Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutGRENIER LT 210
Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
. On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~'v"~¢'O~ ~ 5 PID Number: ¢-~:~-/-k'~
Name:/~t~,¢,¢' ~ ~ /~,"~ ~C~r Wastewater System: ~New ~ Upgrade
Address:~
No 0f Bedrooms: --
Phone: ~ ~ ~ ~ / ~/ ~ ~ Deep Trench ~Shallow Trench ~ Bed ~ Mound 0 Other
LEGAL DESCRIPTION soi,,~,,.~:
¢' ~' GPDISq Ft ~' original grade:
LoI:~ ~¢ Block: ~ Subdivision:~/~ Depth lo pipe bottom~ from original grade: Ft. Gravel depth~¢~beneath pipe Ft~
Township:[ ~ Range:il ~ Section: ~ Fill added/above_/,~°riginalgrade: Ft. Gravel~¢¢~/=length:~
Number of bnes: D~slance between lines:
WELL: ~ew D Upgrade Gravel w~dth: ~ Ft D /~ Ft.
Classification (Private. A,B.C) Total Deplh: Cased To: Tolal absorption area: Pipe material:
Driller: Date Drdled: Stahc Water Level: Installer: Date installed:
Yield: ~t ~'~ ~ Pump Set at: Casing Height Above Ground:
~ GPM ~ ~0~ ~,. ~ / ~,. TANK
SEPARATION DISTANCES ~s~p~c ~ Holding ~ S.T.E.P,
TO Sepbc Absorpl~on Lia Holding =ubhc/Prwale Manufacturer: Capacity iR gallons:
Well ~ ~ ~1 ~7~ ~ //~ ~¢ Malerial:~/ Number of Co~partments:
Su~a~e ' / I
Water +/¢~ *¢~ ~/¢¢ LIFT STATION ~//
Lot , Size in
Line ~ I ' .
"Pump on" revel aE ~ at~ ..... ~i~.~t~r alarm at:
Foundation /¢' ~' W/y
Curtain ~ lectrical Inspections performed by:
Dram ~/~ ~ ~ ~ .... ~ Pump M
Remarks: ~r z,J~ ~J~ o~*,~rZ BENCH ~ARK
Location and Description:
ENGINEER'S ~AL
Inspections perf0rmedby: ~5 Dates:lst¢'¢"~2 ~ * ........... "
Department of Health and Human Services approval ~,,~!~.',.
Reviewed and approved by: / Date: /~ -2 ~ -~ ~ ,, - ,~
Permit No. SW96026 P~ge ~
Huni ci pciity oF' Anchorcge
DEPARTivlENT ElF HEALTH AND HUMAN SERVICES
ENVIRONHENTAL SERVICES DIVISION
P.B. Box 196650, Anchorage, A~aska 99519-6650 ,Tetephone'. 343-4744
On-Site Wostewoter Disposo[
Leg,[ Descniption'.LOT i~lO T15N R1W
oF ~
System and/or We[[ Inspection Report
SEC. 8 PID No.: 05115443
Z
N 89°53'1' E
300.43
NO SEPTIC
SYSTEMS
SCALE 1' =60'
Well
280.48
Grenier
N 89°53'0, E ~
30' RDW
Ave. i
ELEVAT [DNS
(NDT TD SCALE)
GAR CONC. SLAB
ORIGINAL
GROUND
1 LEVEL AT~ 0
,',~o ~ ., ~.~ ,~., "-..~
SWING TIES
A-C = 57.4'
B-C = 15.7'
A-D = 68.5'
B-D = 76.7'
A-E = 88. O'
B-E = Sa, 4'
10/13/97
ENGINEER'S SEAL
~,& vv .........
PERFORMED FOR: ~'~ ¢*f~ rl
LEGAL D ESCR IPTION:~(-~
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED;
Township, Range, Section: 7-/~,-~ ¢/,,¢
1
2
3
4
5
6
7
8
9
10
11
12
13-
14
15
16
17
18
19
2O
T,~4' Hol~_
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, ATWHAT O
DEPTH? p
E
8eplh to Water Afler
Monitoring? Date:
1' _
Reading Date Gross Net Depth to Net
Time Time Water Drop
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
PERCOLATION RATE __ tmmutes/mch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~/ FT AND jL-- F'F
Rick Mystrom,
Mayor
Mun cipal W of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
October 10, 1997
Lou Butera, P.E.
