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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 10 LT 11Municipality of Anchorage Page--I ,o!~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~ PID Number: ~lO -~/1/ / --'~/~-'~ 3© No. of BeCrooms; Lot: lastewater System: [] New ~ Upgrade ABSORPTION FIELD d [] Deep Trench [~-ShallowTrench [] Be [] Mound [] Other Soil Rating: LEGAL DESCP, IPTION ,m from original grade: Block: Subdivi~io ~ Ft. Range: Section: added above original grade: -- ~ i _ ~.. I Ft. ~ravel width: New [] Upgrade Ft. m area: Private, A,B,( Depth: Ft. SQ. F Static Water Level: Drilter: Yield: Pump Set at: Casing Height Above Ground: Ft. Ft. SEPARATION DISTANCES To From Surface Water Lot Linc Foundation Curtain Drain ,marks: Total Depth from original grade: Gravel depth beneath pipe mber oflines: Ft, between lines: Pipe material: Date installe~l~ TANK [] Septic [] Holding /~S.T.E.P. Capacity in gallons: ~aterial: Size in gallons: "Pump on" level at: 11 Pump Make & Model Number of Compartments: LIFT STA'rlON nufacturer: ctrical inspections pedormed by: BENCH MARK Location and I Elevation: I ENGINE ;EAL Inspections performed by: 73~0 East Chester Ht~. Department of Healt~qq~l~~~pproval Reviewed and approved by: ~ Date: 72-013 (Rev. 9/91) MOA 25 PERMI[ i,iUk~B~X: AS-BUILT 017-441-15 SW980433 .... ~ ' ' / ..EXISH'dG ~RENCH lOCATION /: HY /,~~ t / INfiP2CtlON t / / 'Y"~ / ~- ~,, ~:~, ~.~ ~-~ "¢&'/V/:- / F 5~1 5f2 6901 BE~R ROAD. SUffE ,B. ANCHOI~OE, AK. 99504 ~" ....... PHONE: (007) 337-6179/F~: (907) 33.-3246 ~ ~%.. ~ '..~--~, MOUNTAIN PARK ESTATES, LOT 11, BLOCK 10 ~L~; ......... ~' "': ..... 15'PE ()~ WORK: DESIGN OF SEPTIC SYSTEM UPGRADE j '.JAMES P. WILLIAMS: r,,,OM,< Nu,,~m-.m ~0¢~'"' NO. 9608 .." pREPAI4Ei) ~:o~t:JOHN BEARDSLEY ~z "'. C.E. 272-0571/274-9616 c/o TOTEM REALTY ATTN. BOB BAER ~&¢, ............ 11/23/98 A,C-G. 1 = 40' 2 OF 2 .~ ~ ~ ~ INSPECTION REPORT MUNICIPALITY OF ANCHORAGE - BUILDING SAFETY DMSION 3500 EAST TUDOR ROAD, ANCHORAGE, ALASICk INSPECHON$: Voice: (907) 56.7-3464 Fwc: (907) J43-8235 INFORMA?ION: (907) 345-82.11 ~_-'r'm-~ ' "' : - :''~ ...... PERMIT NUMBER: -' PItONE #1: PtlONE #2: #I: #2: 05: Thl, 1, a r~- TYPE OF , INSPECTION ~o no~-oomplhs~ obst~red. ~ Co~ecfic~a essential ~ expla~ed below. ~ W~ ~ at n~ ~fi~. ~ Do not conceal ~ m-ms~cted. COMMENTS: i /..: . ', .~..I C.O. appi-owd. [k] C.C',.O, approwd (corem#nfs b~low). STOP TIME: ~ 'o.o, ~ o* ~8 L'~[gPI.;CTI'ON REPORT MUNICIPALITY OF ANCHORAGE - BUILDING SAFETY DM. SION 21500 EAST TUDOR ROAD, ANCHORAGE, ALASKA INSPECTIONS: Voiee: (907)~63-3464 lra~: 007)'343..8235 INFORMATION: 007)343-8211 ...... '-' p~,~r~ar~sr.r: 98-947~~--~ lg4Ml~: ALC, AN ELI{C DAIT~: 11/20/98 0'1:23 AM ADDRESS: 5915 BE~Y DR PHO~ ~I: 240-9290 PHo~ LOT: 11 CY)MMENT~ BLOCK: 10 SUBI)IVI$1ON: MOUNT,MN PARK EST .... CONTACT KIRK.-Lllq' STAT[ON #I: #2: #$: Tht~ t~ a re. TYPE OF INSPECTION Ele~trioal Service Lr checked. ~-- No non. oompliwnce ob.~rved. Will re.emma/ne at next inspection. [-] Co~ections essential ma explained below. I-~l CO. approved, [J Do not cm~eeat until re-ms~cted. E.i C.C.O. approved (¢ommemts below). STOP TIME: INSPECTOR: WHEN CORREC770NS ARE MADE, PLEASp. CALL 1')0 NOT REMOVE T~HS NOTICE. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196850, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Nov 06, 1998 Expiration Date: Nov 06, 1999 Permit Number: SW980433 Legal Description: MOUN'I'AIN PARK ESTATES BLK 10 LT 11 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: John Beardsley Owner Address: PO BOX 112596 ANCHORAGE , AK 99511-2596 Parcel ID: 017-441-30 Site Address: 005915 BEVERLY DR Lot Size: 26800 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank Lq Holding Tank ~ Privy Private Well [~ 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. ~ (_..