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Home My WebLink AboutMOUNTAIN AIR ESTATES #1 BLK 4 LT 3 GREif ER ANCHORAGE AREA BOkUUGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /~ / 7~/ LOCATION ~) ~,~: MAILING ADDRESS /..,~O0 ~)/m'l~/,/'z2 ~/_b~/'' /¢~'/7pHONE ~3y--/a-// ~ LEGAL DESCRIPTION ~ ~L~C ~ ~'~. ~-/2 SEPTIC TANK: DISTANCE FROM WELL /0'-O/ MANUFACTURER -.?'~ "~/-~ ~" T MATERIAL INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH NUMBER OF ,,~'" / .,,¢ 4g-~' ¢-~,/../~ ..& COMPARTMENTS / .LIQUID CAPACITY / ~-~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / . DIAMETER LINING MATERIAL ~/~&-(~F ~,'¢~"CRIB SIZE: BUILDING FOUNDATION 2-¢ /'P' NEAREST LOT LINE OR WIDTH LENGTH DEPTH DIAMETER DEPTH f¢ DISTANCE FROM: TOTAL EFFECTIVE WELL ABSORPTION AREA (WALL AREA) ,~¢;/D SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION C ESSPOO L CONSTRUCTION NEAREST LOT LINE OTHER SOURCES NEAREST SEWER LINE ~'~' ~z ~ ;~! ¢42. DEPTH_ DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM APPROVED DISAPPROVED REMARKS DISTANCES: ~ ~ ' INSTALLED BY: 5el 'l~ PIPE MATERIAL: C"?/¢s~' ..~O~2 LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DATE G.A.A,B. GRE 'ER ANCHORAGE: AREA BO ~UGH B DEPARTMENT OF ENVIRONMENTAL QUALITY -~330 "C" ST~l~/ET ANCHORAGE, ALASKA 99503 SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK ~ ~EEPAGE PIT __, DRAIN FIELD , OTHer ~OIL TEST Rg~UL?S ~v ] ~ I ~ NOT~ THIS PER~IT IS N~ VALID WITHO~T COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPT,C T^.K S,Zja: TYP S,ZE/ X ]3 ~' ~'%E . FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE Pit ~ , DRAIN FIELD /'~/ SEPTIC TANK TO SEEPAGE PIT WALL / SEPtiC tANK ~ , seePAge PIT ~/ , DRAIN field ~o .~.~ ~o. ~.~.o~ b~ ~ /~' WELL TO SEPTIC TANK / , SEEPAGE PIT WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, //~O r., SEEPAGE PIT , SEEPAGE PIT /,~,~ ' , DRAIN FIELD TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRiB CROSSING GAP Of EXCAVATION 5 FEET INTO UNDISTURBED SOil, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT BOROUG~ REG~ATIO~S REGARDING INSTALLATION. OR *'One test is worth a thousand opinions" Performed For Keith Morberg Date Performed Le.al ~escri~tion: Lot ~3 Block LF This Corm Re~orts Soils LoQ yes Subdivision Mountain Air Estates Percolation Test ~e~th Feet Soil Characteristics 6 inches organic overburden Brown Sandy Silt Gravelly Sand S~O0 Was Ground Water Encountered? Yes, At what Denth? --Readinq Date Gross Time Net Time Denth to H20 Net Dron Percolation Rate )linute Proposed Installation: Seenaoe Pit yes Drain Field De~th of Inlet Depth To Bottom Of Pit Or Trench C~ENTS: 100 sq. ft. drainage area required per bedroom No bedrock or water table to minus 12 ft. Keith MorberE LoEged test hole- OTL ran Eradation of material(encl) Test Performed By Jim Mack Para Certified BY: CQnst~ Test L~b 0 z ;llll]l]IIIlllllllllll IlllIlll .l[lllllllIlllillll Illllll| I llllilJl I i11111 Illl[llllIIllllllll ]lll[lllIlllllltlll 1111III1 ~llllllllllllllllll I llllllll ,~lll Il ] IIllll I III ~ llll ] Ill '|111 lllll Ill I ] illll[I~ ~ll]Ill[IillIlIl]lllllIlllll I ~!1, ~tlllllllllllllIlll I I Box :l,,_~(~)~, STAR IiOU?I~ A AI~CltOI~A¢~I~ A~ASKA ~)$O~ SIX INCH WATER WELL DRILLED AND CASED OUT TO The DEPTH OF DRILLED aT The raTE OF $~_~:{::~ Per FOOT. PrOperTY OWNer ~. ~tf.h ;4o~ [~!