HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 10H LT 23ARabbit C
k
View & H
ights
Block
Lot 23A
#020-581-49
Municipality of Anchorage
Development Services Department
Building Safety Division
On. Site Water end Wastewa~er Program, 4700 S. Bragaw
P.O. Box 196650 Anchorage; AK 99519-6650
,,v,~v.ci.anchorage.ak.us (907) 343-7904
Page I of "~
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number:
LEGAL DESCRIPTION
Well: ~'~t.f~' [] New [] Uporade
SEPARATION DISTANCES
PID Number: 0 ~c2 - 113
WastewaterSystem: [] New [] Upgrade
ABSORPT ON FIELD ~/.
Soil Raling:
FI,
Pipe Mated~l:
TANK
FL
[] Septic [] Holding [] S.T.E.P.
D Other:
Septic
Tank
Absorption
Field
Lilt
Station
Holding
Tank
Sewer Line
\ /
V
£1-ee/ t
· . LIFT STATION M.,4'.
Pump Make & Model
BENCH MARK
V
Inspections performed by: Fl,~f-t-op 7-ec~. £~'¢. Dates: 1"
2nd
Development Services Department Approval
Reviewed and approved by: ~/',4.,/ ~,~/"~DDate:
Engineer's Stamp
PERMIT NO: SW020244 PAGE 2 OF 2
PID NO: 020-113--48
SWING TIES
FROM: COR. "A" COR."B"
TO:
4" C.O. "C" 9.5' 25'
6" P.O. "D" 17' 28.5'
4" ALARM 22.5' 32'
4000--GALLON
"-, HOLDING TANK
,//
PLAN VIEW
SCALE: '1" = 30'
FINAL GRADE
5' SOIL COVER
CE- 3589
INV. 4000-GALLON HOLD NG TAN~-', :.' ;:' ; ;
93.3' :. , :: :
PROFILE VIEW
NOT TO SCALE
LOT 23, BLK 10, RABBIT CREEK HEIGHTS SID
HOLDING TANK INSTALLATION
AS-BUILT INSPECTION REPORT
FLATTOP TECI-INICAL SERVICES
14530 ECHO STREET
ANCHORAGE, ALASKA 99516
SCALE: AS NOTED
DRAWN BY TFM
AUGUST, 2002
MUN/CIPAL/TY OF ANCHORA GE
Development Services Department
On-Site Water & Wastewater Progrem
4700 South Bragew Street
P.O. Box 196650, Ancherege, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jul 24, 2002
Expiration Date: Jul 24, 2003
Permit Number: SW020244
Legal Description: RABBIT CREEK HEIGHTS BLK 10 LT 23
Design Engineer: 0019 Flattop Technical Services
Owner Name: David Kulovany
Owner Address: 8300 ROBERT DR
ANCHORAGE, AK 99516-5547
Parcel ID: 020-113-48
Site Address: 008300 ROBERT DR
Lot Size: 26523 SQ. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
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 calling
(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.
Received By: ~ ~'~,,T'~,.. ~
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program ,
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWERJVVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
ParcelI.D. 0~O - It3 - ¥~
Permit Number
Property owner(s)
Mailing address (1)
Mailing address (2)
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot Size r-~-~"~03--% Acre~Sq. Ft.)
THIS APPLICATION IS'FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Day phone
Zip Code
Rc.,g $ ; ,t
Number of Bedrooms
[] Well Only []
[] Water Storage []
[] Jacuzzi []
[] Water Softening Unit []
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.
(Signature of property owner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
'7117/ o[,
Waiver Fees:
Date of Payment:
Receipt Number:
CIVIL & ENVIRONMENTAL ENGINEER~G * ENERGY CONSERVATION & ANALYSIS
THEODORE F. MOORE, P.E.
PH: (907) 345-1355
M.O.A. DSD
P.O. Box 19-6650
Anchorage, AK 99519
July 16, 2002
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
Dear Sirs:
The purpose of this letter is to provide the required design narrative in support of our application for
a permit to install a 4000-gallon holding tank of Lot 23, Block 10, Rabbit Creek Heights S/D. The
existing soil absorption bed is presently flooded with groundwater. A site plan as well as design
drawings and specifications are enclosed for your review. We are also requesting a waiver allowing the
proposed holding tank to be as dose as 40 feet from existing drainage ditches that carry surface water.
The lot is poorly drained and is traversed by several small drainage courses. All of the adjoining lots
are undeveloped, presumably because of unsuitable soil conditions. The soils logs prepared prior to the
installation of the soil absorption bed currently serving this lot (that was permitted by DHHS in 1985)
clearly demonstrate the presence of a shallow groundwater table. On May 21, 2002 1 met on site with
Dan Roth and Joe from your office to discuss the options to bring this lot's wastewater disposal system
into compliance with code, so as to allow issuance ofa HAA certificate. All agreed that the only
feasible option will be to install a holding tank, which will entail issuance ora waiver allowing the tank
to be within a straight line distance of 40 feet from surface water. To facilitate issumace of the waiver
the enclosed plan calls for final grading to create a zigzag swale such that the surface flow path betweqn
the tank and surface water exceeds 100 feet.
The topography of the lot slopes generally dowaawards towards the north at approximately 15%
The proposed 4000-gallon holding tank is oversized to reduce the frequency of necessary pumping.
This will also allow the incorporation of a larger remaining available volume between the time the high
level alarm signals the need for pumping and the tank actually being full. This will reduce the
possibility of the tank overflowing before a pump truck is able to make it up to the property, which cma
be difficult to access in winter.
Unlike most septic tanks, which are fabricated out of 12 gage or 10 gage steel, the proposed holding
tank will be fabricated out of 3/16" steel. This thicker steel, when coupled with a bituminous coating
should make the holding tank remain watertight considerably longer than any normal septic tank.
Once the proposed holding tank is installed the presently existing sub-standard enviromnental
conditions will be significantly improved. The existing septic tank is now over 17 years old and
possibly leaking. The partially treated effluent from the septic tank is discharged into an absorption
system that is inundated by groundwater. With proper installation and maintenance this present source
of gromadwater contamination will be eliminated.
