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Home My WebLink AboutTALUS WEST BLK 1 LT 11 Municipality of Anchorage P~ge DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Name: ~d~,~,: .'~o~; ..'~ Wastewater System: D New ~Upgrade l t~eB ~l~ ABSORPTION FIELD P~one: ~_¢~ IN°'°'4edt°ems: ~DoepTrench ~ShaflowTrench ~Bed BM~und BOther DESCRIPTION so,..,~.~: Total Depth from ori~inal grade: LEGAL Lot: [ ~ Block;I ~{ALvsSubdivlsi°n;~ Depth to pipe bottom from original, grade: Ft. Gravel depth beneath pipe ~ Ft. Town,hip;~ Range:~ Settle ~ / ~ Classification (Prlwte, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Drgler: Date Drilled: SlaticWater Level; Installer: Date instaUed: Yield: GPM ~ Pump Set st: Ft. ] Casing Height Above Grou,d:Ft. TANK SEPARATION DISTANCES u Septic U Holding B S.T.E.P. TO Septic Absorption Lift Hold[ng 3ublic/Private Manufacturer: Capacity in gallons: Material: Number of Compadments: Sudace W~t.r ~o ~ LIFT STATION Lot Size in gallons: I Manufacturer: Line [ ~ I Foundation ~ "Pump on" level at: J 'Pump off" level at: I High w:ter alarm at: Remarks: BENCH MARK I.spections performed by: ~& Dates: 1st ¢t¢/¢ ~ Department of Heal~ and~uman Services approval Reviewed and approved by: Date:/- 2 -~ 72-013 (1/91) MOA 25 X AC. SC, AB, AE. BE, AF, AG. U,G. Elec. .56 FI .76 FT ,49,5 FT ,63 FT .66,5 FT · 76.5 FT · 69 FI ,42 FT .08 FT ,56 FT `25 50 75 lO0 SCALE, 1' = 58 FT, 1£5 1~ SPURKLANB P.E, 203 W ISTH, AVENUE ANCH, AK, 99501 LOT 11 /BLOCK 1 TALUS b/EST 11895 VILBERNE$$ BRIVE JIH PAXTON SEPTIC SYSTEM A~BUILT DATE, JA~ I~ 1994 SHEET, ,2/3 GRIDI .~IVERTER VALVE gULL RUN 1£~0 oal Sep'~tc '~ank St:ondard Trenches, 2' Fide 60' Long 11' Beep 6' Cover · :-' · ~ NO SCALE 5 ~t o~ Sep~tc Rock / NO SCALE 1850 oat. septic' ~ank ~ B4 JAN 15, 1994 ,?., - TO,BEN SPURKLAN9 P,E, ~03 ~lS~h Ave Anc~or~ge Ak 99501 LO? 11 ~L£CK I TALUS ~/EST 11895 WIL]I[RNESS ~£IVE Jilt PAXTON S£PTIC SYST£H ASIiOILT ~e, JAY,, 19, 1994 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940007 DESIGN ENGINEER:TOBBEN SPURKLAND, OWNER NAME:PAXTON JAMES H JR & OWNER ADDRESS:il895 WILDERNESS DR ANCHORAGE, AK 99516 DATE ISSUED: 1/11/94 P.E. EXPIRATION DATE: 1/11/95 PARCEL ID:01520134 LEGAL DESCRIPTION: TALUS WEST BLK 1 LT 11 1 LOT SIZE: 19876 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE DESIGN AND INSTALLATION OF THIS SYSTEM MUST BE iN ACCORDANCE WITH THE CONDITIONS SET FORTH IN THE ADEC LETTER L ~ T T- SPL~R~(LA~D F'- E_ 20~ W 15th. Avenue, Suite 205 ANCHORAGE, ALASKA 99501 (907) 279-5916 Fax SYSTEM DESIGN BLOCK i TALUS -~JEST .- JIM PAXTDN RECEIVED ,JAN 1 1 1994 Municipality oi Anchorage Ground Water at 15 FT Dept, Health & Human Services Use Staodard Trench Soil Rating. From test 3/22/91 Flattop Tech. 1>mtn/in = 1.2 gal/sq.ft From Visual Classification of soil Use ·52 gal/sq.ft. Required Area per Bedroom: 150/.52 = 288.5 sq.ft.. Ground Elev. 95.0 Tank Outlet 91.0 Ground water ~ 80.0 'Fop ef Sand ~ 87-90 Bottom of Rock ~ 84 Use 6 feet of reck~ assume 5 ft. average usable Number of Bedrooms 4 Length of Trench 4 x 288.5 / 10 = 115 ft ~JSe two trenches of 60 ft. each. STANDARD TRENCH TOTAL LENGT~ i20 TOTAL WIDTH 2 FT. -- TOTAL DEPTH 1i ROCK DEPTH 6 FT~/ COVER 5 FT. SEPTIC TANK Install diYerter two trenches. 1250 GAL. Exist. valve between the The installation of this septic system will net prevent wells from be installed mn the adjacent lots. S el::, t :i. c: S v s t em D e'.:: J. g n )_crL. 1 :L 1]] I::)<:::k 1 ')'alus West There are no developed or natural surface / sub surface courses on this or the adjacent lots. The proposed septic system will not change the geoeral the area. Ponding and/or concentration of surface runoff result from this installation. drainage slope of will not The existing system was installed in 1991. An adequacy test December 3, 1993 by Flattop Technical Services, reveled that the bed was surcharged and not performing to Municipal Standards. The bed was installed according to AMC 15.65.060.c2. Percolation rate faster than i min. per inch. Due to the uniform fine grada- tion of the receiving soil~ the bed clogged in a very short time. Installing a trench in this material will not be in conflict with AMC 15.65, since filtration and treatment will take place. The original crib was installed in 1973 based on 250 soil. A waiver request has been forwarded to ADEC. Sept i c: Lot il Block 1 T'alus West Tin-- S,rxn C OVf RN(JR jTIJ, August 3, 2017 Michad Anderson, P.E. 4661 Natrona Ave. Anchorage, AK 99516 Re: Borealis Omega HOA — Talus West Block I Lot 11 Source -Septic Separation Distance Waiver Dear Michael Anderson: DIVISION OF ENVIRONMENTAL HEALTH Drinking Water Program 555 Cordova Street Anchorage, Alaska 99501 Main: 907.269.3076 Fax: 907.269.7650 thomos.brannan@oloska.gov File: Borealis Omega HOA PWSID: 210786 Class: communit" Source: Grouridwate r On July 20, 2017, this office received your submittal requesting reauthorization of a reduction of the State's nihnmurn separation distance between a Public Water System (PWS) drinking water source and a potential source of contamination. This letter approves the requested reduction in the State's minimum separation distance requirement from 200' to 150' between the drinking water well serving the Borealis Omega Home Owners Association (BO HOA) PWS and multiple potential sources of contamination on Talus West Block 1 Lot 11 (TW B1 L11) as detailed below. Waiver Determination -I'lle Septic systems components, and their respective separation distance from the subject PWS, located on TW B1 L11 consist of a 1,250 gallon tank at 197', an existing bed style drainfield installed in 1994 at 150', and an existing trench style drainficid installed in 1994 at 150'. According to submitted information, the '94 drainfield is in a technical state of failure and '91 drainfield has useful life remaining. 'Phis project will reconnect septic service to the '91 drainfield by installing a diverter between the '91 and '94 dr.ainfields. "Phis will allow the '91 drainfield to serve as primaryand the '94 drainfield as a secondary. 