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SAND LAKE #2 BLK 7 LT 9
and Lake #2 Block 7 Lot 9 #011-132=w28 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT 2.oltIz Permit Number: OSP PID Number:`G-tt3229 01 t Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New R Upgrade Name DENNY ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 8325 WILCOX ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 - GPD/SF - Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade - Ft. Gravel depth beneath pipe ' Ft. Subdivision Block Lot SAND LAKE #2 B7 L9 Fill added above original grade _ Ft. Gravel length - Ft. Township Range Section Gravel width - Ft. Beds: Number of Lines - Distance between lines - Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line - Ft2 Ft. Well 74 - - - +25. TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1000 Gal. Surface Water +100 - - - Material Number of compartments Lot Line +10 - - - NA POLYETHYLENE 2 Foundation -I-1 0 _ _ _ LIFT STATION Manufacturer Capacity Gal. Remarks old tank demolished per code TANK REPLACEMENT ONLY Alarm location Electrical installed by PIPE MATERIAL House to tank 3034Tank to 3034 drainfield Installer GUARANTEED SVCS Drainfield existing CO/MT3034 Inspector CHARLES BALZARINI BENCH MARK (Assumed elevation)100 ft Inspection 1s` 8/11/20 Location and description dates:2 nd BOTTOM OF SIDING 3rd 4m ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF Conditional Approval: Date dW � • �Q� r •• CHAS G BALZARII�f • r�� Septic System Approved w ( Date t O —tf--;r 20 �F'•, CE-13854 ••� r %T • • •��``� i1lF�PROFESSION��� Note: this approval does not include well permit requirements. (Rev obio2/18) 9/30/20 DRIVEWAY OF A� A TH . CHARLES G BALZARINI CE -13854 • `�® LEGEND 0 CLEANOUT NEW 1000 GAL \ MONITOR TUBE HDPE SEPTIC TANK HOUSE C BI BM:100 BOTTOM OF SIDING SCHEMATIC PROFILE VIEW SHOWS ELEVATIONS OF INSPECTED ELEMENTS BUT DOES NOT DEPICT SYSTEM IN ITS ENTIRETY. INSPECTION FOR GENERAL CONFORMANCE TO DESIGN AND MOA REQUIREMENTS ONLY. SCHEMATIC SETCION. NTS 0 NEW AFTER TANK CLEANOUTS 101 SCALE: 1" = 20' SWINGTIES LEGAL DESCRIPTION: SAND LAKE #2 B7 L9 C D E F G1 A B 12.5 12.3 20.4 15.4 23.6 20 27 22.3 29.1 1 23 C&M ENGINEERING SERVICES 907-854-5558 LEGAL DESCRIPTION: SAND LAKE #2 B7 L9 OWNER: DENNY DATE: 8/31/20 1 REV: I DRAWN: C131 REF: SITE PLAN \1\CIl[ Municipality of Anchorage ��,Department v P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 a (907) 343-7904 a Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section x** x VARIANCE/WAIVER REVIEW x x x x Waiver#: ADEC Waiver 8521 -WA -090 & WR910059 COSA#: Permit#: OSP201132 PID#: 011-132-38 Legal Description: Sand Lake #2 Block 7 Lot 9 Engineer: C&M Engineering Applicant: Anne Marie Denny Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private wells on Lot 8, 9 and 10 has been approved. The approved separation distances are 87.0 feet, 74.0 feet, and 95.0 feet, respectively. This is a re -issuance of waivers previously granted by ADEC in 1985 and MOA in 1992. See engineer's waiver request for justifications. This waiver approval applies to the recently installed septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. M M M a 0 M .................................... 11 11 ...... 0 M R n M M a M M K K x ................ 1 Waiver is Granted: X Waiver is not Granted: Date: jU � 0/ �06tv_4% Approved by: r_� ` Name of Reviewer ............ 0 a a a MN.......................................... M M M 0 0 a ............ 1 **** VARIAN C E/WAIVER REVIEW **** Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Septic System Modification for Sand lake #2 Block 7 Lot 9 Dear Reviewer, A New HDPE septic tank was installed at the above referenced property. The tank was installed in the same location as the previous tank by the contractor to maintain sufficient drop to the drain field. The proposed tank location required a well waiver, but at a greater distance than the tank was installed. We are requesting that the tank separation to the well be waived to 74'. We are requesting waivers from the new septic tank to neighboring wells: • 87' for the neighboring well on Sandlake#2 Block 7 Lot 8 and O 95' to the well on Sandlake#2 Block 7 Lot 10. This is slight improvement over the original tank location. The waiver is justified by the history of encroachment and the much lower risk of a poly tank leaking when compared to a steel septic tank. Additionally, the ground slopes away from the wells so a sewage spill would not impact them. Thank you for your time in reviewing this request. Please do not hesitate to contact me at 907-854-5558 or by email cgbalzarini(o-)gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE 10/14/20 �F A4.gsk� lie j CHARLES G BALZARIKI CE -13854 l �1:� PRO' FESSIONP.®.` MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201132 Work Type: SepticTank Upgrade Tax Code Number: 01113228000 Site Legal Address: SAND LAKE #2 BLK 7 LT 9 G:2224 Site Mailing Address: 8325 WILCOX ST, Anchorage Owner: DENNY ANNE MARIE Design Engineer: C & M Engineering This permit is for the construction of: ❑ Disposal Field 2 Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: ent DCparrment 6/4/2020 6/4/2021 6750 ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By:C.{'� ^ Date: _ Date: 3 `i MUNICIPALITY OF ANCHORAGE Development Services Department1 Phone: 907-343-7904 On -Site Water & Wastewater Section �--'` Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 011-132-28 Property owner(s) Denny Mailing address 8325 Wilcox Site address Day phone Legal description (Sub'd., Block & Lot) Sandlake#2 Block 7 Lot 9 Legal description (Township, Range & Section) Lot Size 6,750 Sq. Ft. Number of Bedrooms 3 I APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank 0 Upgrade 0 Duplex (D) ElHolding Tank ❑ Renewal F-1Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is. in accordance with applicable Municipal Codes. C&M ENGINEERING (Signature of property owner or authorized agent) Permit/Rush Fees: .2.2 / %Ial -75- Waiver Fees: Date of Payment: Jr- f a0.2626 Date of Payment: Receipt Number: 04 b% 1) Receipt Number: Permit No. 6:5 P 9 611.3 A Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc COVID-19 2570 DISCOUNT APPLIED C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 5/24/2020 RE: Proposed Septic System Modification for Sand lake #2 Block 7 Lot 9 Dear Reviewer, The above referenced property is currently served by a 3 bedroom septic system installed in 1980s. The 1000 gallon tank has failed and is in need of immediate replacement. We are proposing that the existing tank be replaced with a new 1000 gallon tank constructed and installed in accordance with MOA requirements. A polyethylene tank is recommended. As shown on the plan, the tank will be greater than 10’ from the house foundation. The tank shall be covered with a minimum of 2” moa approved insulation and 3’ of cover. The repair shall be performed by a moa certified installer in accordance with MOA requirements. Repair of the proposed system will not negatively impact adjacent lots. The existing tank is within the 100’ of the existing well and adjacent neighboring well. The new tank will be placed outside the 100’ well radii of the neighboring wells, but can’t be moved outside the 100’ well radius of the on-site well. We are requesting a waiver of the 100 ft separation distance between the proposed tank and the existing well. The requested distance is 84 feet. The waiver is justified because the new tank will be placed further from the well than the existing tank and the polyethylene tank is less likely to leak and contaminate the water supply. The installation of this new tank would be an improvement over the existing leaky tank. The home is in the process of being sold, so an updated as-built survey and water sample results will be submitted with an upcoming COSA application. Upon completion of the installation, a record drawing will be submitted showing the location of the new tank, leach field, well, and other applicable features. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini@gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201132, Rebecca Carroll, 06/04/20 NOTE: INSTALL ALL COMPONENTS IN ACCORDANCE WITH MUNICIPAL CODE 48�ANC AND MANUFACTURERS RECOMMENDATIONS r ,-Z PA 0113z Re C2rf811 REPAIR DRAINFIELD MT BEFORE STARTING TANK REPLACEMENT. * TM . * �� .. .. ... / \ N / • • I;HARLES G BALZARIM •.`` �6,'. CE-13854 . ��� _ l� FOPROFESSIONP� - SANDLAKE #2 BLOCK 7 LOT 7 \ I / SANDLAKE #2 \ I ' BLOCK 7 LOT 18 �j SANDLAKE #2 BLOCK 7 LOT 8 \ I I SANDLAKE #2 / REPLACE \ BLOCK 7 LOT 17 EXIST. CAST PIPE DEMOLISH \ / EXIST. TANK / / SANDLAKE #2 BLOCK 7 LOT 94�GAL OLISH \ SANDLAKE #2 ST. CAST PIPE BLOCK 7 LOT 16 REPAIR OR REPLACEEXIST.(BLOCKED)MONITOR TUBE DRIVEWAY NEW AFTER TANK CLEANOUTSNEIGHBORING WEL1000 OR 1250 MUST BE MARKED BY A HDPE SEPTIC TANK PROFESSIONAL LAND \ \ I / SANDLAKE SURVEYOR BLOCK 7 LOT 15 /I SANDLAKE #2 BLOCK 7 LOT 10 V\ SEPARATION DISTANCE NOTES: / II THE PROPOSED SEPTIC TANK IS GREATER THAN: 84' FROM THE ON—SITE WELL 100' FROM ANY NEIGHBORING WELLS I 200' FROM ANY PUBLIC WELLS 100' FROM ANY SURFACE WATER . 10' TO ANY PROPERTY LINE OR FOUNDATION / \ LEGAL DESCRIPTION: SAND LAKE#2 BLOCK 7 LOT 9 C&M ENGINEERING SERVICES OWNER: DENNY I DATE: 5/23/201 REV: I DRAWN: CBJ REF: 907-854-5558 SITE PLAN MUNICIPALITY OF ANCHORAGE 8 DEPARTMENT OF HEALTH`& ENVIRONMENTAL PROI ECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW Jerry Stock 248-0765 UPGRADE MAILING ADDRESS 8325 Wilcox Street Anchorage, Alaska 99502 LEGAL DESCRIPTION Lot 9 Block 7 Sand Lake No.2 LOCATION NO. OF BEDROOMS Sand Lake Area 3 Well Absorption area Dwelling PERMIT NO. DISTANCE TO: 73 Feet 24 Feet 11 Feet 800617 UY 1-- Q Manufacturer Greer Material Steel No. of compartments 2 W< C/) Liq. caq a tU� b n gallons l� IF HOMEMADE: Inside length Width Liquid depth O Y DISTANCE TO: Well Dwelling PERMIT NO. jaz Oz Manufacturer Material Liquid capacity in gallons D w= DISTANCE TO: Well 104 Feet Foundation 41 Feet Nearest lot line 2 Feet PERMIT NO. 800617 J U. z No. of lines Length of each line Total length of lines Trench width Distance between lines Z W ~—cc 1 30 Feet 30 Feet 24 inches F Top of tile to finish grade Material beneath tile Total effective absorption area 0 4% Feet 7.5' Screened Gravel+%inches 450 Sq. Feet Length Width Depth PERMIT NO. W a Q F- Type of crib Crib diameter Crib depth Total effective absorption area w° w Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS Gifford Hill Quality PVC 4" ASTM D-3033- 3034 :3q. "T-M"'{ SOIL TEST RATING 125 .INSTALLER In C & J Excavating I = REMARKS 2nd Inspection 4:30 p.m. 11-1-80 OF A4,111% V, •epe •epee Iq Y • F44 6 IR 0 s�eee lee Oepep ee•Oe.eO•p . • eseeue•..... pp•saa Ya Richard A. Lowman o4217 �•s •\® APPROVED DATE LEGAL Richard A. Lowman, P. E. 62-"�t 4 Howard Grey & Assoc., Inc. 11-1-80 72-013 (Rev. 3/78) KEN'S COMPANY WATER WELL DRILLING PUMP SALES & SERVICE (907) 243-7893 KEN JOHNSON Steve Stock Lot 9 Blk, 7 Sand Lake Sub, # 2 8325 Wilcox St. Anchorage, Alaska 248-0765 WATER WELL LOG Move in and set up 3163 LINDEN DRIVE ANCHORAGE, ALASKA 99802 November 22, 1980 Sound hole... Bottom out at 230 ft. Very soft silt. Cook inlet Lecture. Static water level 173 ft. Fill hole with water to 100 ft. Drill out plug to 270 ft. Was able to locate shoe at 270 ft* from surface. Welded on 6 ft. �K in. casing and drove at six in.intervals to 275 ft. ( 100 blows per inch ) Apparently well was left open from 270 ft. to 275 ft. 275 ft Clean course gravel and sand .. Water bearing Test bailed 3 hrs. at 5 GPM Static 125 ft. ( overnight ) Drawdown to 250 ft. Fair recovery Bottom Stable MUNICIPALITY OF ANCFIORAGv DEPT. O ENVIRONMENI,:•i ,> ; ACTION 4 a t, i i .�:�so RECEIVED DEHMK}MEQ/ MLMLiN MMD tNvlNVmfqtN|HL 825 '`./STREET/ HNCHOR8GE, �K 99' ' ^" 264-4720 ^ � ' 9.4 FEE L_ L_ n Ir -J C -a vD P-4--�I -r F_: FE�4 FE F-10 F:�� E-: F --:c r-1 I -T' APPLICANT JERRY S. STOCK 8030 GREENWOOD 2:49-31.208 �� LOCATION WILCOX ST. L'rv��. LEGAL LOT 9 BLK 7 SHNDKI36E #2 LOT SIZE 6750 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT//E}R)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ��F=a-rH= �a" ��"f_3'7H- : 2-�� �3 F-�'n V F=A C -a F=F::-' -F " = 7' THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR D8HIMFIELD, THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ��C.! U 3: F.."E: C -a � RE F -u -r 3: 17-- -r F�l P-4 F" _� I = EE 0 0 0 0 " 9- 1������ PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL NILL SERVE. -j CA < _..2 > 1 P-4 I C.9 N!-=. n FR I -E FP! 1= 0 u I F�. F= ca BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 20 DAYS OF THE WELL COMPLETION. ` OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIHGRHMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ���M I -F FEE 1=� I F�-o �������#;�_o K24 I CERTIFY THAI' 1: I 8M FAMILIAR WITH THE REQUIREMENTS FOR [N -SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDRO8MS� __ J_t; 4__ ----------- I{�1017 JERRY S. STOCK ISSUED 8?_:"L" Sl REET r e ?_ A— tzIt— v�1 ANCHORAGE, ALASKA 09501 . ;gCl' 264-4111 << 1%1. SULLIVAN, I-) E PAR, 1 OF HEA _ H ;"ND O1 C'fION December 31, 1979 Jerry S. Stock 8030 Greenwood Anchorage, Alaska 99502 Permit 4 790498 Subject: Lot 9 Block 7 Sandlake Subdivision 42 A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer has inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please contact this office at 264-4720. Sincerely', /-ev ' r` Les N. Buchh Senior Envir LNB/ljw o1z, R.S. - onmental Speci st enc: Copy of Permit 1 7"ir' C-ff F- ��C F�,—J C:, E---. ^ DEPHRT[eENT OF HEHLTH H@D ENVIRONMENTAL PROTECTION ` 825 'L' STREET, ANCHORAGE, HK. 99501 2�4�47�0 �� Fl lr-J C:# rr-d I.E. 1 -T F7. IH -5- Fr- 1�-1 PEE 1. -T* PERMIT NEi ( 790489 ) | APPLICANT JERRY S. STOCK 80]0 GREENWOOD ]-'49 ]208 LOCATION WILCQX ST LEGAL L9 B7 SFfNDLHKE #2 LOT SIZE 6750 SQUHRE FEET ` TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS ] SOIL RATING (SQ FT/BR)= 125 �J � THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: � \ �J ��-2 �P-4 r -3i -T' 0-4 7" C-�F E--- F- -8- �--P� L THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD � ^ THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND HND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. (b i THE GRHVEi DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OOTFHLi PIPE ~` .� �- ) AND THE BOTTOM OF THE EXCAVATION (IN FEET). .. � ����I F --e F--- 1E. -O 1 0--- ���� �1 ;,_-, E-7--- --- �02� FER� «� 9-3 F-'uK~L-������ Y1 �1 PERMIT APPLICANT HHS THE RESPONSIBILITY TQ INFORM THIS DEPARTMENT DURING THE \� � INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE ��rL NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. WELL LOGS FIRE REQUIRED HND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DHYS � �L.-H 013 �F-0 LE [C-7- "r. ND P --#."S-- ��E:-- F? EE�* G-� R-9 I F�? F-� ~~ � BHCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION HND APPROVAL BY THIS � DEPARTMENT WILL BE SUBJECT TO PROSECUTION. L� / I CERTIFY THAT � �4 MINIMUM DISTANCE BETWEEN H WELL AND ANY ON --SITE SEWHGE DISPOSAL. SYSTEM IS \.- 100 FEET FOR H PRIVATE WELL/ OR ��rL 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL WELL LOGS FIRE REQUIRED HND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DHYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MHY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE 'll AVAILABLE TO INSURE PROPER INSTALLATION. � � ��F : 9-1 F-'-- FR" --L" -IL���� L� / I CERTIFY THAT .L 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS HS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. `~ ] I UNDERSTHND THAT THE QN SITE SEWER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE � ^ RESIDENCE IS REMODELED TO INCLUDE MORE THAN SIGNED:-.