HomeMy WebLinkAboutRAMPART #1 LT 10Jun 30 11 05:00p Beau Maxim 19073391985
Mark Begich
Mayor
bevelopment Services Deportment
Building Safety bivision
On-Site Water & Wastewater Program
4700 Elmore P. oad
P.O. Box 196650
Anchorage, AK 99507
w~v.muni.orq/onsite
(gOD 343-7904
Pump Installation Log
Well Drilling Permit Number: SW
Date of Issue:
Parcel Identification Number:
¢
Legal Description
RAMPART #1 LOT 10
Pump Installation Date: 6/q 6/11
Pump Intake Depth Below Top of W-ell Casing: 80
Pump Manufacturer's Name: GOUkD$
Pump Model: 7SBO74226
Pump Size 314 bp
Pitless Adapter Burial Depth: lo feet
Pitless Adapter Manufacturer's Name: CAMBEL
Pifless Adapter Installer: N,'A
Well Disinfected Upon Completion? [] Yes [] No
IIProperty Owner Name & Address:
RYAN JENSON
9950 BIRCH RD
ANCHORAGE, AK 99507
feet
Method of Disinfection: REOIROULATED USING CHLORINE PELLETS
Comments:
Pump Installer Name: BEAU I~AXIM
Attention: The pump installer shall provide a pump installation ]ogto the DSD within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name ,, . - I DISTANCES
^ddre?' £' bEPT o~ H. ~. D. I~TO SEPTIC ABSORPTION .
Vi,, V NC~ ~' ~ 5 ~ FROM ~ TANK FIELD wELL
Phone(s, Permit.o ~.o o, m,.~ i wm
~G3-3333 ]9o-O37o I ~ ILOTLiNE
Township, Range, Section ~
{ cr ~ m ~ i~ NI ~ 21. / ~ F~ I AS-BUILT DIAGRAM (Show location of well, septic system, prope~y hnes, foundation,
Manufacturer Capacity m gallons II I I I E
Materia, No' O' C°mp'"ments ~I I I I
TYPE OF SYSTEM ~ // / /
Depth to pipe bottom from Total depth from original grade ".~ ~¢
Fill added above original grade Gravel depth beneath pipe ~,'
Gravellength GraveJwidth "~ I
Installer Date Installed
-
WELLS
Installe Datelnstalled: II / E/ /I
I ~ .... ~_ ,~ ~{_ cmilythalthisinspectionwaspafl0rmedaccerdingtoall
Municipal and State guidelines in ellecl 0n this date~ I/~
Health Depaflment Approval:/ Date . . . /
LoT 2
120 ~
$~ ~ 'l-t C
J.o'l" $
C~c,~NTx)
.~lattop Technical Services
14530 Echo Street
.~nchorage, Alaska 99516
I/
~/49~ ~ SiTE PLAN
~........ ........ ......~...a ......
'¢~ ' ' ' · ·,. · ' ' '=~ IISCALE: 1'~5O'
ADDENDUM TO ~ALES CONTRACT
RE: 9950 Birch Rd. (AKA 9940 Birch Rd.)
FHA Case No. 111-018346-203
The purchase of the subject property is being made with full
understanding that the purchaser will be responsible for drilling
a new well.
It is also understood that the Dept. of Housing and Urban
Development will install a new septic system as required.
The buyer, the broker, and the contractor hereby each agree and
promise to forever h~ld HUD harmless from any liability that HUD
could in any way incur as a result of the contractor's, broker's,
or buyer's presence in, on, or about the premises, while in the
process of completion of said repairs/testing.
In exchange for the above promise to hold harmless, HUD hereby
agrees to grant the buyer, the broker, and the contractor a
right of access to the above described property, and permission
to proceed with drilling a new well on the proposed site established
by the attached drawing.
Upon completion of the work, purchaser agrees to return the property
to its present condition.
,, Pukcha~ -- ....,/
?mrchaser ~ /
ractor /
Dar e
Date
Tom Fink,
Mayor
Municipality Anchorage
Department of Health and Human Services
825 %" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
October 11, 1990
Ted Moore, P.E.
Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
Subject: Request for Separation Distance Waivers
Lot 10 Rampart Subdivision #1
Dear Mr. Moore:
This office has completed its evaluation of the subject request
for waiver of the required 100 foot separation distance between
and existing septic tank an existing well of 85 feet and between
a proposed drainfield and an existing well of 70 feet.
The request for waiver was evaluated in accordance with the
Alaska Department of Environmental Conservation (ADEC) waiver
review guidelines. Our evaluation of the supporting
documentation, which accompanied the request, yielded a total of
14.08 points. In accordance with ADEC waiver guidelines, a
minimum of 16 points is required for issuance of a waiver unless
the presence of special construction techniques and/or
mitigative factors is documented. Therefore the request for
waiver is denied.
Resolution of the separation distance deficiency may be pursued
by any of the following three alternatives:
You may prepare and submit additional supporting
documentation which supports the assignment of 16 or
more points in accordance with the ADEC waiver review
guidelines.
Kids Are Our Future
Ted .Moore, P.E.
October 11, 1990
Page Two
You may prepare an engineering report that documents
special construction techniques and/or the presence of
mitigative measures or factors which support the
issuance of the waiver. Such a repork must conclude
that there is a negligible possibility or probability
of the wastewater system serving as a point source of
contamination to the well. This conclusion must be
supported by an appropriake engineering analysis.
You may relocake the offending well or wastewater
systems.
If you have any questions,, please call our office at 343-4744.
Sincerely' ~//~~~
~rogram lvlanager, un-slue Services
RWR/ljm:265
cc: Robert W. Robinson
Civil Engineer, On-site Services
CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS
TItEODORE F. MOORE, P.E. October _5, 19!)0
PH: (907) 345-1355
M.O. &. Deo't of Health and Human..q erx,"-lces'
P.O. Bo× c '~.'~, 1
Anchorage, AK 99519
Lot 1 (). Rampart S/D ~1~ Waiver Request and Design Narrative
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
MUNICIPALITY Of ANC, HOP, A~
DEPT. OF HEAL'fH
ENVIRONMENTAL PROTECTION
By' mean.'; of this letter we are requesting a sewer upgrade permit and waivers of the
required 100 l'oot separation distances dc)wn to 85 feet between 'the well and the septic
tank and down to 70 feet between the well and the absorption field for the subject lot.
Design drawings including a soils logs, site plan, plan view and cross-section as well as
copies of ot~er relevant backup documents are enclosed for your review.
