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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 9 LT 20 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorago, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME [ - -F~-~NE" }. ~,NEW LEGAL DESCRIPTION ~ . , I Adso%tion area Dwelling PE~'II NO.. -" ~ Mater~% No. of~rtment, ~ ~ Liq. cTggi~allons IF HOMEMADE: Inside length Width Liquid depth ~e~ DISTANCE TO: Well ~ ~ ~ Manufacturer Material Liquid capacity in gallons Neares~ ~ PERMIT NO. Lenatb of each line ~% of,~ ¢r Total length or. es .~ Treno~th Dis etweenlines ~=~= Topoftiletofinishgrad~¢.~ Material beneathtife ~ inches Length ~ Width Depth PERMIT NO. ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line '~ERMIT NO, ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: SOl L TEST "ATINO~o--¢ 2 ~;) ~) 'NSTALI-EB , -- REMARKS ~..  DATE LEGAL 72-01 (Rev. 3/78) F'E[;:Yl ]: T NO. DEF'FIR'H"llENT OF HEFILTH I::lf,[[) Elk?,,,' :[ F.:OI',IH[:':NTFIL F'F?.IZ]TEOT ~ Cd'.,t L:?,;.35 '"L "' STREET, F:INE:I.]OI:;.:'.F:IGE., :tPPL I ..0C1::1'1"I OIq · ..I'FIFIESS, I'.,I :[ CI.([~::I,,.L DF:]:S:,TOI.. [::,F..' & SOUTHF'OI-,;'.T [::,F:'. I...2. El B9 HT I::'I::'11;?I-::: ES:,T LOT :E;Z ZE I'YF'E OF:' SOIl... f:iE:SCfl-;?.E::I':t:ON SYS"FL::H ]'.5: "FF;.:ENCH '"II:.:IX :[ HUH h,ILIHI:~Ef;?. 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S F:IL':,.J'FICENT 'f'O "I'H :[ S F'F.':OF'E[?.TY FIND THE:. :,ILIHBER OF R[ES, I[::,ENCE:!~ 'I"HRT T'HE 1.4ELL. I.,.IlLL SER',,,'[E. BFIE:KF I L.L. I f',lG OF:' RNY :~:Y:STEH 141 THOUT F :[ NRL I NLSF'IECT I ON FIND I::IF'F'[4:I3¥FIL ECT' TH T, :5 ::,EiF:'F:II4'.'I"HENT ,t,l ILL E:E :E;IJEL3'[CE:T 'TO Pf4'.C;%ECU'T I ON. '1 :[ N :[ HLIP'I [:, I S'I"RI",IC:E BETIJEiEr,I R !.,.IEI..L. FIN[> F:II'.,IY ON,.,-S i TE SE:I.,.IRGE [:, I :TF'O'E,I::IL. S"r'S"['[EH I '.5 tX!)E~ I::'E:[:iT I::'Of;i: R PF:'.I',/FtTE 14['ZLA~..; OF.: L~;E~ TO ;:?.C~E~ F'EE:T FROH R I:::'UBL. IC I,.IEL. I.. DEPENDING UPON -file T"r'F'E OF F'I. JEIL:[C I.,.IE/I..I .... ,.IELL LOG'..'7; I::I[;:E F.:Eg!U:[RED RN[:' i"IU'.~;T DE F;tETIJF.:NED TO THE DEPFtR"f'HENT P.IITI~I]:N )F' THE I,.IELL.. CEfi"IF'L,ETION. )THE:R I::::E(.:.!U I I:~;'.EHENTS FIR"r' RF'F'I..Y. SPEC .T I':' I E:[:I'I"I Ot"4~:; FINE:' CONS:;TF,'UC:T :1"/1::1 :[ LRBL. E TO .1: I",ISLIP;:E F'Fi:C$:'EF, i: I NSTFIL. LFIT t ON. [ t':i:Eif?T ]: FY THFII' I.: 111 Ri"1 [::'RHIL. IRR klll'H 'THE R[.EQUZ[F.'.Ei'"IENT?; FOI';.: ON-SITE: SEI.,~ER':S FIN[::, I.,.!EL.I...S FIt!E; !ii;ET :OI:,?.TH BY THE HUN ] E: 1 F"'F:tL. :i: TY OF' FINE:HOF.:FIGE. ;:': ]: I.,~:1: L.I_.. ]: N~5"f'FIL. L THE S"r'STEff'I ]: N F:iCCOi:~'.DFINE:E I-,.I.TT 'fbi THI!E E:ODI:~::!!i;. ii:: ]: LII",tDEI:;?.:;:!;TFII'.,ID TI"ff::IT THE or,I...-S:[TE :E;EI,.IEI:~'. ~;"r".:-:;"l"[Ef'l FIRY r4:EL::.ILIIF;:E EI'-,ILI::IRGEHEt',Ff' ~::E!ii;]:DENC:E r~'IEIDEI..~E[:,:[I TO INCLU[:,E f'l ': [; ' [::' THFIN :~: ..................................................... ,,~-"%f~'L .I~:I~'INT ..:fFIHES N I CI':::[EI...L. [ S!::i1..1[~[::, _..__.~ ................. iZ~I:::t T [::' I I:::' 'F HIE ?i I 220~ C ye]and perfc, r~,ert FDr Nickell Construction tenal l.~e~cri~tion: Lot 20 Bl~cl:~ This Form Reoort$ Soils Loq Yes Anchorape, A]a,-' a 99503' Date Performed 10-23-78 __ Subd~visio~ Mountain Park Estates Percolation Test_]Le~ De,th Feet Soil Characteristics Peat & R~ddtsh Silt ~ 8 10 - -12 14 -. 16- Brown Sandy Gravelly Silt 2O Bottom of Test Hole - Was Ground Water Encountered? .No I· Yes, At what-Depth? Readinq Date . 10-23-78 --- 10-26-78 -----1-0--24-78 Grnss Time 2'4 hour__s~atur Net Time · ~on p er i]~cl 3 hrs. 3.5 hrs. 4.0 hrs. Depth to H20 h'et Dro~ 6,5" 2~5" -- ]','5". _ 1" -' 8 1/4" ~ Percolatinn Rate 1"/40 ~inute Frnnosed ]ostallation: Seenaoe Pit Drain Field Deoth of Inlet __Depth To Bottom Of Pit Or C~1,£~5= 285 SQ. Ft. drain~e area requi~edep_~_~_bedro~. Trench Test Performed By_. David Pa~ Data Certified R~:__ c_CZL Date: 10-24- 7~__ Tom Fink, Mayor /Viunicxpality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 June 1, 1994 Ronald E. Godden, P.E. Theta Environmental Engineering 905 Jayme Court Anchorage, Alaska 99518 2444 Subject: Waiver Request for Lot 20 Block 9 Mountain Park Estates Waiver Request ~WR940023, PID #017-441-43 Dear Mr. Godden: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are a private well