717he well serving BO HOA PWS was drilled in 1976 to a total depth of 157' below ground surface (bgs), is cased to 152' bgs in 6"0, screened from 152' to 157' bgs, had static water level at 75' bgs, and penetrates lenses of slit, clay, gravel, and mixes thereof. The following additional items were taken into consideration as part of this waiver approval: 1. To date, all source water sampling results for combined nitrate -nitrite or nitrate concentration have remained < 1.0 mg/1; 2, From February 2000 to January 2017/jotal Coliform Rule sampling for total coliform (rC) and e. coli (EC) found no TC nor EC positive events; 3. Surface topography and conditions between the subject well and encroachments are generally shallow, towards the well and are developed with lawn, trees, fencing, and paved parking; and 4. '17he well accesses a presumed confined/semi-confined aquifer. Based on an evaluation of the available information and in accordance with the State's Drinking Water Regulations, 18 AAC 80, a Separation Distance Waiver for the encroachments detailed herein is issued. Michael Anderson, P.E. Limitations and Areal Process August 3, 201' Any changes, constructed or natural, that affect the conditions to which this approval was granted will void tivs approval. This approval does not imply the granting of additional authorizations, nor obligate any federal, state, or local regulatory body to grant required authorizations. This is not an approval of omissions or oversights by this office or noncompliance with any applicable regulation. The Department's approval does not guarantee correctness of the functional design or waiver the owner's responsibility for continued compliance with State regulations. Any person who disagrees with this decision may request by mail, e-mail, or facsimile an informal review in accordance with 18 AAC 15.185 or an adjudicatory hearing in accordance with 18 AAC 15.195-15.340. Informal review requests ri-iust be delivered to Div, ision Director within 15 days of receipt of this decision. Adjudicatory hearing requests must be delivered to the Comrnissioner within 30 days of this decision, otherwise, the right to appeal is waived. For more information, visit www.dec.state.ak-us/c(-)tnmish/ReviewGilidance.htm. If you have any questions regarding this plan review please do not hesitate to contact ii -ie. Sincerely, T.W. Brannan, E.I.T, Cc.: Jody Andres C/o Borealis Omega Home Owners Association 4919 Ornega Circle Anchorage, AK 99516 170803_Bore-ths Omega 110A -Talus West BI 1-11 Sk)urcc-Scpdc-210786—%K,A.tiocx Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: / , '(ENGINEER'S SEAL) ' ' ,l'Z/~ :~ :'' DATE PERFORMED: LEGAL DESCRIPTION: L~ Jl~ [~,~ ~ ~. t 1 2 3 4 5 6 7 8 9 10 11 13- 14- 15- 16- 17- 18- 19- 20- Fit.. Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S l IF YES, AT WHAT O DEPTH? p E Depth 10 Water Alter Monitoring? gate: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE /~/~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 7 FTAND 7 ~ FT COMMENTS PERFORMED BY: '~, ~ I '~"~' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Well I I U,G, Elec. I I I I 6,5 £~ IS~nd ~ 6± Pt £ond ~ 7, 5 #3 2~nd ~ 8 ~5 Sond ~ 6+- JAN, 11, 1994 SCALD 1' = $/? FT, TD99EN SPURKLAND P.E, 203 W 15TH, AVENUE ANCH, AK, 99501 LOT I1 ~LI~CK I FALU$ I~'£$T 11B95 P/I/_~]E£NE$$ ~£IVE JIM PAXFllN SEPTIC SYSTEM DESIGN DATE, ~E~ 1~ 1993 SHEETi 2/$ GRID, 2736 ~£ VER TE£ 1JULL PUN ~AL VE 125§ gal Septic '~nk Stondord Trenches~ 2' Wide 60' Long ii' Deep 6' Sewer rock 5' Cover Cleonoui:s NO SCALE 140 4' Topsoil 6' Cover 5 £~ oF Septic Rock ND SCALE 1250 got sep¢:ic ~onk TDBBEN SPURKLAND P,E, 803 ~lS~h Avm Anchorage Ak 99501 LOT ]! BL[TCK ] TALU£ P/EST d895 WILDERNESS DRIVE JIM PAXTON SEPTIC SYS~EU 9ESZON ~ATZ, 9EC, 2~ 1993 SH£[T, 3/3 ~, 2736 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST z ,/ ,ENG"I~IEER'~ SEALj LEGAL DESCmPT~ON: I--~ ~' IIl B I~1 4- 5 6 7 8 9 10 12 13 14 15 16 17 18 19 20 Township, Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT O DEPTH? p E Deplh to Water After Moniloring? Date: SLOPE SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN . . COMMENTS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) (minutes/inch) PERC HOLE DJAMETER ~ I) FT. AND ~.~-~ FT CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: .~, ~,¢~ ~--~,, ~--.~ l q ~,~ Municipalily of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 %" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL) LEGAL DESCRIPTION: L¢~L IIt ~'~ I WAS GROUND WATER ENCOUNTERED? DATE PERFORMED: Township, Range, Section: SLOPE S IF YES, AT WHAT ~) DEPTH? p E Deplh to Waler Aller Menilering? Date: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (m~nules/mch) PERC HOLE DIAMETER COMMENTS' PERFORMED BY: "~ ~ I T~, '~ CERTIFY THAI THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: L,,~ It, B'~ I 1 4 5 6 8 th~ 10 11 12- 13- 14- 15- HI- 17- 18- 19- 20- COMMENTS (ENGINEER'S SEAL) :::!i:~:,,. '%_ 1~./17 lq3 DATE PERFORMED: Township, Range, Section: WAS GROUND WATER ENCOUNTERED? L IF YES, AT WHAT O DEPTH? p E Monitoring? t~/ Date: / '~.,~ SLOPE SITE PLAN Gross Net Depth to Nee Reading Date Time Time Water Drop PERCOLATION RATE __ TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER __ FI AND __ FT PERFORMED BY: ~ ~'~ I ~* '~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: '~"~-- ~' ~'~l ~/~"~ 72 008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: L,.~J~ 11; '~/-~ ~ TAt. u ~ 1 3 6 7 ~:; ~,~ 8- 10- 11 13- 14- 15- 16- 17 18 19 2O (ENGINEER'S SEAL) DATE PERFORMED: Township, Flange, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Waler Ailer Monilodng? Date: SLOPE SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST BUN BETWEEN FT AND FT COMMENTS PERFORMED BY: "'~¢ ,'~ I T~, ~' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: 1~--~-~ 72-008 (Rev. 4/85) 205 WEST 15TH. AVENUE SUITE 205 ANCHORAGE, ALASKA 99501 (907> 279=5~16 Fax (907)-276-&015 Keven K. Kleweno~ P.E. District Engineer Anchorage District Office Alaska Department of Environmental 800 E. Dimond Blvd. Suite 3--470 Anchorage, Alaska 99515 Conservation Subject: January. 7~ 1994 RECEIVED JAN 7 1994 ~ Mor~cipahty o! Anchorage ept, Health & Human Servicea Waiver Request Lot II Block 1 Talus West ADEC Rroiect 94ll-W~--o~7-~18 Percolatio~ 1'est on Soil at 15 -feet depth Dear Keven; Requiremen~ ~1 of your waiver dated January 5, 19~4. As mentioned in my original waiver request of December 50, 1995, a tes%hole was drilled to 25 feet on December 17, 1995~ with the last ten feet consisting of a silty material which came up satu- rated and plastic. The bottom 5 ~eet collapsed when the auger was withdrawn~ but I managed to install 20 feet of 4--inch perfo- rated pipe in the hole. At the time of drilling no free water was observed. On December 21 free water was feund at 16 feet. The fact that the material was wet, and that water did appear are indications that the material is permeable. To verify this assumption water was added to the testhele on January 6, 1994 at 7 p.m. Prior to adding water the water level was checked. Water surface was found at 16 feet below top of pipe. Approximately 3 gallons of water was poured into the hole. This caused the water level to rise two feet to 14 feet below top of pipe. A drop in the water level was net discernible after 60 minute. The next morning, 12 hours later, the water level was found at 15 feet, indicating that the water level had dropped, and that the material is permeable with a percolation rate of 60 minukes per inch. Based on this observation the bottom of the dr-ainfield can be located at 12 feet~ 4 feet above groundwater level. WALTER J. HICKEL, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 RECEIVED JAN ? 