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Home My WebLink AboutPREUSS #3 BLK 6 LT 3Onsite File Preuss #3 Block 6 Lot 3 #050-571-26 GREA-,-ER ANCHORAGE AREA BOR ..,JGH Department of Environmental Quality 3330C S~reet Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL AJ,/)~- /~ MANUFACTURER NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/'~'~F6~LLONS. DISTANCE FROM WELL /~//'~ NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE TOTAL LENGTH FOUNDATION NEAREST LOT LINE OF LINES DISTANCE BETWEEN LINES /~//~ TRENCH WIDTH'~>~ IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE ,.~ ~-~ft~-~ ~ WELL:noT i'~b~/Z~ TYPE J~ .~ '?' _/' ,~.-~ ,~ ~., ~-. CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION__ LOT LINE__, SEWER LINE DEPTH SEPTIC SEEPAGE TANK , SYSTEM DISTANCE FROM: CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: ~ (~'j~-Uj~,L ___ INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: /~'~ Form EQ-032 DIAGRAM OF SYSTEM ~.A.A.B. O "F'-r'F'E OF' :S[:]:t:L. FtE:SOF~:EFF:i: E[i",l . ,T.:, [ I::.11 :['.E;: ~ THE L..EIq[::'iTH [:, :1: I'"lE!]",l:i~; :1: Oiq :1: :E; THE I...E:iqG'TH ,:: i I',I F:'E:ET ::, OF: THE 'T'R:ENCH 'i'F.I[:~: [:)lilil:::"l"l-.-I OF:' FI 'TI:;i:E:IqC:H OF: F'ZT :I:'..E; THE: [:) :[ ~;Tlai'.,I(:::i?. DETI.,.If.:.'IF.:N "i"HE '.'SLIF:'.I:::'F:IC[E [iiF~:[:tlJi'.,ll:::, F:I['.,![::, TH[ii: [~',(]"i"T[.:]i"I I:.'IF: TH[::.' Ei::~.;',C:F:I',,,'FF[':[01",i ,:::[t'.,[ F'['ZET::'. "I'HEFi:[~: I:'5 I'.,1[)!~.;ET I.,.! :[ [:,TH F:OI:~: TF.'.ENC:HES. THE Gi:;i:I:::iVEL [::,['ZF:'TH :r.~; THE I','I:[iq:[HLIM [:,EF'TH [)1::: GF.:FI',,,'~L [!i',ET.C.IE:EN THE OU'T'I:::'I:::iLL. t:::' :[ t:::'Ei: F'ff.,i[::, "1]...I1!~ [:~',i:]TTOH (:'~I:::' 'THE: E~:~.~:CI:::i'v'FiT'Z Of'.,I ,:: :[ I'.,I I::'[.~:~T ::,. l-"l]2I'.~:i:l'"ll.]l'"l [:, :!: S"I"FIF,]C[~: Iiii:E:"['F.IE.']ii~I"~ Ft I.,J..EL.L FIN[:, F:ll",l"r' ::_.l::~it:::J F:EET [::'l:::il:;~: I::1 I::'Fi:I',,,'F:ITE WELL. OR: E'.lZllEi FEE:]" t::'CIR: F:t F'..EL.I[: WELl .... :~i!:I::'E:C :[ F' Z CF:Ff' I CiF,I:5 FI[".![:' COt",I':'STI:;.':UCT I Oi",J [:' :[ F:iGRF:II'"I:i~.; · 1"i':~ ]"[::IL L :~,"1-' :1: ): C:ER:T]:I:::'"r' THFIT :j.: :[ Fli'"l I:::FIHIL]:F:IFi: WITH: THE I:':':E~Z~L.III:;i:[~:I'"IE::NT:L': F:C'ff',i'. Ot",!-:iii;ZTE SEI.,.It~:!:;~:::E; F'OFi:"I"H EF? "l"l'"tl!!i: HUI',tlC::[F'FtL.:I:'1'''~''' [:IF 2: :£ I.,.I I L.I..~ :[ NS'T'IaL. L 'T'FtE:: 'Z:;"r'STE]"i :1: h,I FICCC~F::t::."FINCE ' !.,.l.'['['la THE ::!!:: ]: LIP-,I[::,[:CF::?I]::It",I[:' ]"HF:IT THE Oi'.,I-'.:sI'r'E ?.;E!.,.tE:t:~'. ~.:,'-,.'?I"EH I',IF-~'~.' I:',~:Ei::!LII[~'.I~i: EI'.,IL. FIF.'.[:~E:I"IEN"i' :[1':" T'HE: i.;i:E::i~; :i: C, EI",IC[~.: :[ S F~:E]-,1C~[.',ELEI) 7'0 ]: .WCL..I.][:,[C i',lO[q:E 'THFIiq ,::1. F:II:::'[~t: l.~:t::dt,~' t.:.~:NO(::H F:I[: FII','IS O 8 E GEO'~-,:CHNICAL Er DEVELOPMENT CO. .... ~" Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Soils ~f Foundations Performed for: Legal Description: Depth {feet) SOIL LOG Earl Ellis 688-2280 Land Development Name: Tel. No. ) So~l Charactertstlc~ 2 I 7 , / 13 15 Ground Water Encountered: Yes No Proposed Installation: Seepage Pit Comments: '~, ~.~-~ ~ ~ .-x t~ 3Jr If yes, what depth__.~ Drain Field ~;' Performed by: Date: · ' i' Z o o o o o o o o o o 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. # ~5-'¢ ~ -~?/- '~' 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address. Day phone Day phone Agent Day phone Address Unless otherwise requested, HA,~ will be held for pickup. NUMBER OF BEDROOMS: 5¢p'U~. ~V¢.~-,~ ~,¢~7~ TYPE OF WATER SUPPLY: Individual well Community well NOTE: Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site 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 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 verifythat 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 Address Engineer's signature Phone Date ~'~' I'~' 07 DHHS SIGNATURE ~ Approved for 3 Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Note: The well for this property meets existing State and Municipal Codes. 'f~ere are nitrates present, it is suggested that periodic testing be performed to insure the wells continued suitability. Current nitrate concentration is 7.6 mg/1. EPA maximum concentration is 10.0 mg/1. More information on nitrates is available from the On-site Services Program, 9HHS, 343-4744. Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesyto 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. 72q325 (Rev. 1/91 ) Back MOA Health Authority Approval Checklist Legal Description: A. WELL DATA Well type. Log present (Y/N) Y' Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to /-/'z~ %,z-.~ Casing height (above ground) )/ Wires properly protected (Y/N) Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA FROM WELL LOG AT INSPECTION Nitrate ~" ~ Other bacteria Collected by: Date installed ~2/~/2'~ Tank size /-¢---¢¢~¢¢-¢/-Number of Compartments __ Foundation cleanout (Y/N) Y Date of Pumping C. ABSORPTION FIELD DATA Date installed Length ~/¢ ~'"/ Width Depression (Y/N) /, Pumper J/~¢'-¢ ,Z. Cleanouts (Y/N) High water alarm (Y/N) /~,~-'¢ Soil rating (g.p.d./fF or fF/bdrm) /~' System type ..,"cF/ Gravel thickness below pipe ~//~.o, Total depth /i'~"-~' Effective absorption area ~/0 ,~'/'/~Vlonitoring Tube present (Y/N) ~/ Depression over field (Y/N) Date of adequacy test z.;/~,/¢7' Results (Pass/Fail) /~¢,¢...r'.¢ For ~ bedrooms Fluid depth in absorption field before test (in.); ~;./~'¢/ Immediately after ¢'.¢,¢gal. water added (in.): Fluid depth -¢.¢' (ins) Minutes later: -~ ,¢¥/ Peroxide treatment (past 12 months) (Y/N) /"-J 72-026 (Rev. 3/96)* Absorption rate = If yes, give date · ~o .g.p.d. D. LIFT STATION Date installed Manhole/Access (Y/N) Size in gallons High water alarm level at* E. SEPARATION DISTANCES "Pump on" level at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line ~z.~.~'."'~,~---On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation -~Z.'~/z' Property line /~-','~'.~ Absorption field Water main/service line -Z~-"'/~Surface water/drainage. /~,~ ~/~'~' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line tD ,.~',¢' Building foundation '/¢'.--¢~/¢',/.. Water main/service line ,~ Surface water /~¢ '/'/¢?' Driveway, parking/vehicle storage area ¢¢- ~ Curtain drain /c/,,,~..--'/.Z/~/.~ ),~, ~.~,,.~,~ Wells on adjacent lots /D~ ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review in conformance with MO¢ HAA guidelines in effect on this date. Engineer's Name D: z--' ~ ~, ¢,~' '---~¢ "¢O'¢~/L'~/~ ¢¢'/v' Date ~ 'i~ ,~ HAA Fee $ c--"~t"lJ ' ~'~ Date of Payment ~.,PCb:~''-' Receipt Number ~;~ 72-026 (Rev. 3~96)* Waiver Fee $ Date of Payment Receipt Number Rick Mystrom, Mayor Mtmicipal W of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us 343-4744 July 24, 1997 Douglas T. Kenley 9960 East Puffin Drive Palmer, Alaska 99645 Subject: Waiver Request for Lot 3 Block 6 Preuss Subdivision #3 Waiver Request #WR970041, PID #050-571-26 Dear Mr. Kenley: Your request for a waiver of the required 100 foot separation between an on-site wastewater disposal septic tank and a water well has been approved. The waived distance is 98.5 feet from the on-lot well to septic tank. This approval applies to the existing well to septic tank separation only. Any future upgrade to either will require all separations be met or another waiver approval from this department. If there are any further questions of concerns regarding this waiver approval, please call our office at 343-4744. Sincerely, s'~ -- ~, ..--./) Daniel O. Roth Civil Engineer On-Site Services Rick Mystrom, Mayor MtmicipaHty of AnchOr,age Department of Health and Human Services 825 "L" Street P.O. Box 190650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us 343-4744 July 24, 1997 Douglas T. Kenley 9960 East Puffin Drive Palmer, Alaska 99645 Subject: Waiver Request for Lot 3 Block 6 Preuss Subdivision #3 Waiver Request #WR97004'1', PID #050-571-26 Dear Mr. Kenley: Your request for a waiver of the required 100 foot separation between an on-site wastewater disposal septic tank and a water well has been approved. The waived distance is 98.5 feet from the on-lot well to septic tank. This approval applies to the existing well to septic tank separation only. Any future upgrade to either will require all separations be met or another waiver approval from this department. If there are any further questions of concerns regarding this waiver approval, please call our office at 343-4744. Sincerely, Daniel O. Roth Civil Engineer On-Site Services '<'~'~MUNICIPALITY OF ANCHORAGE~,/ Department of Health and Human Services On-site Services Section Waiver Review Worksheet WE# ~q~~PID# 050-571-26 HA# HA970241 Permit Date Received: June 24, 1997 Legal Description: Lot 3 Block 6 Preuss Subdivisin ~/3 Engineer: Douglas T. Kenley, P.E., 9960 E. Puffin Drive, Palmer, Alaska 99645 Applicant: Edward Donlan Waiver Requested: Waiver for a private well tb th~ septic tank of 98.5 feet Criteria: 1. Geology: Points: A. Water Table Bo Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: o 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: ~A~C/~ Date: 7- 23- 7 By: Rec #: 02772/0132 Amount: $ 625.00 Name of Reviewer Date Paid: June 24, 1997 Douglas T. Kenley, PE 9960 E. Puffin Drive, Palmer, Alaska 99645 (9O7) June 11, 1997 Mr. James Cross Municipality of Anchorage Health & Human Services On-site Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Re~ Well/Septic tank separation waiver request for Lot 3, Block 6, Preuss #3 Subdivision. 10209 Louis Place, Eagle River, Alaska 99567 Owner: Ivh-. Edward Donlan Dear Mr. Cross: This letter serves as a request to waive the 100-foot separation requirement for the above referenced property. The actual separation distance between the well and the private well is 98.5 feet, approximately 1.5-feet less than the 100-foot separation required by the Municipality. The separation distance was discovered in conjunction with an adequacy test that was performed on the well and septic system on May 27, 1997. The absorption system was designed for a fern'-bedroom residence, although the house is currently listed as a three-bedroom house. The septic system was installed by Enoch Adams on September 14, 1976, and has a 1250 gallon Sunset plastic septic tank. The absorption system is a 39 foot deep trench with seven feet of gravel and 11 feet of depth over all. The absorption area on the septic and well inspection report is listed as 540 square feet. There is a six inch sump at the end of the trench and a four inch clean-out at the beginning of the trench. The 98.5-foot separation distance between the well and the septic tank clean-out was approved by a Municipality of Anchorage official (John Kennedy) on September 14, 1976, with a note that the well was not installed at the time of inspection. The well log states that the well was installed November 4, 1973. In researching adjacent properties for a well to septic tank waiver, it was noted that other lots in both blocks five, six, and seven also have septic tanks encroaching within the 100 foot radius of the well. Support for waiving the separation distance includes the fact that the well is located up-gradient from the septic system. Nitrate levels measure in water samples from the private well were 7.6 mg/l which is below the maximum level of 10.0 mg/1. The actual separation distance is only 1.5-feet short of the required 100- foot minimum. It is unlikely that this short distance would have a significant adverse effect on the potable water taken from the well. Please let us lmow if there is other information that we can pro~v~e~t~litate your review of this waiver request. ,~7~'~_~ ,~*'~- - S~ncerely, ~,~%, __,~ · ~:~g~ CE ~8176 ~ ~,'. ~ .... -- ~.4~ 50IL ,o,/ *( 7~;/ L/o,/ /'~- -- ~tF,~- 2_= .~ 7 ~.? /d. ¢ L Douglas T. Kenley, PE 9960 E. Pttffin Drive, Pattner, Alasgo 99645 (907) 746-1076 June 16, 1997 Mr. Dan Roth Municipality of Anchorage Health & Human Services On-site Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Re: Well/septic tank separation waiver research on Lot 3, Block 6, Preuss #3 Subdivision. 10209 Louis Place, Eagle River, Alaska 99567 Owner: Mr. Edward Donlan Dear Mr. Roth: This cover letter represents acknowledgment by the engineer of the work compiled on the lots adjacent to the above-described prope~y in Block 6 of Preuss Subdivision #3 and three lots directly across Louis Place Street in Block 5 of Preuss Subdivision #3. Each enclosed packet contains a cover sheet with the lot highlighted and with the following information when it was available: 1. Static water level and total depth of the well are denoted by a circle with a dot in it for only those lots that were in close proximity of the 100' radius of the subject well. 2, Available nitrate readings. 3. An approximation of elevations referenced with the welt area as a 100' benchmark. 4. Well to septic tank encroachments denoted by distance in feet. Lot 10, Block 6 of Preuss Subedivision #3 does have a well to tank waiver on file with the MOA. Sincerely, Douglas T. Kenley, P.E. CE #8176 ~,E~,V E D - '-~ U,'A'TE RE E~VE INSPECTION APPOInTmEnTS ~IME TI~E TIME DATE DATE DATE MUniCIPaLITY OF ~HO~ D~PT. OF HEALTH ~ D~P~T~T O~ H~LTH ~ ~VI~O~T~L ~OT~~O~NT~L P~OT~CTION o~ ~ ~.o.,-~.~.o~. ~,~.~ oo~o~ OCT 1 2 1981 ENVIRONMENTAL SANITATIO~ DIVISION Telepho.e 2.4-4720 R E C E 1 V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DI~TIO~: Complete all parts on pa~ ~. Incompl~t~ r~qu~sts ~ill not b~ processed. Pl~as~ alio~ t~n (~0) davs for processing. ~. P~OP~TY O~ PHON~ MA~UN6 ADDRkSS . PHONE PROPERTY RESIDENT (If different from above) PHONE 2. BUYER MAILING ADDRESS 3, LENDING INSTITUTION ~ PHONE M~ING ADDRESS I PHONE 4. REALTOR/AGENT MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE -- NUMBER OF,,BEDROOMS [] One [] Four /~ SINGLE FAMILY ~ Two [] Five [] MULTIPLE FAMILY [] Three [] Six Other 7. WATER SUPPLY ~ 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 NIUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [~] ONE [] THREE I~1 FIVE [] TWO [] FOUR [] SIX 2, WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE E~PUBLIC UTILITY Connection Verified []Septic Tan~or []Holding Tank Size: / '~" '~ ~:>lf Tank is homemade give dimensions: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING OTHER /3.¢ ' / TYPE OF TANK --/./..- MANUFACTURER --~-z.,. j~';/ ' TOTAL ABSORPTION AREA MATERIAL ./~?~ , - 4. DISTANCES ~...~/~ Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: 1 Absorption Area to nearest Lot Line DATE [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 {Rev. 6/79) EXCAVATION ROBERT A.$HAFER WORK CIVIL ENGINEER 694-2979 October 28, 1981 ' E.L. Adams SR 5313 Eagle River, Alaska MUNICiPALiTY C,F DEPT, 05 Dear Mr. Adams, 99577 Reference: Lot 3: Block 6: Pruess Subdivision RECEIVED A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity of 1250 gallons. The absorption trench was tested by a continuous flow of 874 gallons over a period of 24 hours without any measurable rise in the sump at,the end of the trench. It can be concluded from this test that the waste water disposal system serving the four bedroom residence located 6n this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of further assistance, please do not hesitate to call. Sincerely, cc: Alaska USA Federal Credit ~ Municipality of Anchorage ' ~~~----"- ~ ..