HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 38Wynter P rk
Block I
Lot 38
#051 -491 - 15
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program. 4700 S. Bragaw St.
P.O. Box 196650 Anchorage. AK 99519,.6650
www.ci.anc, horage.ak.us (907) 343-7904
Permit Number: SW020182
Name:
Allen Plancich
PO Box 923 Sterling, AK 99672
907.262.0606 3
LEGAL DESCRIPTION
I 38 Wynter Park #1
Page of
ON-SITE WAS?EWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PID Number: 051-491-15
Wastewater System: [] New [] Upgrade
Well: [] New [] Upgrade
c~,~,~ (~o. s. a. c): Ira,, o~h: Ic~a ~:
Community. A I ~t.I
SEPARATION DISTANCES
~To Septic Absorpticxl Lin Holding
Tank Field Stafio~ Tank
w., 200'+ 200'+' ' NA NA
s,.~.*w,,, t00'+ 100'+ ~ NA ~ NA
~LN 5'+ 10'+ NA NA
Fo~,,=~, 5'+ 10'+" NA NA
c~.~. NA '50'+ NA NA
*none known
Exlsting tank abandoned per code. Existing absorption field
retained for truture use.
ABSORPTION FIELD
0,8 o~e 6.0 ~.
3.5 ~,. 2.5
0.54 - 1.18 ~,. 72
5 ~=,. 2 0
563 .e D3034
CCC Construction 7/31102
TANK
D Septic [] Holding I~ S.T.E.P. [] Other.
Pub,ic/P~va,e Me.~lec~.. Ca~y50
Sew~LIne Anchorage Tank ~
25'+ Steel ~
LIlT STATION
1250 ~. Or, nco
44" ~. 42" ~1 48"
Pump Make a MooM Electrical In~s pedom~ed by:
30 Gal. Ste Vee Enterprises, Inc.
BENCH MARK
Top of Gas Meter Gauge
1{)0
Engineer $ Stamp
;Tt,.'~ ...."*'..... ~,s,:l
Inspections performed by: KND Enqineerinq Dates: 1" 713112002
Approval ~,-,l 8/3~0/...
D evolo p m e nlS.,~ s Department
(,~..Reviewed and approved by: ,~o, ['1'/~ t ~,?.~.,..,,.. ....... ~.~.~.?,,,,~
,, Da,e:
AS-BUILT SYSTEM DETAILS/SITE PLAN Per~I~
WYNTER PARK S/D, LF1T :38, BLrlCK !
L
I
A-C= 69,2'
B-C=14,8'
A-l]= 70.8'
A-F= 64,6'
B-E= 64,7'
A-F= 78.1'
B-F= 78,8'
..... 37 II $42
,
SEPTIC
41
SCALE, 1" = 50'
38
~~~FINAL GRAIIE
41,,~,~,,~,&~, ,..,~,~,.-~-~=. .............
1250
FINAL GRADE
_ TRENCH ~
PREPAREB FOR,
ALLEN PLANCICH
P.D. ~DX 923
STERLING, AK. 9967E
(907) E62-0606
*c'~rL~ 02018.DW0 ,ee .,= 02018
'0
' ?LANNERS
SURVEYORS
ANCHORAGE, ALASKA 99503
PHONE (907} 272'~23!
have I. EGAI. DESCRIPTION;
,45 ~l~ f o~. :
_. _~. . ~B .. ~ I .........
-- ~//~ . ~ ~/~,5/~ ~' /
O 518 J
~UG-14-2002 ~ED 02:55 Pil CCC. CONSTI~UOTION
~ey, Aug~ g~, ~02 8:3'i AM To: C~.IUCK
907 696 3274
P. O1
STF' V£E: E:NTERPRISE$ INC.
ANCHOIq. AG~., AK.~I~21
AUGUST 9,2002
REFERENCE TO; CCC CONSTRUCTION
LOT38 BLK 1 WINTERPARK
SPIRELE CIRCLt~., AK. 99577
WIRED 1 Lll~T ELECTRIC SIMPLEX PANEL A-1 INTO PANEL DISTRJ-
BUTION AND ALSO NOTED DAMAGE MAIN FEEDER WIRE AND RE-
PARED SAME ,WIleD 1 LIFT ALARM SENTINAL 1 REMOTI/ALARM
LOW VOLTAGE ]~SIDE RESIDENCE.
