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Home My WebLink AboutEKLUTNA HGTS STEWART ADDN LT 23Eklutna Heights Stewart Addition Lot 23 #051-063-40 Municipality of Anchorage 1: ' -• . .., Development Services Department •- _ :, - Building Safety Division; Onsite Water 8 Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 9951 M650 www.ci.anchorage.ek.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW020279 PID Number. 051-063-40 Nome` JAMES TRIBBLE c/o DYNAMIC PROPERTIES Wastewater System: ❑ New ■ Upgrade Y pg Address: 3111 C STREET * ANCHORAGE, AK 99503 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 261-7600 4 D Desp Trench D Shallow Trench ■ eed D Mound D Other LEGAL DESCRIPTION =a "'�"° 0.5 7o11i"h rpt ► a.s (MAX) GPD/Sy. n Ft. Block: Lot: Subdivision: 0"th to ptps toltam tem erglnor pees Crew depth bwdh pips — 23 EKLUTNA HEIGHTS STEWART ADDN. 4.0 (MAX) In. 0.5 n Township: Range: Section: A Added stew wNind rad. a'" WIM — — — SEE DWG. n 45 n. WELL: ❑ New [IUpgrode Grow wam: 27.5 Numbw of rww 6 DW—ew— sass: 4.5 rt r< Cwirwoaon Prw" A&C . Tstat J Cseed T. Total ebswptl n mem 1238 Pips mptsnah D 3034/ F-810 rt So. rL Dr .\ Oats Drwee: slaaa water le,et Mssr. BEEK CONTRACTING Dw '9721-23/2002 n 'n.w: ►emp sst Au cove wish Move orw, TANK 0,R rt SEPARATION DISTANCES ■septic 13Holding OS.T.E.P. Cl Other To Septic Absorption Uft Holding tec/Pdwle wp1Milad'"s'° ANCHORAGE TANK CeveuV sOSO1w 1250 rrom Tank Field station Tank see« un.w Well too'+ 100'+ — — 25'+ matlo STEEL Nine.. ON e 2 Surface water 100'+ 100'+ — — — LIFT STATION Lot Une 5'+ *1'+ — — — we In fl� Foundation 5'+ 10'+ — — — wn ie..t eL et: /iph wales ok.m a: Curtain Drain NONE KNOW p,.rq lase aectrtcat e,apectlans Wurrrwd W. Remarks: *LOT UNE WAIVER #WR020059 BENCH MARK Leaden And D..ergtwn: **0 TO 2 FEET OF LEVELING SAND FILTER ADDED BOTTOM OF SIDING ® POINT "A" BELOW TOTAL DEPTH. ON 9/18/2002, VERBAL APPROVAL WAS OBTAINED ewwd Elwelwn. R 10 .00 . ENGmEER'S SEAL FROM DAN ROTH FOR THE REVISION TO THE PERMITTED DESIGN. 000 THE EXISTING SEPTIC TANK AND DRAINFIELD WERE COMPLETELY ABANDONED. e- S�QO Inspections performed by: AKWWC, INC. Dates: 1st 9/21/2002 2nd 9/21/2002 3rd 9/23/2002 QQ *J e A. am ss:' Development Services Department Approvalgyp'. ' ., 795 . by: W-�-Date:1 I - Is -off- �QDOp� (F vieNwred and approved �ofssslo�a��c� O0000 PERMITNUMBER: AS DRAWING PARCEL NUMBER: SW020279 SW0 051-00 63-40 I ' DUSTING 1 WELL I I I -A--B I I ST1 30.78 12.13 ST2 35.09 20.21 LLJ O I DBL1 37.76 25.01 N DBL2 38.31 25.81 J I \ FS 38.93 33.90 / 29.35 23.23 mMT1 MT2 49.90 45.37 MT3 32.12 51.19 • EXISTING MT4 51.40 65.00 NEW DRAINFlELD 4 EEDROOM C01 32.80 51.82 CO2 35.35 53.23 A B CO3 38.84 55.59 • �. •. '•, •.;.•;.; / C04 42.91 58.41 C05 46.63 61.15 I r=::.-•...... . STI ', C06 50.46 64.05 GDT .� -- ----WTT ST2 CC CO3 TMT I \\` NEW 1250 GALLON C0 BL2 DBL2 SEPNC TANK I Co5 COB -------_JM72 M74 INSTALLED FLOW 1 SPLITTER (FS) NOTE: THE EXISTING SEPTIC TANK AND DRAINFIELD WERE COMPLETELY ABANDONED. DATE: ,,•r 10/17/2002 aood�Op 0 t DRAWN BY: ALASKA RTATL'R & NVASTL'NVATCR' J.L M. •'' 4 �O�QO SCALE' CONSULTANTS, INC. - 1 - 30� """ "' "'•' .. On 00M DFRARR ROAD, SUITF 7R • ANCNORAGF. AK 0034. • PNONF (00T)S31-MTO • FAX (001)338-3748 O PREPARED FOR: PHONE NUMBER: PAGE NUMBER JAMES TRIBBLE (907) 688-7073 2 OF 3 r OQO^y� .. mes 795 f/JJ ,• LEGAL DESCRIPTION: EKLUTNA HEIGHTS STEWART ADDITION S/D; LOT 23, `�Oj7 Q ��4td p'of e $slog°�� 40pppo� TYPE OF WORK: AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE PERMITNUMBER: AS -BUILT DRAWING PARCEL NUMBER: SW0 SW020279 051-00 63-40 FINAL CRADE 99.88-100.08 TOP OF TANK AT TOP OF TANK AT INLET - 95.88 �Ol1RET - 95.89 / I I NEW 1250 GALLON I I INVERT OF BUNG- SEPTIC TANK AT INLET - 95.32 INVERT OF BUNG AT OUTLET - 95.10 FlHAL GRADE 97.24-99.73 ORIGINAL GRADE 97.34 AT FILTER FABRIC HIGHEST PoINi E BOTTOM OF EXCAVATION RIBUTION F INVERT ODISTDIST 90.84 AT HIGHEST POINT IO LINES 9(AVC.) TOP OF SAND RELATIVE ELEVATION 92.84 (AVERAGE) OF GROUNDWATER - 88.34 ON 9/18/02 BOTTOM OF SAND FILTER - 90.84 AT LOWEST POINT NOTE: THE EXCAVATION WAS LIMITED TO THE REMOVAL OF DEBRIS. A LEVELING SAND FILTER WAS ADDED SO THAT THE TOTAL DEPTH WOULD BE 4.5 FEET DEEP MAXIMUM. RELATIVE ELEVATION OF BOTTOM OF TEST HOLE - 81.84 DATE: A �V� 10/17/2002 bopd�p4 0` * �F 44Y DRAWN BY: !A . pALASFA p'`` • ••• `r��*p� WATER & WASTENVATI:RA J.L M. � 4 s� CONSULTANTS, INC. PG 6001 DFRAPR AD. SUITF tR • ANCHORAGF. AK 0950L • MONF (001)1176179 • FAX (007)11637L6 N.T.S.S _ •, •• ••••• ••••... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JAMES TRIBBLE (907) 688-7073 3 OF 3 Game 1 of s.• LEGA. DESCRIPTION:O�O y •. - 53 EKLUTNA HEIGHTS STEWART ADDITION S/D; LOT 23 0 ofasslo� o'er• TYPE OF WORK: PROFILE AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE OpoO�po MUNICIPALITY OF ANCHORAGE Development Services Department On-SiteWater& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 /Z3 1 40d da) 00 dc"�— ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW020279 Date Issued: Aug 08, 2002 Expiration Date: Aug 08, 2003 Parcel ID: 051-063-40 Legal Description: EKLUTNA HGTS STEWART ADDN LT 23 Design Engineer: 0041 AK Water & Wastewater Consultarr Site Address: 021631 GRAYBILL ST Owner Name: James Tribble Lot Size: 13370 SO. FT. Owner Address: 21631 GRAYBILL STREET Total Bedrooms: 4 Permit Bedrooms: 4 CHUGIAK , AK 99567-5572 This permit is for the construction of: [✓] 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 DSD at least 2 hours prior to each Inspection. Provide notification by catling (907) 343-7904 ( 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. 9// 8/oz wj9rER C AAc E Up /A� M s r Noce ro q s f6E r So orf ((„v C/Grbvb6n r0 4 6Ed 5 I"'$ rCA41 lS({�q �ccn-) 2 9 , X 4.3 ' No ovt4rfvAv vAt ✓e IL -A-4- BE /Asr#L.tEO ANO FX1Sr111P A`0-%0eor1ot, f(ttC Wild -RE pDAaGONEp P5(cNgiv�„TL Owl Received By: Issued By: /i" /%— Date: S/V "2 Municipality of Anchorage • "' . Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.sk.