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HomeMy WebLinkAboutCARIBOU LT 2 >0�<*M22> -,I— M-n 0 cn rx -n zm �rmvz >:��-O-v c Z m cu OP VI �- � -< MM r h �'rx>ZCOO' Z%G)o 2!0 H 9- q 0 _ am om m -4 ;u — Z 0 C: -zz ED O-Umxcno� ;ou O'N Ocz -i-IM 2� ;v 13 n-1 . rq m rn m �5omwz�-U_ cn -n f -I o A x x yo= -u X ;u 23 (Za m N m < ommmm—x MM r- 0 -> 1 § 16 CD 6 cnz r- -4 =-40o-m-1 — < 2— G):u v) Muoo-<p m C 0 -< m ZO-no> -n M ril Ch m m IV, 11% . -Is_- 77 OX -5- .SSS -,4� 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: S~/7o3Z! PiD Number: .~_~o "~': Vi. cc ~c~ Wastewater System: D New O Upgrade ~ ~-~S~ ~,vc ~.~.,A~ ABSORPTION FIELD P~one: No. of~¢~ms: ~ ~pTrench ~hallowTmnch ~B~ ~Mound DOther WEL~ ~ New D Upgrade Grail wldlh: SEPARATION DISTANCES ~¢~ ~ Holding ~ S.T.E.P. Sudace Water .~/~ /;~ % .... LI~ STATION Remarks: BENCH MARK ENGI~L ~ ~'..- . Inspections peflormed bT: ~ ~2~ Dates'lst~?~/~ ~'":~"'""~"': Reviewed and approved by: Date: ~-~- AS-BUILT SYSTEM DETAILS/SITE PLAN Permit S~/9703e! PID#050-321-77 CARIBOU SUBDIVISION, LOT icCRATY t ", ' ~ · WELL ~ [ PRIMARYSYSTE 1 $~gLD 1' ~ ~0~ ~-c:e.8' ~ ~ i S-~:38,0' B~ ~ A-E=35.5' I ~ ~000 GAL k S-E=56.6' m / I SEPTIC A ' ~ A-F=49.5' N / ~ANKq B-F=39.0'~~ ~ ~ J ~ '" ~ ' ~ VINCI ~R[~ t~. .~ 12111 HOR~SHD~ 9RIVE, fi3 ~.~ .,_ EAOL~ RIVER, AK 99577 ~ .... ? (907)696-1226 '" -' ' FIELD sooxs '~ *~: SEWARD ~~ ,c~nL[:97064.DWG ~,o.: 97064 (907)696-6111[FAX (907)696-81ll by Su UvA OWNER OF LAND ~__=_.C ~.. /¢'/~C~Jc, ~ ADDRESS I~1! ~"~/~ ~)~,dE-d.~ IT LEGAL DESCRIPTION ~-,~4( I~ ~(~'7" ~"~' P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 665-2759 0c'r 2 7 ~997 Municipality o! Anchorage BORE HOLE DATA DepL Health &Human 8ervlcea DEPTH PERMIT NUMBER~70.~ ~ Date of Issue ~ - TAX INOENTIFICATION NUMBER ~)~'O .,~.7, Is well located at approved permit location? ~;~f~s [~ No Method of Drilling: ~r rotary {~ cable tool Depth of well: /~ ~ inches feet Casing Type ,~'T'.~t. Wall Thickness Diameter fo/! inches, depth Liner Type: , Well Intake Opening Type: {~'~n End [~ Open Hole [~ Screened; Start feet Stopped feet [~ Perforations Start ~- fe~t Stopped * feet GroutType: ~z~-"7~ ~/~oJlume -°S'O Depth: from L~ feet. to ~ feet Pump Intake Depth: feet Pump Size hp Brand Name Well Disinfected Upon Completion? (;~t~es [~ No ~ . ~lethod of Disinfection: ,~)"O ~/P/-v"l ' .. Casing Stickup Above Ground: 07 feet Static Water Level (from ground level): Z~_~ feet Pumping level: feet after hrs. pumping gpm Recover Rate: [~:0~ gp~tJ, i'~ Method of Testing: ,~1/~ Comments: ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Departm&nt of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. Municipality of Ancho .rage Department o! Hesaa t. kh' as tHuman Serv,ces Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor hltp:!lwww.ci.anchorage.ak.u s 343-4744 September 18, 1998 Vincente Forrest French & Cobie Rae French 8751Beachwood Drive Anchorage, Alaska 99502 5177 Subject: Lot 2 Caribou Subdivision Permit #SW970321, PID #050-321-77 The subject permit, issued September 18, 1997 by this office for a single family well and/or on-site wastewater system, has expired as of September 18, 1998. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. Ail inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. P.E. er On-site Services eric: Copy of Permit cc: KND Engineering ~K3NICIPALITY 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:SW970321 DESIGN ENGINEER:KND ENGINEERING OWNER NAME:WRIGHT LARRY OWNER ADDRESS:12111 HORSESHOE DRIVE #3 EAGLE RIVER, AK 99577 PAGE I OF 1 7J_%.g8 D TE ISSUED: 9/18/9 Qt '%-Ae-°f EXPIRATION DATE: 9/18/98 PARCEL ID:05032177 LEGAL DESCRIPTION: CARIBOU LT 2 LOT SIZE: 50140 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 ~HIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION I~JST 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 ) (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 SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ISSUED BY: DATE: DATE: O~ 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 September 9, 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 - Caribou S/D, Lot 2 Gentlemen: Following a request from the owner regarding the proposed development of the referenced property, we dug two testholes for the proposed system and replacement field. The results of those tests are attached. The lot will be served by on-site well. The system will be placed on the southwestern portion of the lot outside the 100' well radii. As indicated on the site plan there is sufficient grade to maintain a gravity system. A 1000 gallon tank will be installed in anticipation of a 3 bedroom house being constructed. There is also sufficient area and grade to maintain a replacement gravity fed field. As indicated by the site plan drainage arrows, natural drainage is away from this site and will be maintained after construction. There is no surface water within 100' of the proposed installation. There are no known curtain drains within 50' of the proposed installation. No wells exist within 200' of the proposed installation. The system has been placed outside a 50' setback from any slope that exceeds 25%. Additional re-grading of the site is anticipated in connection with the construction of the house and driveway. Development of this lot should have no adverse effect on development of adjacent lots. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, ~I(71'] ~b Engineering attachments: A~UJTqlCJPAMTY OF ANCHORAGE EI~/II~F,k~.NTAL SE~IC~S DIYISION SEP 09 1997 RECEIVED On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test VASTE /ATER DISPOSAL SYSTEM/SITE PLAN CARIBOU SUBDIVISION, LOT 2 K LOT 3A D LOT 3B GORDEN V. McCRATY HOMESTEAD GORDEN W. McCRATY HOMESTEAD VACANT LOT 1 LOT 3 VACANT DESIGN CRITERIA NO SEPTIC SYST£NS WITHIN ,~OO' Dr pRI~.~J]S[D ~dCl. I~ £xCJ:pT AS NJ~TC~ l. 3 BEDROOMS X ]50 GAL./DAY/BEDROOM m 450 ~ P, IVAT[ ~ ~lC VCLLS ViTH~N ~' ~ ~. SOILS RATING' 13.33 HIM/INCH : APPL. RATE O.B GP~/SF ~s~D SYSTC, ~XCCPm AS 3. 450 GPD/O.8 GPD/SF : 562.5 SF ,.,,-- ,~.~ ............. ..?,~ ~ : ,~.~ ~/~7~~ ~' c~-*uo .-.~ ~ ~ PREPARED FOR: EAGLE RIVER, AK 99577 ~~ (907)696-~E~6 4.(562.5 SF /5'(~/)) x 0.50(RF) = 56.B5'L 5. MIN. DESIGN SIZE = I TRENCH - 56.25' LONG x 5' ~/IDE x 4' DEEP 6. DEPTH OF GRAVEL DELOS/ PIPE IS 4'. 7. TOTAL DEPTH DF SYSTEM IS 6.0' FROM ORIGINAL GRADE. NOTES: TIE INTO TRENCH AT NIDPOINT. INSTALL 1000 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER. INSULATE TRENCH ~/ITH E' HD BURIAL FOAM Ir <3' COVER. CONTRACTOR VILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK. KND ENGINEERING P0441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 J (907)696-6111/F~× (907)696-8111 PERFORMED FOR: LEGAL DESCRIPTION: 3- 4- 8 '1 ! 12 14- 18- 20- Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~plq . SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? E Depth to Water ~er' I~tenitoriag? Gross Net Deplh to Net Reading Date Time Time Water Dro~ ~ ~:~ /~,~ ~ - ~/~,, PERCOLATION RATE ~ {minutes/tach! PERC HOLE DIAMETER TEST RUN BETWEEN ~- FT AND ~' FT . · / ~ d . PERFORMED FOR' LEGAL DESCRIPTION ! 