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HomeMy WebLinkAboutT15N R1W SEC 7 LT 36 GRI:A,ER ANCHORAGE AREA BORL ]GH Dep~rtment of Environmental Ouality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE i ~.)(.'-I ((~( ~ FROM WELL__ MANUFACTURER ~,~:~_~u_ INSIDE LENGTN / INSIDE WIDT?. '/' ~.~ NUMBER OF MATERIAL COMPARTMENTS LIQUID DEPTH ~ LIQUID CAPACITY/~(~)GALLONS' TILE DRAIN FIELD: , TOTAL LENGTH DISTANCE FROM WELL ~_.~' i OF LINES /~/~ __FOUNDATION. NEAREST LOT LINE -- NUM,EROFL'NES-X__D,ST^NCE ETWEENL'NES rRENC. W,DTH ,N. TOTALEPFECT'VE ABSORPTION AREA--~ ~ O S~, g ' I e e N g *" O F EACH LINE ___Z /~'~ :'~ ~S'~- I DEPTH: TOP OF TILE TO FINISH GRADE BUILDING NEAREST FOUNDATION----, LOT LINE I DEPTN OF FILTER ..~ I / MATERIAL BENEATH ]'IEE:~ ~. ABOVE TILE __ DEPTH NEAREST SEPTIC SEEPAGE :SEWER LINE_ __, TANK .... SYSTEM-- IN. __DISTANCE FROM: CESSPOOL --- OTNER SOURCES APPROVED . _ DISAPPROVED- REMARKS DISTANCES: -- -- INSTAl LED BY: SEWER LINE DEPTH: pIPE MATERIAL:-- L.OT SLOPE: REMARKS: Form LQ-032 DIAGRAM OF SYSTEM N Current Property owner(s) Anthony Vita Day phone 907-230-6374 Mailing address Real Estate Agent 2. TYPE OF DWELLING: X Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class—Well Public Water System TYPE OF WASTEWATERDISPOSAL: Individual 3 Holding Tank ❑ Community El Public Sewer r ❑ TYPE OF WASTEWATERDISPOSAL: Individual N Holding Tank ❑ Community El Public Sewer r ❑ 4jtl 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, based on procedures Outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage Alaska 99507 i Engineer's Printed Name: Jeffrey A. Garness Date: 6, tf / In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and 00000��4 industry practices. The reported results describe the condition of the system/s on the date/s of the o� �F r C�S44 evaluation. Separation distances were measured to readily identifiable features. Hidden defects or ,. encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels that may fluctuate during the ear quality of construction materials and 9 ( Y 9 year), q Y ( workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the } Q system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of Q`'m• ; � i • •� .',�. • •--;.;,• � the well or septic system. GEG makes no representation whether an alternative well or septic system QO �• 1i �y A. 'aarrtess: can be installed on the property in the event either of the current systems fail to perform adequately in 0� 9.. ' CE -i79,53 Q the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or oa party (including subsequent property purchasers) is not authorized, .nor will it confer any legal right whatsoever. #ASE 6. DSD SIGNATURE System #1 Approved for 3 bedrooms WATER AND r System #2 Approved for Disapproved Conditional approval for bedrooms PROGRAM �; J bedrooms, with the following stipulationsJJJJ��JFN%SER�o�\ _ llr... 11��\ Original Certificate Date: C) The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: T15N, R1 W SECTION 7; LOT 36 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA '--9' I—a ("( OZ' Uu -_ qU F-1Welllog is filed with Onsite (or attached) Date drilled 1955 (') Total depth *79.6+ ft Cased to UNKNOWN ft ❑M Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in Date of flow test for COSA 5/15/20 Static water level at beginning of test 53.5 ft. Comments *PER GEG WELL TEST B. TANK DATA Age of tank(s) 43 years Tank type/material SEPTICICON Measured operating fluid level in septic tank X Standpipes/foundation cleanout per record drawing Date of pumping 5/18/20 Parcel ID: 051-161-08 Structure served by this system 1 Well production at time of test 4.7+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Cr Arsenic ug/L 0 Arsenic less than MRL (ND) Q Collected by GEG, LTD. (_ Date of Sample 5/15!20 t`r t{ C. LIFT STATION 6 ❑ Required maintenance c leted 4 Age of lift stati years Lift on material NIA Comments: N/A -*BAFFLE INSPECTION PERFORMED �4 ON TANK & INLET/OUTLET BAFFLES WERE REPLACED D. ABSORPTION FIELD DATA DEEP TRENCH _2 5: AD -,r ­r6D Which system tested (date installed) 3/4/77 Adequacy test date 5/15/20 t"t © ALL standpipes present per record drawing Results ❑✓ Pass For 3 bedrooms Total measured depth from grade *9.33 ft (max) Fluid depth prior to test ***48 in Measured depth to pipe invert from grade **4.5 ft (min) Water added 605 gal ❑ N/A — pressurized field New depth 52 in ❑ Monitor tubes go to bottom of effective. If not, state . Elapsed time 120 min depth into effective 4.58' RECode-requiredsoil cover over field Final fluid depth 48 in Absorption rate 450+ gpd ❑ System presoaked NONE (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test)If yes, enter date N/A NIA Gallons introduced gallons Comments/Deficiencies: 'AT SUMP "'ON EAST END OF TRENCH - UNABLE TO OBSERVE INVERT IN SUMP -7" BELOW INVERT (89% FULL) COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' * $�+ Community Sewer Manhole/Cleanout > 100' Yes if No ft Yes if No Neighboring Tank > 100' F71 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No Absorption Field on Lot > 100' ❑ Yes if No *90+ ft Holding Tank > 100' P/ Yes if No Neighboring Absorption Fields > 100' Yes Animal Containment > 50' ✓� Yes if No F/ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' E✓ Yes if No ft Q Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F✓ Yes if No ft Surface Water> 100' ft ft ft ft M ❑ Yes if No *46+ ft Property Line > 5'] Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' FV7I Yes if No Water Main > 10'✓Q Yes if No ft Community Wells > 200' ✓0 Yes if No Water Service Line > 10'✓0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓/ Yes if No ft Private Wells > 100' Q✓ Yes if No Water Service Line > 10' Fv Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' ❑ Yes if No *46+ ft F. ENGINEER'S COMMENTS *WR#88007 - STORM DRAIN APPROXIMATELY 69' FROM WEST OF DRAINFIELD. FOUNDATION CLEANOUT VERIFIED INSIDE OF HOME 49% SLOPE 6' NORTH OF DRAINFIELD - HIGHLY VEGETATED & NO DAYLIGHTING OBSERVED. G. ENGINEER'S CERTIFICATION 1 certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with C'): ' CT y Q MOA COSA guidelines in effect on this date. .:.. .. ". `. ..'.............. . �,�'�'`� i D (/ / ff Garr�ess. P- V �O 9 V C — 79 �� O COSA Checklist yellow sheet �04ea r'ro f es #AECC884 ft ft ft ft Northern Excavation and Construction, LLC 15861 South Birchwood Loop Road Chugiak, AK 99567 (907)694-1373 Northern Excavation@Gmail.com i N VU�-E BILL TO Tony Vita 19835 TARIKA AVE DATE ACTIVITY Ser icesf 15N R1W SEC 7 LOT -36 19835 TARIKA AVE CONCRETE SEPTIC TANK REPAIR. Changes which increase the specific tasks of machine/labor time spent of this contract, will be submitted in writing by the owner and accepted by the contractor and the contract modified accordingly. Payment to the Contractor for modifications to this contract which increase the work will be charged. All agreements are contingent upon accidents or delays beyond our control. Payment in full is due upon completion of backfill. Payments received after 30 days of completion shall be charged a 1.5% monthly fee on unpaid balances. DESCRIPTION: Excavate for and hammer drill out corroded piping to replace with new PVC. Seal tank back up with concrete patch and bentonite on both ends and backfill. Inclusions: Pumping. Machine/Labor time. Concrete mix. Bentonite sealant. Exclusions: Replacing fence, (if removal is required). Re- landscaping or seeding. INVOICE � 0801 DATE 06/11/2020 DUE DATE 07/01/2020 TERMS Due on receipt CITY RATE AMOUNT 4,200.00 4,200.00 ------------ _........_.......... .............._....._._......_........ ........ *Please note that we are now accepting credit cards. BALANCE DUE However, the credit card processing vendor will charge a convenience fee of 3.4% of the transaction amount, at the expense of the customer. This fee is retained by the vendor and is not revenue to NEC. Past due balances are subject to a service charge of up to 18% or the maximum allowed by the current Sate of Alaska usury laws. BLM LOT 36 LOCATED WITHIN THE SE 1/4, SECTION 7, T15N, RM SM, ALASKA CONTAINING 2,5 ACRES, MORE OR LESS, BUILDING DETAIL SCALE: 1"=2<' Q ' NOTE: BOUNDARY DIMENSIONS ARE RECORD PER BUM TOWNSHIP PLAT DATED MAY 13, 1955. A 5 't} U I L I 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE GASTALDI LAND PROPERTY DEPICTED ABOVE AND THAT NO SURVEYING, LLC ENCROACHMENTS EXIST EXCEPT AS INDICATED, JIFF A. GASNGR.L.S. IT IS THE RESPONSIBILITY OF THE OWNER TO 2000 E DOWUNG RD., SUITE 8 DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS ANCHORAGE, ALASKA 99507 WHICH DO NOT S APPON THE RECORDED SUBDIVISION PHONE 248-5454 PLAT, UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR NWI255 $/27/2020 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA F.O. 2020-07 3o8140. BLM3 M36A8 NOTE: NO CORNERS SET THIS DATE ®�sWa 8m 0 of A4gs # ( lfu '.. 6esiom; '/27/2020 1 "=50' ONE STOP SERVICES 2440 E. Tudor Rd. #120 Anchorage, Alaska 99507 (907) 338-5563 INVOICE TO Tony Vita 200 W 34th Ave #379 Anchorage, AK 99503 DATE JOB LOCATION Tony Vita 19835 Tarika Ave Chugiak, AK 99567 ACCOUNT SUMMARY INVOICE 4 -?/M3 INVOICE NO. 4713 DATE 05/19/2020 PO # AMOUNT DATE ACTIVITY QTY RATE AMOUNT 05/18/2020 Carrera 1 300.00 300.00 Camera inspection of concrete spetic tank to find baffle on outlet of septic tank. No baffle on inlet of tank, it may have originally had one, but it appears the baffle pipe is laying on the bottom of the tank. The outlet baffle appears to be ok. Also many tree roots visible inside tank that are growing through the seams of the tank. 05/18/2020 Septic Tank O 1 195.00 195.00 Emptied Septic Tank for Inspection O YU Thank you for your business, please have a great day! OB T OTAL DISCOUNT TOTAL TOTAL OF NEW CHARGES Page 1 of 1 495.00 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIV S ON Of ENVIRONMENTAL SERV CES ,~-~1~ CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL. ! ~%:~- L/4:~ :: OF ON.;SITE SEWER AND WATER FACILFrY ~: - ,': · i--" ~ ..... ~ ~ 264-4744 i' " Application Date Janual_-~ 21~ 1988 · GENERAL INFORMATION (MUST BE C~OMPLETED PRIOR TOSUBMITTAL) ~'.'~!! ~; ?,!t'; l , (a) Legal Description (include ct, bloc,k, subdivision, section, township, range) Lot 3~, Section 7, T15N, R1W, SM. (b) Location (address or directions) Sky King Rd. Property Owner Johnston i Telephone: Home Business f~ailing Address (c) Lending Institution. ! .Telephone Mailing Address (d) (e) Re/Max- Darlene Nico~aysenj RealEstate Companyand Agent. i Address 16600 Centerfzeld Dr. ~201 Eagle R~ver, Alaska 99577 694-4200 Telephone Mail the HAA to the followina address: or: Check here~, if hold for pick up. List contact person and day phone number below. $ & S ENGINI"ERING 17034 ~'agie i[i~er Loop Road Eagle River, Alaska 99577 TYPE OF RESIDENCE Single-Family [~ Number of Bedrooms 3 WATER SUFPLY . ~, d,~,,,,.r., "~ ~"? ': ' ' ", )'/llt\t' \ nd v dual Well~' Commumty I'] Pubhc [] . ", ,':',7( · ' ' ' \\k .. .:; Note: If comrn unity well system, must havre written confirmation from the State Department of Envim~rnental Conservation attesting to the legality and status. ':' ' ': ; : Page 1 of 2 72-025 fRev 8/861 Fronl 4.. SEWAGE DISPOSAL Onsite.~[ Public [] Community [] Holding Tank [] No!e: If .c, om, munity well. system, must have written Confirmation from the State Department of Environ mental Conservation attesting to the legality and status, · . , ,, ' ')HOM s,Jeeu!6ue leUO!SSejoJd eqj u! suo!ssFuo JO sJoJJe Jo~ elqjSuodseJ ~.ou s! 88SJoqou'¢ JO Aj!lsd!o!UnlAf Sql 'penes! s! e~,so!J!peo s eJoJeq e~sp @zXleue Jo suo!joedsu! ~,enpuoo jou op SHFIQ jo seeAolduu~] 'slueuueJ!nbeJ elsie pus leJepej u!epeo Xjs!~es oh JepJo u! suo!~nlp, su! §u!puel J!eqj pus SeLUOq JO sJeseqoJnd o~, 4seHnoo e se s!q; seep SHHQ eq.J. 