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HomeMy WebLinkAboutCONTOUR ACRES #4 BLK 2 LT 8Contour Acres #4 Lot 8 Block 2 #017-381-22 , Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825"L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 Page vcww.ci.anchorage.ak, us (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL iNSPECTION REPORT Permit Number: ~O O~ c~o '7_. G. PID Number: 4_.~( " .... (~'~'(c~o~,~,( /~.[, ~,lc~.¢,.~¥1, WastewaterSystem: '~New [-]Upgrade ABSORPTION FIELD Numbe~9~s;'- ~Oeep Trench [] Shallcw Trench [] LEGAL DESCRIPTION C~, (.m, opo~ /,o SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P. ~ Other: Tank ~ield Station Tank Founda~onLOt Line ~O'~'1 ~ '~ /~ 5 Size: Manufa~urer~g ~'~ ~0~ 'Pump on ,eve a, -- ' ' BENCH MARK Engineer's Stamp Inspections peffo~ed by: ~f,c~ae[~[~,t,4 Dates: 1st ~/~oo ~ Depa~ment of Health and Human Se~ices approval - Reviewed and approved by: ~~ ~ p~ Date: ~-/-~ 0 Permit No. SW000026 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 8, BLOCK 2, CONTOUR ACRES 4TH ADDN, PID No.: N 00'01'15" E 215.0' ~C05 \ \ BENCH MARK SITE Ld N 00'01'15" E 215.0' -BADGER LANE- 017-381-22 o ASBUILT SCALE: 1"=60' Rick Mystrom Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http;I/www.cLanchorage.ak.us Permit Number: #SW 990022 Date of Issue: 3-3-99 Parcel Identification Number: 017-381-22 Date Started: 6-2t-99 Date Completed: 6-22-99 Is well located at aj¢proved.permit location?I~ Yes [] No Legal Description[r Contour Acros #4 blt~ 2 lot 8 Property Owner Name & Address: Nick & Lisa Brest Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To stick-up 0 2 silt and organics 2 6 gravelly silt 6 35 silty cobbly gra vel 35 53 sandy silt 53 78 gravelly silt 78 116 Bedmck 116 265 RECEIVED AUG 1 0 1999 Munic pality of Anchorage Dept, Health & Human Serv ces Method of Drilling [] air rotary [] cable tool Casing type: steel Wall Thickness: .025 inches Diameter: _6 inches Depth: 120 feet Liner Type: Diameter: __ inches Depth: __ Casing stickup above ground: 2 feet feet Static water level (l~om ground level): 132 feet Pumping level: 265 feet after _4 hours pumping _4 gpm Recovery Rate: _4 gpm Method of Testing: airlift Well Intake Opening Type: [] Open End [] Open Hole [] Screened Start feet Stopped__ E] Perforations Start feet Stopped__ feet feet Grout Type: bentonite # 8 Volume: 1 bg Depth: ,~tart. 0 ~eet Stopped .9 feet Pump: Intake Depth ? fee~ Pump size __ hp Brand Name Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: Comments: Well Driller: Driller Alpine Drilling & EnterprisesWefl P.O. Box 110496 Anchorage, Ak 99511AKZip of-comPletion and the property MUNICIPALITY OF ANCHORA G£ Depa~fment of Health and Human Sen/ices On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Renewal Permit Number: SW000026 Legal Description: CONTOUR ACRES i~4 BLK 2 LT 8 Design Engineer: 0088 Anderson Construction & Eng'g Owner Name: Nick & Lisa Brest Owner Address: None Anchorage, AK 99508- Date issued: Mar 07, 2000 Expiration Date: Mar 07, 2001 Parcel ID: 017-381-22 Site Address: 013000 BADGER LN Lot Size: 92450 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of: ~ Disposal Field ~ Septic Tank [] Holding Tank [] Privy Private Well E~ 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 DHHS at least 2 hours pdor to each inspection. Provide notification by calling (907) 343-4744 ( 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. Received By: ~ .~..~~____~ Issued By: (/~...