HomeMy WebLinkAboutTHE VILLAGES TIDE VIEW LT 2
Address;
2q8- q3o~
· Municipality of Anchorage Page I of 3
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: 5t~Cl20 IS2. PIDNumber: O2OOCl
Wastewater System: [] New ~ Upgrade
Lot:
LEGAL DESCRIPTION
ABSORPTION FIELD
Deep Trench ." Shallow Trench_~f-'l Bed [] Mound ~i[Other
1.0 c, nn~q Ft 2. S' ~
~ TIlE VILL4G~.S 'TIDEVIE~v 2.0
Township:j J N IRange: '5 w' Isec'''~:~ F,I, added above originall grade:
WELL:E~ST~GD New ~ Upgrade aravelwidm.
~vr. 131 F~
SEPARATION DISTANCES
F,
Itt
Ft
Gravel length:
~ X25! '- IOO' ~=t
I
Number
ct
lines:
F'-$10 q'P~c ptelr .
Well IqO' t35' IHo' -- 12o'
Surlace ~.1o~ ~,1013'
Water ~'/oo' ~ ~/o0 '
LOt ,
Foundation =0' ?.~* ~0t -- 0
Cu~ain
Drain ~ ~ ~ ~ ~
Remarks:
TANK
n Holding ~S.T.E.P.
Cabecily in gallons:
ANCHo[~A~c "rANk 1:2 SO
Material: Number of Combe~Iments:
ST£EL
LIFT STATION
"Pump olr' level al; High water alarm
BENCH MARK
~Eo~b FZooE ~NDo~
Inspections performed by: Fz4TroP '~£OJ ~V¢~__ Dates: lsL_~/s/'~z
2nd '&
Department of Health and Human Services approval
Reviewed and approved by:~/~-"~" ~:~,~...~c,~.. Date:
I Ass"mad ElevatiOn:~ c0 · O rt
ENGINEER'S SEAL
Permit.No. ~;h/' C~2Ol$2 Page '2 o! ~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343'474~4
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: /.oT
2 T#£ VlZl
~ALE: I = $O
CREEK
/ .
CLEtl~o~T ~
.-?lattoP Technical Servlce~
1~,530 Echo Street
Afichorage, Alaska ggSlB
ENGINEER'S SEAL
Permit No. 5k/ 92OI $'2. Page ~ of S
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage. Alaska 99519-6650 · Telephone: 343-47,~4
On-Site Wastewater Disposal System and/or Well Inspection Report
LegalDescription: /..oT 2, 'TEE VII. I./~GE'5 , TIDE'VI£k/ PIDNo.: 0200qlq6
ENGINEER'S SEAL
~/~top Technical Services
14530 Echo Street
' ""' IMSPECTIO~I ~EPORT
HUHICIBALITY O~ ANCHORAGE~ BUILDING SAFETY DIVISION
3500 EAST TUDOB ROAI)
I~SPEC~IONS (00?)563-3464 IN,OBlAtION (g07)786-8~11
~A~E: ELECT AND CON~T AND CONSULT PEPHIT ~: 92-792~
, ADD,riSS: 16840 TIDE VIEW DB I't~ONE ~: 344-5130
LO~: ~ BLOCK: SUBD: ~HE VILLAGE ~IDE VIEW
COHH~i~:
?" WHI!~?/COBBECTIONS ABE MADE, PLEASE CALL FOB I~ISBECTION '
THIS ~07 IC~.
QPTECHNI AL SER JCES
CIVIL & ENVIRONMENTAL ENGLNEERLNG · ENERGY CONSERVA~N & ~
~O~RE F. MOORE, P.E. 14~30 ECHO ST.
PH: ~07) 345-1355 August 17, 1992 ~CHO~GE, ~ 99516
M.O.A. DHHS
P.O. Box 196650
Anchorage, AK 99519
Dear Sirs:
The purpose of this letter is to supplement the information shown on the enclosed as-built inspection
for the upgraded wastewater disposal system for Lot 2 of The Villages - Tideview S/D (permit number
SW920182).
At the onset of the installation process it was discovered that the existing waste line exiting the building
was at a significantly greater depth than anticipated in the design, and it was not possible to replumb this
waste line to achieve gravity distribution as had been originally planned. This necessitated the substitution
of a 1250 gallon STEP tank for the 1000 gallon septic tank which had been planned. We coordinated this
substitution with DHHS on 8/3/92. The electrical hookup was done by ECC, with the high level alarm
box mounted inside the building; the Municipal electrical inspection report is attached. The discharge line
from the STEP tank to the highest drainfield is 1.25" dim Schedule 40 PVC.