'e~SelV jo e~el9 sql u! peJe~s!6eJ Jesu!bus isuo!ssejoJd ~uepuedepu! ue Aq eAoqe g qdeJSeJed u! us^!8 suo!~slueseJdeJ eq~, uodn AlUO paseq se~eo!J!~Jeo Is^oJddv Xi!Joq~n¥ qHeeH senss! (SHHQ) seo!AJeS U~LUnH pus q~leeH jo lue~u~Jedea ebeJoqou¥ jo AHisd!elunl/~ eq.L NOI.LN¥O le^oJ'ddv ISU~!~!puoo jo swJe/ leUO!l!puoo peAoJddesiC] ~, peAoJddv .,,_~ .,.~ ~///_ -~ e1~/~¢/~_, f .... .... ~ ~q suJooJpeq ~' JoJ pe^oJddv . ... f f ~z/ ~,,,.~ 'lVAO~JddV SHHQ . -,:..; . ;!: '9 sseJpp¥ ONI~I~qNION3 $ ~ $ euoqdelej, w J!-I Jo eu~eN 'uo!~o@dsu! s!ql jo elep eH1 uo loejje u! suo!leln§eJ pus 'SaOUeU!pJO 'sepo0 elelS pus led!o!un~N lie 41!M eOuefldLuoo uf 8! tue~sXs Issods!p JeleMelSSM ~o/pue Alddns JeieM e~!s-uo sql 'uo!~eedsuf pus UO!~BS!~SeAU! ALU UJOJI pus Sel!J e6eJoqouv ]o Xllled!o!un~l sql uJo4 peu!elqo uo!~e~uJo~u! sql uo paseq 1Bq~ XI!JeA Jeqpnj I 'ufeJeq pa~eo!pui e~n~onJls Io ed~l pus smooJpeq Io Jeq~nu sql JoJ e~enbape pu~ leUO!lounj 'ej~s s! ~elSXS lesods!p Ja~eMelS~M Jo/pu~ XlddnsJe~M el[s-uo sql 1eH1SMOHS leAoJddV XIHoq~nv ,g WELL. DA'rA Well Classification ,V,UN,¢m^LITY ~,UA~8~Y OF ANCHORAGE (MOA) DEPT. OF H~-~t~'l~ AUTHORITY APPROVAL (HAA) ~NVIRONMENTAt. ~PR~IST - FEBRUARY 1984 FEB 1988 RECEIVED ~ I'--~'~'J~ ~-~ ,,.~/5~"1 - _ if A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y~F~ ¢ D~te Completed ~. Yield 'Total Depth ~ /~ Cased to ~ ~+ Depth of Grouting Static Water Level ~ I Pump Set At Casing Height Above'~ ~ Sanitary Seal On CasingS/N) Electrical Wiring in ConduitS) ~ ~ Depression Around Wellhead (Y~ Separation Distances from Well: To Septic/+~ Tank on Lot ~'~ ~' ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ~ ; On Adjoining Lots To Nearest Public Sewer Line ~¢% To Nearest Public Sewer Cleanout/Manhole ~/~1~ To Nearest Sewer Service Line on Lot Water Sample Collected by ~ ~ ~~___; Date ~.~ Water Sample Test Results z~~~/ ~- ~ ~~ Comments A ~'~, t~. ~~% 8EPTIO~G TANK DATA Date Installed /~¢~ ~ Size V~2o No. of Compadments Standpipes ~N) ___~_ _ Air-tight Caps~'4) Depression over Tank (y~)3 ~ ~ Pumping/Maintenance Contract on File (Y/N)..,%_/ Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/H~k'~p~J, Tank: 'I-o Water-Supply Well 'Fo Property Line i-z2¢~ ITJ~ 'Fo Water Main/Service Line Course ~ C> i _'~____. Foundation Cleanout [)ate Last Pumped _ ,/- ; for Temporary Holding Tank Permit (Y/N) ~'~//"~' To Building Foundation To Disposal Field ,' \ To Stream, Pond, Lake, or Major Drainage Page '1 of 2 72-026 fRev 8/861 Fronl ABSORPTION FIEED DATA Soils Rating in Absorption Strata /"~2 ~;~ ~'//~¢-¢,--'-' Type of System Design Date Installed '~ -/'¢- "'/"7 Length of Field Width of Field Depth of Field Gravel Bed Thicknes~ '~-~ /t'Z.4~'¢' ~ ~-Y~.¢, ¢-~::::¢~8.-.1' Standpipes Present ~N) Date of Last Adequacy Test _ Square Feet of Absorption Area Depression over Field (Y~) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line \ ~:~ I'Jr 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 "%2~ .,/ To Cutbank (if present) D. LIFT STATION t"~/~,..'/ High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) '""'"'~"~'~ P~umping Cycles during Adequacy Test. Meets MOA ** 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. s~cie8 E~ ~Ju~ C~7034 Eagle River Loop Road ~a~ver, Aiaska 995~1 Receipt No. Date of Payment Amount: $ Page 2 of 2 Date MOA No. 72 026 fRev 81861 Back h4unicipa tYof Anchorag,' P.O. BC 196650 ANCHOHAGE, ALASKA 99519-6650 (907) 343~4200 TONYKNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES February 10, 1988 Robert A. Shafer, P.E!. S & S Engineering 17034 Eagle River Loop, Suite 204 Eagle River, Alaska 9~577 Subject: Waiver Req~/e~t for Lot 36 Section 7 T15N R1W SoM. Waiver Request Number WR88-007 Dear Mr. Shafer: Your request for waiver of the required 100 foot separation distance from a residential well to a septic tank and absorption field has been approved. The separation distances have