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HomeMy WebLinkAboutSCHROEDER LT 9Schroeder Sip rij!fz /' (310cwl:: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE: DISPOSAL SYSTEM AND/OR WERE INSPECTION REPORT NAMEPHONE , 6 C-'�q )(� .6 ❑UPGRADE MAI LING ADDRESS , o LEGAL.. DESCRIPT ON COOT CD%� — LOCATION (' Well 1�-� y) �� r Absorpti�©rea f Dwelling NO. QF BEDROOMS MIT PER�-������ DISTANCE TO: t� -" r'`� U F- z W � Manufacturer a -j Material r s s No. of c partments U) Liq. rapac„L)L1{tx ) gallons i IF HOMEMADE: Inside length Width Liquid depth _ Well Dwelling PERMIT NO. y DISTANCE TO: O Z Q Manufacturer '� Material Liquid capacity in gallons S h- � ® -j _C .� DISTANCE TO: Well Fo ndaf on Nearest toLline ( PERMIT N � J u T Z W No. of lines Length. f e h ire N Total, eq h pf lines ( - TrencL "P Inches Distance e 1 lines ' F_ Top of tile to finish grade Material eneath rile 21 Total of c e(al3arTFption area Q �" .�^v. _ ly inches ® Length Width _ Depth PERMIT NO. W C7 Q I- Type of crib Crib diameter -- Crib depth Total effective absorption area W w W rn Well Building foundation Nearest lot line DISTANCE TO: �® Class o Depth Driller Distance to lot line _ PERMIT NO. J J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE M%T�ERIA S SOIL TEST RATIN � 4 p 8 — — INS�� ER &s REMARKS {E?��t�2tIuCUcz,LC LEGAL APPROVED DATE �{ ��� 1-1 f T � A 124 A. , 1 ,5 47, fin an! �1 Y A. a Q� W��� ' �EP�RTMENT OF HEHLTIN HND ENVlROMMENTM "QOTE71-I0u 823 'L' STREET, HNCHORRSERK99531 264~�720 ����� .' :��� ~~~ : PERMIT NO82009I ) HPFLICHNT STEYEH L SKHGGS LOCHTION MHHCUS LEGRL L9 SCHR0EDER P� BOX D C�UGI|�K LUlSIZE 28089 �QUHRE FEET TYPE OF SOIL ABSOsPTI3H SYSlso! 14: TRENCH MAXIMUM NUMBLR OF - ] SOIL RHTlNG (SO FT/BR)� l23 THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS .;I z (Y ������:::J" EL THE LENGTH DIMENS[O� IS THE LEMGTH (lN FEET) OF THE T�E�CH OR DRHINFTELD THE DEPTH OF H TRENCH 0R PIT IS THE DIATHNCE GETNEEN THE SURFHCE OF THE GROUMD pND THE 8OTTOM OF THE EXCHYHTIOH (IN FEET) 7HERE IS NO SET NIDTH FOR TRENC1ES THE GRHYEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL 8ETWEEN THE Oil TFHLL P[PE RND THE BOTTOM CF THE EXCHYHlIOM (IH FEET) TO bv� 671 U I . V TO NK 11 Y& 1: 117EJ Not HIT KEF Us Tom L1 -Q P41 15 PERMIT HPPLIC�NT HRS THE RESPONSI8ILITY TO INFORM THIS DEPRRTMEMT DURING PAR INSTHLL9TIO11 IHSPECTIOIWS OF HMY WELLS RDJHCENT TO THIS PROPERTY 11100 THE NUMBER OF RESIDENCES f 111 THE NELL WILL SERYE, �`U�A^bf:��� BRCKFILLING OF HHY SYSTEM NITHOUY FjNRL INSPECTIOH WiD APPROYHL 84' W OEPHRTHEMT HILL 8E SU8JECT T0 PROSECUTION A �� IF fit 10 3: A - E���1 MR, 0 T 71 U Q 44 � IV ! ON KH IT: �& J . � it. Elm i� 12 �Y MUNICIPALITY OF ANCHORAGE SOILS LOG s +�` DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 825 L. Street, Anchorage, Alaska 99501 264-4720 TEST SOILS LOG — PERCOLATION TEST PERFORMED FOR: _l.� >/ e DATE PERFORMED: LEGAL DESCRIPTION: Z1 Gtl s/9 DEPTH SLOPE SITE PLAN (FEET). Cir' 1 ' / 2 0 << a - c `r ✓ ,� 3 E / V 6 � r 7 .s C � 8.- v a 9 i3 10 c 4 it— (?y^T /Z`J �IeWAS GROUND WATER //v J S �t�+�'►���� ENCOUNTERED? L // aer., OV 2t r /1% O -vr12 t/ H �y,, P p� ��+~�+++� ++�t�'$ YES, AT WHAT E 00 TH? Ic C Va e�♦+a e R 14 ! 15 U r ®n, lltotwl A. Sl)afir No. 1.157.,E 16e day IL 19 eading �+ Date Gross Time Net Time Depth to Water Net Drop I �v PERCOLATION RATE /� (minutes/inch) _ TEST RUN BETWEEN FTAND __ FT CO,VMENTS1/i/2(' 6 PERFORMED BY. j� - , CERTIFIED BY2-1E , '� i� �`�� DATE: � /",IZ Ye - 72 -008 (6/79) MIHIMUMTDISTHNCE BETWEEN H WELL HND HNY ON~SITE SEHRGE DISPO�HL SYSTEM IS �mcN���'� �E �UH�HOPRIVRTE !