The soil absorption drainfields went in substantially as designed. As specified on the permit waiver, a
horizontal separation distance of 15' was maintained between the northwest ends of the drainfields and the
60% natural slope. Because of concern about possible variability of subsurface soil conditions, we
provided continuous on-site inspection during excavation of the first two drainfields. Due to phone
· problems DHHS could not be contacted prior to placement of sewer gravel. To compensate for this we
took extra care to verify that the receiving soil in each drainfield was in conformance with the design
conformance. All 4" diameter horizontal distribution pipes were laid level within 0.01' and a 3" bump was
incorporated in the non-perforated line connecting each dminfield to ensure serial distribution.
Due to the' constraints imposed by the site which affected the layout of the drainfields, the uphill edge
of the northwest end of the highest drainfield is located 7.5 feet from the building foundation. To allow
for this we are requesting that you waive the normally required 10 foot separation distance from a building
foundation in this instance. Because the topography slopes away from the building in this area there will
be no tendency for effluent from the drainfield to percolate towards the foundation, and because of the
shallow depth of the drainfield there is no possibility of the excavation affecting the stability of the
foundation.
Filter fabric and 2" of rigid burial type insulation was i~laced over each drainfield segment prior to
'backfill with 2' of soil cover. Final grading, topsoil placement and seeding is now complete. We feel that
the particularly careful construction displayed by the excavator, coupled with close supervision by
ourselves, has resulted in an optimal upgrade of the wastewater disposal system serving this residence.
Please 'give me a call if you have any questions on the installation.
Sincerely,
Ted Moore, P.E.
PAGE i OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 #L# STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW920182
DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES
OWNER NAME:HUDSON HENRY L &
OWNER ADDRESS:16840 TIDEVIEW DRIVE
ANCHORAGE, AK 99516
DATE ISSUED: 7/13/92
EXPIRATION DATE: 7/13/93
PARCEL ID:02009146
LEGAL DESCRIPTION: THE VILLAGES TIDE VIEW LT
2
LOT SIZE: 62306 (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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
ENGINEER MUST NOTIFY DHHS AT LEAST TWO HOURS PRIOR TO EACH
INSPECTION. DHHS MUST BE PRESENT TO INSPECT PRIOR TO
PLACEMENT OF SEWER GRAVEL. THIS PERMIT GRANTS A WAIVER TO
TO THE 60% SLOPE. THE PERMITTED DISTANCE BETWEEN THE SLOPE
AND DRAINFIELD IS 15 FEET. SHOULD ANY EFFLUENT DAYLIGHT
ON THIS SLOPE THIS WAIVER WILL BE VOIDED AND INSTALLATION
OF A HOLDING TANK WILL BE REQUIR/ED.
ISSUED BY: ,~O~ ~IT~ DATE:
CIVIL & ENV~ONMENTAL ENGENEERLNG * ENERGY CONSERVATION & .~NALYSB
THEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 July 1, 1992 ANCHORAGE, ALASKA 99516
M.O.A. DHHS
P.O. Box 19-6650
Anchorage, AK 99519
Dear Sirs:
The purpose of this letter.is to provide the required design narrative in support of our application for a
permit to upgrade the wastewater disposal facilities on Lot 2 of The Villages, Tideview S/D, located at
16840 Tideview Drive. This upgrade is necessary because an adequacy test demonstrated that the present
soil absorption trench is operating in a surcharged mede. Soils logs, perc test results, a site plan, design
drawings and specifications are enclosed for your review.
Because of highly variable soil conditions and numerous consu'aints affecting this site, a total of 7 test
holes were dug to.fully explore all options in the development o.f th.!s design. As I discussed with Susan
Oswalt at DHHS, m order to construct this replacement system ~t will be necessary to waive beth the
normally required 50' setback from a slope in excess of 25% and also the normally required 10' separation
between separate soil absorption dralnfields. Per Ms. Oswalt's suggestion, we have configured the
dralnfields to maximize the setback from the top of the bluff from which point the the ground slopes down
at 50-60%. The 15 foot setback which will be achieved is significantly greater than the setback of the
present system. Since the bluff is a heavily vegetated natural slope and there is no sign of effluent having
daylighted in the past, we do not feel there will be a daylighting problem wi/h the proposed configuration.
With a gravel depth beneath the distribution pipes of only 6 inches, the proposed 5 foot separation between
the parallel 5 foot wide drainfield segments should be adequate to avoid interference between the
drainfields. This spacing does disu'ibute effluent more widely over the.surface of the ground than would a
typical bed configuration.