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-063-40 Permit Number Property owner(s) JAMES TRIBBLF Day phone 688-7073 Mailing address (1) 21631 GRAYBILL STREET • ANCHORAGE. AK Mailing address (2) Zip Code 99567 Legal description (Lot, Block & Sub'd.) LOT 23: EKLUTNA HEIGHTS STEWART ADDITION $/D Legal description (Section, Township & Ran a N/A Lot Size /z' �;%0 Acre q.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER k WASTEWATER CONSULTANTS, INC. Permit Fees: $ I 00 Date of Payment: 22�rr Receipt Number: Waiver Fees: 4 150 ' Date of Payment:(a0a. Receipt Number: ail f X W Q,OotOO,S`j ALASKA WATER & WASTEWATER CONSULTANTS, INC. July 31, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for Lot 23, Eklutna Heights Stewart Addition Subdivision To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The existing septic system consists of a 1000 gallon septic tank and a deep trench type drainfield. The existing septic system is in a state of failure and must be upgraded. A test hole was excavated west of the existing septic system in the area of the proposed septic upgrade. The septic system will be designed around the 30 foot radius of this test hole. We are proposing that a new 1250 gallon septic tank and a dual deep trench type drainfield be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. TRENCH DESIGN: a. Percolation Rate: 8 minutes/inch b. Allowable Application Rate: 0.8 gallons/day/112 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 750 it2 f. Total Depth: 9.5 feet (max.) g. Effective Depth: 5 feet h. Width: 2.5 feet i. Reduction Factor: N/A j. Minimum Length: 76 feet total length (2 @ 38 feet long each) k. Effective absorption area = 760112 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338.3246 • Website: akwwc.com 4. TOPOGRAPHY: As can be seen on the attached design drawing, the average topography of this property is a 1% to 5% percent running from approximately west to east. 5. LOT LINE WAIVER: We request a I foot lot line waiver to the west and south lot line. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your NOTE: Attached is a site plan drawing, a design drawing, a soils log, and a 7 page construction specification letter which are all part of tie design package for this septic system. 6901 Dcbarr Road, Suite 2ti • Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338-3246' Website: akwwc.com , , � 1 ` \4 LOT 2. BLOCK I /1 +nn• wFt 1 nAnn>t � / I _ — — VOYLES S/D; LOT 1. BLOCK 1 , \ — IPROPOSED SEPTIC UPGRADE (SEE DESIGN PACE 2 OF 2) � I I 1 I I I I I I I i I I 1 I I I I I I I I I I I I I I i RE S/D: LOT 4 BEDROOM I / / 1 / I SEXISTING EPTIC SYSTEM / I EKLUTHA HEK;HI EKLUTNA HEIGHTS STEW. ADDN. -- —SnW. ADDN. S/D; LOT 21. / S/0•.`LQT 22. Y AVENUE ALASKA WATER R WASTE AVATRR CONSULTANTS, INC. 6001 DF90RR ROAD SNITF 29 • 44CMCPACF. AK 00504 • PHONF !0071337-0170' FAX f007133847C6 PREPARED FOR PHONE NUMBER: JAMES TRIBBLE 688-7073 LEGAL DESCRIPTION: EKLUTNA HEIGHTS STEWART ADDN. S/D; LOT 23 TYPE OF WORK: SITE PLAN FOR PROPOSED SEPTIC SYSTEM UPGRADE EKLUTNA HEIGHTS STEW. ADDN. S/D; LOT 13. A HEIGHTS . ADDN. LOT 17, LUTNA HEIGHTS STEW. ADDN. S/D; LOT 15. - - EKLUTNA HEIGHI STEW. ADDN. S/D; LOT 15, EKLUTNA HEIGHTS STEW. ADON. S/D; LOT 14, EKLUTNA Now STEW. ADDN. S/D; LOT 13, 7/31/2002 AWN BY: <� C.J.G. ALE: � 1" — loop V........ 1 OF 2 CaOf 099: WE REQUEST I 1 FOOT LOT UNE WAIVER — I FOOT WELL RADIUS ON THE REFERENCED PROPERTY THE WEST AND SOUTH PROPERTY LINE FLAGGED BY A REGISTERED LAND +x-sz MI THT IX-5%- -PROPOSED X-5% -PROPOSED DRAINFlELDS. EXCA TRENCHES THAT ARE 9.5 FE] MAXIMUM BY 2.5 FEET WIDE B' LONG EACH (76 FEET LONG TO1 FEET OF CLEAN, WASHED SEWER A, 7/31/2002 DRAWN BY: AI.ASI A «'AI'I'sR & «TASTIM ITM SCALE: C.J.G. CONSULTANTS, INC. 1 = 3G, .ROS DFRARR ROAD. SURF 717 • ANGHORAGF. AK RR504 • PNONF (.01)33)-0179 • FAX (007)150.3746 PREPARED FOR: PHONE NUMBER: PACE NUMBER: JAMES TRIBBLE (907) 688-7073 2 OF 2 LEGAL DESCRIPTION: EKLUTNA HIGHTS STEWART ADDN. S/D; LOT 23, TYPE OF WORK: DESIGN DRAWING OF SEPTIC SYSTEM UPGRADE I INSTALL FOUNDATION I CLEANOUT I EXISTING SEPTIC TANK TO ` ` BE COMPLETELY \ \ ABANDONDED PER UPC. \ PROPOSED 1250 \GALLON SEPTIC TANK - INSTALL DOUBLE CLEANOUTS —INSTALL FLOW DIVERTER (STING SEPTIC SYSTEM TO USED AS A RESERVE SITE. INSTALL FLOW SPUTTER FEET � � ADD S \ NROCK. • e A.� .a . •ss:..• -795 011. �_ ..... •'• coD'o rI W I J J m >I �I � � I I WE REQUEST I 1 FOOT LOT UNE WAIVER — I FOOT WELL RADIUS ON THE REFERENCED PROPERTY THE WEST AND SOUTH PROPERTY LINE FLAGGED BY A REGISTERED LAND +x-sz MI THT IX-5%- -PROPOSED X-5% -PROPOSED DRAINFlELDS. EXCA TRENCHES THAT ARE 9.5 FE] MAXIMUM BY 2.5 FEET WIDE B' LONG EACH (76 FEET LONG TO1 FEET OF CLEAN, WASHED SEWER A, 7/31/2002 DRAWN BY: AI.ASI A «'AI'I'sR & «TASTIM ITM SCALE: C.J.G. CONSULTANTS, INC. 1 = 3G, .ROS DFRARR ROAD. SURF 717 • ANGHORAGF. AK RR504 • PNONF (.01)33)-0179 • FAX (007)150.3746 PREPARED FOR: PHONE NUMBER: PACE NUMBER: JAMES TRIBBLE (907) 688-7073 2 OF 2 LEGAL DESCRIPTION: EKLUTNA HIGHTS STEWART ADDN. S/D; LOT 23, TYPE OF WORK: DESIGN DRAWING OF SEPTIC SYSTEM UPGRADE I INSTALL FOUNDATION I CLEANOUT I EXISTING SEPTIC TANK TO ` ` BE COMPLETELY \ \ ABANDONDED PER UPC. \ PROPOSED 1250 \GALLON SEPTIC TANK - INSTALL DOUBLE CLEANOUTS —INSTALL FLOW DIVERTER (STING SEPTIC SYSTEM TO USED AS A RESERVE SITE. INSTALL FLOW SPUTTER FEET � � ADD S \ NROCK. • e A.� .a . •ss:..• -795 011. �_ ..... •'• coD'o ALASKA WATER & WASTE AVATER CONSULTANTS, INC. SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: EKLUTNA HEIGHTS STEWART ADDN. S/D; LOT 23, PERFORMED FOR: JAMES TRIBBLE DATE, 7/27/2002 DEORGANICS (feet TEST HOLE 1 1 7 8 9 10 11 12 13 14 15 16 17 18 SOIL QLAS I ATI• DRY 7/27/2002 1 —L/DEBRlr>1 • . 