~/~. ~_, ./ ~/, - d~'//'~ ,~,,,,// Date: MUNICIPALITY OF ANCHORAG£ Department of Health and Human Services On-Site Services Program 825 L Street, Roam 502 P,O. Box 196650, Anchorage, At( 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW990022 Legal Description: CONTOUR ACRES ¢f4- BLK 2 LT 8 Design Engineer: 0088 Anderson Construction & Eng'g Owner Name: Nick & Lisa Brest Owner Address: None Anchorage. AK 99508- Date Issued: Mar 03, 1999 Expiration Date: Mar 02, 2000 Parcel ID: 017-381-22 Total Bedrooms: 5 Site Address: 013000 BADGER LN Lot Size: 92450 SQ. FT. Permit Bedrooms; 5 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. February 15, t999 Michael Anderson, p. E. 14250 Golden View Drive Anchorage, AK 99516 (907) 345-3377 home (907) 345-1391 fax FEE/ '/6 1999 MUNICIPALITy OF ANCHoI~ASE ENVIRONMENTAL SERVICES DIVISION Department of Health and Human Services P. O. Box 6650 Anchorage, AK 99519-6650 (907) 343-4744 Office (907) 343-4786 Fax Re: Lot 8 Block 2 Contour Acres Subd. To Whom it may concern: This a request for an on~site septic and well permit for a new 5 bedroom home. Two test holes were excavated and both perced at 20 minutes per inch. The soils consisted ora sitly sandy/gravel (ML) to a depth of 16 feet. The upper 4 feet of material was a clear sand however the percs were run in the slower silts below 4 feet. No ground water was encountered during the excavation or after the ? days of monitoring. The septic design consists ora single trench 2 feet wide and 90 feet long with an effective depth of ? feet. The maximum depth from grade will be 9.5 feet with 1 foot of overburden mounded over the trench. The new system will be constructed perpendicular to the slope of the hill as the plan indicates. The slope of the ground is gradual to the west. There is no surface water on the property as the plot plan indicates for the proposed system. The existing lots around this property are vacant except to the north a new system has had a new on-site septic system and well installed last year which this system will not impact due to the large lot size (2.5 acres plus). The topography of the lot is sloping to the south and west away from the house. Please feel free to call me at any time to discuss this system at 345-3377. Michael N. Anderson, P.E. LOT A- i/ SYSTEM DESIGN CRITERIA: 5 BDRM = 750 GPD SOILS = .6 GPD/SQ. FT. 750/.6 = 1.250 SQ. F. REQ'D TRENCH: 9.5' DEEP 7' EFFECTIVE 2.0" WIDE 90' LONG ~ ADJACEN~ SEPTIC R' [~ SYSTEM ~-~'/GALLON TAN~ ' ~OBSE 5%  MOUNO OVER GRADE L ~.~_, 20' '~DRAIN ROCK -16' SEPTIC DESIGN PREPARED FOR NICK AND LISA BREST LOT B, BLOCK 2 COUNTOUR ACRES, FOURTH ADDITION PREPARED BY MICHAEL N. ANDERSON, P.E. 14250 N. GOLDENVIEW DRIVE (907) 345-,3377 / FAX (907) 345-1391 SCALE: 1"=80' FEBRUARY 15. 1999 MICHAEL N. ANDE ADJACENT SEFflC MONITORING TUB SECONDARY /' ~ ~l TH#2 PRIMARY SYSTEM DOUBLE C.O. 2-3% ' GALLON TANK NEW 5 BEDROOM HOUSE ¢.,.,,../~10' UTILITY EASEMENT NEW 100' WELL RADIUS LOT 8 LOT 9 SEPTIC DESIGN PREPARED FOR NICK AND LISA BREST LOT 8, BLOCK 2 CONTOUR ACRES, FOURTH ADDITION PREPARED BY MICHAEL N. ANDERSON; P.E. 14-250 N. GOLDENVlEW DRIVE (907) ,545-5.577 / FAX ('907)545-1~91 SCALE: 1"=50' FEBRUARY 1.5, 1999 PSRFORMED FOR: ~.[t¢ LEGAL DESCRIPTION: 7- 8 9 10 11 13 14 15 17- 18 19 20 Municipality of Anchorage J DEPARTMENT OF H"LTH & ,UMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCO TION TEST ~ ~*~4~ ~r~, Township, Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After SLOPE Mm'~lm'Jno? ~ Da~ ~ SITE PLAN Reading Date Gross Net Del)th to Nat Time Time Water ~'f~ t e 't~ Irt PERCOLATION RATE ~--C> (m~nuteszmcl~j PERC HOLE DIAMETER TEST RUN BETWEEN L~.~'.&. FTAND ~'~/'t~ FT PERFORMEDEY: ~t.'~r~. ( ~u J e¢~/.~ i 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) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST PERFORMED FOR: /~.,~' LEGAL DESCRIPTION: 3 4- 5- 6- 7- 8 9 10 11 12- was GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? SLOPE SITE PLAN 13- 14- 15, 16 17 18 19- 20- COMMENTS Dept~ 1o Watu Mo~'~aa'mO? ~'"~-- Da~ //";'/~' Reading Data PERCOLATION RATE ~Z C) (mmules/mcnl PERC HOLE DIAMETER TEST RUN BETWEEN ~FTAND FT CERTIFY TH T THIS ACCORDANCE WITH ALL STATE AND MUNICIPAL GU,DELINES iN EFFECT ON THiS DATE. DATE; I/T~?/*? 72-008 IRev. 4/851 TEST WAS PERFORMED IN Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 "L" Street Room 502 RO. Box 196650 Anchorage, AK 99519-6650 www. cJ. anchorage.ak.us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O('~ - "~ '~'/ - 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Expiration Date: Current Property owner(s) /"(to, '~ b,e~f Mailing address~)_~/¢~ ~fz~.