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Home My WebLink AboutSWANSON LT 4ASwanson Lot 4 #051 - 221 - 46 JULY 15, 2020 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New septic tank permit Legal: SWANSON LT 4A To Whom it may concern: This is a request for a septic tank permit on the above referenced lot. This tank replacement will not impact any of the neighbors or encroach on any wells, septic or open water issues. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201260, Rebecca Carroll, 07/21/20 1"=40' PROPERTY LINE EXISTING HOUSE -HOLLOW STREET--HOLLOW STREET- EXISTING WELL 100' RADIUS WELL R & R EXISTING TANK W/ NEW 1,000 GALLON PLASTIC SEPTIC TANK WITH 20" RISER EXISTING DRAINAGE FIELD EASEMENTDRIVE W A Y SWANSON LOT 4A SCALE: DJRDRAWN: DATE: SWANSON LOT 4A Chugiak, Alaska STEPHEN & ANITA POWELL 7/15/2020 POWER POLE 33' BLM EASEMENT SPRUCE TREE LOT 2 -A2 SHED NO WELLS FROM THIS LOT WITHIN 100' OF THE NEW TANK Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201260, Rebecca Carroll, 07/21/20 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDR~S ~=~ '~. /__.~ V-~ LOCATION area DISTANCE TO: /O '7~-'~' ~- Manufacturer Liq.~ty in gallons IF HOMEMADE: Well DISTANCE TO: Inside length Dwelling PHONE ~ ?~-7~ []NEW Well Foundation DISTANCE TO: No. of lines Length of each li~ ~ Total length of Iii grade j ~ Material beneath / Length Width Depth Dwelling ~'7<~ ~t- Material NO. OF ~.EDROOMS _ ,3 ~/~~ PER~,T NO.~ 7gl 00'3 No. of compartments Width Liquid depth PERMIT NO. ~llons Nearest lot line.~ ~/~) 7~ inches PERM,T NO._./~/e Distance between PERMIT NO. Type of crib DISTANCE TO: Depth Driller foundation Nearest lot line Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line OTHER PIPE MATERIALS SOl L TEST RATING ~ REMARKS Septic tank Absorption area(s) APPROVED DATE LEGAL ON--S I TE PERMIT NO. ( 78i00~ > APPLICANT LOCATION LEGAL JUDY PIPER CANYON DR L4 SWANSON TYPE OF SOIL ABSORBTION SYSTEM IS: MI_IN I C I ~tL I T'~' OF i:IN~ ~EP, ARTMENT OII'HEALTH AND ENVIRONMENTAL F~TECTION .,825 ~L' STREET~ 8NCHORAG& 8K 2~4-4720 PE~ IT 5~ E. 4TH 274 SQUARE LOT SIZE 106000 TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT?BR>= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= i0 LENGTH= 22 i~ R F~"/E L DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD. 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 OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET>. REQU I RED ~;E PT I C TRt~iK $ I ZE= 1000 GRLLCit,I$ 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 > I NSPE[:T ION$ t:~RE BACKFILLING Of ANY SYSTEM WITHOUT FINAL INSPECTION AND DEPARTMENT WILL BE SUBJECT TO PROSECUTION. REQU I RE['~ APPROVAL BY THIS MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR 8 PRIVATE WELb ~HETO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. R REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PR. OPER IN~TALL~LTION. --l-- PERM I T EXP I RES DECEMBER I CERTIFY THAT l: % 'AN FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS 85 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 EESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. '-~L~C~NT ~~ .......... ,i o ~GRE ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 ;H INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCAT,ON~FF ~/~/~'/~U~ LEGAL DESCRIPTION ~,4~2sex) <~/Z~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH NUMBER OF MANUFACTURER~MATERIAL~*T~-/ COMPARTMENTS,~I,,. INSIDE WIDTH ~ LIQUID DEPTH ~ LIQUID CAPACITY /O~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER OR WIDTH /*"~,/ LENGTH ,/~,/DEPTH ~' ~' LINING MATERIAL CRIB SIZE: DIAMETER__DEPTH ~ DISTANCE FROM: WELL //~ / BUILDING FOUNDATION /~'"~, / TOTAL EFFECTIVE ~ NEAREST LOT LINE,'~ f . ABSORPTION AREA (WALL AREA) ~ SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE ~CONSTRUCTION BUILDING ? NEAREST FOUNDATION- LOT LINE CESSPOOL OTHER SOURCES_ APPROVED ~ DISAPPROVED NEAREST SEPTIC SEWER LINE //1~:~ *'" TANK REMARKS DISTANCE FROM: SEEPAGE SYSTEM ~ //~ .'~ INSTALLED BY: PIPE MATERIAL: g/I LOT SLOPE: ~/~,'~ ~-~l. REMARKS: DIAGRAM OF SYSTEM APPROvE~ .~.~ /.,/ G.A.A.B. PERMIT APPLICRNT LOCATION LEGRL I TY OF R[~CH~Rl]E DEPARTMENT AND ENVIRONMENTAL PROTECTION,ii. 25i0 E. TUDOR RD., ANCHORRGE, PK. 9950? 276-2221 L4ELL R FID ON--SITE SE~IER PERF1 I T OFF OLD GLENN HIGHWRY L4 SWANSON SUBDIVISION~ GENERRL DELIVERY CHUGIRK 8K LOT SIZE 10~000 SQURRE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MRXIMUN NUMBER OF BEDROOMS = 3 SOIL RRTING (SQ FT?BR>= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: 85. I)EF'TH= _9 LENGTH= 26 GRR~'.,'EL DEPTH= 5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND 8ND 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 RND THE BOTTOM OF THE EXCRVRTION (IN FEET>. ~EQLiIRED SEPTIC TRNK SIZE: 1000 GflLLOF~S ~.8CKFILLING OF ANY SYSTEM WITHCUT~ FINAL INSPECTION 8ND 8PPROVBL BY THIS >EPBRTMENT WILL BE SUBJECT TO PROSECUTION. ~INIMUM DISTRNCE BETWEEN 8 WELL AND RNY ON-SITE SEWRGE DISPOSAL SYSTEM IS 100 FEET FOR 8 PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL. ~ELL LOGS PRE REQUIRED RN? MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS IF THE WELL COMPLETION~ ~PECIFICRTIONS RND CONSTRUCTION DIRGRAMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F'ERf4 I T '...,'RL I D FOR OI'4E ~-'ERR FROM ISSUE CERTIFY THRT t RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET --ORTH BY THE MUNICIPRLITY OF RNCHORAGE~ I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES~ I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM WRY REQUIRE ENLRRGEMENT IF THE ~E~IDENCE IS~ODELE~TO INCLUDE MORE THAN ~ BEDROOMS. .................. 3-31-76 0.0' ORGANICS GRAVEL W/SOME. SAND MANY COBBLES (GW) ORGANICS SI~T SOME SAND ML) GRAVELLY SAND TRACE SILT (SP) 13.0' W.D. SANDY GRAVEL TRACE SILT Occasional Cobble 14.5' T.D. No Water Table Refusal on Boulder at 14.5' 16.0' T.D. );VN: V/~-- Paul Swanson Log of Test Holes Chugiak, Alaska GRID: PROJ. NO. 656210 DWG. NO. :KO: WED )ATE: 4-1-76 I~UNIcfPALiTy OF DEFT. OF HEALTH & ~NVIRONM, ENTAL PROTECTION OCT ,~ 9 1976 RECEIVED ~ELL LOG Lot 4, Swanson Subdivision Builder: Harry A. Mackey Driller; Harry A. Mackey Owners: Paul and Judy Piper 0-44.6 ft. - Fine to course gravel with occassional botulders 44.6 - 175 - Greenstone - Bedrock - just keeps increasing water thru small seams to 175 level. Production: 5 gal. per min. Static Level: 40 ft. Case~ to: 44.6 ft. MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Lot 4~~ Swanson Subdivision; Location (address or directions) NHN Canyon Drive (b) Property owner Mailing Address (c) Lending Institution Mailing Address A.H.F.C.