1 8:05 ML ui11LW I CL 30 1 1/4- IINN • I /.1 8:35 11111111MH 1 6" t - ilii.CH 9:05 zlslslsl 4'5 3 3/4- • O:ISi 9:05 SC 6' SM/ML w/SOME THROUGHOUT DEPTH TO GROUNDWATER DATE DRY 7/27/2002 DRY 7/31/2002 7/31/2002 1 DATE 19 READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/31/2002 1 8:05 i 6' EXISTiNc I 4 BEDROOM Y I Ln IHOUSE 30 1 1/4- 4'3 4 3/4- I I /.1 8:35 ;I 6" / 1 4 9:05 30 2 1/4- 4'5 3 3/4- O:ISi 9:05 - 6' - YS sEvnc SYSTEM 6 9:35 30 2 1/4- 4' 3 3/4- I I I Sjlj PLAN 1 � I /� 1'100' DATE 19 READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/31/2002 1 8:05 — 6' - 2 8:35 30 1 1/4- 4'3 4 3/4- 3 8:35 - 6" - 4 9:05 30 2 1/4- 4'5 3 3/4- 5 9:05 - 6' - 6 9:35 30 2 1/4- 4' 3 3/4- 19PERCOLATION RATE 8.0 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.0 FT. AND 6.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES El NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL COMMENTS: PERFORMED BY AKWWC, INC. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WAP P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: O 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.anchomge.ak.us (907)343-7904 Waiver Review Worksheet WR#: WR020059 PID#: 051-083-40 HA#: Date Received: 8/8/02 Legal Description: Eklutna Heights Stewart Addition Lot 23 Engineer. Jeffrey A. Gamess. P.E. Applicant: James Tribble T _ - �• ETS 1101111 r: • i c.Itil Criteria: Permit#: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: Waiver is not Granted: List Conditions or Reasons for above: Date: 8 8 f1Z By: _ �jv�/.'i Name of Reviewer ..............................................................................� Rec#: 23752 Amount: $150.00 Date Paid: 8/812002 f:}ff AOXIM lvlunicipality of Anchorage George P. il'uerch, Mayor Btd1ditlg Safety Division P.O. Box 1M350 • 4700 S. Bragaw Street Anchorage, Maska 90519-6650 • (907) :343-8301 h It p://%%i%iv.ci.ancl a,rage.akmx Jeff Gamess Alaska Water and Wastewater Consultants, Inc. Subject: Waiver Request for Eklutna Heights Stewart S/D, Lot 23 Waiver Request #WR020059 Parcel ID #051-063-40 Dear Jeff: 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 1.0 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, Jproodar On -Site Water & Wastewater Program (' MUNICIPALITY OF ANCHORAGE �l DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 1Street 825 L• Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSALSY TEEM/A�ND)OR WELL INSPECTION REPORT ' NAME / �(i �(/L P (J�_ NEW // � UPGRADE MAI 1-1111f, ADDRE 2 �/ vas t d rC LEGAL DESCRIPTIO � LOCATION NO. OF BF.g1700� DISTANCE TO: Well / J * AbsorpU re ,j Dwell' PERMIT D Y (J S _ -.i< Manufacturer 1 rG •• al No. of TpartmenU / Liq, c a 'ty' ons IF HOMEMADE: Inside length Width Liquid depth 6 v DISTANCE TO: Well Dwelling PERMIT N JDZ _ FManulacturer Material Liquid cat5acity in gallons DISTANCE TO: Well Foundaji Nearest 1 ne PERMIT = Z No. of lines 7Le rhpl a lige r Totalf f • Tren idth Distant li s tc C. .— Inches i_'grade Top of t to ina Mal t,ene hy Ir (� 1 ('s ((.J Toia ncli .absorption ar �I laches Lengthf Width Depth RMIT NO. W n F W 1 Type of crib Crib diameter Cr :I th Total effective absorption area DISTANCE T0: Well tuilding foundation Nearest lot line ,q Class,/ Driller Distance to lot line PERMIT NO. i DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING A /O 2 INSTALLER REMARKS L1 11 ShaFt �`.i yen A. _c t 0 U DATE LEGAL SRD 1�� Tic LAI I c. •.111Vc, , ALhS;G� £C Tl X 11-3 2 3 (Rev.3/VB) • • `_' ' r rt ifi Oth*,"q, .Drill If" b "'I'l,alt %Z"\tI I i -ME 11S SULLIVAN] WATER'f� 0 4 •. SULLIVAN ..I*) I .. 1, 4 f A. P. O. BOX 272, CHUGIAK, ALASKA 99587,t• jTELEPHONq6W2'7,ia,:;� )A �.I. ...:it: tl,: t.li "i" ;t OWNER OF LAND 0a4,!!F' Er %J6 doz DEPTH.OF.WEL -,fSTAT . EV �jx i LEGAL DESCRIPTION d3 E.k.4'u'rdI -."j ddiddo �j,DRAW,DOWqF1 DATE-Startedo 6zlol-r ;zIII Ended GALS. PER . HLg PERMIT NUMBER KIND O CASINi t (IND OF FORMATION: From F( to�_ 't orn Ft- tm--2— From rA Ft. Ft. to~ '`Ci! 4 7". Ir aerk_ Yt. d1f . J�yr.-. 1 4" I - 1 -41 1. From 5'Q FLcoLLr2_5'_Ft. From F -4 From Ft. tol-7 I ro -Ij From *Ft; to"' kij;7 Te x From Ft. to Ft. 1 0 4:7*11 FromL:7_�__Ft. to—L-7 I. rH , -;0 - 4 Ft. tomi AF From Ft. to_FL__e,4L' dev, P. From Ft. to From—Ft. to Ft. __ rom-11 Ft 110LIt. From / _7`7 Ft. to /.'J Ft__: 4!; Coe .4 0 1 Yt. tCqILL FromAdf-_42Ft. to—Z-0--4 FL &,eej 00 From .-e ,Ft. to. � From 10 () Ft. foL3-L --)Ft. 4 41X c, C. - From' 7FCIOLID I from Ft. to J�ro, Ft. so t.dnj In Frofit—Ft. to Ft. FromJ LI—Ft. to 00 Ft. 115OX oC- t A From FI: From —Ft. to Ft. From t. From Ft. to Ft. 4 J From: 4. —Ft. From —Ft. to Ft. 0.0 Ft.* AISCL INFORJ'LIATION: 6 ;rdq IAr rA4,4 .4 rev Moe 176 q DRILLERS NAME fj a F1, F(I' It' 14 �F 1 L I T •T I_, F: A r -a c ~i'� F=: A E DEPARTMENT HEALTH AND ENVIRONMENTAL OTECTION 825 'L' STREET, ANCHORAGE, At;. 99501 264-4720 HELL ArAC• 4r -4-E I TE SE44EF= F=.EF?t•7 I T PERMIT NO. ( 820370 ) APPLICANT ' RAINBOW CONST. PO BOX 251 E. R. 99577 694-3485 LOCATION GRA'.'BILL LEGAL L23 EKLUT149 HEIGHTS LOT SIZE 13370 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBEP. OF BEDROOMS = 3 SOIL EATING (SO FT/ER>= 210 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C•EF'TH= JL1L ILEr4GTH= --!:5 F?EF~TH= r THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL F'IF'E AND THE BOTTOM OF THE EXCAVATION CIN FEET). F=:EG!U I E:EL'% S3EFT I C TAt-JK 1LOSDC, GALLOt IE PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE INSTALLATION INSPECTIONS OF ANY 14ELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL IJILL SERVE. --- T1,10 C �- > I rJ�-F~ECT I nr-aS AF?E F?E:I L_i I fREC� --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT IJILL 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 I•JELL TO A PRIVATE SEWER, LINE IS 25 FEET A14D TO A COMMUNITY SEWED. LINE IS 75 FEET. I -JELL 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. F=lEE_t•1 I T E: --1P I F<E= C•ECEt1E�ER �1. 1�E:� 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. _: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. --�-------------- IGNED:_ yy..�� PLICANT FAINBOW CONST. ISSUED BY_5?_ --DATE---s V4.0- MUNICIPALITY OF ANCHORAGE Department (07 Health and Environmentallrotection 825 L Street, Anchorage, AK. ._4501 264-4720 HANDWRITTEN PERMIT 1 ELL AICD/OR ON-SITE SEWER PERMIT /7/ /� Applicant: %CFG l / Mailing Address: 2% L /%ick4<"0i Location: Phone Number: Legal Description: /_a3 Ck-//, 2-//).