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HomeMy WebLinkAboutALPINE VILLAGE BLK 3 LT 15 U 0 © 0 0 0 0 P1F::RH ! T NO. DEF:'FIF;:THENT HEFIL. TN FIND ENV :~::11:":~ "L.. '" STRE'E':T .~:Jf. ': F: F."Fi :"][:_:' FIK. 99.5Ed. ;;;i:E;,4 .... :I.'72 E~ ,~...1f [E L. il. ...... F" EF. iF-;'.':.". Ih'1 ::il:: 'i < E2E~7;;2'7 > F!F'F:'L. Z C:F!NT LOC:FIT t O!"~, L..[C (.":iFi! .... [".:: I L,.L.. 'TF!'.¢L. OF:: ;2>.'.:;Et.t SFITTOF.'J>FI DR. ' P" - ILL. FIGE SI LOT :i,3tZE L. C'T :t.!.5 BL..~:' .~Z: hL.... 1 I.l[: ',' . H I N I t"1LI1'1 [::, I :.:.',TFINC:E E:E"I"I.,~EEI",! f::l I.,.!ELL FIND FIN"? ON-:i:'.'; I ~r'E SE:HFIC-:E [::, I SF'OSFIi... S'¢STEFt ! S :.t..~3E, F'EET FOF-.: FI PF.:I',,,'!-3TE HELL OR :.t.5[i)TO 2~.:..~(.:.~ FEET FROH R F'UBLIC HEL. L. DE:F:'E:NE:,ING UF'ON THE T"r'F'E OF PLIE:L. I C NELL. !"! I t",! Z HUH D:[S'i"Ffl',IE::E: FF.':OFt Ft PF.:IVF!TE I.,]EL.L TO FI F'F.:I',,,'RTE SEI,.!ER LII",IE ZS 2.5 FEE:T FII',!D 'FO R C:OHHLINtT'.? ':_:;E!.,.fEF.: LINE !S 75 FEET. P.tELt.... LOGS FIRE RE(.:4UIF.'.E:D R!",IE:, P1UST BE RETLtF.'.I'-,tED TO THE DEPFIF:TPtENT HZTHIt'.,! OF THE I.,.IELI_ CO!"IPLETION. OTHEF.': F4:E[.'.:!Lt I F.:E!'tENT'::; HF!"r' FtF'F'L.'¢. SPEC Z F' I CFIT ! ON'_:; FINE:' C:ONSTF.:UCT Z Ot",1 E:, I RGF.:Ftt"IS FIF:E F:I',,,'FI I L..FIBL. E TO Z N::SUF:E PROF'EF.". I N:E;TFtLL. FITI ON. t C.:EF.:T i F:"¢ THFIT ::L' I FtH F'FtHIL. IFIF:: I.,.!ITH THE F.'E':;,_IF.:EHENTS F'OF.: ON.-StTE :.:3Et.,.IER'_:; FIND i4EL. L.S FIS SET FOF:FI"H B'~" THE I"II_tN :[ C :[ PFIL :[ T'.¢ OF FINCHOF:FtGE:. ;;.:.':: t t.,.! ! Lt_ ! NSTFtL. L THE S'.¢~TEH I f-,I F~C:COF.:DFINC:E I.,.I ! TH THE '" E E,E'33 FtF'F'L ! CFff.,IT t',! LL 'TFWL. OF..'. t SSUED MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # _O! GENERAL INFORMATION Complete legal description HAA# t~ ~ (~(-~ 0~'-..~ Location (site address or directions) /3, ~ct-~tZA ~ec Property owner ~- f'~',4x.,/z. Mailing address ~/~ Lending agency. ~,~y Mailing address /~ ~. Agent ~A ~CT~- Address .. 3 3 ~O x ~ ~ ~T. Unless othe~ise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: Day phone ~z.,,-z.,,,_ ,~.?'z.,/7 Day phone ,-~_ ~ - g 730 Day phone _5--"'~,2.- 5'..5'? ¢... TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from lng to the legality and status of system. TYPE OF WASTEWATER Individual on-site " Holding 'tank ' Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. :- ' · · 72-025 (Rev. 1/91) Front MOA#21 STATEMENT OF. INSPECTION BY ENGINEER As certified bylmy seal affixed hereto and as of the validation date shown below, I verify that my investigation of this' Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm '~N..T- ~on.~cT//~ ~,~,A- Phone Engineer,'s signature ~'~ ~ Date bed rooms. _~ SIGNATURE Approved for ' DisapProved. · : Conditional approval for bedrooms, with the following stipulations: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or Omissions in the professional engineer's work.. .......... 72-025(Rev, I/91) Back MOA~21: ~*~- · · ' Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Z-cT /5 A. Well Data Well lype Log present (Y/N) Y Total deplh ~'/' Sanitary seal (Y/N) ~" If A, B, or C, attach ADEC letter. ADEC water system number Cased to ~"'/" Casing height Wires properly protected (Y/N), ~ Date of test Slalic water level Well flow Pump level1 FROM WELL LOG g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /,J~/A Absorption field on lot /,J/~ Public sewer main ~._~ Sewer service line ,,L/~, ~" ;On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate -' © - Other bacteria ,~o,.v,~ Collected by: Date of sample: / ~)- ?