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Home My WebLink AboutVERN 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 z N o 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 Iy 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 I— w LJ L7 -D cl O DISPOSAL SYSTEM/SITE VERN HAIK S/D, LOT 3 I„ I Iw I PubOc Water I Pub➢c Water 2 I' 5 I I 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. .Aw > OF AL4 l * 49TH *+) KENNETH CE -71 W4 / � � � pRD>�BS�o�Pti PROPOSED WATER LINE VACANT �^ o SJ �Y\ 0 UtI & Telecon Esnt PLAN PubOc Water � 1 3 aI ryR £ KD ea r zl v N M-5 oa z N89 5E 163.5) PROPOSED RESERVE L — NB9]52'35'E 9. n 10_DrnO Esmt_ --- I I— w LJ L7 -D cl O DISPOSAL SYSTEM/SITE VERN HAIK S/D, LOT 3 I„ I Iw I PubOc Water I Pub➢c Water 2 I' 5 I I 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. .Aw > OF AL4 l * 49TH *+) KENNETH CE -71 W4 / � � � pRD>�BS�o�Pti PROPOSED WATER LINE VACANT �^ o SJ �Y\ 0 UtI & Telecon Esnt PLAN VACANT 6 P VACANT 7 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] F - LJ LJ H Z O z z 0 °� T0� ❑F SL❑ E .a aI ryR £ Pubuc Water n I zl N89 5E 163.5) L — NB9]52'35'E n — ---- — I E 0 ; VACANT I' -------------- 301 OUR 4 Tetecom Esmt VACANT 6 P VACANT 7 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] F - LJ LJ H Z O z z 0 a Municipality of Anchorage Poo.., ......,.... B� • 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 ----------------------- N 3 P pT.9' % ER LINE Eo I 2.3' OVER I ° 4' PVC I U 9 STa-PIPES PTIC I O (TYP) I Z ' i I i 1 i r 3 1 t 1 I 1 1 1 i 1 i t I i►S f 5' UTILITY, -TELECOM. 8 ACCESS ESMT----------- J I N 89052'35"E 163.51' 10 F- CO CO W m y W U U a 0 U W N ZJ MORNING CIRCLE 8i5i02 ' AS BUILT 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 w N BASIS 200.00' (R) N 00°07.2`•'•• ,••• UTILITY, TELECOM. 8 ACCESS ESMT. O (i X (- z gg'491 M.9£,92ob0 N f�1 z O rn I 1 Cb — I � 1 [k IF 0 1 1 0 1 p 1 4 CI Z� 1 �1 tJN -I I Ip ml co ti N 1 pl fA N nl 1^ n i ml �'(A m m 41 m 1 I I I I I I 1 --------------------------- UTILITY, TELECOM. 8 ACCESS ESMT. O (i X (- z gg'491 M.9£,92ob0 N f�1 z O rn v � 4 Z� O D tJN � m m m m m m co m p z -I N