HomeMy WebLinkAboutEAGLE RIVER MID HEIGHTS BLK 4B LT 14A'A I i A
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Municipality of Anchorage
On -Site Water and Wastewater Program
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-271-24
1. GENERAL INFORMATION
Expiration Date: / —1 F-1
Complete legal description Eagle River Mid Heights Block 4B Lot 14
Locatiom.(site address) 10226 Baffin Street, Eagle River, AK
Current Property owner(s) Hale Day phone 440-1077
Mailing address same
Real Estate Agent Olga Ptak, Real Estate Brokers of AK Day phone 440-1077
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
2
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual
❑
Individual Water Storage
❑
Holding Tank
❑
Community Class C Well
❑
Community
❑
Public Water System
❑
Public Sewer
Received by: Date: '7(11(f116
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ lC3
Date of Payment
Receipt Number
COSA #
Date of Payment
Receipt Number.
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
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 NorthRim Engineering Phone 694-7028
Address PO Box 770724, Eagle River
Engineer's Printed Name Steve Eng Date 4/11/2016
6. DSD SIGNATURE
System #1 Approved for 2 bedrooms.
System #2 Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following
yq{
By:-I
Original Certificate Date:
The Municipality of Anchorage Devlopment Services Division (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 9-1-12.doc
ly
If more than 1 septic system is on the lot:
COSA Checklist # of _
Structure served by this system
Certificate of On -.Site Systems Approval Checklist
BNje
Legal Description:- FA CLE 2t✓Ep /I1/d f t afrj 4/y Parcel I D: 0 SC 2 710V
A. WELL DATA
Well type If A, B, or C provide PWSID #
Date completed PIT4E (9 7 Sanitary seal (Y/N)
Total depth J!?�Lft.y- Cased to /2 eft. f
FROM WELL LOG
Date of test. (JNA
Static water level MAIX ft.
Well production g.p.m.
Well Log (Y/N) Al
Wires properly protected (Y/N) T
Gasing height (above ground) n.
AT INSPECTION
/ 6
�2Z ft.
7-7- g.p.m.
WATER SAMPLE RESI,ILTS:
Coliforp,.--O colonies/100mL Nitrate 2-y img/L
Arsenic 0 ug/L, Date of sample: Collected by: N6✓1g12-,-
B. SEPTIC/HOLDING TANK DATA ?V8k6L $Ewg�e
Tank Type/Material
Tank size gal. Number of Compartments _
Foundation cleanout (YIN) _ Depression over tank (YIN)
Date of pumping Pumper.
C. ABSORPTION FIELD DATA /4 U41- S F_wE/2
Date installed Soil rating (g.p.d./ftZ or ftZ/bdrm)
Length ft. Width
Total depth ft. '
K. fft%-orption area ftZ
ri
Date installed
Cleanouts (Y/N)
High water alarm (YIN)
U
Monitoring tube
System type
Gravel below pipe ft.
Depression over field
Date of adequacy tesk , Results (Pass/Fail) For bedrooms
Fluid depth in absorption f[6Iq bprdre test in. Water added gal. ,New dep#h in.
I'•• a
Elapsed Time: rginp:',.`Final fluid depth _
{
Any rejuvenation,j�tt ik`kjjI3ast 12 mo.) (Y/N & type) _
in. Absorption rate >= g.p.d.
If yes, give date
D. LIFT STATION NA
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at
Datum Cvcles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot AIA
Absorption field on lot A 1 A
orr
Public sewer main
�i
Sewer /septic service line
Animal containment areas -6 tV6
SEPTIC/HOLDING TANK ONLOTTO: SVA
Building foundation
Water main
Wells on adjacent lots
Property line
Water service line
On adjacent lots Ada �f
On adjacent lots /00
Public sewer manhole/cleanout . SOD f y`
Holding tank O rt
Manure/animal excrete storage areas '-f-
Water
-F
Absorption field
Surface water
ABSORPTION FIELD ON LOTTO: iVA
Property line Building foundation_.. ' _ .Water main
Water Service line Surface water
Curtain drain
F. COMMENTS
Wells on adjacent lots
*- t.,d 4l �9 1A( Fic
G. ENGINEER'S CERTIFICATION
I certify that t 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 -S T"U 4d
Date 6,� / rt/Zei
COSA yellow sheet 2-6-15.doc
Driveway, parking/vehicle storage _
I
MUNICIPALITY OF ANCHORAGE
• Department of Health & Human Services y
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
Parcel I.D. # t� - �� - �L� HAA # r
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Eaale River Mid -Heights Subdv., Lot 14, Block 4B
Location (address or directions)
10226 Baffin Street, Eagle River
(b) Property owner H.U.D. Telephone: (home)
Mailing Address 222 W. 8th Ave. (Box N-64) , Anchora
(c) Lending Institution N/A
Mailing Address
Telephone
(d) Real Estate Company and Agent Associated Brokers
Business 271-4342
Ak. 99
Address 640 W 36th Ave.,Suite #1 Anchorage Ak. 99503-5807
Telephone ( 907) 563-
(e) Mail the HAA to the following address: (or check here IN, if hold for pick up.)
