HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 2 LT 22pfosQs�� I�u6hds�l.
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Oct
Municipality of Anchorage Page of?
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number. 50C1i?01ekL' PID Number: 015-491 —Z3
NameEO At.1D DeetwA SaNE.L.(r.l
Wastewater System: ❑ New XUpgrade
Address
Aga Ar- 9 vc
ABSORPTION FIELD
9401. SLALorh I)IzlqE
Phone:3L+ _91 o 9 Z
No. of B7�edrooms:
0 Deep Trench XShallow Trench O Bed ❑ Mound ❑ Other
LEGAL DESCRIPTION
Soil Rating: n
'
Total Depth from original Qrade:
S.Sa — 8
• GPD/Sq Ft
Lot: Block: Subdane
Z P2o5.PBtf• C1
Depth to pipe bottom from original grade:
1, 4+G—
Gravel depth beneath pipe
'q. yOa{
Z2. f1E1(-FfTG
3.9a Ft
07- — Ft
Township:
Range:
Section:
Fill added above original grade:
0.
Gravel length: ��ttCC
77
—2-8s'— Ft
Ft
WELL: E3 Upgrade
travel width: 5►
Num er 1f hoes:
Doyne xnveen Imes:
E )STRNew
Ft
ClassitlWion (Private. ".C):
Total Depth'
sed To:
Total absorption area
Pipe material:
P TIF
Ft.
Ft
SO 5A SO Ft
AST - O aI F-810
Dnber.
Date Drilled:
Static water Levet
Installer.Date
GhR.L..
Inst led:
to jib — to/ 48
Ft.
LAGJ1�(ATIn1G
Y,eld:
Pump Set at:
Casing Height ADova Ground:
* * TANK
GPM
Ft.
R.
SEPARATION
DISTANCES
gSeptic EXjSTU&ing ❑S.T.E.P.
To
Septic
Ahsontion
Lift
Holding
blUFri"le
Manufacturer. Capac' ns:
From
Tank
Field
Station
Tank
Sewer Linn
WelhMaterial:
11
Number of Compartments:
Surface
Water
loo k+
—
—
_-
LIFT STATION
loo+
Lot1
I't
i>S fi
Size in gallons:
Manufacturer.
Line
1$
Foundation
51
1001•}
�.
'Pump on' level at:
'Pump o at
High water alarm at:
curtainNOar:
ti
rte^
Pump Make
Electrical Inspections performed by:
Drain
Remarks:* IDANFIR 6,zAono
BENCH MARK
CWS a3oo3) E SeRTIc.
Location and Description:
rA To of Gr.1:aGe
FDdNO ?o BE of 60oo0
6o
Aswmed Elevation: III G3
NitP, Tv 1& 4e .
.
EE�•�g
EN+I-E`Ft�`EAL
OFA���
r
Aw e.Y-A/ LJ k" $
�A$fft4K 2 4*1& lL.TMrrS 10 It: 9 g
Inspections performed by: Dates:ls
-
1c,
2n
9g
:, . ... .....
.•.
3ra to t�
L�•� =tire A. Gamins
�W
Department of Health and Human Services approva
•;
r44' ,r.., E•795D
by Qi�,—=,..✓ ld Date: oo/ .27-98
4PROFESS��
"RO, ES�i�,
Reviewed and approved
72-013 Ili 9/91) MOA 25
PENUMBER: AS -BUILT DRAWING PARCEL. ID 1-23NUMBER:
SWSW9803w9-
`4 015-091-23
FINAL GRADE
96.38+
( (�� ORIGINAL GRADE Mn COI ORIGINAL GRADE
98.00 J O�� (NORTH ENO) Mfg Cpl (NORTH END)
rf+�
�O•°`ri APPROXIMATE LOCATION /ORIENTATION
RO, f OF SEWER SERVICE LINE —NOT I�
INSPECTED BY A.W.W.C., INC.
Jiiiii Y
I NEW
TH#
INSULATED
f�� \\\ C EXISTING TRENCH
PRS \INSTALLED
BULL RUN (BR)
l \ BLZ
CBLI
WELL
1
ALASKA WATER AND WASTEWATER CONSULTAN'T'S, INC.
7320 E CHESTER HEIGHTS CIRCLE. ANCHORAGE. AK 99504
PHONE. (907) 337-6179/FAX: (907) 138-3246
1
_LCAL UIL9(;HIPIIUN: 0
PROSPECT HEIGHTS SUBDIVISION ADON. gt, LOT 22, BLK 2,
IYPE 01 WORK: A
AS—BUILT OF SEPTIC SYSTEM UPGRADE ✓�••
Q f ey Gorness;
'RLYAHL_pD hON: PHONE NUMBER: O E-7
ED AND DONNA SCHELIN 346-9092 d0�; C 9534
AIL: )HA*N BY: bl/•LL: YAUU••r dpr to
10/25/98 J.L.M. 1 = 40 2 OF 2 DOpp/e�feto'
A
1 B
C
6.0
9.4
40.8
17.5
37.7
22.6
36.8
23.0
N
35.8
24.3
45.9
—
.0
104.5
.5
104.0.0
123.0.5
122.5
_LCAL UIL9(;HIPIIUN: 0
PROSPECT HEIGHTS SUBDIVISION ADON. gt, LOT 22, BLK 2,
IYPE 01 WORK: A
AS—BUILT OF SEPTIC SYSTEM UPGRADE ✓�••
Q f ey Gorness;
'RLYAHL_pD hON: PHONE NUMBER: O E-7
ED AND DONNA SCHELIN 346-9092 d0�; C 9534
AIL: )HA*N BY: bl/•LL: YAUU••r dpr to
10/25/98 J.L.M. 1 = 40 2 OF 2 DOpp/e�feto'
MUNICIPALITY OF ANCHORAGE
Department of HeaRh and Human Services i
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
AoM
to- uo-" ik
S'.SLUPm
to - tot. `lk
Date Issued: Oct 05, 1998
Expiration Date: Oct 05, 1999
Permit Number: SW980394 Parcel ID: 015-091-23
Legal Description: PROSPECT HEIGHTS #1 BLK 2 LT 22
Design Engineer. 0041 AK Water & Wastewater Consulta Site Address: 009401 SLALOM DR
Owner Name: Ed & Donna Schelin Lot Size: 114563 SQ. FT.
Owner Address: 9401 SLALOM DR Total Bedrooms: 3 Permit Bedrooms: 3
ANCHORAGE. AK 99516-1054
This permit Is for the construction of:
❑7 Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be In accordance with:
1. The attached approved design.
2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907)343-4744(24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either. A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
a, 4 � 5, `"%'V j51n Date: O
Date: /0 -16�_ R 8
Alaska Water & Wastewater Consultants, Inc.
7320 East Chester Heights Circle — Anchorage — Alaska 99504
(907) 337-6179 — Fax (907) 338-3246
Consulting Engineers
October 1, 1998
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On -Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Septic Upgrade Design for Lot 22, Block 2, Prospect Heights Subdivision Addn. #1
To whom it may concern:
The existing 3 bedroom house is served by a private septic system and a private well. The existing
seepage trench failed an adequacy test and must be upgraded prior to the sale of the house. A test
hole was excavated to the northwest of the existing septic system. Comments regarding the
proposed upgrade design are summarized as follows:
1. SOILS: Attached is the log which shows the soil profile, and the percolation test result. The
soils below th organics is a ML material to a depth of 3 feet and than transitions to a SW/GW
material to a depth of 9 feet. At 9 feet, the soils transition to a SP/SW material to a depth of 14
feet (bottom of test hole). A percolation test was performed at 5.0 to 5.5 feet which perked out at
a rate of <1 minute/inch. No groundwater was encountered during excavation of the test hole.
The insuti soils at 9 feet will act as a sand filter.