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jun 19, 2002
Expiration Date: Jun 19, 2003
Permit Number: SW020182
Legal Description: WYNTER PARK//1 BLK 1 LT 38
Design Engineer: 0070 KND Engineering
Owner Name: Allen Plancich
Owner Address: PO Sox 923
Sterling, AK 99672-0000
Parcel ID: 051-491-15
Site Address: 021137 SPIRE CIR
Lot Size: 27608 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit Is for the construction of:
[] Disposal Field [] Septic Tank [] 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 DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 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.
Issued By: ~
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cLanchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
O
Parcel I.D 051-491-15
Permit Number SW O ~- O ! R~'
Property owner(s) Allen Plancich
Mailing address (1) P.O. Box 923 Sterling, AK. 99672
Mailing address (2)
Legal description (Lot, Block & Sub'd.) Wynter Par~'~lock
Legal description (Section, Township & Range)
Lot Size 28,000+ Acre~/Sq. Ft.~,/
THIS APPLICATION IS FOR:
Sewer Only []
Sewer and Well []
Sewer Upgrade []
THIS PROPERTY CONTAINS:
Hot Tub []
Swimming Pool []
Therapy Pool []
Day phone 262-0606
Tip Code
Lot 38
Number of Bedrooms 3
Well Only []
Water Storage []
Jacuzzi []
Water Softening Unit []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
($ of property owner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
]~D ENGINEERING, INC.
20441 PTARMIGAN BLVD,
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
May 28, 2002
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Septic Upgrade - Wynter Park BI, L38
Gentlemen:
The owner has requested we proceed forward to obtain a permit to upgrade the septic
system on the subject lot. On May 20, 2002 we dug one testhole for the proposed
s),stem. The results of this test are attached. The general area of the proposed septic
slopes south to north at a grade of approximately 3-6%. Given the relative gentle slope
and limited area for a septic upgrade, the proposed field will be perpen,.dicular to the
slope. The bottom of the proposed field from original grade will be 4' to 7.
We have designed our system utilizing the testhole that was excavated for the existing
3-bedroom house. The lot and adjacent lots are served by community water (Dawn
Water). We propose to install two 5' wide shallow trenches. Water was not
encountered during the excavation or during monitoring.
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100' 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,
~l~2) Engineering, Inc.
Attachments:
On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
V/ELL & V/ASTEV/ATER DISPBSAL SYSTEM DETAILS/SITE PLAN
kVYNTER PARK S/I), LBT 38, BLBCK 1
PRESSURIZED SYSTE~ ]~ESION DETAILS
45
L RESIDUAL HEAD = 5'
E. HOLE SIZE = 3/16' = LO0 GAL. PER HOLE e 30 PSI
:3. 30 GALS (PUMP DELIVERY)/1.00 GALS./HDLE = 30 HOLES
4. 72 LF LATERAL/30 HOLES = 2.4' SPACING PER HOLE
5. ALL HOLES SHALL HAVE CAPS INSTALLED PER HANUF.AOTURES SPECS.
G. HDLES AT END DF' LATERAL SHALL ~E CDNST. V/D CAPS AND PLACED
7. CONTRACTOR SHALL USE ! I/4' PVC IrRDH TANK TD FIELD AND IN LATERALS.
B. CGNTRACTnR SHALL USE ! I/E* PVC FI3R NANIFGLD.
DESIGN DETAILS
3 ItDRM X 150 6PD : 450 GPO
450 GPD/.B GPO PER SQ. FT. (11 HIM/IN.)= 562.50 SQ, FT
(562.50/5'(V)) X .64(RF) (2.5' GRAVEL) = 72 IrT. TRENCH
USE 2 TRENCHES - 36 (L) X 5' (V) X
To~l depth o¢ system Is 6.0' Crom original o~ode.
To~al dep*h oF g~vel below dls*rlbu*lon pipe Is 2.5' .
NDTES~
1, CONTRACTOR & ENGINEER Tn VERIFY INTEGRITY OF SEPTIC TANK AND
REPLACE AS REQUIRED. INSULATE TANK IF <4' COVER.
