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CHALET TERRACE LT 6
Chalet Terrace Lot 6 #015-163-35 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: Svv0�-033 3 PID Number: Ol-3- t4o3-3' Name. —12�t;rk'L Wastewater System: [I New Upgrade Address: 7g�r p tel„ ABSORPTION FIELD Phone. Number of Bedrooms: Deep Trench D Shallow Trench ❑ Betl ❑ Mound ❑Other: Sail Rating: Total Depth from anginal grade: LEGAL DESCRIPTION la GPDIFP — to Ft. Block. Lot: Subdivision: Depth to pipe bottomfromoriginal grade: Gravel depth beneath pipe. e i L -0 7r b C-R A 'i"� 0_A .6 15-- ; Ft. 5.6 Ft, Township Range: Section: Fill added above original grade: Gravel Length. 'J 0—.7— Ft. S Ft. Well: [I New El Upgrade Gravel width: Number of lines: I Distance between lines: --F". 3-3 Ft. Classification (Private. A. B, C): Total Depth: Cased to: Total absorption area: Pip. Material: 0\ Ft. FI. (O� Ft, /— A % Driller. Dale Drilled: Static Water Level: Installs, p- AC.6t_ Date Instalted: to:14 Ifo 1 0 Z' FI. o G Y rr'!< "-I�.%" Yletd. Pump Set at: Casing Heigh, Above Ground: TANK GPM FL FI. SEPARATION DISTANCES &(eptic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption LIR Holding PubhUprivat Manufachrac Capacity. From Tank Field Station Tank Sewer Line /.j N j aw. k IbtA.0 Gal. Well ��•(� f/ Material: p Number of Compartments: rt(o 130 '-+(o LIFT STATION Surface Water Size: Manufacturer Lot Line -c) �� Gal 'Pump on' level at: 'Pump off level aC High water alarm at Foundation I � in. in. ,n. Curtain Drain N Ill "' Pump Make & Model Electrical In ections performed by: l7 Remarks: BENCH MARK Location and Description: n FueP CI�e au I ! u i u w Assumetl Elevatmn. 1 e— 16C ya 2n Ft. Engineer's Stamp c` f fo jfY%n Inspections performed by: / Dates: 1" i r / 2nd I ohoh' Z C 000Rn car. Development Services Department Approval���� Reviewed and approved by: Date: 5 23 �z �Uc snc nt, ❑;sol 1, -. I o L'S SD SC LE, I' URT CHALET � STANDAW 5 -BMP" SY$IrM TSM GAL SFPW TAMC 57 W LONG TRFAC7! ma DEM to raT [1TFCiVr ROCK AM 15 FT N I 10 9 I / I / i 75 fro 25 150 OFT. \�P,�510211108 — well Cos 11 I AC 1It' ' AC 1J• OC 11' i AD 21' 80 1!3' i At J7 Bf J05' I AF 38' OF 31' I 6 I � D 1 7 1 e D c s=lot tA^ I 1 . M S=tOt LA° I ! 49th`. 1KN SPURKLAND No. CE -2225 .. 0 BFNCH HARK: TOP M" WN CO ASR&M WATAOMk toaoo FT 1UHi1L1M VUIfKLAND P.L. LOT 6 CHALET TERRACES D SfPTJC SYSTEM AS BUILT 203 W 15TH AVFNUF JOHN BURKf DATE• NOV. 8. 2001 ANCH. AK. 99501 7500 CHALET COURT SHEET213 GRID: 2640 907 279-3916 11 PERMIT #SV020393 PID # 015-163-35 CHA00062.BVG Standard Trench, 2' Wide 5T Long 10' Deep 55' Sewer rock 35' Cover NO SCALE SII t ass LUJ 5.5 ft of Septic Rock Effective 1500 gal Septic tank M e o, c v m 3 a a 3 Monitor NO SCALE .' 49th MEN SPURKLAND No. CE -2225 1500 gal. septic tank TOBBEN SPURKLAND P.E. LOT 6 CHALET TERRACE SEPTIC SYSTEM SCHEMATIC 203 W15th Ave Anchorage Ak 99501 75M CM4W COW DATE, NOV. 8, 2002 SOW Rma SHEETo 3 3 GRIDS 2640 PERMIT SWO20393 PARCEL ID / 015-163-35 CHA00063.DW0 J*'Akspark and Engineerrong Environmental Consulting and Design SEPTIC SYSTEM DESIGN Chalet Terrace Lot 6 Municipality of Anchorage May 21, 2012 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System On-site Sewer/ Well Submittal Comment Sheet 7500 Chalet Ct. Ladies and Gentlemen: No impermeable layers were observed in the soils logs from Chalet Terrace Subdivision at a depth of less than 16 feet. I have attached soil logs for the Lot 3, Lot 7, and Lot 4 for your review. There does not appear to any impermeable soil layers within 6 vertical feet of the bottom of the septic system drain field installed at the above referenced property. If you have any questions, I can be reached at 279-3916. cerely, an^- kd,P.�E 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water B Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 AMV ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW020383 Legal Description: CHALET TERRACE LT 6 Design Engineer: 0007 Tobben Spurkland, PE Owner Name: John Burke Owner Address: 7500 CHALET CT ANCHORAGE. AK 99516-1163 Date Issued: Oct 02, 2002 Expiration Date: Oct 02, 2003 Parcel ID: 015-163-35 Site Address: 007500 CHALET CT Lot Size: 14749 SO. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit Is for the construction of: Q Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. S Golub TO L✓tLL O t0/li- 102- EV6. pu r i1's re Ay /.v /O Fr AE6n BU r dry /f 71 Sr HOLE It. FEET PEEP r('(e Ex/STir4 775-r .4(04E /S 'oEev is OR Y ro ndf Y, Received By:c Date: 1a/Z 0 Z , Issued By: �c; V Date: o z Ma Municipality of Anchorage -. Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Sl. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number SW0203B3 Parcell.D. 015-- Property owners) i� N t 1 Day phone Mailing address (1) %yid C' i AL1T C-oy 01 Mailing address (2) Zip Code 9q 516 Legal description (Lot, Block & Sub'd.) Lo to cNA T F_ 212 0 Legal description (Section, Township & Range) Lot Size 1L/7`/ I Acres/ fo Number of Bedrooms S THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or Permit Fees: W oc- Date of Payment: g/o2y�o Z Receipt Number: at, do L/ (Rev. 12100) Waiver Fees: Date of Payment: Receipt Number: 203 W 15th. Avenue. Suite 203 ANCHORAGE. ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 6 CHALET TERRACE JOHN BURKE Municipality of Anchorage September 15, 2002 Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street Anchorage, Alaska 99519-6650 We are submitting an application for the upgrade of the septic system for this lot. The owner is adding on to the house, which necessitates that the septic tank be replaced. The septic system is 29 years old, designed for three bedrooms and consists of a septic tank and a concrete block seepage pit. Septic rock was not used to backfill around the pit. The system is not failing at this time, but a complete up -grade is desired. This submittal consists of three (3) drawings showing the present improvements on the lot, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable test holes are also enclosed. Chalet Terrace is served by a Class C water system Both the existing and the proposed system are within the present protective radius of the supply well, but out side of the radius in effect when the subdivision was developed. ADEC is in the process of granting a waiver to allow the installation of this proposed system, however, your Department has to issue the installation permit. This application is for a 5 -bedroom system. A replacement system is possible by using one of the approved " Category II " systems, requiring a disposal area of 187.5 sq.ft , which can be obtained by a trench 20 feet long and with 5 feet of sewer rock. The design of the septic proposed system is based on the following: No Ground Water or Impervious Layer to 15 ft. Use Standard Trench Soil Rating. From Test hole 07/12/02 <5 min/in = 1.2 gal per sq.ft/day No. of Bedrooms 5 Required Area per Bedroom: 15011.2 = 125 sq.ft. Total area required: 125 x 5 = 625 sgft Test hole depth 15 feet Bottom Rock At 9 feet Top Rock At 3.5 feet Rock Depth 5.5 feet Minimum Trench Length 625 / 11 = 57 ft. SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 57 FT TOTAL WIDTH 2 FT TOTAL DEPTH 9 FT ROCK DEPTH 5.5 FT COVER 3.5 FT SEPTIC TANK 1500 GAL The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. V 1 �1 I ry 25 0 25 50 75 SC�LEi I' = 0 F CHALET CURT � � I I STANDARD 5 -BEDROOM SYSTEM 1500 GAL SEPAL TANK 57 rFET LONG nMNCrr MAX DCPA/ 9 CCET MCM R= DEPW 5.5 R 5 CONCRE, BLOC CRI 10 9 I / 100 25 150 \ / T wsIp 21110 8 � P Bell oss 1 I 1 6 7 6 t=rot tf I S-401 W !0— - — — — - - — — — -- - — — -- — — .' 49th No. CE -2225 0 i 0 J W a 7H, AVENUE E I I LOT 6 CHALET TERRACE SID I I SEPTIC SYSTEM DESIGN 103 W 15TH. AVENUE JOHN BURKE DATE. AUG. 19, 2002 ANCH. AK. 99501 7500 CHALET COURT SHEET• 213 GRID: 2650 (907) 279-3916 PERMIT #SV020XXX PID N 4-163: CHA00062.DV6 _ ALPS AVE _ a 2 1 / W 10 I 9 1 Izl I i I \\ I 55 LNAL T E R � �e111Cv` 1 ` 120 3 �G 4 j— — — — — — — — p O y Z 49th„ IGEN SPLRKLAND No. CE -2225 •, I0 5 I Q 2 7 1 ( 50 0 50 100 150 200 IC SCALE, 1' = 100 f7.SUBDIWS/ON SERVED BY CLASS r WATER SYSTEM. ONE WELL SUPPLIES WATER I 0J W a 1H. AVE u E I I LOT 6 CHALET TERRACE SID I I SEPTIC SYSTEM DESIGN I 203 W AK. AVENUE JOHN BURKE DATE AUG. 19, 2002 (NCH. AK. 99501 7500 CHALET COURT SHEET. 