~-"~9~_ 1200 ~mo~ LOCATION OF WELL SITE L~. ~. WELL LOG: 2~2-~-8%' ~andy ~avel with %0% elay bi~e~ 85---~06~ Cl~y~ 106-~.35' Sandy ~l~y .~_~th .~im~.a of ~te~ ~t 'f0~ fo.~t, ~eve~al eobble~. 13~-1~9e Wate~ bea~in~ ~.udy ~ravel ~roduel~ X5 OPM. Se~ewha~ silty and should be pumped off fo~ 2~ hou~$, P~mp ~hould be in,%alled 20 f~et of~ bottom, Wa%®r head with- in 60 feet ef su~£aee. A ~2 he. se sub p~mp re~omme~de~, 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water 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. xxx 72-025 (Rev, 1/91) Front MOA #21 Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O, Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 14, 1997 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 3 Block 4 Mountain Air Estates #1 Waiver Request #WR970043, PID #017-171-13, HA970335 Dear Mr. Cowan: Your request for waiver(s) of the required 100 foot horizontal separation of an on-site wastewater disposal system to a private well has been approved. The approved separation distance(s) are a private well to the on-site septic tank of 80 feet. This waiver approval applies to the existing on-site wastewater disposal system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J Roth Civil Engineer On-site Services Program ljm:#6 Morberg MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ HA970043 PID~ 017-171-13 HA9 HA970335 Permit Date Received: X August 4, 1997 Legal Description: Lot 3 Block 4 Mountain Air Estates #1 Engineer: Applicant: Robert C. Cowan, P.E., S & S En~ineerin8 17034 Eagle River Lopp Road, Suite 204~ EaEle River~ Alaska Helen Morberg 99577 Waiver Requested: Private well to septic tank of 80 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: ~ ~6~ Date: ~--/~- .~ 7 By: ~/~/~/ Name of Reviewer See hardfile for reason for waived ****** fee. Rec ~: Amount: S n/a/ Date Paid: ~D 80' ' ~ _ ~ 7./ 15100 6620 2 1514 0 15200 6720, //2~/~~ 2 /0 15201 .9 152~ SNOWFLAKE 1~51 I~ 152 SIX INCH WATER WELL DRILLED AND CASED OUT.TO THE DEPTH :)AT THE RATE Of ~_R:~,~ .Per FOOT. PROPERTY OWNER ENKINS P.O BO~ '1-142 ECB ANCHORAGE. AK ~g501 "' PHONE 34',-3792 DR I LLER'S WELL L'OG CUSTOFF_R Mr ~-~-e M~.lott S.~L~ B~ 15~2 Anchor~, ~' LOCATION kt 1, Bloc~? ?, Mouuta!n A.~r E~t~ter (Off R~bb~t Creel: R~) SIZE YIELD 15v~.. STATIC ~ATER LEVEL ~8' h~ TESTED P~ INSTAl I ~ ~'o ~E F~TI~S ~C~ ~ ~PROPRIA~ DE~S ~ .~0 ~8 San~ ~.vc~, clry water ~e~te ~t 27fi DEPTH :~.1~ CASING DEFI'H 118' GROUTING DEPTH AS' Z8 TO 75 75 TO H:.r,q'?~n, mt. ay oL~.M occ~?.~/~.'nel boulder s~.nd, leese ,~r. avel, ecc~-~zional b~l.~.er water 1-? ~;; ~15 TO ~5 :-., TO. TO gravel, ~'at er , TO TO TO TO TO. DR I L LER~g "ELL ='! ~q~ TO 97 97 ROBERT C. COWAN, P.E. HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE W/~S T E~NAT E R DISPOSAL SYSTEM DESIGN July 31, 1997 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 3, Block 4, Mountain Air Estates Subdivision RECEIVED AUG 4 1997 Municipality of Anchorage Dept. Health & Human Services Request you issue a Health Authority Approval on the referenced property and grant a waiver for the horizontal separation distance between the well and the septic tank serving the property at 80 feet. The mitigating factors involved which support the issuance of the waivers are as follows: 1. Referring to the site plan/topo, surfacing effluent would not flow toward the well. 2. Nitrate sample taken from the well located on the referenced