HomeMy WebLinkAboutCURRIN LT 7AOnsite File
Currin
Lot 7A
#017-341-30
Municipality of Anchorage ..c'~
Development Services Department '~'~I~'~* ~ '
Buildihg Safely Division ~ L~
on-site water and Wasle~ter P~am, 47~ S. ~agaw SL
P.O. ~ox t~50 ~orage.~ 99519-6650 Page
~.cl.anchorage.ak.us (907) 343J904
ON-SITE WASTEWATER DISPOSAL ~YSTEM ANDIOR WELL INSPECTION REPORT
Permit Number: 5 ~ O JG ~ t ~ PID Number:
"-~;~A~e I+~n ~l;~er WastewaterSystem: ~New aUpgrade
~'~1 4,ee;n [;erie ~n~.~ ~J I~ ABSORPTION FIELD
LEGAL DESCRIPTION ""~ 1.2,..,,
SEPARATION DISTANCES ~ seplic B tto~ing B 8.T.E.P. ~ Olhec
To Septic Absofpllo~ Lift Holding Pubn¢~ate
w~
""'w"' i~; l~; k / LIFT STATION
,-- 30' 89'
"~" BENCH MARK
S & S ENGINEERING
nspec[lo~s pe~ormeg ~y _ , .. .~_.~._ ~e~ uates
..... [~~..
Develdpme~t Services Department Approval
'.
Reviewed and approved by: ~ / ~ ~Date: ~-/J-~]
· ~/// ~,', ,...-.....~-
PER,tIT No. SWOIO112 PACE 2 oF 5
D ........ M u_.n i,g.c i p, ,o.ti .'J: y_o, F .A.n_c h.oF o.g?.
I::h'AN/P'It-N/ UI- Ht::AL/H AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.D. Box 196650 eAnchocoge, Al~sk(z 99519-6650 . Telephone= 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
L£CAn LOT 7, CURRIN S/D P.I.D. NO. 017-541-22
TRACT A
10' Telecomm & Elec Esmt
-
DBL1 & DBL2-k I
GALLONj /*' ~ ~ I C0~1
SEPTIC TANK / ----~. '~ MTI\~\¢ '\\
~~ ~e ',k ~y~.-..~'~
P£RMIT NO $W010112 PAC£ 3 OF
Municip. a!.i't.. _y__ .oF .A.n_c h.o.r' a 9.e'
DEPARTMENT OF HEALTHAND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 eAnchor~ge, Al(lsk(l 99519-6650eTetephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LECAL LOT 7, CURRIN S/D P.LD. NO. 017--341--22
ST1 ST2 /95.9'
FINAL
~ ., NEW 1250 I'~ .... ..T'-
I GALLON I
I SEPTIC TANK J
CO1
C02
CO1 = 96.0'
C02 = 95.3'
GRADE
A B C
FCO 24.5' 50.0' -
ST1 55.5' $4.0' -
ST2 62.5' 35.0' -
DBL1 64.0' .35.5' -
DBL2 66.5' 36.5' -
C01 - 87.0' 94.0'
MT1 - 86.5' 92.5'
C02 - 105.5' 100.5'
CO1 = 89.4'
= 89.4'
MT1 = 85.2'
·
NO WATER FOUND
79.2' B.O.H.
FROM :
PHONE NO.
Nou. 28 2881 89:22AM P1
WATER WI~LL, R~'CORO
STATE: OF ALASRA
OEPARTM'.rt',IT OF NATURAL'RE$OURE:$
ri;vision of GeoloGical a Geophyslca1Surveys
MUNICIPALITY OF ANCHORAGE
Development Services Depa~ment
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: May 14, 2001
Expiration Date: May 14.2002
Permit Number: SW010112
Legal Description: CURRIN LT 7 '
Design Engineer: 0003 S & S Engineering
Owner Name: MICHAEL & ANN FLISTER
Owner Address: 5021 CURRIN CIRCLE
ANCHORAGE, AK 99516-
Parcel ID: 017-341-22
Site Address: 005021 CURRIN CIR
Lot Size: 42247 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well
[] Water Storage
construction must be in accordance with:
1. The attached approved design.
2. mi 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 DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date:
Dat '. 5 -- /4
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ct.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parce~ ~.O. 017-34. I -Z~.
Property owner(s) ~ ,~\ ~ ,~ c,
Mailing address (1) Ii, j~-'~,5~. ~,1,3,5o~ ~l~(,~ ,
/'~ddress (2)5-021 Chi r{ R I k/ cII~E LE:
Legal description (Lot, Block & Sub'd.) ~; C.. L~ r-,.l'~ ~
Legal description (Section, Township & Range)
Lot Size ~ -.~
~Z~247 ~,,~.
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Permit Number
Day phone ~
Zip Code cfqS'16
Number of Bedrooms
Well Only
Water Storage
[] Jacuzzi []
[] Water Softening Unit []
I certify that the above Information is correct. I further certify that this application Is being made for a
Single Family Dwelling and is In accordance with applicable Municipal Codes.
