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Home My WebLink AboutALPINE VILLAGE BLK 3 LT 14 PERMIT NO. [:,EF'RRTMENT-.~..,, HERLTH RND ENVIR. ONMENTRL , .OTECTION '-'~'= "E" 9950i ,:,,=:.._, STREET., RNCHORRGE, RK. 264-4720 i..,-Iibk_ i'i~-':i--1 I T ( 8Z'.':0290 ) RPPLICANT LOCRTION LEGRL COLONY BUILDERS INC Lt4 B~ ALPINE VILLRGE i407 W 47TH ~2 99503 LOT SIZE 562-5~39 999999 SQURRE FEET MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS t00 FEET FOR R PRIVRTE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC NELL. MINIMUM DISTRNCE FROM R PRIVATE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REOUIREMENTS MRY RPF'Ly. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVAILRBLE TO INSURE PROPER INSTALLRTION. F" E F-: r"l I T E ::-=: F' I R E "_:, E-, E ~2: E [-1 E: E F-: 7~: fi_., fi_ L.-3. L=: __< I CERTIFY THRT · : I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND NELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. S I GNED: RPPLICRNT COLONY BUILDERS INC /..:/ . ISSI_IE[.', B"r'_~. __DATE__~'- ~ 7' ~')_i~ V4. 0 APPLI( "NT FILLS OUT UPPER HA~ -' ONLY · Prop3;ty Owner '~. Mailing Address i Address ? /:[ ~:~ '[," r ~'''-(, ~/', Zip Code Phone Lending Institution Rea~tyCo.&Agent ~'',...-~ ....... ~ ~. t f.(~ , ~.. ~ Phone Street Locatl~ Type of Residence ~ 81nole Family ~ Multiplo ~amily ~o. ~ Other Water Supply lndividual ATTACH WELL LOG. A wal log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~ Individual Year Individual Installed: Public Utility / · Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Dat~ __,~C~_ Date ~1~ .~""' Inspector Inspector Inspector Inspector" DEPT. OF HEALTH Field Notes: ~ + O~ ~*~ C~''j~ ~ ENVIRONMFNTAL PROTECTION AU6 3 ___ RECEIVED (...~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE ~ BY: ( ~ L~ Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72-023 (31821 CHEMICAL & Gl LOGICAL LABORATORIES ? ALASKA, INC. ~~ D TELEPt~ONE:ate,CA(907) 562-2343 ANCHORAGE5633 B StreetINDUSTRIAL CENTER y ~' ranking r nal sis Report for Total Coliform Bacteria TO BE COMPLETED 'BY WATER SUPPLIER WATER SYSTEM: Water S'~m ~ame .D. NO. Phone No, Mailing Address City State Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose Zip Code SAMPLE NO. = I LOCATION Time Collected TO'BE COMPLETED BY LABORATORY A~alysis shows this Water SAMPLE to be: Satisfactory [] 13nsatisfactor¥ [] S.ample too long in transit: samole should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Time Received A~alytical Method: [] Fermentation Tube · ~Membrane Filter Lab Ref. No. Result* A~palyst eNo of colomes/100 mi. or No~ of Positive portions. 06.1220 Rev. 1978 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Date Collecte(I Source., i,m, Date Recelvecl ,. Time Recelv~l Presumptive 330mi 10mi 10mi 10mi 10mi 1.0mi 0.1mi 24 Hours 48 Hours Confirmatory 24 H~urs ,48 Houri EMB Broth 24 hours:. Multiple Tube Report: Membrane Filter: Direct Count Verification: LTB Final Membrane FIIte?.Rii~,l~.?_ . /',~ Broth 48 houri: 10mi Tubes Polltlvefrotel ].Omi Portions Collform/100ml BQB 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. # O I ~ - ! 3 3 - .~-~K 1. GENERAL INFORMATION Complete legal description Lot 14; Block 3; Alpine village Location (site address or directions) 7303 Basel Anchorage, AK PropertY owner Mailing address Lending agency Mailing address Walter & Elmerie Grimm C/O Marston Properties Day phone 4105 Turnagain Anchorage, Day phone Agent Jessie Holganza/ Marston Properties Address Day phone AK 99517 248-17 17 Unless otherwise requested, HAA will be held for pickup. 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: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide wiitten confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev, I/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 Address Engineer's signature s & s ENGINEERING 17C,$.; ;,,~= ~.;ve,' Loop ~.~,=~ ;.'G..~J4[ Eagle River, Alaska '99577 Phone Date DHHS SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date //- ?- 2 .... u-~--.-; '. ~. - ~ ne Mun~mpah~ of Anchorage Department of Health and Human Se~ic~ (DHHS) i~u~ Health Authori~ ' ~ -' ~ ;2 ,' , '~ =, Approval Ce~ifimt~?bas~ only upon the representations given in paragraph 5 above by an independent Prof~ion~l on~n~ m~i~t,r~ in th~ Stato of ~laska. Th~ D~H8 do~s thi~ a~ a ~Ou~yto pureha~ ol hom~ and their I*nd~n~ in~fitution~ in ordor to mti~ c~ain f~oml and ~tato r~uimm,nt~, fimploy~ of D~H8 do not condu~t in,po~tion~ or anal~ data b,fom a co~ificato i~ i~uod, lbo Muni~iPali~ of ~n~hom~o i~ not m~pon~iblo for orm~ or omi~ion~ in th~ pmf~ional on~in~ work. 72-o25(Rev. 1/91) Back MOAfY~1 Legal Description: ].o7 Iv /5~¢k. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES j~ E C E IV E Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 34~0~447 1996 Muoic~pality of Anchora Health Authority Approval Checklist Dept, Health & ,,,a~ o~rVlC~8 3 ~L~ V,~CE ParcelI.D.: 01~ -/~3 A. WELL DATA Well type ~3R~v,~ Log present (~/N) 'Y ~. 5 / Total depth Sanitary seal (~) If A, B, or C, attach ADEC letter, ADEC water system number Date completed do / ~- / g 3 Cased to /.q ~ .~L Casing height (above ground) / ~- )' Ig$ - ~,-, $~- '~ ¢~'Ou~'~O Wires properly protected (~N) )'~ $ Date of test Static water level Well production WATER SAMPLE RESULTS: FROM WELL LOG AT INSPECTION g.p.m. -~'o '/ + g.p.m. Coliform O Nitrate O. / Other bacteria O S & $ ENGINEERING Date of sample: t 0 / ~ ~ / q 6 Collected by: 17034 Eddie River Loop Road No. 204 Eagle River, Alaska 99577 B. SEPTIC/HOLDING TANK DATA /., ] ,~ ~ ~ ~ ~ L ~ ¢ ~- ~/c ,~. Date installed Tank size Number of Compartments Cleanouts (Y/..N).. Foundation cleanout (Y/N) Depression (Y/N) High water alarm (Y..y./N~''~- Date of Pumping Pumper C. ABSORPTION FIELD DATA Date installed, ~ __ Soil rating (g~drm) System type Length ' Width ~ _7..G~vel thickness below pipe Total depth Effective absorption area _...-'/Monitoring Tube present (Y/N)__ Depression over field (Y/N) Date of adequacy test ../'""' . Results (Pass/Fail)~ For bedrooms dep~n field before test (in,); Immediately after gal. water added (in.): Fluid Flu~;te~th (ins) Minutes later: Absorption rate = g,p.d, Peroxide treatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested ....-~ Size in gallons "Pump off" level at* *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main ~ ~ ' Sewer/septic service line SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: On adjacent lots On adjacent lots ~ t4 Public sewer manhole/cleanout Lift station /"//4 Foundation Property line Absorption field Water main/service line Surface water/drainage ~s SEPARATION DISTANCE FROM ABSORP~ Property line . __~OUndation Water main/service line Surface water Driveway, parking/vehicle storage area C~ Wells on adjacent lots ENGINEER'S CERTIFICATION I certify that l have determined thru field inspections and review of Municipal rec,~/~~ '~tems are in conformance with~M~~ gu~lines in effect on this date. .~-~.""- ~.,~ / ~,~ Signature ~~ ~, ~ ~ Engineer's Name ~ i ~.~,~.- ~. ~ ~ ~ i ~,. Date 11 ~ ~ / ~ ~ ~.~ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number CT&E Environmental Services Inc. L a b o r a t o ry D i v i $ [ o n r-~-~'~'~'~'~'~'.,r~'~'~'~'~'~,'~,'.~-~r.~.~,.~.jjjjsjf~jjjjjjjjjjjjj~ Drinking Water .Analysis Report for Total Coliform Bacteria ~oo w. ~o.e~ Or~ Anchorage. AK 9951 8-1 505 R.EAD i:VSTRUCTIO/VS O:V R. EVER. SE SIDE BEFORE COLLECTIa:G SA:~PLE Tel: (907) 562-2343 MUST BE CO'MPLE HiD BY WATER SUPPLIER C~: Send R~ul~ 0~' Send lnvoice 5' ~ 5 g-.,,, c,., ,, ~ ,~ d, ,,, C. 0 Sendlnvolce Sen d R~ults ~3rnp~)..",*.-,nc Day Year Fax: (907) 561-5301 Treated Water [] Untreated Water Faxed Time Collected Collected By [] Faxcd .,~ e 4 ,, [~0 ,~ C. TO BE COMPLETED BY LABOR&TORY Ana~$ shows this Water S.&MPLE to be: Sacisfac~o~ Un~atishc[o~' Sample over 30 hours old. results may be unreliable Sample too long in transit; sample should not be over 48 hours old at examination to indicat= reliable resulu. Please send new sample via spec,iai deliv$~ mail. Analysis Began Analytical blethod: ~lembrane Filter O MMO-MUG ' Number ofcolonies/100 ml. Lab ' No. Result* Analyst SentIoA.D.E.C. Anch . gb~ Jun D:~:: Time: Client nod~d of Phoned Spoke with Dam: Time: SAMPLE DATE: [T~-~, Month SAMPLE TYPE: '1~ Routine 12 O Repeat Sample (for routine sample with lab ref. no. ) ° Special Purpose SAM.PL£ LOCATION' bhMO-51UG Result: Total Coliform Membrane Filter: DirectCounc · Verification: LTB Fecal Coliform Confirmation Final Membrane Filter Results Reported By T' BACTERIOLOGICAL WATER ANALYSIS I::LECORD E. Coil Colonies/lO0 mi BGB COLIFIRSI Comment~: Coliform/100 mi · AP,"; Member ol Ihe SGS Group {Soci{l{ G,}n6rale de Surveillance} CT&E Environmental Services Inc. Laboratory Division ~'~-,~',~',~'~',~',~',~',~',~'~,,~'~-~'~',~,~,~-jjjjjjfjfjjjjjjjjjjj~~ Laboratory Analysis Report CT&E Ref.