to the septic tank on Lot 20 Block 9 of 94 feet and a private well on Lot 19 Block 9 to the absorption field on Lot 20 Block 9 of 96 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services DR/ljm MUNICIPALITY OF ANCHORAGm Department of Health and Human Services On-site Services Section Waiver Review Worksheeq WR# WR940023 PID9 017-441-43 HA# Permit Date Received: May 3, 1994 Legal Description: Lot 20 Block 9 Mountain Park Estates Subdivision Engineer: Ronald E. Godden, P.E., Theta Environmental Engineering 905 Jayme Court, Anchorage, Alaska 99518-2444 Applicant: Ann O'Hara Waiver Requested: Private well and septic tank on Lot 20 Block 9 Private well on Lot 20 Block 9 to the absorption field on Lot 19 Block 9 (distances are unclear)j~ Criteria: 3. Other: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: Points: Waiver is Granted: .~ Waiver is NOT Granted: List Conditions or Reasons for above: Date: Rec #: By: ~e__Q~L~ewer 25873/4036 Amount: $ 920.00 Date Paid: 5-3-94 THETA ENVIRONMENTAL ENGINEERING 905 Jayme Court Anchorage, Alaska 99518-2444 (907) 344-1928 Municipality of Anchorage Department of Health & Human Services Environmental Services Division On-Site Services Section P.O. Box 196650 Anchorage Alaska 99519-6650 To Whom It May Concern: Re: April 29, 1994 -- Lot 20, Block 9, Mountain Park Estates S/D, 5801 Bristol Drive, Anchorage, Alaska Waiver Request, Well- Septic Tank, Lot 20, Block 9, and Adsorption Field, Lot 20, Block 9 and Well, Lot 19, Block 9. This waiver request is for a dual waiver. That is, a waiver for the separation between the well and septic tank on Lot 20, and the soils absorption field on Lot 20 and the well on Lot 19. The discrepancy was noted previously, but, had not been addressed. The attached risk analysis was performed using Alaska Department of Environmental Conservation Separation Distance Waiver Guidelines, dated: Jan 3, 1985. The analysis was based upon data in the Municipality of Anchorage files, the Engineer's report for the well flow and adequacy test,and, as-built. Various documents are referenced during the analysis and are also attached. Based upon the information analyzed and provided, it is my professional opinion there is no reason why the waivers should not be granted. If you have any questions, please feel free to contact me at (907) 344-1928. Sincerely,~ ~.. Ronald E. God~'"~'~ RG:rg Attachments: As Stated Attachment 1 Waiver Analysis ¢eo oqica/: a. Green or non-fractured bedrock: According to the well log, it does not appear green or non- fractured bedrock exist between tile bottom of the septic tank and the bottom of the soils absorption field, and, the water source. The main type of material between the septic system elements and the water table appears to be silt, and gravelly silt with poor permeability. Point value = 0.0 for both waivers. b. Distance between system bottom to ground water: It appears the bottom of the soils absorption trench is at about 12 feet below grade based on the soils log. The soils log shows there was no ground water at 16 feet. The soil is fairly silty and according to the well log for Lot 20, this silty material extends to 145 feet below grade. The well log does not state any water was encountered. The lime stone begins at 145 feet, and the swI is 155 feet. It appears safe to assume a separation of excess of 100 feet. The point value for 100 feet is 7.0 for both waivers. c. Soil sorption below system: Brown Sandy Gravelly Silt( soils log) Dirt/gravel (well log) sfc-16 feet sfc-18 feet Layer % value Value Points 6' 6/133 3.5 0.16 Grey Clay(well log) Gravelly Clay( well log) Total Points for both waivers 18-110 feet 92' 92/133 6.0 4.15 110-145 feet 35' 35/133 2.5 0.66 4.97 d. Soil permeability below system: Brown Sandy Gravelly Silt( soils log) Dirt/gravel (well log) sfc-16 feet sfc-18 feet Layer % value Value Points 6' 6/133 3.0 0.14 Grey Clay(well log) Gravelly Clay( well log) 18-110 feet 92' 92/133 0.0 0.00 110-145 feet 35' 35/133 2.0 0.53 0.67 Total Points for both waivers: e. Water Table Gradient: Waiver a: SWL in well= 153', drawdown = 159', separation distance = 94' Slope = -7% Point value for waiver a = 1,69. Waiver b: SWL in well = 155', Drawdown = 365' separation distance = 96' Slope = greater than -60%, Point value for waiver b = 1,0., See Note Below. NOTE: The