1994 Municipality of Anchorage Dept. Health & Human Services January 5, 1994 Tobben Spurkland, P.E. 203 West 15th, Avenue Site 206 Anchorage, Alaska 99501 Subject: Lot 11, Block 1, Talus West Subdivision, Separation Distance Waiver Anchorage, Alaska, ADEC Project 9421-WV-357-018, Review Dear Mr. Spurkland: I have discussed your January 4, 1994 verbal request to remove two of the four requirements of the waiver that I issued on January 3, 1994 for the above referenced facility with the departmental staff, including the Anchorage District Office Manager. Most staff could understand your argument regarding the pressure distribution requirement. However, all staff agreed that dosing the soil absorption system could prolong the usefulness of the system. Thus, the pressure distribution requirement of the issued waiver is now changed to a recommendation. In regards to the application rate of 0.52 gallons per day per square feet, all staff agreed that this a reasonable requirement based on the existing soil information and the history of failing soil absorption systems. Thus, this requirement will remain. The waiver issued on January 3, 1993 will remain valid until the wastewater disposal system on Lot 11, Block 1, Talus West Subdivision again requires upgrading or is modified. However, based on the submitted information, either the installation of a recirculating sand filter or a holding tank will be the only alternatives the Department will consider if the proposed soil absorption system fails. The previously issued waiver does not imply granting of any additional authorizations, nor obligate any state, federal or local regulatory body to grant required authorizations. Tobben Spurkland, P.E. JanuaW 5,1994 Thank you for your cooperation with this Department. I must emphasize that all other requirements of the waiver are still valid and must be addressed. If you have any questions, pleaSe do not hesitate to contact me. Sincerely, District Engineer KKK/cf . cc: BSbS{e Robinson, MOA, DHHS, On-Site services DEPT. OF ENVIRONMENTAL CONSERVATION RECEIVED ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 JAN 6 1994 Municipality ol Anchorage Dept, Health & Human Services January 3, 1994 Tobben Spurkland, P.E. 203 West 15th, Avenue Site 206 Anchorage, Alaska 99501 Subject! Lot 11, Block 1, Talus West Subdivision, Separation Distance Waiver, Anchorage, Alaska, ADEC Project 9421-WV-357-018, Review Dear Mr. Spurkland: This letter is in response to your December 30, 1993 submittal in which you addressed the items in my December 28, 1993 letter and from our December 29, 1993 meeting. You have requested that the Department waive the separation distance from 200 feet to approximately 148 feet between a Class A Public Water System Source Well and a wastewater disposal system in which only the soil absorption system located on Lot 11, Block 1 Talus West Subdivision is to be replaced. I have completed my review of the submitted information, this office's file on Talus West Subdivision which covers a waiver that was issued in June 1991 for the existing septic tank, and the previous failed soil absorption system, the Borealis Omega Class A Public Water System file, and other pertinent information. Based on the results of this review, I have the following comments. The monitoring data tends to indicate that the aquifer and source well are not being directly influenced by improperly treated wastewater from the wastewater disposal system in question, nor from the other systems that are located within the 200 foot protective radius of the existing Class A Public Water System Source Well. Thus, it appears that there is existing evidence in support of the requested waiver. Therefore, in accordance with the provisions of 18 AAC. 80.030, the following separation distances have been granted: Between the existing Class A Public Water System Source Well and Septic tank from 200'feet to approximately 197 feet. This waiver will also include the septic tank if it needs to be replaced. Between the existing Class A Public Water System Source Well and Soil Absorption System from 200 feet to 148 feet. This covers the effluent line from the septic tank to all the soil absorption systems. Tobben Spurkland, P.E. 2 January 3, 1994 The above noted waivers are granted with the following requirements: 1. Verification that the vertical separation between the lowest part of the soil absorption system and the underlying ML soils encountered at 15 feet in test hole number five is equal to or greater than six feet will need to be submitted to this office under the stamp of a Professional Engineer. As noted in your letter and as we discussed, the amount of fine grained particles in the strata in which you are proposing could be the cause of the failure of the existing bed type soil absorption system. From the soils information that exists for the above-referenced lot and that this is the second replacement soil absorption system within the last two years, the design of the soil absorption system will need to be based on an application rate of .52 gallons per day per square feet. Again, based on the history of failing soil absorption systems for the above- referenced lot, the proposed soil absorption system will need to be designed with pressure distribution. -, A letter from the owners/operators of the Borealis Omega Class A Public Water System verifying that they have no objections to the proposed location of the soil absorption system. This waiver will remain valid until the wastewater disposal system on Lot 11, Block 1, Talus West Subdivision again requires upgrading or is modified. However, based on the submitted information, either the installation of a recirculating