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Home My WebLink AboutT12N R3W SEC 33 LT 58A MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE sEwER AND WATER FAC LITY ~'!::'i , , :: ; ~264'4720,,, ' :': ,' :" 1. GENERAL INFORMATION . (a) Legal Description (include lot, block, subdivision, section, township, range) ' ' [ ~r ."~L,~:. c~-,- ~'~A....<'c~-' :3.3" e"/~V'/ ,~s"-g . (c) Applmant ~s (cnecl(one) LendinB Institution ~ Owner/builder ~; Buyer ~ Other ~ {explain); (d) -ending nstitbtioh'~' ~,,b ~ '~(Y~. g~ ~.~ · , Telepl~one ~,, (e) Real·Estate Company and·Agent ' ~,~ Address Telephone (f) Mail the HAA tothe following acl(:lress: .'~' 2 TYPE OF RESIDENCE Single-FamilyF[~ Multi-Familyj [] oihOr '.' ' '~ ' Number Of Bodrooms~ ' ~ 3. WATER SUPPLY Individua WellI~ Community [] Public [] Note: If community well system, must nave written confirmation from the State Department of Environmental Conservation attesting'to the legality ana status. -.. Onsii~ 'Public [] ~'igom~unity [] ' R~lding Tank ~ ~oto: If commumtg W~ll systom, must havo wdtton confirmation Irom tho Stato DoDartmont of [nvironmontal Consorvatlon attestin~ to the leoality ano status 'j,;;: ' ' Page 1 of 2 ~'':' ;;., ~ 5 I~ ~ENG NEER NG F RM PROV D N~ · ',ISPECTIONS TESTS F LE SEARCH DA., &ND INFORMATION i';I ii: :., .. iAs 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 waetewater 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, ~lL/~ ,~/ ~,/ Name of Firm '-~S,S~ ~[~12~ ,~ ~Teephone ~ Address ~,7,'?-'E) ~ ~ ~ .... , , DHEP APPROVAL Apl;'oved for ./~'¢'~(~4Z.?bedrooms by Approved /~ Disapproveu Terms of Conditiona Approval Conditional CAUTION .: The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragreph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP, does this as a courtesy tO purchasers Of homes, anrd their lendi0g ,,: nsttutons nordertd'satsfyceranfedera andstate'req~ r~n3ents. Emp, loyfiesof,[~HEP,dq, nptq°,ndgqt~;gsp(~9~ggs0r!~ , ,ianalvze data before a cert f cate s issued The Mun c pa typf Anchorage s qot resp,oqslble, fo[ er,,ror~ or ???,(~,s., n th? ,. ,,, 72-025 (11/84) ' · ' , ~N¥1RONMENTAL PROTEcT/ON MUNICIPALITY OF ANCHORAGE (MO~i HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY t984 264-4720 Legal Description: _~."~x.f,."t ~ ,-~'~/'~ ,~'~-C-T .RECEIVED WELL DATA Well Classificatioq Well Log Present (Y/N) Total Depth %r,~ Cased to Static Water Level "~ ~ Casing Height Above Ground Electrical Wiring in Conduit (Y/N) .~' Separation Distances from Well: To Septic/Holding Tank on Lot qz/ ~'r To Nearest Edge of Absorption Field on Lot If A, B, C, D.E.C. Approved (Y/N) Date Completed _~ Yield _ · Depth of Grouting . /.'~¢ (~p.~ Pump Set At '"7"c ,CF Sanitary Seal on Casing (Y/N) ~- Depression Around Wellhead (Y/N) ~ ; On Adjoining Lots ~oo+ ~:-r ; On Adjoining Lots _ ~~:;o4' ¢I' To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by ~,~lt~'/~gl~--~-~,, _ '~.-~SE?~',i~f:'-~..~ ~o"n~ ; Date Water Sample Test Results _ Comments .%"~--'-~-_ ,.,4"~-~ ,4 ," U. ,¢~)~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot B. SEPTIC/HOLDING TANK DATA Date Installed~P,~ - !q~O_ Size ~ Standpipes (Y/N) .~ Air-tight Caps (Y/N). Depression over Tank (Y/N) _ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ,c:~.~ To Property Line To Water Main/Service Line _ No. of Compartments Foundation Cleanout (Y/N) _ Date Last Pumped ;for ,'g///~ Temporary Holding Tank Permit (Y/N) "'J~,Zl- -- To Building Foundation ¢,~ ¢'~ To Disposal Field IO ~-i- To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed _~=~- /~0 Width of Field Type of System Design Length of Field _ /~,'~-,,.~,,)J Depth of Field Gravel Bed Thickness Square Feet of Absorption Area (~)^;.