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HomeMy WebLinkAboutHULTQUIST HEIGHTS LT 2Hultqui H ights Lot 2 #020-044-04 SUeMITTAL Municipality of Anchorage On-Site Water and Wastewater Program · (907) 343-7904 Page (' of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: O 5¢ ~.'~ ~ '~:~ (-~ PID Number: (~2 O -~ -¢ ~ Dwelling:~Single Family(SF) ~ Duplex (D) ~ Multiple (SFand/or D) Project: ~New ~ Upgrade Name: ~ ~(,~ ,, ~ ABSORPTION FIEbD ~ddress ~eep Trench ~ Shallow Trench ~ Bed ~ Mound ~ / ¢~0 ~ ,. ~.~ ~. UOther LEGAL DESCRIPTION Depth to pipe inve~ ~om original grade Gravel depth beneath pipe Subdivision BIo~ Lot ~1 ~t. ~, ¢ Ft 5~t[~ ~'/~ ~'[~ ~ ¢~ ~/~ ~/~. Filladded above odginal grade Gravellength rownship, r o~ ~ ~ Z Range Seo[io.~/~ I/~ Ft. H~ Ft ~Wi~' Grovel width Beds: NumberofLines Distance be~een lines SEPARATION DISTANCES ~t ~ Ft. ~ Ft. -mm Tank Field Tank Une ~ ~ ~ F~ ~ ~ FL Well /001~ i00(~ ~ ~/~ ~TANK ~Septic~S.T.E.P.~Holding~Other Manu~cturer Capaci~ Su~m Water [0~1~ t 0 ~ ~ Material Number of mmpa~ments Lot Line (~ ~0~ ~ NA LIFT STATION Foundation 1~ r~ ~ ~ ' ~anufacturer Capacity Cu~ain Drain ~j ~ j ~ Gal. Remarks Pump on level at P~p~~ ~ water alarm at PIPE MATERIAL House to tank ~¢ ) ~ drainffeld ~e Installer ~,kt~,~,¢~ ~r~, D~infield )~( CO/MT InspectOrlnspection ~~/~ ~ ~,A ~ ~'~1 ~ENCH MARK (Assumed elevation) I~ dates: I ~[;~ [(~> ~¢~0 tl/,~/~ .ocationanddesc~ption COMMUNIT~VELOP~T~E~PARTMENTAPPROVALi. / ,...'..-.~. ,' ; .... ~,~ . CE v94~ ..~,: ~ ~,, ,' .'.~ ~ Inspection RepoK_,( Permit No. 0SP151586 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: T11N, R3W; SEC 2, SE4NW4NW4NW4&NE4SW4NW4NW4 PID No.: 020-042-02 I EXISITN6 WELL TC02 23 C03 25 ~50 ~~'~ ~ TCO2W~ ~ / m coo ~. ~~.~'~co5 ~ ~ m MARK ~ A B '\ ,C01 4 31 C02 6 32 TCO1 13 37 TC02 25 46 CO5 25 50 C04 28 [ 52 C05 48 ', 6,3 MT ~35 ~60 C06 ~8 6,6 SEPTIC SECTION Performed For: Legal Description: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Bo;( 196650 Anchorage, AK 99507 vcww c anchoraqe ak us (907) 343-7904 Soils Log - Percolation Test 8- 9- 10- 11- 12- 13- 14- 15- Slope 17- 18- 19- 20- COMMENTS Date Pefiormed: Township, Range, Se~ion: Site Plan WAS GROUND WATER ENCOUNTERED? ~ "~ ~ S L IF YES, AT WHAT DEPTH? /~-' O Depth to Water After ~ p Monitoring? 4'~' E Reading Date Gross Time Net Time Depth to Water Net Drop ,,/"~./,, /[~,, '0~,. ~ " .~ '/ ,, PERCOLATION RATE 7.~ (minutes~nch) PERC HOLE DIAMETER TEST RUN BET%~2EEN .~.~L_I T AND ~ FT PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Alpine Drilling & Enterprises Well Log Permit Number: #SW131386 Date of Issue: 11-8-13 Parcel Identification Number: 02004202000 Date Started: 11-9-13 Date Completed: 11-10-13 Is well located at approved permit location? x Yes [] No Legal Description: TI1N R3W Soc2 SE4NW4NW4NW4Ne4SW4NW4NW4 Property Owner Name & Address: Pinard Paul E & Dorothy Hultquist Homes 20919 Elsie Drive Chugiak, Alaska 99567 Borehole Data: Depth fit) Soil Type, Thickness & Water Strata From To Stick-up 0 2 Gravelly silt 2 11 Gravelly sandy silt H20 ] 1 17 gravelly silt 17 54 silt 54 58 bedrock 58 366 Method of Drilling x air rotary [] cable tool Casing type: steel Wall Thickness: .250 inches Diameter: 6 inches Depth: 60.5 feet Liner Type: __ Diameter: __ inches Depth: feet Casing stickup above ground~feet ~, Static water level (from