HomeMy WebLinkAboutASPEN HIGHLANDS #1 BLK 1 LT 7 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: 5~ ~20~1.1_.~ ............... ' PID Number:
Na~e:Wastewater System: D New CUpgrade
RO~E~T L~GHLIN
Address:
~o ~o~ ~, ~c~, ~ :¢¢~ ABSORPTION FIELD ,
Ph°neB~ ' 1~58 E} Deep Trench D Shallow Trench D Bed ~ Mound ~ Other
LEGAL DESCRIPTION so, Rating: ~ Total Depth from original grade:
GPD/Sq. Ft.
Lot: Block: Subdivision: · . Depth to pipe bottom from original grads: Gravel depth beneath pipe
Township: I ~an~e: I Sect,o~ Jill adde~ above or,~,nal ~rade: Grawl length:
12 d 3 W 5 Ft. Ft,
WELL: ~X~5~NGD New ~ Upgrade Gravel width: Number of lines: IDistance between lines:
Ft.I Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Ft. Ft. ~ ~ .t~. Ft.
Driller: Date Drilled: Static Water Level: Installer .... ~' ~ Date installed:
Yield: GPM I Pump Set at: Ft. I Casing Height Above Ground:Ft. TANK
I
I
SEPARATION DISTANCES u septic ~Holding D S.T.E.P.
To Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~O~A6E
Well ~ ~ ~ ~ t ~O / Material: Number of Compartments:
Surface
w t.r % LIFT STATION
LineL°t ~ ¢ ~¢ Size in gallons: I Manufacturer:
I
~/ "Pump °n" level at: [ "Pump °fi" level at: I High water alarm at;
Foundation
Curtain Pump Make & Model ~ Electrical Inspections performed by:
Drain ~
I
Remarks: N~ ~000 ~1. ~o~,~ ~ BENCH MARK
Location and Description:
Assumed Elevation:
ENGINEER'S SEAL
..
Inspections performed by: FZATTOP T~cfl, 5v~5. Dates: ~st
Department of Health and Human Services approval
Reviewed and approved by: / -
72-013 (Rev. 9/91) MOA 25
Permit No. ~t~/ c~2 O 1['7 Page 2 of -~
Municipality of Anchorage
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
Legal Description: LoT ?~ B~.oclc I,~ A<~?/:N I~lG/~-AHl~5 ~= I PID No.:
I
3 BbRlvi HOu£E I
NEw' 3000 Cdt /O(~ _~DIV~RStON VAL. V£ ~ '
~ bF._/~i~qOU~N RD
fl ou,..q~: CoI~NER
DISTA~,IC~ TO
HOLDING TA ~t lc,
CL£ AN out
A 13t
SCALE: I"--~O
Flattop TechniCal Services
14530 Echo Street
Anchorage, Alaska 99516
72-013 A (Rev. 9/91)MOA 25
Perm]tNo. Sk/ c~20 11'7 Page .~ ' of ~
Municipality of Anchorage
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
Legal Description: LoT 7, BLOCK I, ASPEN' HI~gl. ANb5 ~1 PIDNo,: OJ"lOI31g
TBM Ioo,o~'
Door -'r Hfte~//oL ~
Flattop Technical Servicee
14530 Echo Street
Anchorage, A~laska 99518
~.~-.. ~ '.~-~
~nTH~ .~
~ h THEODORE F. ~OORE/. ~
VERTICAL ~cA~.E : I"=$
72-013 A (2/91) MOA 25
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW920117
DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES
OWNER NAME:LAUGHLIN ROBERT D &
OWNER ADDRESS:13140 MIDORI DR
ANCHORAGE, ALASKA 99516
DATE ISSUED: 5/29/92
EXPIRATION DATE: 5/29/93
PARCEL ID:01701318
LEGAL DESCRIPTION: ASPEN HIGHLANDS #1 BLK
7
1 LT
LOT SIZE: 26400 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT:
THIS PERMIT IS FOR THE CONTRUCTION OF:
HOLDING TANK 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 (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THIS PERMIT FOR HOLDING TANK CONSTRUCTION ONLY. A NEW
PERMIT WILL BE REQUIRED IF AN INNOVATIVE SAND FILTER IS TO
BE INSTALLED AT A FUTURE DATE.
RECEIVED BY: ~j ~
DATE:
DATE:~-
h unicipal ty Anchorafle
Department of Health and Human Services
Torn Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
May 29, 1992
Theodore F. Moore, P.E.
Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
Re: Waiver Request For Lot 7 Block 1 Aspen Highlands Subdivision
Unit #1, Waiver Request Number WR920023, P.I.D. 017-013-18
Dear Mr. Moore:
Your request for waiver of the required 100 feet separation from
a holding tank wastewater disposal system to surface water has
been approved. The approved separation distance is 75 feet.
Your request for a permit to construct an Intermittent Dosing
Sand Filter wastewater disposal system on the subject lot has
been denied.
This department is soliciting the professional services from the
private engineering community to design and construct three
Intermittent Dosing Sand Filters this summer. These systems
will be funded by Alaska Science and Technology Foundation with
this department overseeing the project.
As with any innovative system, the department has traditionally
limited the number of a certain type of system installed at one
time until it is determined if the system performs the way it
was intended. Pending successful performance of the
Intermittent Dosing Sand Filter, this property may convert the
holding tank to this system at that time.
If you have any questions of the above matter, you may call me
at 343-4744.
Sincerely,
Daniel J. Roth
Civil Engineer
Acting Program Manager
On-Site Services
OSS#131
CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS
THEODORE F. MOORE, P.E.
