HomeMy WebLinkAboutVERN HAIK LT 3Vern Hal*k
Lot 3
#051-061-81
Municipality of Anchorage Page of ZZ
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
Per!/mit Number: 514) 9-7 0o33 PID Number: ObO- ONS — Z'2.
Name: 4")!/1 //Y✓CC c �e
Wastewater System: XNew ❑Upgrade
Address. O ��. Aye,
ABSORPTION FIELD
Phone:
No. of Bedrooms:
3
Deep Trench ❑Shallow Trench ❑Bed ❑Mound O Other
LEGAL DESCRIPTION
Soil Rating: Q 0
Total Depth from original grade:
. (/ GPD/Sq. . Ft.
Z �o
Lor Block: Su/ydivision , / /'
Depth to pipe bottom from original grade:
Gravel depth beneath pipe
S
YC //,?1
- 1 , %5 Ft.
FI.
Township:
Range:
Section:
Fill added above original grade:
Gravel length:
t FL
Ft.
WELL: ❑ New ❑ U e
Gravel width:
2
Number of lines:
Distance/yettween lines:
u'//
• 0 Ft
T FL
Classification (Private. A,B,C):
at Depth:
Cased To:
Total absorption area:
1�
Pipe material: V 303 -I
Ft.
FL
to Z 't— SC. FL
l"" F% iO
Driller: t
q"
Date Drilled:
Static Water Level:
4n5tafler:
Daif;'lri3Lalletl:
Ft.
CCC C,n17
Yield:
Pump Set at:
Casing Height Above Ground:
TANK
GPM
Ft.
Ft.
SEPARATION
DISTANCES
iXSeptic DHolding 0S.T.E.P.
To
Septic
Absorption
Lift
Holding
Publictirrivate
Manufacturer: _ //
Capacity in gallons: O
// O
From
Tank
Field
Station
Tank
Sewer Linea
Q✓/!L
Well
2,90' 4
WO f
—
Material: /�
Number of Compartments: Z
waiee
Joo'f
—
—
—
LIFT STATION
hod' t
Lot
f
Size in gallons:
Manufacturer:
Line
/D f
/0
Foundation
/C) f
/U 1 t
••Pump on" level al:
"P "level at:
High water alarm at:
CurtainPump
IOD/4
100'f-
DOri-Remarks:196.4;16;�s
Make el
Electrical Inspections performed by:
Drain
BENCH MARK
Remarks:
Location and Description: p �7a7!lZ�r U 7
Assumed Elevation:
DD Ft
ENGINEER'S SEAL
E. .........•., �
#
m.... ...
Dates.1 Ins ections performed by
2
tv le /%
/..0
.. ....0
•�••
A_;KENNETHou s
,
4Department
of Health and Human Services ap
j%'•CE 7116
♦,�����
.•%
'SS
Reviewed and approved by Date: 1/—_/3__71/—_/3__7'T9/g
,p �
Ilk
?%+ILS IWn q/9 i) Ia0A 25
AS—BUILT SYSTEM DETAILS/SITE PLAN Permit SW970033
V ERN HAIK S/D, LOT 3 PID#068-041-22
�i :r y
smt _--
coly cnr
TH #97-1
nl 3 BDRM SER
K 1 00 GAL. S.T. n c F I
cD D
in E
(U O CO MT
o
SCALE: 1' = 50'
A -C=42.5'
FIELD BOOKS COMPUTED.
BOUNDARY: — DRAWN:
VACANT
'TUE ❑E
B -C=24.7'
ASOUILT: — DATE:
1 D 4
3
NW146
A -D=46.0'
L
I
Iy
B -D=23.2'
- j
all
A -E=54.7'
o �
13-E=27.8'
N
A -E=10.0'
99.8
/
B -E=58.0'
"" U 99 40
SEPTIC
law—�_\�
OF ALS *#A 1
* 49TH o
KENNETH M. IT 5..._../
CE 7116 sv�
lk d I'ROpESS100"
AV
SEPTIC
117
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f
��79D36�41-'W
3 ,9 -
---
WATEiNE
44•
PREPARED FOR:
DAVID McCABE
DAWN DEVELOPMENT CORP.
920 EAST 6TH AVE.
ANCHORAGE, ALASKA 99501
FIELD BOOKS COMPUTED.
