Thank you for your assistance.
Sincerely,
Owner
;arness, P.E., M.S.
Consultant
Modified Gottstein Report. wps
Prospect Heights #4, Lot 2A, Block 2
Septic Tank Upgrade
Mark Pearson, PE 563-7459
All construction and materials must
meet the requirements of MOA
codes and ordinances. ...-
~ ~ ..'" A -'".
r~: 4--~
~ ~ ~ MARK W, PEARSON ~,~ ~
rl,~/.~ CE- 7760 ,~ .
'l, ~;'.. ..'2~ ~
,~,~ .................... .;-
Prospect Heights #4, Lot 2A, Block 2
Septic Tank Upgrade
Mark Pearson, PE 563-7459
I',/FC4~L
A~I condTuclion and materials must
meet the requirements of MOA
..codes and ordnances.
Mountain Engineering
3868 Shannon Circle
Anchorage, AK 99503
November 22, 1996
Mr. James Cross
Department of Health & Human Services
Municipality of Anchorage
PO Box 196650
Anchorage, AK 99519
Subject: Prospect Heights #4, Lot 2A, Block 2
Dear Jim:
Mountain Engineering obtained a sewer system permit for the above referenced property in May
of 1991. We conducted the inspections and submitted the as-built some time in early 1992.
Jeff Garness, of Alaska Water & Wastewater, is in the process of performing a Health Authority
inspection, and was unable to find copies of the as-builts in the DHHS files. I provided Jeff with
copies of the as-builts last week, and I am sending (attached) copies for the DHHS files. I have
re-signed the PE stamp.
I'm not sure if the paperwork has been found since Jeff was at DHHS, but I am providing these
copies in case your office is unable to locate them.
If I can answer any questions, please contact me at 562-1500.
Sincerely,
Mountain Engineering
~E
Municipality of Anchorage Page _
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: PID Number:
Name:p~-V~~ ,~'C)'"~-~'T~ ~ Wastewater System: .,~ New [] Upgrade
Address:
t2--(~'~ [ k,IP~U'lqLU,5 C-OuST- ABSORPTION FIELD
LEGAL DESCRIPTION so~, Rating: ~ · ~ I Total Depth from original grade:
Lot: ~ BIock:~ ~~ ~ ~Subdivision: Depth~to ~,~pipe boltom from~original grade: Ft. Gravel~;depth beneath~tlpipe Ft.
Township: Range:"~cti Fill added above original grade: Gravel length:
WELL: D New~ / ~ Upgrade Gravelwidth: Number of fines: DistanFe between lines:
Classification (Private, A,B,C): ~ / Total Depth: Cased To: Tolal absorption area: Pipe material:
Driller: Date Drilled: Static Water Level: Installer:
SEPARATION DISTANCES ~ Semio ~ Ho~in~ ~S.T.E.~.
TO Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank S .... Lines
I Material:
Lot Size in gallons: J Manufacturer:
Foundation
Curtain ~ ~ / / / Pump Ma~o & Model El~l~ections per formed by:
Drain
Remarks: T~ ~ ~~: ~ BENCH MARK
Location and Description:
d~%*~_ . ENGINEER'S SEAL
Department of Health and Human Services approval
Reviewed and approved by: Date:
(Rev. 9/91) MOA 25
Permit No.
Page "Z.- of ~'
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephohe: 343-4744
On-Site Wastewater Disposal SYstem and/or Well Inspection Report
Legal Description:
~)¢'O~_.;J- F'IL~ J~LJrj I,~O']"-g~, ~[....~'~- PID NO.:
,1::~Z-P~ ~ FLOC, C:, "A-/
72-013 A (Rev. 9/91) MOA 25
Permit No.
Page '~ of_ ~'
Municipality of Anchorage
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
Legal Description:
~'T- ZA / I~L.~ "~ PID No.:
t '/,,,': PVC
VPr~k/~-'''~ 1-o pc: ~/
72-013 A (Rev. 9/91) MOA 25
Permit No.
Page ~ of ~-
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site WastewaterDisposal System and/or Well Inspection Report
Legal Description:
'B
9b.I
Li-ff ,g
I ~ur, o
lift,/
72-013 A (Rev 9/91) MOA'25
E N C~NE, E.J~S SEAL
Permit No.
Page ~'- of ~
Municipality of Anchorage
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
72-013 A (Rev. 9/91) MOA 25
Tom Fink,
Mayor
unicip l ty of nchor ¢
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
June 1, 1992
David R. Gottstein
12631 Nautilus Court
Anchorage, Alaska 99515
Subject: Lot.~'Block 2 Prospect Heights Subdivision ~4
(Proposed: Lot 2A Block 2 Prospect Heights Subdivision ~4)
Permit ~SW910121, PID ~015-091-~-~I
The subject permit, issued May 30, 1991 by this office for a
single family well and/or on-site wastewater system, has
expired as of May 30, 1992.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection repOrt must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $200.00 for an
on-site wastewater permit; $75.00 for a well permit and
$275.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
!
Sincer. ely, / /
~oh~raSmmi~. ~a ~r '
On-site Services
enc: Copy of Permit
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PAGE 1 OF
PERMIT NUMBER:SW910121
DESIGN ENGINEER:MOUNTAIN ENGINEERING
OWNER NAME:GOTTSTEIN DAVID R & DALE G
OWNER ADDRESS:12631 NAUTILUS COURT
ANCHORAGE, ALASKA 99515
DATE ISSUED: 5/30/91
EXPIRATION DATE: 5/30/92
PARCEL ID:015091~5~c~1
LEGAL DESCRIPTION: PROSPECT HEIGHTS #4 BLK
3
LOT SIZE: 105577 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
2 LT
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD SYSTEM
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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
1. INSTALL NO DEEPER THAN 3.0 FEET.
2. VERIFY SEPARATION TO BEDROCK THROUGHOUT INSTALLATION
AREA OF SYSTEM B.
3. INSTALL FLOW RESTRICTER ON LINE FROM SWIMMING POOL SO
ISSUED
MEMORANDUM
To: The Record
From: Mark Pearson, P.E.
Date: May 30, 1991
Subject: David Gottstein Residence - Septic System Design Notes
The following information details the design criteria for the Gottstein residence septic
systems. The legal description for the property is Lot 2A, Block 2, Prospect
Heights //4. Lot 2A is the new designation for the combination of former Lots 2 & 3.
A total of 12 test holes were excavated on the property, using Mr. Ned Newton's
backhoe. Of the 12 holes, 10 were logged and monitored for groundwater level. To
summarize the conditions, the lot is underlain with bedrock throughout; this bedrock
tends to be shallow (approx. 4') on the west section of the lot, and deeper (approx.
10') toward the center of the lot. The silty sand material above the bedrock was very
consistent throughout the lot. Percolation testing was aerformed in four of the
testholes, with average soils ratings of 4-12 rain/inch.
The house has 5 bedrooms, a 120 gallon Jacuzzi, and a swimming lane that contains
approximately 10,000 gallons. The proposed septic system will include 2 lift
station/septic tanks; one dedicated to the house, and the other dedicated to the
swimming pool. The two proposed absorption beds are of the same size, and the
homeowner will be able to alternate the beds between each of the lift stations.
Valving to control the flow from the lift stations will be located within a concrete
manhole, and will include an assembly of four ball valves. All pipes and fittings from
the lift station to the bed will be fused High Density Polyethylene Pipe, SDR 11, 2"
diameter.
IAY 0 1991
Municipality of Anchorage
Dept, Health & Huraan Ser_vioes
Gottstein Design Notes
May 26, 1991
Page 2
The absorption areas were calculated as follows:
To allow for a conservative design, (although the soils are near the application rate
change at 5-6 rain/inch) we will use the 6-15 rain/inch application rate.
Allowable application rate for 6-15 min/inch percolation rates: .8 GPD/FT2
Area Required: (150 GPD/BR X 5 BR)/.8 GPD/FT2 = 938 FT2
With a width of 15', total length required: rounded to 63 FT
Therefore, system will be 15' wide, 63 FT long, and have a gravel depth of 12".
Please contact Mark Pearson at 562-1500 with any questions.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: ~~
LEGAL DESCRIPTION:
I
2
3
4
5
6
7
8
9
lO-
11
12
13
14
15
16
17
18
19
20
I "?~- ~ C~
DATE PERFORMED:
Township, ~ng~,
SLOPE SITE PLAN
S
L
IF YES, AT WHAT 0
DEPTH? p
E
Monitoring? Date:
Gross Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE __
(minutes/inch) PERC HOLE DIAMETER __
TEST RUN BETWEEN __ FTAND __FT
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
Municipality of. Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
--1- -
2
3
4
5
6
7
8
9
10.
11
12
13
14
15
16
17
18,
19
20
COMMENTS
Township, Range, Section:
SLOPE
SITE PLAN
WASGROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth lo Water Aftekrf.
Monitoring? I~,IC
Reading
I
Net Depth to
Time Water
0;00
~:OO Dr, o"
~ (minutes/inchJ PERC HOLE DIAMETER
~ FT AND ~ FT
Date Gross
Time
Net
Drop
III
TEST RUN BETWEEN
PERFORMED BY: ~lV~o(~'~l(% % :[N~-i%~ , ~(~__.v//~ ~/~..& CERTIEYTHAT THISTEST WAS PERFORMED IN
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
SLOPE
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20,
COMMENTS ~'~
,:cCEIVED
MAY 3 0 19 1
c,osli[,y of Anchorage
Heaffh & Human Services
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
S
IF YES, AT WHAT ~L
DEPTH?