INSULATE TRENCHES ~/ITH 2' HI) I~URIAL FOAt~
3. CONTRACTOR ~/ILL ENSURE HINIMUH 2Z SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL ~/ILL ~E ADDED OVER SYSTEM TO ACHIEVE
HIM. 3' COVER IF REQUIRED.
5, CONTRACTOR ~/ILL ENSURE ALL SEPARATIONS TO ADJACENT
~/ELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SET]~ACKS.
PREPARED FDA'
ALLEN PLAN?'ICH
P.D. '~BX 923
STERLING,. AK. 99672
(907) E62-0606
FIELD BOOKS ~
~'.~,~.e ~ KMD
~_~u~. ~*~ 6/3/02
~ ~ ~ NWI361
~c~ ~ 02018.DWG am ~ 02018
Sc~te~ 1'= 100'
PAGE I DF 2
20441 PTARMIGAN BLVD.
EAGI~ RIVER, Al( 99577-8736
(907)698-§IlI/FAJ( (907)69~-8~!
~/ASTEV/ATER DISPDSAL SYSTEM DETAILS
~,¢YNTER PARK S/IL LBT 38, BLBCK 1
K~D Z
/ } PROPOSED 1250
J GAL S.-.E.P. o ~---'"'--'~'~-~1
WITH DJAL ~: I
~ OUTPUT OCT:O~~, ' _~. TH%
FCO
_~. iv-fo , '41
Z
PREPARED FBR~
ALLEN PLANOICH
P,O, ~OX 9~3
STERLING, AK. 99672
(907) E62-0606
FIELD BOOKS ~
c.~.~ KMD
~*~ 6/.3/02
~' N~361
~ nL~ 02018.DWG '~' ~" 02018
Semite, 1'= 20'
PAGE 2 DF 2
~D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER. Al( 99577-8736
[i ,...~..~,.,..,,, -..y...:,.~.,. ,.,~.;:..::,;-....,;..;;;;..=....,.=..;;;..,:..tl
(907)696-811 I/FAX (907)696-8111
~D ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RWER, AK 99577-8736
Performed for.
SOILS PERCOLATION TEST
Allen Plancich
Project:
Wynter Park B1, L38
TEST HOLE # 02-1
12-
13
Depth
(Feet)
Org/SM - brown/red soil
SEE A'I'FACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO
Depth to water after monitoring? NO
GM/SM - reed dense, gray, Reading
moist w/cobbles to 1'
silt & density increasing
w/depth
What depth? NA
B.O.tl.
Date? 5/30/02
Date Gross Net Depth to Net
Time Time Water Drop
1 5/21/02 1:00 - 6"
2 1:30 30 min 3" 3"
3 * 1:31 6"
4 2:01 30min 35/16" 211/16"
5 2:02 - 35/16"
6 2:32 30 rain 9/16' 2 12/16'
14-
15-
16-
17-
18- * Water Added
19-
HOLE PRESOAKED
20- PRIOR TO TEST
IPercolation Rate 10.91 (min/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,
DEPARTMENT OF REALI'H & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
MAILING DRESS
LEGAL ~ESCRIPTION
]WeWell
Dwelling
DISTANCE TO: ~MO[Y~ (~,
Manufacturer Material
Liq. cabacity in ~allons Inside length Width
Well Dwelling
DISTANCE -
Material
Foundation Neare~ot lipeO ~
DISTANCE TO: ~, ~ [~_ _
NO. of lines Length
'rotal length of line~ Trench width
inches
Top of tile to finish grade Material beneath tile
-~ inch.s
PNONE
~t~l~ PG RADE
NO. OF BEDROOM~
Liquid dept
PERMIT NO.
D i s t e n c e b~wf~n...~ n e,
Total effecti~le a~.~o~t~%n area
PERMIT NO.
Type of crib liameter Crib depth fective absorption area
DISTANCE TO: Nearest lot line
Driller Distance to lot line IPERMITNPERMIT NO,
DISTANCE TO: foundation Sewer line Septic tank ~rea(s)
/
OTHER
PIPE MATERIALS
SOIL TEST RATING
~-NSTALLER
REMARKS- ,-
APPROVED
DATE LEGAL
GRE/'-". ANCHORAGE AREA BOI~"'?H
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME Shaw
LOCATION Peters Creek
MAILING ADDRESS C__/O Sprin!tcreek Ex. PHONE 6882610
LEGAL DESCRIPTION Lot 38, Block 1, Wynter Park Sub.
