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Home My WebLink AboutSCHROEDER LT 39A 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 March 28, 1986 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lots 39 & 40 Schroeder Subdivision, EAgle River Alaska Location (address or directions) Box 138 Carla Street Eagle River Alaska 99577 (b) Applicant Name —_SzI rown Telephone: Home .694-41 67_ Business Applicant Address Box 130 Carla Street EAgle River Alaska 99577 (c) Applicant is (check one). Lending Institution ❑ ; Owner/builderXX; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution F0 f� Telephone (e) Address Real Estate Company and Agent – N,uuiebb Telephone Mail the HAA to the following address: C'., ac annlicant 2. TYPE OF RESIDENCE Single-Family?M Multi -Family ❑ Other Number of Bedrooms Three (3 ) 3. WATER SUPPLY Individual Well EN Community ❑ Public ❑ Note: It community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: It community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 5. ENGINEERING 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 regulations in effect on the date of this inspection. Name of Firm John R. Chambers, PE Telephone 688-3945 Address Po Box 670318 Chugiak Alaska 99567 _ Date 6. DHEP APPROVAL Approved for Approved of /1 � �I rrr TH. i°`'v 600 4: 00, .moo.. .....i.++/A� .................' . ( f toJohn R. Chombers ;• w4 Engineer's Seal s�•. CE 6922 .. O.N bedrooms by �`� Date Disapproved Conditional Terms of Conditional Approval drl�� 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 MUNICIPALITY OF ANCHORADs' DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) APR 7 10 CHECKLIST - FEBRUARY 1964 264-4720 RECEIVED Legal Description: Lots 39 &_40 Schroeder Subd., Eagle River, Ak A. WELL DATA Well Classification Private Sngle Fam. If A, B, C, D.E.C. Approved (Y/N) N/A _ Well Log Present (Y/N) — No Date Completed Pre -1968 Yield 4gal/min Total Depth - Cased to 75' + Depth of Grouting NIA Static Water Level _ 4 9 4 Pump Set At 9 2 . 0 ' Casing Height Above Ground __ Electrical Wiring in Conduit (Y/N) Separation Distances from Well: No Sanitary Seal on Casing (Y/N) Yes Depression Around Wellhead (Y/N) No To Septic/Holding Tank on Lot 57 ; On Adjoining tots _ 100'+ To Nearest Edge of Absorption Field on Lot 97 '+ ; On Adjoining Lots 10 0 ' + To Nearest Public Sewer Line N/A To Nearest Public Sewer Cleanout/Manhole — N/A To Nearest Sewer Service Line on Lot N/A Water Sample Collected by John R Chambers _ ;Date — 3120/86 Water Sample Test Results —satisfactory (ReP A+tar.hPc3 Ch�ml ah rPpnrt l Commentsgat m_js a_t-' C�-aci-or-y B. SEPTIC/HOLDING TANK DATA Date Installed Pre 1968 Size 1000ga1 No. of Compartments one Standpipes (Y/N) — Yew— Air -tight Caps (Y/N) Yes Foundation Cleanout (Y/N) No Depression over Tank (Y/N) No Date Last Pumped -3120/86 Unknown prior Pumping/Maintenance Contract on File (Y/N) Holding Tank High -Water Alarm (Y/N) N/A Separation Distances from Septic/Holding Tank: To Water -Supply Well 9 7 ' To Property Line _ 51' ;for Temporary Holding Tank Permit (Y/N) N/A To Building Foundation To Disposal Field 16' I To Water Main/Service Line N/A To Stream, Pond, Lake, or Major Drainage Course Lv i ti Comments From ground surface to bottom of tank is 8-1/2 ft. Cast— iron vent pipe and plug. System is satisfactory. Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA 5 min/in 85sf/bdm e of System Design Soils Rating in Absorption Strata - YP Seepage tank/pit Date Installed Pre -1968 Length of Field unkno-W_n Width of Field 500 gal capacity Depth of Field la' -9'Po hcttcm from C rnd Surf Gravel Bed Thickness unknown Square Feet of Absorption Area 250sf+ Standpipes Present (Y/N) Yes Depression over Field (Y/N) no Date of Last Adequacy Test 3/20 /86 (co -r re - Results of Last Adequacy Test 3/20/86 = sat/ afa(-.tnry fuer 3-.btlrm-- - Separation Distance from Absorption Field To Water -Supply Well 97 ' * To Property Line To Building Foundation 50' To Existing or Abandoned System on Lot N/A On Adjoining Lots 100'+ _ To Water Main/Service Line N/A _ To Cutbank (if present) not present To Stream/Pond/Lake/or Major Drainage Course N/A To Driveway, Parking