P
E
Deplh lo Water After
Moflilodng? . Date:
I-
N
Reading Date Gross Net Depth to Net ~-~
Time Time Water Drop
PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER ~
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section:
8
9
10
11
12
13
14
15
16.
17
18
19
20,
SLOPE
2
3
4
5
6
7
COMMENTS
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth l° Waler AltJ~r P,c~.,~:)
Monitoring? r, jr., r ~ Date:
Gross
Time
Net
Time
Depth to
Water
Net
Drop
Reading
(minutes/inch} PERC HOLE DIAMETER
FT AND FT
Date
PERCOLATION RATE
TEST RUN BETWEEN
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
7
8
9
10
11
12
13
14
15,
16
17
18
19.
2O
cl I,T-p
IF YES, AT WHAT L
DEPTH? O
P
E
Monitoring? . pq~"'~ Date:
Reading
Date
SITE PLAN
PERCOLATION RATE
GT~OSS J Net ] Depthto ~' Net
line / Time J Water J Drop
/ o~ / ~" /
(minutes/inch) PERC HOLE DIAMETER ~tl
TEST RUN BETWEEN . ~ FTAND ~ FT
CO/VlMENT8
PERFORMED BY: I J/~J~C-~./~2y.~x CERTIFY THAT THIS TEST WASPERFORMEDIN
ACCORDANCEWITHALLSTATEANDMUNiOiPALGUiDELiNESiNEFFEOTONTHiSDATE. DATE: ~[~/~/
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
1
2
3
4
5
6
7
8
9
lO
11
12
13
14
15
16,
17
18
19
20-
COMMENTS
SLOPE
WAS GROUND WATER
ENCOUNTERED? _ ~'~,0 C~j~ C,~'
$
IF YES, AT WHAT OL
DEPTH?
Depth ,o Waler ~Aflgr
Monitoring? N
Reading Date Gross Net
Time Time
PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FTAND FT
SITE PLAN
Depth to Net
Water Drop
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
· SLOPE SITE PLAN
5
6
7
8
9
10
11
12
13
14-
15-
16-
17
18
19-
20-
I ~c~' ~'" /?LZ%
[f'~.,',%,%.. CE- 7760
Township, Range, Section:
f
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT ~3
DEPTH? P
E
Depth to Water Afl
.0nitorin,? , '~;~-- Bale:
Gross Net Depth to Net
Reading Date Time Time Water Drop
aI ~ ~o ;~
PERCOLATION RATE q~ ~ I/V~I'~ (~l)tiF"~) II
(minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FTAND ._~ FT
COMMENTS
PERFORMED BY: ~V'~/t"~I'~ ---~ ~'~' I ~/~ ~'~ CERTIFY THATTHISTESTWASPERFORMEDIN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: . '
LEGAL DESCRIPT,Or~:~Y~ ~' % (..~,'?~Townsh p, Range, Section:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20-
COMMENTS
J V~ % CE- 7760
DATE PERFORMED: ~
SLOPE ~ ---~.~ ~ SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
RECEIVED
MAY ~ 0 19SI IFYES, ATWHAT
DEPTH?
J~'~'c; )ajii_y of Anchorage
Heai~.h & Human ServicesOePth lo wa er After
~oniloring?
Bate:
I I
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE
TEST RU" "ETWEEN
ACCORDANCE WlTH ALL STATE AND MUNIClPAL GUIDELINES IN EFFECT ON THiS DATE. DATE:
72-008 (Rev. 4/85)
·
'
~uni~ipalili of Anchorage
DEPARTMENT OF FIEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-.0650
so~s ~o~ ~ ~aco~m~o~ ~s~ ~~73~ I
Township, ~ange, Section:
SLOPE SITE PLAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20.
COMMENTS
WAS GROUND WATER
~F--~- LDCA'V'~ON 4-
ENCOUNTERED? .~ ON ~-~'1'~}~C.~--~'~ ~"~'l~)~i~')
Monitoring? ' ~ ~ ¥"<-.'- Date: ~' ~
Reading Date
It)
PERCOLATION RATE ~f'~'~
TEST RUN BETWEEN . '~
Gross
Time
Net
Time
Depth to
Water
Net
Drop
(minutes/inch) PERC HOLE DIAMETER
FT AND D__ FT
72-008 (Rev, 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
~:~ II(~'r~'~ Township~2ap~ge, Section:
1
2
3
4
5
6
7
8
9
10
12
13
14
15
16
17
18
19
20,
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth tO Water After
Monitoring? ~-f~ n,,e: ql
SITE PLAN
LOCA'TION
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
PERCOLATION RATE
TEST RUN BETWEEN
(minutes/inch) PERC HOLE DIAMETER __
FT AND FT
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16,
17
18
19
20-
LoB Z 4-5
Township, Range, Section:
SLOPE
WASGROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Oeplh to Water Alter~. !
Monitoring? ~'Lf-.J Date: ~'¢~1 ¢l I
Reading
COMMENTS
Date
PERCOLATION RATE
TEST RUN BETWEEN
SITE PLAN
Gross
Time
Net
Time
Depth to
Water
Net
Drop
(minutes/inch) PERC HOLE DIAMETER
FT AND __. FT
ACOORDANOE WITH ALLSTATEAND MUNiCiPALGUiDEUNES iN EFFEOT ON THiS DATE. DATE: . ~.~/~l
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESOmPT,ON -~['~),C:~ZI Township, Range, Section:
SLOPE
5
6
7
8
9
10
11
12
13
14
15-
16-
17
18
19
20
,E ES.^TW"^T
DEPTH?
SITE PLAN
Deplh to Water After
Monitoring? C:~L~ I Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE --
(minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND __ FT
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: %l,~lctl
secre:ta~: See you around, Jeff!
1201 ' ~amona St. 995'i 5 ~kNCHORA~.E, ~LA~$KA
3z14-' ?14
siX'iNCH : ELL D ED. OUT TO THE DEPTH OF :'~55 feet
DRILLED ATTHE RATE OF $23"00 PER FOOT. Steel casing seated hard into
bedrock at 2b feet.
pROpERTY OWNER :~r. E.avid Gottstein 345-0392
trilling orderer by Mr. Allen P. osenthal D~s~ign Concepts Inc. 277-44U0
~-OCATION OF WELL SITE Lt. Elk. ' Suo.
?
DRILLER ~ernie Claus of Mampart Drilling Works
WELL · LOG;
0 - 15' A broken weathered conglomerate of bearoc~.
15 - 26''Redr0ck. A sedimentary material. Casin~ was driven ~ seated, hard
(to refusal) at 26 feet.
26 - ~55' A sedi-metamorp~ic bedrock material. ~inimal amounts of water
snowing in fissures from 135 to 135 feet. By 245 to 260 feet, granular
areas of water bearing rock showed a total of about 2 gpm yield. About
120 ..... h ~_ .
~ ..~ 350 feet, 3 gpm of water production was present Thin areas of
porous rock from 3!5 to 332 held the greatest amount of water. By ~98 feet
water production was UP to about 4 1/2 gpm. At this point, this Well was
very viable. With a few ~ays aelay, we continued ~rilling to 455 feet.
Py 438 to 442, the~Field was up to 6 1/2 gpm. 3/4 gpm was picked up at
4~8 feet. After 4 hours of test pumping and developing~ this Well has
proven to.~e producing a true yield of just over seven gallons per minute.
Water recovery iS ~ack up to within 21 feet of surface. We are very grati-
fied v~th'the results of thisWell. Both in quantity & quality. 1 ~/2 Hp
pump~(sub~ersible) shoul~ be installed about 15 feet off bottom.
No mobilization or demo'o cost. ~o set-up cost.
Total cost for drilling: $23.00 per ft. ~ 450 feet: $10,350.00
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
Cost of drilling: $8,775,00
WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF. $1 0,350.00
THANK-YOU VERY MUCH. ~
BERNIE ~LAUS OF RAMPART DRILLING WO
DATE September 16, 1991
1201 ~JtlltOi~ ST. 99515 AI~CltORAGi!:~ AI. ASli:A
~44-? '714
SiX iNCH WATER WELL DRILLED .......... OUT TO THE DEPTH OF 355
DRILLED AT THE RATE OF $23.00 PER FOOt. ~ ~.o~. 350
ifps., tlcw.~: ~o,t..~ 345-0832 566-2424 2110
PROPERTY OWNER
LOCATION OF WELL SITE.
