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HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 47 " 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: --~-~ q~c~,~ PIDNumber: .,me: Wastewater System: ~New ~ Upgrade A~,~: . ABSORPTION FIELD ~ ~DeepTr~nch ~ Shallow Trench ~Bed ~Mound ~Other ~ll Rating: Total ~pth from original g~de: LEGAL DESCRIPTION t.~ ~.o~ .,. /~' Township: I Range: I ~tion: Fill add~ a~e o~glnal grade: G~l length: WELL: D New ~ Upgrade Gmvelwtdth: ~ Ft. Numar of. ( lines: ml0~~_ GPMI Ft. I Ft. SEPARATION DISTANCES ~sept~ ~ Ho~d~.g ~ S.T.E.P. F~m Tank F~d S~t~ T~k ~ U~ ~ ~ ~ / s.,.~. LI~ STATION Foundation ~ ~ · ~/~ "~mp on' ~el aC vel at: High water ala~ at: Cu~aln I Drain ~/A ~/~ ~mp Make & ~ El~tfl~l Inaction Remarks: BENCH MARK ENGINEER'S SEAL 2nd Department of Health and Human Se~ices approval e~'~,~ MC'"I4? ...... 72-013 (R~. 9/91) MOA 2~1 Lot Ag-BUILT WASTEWATER ABSORPTInN SYSTEM 47, Trac't A, Eagte Cre$~ Subdivision G A-1:43.1' A-P=74.5' B-8=55.6' A-3=75.3' ]]-3:55,5' A-4=79.9' A-5=80.7' B-5=54.0' A-G:81.8' B-6=53.9' A-7=88.3' B-7:53.9' A-8:100,5' B-8=59,9' A-9=118.6' B-9=67,5' r~-~/eLt=886' 'n-Vett:47.6' Pert Rate o? 8 MIn/ Inch 3 Bedeoom House 375 SF o? Absorption Required Use Deep Trench 5' Deep, 38' Long STEVEN R. PANNONE, P.E. P. O. BOX 148085 ANCHORAGE, ALASKA 99514 872-B218 DATE, 1-17-'~A I AS-BUILT ~CALE~ 1'=30' I f Lot AS-BUILT DETAILS VASTE~ATER ABSORPTION SYSTEM 47, Trc~ct A, Ec~Qte Crest Subdivision Z PREPARED FOR' J~,~le & Chrlss¥ Vhlt~;ers ~3945 K~o~ HII~ E~le Rlve~, A~s~ 99577 C907) 694-0396 STEVEN R. PANNDNE, P.E. P. D, BOX 148025 ANCHORAGE, ALASKA 99514 874-0308~ 878-8818 FAX DATEI 1-17-96 ( HOT TD S~ALEI AS-BUILT MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE i OF ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW950158 DESIGN ENGINEER:STEVEN R. PANNONE OWNER NAME:WHITTERS CHRISTINE L & OWNER ADDRESS:13945 KNOB HILL DRIVE EAGLE RIVER, ALASKA 99577 DATE ISSUED: 7/13/95 EXPIRATION DATE: 7/13/96 PARCEL ID:05030404 LEGAL DESCRIPTION: EAGLE CREST TR ALT 47 LOT SIZE: 17870 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 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 ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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: June25, 1995 Municipality of Anchorage Department of Health and Human Services Environmental Services P.O. Box 196650 Anchorage, AK, 99519-6650 Steven R. Pannone, P.E. Co~suhing 'Engineer P.O. Box 142025 Anchorage, AK 99514 (907) 274-0308, 272-8218 Fax RECEIVED JUN 2 8 1995 Municlpahty el Anchorage Dept. Health & Human Services ATTN: Mr. James E. Cross, P.E. RE: Lot 47 Tract A, Eagle Crest Subdivision Request for Sewer Permit Dear Mr. Cross; I am writing to request a permit be issued to construct a new soil absorption system on the lot as shown on the attached site plan and in accordance with the attached engineering plans and details. The new system will be a deep trench system 38 total feet long, 5 feet deep and 2 feet wide. It will be start approximately four feet below existing ground level, and will be located in the material identified as course gravels, having a peculation rate of approximately 2 minutes per inch. The property has an abandoned out-house on the lot. This facility will be filled in and put out of service. There are no other soil absorption systems serving