HomeMy WebLinkAboutPTARMIGAN VIEW ESTATES LT 8MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241199
Work Type: Septic Upgrade
Tax Code Number: 01527144000
Site Legal Address: PTARMIGAN VIEW ESTATES LT 8 G:2634
Site Mailing Address: 11001 HANE ST, Anchorage
Owner: PARKER THOMAS J &
Design Engineer: ALASKA RIM ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
8/6/2024
8/6/2025
24799
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ 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
-Reeefvedgy:
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Issued By:l�Il/1%
Date:
Date:
4
Municipality of Anchorage
Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519_-6650-___
343-4744
January 25, 1990
Robert A. Shafer, P.E.
S &_S Engineering
170'34 Eagle River Loop Road, Suite 20
Eagle River, Alaska 99577
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Waft an L 7 to �cb l-a'lk
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Subject: Waiver Request for Lot 8 Ptarmigan View Estates S/D
Waiver Request #WR8900.70, PID 015-271
Dear Mr. Shafer:
Your request for waiver of the required 100 foot separation of
a septic tank and the well on Lot 8 to 85 feet and septic tank
and well to Lot 7 to 92 Feet has been approved.
This waiver approval applies to the existing septic system to
well separation only. Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Sinc ely,
J Robert W. Robinson
Civil Engineer
On-site Services
CONCUR:
J n Smith, P.E.
Program Manager
On-site Services
RWR/ljm: #6
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 01527144000
Property owner(s) Thomas Parker & Joy McLaurin Day phone 907.602.9009/301-0212
Mailina address
Site address 11001 Hane Street Anchorage, AK 99516-1441
Legal description (Sub'd., Block & Lot) Ptarmigan View Estates, Lot 8
Legal description (Township, Range & Section)
Lot Size 24,799 Sq. Ft, Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(Z all that apply)
Single Family
Absorption Field
Initial
(SF)
(w/wo ADU)
Septic Tank
El
Upgrade
Duplex (D)
❑
Holding Tank
❑
Renewal
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: Waiver Fees:
Date of Payment: Date of Payment:
Receipt Number:
Permit No.
Receipt Number:
Waiver No.
GAIDevelopment Services\Building Safety\On Site Water and Wastewatefforrns\Client FormsTermit Application.doc
ARE, LLC
dba ALASKA RIM ENGINEERING
CONSULTING CIVIL ENGINEERS & PLANNERS
1920 Kentucky Derby Dr.
Palmer Alaska 99645
Telephone: 907.775.2347
Alt Phone: 608.617.4070
Email: alaskarimengineering.llc@gmail.com
Professional Consulting --- Practical Solutions
July 17, 2024, REVISED August 5, 2024
Municipality of Anchorage, D.S.D.,
On-Site Water and Wastewater Department
4700 Elmore Road, Anchorage, AK, 99519
Re: Ptarmigan View Estates Lot 8
11001 Hane St.
Subject: Septic System Replacement Design and Permit Application
Parcel I.D. # 051-271-44
Dear Plan Reviewer,
The owners of the above 4-bedroom home septic tank is in a failed state and is in need of replacement.
SOILS INVESTIGATION
Two test holes were excavated on June 4, 2024, and logged by Charles A. Leet, PE.
Test Hole # 1
As part of determining the existing field location, Test Hole #1 was performed close to the end of the existing
field. Ground water was seen at a 7.5 foot depth not finding the field, we went to a depth of 9.5-feet. At this
this point in the excavation of the test hole we noticed fabric and septic rock on the sidewall at the 7.5 elevation.
The test hole had water which was concluded to be effluent from the field. Groundwater/ effluent was
detectable after 10-day monitoring. A percolation hole was dug 5’ away from the Monitoring tube see
Test Hole #2
Test hole # 2 was advanced to a depth of 16-feet. The soils consisted of sand and silty sand, with pockets of
pea gravel. Groundwater was not observed in this test hole which led us to further believe the Test Hole #1
water was the result of the neighboring septic field with was disturbed during the test hole. Test Hole #2 was
checked on Jun 24, 2024, for water, there was none.
The percolation test was conducted 5-6 feet below the surface. Based on the percolation test the soil application
rate 1.2gallon/day/square feet was selected, see the attached soil logs.
TOPOGRAPHY
See the attached asbuilt prepared by Fairpoint Land Services, LLC.
SEPTIC TANK REQUIREMENTS
The existing septic tank is slow draining and the age of the system is approaching its useful service life. This design will
require a new tank and we are proposing a 1500 gallon HDPE STEP tank for the tank replacement. The STEP will allow
the placement of the field near the existing ground surface. The existing steel tank is in two well protective radiuses, Lot
8, and Lot 7. In order to meet the required separation distance from the field, the new tank will need to be installed closer
to the wells. The existing tank will be disposed of onsite or hauled away per AMC.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241199, Deb Wockenfuss, 08/06/24
Ptarmigan View Estates, Lot 8 Page 2 of 2
July 17, 2024, rev 8/5/2024
Professional Consulting --- Practical Solutions
ARE, LLC Project No. 2023028
DRAIN FIELD DESIGN
We are proposing a 5-wide absorption field that will be constructed outside of the subject property’s protective
well radius and the neighboring Lot 7 protective well radius. This will require deeper excavation on the north
end of the field.
