HomeMy WebLinkAboutALPINE VILLAGE BLK 5 LT 6  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 LOCATION NO. OF B~ROOMS ~ ~ Manufacturer Material ~o. of compartments  Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth 0 Z ~ Manufacturer =-~ ~ ~ e ~ Materia~~ Liquid capa~~ O Well Foundation Nearest lot line PERMIT NO. ~ ~ DISTANCE TO:  ~ No. of lines Length of each line Total length of lines Trench width Distance between lines inches ~ Top of tile to finish grade Material beneath tile Total effective absorption area ~ inches Length Width Depth PERMIT NO. ~ p Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot tine PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area(s) -- ~ DISTANCE TO: OTHER ",.. REMARKS /  DATE LEGAL 72-013 (I 3/78) PERhilT NO. APPLICANT LOCATION LEGAL SCHACHLE EXCA'v'BTING G~-'.': EAST 81 AVENUE 99507 ~'.JO~., II_IR I CH STREET r.lUN I ,-: Z PRL I T~r' C~F ANCHORAGE I 1',~1 ~ DEF'AF.'.TMENT.~.,~ .. ~"": HEALTH AN[:, ENV I F.'.,DNMENTAL~ , -, . ROTECT I ON ~. ~,~j~~~~ 8~ _,TREET. ANCHORRGE., RK. ~;,._,O::L · ,"',~,.4"~ -"'""FI li.qr-J--S I TE $EL.~ER LIPGRRE:~E PERP11 T ,.~ . - ..'~ .-., ( ...00~, .-. ::, j~ ;/~ · '> ,,4. zl. -- ~,~ .1 -t 400C'~0 SQURRE J~,T TYPE OFSOIL ABSORPTION '-"s~=,T_-~n IS' TRENCH MR,=.:,II'ILM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BF.'.)= ~ [~'~]~ THE REL--.!UIRE[:, =,IZE OF THE SOIL ABSORPTION SYSTEM IS ~,EPTH= I LEf~GTH= I laRR%-'EL DEF'TH= ~' THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ~:E,2U I RED --~--'lm~T---I-C: TRr-~F~: S I ZE= 2000 GRLLOf-IS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEF'RRTMENT DLIRING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. T[.~O ,:: 2 ::, I f~SPECT I O~lS ARE E~'E[~.LI I EEC, E:RCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R HELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR 8 PRIVATE WELL OR i50 TO 200 FEET FROM R PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET 8ND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PER~I I 1' E>-~P I RE'~ DECErlBER -~'"l.. i98El I CERTIFY THAT i: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEHERS AND WELLS RS 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 SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. S I GNE[:, ' APPLICANT SCHRCHLE EXCAVATING I.:,=,LIED V4. 0 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 ~AILING ADDRESS L____1657 E. Dowling 349-6641 .............................. l ..................... ~ATION 7506 Zurich St. I~t 6, Block 5, Alpine Village Subdivision Anchorage, AK 99503 Wetl DISTANCE TO: 55' Me~,u facturer Licl. capacity ha gallons 1000 IF HOMEMADE: Weld Dwelhng DISTANCE TO: Manulaclurer Material Well DISTANCE 10: Top of ~,l~'to finish q;aH~, ' ~.'l. Hm ud b3 Lenqth [ Width [)IST,~NCF T() __ [)IS ]-ANC£: 'ri)'. PIPE MATERIAt S SOIL 7EST RArlN,: (} T ~ I E R I)r:Fh,r -~-NS]AL_[ EH As-bu£1t inspection was made on unexcavated in-place existing system. The system was built prior to 1965. The inspection was performed by R&M Consultants, Inc. on 1.1-5-80 by ~JN J. COOPER, Staff Engineer. ~,o. of ,L,~l~ei~ d ep I h rom top 10.0 PERMIT NO. L~('luid capacily in gallons 'Liquid capacity 13' PERMIT NC). ti uta! ,!ff~,<:t,v~ ai')~orHl,on area 1350 gallons 55' ! APPROVED DATE LEGAL I2.013 (Rev. 3t78) LOT SIZE SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: MAXIMUM NUMBER OF BEDROOMS = SOIL RATING (SQ FT/'BR)= THE REQUIRED SIZE OF THE SOIL .ABSORPTION SYSTEM IS: [:'EF"TH= LEI"-IGTH= GRR%,'EL 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 EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE E×CRVRTION (IN FEET). REC~.IJ Z RED 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. TL-~6~ (2) I [4$PECTIO[4$ I--IRE REt]LI IRE[) BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET FOR A PRIVATE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO' INSURE PROPER INSTALLATION. PEEr4 I T E×P I RES DECEPIE:ER _--~-,-1 .. 2~80 I CERTIFY THAT l: 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 Sb'STEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THBT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INC~JDE MORE THAN ~ BEDROOMS. / ~PPL I ~NT / . / / L ina ~ m Parcel ~I.D. # 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 014-132-15 HAA # GENERAL INFORMATION Complete legal description Lot 6, Block 5, Alpine Village Location (site address or directions) 7506 Zurich Street Property owner Mailing address Lending agency Mailing address Andrew Carroll Day phone 7506 Zurich Streetf Anchorage, AK 99507 National Bank of Alaska/ Randy Rh°q~'phoneu~ PO Box 107025, Anchorage, AK 99510 276-4535 257-3434 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: XXX 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 xxx % 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 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 informati from the Municipality of Anchorage files and from my investigation and ins ~e on-site water supply and/or wastewater disposal system is in compliance with all Muni( and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING p .