2. TRENCH DESIGN:
a. Percolation Rate: <1 minutes/mch
b. Allowable Application Rate: 1.2 gallons/day/ft2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 375 ft2
f. Effective Depth: 4 feet
g. Reduction Factor = 0.50
h. Width: 5 feet (minimum)
i. Minimum Length: 40 feet
j. Effective absorption area = 400 ft2 (375 ft2 OK)
k. Maximum depth = 7 feet (on uphill side of trench)
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: As can be seen on the attached topography site plan, the lot runs from
approximately east/southeast to west/northwest at a grade of 5-10 percent. In short, there are no
slope concerns.
I am unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact me at 337-6179. Thank you for your
assistance.
Sincerely,
VA;;�
James P. Williams, P.E.
Civil Engineer
LOT 7
PROSPECT kJCMTSK S%D /I
SERVED BY PRNATE WELL /
AND SEPTIC SYSTEMS PER
M.O.A. RECORDS. NO ,/�, 1
HMFNTS ON THE
PROPOSED SEPTIC SYSTEM. WELL
LOT 21, BLOCK 2
� \ PROSPECT HEIGHTS S/b
S�`'v�+
TH/1 '
)
E
APPROXIMATE
LO ION
PROPOSED SEPTIC SYSTEM
c~6 Of
(SEE DESIGN, PACE 2 OF 2) / 0� \
' 1 ' 100WELL FMIUS
/ 1 wETt
,
i
/1
SEPTIC SYSTEM
LOT 16A, BLOCK 2.
PROSPECT YPRIHEIGHTS 5/D W11
ELL ' ' \ SERVED BY SYSTEM WEIR
ANO SEPTIC SYSTEMS PER
' LOT 23, BLOCK 2 i i M.O.A.RECORDS. NO
PROSPECT HEIGHTS 5/b p
SERVED BY PRNATE WELL
AND SEPTIC SYSTEMS PER
M.O.A. RECORDS. NO
ENCROACHMENTS ON THE
PROPOSED SEPTIC SYSTEM.
ALASKA WATER AND WASTEWATER CONSULTANTS, INC.
7320 E. CHESTER HEIGHTS CIRCLE, ANCHORAGE, AK 09504
PHONE (907) 117-6179/FAK: (907) 338-3246
PROSPECT HEIGHTS SUBDIVISION ADDN. #1. LOT 22. BLOCK 2,
Oh WORK:
SITE PLAN
RLPARLD fOR: PHONL NUMULR:
ED AND DONNA SCHELIN 346-9092
JAIL' )NAMN CY: .al/LL: YA.G:
10/1/98 J.L.M. 1 = 100' 1 OF 2
ENCROACHMENTS ON THE
PROPOSED SEPTIC SYSTEM.
............................
-.JAMES P. WLUAMF&
NO. 9608
•••., C.E. :' �d
�i�e '••........••'' foo
�pi.P�olenslo��
APPROXIMATE
APPROXIMATE LOCATION
OF A CUTBANK.
NOTES:
1. THE EXISTING SEPTIC TANK IS TO BE EXCAVATED
TO VERIFY THE INTEGRITY. IF OF POOR INTEGRITY
THE TANK IS TO BE PUMPED, CRUSHED, AND ABANDONED
COMPLETELY; AND A NEW 1000 GALLON OR LARGER
SEPTIC TANK IS TO BE INSTALLED OUTSIDE OF THE
WELL RADIUS. THE EXISTING SEPTIC TANK HAS BEEN
GRANTED A 93 FEET WAIVER ON JUNE 21, 1993.
2. THE CONTRACTOR IS RESPONSIBLE FOR HAVING THE
NORTHEAST PROPERTY LINE AND THE 100' WELL RADIUS
FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO
CONSTRUCTION.
/L� V
QA:) �
WELL
ALASKA WATER AND WASTEWATER CONSULTANTS, INC.
7320 E CHESTER HEIGHTS CIRCLE, ANCHORAGE, AK 99504
PHONE: (907) 337-6179/FAX: (907) 338-3246
ICAL OLSCRIPIION:
PROSPECT HEIGHTS SUBDIVISION ADDN. #1, LOT 22, BLK 2, G
I YPL OF WORK:
DESIGN OF SEPTIC SYSTEM UPGRADE
RLPARLD FOR: rnunc nu,nocn:
ED AND DONNA SCHEUN 346-9092
)MWN UY:
10/1/98 J.L.M.
1 = 40' I 2 OF 2
BULL RUN
DNERTER
DBL CO
\
INC GALLON \
TANKK(SEE NOTES) \
1
1�
,
,
49:P
.v .............
MES P. N1LLAIM$
NO. 9608 ;!
C.E.
..... ec4v
.01
lo
„.
INSULATE ALL PORTIONS OF PIPE THAT WILL
BE UNDER AND ADJACENT TO THE DRIVEWAY.
PROPOSED ORN MAXIM
cXGVATE ID DENIMUM)I
J
fry
8Y 5' WIDE(MINIMUM) BY
40' FEET LONG. ADD 4' OF
CLEAN, WASHED DRAINROCK.
/
O
/Co
DRAINFIELD TO BE INSTAILED
A, /
PARALLEL TO SLOPE CONTOURS. TH#17�
/
EXISTING TRENCH TO BE
J MTA
\
USED AS A RESREVE SITE”
APPROXIMATE
APPROXIMATE LOCATION
OF A CUTBANK.
NOTES:
1. THE EXISTING SEPTIC TANK IS TO BE EXCAVATED
TO VERIFY THE INTEGRITY. IF OF POOR INTEGRITY
THE TANK IS TO BE PUMPED, CRUSHED, AND ABANDONED
COMPLETELY; AND A NEW 1000 GALLON OR LARGER
SEPTIC TANK IS TO BE INSTALLED OUTSIDE OF THE
WELL RADIUS. THE EXISTING SEPTIC TANK HAS BEEN
GRANTED A 93 FEET WAIVER ON JUNE 21, 1993.
2. THE CONTRACTOR IS RESPONSIBLE FOR HAVING THE
NORTHEAST PROPERTY LINE AND THE 100' WELL RADIUS
FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO
CONSTRUCTION.
/L� V
QA:) �
WELL
ALASKA WATER AND WASTEWATER CONSULTANTS, INC.
7320 E CHESTER HEIGHTS CIRCLE, ANCHORAGE, AK 99504
PHONE: (907) 337-6179/FAX: (907) 338-3246
ICAL OLSCRIPIION:
PROSPECT HEIGHTS SUBDIVISION ADDN. #1, LOT 22, BLK 2, G
I YPL OF WORK:
DESIGN OF SEPTIC SYSTEM UPGRADE
RLPARLD FOR: rnunc nu,nocn:
ED AND DONNA SCHEUN 346-9092
)MWN UY:
10/1/98 J.L.M.
1 = 40' I 2 OF 2
BULL RUN
DNERTER
DBL CO
\
INC GALLON \
TANKK(SEE NOTES) \
1
1�
,
,
49:P
.v .............
MES P. N1LLAIM$
NO. 9608 ;!
C.E.
..... ec4v
i
ROSPECT711EGHTSLOT BK S%D /1
S LL
.0 SYSTEMS
^RDS. NO
,'CRO ^
PRO .m0 SEP11
WE
LOT 1,
RDSPECf HEI H 5 / 1
�\ ♦ 1/1
'.SIN °PD T
n•
S� PRO OSED SEPTIC SYSTEM 'P?
(SEE OESICN, PACE 2 OF 2)�y�o4Y! "
a
^ IM T ON
18A BOC 2,
P PE EIGHT S/D
ERVED A ELL
AND SEPTIC S PER
LOCK 2, L1.O.A RECO S. NO
PR ECT HEIGHTS S/O 1 ENCROACHME S ON THE
SF +ED 9Y PRIVATE PROPOSED _DTIC SYSTE
A J SEPTIC SVSTE PER
M.O.A. RECOROS NO
..NCROACH4 ENTS
PROPOSED SEPTIC EM.