DRILLER B ~l.n..L~ CJ t'xJ Z,~
WELL LOG:
19--.'49' CorutJ..om.e,'uz4.e, ,q .O,~ken. ,be~oe. Jc ma.O.~.i~J_-_ We,T cu,_~,~ o~ ,~ u~a2.~ caa, tn.9
49--355' Bezt~cl~,. a a~_,tztao,~pA, tt.. c,%.q,,?ta.U~ ,t. ocl~
~ ~a.t~. q,te~ be.go.e 250 .f.,t.. 3/4 ~?~. Ba,t,t~ Za, c~_ea,~e. ,tn p,~oduc,tZon on
305 ~. Po,,~ov.,e & ~ ~ o/- beale.lc ~tta~,O~ one & one ~ ~'~o
po~ou, e ~ ,to 355 ,~. 7h.e ,t.o,t. a4. p,.o&,t.,Oion oZ. ~ l&,LL ,Ce 180 9.a4,Lo~ pea. h. au~,
qu,Ot.e q. ood, One h. oa,ee SuJ. meazd,bJ~ Pu~p ,oh. au.,~ be ~ 15 ,to 20 l. ee,t o.~ Jsa.OLo~,
Wa2.e~ e. ecottemt, cam. e~ bat. k..to 30 .kt. 0¢ ,~w't.l.a. ce, 1,6 9aJ,Lon,'~ al. ~a,t.~ ~ .f_,t. ,O~ ,~e-
.~e,tue, Ovea. 500 9.o.4,Lor~ o¢ ~o.t~ .in. a.e.ee~e, ove.,~. M4,h,t,
To,t,a.4. co,:,,t 0¢ ~)~JJ~: $23.00 ~ l,t X 350 l.,t~ $8050.00
rLo ee.,t, u.p co.~t, ,q.4J.. 4.a. Oo,'t. & m. a2.e,W.a~ Znc4.u.d.e~.
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
$8050. O0
WRITE CHECK PAYAbLe TO RAMPART DRILLING WORKS FOR THE SUM OF
THANK YOU VERY MUCH.
DATE ~ 26~:b., 1985
bERNIE CLAUS OF RAMPART DRILLING WORKS
.......... ~= ~:~1~ ON PA~T DUE ACCOUNT~.
DEPARTMENT 01 lEAL.TH AND ENVIRONIdENTAL F ]'I;ECTION
825 t .... ~,RL~:I, ANCHORAGE~ AK 99501
2 6 4- 4 7 2 0
ERMIT NO:
ISSUED:
CANT:
i)DRESS:
3NTACT PHONE:
850304
06 t ].7185
DAVID GOTTSTEIN
2110 II',INES CIRCLE
ANCHORAf3E, Al'::: 99515
56.4.'-'2424
EGAL DE:.;:)L.R i F.,
3'T SIZE:
SUBDIVISION: PROSPECT HEIf~HTS ~.4.
SECTION-" :L3 ]"OW',IS: IF':
90765 (S6],. FT. OR ACRES)
LOT:~ ~'
RAN(3E: :].'; W
E L.I.,)CI' .... '~
centify that:
I am ~'amilial- t4ith the per.:lUi.~*ements ,~'oP on-site sewer's and wells as set
FoPth by the Municipality o¢ Anchor'age (MOA) and the State of Alaska.
I will install the system in ac:c(2Pdanc:e with all MOA c~des and r, egulations,
and in compliance with the design cr'itePia o¢ this per'mit.
I will adhePe to all MOA and. State of Alaska r, equiPements fop the set back
distances ~'r'om any existing well, t.~astewatep disposal system or' public
se,,er'a~y~tem~n this of any adjacent a,- neapby lot.
Z
DT1001343
Soil & Oroundwoter Test Locotion
-\
/ t~i/th oven Ckcle /
Lift Station Valve Vault
L 0 0 0 ~
Drainf[efd Cross-Section
General Notes
Wastewater System
eottstein Residence
Design/Construction
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.a nchorage.ak, us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015-910-61
1. GENERAL INFORMATION
Expiration Date:
Complete legal description ~ Lot 2A, Block 2, Prospect Hei.qhts f/4
Location (site address or directions) 9900 Hillhaven Cir., Anchorage, AK 99516
Current Property owner(s) Richard Campbell Day phone 346-1430
Mailing address 9900 Hillhaven Cir., Anchora.qe, AK 99516
Lending agency
Mailing address ·
Real Estate_A. gent
Mailing Address
Day phone,
U.S. Inspect,, · Day phone 703-293-1499
3650 Corcorde Pk~, Ste. 100, Chanfill¥, YA 20151-11:~9
Unless otherwfse requested, HAA wfll be held by DHHS for pickup. HAA picked up by:.
2. NUMBER OF BEDROOMS:
5
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class
Public Water System
Well
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) on properties served by a single family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to horse owners. Certificates of Health Authority Approval are
valid for 90 days frers the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A
or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation
based on procedures outlined in the Health Authority Approval Guidelines for this Health Authority Approval
application shows that the on-site water supply and/or wastewater disposal system is safe, functional and
adequate for the number of bedrooms and type of structure indicated herein. I further vedfy that based on the
information obtained from the Municipality of Anchorage files and from my investigation ar~l inspection, the
on-site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and
State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm .Pannone Eng. Svc. Phone, 272-821
Address ,.P.O. Box 1029541 AnchI AK 99510
Engirieer's Printed Name Steven R. Pannone1 P.E. Date
Eng?nee. rs Comments: Ia conducting an adequacy ~ I attempt to pro~d¢ a I~orough, ~nscicatious ~,?~'~-'-~ ~ ~
e~gmeermg analyds of thc s~tem/n accordance w/th MOA DSD Gu/del/nc~ & Regulations. The ~, '~..
rtcd ~zl[.s ,~,'"-~-ibe l,~e ' '
the te~t, aaa sepm'atioa distances measm'ed to readily idcatif~bl¢ fcaturcs. The o~cratioaaI
~=llsaadsep~csystcmsd,:~eadonthelocalsoilcondiuon, grou~d~t~lev~t~yfl~te ~, ~... ,,-,,,~
outside thc control of the evaluator of this system. Ali systeras evemualiy '~ail and satisfactory test
. .r~..Its do ao~ gu,~tee c~t~e p~'o,~mc~ or the sy~ ~or do they go~mt~ eat
hidd .ma dcfct~ .or eacroactunents. PES can thcr~.fom no.t provide any warranty for future performance
norg~v¢anyesto~at¢~fh~w~ongthesystemw~co~tmuetom~et~¢~peratio~a~requireme=~s~f~¢ ~.~.~... N~. CE
ADEC or MOA DSD. The conten~ of this report is for the sole Ix'aefii of the o~er listed above. Any
reliance upon or use of this report by any o[1~- ~='son or ~ is no~ authorized nor
6. DSD SIGNATURE
~ Approved for ,,g" bedrooms.
Disapproved.'
Conditional approval for __ bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist X
Septic System Advisory '- ~
Well Flow Advisory ..; ..' .'
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: i ,2,. -' / / - a/
Reissue Date:
Munic.ipality of Anchorage
'Dev~oi~,ment Services DeP~rtm.nt
Bufkl{ng ~afaty DIvtm~on
On-Site Water m~! Wastewater Program'
4700 6oulfl 8ragmv 6treet
P.o. Box 1~650 Anch~age, AK ~951g-~50
www.d,anc~.ak.u,
HEALTH AUTHORITY APPROVAL CHECKLIST
~',,-, ~.o.: Ol ~- 0 ~/-~1
A. WELL DATA
Totll deI:MIA,~ -ft Cased to ~ ~{~{~ Casing heigM (above oro~flclj~~
Date of
CoUform-'"~ coloflles/100 mi . Nitric ~' mg/I · Other bacteria
colonies/100 mi
S. SEPTIC/HOLDING TA, NK DATA/'/~lJ .'~'~ --L; .... ,/
oP,qjIAb, t(.O) ,l~ I ~ Afl I ~,o ~
Dat~installed/~/z/~ Tankstz~EO0 gal
C. ABSORPTION FIELD DATA
Date Installed ~'/~ SOIl rathlg ~ lt:/tx#m) ,0, ~'
SEPARATION DISTANCES FROM WELL ON LOT TO:
IC)D'
sEPARATION DISTAl,iCES FROM SEPTIC/HOLDING TANK ON LOT TO:
~EPARAT]ON DISTANCE FROM A~ORPTION FIELD ON LOT TO:'
,
~,~.~ ~,.. 6o0
W~ler6ervlcellne lC) t ~ · , ._ .:-
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wasiewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www. ct.a nchorage.ak.us
(907) 343-79O4
CERTIFICATE OF HEALTH AUTHORITY APPROVAL .
FOR A SINGLE FAMILY DWELLING
Parcel I.D. o15-e4.e-~l HAA# /--/4 ~3/OW/~/
Expiration Date: ~/-
1. GENE~ INFOR~ON
Complete I~1 des~pfion "~ ~ Block 2, P~ Heig~ ~
L~flon (sEe address or dim~ons) 9900 Hillhaven Cir.; Anchorage, AK 99516
Current Property owner(s) Richard Campbell
Day phone 3464430
Mailing address
Len~ling agency
9900 Hillhaven Cir., Anchora[qe, AK 99516
Day phone
Mailing address
Real Estate Agent
U.S. Inspect
Day phone 703-2934499
Mailing Address . 3650 Corcorde Pkwy., Ste. 100, Chantilly, VA 20151-1129
Unless otherwise requesfed, HAA will be held by DHHS for pickup. HAA picked up by:.
2. NUMBER OF BEDROOMS:
5
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class
Public Water System
Well
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) on properties served by a single family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to home owners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A
or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my Investigation
based on procedures outlined in the Health Authority Approval Guidelines for this Health Authority Approval
application shows that the on-site water supply and/or wastewater disposal system is safe, functional and
adequate for the number of bedrooms and typo 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 in compliance with all applicable Municipal and
State cedes, ordinances, and regulations in effect at the time of installation.
