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Home My WebLink AboutELMORE #1 BLK 6 LT 7I mor'e lock 6 7 018-172 -13 O Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 0sP101210 PID Number: 018-172-13 Name: Markand Madonna Chaika Wastewater System: [] New [] Upgrade Address: 4940 Uatrona Avenue Anchorage, AK 99516 ABSORPTION FIELD Phone: Number of Bedrooms: TWO [] Deep Trench [] Shallow Trench [] Bed [~ Mound [] Other: Soil Rating: Total Depth from odgina[ grade: LEGAL DESCRIPTION GPD~Ft~ Block: 6 Lot: 7 Subdivision: , Depth to pipe bottom from odginal grade: Gravel depth beneath pipe: Elmore No. I Ft. Ft. Township: Range: Section: I Fill added above original grade:Gravel Length: Ft. Ft. Well: [] New [] Upgrade Oravelwidth: Numberoflines: Distance between lines: Ft. Ft. Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Matenah Existing Ft. Ft. Ft~ Driller: Date Drilled: Static Water Level: Installer: Date installed: Ft. Pomranning Excavation 9/30-10/1/2010 Yield: GPM Pump Set at: Ft. Casing Height Above Ground:Ft. TANK SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other: T~ To Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity: From~ Tank Field Station Tank Sewer Line Anchorage Tank 1,250 Gal. Material: Number of Compar[ments: Well >100' >100' >1 Off N/A >25' Steel Two (2) Cur[ainSUrface WaterBrain None>100' Noted>100' >100' N/A ~ size: Manufacturer:LIFT STATION Lot Line >5' >10' >5' N/A 250 Gal. Orenco/Anchorage TAnk "Pump on" level at: "Pump off" level at: in. High water alarm at; Foundation >5' > 10' >5' N/A 40 in. 40 45 in. Pump Make & Model Electrical Inspections per[ormed by: eSI P2005-11 Muni. of Anchorage Remarks: Existing Septic Tanks and Lift Station Decommissioned in BENCH MARK Location and Description: Accordance with Municipal Code. STEP Tank Only and Two Southwest Corner of Front Deck. Assumed Elevation: Monitor Tubes Placed Under This Permit. 100.0 Ft. Inspections performed by: A. Harala Dates: 1st 9/30/2010 .~- 2® 9/30/2010 Development Services Department Approval Conditional Approval Date: CE,.O8 Reviewed and approved by: ( /.,,~.~:'5:?..dq''' ~,~ , / Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT Page 2 of 3 Permit Number: OSP101210 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 PID No.: 018-172-13 NATRONA AVE · ... ' :' N 89'46'30"E 133.77' -.....-'::,. -~,~-~ Lo~ 7 Well . - .* ':~ .'.. · ® """ 23,926 s.f. :.'m. .' ' o ..... ... / ~ r- Lot 6 o o = A B ~ S1 18.9' 30,3' Two Bedroom Ger~ge Home ~ MH 22.2' 37.2'~ ~ M~ 58.3' ~.2' ~ M2 66.9': 32.2' ~ s~ FENCE~~ M2 Existing Tonk ~ Li Decommissioned per Municipol / r ........... Requirements.~ Out Building Existing 29' Long x 2~' Wide Absorption Bed. ~ 10' UUlity Eosement S 89'~6'~0"W 15~.9~' Lot 9 Lot 8 MT - Monitor Tube PLAN AS-BUILT ~"'~":'~"~~' TH Test Hole CO - C',e~n Out _~_ _......,......... ~_ Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On-Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP101210 Page 3 of 3 PID No. 018-172-13 ~1,250 Gallon STEP Tank 1.25" PVC ~--97.9 NOTE: STEP Tank and Service Line Placed Under This Permit. Two Monitor Tubes PLaced in Existing Absorption Bed. Existing Septic Tank and Lift Station Decommissioned in Accordance with Municipal Code. PROF LE AS-BU LT NO SCALE On-Site Wastewater Disposal System Permit OSP101210 01817213000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 EImore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: Tax Code Number: Work Type: Upgrade Permit Effective Dates: September 27, 2010 to Design Engineer: ANDERSON ENGINEERING Subdivision: ELMORE #1 September 27, 2011 Site Legal Address: ELMORE #1 BLK 6 LT 7 G:3036 Owner/Address: CHAIKA MARK A & MADONNA 4940 NATRONA AVENUE ANCHORAGE AK 995163654 Site Mailing Address: 4940 NATRONA AVE, Anchorage Lot Size in Sq Ft: 23906 Total Bedrooms: 2 This permit is for the construction of: N Disposal Field Y SepticTank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: ~ ~ Date: Issued By: ...... ¢.~~~¢.4/~ Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www. muni.org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-172-13 Property owner(s). Mark and Madonna Chaikia Mailing address 4940 Natrona Avenue Anchorage, AK Site address 4940 Natrona Avenue Anchorage, AK Legal description (Sub'd., Block & Lot) Lot 7, Block 6, Elmore Subdivision No. 1 Legal description (Township, Range & Section) Lot Size 23,906 Sq. Ft. Number of Bedrooms Two (2) Day phone Zip Code 99516 Zip Code 99516 THIS APPLICATION IS FOR ([~ all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: ANDERSON ENGINEERING P~O, BOX 240773 ANCHORAGE, AK 99524 522~7773 677,7766 (F~) September 26, 2010 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Subject: Lot 7, Block 6, Elmore Subdivision No. 1 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: We recently inspected the existing absorption bed on the subject lot and found it completely saturated. We attempted an adequacy test, but water immediately began to flow back to the lift station. We then dug into the bed and found clean water with no trace of septic effluent or biological matting. The bed was apparently saturated with ground water. We then inspected the lift station