SA ATER +
7320 H C CIRC , AN 9
PHONE: 07) 7— 179/F (9 B
..LCA. OLSCRIPI :N:
PROSP T HEI HTS S BDIV 10 DN. 1 L CK 2,
E OF WO K:
SITE LAN
•RLPAR ' IDH:
AND NNA SCH 1 0
LV L:T .v r c:
1 F 2
ALASKA WATER & WASTEWATER
I SOIL LOG — PERCOLATION TEST I
LEGAL DESCRIPTION: PROSPECT HEIGHTS S/D AODN. 11; LOT 22, BLOCK 2,
PERFORMED FOR: ED AND DONNA SCHEUN
DATE PERFORMED: 9/24/98
(feet ORGANICS TEST HOLE #1
7 �
2
6
9
10
11
12
16
TY/
f tl
— TIGHT
cf
:d- SYV/GW
C
o:.
a
d
SP/SW
B.O.H.
SOIL CLAS
GIN
CATION!
ORG
:' •'
GP
1 11 111 1
ML
r 116; I
GM
ME IN LESS
CL
i
GC
:I:I'
OL
SW
MH
'� =•
SP
CH
SM
OH
�✓ard,
Sc
DATE
DRY 1 10/1/8C I
/I'll :` SITE PLAN
100'
EXISTING
TH/ SEPTIC
SYSTEM
APPROX.
LOCATION
PROPOSED SEPTIC SYSTEM
(SEE OESICN, PACE 2 OF 2)
i 5
1i1�F,y1M' WEL) i, WELL
1
DATE
READING CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
9/25/98
– FILLEE PERC CA
3 TIMES, DPJ
INED OUT EACH
ME IN LESS
THAN 1
IINUTE. H LE ABSORBI
D WATER AS. Fj
Sr AS IT WAS Al
DED.
19PERCOLATION RATE <1 (MINJINCH) PERC. HOLE DIA. 6' (INCHES)
20�I —JI TEST RLN BETWEEN 5.0 FT. AND 5.5 FT.
COMMENTS: INSUTI SAND AT 9 FEET WILL ACT AS A D FlLTER.
PERFOMED BY ALASKA WATER & WASTEWATER I, 1 iv– CERTIFY THAT
THIS WAS PERFORMEDN ACCORDANCE WITH ALLTE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS
DATE. DATE d I `l
`\ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
I ENVIRONMENTAL ENGINEERING DIVISION
j 825 L Street • Anchorage, Alaska 99501 Telephone 264.4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
/NE .(�
2Y' ._ /f4
ONEW
O UPGRADE
MAILING ADDRESS
s ►e C; r►►t ,e 2
LEGAL DESCRIPTION
Lot 22 G e 2 Pivs4led Ileigillf
LOCATIONNO.OF
{U erONso/V UffSr11u off /a/Ons PfCr u�%/ {6'frer
BEDROOMS '
3
O
DISTANCE TO:
Well10/
Absorption area ,�
Dwelling 7.1
PERMIT NO.
_Y
HZ
Wf-
Manufacturer
G/rrr
Material Nr
No. of compartments
to
Liq. capacilyin allons
Inside length
Width
Liquid depth
ti Y
DISTANCE TO:
Well
Dwelling
PERMIT NO.
S?OzF
Manufacturer
Material
Liquid capacity in gallons
DISTANCE TO:
Well
//�
Foundation
22
Nearest lot line ♦
PERMIT NW=
O. n D/ZO
ZW
No. of lines f
Lenflth of each line /
Total length of lines o
Trench width
24einches
Distance between lines
s..
Top of tile to finish grade
Material beneath tile
inches
Total effective abs or tion area
W
V
Length
Width
Depth
PERMIT NO.
i a
W
Type of Crib
Crib diameter
Crib depth
Total effective absorption area
DISTANCE TO:
Well
Building foundation
Nearest lot line
Class
Depth
Driller
Distance to lot line
PERMIT NO.
W �
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
L
i
PIPE MATERIALS
C 1 /P
SOIL TEST RATING _ fl '� r r
INSTALLER
t tr 4 f P Or ACAe;rc/t .f
6•
3G' 0
/9
REMARKS
APPHOVED DATE LEGAL
11-12-62- U
72-0 13 1rtev. W78)
ff1 0'A ''1' DR,1L L11N V OO l
Dox 13GOp STr1R ROUTE A ANciaoxtAGE,, Ax.AsuA 99502
34n-7714 _
SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF Z?S
DRILLED AT THE RATE OF 122.00 PER FOOT.
PROPERTY OWNER nt. Ed Scheun 276-2363
LOCATION OF WELL SITE Lt. B.tk.. sub.
DRILLER Bein c Clain a.A Paapa,tt Dn LLUzu. !Jo&k4.
WELL LOG:
0-----23' S.t,Ltty ;,tavaL. A dry. mate4 i.a,L wd th 30;'5 c, cj .L.indet.
23---325' Bedrock.. R 4edircmta uj..tack-.
Ro water p&oducti.on 4how.ing unt.i,l. 260 •sect. 7 -ton 260 to 276 ..eet a wet gAar LUat
t 1pe tock t�,Letd q ¢Gout 1/2 C,71,7.
To•taL urate t p toduati.oa 4howbu7 50 gat4
pet haws.
1200
qzt 4 pet 24 Nowt .t iae J iwm.
To•taL water .tecovevj. or_ --uLL draw down
eveW 12
houA4.
Sone adtcZUonat ltndLLCtion ./tom 300 .to
325 feet.
At4a
.tht4 1JeU. 4hou.Ld. iacAea e-
.tn pto&c, ,loa wZM. u4c .to a aC44,l ie 75 to 85 gala pet howl.
R One llorae Subne,%4Z&tc Tuan 4houW be .in�•ta tcd 20 4et ag Lo•tton.
Co-dt o;L D.t.LIl irrt: 522.00 pet Pot X 300 deet artb ;;6600.00
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF '$6600.00
THANK YOU VERY MUCH.
BERNIE CLAUS OF RAMPART DRILLING WORKS
DATE lane 27th, 1982 Q
r. �
RL I T'r• QF FirJr F 7F?n
DEPARTMENT - HEALTH AND ENVIRONMENTAL PROTECTIO,'
i 8.-25 'L' STREET, ANCHORAGE, AK. 95501 �
254-4720
i -.IEEE F-IrAE> CDr4-_.ITE SE14EF= PEFRt•1 I T
PERMIT NO. ( 820170 )
APPLICANT ED SCHELIN 6910 CRANBERRY 2434554 )
LOCATION
LEGAL L22 E2 PROSPECT HTS ADD 1 LOT SIZE 98000 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSG FT/SP)= 95`
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
G4EPTH= E+ LEr-IGTH= 25 rF F=ikrEL C•EPTH=
THE LENGTH DIMENSION IS THE LENGTH CIN 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 CIN 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 CIF! FEET). .
F= EY,:U I F:EC• SEPTIC _rn"K 1LIDCFO 0nL_L_or4EE;
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.
Tt40 ti_ ? ? AF�E F?C- QU I FR.EC• ---
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 THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS APE
AVAILABLE TO INSURE PROPER INSTALLATION.
PEF;:'M I T EXP I F?ES C•ECEME:EFs M:1, 1 E+52
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 THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED:--?
---------------
APPLICANT EDcCHELIN
ISSUED BY -- -- ---DATE------�-�-- o -Z
cV4. 0
SOILS LOG
MUNICIPALITY OF ANCHORAGE
•� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION
825 L. Street, Anchorage, Alaska 99501 2644720 TEST
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: C [✓ _ / DATE PERFORMED:
LEGAL DESCRIPTION:_ L Z Z
rD
Q �5 yled
r /]'Q /G 4
DEPTH SLOPE / SITE PLAN
(FEET)
1
2S
5
6
7
a
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
l d9,zJ J
)2er p 9 -O%W.
L
I
WASGROUND WATER /�S L
ENCOUNTERED)
P
IF YES, AT WHAT /�� .i E
DEPTH?