1 3 GRID: 2640 (907) 279-3916 PERMIT IISV020XXX PID 0 015-163-35 CHA00061.DVG Standard Trench, 2' W/de 57' Long 9' Beep 5.5' Sewer rock 3.5' Cover NO SCALE Sit t Bo 5.5 ft of Septic Rock Effective --00d ° ° —° o" "3 0 1500 gal Septic tank o c a W � V � t d 10 3 'a A Z 3 Monitor NO SCALE : 49th IIFN SPURKLAND No. CE -2225 1500 gal. septic tank IIVRRLHIVL r.c. 033 W1Sthth Ave LOT 6 CHALET TERRACE I I SEPTIC SYSTEM SCHEMATIC 2WI Anchorage Ak 99501 75M CHALET COURT DATEo SEPT. 18, 2002 279-39]6 JOHN RtR1A'C SHEETS j/j GRID 2640 PERMIT I SWO20OXX PARCEL 1D f 015-163-35 CHA0006JDW0 \��y t•+d4Tq E% -IS [ILK U � r S t `IfAV•K SM $oT Tb" O F Hct_t WASGROUNDWATER a,. 1 ENCOUNTERED? ty D Dale Gross Time S IF YES. AT WHAT DEPTH? L Depth to Water After j Municipality of Anchorage :.. (ENGIIy£E4`S, pyi� ` Development Services Department ft / Building Safety Division X G y • ■ I On -Site Water and Wastewater Program 4700 South Bragaw SL Pyr -y —.,��",•�-•��-,�`������'' `�, P.O. Boz 196650 Anchorage, AK 99519.6650 Tv oe� Sov: ttlany ,' ;Il," cf.anchdfanft ak U5 tr. .' C "J•�"., CL -2225 GrG (907) 343-7904 r4k ' 11 < j nelfI. Log - Percolation Test ✓h \.•� �; •..�Y.Or•`\fit, :.J •�c���Fr;�':;i;-' �t D-rDrrned Fc, : 1D 1 �Soils ta.tCJ u.r _ Dale Performed: -"lZq Leal Cescriotw: 't• C -Inn t4- Fe -,,r Township, Range, Section: \��y t•+d4Tq E% -IS [ILK U � r S t `IfAV•K SM $oT Tb" O F Hct_t WASGROUNDWATER a,. 1 ENCOUNTERED? ty D Dale Gross Time S IF YES. AT WHAT DEPTH? L Depth to Water After j 0 P MonlloringT Cr 11• E Dale 1 L Site Plan Reading Dale Gross Time Net Time Depth to W'a:e• Ne: :Z G GrG I.tn`2C r4k ' 11 < j nelfI. •••^•••-••••^I. I a e...wrw¢nl HERO HOLE DIAMETER 01. T EST RUN BETWEEN _ :..� FT AND ti, FT 02-q- C -R -MED BY -J ) qq I. / CERTIFY THAT THIS TES' C:aS =ER^Cf`MED'N ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 9 / S/o z. i T.SPURKLAND P.E. 203 WEST 15TH. AVENUE SUITE 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 Devin Klewano, P.E. Environmental Engineer State of Alaska Dept. of Environmental Conservation Anchorage District Office 555 Cordova Street Anchorage, Alaska 99501 Subject: Separation Waiver Request Septic System to Class C Well Lot 6 Chalet Terrace PWSID 211106 Gentlemen; September 19,2002 We are requesting a waiver from the Separation Distance required by 18 AAC 72.020 (e) between a Class C water well and a single family soil absorption septic system. A copy of the permit application to the Municipality is attached hereto. The septic system on Lot 6 can not be replaced without a waiver. A water sample collected on Sept. 9, 2002 and tested for Nitrate -N showed 2.10 mg/l. This is well within expected back ground level and an indication that the well is not currently influenced by septic system discharge. The test hole excavated in connection with the design of the proposed drain field showed that the soil conditions consisted of dense sand and gravel to 15 feet. Bedrock or ground water were not encountered. The percolation rate is faster than I minute per inch, however, unsaturated, vertical flow through the soil will cause suspended solids, bacteria and viruses to be trapped. The proposed septic system will be located down gradient of the groundwater source feeding the well. Overland flow from the septic system to the well is not possible due to adverse grade. Yours Tobb Spurkland P.E. S E OFL S J (J FRANK H. MURKOWSKI, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION 555 CORDOVA ANCHORAGE, AK 99501 Phone: (907)269-7519 Fax: (907)269-7650 DIVISION OF ENVIRONMENTAL HEALTH http://www.state.ak.us/dec/ DRINKING WATER AND WASTEWATER PROGRAM March 26, 2003 Tobben Spurkland,P.E. 203 West 15t' Avenue Suite 203 Anchorage, Alaska 99501 Re: Lot 6, Chalet Terrace, Waiver Request Septic System to a Class C public Water System PWSID # 211106, ADEC Project # 2616 Dear Mr. Spurkland This is in response to the request for a waiver of separation distance for a Class C public water system to a proposed on -lot soil absorption system serving a single family residence received in this office on September 20, 2002. I have reviewed the waiver application, your engineering drawings and the files for Lot 6, Chalet Terrace. This public water system was installed and originally operated as a Class A public water system. On April 24, 1997, the public water system was reclassified to a Class C public water system because the number of individuals being served dropped below 25. The submitted information, requests a waiver from 150 feet to a distance of 120 feet between the source well and the soil absorption field, and septic tank. A review of the well logs, soil reports, current water sample results, and the plan drawings has taken place. Based on the information submitted it appears the waiver requests adequately supports the reduction in separation distance. Therefore, in accordance with the State Drinking Water Regulations (18 AAC 80.020), the following waivers are granted. • The separation distance between the Class C public water system source well and the two compartment wastewater septic tank serving the home on Lot 6, Chalet Terrace Subdivision has been waived from 150 feet to 120 feet. The separation distance between the Class C public water system source well and the deep trench type soil absorption system on Lot 6, Chalet Terrace has been waived from 150 feet to 120 feet. The distances noted in the waivers are from your submittal. It appears that these distances are from the nearest edge of the wastewater disposal system component to the nearest edge of the existing public water system source well. If the wastewater disposal system fails or contamination can be traced back to the system, the waivers will be invalid. I must strongly recommend that prior to submitting requests for construction approval or separation distance waivers, field verification to confirm existing conditions be completed. 10 Printed on Recycled Paper This approval does not imply the granting of additional authorizations nor obligate any state, federal or local regulatory body to grant required authorizations. Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18 AAC 15.195- 18 AAC 15.340 or an informal review by the Division Director in accordance with ISAAC 15.185. Informal review requests must be delivered to the Division Director, 555 Cordova St., Anchorage, Alaska 99501, within 15 days of the permit decision. Adjudicatory hearings requests must be delivered to the Commissioner of the Department of Environmental Conservation, 410 Wiloughby Avenue, Suite 303, Juneau, Alaska 99801, within 30 days of the permit decision. If a hearing is not requested within 30 days, the right to appeal is waived. Thank you for your cooperation. If you have any question please do not hesitate to contact me at 269-7519. Respectfully, William R. Rieth, P.E. Environmental Engineer WRR cc: Jamie Stazel, ADEC, DW/WW John Burke, owner 1 GRE -7R ANCHORAGE AREA BO'"-d"JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAM �f� g! ".a „-�L.CYLQtit MAILING ADDRESS ;?/ �� SDS PHONE 6 3 Y7 LOCATION�!/ZQZ C 7 1E✓ /1///7/6EGAL DESCRIPTION < <� f v �l i%r�L 7- 7F It I-' !SSC SEPTIC TANK: DISTANCE /,/Jj�� NUMBER OF FROM WELL MANUFACTURER �c.2Q� MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /000 GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER OR WIDTH_, LENGTH_, DEPTH f C, w LINING MATERIAL AIJ CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL ` O 1 �% � TOTAL EFFECTIVE BUILDING FOUNDATION NEAREST LOT LINE ` ABSORPTION AREA (WALL AREA FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION -----NEAREST NEAREST SEWER LINE , OTHER SOURCES DISAPPROVED DISTANCES: C_ Qi% ` CO�°� " d od<_s INSTALLED BY:I-s0 R -4e 2 SnuoJ (,n/i _s T. PIPE MATERIAL: C."f\ , LOT SLOPE: (LV-YDiI REMARKS: Form No. EQ -031 DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK -,SYSTEM REMARKS DIAGRAM OF SYSTEM t or000 — G2e<�R t 3 I f Ll iz f rrI �aLock f �2i3 f Ur7 /k4 t DATE APPROVED G.A.A.B. NAME OF APPLICANT INSTALLATION LOCAT GREATL:=R ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO, 3500 TUDOR ROAD FIOUCH 6.650 ANCHORAGE. ALASKA 99502 TCLF:PHOWE 279.8606 /] / / / SEWAGE DISPOSAL SYSTEM — APPLICATION AND i MAILING ApUkE54—_--_--.