List contact person and day phone number below:
Pickup by Engineer
2. TYPE OF RESIDENCE
Single -Family ® Number of bedrooms 3
3. WATER SUPPLY
Individual Well 91 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 0 Community ❑ Holding Tank ❑
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legailty and status.
72-025 (Rev. 7iee) 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 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 codes, ordinances, and regulations in effect on the date of this inspection.
Name of Firm Eagle River Engineering Services Telephone
Address P.O. Box 773294
Date
6. DHHS APPROVAL
le River, Ak. 99577
694-5195
Or. A4�
O 49TH
En�. we••... ..............`••
Louis A. Butera
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Approved for bedrooms by ate / a - 2:3 —%4--'7
Approved X Disapproved
Terms of Conditional Approval
Conditional
- CAUTION
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 byan 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 forerrors or omissions
in the professional engineer's work.
72-025 (Rev. 7/88) Back Page 2 of 2
G�
OF PNGEO� \S\ON
\G\01\0P11* "c 9 . .
A. WELL DATA
Well Classification
MUNICIPALITY OF ANCHORAGE (MOA)
Health Authority Approval (HAA)
CHECKLIST - FEBRUARY 1984
343-4744
Legal Description: L�LtA Rver V)'•d-%,:!k'e5 S"b&.
10} 12 (3)6,k 46 T)'4N0 Rtv,
If A, B, C, D.E.C. Approved (Y/N) N b
Well Log Present (Y/N) _ No Date Completed M 5Z qpm IO1IbIST_
Total Depth _t1z'14 Cased to k "Zi' Depth of Grouting A
Static Water Level
M
Casing Height Above Ground
Pump Set At +
Sanitary Seal on Casing (Y/N) les
Electrical Wiring in Conduit (Y/N) lies Depression Around Wellhead (Y/N) No
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot NONE ; On Adjoining Lots NONE cz- /ev
To Nearest Edge of Absorption Field on Lot NONE ; On Adjoining Lots
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
t ton'
To Nearest Public Sewer Cleanout/Manhole
Water Sample Collected by E"�!naer ; Date 10 11 -7 Jlio
Water Sample Test Results Czl;for�^ - O 4 . O MIL
Comments
B. SEPTIC/HOLDING TANK DATA NIA PL46h'i, Se�cr
Date Installed
Standpipes (Y/N)
Size No. of Compartments
Depression over Tank (Y/N)
Air -tight Caps (Y/N)
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High -Water Alarm (Y/N)
Foundation Cleanout (Y/N)
Date Last Pumped
;for
Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water -Supply Well
To Property Line
To Water Main/Service Line
To Stream, Pond, Lake or Major Drainage Course
Comments
To Building Foundation
To Disposal Field
72-026 (Rev. 7/88) Front Page 1 Of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absortion Area
Depression over Field (Y/N)
N/A hDubI 5ew�f
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Statndpipes Present (Y/N)
Date of Last Adequacy Test
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water -Supply Well _
To Building Foundation
Lot
To Water Main/Service Line
To Property Line
; On Adjoining Lots
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION N/A
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
To Existing or Abandoned System on
To Cutback (if present)
Dimensions
Manhole/Access (Y/N)
"Check Permitted Bedroom Rating Against HAA Request"
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in eff�e��t�;�Of this
inspection.
SignedAw
® q�•���Ak
y.`Q
Company
* �49T_H
Date ����
Bring Services
2�'j� �3P' 0. Box 773294
• ••.00 fee BIAS I
i10
MOA No.
sero
c, 77PIZ
/� �� `r 694-5195
�...t ... .. ...0.....:
rA , Louis A. Butera ,
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AV
O
+�1aROFESS=
R *K1
eceip V.
Date of Payment a
o�
Amount: $
Receipt No. _
Waiver Fee: $
Date of Payment
72-026 (Rev. 7/88) Back Page 2 of 2
NORTHE'RWTING LABORATORIES, INC.
8505 FAIRBANKS STREET ANCHORAGE, ALASKA 98503 907.2774378 FAX 274.9@45
800 UNWERSITY PLAZA WEST, SUITE A FAIRBANKS, ALASKA 99709 90747491 is • FAX 479-0547
Drinking Water Analysis Report for Total. Coliform Bacteria
TO BE COMPLETED BY CLIENT
Q PUBLIC WATER SYSTEM I.O. #Ll I
;
5a PRIVATE WATER SYSTEM
Gry Alk 45.x' p:
SAMPLE DATE: 0J�2 —'16- Phone
Mo. Day Year
Purchase Order No.
SAMPLE TYPE:
(yt Routine ❑ Treated. Water
❑ Special Purpose 1I Untreated Water,,
Check Sample (for original contaminated
sample with lab reference no. )
TO BE COMPLETED BY.. LABORATORY
Received at: Anch. ❑ Fbks.
