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Home My WebLink AboutMOUNTAIN PARK ESTATES #2 BLK 4 LT 14 E:,EF'RF-.';T['IEN'f' ,L~i":' HERLTH RN[:, ENV I R. ONMENTRL ,~'ROTECT I ON ':'":'.~ '" [_ "' STREET, RNC:HORRGE., LnT_,':' I ZE i'~mC~OA S :)LIRRE FEE]' TYF'E OF' SOIL RE:SGRF'TION SYSTEM IS: 'i"RENL:FI .. .~:" SOIL RRTING ,',=,T., FT,.."E:F.:':,= MRXTMUM NLIM..,EF. OF BEDF.'.f",]M'r-; = ~: -- . THE RP'f-] IRED 5I,-"~ OF THE SOIL RBSORPTION. :,.rzlEIt IS: 260 .... . - ..., - 21[. [:. E F' l- 14 :=-~ :!_ 2 L E ~'-.~ r.~ "f' H == 4 ~Z'~ i_~ F. R . E L [:. E P 7' H == THE LEN. G'TH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE [.',ISTRNCE BETWEEN THE SURFFtCE OF THE GROLIN[.', RND THE BOTTOM OF THE EY,'CRVRTION (IN FEET). THERE I'.:.; NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF' GRR'v'EL BETWEEN ]'HE OUTFRLL PIPE RND THE BOTTOM OF THE EXCR',/RTION (IN FEET). PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTFIL. LRTION INSPECTIONS OF RNY WELLS BDJRCENT TO THIS PROPERTY RN[:, THE NUMBER OF RESIDENCES THRT 'THE WELL WILL SERVE. ........ ''[" [t'''!l C" ":''. ~'--:' --'':" 1' t'''1 :' F E --" I ]:' L" i''"l --:" R F: E F' E "''~ L Z F': E [:" ,- ......... ' '"' '- E:Y E, NL.F..FILLIN= OF FINY SYSTEM WITHOUT FINRL INSPECTIC'~N-._SN[:, HPP~L,ML THIS [:,EPRF.'.TMEN]' 14ILL BE SUBJEF:T TO F'F.'ZSECUTION. MINIMUM DIS'FRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR B PRIVATE WELL OR t50 TO :--'00 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYF'E OF PUBLIC WELL. MINIMUM [:,ISTRNCE FROM R PRIVFt"FE WELL TO R PRIVRTE SEI.4ER LINE IS 25 FEET FIND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RN[:, CONSTRUCTION DIRGRRMS RRE R',,,'RILRBLE TO INSURE PROPER INSTRLLRTION. I C:ERTIFY THRT ±: i AH FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIF'RLITY OF RNCHORRGE. 2: I WILL INSTFtLL THE SYSTEM IN RCCORDRNCE 1.4ITH THE CODES. 3: I UNDERSTFIND THFIT THE ON-SITE SEI4ER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ]: BEDROOMS. : .......... SIGNED ~PPLIC~RNT r'lI~ SCHRKLE F'ERMI T NO, DEPFtRTMENT .~," HERLTH FIND ENVIF.:ONMENTRL . ~L TEUTION ~-'"~'~ '"L" _-,TF..EET., RN-:Hr~F:RGE., FIK. HF F I .... HNT LOCFtT I ON LEGFII_ LEP.IIS; C: FEF..RH.LT LUPI NE ROR[:, SEI...IEF: iJ F" E-.'~ F." R E-', E F"EF..:iF-1 I T L 14. B 4 MT, PRRK ESTRTES ~2 ':' '~' 72100 SQI.IRRE FEE'r LOT _,I.-E T'¢F'E FIF :,l_IL RE:SCIRF'TZON SYSTEM IS: TRENCH MRNIMUM NUMBER OF BEDROOM 3: SOIL RATING (SQ FT,-'BR>= D. EPTFI= ~ t__E~-~,aTH-- ~ ,~F:fq · EL THE LENGTH DIMENSION IS THE LENGTH (IN FEET) L'iF THE TF..EN_.H ER DRRINFIELC,. THE DEPTH OF Ft TRENCH OF: PIT IS THE B, ISTRNCE E:ETNEEN THE SUF.:FRCE OF THE 6F.:OUN[:, RND THE E:OTTOM OF 'THE EXCFIVRTION ,.'.'IN FEET.'.,. ~ ~¢ THERE Ii-', NO SET PJIE:,TH FOR TF.'.ENCHES. ~,~'~ ~ THE GRFIVEL [:,EF'TH IS THE MINIMUM DEPTH OF uRR'dEL~ BETH~EN . ~_~t~iIE OUTFRLL PIPE RN[:, THE BOTTOM E,F THE EF. CRVRTIOI'4 (IN FEET>. /,~ . PERMTT RF'PLICRNT HRS THE F~.SF'O[~E~"IT'¢ TO INFOP..M THI'.:, DEPRRTMEN~ I'.,U~.]~NI_~ THE INSTFtLLRTZFq. J tNSF'EE:TIONS OF RN'¢ H~,L_J~.S RD.3RCENT TO TH~S PROPEF.'.T'¢ RN£:, THE NUMBER OF RESIE:,ENCES THRT THE HELL t.4ILL SEF.?,,,'E. :I: I'-,tSPEC:T :[ C,t'-.tS l-3t~:E F:E ~L:".~L! :[ I~'EE:. E:RC:kFILLING 0~.i ¢'~ '= '" ' ;,~Nm:--~¢:,TEM WITHOUT FINRL INSPECTION RND RF'F'ROVRL B'¢ THI=, [:,EF'RF.'.TMENT PJ ILL; E E.; q tBJEF:T .~T~q PROSECUT I ON. MINIMUM DI=,TPINE. E BETHEEN H HELL MN[:, HN% uN-z, ITE =,EURt~E [.I_,Pu_,HL _.,~_,TEH !00 FEET FOR R PRIVRTE WELL OR t50 TO ~¢ F~T FF.:OM R PUBLIC [4ELL [:,EF'EN[:,INL~ IJF'ON THE T'¢F'E OF PUBLIC [,JELL_. MINIMUM DISTFINL-:E FROM FI PF.:I',,,'FITE HELL TO R F~'¢R~FE L~JEF.'