ground level): 0+feet Pumping level: 366 feet after 2 hours pumping 3 gpm Recovery Rate: 3_ gpm Method of Testing: air l~ft Well Intake Opening Type: [] Open End x Open Hole [] Screened Start __ feet Stopped __ feet [] Perforations Start __ feet Stopped __. feet Grout Type: bentonite granules Volume: 1 bg Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet Pump size hp Brand Nmne __ Well Disinfected Upon Completion? x Yes [] No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterrprises PO Box 110496 Anchorage AK 99511 Municipality of Anchorage Community Development Department On-Site Water and Wastewater Program 4700 EImore St. · P.O. Box 196650 Anchorage, AK 99519-6650 · http://www.muni.orglonsite · (907) 343-7904 Legal Address: Subdivision Well Decommissioning Log T ,~) t',/ R ~/cO Section ~-~ Lot__ On-site Water & Wastewatar Program codified contractor performing the well decommissioning: BlockLot ~ ~'1~,, 4'~ '1,~ /v ~ ' ) ~ , ~ ~ y,/ e- ~t ~ ' /,~ ~ ~ '1~ Company: AMC 1 5.55.060L1 Well decommissioning date ~ Method of decommissioning: Location: Use the space below to provide a drawing of the property showing the following items; North arrow Decommissioned well. Other water wells on the property, Two separate swing-tie distances for each well shown on the drawing, Note; The swing-tie distances shall be measured from either permanent structures or the property corners. a.l'-I b.l-1 c.,12[ G:~Community Development\Development Services\Building Safety\On Site Water and Wastewater\Forms~Client Forms\Well Decommisioning form.doc 12/22/201~ 01:2: 907-3~5~0282 4LRIHE DRILLIb~ PA6E 01/01 Me, or Development Se~vice~ l:)eportment Building ,~fety bivision )n-Site Watee & W~stewatee P~m 47oo Ehnore Ro~d P,O, Box ~6650 Anchorage, A~ ~5C7 Pump Installation Log Well Drilling Permit Number: S~V 3613a Parcel Identification Number:?-~%42o~0~ Legal Deeeription T11 N R3W Sec2 ~E4N'W4 NW4NW4 Ne4SW4N~W4Nw4 Pump Installation Date: 4/9f14 Date of Issue: ~l~-~a Property Owner Name & Addrese: Pi~lard Paul E & DaroIhy / Hultquist Homes Pump Intake Depth ~elow Top of Well Pump Manufacturer's Name: ao~sl Pump ~[odel: 7GGI~413CL Ca*ing: 354 feet Pump Size ~,~ i~p Pitlee$ Adapter Burial Depth. ~/^ feet Pifle~ Adapter Manufacturer's Nam~ Pitiers Adapte~ Imtallcr: N/A Well Di,'linfeeted Upon Completion? [] Yes ~ No Method of Disinfection: Pump IastnUer Name: Aamw Pump & Well' Serlio.e, P,O, BOX 110496 LLC Attention: The pump ~a~talle~fi,?~ali pro~,ide e, pump installariorl log to the DSD wjt}fin 30 clays of pump installmion~ May 6, 2014 Debbie Wockenfuss C/O Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re; Legal: New septic system (15810 Elizabeth St. Tax ID 020-042-02) Hultquist Heights Lot 1-3 (S12008-1) Review comments Dear Debbie, The letter is in response to your comments dated 5-5-14 1. Soils logs for lots 1 and 3 do not have seasonal high ground water monitoring. A note will be added to the soils logs stating they were monitored through the seasonal high water period of 2013, 2. The other soils log submitted is not labeled. The soils logs will be revised in your office. 3. Water availability: based on info submitted, is there plenty of water for 2 additional wells? How will these 2 additional wells affect the neighbors water supply. The area has lots of water and the two new wells will not affect any of the neighboring wells. 