HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 10H LT 27A MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
'T'ti N.~ ~.'~oZ%
TANKS
TYPE OF SYSTEIVi
[] TRENCH ~ BED [~ W. DRAIN [] OTHER
FT FT
FT
sO FTj
SO FT
DISTANCES
TANK
ADSORPTION
FIELD
WELL
WELL
LOT LINE ~"~0
FOUNBATION
AS-BUILT DIAGBAM /Show Iocat,on ol well, sepuc system, ploperly hnes, Ioun(lat,orl,
FT
FT
F'r
WELLS
PRIVATE [] OTHER (Identify}
~5'li}C~lt~(~I~-iA'B C) /Tolal Dop[h Casco to
FTI FT
REIViARKS:
72 013 (3z85)
ALASKA [ I1UIROllllleI1TAL COI1TROL SE RUICES, IBC.
I~n(lin¢~ri~~ ~ ~nuir0nm~nto[ $1uaiCs
SPECIFICATIONS FOR HOLDING TANK
LEGAL: LOT 2?, BLOCK 10, RABBIT CREEK HEIGHTS SUBDIVISION
1.0
GENERAL
1.1 Ail materials and workmanship shall meet the
requirements of the Municipality of Anchorage, the
conditions of the permit, and all applicable rules
and regulations currently in effect.
1,2 The Drawings, pages 1 through 2, and ADEC
application are a part of this specification.
1,3 All excavations and depths are advisory, and are
to be verified or modified in the field by the
Engineer or inspecting agency.
1.4 It is the responsibility of the property owner or
installer to adhere to approved designs for the
installation, to maintain the specified separation
distances, and to have the appropriate
inspections.
1.5 It is the responsibility of the property owner or
installer to report to the engineer any observed
conditions which would put the system in violation
of state regulations.
1.6 If the installation is not inspected by an AECS
engineer, AECS will not be responsible for the
installed system. An engineer at AECS should be
consulted prior to construction, to determine the
number of Inspections that will be required and to
explain what these inspections will involve.
3.0
HOLDING TANK
2.1 A holding tank must conform to the corrosion
prevention standards for septic tanks under the
Uniform Plumbing Code, as amended.
2.2 A holding tank shall be located ne less than
2.2.1 five feet from any property line or
building foundation;
2.2.2 10 feet from any water main or water
service line;
Drt-,~~ ........... ,4~, ....... -;~5~o~ (907) 279-5553
2.2.3
2.3
2.4
2.5
2.6
2.7
2.8
2.9
75 feet from surface water or any source
of domestic water supply.
The capacity of a holding tank may not be
less than 2,000 gallons and must be increased
by 500 gallons for each bedroom over three.
A holding tank must be installed in an area
that is readily accessible to a pump truck at
all times and where overflow during operation
or spillage during pumping will not create a
health hazard. The access site for the pump
truck must not be more than 100 feet from the
holding tank. The elevation of the site must
not be more than 11 feet higher than the
bottom of the holding tank.
A holding tank must be secured against
flotation under high water table conditions.
A holding tank must have a four inch diameter
standpipe with an airtight' cap to provide
pumping access. The standpipe must extend at
least 12 inches above the surface of the
ground.
A holding tank must have a watertight manhole
to provide access to the interior of the
,.tank. The manhole must be at least 20 inches
in diameter.
If a holding tank is not buried or is buried
at a depth of four feet or less, the tank and
standpipe must be insulated.
A holding tank must be equipped with an
approved high water level alarm which
registers both visually and audibly inside
the dwelling. The alarm must be positioned
to allow not less than 300 gallons additional
storage after the alarm has been activated.
ALASKA ENVIRONMENTAL
CONTROL SERVICES, INC.
1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
SHEET NO. ~/ OF ~
CHECKED BY DATE
SCALE
C, REID,
CE- 2251
%.
AS-BUILT NO CORNERS SET THIS DATE
I hereby certL~y that I have pe. rforn~ a ~ott4a~ee'~
L'~sp¢ctlon of t~e fol]owinl described
LeT ~-7~ E'LOC~'- lO, ..~
· ,' *-, Anehoraee Re~inl P~e~i~., Aluk~, ~d ~at ~
,~ ~ impmvemen~ situat~ ther~n ~ ~n ~e ~
/' ' ". -,'z, lir.~ and do not ova, lap or enoch on ~e p~
r. ~:~*~ ~: ; . . ., ,.,. ~, ]~n~ ad}~c~nt thereto, that '~ ~pr~n~ ~ P~
e~y ]ytn~ adJa~nt thoro en~ch ~.~
in ~uestto~ ~ that ~e~ a~ .~o ~waT~ ~-
[" ;""xc~'''~ 's" ',", ~;= ~ .' ' ,,' I *~ ~E
ALASKA el]UIROI]me[1TAL CO[1TROL SeRUICe$, II]C.