The proposed residence is a 4-bedroom dwelling with a design flow rate of 600 gallons per day. The prescribed
application rate is 1.2 gallons/ft2. The required area is 500 ft2. We are proposing a 5-wide trench with a 4-foot
effective depth with a length reduction factor of 0.5, with those dimensions the drainfield will be 50-feet in
length for a total of 500 ft2.
A no replacement field is shown on the drawing, as the only available would require a separation waiver. When
the needs to be replaced Advance Wastewater Treatment system could use the old field or require a smaller
discharge footprint.
The trench will be connected to the STEP via a 1.25” transport pipe. The 50-foot field will have a 1.25-inch
lateral with 1/8” holes facing down drilled at 2-foot centers. Attached is the Orenco Pump Selection for a
Pressurized System Summary including the pump selection data.
The tank, pipes and field will be insulated with 2-inch rigid insulation. The transport line will slope back to
the tank’s weep hole to avoid potential winter freeze ups.
SURFACE WATERS
There is no surface water within 100 feet of the proposed system. Drainage arrows on the site plan indicate the
slope and direction of stormwater runoff. (See attached site plan)
WELLS & DRINKING WATER
The property’s has three waivers. as listed below and identified on the drawings. By turning the tank parallel
to the septic field, the separation distance was able to remain the same for Lot 8 and Lot 7.
Lot 8’s existing field will be abandoned in place therefore this waiver will no longer be required or sought
after.
Testing for Lot 8
On June 28, 2024, water samples were collected and submitted to SGS Lab for analysis for Lot 8. Two water
quality tests were performed: Total Coliform Bacteria and Total Nitrogen.
Total Coliform Bacteria -The results were satisfactory for the absence of all three components of Total
Coliform Bacteria, E. Coli Bacteria, and Fecal Coliform Bacteria. (see attached SGS Drinking Water Analysis
Report).
Total Nitrogen – The combined Nitrate/Nitrite value Was nondetectable, 0.2 is the LOQ (Limit of
Quantification) In fact, the Nitrate/Nitrite sample indicated values have been nearly unchanged since 1990
when the last waiver was granted for Lot 8.
Separation Distance Encroachment
Current Proposed1
Well on Lot 7 to Septic Tank on Lot 8 92 ft.92 ft.
Well on Lot 8 to Septic Tank on Lot 8 85 ft. 91 ft as checked on asbuilt 92 ft.
Well on Lot 6 to Septic Field on Lot 8 Abandoning the existing field
Note 1. Final distance to be verified on record drawings.
Ptarmigan View Estates, Lot 8 Page 2 of 2
July 17, 2024, rev 8/5/2024
Professional Consulting --- Practical Solutions
ARE, LLC Project No. 2023028
Testing for Lot 7
According to the COSA issued on August 17, 2022, water samples were collected and submitted for analysis
for Lot 7 On August 2, 2022. Two water quality tests were performed: Total Coliform Bacteria and Total
Nitrogen.
Total Coliform Bacteria -The results were satisfactory for the absence of all three components of Total
Coliform Bacteria, E. Coli Bacteria, and Fecal Coliform Bacteria.
Total Nitrogen – The combined Nitrate/Nitrite value was also non detectable, 0.2 is the LOQ (Limit of
Quantification of the test) In fact, the Nitrate/Nitrite sample indicated values have been nearly unchanged since
1989 when the waiver was granted for Lot 7.
Recommendations
We are requesting a waivers of 92-feet between the onsite wells, on Lot 7 & 8 and new HDPE septic tank to
be reissued with this submittal. We believe the waiver is justified for the following reasons:
An HDPE tank is less prone to leaking than the previous vintage steel septic tank.
The 1990 waiver request indicates the well depth is 200 feet deep with a silty clay layer between 43
feet to 190 feet providing vertical separation.
The well is upgradient of both the tank and absorption field.
Bacterial analysis indicates the current well is free of bacteria.
The Nitrate/Nitrite were below the 10mg/l recommended practice set by EPA.
Based on the information provided in this report, it is my opinion that the lesser separation distance will and
has not had an adverse effect on the groundwater, nor will the public health welfare and safety be at risk.
SURROUNDING PROPERTIES
We do not anticipate any adverse effects on the neighboring septic systems, reserve areas or drainage patterns
by the installation of the proposed wells and septic system.
Sincerely,
August 5, 2024
Charles A. Leet, P.E.
Principal Engineer
Attachments:
• Permit application
• Overall site planp
• Septic Site Plan
• Trench detail
• Hole Layout and Notes
• Soil(s) log w/ perk test data
• Water test results
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241199, Deb Wockenfuss, 08/06/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241199, Deb Wockenfuss, 08/06/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241199, Deb Wockenfuss, 08/06/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241199, Deb Wockenfuss, 08/06/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241199, Deb Wockenfuss, 08/06/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241199, Deb Wockenfuss, 08/06/24
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CO
M
340
3
5
5
33
5
33
0
34
5
35
5
359'
35
3
'327'
3
3
4
'
30'
30'
COM
UGE UGE
COM COM COM COM
UG
E
WORK ORDER No:DATE:SCALE:
DRAWN:
ROL
CHECKED:
ROL
ZONING:
1"=40'Jun 20, 2024 R6
GRID No:FB BOOK/PAGE:
SW2634 168/23
SURVEY CERTIFICATION: FARPOINT has conducted a physical
survey of the subject property, the improvements situated
thereon are within the property lines as shown.