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
F . r
PERFORMED BY: Jd' /"%. %'4• CERTIFIED BY:
72.008 (6/79)
DATE:��1
Municipality of Anchorage
Development Services Department 49
Building Safety Division
— Onsite Water & Wastewater Program
4700 South Bragaw St.
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 (/ (/
Parcel I.D. 015-091-23 HAA# h �) �h' RO 3
1. GENERAL INFORMATION Expiration Date: ! .— — 19 — 03
Complete legal description _PROSPECT HEIGHTS 111 SUBDMSION- LOT 22 BLOCK 2
Location (site address or directions) 9401 SLALOM DRIVE • ANCHORAGE AK * 99507
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
DANIEL HOLDER k NINA ANDERSON Day phone 349-6749
9401 SLALOM DRIVE ANCHORAGE AK. 99516
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
0
Individual On-sfte
-Individual Water Storage
❑
Individual Holding tank
❑
Communfty 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 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 samples. (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.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, 1 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 is(are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. 1 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 is(aro) 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 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineers Comments:
In conducting this evaluation, AKW WC, Inc. attempted to provide a thorough,
conscientious engineering analysis of the system In accordance with ADEC and MOA
DSD Guidelines 6 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 fam#y 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. AKWWC, 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 H confer any legal right whatsoever.
5. DSD SIGNATURE
✓ Approved for bedrooms.
Disapproved.
Phone 337-6179
Date 8 Z6 0
Conditional approval for bedrooms, With the Illowing stipulations: `�11tt1YlOFrrq��4
M'i
�r VIIF i
WATER AND
PROGRAM
Attachments: ,`
HAA Checklist Manitenance Agreements /���
Septic System Advisory Supplemental Engineers Reort
Well Flow Advisory Other
By:—
L /��, / &I Original Certificate Date:
(Rw. 1201)
Municipality of Anchorage
' Development Services Department
Building Safety Division
OnStte Water & Wastewater Program •'' " -
47W South Bragaw St.
P:O. Bou 196650 Anchorage. AK 995196650
www.d.ardxnge.ek.us
(907)943-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: PROSPECT HEIGHTS S/D #1: LOT 22, BLOCK 2. Parcel ID: 015-091-23
A. WELL DATA *CASED TO BEDROCK
Web type PRIVATE if A, B, or C provide PWSID/f N/A
Date completed 6/27/1982 SaNtary seal (YM) YES
Total depth –.L25-11. Cased to 023 ft.
FROM WELL LOG
Data of test 6/27/1982
Static water level U.K. ft.
Well production 0.8 g,p,m,
WATER SAMPLE RESULTS: dD
Coliform �k _ colonies/100 ml. Nitrate 0- 14 *1 mg./L.
Well Log (YM) YES
Wires property protected (YM) YES
Casing height (above ground) 18+ in.
AT INSPECTION
8/20/2003
34 lt.
0.42 g.p.m.
Other bacteria '1%, colonies/100 ml.
Arsenic: N/A mgA. Date of sample: 8/20/2003 Collected by: AKWWC, INC.
8. SEPTICIHOLDING TANK DATA
Tank Type/Materhd STEEL Date installed 11/19/1982
Tank size 1250 gal. Number of Compartments 2 Cleanouts (YM) YES
Foundation cleanout (Y/N) YES Depression over tank (YM) NO High water alarm (YM) N/A
Date of pumping 8/22/2003 Pumper A+ HOME SURVICES
C. ABSORPTION FIELD DATA
Date installed 10/23/20039 8 Soll rating .p.d r fbd 1§ System type TRENCH
Length 45/36 ft. Width 5.0/2.0 fL Gravel below pipe 4.0/4.0 ft.
Total depth 8.00-8
0.5 fL Ef, absorption area 285450/7 ft' Monitoring tube YES Depression over field NO
Date of adequacy test 8/20/2003 Results (Pass/FalgOtPASS For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added 908 gal, New depth 15.5 in.
Elapsed Time: 183 min. Final fluid depth DRY in. Absorption rate >" 450+ g,p,d,
Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) NONE KNOWN If yes, give date –
**TESTED 1972 DRAINFIELD. NEW DRAINFIELD DRY ON 8/20/2003
D. LIFT STATION
Date installed Size in gallons
"Pump ore level at _in.
E. SEPARATION DISTANCES
High water alarm level at -in.
Cycles tested Meets alar & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tanknift station on lot 093'
Absorption field on krt 100'+
Public sewer main N/A
Sewer /septic service line 25'+
+WAVER GRANTED ON 6/21/1993
(WR930031)
On adjacent Iota 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout 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'+
100'+
Wells on adjacent kyts 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property Una
003'+
Building foundation
10'+
Water main N/A
Water service line
10'+
Surface water
100'+
Driveway, parking/vehicle storage 1'+
Curtain drain NONE KNOWN Wells on adjacent kits 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION �4.%'�,r11- 11-:
I certify that I have determined through field inspections and 4 ... • • •...
review of Municipal records that the above systems ere in
conformance with MOA HAA guidelines in effect on this date. • • •. • . • „ .,, ... • • ..,.. ,
Engineer's Printed Name JEFFREY A. GARNESS 4• -7953
Date Foro59
HAA Fee $ ?) 1
Date of Payment I - 1 03
r
Receipt Number
(Rev. luoi)
Waiver Fee $ I s Q
Date of Payment II f9 -6 -os
Receipt Number " I k fiz
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
Water Well Advisory
Health Authority Approval # 030468
During a recent Health Authority Approval on-site inspection and test of the
potable water supply well on Block 2, Lot 22 of Prospect Heights #1
subdivision, the well's productivity was determined to be 0.42 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.
e— 2-03;11:40AM;
SGS Ref #
1035362001
Client Name
AK Water& Wastewater Consultants Inc.
Project Name/#
Prospect Hts N1.1.22. B2
Qient Sample ID
Prospect Hts 9l, L22, B2
Matrix
Drinking Water
Sample Remarks:
;007 5815301 • 2/ 3
All Dates/times are Alaska Standard Time
plated Date/time 09/0212003 1126
CollectedDateftime OWI/2003 5:00
Received DoteMme 08212003 1320
Technical Director eStephe .Ede
Relaxed
Parameter Qualifiers Results PQL Units Metal Comairermk LIMits Prep Mulnts Init
to tc
Water& Department
Nitnte•N 0.147 0.100 mg/L IPA300.0 B (<'10) 0821/03 JJB
6
ALASKA WATER � WASTEWATER
CONSULTANTS, INC.
July 8, 2003
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Lot Line Waiver for Lot 22, Block 2; Prospect heights Subdivision.
To whom it may concern:
We request that your department issue a 3 foot lot line waiver from the northwest property line to
the existing drainfield. I am unaware of any adverse impacts this waiver would have on adjacent
wells or septic sy ems. If you have any questions, please contact us at 337-6179. Thank you
for your assistance
3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507
Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: akwwc.com
9/15/2003
Municipality of Anchorage
:tfiirk IIct/ich, Mayor
Btlilding Sttfcty Division
P.O. Ikrc 196650 • 4700 13ragaw Strect
Anchorage, Alaska 1X)511)-((')50 • (907) 343.8:301 • ram ((X)7) 343-82(X)
h Iti):H%ti iv.numi.org
Jeffrey A. Gamess
Alaska Water & Wastewater
3701 E. Tudor
Suite 101
Anchorage, AK 99507
Subject: Waiver Request for Prospect Heights #1 Block 2 Lot 22
Waiver Request #WR030081
Parcel ED #015-091-23
IIA030468
Dear Jeffrey Gamess:
Your request for a waiver of the required 10 feet horizontal separation from the
absorption field to property line has been approved. The approved separation distance is
3 feet.
This waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site wastewater disposal system will require all
separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
Jeffrey W. Poet
Engineering Technician
On -Site Water & Wastewater Program
s�rrrr
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
Waiver Review Worksheet
WR#: 30081 PID#:015-091.23 HAM 030468 Permit#:
Date Received: 9/15/03
Legal Description: Prospect Hefahts #1 Block 2 Lot 22
Engineer. Alaska Water 8 Wastewater
3701 E. Tudor Road suite 101
Applicant: Daniel Holder & Nina Anderson
Waiver Requested:_3 foot Lot Line waiver from the Northwest Prooertv Line to existing Drainneid
Criteria: Geology Points:
A. Water Table
B. Soil Sorption
C. Per ieabiiity
D. Water Table Gradient
E. Horizontal Separation
Total:
......... ..................................................... .......... ......r
Waiver Is Granted: Waiver is not Granted:
List Conditions or Reasons for above:
Date: By:
Name of Reviewer
...............................
was ... ago ... ...... ....... a.... a..... a ... .a.... ar
Rec#: 41668 Amount $150.00 Date Paid: 9/15/2003
p LY 42°l 026.