Date Received.___
Time Received
Next Sample Due
COMMENTS:
SATISFACTORY
UNSATISFACTORY
U
RESAMPLE
R
OTHER BACTERIA
OB
TOO NUMEROUS
TNTC
TO COUNT
I;
9
10
Signature of Representative 'w
*No. of ToOT1301iform Colonies per lop mis.
Reported by
Date
Time
AempN
No.
Time
Loudon collected
ColAeted by
..
Lehoratery Rd, No.
'.. Dlreet WrNkatlen Final
Count LAB of . ; Meue• Commem
1 r-01.
nn;A -it 1
V�
€3 4 50prQ
a S
I;
9
10
Signature of Representative 'w
*No. of ToOT1301iform Colonies per lop mis.
Reported by
Date
Time
NORTHERN TESTING LABORATORIES, INC.
2505 FAIRBANKS STREU ANCHORAGE, ALASKA 99503 907.2778378 • FAX 274-0845
3330 INDUSTRIAL WAY FAIRBANKS, ALASKA 99701 907458,9118 # FAX 458.3125
AA
Eagle River Engineering
Report Dates 10/22/90
PO. Box 773294
Eagle River AK 99577
Date Arrived: 10/17/90
Date Sampleds 10/17/90
Time Sampled: 1410
Attn: Louie Butera
Collected By: RMH
Flag Definitions
U = Below Detection Limit
DL Stated in Result
Our Lab #: A106363
B = Below Regulatory Min-
Location/Project: E.R.Mid.Hts.
H - Above Regulatory Max.
Your sample IDs 14/4B
E m Below Detection Limit
Sample Matrix: water
Estimated Value
Comments:
Date
Method Parameter
Units Result slag Analyzed
_--_____ __ _ _--__
------------------------'-----------------------------------------____-_
EPA 300.0 Nitrate -N
mg/l 4.0 10/18/90
L
Repar ed By: Fran ois Rodigari
Anchorage Operations Manager
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
ENVIRONMENTALDIVISION OF
CERTIFICATE OF INSPECTION FOR HEATH AUTHORITY APPROVAL S 0 '2 /
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date �• ���
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
T �? 141 RI OCK 4-R f FAGT F RTVFR MTT)—HPTGHTS T14N , R2W, , Secti nn 12
Location (address or directions)
10226 RAPPTN STRET7 , RAGIR RTVF.R
(b) Applicant Name .TRPF ANITSTOSO Telephone: Home NA Business 694-6001
Applicant Address 12212 nT,T) (TENN HIGHWAY, PAf;TP RTVF.R, AK 99577
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer 0 ; Other MC(explain); RP.AIMP
(d) Lending Institution r7RUgT M0RTrTArr Telephone 561-493n ATTN. RwAF'
Address 4nnn nT•n 5E,ARn_HIOTHWAy , gTTTTF, #1()2, nNF AT T1TF r'
PT A7,A ANMpAr� AK 995Q
(e) Real Estate Company and Agent RIDGEVIEW PROPERTIES , ATTN: JEFF AMISTOSO
Address 12212 OLD GLENN HIGHWAY, EAGLE RIVER, AK 99577
Telephone 694-6001
(f) Mail the HAA to the following address:
HOLD FOR EAGLE RIVER ENGINEERING SERVICES
2. TYPE OF RESIDENCE
Single -Family KX Multi -Family ❑ Other
Number of Bedrooms
3. WATER SUPPLY
Individual Well MR Community ❑ Public ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite O Public ®X 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 72-025(11/84
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 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 codes, ordinances, and regulations in effect on
the date of this inspection. ✓/^ u�'�
Name of Firm EAGI E EI= FNGTNEERTNG SFRVTCES Telephone 694-51 95
Address P G RGX 773294 FACT F RIVER, AK 99577
Date
6. DHEP APPROVAL I1
Approved for bedrooms by G�%LL�— Date
Approved Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the 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 requirements. 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 in the
professional engineer's work.
Page 2 of 2
72-025 (11/84)
9
Engineer's Seal
6. DHEP APPROVAL I1
Approved for bedrooms by G�%LL�— Date
Approved Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the 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 requirements. 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 in the
professional engineer's work.