The proposed soil absorption system will be constructed in the vicinity of test holes #4 and 5. As can
be seen from the soil log for test hole #5, the native material in the proposed absorption stratum between 3
and 5.5 feet below ground surface is a slightly silty sandy gravel with a measured perc rate of 1.8 minutes
per inch. Using a soil application rate of 1.2 glO/sq, ft. specified in the wastewater ordinance for soils
with a measured perc rate of between 1 and 5 minutes per inch, this 3 bedroom residence would require a
total absorption area of 375 square feet. Because there is no .replacement site to be u.sed once .~.is system
fails, we have conservatively sized the drainfields on the bas,s of 1.0 gpd/sq, ft., wh,ch would ,ndicate th.e
need for a total area of 450 square feet. The proposed design with four 5' wide x 25' long dralnfields
connected in series actually has a total absorption area of 500 square feet.
As can be seen on the log for test hole #4, the gravel stratum closer to the edge of the bluff is cleaner
with a higher pore rate. We feel it would be counterproductive to install a 2 foot sand filter over this
material, as to do so would force the system to be abeveground, thereby increasing the chance of
daylighting. The construction plans do require the contxactor to use sand as a leveling course on top of the
gravel, and we will require he contractor to be particularly careful to preserve the native receiving soils.
Because of the steep topography in this area there is little reason for concern regarding potential
groundwater contamination.
The topography of the lot in the vicinity of the prOposed drainfields slo~s down towards the
southwest at 10-15%. The actual construction area Is the top of a brOad sloping ridge. The land to the
northwest slopes steeply down at 50-60% t.o a small creek which roughly follows the property line.
Because of the irregular topography, the dramfields will not be exactly parallel as they stairstep down the
ridge top. As mentioned above, during construction we will be paying particular attention to ensuring that
the placement of the drainfields optimizes the use of the native receiving soils in the limited available area.
The proposed project will have no impact on present or future water supply and wastewater disposal
systems serving adjacent properties, nor will it have any impact on reserved sl~ace/surface and subsurface,
or on drainage.
By virtue of the conservative over design and carefully supervised consl~'uction, we are confident that
the proposed soil absorption system will be able to function fully as well as any other system designed and
built to code. The proposed system is a far superior alternative to the installation of a holding tank, and
connection of this residence to public sewer would be cost-prOhibitive. Please give us a call at 345-1355 if
you have any questions on this submittal.
cc: Henry Hudson
Sincerely,
Ted Moore, P.E.
/
/
iooo 6,AL
SAC#
'~o~
HOUSE
LOT 5
%
~atlop Technical Services
.... 14530 Echo Street
Anchorage, Alaska 99516
?LA N VJEV/
~C^~.r-: I"': JO~
Flattop Techn~al Serv~es
14530 ~ Street, Anchorage, AK99516
Phone (907) 345.1355
Lot 2 The Villages, Tideview S/D
16840 Tideview Drive
Waslewater disposal system installation
Specifications
1.0 General:
1.1 The scope of the project consists o! abandonment of an existing septic tank and soil absorption
trench and installation of a new 1000 gallon septic tank followed by four 5' wide x 25' long soil
absorption dralnfields connected in series.
.1.2. Construction shall be as depicted on the approved site plan and design drawings. Mi~or
deviations from these drawings may be required by the engineer conducting the inspections. All
construction procedures and material specifications, shall co?form with Municipal and Sta~ requirem.ents.
All separation distances shall be in conformance w~th Mumcipal requirements, unless specifically watved. ·
1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any
buried utilities.
1.4 The contractor shall provide .adequ.ate c.o.ver material and rough grading over all system.
components to ensure that proper drainage ~s ach,eved after settlement and that there are no res,dual
depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas.
1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after
the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction.
2.0 Septic Tank:
2.1 The existing I000 gallon septic tank shall be properly abandoned by thomugMy pumping it,
cutting out it's top and backf'flling it with clean soil. The existing trench shall be abandoned in place with
the monitor tube removed.
2.2 The new 1000 gallon septic tank shall be Municipally approved, and shall be set level on
undisturbed soil..Each compartme.nt shall be equipped with a watertight manhole cover and a 4" cleanout.
The tank shall be insulated with 2 roches of approved burial type. rigid insulation plus 2 feet of soil cover.
2.3 Ail pipe connec, tions to the tank shall be equipped with waterproof mechanical couplings. The
.w. aste line from the resxdence to the septic tank shall have a minimum slope of 1/4'" per foot, and the waste
line between the tank and the s?il absorption sys.tem shall have a minimum slope of 1/8' per foot.. A
cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed
within 5 feet downstream of the septic tank.
3.0 Soil absorption system:
3.1 The soil absoq?fion system shall .be constructed by carefully stripping ~e pea.t, loam and fill
material from the 5' w~de by 25' long dramfield sites, to expose the top ora sl,ghfly silty sandy gm;tel
stratum, which is encountered at a depth of 3 feet in the vicinity of test hole #5. The lowest drainfield
should be constructed £~t in uncontaminated soil appr.oximately 5' uphill of the. old soil abso. rpfion trench.