Eagle River Engineering Services
PO Box 773294
Eagle River, Alaska 99577
Subject: Waiver Request for Lot 210 Grenier (Ti5N R1W Sect&nn 8 Lot 210)
Waiver Request #WR970062, PID #051-154-61, SW960296
Dear Mr. Butera:
Your request for a waiver of the required 10 foot separation
between an on-site wastewater disposal system and a lot line has
been approved. The waived distance is 1 foot from the leachfield to the
south property line.
This approval applies to the existing on-site wast~water disposal
system lot line separation only. Any future upgrade to the on-site
wastewater disposal system will require all separations be met or
another approval from this department.
If there any further questions or concerns regarding this waiver,
please call our office at 343-4744.
Sincerely,
Donna Mears
Oivil Efigineer
On-site Services
ljw #7
Grenier
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR~ WR970062
Date Received:
PID~ .051-154-61 New # HA~
951-154-43 01d #
October 1, 1997
Permit #_SW960296
Legal Description: Lot 210 Grenier Subdivision (T15N R1W Section 8 Lot 210)
Engineer:
Lou Butera, P.E., Eagle River Engineering Services
PO Box 773294, Eagle River, Alaska 99577
Applicant: Mark H Grenier
Waiver Requested: Lot line waiver Of 1 foot from the leachfield to the south
~roperty line.
Criteria: Points:
1. Geology:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
Special Conditions:
3. Other:
Waiver
is
Granted:
A Waiver is NOT Granted:
List Conditions or Reasons for above:
' ~a~e of RevLewe:~
Rec #: 03317/ Amount: $ 115,00 Date Paid: 10-1-97
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
September 30, 1997
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re:
Lot 210, T15N, R1W, Sec.8, permit #960296
Narrative for waiver Application
OCT 1 1997
Municipality of Anchorage
Dept, Health & Human Services
Dear Mr. Cross:
We are applying for a 1' distance to lot line waiver on the installed septic system for the above
referenced lot. The system was installed in August of this year and was placed in the most
favorable area of the lot but due to an eh'or in determining the 30' easement the leachfield was
not set back the usual 10'from lot line. Each of the lot lines borders an 80' roadway easement
that does not contain a constructed roadway. There is no development on either lot that adjoins
the property. As the roadways are not constructed and there is no development to the south and
East there will be no impact on adjacent properties or future development by allowing this
waiver.
Thank you for considering our request. If you have any questions please call our office at 694-
5195.
Sincerely,
Louis Butera, P.E.
\199?\95
NEIGHBOR'S WELL +100" FROM SEPTIC
NEIGHBOR'S SEPTIC 100' FROM WELL WELL
N 89d53'1' E
300.43
/ SYSTEMS ~ ~;
PROPOSED ~/ELL /T HI~~
= ~ ~
q~o. ~' ~ SEPTIC +lO0'
30'
~~ ~ - TEST HOLE
GRENIER
AVE
50' · - MONITOR TUBE
UNDEVELDPED ~ o -- SEWER CLEANOUT
NO SURFACE WATER~ ~ - WELL
NO KNOWN CURTAIN DRAINS m- LEACHFIELD
..... EASEMENT
WELL/SEPTiC S~TE PLAN
~_EGAL: GRENIER LOT 210
OWNER: GRENIER
CONTRACTOR: N/A
JOB~ 95-100A/DATE: 09/50/97J SCALE 1" = 60'
EAGLE RIVER ENGINEERING SERWC~S ~' ,~ ' ' ~'"~"
P.O. ~ox 773294 ~I~'<',~¢}"~ ....... :~,~.~ff v
EAOLE RIVER, AK. 99577
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 AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW960296
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:GRENIER MARK H & RITA D
OWNER ADDRESS:PO BOX 772481
EAGLE RIVER AK 99577
PARCEL ID:05115443
LEGAL DESCRIPTION:
T15N R1W SEC 8 LT 210
PAGE 1 OF 1
DATE ISSUED: 9/11/~~'~1
EXPIRATION DATE: 9/tl/97
LOT SIZE: 90380 (SQ. FT.
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / 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 (18AA072) AND DRINKING WATER REGULATIONS (18AACS0) .