- Lot Size: Type of Soil Absorption System Is: Trench: �4 Drainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: Soil Rating(sq.ft/br) .?Ir) The Required Size of the Soil Absorption System Is: DEPTH � LENGTH .5 . GRAVEL DEPTH WIDTH 3) The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ '�90 GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * *.* TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection.and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Mun ipality of Anchorage. (2) I wil n tall th ystem in accordance with codes. (3) I ers t the on-site sewer system may requ t elres he 6 remodeled to include more that 3.b Signed licant Issued by: Date: enlargement if yams. _ A SWP/024(1/81) W'�w Ic%` %!Zl`//— "' J7zIA —7/2 O & E ENGAEERiNG & DEVELOi HENT CO. Box 90. Davis St.. Eagle River. Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellla 694-2774 SOIL LOG 688-2280 Performed for. Name:l�Tc�C�c—%�' L��/.�aGG< < c,'✓Sr / Tel. No. Malting Address:�, �/-x3x1.,G•IA� Legal Description: Gnr } zf_�LCI'r/414 iJ7-e, 1z,664 Depth (feet) 0 1 /i%G 2 Soil Characteristics 4 ALk— Kew- 5 s i[t: 12 f 4�1pNO ,g :,C. OF At qf lv C2.01 ego* .:....�.. �.. y..c�....A.:... 1� El PLOT PLAN 13 _ Y" i` P.ucse.') t. Oyilcr ; 'Z.;? PERC. TEST 14 r`p �`►1Q.5.'`ld ~`4w �CA:.c �G� Mi.I/f�IG o4 22D So F/TQC' 16 _ G�>n7Tzi r1 vF rl T Ground Water Encountered: Yes No r/ If yes, what depth Proposed Installation: Seepage Pit_ Drain Field ° - Performed by: �� /�% �Ji1ti�z� Date: 2146 -*a :zz �$� \ Municipality of Anchorage •., • ", Development Services Department ' Building Safety Division „ OnSfte Water & Wastewater Program r ) 4700 Bragaw Street 1�;✓ .� P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING /�n Parcel I.D. n5l' ()uc bili COSA# OL05 A 1. GENERAL INFORMATION Expiration Date: a-9 —07 Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address EKLUTNA HEIGHTS STEWART ADDITION: LOT 23 21631 GRAYBILL STREET • CHUGIAK. AK 99567 CALEB RAPP Day phone - (206) 914-5174 Day phone D'ETTE OWEN w/ DYNAMIC PROPERTIES Day phone 3111 'CO STREET • ANCHORAGE. AK 99503 Unless otherwise requested, COSA will be held by DSO for pickup. 2. NUMBER OF BEDROOMS: 4 3. 'TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Weil ❑ Public Water System ❑ 440-2313 TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of Onsite Systems 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 cettifred by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined In the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage riles and from my Investigation and Inspection, the on-site 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 Firm GARNESS ENGINEERING GROUP, Ltd. 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, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of 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 ofthe 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 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. DS, / D SIGNATURE Approved for _1411 — bedrooms. Disapproved. Phone 337-6179 Date II 3 c% Conditional approval for bedrooms, with the Illowing stipulations: Attachments: COSA Checklist C� Septic System Advisory Well Flow Advisory C/ Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Nitrate Advisory Other (R«. t IM CE -79 1400's(e�e` 6o rrr rfr: �J`':• ••ON-SITE :?� WATER AND ; rt+= WASTEWATER o•, PROGRAM • ZN J��i, n_••..• �O .AII Original Certificate Date: J I — S ` 0 (1 Municipality of Anchorage • "' Development Services Department Buwft Safety Division On Site Water & Wastewater Program 47W 8regaw Street P.O. Banc 196850 Anchorage, AK 99519.8650 www.muni.arylonsite (907)343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: EKLUTNA HEIGHTS STEWART ADDITION: LOT 23 Parcel ID: A. WELL DATA Well type PRIVATE If A. B. or C provide PWSiD# N/A Date completed 6/14/1982 Sanitary seal (YIN) YES Total depth 400' ft. Cased to 80.92 ft. FROM WELL LOG Date of test 6/14/1982 Static water leve( 160 ft. Well production 19 g.p.h. WATER SAMPLE RESULTS Well Log (YM) YES Wires property protected (YIN) YES Casing height (above ground) 12+ In. AT INSPECTION 10/16/2006 173 ft. 1.0 —g -P.M. Coliform 0 oolonies/100 ml. Nitrate 5.4 mgJL. Other bacteria 0 colonies/100 ml. Arsenic: NO ug./L. Date of sample: 10/16/2006 Collected by: GEG Ltd. B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 9/23/2002 Tank size 1250 gal. Number of Compartments E Cleanouts (YIN) YES Foundation deanout (YM) YES Depression over tank (YM) NO High water alarm (Y/N) N/A Date of pumping 11/1/2006 Pumper JR's PUMPING C. ABSORPTION FIELD DATA Date Installed 9/23/2002 Soil rating .p.d. ftl/bdnn) 0_5 System type BED Legh 45 ft. Width 27.5 ft. Gravel below pipe 0.5 ft. Total depth 04.4—e.9 ft. Eft. absorption area 1235 fe Monitoring tube YES Depression over field NO Data of adequacy test 10/16/2006 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test E in. • Water added 794 gal. New depth 0 in. Elapsed Time: = min. Final fluid depth U in. Absorption rate >= 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at _in. "Pump ofr le High water alarm level at in. Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/deanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation *01, 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 line *1. 