4. Wrong scale is oh the site plan. The scale has been revised for the '1 lx.17 sheet. 5. Septic reserve areas must meet the required separation to surface water. The '10,000 square foot reserve area has been revised 6. Septic reserve areas must meet the required separation to a slope greater than 25%. The reserve area on both lots .1 & 3 have been revised, 7. Septic reserve areas must meet the required separation to property lines. The reserve area on both lots .1 & 3 have been revised. 8, What is the dashed line oval on lot 2? Its the old septic from the house that was removed, 9. Label the contours. The contours are 4' and have been labeled on the drawin¢ 10. Please check the well info provided on the site plan. Some of the info appears incorrect. The MOA well information has been included with the submittal which show we have lots of water in the area. Please call with any questions. Sincerely, Michael N. Anderson, P.E. 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 Permit Number: Tax Code Number: Work Type: On-Site Water & Wastewater System Permit OSP131386 02004202000 WellSeptic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Effective Dates: November 06, 2013 to November 08, 2014 Design Engineer: ANDERSON CONSTRUCTION & ENG'G Subdivision: T11N R3W SEC 2 Site Legal Address: T11N R3W SEC2 SEz~WzI~W4~W,~NE4SW4NW4NW4 Owner/Address: PINARD PAUL E & DOROTHY 20919 ELSIE DR CHUGIAKAK 995676144 G:3238 Site Mailing Address: 15790 ELIZABETH ST, Anchorage Lot Size in Sq Ft: 214500 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field Y SepticTank N Holding Tank N Privy Y Private Well N Water Storage 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Depadment at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: __-- ~ ~' ' .... I ~:~ ' '~.. 1. The existing well is to be decommissioned prior to final Inspection Repor~ approval. 2. The Engineer needs to do an additional test hole prior to the construction of the septic field. Construction may proceed at your own risk before the 7 day water monitoring is complete. Please submit stamped and signed results with the As-built Inspection Report. If the results require a design change, construction of the system will stop pending On-Site review and approval. Received By: Issued By: MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 02~¢~ ~'~, ¢2. ---'~ 0'~-0 ' ¢"°c?--- -O ~ Property owner(s) ~.~ ( ¢-¢/,~, f ~- ~-/d.t ~.- z~ Mailing address Phone:907-343-7904 ~ax:907-343-7997 Day phone Site address Legal description (Sub'd., Block& Lot) 'f"///d', ['~..~ <;-c~. Legal description (Township, Range & Section) Lot Size ?--f~'!~¢O Sq. Ft. Number of Bedrooms APPLICATION IS FOR: ([~ all that apply) ^bsorption Field ~ Septic Tank Holding Tank [] Privy [] Private Well [~ Water Storage [] APPLICATION IS AN: TYPE OF DWELLING: Initial [] Upgrade [] Renewal [] Single Family (SF) (w/wo ADU) Duplex (D) ,~,~, Multiple Dwellings (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct, I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or author zed agent) ~yment: Receipt Number: Permit No. Date of Payment: Receipt Number: Waiver No. Permit App_J- :- Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 Oct 15, 2013 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Legal: New septic system (15810 Elizabeth St. Tax