~/1~ ~t C,I, Received By: Date; Date: Issued By: MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box '196650, Anchorage, AK 995'19-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERI Upgrade Date Issued: Nov 06, 1998 Expiration Date: Nov 06, 1999 Permit Number: SW980433 Legal Description: MOUNTAIN PARK ESTATES BLK 11 LT 10 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: John Beardsley c/o Totem Realty Owner Address: 124 E. 15th Ave. Anchorage , AK 99503- 'cel ID: 017-441-13 Site Address: Lot Size: 26800 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank E~ Tank ~ Privy [] Private Well [] Water Storage All construction must be in 1. The attached approved design. 2. All requirements specified ir Wastewater Disposal Reg De Municipal Code Chapters 15.55 and 15.65 and the State of Alaska ( 18AA072 ) and Drinking Water Regulations ( 18AAC80 ). at least 2 hours prior to each inspection. Provide notification by calling 3. The engineer must notil (907) 343-4744 ( 24 ( Not required for a Water Supply Permit only ). 4. From October 15 t( )ri115, a subsurface soil absorption system under construction during freezing weather must be either: ?,. Open and closed on the same day. ' ./B. Covered, sealed, and heated to prevent freezing. ~. (.¢,j\~%~ Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle - Anchorage - Alaska 99504 (907) 337-6179 N Fax (907) 338-3246 Consulting Engineers November 1, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Sewer Upgrade for Lot 11, Block 10, Mountain Park Estates Subdivision To whom it may concern: The existing 3 bedroom house is served by an onsite septic system, and a private well. The existing trench will not pass an adequacy test and must be upgraded (The house is currently for sale). Comments regarding the proposed upgrade are summarized as follows: 1. GENERAL: There are a number of site restrictions which limit the available area to put the septic system upgrade. These restrictions are summarized as follows: Test holes were excavated to the north and east of the house by both AWWC, Inc., and Anderson Engineering. Based upon the soils evaluation, it appears that the only suitable site for the new drainfield is to the east/northeast of the house. The protective well radius encompasses most of the lot. The location of the existing septic system, and the 10 foot setback from it consumes much of the area outside the protective well radius. . The asphalt driveway prevents utilization of a small portion of the area that is outside the 100 foot well radius. Much of the available space for the septic system has been disturbed by the excavation of two test holes (AWWC, Inc., and th~ by Anderson Engineering). From an engineering perspective, due to the limited area available for the upgrade, an innovative septic system, such has a Recirculating Upflow Filter (RUT) would be the preferred installation. However, such a system would probably cost about $21,000 to install. For obvious reasons, the homeowner would prefer to install a conventional system, since it would be much less expensive. It is possible to install a STEP tank and a conventional trench that would meet the minimum design requirements. The design is summarized as follows: 2. SOILS: On September 26, 1998, two test hole were excavated and percolation tests performed. Test hole #l was found to have fair/poor soils with limited depth (see attached soil 'log). We are proposing to use the area within the 30' radius of test hole #2 for the septic upgrade. As can be seen on the attached log for TH#2, the soil below the organic layer is a SM/GM material with impermeable pockets and sand pockets to a depth of approximately 12 feet (bottom of test hole). At a depth of 10.5 feet, the soil visually appeared to be impermeable; consequently the maximum depth of the system is 4.5 feet deep. No ground water was encountered at the time of excavation. A percolation test was performed between 5.0 feet and 5.5 feet, and determined the rate to be at 6.3 minute/inch. A test hole was performed adjacent to test hole #2 by Anderson Engineering. They determined the percolation rate, at a depth of 6 feet, to be 11 minutes per inch. This confirms the. 8 gpd/ft2 determined by AWWC, Inc. 3. TRENCH DESIGN: a. Soil Rating: 0.8 gallons/day/f~2 b. Number of Bedrooms: 3 c. Design Flow: 450 gallons per day d. Minimum Absorption Area: 563 ft2 e. Effective Depth: 3 feet f. Reduction Factor: .58 g. Width: 5 feet h. Length: 65.25. i. Effective absorption area = 5632 4. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 5. TOPOGRAPItY: The grade in the vicinity of the trench has been changed significantly (due to excavation) from the original topography. Attached is drawing which is based upon aerial photographs taken in probably in the late 1970's, which shows the original ground topography.. It can be seen that the proposed trench is parallel to what previously had been the original contour line. It is our intent to place the new trench exactly 4.5 feet below the existing grade at the test hole. Due to the shallow depth of the system the final grade will be slightly mounded (about 12 inches high) at the south end of the trench. 6. TRENCH WILL CLOSER THAN 10 FEET FROM THE FOUNDATION: In order to stay away from the disturbed soil in the vicinity of the test holes, we are proposing to encroach upon the garage foundation with the new trench. At the closest point, the trench will be about 7 feet from the garage. Since the garage is slab on grade, and the excavation depth is so shallow, this encroachment should not undermine the foundation. 7. CLOSING: I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance, f/f n ss' \, , ~ \ ,~OUN?AiN PAR, £s J ~(U,FAN PAR// E~'i. k ~ / i MQLJNfA!N PARK r:S'h X ¢--¢ ........ ~.~ _~- .... --~/ ....... ~ ...... Xx / l/:b t ~ >x . , fi' ............. 1 ,7' / / .:~ I ,.~/ x '/ 'x:, /.' ' ~,~ 1/// " % ' /X~ / ,,..sv'~F/; ~s., .-~ ~ - ......... , /~; ~ ~//¢ ~ &~- ..... / / -. c-;/.-, --- '~. '~ ,,;'~ / ~:,~ / / ~_ /2/:,; - }5~ I , .:: i <V: i / ~.~ ........... / / .5¥s- / %. / ....... ' M.O.A ~ECOR~S, AS-BU~L'I SURVEYS, ~ - ~-. / ~-' / OR FEL) M~.itJREMEN'I'~. 'IHE CON'IRACiOR - . ~-- . ~ / IS RF~,}UIRED ~0 FIE D VERIFY FHAT AkL '-. N~ -/. / ~'~ ~ -'--: - u'* ..... ct~ nF HE-V PPOi ' '~ '' / ~6 A~S~ WA'~R AND WAS'~WA~ CONS~TANTS, INC. _EG¢,L OESCRiPltOH: ' ' '~EPAF~O :o~: JOHN BEARDSLEY 272 0571/274-9616 c/o TOTEM REALITY ATTN: BOB BAER - )KIE: IDm, WN ~'¢: ISCALE: I HAOLE: N EXI,~IINC; 1RENCI! mo DE / ~.'.).5 INCH HFiPF LINE SLOPDD ~A, CI< l'O ~ USI D AS A RENFRVE ~qlF ~ ~ IIF:~ SIAIION FOR DRAINAGE QF LIN~, NO / / ?/ / ~_)</q.,, .... x. / / / / _( / /c / ' / ...... ~ ....... _ ~ <b~' / 4.b P~I', ~PF~E,flV~:: DePtH .... ~ ,~ /, 5'[Td.b I-I/4 11,!31FVC PF~gffk(~ LIM~ Wi'TH ~ ?' /i/ P~F dOx/~R Wlltt 2 INCI.!~ ~ .... '~C~ ~-~,. ~,/ , -~__ xx '~ l~I/r- / -~'--~ '-~j NOV g: ~ 1. i'HF cONrRACIOR IS REQUIRED ~0 IIAVE lllk [ LINi- ~ I-liE NORTIi EA%EMFNT FIACCEI) ~'l A lAND SURVD4()R. ~SB WATER A~ WAS~WA~.R CONSETA~S, INC. 7320 E. CHEWER HEIGHTS CIRC~. ~CHO~GE. AK 09504 ~ I_EGA~ []ESCRtP lION: ~ " DESIGN OF CONVENTIONAL TRENCH AND LIFT STATION .:...