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HomeMy WebLinkAboutT12N R3W SEC 33 LT 129NAME
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- A~tchorage, Al,~ska 99501 Telepl~one 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL:INSPEC]'ION REPORT
PHONE
E~ UPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
DISTANCE TO:
IAbsorption area
LOCATION
/500 IF HOMEMADE:
Manufacturer
No. of lines Length of each lin
CE TO:
Class Depth
Total length o lines
Material beneath tile
D0pth
Crib depth
Building foundation
'Driller
Sewer line
Trench wid ~
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
Distance bet~ee~
Total effective absorpt'on area
PERMIT NO.
Nearest lot line
Distance to tot line
Septic tank
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
R~KS
I , /
APPROV - /~/~:
F'liElq:M ]i '1 N O.
I::1 F:l Pl. Z[ I~;l:::lN T
I .OCFI I ;11
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],.ll~i:l.I.L.L-)(~i:i!; I::ll:;~:}i: I';i:[~:(i:!LI:[[;~:[:::[) FIN[) I'IIJ':":;T IZ~:E: [4;:t~:-I"I...II:;::i",IIEZI:Z:' TO TI'Il!:{ [)IiEI::'FIIq:TI"II!E:NT I'.lZt:"J'l'l]:i",J :'::::(~l [:,l:::I'.r':i!;
CIF:' Till!!: I.,l[iiI.J.. C:OI'"IF::'L.[~ZT:[ON.
OTH[~:t:;?. I:;im.I!EQI...IZ[I::m.[~:HFZI',IT'E; i'"ll::/"r' I::IF'F:'I..'T'. :E;f:'I !:(:Z: Z[ I::' ]: C:I::IT :[ Clt"4'."5 F'I[",I[) C:CIi",i:[ii;'T'I:;?.UC:'I']:OI",] I:) :[ l::llLiilqff:ll"l~i; I:::II:;[:E
I:::l',/l::l]:l..Fi[ii',L.l!: TO :[j",t::i!;I..Ij:~:[ij: F'I:;i:CII::'E'ZI:~'.
Decca)er 29~ 1978
9770968
Alan ~igert
Box 496
Girdwood~ Alaska
99587
Subject: ~12N R3W Section 33 Lot 129
A permit issued by this department for well and/or
sewer system has expired.
Permits are iss~ed o]% a calendar year basis~ as stated
on the permit, by authority of Municipal ordinan~eo
Zf you have drilled the well~ a well log should be
sent to this department to doctu~lent the installation
date.
If there are any further c~%estions, please contact
this office at 264-47k0o
Sincerely~
Les N. Buchholz~
,~enlor Enviromaental Specialist
enc: copy of permit
January 5, 1978
Alan Tigert
Box 496
Girdwood, Alaska 99587
Subject: Ti2N R3W Section 33 Lot~9
Permit I1770968
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of M%%nioipal ordinanee~
If you have drilled the well, a well log should be sent
to this department to document tile installation date.
If there are any further questions~ please contact this
office at 264~4720o
Sincerely~
Health and Environmental Protection
Hewer and Water Section
F:'ER:t'I ]] i' t"ilO.
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GF;?.OI/I",iD I:::11",11];:, 'I'IIIE EilO'r'"fOH OF' t'I4E E;il.dZ:l:-:l'vq::t'il'il;EN ,:;];l'.il f::'ilEIE'T).
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Fill'.4[) t"l-ltE E',EI't"i-OI,I O[:' THE I!iilil.::E:Fl',,,'l:::l"t'];EI
I::1 ~:'t::li]:k;l:::lil;iil[!E F::'L.I:::Ii"IlT HF:I"r' EUill
I::' OII ..Ed,il ill I"~ G
t. lEi[TIllER I::1
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R li!=:E, E~ R I:::q" il:.~ilr.il E;'.
:E ON ,::i ._ Eli .:'i:= ": 1' '[ Title
N:E;'FFIlt..I..Ei:D.
FI I',lFi1:1: I'.il'l"E:lql:;:fl'.ilE:i!!i:
Ei:i'.ill..Fill::i:Gliil "l'lllili; :E;Et Et: L.