Name of Firm .Pannone EnR. Svc.
Address P.O. Box 102954, Anch, AK 99510
Engineer's Printed Name Steven R. Pannone, P.E.
Engineers Comments: ~n conduct/rig an actequacy test, I attempt to prov/d~ a thorough, consclc=t~ous
enginee~g a~d3~s of [he system in accor~mc~ ~ith MOA DSD Gdid~lines & R~,ulatoas. The
reportat results ([cscn'be the pcrfonnance of the system trader thc cond/tons encount~t at the t/me of
the test, and soparatun distancos measm'cd to readily idunt/fiable fmtums. The operaton.q I/fe of ali
wdJs and scptc s'3~t ems dcpc~ an the local soll condition, ground ~=ter levels that may fluctuate
during the y~u', a~i the wator asage of the family bc/ng sawcd by the system. Thesc conditons are
ouL~idc the control of the eraluator ofth/s ~ All syst~ns e~entuntly fa/l and sat/sfuctory tost
rcsulL~ do aot guarantee futun: pcrformunce of the system, aor do they gum-antee that there are no
h/(~. dc£eets or ancroachmeats. PES can therefore not pm~ide any warranty for future performunce
nor g~ve any est/mate ofhow long the system will continue to meet the operatoz~l taiu/z~me=ts of the
ADEC or MOA DSD. The contant of t~/s report is for the sole bc~e£t o/'thc owner ~tcd abo,/e. Any
rel/unce upon or use of th/s report by any other person or party is not author/zed =or ~41] it confer any
I~fl ti~t
6. DSO S N^TURE
pproved for
Disapproved.
Conditional approval for __
Phone. 272-8218
Date, 0/0~ ~
-....~. . -- ..__.__- - .... ~..__3
~.;~,. ~o.~L o149
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
-
,..- , WATER AND · rn
: . WASTEWATER .'
Attachments:
HM Checklist X
Septic System Advisory
Well Flow Advisory
Expiration Date:
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: ~; - ~./.../- 0 /
Reissue Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.cL anchoroge.ak.us
(907) 343-79O4
HEALTH AUTHORITY APPROVAL CHECKLIST
WELL DATA
We, ~pa ?~ w~c.J.;~:) ..A, ~. o,c ~ovlde PWSL~ #
T~al de~h.~ fl C~ to ~ ~ fl
FROM
Date of test ~
Static water level c~ I I
Well production "'7
JELL LOG
~ g.p.m
Parcel I.D.: 0[ ~'- Oq/-bl
Well Log,~/x!~[.' .
Casing height (above ground) !o'~ 'P in.
~tL~
AT INSPECTION ~.,
WATER SAMPLE RESULTS:
Coliform ~ --colonies/100 mi Nitrate o,~'~--~) mg/I
Date of sample: ~/2[ 101 Collected by:
B. SEPTIC/HOLDING TANK DATA fflll
' l[ ....
Date installed ~e.c~"'j[,z/c~-/ Tank size ~ gal
Other bacteria~ colonies/IIX) mi
umoer of Compartments
Cleanout, *k/ Foundationcleanout ~ Depression over tank M High wateralarm
Date of pumping Pumper A'J~
C. ABSORPTION FIELD DATA
.ate,=.,,. Systemtypa
Length ~ 3 It Width - I ~ It Grevel below pipe O- ~.~ It
"1' c~c(- iocOe'c ' -- ~Fo
To~aldelfth~o'~ ff Eff~ecti~absorpfio~areagq~cL~ Monitoring tube Depressiono~erfietd
Dateofadequacytest'~zl/OI Resutts (Pass/Fail) P(:7 _~ , '~ bedreoms
Fluid deplh in abso~ion field before test--(:.~/--In Water added-"/,,~)gal. New del~h"~--in.
Elapsed Time: '--~L'mln Final fluid depl~n Absoq)tion rate >=--]_~.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
(Rev. 11 ~)
'""
Date'installed ~/~/~'~ /~'.~ Size in gallons ~ Manhol~A~ "~*'"
'Pump on' level ~ ~ in'~mp o~ I~vel ~ ~ in High ~er ala~ I~el ~ ~ In
Datum~n~~
E. SEPARATION DISTANCES
Cycles tested ~ Mee~s alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot I~0'
Public sewer main
Sewer/septic service line
.. On adjacent ~o~ !L'~ Jc'
O. ~jacent Us 100'
Public se~er manhole/cleanout /~/~' '
Holding tank /OD' ~
Property line
' Water Sewice line
F. COMMENTS
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
sa,ding fou.~ation q ~P,o..~,ne ICX'Y Jr- ' ', A~o,.ion,eld
W~ermainIO'~ Waer~wi~line, IO'~ Sudam~er 100'
Drainage J~'~ ~~el~onedja.~l.s /OO'ff
SEPA~TION DISTANCE FROM ~ORPTION FIELD ON LOT TO:
Buildi~ four.ion ~OI ~ W.er main IO'
O. ENGINEER'S CERTIFICATION
I certEy that Ihave detem~hed//vou~ fle/d/nspect/ons end .
review of Mtmicipal recocds that the above systems are/n
conformance w#h MOA HAA guidelines in effect on this date.
Engineer's Printed Name Steven R. Ppnnoqe, P.I~.
Date (:~ ((:2,C~ ~ I
Date of Payment
Receipt Number C~)'--~5' c'Z:,'~,
(Rev. 1
Waiver Fee $
· Date of Payment
Receipl Number
parCel I.D. # (~\~.(~c~\... i~t :'' .
DEPARTMENT OF HEALTH & HUMAN SERVicES
Division of Environmental serVices : ~ ~
on'site Services Secti°n :
P:O. BOx 196650 Anchorage;:Alaska 99519:665
343.4744 : -.: :
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLIN
GENERAL INFORMATION
Complete legal description
Location (site address or directions) ~c:~ OC:) t~ ~t_.t.. ~,~.-,j~ ~__~.~
Property owner
Mailing address
Day phone
Lending ~gency
Mailing address
Agent
Address
Day phone AJ ~
Day phone -
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~
TYPE OF WATER SUPPLY:
Individual well '. ~, · '
CommUnity well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
idu
Indiv al on-site.
' Holding tank ' . . .
'? ;~ .-.. ~-..
Community on-site ...~
Public sewer ~'~ ' '-.
NOTE: If community wastewator system, provide written confirmation from 'state ADEC
attesting to the legality and status of system.
72-025 {Rev. 1/91) Front MOA~21
5. STATEMENT OF INSPECTION BY ENGINEER.
As certified by my seal affixed hereto and as o! the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structu re 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 in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection. ~ .~-7 --~ I'7 =)
~aWater ,{ . Phone _
Name of Firm
Address Date
Engineer's signature ,~ ~'~/' (/J '
6. DHHS SIGNATURE
Approved for _ bedrooms.
Disapproved.
/~ Conditional approval for _ -~ bedrooms,, with the following stipulations:
Additional Comments ~L ~ u~TIL T Of~/(E ~3 /v&~ I~ R P~ oust.
] ~ ealth and' Human'Services (DHHS) issues Health Authority
~-.'. ' ' ":~ ' of '~ chOrage Department of H · .... h 5 above by an independent
Z.h.e Munlmp_ahty . ~ . re resentafions gwen m paragrap . mas
'A 'roval Certificates-based o~ly U_P~n t.h_e p ~ The HHSdoesthisasacourtesytopurchasers°f~h°
pi'ofess onmenglneerreg st~=u ,,.h -
and tl~eir lendingihstitutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The' Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work,-
Legal Description:
A. WELL DATA
Well type
Municipality of Anchorage L~.?~
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-47~4~-~^uw ~
~,NVI~ONMENTAL SERVICES DIVISION
Health Authority Approval Checklist
L.~T"2./3, ~ ~,~_j pC-Z~,~o~_~-- -I,R-~=/:t'Z~ Parcel I.D.:
P¢-I~-~ If A, B, or C, attach ADEC letter. ADEC water system number
DEC l~ 199G
Log present (WN) V - f&oT-¢- ~..~-b; Date completed 5¢~7-'~; ~/ ~; ¢/z~/8~
Total depth ~; D~ Cased to ~ .' 7 Casing height (above ground)
Sanitary seal (Y/N)
FROM WELL LOG
Date of test
Static water level
Well production
Wires properly Pro{ected (Y/N) ¥- 8o-~,¢¢ ~
AT,NSPEOT,ON
'~.l~~ B ,~. ~
g.p.m.
WATER SAMPLE RESULTS:
~ Coliform ¢ Nitrate 2, ~'~ r~(~./¢ Other bacteria
"J' Date of sample: 12'/'¢¢/'¢t {~ Collected by:
' B. SEPTIC/HOLDING TANK DATA (~' ~ ~_~_ ~,w-t-,~--~-~ ~_~-v-~_z=-
Date installed ~' / ' Tank size t~'oz~ ~-t~o Number of Compartments ~-- Cleanouts (Y/N)
Foundation cieanout (Y/N) ~/~-~ Depression (WN) ~O High water alarm (Y/N)
~ Date of Pumping
C. ABSORPTION FIELD DATA
Date installed /~/~'/
Length ¢o~'/ Width
Pumper
~¢,m~4 F:~
Soil rating (g.p.d./fF or fF/bdrm) · ~,
Gravel thickness below pipe
System type l~__J3
Total depth
Effective absorption area
Date of adequacy test
Fluid depth in absorption field before test (in.);
Fluid depth ~ (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
Monitoring Tube present (Y/N) Y
/ Z////¢/'~ Results (Pass/Fail) PX~'~-~ For
Immediately after"/C'%al, water added (in.):
Absorption rate = ~> -7~ _g.p.d.