// Client Name Project Name/// Client Sample ID Matrix Ordered By PWSID 965632003 S&S Engineering N/A L14 B3 Alpine Village Drinking Water Sample Remarks: Client PO// Printed Date/Time 10/21/96 20:29 Collected Date/Time 10/18/96 09:00 Received Date/Time 10/18/96 11:45 Technical Director: Stephen C. Ede Parameter Nitrate-N Total Coliform Allowable Prep Analysis Results PQL Units Method Limits Date Date Init 0.100 U 0.100 mg/L SM18 4500-NO3F 10 max 10/19/96 EM~ 0 0 col/lOOmL SM18 9222B 10/18/96 TAV 200 W. Potter Drive, Anchorage, AK 99518-1605 -- Tel: (907) 562-2343 Fax: (907) 561-5301 3180 Peger Road, Fairbanks, AK 99709-5471 -- Tel: (907) 474-8656 Fax: (907) 474-9685 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 November 15, 1996 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 14 Block 3 Alpine Village Subdivision Waiver Request #WR960063, PID #014-133-32, HA960489 Dear Mr. Cowan: Your request for waivers of the required 75 foot horizontal separation to public sewer main and the required 100 foot horizontal separation to a public sewer manhole has been approved. The approved separations are a private well to the community sewer line of 72 feet and private well to the manhole of 74 feet. This waiver approval applies to the existing well and public sewer line and manhole only. Any future upgrade will require all separation distances be met or another approval from this department. If there are any further questions or concerns regarding these waivers, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On-Site Services Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR% WR960063 PID% 014-133-32 Date Received: November 7, 1996 HA% HA960489 Permit Legal Description: Lot 14 Block ~ Alpine Village Subdivision Engineer: Robert ~. Cowan, p.E,., S & S Engineering 17034 Eagl~ River Loop Road, Suite 204, Eagle River~ .Alaska 99577 Applicant: Walter & Elmerie Grimm Waiver Requested: PCi.v_ate well & the community sewerJ.line of 72 feet; private well and the manhole of 74 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: f~E ~£~o Name of Reviewer Rec ~: 02298/3332 Amount: $. 920.00 Date Paid: 11-~-96 .7-- 2.0 ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. CIVIL ENGINEERS HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN November 6, 1996 ~unicipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519 (907) 694-2979 FAX (907) 694-1211 REFERENCE: Lot 14, Block 3, Alpine Village Subdivision Request you issue a Health Authority Approval on the referenced property and grant a waiver for the horizontal separation distance from the private well and the community sewer line at 72 feet; and the private well and the manhole at 74 feet. The required separation distance is 75 feet and 100 feet due to the dates these water and sewer facilities were installed (well [rilled June 1983, sewer installed March 1982.) !he mitigating factors involved which support the issuance of the waiver are as follows: 1. Well logs in the vicinity show mostly clay and gravel which would confine any released sewage from water bearing sand and gravel at about 90 feet to 120 feet (Attached). 2. The topography in the area is slightly sloped to the Nest. This would tend to direct any released effluent from the well. 3. Water samples from the well are satisfactory (attached). 4. Wells serving other properties throughout the neighborhood have been placed at similar distance from the sewer line. With no well water related health problems reported, this would appear to be an acceptable practice for the area. We, therefore recommend a waiver for the separation distance between the well and sewer line. If we may be of further service, please contact us. ~ince~relv, ENCLOSURES) 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 ~ , r~. ./ :t 0 \ ,--' ./~m ~-'~: ~ BASEL STREET EXISTING / HOUSE o / o / LOt