~nqin~rieq D ~nuironmtnlel Studies
P. 0. Box 240668
Anchorage, AK
(907) 279-5553 ***
Marston Realty
2804 W. Northern Lights Blvd.
Anchorage, AK 99!517
ATTN: Klm Lane
RE:
99524-0668
FAX (907) 276-8706
July 10, 1990
Lot 27, Block 10, Rabbit Creek Heights Subdivision
8106 Robert Drive
Dear Kim:
Here is the status report on the sewer system for the above
referenced lot. On July 22, 1988, Alan Wien performed an
adequacy test and a well flow test on the subject property.
We found that the system was adequate for a 3 bedroom house
but not for a 4 bedroom house. Al%o, we noticed a
discrepancy in the separation distance from the well to the
drainfield. It was only 98 feet, even though it was
reported to be 100 feet on the original Municipality of
Anchorage inspection report. In looking at Alan's report,
noted that he just filled the system up to the top of the 4
inch pipe. Therefore, it would give a total test to the
system. As I stated earlier, it was adequate.
I then applied to the MOA for a waiver to allow it to go as
a 4 bedroom system since it was 48 shy of a 4 bedroom
system. Also, the adequacy test showed that it was adequate
for 4 bedrooms. The MOA denied the request that the system
................... - ~,~ 27~ 5553
be approved for a 4 bedroom because there was inadequate
reserve area on the lot.
In reviewing the inspection that was done by the
Municipality, it was noted that there had been some water in
the trench. The owner had dug the curtain drain to the east
of the system, and both trenches then became dry. Lynn
Linquist, the inspector for the MOA, made a note 'that "this
is a marginal system at best." This is a peculiar note to
see on an inspection form.
In 1983. the house was apparently sold, and an adequacy test
was done on the property. The test was adequate. In
looking at the way the report was conducted, it appeared
that there was liquid within 4 feet of-the top of the sump
pipe at the end of the drainfield. At the time it didn't
occur to me that this was significant. Later, I found that
this was a clue to what had happened. Since it was 4 feet
from the top of the sump pipe, they had filled the system to
32.5 inches from the top of the sump pipe, which in reality
caused the system to be flooded. Even though it took the
water, it was totally flooded at the time the adequacy test
was done in 1983. Instead of passing the system, which they
did, the system should have been failed.
In looking back through the soil test records of 1979, the
report showed a brown silt to 15 feet, and groundwater at 15
feet. This soil test was done 40 feet from the north side
of the house. It had a very good percolation rate.
When Alan did his soil test on July 21, 1989, to verify the
water level of the MOA, he dug to 15 feet in the test hole,
which would be 38 feet from the system stand pipe. The
water level was at 15 feet, which placed it 4 feet below the
bottom of the system at that point. That day there was 3
feet of water in the trench. Our surmise was, since the
house was unoccupied, that water had to be coming into the
system from another source. At that point, I recommended
that we install a curtain drain around the system in order
to drop any water level that would occur. This was done in
October, 1989, and during the excavat'ion to the southwest
and south of the system, we encountered five spots where
water was coming through and getting into the septic tank.
There was a broken line that had occurred between the house
and the tank. From the sewage stains it appeared that his
line had been broken for some time. During the winter of
1989, the septic system went dry, and it appeared that the
curtain drain had worked. I decided that were it to stay
dry in the winter, we would again test it in the spring
after breakup. If the system were still adequate, the MOA
would issue a health authority.
During the winter of 1989-9'0, we had a very heavy snow pack.
I watched the system several times during the winter, and
the system stayed dry. When the snow melted, the system
filled with water. I checked the system and .the water level
remained constant. Apparently, water is getting into the
system by flowing upwards through the ground below the
curtain drain and entering the system. Or, there is a
source of water that we have not identified.
Earlier, I spoke with you about using a bucket auger to dig
a test hole between the two systems to see if we could
understand what was happening. I tried it and was not able
to drill a hole using that approach. In June, 1990, I had a
backhoe which was doing ~ome work just down the street from
Robert Drive, so I had the operator dig a hole between the
two systems. When the hoe dug down, we found, to my
surprise, that the soils where the system is installed have
no relationship to that in the test hole 38 feet away, nor
to the test hole that was done in 1978, nor to the
inspection report. The first 4.5 feet of ground over the
top of the septic system consisted of peat and roots. From
4.5 to 6 feet there is a wet silty sand, and then from 6-8
feet is a mottled silt that is tan and blue. The water
table was at 4.2 feet, which is just about at the top of the
peat. When Alan tested the system, he had filled the system
to the top of the pipe, which would have put him right at
the interface of the silty sand and the peat. The earlier
test, done in 1983, had filled the system to 32 inches from
the top of the pipe which would make it approximately 2 feet
into the peat. Water flows well through drained peat. In
fact, peat is a good medium for treating septic tank
effluent.
The system is not in the type of soils that the original
soils test shows, nor is it in the type of soils that our
test hole, located just across the driveway from the system,
shows, It appears that this system shoul~ never have been
approved, to start with. The fact that the MOA approved it
is a shock to me.
Sometime between 'the time we started the work and the system
was installed, the drainage along has been greatly changed.
Someone has apparently changed the drainage of the water
system coming down off of Carl Street to drain down Robert
Drive. Since 1988, the ditch along the road has been cut
down from a couple of feet below ground level to 5-8 feet
below ground level. This runs year round, and as such, can
be classified as a stream, This means that the sewer system
is now within 100 feet of a stream. Were the system to be
working properly, I would say that it would be worth while
to apply to the MOA to waive the distance to the stream.