sand filter or a holding tank will be the only alternatives the Department will consider if the proposed soil absorption system fails. This approval does not imply granting of any additional authorizations, nor obligate any state, federal or local regulatory body to grant required authorizations. Thank you for your cooperation with this Department. To close out this project, please submit a copy of your December 30, 1993 letter sealed with your Professional Engineer's stamp. If you have any questions, please do not hesitate to contact me. Sincerely, Keven K Kleweno, P.E. District Engineer KKK/cf cc: Robbie Robinson, MOA, DHHS, On-Site Services WALTER J. HICKEL, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. Dimond Blvd., Ste. 3-470 Anchorage, AK 99515 RECEIVED dAN 6 1994 Municipality ol Ancl~oragt) Oept, Health & Human Services December 28, 1993 (907) 349-7755 Mr. Tobben Spurkland, P.E.... 203 W. 15th. Avenue, Ste. 206 Anchorage, AK 99501 RE: Lot 11, Block 1 Talus West Subdivision; Request for Separation Distance Waiver from Class 'A' Public Water System Source Well and an On-Lot Wastewater Disposal System. ADEC Project No. 9421-WV-357-018 Dear Mr. Spurkland: This letter is in response to the submittal received in this office December 23, 1993, regarding a request for a waiver of separation distance between a Class 'A' source well and an on-lot wastewater disposal system. The Department has completed its review and finds that at the present time there is not sufficient justification to grant the requested waiver. This decision is based on the following: 1. Premature failure of the existing absorption bed installed in 1991. The Department does not allow a trench design in soils with a percolation rate of less than one minute per inch (18 AAC 72.265 [E] Table F). Based on the total 11 foot design depth and the soil conditions, as indicated in the submitted soils logs, there appears to be less than the required 6 feet of separation distance between the bottom of the trench and any impermeable strata such as the silt (ML) strata indicated on the soils logs (18 AAC 72.025 [b][1][d][ii]). Based on a review of the information contained on file for this site the Department recommends either an abosorption bed with a recirculating sand filter or a holding tank as wastewater disposal system alternatives. We also recommend that an investigation to determine cause of the premature failure be conducted. Mr. Tobben Spurkland, P.E. 2 Thank you for your cooperation with this Department. December 28, 1993 We sish to emphasize that the waiver issued June 7, 1991: by this Departmen is no longer valid. If you have any questions regarding the above decision, please do not hesitate to call. Sincerely, , // Keven K Kleweno, P.E. District Engineer MLU/cf cc: :~?R~blSie Rob nson, MOA, DHHS. ~'"' Municipality of Anchorage 'Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number, . ~ / oO't'.,~ PID Number: f'~lS' Name: ~T ~ ~oS~T~ TRA~E~ Wastewater System: ~New ~ Upgrade Address: 1181~ ~be~ N~s b~ ABSORPTION FIELD ~No. of~rooms: ~ Deep Trench ~ Shallow Trench ~Bed ~Mo~nd ~Other LEaL DESCRIPTION sci, .~i.~:o. ~ ~P~/S~. ~. To~, ~.~p~ o,,¢.~ ~r~: 12N ~ ~ ~2 0.5 ~t. 32.~ ~t. WELL: ~ISTINP New ~ Upgrade e~a~.~ depth: J Ft. Classification (Priwte, A,~C): Total Depth: Cased To; Total absorption area: PipemateriaJ; Drifter: Date Drgled: Static Water LevebFt, Instager:~ H uCK~5 ~K~O~ Date instaU"d:--/~~/~O Yield: Pump Set ~t: Casing Height Above Ground: ~.. ~. ~. TANK SEPAIATION DISTANCES Cs,p~c u Holding U S.T.E.P, From Tan Field Static. ~ank Sewer Line ANCO. T~N~ Wel~ I~ ~C.~,l ~E ~ ~ ~ ~ ~ Material: ~ TEE L w~t~, >¢04 >,on' -- ~¢oo' LIFT STATION I Foundation )~/ ~/'__ __ O "Pump °n"level at: ~"Pumpoff"leve' at: I High water ~larm at: I Remarks: O~IN~ ~ ~ ~ BENCHMARK - 14530 Echo Street inspections pd~rmed by: .FLA~oP T~c. 5~c5 _Dates: 1st ~/=~/~/ r · 2nd. ~/3~/?/ Departm'nt of Health and Humap Services approval Reviewed and ~roved by: Date' ~ -/¢ ~/ 72~13 fl/91~ MOA 25 Permit Na. 9 f C�Ca ? 3 Flattop Technical Services 14530 Echo Street Page at _3 nch pE I y o ncho age unlcl DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On - Site Wastewater Disposal System and/or Well Inspection Report Legal Description: L i 81 T R L us LyEE6T PI O.. d IS' 20 /. Y SE PA RATION L oT i *- FRoM t' i.or WDLL q�, o ��. T tt .. _. t t 32' _ A NEW GARA6� 7&o n' NOBLE Assott PTJON BED tinLiR��0 �'{ Nes SE 12 NEW GAL 'S -T4 7v tP , sn ! 7& I --1_ao70 WELL l LOT io' ENGINEER'S SEAL DISTANCES: A B(1IouSF CORNERS) ,fir,°CF° A 1" C.D. SEP.74ok27.5 15 C.D. # 1 LI3 7�t.S1 tsli e .;,O0^RE e a %1. T. 75 J4.5THEOCOE F. C.-35ci9 ••,. ,•••; SCALE : l"= $o^�, 72-013 A (2/91) MOA 25 Flattop Technical Services Permit No. 9_/ 0 14530 Echo Street Page 3, of 3 Anchorage, Alaska 99516 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: 1.141WS WES-r PID No.. 0 fS_ W/ Yy toot oo 'T. S. M, -TOP OF WiNbOw TRIM (FlItST FLOOR W'it4t>ows) ASSVMEb 100.60' 6�_ao ND S C4 A Fel- C C- 9FA C— C I:Nvc-rcr or-- '-rNI-ar- 17(. 7 7 :5E?Tlc- INVERT OF ov-ri-ET -TANk E L E V cj().q -7 0 6P IF e tv 66 OAVERT OF DiST,., PIPE ELEVZ T(,'06' CriPC-_S t-Aup CA" (Nvr--ars e-C46E ENG IU .SEAL < OF At V% A .7 - Welt 49 No a/a4er Cor � co --I Ae'-ee-'( THEODORE F. MOORE ea CE - 3589AV .. . 0_0 itii t3 No lGk plDfMol PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910073 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:TRAXINGER ALBERT & OWNER ADDRESS:11895 WILDERNESS DR ANCHORAGE, AK 99516 PARCEL ID:01520134 LEGAL DESCRIPTION: TALUS WEST BLK 1 LT 11 LOT SIZE: 19896 (SQ. FT.) NUMBER OF BEDROOMS.: 4 THIS PERMIT: 4 DATE ISSUED: 4/30/91 EXPIRATION DATE: 4/30/92 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: 0 117 i L'�Qn 12 c DATE • DATE: Tom Fink, Mayor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 May 6, 1991 Ted Moore, P. E. Flattop Technical 14530 Echo Street Anchorage, Alaska Services 99516 Subject: Waiver Request for Lot 11 Block 1 Talus West Subdivision, WR910013, PID #015-201-34 Dear Mr. Moore: Your request for a waiver Of the required 10 foot separation between a septic system and a lot line has been approved° The waived distance is 5 feet° This approval applies to the existing septic system and lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department° If there are any questions, please cell our office at 343-4744° Sincerely, Robert W. Robinson Civil Engineer On-site Services Concur: ~ °hn~Smith, P. Eo Program Manager On-site Services