EXCLUSION NOTES: It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions
which do not appear on the Plat used for this survey.
NOTE: Under no circumstances should any data hereon be
used for construction or for the establishing of property lines.
PREPARED FOR:
Charles Leet, ARE, LLC
ASBUILT SURVEY OF:
Found Control
Cleanout
Cable Pedistal
Gas Meter
Farpoint Land Services, LLC
SURVEYING, MAPPING, LAND PLANNING, GIS
1131 E. 76th Ave., Suite 101 Anchorage, Alaska 99518
FarpointAK.com (907) 522-7770 survey@farpointak.com
Robert O. Lumpkin
No. 10459
R
E
GISTEREDPROFESS IO N A L L A N D S U RVEYOR
SERVI N G A L A S KA SI
N
C
E
1
9
8
2
Lot 8, Ptarmigan View Estates (71-165),
Anchorage, Alaska
1.Bearings and distances are record per referenced plat unless otherwise noted.
2.Not all monumentation for this survey may be shown on this document.
3.Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey.
4.Contours are from MUNI Lidar.
Power Pole
Well
Tele Pedistal
35
3
'Spot Elevation6/20/24
MUNICIPALITY OF ANCHORAGE
~i~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
'~'q ~/~,i ENVIRONMENTAL ENGINEERING DIVISION
~i 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
'"'~? ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LE(,aAL DESCRIPTION ·
~ NO. OF BEDROOMS
LOCATION ~~~ are~ ~ Dwelling~ ~/ PERMIT~~
~ ~ Manufacturer Material
~ ~ ~ ~e~ m __ ~F~L No. of comp~nts
Liq. ca ~acity i~ gallons ~side length Width Liquid depth
, ~ IF HOMEMADE:
Well Dwelling PERMIT NO.
~--~ Manufacturer ~ -- Materi~l -- kiquid caoacitv in ~allons
Nearest lot line PERM~
~ ~ Z No. of lines
Trenc~i~h b~7~qs
Leng o~chli e Total left, lines Distance
~ ~ ~ { ~"~ inches Total e,~iveyabsor~tion area
~ ~ Top of tile to finish grade~(* 'a~eria, be~ead~ tile ~ inches
Length Width Depth PERMIT N
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
Class Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
REMARKS
m
i m
72-013 ( /78)
~g~LL LOG
JENKINJ ~,'~LL 'O~ILLING
John Je~ins
Mile 2 0'Ma!lev
34x~-3792
Location: Lot 8 Ptarmigan Vie~.~-~states.
Depth~ Soils
O-25........... .... . Gravel
25- $~ . . . . . . ...... . . . . Sand
$3- 78 . . . . . . . . . . . . . . . . Silty Sand
78-10$ . . . . . . .... . .... . Clay Gravel
10~-160 . . . . ........ . . . . Clam Sand
160-190 ..... . .......... Gravel ~lay
1~O-200 . . . . . . . . ........ '.'~ter Gravel
In production testing~ this well produces ap-
proximately 15 gallons per minute.
The ~,~ell p~p is ~. ~+ H.P. sub~ersible ~et at
a depth of 168 feet~ approximate!? 32 feet from the
bottom of the well~ and ~,ith seal~ cond~,~it and
fittings~
L..I E L L R I'...I E:,
F'ERMIT N(]. ,:; :::1001~ '.:'
RF'PL I C:RNT
L _- C R T I 0 N
LEGRL
r.ll_,r- T "3: 'F L I T'T' i--iF RI'-d[--:F'
E:,EPRRTMENT ._,- HERLTH RNE:, EN',/IRONMENTRL ,~.IOTECTION
:E:25 '"L'" STREET., RNRHORRGE, RK. 9950'1
264-4720
1]ll'-J--'_~. ITE '__~.EL.JEFR
JOHN HENSLEY
HRNE STREET
LOT 8 PTFiRMIGRN VIEW ESTFITES
F'O E:O::.:: ' ~:~ ' tn, 995tt
TYPE OF SOIL RBSORF'TIAN '-'iYSTEM IS' F'IT
MR'?,IMUM NUMBER OF E:E[,R]JMS = 4 SOIL R. RTING (SQ FT,."BR)=
THE RE~:IJI RE[) SI ZE OF THE SO IL RE:SORPT I ON S"r'STEM IS ·
E:.EF-TH== J_1 LEr-.IGTH=~ :15 13 F-'. R '..l' E L E:,EF'TH=
THE LENGTH DIMENSION IS THE LENGTH ,::IN FEET) OF ERCH SIDE FOR R SEEF'FtGE PIT.
THE DEPTH OF R TRENCH OR PIT IS THE D ISTRNCE BETWEEN THE SURFRCE OF THE
GROUN[:, 8ND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
FIN[) THE BOTTOM OF THE EXCRVRTION ,:lIN FEET).