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
U.L.# 184801
NUMBER OF
MANUFACTURER Stack Steel MATERIAL Steel COMPARTMENTS 2
INSIDE WIDTH_ LIQUID DEPTH .LIQUID CAPACITY ]()~ __GALLONS.
SEEPAGE PIT:
NUMBER OE PITS 1
LINING MA-rERIAL_ Lo9
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
63'
1
l~l ' 6'
DIAMETER OR WIDTH -l, LENGTH'"_, DEPTH
8' 6~
CRIB SIZE: DIAMETER_ DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
NEAREST LOT LINE--.. ABSORPTION AREA (WALL AREA) 378
_.SQ. FT,
WELL:
TYPE. gO111111 U n i ty
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION . DEPTH DISTANCE FROM:
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE TANK __ SYSTEM
OTHER SOURCES
DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY: Springcreek Ex.
PIPE MATERIAL: C~st Iron
LOT SLOPE:
REMARKS:
Form No, EO-031
DIAGRAM OF SYSTEM
T
N
DATE ,lu! y?7, 197,3-APPROVED /"-~'(-~-
.A.A.B.
F'EI'e.H I -I"
Fff::'PL. ]: C:f:fi'.,IT SI='E:iqC:E=:I:;~ H ILL
IJ3C:fYT' ]: ON (:)I:=F F' L[ NNFI(:::Li~: C: :[ RCL. E
LEC~FII_ Li::3 E::l.. H"r'NTIEF:'.
HFIX I Hl_.lhl iqLlt"lE~l~:{[;:~ OF ': ' ;' ' - ' ':
E.M.f ..... I1...
'rl-lE L. EI'.4G'I'H [;, I HENS'; J: ON I S THE I._.EI",IGTH ( I N F:'EEET ) OF' 'l'l.lli)~ TF;:EZI",IC:H OR [:,FN::111: NI:::' ]1EI.D.
THE DEF'I'H Cfi::' FI T'F]!ENC:H OR F'IT ~:!~; 'rile 13, ISI'FIi'.~C:E E:E3'I.,.IEEN THE SI..IF:'.FI=tC[ii: ()F THE
13[;~'.CIIJl'.,l[:, Ri",I[)THE E:OTTOH OF THE: E}::C:FI'v'I::ITIOI",I (lin FEE'[).
THE:I:;~:E~ :IS i",10 :':T, ET 14]I:,TH F'OF:'.
THE EiRI=f,,,'E1.. [i:,EEF"FH :IS THE i'qII",I]:HIJH [)EF'TH OF Eff;;'.FY,,,'EEI... E:I:iTI.,ffFtP,I 'IHE OI..FFFI::~L.I... F']:I:::'E~
FIN[:, THE EICr[TOFI OF' THE: E,'qCFI',,,'m' Z ON ,:: :1: I',! FEi:Eft ::,.
l-:'[!i:[;;:f,'l :[ 'r FIPPL I CFli'.,IT I I~ L.. THE [..E....,F .. hi._ ]. E, I L i[ I r TO )] i",lF:'OFff'l -I'H 111 :E; [.:,EiF'FIIYTM[~P,I]' [:,LI[,:.: ]11",lEi 'r'l liE:
I I'..tSTFILLFI'T'i[ O1'.,I ]: N'i;F:'[~L2'I" I: O1'.,1'='6 r' I':: FII'..IY klELI_.Z FI[:,J'F:IC:[[H]' TLiJ TH
Il HEEl. OF Fd....i[E[.I'IL.E ...... TI*IRT THE: HELL. HILL..
PI:I:I',I I HUH [;,1[ STI::INC:[:.' BE"FI.,.IIEEN FI I-4[~-l.L.. FIi'.,I[) I::II'.,!Y OI',I.--S ]1 'I'E E;EiHFI~!i[i: [) l SPO'.E;FI[... :P.,.'S'TEH ]1S
i(HFJ F'E([CT FO[i: I:/ F'I;i!}i',,,'FI]'Ii~ I.,.IEL.L..; Cfi;i:
:Il:lC TO 2'~)e FrE[N' FB'.Oh'I FI F:'LIE&.]:Li: I,,.IELI.... I)EF'[ENDZI'.,ICi I...IF'OI'.,I THE TYPE OF I::'I...I[{i~I...Ni: Hl!il.I
t-)I'HEI';~'. I:RI:{C!LI :[ F:[EMENTS P1FIY FIF:'PL.Y. SPEC :1: I::'
I::IYI=I :[ I...F'IEILF! TCI Z i'.,IE;LI[~!E [:'1;i:C1[:'[:£[;i: ]: I'.,IS;;I"F:IL.L.FIT
I
11_:
F:'Ii$¥rH I:?T' THE I',II.JNICIF'I=II..ITY OF F:II'.,ICHOF.'.FIGE.