Page 2 of 2
72-025 (11/84)
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
I987
RECEIVED
A. WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
Le�al Description: �° * /a ��� e 6`54--
/C/vt) /hyo/ //e,";4711 %/vN /c' 2 d-1 Sec ,/ D,
Well ClassificationPr"'G If A, B, C, D.E.C. Approved (Y/N) /�
Well Log Present (Y/N) N Date Completed 'RI -e 1�J7 Yield
Total Depth "/27 ' Cased to t"/a? Depth of Grouting
Static Water Level /a3' Pump Set At
Casing Height Above Ground �� Sanitary Seal on Casing (Y/N) Y
Electrical Wiring in Conduit (Y/N) y Depression Around Wellhead (Y/N) A)
Separation Distances from Well:
To Septic/Holding Tank on Lot n/'cNc On Adjoining Lots
To Nearest Edge of Absorption Field on Lot ^ 'c On Adjoining Lots rices
To Nearest Public Sewer Line 3 0 To Nearest Public Sewer i
Cleanout/Manhole +/Of' To Nearest Sewer Service Line on Lot
Water Sample Collected by 'C,5 'veex ; Date 4Z3//S
Water Sample Test Results C� /� _ O ti', r41 -e — `/- s/�
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed
Size
Standpipes (Y/N) Air -tight Caps (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High -Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water -Supply Well
To Property Line
To Water Main/Service Line
Course
Comments
Page 1 of 2
72-026(11/84)
No. of Compartments
Foundation Cleanout (Y/N)
Date Last Pumped
:for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field —
To Stream, Pond, Lake, or Major Drainage
C. ABSORPTION FIELD DA i A J✓/G. /0N 6 // c S.e a --i1
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water -Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION ,,�
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N) —
Comments
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
On Adjoining Lots
To Cutbank (if present)
_ Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent(Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
" 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 1 1 +>L� Date /�7
company �� SSS MOA No. `"ST — `fir
Receipt No. 4
Date of Payment
"*r's Seal
Amount:$
O••E8@00 •aOi PCieOe•9COooRnoun
G
�•cnoc • •• .u.o •• A
® pVO Louis A. Butera �° v4
Page 2 of 2 ®C • CE -6736 �d
72-026 (11/84) PROFESSlQN4'w
Municipality
of
Anchorage
September 11, 1987
P.O. BOX 19t- . J
ANCHORAGE, ALASKA 99519-6650
(907)264-4111
TONY KNOWLES.
MAYOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
Louis Butera, P.E.
Eagle River Engineering Services
P.O. Box 773294
Eagle River, Alaska 99577
Subject: Waiver Request For Lot 14 Blk 4-B Eagle River
Mid -Heights Subdivision
Waiver Request Number WR87-055
Dear Mr. Butera:
Your waiver request for the above mentioned parcel has been
approved. The requirement in 1978 for a 50 foot separation of
well to community sewer line has been waived to 30 feet.
After visiting A.W.W.U. and looking through their Archive
files, I discovered the 30 foot distance has been waived by the
State of Alaska on September of 1978. This waiver was a result
of special construction techniques used on the community sewer
line to assure against exfiltratioh of sewage.
A waiver is not required for the 8 foot separation of the
private sewer line to the well since at the time of
installation (1982) there was no separation distance required.
This waiver applies to the existing well to community sewer
line only. Any future upgrade to the well would require
separation distances be observed.
Sincerely,
L=li oth
Civil Engineer
On -Site Services
cc: Gus Andress, P.E., Manager,
On -Site Services/Water Quality Programs
- .EAGLE RIVER ENGINEERING SERVICES
Lou Butera, P.E.
P.O. Box 773294
Eagle River, Alaska 99577
Telephone (907) 694-5195
September 8, 1987
Mr. Steve Morris
Civil Engineer, On-site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AB 99519
REF: Lot 14, Block 4-B: Eagle River Mid -Heights
Dear Mr. Morris:
MUN pAL1DEPT.OFOF E
HEAL
ENVIRONMENTAL PROTECTION
SEP s 1987
RECEIVED �R-�
On behalf of my client, Mr. Jeff Amistoso, Ridgeview Properties,
I am submitting the information necessary for your determination of
the following separation distances to a private well.
Well to Community Sewer Line.................30'
Well to Private Sewer Line ................... 8'
Water line crossing of private sewer line -unknown joint distance.
The attached. As -Built diagram shows the layout of the well and
sewer components. The site topography is level in this area.
Immediate subsurface soils are GW -GP type. A well log is not
available but our well sounding indicates a cased well to +127', with
an aquifer depth of +123'. The static pumping level at 8.0 GPM was
127' below top of casing. Well logs available through the
Municipality of Anchorage files for Lot 8, Block 4-A, and Lot 13,
Block 4-B show a gravel aquifer at 135'-156' depth overlain by gravel
clay lavers as described on well logs. It is realized that the
information contained in these well logs is limited to drillers
knowledge.
I am sure that the well was considered during the construction of
the sewer lateral, but it is doubtful that consideration was given to
the proximity of well and private sewer line. A coliform sample was
satisfactory, Nitrate content was 4.9 mg/L upon first sample and 2.2
mg/1. with a second sampling. The second sampling was done after 800
gallons of water was pumped from the well. Please advise as to
whether a wavier is possible or if further work is necessary to secure
this wavier.
If there are any concerns or
contact me at 694-5195.
Sincerely,
Louis Butera, P.E.
LAB:bls
Attachments
questions, please feel free to
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AS -BUILT
I hereby certify that I have surveyed the following
t [ * I �Blc,—k 'f -d
described proper y:-- j
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property
lines and do not overlap or encroach on the property
lying adjacent thereto, that no improvements on prop-
erty lying adjacent thereto encroach on the premises to
question and that there are no rondways, transmission
Imes or other visible easements on said property except
a.; indicated hereon.