1. Building foundation *01, Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 1' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS "LOT LINE WAIVER #WR020059 **SEE ATTACHED WAIVER REQUEST G. ENGINEER'S CERTIFICATION I certify, that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date It 13 6. COSA Fee L/ .0, Date of Payment Receipt Number. I/ (Rev. 11/05) Waiver Fee $ 17 S 00 Date of Payment Receipt Number (W) 90'01p1 I,.o Lu1.V m 1 11 (tl) 00'Obl SISVB Es O Ea M M is 133US—1118AV89 M Y N 1 O IF N - 1 t u a w x g c o g e o o zp rrc Web N N 9. QL , P F5 Je a^ w p eSoee^ec G2 c • a M- / .10 c c» W 6 a r „ p N n b •� y~ 0 0 0 wf{Rim M N z < 40 p,�♦ �� ♦ c�� o Y oo �; o: �I1 < o ,,�♦ .Fryy!! .2 OG o Co S W z O r- Pu00 in b is 8w o J S N a 3 O Y O - _ p�p ^gyp gQ p 2 n a t c . w .fr J W K (W) 90'01p1 I,.o Lu1.V m 1 11 (tl) 00'Obl SISVB Es O Ea M M is 133US—1118AV89 M N 1 O IF °t t u (W) 90'01p1 I,.o Lu1.V m 1 11 (tl) 00'Obl SISVB Es O Ea M M is 133US—1118AV89 M N IF °t u a e o o rrc Web N 0. o o N Je ll 0 0 0 0 0 0 (W) 90'01p1 I,.o Lu1.V m 1 11 (tl) 00'Obl SISVB Es O Ea M M is 133US—1118AV89 SGS Rel'.a 1066272001 Client Name Gamcss Engineering Group, Ltd. Project Name/## Eklutna Iits Stewart Add Lot 23 Client Sample ID Eklutna tits Stevan Add Lot 23 Matrix Drinking Water Sample Remarks: All Dates/fimes are Alaska Standard Time Printed Dalerrime 10/27/2006 17:04 Collected Date/rime 10/16/2006 12:15 Received Datelrime 10/17/2006 13:20 Technical Director Stephen C. Ede Parameter Results PQL Units Method Container ID Allowable Limits Prep Analysis Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 10/19/06 10/20/06 TK Waters Department Nitrate -N 5.40 0.100 mg/L EPA 353.2 D (<10) 10/17/06 AZS Microbiology Laboratory TotalColirorm 0 col/100mL SN1209222B A (<I) 10/17/06 DPT Municipality of Anchorage :. Development Services Department s `w / Building Safety Division ' On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsitc (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 060548 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 23 of Eklutna Heights Stewart Addition subdivision. This inspection revealed a nitrate concentration of 5.4 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS October 23, 2006 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Waiver request for Eklutna Heights Stewart Addition; Lot 23. To whom it may concern: We request that your department issue a 1 -foot waiver from the existing septic tank and drainfield to the garage addition. The garage consists of footers that are approximately I foot deep and with a dirt floor. The garage slab has not been poured at this time. The septic tank and drainlield are approximately 34 feet below grade and should not interfere with the garage slab or footers. We are unaware of any adverse impacts this waiver would have on the septic tank and drainfield. If you have any questions, please contact us at 337-6179. Thank you for your assistance. '.E., M.S. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: www.gamessenginecring.com Municipality of Anchorage Development Services Department �• Building Safety Division : On•SitcWater and Wastewater Program 4700 Bragaw Strect s • . e r . P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragc.ak.us (907) 343-7904 Waiver Review Worksheet WR#: 060071 PID#: 051-063-40 HA#:060548 Permit#: Date Received: 1116/06 Legal Description: Eklutna Heights Stewart Addition Lot 23 Engineer. Garnesa Engineering Group. Inc. Applicant: Caleb Raop Criteria: ., r t •u .,T7. 71 Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: ............................................................................... Waiver is Granted: _L---*� List Conditions or Reasons for above: Date: 1.1- 9-06 By: Waiver is not Granted. ............................................ Red#: 114-06 Amount: $175.00 Date Paid: 11.8-06 df Reviewer ................... a .... ........ Municipality of Anchorage • Development Services Department �✓ -- == 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. 051-063-40 HAA# Ly /-) () Z C .S 9 �1- 1. GENERAL INFORMATION Expiration Date: 2 - / 6/ ' 0 3 Complete legal description _LOT 23: EKLUTNA HEIGHTS STEWART ADDITION S/D Community Class Well ❑ Public Water System Location (site address or directions) 21631 GRAYBILL STREET • CHUGIAK, AK Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address JAMES TRIBBLE Day phone 688-7073 c/o DETTE OWEN w/ DYNAMIC PROPERTIES Day phone DETTE OWEN w/ DYNAMIC PROPERTIES Day phone 3111 C STREET • ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well E Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ 261-7600 TYPE OF WASTEWATER DISPOSAL: Individual On-site to Individual Holding tank ❑ Community On-site ❑ 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 6 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 S !ff] to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality ofAnchorage riles and from my investigation and inspection, the on-site 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 Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SURE 28 ' ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of 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 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. AKW WC, 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 DSO. 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 X Approved for 4 bedrooms. Disapproved. Phone 337-6179 Date Conditional approval for bedrooms, with the fllowing stipulations: The well for this property meets existing state and municipal codes. There are nitrates present. It is suggested that periodic testing be performed to insure the wells continued suitability. Current nitraterconcentration is5.80. EPA maximum concentration is 10.0 mg/l. More information on nitrates is available from the On—site Services Program, at 343-7904. Attachments: HAA Checklist Septic System Advisory Well Flow Advisory ✓� Manitenance Agreements Supplemental Engineer's Reort Other By: Q:z �/ �C l• �C.