-^- Hr.ICAP-W J.FRRY S. STOCK ISSUED BY - a .'UTLER ENGINEERING SERVIC} 1552 Orca• Anchorage, Alaska 9950I Ph. 274-771I Job # Hole # Loo cat ion �/C 07 Sheet # of 1A.A10��� Sy�Z Operater Date Project Client =- BEPTH CLASSIFICATION SAMPLE FEET SYSTEM DATA LEGEND 1 2 3 4 5 6 7 8 9 I0 II I2 I3 14 15 I6 17 18 I9 20 2I 22 23 24 25 26 27 28 29 30 3I 'A9. Z 3 444.. CK )V ay cav S4&D a0,1E L C-�U-)) GRAVEL SAND CLAY SILT ORGANI PEAT FROST (Froze soils WATER TABLE j A10, Z (N -o S-u/z,,trys M,4rO i(�',0 pLQ. cu-Lx-l-rz LlF��2� �c to j�t�iV �PPl�vx 4D F%r 4160,11 CA F�'.F✓CtiE - c3 I OL -P :SAt�rC�L_Ia v f S�nCf� /}nc SIO tt_._S mac; l!_.S .s(i,nt: ` i- 4- (iF F i - "r -T tti(�. s (0c, rip, , •�A . �� f Z S' SC� , t . U Or•'1¢hbis C,<,.T•� U4- I-it�eevG.GU-i_._�aSSr�tCi\77�1ev, Sm) or-f-bL CUTLER ENGINEERING SERVICES 1552 ORCA STREET STRUCTURAL ENGINEERING CIVIL ENGINEERING CONSTRUCTION ENGINEERING SURVEYING — LAND AND CONSTRUCTION August 21, 1979 Mr. Jerry Stock Anchorage, Alaska RE: Soils - Sand Lake Subdivision #2 Dear Jerry: ANCHORAGE, ALASKA PHONE (907) 274-7711 As per your request, _I have reviewed my records and find that the soils on lots 14, 15, 16,.L7, 10 and lot 8 of the above subdivision were of excellent granular soils. With the soils data which I have gathered and the open pit area abutting the subdivision on the south it is apparent that the general soils condition of lot 9 will be of the same granular composition. Thus the soils of lot 9 Block 7 Sandlake Subdivision #2 are adequate without perk testing for on site sanitary facilities. Yours truly, CU L'nR�nENGINE ERI SERVICE ale L. Cutler, P.E./L.S. `4.1 aRk4 ooaoaoos � P. %:.f a Dale L. Outlet No. 1804-E MUNICIPALITY Development Services Department t On -Site Water & Wastewater Section Parcel 1. D. 011-132-28 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: I— I (c' Z -d?—/ Complete legal description SAND LAKE #2 BLK 7 LT 9 Location (site address) 8325 Wilcox St Current property owner(s) Denny Mailing address Day phone Real estate agent Day phone 2. TYPE OF DWELLING: Fx� Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 7 Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: NONE Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ �, 6�, G 0Vt'fie� Waiver Fee $ Date of Payment f D O 3l 20Z O Date of Payment Receipt Number C) Receipt Number COSA # „ SC- 2-01 �� � 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 all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm C&M ENGINEERING Phone 8545558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 9/28/2020 DSD SIGNATURE System #1 Approved for Z_ bedrooms System #2 Approved for bedrooms Disapproved OF A�gst,� '49 TH Alw I:HARLES G BALZARN1 .� 6,�.. CE -13854 .-_0 ill%pROFESSION��� Conditional approval for bedrooms, with the following stipulations: o WAST'__- TER oz P R�. �— Original Certificate Date: J 0 ' 169 zc? The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only 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 COSA Checklist blue sheet X Nitrate Advisory Arsenic Advisory Other COSA Checklist Legal Description: SAND LAKE #2 BLOCK 7 LOT 9 Parcel ID: 011 132 28 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1980 Total depth 275 ft Cased to +40 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) +12 in. Date of flow test for COSA 8/17/20 Well production at time of test 3.2 Qpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic 12.608 ug/L ❑ Arsenic less than MRL (ND) Collected by C.Balzarini Date of Sample 7/9/20 Static water level at beginning of test 133 ft. Comments * Well was deepened/casing extended in 11/1980 B. TANK DATA Age of tank(s) NEW years Tank type/material HDPE Measured operating fluid level in septic tank NA ❑ Standpipes/foundation cleanout per record drawing Date of pumping NA D. ABSORPTION FIELD DATA TRENCH Which system tested (date installed) 1980 ❑ ALL standpipes present per record drawing Total measured depth from grade 3 ft (max) Measured depth to pipe invert from grade 7 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 4 OR Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced NA gallons Comments/Deficiencies: COSA Checklist yellow sheet C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 8/17/20 Results PPass For 3 bedrooms Fluid depth prior to test 0 in Water added +450 gal New depth 2 in Elapsed time <1440 min Final fluid depth 0 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) NO If yes, enter date NA E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 74 if No Community Sewer Manhole/Cleanout > 100' Yes if No ft M Yes if No Neighboring Tank > 100' ❑ Yes if No 87 ft Private Sewer/Septic Line > 25' F✓ Yes if No Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' [✓ Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' ✓l Yes if No p✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' F/ Yes if No ft 0 Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' P/ Yes if No ft Surface Water > 100' ft ft ft ft ft [D Yes if No ft Property Line > 5' F71 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' Q Yes if No. Water Main > 10' Q Yes if No ft Community Wells > 200' F71 Yes if No. Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' E✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No 2 ft Wells on Adjacent Lots: Water Main > 10'✓ -1 Yes if No ft Private Wells > 100' U✓ Yes if No Water Service Line > 10' El Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that l 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. 10/10/20 COSA Checklist yellow sheet Q.. ALq . 419 TH •:9 • CHARLES G BALZARINI F�,•, CE -13854 ,•���,® pROFESSIONP -. ft ft ft ft Arsenic Advisory Certificate of On -Site Systems Approval # OSC201566 Subdivision: Sand Lake #2, Block 7, Lot 9 A water sample revealed an arsenic concentration of 12.6 micrograms per liter (ug/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. ,� � hMa�lmg Address P O� Box 196650 *Anchorage; Alaska 99519 6650'* www mu`m org-' �- ,.a�,�.,_w MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES M} i Division of Environmental Services - On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # (i// ILLz 3' HAA # /-1IUA-04/7 1. GENERAL INFORMATION Complete legal description Lot 9; Btock 7; Sand Lake Subdivi.6 on No. 2 Location (site address or directions) Property owner A.H.F.C. #110442 8325 Wi.2eox StAeet Day phone Mailing address 520 E"t 34th Avenue Anehoaage, Ak. 99503 Lending agency Day phone Mailing address Agent Lori Ahlgeg _FORTUNE PROPERTIES, TUC. Day phone 562-7653 Address 3000 A StAeet Sine 101 Anchorage, Ak. 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- . ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOA#21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm I Phone Address 17034 Eagle River Loop Road No. 204 .age River, Alaska Engineer's signature 6. DHHS SIGNATURE Approved for Disapproved. 