#48948 520 East $4th Avenue, Telephone:(home) Anchoraqe, Ak. 99503 Telephone Business (d) Real Estate Company and Agent RE/MAX OF EAGLE RIVER A'FTN: Sharon Milch Address 16600 CenterfOld Drive~ Suite 201. Eagle_ Riu~_r. A~.99577 Telephone 694-4200 (e) Mail the HAA to the following address: (or check here E~zJf hold for pick up.) List contact person and day phone number below: S & S ENGINEERING 17034 Eagle RiYer Loop Road No, 2~. Eagle PJver~-Alaska ~57"Z 2. TYPE OF RESIDENCE Single-Family [~ Number of bedrooms 3 3. WATER SUPPLY Individual Well r~x Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site ~ 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. 72~25 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION' As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of tt~is Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functionaland 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 tiles end from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Telephone Address Date Eagle ~i,/er, Alaska ~57~ 6. DHHS APPROVAL //.. /-'~/. _ Approved for ~ bedrooms by~~' Approved Y Disapproved ' Conditional Terms of Conditional Approval /'~//~9/t~'~ ' The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 Jn order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 ~ ' ,' r ~ MUNICIPALITY OF ANCHORAGE (MOA) .,~-~? (~',a~i~_ ~ Health Authority Approyal (HAA) ,,* ~ ' ' ~d/~ cHEcKLIST - FEBRUARY 1984 "~ ~ ~~ 343-4744 Legal Description: A, WELL DATA * Well Classification [ I~r~ ti ~ ~-~ Well Log Present (~N) \1 Date completed ~-~_ [ -, Tote Depth t.'~ ~ Cased to ,4~'.L~' Depth of Grouting Static Water Leyel '~ ' Pump Set At t,.) ~.~ Casing Height Above Ground ~7.-~', . . Sanitary Seal on Casing ~¥N) Electrical Wiring in Conduit~N) ~ Depression Around Wellhead (Y/~ ~' SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot~ ~t,O~ ~v,~tO ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot \c'C~~''' ' ; On Adjoining Lots t ~c~ To Nearest Public Sewer Line I'"~1 ~ To Nearest Public Sewer Cleanout/Manhole ' To Nearest Sewer Service Line on Lot '2.'~ ~ 4-- Water Sample Collected by ~ ~ ~ ~'--'~ ~[,~'~'J~l. [~ ; Date ~.'~-~..L~ -~ Water Sample Test Results '~-- ~-~Ir--,~-~-''~. - ~ ~~ ~- If~, B, C, D.E.C. Approved (Y/N) · Yield· Comments B. SEPTIC/HOLDING TANK DATA Datelnstalled ~-~.J,, · Size Standpipes ~/N) ~ Air-tight Caps ~/N) Depression over Tank (Y/~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~"~'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well c~c~' ~ lOll'~'q~O~lO To Building Foundation To Property Line 't~~ ~ To Disposal Field To Water Main/Service Line t To Stream, Pond, Lake or Major Drainage Course Comments "~-- ~ ~ No. of Compartments "2.- ,~ ~ ~ ~ Foundation Cleanout (Y/{~) A ~ ~, Date Last Pumped ~'~"~ -'~J %''~' ~' ~t Temporary Holding Tank Permit (Y/N) ~'~~.N~,, ~ ~ 72-026 (Rev, 7/88) Front Page 1 of 2 ABSORPTION FIELD DATA Soils Rating in Absorpti0h Strata Date Installed Width of Field Type of System Design' Square Feet of Absortion Area Depression over Field (Y~ Length of Field '--z~,~, Depth of Field ct Gravel Bed Thickness L~ Statndpipes Present ~)'N) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~ ~ ~ '~- To Building Foundation "~ ~ O ~ Lot ~ '~c=, ' To Water Main/Service bine \ C) · 4- To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area. or Vehicle Storage Area Comments To Property I~ine TO Existing or Abandoned System on ; On Adjoining Lots ~c:~ · To Cutback (if present) D. LIFT STATION ~ Dimensions ·Size in Gallbns-"'""-.-~. Manhole/Access (?/N} On" Level at ~"Pump "Pump Off" Level at ~ High Water Alarm Level at Tested for ~ ~"~ping Cycles during Adequacy Test. Meets MOA Electrical Codes~ **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Company Date MOA No. 17034 Eagle Rive~ Leop Road Eagle River, Alaska ~9577~ 72-026 (Rev, 7/88) Back Receipt No Waiver Fee: $ Date of Payment Page 2 of 2 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Lot 4; Swanson Subdivision Location (address or directions) NHN Can~on Driv6 (b) Property owner A.H.F.~..# Mailing Address Telephone: (home) Business (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent ........... Address 16600 Telephone #201' Eagl~ Riv¢~. A2a~a 99577 (e) 'M~il the HAA to the fqllowing .address: (or check here [~xif hold for pick up.) ;,,,. %o,,...~.ist centaCt.ffetsoa, ah?da,,~ pl~lbne.. .. . ?~,r~be~..belov~;,. · , '%". 2¢ . ~,, S & $ ENGINEERING Eagle River, Alaska 9~577 2. TYPE OF RESIDENCE Single-Family ~ Number of bedrooms 3. WATER SUPPLY Individual Well,~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental C0nservatior~ attesting to th legality and status. 4. SEWAGE DISPOSAL On-site ~ Public [] Community [] Holding Tank [] Note: If commonity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 Address Date 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION ' As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of th is 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 codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Telephone 5 & $ ENGINEERING Eagle River, Alaska 99577 WELL WIRES TO gE ~URIE~ FROM THE WELL HEA~ TO THE HOUSE. 6. DHHS APPROVAL ..' Approved Y ~isapproved Terms of Conditional Approval Conditional The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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. 72q)25 (Rev. 7/88)Back Page 2 of 2 A. WELL DATA ~ MUNICIPALITY OF ANCHORAGE (MOA) ( '.~J~"~,Lt~ O~: A~[It~(~uthority Approval (HAA) EH~;~NTAL S~.VI{U~ B'~T -' FEBRUARY 1984 343-4744 MAR [ 3 1_990 Legal Description: ~:~. RECEIVED Well Classification ~, ~..~ J \~""~%~ ~ If A, B, C, D.E.C. Approved Well Log Present (~.N) _~_._._ Date Completed ~'~'~:)' Yield Total Depth \'11~" Cased to' ,~',~' Depth of Grouting' ~ Static Water Level ~{""J ~ Pump Set At Casing Height Above Grounc ~, ~.~ t..~r.~t Electrical Wiring in.Cohduit~t~ "/ SEPARATION DISTANCES FROM WELL: ff' To Septic/Holding Tank onLot Sanitary Seal on Casing ~[~N) ~' Depression Around Wellhead (Y~ r'~ ; On Adjoining Lots \ ~c~/~ ~'J¢ ~ OC'~ 'J~ ; On Adjoining Lots ~, ~1~ To Nearest Edge of Absorptionr~/~Field, on Lot To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by ~'~ ~:::i'.-~,|~"Date Water Sample Test Results ~'~~ Comments SEPTIC/HOLDING TANK DATA Date Installed ~:~ '- "~ ~'- Size.__Ll~;~;;~No. of Compartments 'Z-. StandPipbs ~N) ~ Air-tight Caps,/N) '~ Foundation C eanout (Y/~I~ DepressiOn over Tank (Y~ ~ ~^ Date Las-t, Pumped Pumping/Maintenance contact on File (Y/N)/ F"~.