~ ),~ "fg'r~ PHONE NUMBER: P,~L,:AR,-n FOR: JOHN BEARDSLEY IOa~$~.~ BAER 272~0571/274-9616 ~['d, "'. REALITY ATTN, BOB c/o TOTEM . qb;~ .... ,. ........ 11/1/98 J.A.G. 1 = 40' 2 OF 3 6, BLOCK 1 1, LOI 7, BLOCK 1 1, pARK ESF. M pARK EST. LOT 1, MOUNTAIN LOT 12, MOUNTAIN SEE wERE WiLL BE RIpIION: 7320 PHON ATES ~,NCHORAGE, A~ 99504- (007) FOR: REALITY BOB BAER BY: J.L..M. 1 =: 10 ALASKA WATER & WASTEWATER CONSULTANTS INC. PHONE (907) 337-6179 * FAX (907) 338-324fi ,.... PERFORMED FOR: JOHN B~RDSL~ EPT. .... TEST HOLE (feet) : :::::: ORGANICS ~ PAGE 1 OF 2 " ,~ FILL SOIL C~SSIFICATIONS 2~ : TIGHT GH ~ GW ;r.-.~- ~ ORG ~ SEmpe ~ / . F~...... ORGANICS/ROOTS m7777 I~-- ':: ::'::t: ORGANIC SILT ...... ' ';. SW HH 7-- :' ' DEPTHTO DATE ~ 3ROUNDWATER 'N ' g -- DRY 9/26/g8 . x__~ ~0~ DRY 10/3/98 ~-~-.~_ -- TIGHT SILT W/ ~ O-- SOHE COBBLES -", VERY BONDED 11 DATE READING CLOCK NET TIHE WATER LEVEL NET DROP -- TIHE (MINUTES) READING (INCHES) 12 -- ~ 9.O.H. 9/29/98 1 2 5:03 30 13-- 3 5~04 6" 4 5:34 30 3 ~/8" 2 5/8' 14-- 5 5:34 6 6:04 30 3 1/4" 2 3~4" 15-- 7 6:05 6" 8 6:35 30 3 1/4" 2 3/4" 16-- 17-- sEE P GE 2 OF 2 FOR LOWER BE~CH PERC TEST 18-- 19 -- PERCOLATION RATE 10 (HIN,/INCH~/ PERC. HOLE DIA. 6 (INCHES) 20 ~ TEST RUN BETWEEN ~ ' ET. D /5.0 FT. - ILL COMMENTS: HOLE PRESOAKED 4 HOURS PRIOR TO 'rE~R~~R~ ED JUST BELOW ORGANIC F . DATE. DATE: B)/*¢ . / ALASKA WATER & WASTF_,WATER CONSULTANTS, INC. 7320 E, CHESTER HTS~ OIRCLE * ANCHORAOE, AK, 99504 [SOIL LOG - PERCOLATION TEST] : ..' , PERFORMED DATE PERFORMED: 9/26/98 (feet:) TEST HOLE #1 1-- PAGE 2 OF 2 2- SOiL C ,SSIFIOATIO,S / / / .... -._ \ SEF;-I iC / / ------T ML -", 3-- GP '~777 CL ~'¢~ 0 GROUNDWATER % ' ~- ~ "-I00' 8~ ~ SEE PA¢E 1 OF 2 i -- ~ I" = IGC__ ~O~ ~ CLOCK NET TIHE ~ATER LEVEL NET DROP ~ ~ ~ O DATE READING TIHE (HINUTE$) READING (INCHES) 9/29/98 1 4:35 6" 12-- 2 5:05 50 5 1/2" 1/2" m 5" ~/2" 15 --- 0 ~ 5:55 4 6:05 ~0 4 1/2" 1/2" 14~ 15-- 16~ 17~ 18~ '9-- PERCO~TION ~TE 60 (HIN,/INCH) PERC. HOLE DIA. 6 (INCHES) .T. 20 COH~ENTS" HOLE PRESOAKED 4 HOURS PRIOR TO *EST:~ 1/ ~/: ~/ ' /1////// / PERFOMEB BY A~SKA WATER · WASTEWATER ', ( ~1~~ , CERT'" THAT THIS WAS PERFOR~E~ IN ACCORDANCE WITH ALL S~¢ ~UNICIPAL GUIDELINES IN EFFECT ON THIS ,, L J4 R DEPTH TO DATE GROUNDWATER SEE PAgE 1 OF 2 1 7520 E, CHESTER ILITS. CIRCLE ' ANCHORAGE, AK, 99504 " LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES, LOT 1~, BLOCK ~0 PERFORMED FOR: JOHN B~RDSL~ DATE PERFORMED: 9/26/98 DEPT"~ TEST HOLE ~2~ (feet) ORGANICS _ ~_ ~ SEPIiC I / SOME SAND ~ GO - --~ " i: i , ; ,, GROUNDWATER 8--' ~ DRY 9/26/98 : ~ ~', f , 'i ', ~]4;¢/74, DATE READING CLOCK NET TIME WATER LEVEL NET DROP 1 1 --~¢~,,~¢¢ VISUALLY TIHE (MINUTES) READING (INCHES) ~///:~, IMPERM~BLE 12-- ~ B.O.H. 9/29/98 1 2 5:00 30 1" 5" 13 ~ 3 5:00 6" 4 5:30 30 1 1/8" ~ 7/8" 14 ~ 5 5:30 6" 6 6:00 30 1 1/4" 4 3/4" 15~ 7 6:01 6" 8 6:31 30 1 1/4" 4 5/4" 16~ 17~ 18~ 19- PERCO~TION ~TE 6.~ (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20 ~ TEST RUN BETWEEN 5.0 FT. AND~ ~.5 FT. COHHENTS' HOLE PRESOAKED 4 HOURS PRIOR TO TEST~ ~ / · / THIS WAS PERFORMED IN ACCORDANCE WITH ALL S~E/¢D ~UNICI~U~D~LINES IN EFhECT ON THIS To: With: From: Data; FAX ME O Jeff ~srne8~ Al~sk~ W~ter end W~stew=ter Mike Anderson Ootober 2~, 1998 Subject: Lot 11, Block 10, Mountain Perk Estates Message: Attached are the perliminary results from the testholes pieced on Lot 1t, Block 10, Mountain Park Estates. Testhoh; No, 1 was ruled ou[ because of the presence of effluent in the excavation. It may be an area where an old crib was once present. Testhole No. 2 appears to be workable based o1~ the attached Icg. The work was completed by my technician while I was out of town, The excavator agreed, however, that the entire depth of the testhole appeared to be absorptive material. They did not encounte~ wllat they thought te be an Impermeable lense. Let me know if you have any other queation.