.No driller's log exists R)r the subject well. Other records in your files indicate that it
',a;az; completed in 1972 and that it has a total depth of 72 feet. On June 30 the static
water level stood at 59 feet below the top of the casing. Steady pumping of over 1200
gallons of water from the well at the maximum pump output of 9.25 gpm caused the
water level inside the casing to be draxvn down to 61 feet, but no further. This indicates
that the total yield of the well is significantly in excess of 9.25 gpm. Water samples taken
on Jtme 29 were satisfactory, showing 0 coliform bacteria per 100 mi., and 1.48 mg/l of
mtrate-N. As part of the upgrade project a new well seal and conduit are to be installed.
The wastewater disposal system consists of a 1000 gallon septic tank installed in 1972
and a 500 galkm septic tank installed in 1978. These are followed by a 16' by 16' by I0'
deep seepage pit installed in 1972, which was upgraded to 4 bedroom status in 1978 by
the addition of a 26 foot long soil absorptkm trench containing 6 feet of sewer gravel.
Despite the fact that the house had been unoccupied for an extended period of time prior
m our adequacy test, the seepage pit had 26 inches of fluid standing in it and the clean(mt
at the beginning of the trench had fluid standing 4 inches above the level of the
gorizontal distribution pipe. The monitor tube at the end of the trench was obstructed a
foot below ground surface. These observations indicated either that the system is in
ground'water or that it has very poor percolation characteristics. During the course of {)ur
adequacy test we added over 2000 gallons of water to the system which caused the .fluid
level in the trench cleanout to rise an additkmal 2.5 feet. Once the flow of water was
stopped, the reabsorption rate was very slow, corresponding to the required rate for a
()ne bedroom residence only.
On Augt~st .3 we conducted soils tests to determine the feasibility and design
parameter~ of an on.~site soil absorption system for this lot. As indicated on the enclosed
!ogs, tt~e subsurface soils consist of fine sand and gravel overlying a gravelly silt. As
speciO, ed ~n the wastewate~ ordinance in effect on the (.late of our soils tests, we used a
~,~i. st~a.! soil ~at. ing of 150 square feet per bedroom as our design criterion. Based on our
soil ~.ests we feel the optimal design is a 12' wide by 63 foot long soil absorption bed
co~tstt'ucted at a depth of 4 feet below the ground elevation in the vicinity of test hole # 1.
). l'te, ot>timal configuration is shown on the site plan. Due to topographic considerations, it
was not possible to locate the entire soil absorption bed in the small area outside of all
100' well radii; the proposed location was selected to impact only the well radius for the
subiect lot. The proposed coffi'iguration will have no impact on well radii for adjoining
lots., nor will it impact any possible future well or septic system development, reserve
space or drainage on these lots. Because the proposed configut'ation crosses over a
po~'tion of the original seepage pit, we have specified that the pit be filled with sand and
shallow contaminated soils in the vicinity be excavated and replaced with sand. We feel
this will t-esult in an application rate comparable to the native material.
Tl~e following analysis pertains to factors relevant to the requested waivers:
As sttown in red on the marked up site plan, the surface topography of the lot slopes
dow.~.wa['ds at approximately 20% from the well towards the site of the proposed soil
absorption t.~ed. Th.e resultant l 5 foot elevation di~l'erential guarantees that any effluent
which might daylight, from a failing system will flow directly away from, rather than
i.ow~tt:ds, i. he well.
The shallow test hole logs do not indicate a groundwater table in the upper 15 l'eet of
t.~e soil profile.
W'e t~a. ve attached the driller's log for the well on Lot 2, which is the closest well
whict:) we could locate a log. The information shown on this log is quite consistent with
tt~at which we could measure in the subject well, bearing in mind that 'the ground surface
at the subject well is approximately' 20' higher than on Lot 2. This log indicates a clay,
sand and gravel mixture (probably glacial till) down to 35 feet. Due to poor percolation
characteristics, 'this material should provide relatively good protection to the underlying
aquifer. Below this is sand, with the effective water table at 35 feet.
On Septem[~.er 10 we conducted a survey cfi the static water levels in nearby wells in
and e.fl'ort to assess tl}e gradient of the aquifer supplying the wells in the area. This
info~'mation is also shown in red on the marked up site plan. Relative to an assumed
ele'v'~tion of 100 feet on top of the casing of the st~bject well, the static water levels in the
wells on Lots 9 and 10 were an identical 40.9 feet and the static water level in the well
r.>n Lot ] was 40.6 feet. This indicates that tlqe surface of the aquifer is nearly level with a
very sligl~t ~lope { and hence flow) towards the north.
The following is a possible assignment of points using the DEC SCRO'S separation
distance waiver' guidelines,
Category
Point Valu~
Distance to water table (35' - 6' = 29')
Soil $orption (use value for silt)
Pet'meability (use value for silt or sandy clay)
Water table gradient (use 0%}
Iforizontal separation L70')
Total
3.83
3,5
2,0
2,9
1,8
14,0
The total number of points derived here is slightly less than the guideline of 16
recommended by D.E,C,~ however we believe there are other mitigating circumstances
which support granting the waiver in this situation. First and foremost is the fact that no
better alternative exists, short of installing a holding tank or drilling a new well The
slot~e of the sm'face topography is a factor not addressed in the waiver point assignment,
yet ~t has a significant effect on reducing the possibility of contamination,
Ti~e property owner (tt,U. D,) is anxious to proceed with the upgrade as soon as
poss~bte, so we would appreciate anything you can to expedite the review and permitting
~,~'ocess, Please give me a call if you have any questions on this report,
Sincerely,
Ted Moore, P.E.
cc: Sandy Hjelmstad, Associated Brokers
L.o'r 2
LoT oI
.LoT 5
, ~SLK 2.
~./~ c A N,T")
120 ~ ,
L"ZELL - $C t~I'~EtTE'R S/b
F!altop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
0
LOT 10
RAM PA AT *1 SUBD.
StTE PLAN
D/~TE ' ~/ffo
SCALE: 1" = ~0'
c)~N BY: ~_
~OTE: T~tlS iS NbT A
~quRvE'/£b PLAT
Lot l0 Rampart No. 1. Subdivision
9950 Birch Road
Septic System Upgrade
Specifications
1. The scope of the project consists of the abandonment ot~ the existing septic system
and the installation of a new 1250 gallon septic tank followed by a 12' wide by 63' long
soil absorption bed.
2. The configuration of the system shall be as depicted on the site plan and design
drawings, except that minor modifications may be allowed or required by tl~e engineer
conducting the inspections.
3, Construction work shall not start until the Municipality has issued the necessary
permit and separation distance waivers allowing the soil absorption bedto be constructed
within 70 feet of the existing well, and the septic tank within 85 feet of the well.
4. All construction practices and material specifications shall be in conformance with
Municipal and State requirements. The contractor shall be responsible to obtain any
necessary utility locates and to work around any utilities encountered.
5. The existing 1000 gallons and 500 gallon septic tanks are to be properly abandoned
by being pumped, crushed and buried on site, or by being transported to the Municipal
landfill.