~TTe mp0 rary H~)idi ng ;~ri pe~N ) Holding'Tank High-Wat;r Aiar~n (~/N') SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: ~. To Water-Supply-Well :' " ' ' T~ Stream, Pond, Lake or Major Drainage Course To Bud ng':Foandati0O~, ' - To Disposal Field "~ ~ 'To Property Line To Water;Main/service Line 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed [,~='-- "'~'~ ~'"~ ~:) Length of Field '"~'~'~ Width of Field Depth of Field '~ ~ Gravel Bed Thickness ~' Square Feet of Absortion Area ,~r~ ~, ~ Statndpipes Present {~N) Depression over Field (Y~;I:) I--J Date of fast Adequacy Test Results of Last Adequacy Test ,~'~r'~ ~-.-~C<5~'~ - SEPARATION DISTANCE FROM ABSORPTION FIELD: Type of System Design To Water-Supply Well To Building Foundation Lot "~ To WaterMain/Service Line *~ ~ t Jr To Property Line \ ,,L~' TO Existing or Abandoned System on ; On Adjoining Lots ~, ~ t .,L- TO Cutback (if present) To Stream, Pond, Lake. or Major Drainage Course \ ~:~1..~ To Driveway, Parking Area, or Vehicle Storage Area '1, ~ ~ A,- Comments D. LIFT STATION Date. l~alled · ~ ' Dimensions ,,S,,ze~: ~~ _ Man,~ole/Acce:s (Y/N) Pump On" Level a~"--~__ ' Pump Off Level at High Water Alarm Level at~"'"'"~ Vent (Y/N) _ ~ Pumping Cycles during Adequacy Test. Tested for Meets MOA Electrical Codes (Y/N) Comments -'Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effec~_.g.~'~i~[ of this inspection. Signed 5 & ~ ="~ ......... E~le Riv~, Na~ y95~ MO* No. Receipt No. ~ J~ / ~ Receipt No. Date of Payment ~ ~ ~[~ Waiver Fee: $ Amount: $ ./~' ~ Date of Payment 72-026 [Rev. 7/88) Back Page 2 of 2 FAd~q[ch~ALI-1¥ OF ANCHORAGE ...... ~:t~tT,~L SERVICES DIVISION ROBERT SHAFER, P.E, ROGER SHAFER RECEIVED CIVIL ENGINEERS (907) 094-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH Am HUMAN SERVICES 825 L Str~t P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 4; Swa~on Subdivision Request you issue th~ attached Health Authority Approval and grant a waiv~ for the separation distance between the w~ll and septic tank lo~at~d on the referenced property at 90 ft. Th~ septic tank was instead in September 1976, after th~ w~ was ~ng.~ Th~ s~p~c tank i~on w~ ~p~d ~y th~ Gr~ An~horag~ Bor~ugh D~p~ ~f Env~o~ Q~ty and th~ ~para~n ~s~nc~ was m~k~ ~ b~ng 100 ft. on th~ i~p~on r~port. (Th~ m~m~ur~ probabl~ o~r~d ~ to th~ st~pn~s of th~ lot and th~ lo~on of th~ ho~ b~n th~ ~ and tank w~ch A risk analysis ms performed for the waiver using the ADEC, "Separation Distanc~ Waiver Gaid~lin~s." It appears th~ w~ll is ~'almost sur~ to be fr~e from an~ fo~m ~f conl~mination from household s~ge." Other mitigating fa~tors involved which support the issuance of the waiver are as follows: I. 0nly the septic tank is w~hin the I00 ft. protective radius of the wall. Generally speaking, septic tanks should not b~ considered a "continuous" so~r¢¢ of contamin~ion as wo~d a leachfinld. 2. W~ll logs from this property and the adjacent properties show a fairly shallow bedrock in the ar~a. The bedrock must follow the contour of the land to some degree or~ ~s¢ rock wo~d be ~xposed on the lower part of th~ lot which it is not.. Since the ground slopes ste~pl~ p~pendic~lar to the lin~ b~tw~en the w~l and the septic tank, effluent from the tank would travel p~rpendicula~ily awa~ from the w~ll. 3. Lots in this area are generally large in size, therefore, the septic s~st~m density in the ar~a is v~ry low. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 4; Swanson Subdivision March 8, 1990 At~ach~d for your r~vi~w ar~ thc following do~nt~: I. Co~fo~ and ~ an~ys~ r~ ~f wat~ ~k~n from th~ r~f~nc~d w~. 