~ or if I can be cf further help. Good luck. _4__P a ge s Being Transmitted ~0 J" " "i tY/'COBBLF6" SM-G/fi-- F..FFLUFh'T LEVEL l?O?'?Okt OF ~Y HOLE MICt//~EL ~. ANDER~?ON STAE? }?EL OA D l! csuu£~,,rs, NO Z,UPERMEABLE LA YE~ff ENCOUNTERED HO~ff PRff~OA/:ED 4 tlOUH~ ~.07 1t ,FzI: 10 MICHAEL M, gB- !0-05 i ~j NAME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVlRONMENI'AL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPQRT LEGAL DESCRIPTION LOCATION J~k~.~.-A._~'~., --""--~ Well ~ f~, ~ Absorption area Dwelling D,ST^NCETO: I m{I ' OOI ~ ~ I Manufacturer ~ ~ I Materiab~ "'/Liq camacitviagallonsl I Inside length I Width ~ ,. ~ DISTANCE TO' Well ~ Dwelling I Well I Foundation DISTANCE TO: I '~- l O O I t O No. of lines I Length_t ~°f each Ji~e J Total length of lin~% Top of tile to finish grade ~ r Material beneath tile Length Width __ I Depth DISTA~d; TO: Well -- Building foundation ~s A Depth ' Driller J DISTANCE TO: Building foundation Sewer Pine Neares~ Jot line / O ' Trench width ~ Z~ incl~es NO. OFBEDROOMS 5 PERMIT NO. No. of comp~,tments Liquid depth PERMIT NO. -~iqLdci capacity in ga)lo~s PERMIT NO. '~C)] 0 ~L, 3 (~ Distance betwe,e~)ljnes ;o /-~ "~ it~,~/ Total effectiv~ absorption area PERMIT NO. Totel effe.c~i~e'ab'sorption aret ~"' ~N~rest lot line Distance to lot line Septictank q ~ PERMIT NO. ,~ Absorpt on area(s) OTHER PIPE MATERIALS SOIL TEST RATING I REMARKS APPROVED 72-013 (R~v. 3/~/8i DATE LEGAL TI'Il} ! .[:i:l",](:i'l'l"l I) .[ f"Hi:!:N:i:!; '[ l::l~'.! :Iii; Till!: 'I!-I!:i: [)[!:F:'TIi 01:::' I:::l 'fFi'.I!ilNE:tl ()t::! (:it:i:l:)l.INi::, l::tl",llJ -i!'lE t?,O'i"TOI"[ I)l::: "F!ll!i:t:.i:l!: ):'i: i',t() :i;iX'!' I.,.!rl)'l'H I::'01::: '}'llli~ GI::i:F/'v'I:!:}. i:i:,P:it:::"!'i-i :!::!::; Till!i: i::E',![::, 'il'Il! lii',(Yl- FOi'! t)l:::' 'l'!..ll:: ::' I,: I'c' T i::ll:'l:::'l. ]i [:::l:l['.,l'l l. Ji::!t::i; l'l-J!:i: I:;i:!:i:!!!:;It:u)l'-,!:!::; ): I:~: iii. ! 'J '.l.' 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CO!"iF'!.lii:'!':!: :1'1'I II:!:ii;: i~:E QI..I ] I::i:i!!Z,'!l!!i:i'.,Fl'i:; i"lr:l'.r' F:II:::'F'I '.d ti;F:'!~i::!:}:' :(t::l:l f :[ ()l'.,llii; l:::!l'.;ll::, :l'v't::l :I: t...~'::ll~',l i: !"() :!: i'.,i:~;!..ll:::[:: !::'l;::t)l:::'[~:l:~i 'l~ t.,!?l'l:l! .I ..l'::i ! ]: Per¢ormed For. Lena1 ~esc~tptton: Lot~__ This ~orm Renorts Soils Lo~ . , 2204 Cleveland Anohorage, Alaska 99503 ~a~ ~e~o~med 3-15-7S ThomaS Stewart ~-~O~ Mountain Park Estates Yes Pe~cola~0~ Te$ t--~es. Subd. Oe~th Feet Soil Charactertsttc~s- Brown Slightly Silty Sandy Gravel with occasional cobbles (Moist) 18-- 12-- 14--- Bottom of Test Hole - Was Ground Water Encountered? .. I~ Yes, At what Denth? No. Date -15.-78 3-16-78 _3-16-78 3-16-78 3-16-78 -- 2:00 -- 10:00 Net Time Depth to 1'120 Net Dron Percolation Rate 1"/14 Htnute Prnnosed Inst~TT~'t'T~-~: Seenaae Pit Drain Field -- Den~Om Of Pit O~ Trench_~_ Deoth of Inlet~~ · CAMPF. NTS: 1,85 sq_. ft_~_d.j~raina._e area re uir ~~ ,,? 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 1. GENERAL INFORMATION Complete legal description Lot 11; Block 10; Mountain Park Estates Location (site address or directions) Property owner John Beardsley C/O Totem 5915 Beverly Drive Anchorage, AK 243-5240 Day phone Realty 724 E. 15th Ave. Anchorage, AK Mailing address Lending agency Day phone Mailing address-- Agent Bob Baer/ Totem Realty Day phone 272-0571 Address ----- Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well NOTE: X× 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 NOTE: X× 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~I21 KbLI:I VI:I) 'ciDalitv of Anchorage NOV 2 1991 ' Environmental Services Divisi E ........... 