3 bedrooms. Conditional approval for Additional Comments 11ITIC Date bedrooms, with the following stipulations: Date /-/7-y2 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lcv, a( fbL_ . i Parcel I.D. (0/NV- A. WELL DATA Well type VVe-WM L If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y16� I'd Date completed 4- UV__ Driller— Total depth��� Cased to� Casing height Sanitary seal LYJN) y Wires properly protectedoIN) _y__ `/ `FROM WELL LOG AT INSPECTION Date of test Static water level Well flow Pump level 4 6 ro g.p.m T7. o -ice "2 �5-0' SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot * 1,.t,I -21-`A( o v_ -2_� "4- t�®l g.p.m 6 ec->, irm ;On adjacent lots Absorption field on lot f ; On adjacent lots ( Ci -3, Public sewer main hi C,)A Public sewer manhole/cleanout N L,11 -l= i Sewer service line 2`7 "� Petroleum tank n1vrJ'[s �"`✓�� / WATER SAMPLE RESULTS: Coliform � Nitrate Other bacteria Date of sample: i� ZZ I Collected by: B. SEPTIOH49t l" TANK DATA Date installed Tank size Compartments Cleanouts (V/N) F ndation cleanout (Y?N) Depression (YA l� High water alarm (Y/N) Alarm tested (Y/N) Date of pumping Pumper { YUi' C SEPARATION D STANCES FROM SEPTIC7FKYt:0tN13-TANK TO: Z Wei I(s) on lot �T� On adjacent lots 1 Foundation i I i To property line —1 L----3 � Absorption field 4r Water main/service line Surface water/drainage t oo l"I- 72-026 (Rev. nst) Front - CONTINUED ON BACK PAGE 0Z © fV D O m 1d� ;r, A 6 ec->, irm ;On adjacent lots Absorption field on lot f ; On adjacent lots ( Ci -3, Public sewer main hi C,)A Public sewer manhole/cleanout N L,11 -l= i Sewer service line 2`7 "� Petroleum tank n1vrJ'[s �"`✓�� / WATER SAMPLE RESULTS: Coliform � Nitrate Other bacteria Date of sample: i� ZZ I Collected by: B. SEPTIOH49t l" TANK DATA Date installed Tank size Compartments Cleanouts (V/N) F ndation cleanout (Y?N) Depression (YA l� High water alarm (Y/N) Alarm tested (Y/N) Date of pumping Pumper { YUi' C SEPARATION D STANCES FROM SEPTIC7FKYt:0tN13-TANK TO: Z Wei I(s) on lot �T� On adjacent lots 1 Foundation i I i To property line —1 L----3 � Absorption field 4r Water main/service line Surface water/drainage t oo l"I- 72-026 (Rev. nst) Front - CONTINUED ON BACK PAGE C. LIFT STATION Date instal Size in gallons Vent (Y/N) "Pu n" level at High water alarm level Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off' level at Cycles tested Surface water _ Date installed Soil rating �� ? �� System type Length �:)6_) Width 7 Gravel thickness Total depth �Z Total absorption area `�y Cleanouts present ") \,,/ Depression over field (Y/W Date of adequacy test � I - 2'7 - q I Results6ia fail) for Peroxide treatment (past 12 months) (Y( 1, ) rJ[ If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot On adjacent lots 1 �o ( •k Property line To building foundation 1 To existing or abandoned system on lot 0i -Le On adjacent lots Cutbank (fir;1T 6 Water main/service line IA - Surface water \moi �i i Driveway, parking/vehicle storage area G( Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect<on: the.,dete of this inspection. J4ria S d 5 ENGINEERING ' Signature 17034 Eagle River Loop Road No. 204 Eagle River, A as a 99577 Engineer's Name, F Date HAA Fee $ Zoe Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ 5 p edo Date of Payment f 2-.-20 Receipt Number Municipality of Anchorage } Department of Health and Human Services C1rL5 825 "L" Street Tom Fink, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 January 17, 1992 Roger Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Re: Waiver Request for Lot 9 Block 7 Sand Lake S/D #2 Waiver Request #WR9100591 PID #011-132-28, HA910617 Dear Mr. Shafer: Your request for waivers of the required 100 feet horizontal separation of a septic system to a private well have been approved. The approved separation distances are as follows: Private Well On Lot 8 Block 7 Sand Lake #2 To; Septic Tank on Lot 8 Block 7, 83 ft. Septic Tank on Lot 9 Block 7, 87 ft. Septic Absorption Field on Lot 16 Block 6, 96 ft. Septic Absorption Field on Lot 17 Block 6, 91 ft. Private Well On Lot 10 Block 7 Sand Lake #2 To; Septic Tank on Lot 9 Block 7, 97 ft. Septic Tank on Lot 10 Block 7, 51 ft. Septic Tank on Lot 11 Block 7, 97 ft. This waiver approval applies to the above referenced existing septic systems and wells only. Any future upgrade to any of the systems will require all separation distances be met or another approval from this department. Sincerely, A4_wl; v/;�o Daniel J. Roth Civil Engineer On -Site Services OSS#93 7rogr- Sm'th, P. ram Manager On -Site Services MUNICIPALITY OF ANCHORAC Department of Health and Human Services On-site Services Section Waiver Review Worksheet Ci HA# IA&L- Permit # WR# g1 pQ s ( PID# nt i _LU_ -Z Date Received: 12/20/91 — Legal Description: Lot 9 Blk 7 Engineer: Applicant: Waiver Requested: .� Points: Criteria: 1. Geology: A. Water Table —� B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3, Other: Waiver is NOT Granted: Waiver is Granted: List Conditions or Reasons for above: s — Rec #: 23304 _ Amount: Date Paid: 12LZD 2 wl3/veK / 0/< 1.0, y kl(-A' bl,)9tVFn REQuEfr Nuwcal-'�2 R1QuEST�1J.__5--��Tic _S_YST-E� �►�y��T y_ TO ._G��115_ oov__LoTs__ /- /S T 4-/V F- R - R F4� 5 r 1s -FRS--,. T�/� Gc� ELL o., --L o T- s__ tk 6 /C T'1l-NKS ON LO_/_S �j �HF!F[ �l^LU/s/6 I� ,Qg S6pT�G y ----- !f - sw/r��- Lars N1�-- LvvE6f_._ QF_ --!` T/ -e'/_: LoTS _/_1'% 1YE-SuQO/✓/s/ooV -f — - G WAe- r F -d BY _ f4 , D. if c , - Z graft._ _ � o Ty- - -- rl1E--SF-)'TiC--T_�}�v/_zs Q/v AGL _Lo.TS''- - I�Cv-n-+.-1°li-/1'-T'Mrrt�TS----��F T�y/(S_-aF /Hc/�-�l_eA cv�j�Ef_oysT_/t'4CTED. - II -j�L F FL -1E f v Tf L-�.�L F � - ,C-� L F- Tf FAiClfo/i-PyES ery 7%vc �gE._,��,'1F/FLd>i� CJ.vg I' _r_!gip T/-eE_ or - - - - ',�,��It % ENIfP�A,C�_fE,� 4ti �C�/3CtiF/FL-1%5,--. i ii I, !i%l _gF T�rE �i✓i' to /f 110tTLY_-FL/97 r -- - _--__7-o - fjfLlFv_BF- �II II ill (vELL P#rA POJ? LOT — A /sbFO Ong THE Sti i3 j�1?� CE _So/c S -- S a uTH Ae= p IvaRTH 1 ------ - ---- --- ---------------- ---- — -----�'}--- -- may--- -- _236' 5 lH�i i s--- L -- —4 oa ---- ----- -- --- ,gs7- 1 - 01-R6 -- - LNJ1Ca�r------ --!:!'yvT 71 -60- - -- - I i HiEr'i E Is, /¢- WFLL J�iEF/,vE/2 CLf9 V %E/? �Q/�/ LL TffE L 06 5 I N — TK/ C/f ti�'SS Flo r+ lit--T_/lE--SGteF!91_ 0_7/x_ e /N/A16 /,v _OF -T -IF 111,4LS/oF �FNC�1�- -j/4F _ C/PUSS-_-,�.FC11yNu/�G�-S.QF_G�,�LL _G oGS —~ � � ---- _-- w/�J�"R._ __ /�.,►�! c.r� Tj -- ..1io � cT�'�'_�=`�--/'"--1-6'��__`-' WJE �e_ o �Q_. —ov-r_AL'FS -_c roc, I tL O /qtr TS Ir, ATE q 7- - L0T 88 L oT �O N---- - -- — --1 — — ------- -- I- or LOT 4- OT- /074-07 50JL SoRR7-117AI -- 1,277? �. �t �,Lo t()� o --- 2.7 -- --------- --- 0 = L OT30 2 g /.St 4z� �. 0t a !,s + ?2� 6• -- /. I L o T 8 3 /.� t? p l.S �- �7Dr� i. -- iI iw,9TER T4)?LE 6,?4n1jEa-?T _- --------------❑.C�AiFER__��rw� ------ tv�T�n rxr�F —- - - - G 4 6.19+ c -NT O Y s ;-6 rt c i�01Q/ZD.vTf�L S�pi9R�T /0/!/ _- 0 32 . t 2 L d T I = L ------- ------------ -- HEALTH AUTHORITY APPROVALS zi Deeemben 18, 1991 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVILENGINEERS (907) 694-2979 FAX 694-1211 Mun.iei-pat i.ty ob Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 8251 L Street SEWER &WATER P.O. Box 196650L, MAIN EXTENSIONS Anchorage, Alaska 99519-6650 REFERENCE: Lot 9; Block 7; Sand Laze Subdiv,i6.ion 02; 8325 Wilcox StAeet, Anchorage SEWER & WATER INSPECTION Request you .i66ue the attached Health Centib-ieate bon. the n.egekenced pnopenty and gaant the bot towing 6epa4ation di6tanee wa,i-veu. PRIVATE WELL ON LOT 8; BLOCK 7; SAND LAKE #2 to: ENGINEERING STUDIES AND REPORTS /_ i8 Tank Septic Tank on Lot 8, Btock 7, 01.26- 83 bt. Septic Tank on Lot 9, Btock 7, 0 87 bt. Septic Leach4.ie2d on Lot 16, Btock 6, O 96 bt. Septic Leaehb.ietd on Lot 17, Btock 6, 0 91 bt. WELL INSPECTION &FLOW TEST PRIVATE WELL ON LOT 10; BLOCK 7; SAND LAKE #2 to: Septic Tank on Lot 9, Btock 7, O 97 bt. Septic Tank on Lot 10, Btock 7, O 51 6t.SITE PLANS Septic Tank on Lot 11, Btock 7, @ 97 bt. We have been contacted by the nebenenced pnopenty owner, Akaska Hou6.ing Finance Conponation to obtain a Health Cent.ib.teate on the pnopenty. ROAD DESIGN Du,%i-ng the 6.ite inve6tigation pnoce66 we bound a 6epanation distance encroachment between the 6eptic sy6tem on the ne6enenced pnopenty and the two private wW6, pnev,iou6ty existing, on the two adjacent pnopentie6. SOIL TEST On November 1, 1980 a 6eptic system was .instaUed on the n.egen.enced pnopenty