If yes, give date
· Depression over field (Y/N) ~O
bedrooms
72-026 (Rev. 3/96)*
Date installed
Size in gallons ..o_ooo ~,,,.~ co ,.J S .~--. ~---, ~
"Pump on" level at*. ~" ? _"Pump off" level at* ~ ~
Manhole/Access (Y/N)
High water alarm level at* ~ "~
Cycles tested ~,. lo ~or-~'---~-- ~1/-..
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot _
Absorption field on lot _
Public sewer main
Sewer/septic service line
On adjacent lots
/
On adjacent lots
Public sewer manhole/cleanout ~
/
Lift station , {~ ---
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation ~ ~4- Property line _ '~' ~00 Absorption field_
Water main/service line .>'> ~0 Surface wateddrainage _ ~oo .~,-_ Wells on adjacent lots ~'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
/
~0/4- Building foundation _ '~"E) 4- Water main/service line
Driveway, parking/vehicle storage area_ u,-) ~,,Jc~
Property line _
Surface water _
Curtain drain ~c~.- I~c~J°~j/''j Wells on adjacent lots
ENGINEER'S CERTIFICATION ~ ~o~ ~ ~0. ~
I cedi~ that l have det~f~ined~ru~l~ inspections and review of Municipal records tha~,~.~
~ conforma~ ~d~ HAA ~t~lid¢s in effect on this date.
Signature
Engineer's Name _
Date. ~'~R ~
72-026 (Rev. 3/96)*
Waiver Fee $ _
Date of Payment
Receipt Number
Alaska Wate & Wastewater
8471 Brookridge Drive ~ Anchorage - Alaska 99504
Phone (907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
Scope of work for Septic System Repairs
Subject: Septic System at Lot 2A, Bk 2, Prospect Heights S/D #4. Gottstein Residence.
9900 Hillhaven Circle.
Scope of work:
a. Repair cracked fitting on PVC pressure line in "south" lift station. The specific
fitting is the elbow just before the PVC line exits the S.T.E.P tank.
b. Replace the HDPE (ASTM F810) stand pipes in both drainfields with ASTM D3034
PVC. Excavate 6 inches below grade, cut offHDPE pipe, provide coupling, and
extend PVC pipe 12 inches above grade.
c. Repair all damage caused by excavations topsoil/reseed if necessary,
Please submit your bid to Clair Ramsey, Jack White Real Estate: 762-3152
If you have any questions, please contact me at (907_) 337-6179, or on my digital pager at
1-800-481-1162. Thank you for your business.
Sincerel~,~~
~arness, P.E., M.S.
Owner/Consultant
December 13, 1996
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
8471 Brookridge Drive - Anchorage ~ Alaska 99504
Phone (907) 337-6179 - Fax (907) 338-$246
Consulting Engineers
Subject: Well & Septic System Evaluation. Lot 2A, Bk 2, Prospect Heights S/D #4.
Gottstein Residence.
To whom it may concern:
The subject lot has a 5 bedroom house on it which is served by two private wells, and a private
septic system (with dual STEP tanks and fields). A discussion of the systems, and the adequacy
tests are summarized as follows:
A. WELLS: The water system is setup so that pump operation is alternated between the two
wells each time the pressure switch activates. For purposes of this HAA, I turned off the pump
which serves the north well (see as-built drawings), and only pumped out of the south well which,
per the drilling logs, has the greater capacity. The initial static level was 26 feet below the top of
the casing. Water was pumped at 6.78 gpm for a total of 177 minutes (1200 gallons). The level
in the casing dropped 279 feet, to a depth of 305 feet (approx.). The volume provided from the
casing was approximately 446 gallons (1.6 gallons/foot X 279 foot drawdown). The actual yield
was 753 gallons (1200 gallons - 446 gallons = 753 gallons) in 177 minutes, which corresponds to
4.25 gpm. Twenty-one hours later the water level in the casing had recovered completely to 25.5
feet. Based upon this data it was determined that the capacity of the "south" well exceeds the
Municipal requirements for a 5 bedroom house (750 gallons per day).
B: WATER QUALITY: Recent water sampling/analysis (12/4/96) found no bacteria, and
nitrate levels of 2.32 mg/1. The water quality is within the allowable range for these parameters.
C: S.T.E.P TANK SIZE: The home is equipped with two S.T.E.P tanks. One tank (north
tank) accepts wastewater, and the other (south tank) accepts water from the pool. Since
the pool is rarely ever emptied, the S.T.E.P tank associated with it is "idle" virtually all of the
time. The "north" S.T.E.P tank was pumped on 12/12/96 by Old McDonald's Pumping.
Per the 1992 inspection report, the S.T.E.P tanks are noted as "1500 GAL ST" and under the
heading of '%irt Station" it is noted as 500 gallons. Per the attached letter from the designer,
Mark Pearson, P.E., there are two 2000 gallon S.T.E.P tanks. Per my fieM measurements it
appears that the S.T.E.P tanks ate approximately 12 feet long, which indicates a 1500 gallon
S.T.E.P tank. According to M.O.A design standards the S.T.E.P tank must be at least 250
gallons greater than the required septic tank size. The required septic tank volume for a 5
bedroom house is 1500 gallons; therefore, the minimum size S.T.E.P tank for this home shouM
be 1750 gallons. Perhaps the tanks (buried very deep) are a custom configuration, with the inlet
c/o closer to the middle of the first compartment, or a different diameter? The HAA report data~
is based upon the initial inspection report~ and the attached letter fi-om:the original des_ign engineer'
(Mark Pearson~ P:E~
On the "south" S.T.E.P tank, the PVC pressure line has a cracked fitting (the elbow where the
line exits the tank), which leaks when the pump is activated. Even with this leak the lift station
still cycles. Since tiffs S.T.E.P tank is rarely used, it is my recommendation that the repair be
postponed until next summer.
D. VALVE PIT: Downstream from both the S.T.E.P tanks is a manhole which houses the
valves used for alternating flow between the two drainfields. During my site visit I noted that the
mmzhole had approximately 17 inches of standing water in the bottom of it. The water appeared
to be clear and did not smell like wastewater. Old McDonald's Pumping vacuumed the water out
of the manhole on 12/12/96. Looking at the grading near the manhole, it is my guess that surface
runoff enters through the lid (which has holes in it) and becomes trapped in the manhole. The
best way to correct this would be to install a water tight lid on the manhole. Since this condition
does not effect the operation of the septic system, correction of it should not be necessary to
obtain a Health Certificate. I only noted it so that all parties would be aware that the condition
exists.
E. WEST DRAINFIELD: On 12/6/96 the liquid level in the monitoring tube was
approximately 13.5 inches, indicating that the bed is surcharged. I switched the valvin~g so that
flow would be diverted to the east drainfield. Based upon my conversations with the company
that performed maintenance on the house (Denali Commercial Management, Inc,) it appears that
the flow was never alternated between the drainfields; consequently, the east drainfield was
essentially unused.
F. EAST I)RAINFIELD: Flow was diverted to the drainfield from 12/6/96 until 12/11/96. On
12/10/96 I presoaked the bed with 1200 gallons of water. The monitoring tube remained
completely dry through out the presoaking. Prior to starting the adequacy test (12/11/96) it was
noted that the monitoring tube was completely dry. Water was added into the lift station at a rate
of 7.14 gpm for a total of 105 minutes (750 gallons). At the end of the pumping period, the
monitoring tube was still completely dry. Based upon this data it was concluded that the
absorption rate of the bed exceeds 750 gallons per day, as required for a 5 bedroom house.
G. CLEAN-OUT PIPES DO NOT MEET M.O.A. CODE: The pipe used for the monitoring
tubes and the clean-outs on both drainfields is F810 HDPE pipe. M.O.A regulation does not
allow F810 pipe to be used for clean-outs or standpipes. To correct this deficiency, it is my
reconm~endation that the F810 pipe be cut 6 inches below grade, and replaced with PVC pipe
(ASTM D3034). In addition, caps will have to be provided on all of the standpipes.
H. ALTERNATING OF DRAINFIELDS: In order to enhance the life of the septic system, it
is my recommendation that the new owners arrange for their maintenance staff to alternate flow
between the drainfields every 6 to 12 months. They should start this after giving the "west"
drainfield (currently failed) approximately one year to recover. I would be more than willing to
instruct them how to do this.
I. PUMPING OF SEPTIC TANK: The septic pumper noted that there was a considerable
amount of solids in the septic tank. This was probably due to infrequent pumping, or no pumping
at all. In the future, the homeowners should direct their maintenance crew to have the tank
pumped at least every other year.
Based upon my evaluation of the systems it is reconunended that a conditional Health Authority
Approval be issued, with the aforementioned repairs to be performed next summer. If you have
any questions, please contact me at (907) 337-6179, or on my digital pager at 1-800-481-1162.
Thank you for your business.
Sincerely,~
J .~Cess, P.E.,M.S.