/"7' SEPTIC/HOLDING TANK DATA Date Installed Cleanouls (Y/N) High water alarm (Y/N) ,X,X Tank size Date of pumping~ound, x~ ation cleanout (Y/N) SEPARATION DISTANCES FROM SEPT,/HOLDING Well(s) on lot _On adjace~lots To property line Absorption fiel~l~ Sudace water/drainage Compartments Depression (Y/N) Alarm tested (Y/N) Pumper TANK TO: Foundation Water main/service line 72-026 (3/g3)° Front CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Size In gallons Vent (Y/N) "X,X "Pump on" level at High water alarm level Meets MOA electrical codes (Y/I~_ ~_ SEPARATION DISTANCE FROM LII~STATION TO: Well on lot O~,,,adjacent lots Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tesled Surface water D. ABSORPTION FIELD DATA Date Installed ~,~ Soil rating (GPD/FF) System type Length ~ _W~th __ ~_Gravel lhickness mTotal depth Total absorption area '~ Cleanout present (Y/N) Depression over field (Y/N) Date of adequacy test ~, Results (pass/fail) for Water level in absorption field bef6~e lest After test Peroxide trealment (past 12 months')~Y/N) ,If yes, give date ~ SEPARATION DISTANCE FROM AB~,~RPTION FIELD TO: Well on IoI~ Orl~djacent lots _ ~ Property line To building foundation ~ To existing or abandoned system on lot On adjacent lots Cutb~k Water main/service line Sudace water ~Ddveway, parking/vehicle storage area Eo ~;rtG~i~rEa;:s CERTIFICATION ~ Bedrooms I certify that I have checked, verified, or conformed to all MOA and HAA Signalure ~~,- /'4/r~'~~ Engineer's Name L~ , Date /~-x'~- ~'~ date of this inspection. HM Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipl Number zTL CT&E Ref.# Client Sample ID Matrix ClientName Ordered By Project Name Project# PWSID Commercial Testing & Engineering Co. Environmental Laboratory Services LABORATORY ANALYSIS REPORT 94.4809-1 LOT 15 BLK 3 ALPINE VILLAGE S/D WATER D HI CONSUL'IINGENGtNEERS MARK ERICKSON UA WORK Order 82352 Printed Date 09/22/94 ~ 10:25 hrs. Collected Date 09/19/94 ~ 14:30 hrs. Receiv ed Date 09/19/94 ~ 15:45 hrs. Technical Director STEPHEN C. EDE Released Sample Remarks: SAMPLE COLLECTED BY: UA. QC Parameter Results Qual Units Method Allowable Ext. Anal Limits Date Date hilt Nitrate-N 0.10 U mg/L Fecal Coliform 0 fib 00mi EPA 353.2/300.0 SM17 9222D 10 09/21/94 CMl( 09/19/94 09/20/94 TMW * See Special Instructions Above ** See Smnple Remarks Above U = Undetected, Reported value is the practical quantification li~nit. D = Secondary dilution. UA = Unavailable NA = Not Analyzed I/r= Less Than Gl' = Greater 'Ihan 5633 B Street, Anchorage, AK 99518-1600 -- Tel: (907) 562-2343 Fax: {907) 561-5301 .... ,,,-,,--,,,,,,,,,-,,,"r,.,, r^,--, race ~,~ ^l ^c:k,z~ c'nt nRal3(3 FI QRIr)A IllINOIS. MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA · Surveying Planning October 12, 1994 W.O. 94154 Mr. & Mrs Frank Wilson c/o Mr. loe N. Rodgers Crawford Read Estate 3380 C Street, Suite 110 Anchorage, Alaska 99503-3900 RE: Lot 15 Block 5 Alpine Village / Well Water Contamination Dear Mr. & Mrs. Wilson, Enclosed is a report from AGRA Earth & Environmental, Inc., covering the decontamination of your residential well. Please note that they have cleaned up a majority of the oil substance from the surface of the well, however, there still remains a detectable amount at the surface. To remove any additional contamination from the well, will require pulling the well pump, and making a complete scrub down on the well casing walls, decontaminating the pump, pump column, electrical wiring, and pumping the well to remove any contaminates from the cleaning process. Please note that the conclusions