Particular care will be necessary to achieve a level Iong,tudinal axis for each drainfield following the top of
the gravel stratum. Do not excavate more than 6" into the gravel at any point. Subsequently constructed
drainfields shall be no closer than 5' from each other, and need not be exactly straight or parallel; instead
each drainfield shall follow the contours of the underlying gravel stratum.
3.2 Level bottoms for the drainfields shall be ac.hieved by placement of a leveling course of co. arse
clean sand on top of the exposed gravel surface. Th~s leveling sand shall conform with the Municipal
specification for filter sand..
3.3 A total of 1.0 feet of approved sewer gravel shall be placed on top of the leveling sand with the
perforated distribution pipes laid level such that the pipe inverts are no less than 6 inches above the bottom
of the sewer gravel. The non-perforated pipe (ASTM D3034) connecting each of the drainfields in series
shall incorporate a 6 inch high "bump", causing flow preference to the uppermost dralnfields first. Sewer
gravel shall be 0.5"- 2.5" screened gravel, with less than 3% passing the #200 sieve.
3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on
the design drawings. The portion of the monitor tube extending through the sewer gravel shall be
perforated. '
3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. Two inches
of rigid, burial type insulation plus a minimum of 2 feet of soil cover is to be placed over the filter fabric.
3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the
surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill
slopes shall be no steeper than 3: !.
3.7 After construction is complete, the owner shall arrange for all areas disturbed by the construction
to be covered with 4 inches of topsoil and seeded to promote rapid revegetafion.
4.0 Inspections:
· . .4:1 A. minim.urn of 5 engineering inspections will .be required during the co.u. rse of the project: (1)
m~t,a, stcaceout w,th the contractor to establish the locat,on of the system and to discuss the plans,
specifications and construction procedures, (2) after the native material has been excavated to expose the
infiltrative surfa6e to ensure that it is level and at the right elevation, and conforms with the soil test
information, (3) after the sand leveling material has been placed, (4) after the'sewer gravel is in place and
the distribution pipes have been lald and connected up to the septic tank, but prior to placement of
.insulatipn or friar.fabric, and (5) after.fi.hal backfill and grading is complete.--T~, e.sel3ti~ .tank requires one
.mspectxon after? ~s set level and the p,pmg connected, but prior to backfill. Th:s mspecuon may be
incorporated w~th any of the above inspections.
5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
PERFORMED FOR:
F/attb"~ T~chhlc/=!
14530 Echo Street
Anchoracm, Alaska 9951R
Munlcip'atity of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street. Anchorage. Alaska 99502°0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: ZoT ~, DEPTH
2-
5-
6 - ~L GRAY
7-
~.~.
8-
9-
1~-
12-
ViLtA~./ ~l~[Fitl~ownsl.p. Re.ge. Section: ~£ C :~. T Il ~ ,
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED~ ~ __
IF YES, AT WHAT
Oepll~ lo Waler Afler j*'~' 7:
o,,,:
/4'
e~, N
HOL'$1c
-. #,, ,.~2'~/~, ~0/
///
-- / /1 ~ /
Gross Net Depth to Net
14 - Reading Date Time Time ('t% I N~ Water DrOp
2:3~ :ag 22 ~2 ' 2T S~
~2 2:~3:i~ = =2 Y~ I Ya
18 - + g2o 2:q3 :So 23
lg - * ~2o 2:~4: ~ 23
COMMENTS
PERCOLATION RAI[ __
TEST RUN BETWEEN
ACCORDANCE WITH ALL ST,'~TE AND MUNICIPAL GUIDELINES IN EFFECT ON TI41S DATE. DATE:
72-008 (Rev, 4185)
]4530 Echo Street
Anchoraae, Alaska 9951~
Munlclp"allly o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PER.OR~ED FOR: ~£~'RY ~- B~:T'r'/ }tup~_o..~. .........
LEGAL {DESCRIPTION: LOT ~,
~-
2-
3-
"d" 4 ---- -
GP
GP
6'
HL
9-
10
11---
12-
13'-
'I'HE VILt./i~[$~lD[VlZ~ownsl)q). Range. Section: ~EC ~. TI/N,
SLOPE SITE PLAN
~l- co~uov~
WAS GROUND WATER
IF YES, AT WHAT
Mon~]r{ng/ Id-I ~._~.tOite:
~EEP
..
14 - Reading Date Cross Net DePth to Net
Time Time Water Crop
15 -
16 - 1:23:oo
17-
I:
18- .
lg-
20-
COMMENTs
PERCOLATION RATE ~' { tm,nules/mch! PERC HOLE CIAMETER ,12."