well on Lot 19 and Lot 20 both have about the same swl and appear to be in the same water bearing strata, However, the well on Lot 19 has a dramatically different pump rate and drawdown. There is no well log for the well. An analysis was done by Flattop Services, Sept 20, 1990. It appears the well may have a problem since it is much deeper than the well on Lot 20, and yet only produces 0.32 gpm while the well on Lot 20 produces 6.6 gpm. The worst-case point value for waiver b is 0.0. However, based upon the rate production rate, the permeability of the water bearing strata appears to be much different. The will driller may also have missed a better producing strata above the e one in use. The depth of the well casing is unknown. Thus, I would recommend a point value more like the value calculated in waiver a. This seems more realistic description of the water table gradient. Therefore, I will use a Point value of 1.0 for waiver b. Horizontal Separation: 75 ft = 2.0 points 100 ft = 3.0 points 1/25 = rate Waiver 1: Separation = 94 feet, 2.0 points plus 19/25 = 2.76 points. Waiver b: Separation = 96 feet, 2.0 points plus 21/25 = 2.84 points. TOTAL POINTS WAIVER A WAIVER B a. Bedrock 0.0 0.0 b. Groundwater 7.00 7.00 c. Sorption 4.97 4.97 d. Permeability 0.67 0.67 e. Water Table. 1.68 1.00 f. Horizontal 2.76 2.84 TOTALS 17.08 16.48 Based upon the above analysis, it appears the waiver is warranted, and the wells should be almost sure to be free from any form of contaminated from household sewage. 2. Special Construction: No special construction techniques or usual materials appear to have been used. 3. Other: It appears a minimal percentage of waiver is required. Waiver a is for 6% and waiver b is for 4% of the total separation distances required. b. Population density is about 8,000 sq ft per bedroom on the subject lot. c. There are no lot shape or structural barriers to consider. The population at risk is a total of 6 bedrooms or 12 people, using 2 people per bedroom for 2 lots. The permeability of the soil beneath the septic tanks and soil adsorption fields is approximately 1"per 40 minutes or about 300 sq ft drainage area per bedroom. This slow percolation rate should mitigate most concerns with the waiver. @ 0 0 0 0 0 © 0 © 0 0 © 0 0 0 © O 0 0 © 0 0 0 0 DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division U ~ 82.5 ' L" Strec't, Anchorage, Alaska 99502, Telephone 264 4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT TANKS TYPE OF SYSTEM DISTANCES SEPTIC TANK LO'[ LINE FOUNDAtiON ABSOI1PTION FIELD WELL ~TRENCH i ' BED ~: W. DRAIN [ ~: OTHER WELLS FT PRIVATE { OTHER fldentifvi 1 REMARKS: LOT 2 LOT 1 COMMON GRAVEL DRIVEWAY ~o' ~ ~4'm%,, ~ / / ® ~ ,-fi-- ~.Ts'/ / I ~ ~4z,;~x;f....., ....... ,..~.~ , , ~ ~ '.., ...' ~ ;o ~~:~ ............. = 30.OO'(COMP ~ PLAT) ~ ]60.28' L = 45.51'(COMP) 44. O4'(PLA~) ~RI STOL ~ s-~ 440 WEST 8ENSON BLVD. ~ 103 ANCHORAOE. ALASKA '99505 (907) 562-529, LOT 20, BLOCK 9, 94-L-52~ ............ ~ ............... .... **~ MOUNTAIN PARK ESTATES ~_ 'Pent & R~;ddtsh Silt Brc,..rn Sandy (;r,w'lly Sill Bottom of 're~;t Hole l~as l:-round 1Jater Encountered? No 1¢ YeS, At what Oe.nth? .% Grnss Time N~.t Time ge.nth to H20 llet Dro 2'4 htur~ satur tton period ' .......... __. :~,: -'-._-: ..... ~:, .................. :.-::: ....... Percolation Rate J"/5o .... Hinute Frnrosed ]ostallation: Seenaoe Pit Drain Field Geeth of Inlet ............... Dep~A'T6 ~otCom Of Pit in~l~EN'lS: ..... ~8~__S_9~_j=.t_s. dra Innge area requl red per bvdroom. :est Performed By .... David Paul Bate: lO=2.A..-.Z8 ..... ~ :_ .... ~.i CIYU, · F.N¥1~O.NMI~NTAL I~NGINKKRIN(i · ENERGY CON,~I~RYATI~I 4, ANAI.Y~i HEODORE f', MOOR~, September 7, 1990 {~onnie Plschke ¥is~a Real Estate 621 West Dimond Bird, ~ Anchorage. AK 9951 Ii :Dear Ms. Pischke: = Per your request, on Se{)tember 4 we conducted adequacy tests of the water supply and wastewater disposal ~3'slems serving the Rean~ resldenm on Lot 19, Bilk 9, of Mounta~ P~k Estates, l(~,~d at 5821 Bristol ~lve, The foH~g is a report of our findi~s. There Is no driller's icg {~t the Munl~p~ Health ~p~tment, but other temtds on file l~ere indicate that the w)U wM probab~ ~mpleted In 1974, and that it has a tot~ depth of approximnte~ 562 feet. On t~e date of our test the static water level stud at { 55 feet below [be top ~ ~e cashit Steady pumping of 408 8aUons ~ water from the well at ~e maximum pump output ~ ~.6 gpm caused the water level to,be dra~ d~n to the pump · t~e, which registered on out a~u~c sounder as berg at 3.63 feet below the top of the :asing. ~'ter ~e pump )ra~{ turned off we measured a ve~ un~orm re~ve~ rate or 1.4) gpm for more ~nn ~ ~out, whic~ we ~h'med by pump~g the weU down to the pump intake ag~n and me~ suring the total number of gallons w~ch had a~ued, l Uelieve this measurement it; quite a~urate, although It d~s not agree with either of the ve~ efferent re~ve~ rat()s ~1~1~ you showed to me, based on an earlier test by others, The measured remve~ ~ate ex~eds the Municipal requirement of 0.32 gpm for ippr~al of a t~ee bedr~ teslden~ by a ~mfortnble margin, h~ever the well d~s cot meet t~e FHA ~iterla o{ berg able to supply water at the rate of 3,0 gpm ~er a four ~our period. When the a(Rual well production of 3q8 gallons over n four hour period is ~mblned ~i~ the 507 gallons of water ~ored In the bore hole between U~e static water level and the pump intake, ~;he tot~ nvaUable amount of water Is only 6~ gallons short of ~he FHA ~lterla. If ~e Y~A ~ere unwlll~8 to waive t~s smnU shor~nll, it would be possible, but not ~expem{lvm, to make up the d~feren~ with a storage tank ~side the residen~ equlped wi~ a se p~ate b~ster pump. A new s~t~ seal ~d mndult will Uso be needed for the well ;~ead, 14530 ECHO ST, ANCHORAGE, ALASKA 90S16 MU{qICIPALITY OF DEPT. Of: H~ALTH & ENVIRONMENTAL PROTE~I~ RECEIVED The well is located 98 ~'e~:t from the closest standpipe of the septic ~stem serving Lot immediately to the west. Because this distance is less tMn tl~e required 100 foot sep,~ration, it will be necessary to prepare an engtneedng analysis and apply for a ~,awer from the XeaJth ~p~rtment. be/'ore an approv~ certificate could ba issued. Contrary to the ~nfltcting l~or~t~ation reported In conlunction with the abovementioned earlier test. we did not find the ~'eptlc tank on the sublect lot to be within i O0 ~'eet o~' the well. The wastewatcr ~ispos~ system was installed In July of 1974 and consists of a 1000 ga~on, single comp~u'tmen[ concrete septic tank, followed by a 9 foot deep ~eepnge pit, with an effective ab;'orpt~on area of ;324 square feet. Although the septic tank was appropri:~tely size.:t lot up to t~ree bedrooms, the seepage pit was sized large enough for only two bedrooms. The implication of this is that the Health Department wXl not issue certificate of approv~l for more than two bedrooms, no matter how well it does in an adequacy test, u~til i~he absorption area is upgraded, To test the adequ ~cy of the system, we ran a total of 573 gallons of water directly into the seepage pit, ~]~l~,~ monitoring fluid levels there and in the septic tank, before, during and n~ter the flo~ of water was stopped. The initial f]uid depth tn the seepage pg ~as 3~3 inches, and ~e ad,iii Ion of 408 g~lons of water caused the fluid level to rise ! 6.5 inches, At no time did the fl~id back up into the septic tank, and ence ~he flcrw of water was ~topped, the fluid [e~'ei receded at a more than adequate rate for a ,:3 bedroom residence. J~ased on this test, it is my optn~on that the ~Tstem is s~U in good condition from a functional viewpoint, ho~ever as no~ed above, it would require enlargement before it could be approved for more than two bedrooms, Please give me a ~r~ ~ yOU ~Ve any questions on this report, or il' you would like me tO proceed with tho engineering analysis for the waiver and the sells engineering necessary to desig~ an upgrade to the septic system. S~cerely, Ted Moore. P,E. ortgage Corp 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 WASTE WATER DISPOSAL SYSTEM DESIGN ATTN: Jack Greene 121 W Fireweed Ln #120 Anchorage Ak 99503 REFERENCE: Jack Greene, ROBERT SHAFER, P.E. ROGER SHAFER. P.E. February 12, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 Lot 20, Block 9, Mountain Park Estates S/D 5801 Bristol Drive, Anchorage. At your request we have been performing work toward obtaining a Health Authority Approval (HAA) from the Municipality of Anchorage (MOA) for the above referenced property. Water samples collected on January 20, 1994 were submitted to Alaska Chemical and Geological Laboratory for analysis. Sample results show no bacteria