PH: (907) 345.1355 May 11, 1992
M.O.A. DHHS
P.O. Box 19-6650
Anchorage, AK 99519
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
Dear Sirs:
The purpose of this letter is to provide the required design narrative in support of our application for a
permit to upgrade the wastewater disposal facilities on Lot 7, Block 1, Aspen Highlands S/D Unit #1,
located at 13140 Midori Drive. Soils Nogs, perc test results, a site plan, design drawings, speCifications,
and a separation distance waiver request are enclosed for your review.
The proposed system consists of a temporary 3000 gallon holding tank as well as a 19' x 19'
intermittent sand £flter with a 5' wide by 60' long residual disposal drainfield. The size of the residual
disposal drainfield is based on an application rate of 1.5 gpd/sq, ft. The measured percolation rate of 4
minutes per inch measured at test hole #1, would correspond to a soil application rate of 1.2 gpd/sq, ft. for
a conventional drainfield, so the proposed size should be more than adequate for the treated effluent from
the sand filter. The residual disposal drainfield will achieve a 1' vertical separation from seasonal high
groundwater and 40' horizontal separation from surface water.
The topography of the lot slopes to the South at 5% - 10% as well as to the West at approximately 2%.
The proposed project will eliminate a seepage pit which is presently subject to groundwater intrusion
as well as being less than 100 feet from surface drainage. The proposed intermittent sand filter will
provide a good opportunity for testing the applicability of this technology under Anchorage environmental
· conditions. All parties involved recognize that this intermittent sand filter will have to be subjected to a
thorough sampling and testing program before it could qualify for a Health Authority Approval certificate
on its own merits. For this reason a holding tank is included as part of the project which will remain
available for future use should the testing program reveal that the intermittent sand filter is not performing
as intended. The project will have no impact on present or future water supply and wastewater disposal
systems serving adjacent properties, nor will it have any impact on reserved space/surface and subsurface,
or on drainage.
Please give me a call at 345-1355 if you have any questions on this submittal. Expeditious processing
of this permit is requested in order to allow the installation of the holding tank and issuance of a HAA
certificate prior to the scheduled closing of the property sale in early June. The new owners of the
property will then undertake the installation of the intermittent sand filter after the sale is finalized.
Sincerely,
Ted Moore, P.E.
cc: Robert and Terry Laughlin
Dave Windsor, Fortune Properties
To:' M.O.A. DHHS
From: Ted Moore, P.E.
Date: May 11, 1992
Re: Separation distance waiver(s) Lot 7, Block 1, Aspen Highlands S/D Unit #1
The requested waiver(s) are to allow the installation of a new 3000 gallon holding tank as close as 75'
from surface water and a new STEP tank as close as 75' from both the private well serving this lot and
from surface water. Please refer to the enclosed site plan, design drawings, soils test logs, and well
driller's log for backup information.
Both the holding tank and the STEP tank will be of new construction with watertight seals at all
penetrations which will ensure both that groundwater is unable to enter the tanks and that effluent is unable
to exit the tanks except as designed. Thus, under normal operation there will be no possibility of
environmental contamination from either of these tanks. The separation distance issue only becomes
pertinent in the event that the tanks cease to be watertight.
According to the driller's log the well serving this lot was completed in September of 1973 and has a
total depth of 173 feet and a yield of 6 gpm. The driller classified the soil overlying the aquifer as being a
sandy silty gravel. On February 5, 1992 the static water level was at 135 feet below the top of the casing.
Pumping 66 gallons of water from the well at the maximum pump output caused the water level to be
drawn down to the pump intake at 155 feet. Over the next four hours we measured the yield of the well to
be 2.7 gpm.
On April 27, 1992 we dug three test holes in the locations shown on the site plan. In each we
encountered a sandy seam carrying groundwater at 3 - 4 feet below ground level. This groundwater was
perched on a sandy silt or a very silty sand with an estimated perc rate in excess of 60 minutes per inch.
We feel there is little possibility of the well becoming contaminated in the event that the STEP tank rusts
out because the proposed tank location is downhill from the well with the house constructed between, and
because there is in excess of 100 vertical feet of relatively impermeable soil between the level of the tank
and the level of the aquifer from which the well draws. While the surface water is located downhill from
the proposed location for the tanks, in the event effluent from the tanks were to daylight, it would have to
travel 75 feet horizontally across a driveway before encountering the surface water. Such a condition
would become objectionable to the residents and neighbors and/or be called to the attention of health
officials before it posed a surface water contamination problem.
The following is a breakdown of how waiver analysis points pertinent to the well-STEP tank waiver
could be assigned using the criteria set forth by DEC's SCRO:
Category_; Points:
Distance to water table (135' - 10' = 125')
Soil Sorption (predominantly silt)
Permeability (Soil with a perc rate slower than 50 min/inch)
Water table gradient (assume parallel to ground surface = +5%)
Hgrizontal separation (75')
Total
7.13
3.5
3.0
4.5
2.0
20.1
Based on this analysis it appears that the well - STEP tank waiver can be safely granted without
concern as to contamination of the domestic water supply system. Please feel free to give me a call if you
have any questions on this analysis.
HOUSE
'0
SEPTIc.
S'/5T~; P1
b,/E L L
ASPEN
UNIT
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WELL
loo DRAINAGE
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~ELL
HousE
~ DEARHouN ROAD
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C,O.
..Elattop Technical Services
14530 Echo Street
Anchorage, Alaska 9951~
L'/, BI, ASPEN
WASTEWATER
SITE
HIGHLANDS UNIT ~=1
DISPOSAL
PLAN
SCALE: I": u~O
DATE' 5'/92.
A SURVEYED ?LA'T'.