¢..~) '-.~-'~i Lending agency Day phone Day phone Mailing address Real Estate Agent Mailing Address Day phone Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank [] Community On-site [] Public Sewer The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Cedificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approva are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. 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. 72 025 ~Re,/ 01 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 the Health Authority Approval application show 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Address Engineer's Printed Name_f'"(f~&o. ~ (t/X[, ~, g. ~, '~0.,'I DHHS SIGNATURE __~ Approved for z~~ bedrooms. Disapproved· Conditional approval for bedrooms, with the following stipulations. Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Expiration Date: T5-025 trey 01 00F Original Certificate Date: Reissue Date: ~--~ Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-4744 RECEIVED, JUN 01 J~00l) MUNICIPALITY OF ANCHORA(3I: 'VIRONMENTAL SERVICES DIVISJ Legal Description: HEALTH AUTHORITY APPROVAL CHECKLIST Parcel I.D.: A. WELL DATA Well type Date completed i~' Sanitary seal y Total depth ~b, 5'- ft Cased to ! 'z,O ft FROM WELL LOG Date of test Static water level f '~ 'z..- ft Well production /?/ g.p.m WATER SABLE RESULTS: Coliform _(/~colonies/100 mi Date of sample:t ,O~//~ ~ o B. SEPTIC~TANK DATA Tank Type/Material '~ ~- ~-- / Date installed 'z-/zl/~ Tank size / 5-"~D gal Cleanouts y Foundation cleanout '~ . Date of pumping /~-¢ ~ C. ABSORPTION FIELD DATA IfA, B, or C provide PWSID # __ Nitrate /07 mg/I Collected by: A/Al./- Well Log ~/~ ~ Wires properly protected /V' Casing height (above ground) AT INSPECTION g.p.m Other bacteria~(~__colonies/100 mi Number of Compartments ~ Depression over tank /~'V' High water alarm __ Pumper ~ in. Date installed "~'/a//¢o Soil rating (g.p.d./ft2 orft2/bdrm) ~ (~' System type '~'~'v~ Length ~¢ ft Width ~ ft Gravel below pipe '7~/ft Total depth //~ ft Effective absorption area t '/.-~oft~ Monitoring tube ~/ Depression over field Date of adequacy test ~.¢~o Results (Pass/Fail) ~-~c,.D For ~ bedrooms Fluid depth in absorption field before test / in Water added ,¢/ gal. New depth/n. Elapsed Time: ./ mtn Final fluid depth / in Absorption rate >=/g.p.d. · Any rejuvenation treatment (past 12 mo.) (Y/N & type). ~ If yes, give date 72-026 (Rev. 01/00)* D. LIFT STATION Pump on" ~vel at _~i~p off" level at in Datu~'"'"""~ Cycl~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/~ on lot Absorption field on Pot [ 47a e ./_ Public sewer main _ Sewer/septic service line /O~ SEPARATION DISTANCES FROM SEPTIC/.I:~tL-~ TANK ON LOT TO: Manhole/Access High water alarm level at in Meets alarm & circuit requirements On adjaCent lots On adjacent lots /'O¢ ! -/- Public sewer manhOle/cleanout Holding tank Building foundation "'l-Or4'' Property line ~,~0 ¢4-- Water main _ /~/~ Water service line Drainage /00 [-/- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~'0 f-C- Building foundation ~"0 Water Service line /0z2 (-f- Surface water foo Curtain drain. /~///¢ Wells on adjacent lots F. COMMENTS Absorption field TO ~'¢- Surface water /0o t..~L. Water main Driveway, parking/vehicle storage HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 01/00)* Waiver Fee $ Date of Payment Receipt Number 05-~1-00 i4:l? F/~O~!-¢TE E~ViRO:~MENTAL Zt~_. C T&E Envi ronmen~al Servic.~ ,nc_ T-803 P.01/0Z CT&E RcL;~ 10025 I Cl~eat N~me Mike N. Project NameJ~ Contour Acre~ Client Sample ~ Conto~ Acre~ Matrix Drinking Water Ordered By PWSID 0 S~mple Remarks' Client PO# Printed Da~eFl'hne 05131/2000 14:13 Collected Date/Time 05/26/2000 8:00 Received DaTe/Time 05,26/2000 9:30 Technical Direeto$ Stephen C. Ede Relea~e~~d~~~/1' 1 .fie) 0.500 mCJ/L EpA ~00.0 05/26/00 JDT