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Home My WebLink AboutCHANDELLE ACRES LT 17 Municipality of Anchorage Page ~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewaler Disposal System and/or Well Inspection Report Perm,t Number: ~'-'-~ '~ ~) t,~'¢ PID Number: ~L~ l ~_.,,~P ~ ~ LEGAL DESCRIP'I'ION WELL: New - Upgrade Wastewater System: ~: New ~pgrade ABSORPTION FIELD . / Trench Vshalh)w Tr~_mcn Bed ~vlc;L~rd Deep I-1 .... LIFT STATI~~ Remarks: BENCH MARK '~,~JGI NEER I NG 17034 ~'aeie River Loop Ro~d,[~f~ st Inspect,ons performed by; =~,~ i~iver, Al~sk~ 99577 Pnd ~-~ Department of Health ii'nd Hum~Services approval/ Reviewed and approved by: :: / ]~d_~ /~/ ENGINEER'S SEAL Permit No. SW95Q186 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: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: CHANDELLE ACRES, LOT 17 PIDNo.: 05106568 WELL COg ~-97.4' 896~ LT'EP' I ~- 89.6' ~YSTEM ] FINAL GRADE 95.3'~" MT1 MT£ / FINAL GRADE ,,~ 98.8' [ 95.3' ff 102.1'--.~ 98.8 N.I,S, 75' COMMOI SCALE 1" = 40' CHANDELLE DRIVE · NO WATER FOUND 89.3' W GAR. 500 GAL STATION LL RADIUS HANGER /~SMT. II GRAVEL AIRSTRIP 3 BDRM HOUSE FCO U ~ DECK Mr2 ~EX[ST. 1~50 GAL (INTE GR. ITY VERIFIED) ~NEW DRA1NFIELDS (PRESSURIZED DISTRIE C01 1~.0 3f0 C02 17.0 [ 34.0 [ MH 18.0 32.0 MT1 26.5 15.0 MTE 51.5 31.5 MT3 82.0 48.2 MT4 78.0 41.0 TANK ENGINEER'S SEAL 'ION) NORTHSTAR * . ELECTRIC COMPANY P.O. BOX 772886 EAGLE RIVER, AK 99577 907-694-8808 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930186 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SITTER STEPHEN C DR & DEANNA OWNER ADDRESS:23740 CHANDELLE DR CHUGIAK , AK 99567 DATE ISSUED: 6/25/93 EXPIRATION DATE: 6/25/94 PARCEL ID:05106368 LEGAL DESCRIPTION: CHANDELLE ACRES LT 17 LOT SIZE: 43000 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (ISAACS0). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DATE: DATE: ROBERT SHAFER, P.E. ROGER SHAFER, PE. June 11, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SiTE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST SYRUCTLIRAL & MECHANICAL INSPECTIONS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 REFERENCE: CHANDELLE ACRES SUBDIVISION, LOT 17 Request you expedite the issuance of a permit to upgrade the septic system serving the three bedroom home on the referenced property. ~n adequacy test was performed on the existing system and the ~bsorption capacity of the system was found to be inadequate. ~ conditional Health Authority Approval was issued on February 18, 1993. The conditional approval expires on June 15, 1993. ~ test hole was excavated and a percolation test performed in the area of the proposed upgrade. Attached is the proposed upgrade design. ~his property is served by a Community water system. There ~re no protective well radii which encroach upon the proposed septic system area. We do not anticipate any adverse effects un neighboring properties by the installation of the proposed septic upgrade. If you have any questions or require additional information for your review, please contact us. rt A. Shafer, P E. s/ ,SU/lsu ON SITE WASTE WATER DISPOSAL SYS1EM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 1" = 50' SCALE SITE PLAN m ii mm ~¢I~ Z OX VL-d 0 Z ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: CHANDELL~ACRES SUBDIVISION, LOT 17 GENERAL: 1. The scope of this project includes the installation of a 500 gallon lift station and two five foot wide drainfields to serve the existing three bedroom residence on the referenced property. The existing septic tank is to be excavated to verify integrity. If of poor integrity, the tank is to be abandoned and a new 1250 gallon septic tank effluent pumping (S.T.E.P.) system installed. The existing leachfield is to be abandoned in place. Construction shall be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Page Two Chandelle Acres Subdivision, Lot 17 June 11, 1993 Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed- up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Chandelle Acres Subdivision, Lot 17 June 11, 1993 e Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage' Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). e A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the ~200 sieve. When sand is being used as a filter material, it's gradation specifications must conform to AMC 15.65.060D. Page Four Chandelle Acres Subdivision, Lot 17 June 11, 1993 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre- construction meeting will take place on-site. Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: 2 6 7 8 9 10 11 12 13 14 15 16 17 18 19- 20- (ENGINEER'S SEAL) 'township, Range, Section: SLOPE SITE PLAN WAS GROLIND WATER ENCOUNTERED) IF YES, AT WI-IAI- DEPTH? Depth to Water Alter,-...._ S L O P E PERCOLATION RATE .~'2~> (mmutes, mch) PERC HOLE DIAMETER . g /' 'TEST RUN BETWEEN g~,~C~/~T AND ("/'~ ' FT COMMENTS ENGINEEEING PERFORMED B~: ~7034 Ea~le Ri er Lop Roaa No. 2~ ~'~C~N THiS DA~E 72-00~ (Rev 4,85) Grcss Net Depth to Net Reading Date T,me Time Water Drop 5-. ..~ '~ . ~ 7, ,5 W,~,~ .. ('i MUNICIPALITY OF ANCHORAGE ~~i DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ..... ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME I PH ON-'~' ~ 7>,' ': ,, , ,"<:' ,,¢/v'12/~z- ~. LEGAL DESCRIPTION LU]. : Ll[)aC{iy il: gallons Inside length Width Liquid depth i / ~ ~- ~ IF HOMEMADE: ..... , ~ Well , / DweiHnq PERMIT v i [3ISTANCE TO: Lpn,r:th Width Type of crib Crib diameter ,:-, :', J 3¢> ::'!:? ! ...... ~ ~ Material beneath tile , I 7oral eflecti~'e ~bsorp~n ,;: e~ ~ Depth IPERMIT NO. ] Crib depth Tolal eff~.~£t:ve absorplion area Well Buildinq foundation Nearest lot line DISfANCE TO: lC!ass . .D~pth ,Dri~lsr- ..... Distance to lot line PERMIT NO. ~- Buildinfl foundat on Sewer line Septic tank Absorption area(s) DISTANCE TO: L OTHER :f~ST RATING / ..... APPRO~ ..,:~ /1/.Y DATE LEGAL MUNICIPALITY OF ANCHORAGE Departmen-' if Health and Environment' Protection 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT Permit ~ :~.~.[.~i[. W~-,~R ON-SITE SEWER PERMIT Applicant: Mailing Address: Location: Phone Number: Legal Description: Type of Soil Absorption System Is: Trench: Drainfield: Maximum Number of Bedrooms: - Lot Size: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH LENGTH GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this departmen! will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is !00 fee! for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 * * * I certify that: (!) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. S igne~: Applicant Issued by: Date: SWP/024 (1/81) NUNiCiPAL~ TY OF ANG~A')RA6E 264=4720 ON-S T SEWER PERMII ,-,~: '~ ~- ion ' Phone Nu~,~ber · '~ype o~ ~ 'l Absorpti~n Sy~t~a ~'~a~im~;u'~ NLur~b~r of ~edroom~: _~ Soil Ra~ing(sq.f_,br; '~ R~quired -Size o~ the oo~ Abso~pt~,sn Byst~ ~EPrH .___L__~ LENGTH v= ,S GRAVer. DEPTH __*~- WIDTH ~.:.~k~ ~,~t~-,~ ..... ~.~ o~ the excavation(in ~-:-.1, ~e~e [~ n0 5et w~dta' ' ~o: tre~ohe~ '1~,~ gr'~val ,~or2~h,= ~ ._ is khe mJmLmt.~m depth of :jrave! between · ~ R~QUIR~D SEPTIC(HO;~.~ ~IN~) ~,ANK s-~ZE = /P_Jr') ~ALLONS ....... ~-. .... t ha~ the resp0nsibLiihy ho infio~ thi~ departman~ during ~h~ ~ak!a~--ion inspections of any .... residences tha~ ehe w~I]. ~,iil, ~ ~ * gNo(~). INSPeCTiONS ARE "'N~QblRED~ * ~ackfi!lin9 ,.F~ any sysh<~m ~it-ho~t_ Elna1 ta~"~ton%,.._:__ and ap,:,~.