2. A w~ log for th~ r~f~n~ prepay and ~a~h adja~ l~t. 3. A s~ p~n showing th~ ~n~ ~n th~ s~p~ ~nk and th~ 4. R~k a~ySis ~v~r w~r~h~. 18AAC72.021 ~ not r~q~r~d in t~s ~. If yo~ r~q~r~ ad~o~ inf~n for y~ur r~vi~, pl~s~ eo~ ~. Tom Fink, Mayor Department of Health and Human Services 825 "L" Street P.O, Box 196650 Anchorage, Alaska 99519-6650 343-4744 March 15, 1990 Robert A. Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 4 Swanson Subdivision Waiver Request #WR900010, PID #051-221-39, HA900087 Dear Mr. Shafer: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is~.fe~et from well to septic tank. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. SincerelY'/ ~ Robert W. Robinson Civil Engineer On-site Services Concur: Program Manager On-site Services ljm:#6 DEPT, OF HEALTH E~ON~TA- L PROTE~ION OCT 2 9 Ig76 RECEIVED ~ELL LOG ,Lot 4, Swanson Subdivision iBu~lder:- Harry A. Mackey Driller; Harry A. Mackey Owners: Paul and Judy Piper 9-44.6 ft. - Fine to course gravel with occassional bou~ders ~.6 - 175 - Greenstone - Bedrock - Oust keeps increasing water thru small seams to 175 level. ~o~q~ion: 5 gal. per min. ~ta~io ~evel: ~0 ~ · ~ased to: 4~.6 ft. ~" ~'. ~ AppL!~IT FILLS OUT uPPER HAI~NLY ProPerty ~wner ~.~j ~/~,~'~/~ ~ ~ Address " Zip Code .edl.g,.s,l tion Fl m K · Phone Address _ , / ~ip Dode Realty Co. & Agent ~,~'t ~ ~ )~'~'~"~- Phone Address ~,~ ~),~r (/'~3~ Zip Code Type oJ Residence [] Single Family :l~ Multiple Family No. of Bedrooms [] Other Water Supply ~] Individual ATTACH WELL LOG. A we{I log is required for all wells drifted since June 1975. [] Community For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility Sewer Disposal ;~] Individual Year Individual Installed: [] Public UBiity When Connected to Pubfic Utility: [] Holding Tank ~- NOTE: T~IE INSPECTION FEE MUST ACCOMPANY EACH RECDEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: /~'~"~, __ ,~ ~ ( ) DISAP~OVED . .._ ,, ~y. ~4~ ~ r Soils Rating Date ~er In~t~lled Weft To ~sorption Area Well Log Received · We, to Tank Septic T~k Size EXCAVATION ROBERT A. SHAFER WORK May 31, 1983 CIVIL ENGINEER 694-2979 Linda Bal lard Dear Ms. Ballard, Reference: Lot 4; Swanson subdivision ~ sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by a continuous flow of water c~ver a period of 48 hours without any adverse effect on the system. It can be concluded from this test that th~ waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of further service, please do not hesitate to contact cc:' Municipality of Anchorage Department of Health and Environmental Protection SR9 196X EAGLE RIVER, ALASKA Time 'Time Date Date Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Installed Permit No. Septic Tank Size /6 -- ¢ ~ Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Buyer ,'/ Address Realty Co. & Agent ~', /~ I~' :~ ~ ~ _ Phone Address ~ Street Location Type of Residence ~Single Family , Wat~upply ~ individual A~ACH WELL LOG. A well log is required for all wells drilled since June ~Community ~' 1975. For wells drilled prior to that date, give well depth (attach log if ~ Public Utility available.) SewaCe Disposal '~ individual Year individual Installed: ~ Holdin~ Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MUNICIPALITY OF ANCHORAGE MUNIcIPALiTy OF ANCHO DEPARTMENT OF HEALTH & ENV RONMENTAL PROTECTIOns,, DEpT, OF HEALTH ~ P~GE ~'~vlRONME ~ ION 825 L Street - Anchorage, Alaska 99501 NTAL PROTEcT ENVIRONMENTALENGINEERING DIVISION OCT31978 Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing, I1 PROPERTYOWNER /~) ~'~ , PHONE · PROPERTY RESIDENT (If different from above) MA,',NGADDRESS - PHONE PHONE ?4- 3. LENDING INSTITUTION~.