ALL LOCATIONS
ARE APPRoXiMATE.
28:26 Colcmial Road Rosebud, OR 97470
50~ 673-0165
To
TOP VIEW
19' x 19' SAND FILTER
GRAVITY DISCHARGE
Flattop Techn~al Services
14530 Echo Street, Anchorage, AK99516
Phone (907) 345-1355
Lot 7, Block 1, Aspen Highlands S/D, Unit #1
13140 Midori Drive
Holding Tank installation
Specifications
1.0 General:
1.1 The scope of the project consists of abandonment of an existing 1250 gallon septic tank and
seepage pit and installation of a new 3000 gallon holding tank with a high level alarm.
1.2 Construction shall be as depicted on the approved site plan. Minor deviations from the drawings
may be allowed or required by the engineer conducting the inspections. All construction procedures and
material specifications shall conform with Municipal and State requirements. All separation distances
shall be in conformance with Municipal requirements, unless specifically waived.
1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any
buffed utilities.
1.4 The contractor Shall provide adequate cover material and rough grading over all system
components to ensure that proper drainage is achieved after settlement and that there are no residual
depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas.
1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after
the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction.
2.0 Holding Tank:
2.1 The existing 1250 gallon steel septic tank is to be formally abandoned by thoroughly pumping it
and crushing it and burying it in the old seepage pit. The 8' x 8' log seepage pit is to be abandoned by
removing it's top, thoroughly pumping it and backfilling it with the crushed septic tank and clean soil.
Sufficient backfill material shall be placed to allow for subsequent settlement without a depression being
formed.
2.2 The holding tank shall be Municipally approved and shall be set level on undisturbed soil. The
tank shall be equipped with a watertight manhole cover and a 6" cleanout as well as a separate 4" access
pipe for installation of the high level alarm float. The high level alarm float shall be positioned to trigger a
low voltage audible and visible alarm located inside the house whenever there is less than 500 gallons
capacity remaining in the holding tank. The tank shall be buried with at least 5 feet of soil cover over the
top.
2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The~
waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot and there shall
be a serviceable cleanout located within 5 feet of the building foundation. A diversion valve operable
from the ground surface (as supplied by Western Utilities, or equal) shall be installed in the 4" waste line
between the building foundation and the holding tank. The valve shall be capable of diverting the flow
into a separate 4" line leading towards the location of the future STEP tank. The line is to be stubbed out
and capped off after 10 feet with the location of the end marked above ground.
3.0 Inspections:
3.1 Two engineering inspections will be required during the course of the project: (1) initial stakeout
with the contractor to establish the location of the tank and to discuss the plans, specifications and
construction procedures, (2) after the holding tank has been installed'and the plumbing and high level
alarm installed, but prior to backfill.
5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
Flattop Technical Services
14530 Echo Street, Anchorage, AK99516
Phone (907) 345-1355
Lot 7, Block 1, Aspen Highlands S/D, Unit #1
13140 Midori Drive
Intermittent Sand Filter
Specifications
1.0 General:
1.1 The scope of the project consists of the installation of 1250 gallon STEP tank with an integral 'lift
station which discharges effluent to a 19' x 19' intermittent sand filter. The effluent from the intermittent
sand filter is then collected and discharged into a residual disposal drainfield.
1.2 Construction shall be as depicted on the approved site plan and design drawings including lsf, 2sf
and residual disposal drainfield. Minor deviations from these drawings may be allowed or required by the
engineer conducting the inspections. All construction procedures and material specifications shall .conform
with Municipal and State requirements.
1.3 All separation distances shall be in conformance with Municipal requirements, unless specifically
waived.
1.4 The contractor shall be responsible to obtain any necessary utility locates, and to work around any
buried utilities.
1.5 Finish grading, including placement of 4" of topsoil and seeding is required by the Municipality,
however it is the responsibility of the owner and is not covered by the engineering inspections.
2.0 STEP Tank:
2.1 The septic tank shall be a Municipally approved, 2-compartment STEP tank with a capacity of
1250 gallons set level on undisturbed soil. The second compartment shall be equipped with an "Orenco"
package lift station. Each compartment of the tank shall be equipped with a 4" diameter cleanout, and
physical access to the second compartment shall be provided by means of a watertight, insulated riser and
manhole cover.
2.2 The tank shall be buried a minimum of 2 feet, and if the burial depth is less than 4 feet it shall be
insulated with 2 inches of approved burial type, rigid insulation.
2.3 All pipe Connections to the tank shall be equipped with waterproof mechanical couplings. The 4"
wasteline from the residence shall have a minimum slope of 1/4" per foot, and shall be connected in to the
4" waste line which has been stubbed out from the diversion valve in the line between the building and the
existing 3000 gallon holding tank.
2.4 The on and off floats shall be set at the elevations specified by the supplier. The lift station shall
be equipped with a high level audible and visible alarm located inside the residence to alert the occupants
when the fluid level in the tank rises above the design elevation.
2.5 Installation of a lift station pump within the Municipality of Anchorage requires a valid electrical
permit. The contractor shall be responsible to obtain the necessary permit and Municipal inspection, and
shall provide a copy of the inspector's report to the engineer overseeing the construction of the intermittent
sand filter.
3.0 Intermittent Sand Filter:
3.1 Site preparation consists of excavation of a 20' x 20' level pad set as deep as practical up to 5 feet
below ground level. The surface of the excavation shall be prepared by placing and compacting approved
medium sand to achieve a carefully leveled sand surface within +/- 0~. 1'.