~Z ~- S & S ENGINEERIN(~
17034 Eagle River Loop Road, No. 204
Eagte River, Alaska 99577
(Signature of property owner or authorized agent)
Permit Fees: ~ ¥ O. ~''''
Date of Payment: 3'"//0/0/
Receipt Number: O O ~ I ~ 5'
(Rev. 12/00)
Waiver Fees:
Date o~ Payment:
Receipt Number:
ROBERT C. COWAN, P.E.
May9,2001
CML ENGINEERS
(907) 694-297g
FAX (907) 694-12 ! 1
$O/4. TEST
MUNICIPALITYOFANCHORAGE
DepartmentofHe~thand Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 7, Currin S/D
It is requested that you issue a permit to install a septic system to serve the proposed
four bedroom dwelling on the referenced property.
A test hole ~vas excavated and a percolation test was performed. The approximate location
of the test hole is located on the attached site plan. At the time of excavation on 4-28-01
water was not found. At, er seven days of groundwater monitoring the tube was found to
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC hm
Enclosure
17034 NORTH EAGLE RIVER lOOP · SUITE 204 * EAGLE R~VER. AL,~ KA 99577
"~'~ LOT-/, CURRIN SUBDIVISION
J.H.M. }{.C.C. ,5-9-01 I OF'
DESIGN CRITERIA: ~a~. ~As~ui~. o~ ~c~o*c~ ., ~ ..~,., - '- ~ -
F~,~ 4 BDRM = 600 GPD SHO~N O~ T~IS 51Tg P~ ~g ~
SOl~ = I.~ GPD/S~.~. ~ ~-BUILT SURVSY D~N BY:
WI~IAM D. F~MING ....
600/L2 = 500 Sq.~. R~q'D. ~ m THS R~POXSm~ O~ rim COaTi,OR
TRENCH CRITERIA: )o v~m~ ~=~,~. ~=~um=o S~P*~TmN '~,"~ CE-BaOI
7.5'
DEEP
rix/ (9o7)694-12tt R - 0.5 ~ INST~L DOUBLE CL~OUT
TRACT A/, CONT~O. m n~U,.SD TO
10' Telecomm ·Elec Esmt ',' P~iO~ TO ANY ~CAVATION
..................... ~ - ~ ........................... ~o~[.
ilk PORIIO~S O~ ~
~ LOTT, CURRIN S/D
4 BDRM = 600 GPD ~ ~-BUi~T SURVEY D~WM BY:
SOI~ = 1.2 CPD/SQ,~, W{LLIA~ D, F~ING
600/1,2 = 500 SQ.~. RE~'D. IT IS THE R~PONSIBIL~ OF THE CONT~OR
TRENCH CRITERIA: om*~c~s. AND P"OPER~ UN~ PRIOR TO
17034 ~GLE WW~W k~ W~O 7.5' DEEP CON~RU~ION.
PHONEI (907)694-2979 5 .WIDE /
~ SEPTIC TANK - ~ ~ CO X~
~ ~ I I ~ I I
Municipality o! Anchorage.
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 '%" Street. Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
5/0 Township, Range. Section:
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
COMMENTS
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES. AT WHAT
DEPTH?
~eplh to Wate~ Nler.^ 5"' L//
Idonitm'ing? P/<~
SITE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
· , " ~ ~% } C ~ '/1' ~ '/~
~' " t ~ */t * 7 D , ~ 'Ix ' ff ,1~
q~ Iq '~ " ~ ,1~ ;
PERCOLATION RATE I * / (m,nutes/,nch) PERC HOLE DIAMETER ~"
TEST RUN BETWEEN 6 FT AND 7 FT
PERFORMED BY: · u,~:~ ~u~c ~vcr ~p Koa~ NO. 2~ '~ CERTIFY T~T THIS TEST W~ PERFORMED IN
ACCORDANCE W;~IL[&~EA~L GUIDELINES IN EFFECT ON THIS DAT[ DAT~ ~ / ~/~ ~
72-008 (Rev. 4/85)
FROM : PHONE NO. : Ma~. 07 2001 03:$7AM P2
11335 Via Balboa
Anchorage AK 99515
May 2, 2001
Municipality of Anchorage
Department of Health & H~maan Se~x, ices
P.O. Box 196650
Anchorage, AK 99519
Re: Lot 7, Curdn Subdivision
Please be advised that I, as owner of the above residential lot, intend to
install my own on-site wastewater disposal system per the accompanying
engineer specifications.
I do have prior experience as an Alaska DEC certified septic system installer
and also previously worked as a soil technician for Alaska Environmental
Control Service (AECS).
Please call me if you need any additional information.
Sincerely,
Michael P. Flister
PERFORMED FOR:
MUNICIPAI-ITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, An.aha'age, AlUka 99501 264-4720
SOILS LOG - PERCOLATION TEST
! I
LEGAL DESCRIPTION: ("~,u,",'-.*'q ,.~"..~ ' /-"/ '*'
I
2
3
4
SOl LS LOG
hid, Jl'.
