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HomeMy WebLinkAboutT12N R3W SEC 35 SW4SW4NW4LEGAL DESCRIPTION LOCATION klo pLmrr- 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 Well Absorption area Dwelling PERMIT NO, oq'5 o DISTANCE TO: Liq. capacity in Manufacturer gallon DISTANCE TO: IF HOMEMADE: NO, OF BEDROOMS No. of compartments Liquid depth Dwellb~g PERMIT NO. Well Foundation DISTANCE TO: No. of lines Length of each llne Total length of lines Top of tile to finish rade Material beneath tile Material Nearest lot line Trench width Liquid capscity in gallons PERMIT NO, Distance between lines inches Total effective absorption area inches PERMIT NO. Width Depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO. Sewer line Septic tank Absorption area(si DISTANCE TO: DISTANCE TO: Depth foundation OTHER PIPE MATERIALS SOl L TEST RATINE INSTALLER REMARKS DATE 72-013 (Rev. 3/78) LEGAL PERMI ]' NO. J'"Jl_lJ'-.I I C: I PIlL ! T"~' Ii_IF i::ll'--ICHmDRIlOE DEPARTMENT O'~-~'HERLTH AND ENVIRONMENTAL r'-"~'.rFECTION 825 '"L STREET., ANCHORAGE., AK. qqb ~ Ri CHARD COR]'IS MERE:EDES LANE _-.,~,.., T'~2N R-~W PRRC:EL 16 SRA BO,,, ~4L LOT SIZE 108900 Sg!UARE FEET · ,_~ ...... ' ':: ....IS: I"T'PE ElF 'qOIL 8B-,ORB] IuN -':,t'_,IEI"I TRENC. H ~ .. ~ ..-,O FT/BR)= ~L50 flH~..IML'' 1 NUMBER DP BEDROOMS = -< SOIL RATING IHE REQUIRED .~I,:.E OF' THE SOIL ABSORPTION S~t'STEM I=,. [-'31 ~ ~';;;' "il "H= '~;' L E I'-.I I~ T H: 5? II3 I~-': I'~ '-,.' E L r>E P-I'- H == ]HE L. EN~I'H DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A 'FRENCH OR PIT IS THE DISTANCE BETWEEN 'THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). rHERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE HND 'IHE BOTTOM OF THE EXCAVATION (IN FEET). RE:C-:IL, 12 J:,~:E[:, SEP"I'" 2[ C: 1- il l'-,~ l'<~ $ ~ ZE= $~C~:~ ~3HLLOt~S PERMIT 8PPLICRNT HAS THE RESPONSIBILIT't' TO INFORM ]'HIS DEPARTMENT DLIRING THE iNSI'RLLHTiON INSPECTION~ OF ANY WELLS ADJACENT '1-0 'THIS PROPERT'~ AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE, "TNCI ( 2 ) I NSPEC:"r I ~S,l'-,~S I:-IRE REIJ~IJ I RE:E:, BFtCKFILLING OF AN~? _~'..~TEM WITHOUT FINAL INSPECTION AND APPROVRL B'?' 1HI_, DEPAR'fMENT WILL BE ~;OB.JEf'J'I' TO PROSECLI'f'ION; MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET FOR 8 PRIVATE WELL~ OR ±50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON ]'HE I!~PE OF PUBLIC WELL. O'IHER REQUIREMENTS MA~ APPL~. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS 8RE AVAILABLE TO INSURE PROPER INSTALLATION. I CERI'IF¥ THAT i: I AM FAMiLIA~.'. WI'TH 'fHE RE~UIREMENTS FOR ON-SITE SEWERS AND WELLS AS SE]' FUR tH BY THE MUNICIPALI"F~' DE ANCHORAGE. ~: i WILL INST8LL THE S'~STEM IN ACCORDANCE WITH THE CODES. ]:: I UNDERSTAND I'HBT THE ON-SITE SEWER S~STEM MR~ REQUIRE ENLARGEMENT IF THE NF'PL I CRNT RICHRRD CURTIS MUNICIPALITY OF ANCHORAGE .DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION SOIL[; LOG - PERCOLATION TEST SLOPE SITE PLAN TEST WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT -DEPTH? Reading Date PERCOLATION RATE TEST RUN BETWEEN 8 L ime T me Water [minutes/inch~ ~FIED BY: GP~TER ANCHORAGE AREA BOROI~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: DISTANCE FROM WELL .MATERIAl LIQUID CAPACITY / '"~- ~ ~) GALLONS. ,;.~7~ 9"~'~-/ NUMBER OF / ~,~/"/~/~-~ COMPARTMENTS ~/~/~ ~4~ /~) LIQUID INSIDE LENGTH INSIDE WIDTH OEPTH_~ SEEPAGE SYSTEM: SEEPAGE PIT: D I ~N~R.~ON~W E L L NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA ~WALL AREA SQ, FT. TILE DRAIN FIELD: ~ ~ TOTAL LENGTH ~ i · ~/~/ ~.