By creating the proposed 100-foot flow path between the tank and surface water by means of a
zigzag swale, the intent of the regulatory separation distance requirement will be preserved. For the
above reasons I believe that the requested waiver can be safely granted without concern as to the
proposed holding tank having an adverse impact on public health.
The proposed project will have no significant impact on present or future water supply and
wastewater disposal systems serving adjacent properties, nor in my opinion will it have any significant
impact on reserved space-surface and subsurface, or on drainage.
Please give me a call at 345-1355 if you have any questions on this submittal.
cc: Dave Kulovany, 8300 Robert Drive
Sincerely,
Ted Moore, P.E.
LOT 13A ~
(VACANT) ~
ERT DRIVE
~' j J' J'~ ABANDON EXISTING
/ / ~' '~ SOIL ADS. BED
ABANDON EX iT NT NK
EXISTING DRAINAGE
LOT 24A
(VACANT)
SATELLITE
R 75'
LOT 18
(VACANT)
CREATE "ZIG-ZAG" SWALE
TO ENSURE 100'+ FLOW
FROM NEW HOLDING
TANK TO SURFACE WATER
REBUILD CURTAIN DRAIN
APPROX. 4' DEEP I LINE W.
FILTER FABRIC BEFORE
INSTALLING PERF PIPE
AND GRAVEL TO ELIMINATE
ALL SURFACE FLOW HERE
INSTALL NE~/~ 4000-GALLON
HOLDING TANK WITH 5 FEET
SOIL COVER
LOT 22A
(NO HOUSE)
WELL
R 75'
LOT 23A, BLK. 10, RABBIT CREEK HEIGHTS SID
HOLDING TANK INSTALLATION
SITE PLAN
FLATTOP TECHNICAL SERVICES I INCH = 50 FEET
14530 ECHO STREET DRAWN BY TFM
ANCHORAGE, ALASKA 99516 JUNE, 2002
NOTE: THIS IS NOT A SURVEYED PLAT.
ALL LOCATIONS SHOWN ARE APPROXIMATE.
INSTALL
~'TV DISH ~ /
___SATELLITE
PATH FROM NEW HOLDING
TANK TO/SURFACE WATER
INSTALL NEW 4000-GALLON ·
TANK WITH 5 FEET ·
SOIL COVER ·
'-~/ REBUILD CURTAIN DRAIN
/ ~/, APPROX. 4' DEEP - LINE W.
,' / FILTER FABRIC BEFORE
,/ / INSTALLING PERF PIPE
AND GRAVEL TO ELIMINATE
ALL SURFACE FLOW HERE
PLAN VIEW
SCALE: 1" = i0'
5' MIN SOIL
OVER TANK
LON HOLDING TANK - ~ 6.3
FRO ~(.~ ~ ;:. ,. ::', . ~ ~
17.2
LOT 23, BLK. 10, ~BBIT C~EK ~IGHTS
HOLD~G TA~ ~ST~LATION
PROFILE VIEW PLAN A~ CROSS-SECTION
~A~E: ~" = ~' ~c~oe ~ec~c~ s~awc~s sc~: ~s suo~
14530 ECHO S~ET D~ BY: ~M
ANCHO~OE, A~ 99516 ~Y, 2002
~Ffattop ~Yeclinica£ Services
14530 ~Ecfto Street, ~ncfwrage, .~ 99516
34 -g3 s
Lot 23, Block 10, Rabbit Creek Heights
8300 Robert Drive
Holding tank installation
Specifications
1.0 General:
1.1 The scope of the project consists of abandonment of an existing 1000-gallon septic tank and
installation of a 4000-gallon holding tank with a high-level alarm system. An ancillary part of the
project is to rebuild approximately 100 feet of curtain drain to eliminate a surface flow drainage ditch
and to create a dry drainage path extending 100 feet downhill of the new holding tank.
1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor
deviations from these drawings may be allowed or required by the engineer conducting the inspections.
All construction procedures and material specifications shall conform to Municipal and State
requirements. All separation distances shall be in conformance with Municipal requirements, unless
specifically waived.
1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around
any buried utilities.
1.4 The contractor shall provide adequate cover material and rough grading over all system
components to ensure that proper drainage is achieved after settlement and that there are no residual
depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas.
1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading
after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the
constmcfion.
2.0 Holding Tank:
2.1 The existing 1000~gallon septic tank must be properly abandoned by thoroughly pumping,
removing the top and backfilling with soil.
2.2 The new 4000-gallon Municipally approved holding tank shall be installed in the approximate
location shown on the site plan. Tha tank shall be set level on undisturbed soil and buried a minimum of
5'feet below final ground surface to prevent flotation. The contractor should be prepared to de-water the
excavation, if necessary.
2.3 To provide the maximum amount of unsaturated backfill, the top of the holding tank shall be
set approximately 6' below the level ofthe top of the foundation. Additional fill material shall be
hauled in, as necessary to bring the finish grade up to result in a 5-foot backfill depth over the tank. The
fill slope down to original ground on the west side of the tank shall not exceed 2:1.
2.4 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The
waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot. A
cleanout shall be installed prior to the 90 degree ell fitting upstream of thetank
2.5 The holding tank shall be equipped with a low voltage, high level float that triggers an
approved visible and audible alarm mounted inside the residence. The float shall be positioned to
trigger the alarm when the fluid depth is approximately 57 inches above the bottom of the tank, thereby
leaving 600-800 gallons of capacity remaining in the tank at the time the alarm first sounds.
3.0 Curtain Drain and Drainage Swale:
3.1 Prior to installation of the holding tank the contractor shall rebuild and relocate the existing
curtain drain along the east side of the property to eliminate all surface flow in this ditch and also aid in
dewatering the proposed site for the holding tank. The recommended procedure to accomplish this is to
excavate a narrow ditch approximately 4 feet deep, line it with filter fabric, install 4" diameter
perforated drainage pipe bedded in sewer gravel to a depth of approximately 1 foot below ground level,
then fold the filter fabric over the gravel before backfilling. The actual procedure used will be left up to
the discretion of the contractor.
The only curtain drain inspection will be verification by the engineer that the surface flow drainage
ditch has been successfully eliminated.