present and a nitrate level of 2.8 mg/1. These results meet Municipal requirements. A flow test was performed on the well serving the referenced property on January 23, 1994. The static water level in the well was measured at 153 ft below the top of the well casing. A meter was connected to the water system and the flow was turned on full. An accoustical probe was used to determine the distance to water in the well. From this test we conclude the well is currently producing 6.6 gallons per minute with a 6 ft drawdown. Well flow is not guaranteed; subsequent variations can occur. The well wires must be enclosed in conduit before an HAA can be granted. ~,.~ I An adequacy test was performed on the septic system serving the referenced property on January 23, 1994. Water was added to the system while liquid levels were monitored in the leachfield and septic tank. From this test we have determined the septic system serving the referenced property currently meets MOA HAA requirements. While working on the referenced property we determined the separation distance between the well and septic tank on the property to be 94 ft apart. This is less than the required separation distance of 100 ft required by the MOA. We also determined the leachfield trench serving the referenced property to be 96 ft from the well located on adjacent Lot 19, Block 9, Mountain Park Estates S/D. This distance is 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 February 12, 1994 Lot 6, Davdor S/D Page Two less than the required 100 ft separation distance between a well and leachfield. Waivers must be issued by the MOA for the above noted violations before an HAA can be obtained. The total cost to obtain the necessary waivers on the referenced property including the MOA fee and engineering risk analyses is $1,320. This price is non-refundable and there is no guarantee the waivers will be granted. Work billed to date: Septic adequacy test Well flow test Water analysis Septic tank pumping 230 250 80 95 Total= $655 Further cost~,to obtain HAA: MOA HAA fee $300 Municipal waiver fees 920~ Engineering risk analysis ~-400 Water resample (current sample invalid after 2/20/94) 80~ Enclose well wires in conduit approximately-S0~ Total= $1,750 Please contact us with any questions or if we may be of further service. Sincerely, SCOTT ROBERT SHAFER, P.E. ROGER SHAFER, P.E. ~T~LL FLOW TEST DATA CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 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 WASTE WATER DISPOSAL SYSTEM DESIGN LOCATION OF WELL (Legal Description) TEST DATA: CLOCK DEPTH TO DRAWDOWN PUMPING REMARKS TIME WATER RATE (GPM} ~zsc. BATA, CASINO ~EIO~T, /g~ S~ITARY SEAL?: Y~s WIRES IN CONDUIT?: ~O G~DING O.K.?: ~ BACTERIA & NIT~TE S~PLES COLLECTED: //ZO/~ __ ~S~TS: ~LL C~NTLY PRODUCES OPM ~ A D~O~ FLOW RATE NOT GUARANTEED--SUBSEQUENT VARIATIONS CAN OCCUR! 17034 NORTH EAGLE RIVER LOOP · SUITE 204 . EAGLE RIVER, ALASKA 99577 Commercial Testing & Engineering Co, Environmental Laboratory Services Chemlab Ref.~ Client Sample ID :L20 B9 Matrix :WATER REPORT of ANALYSIS :94.0323-1 MOUNTAIN PARK ESTATES S/D 5633 B Street Anchorage, AK 99518-1600 Tel: (907) 562-2343 Fax: (907) 561-5301 Client Name :S & S ENGINEERING Ordered By :R. SHAFER Project Name : Project~ : PWSID :UA WORK Order :75143 Report Completed :01/25/94 Collected :01/20/94 @ 14:30 hrs. Received :01/20/94 @ 15:35 hrs. Technical Director:STEPHEN C. EDE Sample Remarks: ROUTINE SAMPLE COLLECTED BY: S.S. QC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init Nitrate-N 2.8 mg/L EPA 353.2/300.0 10 01/21 CMR See Special Instructions Above UA = Unavailable See Sample Remarks Above NA = Not Analyzed Undetected, Reported value is the practical quantification limit. LT = Less Than Secondary dilution. GT = Greater Than ~SQg MemberoftheSGSGroup(Soci~t~G~n~raledeSurveiliance) ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA COMMERCIAL TESTING & ENGINEERING CO ENVIRONMENTAL LABORATORY SERVICES ' Drinking Water &tatysis Report fo_r Total Colifor Bacteria R_EA_D INSTRUCTIONS ON REVERSE SIDE.~EFORE CO££ECT£:YG .,MUST BE COivff'LETED BY WATER SUTPL~R 5633 8 STR~T ANCHOF, AGE, AK 99513 TEL: (907) 562-2343 FAX: (907) 561-530~ PUBLIC WATER SYSTE.~% ED. i~ ~ PR/VATE WATER SYSTEi~5 0 SertdRexults [] Sendfn~,oice ~ SendResulLr [] ,gendIn,.,oic~ S.