—_-_— PHONE / 15 �, � PERMIT LEGAL DESCRIPTION _- INSTALLATION OF: SEPTIC TANK "- S•EEPAGE PIT DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED TO BE INSTALLED BY SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 7 5 COMPLETION DATE ANTICIPATED' PF_RMiT VALID ONE YEAR FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE _L2_5�,© TYPEStePI Or COi1CTf?tBSEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK 5 ft. FOUNDATION TO SEEPAGE PIT 20 ft• DRAIN FIELD 10 ft. SEPTIC TANK TO SEEPAGE PIT WALL 15 ft. SEPTIC TANK 5 ft,, SEEPAGE PIT 20 ft. . DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TAN O SEEPAGE DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK 10 ft, , SEEPAGE PIT 10 ft. DRAIN FIELD 10 ft. - SEPTIC TANK, 25 ft•f . SEEPAGE PIT 100 fte , DRAIN FIELD 5Q t. TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. , GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER DIAGRAM OF SYSTEM I , 4" CAST IRON SIPHON SEPTIC PIPE WITH AIRTIGHT CRIB IA;; 1./ CAPS y CAST 1P.R level —F' CAST IRON INTO U14DISTL REED SOIL It5,_al I x_15' i MINI1`111 MINIMUM C 1 required Whenever line crosses under driveway. i 1 t..^'. I V I Il 11A L IU TA' K- SO' Kl PIT- 100' GC SEVI R LIRE- 10 10 TAI;K--W-I('& T^ FII- 170' - 1.0 SfCER 1.7:1 40 40'-I:i' ON LY CAST IRfIR SEWER LIC; / TO TA!;K- 200' , 1 I I I' I T - 2.00' 10O-i'^�' Or:LY IIt41 SEWER I ila pq S(IUPCC OF n; IhI IOH TjRAVEL PA((0I IA�l AR00tID CAJB. T4' MINIMUS ABOVE WATER ABLE) - A IRSE:dER :IRE. CCNSCH IC(R dRf.A KELL S. ' SECPAOE Pil E%CAVATION BASED ON SOIL TEST. Grade: E'.per 100' or 1/4" p r foo: except 10' prec,Ainq HOUSE tank 1 tha. should 1 not exceed 2%. 6' per 100 on flat terrains. CAST ]Poll, SEPTIC 111?C 5' TANK % R:TO (!N- 1 �' � 1 4 INCH DISTUPC.CO/ —� CAST IRON SIPHON PIPE SOIL / � SEEPAGE PIT CRIB r� L' IG•--� __ GRAVEL BACKFILL 20' MINIMUM _ ,I.___-` I:EAPCST LnT LIIIE—_� I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREAT "ANCHORAGE AREA BOROU H ORDINANC NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE / / APPLICANT'S SIGNAT fonstzuetton `. rest Yr "09W tm h WCW . eiou"Ra ornion" 0620 TUDOR ROAD. ANG/ORAOt. ALASKA 99507 i T[L=M10Ma SS3-8I7s Performed 'For iieliable Builders Date Performed Oct. 4, 1972 Legal Oescrintion: Lot 6 slock Subdivision . Chalet'Perrace This Form Renorts°Soils Lna yes Percolation Test Tenth Feet Soil Characteristics 1 Silty `7andy Gravel ;M. i 2.. ? Cnarse 3andy Gravel GW A i ! 7 �- --+--, -1 � 1 N' fl, Wa r -round Water Encn!;ntered?' J'j �- I° Yes, At what Perth? P--' KPdr] i nq :1d Le nrliss r 1 me I rneL 1 i me Lfe« Lrr Lu n2v i 11e L u7 un 1 Percolation Rate 4inute Proeosed Instal—Tation: Seenane Pit yes Drain Field } Depth of Inlet Denth To Bottom Of Pit Or Trench COMMENTS:— 85 sq. ft. drainage area rr uired per bedroan No bedrock or water table 4 ft. below seepage pit r Test Performed By aeti Data Certified By:, cnS=rTTm /Ilab Manager _ Date: 10-4-3.,....�.- 1 n� /FRANK N. MURKOWSKI, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION DIVISION OF ENVIRONMENTAL HEALTH DRINKING WATER AND WASTEWATER PROGRAM March 26, 2003 Tobben Spurkland, P.E. 203 West 151° Avenue Suite 203 Anchorage, Alaska 99501 Re: Lot 6, Chalet Terrace, Waiver Request Septic System to a Class C public Water System PWSID N 211106, ADEC Project N 2516 Dear Mr. Spurkland: $55 CORDOVA ANCHORAGE, AK 99501 Phone: (907)269.7519 Fax: (907) 269-7650 http Wwww.state.ak.us/decl This is in response to the request for a waiver of separation distance for a Class C public water system to a proposed on -lot soil absorption system serving a single family residence received in this office on September 20, 2002. 1 have reviewed the waiver application, your engineering drawings and the files for Lot 6, Chalet Terrace. This public water system was installed and originally operated as a Class A public water system. On April 74, 1997, the public water system was reclassified to a Class C public water system because the number of individuals being served dropped below 25. The submitted information, requests a waiver from 150 feet to a distance of 120 feet between the source well and the soil absorption field, and septic tank. A review of the well logs, soil reports, current water sample results, and the plan drawings has taken place. Based on the information submitted it appears the waiver requests adequately supports the reduction in separation distance. Therefore, in accordance with the State Drinking Water Regulations (18 AAC 80.020), the following waivers are granted. 0 The separation distance between the Class C public water system source well and the two compartment wastewater septic tank serving the home on Lot 6, Chalet Terrace Subdivision has been waived from 150 feet to 120 feet. • Tite separation distance between the Class C public water system source well and the deep trench type soil absorption system on Lot 6, Chalet Terrace has been waived from 150 feet to 120 feet. The distances noted in the waivers are from your submittal. It appears that these distances are from the nearest edge of the wastewater disposal system component to the nearest edge of the existing public water system source well. If the wastewater disposal system fails or contamination can be traced back to the system, the waivers will be invalid. I must strongly recommend that prior to submitting requests for construction approval or separation distance waivers, field verification to confirm existing conditions be completed. 10'd £109 9LZ L06 QNoiANnr is 1 wo bZ:Tr £00Z-0£-Ndo This approval does not imply the granting of additional authorizations nor obligate any state, federal or local regulatory body to grant required authorizations. Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18 AAC 15.195- 18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC 15.185. Informal review requests must be delivered to the Division Director, 555 Cordova St., Anchorage, Alaska 99501, within 1S days of the permit decision. Adjudicatory hearings requests must be delivered to the Commissioner of the Department of Environmental Conservation, 410 Wiloughby Avenue, Suite 303, Juneau, Alaska 99801, within 30 days of the permit decision. if a hearing is not requested within 30 days , the right to appeal is waived. Thank you for your cooperation. 1f you have any question please do not hesitate to contact me at 269.7519. Respectfully, William R. Rieth, P.E. Environmental Engineer WRR cc: Jamie Stazel, ADEC, DW/WW John Burke, owner Z6'd 2109 92-Z 2-66 aNtl'l>iz1jn4s 1 Wtl SZ: T 1: £00Z-0£-?Jdtl MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services 44 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 1. D. # 0 1E— l (0 3" 3S V HAA # 1. GENERAL INFORMATION Complete legal description l.o� (o, a tit Location (site address or directions) 7 5Fo-O C uy- FP—?C Property owner / Day phone 14" Mailing address 7L� Ccs c—, yr t� ?Qs - 14 - 26, — b O 1 -7 !fb , *} Lending agency l B & Cam., Vo -A a O Day phone Mailing add Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well 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: 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 X21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my 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 r Q l bah 2'Dv "tkLxLv� �-- Phone 4;? Phone Address 4 -el' Engineer's signature U - 6. DHHS SIGNATURE X Approved for bedrooms. Disapproved. Conditional approval for Additional Comments By: 111TIC Date %1.9-3 bedrooms, with the following stipulations: Date 3 -2 - The -2 - 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 courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Beck MOA #21 Municipality of Anchorage Department of Health & Human Services AML HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: �"� 6 ., (f�r✓aG e- Parcel I.D. 1 o 3 " 131 -1— A. -1- A. WELL DATA Well type A If A, B, or C, attach ADEC letter. ADEC water system number ll.//So Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level Date completed Cased to FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Nitrate Driller Casing height Wires properly protected (Y/N) 9 -p.m AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Collected by: Other bacteria Date installed &6117 3 Tank size !L700 Compartments die Cleanouts (Y/N) �Z Foundation cleanout (Y/N) Depression (Y/N) High water alarm (Y/N) N ZA Alarm tested (Y/N) IV/,4 Date of pumping O o2 7A?3 Pumper N".X- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ' e Jc U -10--On adjacent lots NO 14 --' Foundation To property line 8O f Absorption field 7 f Water main/service line- Surface ine Surface water/drainage o N -e— 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE n7 rn C-) CU n7 N :-7 0 --ft 9•'` O m 2 Date installed &6117 3 Tank size !L700 Compartments die Cleanouts (Y/N) �Z Foundation cleanout (Y/N) Depression (Y/N) High water alarm (Y/N) N ZA Alarm tested (Y/N) IV/,4 Date of pumping O o2 7A?3 Pumper N".X- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ' e Jc U -10--On adjacent lots NO 14 --' Foundation To property line 8O f Absorption field 7 f Water main/service line- Surface ine Surface water/drainage o N -e— 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION 1-,J/� Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA D Date installed Soil rating "Pump off" level at Cycles tested Surface water _ I / J / System type (/�-1 Length OW k),w � Widthy Y"�-► Gravel thickness 7411" `' 1 r/ Total depth Total absorption area Cleanouts present (Y/N) �� / Depression over field (Y/N) Date of adequacy test X76 �3 Results (pass/fail)for 3 bedrooms Peroxide treatment (Past 12 months) (Y/N) lQ b If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: �7 Well on lot ��< On adjacent lotsProperty line To building foundation �45 To existing or abandoned system on lot On adjacent lots > Cutbank L d H Water main/service line > 50 � 1 Surface water Wo ,1�4 IDriveway, parking/vehicle storage area( Curtain drain E. ENGINEER'S CERTIFICATION I certify that l have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature - Engineer's Name -e t', 2P ✓(�C La �� �/-L► �. Date -e- � I 93 HAA Fee $ l 70 ,, cO Date of Payment 2 ` ZZ Receipt Number Z2&:Zr- 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number r t DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 WALTER J NICKEL, GOVERNOR Mr, John Burke February 10, 1993 7500 Chalet Court Anchorage, Alaska 99516-1155 SUBJECT: Chalet Terrace Subdivision Class "A" Public Water System, PWSID 211106 Dear Mr. Burke: (907) 349-7755 I have completed a review of this office's files concerning the monitoring status of the above -referenced Class "A" Public Water System and found the following: 1. The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on January 12, 1993. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 2, The last inorganic Chemical Contaminants Sample results were submitted to this Department on June 16, 1989. This does not meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 3. The last Radioactive Contaminants Sample results were submitted to the Department on July 27, 1988. This does not meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. 4. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC) were submitted to this Department on December 9, 1992. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not Imply that the above -referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Mic IT Lu Environmental Eng. Asst. 11 13 0 11101 (711-cy'k,n-j 5. LEGAL DESCRIPTION MUNICIPALITY OF ANCHORAGE MUNICIPALITY CF ANCHORAGE DEPT. C.- i::-:`l'.l & A�U- DEPARTMENT OF HEALTH &ENVIRONMENTAL PROTECT1Qj.1120-. Nro`ii�AL i=,v l CTION 825 LStreet -Anchorage, Alaska 99501 STREET LOCATION & ENVIRONMENTAL ENGINEERING DIVISION JUL 1 1 1979 REQUEST FOR Telephone 264-4720 APPROVAL OF INDIVIDUAL WATER AND SEWFR'��CILITIE� DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER y PHO/N�Ej ,y,I MAILING ADDRES --2 7,0 -- .2 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER ATTACH. WELL LOG. A well log is required for all wells drilled l.Lt PHONE AILING ADDRESS a L Ak .� z vc? 4; 3. LEN ING INSTIT ION ` E . -Q11 MAILING ADDRESS 6—o NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 4. REALTOR/A ENT C PHONE -O S Alci., ` -L -e -e MAILING A DRESS Q) 51 7 5. LEGAL DESCRIPTION C STREET LOCATION & ff C- t1 l 7` C-1- 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [P --SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY" ©Three ❑ Six 7. WATER SUPPLY * ®-' INDIVIDUAL* ATTACH. WELL LOG. A well log is required for all wells drilled l.Lt ElCOMMUNITY (W -J IC- since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM Ik INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date �� JA -1 L:'f_ !Y If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) I f +fir @r 1--� I� a ---2<:i (8L/£'^aa) OLO-ZL NOIldIIJOS3(I IV931 ( I111) l.8 31Va a3AOHddVSla ❑ (aleal}Iiaaa AuedwoOae isnw Jalial) I`dAOaddV IVNOI11aNOO ❑ SAOOHG39 f a03 (13AOHdd j�] S1N3WWOO 'S auil lo -i lsaJeau of eaJy uolldJosgV auil 10"1 lsaaeaN auil Jamas + , eaJV uolldJosgV )Iuel6ulploH/olidas :01 I13M I S30NV1SIa 'ti 7-CF,77 777-.)3 -1KU31d 't"T` 't d3 ab NOIldaOSBtf M -L a3Hn10t/dnNVVY NNVI 30 3dAl 176 JNltda SliOS :suolsuawlp aAI6 apewowoy sI Nuel 11 7��i :azis Nuel 6uIpIoH ❑ Jo Nuel a11daSL c ti a31-IVISNl p9l1IJaA UOIiOaUUOO Jlllllln onond❑ 311S- NO/-lvnalAlONI W31SAS IVSOdSia 3JVM3S 'S 031 IVISN1 31VCI a3awnN 11wa3d (13AI303H 901 paiPJaA uolioauuon Ainlln nlland ❑ )\-LlNnWWOo ❑ I`dnalAlaNI ❑ Alddns 831VM 'Z 03111aa 31Va 113M JO H1d3a Li3aWnN lIVYH3d xis ❑ ano3 ❑ OM1 ❑ H3H10 ❑ 3A13 ❑ 33HHl ❑ 3NO ❑ )\IIWV3 3Idirlm ❑ A-1MV3 3I9NIS [:-- 30N3GIS3H 30 3dAl I SWooaa39 =io 83awnN :SNO110381a 80103dSN I HOlO3dSN I aOlO3dSNI 31`da 31Va 31t/a 3W11 31N11 3W11 t .. a3AI3038 31VO S1N3W1NIOddV N01103dSNl i AINO 3Sn IVi01dd0 »03 30IS SIHl R&M CONSULTANTS. INC. 5024 CORDOVA ■ BOX 6087 ■ ANCHORAGE, ALASKA 99502 ■ PH. 907-279-0483 ■ TLX. 090-25360 ENGINEERS GEOLOGISTS f PLANNERS SURVEYORS July 24, 1979 N $ster Bumgardner V.�L Totem Realty, Inc. 621 Dimond Boulevard Anchorage, Alaska 99502 Attention: Ester Bumgardner R&M No. 951242 Re: Adequacy Test on Existing Sanitary, Sewer System; Lot 6, Chalet Terrace Subdivision, Anchorage, Alaska Dear Ms. Bumgardner: Per your request of July 18, 1979, we conducted a test of the sanitary sewer system on the above described property. The septic tank was pumped prior to the performance of the test on the seepage pit. During the test the liquid level in the seepage pit was monitored as 250 gallons were removed and 1,250 gallons were pumped back into the seepage pit to the inlet level. All liquid levels were measured below the top of the standpipe and are shown in the following table: Initial Liquid Second Water Third 24 -Hour Total Reading Removed Reading Added Reading Reading Drop (gallons) (gallons) 127" 250 149" 110250 99.25" 133" 33.5" The average specific capacity is 18.3 gallons per inch based on two sets of readings showing 11.4 and 25.1 gallons per inch. After twenty four hours the liquid level was measured again at 11.1 feet. It had dropped 2.8 feet or 33.5 inches. This indicates an average effluent acceptance rate of 613 gallons per day for the surrounding soils. If the three bedroom residence on the property is to house six people, the average load on the system can be expected to be 450 gallons per day. We can therefore conclude that the system is disposing of effluent at an adequate rate for a three bedroom residence. ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASILLA July 24, 1979 Ester Bumgardner Page -2- We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or if we can be of additional service to you. Very truly yours, R&M CONSULTANTS, INC. Ernest R. Rahaim Staff Geologist ERR:GAS/rm/AT&SI-F n� Gary A. Smith Project Manager Henn CONSULTANTS. INC. 5024 CORDOVA ■ BOX 6087 ■ ANCHORAGE, ALASKA 99502 ■ PH. 907-279-0483 • TLX. 090-25360 ENGINEERS GEOLOGISTS PLANNERS SURVEYORS July 24, 1979 R&M No. 951242 Ester Bumgardner Totem Realty, Inc. 621 Dimond Boulevard Anchorage, Alaska 99502 Attention: Ester Bumgardner Re: Adequacy Test on Existing Sanitary, Sewer System; Lot 6, Chalet Terrace Subdivision, Anchorage, Alaska Dear Ms. Bumgardner: Per your request of July 18, 1979, we conducted a test of the sanitary sewer system on the above described property. During the test the liquid level in the seepage pit was monitored as 250 gallons were removed and 1,250 gallons were pumped back into the seepage pit to the inlet level. All liquid levels were measured below the top of the standpipe and are shown in the following table: Initial Liquid Second Water Third 24 -Hour Total Reading Removed Reading Added Reading Reading Drop (gallons) (gallons) 127" 250 149" 11250 99.25" 133" 33.5" The average specific capacity is 18.3 gallons per inch based on two sets of readings showing 11.4 and 25.1 gallons per inch. After twenty four hours the liquid level was measured again at 11.1 feet. It had dropped 2.8 feet or 33.5 inches. This indicates an average effluent acceptance rate of 613 gallons per day for the surrounding soils. If the three bedroom residence on the property is to house six people, the average load on the system can be expected to be 450 gallons per day. We can therefore conclude that the system is disposing of effluent at an adequate rate for a three bedroom residence. ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASILLA July 24, 1979 Ester Bumgardner Page -2- We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or if we can be of additional service to you. Very truly yours, R&M CONSULTANTS, INC. Ernest R. Rahaim Staff Geologist ERR:GAS/rm/AT&SI-F 4GaA. Smith Project Manager