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:
DATE: fY 2//~~d'
Ea 'le River Engineerin
Louis Butera, P.E.
?.©. Box 773294
Eagle !~iver, I~K 99577-3294
ervices
(907) 694-5196 tel
(907) 694-3297 tax
August 30, 1996
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Grenier, Lot 210
(previously Lot 210, T15N R1W Section 8)
Narrative & Permit Application
Dear Mr. Cross:
The proposed well and septic system will have very limited impact on adjacent properties for
the following reasons:
1. The surrounding lots are large, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity.
4. Drainage will not be affected and is not a major consideration in our design.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\1996\95-100A-NAR.DOC
SPECIFICATIONS FOR ON-SITE SYSTEM
LEGAL:
Grenier, Lot 210
(previously Lot 210, T15N RlW Section 8)
08/30/96
A. General
1. The well and septic plan are for a single family residence only.
2. The drawing and/or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health (MOA-
DHHS requirements.
4. All soil tests are advisory to the design and are to verified or modified in the field by the
Engineer.
5. All excavations and depths are advisory and are to be verified in the field by the
Contractor to meet MOA-DHHS requirements.
6. It is the responsibility of the Owner to obtain all necessary permits or easements and to
locate any adjacent multi-family wells.
7. It is the responsibility of the Contractor to secure all utility locates prior to construction.
8. The excavation is to be exactly in the area shown on the site plan, any deviation requires
Engineer approval.
9. It is always recommended that a surveyor locate the nearest lot line position and the
location of any easements.
10. Any remaining open test hole excavations shall be filled.
Septic Tank
Septic tank shall be a 1,500 gallon, MOA approved design.
3.
4.
5.
6.
Leachfield
The leach is to follow the natural contour to maintain uniform total depth of the trench
bottom.
The bottom of the leach shall be level, plus or minus 1.5".
The total depth of the leach excavation is not to exceed 6' at any point.
The effluent line in the trench shall be laid level within 0.03'.
The leach gravel is to be covered with typar fabric material.
Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is
to be placed over the leachfield.
The area over the trench is to be finish graded to prevent ponding of surface water runoff'.
The septic tank and leachfield must not be closer than 100' to any existing private well,
150' to any Class "C" well, or 200' to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH: 6' GRAVEL DEPTH = 4' under pipe, 2" over pipe
LEACH LENGTH = 94' LEACH WIDTH- 5'
SOIL RATING = 0.8 gpd/ft2 BEDROOM CAPACITY = 5
SEPTIC TANK SIZE = 1,500 gallons minimum
Twenty-four (24) hours notice required for all inspections
1996\95-100a-spc.doc
N 89d53'¥' E
300.43
I
TH3 I
N SVdSS'O'" E x~v ~ I
~ TEST HOLE
· MONITOR TUBE
o SEWER CL~OUT
UN~VVELBPES + WELL
NO SURFACE WATER PROPOSED LEACHFIELD
NO KNOWN CURTAIN DRAINS ~- EXISTING LEACHFIELD
~SEMENT
WELL/SEPTIC SITE PLAN
LEGAL: GRENIER LOT 210
OWNER: GRENIER
~ EAGLE RIVER, AK. 99577
' ~ (907) 694-5195 FAX: (907) 694-3297
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 95-100
Calculated By: LB
Date: 8/29/96
Legal: LOT 210
Single Family 5 Bedroom Dwelling
TEST HOLE I
Deep Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 750 gallons
Percolation rate = 19.2 minutes per inch
Wastewater application rate = 0.6 gallons per day per square foot
Required absorption area = 1250 square feet
Trench width (VV) = 3 feet
Gravel depth (D) = 5 feet
Required length = Required absorption area / 2 / D
Required length = 1250 / 2
Required length = 125 feet
Total Excavation Depth = 7.0 feet
/ 5
EAGLE RIVER
ENGINEERING SERVICES
P.O, Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 95-100
Calculated By: LB
Date: 8/29/96
Legal: LOT 210
Single Family § Bedroom Dwelling
Shallow Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 750 gallons
Percolation rate = 14.5 minutes per inch
Wastewater application rate = 0.8 gallons per day per square foot
Required absorption area = 938 square feet
Trench width (W) = 5 feet
Gravel depth (D) = 4 feet
Required length = Shallow trench factor* Required absorption area/W
Shallow trench factor = (W + 2) / ON + 1 +2 D)
Shallow trench factor = 0.50
Total Excavation Depth = 6.0 feet
Required length = 94 feet
PERFORMED FOR:
Municipality ot Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" ~treet. Ancl~orage, Alaska 99502-a650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: ~.,.o.
