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Home My WebLink AboutDALZELL-SCHNEITER BLK 2 LT 11~---' Municipality of Anchora§e 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 "~': ~ LLA~b ~ ~ u ~P Wastewater System: ~New D Upgrade ~'*":~.o ~ ~~ ABSORPTION FIELD WELL: ~ew D Upgrade ~ravel width: SEPARATION DISTANCES ~ se~,~c m .o,d~.g m S.T.~... s.,~c. LIFT STAT I O N Remarks: BENCH MARK * Assum~ Elevalion; ENG~EER'S~EAL inspections performed by: Dates: 1st Department of Health and Human Services ap~;,roval Reviewed and approved by: Date://-/~.~_ ;~ ....... ..;.;.;-.-. ,.y...,, ~ /.//// -~ ',,~ rss~.~,','' 4~?' r?',?~sr~. sw~ .Es. ~. ....... ~ ~c 2; u __ ~. .'.'.'.'.'.'. ~ ~r ,z5 I ~ ~:'.'.'.'.'~ ~ '.~.' ' '- ~ ~ ~ / /~.:~:-:-:~ I ~ ~/ ~~. . ~ ' , ~ %,,~_ ~ / 2CALE, 1' = 50 F TOBBEN SPURK~ND P.E. COT 11 BLOCK 2 DALZELL-SCtlNITER S/D SEPTIC SYSTEU AS BUILT 203 W 15TH. AVENUE WILMRO ~U~P DATE: AUG. ANCH. AK. 99501 I0100 SCHN~IT~R CI~ SHEET: 2/~ GRID: 25~7' PER~IT ~ 2~97fl149 PlO NO. 015-291-23 O-SO211ZOV/C Clean Out ~ Nonltor y ~ouble aeon Outs Standard Trench: I^ l 1250 gal Septic tank 2' bide v~ 45' Lan9 11' teep 7' Sewer rock, E££ectl 5' Cover Foundation Cleon out o NO SCALE SILT £ARRIER/£ 8~,1 Clean Out Cleanouts 7 £~t oF Septic Pock / I 1250 gal. septic tank NB SCALE t~ fl I ~ENCH MARK. TOP POSt ASSUMED ELEV. 100.00 T[JBBEN SPURKLAND P,E. 203 Wl5th Ave Anchoroge Ak 9950~ [ LOT 11, BLOCK 2 DALZELL-SC/INEITER SE£TIC SYSrEI~t $CHD~tATIC SEPT[C SYSTEM AS ~T[= AUG. 26,1998 SHEET, ~/5 GRID~ 2537 PERMIT tl SI,/970148 Piti # 015-291-23 fl-SOPIlg, fl~/6 PAGE 1 OF i MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUF~ SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970148 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:GUMP WILLARD C & OWNER ADDRESS:10100 SCHNEITER CIR ANCHORAGE, ALASKA 99516 DATE ISSUED: 6/24/97 EXPIRATION DATE: 6/24/98 PARCEL ID:01529123 LEGAL DESCRIPTION: DALZELL-SCHNEITER BLK 2 LT 11 LOT SIZE: 50567 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION 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 (iSAACS0). 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: ISSUED BY: T.S?TORKLAlqD P.E. 203 W 15th. Avenue, Suite 203 ANCtlORAGE, ALASKA 9950 I (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 11 BLOCK 2 DALZELI.,-SCHNE1TER SID WILLARD GUMP Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 June 19, 1997 We are submitting an application for the installation of a well and septic system for this lot. The submittal consist of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and septic system are subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the follo~ving: No Ground Water or Impervious Layer to 17 fl. Use Standard Trench Soil Rating. 2 mia/in = 1.2 gal per sq.fi/day No. of Bedrooms 4 Required Area per Bedroom: 150/1.2 = 125 sq.fi.. Total area required: 4 x 125 =' $00 sq ~. Testhole depth 17 feet Bottom Rock At 13 feet Top Rock At 6 feet Rock Depth I I feet Total Trench Length 500 / 10 = 50 feet. SYSTEM CONFIGURATION STANDARD TRENCtl TOTAL LENGTH 50 FT TOTAL WIDTI! 