Dated at Eagle River, Alaska _
this —day o� 1��=
ROB&RT C. JOHNSON /h cx• �-
'.CALE! Registered Land Surveyor No. 9MLS
_ -3 O Boz 456 Eagle River, Alaska
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I hereby certify that I have surveyed the following
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described proper y:-- j
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property
lines and do not overlap or encroach on the property
lying adjacent thereto, that no improvements on prop-
erty lying adjacent thereto encroach on the premises to
question and that there are no rondways, transmission
Imes or other visible easements on said property except
a.; indicated hereon.
Dated at Eagle River, Alaska _
this —day o� 1��=
ROB&RT C. JOHNSON /h cx• �-
'.CALE! Registered Land Surveyor No. 9MLS
_ -3 O Boz 456 Eagle River, Alaska
Phone 64-2543
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$ WATER
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MUNICIPALITY OF ANCHORAGE SEWER 82
CONNECT PERMIT
3944
1<;4yoF^����p' DATE OF APPLICATION ff—
WATER a SEWER UTILITIES SCHEDULED COMPLETION DATZ/V
3000 ARCTIC BOULEVARD SINGLE AMILY
PHONE -277-7622 ❑ MULTI -DWELLING
No. APTS
! _ ❑ COMMERCIAL
LOT/TRA&T- %7 BLOCK yC7 ❑ INDUSTRIAL
SUBDIVISIONN—I:J
TAXCODE 050 a
BUILDING ADDRESS
OWNER
MAIL ADDRESS ��
ID-:4� DRAWING No.
, I # It
CONTRACTOR:
(License a bond req r d
N PROPERTY ONLY
MAINTAP-TO PROPERTY LINE ONLY
❑MAINTAP aON PROPERTY CONNECT
RAFP,VAW
ASSESSMEN
❑ Paid previously
❑ Main extension agreement
KSubdlvlsion agreement
❑ Extended connect agreement
❑ Pending -AMOUNTS
CONNECTION SIZE CHARGE f
INSPECTION FEE f41n• 0(
PERMIT FEE 0
REIMBURSIBLE
NUMBER DEPOSIT
TOTAL #
ISSUED
PAID ❑ CASH
❑ CK#
INSPE�i • .
DATE:
PERMITTEE 7 MAIL
(PLEASE PRINT) �0 ���1A�v Cd �S� ADDR. SSSS
PHONE:
I HAVE READ THE CONDITIONS AND REGULT IONS ON THE
REVERSE SIDE OF THIS PERMITAND AGREE TO COMPLY WITH THEM
PERMITTEE SIGNATURE
POST INA CONSPICUOUS PLACE ATTHE "SITE
80-021 (4/80) INSPECTORS COPY
DEPT. OF ENVIRONMENTALONSERVATION
ih.
AflC 7/��
Sebe W$tet:
t�er U,,� and
Mr. Reford G. Reid
Anchorage Water $ Sewer Utilities
3000 Arctic Boulevard
Anchorage, Alaska 99503
Dear Mr. Reid:
JAYS. NANNOND, GOVERNOR
_`r POUCH 0 - JUNEAU M11
September 12, 1978
Anchorage - Eagle Heights LID 50-8
Plans (4) for this project were received by this Department on September 5,
1978. By telephone conversation on September 6 we were informed that a
modification was to be made on sheet 2 and the modified sheet was received
on September 11.
This proposal will provide sewerage for an area bounded by Baranof
Avenue, a street 350' east of Chain of Rock Street, Eagle River Road,
and Baffin Street. Sewer lines will be 8" Class 50 D.I. and construction
will be in conformance with the Ylinicipality of Anchorage 1976 Standard
Construction Specifications.
In our telephone conversation of September 6 we informed you that with
the modifications proposed on sheet 2, the plans appeared to be satisfactory.
We regret this error. The area to be served by this project has numerous
on-site wells. Please refer to Table A, Minimum Separations Between
Surface or Subsurface Water Sources and Potential Sources of Contamination
from our Drinking Water Regulations. A copy of these regulations is
enclosed for your convenience.
Please note that the minimum separation between private wells and community
sewer lines is 75 feet, and between private wells and manholes or cleanouts
if 100 feet. In this proposal, the minimum separation distance is
exceeded 12 times with the separations in two cases being only 25 feet.
If this project is to be pursued further, we will look for the report
justifying lesser separation distances than shown by Table A of the
regulations, or a satisfactory rerouting of the sewer lines.
Sincerely,
Richard H. Britt
Facility Construction
$ Operation
Enclosure
Municipahty
of
Anchorage
3000 ARCTIC BOULEVARD
ANCHORAGE, ALASKA 99503
(907) 277-7622
GEORGE M. SULL/VAN,
MAYOR
DEPARTMENT OF ENTERPRISE ACTIVITIES
Sewer & Water Utility
September 22, 1978
Mr. Keith Kelton
Dept. of Environmental Conservation
Pouch "0"
Juneau, Alaska 99811
Subject: Eagle River Heights LID 50-8
Dear Mr. Kelton:
The Anchorage Sewer Utility requests approval of the revised plans and
special provisions for the Eagle River Heights LID 50-8. Diligent efforts
were made to find alternative routing around all wells. In spite of those
efforts the most desirable clearance distances from certain wells could not
be obtained.