� Original Certificate Date: I I ' I `l—C 2— (R". • (RW. 1291) Municipality of Anchorage Development Services Department 4-111, Building Safety Division `On-Ske Water 6 Wastewater Program 47W South Bragaw SL P.O. Box 196650 Anchorage, AK 9951966W www.d.anchorap.sk.us (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LOT 23: EKLUTNA HEIGHTS STEWART ADDITION S/D Parcel ID: 051-063-40 A. WELL DATA Well type SATE I/ A, B, or C provide PWSIDB NIA_ Date completed 6/14/1982 Sanitary seal (YIN) YES Total depth 400' ft. p.m- Cased to 80.92 ft, FROM WELL LOG Data of test 6/14/1982 Static water level 160 ft. Well production 19 G.P.H. 9— WATER SAMPLE RESULTS: Well Log (YM) YES Wires property protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 10/11/2002 172 ft. 0.58 — g -p.m - Coliform 0 colonies/100 mi. Nitrate 5.80 mgJL. Other bacteria 0 colonies/100 ml. Arsenic: N/A mgJL. Date of sample: 10/4/2002 Collected by: AKWWC. INC. B. SEPTICMOLDING TANK DATA Tank Type/Material STEEL Date installed 9/21-23/2002 Tank size 1250 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YM) NO High water alarm (YIN) N/A Date of pumping NEW Pumper — C. ABSORPTION FIELD DATA *BELOW FINAL GRADE. o To 2 FEET OF LEVELING SAND BELOW TOTAL DEPTH Date installed 9/21-23/2002 Soil rating .p.d ftMArm) 0_5 System type BED Length 45 ft. Width 27.5 ft. Gravel below pipe 0.5 ft. Total depth'4.4-6.9 ft. Eff. absorption area 1238 fe Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) — For 4 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = In. Absorption rate >= — g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) — If yes, give date — D. LIFT STATION Date installed "Pump on" level at _in. Datum — E. SEPARATION DISTANCES Size in gallons High water alar level at in. Cycles tested Meets alar & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankJtift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING 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: *LOT LINE WAVER #WR020059 Property line '1' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkinglvehicle storage 1' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and * i review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. A ss' Engineer's Printed Nam JEFFREY A. GARNESS —7953 `I f� � Date /DA, 0.L HAA Fee $ 3`75 Date of Payment J f —15-09. Receipt Number 2 (Rev. 12101) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage •- •• Development Services Department Kv i 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 # 020582 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block , Lot 23 of Eklutna Heights Stewart Addition subdivision, the well's productivity was determined to be 0.56 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.41 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. r GRAYBILL STREET W O A s �? BASIS N 00'10'10'W 140.00 (R) 140.05' (M) �A P� �? W O D o o o o IN y n Py N D 4 (D Nm F L"m (OD _ - �'� o x' CONC. 34.2. itn' N N e is 32.5 w w t ID N N f o C o 4 .5 3a.z' a m g p u 0 0 0 U� m m roN r 3. GL FENCE W iv r" x WOOD FENCE MUNICIPALANCHORAGE • '� DEPARTMENT OF HEALTH 8 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 l.D.# ort - 0G•3—HOy HAA# �1ca9Rt��,`it� 1. GENERAL INFORMATION L��rSt�OcSt'i Complete legal description Lot 23, Eklutna Heights Location (site address or directions) 91611 rrsybi 11 Property owner Greta Kasky Day phone 688-4982 Mailing address Lending agency Mailing address Day phone Agent rnrrrinn/(ai 1 7..wnt Day phone r,9rL76c;1 Address 10928 Eagle River Rd., Suite 115, Eagle River, AR 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 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 xxx 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. 72-0u(w..lAl) Front MOAD2I 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 furtherverifythat 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. 5 8 5 ENGINEERING G q e{ -] 9 7 9 Name of Firm MIA c=g .,.. l- o•• I n' ll Reed No 494- Phone Eagle Rirer, Alaska 99577 Address Engineers signature 6. DHHS SIGNATURE X Approved for bedrooms. Disapproved. Conditional approval for Additional Comments M Date /0/;L-7I9V FO CE 4801 bedrooms, with the following stipulations: Date I/ - /G— y8 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. ramsMW.uvi) 0+ Mwm 0cr e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SEI�(�S ' HhL vRH(jt Environmental Services Division 3tKn'-es Orvms r 825 L Street, Room 502 a Anchorage, Alaska 99501 a (907) 343-4744 Health Authority Approval Checklist Legal Description: J -O i a 3 f kLa T Nq N /41(-" r J A. WELL DATA Pameil.D.: OSI -06 3-40 Well" PR i V 4 r 4- If A, B, or C, attach ADEC letter. ADEC water system number Log present &N) Y f S Date completed ( A", /f -z- Total Total depth 400 Sanitary seal (�W) Y4 f Date of test Static water level Well production Cased to Ho -/ r Casing height (above ground) J Wires property protected (`BIN) Y4 J FROM WELL LOG AT INSPECTION CPk.2 k No GIrq/ft2 516195' WATER SAMPLE RESULTS: /60 J°I .cam raa *,A J -r o '/� , 0.6'X g.p.m. Coliform O Nitrate r. 3 '5 Other bacteria 0 S s S ENGINEERING Date Of sample: /o // 3 / °I $ Collected by: . Eagia River, Alaska 99577 B. SEPTICh10LDING TANK DATA Date installed 11 / I7 / 3 Tank size J o a 0 Number of Compartments 1 Cleanouts &i) Y rt ) Foundation cleanout &/N) 'Y# S Depression (Ya h 0 High water alarm (YA& ' 0 Date of Pumping E/ ti Y Pumper 7 R s C. ABSORPTION FIELD DATA Date installed l l I+/ Q 3 Sal rating (g.p.d./fe orRii@ a i o System type r R f c N Length `f I —Wm.a "/x Gravel thickness below pipe 7 Total depth I. '(rs1 , �a. Rt�.•� E fective absorption area f39 ( "".Monitoring Tube present &N) YE 5 Depression over field (Y/a t0 Date of adequacy test / o / , 3 / R Y Results(PP all) Af s 1 For 3 bedrooms Fluid depth in absorption Raid before test On.); � � S Immediately after'L gal. water added On.). 3 8 Fluid depth 3 �6 L' (Ins) Minutes later. 