�ELL OR 130 TO 200 FEET FROM H PUB UP`i�C WE!L DEPENDING �r F/'U6LIC WELL MINIMUMEon HNCE FROM H PRIYHTE WELL TO H PRIYHTE SEWER LINE IS 23 FEET HHD /u f?cuMll-INi[Y SEWER LINE IS 75 FEET NELLHLOGSL8REOREQUIRED AID MUST BE R�TUVNED TO THE DEP�RTMENT WITHIN �8 PHYS y, / c w� � c �f-i' [ION. OTHERHREQUIREMENT'S MHY was PL\! SPECIFICHTlONS HND CONSTRUCTlON �IHGpHMS �RE |U lNSURE PR0PER INSTHLLHTIOH ���lr�; 1; iiF. I- { CERTIFY THHT HHMyFHM[Llast WITH THE REQUIREMENTS FOR ON-SITE SB�ERS HND NELLS HS cET OF" u /FE MUNICIPHLITY OF HNCHORHGE ~ 2� I WILL INSTHLL THE SYSTEM IN ACCORDANCE WITH [HE CODES S�GHED_�....... ..�`-�.._~ HPPLICHNT MHRION BOWEN PIPPEL~~��-~�-- T5SUED BY�.... ~�... .... ..... .... �DHT1: J YK�J �'Lk»d ^ �`~� MUNICIPALITY OF ANCHORAGE Departmeni_ if Health and Environmental _,rotection 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT * * * Permit #�� �1Lo� . WELL 410.76 'l W R PERMIT Applicant: a l6r) b. Ptp�2 Mailing Address: Location: _�� �a Y�� _ Phone Number: Legal Description J ��'� Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: _ Seepage Bed: Holding Tank: Maximum Number of Bedrooms: DEPTH Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: LENGTH GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. 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). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS # # 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 will serve. ' * * * TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of! public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31., 1 9 3 2 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residenc is remodeled to include more that 3 bed -rooms. Signed:,oi�� c L._ -r Issued by: Applicant Date:(7 SWP/024(1/81) 4f 4� 4� �y � C Co. dba SULLIVAN VWATER • Q ATER WELLS P. O. BOX 272, CHUGIAK, ALASKA 99567 • TELEPHONE 688-2759 OWNER OF LAND ADDRESS LEGAL DESCRIPTION (9` DATE • Started Ended i PERMIT NUMBER KIND OF FORMATION From Ft. to Ft. From —Ft. to Ft. From Ft. to--L Ft. From Ft. to C" Ft. From o Ft. to—Ft.- Ft._From From Ft. to Ft._ From Ft. to J., Ft, From Ft. to Ft. From _Ft. to-Ft.- oFt.FromFt. From-Ft. to-Ft.- oFt.From _Ft From—Ft. Ft. to Ft. _ From Ft. to Ft. _ From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. MISCL. INFORMATION: From—Ft. DEPTH OF WELL STATIC LEVEL OF WATER F"r. DRAW DOWN FT. GALS. PER HR KIND OF CASING From Ft. to Ft. From Ft. to_ Ft. From Ft. to--- Ft. From Ft. to _Ft From o— Ft. to--Ft--- Ft.From From Ft. to_ Ft. Prom to _Ft. _Ft. From to_ Ft. _Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. _ From. o- Ft: to--Ft.—.-- Ft._.From From—Ft. Ft. to---Ft.-- o— Ft.— From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to -Ft_ DRILLER'S NAME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, sub/division, section, township, range) Z— 9 5C -1 -71 -0e -r16.1 . Location (address or directions) 52 /D 4 4'%692CGfS (b) Applicant Name —�, Applicant Address CJ t S Telephone: Home 6�V � `�— Business (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder f ; Buyer ❑ ;Other El (explain); (d) Lending Institution Address (e) Real Estate Company and Agent Address Telephone / ,t ( q g (f) 'fvf�lr�Ft�H 9 iSll.�Il�lo� EERI INN address: 2. TYPE OF RESIDENCE Single-Family,X Multi -Family ❑ Other Number of Bedrooms — 3, WATER SUPPLY Telephone Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsitgyf Public C] 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. 72-025 (11184) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH., DATr, AND INFORMATION ' '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 regulations in effect on the date of this inspection. 11 Name of Firm'' S 8, S WGIUVERINn Telephone % Address SR B 196X Date EAGLE RIVER, AK 99577 JUL I I 1 36 J DHEP APPROVAL Approved for C -L' bedrooms by Date CoApproved Disapprove Terms of Conditional Approval _ CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations 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 requirements. 