of the AGRA report states that the water meets the criteria of 18 AAC 80. However, new standards are being developed which will require non-detectable amounts of TPH. We were unable to determine the source of the oil contamination. It appears to be contained within the well casing and it may have come from your previous well pump. We have not completed an extensive investigation into the source of the oils. It would be prudent to have additional samples taken of the well water at or very near the surface of the static water level in the well. These samples would give an indication if the concentration of the oil is staying the same or increasing. I recommend that you provide copies of this report to any potential buyers of the property. If we can be of additional help, please give us a call. ( ~fr 'r 'r 'r 'r 'r 'r ~ ly yours, Principal DDIRU'e AGRA, Baztb & I~vh-,9~a~;ial. lee Ice Red~e~, Crawt'o~l Real PO Box 111349 Anchorage, Alaska 99511-1349 · (907) 345-1385/Fax 345-1386 AGRA Earth & Environmental, Inc. TO'. COMPANY: NO. OF PAGES:(~ (including this page) FACSIMILE TRAPlSMI'TTAL AGRA Earth &. Environmental, Inc. 111 H Street, Suite 450 ANCHORAGE, ALASKA. USA .99501 Phone NO. (9071276-6480 FAX NO, (907} 258,4128 CompuServe NO. 74103,2.222 " Thl~ Tr~n~ni,;le~ i_~ Int~mded only for the Addressee. ....... l! ............... J AG RA Earth & Environmental October 11, 1994 31-01549 AGRA Em'th Erlvirorlrfter~lal, Inc. 711 "H" Stree, l Suite ^r~chorage, Alask~ U-S.&. gBSO1-~q442 Tel (907) 276-~o480 F¢.x (~Ol} ~58-41 DHI Consulting Engineers PO Box 111349 Anchorage, Alaska 99511 Attention: Mr. Dee High $.bject: Wal,er Supply Well at 7237 Basel Street Anohorage. Alaska Dear Mr. High: AGRA Earth and Environmental, Inc. (AGRA) performed professional e-vironmental servioes for DHI Consulting Engineers, hie. (DHI) at the Wilson residenee at 7237 Basel Street, Anchorage, Alaska. The following letter documents our findings. During a well inspection/flow rate test corlducted by DHI on September 1~. 1994 on the private water supply well at 7237 Basel, an oil-like subsrranoe wa.~ observed on the surface of the water in the well. The e(~ume of the .~, ~bstance is unknown. AGRA vi~ite, d the site on October 3 and 5, 1994 to remove the oil-like substance. We inserted an absorbent seek into the well at the water surface to remove the oil on the surface. The absorbent sock removed approximately 40 milliliters of oil-like substance. AGRA collected two sets of groundwal, er samples from the water supply well on October 6, 1994. The first set of ~amples was colleuted from near the ,~urfaee of the water in the well with a clean disl~o~able bailer. Th~ second set was collected from the faucet in the kitch~.n sink. The 8retie water surface in the. well is approximately 12 feet below surface grade and the punlp intake for the water supply well is ~.t at approximately 80 feet below surface grade. The groundwater samples were transferred to Commercial Testing and Engineering, Inc. (CT&B for quantitative analyses. The samples were analyzed for benzene, toluene, orby)benzene and xylenes (i~rEX! by EPA Me~hod 5230/8020 and total petroleum hydrocarbons (TPH] by EPA Method 418.1. Copies of the laboratory analvtical results from CT&E are attaohed. En~Tineerin,q & Encronm~nlal Service; DHI ConsuIti~g Engineer~ Mr. Dee High O~Aober 11, 1994 31-01r~49 Page 2 The maximum contamination levels (MCLs) for benzene, toluene, ethylbenzene and xylenes as per fl3e Ala.