The pipe materials chosen for this project offers the best available
combination of characteristics to preclude exfiltration. Ductile iron
pipe, having a minimum wall thickness of more than 1/4 -inch (0.27") was
chosen. This rugged material virtually precludes pipe damage during
transportation, handling, and installation. After installation, the
ductility provides a high degree of resistance to failure due to
unprogrammed stresses such as earthquake. The thickness of the material
provides an extended life beyond the 30 years normally expected.
Bedding of the pipe in this project offers further insurance against
exfiltration. There will be a minimum of six inches of sewer bedding
material (Type IIA) between the pipe and the foundation. This bedding
assures that no large stones create a pressure point on the pipe which
could cause premature, localized, pipe failure. The bedding also provides
uniform support of the pipe barrel and allows uniform distribution of the
earth and live loads from the pipe to the foundation. This type of bedding
helps to eliminate differential pipe settling as a result of uneven
loading along the length of the pipe.
Mr. Keith Kelton
Eagle River Heights LID 50-8
September 22, 1978
Page 2
The methods of construction used will be as prescribed in the Standard
Specifications published by the Municipality of Anchorage and the
Special Provisions of the contract. The Municipality will provide an
engineer and inspectors to closely supervise the contractor's work
during all phases of construction. This engineer will have full authority
to stop work on any portion of the contract where proper methods are
not being used, and has full authority to require substandard work to
be correctly reaccomplished.
In addition to the above design features, extraordinary measures will be
taken when the desirable clearance distances could not be met. The
first measure requires that the rubber gasket, which provides a water-
tight seal between lengths of pipe will be compressed and held in
place by a gland. This assures a positive water seal is made by
augmenting the natural elasticity of the rubber gasket. The second
measure provides for a mechanical connection between the gland on the
upstream length of pipe and the bell of the downstream length. These
two items will be bolted together to restrain the joint and prevent
separation of the two lengths of pipe. The third extraordinary measure
is exfiltration testing of all runs of pipe within the well clearance
distance. Exfiltration testing will be specifically required by a
special provision of the contract.
In essence you will find this justification parallels that offered by us
and accepted by you on the Girdwood LID 60-1. Any community sewer project
would abate the potential health hazards in the area. This project
goes one step further. It will assure the new sewer lines do not
prematurely fail and recreate the health hazards. Your earliest
consideration of this request will be greatly appreciated.
Sincerely,
6K�Q�
CHARLES L. EGGENER, P.E.
Chief of Engineering & Planning
Anchorage Water & Sewer Utilities
CLE:RGR:nrs
Enclosures: 1.- Plans revised 9-19-78
2. Special Provisions revised 9-18-78
DEPT. OF ENVIRONMENTAL CONSERVATION
Mr. Charles L. Eggener
Chief of Engineering & Planning
Anchorage Water & Sewer Utilities
3000 Arctic Boulevard
Anchorage, Alaska 99503
Dear Mr. Eggener:
JAYS RANNONO, GOVERNOR
POUCH 0 - JUNEAU AW11
September 28, 1978
1978
Aiokorage Watii and
Seww v1ity
Anchorage - Eagle River Heights LID 50-8
Our letter to the Municipality on September 12, 1978 concerning this
project forwarded a copy of our Drinking Water Regulations and noted the
large number of less -than -allowable separations of private wells from
sewer lines, manholes and cleanouts. Your letter of September 22, 1978
has forwarded "revised" plans and specifications with reasons why we
should now accept this proposal. You offer the Girdwood LID 60-1
project as a precedent. The revised plans differed only from those
originally received, as best we could determine, in that the radius
circles of the many wells now have been deleted.
We have some questions:
a) We could not find ductile iron pipe with a .27" thickness in
our catalogs. Is this a standard thickness? We note that the
Class 2 (now 52) ductile iron sewer pipe of the Minicipality
of Anchorage Standard Specifications is somewhat thicker.
Please comment.
b) Your letter states as an "extraordinary measure" that exfiltration
testing will be made of all runs of pipe within well clearance
distance. We had assumed such testing, or with air, on all
sewers laid by the Anchorage utilities. This assumption is
based on Article 2.5, Test of Workmanship, Section 50.02.
Please comment.
c) What is the nature of the soil within a 50' radius of manholes
50-8A and 50-8E? Although "soils investigations" were mentioned
in the Special Provisions, we have received no data regarding
this.
Mr. Charles L. Eggener -2- September 28, 1978
d) The well on lot 15 of Block 4B is but 40' from MH 50-8A. See
sheets 2 and 3. This is at least 10' too close and we will
require a solution.
We look forward to your reply.