~val,-'~' by ~his depa: public w~!.l. Minim:a~ d~stance ~rom a private well certify that: >-~ ~i!l.. install the syst.e~ ia acco~'daace with the resida~c~ is re~2daled ho inciud~ mo~e chac/~b~droo~6, :1 ~ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION FEST PERFORMED FOR: LEGAL DESCRIPTION: 1 I~ . SLOPE IF YES, AT WHAT DEPTH? SITE PLAN 17- 18- 1 COMMENTS PERFORMED BY: Reading Or'oss Net i L)ept 1 ~() j Net Date T~me Time i Wate~ I E)~op ,,- I / · :7 I i ~ >:~, ,-- i .. PERCOLATION RATE , ,..1- In~lnutes,'lnch) TEST RUN BETWEEN Fr 'AND FT 72-008 (6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 051-063-68 HAA# HA930064 GENERAL INFORMATION Complete legaldescription Lot 17 Chandelle Acres Subdivision Location (site address or directions) 23740 Chandelle Drive Property owner Tim Randall Mailing address Day phone 688-7869 Lending agency Mailing address Day phone Agent Alexander Casanova 2525 C Street, Address % Fortune Propertiq~ayphone 265-9134 Suite 100, Anchorage, Alaska 99503 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: Three (3) TYPE OF WATER SUPPLY: Individual well Community well Public water XXXXXX 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 XXXXXX NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 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. Name of Firm S & S Engineering Phone 694-2979 17034 Eagle River Loop Road Suite 204, Eagle River 99577 Address Engineer's signature Date DHHS has received written confirmation of the Approval issued on February 18, 1993 has been This has now full approval. DHHS SIGNATURE ~/' Approved for ' bedrooms. Disapproved. Conditional approval for bedrooms, with Conditional Health completed satisfactorily. the following stipulations: Additional Comments By: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers 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. 72~25 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~-~::~f-F- t. 'i~- Parcel I.D. A. Well Data .~ / Well type ~"~'I r-~ U.,~ ~ ~f A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test FROM WELL LOG Date completed __ Cased to /~:3asing height Wires prope?~rotected (Y/N) ~ AT INSPECTION Static water level ~ Well flow / Pump level1 ..... SEPARATION DISTANC...ES FROM WELL TO: Septic/holding tank on lot ~'~-"~- '~ Absorption field on lot ~ /J~' i '~ g.p.m, g.p.m. Public sewer main · On adjacent lots · On adjacent lots Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed~-, Cleanout~ (WN) High water alarm (y/N)? Collected by: Other baci~iia Tank size i ~ ~) ~i Compartments ~'-' Foundation cleand/uut, ~¥"/N) '"~/, __ Depression (Y/N) Alarm ~[ested (Y/N) f~ ~ J% , Date of pumping SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK T,O: Well(s) on lot ~ [.¢~- On adjacent lots [ { ~ To property line i C ~,, Absorption field _ ~;' ~ Surface water/drainage i ,~' ~' ' --~ Foundation Water main/service line 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed "~' Size in gallons Vo~'~'/N) e'~ev "Pump~2~, ~-J'::)n" level at High water alarm el Meets MOA electrical code~/(~N) __ SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot F-~/'~- . On adjacent lots "Pu~p off" L6~vel at (~.~ d Cycles tested Surface water D. ABSORPTION FIELD DATA Date installed ""~' I Length [ ! ~- Width Total absorption area Date of adequacy test Water level in absorption field before test Soil rating (GPD/Ft2) ~;:' '¢¢~-- Gravel thickness h"~;e~nl' Y/N _ . __Cleanout preset.( ) Results (pass/fail) Peroxide treatment (past 12 months) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots '"-~ Surface water System type ~-)~ '~.~' _Total depth ~ , Depressi°n °var field (Y.~i ~' ¢¢-' '-~ ~/~-~ t~"Cor '"-~?'"-~ Bedrooms After test ~-.-_,: /'' If yes, give date h-J_ / On adjacent lots ,, I ~..~' / ~ Property line To existing or abandoned system on lot Cutbank ~--? Water main/service line Curtain drain ~ ~¢-~. -f' iDriveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, cr conformed to all MOA and HAA guidelines in effect on the date of this inspection. / / HAA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number 72-026 (3/93)* Back HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST S~fE PLANS ROAD DESIGN SOIL TEST PERCOt AT!ON lEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT SF!AFER, P E. ROGER SPIAFER. PE August 12, 1993 CIVIL_ ENGINEERS (907) 694-2979 FAX 694-121~ Municipality of Anchorage Department of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519 REFERENCE: Chandelle Acres Subdivision, Lot 17 A Conditional i~ealth Authority Approval (HAA) was issued on February 18, 1993, for the referenced property. Ail work .required for the conditional HAA has been completed. Attached is the On-site Wastewater Disposal System and/or Well Inspection Report for your approval. We request you issue a final Health Authority Approval for the referenced property. !f you have any questions or information, please contact us. require any additional . er, P.E. RAS/LSU/lsu 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES I)ivision 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.