SOILS LOG
Soil Type Water Level Remarks
0
2
4
6
,o
~ 14
16
18
2O
Total Depth of Excavation
Groundwater
~)~No t Reached
Depth, if Reached
Classification Method
(~Visual
( ) Sieve Analysis
()
Material at Total Depth
Bedrohk
~'~ Not: Reached
Depth, if Reached
Garry F. Player, Consulting Geologist
/ DEPARTMt=;,~T OF HEALTH AND ENV RONMENTAL PL ,'ECTioN ''~
/ D V S ON OF ENV RONMENTAL -tEALTH ;
CERTiFiCATE OF NSPECT ON FOR HEALTH AUTHOR TY APPROVAL
~ OF ON-S TE SEWER AND WATER FAC LIT
,/' 264-4720
' Application Date
~ 1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
I
Location (address or directions)
(b) Appl cant Name~t~:~,..~'T{~,'¢'"~- Telephone: Home
Appl~canl Address - I I,~ ~ ;~,~ ~ IJ.~
(c)
Business ~
Appncam ~s jcheck one): Lending qstitution []; Owner/builder,,~; Buyer []; Other [] (explain);
(d) Lending msm:ution -~"1~~'t~
; : ;; r'% ' ~ :(e) Real Estate Company and Agent
· ~ .. , ~,.., Address .....
,..,., .. ,.: ..,,,. ,, , ..
(f)' Mai[ the HAA to the fdllowing address:
Telephone
I /'
TYPE OF RESIDENCE
Single-Family~[~ Multi-Family
Number of Bedrooms '~
Other
WATER SUPPLY
C~ Community [] Public []
Individual
We
Note: If commumty well system must qave written confirmation from the State Department of Environmental C°nservati°n
attesting to the legality aha stmus.
4. SEWAGE DISPOSAL
Onsite~[ Public [] Commumt? [] Holding Tank []
Note: [f¢"community well system, must nave written confirmation from the State Deoartmem of Environmental Conservation
attesting to the legality and status
72-025 { 1/841
Page 1 of 2
ENGINEERING FIRM PROVIb..,G INSPECTIONS, TESTS, FILE SEARCH, .'...'rA AND
As certified by my seal affixed nere[o and as of the validation date shown below. I veiny that my [nvestig;
Authority Apl: reval shows that the on-site water supply and/or wastewater ulsposal system is safe tuncnonal ano;
for the number of bedrooms and type of structure indicated hereto. I further verify that baaed on the information
from the 'vlunici3ality of Anchorage files ane from my investigation and nsoection the on-site water supply
wastewater dmposal system is m comoliance with a~ Municiaal an(3 State codes, oralnances, and regulations m effect
the date of this ~nspection.
Address ' ~,~O~-~ ~ /~
Date '¢a--~t ~-~ O/ / ~
Engineer's Sea
6. DHEP APPROVAL ~
; · :'. ':Approveo for .~"~:~') bedrooms by
Approvec~ ~ Disagree
Terms of Conditional Approva~
Con~li~nal
Date
CAUTION
Fhe Munc~pal~ty of Anchorage Deeartment of Health ane Environmental Protectio~ tDHEP~ ~ssues Health Authority
,pprova[ certificates based solely upon the reoresentat~ons given m paragraph 5 above by an independent professiona
eng~r~eer reg stereo 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 ano state requirements, Employees of DHEP do not conduct insoect~ons or
before a certificate is ~ssuea, The Munici 3ality of Anchorage is not responsible for errors or omissions n me
N unicipalitYot
Anchorage
P.O. BOX 6650
ANCHORAGE, ALASKA 99502-0650
(907) 264-4111
TONY KNOWLES.
MA YOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
February 3, 1986
Tobben Spurkland, P.E.
203 West 15 Avenue, C Suite 203
Anchorage, Alaska 99501
Subject: T12N R3W Section 33 Lot 129
Waiver Request, WR86-015
Dear Mr. Spurkland:
Your request for a waiver of the separation distance required between
the well and septic tank on the subject property has been granted.
The Department concurs with your conclusion that~bacteriological and/or
chemical contamination of the well is unlikely. Based on this risk
analysis the separation distance stipulated in 18 AAC 72.021 has
been waived to 88 feet for the distance between the well and septic tank.
This waiver is valid for the existing septic system only. Modification
or enlargement of the septic system will invalidate this waiver.
Sincerely,
Stephen S. Morris
Civil Engineer
On-site Services
SSM/ljw
CONSULTING ENGINEER i TELEPHONE: (907) 279-3916
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 6-6650
ANCHORAGE, ALASKA 99501
MUNICIPALITY OF ANCHOrAGe.
DEPT, OF HI~ALYH &
ENVIRONMENTAL PROT~(:TION
JANUARY 29, 1986
SUBJECT: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR
PRIVATE WELL.
LOT 129, SEC 33, T12N, R3W
Gentlemen;
We are resubmitting a request for waivers from the separation
distances stated in Title 18, Alaska Administrative Code Chapter
80.020
This submittal follows the format outlined in a Memorandum dated
January 3, 1985 on the subject of "Separation Distance Waiver
Guidelines for SCRO", prepared by Mr. Bruce Eriekson, District
Office Coordinator. State of Alaska, Department of Environmental
Conservation.