this lot. Existing soil absorption systems serving adjacent lots are greater than 20 feet away from the proposed system. A Private water system serves the property, and the service line is located on the north side of the property, well away from the new system. There will be no conflicts with any existing water or soil absorption system. If you have any further questions, please give me a call. Sincerely, Steven R. Pannone, P.E. Lot DESIGN WASTEWATER ABSDRPTIDN SYSTEM 47, Tract A, Eagle Crest Subdivision 3 ~edroon 6 Systen-~ -Systen Test 135' Lot Pert Rote OF 2 M~n/ Inch 3 Dedroom House 375 SF OF Absorption Required Use Deep Trench 5' Deep, 38' Long PREPARED FOR: Jomie & Chrissy Whittep5 13945 Knob Hill Dr, ;'ogle R~ver, AIosko 99577 (907) 694-0396 STEVEN R. PANNONE, P,E. P. O. BOX 148085 ANCHORAGE, ALASKA 99514 874-0308, 878-8818 Fox DATE: 6-~5-~,5 I DESIGN ~(~ALE, 1":30' I Lot 47, DESIGN DETAILS ~/ASTE~/ATER ABSORPTION SYSTEM Troc:c A, Eagle Crest Subdivision Z Ld in0NV]33 PREPARED FOR: J~nle 8. Chrissy ~/hitters 13945 Knob H~II Eegle R~ver, AIOS~O 99577 (907) 694-0396 STEVEN R. PANNONE, P.E. P. O. BOX 142025 ANCHORAGE, ALASKA 99514 274-0308, 272-8218 FAX DATE, 6-25-95 NOT TO SCALE DESIGN Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska gg502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL CESCRIPTION: L q~, 'T~A ~.A~ZP. ~-"o~.3,-r ~=Y~ Township, Range, Section: SLOPE SSTE PLAN 1 3 4 5 6 7 8 9- 10- 11- 12- 13 14 15 16 17' 18- 19- 20- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT CEPTH? E Oro~ Net Cepth to Net Reading Cate Time Time Water Crop PERCOLATION RATE ~- (mmute~nch) PERC HOLE DIAMETER TEST RUN BETWEEN ~' FT AND '~ FT COMMENTS PERFORMED BY: ~-~-~,J~Ov"~. ~;. I1,~..~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON THIS DATE. DATE. ~'~--/¢~ ~ ~ ~" 72-008 (Rev. 4,85) Anchorage, Alas!c- ~pril Six inch Hell deepene~ from. 1~' to 231 feet. Dr.t!~?J .t the r~te of ~?.OC p~r fo:t. Pr~e-ty ~er: Mr. Pat la.~b Well site: ~t,~ B~*~ 2:~ivlsicn: DriLler: Bernie Claus ~fRampart Dri2~iu~ ¥~-~s ~a~--~!97' Gravel ~th several s~all b^u!~ers. ~sLu~ drivin~ v~r$, barco ~97---23~' $-~n.~-Eravel' 23~---271, Gravel ~th a 20% clay binder. 27~---29~' $~dy gravel with So=e water traces. .2~1---293' ~fater bearing ~ravel making 6 GPM, '~th a 2~ ~o:t head. · "Cased tc 2~!. Pcu,~ should be set 3 feet off bottom if Docsib!e. - - '~b .... ff~r the su- Of, Th~-.k ymu very much - . Sam Cotten Drilling'Co,: Paid on ~l, 500. O0 200. O0 ,~00o 00 BaLance d,,e on dai22i, a~ 375.00 ! - Pt~ - 3/~ h.p.-3 ~ne, 2.39 v. £ne~A;t on pump-Od. 7I--- B~t at~aeemeng ..... P~.d ~ ad~. o,~ ,own/: 6/~-75 Ba~. due or~ puff, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 ParcelI.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone ~,~) Day phone Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER DISPOSAL: NOTE: Individual on-site K. Holding tank Community on-site Public sewer 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 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 base(~ 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 "~i~'~.~-~,,.~o,,.,~ ~-~,(~ ~uc_ Address ~'-b,.o,~,~: /~,~,~'' ~,'c,~ Engineer's signature-~~''~ o DHHS SIGNATURE ,-~ __ Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: Date 2 -/- ~' The Municipality of Anchorage Del~artment 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 p~'ofessional engineer's work. Municipality of Anchorage ,~ DEPARTMENT OF HEALTH & HUMAN SERVICE~ E C E IV E D Environmental Sewices Division 825'L" Street, Room 502 · Anchorage. Alaska 99501e (907) 343-4744 JAN 2 3 .Health Authority Approval Checklist LcgalDescription: L q"v.; "~C~ R ~-Ac.