However, because the system is in the type of material it
is. I don't believe that anything we can do to get a soil
absorption system approved.
RECOMMENDATIONS '
The alternatives are very limited. The chances of
rebuilding this system to a functional system is probably
nil. The only other alternative is to install a holding
tank on this property. A problem with this option is that
during the winter months, Robert Drive becomes very
difficult to reach with a pump truck. Therefore, the
installation of a holding tank of normal size would be very
difficult. If a holding tank were to be }nstalled, it is
recommended that a very large holding tank, on the order of
9,000 gallons total capacity, be installed. The reason for
this is that there are periods as long as 6-8 weeks during
the winter months during which a pump truck could not get to
service the tank. This is because of the icy road
conditions that can develop in the Rabbit Creek Heights
area.
I recommend that two 4,500 gallon holding tanks be
installed on this lot. The piping could be arranged so that
one tank fills first, and then flow goes into the second
tank.
If you have any questions, please call me. Thank you.
Sincerely yours,
Leroy C. Reid, Jr.
PhD, PE, DEE
LCR/sr
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
· '/ 2 . . , , q
LEGAL DESCRtPTION: ~.~2,4~¢~ ~2~ ~.~,,¢~,.,,.¢ ¢, ,,~,,/~,./¢. ~. Township, Range, Section:
1
2
3
4
5
6
7
8 --
9
10
11
12
13
14
15
16
17
19-
2O
COMMENTS
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
s
IF YES, AT WHAT / L
DEPTH? ?. Z pO
E
I
N
Del]Ih to Water Aller ¢
Moniloring? .. '~', ~ Date:
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE --
TEST RUN BETWEEN
(minutes/inch) PERC HOLE DIAMETER __
FT AND FT
PERFORMED BY: ~/~ /~
' ~ -'¢ '~ I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ,~,/~':,'¢, .o
72-008 [Rev. 4~85) / /
InC.
1412 W6SL 33~6 ~,V61~U6 · Ancl~o~,(~¢, Al~$k2, 99503 · (907) 279-5553
ON-SITE SEWAGE DIS;;~O~AL SYSTEM A,~DIOR WELL INSPEL, tO~ R~RT
_ ~ /~-b~
~ ~ DISTANCE TO:
~ Well ' '
~ ~'~ ~o ~i.,,~ ~,~, -~ - - ~.. ,"~-
~ ~ PERMIT NO.
~ ~ ' Depth Driller D,stance tO tot lin.
~ DISTANCE TO: Building foundati~ ~ S~r line ~p~C tank
OTHER
~PIPE MAT~'RIA~
SOIL TES~RATIN~
........................
J
~PP~OV ~ O_ ~ DAT~ L~%AL
t
\
\
C. REID, JR,
d~
A~BUILT No CORNERS SET THiS DATE '
L~sptction of the followlnl
~c~ 2~ eLoC~ ~o, ....
Anchorage
lmp~vemen~ situat~ ther~n ~,e
~,a~ncc~ thereto, that
e~ ]yln~
t~. ~uestjon
mEss]on
e~y ex.pt
Dated mt ~ch~a~e.
[ 2 ~ ' '
Ene~r,~r~ f;~'es-orf & ~.nr, e~
Date.~
Owner ?~i:J
) '-' ,,-, ~,, .~'
Location~ r'?,? ~"]
City . ~/C/~
Total Depth-
Casing Size /~ /''
Drill
Log of Well Pipe Depth Casing
~3 [) >'l~L - Bit 1
-- 1 2
-- 2 3
-- ~,~ 7 ~,~. --
--- 5 6
~ _ ~ 6 7
-7 8
-- ~ -- 8 9
~oo_ g~f ~ 9 :~0
-- ~mO~ - 11 12
~ ~ - 12 13
- - 13 14
T~o ~sa 1 4 1 5
_ _
_ _ 16 ]7
~ ~ 17 8
20
533
'": ~ DOLLARS
5 !27
.... ~ ~o
~ ~) 31
f
Screen Size _,
Kind of Wire
Estimated Capacity
Kind of Pump
Length
Gauge _,I:
gals./mJn.
:.., ,toro/ ...
Depth of Pump Setting . m,.._- ~.. "."~ :,', Ft.
H.P. _ Voltage -. ,:.D . Phase C ~ '"":: '--
Size of Tank
· :.4 2r
OLAF. ROLLINS
ADL 0377850
P. O. BOX 10-651 344~3628
ANCHORAGE~ ALASIC& 99511
CHEMICAL & GEOLOGICA..A LABORATORIES OF ALASKA, INC.
5633 B ST '~'r ,,,,,~ ........ ~
~~h REET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343
~ FEDERAL TAX ID # 92-0040440
ANALYSIS REPORT BY SAMPLE for Work Order S 7886
Date Report Printed: JUL 18 88 t 16:16
Client Sample ID:L27 BIO RABBIT CREEK HEIGHTS
PWMID :UA
Collected JUL 13 88 @ 16:00 hrs.
Received JUL 14 88 ~ 16:30 hrs.
Preeezved with :4 DEO C.
Client Name : AECS
Client Acct: AHECSRP
P.O.~ NONE REC'D
Req $
Ordered By :
Analysis Completed :JUL 15 88
Send Reports to:
Laboratory Supervisor :STEPHEN C. EDE I)AECS
Releaeed By : ~ ~. ~ 2)
Special
Instruct:
Chemlab Rof $: 1792 Lab Smpl ID: 5
){atrix: Water
Parameter Tested Result/Units Allowable
............. Hethod Limlte
................................................................ T .................................
NITRATE-N
0.82 ms/1 EPA 353.2 10
Sample ROUTINE SABLE
Remarks: SAMPLE COLLECTED BY A. WEIN.
i Tests Performed ' See Special Inetructions Above UA-Unavailable
ND- None Detected "See Sample Remarks Above
NA- Not Analyzed LI-Less Than, GT-Greater Than
ALASKA eF1UIROFlmEI1TAL COF1TROL SeRUICe$, IFlC.
~n§incerinq $ ~nuironmcnM ~tu&s
1200 U~¢sl 33r61 M~%%p~l~¢~..~ek, 99503.I907) 561-5040
: ,: DEB]',~E~.f~QF HEALTH~TE~ &
TO ENVIRO :
RECEIVED
I reply [] No reply necessary -. T
CONTROL SERVICES, INC,
1200 West 33rd Avenue, Suite
ANCHORAGE, ALASKA 99503
(907) 561-5040
CALCULATED BY_ DATE__
SCALE__
ALASKA eDUIROF/meDTAL CODTROL:iBHUICB:5', ' OFi .t : o,
~n~Jn~erin~ 6 ~nuironmcnlal StuJies ENVIRONMENTAL PROTECTION
~. o. ~ox ~4o~ ~:7201989
Anchorage, AK 99524--0668
RECEIVED
September 20, 1989
~iunicipality of Anchorage
Department of [leaJth and lluman Services
825 L Street, 5th Floor
Anchorage, AK 99501
Attn: Dan Roth
RE: Lot 27, Block 10, Rabbit Creel( Heights Subdivision
Dear Dan:
Since Alan has left to go back to school, i have been trying
to unravel the problem with the water levels tn the septic
system at the subject lot. I know that you and Alan have
visited the site and you had some concera that there was
possihly a groundwater problem, even though the test hole we
had dug was dry. Nearly two weeks ago I had Isaacs pump all
the water out of the standpipes, and then I installed floats
in each of the standpipes to determine the rise of water.
In five days, the water had risen about 12 inches in the up
stream trench and about 6 inches .in the downstream trench.
I have come to the conclusion, after looking at some of the
original inspection reports, that there is a very stroag
possibility that water is entering the system at the
southwest end. When the system was installed, there was
water shown at 3.5 feet, but a curtain drain had alledgedly
been installed to drain the water away. I have walked over
the hillside, and have tracked that drain down over the bank
and have co,ne to the conclusion that it was never properly
installed. Or if it were installed, it does not work
properly. Also, were it to have been workiug properly, it
would have drained water onto the adjacent lot.
I am proposing to install a curtain drain along the
northwest/southeast axis of 'the house, and to connect it
into the drain which goes north along the driveway, aud then
discharges into a ditch that is adjacent to the property
line. See attached site plan. It would be very difficult
to obtain the 80 foot distance between the curtain drain and
the upstream edge of the field. However, since the slope of
the ground is about 13 perceut or more, our curtain drain
probably will be at about the bottom of the system.
[Iowever, from a hydraulic standpoint with the way the water
flows in that area, it would probably re,hain upstream.
Where possible, I have kept the curtain drain 80 feet from
the extreme end of tbe system, ltowever, if I were to go the
full 30 feet it would probably cause structural damage to
the building. The solid pipe would then run aloag the
driveway, discharging into a rock outfall along the drive.
I would therefore request that the distance in that section
of pipe where it is within the 30 foot distance of the
trench, be waived to 20 feet. Construction as proposed
would not divert the drainage to the east but to the
northwest and into a ditch which is along the north lot
line.
'rills should solve the problem of water trickling into the
trench system in the vicinity of the house. If you have no
objections please let me know, and I will start
construction. And then as soon as coustruction is completed
I will send you the final location details on a plat map and
then we'll go ahead with the health authority. I helieve
that this should be; the last problem we are facing on that
lot.
If you have any questions, please let me know.
Sincerely yours,
President
LCR/sr
/',, ,C
-0 I:'~qD ~/&' F-~'P~AF-
G.
,,-%
/
I--
AS. BUILT
NO CORNERS SLUr THIS DATE
I hereby twrtif7 that I have performed
Ln~ection of t~e foll~,ln¢ des~
LOT ~7, ~LOCI~ I0,
AJ~chora~e Recording ~z.~mct, AJ~Jka, and thai the
tmprovement~ situated thereon are wiLkin the prope~'y
lir.~s and do not overlay or encroach on the propetW
lying adJaccnt thereto, th~ ",o improvements
er~y lyin¢ adj3cent thereto encroach on the i~w~n~lJ
~1 q'Jest.ign a.-,d test Lhere are no roaclway~, tram-
ss[on nn~ c~' o~h~" ~'isible euernenta o¢~ said pro~
e:'ly exeep: s, Lndscated hereon.
Dated et ~4~chc~ace. AJssks
t.h. JL, /-'-day of. lJ._~
ALASKA ENVIRONMENTAL
CONTROL SERVICES, INC.
1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 5'~8 al?y- ~F.r,~
JOB ~
SHEET NO
CALCULATED BY
CHECKED BY
SCALE
DATE
P. O. Box 240668
Anchorage, AK 99524-0668
907) 279-5553
RECEIVED
Mr. Norman J. Hude~~'
Project Development Supervisor
Engineering Division
Municipality of Anchorage
P. 0. Box 196650
Anchorage, AK 99519-6650
October 23, 1989
RE: Lot 27, Block 10, Rabbit Creek Heights Subdivision
Dear Mr. Hudek:
Here is a copy of the letter that I sent to the Department
Of Health and Human Services regarding the curtain drain.
The bottom of the curtain drain is at the elevation of the
inlet pipe to the septic tank. The intent is to collect any
subsurface water entering from the southwest part of the
lot where the road drainage for the east side of Jacqueline
Circle drains toward the house and down the easement.
The rock fill end of the drains ends on the north property
line in the drainage ditch. The expected flows are very
small compared to the normal flow in that ditch. In the
winter it will be nil and during the spring and summer it
will be insignificant compared to the normal ditch runoff.
I do not see any potential source of pollution as the
seepage trenches are downslope of the curtain drain as well
as being hydraulically above the drain.
I would appreciate a letter of non-objection to the
placement of this drain on the lot so that water can run
into the drainage ditch.
Thank you for your assistance.
LCR/sr
Sincerely yours,
PhD, PE, DEE
President
Municipality
of
Anchorage
P. O. BOX 196650
ANCHORAGE, ALASKA 99519-6650
(907) 786-8160
TOM FINK,
MA YOR
October 31, 1989
DEPARTMENT OF PUBLIC WORKS
(3500 East Tudor Road)
Mr. Leroy C. Reid, Jr., PhD, P.E., DEE
Alaska Environmental Control Services, Inc.
P.O. BOx 240668
Anchorage, Alaska 99524-0668
Dear Mr. Reid:
RE: Lot 27, Block 10, Rabbit Creek Heights Subdivision
Curtain Drain Installation
This letter is in response to your letter dated October 23, 1989
concerning the installation of a curtain drain to separate sub-
surface water from the septic system. There are two items of
concern with the system as installed. The first relates to the
proximity of the curtain drain to the septic system. It is my
belief, after looking at the lot that the installation of the
curtain drain should help protect the septic system despite the
fact that it cannot meet the Health and Human Services require-
ment for a 30 foot separation.
The second matter of concern regards the outfall of the curtain
drain into the roadside ditch. Normally, a permit would be
required for construction of the curtain drain with an outfall
into a Municipal right-of-way. However, your letter implies that
the outfall was existing prior to your new construction, there-
fore a permit will not be required.
However if additional work is required around the outfall in the
future, a permit will be required.
Based on my field observation, the amount of flow from the out-
fall is insignificant compared to the amount of water flowing
normally in the ditch, therefore the existing culvert is suf-
ficiently sized to handle the water.
Sincerely,
Hudec
Project Development Supervisor
Engineering Division
NJH/cjk
wp/nih/43
cc: Street Maintenance
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION.
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchora§i~, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEIVl AND/OR WELL INSPECTION REPORT
LEGAL DESCRIPTION
~ ~ DISTANCETO: Well ~ ¢ Absorption ~area ~ Dwelling ~ I PERMIT NO'.~
~ ~ ~ ~ No. of compacts
Liq. capa~y'~n gallons Inside length Width Liquid
~ ~ DISTANOE TO: Well Dwelling PERMIT NO.
~--~ Material / ~u~city in
~ Weli'- Foundatim~ Z~ / ~earest lot line PERMIT NO.
Lenoth,o 8 oh 7 Total length Trenoh wi?J~ '~nches
No. ofii~ /O Distance betwF&line,
~ ~ ~ Top of tile to finisl] grade Material beneath tile TotaJ effective 8bsorption area
~ Length Width " Depth PERMIT NO.
<~ e Type ~ diameter / ~D Total eff
~ ~,TANCETO: ~/" Building found(ion ~ ~ot line ---
~ DISTANCE TO: Building foundation ~ Sewer line Septic tank
OTHER
PIPE MATERIALS
SOIL TEST RATING -~ m
INSTALLER'__ ~ ~;'~j
APPROVED._ /~ ' ' ' DATE . LEGAL
t. f' '1- 51; I Zfi~ "= 4 ;' ? ;Of I:::II:;;:IF'
l'"r't:::'[Z O1:::' 5::;0 ): L. I::IE:E;CIt:;.'ff~F'I" :[ ON E;"r'E;'r'FCN :1: E,:
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I.:.
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,
h,r::'gr'l... I: 7 tql",t"[' D :1: G(~i[!:l:;~: [)1::11'.,!5.:,
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
~-""- 4
5
6
7
8
9
10
12
13
14
15
16
17
18
19
2O
COMMENTS~
MUNICIPAi. ITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99602 276-2221
SOILS LOG -- PERCOLATION 'rEST
SOILS LOG
PERCOLATION
TEST
Z.. 27 /3/o P, ,d /2 ~ / r'
SLOPE
DA'!-E PER FORMEr):, 7-~/y ~7 ¢
SITE PLAN
ENCOUNTERED? _
IF YES, AT WHAT E '.
/£'
DEPTH> ·
Reading Date Gross Net Depth to Net
Time Time Water Drop
I ?- 19' ¢,'~, o,*,~ 2 ~
2.
2 7-.1'/ £.,ao ~,0 q / ¢,
PERCOLATION RATE
TEST RUN BETWEEN · ,~ "' FT AND
(minutes/inch)
(~ ~-- FT
PERFORMED BY: G,'"C/~-Y J"'
-- DATE:
Total Depth
Static Water Level / ,,
Casing Size /~? ?/
Screen Size ,
Kind of Wire Gauge
Estimated Capacity gaJs./min.
Deplh of Pump Setting ~' ,' Ft
OLAF. ROLLINS
Drill
Log of Well Pipe Depth Casing
-- , !:.~ .,~ T' 30~0 Shoe
-- 1
-- 2 3
7 8
~ 8 9
~o DE~ ~ 9 10
- ~ - 1 12
~ ].x >,9
~~' 2 13
- -- ~13 14
_ -- 15 16
_ _ 16 17
_ _ 17 18
533 ao
21
,$ /~.~o
",' ~ DOLLARS
m o 26
~ 28
~ 29
¢ 30
P, O, BOX 10-651 344-5628
ANCHORAGE~ ALASKA 99511
DATE SIGNED
Redi~/orm ®
4S 469
SEND PARTS I AND 3 WiTH CARBON INTACT
PART 3 WILL BE R~URNED WITH REPLY
~FTArH Ahdlh FII F FOR FOLLOW-UP
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWEL. I,ING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
. Clog RoBE ¢-~
(b) Property owner ~ ~ FC Telephone : (home) Business
Mailing Address 'P.O, [~ox
(c) Lending Institution Crc(C,/¢n ~¢z// /le¢'/~'~2~'~-- Telephone
Mailing Address
(d) Real Estate Company and Agent ~'l/~l~$-roN ~, ~,¢ KIP1 LANE
Address '&8~5/ I,Z/. /~/o~l~gr~ /~'~/~ trZ/~¢~/ /~c4or~'¢ /~ c/?,-C:]~7
Telephone :2. ~ ~' - 2. 20~
(e) Mail the HAA to the following address: (or check here ~, if hold for pick up.)
List contact person and day phone number below:
2. TYPE OF RESIDENCE
Single-Family~ Nurnber of bedrooms - -~ xi
3. WATER SUPPLY
Individual We[l'¢ 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.
Page 1 of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by myseaJ affixed hereto and as of the validation date shown below, I verify that my[nvestigation 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 flies 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 FL/~TTOp T'ECIq '~k"C 5 Telephone '~,S'--
Address 1~530 ECHO ST. ~/~db/. c~¢,5' /
Date
6. DHHS APPROVAL
Approved for .~ __bedrooms by
Approved_ .~'~ _Disapproved
Terms of Conditional Approval
Conditional
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 DHHSdo not conduct inspections
or analyze data before a certificate is issued. The MunicipalityofAnchorageis 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 Description: /- 2-7 ~ /D
RABP~ tT CE'~:k'
A. WELL DATA
Well Classification P~I v',/:l TE.
Well Log Present (Y/N) _ 'Y _ Date Completed
Total DepthS2. (~ ,
Casedto ?~0' Depth of Grouting
Static Water Level _~/I (..I/2.* /ql)
Casing Height Above Ground 1.5'"
Electrical Wiring in Conduit (Y/N)
SEPARATION DISTANCES FROM WELL:
To Oept~/Holding Tank on Lot (~,.5'~ "FO ~',O.
To Nearest Edge of Absorption Field on Lot.
To Nearest Public Sewer Line ~,~ -
To Nearest Sewer Service Line on Lot _
Water Sample Collected by ~'ZATTOP T/~Ct¢
WaterSampleTestResults ~;/)71SFRCTO~¥' 0 CoLIFo~°I1 /IOO
Comments ~15' G/~L. GALV', PC, E.~SuRE 7l~Hk ~g "
If A, B, C, D.E.C. Approved (Y/N)
~',//¢'// Yield J./ ~Ptd ME4S
Pump Set At 12~ ~
Sanitary Seal on Casing (Y/N) '¢
Depression Around Wellhead (Y/N)
; On Adjoining Lots "Z /~O
; On Adjoining Lots '7 /5'O'
To Nearest Public Sewer Cleanout/Manhole ~,/~
B.-6EP, TIC~NG~ANK DATA
Date lnstalled II/~/C/O Size ~0Oo ~ No. of Compartments
Standpipes (Y/N) ~ Air-tight Caps (Y/N)
Foundation Cleanout (Y/N) ~'
Depression over Tank (Y/N)
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N) Y
SEPARATION DISTANCES FROM~SFPT~-6~oLDIN-~TANK:
To Water-Supply Well ~.5
To Property Line ~ ~'O
To Water Main/Service Line ~ .5'0
To Stream, Pond, Lake or Major Drainage Course
Comments ~OLBiN~ ~f"I~NK ~l~t~ Lgl/EL
Date Last Pumped N.A,
; for N. A.
Temporary Holding Tank Permit (Y/N)
To Building Foundation I-/ FROM C.D.
To Disposal Field N,/~ .
F ~'of~ C .O,
72-026 (Rev. 7/88) Fronl Page 1 of 2
C. ABSORPTION FIELD DATA N.A.
soils Rating in Absorption Strata
Date Installed
Width of Field
Type of System Design
Length of Field
Depth of Field
Square Feet of Absortion Area
Depression over Field (Y/N)
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
Gravel Bed Thickness
Statndpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots
To Cutback (if present)
D. LIFT STATION N .A, .
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)
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 HA.A-,'gulc~etCdb§.qo,.effect on the date of this
inspection.
Date ~-~,n Z// !¢~'/
MOA No.
Receipt No.
Date of Payment
Amount: $
72-028 (Re','. 7/88) Back
\'"-' "%
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
Engineer's Seal
CHEMICAL & GEOLOGICAL I~4BORATORIES OF ALASKA, INC.
5633 B STRF_ET , ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343
FEDERAL TAX I.D. #92-0040440
ANALYSIS REPORT BY SAMPLE for Work Order g 31622
Date Report Printed: JAN 31 91 @ 11:32
Client Sample ID:LS? BIO RABBIT CREEK }ITS'
PWSID :UA
Collected 3AN 29 91 @ ~2:00 h~e.
Received JAN 29 91 @ 14:10 hrs,
Preserved with :AS REQUIRED
Analysls Completed :dAN 31 91
Laborato[y Supervisor ~S.~EPHEN C. EDE
Releaeed By : ~ C~, ~
Client Name
Client Acct
BPO ~I
Roq I~
Ordered By
FLATTOP TECHNICAL SRV
FLATTOT
PO ~ NONE RECEIVED
TED MOORE
Send Reports to:
i)FLATTOP TECHNICAL SRV
2)
Chemlab Ref ~: 910313 Lab Slnpl ID: 1 Matrix: WATER
Allowable
Parameter Tested Result Units Method Limits
NITRATE-N 0.53 mE/1 EPA 353.2 10
Sample ROUTINE SAMPLE COLLECTED BY: CHRIS
Remarks: 'PRESSURE TANK HOSE BIB
Tests Performed See Special Instructions Above UA=Unavailable
None Detected "See Sample Remarks Above
Not Analyzed LT=Lees Than, GT~Greater Than
Properly Owner
Mailing Address
Buyer
Address
APPLIC' NT FILLS OUT UPPER HAl, - ONLY
Zip Code ; i~.t jl
Phone
Zip Code
Lending nstitution
Address
Realty Co & Agent
Adaress , - ',. V",.
Legal Description
Street Location
Type of Residence E~ Single Family
(q Multiple Family
~ Other
Zip Code
Zip
Code
No. of Bedrooms__L,
Water Supply ]
~ Individual
D Community
~ Public Utility
Sewer Disposal [] Individual
E~ Public Utility
[] Holding Tank
Phone
Phone
ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975.
For wells drilled prior 1o that date, give well deplh (attach Icg if available).
Year Individual Installed:_
When Connected to Public Ulility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIAI'ED.
~' 1,~ r
Time Time Time Time
Date [)ate Date Date
Inspector
Field Notes:
Inspector Inspector Inspector
· 1- --n~ ~, ' ~-
-(~) APPROVED BEDROOMS
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
DA E [o 7
Well To Absorption Area /' 0 .~ IJ Well Log Received
Well to Tank ' ; '~ I Septic Ta~qk Size
Soils Rating Date Sewer Installed
k ~e II
(rio
AS-BUILT NO CORNE~
hat ~ h~e ~onn~ a
I hereby ce~y t. ~ ' ~ '
inspection of the following describ~ p~rty:
~chorage Recording ~ct, ~ask~' and that the
improvernents situated thereon ,~e wit~n the prope~y
lines and do not overlap or encroach on the property
lying adjacent thereto, thet'no improvements on pro~
erty lying adjacent thereto encroach on the premises
THOoE SHOWN ON THE :
ARE NOT SHOWN HEREON.
in questioP, and that there are no roadways, trans-
mission lines or o~.her visible easements on .~aid prop-
erty except as indicated hereon.
