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Home My WebLink AboutHANSEN SAND LAKE LT 5 S2/3 Municipality of Anchorage Page [' of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: '~:~4-1D 'Z.I~ PID Number: Ot~ -- Name: ~~ ~ ~ Wastewater System: D New ~ Upgrade Address: ~' ~ ABSORPTION FIELD Phone: ~_j~ No.o~edrooms: ~ Deep Trench ~ShallowTrench DBed ~Mound OOther Total Depth ~om original grade: LEGAL DESCRIPTION so~,,~i~: I-~ ~s~.~. ~.?'- 7.~ Lot: Block: Subdivision: Depth to pip~ boltom from original grade: Gravel Cepth beneath pipe ~ ~ ~~ ~3 ~F ~ 4.4'- ~..7,Z' R. ' I.~' ~t. Township:~/~ J Rang~/~ Secfi~ Fill added abov~iginal grade: Ft. Gravel length:~ Ft. : D New D Upgra i Gravelwidth:~ / Numbo~of lines; Distance~lweenli~es: Classificati~,~C): ~ Cased To: Total absorption area: Pipe materiah c ~ / Ft. Ft. ~~ SO. Ft. ~0~ ~ Y~ PumpSetat:~c~~ TANK ~ GPM Ft. J ~ SEPARATION DISTANCES ~Septic ~ Holding D S.T.E,P. To Septic Absorption Lifl Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Slation Tank Sewer Lines ~ ~ ~ ' ~ ~ I Lot Size in gaHons: ~ ~ F I~ Remarks: ~X~C~ d°~ 5~p BENCH MARK Location and Description: Assumed Elevation: ' ' 1~, oo ft, ENGINEER'S SEAL ~:..,.~/~.~ ~'1. Inspections performed by: ~~: : ..... :-'Dates: 1st ~ J~'~//]4~/~ _~. ~"'~"~"""[~'~ ..... Department of Health and Human Services approval ~'z.2 .... Beviewed and approved by: Date: /~ -~- ~ 72-013 (Rev. 9/91) MOA 25 Permit No. ~4~0 z. lq Page --~ of. ~ 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: ~/'3 op L~-~ ~" PID No.: '7-'i ................ ~-- ~"i~-~-~0~ ~e-~ / ~ = ~' ~ ~ ~ ~ / ~ / ~ ~ ~' / ~= ~ ~+ / ~ ~= / ~ / C~'~,~,~ ~'~ / ~ ' -~ / ~ - ' / ~/ / L.~ ~,~*~ ~ /. ~ / ~ ~, ~ ~ o ~ ¥....J....:.... ........ .i. ...... n.-..../ ..................... ~..-.-~..~-.~ ............... e/L...¢/o...:.....~......./ ......... ~.....?~,.....~ ..................... ~----~ ............................... ~ .......................................... ................................... ~ ........... ~ ....................... ~ ........................................................................ ~ ............... ~.,~,.. ~ ~~ ~ ............. · , .... ~ ~ ~ ,.~-~,.> ~ ............... ......................................... ~ ............ ~ .................................................................................... ~ .................. ~..~.;..~ ..................... ~, .......................... ~ -, : ~ . :~. I~= I ~ ' . ~... ..... )00 72-013 A (1/93) * RECEIVED SEP 2 1 1994 D Municipality of Anchorage Health & Human Services PERMIT NUMBER:SW940219 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES OWNER NAME:HARNISH GREGG C OWNER ADDRESS:3525 W 73RD AVE ANCHORAGE, AK 99502 PARCEL ID:01215302 PAGE 1 OF 1 MUNICIPALITY OF ANCHOPJtGE P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT DATE ISSUED: 7/01/94 EXPIRATION DATE: 7/01/95 LEGAL DESCRIPTION: HANSEN SAND LAKE LT 5 S3 LOT SIZE: 53750 (SQ. FT.) IFgMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 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 RECEIVED