~,~Jou,,l~ Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~-'~z:~b ~',¢,s¢~'~ Standpipes Present (Y/N) /~' Date of Last Adequacy Test (~/~/~ To Property Line _ :5-~,'h To Existing or Abandoned System on ; On Adjoining Lots /~ '~'~ To Cutbank (if present) /- z D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I i'zave..cheC,~ld .v. Crifi~d~or ¢~nfor med to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~e ~/Z'~/~('0 Company '"~5-p ~, kJ I M~A NO. Receipt No ~,~(.~ t~ ".~(~ ~ Date of Payment ~l ' Amount: $ ~'.~ ~L.t .... Page 2 of 2 72-028 (11/84) PHONE 344-0~26 INVOICE N.°. 1 5 2 3 DATE "~/~. ~ fL__ AMOUNT LEGAL DE'GCRIPTION DESCRIPTION OF WORK All clwrges shd/ be pall hi hl/I within ten OUT L;A'I'ZR %,~.:LL, TIf4T :ubutws .on. _J~u~ Lot: Block: Address: !nitJat P. eading on Meter: GA LLONS GALLONS /~ VOLUME 'I~DTAL VO[JJME ~o N~J?ES: July 1, 1986 RECeiVED Susan Oswald Municipality of Anchorage DHEP 825 "L" Street Anchorage, Alaska Re: BLM Lot 58A, Section 33, T12N, R3W, SM Dear Susan: Attached to this letter are the results (~ the septic adequacy and well test performed on said lot on June 19, 1986, and the appropriate Health Depar~nent forms. Also attached are the previous MOA approval (February, 1981) and the engineer's supporting statement. You will note on the MOA forms that the system was installed prior to 1960. There are no records that detail the dimensions of the septic system, nor is there a well log. According to the 1981 MOA approval (obtained when the present ho~]~owners purchased the hon~), an adequacy test was perforlm~d. A letter from the professional engineer who performed the test verified that the system was adequate to handle 600 gallons per day. (The adequacy test performed by our firm on June 19, 1986, agrees with the previous adequacy test results.) We are sensitive to the desires of the Department of Health and Environmental Protection to have all possible information concerning the sizing of septic systems and the separation distance between the ground water table and the septic system. However, in this particular instance, the septic system proved rr~)re ~]an adequate by accepting 600 gallons in less than eleven hours (the dispersion rate was limited by slow well production). In order to establish drainfield sizing, excavation of the drainfield would be required which might da~ge the presently working system. The installation of monitoring wells and the associated engineering cost would be considerable and would be berne by the homeowner. with respect to the separation distance to the water table, the surface over the drainfield is approxi~tely ten (10) feet ENGINEERING, PLANNING~ SURVEYING 2220 E. 88th Ave. /Anct ora.Oo, Alaska 99507 / I elephone 907~349 6401 / 344 13o2 "Providing a quality personalized service to those bdlding Alaska's future" Susan Oswald Page 2 July 1, 1986 higher in elevation than the road serving the property (East 144th Avenue). There is no sign of ground water adjacent to the road. Therefore, we conclude that the minimum separation distance of four feet between the bottom of the septic system and the water table is probably n~intained or exceeded throughout the septic field area. In conclusion, we are requesting approval of the well/septic systems without further excavation or ground water monitoring well installation. This request is based on the perforn~nce of the system as it presently exists, as well as on the basis of grandfather rights. Resepctfully yours, mgk/smh Attachments r"" INSPECTION APPOINTMEN'~S ~'~ ~'A'~ ,- T,ME TiME , T ME DATE DATE DATE MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION D~PT. OF H~.