6. The existing seepage pit shall be pumped and backfille, d with clean sand. All
surrounding soil within 2 vertical feet of the bottom of the proposed soil absorption bed
which shows evidence of septic contamination shall be excavated and buried on site
outside the 100 foot radius from all wells. Clean sand shall then be placed in the
excavated areas to bring the level up to the specified grade.
7. A new Municipally approved 1250 gallon, two compartment septic tank shall be
installed level on undisturbed soil no closer than 85 feet from the well at the approximate
location shown on the site plan. Two inches of rigid insulation shall be placed over the
tank if the soil cover is less than 4 feet. Additional cleanouts shall be installed within 5
feet of the foundation and between the tank and the soil absorption field.
8. The soil absorption bed shall be constructed by removing the shallow soils to create
a 12' wide by 63' long level bed surface at a depth of 4 feet below the natural ground
elevation as measured adjacent to test hole # 1. Additional excavation and backfill with
sand will be required in the vicinity of the original seepage pit, as described under
specification #6.
9. A total of 12 inches of approved sewer gravel shall be placed on the bottom of the
bed, with the perforated distribution pipes laid level, such that the bottom of the pipes is
no less than 6 inches above the bottom of the sewer gravel. Cleanouts and monitor tubes
shall be installed in the locations shown. An approved filter fabric shall be placed to
cover the entire top surface of the sewer gravel before backfill with unclassified soil. The
top surface of the backfill over the field shall be mounded 6" higher than the surrounding
terrain to allow for future settlement.
I 0. A total of 5 inspections will be required during the course of the construction: (1)
initial stakeout, (2) after the bed is excavated, but before placement of any sand or sewer
gravel, (3} after the sand is in place, but prior to placement of sewer gravel, (4) after the
gravel is in place and the pipes laid and connected up to the new septic tank, but before
placement of ~he filter fabric and cover material, and (5) after the cover material is in
place and f.~nal grading is complete.
~_oT I
LoT ct
12.0
LOT
1o' OTU-, E.~t,4'r',
LoT .5,
OTHER t,~t~LA_¢ off
Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
0
LOT 10
RAM PA RT
S~TE PLAN
DATe '
SCALE:
DWN BY:
~oTE: 'Tills 1.~ Nt)'T A
5uRV~¥£b
/3, LL LocATIONS
N[::~ I::ZSo GAc s~pT~c TANK
'~/~"" C.O.~]J ,
3! C. O. ~~1
SO~L ABSORPTION
~LAN VIEW
M.'['. C.o.
$£CTIoN "A -A
Flattop Technical Services
14530 Echo Street
,Anchorage, Alaska 99518
LOT I0
SOIL ABSORPTION BED
PLAN ~. CRosS SECTION
DA'TE: :1/cio
PERFORMED FOR: SA
LEGAL DESCRIPTION: L JO
o.~ PT
1- GM
2
5P
4
8
10
11-
12
14
17
18
19
20
Flattop Technical Services ze"~'N~' .... ~'"~'/-~"~&
14530 Echo Stree~ r~: 49'"'~ '~
Anchorage, Alaska 995~B
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG ~ PERCOLATION TEST
~.3E LJ,4 S'FA D
~ '..THEODORE F. MOORE
DATE PERFORMED;'__ 3131~o
SILTY ~RAV'~L FiLL
SANbY LOAD4
FINE 5/~ND
GI~AvE LL¥ SAND
CI~AVELLY SILT
Township, Range, Section; T 12 N, R_~'w~, s£cci
SLOPE SITE PLAN Vi~
'" ~"~ -.._... ,?II. WI__..,./_ I-
...... ~ ~IT / ~ ~
LL
'T', i
COMMENTS r'-~ ~_.~:>,,w ~.? ~ ~ ,~,,~
WAS GROUND WATER
ENCOUNTERED?
Jo';,
S
L
IF YES, AT WHAT O
DEPTH? p
E
Depth to Water AFter ~f,~ Dr'y,' i
Monitoring? It' ~-~ __ Dale: 0{~1~0
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE _ -- (minutes/inch) PERCHOLE DIAMETER
TEST RUN BETWEEN _ _ FT AND ~. FT
PE"FORMEDBV: _FL. 4TTO'P T,~ct./, sVcs , _.._~"T'-..~ ~f.,,..¢.~(.~. CERTIFY THAT THIS TEST WAS PERFORMED iN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
PERFORMED FOR: SA
LEGAL DESCRIPTION: L JO
pT
I
2
3
4
5
7
8
9
~o SP
11
12
13
14
16
17
18
19
20-
"T.H. ~2
COMMENTS T, I'~, '1:[2 ~)lj~
Flattop Technical Services
14530 Echo Street
Anchorage, Alaskc~ 99516
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
~tJE LM s-r'A b
R~I'¥PA~T ~1 s/b Township, Range, Section;
SANDY LOA ~
S~LT¥ ~RAV£L
VE R~ ~I~HT
Sb ~ GHTL"( SILT'/
5LOLJGH5 INTo HOLE
SLOPE SITE PLAN Vj~
/x
FI~E SAND WAS GROUND WATER
ENCOUNTERED?.
IF YES, AT WHAT O
DEPTH? p
Deplh to Water AFter P/'~
Monitoring? 15'* ~ Dale:
LL
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE _ (minutes/inch) PERC HOLE DIAMETER __
TEST RUN BETWEEN _ FT AND FT
'WHERE (31~ovNb IS ~ I-2 ' HIGH£1e. T~f~N '~,fl. '~ I
PERFORMBDBY; _FLATTOP TEc~/, SVcS ,
CERTIFY THAT THIS TEST WAS PERFORMED
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
i ,,~,,~; .., . .,~ ...... ~TER ANCHORAGE AREA BORO'-'~H
~OT~C-~ %-., ~ - ~ DEPA~ME~
' N? 946
... IN~ECTION ~EPO~T ON-SI~E ~EW~O[ OISPO~[ SY~TE~
NAME
LOCATION,,
,SEPTIC TANK:
DISTANCE FROM WELL
LIOUlO CAPACITY /~ GALLONS,
MA~UNO ~'
AOORESS /.'""T,Z. 7' ,/?/,,~'/~,,('./",,,'//,"~, /r2~?.. PHONE.,eTy
LEGAL DESCRIPTION ,/---~/'- /~ ,~?,~/~.~',/~,,~-',7' .~('~Z~ ~d/,/
MATERIAL -~'/'~*~'~*~-/--~ /4/~ ,w/,/~ ~/~ NUMBER OF
COMPARIMENTS,
INSIDE LENGTH INSIDE WIDTH
LIQUID
DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS ~/ ,
LINING MAIERIAL / '/--~,~' /'./~-~'..'~'
NEAREST LOT LINE,,, ,,~
~D:
OUTSIDE DIAMETER
OR WIDTH /~ / , LENGTH /6 / '~/'
, DEPTH .......
