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HomeMy WebLinkAboutCARROLL LT 10t #006-322-06 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 A TY APPROVAL CERTIFICATE OF HEALTH V I F1%J FOR A SINGLE FAMILY DWELLING Parcel I.D. HAA # Expiration Date: 1/1d6y 1. GENERAL -INFORMATION - Complete legal description LoT Io CAyLL S I D Location(siteaddress ordirections) ��P2L �rv�lt 1aGe qq� Current Property owner($) C14f1t4l!_'BmtfgAA Day phone Mailing address Lending agency Mailing address Day phone Real Estate Agent rAm k Jev4A %IWAP4 Day phoneft " Z 7&/ Mailing Address Unless otherwise requested, NAA will be held by DSD forpickup. 2. NUMBER OF BEDROOMS: %• 3. TYPE OF WATER SUPPLY: ❑ Individual Well (� Individual Water Storage ❑ Community Class Well - ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑ Individual Holding tank ❑ Community On-site ❑ ' Public Sewer F The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. s 4. 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 Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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 dispo&al system ls(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm 1e�rbl,�f �Vy�� ��G Phone Q7R�3Qlb AddressD 3 1✓ /�l-Gt TcJ3 Engineer's Printed Name 5. DSD SIGNATURE Approved for /? bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory WATER AND PROGRAM Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: /c _ (Rev. 01/02) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LOT i© CRR20 LL SID Parcel ID: A. WELL DATA Well type R If A, B, or C provide PWSID # Well Log (YIN) til Date completed _ Sanitaryseal (Y/N) Total depth (03 ft. Cased to b 3 tft. FROM WELL LOG Date of test Static water level Well production ft. WATER SAMPLE RESULTS: Coliform colonies/100 m1. Nitrate mg./I. Arsenic: _.-� mg./I. Date of sample: R we y B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size gal. Num7g of Compartments Foundation cleanout (Y/N) Date of pumping C. ABSORPTION FIELD DATA / Wires properly protected (YIN)_ Casing height (above ground) 4'.t- in. AT INSPECTION 17/a/A g.p.m. N 1P 0-4 ^' Other bacteria colonies/100 ml. Collected by: s yr Date installed over tank (Y/N) _ Pumper Date installed 96i( rating (g.p.d./fe or ftZ/bdrm) _ Cleanouts (Y/N) High water alarm Length ft. Width ft. Total depth _ ft. f. absorption area ftZ Monitoring tube _ Date of adequacy test Results (Pass/Fail) Fluid depth in absorpti field before test _ in. Water added Elapsed Time: _ Final fluid depth _ in. A c Any rejuvenation treatment (past 12 mo:) (Y/N & type) below pipe ft. �[ Depression over field _ / For bedrooms gal. New depth_ in. rate >= g.p.d. If yes, give date Date installed "Pump on" level at _ in. Datum E. SEPARATION DISTANCES Size in "Pump o7 level at _ in. tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot NZA Absorption field on lot 1`1ZPk Public sewer main 21P Sewer /septic service line SEPARATION DISTANCES FROM Building foundation Water main Wells on adjacent lots SEPARATION DISTANCE Property line Water Service line Curtain drain F. COMMENTS G. ENGINEER'S CERTIFICATION (Y/N) water alarm level at Meets alarm & circuit requirements? On adjacent lots N On adjacent lots N14 Public sewer manhole/cleanout • 11 D Holding tank t4 A LDING TANK ON LOT TO: line service line FIELD ON LOT TO: Building foundation Surface water Wells on adjacent lots i certify that i have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name 10b44 ✓+y tet Date q IP& y <X WI Fee $ 4k- (lrj. Date of Payment to/, 3 /o t/ Receipt Number S 6-57 \Q1m (Rev. 12/01) Absorption aid Surface ater main ;way, parking/vehicle storage F WA 1-Y'sFa Waiver Fee $ '/ Date of Payment to Al / / c � Receipt Number 0 5-3 % in. Municipality of. P.O. Box 196650 • Anchorage, Alaska 99519.6650 • Telephone (907) 343-8301 • Fax (907) 343.8200 4700 Bragaw Street • Anchorage, Alaska 99507 waV.muntorg