too eto6e to the exi6ting weUz 6enving Loth 8 and 10. On Decembers 12, 1980 a Heatth Centi-b.ieate wa6 .i66ued bon the nebeneneed PERCOLATION pnopenty. TEST On January 11, 1985 a Health Centib.ieate was again issued bon the nebenenced pnopenty. At th.vs time, 6epa4atLon di6tance waiven6 were apptied bon and .issued ban the distance between the weal on the STRUCTURAL& MECHANICAL nebenenced pnopenty and the 6eptic 6y6-tem6 on Lots 8, , 9 and 10. INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 9; Mock 7; Sand Lake Subdivision #2; Deeembe& 18, 1991 On August 7, 1989 a Heatth Ce)Lti4 ieate was again .issued on the &ebe&eneed p&ope&ty with a new wa.iveA boa a eoxneated sepa&ation distance between the wet2 on .the nebeaenced p&opeaty and the septic tank on Lot 8. Howeve&, th&oughout these app&ovat p&oeesses the sepa&ation v.iotat%on between the te4menced septic system and the two adjacent wetts had not been add&essed. Thus, we a&e apptying boa waiveas at this time. Since waives ane typt.catty issued on the weft themselves, we have .investigated att sou&ces ob contamination within the 100 bt. p&oteeti.ve %adiu.6 ob each weft. Pfrom this .investigation we have eneounteaed leve&at cepa&ation distance v.iotationz boa which we ane &equesting waive&s as tisted above. Eo& the bottowing aeasovU we beet the terse sepa&ation distances may be waived: 1. In tev.iew.ing the 6ite6 boa each p&opeaty it appea&s that seveat ob the sepaaation distance v.iotati.ons wene noted and appaoved by the Municipality. Howeve, these "Munieipat waives" wene .issued pa.ioa to the State Depa&tnent ob Env.i&onmenta2 Covueavation giving the Munici.paP.ity the autho&.ity to .issue waive&s. 2. Most ob the waive&s ane bun septic tank encnoachment6. The two teachb.ietd encaoachment6 ane m,in.imat at 91 bt. and 96 bt. Gene&atty a .septic tank .is not eon6ide&ed to be a continuous 6ou&ce ob contamination as woutd a teachb.ietd. 3. Satisbaeto&y baatea.ia and n.it&ate aesutts have been cottected b&om each weU on Lots 8, 9, and 10. The n.it&ate tevets ane ve&y tow indicating no e46tuence bfrom septic ebbtuent. 4. In nev.iew.ing 6eve&at weft togs boa the a&ea it appea&s thee exists seveaa2 clay taye&s between the g&ound .5uA6ace and the wate 6uppty aqu,ibe&. These e2ay taye&s woutd detou& m.ig&ation ob ebbtuent .into the aqu.ibe&. 5. This enti&e subdivision consists ob vey smatt tots with seveat sepa&ation distance v.iotations. It woutd be neaaty .impo66.ibte to place a weft and septic on each tot without any sepa&ation distance encaoachments. Ib you have any questions oa &equite add.itiona2 .inbo&mation boa you& tev,iew, ptease contact us. S.ince&ety, ROGERJ. SHAFER P.E. RJS/gm H r SCALE 0 n F � Q W 1 G� Cil I x 1 Ivy 1 El EJ oo wrn kN ❑ED C3 [Tc� x� �j x -S IEW El/ i� v � a I I fl WILCOX ST P-1 Li C) ENDIC ANCHORAGE WESTERN DISTRICT 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 April 4, 1990 Realty Center ATTNI Mr. Steve Lloyd 8400 Hartzell Anchorage, AK 99507 RE: Options for the approval/operation systems connected to the dwelling Lake #2 Subdivision Dear Mr. Lloyds of the water and sewer on Lot 15, Block 7, Sand on March 30, 1990, you requested that the Department of Environmental Conservation (ADF.C) review the file on the subject lot to determine what options exist so that the water and septic systems can be approved to operate by the Department. You stated that AHFC owns the property as a result of a repossession, and that the previous owner installed an unapproved well and sewer system that is connected to the dwelling. You further stated that AHFC could "fairly" easily convert the current duplex back to a single family residence if required by this Department. The existing well on Lot 15 was installed without ADEC approval. The septic system on Lot 15 was inspected by the Municipality of Anchorage (MOA) on September 130 1982. In our review of that inspection report, we found that the installed septic system was designed for a four bedroom dwelling. Although the Department did not approve the construction of this septic system, this office has no objection to the continued use of the septic system, provided the septic system has not been modified since September 13, 1982, there is a maximum of four bedrooms in the dwelling, and the septic system has not failed. Certificates of Approval for the ,construction and operation of the C Class well located on Lot 17 %`to.service Lots 150 16, and 271 Block 7, Sand Lake #2 Subdivision, were issued by ADE_on August 25, 1982 and September 13. 1983, respectively. A separation distance waiver between Lots 17 well and septic system, and Lots 15 septic system, 150 feet to 100 feet, was granted by ADSL on August. 25, 1982. 1. :-. ,. Mr. Steve Lloyd April 4, 1990 Page 2 of 3 On December 7, 1989s Mr. Theodore Moore, P.E., of Flattop Technical Services, submitted to this office a report concerning the water and septic systems on the subject lot, and a request for a separation distance waiver for lesser distances between these systems and to other septic systens on adjacent lots. In a letter to Mr. Moore dated December 18, 1939, tis. Cindy Thomas of this office stated that the Department is unable to approve the separation distance waiver request for the C class well on the subject lot, In discussion with Ms. Thomas and Mr. Mike Lewis, P.E., of this office, it appears that to operate the water and sewer systems on the subject lot with ADEC approval your options are the following: 1) Connect to the Municipality of Anchorage's (MOA) water system. 2) Discuss with the MOA if it is possible to convert the dwelling to a single family residence and have the MOA approve a separation distance waiver for the lesser separation distances between the well and sewer systems on -lot and to applicable systems on adjacent lots. Approvals of wells and septic systems, and applicable waivers for lesser separation distances, which are connected to multi -family dwellings are granted by ADEC and those systems connected to single family dwellings are granted by MOA. 3) Connect the dwelling to a well on the east side of Endicott Street to meet proper separation distance requirements. 4) Reconnect the dwelling's water distribution system to the C class well on Lot 17. Approval for this well and the granted separation distance waiver is in effect for the facilities that were on-site at the time the Certificates to Construct and Operate were issued, August 25, 1982 and September 13, 1983, respectively. Before you reconnect to the well on Lot 170, further information will need to be provided to this office. If there have been changes to the water and sewer systems and to the dwellings status, ie, single to multi- family, a new separation distance waiver request may be required to be submitted to this office for review. 2f approval is granted so that the dwelling's water distribution system is connected to a water supply system located off Lot 15, the existing well on -lot may need to be properly abandoned, Also if the dwelling will be connected to a well, a water capability assessment report and water bacteriological test report will need to be submitted to this office for review. Mr. Steve Lloyd April 4, 1990 Page 3 of 3 In addition, to obtain a Certificate of Approval for the septic system on Lot 150 verification from your engineer will need to be provided to this office that the septic tank was pumped. Review of Mr. Moore's December 7, 1989 report shows that the soil absorption system which is connected to the four bedroom dwelling on Lot 15 satisfactorily passed an adequacy test on July 31, 1989. If you have any questions, please do not hesitate to contact me at the Anchorage Western District Office (563-6775). Sincerely, Richard Sundet Environmental Field Officer i p-- j, c.s V. v' t (Y e i.. � ':u 'C; -• y �i Y�. F�f.S' E � .,m—�s p-- ANCHORAGE WESTERN DISTRICT OFFICE �} 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 December 18, 1989 Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Lot 15, Block 7. Sand Lake ##2 9021 -DA -069. 