~ (~ cf ,_/ _ ~. ,~ '7 ~/ ~0~4 Eagie ~Jver Loop Road NO. 204 Address Eagle River, A Engineer's signature __ Date DHHS SIGNATURE Approved for Disapproved. Conditional bed rooms. bedrooms, with the following stipulations: Additional By: Date The Munk ity of Anchorage Department of 'Health and Human Services (DHHS) issues Health Authority Approval ;rtificates based only uPon the representations given in paragraph 5 above by an independent ii 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 RECEIVED Municipality of Anchorage ...... .~ DEPARTMENT OF HEALTH & HUMAN SERVICES JAN ?-5u Environmental Services Division ~ur~ICIPAUW OF AN~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907~8~7.~ S[RViCES Di¥1$1QN Health Authority Approval Checklist LegalDescription:[OT- (; Boo c,~ ._~' ~u,~,~ v,~u4~f. ParcelI.D.: 0~- 13~ -I $- A. WELL DATA Well type i°p` ~w/t r,~.- Log present (Y/~_.~ r~ 0 Total depth I I S-' / ( P ¢,~- Sanitary seal If A, B, or C, attach ADEC letter. ADEC water system number Date of test Static water level Well production Date completed f',~,o~ ~o I~ 70 ..,.,,. , ) Cased to / 15- Casing height (above ground) Wires properly protected ~)'N) FROM WELL LOG AT INSPECTION WATER SAMPLE RESULTS: g.p.m. '7 -/- g.p.m. Date of adequacy test ,,~ Results (Pass/Fail) Fluid depth in a~fion field before test (in.); Immediately after Fluid depthS____ (ins)Minutes later: Absorption rate = P~rdxide treatment (past 12 months) (Y/N) Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed Foundation cleanout (Y/N) Date of Pumping C. ABSORPTION FIELD DATA Date installed Length Width Effective absorption area Nitrate Other bacteria .- S & $ ENGINEERING ~ ' - ~ Collected by: !7934 E---~ ,-,,=r Loop ~,oad No. 204 Eagle River, Alaska ~577 Tank size Number of Compartments Cl.,Jee~ts (Y/N).~ Depression (Y/N) High wa~(WN) Pumper Soil rating~ · ,,,Gravel thickness below pipe ,,~Monitoring Tube present (Y/N)~ System type Total depth Depression over field (Y/N) __ For bedrooms gal. water added (in.): .g.p.d. If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Em Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested ~ SEPARATION DISTANCES Size in gallons "Pump on" level at* ___-------~ ""~Pump off" level at* SEPARATION DISTANCES FROM WELL ON LOT TO: On adjacent lots On adjacent lots Septic/holding tank on lot Absorption field on lot Public sewer main L/ .(, Public sewer manhole/cleanout Sewer/septic service line ~ ' - v/,~-~.~ ~,~,,,,~.~ n~'~Lift station ~-' / ,~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: /~ z~ L~ C. 5'~ ~.~ Foundation .... Property line ____-' ' -- - ' -- ~"~"~--__~__- Water main/service line .... Surface water/drainage _. ~- Wells on adjacent lots SEPARATION DISTANCE FROM ABSOR~ ON LOT TO: Property line ....---~uilding foundation Water main/service line Surface water ~ Driveway, parking/vehicle storage area C.~in Wells on adjacent lots ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records in conformancTT)AT~ui~inoffoct/~ on this date. Signature ~ /c~ ~, , . ~~ . Engineer s Name ~ Date )// '35-/, ~' ~ HAA Fee $ Date of Payment (~ / /~q>~'--~/~ ~ Receipt Number /__~-~"--~ :~/,~J~ ~ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR% PID~ 014-132-15 Date Received: Jan 25, 1999 HA# HA990031 Permit Legal Description: Lot 6 Block~5 Alpine VillaKe Subdivision Engineer Robert C. Cowan PE~ S & S EnKineerinK 17034 Eagle River Loop Road, Suite 204, Eagle River. Alaska 99577 Applicant: Andrew Carroll Waiver Requested: Update current waiver from 17' to 12' between the private Reference Waiver # WR88-076 issued on well and sewer service line on property. January 4, 1988 Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal.Separation TOTAL: Points: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: Date: By: Rec ~: Amount: $ Name of Reviewer Date Paid: ROBERTC. COWAN, RE. ROBERTA. SHAFER, RE. January 22, 1999 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department ofHealth and Human Services PO Box 196650 Anchorage, AK 99519 REFERENCE: Lot 6, Block 5, Alpine Village JAN 2G 199,9 Mun cipality of Oept, Health & Human Ser'v~ces This is to request that you update the waived separation distance between the well and the sewer service line at 12 feet for the referenced property. It appears that the previous waived distance of 17 feet is in error. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/skh 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 po 0 :E____ROAD 's i~ ) ,, s 11 277 0°07 oo 0" ru o 0,~ ~5.00 0 P0 0 0 '~ /2/' o ' o? oo "~/ MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING ~L~ - \ "~,~ - /~ HAA # ~p:~d~..~l~--~ ' 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include IOt,.block, subdivision, section, township, range) Locabon (aOOro~ or ~t~ ,. ~ (b) Property owner. ~. ; " . Mailing Address''. '.," .".,..,. (c) Lending Institution Telephone · (home) Telephone Business Mailing Address (d) Real Estate Company and Agent Ad dress 'Telephone ¢'¢ 7 -- '~ ~' Y ' ¢'¢ 0 ~ (e) Mail the HAA to the following address: (or check here/~, if hold for pick up.) List contact person and day phone number below: TYPE OF RESIDENCE Single-Family/[~. Number of bedrooms '~'~'~ WATER SUPPLY Individual WeliJ~ Community [] Public [] Note: If community well ,system must have written confirmation from the State Department of Environmental Conservation attesting 'to th legality and statUs. SEWAGE DISPOSAL On-site [] Pubtic~ Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION ~ 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 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 Date /..~/z Telephone 6. DHHS APPROVAL Approved for Approved Terms of Conditional Approval bedrooms by Disapproved Conditional The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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. 7/88) Back Page 2 of 2 A. WELL DATA Well Classification Well Log Present (Y~"~ Total Depth //~r Cased to MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 Legal Description: (;;~1'/u ~ ~' If A, B, C, D.E.C. Approved (Y/N) /(~ rDepth of Grouting /V/"~ Static Water Level ,G;-'~' / Casing Height Above Ground ~ ' Y' / Electrical Wiring in Conduit (Y/~ 4( SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 4)///4 To Nearest Edge of Absorption Field on Lot r Pump Set At ~/~ Sanitary Seal on Casingc.~/N) Depression Around Wellhead (Y/~ ; On Adjoining Lots ~/~ ; On Adjoining Lots /O ,//'/ To Nearest Public Sewer Line ~7 / ~ To Nearest Sewer Service Line on Lot Water Sample Collected by / ' /~-, ~ Water Sample Test Results Comments J'V~.(! ¢'/~-.o To Nearest Public Sewer Cleanout/Manhole ,/7 / ;Date / -7/z ~/¢? B. SEPTIC/HOLDING TANK DATA Date Installed Size Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Con.tact on File (Y/N) No. of Compartments Air-tight Caps (Y/N) FoundatiOn Cleanout (Y/N) Date LasfPumped -- , for - ..... Temporary Holding Tank Permit (Y/N) Holding Tank High-wa{er-Al~rm (Y/N) ~ SEPARATION DI,~TANOBS FRO~ SEPTI ~NG TANK: To Water-Supply Well ~; .-," To Building Foundation , Disposal To Property Line ' . , To Field To Water Main/Servic~e~rfe ____ To Stream, Pond/,.L~e' or Major Drainage Course Commec~ 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Type of System Design Length of Field Depth of Field Gravel Bed Thickness Square Feet of Absortion Area Statn_dp.~_qS'resent (Y/N) Depression over Field (Y/N) Da.~f"l_ast Adequacy Test Results of Last Adequacy Test /' SEPARATION DISTANCE FROM ABSORPTION F~E~LD: To Water-Supply Well ¢~/' To Property Line To Building Foundation / To Existing or Abandoned System on Lot / ; On Adjoining Lots To Water Main/Service Line/~___ To Stream, Pond, La/~/dr Major Drainage Course ~;(~mDrimVeen~/saY~ Area, or Vehicle Storage Area To Cutback (if present) / ./ D. LIFT STATION Date Installed Dimensions Size in Gallons Manh~/N) "Pump On" Level at ,~*Pump Off" Level at High Water Alarm Level at .-~ Vent (Y/N) Tested for .-~ Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes.~/~ Comments **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guid, inspection. Signed Company Date /Z:-,/ MOA No. Receipt No. c~ Date of Payment Amount: $ 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. /~"\ 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907)562-2343 FEDERAL TAX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE for Work O~der $ 19070 Date Report Printed: DEC 29 89 @ 16:32 Client Sample ID:L6 B5 ALPINE VILLAGE PWSID :UA Collected DEC 28 89 @ 11:15 hfs, Received DEC 28 89 @ 11:40 h~s. Preserved with :AS REQUIRED Client Name : A E C S Client Acct: AKECSRP P,O.# NONE RECEIVED Req # Ordered By : L. REID Analysis Completed :DEC 29 89 Send Reports to: Laboratory Supervispr.'S~.~HEN C, EDE 1)A E C S Released By : ~C. ~ 2) Special Instruct: Chemlab Ref ~: 9060 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result Units Method Limits NITRATE-N 0,21 mg/1 EPA 353.2 10 Sample ROUTINE SAMPLE Remarks: SAMPLE COLLECTED BY L. REID, 1 Tests Performed ' See Special Instructions Above UA=Unavailable ND= None Detected '* See Sample Remazks Above NA= Not Analyzed LT=Less Than, GT=Greatez Than ~,"~'~ ......'",~' Drinking Water Analysis Report for Total Coliform Bacteria )~0c~ ~-~.., , TO BE COMPLETED BY WATER SUPPLIER PUBLIC WATER SYSTEM I.D.# PRIVATE WATER SYSTEM Name Mailing Address City SAMPLE DATE: Phone No. State Zip Code Mo. Day Year SAMPLE TYPE: _CRoutine beck Sample (for routine sample with lab ref. no. [] Special Purpose .) [] Treated Water ~,~.-"Untreated Water SAMPLE Time Collected NO. LOCATION Collected By 2[ J .I I I I TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [~ Satisfactory [] Unsatisfactory [] Sample too tong in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received Time Received Analytical Method: Membrane Filter * No. of colonies/100 mi. Lab Ref. No. Result* Analyst READ INSTRUCTIONS BACTERIOLOGICAL WATER ANALYSIS RECORD .... ~/ -~ Membrane Filter: Direct Count C~ Collform/100ml BEFORE COLLECTING SAMPLE Verification: LTB BGB Final Membrane 4~;te~ O Rep°rted BY-~/~~'~ Collform/100ml a.m. p.m. TNTC = Too Numberous To Count OB -' Other Bacteria MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) .f Location (address or directions) (b) Property oWner Telephone · (home) Business Mailing Address (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent (/t'-<~'1c4 ' Address Telephone I ~ 0 ~ ~ ~ ~i'-- ~ O~ (e) Mail the HAA to the following address: (or check here.,~ if hold for pick up.) List contact person and day phone number below: TYPE OF RESIDENCE Single-Family [~ Number of bedrooms WATER SUPPLY Individual Well'~i~/ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. SEWAGE DISPOSAL On-site [] Public ~ Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 //~ ~'' ~- ,~- Telephone Date Approved for '~ bedrooms by Date Approved ~ Disapproved Conditional Terms of Conditional Approval The Municipality of AnchorageDepartment of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 fRev. 7/88) Back Page 2 of 2 A. WELL DATA Well Classification '~ ~'~V0/,~'~ Well Log Present (Y~). Date Completed Total Depth //.~" J Cased to //_5' MUNICIPALITY Of ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: I/~ !~rt~- Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) Yield /7Z- ~'/)/~ Static Water,Level Pump Set At Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM W~L~L: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results ~/~ ~ -~ Comments Sanitary Seal on Casing~)'/N) Depression Around Wellhead (Y~ ; On Adjoining Lots ~t/\ ~ 'On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole /5' ; Date /'~, '"]-~'~" 'B~EPTIC/HOLDING TANK DATA D~,~talled _____ Size. _ No. of Compartments Standpi~,~N) _____ Air-tight Caps (Y/N) __ Foundation Cleanout (Y/N) _Depressi0n Qve"r,~(Y_/N) __ __ Date Last Pumped _____ Pumping/Maintenance .~,~ct on File (Y/N) ~; for ~__ H~ding Tank High-Water/N) ~ Temporary Holding Tank Permit (Y/N) _ SEPARATI~;~,IS~A~CES FR0~SE- ¢; ~"" :: ''"~ING TANK: To Water-~'~pp'lY W~!~ : ?' i~,:.:,::. ~uilding Foundation __~ To Prope~t~Li~e,~__ To~l Field __~ To Water~ain/Servlce Line~'".: ' , ~ To Stream' Pdn~' Lake'Or Majo~ Drainage Course ~ Comments ' ', ' ,'.::~ ,~ ~ 72-026 (Rev. 7/88) Front Page 1 of 2 l C. ABSORPTION FIELD DATA X,,~.oils Rating in Absorption Strata Type of System Design D~e~nstalled ~__ Length of Field Width ~____ Depth of Field Gravel Bed Thickness Square Feet of'A~.sortion Area Statndpipes Present (Y/N) Depression over Fie'~Y/N) _ Date of Last Adequacy Test Results of Last Adequac~T~st SEPARATION DISTANCE FR"OM~ABSORPTION FIELD: To Water-Supply Well ~ To Property Line To Building Foundation ~ To Existing or Abandoned System on Lot ~n Adjoining Lots .~-, To Water Main/Service Line ~ To Cutback (if present) ,.//~ TO Stream, Pond, Lake, or Major Drainage Course '"'~~ jJ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for ~ Meets MOA Elect,.deal~Codes (Y/N) Comment~ ~Y/N) JJ "Pu m P vO~"t ~,i~i)~tping Cycles da ring stx,~.' **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection./¢,. Si ne Company Date MOA No. ~ ~ Receipt No. o~ Date of Payment Amount: $ Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back ,/!~ ~r r.,~.J ~ Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF, ALASKA, INC. TELEPHONE (907) 562-2343 5633 B Street Anchorage. Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER [] PUBLIC WATER SYSTEM I.D.# PRIVATE WATER SYSTEM Name ~(. Phone No. Mailing Address City State Mo. Day Year SAMPLE TYPE: /Routine iJ Check Sample (for routine with lab ref. no. Lq Special Purpose sample Zip Code Treated Water Untreated Water SAMPLE NO. I 3 LOCATION Time Collected Collected TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,~ Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received /c;~ -/~//- ~' Time Received // Analytical Method: Membrane Filter * No. of colonies/100 mi. Lab Ref. No. Analyst J Result* READ INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter: Direct Count Verification: LT/~ Final Membranb Fi~ter/lCesultsX TNTC = Too Numberous'To Count OB = Other Bacteria _BGB _ Dale Time: C°illorm/100ml Coilformll00ml PART ! OF 2 REMAINDER TO FOLLOw CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. = 563~ B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907)562-2343 1~~/.,,~ ""~/' _~"~.,. ~ FEDERAL TAX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 10909 Date Report Printed: DEC 19 88 @ 12:58 Client Sample ID:L6, B5 ALPINE VILLAGE PW3ID :UA Collected DEC 13 88 @ 17:55 hrs. Received DEC 14 88 @ 10:00 hrs. Preserved with :4 DEG.C Client Name : AECS Client Acct: AKECSRP P.O.