Mayor Mark Begich Building Safety Division 10/14/2004 Tobben Spurkland, P.E. 203 W. 15a' Ave, Ste 203 Anchorage, Alaska 99501 Subject: Waiver Request for Carroll S/D Lot 10 Waiver Request #WR040074 Parcel ID #006-322-06 Dear Tobben Spurkland: Your request for sewer service line is 26.0 feet. a waiver of the to private well has This waiver approval applies to the existia only. Any future upgrade to the on-site separation distances be met or another app If there are any further concerns or questic at 343-7904. Sincerely, tdalleeer On -Site Water & Wastewater Program 50 feet horizontal separation from the roved. The approved separation distance wer service line to private well separation tewater disposal system will require all Community, Security, Prosperity I Oct 13 04 1Os08a Colin Roth V 807-245-1126 p.2 _ _ CARROLL PLACE T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw St. Anchorage, Alaska 99519 Subject Waiver Request Lot 10, Carroll Hill S/D Gentlemen; October 13, 2004 We are applying for a waiver ofthe separation distance required between the community sewer tine and the well serving this lot. There is no well log on file for this property. The residence was constructed in 1957 and modified in 1963. The well must have been installed at that time. A well test conducted on September 21, 2004 showed the static level to be at 36 feet At a pumping rate of 5.5 gallons per minute the draw down stabilized at 63 feet after 50 minutes of pumping. The well recovered 10 fee[ in 5 minutes. Water samples collected on that day showed no Nitrates, no Illi, but 18 colonies ofOB. The well was chlorinated and re -sampled on October 5. This sample showed no OB's as well as no E - Coll. The sewer line serving Carroll S/D was installed in 1967. Public water was not provided to the subdivision, so all lots are served by on site wells. One well serves lots 3,4,5,and 6. Ibis is a Class C well, PWSID 215744. This public well has been granted waivers to the sewer line and to manholes. The well on lot 10 is 26 feet way from the sewer line and 133 feet from the nearest manhole. I have been able to locate the well log for PWS 215744 and for the well serving Lots l land 12. The well logs shows a total depth of 91 and 100 feet for the two wells with a clay strata between 16 feet and 80 feet, and between 28 feet an d 89 feet. This clay will effectively act as an impervious barrier for any possible leakage from the sewer line. With no evidence of Nitrates or bacteria after more than 30 years of usage, it appears that the well is safe, and we ask for a waiver. Yours T. Sp d P.E. F 10 -- -- 1Ye11 I 3-- 1 �l 9 I 4 �,.rP �..... • Q 5 00 I P� 4 th �....3.. .................... ..� s..._ ... ......... _..... ._ _.OW ;o -N. o. CE72225 i 6 ' ( i ,10 yt�v�„e�'' O 25 0 25 50 75 r00 125 150 TOBBEN SPU KLANDWAIVER RI QUEST 203 W 15TH. AVENUE LOT 10 CARROLL S D ANCH. AK. 99501 DATE f0 13104 907 279-3916 SUM. ? l OR/D: 1537 PERMIT 9 PID B CAR00102.DVG Time — -_ i— Time [Time Date Date Date Inspector b"' -ed / -� , / 6 Inspector Inspector Comments 2/ 1-7 Conditional Approval JA� A - V2C Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Solis Rating Well To Absorption Area well LogReceived Well to Tank APPLICANT FILLS OUT LOWER HALF. ONLY _/LF0 Property Owner AV� ff ell Phone MallingAddress '2(026 COW0 AviCti&fV-1�- A -k T�? 2/Q,3 Buyer car uu—,f- 7L Address &a4rt-p-r /W. 1700 Lending Institution Ala CG 4-16-0 Yauk Phone Address A1rAf&C7A(A�1A11J 01'a-1 . 