RWR/ljm:363 Kids Are Our Future Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345-1355 Lot 11, Block 1, Talus West S/D 11895 Wilderness Drive Wastewater Disposal System Upgrade Design Narrative The proposed soil absorption bed is designed to serve the existing 4 bedroom residence winch means that it must be capable of accepting 600 gallons per day. While the existing seepage pit was slightly undersized for a 4 bedroom residence, the original permit was taken out for a 4 bedroom residence and the system was subsequently approved for 4 bedrooms in 1981. As shown on the softs logs the material underlying the proposed soil absorption bed.was ~zisually rated as a uniform fine sand. The percolation tests required by the wastewater ordinance demonstrated that this material percs faster than 1 minute per inch. This measured percolation rate would normally require the placement of 2 feet of filter sand beneath the sewer gravel, however the native sand underlying the proposed bed is of equivalent quatity to naturally occuring filter sand. This material will provide adequate filtration plus a structure upon winch a clogging mat can form. We are therefore proposing to use the native underlying sand as the filter material, and to base the size of the soil absorption bed on 0.8 gpd/sq. ft. A sample of the proposed filter sand is submitted for approval with this permit application. The total required basal area of th~ bed will be 600 / 0.8 = 750 square feet, which can be achieved with the configuration depicted on the plans. Based on the soil test logs and on soils information for surrounding lots, we believe the proposed site is the optimum upgrade site on the lot. These soils are uniquely good for Talus West S/D. Because of constraints imposed by the location of the existing seepage pit and nearby wells, we are requesting that the normally required 10 foot separation distance to the north lot line be waived to 5 feet. This will not have any impact upon the ability to develop future soil absorption systems on Lot 12, should the need arise. We are also requesting a waiver allowing the proposed soil absorption bed to be constructed within two feet of the perimeter of the existing seepage pit. This waiver is necessary to allow maximization of the separation distance between the seepage bed and the Borealis Omega Class "A" well. During construction we will verify that the base of the soil absorption bed lies entirely upon fincontaminated soil. We are also requesting a waiver of the required 15 foot width of the soil absorption bed. Due to th~ need to fit around other constxaints, it is not practical to keep the width to 15 feet in this location. We have als0 requested from D.E.C. a waiver down to 150 feet of the required 200 foot separation between the Borealis Omega Class "A" well and the proposed soil absorption bed. A copy of our letter to D.E.C. is enclosed, and we will provide you with their response. The project will have no impact on any private wells, Based on our soils tests, there should be enough room on the lot for one future replacement of the soil absorption system located south of the present seepage pit. Construction in this area would have similar constraints to the proposed project. The proposed project will have no impact on wastewater systems on adjacent lots. There will be no impacts on reserved space / surface and subsurface or on drainage. HovS~ LOT 12 B£/< I 'T,4 Nk' LoT Ii Lo'[ 1o B&{~ I ,'! I I t I I I I I I LOT I I I ...... CLAss'TI" LoT iS' COMMIJN IT LOT Ii BLK I '[ALI. IS WEST $ IT E PLAN ,SEPT lC_ SYSTE~ b/~Ta H/q{ APpRox~AT~ . 27' ~o~ PLAN ViEW COV'E.R MAT/~Rhq. L Mob~NbEb 0.5~ ASov~ ORIGINAL ~RAbE. DEPTH EXCAVATiOh L Ii, BI 'T~LUS WEST SOIL ABSORP¥1oN BED PLAN .~ CROSS - _SECT/oN Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345-1355 Lot 11, Block 1, Talus West Subdivision 11895 Wilderness Drive Wastewater disposal system installation Specifications 1.0 General: 1.i The scope of the project includes the construction of a 750 square foot soil absorption bed which is to be connected up to the existing 1250 gallon septic tank, or a new tank if required. The existing seepage pit is to be pumped and filled with clean sand. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. 1.3 No portion of the new soil absorption bed shall be closer than 5 feet from the north property line, 2 feet from the old seepage pit, or 150 feet from the Borealis Omega well. 1.4 Underground electric and telephone lines do cross the proposed bed area. The contractor shall be responsible to obtain necessary utility locates, and to work around all buried utilities. 2.0 Septic Tank: 2.1 The existing septic tank may be retained in service only if it's structural integrity is verified, and if functional cleanout pipes with airtight caps are installed allowing pumping access to each compar~ent. 2.2 If the existing septic tank is found to not be in good condition, it shall be replaced with a Municipally approved two compartment 1250 gallon tank, set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial typ?, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of I/8" per foot. A cleanout shall be installed within 5 feet of the building foundation (if needed), and a double cleanout shall be installed within 5 feet downsn:eam of the septic tank. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating the surface soils in the designated area dorm to a depth of approximately 7 feet to expose a fine sand stratum. The bottom of the excavation shall be level. If any soil is encountered which had been contaminated from the nearby seepage pit, the shape of the excavation shall be adjusted to achieve 750 square feet of uncontaminated bottom area. 3.2 The existing seepage pit shall be uncovered and pumped, and the interior space filled with clean sand. 3.3 A total of 12 inches of sewer gravel shall be placed in the bottom of the excavation. The sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the//200 sieve. Four inch diameter ' perforated and non-perforated pipes shall be buried in the sewer gravel in the configuration shown on the design drawing. The distribution pipes shall be laid level with the bottom of the pipes no less than 6 inches above the bottom of the sewer gravel. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel, prior to backf'fll of the excavation. 