Owner/Consultant
NOTE: The adequacy of a septic aystem ia' influenced by numerous factors, including, but not
limited to, seasonal surface water infiltration, groundwater variations, septic system
maintenance (frequency of septic tank pumping, usage of biological additives), condition of
drain pipe and pipe joints (which can be damaged by seismic activity and deteriorate with agg~,
(ype of substances deposited in septic system (cigarette butts; sanitary napkins; misc. objects)~
and the amount of water being introduced on a continual basis. Consequently, the results of this.
adequacy test are only valid for the spec~c day of the test. Furthermore, because of the limited
nature of this investigation, it is possible that there are hidden defects which may not have been
detected. No warrantee is made regarding the future performance of this well or septic aystem.
Gottstein Report. wps
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II III1~.~
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IIII1~11111111111111111111~
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~11111111111111111111t1111111 ~
III IIIIIIIIIIittl ~
DATE~
TO:
TIME,
PHONF~
FAX~
FROM~
PAGES: (including cover)
PLEASE CALL 5G2-1500 IF THIS FAX IS UNREADABLE OR iNCOMPLETE
33~0 Ar¢~;iu I~llvd,, ~e #q Oq AnchOrage, AK ~B~02
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmenta Services
On-Site Services Section
P.O, Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D..#. 0 t~'-* OC~ I ~/¢ I
1. GENERAL INFORMATION
Comp. le~te !egal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent
Day phcne
C_~'~A A-~-- Day pl~one
Day p hone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~"
TYPE OF WATER SUPPLY:
Individual well ~'
Community well
NOTE:
Public water
If community well system, provide written confirmation from State AD£C attest-
ing to the legality and status of system. ..
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-O25(Rev. 1/91) Front MOA#21
5. 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 of this Health Authority Approval application shows that the on~site water supply
and/or wastewater disposal system is 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 Munici pality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system ~s in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm IV~ou~'{Z,;,~ ¢¢,,~,~¢~2.,,~- ' 'Phone
Address ~¢dlo~ c¢1~.,~,~.. ~- ~ /Ncr.~, /3¢[E_ cf~I ~'0
eer's signaiure ' ~
Engin ---- Date
6. DHHS SIGNATURE ' "
~ Approved for -~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Date ? - 2 - ~'~7
-The MuniciPality of Ahchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificat.e.,s'~ased only upon the representations given in paragraph 5 above by an independent
professional engin~r registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
andtheir lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91] Back MOA ~21
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street,' Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Health Authority Approval Checklist
Legal Description: [~1"' ~'~. 6~i ~'~oS~c.~- ~r~ ~ Parcel I.D.:
Well type ~ If A, B, or C, aEaCh ADEC letter. ADEC water system number
Log present (Y/N) ~-~~S Date completed ~°~' ~l
Total depth N~' ~¢¢ Cased to N~: ~ Casing height (above ground)
Sanitary Seal (Y/N)
FROM WELL LOG
Dateoftest ~*I,~'I~G ~l~l~
Static water level,
m,.rod.ctm
g,p.m.
WATER SAMPLE RESULTS:
Coliform ¢
· Date of sample: V/.- I h~l~t
Nitrate
B. SEPTIC/HOLDING¢,-;~',w ~ TANK ~'1¢IIDATA
Date installed ~ 5/'t-$1't~ Tanksize
Wires properly protected (Y/N)
AT NSPECTION (SOO'*
~k5 + g.p.ml
Other bacteria
Collected by: ~'~-'~
Number of Compartments I
Z'~Cleanouts (Y/N)
Foundation cleanout (Y/N)
Date of Pumping I?.~'Z./fl to Pumper
C. ABSORPTION FIELD DATA (.r[-~.;~, ]'v,-~.,~m-~.j~l~ ~
Date installed &,l~l Soil rating (g.p.d./fFor fF/bdrm) 0
Length f~ Width t~-I Gravelthickness below pipe
Effective absorption area c~ Urn'/£ec.J~ Monitoring Tube present (Y/N)
Depression (Y/N) v~ High water, s.j; &~-~alarm ~-.~,~(Y/N)
System type ~
Total depth (¢, ~ I ovc<r
· Depression over field (Y/N) ~
Date of adequacy test ~ ': I¢[ ~' Results (Pass/Fail) F"C'~5 For ~' bedrooms
Fluid depth in absorption field before test (in.); Immediately after ¢¢~°gal. water added (in.): ¢"
Fluid depth ¢ (ins) Minutes later: ¢1¢r Absorption rate = 7~¢4-~'''iD g.p.d.
Peroxide treatment (past 12 months) (Y/N) ~__ If yes, give date ~'I ~-
72-026 (Rev. 3/96)*
D. LIFT STATION ~'T-~[
Date installed (o[ ell
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested ~-
E, SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main t,J
Sewer/septic service line
Size in gallons ,
"Pump on" level at*
*Datum
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPT C/HOLDING TANK ON LOTTO:
Foundation ~ ~ Property line
Water main/service line ~ [O~ Surface wateddrainage
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Propertyline ~,O~ Building foundation %'"~
>too~
Surface water
Curtain drain
F. ENGINEER'S CERTIFICATION
"Pump off" level at*
Absorption field /~5-7D~
Wells on adjacent lots
Water main/service line
Driveway, parking/vehicle storage area ~' (o
Wells on adjacent lots > l ~ ~
I certify that I have determined thru field inspections and review of Municipal reco
in conformance with MOA HAA guidelines in effect on this date.
Signature
Engineer's Name
HAA Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
Mark Pearson
Mountain Engineering
3868 Shannon Circle
Anchorage, AK 99508
July 1, 1997
Mr. Dan Roth
MOA, DHHS, On-Site Services
825 L Street, Room 502
Anchorage, AK 99501
Regarding: Prospect Iteights #4, Lot 2A, Block 2
RECEIVED
JUL 2 1997
Municipality of Anchorage
Dept. Health & Human Services
Dear Dan:
As per our conversation, attached please find the paperwork for clearing the conditional HAA
approval on the above referenced property.
We have completed the installations and inspections of an additional 500 gallon lift station that
was installed downstream of the existing west/north 1,500 gallon lift station. The pump and
controls were removed from the original 1,500 gallon tank, and installed in the new 500 gallon
lift station. The existing 1,500 gallon tank has thus been effectively converted to a 1,500 gallon
septic tank. These actions were taken after discussions with you and Jim Cross on May 23, after
it was discovered that the layout as originally permitted would be too close to an ornamental pond
on the property.
In order for GMAC to release the escrow monies for Carls Excavating, we need to give them the
signed-off HAA Certificate. Any assistance on your part to expedite this would be greatly
appreciated.
Please contact me at 562-500 with any questions or problems.
LOT
· \
/
MUNICIPALITY OF ANCHORAGE
MEMORANDUM
DATE:
TO:
FROM:
SUBJECT:
March 6, 1991
Department of Economic Developmen~ and Planning .
Zoning and Platting
Susan Oswalt, Acting Program Manager, On-site Services
Health and Human Services ~
Department
of
Request for Comments on Subdivisions
March 15, 1991
S-9034:\ Lot 2A BLock 2 Prospect Heights Subdivision ~4
~ We have adequate soils information and water
o~\ availability information~ No objection°
S-9035o~ Lot 16A Discovery Subdivision
No objection.
S0/ljm \
The Environmental Services Division, On-site Services Section,.
of the Department of Health, and Human S~r~c~s. has r~viewed
the following cases and ha~..these comments? ..
S-9033: Lot 2lA Block 4 Paradise Valley Subdivision
No objection. No drainage could exist in the
drainage easement. As-built for the septic
system and well are on fileo
MUNICIPALITY OF ANCHORAGE
ECONOMIC DEVELOPMENT AND PLANNING
P.O. Box 196650
Anchorage, Alaska 99519-6650
PRELIMINARY PLAT APPLICATION
OFFICE USE
REC'D BY:
VERIFY OWN:
~I~FM~I~I, b l I~l~lJ,l~ I I I I I
IIIIIIIllllll]llllll
Address
Ci~ ~ ~.
Phone ~
Please fill in the information requested below. Print one leffer or number per block. Do not write in the shaded blocks·
1. Vacation Code 2. Tax Identification No.
3. NEW abbreviated legal description ¢12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34). , ~ ~ ~'
I0~1~ Izl ILIolM I:NI I I I I I I I I I I I I I
4. EXISTING abbreviated legal description ~12N R2W SEC 2 LOT 45 OR SHORT SUB BLK ~ LOT8 ~) full I~al on b~ck Page.
~ ~ ~ Iq~,l=l~l I~,1~1~1~1 I~1 I I I I I I I
5. Petitioner's Name (~st - First) 6, Petitioner'~ Repre~en~Nve
I~1~1,1 ~1 I~1~1~ I I I I I I I I I I I I I
City ~ ,,~(~' S~te ~ ~
7. Petit[on Area 8. Proposed 9. Existing
Acreage Number Number
Lots Lots
10. Grid Number 11. Zone
kl-hl I I I
IIIIIII
12. Fee $ ~
13. Community Council /~C~9({~)~-
B. I hereby cerlifythat (I am) (I have been authorized to act for) the owner of the property described above and that I desire to subdivide it in
conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic subdivision fee
is nonrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the
subdivision· I also understand that additional fees may be assessed if the Municipality's costs to process this application exceed the
bB:~rCdlepi;Infnlnd;~oUmndmi,::it:nn.dolrhtahte~i;isge~n~dbl~;;reilgo da;tmeiSniasrterattievretar ,eVaes:nnsd. may have ,o be postponed by/~i~~
Signature
*Agents must provide written proof or authorization.