# __(~_L'~.'h \ - ~'~l~; '~b - I~:~ HAA# GENERAL INFORMATION Complete legal description Lot 17; Chande~le Acres Location (site address or directions) 23740 Chande.CZe Drive Property owner Mailing address Tim Randell Day phone 688-7869 Lending agency Mailing address Day phone Agent Alexander Casanova / FORTUNE PROPERTIES Day phone Address _2525 "C" S~_r~.¢.t, Sux'_t¢. #~00 An~h.n~g¢.~ A£a~ka 99503 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: NOTE: 265-9134 Individual well Community well XXX Public water If community weJl system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER tl)ISPOSAL: Individual on-site Holding tank Community on-site Public sewe~" NOTE: XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev, 1/91) Front MOA #21 STATEMENT OF INSPb.~JTION 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. Name of Firm ~70:;~ E.~lc R[,:er ! oop P, oa, d No. 204 Phone Address E~rjle River, Al~.$1¢a 9~7577 Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. X 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 representations given in paragraph 5 above by an independent professional engineer registered in the Slate of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze ,:Jata before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omission3 in the professional engineer's work. 72-O25 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type IfA, B, orC, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Driller Total depth _ Cased to. Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) FROII~I WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot g.p.m. AT INSPECTION · On adjacent lots · On adjacent tots Public sewer main Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed '-~'- ~ ~ Tank size C~ Compartments CleanoutsX~N) 'V' High water alarm (Y/N) Date of pumping I Foundation cleanout4~C/~N) ~," Depression (Y~"~, Alarm tested (Y/N) ~'~ ~'% Pumper ~ ~ '- ~ ~)~'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANI~TO: ~>.¢ ¢, ~,~ -~.- -~- 1' Well(s) on lot 1'4/,~ On adjacent lots '~'-~'~ ~ ~ ~ ~~ Foundation To property line ~ ~ ~Absorption field ~ Water main/service line Surface ware r/d rainage ~ u~c~ I ~_ 72-026 (Rev 791! Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at "Pump off" level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~ Width '~'~ Soil rating ~--~.-C:>"~-5'~ System type Gravel thickness z~ Total depth Cleanouts present~l) y ~;) ~bedrooms Date of adequacy test for ~9'~' (GL) Total absorption area Depression over field (Y/~[~ Results (pass~ Peroxide treatment (past 12 months) (Y~[~ ~ . If yes, give date SEPARATION DIST.~I~CE FROM ABSORPTION FIELD TO: ~i ~ Well on lot I,~/~k~ On adjacent lots ~ Oc~ Jr' ~ P~operty line \~ To f~xisting or abandoned system on lot Cutban k Water main/service line ~ ~-~ ~-~F_~ Surface water ~ Driveway, parking/vehicle storage area Curtain drain ~-l~v~'~,-~ I~o ~ I~--'~1-' ~::::~--~.