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Home My WebLink AboutSTEELE ESTATES LT 8 Municipality of Anchorage Page J 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: '~'/~'-]~ ~7-~ PID Number: ~] ~ i~Z.-- ~ Address: Phone: J NO, of eedrooms; LEGAL DESCRIPTION Block: Subdivision: Wastewater System: J~'New [] Upgrade ABSORPTION FIELD DeepTrench [] Shallow Trench []Bed []Mound E~Other Soil Rating: /. ~ GPD/Sq. Ft. Total eepth from~original grade: Gravel depth beneath pipe Township: Range: Section: Fill added above original gr .ade: Gravel length: J ~ Ft, WELL: ¢~JNew [] Upgrade Gravel width: Classification Private. A.B.C).: Total eepth: Cased TO: ]Total absorption area: _ I* Ft. ¢/'¢0 Yield:~. GPM J Pump¢,Set ffca': ~ R. JCasing Height~Above+ Ground: JFt. From we,- surface Water Lot Line Foundation Curtain Drain Remarks: SEPARATION DISTANCES To Septic Lift Number of lines: 0istance belween lines: Pipe material: SQ. ~. '5~'~ ~ Cate installed; TANK '[~iCSeptic [] Holding [] S.T.E.P. Capacity LIFT STATION Size in gallons I Manufacturer: "Pump on" level at: J "Pump off" level at; J High water alarm at: JElectrical Inspections performed by: BENCH MARK Pump Make & Mo(.el Location end Description;~ Dates: ls' Assumed Elevation:/~1~ ¢~ ENGINEER'S SEAL Inspections performed by: Department of Health and Human Serv, ices approval Reviewed and approved by: ~'~ ~ /~,¢~ Date: 72-0!3 (Rev 9/91) MOA 25 / / / ! ? ! / / / / ! / / / I'RENSH \ \ \ \ TRENCH ~ to? OF CA,NO zgEPTH 9 FTW' ~eZz. Assu.~£o £LEV. TIVE £DCK PEPTH S FT LENONT 40 FT 4 FT SWING ~'IES: \AB 2~ FT ~Ac 72 ,~g 48.5 IO0. O~FI~ \ TOBBEN SPURKLAND P.E. 205 W i5TH. AVENUE ANCH. AK. 9950! (907) 279-5916 II STEELE EST. LOT 8 C ~ I CONSTRUCTION i7545 SANTA ktARIA DR. ER SEPTIC SYSTEIvt AS BUILT DATE: DEC. IL 1997 SHEET: 2J5 GRID: NW1562 PERMIT # S1~970377 PIP # 051-Ic°~-68 STEOB08?,])I(6 REPL4CE)2ENT TRENCH Standard TreDchms~ P£1WARY TRENCH 12+ Fl'. Cleon 0<~0 OI-- lO00 9ol Septic tank O Foundotlon O/eob CmS 91.3 SILT B,qE'RIER 85.8 5,0 £~ o£ Septic Rock -- Cleonoufs Monltom ~ 4' Cover 95+ /NV 9 85.8 NO SCALE [x/si:, 6round 4' I~in Cover ~ /I Tank 91.75 lO00 gal, ¢,epf. ict. onk PENCH NAP/(, TOP OF WELL CAS/NO ASSUI~ED ELEK 100.00 FT TBBBEN SPURKLAND P,E, ~03 W15'th Ave Anchorage Ak 99501 STEELE EST. LOT 8 C ~ T CONSTRUCtiON SEPTIC SYSTEM AS BUILT DATE, DEC, IL 1997 SHEET, GRID: N~i56£ PEEWT NO. SW970377 P/D NO. 051-122-68 STEOOO83. DWG . ~- 8t-:ii30' DEPTH PERMIT NUMBEF~ ~_~__~. ~_ Date of issue TAX INDENTIFICATION NUMBER 0__~'/~j-~)~ ~°c~- is well located at approved permit location? ~.A~-$ ~ NO Method of Drilling: ~otaw L~ ceble too! Depth of well: ~ ~ / Casing Type ¢~)~L . .Veall ThICKneSS ,~ . Inches Diameter ~ ii _ir~ches. dep 1 ..... Z~ ......... feet Liner Type: _-/~.~_~ ~= .......................... Casing St ckun Above Gronnd: ~ ................. feet Static Water Level (from ground ~eve~: ...._~ .... feet Pumping eve .feet 9~r _ hfs, pumping _~ gpm 1 Recove~ Rate: ~'0 ....... gp,m Method of Testin!]: Well Intake Opening Fype: _~¢n End ~ Open Hole ...~ ~1 Screened; Depth: from__ ~ .......... fe(;t, iD ...... ~ feet Pump r tak:e Depth: ....................... feet W/ell Disinfected Upon Completion? ¢l~s t.-] No Method of Dis 'feet DP %.~_..~(~ ........ ¢~(~¢~ ....... ATTENTION: It is the responsibility of the property owner to SUbmit a copy of the well log to tho proper authority, MdnioipaJ of Anchorege; Department of Health & Human 6ervJoes and/or Department of Environmental C;onse~ation. MatSu Borou.( Department et Erwironmental ConservatiOn. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUM~ SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALAS}CA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970377 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NANE:S~EELE--MDzR-K J &--F~LEEN~-- OWNER ADDRESS:C&T CONSTRUCTION 17343 SANTA MARIA DRIVE, ER, AK 99577 PAGE 1 OF PARCEL ID:05112268 LEGAL DESCRIPTION: STEELE ESTATES LT LOT SIZE: 49231 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:10/22/97 EXPIRATION DATE:10/22/98 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 (18~AC72) 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 ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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 SANE DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: ~ 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN STEELE ESTATES S/D LOT 8 C & T CONSTRUCTION Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 We are submitting an application for the installation of a well and septic system for this lot. The submittal consists ofthme (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and septic system are subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes am also enclosed. The septic system design is based on the following: No Ground Water or Impervious Layer to 15 ft. Use Standard Trench Soil Rating. 1.2 gal/sqft/day Required Area per Bedroom: 150/1.2 = 125 sq.ft.. No. Of Bedrooms 3 Total area required: 3 x 125 375 sq.ft Bottom Rock At 9 feet Top Rock At 4 feet Rock Depth 5 feet Total Trench Length 375 / I0 = 37.5 ft. SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 40 FT TOTAL WIDTH 2 FT TOTAL DEPTH 9 FT ROCK DEPTH 5 FT COVER 4 FT SEPTIC TANK 1000 GAL MUNIGIPALIIY OF ANCHOP~C~L~ ENVIRONMENTAL SERVICES 01VISION OCT 0 8 199'/ RECEIVED The installation of this septic system will not prevent wells from being installed on the adjacent lots. Them are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system wi Il not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2 3- 4- 5- 6 7 8 9 (ENGINEER'S SEAL) DATE PERFORMED: 10 11 13- 14- 15 16 17 18 19 20 Township, Range, Section: SLOPE J ll WASGROUNDWATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SITE PLAN F~eading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ TEST RUN BETWEEN DISCLAIMFR: Groundwater conditions indicated are for the Past and future presence and/or depth of groundwater can from these ooser~_vations. . (minutes/inchJ PERC HOLE DIAMETER __ FT AND FT dates shown o,ly. not be predicted PERFORMED BY; I ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE: 72-008 (Rev, 4/85) ~ ~-~ [ t ~ ~- 50 0 50 100 150 £00 850 300 ?£ALE; /_' = 108 F~, TOBBEN SPURKLAND P.E. 205 W 15TH. AVENUE ANCH. AK. 99501 (907) 279-5916 STEELE EST, LOT 8 C k T CONSTRUCTION 17545 SANTA MARIA DR. ER SEPTIC SYSTEM DESIGN DATE: OCT. 08, 1997 SHEET: 1/5 GRID: NW1562 PEPHIT It P[D # S?£OOOS1, DV6 / / / ! ! / ! / $// 0 ! I I / / I I I SCALE: !" = ~ FT. TRENCH \ 6AL SEPTIC TANK TOBBEfl SPURKLAflD P.E. 205 MI 15TH. AVENUE ANCN. AK. 99501 (907) 279-5916 STEELE EST. LOT 8 £ & T CONSTRUCTION 17545 SANTA ~~ARIA DR. ER SEPTIC SYSTE// DESIGN DATE: OCT. 08, 1997 SHEET: 2/5 GRID: flW1562 PERMIT # PLB II STEOOO82.z9~/5 REPLACEMENT TRENCH Stondord ?renches~ £' ~l/de 40' Lon9 12~- FL 9' Deep ~0' Sewer roe~< I d' Cover NZ7 S£ALE Pouble C(eon Outs F11000 901 Septic Foundo t. lon Cleon out Cteonoufs MOD/tOm 4' Cover Exist, Ground 4' M/n Cover Ton/< SILT 5,0 Pt oF £eptlc ND SCALE ]000 SoL sepfic toni< BENCH MA£~ TO,BEN SPURKLAND P.E, ~03 WiDth Ave anchoroge Ak 99501 EST. LOT 8 CONSTRUCTION SEPTIC SYSTEM DESIGN I DATE: OC~, 8, 1997 SHEET, .~F/S GRID, /V~/]56c° S?EOOO83. DWG PERMIT NO. SW960XXX PID NO. 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 I Parcel I.D. # O,.~1- I~.~-~ ~ ~ 1. ~ENERALINFORMATION Complete legal description haa # LoT P> Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent ~v~ Lo ~.~ t ~ V~'~ Address ~¢~'~ C~'4"vL*-~''¢~:~ ~"~ Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ Day phone TYPE OF WATER SUPPLY: Individual well Community well Public water 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 NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~25 (Rev. 1191) Front MOA#2[ 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 structu re 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. NameofFirm -~o~.~,~ ~,,r~,'.~t~L~.~/(~ ~'~-Y,--~ Phone Address ~-¢ ~ ~ l ~,L~l' P/ Z-0 '5 = Engineer's signature D,H/~ SIGNATURE · Approved for bedrooms. Disapproved. 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 State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in orderto 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. 72-025 (Rev, 1/91) Back MOA ~1 ENVIRONMENTAL SERVICES DIVISION Municipality of Anchorage FEB,.]2 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division R E C E ! V 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: Health Authority Approval Checklist A. WELL DATA Well type Log present (Y/N) '~' Total depth / Sanitary seal (Y/N) Date of test Static water level Well production FROM WELL LOG IfA, B, crC, attach ADEC letter. ADEC water system number Date completed 10 -' Z..~. ~ ~ 7 Cased to ] ~ ~ Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform ~ Date of sample: ~'//Z-/~ Nitrate Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed. ~FS"/~ ? Foundation cleanout (Y/N) Date of Pumping ~"~/~ Tank size )O~--P Number of Compartments ~ Oleanouts (Y/N) . ~'/ Depression (Y/N) ~ High water alarm (Y/N) Pumper C. ABSORPTION FIELD DATA Date installed II/~/~7 Length /--~0 Width Effective absorption area Date of adequacy test Fluid depth in absorption field before test (in.); Fluid depth. (ins) Minutes later:. Peroxide treatment (past 12 months) (Y/N) Soil rating (g.p.d./fF oral. eden) ), ~ System type '~C~ Gravel thickness below pipe ~,~ Total depth Monitoring Tube present (Y/N) ~'/ Depression over field (Y/N). Results (Pass/Fail) For Immediately after U~gal. water added (in.): Absorption rate = g.p.d. If yes, give date bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION ~,~/;, //..~ Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* "Pump off" level at* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES Absorption field on lot Public sewer main SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot j O ~ t 1',I/A . Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation '7 Property line '5 ~ '~' Absorption field I 0 I Water main/service line t~O ~ Surface wateddrainage '1~ / 0 Wells on adjacent lots '7 ,' ~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Surface water Curtain drain Building foundation ],,~ Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots '~ /¢o ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer s Name Date HAA Fee $ ~ ~ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number