276,5_-20ST Realty Co. & Agent U10i IeeaUt,, 4ur _Phone — Address -72 V E (St6 r IfIAMO(OF K 95'po 1 272-0S 7 Legal Description tot I ol, (a Vro it -PAW,, lr�4 Street Location 2626 Omit teto(h_ j,,� 0 rW if k(6X�7 Type I Residence 4 Single Family • Multiple Family No. of Bedrooms • Other WatCuppividual ATTACH WELL LOG. A well log Is required for all wells drilled since June 0 Community 1975. For wells drilled prior to that date, give well depth (attach log if 11 Public Utility Sewage Disposal 0 Individual Year Individual Installed: 4P] Public Utility When Connected to Publi—c-u—tility. El Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. VP December 18, 1981 Neil H. Fahey 2626 Carroll Place Anchorage, AR 99504 Subject: Lot 10, Carroll Subdivision 2626 Carroll Place Approval for the individual sewer and water facilities cannot be granted until the following items have been completeds ° The top of the well casing sealed with a sanitary seal so that it is water tight. ° Exposed electrical wires to the well head are in violation of the Municipality of Anchorage codes and must be encased in conduit. ° The water analysis report needs to be submitted to this office from the Chem Lab, 5633 H Street, for our review. The depth of your well will need to be verified. It may be necessary to drill a new well if yours is too shallow. Please notify this department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely. d - Robert C. Pratt Associate Environmental Specialist cc: Totem Realty, Inc. GREATER ANCHORAGE AREA BOROUGH( (I Department of Environmental QualitylLl�+ %to St Anchorage, Alaska 9503 274-4561 �- Received April 26, 1976 I / Time of Inspection 9: 0 .m. L A9- 1(0ate of Inspection Apr' 28, 1976 REQUEST FO PPROVAL OF Le/ INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: Totem 'Realty % Joyce Stiehm Mailing Address: 516 East Fireweed Lane, 99503 -Rhone 272-0571 2. Property Owner: Walter Danforth {A'phone: 337-1986 Mailing Address: 2626 Carrol Place 3. Legal Description: Lot 10 Carroll Subd�yision 4. Location: 2626 Carrol Place, ner is on the mail box 5. Type offacility to be inspected Single Family No. of bedrooms 2 6. Well Data: Individual A. 'Type 1 B. Depth C. Construction , D. Bacterial Analysis 7. Sewage Disposal S stem: Public Utility A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area Sewer Lines, Nearest 'lot line Other contamination B. foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page l of two pages MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL [nTECgIdA n'' _ A PR 1 C 1976 'C GREATER ANCHORAGE AREA BOROUGH p E E `' "t, a 3330 ��CDeSrtmAnchorageent of �iAlaskata995t 031i274 461�V D b uwM REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV 2. Property Owner: r a trio r Mailing Address: 2( 020 �Qrrn j I �'jDay Phone '337— Hg(o 3. Name of Buyer: EQ -037 (1/74) Mailing Address: Day Phone 4. Name of Lending Institution: Mailing Address: Phone 5. Name of Realtor or Agent: Tp )��� [:h4 Mailing Address: �-Zt .•AY IAX—ed Phone :Q������ 't Joyce.S1-ie. gym 8�zrbar�: E3/i ss 6. Legal Description: Li& lo la rro l Location: 4�r/1ie. turn k4oij .2_(PfAj hArn le -f+ o/ -i CArrn it fel a D c e_Qot )C,s - 7. Type of Facility to be inspected: --k--ELSI)Q. No. Bdrms. .2, 8. Water Supply Type of Supply: Public Utility Individual _(A cwe/D If Individual, number of dwellings presently served If Individual, depth of well 7 9. Sewage Disposal System Type.of System: Public Utility Individual (on-site) If Individual, date of installation EQ -037 (1/74) Page 2 of two pages Ret for Approval of Individual £ jr & Water Facilities ,V Legal -Description Lot 10 Carroll Subdivision Comments ter GX� /1Gc.f.�-✓1 . Approved Disapproved _ Date3 Approval\Valid for one year from date s gned Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM S ^26 7� s s h 3 I certifv that the infnrmatinn contained in thic remjest fnr annrnval to ha a truo ant accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) J% 1. 2. 3. 4. 