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Home My WebLink AboutGLENN VIEW ESTATES LT 17 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: ~'AJ '~ '7~ ~'7¢> PID Number: ~5'/~ 52. ~' - %¢ Name: ~ ~7¢0 / ~c. Wastewaler System: ~New D Upgrade Phone: of Bedrooms; ~ ~ Deep Trench ~Shallow Trench B Bed Q Mound ~ Other Total Depth from original grade: LEGAL DESCRIPTION S°ilRaling: ~ ~ 6PD/Sq. FL Township: Range: S~tion: !Fill added above origlna[ grcde: Gravel length: Number of lines; Dislan~ ~tw~n lines: WELL: ~ew B Upgrade Grave~ width: % Ft. Ft. Classiffo~tion~;V~A(Private, A.B,C): Total~¢/Depth: Ft. CasedcwTo: FL Total absorption area:~¢¢ + SQ. Ft, Pipe material: Date ~riHe~: Static Waler Level: Installer: Pump Set at: ~sing Height A~ve Ground: Yield: 25GPM ¢./2.¢~n ,t. ~ ,~. TANK SEPARATION DISTANCES ~s~.,~o u Holding D S.T.E.P. From To SeptiCTank Absom,ionField S,atlonLift HoldingTank Pub,ic/Privatei Manu facturer~~wer Lin. . ~ ~/~ Capacity in gallons: // ~ Sudace LOt t~ ~'7,7 / Size in gallons: I Manufacturen Foundation ~.~ /~/~ __ -- __ "Pump on" level at: ~~eve, at: I High water a~arm at: CudainDrain ~ ~ ¢ ~)~ ~m~ Electri~l Ins~ctions pedorm~ by: Remarks: ¢ ~¢/)Re ~4~7¢~ BENCH MARK Location and Description: epanment of Health and Human Se~ices,~pp,~ov~l_ Reviewed and approved by:' ~~ I~ Date: d,~ ,~(4 ~ROFES%~O~%%~-~ 72~)13 ire',' 9/91) MOA 25 AS-BUTLT SYSTEM D£TAILS?SITE PLAN Per~i~ sw970370 LIlT ;17, GLENN VIEW ESTATES S/D PI~O51-5~l-a6 i I ' __ ~ ~-~,~~1~ ~98~ i L ars C ~ '- A-C:37.2' ~ ~ B-C=24,2' ~ ~ ~ ~ ~ ~ VgRI[8 B- D = 3 2,1' ==~ A-E=38,3' A-F=37,7' ~ / [ TANK J ~ SEWER ROCK ~ O~ 44~. PREPARED F~R, SCALE, NTS y~ ~ <~', H, W, COLE CONSTRUCTION PALMER, ALASK~ 99645 O~ ENGINEERING ~ ~ CE77116 ~ ~ BOUNDARY: DRA?~4: '~ '~ .// L ~ ~ LANG KMO ~ ~ ~ ~/Z~ ~%6~;~ S,AX,,6: LANG C,ECKED: KMD 20441 PTARMIGAN BLVD. ~ ~ ~ ~,,~,: o~x: EAGLE RIVER, AK 99577-8736 ~ ~ ~p~0~sslO~b~ ~ __~ANG 04/13/99 FILE: NWl 360 o PLOT PLAN AS BUILT ~- SCALE 5 It is thc responsibility of thc owner to dctcrminc thc existence of any easements, covenants, or restrictions which do not appear on thc recorded subdivision plat, 1 I~tercby certify that I have surveyed the following described property: Lot I'l , Block -- , C~L,~p,I,4 \l~ta'q'4 L~T'~.'r~ {~,'¢ '~.~\'~ ..~Z~¢~.1~'1~.~,¢,~ Recording Dislrict. Alaska, and that the improvements situated thereon are within the property lines and do no! encroach onto the property adjacent thereto, that no improvements on the property lying adjacent !hereto encroach on thc surveyed premises and that there are no roadways, transmission lines or other visible casements on said property except as indicated hereon. Datcd this the ~.. Dayof ~-' , 19'~9 ,at Anchorage, Alaska GRID bL'C-II%'_.R Project No. 1731 George Bell Circle Anchorage, Alaska 99515 (907) 345-6476 by DOC Co dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-27~i9 OWNER OF LAND LEGAL DESCRIPTION PERMIT NUMBER~ 7~ ~ 70_ Date of Issue~-/~- T~ INDENTIFICATION NUMBER Is well Io~ted ~0' ~od~H o at appToved ~it location? ~ Yes ~o Method of Drilling: ~ota~ ~ cable tool Depth of well: ~ I C~slng Ty~ ~Wall Thickness ~ ~O inches Diameter ~/ inches, depth ~ / f~t Liner Type: ~ ~ Casing Stickup Above Ground: _ ~ f~t Static Water Level (from ground level): ~O feet Pumping level: feet after, hrs. pumping ~_gpm Recover Rate: ~gpm Method of Testing: __~/~ ...... Well Intake Opening Type: ~End ~ Open Hole ~ Screened; Stad __f~t Stopp~ feet ~ Pe~orations 8tad feet Stop~d feet Grout Ty~: ~~: ~ ~me Depth: from ~ ~et, to~ feet Pump intake Depth: f~t Pump Size hp Brand Name Well Disinfected Upon Completion? ~ ~ No Method of Disinfection: CW~ .