# NONE REC'D Req # Ordered By : R.P. Analysis Completed :DEC i4 88 Send Reports to: Laboratory Supervlso~ :STEPHEN C. EDE 1)AECS Released By : /~/~ ~ /// 2) Special Instruct: Chemlab Ref #: 3716 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result/Units Method Limits NITRATE-N ND(O.IO) mg/1 EPA 353.2 10 Sample ROUTINE SABLE Remarks: SAMPLE COLLECTED BY R.P. 1 Tests Performed ' See Special Instructions Above UA-Unavailable ND= None Detected "See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT-Greater Than Municipality of Anchorage Department of Health and Human Services Tom Fink, 625 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 4, 1988 Alaska Environmental Control Services, Inc. 1412 West 33 Avenue Anchorage, Alaska 99503 Subject: Waiver Request for Lot 6 Block 5 Alpine Village S/D Waiver Request ~WR88-076 ~ Dear Mr. Reid: Your request for waiver of the required 25 foot separation between the private sewer line to the well has been approved. The waived distance is 17 feet. This approval applies to the existing well and private sewer line only. Any future upgrade to either will require all separations be met or another approval from this department., Sincerely, Daniel J. Roth Civil Engineer On-site Services DJR/ljw ALASKA E FIUIROFImEFITAL ¢OFITROL S RUICE$, IFI£. ~n§inecrin§ $ ~nuironm~ntal $ludi~s December 19. 1988 Municipality of Anchorage Department of Health & Human Services 825 L Street, 5th Floor Anchorage, AK 99501 ATTN: Dan Roth RE: Lot G, Block 5, Alpine Village From the Health Authority insection, we find the separation distance from well to private sewer service line to be 17 feet. The drilling date of the well is unknown due to no well log available. The well existed when the house was connected to public sewer on October 24, 1984. Connection was done by the owner at that time. Well and casing depth has been verified to be 115 feet. On December 13, 1988, a four hour flow test showed a static level of 53 feet, yield of 4 gpm, and a total drawdown of 18 feet. The attached waiver request from AWWU to ADEC indicates the wells in this area have extensive layers of clay and gravel mixture. Water sample results are satisfactory. We request that you grant a waiver of 17 feet for well to private sewer line. If you have any questions, please call. ACW/sr Sincerely, Alan C. Wien 1412 W6S'C 3312C% Av6nu6 · AnchoR~xqe, Alaska 99503 · (907) 279-5553 .[ / /l:lOd31::l NOIiO:::IdSNI ~3~3S 0 Z --J 0 Z 0 0 Z 0 --1 0 LU Z Z 0 0 Z N © 0 LU 0~ Z ANCHOI Tony Knowles Mayor .GE WATER & WASTEWA'I .R UTILITY 3000 Arctic Boulevard Anchorage, Alaska 99503 (907) October 17, 1983 Mr. Reford G. Reid Construction Grants Project Engineer Alaska Department of Environmental Conservation 437 "E" Street (Second FlOor) Anchorage, AK 99501 Owned by the Municipality of Anchorage Re: Zurich LID #137 Dear Mr. Re id: The Anchorage Water and Wastewater Utility seeks ADEC approval to construct, maintain and operate portions of the Zurich LID #137 sanitary sewer closer to drinking water sources than established separation distances specified in State Wastewater Disposal Regulations. In request of a regulation waiver and in accordance with Title 18 of the Alaska Administrative Code, Chapter 70 (18 AAC 72.021C), Anchorage Water and Wastewater Utility submits the following report for your review and consideration. Well locations The alignment of Zurich LID #137 passes close to drinking water sources (wells) at sixteen locations. These locations are graphically illustrated on the attached project plan drawing sheets 3 of 4 and 4.of 4 (Attachment A) and legally described below. Alpine Village Subdivision Lot 1 Blk 4 - approximate distance between water well and proposed sewer line is 30 feet, distance to cleanout is 24 feet. Lot 12 Blk 5-'- approximate distance between water well and proposed sewer'.line is 48 feet. Lot 13 Blk 5 - approximate distance betw~en"water well and proposed sewer line is 54 feet. Lot 14 Blk 5 - approximate distance between water well and.~., proposed sewer line is 48 feet, distance to manhole is 60<feet. Lot 16 Blk 5 - approximate distance between water well and proposed sewer line is 64 feet. Lot 18 Blk 5 - approximate distance between water well and proposed sewer line is 52 feet, distance to cleanout is 56 feet. Lot 1 Blk 5 - approximate distance between water well and proposed sewer line is 63 feet, distance to cleanout 'is 54 feet. Lot 2, Blk 5 - approximate distance between water well and proposed sewer line is 97 feet, Lot 3 Blk 5 - approximate distance between water well and proposed sewer line is 87 fee'f, Zurich LID ~137 October 17, 1983 Page 2 ~Lot 6 Blk 5 - approximate distance between water well and proposed sewer line is 45 feet, Lot 7 Blk 5 - approximate distance between water well and proposed sewer line is 23 feet, Lot 8A Blk 5 - approximate distance between water well and proposed sewer line is 44 feet. Jovon Subdivision ~'~- Lot 4 - approximate distance between water well and proposed sewer line is 68 feet, Lot 