~\4~LE DATE: Month S.~M~PLE TYPE: _~ Routine U Repeat Sample (for routine sample with lab ref. no. ) · O Special Purpose Sm'<~L~ LO CAT~O ~ Day' Year Treated Water Untreated Water Time Collected Collected By TO .BE COMPLETED BY LABORATORY ,A,~/,a~sis shows this Water SgaM~PLE to be: Unsatisfactory [] Sarrtple over ~0 hours old, -es~s may be mm-eliable Sa~mple too long in tra-.',~sit; s~-m?e shotfld not be over 48 hours old at exa-,vSnadon to ind/cate reliable restdus. Please send new sample V/a speci~ deJiveD, mai. Date Received Time Received Analysis Began :~uM)lical ~iethod:/~.Membra2e Filter B !vfiMO - ..h,fL;G * Number ofcolorties/100 mi. Lab Ref. No. Result* SenttoA. D.E.C. ' ' ' - goks Jun Client notified of unsatisfactoo' results: Phoned Spoke Amalyst Date: Time: Fa:ced Fared BA CTERZO LO GICA~L WATER .&NALYSIS P,_E COP, D 5FEV!O-SfUGResult: Total Coliform Membrane Filter: Direct Count Verification: LTB Fecal Coliform Confirmation Final Membrane Filter Results Reported By ~2 BGB E. Coh' ~ Colonies/100 mi C O LI[FERz~I Coliform/100 mi . .. Date /~'~-'('--~'¢ Time /600 brs ......... ~, .. !LLINO S OHIO. ' *RTM PART ONE OF TWO: REMAINDER TO FOLLOW MUNICIPALITY OF ANCHORAGE OEPARTMEN i OF t-li:iAL'l i-i & HUMAN SERVICES{~-~,~'~ Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CER-I'IFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ~:~',~ ,'~: C '?" 017-441-43 HAA# GENERAL INFORMATION Complete legal description Lot '20; Block 9; Mountain Park Estates Location (site address or directions) 5801 Bristol Drive Anchorage, A:, Property owner Mailing address Lending agency Mailing address Agent Address Mary Anne Landis Day phone 348-6619 5801 Bristol Drive Anchorage, AK 99516 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. 3 NU[~¢~,DER OF DEDROOMS: 'YY?E OF WA'i'BPt SUPPLY: Individual well Community well NOTE: XX Public water If community well system, provide written confirmation from State AD£C attes~~ lng to the legality and status of system. 'TYPE OP' WASTP~WATER DISPOSAL: NOTE: XX 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. STATEtVtEFJT OF INSPECTION BY ENGINEER . As cedified 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/orwastewaterdisposalsystem issafe, functional and adequate for the numberof bedrooms and type of structure indicated herein. I fu~herverifythatbasedontheinformationobtainedfrom 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 ~nspection. Name of Firm Ala~l~ ~i'/ ~_o~., Phone. 7'20Ea¢*~t¢ ~11 Address ~.c~ Engineer's signature /~k Date_ S /~ DHHS SIGNATURE ~' Approved for ~; r Disapproved. Conditional approval for :~eQrooms. bedrooms, with the following stipulations: Additional Comments Date Tile Municipality of Anchorage Depa~1ment of Health and Human Services (DHHS) issues Health Authority Approval Cer[ificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. ']'he 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 ibc. professional engineer's work. 72-025 (Rev. 1/91) Back MOA Municipality of Anchorage ~_~m_ DEPARTMENT OF HEALTH & HUMAN SERVrOES 1 4 1998 Environmental Services Division MUNICiPALI'I'Y OF ANCHORAGE 825 L Street, Room 502 · Anchorage, Alaska 9950t~,~@~,)t~4~,~ -~PiVlSlo~ Health Authority Approval Checklist A, WELL DATA Well type ~IU'N'[P-- IfA, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) ~' Date completed ///;L/~ Total depth. ~, ~' ~' Cased to /--/O '~L Casing height (above ground) Wires properly protected (Y/N) Date of test Static water level Well production FROM WELL LOG g.p.m. AT INSPECTION WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate ~o ~:~' rl,~/,~ Other bacteria Collected by: '-~10 ~/ B. SEPTIC/HOLDING TANK DATA Date installed /0/~1/~9 Foundation cleanout (Y/N) Date of Pumping ' -~/~' I% g.p.m. C, ABSORPTION FIELD DATA Date installed Soil rating Width ~{ Gravel thickness below pipe Effective absorption area I1~ s~ e~, Monitoring Tube present ~) Date of adequacy test '~ Results(Pass/Fail) ~.