F.:E1]:.ll_l I F-:E[:, SEF'T I 1TM TRr-][::'_ '_-] I ?E= -1 ~..=;,£: 1.3RLLiZ~r-]"--;
F'ERMIT RPF'LIC:RNT HRS THE RESF'ONSIE:ILIT'T' TO INFCIRM THIS [:,EFIRRTMENT DURING THE
INSTRLLRTION INSF'ECTIONS OF RNY WELLS RDJRCENT TO THI FF.._FEF. Tm RN[:, THE
NUME:ER OF RESIDENCES THRT THE WELL WILL SERVE.
T I.--..I 1Il '"; 2 '" I I'-.I $ F' E '--~- T I 1il r'-~ ~ R F: E F.' E ~Z.i I_11 F-: E [:,
BRCKFILLING OF RN¥ S:,,?STEM [,.IITHOUT FINRL INSPEL:TII-ff',I RI'.,I[:, RPPRI]VRL E:'Y THIS
[:,EF'RRTMEI'.,IT WILL BE SUBJEC:T TI] PROSECUTION
MINIMUM DISTRNC:E BETWEEN R WELL RND F~NY CIN-SITE SEWAGE DISPOSAL S'T'STEM I S
100 FEET FOR R F'RIVRTE WELL OR t50 TO 2A0 FEET FROM R PUBLIC: WELL DEPEN[:,ING
UPON THE TYPE OF PUBLIC: WELL
MINIMUM DISTRNCE FROM R F'RI',,,'RTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO R COMMUNIT"r' SEWER LINE IS 75 FEET.
WELL LOGS RRE REC.!U IRE[:' RND MUST 8E RETURNED TO THE [:,EPRRTMENT WITHIN ]:0 [:'R'YS
OF THE WELL COMPLETION.
OTHER R. EQUIREMENTS MR'T' RPPL"r'. SPECIFICRTIONS RN['.' CONSTRUE:TION DIRGRRMS RRE
R',,,'RILRBLE TO INSURE PROPER INSTRLLRTION.
F-EI~.'r-11 T E::-:'F' I F-:E5 DEiZ:Er-IBEF-: _---=:i..
I L-:ERTIF¥ THRT
t: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RNC, WELLS RS SET
FOR. TH E:'Y THE MUNICIF'RLIT'T' OF RNCHORRGE
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
3: I UNDERSTRN[:, THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF' THE
RESIDENCE IS REMODELED TO I NCLU[:,E MORE THRN 4 BEDROOMS.
RF'PLIC:FINT ..TOHN HENSLE¥
.......
I SSI_IE[:, E:'T'_..
Department
Applicant:
Location: HAN~
Legal Description:
Type of Soil Absorption System Is:
Trench: Drainfield:
MUNICIPALITY OF ANCHORAGE
: Health and Environments. ?rotection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT * * *
WELL AND/OR ON-SITE SEWER PERMIT
~e~~ Mailing Address:
~- Phone Number:
LOT 8 ~arrY~l~nn V,¢u3 Es~ Lot
Maximum Number of Bedrooms:
I0- 157
size:
Seepage ~: ~ Holding Tank: Soil Rating (sq. ft/br)
The Required Size of the Soil Absorption System Is:
DEPTH I I '~ LENGTH I L.~_' GRAVEL DEPTH ~-'~' WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall Pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = ~2~) GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31j 1 9 8 1 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more ~.~~
Signed: ~.~~~~ Issued by:
~1 Zc a~- ~
Date: ~ -- /~ --~/
Contracting Engineers & Associates
212 East International Airport Rd.
Suite 204
ANCHORAGE, ALASKA 99502
(907) 278-3773
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
------5
6
7
8
SLOPE
DATE PERFORMED:
SITE PLAN
10
,'11
12
13
14
15
16
17
18
19
2O
WAS GROUND WATER S
ENCOUNTERED? L
O
P
E
IF YES, AT WHAT
DEPTH?
!
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND FT
COMMENTS
CERTIFIED B Y: ~~~~~J~ AT E: .~.~
ADAMS · CORTHELL' LEE · WINCE
& ASSOCIATES
CONSULTING ENGINEERS
AFFILIATED WITH
ALASKA tg$'~ LAB
503 EAST SIXTH AVE. -- ANCHORAGE, ALASKA - 99501
TEL. 272-3428
Dickinson, Oswald & Associates
800 Cordova Street
Anchorage, Alaska 99501
July 6, 1971
W. O. 11864
ATTENTION: Richard Metz
PROJECT: Subsurface Soils-~lassificatJ_on -
/fPtarmigan View
Dear Mr. Metz:
The twelve (12) soil samples delivered to Alaska Testlab July 1,
1971, have been classified. As I understand the order, the samples
were to be classified for deterrLination of the suitability of the
soils for on-site waste-water disposal. Accompanying the charts
was a Xerox copy of a plat with test-hole locations noted.
There were no continuous field lo~s, but the samples were
identified by test-hole number and depth. The three-foot sampling
interval presents a fair picture of the soil profile. The
classification and seepage area recuirements (in accordance with
Greater Anchorage Area Borough criteria) are:
Test Hole Sample Classification
No. Depth (ft.) (Unified)
Seepage Area
~er Bedroom (sq.ft.)
