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Home My WebLink AboutCOLONIAL PARK BLK 3 LT 10 S2Colonial Park Block 3 Lot 10 51/2 #050-301-20 •//� 1 MUNICIPALITY OF ANCHORAGE \' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAM / PHONEEW y•ab ❑UPGRADE MAILINGAD&IIESS ' /p LEGAL DESCRIPTION LOCATION. NO.OF BEDROOMS S— L) Id DISTANCE TO: Well _ �d Absorption area a O Dwelling r sIF PERMIT NO. l0l ;:z Manufacturer Materi No. of compartments rn Liq.�tYcit ngallons IF HOMEMADE: InsidelenyN Width_ Liquid Orgill Y JD2 DISTANCE T Well Dwelling PERMIT NO. _? _ Man er . amnal —- i us gallons 0 m= DI STANCETO: Well (�v Foundation y O Nearest lot line r PERMIT NO. .W.1 M E ZW No. of lines pp O/-1` Length of each lin • Total length of lines Trench width/ �" b Inches Distance betwee lines CL, <F- Top of pie to finish grade Material beneath tile Total effective a sorptiorLar a /d' W W Length Width Dentis PERMIT NO. n f Wd Type of crib Crib dia eter� tlepth Totea HWell DISTANCE TO: Building foundation Nearest lot line J J s r Depth Driller Distance to lot Iinrl PERMIT NO. W 3 DISTANCE TO: Building foundation Sewer line Septic tank Absorption al OTHER L r PIPE MATERIALS 0 _3 t-/ SOIL TEST RATING w INSTA E '-- 7 cJ 5 1 . r REMARKS f I I ' AP H EO DATE LEGAL ��S d LID 72-0131Rev. 31781 Ll MurJ i O I F=*FiL I TY OF= nrJOHfpF?FIGE DEPARTMENT r' HEALTH AND ENVIRONMENTAL '- OTECTION 825 'L STREET, ANCHORAGE, AK. 99oil 264-4720 (3rJ—S I TE SEF4EF2 F'•EFZM I T PERMIT NO. C 810103 ) 0 LtDtwfS APPLICANT PON SILVA GEN. DEL. EAGLE RIVER. 694-2647 LOCATION IST AND HILLCREST LEGAL L 10 SK 3 COLONIAL PARK LOT SIZE 10000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH fo:'3o MAXIMUM NUMBER OF BEDROOMS = 5 SOIL RATING <SO FTISR)= 218 A L),/&fas4 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: f?EF~TH= 1C -v L_ErJGTH= 91 GFzF1%vPEL_ E>EF=•TH= 1S THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF R 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). FZEG!LJ I F?EO SEPT I G TF t4h< SS I ZE= 11GG GFIL_L_GMS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TWO C n2 ] I NSFP' ECT I OMS nF_E FRE:Q U I FSEC] --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR R 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 R PRIVATE SEWER. LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F}EF?M I T a:XF= I FZES PECEM0C:Ft 2�1. 1'901 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 THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 5 BEDROOMS. SIGNED APPLICANT ISSUED BY_ __Y ---------- DATE ---- /--------- V4.0 O & E ENGAEERING & DEVELO HENT CO. Box 90, Davis St., Eagle River, Alaska 99577 " 694-2774 or 688-2280 Russell Oyster 694-2774 Performedfor: Name:_ Mailing Legal Description: Depth (feet) 0 Soil Characteristics SOIL LOG 1 3 4 5 !ems 6 T 15.7 - 7— ,8 T7,8 9- 10- 11 1011 12_ 13_ f/a P /1 %4 rz-,e/ 41 f, l�NI ram �,�ovu�ao•r- -r,- P,>: 14 _ 15 — 16 Earl Ellis 688-2280 Tel. No.6%1'0,:�,U7 ,:e 135 f Ground Water Encountered: Yes No I If yes, what depth Proposed Installation: Seepage Pit_ Drain Field t� Com Performed by: — C—/ L �' s s i/N S i C/L Date,�2Jc_ 4 / i S1 PLOT PLAN PERC.TEST s r ;� Ground Water Encountered: Yes No I If yes, what depth Proposed Installation: Seepage Pit_ Drain Field t� Com Performed by: — C—/ L �' s s i/N S i C/L Date,�2Jc_ 4 / i S1 , -T.L; - q\r, S�3o3v t=T -� T .. PL .., From : FLPIhE DRILL 907 34S 0202 LOCATION OF WELL Feb. 14.:995 09:26 PN P02 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION Or MINING & WATER MOMT WATER WELL RECORD aorrOlgF[ LllaOn/IsrON LOT KOCK srCTK/N OTRa tECTION TOWAISHV R"ot MMD" io 3 ❑N .SO -6 /O :'k ❑S of OW 1 IOCATIONISKETCH! WELL OWNER: OW& /o r DEPTHS MEASURED FROM PVussin0 top ❑Ground surface WELL DEPTH: // DATE OF COMPLETION Dep1h OI hole: W it Depth of tas6 }[ -2 1 /1 19,�_ I-• ' BOREHOLE DAM Depth Metertat Type and Color From To 1 a DEPTH TO STATIC WATER LEVEL• 341 It below K top of casks ❑ Ground surface Date: ^ 11L1p r II ,l METHOD OF DRILLING: AK da rotary 13 cable tool U other Ui G USE OF WELL:" K domestic ❑ Irrigation ❑ monitor I!.�< 1,146 I'1 public supdy ❑ other, I_ I' CASINO 8110 �F..2 fi. Diamr w 1 t Casing type.itsC In. tot[ _ WELL INTAKE OPENWO TYPE: ). open end ❑ screened ❑ perforated ❑ open late I . ?, Depths of openings: to It SCREEN TYPE: Diem: In. _ / 32 el SlotMlosh Size: Length; 1t GRAVEL PACK TYPE: Voiume used: Depth to top: GROUT TYPE: Volrarm: 4, �o�ea��v�+rot S �SGO Depth: front_ ftto ft DEVELOPMENT MET OD: CZ.rrt �... _ Duration: K __�O PIMPING LEVEL AND YIELD: ttstter_y.7.--�___hrcpumdrW� Opm r PVMP INTAKE DEPTH: ft horsepower: _ WELL DISINFECTED UPON COMPLETION) ti -M ❑ NO CONTRACTOR INFORMT n pict �rte irass aa _ n CTnas Irai u �C[e C6pfC m alivC at REMARKS: PLEASE MAIL WHITE COPY OF LOO TO: DMtIDNMION OF MINING 6 WATER L40UT PO BUK 107005 ANCHORAGE AK 99510.7005 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940429 DATE ISSUED:11/10/94 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES EXPIRATION DATE:11/10/95 OWNER NAME:SILVA RONALD J & CAROL OWNER ADDRESS:HC 83, BOX 1851 EAGLE RIVER, AK 99567 PARCEL ID:05030120 LEGAL DESCRIPTION: COLONIAL PARK BLK 3 IT 10 S 2 LOT SIZE: 17820 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL 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) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE • DATE • u tic) L Louis Butera, P.E. Registered Civil Engineer November 9, 1994 Jim Cross, P.E. Municipality of Anchorage Dept. of Health & Human Services On -Site Services Division P.O. Box 196650 Anchorage, AK 99519 Re: Colonial Park S1/2 Lot 10, Block 3 First Street Dear Mr. Cross: On behalf of our client, Mr. Ron Silva, we have prepared a site plan for the location of a new well on the property referenced above. The new site is located 100 feet from the nearest sewer manhole and cleanout, and 100 feet from a partially undocumented septic trench location on N1/2 Lot 10, Block 3. The septic trench was located originally during the Health Authority approval process in 1984, and located on our drawing utilizing the file record measurements of 114 feet from the neighbor's well and 10 feet from the lot line. The measurement of 122 feet to our subject well must be erroneous, as that would place the trench on our subject property. If there is nay doubt in the future as to the location of this leachtrench in relation to our well, it should be the responsibility of the owner of N1/2 Lot 10 to resolve, as the trench was put in place without a permit or proper documentation. However, evidence gives us reasonable assurance that we are 100 feet from the trench. If there are any questions, please call our office at 694-5195. Sincerely, Louis Butera, P.E. RECEIVED NOV IS1994 -'opt 111eaith & Human Services \C:\WPW IN60\ W PDOCS\ 1994\94-089A.NAR P.O. Box 773294 •Eagle Rher, Alaska 99577 • Telephone (907) 691-5195 • Fax (907 691.3297 APPROX.+ WELL LOCATION N1/2 LOT 10 N1/2 LOT 9 132.00 132.00 N 89'36'00' W — — — — — — — — — — — — — + S1/2 LOT 10 WELL DEC S1/2 LOT 9 DRIVEWAY GARAGE HOUSE = z a+�w �O J JO VV W I C7 FIRST STREET I LIZ M 121 V e• DIP SS OUT • - MONITOR TUBE o - SEWER CLEANOUT + - WELL NMH{NIF - LEACHFlELD - - - EASEMENT WELL SITE PLAN V2 ,.•��., LEGAL: COLONIAL PARK S 1/2 LOT 10, BLK 3 OF 44 %ti� OWNER: SILVA CONTRACTOR: SULLIVAN*�/ JOB # 94-089 DATE: 11/04/941 SCALE 1" — 50' EAGLE RIVER ENGINEERING SERVICESLOUIS A. BUTERA W� P.O. Box 773294 I��fr� CE -6736 .'Y EACLE RIVER AK. 99577 X10 ' ' ' (907) 694-5195 FAX: (907) 694-3297 ��,� �::•�� 0 w j r� 0 0 0 0 0 0 0 0 0 0 0 0 F F E FF F EF F+ F+ F+ F+ F+ F w w w w w w w w w O O O O O O O O O O O O Sk x x cc 1% x x rx C9 x x e4 x LOA 0 0 0 0 0 0 0 0 0 0 0 0 w w w w w w w w w w w w 0.O! \ . \. \ n � � • ( f\ ...., ow w o 0 0 0 0 0 0 0 0 o v o w w w w w w w w w w w w w a .A w F` w w w 3 a v a Fw. 3 O ¢ A A A C rHn C�,7 0 w j r� 0 0 0 0 0 0 0 0 0 0 0 0 F F E FF F EF F+ F+ F+ F+ F+ F w w w w w w w w w O O O O O O O O O O O O Sk x x cc 1% x x rx C9 x x e4 x LOA 0 0 0 0 0 0 0 0 0 0 0 0 w w w w w w w w w w w w 0.O! \ . \. \ n � � • ( f\ ...., ow w o 0 0 0 0 0 0 0 0 o v o w w w w w w w w w w w w w a .A qo a Fw. H O ¢ 3 A q 0 w j r� 0 0 0 0 0 0 0 0 0 0 0 0 F F E FF F EF F+ F+ F+ F+ F+ F w w w w w w w w w O O O O O O O O O O O O Sk x x cc 1% x x rx C9 x x e4 x LOA 0 0 0 0 0 0 0 0 0 0 0 0 w w w w w w w w w w w w 0.O! \ . \. \ n � � • ( f\ ...., ow w o 0 0 0 0 0 0 0 0 o v o w w w w w w w w w w w w w a .A M U N I r I`F=l L. I TY OF Fl r4 CT V?"l FZ F4 C3 EE: DEPARTMENT _j HEALTH AND ENVIRONMENTAL ROTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 IJEL.L F=>EFRM I T PERMIT NO. ( 810033 ) APPLICANT RON SILVA GEN. DEL. EAGLE RIVER AK. 694-2647 LOCATION HILLCREST DR. LEGAL LOT 10 BLK 3 COLONIAL PK. LOT SIZE 10000 SQUARE FEET 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 THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'F=FRM I T EXF~ I FRES PECEM0FEE FZ 31s 1s;l t:11 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 THE CODES. SIGNED ISSUED APPLICANT PON SILVA V4. 0 MUNICIPALITY OF ANCHORAGE O DEPARTMENT OF HEALTH 6 HUMAN SERVICES ARM 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.# 050-301-20 HAA # HA950091 1. GENERAL INFORMATION Complete legal description Colonial Park South 1/2 Lot 10, Block 3 Location (site address or directions) 19617 First Street, Eagle River Property owner Ronald & Carol Silva Day phone 694-2947 Mail ing address HC R3 Box 1RSJ, Fagle River AK 99577 Lending agency N/A Day phone Mailing address Agent .. N/A h Day phone Unless otherwise requested, HAA will beheld for pickup 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well x .;_ . Communitywell Public water NOTE: if community well system, provide written confirmation from State ADEC attest - Ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL ;' .� ',•' f ;. Individual on-site . Holding tank ; _.:, _ r.i .- Community on-site ;•� ., 4 Public sewer x NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-023(Ft".1A11) front MOA121 S. 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 furtherverify that based on the information obtained from the Municipality of Anchorage files and from my invests! ation 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 Eagle River Engineering Services phone 694-5195 Address P.O. Box 773294, Ea 1 ver Ak 99577 Engineers signature Date Additional Comments ' h DDF^*V DU K TO URI (s /MAL <E?T/ F/ (i9 7•F CNRuG EL SROM''' 3 BFORGGM T To S Date3 _29'93 z y` Ttie M(rhicipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority %Ipproval Certificates;tiased �nIy upon the representations given in paragraph 5 above by an independent professional engineer registein the State of Alaska. The DHHS does this as a courtesyto purchasers of homes and theirlending Institutions irderto 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. rsaa (PW iAi) 8WA Mw m LGw a _ . cast 6. ` DHHS SIGNATURE %RCFEa�Lo"�-:•� _7 Approved for bedrooms. DisapprovedR. Conditional approval for =' bedrooms, with the following stipulations: Additional Comments ' h DDF^*V DU K TO URI (s /MAL <E?T/ F/ (i9 7•F CNRuG EL SROM''' 3 BFORGGM T To S Date3 _29'93 z y` Ttie M(rhicipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority %Ipproval Certificates;tiased �nIy upon the representations given in paragraph 5 above by an independent professional engineer registein the State of Alaska. The DHHS does this as a courtesyto purchasers of homes and theirlending Institutions irderto 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. rsaa (PW iAi) 8WA Mw m 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. # 050-301-20 1. GENERAL INFORMATION Complete legal description HAA # _ I+A Q i;C0q 1 Colonial Park South 1/2 Lot 10 Block 3 Location (site address or directions) 19617 First Street, Eagle River Property owner Ronald & Carol Silva Day phone 694-2947 Mailing address HC 83 Box 1851, Eagle River, AK 99577 Lending agency N/A Day phone Mailing address Agent N/A Day phone �- 116-'/C Address >:= .•_. ., Unless otherwise requested, HAA will be held for pickup. 2 '=`'NUMBER OF BEDROOMS-' S2 Z 3 . TYPE OF WATER SUPPLY. rr1 n ° v Individual well - x O -- Community well - - T Public water.._. _ cn o^ -nolt" If community well system, provide written confirmation from State ADEGTattest- Ing to the legality and status of system. 