~ Fluid depth in abso~tion field before test (in.); ~ ~ ~ Immediately a~e~~ Fluid depth (ins) Minutes later: //~? ~/~ Absorption rate Peroxide treatment (past 12 months) (Y/~) ~7 ~ A~y If yes, give date Systemtype ~ T~,'-cH- " lt. Total depth I0' ~E,~ ~ ~J~? Depression over field (Y~N~) /~J~ For. ~~ bedrooms gal. water added (in.): ~ ~ ~ F .g.p.d. __ Tank size //~)0~ . Number of Compartments ,~ Cleanouts ~1) / __ Depression (Y/l~ /L~ High water alarm (Y/l~ ~ Pumper ~+ ~0~ ~,~ ~ ~,c y~ ~ T~7 Manhole/Access (Y/N) Size in gallons ~ __ "Pump off" level at* High water alarm level at* SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ~/' Absorption field on lot Public sewer main Sewer/septic service line ~ ~; / ~L On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/I,~I~=~ TANK ON LOTTO: Foundation ~',-+- Property line ~ '/- Absorption field ~' Water main/service line / 0 ~¢ Surfacewater/drainage /00 ~b Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~o ~,~oo~g Building foundation /0 ~ Surface water .. /d(~ ' ¢" Curtain drain ¢',jO~E- ~-I'~ou.,,., /Od ENGINEER'S CERTIFICATI ~ON / ce if that i ,d /ei, in conforman(Ye with ~C/A ~el~ Signature Engineer's Name Date Water main/service line Driveway, parking/vehicle storage area /0/'~ Wells on adjacent lots nspections and review of Municipal s in effect on this date. HA,& Fee $. ~---'~ ~ ~') ¢ ~) O Date of Payment 72-026 (Rev, 3/96)* Waiver Fee $ Date of Payment Receipt Number Ricl( Mystrom, Mayor 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us 343-4744 August20,1998 JeffA. Garness, P.E. Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle Anchorage, Alaska 99504 Re: Amendment to Waiver WR940023 For Lot 20 Block ¢,v Mountain Park cotates'-,' · HA980231, P.I.N. 017-441-4.3 Dear Mr. Garness: Your request to amend the subject waiver to include a property line encroachment has been approved. The approved separation is from the wastewater absorption trench from the south property line oi: three (3) feet. -]-he amendment to the subject waiver applies to the existing absorption trench to property line only. Any future upgrade to the absorption field will require all separations be met or' anotherapprew:~l, "' ~rorn this office. Sincerely, Daniel J. Roth Civil Engineer On-Site Services Program Alaska Water & Wastewater Consultants, Inc. 7520 East Chester Het?,hts Cn cie ~ Anchorage ~ Ala,~a 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 August 12, 1998 Municipality of Anchorage Dept. of Health and Human Services Attn: Dan Roth P.O. Box 196650 Anchorage, AK 99519-6650 REFERENCE: Lot 20; Block 9; Mountain Park Estates Waiver #WR940023 Dear Mr. Roth, Request that you amend the existing waiver issued 6/1/94 (#WR940023) fi'om the well to the septic tank to also include a property line waiver to 3 feet from the south property Sine. It appears that the property line waiver was overlooked by DHHS during their initial review in !,994. We do not anticipate ar~y adverse effects to ~eiglxboring properties with the amendment of this waiver. The south property line is a road right-of-way. f If you have any questio~l please contact us. Jeffrp ,~. C~rf~ess, P.E77., d.S. Presldefit k,J JAG/gk ALG-t'2-]990 t5:Lf3 CT&E ESI RNCt4r3RRUb_ ~.-k CT&~: Environmental 8~rvi~es CT&E ReL# Client Nam,, Proj~t Name/# ClJerit Sample ~ MatrLx Ordered By 98415600] AK Water & Wage, water Consultam~ Inc,, Mtn Park Est, I.t 20 BIK 9 Mtn P~k Est, I2 20 Blk 9 Drinking Water Client ~-~lnted Da~'e~llme 08/12/98 15:35 Colk~ed Date/T~e 08/05/98 12:00 R~elvefl Date/Time 0~/06.'98 12:00 Tee~f~l D~ector: Stephen C. Ede Released By eot/130,~ 8M1B 9a8il~ 0B/06/98 TNW 30' 0 C 0 LOT 1 '15' ~r 10' UT1UTY EAS~UENT · 30' LOT 20 I ~ L=83.73' 30 O~'(COMP & PLA'r) R ~ 45 ~4'(COMP) 44,04'(PL.~T) L 67,3' EX'IS'tiNG HOUS[ LOT 2 COMMON GRA'v'~L DRtVCWAY LOT 19 (CENT[R 1'0 CENT[R) NS'~RUCTION SUR¥ :'yoRs- PLANNERS- ENGINEERS 440 W~ST BENSON ANCHORAGE, ALASKA · 99503 (907) 1~94 f¢3~) 5~1-~626 LOT 20, BLOCK 9, MOUNTAIN PARK ESTATES INSPECTION APPOINTMENTS /'~ DATE RECEIVED DATE DATE ~ /% . DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE  PR DEPT. OF HEALTH & DEPARTMENT OF HEALTH & E~Vl RO~MENTAL OT~NMEN~AL 825 L Street - Anchorage, Alaska 99501 ~~~ ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing. 1. PROPERTY OWNER MAILING ADDRESS PROPERTY RESIDENT (if different from above) PHONE 2, BUYER L) i~ '3' L PHONE MAILING ADDRESS 3, LENDING INSTITUTION J)hU~J.()El~.i~. , - ~ PHONE MAILING ADDRESS 4, REALTOR/AGENT MAILING ADDRESS 5. LEGAL DESCRIPTION STHEET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ SINGLE FAMILY ~ One ~ Four ~ Other, ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six 7. WATER SUPPLY ~ INDIVIDUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled ~ COMMUNITY since June 1975. For wells drilled prior to that date, give well ~ PUBLIC UTI LITY depth (attach Icg if available.) 