~. , OF LINES ~//~) DISTANCE FROM WELL J/~'f~ . FOUNDATION ~;~ . NEAREST _OT LINE NUMBER OF LINE~ J DISTANCE BE1WEEN LINES_ TRENCH WIDTH :~' ~ IN. TOTAL EFFECTIVE ABSORPTION AREA ~' ~/~ SQ. FT. LENGTH OF EACH LINE /~ ~ DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE ~t. N ABOVE TILE /~-i (~ ~(¢.~/~ ~ DISTANCE FROM /~ ! WATER ~ WELL: TYPE ,14. DEPTH , BU LDING FOUNDATION SAMPLE NEARESI ~ NEAREST ! SEPTIC .~)~" SEEPAGE 9c~ OTHER LOT LINE , SEWER LINE ~ , TANK . SYSTEM CESSPOOL . "~ . SOURCES DISTANCES: DIAG RAM OF SYSTEM A p p R O V~E~I'~/~ ¢~-'~ /~'k~-.~ HEAL[H AUTHORI[Y -. GREATEI "ANCHORAGE AREA '. OROUGH" CaseNo. · ~ HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS S~ ~' A- :~o~' ~'-,-"' LOCATION OF INSTALLATION~'~ L~V~:~ 0.~ ~, LEGALDESCRIPTION~*-,~L:~ }~ ~'~ ~ ~ ~o~ ~ APPLICATION TO NSTALL SEPTIC TANK /~ .SEEPAGEPIT~,DRAINFIELD~,OTHER TO SERVE THE FOLLOWING FACILITY ~ ~-,~ ~,~ ~ FINANCED THROUGH " TO BE INSTALLED BY ¢ - PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION ,~//~/:~ ., , BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED · SEPTIC TANK SIZE TYPE SEEPAGE AREA DIAGRAM OF SYSTEM TYPE__ DISTANCES: Health Authority 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. DATE APPLI CANTS SIG NATU R E SUBJECT MESSAGE DATE SIGNED SIGNED SEND PARTS 1 AND 3 INTACT - PART 3 WILL BE RETURNED WITH REPLY. DATE POLY PAK f50 SETS1 4P472 ~GREATER ANCHORAGE AREA BOROUGH HEALTH DEPART!.!EN T ~ E 327 EA,~-I~, STREET ANCHORAGE, AI,ASKA 99501 · ~ ', / ~ ~ Date Performed Le. gal Description: Lot -~-Bl°ck~-~modzv~s~°n, ........ /"~- ~, ~ o .... s ~: So~ls Lo~ 7~ .Percolation Test Depth ~ ' . Feet Soll Chamacterls~ics Location Sketch Reading Date Gross Time Net Time Depth ~'~ H20 Net Droop Proposed Installation: ~eepage Pit ~' DPain Field Deoth Of lnlet ~J~ ~?.~ Depth To Bottom Of P~t Or .... % ......... ~=~ . ~ .~ , Data Certified By: _~-~ ~ ,. ~ OJ. OU ~., Date. ~,..~=._~0.~. / ,., / ...... ~ ......... MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# ~'~]7- ~ ¢/~- C? /.. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address , Lending agency Mailing address Agent Address Day phone Day phone NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water Unless otherwise requested, HAA will be held for pickup. NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer ,/,- If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~)25(Rev 1191) Front MOA#21 STATEMENT OF iNSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verifythat 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. NameofFirm '/'--~,~/:)~,e~ ~O_,~p~, ,.i~L[,~.~.,,.~;) ~'~ ~ Phone ¢¢--'7'~'-%'~i 6.. Address Engineer's signature 'T~ DHHS SIGNATURE Approved for ¢ Disapproved. Conditional approval for bedrooms. Date bedrooms, with the following stipulations: Additional Comments 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,  Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SER~ E IV E D Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501 · (907)~/14A3~7fA ]996 Munic pality of Anchorage Dept. Health & Human 8e~lees Health Authority Approval Checklist Legal Description: ~'~qlS~qtN~HI ~ ~ ParcelI.D.: Ol 7-- ~ q~ -0 ~ A. ~LL DATA Well ~e ~5 If A, B, or C, attach ~EC letter. ~EC water ~stem number ~ Log present (Y/N) ~x~ Date completed [ q 70 I Total depth ~ 6q ~ Cased to ~ .t?//> Ca~ing height (above ground) Sanita~ seal (Y~ ~ Wires properly protected Date of test q' $q' 9 Static water level ~ 7 Well production g.p.m. ~' g.p.m. Bo L] . Other bacteria Collected by: WATER SAIvlPLE RESULTS: Coliform C~5 Nitrate Date of sample:, q- g 9- ~ ~:- SEPTIC/HOLDING TANK DATA Date installed / q 70 Tank size ]~-¢OqeINumber of Compamnents [ Cleauouts (Y/N) . Foundation cleanout (Y/N) ~x~ Depression (Y/lq) M High water alarm (Yfi'q) ~"} Date of Pumping q~.