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HomeMy WebLinkAboutSIERRA VISTA TR 1BSierra Vista Tract 1 B #050-401-31 · i ~" Municipality of Aneh(~rage ~ Department of Health and Human Services Division et Environmental Services On-Site Se~lces Section 825 '1.' Street Room 502 P.O. Box 196650 .a~ctx:cage, AK 99519-6650 Page of www. d.anchorage.ak.u$ (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: $1,OOOO2OO ~ PID Number:. ~9~'O' Name: C,'~JIV[ ~:Jcr~¢~vx Wastewater System: ~ New E] Upgrade '"'""~.0. ~o,/' 77t/0~2, Ea$/~ ~';v~,I ,~/d 9~/Cy/ ABSORPTION FIELD LEGAL DESCRIPTION ~ n.~ T~, o,~,~,~v~ ~'-,,:/~ ~,~ ~ ~ ..... /5'0 ..,~ ,. q'? ,,. Well: [~' New g] Upgrade~ '"~": 5' .. / FI. 2 c~, u.,/:.~..~.., n. ?-u. TANK SEPARATION DISTANCES I~ $epllc O ~ O $.T. EP. n othec. Gat ---- .~ /Oa~.. Ic.,4o~.v~ BENCH MARK /00 .......... ! De artm 2"a ~ o ~ ~ -'~.."'"", AS-BUILT SYSTEM DETAILS/SITE PLAN Per~i~. svoooaoo SIERRA VISTA S/D TRACT lB PID# 050-401-3! · . .... t~ ~ " SCALE, ~? qo B-C:60.7' ~ ~ i ~ ~ FINSIHED ORADE ~ ~ A-D=S6.~' ~ ~toooo~Ll ~ ~ B-E=l14.5' ~ / SEPTIC [~ ~uu.u~ ~ I ~AN~ ~ SEWER ROCK ~ ~ ~.E".~h PREPARED FOR: StAkE, NYS ~ ~ ~ EAGLE RIVER, AK 99577-4042 ' n~ ~s ~ ENGINEERING ~ sEw~o I ~ ~a ~0441 PTARMIGAN BLVD. RIVER, AK 99577-B736 ~~ $E804 ~O0028.DWG ~: 00028 ~907}69e-eIII[FAX ~907~698-8111 SULLIVAN WATER WELLS OWNER OF LAND ""'" ~¢~ e~ I ~'~Y L4,J~O e SORE HOLE DATA ADDRESS LEGAL DESCRIPTION PERMIT NUMBE~oOo~ bO _~ Date of Issue TAX INDENTIFICATION NUMBER ~._~.~.~ IS well located at approved permit location? ~ i'"l No Method of DHIling: ~r rotary i~ cable tool Depth ofweIl:. / 0 / Casing Type ~Wall Thickness ~* ,~ ~'~ Inches Diameter--e/ Inches, depth~/O I feet Uner Type: ~L) :) ,,dz~ Casing 8tickup Above Ground: _ e,~ feet 8taUc Water Level (from ground level): ~,,q,.,~ feet Pumping level: feet after hrs. pumping Recover Rate: ~ _gpm gpm Method ofTeatlng:_ /~./j~ Well Intake Opening Type: ~'~nEnd ["1 Open Hole O Screened; Start feet Stopped_ feet I~ Perforations Start Grout Type: ,~,d, 7"~' Del:~h: from 0 feel, to feet Pump Intake Depth:. feet Pump Size _bp BranrlName. Well Dlalnfected Upon Completion? Method of Disinfection: I ~ a 4',~, RECFIVED Health & Haman Services J Drillers Name ATTENTION: It la tho reapene, lb([ity o( l~ property OWlet to submit s co of the - of Anc. horege: Department of Health & Hume ___ PY we. Il log to the proper autho . Mun~ si Deper~nent of Environmental Conservation. n Services and/or Department of Environmental Conservation. braa~Su Bo~P~g~ MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 190650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Jun 28, 2000 Expiration D~,te: Jun 28, 2001 Permit Number: SW000200 Legal Description: SIERRAVISTATR lB Design Engineer: 0070 KND Engineering Owner Name: CMM Construction Owner Address: PO BOX 465 Chugiak, AK 99567-0465 Parcel ID: 050-401-31 Site Address: Lot Size: 94832 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ~'~ Disposal Field [] SepticTank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 June 21, 2000 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Sierra Vista Tract lB- New Septic and Well Permit Gentlemen: Following a request from the contractor, on May 19, 2000 two test holes and percolation tests were conducted for theproposed septic system. The results of these. tests are attached. The general slope of this lot is from northeast to southwest at approximately 10% - 15%. We have designed our system utilizing testhole 00-2 for the three-bedroom house, which is proposed for this lot. The lot will be served by individual well. We propose to install a 2' wide deep trench. Per the attached soils log and percolation test the soil percolated at 1.25 min./inch. Ground water was encountered at 12' during the excavation but lowered to 13' after one week of monitoring. We have designed the system using the conservative 12' depth. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100 feet of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, IICi'~I~ Engineering Attachment: On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Logs/Percolation Tests V/ELL & V/ASTEV/ATER DISPOSAL SYSTEM DETAILS/SITE PLAN! 3 BDRM X 150 GPD = 450 Gpll 450 GPD/1.8 6PI) PER SO. FT. (1.85 HIN/IN.)= 375 SO. FT (375/4'(D)) /2'(~/) = 47 FT. TRENCH USE I TRENCHE - 47' (L) X ~' (V) X 5'(D) Tot,( depth o¢ sys~e~ Is 7.0' Crom orlgln~t grade. Tot~[ depth o¢ gravel betow distribution pipe Is 5' . NDTES~ USE A ~000 GAL. SEPTIC TANK. INSULATE TANK IF (4' COVER. ~. INSULATE TRENCHES VHH ~' H~ BURIAL FOAN. 3' CONTRACTOR ~ILL ENSUE NININUN ~Z SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL ~/ILL BE ADDED OVER SYSTEH TO ACHIEVE MIN. S' COVER IF REQUIRED, CONTRACTOR ~,/ILL ENSURE ALL SEPARATIDNS TD ADJACENT ~/ELLS & SEPTICS. PREPARED fOR, ROBERT CAYVOBD P.S. DBX 774042 . Sco.[e~ 1°= 100' EAGLE RIVER, AK 99577-404~ (907) 694-e75e PAGE I DF ~ ENG~ERING ~ SEWARD ~ Z~o ~044~ ~T~MIO~ B~. ~ SE804 WASTEWATER SIERRA ,Rrlpi]~ED ~ PRIM~ DISPOSAL VISTA S/D TRACT lB WAY -' '. ; · 1000 '(~AL',. 'S/T~' :D SYSTEM DETAILS RF]Pn: iED 3 SE F'CD 'STEM ·.. ' .... TH-OO-P PREPARE~ FDR' ROBERT EAYVODD P.D. DDX 774042 EAGLE RIVER, AK 99577-4042 (907)696-0758 RELD BO(~S ~ ~d"e~m'SEWARD ~""* V~G ~*,a,~ SEWARD oam'~KMD SEWARD 6/21/00 SE804 TH- Sce, l.e, 1'= 20' PAGE 2 DF 2 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 :907)8'6-8I 11//F~ (907)896-8111 *c~o..eOOO28. DW~ ace.~ 00028 ]~[kk]D ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST CMM Construction Date Performed: 5/19/00 Proiecv. Sierra Vista Tract lB TEST HOLE # 00-1 Depth fleet) ORG - rootmat black SEE ATTACHED SITE PLAN FOR HOLE LOCATION 12- 13- 14- 16- 17- 18- GP - loose, brown, w/cobbies to 1' SP - gray wet, increasing density w/depth ~aceofsflt B.O.H. - hardpan HOLE PRESOAKED PRIOR TO TEST Was Ground water encountered? YES Depth to water after monitoring? 9.4' What depth? 7' Date? 5/26/00 Reading Date Gross Net Depth to Net Time Tune Water Drop 2 1:05 5 min 61/16' 215/16' 10 1'.29 S min 610/16" 2 6/16" 12 1'.35 5min 44/16" 2 6/16" o * Water Added 19- 20- IPercolation Rate 2.11 (min/in) Perc Hole Diameter Test Run Between 1.5 feet and 2.5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Munidpal guidelines in effect on this date. 20441 PTARMIGAN BLVD. ~~~f"'"' ~-;, · ' SOILS I'£R¢OLATION TEST '~ ~,~go~'s'~o'~,~-~ Performed for:. CMM Construction Date Performed: 5/19/00 Project: Sierra Vista Tract lB TEST HOLE # 00-2 Depth (Feet) ORG - rootmat black SEE ATFACHED SITE PLAN FOR HOLE LOCATION 14- 15- 16- 17- 18- 1% 20- SP/GP - loose, gray/brown, w/cobbles to 1' SP - gray moist, loose increasing density w/depth ~'ace of silt seeps SM - ti~t B.O.H. - hardpan HOLE PRESOAKED PRIOR TO TEST WasGroundwaterencountered? YES Whatdepth? 12' Depth to water after monitoring? 13' Date? 5/26/00 Reading Date Gross Net Depth to Net Time Time Water Drop 1 5/19/00 1:40 9' - 2 1:45 5 rain 4 7/16" 4 9/16" 3 * 1:46 9" . 4 1'.51 5 n'fin 4 11/16" 4 5/16" 5 * 1'.52 9" 6 1'.57 5 rain 4 13/16" 4 3/16" ? * 2:02 9" 8 2:07 5 rain 5' 4" 9 * 2:08 9" 10 2:13 5 rain 5" 4" 11 * 2:14 9" 12 2:19 5 rain 5" 4" · Water Added Percolation Rate 1.25 (rain/in) Perc Hole Diameter Test Run Between ;~.~ feet and 4.~ feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 'L' Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak, us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A,SINGLE FAMILY DWELLING Parcel I.D., 05~1-401-31 t. GENERAL INFORMATION Complete legal description Sierra Vista S/D, Tract Expiration Date: Location (site address or directions) S/W comer of Pmdhoe Bav Ave. & Thomas Rd, Current Property owner(s) CMM Construqtlol~ Day phone 862-1231 Mailing address P.O. Box 77404;. Eaale River. AK 99577 Lending agency Day phone Mailing address Real Estate Agent Mailing Address Day phone Unless othen~ise requested, HAA will be held by DHHS for pickup. HAA picked up by:. 2. NUMBER OF BEDROOMS: .3 3. TYPE OF WATER SUPPLY: Individual Well IndMdual Water Storage Community Class Public Water System TYPE OF WASTE'WATER DISPOSAl- IndMdual On-site [] Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Certificates of Health Authority Approval (I-IAA) based only upon the representations given In paragraph 5 by an Independent professional civil engineer registered In the State of AJaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties sewed by a single family on-site wastewater disposal and/or water supply system. DHHS 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 verify that my investigation based on procedures outlined In the Health Authority ^ppmval Guidelines for this Health ^uthodty 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 applicable Municipal and State codes, ordinances, and regulations In effect at the time of Installation. Name of Firm KND Enaille~r~rlg Address 20441 Ptamflaan Eaale River. AK 99577 Engineer's Pdnted Name Kenneth M. DufflJa 6. DHHS SIGNATURE .... /,,,'" Approved for Disapproved. Conditional approval for Phone 696-6111 Additional Comments ." Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Expiration Date: _-~ ' ::~-~;~' 0 ¢> Maintenance Agreements Supplemental Engineer's RePort Other Original Certifi'cate Date:, / / -~ ~ C) - o o Reissue Date:. RECEIVED Municipality of Anchorage Department of Health and Human ServicesN0¥ 2 7 2000 Division of Environmental Services On-Site Services Section 825 'L' Street Room 50~NICiPAL P.O. Box 196650 Anchorage, AK 99519-66,~vi ..... ALITYOFANCHORAGE www.ci.anchorage.ak.us ~uNMENTAL SERVICES DIVISION (907) 343-4744 HEALTH AUTHORITY APPROVAL CHECKLIST Sierra Vista SID. Tract Legal Description: A. WELL DATA Well type Private Date completed 6-28-;2000 Sanitary seal Y Total depth lOl It Cased to lOl FROM WELL LOG 6128100 Parcel I.D.: oso-4ol-31 If A, B, or C provide PWSID # Date of test Static water level ;23 Well production 25 WATER SAMPLE RESULTS: Coliform 0 coloniesll00 mi · . It Well Log ~ Wires properly protected Y Casing height (above ground) ;24 .in. AT INSPECTION It It g.p.m g.p.m Nitrate 0.$00 mgll Other bacteria 0 coloniesll00 mi ~(ND EnaineeHng Date of sample: ~ Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Date Installed 8117(00 Tank size 1000 Cleanouts v Foundation cleanout y. Date of pumping Pumper · C. ABSORPTION FIELD DATA Date installed /23/0.~]~q.~Soil rating (g.p.d./ft~ or ~lbdrm) 150 Length 47 ft Width § It Total depth 6,48 fl Effective absorption area 375+ fl= Date of adequacy test Results (Pass/Fail) Fluid depth In absorption field before test in Water added Elapsed Time: min Final fluid depth in Any rejuvenation treatment (past 12 mo.) (YiN & type) (Rev. 11/99) gal Number of Compartments 2 Depression over tank D High water alarm pa System type trench Gravel below pipe 4,8 Monitoring tube ~ Depression over field For bedrooms gal. New depth in. Absorption rate >= g.p.d. If yes, give date De LII~' STATION · Date installed Size In gallons ~Pump on' level at' '- in 'Pump off' level at ~ Cycles tested i ' E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot ' 100'+ in Manhole/Access High water alarm level at ~ in Meets alarm & circuit requirements? -On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/clean'out Sewer/septic service line ;25'+ Holding tank 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 10 0 '+ prOperty line 10'+ Absorption field 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Building foundation $'+ Water main 10'+ Drainage 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ' - PrOperty line . 10'+ Building foundation . 10'+ Water main Waier Service line . 10'+ Curtain drain .. 100'+ F. COMMENTS Surface water 100'+ Wells on adjacent lots '. 100 '+ Driveway, parking/veh cie storage. ~/O G. ENGINEER'S CERTIFICATION I certify that I have determined thrOugh field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Kenneth M. Duffus Date 11127/00 I-[AA Fee $ ,,~A-ZP, ~ . Waiver Fee $ Receipt Numt~r ~--~ ~' , Receipt Numbor H-~ouu ~s:~4 t k'~,~lt EI~VI RO~STAL · ~K CTIE Environmental Services Inc. 5515]01 T-842 P.0Z/03 F-325 CT&£ Ref. g 1007229001 Client Name ~ 'En§ineerin~ Project Name~ Sierra Vista Tract Client $ample ID -giet~a Vista Tract Mafriz Drink/rig Wate~ Ordered By PWSID 0 San~te P. em,~cs: Client ~ Frlnted Dateffflme ii/21/2000 16:54 Collected Date/rime I 1/15/2000 12:00 Reeelved Date/Tlrne 11/16/2000 10:00 Stephen C. £de Pa~.~r I~sul. I'QL limits Date Date Init N,trate-N 0.$00 U 0.500 mg/L EPA 300.0 10max III1~00 SCL Microbiology Zabor&Cory Total Coliform 0 coV100mL SMI8 9222D 11116/OO JDT