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Home My WebLink AboutGATO DEL SOL LT 1 Municipality of AnchoragePage ! 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: ~'~/~'~_f)O .~ ~, PID Number: Name: ~ ~, ~ ] ~ ~ m Wastewater System: ~ New ~ Upgrade Address: J ABSORPTION FIELD ~¢ '~1 ~ ~ ~ Deep Trench ~ Shallow Trench ~Bed UMound UOther LEGAL D ESCRI PTI O N so~, Rating:~, ~ GPD/Sq. Ft. Total Depth from or,~al, grade: L : ~ ~ ~ ~ k ~ Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: Range: Section: Fill added above original grade: Gravel length: WE L L: ~New ~ U pg rade Orave~ width: 1~ Ft. Number~of lines: Distance between~ lineS:Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. ~ 5 ~ SQ. Ft. Driller: Date Drilled: Static Water Level: In~aller: ,Yield: GPM Pump Setat: F. Casing Height Above Ground:Ft. ~ i TANK SEPARATION DISTANCES ~Septic U Holding ~ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank S .... Lines ~ Material: Number of Compartments: s.,f~c~ ¢ ~¢0+ -- LIFT STATION Water J ~ ~ ]~O ~, Lot O~ Size in~~ Foundation ~+ ,~ ~ -- "Pump ~~alarm at: Curtai~Drain /~ /~ /~ /~'~ /~ ~ Pump~ Electrical Jnspections performed by: LocaUon and Description: / j ~ Assumed Elevation: ENG ~EER'S SEAL ~opadmen~ o~ H t d Hum Serwcos apprCval] Reviewed and approved by:~~ (~ Date:// 72-013 (Rev. 9/91) MOA 25 Permit No. ~;/,~,~)~ 5'~ 1 of 5 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 AnchorGge, AlaskG 99519-6650 Telephone:543-4744 On-Site Wastewater Disposal System and/or Well Inspection Report 015-472 27 SPLIT Leg~]l Description Lot 1, Block 1 GATO DEL SOL PID No: iLNOTpRoCESS 2 7 WELL WELL I WELL LO, 2 APPROX. LOC. SEPTIC AREA 1 12 th AVE. Permit No. 500 ~,~ 5 ~, Page 2 of 5 Municipality of Anchoroge DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Aloska 99519-6650 Telephone:343-4754 On-Site Wastewa~er Disposal System and/or Well InspecUon Repor~ 015-472-27 SPLIT Legal Description Lot 1, Block / GATO DEL SOL PID No: i~O~RoCESS .SEPTIC SYSTEM PLAN VIEW 1" =50' DESCRIPTION NOTES BM A~ ASW PROPER~ CORNER EL=100I 1. CO~CTOR TO VERI~ NIN. SQ. FOOTAGE BM B B NW PROPER~ CORNER PRIOR TO P~CING TOPSOIL, .' OF SEPTIC ~S. AS BU LT " ~, DIS~RBEO AR~ SHALL BE SEEDED TO PRINT EROSION. DraINS W~HIN 100 OF ,o FE~ FROM PROPER~ 6,A*LD.H.H.s.CONSTRUCTION STANO~DSHALL SRECIFICATIONs.CONFORM FROM A~OINING WELLS PRIOR TO EXCAVATION OF SYSTEM. -~ one3 Perm([ No..~t,..) ~/~ O~ 5' ~ 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 015-472 27 SPLIT Legal Description Lot 1, Block 10ATO DEL SOL PID No: iLNOTpRocESS ORIG. GRADE FINISH GRADE SEPTIC SYSTEM PLAN VIEW HORIZ 1"=40' VERTICAL 1"=4-' D~.ours ^~ , ~ c~°~~°~~ C~. TANK~ . o ~ ~' I 2" 94 42' I ~ ~¢~ ......... ~,,,,~.~,_ ~.-' A "-~ ~..- · ~ '..~5 ~....;.~? ...... ABSORPTION SYSTEM PROFILE H~RiZ 1"=20' VERTICAL f'=lO' PROPOSED COVER I I~h~'q~THS MEASURED FROM:r'3casing top ~ground surface · :JlI~N~LE DATA: Depth .:Nlate~tal Type and Co~ot From To WELL DEPTHs. Depth of hole: · -~' ~, '~ f DATE OF COMPLETIOiV ~ '-~ft below ~ tb~ of easing ~ ground M~HOD OF DRILLING: ~ air ro~ary ~ cable to~ ~ other ~SE OF WELL:~ ~omostiC ~ I~tl~atlOn ~ ~ public supply ~ot~er . . W~ INTAKE OP~O TY~E~ ~ open end D Perforated ~ ~01~ ' Depths of openings: _ ., . _ to .... . ....