9021 -FA -046 Dear Mr, Moore: we have reviewed the plans and specifications for the subject project. We are unable to grant your separation waiver request or approval to operate for the sewer and water system, due to inadequate separation distances between a Class C well and seven on -lot sewer systems. Please be aware that the installation of this water and sewer system without prior Department approval was in violation under 18 ACC 72.060.(a) and 18 ACC 80.100.(a). You have pointed out that the risk of contamination can be minimized by the natural well characteristics(i.e. a deep, confined aquifer). However, the Department is and has been concerned with the dense wastewater loading in the subject area. Had proper prior approval been requested to obtain a certificate to construct it would have been denied. The Department would have recommended that the land use remain as a single family residence and request a waiver for separation variance with the Municipality of Anchorage. The Department does not acknowledge the relocation of the well as a viable solution to the separation problems. If you have any questions, Please contact me at the above number. h k N034q -0 5V FLATTOP TECHNICAL SERV CIVIL. & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 December 7, 1989 ADEC Anchorage/Western District Office RECEIVED 3601 "C' Street - Suite 322p � q �ggg Anchorage, AK 99503 e -7�d ANCHO^AGE/WESTERN C �c C_ DISTRICT OFFICE Dear By means of this letter I am requesting approval of the water supply and wastewater disposal facilities serving the duplex on Lot 15, Block 7, Sand Lake S/D #2, located at 8332 Endicott Street in Anchorage. Approval will entail granting a separation distance waiver allowing the well serving this duplex to remain approximately(80 f= et_fr�the septic tank and 75 feet from the closest portion of the sold -ab r�t'on trench on this lot. (The respective cleanout pipes are 81' and 76' from the we . -Thfss *ell is also approximately 85 feet from the septic tank and 9 feet from the closest portion of a soil absorption system on lot 13, and*ithin 150 feet of portions of several o csy_stems. To assist you in your evaluation of this approval and waiver request I have prepared the enclosed site plan, and am also enclosing copies of other relevant documents such as well logs and the septic system as -built inspection reports. Unfortunately, your office seems to have misplaced all records pertaining to the approved community water systems serving this block. I was able, however, to obtain the enclosed copy of the construction and operation certificate for this water system issued by your office in 1982 and 1983. This certificate waives the required separation distances down from 150 feet to 100 feet. I have not been able to locate the as -built plans or inspection report referenced on the certificate, which might assist in determining the exact location of the weft wh_ic was_annroved. My involvement with this property began almost 10 months ago, when I was asked by Realty Center, as the agent for AHFC which has taken possession of the property, to secure Health Authority Approval of the on- site water supply and wastewater disposal facilities serving it. On February 23 I obtained water samples from the water system which showed 0 coliform or other bacteria per 100 mi., and non-detectable nitrate -N. I was unable to complete adequacy tests of the property at that time, because the monitor tube at the end of the trench could not be located. Finally, I was able to get an excavator to dig up and repair the monitor tube, and I then conducted an adequacy test of the septic system on July 31. According to the septic system as -built inspection report issuethe a Municipality, the system was installed on 9/13/82 and consists of 1250 l gallon, two compartment steel septic tank followed by 63 lineal feet o soil absorption trench containing 4 feet of sewer gravel beneath the distribution pipe. This trench wraps around the perimeter of the west end of the lot. The as -built report indicates that the well was not in at the time of construction, and that the system was designed for 4 bedrooms. Prior to the start of the test, the monitor tube at the end of the trench was dry and extended to a depth of 9 feet below ground level. I added 575 gallons of water to the system at 8.7 gpm through the second compartment of the septic tank, which never resulted in any fluid making it to the monitor tube at the end of the trench. I then switched the water addition point to the monitor tube itself, and added another 729 gallons there. This caused an immediate temporary accumulation of 9 inches of fluid in the monitor tube, but it never became any deeper, and receded completely away within minutes after the water flow was stopped. Based on these test results it is apparent that the bottom of the trench is capable of absorbing water at a rate in excess of 8.7 gpm, which means that the soil absorption characteristics are more than adequate for this 4 bedroom duplex. During the course of the test I noticed that there was a well located immediately in front of the building, and when the well seal was removed it R b�obvious that this well was the source of the water being used in the septic adequacy test. During the course of pumping over 1300 gallons of water at the maximum pump output of 8.7 gpm, the water level was drawn down to 136 feet below the top of the casing, but no further. This recovered to a static level of 124 feet within 10 minutes of cessation of pumping. Based on this data, I concluded that the total well yield is considerably in excess of 8.7 gpm, and is more than adequate for this 4 bedroom duplex. The questions to be resolved are whether or not a waiver can be justified allowing the well to remain where it is, or whether some mitigating measures need to be taken. After numerous personal visits, I was finally able to catch the present owner of lots 16 and 17 at home, and he informed me that the jean Pope to whom the original A.E.C. certificate had been issued no longer owned the property. He also said that the duplex had originally been served by the well on Lot 17Wbut that he had requested her to put in a separate well, which she did. Apparently, D.E.G. was not consulted regarding the installation of this new well, and of course no well log was filed. The well log information for all of the nearby wells which I have been able to locate is as follows. The well on Lot 17 has a total depth of 248 feet, a static water level of 123 feet and a yield of 40 gpm. The well on Lot 14 has a total depth of 263 feet, a static water level of 85 feet and a yield of 5 gpm. The well on Lot 11 has a total depth of 231 feet, a static water level of 120 feet, and a yield in excess of 5 gpm. The well on Lot 9 has a total depth of 275 feet, a static water level of 125 feet, and a yield of approximately 5 gpm. Of these, the wells on Lots 17 and 11 appear to be most similar to the one on the subject lot, based on static water level and yield. I have used the log for the well on lot 17 in going through the waiver analysis using your SCRO guidelines. This well log shows sand and gravel to a depth of 115', underlain by silty sand to 200', which is underlain by silty clay to 245', and beneath that the silty sand aquifer. Based on this information it appears that the water supply being tapped is from a confined aquifer. Since the aquifer is confined, I believe it is appropriate to treat the water table as