HomeMy WebLinkAboutTRAILS END BLK 4 LT 10 Uunicipality.ofAnchorage ~'.~e 1 of 3
DEPARTMENT OF HEALTH AND. HUMAN SERVICES
ENVIRONMENTAL. SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 3~-4744
OmSite Wastewater Disposal System and/or Well Inspection RepoH
Permit Numbe~ SW980132 PID Numbe~ 015-192-11
3im ~acy Wastewater System': O New ~ Upgrade
11200 Doggie Avenue ABSORPTION FIELD
LE GAL D ES C R I PTI O N so,,..~.;: ~o... o.m
.4 ~q.~l 6.5'
~" 10 e,~: 4 Trails End 5.5 ' ~, I ~.
18 ,~ 6
~c ~gT~qe System~ 5/28/98
~.~ ~. ~ TANK-
SEPARATION DISTANCES a s.::c o Ho,~:.~ a S.T.~P.
~ I'~' I''°' I "/~ I "/~ I "/~ ~'"'~": I
Uno .
~ou..~.o. I'~' I'~o' I "~ "~ I "~ ~ """'"" I'"""'''"''~
Remarks: ~he Dx~st[ng Abso~p~o~ ~ed BENCH MARK
~as extended 18~ uQde~ th~s pe=m~t
· Ro~h~es~ Doo= Slab
,
ENGINEER'S
Inspections ~e~o~edby: ~. Anderson Dates:lst 5/28/~8 ~: 4~
2nd 5/28/98 i .~. ........ ..,~...,...,' ~'~
Depadment of Health and Human Se~ices approval 6~. 43~1~ .~1
Reviewed and approved by: ~.~ ~, ~ Date: ~-~'~
~,u,,,u,,p~:iLy u[/~ncnorage Page , 2 of 3
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:, ~w980132 PlO Number:., 015-192-11
DOGGIE AVENUE ,~
Z
O
Three Bedroom
House
Exis~ing 1,000
Gallon Septic Tank
Cl 65.5 91.8
C2 71.8 96.4
C3 77.0 100.?
N1 79.5 106.6
~'%~ C xisting Bed . '
_--_~o,F.~7 t, ~ IL~.1 ~1 -7 '
-.. ~.r.:. ..... ':'.",~l~ ! L. ~ /
~..~.~.' .J~ ,~l.I . / Note: Only the Bed 'Extension
~[3. %.~' -.~/N.~w 18' X 18' / was completed under this
d*."49~.57. .'..~.~Extension -- permit.
r.':;,. - ' '.-
~ ~'.. ~ .' YY-,' p ....
,17,//~.. ....... ..,%.~.~_ -- --- -. -n~,-~..~ ~.~ I L/
t~'.nuFIz'S~uZ]~'" SCALE 1" = 20'
Municipality 6f Anchorage Page ,, 3 of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage. Alaska 9951~6650 · Telephone: 34,3-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~w980132 PIONumben,015-192-11
Existing
Fill
Draih
Ro(
Geotextile
Fabric
91.03 92.04
92.02
3' 6' 6' 3'
Note: Only the 18' X18' Extension to the Existing Bed was
completed under this permit.
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: May 22, 1998
Expiration Date: May 22, 1999
Permit Number: SW980132
Design Engineer: 0014 Anderson Engineering
Owner Name: James D. Tracy
Owner Address: 11200 Doggie Avenue
Anchorage, AK 99516-
Parcel ID: 015-192-11
Legal Description: TRAILS END BLK 4 LT 10
Site Address: 011200 DOGGIE AVE
Lot Size: 22781 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] SepticTank
[] Privy [] Private Well
[] Holding Tank
[] Water Storage
Ail construction must be tn accordance with:
1. The attached approved design.
2. AIl requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the Stata 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 fl'eezing.
5. The following special provisions.
As-Built drawings shall indicate upgrade area for 3 bedrooms.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522-6779 (FAX)
May 20, 1998
Municipality of Anchorage
Department of Heath & Human Services
825 'L" Street
Anchorage, AK 99502-0650
Subject:
Lot 10, Block 4, Trails End Subdivision
Septic System Design
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The existing absorption bed on Lot 10, Block 4, Trails End Subdivision was
constructed in May of 1993 to serve a two bedroom home. It was only
recently put into service, but the house constructed on the lot included
three bedrooms. We are therefore applying for a permit to upgrade the
absorption bed for a total of three bedrooms. The attached site plan and
backup documentation identify the size and location of the absorption bed
extension. The existing well location is also identified and the 100'
protective radius is shown.
Several testholes were placed on the lot prior to construction of the
original bed. Groundwater was found at 4' to 5' below the surface of the
original ground. The bed was therefore constructed at original ground
level. Once construction was completed an additional 5' of fill was placed
over the bed. The new bed extension will match the elevation of the old
bed and be nearly 6' below the now existing ground surface.
