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HomeMy WebLinkAboutGYR LT 1Onsite File zt' . Formerly McKindley .: Date Received / q.%% r Li STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION DOCUMENTATION OF CONSTRUCTION 1. GENERAL INFORMAT10N I Legal Description of the Location MCKINLEY HEIGHTS SUBDIVISION. LOT 5, BLOCK 1 Submitted by: ❑ Certified Installer ❑ Approved Homeowner ■ Registered Engineer Installer Name: SULLIVAN WATER WELLS Onsite Wastewater System Serves: ❑ Single Family. Number of Bedrooms ❑ Duplex. Number of Bedrooms ■ Small Commercial Facility With Estimated Design Flow of less than 500 GPD. Mailing Address P.O. BOX 670272 * CHUGIAK, AK 99567 I1. WATER SUPPLY SYSTEM (SECTION II IS OPTIONAL) Source of Water and Containment (Check all that Apply) ■ Well (Drilled or Driven) ❑ Surface (Idents) ❑ Roof Catchment ❑ Holding Tank ❑ Other (Identh) Type of Water Supply System ❑ SF/Duplex ■ Class C Treatment of Water (Check all that Apply) ■ None ❑ Chlorination ❑ Filtration ❑ Mineral Removal ❑ Other: Well Data Is the height of the well casing more than 12" above the round? ■ Yes ❑ No Is a sanitary seal or well cap installed on the well casing? ■ Yes ❑ No Is drainage directed away from or around the casing within a radius of 10 feet of the well casing? ■ Yes ❑ No Is well wires enclosed in conduit? ■ Yes ❑ No Date Drilled 4/20/2007 IDepth of Well (Feet) 300 Static Water Level (Feet) 1 $ Yield (If available) Pump Rate (lfavailable) Separation Distance from the Well Casing to each of the Following Sources of Contamination Septic/Holding Tank on Lot 150+ Feet Sewer Lines on Lot 75+ Feet Absorption Area on Lot 150+ Feet Closest Septic/Holding Tank on Adjacent Lot 150+ Feet Closest Sewer Lines on Adjacent Lot 75+ Feet Closest Edge of an Absorption Area on Adjacent Lot 150+ Feet Indicate separation distance from toxic material including fuel tanks, paints, lubricants and other petroleum based materials, pesticides, fungicides or herbicides to well casing: On Lot 100+ Feet On Adjacent Lot 100+ Feet Water Samples Taken by: (Name) Sampler is: ❑ Buyer ■ Engineer ❑ Banker ❑ Government Official Address Water Sample Results: Attach Co v ❑ Satisfactory - Date ❑ Unsatisfactory - Date Comments/Recommendations: I, A A certifv th• t thtaiab6vformallion,and that rovided in our attached drawings. is correct: .Signature yTyped/Printed ' i Name JEFFREY A. GARNESS, P.E. Title PROFESSIONAL ENGINEER Date 3/5/2008 .Note: 1. T/rirt �ecnptsVbul be signed Jy a Certified Installer, Professional Engineer, DECstaff or Owner/Builder 1. All ` ibliq t atersys nm eceive ADECplan approval prior to construction. See 18 AAC 80 State of Alaska Drinking Water Re plan n for specific requirements. III. WASTEWATER DISPOSAL Legal Description: "type of Wastewater System: u Fi 10-1 Septic Tank with Conventional Soil Absorption System ❑ Package Treatment Plant (requires engineered design) Holding Tank: Material Type: Size in Gallons: Manufacturer: Other - Specify Type: ❑ Alternate Onsite (requires engineered design) Small Commercial System (<500 GPD) With Estimated Daily Wastewater Flow of: Gallons Per Day (GPD) Criteria Used to Estimate Daily Wastewater Quantity: NEW SYSTEM ❑ REPAIR TO EXISTING SYSTEM I Certified Installer Installation Notification Date: Name ofInstaller: JIM STRATA w STRATA CO. Date Installed: 7/31 /07 — 8/2-6/07 System