;.::'.: ]: I,.I]: LL I N'..'STFII_.L THE SY'.:;'[I!EPI :[i'.,I FIC:COF?.I)FII'.,IC[F. 1,1]: TH THE
:~:: I L.IN[:,E[;['.t:i;Tf::IND I'HFII" THE Oi'.,I-.SI'l"E 'SEiHE~Ii~'. SY.':'~;TE:H HF:IY Ii'.EL::!IJ:[I;~:E [CNI.FiR(3EI','IE['.,IT
I;i:E:'!!;I[:,IENCE IS F'.EHOD[EL.E[) 1'O If.,IC:LU[:,E: I',IOI-:~:E I"HFli'.,I 3
:Il F "lq.lE
GREATER ANCHORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO. ,
SOIL 'rEST RESULTS .......... NOTE~ THIS PEE~IT IS NOT VALID
COMPLETION DATE ANTICIPATED
FOUNDATION 'ro SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
.,SEEPAGE PIT --, DRAIN FIELD
~o¢' .,SEEPA~EP'T 2~oor
ALSO CONSIDER AREA WELLS,
SEEPAGE PIT
/~
, DRAIN FIELD
~ IRON. INTO AND OUT OF SEPTfC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION .~ FEET INTO UNDISTURBED SOIL,
0'85
694-2774
Soils Et Foundations
GEOTECHNICAL Fj- DEVELOPMENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIl. LOG
CO.
Ear/EII/~
688-2280
Land Developmen!
Performed for:
Legal Description:
0
~9.tt.~h~a,r~ctertst~i.cA
1
2
3
4
5
6
7
8
12
Ground Water Encountered: Yes No v/ If yes, what depth.~.~_
Preposed Installation; Seepage Pit v× Drain Fie~d
Date:
M"2CHAN I CAL E lNG I N EER
DAVI. D SLLNKAMP
694-9055
S&S DIGiI 'IEERI IG
SRB 196X
~AGiL RIVER, ALASKA 99577
CIVIL ENGINEER
ROBF, RT A. SIIAFER
694-2979
]. December ].978
Mr. Spencer Hill
P.O. Box 5030
' Chugiak, Alaska 99657
Dear Mr. Hill:
A Sewer system adequacy test was conducted on 29 and 30 November 1978
per your request. This system, is located on Lot 38, Block l, Wynter Park
Subdivision, Peters Creek. The septic tank was pumped and was verified
to have a capacity of 1,000 gallons. Th9 static level of the water in the
seepage pit was lowered approximately 2 feet with the pumping of the
septic tank. In order to run a'percolation test on the seepage pit, the
pit had to be pumped and recharged with 750 gallons of water. Percolation
over a 24-hour period as recorded on 30 November 1978, resulted in the
removal of approximately 200 ga].lons of water. This m~ans the seepage
pit is only adequate for approximately 1.33 bedrooms.
As a result of the above survey and test, we can conclude that the septic
tank is adequate; however, I regret to inform you tl~at the seepage pit
is not adequate for your 3 bedroom mobile home.
Please cio not hesitate to contact me if I may be of further assistance
In the upgrading of this system.