BY: ~~-~ DATE: DATE: Alaska Water & Wastewater Services "Preserving The Last Frontier" June 28, 1994 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for Lot 5, South Hansen Sand Lake Addn. To whom it may concern: Attached is the application, site plan, and design drawings for the subject septic system upgrade. Comments regarding the proposed system are as follows: 1. TRENCH DESIGN: As can be seen from reviewing the attached percolation test results, the soil "perked" faster than 1 minute/inch at the location proposed for the system. I am proposing to use the insitu sand, beneath the gravel, for a filter. I have submitted a sample of the sand with this design. Clearly, it is a clean sand, and it is my belief that a sieve analysis is unnecessary. However, if you deem it to be necessary I will have it done. Please specify if this will be required on the permit. I am proposing to use an application rate of 1 gpd/ftz. Since the existing home has 3 bedrooms, the total design flow is 450 gpd. Based upon this, the minimum amount of absorption area is 450 ft2. The proposed trench is 5 feet wide, 6 inches deep and 90 feet long, providing an absorption area of 450 ft2. SURFACE WATER: None observed TOPOGRAPHY: No slope concerns I am unaware of any negative impacts that this installation would impose on adjacent ~ells, or septic systems. If you have any question, please call me a 337-6179. /t Jeff/~A/./Garness, P.E~, Owne~¢Con~ultant Harnish2.WPS Telephone: (907) 337-6179 · Fax: (907) 338-3246 · 8471 Brookridge Drive · Anchorage, Alaska 99504 ~ct.~ :L / / / / / / / / / PERFORM~=D FOR: LEGAL DESCRIPTION: 1 2 3- 4- 5- 6 7~ 8 9. 10- .11 12 13 14 15- 16- 17- 19- 20- 'Municipality o! Anchorage .DEPARTMENT.OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 9950~0650 so'lEs LOG -- PERCOLATION ~,EST ~nge, Township, R. Section: SLOPE WAS GROUND WATER I~COUNTERED? IF YES, AT WHAT DEPTH? Oeplh to Water Aller Monitoring? SITE PLAN I I Reading Date T!me Time Water : Dro~ PERCOLATION RATE '~ i (minules/inch} PERC HOLE DIAMETER ~ // TEST RUN BETWEEN ~''* ~'- FT AND ~-~* (~ , FT " 9OMMENTS ~ PERFORMED BY' .,~r_.scT-~_ ~:~d~S~ G~--'~ ~---'~ '~ CERTIFY THAT THIS TE,~'T WAS PERFORMED IN · ,, z ' 72~8 (Rev. 4/85) 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. # 017- GENERAL INFORMATION Complete legal description ~'/~ ~o'F L~T '~' Location (site address or directions) Property owner Lending agency Mailing address Agent Add ress Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: "~ 3. TYPE OF WATER SUPPLY: Individual well Community well NOTE: 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Pub iic sewer NOTE: If community Wastewater system, provide written confirmation from St~e ADEC attesting to the legality and status of system. 72-~25 [Rev. 1/91) Front MOA¢~21 Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of sYStem. ..- . Day phone ,,',v/~- Day phone Day phone ~,Z.