HomeMy WebLinkAboutASPEN HIGHLANDS #2 BLK 2 LT 1Aspen
Highlands #2
Block 2
Lot 1
x#017-013-33
GRE" 7ER ANCHORAGE AREA BOr-!UGH
r ! �fl��, Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME -,"Or, .7, MAILING ADDRESS-P�OV PHONE
LOCATIONLEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE�r�•trl�./
FROM WELL42 i MANUFACTURER T/-�it//G NUMBER OF
MATERIAL ✓!� Lr COMPARTMENTS,"
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH _ I IQUID CAPACITY �l GALLONS.
SEEPAGE PIT:
NUMBER OF PITS Z. DIAMETER -� OR WIDTHLZ,/ LENGTH_-Z:� DEPTH ��`//•�/l%
LINING MATERIAL CRIB SIZE: DIAMETER
DEPT _DISTANCE FROM: WELL���
BUILDING FOUNDATIONS �n NEAREST LOT LINE TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) Sq, FT,
ADDITIONAL ABSORPTION
WELL:
TYPE CONSTRUCTION DEPTH DISTANCE FROM:
BUILDING NEAREST i NEAREST
FOUNDATION , LOT LINE /� SEWER LINE TANKCs� ' SYSTEM
E
CESSPOOL ,•L��'�, OTHER SOURCES�U/�F��if/!'!-✓/�/
APPROVED DISAPPROVED REMAR
DISTANCES:Lr/.✓
INSTALLED
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
�,t/it/i�.��!' Fri✓
Form No. E"31
DIAGRAM OF SYSTEM
I
DATE APPROVED /
G.A.A.B.
R£C£~V£D
D~ept. HeaJt~ & Hu~n Services i
GREATER ANCHORAGE AREA BOROUGHJn
• s'�' w 'f�/►u- P[RMIT NO.�
�DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503 J
TELEPHONE 274-4561
\\\\````��L0111111~..... •psi/.
SEWAGE DISPOSAL SYSTEM —APPLICATION AND PERMIT
NAME OF APPLICANT {-
J. bay MA INC ADDRESS S�O/'4 CT PHONE
INSTALLATION LOCATION 0al //;/ C / V'4
LEGAL DESCRIPTION
v
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
_.DRAIN FIELD OTHER
FINANCED THROUGH
501E TEST RESULTS NPTE, THIS PERMIT 15 N V}LID/ UT
O i Ps o71 / 2 5 v✓ f sl a 47ES' P, 2 2 / S>r'yi �/ b [ �fcy C•�l�cY TO S
COMPLETION DATE ANTICIPATED—y{ !» 7Vc <O// ✓ e ---
SOIL TEST
/1;v40VO4-
FINAL
0 -
FINAL INSPECTION: 24 HOUR roTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE - O� TYPE
MINIMUM DISTANCES, REQUIREMENTS
�10
AREA SIZE
FOUNDATION TO SEPTIC TANK 1
FOUNDATION TO SEEPAGE PIT t zo DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL /S/
SEPTIC TANK S SEEPAGE PIT 2DRAIN FIELD
TO NEAREST LOT LINE. r
'
WELL TO SEPTIC TANK ) OSEEPAGE PIT O 0'
�
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK /O / SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, OO - SEEPAGE PIT 0DO DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION..{///J
G.A.A.B.
OR
LICENSED DESIGNER
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE APPLICANT'S SIGNATURE .tom
FORM NO. O-Olf
TYPE
DIAGRAM OF SYSTEM
BOROUGH ORDINANCE NO. 28.60 AND THAT THE ABOVE
SANITARY LCG
Prepared for: Er. Al Gsbaig, 8301 Spruce Road, Archorare, Alaska U;4 -C292)
Prepared by: Richard 1•t. Glasheen. Consultinr• Geologist
SRA Box 1619-G, Anchorage, Alaska
Location: Lot 1, Block 2, Aspmn Highlands Subdivision
Date: June 9, 1973
lethod of Excavation: Backhoe
Water Table: done observed
Soil Characteristics:
Ground Surface
1z' - Top Soil
6' - SM (Silty sands)
4# - SP (Poorly graded sands)
Coacutations:
S;' 6' - 250 (6 x 250) = 1500
SP 4' - 150 (4 y. 150) = 600
2100 l0 = 210 sq. ft. per bedroon
'µ nJune 12, 1972
Vatsran's Admisistretiea
Lova Guaranty Office
429 "D" Street Suite 214
lnchorage, Alaska
Subject: Let 1. Block 21, Asp" Highlands
L*_ar Sir:
Public sc%�w and water is net available to Aspen Highlands Subdivision
end will not be for sews years. In the interim water supply will have
to Lc by individual wells and sesege disposal by septic tank -soil
absorption system..
If these systems are instilled to Borough specifications there should
be a miniap of problem until public utilities are available.
Sirzerely,
John R. Lec
Sanicr Environmental Sp cialist
ja
Municipality of Anchorage •••,
• -� Development Services Department
Building Safety Division
Onsite .. ...
Water & Wastewater Program
4700 South Bragaw SL
t ��C P.O. Box 196650 Anchorage, AK 99519.6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
ParceI1.D. 017-013-33 HAM Q
1. GENERAL INFORMATION Expiration Dater
Complete legal description ASPEN
HIGHLANDS SUBDMSION
#2• LOT 1
BLOCK 2
Location (site address or directions)
12801 HILLSIDE DR. •
ANCHORAGE
AK 99514
❑
Individual Holding tank
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
STEPHEN LINDER/ JUNE A. BAILEY Day phone 222-6646
12801 HILLSIDE DR. • ANCHORAGE AK 99514
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
Day phone
Day phone
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
Community Class Well
❑
Community On-site
❑
Public Water System
11
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up
to one year with valid water samples.) 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 engineers work.