being at 245' in the waiver analysis. The following is a breakdown of the points which could be assigned under the SCRO Separation Distance Waiver Guidelines. Category Points Distance to water table (245' - 9' - 236') 7.71 Soilsorption (106'x1.5 +85'x2.5 +45'x6)/236' 2.72 Permeability (106'x 1.0 +85'x2.0 +45'x3)/236' 1.74 Water table gradient (assume level like surface) 2.90 Horizontal separation (tank 80', field 75' from well) 2.20 tank Total - 17.27 points for septic tank, 17.07 points for absorption field Based on the above analysis using SCRO guidelines, I believe a waiver can be supported allowing the present configuration to remain as is. Certainly, the 75 foot horizontal separation between the well and the absorption trench is of particular concern, and should not be dismissed lightly. A couple of additional factors can be cited which provide additional mitigation. First, this well serves only this one duplex, with a total of 4 bedrooms, so the hydraulic load placed on both the well and the septic system is not significantly greater than that encountered in many single family residences. Secondly, the gravelly sands underlying the soil absorption trench can be expected to provide excellent filtration and treatment of the effluent as it percolates downward. The silty clay does appear to be an effective barrier blocking local contamination sources from entering the aquifer being drawn upon by the well. There is no indication of a groundwater table shallower than 180' in any of the well logs from the immediate area. Finally, the position of the house between the well and the soil absorption trench results in surface flow distance of approximately 90 feet, instead of the straight line distance of 75' It might be possible to increase the separation distance between the trench and the existing well to as much as 90', but not much more, by abandoning a portion of the existing system and reconfiguring the remainder. This would involve considerable expense for what I believe to be a negligible benefit. Alternatively, if the well were abandoned and a new one drilled near the southeast corner of the lot, it would be possible to achieve separation distances of just over 100' from all septic tanks and soil absorption systems. This latter alternative would probably have a greater benefit, and would bring the water system back into compliance with the terms of the originalIL4p_r al, but the cosrwourdbe inthe v ci inthe 66000. unfor a y, the individuals who are responsible for creating this situation can no longer be held financially liable, so any money spent on additional mitigating measures will have to be borne by AHFC. I would suggest that a regular water quality testing program be instituted for the existing system, in lieu of an expensive upgrade. Please call me if you have any questions on this analysis, or desire additional information. I shall await your decision on the waiver and approval request, and will proceed accordingly. Sincerely, Ted Moore, P.E. cc: AHFC c/o Realty Center OF AZ ea 49TH ® McODORE F. MOORE ; Al«.o CE - 3589 0 65514�� � �• + ess.a�t� lot 4. OF A V44 CitWIN •4.9TH�jot t9� d : THEODORE F. f10ME*.. � �o,�•.• CE - 3559 ,• N/SG- r L l5, 6 , SAND L,AkE 42 SID WE1.1, $ SEPTIC S �-S rEMS 51 FE Pl—,4N mora.• rma a Nor 10189 A Sur;vEY6D P"1- 144,1, "1- A4i.1, l.vcA-rfo/c ARE ArpROxf"Arr- 1,07' IS wEac 6 40r 17 s6oTr c ► srsr 9 c.1,07-16 cc SEs srD 4,4 10 a SEFric TRe'M�N WEK� HaKtE sr sr jy �2so 0PRr1 �r.r. aKpL•EX Cor , ' SG°r'r« rw K@w wo wE� NDUSE trss Huus� SEvrY wE�.c 13 sE�rrc �Fu� I -o r 12 srrr �1-1 HausE + ess.a�t� lot 4. OF A V44 CitWIN •4.9TH�jot t9� d : THEODORE F. f10ME*.. � �o,�•.• CE - 3559 ,• N/SG- r L l5, 6 , SAND L,AkE 42 SID WE1.1, $ SEPTIC S �-S rEMS 51 FE Pl—,4N mora.• rma a Nor 10189 A Sur;vEY6D P"1- 144,1, "1- A4i.1, l.vcA-rfo/c ARE ArpROxf"Arr- ALASKA DEPARTMENT OF ENVIRONMENTAI CONSERVATION PUBLIC WATER SYSTEM APPROVAL TO CONSTRUCT Plans for the construction of,_( �I )3 ,�1 LU IS 17. 16 . 4 �3_; 1"C a kcSt, b #� Z 3 ZI—F� Q7 republic Nater r tem located In14 01� Ae G Alask.i, submitted in accordance with 18 AAC 80.100 by 40' pa-"/ Sc LIE I t s _ _have been reviewed and aro 9 approved. ,/,0 conditionally +fp roved (sae attached conditions). I���k .zf �►to-lne�V By UA t L If construction has not started within two years of the approval date, this certificate Is void and new plans and specifications must be submitted for review and approval before construction. APPROVED CHANGE ORDERS. Change &*ntroct ora« no. P pproved by o. MKrlp"Ve nrw• lul !Lk'flc r- ysfert. cilit0 JI"o f --ti-J010 Date The "APPROVAL TO OPERATE" section must be completed befora any water i; made avallable to the public. AEPROVAk TO OPERATE " The construction of the C! Ali C �QQy c ►JCY�! _ : IS 16,fR d' At IL SIW OCE � Z public water system was completed on AN11, IS. E 8 3 (date). The system Is hereby granted Interim approval to operate for 90 days following the completion date. s� 11TLE QATE As -built plans subriitte,' during the interim approval period, or an inspection by the Departmont has Confirmed the system wa. ct islructed according to the approved plan;. The system is hereby Vented final approval to erorats. � ice_. __� - --- [ n — P TIT, r MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services M j DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D.# ��`J ��" � HAA# kA kr qq 9()�q_' aS 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) L077 51LOCK q St}AJD1/4KE SlD 1 Location (address or directions) 2S W11_00x ST. H F- M (b) Property owner Telephone: ( ome) / � Business t.�.E3o�C Icic2� I (�Y�cc Ark- -�C�ZSCe—(cZa Mailing Address e r � (c) Lending Institution Telephone n( Mailing Address (d) Real Estate Company and Agero Agent t-4uriz L ecd Address �G°CX� E4ree-1 AnGk A r: Telephone JOE 2 — —76 5 3 (e) Mail the HAA to the following address: (or check here�(if hold for pick up.) List contact person and day phone number below: 15-zz-I3i1 2. TYPE OF RESIDENCE Single -Family E( Number of bedrooms 3. WATER SUPPLY Individual Well d Community ❑ Public ❑ Note: If community well system, must have.written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site d Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 MUNICIPALITY OF ANCHORAGE (MOA) I�J • )PR117 rHealth Au,��ority Approval (HAA) M MENY�L St.nFlif T -FEBRUARY 1984 - �3-4744 JUN 2 1 1989 Legal Description: Lori c/ 13,�-� Fn S/�1JDL1��E �--� A. WELL DATA RECEIVE Well Classification Prll u {e If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) � Date Completed l / LZz lyo Yield Z�,nm Total Depth 770Cased to z 7,s" Depth of Grouting Static Water Level. Casing Height Above Ground Pump Set At vj r_nawn Sanitary Seal on Casing (Y/N) Electrical. Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 7 .3 t *L ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot 04 / ; On Adjoining Lots 16b t To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot 40 + Water Sample Collected by L /vtehc ; Date 6, Water Sample Test Results SST%Sl /9c i0/ Comments *'�See-_ 7,V �r I I A A & B. SEPTIC/HOLDING TANK DATA Date Installed 0 Size No. of Compartments Standpipes (Y/N)�''rr Air -tight Caps (Y/N)—Foundation Cleanout (Y/N) Depression over Tank (Y/N) IQ Date Last Pumped/� 92 Pumping/Maintenance Contact on File (Y/N) ; for l( )A Holding Tank High -Water Alarm (Y/N) I /1A Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well % _�'-(7� To Building Foundation To Property Line _.