Township, Range, Section:
77//
I
2
3
,4.
5
6
7
8
9
10
11
12
13
14
15-
16
17
18
19
2O
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
SLOPE SITE PI_AN
S
IF YES, ATWHAT ,~.~ ~
DEPTH? p
E
Ra~cllng Date Grass Net De'D Jh to Net
.... ~fe /.~ .......
PERCOLATION RATE / ~" ~' [mmute~,ncn) PERC HOLE DIAMETER ~' /'"
TEST RUN BETWEEN ~ FT AND g/ FT
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anct~orage, Alaska 99502-0§50
SOILS LOG -- PERCOLATION TEST
OATE PERFORMED:
8
9
lQ
11
12
13
15
16
17
18
19.
20
Township, Range, Section:
WAS GROUND WATER
ENCOUNTERED?
L
Il: YES, ATWHA~' ,,
DEPTH? -~ [2_ ,5'~;..( pO
E
Reading Oa~e Gro~ Net Deoth to NeT
T~mo "l'~me WaTer Drop
- ?r-_ .~/:~/ ...... "
/ /o- ~-~r 7',~4 ~ ~i
~ ~.'/) I0 ~,. 6I '~//~ ,'~b"
~ B'3¢ /o .... ¢~ '~o "n ~ --
I
PERCOLATION RATE
TEST RUN BETWEEN
)'4. ~"' (m~nule~mct~) PERC HOLE DIAMETER
~ FT AND o/ FT
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
625 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DESCRIPTION:
Township, Range, Section: 7-/.C.z./ .~' / ~.' ~.~ ¢
SLOPE SITE PLAN
I
2
3
4
6
7
8
9
10
11
12
13
15
16
17
18
19-
20
WAS GROUND WATER
ENCOUNTERED?
IF YE~, AT WHAT ./V/.,~
DEPTH ?
Alta',
Relcl|ng Da~e Grosa Net Depth to Ne~
'r~me ~me Wa£~' Oro[~
PERCOLATION RATE
TEST RUN BETWEEN
2-_.~-~'~
(mmute~,',ncn) PERC HOLE DIAMETER
FT AND FT
PERFORMED BY: ~ '~'/-~" '"¢ I -¢~_~.7~>.-.~.~ CERTIFY THAT T~"IIB TEST WAS PERFORMED IN
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. # -/") ~'-/- /~'-~/"-~"/ ' HAA# ~,~\ ('~O~.-"~//-'~d-~,L~/'-'~,
1. GENERAL INFORMATION
Complete legal description ~-~"/~ -~:/~' ~ ~-~
Location (site address or directions
Property owner
Mailing address
Lending agency
Mailing address.
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
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.
TYPE 'OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further 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 reculat~nS~as, le ]~dveri'n effect.~ ....°n the date of this inspection.
Name of Firm P.O. Bo~ 77~94, ~¢!~ ~: .... ,~- ........ Phone
Address
Engineer's signature
Date //~ ,-:~ J-- ¢ '?
DHHS SIGNATURE
Approved for ~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Date ///--2d- ~',7
"f4'JIJ. ii
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 purohasers 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.
72~25 (Rev. 1/91) Back MOA ~1
WIRONM[NTAI, SERVICES DIVI$1(J~
Municipality of Anchorage JOV
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division R
825"L" Street. Room 502 · Anchorage, Alaska 99501J (907) 343~4744
Legal Dcscripuon:
A. WELL DATA
Health Authority Approval Checklist
;['/J'fv' /p / t/./ 5'~' ~ <~ Parcel I.D.:
Well type /:~,/~l&4,r/~ IfA. B. or C. attach ADEC letter ADEC water system number //v~
Log present (Y/N). /I/ Date completed ~-~///-- .9' ?