825 L Street, Room 502 · Anchorage, Alaska 995 ( ) - Legal Description: jq/~ OU ~-("~II'J Health Authority Approval .Checklist A. WELL DATA Well type Log present~~N) Total depth ~,~ Sanitary seal (Y/N) if A, 13, or C, attach ADEC letter. ADEC water system number _ Ftc~ Date completed _ Cased to _ ~ t & FROM WELL LOG Date of test __ r'~ .-[/- r~ct, Static water level ~ ~ ~ ' Well production Casing height (above ground) Wires properly protected (Y/N) g.p.m. AT INSPECTION WATER SAMPLE RESULTS: Coliform _ ~ Date of sample: I \- ~ ~ '-ct Nitrate ¢2~,/9 n, ~'/L_ Other bacteria Collected by:_ A.C, Cs. B. SEPTIC/HOLDING TANK DATA Date installed_ ~\~\6.~¢'ts Tanksize I~SO Foundation cleanout/~N) 76~--~"~/~' e/¢ Depression (Y~ ~ Date of Pumping ~ /~ Pumper ~ ~'C Number of Compartments _ ,~ Cleanouts ~'4) / High water alarm ~,,1) _ ~'~ ' - '- (~,~ System type ~1~ Date installed ~ Soil rating ~or ff~/bdrm) _ ~' Length _ ~E~ Width ~ ' Gravel thickness below pipe ~ lbtal depth ~- Monitoring Tube present ~)~ . Depression over field (Y/~ Effective absorption area _ Date of adequacy test ~/~ .~ Results (Pass/Fail) ~ For 'T~ bedrooms Fluid depth in absorption field before test (in.); ~/~ Immediately after~¢(~ (in.): ~ gal. water added Fluid depth _¢J/~ (ins) Minutes later:__ Peroxide treatment (past 12 months) (Y/N) . ~J/J~' Absorption rate =_ If yes, give date g.p.d. 72-026 (Rev, 3/96)* MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date ~'c'/ ~ /? g'? GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property Owner ~'a~ ~x~ Em~ Telephone: Home Mailing Address ~.O, ~o~ (O7o I ~ 2 ~ c4~r~ (c) (d) Business 7ot~. Lending Institution //'s/' ~-n/#r.c~f¢ /3~4/~ Telephone Mailing Address ~.0 , ~o~ to ?o z ~.,, ~c~or~ ~9~ Real Estate Company and Agent ~ ~ ~oc~ Address ~O o 7 ~[~ ~'~ ~W / ~ Telephone (e) Mail the HAA to the followina address: or: Check here r~, if hold for pick up. List contact person and day phone number below· TYPE OF RESIDENCE Single-Family [] Number of Bedrooms WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community weft system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite [] Public [] Community [] Holding Tank [] Note: if community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 IRev 8/86~ Fronl Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown belt;w, I verify that my investigation of this Health Authority'Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. -~ Name of Firm /::f'cz¢'~ 'F~cA,~;e¢4{ ~'~:--,' Telephone 2' ~/~ -/3~ Date ¢0/ ~ 1~7 .~t&r~ ~r's Seal · ~w~ -,, ,,, .~¢~ DHHS APPROVAL Approved for "~A'-'-~o/"~%edrooms by ,/'~"~"-, "~' "~~ Date Approved ~ Disapproved Conditional Terms of Conditional Approval CAUTION 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. ']'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 the professional engineer's work. Page 2 of 2 72-025 fray 8/861 Back MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4744 Legal Description: & 11~ WELL DATA Well Classification Well Log Present (Y/N) If A, B, C, D.E.C. Approved (Y/N) Date Completed -? / t// ?¢ Yield Depth of Grouting N,/~. Pump Set At ::~ 1'7 ¥¢ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) Cased to '8_ I 4¢ ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on ;Date Total Depth Static Water Level Casing Height Above Ground I, 6- ~ Electrical Wiring in Conduit (Y/N) __ Separation Distances from Well: To Septic/Holding -rank on Lot 9 '~ ' ~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole N, .