5 - approximate distance between water well and proposed sewer line is 65 feet, Lot 6 - approximate distance between water well and proposed sewer line is 55 feet. O'Brien Subdivision Lot 7 Blk 6 - approximate distance between water well and proposed sewer line is 43 feet. Within the subject well radius "waiver" areas, all sewer pipe will be 8-inch ductile iron pipe Class 50 with a wall thickness of 0.27. The subject pipe has a working pressure of 350 PSI plus a surge allowance of 100 PSI. This particular sewer trunk is a gravity system which will be 0.0 PSI working pressure, making it .ideal for construction within well radius. On a gravity system there is more static pressure on'the outside of the piPe than on the inside, thus giving mor.e concern to infiltration than exfiltration. Ductile iron pipe has a life expectancy greater than other conduit ~materials because of its structural strength, resistance to abuse, abrasive elements and corrosion. Manholes and cleanouts constructed within the protective well radii are of special construction (see sheet 2 of 4 for details). The sewer line, within the manholes, is mechanically sealed and gasketed 'to-Prevent leakage of any sewage into the manhole, subsequently preventing any leakage of sewage out_of the special manholes. ~ ~' We were able to obtain drilling logs for two of the subject wells from the Municipal Department of Health and Environmental~ ~ '~ Protection. The well log (see attachment B) for Lot 7, Block 5, Alpine Village, indicates the depth of the well at 128 feet. The well log for Lot 3 Jovon Subdivision indicates the depth of the well at 129 feet. Both well logs reveal quite extensive layers of a clay and gravel mixture. The presence of these layers of clay provides, an impermeable layer betWeen the sewer pipe and the bottom of the subject wells. Zurich LID #137 October 17, 1983 Page 3 This essentially completes our request for a waiver. Should you require any additional information or have any questions concerning the above information, please contact AWWU at your convenience. Sincerely, Enigneering Design Supervisor Anchorage Water & Wastewater Utility TK:AES:jmd attachment(s) DEPT. OF ENVIRON MENTAL CONSERVATION November 14, 1983 BILL SHEFFIELD, GOVERNOR ~phone: ~0~ 274-2533 A~d~.,,: 437 "E" Street Suite 200 Anchorage, AK 99501 Ms. Vicki L. Sloppy As si stant Administrator Anchorage Water & Wastewater Utilities 2000 Arctic Boulevard Anchorage, AK 99503 RE: Well Radius Waivers Zurich LID 137, S82-12 Dear Ms. Sloppy: Thank you for the engineer's report in request of well distance regulation waivers for the referenced project under your letter of October 19, 1983. The construction of the referenced project will consist of furnishing and installing an estimated 1,950 L.F. of 8 inch ductile iron sanitary sewer line, in portions, north from Lore Road in Bern Street, Zurich Street, O'Brien Street and Lake Otis Parkway. In accordance with Title 18 of the Alaska Administrative Code Chapter 72 (18 AAC 72.021.a), a Mr. A1Sundquist, P.E. and engineering design supervisor for AWWU, submitted a report for ADEC's review and consideration to waive established separation distances to construct, maintain and operate portions of Zurich LID No. 137 closer to drinking water sources. More particularly, construction of the referenced project will require a waiver to encroach upon the well radius of 14 wells adjacent to this project. The wells are located along Bern Street, Zurich Street, O'Brien and Lake Otis Parkway from Lore Road to E. 74th Avenue. In recognition of the report and the preliminary p?ans for the proposed sewer lines, the following separation distances are approved instead of that required in Table A of 18 AAC 72.021. 1. Separation distances of 30 and 24 feet between a private well on Lot 1, Block 4 of Alpine Village Subdivision and proposed sewer line and nearest cleanout respectively. 2. Separation distance of 48 feet between a private well on Lot 12, Block 5 of Alpine Village Subdivision and proposed sewer line. 3. Separation distance of 54 feet between a private well on Lot 13, Block 5 of Alpine Village Subdivision and proposed sewer line. e Separation distances of 48 and 60 feet between a private well on Lot 14, Block 5 of Alpine Village Subdivision and proposed sewer line and nearest manhole respectively. Ms. V. L. Sloppy Well Radius Waivers, S82-12 November 14, 1983 Page 2 5. Separation distance of 64 feet between a private well on Lot 16, Block 5 of Alpine Village Subdivision and proposed sewer line. Separation distances of 52 and 56 feet between a private well on Lot 18, Block 5 of Alpine Village Subdivision and proposed sewer line and nearest cleanout respectively. Separation distances of 63 and 54 feet between a private water well on Lot 1, Block 5 of Alpine Village Subdivision and proposed sewer line and nearest cleanout respectively. 