Total depth //.¢'/ Cased to /,6// / Casing height (above ground) ~ /
Sanitary seal fY/N)
Wires properly protected (Y/N) /!/'
FROM WELL LOG
AT INSPECTION
Date of test
Static water level
Well production
\
g.p.m ~- g.p.m
WATER SAMPLE RESULTS:
Coliform ~ Nitrate ~9, 2) .~,-..9/~ Other bacteria
/
Date of sample: //- ,~e) '- ~ 2 Collected by: ~e" ~trx~f-
B. SEPTIC/HOLDING TANK DATA
Date installed ? ~ ~ ? Tank size /~'3 ~ ) Number of Compartments
Foundation cleanout (Y/N) .~
Depression (Y/N) ~1/ High water alarm (Y/N) zt~/,z/
Date of Pumping /l/.~ ,yea., Pulnper
(2. ABSORPTION FIELD DATA
Date installed ~:%-5* ? Soil rating (g.p.d./fl2 or ll2/bdnnl ~, ,~' System type _ ~ c¢,e~
Length ~ ' Width ~- ~ Gravel thickness below pipe ~/ Total depth ~/
Effective abso~tion area ~ Monitoring Tube present(Y~) ~' Depression over field (Y~ ~7
For '--' bedrooms
Date of adequacy test ?,/L4 ,q~.,,, Results (PassfFail)
Fhfid depth in absorption field before test (in.): ~ humediately afier .~-~gal. water added (ill.):
Fhfid depth ~' (ins.) Minutes later: .... Absorption rate = ~--~ g.p.d.
Peroxide treatment (past 12 months) (Y/N) ,~/~'t~,,,' lfyes, give date
Do
LIFF STATIO~xx
Date mstalled N~
Manhole/Access (Y/N) ~X
Size in gallons
~'Pump on" level at*
*Datum
'Pamp ofF' level at*
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot / ~-o~- ~
Absorption field on lot / .7,.2- /
Public sewer nmin dy /,~,
Sewer/septic service tine .-r ,,9_ $- ~
: On adjacent lots
: On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation /z) / Property line ~/ '? ~ Absorption field ,~/~) /'
Water ~nain/scrvice line ~"//-) / Surface water/drainage "'/-/aTe / Wells on adjacent lots ~,~/e.) /
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation '~g' /
Surface wuter ~P/o ~) t
Curtain drain /V/,4
ENGINEER'S CERTIFICATION
Water nmin/service line
Driveway, parking/vehicle storage area
Wells on adjacent lots
Property line
/ t~o, t/e f.
I certiJ.? that 1 have determined thrufield inspections and review of~klunicit
in conJbrmance with MOA IL.M guidelines in effect on this date.
Signature ~~~
Engineer's Name Zo/~e.] /~,~r=~
HAAFee $ ~fffZ). 29-69
Date of Payment /[/2~/~ '~
Receipt Number ~q ~D ~-~ ( ~] t~--)
Rev. 8/95 eSS: haa.wk.doc
Waiver Fee $
Date of Payment
Receipt Number
AHCHORA(]E
9075~15~01 P,0~/03
CT&]~ Re{,# 97? 161001 . .
CUent Name Eagle Riwr En~fing
ClOt ~e ~ ~t 210
Matrix Ori~ng Water
PW~ 0
Sample Remarks:
NitrBte-H
Water~ ~epar~nen: AnaLyses
TotaL coLiform
PqL
Units
0.200 U
Client
Printed II.teaTime 11/?,4t97 14:48
Colk~exl ])ate/Time 1 L/20/9"/ 14:00
Received Date/Time 1 I/g0197 15:00
Technical Director: Stephen C. Ede
for TC/F¢ i~r 100 mL
Method
AlLo~abLe Prep AnatysT~
Lfm|ta Date pate In(t
0.200 nll/L EPA $00.0 10 max
$1/20/97 GCP
ll/ZO/g? T~
NOLY-24-1997 17:31 C~T~,E ESI ANCHORAGF 9075G15301 P. 0J/0~
CT&E Environmental Semites lac,
Labora:ofY Division r~fjj~~~~~~~~
Anchor=~e, AK 9951~-1605
~AD iJ~ST~UCTiO~'$ ON ~E~ SIDE ~EFO~ COLL~CTI:WG SA~PLE Tel: (907}
t'l .%nd Result 0 ,genff Im,oice
Fax: (907] 561,5301
TO BE COMPLETED BY' LABOKATOKY
.~.nalT$is showa thb Water $.~MPLE
S~isCa~:ory.
t2 Unsatisfactory
Sample over 30 hou~ old. resuh~ may
bc unreliable
5ample too long in tta.'~it: sampl.~ s~ould
not be owr 48 hours old at
to indlca~ t~llab[e result. Plea~ s,nd
n~w sampl~ via s~ci~l dcilw~ maiL,
Analytir~t i',lethod:
U Membrane F[Itcr
41~ MMO- MUG
· Numbec O,ecoionies/lO0 mi,
Lab Re[, No, Res.h*
Month Day ....