~L~;I 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 MAILING ADDRESS PROPERTY RESI DENT (If different from a~ve) ~ [ PHONE PHONE MAILING ADDR 3, LENDING INSTITUTION ~ PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RES'IOENCE NUMBER OF~BEDROOMS [] One [] Four ~: SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY '~ Three [] Six 7. WATER SUPPLY '~ INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY [] Other * 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 UTI LITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SlX [] OTHER 2, WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Varified []Septic Tank or [] Holding Tank Size: If Tank is homemad~ give dimensions: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER OATEINSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER MATERIAL TOTAL ABSORPTION AREA 4. DISTANCES WELLTO: Absorption Area to nearest Lot Line Septic/Holding Tank Absorption Area Sewer Line INearest Lot Line 5. COMMENTS [~-DISAPPROVED DATE [~"~PPROVED FOR .~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) 72-010 (Ray, 6/79) ALASKA E~F1UIROIlmE~FITAL COF1TROL $1~RUlCe$, IllC. ~n~ineerinq 6 ~nuironmental Studie~ 1220 LUest 251h Au~nu¢ o Anchoroqe, Alosko 99503 "{907) 276-1361 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Environmental Health Division CASE REVIEW WORKSHEET CASE NUMBER: DATE RECEIVED: COMMENTS DUE BY: Z-84-101 August 16, 1984 September 3, 1984 SUBDIVISION OR PROJECT TITLE; Lot 58A a s/d of T12N R3W Section 33 Lot 58 ~ fl ,' /.,, :I ?':~PUBLIC WATER AVAILABLE ,,1 (/[~ ~'i' PUBLIC SEWER AVAILABLE J ) COMMUNITY WATER AVAILABLE I / !l / THE 'MUNICIPALITY OF ANCHORAGE ZONING EXAMINERS AND APPEALS BOARD OF STax Assessing Applicant: ~r~ .hon. N~m~: l,~qZ-- Legal Description of Property Involved: Lot ~ Block Subaivis,on Present/Future Use of Property SITE PLAN REQUIRED· APPLICATION FOR VARIANCE ~/(~'/~>"~% ~o~,.~ ~Building/Land Use Permit This is a request for a variance from Section ~1,~/~, ,'~?D, ~. ,~.; 4W.~, 9f theLand Use Regulations Ordinance . DO NOT WRITE IN THIS SPACE Date Received: & -~C~_ <3~ / Receipt NO.: ~5~0 /~ Z.B.E.A. Case No.: Hearing Date:_ Approved _ Conditions: Date of Appeal: Hearing Date: Approved _ Conditions: Letter Sent: Permit Issued: DISPOSITION Denied Denied (See Minutes (See Minutes ' BEFOR'E A VARIANCE MA~' B~ GRANTED; THE APPLICANT MUST PROVE THAT EACH OF THE FOLLOWING SIX CONDITIONS HAV~ BEEN FULFILLED. ANSWER EACH OF THE CONDITIONS IN DETAIL, USING ADDITIONAL SHEETS IF NECESSARY~ The undersigned alleges that: 1 Spec acond t one exist which are peculiar to th e land struc~re of building involved and are not,applicable to other land/structures in the .same district, These special conditions are: ~ ~,to_j ¢,m~r¢' ~;.~l'/~i~[ ~ '-- 2. Strict interpretation of the provisions of the Zoning Ordinance would deprive the applicant of the rights common- !y enjoyed by other prepertiee in the same district under the terms of the Ordinance. These rights are: 3. The listed special conditions and circumstances do not result from the action of the applicant and such condi- tions and circumstances do not merely constitute a pecunian/(monetary) hardship or inconvenience in that: 4 Grantln of the var ance will be in harmony with the objectives of the Zoning Ordinance anq not injurous to the neighborhood or otherwise detrimental to public we fare for the fo lowing reasons ~ 5 Grantln of the var a~e will not permit a u~e thai,18 not otho~ise permitted m the district m which thep P Y ,] q , R Thn/vnri~e arante'~ls the m ntm6m variance that will ma~ ~o~tblo a[easonable use o~he land, building or Applicant further alleges that: (Use additional sheets If necessary for additional information.) Signature of Authorized Agent v, ---~n~uro-~;nr.~wnor Address Address easements on said properly except as Indicated hereon. '~;-~, ~ /~ , ~; ~ ~ ~.~. - ......... s~u~ ther~ are w~hln t~ ro ' o : Ir~ Hpe and/or rear rec~er~ ~ o~ ~ the ~ove~e~ P = in ~lon a~ lh~ ~here are no r~D~ays, ~ili~ II~ ~ ~her