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