(J 7 GRAVE. GRIVMAY �
°
� Y
} tl
00,
d
Y
'• 4tY�. i 3
EATELLITe
DIY.
295.29
PATIO
OWELL O
81
AS BUILT SURVEY
NO GARNERS SET iH15 DAZE SCALE: 1' Y SP
I HEREBY CERTIFY THAT I HAVE PERFORMED A
MORTGAGEES INSPECTION OF THE FOLLOWNO
DESCRIBED PROPERTY
LOT =. BLOCK 3. PROSPECT HEIGHTS NO.1
o.BA.t,y�s�a^
49 TH
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOWANY CONFLICTS BETWEENPROPERTYLINESMDMOVISIBLEENCROACIIMENT;
o°Yy"
EXISTING STRUCTURES AND RUTTED LOT UNES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL
.............................
STRUCTURES OR FENCELINES
SHANE A. HOLT ,• ��
LS -8914 v
In
'a
V`,`°A ....... °. o
�OO000��
N
HOLT LAND SURVEYING .BSL. F845415.1O
T--67
e
P
N
Z°25
N 59
295.29
PATIO
OWELL O
81
AS BUILT SURVEY
NO GARNERS SET iH15 DAZE SCALE: 1' Y SP
I HEREBY CERTIFY THAT I HAVE PERFORMED A
MORTGAGEES INSPECTION OF THE FOLLOWNO
DESCRIBED PROPERTY
LOT =. BLOCK 3. PROSPECT HEIGHTS NO.1
ANCHORAGE RECORDING DISTRICT. ALASKA AND TH
THE IMPROVEMENTS SITUATED THEREON ARE WTHI
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOWANY CONFLICTS BETWEENPROPERTYLINESMDMOVISIBLEENCROACIIMENT;
EXISTING STRUCTURES AND RUTTED LOT UNES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL
OTHER THAN NOTED.
STRUCTURES OR FENCELINES
DATED ATANCHORAGE, ALASKA THIS
EASEMENTS OF RECORD. OTHER THAN THOSE SHOWAR
N ON THE RECORDED FLAT. E NOT SHONN HEREON.
_-BTM _
DAY OF—AUGUST NOS
HOLT LAND SURVEYING .BSL. F845415.1O
T--67
NOTEMy FENCELINES SIgNNME LOCATED APPFtOAMATELY AND ME NOT TO BE USED TO DETERMINE PROFERTY UNEI
TEL 745-S513
ALIG-20-2003 12:28P FROM:A+ HOME SERVICES, IN 907-868-6770 70:3383246 P:111
h
•y1IV � IV« �y0
A+ HOME SERVICES, INC;._
7501 E. 140th Avenue
Anchorage, Alaska 99516
345-1890 �`�
CUSTOMER ? �n
• an Mee& & can Anderson
_ 940�1a14Di
Anchorage, AK 995 6 1
AI, A, Inv
INVOICE# 22500
DATE
DESCRIPTION
AMOUNT
rump Sew--- --
$95.00
Week of SepL 73rd
/D � ie� J�. rz . faX�✓
349-6749
TOTAL
REMARKS
��
%� Gallons Septic Leach Area _.Holding Tank
r
Standpipes o'D Time
❑ PROBLEM AREA —CALL FOR MORE INFORMATION
❑ NEEDS TO BE DONE AGAIN IN 6 MONTHS
Good Shape ❑ sludge buildup on bottom
Floater on top
❑ Jim cap missing or ❑ Cut standpipe to V above ground
❑ Needs Septictrine
needs replacing
'010010X7 I� 1,
O
V0*
••,TOA ►Olt OOJ
A+ HOME SERVICES , INC.
CUSTOMER
7501 E. 140th Avenue
Anchorage, Alaska 99516
345-1890
Lot
�.7111 w . - ---I 1 1
1•, 1
INVOICE #
25742
DATE DESCRIPTION
AMOUNT
Pump Septic for adequacy teat
595.00
45
ti 4
9/021200 pHom 2
Teak local«! 10' from NE comekokhku
TOTAL
!�
RE KS
U Gallons ✓Septic Leach Area Holding Tank
❑ PROBLEM AREA— CALL FOR MORE INFORMATION
❑ NEEDS TO BE DONE AGAIN IN 6 MONTHS
Good Shape ❑ sludge buildup on bottom
❑ Jim cap missing or ❑ Cut standpipe to 1' above ground
needs replacing
StandpipeV/i� Qy Time
❑ Floater on top
❑ Needs Septictrine
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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel LD. # 015-091-23 \•
GENERAL INFORMATION
HAA#
Complete legal description —Lot 22; Block 2 • Prospect Heights -TIL
Location (site address or directions) 9401 Slalom Drive
Anchors a AK
Property owner —rA A nnnn- cznhpiin Day phone aaF-Qoa?
Mailing address 9401 Slalom Drive Anchorage, AK 99516
Lending agency
Mailing add
Day phone
Agent Careen Nnir a r- rayitn n r Day phone 440-2899
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3 y
3. TYPE OF WATER SUPPLY:
Individual well XX-
Community well
Public water
NOTE:: If community well system, provide written confirmation from State ADEC attest -
Ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site XX
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
pass (R... war) F, ww On
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 o his inspection.
Alaska Water & Wr �3 %� 6/75
Name of Firm r 34 .."1 ar •�G•//f� Phone
Address 7320 Rj1?2WMFjF
ALASKA WATER & WASTEWATER CONSULTANTS INC �(� OF
IS TO BE PAID $2450.00 AT CLOSING FOR Q
ENGINEERING SERVICES PERFORMED. t1�7�'I7-0 70
J01 � JeH YA. Gammt � W
`, t%uT .•• CE -7953 •vii
6. DHHS SIGNATURE Q89Fo••..,«•,..••P���
V
Approved for THREE bedrooms.
Disapproved.
Conditional approval for
Additional Comments
a
4t1TIC
bedrooms, with the following stipulations:
Date /0
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an Independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesyto purchasers of homes.
and their lending Institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not
conduct Inspections or analyze data before a certificate is issued. The Municipality of Anchorage Is not
responsible for errors or omissions in the professional engineer's work.
M= MW IM) e.a uw m
FCFIVE
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES OCT6 e
Environmental Services Division
825 L Street, Room 502 • Anchorage, Alaska 99501 RACE
orvlsra,
Health Authority Approval Checklist
Legal Description: 1-.1• ZZ &eck 2 Aal t3cr PEJ&Nr Parcel I.D.: 615 -(t91 -Z3
.Suaoinst•r► I
A. WELL DATA
Well type PiZ vifgf If A, B, or C, attach ADEC letter. ADEC water system number
Log present ®N) `(o S Date completed `/27 /+m
Total depth :325 Cased to Z 3 (&OKOc$L- Casing height (above ground) 2'f
Sanitary seal (VN) %iES Wires properly protected o N) Vp 5
FROM WELL LOO
Date of test 6 /27 /SZ
Static water level U. K.
Well production 0.8
WATER SAMPLE RESULTS:
AT INSPECTION
g /18 /ma
l 1'f I
g.p.m. 0-(.(. —
g -p.m -
Coliform �0 Nitrate 0.43(. M, jL- Other bacteria 0
Date of sample: to /1'1/qB Collected by: _ALAsrA WRrs- 11= Iaiwrewlrlm C.09•~rs
I wlc.
B. SEPTIC410LDING TANK DATA
Date Installed I 1 I Tank size I ISO Number of Compartments Z Cleanouts &N) Y sg_
P.
