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Home My WebLink AboutCHUGACH PARK ESTATES BLK 1 LT 14Chugach Pa k Estates Block Lot 14 #051-481-41 NAME 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 IPHONE ,[~NEW [] UPGRADE MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS PER~T~/) (:~TP 7 Wel !_ Ii AbsorPtion area DISTANCE TO: I ~?~'. , Manufacturer ~ Liq. capacity in gallons ~ ~ ~ F HOME,DE: Inside length DISTANCE TO: I Well Dwelling Manufacturer Well DISTANCE TO: I/'~ Founda~o~, No. o~ lines Length of each line Total len~o~lines Top of tile to finish grade Material beneath tile Length Width Depth Type of crib Crib diameter Crib depth Well DISTANCE TO: Building foundation :lassl~Am~~u .......... ~u: Building Depth Driller foundation Sewer line Dwelli~_,~ / IWidth Material Nearest lot line Trench w d~8 inches No. of compartments Total effective absorption Nearest lot line Distance to lot line Sept c tank Liquid depth PERMIT NO. Liquid capacity in gallons PER~T~O7 ~ C~ ~' inches PERMIT NO. irea Distance b,~ lines Total effective absorption area PERMIT NO. Absorption area(s) OTHER PIPE MATERIALS ~1~ SOl L TEST RATING INSTALLER ~EMARKS APPROVED DATE 72-013 (Rev. 3/78) LEGAL PERMIT NO. MLI~ I [:IRLIT'~ ~]F R~CH~-.RGE DEPARTMENT O~ HEALTH AND ENVIRONMENTAL F..)TECTION 825 ~L~' STREET, ANCHORAGE, AK. 995~1 2~4-4720 Or~--SITE SE~JER PER~I IT ( 781007 ) APPLICANT LOCATION LEGAL BIATHLON CONST PETERS CRK L14 Bi CHUGIAK PARK EST SR ?149 CHUGIAK LOT SIZE 688 ~010 52000 SQUARE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT?BR>= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C, EF'TH= 10 LENGTH= 22 G~:R'¢EL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCRYRTION (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). REC.~.I_I I REC-, SEPT I C TRr~K S I ZE= 1000 GRLLaDNS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE T~40 (2) I [~SPE~TI £~F~S RRE RE~)UI ~ED 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 SEWR'GE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELD OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS 8ND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'ERM I T E><F' I REc DE,~E~lBEF-: -~l, I CERTIFY THAT i' 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. · ~ _?- I UNDERSTAND THAT THE ON-SITE SEWER =~_TEN MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMCCELED T~INCL~DE MO~E TH~ 3 ~DROOMS. S I GNED: _ RF'PL I CANT BIRTHLON CONST ISSUED BY_ ........ DATE "."~: ~ '~' O'EtE GEO, ECHNI CAL Et DEVEL.,.,,PMENT Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Soils Et Foundations Hatltng Address: Legal Description: Zoo- /~<;~ Z~z,,c~< /,, De;th (feet) Sotl Characterlsttcs soil. ,LO~ ~,,v'Jr~/~z'/~,J Tel. No. CO. 0 ~. ML 2 5 , 8 9 Earl Ellis Land Development --[J 10 12., ~3 14 15 16 Ground Water Encountered: Yes__ Proposed Installation: Seepage Pit Comments: No · --- If yes, what depth Drain Fte]d Performed by: Date: fgertffie Drilling A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588 OWNER OF LAND ADDRESS LEGAL DESCRIPTIONLoT'I~ gZ/< / DATE-Started /)//~--/T& Ended i PERMIT NUMBER 7 ~ ~//~' DEPTH OF WELL STATIC LEVEL OF WATER FT. KIND OF FORMATION: From O Ft. to From ~ Ft. to _ From ~$'" Ft. to_ From ~ Ft. to . _ From /3-~' Ft. to From lC I Ft. to [(_~r Ft. From_ ] ~-/3t' Ft. to g ~ ~" Ft. From ~t Ft. to ~o~o Ft. From Ft. to Ft, ¢? From__.Ft. to Ft. '~:I From__.Ft. to Ft, From Ft. to Ft. 'From__Ft. to Ft. ~rom, Ft. to__ Ft. !IFrom Ft. to Ft. ~ ~From Ft. to Ft Ft. to Ft. Ft. to Ft, Ft. to Ft, Ft. to 'Ft, Ft. to Fi From Ft. to Ft. From__Ft. to Ft. ~r~om~ ' Ft. to Ft. From__Ft. to Ft From__Ft. to___Ft From__Ft. to__Ft. From.__Ft. to Ft. From Ft. to__Ft. From Ft. to__Ft From__Ft. to__Ft. From Ft. to ~Ft. From Ft. to ! i~ iMISCL INFORMATION: DRILLER'S NAME : Lc.-~-~' ...... '~:~ I1'-1 IUt i"-.ll :1:: C: .1: ~F" F:, L...'[ 'T' 'T" ('-:" F'-- Fl i"'.l F': F. -.,'P IF-." ~a ¢--~ E: [:,EF'FIRTHENT OF- HEFILTH FIl'.,If':, ENV I F:" :' NHENTFIL PREffEC:T I ON 276-222± I-4EL_L. F-EZF-:f"I T T F'ERr,11' T I'-,10. ,' 7E;9:.'L6 ', AF'F'L. I CANT SPEC I AL L=,ER",'' I tS:ES E:OX 82 NAS I LLA LOF:RT I 0['~ P E T E RS F:REEK - C I F.'.CL E [:,R LEGRL L:L4 E:I IZ:HIJ6RCH PARK ES'[' LOT SIZE f'lI N I MVf'I [:, I STANF:E BE'f'NEEN R NELL RN[:, RNY t'iN-S I TE 'E, ENF~E" [it sPOsAL ::-';'-r'STEH tE¢-:~ FEET FOR A PRIVATE NELL OR 2E~E~ FEE']- FOR A PUBLIC yELL. ' Ic BE RETURNEE:' TO TF~ [:,ER. ARTHENT N ITHIN NELL L06S ARE REC..!UIRE[:' RN[:' HL_,T -' OF THE NELL I::OMF'LETION. \ SPEC I F I EAT IONS AN[:, CONSTRt_ICT I ON E:, I R6F.'