3 GW 85
6 GW 85
9 GW 85
12 GW 85
Average 85
3 SP 150
6 SW 125
9 SP 150
12 GW 85
Average - 6' to 12' -120
3
3 GW 85
6 SW 125
9 GW 85
12 GW 85
Average - 6' to 12' 98'
~,:ICHA[{D S. ADA~4S. P.E. ALAN N. CORTH£LL, P.E. HARRY R. LEE:. P.E. FRANK W. WINCE, P.E,
l)i ti: -i ~ son -Oswa].d
W. O. ~ ~ 864
There was no indication of ground water being encountered.
A copy of the test-hole location sketch, as presented to us,
is attached.
Very truly yours,
ADAMS, CORTHELL, LEE, WINCE
& ASSOCIATES
· P ],~
F W. Wince, . .
Municipality of Anchorage
P.O. Box 196650 • Anchorage, Alaska 99,519-6650 • Telephone (907) 343-5301 • I as (907) 3+3.8200
4700 Braga«• Street • Anchorage, Maska 99507
Mayor Mark Begich
April 21, 2005
Cindy Ellis
Watkins Engineering
P.O. Box 110443
Anchorage, Alaska 99511
��«w.nuuii.org
Building Safety Division
Subject: Waiver Request for Ptarmigan View Estates Lot 8
Waiver Request #WR 050020
Parcel ID # 015-271-44
HAA 050148
Dear Cindy Ellis:
Your request for a waiver of the required 100 feet horizontal separation from the
absorption field to private well has been approved. The approved separation distance is
90.0 feet. This waiver of 90.0 feet is for the horizontal separation from well on lot 6 to the
absorbtion field on lot 8
This waiver approval applies to the existing absorption field 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 343-7904.
Sincerely,
ii----
oe Goodall
Civil Engineer
On -Site Water & Wastewater Program
Community, Security, Prosperity
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.
1. GENERAL INFORMATION
Complete legal description
Lot 8~ Ptarmiqan View Estates
Location (site address or directions)
11001Hane Street
Anchoraq e, AK
ProPerty owner .Gar~, & Carol Ber9 Day phone
Mailing address 11001 Hane Stree~ Anchorage, AK 99516
349-6983
Lending agency
'-Mailing address
Day phone
Agent ~[arb"Ernisse/ VISTA REAL ESTATE Day phone 27 3-7269
Address 4241 "B" Street Anchoraqe, AK 99503
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 4
TYPE OF WATER SUPPLY:
Individual well XXX
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC
lng to the legality and status of system.
attest-
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
XXX
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
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 of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my inves.ti_gation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm s · S ENGINEERING Phone
171334 Eagle Ri~e~' ~ Read No. 2134
Address
Engineer's signature
DHHS SIGNATURE
__~ Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms,
with the following stipulations:
Additional Comments
Date
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 aDove Dy 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 satish/certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025 {Re~, 1/91) Bact( MOA
Municipality of Anchorage MUNICIPALITY C)F ANCHUK~I:
DEPARTMENT OF HEALTH & HUMAN S~TALsERwcEs D~WS~ON
Environmental Services Division
825"L" Street, Room 502 · Anchorage, Alaska 99501· (907) $411~4~.4~ J99,~
Health Authority Approval Checklist
RECEIVED
LcgalDescription: Lo'7- ~ I'o 7~E~,~/ V~ tl?.Parcell. D.: OI S'- -- 2~-'/t - q,.)t
A. WELL DATA
Log present ((~/N) ¥£ ·
Total depth ~ o ~
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed (0 /t ~ / ~ /
Cased to ~ 0
'/- Casing height (above ground)
Sanitary seal
Wires properly protected
FROM WELL LOG AT INSPECTION
Date of test
z'
Static water level ~J / ~' ] / c/
Well production ! S" g.p.m. ,~. q 3- g.p.m.
WATER SAMPLE RESULTS:
Coliform O Nitrate O, / Other bacteria O
Dateofsample: ~ / t t /ES-' Collectedby: ,5 ~ y g ,,, c-, ,,~,~.O ~.,. C,
Bo
SEPTIC/HOLDING TANK DATA
Date installed ~--/9'//¢5[ Tanksize ] & -~-O Number of Compartments ~l, Cleanouts{~q)
Foundation cleag, out ~q) ¥~' $ Depression (Y/~ N c) High water alarm (Y/~ Ax G
Date of Pumping 7/~ '//qs'- Pumper ] 5~ 4' c_ $
Co
ABSORPTION FIELD DATA
Date installed ,1'-/-.1 ? //~- [
/ !
Length ~ 5" -/- 3 c~ Width
Effective absorption area
2
o~rm~) ~ ~' System type 7'
Soil
rating
(g.p.d./ft:
Gravel thickness below pipe3-~- ~ ~-g' Tot~ depth
~r Monitoring Tube presen~ ~'f Depression over field (Y~
Date of adequacy test ~ / 2,, / c7 J-- /O,4_ J' J' ~
Results ~s~/Fail) For bedrooms
Fluid depth in absorption field before test (in.): ~ q hnmediately after ~¥~ gal. water added (in.): '3 (o
Fluid depth '~ :] O 0 Minutes later: ~'0 (in.) Absorption rate = '7 c/7 '/-.g.p.d.