4. STATEMENT OF INSPECTION BY ENGINEER
As cued 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 onsite water supply and/or wastewater disposal system ls(are) safe, functional and adequate
for the number of bedrooms and type of structure Indicated heroin. I further verify that based on the
Information obtained from the Municipality of Anchorage riles and from my investigation and inspection , the
on-site water supply and/or wastewater disposal system ls(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Finn GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SURE 101 • ANCHORAGE. AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, Ltd. attempted to provide a thorough,
conscientious engineering analysis of the system In accordance with ADEC and MOA
DSD Guidelines 8 Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily Identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC orMOA DSD. The content of this report Is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party Is not authorized, nor will it confer any legal right whatsoever.
S. DSD SSIIGNATURE
—JL Approved for 0-5_ bedrooms.
Disapproved.
Conditional approval for bedrooms, with the
Phone 337-6179
Date
Attachments:
HAA Checklist_ Manitenance Agreements
Septic System Advisory Supplemental Engineers R�ort X
Well Flow Advisory Other
By: Original Certificate Date:
(RW. 1201)
Municipality of Anchorage ,.
• Development Services Department
Building Safety Division
On -Site Water fL Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6850
www.cIznchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ASPEN HIGHLANDS S/D i2• LOT 1. BLACK 2 Parcel ID: 017-013-33
A. WELL DATA 'WELL FRACTURED AND DEEPENED.
Well type PWM If A, B, or C provide PWSIDII N A Well Log (YM) YES
3/25n4 YES Wires properly protected (YIN) YES
Date completed Sanitary seal (YM)_
Total depth •450. It. Cased to 58 ft. Casing height (above ground) 15 in.
FROM WELL LOG AT INSPECTION
Data of test
3/25/74 10/8/04
Static water level 70' ft. 52' ft.
Well production 1.5 g.p.m. 1.23 g.p.m.
WATER SAMPLE RESULTS: ''
Coliform _& 1nv
colonlW100 ml. Nitrate 1 �mgA. Other bacteria. '62 _colon"100 ml.
Arsenic: N/A mgJl. Date of sample: 10/6/2004 Collected by:
GEG, Ltd.
B. SEPTIC/HOLDING TANK DATA
Tank TypelMeterlel
SEL Date installed 6/14/74
17� 1 Cleanouts (YIN) '�
Tank size 1000 Number of Compartments
Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A
Data of pumping 10/6/2004 Pumper NORTHLAND PUMPING
C. ABSORPTION FIELD DATA
Date Installed6/1_ 4/74 Son rating g.p.d ftjbdnn) UNK System type SEEPAGE PR
Length 21 ft. Width 17 ft. Gravel below pipe 8+ ft.
Total depth 12.5 ft. Eft. absorption area 602+ fe Monitoring tube 'YES Depression over field NO
Date of adequacy test 10/6/2024 Results (PasslFaA) 'PM For 3 bedrooms
Fluid depth in absorption field before test 62 In. Water added 450 gal. New depth 80 In.
Elapsed Time: 104 min. Final fluid depth 72 Jn• Absorption rate g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date —
D. UFT STATION
Date krstaded Size in gallons
"Pump on" level at in. "Pump WP_Jeva ftt-
High water alarm level at in.
uarura�` Cycles tested Meets alar 6 circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO: •MOA WANER IN PLACE (t, V0igCM%)
Septic tank/lift station on lot •55'
Absorption field on lot _ 1000+
Public sewer main _ N/A
Sewer /septic service line 25'+
On adjacent lots 1006+
On adjacent lots 1001+
Public sewer manhole/deenout N/A
Holding tank N/A
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property One 10'+ Budding foundation 10'+ Water main_ N/A
Water service line 101+ Surface water 100'+ Driveway, parking/vehicle storage 5'+
Curtain drain NONE KNOWN Weds on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I codify that I have determined through field inspecfbns and
review of Munidpat records that the above systems ere in
contwmance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name JEFFREY A. GARNESS
Date jo/l?&0
HAA Fee $ 4 W' Waiver Fee $ _
Date of Payment It /110 a Date of Payment
Receipt Number C)60XI Receipt Number
(Wv.120M
_4 ?
GARN SE S ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
October 13, 2004
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site water and Wastewater Program
4700 South Bragaw Street
Anchorage, Alaska 99519-6650
Ref: Septic System Evaluation at Aspen Highlands 42, Ll, B2
To Whom It May Concern:
In 2001 our firm performed an adequacy test on the subject property for the purpose of obtaining
a Health Authority Approval. At that time we prepared a report which accompanied the IIAA
submittal in which we stated that the bottom of the crib is only 5.7 feet below invert of the pipe
entering the top of the crib. We have recently been retained to obtain another IIAA for the
subject property. During our site visit on 10/6/04, GEG field technician, Susan Oswalt,
determined that the bottom of the crib is 75 inches below the invert of the pipe entering the crib.
This measurement is more consistent with the adequacy test performed by Ted Moore, P.E. in
1994. During our adequacy test it was found that the system had limited surge capacity (248
gallons caused the level to rise 14 inches ... to the invert of the influent pipe); however, we were
able to get 450 gallons into the system over a period of 189 minutes. The absorption capacity
was deemed to be adequate for a three (3) bedroom residence.
If you have anylluestions, please contact me at 337-6179.
3701 East Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com
5 g9054130'E 210.001
I C UTILITY CAME -ENT
---------------------------
TRACY _,______ WAS_
I WPEON M FM THE USELENDING_SpECInCALLV TO SHOW ANY CONFUC
EXISTING STRUCTURESS MD PLATTED LOT LINES OR EASEAIEHTTS AND IS NOT O BE USED FOR POSITIONING MXXTKMAL
STIM1CT11RES OR FENCELCIES.