7 Absorption rate a 145'0 + c.p.d. Permdde treatment (past 12 months) (YM) WQ N [ K —f- If yes, glue date -A- 7oP eg EFGic r.v$ Ps or S'' io 72-028 (Rev. 3198)• D. LIFT STATION Date installed Manhole/Access(Y/N) Size in gallons "Pump on" level at' High water alarm level at* 'Datum Cycles E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL/ON LOT TO: SepticAwlding tank on lot q S �l uA've 2 REQ On adjacent lots i Absorption Heid on lot c o + On adjacent lots Public sewer main Sewer /septic service line n/ /q a V- `-I - Public sewer manhole/cleanout Lift station of " level at* /O0 �f SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Foundation S Property line i / Absorption field f i Water main/service line/a } Surface water/drainage /00 �4 Wells on adjacent kits /00 f SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line / 0 Bullding foundation /0 f- Water main/service line ° f Surface water / 0 0 r } Driveway, parldng/mhicfe storage area Curtain drain N e w t K �,o w Wells on adjacent lots F. ENGINEER'S CERTIFICATION I cat* that I have detem*wdd ffiru#old 61spections and review of Municipal in conlomtance� deljpes in elled on Oils date. f Signature a Engineer's Name /t +Qt•e r C. CO W4 Date l0 7 (R Y W HAA Fee $. �'` o Date of Payment lT//4 7 /9 /4 - Receipt Number 72-028 (Rev. MG)' / 6v Waterer Fee $ c� :�)'S• —G Date of Payment ja 7y / Receipt Number s'�3 0 Sent By: KNO ENGINEERING; 9076968111; Cct•15.98 11:00; Page 2/3 11CI ND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 696-6111/FAX (907) 696.8111 Well Flow and Inspection Report Report Date. October 15, 1998 Legal: Eklutna Heights Subdivision, Lot 2.3 Location: 21631 Greybill Street, Eagle River, AK. 995' Owner: Ed and Greta Kaskey Well classification: Private Well Log Available: Yes Original Driller. Sullivan Water Well6 Installation Date. 6/10/82 Waiver Granted: None needed Installation Requirements Met. Yes Well Yield from Well Log: 19 gph (Sullivan Well Yield from This Test: 0.79 gpm Previous Inspection Date(s): 12/23/83 Date this Test and Inspection: August 6,1993 Water Welts) Test Procedure: This well was inspected and a water flow was established to determine the operating capacity for a 3 -bedroom residence. 'I lie well casing is approximately 28 inches above ground with drainage away frim the well head. The well casing sanitary seal is adequate for protection from contamination. The static water level at the beginning of our test was 170.5 feet below the top of casing (TOC). The initial flow rate of 2.35 gallons per mirnte (gpm) was reduced and then increased as the recovery rate was maintained. An average rate of approximately 0.62 gpm was maintained during the last two and a half hours with minimal well drawdown and full recovery. It is our opinion that this will produce sufficient quantities to meet the municipal and state requirements for this three-bedroom residence. Water Sample Results: Nitrate: 5.&7 mg/L Total Coliform: 0 Other Bacteria: 0 Sent By: KNO ENGINEERING; 9076968111; Oct -15-98 11:00; Page 3/3 IV.,!! F!cnv Test - Creatland Estates lot 9, Block 2 October 121998 Page 2 of 2 Test Results: This well will produce at least 0.62 gallons per minute for more than four (4) hours. The entire water system can deliver approximately 900 gallons of water per day. The Municipality of Anchorage and the State of Alaska, Department of Environmental Conservation requirement for well flow 3�; 150 gallons of water per bedroom per day. This well exceeds this re�ui ement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well. Well Flow Field Data Field Readings Time d Time Minutes Flow late Reading tne. Cal I Cumin. Gal. Pumping Fater Level Rate (ripe:) j (uelwv top) Ccnnmcnts 8/6 10:05 0 168OU 0 0 170.5' Start 'Lest 1035 30 16836 36 36 1. 176.5' I2.-32 117 16977 141 177 1.2 I 213' Reduce flow 12 80 17021 44 221 0.53 193' 232 40 17056 35 79 U.875 202' 3:44 1 72 1 17130 74 153 1.03 211' 4:17 33 17152 22 175 0.67 ( 208.5' Stop Test/ Start Recovery 4:22 5 - - 202.5• 4:27 5 - - T0.01.2 196.5' Total 252 175 a MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Ll �� Waiver Review Worksheet WR PID# 051-063-40': HA#VjQaJ NneL Permit # Date Received: October 27, 1998 Legal Description: Lot 23 Eklutna Heights Subdivision Engineer: Robert C. Cowan, P.E., S 6 S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle River, Alaska 99577 Applicant: Greta Kasky Waiver Requested: Private well to the septic tank of 95 feet. Criteria: 1. Geology: A. Water Table S. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: Waiver is Granted: X Waiver is NOT Granted: List Conditions or Reasons for above: S'EF A)rA/NEO Date: I1- /0-98 =3 y: DAiV Name of Reviewer Rec #: 04302/6572 Amount: $ 625.00 Date Paid: 10-27-98 Municipality of Anchorage Department of Health and Human Services 825 "L" Street Rick Mysrrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor http://www.ciamhorage.ak.us 343-4744 November 10, 1998 Robert C. Cowan, PE S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 23 Eklutna Heights Subdivision Waiver Request for Permit Number: WR980084 PID Number: 051-063-40 Dear Mr. Cowan: Your request for waiver(s) of the required 100 foot horizontal separation of an on-site wastewater disposal system to a private well has been approved. The approved separation distance(s) are a private well to the on-site septic tank of 95 feet. , This waiver approval applies to the existing on-site wastewater disposal system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. If there are any future concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely,] '"" ( Daniel J. Roth Civil Engineer On-site Services Program Ijm:#6 11/2 FROM 12Z FEsr To 12f FEEf ANO 17,(Pref TO /i'FEfrTtcfr A60✓c 1 9[P 404k. TKE STNr/c 4.A r61C Lc✓eL /f Ar 170 FE£T. Ta/f /v0/l rTtf WNIvER Rfovosr FOR Lor 23 Eku rA'A kF-10l'S 50/90. WAlv6R 1jE4u6:57' A/14MViER' WAUOM 4 /7/VER liE(ducsi FOIA ew-tor iwELL ro SEPT/c TNNH OF /fTfEET. 5EPT/6 DATA - TWE SEPTIC TR,v/k /ov 44ES7iO" WAf feNfTRNL7EO /N If8Y. r/Cls SGP, -,,c WWW TANk wAf FIITFo w/ra /A.vvie7s ON TKE Iv-L6T�0✓tLF_T�PMAtpeN77. T.vn xxx 000 /N�/f_RT3 *.qe DFS16wL'0 TO ur#LIZF ..*rex r/d/+r CouPl/w6f. W/yE✓ TME noo -N _aa SKpT6Gr rgAe w*f 1*srgafp r//f rvsmcr/.vi EN61AYf Elt ANeT50 IT .1T aae FEET, TUC fe/L rl-.E fEjor/L rAmk &.AS ce.vsreructED /" /S R O' 3urY oJeopm LyA f/CNp TstAT PCfCS. +r 22Mi,vlsy. T/+If TT/f Oi �So1L rYrlc4ucY rIrEATs rE/er/c. r,#tvA EFFLuE.vr urger s-ru /w dt- EL�TI✓F.LY SI{ORi O/fTA/�CE�%.Z �� THE r£pra IN o"exroom /s loe4re O,v THE OPpes/rE S/OE 01' Tu£ j4pmr OA., 7 -He Ler s*#" ri<r r. ecL R,uo IfP,#Req'IMATL j' PI✓6RNDICA T FROaa T/<E iv6L( 0.v iLepjt, Wr.L.L o.