Dated a*. Anchorage, Alaska
t~s_:-/- -f_day of -,
ItEWIT~%. LOUNSBURY & ASSOCIATES
Engineers, SurveyoYs & Planners
BOX 4-2964
ANCHORAGE, Al'.:: 995C)9
Legal:
Loc aT:ion:
Own er":
I:'?e si dent e:
,Sewer:
**SL:i:WER ADEQUACY 'f'EST**
L..ot 27, Block 1(), Rabb:i.'h Creek Heights
8:1.()6 Rober'~:s Driw~ (Hillside)
Br:i. an and Kathy
3 bed,"oom, two story
On site
(From Mun:i. cipal Ret:orals) Tank~ :1. r, 000
Absorption sys'hem~ 88 .Foot drain trench
So~l Rat:i. rlg: 320 sfpb (:1.979)
]: r'l S'I':. a ]. 1 ed: 1979
The sep'L'.ic tanl,' was pumped in ,September" :l. 98:::'.';. The
system was inspected Oct. ober 10, 1983, T'he t. anl.:: had
r-e~::i. 11 e:,d and 'l:.her"~.= was 1 J. qui d wi 'hhi ri .four .f i¢~.-".~'~.: .J:l,~[)m 'lobE.:,
top o.F the sump pipes at t. he end o'f dr'a:[n .field.
October 12, :1. 98:::.!;. The system had been used heav:i, ly a].].
~--~:"',:~ cie,,,, ]"he owner' had :i.r'rfc)rmed me t. he,/ had done 'hhree or
~ ~ .. ~,z~ .,,y- ,~, .............. = .......... , '
~ '~"'.,a ........ ~¢ was 3:;::.-.~/2 inclnes .From the top D't' sump p*p*a
~ · ~ ......... ~7' ~/~ ....... )..
~'~4 ', -' ~3 " ~2'!, ........................ :' " " = '~ .....
gallons o.f wa'her was added at. the rate o.f 2 gpm, The
l:i. quid ].evel was 32...-1/4 :i. nches .From the 't:op o.¢ the sump
pipe a.f'her water was added,,
"1' e s'tl IR ~-:.., s u 1 t s:
The sys't:em accepted 5()() ga:l. lons crf: water in t, wo
c(:~nse('.:u'~::ive da,/s with the system recovering to s'ha'hic
]. E'V[~I 8.f:'E6er 20 hour"s, "['he system :i. s rt.~r]l]i rl(::J i'1[¢~1'- ~:1.11
blt'['. :[~D acc:lcff:)table and should 12(:~ approved a~;, mmE.)'E:i,r~g 'hhe
Mun:i. cSpalSt, y o.f Arlchorage r"equ:i, rem~nts. 'l'h:i.~ system
marginal mhen :[ns'kal].ed and rema:[r~s rnar~3:i, nal.
MUNICIPALITY OF ANCHORAGE
~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION:''l':;~'j ']~' ;'4i,'~.L ;:,,(,:, LC/ION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING DIVISION
~EOUEST FO~ APPROVAL OF INDIVIDUAL WATE~ AND 8EWE~ FACILITIES
)IFIEOTIONS: Complete all parts on page ~, Incomplete requests will not ha processed. Please allow ten (10) days for processing.
~. P~OPE~TY OWNE~ PHONE
MAfLIN~ ADDRESS
2. BUYER - ''" PHONE
MAILINg'ADDRESS
~, k~Dl~a INS?I?~TIO~ ....... PHONE
MAI'LINGADDR~S~ -- '' ' ' ''
4, ~ALT~R/~E'NT~.~ , · _ PHONE
MAI ~G ~DDRESS
!~. LEGAL DESCRIPTION
STREET LOCATION .,.,) ~.~_ ~'
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One [-'] Four
~ SINGLE FAMILY [] Two ~] Five
[] MULTIPLE FAMILY [] Three r-] Six
[] Other
7, WATER SUPPLY
'J~. INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTI LFI'Y
ATTACFt WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
8, SEWAGE DISPOSAL SYSTEM
~ INDIVIDLJAL/ON-SITE*~
~ PUBLIC UT LI'I'Y
**If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
Dy this Department,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUFST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78) ~ ,
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR I NSPECTO R
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
~[~ MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[~]PUBLIC UTILITY
Connection Verified
INSTALLER
[]Septic Tank or []Holding Tank
Size: [O~-~ f Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Se0tic/I-Iolding Tank Absorption Area Sewer Line I Nearest Lot Line
WELL TO: [03-- /0
Absorption Area to nearest Lot Lina
5, COMMENT8
{~--"~'APPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
72-010 (Rev, 3/78)
\
/ ~.0 -" .OfI ,,f. ~ ~ ~. LOT Zb
o ~l, ~
I0
The following described m'm,erty ....
o . /~o~ ~.? $ ._ .
: ', [ he~eb'v ce~t.{~y t. hak this map is a true
': "' ~" ~ and cor;-ect representation nf' lands actu
' ~.~ ,, ._'k_~ ,,~ ~./ hearings are ~hown thereon
'' , x'~,'~t~, ::~ *~ and the core'ers have beenCound~sshowt~,
....... ~*"z ............ ~ Dated at Anclmrage, a~aska
~ '. ?, :~., ,. ,.~-,
,, .......
0 ~ou~,O ~ ?.~bar ~/e~lO~k~-- Engineers & Sdrveyor's & Planners
Field Book No.,