//~ 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations inA~affs~Cat~ar~etrt3&e date of this//inspection. Wastewater Services Name of Firm 8471 Br~0kdd.qe Dr. Engineer's signature /~/~'~// DHHS SIGNATURE Approved for 3 Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date ~,/O - ~" - ~,¢ '~The M~Jr{ic(',P, ality of A<A-dh~)rage Department of Health and Human Services (DHHS) issues Health Authority '~,.pProval d~rtificat~"6a~'ed only upon the representations given in paragraph 5 above by an independent pro[essmnal.,.,. · .... engineer_,, ,reg stered ~n the State of Alaska. The DHHS does th s as a courtesy to purchasem of homes and their, landing ~nsbtut ons in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analy~e, data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the p.rofessional engineer's work. 72-025{Rev, l/91) Back MOA#21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: MUNICIPALITY OF ANCHORAGE ENVl/~NTAL SERVICES DIVISION '~ 211994 RECEIVED LO't' ~' Parcel I.D. A. Well Data Well type ~ (2.t Log present (Y/N) -~Total depth J JO)/ ? Cased to Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number N/A Date completed l°[ 5'7_ . Driller uN 4o/.t- ~ Casing height I Wires properly protected) ,,/.~ c~ FROM WELL LOG Date of test N J Static water level / Well flow Pump level1 g.p.m. ~" ~ + SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot 10~/ - Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank ~.'~ ICC)/ WATER SAMPLE RESULTS~//~/~.- Coliform ~ Nitrate [.~,~/,J~ ([J'~_ Other bacteria Date of sample: B. SEPTIC/HOLDING TANK DATA / Date installed c/// C/4. Tank size Clean0UtS (Y/N) ~'~-~ Foundation cleanout (Y/N) High water alarm (Y/N) Dat~,of PUmping · hJ~.~ ~- ]0~)4) ~,~... Compartments ~7-~o ~'P__.--q Depression (Y/N) :/JO Alarm tested (Y/N) ~/~ Pumper sEpARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: (~ ~ s ~ o,,~ c,-r,-/ lu~.o Well(s) on lot , I ~ - On adlacent ots ~ Foundahon To property line ~" 7-'-+ Absorption field ~*'* Water main/service line Surface water/drainage 72-026 (3/93)° Front CONTINUED ON BACK PAGE C. LIFT STATION ~ ~ Date install'~ Manufacturer / Size in gallons ~ Manhole/Access (~ Vent (Y/N)__ __~ ~ ......~"Pump off" Level at High water alarm level ~.~ Cycles tested ~ D. ABSORPTION FIELD DATA Date installed c~/?~_ ?/.z../~4' Soil rating (GPD/Ft2) /. Length ~0' Width ~ ~,.-~/ Gravel thickness ~ Total absorption area ~ ~,~, ~=7'~leanout present (Y/N) ~-----£ System type Total depth Depression over field (Y/N) Date of ade uac test /'J~-~'J Results (pass/fail) ~~ for '~ Bedrooms q Y -- /, -- Water level in absorption field before test /',//~, After test Peroxide treatment (past 12 months) (Y/N) /v/~ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: ~.~ c~r-~:~- ~oq'~ oM c,'m-/ / ~' [C)(~~ ~ ~ /~ --'~ .._.._.~.~3 Wellonlot tO.~ 4. __On adjacent lots (_.?~[v~,~,.~ Propertyline - __ __ To building foundation ~, ~ ~ To existing or aoanaoneo system on ~m --' ~ - On adjacent lots~'~'~-"n'o~ ~ ,~°~'s~,-.