&e.'ce=.~ ~[h ParcelLD.: Mu~3~eipality of Anchorage Dept. Health & Human Servic~m A. WELL DATA Well type Log presen! (Y/N) ,~ Date completed Total depth u,.~..~.,,~, Cased Io IfA, B. or C. attach ADEC letter. ADEC water ~stem number L~ ~ ~...,~o~.~ ,..,, Casing h-qght (above ground) Whts properly protected (Y/N) AT INSPECTION t-/~-~ ~, FROM WELL LOG Date of lesl Static water level Well production, g.p.m. WATER SAMPLE RESULTS; Coliform ~:) Niuate I~ate of sample: I '-/'q -~ & B. SEPTIC/IIOLDING TANK DATA Date installed II~ Tank size Foundation eleanora (Y/N) ~' Depression (Y/N) Date of Pumping N ~ Pumper C. ABSORFI'ION i,-s~.:Lf~ DATA Elfective absorption a~a ~ O Fluid depth in absorption field before ~ (in.): Fluid depth .(ins.) Minutes later: Peroxide Irealmem (pas~ 12 months) (Y/N) 2¢" g. pm. ~'1 ¢~ Other I~'teria Collected ~': ~ Number of Compartments -&- Cleanouts (Y/N) ~ ~ High wa~r alana (Y/N) ~ Soil rating (g.p.dJ~ or lt:/bdrm) l. 2- System .t3~e '.b -t'- ~ t GrawJ thickness below pipe .~' ' Total depth. ~' ' Monitoring Tube ptesoat(Y/N) ~ Depression over field (Y/N) ~ R~-ul~s (PasUFail) ~ ~,_~. For .~ bedsores Immediately aflor gal. wal~ ad~:d (in.): Absorption rate = g.p.d. If yes. give date D. Lll~ STATION Date Manhole/Access High wat~ alarm I~vel at* C)~le~ tested E. SEPARATION DISTANCES Size in gallons -Pump on" level al* "Pump oiT' Icvel al* SEPARATION DISTANCF_.S FROM WELL ON LOT TO: Septic/holding tank on Absorption field on Iol Public sever main Sewer/septic service line ; On adjacem Iot~ I o O : On ndja,~-,t lots /00 + Public sewer Innnho[e/eleal~ll W / ~ km SEPARATION DISTANCES'FROM SEPTIC/HOLDING TANK ON LOT TO: Building fou~l~ion -..%"~' "~ Properly line /Q ~ Absorption field Water main/service line .~'"O" Surfacewater/drainng~ /~O'¥ WeHsonadjacemlot~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Water main/service line Building foundation Surface water Curtain dram Driveway. parking/vehicle storage arch F. ENGI~:~:k'S CERTIFICATION Wcllsonnfljacent lois I certi~, that I have determined thru field inspec~io~t~ and review in conformance with MOA HAA guidelines in effect on this date. P,o~ny line ~f Muntctpal re~ Rev. 8/95 OSS: baa. wk.doc Waive~ Fee $ Date of Payment Receipt Number 01/17/96 1~:00 C8J~ERCIAL TESTING ~ 90~ 2?2 8218 N0.258 ¥ CT&E Ref.# Client SAmple ID CT&E Environmental Services Inc. Laboratory Divllion ~~'~',~ Laboratory Analysis Report WATE~ OUTSIDE TAP -LgT TRACT A EAGLE CREST Clien= Name R~d~NONZ EN~ ERr. WORK Order 206?5 ordered B7 ST~TM Vrin=ed Da=e 01/17/96 ~ 12:$$ hrs. ProJeo= Eeme collec=ed Da=e 01/14/96 % 14:00 hrs. pr~Je~u# Receive~ Date 01/1~/96 % 0~:30 hrs. ~W~XD UA Technical DisC=Or STEPH~N C. EDB sample Re.~a~ke: SAM. PL£ COLLEC'~ED ~ Allowable Ex=. Anal Parameter Reeulte ~u&l Uni[a Me=hod Lini=e Da=e D&=e Init ~ltra~e-N 0.10 O mg/L E~A 3S3.2 10. 01/15/9~ See Sp~cl&l ZnaCruccion~ Ab~v~ [~A - Unavailable ~acecced, Reported value ia the pra~icaX ~anclfica=ton lxmi~. LT - ~e~ ~alt secondly dilution. GT - Grea~eM Than 2~ W. Po~er Drive, Anchorage, AK 99518-1605 -- Tel: (907) 562-2343 Fox: (907} 661-5~01