-~L To building foundation On adjacent lots '~-~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect of this inspection. Signature Engineer's Name Date S & S ENGINEERING 17034 Eagle River keep Read Ne. 204 HAA Fee $ / Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number February 2, 1993 ROBERT SHAFER, P E ROGER SHAFER.PE CIVIL ENGINEERS (907) 694-2979 FAX 694-!211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST Tim Randell 23740 Chandelle Drive Chugiak, Alaska 99567 REFERENCE: Lot 17, Chandelle Acres Subdivision Dear Mr. Randell, S & S Engineering has performed an assessment of the water and sewer systems serving the referenced property. WATER 8YSTEM~ The property is currently served by a Class 'A' community source well. The Alaska Department of Environmental Conservation (ADEC) has assigned Public Water System ID. #213807 to the water system. Attached is a current letter of compliance attesting to the satisfactory status of the water system. SEPTIC SYSTEMt We initially inspected the septic system for adequacy testing on January 23, 1993 in your presence. We found the liquid levels within the leachfield to be unusually high indicating a supersaturated condition. You directed for the septic system and leachfield to be pumped by JR'S CESSPOOL PUMPING that same day. RO~D DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISIM3SAL SYSTEM DESIGN On January 25, 1993 we returned to the property for adequacy testing. Water was added to the system while water level measurements were taken from within the septic tank and the leachfield monitoring tube. With the addition of 1240 gallons of water, the leachfield was full with liquids draining back into the septic tank. The water flow into the system was then discontinued. On January 26, 1993 we returned to the site. Water was again added to the system. With the addition of 157 gallons, liquids were backing into the septic tank again. This data indicates the leachfield absorbed approximately 157 gallons of water during our 22 hour absence. Unfortunately, to obtain a Health Certificate for a 3 bedroom house, the system is required to absorb in excess of 450 gallons per day. Prior to obtaining Municipal approval, the system will need to be upgraded. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 page 2 Lot 17, Chandelle Acres February 2, 1993 At your request we have developed a prel%minary septic upgrade deslgn/siteplan for bidding purposes. This design is based on soils information taken from the Chandelle Acres file. Prior to obtaining a permit to upgrade the septic system, a new soils test confirming the soils conditions will need to be performed. This preliminary design has been forwarded to TWEED EXCAVATING AND CONSTRUCTION as well as SOUTH FORK CONSTRUCTION for bidding purposes. Attached is our invoice for the well and septic work performed thus far. However, prior to obtaining final approval, we anticipate the following costs to be incurred: Excavate Test Hole Soils Pecolation Test Design Completion Municipal Permit Fee Installation Inspections Municipal Certification Fee $300.00 150.00 200.00 200.00 350.00 170.00 TOTAL $1370.00 If you have agy questions, or if we may be of further service, please contact us. Sincerely, ROGER J. FER, P.E. enclosures DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 Januaw 19,1993 WALTER J. HICKEL, GOVERNOR (907) 349-7755 Scott S & S Engineering SUBJECT: Chandelle Acres Class "A" Public Water System, PWSID 213807 Dear Scott: I have completed a review of this office's files concerning the monitoring status of the above-referenced Class "A" Public Water System and found the following: The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on December 21, 1992. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last inorganic Chemical Contaminants Sample results were submitted to this Department on November 27, 1991. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last Radioactive Contaminants Sample results were submitted to the Department on October 12, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. The last Volatile Organic Chemical (VOC) were submitted to this Department on June 21, 1992. This does meet the provisions of 18 AAC 80.200(a), · State Drinking Water Regulations. Issuance of this letter does not imply that the above-referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst. II '¢ "~', p,*n[ea on recycled paper b y C.