Foundation cleanout (IDN)YF4 Depression OYN) �y High water alarm (Y(fb N o
Date of Pumping i8 °%g Pumper A-& l&+c&F
C. ABSORPTION FIELD DATA
Date installed ID /Z.3/9 E Soil rating jgp.d oMlr/bdrm) 1-7- System type 'faa W -A
1 I
Length yS Width S Gravel thickness below pipe 1 Total depth S I -9.6,
Effective absorption area 146010 Monitoring Tube present (9/N) YES Depression over field (Y4% IJo
Date of adequacy test Results (Pass/Fall) For 3 bedrooms
Fluid depth In absorption told before test (in.); -- Immediately after= gal. water added (in.):
Fluid depth -- (Ins) Minutes later. Absorption rate = c.p.d.
Perodde treatment (past 12 months) (YM) If yes, give date
72-028 (Rev. 3196)•
D. LIFT STATION is )ot
Date installed
Manhole/Access
High water alarm
E. SEPARATION DISTANCES
'Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot C 931
Size in gallons
'Pump off" level at'
On adjacent lots 100 1t
Absorption Held on lot 1001+ On adjacent lots
Public sewer main PJ I4 Public sewer manhole/deanout N / A
Sewer /septic service line Z!51 + Lift station
tiAW&t- C.Axo r&p eel (o/LI /93 iwR R 3oc3I
SEPARATION DISTANCES FROM SEPTIVHOLDING TANK N LOT TO:
Foundation 5 Property line 1513 Absorption Held 10 �+
It
Water maiNe line 10 + Surface water/drainage)Dolt Wells on adjacent lots I UO
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
�
Property line C51f Building foundation I 00,:L Water main/service line I o
r
Surface water 100 r+ Driveway, parldng/vehicie storage area ZS
Curtain drain Nowt ko4or.34 Wells on adjacent lots JOD It
F. ENGINEER'S CERTIFICATION
1 certify that I
in conforrnan
inspections and review of Municipal
1s in effect on this date. /
Signature
Engineer's Name A * �6SJ i
Date /v v6
o�
HAA Fee $_,3 D 0. c7 Waiver Fee $ _
Date of Payment /'0 '1 ! Date of Payment
Receipt Number T7 b � Receipt Number
72-026 (Rev. 3196)•
are
%q1I
h� .I
MUNICIPALITY OF ANCHORAGE
M E M O R A N D U M
WATER WELL ADVISORY
HEALTH AUTHORITY APPROVAL NO. 9 $ 0 3 10
During a recent Health Authority Approval on-site inspection
and test of the potable water supply well on Lot
Block _� of PI O!SPE'e�T &6JP ZWSubdivision, the well's
productivity was determined to be 0,44 gallons per minute.
The minimum well productivity required by this Department
(AMC 15.55) for a 3 bedroom residence is0 .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.
7320 EAST CHESTER HEIGHTS CIRCLE • ANCHORAGE. ALASKA 99504 • PHONE. 337-6179 FAX: 338-3246
LEGAL
STREET
WELL FLOW TEST DATA
CLIENT- En Aao WMA •S OEWJ PHONE NUMBER- 34L-`io9Z
NUMBER OF BEDROOMS F.H.A. - FOUR HOUR FLOW TEST: MEASUREMENTS IN ME)
YES / gD
TEST DATE START____'_1,/_Id1s TEST DATE END `1 lE q8 z4
WELL DEPTH (PER WELL LOG): $zg1
CASING DEPTH (PER WELL LOG): 23' (9EP0_-CK _
CASING HEIGHT (ABOVE GROUND): 2y"+ M
DEPRESSION AROUND WELL:- YES
SANITARY SEAL:- <0 / NO
WIRES IN CONDUIT: (!V) / NO
WATER SAMPLES TAKEN: Q/ NO IF YES, DATE: 1,0/1.11116
TIME
METER READING
FLOWRATE
(G.P.M.)
WATER LEVEL
(BELOW TOP OF CASING)
DRAWDOWN
H:2N
280-16
STATIC = 114'
• O
�•
SZ'
�B ••{•oTh�-
�1:53
2 6.S'
1964 71 = G.57
257'
—loss - 143' To L
1z 9 3C.0
4.0-7
312
5:1$
28361.9
0.15
31-4'TAI-
5:2�
1Z83Lc.2
6.61
&test OFF
--• 19EZ14
ca4ajtY
5; 21
93 ----
Rcnkea OFF
311'
4- 1' TorhL-
5
1310
+0 /4-7' reT ,.
5.31
• s1S.
0.-7'1
3og
411 tqI
5'ss
0. •74
3o-7
41' •t s
15f so
0.19
799
+ ' + 13
5':SB
0.7
-Z
+f 4'.4.1.1-r1
6.04
Z$ 60
6:112
8719Ie
0.66
WELL PRODUCTION MEASURED O �• G(o'r'
COMMENTS:
. OCT -23-93 13:31
FRW{TE ENVIRONI/ENTAL
CT&E EnvitOnntontal Services Inc.
AL
6615301 T-160 P.02/03 F-261
CUE Re1.N 986099001 CtlenL Pt7r
Cllent Name AK Water g Wattcwucr Conml=rs Inc. Printed Da[e/ ITme 10123/98 11.12
Clkmtprojecl Namur nh t3Ff B 007. Printed
Date/rime 10,'19/96 18:00
Client Sample ID PROSPECT HTSX L22,R2 Received Date/rime 10,20198 09:38
Hatrix Drinking Weser
Ordered By Te"cal DReaor.. Stephen C. Ede
Urde
PWSID 00000
Rclttased By
�wsamNlex=uLiw
►a ranapr OaLAttowame Crop Anilrafs
RotulLa IA1ITa vww Lioits Date 04TO
Infi
MiLnMM O.C36 0.100 ey/L EPA U0.0 10 ets• 10/27/90 10/20/90 ecP
rt
MUNICIPALITY ANCHORAGE
• DEPARTMENT OF HEALTH &HUMAN SERVICES �t
Division of Environmental Services
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # D15 -CAI -P-5
1. GENERAL INFORMATION
Complete legal description 4or 22, alk 2, P(ioSPECi IferGerS. .AooN.tai
Location (site address or directions) 9'y 01 SlaloM prime
Property owner 6d ScAe(on Dayphone 273-SZdr
Mailing address 9-2`01 Slalac, Or1vc,, Arch005o.e f}cc 995le,
Lending agency Norf-hrlm bank Dayphone- 562-0062
Mailing address —3fit 4C" St.; A� ncl�Qe, Ak 99503
Agent N. A. ( Re Fnanc-C) Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 2
3. 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(Ati'.1r91) 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 furtherverify 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.
W41( - SephC d- Pro/)erky 4111[ ccw07✓t1-t need,-&(
Name of Firm FlafLp 7-[c/1n'tca/ _�'e/✓Ice/ Phone 799--i3Ss-
Address /v S' 3 D Echo Siy Ani e, Ak 995-/6
Engineer's signature TA.o-et � Date tun e 7, 993
6. DHHS SIGNATURE
M
A,
Y 49to
T" .y c
Lot ..................:...
. THEODORE F. MOORE ; C
�¢
CE - 3539 ihq
'd
—,Y\_ Approved for 2 bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Additional Comments %N/S /y, A . A. / T f/!R R f f /.vAN! t .
Date /,- 21- !'-?
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 (Rot. 1/911 Back MOA 121
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: LoT 22 Bk 2 PRosrccr Nrs Parcel I.D.