3.2. After installation of the homing tank the contractor shall provide surface grading to create a dry
zigzag swale resulting in a 100-foot+ long surface flow path downstream of the holding tank before
reaching surface water.
4.0 Inspections:
4.1 A total of 3 engineering inspections will be required during the course of the project: (1) initial
stakeout with the contractor to establish the location of the system and to discuss the plans,
specifications and construction procedures, (2) after the tank has been set level in the excavation and the
piping connected and alarm installed, but prior to backfill, and (3) after final backfill and grading is
complete.
4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
Mtmicipality of Anchorage
George P. Wuerch, Mayor
Buildlrtg Safety Division
P.O. Box 196650 · 4700 S. Bragaw Street
Anchorage, Alaska 99519-6650 · (907) 343-8301
http://~wa~v.ci.mlchorag¢.ak.us
7/24/2002
Theodore F. Moore, PE
Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
Subject:
Waiver Request for Rabbit Creek Heights Block I0 Lot 23
Waiver Request #WR020049
Parcel ID #020-113-48
Wastewater Construction Permit Number SW020244
Department of
Public Works
Dear Mr. Moore:
Your request for a waiver of the required 100 feet horizontal separation from the
holding tank to surface water has been approved. The approved separation distance is
40.0 feet.
This waiver approval applies to the existing holding tank to surface water 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,
Civil Engineer
On-Site Water & Wastewater Program
ENVIRONMENTAL ENGINEERING DIVISION
· 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE ~LNEW
Pio~d Cra~ 3~-~0~2 r~ UPGRAD
MAILING
c~ GEOLAB 1131 B. 76th Ave. ~101 Anchorage, Alaska
ADDR SS
LEGAL DESCRIPTION
Rabbit Creek Heights Block 10 Lot 23 Sec. 6 TllN R2W
LOCATION
Robert Drive NO. OF BEDROOMS 2
[Well J Absorption area DwelHng PERMIT NO.
~ DISTANCE TO: 120' 28' 22'
~ ~ Manufacturer Material S~ No, of compartments
~< Greet 2
Li~ ~ity in gallons IF HOMEMADE: Inside length NA Width NA Liquid depth
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
J~z NA
%_~O Z < Manufacturer Material Liquid capacity in gallons
~ DISTANCE TO: Well 13 0 ' Foundadons~ i Nearest lot li~e3 , PERMIT NO.
~ N°'°flines 3 Length°feachllne Total~hof~bed,/~e~ %~ Distance between lines 4 .~
~ -- Top of tile to finish grade ~ ~ ] ~ Material beneath tile Total effe ire absorption area
Q ~ 2 // washed rock ~ ~'/ i~ 9~4 sq.ft.
Length W~d~~ Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ WelJ Building foundation Nearest lot Nne
~ DISTANCE TO:
~ 31ass Depth Driller Distance to lot bne PERMIT NO.
~ NA
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s}
OTHER
PIPE MATERIALS
SOIL TEST RATING
318 sq. ft./DR / ~ ~. -
INSTALLER /
SEE ATTACHED AS-BUILT /. ~ .~,~¢. ~/
J
APeD DATE LEGAL
.. -p. · - =' -r. ,-Iq,. II~C,l'qMEI ,TAL
DEP...~F,:T,d,-,q, Of: HEAL. TH AND ,z
825 L c?r'r-'FZ-r' ~luf
..., ~- - , ............ ~u-, ¢::tl-::: 99501
264-/-!.72
EER,I~ , NO.
DATE ISSUED=
APF'L ICANT:
ADDRESS:
CONTACT PHONE:
E]40976 ENGINEERED DESIGN
12/12/84
I 1.:31 E. '76TH SUITE :l. 01
ANCHOF;'.AGE:, Al< ?9502
344-8042
LEGAL. DI...,.,U,.II.,
_OT SIZE:
,DUBDIvI_,_C)N. RABB]:T CREEK NEIGHTS LOT:~'~z,
SECTION:..'t , ,.~,.,,..,, ,~.,'r'nl..h*,,c:-,~.,T,::... :L'IN.. I~...NuE: .::,/~
2 :x]Cx') (S(;!. FFT. OR AC;RES)
certi f'y thaT_:
£~£th by {he ~MunJ. cJ. Dality of AnchcDPaC¢c.: (MOA) and lLne State' of qlaska.
~:. ] will instal] the slys'Lem i_ ac:c:or'clance with all H[]A c:c:}des and Pegu].atior',..u,
and zn comoliance wJ.{h the design cPi'L~z,r'ia o¢. Lhis
.-_'~. I wil] adhere to ~!1 MOA ant S(a~e o{' ~]ia!:;l.::a r'eouiPE!m(ent~s FoP the .;~et back
IF: A LIFT STATION ]:S II'.ISTALLED IN AN AREA COVE]RED
TFIEIxl (11. AN ELECTRICAL PEITM]:T AND .,.,T'd~''~''m~'n~l.;),--~z ............ MUST
WILL ~40'T BE APF'ROVED
ELFCTRZCAI WE)RI< MUST BE DONE .u~'
APPLICANT: GEC, L.f
ISSUED BY
B'Y MOA [.[J.[LDI~ G
BE 0,..,, ,.-,ILl ...... :.) J",,., B.J .......
THE
& ENGINEERS, INC.
s r3 7
7125 OLD SEWAR[3 HIGHWAY
ANCHORAGE, ALASKA 99592
(907) 349-6561
;~ SOIL LOG
SOIL LOG ~ PEROOLATIO.