The original bed was placed in an area with reasonably good soil. It was
designed for an absorption rate of ,4 gallons per day per square foot. The
bed extension is also designed using this rate. The existing septic tank
has been in use for less than six months. Our initial probe indicated very
little sludge accumulation in the tank. It will be reused for the new
system since it is already sized for a three bedroom home. It appears the
extension to the bed can be completed without any conflict to the well on
the lot or on adjacent lots.
Lot 10, Block 4, Trails End
May 20, 1998
Page Two
Substantial fill has been placed on the lot and the original slope has been
reduced to approximately 5% from east to west and 2% from north to
south.
If the
1.
system is constructed as designed the following statements apply:
The system, if constructed as designed, will have no adverse impact
on the wells in the area or those to be constructed in the future.
e
The system, if constructed as designed, will have no adverse impact
on existing septic systems in the area or those to be constructed in
the future.
The system, if constructed as designed,
impact on reserved space, either surface
located in the area.
will have no adverse
or subsurface, on any lots
The system, if constructed as designed, will have no adverse impact
on drainage patterns in the area. The current drainage pattern will
be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
· ' '"AREA PLAN
SCALE 1" = 50'
~ECXED BY DA~ /~"""
~., I"= ~2!
DOGGIE AVENUE/
, !
I
I
Three Bedroom
Home
Gall ~ 1 ,000
0
~TH# 4
Existing 18' Wide
X 45' Long Absorpt
Bed
18' Wide X 18' Long
%sion to Existing Bed
~ .SITE PL~-~ '
SCALE 1" = 20'
-- 5~-- E~S e~--ee n t -- __
ion
PERFORMED FOR:
Municipality 0! Anchorag:
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street. Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
,
LEOAL OESCRmT, ON: 14~T I~, ~;;~I... T~(AIL5 ~.1~1~ Tow.ship. Range. Section:
2-
3-
4-
5-
6-
7-
8
9
10-
11
12-
13-
14-
17-
18-
19
20
COMMENTS
IF YES. AT WHAT
DEPTH?
?EST RUN BETWEEN 4 F?ANO ~ Fi'
LOT 10, BLOCK 4, TRAILS END SUBDIVISION
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
Three Bedroom Home
Perc. Rate: 19 MinJInch
Application Rate: .4 GPD/SF
Shallow Bed System
Existing 1,000 Gal. Sep. Tank
10' Gravel Beneath Dist. Pipe
3 Bedrooms X 150 GPD -- 450 Gallons Per Day
450 GPD/.4 GPD/SF 118 LF Width = 63 LF Total Length of Bed
Therefore: Existing Bed Is 45' Long. Construct an Addition to the
Existing Bed a Total of 18' Long for a Total Length of 63'. Existing Bed is
5.5' Below Existing Ground.
Natural Backfill
Geotextile Fabric
6' 3'
I
Drainfield
Rock
NOTE:
SHALLOW BED SECTION
(NO SCALE)
Grade Area to Drain Away.
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 10, BLOCK 4, TRAILS END SUBDIVISION
GENERAL:
The scope of this project includes the extension of the
existing 18' wide by 45' long absorption crib. The new bed
will be 18' wide by 18' long. The existing distribution
piping is approximately 6' below the existing ground
surface. Piping to the new extension will be connected to
the existing bed at the north end. One new cleanout will be
placed in the bed extension, Old cleanouts and monitor
tubes will be verified and raised aboveground if necessary,
Construction shall be in accordance with the approved site
plan, design drawings, Municipal Permit with any special
provisions or conditions, and all applicable State and
Municipal Wastewater Disposal Regulations.
The Contractor shall be responsible for obtaining all
underground utility locates and for the layout of the septic
system and verification of the location of all lot lines.
Unless specifically agreed otherwise, the contractor shall
be responsible for final grading areas subsequently
depressed from soil settling, Property owner shall be
responsible for revegetation of affected areas unless
specifically agreed otherwise,
Contractors installing wastewater disposal systems must
be certified by the Municipal Department of Health and
Human Services for system installations. Owners installing
their own systems must receive prior approval from D.H.H.S.
before beginning system installation.
SEPTIC
1.
TANK INSTALLATION
The existing 1,000 gallon septic tank will remain in
service. No verification of its integrity for continued use
will be required.
Lot 10, Block 4, Trails End
May 20, 1998
Page Two
A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts
for pumping access.
3. The septic tank shall be sufficiently bedded to prevent
settling or shifting of the tank.
o
All standpipes on the septic tank shall extend a minimum of
12 inches above final grade.
Tanks installed without 4' of cover shall have a minimum of
2" of direct burial insulation.