3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 4.0 Inspections: 4.1 A total of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of filter fabric, and (4) after final backfill and grading is complete. Near the start of the project the existing septic tank is to be exposed for inspection by the engineer. If it requires replacement, the new septic tank will require one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. PERFORMED FOR: LEGAL DESCRIPTION: LII~ BI Gq LoAn'/ pT 2 3 4' 5- 6 7 5P 8 FS 9 12 13 S~ME GRAI/EL 14 ~I[E~ ~ITH 16 17 19 20 AN'~ IMPO~T~"~ ~JA~b, PERFORMED 825 "L" Street, Anchorage, Alaska 99502-0650 ~ ~:~;~"~"~'~.~1 . SOILS LOG -- PERCOLATION TEST ,.~... c~.3589 .. ~ ~ T. .. -..' T~L¢5 ~EST Township, Range, Section: SE~ 22 ,TI2 N, ~ ~ ~ SLOPE S TE PLAN ' ' ?Oc~:E'TS oF ~L WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH;) Oeplh Io Walei After ~,n i ,~,r' 'T'~ G,e ~V Monitoring? Om: 2 / ~/9/ Gross Net _ Depth to Net Reading Date Time Time, liN~') Water Drop (~ ~ i~" P~soN ;~/;~- Io:¥8: ~o 27" I0~ ~0: ~S 2~" ~ 3 IO'.5~:o~ HI ~c 21 1/a X~o lo ~ ~g: 2fl 2~ PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN~ETWEEN ~ FTAND ~ FT WIlL PRoWl DE ~ G~Ac OR ~ETTER FIcTR~T/o~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. DATE: /'~/~"~' ~' / 72-008 (Rev. 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ALBF. RT TRAXIN6 R LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 g 10 11 12 13 14 15 16 17 18 20 ' Township, Range, Section: SE(-. 2'Z ~ TI2 N, I{' $ IV' S~OPE SITE PLAN' ~ECol,'t lNG SILTIER WITH' DEPTH WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading Date Gross Net Depth to Net Time Time MJ/'~ Water Drop IN 12" .~:~t~ $/~2 i II:q~;:oo 27 a/~ ~ II~S];~/ 1'- 21" 21 3/R PERCOLATION RATE O* ~ (minutes/inch) PERC HOLE DIAMETER ~'~'" TEST RUN BETWEEN 7 ~__ FI AND 7, ~ FI COMMENTS ACCORDANCE WITH ALL ST,~TE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) CERTIFY THAT THtS TEST WAS PERFORMED iN DATE: /~//2 ~'~ j DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 Mr. Theodore F. Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 / RECEIVED JUi'J 11 1991 WALTER J. HICKEL, GOVERNOR 563-6775 June 7, 1991 Subject: Lot 11, Block 1, Talus West Subdivision, Separation Distance Waiver between a Class A Public Water System Source Well and an On-Lot Wastewater Disposal System, Anchorage, Alaska, ADEC Project Number 9121-WA-015; Review Dear Mr. Moore: This is in response to your submittal, received in this office on May 9, 1991, in which you address the items noted in my May 6, 1991 letter regarding the above-referenced subject. I have reviewed the submitted information and the office's file on this facility and have the following comments. In your April 2, 1991 submittal, a separation distance waiver was requested for the 150 foot between the Class A Public Water System Source Well (Borealis Omega PWSlD Number 210786) and the Wastewater Disposal System serving the single family home on the above-subject lot. As a result of my review of the information submitted, the Department has found the information provided to be satisfactory for allowing the requested waiver, in accordance with 18 AAC 80.020 (e) Drinking Water Regulations. The separation distance between the Borealis Omega Class A Public Water System Source Weft and the Wastewater Disposal System located on Lot 11, Block 1, Talus West Subdivision has been waived from 200 feet to 150 feet. In regards to my concern of the condition of the septic tank, please provide verification that either the existing septic tank was water tight and useable or that a new septic tank was properly installed. This information should be provided by July 8, 1991 for this waiver to remain valid. Thank you for your cooperation with this Department. If you have any questions, please do not hesitate to contact me. Sipcerely, ) Keven K. Kleweno Environmental Engineer cc: John Smith, DHHS CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 April 2, 1991 ANCHORAGE, ALASKA 99516 Kevin Kleveno Ak. Dep't of Environmental Conservation 3601 "C" Street, Suite 322 Anchorage, AK 99503 Dear Mr. Kleveno: We are in the process of seeking a Municipal permit to install a new soil absorption bed to replace a failed seepage pit serving the Traxinger residence on Lot 11, Block 1, Talus West S/D. Since both the original seepage pit and the proposed replacement system are within 200 feet of the Class "A" well serving the Borealis Omega water system, we are requesting your concurrence in the proposed project and/or a waiver of the required separation distance down to 150', if you feel a waiver is the appropriate way to handle this. Copies of our proposed design and relevant backup documents are enclosed to assist you in your evaluation. According to the as-built inspection report, the original septic system on the subject lot was installed in November of 1973 and consists of a 1250 gallon septic tank followed by a seepage pit with 804 square feet of effective wail area. While the seepage pit was slightly undersized for a 4 bedroom residence, the original permit was taken out for a 4 bedroom residence and the system was subsequently approved for 4 bedrooms in 1981. In September of 1990 the system failed an adequacy test which necessitated the proposed replacement system. As you can see from our site plan, the proposed soil absorption bed is sized for a 4 bedroom residence also, and will be the same distance from the Borealis Omega well as was the original seepage pit, which is just over 150 feet. In researching the D.E.C. fries we were unable to locate a driller's log for the Borealis Omega well, however it appears to have been drilled in 1974 or early 1975, based on,the dates of construction of nearby septic systems. These early documents refer to the well's classification as being "semi-public" with required separation distances of 80 feet to septic tanks and 120 feet to soil absorption systems. We understand that the well is now properly classified as a Class "A" well since it serves more than 25 people, and thus the current separation distance requirement to septic system components is 200 feet. A very similar situation with respect to this same well arose in 1987 in connection with an upgrade to the septic system serving the residence on Lot 15 of Borealis S/D. In this case also the proposed upgrade was unable to meet the new 200 foot separation requirement. In a letter dated December 21, 1987 Mike Lewis of your office determined that a waiver was unnecessary for that system because the original system met separation requirements at the time of construction and the upgrade work