TEST
PERCOLATION TEST z .EDROO~S
LEGAL DESCRIPTION: ........... ,) SLO~ StTE PLAN
4
11-
12-
13--
14--
15--
16--
17--
18--
19--
20--
DEPTH
(FEET)
WAS GF~t~IUND WATER
IF YES, AT WHAT
TEST "UN "ETWEEN ¢5' ETA;'O ~'0' ET
Gross Net Depth ~'o~' Net
Reading Date Time Time Water Drop
z ~ ,' 't~ ~ 5~/* ~ '
.... N I
E
INC. SOIL LOG
AtASKA99502 ~O1~.~O~ '~w,~;',EEI~:~OLATION TEST
1349,6561 ~ N~IV~H JO 'ld~q
PERFORMED FOR:
PERCOLATION
TEST
JOB NUMBER:
DATE PERFORMED:
SLOPE
z
SITE PLAN
17-
18-
19-
W E
WAS GROUND WATER S
ENCOUNTERED? Y~S k
E
IF YES, AT WHAT
DEPTR? ~% 5~0'
Reading Date Gross Net Depth to Net
DEPTH
(FEET)
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
COMMENTS
PERFORMED BY: ~t ~A~ IS'~--~ CERTIFIED BY: DATE:
ENGINEERS, INC.~ (]] ]-~ SOIL LOG
S
.~ o,o SEWAR~ H~,~A', P E ROO L~TIO N T EST
ANCHORAGE, ALASKA 99502
(901) 349.6561
~OHDNV JO
PERFORMED FOR: ~LOD~]~
VSOIL LOG
PERCOLATION
TEST
~A BEDROOMS
JOB NUMBER: _401.~ ~ ..
DATE PERFORMED: '~J~,;~O~;2,J~-._ ~
5
6
S~AG~ AT 7,0"
14-
15-
SLOPE
16-
WAS GROUND WATER
ENCOUNTERED?
DEPTH? AT-
SITE PLAN
W E
Gross Net Depthto Net
Reading Date
Time Time Water Drop
DEPTH
(FEET)
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
COMMENTS
PERFORMED BY: ~, '~A/~ M ~ ~'T"~?J'~__
CERTIFIED BY:
DATE:
MrIRR~I~]N-KI~UDSEN CIDMPAI~, INC.
MEMORANDUM
DATE: January 22, 1986
~OI'£CrloN
TO: MOA Risk Management, Joyce McElmurry
FROM: ~ .Ralph Dresel, Project Manager
SUB.JECT: Notice of Claim - David & Virginia Eu. lovaney
Damage to T.each Field: Bleak 10, Lot 23~. Rabbit Creek
Heights Subdivision
District 7 Street Improvements
Construction Division File No. 85-C-27
This problem is a r~sult of a Road Improvement Project which
involved construction and reconstruction of drainage ditches,
installation of culverts, and some road reconstruction in the
Rabbit Creek Heights Subdivision. The project was designed by
Centrum Engineers at the direction of Public Works. Contractor is
Northway Development with construction inspection and
administration done by Morrison-Knudsen Company for Public Works.
Work on Robert Drive in front of Kulovaney's property involved
cleaning out and reshaping the drainage ditch alongside Robert
Drive. Prior to construction, the ditch was flowing a significant
amount of water. Residents in the area have indicated the ditch
runs year-round.
Construction plans showed all ditch work to be within the
right-of-way. Construction survey was performed by Centrum who
also did the design. New work was performed within the
right-of-way shown on the plans, and has since been completed in
the area.
During the ditch re-construction in front of Kulovaney's property,
a corner of what appeared to be a leach field, was exposed. As
this apparently was a violation of the Municipality's ordinances,
Susan Oswalt of Environmental Health Office was notified.
After turning the problem over to Environmental Health,
apparent that a survey problem exists in the subdivision
no one is sure exactly where the various properties and
way are in relation to each other.
it became
such that
rights-of-
If the survey information used for the new road and drainage
construction is correct, then the Kulovaney spetic system lies
within the street right-of-way. It appears at this time that the
only way to establish where the various properties and rights-of-
way are is to perform a complete survey of the subdivision, a very
costly task.
Risk Management
January 22, 1986
Page 2
Attached for your information are copies of the following:
On-site Sewage Disposal System and/or
Report in the name of Floyd Gray for the
dated January 10, 1985.
Well Inspection
subject property
An As-Built drawing of the property from FYPS Engineers,
Inc. dated November 28, 1984.
A portion of the District
drawings, sheet 13 of 14,
the property in question.
7 Street Improvements contract
showing the new construction at
If we can be of further assistance, please contact me at 274-9566.
RD:hd1251g
cc: Manager~ Design and Construction
Environmental Health, Susan Oswalt
~ /,_~G,D° 4o' DD"w/ lDo. cDc) ,
c~p.~on.(t~so) .~ ~ s ~ ~.d ~ JOB NO.. O ~
~. ~'~ ~, z~s~.iz ~''~'FZELO BOOK: ID~ p. g~
FO~~JO~ O~L~ CLIENT : ~LO~-~ ~
: 7125 OLD SEWARD HWY.
~FYPS ~ N G l N ~ ~ ~ S. I N C ,~.o~,~. ~,~A ~o~
I HEREBY CERTIFY THAT I HAVE SURVEYEO THE FOLLOWING DESCRIBEO PROPERTY.
LOT ~ .8LK. ~o. f:~,~-.~:~l~St~* C ieeE E~-. HI~IGHT5
ANCHORAGE RECORDING DISTRICT. AK.. ANO THAT THE IMPROVEMENTS SITUATED TItEREON ARE
MITHIN THE PROPERTY LINES AND O0 NOT ENCROA~ ON THE PROPERTY LYING AOJACENT
THERETO:~ THAT NO IMPROVEMENTS ON PROPERTY LYING AOdACENT THERETO ENCROACH ON THE
THE PR~R1SES IN OUES~ION ANO THAT THEgE AR~ NO ROAONAYS. IRANSMISSION LINES OR
OTHER ViS~BLE EASEHENTS ON SAIO PROPERTY EKCEPI AS INOICATEO HEREON.
OATEO THIS ~OAY OF ~0~, , ~9~. ANCHORAGE. ALASKA.
ti iS T~E RESPONSIBILITY OF THE O~NER OR 8UILOER.
PROPOS~ 8gILDING GRADE RELATIVE TO FINISH GRAOE ANO OTtLITY
uET:.MzNE ~HE EXISTENCE OF ANY EASEHENTS. COVENANTS OR RESIR]CT]O~S ffHICH:OO NOT
APPE4~ ON T~C 31VISION PLAT.
Util. Esmt.