~/t~ (~, Pumper ~oJ'* ¢oo4~/" ABSORPTION FIELD DATA Date installed ] ~ 7~ Length 7t~ t Width Effective absorption area ~ ~ Date of adequacy test q' ~q' q & Fluid depth in absorption field before test (in.); Fluiddepth I1~ t{ (ins.) Ml~s later: Peroxide treatment (past 12 months) (Y/N) [, ~ ti Immediately after {~t~) gal. water added (in.): Soil rating (g.p.d./fi2 or ftaPodrm) ] ~ 0 System type ~ I Grave[ thickness below pipe ~ 1 Total depth Monitoring Tube present(Y/N)' 7 Depression over field (Y/N) Results (Pass/Fall) ~'~ For ~ bedrooms Absorption rate = ? b6'h~ g.p.d. If yes, give date '1'4//_~ D. LIFT STATION Date installcd NoNV- Size iu gallons Manhole/Access (Y/N) "Pump on" level at* ~'Pump ofF' level at* High water alarnl level at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holdingtankoalol ~'7 ?~t~.~4~/gt,~ ; On adjacent lots Absorption field ou lot CZ ~ ¢~l~D~,e._ ; On adjacent lots I / Public sewer u,aiu N 1~ l/l ,0._ Public sewer manhole/cleanout ~'~ Se,vcr/scpticse ,ccfine ,> ~ station ~ ~ ~ ~ s~PAR~o~ ~s,~c~s ~ou s~ic/.o[~ ~ o~ [o~ to: Boilding foundatiou ~ t Prope~y line ~ ~ O t Abso~tion field Water maitffse~ice fine ~ ~ Surface water/drainage t~ o ~ Ca Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundatioa gl~ Water mai~ffservice line Surface xvater N o ~ ~ ~ ~ 'g Driveway, parking/vehicle storage area Curtain drain N~IdZ Wells on adjacent lots F. ENGINEER'S CERTIFICATION Property lille I certify that i have deternlined thr tfield inspections and review o in conformance with MOA IIAA guidelines in effect on this date. ,o' Signature ? "~': ' ~ ::" ' Engineer s Na ne ~ ~ .e M Date /I / ~ ~ HAA Fcc $ ~Otb ~(DC> Waiver Fee $ Date of Payment Receipt Number _ Date of Payment Receipt Number Rev. 8/95 eSS: haa.wk.doc T.SPURKLANI) P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 Subject: HAA SW4, SW4,NW4 Sec 35 Tl2n R3W PID 017-092-06 RECEIVED MAY 1 4 1996 Muoic~pality of Anchorage Dept. Health A Human Services Gentlemen; This property is being sold and a HAA is requested. The Muni flies are confusing and conflicting showing a system installed, inspected and approved in 1970. This approval was rescinded in 1975. In 1978 a permit was issued to install a 4 bedroom system based on a soil log dated Sept. 28. 1978. A note on the permit indicated that the installation was inspected on Oct. 4, 1978. The inspection report shows a 75 foot long trench connected to an existing septic ~ank. No informatinn on the trench is given except the length of 75 feet. The permit called for a total depth of 7 feet and 4 feet of rock. This system was tested by S&S in 1989. The report from S&S states that a monitor was installed at that time. A field inspection on April 29, 1996 found the tank, a trench clean out and a monitor. This monitor was not connected to the lateral distribution pipe. Water was found 5 feet below ground level. The trench cleanout was 4 feet deep and dry. The ground between the cleanout and the monitor is level. Tank was 10 feet deep with 7 inches of liquid. The distance between the trench cleanout and the well was 98 feet. It could not be established if the cleanout repre, sented the beginning of the trench. After 500 gallons was added to the trench water started to flow back into the tank. The water level in the monitor had risen 13 inches. No more water was added. 16 hours later the water depth was 18 inches again, indicating that the 500 gallons had been absorbed. , ::~ /~' '~ Yours T. Spurkland P.E. CT&E Environmental Services Inc. Laboratow Division r~,'~,'.~,'~,~,-.~-~r.m-'.~'.,~.~'.,~,'~_~,-~.~-~~,- ~'.~'j~jjjjjjjjjJ~JJ~ Drinking Water Analysis Report for Total Coliform Bacteria 200 w. Pot,er Drive Anchorage, AK 99518-1 605 READ INSTRUCTION$ O:V R~VERSE SIDE BEFOPo5 COLLECTING SAMPLE Tel: (907) 562-2343 Fax: (907) 581-5301 w^TER s P, ER 13 PUBLIC WATER SYSTEM LD. # ~ PRIVATE WATER SYSTEM (2 Send Re~ult~ 0 Send lnvoice 0 SendResultJr 0 Sendlnvoice SAMPLE DATE: ~ ' SAMPLE TYPE: (~NRoutine Repeat Sample (for routine sample with lab tel no.. ) (2 Special Purpose SAMI>LE LOCATION Day Year O TreatedWater O ~ntreated Water Time Collected Collected By Date Received Time Received Analysis Began TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: · Satisfactory Unsatisfactory O Sample over 30 hours old, results may be unreliable 0 Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Analytical Method: ~ Membrane Filter (3 MMO-MUG * Number of colonies/100 mi. ......... Result* Analyst Sent to A.D.E.C. ~. Fbks Jun Client notified of unsatisfactory results: Phoned Spoke with Date:. Time: BACTERIOLOGICAL WATER ANALYSIS R. ECORD Faxed Faxed MMO~MUG Result: Total Coliform Membrane Filter: Direct Count E. Coil {~ Colonles/l O0 mi · Verification: LTB BGB COLIFIRM Fecal Coliform Confirmation Final Membrane Filter Rest}~s Cofiform/100 mi R.ported.z ./24z 1~.J~T\3/.¢'ie''T'A''')H~. TO FOLLOW Olde tg~-d hr, CT&E Environmental Services Inc. Laboratory Division ~~,~'~7x7~ Laboratory Analysis Report CT&E Ref.# 961521.961521001 Client Sample ID SW4, SW4, NW4, SEC 35-01 Matrix Drinking Water PWSID 0 Collected Date 04/29/96 Technical Director: Stephen C. Ede Released By ,,r-- ' ~:j ~?~ ? ~ Sample Remarks: Results QC gual PQL Units Method Nitrate-N 0.100 U 0.100 mg/L EPA 353.2 Allowable Prep Analysis Init Limits Date Date 05/01/96 EMB U - Undetected LT - Less than GT * Greater than D - Secondary Dilution J o Below the calibration range 200 W. Potter Drive, Anchorage, AK 99518-1 605 -- Tel: (907) 562-2343 Fax: (907) 561-5301 3180 Peger Road, Fairbanks, AK 99709-5471 -- Tel: (907) 474-8656 Fax: (907) 474-9685 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA  '~ 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 NAME PHONE [] NEW ~ ~ Manufacturer Material ND. of compartments ~ ~ DISTANCE TO: ~ ~ss ~ Depth Driller Distance to lot line PERMIT NO. OTHER INSTAELER ~ ~ ~ .[ 72-013 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE ~IENT OF HEALTH AND ENVIRONMENTAL PROTECTION SOILS L G -- PERCOLATION TEST PERFORMED; SiTE PLAN WAS GROUND WATER ~ S ED? '~'V~ L O E -.-, IF YES, AT WHAT -DEPTH.;' - . ~ : Gross Net ' , Depth to =ERCOLATION RATE (minutes/inch) TEST RUi~} BETWEEN - CT AND -- FT FlED BY: Rick Mystrom. Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O, Box 196650 Anchorage, Alaska 99519-6650 July 15, 1996 Tobben Spurkland, P. E. 203 West 15th Avenue #203 Anchorage, Alaska 99501 Subject; Waiver Request for T12N R3W Section 35 SW 1/4 SW 1/4 NW 1/4 Waiver Request # WR960031, PD/tO 17-092-06, HA960176 Dear Mr. Spurkland: Your request for waiver(s) of the required 100 foot horizontal separation of an on-site wastewater disposal system to a private well has been approved. The approved separation distance(s) are a private well to the leachfield of 98 feet. These waiver approvals apply to the existing on-site wastewater disposal system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. If there are any questions or concerns regarding this waiver, please call our office at 343- 4744. Sincerely, Daniel J. Roth Civil Engineer On-site Services DJI~Ij m:waiver/Tasker ~UNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#~{n~[~% PID~ 017-092-06 HA# HA960176 Permit Date Received: July 3, 1996 Legal Description: T12N R3W Section 35 SW¼ SW¼ NW¼ Engineer: Tobben Spurkland, P.E. 203 West 15th Avenue ~203, Anchorage, alaska 99501 Applicant: Sue Tasker Waiver Requested: Private well to the trench of 98 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Y~ List Conditions or Reasons Waiver is NOT Granted: for above: ~ W~P Date: By: Reo Name of Reviewer Amount: $ c~C>,C%o Date Paid: ~7~? · 26'- 2~ ~ =.P2~- 2 2,0 2.0 T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Daniel Roth Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 June 24, 1996 Subject: Waiver Request SW1/4,SWI/4,NW1/4 Sec 35, T12N, R3W PID 017-092-06 Gentlemen; Per your request we are applying for a waiver of the separation distance required between a residential well and a drainfield. We are requesting a five foot waiver. We also request a waiver for the 25 feet separation beween the well and the sewer service line. The actual separation mey be 15 feet. A field measurement shows a distance of 98 feet between the well and the standpipe to the drainfield. One can safely assume that the standpipe def'mes the beginning of the drainfield within a couple of feet. The well and septic system was installed in 1970 and was approved by the Health Department at that time. The well log for this property has not been located, several wells form the general area have been found to be used in the evaluation of this waiver. The locations of these wells have been highlighted on the accompanying "Taxi Maps" The justifications for granting this waiver are: 1. This is a minimal encroachment. The standpipe to the trench is 98 feet from the well. 2. Water samples taken in 1998 show undetectable levels of Nitrates and no E.Coli. A similar sample taken in 1996 shows identical results. Undetectable Nitrates and no E. Coli. 3. The well logs from the surrounding area shows hardpan and other restrictive layers between the surface and the waterbearing strata. There is a high likelihood of no downward flow of any contaminants. 4. The ground surface slopes away from the well. Overland flow of sur face contaminants originating at the septic system location will flow away from the well. 5. It has been shown repeatedly that f'me grained soil is very effective in treating and filtering household wastewater. A four foot vertical separation to groundwater is generally accepted as being more than adequate to protect the groundwater from septic system effluent contamination. The 98 feet separation to the well is 24 times more than the minimum required vertical separation. The possibility of contamination of this well should therefore be more than highly unlikely. 5. Conclusion: 1. Water quality sampling of the well shows that contamination of the well is not taking place. 2. Inspection of the well log(s) bears out that surface contamination of the well is prevented by several impervious layers. 3. Surface topography prevents any possible sewage overflow to reach the well casing. The four foot encroachment of the septic tank does not compromise the water quality of this well. T. Spurktand P.E. MUNICIPALIIY OF ANCHORAGE ENVIROI',~ENTAL SERVICES DIVISION JUL 03 1996 RECEIVED 50 0 50 100 150 £00 ~50 300 SCALE: l' = 100 FT, TOBBEN SPURKLAND P.E. 205 W 15TH. AVENUE ANCH, AK. 99501 SEC $5, TI2N SUE TASKER WAIVER REQUEST DATE: JUNE 24, 1996 SHEET: I\ 1 GRID: 3058 I --__ ~. ~*o ~ I Z-~ 5911 6001 14150 -- £. 142 AVE BJNNY SLOP~- S JB )) '~ 14400 14401 ' / : GR. 3038 254 DeArmoun Area Reference Map--P14 263 -~*~- 265 264 272 © COPYRIGHT 1990 JMR A REXVIEW 15201 TERRACE SUB E- 156 AVE. --~ I EUZABETH (VERY ROUGE) II 15401 1550i 6 § DeArmoun Area Reference Map--P14 264 271 ~(~.- 273 277 GR. 3138 272 © C¢,PYRIGHT 1985 JMR 5401 E. 142 AVE. 5720 RIVERTON E. 145 AVE. WOODHAVEN AVE. 263 {~ COPYRIGHT 1985 JMR 253 262 -<~)>- 264 271 DeArmoun Area Reference Map--P14 GR. 3037 !A~ION OP WI~LL · · DF~PAI~'~ELINT OF IqATU~LAL DIVISION 0P GE0h00ICAL AND WATER WEbL RECO~ WI~LL D~PTli: I DATE I :/tfiAstmz~~ voz~T: ~o~" ~ ~in~ 0~' eo~o~ Depth O~ hole: Depth REi~RKS: METHOD OF D~%Ir,LTNG; '~ir rotary [~cable tool USE OF WELL: ~domest'io ~irriga~io~ ~monitor ~ publio 8~%pply ~ CA$.~NG: St. iok-up__.~t. Diam: ~ WELL INTAKe;: ~ op~n odd ~scro~nod porfo~ated ~opea hol~ Depths of openinqs: ......... to SCR~JEN TY~q Diam: .in __ Length: Volumo uaed~_. -' Depllh to top: ..~..ft af~ ._hfs p,ll~ping~ PU~ INTAKE DEPTH: ..... ft Horsepower: Date Pump In~tal.[ed WATEI% CI-IEI,{~STRy $A[4PLE TAKEN? ~ yo~ ~no _~911 ..diolnf~cte~ upon co~pl. .PLEASE MAIL WtlITE COPY OF LOG WITHIN 45 DAYS TO: DGGS PO BOX 77-2116 AO.L~., RI'VER, AK. 99577 ~,...~jWATER WELL RECORD- STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geologicol 5 GeophysicolSurveys Drilling Permit No. A.D.L. NO. I-~-'~,JBorough Subdl~i,ion Lot Block Ib~,] '/4qtr$. Section NO. TownlhipN[~ Bongo [~ Address: ~.0. BO~ 4-2882 ;mchorage, ~l~.~k'a 9950 Tl].[: (';fey z~'d h~rd. 0 1~1} e. ~,:Oabl. {oo{ ~Rolary ~Drlven ~Du~ Zi . ,.r, eh;, 7. USE: ~ Dom,,,ic ~ P.bllc Suppty ~ Industry ' Gm ~ Z I2.GROUTING Well Grouted: :~ Yes ~ NO ~ ~g Molerial: 0 Neet Cern.hi m Other: 1 ~ ~ ~Q Length of D~op. Pipe fl. ~ ~ 0 Oenlrific~l 00lher {:oss ' - .... · Ak 0758 ~'~ Address;.'.::;2 F.o. '~'Sb') Horthv,,)od~ ~i'. chuAi.d':, Ai~.gA;a 3)')67 - ~ TER WELL RECORD STATE OF ALASKA · ~- J ~{{~ ~ ~.,?~-'-~'" ~- ' . OEPA~TMENT OF NATURAL.. RESOUE~S~ , ~{._ ~ivlsion ~l ~eologic~l a ~eop~yslcol Surveys ~l~bdlvlllon J Iai llo~t ~ I/dqltl' Section No. TownlhlpN~ Range' E~ Meridian , ' ANO~j.O RECTIOH FROM ROAO NTERSECTIONS S. OWaER O~ w~c~.:vlnc~Lev~o Bldg. .~/~.-'. -~---I-, ~"""" aD -....-?.. '~ ~o.:-., ~, ?~{.'~o~ ~ i h~a. ~ ~ ~. ' ..~..--~'~: ..... AISuVium~rey ~ soft. 1 6 ~ 1 7. us~;.~ oo~,,,,~ . . and ha~. ~ h8 a. cA~,~e, ~ v~.~s~ ~w.,s~s ~ .~i}~L:, , ~ · dlam, In. lo fl. Depth Sllekup .... ~llfi~fd'mS"~.bro',;n and sort. ?. ¢'3 $'FI~HSHOF WEL~*o:~en hole/~:erforatod- :~&~Gr~el: brown, vd. th ?;.~;~ '~) ~;~. Type: ~"~';,~ . Diameter: ' ~oc~t~I~ght .grben ~n,. hard, ~:,~ .. .ae,~,...e . ID. STATIC WA~Ee LEVEL=' ' 18 ,t.~ r~'lO/I~./8, ~~"~k~<:.~,::..-~I - ".:-';~.:::: .'--' · ....... ~ .......... E~..,o~...v .}~A~~,~..-,~,.J.. ..... -_ ., ~ ...... . 8~ ft. .':after :~"~hr~.~;pumplng;e~"$g.P-~,'~,:~;- ~,. . ....... ~.~ . ,..,.;after ' .~.~..~.~ · .... J ' ~., .... ,, .... ., .~, .. . _. , ..... ~..~%~,~?~., ,:..,.,~.. ...... I ...... ]~:)x 7~80 ?~,;rth';:t.),;" .. C.~tt?'t.-:~ .... ')9507 --~i~TA'.~~ANO o,.~,o.~.o~--.°~ ,.~.~,o.~ ~. ow.~. o, w~= ..... "..L.~. ' '.. ~:, ~.4,'~. · · ' · ~a~ JO~/~l~n~' , .. ~4~,e:~~''':::'~" ' . ' P 0 ~e~ ~I[;~.*,-,~I~ , , · . · . · . , ........~ · I ..... . , . :.. . .... ,. ~ ..~.~ .~,~,,,Gravel: ..gre~ and modiu ,~,.t~:,.~4:.; ,.. , . : ~ ,r .. · · · .. ;..:.: ~-:.:~... ~"~i~% ~'~%~:'~ELL CONTRACTOR'S OERT F CAT ON ' ' ' ' ' ' ' " o '''"' :' "" 1' ' I:"~' ~o~ ',' z,i:~ z ~.nr, ~A 07~ ::';~;,~.~;':: -.;'~ ,., t - %...~-. :. ':..:'.../ · :j~:~ ..:::;~'"~' .:, .t;.~. ~ ,. . ... . · ..... . .~ .. · ~:;~¢:.~':.:;~t~.. '::~; : "~:" '" ' ' .. . -; ' : ·" ' · :. '.'. ' · '..'- ': · ~'.:? ' ', C;'/"~.:',-:::?,".'- 1~.'.'.01 Eamona 1St. 99515 ANCNOI~AI~Et ,%/.ASEA WATER WELL DRILLED ......... OUT TO THE DEPTH OF. 193 Feet. AT THE RATE OF $22.00 PER FOOT. Steel casing seated out to PROPERTY OWNER ?'.r. & ~.~rs. (Terry & Eonna) ~uirk 349-3964 193'. LOCATION OF WELL SITF Lt. 12 Bl~. 1 Seaturn Sub. DRILLER Bernie Claus oi' Rampart Drilling ~'~orks. WELL LOG: 0 - 24~ S~lty sancty fine gravel. 