TEST RUN BETWEEN .. ~' ~' FT AND ,~ FT
PE.;:OR~£OI~'r: FLATTOP '~'E¢~ ~V¢S ' .-~'~/'~"~"~' CEm,,VTHATTHISTESTWASPERFOR~ECIN
ACCORDANCE WITH ALL STA'TE AND MUNICIPAL GUIDELII"E$ IN EFFECT ON THIS DATE. DATE:
PERFORMED FOR:
F~t6~ TJchhlch!
14530 Echo Street
Anchoraae, Alaska 9951R
Munlclp"allt¥ el Anchorage
DEPARTMENT OF' HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage. Alaska 99502-0650
SOILS LOG m PERCOLATION TEST
H£r4~'"/ 4.. B£TTY I. JUl)~olq
O^TE PERFORMED:
LEGAL DESCRIPTION: ZOT :7
1-
~'~g ViL£4~'£$?lgtVttLTownship. Range. Section: 5£C ~. TUN',
ELOPE SITE PLAN
t'tL
4-~ SPt SANbY
6- G ~,a, V Z: L
7- % FLulb
8
~.H.
10 - WAS GROUND WATER
ENCOUNTERED?
11-
IF YES. AT WHAT
12 - DEPTH?
OeJ~h lo Water After
13' - M~nlto~tno? Date:
- Gross Net
14 Reading Date Time Time
15-
DePth to Net
Water Drop
16-
17-
taw .
19-
20-
COMMENTS
PERCOLATION RATE -- (m,nules/~nch) PERC HOLE DIAMETER __
TEST RUN BETWEEN FT AND
PERI~ORMEDBy: FLATTOP T£¢H ~//CS , _~__~1~ CEIIIlFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72~ (R~. 4/~)
-14530 Ec4o Stree~
Anchoraae, Alaska 9951~
Munk:lp'alRy o! Anchor-ge
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street, Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
DATE FERFORMED: /~/Is/?z
LEGAL DESCRIPTION: ,~CT 2
(FEET)
HL
3- 51'~ 5A~Lbq
4-
6
HL
~.~.
8-
9-
10-
11-
13'-
Vl£l./~'£ $?l~[l/tlkTownship, Range. Section: ~EC 3. TI/r,/, R3t./
SLOPE SITE PLAN
WAS GItOUND WATER
ENCOUNTERED? N
IF YES. AT WHAT
DEPTH?
Monitoring?' Dale
0%.
Gross Net Depth to Net
14 - Readin9 Date Time Time Water Drop
15-
16-
17-
18-
Ig-
20-
COMMENTS
PERCOLATION RATE __
TEST RUN BETWEEN
114$TALLE~
(m,nules/,nch) PERC HOLE DIAMETER .
FT AND . FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON 1HIS DATE. DAIE: ~/~ /~ ~
72~ (R~. 4/~)
PERFORMED FOR:
14530 Echo Street
Anchoracre, Alaska 9951~
Munlclp"allty et Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street, Anchorage, Alaska 99502-0650
SOILS LOG --- PERCOLATION TEST
T. tL ~
LEGAl. DESCRIPTION: ,~OT 2. "J"~' Viz. tA~/$?lVZFl/l~ownship, Range, Section: ~EC 5. TI/N,
SLOPE SITE PLAN
PT
PT
E~.H.
WAS GROUND WATER
ENCOUNTERED?
IF YES. AT WHAT
DEPTH?
Monitoring? Date; ~
DEPTH
tFEET)
$-
2
3-
6-
7-
8-
9-
10-
12-
13'-
E
14-
15-
Gross Net DePth to Net
Readm9 Date Time Time Water Drop
16-
17-
19-
20-
COMMENTS
PERCOLATIONRATE __ (m~nutes/mch) P£RCHOLEDIAMETER_
TEST RUN ~ETWEEN FT AND FT
ACCORDANCE WITH ALL ST.~TE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
72-008 (Rev. 4/85)
CER11FY THAT THIS TEST WAS PERFORMED IN
DATE: ~ ~'/20 1~ ~,
PERFORMED FOR:
FI. att~-~ TJchh;c*a~
14,.~0 Echo Slreet
Anchoracre, Alaska 9951G
M~Jnlc, Jp'allly o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
· SOILS LOG --, PERCOLATION TEST
'T'. H. ~4o
DATE PERFORMED:
LEGAL DESCRIPTION: ~OT ~.
DEPTH
(PEET)
2--
4-
6 "' £.t;.
8-
9-
12-
13'-
I/fLt,~;E~/TID~rl/EkTownship. Range. Section: ~EC 3, 'r'll,~,
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
IM~tl~ b W~ter AJler
Readln9 Date
Gross Net Depth to Net
Time Time Wate¢ Drop
16-
17-
18-- .
