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