3.2 Next the 4' high sidewalls of the 19' x 19' sand filter enclosure shall be constructed of 1/2"
exterior plywood, framed as necessary to hold in position during placement of the filter materials. Any
portions, of the enclosure that will be within 4' of the finished graded surface shall be insulated with 2" or
rigid, burial type insulation. To maintain the stability of the enclosure during filling, the space between the
plywood and the sidewalls of the excavated area shall be f'flled with sand at the same rate as the inside is
filled.
3.3 A 30 mil PVC liner as supplied by "Orenco" shall be laid inside the filter box prior to placement of
filter materials. A 4" diameter underdrain of slotted ASTM D-3034 pipe shall be laid in the bottom of the
filter box passing out through a 4" diameter PVC "boot" where a sealant strip and stainless steel band is to
be installed to insure water tightness. The 4" diameter D-3034 discharge line between the sand filter and
the residual disposal drainfield shall have a minimum slope of 1%, and shall be equipped with a cross
fitting as shown providing a 2' deep capped sump and 4" riser extending 2' above f'mal grade to allow for
pumping of the sump and subsequent sampling.
3.4 A total thickness of 8" of 1/4" "Block Pea Gravel" shall be placed in the bottom of the filtei' box
surrounding the 4" diameter underdrain. Care shall be taken to ensure that the top surfaces of each
material layer is level.
3.5 On top of the pea gravel layer a total thickness of no less than 24" of"Concrete Sand"shall be
placed.. The sand supplier shall be requested to test and designate that portion of their "Concrete Sand"
stockpile for which less than 5% passes the #100 sieve, and only this material shall be utilized in the sand
filter. The contractor shall supply a copy of the sieve analysis report to the engineer.
3.6 On top of the filter sand a total of 9" of 1/4 .... Block Pea Gravel" shall be placed. The distribution
pipe network consisting of a 2" Schedule 40 PVC manifold and 1" diameter Schedule 40 PVC laterals
shall be buffed level in this pea gravel stratum such that the pipe inverts are no less than 6" above the top of
the underlying sand filter layer. The PVC laterals shall have 1/8" diameter orifices drilled in the tops
spaced on 2' centers, and shall have capped upturns at the ends configured as shown on drawing lsf.
3.7 The top of the upper pea gravel stratum shall be covered with approved filter fabric plus 2" of
rigid burial type insulation, plus a minimum of 2 feet of soil cover. The top 4" of the soil cover shall be
topsoil, and the soil cover shall be mounded at least 6" above the surrounding terrain and graded to drain
off the top of the sand filter. Side slopes shall be no steeper than 2:1. The owner shall be responsible for
final grading of the topsoil and seeding to prevent erosion.
4.0 Residual disposal drainfieid:
4.1 The 5' wide x 60' long residual disposal drainfield shall be configured as shown on the plans,
with the required absorption area being at least 1/2 that required for a typical septic tank effluent soil
absorption trench, based on the perc test results.
4.2 The level bottom of the drainfield shall be carefully excavated in the sandy loam stratum below the
black peat at a depth of approximately 18" below the original ground level. It is important not to over-
excavate the drainfield. The 4" dia. perforated distribution pipe shall be buffed level in 12" of approved
sewer gravel such that the invert of the pipe is no less than 6" above the bottom of the sewer gravel.
4.3 The top of the sewer gravel shall be covered with approved filter fabric plus 2" of rigid, burial
type insulation, before backfill with no less than 2' of soil cover. The top 4" of the soil cover shall be
topsoil and the soil cover shall be mounded at least 6" above the elevation of the surrounding terrain and
graded to drain. The owner shall be responsible for final grading and seeding of the topsoil.
5.0 Inspections:
5.1 A total of 7 engineering inspections will be required during the course of the sand filter
cOnstruction: (1) initial stakeout with the contractor to establish the lOcations of the system components
and to discuss the plans, specifications and construction procedures, (2) after the filter pad has been
constructed and plywood sidewalls erected, (3) after the PVC liner and underdrain have been installed, (4)
after the underdrain pea gravel has been placed, (5) after the falter "concrete sand" has been placed, (6)
after the upper pea gravel has been placed and the distribution pipe network is in place but prior to
placement of filter fabric or insulation, and (7) after final backfill and grading is complete.
5.2 A total of 3 additional engineering inspections will be required as follows: (1) After the septic
tank/lift station has been set level and all piping connected, but prior to backfill, (2) after the excavation for
the residual disposal trench is complete, but prior to placement of sewer gravel, and (3) after the sewer
gravel and distribution piping is in place, but prior to placement of filter fabric, insulation and final
backfill. These inspections may be incorporated with any of the above inspections, if feasible.
5.3 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
PERFORMED FOR:
LEGAL DESCRIPTION:,,J, OT
1.
2
3
4
5
6
7
8
9
10
11
12
13 ~L/~.
14
15
16
17
18
19
20
COMMENTS
Flat[oP Technical Services
14530 ,Echo Street
Anchorage, Alaska 99516
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
T. rt.~l
J~OBERT 'F TERRY
LAUGHLIN
DATE PERFORMED=,,,
g/¢/-//4N~ownship, Range, Section: SEC.. 2~'.~ 'T'I2/~, ~ ~k,"
SLOPE SITE PLAN
FILL
PT
5M REbblSH SANbY LOAM
~' - INbISTINCT Tf~ANSITION
~M S~LT~ SANb
G~AVEZZ? 51LTY SAHD
51DE.ALL5 DO NOT SMEAR
IN THIS ZoNE
.~s~.o~.~., v~ ~Liii~I'
ENCOUNTERED? ...
I/I I I'
DEPTH? 3~ '~ ~.~.~. .
,,,,,,,w,..,.. I I I III I I I I
,o,,,r~,,~ .. ~ &~.~.,,,,: S/~/~' ~.