~ Water Sample Collected by _ -rFtl Water Sample Test Results ~¢,¢~$~¢.~d~?, - Comments_ /~ ¢..¢.c,¢._ B. SEPTIC/HOLDING TANK DATA IO / /~"1 72_ Size Date Installed Standpipes (Y/N) F Air-tight Caps (Y/N) Depression over Tank (Y/N) h' Pumping/Maintenance Contract on File (Y/N) ,~, .'~, Holding Tank High-Water Alarm (Y/N) ~"~, Separation Distances from Septic/Holding Tank: To Water-Supply Well ¢ ''~' flr¢.,~ ~, o, To Property Line "(~" To Water Main/Service Line _ /4, ,4. No. of Compartments Foundation Cleanout (Y/N) Y Date Last Pumped ,¢///~' / ; for N, Temporary Holding Tank Permit (Y/N) To Building Foundation '~ ' To Disposal Field 5' ' To Stream, Pond, Lake, or Major Drainage Course ,~ ,,~.,¢ t Comments Page 1 of 2 72 0261Rev 886~ Fronl C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed IO / /~' / 7? Width of Field .3 ~" Type of System Design _ Length of Field Depth of Field Gravel Bed Thickness Square Feet of Absorption Area Depression over Field (Y/N) N Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well :> too To Building Foundation ~' Lot N, ,4. To Water Main/Service Line ~,,~. To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Standpipes Present (Y/N) _ Date of Last Adequacy Test _ ~//¥ To Prope~y Line _ lO To Existing or Abandoned System on ; On Adjoining Lots > Z¢ ' To Cutbank (if present) N,Z, D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments Page 2 of 2 72-026 IRev 8/861 Back ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ '~' ~ Date ~//~/~¢ 7 Company ,I:'(~/-¢-~/~ ~¢,A ~ MOA No. ~7 ~8 Receipt No. ~ ~ ~/~' 0 ~ O/ Date of Payment ./~ ~ ~ F ~ ~-" ~ ~ 6~) . ~ -~.~.~ %-/.- ~¢ Engineer's Seal P.O. B t96650 A&unicip ..itY ANCHORAGE, ALASKA 99519-6650 O~ (907) 343-4200 Ancb. orage MA YOFf DEPARTMENT OF HEALTH & HUMAN SERVICES October 12, 1987 Ted Moore, P.E Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Lot 11 Block 10 Mountain Park Estates #1 Waiver Request WR87-061 Dear Mr. Moore: Your request for a waiver of the 100 foot separation required between the septic tank and well on the' subject property has been granted. This distance has been waived to 95 feet. This waiver is based on your assessment that site conditions are such that the existing 95 foot well-to-septic tank separation adequately protects the well from contamination in this case. This waiver is valid for a three bedroom single family dwelling only. This waiver does not apply to future upgrades or enlargements of the septic system. sincerely, Stephen S. Morris civil Engineer On-site services cc Gus Andress, P.E. Manager, On-site and Water Quality Programs FLAT TECHNICAL CIVIL & ENVII/ONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS TIIEODORE F. MOORE, P.E. 0ctober 7, 1987 pH:(907) 345-1355 M.0.A. Dep't. of Itealth and !tuman Services P.0. Box 196650 Anchorage, AK 99519 RE: Lot 11, Block 10, Mountain Park Estates 14530 ECHO ST. ANCHORAGE, ALASKA 99516 Dear Sirs: By means of this letter I wish to request a waiver of the required 100 foot separation dS stance bet-ween a private well and a septic tank, down to 95 feet for the subject- lot. Copies of relevant backup documents are enclosed. The well was completed on 7/11/79, and according to the driller's log has a total depth of 218 feet' and a yield of 20 gpm. Water was first encountered at 207 feet, and the aquifer is overlain by several silty strata, between 2 & 47 feet and between 79 & 135 feet'. The well is located near the top of a small knoll, and the house is situated between the well and