ID 020-042-02) T11N R3W SEC 2 SE4NW4NW4NW4&NE4SW4NW4NW4 To Whom it may concern: This is a request for a replacement septic and well permit on the above referenced lot which is being subdivide into 3 lots. The property has been purchased by Hultquist Homes and a single family home is being conslructed at the old house site. One test hole was excavated at the east property line of the lot and showed good silty gravels for the entire 18 foot depth. Water was observed in the test hole at 16 feet but the static water level in the old shallow well was 15 feet which is about 50 feet away. This shallow well is to be decommissioned due to location and depth. The old septic system is located within 50 foot of open water therefore a new system is required, see site plan. The soils in the test hole consisted of various layers of sandy gravels and silty sands throughout the entire test hole. A new simple deep trench was desig~aed witb 6 feet of effective depth is being proposed. The perc rate was 3 minutes per inch with an application rate of 1.2 GPD/SF which means the length is 52 feet. The lot is flat at the septic area then slopes gently downhill to the southeast at about 5 percent with no cut banks or slopes greater than 25 percent within 50 feet of the site. This new system will not impact any of the neighboring lots. Please call me if you have any questions. Since~ Michael N. Anderson, P.E. DE'ION CRITERIA: , ~-MOUND OVER (TH~I) ~. --~'~/--GRADE 5 BDRM X 150 = 750 OPD SOILS = 750/1.2 = 625 GPD 2.o_ ORG I ~:------/~"'""-~R~EpRI 625 GA/14 = 45' ~ p~ABRIC (1) TRENCH GM/GP ~--SEWER ROCK 9.0' DEEP H20015' OCT 2013 7.0' EFFECTIVE -lO.O 2.0' WIDE 12.o'I 45' LONG 18_ ' SEP~C RE~ SEC~QN , LOT U.E DECOMMISSIONED P~ ~ ~ ~-~_ ::::::: x, I ~ TO BE A~DONED m I '~ I / ~ ~ PROPOSED REPOT / --~I~N~ ~ELL p-~ LOT LINE~ D~ ~E/OPEN I ~ :::::::~ / m '~ I WA~R PER MOA [ J~::::.~ ~/ ~, .,~ s~ ~ ,,m ml~:: Septic Design Prepared for CODY HULTQUIST T11N R3W SEC 2 SE4NW4NW4NW4&NE4SW4NW4NW4 Anchorage, Alaska : -- = ,,,,-~ ..~ Michoe/ N. Anderson, ~.E. ~r[: ....... n ....... ~ ..... ~--~-F-J .... /~ ...... / ~ LOT UNE~ ~/ / ./ ! ~/ ~ /kk ~ I t / / ~" i / ~ ') / LOT UNE~ / i ;~'/ / / ~ / PROPE~ , ,~ ~ / ~ , . ~-'''%., " ' ', I ' ~ aE ~o~Eo m~ ~'qC:';' :' i ~ ~ ~ ~ SLOP~ >2~ /'/ ........... ~ / ~ S " ~ ~ T I ~ I / / CODY HULT~UIST T11N R3W SEC 2 SE4NW4NW4NW4&NE4SW4NW4NW4 Anchorage, Alaska Michael N. P.E. ~MICHAEL N. ANDERSON$~ ~,;~,.. No. c~ 9~ .z~ ANCHORAGE, ALASKA 99516 545-5577 / FAX: 545-1391 SCALE: 1"=50' Performed For: Legal Description: 7- 8- 9- 10- 12- 13- 14- 15- 16- 17- 19- 20- COMMENTS Municipality of Anchorage Development Se~ices Depa~ment Building Safety Division (907) 343-7904 · Soils Log- Percolation Test ~ ~ ~ ~ Township, Range, Section: ~f~. ~. Slope WAS GROUNDWATER ENCOUNTERED? FYES, AT WHAT DEPTH? o [qr p Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE ~t~ (minutes/inch) PERC HOLE DIAMETER EST RUN BETWEEN ~FT AND_~.,~FT · --"-- ' PERFORMED BY: ~f ~,~ I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ,~1~//~!'~ Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904 Certificate of On-Site Systems Approval ParcelI.D. (.2ZO-O~-I?