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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 I'l:[t',l:t:l'"lt..ll'"l [::,:[:E;TFIhlC:IE ElflC"i'I.,ItC[~N I:::1 HEI...I._ I::llq[) I'::ll',l"r' Oi'q'-:ii;:['l"tE :i~;EZI.,II::IG[E I):[:iil;F:'O:iBi:::ll_. ?'r'~ii;'l'i]EH ::l.l~)[i) I:::'IiEIET I:::O[~: FI I::'l:;?.]:'v'Fl-I"l~Z F.I[EI_.I. CII:(: ;:~:i~3C~ [:::'EJ:[:ZT F'(:)Fi: FI F:'L.I[i!:I_:IZE: HEI.t ],.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. -I'"r'l:::'lilil (:ill:: ::~;0 il: [ I::lEE~EhZIITliilil' ]; Oi"il .: .... J I_11 il; :E;: 'FI:;i:ENE:H I,IFilX:ilHLIhl i lEL. il.. OF' F:F'I"'I:;'"u';d"IE; 'q :~;I]1]]1.. I:RI::II']H",IG ,;5!:;il;il F'T,-"I!Il:I:E:) .... %;!:!5 'i'Hl!; I:;i:lill]iill.J il; I:;UilLE:, E; ~[ ;il=.'Eil Etl:::' "H-ti!i; :::i;O ii] L I:lliiil:i::;EtlTl::'T~[ Oi",t ;, .x I E.I J :[ :5: 1-l"lt!i; t..E;l"ilEi-I 1'1 il) il; I'"lE;l"il'.:.q :l; Ol"il il; E; THE L.ENEiTIq ,:: ;[ l"il I:::EE: r' ::, o1:::' TI.lIE -I-t:;?.t'ENCH O1:;:'. D,l::?il::l ]i t"ilf::' ;1: Et..D. "l'lilli; E:,IEI::"H"I I;ilF:' I:::t 'T'Iq:E:NE:H L317 I::':il'f' ]::Ei: THE I;) ]: :Ei;'l'l::ill"ilE:E; IE',I~71"P.II~IlI!::;N TILE; :Ei;I..llq:l:::'lUt(i::EE OF:' 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). 't'l.lilEl:;;:l:E; );:i:; NO '.E;E'il' 14 il: t:;,'il"l il F:Oi:;;: 'Iq:;UEi'.IlE:HE~'.E;. 'THE; il]it;?.Fil',,,'El_ I;::~[EI:::'TH ;[:5 THE; FlilLl'.,l];l','lLif,I I..I E)F' Gl:;?.l::il'v'E;I... E~E{'I-I.,IlE{E;N I'FtlE OLI'T'F:'t:::It..i. 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 ?. I::I E:OI",IT ill NI..lOIJ'.i! F:ldi~,?.liE [ii:il, llii[N 1' 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~