~ ~ comments: BORE HOLE DATA DEPTH Driller's Name ~.4.A,(~A--'~-----' __ ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human ~,n/i~e ~,nrtl,..,. r3~,~,..,,4~^.~ .~ c-.,.: ................. PERCOLATION TEST SOILS Performed for: Cole Construction Date Performea:~~ Project: Lot 17 Glenn View Est. TEST HOLE # 98-2 3- 4- 5- 6- 7- 8- 9- 11- 12- 13- 15- 16- 17- 18- 20- SM- reddish GP- loose, cobbles to 12" reddish GM- tighter at bottom B.O.H. SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO Depth to water after monitoring? What depth? NA Date? Reading Date Gross Net Depth to Net Time Time Water Drop 1 4/14/98 2:05 7" 2 2:07 2 min 4 5/8" 2 3/8" 3 * 2:08 7" 4 2:10 2min 4 5/8" 2 3/8" 5 * 2:12 - 7" 6 2:14 2min 4 6/8" 2 2/8" 7 * 2:16 7" 8 2:18 2 min 4 5/8" 2 3/8" 9 * 2:20 7" 10 2:22 2 min 4 6/8" 2 2/8" 11 * 2:24 7" 12 2:26 2 rain 4 5/8" 2 3/8" · Water Added Percolation Rate 1.2 (min/in) Perc Hole Diameter 6" Test Run Between 2.5 feet and 3.5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. PAGE 1 OF 1 MUNICIPALITY OF A~CHORAGE DEPARTMENT OF HEALTH I~ND HUM~ SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970370 DESIGN ENGINEER:KND ENGINEERING OWNER NAME:ARCTIC DEVCO INC OWNER ADDRESS:P.O. BOX 3489 PALMER, AK 99645 PARCEL ID:05152126 LEGAL DESCRIPTION: T15N R1W SEC 10 SW COR NW4 DATE ISSUED: 10/15/97 EXPIRATION DATE: 10/15/98 LOT SIZE: 40000 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: THE ATTACHED APPROVED DESIGN. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 ~D THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18A~%C72) AMD DRINKING WATER REGULATIONS (18AAC80) . 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) 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 ~ZND HEATED TO PREVENT FREEZING THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: PRIOR TO INSTALLATION, VERIFY BEDROCK IS NOT LOCATED WITHIN TIZS ST M KND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 September 15, 1997 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: New sewer/well permit - Glenn View S/D, Lot 17 Gentlemen: The owner has requested ~ve proceed forward to obtain a well and septic permit on the subject lot. There is one previous testhole which was dug during the preliminary plat process. We have designed our system utilizing this testhole, however, we anticipate verifying soils and may possibly modify the system, with your concurrence, if we encounter better soils for the four bedroom house which is proposed for this lot. The results of the existing test and water monitoring are attached. We propose to install a 5' wide shallow trench. The original testhole indicated no water, and we did not find any water during our monitoring. The adjacent testhole indicated better soils conditions with a percolation test between 1-5 minutes/inch. Additional fill will be placed over the system to provide a minimum of 3' of cover when complete. There are no public or private wells within 200' of our proposed system location except as noted. There is neither surface water within 100' nor any curtain drain within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, ~ I~ ~_) Engineering attachments: MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL ,SERVICES DIVISION RECEIVED SEP 15 1997 On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test K D WASTEWATER SYSTEM ]DF'TAILS/SITF PLAN ~°'°° LUT 17, GLENN VIEW ESTATES S/D C SYSTEM OTM LOT 17 LOT 16 VACANT 7-1 LOT 15 SYSTEM - ~2-5N ~ ~ ~OPBSEB WELL ES LDT 18 VACAN/ LOT 14 / LOT 13 VACANT 19 VACANT ND PUBLIC WELLS WITHIN ao0' OF PROPOSEB SYSTEM, NO PRIVATE