A foundation cleanout shall be installed one to four feet
from the building foundation. Two cleanouts are required
between the tank and the drainfield.
Final grading over the tank shall be such that a positive
slope exists away from the septic tank.
DRAINFIELD CONSTRUCTION:
1.
The drainfield shall be constructed to the dimensions shown
on the design. The bottom of the bed shall be within 2" of
level.
Distribution piping must be placed level with perforations
down atop a level bed of drainfield rock. Rock should then
be placed over the pipe to provide a minimum of 2" of cover.
A silt barrier or geotextile fabric must be placed between
the drainfield rock and the natural soil backfill.
Monitor tubes must be 4" in diameter and installed at the
locations shown on the design. The portion below ground
must be perforated.
Lot 10, Block 4, Trails End
May 20, 1998
Page Three
o
Contractor shall verify the septic tank and drainfield are a
minimum 100' away from any private water wells in the
area, 150' from a Class "C" Well or 200' from any community
well.
Direct bury insulation must be placed over the distribution
system if less than 3' of backfill depth is available. Finish
grade over the trench must be mounded to prevent
settlement or depressions,
7. Grade area surrounding the absorption trenches to drain
away.
A minimum 2' of accepting soil is required below the
drainfield rock for a 5' wide trench. Contractor shall verify
this condition prior to placement of the rock. All pockets of
unacceptable materials must be removed and replaced.
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a Municipally approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic
system installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C.
(perforated and solid), ASTM F810 or H.D.P.E. (perforated,
but not solid) and ASTM D2662 or A.B.S. (perforated and
solid).
3. Insulation shall be at least 2" thick extruded direct burial
polystyrene (Dow Chemical Co. Styrofoam HI or equal),
4, Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
Lot 10, Block 4, Trails End
May 20, 1998
Page Four
5. A permeable geotextile fabric (Typar, Mirafi or equal) must
be installed between the final drain rock layer and the
native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than
3% passing the #200 sieve.
INSPECTIONS:
A minimum of two inspections are required by Municipal
Ordinance. These inspections must be conducted under the
supervision of a professional engineer registered in the State
of Alaska. The' first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation
of any gravel. A septic tank may be set in place, but may not
be backfilled.
The second inspection must be conducted after the placement
of the geotextile fabric, gravel, distribution piping,
standpipes, cleanouts and insulation. No backfill should be in
place at the time of inspection.
Contractor shall provide a copy of all field
construction notes for use in preparing the
of the completed system.
survey layout and
certified as-built
· · .., 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
Permit Number:. 5~.~] ¢J~0/..O! PID Number: ~1~lcIz'll
"""°: ::T',~5 ,~,~ ~)*CO*~A~ --J-~A C'~ Wastewater System: ~ New ~ Upgrade
~"":/t~oo ~ A~uC ABSORPTION FIELD
~ ~ Deep Trench Q Shallow Trenc~ ~Eed O Mound ~ Ot~er
LEGAL DESCRIPTION so,~,.,.~: .~ ~"~'~ ~, ·
WELL: ~New ~ Upgrade G~v~ wi~m: / ~ ~
':"<: ~ ~,~ ~,. ~ ~,. TANK
SEPARATION DISTANCES ~Septic e Holding
s~,~c. LIFT STATION
Water ~100' ~lOO~
Line >/O ~ I0
Remarks: ~~ ~ ROUSE ~0~ BENCHMARK
ENGINEER'S
. . is ,
Inspections pedormed bT: ~ Dates. ~;~ ...... .~~.~
al .~ .*;~ .~ .... .' .~'~
- Department of He~ Hu ces ap~v . ~, .. .~_
Reviewed end approved bY:~ Date: ~.~
· ., 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:. ~') ct~"OZ.~l PID Number: 015'1~7...11
Permit Nt
Municipality of Anchorage Page 5 ,_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
~ ~'Ol PID Number:
~TATE OF AI,,Afd(A
DI~I~ARTM~NT Ol: NA'rURAL
I~VI~dON OF WAlul.
w,,.,.,,, ,,,,=.
ON
.w
From To
DATE O~ COMPLETION
ft
~ TO 5TATIG WATI:R ~
0 othm'
to 'It
D~am: in.
TYPE:
GRAVEL PACK
GROUT ~
D.pth: from
I:~radon:
Mu[l~cipallty
INFORMATION:
~~L I~.EASE MAIL WHITE COPY OF LOQ:~O:
DI~'~DMSION OF WATER
OnsTu~eo ut n~ s~' ~1,~,twe ~ ' PO BOX 772116
EAGLE RIVER Al( 99677-2116
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHOP. AGE, ALASKA 99519-6650
PAGE 1 OF 1
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940201
DESIGN ENGINEER:ANDERSON ENGINEERING
OWNER NAME:TRACY JAMES D & DEJUANL
OWNER ADDRESS:Il200 DOGGIE AVE
ANCHORAGE, ALASKA 99516
PARCEL ID:01519211
DATE ISSUED: 6/24/94
EXPIRATION DATE: 6/24/95
LEGAL DESCRIPTION: TRAILS END BLK 4 LT 10
LOT SIZE: 22781 (SQ. FT.)