-2 i -X- To Disposal Field To Water Main/Service Line kf /) To Stream, Pond, Lake or Major Drainage Course _ALlf-t Comments -(_K_ 4S H(/I AQ) Seg Ap—avvU I(A-AO) 72-026 (Rev. 7/88) Front Page 1 of 2 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 August 7, 1989 Corwin & Associates, Inc. 1000 E. Diamond Blvd Suite 205 Anchorage, AK 99515 STEVE COWPER, GOVERNOR 563-6775 MUNICIPALITY OF ANCHORAGe DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION AUG 7 1989 RECEIVED SUBJECT: Waiver Horizontal Separation between Well and Septic Tank, Lot 9, Block 7, Sand Lake #2; (8521 -WA -090) Dear Mr. Corwin: The Department acknowledges your integrity in reporting the correct separation distance of 92 feet between the well on Lot 8, Blk 7, to the septic tank on Lot 9, Blk 7 of Sand Lake #2 Subdivision. In reference to your July 31, 1989 letter on the subject waiver request, we have revaluated the separation variance given by the Department on January 8,. 1985 for Lot 8, Blk 7 of Sand Lake 42 for 96 feet. In discussion with Alaska Environmental Control Services who requested the waiver at that time, the separation distance was to be verified. The checked separation was found to be 92 feet, as reported by your investigation. In consideration of this error and reassessing potential contamination impact on the well, the Department hereby waives the horizontal separation distance between the well and septic tank to 92 feet on the subject property for a 3 bedroom single family residence only. Thank you Cindy Thomas Environmental Engineer MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date l // (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) 5? q_;L'< �dl 4-4c OK (b) Applicants Name D Telephone - Home Business Applicants Address �2 eG�C� (c) Applicant is (check one) Lending Institution builder; Buyer ; Other (explain); �' (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following ,address: 2. Type of Residence Single -Family 116� Multi -Family Other (describe) Number of Bedrooms 3 3. Water Supply Individual Well Community Public Note: I£ community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewaee Disposal Onsite Public Community Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 21 401 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information 6. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm Address Date (ENGINEER SEAL) DHEP Approval Telephone1��� Approved for T9�bedrooms By Approved Disapproved Conditional Terms of Conditional Approval CAUTION �ee •ee.a.. ems. •'(!e •� oy C. Reid, Jr. Ido. 2251•E �;� THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: 1�0± ,�/V�K -7- A. WELL DATA 57vnd taKe Li Well Classification AA; UG4 If A, B. or C, D.E.C. A p7- well d(Y/N) 701 Z' Log Present Y ) Date Completed f` ZYield Total Depth 7&Cased to Depth of Grouting Static Water Level /4 U Pump Set At Casing Height Above Ground ,�� Sanitary Seal on Casing Y ) Electrical Wiring in Conduit�jfY�N) Depression Around Wellhead (Y Separation Distances frau Well: tt To Septic/Holding Tank on Lot vJ On Adjoining Lots -k To Nearest Edge of Absorption Field on Lot 16D ; On Adjoining Lots t -y ere To Nearest Public Sewer Line IAA- To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected By Date Water Sample Test Results _ E:�1 Comments 4) .rm B. SEPTIC/HOLDING TANK DATA Date Installed /l i $D Size 10610 No. of Compartments '2 -- standpipes ) Air -tight Caps (Y ) Foundation Cleanqu ) t YA ) Depression over Tank (Y Date Last Pumped ' Pumping/Maintenance Contract on File (Y/N) for _ Holding Tank High -Water Alarm (Y//N) Temporary Holding Tank Permit (Y/N) Separation Distances frau Septic/Holding Tank: To Water -Supply tnell Iq 3' To Building Foundation /Z� To Property Line /`/� To Disposal Field{ To Water Main/Service Line -f- )'2-, To Stream, Pond, Lake, or Major Drainage Course +IVD/ t- Comments [Page 1 of 21 0 --- 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design T}2ENC H - Date Installed J / / /12 Length of Field 30 Width of Field �— 2 Depth of Field /z Gravel Bed Thickness 7,5_1 _ Square Feet of Absorption Area yga Standpipes Present Y Depression over Field (Y ) Date of Last Adequacy Test ILI Results of Last Adequacy Zest FI55�D Separation Distance from Absorption Field: To Water -Supply Wbll too To Property Line .3 'ate To Building Foundation 3 5' To Existing or Abandoned System on 10 Lot Al �A- ; On Adjoining Lots -f- 30' � To Water Main/Service Line .� 7� �c To Cutbank(if present) �I�r To Stream/Pond/Lake/cr Major Drainage Course .i (0 0 yC� To Driveway, Parking Area, or Vehicle Storage Area Comments -% Yti'`AAUv\.a/W_en 11 At ( 1o4n, D. LI1-7 STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm L Tested for ElectrijzK Codes(YM) Comments at Tanhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Zest. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conforrred to all MOA HAA on the date of _this inspection. 1 - Signed Company KB1/d5/s [Page 2 of 21 Date /&:�_> MOA No. Q in effect f,l l(i,, `p n TT4sk.e+ aco e� oy C. Reid, r. No. 2251-h .oao. 2-15-84 .-ST AATFL F ALASKA' BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 274-2533 January 8, 1985 Pts. Gwen Turner Alaska Environmental Control Services 1200 W. 33rd Avenue, Suite B Anchorage, Alaska 99503 Subject: Waiver Horizontal Separation between Well and Septic Tank, Lot 9, Block 7, Sand Lake Subdivision #2, Anchorage (8521 -WA -090) Dear Ms. Turner: The Department has reviewed the subject waiver request and hereby waives the horizontal separation between the well and septic tank to 73 feet on the subject property, 75' to Lot 10, and 96' to Lot 8. This is only for a 3 bedroom residence on the subject property. Si cerely, Steve W. Eng V District Engineer SWE/msm ALASKA 6-01ROnMenTAL COnTnOL SC ORS, InC. Cngineerinq & 6nuironmental Studies NOVEMBER 30 1984 BARRY MOORE 8325 WILCOX ANCHORAGE AK 99502 SELLER — BARRY MOORE BUYER — SAME SUBDIVISION — SAND LAKE #2 BLOCK — 7 LOT — 9 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 450 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 1000 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON NOVEMBER 30 1984 . FLOW TEST ON WELL THE WELL FLOW RATE WAS 2.0 GPM FOR 4 HOURS. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. ADDITIONAL COMMENTS : THE DRAWDOWN WAS 76' WITH A RECOVERY TIME OF 90 MINUTES. THE STATIC WATER LEVEL WAS 140 FT. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. 4� �so oorOooaQ�"P�� �3��/y'����' 1^ �7 90i/ Fg Oe9�tl B6 ..r �C �-+..•.• e9x iY S� oy C. REli�, Jr. f, No. 2"' 1200 West 33rd Auenue, Suite 13 • Anchorage, Alaska 99503 • (907) 561-5040 I n -a I o1 - ! 9L - ALJ _ 1 I 1/ ' DATE RECEIVED _ INSPECTION APPOINT E TS L) 2— STREET LOCATION STREET TIME TIME TIME I ✓ (.c� e Q� - _ ❑ One ❑ Four ❑ Other DATE DATE DATE (`� den l— l� - INSP TOR INSPECTOR' INSPECTOR ICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT, OF H-ALTI1 & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT98YIlbGNt%ENTAL�Tr.CT10hp 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 APES REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND S� VEC& DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE 1- S° S i e c MAILING ADDRESS �5 wr/cv� -� PROPERTY' ESIDENT (If different from above) PHONE 2. BUYER PHONE d8 O i^ 1^ a O MAILING ADDRESS Sty r Q 3. LENDING INSTITUTION P 7F�V e 'W PHONE MA LING ADDRESS 4. REALTOR/AGENT PHONE _ re av U V `i F ti ,v U MAILING ADDRESS )p (VLt D fv [^] 5. LEGAL DESCRIPTION j4 Z o � L) 2— STREET LOCATION STREET Gt.J /, A 0 )( 5 Z 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS KTI� SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY (a --Three ❑ Six 7. WATER SUPPLY, � � INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM LAS INDIVIDUAL/ON-SITE** /%0 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY \ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED L'7 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 0&0 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL -777 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY / 72-010 (Rev. 6/79)