BOUNDARY: — DRAWN:
VACANT
'TUE ❑E
SL❑k
ASOUILT: — DATE:
1 D 4
3
NW146
N
L
I
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Public Water
- j
all
i
o �
0
99.8
w MONITOR TUBE
"" U 99 40
FINISHED
GRADE
99.66
FILTER FABRIC /
2' Insvlatl n
VARIES
T
96.44
96,45
I
SEWER
ROCK
ss•
6.64 89.94
89.94
44•
PREPARED FOR:
DAVID McCABE
DAWN DEVELOPMENT CORP.
920 EAST 6TH AVE.
ANCHORAGE, ALASKA 99501
FIELD BOOKS COMPUTED.
BOUNDARY: — DRAWN:
KMD
STAKING: — CHECKED:
KMD
ASOUILT: — DATE:
1 D 4
DWG. FILE: GRID:
NW146
ACAD FILE: 97089.DWG JOB N.,
97089
SCALE: NTS 8294 BOH
11LA I LUL) ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
11/FAX (907)696-8111
WA coP�S
PAGE 1 OF
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW970353 DATE ISSUED:10/06/97
DESIGN ENGINEER:KND ENGINEERING EXPIRATION DATE:10/06/98
OWNER NAME: A UP -5 --
OWNER ADDRESS:DAVID MCCABE
920 E. 6TH AVE. ANCHORAGE, AK 99501
PARCEL ID:05106181
LEGAL DESCRIPTION:
VERN HAIK LT 3
LOT SIZE: 28857 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK 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 343-4744 ( 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:
RECEIVED
ISSUED BY
BY: � DATE: 6 6
DATE: ! (/ - CO
KND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
11/FAX (907)696-8111
September 24, 1997
Municipality of Anchorage
Dept. of Health & Human Services
On -Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: New sewer permit - Vern Haik S/D, Lot 3
Gentlemen:
Following a request from the owner regarding the referenced property, we dug one
testhole for the proposed system and replacement field. The result of that test is
attached. The lot will be served by public water.
The system will be placed on the northern portion of the lot outside any public or
private 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. Although there is a 10' drainage
easement to the north we have never observed water in the easement and there is
no standing or 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,
R�11ID Engineering
Kenneth M. Duffu , .E.
attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WASTEWATER
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DISPOSAL SYSTEM/SITE
VERN HAIK S/D, LOT 3
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PubOc Water I Pub➢c Water
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SEPTIC
SEPTIC
----------
PREP SYS
000IG1
VACANT
3
N�y)2�69
11
VACANT
ALL LOTS SERVED BY COMMUNITY WATER.
NO SEPTIC SYSTEMS WITHIN 200' OF
PROPOSED WELL, EXCEPT AS NOTED.
NO PRIVATE OR PUBLIC WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT AS NOTED.
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KENNETH
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PROPOSED WATER LINE
VACANT
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0 UtI & Telecon Esnt
PLAN
PubOc Water
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PROPOSED RESERVE
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DISPOSAL SYSTEM/SITE
VERN HAIK S/D, LOT 3
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SEPTIC
----------
PREP SYS
000IG1
VACANT
3
N�y)2�69
11
VACANT
ALL LOTS SERVED BY COMMUNITY WATER.
NO SEPTIC SYSTEMS WITHIN 200' OF
PROPOSED WELL, EXCEPT AS NOTED.
NO PRIVATE OR PUBLIC WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT AS NOTED.
.Aw > OF AL4 l
* 49TH *+)
KENNETH
CE -71 W4 /
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PROPOSED WATER LINE
VACANT
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0 UtI & Telecon Esnt
PLAN
VACANT
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VACANT
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VACANT
VACANT
296.94 N89355'25'E 659.88 <72-114) 296.94
DESIGN CRITERIA
1. 3 BEDROOMS X 150 GAL./DAY/BEDROOM = 450 GPD
2. SOILS RATING: 5.33 MIN/INCH = APPL. RATE 0.8 GPD/SF
3. 450 GPD/0.8 GPD/SF = 562.5 SF
4. 562.5 SF /(2x6.5) = 43.27'L
5. MIN. DESIGN SIZE = 1 TRENCH - 44' LONG x 2' WIDE x 6.5' DEEP
6. DEPTH OF GRAVEL BELOW PIPE IS 6.5'.
7. TOTAL DEPTH OF SYSTEM IS 8.0' FROM ORIGINAL GRADE.
NNTES:
1. TIE INTO TRENCH AT ENDPOINT.
2. INSTALL 1000 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER.
3. INSULATE TRENCH WITH 2' HD BURIAL FOAM IF <3' COVER.
4. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK.
EPARED FOR: KND ENGINEERING
20441 PTARMIGAN BLVD
DAVID McCABE EAGLE RIVER, AK, 99577
DAWN DEVELOPMENT CORP.