WELLS WITHIN ZOO' DF PRBPDSEB SYSTEM EXCEPT AS NBTEB, NO SEPTIC SYSTEMS WITHIN E°O' DF PROPOSED WELL EXCEPT AS NOTEB, DESIGN DETAILS 4 DDRH X 150 GPO = 600 GPO 600 GPO/l,2 GPO PER SQ, FT, = 500 SQ, FT 500/(5'wide) XO,5(RF) (4,0' GRAVEL) = 50,00 FT, TRENCH Total depth oF syste~ Is 7,0' Pr'om or'lginat gpo, de, To,at dep'l;h o¢ 9r'avet be(ow dl$t;r'lbu4cion pipe Is 4,0' . NOTES: 1. USE 1250 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER. 2, INSULATE TRENCHES WITH 8' HD BURIAL FOAM.. 3. CONTRACTOR WILL ENSURE MAXIMUM 8% SLOPE INTO SEPTIC TANK. 4. ADDITII]NAL FILL WILL 3E ADDED OVER SYSTEN TO ACHIEVE HIN, 3' COVER IF REQUIRED, PREPARED FBR~ M. W. COLE CONSTRUCTION P.B. BOX 3489 PALMER, ALASKA 99645 KND ENGINEERING 80441 PTARHIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/Fox (907)696-8111 9/15/97 rev4/14/98 DRAWING Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DEPTH 2 3 4 -- 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS · . CE~]~. .. ¢~ DATE PERFORMED:~~ ~ //O Township, Range, Section: ~ ~ / / WAS GROUND WATER ENCOUNTERED? /VO IF YES, AT WHAT DEPTH? Depth to Waler ^fter -/h.. Monitoring? J"/'~_._ Dale: SLOPE SITE PLAN F- i Gross Net Depth to Net Reading Date Time Time Water Drop / .~-/~-?& ~,'o.~-- ~ ~" - z ~:o7 z,.,'~ 7'?~" i.-,/~,, ~ ~ z:~ - ~" - ¢ z:/o I 7 ~ >;/4 - f~' - ~ g .'/~ ~ ~ 7 ~" / ~/~" PERCOLATION RATE / ~ (m,nules/mch) PERC HOLE DIAMETER ACCORDANCE WITH ALL STAT~AND MUNICI~L GUIDELINES IN EFFECT ON THIS DATE. DATE 72 008 (Rev. 4/851 DEPARTMFNT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRI~ION: 7 8 9 10 11 12 13 14 15 16 4 17 18 ?9- 20 COMMENTS ~ I%_; Lo,i, A. [~,,,,,~ .: ~,~'~ i,'¢-,'.. C~-.~7~ .. I'i P,~ '. .... ' -~ Township, Range, Section: ~7"/~/~' ?-J~/ ~'Ed-. 10 ~ SLOPE SITE Pi..AN WAS GROUND WATER ENCOUNTERED? S L IF: YES, AT WHAT O DEPTH? p E OepU1 lo Wata~ ~ller t MortiSing? (.,c ~.,~? Dam: ¢/:~ ;'/~ Reading Date Gross Net Depth to Net T~me T~me Water Drop / o~1~1~ ~,,~ 7' ~ //;~ /~ q ~1/~" ~ ~'1/~" ~ ~ /~ ~ /~ ? ~//~" ~ /~//~' PERCOLATION RATE ~' OD (mmutes~)nch) PERC HOLE DIAMETER . TEST RUN BETWEEN __i_FTANO ~ _FT I ---~"~/ ~" CERTIFY THAT THIS TEST WAS. PERFORMED IN ,'q". l,? ~ /,m,-' "ERPORMEO a~: ~'~ £:5 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG t PERCOLATION TEST PE.PORMEO "OR: "/'"¢"¢'4/'¢'~ ~.¢/V$ '£ /.¢'r /? 10 11 12 13 14 16 17 18 19 2O Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, ATWHAT O DEPTH? p Monilodng? ~Zr~ l]alm SITE PLAN A Gross Net Depth to Net Reading Oats Time Time Water Drop ~ - 7:~/ Zo q ~1/~" bl/u' q ~ ~:1~ ZP ~ ~//~" bt/~" PERCOLATION RATE . ?~' (~,~ tm,nutes/,ncn) PERC HOLE DIAMETER __. TEST RUN BETWEEN ~' 5 FT AND -.-~,.~ 5 .FT COMMENTS PERFORMED BY: CERTIFY THAT THIS TEST WAS PERFORMED IN Parcel I.D. # __ 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 CERTIFICA:FE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address /¢~¢TK' /~,~¢ / ~6 , Day phone Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual welt 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 HeaJth Authority Approval application shows that the on-site water supply and/orwastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein, lfurtherverifythatbasedontheinformationobtainedfrom 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. Phone DH..