1?j' 4. TYPE OF WASTEWATER DISPOSAL: ;'.:v',•'' Individual on-site Holding tank17777=, Community on-site. y + l Public sewer x NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(R.. 1/91) Rohl MOA 921 S. 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 furtherverify 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. Address R 0 Fiox 773294, Eagle Riuerr, AK 99577 Engineer's signature ��2� Date 6. _ DHHS_ SIGNATURE... _Approved for . bedrooms Disapproved Conditional approval for w ' C.aT11 e c't Louis A. ,a CEZ77G iii �F� p ...»...•••1�,f��`� vL�`AOFES'10 �.�6 I, bedrooms, with the following stipulations: Additional Comments By:' Date 3-/�-95 J •C� The punicipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority Apprbval'.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 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 engineers work. 72425(R".1/91) 11 q MOA921 Municipality of Anchorage AEM Department of Health and Human Services an HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: COt.oNrrir_ PIPX- Parcell.D. _ 050 30/-7-0 Sr/z LOT /V g�.3 A. Well Data Well type Pie V4Jf6 If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Y155 Date completed 024/1 /95 Driller ALPINE Total depth -35b' Cased to _3SLo' Casing height f /2' Sanitary seal (YIN) YE S Wires properly protected (Y/N) VE 5 FROM WELL LOG AT INSPECTION m Date of test 07,195 N��4 _ Z Static water level m 3/7 (i _ ' C! K c Well flow ZO g.p.m. g.p.m. C " m < Pump levelt UNKNOWN rn ao 7 �o e H� OL'D Wl t,L- gBgDlU0NE�75 COD -5 SEPARATION DISTANCES FROM WELL TO: y C O Septictholding tank on lot /V J4 ; On adjacent lots N1A Z Absorption field on lot Public sewer main Sewer service line t 7s' 4as1, On adjacent lots Public sewer manhole/cleanout ; �• �' Petroleum tank NrJNG &eZ212,511? WATER SAMPLE RES L�9s / / Ozzo/95 Coliform -g7, Nitrate 19, /0 MG /L— Other bacteria Date of sample: 07;4109s T Collected by: 5 4 65 B. SEPTICIHOLDING TANK DATA /44 Date Cleanouts(Y/N) High water alarm (YM) Date of pumping Tank size Compartments cleanout (YM) Depression (YM) tested (YM) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: \ Well(s) on lot On adjacent lots Foundation To property line Absorption field Water main/service line Surface water/drainage 72-026 ("3)• FrO M CONTINUED ON BACK PAGE C. LIFT STATION Date InsMkd Manufacturer Size In gallons Vent (Y/N) High water alar level Meets MOA electrical codes (Y/N) on" level SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA NIA Length Total absorption area Date of adequacy test Water level in absorption field before test _ Peroxide treatment (past 12 months) (Y/N) (Y/N) 'Pump off' Level at tested rating (GPD/F11) System type Gravel thickness Total depth present (Y/N) Depression over field (Y/N) (pass/fail) for Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot On adjacent lots To building foundation test yes, give date To existing or abandoned system on On adjacent lots Cutbank Water main/service Surface water Driveway, parking/vehicle storage area _ Curtain drain E. ENGINEER'S CERTIFICATION line I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in eHecl.or _date;pf{his inspection. Signature Engineer's Name Louis Au7-r tA A5, Date HAA Fee $ o Date of Payment Receipt Number (P 72-026 (3197)• Back i wr N" lcuc A. PJl�,ra r Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 January 27, 1994 0�)p _ ?b\ _ D Ron Silva HC 83 Box 1851 Eagle River, AK 99577-9503 Re: S1/2 Lot 10, Block 3, Colonial Park Water Well Nitrate Contamination Dear Dir. Silva: This office has concluded its investigation of nitrate contamination in the drinking water well serving the subject property. Information and data gathered during our investigation suggests that the on-site wastewater disposal system serving the subject property is the probable source of nitrate contamination. Our records indicate that the well is approximately 80 feet deep. During the past five months, six samples were taken from the well. All samples were tested for nitrate nitrogen and bacteria. Nitrate nitrogen concentrations were consistently elevated and ranged between 19.1 mg/l and 17.0 mg/1. The EPA drinking water standard for nitrate nitrogen is 10.0 mg/l. One of the samples tested positive for bacteria with a count of 55 other bacteria. Fecal coliform bacteria were not detected in any samples. You and the current residents of the property were previously advised of these sample results. Water samples were taken from three wells located on adjacent properties. Two of the wells, one located on the S1/2 of Lot 8 and the other located on the N1/2 of Lot 9, are producing from an aquifer approximately 100 feet deep and had nitrate concentrations of 5.7 to 6.7 mg/1 respectively. The other well, located on the N1/2 of Lot 10, produces from an aquifer approximately 300 feet deep and had a nitrate concentration of 0.7 mg/l. Ron Silva January 27, 1994 Page 2 These sample results appear to indicate a localized contamination problem rather than an area wide problem. We understand that David Dayton, P.E. inspected and confirmed that the pitless adapter was in good condition and was not a likely source of shallow groundwater entering the well casing. We also understand that AWWU inspected and confirmed the integrity of a sanitary sewer line and manhole which are located in the ROW adjacent to the subject property. On September 22 this office injected a rhodamine fluorescent dye tracer into the south end of your on-site wastewater disposal system. On October 15 a sample was taken from your well and it showed a strong presence of the dye tracer. On October 25 the well was resampled and tested negative for dye. You were advised of these findings and at your request we injected additional dye into the north end of your wastewater system on November 4. Although subsequent sampling did not show a strong presence of dye, fluorometer results were positive for dye. These positive dye tests indicate that the well is receiving some direct recharge from wastewater system discharge. Conclusions and Recommendations After review of available records, site inspection reports and field and laboratory data, the following conclusions and recommendations are provided: 1. Well log information indicates that the shallow aquifer from which the well is producing is probably unconfined and is susceptible to contamination from adjacent on-site wastewater disposal systems. 2. The adjacent sanitary sewer line and manhole are not a probable source of contamination. 3. The on-site wastewater system serving the subject property is a primary contamination source. Although not confirmed, wastewater systems on adjacent properties could also be contributing to the contamination. Ron Silva January 27, 1994 Page 3 4. A review of area well logs indicates that there is a good producing aquifer at a depth of around 300 to 350 feet. With the exception of 3 or 4 wells, all other wells in this area appear to be producing from this deeper aquifer. This aquifer appears to be at least partially confined and shows no indication of nitrate contamination. Drilling a new well into this deeper aquifer should be considered as a remedy. 5. The on-site wastewater disposal system has been confirmed as a contamination source to the shallow aquifer. This system should be abandoned and the property should be connected to public sewer before June 30, 1994. Although our investigation is concluded and we believe our conclusions and recommendations are valid, there is usually some uncertainty associated with diagnosing and correcting these types of contamination problems. Our conclusions are based not only on available site specific information but also on our past experiences with similar types of contamination problems. Please call me at 343-4744 if you have any questions. Sincerely, join Smith, ogram Manager, On-site Services cc: Assemblymember Chuck Landers Mark Premo, P.E., General Manager, AWWU Nellen Budd, Mayor's Office Lee Browning, P.E., Manager, Environmental Services David R. Dayton, P.E. Keven Kleveno, P.E., Anchorage District, ADEC MUNICIPALITY OF ANCHORAGE MEMORANDUM DATE: December 16, 1993 TO: John Smith FROM: Susan Oswalt�� SUBJECT: S1/2 Lot 10, Block 3, Colonial Park (Silva) Chuck Landers called again today regarding the nitrate problem in Ron Silva's well. I also spoke with Ron a few days ago about the on-going testing. For your information, the following has occurred: This problem came to my attention when Dick Dayton, P.E. attempted to obtain a HAA for Mr. Silva. Testing I did confirmed the presence of a high level of nitrate in the well. I also sampled a number of wells surrounding Silva's which were at approximately the same depth. The public well to the south and several others over 300' deep yielded nitrate levels less than 1.0 mg/L. Silva's system was dyed (south end of trench) on September 22, 1993. A strong positive dye test was found on October 15; however, ten days later I found no dye in the system and so confirmation was not made. I conferred with Kevin Kleweno at ADEC and we determined that the well production was high enough it was possible for dye to "wash through" rapidly. He suggested a second dye test, using more dye. On November 4 I dyed the system from the north end (unable to locate south cleanout). Subsequent sampling has yielded only a "possible" positive. In the meantime I have been in touch with Don Keefer at AWWU regarding the overall problem of the well. The sewer line runs along First Avenue to a point just past Silva's house. In addition there is a new LID which will run south to north on Hillcrest probably next spring. The choice of connection point will be made later. We agreed that as soon as dye was found in the well I will notify AWWU; they in turn will proceed with arrangements to (1) get Silva connected to sewer and (2) apply Page 2 John Smith for the necessary waiver from Silva's well to the sewer line. The caveat to all of this is that continued monitoring AFTER the public sewer connection must show that the nitrate level is diminishing. AWWU understands that a waiver will not be granted with nitrate levels at 18-20 mg/L. I will be able to pull only one or two additional water samples from Silva's well before the end of the year. Mr. Silva is aware that On -Site Services is dropping its nitrate program. Mr. Landers wants the section to continue to monitoring for Mr. Silva. He will undoubtedly contact you about this, as will Mr. Silva. Silva's day number is 261-3610; home is 694-2647. /514 'St v) r ... _ DATE RECEIVED INSPECTION APPOINTMENTS oH. TIME TIME TIME IL\.�t C n rs 11 rr 6. TYPE OF RESIDENCE NUMBER OFtBEDROOMS f,:), f C4 S c a r DATE DATE DATE ❑ MULTIPLE FAMILY ❑ Three ❑ Six /^\ INSPECTOR INSPECTOR INSPECTO� ❑ PUBLIC UTILITY depth (attach log if available.) V- n MUNICIPALITY OF ANCHORAGE DEPT. OF FLnLTH & —�� DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC06WONMc NTAL FKOT:CTION \\l� 825 L Street - Anchorage, Alaska 99501 • OCT 12 1981 ENVIRONMENTAL SANITATION DIVISION / Telephone 264.4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DI RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten it 0) days for processing. 1. PR TV OWNER PHONE 7 MAILINGADDRESS � e�etr k - PROPERTY RE IDENT (If different above) PHONE C 'e ^ S . 2. BUYER AM P� PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE 1 MAILING ADDRESS p� eAt IJ/% 4. RE TOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION 1- l0 r 3 n PA oH. STR ET OCATIO r+ IL\.�t C n rs 6. TYPE OF RESIDENCE NUMBER OFtBEDROOMS ❑SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY CRT' INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM SP S-1 M- INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010 (Rev. 6/79) ' I THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLICUTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ONSITE ❑PUBLICUTILITY Connection Verified PERMIT NUMBER DATEINSTALLED �p — INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 6to If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLTO: Septic/Holding Tank II o Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [ZL—APPROVED FOR _� BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72010 (Rile. 6/79)