Reading Date Gross Net Depth to Net
Time Time Water Drop
2:21:3o 2 S ~/~
+1t~o , 2:32:30
PERCOLATION RATE ~.,~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN 20,~' FT AND
SATURATE'b $olL /qT BoT/-O~l OF PERC ~OL~ .
ACCORDANCE WITH ALL STA~E AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
72-008 (Rev. 4/85)
CERTIFY THAT THIS TEST WAS PERFORMED IN
DATE: ~L"'/(~//~ ~.
PERFORMED FOR:
Plattop Technica! Services
14530 Echo Street
Anchorage, Alaska 99516
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST -['. ~l.=~z
ROI~ERT ~L TERRY
LEGAL DESCRIPTION:? OT Z~
PT
5p
NL
1
2
3
4
fJldN~/~N~ownship, Range, Section: SE(. 2,~.~ 'TI2H, SLOPE SITE PLAN
10
11
12
GI~AVE. I.L"/I SA~lb¥ 5JLT
DAmp
13
14
15
16
17
18
19
20
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT e
DEPTH? J~, ~.~,/,
Ho_UsE
.. 5'1.5' '
\ To
, , _~ t,~ 1
Gross
Time
Net
Time
Depth to
Water
Net
Drop
-- (minutes/inch) PERC HOLE DIAMETER
FT AND ~, FT
Depth Io Water Aller
Monitorino? .... 13' $,C~o Dale:
Reading Date
PERCOLATION RATE
TEST RUN BETWEEN ,,
COMMENTS
P RFORM D. ; __l CER '"AT TH,S TEST WAS PERFORMED ,N
ACCORDANCE WITH ALL STA:rE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE;
72-008 (Rev. 4/85)
PERFORMED FOR:
PlattOp Technical Services
14530 Echo Street
Anchorage, Alaska 99518
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
~OBEJ~T ~-TEI~I~Y LAu~I. II, ~N
LEGAL DESCRIPTION:_LOT
PT
1
2
3
4
7.. EZI~ I~ ASPEN fll¢/t44N~f Township, Range, Section: SEC.. 2~.,, m
SLOPE SITE PLAN
51"1 REb~I~H SANbY
~ tN DISTtNCT TR,/J'H'~ ~T/ON
SM/ML GRAY SILT'/
SP ~ATuRATEb ERAVELLY SA,qb
t-J= o SEEPS
IqL GRAVELL"J SANb¥ SILT
DamP., D,~NSE
8
9
GP/GM SILT'/, 5ANbY GRAVEl.
SAT uRA TEb
10
11
12
13
14
15
16
17
18
t9
2O
r, lL ~I~AVELL't
WAS GROUND WATER
ENCOUNTERED? _ YES
SILT s
IF YES, AT WHAT L
DEPTH? /"/~' S.~.L. pO
E
Deplh lo Waler Alter ,,
//
Monitor nD? 5':8 I~ ~Z, Date: ~
Reading Date Gross Net Depth to Net
Time Time Water Drop
h
PERCOLATION RATE
TEST RUN BETWEEN
-- (m,nutes/inch) PERC HOLE DIAMETER
__ FT AND ... FT
COMMENTS
ACCORDANCE WITH ALL STA;rE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
72-008 (Rev. 4/85)
CERTIFY THAT THIS TEST WAS PERFORMED IN
DATE:
Well Owner
Location
( [V~-W DRILLING, Inc.
P. O. Box 4-1728 · 2811 Dawson
A C 907-279-1741
ANCHORAGE, ALASKA 99509
DRILLING LOG
Bob Laughlin .Use of Well Dem
(address of: Township, Range, Section, if known; or distance main road
Size of casing 6
Static water level 1'/~O
Screen ( );
Describe screen or perforation
Well pumping test at 6 gallons per (~f)
of drawdown from static level.
Date of completion 20 ~ep
~epth of Hol~~ feet Cased to 17~ feet
ft. (~ (below) l~d surface. Finish of well (check one) open end (
Perforated ( ).
~one
(minute) for 1 hours with !~
WELL LOG ~ 7~
x );
ft.
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
0 TO 2 8urfaoe 0rEani~
TO. ~0 ~mall 0revels silty
TO. ~ " ' sandy.
TO 17~ sandy/silty with occai~ional boulders-small
waterbearing ~ last few feet.
.TO
.TO
TO
TO,
2
TO,
TO.
TO
.TO.
.TO
.TO.
TO
Oobble Gravell
' W4~e Eo ~stber~
I -- CUSTOMER
GRE
'ER ANCHORAGE AREA BOr UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK: ,
NUMBER OF
O L - MANUFACTURER ~ MATERIAL ~r~'~.<~/-..~ COMPARTMENTS
INSIDE LENGTH ~ INSIDE WIDTH
LIQUID DEPTH ~ LIQUID CAPACITY ,/,.~.~7 GALLONS.
SEEPAGE PIT:
NUMBER OFPIT5 ./ . DIAMETER /~ OR WIDTH~,2 LENGTH,~-T, DEPTH
LINING MATERIAL ~~CRIB SIZE: DIAMETER~ DEPTH DISTANCE FROM: WEL .
BUILDING FOUNDATION~/~ ,/ TOTAL EFFECTIVE
, NEAREST LOT LINE ~7 _ , SQ.
. ABSORPTION AREA (WALL AREA) ~ FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ~ CONSTRUCTION
~' NEAREST
FOU N DATI O~1-. LOT LINE
CESSPOOL ~~,' ER SOURCES
APPROVED DI SAPP R OV ~'~'~D
NEAREST//
, SEW~
.--~REMA RKS
~S E pt iTl~ ~.....~.......SE.~pA G ED I ST AN C E FROM:
TANK , SYST~~ .
DISTANCES:
PIPE MATERIAL:
LOT SLOPE:
REMARKS: ~
Form No. EQ-031
DIAGRAM OF SYSTEM
APPROVED
G.A.A.B.
GREATEr ANCHORAGE ArEa BOrOUgh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM- APPLICATION AND., P~E~T
INSTALLATION
LOCATION
~ DRAIN FIELD
INSTALLATION OF: SEPTIC TANK SEEPAge PI~
FINANCED THROUGH TO .E INSTALLED BY
COMPLETION DATE ANTICIPATED
PHONE
OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PiT
SEPTIC TANK TO SEEPAGE PIT WALL
DRAIN FIELD
., SEEPAGE PIT
, DRAIN FIELD
SEPTIC TANK
TO NEAREST LOT Li~.
ELL TO SEPTIC TANK
DRAIN FIELD
!
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC; TANK .... SEEPAGE PiT ,//~ ~/, DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOil.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. /// _~.---~
DAT M~NO/:2 :/ ~y~APPLICANT'S SIGNATU REFO ' ~
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTA~ QUALITY . Case #
3330 "C" Street
ANCItORAGE, ALASKA 99503
Performed For Rober~ Laughlin1
Legal Description: Lot 7' Block 1
This Form Reports Soils Log X
- Soil Test Must Be Logged To 4' Below Proposed Seepage System -
Depth
Feet Soil Characteristics
1-- fl.5 Bm Bilty Band
o
1 O:
11'---
12--
13--
14--
4.5 Gw Well ~raded
gravel and san-~
10 ~' Gm Bilty dy Gravel
Was Ground Water Encountered? NO
If Yes, At What Depth? NA
Dated Performed Ju12.28, !~7~
Subdi vi s i on Aspera Highlands.~//./~ ~ i
Percolation Test
Reading Date Gross Time Net Time Depth to H20
Percolation Rate Mi nui;e
Proposed~ Installation- Seei~ag~ Pit X Drain Field
Depth of InletAg~.~2~ Depth to B~f Pit Or Trench"
COM~ENTS: Based on effective_ b_~m._lO,
Test Performed BYH. Eide, Jr~
Net Drop
Date
MUNICIPALITY OF ANCHOFIAG-E
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. # 01"/01318
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent P~/~
Address
Day phone
Day phone
Co' ,/~ d.~or - ~or' A<~'~"':' ?ro/~ erA,,. Day phone
7000 "~" _cf.~ ~c4o,~,~ ~r~ ?~-o3
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Gommunity 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
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm ~'/.A'I'ToP
Address 14 $,3 o EcHo
Engineer's signature
5v'c S, Phone
~ ~ Date
3 qS- 13 ~;,5'
DHHS SIGNATURE
~ Approved for'7-'~/bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments ~~-v-J-~ /~-~-'-~<-~' x~ ~
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Bacl< MOA #21
Legal Description: ZoT
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
A. WELL DATA
Well type pRtVAT£
Log present (Y/N)
Total depth } '/3
Sanitary seal (Y/N)
If A, B, or C, attach ADEC letter.
ADEC water system number Iq,~,
Date completed ~l 1 3o/-/3 Driller ~- W'
Cased to t '/3 Casing height .2 0
Wires properly protected (Y/N) Y
FROM WELL LOG AT INSPECTION
Date of test
Static water level J~O 135 ~
Well flow (o g.p.m. 3. O
Pump level 155 '
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
JUN - 8 ]992
.. ECEIVED
SEPARATION DISTANCES FROM WELL TO:
~holding tank on lot
Absorption field on lot
Public sewer main ~, A,
Sewer service line
; On adjacent lots ~, loc'
#
; On adjacent lots '>'/oo
Public sewer manhole/cleanout . N,A,
Petroleum tank NoNE oSS&~VEb
WATER SAMPLE RESULTS:
Coliform 0 Co/.o,qir..~ / ICC
Date of sample: 2/R/Cl2
Nitrate
Other bacteria C) /1oo ~,,[
Collected by: F'LA1-ToP 'Tg c // ~¢ £ .
B. ,~r~/HOLDING TANK DATA
Date installed
Cleanouts (Y/N)'
High water alarm'
Date of pumping
Tank size ~ OOO G'~J/- Compartments
Foundation cleanout (Y/N) '7' Depression (Y/N)
.,. Alarm tested (Y/N)
Pumper N./i .
N
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot ~2. '
To property line $ 5.
Surface water/drainage
On adjacent lots ~/~)o ~ Foundation '7
AbsorptiOn field ' H,/~, Water main/service line
(~,~,_ ,~ov~ sl~,~l~.~
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
C. LIFT STATION N,/I.,
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
"Pump on" level at
Well on lot
D. ABSORPTION FIELD DATA
Date installed
i'ength
Total absorption area
Manufacturer
Manhole/Access (Y/N)
"Pump off" level at
Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
On adjacent lots
Soil rating
Width Gravel thickness
Depression over field (Y/N)
Results (pass/fail)
Peroxide treatment (past 12 months) (Y/N)
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Surface water
Curtain drain
E. ENGINEER'S CERTIFICATION
Surface water
System type
Total depth,
Cleanouts present (Y/N)
Date of adequacy test
for
If yes, give date
On adjacent lots Property line
To existing or abandoned system on lot
bedrooms
Water main/service line
Cutbank
Driveway, parking/vehicle storage area
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature ~"-~ ~,, ~ _""~',"'-.'" °'.
Engineer's Name -~/?~r~ F. M/oo rc ,. w, ~ ~ ....
~ ~ THEOOOE~ F MOORE ~
Waiver Fee: $
HAA Fee $
Date of Payment ~:~ /
Receipt Number
72-026 (Rev. 3/91) Back MOA 21
Date of Payment
Receipt Number
unicipality of Anchorage
Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
June 23, 1992
Mr. Theodore Moore, P. E.
Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99516
Subj.: Lot 7, Blk 1, Aspen Highlands #1
Dear Ted,
I am enclosing a copy of the letter we attached to the Health
Authority Approval for the above property. As you can tell,
some new information surfaced during the final phase of
approval. At that time I discovered that a beauty salon was
present and in use, and that an efficiency apartment had
recently been discontinued in use.
This information is rather troubling since you were the
inspecting engineer and submitted the request for a waiver to
surface water, a holding tank permit request, an inspection
report, and finally a Health Authority request. The beauty
salon has been in continuous use for a number of years; a sign
hangs on the side of the road, and the shop is the point of
reference for the measurement from the holding tank to the
foundation. The holding tank alarm is installed in the beauty
shop, and you must enter the shop to test it. I believe it is
very clear that a single family dwelling cannot be approved by
this office if there is an apartment in it, or a business is
operated from it. Exceptions to this must be granted by the
state Department of Environmental Conservation.
You indicated to me that deciding whether a dwelling was single
family or multiple family/commercial was "not engineering work,
but regulatory work." I disagree with this attitude, and in
fact our procedures for performing Health Authority Approvals
specify that the engineer stamping and signing the work is
certifying that the system is installed and operated in
accordance with applicable state and local guidelines. We hold
that it is the engineer's direct responsibility to ensure that
all information submitted to this office is accurate and in
conformance with code requirements.
Page 2
Theodore Moore
I found also that the excavator for this job was not licensed
for 1992. You have previously been notified that inspection
reports showing unlicensed excavators will be-summarily returned
by this office. In this case I have signed ~he inspection
report, but wish to caution you that we will not do so in the
future. Before you inspect a job, I suggest you ask the
excavator for his municipality number.
This letter will serve as an official notice of violation.
If you continue to present waiver requests, permit applications,
and related requests, please make sure that you verify the
status of the dwelling.
If you have any questions about the above, please call me at
343-4718.
Sincerely,
Susan Oswalt
On-Site Services
Encl.
cc:
John Smith, P.E., Program Mgr., On-Site
Kevin Kleweno, Engineer, ADEC
/s471
unicipality of Anchorage
Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
June 23, 1992
Mr. David Windsor, Resltor
Fortune Properties, Inc.
3000 A Street, Ste. 101
Anchorage, Alaska 99503
Subject: Lt 7, Blk~, Aspen Highlands #1
Dear Mr. Windsor,
As you know, during a routine inspection by this office it was
noted that a beauty salon was in service at the above location.
Since we were processing a Health Authority Approval for the sale
of the single family home, we asked that the salon be removed. In
addition, a portion of the home has in the past been rented as an
efficiency apartment. Both of these conditions place the well and
sewer system out of compliance with municipal and state laws.
Since our initial discussion, the salon plumbing fixtures and the
kitchen components of the apartment have been removed. For the
record I'd like to note that although fixtures have been removed,
the plumbing has remained.
In order to remain in compliance with applicable laws, and to
maintain the validity of the waiver to surface water issued
previously by this office, this dwelling must not be used for
other purposes. There exist no "grandfather" rights to the salon
or the apartment, and reinstatement of either will invalidate the
waiver and subject the property owner to prosecution under the law.
During the inspection we noted that there are three bedrooms in
use, and at least two other rooms which could easily be used for
bedrooms. Please note that the attached Health Authority Approval
is valid for three bedrooms only. The buyer of this property must
be fully informed that the addition of any bedrooms will
invalidate the existing waiver.
Please attach a copy of this letter to the buyers' documents to
fulfill your obligation of full disclosure. If you have any
questions, please call me at 343-4318.
Sincerely,
Susan Oswalt
On-Site Services
/470s
Mailing Address:
P.O. Box 11-3107
Anchorage, Alaska 99511
,"List with a Winner"
II
NBA Building, Suite 20
1351 Huffman Road
Anchorage, AK 99515
Business 907 · 345-2020
June 16, 1992
To Whom It May Concern;
We, Carol Hawn-Miller and Bruce Miller the bu'yers of Aspen Highlands
I L7 B1 AKA 13140 Midori, are aware that the DEC certificate will be
issued on the property as a three (3) bedroom single family residence
and that th~ area formerly used as a salon cannot be used again for
that purpose nor can it be used for any home business involving the
use of water.
Buyer
Buyer
FORTUNE PROPERTIES, INC.
3000 A Street, Suite 10l, Anchorage, Alaska 99503
David Windsor
Realtor
Res. (907)
Fax (907) 562-3485
Bus. (907) 562-SOLD (7653)
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information
Application Date
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot ? Block 1 Aspen Highlands Subdivision
Location (address or directions)
Robert Laughlin
(b) Applicants Name
Telephone - Home
Business
Applicants Address
(c) Applicant is (check one) Lending Institution ~--~ ; Owner/builder ~ ;
Buyer ~ ; Other ~-~ (explain);
(d) Lending Institution Telephone
Address
(e) Real Estate Co. & Agent
Address
Telephone
(f) Mail the HAA to the following address:
2. Type of Residence
Single-Family.~.
Number of Bedrooms
3. Water Supply
Individual Well[~I
Multi-Family ~-~
three ( 3 )
Other (describe)
Community ~-~ Public ~-~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
4. Sewage Disposal
Onsite ~ 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.