NUMBER OF BEDROOMS: 2 THIS PERMIT: 2
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
4. 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
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L# STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE
1 OF
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW930158
DESIGN ENGINEER:ANDERSON ENGINEERING
OWNER NAME:TRACY JAMES D & DEJUAN L
OWNER ADDRESS:Il200 DOGGIE AV
ANCHORAGE, ALASKA 99516
DATE ISSUED: 6/16/93
EXPIRATION DATE: 6/16/94
PARCEL ID:01519211
LEGAL DESCRIPTION: TRAILS END BLK 4 LT 10
LOT SIZE: 22781 (SQ. FT.)
NUMBER OF BEDROOMS: 2 THIS PERMIT: 2
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS
4. 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 SA~ DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS. ~
SPECIAL PROVISIONS:
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
June 14, 1994
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Attention: Dan Roth
Subject:
Lot 10, Block 4, Trail's End Subdivision
Septic System Design
Dear Dan:
Attached is the alternate design for the drainage bed for the septic
system proposed for the subject lot. The dimensions of this bed are
18' X 45' as opposed to 24' X 34' on the original design. Both designs
provide more than the required amount of drainage area for the
house proposed for construction on this lot. Please call if you have
additional questions or comments.
Sincerely.
Michael E. Anderson, P.E.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
June 1, 1993
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot I0, Block 4, Trails End Subdivision
Septic System Design
Impacts to Adjacent Properties
Dear On Site Services Engineer:
The subject lot slopes at a rate of 7% to 9% in an east to west direction and at a 6%
grade from north to south. The slope is fairly uniform and will prevent any ponding
at or near the proposed bed system. Groundwater was encountered at depths of 4' to
5' below the surface necessitating the design of the bed system. The lot is small but
sufficient area is available to place the primary and alternate systems and maintain
the 10ft separation from all existing and proposed wells in the area. If the system is
constructed as planned the following statements can be made:
The system, if constructed as designed, will have no adverse impact on the wells
currently in use or to be placed in the future on lots in the area.
The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on reserved
space, either surface or subsurface, on any lots located in the area.
The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area.
Sincerely,
Michael E. Anderson, P.E.
CHECKED
: ; !
A'Jchael E. A~derson · ~. /
4381-E ' ~'' '] ......
' "' CAL~"UU~TED BY DAm,
t
Municipality of A~chorag=
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED.OR= 37/
LEGAL OESCRIPTION:Lg:~1' IC"~ ~;;~ ', "~F~,IL,.$ ~1:~ Township, Range, Section:
ELOPE SITE PLAN
Ill
WAS GROUND WATER
ENCOUNTERED,
5
6
7
8
9-
10-
11
IF YES. AT WHAT
DEPTH,
E
Ti~ Tim Wat~
~5
17 ~
18 ~
19.
20 -
PERdiTION ~E ~ (mmut~hJ PERC HOLE DIAMETER
PERFORMED BY: /~r~ I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH AIA. STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:.
72-008 (Rev. 4/8,5)
4
5
6-
7-
8-
9-
10-
11
12
13.
14
15
WA~ GROUND WATER
ENCOUNTERED?
ldo
IF YES. AT WHAT
DEPTH?
III ~;'
III
Ill~
III
III
III
III
III
!11
16
17
18
19
20¸
PERCOLATION RATE '~ ;mm4m~a'KAi PERC ~OLE DIAlaETER .
ACCORDANCE
w,t. a~ start ~o MUNICIPAL GUID~NES
72~ (Rev. ~) "
(ENGINEER*S
DEPARTMENT OF H~LTH' f~ra. HUMAN SERVICES
825 'L" Sir.t, Anchorage, Al.k..~2~
SOILS LOG -- PERCO~TION TEST ~...: ~'~...~.~"J""~ "~j
~U~. SLOPE SITE
5-
6
7
8
9
10
11
13-
14-
,s- I-IoL.
17-
18
19
WAS GROUND WATER
E.COUNTERED?
S
,FYES. ATWHAT . ~t ~1
DEPTH? ·
20,
PERCOLATION RATE ~' ~ (m,nutes..,mcl~l PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FTAND ~.1~ FT
COMMENTS ~ ~ ~ · '
ACCORDANCE WtTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev.
Munl~ll~lity el AAcherag3
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L# Street. Anchorage. Alaska 99502-0650
SOILS LOG --. PERCOLATION TEST
Township, Range. Section:
SLOPE
5
10.