5AMPLE TYPE; ..............
L-~ Routine l~ Treated 'Water
Fa~td
G RcpcalSampl~(~orr0utine~mPlc ~ UntreatedWa~cr
whh lab cer. no. )
O Special pu~ase Time Collected
C/ienl notified of un~atiSfaelo~' r~uHs:
$A~ LE LOCATION Collecre~ By
BACTERIOLOGICAL WATER ANALYSIS I:LECORD
aMembran¢ Filler: Direct Coupe Coloni~l]O0 mi
'Fecal Coliform
BCB ~-' COLIFIKbl
Colitormll g0 mi
/~% e--.e,~ e-..~
TOTAL P, 0~
Rick Mystrom,
Mayo. r
Mtmicipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
October 10, 1997
Lou Butera, P.E.
Eagle River Engineering Services
PO Box 773294
Eagle River, Alaska qq577
Subject: Waiver Request for Lot 210 Grenier (T15N R1W Sect&an 8 Lot 210)
Waiver Request #WR970062, PID #051-154-61, SW960296
Dear Mr. Butera:
Your request for a waiver of the required 10 foot separation
between an on-site wastewater disposal system and a lot line has
been approved. The waived distance is 1 foot from the leachfield to the
south property line.
This approval applies to the existing on-site wastewater disposal
system lot line separation only. Any future upgrade to the on-site
wastewater disposal system will require all separations be met or
another approval from this department.
If there any further questions or concerns regarding this waiver,
please call our office at 343-4744.
Sincerely,
Donna Mears
Civil E~gineer
On-site Services
ljw #7
Grenier
LLI
MUNICIPALITY OF ANCHORAGE
MEMORANDUM
DATE:
December 18, 1995
TO:
FROM:
SUBJECT:
Department of Community Planning and Development
Zoning/Platting Section
&~~~ ~ Health and Human Servicest Quality Section
Request for Con~ents on Subdivisions
December 15, 1995
The Department of Health and Human Services, Ehvironmental
Services Division, On-site Services Section has reviewed the
following cases and has these co~nents:
S-9586R:
Huntwood Park Estates Subdivision - Time Extension
No objection.
S-9764A:
S-9852:
S~9853:
Glen View Estates Subdivision
No objection.
Eastbrook Subdivision
No objections provided all development is serviced
by public sewer and water.
"L" Street Slide Replat Phase 2
No objections provided all development is serviced
by public sewer and water.
S-9854:
S-9855:
S-9856:
Lot 1 Woronzof South Subdivision
The existing port-a-potty serving the existing
temporary facility on this property shall be
permitted by DHHS. A plat note shall be added
stating: "Any development on this property shall
be served by public sewer."
East Addition
No objections.
Lot 210 Grenier Subdivision
No objections.
MUNICIPALITY OF ANCHORAGE
COMMUNITY PLANNING AND DEVELOPMENT OFFICE USE
P.O. Box 196650 / REC'D BY:
Anchorage, Alaska 99519-6650
PRELIMINARY PLAT APPLICATION
Please fill in the information requested below. Print one letter or number per block.
1. Vacation Code 2. Tax Identification No. 3. Street Address
[C> /II I LI I I I]lllllli]lllllllllJlll I-1
4, NEW abbreviated legal description (1'12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34).
5. EXISTING abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34) full legal on back page.
6. Petitioner's Name (Last - First)
Address ,/¢~ ~C, X' 7 7 ~ ~
City ~'-,/~Z/~'- ~ ~ ~'~d' Stats ~2'//~/
Phone# ~¢/- ~?~? (-c,f~ Zip ~-??