[Page 1 of 2]
5. En~ineerin.~ Firm Providin~ 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 w~stewater disposal
system is in compliance with all Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
Name of Firm
Telephone
Address
e
Date
This Department has received
written confirmation from the
State of Alaska, DEC regarding
the items of disapproval. This
has now been reviewed and
approved by this Department as
(ENGINEER SEAL)
DHEP Approval of the date stated below.
Approved for % bedrooms By '~'/J" < .....~ (~"~ ;~"~"'"'7 Date . /'!
Approved ~ Disapproved Conditional
Terms of Conditional Approval
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PbRtCHASERS OF HOMES Aa~D
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP 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.
(DHEP SEAL)
RR4/ej/D18
[Page 2 of 2]
7 -19-84
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH'
DEPARTMENT OF ~ALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR h-EALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information
Application Date
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicants Name ~C~ Am~h/t'- Telephone - Home Business
Applicants Address
(c) Applicant is (check one) Lending Institution ~-~ ; Owner/builder~-~ ;
Buyer ~-~ ; Other F--~ (explain);
(d) Lending Institution Telephone
Address
(e) Real Estate Co. & Agent
Address
Telephone
(f) Mail the HAA to the following address:
2. Type of Residence
Single-Family~
Number of Bedrooms
3. ~ter Supply
Individual Well~
Multi-Family~-~
Other (describe)
Community ~-~ Public ~-~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
4. Sewage Disposal
Onsite ~ 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.
[Page 1 of 2]
5. Ensineering Firm Providin~ 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 w~ater supply and/or wastewater disposal
system is in compliance with all Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.} ~
Approved for
bedrooms
CAUTION
THE MIINICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP 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.
RR4/ej/D18
[Page 2 of 2]
(DHEP SEAL)
7-19-84
C~Lf~- F~Y 1984
Legal Description. ~r~
~11 Clarification Ff,-~, If A, B, ~ C, D.E.C. ~o~d(Y
casing ~ight ~ G=~nd ~' Sanit~y ~al on ~si~ (Y~)
Elec~ical ~ing in ~it (Y~ ~ ~essi~ ~nd ~l~ead (Y~)
~p~ation Dis~n~s ~ ~11=
Wate~ S~le Colle~ed ~ ~ ~. ~o~ ; ~,
B. ,S,Ep~,,I.C/HOLDING TANK DATA
[Page 1 of 2]
Date Installed ~,/1'7 /7,,7, Size IZJ"O,,q~tl No. of Ccmpa=tments
Standpipes (Y/N) .%, .... Air-tight 'Caps (Y/N) ~', ,, Foundation Cleanout (Y/N)
Deu=ession ove~ Tank IY/N) N Date Last Pun~ed ~'/~ ~//]~ /
Pumping/Maintenance Cont=act on File (Y/N) MA: ; fo= ~1, ,, ,,
Holding Tank High-Ware= Alarm (,Y/N) N. A, Tempo~a~y Holdin~ Tank Permit ,(,y/N)
sega~ation Distances f=cm_Se~/Hold%ng TaDk:
To Water-Supply We 11 ~ ~1~.'~_~ ~_d ~lding Foundation Iq'
TO P=cgerty Line ~F ~o' To Disposal Field
To Water Mai Service Line N.~ To St=earn, Pond, Lake, o= MajOr D=aina~e
......
C. ABSORPTION FIELD E~TA
Soils Rating in Absorption St=ata
Date Installed [~/17 ! 73
Width of Field ~' ~.~ 2¥°
Square Feet of Absorption A=ea
Depression over Field (.Y/N)
Results of Last Adequacy Test
,~' 'a'/Ae,(,..,~... Type of System Design
~ng~ of Field
~p~ of Field
Grail ~d ~ick~ss
Separation Distance f~cm Absc=ption Field:
To Water-Supply Well ,, I$!' To P=operty Line
To Building Foundation ~/~" To Existing c= Abandoned System
Lot,.. M. ~, ; On Adjoining Lots ~.
To Water Main/Service Line M.A. To Cutbank(if, present)
To Stream/Pond/Lake/c~ Ma~o~ D=ainaqe Course $S' ~..~
To D=iveway, Pa=king A~ea, c~ Vehicle Storage A~ea ;~.
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Dimensions
· Manhole/Access (y/N)
"Pump Off" Level at
Vent (Y/N), , ,
Pumping Cycles ckming Adequacy Test. M~ets MOA
Electrical CodeS(y/N) .
Cca~ents
** Check Permitted Bed~ocm Rating Against HAA Pequest **
I certify tAat I have checked, verified, c~ confcm~ed to all MOA HAA Guidelines in effect
on the date of this inspection.
Signed ej-~ ~. ~ Date S/;I/,9¥
KBi/d5/s
[Page 2 of 2]
437 "E" STREET, SUITE 200
ANCHORAGE, ALASKA 99501
BILL SHEFFIELD,. GOVERNOR
Telephone: {907)
Address:
274-2533
September 11, 1984
Mrs. Susan Oswalt
Department of Health &
Environmental Protection
825 "L" Street
Pouch 6-650
Anchorage, Alaska 99502
Dear Mrs. Oswalt:
Subject: Pre-73 Regulations
Lot 7, Block l, Aspen Highlands Subdivision
Per Theodore Moores' request for interpretation of State Code per subject
lot.
At the time of installation of subject wastewater system, the State of
Alaska did not have regulations providing set-back from surface waters.
The provision at that time prohibited only direct discharge to surface
wa te rs.
Sincerely,
~r
JFH/msm