14
15
0
GEOLAB
1131 EAST 76TH AVENUE
SUITE # I Of
ANCHORAGE. ALASKA 99502
907-344- 042
March 11,19815
M un ici pality of Anchorage
Department of Health and Environmental Protection
825 "L" Street
Anchorage, Alaska
Attn: John Lynn
Reference: Rabbit Creek Heights Lot 23 Block 10
Health Authority Approval
(~ntlemen:
In response to your telephone cell of March 11,1985, we offer the following comments regarding
the Health Authority Approval for the subject lot.
1. The contractor inedvertantly neglected to obtain a permit for the well. An application for
a well permit is attached.
2. The well wes intermittently artesian when drilled, but has since had a pressure cap
installed. No wateP flow auPfacas at this time. The pit which had been excavated to help
control the water flow when the well wes drilled will be filled in after the spring thaw.
3. Under Item C. of the checklist the "depth of field" should read 2', not 6'. Please note that
the field is insulated below the beckfil] material.
This letter addresses all the concerns mentioned in our telephone conservation, tf you have an~
additional questions, please do not hesitate to contect me at 344-8042.
Sincerely,
David A. ,Stanley
President
Oeolo~Jioal Consultin~ · Testin~ Laborator~ · Ooalit~ Control * Se~tto $~stem Design & Inspection
GEOLAB
1131 EAST ?GTHAVENUE
SUITE A 101
ANCHORAGE.ALA§KA 99502
07- 44-6042
January 9, 1985
Municipality of Anchorage
Department of Health and Environmental Protection
825 "L" Street
Anchorage, Alaska
Reference: Rabbit Creek Heights Subdivision Block I 0 Lot 23
8entlemen:
Attached is our On-site Sewage Disposal Inspection Report and as-built drawing for the subject
property. The septic system has been constructed, and is in substantial compliance with the
design drawings which were approved by DHEP. Before final approval ia given for this system
and before the final Health Authority Approval is granted, the following items must be addressed:
Final construction of the curtain drains must be completed. ,Some of the lower
portions of the curtain drains could not be completed due to the seasonal unavailibility
of baskfill materials and due to the extremely hazardous road conditions near the site.
Completion of the curtain drains can be accomplished in the spring when the site
conditions ore favorable.
Final grading of the area of the mound cannot be completed due to the frozen nature
of the soils. The final grading can be accomplished in the spring after the soil has
thawed sufficiently.
The wet1 is intermittently artesian. In order to help control the water flow, a lined
depression was left around the well casing. The well casing was sealed below ground,
just above the pitless adapter. §afore the Health Authority Approval can be granted
the depression must be filled and the site graded to allow surface water to drain away
from the casing. A sanitary seal must be inetalled at the top of the casing, in addition
to whatever seal has been installed below the surface level.
Should you have any questions regarding this matter, please do not hesitate to call.
V~ truly yours,
DovidA. Stanley, P.O. /
Manager
Geological C ,,,o~,~.~,~,~..~3,,, Testint Laborator~ ,~ eualit~ Control ~, Septio $~stern Design & Inspection
GEOLAB
1131 EAST :~6TH AVENUE
SUITE t 101
ANCHORAGE. ALASKA 99502
907-344-8042
December 11, 1984
Municipality of Anchorage
Department of Health and Environmental Protection
825 "L" ,Street
Anchorage, Alaska
Attn: Mr. Keith Bandt
Reference: Rabbit Creak Heights Lot 23 Block I0
Oentlemen:
Attached for you approval is our design for an on-site ~ewag~ disposal system for the subject lot.
Also attached are the results of the three percolation tests which have been run at the site.
As you can see from the percolation tests, there is shallow groundwater at the site. The curtain
drains which are shown on the drawing were installed earlier this year. The upper drain was
installed in the spring, and the lower drain was installed during the summer months. The drains
have worked very effectively to control the surface and near surface groundwater. The table
below show the results of our monitoring.
DATE LOCATION
OROUNDWATER LEVEL
4/4/84 Teat Hole # 1 7.
4/4/84 Test Hole #2
1/16/84 Monitoring Tube
1/27/84 Monitoring Tube 8.5'
1/27/84 Test Hole #3 6.5'
The monitoring tube is located uphill from Test Hole #3 and the water levels in the two
locations are at about the ,same elevation.
The design we propose is a shallow bed system, with the cover mounded above original ground
level. The organic soil at the site of the system will be removed and backfilled with 3.0' of
pit-run silty sand. The absorption bed will be constructed above the beskfilled sand. The
natural aoil below the sand is silty gravel which has a percolation rate of 53 minutes per inch.
Tho sand fill will be protected by an impermeable barrier which will help control any
groundwater intrusion. The impermeable barrier will be both up and down slope from the
drainage bed, which will prevent effluent from dsylighting on the slope. We are satisfied that
this design will protect the groundwater in the area of the absorption field.
Oeolo~ical Consulting * Testing t. aborator~ · Oualitg Control · Septic System Design & Inspection
We are requesting approval of this design and ask that you issue a permit for this project.
3hould you have any questions regarding this matter, or if you wish to meet with me, pIeese do
not hesitate to contact me at 3~!4-80~12.
Very truly yours,
David A. Stanley
Manager
disk9/1
dob#84017
DA$:dd
C'E~PP~'?.TM[:-_N!' [}? HEALTH ANE EN% iF,'LlPff'q~EF4TAL.. PROTECTION
825 L STREE[T,. ANE;HOFd:~GE, AK 9950~
264'"'472. C~
DATE !:SSUED: 03/t-* /c.=
A, , ~. ICA ,.i1" ~... F:I....QYD ,__.n:~qv:'..v.._,,
ADDRErSS: % L.H..,.,L,~ .......... E[~ 7._/uTH
,-..1'4 ....... ). ~._, ~.,~._, Z~l< _ ..
.... OI,, .- .... F'H,r)NE: Sq 4-3042
LEGAL DESCR I F:' ,',
I_[]T ~:='t"~F"~,..,---.