ADON, #1
A. WELL DATA
Weli type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) %1 Date completed /e12T/82 Driller RAMPART
Total depth 325 Casedto 231 6810100:: Casingheight 284
Sanitary seal (Y/N) r Wires property protected (Y/N)
Absorption field on lot to 5 ; On adjacent lots >/00,
Public sewer main N.A Public sewer manhole/cleanout M•A •
Sewer service line X 851 Petroleum tank MJNf otssER✓ED
� SGnova%7tn du/c�nc� Gva1✓t�' rKQurlYd
WATER SAMPLE RESULTS:
Coliform O col`110OM4 Nitrate 0.71 V/ -Q Otherbacteria Am, ederk-C
Date of sample: 5113 )93 Collected by: FLATIJP TECH SVC!;
B. SEPTIC/HOLDING TANK DATA
Dateinstalled ((119182 Tanksize 1250 GA4. Compartments
Cteanouts (Y/N) Foundation cleanout (Y/N) N Depression (Y/N) N
High water alarm (Y/N) ILA Alarm tested (Y/N) N. A
Date of pumping 51f3193 Pumper f SAAB s
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s)onlot 921* from C•0• Onadjacentlots %1001 Foundation 7
To property line > 101 Absorptionfield S' Water main/service line e=90
Surface water/drainage > /oo'
72-026 (Rev. 791) Front CONTINUED ON BACK PAGE
0
FROM WELL LOG
AT INSPECTION
K
G/2-11gi
/I
SIISf93
0
��
Date of test
C
rn
Static water level
40
0 °i.
Z
M
Well flow
0.16 g.p.m.
0 8
xo
g. rr�
co
Pump level
3 fS
= `0
(n
w
IT
(Do
�.m
SEPARATION DISTANCES
FROM WELL TO:
m m
Septic/holding tank on lot*
4y • �•
; On adjacent lots > 100'
N
Absorption field on lot to 5 ; On adjacent lots >/00,
Public sewer main N.A Public sewer manhole/cleanout M•A •
Sewer service line X 851 Petroleum tank MJNf otssER✓ED
� SGnova%7tn du/c�nc� Gva1✓t�' rKQurlYd
WATER SAMPLE RESULTS:
Coliform O col`110OM4 Nitrate 0.71 V/ -Q Otherbacteria Am, ederk-C
Date of sample: 5113 )93 Collected by: FLATIJP TECH SVC!;
B. SEPTIC/HOLDING TANK DATA
Dateinstalled ((119182 Tanksize 1250 GA4. Compartments
Cteanouts (Y/N) Foundation cleanout (Y/N) N Depression (Y/N) N
High water alarm (Y/N) ILA Alarm tested (Y/N) N. A
Date of pumping 51f3193 Pumper f SAAB s
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s)onlot 921* from C•0• Onadjacentlots %1001 Foundation 7
To property line > 101 Absorptionfield S' Water main/service line e=90
Surface water/drainage > /oo'
72-026 (Rev. 791) Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent(Y/N)
High water alarm level
"Pump on" levet at
Meets MOA electrical codes (Y/N)
Manufacturer
Manhole/Access (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
"Pump off" level at
Cycles tested
Surface water
D. ABSORPTION FIELD DATA
Date installed ' 11 /19182 Soil rating q5 D' 4BCRM System type TRENCH
Length 361 Width.
Gravel thickness 4 Total depth 9
Total absorption area 289 ar Cleanouts present (Y/N) Y
Depression over field (Y/N) N Date of adequacy test 5 / 189 3 _ s'/ 21 /9 3
Results (pass/fail) for 2 bedrooms
Peroxide treatment (oast 12 months) (Y/N) —NONE KNOWN If yes, give date N.A ••
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot 105'Onadjacentlots >/O0� Propertyline_30
To building foundation l3� To existing or abandoned system on lot N. A•
On adjacent lots > 5°� Cutbank N.A. Water main/service line q' 90'
Surface water > too' Driveway, parking/vehicle storage area Sr
Curtain drain 1409E o13&1R✓Eb
Y, Lol- lint waiver ne"o(
E. ENGINEER'S CERTIFICATION
I certily that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on QQ&t2 of this inspection.
VnQ
Signature �%^� J
Engineer's Name Th eo w -o --e F. me, a %yLaw
.... ..............
Date MtnP 7. 1993 Oj � � HEOOORE r. MOORED-
' Yl.; CE -3589
.o Ittvk: ••0 ....... � n Ar
HAA Fee$ 170. op
Date of Payment
Receipt Number `� Lt n Lps
72-026 (Aft. Y➢i) Back MOA 21
Waiver Fee: $ If f/) . o o cue Il — fan k
Date of Payment Io" LS3
Receipt Number a�-t7US
=r
COMMERCIAL TESTING & ENGINEERING CO.
► ENVIRONMENTAL LABORATORY SERVICES
$-. Cf 1. RE
Chemlab Ref.# :93.2163-3
Client Sample ID :L22 B2 PROSPECT HTS C1
Matrix :WATER
Client Name :FLATTOP TECHNICAL SRV
Ordered By :T.F. MOORE
Project Name
Project#
PWSID :UA
ANALYSIS
COURTYARD HOSE*
Sample Remarks: ROUTINE SAMPLE COLLECTED BY: T.F.
WORK Order
Report Completed
Collected
Received
Technical Director
Released By
5633 B STREET
ANCHORAGE. AK 99518
TEL: (907) 5622343
FAX: (907) 5615301
:66031
:05/17/93
:05/13/93 @ 15:35 hrs.
:05/13/93 @ 16:00 hrs.
S C. EDE
C• G
QC Allowable Ext. Anal
Parameter Results Qual. Units Method Limits Date Date Init
------------------- ---------- ------------�-----------
---------------------------------------
Nitrate -N 0.76 r mg/L EPA 353.2/300.0 10 05/19 LLH
* See Special Instructions Above UA = Unavailable
** See Sample Remarks Above NA - Not Analyzed
U m Undetected, Reported value is the practical quantification limit. LT = Less Than
D = Secondary dilution. CT = Greater Than
%hI SGS Member o: the SGS Group (SocidI6 (3dndrale de Surveillance)
ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA
ti Municipality of Anchorage
Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
June 21, 1993
Ted Moore, P.E.
Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
Subject: Waiver Request for Lot 22 Block 2 Prospect Heights -#-2 }1I
Waiver Request #WR930031, PID #015-091-23, HA930285
Dear Mr. Moore:
Your request for waiver(s) of the required 100 foot horizontal
separation of a septic system to a private well has been approved.
The approved separation distance(s) are the private well to the
septic tank 93 feet and the property line 3 feet.'
This waiver approval applies to the existing septic system to
well separation only. Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Sincerely,
Daniel J. Roth
Civil Engineer
On-site Services
13m: #6
Concur:
J hn Sm tqP
rogram Manager
On-site Services
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services'
On-site Services Section
Waiver Review Worksheet
WR# WR930031 PID# 015-091-23 HA# HA930285 Permit #
Date Received: June 8, 1993 ��{{
Legal Description: Lot 22 Block 2 Prospect Heights #,•"l
Engineer: Ted Moore, P.E., Flattop Technical Services
14530 Echo Street, Anchorage, Alaska 99516
Applicant: Ed/Donna Schelin
Waiver Requested: Well to septic tank 93 feet; property line - 3 feet
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: x Waiver is NOT Granted:
List Conditions or Reasons for above: SEE 19�1�9fflFY>
Date:
By:
Rec #: 24765 Amount: $.410,00 Date Paid: 6-8-93
�"i' � ���fJ/ �/moi// •- - ��"�ti _i.0 �. .
, FLAfiTOP T�EGHNICAL SERV CE&
CIVI. & ENVIRONMENTAL EINGLNEERLVG • ENERGY CONS ERVAnON & ANALYSis
THEODORE F. MOORE, P.E. lune 7, 1993 14530 ECHO ST.
P11: (907) 345-1355 ANCHORAGE, ALASKA 99516
M.O. A. DHHS
P.O. Box 196650
Anchorage, AK 99519
Dear Sirs:
By means of this letter we are requesting issuance of a waiver allowing the septic tank on Lot 22,
Block 2, Prospect Heights S/D, Addn. #1, located at 9401 Slalom Drive, to be 93 feet from the well on the
same lot instead of the normally required 100 feet. We are also requesting a waiver allowing the soil
absorption trench on the same lot to be 3 feet from the property line common with Lot 21. A site plan,
HAA application, and other relevant backup documents are enclosed for your review.
According to the driller's log the well was completed in June of 1982 and has a total depth of 325 feet
and a yield of 50 gph. On May 18, 1993 the static water level stood at 40 feet below the top of the casing.