Sincerely,
��cev j
Richard H. ritt
Facility Construction
& Operation
Municipality
Of
Anchorage
0*
October 9, 1978
Mr. Richard H. Britt
Facility Construction
State of Alaska
Dept. of Environmental
Pouch 0
Juneau, Alaska 99811
300„3(,I IC BOULEVARD
ANCHORAGE, ALASKA 99503
(907) 277-7622
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF ENTERPRISE ACTIVITIES
Sewer & Water Utility
& Operation
Conservation
Subject: Eagle River Heights LID 50-8
Dear Mr. Britt:
The following addresses questions contained in your letter of
September 28, 1978, same subject.
a) The standard thickness of 0.27 inches is found in the
Handbook, Ductile Iron and Cast Iron, Cast Iron Pipe Research
Association, 4th Edition, page 275, Table 5, "Standard
Thickness Classes of Ductile Iron Pipe.” A copy of that
table is enclosed.
b) Refer to Section 50.02, Article 2.5, a. General, second
paragraph: "All sanitary sewer pipe installed will be
subject to either (emphasis added) an infiltration test or
an exfiltrati— o est." Since exfiltration, not infiltration,
is the process which worries ADEC when sewer lines are close
to wells, the specification of exfiltration testing is most
appropriate in this case. See revised page SP -5.
c) The soils investigation reports are enclosed for your review.
More significant, however, are the well drilling logs we were
able to obtain on two wells in the area. Lot 11, Block 1, shows
a blue clay layer 17 feet thick at the 46 to 63 foot depth.
Lot 11, Block 3, shows a hard pan layer some 12 feet thick at
the 84 to 96 foot depth. Both layers serve as an effective
barrier to the passage of water from the level of the sewer
to the wells below. Since the surface geology of the project
area is gently rising hillside with one transversing swale,
C _ _
Mr. Richard H. Britt
October 9, 1978
Page 2
it is reasonable to assume the subsurface conditions
are uniform. Further, the well logs show the wells to
be in excess of 120 feet deep and other wells in the
area are reported to be at equivalent depth. These facts
led us to the conclusion that the sewer project poses no
threat to the area's water supply. We therefore desire
to pursue construction of this project which eliminates
a continuing threat to health posed by existing septic
tanks and cesspools.
d) If you still remain unpersuaded that the project is more
than adequately designed to protect all the wells, we are
prepared to incur the extra cost of encasing the sewer
pipe in concrete where it passes through the 50 foot
radius of the well on Lot 15, Block 4B.
Sincerely,
47 67
CHARLES L. EGGENER, P.E.
Chief of Engineering & Planning
Anchorage Water & Sewer Utilities
CLE:RGR:nrs
Enclosures
JAY I HAMMOND, BOYERNOR
-_ 1
DEPT. OF ENVIRONMENTAL CONSERVATION
CEf POUCH 0 - JUNEAU 99911
Mr. Charles L. Eggener
Chief of Engineering F Planning
Anchorage Water & Sewer Utilities
3000 Arctic Boulevard
Anchorage, Alaska 99503
Dear Mr. Eggener:
October 20, 1978
Anchorage - Eagle River Heights LID 50-8
This refers to our letter of September 28, 1978 and your reply of
October 9 (received October 19), 1978. Previous correspondence includes
our letter of September 12, 1978 and your answer of September 22, 1978.
You are correct that .27 inches is now a standard thickness and note
that we have not found it listed except in the CIPRA Handbook, Fourth
Edition.
Our major concern was the nearness of the well on lot 15 of Block 4B
which is but 40' from MH 50-8A. Your September 22nd letter enclosed a
revised "Test of Workmanship" and soil data. You also stated that if we
still remained unpersuaded that the project is more than adequately
designed to protect all the wells, you would encase the sewer pipe in
concrete within a 50' radius of the well of lot 15, Block 4B. With
consideration given to the soils encountered, we consider that this
encasement (in accordance with Detail 305 of the Municipalities Standard
Specification) will adequately protect the well.
The plans and specifications for this project are approved by this
Department for those items of our concern providing that concrete encasement
of the sewer line is provided as stated above.