}rl►— TME WXLL /f Applton"oTSLY 400 parr pEip, PEOROCI? Is 90470u...7EREA0 Al 100 FILET, THE WELL LvbO I.vPl'*'r6f jr/44r THE (IlSivf, p,/►f pERFeRATic FROM 12Z FEsr To 12f FEEf ANO 17,(Pref TO /i'FEfrTtcfr A60✓c 9[P 404k. TKE STNr/c 4.A r61C Lc✓eL /f Ar 170 FE£T. Ta/f /v0/l rTtf M*T TKE c..wr6)? 0/1 TOP OF 7111F l9f"04f< /s r/tE ~/N fK//L) -to v r,,(E b -CLL. PO/NTJ r.ILL BE e-vLCuLNTw0 DOW" TO TME AT J$2 FEET. TKE fo/L DBT►•EE.V 6RouAofuRFACE ANO 711C OER1<ORATIon+S .►T 122 FEET Afe S/LTy iRAYIlLLy fiwp TO s -O FEeT P SAVC ! 64.4vet TO 1:2 2)"t L/90 44/ALY$lf Of TME wnrER /Up/egref pa LeL,xvrpt OACTEK/A /IjrESF, App 3 �6 "'f�f N/rRAtts Mrs&✓r. THE S.Cz.Ls /Ar THU AREA ALL //,1✓E /;LtvA Vjr&Atss AW 1./I/tY/A(, LIF✓E3 H16KER ; LO�•FK TK�1� TI E Sws>Y`� I; Lql. /�O/G IST Nc Aor[wrdf /N THE ra PwrcT wALL ARE A&Y L/KELr A,er Cl. IA Fit evH Tl.(f S I @ N CK e.FCH'ft•ivj Pt rHF Wt L,L id l eA07 t 7%A -/r. P. E. C. S, P. w G. {i• Poia r WATER THOLE 8 SE�r/t novo »F /TH - 121 , AfRiIRATIOv = //1 a V=. 7 io ' X90 - NNN H h F W W W SORT r/ON N N N 000 Noo r rr� 2 IERA.saO/L rY' `iir) (lid, '0w/zaA,r,+L SEPARAr/•N X 61PgI�A gLLI�N GRA.✓T p,/y/VC)Q M•l4TiR TOOLE 6R/11PiFrvT '0w/zaA,r,+L SEPARAr/•N X 61PgI�A gLLI�N GRA.✓T p,/y/VC)Q S& October 26, 1998 ROBERT C. COWAN. P.E. ROBERTA. SHAFER, P.E. CML ENGINEERS (907)694-2979 FAX(907)694-1211 Municipality of Anchorage RECEIVED /EALTHAITHORITY DEPARTMENT OF HEALTH AND HUMAN SERVICES APPROMALS 825 L Street OCT 27 1998 P.O. Box 196650 Municipality of Anchors Anchorage, Alaska 99519-6650 Dept. Health & Human Service SEWER 8 WATER MAIN ExTENSIONS REFERENCE: Lot 23, Eklutna Heights Subdivision Request you issue a Health Authority Approval on the referenced property and grant a SEWER&WATER waiver for the horizontal separation distance between the septic tank and the well serving INSPECTION this property at 95 feet. The mitigation factors involved which support the issuance of the waiver, are as follows: ENGINEERING STUDIES 1. The horizontal separation distance from the well to the septic tank is 95 feet. ANDREPORTS Five percent of the required separation distance is requested to be waived. 2. The samples taken from the well located on the referenced property indicated WELLINSPECTION 5.38 mg/L of nitrate and 0 colonies per 100 ml. of bacteria. a FUDW TEST 3. The referenced lot is on a 20% slope away from the well head towards the septic tank. The house is also located between the well and the septic tank. This would SITE PLANS prevent any surfacing effluent from reaching the well head. 4. From the well log on the referenced property we can see that the well depth is 400 feet. The static water level was reported to be 170 feet. The distance between the ROADDESIGN tank and the water table exceeds 160 feet. 5. The soils on the well log for the referenced lot indicate clay/gravel and SOILTEST sand/gravel between the ground surface and the aquifer. Also attached are neighboring well logs. PE,COtATION 6. The worst case hydraulic gradient is -7% (See attached surrounding well logs). TEST 7. A septic tank is not normally a continuous source or contamination and therefore would not be expected to allow septic effluent to reach the well STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER. ALASKA 99577 [•a(.k 2 )o/>Llg5 L}-5 [1CLrTN4 The granting of this separation distance waiver would not have an adverse impact on the surrounding properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/rdp Enclosure I" = 40' SITE PLAN WAIVER SCALE w� o r " O "1 I:J GRAYBILL STREET p w 93' WAIVER RADIUS r Y 0I r y I EXISTING FN 3 C =3 BDRM -z r �-3 N 8 = \ . HOUSE °� " O N � $ 0 N Ci I P L4 �x a �3 \ / Ito (� s P 8 8 EXISTING r r cc CC1 O "' N USEM* o � �n rz N F o N F u, cn wQ DRIVE 0 O 0 mm 1'!3A .001 Sit, �Zo 0 MADSEN'S PLACE *Von "t��,J L om O�� o p -� 0 1�\ •'� ••• -� 1• T p I G Time APPLIC" NT -FILLS OUT UPPER HAL'ONLY Property Owner Time ^ Phone Mailing Address z / / �' Ip Code Buyer ,> Inspector Address , v /' , re .• F Zip Code Lending Institution CEPT. OF il!F/ TII f: Phone ENVIRON.'-NTAL PROTECRON / Address % Zip Code ( ) DISAPPROVED Realty Co. d Agent ( ) CONDITIONAL APPROVAL' Phone B SolisRatingDate Address- Zip Code Well Log Received Legal Description �( d(� G1 -he -/%/.-1 Ilk Street Location Well to Tank ^ / Septic Tank Size �Q p Type of Residence Single Family Multiple Family No, of Bedrooms_ ❑ Other Water Supply ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. IIndividual Community For wells drilled prior to that date, give well depth (attach log If available). ❑ Public Utility Sewer Disposal 3 ndividual Year Individual Installed: Public Utility When Connected to Public Utility: Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Dare Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE CEPT. OF il!F/ TII f: ENVIRON.'-NTAL PROTECRON V rl U RECEIVED ( APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' B SolisRatingDate Sewer Installed Well To Absorption Area �O L' Well Log Received 1'7— Well to Tank ^ / Septic Tank Size �Q p 12o 0M A ADEOUACYTEST WATER AND SEWER INSPECTION WELL INSPECTIONS AND FLOW TEST SITE PLANS ROAD DESIGN SOIL TFST ONSITE WASTE VIATER DISPOCR SYSTFIA DESIGN EXCAVATION WORK December 26, 1983 Mr. Ralph Schuchman 127 Chickaloon Eagle River, Alaska 99577 1004 REFERENCE: Lot 23; Eklutna Heights Subdivision ROBERTA. SHAFER CIVIL ENGINEER 6942979 MUNICIPALITY OF ANCHORAGE rEPT. OF I:?/.! TI I t ENVIRO,VA:NTAL PROTECTION r• - (' I Lutes 2 J 1�tj RECEI_V_ED A water and well inspection was performed on this property. The well casing was examined and found to be equipped with an adequate sanitary seal and all wires were in conduit. The ground around the well casing adequately sloped away from the well. At the same time this inspection was performed, a water sample was taken from the hose bib at the front of the house and submitted to Chemical and Geological Laboratories of Alaska for coliform bacteria analysis. The results of this test were satisfactory. If we.r4y be of further service, please do not hesitate to contact us. . SIIAEUK, P.E. ss cc: Municipality of Anchorage Department of Health and Environmental Protection