19-
¸20 -
PERCOLATION RATE --
'. TEST RUN BETWEEN
{minutes'inch) PERC HOLE DIAMETER
FT AND . FT
*"PER~ORI~EOBY: FlAT'TOp 'T'EC~ .~'~/~..~ I ~"-~ ~ CERTIFYTHATTHISTESTWASPERFORMEOIN
ADOORDA~JCE WITH ALL ST,~TE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
' 72-008 (Rev. 4/85)
PERFORMED FOR:
~.~ttb~ T&chh~cbl Se~iE~
14530 Echo Street
Anchoracre, Alaska 99511~
Munlclp'allty of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
· SOILS LOG -- PERCOLATION TEST
O^TE.E.FORMEO: /,~/;s/';z ~*
LEGAL DESCRIPTION:
DEPTH
(FEET)
1-
6
10-
11-
12~
13'-
St,'T¥
'1'H£ VILL',~,,.~£$?lDr~Fl[kTOwnship, Range. $ecti°n: ~EC S, TI/N,
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Oep41~ Io W~lr After
Mon4torlflo?
lq
d
14-
15-
Reading Date
Gross Net De)th to Net
Time Time Weter Drop
16-
17-
20-
·" COMMENTS
PERCOLATION RATE
TEST RUN BETWEEN
(minutes'inch) PERC HOLE DIAMETER
FT AND · FT
'". PERFORMED BY: F'/.ATTcP TE(~ .~VC_~ I - CERTIFYT~TTHISTESTWASPERFORMEDIN
: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE;
72~ (R~. 4~)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
IPHONE
' /'~'~ / IF HOME'DE: Insidelength
DISTANCE TO:
DISTANCE TO: I Well Foundation
Top of tile to finish grade t Material beneath tile
h'
< I.- Type of crib Crib diameter Crib depth
~J Well Building foundation
;a DISTANCE TO:
-I Class Depth Driller
~ DISTANCE TO: Building foundation Sewer line
[] UPGRADE
Material
Nearest lot ID
Trench ..~ inches
Distance between lines
OTHER
PiPE MATERIALS
c .
SOIL TEST RATING
INSTALLER
REMARKS
72-01~ Rev. 3~-8)
DATE
LEGAL
? [.1LIr~ I C I PI:IL I T'T' I_.--IF Rr-.IiDHORRF_.iE
~ DEPRRTIIENT O'""~IERLTH RN[:, ENVIRON,1ENTRL Ff"'""rECTION
' , ,. 825 'L' STREET, flHCHORflGE, AK. 995bi'
· 26;4-4720
WELL
PERi'.~I' NO. < ?90228 >
flPF'L I CRIIT
LOCAT I Oil
LEGAL
HENRY L. HUDSON
VILLRGES SCENIC PK.H'?
SRA BOX 5?9 Ri'ICH
L2 VILLAGES TIDEVIEH
PERP11 T ~ :,,.~/.~
LOT SIZE 62000 SQUARE FEET
TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH
MF~XIMUM NurIDER OF BEDROOHS = ~
SOIL RATING
THE REQUIRED SIZE OF THE SOIL ADSORPTION SYSTEId IS:
DEPTH= 10 L E I'-.I G T l-I = 4~-; G ~: I::t %.'E L DEPTI-I= 5
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRfllNFIELD.
THE DEPTH OF fl TRENCH OR PIT IS THE DISTANCE BETWEEH THE SURFACE OF THE
GROUND fiND THE E:OTTO[4 OF THE EXCAVATION (IN FEET>.
THERE I5 NO SET WIDTH FOR TRENCHES.
THE GR~VEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
Arid THE BOTTOM OF THE EXCAVATION (IN FEET).
REQLI I I~.'EDsEPT$ - I C TI:Ir.It( S I ----"- E= .-I I~l£i~!'_-i GFtLLOr-.IS
PERMIT flPF'LICBNT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTBLLRTION INSPECTIONS OF ANY WELLS ADJACENT TO 'IHIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
TI.,IO ( 2 ) I r-.ISF'ECT I 0 I'-.IS ~-]F:E RE[~.I_~ I RED
DfiCKFILLING OF fiN'?' SYSTEM WITHOUT FILIAL INSPECTION AND APPROVAL BY THIS
DEF'8RTMENT HILL BE SUBJECT 'I0 PROSECUTION.
MINIMLIH DI~qTFINCE BETHEEN fl HELL FIND tiNY OIl-SITE SEI,IRGE DISPOSAL SYSTEM IS
I00 FEET FOR Ft PRIVATE HELL; OR
150 TO 200 FEET FROM 8 PUBLIC HELL DEPENDING UPON THE TYRE OF PUBLIC HELL
WELL LOGS ARE REQUIRED 8ND MUS~ BE RETURNED TO THE DEP8RT[tENT WITHIN ~E~ DRYS
OF THE HELL COMPLETION.