40% dry to slightly wet clay. :24 - 68'' Coarse gravel with 40% clayi 8 - 125'Earapan.' ~'~ A cement&d gravel with se. veral, small boulders. 125 - 178' A wet clay with 30% coarse gravel. No good water aquifers. 178 - 189' A wet brown clay coming into a fine water bearing gravel. · ~ 189 -.1 ' ' ~.~ ~ 93 Good water bearzng coarse gravel. Fine sand was developed out ~ of the water aquifer after several hours of pumping. Finally, the water quality is quite good. in add'ition, the water quantity is tremendous for. a single family home. We pumped pneumatically at 30 gpm, 50 feet off bottom. A 3/4 horse submersible pump can be installed down to 120 feet & pumped at 15 gpm if needed. Water recovery .comes back up to %,~thin 80 feet of suri'aoe. T6tal cost of drilling is $22.00 per ft. x 193 feet: $4246.00 $2,000.00 paid on this Well iritially. %To mob or set up cost. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLP.~'ION OF SAiD DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM.OF ~2,246,0o : i THANK YOU VERY MUCH. DAT~ ..March 17, 199E ~AM RKS SERVICE CHARGE O [= 1½% PER MONTH WILL BE ASSESSED ON PAST, DUE ACCOUNT~, WATER WELL RECORD STATE OF ALASKA· ". DEPARTMENT OF NATURAL RE:SOURES "' '-:' DivisiOn of Geologlcol & Geophysical Surveys), · (Pleel, ¢omplele all.er Io, lb or lc.) A.D.L, NO. .:" · __of__of__of__ $0 WI'-] .' ~. 9=2 J... z s,, ~,~.,.a ...., ,.. , 15. Waler Temperefure ~ ~ F ~ C . · J~rls'~lcHon driHe~/pn,~e~, end Ih[s~eport is Irue to th best of y know~edge ond belief; ~,.-~.~. ~.~,..c,*~t':~-~'. ~_ ~}~¢ ~ .~,.-~., ..% ./~ ~ ff ,~ . ~,~,,, :... .- ._.: ~...:,....,..~. 1405 We~t 16th Ave. Atiska 90561  DRtLL LOG CASING 'DRILLING ~-": ' J' + · ~o,., ~ z ~ 7 co z.~~ ' I ~ ~ ~ ~ '/~ ~o ~U~,r~, ~o/ ~,- - MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Comp]ete all parts on page 1. Incomplete requests will not be processed. PJease allow ten (10) days for processing. t. PROPERTY OWNER MA, UNG ^DD~ESS PROP~'TY RESIDENT {If different from above) 2. BUYER PHONE PHONE 3. LENDING INSTITUTION I PHONE MAI LING ADD R ESS 4. REALTOR/AGENT [ PHONE MAILING ADDRESS TYPE OF RESIDENCE ~UMBER OF BEDROOMS ~ One ~ Four ~ Other~ ~ : ~ Two ~ Five SINGLE FAMILY ~ MULTIPLE FAMILY ~ Three ~ Six 7. WATER SUPPLY J~ INDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth {attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date If system (s over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS ' TIME TiME TIME DATE DATE DATE I NSP ECTOR ]NSPECTOR INSPECTOR DIRECTIONS; I. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E~INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INETALLER []Septic Tank or [] Holding Tank Size: ~"~ If Tank is homemade BOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL ~A~b o~rrp~ ,~ 4. DISTANCESwELLTO: Septic/Holding Tank s Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR . BEDROOMS [] CONDITIQNAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) September 21t 1978 Willy Brooks ~rston Property Management 2804 ~Test Northern Lights Boulevard ~nehora~e, Alaska 99502 Subject: T12N R3W Section 35 SW~: S¥~½ (Parcel 16) Dr. Richard Curtis Property Before an upgrade woul~ be t~ssible a new soils test would need to be p~rformed. The existing soil %est does not meet the existin~ ~tandards and if the system is to be upgraded a different ~ype of soil could l~ssible be eneounteredo If the soil is the sa~:e, the upgrade would include sixty-four(64) feet of trench approx~ately twelve(12) feet deep with six(6) feet of gravel backfill. If there are any further questions, please contact this office at 264-47~0. Sincerely,. Robert C. Pratt, Sanitarian RCP/ljw Department of Environmental Quality ~ ~. 