5. ' "7 D 3500 Tudor R ANCHORAG AREA BOROUGH ment of Environmental Quality Anchorage, Alaska 99507 279-8696 Date Received Time of Inspection oL;Q Q Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval Requested By: �,�r cti;Qe�� Address: Phones ' 33 - Property Owner: hone: Legal Description: Location: Type of Facility to be Inspected: S<t9(%E 1N7/ly Number of Bedrooms: CQ 6, Wall Datat A. Type B. Depth C. Construction9Ari,p�;{ D. Bacterial Analysis' 7. Sewage Disposal System:—TUwL— d"Xca OX, A. Installed S. Installer C. Septic Tank: D. Seepage Pit: a. 1. Size 2. Manufacturer 1. Size 2. Material E. Disposal Field: Distances: A. Well To: Septic Tank Absorption Area Sewer Lines Nearest Lot Line Other Contamination B. Foundation to Septic Tank '> Absorption Area C. Absorption Area to Nearest Lot Line Total Length of Lines t tjquart for Approval of Irxlividual Sewer S Water Facilities P Page Two 9* cofflmentsx wrU4`eQecZ,- r---r Apnroved Disapproved Date Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM /0 _LL L« PV,) C"yeoL '?\pct-; I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities located at: Signed Date cnv a v.� 71 Z September 13, 1972 Spokane Mortgage 523 W. 8th Avenue Anchorage. Alaska 99501 Subject: Upgrading of existing ►fell serving Lot 10, Carrot Subdivision Dear Sirs On September 12, 1972+ this Department reinspected the subject well and found it to have been upgraded to borough ordinances as per my letter of August 17, 1971. Therefore, this Department gives full approval to the water facilities serving subject lot. If you have any questions regarding the above, please do not hesitate to contact this office. Sincerely, Tim Rumfelt Sanitarian kb ccs Veterans Administration Loan Guaranty Office a 429 "b" Street, Suite 214 Anchorage, Alaska Curtis Martin 2626 Carrol place Anchorage, Alaska GREATER ANCHORAGE AREA BOROUG� Auqus DYE TEST Snoka ,�3 s /kncho Sub,)e Vear Upon I on Au< The W ill a frop., this bruu^, the p1 hocked This i above; N If YOL this c Sincei i TimotM' Sani t4 IIIb F cc: C P L Tax Code: Dote: POSTMARK f Owner: i `�Qom/ ISO650 y� Moiling Address: ....... 850 , ............ Boo User / Tenant: - )VIDEO- Properly Address: MAIL .... Subdivision: Lot rock DYE TEST: Pos/f/ve ;: 1 Negative ADDITIONAL /NFORMAT/ON: Office: i 16k Administered By: a is PW -062 (7-74) roll faci 1 i ties ocated I- lO feet h Ordinances 6t be 1, and presently until the Dntact -30¢ (plus postage) POSTMARK On DATE , i , r ISO650 y� ....... 850 , ............ Boo )VIDEO- (So Ott.ida) MAIL .... Municipality Of Anchorage POUCH 6-650' ANCHORAGE', ALASKA 99502 (907) 278-4531 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Environmental Sanitation Division March 18, 1976 (2510 East Tudor Road) File NO.: 4-1 Walter F. Danforth 2626 Carroll Place Anchorage, Alaska 99504 Dear Mr. Danforth: It has been brought to our attention that public sewer is available to Lot 10, Carroll Subdivision. According to the Anchorage Code of Ordinances "Sewage Disposal Practices", Chapter 16, Article 16.45, Section 16.45.050: "Septic tank -seepage system sewage disposal facilities shall not be installed or used on any premises where sanitary sewers are available within seventy (70) feet of the nearest lot line of said premises...". The Municipality of Anchorage Department of Public Works has checked their records and they indicate that your structure (a) is not connected to the sanitary sewer. Would you please check your records to verify that the structure (s) is or is not connectedand notify us immediately if your records indicate that a connection has been made. If we do not hear from you within seven (7) days, we will assume that our records are correct. We, therefore, request you connect any and all structures located on the subject property to public sewer by July 30, 1976. You must apply for a connection permit from the permit officer for the Municipality of Anchorage, 3500 East Tudor Road. If you have any questions regarding the above, please do not hesitate to contact the permit officer at 27978686, extension 259 or the Department of Health and Environmental Protection at 276-2221. Sincerely, cyd ,Q Robert P. Ne e Principal Enviornmental Control Officer RPN/lw