20-CO3 (Rev 6/89)MOAo24
Please check or fill in the following:
1. Comprehensive Plan -- Land Use Classification
'~ Residential --
~ Commercial --
~' Parks/Open Space ~
~ Transportation Related
2. Comprehensive Plan -- Land Use Intensity
- Special Study -
3. Environmental Factors (if any):
a. Wetland --
1. Developable
2. Conservation -
3. Preservation
Marginal Land
Commercial/Industrial
Public Lands/Institutions
Dwelling Units per Acre
Alpine/Slope Affected
b. Avalanche
c, Floodplain
Alpine/Slope Affected
Industrial
Special Study
d. Seismic Zone (Harding/Lawson)
Please indicate below if any of these events have occurred in the last three years on the property.
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Case Number
Enforcement Action For
Building/Land Use Permit For
Army Corp of Engineers Permit
- Rezoning
- Subdivision
- Conditional Use
Zoning Variance
Legal description for advertising.
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30 Copies of Plat
Reduced Copy of Plat (8V2x 11)
Certificate to Plat
Fee
Topo Map 3 Copies
Soils Report 4 Copies
Aerial Photo
Housing Stock Map
Zoning Map
Private Wells
Private Septic
Community Well
Community Sys.
Public Utility
Public Utility
Checklist
Water:
Sewer:
A DiviGion of DOWI., Incorporated
January 4, 1991
W.O. ~D53873
Report No. 3309
Porath Architects
I000 E. Dimond Blvd., Suite 21
Anchorage, Alaska 99515
Attention: Mr. Dale Porath
Subject:
Soil Investigation
Gottstein House - Hillhaven Circle
Gentlemen:
On December 12, 1990 two test borings were drilled at Prospect Heights Subdivision
Addition No. 2, Lot #2 and #3 located in South Anchorage, Alaska. The purpose of
drilling tho test borings was to obtain information necessary to develop foundation
recommendations for tho design cfa single-family mansion.
The surface of the proposed building site slopes moderately to tho west. Most of tho
area is covered by alder bushes and tundra vegetation. Agne-foot thick layer of frozen
o.p..~k, at w. as encountered in both borings. Medium dense silty sand und.eriies the peat to
a depth of two feet. In Test Boring No. 1 a very dense gravel extending to a depth of
eight feet was encountered. Below the gravel is either weathered rock or very dense
till to the extent of the boring (15.2 feet). Two feet of very dense silty gravel was
encountered in Test Boring 2 below the silty sand followed by very dense silty sand to
the extent of the boring (20.5 feet). Groundwater was encountered at 8 feet in Test
Boring 1 during drilling. A perched water table was encountered at two feet in Test
Boring 2 and the groundwater level was at 15 feet while drilling. A PVC standpipe was
placed in both borings to measure changes in the static water table during the
percolation test.
The peat and organic soil encountered at this site will not provide adequate support
for a building foundation or for driveways and parking areas. Therefore, all peat
below the building footprint and paved areas should be removed. All Fill and backfill
below the structure and traffic areas should be nonfrost susceptible structural ill/.
Structural fill should be compacted to a minimum of 95% of the maximum density
determined in accordance with ASTM D4253. Frequent in-place density tests should
be taken in each lift of structural fiil.
PorathArchitects
Mr. DalePorath
January4, 1991
Page 2
Structural fill is defined as load-bearing fill placed under footings, slabs, driveways,
and parking areas. All structural fill should consist of non-frost susceptible (NFS) or
~oOSSible frost-susceptible (PFS) gravel meeting the following gradation requirements
r the minus 3 inch fraction:
Sieve Size
Percent Finer
3" 100'
1-1/2" 70 - 100
3/4" 30 - 100
1/2" 25 - 100
No. 4 20 - 49
No. 40 0 - 25
No.200 0 - 6
0.02 mm 0 - 3
The fill may contain up to 10 percent cobbles.
The upper 6 inches of structural fill should not contain particles larger than 2 inches to
facilitate fine grading.
Spread footings are recommended for the foundation. Support for conventional
spread footing can be derived from undisturbed native mineral soils found below the
peat or on well compacted structural fill. A maximum bearing capacity of 3000 psf. ma.y
be used. The bearing capacity can be increased by 33 percent for wind and sezsrme
loads. The minimum width of the continuous footing should be 16 inches and the
minimum width of isolated footings should be 18 inches. Footings for a heated
structure should be founded at least 42 inches below the adjacent exterior grade. Cold
footings should be founded a minimum 60 inches below grade. The floor slab should
not be insulated, so that heat from the building will keep the foundation soils thawed.
However, exterior warm footings should be insulated with two inches off nonwater
absorbing closed cell rigid insulation. If these recommendations are followed, total
settlement of footings should be less than one inch and differential settlement should
be less than one half inch.
Based on the presence of perched groundwater in Test Boring 2 and the configuration
of the planned construction, permanent dewatering will be necessary. This could be
accomplished with a conventional footing drain system.
Finish floor elevations should be established and site grades should be constructed
and maintained to rapidly drain surface and roof runoff away from the building
foundation and all pavement subgrade softs. The exterior grade at all at-grade
entrances should be depressed at least 1 inch below the finished floor where allowed
by code.
Porath Architects
Mr. Dale Porath
January 4, 1991
Page 3
Permanent cut and fill slopes should be constructed no steeper then 2 horizontal to 1
vertical (2:1)..Fill slopes should be constructed following the recommendations given
herein for structural
If you have any questions regarding this report, please call.
Sincerely,
DOWL ENGINEERS
Federico A. Lier
Geotechnical Engineer
REVIEWED BY:
David A. Cole, P.E.
Principal
NOIJ. VO0'i £S3£
El
'--7
Sh~t I of 6
TEST BORING LOG - DESCRIPTIVE GLIDE
Soil Descriotions - The soil is classified visually in the field based on drill action, auger cuttings, and
sample information. The recovered soft samples axe classified visually again in the laboratory. The
soft description on the boring log is based on an interpretation of the field and laboratory visual
classifications, along with the results of laboratory panicle-size distribution analyses and Anerberg
I Jmits tests which may have been performed.
The soft classification is based on ASTM Designation D2487 "Standard Test Method for
Classification of Softs for Engineering Purposes" and ASTM D2488 "Standard Praedce for
Description and Identification of Soils (Visual - Manual Procedure)" and the soil frost classification
is based on the system developed by the U.S. Army Corps of Engineers. Outlines of these
classification procedures axe presented on the following pages.
The soft color is the subjective interpretation of the individual logging the test boring.
The plasticity of the minus No. 40 fraction of the soil is described and the fmc-grained soils are
identified from ma,ual tests using the foLlowing table as a guide:
Soil Symbol Dry Strength Dllatancy Tonghness
ML none to low slow to rapid low or thread cannot be formed
CL medium m high none to ~low medium
MH low m medium none to slow low ~ medium
CH high m very high none high
Plasticity.
Description
Criteria
Nonplasfic
Low
Medium
High
A 1/8" thread cannot be rolled at any water content
The thread can barely be rolled and the lump cannot be formed when drier than the plastic limit.
The thread is easy to roll and not much time is requim'd to reach the pl,t~stic t/mit. The thread cannot
be rerolled after reaching the plastic limit. The lump erumble~ when drier than the plastic limit.
It mke~ considerable time rolling and kneading to reach the plastic limit. The thread can be rerolled
several times after reaching the plastic limit. The lump can be formed xvithout crumbling when
drier than the plastic limit.
Labomtor3' Atterberg Limits tests usually are performed on a few of ;,he, plastic soils and results are
reported on the test boring log. These laboratory, tests are performed in accordance with ASTM
D4318 "Standard Test Method for Liquid Limit, Plastic Limit. and Plasticity Index of Soils."
Sheet 2 of 6
The shape of the gravel particles is described based on this guide:
Angular: particles have sharp edges and relatively plane sides with unpolished surfaces.
Subangular: particles are similar to anglllar but have somewhat rounded edges.
Submunded: particles exhibit nearly plane sides but have well-rounded comers and edges.
Rounded: particles have smoothly curved sides and no edges.
The size of gravel and sand particles is described using this guide:
Gravel
Sand
Medium:
Fine:
Passes 3" sieve, retained on 314" sieve
nde
Passes 3/4" sieve, retained on No. 4
sieve
Passes No. 4 sieve, retained on No. 10 sieve
Passes No. 10 sieve, retained on No. 40
sieve
Passes No. 40 sieve, retained on No. 200
sieve
The soil moisture is described as:
damp:
wet:
saturated:
powdery, dusty., no visible moisture.
enough moisture to affect the color of the soil, moist
water in pores but not dripping, capillary, zone above water table
dripping wet, contains significant free water, or sampled below water table.
The subjective esHm,m of the density of coarse-re'dined soils is based on the observed drill action
and on drive sample data. The guide below is used for sands with minor amounts of fine gravel;
however, blowcounts can be affected strongly by gravel content, thermal state, drilling procedures,
condition of equipment and performance of the test.