This Memorandum outlines a procedure to be used in the evaluation
of waiver requests by assigning number values to geological
features addressed in the waiver requesti In this request I have
followed this procedure and assigned values to the pertinent
features as follows:
1. Vertical Distance Between Sewage System and Ground Water.
The well log for this property shows that groundwater
encountered at 185 feet.
Point value assigned ~ : 7.0
2. Soil Absorption.
The well log shows 27 feet of
hardpan and 101 feet of clay.
Point value assigned
3. Permability:
granular material,
4.8
58 feet of
The material described in the well
rate larger than 50 min/inch.
Point value assigned
4. Water Table Gradient.
logs has a percolation
3.0
This is a confined aquifer with 60 feet of pressure head. At
maximum drawdown the gradient of the water table will be 0%. At
less than maximum drawdown the gradient will be positive.
Point value assigned
3.0
TeSben Spurldand P.E,
Waiver Request
Lot 129, Sec. 33,
January 29, 1986
page 2
T12N, R3W
5. Horizontal Separation
From well to septic tank 88 ft.~
Point values assigned For septic tank
2.5
TOTAL POINTS
For septic tank
This total shows that no bacteriological contamination
is possible and that chemical contamination is unlikely
Cast iron was used in the construction of the system. Septic tank
has water tight couplings. Water sample taken during the
operation of the system have not shown any contamination.
I request that a waiver be issued for this property.
Yours
T~o b~ur~
~MI. PROT£CTioN
RECEIVED
WELL DATA
MUNIC PAL TY OF ANCHORAGE(MOA)
HEALTH AUTHORITY APPROVA~ (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
MUNICIPAM1,Y O~ ANCI,IO~AG~
DEPT, O? HEALTH ,~,
ENVIRONMENTAL PRoTEcTION
Legal Description:
Well Classification 'F~ ~ ~ If A, B, C, D.E,C. Approved (Y/N)
Well Log Present (Y/N) ~ Date Completed J © * ~ ,' '~'~/ _ Yield
Total Depth _ / ~ J Cased to __ / ~' /
Static Water Level
Casing Height Above Ground __
Electrical Wiring in Conduit (Y/N) _
Depth of Grouting :. I"~ 0('~ ~
Pump Set:At '~?z~ ¢~,,f¢TO
Sanitary Seal'on Casing (Y/N)
Depression Around Wellhead (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot ....
To Nearest Edge of Absorption Field on Lot _
To Nearest Public Sewer Line _~ ~-~
Cleanout/Manhole _
Wator Sample Collected by
Water Sample Test Results
Comments
; On Adjoining Lots
~ ~)0 ; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot ;:~ i-_~
B. SEPTIC/HOLDING TANK DATA
Date Installed g °--?';'~(I Size /E~O'~ No. of Compartments
Standpipes (Y/N) ~z':.~ Air-tight Caps (Y/N) Y' [:oundation Cleanout (Y/N)
Depression over Tank (Y/N) ....
Pump rig/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) .
Separation Distances from Septic/Holding Tank:
To Water-Supply Well
To Property Line
To Water Main/Service Line
Course
Date L~st Pumped ! '~ '~/' ;for
Temporary Holding Tank Permit (Y/N) _
To Building Foundation
[
To Disposal Field
Comments
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
72 0260 1/84)
C, ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~' ¢" 7 4.?
Width of Field ,-="~ ~,-~ ¢!
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
NC./-/
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot j'*',/O
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
To Property Line ~ ,~.~
To Existing or Abandoned System on
; On Adjoining Lots '~ -~-;'
To Cutbank (if present) l'~ O ~ L~_
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 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Date ¢~ '~?/(;(~,
Signed
Company
Receipt No.
Date of Payment
MOA No.
Amount: $ ¢: "' '~ t, _ :.~ ., ~ c ;~ Engineer's Seal
~,'"'.. JU'I: 2 97! ' ','~
Page 2 of 2
72-026(11/84)
203 W, 15th AVE "C' SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: 1907) 279-3916
P
SEPTIC
SYSTEM
ADiEQUACY
TEST
LEG.'.,:
OWNER:
RESIDENCE:
LOT 129, SEC. 33, T12N, R3W.
14820 ELMORE DRIVE
ALAN TIGERT
SINGLE FAMILY, TWO BEDROOMS
WATER SYSTEM:
ON SITE WELL
SEPTIC SYSTEM:
FROM MUNICIPAL RECORDS:
TANK: GREER TANK, STEEL, TWO COMP.
1500 GAL.
ABSORPTION SYSTEM: TRENCH
ABSORPTION AREA:~ 500 SQ. FT.