8, ~Separation distance of 45 feet between a private water well on Lot 6, Block 5 of Alpine Village Subdivision and proposed sewer line. 9. Separation distance of 23 feet between a private water well on Lot 7, Block 5 of Alpine Village Subdivision and proposed sewer line. 10. Separation distance of 44 feet between a private water well on Lot 8A, Block 5 of Alpine Village subdivision and proposed sewer line. 11. SeParation distance of 68 fe~t between a private water well on Lot 4.of Jovon Subdivision and proposed sewer line. 12. Separation distance of 65 feet between a private water well on Lot 5 of Jovon Subdivision and proposed sewer line. 13. Separation distance of 55 feet between a private water well on Lot 6 of Jovon Subdivision and Proposed sewer line. 14. Separation distances of 43 feet between a private water well on Lot 7, Block 6 of O'Brien Subdivision and proposed sewer line. The Department finds that the special manhole and cleanouts detailed in the preliminary plans as an acceptable solution to the separation distance problem between manhole-cleanout and well. Within the special manhole, the sewer line's flanged pipe is mechanically sealed and gasketed to prevent leakage of any sewage into the manhole. With the above in mind and by reviewing the pertinent characteristics of pipin~ m~terials to be used, the pipe's most feasible alignment and the limited soil information available, this Department finds..~he above separation distances as adequate protection of the private water sources. Please forward copies of the final plans and specifications when they are avai 1 able. Sincerely, Construction Grants Engineer GM/djf DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR..~)~f.,f_(~ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONDEPT' OF HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL P~OTECTION ENVIRONMENTAL SANITATION DIVISION OCT 3 0 1980 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEt~ ~/~IL~'~ DIRECTIONS: Complete all parts oil page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER I PHONE Charles and Shirley PerraultI 349-6641 MAILING ADDRESS 1657 E Dowling Rd PROPERTY RESIDENT (If different from above) PHONE vacaQt 2. BUYER PHONE none as yet MAILING ADDRESS 3. [.ENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE' Bonnie Mehner 277-1553 MAILING ADDRESS Jack White Co, 3201 C St, Anchorage, Ak 99503 5. ~EGAL' DESChlPTION Lot 6, blk 5, Alpine Village Subd STREET LOCATION 7506 Zurich St 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 log is required for all wells drilled · since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (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 [] SiX 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVI DUAL/ON -SITE I--I PUBLIC UTILITY Connection Verified I--lSeptic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE I NSTA.LL~ED INSTALLER SOl LS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: [] OTHER Absorption Area to nearest Lot Line Septic/Holding Tank Absorption Area ISewer Line Nearest Lot Line 5. COMMENTS I~/APPROVED FOR 3 BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~~ BY ~----~. , DATE 72-010 (Rev. 6/79) Mu cipali of Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF FIEALTH AND ENVIRONMENTAL PROTECTION November 4, 1980 Charles/Shirley Perrault 1657 East Dowling Road Anchorage, Alaska 99502 S~bject: Lot 6 Block 5 Alpine Village Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed:  ~) (2) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. The sewer system on the subject property is to close to the well. (3) Ail neighboring sewer systems will need to be located so that we can.determine if there is a proper distance between your well and any other sewer systems. (4) If your sewer system can not be upgraded so that there is a 100 foot separation between the well and leaching area, a holding tank will need to be installed. (5) If the leaching area can be relocated so that it is a ~00 foot separation between the well and any other wells, you will need to obtain a soils test and a permit from this office. (6) The septic tank needs to be pumped with a receipt submitted to this office. The total number of gallons pumped need to be on the receipt to verify the size of the tank. This will need to be verified by a registered engineer prior to submittal. Charles/Shirley Perrault November 4, 1980 Page Two (7) If there is any construction done on the sewer system, a permit must be issued by this department. Please notify this department for ~ reinspection of the noted descrepancies. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Bonnie Mehner % Jack White.Company 3201 C Street 99503 November 12, 1980 R&tVl No. 051001-87 Mr'. Chuck Perrault 1657 E. Dowling Anchorage, Alaska 99503 Re: Adequacy Test on Existing Sanitary Sewer .System; of a 3 Bedroom Residence with Average Load of 450 GPD, Consisting of a Septic Tank with a Seepage Pit, Lot 6, Block 5, Alpine Village Subdivision Anchorage, Alaska ' Dear Mr'. Perrault: Per' your request of October' 29, 1980, Dan Cooper' or R&M Consultant.s con-. ducted a test of the sanitary sewer system on tile above described property. Tile test indicates acceptan,_e rates determined under conditions at the time tested. Actual system perfor'lnance over' long periods of time depend on factors which cannot be ew~luated by this test thus our office cannot warrant [hu suitability or' fitness of the system tot either an extended period of Lime or' for user' demand in excess of tile expected llow fluted herein. f::aclors at't'ec:ting sy~lem [.)er'rorman(:e i~/clude: " l\ctual use dema~d on the system; F:lucluations ill groul~dv, ater levels; Physical conditions of the septic tank, leach fiutd, trench or seepage p~l ,~!~cJ ~oit. It should be nc)Led tt},~l ~hil~_~ ~ sc~pLi¢ t. ank ariel leacl~ field disposal system is one of the mo~t r'elidble metl~ods of sewage treatment and disposal it is nearly cer't~,in that the le..~ll field o~' seepage pit will fail sometime during the ~sulul life of the slr'~ciure. Studies indicate leach fields, trencf~es and pils I~ve a file expecta~cy of ten to twelve years under optimum conditions. All septic systems have a finite hydraulic loading capacity which can be expected to decrease witt~ time. Because tile house on the lot is not occupied, we assume that the seepage pit was not at its normal degree of saturation. Because the house was not occupied, 600 gallons of water' were added to saturate the system. During this test the liquid I~vels in the septic tank and seepage pit were monitored as water- was added to the system. The measurements and calculations are summarized on the following table: DATA & CALCULATIONS FOR SEEPAGE PIT TEST F I RST DAY November' 4, 1980 SUBJECt: 3 Bedroom House x 150 Gl'D/Bedroom + .50 (;Pl) = 500 GPD Required Flow TIIq~E OF PUMPER ARRIVAl,: Time Time 1:!50 2:20 Septic' Seepage Ga 11 OhS t;,, I ions Ga l I cms Tank Pi t Removed Removed Added I, evel Level from Tank trom.~it Lo ?iL_ i0.0 10 .O t I. 05 1400 9 u5 (;a I lon.~, t i-<)m 'J'al~k Ad,iud ?00 Water Added to Seepage Pit Liquid Level Measurements Taken from Top of Standpipes. GalIons Total Septic 'lank Time Added _G.9_~..l_o_n~ _I,!~(iU__i~. Lew, l 2:04 0 0 2:17 50 50 2:29 · 50 100 2:41 50 150 2:53 50 200 3:06 50 250 3:18 50 300 3:30 50 350 3:42 50 400 3:54 50 450 4:06 50 500 ,6l 9 6 9 4 9 25 9 O5 8 95 8 8 8.6 8.45 8.7t 5 8. Seepage Pit L~h[uid Level 6.25' 5.65 5.65 5.65 5.65 5.65 5. b5 5 . 65 5 . 0 5.6 5 . 0 I I~IRD DAY I,i,tu~,l I.,'v,'l I i,]ui,I l,,'vul I,, ,. FOtJRIH [.)AN' November 7 1980 'l'ime' 2:50 p.m. Final Septic Tank L. evel' 6.85' Final Seepage Pit Level' 6.2,5' 980 perrault 4 The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. The total daily load for the 3 bedroom residence is 450 gallons; surge capacity is 360 gallons. The Municipality requires the system to accept a surge capacity of 8090 of the total daily load at a rate of ten ('10) gallons per minute, tested for a two day period and to accept the total daily load in twenty-four (24) hour.s. Failure Criteria is as follows' o Water rises excessively in septic tank at or' before 80% of total load is added. o Effluent overflows the system. o Water level does not. return to within one inch of static level. During both days of testing, the system accepted 500 gallons of water and returned to the original level by the next (Jay, ho~'.rever, the level ii~ the septic tank rose 1.4 feet higher each day. Due to uncertainties about the pl~sical layover of tt~(', t, ystcm ~r~d ho~ the system was working an additional day of te~t~9 ~-', done. I)~r'incj ~esting water was added to the septic ta~k alter d ~eeke~tJ ol ~c) Fit I tt [)AY Noveml)er 10 10: 4b 0 (l (~ '~ I 1:00 $0 ',() b.a 11:49 50 250 O.4S I 2: 0 l 50 300 b, 45 12: I ~ 50 ~%0 b.4 12:25 50 400 b. ~ 12: 36 50 450 6. 1 12: 49 50 5uO 5 . 8 [,l. qu ~,t I.cvcl q. 25 S. 0 ,..~.,,, ~z, 1980 .~..~uck Perrault ~ 5 SIXTH DAY November' 11, '1980 Time' 2:[50 p.m. Fir~al Septic Tank Level' 6.25' Final Seepage Pit Level' [).40' The fifth and sixth day test along with the information obtained on days three and four indicates that the system is accepti~g effluer~t at a rate of 200 to 280 gallons per' day. Based on Municipality requirements, the average load on the .:;ystem lot a 3 bedroom residence can be expected to be 450 gallons per day or 0.3'1 gallons per minute. We can therefore conclude that the systen~ is ~ot di:;posin(.j of uf'l'luer~t at an ade'quate rate for a typical :~ bedroom residel~ce. Current Municipality of Anchorage ~'egulati{)r~,~ will ~ol permit ~pc2radir~ of any existir~g septic systems LJIIIE~sS Et m~r~m~m~ ser:)ar'ation of 100 ieet car~ mair~tai~ed betweer~ all port~ons of the t~u[)t~c t,~btem dt~d ex~'~tir~l wells. Si~ce this minir~um sepdratio~ ~:~r~ot t~ r]~ai~tair~ed the ~r~ly immediate solution is ir~s[altat~()[~ ~1 d L~00O-qlallor~ ~)l<ti~(] tar~k tio~al sur'vict,. Richard Senior RSG/ki~