7. Petitioner's Representative
C~y ~~ State
Phone ~ ~F~- ~ Z ~ Zip
8. Petition Area Acreage
9. Proposed
Number Lots
10. Existing 11. Grid Number 12. Zone
Number Lots
13, Fee $
14, Community Council
I hereby certify that (I am) (I have bean authorized to act for) the owner of the property described above and that I desire to subdivide it in
conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic subdivision lee is
nonrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the subdivision. I also
understand that additional fees may be assessed if the Municipality's costs to process tl3is application exceed the basic fee. I further
understand that assigned hearing dates are tentative and may have to be postponed by Planning Staff, Platting Board. Planning Commission,
or the Assembly due to administrative reasons.~~ ~ ,/~/~~~ ?
Signature
*Agents must provide written proof of authorization.
Please check or fill in the following:
1. Comprehensive Plan -- Land Use Classification
Residential
Commercial
Parks/Open Space
Transportation Related
Marginal Land
Commercial/Industrial
Public Lands/Institutions
Alpine/Slope Affected
Industrial
Special Study
2. comprehensive Plan -- Land Use Intensity
Special Study
Dwelling Units per Acre
Alpine/Slope Affected
Environmental Factors (if any):
a, Wetland
1. Developable
2. Conservation
3. Preservation
b, Avalanche
c. Floodplain
d. Seismic Zone (Harding/Lawson)
Please indicate below if any of these events have occurred in the last five years on the property.
Rezoning Case Number
Subdivision Case Number
Conditional Use Case Number
Zoning Variance Case Number
Enforcement Action For
Building/Land Use Permit For
Army Corp of Engineers Permit
Legal description for advertising.
Checklist
40 Copies of Plat (l_~ng Plat)
30 Copies of Plat (Short Plat)
Reduced Copy of Plat (8 ~,~ x 11 )
Certificate to Plat
Aedal Photo
Housing Stock Map
Zoning Map
Water:
Sewer:
~' Private Wells
¥, Private Septic
Fee
Drainage Plan
Topo Map 4 Copies
Soils Report 4 copies
Pedestrian Walkways
Landscaping Requirements
Community Well
Community Sys.
Waiver
Public Utility
Public Utility
VACATION OF RIGHT-OF-WAY OR
EASEMENT APPLICATION
Municipality of Anchorage
DEPARTMENT OF COMMUNITY PLANNING & DEVELOPMENT
P.O. Box 196650
Anchorage, Alaska 99519-6650
A. Please fill in the information requested below. Print one letter or number per block.
OFFICE USE
REC'D BY:
VERIFY OWN:
AFFIDAVIT:
POSTING:
Case Number t~F
7771
Street Address
ITIIIIIIIIII
/1111111111
1. Vacation Code
Tax I.D. Number
Abbreviated Description of Vacation (EAST 200 FEET SOME STREET).
Existing Abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOT 34).
II~lltl!llll /I IIIIII!IIIILLi
Petitioner% Name (Last - First).
I~1~1~ I~1 ~l,~kl I I I I I I I']
IqllllllllllllllllllJ
Petitioner% Representative.
I/llllll[llllllllllllll
Address: ~ /~¢~1v 77-~¢/~ /
city: ~¢ ,¢¢'~¢~,,4' state:
Zip Code: ~2~J~'77 Phone No.
6. Petition Area Acreage.
7. Proposed Number Lots.
11. Zone.
I,~-14 I
I
10. Gdd Number.
Address:. ~/~¢' '4~'"/~/~'/¢','¢'~'/'¢'~"" ,,/~'-¢¢/¢f¢'
City: ~, ,,~/~'~',~ State:
Zip Code: ,.~'..5"7.~' Phone No.
8. Existing Number Lots. 9. Written Justification.
12. FeeS
13. Community Council_
B, I hereby cadify that (I am) (I have been authorized to act for) the owner of the property described above and tl~at I desire to vacate it in conformance with
Chapter 21 of the Anchorage Mu nicipal Code of Ordinances. I understand that payment of the basic vacation fee is nonrsfundable and is to cover the costs
associated with processing this application, that it does not assure approval of the vacation. I also understand that additional fees may be assessed if the
Municipality's cost to process this application exceed the basic fee, I further understand that assigned headng dates/are tentative and may have to be
postponed b~P{a~ng Staff. Platting Board, Planning Commissi~l' the AsseT/p[j~tive~,~,s~r's.