~ _ ft Slot~esh ~ize:. . Length: G~VEL PACK TYPE: VD=urea,used; ~. Depth to top~ ............. GROU~ TYPEt · Volume: PUMP INTAKE D~P~Hi. - ~t PLEASE MAIL WHIT£ COPY OF LOG TO: DN~1pJVISION OF WATER PO ~3OX 772116 F~£1~ fli~'ffR AK 99677.2116 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930056 DESIGN ENGINEER:ARCTIC SLOPE CONSULTING GROUP OWNER NAME:PATTEN ALLEN OWNER ADDRESS:ill61 HIDEAWAY TRL ANCHORAGE,AK DATE ISSUED: 4/12/93 EXPIRATION DATE: 4/12/94 PARCEL ID:01547227 LEGAL DESCRIPTION: T12N R3W SEC 24 SW4SW4NE4NW4 LOT SIZE: 54450 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / 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 (18AAC80). 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: ASCG Calculations System Calculations for LO1 1, BLK 1 GATO DEL SOL 29-Mar-93 Page 1 of 1 Tank Size 4 Bedrooms = 1250 Gallons Absorption Field Sizing MUNiC~PAUTY OF ANCHORAGE ENVI~ONM[..NTAL SERVIC.~S DIVISION' ,'.?~ 0 2 199;5 RECEIVED Using an acceptance rate of 0.8 gal/SF/day ~' and a daily load for 4 bedrooms of 600 gal/day. Req'd Absorption Area = 600 gpd / 0.8 gpd per SF = 750 SF--~''~ System Dimensions 42.0' X 18.0' = 756.0 SF The laterals are to be spaced 6.0' apart and 3.0' from edge of the bed. Per.mit No. 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 andJor Well Inspection Report 015-472-27 SPLIT Legal Description Lot 1, Block 1 GATO DEL SOL PID No: iLNOTpRoCESS 5 ~. II : BM Ak~ ASW PROPER~ CORNER EL=lOOm ~ BM B~]BNWBMPROPER~A BM B CORNER . · TH~~ · ~?~" ......... .' SITE MAP Perroit No. Page 2 of 3 Municipolit¥ of Anchormge DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaske 99519-6650 Felephone:343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report 015-472-27 SPLIT Legal DescripLion Lot 1, Block 1 GATO BEL SOL PID No: ~¢~ ~'~ FUTURE T RNATE FIELD 1 ~~ ~5 ~ PROPOSED BM A P/L SEPTIC SYSTEM PLAN VIEW T2 1" =50' T5 DESCRIPTION 1. CO~CTOR TO VE~I~ ~IN. 50. FOOTAGE BM B BNW PROPER~ CORNER PRIOR TO P~CING TOPSOIL. 2. CA~ION SHALL BE T~EN TO MINIMIZE REMOV~ OF EXISTING ~G~A~ON OUTSIDE '"' ~, DIS~RBED AR~ SHALL ~E SEEDED TO '" PRINT EROSION, DraINS WITHIN 100 ~ OF NEW A D.H.H.S. STANDmD SPECIFI~TIONS. 7. CONT~CTOR TO VERI~ 100' MIN. SEPA~TION PAGE .5 OF 3 Permit No, Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 I-elephone:343-~744 On-Site Wastewater Disposal System and/or Well Inspection Report 015 472-27 SPLIT Legal Description Lot 1, Block 1 GATO DEL SOL PID No: iLNOTpRocEss PROPOSED SURFACE SEPTIC SYSTEM PLAN VIEW HORIZ 1"=40' VERTICAL 1"=4" - MO~)~ING PROPOSED CLEANOUTS PROPOSED MOi~J]'[~iNG ,, .4 cL~ouTs, ! ~ ,, ~ PROPOSED COVER I ASSUME EL 100 ~,N~ TANK1250 ~ ~_ B.O.P.94.5~ 95 ~..' ~ '..~2 ,~,~ .. ..~ ABSORPTION SYSTEM PROFILE HORIZ 1"=20' VERTICAL 1"=10' PROPOSED COVER SOILS LOG - PERCOLATION TEST ...--~....?....~.t.~'),,, ASCG PE~D ~R: AC~OE ~, ~C. ~ ..'~49th ......... .............. ~.co~,o~,~ ~.~ .... ~ LEO~ D~ON: ~T 1 B~K 1 GATO D~ SOL ~ ........................ ~ ~ ~8~, ~O, ~ ~ 1/4$~ 24,T.~.~ SM ~ ~.*~". ."_& DA~ PEr--D: ~C~3 ,t,- ~T HOLE s~ s~ P~ 0 ~ A~ AISW PROPER~ CORNER ~L=~ooI ~ ~GA~IC ~ 2 15g' 3y 4 ~'....