11
13-
14-
"*' T~T H~,
~0
COMMENTS .T~T I'~OL,~
Ill'T'
I1~1
Ill l
Iii/
I1~,
II1~
II1~
IIII
Illl
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Readlr~ Date Time Time Water Dro~
// ~:~c, I~' II.L/,- I.~'4.
+ ~;~ I~ !1.~ .~
¢ ~ I~ II.t~ .~1.
PERCOLATION RATE Ig) (m,nute~',nc~) PERC HOLE DIAMETER -
TEST RUN BETWEEN '~ FT AND ~' FT
IT TAT AN M NICIPAL GUIOELINES IN EFFECT ON THIS DATE DAT,r~ ~'J// /~'~''~
ACCORDANCEW HALLS E o u . '
72-0~8 (Rev. 4/6.5)
Property Owner Name
Mailing Address / j Z, ~'JD
Legal Description ~)
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
On-Site Sewer/Well Permit Application ~ t ~/-~. ~ ~ ot,_~- ~ ~ \
SINGLE FAMILY DWELLING
Day Phone
4 ~ ~"/',JL~ ~" Zip Code
t
Secien Townsh,p MUNICIPALITY OF A~RAGE
Lot Size ~ ~- ~ ~ ~ A~ F~. Inspections will be conduced by: E~I~E~ SERVICES DNISION
Number of Bedrooms: ~ ~ Approved Engineering Rrm
~P' P~t ~ ~-- Municipali~ (permit fee included)
Does your house contain any of the following: .o, Tub. Swimming Pool. Therapy Pool. or Water Softener Unit? ~P If yes. which one?
This application ls fo~ SewerOnly Sewer and Well ~Sewer Upgrade WellOnly
I ce~i~ that lhe above information Is correct. I fu~her cedi~ that this application Is being made for a Slngle Family Dwelling
and In accordance with applicable Municipal codes.
Fees: ~'~'~ ' Receipt,~l~'~/~-~) Permi,.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCtlORAGE, ALASKA 99524
June 1, 1993
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot 10, Block 4, Trails End Subdivision
Septic System Design
Impacts to Adjacent Properties
Dear On Site Services Engineer:
The subject lot slopes at a rate of 7% to 9% in an east to west direction and at a 6%
grade from north to south. The slope is fairly uniform and will prevent any ponding
at or near the proposed bed system. Groundwater was encountered at depths of 4' to
5' below the surface necessitating the design of the bed system. The lot is small but
sufficient area is available to place the primary and alternate systems and maintain
the 100' separation from all existing and proposed wells in the area..If the system is
constructed as planned the following statements can be made:
The system, if constructed as designed, will have no adverse impact on the wells
currently in use or to be placed in the future on lots in the area.
The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on reserved
space, either surface or subsurface, on any lots located in the area.
The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area.
Sincerely,
Michael E. Anderson, P.E.
CHECKED BY DATE
/~chael £. Anderson
, I
· , /
~o . :.....~ ...... .... -. .
.... '*'"';'--:'. . . . .~L!..I~ ~,~,~P'~ ql~ ^ .~rq'^l~l ~
CHEC~CED BY.
!
Municipality Gl Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street. Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
~EOA~ DEECR,PT,O.=Uff ~ ~4.',
-T-~ c.Y
6-
WAS GROUND WATER
10 ENCOUNTERED?
11
Township. Range, Section:
SLO.E
SITE PLAN
DEPTH?
13 - 14o~i=i~? '? h~" ~
~ ~ Gross Net Depth to Net
14 - Reading Dill Ti~ Time Wat~ Drop
16 - ~ ~ / ~.7~ ~
19.
20 - ~d
PERCO~TION ~E ~ immut~mc~) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FTAND ~ FT
TAT".'NO M'.'.,C'"*'- G',.,,OEL,.E,,. EF,'ECT O. T.,, O.,','E. DA'"'~ ~/' / ~.~
ACCORDANCE WITH ALL S '
72-0~ (Rev. 4185)
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L' Street. Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERI
LEG^' DESC.IPT,ON= L~T tP, D4.' TI~IL~ lg~p Townsh~p,.ange. Sec,~on:
' ~ ~Ue~. SLOPE
lO
WAS GROUND WATER
ENCOUNTERED;'
11
13-
14o
15-
16-
17-
18
19
20.
COMMENTS
IF YES. ATWNAT . ~l. SL
DEPTH? pO
E
Gross Net Depth to Nit
Reading Date Time Time Water Drop
· . Immuteu,ncnJ PERC HOLt DIAMETER
· FTAND '~ FT
^CCORD^NCE W,T. ^L. ST^TE A.O MU.,C,pAL O.,DEL'"ES'" ~"ECT O"'"'$ DAT~ O^T,~ ~b
(Rev. 4/85)
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage. Alaska S9502-O650
SOILS LOG -- PERCOLATION TEST
,r,.'~:,. ..... , .... ,.?,.'~,
DATE PER F:~D~
Township, Range, Section:
SLOPE SITE PLAN
3
6
7'
8-
9-
10-
12
13
14.