~-~ ~, Expiration Date: 1. GENERALINFOR~ATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent -T///,(/ fZ ~k.) Day phone Day phone 2. TYPE OF DWELLING:  S ingle Family (w/woADU) Duplex [] Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class __ Well TYPE OF WASTEWATER DISPOSAL: Individual ~ Holding Tank [] Community [] WaiverNarance reouest for Received by: COSA to be released to the engineer, unless othen,vise requested by the engineer, Distance: COSA Fee $ &~l o ,eof, ,m .t Receipt Number [ ."~ COSA# 05C..IqlZq} Waiver Fee $ Date of Payment Receipt Number Waiver # 5. 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 Certificate of On-Site Systems 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 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 alt applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, Name of Firm Address Engineer's Printed Name Phone Date DSD SIGNATURE ~ System #1 Approved for System #2 Approved for __ Disapproved Conditional approval for __ bedrooms bedrooms bedrooms, with the following upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7, ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory X Nitrate Advisory Arsenic Advisory Other Legal Description: '~/I.x.(/ A. WELL DATA Well type ,~'tv~, Date completed /[.//t)fl.'~ Total depth ~(/('~ ff. · If more than t septic system is on the lot: COSA Checklist # of ¢ © ~ ~--'~ b ~ Structure served by this system __ Ce ificate 0f On-Site Systems ApprOVal Checklist IfA, B, otC provide PWSID # Sanitary seal (Y/N) Cased to 5'0u) ft. FROM WELL LOG Date of test '1/10 f/' ~ Sta~c water level ~-~ ~.~[~ ft. Well production '~ g.p.m, g.p.m. WATER SAMPLE RESULTS: Coliform _..~_~colonie~lO0 mL Nitrate _~mg/L Arsenic ~/fl)' ' ug/L Oateofsample.~. Well Log (Y/N) y Wires properly protected (Y/N) V Casing height (above ground) ~ in. AT INSPECTION Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material ~ {--~ (. Tanksize /~'0o gal. Foundation cleanout (Y/N) Date of pumping ~'~ Number of Compadments 2.- Depression over tank (Y/N) /'~ Pumper . ~ Date installed Cleanouts (Y/N) High water alarm (Y/N) Length Total depth C~ ~"' ff. Date of adequacy test Fluid depth in absorption field before test ~'- in, Water added Elapsed Time: ~ min. Final fluid depth ~ in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) ABSORPTION FIELD DATA Date installed I1'[1~//~ Soilrating (g.p.d./~or f~/bdrm) abso~tion area ~0 ~ Monitoring tube Eft. Results (Pass/Fail) ~ ft. Gravel below pipe -~, ~ ff. Depression over field ,/~ For bedrooms gal.' New depth in. Absorption rate >L- ~ g.p.d. If yes, give date ~ D. LIFT STATION . Date installed Size in gallons Manhole/Access (~iN). "Pump on" level at leve! at Datum .~,. Cycles test~ Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line Animal containment areas On adjacent lots . / 0 ~ ~ 1/' On adjacent lots ( 0 0 t j~_ Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPTIC/t=t(~E:~IG TANK ON LOT TO: Building foundation / 0 I Jr- Water main h//,4., Wellson adjacen(Iots I I~ D~ Jo' · ABSORPTION FIELD ON EOT TO:' Property line ! 0 / J¢ Water Service line ! 0 I) ~'Jr- Curtain drain /,~01~..) Property line ~- D ~'~ Absorption field Water ~ervice line ( o ~ Surface water Building foundation Surface water (00 Wells on adjacent lots F. COMMENTS Water main /~/ Driveway, parking/vehicle stc~age ~-- 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 COSA guidelines in effect on this date. Engineer's Printed Name Date COSA brown sheet_lO-10-12.doc ~-~> co: Z 0 0 0 !: