Loading...
HomeMy WebLinkAboutPROSPECT HEIGHTS BLK 2 LT 1Prospect H ights BIo,ck 2 Lot I #015-133 -24 Municipality of AnchoragePage / of ,'~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Was~water Disposal System and/or W~II~, Inspection Report Permit Number: -~/~q.S' CO ~,~ PIDNumSer: 01~- I~- ~ Name: Wastewater SyStem: D New ~ Upgrade Address: · 1o~ ~os~ ~.~;~ ABSORPTION FIELD Phone: ~ No. of Bedrooms: ~ ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other I LEGALDESCRIPTION' so, Rating: Total Depth from original grade: GPD/Sq. Ft. Lot: Block: Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: Range: ~ SeCtion: Fill added above original grade: Gravel length: I Ft. Ft. WELL: D New D Upgrade Gravelwidth: Num~roflines: Distance baleen lines: Ft.~ Ft. Classification (Private, A,B,C}: Total Depth: Cased To: Total absorption area: P~pe material: Ft. Ft. SQ~F~ Driller: Date Drilled: Static Water Level: Installer: ~ Date installed: Ft. Yield:GPM Pump Set at: Ft. Casing Height AboveGround:Ft. ~ TANK SEPARATION DISTANCES ~Septic D Holding ~ S:T.E.P. To Septic Absorption Lift Holding 3ubHc/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~ ~ ~/~ ~ ~ Material~ ~ ~ ~. ~ ~ Number of C~mpa~ments: w~ / O '5 Sudace Water HDN~ LIFT STATION Lot Size in gallons: ~ Manufacturer: Line I Foundation ~/ "Pump °n" level at: I "Pump °fi" level at: I High water alarm at: Cu~ainDrain ~ Pump Make & Model Electrical Inspections pe~ormed by: Remarks: BENCH MARK ~/~.~ ~ ~2~ ~ ~ ~ Location and Description: ~ " E~IRONMENTAL ~ RVICES DIVISION Assumed Elevation: : ' ,.EN~INEERts~SEAL I'~AY ~ 1996 ,...z- ........ ,:.. ~.. Inspections performed by: Dates ',~J ~ Department of He Ith an u ces appr(,val[ -~,:..c, .: ....... .,. .... ~(~ ~ ~~ Date: ~['~ ,~'~ ', Reviewed and I I I I I I I I RE/~O V£ I I I I Al TANK INSTALL FND. C.O, RIO0, O0 / EX/SE CONCRE?E PI? RELOCATE SEPtiC TANK 25 0 ~5 50 75 125 /. SCALE; 1' I I 150 TOBBEN SPURKLAND P.E. I bO:T 20.5 W 15TH. AVENUE IF ANCH. AK. 99501 (907'l 279-3916 1, BLOCK 2 PROSPECT HEIGHTS JIM THURSTON 10700 PROSPECT DRIVE SEPTIC TANK AS BUILT DATE: I/AY 12, 1996 SHEET: 2/$ ORID: 2540 1000 9al Sep~i: ~an ESPINOSA 0 Foundation Cleon our 1000 9ol, sep~c/c ~onk TOBBEN SPURKLAND P,£, 203 WlSth Ave Anchopcge Ak 99501 BENCH MARK: GARAGE FLOOR ARRUMFD FIFVATION lDO. OD FL SEPTIC TANK AS BUILT ~ATE, MAY/~ )995 SHEET~ 3/3 GRID: ~540 PAGE 1 OF 1 MUNICIPALITY OF ANCHOP~AGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.0. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 0N-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950053 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:THURSTON JAMES W & OWNER ADDRESS:10700 PROSPECT DR ANCHORAGE, ALASKA 99516 DATE ISSUED: 4/20/95 EXPIRATION DATE: 4/20/96 PARCEL ID:01513324 LEGAL DESCRIPTION: PROSPECT HEIGHTS BLK 2 LT 1 LOT SIZE: 70400 (SQ. FT.) NLrMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 April 19, 1995 Subject: Septic System Permit Lot 1, Block 2 Prospect Heights Gentlemen: We are applying for septic system permit for this property. The Owner is adding on to the house and the location of the present septic tank is in conflict with the contemplated work. The proposed location of the tank is outside the protective radius of the well. If the existing Espinosa tank can be moved without damage, it will be relocated. If the tank is found unsuitable a steel tank will be installed. Yours Tobb~~~rkl2nd P.E. O N 15~ 1~ lOOF?, / / / / / / L~I- 3 /_~]? 4 :::::::::::::::::::::::::::::::::::: _..~-...,- % , I, _ ~..x ............. :~&~,~ ~_ _ ~ ~ I _ _ 205 W 15TH. AVENUE ANCH. AK. 99501 (907'~ 279-5916 1, BLOCK 2 PROSPECT HEIGHTS Jlld [HURS[ON 10700 PROSP£CT OR/V[ J J SEPTIC TANK RELOCATION DATE: APRIL 19, 1995 SHEET: I/.~ GRID: 2540 I I I I I I I ! I ! I I EXIST. CONCRETE PIT I I XI T. REt~O VE RELOCATE SEPTIC TANK I INSTALL FND. C.O. .*, J,~4'4~* * RIO0. O0 ~ 25 O 25 50 75 100 125 / SCALE; 1~' 50F~. TOBB£N SPURKLAND P.E. I boT 20.5 W 15TH. AVENUE I[ ANCH. AK. 99501 (907) 279-3916 1, BLOCK 2 PROSPECT HEIGHTS S/D JIM FHURSTON 10700 PROSPECT O£1VE SEPTIC TANK RELOCATION DATE: APRIL 19, 1995 SHEET: 2/$ GRID: 2540 0 f-oundot/on Cleon out - --~.....,,~ ......... .~....: ..... 2225 ~, Ex/'~t, Oround lO00 9oL septic Sank TOBBEN SPURKLAND P,E, 203 ~/15th Ave Anchor-cge Ak 99501 J[P/ THU£STDN 10700 P£DSPECT P£IVE SEPTIC TANK RELDCATION ,~AAB-HD ] Gp-r'6.TER ANCHORAGE AREA BOROf'"~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING LEGAL DESCRIPTION DISTANCE FROM WELL ,~' ' LIQUID CAPACITY .../~'~'~":L~ GALLONS· .. . · _ ~ NUMBER OF MATERIAL c': ~/~'/t -/~Z,~ '.~-'=~:z:-~- COMPARTMENTS // LIQUID INSIDE LENGTH -¢~"~NSIDE WIDTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS /' OUTSIDE DIAMETER ~ OR WIDTH -, ~ .::, LINING MATER~AL K-.~ ~_~=~:~: ~/~. , DISTANCE FROM WELL /~D NEAREST LOT LINE. ::~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH ,~-"~ ~ / , DEPTH ~;~ / BUILDING FOUNDATION£~-~'; ~,/~ "~' ~ .SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LI~,S~ A~,~ Pl~ N AREA [~EPTH: TOP OF TILE TO FINISH GRADE ..... ¢"~---~), FOUNDATION /'~ NEAREST~T~OT L NE DJ BETWEE ~ DEPTH OF FILTER MATERIAL BENEATH TILE ~T.O-I:A L~EE N~N LINES IN, TOTAL EFFECTIVE IN. ABOVE TILE ¢ DISTANCE FROM .~- ./ WATER WELL: T y p E ,,~.,~.z. ,~_ ,,~ ..~ DEPTH ' ,BUILDING FOUNDATION _SAMPLE ./(--"/'(J NEAREST LOT LINE /~ //:_ NEAREST SEPTIC SEEPAGE ,~ /~.._~_ OTHER . SEWER LINE z/ . TANK -~'~'~ , SYSTEM .~'/'/~Z-~ , CESSPOOl , SOURCES DISTANCES: DATE DIAGRAM OF SYSTEM GA A B -H D-2 GREATE](:'ANCHORAGE AREA :"gROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT No. NAME OF APPLICANT f//~"~(" (~'~ /"/~.,c~'-~ MAILING ADDRESS .~/~2~"~/~,~>~/ ~.' PHONE NO. RESIDENCE ADDRESS LOCATION OF INSTALLAT ON. APPUC*TION TO INSTALL: SEPTIC TANK ~ ,SEEPAGE~ -~ ';,PIT ~/DRAIN FIELB ,OTHER TOSERVETHE FOLLOWING FACILITY ~~ ~¢~ .... / ~ '~;~ - PERCOLATION TEST RESULT--~ /~/~ ANTICIPATED DATE OF COMPLETION ' BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS /~('~ /'~4'-~/~ , PERMIT TO INSTALL A AS DESC~OW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZ~ / TYPE ,~'~a~ ~ SEEPAGE AREA " /~'~'/ DIAGRAM OF ~M DISTANCES: :erti£y that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE /:[U APPLiCA.TS SiG NATU R E yy~~~~~, Deoth Locat z on bi ~.-t c.~ c ~- Char-~c:teris%ics 6~ c~M,~_~-~ ~ ~<'-~ Was Ground Water Encountered?~.~.~. - To ' ~' Net Drop xee, d ~ng Date m:s Time ~,~e~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. GENERAL INFORMATION Complete legal description Prospect Heights, Block 2 Lot :[ Location (site address) :[o70o Prospect Drive, Anchorage, AK 9q_qo7 COSA #. (.~%~C Expiration Date: Current Property owner(s) Mailing address Lending agency Mailing address Pat & Catherine Beattie Day phone 337-8380 :[0700 Prospect Drive, Anchorage, AK 99~;o7 Day phone Real Estate Agent First American Title/Rebecca Catch Mailing Address Fax ~;6:[-:[948 . Unlessotherwise requested, COSA will be held by DSD forpickup. 2. NUMBER OF BEDROOMS: .3 Day phone 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~ Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] Individual Holding Tank [] Community On-site r--] [] Public Sewer The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services, LLC Phone 272-821.8 Address P.O. Box 1.oo217, Anchorage, AK 995~o Engineer's Printed Name Steven R. Pannone, P.E. Date 7/1.3/1.o Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 5. DSD SIGNATURE ~ Approved for ..~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage DeVelopment Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, 'AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Prospect Hei§hts, Block a Lot I A. WELL DATA Well type Private Date completed q/1,;/1968 Total depth 279 ft. If A, B, or C provide PWSID #. Sanitary seal (Y/N)Y Cased to ...4o+ ft. FROM WELL LOG g.p.m. Nitrate a.8o .mg/L Date of sam pie: Number of Compartments ~_ Depression over tank (Y/N) N Pure per A+ Home Services Date of test qlan/',968 Static water level Well production WATER SAMPLE RESULTS: Coliform .,o colonies/lO0 mL Arsenic: o ug/I B. SEPTIC/HOLDING TANK DATA Tank Type/Material ~a Concrete Tank size looo gal. Foundation cleanout (Y/N) _Y Date ofpumping ?1212elO C. ABSORPTION FIELD DATA Date installed 81a?llq?O Soil rating (g.p.d./~ or ft2/bdrm) aa~ Length an ft. Width aa Total depth a2__.., ft. Eft. absorption area .864 ft2 Date of adequacy test 712/2olo Results (Pass/Fail) Fluid depth in absorption field before test 86 in. Elapsed Time: ~M~o min. Final fluid depth 8_~6 in. Any rejuvenation treatment (past '12 mo.) (Y/N & type) ..N Parcel ID: Well Log (Y/N) Y Wires properly protected (Y/N) .Y Casing height (above ground) AT INSPECTION 712/2olo · 4.:.8 ft. o.9 g.p.m. Other bacteria., o colonies/100 mL Collected by: ..Laura Pannone in, Date installed Cleanouts (Y/N) Y High water alarm (Y/N) N/A Monitoring tube Y Pass System type Crib Grovel below pipe q ft. Depression over field N For 3 bedrooms Water added~o gal. New depth99 in. Absorption rate >= 4~;o+ g.p.d. If yes, give date LIFT STATION Date installed "Pump on" level at~ Datum in. E. SEPARATION DISTANCES Size in gallonsX'~,., h "Pump off" level~ Cycles tested~ Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? in. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot ... 9o' * Public sewer main. N/A ~00+ On adjacent lots =oo+ On adjacent lots =oo+ Public sewer manhole/cleanout N/A Sewer/septic service line .. 25+ Holding tank 2.00+ Animal containment areas ~oo+ Manure/animal excrete storage areas ~oo+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation =o+ Property line =o+ Absorption field ~ Water main NIA Water service line 25+ Surface water ~.oo+ Wells on adjacent lots ~.oo+ Property line ~o+ Water Service line 25+ Curtain drain None Known F. COMMENTS Building foundation =o+ Surface water ~oo+ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Water main N/A Driveway, parking/vehicle storage ~0+ * Waiver Request Attached. The septic pit appears to be approximately 80% used. G. ENGINEER S CERTIFICATION ~,,~. ~.-~.,; ......... ~.,. .... ~.. .... I c~ that I ~ve datelined through field ~nspections and mv~ew of MuniciPal ~cords ~at the above systems a~ in conformance with MOA COSA guidelines in effect on this date. ~~'~~ ...... Eng,neer s Pnnted Name ... Steven R. Pannone, P.E. . "' '~.]/~]'... No, CE 8149 .."~ Date ~[ J q[t ~ COSA Fee $~___ Waiver Fee $. Date of Pa~ent ~ [ 0 Date of Payment (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On-Site Systems Approval (COSA) # 101119 During a recent COSA on-site inspection and test of the potable water supply well on Block 2, Lot 1 of Prospect Heights subdivision, the well's productivity was determined to be 0.9 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3-bedroom residence is 0.3 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. ~ ~:,,, Munic a of Anchorage ~~?~~- !'~" ~:~ ' P.O. Box 196650 · 4700 Elmore Road ~.~~ ~~ Anchorage, Alaska 99519-6650 ® (907) 343-7904 · Fax (907) 343-7997 http:llwww.muni.or,qlOnsite Development Services Department On-Site Water and Wastewater Program **** VARIANCE~VAIVER REVIEW **** WR#: OSP101124 HA#: OSC101119 Permit~: PID#: 015-133-24 Legal Description: Prospect Heights, Block 2, Lot 1 Engineer: PES Applicant: Pat & Catherine Beattie Your request for a waiver of the required 100 feet horizontal separation from the absorption field to the private well has been approved. The approved separation distance is 90.0 feet. 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. Waiver is Granted: X_ Waiver is not.~d: [ /~' hame of Revi~Ner v . . Rec#: 079997 Amount: $1,050.00 Date Paid: 7/1912010 **** VARIANCE/WAIVER REVIEW **** ' : ,-:~u~ MOH 12:23 Pi1 L,~HTECH/SLS.H~ ~i~:::"- -- -- I1!1111 II '1 t t C? © LOT2 HOUSE LOT ; s 8,D'5~'bo" w FSX HO, P^~KIN$ & DR;v~ / 5616626 POweR 11 50' 99.50' .50' O'M ALLEY ROAD ~~ ' ~.~'.o .Y:.-" ' ' , EXCLUSION NOT o : u : I ,.' . ~ 6,,$: I, is (he O~ner~' re~r~ns.b;,;~ tO dolerm ne .~~, ~ r ~ v~ I . nc C, cum~,o~ces should ~ny cora h~rcon be u-cd rot ~~' ' - . , .c.nstruct:on or For estobhshmg property SURLY C~T,FICATION: LANr~CH h3s Crjnductcd ~ys;COI sur'v~y Ct th;s p¢opcrty c~ Shown On ,:lrowin~j ond [hot the Improvumer[s m'tuotcd t~ere- ;>;D ~ CONSI'? 'CT:ON SUr?VFY ' ~ r, . ~ AS--~UILT ' SGS Ref.# 1103230001 Client Name Pannone Eng. Srv. Printed Date/Time 07/09/2010 8:50 Project Name/# Prospect Hts Bk 2 Lt 1 Collected Date/Time 07/02/2010 14:05 Client Sample ID Prospect Hts Bk 2 Lt 1 Received Date/Time 07/02/2010 14:30 Matrix Drinking Water Technical Director Stephen C. Ede PWSID 0 Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 07/06/10 07/08/10 NRB Waters Department Total Nitrate/Nitrite-N 1.80 0.100 mg/L SM20 4500NO3-F B (<10) 07/02/10 AYC Microbiolo97~r Laboratory E. C01i Total Coliform Negative 1 100mL SM20 9223B A 07/02/10 DLC Negative I 100mL SM20 9223B A 07/02/10 DLC 07~0~/2010 2~:0~ ~8~770 A~U~ P~GE 01 A+ HOME SERVICES INC. 7501 E. 140th Avenue Anchorage;Alaska. 99516 345-1,890 10700 Pro,peet Drive Aa~orage, AK 99516 CUSTOMER E, INVOICE # 38657 Block Lot DATE 07-02-10 DESCRIPTION REMARKS _._ TOTAL AMOUNT $155.0 /~-~- I,,''~ Gallons __ Septic ~ Leach Area Holding Tank Standpipes Time [] PROBLEM AREA m CALL FOR MORE INFORMATION [] NEEDS TO BE DONE AGAIN IN 6 MONTHS [] Good Shape [] Sludge buildup on bottom [] Jim cap missing or ~ Cut standpipe to 1' above ground needs mplacing [] Floater on top [] Needs Septictrine Pannone Engineering Services LLC Steven R. Pannone, Principal Re§istered Professional En§ineer E-maih steve@panengak.com July 16, 2010 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 S. Bragaw Street Anchorage, Alaska 99519 Subject: Prospect Heights S/D, Block 2 Lot 1 Waiver Requests Ladies and Gentlemen: I am writing to request that a separation Waiver be granted for this property. The well is a private well serving a single family home. PES conducted an investigation on this lot on July 2, 2010. The well was able to produce almost one gallons per minute (0.9gpm) with no draw-down of wells static water level. The septic system had 86 inches of fluid of the 108 inches available at the start of the test and the water levels rose to 96 inches with the introduction of 450 gallons of water during the test. This system is operating adequately for a three bedroom system. The system has a minor code deficiency that needs to be addressed. This deficiency is the subject of this waiver request. Waiver Request. I request the following waiver: a. Well to Drain Field from 100 feet to 90 feet The drain field on this lot was installed in August of 1970 and has nine feet of gravel in the 20 by 25 crib. The top of the crib is four feet below the ground surface. The ground at the drain field is located approximately two feet below the ground at the well casing. The ground slopes from the well to the drain field and surface contamination is unlikely. The static water level in the well is 48 feet below the top of the casing (50 feet below ground level). The hydraulic gradient is five to ten percent to the west, away from the well. The soils are silty gravels having an application rate of 190 sfper bedroom in 1970 (250 sf/br under the current code) with bedrock underlying the silty gravel. Mailing: P~O. Box 10021.7~ Anchorage; Al( 9951.0-.02i 7 Physical: 61.5 East 82® Ay% Suite B-.6; Anci~ora~e, A~ 99508 Telephone: (907) 272-~823, g FAX: (907) 272~82S, 2. Page 2 of 2 In review of the ADEC Waiver Memorandum the following points are tabulated: Section Points Water Table (38 ft) 4.6 Soil Sorbtion (Silty Gravel) 3.0 Permeability 2.0 Water Table Gradient (+12%) 4.5 Horiz. Separation (140ft) 2.8 Total 16.9 points 16-25 points: Almost sure to be free from any form of contamination from household sewage. The original water sample dated 7/2/2010 showed a nitrate level of 1.9. This shows us that the nitrates are not coming from this well but from upstream of this property. The surrounding lots are developed. The existing septic systems are located greater than 100 feet from this well and over ten feet from the property lines. Granting this waiver will not affect the operations or availability of the surrounding lots to develop or install an on-site sewer disposal system nor endanger the health and safety of the public. If you have any questions or concerns, please contact me at 272-8218. Sincerely, · · ........ ...,. ,.~ Steven ~. Pa~one, ?.E. Owner/Civil Engineer Attachments: Mailing: P.O, Box 1002t7~ Anchorag% AK 995;i. 0-.02'}.7 Physical: 615 Eiast 82~x~ Ave~ Suite B-.6~ Anchorage~ A,k: 99508 }"e~ephone: (907) 272-821,8 FAX: {907) 272,..821i o AS-BUILT P.O. BOX 100217 ANCHORAGE, AK 99510 ,,,'.._'t, .. _.o.~t.N~a 07/16/10 '~ ~_.' A o~.~.~ Scale P,0~E (~07) 272-s2~s [AX (~07) 272-S2~ ~,~... PROSPECT HEIGHTS LOT 1, BLOCK 2 PAT CATHERINE BEATTIE ~07OO ~OSP~CI D~IVE PLAN ANCHORAGE, AK 99515 ~ ~.. CE-8149 .' ~heet ~ ~ . .,.,' ,~N ~- 1 OF 1 Municipality o.f Anchorage Development Serv,ces Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.ak.us (907) 343-7904 CERTifiCATE Of HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ParcelI.D. O1~- IE,~) - ~-~ 1. GENERAL INFORMATION Complete legal des(~dption ~'o'~- Location (site address or directions) Expiration Date: Current Property owner(s) Mailing address Lending agency Day phone o~q~," ~-~& I Day phone Mailing address Real Estate Agent Mailing Address Day phone ,~&l- Unless other, vise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual Well Individual Water Siorage Community Class Public Water System Well [] [] [] TYPE OF WASTEWATER DISPOSAL: Individual On-site ~ Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except beb, veen spouses) for properties se,wed by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verity that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage flies and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(ara) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time cf installation. Address ~ ~ ~ I ,~/.-Ct /'/ ~ "~ ' ' Engineer's Printed Name 5. DSD SIGNATURE Approved for Disapproved. ' Conditional a~proval for bedrooms. bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory ~ Maintenance Agreements Supplemental Engineer's Report Other Odginal Certificate Date: Municipnlity of Anchorage Development Services Department BuUdln0 Safety Division On-Site Water & Wastawater Program 4700 Soulh Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ct.enchomge.ak.us (;o?) 343-70o4 HEALTH AUTHORITY APPROVAL CHECKLIST LegelDescdption: '~_oT !. '~'J/-~-- ~.O$~--I-T ~J~/~/~-~'5 ParcellD: WELL DATA Well tyPe. ~ Date completed Total depth ,,t.'~ g{ ft. If A, B, or C pmvkle PWSID # ~ ft. FROM WELL LOG Date of test - e~ i~- Static water level "~ ~ lt. Well production ~ g.p.m. WATER SAMPLE RESULTS: Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION q~l ft. .~e.~_ g.p.m. in. Coliform f colonies/100ml. Nitrate _O,~ng./I. Other bacteria 7 colonies/100m,. Date ofsamp'e: T. 5, e. SEPTIC/HOLDING TANK DATA Tank Type/Material ~fS,~l"O.~°f,c'~'4'~¢'e''~.- Date installed Tank size ~0~'O gal. Number of Compartments ~ Cleanouts (Y/N) Foundation cieanout (Y/N) ~ Depression over tank (y/n) ~ High water alarm (Y/N) 1~ Data of pumping qli&le*' I P~r C. ABSORPTION FIELD DATA Date installed ! q 7D Soil rating (g.p.d./ft~ o~ ~/lxlrm) ~_.~_..-~ Length ,?-E, ft. w~th ,f-~' ft. Total depth ! H ft. Eft. absorption area S~,/-~.~ Monitm'ing tube ~'/ Date of adequacy test q/~'/g) l Results (Pass/Fail) Fluid depth in absorption field before test ~0 in. Water added Elapsed Time: ]~.O min. Final fluid depth c~,.~ in. Absorption rate >= Any rejuv;nation treatment (past 12 mo.) (yin & type) ]~ O System type ~/~,~,~ ~ ~'~/' Jo Gravel below pipe 9 ft. Depression over field ~'~ For ~ bedrooms New depth I0 ] in. ~.'~0 . g.p.d. If yes, give date I,"/ D. LIFT ~TATION Date installed Size in gallons "Pump on" level at in. 'Pump off' Datum Cy~t~ E. SEPARATION DISTANCES M nh Ac ss (Y N) High water alarm level at Meets alarm & drcult requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanldllff station on lot Absorption field on lot Public sewer main Sewer/septic service line on adjacent lots. On adjacent lots Public sewer manholo/deanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING ~,ANK ON LOT TO: Building foundation J~. ~ Properbj line t_.-..~ Absorption field Water main ¥~*/{~,~ Water service line 5 C) '{' Surface warm"', Wells on adjacent lots Property line ~ Water Service line Curtain drain ' ~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation ~ ! Water main Surface water ~ Driveway, paddng/vehide storage Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION Date HAA Fee $ Date of Payment q/~ol~t Receipt Number ¢J~ ~ '7~ (Rev. 12/0o) I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effecf on this date. Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650Anchorage. AK 99519-6650 www.¢i.anehorage.ak.us (907) 343-7904 Water Well Advisory,. Health Authority Approval # 010487 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block 2, Lot l of Prospect Heights subdivision, the well's productivity was determined to be 0.32 gallons per minute. The minimum well productivity required by this Depmtment (AMC 15.55) for a 3-bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. SEP-10-O1 I0:~ F~01~-CTZE Efl~I~I,EN~AL stir 9£?SEI53DI T-0~3 P.02/C] F-115 _will not result lmm this installation. CT&E Environmental 6m'~lcgls blc. ,~ L'npte It~rna~ks: Ctknt 1'O~ Pt~-Pnid Co!is/NO3 Prtal~d Dete/Tims 09/10/2001 9:30 ColiKted Date~l'lme 09.'04/'20l~1 14:20 Received Dat~Time 09/04/2001 15:00 Technical Dire~or Stephen C. Allow~:ie P~p Allalysis Nitrdlc-N 0.E82 Toml Colifom~ 7 OB. No C~li co[/1O0mL Slstl8 971~23 (<1) 09/04,~01 ~ SEF-IO-Ol 10:39 Drinking Water Analysis Report for Total Coliform Bacteria AEAD INSTRUCTiOtlS ON REVER~E SI~E BEFORE rI:)LL~';ING SAMPLE I-] pUBLIC WATER SYSTEM IDf~ ...... ~ pRtVATEWATER SYSTEM -'l Se.(I I~s [] Se~ InveCe I~ Se/lei ResuAs [] Seal In~k;B Treated Water Untreated Water · . SAMPLE DATE: SAMPLE TYPE' ?~1'Routine ri Repeat Sample (refer to lab no. [] Special Purpose Time Collected Le~ation Collected f/g~1: ColIe¢I~I: by (inNall: ~", .... ~(>:~-;!'.7.'~"~' t.~p 'i" ~ 200 W. Po=e' Drive Anch©rage. AK 9~518-11~35 Tel: (907) 582-2343 Fax: [907) 561-5301 ~ Ref No. Sent to ADEC? ANC FEK ~N [] Client notified of unaatbfactory re~u~: [] D Date: 'I~'~'TL~LOGICAL WATER ANAYSIS RECORD Direct Count ~ ~ (J~; C~l~mt co!l/orm~lgeml ~S Memt:ef M ma SG~ Group APPLI?',NT FILLS OUT UPPER HA~'~ ONLY Lending Institution Idress ZipCode¢?3 ¢ ZipCode C~q 50/ Zip Code Ph6ne Phone Address) ,~ ~ ~ Single Family ~ Multiple Family No. of Bedroo~ ~ Other Phone Water SuppJy ~ 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). Sewer Disposal ~ Individual [] Public Utility [] Holding Tank Year individual Installed: ,)~--/70 When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. · ' ' Time Insp~tor Insp~tor ,~ . ~ I Insp~to~ / Insp~tor . :- RECEIVED (~ )APPROVEB BEDROOMS ~1~/~z *CON DITIONS OF APPROVAL , Soils Rating Date ~wer Installed Well To Absorption Area ,/¢~ Well Log Received / : :,:~ We~l to Tank ~/ Septic T~k Size AL^$K e URonmenTAL CONTROL .!nC. 2/18/83 LAND TITLE/PHYLIS NEWMAN 101 E. 9TH AVENUE ANCHORAGE AK 99503 SELLER - HANES BUYER-HUNTINGTON SUBDIVISION-PROSPECT HEIGHTS SUBDIVISION BLOCK-2 LOT-1 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WIT~ AN AREA OF 864 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 600 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 2/18/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 THIS 3 BEDROOM HOUSE. ~,~.:..' ~ ',..~:~ % % ~ [eroy C. Reid, Jr / ~ ~ 3~ ? ......... r~%~~ IS ADEQUATE FOR