EASEMENTS OF RECORD. OTHER THAN THOSE SHOW" ON THE RECORDED PLAT. ARE NOT
,DTE: ANY FENCELNES SHOWN ARE LOCATED APPROXIMATELY ANO ARE NOT TO BE USED To DETERMINE
PROPERTY UNE9
HEREON.
ORL.OLATESTRUCTURES
NY .
APAVNG SHOWN WY BE APPROXIMATE DUE TO SNOW CONDITIONS.
A•IHALT
m
pF A "44
= '„...........................
OSHANE A. HOLT. j
+•'
LS -6914 i4
ppn'.�e............0�
AS•BU1LT SURVEY
SCALE: VM4P
I HEREBY CERTIFY THAT I HAVE PERFORMED A
MORTGAGEES INSPECTION OF THE FOLLOWING
DESCRIBED PROPERTY.
LOT 1, BLOCK 2 ASPEN HIGHLANDS NO. I
ANCHORAGE RECORDING DISTRICT. ALASKA AND THAT
THE WITHIN VISIBLE
THE PROPERTY MENTS LNES DATED THAT NOEVISBLARE
ENCROACHMENTS EXIST OTHER THAN NOTED.
DATED AT ANCHORAGE, ALASKA THIS _28TH_
DAY OF OCTCSEft
110LTLA1ID SURVEYING 9529,F0116-7
TEL 415.5517
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N 90°OOIOO"E 71.021
L o 85,75
TRACY _,______ WAS_
I WPEON M FM THE USELENDING_SpECInCALLV TO SHOW ANY CONFUC
EXISTING STRUCTURESS MD PLATTED LOT LINES OR EASEAIEHTTS AND IS NOT O BE USED FOR POSITIONING MXXTKMAL
STIM1CT11RES OR FENCELCIES.
EASEMENTS OF RECORD. OTHER THAN THOSE SHOW" ON THE RECORDED PLAT. ARE NOT
,DTE: ANY FENCELNES SHOWN ARE LOCATED APPROXIMATELY ANO ARE NOT TO BE USED To DETERMINE
PROPERTY UNE9
HEREON.
ORL.OLATESTRUCTURES
NY .
APAVNG SHOWN WY BE APPROXIMATE DUE TO SNOW CONDITIONS.
A•IHALT
m
pF A "44
= '„...........................
OSHANE A. HOLT. j
+•'
LS -6914 i4
ppn'.�e............0�
AS•BU1LT SURVEY
SCALE: VM4P
I HEREBY CERTIFY THAT I HAVE PERFORMED A
MORTGAGEES INSPECTION OF THE FOLLOWING
DESCRIBED PROPERTY.
LOT 1, BLOCK 2 ASPEN HIGHLANDS NO. I
ANCHORAGE RECORDING DISTRICT. ALASKA AND THAT
THE WITHIN VISIBLE
THE PROPERTY MENTS LNES DATED THAT NOEVISBLARE
ENCROACHMENTS EXIST OTHER THAN NOTED.
DATED AT ANCHORAGE, ALASKA THIS _28TH_
DAY OF OCTCSEft
110LTLA1ID SURVEYING 9529,F0116-7
TEL 415.5517
Municipality of Anchorage
• i- Development Services Department
Building Safety Division "
Onsite Water & Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519.6650 (SSvp,� �� CF
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
HAA# 0o
Parcel I.D. 017-013-33 N A
Expiration Date: U
1. GENERAL INFORMATION
LOT 1 BLOCK 2
Complete legal description ASPEN HIGHLANDS SUBDMSION 2'
Location (site address or directions) 12801 HILLSIDE DR. 99516
Current Property owner(s)
Mailing address
Lending agency
Mailing address
MICHAEL D. k MARCIAL KEAN Day phone 345-9277
12801 HILLSIDE DR. 99516 ' ANCHORAGE AK 99514
Day phone
Real Estate Agent CHUCK ASHCRAFT w/ PRUDENTIAL J. W. Day phone _
Mailing address
3201 'C" ST. SURE 200, • ANCHORAGE, AK 99503
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
3
242-5050
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of
up to one year with valid water samples.) 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.
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
0
110
0
Individual Holding tank
0
Community On-site
i]
0
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of
up to one year with valid water samples.) 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.
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at or nor
to closing for the engineering services provided. o
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 Guidelines for this application,
Approval
shows that the on-site water supply and/or wastewater disposal system is(a l safe, functions! 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 riles and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system fs(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm ALASKA WATER k WASTEWATER CONSULTANTS, INC.
Address 6901 DEBARR ROAD, SUITE 2B + ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY AGA ?NESS, P.E.
Engineers Comments:
In conducting this evaluation, AWWC, Inc. attempted to provide a thorough,
conscientious engineering analysis or the system In accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the Performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readilyldentifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. AWWC Inc. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party Is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
L/ Approved for 3 bedrooms.
Disapproved.