CF:
Alaska USA Credit Unlon
/~t~alth and En~onm~tal Office
Box 5030
Chu!~iak, Alaska
not be granted until the following li:em~ haw~ been
( ) 2l well lo9 i:~ 13ubr~ltt:ed to this
top of the ~,,~ell casing is sea.t~:d, wit}', a g~anitary
( )
Th¢~ (I~.~pr~iop or pit; arounR the ~/~?.11 oa~in9 should
be fi],t~:~ ~'~it~ i~a})~rvious typ~, so~,'.l, so t:h~t: it slopes
aT'lay from the well ca~ing~
( ) The well C,qsin~7 i~ ~xtend~d two].va (12) iuoho,~3 above
ground leve'l o
()
~:lxpo~3o th(~ ~..1oll for our inspoc'hion to ~ietermine propi:~r
~(>nstructio~ also, ~',o i~sur~ the minimuv~ ~oquirements
for proteetlv~ rgldius from well aml
'i'ho [leptic tank i~ pu~:%p~cq with a ~n.~c.~i}?t r~ubmitt~d to
( )
A four(g) inch ca~t iron ol~anou'h be imm. tailed to th~
sop~J.c 'hank or leaohing
A k.~rcolation te~l: be! p~rfor~,~,:i on the e.×istin~j l~aohi~g
t~ho perform the k,(~st is ~n~],osed.
Mr. l{ill
November 29, 1978
Page T~o
()
Your application sho%~ts thai nu~ber of bedrooms exceeds
the nu~',.~)er the sewer system was originally approved for,
ther~fore, an upgrade will be
Connect to %h~ public: sewer ~hich is available to
yol/o
Notify this department for a re-inspection when descrepancies
have been corrected, If there are any further ques'hions~
please contact this office at 264-4720.
Sincerely,
Robert C. Pratt, R.So
Associate Spe¢:ialist
cc: Alaska U.S.A. Federal Credit Union
'177 Juneau Street 99501
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-491-15
GENERAL INFORMATION
Complete legal description
Expiration Date:
WYNTER PARK #1 LOT 38, BLOCK 1
Location (site address or directions) 21137 SPIRE CIRCLE, CHUGIAK, AK 99567
Current Property owner(s) ALLEN PLANCICH
Day phone (907) 262-0606
Mailing address
PO BOX 923 STERLING, AK 99672
Lending agency
Day phone
Mailing address
Real Estate Agent
CAROLINE STREANO
Day phone 688-1238
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
IndMdual Well [] Individual On-site []
Individual Water Storage [] Individual Holding tank []
Community Class A Well [] Community On-site []
Public Water System [] Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional
civil engineer registered in the State ef Alaska. Certificates of Health Authority Approval are required for the
transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal
and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health
Authority Approval are valid for 90 days from the date of issue for properties served by a private er Class C well
and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one
year with valid water samples.) 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.
4. 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 Approval Guidelines for this
application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional
and adequate for the number of bedrooms and type of structure indicated herein. I further verify that
based;6nstbe information obtained from the Municipality cf Anchorage fi/es and from my investigat on and
insped~6'~,"the on-szte water supply and/or wastewater d~sposal system ~s(are) ~n compliance with all
appl!~.,able Municipal and State codes, ordinances, and regulations in effect at the time of installation.
~.Name of F,rm KND ENGINEERING, Inc. Phone (907)696-611i
Address 20441 Ptarmh3an Blvd., Eagle River, AK 99577
Engineers Printed Name Kenneth M, Duffus
DSD SIGNATURE
V/ Approved for ~
Disapproved.
Conditional approval for
Date 08113/02
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer s Report
Other
Odginal Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewatar Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak, us
(907) 4 79o4
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: WYI~TER PARK fl LOT 38. BLOCK t
A. WELL DATA
Well type COMMUNITY- A
Date completed.
Total depth
If A, B, or C provide PWSID # ~
Sanitary seal (Y/N)
Cased to ft.
FROM WELL LOG
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform .colonies/100 mi.
Amenlc: ~ mg,/1.
B. SEPTIC/HOLDING TANK DATA
Pamel ID: 051-491.15
Well Log (Y/N)
Wires pmperiy protected (Y/N)
Casing height (above ground)
AT INSPECTION
Nitrate __ rng~. Other bacteria __
Date of sample: Collected by:
9.p,m.
colonies/lO0 mi.
Tank Type/Material s~p~ Ilft .~;on Idual out~u~) I ~1 Date i~ll~ 811~002
Tank ~ 1250 gal. Numar ~ ~m~n~ L Clea~u~ (Y~) ~
Foundation deanom ~e~ssion ~ ~nk (Y~) ~H~h ~ter ala~ ~ ~
Dat~ ~ p~ping N~ Tank Pumper
ABSO~ON FIELD DATA '
Dam i~ll~ ~1~2 Soil mU~ (g.p.d.~ or ~) ~ S~tem ~e ~ench
~ ~ · ~ } fl. Omni bel~ pipe ~ fl.