Peroxide treatment (past ~t mo, nths) (Y)~ ~ ¢ ~ ~ /,-c,,,¢,.~ If yes, give date
Do
LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles t~Lcsted''~
Size in gallons /
"Pump off" level at*
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/h~4mg tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
t
: On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Lift station
7
/o0 -~
SEPARATION DISTANCES FROM SEPTIC/adOL-DING TANK ON LOT TO:
/ /
Foundatiou ~l. ~ Property line ~ 4-- Absorption field
Water main/service line g'o ~q-- Surface water/drainage ?0 0 5/_ Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation / 0 -/'-' Water main/service line $-- t2 -/-
Surface water
Curtain drain
F. ENGINEER'S CERTIFICATION
Driveway, parking/vehicle storage area
Wells on adjacent lots i
I certify that I have determined thru field inspections and review of 3dunicipal
in conjbrmance with MOA I[AA~,uidel)r~s in effect on this date.
Signature ~A'~'/~ f~
Engineer's Name BO ~3 ~ x F (' ~'~ ~,//} ,~
Date f/3'"~ / ~]5-'-
HAAFee $ ~'cA9
Date of Payment
ReceiPt Number
Rev. 8/95 OSS: haa.wk.doc
Waiver Fee $
Date of Payment
Receipt Number
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
0.,~E'SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 8; Ptarmi.qan View Estates
Location (address or directions)
11001 Hane Street
(b) Property owner
Mailing Address
(c) Lending Institution
Mailing Address
(d) Real Estate Company and Agent
Address 3600 A Stro-.et
Telephone 562-7653
Terry Ryan Telephone-(home)'$49-8698 Business
II001Hane Street, Anchorage, Ak. 99516
Kay Bank Telephone ~64-0384
ATTN: Lynn LaPerrier or Sondra ~564-0360
Ben, on ~ ~ St~ee~ ~n¢~orage. Ak~ qq510
Fortune Properties ATTN: Marqaret Goesche
Suite !0! Anc~_o~_.-_ge, Ak_ 9950_~
(e) Mail the HAA to the following address: (or check here I~(if hold for pick up.)
List contact person and day phone number below:
3 & S ENGINEERING
17034 Ea_ale R~ver Loop. Road No. 9_t~.
Eagle River, Alaska 9957~.
2. TYPE OF RESIDENCE
Single-Family ~ Number of bedrooms
3. WATER SUPPLY
Individual Well ~X 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 I~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72-025 (Rev. 7/88) Page 1 of 2
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown 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 all Municipal and
State codes, ordinances, and regulations in effect on the date of this inspection.
Name of Firm
Add ress
Date
17034 Eagle River Loep Road No. 204
Eagle River, Ala~(a ~5Z7
Telephone
6. DHHS APPROVAL /./ _
Approved ~'~Disapproved Conditional
Terms of Conditional Approval
Date
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 DHHS do not conduct inspections
or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions
in the professional engineer's work.
72-025 (Rev. 7/88) Back
Page 2 of 2
MUNICIPALITY OF ANCHORAGE (MOA)
Health Authority Approval (HAA)
CHECKLIST- FEBRUARY 1984
343-4744
Legal D. ejscription:
A. WELL DATA
Well Classification ~ ~'~q \~;;)
Date Completed
")-.~:2 ~ Depth of Grouting
If A, B, C, D.E.C. Approved (Y/N)/'"'~
\'~ {, Yield ~ ,7..- d~ ~r~---IF
Well Log Present (~/N)
Total DepthS' Cased to __
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduitt~N) ,-.f
SEPARATION DISTANCES FROM WELL:
To 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
Pump Set At
Sanitary Seal on Casingd~N)
Depression Around Wellhead (Yd~P
Water Sample Collected by '~ ~, ~
Water Sample Test Results '~~
; On Adjoining Lots
I
~ ct, ; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
~~. · Date ~ ~ -- ~ -
To Water-Supply Well
To Property Line
To Water Main/Service Line
B. SEPTIC/HOLDING TANK DATA
Date Installed ~--~Z.'~. ~) I Size
Standpipes ~:N)
Depression over Tank (Y/~CjP
Pumping/Maintenance Contact on File (Y/N),
Holding Tank High-Water Alarm (Y/N) I"&/f~'/
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
I
No. of Compartments
Air-tight Caps4:CDN)
Foundation Cleanout(~)
i.~///D.,b~te Last Pumped; for I \ -~
Temporary Holding Tank Permit
To Stream, Pond, Lake or Major Drainage Course
Comments ~"~ .-~rff~ ~"~~ \ (~--~-'~
72-026 {Rev 7/88) Front Page 1 of 2
To Building Foundation
To Disposal Field
I
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata ~~~ Type of System Design
Date Installed ~'~ 'Z--"7 - ~ ~ Length of Field
Width of Field "~'~ ~
Depth of Field
Gravel Bed Thickness
Square Feet of Absortion Area ~7 (,~ ~4=~ Statndpipes Present ~/N)
Depression over Field (Y/~ r-J Date of Last Adequacy Test
Results of Last Adequacy Test ~:~ ~~~-~ -'~
SEPARATION DISTANCE FROM ABSORPTION FIELD:
\ c:~ ~ ~ To Property Line
; On Adjoining Lots
To Water-Supply Well
To Building Foundationl Lot ~ /
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
To Existing or Abandoned System on
To Cutback (if present)
t..~_
Comments
D. LIFT STATION
D~llod
Size in
"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)
~ng 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 guidelines in effect
inspection.