Phone 337-6179
Date
Conditional approval for bedrooms, with the fllowing stipulations:
OFfe
0%
• WAOTN--SITE c
R AND
E rr':
WASTEWA R
• e QGRAM
�'�///11111111�
Attachments:
HAA Checklist !/ Manitenance Agreements
Septic System Advisory r/ Supplemental Engineer's Reort r
Well Flow Advisory Li Other
By: �E� GGA
Original Certificate Date:
(Rev. 1210+)
Municipality of Anchorage = ,
• Development Services Department
awkling Safety Dtvlawn • ,
O"Re water & wastewater Program
4700 South Srsgsw SL
P.O. Bou 196650 Anctarage. AK 99519-6650
www.d.enchora9e.6.us
(97) 343-TW4
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ASPEN HIGHLANDS S i2• LOT 1. BLOCK 2 Parcel ID: 017-013-33
A. WELL DATA
Well type ��— If A, B. or C Drovide PYVSID# N A Well Log (YM)—�—�
YES Wires property protected (YIN) 'ES
Date completed _J 25 _74 Sanitary 6681(YIN)_
Total depth 450 ft. Cased to
58 ft. Casing height (above ground) 15 in.
FROM WELL LOG
AT INSPECTION
Date of test
3/25/74 7/25/01
Static water level
70 ft 51 ft.
wen production
1.5 g.p.m. 0.93 —
9 -p.m -WATER SAMPLE RESULTS:
. Other bacteria --o—colonies/100 mi.
cotoniesl100 rttl. Nitrate Collected
mg
JL.
AWWC INC.
Date of sample: 1/30(2002
Collected by:
S. SEPTIC/HOLDING TANK DATA
Tank TypelMatedal STEEL
Tank size 1000 gal. Number of Compartments
Foundation cleanout (YIN) YES Depression over tank (YIN) NO
Pumper ISAACS PUMPING
+ SEE -0 REPORT SuBM v,
Date installed 6/14/74
Cleanouts (YM) YES
High water mann (YIN) N/A
Date of pumping 4/27/01
C. ABSORPTION FIELD DATA
Date installed 6/14/74 Soil rating 0.p.d ft3bdrm) UpK
Length 21 ft.
Width 17 ft.
Total depth 12 5 fl. Eff. absorption area 608+ ft•
System typeSEEPAGE PR
Gravel below pipe 8+ ft.
Monitoring tube YES
Date of adequacy test
7 LL4LO1 � Results (Pass/Fall) 'PASS
Fluid depth In absorption field before test 56 In.
E apsed Time: 240 min.
Water added'3B89al.
Final fluid depth 63.5 In.
Any rejuvenation treatment (past 12 mo.) (YIN b type)
Depression over field NO
For 3 bedrooms
New depth 65.5 in.
Absorption rate >= 465 g.p.d.
NONE KNOWN N yes, give date
D. LIFT STATION
Date installed Size in gagons
"Pump on' level at _in.
E. SEPARATION DISTANCES
High water alarm level at In.
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankilift station on lot 055'
Absorption field on lot 100'+
Public sewer main _ N/A
Sewer /septic service line 25'+
'MOA WAIVER IN PLACE
On adjacent kits 100'+
On adjacent lots i 0o'+
Public sewer manhole/deanout — N/A
Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property tine 5'+
Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
10'+
Building foundation 10'+
Water main— N/A
Water service
line 10'+
Surface water 100'+
Driveway, parking/vehide storage 5'+
Curtain drain
NONE KNOWN
Wells on adjacent kSts 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspecWns and
reWew of Munidpal records that the above.
systems are in ...... ... .......:.*
conformance with MOA HAA guidelines in effect on this date.
Engineers"IntelName JEFFREY A GARNESS :'b A•
! —7953
Date _ r/ DZ •�
HAA Fee S
Date of Payment
Receipt Number
(Rev. 12M)
Waiver Fee $
Date of Payment
Receipt Number
Municipality of Anchorage
• �- Development Services Department
Building Safety Division
Onsite Water 3 Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
parcell.D. 017-013-133 HAA#
I l - / o - O )
1. GENERAL INFORMATION Expiration Date:
Complete legal description ASPEN HIGHLANDS 2 LOT 1 BLOCK 2
Location (site address or directions) 12801 HILLSIDE DR. 99516
Current Property owner(s)
MICHAEL D. k MARCIAL KEAN Day phone 345-9277
Mailing address 12801 HILLSIDE DR. 99516 ►Anehorc a AK. 99514
Day phone
Lending agency
Mailing address P(2-.AOE..Mo, —
Real Estate Agent
CHUCK ASHCRAFf N.cy-w+�v�_ Day phone 242-5050
Mailing address 3201 "C" ST. Suite 200, •Anchorcge. AK. 99503
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Individual On-site
Individual Water Storage ❑ Individual Holding tank O
Community Class Well❑❑ Community On-site ❑
Public Water System Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by rovadepenl arerequired for dent thesiontreal civil
engineer registered in the State of Alaska. Certificates of Health Authority App
nsfer
of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or
water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may
be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of
up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or 8
welts or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
Investigation, based on procedures outlined In the Health AuthorityApproval 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" of structure Indicated herein. I further verily that based on the
Information obtained from the Municipality ofAnchorage files and from my Investigation and Inspection, the
on-s1le 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 Finn ALASKA WATER & WASTEWATER CONSULTANTS, INC.
Address 6901 DEWR ROAD, SUITE 213 • ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In Conducting this evaluation, AWWC, Ina attempted to PrOOde a thorough,
conscientious engineering analysts of the system N acoard mce *M ADEC and MOA
DSD Guidelines & Reguladons. The reported results descrited lyre perfomnenca of the
system under dee conditions encountered at the Cme of the testi and separawn
distances measured to readily ldend8able features. The Operattonal hte of all wells and
septic systems depend on tine /coal soils aonditlon, groundwater levela the may
fluctuate during the year, and the water usage of the famllybWng seroedby the system.
These Conditions are outside the Control of the evaluator of the system. Sadafactory test
resuf(s do not guarantee future Performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. A VAW, Ina can Mweibm not provide
any wamwy or future estimate of how long the system will continue to meet the
oPeredonal requirements of the ADEC or MOA DSD. The content of this report is for
Me $ole benefit of the ownerAsted above. Any reliance upon or use of this report by wry
other person or party Is not authorized, nor *#111 Confer any legal rfght whatsoever.