the septic tank. On September 14, I conducted a flow test of the well. The initial static water level was 172 feet below the top of the casing, and steady pumping of over 900 gallons at 7.1 gpm caused the water level to be drawn down to 174 feet, but no further. Water samples taken on September 9 were satisfactory, showing no coliform colonies and 1.1 mg/1 Nitrate-N. The septic tank was installed on 10/15/79, and according to the as-built report' is a 1000 gallon, 2 compartment Greet tank. The approved as-built indicates the tank to be located 97 feet from the well. The soils log prepared in 1978 indicates the surficial soil to be slightly silty sandy grave], with no ground- water encountered to 16 feet. On September 14 I measured the horizontal separation distance between the well and the septic tank c.o. to be 97 feet; hence this waiver request for 95 feet is to allow for tank protruberance beyond the c.o. It is my opinion that the requested waiver can be granted without risk. Please give me a cai] if you have any questions. r~ ~ .'t t,~.,tl~:,' ""~.' 1~ P .......................... g Ted Moore, P.E. 061 7 987 RECEIVED MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION Z~ ~ = tO0' F~clusion Note: It is the responsibility of the cx~er to determine the existence of any eas~mnts, c~venants, or restrictions which de not appear on the recorded subdivision plat. Under no circumstances should any data t~reon be used for construction or for establishing hoondary or fence li~s. Dated at Anchorage, Alaska, this /~L day of CONI~CTING ~G~m~S & 8220 Briarwood Street Anchorage, Alask~ 99502 ASBUILT INSPECTION APPOINTMENTS TIME TIME TIME D--~,TE :3ATE DATE NSPECTOR INSPECTOR INSPECTOR DEP'[. OF HEALTH & MUNICIPALITY OF ANCHORAGE - PROCECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONENVIRONMEN~At'  825 L Street-Anchorage, Alaska 99501 N0~ ~ 6 1979 ( ) ENVi RONMENTAL SANITATION DIVIS'ON RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: CompLete all parts on page 1. Incomplate requests will not be processed. Please allow ten (10) davs for processing. 1. PROPEB~.O~NER PROPERTY RESIDENT (If different from above) PHONE ~ BUYER ~AI LING ADDRESS PHONE I PHONE ~. ~EALTOR/AGENT MAI LING ADDR ESS 5. LEGALDESCRIPTION ///~ ~' ~TREET LOCATION 6. TYPE OF RES DENCE [~'~GLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five [~]....~T~hr e e [] Six [] Other 7. WATER SUPPL~¥,- [Z;~-"'~DIVI DUAL* [] COMMUNITY [] PtJBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 197,5. For wells drilled prior to that date, give well depth (attach log if available.) · 8, SEWAGE DISP/OSAL SYSTEM ~ 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. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] OTHER [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or []Holding Tank Size /'(~)O~) If Tank is homemad~ give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line INSTALLER SOILS RATING MATERIAL Septic/Holding Tank Absorption Area ISewer Line JNearest Lot Line 5. COMMENTS DATE ' [~' APPROVED FOR ~ BEDROOMS [~ CQNDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~~, 72-010 (Rev. 6/79) No~ep, ber?, ~979 8420 w,liwa Circle f~chorle, Alaska 99504 ~ul:,.Je-: LOt tl ].3100~ 10 Mountain ?az'k .Appr/a! for,YOU~- individual sewer ano. water ~ac...,!l~z,:~,~, oan ot be grantc~d until kite :~oilo'~¢i.~g items have co~n?Dtod: (1) A wel3~ ].oq submittod to this department. · ..~ {~ater ana],vsis report b~ delivered t.o this office the:co are any ~urther quflst;l, ons~ please c~c, ntaoi; ~his off;t.ce a't 264-,4720. Robert Co Prater, R~S A~,~soc J.ate Speciali.qt cci Alaska b~nk o~ Conm~erce 3230 C Street 99503