DISTANCE FROM WELL "/"/~//" /~'"~/'"~/'/-"L'e"-/~BUILDIN~ FOUNDATION '~"(
TOTAL EFFECTIVE ABSORPTION AREA (WAtt AREA) ~"~,~' / SO, FT.
DISTANCE FROM WELL.
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
NEAREST LOT LINE Of: LINES
DEPTH OF FITTER MATERIAL BENEATH TILE IN. ABOVE TILE: ,,
NEAREST
· LOT LINE SEWER LINE
DISTANCES:
~'/~."/,~._,r'/.,,,~
,~//- ~ //.,~'
SI~PTIC
, TANK
DISTANCE FROM ;, WATER ! .~
, BUILDING FOUNDATION. , ', ,SAM, PLE,' i :, ',~ ~,I 'NEAREST
DiAG i~AM iOF!!SY~T~>,iI? ;,? I
GREATER ANCHORAGE AREA BOROUGJ~
~ · DEP?a.I~MENT OF ENVIRONMENTAL QU~ff'-~?y CASE ~
' # 3500 TUDOR ROAD
~ ANCHORAGE, ALASKA 99502
Performe~ For Hankes Construction Date Performed ]uly 18, 1972
Legal Description: Lot iUD'lock Subdivision .Ram~rtNo.':'~ ..........
This Form Reports Soils~g X Percolation Test
Depth
Feet
2~
4
6~
8
10
12
Soil Characteristics
Brown Sandy Silt (ML)
Gray Silty ,Sand (SM)
Gray Gravelly Sand (SW)
with Gravel Seams and Pockets
Was Ground Water Encountered? No
If Yes, At What Depth?.l'
Reading
Date
Proposed
Depth Of
COMMENTSr
Gr~ss Time
Net Time
,
Depth to H~O Net Dro
'-~-~e -~--------' ~
Instai"latton: Seepage Pit X Drain Field
Inlet , , , Oep~:'h' T'o" Bottom Of Pit I)~ Trench
115 sa. ft. of drainage area is reoulred ocr bedroom below 4 foot depth, "'
LOCATION
WATER WELL LOG
FOSS DRILLING
1326 Ingra Street
Anchorage, klaska 99501
/--r~x~r USE OF WEE ~~
SIZE OF CASING OF ROLE~'~T. CASED TO ,,.
L~FT ~
STATIC WATER LEVE . YIELD /~ (;AL.PER.MIN. WITH,,
FEET OF DRAWDOWN.
REMARKS
PUMP TO BE SET AT~
tO,,,
tO__
tO ,
to, ,
q CEIVED
, to,
. , ,tO__
...... tO,
Tom Fink,
Mayor
un pali y Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
February 4, 1991
Ted Moore, P.E.
14530 Echo Street
Anchorage, Alaska
99516
Subject: Waiver Request for Lot 10 Rampart Subdivision
Waiver Request ~WR910006, HA9!0039, PID ~015-071-13
Dear Mro Moore:
Your request for waiver of the required 10 foot separation
between a septic system and a lot line has been approved. The
waived distance is 0 feet to the west property line (Lot 9).
This approval applies to the existing septic system lot line
separation only. Any future upgrade to the septic system will
require all separations be met or another approval from this
department.
Sincerely, ~
Robert W. Robinson
Civil Engineer
On-site Services
Concur:
Program Manager
On-site Services
ljw#7
Tom Fink,
Mayor
Department of Health and Human Services
825 "L' Street
P.O. Box I96650 Anchorage, Alaska 99519-6650
January 7, 1991
Ted Moore, P.E.
Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
Subject: Lot 10 Rampart Subdivision #1, PID #015-071-13, SW900370
Dear Mr. Moore:
An on-site Sewer and Well Permit (#SW900370) was issued on
November 11, 1990 for a replacement well and upgraded wastewater
disposal system on Lot 10 Rampart Subdivision #1. The reason
for redrilling the well was to relocate it outside of the
mandated 100 foot horizontal setback from the upgraded
wastewater system. On December 21, 1990, this office received
an as-built drawing showing the upgraded wastewater system,
however, it is shown that the existing well is "to be abandoned."
Inasmuch as the new septic tank and over 50% of the subsurface
absorption system is less than 100 feet from the existing well,
this system cannot be approved. If this residence is to be
occupied before the existing well is abandoned and redrilled
outside of the 100 foot protective radius, the new septic tank
must be "blinded off" at the discharge outlet and utilized as a
temporary holding tank. The applicant (HUD) is being advised of
this stipulation by a copy of this letter. We suggest that you
also advise HUD of this conditional use stipulation.
All copies of the as-built inspection reports are returned
herewith for your resubmittal upon completion of the permit
requirement of relocating the existing well.
Sincerely,
.... ::'J t
Robert W. Robinson
Civil Engineer
On-site Services
cc: H.U.D.
John Smith, P.E., Program Manager, On-site Services
Kids Are Our Future
CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS
TItEODORE F. MOOiRE~ ?.E. 14530 ECHO ST.
PH: (907) 345-1355 ANCHORAGE, ALASKA 99516
December 20, 1990
M.O.A. DHHS
Attn: Robbie Robinson
P.O. Box 19-6650
Anchorage, AK 99519
Dear Mr. Robinson:
By means of this letter we are formally requesting a lot line waiver allowing the soil absorption bed on
Lot 10 Rampart S/D #1 to be 0 feet from the west property line. The as-built inspection report is enclosed
depicting the final configuration of the system. No additional waiver fee should be levied, as we have
ah'eady paid a $590 waiver fee at the time of the original permit request submittal in October.
The original design called for a 5 foot separation between the soil absorption system and the west lot
line to increase the available area on the lot for drilling the new well near the southeast corner of the lot.
You agreed to our verbal request for a reduction to 2 feet to allow more flexibility. Daring the course of
construction the excavator (Tweed) elected to build the northern 20 feet of the bed essentially contiguous
with the west property line. His stated reason for doing this was to minimize the amount of the bed
overlying the old seepage pit, which had been excavated and filled with compacted sand.
Since the type of construction is a shallow bed instead of a trench, this configuration will not
significantly impact the ability to construct future on-site systems on the adjoining Lot 9, Rampart S/D #1.
There will be some aesthetic impact to the easternmost portion of Lot 9, as the cover material over the bed
slopes down onto that lot. The contractor has agreed to provide final grading in the spring after the ground
has thawed, which he will have to do to the satisfaction of the owner of Lot 9 as well as Lot 10. To the
best of our knowledge, the owner of Lot 9 is Robert Lewis, and his address is 5700 E 99th Avenue,
Anchorage, AK 99516, and his work phone # is 271 5231.