.RH9 RRE AVA I L~E:LE '::TFI I NSIJRE PF.:OF'ER I NSTALLRT I ON. I CERTIFY THAT '~ I AH FAHILIAR NITH THE REC!LIIREHENTS F~3F-'. ON-SITE S~NERS AN[) [,ELLS AS SET R]RTH BY THE HLINICIPALITY 0F ANF:HF~RA6E~ ~' I NILL INSTALL THE _.T:.TEH IN ACF:ORPANE:E,.NIT~ THE CFE)ES. ISSUEE:, BY_ _._'% ...... .~:£:HTE .................... 745-41:394 4;:.:E'E'~E'~ SQUARE FEET I S [)AYL=; 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Chuqach Park Estates, Lot 14, Block 1 T15N R1W Section 15 Location (site address or directions) 24291 Platsek Drive, Eagle River Properly owner Thomas M. & Mary C. McGregor Day phone MailingaddressP.O. Box 670110, Chugiak, AK 99567 688-3174 Lending agencyN/A Mailing address Day phone Agent Sam Nye/Dall Realty Dayphone Address 555 w. Northern L~ghts Blvd., Suite 208, UnleSs otherwise requested, HAA will be held Ur pickup. 3 ~. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well x Public water NOTE: 276-1033 Anch.~ AK If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: 9950,3 NOTE: x Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further 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 Eagle River Engineering Services Phone 694-5195 'Address P.O. Box 773294, Eagle River, AK 99577 Engineer's signature ~ Date DHHS SIGNATURE _~ Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: 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 order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Rev. 1/91) Back MOA~21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: .~'#~y~JU ~ /~ Gz-~c.~ / A. WELL DATA Well type /'P/2///'A'7-g If A, B, or C, attach ADEC letter. Log present (Y/N) Total depth ~ Sanitary seal (Y/N) Parcel I.D. ADEC water system number Date completed / ~"/~/~ ~' Driller Cased to /~-'J'- ?~-~r~'~, Casing height ! Wires properly protected (Y/N) FROM WELL LOG Date of test / Static water level Well flow Pump level g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/hoidiag_tank on lot Absorption field on lot Public sewer main .l~-ubt~ sewer service line AT INSPECTION g.p.m. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: /~.~/;g ~/~ Collected by: Other bacteria B. SEPTIC/NCL=:='~C TANK DATA Date installed /~/~//~? ~' Tank size ./Q~) Cleanouts (Y/N) ~'4~-~ Foundation cleanout (Y/N) High water alarm (Y/N) Date of pumping Compartments Depression (Y/N) /~./~ Alarm tested (Y/N) /~//,~ SEPARATION DISTANCES FROM SEPTlC/~ TANK TO: Well(s) on lot c~ ~', ~ '~ On adjacent lots ~- / To property line ~ ~'/ ' Absorption field Surface water/drainage /~//~ Foundation '~/ / Water maZalservice line ~ '~ CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/r "Pump on" level at Manufacturer Manhole/Access "Pump off" level at Cycles tested SEPARATION DI~ Well FROM LIFT STATION TO: On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed /~/~//q Length ~-~ Width Total absorption area .2_ ? Depression over field (Y/N) Results (pass/fail) Soil rating ¢ 5 ~.//:~ ~ Gravel thickness ~ / Cleanouts present (Y/N) Date of adequacy test System type Total depth Peroxide treatment (past 12 months) (Y/N). for ('~ ~ ~'///~--~ bedrooms ~/'//~/</Q/-,.//<-/ If yes, give date ,/V/,,g SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~/g){~" On adjacent lots /'/~ ~ Property line TO building foundation ~ ~'//~'~-~)~/?~o existing or abandoned system on lot On adjacent lots ~' ~ ~ Cutbank /"//~ Water main~ervice line Surface water /V//~ Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. nature ... ~., . ,,. Engineer's Name ~.Q/.// 5 /-~VT'~.pA Date ~/'~-'~- HAA Fee $ / 7 Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 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 343-4744 April 20, 1992 Lou Butera, P. E. Eagle River Engineering Services PO Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 14 Block 1 Chugach Park Estates S/D Waiver Request #WR920017, PID '#051-481-41 Dear Mr. Butera: Your request for waiver of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance is 95 feet from the well to the septic tank. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, .~ Robert W. Robinson Civil Engineer On-site Services Concur: . . ~ ,~hn Smith, P.E. Program Manager On-site Services ljm:#6 Louis Butera, P.E. Registered Civil Engineer April 7, 1992 John Smith, P.E. Municipality of Anchorage On-Site Services 825 L Street Anchorage, AK 99504 Re: Chugach Park Estates, Lot 14, Block 1 Waiver Request Dear Mr. Smith: On behalf of my clients, Mr. and Mrs. Thomas McGregor, we are submitting a request for determination of waiver of horizontal separation distance for the above referenced three bedroom residence. The request is for a waiver of well to septic tank distance of 95'. There is a site plan attached. The topography of the area is such that the home sits on a bench with a slight slope to the West at 0-4%, then drops off steeply to the West beyond the well. As the septic tank is offset from the well along the slope, drainage would be parallel to the offset as shown on site plan. The septic system was installed in 1978 by Biathlon Construction, and the well to tank distance was noted as being 96' on the inspection report approved by the MOA in 1978. Soil characteristics in the area are well documented and are fairly consistent. The immediate subsurface soil is a sandy gravel down to the maximum test hole depths of 18'. Soil logs and well logs are attached for Chugach Park Estates, Block 1, Lots 11, 12, 13, 15, 16, 22; and Scimitar #3, Block 1, Lots 10, 11, 12 and 13. No ground water levels were shown on any of the lots researched. Well logs in the area show a fractured bedrock aquifer overlain by clayey gravel layers. The well log for lot 14 shows clay, gravel and sandy soil layers from surface to a bedrock level of 164'. The well was perforated at 155'-161', and has a static water level of 126'. The static water level is the first water encountered in well and soil logs. The bedrock surface gradient slopes to the West as determined by well log bedrock depths. This matches the general slope of the surface topography. This would not provide a favorable gradient for our septic tank location except that the tank is offset from the general drainage path as shown on the site plan. There are other mitigating physical characteristics that should be taken into consideration in the evaluation: The distance requiring waiver is slight, 95' versus 100'. The house is located between well and septic tank, and has a full basement, P.O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · Fax (907) 694-3297 Page 2, Lot 14, Block 1 Chugach Park Estates Waiver Request e providing a physical barrier to near surface flow. The tank is a fiberglass tank not subject to corrosion, and is located in an area that is not driven over. Water samples of the well show no evidence of coliform, and very low background Nitrate levels (0.43 mg/L). Please review the attached data and if you have any questions please call our office at 694-5195. Sincerely, Louis Butem, P.E. 10' UTILITY EASEMENT EACHFIELD TANK S~,/ING TIES A - C : 76,0' A - D : 79.0' A - E : 82.5' A - F : 114' B - C = 46,5' B - D = 49,5' B - E : 52.0' B - F = 80.5' I I I I I I PLATSEK DRIVE NO KNOWN CURTAIN DRAINS SITE PLAN LEGAL: LOT 14 BLOCK 1 CHUGACH PARK ESTATES OWNER: THOMAS MCGREGOR CONTRACTOR: N/A JOB # 92-052I DATE: 05/26/92l SCALE 1" = 50' EAGLE RIVER ENGINEERING SER VICES A P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) e94-3297 ~ - TEST HOLE · - MONITOR TUBE o - SEWER CLEANOUT + - WELL IHI',::',:::- PROPOSED LEACHFIELD EASEMENT DATE RECEIVED ~ * INSPECTION APPel NTMENTS INSPECTOR I NSPEC'r,,~R I NSPE MUNICIPALITY OF ANCHORAL~= MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECI~IRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION FEB P. ? i981 Teleph°ne 264'4720 RECEIMED FIEQUEST FOFI APPROVAL OF INDIVIDUAL WATEFI AND SEWER FACH~I~I'IE$ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten I10) days for processing. 1. PROPERTY OWNER // i PHONE MAI LING ADDRESS PROPERTY RESIDENT (if different from above) PHONE 2. BUYER PHONE MAILING AD DR ESS 3. LENDING INSTITUTION J PHONE I MAII'ING ADDRESS J/ 4. REALTOR/AGENT I PHONE' MAI LING AD DR ESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five [~ Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM J~] INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-O10 (Rev. 6/79) ~'-~-"~ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY [] ONE [] TWO NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SlX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or []Holding Tank Size: /~f"~O(~ If Tank ishomemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: )tion Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER ~ MATERIAL Septic/Holding Tank /Absorption A e ISewer Line Nearest Lot Line 5. COMMENTS DATE [~'~,PP ROV ED FOR -'~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~_~~ BY : 72-010 (Rev. 6/79)