Signed
Company
Date
MOA No.
17034 Eagle River Loop Road No. 204
Eagle River, Alaska ~¥5~ z
Receipt No. c,~./~---~'-~' //12,~;;; ¢ )
Date of Payment //~- -~-~ ~/
Amount: $ /~ ~
Receipt No.
Waiver Fee: $
o
Date of Payment
72-026 (Rev, 7/88) Back Page 2 of 2
SCALE
unicipality of Anchorage
~ Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
January 25, 1990
Robert A. Shafer, P.E.
S & S Engineering
17034 Eagle River Loop Road, Suite 204
Eagle River, Alaska 99577
Subject:
Waiver Request for Lot 8 Ptarmigan View Estates S/D
Waiver Request 9WR890070, PID #015-271-44
Dear Mr. Shafer:
Your request for waiver of the required 100 foot separation of
a septic tank and the well on Lot 8 to 85 feet and septic tank
and well to Lot 7 to 92 Feet has been approved.
This waiver approval applies to the existing septic system to
well separation only. Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Robert W. Robinson
Civil Engineer
On-site Services
CONCUR: / /
Program Manager
On-site Services
RWR/ljm: ~6
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOl L TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
ROBERT SHAFER, P.E.
ROGER SHAFER
January 24, 1990
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTN: Robbie Robinson
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
REFERENCE: Lot 8; Ptarmigan View Estates
Dear Robbie,
As per our conversations on the waiver request for the referenced
property, we have accumulated more data from area w~ll logs which gives
us a better understanding of the aquifer which supplies water to the
two wells referenced in our previous submittal dated November 29, 1989.
Following is summarized w~ll data available for each of the lot~
surrrounding the referenced property:
Lot I ~
Lot 2 :-
TD = 240' 6"CSA 240' Aquifer.=.237' to 240' +
SWL ~ 180' DD = I0'
Clay/ till 40' to 220~u_ j ~ -.
NWL or w~ll data
Lot 3:, TD = 242' 6"CSA 241.5' Aquifer = 236-' to'242' +
SWL ~ 190' DD = 51'
Silt/Hardpan/Clay 68' to 223'~'?.- . ~") ."
Lot 4:/ TD = 232' 6" CSA 232' Aquifer = -210' to 232' +
SWL unknown DD unknown
Silt/Hardpan/Clay 40' to 21~.~
Lot 5: No File
Lot 6: ~TD = 203' 6"CSA 203' Aquifer = 196' to 203' +
SWL ~ 68' DD unknown
Clay/Silt 72' to 19~
Lot 7: NWL or w~ll data
Lot 8:~' TD = 200' CSG info = none Aquifer = 190' to 200' +
SWL ~ 54' DD unknown ,
Silt/Clay 43' to 19~. I~I~1 ,//
1~034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
Page Two
Lot 8; Ptarmigan View Estates
January 24, 1990
Lot 20: (Sec. 21-TI2N-R3W) Vacant
Lot 19: (Sec. 21-TI2n-R3W) TD=~I6', 6~CSA 216' Aquifer=213' to 216' +
SWL @ 130' DD= 40' ~. ~
Clay 74' to 195'~.I ~i~
As can ~e seen from this data, t~r~ is ~ impermeable ~arrier a~ove ~he aquifer
which varies in thickness from 119 ft~'(Lot 19) to 180 ft. (Lot I~ This shows
th~ aquifer to b~ confined, and th~ conf~ ~ayer will
~ffluent from entering the aquifer. :.'"/~ ~v~ ~n?~-'~Z ~-~"-~
Given this additional data and a b~Un~an~g ~f ~h~ ~a~w~de soils
type b~tween the ground surface and the aquifer, we have r~calculated the points
in a risk analysis performed using the Department of Environmental Conservation
(D.E.C.) "Separation distance Waiver Guid~R~ines." Following is the recalulation
of points:
I. Water table 190'-8' = 182' vertical separation
7.4 pts.
2. Soil Sorbtion:
8' to 25' Grave~ 17'
26' to 43' Sand 17'
44' to 78' Silt/Sand 34'
79' to 104' Clay/Sand 25'
105'to 160' Clay/Gravel 55'
161'to 190' Clay/Gravel 29'
(17x0=0) 0
(17x2.0=34) 34
(34x3.0=102)102
(25x4.5=113)113
(55x2.5=138)138
(29x3.0=87) 87
460 460-127= 2.6 pts.