Sincerely yours,
r �
1All}�
Richard H. Britt
;; Facility Construction $ Operation
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y - MUNICIPALITY OF ANCHORAGL -
'DEI" ARTME! OF HEALTH AND ENVIRONMENT
825 L Street, Anchorage Alaska
2.79-2511, ext. 22 225
Date R c ived:
T me
Date /Date -- S
Insp % Znsp
PROTECTION
99501
Ju1y_5., 1977
# 3: T i:rie
Date
L n s p
REQUEST FOR APPROVAL OF INDIVIDUAL. 41Ek2 ND WA7,'ER FACILITIES
n
1. Lend=.ng Institution Request: _ National Bank of Alas a
Mail_inCT Address: Post Office Box 3-3859 99509
2. Property Owner:
Mailing Address:
3. Legal Description:
C.J. Sullivan
Post Office Box 657 99577
Phone: 279-2506
b94-988 nl,.�1�
Pl�or.e
T„4- in n.,.k AR FaniP Piunr Mid Heiahts Subdivision
4: Single Family Residence: (x*
Multiple Family Residence: ( )
5. Well System:
Permit #
Construction
Number of Bedrooms:
Number of Bedrooms:
three
Individual Well (x3: Community/Public S1stem ( )
Depth of Well Well Log on File ( )
Bacterial Analysis
6. Sewage Disposal System: On-site System (x*
Permit # Installed
Septic Tank Size
Abso,�ption Area
Public Utility ( )
Installer
Manufacturer_
Soils Rate
Material
7. Dist<..nces: Well to Septic Tank to Abs:)rpticn Are,:
to Sewer Line Nearest Lot line i:)sorption Area
to Nearest Lot Line
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA FHA CONV x
2. Property Owner: C. J. Sullivan
Mailing Address: PO Box 657 Eagle River, Ak . Day Phone: 694-9881
3. Name of Buyer: Paul V. quartly
Mailing Address: 5550 Old Seward Highway 141 Day Phone: 344-6853
Anchorage, Alaska
4. Name of Lending Institution: National Bank of Alaska
Mailing Address: PO Box 3-3859 Phone: 279-2506
Anchorage, Alaska 99510
5. Name of Realtor or Agent: Area Wilburn L. Privett
Mailing Address: Eagle River, Alaska Phone:_ 694-9555
6. Legal Description: Lot 14, Block 4B Eagle River Mid Heights
Location: Eagle River, Alaska
7. Type of Facility to be Inspected: SFR No. Bdrms. 3
8. Water Supply
Type of Supply: Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
72-003( 3/76)
x
Individual (on-site) x
Page Two
Department of Heal'Uh and Environmental Protection
Request for 7,,pproval of Individua.1 Sewer anI Water FaCil_;tie:,
Leq,rI,l Descrrtion-, Lot 14 Block 4B Eagle River Mid Heights Subdivision
Comiients:
- f.
) ----------
Affadavit Attach Latter Attached:
I _.,ed: k,
Approved:
Disappro
Department - Workshe-1-:
YL_
Date.- 7-7
L; a r
r
�~ n
)(al . Rev. 1973+, `*
DATE
AL, A DEPARTMENT OF HEALTH AND SOCIAL SE_ ES
DIVISION OF PUBLIC HEALTH
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOG I CAL. WATER ANALYSIS
INDIVIDUAL ❑ SEMI-PUBLIC ❑ CHLORINE RESIDUAL PPM
' 1 , 1 REPORT RESULTS TO
NAME r �~(jj 'r
ADDRESS ��
CITY 2 ZIP CODE
in r
ADDRESS B /
OF SOURCE
COMPLETE THIS SECTION
ONLY IF WATER IS AN INDIVIDUAL SUPPLY,
4
SAMPLE COLLECTED BY
+�
�'�
9
• a
DATE COLLECTED_, `!
TIME COLLECTED
Sample Co l lected From ❑ Kitchen
Tap -❑ Bathroom Tap ❑ Bosement Tap
Q Other tLlsrl
Well — Dug ❑ Driven
El tilled Q Bored
SOURCE= ❑ Spring ❑ Cistern
❑ iher
Dug Well or Cistern Construction.
Wells— ❑ Wood ❑ Concrete
❑ Metal ❑ Tile Brickor
ElOpen Top ❑ Concrete
Top — ❑ Wood 11Concrete
ElMetal
LOCATION_
❑ In Basement
❑ Basement Offset ❑Under House
❑ In Yard ❑ Other
Building Sewer
Septic
DISTANCE TO. or Other Drainage Pipe
Feer. Tank—Feet.
Tie Seepage
Cess
Field Feet- Pit
Feet- Pool Feet. Privy Feet.
Other Possible
Sources of Contamination
-
MATERIAL: Building Sewer ❑ Cast Iron
❑ Wood ❑ Tile ❑ Fibre ❑ Asbestos
Cement
❑ Plastic Joint Material - Type
GENERAL Does Water Become Muddy or Discolored?
❑ Yes ❑ No
When?
Diameter of Well
Depth Feet.
Well Casing
Material
Diameter Depth
Length of
Water Depth - -
Drop Pipe
From Bottom Feet.
Offset in In Utility
PUMP LOCATION= ❑ In Well ❑ Basement ❑ In Basement ❑ Room
On Top 7
0 O Well ❑ Other
PURPOSE OF EXAMINATION. Illness Suspected? ❑ Yes ❑ No
New Source cf Supply? ❑ Yes ❑ No Repairs to System? ❑ Yes ❑ No Signature
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
Da 1220 lb)
Rev 1973
Date Petei
Lactose Broth
24 Hours
48 Hours
Brilliant Green
24 Hours
48 Hours
EMB
Lactose Broth, 24 hrs
Coliform Density_
MF Results
Lab Notll,,1. n
OFFICE
Analysis shows this Water SAMPLE to be:
Sotisfactory
Unsatisfactory
❑ Questionable
❑.,Somple too long in transit; sample should not be over 48
hours old at examination to indicate reliable results. Please
send new sample.
❑ Bottle broken in traipt; please send new Somple.
1
SANITARIAN'S REMARKS
BACTERIOLOGICAL WATER ANALYSIS RECORD
i f
Time Received ! om ab. No.
w
I Occ I IOcc IOcc 1Occ 1 1Occ I I.Occ I.Occ
Reported byt
This analysis indicates Coliform Or(anisms to be.
his.
s stain
;Most probable No per 100cc1
p in
OM