OTHER REQUIREMENTS MAY 8PF'LY. SPECIFIC8TIOHS 8ND CONSTRUCTION DIRGRRMS 8RE
AVAILABLE TO INSURE PROPER INSTALLATION. ~
PERrl I T ENP I RES [~ECEfIBEF: gl~ 1979
I CERTIFY THRT
i: I tim FflHILIRR WITH THE REQUIREMENTS FOR ON-SITE SEHERS RND HELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2~ I WILL INSTALL THE SYSTEM tH 8CCORDRHCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEHER SYSTEM MRY REQUIRE ENLARGEMENT IF THE
7'7'
.............
. /
!_l_L_,
.....
I
iL_]._- ,~L -. )_o, ......
J:_} .... ,~:~ ':-:_:-
I/-
~£SC~'I;'TIO.:
$~mplet drjrD%~
._ .o_~ _
~andy_Gr.a~e.l ......................
..... Sjj_qh_tjy
I
E~q i (,,'~::'F-' ti~,.'~ s-~. g 6'F- 'T,Z 7 ....... "-'
.,~...,Cool, Clou_c!..K +25° F .
t
I'
I
(.,~)" I.~- F/
16-= ,z/O z~
-/o .'/'f I0 (~
MUNICIPALrPf 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
Parcel I.D. # t'"'/~-~',-t'~ct I- L~{,~ ~ HAA# ~.~-~C~.~,~,
1. GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner H~ ~oe
Mailing address I~Y~ ~u,~ O~,~, ~nc~ ~ ~1~
Lending agency P~cnF~ ~ :~/ Dayphone
Mailing address R~. ~ ~E~
Agent ~Y P~c~ - ~c~ ~v~ Dayphone ~-~/
Unless othe~ise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
~PE 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 F I,~ I'4~ ~ -/-e ~ ,~ ; ¢~ !
Address lq~30 Ec[~, ~ ,,~-,~¢,6~_~e., Al<'
Engineer's signature '~'-~--~
Phone
Date
DHHS SIGNATURE
~ Appr°ved f° r '"/TJ~ c2~'~ t/~bedrOOms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the repmsentation's given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasem 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 professional engineer's work.
Legal Description: J- o ~ ~ 7'~ ~' Valccff~ - 'T~¢~/~,~,., Parcel I.D.
A. WELL DATA
Well type Fr'~ ~,~,/-c If A, B, or C, attach ADEC letter,
Log present (Y/N) Y Date completed
Totaldepth 1 3 ( ~ Casedto ~f I'
Sanitary seal (Y/N)
Municipality of Anchorage
'.. DePartment of Health & Human Serv~ce~ ~.* ~'
HEALTH AUTHORITY APPROVAL CHECKLIST..
Date of test
Static water level
FROM WELL LOG
Well flow to
Pump level
SEPARAT ON.DISTANCES FROM WELL TO:
Septic/holding tank on lot I Ye'
Absorption field on lot
Public sewer main N,
Sewer service line I
WATER SAMPLE RESULTS:
Coliform 0 col /too ~.~
Date of sample: ~' I to / ~ E
Nitrate
ADEC water sysiem number N, A..
'71l-//'7? Driller
Casing height
Wires properly protected (Y/N)
AT INSPECTION
g.p.m. ~" ~'.~
:~ 10'5' '
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank No,, ¢
Collected by:
Other bacteria.
B. SEPTIC/HOLDING TANK DATA
Date installed ~/'7 / ~ ~
Cleanouts( Y/N,).'"
High w~ater alarm (Y/N) ',;
Date o.f pumping ', ..... N.~.. (~ ~/~ t~,,) Pumper
SEPARAT!O.N DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s)on et .lifo .. ,{ On adjacent lots .~. roe'
To propertyli~'~'' t~'~: Absorption fi,eld 5-°
Surface water/drainage ~ too'
Alarm tested. (Y/N)
Tanksize I'&S'O ~,-.~1 ~TE.P Compartments '~
Foundation cleanout (Y/N) 'r' Depressio~n (Y/N) -
Foundation
Water maln/serVic'e line
72-026 (Rev. 7/91) Front ,,
CONTINUED ON BACK PAGE
C. LIFT STATION · ' ~ "-,
Date installed '~'/' ? / ? Z , Manufacturer /~,,~ cae ~-
Size in gallons ~ ~ I ~$'0 ':: ~ f ~ ~'5 ~ *P ' Manhole/A~c~Ss'(Y/N) ' ' Y'
Veni (Y/N) Y'* ',Pump on" level at
High water alarm level
.... "Pump off" leVel at .:3~" ;: * ~
Cycles tested N. ~.
(Y/N) ~' - ' '
Meets MOA electrical codes :.. . · ,' ~..:',, · ,' L. -,':' ' ."' ~ ..
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot "f'Y~' ' On adjacent lots
Do ABSORPTION FIELD DATA
Date installed ,9'/~:/9 E
L&ngth lO0 ' Width
Total absorption area ' ' '
Depression over field (Y/N)
Results (pass/fail) N.