Please give me a call if you have any questions on this waiver request.
cc: HUD c/o Associated Brokers
MUNICIPALITY OF
DEPT. OF HEALTN &
ENVIRONMENTAL PROTECTION
~ [- r, ~,oaO
RECEIVED
Sincerely,
Ted Moore~ P.E.
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATUEAL RESOURES
DIvloion of Geologlcal ~ GeophysioolSurveys
Drilling Permit
LOC;AT(ON OF WELL (Ple~ee complete either lo(lb or lc.) A,D.L. NO,
~ ,, ~,~,
.... g, FINISH OF WELL~
~ glot/M~h 81~ Length',
z ..... 1 Backfilling grovel
:::LJ':.'L' ,,,' .... "'~ ' ', ',,,"
16, WA~R W~LL OONTRACTOR'S OERTIFIOATION: ~,~
15, W~le~ Temf, era~ure ~o ~ F
MUNK;~PAUT¥ OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVI ROIMMENTAL 2RO't-ECTJON
ENVIRONMENI'AL EI~IGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEBfi AN[J/OR WELL ~NSPECT~ON REPORT
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
~' Well
DISTANCE TO: / ('-" '7 '
]Manufacturer ~' ~
~Liq, capacit~n gallons I ,. ,'T~:
~~- ~ Length o{ each li~-
~f uu%~ f~.ish grade
[PHONE [ [-J I~JEW
Absorption g?'ea PERMIT NO,
No of com,~a tments
Inside length
Dwelling
Fou nd~l~ion / · ' ~ (~
Total length, of.lines
___ :~z
Material beneath tUe
Liquid depth
Depth
Crib depth
Building foundation
Driller
Sewer line
OTHER
PIPE MATERIALS ~,~
SOIL TEST RATING , 5
INSTALLER (?
PERMIT NO.
fi ~ t~r i~ql~ ............ ~]i ~l~J i~i ~i~p ~ C-i-{ ~n -g:a I I o n s -- ........
rencb ~id-qtT';7 ......... ]-bis~a~l-~;~etween li,,es ....
,'5~: inches j
Total effective absorption are~
inches
PERMIT NO.
APPROVED DATE LEGAL
TER ANCHORAGE AREA BORO"~H
...................."~-'~ : ~. : -, '" Y' HEALTH DEPARTMENT
..~'cmcb. 8,.850
~ff)~ 327 EAGLE ST. ANCHORAGE, ALASKA 99501 27%2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
N? 946
NAME
MAILING
~DDRESS /"~';Z ?
LEGAL DESCRIPTION ~/r ~ ~
SEPTIC TANK:
DISTANCE FROM WELt /~:'/~
LIQUID CAPACITY /::~:~7 GALLONS.
~ ~cz ~ -~ NUMBER OF
INSIDE LENGTH INSIDE WIDTH
LIQUID
DEPTH __
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS /' OUTSIDE DIAMETER
LINING MATERIAL / /' ':~/:' ;' ~ ' ~':~ o ~ ,~' A~ ~-:
NEAREST LOT LINE ~4~ //~
OR WIDTH
, LENGTH ,/~ , DEPTH_:~'~ /
DISTANCE FROM WELL ?~'~'/-- //~:'~//.J:~'c';Z")BUILDING FOUNDATION
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) :(~"~' /.SQ. FT.
TI L ~DI~A~I~_LD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
FOUNDATIOJ~ .... ~-~ , NEAREST LOT LINE
DISTANCE BETWEEN LINES ~'T-'R-E~I~'i~rDTH
SQ. FT. LENGTH OF EACH LINE
.DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL: TYPE/~/~-;' /-~/~'~'/.-(~;?:) DEPTH
NEAREST
LOT LINE , SEWER LINE
DISTANCE FROM
, BUILDING FOUNDATION.
SEPTIC SEEPAGE
., TANK. , SYSTEM
WATER
SAMPLE , NEAREST
OTHER
· CESSPOOL , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
GREAiER ANCHORAGE AREA BORu{JGH ' "
DEPARTMENT OF ENVIRONMENTAL QUALITY
:3500 TUDOR ROAD POUCH ~-6~0
PERMIT NO.
2]44
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
LEGAL DESCRIPTION
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
NOTE: THIS PERMIT IS NOT VALID WITHOU¥ SOIL TEST
FINAL INSPECTION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
"L ° ~ ' ' '* ' ; SEEPAGE AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SePTiC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK _. SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK ' '
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, , SEEPAGE PIT
TO RIVER, LAKE, STREAM,
DRAIN FIELD
SEEPAGE PIT
., DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION E FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM Of SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
GREATER ANCHORAGE AREA BOROUGm
DEP'~MENT OF ENVIRONMENTAL
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
Performe'd For Hankes Construction
Date Performed July 18, 1972
Legal Descrip~-~on: Lot ~ SubdiV~ion RampartNo.
This Form Reports Soils--[-6-g X---- e~o~-~ion Tes~
Depth
F____eet
Soil Characteristics
Brown Sandy Silt (ML)
Gray Silty Sand (SM)
Gray Gravelly Sand (SW)
with Gravel Seams and Pockets
Was Ground Water Encountered?
If Yes, At What Depth?
Reading Date Gross Time
Net Time
Depth to H20
Net Drol
Proposed InstaT~on.~ Seepa§e Pit x Drain Field
Depth Of Inlet Oept--fi'--~'~B~ttom Of Pit )~
COMMENTS:~~'°f----dra~areaisre uired er bedroom belo~ 4 foot~pth_=__._.
~i"'~a t--i--ona 1 Testing
4A6PrY
•
• 789d'
•, Municipality of Anchorage u`D _
On-Site Water and Wastewater Program J'`
(907) 343-7904
APR 1 8 2r'''
Certificate of On-Site Systems Approval t�
c>
015-071-13 et -?
Parcel I.D. Expiration Date:
1. GENERAL INFORMATION
Complete legal description Rampart #1 , Lot 10
Location (site address) 9950 Birch Road
Current Property owner(s) Ryan Jensen Day phone
Mailing address 9950 Birch Road, Anchorage, AK 99507
Real Estate Agent Day phone
2. TYPE OF DWELLING:
• Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well 0 Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received b . AP iA 0:4 Date: •low
aD
COSA to be released to the engineer,unless otherwise requested by : engineer.
COSA Fee $ 207 St Waiver Fee $
Date of Payment i 1R`1-' Date of Payment
Receipt Number 00 2 Receipt Number
COSA# 45CNr/3'$ Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verity 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 wastevater dispo stem is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at
the time of ins611.