Area, or Vehicle Storage Area 110 ' Comments Cast Iron vent pipe & P1_ _q Ra ad on ad _q3i a_cy _ttPst sT tPm-is satisfactory for 3 bedrooms. _ D. LIFT STATION Date Installed . Size in Gallons (NOT APPLICABLE) "Pump On" Level at -- Fligh Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date 3/28/86 John R. Chambers MOA No. Company n V A ® Receipt No Date of Payment t i -:2 fro u� Amount: $ Page 2 of 2 72-026 (11/84) Engineer's Seal LOT 4► 1 LOT 38 J ('ARLA 5T'REET iUopc; TI -116 6uRvEY 13 A REGERTiFicAT,io,LI of Au 45-aulI -T ALC 1v1EA.5uRmTA17-6 ARE ReGAri✓E To Ex15FW4 ,L/ov5E Of' 7W6 0RI',-1A14L A5-13U11-7- LE60N �CCOR C1A1,,eV5/0Ns AS -BUILT CERTIFICATION I herony enOty that I no.. letters the deacrlped or cosily hereon .ea Inst no •ncnroacnmenIs e.fst except as Inalcatea. Exclusion Note It Is the responelnntty of the o.nw 10 determine IM existence or ua •moms. cc.•hunts. or '461,.c tion. not as ooanna on the rscolds •wadl.lwon olat. under no circum •une•s •hound en. data Mention or V.ea her construction. •elepllanMe oounoary ones or rune• ones. ®F• AZA �a *Jo'4SSTH yes•tie//•eo�••e/f�•e��.'•�'•�/. •JJ, •. DANIEL A. WOHL a 41 (i '•• LS - 6716 ,>' �; � �fj,0 . o • e. ,4 6 - Qu/LT• - RECE'RTIF/CATio/t/ 401 E. Fireweed Lane __ Anchorage, Alaska 99'5/03-2197 File 80-05.18 ""IVIA_ Grid,h/W 951 0a"3 -01-6(a/ O Scene//% , (O, Oraw".... Ck. D/, ,' / Sht. —a® Legal crlpttont Lor -3 / � ZZo VV / 5 CHRO�DEr{ '5 uao l ✓/�io.L/ Municipality of Anchorage April 10, 1986 John R. Chambers, P.L. P.O. Box 670318 Chugiak, Alaska 99567 P.O. BOA 196650 ANCHORAGE, ALASKA 99519-6650 (907)264 -#XXX TONY KNOWLES, MA YOA DEPARTMENT OF HEALTH d HUMAN SERVICES Subject: Lots 39 and 40 Schroeder. Subdivision Waiver Request, WR86-041 Dear Mr. Chambers: A waiver of the well to septic system separation distance requirements is not needed for the subject property. Prior to June of 1969 the well to septic system (both the leachfield and tank) setback requirement was only 50 feet. The tank and leachfield on the subject property meet this requirement. The septic system has "grandfather rights" because it was installed prior to the state ordinance change in June of 1969. Please be aware that these grandfather rights apply to the existing system only. Upgrades or enlargements of the septic system must meet current separation distance requirements. Sincerely, - iQ 72,i=vuo Stephen S. Morris Civil Engineer On-site Services SSM/ljw April 1, 1986 Ms. Susan Oswalt Department of Health and Environmental Protection 800 "L" Street Anchorage, Alaska 99501 Subject: Request for On -Site Well Lots 39 and Eagle River, Dear Ms. Oswalt: Waiver - Sewage System 40, Schroeder Subdivision Alaska MUNICIPALITY OF ANCHCRAG4 DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION A P R `l Affi RECEIVED Attached, is the checklist for Health Authority approval; results of the water sample test by Chemlab and an as -built for the subject property. The system is quite dated - pre -•1968. The present owners have lived there for about 11 years and reportedly have not experi- enced any problems with the water or sewage disposal system. The house has a deep crawl space without a concrete slab. The natural soils are left exposed showing a coarse-grained sandy gravel. This condition is present from 3J feet below ground surface to the bottom of excavation about 8 feet below the existing exterior finish grade. A water table was not observed except in the well at 48.0 feet below ground level. During my site visit and testing and also an as -built survey by QUADRA Engineering, the seepage pit was indirectly measured to have a 97 -foot separation from the well. The septic tank separation from the well was indirectly measured to be 57 feet. The site topography is relatively level with no noticeable slope from the soil absorption system toward the well. History of site does not indicate contamination problems and the well test was satisfactory. Therefore, on behalf of the property owners Glenn and Lynne Brown a waiver of the 100 --foot separation criteria is requested. If you have questions, please call me at 276-3770. Sincerely, -21 /John R. Chambers, P.F. iCivil Engineer 6922