Phone 337-6179
Date S 7 01
S. DSD SIGNATURE
—� Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the fliowing stipulations:
NOTE: The attached Engineers letter dated Jul 26,2001 shall be art of this
HAA package.
Attachments:
HAA Checklist ✓ Manitenanca Agreements
Septic System Advisory Supplemental Engineer's Reort !�
Well Flow Advisory ✓ Other
BY��/ Original Certificate Date:
Municipality of Anchorage
• Development Services Department
Division
O0.Sb Wee 3 Wasi�aN�eyi�er Proprun
4700 South S._„_^ SL
P.O. a= low Nxhoreps. AK 9D511i M
vwvWAA1dmonpe ekus
(907) 943-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Deselipnon: ASPEN HIGHLANDS It2• LOT 1. BLOCK 2 Pame11D: 017-013-033
A. WELL DATA ,�
Wen dlpa �Ah HA. S. or C lxovide PWSIDI� N A Wen Lop (YAM
3 25 74 San" (Y/t� YES "M properly P (YIN) `�
Date completed
Total depth
450 R cased to 58' casing height (above ground) 1,57 In.
FROM WELLLOO AT INSPECTION
3/25/74 7125/01
Date of ted ----
Static trr8ter level
70 fL 51' II
Wag produdbrt
1.5 g.p.m. 0.93 g.p.m.
WATER SAMPLE RESULTS:
Colnono 0 oolonies/100 ml. Nitrate 1.35 mgJL Other bacteAa_�—colortiea/100 ml.
Date of Bampte:
7/27/01-8/1/01 collected by. AWWC INC.
e. sEPTICINOLDING TANK DATA 6/14/74
STEL Data InstalledTw*TypelMaterial YES
Tank stae 1000 gal. Number of ComparlmerIts i Cleanouts (YM)
Foundation deanout (YIN) YES Depreaslon over buck (YM) NO High water alarm (YIN) --&—A
A
4/27/01 Pumper ISAACS
Data of pumping
C. ABSORPTION FIELD DATA SEEPAGE PR
Date irtstened_-- � 4 e/tSon .p d mting I11bdrm)1 System tYPe
Length 21• n Width
17' IL Gravel below PIPS
608+ 1t' MoNtoAttO tube YES Depression overtield No
Total depth t z.e Eft. absaPtlon twee__
Data of edequeq test 7/1 Results 0%3& Fan) PASS For 3 bedrooms
24/0
Fluid depth In absorP*m Held before teat 58 in. * Water added368 gal. New de 6pAL l-5—in'
Elapsed Tkne: 240 min. Final Auld depAL_U.5 Jn• Abswp*M fate >a 465 g.p d.
Any MuvenatkM treatment (Past 12 m0.) (YIN & type) NONE KNOWN 9 yes, give data –
D. UFT STATION
Data Installed
'Pump OW level at—in.
E. SEPARATION DISTANCES
Slee in gal one
High water alarm level at S,.
Cycles tested Meets atenn S dreuft requirements?.
SEPARATION DISTANCES FROM WELL ON LOT T0:
Septic Unk= station on lot •55'
AbsoPtion Axid on lot 1 o0'+
Public sewer main N/A
Sewer /Uptic W4ce ane 25'+
On adjacent kfta 100'+
On adjeoent kfte 100'+
Public sewer manhole/deanout N/A
Holding tank_ N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
'MOA WANER IN PLACE
Buidkfg fourfdation 5'+ Property ane 5'+ Absorption Aeld 5'+
Water main N/A Water 8ervice ane 10'+ Surface water, 100'+
WOOS on adjacent Iota 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON Lam:
Property ane I O0'+ Bulldkfg foundation t o'+ Water main— N/A
Water service arra 10'+ Surface water 7 oo'+ Ddvewey, PerldnpNehide saorage 5'+
CU teU dmIn NONE KNOWN Wella on adjacent 100'+
F. COMMENTS
0. ENGINEER'S CERTIFICATION
I serflly that l have determ/ned thtvWh
MWOW ofbfwddpat records that ft ebm /chasm and �: ':�
contbrmenos Wl1h MOA H.4A systems are to ..........
gtdde0rres Io ellecton N/s data.
Engineer's Pdn d erne JEFFREY A —7953
GARNESS ? A 3 .°;
Data
HAA Fee $ _MCXL _
Date of Payment— Z 18 1 G I
ReNIPt Number 34 � C o
Waller Fee
Date of Payment
Receipt Number
Municipality of Anchorage *AI
Development Services DepartmentBuilding Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
Septic System Advisory
Health Authority Approval # 010419
During a recent adequacy test on the septic system for Block 2, Lot 1 of
Aspen Highlands #2 subdivision, 65.5 inches of standing water was
observed in the absorption field. This indicates that approximately 98% of
the absorption area is inundated. Although this system passed the adequacy
test, the remaining life expectancy may be limited.
This advisory must be attached to all copies of the subject Health Authority
Approval.
Municipality of Anchorage ,•'
• .���� Development Services Department ,
Building Safety Division '
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Nater Well Advisory
Health Authority Approval # 010419
During a recent Health Authority Approval on-site inspection and test of the
potable water supply well on Block 2, Lot 1 of Aspen Highlands #2
subdivision, the well's productivity was determined to be 0.93 gallons per
minute. The minimum well productivity required by this Department (AMC
15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the
subject well currently exceeds this minimum requirement, all parties
concerned are advised that the production capacity of the well may fluctuate.