~S SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Addition~ 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 DHHS does this as a courtesyto 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 (Rev. 1/91) E~ck MOA ~21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services DivisiOn 825 L Street, Room 502 · Anchorage, Alaska 99501 (907~N,~J,!f~L'~ Health Authority APproval Checklist Legal Description: ~/~/¢,'~ ~'~/~-'~ ~'~¢/~,'/~ 47/ /7 A. WELL DATA Log present (Y/N) / Total depth ¢q C/// / Sanitary seal (Y/N) Y If A, B, or C, attach ADEC letter. ADEC water system number Date completed. ~ ~/~//-r//~' Cased to ¢;~ ~7// ~' Casing height (above ground) Wires properly protected (Y/N) Y FROM WELL LOG Date of test ~/~ ~//~¢ Static water level / ~?~:~) / Welt production g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample: / B, SEPTIC/HOLDING TANK DATA Nitrate AT INSPEC'flON g.p.m. ~, ~2 Other bacteria Collected by: ~/~/¢/~) E,',Z/"~c¢~'/?~ Date installed ~ ¢///¢/¢¢~ Tank size / ! Foundation oleanout (Y/N) _ y ~/-~ ¢ Number of Compartments ~-__ Cleanouts (Y/N) Depression (Y/N) /t// High water alarm (Y/N) ~" Date of Pumping ~"'-'--- Pumper C. ABSORPTION FIELD DATA Date installed ~ ~//~/~ ~ Length ~'¢Q ~ Width Effective absorption a'rea Soil rating ~r fF/bdrm) //' ~ System type .~',¢,~///¢¢ Gravel thickness below pipe ¢ ?2 / Total depth ~', % Monitoring Tube present (Y/N) ')/ _ Depression over field (Y/N) Date of adequacy test Results (Pass/Fail) For _ ---------'~--- bedrooms Fluid depth in absorption field before test (in.); ~:la water added (in.): __ Fluid depth .(in..~i~Mip, a~ Absorption rate = .g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* LIFT STATION Date installed' Manhole/Access (Y/N) High water alarm level at* Cycles tested Size in gallons "Pump on" lev "Pump level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation /~::2 /2 Property line /~ /'/- Absorption field ,/~ Water main/service line 2~-/'/- Sudace water/drainage /~b /,L Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line ~.. 7 ~ ~ Building foundation /~ ''~- Water main/service line Surface water ,/~ ~//- Driveway, parking/vehicle storage area Curtain drain ~00/"/'- Wells on adjacent lots '/~P /?/- ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and revie~ in conformance with MOA HAA guidelines in effect on this date. Signature ~-~~ · ~ Engineer's Name /~''~dT~/~ ~ Da~e systems are HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number Department of Health and Human Services 825 'L" Street P.O. Box 196650 Anc',orage. Alaska 99519-6650 KND Engineering ATTN: Kenneth M. Duffus, PE 20441 Ptamigan Blvd. Eagle River, AK 99577-0000 April 28, 1999 Subject: Waiver Request for GLENN ViEW ESTATES LT 17 Waiver # WR990022 Lot Line Request for Parcel ID 051-521-54 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 7.7 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our off~ce at 343-4744. Sincerely, / , naC. Mears CivilEngineer I On-SiteWaterQuality Program 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 April 14, 1999 Municipality of Anchorage Dept. of Health & Human Services On-site Services Section P.O. Box 196650 Anchorage, AK 99519-6650 RECEIVED APR ] 4 1999 D Municil)ality of Anchm aoe ept. Health & Human RE: SEWER PERMIT/LOT LINE WAIVER - GLENN VIEW ESTATES LOT 17 Gentlemen: During the as-built process we encountered a problem with the system being in close proximity to the lot line. Subsequently, we had the system surveyed and verified that the system was constructed within 10 feet of the property line (see attached survey). The system is still located within the testhole radius and we do not expect there to be any adverse effect on adjacent lots by the location of this system. We are therefore requesting a waiver to 7.7 feet to lot line at this time. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, KND Engineering Attachments: Survey As-built Inspection Report HAA w/waters Well Log