and noted groundwater entering the lift station through several leaks. The lift station was constructed with a 48" corrugated metal pipe placed vertically. It has been in place since 1984. The bottom of the lift station is either gone or completely rusted out. The power to the lift station was turned off and the bed remained dormant for nearly two weeks. The water level began to drop immediately and is now not present in the bed. We then conducted an adequacy test by placing 500 gallons of water in the bed. It dissipated over night indicating the bed is capable of absorbing more than 150 gallons of water per day per bedroom and is still functioning as originally designed. The lift station and septic tank must be replaced however in order to certify the septic system for continued use. The attached Site Plan and backup documentation identify the location and configuration of the existing and proposed septic tank and STEP tank. The existing 1,000 Gallon Septic Tank and lift station will be decommissioned in accordance with Municipal Code. Also identified on the plans are the locations of the existing well on this and adjacent lots and adjacent septic systems. No conflicts exist between the proposed septic system and the wells on this or adjacent lots. Protective radii are shown to the adjacent wells. Drainage arrows are shown indicating the current drainage patterns. The drainage patterns will be maintained after construction. An existing ditch was found on the south side of the absorption bed. This ditch is discussed in the Municipal Archives for this septic system. It was supposedly backfilled Lot 7, Block 6, Elmore Subdivision No. 1 September 26, 2010 Page Two in 1993 after a COSA was completed on the property. It will be backfilled as part of the upgrade to the septic system. The location of the ditch is shown on the Site Plan. The ground surface on the lot slopes slightly to the west in the area of the new STEP tank. The tank will be placed parallel to the contours of the ground as much as possible and in conformance with design criteria. A minimum of 100' will be maintained between all components of the septic system and the proposed well and from any surface water in the area. If the system is constructed in accordance with our design the following statements apply: .o The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments I ~ Tr~c~ 8B i ' , ~ ~--r~ - Acres I I / xx I I ~ ' ~ 1 RIVERTON AVENUE xx / ~ ............................. ~, AREA NAP ~- % ~/~. = 100' ELMORE LOT SUBDIVISION NO. 7, BLOCK 6 23,906 S.F. NATRONA AVENUE E~wist, ing ell Gravel Driveway SCOPE OF WORK Replace Existing Septic Tank and Lift Station with New 1,250 Gallon STEP Tank. Verify Integrity of Existing Pipe in Absorption Bed. Place 2 New Monitor Tubes. F~II and Grade Ditch at the Back of Absorption Bed. Decomission Existing Tank FCO' and Lift Station per · 2-5~ Municipal Requirements. j- ...... ~ ~istlng Septic C Tank g · 2-5~ Existing Out Building Stotion 10' Utility Easement / / / t / Two Bedroom / Garage Home / / / / ¢ I, .... /L IL-MT ~ Existing 29' Long x 24' ~.~_Wide Absorption Bed. SITE PLAN SCALE 1' = 30' LEGEND biT - Monitor Tube FCO- Foundation Clean Out TH - Test Hole CO - Clean Out MH -- Man Hole ' /'~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage. Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MA,',.GADDR S ^ :i;O 33o / LEGAL DESCRIPTION LOCATION ~ &~R ~ ~' ~ /OO~ Material ~m N°'°fc°mpa"ments ~ 0 IF HOME.DE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ Well Foundation ~ ND.DISTANCE TO:of ,in~ en th/~''of eac ,ne Nearer lot ,,ne/~, ~ PE~M,T NO.~ ~ Length Width ~pth PERMIT m ~ DISTANCE TO: Well Building foundatio~ Nearest lot line ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(sD OTHER PIPE MATERIALS SOIL TEST RATING Y ~ /~ i APPROVED DATE LEGAL "' "' '-' 1~ PAL I T'~' OF A~'.ICHORRGE DEPARTMENT OF HEALTH Al~iD ENVIROI"IHENTAL PROTECTIOI'"I 825 L STREET, ANCHORAGE, AK 99501 264-4720 PERMIT HO:' 840¢97 UPGRRDE DRTE ISSUED: 02/29784 ADDRESS,:. GREGORY C COWLEY SRA BOX 220X. AI'"ICHORRGE, RK 99507 LEGAL DESCRIP: LOT SIZE: SUBDIVISIOH: ELMORE #i LOT: SECTIQN: 54 TOHHSHIP: 12N RRNGE: 22906 (SQ. FT. OR ACRES> BLOCK I CERTIFY THAT: ' i Afl FAMILIAR WITH THE REQUIREr,lENTS FOR ON-SITE' SEHERS AND I.,JELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (HOA> RI,-,ID THE STATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL 1'108 CODES AND REGULRTIOi'.`IS, RHD II',l COHPLIRNCE WITH THE DESIGI,-`I CRITERIA OF THIS PERMIT. I HILL Al>HERE TO ALL MOA AND STATE OF RLAS'I,R REQUIREHEHTS FOR T~E SET BACK DISTAI,,ICES FROM ANY EXISTING WELL, WRSTEWRTER DISPOSRL SYSTEM OR PUBLIC SE'I,IERRGE SYSTEM OH THIS OR ANY ADJACENT OR NEARBY LOT. LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING'CODES, <i> AN ELECTRICAL PERMIT AND INSPECTION HUST BE OBTAINED¢ (2> RS-BUILTS NOT BE RPF'ROVED WITHOUT RN ELECTRICAL INSPECTIOI',I REPORT.~ RI,-,ID (:~> THE IF R THEN WILL ELECTRICAL WORK f~UST BE DOWE BY A LICENSED ELECTRICIAN. ..... GREGORY C ~ONLE~' -- SIGHED APPLICRHT ISSUED MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L~ Street, Anehorege, Aleska 99501 2644720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED rom Gr,_~ C~,~ii,1 DATE PERFORMED: 2 3 4 5- 6- 7- 8- 9- 10- 1! 13- 14- 15- 16- 17 18 19 2O COMMENTS SLOPE SITE PLAN WAS GROUND WATER _~, iS' ENCOUNTERED? ~ pO E IF YES, AT WHAT ! , DEPTH? ~.. ~,.. Reading Date . Gross Net Depth to Net Time Time Water Drop 3 PERCOLATION RATE ~" "~ (minutes/inch) TEST RUN BETWEEN '~' FT AND , /~o~*'/~ -~r~,.. ~' PERFORMED BY: ~'~ ?,.,~ 72-008 (6/79) CERTIFIED BY: DATE:. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street. Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR:.~ LEGAL DESCRIPTION: 3- 4- 5- 6- 7- 8 9 DATE PERFORMED: ! SLOPE 10 11 12 13 14 15 16 17 18 19- 20- 72-008 (6/79) WAS GROUND WATER .~.~ Si. ENCOUNTERED? '/ O DEPTH? q:~-i -- ,fo - PERCOLATION RATE --~ ~'~ (minutes/inch) TEST RUN BETWEEN ~'~' FT AND ~' FT CERTIFIED BY: PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTE~-~.~TION SLOPE SITE PLAN 13 '~o ,4'- 1~,, WAS GROUND WATER ENCOUNTERED? ' L'~ e*'~ pO E IF YES, AT WHAT DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop ..,/ TEST RUN BETWEEN COMMENTS ~/ ~,'/ c~?~,~d I~/~/~. / PERFORMED BY: _~-r'¢ ~ *"~ ~r~ ~Zy CERTIFIED BY: FT AND FT DATE: 72-008 (6/79) ., Ntunlclpanty o¥ Anchorage POUCH 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONYKNOWLE$. MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION May 24, 1984 Gregory C. Conley Star Route A Box 330-X Anchorage, Alaska 99507 Subject: Lot 7 Block 6 Elmore Subdivision Per Lee Reid's letter to this office, dated May 21, 1984, concerning your proposed mound system, permit #840097 is hereby re-instated. You may proceed with the mound system design originally submitted to this Department upon further field verification by A.E.C.S. of a drop in ground water level and continuity of soils, as originally submitted. If there are any further questions, please call this office at 264-4720. Sincerely, Keith E. Bandt Environmental Engineering Manager KEB/ljw CC: Dr. Leroy Reid A.E.C.S., Inc. 1200 West 33 Avenue, Suite B Anchorage, Alaska 99503 ALASKA I IiUIROrlm RTAL COI]TROL $1 RUICI $, [~n~jin¢¢rinq ~ ~nuironmenlal Sluclies ,!' l~lay 21~ 1984~ Hr. Robbie Robinson Department of Health and Environmental Protection 825 L Street Anchorages Alaska 99503 Dear Robble, Attached is a copy of the letter that I sent to Hr. Connelly on H~y 10, 1984 and a copy of a field drawing showing the water levels that measured on his Lot on Hay 14, ~hich was two days after they had removed the berm that was blocklng drainage from his lot. The water level in the ditch to the back of the lot has started to drop in one of the test holes, it went from 2.6 feet to 4.0. Hr. Connally tells me that he can now flush his sewer system and moderately use water. ! measured the level of water in the crib and it is approxlmately 2.6 feet below ground level, which is very slmilar to a test hole that is located not to far from the crib. The day before I arrived on the sites the Department of Publlc Works had come out and inspected the drainage on Buffalo.' According to Hr. Connally, they agreed that part of the problem with his lots was that the fact that the drainage was blocked in the ditch at Buffalo and water ~as percolating down into the ground. Publlc Works is going to see if they can get a grader out there and correct the drainage problem to the East of Buf£a.lo~ as well as developlng a ditch along the West of Buffalo, so that the water coming off of Buffalo Drive doesn't drain down into Hr. Connelly'a lot. There is one area that almost dlrectly across from a proposed site, where the ditch is blocked. There is standing water in the ditch and across from that area the water level in the drainage ditch had only dropped approxlmately half a foot, whereas in other areas it has dropped over 1.4 feet. ! still be lleve we ought to stick to our orlglnal plan and keep the amount of sand that we had designed in the ayste~s just in case Publlc Works isn*t successful in blocking that water flow from the ditch. suspect they will be successful, but ! would rather stick with the original design that we had submitted to I~EP. We will continue to monitor the water level on this lot and record the drop. I recommend that the permit be re-issued and allow Hr. Connelly to go ahead and put the system in. If you have any questions, please let me k~ow. r/cai Sincerely, 1200 UJcsl 33rJ Auenue. $ui1¢ [~ · Anchor~(l¢, Alaska 99503 * (907) 276-1361 Munzclpazlty o¥ Anchorage POL~,.,H 6-650 ANCHORAGE. ALASKA 99502-0650 (907) 264-4111 TONY I(NOWLES. MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION May 9, 1984 Mr. ~regory C. Conley / SRA Box 33-X Anchorage, Alaska 99507 RE= .Lot 7, Block 6, Elmore #1 Subdivision/Disposal System Dear Mr. Conley= This is in regards to the mound system design for your property, prepared and submitted by Dr. Leroy Reid, Alaska Environmental Control Services, which this Department has disapproved. We have determined that a mound system is not feasible for your situation and that a holding tank must replace the existing failed system, which has been made inoperative due to encroaching' ground water. This Department normally requires that a minimum depth of 20-24 inches of natural, upsaturated, and accepting soil be present beneath the mound system. If material beneath the mound has instead been excavated and replaced with a clean sand fill materia!, accepting soil must still be present immediately adjacent to this excavated area to allow for lateral distribution of effluent if the downward percolation rate proves to be less than adequate. The soil conditions at your proposed mound site will not allow lateral distribution of the effluent above the water table. There has not been any evidence to show that the subsurface hydraulic condition will, in fact, accept and transport this wastewater load away from the mound system without creating a serious and chronic "mounded" condition, that would eventually cause this effluent to daylight and discharge across the ground surface. Authority for our decisions by your request, is provided by section 15.65.040(A), Chapter 15.65, Wastewater Disposal Requla- tions, Municipality of Anchorage: "No person shall construct or install any septic tank, treatment plant, drainfield or seepage pit within the Municipality. that does not comply with the requirements Mr. Gregory C. May 9, 1984 Page 2 Conley of this chapter and the specifications of the department and the Alaska Department of Environmental Conservation. No person shall construct, sell or install any septic tank, seepage pit or drainfield without first obtaining a permit from the department." (15.65.040[A]) You are presently in violation of Section 15.65.020(A), Chapter 15.65 of the same regulations, by allowing an improperly main- tained sewerage system to exist in lieu of upgrading or replacing the system with a disposal system acceptable to this Department: "General prohibition. No person shall dispose of any human excreta, sewage and other wastes except in a properly designed, constructed and maintained sanitary sewerage system, septic tank or by other methods ap- proved by the Department of Health and Environmental Protection, and in accordance with the terms of this chapter and conditions of a written permit issued by the department." (15.65.020[A]) Your system is presently inoperative. It is doubtful that your system would meet the four-foot separation between the base of the system and the ground water table even when it again begins to function, if this point is reached. In earlier correspondence this Department indicated that your previously revoked permit for the mound design may be converted to a holding tank permit. Apparently this was not a clear enough indication of the course of action that you must take. This Department is hereby notifying you that you have 30 days in which to obtain a holding tank permit and to install said tank, or enforcement action will be initiated. The holding tank size must be at least 2,000 gallons and be equipped with a high-water alarm system (electric). A pumping/maintenance contract will also be required by this Department for our files. Please call me at 264-4720 if you have any questions. KB/eJ/D16 Sincerely, Environmental Engineering Manager cc: Mayor Knowl~s ,. .ALASKA ENVIRONMENTAL CONTROL SERVICE~C-'NC. · 1200 West 33rd Avenue' ...ite B '* ANCHORAGE. ALASKA 99503 CA,.CU,.A?tO H','."~ '~ ' '"*/ o^*r~ Y- [O ' ~'~ · ' Phone 276-1361 CHECKED HY DATE ALASKA ENVIRONMENTAL · . ~NTROL SERVICr~INC. ]2~ West 33rd Avenu[ Suite. B ' ' ~ 276-1~1 CHECKEDBY DATE ALASKA ENVIRONMENTAL CONTROL SERVICE'"~NC. 1200 West 33rd Avenue' ouite B ANCHORAGE, ALASKA 99503 Phone 276-1361 · ALASKA ENVIRONMENTAL CONTROL SERVICF~'qNC. 1200 West 33rd Avenue Suite B ANCHORAGE. ALASKA 99503 Phone 276-1361 ~HEE~O ¢ ~'~ CHECKED BY DATE ALASKA UIROFIm I TAL COI TROL S I uIC S, {~.qincerinq ~ ~nuironmenlol Stu~its April 3, 1984 Kelth Bandt Department of Health and Envlronmental Protection 825 L Street Anchorage, Alaska 99501 Dear Keith, Recently you issued a permit to upgrade a bed located on Lot ?, Block~l~, Elmore tl Subdivision and then the following day you revoked the permit, because the ground water table was not two feet as shown on the soils log. On Saturday, Hatch 31, 1984 I visited the site and shot site levels and checked the water table and the surrounding terrain. The water level in the test hole was at -2 feet on Saturday. The ground slopes upward to the south and at 47 feet away from the test hole it had raised 1.5 feet over the level of the test hole. The owner of the property had dug a hole in that part. I checked the water level in the ditch and found that the water level at that point and time was 2.6 feet below the ground surface. I believe that a sewer system can go in this lot and allow the homeowner to install a system that would meet the municlpal codes. The only problem that I see is to the west, the surrounding -the lot owner in that area has filled his lot and has created somewhat of dam, ~alch makes the house on Lot 7, somewhat lower than the lot to the west. I recommended to the owner that he contact the owner of the lot next door and asked that the drainage not be interrupted from his because of the backfill. This may be the reason that the ground water table is now higher on that LOt 7, than ~hat the homeowner had noted in the past, Also on Sheet 2 of 5, there shows an existing berm. That berm is actually part of the old hillside that remains after the road (Buffalo) was cut there. Instead of a berm, it is a natural area that is higher than the surrounding property where the house is. I came to this concluslon, based on the number of large trees in the area that could not have existed if this were bermed soil. I recommend that the permit be reissued to Creg Connelly, so that he may build an elevated mound system, that would be somewhat slightly to the south and east of where it's shown on Sheet 2 of 5, See attached sheet. I believe that because of lack of configuration and the closeness of the house that the system must be a more rectangular system than the standard length being twice the width. 1200 WeS! 33r~J /~uenue. Suite B · ~nc~o~aq¢. /~lash 99503 · (907) 561-5040 I also llke to relnterate that part of the problem in that area, is there is not good drainage. There is drainage that comes in ou the northslde at N£trona and Buffalo. The culvert under the road has been blacked and the water is running south along the eastslde of Buf£alo, the quantity of water at the north end of the trench is definltely less than it is at the south end of the trench, ~here it goes to the next culvert across Buffalo. ! suspect that a lot of the water in the area of Hr. Coonelly's house is coming from infiltration from the east side of Buffalo. I've asked Mr. Connelly to identify the south east property, so that ~hen the construction of the mount can keep the proper distance from the lot 1loss. lot corner of the system starts he If you have any questions, please let me know. Sincerely, LCRjr/caj [~, ' 4S 472 SIGNED SEND PARTS ! AND 3 W~TH CAll'ON INTACT. DETACH AND FILE FOR FOLLOW-UP ALASKA FFUIROlllll I1TAL COllTROL S RoIC S. IllC. ~ncjin¢~in~ ~, ~nuironm~n1~l SPECIFICATIONS FOR ELEVATED BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM- LOT 7, BLOCK 1, ELMORE ~1 SUBDIVISION 1.0 GENERAL l.l THE DRA~INGS, ~ItEETS I THRU 6, SHALL BE A PART OF THIS SPECIFICATION. 1,2 ALL MATERIALS AND ~ORKMANSHIP $EALL MEET THE REQUIREMENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERMIT AND REGULATIONS, 2.0 THE.LIFT STATION 2.1 THE STOCK HATEKIAL FOR THE LIFT STATION SHALL BE EITHE~ CALVANIZED STEEL (ASTH A-4444-76), OR ALUHINUH CULVERT, CAPABLE OF B~IAL TO 10 FT. 2.2 THE36" PIPE FOR THE LIFT STATION SHALL HAVE A ~ELDED WATER TIGHT BOTTOM OP THE SAHE THICKNESS AND COMPOSITION AS THE CULVERT.. 2.3 ALL PENETRATIONS OF THE LIFT STATION SHALL BE I~ELDED AND WATER TIGHT. ALL brELDS SHALL BE CLEANED OF SLAG. WELDS ON C&LVANIZED STEEL WILL BE SPRAYED ~ITH ZINC RICH PAINT OR COATED ~ITH BITUMASTIC. 2.4 THE TOP CAP SHALL BE RAIN TIGHT AND SECURELY FASTENED WITH SCREWS. A T~D INCH LAYER OF POLYURETHANE FOAH SHALL BE GLUED TO THE INSIDE OF THE TOP CAP. 2.5 ALL ELECTriCAL FITTINGS AND CONNECTIONS'IN THE LIFT STATION SHALL MEET THE REQUIREMENTS FOR A WATER TIGHT SERVICE. 2,6 THERE SHALL BE A HIGH LEVEL ALARH, PEABODY BARNES 6147 OR EQUAL SET AT THE LEVEL OF THE SOLID PIPE FROM THE SEPTIC TANK. THE BUZZER SHALL BE LOCATED NEAR THE ELECTRICAL CONTROL PANEL OR IN A LOCATION DESIGNATED BY THE HOMEOWNER. 2.7 .THE SUMP PUMP SHALL BE CAPABLE OF DELIVERING 10 GPM AT A HEAD OF 20 FEET. 2.8 PROVIDE A CALDER COUPLING AT THE CONNECTION OF THE 4"2 SOLID PVC INFLUENT PIPE AND 4"2 STEEL NIPPLE. 2.9 THE PUMP SHALL BE CONTROLLED BY A DIFFERENTIAL MEHCURY FLOAT SWITCH, ADJUSTED TO ALLOW A T~D FOOT SPAN BETWEEN ~ON~ AND ~OFF~, AS SHOWN IN THE DRA~ING. ALL RELAYS AND ELECTRICAL CONTACTS SHOULD BE LOCATED OUTSIDE THE CHAMBER TO PROTECT THEM FROM COROSION, PREFERRABLY IN A DRY LOCATION WITHIN THE HOME. 2.10 COAT THE INTERIOR OF THE CHAHBER ~ITH BITUMASTIC PAINT OR TAR TO APPROXIMATELY 3.5 FEET ABOVE THE BOTTOH. 2.11HOA BUILDING CODES: ~EN LIFT STATIONS AR~ INSTALLED WITHIN THE MUNICIPALITY, AN ELECTRICAL PEEMIT AND INSPECTION ARE REQUIRED. IN AREAS NOT COVERED BY HOA BUILDING CODES, THE SYSTEM SHALL BE INSPECTED BY A LICENSED ELECTRICIAN TO INSURE THAT THE ELECTHICAL INSTALLATION IS IN ACCORDANCE ~ITH APPLICABLE CODES AND REGULATIONS. I~0 lJJ::t ~::l Au,nu~. ~iI¢ B ,Anchora%~. Al::[a ~503o(907] ~6~.~0~0 ALASKA ENVIRONMENTAL CONTROL SERVICEC-4NC. 1200 West 33rd Avenue' .,uite B ANCHORAGE. ALASKA 99503 Phone 276-1361 CALCULATED BY ~"'~j~ DATE CHECKED BY DATE ...........~ ,~ , ~ ,. --~. ......., ~. .......................................... . ~ , ,~ '* ....... ~"', 'F--' ........................ ~,'¢ ,,,. ......... :_.....! ........ .~ ........ 2.... ~. ]---L.--l./'l/'~/ccl .-..i~ve! ..,'$. ~../:!.6e/o"; 8,o~, . k,'¢l ; "~-" ' ' i ~ ' ' ' ' : · ~ ..... ; -: .......................... ; ......................... m-'f ....... r'-'-t--- --/I ' ~ i I , ; , I ~ ' : : , , ,_ [ .~ ~ :i i, ' ' ' ~ '- ,' ' ' ....... ~ : ......... o~ ......... ~ .... ~) .;. -~.-t,&:.._./_ //~ ...: ..~.J . ~ .~ ... ~.~.. _~ /t)_._. ~..~ .': _~F .... ._ ~.__Z.~ [__.._~.. _:~__:..t,~ ...... .y, ._.~,~,~..:..~,~ . . ,. . . . I t ! i I I i i , i -, i I [ i . , .... d,~.*J _~,,1~ L..:¢ ..~ ~. ~ _ ~ .~ ~ ~ ..... ~,~ ~.~ ~_~ ~ ...... ~ ~__ ' I- t~' ; I "; - ' ........... ~ ...... I ........ ' , , --~- '~' ; , I · ~ , , · . ~ _ ~ ~ ........ . . ..... ~ ................................... .~ ......... ~ L.~-~A ~,,.t~:__~,__~o~t~; ..... w~,,&._l,~_t~,,.,d.._: .... ~ .._~.[ ....... ~ ...... ~ _ ~__~,..~__t,~_,a_.J.__t~. [/.._~:_..~.,~_._j_mc ..._~,t.¢~, _L..d*~.~ _. _ · ' ' · ' ' [ g , ~ ' i i , ~ , ~ , ~ ,~ ......... , I' .... . ~ ..... · ' ~ ..........~ , ;" ' i ........ ; . ! ' I ' :.' ' ' ; ~ ' ~ ~ : : ~ · - ~: '~ i ~ :' ;-"~ ...... ,, ,, , ~ · . ] ~ , . , : ....... , ................................................ ..... =,._,_._. ,_._.,__,..._., Ill i , [ [ ~ , I ~ , ~ : ALASKA ENVIRONMENTAL CONTROL SERVICES~klNC. 1200 West 33rd Avenc~ uiteB ANCHORAGE. ALASKA PhoM 276-1361 J "1 l .__[ ALASKA ENVIRONMENTAL CONTROL SERVICF'~INC. 1200 West 33rd Avenu~ Suite B ANCHORAGE. ALASKA 99503 Phone 276-1361 i ALASKA ENVIRONMENTAL CONTROL SERVICE"~tNC. 1200 West 33rd Avenue ouite B ANCHORAGE. ALASKA 99503 Phoml 276-1361 · ' ' ' ' 1200.West 33rd Avenue S~le B Iqmne ~7&-1361 ~ - HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279.251 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELt LIQUID CAPACITY MAILING ~,~, /~.l~t,~, ,~,~1'/'" ..5~". ADDRESS ~"~ PHONE LEGAL DESCRIPTION ~ 7,,, ,/.,e,~ ~, ~::4.~,It,~)a,s~ ..~/ NUMBER OF / MATERIAL ~--~'H ~ ~ COMPARTMENTS GALLONS. INSlD~ LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: NUMBER OF PITS. LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: ,OUTSIDE DIAMETER OR WIDTH~L~.__, LENGTH I ~. , DEPTH · DISTANCE FROM WELl /~ J BUILDING FOUNDATION , TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~) SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DIS , FOUNDATION. , NEAREST LOT LINE . OF LINES NUMBER OF LINES D~ ~ TRENCH WIDTH__IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPIH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE ~f'~/';/J'~/ DEPTH ,,._.-~JT, JI- DISTANCE FROM ' ..-..~, WATER ,BUILDING FOUNDATION. ~ ~ SAMPLE NEAREST NEAREST SEPTIC j~ ~ SEEPAGE ~/, OTHER LOI LINE , SEWER LINE ~ TANK , SYSTEM ~ CESSPOOl ~ , SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE GREATEL ANCHORAGE AREA G'~ROUGH IIEALTii DEPARTMENT 327 Ea~le St. Anchorage, Alaska 99501 ,,~ ] 279-2511 ' SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT P~--~5 ~ MAILING ADDRESS ~ 1~/~ /~(,..~-.-/-"r' PHONE NO. RESIDENCE ADDRESS ,.~,,~,.~F- LOCATION OF INSTALLATION LEGAL DESCRIPTION · ~'/-)')'10/?-~v,~~ ~z~} APPLICATION TO INSTALL: SEPTIC TANK J~ SEEPAGE PIT , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH i~PERCOLATI,ON TEST RESULTS TO BE INSTALLE0 RY ,d/// ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLE" OUT BY HEALTH DEPARTMENT THIS IS TO SERVE ASa,C~frl,~.~ "---'7~85..~ , PERMIT T0 INSTALL A AS DESCRIBED BELOW. SIZE OF UNITTO "E SERVED .$E~IC TANK SIZE /0O0~,TYPE SEEPAGE DIAGRA DISTANCES: ~w~' s66?l~t' Pfr {oo~ Health Authority 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. Municipality of Anchorage • Development Services Department a Building Safety Division M On -Site Water and Wastewater Program 5 A E T Y 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL 0�r FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-172-13 1. GENERAL INFORMATION Complete legal description Lot 7, Block 6, Elmore Subdivision No. 1 COSA # 05C,1010-3'5 Expiration Date: % — �_ Location (site address) 4940 Natrona Avenue Anchorage, AK 99516 Current Property owner(s) Mark and Madonna chaika Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 4940 Natrona Avenue Anchorage, AK 99516 Unless otherwise.requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Two (2) Day phone Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ✓❑ Individual On-site ✓❑ Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title _(except._between spouses) for properties_ served .by a single-family on-site wastewater disposal. -and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the gnvsite water supply4nd/or wastewater disposal system is(are) in compliance with all applicable Municipal and .5fate podes, or in ices, and regulations in effect at the time of installation. F .° me of Firm Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 5. DSD SIGNATURE i/ Approved for :? - bedrooms. Disapproved. Conditional approval for Date 10/4/2010 OF 444444 ,g; ®colo Hol►i.pd,'�;wsa:!• e4so ••� �.!!!! loes0000a• .. ••®�� V,' MlE ANDEMN �� 0 A C -4381 4#j FB bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory • WASTEWATER PROGRAM- X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: ZdS Original Certificate Date: (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 7, Block 6, Elmore Subdivision No. 1 A. WELL DATA Well type Private Date completed 12/29/03 Total depth >61 ft. Date of test Static water level If A, B, or C provide PWSID # Sanitary seal (YIN) Y Cased to >61 ft. FROM WELL LOG --Well -production - - WATER SAMPLE RESULTS: Coliform o colonies/100 mL Arsenic: N/D mg/I B. SEPTIC/HOLDING TANK DATA Parcel ID: 018-172-13 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) >24 in. AT INSPECTION 9/19/2010 113.7 9.p -m. 5.2 Nitrate •567 mg/L Date of sample: 9/26/10 ft. Other bacteria o colonies/100 mL Collected by: M. Anderson Tank Type/Material STEP/Steel Date installed 9/30-10/1/2010 Tank size 1,250 gal. Number of Compartments Three Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping New const. Pumper N/A C. ABSORPTION FIELD DATA Date installed 6/28/84 Soil rating (g.p.d./ft2 or ft2/bdrm)150 GPD/BORM System type Elevated Bed Length 29 ft. Width 24 ft. Gravel below pipe .5 ft. Total depth +3 ft. Eff. absorption area 696 ft2 Monitoring tube Y Depression over field N Date of adequacy test 9/27/2010 Results (,Pass/Fail) Pass For 2 bedrooms Fluid depth in absorption field before test o in. Water added 325gal. New depth 6 in. Elapsed Time: 1,440 min. Final fluid depth o in. Absorption rate >= 300 d Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION I•_ Date installed 9/30-10/1/10 Size in gallons 250 Manhole/Access (Y/N) Y "Pump on" level at 40 in. "Pump off" level at -40 in. High water alarm level at 45 in. Datum Bottom of Tank Cycles tested New Construction Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: I cert certify that / have determined through field inspections and Septic tank/lift station on lot >100' On adjacent lots >100' Absorption field on lot >100' On adjacent lots >100' Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line >25' Holding tank N/A Animal containment areas >50' Manure/animal excrete storage areas >100' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5' Absorption field >5' Water main N/A Water service line >10' Surface water >100' Wells on adjacent lots (Rev. 11/05) SEPARATION DISTANCE FROM 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 >25' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS: Septic Tank and Lift Station Replaced with New STEP Tank. Existing Absorption Bed Remains in Use. I•_ ,A G. ENGINEER'S CERTIFICATION AW •�'• ♦�� *�' 49 I I cert certify that / have determined through field inspections and �' ••••� ••"••'�'' j•• '"' """?'� review of Municipal records that the above systems are in j:��:.S�V conformance with MOA COSA guidelines in effect on this date. * 0, v0 . MIGtMa-F. ANDERSON •: to . -- cv Engineer's Printed Name Michael E. Anderson, P.E. •. CJ381 : ♦ i - ♦,i1.1.;� j0:�r�,•��v; Date 10/4/2010 ♦�1��`R`FESa 100�'+ COSA Fee $ j (off % S� L' %�UJ Waiver Fee $ J Date of Payment / /V Date of Payment / o Receipt Number '"7- Receipt Number �l`r`� 01 D I a 6 (Rev. 11/05) Page 1 of 1 Mike Anderson From: Brian Wille [brian.wille1 @gmail.com] Sent: Tuesday, October 05, 2010 8:46 AM To: Mike Anderson Subject: Re: 4940 Natrona Avenue Casing at 4940 Natrona has no perforations above 41'. On Oct 4, 2010 4:54 PM, "Mike Anderson" ;net> wrote: Brian: I need a camera job on the well at 4940 Natrona. There is no well log and the City wants to know if it is perforated above 40'. 1 need it ASAP. Thanks for jumping on it. Mike 10/5/2010 Lot 6 WOODEN 10' GENERAL UTILITY EASEMENTS Lot 9 w 0 0 C AVE Lot 8 I PLOT PLAN AS BUILT X SCALE 1" = 30' GRID SW 3036 Project No. Lang & Associates, Inco 11500 Daryl Avenue, Anchorage, Alaska Re ist®r®d Land S (907) 522-6476 Phone 10-199 99515-3049 9 %41 vey®rs (907) 522-4625 Fax o 19=1 ^ kglanglsOalaska.net / jclanglsOolaska.net v O F A L°rkQ I hereby certify that I have surveyed the following described property: P rtY: Lot 7, Block 6, Elmore Subd., Addn. No. 1Plat No. P -635A) Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the ! {t Day of (�` ( F� — �� , at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. o�P..• .S,�ppl �*49•TH :.. G, KENNETH G. LS -5202 p4ptb•'••.��,� LANGL.�o ' Jr- �.•••' SJo 40�\ne:rss[ONAt- o MUNICIPAMTY OF ANCHORAGE I~EPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 17~-/.~ NAA# ~ 1, GENERAL INFORMATION Complete legal description Location (site address or directions) e Property owner Mailing address Lending agency Mailing address Agent Address Dayphone -~ql~-. q.,-~/.~- Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well Community well Public water RECEIVED AUG 5 1993 D Municipality of Anchorage ept, Health & Human Services NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. ,ameofFirm "'~'J~'~'~"' (~tO/'J'~'~'l,~f''~l'--- Phone f~"7~'" ~'JJ~-" Address Engineer's signature' .~'"-~(~.4 J//- ~/,~-¢'(~' Date '-~/~"/z~-l~ DHHS SIGNATURE /~ Approved ,for '~"U]l~ ~.~') Disapproved, Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certit~cates based only upon the representations given In paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is Issued. The Municipality of Anchorage is not responsible for errurs or omissions in the professional engineer's work. T . 5F'URI:.f.I_~c~I'.ID P - E. ANgHOR~G£~ ALaSkA Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: HAA Lot 7 Block 6 Elmore Drainage Ditch Depression around Well August 5, 1995 Gentlemen; The conditions under which a conditional HAA was issued for' property have been corrected. The swale (ditch) around elevated bed has been graded and the low spots filled in. is no water standing in the area at present. Also the depression'around the well has been filled in. Please issue an unconditional HAA for this property. this the There rklandP.E. ' RECEIVED AUG 5 199l,t Mun clpa ty of Anchorage Dept, Health & Human Serv ces MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O, Box 196650 Anchorage, Alaska 99519-6650 343-4744 -Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent t~' ~-~c~ Address Unless otherwise requested, HAA will be held for pickup, NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: NOTE: Day phone ~,~. I 'L'Z P--- Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ./ TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature Phone .Date 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. ,X, Conditional approval for'7"/'/'~-~'L'-~?bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an Independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage '~i~ · Department of Health & Human Servmes, HEALTH AUTHORITY APPROVAL CHECKLIST Legal D~scription: /""'//~'~ A. WELL DATA Well type Log present (Y/N) Tota!deptb Sanitary seal '~(Y/N) Parcel I.D. If A0 B, or C, attach ADEC letter. Date completed ADEC water system number I~(P¢] ~ Driller_ Casing height Wires properly protected (Y/N) Date of test Static water level FROM WELL LOG Well flow, Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform ' Date of sample: Nitrate B. SEPTIC/HOLDING TANK DATA Date installed ! Cleanouts (Y/N) y High water alarm (Y/N) Date of pumping ~), ---'~ (~- ~"~.) Other bacteria Tank size Foundation cleanout (Y/N) ' Alarm tested (Y/N) Pumper. Foundation ! L~ Water main/service line SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I I '~> On adjacent lots To property line ~' ~ (~ Absorption field Surface water/drainage 72-026 (Rev. 7/91) Fro~t ,I ; On adjacent lots ; On adjacent lots 'Public sewer manhole/cleanout Petroleum tank C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) ~ ~ : .... '"Pdmp off" leVel at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot '" ~ ~' ~ On adjacent lots D. ABSORPTION FIELD DATA .,, Date Installed :'"Length:': '2z~ :" ' 'Width Tdt~l ~bsorption area ,Depression over field (Y/N) Results (pass/fail) On adjacent lots Surface water '~; '['~ Curtain drain Surface'water_: Soil rating ! 5 c, System type ... ~O 0 v'l~:)~/ ' Gravelthickness ~ ~ Totaldepth ~ ~1 Cleanouts present (Y/N) y · '.. Date of adequacy test I J/;[3-/~ Z. for "~' bedrooms If yes, give date. Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot ~'I~.C) To building foundatio.n, On adjacentlots "~//~'- Propertyline I ;~ */' To existing or abandoned system on lot Cutbank , ~0~' Water main/service line · E. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area '1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on ihe date of this inspection. ~., ~, .. . ~ ,,,-~.,,~/~-, .: :.:',.' *, . HAA Fee $ /''7~ Date of Payment ~'~-// Receipt Number --~- 'z'/z'/ --Waiver Fee: $ Date of Payment ' Rec Numbe Signature Engineer's N.,~e .,. Date ~ ~ I~.' tSq~ '?"x~, ,,.; CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. Cbe~ab ~of.! :93.0530-1 Client ~ample ID :4900 MAT~OHA 5633B STREET ANCHORAGE, ALASKA99518 TELEPHONE (907) 562-2343 FAX:(90~ 561-5301 P~oJect Mama : P~oJect! :UA Collected :02/[6/93 ! 16:00 ~ecetved :02/16/93 MOR~ Ozdet :63232 ~epo~t Completed :02/17/93 Techr~tcal Otzecto~ ~anple ~0~INE SA~LE COLLECTED BY: T.$. NO TAG rOE THIS SABLE. OC Allovable Eztract Analysis ~esults ~uol. Units Method Limits Oate Date Init 0.23 ~/l EPA 353.2/300.0 lO 02/17/93 02/17/93 LLH See Special Inatxucttonf Above UA - Unavailable " See ~ample Eemezks Above NA - Hot Analyzed O - Un~etectod. Hepotte~ value ~e the practical quantification lin~t. LT - Less Than 0 - Secon~laEy dilution. CT - GEeater Than ~ ~-~ Member of the SOS Group (Soci~t~ G~n~rale de Surveillance) &?Si M. DIHOND BLVO. ANCHORAGE~ ALASKA 99502-390~ (907) 248-5095 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 January 12, Subject: HAA Lot 7 Block 6 Elmore ~1 Drainage Ditch Gentlemen; During an HAA inspection on subject property it was observed that a "ditch" partly surrounded the mound. The depth of the ditch varied from less than one foot below original ground to as much as 2 feet. Standing watem was seen in the deeper sections of the ditch. This water was well within the 100 feet of the septic system. The soil information fo~ this system shows g~ound wate~ at -1 foot, and the design of the mound is based on this shallow water level. The top of the mound is 6+ ft. above the original ground and mo~e than 7 ~eet above the closest wate~ su~fac~. With observed ground water at -i foot, it can be expected, that water will stand in a 2 feet deep ditch. I have informed the owner of the property that the ditch may have to be abandoned (backfilled) so that no standing water is present within 100 feet of the septic system. This work can not be performed at? this time, therefore I am requesting a conditional HAA approval, with the stipulation that the ditch be abandoned after breakup. CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 56.33 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 Chemlab Nef.t 92.6497 Se.~pll I [ ~tIl~[: WAT~ Collected : 11/24/92 Recetved : E1/2~/92 I 14:00 t~s. ~eqt AnalTeis Completed : 11/25/92 SeM [epotte to: Parameter [eeulte Unite ffethod Allowable [lmite Testm Pexformed See Special lnstructlon~ Above UA-Unavailable None Detected "See Sample hema:k~ Above Not Analyzed ET-less ?hen, GT-Creater ~.~S~S Uember O! ih, SGS Group (SociSt$ G~,n~,ra,e d~ Survei,lance)