920 EAST 6TH AVE. (907)696-6111/Fax (907)696-8111
ANCHORAGE, ALASKA 99501 DATE! 9/24/97 ➢RAWING #
SCALE 1" = 100' 97089-S]
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VACANT
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VACANT
VACANT
296.94 N89355'25'E 659.88 <72-114) 296.94
DESIGN CRITERIA
1. 3 BEDROOMS X 150 GAL./DAY/BEDROOM = 450 GPD
2. SOILS RATING: 5.33 MIN/INCH = APPL. RATE 0.8 GPD/SF
3. 450 GPD/0.8 GPD/SF = 562.5 SF
4. 562.5 SF /(2x6.5) = 43.27'L
5. MIN. DESIGN SIZE = 1 TRENCH - 44' LONG x 2' WIDE x 6.5' DEEP
6. DEPTH OF GRAVEL BELOW PIPE IS 6.5'.
7. TOTAL DEPTH OF SYSTEM IS 8.0' FROM ORIGINAL GRADE.
NNTES:
1. TIE INTO TRENCH AT ENDPOINT.
2. INSTALL 1000 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER.
3. INSULATE TRENCH WITH 2' HD BURIAL FOAM IF <3' COVER.
4. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK.
EPARED FOR: KND ENGINEERING
20441 PTARMIGAN BLVD
DAVID McCABE EAGLE RIVER, AK, 99577
DAWN DEVELOPMENT CORP.
920 EAST 6TH AVE. (907)696-6111/Fax (907)696-8111
ANCHORAGE, ALASKA 99501 DATE! 9/24/97 ➢RAWING #
SCALE 1" = 100' 97089-S]
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a Municipality of Anchorage Poo..,
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•
DEPARTMENT OF HEALTH R HUMAN SERVICES
T 825 "L" Street, Anchorage, Alaska 99502-0650 9 hh ;aF'ru
SOILS LOG — PERCOLATION TEST ®® sT CE 7176 sae
0 F ,
. as c0 .r
PERFORMED FOR: YV) Cc''tIo, I ..1/, DATE PERFORMED:
LEGAL DESCRIPTION:_UQr() NLL.t I� Township, Range, Section: T /4 :tf--1
OEPrH r?ce-I- Mai' SLOPE SITE PLAN
1 ,t'��C.sd /3/own GM/4P
RAI
3 Ae�, LG .
4
5-
6-
6 qreyr Down cos I�
io tnet%cccw to�2ns` fr(
8 J
9
10
it
12
13
14
15d 5•b•}-1'
16
17
18
19
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
S
d L
O
P
E
Depth to Water Atter
Monitoring? `' Date: Lg -97
Reading Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
l0
U sari r2
—
Zl
5: 3
/D "y/;7
tb
7
5: 33
"
—
C
20{ I Srr
�L—ll PERCOLATION RATE L7/�� (minutes inch) PERC HOLE DIAMETER
TEST RUN BETWEEN • FT AND 6 FT
COMMENTS
PERFORMED BY: f, I / CERTIFY THAT THIS TEST
WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE MUNICIPA GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
Municipality of Anchorage
Development Services Department
Building Safely 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
062-Ori2222 F OlA9�S �r�
Parcel I.D. 1-Z�l �b(o � —� i � � HAA # A-G�
y Expiration Dale: ill Z T 103
1. GENERAL INFORMATION
Complete legal description Lot 3;Vern Haik Subdivision
Location (site address or directions) NHN Morning Circle, Chugiak, AK 99567
Current Property owner(s),. Sonny and Donald Holbrook Day phone a meq- j SO7
w
Mailingaddress P.O. Box 672118, Chugiak, AK 99567
Lending agency Day phone
Mailing address
Real Estate Agent Lisa C—.4rar`4'143 Dayphone 694-9125
Mailing Address
Unless otherwise requested, IIAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage ❑
Community Class A Well pq
Public Water System ❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site �]R
Individual Holding tank ❑
Community On-site ❑
Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates or Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between 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.) CertificralPs 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 dale 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. 1 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(are) In compliance with all applicable Municipal and State codes, ordinances,
and regulations in effect at the time of installation.
NameofFirm S & S Engineering Phone 694-2979
Address 17034 N. Eagle River L000 Rd., Earle River, AK
Engineer's Printed Name Robert C. Cowan Dale 9/�-6/oZ
5. DSD SIGNATURE
11*' Approved for 3
Disapproved.