Steady pumping of 374 gallons of water from the well at an average pump rate of 8.5 gpm caused the
water level inside the casing to be drawn down to the pump intake at 315 feet. We then measured the
actual well yield to be 0.8 gpm over two subsequent recovery and drawdown cycles. Water samples
collected on May 13 were satisfactory, with no reported coliform or other bacteria per 100 ml., and 0.76
mg/1 of nitrate -N.
The wastewater disposal system was installed in November of 1982 and consists of a 1250 gallon
septic tank followed by 36 lineal feet of soil absorption trench with 4 feet of sewer gavel beneath the
distribution pipe. According to the as -built inspection report the septic tank is 103 feet from the well and
the trench is 11 feet from the property line. Our measurements indicate that the septic tank cleanout is
actually 94.6 feet from the well; the waiver request of 93 feet is to allow for underground projection of the
tank. When we plotted the location of the cleanouts on an as -built survey of the lot, it appears that the
monitor tube at the end of the trench is only 3 or 4 feet from the lot line. Thus, we are requesting a lot line
waiver down to 3 feet in addition to the well -septic tank waiver.
On May 18 - 21, 1993 we conducted an adequacy test of the wastewater disposal system. The initial
fluid depth in the septic tank was a normal 48 inches, and in the sump at the end of the trench was 55
inches. We were able to add 112 gallons of water directly into the sump, causing its fluid level to rise
4.75 inches, without any backup into the septic tank. This unit capacity of 23 gallons per inch indicates
that the trench is not operating in a surcharged condition, and the fact that the measured fluid depth is
slightly greater than the reported gravel depth probably reflects the fact that the monitor tube was installed
in the bottom of a low spot of the trench bottom. When additional water was added to the system, the
fluid level in the tank started to rise along with the trench when the fluid depth in the trench exceeded 61
inches. To assess the adequacy of the system we measured the absorption rate when the fluid depth in the
trench was between 59 and 60 inches. When the trench is filled to this depth, which is approximately I to
2 inches below the septic tank outlet, we measured the absorption rate to be 326 gallons per day, which is
slightly over the minimum acceptable rate for a two bedroom residence.
The property owner, Ed Schelin, has informed me that the residence actually has only two bedrooms,
and that he is refinancing it as a two bedroom residence. The house is not being sold and in our opinion
the wastewater disposal system may continue to function satisfactorily for the Schelins for several more
years before it will need to be upgraded.
As can be seen from the site plan, the lot is a large one and the topography slopes generally down from
the southeast towards the northwest at approximately 15%, with the house being constructed on a bench
leveled out of the slope. The house is located between the well and the septic tank, and should the septic
system fail in such a manner as to cause effluent to daylight, it would tend to flow away from the well
towards the northwest.
The soils log indicates that the native material beneath the soil absorption trench is a silty gravel. A
water table was encountered during breakup at 14.5 feet below ground level in the soil test hole, but the
driller's log reports dry silty gravel extending all the way down to bedrock at 23 feet, and no water
production in the bedrock borehole until 260 feet. This low production aquifer is confined and artesian
as evidenced by the 40 foot static water level measured this year.
The following is a possible assignment of waiver analysis points in conformance with ADEC SCRO's
1985 "Separation Distance Waiver Guidelines".
Distance to aquifer (260' - 10' depth of tank bottom= 250') 7.8
Soil Sorption ((13' x 2.5) + (237'x 6))250 = 5.8
Permeability (all material with pert rate > 50 minlnch) 3
Water table gradient (assume 0% parallel to ground elevation differential) 2.9
Total 22.2
By this waiver point assignment it appears that there is little potential for contamination of the drinking
water aquifer should the septic tank start to leak. The absence of bacteria in the water sample and the low
nitrate reading provides further reassurance that there will be no potential public health problem created as
a result of granting this waiver.
Because of the large lot size in this area, granting a lot line waiver allowing the existing soil absorption
trench to remain within 3 feet of the the property line common with Lot 21 will have no impact on the
ability of the owners of Lot 21 to upgrade their wastewater disposal system at such time as it is needed.
Please give me a call if you have any questions on this waiver request. I know the property owner
will appreciate anything you can do to expedite the granting of the requested waivers and issuance of the
HAA certificate.
Sincerely,
Ted Moore, P.E.
cc: Ed Schelin
I
1-6, as -
L 7, 6,C
v
C: e
LOT 22, 13t.NC 2
PROSPECT HTS., AVON #1
�%
L,oT 21
4. r.
?6'LOH4
Sou ACS TCEnCH
jk\I-Z-VV FAI,'
T,+NN
rN
2 CC-RHj p
!
HOUSE
07 \ /
Ewirtw:
weL4
s
(NO SEPTIC
' W ITN I N
L•oT .23 '�� � / 100,�
/ Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
. 1. 2Z 62/ PROSPECT NTS., ADDN #1
�......................:::.� W E I.I. SE P TI C
S YS TE M
�. ...........ids.......
•THEODORE F. MOORE=• L S I T•E PLA N
CE - 3589 A►
. •, : B2
+���h^.,�04 .a 4P SCALE: 1"= 6o' Nors: TO a nor A
,A DATE: 6"MT SuRVBYSD ALL
LOCATIONS ARE
OWN. 0t•: TFP1 APPRO%INATE
WAIvE/Y
l?EQacsr
Fon Lor
22 RLk 2
P/{oSPECr NEI6f17-5' 47-2
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wR93D03/
Avg1V6R /{EquEfr foR ON -Loi Iv ELL ro SEPr/c rnowe or 93fffr
-SfPrlc Nlsro?Y-
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I
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w r_Lc fEFF rKE SOIL F/?oo-f 7-/1E GRoKtiO SmeFyCE
I
'.Iry PEORoCK If it S/L rY 61f/70,61 L, lrN .9P?/rcx,,�r.�TELr 30%
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Time
APPLIC "NT FILLS OUT UPPER HACK, ONLY
f+opertY Owner
Phone
Mailing Address S2li i2o �3J Zip Code 5,5
Buyer i
C
Address
21P Code d'j v y
Lending Institution/mss
c`1 Jnr. ,� / w
Phone
Address / U
3 / + 21p Code
Realty Co. & Agent
Date
Mone
Address
/(Jn `O
/1
Zip Code
Legal Description
�� yC 22 ����G. 2 �OS�iri-JL .✓�p��/„ 7P ���� �`
Street Location
Inspector
Type of Residence
(1/Single Family
Multiple
Family
❑ Other
No. of Bedroom
Water Supply
Individual
Community
_
ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975.
❑ Public Utility
For wells drilled prior to that elate. give well depth (attach log If available).
Sewer Disposal
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Individual
Year Individual Installed:
Public Utility
❑ Holding Tank
When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RECUEST BEFORE PROCESSING CAN BE INITIATED.
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Time
TimeTerre
Time
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N r,
Date
Date
Date
Date
Inspector
Inspector
Inspector
Inspector
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Field Notes: �l
MUNICIPALITY OF ANCHORAGE
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DFeT C' !,-".T�! F.
ENVIR JX S.'._I,. A_ ; ..U. CCTION
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UEC 17 1582
RECEIVED
( APPROVED BEDROOMS
*CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL 4?R AL'
DATE 7_
BY: .,�
Soils Ratlnp
Date Sewer Installed
Well To Absorption Area
Well Log Received
— S—L
Well to Tank
Q3
Septic Tank Size
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Decenber 27, 1982
11. Edward Schelin
SPA Box 2132 L .
Anchorage, AR 99507
Subject: Lot 22 Block. 2 Prospect Heights Add. 07
Approval for the individual sewer and water facilities. cannot
////be granted until the following items have been completed:
/< A well log cuhnitted to this office for our files and
review.
The top of the well casing should be sealed so that it is
water tight.
G (�° The water analysis report needs to be submitted to this
office fron the Chen Lab, 5633 B Street, for our review.
bl \ A four (4) inch cleanout needs to be installed to the sep-
tic tank.
A four (4) inch cleanout needs to be installed to the
leaching area.
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,
K,v
Robert C. Pratt
Associate Environmental Specinlist
RP254/p/E11
A