. LINE IL-q ;~5 FEET RNC, TO R C:OMMUNIT"r' SEHER LINE IS 75 FEET. O"rHER REQUIREMENTS MFI'¢ RPF'L¥. SPECIFTCRTIONS FIND ~Z~INSTRUE:TTON DIFILJRFIMS lIRE RVFI]:LRBLE TO IN~URE FF..LPEF.. IN'=;TFILLRTIOI'.L ~- ~ ~ ~_ _. 2!_ "-~ .,c=: ~--:l F"EF-.'~'-I :]: T E::<F' I F,E_ BEC:Er-IE:EF: - - - I E:ER"rlFY THRT ~..,~, ~ ;. _-,ENEF._, RND t14ELLS RS SET ±: I RM FRMILIRF.'. 1.4I~ T~F.:E-[:-IUIF.~tENTS FOR ,IN-SITE '- "= FOF.:TH E:'T' THE MUNTCIPRLIT~r' OF-~RN~,~F.'.R6E. 2: I HILL INSTRLL '['HE SYSTEM IN"'~'CC:ORr:,RNC:E 14ITH THE COC, ESi. 2: I UNE:,EF.:STRND THFtT THE ON-SITE =,EUER S~'STEM MFt'¢ F.:Et-h.._IF.:E ENLRRQEMENT IF THE RESIE'.,EN_-E IS F.:EMODELED Tn INC:LUDE MORE THRN 2: BEDR00r,lS. ISSUED ·,., DEPRRTMENT OF-.HERLTH RN[:, ENV I RONMENTRL ~'-~OTEC. T IAN -... o-:.,~ "E STREET., RNCHORROE, RE. ~'~ ' '" , 264-4720 ERMI NO. < LOC TION TYPE OF SOIL RBSORPTION _,r_T,-M IS ~ MFIXIMUM NUMBER OF BEDROOMS = ~, SOIL ~RTING ,,'$~ :FT,,'BR)= THE REQUIRED SIZE OF THE SOIL RBSORPTION _,9_TEM IS: [:,CF"TH= ¢ b FI'-~,3TH = ~ GRR'-,-'EL E:,EPTH= THE LENGTH DIMENSIO~W'IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TREp[CH O~;,PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR T~:ENCHES. THE GRRVEL DEPTH IS THE MINIMI..tM/;;DEPTH OF GRRVEL BETWEEN THE OLITFRLL PIPE RND THE BOTTOM OF THE E×CRVRTION (IN FEET). REQ~J I RED- SEF'T I C TRI"~~I<; PERMIT RPPLIC~NT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTIdENT DURING THE INSTRLLRTION INSPEOTIONS OF RNtr' WELLS RDJRCENT TO TH,~S~ PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL BY THIS TI...~Ci.;'r ~"2 .") ~/ l' I'-,i__'SPECT 1' Of-iS f-IRE BRCKFILLING OF RN;:P-'~YSCE!~W,~THOUT FINRL INSPECTION RND RPPR¢~/RL DEPRRTMENT WIlL BE *ROSE,:UTIO.. ...' MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR 8 PF.'.IVRTE NELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC: WELL. MINIMUM DISTRNCE FF.'.OM R PRIVRTE WELL TO R PRIVRTE SEWER LINE TO 8 COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REq~UIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS OF THE WELL COMPLE, T ION. OTHER REQUIREMEN~:S MRY; RPBLY SF'EC:I.~ICRTIONS RNQ CONSTRUCTION DIRGRRMS ~RE AVA Z LADLE TO J NSi'~,RE P~'OPE~: ![IS?TALLAT~'Z PERfd IT E~(PI E:ES DECEMBER I CERTIFY THRT ±: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL' THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~' I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. OGRE ..2R ANCHORAGE AREA BO , , GH Department of Environmental Oualit¥ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME .~A.L,,-~_~.._ ("t'--~/ '/~,¢~/q',/IAILING ADDRESS 'S~-~a~ SEPTIC TANK: DISTANCE FROM WELL ~'"1~' (-~-~(;q-~MANUFACTURER INSIDE LENGTH INSIDE WIDTH TILE DRAIN FIELD: DISTANCE FROM WELL ~ (A-t~_CbUNDATION NUMBER OF LINES DISTANCE BETWEEN LINES ABSORPTION AREA ? ~'C~ SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE TOTAL LENGTH NEAREST LOT LINE''h¢-~)~° OF LINES TRENCH WIDTH' I~ TOTAL EFFECTIVE MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: TYPE ~ ~L-k ~-~'4] CONSTRUCTION BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE__ SEWER LINE--, TANK-- CESSPOOl OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH SEEPAGE SYSTEM_ DISTANCE FROM: DISTANCES: INSTALLED BY: SEWER LINE DEPTH: ~"~-- DIAGRAM OF SYSTEM GRE'~' "-:R ANCHORAGE AREA BOi 'UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 I 0_~ u(_q ~ERmIT NO. ~ SEWAGE DISPOSAL 'SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION '~*~/"c'-,~)//?~ f ~-~ "'~'~ INSTALLATION OF: ~SEP:I:I~--T-ANI~~ -~ SEEPAGE PIT _, DRAIN FIELD FINANCED THROUGH ~'~ TO BE INSTALLED BY ~,~/~/~//F' COMPLETION gATE ANTICIPATES ~2//// /~ /~J~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 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. SEPTIC- TAN K~SI Z e TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE ~r? ~' DRAIN FIELD SEPTIC TANK , ., SEEPAGE PIT' t~' DRAIN FIELD gRAIN FIELD / (%"(/ r ALSO CON~IDER AREA WELL~, SEPTIC TANK, /(jt_D" , SEEPAGE PI~ /(?-(J , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. SEEPAGE AREA SIZE ~,~__,~2-?"..) TYPE DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER~ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-6B AND THAT THE ABOVE R&M ,ENGINEERING & GEOLOGICAL CONSULTANTS 229 EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090-35419 Civil Engineers Geologists Land Surveyors JAMES W. ROONEY, P. E. MALCOLM A, MENZIES, P.E., L.S, JAMES H. WELLMANo P.E. ALI6 ': 6 1974 RALPH R. MIGLIACClO Er~jlneerlng Geologist GRE,-,~'ER ANCEIORAGE AREA BOROUGH DJ:pT. OF Eh, FNTAL QUALITY August 8, 1974 R & M No 462063 Mr. Sigvald Stranberg 3766 Arctic Blvd. Anchorage, Alaska 99503 Re: Test Hole and Soil Log Report for Sanitary System Lot 14 Block 4 Mountain Park Estates #2 Dear Mr. Stranberg: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of August 7, 1974, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 14 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 14.0 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to Contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS, INC. JWR:kd Xc: GAAB NOTE: 7-19-74 // 0.0' OR A ICS / SI T TRACE S~ND~ · (iM) S~,TY SANDS TRACE GRAVE, SILT, TRACE SANDAL) . SILTY SANDS TRACE GRAVEL (SM) s~ s~ ~VE~ (~) SILTY SANDS SOME GRAVEL (SM) 0.5' I .5' 3.5' 5.0' 7.0' 8.0' 11.0' 12.O' 14.0' NO WATER TABLE '~ Test hol~e excavated with tractor-mounted baCkhoe. Engineering· ~ Geological Consultants Inc. ANCHORAGE FAIRBANKS ALASKA JUNEAU 8-13-74 ISCALE 1"=2' IDw. BY BH SIGVALD STRANBERG PROPERTY LOG OF.TEST tt0LE ANCHORAGE, ALASKA ICHKD BY I~ED P~oJ. NO~6206 Dw~N~ / , ~b~'~ ,,~ ",,'~ ~ '~ /~. ~4-456Z PERMIT NO. ( ) LOCRTION LUPINE LEGRL L14 B4 MT PRRK EST LOT SIZE 2~i~ SQFT MINIMUM DISTRNCE FROM WELL TO 8N9 SEPTIC TRNK/PRCKRGE PLRNT OR SOIL RBSORPTION SgSTEM IS tE~B FT FOR ~ PRIVRTE WELL 8ND 28~ FT FOR 8 PUBLIC WELL. WELL LOGS MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~ DR~S OF THE WELL COMPLET I ON. SPECIFICRTIONS 8ND CONSTRUCTION DI8GRRMS RRE 8VRILRBLE TO INSURE PROPER I NSTRLLRT I ON. I CERTIFY THfiT I BM FfMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RIND WELLS RS SET FORTH BY THE MUNICIPRLITY OF 8NCHOR~GE ~ND WILL INST8LL IN 8CCORDBNCE WITH THE IZ:~ ,., ~~ : ........... GA~{Y LEWIS 0-3 top soi~,l 3-11 sand&gravel. ~11~31 gravel. 31-49 rocks ' .~.,,:.49-84 gravel&sand ??~84-106 sand q..'~!~lO 6-- lO 7 s 3,nd &gr ave 1 107-117 clay ll'/-160 gravel 160-~80 rock&sand& gravel 180-205 sand 2-, 205-208 clay ~ -?~208-210 s~d&grav$/ Parcel I.D. # 1. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environrnental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 017-023-'t4 GENERALINFORMATION Completelegaldescription Lot 14~ Block 4, Mountain Park Estates Location (site address or directions) 131 21 Lupine Drive Property owner Mailing address Lending agency Mailing address Agent Address Samuel Johnson Day phone 13121 Lupine Drive Anchoraqe,, AK 99515 Day phone Ron Loomis Day phone 345-5052 Unless otherwise requested, HAA will be held for pickup. NUI~/IBER OF BEDROONIS: Three (3) TYPE OF WATER SUPPLY: Individual well 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. xx 72-025 (Rev. 1/91) Front MOA~21 o STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that rny 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, lfurtherverifythatbasedontheinformationobtainedfrom 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 Anderson Engineering Phone 522-7773 Address P.o. Box 240773 Anchorage, AK 99524 Engineer's signature /...,~c(~¢,~L- -~., Date 7/18/98 DHHS SIGNATURE ~ Approved for \ ~\ ?~,~ ~- Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: 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 DH HS 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 enginee¢s work. 72-025 (Rev. 1/91) ~ack MOA #21 Municipality of Anchorage ~ DEPARTMENT OF HEALTH & HUMAN sERvIcESR E (~ E IV E Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 34~FJ~_?zL~0 1998 Legal Description: Lot 1 4, A. WELL DATA Well type Private Log present (Y/N) Y Total depth 21 0 ' Sanitary seal (Y/N) Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 Date of. sample: 6/26/98 B, SEPTIC/HOLDING TANK DATA Date installed 1 975 Foundation cleanout (Y/N) Date of Pumping 7 / 3 ! 98 C. ABSORPTION FIELD DATA 1975 Date installed Upgrade ' 82 Length 84 ' .Width Health Authority Approval Checklist Block 4, Mountain Park Parcel I.D.: Estates~ Municipality of Anchorage Dept. Health & Human Services 017-023-14 If A, B, or Cl attach ADEC letter. ADEC water system number Date completed 1 975 Cased to > 40 ' Casing height (above ground) Y Wires properly protected (Y/N) FROM WELL LOG 11/75 g.p.m. AT INSPECTION 6/28/9.8 Unknown 1.2 176' 4.0 Nitrate I. 69 mg/L Other bacteria Collected by: A. Harala g.p.m. Tank size 1 , 000 Number of compartments 2 Cleanouts (Y/N) _ Y Depression (Y/N) N High water alarm (Y/N) N Pumper Roto-Rno~_r Soil rating (g.p.d./fForft2/bdrm) 259 SF 2 ' Gravel thickness below pipe 10 ' Effective absorption area 1 ~ 6Rn ,qw Monitoring Tube present (y/N) y Date of adequacy test 6/28/98 Results (Pass/Fail) Pass Fluid depth in absorption field before test (in.); 69 ' Fluid depth 72 (ins) Minutes later:. 19 Hrs Peroxide treatment (past 12 months) (y/N) N 72-026 (Rev. 3/96)* System type ~ Total depth 16 ' · Depression over field (Y/N) M For 3 .bedrooms Immediately after 466 gal. water added (in.): 88 Absorption rate = 450 g.p,d, If yes, give date D. LIFT STATION - None on Lot Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 95 ' *** Absorption field on lot > 100 ' Public sewer main Miles Sewer/septic service line > 1 0 ' Property line Size in gallons "Pump on" level at* *Datum "Pump off" level at* HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Waiver Foundation > 5 ' Property line > 5 ' Absorption field > 5 ' Water main/service line > 10 ' Surface water/drainage > 100 ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: > 1 0 ' Building foundation > 1 0 ' Lot See Separation Surface water > 100 ' Curtain drain None on Lot F, ENGINEER'S CERTIFICATION Distance Wells on adjacent lots > 1 0 0 ' Water main/service line > 1 0 ' Driveway, parking/vehicle storage area Wells on adjacent lots > 1 0 0 ' ! certify that I have determined thru field inspections and review in conformance with MOA HAA guidelines in effect on this date. Signature ~'~/~r>~c~' ~ ~(-~ Engineer's Name Michael E. Ander.q~n r P - ~''- Date 7/1 8/98 On adjacent lots > 1 00 ' On adjacent lots > 100 ' Public sewer manhole/cleanout Lift station None on >5' Waiver Fee $ Date of Payment Receipt Number Miles Rick Mystrom, Mayor Department of Hea~th and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http:ffwww.ci.anchorage.ak.us August 3, 1998 Michael E. Anderson, P.E. PO Box 240773 Anchorage, AK 99524 Subject: Waiver Request for Mt. Park Estates #2 Block 4, Lot 14 Waiver Request #WR980039, PID #017 023 14 Health Authority #HA980t92 Dear Mr. Anderson: Your request for a xvaiver of the required 100 foot horizontal separation from the septic tank to a private xvell has been approved. The approved separation distance is 95.0 feet. This waiver approval applies to the existing septic tank to private well separation only. Any future upgrade to the on-site wastewater disposal system 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, Civil Engineer On-Site Water Quality Program '~-~ MUNICIPALITY OF ANCHORA~j Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ WR980039 PID# 017-023-14 HA# HA980192 Permit Date Received: July 21, 1998 Legal Description: Lot 14 Block 4 Mountain Park Estates #2 Engineer: Michael E. Anderson, p.E., Anderson Engineering PO Box 240773~ Anchorage, Alaska 99524 Applicant: Samuel Johnson~ Waiver Requested: Private well tol~the on-site septic tank of 95 feet Criteria: 1. Geology: Points: A. Water Table -~. ~ B. Soil Sorption ~. ~ C. Permeability O. ~ D. Water Table Gradient ~-~ E. Horizontal Separation ~-~ TOTAL: ~. ~ 2. Special Conditions: 3. Other: ! Waiver is Granted: ~ List Conditions or ReaJons for abo~ Date: ~-g.g~ Rec #: 03786/331 03787/3332 Amount: $ Mt. Park Estates #2 Lot 14, Block 4 Waiver for 95 feet from existing tank to existing well. Issued August 3, 1998 General The septic tank is located at a lower level than the well by 5 feet. The nitrate sample taken from the subject well is 1.69 mg/I. Well The well was installed in 1975 at a total depth of 210 feet. The static water level is 176 feet. The well is cased to a depth greater than 40 feet. There is a 10' clay layer at 107'. Septic Tank The septic tank was also installed in 1975 and is a 1,000 gal concrete tank with jet aeration which is no longer in operation. ADEC Point Calculations Points Values Water Table 7.3 June 28, 1998 176 Bottom of system to static water level Soil Sorption 1.1 155 ft. points for % of strata points for strata type total strata gravel 71 ft. 0 46% - sand 74 ft. 1.5 48% 0.72 clay 10 ft. 6 6% 0.39 Permeability 0.7 gravel 71 ft. 0 46% sand 74 ft. 1 48% 0.48 clay 10 ft. 3 6% 0.19 Water Table Gradient 4.6 Horizontal Separation 2.8 Total Points 15.3 Vertical Separation 5 ft. Horizontal Separation 95 ft. 5.3 % 95 ft. As per ADEC waiver guidelines a point value of 15.3 is not possible to result in bacteriological pollution but chemical pollution is possible although unlikely from household chemicals. July 18, 1998 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 RECEIVED dUL 2O 1998 Municipality of Anchorage Dept. Health & Human Servicee Subject: Lot 14, Block 4, Mountain Park Estates Subdivision Separation Distance Waiver Septic Tank to Well Dear On Site Services Engineer: The well on the subject lot is located 96' from the septic tank cleanout and approximately 95' from the body of the tank. A separation distance waiver is therefore required from the 100' separation distance mandated by Municipal Oridinance. We are hereby requesting a waiver be issued allowing the septic tank to continue to function within the 100' protective radius of the well. The septic system was constructed in late 1975 and the well was installed in November of 1975. An apparent mismeasurement resulted in the well to be placed too close to the tank. The septic system as-built along with Health Authority Approval Certifications issued since that time make no mention of the encroachment within the radius. Water quality tests performed since 1975 revealed no coliform or other bacteria and only minute amounts of nitrates. Well water was not affected by the location of the septic tank. The well is located approximately 5' upslope from the septic tank. The total depth of the well is 210' with casing thought to extend the entire depth of the well. The well Icg indicates soils at the site include gravel and sands with a 10' lense of clay at a depth of 107'. The presence of clay normally indicates a very tight soil which would prevent effluent from the septic tank to migrate to the aquifer serving the well. Static water was recently found in the well at the 176' level. Contamination appears highly unlikely. Lot 14, Block 4, Mountain Park Estates July 18, 1998 Page Two A recent water sample taken from the well again indicated the absence of coliform and other bacteria. A minor amount of nitrate (1.69 rog/L) was found, but well below the acceptable amount for human consumption. Obviously the effluent from the septic tank is not causing any contamination to the water produced in the well. The overwhelming argument to grant the separation waiver to 95' is the fact the well water is not showing any significant sign of nitrate content. The tightness of the soil surrounding the well and the current separation distance of 95' is adequate to prevent any contamination from the absorption trench. I therefore recommend the waiver of the separation distance to 95' be granted in this instance. Sincerely, Michael E. Anderson, P.E. Attachment 7~''~-' ' -" ,, iNSPECTiON APPOi NTM ENTS(~0x~ ~,~b , DA~r~ RECEIVED TIME TIME DATE DATE ~U~(CIPALI~ OF ANCHORAGE MUNICIPALITY OF ANCHORAGE / DEPT. OF H~ALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~iRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 Dl~fiClIO~$: Gomolete all parts on parle 1. In~omplot~ mqu*sts ~ill not b~ pro~oss*d. Please allow ten {10} da~s [or 0rocessin~. PROPERTY RESIDENT (If different from above) ) . / PHONE PHONE MAILI~DDRESS 3. LE~I~INSTITUTION MAI LIN~DDRESS ~ PHONE 5. LEGAL DESCRIPTION STREET LOCATI~ON 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS .[~ SINGLE FAMILY [] MULTIPLE FAMILY [] One [] Four [] Two [] Five E~ Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY * 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 INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MIDST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ~-o,o,,:,ev.~,~) >~¢~,~. ,~? t;~ ~ ~ ~ ~ ~ ~ THIS SIDE FOR OFFICIAL USE ONLY 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 []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 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~J~'~ISAPPROV ED .~% _ 72-010 (Rev. 6/79) 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-411.1 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION October 27, 1980 Lewis C./Shirley B. Perrault Star Route A Box 378~Z Anchorage, Alaska 99507 Subject: Lot 14 Block 4 Mountain Park Estates Subdivision #2 Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. (2) (3) (4) The septic tank pumped with a receipt submitted to this office. An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this department for review. A maintenance contract on the jet unit needs,-to be obtained and submitted to this office. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw ANCHORAGE CESSPOOL PUMPING Star Route A, Box 144 ANCHORAGE, ALASKA 99502 Phone 344-2632 or 344-2453 Rte Products !. kGE TREATMENT PLANTS ~687 - PHONE 376-5919 Service Policy ~e date of acceptance. -~'-~:'7 ~ Concrete Products agrees to perform the nt at the above address twice a year. These inspections r SERVICE i', cleaning of aerator's shaft, field service of aeration 5843 .... rnp niedI of jnsp~-c~nZ ~ry of surface skimmer and/or tube setter. r, if there is access at time of inspection. ~ ~'C~..,:~t/~, ,._.