~ Cutbank ~ / Water main/service line Sudace water - Driveway, parking/vehicle storage area /¢' -- Curtain drain E. ENGINEER'S CERTIFICATION I ce~'fy that I have checked, verified, or/.onformed to all MOA and HAA guidelines in effect ont_l~c~f~ this inspection. Date ~/[~'/~'" '~~~./~'~'~ ' HAA Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number .:::., ::i: Alaska Water & WasteWater Services':'ii: "Preserving The Last Frontier" FAX : 338-524'6 Il DATE: NUMBER:OF PAGES: ..... (Including Cover) · T0: M, 0, A ~ FROM: Telephone: (907) 337-6179 · Fax: (907) 338-3246 · 8471 Bro0kridge Drive · Anchorage, CT&E Ref.# Client Sample ID Matrix Client Name Ordered By Project Name Project# PWSID Commercial Testing & Engineering Co. Environmental Laborato~ Services ~,~-j~,,ar~r,~r,~',~',~,,~',~',~,ar,~',~',~r,~',~r~',e · ' -.. LABORATORY ANALYSIS REPORT 94.454'4-1 HANSEN SAND LAKE ADDN; SOUTH 2/3 LOT 5 WATER AKWATER& WASTEWATER SERVICES JEFFREY A. GARNESS UA WORK Order 81977 Printed Date 09/08/94 ~ 15:20 hrs. CollectedDate 09/05/94 ~ 19:00 hrs. Received Date 09/06/94 ~ 14:00 hrs. TeclmicalDirector STEPHEN C. EDE Sample Remarks: ROU'I'INE SAMPLE COLLECTED BY: GARNESS. QC Parameter Results Qual Units Allowable Ext. Anal Method Limits Date Date Init Nitrate-lq 0.10 U mg/L EPA 353.2/300.0 10 09/07/94 CIVlR * See Speciai Instructions Ab ove UA=Unavailable ** See Sample Remarks Ab ove NA = Not Anaiyzed ,, U = Undetected, Reportedvalue is the practical quantification limit. LT= Less 2ban B D = Secondary dilution. Gl'= Greater Than 5633 B Street, Anchorage, AK 99518-1600 -- Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA CO'MM'ERCI'AI~TESTING & ENGINEERING CO. ENVIRONMENTAL LAEIORA'tTORY SERVICES Drinking Water Analysis Report for Total Coliform Bacteria READ INSTRUCTIONS ON REVER~E SIDE BEFORE COLLECTING SAMPLE MUST BE COMPLETED'~¥ WATER sLrPPL~R ~mVATS WATSn Alaska Water & : kaz ~umber '~astewater Services ' /hi ~rookdrJge Dr. -- ch., AK 99504 SAMYLE DATE: Month Day Year SAMPLE TYPE: ~ Routine O Treated Water [] Repeat Sample (for routine sample ' D Untreated Water with lab ref. no. )' ' [] Special Purpose Time Collected SA~M~PLE LOCATION Collected By Pl~e ~t Comments: 5633 8 STREET ANCHORAGE, AK 99518 TEL: (907) 562.2343 FAX: (9071 581.5301 TO BE COM~PLETED BY LABORATORY Analysis shows tiffs Water SAMPLE to be: ,,~ Satisfactory 13 Unsatisfactory O Sample over 30 hours old, remits may be unreliable [] Sample too 16ng in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received Time Received /~o O Analysis Began Analytical Method: ~ Membrane Filter ': [] MMO-MUG * Number of colonies/100 mi. Lab Ref. No. Result* oe.t m ,,~.u.r..,... Fbks Jun Client notified of unsatisfactor3' results: Phoned Spoke with Date: TiNe: BACTERIOLOGICAL WATER ANALYSIS Pd~CORD E. Coll Colonies/100 mi /~[O-M'UG Result: Total Coliform lV~embrane Filter: Direct CouniI: ~" ::' I~'~ "(5~_:i:':- Verification: LTB '----- BGB '--"-' Time Fecal Coliform Confirmation Final Membrane Filter Results ' · Reported '"-',SEP 7 ~GS U, ember O[ lhe SGS ENVIRONM.=NTAL SERVICES IN ALASKA· COLORA20. UTAH, ILLINOIS. ; Coliform/l O0 ml hrs Analyst~ Faxed [] Faxed rArl'C ~ Too A'um~rous To Count ... 