was for equal replacement of failed components and not for expansion. We believe that the proposed project is in the public interest since it involves replacement of a failing seepage pit with a new soil absorption bed. In designing the new system, we are able to maintain a separation distance of 150 feet from the well, which while less than the normally required 200 feet should stiil provide an adequate degree of protection. It should be mcogrdzed that there are several other septic systems located considerably closer to the Borealis Omega well than the proposed replacement bed. While there is no evidence that the failing seepage pit on the subject lot is an imminent health hazard or that is in the water table, the proposed bed will provide a higher margin of safety by virtue of being constructed at a shallower depth. The underlying sand stratum can be expected to provide good filtration as well as a substrate for the formation of a clogging mat. We would appreciate your timely review and decision on this issue, so the Owner can proceed with making arrangements to have the necessary upgrade done allowing him to complete the sale of his home. Thfink you for your assistance. cc: Albert Traxinger M.O.A. DHHS Sincerely, Ted Moore, PiE. , GREk ?R ANCHORAGE AREA BO[ "JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 NAME LOCATION INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LEGAL DESCRIPTION ~/] ~] ~/fl~ ~/~ SEPTIC TANK: FROM WEL~...~- ~ M~_______._.~ACTURER [/'~/~-'LOV~ INSIDE LENGTH INSIDE WIDTH NUMBER OF COMPARTMENTS . LIQUID DEPTH LIQUID CAPACITY/ Z'~"O GALLONS. SEEPAGE PIT.' NUMBER OF PITS / . DIAMETER __ {2 , LINING MATERIAL c~lcFf/~ ~/,/?;¢CRIB SIZE: BUILDING FOUNDATION~-~ , NEAREST LOT LINE __ OR WIDTH .. , LENGTH DEPTH /~> / DIAMETER DEPTH (~ DISTANCE FROM: ~ -- TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ .SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED__ CONSTRUCTION DEPTH __ NEAREST NEAREST SEPTIC LOT LINE SEWER LINE TANK OTHER SOURCES DISAPPROVED REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: DIAGRAM OF SYSTEM PIPE MATERIAL: ~///C~.-~''' LOT SLOPE: REMARKS: Form No, EQ-031 L. DATE ,//- q ~ 7 3 GREATER ANCHORAGE Area BOROUGH 3330 "C" STREET ANCHORAGE, ALASKA 99503 SFWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NO l NSTALLAT[ON LOCATION LEGAL DESCRIPTION ., OTHER AREA "'~"~/~ e/q' ~ / 0 ~ "(~' '/' DIAGRAM O~ WATER MAIN TO SEPTIC TANK .~/~/I , SEEPAGE Pit EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 Ii'CH DIAMETER CAST ]EON SIPHON PIPES ON SEPTIC: TANK AND SEEPAGE PIT FITTED WITH Airtight REMOVABLE CAP .~ GRAVEL DATE APPLICANT'S SIGNATURE/. Performed Legal Description: Lot_~ Block_/,/ _ This Form Reports Soils Log_~/ - Soil Test Must Be Logged To 4' GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY Case # 3330 "C" Street ANCHORAGE, ALASKA 99503 For ~-~,///~/ ~ /~'"//~/~//'~/~ Dated Performed - " Subdivision~ /_~)~z- Percolation Test Below Proposed Seepage System Depth Feet Soil Characteristics 2-- 3-- 4-- 5-- 6-- 7-- 9-- lO-- ll~ 12 ...... 13~ 14-- Was Ground Water Encountered? ~0 ~^ If Yes, At What Depth? Reading Date Gross Time Net Time Percolation Rate Minute Proposed Installation: Seepage Pit Depth to H20 Net Dro Depth of Inlet Depth ~.o Bottom of Pit OP Trench' Test Performed BY ~$~ Date Certified BY: Date: Drain Field Ifmore than 1septic system ieonthe lot: CDSAChecklist # —of ____ Structure served by this system Legal Description: Parcel |D: 015-201-34 A. WELL DATA Well type Private Date completed 1974 Total depth _106 ft. If A, 8. or C provide PVVS|D # Sanitary seal (YYN)Y Cased to 106 ft. FROM WELL LOG Date oftest Static water level Well production WATER SAMPLE RESULTS: ft. Well Log (/8N) Wires properly protected (KN) Casing height (above ground) _24"+ AT INSPECTION 71712017 82 ft. g.p,m, Coliform NEG colonies/100mL Nitrate 2.47 mg/L Arsenio: __k8lug/L Date of sample: Collected by: PANNONE B. SEPT|C8HDLD|NGTANK DATA TankType0Nab*ha| STEEL Date installed 5-29-91 Tank size _1250_ gal. Number of Compartments 2 C|eanouty(Y?N) Foundation cleanout (YYN)y Depression over tank (YYN) N High water alarm (YYN) NA Date ofpumping Pumper C. ABSORPTION FIELD DATA — Date installed S�9-91 Soil rating (E}PD/SF)0J>_System type BED Length%!f. Width _2}ft. Gravel below pipe <>.5ft. Total depth 9.0 ft. Ef, absorption area 76}e_f� Monitoring tube y Depression over field N Date ofadequacy test Results (Paao/Fai|)_PASS For 4_bedrooms Fluid depth in absorption field before test_0in. Water addedgal. New depth _{i_ in. Elapsed Ti me: 30 min. Final fluid depth _{i_ in. Absorption rate >= GO .p.d, Any rejuvenation treatment (past 12mo.)(Y/N&type) UNKNOWN |fyes, give date ________ D. LIFT STATION Date installed "Pump on" level atin. "Pump off" level at in. High water alarm level at in. Datum __ Size ingallons Manhole/Access (YYN)________ Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ONLOT TO: Septic tank/lift station nnlot Absorption field on lot Public sewer main Sewer /septic service line Animal containment areas SEPTIC/HOLDING TANK DNLOT TO: Building foundation Property line _1{y+� On adjacent lots Onadjacent lots 150'+ CLASS A WELL Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas 100'+ Absorption field Water main 100'+ Water service line 50'+ Surfacewater 100'+ Wells on adjacent lots _YDO'+____ Property line T+ ** Building foundation 10 Water main _100'+ Water Service line _5D.+Surfacewaber Driveway, parking/vehicle storage _5'+ Curtain drain Wells onadjacent lots _15O'+_~ F. COMMENTS °SEE 150'ADECWAVIER ONCLASS AWELL TOTHE EAST, - EXISTING 0TLINE WAIVER |NFILE *-*PRE-SOAK 2000GALL G. ENGINEER'S CERTIFICATION / certify that /have determined through field inspections and review ofMunicipal records that the above systems are in conformance with MOA COSAguidelines /neffect onthis date. Engineer's Printed Name MIKE N. ANDERSON, PE Date 7/1812017 COSAcanary nxeeLu-6-/o.uvc Co 1-1 co �;l -n 0:) Q) CA) 0 0 'It ca Cf) CD > 0 PO Cf) 6D CD W to M tzs 0 0 0 cn m -0 c A (OZ) C) co M Cl) U) c txj C'JI < 0 z II O W.10 Iv v �l 0 ti �4 (D" (D 0 CD o sow .4 A -1 m M 5- 01 , 5 --o (D CD 74 m CD mpmasn 0 m .0 5 a. z eo m w a ,v (+ �.tr M Co 0 -1 (D - 0 00 m C) 0 CD 0 0 PO < (D 00 > C) M so m 0 I0 D 4 52 00 w �,. (D 0 0 > 0 Cl) 0 CD 0 v 0 0 0z m C- 0, m 0 G) mmi 0-0 .1 m o m ��o - 0 m f+ r. m 0 0e�trt m tr 0 m CD o o 0, 0 Y. .lz 0 0 m 50 amm P" ----------- U) ~ Permit No. Page 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES D|NS|(}N P.O. Box 