[) ?LR & A$$OCIRTE$ P.02 01/28/9:~ 18:50 ~: 987 688 ?829 ;,,~/;l'F/' [drlveu~y or,alli'y p~vrJ~ent, -that children and peri are k~t clt.~t orooo. ~hese fencoo sholl ~ co~tor llno of the run~ny, shall be height nnd chain link. Gates may be cretlon, pro~!dod that the. height oJ purpose of this pnragr&ph to estabIl : struction on lots sdj~cont to the ru ~ents shown on this plat shall ~e u&~ purposes~ power lines nnd telephone shall i~ave'the right o[ access to sa doomed & pecna~ent easement for that specifically ~eserves the ~&me am s height oM quality to OS,L,CO Of the aircraft opurdting st a'point ?S ~oot from tho nifo~ml~ aligned, 42 inchel in otec~e~ at the o~ne[jis dis- lame it 42 lnChel, It ia the ,h · stsnSsr4 for fence, co~- iwmy. Buch (o~cea ere not '~, The:platted utility easu- ~d for underground utility lnes and utility employees ~e. This r~s'triction yhall be )urpo~e. The grantor ~llity eRsement. All sewage disposal systems shall meet F.II.A. r,quirementa and be acceptod by ~hs ,*lunicipality of Anchorage, Depa:' ~mant of Ii,nlrb, I~' REAR Oi~ P~PEHOICUIAR FRO/4 TIlE R~R ~T ~%Ng ~ A DEPTH or FIEI,D aFtRA'lIONS AND NO'ONN~R OF AN) 07 SA,ID ~TS SNALb gRBCT ANY HHICH ~iOit~ FUI,bY DESCRIDBD IN PART D OF TI1~88 PROTgCTIVg I~cirically {urthor reserves that atrium o~ the mS,field esso ~nt referee6 to heretn for the further pur~st o% provtdin9 under TYPES OF APPROVALS DHHS may issue either a full approval or a conditional approval, or may even disapprove the HAA application. Conditional approvals are granted only under special circumstances, such as winter condition~ which prohibit.excavation. In these cases, ~1~e following' criteria apply: {,~,_~,,~,~;~i 1. There is no eminent health hazard created or prolonged by granting the conditional approval. 2. There is no obvious code violation, such as overflowing sewage or an unsealed well. 3. The engineer certifies that there ~ no adverse effect ~Z~;~r~¢~ as a result of granting the conditional approval. When the engineer notifies DHHS that all requirements of the conditional approval have been met, the department will issue a final approval. If the deadline stated for compliance passes without completion of requirements, DHHS will issue a disapproval. HSS 1108 (Rev 9/92) ' 4. There is a date certain set for compliance, and monies are escrowed for completion of the work. CONTRACTUAL AGREEMENT RECEIVED FEB O~pt' Health & Jr.'s Cesspoo! Pumping hereby agrees to service the septic system located at lot 17f Chandell Acers, once a monthw for the months of March, April, May, and June, 1993.or untli septi= repairs are made to meet municipal approval for a three bed=oom home. The owners, Timothy P. and Laurie Randall agree to pay for each service, $72.00 up to ~650 gallons o~ septic waste removed. Paul N. Gibbs Jr., owner Jr.'s Cesspool Pumping T/mothy P. and/or Laurie Randall, owners Lot..17, Chandell Acers ~O'd £O0'ON ~£:£[ £6 8I qad ZOSIz-969-2.06:'131 S3II~3dO~d 3NRl~OJ t APPLIC FILLS OUT UPPER HAL ONLY C -' " Phone F .. 2erty Owner . ,:-. ~,. /.~ ,~, ~ ~.~ ~?,~+J Z L- Buyer Address ??/:,,~:.~, '/-"~ } Zip Code Lending Institution / . Phone Address "'-":~'' .t.:? ' ?; ..... ,.~¢ ..... Zip Code Realty Co. & Agent Phone Address ~?~Vh/ Zip Code Legal Description ~ /~ ,/~?" ~ ::~/-, ~Y,"~ ~,., ~ ~d'~,' '~ ~ Type of Residence ~ Single Family : Multiple Family No. of Bedrooms ~,~ [] Other Water Supply [] Individual ATTACH VVELL LOG. A well log is required for all wells drilled since June 197,5. [] Community For wells drilled prior to lhat date, give well depth (attach log if available). [] Public Utility Sewer Disposal ~ /~ ~: [~ Individual ¢' Year Individual Installed: [] Public Util!ty When Connected to Public Utility: [] Holding Ta'hk NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION SEP 1983 RECEIVED ) *CONDITIONS OF APPROVAL APPROVED BEDROOM8 ( ) DISAPPROVED ( ) CONDJTIONAL APPROVAL* BY: ,,~--'-~' -- Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72.023 13t82)