~:,.~ ~r_, '--CF;'.EE J-r~: ~ lq- - ':'~
SUBDIVISION: ~...~£,~.,1, < I ........ r ........ ·
SECT I [IN ~ 6 T=~. , ,~,, , I, -~ h.',~:,... ' ,:: ....... ~ :~:".~'"~U r.~ ~:, ~*..~. ,,' _?bi
ISSUED BY
)~) A ]- E -:
Date D~illed~
Static Water Level
Draw Down
WELL LOG
feet
feet
Gallons Per Minute
Total Feet of ~asin~
Type Material Drilled:
0 feet
to
to
to
MUN~PAUTY OF
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTIO~
NIAR 'f "~=
to
to
S.R.A. Box 1553 H
Anchorage ,Alaska
99507
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. munLorg/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. O20-¢;81~4c)
1. GENERAL INFORMATION
Complete legal description
COSA#
Expiration Date:
Rabbit Creek View & Heights, Block zoH, Lot 2:{A
Location (site address) . 8:{oo Robert Drive
Current Property owner(s) Shawn & Kristina Holdridge
Mailing address
Day phone
Lending agency
Mailing address
Day phone
Real Estate Agent
Mailing Address
Day phone
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBI~R OF BEDROOMS: 2
3. TYPE OF WATER SUPPLy:
IndMdua! Well []
Individual~Water Siorage []
Community Class Well []
Public Water System []
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 On-Site 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 On-Site 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 sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system,
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work,
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 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 files 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 Pannone Engineering Services, LLC Phone 27:z-82~.8
Address P.O. Box ~oo2z7, Anchorage, AK qq~;~o
Engineer's Printed Name Steven R. Pannone, P.E. Date ~"~.1/[?
Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in
accordance with MOA DSD Guidelines & Regulations. T'ne reported results describe the performance of the system under the conditions
encotmtered 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 soil condition, ~cound water
levels that may fluctuate during tile year, and the water usage of the family being served by the system.
These conditions are outside thc control of the evaluator of thts system. 3,11 systems eventually fall and
satisfactory test results do not guarantee fi~ture performance of the system, nor do they guarantee that
· . ~,,,,,~, .......... ,~,,,,,~
there are no hidden defects or encroachments. PES can therefore not provide any warranty for future
performance nor give any estimate of how long the system will continue to meet the operational
reqmrcrnents of the MOA DSD. The content of this report is for the sole benefit of the owner hsted
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
~'"""Appr0v~d for ~ bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
Arsenic Advisory
Maintenance Agreements
~upplemental Engineer's Report
Other
Original Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Rabbit Creek View & Heights. Block aoH. Lot 2~A
If A, B, or C provide PWSID #__
Sanitary seal (Y/N) Y
Cased to 12o ft.
FROM WELL LOG
8/~7h.~84
o ft.
g.p.m.
Nitrate 0.887 mg/L
Date of sample: '~lql2oz=
Number of Compartments ~_
Depression over tank (Y/N) N
Pumper A+ Home Services
A. WELL DATA
Well type Private
Date completed 8]~.711984.
Total depth 124. ff.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform Ne§ colonies/100 mL
Arsenic: ND ug/I
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Holdino/Steel
Tank size 4.ooo gal.
Foundation cleanout (Y/N) Y
Date of pumping .~la.120~..~
C. ABSORPTION FIELD DATA
ParcellD:
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground)
AT INSPECTION
~1ql20~.2
=6 ft.
6.8+ g.p.m.
Collected by: PES
Date installed 8/81zoo=
Cleanouta (Y/N) Y
High water alarm (Y/N) Y
Soil rating (g.p.d./~ or ~/bdrm) System type
ff. Width ft. Gravel below pipe fi.
Total
depth
Eff.~ .ff2 Monitoring tube Depression over field
ff.
Date of adequacy test Results (Pass~/Pail.)~ For bedrooms
Fluid depth in absorption field before test in. Wate~
g.~.....~ New
depth
in.
Elapsed Time: min. Final fluid depth in. Absorption rate ~ g p.d
Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date ~"'"'~
D. LIFT STATION
"Pump on" level at __
Datum
Size in gallons Manhole/Access (Y/N)
in. "Pum~m level at . in.
Cycles tested Meets alarm & circuit requirements
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot N/'A
Absorption field on lot N/'A
Public sewer main 75+
Sewer/septic service line
Animal containment areas
On adjacent lots lol
On adjacent lots lOO+
Public sewer manhole/cleanout lOO+
Holding tank 79*
Manure/animal excrete storage areas lOO+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ,~
Water main lO+
Wells on adjacent lots
Property line lO+
Water service line
Absorption field NIA
Surface water ~-5'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Water Service line
Curtain drain
F. COMMENTS
Building foundation Water main
Surface water ~
Wells on adjacent Pots
~ WRo2oo~c~ ' _ . Holding tank to surface water.
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 Steven R. Pannone, P.E.
Date ~/~!~"~_
COSA Fee $
Date of Payment
Receipt Number
(Rev. 11105)
Waiver Fee $
Date of Payment
Receipt Number
~.r ~,~,.~ ~ ~ ~,.,,,.~ ~\ ~ '~.~"*'"0. 889°24 ' 16"W
~ - ~ "N 22A
24A ~ ~
~ L~t ~.~Y SURVEY TYPE SYMBOLS
g ,,ALF~HBA~S~UO~RE~-"UILTAs BUILT SET REBAR ~ ~ DR~~ AS"HALT
PLOT PLANS A LOT SURVEYS NOTE:
WHICH OO NOT APPEAR ON ~E REOOROEB SUBDIVISION PLAT, ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED.
SURLY CER~FICATION Prepored by
Robert E. Johns, Jr. a Assoc.
......., ~., ~'~.~, ~ ~, ~} ................ ¢~e. ~rofession~l Lond Surveyors
= ~ ~ ~* ~ ~ to ~ ~t ~ m~ I ~ ~~ ANCHORAGE, ALASKA 9950~
'~ ~' ~" ~ th~~ Scole: 4" Ch' Rem Lot S.F. Rec, PIQt ¢il' Nm
~'" ~" ~" ~"~ ........ * 3/08/12 REJ ~MK
~ ~o x :/~9~_~Z~ ,.~a....; 3/08/12 3341 12-57
R~,~y~Omatl ~ *.,.,, .,.,., ~ Legal Description:
~"~';I~ eeZ.~ · ........ ~o.~.- LOT 23A BLOCK 10H
~ ~ -...~*- RABBIT CREEK VIEW & HEIGHTS
Municipality of Anchorage
Development Services Department
Building Safe~y Division
On-Site Water and Wastewater Program
4700 South Bra§aw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cLanchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. dP ¢--.~ ~ t! 3 - ~/,:¢
1.