Installed: ❑ By a Registered Engineer N With Inspection by a Registered Engineer ❑ By Approved Homeowner (attach copy of approval letter) ❑ By a Certified Installer/Installer Number Septic Tank: Material: Manufacturer: Size (Gallons): Number of Compartments: STEEL ANCHORAGE TANK 1250 2 Type of Soil Absorption System: ❑ Deep Trench ❑ Shallow Trench ❑ Seepage Pit N Bed ❑ Mound ❑ Other, Specify Soil Classification: GW SW Soil Rating: 1,2 Dimensions/Size of Absorption Area: 30' X 15'-450 SQ.FT. Grading/Size of Distribution Rock: 3/4"-1 1/2" Thickness/Depth of Distribution Rock: *0.61' Percolation Test Results, Attach Copy of Report: Percolation Test Performed by: <1 Minutes per Inch — Sq. ft. per bedroom I KND ENGINEERING percolation test results must be sealed/signed by a registered engineer. List ground cover in feet over: Septic Tank: **3.5'+ Absorption Area: **4'+ Sewer Pipes: **4'+ Cleanout Pipes/Caps Installed: Foundation Cleanout: YES Septic Tank: YES Monitor Tubes: YES Indicate separation distances from septic tank or absorption area, whichever is closest to, to all nearby: Public drinking water sources within 200 feet: 150'+ Private drinking water sources within 100 feet: 100'+ Nearest water bodies (see 18 AAC 72.020(6)): 100'+ Lot Line: 1' Separation Distance from Onlot Sewer Lines to: Public Drinking Water Sources: 100'+ Private Sources: 25'+ Separation Distance from Bottom of Distribution Rock to: Groundwater Table: 4'+ Bedrock: 6'+ Separation Distance from Absorption Area to Slope exceeding 25%: 50'+ Comments/Recommendations: *2' A.D.E.C. APPROVED SAND FILTER WAS INSTALLED BELOW DISTRIBUTION ROCK. **2" OF INSULATION OVER SEPTIC TANK, ABSORPTION FIELD, AND SEWER PIPES I certify that the above information, and that provided in our attached drawings, is correct: Signature Typed/Printed Name I Title, Reg./Cert No., Inst. No. Date JEFFREY A. GARNESS, P.E. I PROFESSIONAL ENGINEER 3/5/2008 NOTE. Most be signed ht, a Certified Installer, Professional Engineer, DEC staff, or Approved Hotneowtter. If engineering seat beets printed name, regisnradon number, and is signed, those blocks need not be completed for engineered submittals. SEAL Registered Professional Engineer OF O .........� Je fie' . Gorness oQ CE -7953 �Q 0 O�npro f e s sior`°�� I AS -BUILT DRAWING I \ MCKINLEY HEIGHTS S/D; LOT 4, BLOCK 1, GP �P NEW DRIANFIELD 20' UTILITY EASMENT A B_ .... ......... ST1 16.60 43.60 arness•. �� 4 \ ed — 0 f e s sio� Qc� ST2 19.60 50.50 ; . �o :: ...:...'. DBL1 27.90 61.40 0 :Y '• DBL2 29.00 63.50 C01 54.20 99.80 ,Y• �F<t CO2 55.40 99.40 ••; �;•'. :i; CO3 56.50 97.80 A B / �ASM��'( MT1 30.40 70.10 MT2 57.60 100.2 \ MCKINLEY HEIGHTS S/D; LOT 4, BLOCK 1, GP �P NEW DRIANFIELD 20' UTILITY EASMENT CSA R NESS ENGINEERING GROUP, Ltd., CONSULTANTS & GENERAL CONTRACTORS 3701 E MOOR ROAD. SUfTE 101 • ANCHORAGE. AK 99507 a PHONE (907)337-8179 a FAX (907)338-3248 • WEBSnY-- www.pameeeenyineeriny.com j! PREPARED FOR: PHONE NUMBER: PAGE NUMBER: STEVE BERGH 694-3667 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: McKINLEY HEIGHTS SUBDIVISION, LOT 5, BLOCK 1 K.D.M. TYPE OF WORK: DATE: AS—BUILT DRAWING 3/5/2008 (Rev. 01/05) `.. . ... .... ......... �� . } ((. 