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. Page 2 of 2 72-025 (11,84) MUNICIPALIT/ OF ANCF DEPT. IORA�;;, OF HEALTH R MUNICIPALITY OF ANCHORAGE (MOA) NVIRpNMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 ,)I 264-4720 1, Legal Description: s�/ie�i A. WELL DATA Sa (�7L B, C, D.E.C. Approved 14 Well Classification If A, (Y/N) — Well Log Presentoy W___ Date Completed �� Yield - Total Depth 81' Cased to g/ Depth of Grouting " Static Water Level ` Pump Set At 4�50 77 -dA^ Casing Height Above Ground — h 11741 _ Sanitary Seal on Casing Q/w - Electrical Wiring in Conduit 0M Depression Around Wellhead Ka - Separation Distances from Well: To Septic/Holding Tank on Lot � ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot _ c7 �— ; On Adjoining Lots " To Nearest Public Sewer Line To Nearest Public Sewer 14 Cleanout/Manhole .— To Nearest Sewer Service Line on Loth Water Sample Collected by s S ; Date Water Sample Test Results _ ��1 7 �s �� Cr_ -R> Si _ Comments ya lis G B. SEPTIC/HOLDING TANK DATA Date Installed �� 2 Standpipes &w Depression over Tanke-to Size /d0'D No. of Compartments Air -tight Capso* Pumping/Maintenance Contract on File (Y/N) Holding Tank .High -Water Alarm (Y/N) Foundation Cleanout —. // Date Last Pumped — —;for - Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply WeIIQp /'- To Building Foundation To Property Line To Disposal Field Z� / 1— r. To Water AkainnService Line 5y �Y To Stream, Pond, Lake, or Major Drainage Course"- - Comments Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata za,54Me — Type of System Design Date Installed lam/ ` Z Length of Field Width of Field Depth of Field /3 r Gravel Bed Thickness 6r Square Feet of Absorption Area 3 Standpipes Presentr�ww — Depression over Field 4YO Date of Last Adequacy Test Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well /Oy L To Property Line — �p To Building Foundation To Existing or Abandoned System on � Lot � : On Adjoining Lots To Cutbank (if present ti� Yo r J__ To WaterAdain Service Line r .ti. - To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed — Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) — Comments A -1k — Dimensions Manhole/Access (Y/N) _ "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. SignLad S S ENGINEERING Date SR B 196X CompanyMOA No. S —U c� ����'�® EAGLF RJVEr'R, Ag, 99577 '�� GE Receipt No. I L� C y �. �� ° ° No°• a°#0 Date of Payment Amount: $ Cnio jo ..�..1 .,�.............�... «! f1% hart & shbkf ,' 4 Page 2 of 2ti<n`'0••...••°^'��� 72-026 (11/84) 5 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE I. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicants Name Teleyhone� Elome� Business Applicants Address�� (c) Applicant is (check one) Lending Institution Buyer E::l ; Other E::j (explain); M� ; Owner/builder ; (d) Lending Inst:Ctution-�Telept�one Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. Tye of. Residence Single -Family Number of Bedrooms 3. Water Supp Multi -Family = .:3 Other Sdescribe) Individual Well EKI Community = Publicly Notre: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Dis osal Onsite 5�j Public =1 Community E----1 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 5. Engineerin Firm Providing Inspections, Tests, File Search Data and Information 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�7-e) .6,6 e S Telephone a? 7 Oji. - Address u DateOr At p' �}' �� m.. •. (ENGINEER SEAL) 4^-'i ,k • ;� r I 6. DHEP Approval o� 2 2 2 �E: 1371 Approved for iN/.(3�bedrooms By wpa to / mac Ay Approved /A Disapproved _ Conditional Terms of Conditional Approval CAUTION THE 14UNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL, AND STATE MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 PROTECTION REPRESENT - REGISTERED HOMES AND REQUIRF.- BEFORE A FOR ERRORS [Page 2 of 21 7-19--84 A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MONICI>A[I -iY OT / INCFICeAC:: GLFT. Cr- FI�ntTrl /�: CI��VIr.Oivi�4tP�ll�L ; i�,Tf <;ilOi�! NOV 2v9984 R CFS V(E:D Legal Description: /_of Sc-hrue=de, T-/ ra N Ae .z 441 s' -e c a -- Well Classification /'ysvct /fie If A, B, or C, D.E.C. Approved(Y/N) 4 -//y - Well Log Present (Y/N) % Date Completed /1,faYield Lo Gni Total Depth � Z/ Cased to 8 / " Depth of Grouting /L Static Water Level Z/5- " Pump Set At Casing Height Above Ground —21e " _ Sanitary Seal on Casing (Y/N) y Electrical Wiring in Conduit (YM) % Depression Around F,bllhead (Y/N) eV Separation Distances from Well: ! -- To Septic/Holding Tank on Lot /6J0 On Adjoining Lo s To Nearest Edge of Absorption Field on Lot /ate ; On Adjoining Lots ioe e� To Nearest Public Sewer Line To Nearest Public Sewer Cleancut/Manhole e— To Nearest'Sewer Service Line on Lot Qs- SWater WaterSample Collected By ;15 )„ee r Date Water Sample Test Results Came 4 7- .moi rr / />-7 , l B. SEPTIC/HOLDING TANK DATA Date Installed - /1 cY J Size /Ooo C51 No. of Ccmpartments ZZ Standpipes (Y/N) Air -tight Caps (Y/N) Foundation, Cleanout (Y/N)�__ Depression over Tank (Y/N) // Date Last Pumped /U / Zr Pumping/Maintenance Contract on File (Y/N) N//A ; for _ Holding Tank High -Water Alarm (Y/N) N1 Temporary Holding Tank Permit (Y/N) /V/4 Separation Distances from Septic/Holding Tank: To Water -Supply well. M) -To Building Foundation ao To Property Line /o '# - To Disposal Field 6'1 _ To Water Main/Service Line /v ''` - To Stream, Pond, Lake, or Major Drainage WA C 1441. (Page 1 of 21 yl 2 -i5 -e4 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata j 2 S 0 Type of System Design Date Installed /y Length of Field _ Width of Field �3G Depth of Field Gravel Bed Thickness _F Square Feet of Absorption Area ___376- Standpipes Present (Y/N) y __ Depression over Field (Y/N) %v Date of Last Adequacy Test Results of Last Adequacy Test Sczr4 lsfaC,hlr y Separation Distance from Absorption Field: To Water -Supply Well /OU / To Property Line /o _ To Building Foundation ` :?d" To Existing or Abandoned System on LotN� �_ % On Adjoining Lots 3-1 -/- To To Water Main/Service Line /U -24 To Cutbank(if present) /done To Stream/Pond/Lake/or Major Drainage Course lVari-e. To Driveway, Parking Area, or Vehicle Storage Area Comments 7nGr a ­(e 4Q� Cc�Sorf,e�( Soo r/F//. D. LIFT STATION /t -/"4 C/ / /4 Date Installed Dimensions Size in Gallons "Pump On" Level at Manhole/Access 1ye2j)_��__ "Pump Off:" Level at High Water Alarm Level at Vent (Y/N)_� Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes(Y/N) Comments *� Check Permitted Bedroom Rating Against HAA Request ** I certify that I have.checked, verified,'or conformed to all MOA HAA Guidelines in effect on the date of this inspection. Signed mt —Date t6 j fie", C( mpany e b A � l MOA No. SST- - e- e 1 / KBl/d5/s (Page 2 of 21 0 � 1 Y RS �• Po. 2225-F > JUNE 25, IJ/1 4 y4 . 2-15-84 Tobben SPurkland P.F. T-, Lir `j e-ee J" 6 41, :7i t4l -o4 ie ' --y- ACiO??iGE/}acSTERi; DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 iobbern Spurkiand 203 .lest 15th Avenue "C" Suite 203 Anchorage, Alaska 99501 274-2533 November 19, 1994 na�.;�iaFa..i_rr.r O. f.��a�oPAGE OF FNVIF.ONF/,EP�T1.L rZOTECTION REC.Ili I -D SU?JECT: Waiver Horizontal Separation between Nell and Septic Tank, Lot 9, Schroeder S/D (8521-14A-068) Dear Mr. Spurkland: The Department has reviewed the.subject waiver request and hereby waives the horizontal separation between the.