been waived to 80 feet and 90 feet respectively. The request for waiver of the required 100 foot separation distance from a septic system to surface water also has been approved. This distance has been waived to 46 feet. You have verified the~ well has a static water level of 65 feet and solid casing in excess of 40 feet deep. This casing penetrating through the thick clay layer indicated on the well log from the neighboring lot should assure that surface contamination is unli~e].y to enter the well~ Because the subject lot slopes,gradually away from Sky King Road, any effluent that may daylight from the septic system would be directed awaY from the surface water flowing in the bar ditch along this road. However, if at a later date the department finds that!the septic system on the subject lot is impacting this surface water, a complete upgrade will be required. These separation distances apply 'to the existing septic system only. Any future upgrade will require all separation distances be met or another approval from this department. Sincerely, , Daniel J. Roth civil. Engineer On-Site Services CC.' (;us Andress, P.E0~, Manager On-Site Services/14at. er Quality Programs HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL ~NSPECTJON & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT A. SHAFER February 1, 1988 CIVIL ENGINEER 694-2979 Municipality of Anchorage Department of Healbh and Human Services 825 L Street I Anchorage, Alaska i99501 REFERENCE: Lot 36;i Section 7; T15N; R1W; S.M. Request you issue ~he attached Health Authority Approval and grant a waiver for the horizontal separation distance between the private well and the septi~ system located on the referenced property. Also request you issue ~ waiver for the horizontal separation distance between the septic system and a surface water source also located on the referenced property. The referenced septic tank is 80 feet from the private well. An on-site septic inspection ~eport for the installation of the septic tank was not found when researching Municipal :files. The only inspection report found was for an upgrade of the leachfield done in March, 1987. However, other documents indicate that the original septic system was installed during the sumner ~f 1971. In 1971 the required horizontal separation distance between a !private well and septic tank was 50 feet. Therefore, the septic tank was installed in accordance with regulations at the time of installation so a waiver is not necessary. The referenced leachfield is 90 feet :from the private well. The leachfield was installed undem permit ~77063 and the installation was inspected and approved by a Municipal inspector in March, 1977. A risk analysis has been performed fusing the Department of Environmental Conservation's "Separation Distande Waiver Guidelines" and it appears that bacterialogical pollution from the !leachfield is unlikely. i. There is a small sprzng located near the southwest corner of the referenced lot. This spring ~s approximately 46 feet, horizontally, away from the referenced septic system. This spring was noted to be located 92 feet away from the septic system during the summer of 1984. The quantity of water produced by the spring is minimal. The water flows directly across the road onto undeveloped land to the west of the referenced property. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 page two Lot 36; Section 7; T15N; R W; S.M. February 1, 1988 Attached for your review a~e the following documents: 1. A plot plan showin~ the horizontal distance between the well, septic system and ~urface water. 2. Coliform and nitrate analysis of water taken from the well located on the referenced property. Please note that no nitrates were detected in the wa~er sample. 