111. . ... ......... . .Jeff;e E-7953 arness•. �� 4 \ ed — 0 f e s sio� Qc� ",:. ; :• / MCKINLEY HEIGHTS S/D; =•r NEW COMMERCIAL LOT 6, BLOCK 1, BUILDING ••; �;•'. :i; / of A B / �ASM��'( ? / NEW 125A�N SETANK L �� TH BL1 % DBL2 ALTERNATE SITE WILL REQUIRE A NEW TEST HOLE TO BE DUG CSA R NESS ENGINEERING GROUP, Ltd., CONSULTANTS & GENERAL CONTRACTORS 3701 E MOOR ROAD. SUfTE 101 • ANCHORAGE. AK 99507 a PHONE (907)337-8179 a FAX (907)338-3248 • WEBSnY-- www.pameeeenyineeriny.com j! PREPARED FOR: PHONE NUMBER: PAGE NUMBER: STEVE BERGH 694-3667 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: McKINLEY HEIGHTS SUBDIVISION, LOT 5, BLOCK 1 K.D.M. TYPE OF WORK: DATE: AS—BUILT DRAWING 3/5/2008 (Rev. 01/05) `.. . ... .... ......... �� . } ((. 111. . ... ......... . .Jeff;e E-7953 arness•. �� 4 \ ed — 0 f e s sio� Qc� TOP OF AT INLET INVERT OF AT INLET = TOP OF SAND = 94.07 —FINAL GRADE = 99.30-99.65INSULATION /—"—",FILTER FABRIC C. GAR -NESS ENGINEERING GROUP, Ltd CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-8179 • FAX (907)338-3248 a WEBSITE:—gameenenglneering.c m ;PREPARED FOR: PHONE NUMBER: PAGE NUMBER: STEVE BERGH 694-3667 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: McKINLEY HEIGHTS SUBDIVISION, LOT 5, BLOCK 1 K.D.M. TYPE OF WORK: DATE: AS—BUILT PROFILE DRAWING 3/4/2008 (Rev. 01/05) )F TANK _T = 95.56 2T OF BUNG TLET = 94.79 ORIGINAL GRADE = 98.07-99.07 VERT OF DISTRIBUTION LINE = 94.68 (AVG.) BOTTOM OF BED 92.07 (AVG •.Jeffre A. Game +� CE 953 J0 �UQ��rofesslot\o\ OF 4C J 14 DENGIN`EERING 909 q -TR 20441 PTARMIGAN BLVD. got —. EAGLE RIVER, AK 99577-87-06 ....... IF, 77 7 CE7 4 SOILS PERCOLATION TEST FT� Performed for: Steve & Beth Bergh Date Performed:—.., 09/07/05 Project: -McKinley Heights, Block 1, Lot 5 —TEST HOLE # 05-1 Depth (Feet) ORG/01, SEE ATTACHED SITE PLAN FOR HOLE LOCATION GW/sw — sandy gravel, w/ cobbles to 2' 10-7- it" , Sm _W 18- 19- USE 2' SAND FILTER 20- Was Ground water encountered? NO What depth? NA Depth to water after monitoring? DRY Date? 9/14/05 Reading Date Gross Time Net Time Depth to Water Net Drop 1 2 3 4 5 6 17 9 10 11 12 Percolation Rate - < 1 (min/ in) Perc Hole Diameter . 6" Test Run Between 2 feet and 3— feet L Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelLnesm., effect on this date. ADDRESS: "7 �_..s k 6 1 LEGAL DESCRIPTION: DATE: I PERMIT NUMBER:� Date of issue----_ TAX IDENTIFICATION NUMBER: - - Is well located at approved permit location?- ❑ Yes ❑ No Method of Drilling: air rotary r.] cable too[ Depth of well• Casing Type Wali Thickness r inches Diameter :.o inches, depth `� feet Liner Type: Casing Stickup Above Ground: C -NI, feet �sr+• car'` ��'�. ;��' t. ��C""" Static Water Level: feet Recover Rate: F' aqm ' iv Method of Testing: i I Well intake Opening Type_ D open end open hole �i ,✓ ' � �1-'Lii -1 Screened; Start feet Stopped feet J Perforations Startfeet Stopped feet GroutTyp «'fir _ V olurne f�� Depth: from feet, toy/ feet Well Disinfected Upon Completion? jJ Yes ❑ No Method of Disinfection: .ittE,ai � r Comments: DEPTH r'rQm To Y �sr+• car'` ��'�. ;��' t. ��C""" t F' r_ ' iv cit � - �j �i ,✓ ' � �1-'Lii f�� C E � J '21 1A CL car'` ��'�. ;��' t. ��C""" f..�•�'�`; ?�. GC f Q/ 4 �� � � l `Cti � j� • Driiler's Name 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 Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. car'` ��'�. ;��' t. ��C""" f..�•�'�`; ?�. GC f Q/ 4 �� � � l `Cti � j� • Driiler's Name 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 Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation.