HomeMy WebLinkAboutPOLLOCK HOMESTEAD BLK B LT 7Onsite File
Eiz
Municipality of Anchorage
On-Site Water and Wastewater Program ° (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP171122 PID Number: 017-112-41
Dwelling: ■❑ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New 0 Upgrade
Name:
GARY SMITH
ABSORPTION FIELD
❑ Deep Trench ❑Shallow Trench El Bed ❑Mound
Address
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
POLLOCK HOMESTEAD BLK B, LOT 7
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ft'
Ft.
Well
100'-}•
100'+
50'+
TANK ❑ Septic ❑9 S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ANCH TANK
Capacity
1250 Gal.
Surface Water
100'+
100'+
Material
Number of compartments
Lot Line
10'+
10'+
STEEL
2.0
NA
Foundation
10'+
10'+
LIFT STATION
Manufacturer
Capacity
Curtain Drain
UN
UN
ANCH TANK
1250 Gal.
Remarks
Pump on level at
36 in.
Pump off level atHigh
30 in.
water alarm at
42 in.
Pump make and model
PF 20
Electrical Inspection erforSned by
EXISTING 1' -7 "
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
Installer
MIKE N ANDERSON, P.E.
Drainfield 31134( CO/MT 3u3'4
Inspector MIKE N ANDERSON, P.E.
BENCH MARK (Assumed elevation) 101.2 ft
Inspeectio 1� 7-12-17 nd
Location and description
2
3'd 4th
DECK
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
En inee�rQs Stamp
C) k�-
Conditional Approval: Date
�� ✓ ° ° ° ° ° ° ° ° _ -�
0TH
aoo � °000a o0o ao o e o°��,
`'000
ta°
oc r,000°oaoo °
° MICHAEL N. ANDERSCN ° '
°.° CE 9469
Approved Q Date
ps�-�.,�
1 6 � W �tJ.•,
inspection Keport_y-i-iz.00c
Permit No. 0Sp171122 ^ Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 180650 Anchorage, A|ooko 98518-6050 Telephone: 343-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: p(}LLOCK HOMESTEAD BLK BLOT 7 PID No.: 017-112-41
TC01 10 29
TCO2 15 34
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August 14, 2017
Rising Son Electric Services LLC.
36784 EklUtD8 Lake Rd.
ChUgi8k,/\K99567
/907\622-6777
Re: 15300 Pollock Dr. Anchorage, AK 99516
Two whom it may concern:
The lift station at the above referenced address has been wired in accordance with
NEC and State/Local codes and is wired to the manufactures standards. Please
contact Dakota Keller with Risincr Son Electric Services LLC with any questions or
concerns at/9O7\622'6777'
Thank you for your business.
Sincerely,
Dakota Keller, Owner
Administrator License Number 1284
Specialty Contractor license Number 3O497
(907) 622-6777
so'" `„0 MUNICIPALITY OF ANCHORAGE
On-Site Water&Wastewater Program AlSOK
PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
http://www.muni.org/onsiteEir.
I> rrn ni
NCH oR PGE'
On-Site Wastewater Disposal System Permit
Permit Number: OSP171122 Effective Date: 6/13/2017
Work Type: SepticTank Upgrade Expiration Date: 6/13/2018
Tax Code Number: 01711241000
Site Legal Address: POLLOCK HOMESTEAD BLK B LT 7 G:3137
Site Mailing Address: 15300 POLLOCK DR, Anchorage
Owner: SMITH GARY T& Lot Size in Sq Ft: 23890
Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field El Septic Tank 0 Holding Tank 0 Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: Date: /I .f/? 7
Issued By: l'ate,('QQCkytt-6, Date: (o/(3/2o 17
•
•
MUNICIPALITY OF ANCHORAGE
'•, 1 tom`,
Community Development Department i Phone: 907-343-7904
Development Services Fax: 907- 343-7997
On-Site Water & Wastewater Program
Mayor Dan Sullivan
On-Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 017-112-41
Property owner(s) Gary& Kathleen Smith Day phone 677-2181
Mailing address 15300 Pollock Drive'Anchorage,AK 99516
Site address 15300 Pollock Drive'Anchorage,AK 99516
Legal description (Sub'd, Block& Lot ) Pollock Homestead; Block B, Lot 7
Legal description (Township, Section & Range)
Lot Size Sq.Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING:
(Nall that apply) Initial ❑ Single Family(SF)
Absorption Field ❑ (w/wo ADU)
Septic Tank ® Upgrade Z
Duplex (D) ❑
Renewal ❑
Holding Tank ❑ Multiple Dwellings ❑
Privy 0 (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR:
N/A Distance: -
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees: oS/:.l Waiver Fees:
Date of Payment: 49/5/? Date of Payment:
Receipt Number: /�,�0,3Qaa36 Receipt Number:
Permit No. (3SP/71129, Waiver No.
(Rev.01/11(
of j I. l tonic.
GARNESS ENGINEERING GROUPLtd .,tTs «Y. F•t•otment Sr.hem
CIVIL&ENVIRONMENTAL ENGINEERS ' Dealer
June 1, 2017
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Proposed Septic Tank Upgrade for Pollock Homestead; Block B, Lot 7
To whom it may concern:
The existing three bedroom house is served by a private well and septic system. The
existing septic tank and lift station are at the end of their useful life and need to be
upgraded. We are proposing to replace the existing tank and lift station with a 1,500
gallon deep burial STEP tank. The existing tank and lift station will be decommissioned
per UPC. See attached design drawing regarding the proposed tank location.
We are unaware of any adverse impacts this installation would have on adjacent wells
or septic systems. If you have any questions, please contact us at 337-6179. Thank
you for your assistance.
Sinc rely,
1
Jeffre .me , P.E., M.S.
Pres' e
3701 East Tudor Road,Suite 101 'Anchorage,Alaska 99507-1259
Phone: (907)337-6179*Fax: (907)338-3246*Website: www.gamessengineering.com
c 1
/
/
//
/
/
EXISTING SEPTIC TANK AND /
LIFT STATION TO BE /
DECOMMISSIONED PER UPC
PROPOSED 1500 GALLON .1121.110'UTIllY EASEMENT
DEEP BURIAL STEP TANK; - I
INSTALL DOUBLE I
CLEANOUTS BEFORE TANK. "NI 100'WELL RADIUS
BT2M,, S---- __� T1 ���� ~Dui&DBL2 i t./ 1
1
/ \ ..... \ \1/4\
/ \\ EXISTING 3 �\ EXISTING DRAINFIELD
y / \`\ :EDROOM HOME �\` �N.
J
1" /POLLOCK HOMESTEAD;X ; "- �'
8 1/ BLOCK B,LOT6 1 / �� -------------''7"'
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I
I 100'WELL RADIUb I y4 I U
I ''w .. I
I
I II 70, t ai.La I
I
11� -- ENT POLLOCK HOMESTEAD:
POLLOC,4( DRIVE // BLOCK B,LOT8
f
\��/ , V
�� �\ POLLOCK HOMESTEAD; �/ N
"'� � �•N BLOCK A,LOT 4 .-.
- SCALE:
1"=50'
..4010111111111 .n
ir
GARNESS ENGINEERING GROUP, 41
Ltd =• * 9 '�:•* ••
•
CIVIL&ENVIRONMENTAL ENGINEERS • •
370.E TUDOR ROAD SUITE tot'ANCHORAGE,AK 99507•PHONE(907)337-6179'FAX(907)336-3246'WEBSITE wn
'AWN garnessenymeenny an• •• •
. ••
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PREPARED FOR: PHONE NUMBER PAGE NUMBER: • ••••rz ff ! A. - ess . L.,•
KATHLEEN & GARY SMITH 677-2181 1 OF 2 •��,%' C -7 53 • .tal
PROJECT/LEGAL DESCRIPTION: DRAWN BY: �. ••.���/_�' �!..•'•(` �
POLLOCK HOMESTEAD; BLOCK B, LOT 7 L.K.B. �# s";1111 i' i•�•Q�, �+
TYPE OF WORK. DATE: f 1� E S1 44
DESIGN DRAWING 6/1/2017 aAlecceea r��� ����
i
/
/
/
/
DECK /
EXISTING SEPTIC TANK AND LIFT STATION 1/
TO BE DECOMMISSIONED PER UPC GREENHOUSE /
/
`� J
11
1
10'UTILITY EASEMENT
1
1
1
1
1 100'WELL RADIUS
PROPOSED 1500 GALLON DEEP MH 1'
BURIAL STEP TANK:INSTALL DOUBLE ST2st
I
I
CLEANOUTS BEFORE TANK. ---......, S=1
----- _ • 1
-- .' •
1
1
DBL1&DBL2 . 1
WO 1
1
oO ...
` 1 O
X N \
1
N.K EXISTING 3 N. \\
BEDROOM HOME �• \\ EXISTING GRAINFIELD
v
W \ •
° 11111111 \1\ • •
5 \\ '_L �`•
1 •
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1 1 N.
1 : .. - 1 .`
1
1
I -- 1
' ,:•. - 7p0 WELL RAOIUS f
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I 1
4€c)-
J
RIC 1
1 I 44 Pgs6 !� POLBLOOCK CK B,MOTTB AD:
paL1.oCK n
RANTQ/'
I VE
// SCALE:
/
/ 1"-30'
//
j �PTIC AREA
.��� �\
1111i1
44
.4 __________i Ai" 4 /0
GARNESS ENGINEERING GROUP, Ltd ,r' ) 4•
•
CIVIL&ENVIRONMENTAL ENGINEERS ; •
3701 E TUDOR ROAD.SUITE 101'ANCHORAGE.AK 99507'PHONE{907)337-5179•FAX 007;336.3246'WEBSITE,www 9arnesseng.neenng coni VITIlmr< •E •
: !,_0
PREPARED FOR: PHONE NUMBER- PAGE NUMBER: I A - • Gar ess•;:J•
KATHLEEN & GARY SMITH 677-2181 2 OF 2 �.�• CE-79. j
PROJECT/LEGAL DESCRIPTION: DRAWN BY: *. •�•. \�
POLLOCK HOMESTEAD; BLOCK B, LOT 7 L.K.B. �1 ... .. •• •l''''...‹..,43,
:if
OF WORK: DATE. eLICENSE ESS‘.13:1�
DESIGN DRAWING 6/1/2017 #AECCB84 ��asus
Municipality of Anc, horage Page __ of --
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: . ~",,l~ ~ ¢¢ E)~ PID Number: ~l-J ii
Name: ~,-~¢N-O~ q~h-t~C'~'t' Wastewater System: D New ~ Upgrade
Addre,,: t~ ~O~O~L D'~v~' ~s,~ ABSORPTION FIELD
Phone: ~ ~.~_ ~,~ . ~ No. of B~oom~: ~ Deep Trench ~'Shallow Trench ~ Bed O Mound D Other
: - Total Depth from odglnal grade:
Lot: ~ B~ck:~O~Subdlvlsl°n:~E~ Depth~o.~ ~Pl~e~~b°tt°m Irgm original gr~de:p~ '~ Gravel depth~beneath~/;~pipe Ft~
Townshl~/~ Range:~¢.~/ ~ Section:. ,~[~/. Fill added above origlnal,~ grade: FL Gravel length~ [~ (
Numberof lines: Dislance~e0nllnes',
~~ · 0 New 0 Upgrade ~ Gravel depth', ~ ~'- Ft. ~ I ~ Ft~
SEPARATION.DISTANCES os~pt,o '~. ~.
From Tank ~leld Station Tank Sewer Lines
SurfaCewater ~/~ ' ~ LIFT STATION~~
CudainDrain ~/, ~I, ~¢ ~, ~ ~Pump M~el Electrical Inspections ,edormed~.. . . ~
Remarks: fE:X~A,-~ ~Oud~ ~ ~-- BEN.C'H ~ARK :
Locatlen and Description:
Inspections performed by: ~¢~~ Dates' 1st 5.
Department of Health and Human Serwces appdo~al "1/~:~-:]-- ....
Reviewed and approved by: /~ ~ Date: /~- / ~- ~
72-013 (1/91) MOA 25
I
/::db= 'Z6"-/o "'
i '"'-.,
qq .~'z +
Alaska Water 8c Wastewater
"Preserving the Last Frontier"
Services
C)eteber 11, 199,3
Municipality of Anchorage
Department of Health and Human Servh. ces
Division of Environmental Services
On-Site Services SerBian
P.O. Box 196650
Anchorage, A.taska 99519--6650
RECEIV D
OOT 1 3
M '
· tumcipali/y of An¢
Dept. Heal ~ o ,- ~°rage
Re'fi: Septh. c System As,,,.Built for Upgrade en Lot 7, B],ook B,
Pollock Homestead Subdivisien.
'fo whom it may concern:
Attacshed :i,s the as,'~buil ts dr-awings for the sub.jecL septic
system. As directed by DHHS we removed the old '?.rench and
~-ecanstrue~ed a new trench dipectly over- it:;. The design
calculations submitlsed previously assumed we would enooun~ec
soils s~i. milar to what the irlitial desh. gn was based upon;
hewever~ in the process of removing Lhe cor~Laminated soils
~,ge excava't,(~d down I;o a depth of apprex].mately 92 feet
(bottom o'f old trench was a~ elevat].on of approx. 96.75) and
"broke" into a layer of soil which varied from o'.eat'se bi. ack
sand te sandy gravel, and was in the groundwater. Zt was
(::leap that this matepia], was similar to, or- bet, t, er, than the
soils enceuntered in the pepoolatien k(est (5/29/95), which
r'ated at .8 gpd/'ft2. I did not; Pun a pe~oelat~kon test on
the sc)ils in the trench bottem (most of it ~as in
groundwater) k)uL ]: am confiden'k LlnaL a majer-iLy of iL would
pefco]aLe aE a rate of 1,2 ~pd/fiL2, Consequently, I opted
'be dig the entire trench bottom to this deptla,, Prhc)r to
procseecling, I (sontacted John Smith, via telephone on
,I, 0/5/95, t,e obLa~n h~s approw~l. Ne then placed
feel; of lake et:is gravel into the trench to serve as a
'f:ilZer frem ~he drain rock (a!: 98.75) tc) the absorptive
layer, this design is essentially ~he same as originally
proposed except that Ne exoavabed ~o a deeper depl;h and
found be~er sei].s. Neither design provided a naturally
(:)ocu~rh. ng, unsat;urabed 2 foo~il erratum. Yhis design
~,~:i. ll previde for a 4 feot ,~f.,par~zi. on ~c: greundwal;~.r even
during the peal< levels ef spring.
The desigr~ J,s based upon an applicatien rate of ,8 gpd/fL2.
Since the house 5 bedrooms, the septic system must be
c:apable o'fi kal'id I i r/fa 450 gpd, ~h:i, ch car r'esponds to an
absorption ar(:~a of 562.5 '[-L2. The desig~ previded is a
standard 5 foot w:i, de trer~ch, ].15 'fa(st: long, w:~th an
absorpth, on area ef 575 ft2,
Telephone - Fax g$8-$246 · 8471 Brookridge Drive · Anchorage, Alaska 99504
[)uring the site visit with John Smitln~ and Dan Roth, en
8/6/93, their were some surface ~aters within 100 feet o'g
t':.he proposed (now existing) septic system. Hewevec, it
appeared that most o¢ it was due to e)<cavation/eart, hwork
being done in the area. It was their/my belief that these
surface waters will disappear once the construction/fill
~ork is completed. ~oh~} Smith agreed tee overlook the
surface water problem until next spring, at which time, if
'hi~e problem still exists, a surfa.(se water waiver will be
I"equived. The potential for ~astewatec cemin(~ into contact
with surface wate~ is a].mes c nonexis he~]~: since tile
diot~bution piping (1--I/4 ~VO) is pressurized and contains
no olean-outs. ;(n short, there appears to be no earm in
~aiting until next spring.
Z have video footage of this installatiof oil fil(~ a~ my
office if you which to vio~ it. I arn unaware
:impacts that bhis installation would imoo%e on adjac~n~
~¢e].ls, or septic systems. If you have any ques3tior~,
[~i. neet-ely, / I
Owr¢ F/C~su ], tan t
JAG/jag
Smith6. WPS
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW930334
DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES
OWNER NAME:SMITH GARY T &
OWNER ADDRESS:15300 POLLOCK DR
ANCHORAGE, ALASKA 99516
DATE ISSUED: 8/31/93
EXPIRATION DATE: 8/31/94
PARCEL ID:01711241
LEGAL DESCRIPTION: POLLOCK BLK BLT 7
LOT SIZE: 23890 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD SYSTEM
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 343-4744 OR 343-4681 AFTER BUSINESS HOURS
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
DATE:
DATE:
Alaska Water & Wastewater Services
"Preserving the Last Frontier"
August 24.~ 1.993
Hunicipa].it;y of Anchorage,
Department o'f Health and Humap Se,trices
Division of Environmental Services
(3n-.Site Services Section
P,,O. Box 196650
~}~noho page, ~laska 995 ~.9-6650
MunicipaglY oI Anchorage
Dept. Heatth& Human gewices
P, ef: Sewer System Upgrade ac Lot -/~ Bk B, PoJll, eck S/D.
~lt bn: Dan Robh
Dear Da~:
¢attaohed is the design package 'for' the subject proper'by. /as
Slnith (~ith DHHS) , mysel.'f , ena the homeowner it ~as
de'hermined that the best alt:,et*nat;ive was ~;o excavate hhe old
'bnench and install a ne~ trench d.tnec;tsly over i,~. ~tt, acnec
ape my comments [eganding ~;ne oesJ, gr~/instaliaticm.
1. No surface waters presenb: ~e you are aware from our
prewious site visit~ on or abou% 5/2()/95~ N~at Ishene was
surface water ponded on].y abou 13 40 feet a~ay from
proposed system. On our most r'eeent site visib
I';her'e was no surface water' within J. O0 loeb. t discussed the
previous conditions ~ith John Smi. th arid bold him ~he design
~oul, d be based upon the assumptsien that ti'lope woke
surface waters within 100 feet of the proposed trench, and
he concunned; he.ever, he stipula'hed that tho permih would
require a fol IOWa'.LIp site visit:, next spring, and tshe
applicakion fon a ~aive~ i$ suPface ~ater's ~ere closer' ~han
2. Ne~ trench must be slightly ].onger than the existing
trench: [he existing ?.renc;h is 2 feet d,eep~, 5 feet wi.d~,,
and 95 'fleet long, and based upon an application rate of 225
'f;t2/bedr(:)om. Since the house has tshree bedr-ooms, the bobal
requiFed square 'footage is 6'Z5 ft2 . ]'he 95 'foot, trench
l, engbh is based up(:)r~ a standand bt'erich length o'F 135
multiplied by a reduction fac;t:or of 0,,70. The new t~enoh
~i.l~]. be located in t, he exac;f, l/,ooation of ~he existing
tPench, however~ it ~itl be at a higher- elevation due ~o the
fact ~hat ground~atser- moniher'{ng, en 6/J.{~/93~ found the
waken to be at a r'ell, akive elevabion of 94.6].. The bottom o'f
t;he exis'hir]g lspench is at an 81evatiol'~ of e6.75~ only 2.J. 4
Telephone - Fax 358-3246 · 8471 Brookridge I)rive · Anchorage, Alaska 99504
fec~t abow~ the groundwater elevat:ion, Consequently~ I am
going ~o place the boOt;om of the new trench a~ an eleva~ien
of 98.75 fee~ 4.14 fee~ above ~he groundwater elevatJ, en.
In order to provide surface drainage a~aay from the house~ ~,t
~i].l not be possible to mound the soil above 102.5 feels,
(:::onsequer~tly, the branch gravel depth must be limited to
inches. This corresponds to a reduction factor of .875, and
a ne~ trench length of 118 feet. The ne~ trench ~il}, be 100
feet long and have a perpendicular section of 20 feet added
to it. See the dra~ings for fur'tsher elarificatior~.
5. Sand filter material: A sand fi.'l, ter will be required to
replace the (:sontaminated soil removed frem the t re, nth
excavation, I am r'equir'il~g that this ma't(::~r:i, al be gravel
lc-om the "[.ake or:is" pit, and that the (soDtractor provide a
sieve analysis from his batch.
4. Disinfection of contaminated soil: ]he
cor~ha~n;i, nated drain rock sha).l be disinfected in place by
firsg purrlping the trench dry, exposing the trench 1;o the top
of the dr'aiD rock, pour-ing J4 poLIflds calcium hypochlorite
(65% chlorine) evenly over the lenghh of the -[;rer~cI], a~ding
water to fi;L] the trench, mixing ~ith a backhoe to a depth
(:)'f~ approximately t2 inches below the bo'btom of the
drainrock, and allowing the mixture to si'b evernight. Th(~
14 pounds dosage is based uper] a dosage ef 50 ppm of
chlerirle. Assuming 1 foo~ of contaminated sci]., 2 feet of
conbamJrtated dr'aiD rock, a w~dth of 5 fee~, and a ~Pench
leDgbh o¢ 95 feet, ~he total volume c)f soil is 1,425 cubic
fee[:. Assuming a seil weighL of 125 lb/frs, tho tota],
weight ef the contaminated soil is 178,125 pounds, A 50 ppm
dosage c)f chlorine requines 8.9 peunds of chlorine, or 14
peunds ef calcium hypochlo~i~e (65~
5. Pressure distribution system: ;[ haw; chose to
.~uk.>t.Ltute the 4 inch diameter dca.in pipe t;ypically used for'
a 1,:-1/4 inch diameter PVC pipe with 1/4 in(:sh diameter holes
every 4 feet. l'h(a 't~],oat levels in the lift station should
be adjusted so ~hat the system ~s dosed ~ith 75 gallons per
cyc]e. The existing pump character-isb¢cs are unknowr~,
Isher'efer'e I am recommending tha~ the syst.~m be operated
through several cycles (with 'fresh water introduced into the
lift s~ation) prior 1;o placing the final grave], layer',
insulation, and back'ffi].l, to) verify the adequacy of the
p u m p.
6. Topography: As you are aware; from our' site visit.s, the
e×~sting trench, and the r)e~ one, is/will bt~ located only
about 15 feet from a steep cul;bank down to Greenpoint ~ve,
and only about 15 feel from the cut;bank ~hich pacallels the
trench to the east .. Due te the faot that the existing
trench has been 'there since 1980 without any problems it
shou'l.d nob be a coneer'n; however', the higher elevation ef
the new bed wi]], change the condJtior~s sligh'b]_y.
7. Impacl; on adjaoenl: wells and septic systems: Since the*,
new trench wi).], be ].ocal;ed al; 1;ho exact :toca~;J, on of 1;he
ex:is'bing sysbem, '~here :i.s no reason t;o an b~,cipa be any
adverse ~,mpaoi;s on adjacent; wells or sepi;~.c syst;ems.
[::'er our conver'sation with John Smith,, on 8/6/9,--¢, we
[;oi[d 'that t;l'~e permJ, t would be issued 1;he day you receive the
design pac;kage. ~ft, er your revie~g, pil, ease contact
homeoNner (Gary Smitsh) ab 545--4965 for p:[ok,~up. :1:-~: you haw~
any quesb:~ens regardLi, ng the des~.~n, 31ease (saiL], me al;
6;[79. Thanks '~of exped~,~ng
~;~et"t~~~s, P. E~ , 1'4,. 8~
O~ n(~ rH/~ nsu L '~a n 'b
8m~ ~;h4. UPS
VOT
L~o'T-. 5-:
~j~LL
poLUOCZ--
LoT c~
lO0 L L 0 c_./C,
qq .q~'
Munlc/pnllty of Anchornge
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' S~reet, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
· . LoT '~ ~F-. ~
LEGAL DESCRIPTION: y%:~L,LO C~.. t~:~'~C-~,%~-~O ~'IDT°wnship' Range, ~ '~ :oec,,on,'
SLOPE
3
8
9
10
11
12
13
14
15
16
17
18
19
20
4 (3
-'~
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT q4, ~.7.
DEPTH?
Oeplh l0 Water After
tflonllorino? °1~' (~[ Dale
COMMENTS
Gross Not · Depth tb Net
Reading Date Time Time Water Drop
, sYz"
PERCOLATION RATE "7. ~-, (minutes/inch) PERC HOLE DIAMETER .~ .'1
TEST RUN BETWEEN O, ~", l,~, FT AND cl~"'~, FT '
PERFORMED 8Y: %~-¢¢¢-1c:- ~'~ I '~ ~.r~_..¢~..~..~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCOROANCE win-, ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON ThIS DATF-. DATE: . ~:2//~//
72-008 (Rev. 4/85)
Alaska Water & Wastewater Services
"Preserving the Last Frontier"
July ].5, 1995
Municipality of Anchorage
Department ot= Health and 14uman Services
Divi. sion o¢ Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Sewer System Upgrade at Lot 7, Bk
A'btn: John Smith, P.E.
Dear John:
~ btached is a copy o1= tl](a percola't;ion test data, a
preliminary 1":50' site plan, and a 1"x100' site plan
(incomplete) for lshe sub.jec~ properly. Due t.o She location
ef Lhe ex:[sLJ, ng Nells, Lh8 presence of sur1=ace water, and
't. he elevation of the groundwater, the subj]eoL preperLy has
minimal suitable area for an on-site septic system, After
performing the percolation bests, monitoring the waker
idenlsi1=ying the available spaoe 'for the septic system
¢/'¢¢~' L'op of a c'q~;banl<), it became clear to me that', direcbion
fr'om DHH8 ~as necessary prior to continuing any runt, her.
that tsime Z met ~th Dan RoLh and Dan BoZles Lo d~scuss
poss:[bZe opLJ, ons. The consensus 1=rom bot, h ~as 'that the
],&mi'bed accept&rig soil sLra'bum be'Pope h:i.t.t&ng grounduater
and the presence o1= the suni=ace k~a'ben d~cLabe Lhak t;he
be ceZoca~ed to the norLheasb corner of the properly, and
't, he new tmsnch be installed uphill 'Prom the existing t. rench,
approximately i0 'Peet away from the house and 75 'feel a~ay
'f:rom any surface ~ater. At lchis higher locatsion it is
11ke].y t, ha'b we NouZd be able ts(:) find 2 feet; o1= unsaturated
accepting soil, the trench would be 1=ar'tl'~er from any surface
waters, the trench would nob be instal]ecl at the Lop ot' a
cut, bank, and there would be roorfl 1=or a 1=ut;ute septic sys't;em.
The drawbacks ~o this solution ~ould be ~hat the ne~ trench
would be 25 lee'l: a~ay from a vertical ne~aining ~all
(cu~bank), and the cost; associated ~lsh dni}ling the
well (es t.:i. mat. ed at; $7500). Because of the cost, ~he
homeowner ~ould l&ke ~o consider all other opt;ions (:i.¢ any)
before resorting t,o t,h:i,s alter-nab}ye
Since this paperwork was prepared (6/15/95) the homoowne)r
has a'btempted to resolve the surface ~ab. er prob].em by having
Telephone - Fax 338-~246 · 8471 Brookridge Drive · Anchorage, Alaska 99504
a contractor provide drainage underneath Greenpe:i. nt five. 'flor
'khe "creek" which runs near i:,h¢, norbheas'l~ corner o'P the
propert, y. 8:1 hoe the insisa],lation o'fl 1she OLliVePb, the
surface ~ater on the property has dried up and t;he
monitor&ng ~ube is comp],e'be'ly dry,
t'a'SlJ.~' O? ~I'?.~2.~.~'~~ ~'/7~ ~?IJ.ZV~3~T'~'~ l'~Of'll?8~ .~]~;~.~.~&I~3'I'~?~E, 0~ ~'/'~
~aker 'Lo the north has not; been
Because of aforementioned problems, I am requ6~s~i ng a
rneekSng (pre'~erabLy a site v~sit) ~it;h you, or members ef
your' st;af'~, 'bo d~scuss al.] ava~.}ab~e op'g~ens $or 1;he sep'b~c;
sysl;em upgrade. ;[n order t;o schedu}e 1she s~Se v~.s:].t; p],ease
(::;ont;acb me at; 55'7-,6],'79. Fir'st, t;hJ. ng 5, n Zhe morning (8:00
am) ~ould be t;he mest, convenLen'k ~:ime for boLh me and Lhe
homeowner, hewever, we wi].], ad,}usl; our schedules l;o mee~
ur~¢stsa'flfs. If yqu have any quest,~orls~ s].ease oa]].it, me.
Smith¥,UP8
. Municipality of Anchorage"
'DEPARTMENT OF HEALTH & HUMAN SERVICES
· 825 "L" Street, Anchorage, Alaska 99502-0650
S'OIL,S LOG -- PERCOLATION TEST
PERFORMED FOR: ,
LEGAL DESCRIPTION: ¢~OL,~O ~L y~.c~-~_.~) ~.l.DTownship, Range, Sectlon~'
: SLOPE
9
10
11
12
13
14
15
16
17
18
19
20
DATE PERFOBMED: '~
WAS GROUND WATER
· ENCOUNTERED?
SITE PLAN
S
IFYES, ATWHAT (~4,~,7 "' OL
DEPTH? P
E
0apth Io Water Aller .... /_]/=~/c/~,
M0nit0rin0? ~1'~. ~1 Dalm
PERCOLATION RATE ''~' ~ (minute~/Inch) PERC HOLE DIAMETER
TEST RUN BETWEEN -cl~'' ~ FTAND q~"~' FT ',
'"'~ Gross Net ' Depth t'o Net
Reedlng Date Time Time · Watec ...... Drop.
PERFORMED BY: ~ ~ ~:L~*../~ I ""~¢F-"1¢"~- ~M'2-~,,~_.~ CERTIFY THAT THIS TEST WAS PERFORME'D IN
ACCORDANCE W,TH ALL STAT[.-AND MUNICIPAL GUIDELINES iN EFFECT ON T~,$ DATF-. DATE:- ~;;~/' ~//~?' --~ '
72-008 (Rev. 4/85)
/
Alaska Water & Wastewater Services
"Preserving The
F~X : ~ .
_pl:l O__!:LE_~
· TelePhone: (907) 337-6179 · Fax: (907) 338-3246 · ~471 BrooF. ddge Drive · Anchorage, Alaska 99504.
Alaska Water & Wastewater Services
~"Preseyving the Last Frontier"
' ._ ' '
June 17, 1.~93 ,
~. Gary"&!!'Kathy Smith
.. ~:. 15300 Pollock Dr.
'" Anchorage, qlaska 99516
Ref: Drainage Problems on Lot 7, Bk B, Pollock Homestead
Subdivision.
· .i:::';:':" ".
Dear Mr. Smith:
Based-]~pon ou~ discussions, and my visit to the site, it is
apparent that ~nere is a drainage oroblem on the northeast
cornen.lof your lot. It is my unoerstanding that Green Point
Ave. was recently extendeo along your north property line,
and nas since ac~ed as a cam, preventing surface water from
following iss natural arainage paEn %o the north. Although
I did,"not see your property prior ~o the construction of the
road, :~:i5.~ is clear that the small "creek" which crosses your
propeq]ty was no5 orovided a culvert so that it could pass
under;~the roam~ and ~as consequently backed up on' your
prope~y. It is likely 'that this backup, has resulted in the
presence of surface water cowards the southwest. In order
to mid, gate this problem, it is my recommendation 'that a
culverin! be pZaced under the road, at 5he northeast corner of
the 16]{, and the "creek" diverteC towards the culvert. In
addition, olaoement of soil in the oack portion of your lot,
and g~ading it tomards the northeast would further ensure
that s'urface water is diverted away from your property and
towards the "creek". If you have any questions, .please call
me at ;.~7-6179. '
O~/~¢/;t~O ns u 1 tart
JAa/ja~'
Telephone'- Fax ~88-$246 · 8471 Brookridge Drive ® Anchorage, Alaska 99504
HUGACH ELECTRIC
ASSOCIATION, INC.
June 23, 1993
RECEIVED
Mr. Gary T. Smith
15300 Pollock Drive
Anchorage, AK 99516
Murficipal~ty ot Anchorag. e
Dept. Health &Human Serwces
SUBJECT: Underground Facilities for Huffman-Hillside Subtransmission
Construction Impact on Your Property - Lot 7, Block B, Pollock Subdivision
Dear Mr. Smith:
We understand the concern expressed in your letter of June 16, 1993, to Jim Topolski about
possible impacts the construction activities may have had with Chugach's underground
installation in the vicinity of your property.
Unfortunately it was necessary to clear Chugach's easement for the installation of the
underground ducts. Some surface restoration work is still scheduled in the area for this summer,
but it will primarily consist of seeding with grass to prevent erosion.
The design for our facilities did not alter the drainage pattern in the area as far as we know, but
we have engaged the services of a consulting engineer to investigate possible changes which we
may not be aware of.
In the course of these investigations, we may call on you for permission to inspect the septic
system and any records of adequacy tests and monitoring.
The busy summer construction season has not allowed us to schedule the investigation until
around June 30, 1993. We will keep you informed of our findings and ask for your coopei~ati0n
in investigating the possible causes of any changes in drainage on your property.
5601 Minnesota Drive ,, R O. Box 196300 ,, Anchorage, Alaska 995'19-6300
Phone 907-563-7494 ,, FAX 907-562-0027
Mr. Gary T. Smith Page 2 June 23, 1993
If you have questions, please call me at 762-4626.
Sincerely,
Dora Gropp
Manager, Transmission & Special Projects
DLG:bkg
609
CC;
Municipality of Anchorage Health Department
Municipality of Anchorage Department of Community Planning and Development
State of Alaska Department of Environmental Conservation
Kelly and Patterson, attorneys
July 1, 1993
CHUGACH ELECTRIC
ASSOCIATION, INC.
Mr. Gary T. Smith
15300 Pollock Drive
Anchorage, AK 99516
SUBJECT: Underground Facilities for Huffman-Hillside Subtransmission
Construction Impact on Your Property - Lot 7, Block B, Pollock Subdivision
Dear Mr. Smith:
We have received our consultant's report of the drainage investigation he has conducted in
response to your letter of June 16, 1993. A copy of LCMF's report by Scott Hattenburg with
a survey map is enclosed for your information.
The consultant has been unable to establish a causal relationship between Chugach's underground
line installation and drainage problems on your property.
Based on this report, we cannot offer any assistance to solve the drainage problem on your
property.
If you have any questions, please call me at 762-4626.
Sincerely,
Dora Gropp
Manager, Transmission & Special Projects
DLG:bkg
702
Enclosure
cc:
Municipality of Anchorage Health Department, Mr. Gary Hovanec w/
Municipality of Anchorage Department of Community Planning and Development w/o
State of Alaska Department of Environmental Conservation w/o
Kelly and Patterson, attorneys w/o
5604 Minnesota Drive · I~O, Box '196300 · Anchorage, Alaska 99549-6300
Phone 907-,563-7494 ° FAX 907-562-0027
June 30, 1993
Chugach Electric Association
5601 Minnesota Drive
P.O. Box 196300
Anchorage, AK 99518-6300
ENGINEERING
SURVEYING
PLANNING
PROJECT MANAGEMENT
Attn:
Ms. Dora Gropp
Project Manager
Re:
Huffman Hills Drainage Problem
Lot 7, Blk B, Pollock Subdivision
Dear Ms. Gropp:
ECEIVE D
JUL 0 1 1993
PROJECT
In accordance with your request, we have conducted an
inspection and survey of of the septic system on Lot 7, Block
B, Pollock Subdivision.
This survey and inspection was conducted in order to
determine whether the buried transmission line construction
in the Greenpoint Avenue right-of-way, has impacted the
septic system of the above referenced lot.
The lot owner claimed in his June 16th, 1993 correspondence,
that the construction of the buried transmission line caused
changes in the groundwater flow dynamics, which has caused
his septic system to fail.
My conclusions are as follows:
I found no evidence connecting the construction of the
buried transmission line to the failure of the property
owner's drainfield.
2. There was no evidence that the drainage patterns had
been substantially altered by the construction of the
buried transmission line.
3. The original percolation test performed on August 27,
1980 showed existing ground water at the site.
139 East 51st Avenue, Suite 8 · Anchorage, Alaska 99503-7205 · Phone: (907) 562-1830 · Facsimile: (907) 562-1831
Dora Gropp
June 30, 1993
-Page 2-
4. The original soils rating of 225 square feet per bedroom
indicates tight soils that are sensitive to failure.
5. The 3/4-inch PVC monitor tube recently installed shows
no standing water. The monitor tube is located just
outside the existing drainfield, meaning the source of
water in the drainfield is most likely coming from
within the sewage system itself not externally from
groundwater.
In conclusion, I see no connection between Lot 7's septic
problems, and the work conducted by CEA and its contractors,
in the adjacent right-of-way.
Sincerely,
LCMF Limited
Principal
P.E.
cc: Mike Arnold
attachments:
Survey drawing (1 sheet)
Sketches (2 pages)
SLH/dh
Torn Fink,
Mayor
'.p Jl ty AncL rage..
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
January 13, 1994
Jeff Garness, P.E.
Alaska Water & Wastewater Services
8471 Brookridge Drive
Anchorage, Alaska 99504
Subject:
Waiver Request for Lot 7 Block B Pollock Subdivision
Waiver Request IIWR940002, PID ~017-112-41
Dear Mr. Garness:
Your request for a waiver(s) of the required 100 foot horizontal
separation of a septic system to the surface water has been
approved. The herein approved separation distance between a
potential groundwater sourse and the extremity of the leachfield
is 40 feet. If, after breakup (1994), it is confirmed that
surface water does encorach on the leachfield on Lot 7, Chugach
Electric Association, who created the problem, will be directed
to correct the drainage problem.
This waiver approval applies to the existing septic system to
surface water separation only. Any future upgrade to the septic
system will require all separation distances }De met or another
approval from this department. Should the operation of the
subject wastewater disposal system cause any contamination or
degradation of the subject surface water, this waiver will
become void.
S ince3%e ly, ~ Co~u~: / /
Robert W. Robinson J~hn sm~h, P.~.
Civil Engineer I~rogra~ Manager
On-site Services On-site Services
ljm:#5
MUNICIPALITY OF ANCHORA£
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR~ WR940002 PID# 017-112-41 HA# Permit 9
Date Received: January 11, 1994
Legal Description: Lot 7 Block B Pollock Subdivision
Engineer: Jeff Garness, P.E., Alaska Water & Wastewater Services
8471 Brookridge Drive, Anchoraqe, Alaska 99504
Applicant: Gary T. Smith
Waiver Requested: Private leachfield to surface water of 40 feet
Points:
Criteria: 1. Geology:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:rX(i
6¢¢?
Waiver is Granted: Waiver is NOT Granted:
List Conditions or Reasons for above:
Date:
/ -Na~me of ~Reviewer
Rec ~: 25572/1955 Amount: $ 920.00 Date Paid: 1-11-94
Alaska Water Wastewater Services
"Preserving the Last Frontier"
IN._', P_eX t~
January 9, 1994
Hunicipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section
P~0. Box 196650
Anchorage, Alaska 99519-6650
Attn: Robby Robinson
MtJI~ICIPALI fY OF ANCHON,'\~
ENVIRONMENTAL SERVICES DIVISION
JAN I I 1994
RECEIVED
Ref: Waiver, Trench to Surface Water; Lot 7, Bloc:lq
Pollock~
Dear Robby:
An upgrade to the subject system was performed this fall and
approved by DHHS on 10/19/9~. On the cover letter submitted
with the as-builts, the subject of surface water was
discussed. The agreement was that the homeowner would have
the property inspected next spring, and a ~aiver obtained if
necessary. ~ conditional HAA ~as issued by DHHS based upon
this fact. Unfortunately, the mortgage company (City
Mo~-tgage) will not refinance the Smith's loan with a
oonditiol]al HAA. In short, they have to either get a non--
conditional HAA at this ~ime, or wait until next spring to
refinance their home. The homeowners would prefer the first
alternative.
The proposal is to apply 'for the waiver no~, even though the
need for it cannot be deter-mined unti~ next spring (see
attached ¢;opy of letter submitted with as-built drawings,
dated 10/11/95). Since ~t is not possible to determine the
location of surface ~ater until spr~ng, ee are requesting
that a ~aiver be issued based upon the ~ater encountered on
5/20/95, ~h~cl-~ ~as 40 feet a~ay from the old trench (see
attached copy of drawing dated 6/13/93 ~hich sho~s
topography, and location of surface ~aters). Since the ne~
trench was essentially put ~n the foot print of the old
trench, th&s separation distance would s'biIl be valid.
The property slopes down from the trench towards the surface
water; however, since the new trench is a pressure
distribution system which does not have any clean-outs, and
there is a 6 foot deep sand layer (Lake Otis gravel) down to
the water table, the potential for ~astewater to daylight is
Telephone - Fax 338-3246 · 8471 Brookridge Drive · Anchorage, Alaska 99504
almost non-existent. In short, there are no clean-outs for
~Jastewater to overflow out of, and the soil below the trench
is so porous that wastewater should move downward rapidly,
rather than dayl~_ghting out the side of the cutbank.
Based upon the facts presented, it is my opinion that there
is only minimal risk associated with granting a waivsr (40
foot separation) of the subject separation distance.
If you have any question, please call me a 557-6179.
Sinoerel y, /,A,./~
JnG/jag
,~mi th1.
~00
Alaska Water & Wastewater Services
"Preserving the Last Frontier"
October 11, 1993
MuniciPality of Anchorage
Depa.rtment of Health and Human Services
Division of Environmental Services
On-Site S~rvices Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Septic System As-Built for Upgrade on Lot 7, Block
Pollock Homestead Subdivision.
To whom it may cone;em:
Attached is the as-builtS drawings 'for ~.he s b,~)~!;ct
system, As directed by DHHS we removed Lhe old trench a~r~d
reconstructed a new trench directly over it. The de:sign
calculations submitted previously assumed we ~ou]d encounter
s~oils similar to what the initial design ~as be':.sed upon;
so~.ls
however, in the pro'dess of removing the contaminated '
~e excavated domn to a depth cT approximately 92
(bottom o¢ old trench ~as at elevation o¢ approx. 96.75) and
"broke" into a layer of soil which varied from coarse black
sand to sandy gravel, .and ~as in the groundwater. It ~a~,
clear that tlqis material ~as similar to, or' better, than the
soils encountered in the percolation test (5/29/93), which
rated at .8 gpd/¢t2. I did not run a percolatio.n test on
the soils in the trench bottom (most o'f it 'was
groundwater) but I am confident that a majority of..it would
percolate at a rate of 1.2 gpd/ft2. ~onsequently, I opted
to clog the entire trench bottom to this depth. ' Prior
proceeding, I contacted John Smith, via ..t~lephon~
10/5/93, to obtain his approval. We then placed 6.2 to
feet of lake otis gravel into the treoch to serve ,~s'
f~'lter fcorn the drain rock (at 98.75)- to the .3bso.r'pl:.5
layer. This design is essentially the same as -origino. l].¢
proposed except that we excavated to a d~epe'r depth and
found better soils. Neither design provided a naturally
occurring, unsaturated 2 foot.%soil stratum. This. dos.igc
will provide for a 4 foot separation to groundwater even
¢uring the peak< levels of spring{~~t~__
The design i~ based upon an application rate-of .S gpd./fk
Since the house S bedrooms, the septic system mus~;t be
capable of handling 450 gpd, which corresponds, bo' an.
absorption area of '562.5 ft2, The design provided :[s-
sbahdard 5 foot wide trench, 115 feet ' long, ~¢itl"~ an
absorption area of 575 ft2.
., . Telephone - Fax 338-$246 o 8471 Brookridge Drive · Anchorage, Alaska 9950,t
'During,, the site visit with John Smith, and 'Dan Roth, on
8/6/93, their were some surface waters w. ithin 100 feet of
the proposed (now existing) septic system. Howev.er, it
appeafed that most of it was due to excavation/earthwork
being done in the area. It was their/my belief that these
surface waters will disappear once the construction/fill
work is completed. John Smith agreed to overlook the
surface water problem until next spring, at which time, if
the .problem still exists, a surface water waiver will be
required. The potential for wastewater corning into contact
with surface wate~ is almost nonexistent since the
distribution piping (1-1/4" PVC) is Pressurized and contains
no clean-outs. In short, there appears be be no hart,', in
~aiting until next sp¢ing.
I have video footage of this installation on fil'¢a at ri])/
office if you which to view it. I am unaware of any adveree
impacts that this installation would in]pose on adjac.ent
wells, op septic systems. If you have any question, please
(:ali, me a 557-6179.
Sincerely,
J ..... ,~P.E., M.S.
J~S/jag
...... . ...........
d
· s u ~.,~ Ey ~¥
/ .
MUNICIPALITY OF AK~CHORAGE
DEPARTMENT OF HEAl_TH & ENVIRONMEN]'AI. PROTECTION
ENVIRONMENTAl. ENGIN[:.EIHNG DIVISION
825 [. Street .. Anchorage, Alaska 99501 TeleHhone 264-4'120
ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WEI. L INSPECTION REPORT
Manufacturer ~ ~ ,~ ..... I Mat~ , / - I No. oTco~ar~en' ts -
Liq. cala 't i gallons Inside length Wid(h Liquid depth
No. of lines / / Length ~ne To(al~h9f lines ~1 Trench ~d~h ---- [ Distance b~tp~} lines
Top of tile ¢0 finish gra~e ~ j ~~ ~ ~~--~J Total effeF~'ab~o(Dtjon area
~fType of :ibcrib / ~__Crib r~¢~ Cri~ Cpt%Crib depth ~~Total effective obsorotion~ --- ~--'----
OTFtER
N
i
F
For .......... `TF ...................
........<it>/..........``..........................................................
Location ....................................... .... °�. �1.....a��Ur Y� ..... .
Date completed......��. `: ' '
Depthof well....... �................................................................................................
Size of casing........:'......
.........................................................................................
_ ,`i
Distance to water...... �:'����` `'
.......................................................................
Distance to water while pumping ......................
�'.. .............................at rate
of .............. . �52......................gallons per hour.
Formation
from. I
to
kz,ez,il
3s
,._.
14
4r��', {/,!.�'i:✓ r_:_,a G/'<,r:". tie 1.11 C) <:
16
I
I
I
_ ......................`.'........
(
DELTA DnILLING COMPANY
/6T
SRA BOX 904 9
ANCHORAGE. ALASKA 99507
.......................................................
Driller
For .......... :?.!.,~:.:/:.:.'
~ate completed ...... '.L Z....';..'",./. :(::.! ............................................................................
Depth of well..
S~ze of casing.
Distance to water.
Distance to water while pumping.. ::- ::' at rate
o~ ............... (:5~':::~
For~{i~on
-7<::
tO
5RA BOX 39,% B
ANCHORAGE. ALASKA 99507
F'ERMI T
F:IP F'L I CFINT
[..OCFI'I"I ON
L. EGFIL
DEF'RRTMENT 0' '-tERLTH RND ENVIRONMENTFIL F "TECI"IOI'.,f
825 '" L' STREET., FINCHORFIG[:."., RI-:::. 995.:
- ;?.64-4720
~.,..! E L_ b. F:i t"4 £) u'_-.~ ~,,,~ --.. ,~; I -1' F_' ~_--..; E lt...-If ES" Ir~."
STEVE BOI.4DITC:H 435 SO. BRRGRI4 ST.
F'O L L 0 C:I-.':.' [;, F..'..
LOT:? BLK iB:Pi]LLC~OK HOMESTERD:
LOT SIZE 2~:890 SQIJRRE FEET
T'¢F'E O;~: SOIL FIE:SORF"f'ION SIT'STEi"I IS: DRRINFIE.'L[:'
MFI~.:,'IMLIM NLIMBER OF BE:DROOMS = 3
SOIl.. RFITING ,::SQ FT,,'ECR)= 225
THE REQUIRE[) SIZE OF THE SOIL RBSORPTION S'¢S'FEM IS:
THE LENGTH [:,IMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRF]INFIELD.
THE DEPTH OF R TRENC:H OR PIT IS THE [:.,ISTFINCE BETWEEN 'rile SURFRCE OF THE
GROUND FIND THE E:OTTOM OF THE EXCR',/RTION (IN FEET).
THE I]iRFI',i,'EL [:,CF'TH IS TI.-IE MINIMUM I}EF'TFI I"iF-" 13[;.'iFI:,,,'EL E:ET[i.IEEN THE OUTF'P~LL. F'IF'E
FINI:) THE SOl'TOM OF: THE EXCR',,,'RTION '::IN FEET).
PERMIT FIPPLICRN]-' HRS THIE RESPCINSIE:ILIT'T' TEl INFORM THIS DEF'RRTMENT DURING THE
IN:.'STFII..LFITION INSPEC:TION:.=.; OF Ri"t*r' I.'.IELL5 F~DJFICENT TO THIS F'ROPERT'Y FINE:' THE
NUI'dBEF.'. OF RESIDENCES THRT THE I.,.IELL WILL SERVE.
[.'-~RCKFILLINC~ OF £d",l"r' SYSTEM WITHOUT FINFIL INSPECTION RNE:' RPPROVRL B'¢ ]"HIS
B, EPRRTMENT WILL IEeE SUE;JE-C'T TO PROSECUTION.
MINIi'dUM DISTRNCE BETWEEN R 1.4ELL RND RN'¢ ON'-SITE SEI.'.IRGE [:,ISF'OSFIL S'¢S]"Ei'q IS
..'L{~EI FEET FOR R PRI'¥'FITE 1.4EL. I.. OR t50 ]"0 200 FEE]' FROM FI PLIE:LIC: I.,.IELL I":,EPENCiIN(;I
UPON THE TYPE OF PUBLIC: WELL.
MINIMUM DISI"RNCE FROM R PRI',,,'RTE I,.IELL TEl R F'RI'¢FITE SEI.4ER LINE IS 25 FEE'T' RiqD
TO R E:OMMUNIT"r' SEWER LINE IS 75 FEET.
1.4ELL LCIGS FIRE REI].;!UIRED RN[." MUST BE RETURNED TEl THE B'EPRRTMENT WITHIN 20 [:'R':"S
(:iF: THE WELL COMPLETION.
OTHER REQUIREMENTS MFI'¢ RF'PL'¢. SPECIFIE:RTIONS I=~N[) CONE, TF.:UE:TION DIRGF?.RMS RRE
RVFIZLRBLE TO INSURE PROPER INSTRLLRTION.
): CE:R'T I F"r' THRT
:1.: I RM F"RMIL. IRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FII",I[:, WELLS RS SET
FORTH B'¢ THE MUiqICIPRLIT'¥' OF RNCHORRGE.
;:3: I t.,IILL INSTRL. L THE SYSTEM IN FICCORDFIIqC:E WI]'H THE CO[."ES.
]:: I UN[:'ERSTFIN[:' THR'¥ TFIE OI"4'-SITE SEWER SS'STEM MI:'~'T~ REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMO[:'ELE[:' TO INCLU[:'E MORE THRN ]: BEDROOMS.
// --
PERFORMED FOR:
LEGAL DESCRIPTIO'
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEAt. TH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-2221'
SOILS LOG - PERCOLATION TEST
DAT I:; PERFORMED:
SLOPE
/SOILS LOG
PERCOLATION
TEST
SITE PLAN
I0
11
12
13
14
15
16
17
18
19-
20-
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net
Reading Date Time Drop
'--
~lr~ O. Talbot
No. 4069. E
COMMENTS
Net Depth to
Time Water
PERCOLATION RATE (minutes/inch)
72 008 (7/76)
?30v "
' wlmsot & v;/re;ici &
l indicator I gi~l indicator hqill
(jP CVO 318r1/1
eHKJOS Illel ctlr5 float
swiich wi(h 15' (4.0
m~ of cord, i tSv. O0
[~.:~ vy duty alari!l
~daum bcll ,,~ NEMA I
3to(~l e~ctosure. In-
eludes eqorcury floal
uv/itchwith 15 (4.6
mi nf O01'(h 1-15v. O0
SC.:,C.~"U ~n available w~d~ 20'
Cheek valves
Two types: 3" rubber flapper crlecK
with tron bo0y o. nQ hose clamp enos
tClaIi]DS included}; and 3" swing
CheCk with i-olq or brollzo body af~ci
screwed eeds.
Sloe] 10rackel$ ((or ' 2 or 4 ' )?r.,';
i'yt)¢)S /Of IliOUIltllB[~ Oil I)1( CQvcr
WLUI .gr (llGui]~t['~ 4 pl~)O.
]'elopnono: 815/537-23H fc!0x 25 5 ~
This bulleiin lis[s anti
desclibos all corn 3onent$
nood,'pd, oxcci_)~ pit)in(I, 'to
Rfc ;]vs.J 8. hIO [~(');-~1 ;0~ D¢itflV
700 puinps i8 availahlo in
c, eoarate liier~t uF~:.
ThOR 3i/OO?O {ilo )FOi)UI'
OLi~JIIh :'/pa o~ fioR[rOnOl alld
llcxibi!i of ;: '.',;~;: rno~oo
SERIES 700 Sul-mersible Sewage P-rap
INSTALlATiON INSTRUCTIONS
SECTION 60~)
INSTAL. INST. 6976
ISSUED 6/76
REPLACES. NEW
(1) IMPORTANT: For automatic operation, this pump must
be plugged into the sewage pump switch. Switch
installation instructions are in switch box. This pump
will run continuously when plugged directly into an
electrical outlet.
(2) Check to be sure that the power source nsed corresponds
to the voltage stamped on nameplate.
(3) Determine that fuses or circuit breakers of ample capa-
city are provided in the electrical circuit.
(4) Smnp should be at least 16" diameter and 24" deep.
(5) Pump must be placed on a hard level surface. Use bricks
or other suitable support in bottom of sump. Never place
pump directly on clay, earth or gravel surfaces.
(6) Use a 3" iron pipe size check valve in the discharge line
to prevent back flow of water into sump.
(7) Do uot cut or splice the electrical cords, Do not allow
electrical plugs to become submerged,
(8) Do not use extension cords. They can reduce voltage
sufficiently to prevent pumping.
(9) Always unplug pump from electrical receptacle before
handling, Use only a grounded receptacle.
(10) Do not operate pump out of water.
OPERATING INSTRUCTIONS
(1)
(2)
Petroleum products should not be allowed to drain into
sump, Oils, paint thinner, alcohol, gasoline and similar
materials have an adverse effect on pump materials.
Continuous pumping of water over desrees F is not
recommended.
Do not allow pump to handle cement, mortar, plaster,
gravel or mhd.
(3) This pump 'is built to operate automatically when
plugged into the sewage pump switch. The switch will
turn the pump on and off as the water level varies.
(4) This pump is permanently lubricated. No oiling or
greasing is required.
SERVICING INSTRUC'YIONS
(1) If pump fails to operate:
a. Check to be sure you have power.
b. Is water level high enough to activate switch?
c. Is the intake nozzle or impeller clogged?
d. Is the check valve or discharge pipe clogged?
e. The motor is thermally protected, If pump starts
and then stops right away, disconnect from power
source for 30 minutes, allow to cool, then reconnect
to power source.
(2) If pump fails to pump sufficiently to empty sump:
a. Clean out intake nozzle or impeller.
b. Clean out discharge pipe and check valve.
c. Open all vclves in discharge line.
(3)
(4)
If pump will not shut off:
a. Check bubbler air bell and the plastic vent tube for
obstruction.
If pump continues to malfunction or is inoperative, re-
turn to the plumber, jobber or distributor for further
examination or repair.
PENBERTHY pdOUDAILLE
#14213-009 P.O, Box 112 Prophetstown, Illinois 61277
PERFORMANCE
IU
Z
28
26
24
22
2O
18
16
14
12
10
$
4
2
0
I I
2000 4000 6000 8000
CAPACITY GPH
3/4HP 115 V OR 230V
1 PHASE 60 HZ.
1/2 HP 115V OR 230V
1 PHASE 60HZ.
DIMENSIONS
DISCHARGE PIPE
3"IRON PIPE SIZ[
15.25
^
� '
��un&�� of �e
Municipality Anchorage
On -Site Water and Wastewater Program
(9U7)343 -70O4 006,z -
CERTIFICATE OF ON-SITE SYSTEms APPROVAL
~�~
I.D. 017-112-41
Expiration Date: —L�b\j
1' GENERAL INFORMATION
Complete legal description POLLOCK HOME, STEAD BLK B, LOT 7
Location (site addnaSG) 153.00 POLLOCK, ANCHORAGE AK
Current Property OVvner(e) GARY SMITH Day phone
Mailing address —SAM
Real Estate Agent
Day phone
2. TYPE C}FDWELLING:
Z Single Family kw/woADU\
F�
Duplex 02 2
E] Multiple Dwellings (Single Family and/or Duplex)
Ilu
3. NUMBER OF BEDROOMS: 3-
4. TYPE OFWATER SUPPLY'
. TYPE OF WASTEWATER0SP{)SAL:
Individual Well ��
�� Individual
Water El Holding Tank --
Community Class _Well 0 C0nl[DUOih/ F71
Public Water System 0 Public Sewer --
VV8ivec8/ariaDCerequest for:
[)iatanue:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested 'by the engineer.
COSA Fee
Date of Payment g/Llh I
Receipt Number
C[}8A#
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm MIKE N ANDERSON, P.E. Phone 727-8864
Address 4661 NATRONA AVE.
Engineer's Printed Name MIKE N ANDERSON PE Date 8/2/17
6. DSD SIGNATURE 22 `r.�/ MICHAEL
1CNPEL N. ANDERSCy NI
System #1 Approved for J bedrooms. {%' cE-qr q
S stern #2 Approved for bedrooms.��
Disapproved.`�F
Conditional approval for bedrooms, with the following stipulations:
OF AiVC4,
3 O' F
f.
� �" C.
By: '&SZOA � tyc� Original Certificate Date:
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10-10-12.doc
Ifmore than 1septic system imnnthe lot:
COSAChecklist # —of
____
Structure served by this system
Legal Description: POLLOCK HOMESTEAD BLK B, LOT 7 Parcel |D: 017-112-41
A. WELL DATA
Well type Private I |fA,B.orCprovide PVVS|D#
Date completed 2-4449~ Sanitary seal (\YN)Y
Total depth _7D_ft. Cased ho{[3 _ft.
FROM WELL LOG
Date oftest
Static water level 28 ft.
Well production Qp.m.
WATER SAMPLE RESULTS:
Well Log (YYN)
Wires properly protected (YYN)Y
Casing height (above ground) _12"+
AT INSPECTION
412012017
28.1 ft.
r4
Coliform NEG colonies/100 mL Nitrate 9%!t/ mg/L
Arsenic: __*f&-ug/L Date ofsample: Collected by: Mike Anderson
9;' ~ ��� � �/r�� /
_
B. SEPTIC/HOLDING TANK DATA
Tank Type/M2terial STEEL Date installed 7112/2017
Tank size _1250_gai Number ofCompartments 2 C|eanouts(YN)
Foundation cleanout (YYN)y Depression over tank (Y/N) N High water alarm (YYN)
Date ofpumping = Pumper NEW,
C. ABSORPTION FIELD DATA —19RSSYSTEM TESTED
Date installed 1IA93' Soil rating (sf/bedroom)D,8System type 5 WIDE
~
Length 115 ft. � ` ` ^`Width 5ift. Gravel below pipe 1}.5ft.
Total depth 3.0 ft. Eff. absorption area prs *2 Monitoring tube Y Depression over field N
Date ofadequacy test � � —Results (Pasa/Fai|)_PASS For 3_bedrooms
, ^
Fluid depth inabsorption field before test _0_in. Water added _583_gal. New depth Din,
Elapsed Time: _60__min. Final fluid depth _O_in, Absorption rate >=_45O+____g,pd.
Any rejuvenation treatment (past 12moj(Y7N&type) |fyes, give date
D. LIFT STATION
Date installed 7-12-17 Size in gallons 1250 Manhole/Access (Y/N) Y
"Pump on" level at 36 in. "Pump off" level at 30 in. High water alarm level at 42 in.
Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? Y
E. SEPARATION DISTANCES
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main 100'+
Sewer /septic service line 50'+
Animal containment areas 100'+
SEPTIC/HOLDING TANK ON LOT TO
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout 100'+
Holding tank 100'+
Manure/animal excrete storage areas 100'+
Building foundation 10'+ Property line 10'+ Absorption field 10'
Water main 100'+ Water service line 50'+ Surface water 100'+
Wells on adjacent lots 100'+
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10 Water main 100'+
Water Service line 50'+ Surface water 100'+ Driveway, parking/vehicle storage 50'+
Curtain drain 50'+ (None Known) Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
l certify that l have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name MIKE N. ANDERSON, PE
Date 81412017
COSA canary sheet_2-6-15.doc
°m y
49TH°
s 4
° MICHAEL N. ANDERSON
°m C .9;169
.. ;
P OL L OCK
REENPOINT AVENUE
E 2 10. 00
OTE:
y 7c.Q' i 1
49 TH*
a
s SHANE A. HOLT i cis
LS -6914 .. �J d
�l�°fess'ona LAG
NO CORNERS SET THIS DATE
I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
OF THE FOLL0WING DESCRIBED PROPERTY
LOT 7, BLOCK B, POLLOCK HOMESTEADSUB.
THE INFORMATION HEREON I5 FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS: AND IS VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES_ THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN EXIST OTHER THAN NOTED.
HEREON (UNLESS INDICATED) DATED AT ANCHORAGE,ALASKA THIS _12TH_ DAY OF
NOTE. FENCEELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE _JULY , 2017.
PROPERTY LINES OR P051TION ADDITIONAL IMPROVEMENTS. HOLT LANG SURVEYING
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. 9309 GROVER DRIVE
ANCHORAGE,AK 99507
2816, F3 `83-65.183-5! 345-5513
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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # O I"~ I I '~.Z~r' I
1.
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner ~__~¢~0,~..~1,-1 JT'~ Day phone
Mailing address ~ ¢~'~¢-- M A-gCxJ'E=-
pC'.
Lending agency
Mailing address ti' / ~
Agent ~ /~
Address ~
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
Day phone ~/,A-.
Day phone
TYPE OF WATER SUPPLY:
Individual well
Community we!l
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.
72-025 (Rev. 1/91) Front MOA#21
')~JOM s~@eu!6ue 18uo!ssejo~d eq~, u! suo!ss!mo JO sJOJJ~) JOJ. etq!suodseJ
lou s! 9~eJoqouv jo ,~!led!o!un~N eq.L 'penss! s! e~o!j!peo ~ eJo;eq ~ep ezAl~u~ Jo suoAoedsUl lonpuoo
~ou op SHHQ ~o S@e~oIdLu~] 's~,ue~ueJ!nbeJ elels pue ~Jepe; u.epeo ~,sq~s ol JepJo u! suo.lm),sul 6mpuel J!eqj pub
seuJoq jo sJeseqoJnd o~,,~seunoo e se s!ql s@op SHHQ eqJ. 'e~selv jo ele~,S eq~, u! pejejs!J~eJ ~eeu!Bue ~uo!ssejoJd
~uepuedepu! ue Aq @AOqe ~ qdeJBeJed u! ua^!6 suop, elueseJdeJ eq~ uodn ,quo pes~q so~,~o!J!lJeO j~AoJddV
/qpoq~,nv qlleeH senss! ($HHQ) seo!AJeS ueuunH pue qlleaH Jo ~,UeLUpedeQ eeeJOqOUV jo ~l.18d!mun~ eq.L
'SLUOOJpeq
JoJ. peAoJddv
~II:IFI.LVNDIS SHHa '9
sseJppv
LUJ!4 ;o eLueN
'sepoo elelS pue ledio!uniAI lie Lll!M eoue!ldLUoo u! s! melsAs lesods!p Je),eM@lSeM Jo/pue Alddns
JejeM el!s-uo ell), 'uoBoedsu! pue uo.),eBBse^u~ ALu cuoJt pue SelIt eSeJoqouv
cu oJ,t peu!m, qo uo!lemjotu! alp, uo peseq lecp, Aipe^ JeqlJn~t I 'u!eJeq peleo!pu! @j n),onJ~,s ~o ed,~l pue
sLuooJpeq ;o Jeqcunu eq), Jot e),enbepe puc leUOiloun1 'eies s! cum, sAs lesodsip JeleMelSeM Jo/pue
Alddns JeleM el!s-uo eql leCll SMOqS uo!leo!ldde le^oJddv AlpOLt),nv q~,leeH
ALU ),eLtl Ktpe^ I 'Moleq UMOqS e),ep uoReP!le^ eli), ;o se pue oleJeq pax!tie lees ALU Aq pe!,t!peo sv
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: L-oT "/j ¢ ~ ,~ ~LLOC~C-
A. Well Data
Parcel I.D.
Well type ~¢.~VA-~'-'¢- If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) ~ F---.%
Total depth "70/
Sanitary seal (Y/N) \[ ~..~
Date completed ~'12'¢t/~0 Driller ~L.-'F'A
Cased to ~ ~'/ Casing height
Wires properly protected (Y/N)
FROM WELL LOG AT INSPECTION
Date of test
Static water level ?- ~ / [ cf I _ ?_. ',
Well flow '~* ~ g.p.m. "ct' · (o
Pump level1
SEPARATION DISTANCES FROM WELL TO:
/
Septic/holding tank on lot I
Absorption field on lot } 0
Public sewer main
Sewer service line
WATER SAMPLE RESULTS:
Coliform
Date of sample: /'o/~/c~
g.p.m.
; On adjacent lots
.; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
Nitrate
Other bacteria
Collected by: ,J ~-~--'¢2-
B. SEPTIC/HOLDING TANK DATA
Date installed ~/2~/~D
Cleanou, ts (Y/N) "~.~
Tank size I 000
Foundation cleanout (Y/N) _
Compartments '2.
~ CD Depression (Y/N) ~ 0
High water alarm (Y/N). N
Date of. pumping /O/5--'/~'~ Pu roper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
, ' On adjacent lots '~ lC:CD
Well(s) on lot
To property line
Surface water/drainage
72-026 (3/93)° Front
Alarm tested (Y/N) /N///~--
Foundation
,_./
.Absorption field 2~. / Water main/service line
~ o~$ CONTINUED ON BACK PAGE
C. LIFT STATION
/
Date installed
Size in gallons
Vent (Y/N) 1,4 o
High water alarm level
L) ¢ ~__.¢ow,,J Manufacturer u
c:jO C~.L-.o*.~& Manhole/Access(Y/N)
"Pumpon" level at ~ ,/~-/j "Pump off" Level at
Cycles tested -T3~
I
Length [ I ~
Total absorption area
Date of adequacy test
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
Meets MOA electrical codes (Y/N) £×c_~.v~-d,,~ f~'~
_ SEPARATION DISTANCE FROM LIFT STATION TO'// ~),¢_1~.
/
Wellonlot ~[~ On adjace~t lots ~ [OO F~¢~ Sudacewater
Date installed /o~ Soil rati~ (GPD/FF) ' ~ ~¢/~ System type
Width ~ / Gravel thickness Total depth
~ ~ Cleanout present (Y/N) ~,~¢~ Depression over field (Y/N)
~/~ Results (pas~fa,I)~* for
~ ~ After test
If yes, give date
Bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
/
Well on lot
To building foundation ifc /
On adjacent lots
.
Sudacewater
Curtain drain
/
On adjacent lots [0 [ Property line
To existing or abandoned system on lot
Cutbank ~ ?_O/ Water main/service line
Driveway, parking/vehicle storage area
effect on
I ce~ that I have checked, verified, or conformed to all MOA and H~ guide~n the date eL.this inspection.
HAA Fee $ O~/~ ~'~
Date of Payment //- 2-~¢-*:-¢
Receipt Number ¢-5-'~¢/~-~q
Waiver Fee $
Date of Payment
(/~/~///) Receipt Number
72-026 (3~93)' Back
Alaska Water E Wastewater Services
"Preserving the Last Frontier"
RECE'IVED
MEMO
FAX : 558-3246
PHONE: 3~7-6179
NOV 8 199~
Mumc~pality of ARchorage
Dept, Health & Human Services ·
D~TE:
TO:
COHPRNY:
SUBJECT:
MESSAGE:
H, o.A
/
NUMBER OF PAGES:
(Including Cover)
Jeffrey ~. Garness, P.E. , M.S.
Owner/Consultant
Fax 358-3246 e 847l Brookridge Drive e Anchora§e, Alaska 99504
05/14/93 11:32 ~907277080~ CITY ~IORTGAGE
G!LFILIAN ENGINEERIN_G', INC.
'- -", ' - '
Main Ofllo~: 2~$ B.'v.l~traw~l Lane. Suit~ I0~, ~cho~g~, M~' 99503-20~5
(907) ~77-2021 · ~ (507) 274.868~ .
Ma~ .Su Offi*~: 1800 B, Parks Highway~ Suit, D.t~, Wa$llla, ~a ~654
May 12, 1993
Mr, Errand Scott
City Mortgage.
121 W. Fireweed Lan.e, Sui:te 12o
Anchorage, AK 9@§0;3
FIE;
Lot 7, Block B, Pollock Homestead Subdivision, Anchorage, AK
Three-Bedroom, Single Family Residence
GEl Project No. 93040
Dear Mr. ~*i¢o~I;:
This latter ia to provide you witll a report on the ~esult8 Of I~ sewage system adequacy
test and well flow tes~ th!at were recently completed oll the above referenced
prol~arty. In r~ponse to yo6r request, Mr, Kent Sheets, an EnvironmentaITechnlcJan
with 611fiiJan Engineering, I~¢,, visited tho above referenced property on May 10,
1993 and completed all th'e necessary work for submittal to the Municipality of
Anchorage for Operational Approval.
This work included an adequacy test on the septic system and a 4-hour well flow test
on the water supply systerfi. We also collected a representative ,ample from the
water supply System and an:alyzed, the sample for total coliform bocteda and nitrate,
Upon completion of the work, we prepared the appropriate Municipality of Anchorage
Health Authority Approval form~ which ,re enclosed with this letter. The folJowjng
sections desoribe the flncJln[~8 of our site visit.
93040.KS#4/pku
~ TUE 7:55 P, O5
05/14/93 11:32 ~'907277080~
Mr~ Errand 'J~om, ¢~'.'y Mortgage
SEPTIC TANK AND SOIL AE
CITY
Lot 7, IBlo{;k B, Pollock Homestead Subdivision
SORPTION SYSTEM
Star~ing the lnltial water flow into the septic tank and soil absorption system, it was
noted that there was already 23.§ Inches of water ~tandirlg Itl the absorption ~ystem
monitor tube. This Indicate~ that there was a problem with the system'~ ability to
absorb wastewater flow, Adcording to the Municipality of Anchorage's records, th~s
system has 24 inches of gravel beneath the perforated pipe, which Is the effective
absorption material. This ~ feet of grave] Is already inundated with.wastewater,
indicating tha~ the field Is negating the end of Its useful life,
After introducing 480 gallon's of water Into the system (based on 160 gallohs
bedroom), the water level rose an additional 62 inches, bringing the water elevation
to 30 inches, ~ inches abo~e the effective depth of gravel. As a result of Our
findings, we believe this system will not ~eet the M~nlcipalfty of A~chorage Health
Autheriw Approval stander, d{ for an on-lot ~epti¢ system,
WATER WELL SUPPLY SYSTEM
Our Inspection revealed that l~he well ~onsist8 of a 6-inch diameter steel casing which
is covered with a suitable well seal. The casing extends 12 inches above the ground
~urfaco, and the drainage app~ears to be adequate within a 10-foot radius around the
well. According to the attached well log, the well has a total depth of approximately
70 feet. The static water level was measured at 19 feet 2 inches be]ow the top of
the.casing at the time of the :well flow te~t.
~ 0[)3
To determine the yield of the' we I, ~ pump test was conducted utillzll~g the existing
well pump (size and type are~ unknown), During the test, wa measured the pump
discharge rate and monltore~l the drawdown of the water level in the well, The
recovery of the water level !ri:the well was also monitored after the 4-hour pump test
004
M'r..Errand $co~t~' City Mortgage Lot 7, Block I~, Pollock Homestead ~ubdlvi$1on
Waaoomplet~d. The reoult~ of the pump ~e~t Indicate the well, a~ equipped with the
existifig well' pump, is capable of crodu~lng 4,6 g~llon~ per mlnut~ for a minimum of
hours. :
The water samples oollect~-d from the well pumping system were tested for total
coliform bacterla and nitrate by our affiffate firm, Mat-Sa Ta,~t Lab, In(~. The attached
test results indicata that the waLer qualKy is acceptabla and satisfies the Municipality
of Anchorage minimum req.'ulrements,
If you have any questions ~r need advice concerning your sewage disposal system~
please do not hesitate to c~)ntact me at 376-3005,
Sincerely, :
GILFILIAN ENGINEERING, INC.
Kent~
I~nvironmental Technician
,dE ?:64 V, Ud
CITY ~IORTGAGE
Gilfilian Engineering, Inc;
1BO .0. E. Perk~ Hwy., Su~ta D-100
We$111a, Alaska 996~
WELL FLOW TEST DATA SHEET
F¢om: Well Log , ~
15robing Measurement-.
ADgC Records
Well Depth; 70 ~ ~
Static Level: {~;'2"
Physical / Sanitary Feature~:
SanitaryBeal. v' ./CAP ~
Casin~ Above Ground $udaoe:~
Pump Wire in Conduit ~
8uflao~ Drainage Away from Well',
Good.~ Poor
Well Pump Specs: .... - .....
Water SuPply Line:
8lze: _,_= Type:__
Drop Pipe:
Size: ~~ Type: ......
Depth to Pltles~ Adapter: .....
Storage 1 Pre,sure Tanks:_~
Time Time Interval PumPing Cumin. Static I Comments
IVlinute~ Ratl (gpm) G.a. !, Lever
1030 _ _~_,~ ....... - 1 O' ......... 2" _Water clear throug,ho~ut_~
1105 35 7,§ 262,5 43' 8" th~ test.
1135 30 6.6 460,5 43' 2~" . ......___
_
1218 15 ;4. .... 888,15 44' 11" Reduc_ad flow by K, $heet~
1320 65 }4 94§.5 53' 2" nt end,o'f adequaoy.tf_s_t,.
1345 . 25 '3 1020,§ 49' 1- ,..
1405 20 '2 1000.~ 4g' ?"
1430 2~ '!2 1t10.5 45' 7~"
Minutes Aveiege - Gallons' A si
240 TOTALS 4,6 1 I10,B
Time 'rime Interval[ 8tetla ~r Comments
Minuto~ ~ Level
1440 t 0 42~ 4"
LOCATION: Lot 7, Block B, P¢II~CJLU~J~I~A~;t--- PROJECT NO:__ ._ _9~3_0.~.0 ......... .-~ -
CLIENT: Errand Scott, .City Mortqa0e_' DATEI=~.~/10/~3 .......
BY: _ Kent Sheets
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
LoT' -7 BLt-, ~ I-~OLLC)C.k:. H-¢HE.S'TE./~ D
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
Telephone :(home)
Location (address or directions)
I~OO I~OI. Lc%. K DP_II/E,,
(b) Property owner ~q~xv~k/~J -~AklPd/4 IZ-~c,~,~iTC ,'-t
Mailing Address /r~%'~-z-3c
(c) Lending Institution
Mailing Address kl
(d) Real Estate Company and Agent
Address
Telephone
Poba P ? F,4 i_TV'
Business
(e)
Telephone ?'.4L? - 76?
Mail the HAA to the following address: (or check here~, if hold for piok up.)
List contact person and day phone number below:
~¢"-.Z 7.- /: / /
2. TYPE OF RESIDENCE
Single-Family.~ Number of bedrooms ~.-~
3. WATER sUPPLY
Individual Well ~' Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site~ 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.
72-085 (Rev. 7/88) Page 1 of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this
Health Authority Approval 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 a~l Municipal and
State codes, ordinances, and regulations in effect on the date of this inspection.
Name of Firm
Address
Date
Telephone ,B'--?,-~, -/,~' / /
,4. c C??T/S
Engineer's Seat
6. DHHS APPROVAL
Approved for --~ bedrooms by
Approved ? ~sa~prcved
Terms of Conditional Approval
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHHSdo not conduct inspections
or analyze data before a certificate is issued. TheMunicipalityofAnchorageis not responsible for errors or omissions
in the professional engineer's work.
72-025 (Rev. 7/88) Back Page 2 of 2
,?,%'.
Well Classification ~D~,~
Well Lag Preseni (Y/N) ~ Date Completed
Total Depth 7~Y Cased to
Static Water Level ~]~ ~
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
SEPARATION DISTANCES FROM WELL~
Ta Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
Water Sample Collected by Jl~:~¢
Water Sample Test Results ~'~
Comments .~_1} (' :~,'n..
MUNICIPALITY OF ANCHORAGE (MOA)
Health Aulhorlly Approval (HAA)
CHECKLIST- FEBRUARY 1984
343-4744
Legal Description: L~,?-
If A, B, C, D.E.C. Approved (Y/N)
Depth of Grouting ~ t'_[lo~kl
PumpSetAt [./kJLkE~Jkl flu7 f)l?fOz" (~-?'
Sanitary Seal on Casing (Y/N) /~/
Depression Around Wellhead (Y/N) L/
; On Adjoining Lots
'~- )C'O' ; On Adjoining Lots ~' /¢--~'
To Nearest Public Sewer Cleanout/Manhole
;Date
B. SEPTIC/HOLDING TANK DATA
Datelnstalled ~//~¢/~' Size
Standpipes (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Air-tight Caps (Y/N) ~'/
No. of Compartments
Foundation Cleanout (Y/N) ~',J,
Date Last Pumped
;for ~kl/P - '
Temporary Holding Tank Permit (Y/N) ~"~/]/~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well ~'/(.~? To Building Foundation .-~¢
To Property Line ~O' To Disposal Field /~¢- ~ -:"
To Water Main/Service Line ;~ ~-~- (
To Stream, Pond, Lake or Major Drainage Course kl/A
Comments
72-026 (Rev. 7/88) Fronl Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed e//.Zd-/~O~
'/ /
Width of Field _~0 ~/
Square Feet of Absortion Area ¢, ?(~ .~'-~-t
Depression over Field (Y/N) ~
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Statndpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line /¢ ¢
To Existing or Abandoned System on
Results of Last Adequacy Test ~/~ T/$ G:.~dT-O~--,Y'
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well ..~/(..30 ¢
To Building Foundation /~' '"
Lot ~ /~ ; On Adjoining Lots
To Water Main/Service Line ;~-¢ ' To Cutback (if present)
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D, LIFT STATION
Date Installed (,,//,]
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
,~_ .~_
Dimensions
Manhole/Access (Y/N) ,,/~'"
"Pump Off" Level at
Vent (Y/N) Y
Y
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA gui,delines in effect on the date of this
inspection.
Signed
Company
Date
MOA No.
Receipt No. ~/~-/
Date of Payment
Amount: $
72-026 (Rev. 7/88) Back
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
" .... 'i?Engineer's Seal
CORWIN & ASSOCIATES, INC. ~oz__
1000 E. Dimond Blvd. Suite 205
ANCHORAGE, ALASKA 99518 CALCULATED By '-,I.~__~--~t~__~'S~ OATE.' / ~' .__
(907) 522-1311
:ADEQUACY TI:S!_
· .~ :. :~. GALLONS ,; ; I ·SEPTIC LEACH
METER iTH~S TOTAL ~ TANK F~EI~D FIELD
TIME READING I~ERIOD GALLONS G~M DEPTtI DEPTH DEPTII
· LOCATIO:I OF UEL[ (Legal Description):__
WELL DEPTH: '70' Fl'. CASING:
DATE DRILLIHG COHPLETEO:
STATIC t-lATER LEVEL (Top oF Casing):__
FT
ORILLER:
FT
SCREEtI:
Cock
Tine
/'z.¥
Elapsed lime Since;
pumping'Star[sd/
Stopped, Him.
lO
2O
25
35
4O
· 45
5O
55
-'. 60 (t hour)
90
.120 (2 hours
150
180 (3 hours)i
Depth to
Water, fC.
5
tO
/9'
2'~o (~ _~ours
RECOVERY
lS
Z0
25
30
35'
4O
qS
SO
S5
140 (4 hours)'
DFa vtd ovm /
Recovery
Pump i n g
RaEe, GPf4
7
7
Remarks
WELL DEPTH: -7~2' Fl. CA£ i t'~G:
DATE DRILLirIG C0!.IPLC,rE0:
2'rATIC WATER LEVEL (Top o¢ Cssing):
Ff
DRILLER:
SCRE£M:
Clock
.tine
· '- O6
Elapsed lime 2ince
Pumping'SCa?tad/
Stopped, Min.
35
40
'4'5
50
". 60 (! hour)___
.120 (Z hours
150
tS0 (3 hoursll
240 (4 hours)
RECOVERY
S
t0
15
20
25
'30
'3 5'
4O
SO
55
hour)
hours
Depth to
,wat. gr, ft..
Orawdown /
Recovery
Pump i ag
Ra[e, GPf~
Rend?ks
Star~
~, 06 ?,',//
CORWIN & ASSOCIA'rES, INC.
1000 E. Dimond Blvd. Suite 205
ANCHORAGE, ALASKA 99515
(907) 522-1311 FAX (907) 349-2236
/_-7 /;/;
JOB
SHEET NO
CALCULATED BY
CHECKED BY
SCALE
OF
DATE
DATE
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
FEDERAL TAX ID # 92-0040440
~ ~'"' ,~o , 0~6,~ ~ 18920
'rime ,
Date
Inspector
Time ICJNICIPALIT¥
DEPF, O1: HEALTH
I~NVlI;[ONMENTAL pROI'B;;flON
Date
Inspector
,)
Date
Inspector ¢'¢ O~ ~ .
Comments
Conditional Approval
Date Sewer Installed
Soils Rating
Permit No.
Well To Absorption Area
Well to Tank
Septic Tank 8tze
Holding Tank Size
Welt Log Received
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner '*"- ] Phone
Buyer
Address ,~,/~//.,¢ ..~
Phone
Realty Co. & Agent Phone
Address
Legal Description /~07" '~ I~(..04./¢ ~ /)tPC. LoC/(,-
Street Location .¢20(.-(-0C/(
No. of Bedrooms
Type~f Residence ~ Single Family
E] Multiple Family
[] Other
Wate[.Supply ~3 Individual
[] Community
D Public Utility
Sewage Disposal ~3 Individual
[] Public Utility
E} Holding Tank
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 Icg if
available.)
Year Individual Installed:.
When Connected to Public Utility:.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSIN"' '