SOIL RATING: 125
INSTALLATION DATE: AUGUST 9, 1979
DA'!'I-: r)!:' !;UMPING: JANUARY 29, 1986
JANUARY 28, 1986
SYSTEM WAS INSPECTED AND WATER LEVELS
MEASURED. TANK IS BURRIED FOUR FEET, AND HAS
50 INCHES OF LIQUID. TRENCH IS 8.5 FEET DEEP
WATERLEVEL IN SUMP WAS 39 INCHES.
WATER WAS ADDED TO THE TRENCH AT A CONSTANT
RATE OF 5.5 GALLONS iPER MINUTE. THE WATER
LEVEL WAS MONITOREED EVERY 10 MINUTES. 240
GALLONS OF WATER WAS ADDED CAUSING A TOTAL
RISE IN WATER LEVEL OF 8.5 INCHES.THE ABSORP-
TION WAS THEN MONITORED FOR 30 MINUTES.
THIS SYSTEM ABSORBES 630 GALLONS OF WATER PER
24 HOURS. IS SURGE CAPACITY IS 720 GALLONS.
'THIS SYSTEM MEETS THE CODE REQUIREMENTS OF
THE MUNICIPALITY OF ANCHORAGE.
The o[~orational life of all septic systems depends on the local
sod] r:~ud:it:ions, groundwater levels that ~may fluctuate during the
year, ~u,[ the water usage of the family being served by the
sy~;t~,m, li~ese conditions are outside the ~control of the evaluator
of ~i~i : :,u~Lic system. We can therefore not give any estimate of
h(,w ::' · :~. system will continue to meet the operational requi-
r, ' 'ho Municipality and State.
203 W. 1Eth AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
R E S I D E N T I A L
LEGA],:
LOCATION:
OWNER:
TYPE OF WELL:
WELL INSPECTION
LOT 129, SEC.33, T12N, R3W
14820 ELMORE DRIVE
ALAN TIGERT
SINGLE FAMILY
DEPT, OF HEAk'£H %
WELL LOG AVAILABLE:
YES
INSTALLATION REQUIREMENTS MET: NO. SEPARATION DISTANCE TO SEPTIC
TANK 88 FEET. 100 FEET REQUIRED
WELl, '/!i!!]LI) FROM WELL LOG: 400 GA--~LONS PER HObR
WEId, YiE],I) FROM PUMP TEST:
3 GALLONS PER MINUTE AT 45 FEET
DRAWDOWN
PU!iP v
5.5 GALLONS PER MINUTE
13.: i ;!SPECTION: JANUARY 28, 1986
WELL WAS PUMPED AT A CONSTANT RATE OF 5.5
GALLONS PER MINUTE WHILE THE DRAWDOWN WAS
MONITORED WITH AN ACOUSTIC PROBE. STATIC
WATER LEVEL WAS FOUND TO BE 131 FEET BELOW
TOP OF CASING. AFTER 50 MINUTES OF PUMPING
THE WATER LEVEL WA~ 178 FEET BELOW TOP OF
CASING. TOTAL WELL DEPTH IS 191 FEET.
TE,.~, FDP COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON
JANUARY 29, 1986. TEST WAS NEGATIVE.
THIS WELL DOES NOT MEET THE REQUIREMENTS OF
THE MUNICIPALITY OF ANCHORAGE. IT IS TOO
CLOSE TO THE SEPTICiTANK. A WAIVER REQUEST
HAS BEEN SUBMITTED TO THE HEALTH DEPARTMENT
The Municipal requirement for well flow is
150 gallons of water per bedroom per 24
hours.This well surpasses this requirement.
The assessment of the condition of this well
applies only to the conditions as of this
date. The flow rate of the well may change
due to subsurface conditions that may not be
observed from the surface, and changes in
land use and otheri factors that may impact
the conditions of the aquifer feeding the
well.
DEPARTMENT OF HEALTH AND ENVIRONMENT,~L PROTECTION ~'~
PLATTING OR PLANNING AND ZONING CASE REVIEW
CASE NUMBER $-4757
PETITION FOR
DATE RECEIVED
REZONING
SPECIAL EXCEPTION
VACATION
REGUBDIVISlON
o~illiam R. ~Crqary, R.L.S. for Plat ~rt/l'ibert-Clark~
~_S_ubdivisio~_-fa~'subdiv. of Government
S~.~c-~33~ T~2N, R3W, S.M. Ak, containing a gross area of
2.50 acres
COMMENT TO PLANNING BY April 19, .1978__FOR MEETING OF ~Ma.y 3, 1978
COMMENTS:
ENVIRONMENTAL SANITATION:
PUBLIC WATER NOT AVAILABLE
PUBLIC SEWER NOT ~VAILAB,,LE TO SERVICE PETITION AREA.
ENVIRONMENTAL ENGINEERING:
71-014 (9/76)
(]VO~