2 FT TOTAL DEPTtl I I FT ROCK DEPTtl 5 FT COVER 6 FT 1250 GAL SEPTIC TANK The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoffwill not result from this installation. I % % ~Ii.IiI 50 0 50 10o 15~ £00 S£AL£t 1' --- 100 Fr. EXISTING CONDITIONS ~$0 $00 TOBBEN SPURKLAND P.E. 203 W 15TH. AVENUE ANCH. AK. 99501 11 BLOCK2 DALZELL-SCtlNITER $/D WILIMRG GUMP lOIO0 S¢ItN£1T£R CIR SEPTIC SYSTEM DESIGN DATE: JLA)' 2Z. I.q97 SHEET: I/3 GRID: 2537 ~ROPO$[O · ~ ~5 5a 75 I~fl 1~5 SCALE: I' = 50 . PROPOS£D IJIPROg£JI£^ SPURKLAND P.E. 203 W 15TH. AVENUE ANCH. AK. 99501 11 BLOCK 2 DALZELL-SCtlNITER S/D Ifl,~£D GIJI~P lOIO0 $CHN£1T£R ClR If ell I ! SEPTIC SYSTEM DESIGN DATE: JLA)' 27, I.997 SHEET: 2/3 GRID: 25J7 PERMIT ,,(/ PID NO. 015-291-23 D-502112.DI,'/G REPL~E~£tlT I'£ENCH 14 FT, PRIItARY TR£NCH Monitor aeon Out Cleon Du al Standard Trenches: 1250 gal Septic tank ~' ~/ide 50' L on9 11' ,Deep 5' Sewer rock, Effective 6' Cover NO SCALE SILT BARRIER 5 £~c oF Septic Rock DRAVIING REVISED: JUNE 19, 1997 LENGTH AND DEPTH OF ROCK /~C(eonouts NO SCALE Exist. Ground ~over lank I£50 9ol, septic tank DENCH MARK. ASSUMED ELEV. 1~ TOBBEN SPURKLAND P.E. 203 Wl5th Ave Anchorage Ak 99501 J J LOT 11, BLOCK £ DALZELL-$CIlNEITER SEPTIC SYSTEId SCNEI~ABC PROPOSED CONSTRUCTION J J SEPTIC SYSTEM DESIGN 'hATE, I~AY 27, 1997 SHEET, $/$ GRID, 2537 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST I ·: '~- (ENGINEER*S SEAL) .r. v .' ~ · : ._ ~'-. ':".'.~]..-~ IJ _. DATE PERFORMED: ' /~-'c~[~/-~-~ · LEGAL DESCR,PT.O.: /~L i/, ~::2~ ~ ~... ~/_~£t~Township. Range, Section: 3 $ 8 10. 13 ~o~ 19. 20- WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? COMMENTS SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop i t ~'/,_ ~ ' 7 '/~ PERCOLATION RATE ~ (m'n.ute~'mch) PERC HOLE DIAMETER TEST RUN BETWEF~ ~FTAND ~[~ FT ~ERFORMED S.: ~ S , 77. 5 CERT,. THAT T.,S TEST WAS PERPORMEO,. ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~/~Lt O~ ~/I t ~ q~ LOCATION OF WELL LOCATION/SKETCH: DEPTHS MEASURED FROM:~],Casln0 top I-Iground surface BOREHOLE DATA: Depth Meterlal Type and Color From To STATE 0F ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD WELL OWNER: WELL DEPTH: ~ ' ' ~' DATE OF COMPLETION Depth of hole: ~ / ft Depth of casing: ~'/ ft ~. / /O /._~' DEPTH?.T..D..STATIC WATER LEVEL: ..~ ft below ~'~op of casing Date: {around surface 4/ METHOD OF DRILLING: ~lC'alr rotary I-I cable tool [~ other. USE OF WELL: ~omestlc [~ Irrigation [] monitor [] public supply I-1 other CASING STICK. Diarn: Casing type: In. ~o WELL INTAKE OPENING TYPE: ,~ open end [] screened [] perforated I-I open hole Depths of openings: to f! RECEIVI D SEP ]' SCREEN TYPE: Diam: in. Slot/Mesh S!ze:. Length:. ~t GRAVEL PACK TYPE: Volume used: OeDth to toP: GROUT TY~E; ~ Depth: {ronl tt to ft DEVELOPMENT METHOD: ~ Duration: ~ ~ PUMPING LEVEL AND YIELD: ft after '~ his ~ PUMP INTAKE DEPTH: ft Horsepower: WELL DISINFECTED UPON COMPLETION? &~.YES [] NO CONTRACTOR INFORMATION: REMARKS: Regi~e)&~Rusiness Name _/' ~ ' ~ - '// ~/ // .... .~ ~_ ,~ ~ a~e MAIL WH~E CuPY OF LOG iU. ~~~ ~ _/~~ ~ ~ ~ 70 DNR~IVISION OF MINING & WATER MGMT a~Onature ot AuuForizeo ~e~prese~at ve ~ Date 3601 C St, Suite 800 ANCHORAGE AK 99503-5935 Fh~na (907)762-2538o Fax (907}562.1384 Parcel I.D. # 1. 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 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 e e Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site ,~,/:~,;.'~ 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. 