3330~.~' Street, Anchorage, Alaska 99503 274-4561 :~ ~' Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address:,~'~ ~' 2. Property Owner: ~-y-~ Mailing Address: Phone: Phone: 3. Legal Descriotion:~///~/~'-~5~z),~'9(O~qy,/~//~/ ¢)+r~.~- ~7~/~v ~) 5. ~ype of facility to be inspecte~ ~ ~. ~. No. of bedrooms 6. Well Data: A. Type ~ ~ B. Depth D. Bacte~al An~l~sis~ c. co. t uc io 7. Sewage Disposal System:~ ~;y,,) A. Installed ~/~- ~o~staller C. Septic Tank: l. Size/~o~, 2. Manufacturer ~ D. Seepage Pit: 1. Absorption Area ~o~/ 2. Material / E. Disposal Field: Total length of lines ~ ~ ~ Distances: A. Well to: Septic tank .9~_5~/ , Absorption area Nearest lot line ~_-0/~ , Other contamination B. Foundation to septic tank .5~0/ , Absorption area ?o°/ ., Sewer Lines C. Absorption area to nearest lot line EQ.-034 (1/74) Page 1 of two pages · age 2.of tw6 pages - Re(X~st for Approval of~ Individual .~:-~r & Water Facilities ? JLeg.al · Oescrl pti on Comments -~~, F~2~:2~2-~/.~: ~2-~'~-~ ~ ~/'~-~ . . Approved~--~~~_ Disapproved Date ~/~/7~. . Aoproval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained-in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74~ GREATER ANCHORAGE AREA BOROUGH~(/~"~ DePartment of Environmental Qua/~ity 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 I NDIVID AL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA 2. Property Owner: ~,~0~ 3rC~o',[ Mai.ling Address' S~r,~' ~]r A t~l~oy. ~-~-~s Day 3. Name of Buyer: CONV X Phone Mailing Address: Day Phone Name of Lending Institution: Mailing Address: Name of Realtor or.Agent: Mailing Address: Phone o Legal. Description: Location: -t~. ~ ~ ~:~C~ ~J Type of Facility to be inspected: ,/Ok.,.. £ (}.~,"',¢ . No. Bdrms. ~// Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well ~, 9. Sewage Disposal System Type of System: Public Utility Individual If Individual, date of installation ~n/~m,, /~)m / (on-site) EQ-037 (]/7'4) october 23, i97~ ~a~i-~rian October 9~ 1975 THE FIRST NFtflONflL Richard ;~. Curtis SRA Box 465 Anchorage, Alaska 99502 Re: Loan No. 01-310-308383-7 Dear Mr. Curtis: The enclosed lette~ from~the Greater Anchorage Area Borough Department of Environmental Quality was brought to my attention yesterday by Mr. Les Buchholz of the Greater Anchorage Area Borough. As your loan was closed on July 30, 1975 we were unaware of this problem. The Federal National Mortgage Association accepted your loan based on a inspection report dated May 23, 1970. ^ new regulation has come into ef£ect since that inspec- tion. Had we been aware of the problem, money would have been escrowed at the time of closing to insure the upgrading of the well. We request that you contact Mr. Buchholz at. 274-4561 and determine exactly what is needed to upgrade your well. Si~ncerely, Wayne A. Williams Assistant Cashier WAW/lp CC: Les Buchholz GAAB 3300 C. St. Anchorage, Ak. 99503 The First Nalional Bank of Anchorage* P.O Box 720'~ Ancho~ac~e, Alaska 99510 August 5, 1975 First ~atfonal P.O. ~ox 7gO Anchorage, AK Bank of Anchorage 99510 SUBJECT: Richard Curtis Property, Sec 35, T12~, R3W, $~ 1/4- of N~ 1/4. Dear Sir: Sewer and water facilities were inspected at the subject pro- perty on July 23, 1975. The sewer fac!llties are;approved, although a standpipe should be installed in the septic tank. The well t)as a construction discrepancy, and must be upgraded through installation of a day light drain approximately 30 tnchbs in length. This Department will grant crowed for the uell upgrade ember 10, 1975. Sincerely, temporary approval if funds are es- and a completion date set by Sept- Roll R. Strtckland Chief Sanitarian RgS/sr