In conducting an adequacy.t' ,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test,
and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil
condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone Date 4/18/2017
14
6. DSD SIGNATURE 1;� • ""
/ .. •' ••••
1
System #1 Approved for ti bedrooms Steven . �onnone •
System #2 Approved for bedrooms s CE-8149 \
Disapproved fit`, `' `�
Conditional approval for bedrooms, with the following stipulations:
ON-SITE
WATER AND •
WASTEWATER z:
PROGRAM c2
,.C+c•c:i\ill 'G
By: L►-� � Original Certificate Date: �f � Z 'i 7
The Municipality of Anchorage Development Servic s 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_f -
If more than 1 septic system is on the lot:
COSA Checklist# 1 of 1
Structure served by this system 1
Certificate of On-Site Systems Approval Checklist
Legal Description: Rampart #1 , Lot 10 Parcel ID:015-071-13
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (YIN) Y
Date completed 1/17/1991 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 78 ft. Cased to 78 ft. Casing height(above ground) 18+ in.
FROM WELL LOG AT INSPECTION
Date of test 1/17/1991 4/4/2017
Static water level 61 ft 64 ft.
Well production 12 g.p.m. 3.3+ g.p.m.
WATER SAMPLE RESULTS:
Coliform Neg colonies/100 mL Nitrate 5.84 mg/L
Arsenic ND ug/L Date of sample: 4/4/2017 Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/ Steel Date installed 9/20/16
Tank size 1'250 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping New Pumper
C. ABSORPTION FIELD DATA
Date installed 9/23/2016 Soil rating (g.p.d./ft2 or ft2/bdrm) 1 .2 System type Deep Trench
Length 35 ft. Width 2.5 ft. Gravel below pipe 8.0 ft.
Total depth 12.0 ft. Eff. absorption area 560 ft2 Monitoring tube Y Depression over field N
Date of adequacy test New Results (Pass/Fail) For gi bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
No
Any rejuvenation treatment (past 12 mo.) (Y/N &type) If yes, give date
D. LIFT STATION
Date installed N/A Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm &circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100+ On adjacent lots 100+
Absorption field on lot 100+ On adjacent lots 100+
Public sewer main 75+ Public sewer manhole/cleanout 100+
Sewer/septic service line 25+ Holding tank 100+
Animal containment areas 50+ Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+ Water main 10+
Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION �oP 4
I certify that I have determined through field inspections and rr �..
review of Municipal records that the above systems are in b*�4,944. .1—.ft-;#0i,
*.f
conformance with MOA COSA guidelines in effect on this date. d
-... w-AZ
Engineer's Printed Name Steven Pannone ":Sieveri •.•15annone• j
Date 4/18/2017 04;-.. CE-8149
0h AoFESsCCP �
A\\\t,"°
b.
COSA canary sheet_2-6-15.doc
•
• Municipality of Anchorage
•
Development Services Department -_
Building Safety DivisionSA,ETY'
On-Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
Nitrate Advisory
Certificate of On-Site Systems Approval # OSC 171138
A Certificate of On-Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block , Lot
10 of Rampart #1 subdivision. This inspection revealed a nitrate
concentration of 5.84 milligrams per liter (mg/L) was reported for the
property's well water sample. The Environmental Protection Agency (EPA)
has established a maximum contaminant level (MCL) of 10.0 mg/L for
public drinking water systems. While private wells are not subject to this
regulation, EPA standards are based on existing health information and can
therefore be used to gauge the relative quality of water from private wells.
Please see the attached "Nitrate Fact Sheet" for important information
regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On-
Site Systems Approval.
Nitrate Fact Sheet
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble
in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass
rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is
in the form of ammonia or protein first, which through contact with oxygen and certain
bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from
wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also
result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or
three years, but is associated with a potentially fatal infant disease called
methemoglobinemia. In the digestive system of young children, nitrate converts to
nitrite, which can pass through the intestinal wall into the blood stream. There it
combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The
EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The
standard has been lowered from a previous level of 45 mg/L set by the US Public Health
Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and
other common home water treatment systems such as softening or iron filtration does not
readily remove nitrate. The best method for limiting nitrate in well water is source
control. This can include avoiding overdosing of fertilizer near the well and maintaining
good separation distances between septic tank leach fields and the well. A special anion
exchange filter that contains a media with a strong affinity for negatively charged ions in
water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical"
methods using a spectrophotometer to read the final color endpoint. Specific ion
electrodes also can be used to detect the activity of nitrate in water. This laboratory uses
several different wet chemical methods approved under the public water supply
laboratory certification program. They also have test kits available, which the laboratory
uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test
kit results against a certified analysis from the lab occasionally to verify the accuracy of
the kit. We recommend using a specially prepared bottle that has been rinsed in
hydrochloric acid for collecting samples.
8454U
__ _ East 99th Avenue —
b b
co co
N89°57'30"E 120.00
- - — 50
%
Septic vents o,
Oo Septic vents
Lot 10
deck
Oo0 28.0 O I
a) 0 0 00
Septic vents
ji20011 2
Lot 9 0 18 o O Crin i 24.0 ,.,
O 1 Story Frame House Gravel O I
°Owith Basement o driveway O0
ON O i:
z z m
50 0
j8.7--
Septic vents '
12.0 :.0
shed Q o Well
= N O
— tof — 50
10' Utility Easement — — _
N89°57'00"E 120.00 I I
Lot 5 I
I 30
Schneiter Subd. 1
P`c- �F . • •:416 f r AS-BUILT NO CORNERS SET THIS DATE
• 49th ��� ./F
'�9 I/ I hereby certify that I have performed a Mortgagee's inspection
S • �,/ of the following described property LOT 10.
o 14'• •• ••'* RAMPART NO. 1 SUBDIVISION
•
Anchorage Recording Precinct,Alaska,and that the
f.•.Fred Walotka .,- f ally improvements situated thereon are within the property lines
,, sr:•„•• 3255 - S •• - and do not overlap or encroach on the property lying
,pf, • • •• cJ adjacent thereto,that no improvements on the property lying
4 • • 02 + adjacent thereto encroach on the premises in question and
I 1.OFFSSIOHM- .� that there are no roadways,transmission lines or other
r %‘‘%fir visible easements on said property except as indicated
hereon
SCALE: 1"= 30' Dated at Anchorage,Alaska
this 12th day of APRIL ,2017
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED FRED WALATKA 8.ASSOCIATES
PLAT ARE NOT SHOWN HEREON. Engineers and Surveyors
FB 117-1, PG 56 BE (907-248.1666)
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 DWE.~-.~.!NG .
