HomeMy WebLinkAboutMAY HEIGHTS LT 4
Municipality of Anchorage Page 1 of 3
Development Services:Department
On-Site Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www. cLanchorage.ak.us (907) :343-7904
ON-SITE WASTEWATfiR DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW040 PID Number: 014-311.05
Chris M. Smith WastewaterSystem: Upgrade
Address:
8929 Browning Drive Anch., AK 99507 ABSORPTION FIELD
Phone: Number o1' Bedrooms:
344-2104 Three {3) 5' Wide Trench
LEGAL DESCRIPTION so~, Ruling: Tota, Depth,romoh~na~
1.2 GPD~t' 9
Bio(k: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe:
4 May Heights 5 Ft. 4
Township: Range: Section: Fill added above original grade: Gravel Length:
0 - 2 Ft. 60
Well: Existing Gravel width: 5 FI. I Numberlof lines:II D~stance between lines:Et,
Classification (Private, A. B, C): Total Depth: Cased to: Total ab~5,hai~on area: P~pe Malenal;
Ft. Ft. 600 Fr~ ASTM 3034 PVC
Driller: Dale Ddlled: Static Water Level: Installer: [:)ate Installed:
Ft. Owner Installed 9/16-18/2003
~e,d: I Pump Set at: ~ Casing I ~'ght Above Ground:
GPUI F,.I Ft. TANK
SEPARATION DISTANCES . [] Septic [] Holding [] S.T.E.P. [] Other:
T~.To Septic Absorption Lift Holding ~ublic/Pdvate ~tanulaclurar; ~,apaotym~.~allon$:
From~
Tank Field Station Tank SewerUne Greer Tank 1,000
Malenat; I Number of Compartments:
w~l >100' >100' N/A NIA >25', Steel Two (2)
Sur~a~eWaler >100' >100' N/A NIA ~ / LIFT STATION - NONE ON LOT
LOt line >5' >10' N/A NIA~ b,ze; ~anulac,urer'
F~nda,on >5' >10' NIA N/A -Pump on-level al: 'Pump orr' level at: I High waler alarm at:
Curtain Drain None Noted Pump Make & Model Electhcal Inspections performed by:
Remarks:
BENCH MARK
Existing Septic Tank Pumped, Crushed, and Removed ~ocat,onan~ ~,~.p~on:
From $!!9. _~99 Lot L!R9 .w._~!,:gr. Second Step From Top Landing at Front of House.
100.0 Ft.
Engineer's Stamp
Inspections performed by: MEA Dates: 1'~ 2/14/04 ~" '~"':~ 49t. h
Department of Health and Human Services approval ~ ~,. ...
Reviewed and approved by: Date: ~,;,T<"O ................
Municipality.of Anchorage
DEVEOPMENT SERVICES DEPARTMENT.
4700 South Bmgaw S~'eet Anchorage, AK. 99519-6655 - 343-7904
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number:. SW040 ,~ ,,
Page 2 of 3
SCALE l° = 30'
PID No. 014-311-05
LOT 4, MAY HEIGHTS SUBDIVISION
A B
slJ 41.4J 43.6
S2J 48.3 I 50.2
c21 57.Ol .58.3
m po?.'~ pos.?
c.:51,1s.~ i,~s.9
.i
· Municipality of Anchorage Page 3 of 3
· DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655- 343-7904
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number. SW040
PID No. 014-311-05
/--100.45
I
95,8
.......... G eJ;Z~ e.~_t Il e ,..F"~ b r' i¢:m, .....
])r'cdnfleld Rock
60' (Trench Length)
85,4 /
79.0
~ Cg.P
PROJECT #:
PERFORMED FOR:
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
BUILDING SAFETY DEPARTMENT/ON SITE WATER AND WASTEWATER PROGRAM
/-~700 SOUTH BRAGAW STREET, ANCHORAGE, AK 99502-0605
SOILS LOG - PERCOLATION TEST
Chris Smifh DATE PERFORMED:
2/1/./0/+
LEGAL DESCRIPTION:
Lot/~, Hay Heiqhfs Subdivision
I
2
3-
5
6,
7
8
C).,
10, ·
12
13.
