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