15-
16-
17-
18-
19-
2O
W^SGROU.DWATE" I;~'~E AVE-.
E,COU,TERED? 5~.~5 -
IF YES, AT WHAT I [
E
Reading Date Time Time Water Drop
~, ' ' ~ I4- Il.&') · ~-.~,1
PERCOLATION RATE ~'~ (m,nute~,,nchj PERC HOLE DIAMETER ·
TEST RUN BE?W£EN ~ FTA.D ~.15 FT
~c~:~.r~ .t'~o~ T~
12-008 (t~ev. 4/~)
Property Owner Name
Mailing Address
Legal Description
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
On-Site Sewer/Well Permit Application
SINGLE FAMILY DWELLING
Lot Size ~ ~-.~.'"~ ~ I
Number of Bedrooms: ~"
secllOn Township N[UNICIPALIT( OF ,A~OEAG E
Acres/Sq rt. Inspections will be conducted by: ENVIRONMENTAL SERVICES DIVISION
Approved Engineering Firm
Municipality (permit fee Included)
Does your house contain any of the following: Hot Tub, Swimming. l_ Pool. Therapy Pool, dacu:'zR E E E ! V E D
or Water Softener Unit? ~J~' If yes, which one?
This application is for. Sewer Only Sewer and Well ..~Sewer Upgrade __ Well Only
I certify that the above information Is correct. I further certify that this application is being made for a Single Family Dwelling
and in accordance with applicable Municipal codes.
---..-~'~'~'1,<;- ~ c-,'~z/"7,-/'~ ~[' -~.~;.o~ ...... '~'~" :~'.'.~: ~,-V,
Receipt # ~- /'P'~-/! Permit #
Fees:
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
June 1, 1993
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot 10, Block 4, Trails End Subdivision
Septic System Design
Impacts to Adjacent Properties
Dear On Site Services Engineer:
The subject lot slopes at a rate of 7% to 9% in an east to west direction and at a 6%
grade from north to south. The slope is fairly uniform and will prevent any ponding
at or near the proposed bed system. Groundwater was encountered at depths of 4' to
5' below the surface necessitating the design of the bed system. The lot is small but
sufficient area is available to place the primary and alternate systems and maintain
the 100' separation from all existing and proposed wells in the area. If the system is
constructed as planned the following statements can be made:
The system, if constructed as designed, will have no adverse impact on the wells
currently in use or to be placed in the future on lots in the area.
The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on reserved
space, either surface or subsurface, on any lots located in the area.
The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area.
Sincerely,
Michael E. Anderson, P.E.
'1
(v~)'
Municipality ol Anchorago
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street, Anchorage, Alaska 99502-0650
SOILS LOG .-- PERCOLATION TEST
' '' .51de~. SLOPE
4-
5
6
7
8
9
13-
14-
15-
16
17
18
19
20.
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
S
IF YES. AT WHAT
DEPTH?
E
PERCOLATION RATE ~ (m,nute~',nch} PERC HOLE DIAMETER
TEST flUN BETWEEN ~ FTAND ~ FT
PERFORMED BY' /'~'~'"'"~'~1 ~T THiS TEST WAS PERFORMED IN
ACCOROANG. ,T.. .TATEAND.U..OIPA'GU,.L,.ES'.E'EGTO"T"'SOAT OAT.
72-~08 (Rev. 4/85)
PERFORMED FOR:
Municipality of Anchorago
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: L~T ~r ~4/.' T~*~t''~ ~-~'~[~ Township. Range. Section:
1
2
3
4
5
6
7
8
9,
10-
11
13-
14-
15-
16-
17-
18-
19-
20-
COMMENTS
.TI~z,T I~oL[ ~Av
Iti'T'
I1~1
I1~1
IIII
IIf~
II1~
I I1'~-
III/
IPl
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Reading Date Gross Net ~th to Nit
Tim Ti.~ Wat~' Dro~
PEnCO~.,O.,~',E. I') ,,'.,,,,,,.,,,,~,, PERC.O.E D,..ME','ER f."~
tESt RUN.tWEE. ~t ,t AND ~' Ft
PERFORMED BY: .'"~//~ I ~' w T 'THIS ~ES/T WAS PERFORMED IN
ACCORD'.'NCE W,T. A,.,.STAT, A.D MUN,C,PA' GU,O.,NE,,. EF'ECT ON".,S,'.'TE. D.,T," '?'.~'.."
72,,~08 (Rev. 4~85)
CHECKED BY.
DATE
1978
Mr. Ron Iluffman
Dynamic Realty Inc.
5~1W. Northern Lights Blvd.
Anchorage, Alaska
Subject: Soils investigation for sanitary sewer system on;.~t 10, Block 4,
~ Trails End Subdivision, Anchorage, Alaska.
At your REquest of July 20, 1978, I conducted a soils investigation at the
proposed location of a sanitary sewer system on the subject lot.
This investigation, which was accomplished on July 25, 1978, consisted of the
inspection of soils removed during drilling of s 6 inch diameter, 18.5 feet
deep test hole, using solid flight augers powered by a Mobile B-50, track mounted
drilling rig. After cumpietion of drilling, the test hole was filled with water and
a percolation test performed. The results of the percolation test are tabulated on
an accompanying sheet.
The topography of the immediate area where the soils test was conducted, is
generally smooth with a slope of approximately 3-5 per cent to the southwest.
Vegetation consists of scattered dead spruce trees 30 to 40 feet tall (they appear
to have been killed during a forest fire), occasional live spruce trees to 30 feet
tall, scattered groups of alders and willows, and with a ground cover of tall
grasses and some ferns and mosses.
The soils encountered are graphically shown on the accompanying test hole boring
log. The soils consisted of a 0.5 foot thick layer of organics and organic silt
with some sand and gravel overlying essentially a gravelly sand with some silt and
a trace clay. The boring log describes the soils in greater detail. The total depth
of the test hole was 18.5 feet.
A water table was encountered at 14.5 feet during drilling. After removing the augers
from the test hole, standing water was observed and measured to be 14.5 feet from
the ground surface.
An accompanying sketch shows the subject lot with the approximate location of the
test hole in relation to the property lines.
I appreciate the opportunity to be of service to you. Please contact me if you have
any questions regarding this soils investigation.
Very truly yours,
~C. ons u 1 ~'~' ~g ~eo log i s t
BOX 191, Star Route A
Anchorage, Alaska 99502
(907)344-9150
Attachments% Drawing of test hole boring log with location sketch, and tabulation
of percolation test results.
xc: Department of Health and Environmental Protection
Doggie Avenue
Due N 119.90'
Lot 10, Block 4;
Trails End Subdivision,'
Anchorage, Alaska
5' easement
T.H. No. 1
31'
Due N 119.92'
NOT TO SCALE
Distances are approximate and have not
been measured by surveying methods as
to location of test hole.
Michael B. Bergmann
Consulting Geologist
Box 191, Star Route A
Anchorage, Alaska 99502
(907)344-9150
T.H. No.1
7-25-78
an~cs & Organic Silt
sm sand & gravel, occ
cobbles & boulders,
~vy moist, loose, dk brn.
%---- -- --0.5'
Gravel:w/some sand & silt, occ
coblles & boulders, med dense,
moist, grybrn.
Sravelly Sand: w/some silt,
trc clay, med dense, moist,
grybrn.
..... 12.0'
w/some gravel & silt,
trc to some clay, vy moist to
wet, med dense, grybrn.
table @ 14.5' After
boring.
(GM-GC)
Note: Soil wet after 14.5' depth,
soil contains more clay with
increasing depth.
18.5'
Test hole boring log represents soils
encountered on I~t 10, Block 4,
Trails End Subdivision, Anchorage,
Alaska.
Lot 10, Block 4,
Trails End Subdivision
Anchorage, Alaska
Percolation test performed July 25, 1978, by filling the 6 inch diameter, 18.5 feet
deep drilled test hole (T.H. No. 1) with water, and measuring the water level drop
periodically for one hour.
TABULATION OF PERCOLATION TEST RESULTS
TIME LEVEL DROP ET(min) RATE(min ~er inch)
1105 9.5" start start start
1115 20.0" 10.5" 10 1.0
1125 26.25" 6.25" 10 1.6
1135 32.25" 6.0" 10 1.7
1145 37.75" 5.5" 10 1.8
1155 41.5" 3.75" 10 2.7
1205 45.25" 3.75" 10 2.7
Average percolation rate for entire hour = 1.7 minutes per inch.
Average percolation rate for last one half hour = 2.3 minutes per inch.
Michael B. Bergmann
Consulting Geologist
Box 191,.Star Route A
Anchorage, Alaska 99502
(907)344-9150
{~',~(,*-'~)DEPARTMENT OF HEALTH & HUMAN SERVICES
~.~/ Division of Environmental Services
v On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
3434744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
015-1~) 2-11 '~' HAA# ~.~ (~4'~ ('~, \ ~'~
1. GENERAL INFORMATION
Complete legal description
Lot 10, Block 4, Trails End
.?. :;L.{.v: '.;:.:.[i:!.! Loc~ition (~ite address'0~ directions) :11200 ·Doggie. Avenue'
Property owner ,3'Rms.'ri. "P'r'Rc~y
Mailing address 11200 Doggie Avenue
Lending agency
Mailing address.