3. Permeability:
8' to 25' Gravel
26' to 43' Sand
44' to 78' Silt/Sand
79' to 104' Clay/Sand
105'to 160' Clay/Sand
161'to 190' Clay/Gravel
17' (17x0= 0) 0
17' (17x2.0=34) 34
34' (34x3.0=102)102
25' (25x3.0=75) 75
55' (55x3.0-165)165
29' (29x3.0-87) 87
463 463-127=2.6 pts.
4. Water Table Gradient -7%
1.7 pts.
5. Horizontal separation
2.4 pts.
TOTAL POINTS: 16.7
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
ROBERT SHAFER, P.E.
ROGER SHAFER
November 29, 1989
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIFONMENTAL PROTECTION
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
RECEIVED
REFERENCE: Lot 8; Ptarmigan View Estates
Request you issue the attached Health Authority Approval and grant a
waiver for the horizontal separation distance between the septic tank
and the well on the referenced property at 85~t. We also request a
waiver for the distance between the referenced septic tank and the well
on the adjoining lot 7, at a distance of 92 ft.
When the septic system was installed on the referenced property in May
of 1981 both wells were existing. The lesser separation distances were
~ed and approved by the Municipal inspector at the time of
installation.
Following is the results of a risk analysis performed using the State of
Alaska, Department of Environmental Conservation "Separation Distance
Waiver Guidelines":
A. WATER TABLE:
From well log - Water encountered at 190 ft.
Septic Tank Depth is 9 ft.
Separation equals ~_l_ft. =
7.4 pts.
B. SOIL SORPTION:
Mixture of Soils -
Gravel, Sand, Silt, Clay
= I. 5 pts.
C. PERMEABILITY:
(Same soils as above)
= 1.5 pts.
D. WATER TABLE GRADIENT:
From Flow Test - Drawndown =
Separation = 85 ft.
Hydraulic Gradient -7%
6 ft.
= I .6 pts.
E. HORIZONTAL SEPARATION:
Minimum Separation = 85 ft.
= 2.4 pts.
TOTAL POINTS = 14.4
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
Page Two
Lot 8; Ptarmigan View Estates
November 29, 1989
Other factors to be considered include:
I. The well log shows several~ layers between the surface and where water
was encountered at 190 ft. This wo~ld help prevent the septic effluent from
reaching the aquifer.
2. Only the septic tank is within the required separation distance. The
septic tank should allow only a minimal amount, if any, of effluent to enter
the ground.
3. Nitrate samples from both wells showed no nitrates detected.
It is our opinion that the horizontal separation distance prescribed by
18AAC72.021. is not required in this case.
If you require additional information for your review, please contact us.
~ ~~ ~S/gm~OB~T A. SHAFER, P.E.
e of filing, is not
sewer facilities.
ewer disposal facility
prior approval of
jZ
59' 36"
~,TIONS, CERTAIN LOTS
' NOT BE DEVELOPED
PPLY AND SEWAGE
,?
DATA
,
~ ~ ~9° 5~' ~G" W· ~ ~99.3~
- _~'/;~ ,~-~ ~.. ~ . ,~
~, 89° 49 29" E. _ ~'~- _J~
.... ~ ~---~~%14 _. ~ _.
, ~ _~ / ~o,
~ :-1~_ %
~ ~ ~2 . / , aO~.~-
~m-- I m ~ , ~[~ .Ic Jj UtiJlt~e~t,
o~ ~J I
~' ~1 ~
-~ o 5HIO STREET
~o~ N. Bg°59'~4'E 329.87
1..-'
SURVEYC
I, the
DATE RECEIVED
INSPECTION APPOINT, MENTS ~..~j~__~, -~/-~_~
TIME TIME[~/~ ,~ ~'~ TIME
INSPECTOR I NSPECTOR~ I NSPECTOR~ ~C~ ·
MUNICIPALI~ OF ANCHORA~
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~iRONMENTAL pF, OTECTION
825 L Street - Anchora~, Al~ka 99~1
ENVIRONMENTAL SANITATION DIVISION 3Uiq ~ 9 1981
Telephone 2~-4720
DI R ECTIONS: Complete all parts on page 1. Incomplete requ~ will not be pr~d. Please allow ten (10) days for processing.
1. PROPERTY OWNER ~~/~ PHONE
MAILING ADDRESS
PROPERTY RESIDENT (If different from above) PHONE
2. BUYE~ PHONE
MAILING ADDRESS
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREET LOCATION ~,
E~ SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] On,,~ [] Four
[]~ .,[~Th [e [] Five
~ e [] Six
[] Other
7. WATER SUPP~I,~ ~'~ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
/'~::~;~.~_YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMI I~¥
2, WATER SUPPLY
[] INDIVIDUAL
[] COMMONiTy~
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
i---I PUBLIC UTILITY
Connection Verified
[~Septic Tank or []Holding Tank
Size: ! 3-'.~ D If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
5, COMMENTS
[] ONE
[] TWO
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOl LS RATING
MANUFACTUR ER~L
MATERIAL
Septic/Holding Tank IAbsorption Area
NUMBER OFBEDROOMS
[] OTHER
~;] THREE [] FIVE
[] FOUR [] SiX
Sewer Line
Nearest Lot Line
DATE
[Z~APP ROV ED FOR .-~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accom/l~¥ certificate)
//
[] DISAPPROVED
72-010 (Rev. 6/79)