15--
16m
17~
18
TEST HOLE #
REDDISH ORGANIC
SILTY-SANDS
POORLY 6RADED
SILTY-SANDS SM
1 SLOPE
SITE PLAN
NO SCALE / SEE SITE PLAN
WAS GROUNDWATER
ENCOUNTERED? NO
IF YES, WHAT DEPTH?,
DEPTH OF WATER None
AFTER MONITORING:
DATE: 2/20/0~
S
L
O
P
E
0%
READING DATE GROSS NET DEPTH OF NET
TIME TIME WATER DROP
Staff 2/1~, 1:20 9.25"
1 1:50 30 3" 0.25"
Recharge 1:51 9"
2 2:21 30 3" 6"
Recharge 2:22 8.'/5"
3 2:52 30 2.75" 6"
PERC RATE: , .~ MIN./INCH PERC. HOLE DIAMETER:, 6"
TEST RUN BETWEEN 6.0 FT. AND '/.0 FT.
COMMENTS:
Test Hole Pre Soaked Prior To Percolation Test·
TEST PERFORMED BY: ,MCA
I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES ON TH~S DATE: 2/20/200/+
"; .
~o~. .... ~.~ ~ ... . JUN ~5 1976 ~,~{,[<.
, ~ . '"'~=~D ............. . - . .. . ..:~, u -.~'
,' ~ .... ~' ';'~;; .... ~.[(~.~o~z~ ~.- ' ~'~'~
.................. ~l~ [~_...~.
~ s~,~ o~,;=~.~ ' '"~'"'~"-~'-~ ...................... '. , ' : .... "''~ '~'" '~
.................... ~..;. ~ ,,u, "---'~""': ....... ,~I~'~,.~';~'
ok ........ ~0 0 '; ........... ~ .................. ~ "· '.'>:' '~"= '"'
.......................... ~allo~ p~t hour, . ' .......... al rate
'DOT'FEN DRILLING CO,
SPENARD, ALASKA _
advise ¥ott to attach lids certificate to yom- dccd.
!43-
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
ON-SITE SEWER/VVELL SUBMITTAL COMMENT SHEET
To: Mike Anderson
· Legal description: ,May Heiqhts
Lot 4
The attached paperwork has been reviewed and is being returned for the following reasons:
r-] Original signature or stamp missing on,
r'"l Calculation error in design.
I-'-i Additional soils information needed.
r-] Water monitoring results inadequate.
['-I Discrepancy in information submitted.
E] Topographic information missing or inadequate.,
[] Incomplete; missing I=oundation cleanout
I-'l Incomplete; missing,
[-'1 Additional adequacy test information needed.
I--] Water sample unacceptable.
i--i Measured/proposed distances/dimensions missing.,
r'-I Locations of all soils, percolation and water monitoring tests not shown.
D Proposed system too deep for soils information subm-m-it effi-d., '-
El Well log required.
D Omission in narrative.,
D Insufficient fill over tank or field.,
I--I Other.
Name of reviewer: ,Tell Date: 2-26-04
Please supply the necessary information and re-submit your request.
LEA VE THIS FORM ATTACHED TO THE PAPERWORK
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
Parcel I.D. 014-311.05
GENERAL INFORMATIO'N
Complete legal description . Lot 4, May Heights Subdivision
Location (site address or directions) 8929 Browninq Drive
Expiration Date:
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Chris Smith
8929 Brownin.q Drive,
Day phone 344-2104
Anchorage AK 99505
Day phone
Real Estate Agent
. Mailing Address
· Un/ess otherwise requested, HAA will be held by DSD forpickup.
NUMBER :OF BEDROOMS: Three (3)
Day phone
TYPE'OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~
Public Water System
Well
[]
[]
[]
TYPE OF WASTEV~/ATER DISPOSAL:
Individual On-site []
Individual Holding tank -. D
Community On-site []
Public Sewer ~
I
The Municipality of AnChorage Development services Dephdment (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 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. Cedificates of Health Authority Approval are
valid for 90 days from the date of issue for propedies 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 t5 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.