property indicated · 100 mg/l. 3. Well logs from neighboring wells (attatched) show confining clay layers. Attatched are surrounding well logs. If we may be of further service please contact us. Sincerely, RCC/mg Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 SCALE SITE-PLAN WAIVER REQUEST ' UTIf ~E 3Sf~OH ~ 100' APPROX. WELL RADIUS MESA PLACE GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 /-7-77 Date Received Dmmmmber 22, 1976 Time of Inspection Date of Inspection ... REQUEST FOR APPROVAL OF \/~, INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: Cony. First National Bank of Anchorage Post Office Box 720 Phone: Keith R./Helen M. Morberg Phone: 1200 Dimond Boulevard #1447 276-6300 x 483 337-1511 x 224 3. Legal Description: Lot 3 Block 4 Mountain Air Estates 4. Location: NHN Mesa Place 5. Type of facility to be inspected Single Family 6. Well Data: 7~ No. of bedrooms 3 A. Type Individual C. Construction ~~.t Sewage Disposal System: A. Installed /~7~ C. Septic Tank: 1. Size D. Seepage Pit: E. Disposal Field: B. Depth D. Bacterial Analysis On-site system B. Installer 1. Absorption Area Total length of lines 2. Manufacturer 2. Material 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area Other contamination , Absorption area C. Absorption area to nearest lot line ,Sewer Lines EQ-034 (1/74) Page 1 of two Daa~ Page 2 of two pages - ReF st for Approval of Individual ? Jr & Water Facilities Legal Description Lot 3 Block 4 Mountain Air Estates Comments AplProved~ Disapproved Date _ App~r~l for one year from date signed ~Valid Greater Ancho~e/ Borough, Department of Environmental Quality Area DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (]/74) 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 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION DEC 2 :" 1976 RECEIVED 1. Type of Inspection: 2. Property Owner:_ Mailing Address: 3. Name of Buyer: CMRO VA Keith R. et Helen M. Morberq 1200 Dimond ~1447 none FHA CONV X Day Phone: 337-] 511 ~- 224 Mailing Address: n/a 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: .. Mailing Address: 6. Legal Description: Location: none n/a Day Phone: First National Ba~k nf An~hcm~ge Box 720 Phone: ?76-R~n~ ~vt 483 Phone: Lot 3, Block 4, Mountain Air Estates NHNMesa Pla¢~ 7. Type of Facility to be Inspected: existing single-fam~ ly 8. Water Supply Type of Supply: Public Utility. If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation No. Bdrms.., 3 Individual .Individual (on-site) × Marie Iiams 12/20/76 72-003(3/76) Septe~:~ ~3~ 1~75 ATTENTION: Wtllird ~o~et SUI~T£CT: On-stlhe sewage ~tsposal system serving LoC 3, 81ock 4, ~lto ~fre Estates- 3-~roem, stngle f~ntly dw~111~9 on amt~lembe------r --~, m~;~. ~lhe 'tot ~111 be served by mn individual well. The well, once drtlled sho~14 provtde m pot&ble veter supply. If you h~ any questHons, please tirol fr~ ~o c~n~ ne at 274~4561, e&tenston 134. C.S. ~lr~ctmt e, CS~/ko 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 -I! -I ~ .~ NAA# 1. GENERAL INFORMATION Complete legal description Lot 3; Block 4; Nountain Air Estates Loc~tion~(site.