~.0 /erflow for blockage (if applicable). /'/ ;tti'ng and overload protection, if there is access at time Inspection for sludge accumulation with arrangements for removal when build-up warrants removal. ~--,~.m~._% Concrete Products further agrees to the following: EMERGENCY SERVICE ® There will be no charge for emergency service calls. ® There will be no service or labor charges for removal or re-installation of aerator, if required. improper operation cannot be corrected at time of service, homeowner will be notified immed~ If and given estimated date of correction. ®-If improper operation cannot be corrected at time of service, the Department of 'Environmental Quality, GAAB, will also be notified. ® If necessary, the entire mechanical unit or any parts will be replaced according to the manufacturer's warranty program. Freight charges to the factory or to an unauthorized repair station and aerator repair charges are not covered under this agreement. Acceg~d for ~ s Concrele Products Date Date ANCHORAGE, A _ASKA 99501 (907) 2644111 GEOiPGN M. SU! LIV.aN, DEP,a, N3 ,"IL- N f OF !IL-AI.'I-Ii AND EF,!VIIIONM(:ix~FAL P.'-IOT[iC lION April 27, 1981 Lewis C./Shir].ey B. Perrault Star Route A Box 378-Z Anchorage, Alaska 99507 Subject: Lot 14 Block 4 Mountain Park Estates Subdivision ~2 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: The waLer analyis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. The septic tank pumped with a receipt submitted to this office° A maintenance contract needs to be submitted to this office on the Jet aerobic unit 'that is installed in the on-site sewer system. The company that the contract can be obtained from is: Consteel Company, 376-5919~ The cement cover to the Jet unit is in need of repair er replacement° Thls will need to be reinspected when it has been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, AlaSka 99503 274-4561 Date Received 6-28-76 Time of Inspection 9:30 a.m. Date of Inspection 6-28-76 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conventional Approval requested by: Gary A. Lewis Mailing Address: SRA Box 330-T Phone: 344-6241 2. prOperty Owner: Same Phone: Mailing Address: 3. Legal Description: Lot 14, Block 4, Mt. Park EStates #2 4. Location: Off Lupine Drive 5. Type of facility to be inspected Single Family No. of bedrooms 6, Well Data: A. Type Individual B. Depth 210 C. Construction D. Bacterial Analysis 7. Sewage Disposal System: Treatment Plant A. Installed ~i Nov ~ 1975 B. Installer C. Septic Tank: l. Size /~00~o~," 2. Manufacturer D. Seepage Pit: 1 Absorption Area 240 ! E. Disposal Field: Total length of lines 8. Distances: A. Wel'i to: Septic tank /dO 14", Absorption area , Sewer Lines ~, Nearest lot line ~l~ , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) page 1 of two pages Page 2 of two pages ~e~ it for Approval of Individual ~r & Water Facilities ~egal Description Lot 14, Block 4, Mt., Park Estates #2 Comments Approved /~/~~-/ Di,approved Date Approval Valid for one year from date signed Greater Anchorage Ar~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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 (1/74) 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 1. Type of Inspection: CMRO VA FHA 2. Property Owner: --~:-//~'~' /z~ ~, ~ ~-~/i ~' Mailing Address: - > Z't ('¢~:~ .>,5 ~:'~ ~- Day Phone: CONV ~'~ Mailing Address: Day Phone: Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: /,,'~ Location: Phone: Phone: Type of Facility to be Inspected: W_~/~/.~?//~ ::~ ~.~,~No. Bdrms. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well Individual ~//'~'J t"~/ Sewage Disposal System Type of System: Public Utility If Individual, date of installation /)V,~/ Individual (on-site) 72-003(3176)