Telephone: 907-522-7773
Date: February 17, 2004
Legal: Lot 4, May Heights
Well Depth: 97'
Static Level: 69'
· Single-Family
ANDERSON ENGINEERING
Engineedng Services
PO Box 240773, Anchorage, AK 99524
TviJe of System Tested:
[] Multi-Family
Type of Test Performed:
Fascimile: 907-522-6779
Project~: 04-034
Inspector: MEA
# Bdrms. 3
[] Commercial
Well Flow Only Septic Adequacy Only Both
Well ST I~1T#1 ........ MT#2
Time Flow Cum. Static Liquid Liquid MT# 1 Liquid MT#2 Meter
Rate Volume Volume Level Level Level Delta Level Delta Reading Comments
(gpm) (gals) (gals) (ft) (in) (in) (in) (in) (in)
10:37,' "~:'~:: ~*":~ :,* ...... ,; 69' 2 ...... "
........... '~' ~' , ,. 26138 Start Flow
10:521 6,47 97 97 72' 26235
11:07 5,87 88 185 72' 26323
11:37 6,27 188 373 72' 26511
11:52 6,67 100 473 72' 26611 End Injection
1:37 5,99 629 1102 72' 27240
2:37 6,12 367 1469 27607 End Well Flow
6.12 Average Gals/Min Well Flow
Recovery:
Date Time ST MT#1 MT#2 Static Comments
18-Feb 11:50 1" 69" Full Recovery
ADEC Code Compliance:
Does septictank need pumping? [] Yes · · No
Is well wire in conduit? [] Yes · No
Is wells sanitary cap installed? · Yes [] No
Elevation of well casing above ground level: N/A Ft.
[] NA
[] NA
[] NA
PWS ID #
Is this system currently in compliance?
If Public Water Supply:
· NA
· Yes [] No
Test Results: · Passed [] Failed
Reviewed By: ~ i~_~ Date:
Comments: Owner Notified to Place Well Wire in Conduit.
2--18--041 4:30PM; ;907 5615301
SGS Ref.#
Client Name
Project Na medg
Client Sample ID
Matrix
Sample Remarks:
1040775001
Anderson Engineering
May Heiehts Lot 4
May Heights Lot 4
Dri 'nking Water
All Dates/Times are Alaska Standard Time .
Printed Date/Time 02/18/2004 15:3I
Collected Date/Time 02/16/2004 13:45
Received Date/Time 02/16/2004 15:00
:: lC~ha:le~~/Ede
Allowable Prep Analysis
Parameter Results PQL Units Method Container ID Limits Date Date ]nit
Waters Department
Nitrat¢-N 3.03 0.100 mg/L EPA 300.0 B (<=10) 02/16104 JJB
- PRELIMINARY -
2.--1'7--04~17;41 |CT and E ;5615301 :~ 2./'
· S" ANCHORAGE, ALASKA 99518
'SGS/CT&E E Te~: 907-562-2343 ·
Fax: 907-561-5301 ·
" : I.ab Ref No.
Drinking Water Analysis Report for Total Coliform Bacteria .i~040'775'^
.~o t.s~u~no.s o. REwesE s~o£ n~om~ ~U_~CTa~ uaeU~ . 1
MUST BE COMPLETED BY WATER SUPPUER'
· [] Puauc WATER ~YSTEM I~ '.
~PRIV. ATE WATER S~,$TEM - :
SAMPLE COLLECTION: SAMP. LE TYPE: ' · ·
· ri.: /': ~ ~' AM ~'., D Repeat Sampl? %Untreated Water
Cone=t~': /Y~ ~ !--I Special Purpo,e ·
Transported ~ · ·
· to Lab ay: ame as collector Other...
pnmed Name
TO BE COMPLETED BY LABORATORY
.~Sample Receivinq'.
Date: '2, ,--,~ r-lSamr4eover3ohou~ekl=
Temp: ~-V~, t ~-IJ-T'~. · [] 48 Hou~ Wak~
Receh;ed By:
¢ommeflts:
g] !RU .SH'SAMP. LE'
Phone
Fax #:
Bacteriolo.q'ical Wa'ter Analysis Record:'
MMO.-MUG (P/A) RESULTS:
Total Celitonn:
E. Cerc
A~alyflcal Me,hod: MEMBRANE FILTER RESULTS:
· DL'ect Caunl: ,~
[~. Membrane Fllier Veri~aUoa:
E] MMO-MUG(P/A) . ,,~cd,,, ~.~-L?a'
[..,;BGB:
· F~:dCeII=~ {
Colonies/100mL
EC;
,~en( to ADEC:
ANC
Date/Time:
[~e~t t~ G.ent
SL~oke wJl~.*
~ sa~s~ac~ry
I--I Uns. atisfactory
FBK JUN
Faxedr'-I
TNTC "' Tee Nu,m~x~ to C, xm~
Form # FW. 0053 12H7/03
~,~oetra~o ublic~X:)C UM ENTLCORM SqMic~o~Col[ Form 121703:ds
ANDERSONENGINEERIN
24077'31
" P.O.'BOX ' i':'
ANCHORAGE,-,,, 99524
522-7773 , ', 522-6'779 ;(FAX)
February 20, 2004
Municipality of Anchorage
Building Safety Division
On-Site Water and Wastewater Program
4700 S. Bragaw Street
Anchorage, AK 99507
Attention: Jeff Poet
Subject:
Lot 4, May Heights Subdivision
Certificate of Health Authority Approval
Dear Jeff:
The septic system on Lot 4, May Heights Subdivision was upgraded in September of 2003
without a permit. We have therefore, unearthed the absorption trench to verify the
dimenSions and to place a cleanout at the end and a monitor tube. We also placed a test
hole to verify the absence of groundwater and to determine the percolation rate of the
accepting soils. The results of our investigation are shown on the attached as-built drawing.