Restriction of non-critical water uses such as washing cars and watering
lawns and gardens may be required.
This advisory must be attached to all copies of the subject Health Authority
Approval.
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
July 26, 2001
Michael and Marcia Kean c/o
Prudential Jack White Real Estate
3201 C Street
Anchorage, AK. 99503
Subject: Nell and Septic Evaluation on Lot 1, Block 2; Aspen Ilighlands Subdivision #2
(12801 Tracy Way - Anchorage, Alaska)
Mr. and Mrs. Kean:
On July 25. a pose
site visit was performed on the referenced property.
test and a septic adequacy cy test. Our findings are as forf this visit was to
lllo vs:
perform a well
MMLI-a
In order to meet the minimum production requirements established by the Municipality of
Anchorage, the well must be able to produce 150 gallons per day per bedroom, which
corresponds to 450 gallons per day for 3 bedrooms. The results of our well test are summarized
as follows:
level was Sl feet below the top of the casing (BTC).
Prior to starting the test, he static water
Water was pumped at an average rate of 8.3 gallons per minute for 55 minutes (451 gallons), at
which time the water level had dropped to a level of 307 feet below the top of he casing (BTC).
The flow rate was then throttled down to 2.2 gallons per minute in order to stabilize the water
level in the casing. An additional 44 gallons was pumped over the next 20 minutes and there was
no drop in the water level in the well. The flow was then stopped (total of 495 gallons pumped).
The recovery was checked 220 minutes later and the water level in the casing had risen a total of
136 feet, which corresponds to a volume of approximately 204 gallons. Based upon this data, it
can be concluded that the production rate for the well exceeds .93 gallons per minute. The
production will easily exceed 1 gallon per minute when he well is drawn down below 200 feet.
aBased upon this data, nd exceeds he minimum production requirements t was determined lfor producesat the well 3 bed oom r 50 gallons per day
esidence.
SEPTIC:
ion
ments
lished by the
unicipality
lAnchorage, the dra nfie dnmust b oimum rb 1150 gallons eper ay perbedroom. This corresponds of
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: al1«vc.c0m
450 gallons per day for three bedrooms. The existing seep is ssIIed consists
in f who h hl gallon
septic tank followed by a 17' x 21' log crib typed(mst b Ted
effective depth of 8 feet, per MOA records, and 10 feet per the 1994 HAA prepared Y
Moore, P.E. The total depth of the system appears to be about 12.7 feet (according to our field
measurements), which is consistent with Ted Moore's field measurement of 12.5 feet. In 1994,
when the system was last tested, the liquid depth in the crib was 40 inches. On 7/25/01 the liquid
in the crib was 56 inches deep. Our field measurements indicate that bottom of the crib is only
5.7 feet below where the inspection pipe enters the top of the crib.
Prior to the introduction of any water by the field technician, the liquid level in the crib was 12
inches below the top of where the inspection pipe enters the crib. A total of 368 gallons was
introduced into the crib, which brought the liquid level to within 2.5 inches from what is believed
to be the top of the crib, a rise of 9.5 inches (total liquid depth of 65.5 inches). This corresponds
to 38.7 gallons per inch of rise. The recovery was monitored for 4 hours, during which the liquid
level dropped 2 inches, indicating that roughly 19.4 gallons per hour was absorbed. This equates
to about 465 gallons per day, which meets the MOA absorption requirements for a 3 bedroom
residence (450 gallons per day minimum). It is important to note that the crib must be filled to
100% of its capacity in order to achieve this absorption rate. A later reading (7 hours into the
recovery period) showed a significant decrease in the absorption rate (average of 15.2 gallons per
hour) as the liquid level subsided.
If you have any questions, please contact us at 337-6179.
P.E., M.S.
6901 Debarr Road. Suite 2B' Anchorage, AK 99504
Ph: (907) 337-6179 • Fax: (907) 33S-3246 • Website: akwwc.com
m ova7mm1r I=C
P.O. Box 112m
ABCBDBAcf, AN 99511.2Us
/BORE 907.345.2112
TO - - — -- ----�
Megun-- --- --- -�
12801 Hillside Dr.
iAnchorage,AK 99516
I
JOB INFORMATION
Mite Kan 97-04-2287
12801 Hillside Dr.
knchoragt,AK 99516
4Ptn Highlands 11 82
TAXI PAGE GRID I --i ----
�—! SUBDIVISION ILOT !BLOCK !ADDRESS
F6 2840— —�i --- = — —
rl: ,—r—r_ ,Aspen Highlands j 1 _r2 12801 Hillside Dr.
ITEM
I—I 1 DESCRIPTION
PIPE REPAIR DIG UP AND REPAIR PIPE, NO GUARANTEE; NOT RESPONSIBLE FOR
DAMAGE TO TREES, PLANTS, DRIVEWAY, MISCELLANEOUS COLLECTABLES.
OWNER RESPONSIBLE FOR ANY SETTLING THAT WILL OCCUR.
I
I
V '
Ga„/ I
I
;All wort is complete) —
PLEASE PAY FROM THIS INVOICE.
INVOICE
L DATE I INVOICE NO.
j 4/22197 2287
0
-------------
I
AMOUNT
1—ao.ao-
Ace
af
410" A�lm
srr e�01
t't to �— - -
140.00
+5" `-.-
-'102'vwo
a
INVOICE
�+«� 1mv*lcaNO, 1285
„ eaeaf. xn.
y� y
�l U /` A su" •. // q L la n
.r,,/ .u11�/� 1A
OLD
TOS . �Aw�+ •�+.�
GJ �
t��a �..� ,
%K.
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CITU, aTATa, ZIP
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i�To..u•� oaou wlo m
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16C 7 ZP
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES.