To~l dep~ ~ fl. Eft. abso~Uon ama ~ Monitoring ~be ~ Depm~ion ~er field U
Da~ ~ ed~ua~ test ~, N~ ~em R~u~ (PasCall) Pass F~ ~ bedims
Fluid dep~ in ab~flon field before ~ __in. Wa~r add~__ gal. N~ de~h ~ ~.
~a~ ~: .. min. Fi~l fluid dep~ in. ~so~flon rote >= g.p.d.
~ mjuve~Uon ~a~m (past 12 ~.) (Y~ & ~e) N ff ~s, gna da~
O. LIFT STATION
Date installed 0/1/2002
Pump on level st 44in.
Size in gallons t260 Manhole/Access (Y/N) Y
Pump off level st 42 in.High water alarm level at 48
Datum Bottom of Tank Cycles tested $
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tenldllff station on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
Meets alarm & c~rcuit requirements? Y~
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line ~'+
Water main t0'+ Water service line 10'+
Wells on adjacent lots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 1(1'+ Water main 10'+
Water Sew/ce line
Curtain drain
COMMENTS
Absorption field 0'+
Surface water 100'+
Surface water t00'+ Driveway. parking/vehicle storage 25'+
Wells on adjacent lots 200'+
G, ENGINEER S CERTIFICATION
I certify that I have determined through field inspections end
re,few of Municipal recoils that the above systems em in
conformance w~th MOA HAA guidelines in effect on this date.
Engineer s Printed Name Kenneth M, Duffu$
Date 08113/02
in.
HAA Fee $375.00
Date of Payment
Receipt Number
(P~v, 12/m)
Waiver Fee $
Date of Payment
Receipt Number
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING DIVISION
Teleplmne 264-4720
MUNICIPALITY OP ANCHORAGE
DEPT. OF HEALTH &
I~NVIRONMENTAL PKOTECTION
NOV 2 9'18
DIRECTIONS: Complete all parts on page 1. incomplete requests will not be processed, Pleose allow ten (10) days for processing,
1. PROPERTY OWNER
MAID GADDRE,S~S 5~_~
3. LENDING INSTtTUTI~
Pi-lONE ·
PHONE
PHONE
PHONE
MAI LING AD DR ESS
MAI LING ADDRESS
E. LEGAL DESCRIPTION
STREET LOCATION
6. YY'~ ~F RESIDENCE J~ SINGLE FAMILY
J~ MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] One [] Four
[] Two [] Five
[~ Three E] Six
[] Other
7, WATER SUPPLY [] INDIVIDUAL~
COMMUNITY
[] PUBLIC UTI LITY
SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTI I. II'Y
"ATTACH WFLL LOG. A well log is required for all wells drilled
since June lg75. For wells drilled prior t:o that date, give well
depth (attach log if ~vaHgb!e.!
**If irrdividual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPI-'CTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
' DAT~-ECEIV E D
INSPECTION APPOINTMENTS
'IME TIME TIME
)ATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
NUMBER OEBEDROOMS
1, TYPE OF RESIDENCE
[] SINGLE FAMILY
~] MULTIPLE FAMILY
2. WATER SUPPLY
INDIVIDUAL
[] COMMUNITY
PUBLIC UTILITY
Connection Verified
3, SEWAGE DISPOSAL SYSTEM
~J INDIVIDUAL/ON -SITE
~__ PUBLIC UTILITY
Connection Verified
L~ Sop[lc TAnk or
give dimensions:
[] Holding Tank
If Tank is I~omemade
[] 'ONE L~ THREE
[] TWO [] FOUR
[] FIVE
[] SIX
[] OTHER
PERMIT NUMI3ER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
Beptic/Roldiflg Tank _lAbsoretion Area Sewer Line
4. DISTANCES
WELL TO:
Nearest L~
5. COMMENTS
DATE
..... -,,--h
LEGAL DESCRIPTION
[.~/APP Rev E D FOR ~ BEDROOMS
[-~ CONDITIONAL APPROVAL (Fetter must accompany certificate)
[] DISAPPROVED
BY (Title) ~
72-010 (Rev. 3/78)