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Descriptio.n (include lot, block, subdivision, section, township, range)
(b)
L ~o RAHpART
Location (address or directions)
PFopeFty owneF {),S, DE?T
EEC I~', T F2 N, R 3w'~ 5.
hNcH OR,q~E
~.(,/. ~. Telephone: (home)
Mailing Address '~,~ W, ~'J'A f~VE, ~NC~, A~ ~,_~15
%
(c) Lending Institution bi, ~, Telephone
Mailing Address
(d) Real Estate Company and Agent ~5$oClATEb
Address (o~O V~/. '~ J~
(e)
H J ELMS'F/I b
Telephone ,...,,c-~".~ - 3 3~ .~
Mail the HAA to the following address: (or check here ~, if hold for pick up.)
List contact person and day phone number below:
flOL. b FOl~ FICK UP 'B'./ bAVg W"INDSoR.. Fd(,.~
2. TYPE OF RESIDENCE
Single-Family ~ Number of bedrooms.
3. WATER SUPPLY
Individual Well ~ Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
cdnservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site ~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72-025 (Rev. 7/88) Page 1 of 2
· ~JO/~ s,Jeeu!6ue leUO!SSejOJd eql u!
SUO!S$!LUO JO SJoJJe JOb elq!suodseJ ),ou s! e6eJoqouv jo ,~l]led!3!unR eq/'penss! s! e~eo!jp, Jeo e eJojeq e~ep ez~ieue 4o
suo!~oedsu! 19npuoo ~ou op SHHQ jo see~oldLU=l 's~ueuJeJ!nbeJ e~),s pue leJepej u!e~Jeo A~sRes oh Jep~o u!
5u!puel J!eq~ pue SeLUOq JO sJeseqoJnd oh ,~sepnoo e se s!q~, seop SHHQ eq/ 'e>iSel¥ jo e~e~S eq~ u! peJe~,s!SeJ
Jeeu!l~ue leuo!sseioJd ~uepuedepu! ue Aq e^oqe S qdeJ§eJed u! ue^!6 suo!~elueseJdeJ eq~, uodn ,{lUO peseq
le^oJddv A~!Joq~n¥ q~leeH senss! (SHHQ) seo!^JeS ueuJnH pue q~leeH jo ~ueLupedeQ ebeJoqou¥ jo X~lled!o!un~ eq/
eleG
MUNICIPALITY OF ANCHORAGE (MOA) ~
r r ,~ ~jeFllll~Authority Approval (HAA)
- ~ ~CI~'~'KLIST - FEBRUARY 1984
343-4744
JAH 1
Lega Description: Z /0
, ~ ~'~i' Anchorage
~p[. Hea~th & Human Services
A. WELL DATA
Well Classification
Well Log Present (Y/N) ~
Total Depth '7~ Cased to
Static Water Level /o I ~
Casing Height Above Ground I L~
Electrical Wiring in Conduit (Y/N) Y
SEPARATION DISTANCES FROM WELL:
t
To Septic/Holding Tank on Lot J O3
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line "?/00 ~
VAT '
Date Completed I/I 7/Cll
Depth of Grouting N,A .
Pump Set At '73
Sanitary Seal on Casing (Y/N) ¥
Depression Around Wellhead (Y/N)
To Nearest Sewer Service Line on Lot
Water Sample Collected by J~LPII,.IE D~ILLIN ~/FI. ATTOJ~ ; Date
Water Sample Test Results $/~TISF/]CT~Y: 2.~ r~/.~ NIT~,4TE
Comments
If A, B, C, D.E.C. Approved (Y/N) N./~ .
Yield t?- (S,p, P1, /~,' /~j~
; On Adjoining Lots J ~
O J ' ; On Adjoining Lots I ~,O '
To Nearest Public Sewer Cleanout/Manhole '7/DC) '
Io2 '
0 Coz.~FO~M
B. SEPTIC/HOLDING TANK DATA
Date Installed 12`/~O Size 1 2.5'0 No. of Compartments
Standpipes (Y/N) ')/ Air-tight Caps (Y/N) % Foundation Cleanout (Y/N) y
Depression oVer Tank (y/N) ~ Date Last Pumped
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
;for
Temporary Holding Tank Permit (Y/N) N,~ ·
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well J O~ /
To Property Line 32 '
To Water Main/Service Line ~ '70 ~
To Stream, Pond, Lake or Major Drainage Course
To Building Foundation
To Disposal Field
'~/o0 '
7
18
Comments
72-02§(Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed 12.. / ~O
Width of Field ~'~. '
150
Square Feet of Absortion Area
Depression over Field (Y/N)
Results of Last Adequacy Test ~t ,/~.
/~DI~/v/ Type of System Design
Length of Field '75 /
Depth of Field 2.~c' - ~.O
Gravel Bed Thickness J ~
Statndpipes Present (Y/N)
Date of Last Adequacy Test N,,4, ~E~'
(.,
SEPARATION DISTANCE FROM ABSORPTION FIELD:
Iol
To Water-Supply Well I
To Building Foundation
Lot O
To Water Main/Service Line ~ ~-
To Stream, Pond, Lake, or Major Drainage Course '~/oo '
To Driveway, Parking Area, or Vehicle Storage Area
Comments I..OT
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots I~
To Cutback (if present) N
D. LIFT STATION /g, ,4,
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA~i~{~e.ffect on the date of this
inspection. ~,:,,~:', ; ..... ~,.¢~ ~
Signed ~~~ ¢ ~ '~'"" '"' "'" '~
Company
~¢~~ ~~ ~*~ Engineer's Seal
Date ~n ~ /)~/
MOA NO. ~ -~1~ '¢ .... ~..r,, ............ ~..=::~:;~ ,'.~
H
Receipt No. ~ Receipt No.
Date of Payment /~%¢ Waiver Fee: $
Amount: $ ( Date of Payment
72-026 (Rev, 7/88) Back Page 2 of 2
CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS
TItEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 ANCHORAGE, ALASKA 99516
December 20, 1990
M.O,A. DHHS
Attn: Robbie Robinson
P.O. Box 19-6650
Anchorage, AK 99519
Dear Mt-. Robinson:
By means of this letter we are formally requesting a lot line waiver allowing the soil absorption bed on
Lot 10 Rampart S/D #1 to be 0 feet t¥om the west property line. The as-built inspection report is enclosed
depicting the final configuration of the system. No additional waiver fee should be levied, as we have
already paid a $590 waiver fee at the time of the original permit request submittal in October.
The original design called for a 5 foot separation between the soil absorption system and the west lot
line to increase the available area on the lot for drilling the new well near the southeast comer of the lot.
You agreed to our verbal request for a reduction to 2 feet to allow more flexibility. During the course of
construction the excavator (Tweed) elected to build the northern 20 feet of the bed essentially contiguous
with the west property line. His stated reason for doing this was to minimize the amount of the bed
overlying the old seepage pit, which had been excavated and filled with compacted sand.
Since the type of construction is a shallow bed instead of a trench, this configuration will not
significantly impact the ability to construct future on-site systems on the adjoining Lot 9, Rampart S/D #1.