Date:
Signature
20-019 (Rev. 9/92)' Front "Agents must provide wdtten proof or authorization.
C. Please check or fill in the following:
1. Comprehensive Plan - Land Use Classification
63 Residential
(D Commercial
~ Parks/Open Space
:3 Transportation Related
2. Comprehensive Plan - Land Use Intensity:
63 Marginal Land
ID Commercial/Industrial
63 Public Lands/Institutions
Special Study
Dwelling Units per Acre:
3. Environmental Factors (if any):
Alpine/Slope Affected
a. Wetland 63 1. Developable 23
2. Conservation D
3. Preservation :3
D. Please indicate below if any of
b. Avalanche 63
c. Floodplain ID
d. Seismic Zone (Harding/Lawson)
ID Alpine/Slope Affected
63 Industrial
63 Special Study
these events have occurred in the last five years on the property.
ID Rezoning Case Number:
:D Subdivision Case Number:
~D Conditional Use Case Number:
:3 Zoning Variance Case Number:
23 Enforcement Action For
~ Building/Land Use Permit For
Legal Description for Advertising.
G, Checklist
ID 30 Copies of the Vacation Request
~ Reduced Copy of Vacation (8 1/2 x 1 1 )
~ Certificate of Plat
ID Fee
¢3 Topo Map 4 Copies
63 Soils Report 4 Copies
~ Aedal Photo
:3 Housing Stock Map
ID Zoning Map
E3 Water: :3 Private Wells
[~ Sewer: ¢3 Private Septic
20-019 (Rev. 9t92)' Back
Attached written statement in accordance with AMC 21.1 5.130.B. stating reasons in support of the vacation.
Waiver
ID Community Well
:3 Community Systems
63 Public Utility
:3 Public Utility
Municipality of Anchorage
DEPARTMENT OF HF_ALTH & HUMAN SERVICES
825 "L" Street. Anchorage. Alaska 99502-~650
SOILS LOG -- PERCOLATION TEST
Township. Range. Section:
77//
1
3
4
5
7
g
10
11
12
l~t
15
16
17
18
lg-
20
~ ,.., )
SLOPE SITE PL.AN
WAS GROUNri WATER
ENCOUNTERED?
LII i I~-.i i-.Ii'
L/
I/I t I I i J I Iii'
/1ilFI i i
L/ ) !j !i i-
Pt~+ ;~,~ ... J i .
I /~-~"~~:~ [ ~7 ~'
PEFICOI...ATION RATE / ~' ~ (m,nules/,ncn) PEFIC HOLE OIA,METER
TE~T AUN BETWEEN ~'- FT AN0 i-- FT
............. _,e',--'~ ~r ~-.Z-' . -.._~
Munk:ipailty of Anchorage
DEPARTMENT (DF HEALTH & HUMAN SERVICES
825 "L." Street. Anc~larage, Alaska 99502-~650
SOILS LOG ~ PERCOLATION TEST
PERFORMED
OATE PERFORMED: ,/F
LEGAL O ESCRII~'TIDN:
2
8
12
13
14.
17
20
Township, Range. Section:
WA~ GROUNO WATER
ENCOUNTERED?
SITE PLAN
PERCQL,~TION RATE
TE~T RUN BETWEEN
t~/' ~ (m~nules/mcr~l PF. RC HOLE DIAMETER
~' FT ANO o/ FT
Munlcil:~iity of Anc. Jlorage
OEPARTMENT OF HEALTH & HIJMAN SERVICES
825 "L." Street, Anct~orage, Alaska 99502-~650
SOILS LOG m PERCOLATION TEST
PERFORMED: IO-d'--¢~C''
Townsmp, Range, Section: 7-/?.,,c/' ,~'/~' ..~-~ ~'
4
7
8
9
lO
11
12
13
15
18
17
18
19
20-
COMMENTS
SLOPE
WAS OROUNO WATER
ENCOUNTEREO? /~'O
I -'.i -
I II
Rea~ling Olde T~me 'FTme Warm' Oroo
PF-.RCOLATION RATE ~ (mmutes~mcn) RFJ::IC HOLE OIAME'rE~I m
TEST RUN BETWEEN ~ PT AND PT
! I
259.0
/
/
242.0
249.8
239.0
5
2 55.7