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner /~o,"~ fA v
Mailing address I ;~ ~C,'(
Lending agency
Mailing address
Agent r~ol~r
Day phone
A"n c Ao r,~'~,,~x
Day phone
Address It o! ~ 7~~ /f.~,~,~ /~j-/~CAor~7~,' /z~b~
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~
I~,~l /'y - AI,,~,¢ ?~l,.tr / Nen~;,, J~)o,~,Day phone
TYPE OF WATER SUPPLY:
Individual well
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
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 r'~'/~/",/c,/¢
Address
Engineer's signature
D~SIGNATURE
Approved for
Phone
Date
~THEODORE F. MOORE
bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
By:
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 order to 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 (Re~.1/91) Back MOA#21
® Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: L I, 132 ASPFN H164LANDS Parcel I.D.
A. Well Data
Well type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number
Log present (YAV) y Date completed 3hs-/74 Driller PENN JERSEY
o R16NAIVI PEEMN[D 1916
Total depth iso' P. 45Z' Cased to 58r Casing height IS„
Sanitary seal (YM)
Date of test
Static water level
Well flow
Pump level9
FROM WELL LOG
31251-7y
70
1.5
SEPARATION DISTANCES FROM WELL TO:
Wires properly protected (YM) Y
AT INSPECTION
A
R 11 819 w
c
Ze
17wf
SFS n
r n
).P.M. LO O.P.M. C
i'
A o
00
� m
2
SeptiGholding tank on lot" 58' To (!.O.,.._; On adjacent lots > loo r
Absorption field on lot 118 To C-0, ; On adjacent lots > too
Public sewer main > roo' Public sewer manhole/cleanout 5 /00
Sewer service line 37I Petroleumtank NoNe oBSEC✓Eb
�c No uwa rve r rey e e( F7/29 /( zl ethc o.F con i ��•�.fio.,
WATER SAMPLE RESULTS:
Coliform OcoI /to Gr",,e Nitrate 1,2 mc, / ( Other bacteria O E27///aCy,y�
Date of sample: 2 /Is Ng Collected by: _FIATToP TECH Svcs.
B. SEPTIC/HOLDING TANK DATA
Date installed J14I74 Tank size l 000 GAS Compartments
Cleanouts (Y/N) `/ Foundation cleanout (YM) N Depression (YM) N
High water alar (Y/N) N.A. Alarm tested (YM) N.A .
Date of pumping S/18/4g Pumper I SAA C9
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot SO' FRon C.O, On adjacent lots > /oo' Foundation 15' fAon C.O.
To property line > 10' Absorption field -ro C.o . Water main/service line !::t To/
Surface water/drainage > 100
72-M CMI From CONTINUED ON BACK PAGE
C. LIFT STATION CN. ,+.1
Date installed Manufacturer
Size in gallons Manhole/Access (YIN)
Vent (YM) 'Pump on' level at
High water alarm levet
Meets MOA electrical codes (YM)
SEPARATION DISTANCE FROM LIFT STATION TO:
'Pump off' Level at
Cycles tested
Well on lot On adjacent lots Surface water
D. ABSORPTION FIELD DATA
II 21D F{WADRn
Date installed (o11y17K Soil rating(GPD/Ft2) 0.71 6PD/FES Systemtype SErm6r P1r.
Letgth .21 Width 17' Gravel thickness Io' Total depth 12' 6"
Total absorption area 76o F{' Cleanout present (Y/N) i Depression over field (Y/N)
Date of adequacy test 8'18 194 Results (passtfai) Pari for 4 Bedrooms
Water level in absorption field before test 4b" After test 76 "
Peroxide treatment (past 12 months) (Y/N) NONE 1500wfl If yes, give date 1y• A
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot 118' Ff-n CO . On adjacent lots > too Property line so FROM t:.o.
To building foundation 8o' -Rom C-0, To existing or abandoned system on lot N -A .
On adjacentlots > Ioo' Cutbank - N • A Water maintservice line / oo'
Surface water > too ' Driveway, parking/vehicle storage area 2o'
Curtaindrain NaNF' OESERVEA
E. ENGINEERS CERTIFICATION
I certify Mat 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of flus inspection.
Signature
Engineers Name Ttile�o G Maort
Date 2 y 09Y
HAA Fee $ 300 zs"
Date of Paymentf�9�1
Receipt Number ��
2-4
n-oze rt)- each
or lot
tr ,
...-„Q�
.
7HEODORE F. MOORE
CE -35E9
Waiver Fee $ -
Date of Payment
Receipt Number
I
otmtv)
Pick Mystrom.
Mayor
Municipality of Anchorage a
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
September 22, 1994
Theodore F. Moore, P.E.
Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
Subject: Waiver Request for: Lot 1, Blocky Aspen Highlands Subdivision
Waiver Approval: #WR940051
Dear Mr. Moore,
Your request for waiver of the required 100 foot Horizontal separation of a septic
tank to a private well has been approved. The approved separation distance is
55 feet.
This waiver approval applies to the existing septic system tank to well separation
only. Any future upgrade to either will require all separation distances be met or
another approval from this department.
i cerely,
caf1
q
me�
, P.E.
Program Manager
On-site Services.
Ijm: #6
WR# WR940051
1
n
MUNICIPALITY OF ANCHORAG.'