There will be some aesthetic impact to the easternmost portion of Lot 9, as the cover material over the bed
slopes down onto that lot. The contractor has agreed to provide final grading in the spring after the ground
has thawed, which he will have to do to the satisfaction of the owner of Lot 9 as well as Lot 10. To the
best of our knowledge, the owner of Lot 9 is Robert Lewis, and his address is 5700 E 99th Avenue,
Anchorage, AK 99516, and his work phone # is 271 5231.
Please give me a call if you have any questions on this waiver request.
cc: HUD c/o Associated Brokers
Sincerely,
Ted Moore, P.E.
mS&Alaska Basic Industries
ANCHORAGE SAND and GRAVEL
1813 E. First Ave. Anchorage, Alaska
DATE 01/~/91
CUSTOMER LOCATION
REDWIN[3 ALASKA YELLOW HOIJBE ~gTH
B I RCH
SUB DIV.
JOB OR ORDER NO. I[}OD LOT BLOCK
~ CHARGE ..
y
1.00 4~00~ 58~ 3/8
zo,Es ,'i~'~- ¢:-~ ,.& ..... '.'
ARRIVE JOB
LEFT JOB
~ ~o ~ ~mNUr~S STANDBY r~M~ ~?~ ;&~ 7g~gSg'g
. ~-gER ........... 1% Se~ice {hargo~Past Due Aocou.ts--A.~al Pe~tag~te
Z
MUNICIPALITY OF ANCHORAGF
iOEPARTM'. OF HEALTH AND ENVIRONME~, PROTECTION
825 L Street, Anchorage .:-'~as~a 99501
,7i'~ ' ~.~ ~,~ k,.i~,~ Date Received: Db'~ember
#1: Time ' ,~; ~ #2: Time .... ' Time
Date _/. t il 7,~' ('/~h~,! Date ~, ' ?~ ~.. - / ': ~ )':4:1 Date
~ ~"~ , /~ ,
Insp 2/ ~' / Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL~,,ER~D','-WA~TER FACILITIES
, , ,L, ~ ~ ~., ~, -. ~
Lending Institution Request: Security Pacific Mortgage Company
Mailing Address: 1011 East Tudor Road
Phone: 276-1933
2. Property Owner: Fred W. Yenney
Mailing Address: 9940 Birch Road 99502
Phone:
3~ Legal Description: Lot 10 Rampart Subdivision
4: Single Family Residence: (x)
Multiple Family Residence: ( )
Number of Bedrooms: Four
Number of Bedrooms:
Well System:
Permit'. %
Construction
Individual Well (x) Community/Public System ( )
Depth of Well Well Log on File ( )
Bacterial Analysis
Sewage Disposal System: On-site System (x) Public Utility (
Permit ~ Installed i('~ [,~__ Installer
Septic Tank Size '\,f, ~( i ',, 'f~(-, Manufacturer ~2\~\~-,~,,~ ~,~ ~__~\ ?,L-it,, I"'
Absorption Area lA?{;-[~,l," '~, ! Soils Rate Material_
7. Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
Page
~ ' Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description:
Lot 10 Rampart Subdivision
~ n ~i~'
Affadavit Attached: ~2-) ~ Let%er Attached: ( )
Appr ved- ~ ¥'' ~ ~ ' -'~' '~ ''~' - '' '
DisapprOved: Date:
Department Worksheet:
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
Mailing Address: ~ :,: ) 0~ ,& ) t~:-., : Day Phone:
4.Name of Lending Institution: ~"~" .......
Mailing Address:
Legal Descriptiom
Location:
CONV.
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
Public Utility.
If Individual, number of dwellings presently served
Individual /
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)
January
9940 }~}irch Road
99502
~ubje~,:% Le'k i{} Rampa;~.'t Subdivisioll
7%to e:iist±ng se?~er ~ys-~e}~: failed to pass ~the adc~qu~cy
and water facilities~ the followir~.g will need to be
acc el i shed
;:%{iI a',."~, addi%ienal '[uwenty-<five(2.~-i) fee'h ef leach
line onto the existing seepage pit.,. There shoelN:l
be a ten(10} feet solid pi?e separation betwee~k
Lhe ne~, leech field ar~d %he existing seepege pit.
SSix{6} fee'S3 of gravel will he required belo{~' the
Add additional 500 gallon septic 'tank ho the
cover the above cost~ ?he u}.~grade l~mlst he ce~?~pleted
there are any further q'~;~.~s{~iens:, ple~-u,~e contact %his
650 :;).;;t IT'th t~.vezxu, c: 99501,
/
GREA~.R ANCHOR&GE AREA BOROUGH
Department of Environmental Quality
3'500 Tudor Road, Ancho~age~ Alaska 99507 279.~86~6
Date ~e~eived
Time of Inspection
A~')p'~ov ~' Requer~tod By~
Da-ts of Inspection
REQUEST FOR APPROVAL OF
iNI]IVIDUAL SEWER & WATER FACILITIES
Type ~f F;>cS. tiIw to be Inspected:
Phono~
D, Bactsria] Armlysis
oep c.,,c Tank:
Seepage P:i~ ].~
})..,,2o.,a ~ Fie~d:
We:Ii Ye~ o~4.,-czc Tank , Absorption Area Sewer Lines
~ Nearest Lot l,ine~[~
................ , .
A",mroi;fo~., Area t0 Nearest Lot Line
Ap~:>ro~a] Valid for One Year From Da're SSgn;~d
area Borough~ Department of Environmental Quality
DIAGP, AM OF SYSTEM
,. ~,~, /;he ~,nfem?,a'hi, on con2ained in this request; for approval ~o be a 2rt~e
....... ~ e~,'~,~ ~ of the subject se~mr and wa~e~ fac'J.t~.~ios located a~
Signed Date
GREAT',~R ANCHORAGE AR~:n BOROUGH
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
l. Type of Inspection: CMP, O VA
2. Property Owner: Hartke, D.A.
~qailing Address: Box 81 St. Rte A (99507)m
FHA CONV X
Phone L333.-4864 / ,.
3. Name of Buyer: Yenney, Fred Bf., :Tr. & Eileen G.
~ailing Address: 8906 Lake Otis iDkwy., 99507D_a:.y Phone
4. Name of Lending Insti tuti on: The First National Ba"nk of Anch-South Center Br.
Hailing Address: Box4-2090, Anch. 99509 Phone 272-7559
5. Name of Realtor or Agent: Totem Realty
Mailing Address: Phone 272-6547
6. Legal Description: l~ot 10, SLampart#1
Locati on: Birch Road, Anchorage
Si'ngle Family
7. Type of Facility to be inspected:
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 S~stem: Public Utility
If Individual, date of installation
No. Bdrms. 4
X
1
Individual (on-site) x