~ddress or directions) 15200 Hesa Place '"" "-:. ~" Anchorage, AK ?'".P,~'o'pe~'ty owner,. -He[en Horberg 'Mailing add~ess c/o Shel. Hensley Remax.Properties Lending agency Day phone 2600 Cordova St. Anchorage, Day phone Mailing address Agent Address Shel Hensley / Remax Properties Day phone 257-0176 AK] Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: individual well Community well NOTE: xxx Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: XXX Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified 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 S & S ENGINEERING 1Jo;i4 Ir. agie ~iYer Loop t~oad No. zO4 Phone ~' c~ ¥ _ % ~f 7 ¢~' Address Eagle River, Alaska 9~2577 Engineer's signature ' "-~'/2~l ~ Date ~2 / ~//'~ ? DHHS SIGNATURE ..X' Approved for ~ 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 Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev 1/91 ) Back MOA ~'21 ,~NwP, oNMENTAL ~ERVIt~i~ Dl¥1JlOJ~ AUG Municipality of Anchorage Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) :343-4744 Health Authority Approval Checklist Legal Description: £oT-3 ~L~ '/ ~o,,,v~,~,,~' /~,~ ~$~', ~;f/ Parcel I.D.: ~ / 7 -- /'71 ~ 13 A. WELL DATA ~Vell type If A, B, or C, attach ADEC letter. ADEC water system number Log present {~N) ¥~'~ Date completed ! ff '7 5- Total depth I ~ / ' Cased to t~a ~ Casing height (above ground) Sanitary seal (~/N) ¥~ J' Wires properly protected ~/N) Date of test Static water level Well production WATER SAMPLE RESULTS: FROM WELL LOG AT INSPECTION I ,f' g.p.m. Coliform o Nitrate Date of sample: '7 / 33-/ ~ ? B, SEPTIC/HOLDING TANK DATA Date installed r4/ *7 g- Tank size Collected by: Other bacteria S & S ENGINEERING Eagle River, Alaska 99577 Number of Compartments ! C eanouts~/N), y'~ J' Foundat 9n~e §~5~t (y~., '~ a Depression (Y/(~ Date~} PumPing.6l !~.~-. Pumper ~ ~ W '~ ~ C. AB~ORPTION FIELD DATA ~ , ~o ~o~e ~r~.~r Da[e~inStalled ~ ~'~ ~. Soil rating (g.p.d./E~ or ~ao Len~o. )(~' '~'~" Width Effective absorption area ~ Date of adequacy test (~ / )' Fluid depth in absorption field before test (in.); Fluid depth ~ i; (ins) Minutes later:. /" (~ High water alarm (Y~) ~ d System type c Total depth Gravel thickness below pipe Monitoring Tube present (~/N). Y~'J Depression over field (Y~;~ ,v o Results (Pass/Fail) /3,~ ~ ~ For ~'~ bedrooms 3/a" Immediately after~'~ gal. water added (in.): 3 / ~J '° ~ '~ o Absorption rate = ~/5"0 ~ .g.p.d. Peroxide treatment (past 12 months) (Y/N) ''~ ~ ~ ~- k ~ o,,,,~ If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Size in gallons ....-.--- Manhole/Access (Y/N) "Pump on" level at* _-...~p off" level at* High water alarm level at* ~ Cycles teste~d~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ~' O C ~,~,,~, ~"~./ On adjacent lots Absorption field on lot /o e On adjacent lots Public sewer main ~ ( ~r Public sewer manhole/cleanout Sewer/septic service line ~- 5- -/- Lift station SEPARATION DISTANCES FROM-~HOLDING TANK ON LOTTO: Foundation b'- '-t- Property line ~- ' '/- Absorption field ,~' Water main/service line ;~o ~ Surfacewater/drainage /0~ '-f- Wells on adjacent lots lDO ~- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line / o Surface water / o o Curtain drain /v ! Building foundation ) (I -/- Water main/service line ,,~o Driveway, parking/vehicle storage area ~Jo ~ ~ ~ Wells on adjacent lots ) o o ' ENGINEER'S CERTIFICATION /certifythatlhavedeterminedthru field inspectionsandreviewofMunicipalrecor,~, in conformance wit~ ~A~AA gui~lines in effect on this date. gnature ~~ HAAFee $ ,~rD .~ Date of Payment ~'~/z'~,/~----~7 , Receipt Number ~.~ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number