-well--arid,septic tank to 84 feet between nei Otbori ng properties for 3 bedroom `ski ngl e family resilience only. Br a r-Uld 3 Sincerely, 'Bruce E. Erickson District Enain.aer C6 Dto CONSULTING INEER October 22, 1984 Mr. Bruce Erickson State of Alaska Department of Environmental Conservation 437 "E" Street, Suite 303 Anchorage, AK 99501 Subject: Lot 9, Schroeder Dear Mr. Erickson, ?03 lY. 15111 AVE "(," ;UI1 L. 209 ANCHOFIAGL, .1LASf<A 99501 TL I_EPHONE: (9071 279-3916 This letter is a followup to the letter dated 10/15/84 in order to clarify any possible discrepancies. As a result of discussions with the Municipal Health Department, it has been stated that in order to obtain a Municipal Health Certificate for Lot 9, it is required that we obtain a State D.E.C. issued waiver or approval of an 84' This is due septic tank to well separation distance. to the fact that the septic tank on Lot 9 was installed with the well on Lot 70 existing previously, Well (Lot 10) to leach field (Lot 9) distance is 100' assuming a 6' distance between tank and leach as shown on inspection report 3/24/82 is correct. We are therefore requesting specific waivers: 1. Septic tank on Lot 9 be allowed to exist at 84' from the existing well on Lot 10. 2• Well on Lot 9 be granted waiver to 90' septic tank. separation distance to Lot 10 As shown on the attached paperwork, the well and septic systems on Lot 10 have never been Municipal approved, a well log for Lot 10 is not obtainable. Available records (attached) show application for a 4 bedroom usage on Lot 10. As the issuance of separation distance waivers is necessary to obtain a Health Certification, and as an 80' separation distance was in effect at that time with Municipal endorsement, we request waivers be issued, allow- ing Lot 9 to possess an approved 3 bedroom well and septic system as was intended by previous Municipal inspections. Sincerely, i i Tobbeh Spurkland, P.E. cc: Virginia Kohfield Re/Max Eagle River TS/bh `'-1 A. . .,_.. ',.:.'• ra 2225-E. O fyf ; JUNE :'.S• 1971-.'� October 15, 1984 Tobben Spurkland, 203 w. 15th #203 Anchorage, Alaska 279-3916 Mr. Bruce Erickson 437 E Street 2nd Floor Anchorage, Ak. 99507 Reference: Lt 9 Slc6meder Subdivision Dear Mr. Erickson, P.E. 99501 On behalf of our client, Virginia Kohfield Re/Max Realtors, we are requesting that waivers be granted in order that a Municipal Health Certificate may be obtained. The necessary waivers involve well. to septic tank separation distances. As shown on the attached Plot plan, the well that services Lot 9 is 90' away from the septic tank located on Lot 10. It is also noted that the well on Lot 10 is 84' from the septic tank on Lot 9. Development on Lot 10 preceded the development on Lot 9. The Municipal on site sewer Permit issued in 1982 indicated the approval of 80, tank to well separation distances as evidenced by attached paperwork. The well log for the subject well on Lot 9 is attached, the well log for Lot 10 is not on record. Please contact our office if waiver is to be granted. Sincerely, Tod en Spurkland, P.E. cc: Virginia Kohfield Re/Max of Eagle River ' C �� •• fh `: � r. �'. o. 2225-E It " JUNE 250 1371 k l•'i. --------------- APPLJC VT FILLS OUT UPPER HAI ONLY Property Owner ///,�//� /C / t " Py Mailing AGJress /�)c, / �( Y- 5 !�fie. zip Code Buyer Address /.'jC� Zip Code c Lendin Institution �L 1 % 9 Address e' l h �ncfto�ce�.s Realty Co. R Agent Zip Code Address > o I7 /c Zip Code Legal Description ._ Street Location /�-/c'G if `_• .'_� /' Type of Residence ,)KJ Single Family ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply A� Individual Phone Phone 11 ❑ Community ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Public Utility For wells drilled prior to that date, give well depth (attach log if available). Sewer Disposal `p Individual ❑ Public Utility Year Individual Installed: / `•� .� ❑ Holding Tank When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.