~ka Departme.t of Environmental Conservation (ADEC) Drinl(ing Water Re.qulations ( 18 AAC 80) am 0,005, 1, O, 7 and 10 milligrams/L (mg/I.I respectively. All BTEX parameters in both water sample,~ were less than the MCLs. No MCL for TPH is identified 18 AAC BO. However, the ADEC interim guidance for Surface and Grout~dwater Cleanup levels (September 26. 1990) indicates that '-tim group c~! compounds collectively identified es TPH should be cleaned ul~ to non-detectable levels as measured by EPA Method 418.1 ." The detection limit for EPA Method 4-18.1 iS ! mg/L. 'l~he water sample collected from near the surface of the well (sample # Basel 7237 well) had a concentration of 2.08 mg/L. No TPH was detected in the water sample collected from the kitchen sink (s~mple # Basel 7237 In), Based on the analytical results, petroleum hydrocarb~r~ impacts above the ADEC MCL,~ ~tated in the htlerim Guidance Manual, are present in the water near the surface of the well. However, no TPH was detected in the water at a depth of 80 below grade where I~e pump intake is set, TPH em. pounds are non-hazardoua and non-reg~lated as per the ADEC DHnking Water Standards (18 AJ~C 80). Furthermore, none of the hazardmJS cornp~]unds such as benzene were detected ~n either sample. Therefore, AGRA concludes that the water supply well water oriteria as per 1 ~3 AAC 80 have been met. AGRA appreciates the opportunity to be of ,~ervice to DHI Consulting Engineers, Ina. If you have any que, st~orm or need additional assistance, please call us at 276-6450. Sincerely, AGRA Earth & E[l~iroltmental, Inc. Senior Project Manager enclosure: Analytical Reports Earth & En¥ir=nmental Idl., I, CT&ERefi# Commercial Testing & Engineering Co. Environmental Laboratory Services ~ LABORATORY ANALYS IS REPORT 9a3136-1 BASEL '/237 WELL WA]ER Client Name AGRA EAR'IH & E~NVIRONMEN'IAL, INC. RUSH Ot'~ ~699 O~ By IA~ ~DRY P,-hRcd ~te 10/10/9~ ~ 16:4~ ~. P~oj~t N~e P~VA3E ~L ~G Colle~le~t ~te 10t06~4 ~ 15;~ ~. ~oj~t~ 31-1~9 .R~v~t~te 10106/~ ~ 15:45 ~. PW~ UA STEPttEN C. ~ample P, em~ks: SAMPI~ COLLEC'IE~ BY: DARRIN LAWLE~;& QC Allowable Ext. ResulLa Qo~I Un'ts Method I Jmils Da~e Date Init petroleumHy&mcatbons 2.08 mg/L ~-7A418.1 10/07/94 10/07/94 SIVI~ 10107194 10/O7194 gPM 10/07194 10/07194 SPM 10/07/9~ 10/07t94 gPM 10/07f94 10/07/94 SPM 10/07194 10537/94 gPM · See Sp ~eiat Imm~fi~a$ Above ** ~e-g~mpleRemadra Above U ~ Undetected, Report~ value ia the ptaclical c~utifimtion limit. D = S~con~ry dil~tlan. UA = UnavaUable HA = Not.AnMyzed 5633 B Streel, Anohora~le, AK 99518-1600 --'Fei: (907) 562-2343 g=x: (907) 561-5301 ENVIRONMENTAL FACIIJl'IF.~ IN .o,I.~$K~ COLORADO. FLORIDA. ILL4NOI$, IbIANYLAND. NEW JERSEY, OHIO, UTAH, WE~b"T 'v'iHGINrA · . "1' t', il(lb tttYI'-II'94tlLF, I 1b:24 ^ORA E&.fi TEh:907 258 4121J Cliff Sample ID Mab";_x Commercial Testing & Engineering Co. Environmental Laboratory Services mae'~e',a~-,~~aar~ LABORATORY ANALYSIS REPORT ~.51J5-2 WAlK Director $'[EPHEN C. EDE Sample Retttatks: SAM~I~ COLLECTED BY: DARRINLAWL -P_~$. Para~LelL'T QC AUowable Exl. R~salts Qt~ Ur~ts Method IAmtts Date An~l Dato L-fit Pelrol~umltydroc arb ohs Toh~R~ Ethylhenzeae Xylem: o-Xylea¢ 0.20 U rog/I, EPA 4181 Al)E/2 ] 8AAC 75 0,0010 U rng/L EPA gOT0 0,0010 U ~ff~ ~ g070 0,0[)10 U mgm, ~A 8020 o,~1 o u raga, ~A S020 0.0010 U mgm, ~A 8020 I0/0'7194 10I(1'1t94 SMK 10/07/94 1010'1194 SPM 10/'07/94 10/fflf94 8PM 10/B7/94 10107/94 SYM 10t97/94 10/07t94 gPM UA = U~availab le ~ =Not .Analyzed LT = Ires Ihsu 5633 El Street, Anch~rafle, AK 99518-1600 --Tel: (907) B02-2343 }:aK: (907] 501-5301 ENV1RONMEN~I'AL FACILITIES IN ALASKA. COl_ORAl]O, FLORIDA. ILUNOI$, MARYLAND. NEW JERSEY, OHIO. UTAH, WEST VIRGINIA