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Expiration Date: //- / 5'-- O ~
¥
Current Property owner(s)
Mailing address
Lending agency
Day phone
Day phone 7 ~-
Mailing address
Real Estate Agent L~n~
Mailing Address 3
Unless othe~ise requested, HAA will be held by OSD
NUMBER Of BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class__
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site []
[] Individual Holding tank []
[] Community On-site []
[] Public Sewer []
The Municipality of Anchorage Development Se,wices Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties se,wed by a single family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with
valid water samples.) Certificates are valid for one year for properties se,wed by Class A or B welIs or a public
water system. The Municipality of' Anchorage is not responsible for errors or omissions in the professional
engfneer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage flies 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.
NameofFirm ~'(¢/-¢-o,p '"/-..._(__/~.. ~'..~ t S~,-'~.,.,'¢' Phone
Address IdS- ~0 ~./~¢ ~'/;, /F.~,4,~,~_~?.,¢ /,)-W ¢'~&-/g'
Engineer's Printed Name ~F--.,~o ~_~¢,~¢. ~'. .,--roo,"~. Date
DSD SIGNATURE
J Approved for ~
Disapproved,
Conditional approval for
bedrooms.
,~.,, .......... ¢:, STAMP
bedrooms, with th~'~ii~¢iii~ '~;ipulstions:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
' rt
Supp emental Engineer s Repo
Other
Original Certificate Date: ,~ ~ -/$% 0 ~ -
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. BOx 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
A. WELL DATA
Well type /"~"~
Date. completed ~/17/'g¥ Sanitary seal (Y/N)
Totaldepth J'~¥ ff. Casedto P-4;, ff.
FROM WELL LOG
Date of test ~ /1 ? / ,~ ~
J..¢].~! ~[ocl, c I0I .~aI,,IMJ' C~e~_[¢ ~ ParcellD:
If A, B, or C provide PWSID # __
Static water level
Well production Gao t'
WATER SAMPLE RESULTS:
Coliform ~ colonies/lO0 mi.
Date of sample: '7/ 17/02.
B. SEPTIC/HOLDING TANK DATA
ft.
g.p.m.
Nitrate I.~;~ mg.tl.
Collected by:
Tank Type/Material /-.~t'c],~j¢ "T~
Tank size ~ O' 0¢ gal. Number of Compartments
Foundation cleanout (Y/N) '¢ Depression over tank (Y/N)
Date of pumping M,/.).. ~_/4.~c~) Pumper
C. ABSORPTION FIELD DATA
Date installed Soil rating (g.p.d./ft2 or ~/bdrm)
Length ft. Width
Total depth ft.
Date of adequacy test
Fluid depth in absorption field before test __ in.
Elapsed Time: __ min. Final fluid depth
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
Well Log (Y/N) 'r'
wires properly protected (Y/N) ~"
Casing height (above ground) ~ ~' in.
AT INSPECTION
7/ 1'71o?_
¢¢3' ff. -~
~', ¥ + g.p.m.
Other bacteria t cotonies/lO0 mi.
ft.
Eft. absorption area ft2 Monitoring tube
Results (Pass/Fail)
Date installed
Cleanouts (Y/N) Y
High water alarm (Y/N)
System type
Gravel below pipe
__ Depression over field
For
Water added gal. New depth
in. Absorption rate >=
if yes, give date
bedrooms
in.
g.p.d.
D. LIFT STATION ~. ~.
Date installed
"Pump on" level at __ in.
Datum
E. SEPARATION DISTANCES
Size in gallons
"Pump off" level at __ in.
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot ~. ~r.
Absorption field on lot /d,/~,
Public sewer main ~/. ,4.
Sewer/septic service line '~ ?-.5"
Manhole/Access {Y/N)
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Property kine
Water service line
Building foundation
Water main '~ ~ O'
Wells on adjacent lots
Absorption field
Surface water
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation.
Surface water
Water main
Driveway, parking/vehicle storage.
Property line
Water Service line
Wells on adjacent lots
Curtain drain
F. COMMENTS
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 HAA guidelines in effect on this date.
Engineer's Printed Name -')'-,4~¢,~-.~'o¢-~ .c-. /~c, of~..
ENG
in.
Date
HAA Fee $ "~ '~_C ':'~'-
Waiver Fee $
Date of Payment
Receipt Number
(Rev. 12J00)
Date of Payment
Receipt Number
MUNICIPALITY OF ANCHORAGE~
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information Application Date January 24,1985
(a) Legal Descriptiou (include lot, block, subdivision, section, township, range)
Lot23 Block 10 Rabbit Creek Heights Sec. 6 TllN R2W
Location (address or directions)
Robert Drive
(b)
Applicants Name Floyd Gray Telephone - Home Business 344-8042
Applicants AddressC/O GEOLAB 1131E. 76th Areal01 Anchorage, AK 99502
(c) Applicant is (chec~ one) Lending Institution 2; Owner/builde=~ ;
Buyer ~--~ ; Other~ (explain);
(d) Lending Institution Telephone
(e) Real Estate Co. & Agent
Address
(f)
Telephone
Mail the FAA to the following address:
c/o GEOLAB
1131E. 76th Ave. el01
Anchorage, Alaska 99502
2. Type of Residence
Single-Family~
Number of Bedrooms
3. Water Supply
Individual Well~"~
Multi-Family~
2
Other (describe)
Community~--~ Public
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
Sewage Disposal
Onsite ~ Public ~ Community ~ Holding Tank ~
Note: If community well system~ must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
[Page 1 of 2]
!