Agent
Address
Dayphone 346-3844
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. 'NUMBER OF BEDROOMS: Three (3)';
3. TYPE OF WATER SUPPLY:
Individual well
Xx
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
T~;PE OF WASTEWATER DISPOSAL:
Individual on-site XX
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.
STATEMENT OF INSPECTION BY ENGINEER
As certified by my s'eal 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 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.
Name of Firm ~.ncl~,r.~nn En_~:[neer:[rig Phone _.522-7773
Address P.O. Box 240773 Anchora~'e, AK 99524
Engineer's signature ~~ Z ~.'..-.~..---.~ Date. 5/31/98
DHHS SIGNATURE
__ Approved for
Disapproved.
__ Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their 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.
Legal Description:
A. WELL DATA
Ce
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICF~ E (
Environmental Services Division ;EIVED
825"L" Street, Room 502 · Anchorage. Alaska 99501e (907) 343-4744
,JUN 1 1998
Munlcipality of Anchorage
Health Authority Approval Checklist Dept. Health & Human Services
Lot 10. Block 4r Trails
End
Parcel I.D.: 01 5-1 92-1 1
Well t~c .Private
Log present (Y/N) Y
Total depth 3 4 3 '
Sanitary seal (Y/I',3 Y
Date of test
Static v.'ater level
Well production
Ifa, B, or C. attach ADEC letter. ADEC water systcm number
Date completed 5/2/94
Cased to 60 ' Casing height (above ground)
Wires properly protected (Y/N)
FROM WELL LOG AT INSPECt'ION
5/2/94 4/16/98
2 gp.m. 6.75
WATER SAMPLE RESULTS:
Coliform 0
Date of sample: 4/15/~8
SEPT1CJHOLDING TANK DATA
Date installed
Nitrate .528 mq/L Other bacteria 0
Collected by: M. Anderson
9/12/94 Tank sizcl,000
Number of Compartments 2 Clcanouts (Y/N) Y
Foundation cleanout (Y/N) Y
Date of Pumping
ABSORPTION FIELD DATA
5/28/98
Date installed 9 / 12 / 94 Soil rating (g.p.d./fl:: or ft:/bdml). .4
Length 63 ' Width 18 ' Gavel thickness below pipe.
Effective absorption area 1 , 1 ~ 4 SFMonitoring Tube present(Y/N) Y
Datcofadequacytcst 4/16/98 Results(Pass/Fail) Pass
Fluid depth in absorption field before test (in.); 0
Fluid depth 0 Minutes later: 15
Peroxide treatment (past 12 months) (Y/IO N
Depression (Y/N) N High ~ater alarm ~Y'/l~0 N
Pumper System has been in use less than 6 months.
System type Bed
I ' Total depth 6.5 '
Depression over field (Y/N) N
For 3 b~boom~
Immediatclyafter 500gal. v.,ateraddod (in.): 1"
(in.) Absorption rate -: >450 g.p,d.
If yes. give date
D. LIFFSTATIoN i~
None on Lot ~
Date installcd
Size in gallons
Manholc/Access (Y/bO
=Pump on" level at*
'Pump oft' level at*
High water alarm level at*
*Datum
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot ) 10 0 '
Absorption field on lot > 100 '
; On adjacent lots
.; On adjacent lots
>100'
>100'
Public sewer main Miles
Public scwcr manholc/clcanout Miles
Sewer/septic sctwice linc > 10 '
Lifistation None on Lot
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation > 5 ' Property line > 5 ' Absorption field > 5 '
Water main/scrvice line >10' Surfacewater/dminage >100' Wells on adjacent lots >100'
SEPARATION DISTANCE FROM ABSORPTION HELD ON LOTTO:
Building foundation > 10 '
Surface water > 1 O0 '
Cunain dmin None on Lot
Water main/sen, ice line > 10 '
Driveway, parkingA,ehicle storage area
Wells on adjacent lots >100'
>50'
F. ENGINEER'S CERTIFICATION
· . . --.. OF~
I ceftin, that I have determtned thrufield inspections and review o/Municipal
In conformance with MOA I~ guidelines in effect on this date
En~nccrsNamc Michael E. Anderson, ' ' ~,~. ,,,-u~c,c ~.
Date 5131198 Itoh... 4~;e ...~.~
HAA Fcc $ 'L{('"'I"3, C'lx" Waiver Fcc $
Date of Payment [~, - I -~ % Date of Payment
Receipt Number ('~ ~'-~ Qk P~ot Number
Rev. 8105 0S$: haa.wk.doc S\~ 'x~,. o,~ ~