2 3-- 4-- 5 6 7 8 9 10 Municipalily of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage. Alaska 99502-06S0 SOILS LOG -- PERCOLATION TEST Townsh,p. Range. SeC.OR. SLOPE WASGROUNDWATER ENCOUNTERED? SITE PLAN 'l I 12 13. 14. 16- '17- 18- 19- 20- IF YES, AT WHAT DEPTH? E ~p~ t~ WMU ~er ' )~onitori~g? Gross Net Depth to Net Reading Date Time Time Wate~ Drop ~. /.'1_; /D.~.;, //~ Y.~" ~" 5 Y; I:/'-/ ~ Y~" t" I : z ,,/ /D ,.,,,,',~ / ~ .~R " ,~ ?v " ~' ? ~- I.'~ ~ Y~" 7 *-~: I.'.,~ ,.~Yz" MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O, Box196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING "~2.'1 ~ '7 '7 HAA # ~'~ 1. GENERAL INFORMATION ~'- Complete'legal description Location (site address or directions) Property owner Mailing address Lending agency Mailin. g address Agent Address Day p~one Day phone 'Day phone e 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- lng 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 · attesti.ng to the legality and status of system. Se 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 cor~pliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address' Engineer's signature ~-~~ ~"~ DHHS SIGNATURE ~' A.p. proved for ~.~ ~ Disapproved. ~ Conditional approval for bedrooms. bedrooms, with tee following stipulations: Additional Comments By: z ' ~ Date 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 professio nal engineer registered in the State of Alaska. The DHHS does this es a courtesy to pumhasers 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. Munlclp~lity of Anchorage MAR 0 DEPARTMENT OF HEALTH & HUMAN SERVICES ~UN c~l Enwmnmental Services Division ~NWRON~a~r~. S~WC~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist PamalI.D.:. DS'~- .~2.1-' '7'7 A. WELL DATA well ~e P.-; -,* -/~ Log present (Y/N) Total depth /~ / / ff A, B, or C, attach ADEC letter. ADEC water system number Date completed / ~// //, 7 Cased to /o~ / ' Casing height (above ground) Wires property protected (Y/N) FROM WELL LOG AT INSPECTION Sta,c water lew~ ~/ ~ / J Well production ~) g.p.m. J g.p.m. WATER SAMPLE RESULTS: of.mple: B. SEPTIC/HOlDING TANK DATA ~ ~ ~ing Nitrate Collected by: Other bacteria Depression (Y/N) ,~ High water alarm (Y/N) '""- Pumper Ce ABSORPTION FIELD DATA Soil rating (g.p.d.flff or tt't/bdn'n) Gravel thic~ below pipe Effecfiveabsomfion ama S'~'gduf- ManttoringTube pL'~e~e__m (Y/N) ~ Depressinno~r field (Y/N) Date of adequacy west Results (Pass/Fall) For Rutd depth in absofl~on field before test (in.); ~r added (in.): Fluid deplh (~ Absorption rate - g.p.d. Peraxtde treatment (~2 months) (Y/N) If yes, gh~ UFT STATION Date installed Manh~e/Aceess (YAd) High water alarm level Cycles tested ~ 'Pump on' level at' Size in gallons E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absoq~tion field on lot Public sewer main Sewer/septic service line On adjacent lots Off adjacent lots Public sewer manhole/cieanout SEPARATION DISTANCES FROM SEPTICA-IOLDING TANK ON LOTTO: Foundation /o / ~- Property line /o *~-' Absorption field Watermaln/sewicellne 2 5'/Y- SurlacewaterldraJnage /~/~- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Proper'o/line Surface water Curtain drain /0 / ~- Building foundation /D / ,c Water maJn/sewlce line /~ ~ /-/- ,Driveway, peddng/vehic~e storage area /~6 ~ ;- - ~'~-~ ~*~,--- Wellson adJacentlots /aa //-- .te p. .ot / /? ?' Waiver Fee $ Date of Payment Receipt Number 72-~26 (Rev.