'OB -Oth*r Bam'erla PART fiNE OF TWO: .... I ~ REi?AINDER Tp. FOLLOW- [ Drinking Water'Analysis 'Report. for Total Coliform Bacteria READ INST:RUCTIONS ON REFERSE S12)E BEFORE COLLECTI:YG SAMPLE Commercial Testing & Engineering Co. ,. 5633 B Street Anchorage, AK 99518-1600 Tel: (907) 562-2343 Fax: (907) 561-5301 MUST BE CO,NWLETED BY WATER SUTPL~R PUBLIC WATER SYSTENI I.D. PRrVATE WATER SYSTEi~I . r Alaska Water & 8471 Brookridg~ Dr AnCh 6~ oo~4-" Treated Water Untreated Water Month Day SA}vWLE T~TE: Routine Repeat Sample (for routine sample ~Sth lab ref. no. ) S~ecial Purpose Time Collected SAM~PLE LOCATION Collected By TO BE CO:'v[pI~ETED BY LABORATORY .&'aak'sis shows t?fis Water SAxMPLE to be: ~' Safi~ac[o~" U~a~sfactO~ S~ple over 30 hom-s old, respa may be m~e!iab!e S~ole too long ~ ~ansit; s~mple should not be over 48 no~s old at exa~nauon to Lndicate reliable res~B. Pleae send new sample ~Sa ~ecial deliv~' mhl. Date Received ~[ ]~ Anab~ical 5'Iethod: ~mbrmne Filter g ~O-~O * Number ofcolordes/100 mi Lab Ref. No. Result* Analyst 4070'_a2 [W~ Sent to A.D.E.C. ~ Fb'ks Jun Date: ql td,'lc~ Time: I' Client notified of unsatisfaetoo' resulm .F-I Phoned Spoke ~Sth - Date: Th'ne: Faxed [] Faxed BACTERIOLOGICAL WATER AaNA_LYSIS RECORD MMO-b'fUG Result: Total Coliform F__. Col; Membrane Filter: Direct Count Verification: LTB BGB Fecal Coliform Confirmation Final Membrane Filter Results .~' COLIFERM Colonies/100 mi ColifortiV106'mi T~e lC, oO ~ C oig. z.'ileilLs; Member of the SGS Group (Soci~t~ G~n~rale de Surveillance} ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA. ILLINOIS. MARYLAND. NEW JERSEY. OHIO, UTAH, WEST VIRGINIA ! 09:48 CT~E ENUIRONMENTAL LAB SERUICES '~ Commerc,al,.Testlng & Engineering Co, IS. o~. Environlmental Laboratory Services '"'=' '°~' ,': ,,. 5633 B S~ Anchorage, AK 99fil 8-160_ Dr/~ing Wa{ir Analysis RePort for Total Colifoml Bacteria Ye,: 1907} ooU-2.'t4 F~x: (90'/1 56'1 READ INSTRUCTIONS O.N t~P75RSE STD£ BEFORe5 COLL£CTI:YG S/L~tpL~ SAMPI.E DATE: Mouth S.~...'V~ LE TYPE: Routine Repeal Sampt~ (for routine'sample ~tb lab reft no. ) Special Purpose ~3 ~,~m CAe-r= mo0~. Da)' Year 0 Treated Water 0 Untreated Water Time Collected CoLlected By 7~ et~ ~s ?l*"a, ?,.~.t : TO' BE-~'0~LETED BY I&BORATORY ~,..-.~si, shows :bJ~ Water S.~MXgP!.E m be: ~ Sad~actoo' o U~xsaQsfactory n0~$ n Sample over 30' be ~eliabl¢ 0 Samola too tong in txasit; s~mpl.e not 1~* ova: 48 hours old to [nd[calc reliable An aly~i.q Began Analytical blethod: .~/M~mbr~e Filter D I¢UvfO.IvfUO * Number of co!onles/!00 nd. / Lab Ref. No. Result* Analy{:/. 40912~ ' ' .~'{,t w ..~.~,.~,~.,, ~ ~b~ Jun . T CI/eut s~otified or unsatidactoD' results: Phoned Spoke ~th Date; .... T~: BACTEI:LIOLoGIcAL WATER :~N.4.LYSIS 1R~ECOR_D MMO-M'UG Re~ultt Total Cqliform Membrane Filter: Direct Cos'or : Verification; LTB __ BGB Fecal Coliform ConFutation Final Membrane Filter R~ult~ ~t~, tag. P_ .J,.1.'[1994. Reported By. ~'~'/ Dare /" ,~ Coli O Colonies/100 mi COLIFIiRM Celifor~lO0 ml ¢ ~~Member ol tho SG$ Grou~ G4o~rele Su~eiU~ce) ~NVJRONM~AL ~ACICITI~S IN A~, COLORADO, PLORIDA, ILLINOIS, MARY~ND, N~W'~R~Y.