Eh~ineerin~ Firm Providing Inspections, Tests~ File Search~ Data and Information
As certified by my seal affixed hereto and as of the validation date shown betow~ I
verify that my investigation of this Health Authority Approval shows that the on, site
water supply and/or wastewater disposal system is safe, functional and adequate for
the number of bedrooms and type of structure indicated herein.. I further verify that,
based on the information obtained from the Municipality of Anchorage files and from my
investigation and inspection, the on-site water supply and/or wastewater disposal
system is in compliance with all Municipal and State cedes, ordinances, and regula-
tions in effect on the date of this inspection.
Name of Firm GEOLAB
Telephone~ 44- 8042
Address 1131 E. 76th Ave. ~101 Anchorage~ Alaska 99502
of area~ completion o~
well casing. All three items cannot
before spring.
Approval recommended
conditionml pendJ ting
curtain drains, and filling of de
be completed
(~.~¢INEER SEAL)
6. DHEP Approval~ ~ M~.~/ ...... ~'"<~$
Approved for 14~.C9~ bedrooms By _
Conditional
Approved Disappr ovoid
CAUTION
'£'~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN LN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN '£~ STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS LN THE PROFESSIONAL ENGINEER'S WORK.
(DHEP SEAL)
RR4/eJ/D18
[Page 2 of 2]
7-19-84
GEOLAB
1131 EAST 76TH AVENUE
SUITE ~ I01
ANCHORAGE. ALASKA 99502
907-344-8042
March 15, 198,5
Municipality of Anchorage
Department of Health and Environmental Protection
825 "L" Strut
Anchorage, Alaska
Attn: ,John Lynn
Reference: Health Authority Approval Rabbit Creak Heights Lot 23 Block I 0
~entlemen:
At your request I am submitting this letter to explain a minor discrepency in the HAA Checklist for
the subject project. The checklist item in question is regarding the size of the absorption field
under Item C. of the checklist. The length and width of the field were given on the checklist as 44'
and 22' respectively. These dimensions are for the actual excavation, not for the gravel bed itself.
Since the excavation is based on the receiving soil (rated at 318 sq.ft./BR), its size is 22' X 44'.
Thegravel bedsizeis basedon the sand fill (ratedat 150sq. ft./BR) and is sized at 15'X 30'. The
excavation size was entered on the checklist by mistake. The correct length of the "field" is 30'.
The correct width of the "field" is 15'.
The attached sketch shows the relationship described above. Should you have any questions
regarding the design, please refer to the design drawing which has all the details discussed in this
letter.
.l?!ease call if you need additional nformation.
David& Stanley, P.O.
President
disk:cARL
Geolo~lical Consulting · Testing Laboratory · Quality Control · Septic Sgstem Design & Inspection
A. ~I~LL DATA
Well Classification
Well Log P~esent (Y/N)
Total Depth ,/~L .~
OMUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION
H~U.T~ an~o~z ~P~ov~ (~) MAR 7
CHECKLIST - FEBRUARY 1984
Legal DescrJ. ption:RI~~k 10
Rabbit Creek Heights Sec 6 Tl lN R2W
'.~$[c(~xj~u~ If A, B, c~ C, D.E.C. Approved(Y/N)
Cazed to ,/ Z_O ! / Depth of ~outing ~J~_~
Static Water Level O"
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances f~cm Well:
Pump Set At
3,/
Yes /
To Septic/Holding Tank on Lot 120'~/
To Nearest Edge of Abscu~ption Field on Lot 130'
To Nearest l~dblic Sewer Line NA
Cteanout/Manhole NA._ / To Nearest Sewer Service Line on Lot
Water
Sample Collected By ,,,Jj, ...~e~.,qf. ~,. ; Date.,,. ,_"~- 4./' _ C~'.9---
C~ents
Sanitary Seal on Casing~.;?~
; On Adjozning Lots NA
; On Adjoining Lots NA
To Nearest Public Sewer
NA
B. SEPTIC/HOLDING TANK DATA
Date Installed 12/15/85 Size 1000 No. of C~,~a~tments 2
Standpipes (Y/N) Yes Aid-tight Cape (y/N)¥es Foundation Cleanout (Y/N)Yes
Depression over Tank (Y/N)No Date Last Pumped New system
Pumping/Maintenance Contract on File (Y/N) NA ; for NA
Holding Tank High-Water Alarm (Y/N) NA Temporary Holding Tank Permit (Y/NDA
Separation Distances f~om Septic/Holding Tank:
To Water-Supply Well 120' To Building Foundation 22'
To Property Line ~8' To Disposal Field 28'
To Water Main/Service Line NA To Strew, Pond, Lake, c~ Major D~ainage
Cour~
/
/to c~>nt rol/~.rtesian
~Sprin.~3~
flow from we~ casinq.
Receipt 9
Date Paid:
Amount:
Depression can be filled in
[Page 1 of 2]
2-15-84
C. ABSORPTION FIELD DATAI
Soils Rating in Absorption St=ara
Date .Installed
Width of Field
~]~ ~q.{e./R~Type of System Design
Square Feet of Absorption A~ea
Depression over Field (Y/N) No
Results of Last Adequacy Test
954
Date of Lest Adequacy Test
NA
Separation Distance f~cm A~sc~ptic~ Field:
To Wate=-Supply We 11 130' To P=operty Line 23 '
To Building Foundation 54' To Existing c~ Abandoned System cn
Lot NA ; On Adjoining Lots NA
To Wate~ Main/Service Line NA TO Cutbank(if present) NA
TO St~e~/Pond/Lake/c~ Majo= D=ainage Course NA
TO D~iveway, Parking A~ea, c= Vehicle Stc~age Area 18'
Cc~ents Final grading of surface over system and curtain drains
Length of Field ,/
D~pth of Field . ~ ~ .. ~'
Stan~i~s ~e~nt (Y~) Ye~[
New - NA
must be done before final approval of HAA
D. LIFT STATION
Date Installed . NA
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes(Y/N)
Comments
Dimensions
Manhole/access
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles ar~ing Adequacy
Meets MOA
** Check Permitted Bedrcc~ Rating Against HAA Request
I certify t~hat I have checked, verified, c~ confo=,,~d to all .~OA HAA Guidelines in effect
On the date\of t~h~is ir~pecticn.
I
Cu,~any
KB1/d5/s
[Page 2 of 2]
2-15-84