3. A flow test report !for the referenced well showing the static water level, drawd0wn and production rate. It is our opinion that the!horizontal separation distances prescribed by 18AAC72.021 are not required in this case. If you require additional information, please contact Roger/694-2979. Sincerely, ~OBERT A. ~ SHAFER, P.E. RAS/ss SCALE )MUNICIPALITY OF ANCHORAGEpRoTECTio~EpT.MUNICIPALI~oF. ~ ] 825 L Street - Anchorage, Alaska 99501 (~ E.V .O.~E.TAL SA. mmATmO. ~vmsmo. MAY t ~ 1980, Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE TRE OCATIO , . ~ TV~E OF RESIbENCE ~ ~ NUMBER OF~BEDROOMS ~ [] One [] Four [] Other ~ SINGLE FAMILY [] Two E~ Five ~ MULTIPLE FAMILY I ~ Three ~ Six 7, WATI"R SUPPLY ~ INDIVIDUAL* Iii COMMUNITY [] PUBLIC UTI LITY 8. SEWAGE DISPOSAl. SYSTEM [] INDIVIDUAL/ON'SITE** [] PUBLIC UTI LI'TY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975, For wells drilled prior Lo that date, give well depth (attach log if aveilable.) /,~,7 12YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST .z CCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ' [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBEROFBEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER 2, WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3, SEWAGE DISPOSAL SYSTEM []INDiVIDUAL/ON -SITE E~PUBLIC UTI LITY Connection Verified []Septic Tank or [] Holding Tank Size: ,~ ~(3 If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELLTO: Absorption Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL Line Nearest Lot Line 5. COMMENTS DATE [~'DISAPP ROV ED APPROVED FOR BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) 72-010 (Rev, 6/79) ~ I 71e River Area II Dep~(men¢ of Env~ronmenCal Qua11~y ~~ 3330.~C" Street, Anchorage, Alaska 99503 274-4561 I~ ~~ ' ~ ;~ Date Re(elved' ' February 15, ]977 ~ ~.0~ ~'~/ ~ Time of Inspection i~'.~ ~d n. 0~ Date of Inspection ~-/~-77 ~'~6 ,~ ~ ~ INDIVIDUAL SEWER & WATER FACILITIES Mailing Address: P__ost Office Box 3-3859 Phone: 2. Property Owner: Garland Connell Phone: Mailing Address: Post Office Box 86, Chugiak 99567 3. Legal Description: T15N R1W Section 7 Lot 36 272-5544 688-2420 Location: See directions on white sheet Type of facility to be inspected _Single Family No. of bedrooms 3 6. Well Data: A. Type C. Construction Sewage Disposal Individual System: On-site system B. Depth 156' D. Bacterial Analysis ~ B. Installer A. Installed _ 1971 ~ C. Septic Tank: 1. Size I . 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total l~ngth of lines 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tan! C. Absorption are~. t? n'q?~t lot 'line __ EQ-034 (1/74) , A.bsorption area Other contamination , Absorption area , Sewer Lines Page 1 of two pages Page 2 of two pages - Re( st!for Approval of Individual ,¢ Legal Description--F:~51~ R1w ~ection 7 Lot 36 ~r & Water Facilities Comments Disapproved Date Approval,~Valid for one year from date signed Greater Anchorage A~ea Borough, Department of Environmental Quality i DIAGRAM OF SYSTEM certify that the informatio6 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 EQ-034 (1/74) Date MUNI01PALITY OF ANCHORAGF DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTEC'rlON 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL. OF INDIVIDUAl. SEWER and WATER FACILITIES 1. Type of Inspection: CMRq VA_ FHA 2. Property Owner: ~"///Jo ,~/d 22 ~'~o~.~-/~. Mailing Address:/¢~°~ (~('i Day Phone:. MUNIciPALiTy Op ANCHo,gAQ£ DEPT OF HEALTH & ON NrA, OT Cr oN RECEIVED CONV Mailing Address:-L(Z4/~ Name of Realtor or Agent: Mailing Address'.~D/~X /D>~ ~/~6 t~ ,~1/~," ~ ¢~' ~11 ~ 6. Legal Description: //~ R/~ ~c, T {~o T ~ ~ fi~, .LgFT 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: 72-003(3/76) No. Bdrms.__3 Public Utility ,Individual. If Individual, number of dwellings presently served _ If Individual, depth of well. Sewage Disposal System Type of System: If Individual, date of installa / Public Utility.__ Individual (on-site)_ ion MUNiCIPALlY' OF ANCHOr^GE DEPT. OJ: II!-ALTH & ENVIRONMEN1AL pro fI~C'[ION FEB ! 5 1977 RF CEIVED