~) ~f~'~ ~'~ r PHONE STREET LOCATION 6. TYPE OF RESIDENCE [] SINGLE FAMILY .[~ MULTIPLE FAMILY 7. WATER SUPPLY I NDIVIDUAL* COMMUNITY [] PUBLIC UTILITY [] One ~ Four [] Other ~ ~ Two []Five Three~ Six * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY ** f nd v dual/on-site, give installation date ,~--~.~4.-' d ¢ If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY , DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR iNSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2, WATER SUPPLY PERMITNUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] IN DIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTiLiTY ~,. ,-~ ~ Connection Verified INSTALLER []Septic Tank or [] Holding Tank ~ Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER .~ TOTAL ABSORPTION AREA MATERIAL I I WELL TO: Absorption Area to nearest Lot Line ~ / I<:::~... to~Iq APPROVED FOR BEDROOMS I~;~'~ITIONAL APPROVAL (letter must accompany certificate} [] DISAPPROVED DATE BY [Titlel LEGAL DESCRIPTION 72-010 {Rev, 3/78) ;le River Area GREATER ANCHORAGE AREA BOROUGH ~d~~ Department of Environmental Quality 3330 "C" Street, Anchorage. Alaska 99503 274-456l ~° ~ 1. Approval Date Received Decenuber 9, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. requested by: National Bank of Alaska Mailing Address: Post Office Box 3-3859 Pi~operty 0wner: Paul Piper Phone: Phone: Address: General Deliver, Chugiak )ti0n: Lot 4 Swanson Subdivision Chu~iak facility to be inspected Single Family Individual B. Depth 7. Sewa~e Disposal System: A. installed No. of bedrooms D. Bacterial Analysis On-site system~7~YJ ~ B. Installer /~%~, ~ .... ~.~,~..'.~ l. Size /,~1 2. Manufacturer ~,m. D~,~iSe~Page Pit: 1. Absorption Area E. Disposal Field: Total length of lin~s 8. Distances: 2. Material A. Well to: Septic tank Nearest lot line ~, , Absorption area , Other contamination //~' , Sewer Lines , B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Parle 2 of two pages - for A~p~oval el~ individual · Leg%~ Description Lot.'4 Swanson Subdivision Water Facilities Col]~en~s %~----~,-__.~ Disapproved Date Approval Valid for one year from date signed' Greater Anchorage Area Borough, Department of Environmental Quality ~IAGRAM OF SYSTEM Approved certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 251~ East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OE ANCHORAGE D~:PT, OF HEALTH & ENVIRONML:NTAL PROTI~CTION DEC 9 1976 RECEIVED 1. Type of Inspection~!.~_~ CMRO. / VA FHA 2. Property Owner:~,~--"/~ ~ ~-'~4~'~ Mailing Address: / : 3. Name of Buyer: CONV Mailing Address: Name of Lending Institution: ~'~ Mailing Address: ,/~ Day Phone: Phone: 5. Name of Realtor or Agent: Mailing Address: Legal Description: Location: Phone:. 7. Type of Facility to be Inspected: No. Bdrms. Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility Individual (on-site). If Individual, date of installation 72-003(3/76)