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 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. NameofFirm "~'~'~ ~>.-,~/~'~/'.-~LJ ~"~-- Phone I Address /P..o ~-~ ~, I,~ ~ ~ ~ ~-~ Engineer's signature / DHHS SIGNATURE · V Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date ._,z--,.. -7- ~c~ 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 D H HS does this as a courtesy to purchasers of homes and their lend!rig institutions Ir~ 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. ' E I V r.. u Municipality of Anchorage UAY 0 4 199~ DEPARTMENT OF H~L~ & HUMAN 8ERVICE~j ~ En~mnme~l Se~s D~lon ~~ ~~ 8~ L ~reet, R~m 502 * ~omge, AI~ 99~1 * (~ ~7~ ...... ~ A. WELL DATA Well type Health Authority Approval Checldlst ke'~ I/: ~ A ]:)~L...,..~/~ PemelI.D.: If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Total dep~ San~my seal (Y/N) y Date completed FROM WELL LOG Casing height (abave ground) Wires pmpedy protected (Y/N) AT INSPECTION Date of test Stafic water level Well produc~on r.'~ ~) g.p.m. g.p.m. WATER SAMPLE RESULTS: Date of ~ample: ;'//~) Nitrate ~ Ol~er bacteria Collected t~/: ND_ B. SEPTIC/HOLDING TANK DATA Oatelnslafled &/.9.6,//,f'7 Tankslze I~..~0 Number of Compartments ~ ~eanouts(Y/N) "~ Foundation cleanout (Y/N) "/ Depression (Y/N) I'~ High water abuTn (Y/N) ~ C. ABSORPTION FIELD DATA I t Length J']~) Width ~ Gravel mlckness below pipe '7' Total dept~ / ~ EffectNe absorp~on ama ~ Monltedng Tube present (Y/N)_'~/_. Depression owr field (Y/N) D~ of adequacy tea t-I/A nesu~ (Pas~a,) v' r~_ '-/ bedrooms Ruld depth in abeof~lon field before ~ (in.); Fluid depth ~ (ins) Minutes later. Pem3dcle tz'emmem (past 12 monfi~) (Y/N) ~ Imme~ately alter ~"/gaL water added (in.): ~ Al:mou:~tm mm - -"/* a.p.d. '/' ~ yes, ghm date / 4./ D. UFT b'rATION Date installed Manhole/Access (Y/N) High water alarm level Cyoles tested Size in gallons 'Pump on" level at' *Datum 'Pump off" level at'* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM W~=LL ON LOT TO: Sepfl~on lot I ! O Absoq~flon field on lot % ~ ~ I Public sewer main t~_.~ Sewer/septic service line JOO ~ On adjacent lots On adjacent lots Public sewer manhole/cleanoot SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation I ~ Property line ~ Absorption field ; Water main/service line ~1 ~ Sudace water/drainage }q ] ~ Wells on adjacent lots SEPARATION DISTANCE FROMABSORPTION FIF~ n ON LOTTO: Property line ~ D Building foundation Surface w~ter d."n I O Water main/sewice line ~**... Driveway, parking/vehicle storage area ) .~ C) Wells on adjacent lots /% / a-~ ~ cerUfy that ~ have determ/ned ~ru ~e~d ~nspec~ns and review ~f Mun/c/pe/ rec~r4~.~ ~e ~.~/:x~f~ys~er~.~ W~e in confom'mnce w#h MOA HAA ouk~ellnes in effect on ~as date. ' ~ ' ; ~' '*:..' '.. · ' ,' HAA Fee $. Date of Pm/ment R_ _=c~_lpt Number Waiver Fse $ Date of Payment Receipt Number 7~..~26 (ney. ~6)' MA¥"~5-99 13:2~ F ~,~-CTE E~¥1 ROI%~ITAL T-505 P.OI/OZ F-40E ,~1~_. CT&E ~nvi~onmenlal Se~;ces Inc. CT&E Ref.# Client Name Projoet Name/# Client Sample ID Matrix Ordered PWSID qq1796001 Tobben Spurkland P.E. Lot 11. Bk 2 D-S Lot 11, Bk 2 D-$ Dr tn.~n§ Water 0 Client ¥O# Prc-P,ud Cohs/NO3 Printed Date/Time 05t05/99 13:18 Collected I~'ate/'l'iJa3e 04/301~ 14:03 Received Date/lhne 04/30!99 15:10 '1 relmieal Director: :Stephen C. Ede Released 2.2S 0.50C i'~/L EPA 303.0 0¢/50199 0~/3C/99 C~11CI99 2'.