~' too'' - Surface water ' ~' too, '
I.~' ~.,.e'~"/F*' ~, .System type ~" ~',~'
Total depth ~.~" '
bedrooms
Soil rating
Gravel thickness I 2"
Clean'uts present (Y/N)
Date of adequacy test
for 3'
H ' If yes, give date
Peroxide treatment (past 12 months) (Y/N)
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
'W~IJ on lot 13 5"' On adjacent Iot~ > roe' Propertyline
'TO buildin'g ~oundation '7, ~, To existing or abandoned system on lot
-On adjacent lots '-> '3'¢" G~tbank I.¢" Water main/service line
Surface water t o o' Driveway, parking/vehicle storage ar~a' - ~
E.-ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA gu~dehnes in effect on the da. te of this inspection.
'Signature ~'~"-~
Engineers Nam;
/2 , , .... , . -.--
H~ ~ee $ Waiver Fee: $
ReceiptNumberDate°f Payment ~~ (~-)) Receipt Number
CHEMICAL & GEOLOGICAL LABORATORY
A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO.
5633 B STREET ANCHORAGE, ALASKA 995i8 TELEPHONE (907) 562-2343 FAX: (907) 561-5301
Client Semple
Collecte~ :
: 3[~ lO 92 I 12:00 ~e.
Pzmme~ve~ utah : AS ~EQOI~!D
SO~ ~05! *
Client lect
I?01 : ~0t :HOH~
~eql :
Ozdm:m4 By :
~,l*.,,~ e~ :~Z'~. -~_.:~'.,
Se~ gepoxt* to:
1)~LAT~O? T~CE~ICAL $~l
)a~&metm= ~emultm U~t$ Netho~ Allowable
HII~ATE-W 2.0 ' mg/l [?i 353.2
None ~otecte~ "See Sample ~e~rke Above
~SSS Member of ,he SGS Group (Soct6,6 G,~in6rale de Surveillance)
INSPECTION APPOINTMENTS
~rlME . TIME
DATE DATE
DATE RECEIVED
TIME
DATE
INSPECTOR
,MUNiCIPALITy OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTll &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTED~JRONMENTA/ PKOTECTION
825 L Strut - A~ora~, AI~a ~1
ENVIRONMENTAL SANITATION DIVISION N 0V 2 ? 1979
T~e~e ~7~
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE~F~L,~
1~.l RpERCo3~EORt,;:yCoOwm:7: all! p~ts o,, page ~lneomplets~eq//~fs will not ~ p,~. Please allow ten (10)days fo[ PrpH~i~g.
3. LENDING INS U IO· PHONE
4. REALTOR/AGENT , ~ ~ ~ PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
ST ,--7, ;.,
6. TYPE O~RESIDENCE ~
(~]~N'~ LE FAMILY
MULTIPLE FAMILY
INDIVIDUAL'
COMMUNITY
PUBLIC UTILITY
INDIVIDUAL/ON-SITE"
PUBLIC UTI LITY
NUMBER OF~BEDROOMS
[] One [] Four
[] Two [] Five
[~"Three [] Six
[] Other
* ATTACH WELL LOG. A well log is required for all wells drilled
since ,June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
~ SINGLE FAMILY I--i ONE '~ THREE r'-I FIVE
[] MULTIPLE FAMILY [] TWO [::] FOUR [] SiX
2. WATER SUPPLY
INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTI LITY
Connection Verifie~l
3. SEWAGE DISPOSAL SYSTEM
'~]INDIVIDUAL/ON -SI~E
[]PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
~ Septic Tank or I-'1 Holding Tank ~
Size:~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK
~0n~.~
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES
WELLTO:
Absorption Area to nearest Lot Line
MANUFACTURER
~ept~c/Holcimg Tank IAbsorption Area
ISewer Line
5. COMMENTS
[--I OTHER
INearest Lot Line
DATE
~ APPROVED FOR ._.~_.___ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
72.010 {Rev. 6/79)
27, 1979
~enry L. lIudson
Star Route A ~ox 4004~}!
Anchorage, Ala=¥~ 99507
Subject: Lot 2 Villages Tidevie~ Subdivision
Approval for your individual se-wet and-~water facilities
can not be granted ~ntil the follo~ing items have b~en
completed~
(1) A well log uub..-uLtted to this department.
(2) The water analysis report be delivered to this office
from Chert Lab, 5633 B Street, for our review.
If there are any questions, please contact this offico at
264-4720.
Sincerely,
Robert C. Pratt,
Associato Speciali~t
RCP/lJ~
cc:
Alaska }~tual Savings Bank
}~rtgage Loan Department
1503 %~st 31 Avenue 99503