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
PID# 017-013-33 HA#HA940420 Permit
Date Received: 08/24/94
Legal Description: Lot 1, Blk 2, Aspen Highlands -)-
Engineer:
Engineer: Theodore F. Moore
Applicant: Dorothy Gabaia
Waiver Requested: Well to Tank
Criteria: 1. Geology:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Points:
3o
5,3
,1 L
1Z
Waiver is Granted: ✓ Waiver is NOT Granted:
List Conditions or Reasons for above: SU"E IC 17)� 01-o, 60-tvi
Rec #:
Amount: $ Date Paid:
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.,~:.::¢~' ~: .'~:::~ ,:...::< >">'"'":~:.~:~,"? >7.'. ,-: :::::.' Y.: ~,:.-~, :-" :?V .":.'., ":..' '~< '~':~:,,~.~ .~> ~ '".
.... ~: ~ '~..::,:.':::~.,~ ' .:~::.',.- '"*~:~z~:~,.9. ,~:,~:,',.~ .... .......,/,.....,.~ ,., : ,- ::,.~,.,:.....?:.~e~.., ,. :. ~:~ ~:~
~< ....... :.~:....:~v.~..'.,~.' ....... ',, .,.-.~:~.'.,' ~,>. ..... .... ........ ...~..',..,~.<',~:. ~..-., .~E~ ~::
· ~L~J::':~,~:.'~ : .'.~ . '~% .,~,' .~ ,~'". ' '~.,:-..'9' ....5.' ' · "" .-. ....... ~.~.~:~,: :':~
P TE CI
C~ & EN~ON~NT~ EN~EER~ · ENERGY CONSERV~ON & ~yS~
T~ODORE F. MOORE, P.E. 14530 ECHO ST.
SCptem~r 16, 1994
James Cross, P.E.
M.O.A. Dep't. of Health and Human Services
P.O. Box 19-6650
Anchorage, AK 99519
Dear Mr. Cross:
RECEIVED
SEP 1 6 1994
Municipality of Anchorage
Dept, Health & Human Services
Per your request we are applying for a waiver of the normally requked 100 foot separation
distance between a private well and septic tank down to 55 feet for Lot 1, Block 2, Aspen
Highlands S/D. A site plan, well log, and copies of other pertinent documents from DHHS files
are enclosed.
According to the driller's log the well was drilled in March of 1974 to a total depth of 350
feet. The log reports bedrock as beginning at 58 feet and the overlying soil between 10 and 34
feet as generally being a gravel/sand/clay mixture. On the date of our most recent test in August,
1994 the static water level in the well stood at 48 feet below the top of the casing. This 48 foot
depth could be viewed as the water table, however any contamination entering the well casing
would have to pass down through the soil to a depth of at least 58 feet.
According to the as-built inspection report the septic tank is a 1000 gallon, single
compartment, Greer steel tank which was apparently installed in the spring of 1974. The cleanout
of the tank is 58 feet from the well, however this waiver request is for 55 feet to allow for possible
underground projection of the tank somewhat closer to the well.
The topography of the lot slopes gently downwards towards the west and southwest at
between 5% and 10%. The ground elevation at the well casing is approximately 3 feet higher than
at the septic tank standpipe, meaning that there is no possibility of effluent daylighting from the
tank, should it fail, making its way to the vicinity of the well.
Our analysis of the factors considered in DEC's separation distance waiver guidelines is as
follows. (1) Water Table: The bottom of the septic tank is at a depth of 10 feet and the water table
is at 48 feet, resulting in a vertical separation distance of 38 feet. (2) Soil Sorption: The soil
between 10 feet and 48 feet below ground level fits most closely into DEC's category of"Clay and
Sand Equal". (3) Permeability: The soil between 10' and 48' below ground level fits most closely
into DEC's category of "Clayey Sand or Soil with a Perc Rate of 50 min./inch or higher. (4)
Water Table Gradient: It is usually the case that subsurface water table gradients closely parallel
the ground surface topography, which in this case slopes away from the water source at
approximately +5%. (5) Horizontal Separation: The waiver request is for 55 feet.
Mitigating features include the fact that the recent water samples showed no colifoiTn or
other bacteria in the well and a relatively low nitrate level of 1.2 mg/1. Secondly, it should be
recognized that prior to October of 1973 the required separation distance was only 50 feet, and the
tank was installed in accordance with the separation distances specified on the permit.
Please give me a call if you have any questions on this analysis.
Sincerely,
Ted Moore, P.E.
RECEIVED
Municipality of Anchorage
Dept, Health & Human Services
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CIVIl, & ENVIRONMI~NTA1, EN(ilNEI,;RIN(; - ENER(;Y (~ONSERVATION & ANALYSIS
TItEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 July 29, 1992 ANCHORA(;E, ALASKA 99516
John Smith
M.O.A. DHHS
P.O. Box 196650
Anchorage, AK 99519
RECEIVED
JUL
Dear Mr. Smith:
Municipality of Anchorage
f.)ept, Health & Human Services
The purpose of this letter is to confirm our conversation today regarding the 57' well - septic tank
separation distance on Lot 1, Block 2, Aspen Highlands S/D. The construction permit which was issued
in August of 1973 stipulates that the minimum required distance between the well and the septic tank shall
be 50 feet. The permit indicates that the anticipated completion date was August, but the actual installation
date is not shown. In October of 1973 the required sepm'ation distance between a well and a septic tank
increased to 100'. The as-built inspection report of the sewage disposal system, indicating the tank to be
57' from the well, was approved in June of 1974.
It is my understanding from our conversation that since the system was apparently installed in good
faith compliance with the permit and the separation distance was accurately reported m~d approved at the
time, DHHS will not require a formal waiver process prior to issuance of a HAA certificate, so long as the
original system continues to function adequately.
Since the homeowner does not plan to sell her home until next summer, but wishes to minimize the
chance of last minute surprises, I thought it worthwhile to get documentation of this understanding into the
file for this lot.
cc: Dorothy Gabaig
Sincerely,
Ted Moore, P.E.
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