5
6
7
8
9
10
11
12
13
14
15
16
17
2O
[] PERCOLATION
TEST
DATE PERFORMED:
SLOPE SITE PLAN
WAS GROUND WATER S
L
ENCOUNTERED? ~ O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time 'l:ime Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN _ FT AND ,,. FT
COMMENTS
PERFORMED BY: ~ve,~5 CERTIFIED BY: DATE:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
ParcelI.D. OI7-3,~1 -~-~
GENERAL INFORMATION
Complete legaldescriptio~nL°l: 7; Currin '
Location (site address or directions) 5021 CurrJ. n CJ.r
Expiration Date: "~ - /[- O ~
Anchorage, AK 99516
Current Property owner(s) .~ i 11 l,li 1 k i n s
Day phone 2Z, 2- ~z, Z, t
Mailing address
Lending agency
16701RaRsom Dr.
A~ qe~16
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~ Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site []
Individual Holding tank
Community On-site
[] Public Sewer
The Municipality of Anchorage Development Se,vices Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil
engineer registered in the State of AJaska. Certificates of Health Authority Approval are required for the transfer of
title (except beb, veen spouses) for properties served by a single family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with
valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public
water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional
engineer's work.
4. 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,
based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further vedfy 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(are) in compliance with all applicable Municipal and State codes, ordinances,
and regulations in effect at the time of instaIlation.
Phone
Date
Name of Firm s & s ENGINEERING
l/u,,~ t;agle River Loop Road No. 2G4
Address Ea~le River, Ala~!¢n
Engineer's Printed Name J'~0,~ 1~- ~' C0LJ~
DSD SIGNATURE
~ Approved for /-3L , bedrooms.
Disapproved.
Conditional approval for
I~,/ Io/01
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bmgew St.
P.O. Box 196650 Anchorage, AK 99519~650
wvnv.ci.anchorage.ek.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
LegelDescripflon:J. 0"r "7 ~..vR,~' S/Z) ParcailD: OI7-3~//'~'~
A, WELL DATA
Weil type ~/~ Iv47[ ff A, B, er C provide PWSID # - Wail Log ~N)
Oatecompleted G]'~/~ I Sanltaryseal (~/N) ¥~-$ Wh-esproperly protected(~/N)
Totaldepth ~.~'5-'ft. Casedto ~Offl. Cesing height (above ground) ~*¥+* in.
FROM WELL LOG AT INSPECTION
I O g,p.m, ta"~ g.p.m.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform O calonies/10Oml. 'a'J~C~ll/~/e~tedby moji.
Date of sample: II/~.fll ~' I '~ :
SEPTIC/HOLDING TANK DATA
Tank Type/Material $~.~0 F ~ c. / ST~.~./.
Tanksize }~5"O gal. Number of Compertmonts
Foundation cleanout~N) )~,l~$ Depression over tank (Y~
Data of pumping /d//'A o,~v ~. ~ Pumper
Other bacteria O oolonies/100 mi.
S & S ENGINEERING
1;'C,~,~ --r--w;. ;.;..r ~p koaa no. Z04
Rhmr, AJaaka 99577
Date installed
Cleanouts ~1)
High water alarm (Y/I~
C. ABSORPTION FIELD DATA
Datainstailed ~-/.}'o/a J Soilrating ~[~:~*~/bdrm) J'~* Systamtype T,~,~.,,*c...
Length ~ ] ft. Width ~ fl. Gravel below pipe ~t ft.
Total depth )0 fl. Eft. absorption area .~'10 ft2 Monitoring tube Y ~,'J Depression over field ,Id ~
Date of adequacy test t~/,,~ - ~,~ ~, w Results (PessiFail) For ~'~ bedrooms
Fluid depth in absorption field before test ~ ~ed' gal. New depth in.
Elapsed Time: __min. ~th __ in. Absorption rate >= g.p.d.
Any rejuvenation trea~nt~n~'C12 mo.) (Y/N & type) If yes, give date
D. LiFT STATION
Date installed ~ize in gallons ~ '
'Pump on" level at in. Pum~ High water alarm level at
Datum ~ Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES
SEPARATION DIST,~CES FROM ~ELL ON LOT TO:
Septic tank/lift stat]on on lot )
Absorption field on lot
Public sewer main /~/
Sewer/septic sen, ice line
On adjacent lots
On adjacent lots
Public s~r m~nhol~/~teanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ~ O
Water main ~//~
Wells on adjacent lots ? O O '~-
-~.
Property line
Water sen, ice line
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line ~ 0 Building foundation
WaterSewiceline. /0 ~ Surface water I00
Curtaindrain~N4 ~-,~e~' Walls on adJacent lots )O0 ~
Absorption field ~ (o
Sun'ace water ) O 0 /-~
Water main ~t) / A
Driveway, paddng/vehicie storage
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal recoMs that the above systems are in
conformance v~th MOA HAA guidelines in effect on this date.
Engineer's Printed Name
Date I ~- ~lO / 0 ! '
HAA Fee $
Date of Payment
Receipt Number
(Rev. 12/00)
Waiver Fee $
Date of Payment
Receipt Number