8, SEWAGE DISPOSAL SYSTEM E~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY !i"0~ YEAR ON-SITE SYSTEM WAS INSTALLED. ,\ ot q % - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev, 6/79) THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS ..__ 1, TYPE OF RESIDENCE [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX ~ERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified_ LOG RECEIVED ~.~J.~!:., / ..:~ ~ .~,.~,.~., ~ERMIT NUMBER 3. SEWAGE DISPOSAL SYSTEM ~INDIVIDUAL/ON -SITE DATE INSTALLED ~PUBLIC UTILITY Connection Verified INSTALLER ~Septic Tank or ~Holding Tank Size:_/~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL WELL TO: Absorption Area to nearest Lot Line 5, COM~NTS must acco pany certificate) ~ CONDITIONAL APPROVAL (letter ~ DISAPPROVED DATE .~, ~ (~,, 72-010 (Rev, 6/79) DATE RECEIVED INSPECTION APPOINTMENTS (0.1 l ~-~.~-.%( TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECT~( ~ ~. Mb~CIPALiTY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE ~ '''LStr,et-Anchoraoe, A,aska,9,01 REQUEST~FO~PROVAL OF INDIVIDUAL WATER AND SEW~ DIRECTIONS: Complete all parts ce page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER , ] PHONE MAILING ADDRESS P~OPE~T'~ENT (If different from above) PHONE ~, BUYER PHONE MAILING ADDRESS 3, LENDING INSTITUTION MAILING ADDRESS '~ e ~ S 4. REALTOR/AGENT ~ PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6, TYPE ~ RESIDENCE SINGLE FAMILY MULTIPLE FAMILY 7. WATER SUPPLY NUMB~ OF~BEDROOMS -- One ~ Four ~ Other Two ~ Five Three ~ Six [] INDIVIDUAL* [] COMMUNITY PUBLIC UTILITY 8, SEWAGE DISPOSAL SYSTEM ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) [] INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. 'rYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT N[JMBER 2. WATER SUPPLY [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILl_ED Connection Verified_ LOG RECEIVED V_J2~, ~'~ l,~ ~o L 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY / Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: I Of..)C~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER /~.~__ ..~ TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Ho,ding Ta.nk iAbsorption Area iSev~er Line [ Nearest Lot Line WELL TO: '~bsorption Area to nearest Lot LiNe 5. COMMENTS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev, 6/79) MUNICIPALITY OF ANCHORAGE ~.~ ICIPALITY OF ANCHORAGE D UN EPARTMENT OF HEALTH & ENVIRONMENTAL PRO~ u. CTI~pT' OF i!SALTI &  825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL [~;.';; ~CTION ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 JAN 1_ 9 1979 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND S~(~IEI~ ,. MAILINGADDRES~~- '' ;/ PROPERTY R~SIDENT (If different from above) W r~ -- ~ ~ ~~P~~ 'A PHONE 2, BUYE~ - ~ M PHONE MAI LING ADDRESS 3. LE~DI~GINSTITUTION ~ ~ PHONE ~A~ LInG ADD~88 ~ 4. REALTORJAGENT J PHONE I MAILING ADDRESS 5. LEGAL DES.~RIPTION ST R E:Ez~ LOC'~A, TI O N 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ SINGLE FAMILY [] MULTIPLE FAMILY [] One [] Four [] Two [] Five I~ -'-'Three [] Six [] Other 7, WATER SUEPLY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975, For wells drilled prior to~ that date, give well depth (attach log if available,) 8. SEWAGE DISPOSAL SYSTEM J~/'i NDI VI DUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date //~ ~ ,J~ S -'~ If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE I=OR OFFICIAL USE ONLY , "~ DATF RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR I NSP ECTOR I NSP ECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED~ 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E:] INDIVIDUAL/ON -SITE DATE INSTALLED L--]PUBLIC UTILITY / Connection Verified INSTALLER E]Septic Tank or [] Holding Tank Size: /("~¢-~"' ~': If Tank is homemade SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION ARFA MATERIAL ' ' Absorption Sewer 4. Dis'rANgES Septic/Holding Tank Area Line Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line B. COMMENTS L-~APPROVED FOR ._~'¢ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~ , DATE BY {Title) LEGA'L DESCRIPTION - 72-010 (Rev, 3/78)