A flow test was performed on the well and an adequacy test on the absorption trench. Both
system passed and meet the requirements of the Municipality for a Certificate of Health
Authority Approval.' Previous conversations with Jim Cross indicate the fee for the permit
must be paid along with a penalty fee of the same amount. A fee of $920.00 along with the
fee of $430.00 for the Certificate of Health Authority Approval has been paid.
Please review the attached documentation concerning the well and septic system on the
property and issue the certificate as appropriate. Please let me know if you have any
questions.
Sincerely,
Michael E. Anderson, P.E.
Attachment
.~.~, GRE/' 'R ANCHORAGE AREA BOR
,~
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
GH
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME (40-v'
LOCATION
LEGAL DESCRIPTION ~/J..~/--__/-/'''/L) ' /~) )L /._/
34Y- fO~gl
SEPTIC TANK:
DISTANCE
FROM WELL
MANUFACTURER
NUMBER OF
MATERIAL _~ / COMPARTMENTS
INSIDE LENGTH_
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY /'~"0 GALLONS.
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTI4:
~ FOUNDATION
I DISTANCE BETWEEN LINES
TOP OF TILE TQ FINISH GRADE
! TOTAL LENGTH /
NEAREST LOT LINE ~'0 .__OF LINES -~'~/
-FRENCH WIDTH~L(2 IN. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE ~"~/ /
DEPTH OF FILTER
/_.i/ I MATERIAL BENEATH TILE ~IN. ABOVE TILE ~ IN.
WELL:
TYPE i~,~-~0~4kq,~ __CONSTRUCTION .'~~2~'(~ J
BUILDING NEAREST NEAREST
FOUNDATION____ LOT LINE .__, SEWER LINE__
DEPTH
SEPTIC SEEPAGE
TANK__ SYSTEM_
DISTANCE FROM:
CESSPOOL
OTHER SOURCES
APPROVED
DISAPPROVED _ REMARKS
DISTANCES:
INSTALLED BY: '~ I //~
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
Form EQ-032
FINAL INSPECT[ON: ~4 HOLII? NO'FI~E: I?[(QUIR~[). [~ACt(FILLING O1" ANY SYSTI4M WITHOUT F'INAL INSPECTION BY THE
WELL qo SEPIIC 'rANK __
FITTED WITH AIRTIOHI REMOVABLE CAPS
GI]/t. VEL
GREATER ANCIiORAGE ARLA DOROUMI
Departlnent of Environmental Quality
3330 "C" Street
Anchorage, Al aska 99503
SOILS I,O(', - Pi~;ROI,ATION TEST
Performed for
Legal De s c ri pi~-i o n :.~.~_~:
T~is form reports: Soils log . 2( vercolal;lon test_
Depth
Feet
l-
II -
12-
13-
Was ground water encountered?
'1~
~ -~ Fo 0
0
/
~ /opo 2
If yes, at wi~at depth?
Reading
Da te
Net Time Depth to Water
Gross Time
Net Urop
Pe rcol ati on Fa~-e--_~.'~.~.
.Proposed installation: Seepage Pit Drain Field .......
Depth of Inlet ~ Depth. to bottom o'~pit or trenci,. -~ .....
COMMENTS:
1 ........~ ,
April 2~ 1976
!~I~:. ~a~y Strombar9
Certified Well
Date completed ............ -~--~.r'. ........ ../.....~......~.._ ._~ .....
Depth of well .............
Size of casing ~.. ~ ~ D
Distance to water ~7 '7 ~/ ............................... : ..............
Distance to water while pumping .... '-~'~:/"~ ....................... ~';~ ..........
'i ............................................................. at rate
of..: ........ ~....0....0.. .................... gallons per hour.
Description of Formation
· from to
JUN 2 5 1976
! c,r,,fy the above true and correct.
DOTTEN DRILLING CO.
John's Road
SPENARD, ALASKA
We advise you to attach this certificate to your deed.