Stanclm'd Penetration Resistance,
N (blows / foot)
Soil Density
0 - 5 Very loose
6- I0 Loose
11 - 30 Medium dense
31 - 50 Dense
More than 50 Very dense
An estimate of the consistency of fine-fire/ned soils is based on the observed ch'il/action and on
drive sample data. The guide below is used:
Standard Penetration Resistance,
N (blows / foot)
Soil Consistency
0 - 2 Very soft
3 - 4 Soft
5 - 8 Firm
9- 15 Stiff
15 - 30 Very s~ff
More than 30 ~
Sheet 3 of 6
Soil Layer Boundaries - GeneraLly there is a gradual u'ansition from one soft type to another in a
natural sol/deposit, and it is difficult to determine accurately the boundaries of the soil layers.
· A diagonal line between soil layers on the graphic boring log indicates the general region of
u'ansition from one soil hyer to another.
· A dashed diagonal line indicates the soil boundary was detected only by a change in the recovered
samples and the actual boundary may be anywhere between the indicated sample depths.
· A horizontal line between soil layers indicates a relatively distinct transition between soft types was
observed in the recovered samples and / or by a distinct change in drill action.
Sample Interval - The sample interval is shown graphically on the test boring log and generally is
accurate to about 0.5 foot.
Frost Denth and Soil Temperatures - If frozen ground is encountered during drilling, the interval
of frozen soft is shown graphically on the test boring log. GeneraLly, the temperature of a few soft
samples is measured and shown on the boring log. These sample temperatures only give a q, alltative
indication of the in sim soft temperatures. The temperature of samples can be intluenced
significantly by the ambient air temperatm'e and friction during drilling and sampling.
Soil Moisture Content - Generally, laboratory soil moisture content tests are performed on all
recovered samples. Only about 30 gr~rnn of the minus No. 4 material typically is used for the
moisture content test. so results reported on the log may not reflect accurately the in sim moisture
content of gravelly soils.
Soil Density - The soil density shown on the test boring logs generally is determined by measuring
the wet weight, moisture content, and physical dimensions of relatively undisturbed specimens.
Ground Water - The depth to ground water observed during drilling general/}, is shown on the test
boring log. The depth to ground water observed during drilling can differ xi~canfly from the
depth to the actual groundwater table, particularly in fine-grained soils. When more accurate water
level measurements a_re desired, we typically install perforated pvc pipe in a boring to monitor the
groundwater level.
Penetration Resistance, N - Standard penetration tests (SPT) are performed in accordance with
ASTM Designation D1586 "Standard Method for Penetration Test and Split-Barrel Sampling of
Soils." A modified penewation test using a 2.5-inch I.D. split spoon driven with a 340-pound
hammer falling 30 inches is performed to obtain larges samples, pamcularly in gravelly softs. The
boring log key describes the graphic symbols used to differentiate between sample types.
Undisturbed Samples - Undisturbed Shelby tube samples are obtained in accordance with ASTM
Designation D 1587, "Standard Practice for Thin-Walled Tube Sampling of Soils." Generally, 3-inch
O.D. Shelby tubes are used. Relatively undisturbed liner samples are obtained in accordance with
ASTM Designation D3550, "Standard Practice for Ring-Lined Barrel Sampling of Soils." except a
thick-walled cutting shoe is used. Typically, the sampler is driven using a 340-pound weight falling
30 inches. The typical brass liner has an I.D. of 2.4 inches.
Grab Samples - Grab samples are obtained from the auger flights. The samvle depth and interval
indicated on the test boring log should be considered a rough approximation. Re grab samples may
not be representative of in situ soils, particularly in layered soil deposits.
9 30 ~, 1~qS
fl*
Sheet 6 of 6
FROST DESIGN SOIL CLASSIFICATION1
Frost2 Group
NFS3
pFS4
S1
S2
F1
F2
F'3
(MOA
Kind of Soft
(a) Gravels
Crushed stone
Crushed rock
CO) Sands
(a) Gravels
Crushed stone
Crushed rock
Percen,nge Finer
than 0.02 mm
by Weight
Typical Soil Type~
Under Unified Soil
Ch ~x.i fic. a~on Sysmm
0 to 1.5 GW, GP
0to3 SW, SP
1.5 to 3 OW, GP
(MOAF2) Co) Sands 3 to 10
(MOA Fl) Gravelly mils 3 to 6
SW, SP
(MOA F2)
GW, GP, OW-GM, GP-
GM
Sandy soils 3 to 6
Gravelly soils 6 to 10
(a) Gravelly soils 10 to 20
Co) Sands 6 to 15
(a) Gravelly soils Over 20 GM, GC
Co) Sands, except very Over 15 S~L SC
i'me silty sands
(c) Clays, PI>12 CL. CH
SW, SP, SW-SM, SP-SM
GM, GW-GM, GP-GM
GM, GW-GM, GP-GM
SW, SW-SM, SP-SM
(a) Allsilts ML..'dH
Co) Veayfinodltysands Over 15 SM
(c) Chys, PI>12 CL. CL-ML
(d) Varved clays and CL and ML
other frae-grained. CI_ ML and SM;
banded sediments CL. CH and ML;
CL. CH, ML and SH
1 Berg, Richard and Thadeus Johnson, "Revised Procedure for Pavement DesL, zn Under Seasonal
Frost Conditions." Special Report 83-27, U.S. Army Corps of E.%oineers. Gold Research and
Engineering Laboratory, September 1983.
2 C.O.E. Frost groups directly correspond to the Municipality of Anchorage soil frost classification
groups, except as noted.
3 Non Frost Susceptible.
4 Possibly frost-susceptible, but requires laboratoo' test to determine .%st desitin, soil classification.
6
T~40
TEST BORING 1
LOGATION=SEE TEST BORING LOCATION MAP
ELEVATION=
DEPTH
BROWN PEAT
F3, BROWN, SILTY SAND, DAMP, MEDIUM DENSE
1.0
2.0
NFS, BROWN. POORLY GRADED GRAVEL WITH SAND. ABOUT
45% SAND AND LESS THAN 5% SILT, SUBROUNDED GRAVEL
TO 2", COARSE TO FINE SAND, DAMP, VERY DENSE
8-0
NFS, BROWN. WEATHERED ROCK OR TILL, SUBANGULAR
iGRAVEL, SATURATED. vERY DENSE
~.~ GROUNDWATER LEVEL WHILE DRILLING (8.0 FT)
HARD DRILLING FROM 10 TO 15 FEET
15.2
TEST BORING COMPLETED 12/12/90
PVC STANDPIPE INSTALLED
KEY
MA = MECHANICAL ANALYSIS
LL = LIQUID LIMIT
PI = PLASTIC INDEX
PP = POCKET PENETROMETER (TSF)
TV = TORVANE (TSF)
[] = GRAB SAMPLE
[] = SPT SAMPLE
[] : SHELBY TUBE-PUSHED
[] = 2,B' I.D. SPOON SAMPLE
340# WEIGHT. 30" FALL
T = SAMPLE TEMPERATURE (?F) PROBABLY
AFFECTED BY SAMPLING PROCEDURE
DOWL ENGINEERS
LOG OF BORING
LOGGED BY OZ HATCH
W.O, D53873
FIGURE
T=42
T=41
T=60
L6'
TEST BORING 2
LOCATION=SEE TEST 80RING LOCATION MAP
ELEVATION=
DEPTH
BROWN PEAT
1.0
F3. BROWN, SILTY SAND, WET TO SATURATED, MEDIUM
DENSE 2.0
F2, BROWN, SILTY DRAVEL WITH SAND. ABOUT 20% SAND
AND 20% SILT, SUBANGULAR GRAVEL AND COBBLES TO S",
COARSE TO FINE SAND, NONPLASTIC. DAMP, VERY DENSE
GROUNDWATER LEVEL WHILE DRILLING (2.0 FT)
HARD DRILLING FROM 2 TO 4 FEET
4.0
F3, BROWN, SILTY SAND WITH GRAVEL, ABOUT 25%
GRAVEL AND 25% SILT, SUBANGULAR GRAVEL TO 2',
COARSE TO FINE SAND, NONPLASTIC, DAMP, VERY DENSE
HARD DRILLING FROM 4 TO 20.5 FEET
GROUNDWATER LEVEL WHILE DRILLING (1~0 FY)
LESS SILT FROM 14 TO 20.5 FEET. ABOUT
_ _ 20,5
TEST BORING COMPLETED 12/12/90
PVC STANDPIPE INSTALLED
KEY
MA = MECHANICAL ANALYSIS
LL = LIOUID LIMIT
PI : PLASTIC INDEX
PP = POCKET PENETROMETER (TSF)
TV : TORVANE (TSF)
[] = GRAB SAMPLE
[] = SPT SAMPLE
[] = SHELBY TUBE-PUSHED
[] = 2.5" I.D. SPOON SAMPLE
340# WEIG~T~ 30' FALL
~ = SAMPLE TEMPERATURE (?F) PROBABLY
AFFECTED BY SAMPLING PROCEDURE
DOWL ENGINEERS
LOG OF BORING
LOGGED BY OZ HATCH
W.O. 053873
FIGURE
Dowl TB 2
Systel
Isee
Mc
1170
Sys 3A
(se,
1,500 Ga
,~yo Septlc
×
Mon Tt
Dowl 1
1185
1195