~'~ 6 -' '-o PE~ ~. ; GRAVELLY/SAND / 7' . ~,'~, WITH COBLES O-- BROWN LOOSE 8'. a Z W~ ORO~ WA~R ' - ~ ~CO~D? N lff o b' D~ ~ WA~ ~R ,' MO~O~G? - DA~: 1 ~93 ~,, x SANDY FINE GAR~ ~' o, o MANY COBLES . .o. GR~ ~T D~ TO ~. ,~, ~ '~ NO. DA~ ~ ~ WA~R DROP 14- ~ ~ 1 ~5HAR93 11',~5 0 m~n 5'-0,0" - ~. o ~ 11',30 5 mln 5'-1-1/~' ~ ~a~) 3 11:35 10 mln 5' ~, ~.0' 16- BOSOM HOLE 4 11:40 15 min 5'-&-1/~ 17- 5 11:45 20 min 5'-0. 0" 2.0" 6 11:50 ~5 min 5'-0. 0" ~.0" I~- 7 11:55 30 mln 5' 0.0" &,0" ~ 8 ~ - - ~ 10 .... P~CO~ON ~ ~ ~~ P~C HOLE D~R ~~: PERC HO~ ~ P~-SO~D ~R O~ HO~ P~OR ~ ~G PE~O~ BY: ~ L~R ~ ~T ~ ~ W~ P~O~D ~ A~O~ ~ ~L ~A~ ~ ~~ G~E~ ~ E~ ON ~ DA~: April 5, 1993 ENGINEERS · ARCHITECTS · SCIENTISTS · SURVEYORS Mr. Dan Roth Municipality of Anchorage Dept. of Health and Human Services 825 L Street Anchorage, Alaska 99501 Re; Septic System and Well Approval Lot 1, Block 1, Gato Del Sol (currently being platted) RECEIVED APR 5 1995 MU;l~C~pality of Anchorage Dept. Health & Human Services Dear Mr. Roth: Attach is the permit application for installing a septic system on the above referenced lot. Below is a narrative of probable impacts to adjacent properties. Adjacent Wells - There are no existing wells within 100 feet of the proposed new septic system. The well for the lot will be drilled in the southeast corner, approximately 200' from the proposed septic area. Adjacent Wastewater System - The proposed bed absorption system is the first system on the lot. The proposed system will not adversly effect the future sites on the surrounding lots. o Reserved Space - The soil conditions on the lot are very good. There is enough room for a future system to the north and east of the proposed system. Drainage - Positive drainage away for the field will be maintained. No concentrated surface water will be directed toward the field and no existing streams are within 100 feet of the proposed field. The installation of this on-site system will have no probable impacts to adjacent well or septic systems. The proposed system's separation distance radius will include parts of adjacent lots, but will not interfere with the on-site systems on these lots. VAry truly yours, ~ Me'r, P.E. Sr. C~I1 En~neer CSM:EG:MLT: 1110-0026.051 30} ARCTIC SLOPE AVENUE, SUffE 200 · ANCHORAGE, ALASKA 99518-3035 (907) 349-5148 · FAX (907) 349-4213 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. # GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone 34/5~ ~/2. 7_-. Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 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. 72-025 (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 inves_ti_gation 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. Address ,50 / ~'~-'~'~' Engineer's signature DHHS SIGNATURE X Approved for 4:~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates I~ased 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. 72-025 (Re~'. 1/91) Back MOA #21 Municipality of Anchorage /~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number A. Well Data Well type ~-~0~ '~:~ Log present (Y/N) Total depth Sanitary seal (Y/N) Date completed Driller Cased to Casing height FROM WELL LOG Wires properly protected (Y/N) Date of test Static water level Well flow Pump levetl SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot ) ~ ~-t- Absorption field on lot Public sewer main /~ Sewer service line g.p.m. AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed ~' / ~ / ~' ~ Tank size I '~ ~ C~ Cleanouts (Y/N) ~ Foundation cleanout (Y/N) High water alarm (Y/N) "----- Date of pumping ~ Compartments y Depression (Y/N) Alarm tested (Y/N) Pumper ~ SEPTIC/HC ..... .u TANK TO: SEPARATION DISTANCES FROM ..... '" Well(s) on lot I O ~ d- To property line '--J- c~ 4- Sudace water/drainage On adjacent lots l ~,~ ~ Absorption field ~- Foundation ('~ ~ Water main/service line ~'~ -/- 72-026 (3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "~-dmp off" Level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LI~A~ION TO: Well on lot ,/ On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~.' Width Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) .. ~ System type ldO2 I Gravel thickness ~-~ ~ Total depth Cleanout present (Y/N) '~ Depression over field (Y/N) Results (pass/fail) ~ for ---' After test If yes, give date Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot / 0 To building foundation On adjacent lots Surface water Curtain drain On adjacent lots I D ~ + Property line To existing or abandoned system on lot Cutbank ! O ~+- Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certi~ t3at I hauo checkod, verified, or con[ormed to all MOA and HAA guidefines k~ of this inspbction. Signature Engineer's Nam, e Date HAA Fee $ ~, '~ P~ Date of Payment Receipt Number ~-~'--,.Z~_~-._ (~'-///~ /~ 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alask~ 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER p UBLtC WATER SYSTEM LD. # RIVATE WATER SYSTEM ~ v ( - Phone No. Mo, Day Year sAMPLE TYPE: ~ Routine [] Check Sample (for routine sample wlth lab ref. no. [] Special Purpose [] Treated Water ~ Untreated Water SAMPLE No, 1 2 3 4 LOCATION Tim. Colleolet Collected By ~\'$o o_.."I- TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: j~%Satisfactor/ [] Unsatisfactory ~ Sample too long in transit; sample should not be over 30 hours cid at examination ta indicate reliable results. Please send new sample via special deilvery mail. Date Received 1\//I % Thne Received ~ Analytical Method: Membrane Filter * No, of colonies/lO0 mi, Lab Ref. No, Result* Analy.~ i FT-] LTT-1 REAl::) INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD Membrar~e Filter: Direct Count Verification: L$1~ __ Fecal Coliform Confirmation Final Membrane Filter Resulta~ Reported By ~//~/ .~.>.~. BGB Coliform/leO mi TNTC = Too Numerous To Count OB = Other Bacteria Coliform/lO0 mi [?oo PART ONE OF TWO: REMAINDER TO FOLLOW ENVIRONMENTA1 LABORATORY ~=RVICE$ Chemlab Ref.~ :93.6134-'i Client Sample %D :GETO DEL SOL L! BI Ma%rix REPORT of ANALYSIS 5533 B STREET ANCHORAGE. AK 995~8 TEL: (907) 562-23~13 FAX; (907) 56~-5301 Client Name :ALPINE DRILLING WORK Order :73191 Ordered By :DAVE HARPER Report Completed :11/16/93 Project Name : Collected :11/12/93. @ 11:30 hfs Projects : Received :il/12/93 @ 14:45 hfs PWSID :UA Technical Director:STEPH~N~. EDE Sample Remarks: ROUTINE SAMPLE COLLECTED BY: C.T. QC Allowable Ext. Anal Parameter Results Qual units Method Limits Date Date Init Nltrate-N 0.10 U mg/L EPA 353.2/300.0 l0 11/i5 [LH * See Special Instructions Above UA ~ Unavailable ** See Sample Remarks Above NA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Less Than D = Secondary dilution. GT ~ Greater Than Mem~e~ (~f lh~ SGS Qroup ($Ooi~t~ G~n~ale de Surveill~noe