Conditional approval for
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
(Rev. 13/001
A ` ROBERT C. COWAN
CE -8801
s
bedrooms.
bedrooms, with the following stipulations:
f YfOr��cy'��
�j�.• .0=
ON-SITE -
WATER AND m
• WASTE'A, -, EK
a PROGRAM
%SEWX x`\11
X Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: /Z -47
9
Municipality of Anchorage °•
e'•a a°`
' Development Services Department
Building Safety Division °
s•rar•
On-Stte Water &Wastewater Program
4700 South Bragaw St
P.O. Box 196650 Anchorage, AK 995196650
www.ai.anchorage.ak.us
(907)343-7904
HEALTH /H AUTHORITY APPROVAL CHECKLIST h Q
Legal Description: Le%Til V PM -J (�k IL- - Parcel ID: 06P5 -041 Oz2
A. WELL DATA
Well typez:adhJ
Date completed _
Total depth fL
Date of test
If A. B, or C provide PWSID #
Sanitary cal (Y/N) _
Cas to ft.
FROM W L LOG
Static water level fL
Well production g.p.m.
WATER SAMPLE R LILTS:
Coliform lonies/100 ml. Nitrate mg.A.
Arsenic: A. Date of sample: _
Well Log (Y/N)
Wires properly protected
Casing height (above
AT INSPECTION
B. SEPTIC/HOLDIKTANK DATA,
Tank TypelMatetia 46vr'r;C'
Tank sgal. r., . Number of Compartments Z
Foundation cleanout (YM) Y''. Depression over tank (YM)
Date of pumping 9I 1 } rO j-;, Pumper TR s
C. ABSORPTION FIELD DATA
Date installed Jg6 Soil rating (g.p.d.At? or fejbdrm) >-B
in.
n
UMI
Other be teria colonies/100 ml.
Date installed
Cleanouts (YM)
High water alarm (YIN) VV
System type / 4!c—j6 t/
Length A� R Width 2 fL Gravel below pipe Go -10 ft.
Total depth 4? fL Eft. absorption area j�k—lft2 Monitoring tube __)L Depression over field
Date of adequacy test 9/t<ia/Dy Results (Pass/Fail) 94S For 3 bedrooms
Fluid depth in absorption field before testsin. Water addedlagal. New depthj6L. f in.
Elapsed Time: min. Final fluid depth 17, in. Absorption rate >= 40 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N 8 type)
If yes, give date
D. LIFT STATION
Date installed A
'Pump on' level at in.
Datum
E. SEPARATION DISTANCES
Size in gallons
'Pump ofr level at _ in.
Cycles tested
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO: elm Mur/ I "
Septic tankA)ft station on lot On adjacent In>a
Absorption field on lot On adjacent 1
Public sewer main Public sewer
Sewer /septic service line Holding tank
SEPARATION DISTANCES FROM SEPTIC/HQL <G TANK ON LOT TO:
Building foundation 5 t Property line S t Absorption field
Water main /o 4- Water service line % t% } Surface water
Wells on adjacent lots 9049't,
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line / Building foundation /D d- Water main
5;
/D m 01
lin
Water Service line /0 * Surface water 10D / t Driveway, parkinghrehide storage /O I
Curtain drain AtONt, APWPJ Wells on adjacent lots ZZ rr
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineers Printed Name ft. 8 8 tit T C . Ce n✓�yi�
Date R / a1.6 A -.,-
HAA
HAA Fee $ 3 7S. Waiver Fee $
Date of Payment `i �A 6 �� Date of Payment
Receipt Number 0 x 4 1 6 6 �1�i Receipt Number
(Rev. 12101) 1
12
S 88049'51'E 98,70, 2
_ ` - 10' DRAINAGE EASEMENT
-----------------------
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DATE
56-33
FLD. BK.
NOTES: Easements not appearing on record subdivision
plat are not shown unless description
provided client. it ! of easement is
or builder,, priorthe responsibility of the owner
building grade I s construction, to verify proposed
connectionsreative to finish grade and utilities
easements, , and to determine the existence of any
covenants, or restrictions which do not
appear On the recorded subdivision plat,
Elevations based on assumed datum unless otherwise
indicated, and bearings and distances are record data.
ngi eering S8S Engineering
4 P ROAD
Rte, ALASKA 995n
(9o7)69a_sa79
LEGAL DESCR- R N
—�____
LOT 3,
VERN HAIK SUBDIVISION
PL A7 NO. SCALE
8r
1-3530'
IQ
I" =30' NW 1461
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N 00°07.2`•'•• ,•••
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