186850 Anchorage, A|oako 90519-8650 Telephone: 343-4744 On—Site Wastewater D|ep000| System and/or Well Inspection Report Legal Description: TALUS WEST SUBD. BLK 1 LOT 11 / ` \ \ ' 1991 BED SYSTEM WAS RE -CONNECTED TO EXISTING \ \DIVERTER VALVE AND 'PUT IN SERVICE 0i of 2 PID No.: 015-201-34 ! / N MT1 |\ -75 | / � | "60 CO2 / � � / ` \ \ ' 1991 BED SYSTEM WAS RE -CONNECTED TO EXISTING \ \DIVERTER VALVE AND 'PUT IN SERVICE 0i of 2 PID No.: 015-201-34 ! / N | |\ | / � | | / | / � � /| 150' CLASS ^^ RADIUS SEE ADEC WAIVER 1[XBTING 1891 BED | F- -- -- -- VALVE EXISTING \ \� N | |\ / � | | | � � | | � ---U AN -FILTER FABR:C AV GALIONT STEEL SEPTIC SECTIO 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 Parcel I.D. # · CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING OIS-- ~L~I- ~ ~ NAA# 1. GENERAL INFORMATION Complete legal description ~o'i- tt, ~ ~ ~ 'T-~t_o ~ ~-~T Location (site address or directions) Property owner Mailing'address Lending agency Mailing address Day phone~ ~q~- ~,~/~ Day phone. Agent '-'~ P(-~ ~ ¢ Address Un/ess otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: ~ 3. TYPE OF WATER SUPPLY: Individual well ["/' Community well Public water 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: Individual on-site Holding tank : Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 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 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, Phone ordinances, and regulations in effect on the date of this inspection. NameofFirm '-~'~,~ ~p¢~'~L4.~ Address c~ ~ p¢~ /4-/--¢/, /~/ ~ ~, Engineer's signature ~ -~,,¢,-c~.~,~~ / DHH$ SIGNATURE ¢~_ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date 'The Muni~ipaiity 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. 72.O25(Rev. 1/91) Back MOA/f21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type ~ Log present (Y/N) Total depth Sanitary seal (WN) Date of test Static water level Well flow Pump level1 FROM WELL LOG If A, B, or C, attach ADEC letter. ADEC water system number Date completed 1~'7 ~'/ Driller Cased to ! 0 &, .Casing height Wires properly protected (Y/N) AT INSPECTION / .g.p.m. /~. SEPARATION DISTANCES FROM WELL TO: g.p.m. Septic/holding tank on lot 'i E) O Absorption field on lot I Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank N ,o -~/~.' WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping O.~.~ Other bacteria Coflected by: Tank size / Foundation cleanout (Y/N) Compartments ;2__ Depression (Y/N) Alarm tested (Y/N) Pumper A~. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~o-~ On adjacent lots To property line ~ Absorption field .~'~ Surface water/drainage t'-//~ Foundation Water main/service line 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA Date insta,ad I /I l Length ~%~ Width Total absorption area Date of adequacy test On adjacent lots Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Manufacturer Manhole/Access (Y/N) "Pump off" Level at .Cycles tested Surface water Soil rating (GPD/Ft2) ,,' ¢ ,'¢--- System type Gravel thickness ~ [ Total depth I. I Cleanout present (Y/N) "/ Depression over field (Y/N) Results (pass/fail) ~'~ for ~///'.,L~ After test /%'/ .If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water /~ Curtain drain ~'¢ E. ENGINEER'S CERTIFICATION Bedrooms On adjacent lots / ¢,?...O Property line /..~ To existing or abandoned system on lot Cutbank f'¥/¢ ~ ~_ Water main/service line Driveway, parking/vehicle storage area ~ ~ I certi~ that I have checked, verified, or conformed to afl MOA and HAA guidefines in effect an the date of this inspection. HAA Fee $ Date of Payment Receipt Number ?2-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number 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 FAM LY DWELLING Parcel I.D.# d21.C';~Of ~¢' HAA#' '~ ('~ q \ GENERAL INFORMATION Complete legal description Location (site address or directions) II 8¢5- Property owner A/ rf 2' /~o¢,'~r/~ Day phone Mailing address fl~9~ Lending agency ~, G, ~. Day phone Mailing address Agent ~ ~, ~ /~r ~ Day phone Address ll~f Unless otherwise requested, HAA will be held for pickup. ? ¥~-- 7 3y'a NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: individual well Community well Public water 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: Individual on-site ~" Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Re','. 1/91) Fronl MOA #21 s~ueLUWO0 leUO!l!PPV :suo!1elnd!~s 8U!MOllO~ eLl~ q~!M 'SLUOOJp@q _S'~4' £ / _.~-~ euoqd JoJ le^oJdde leUO!~!puoo 'peAoJddes!Q Joe peAoJddv ~n±VNglS SHHa 'uo!loedsu! s!q~ jo eSep eql uo ~oejje u! suo!~elnBeJ pue 'seoueu!pJo 'sepoo ele1S pue led!o!unV~ lie q~l~ eoUe!ldLuoo u! $! Lue~sXs lesods!p JeleMelSeM Jo/pue ~lddns Jm, eM e1!s-uo eq~ 'uoRoedsu! pue uo!~e6!~seAu! ~LU LUOJJ pue sel!J e6eJoqouv ~o/9,!lud!o!unl/N eq~ LUOJ~ peu!m, qo UO!~eLU4OiU! eql uo peseq ~eql X~!JeA JeqMnJ I 'u!eJeq pe~eolpu! eJn~onJ~s jo adX1 pue scuooJpeq jo JequJnu eql Jo~ e~enbepe pue jeuo!~ounj 'ejes s! Lue~sXs lesods!p JeleMe~SeM ~o/pue /qddns Je~eM el!S-uo eql letl~ SMOqS UO!leO!ldde I1BAoJddv X~Hoq~nv q~leeN S!Cl~ ~.o uo!~e6!lseAu! XuJ ~eql Xjpe^ I 'Moleq UMOqS m, ep uo!~eplleA eq~, ~o se puc m, eJeq pex!j;e lees ,~uJ ~q pe!l!l~eo sv "9 IJ~I=INION=~ AG NOI.LO=IdSNI :JO .LNi31N=IJ.V.LS 'S 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 of this Health Authority Approval application shows that the on-si~e 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 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. Name of Firm '~034 r .,~ River Locp ~o.e~ No. 204 Address ~ ' ' ,, .' ~n~7~ Eagle R, Engineers signature './~~ 6. DHHS SIGNATURE Phone Date ,~ "~/~'~ / __ Approved for bedrooms. Disapproved. Conditional approval for Z',/ bedrooms, with the following stipulations: 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 DH HS 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 Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~.c~F fl/ ~(oC(~ -~¢ '7-~(~-,¢ ~¢'~f' Parcel I.D. A. WELL DATA Well type /'~,-tv~ ~-g Log present (Y/N) Total depth /O ~" Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. Date completed Casedto ~-- ~o~' FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 1o0 ..~ c.,o. Absorption field on lot 135" Public sewer main N, Public sewer service line N, ADEC water system number I,° ~ Driller Casing height Wires properly protected (Y/N) AT INSPECTION g.p.m. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank "~ 2.5- ' WATER SAMPLE RESULTS: Coliform ~ Date of sample: .~'/~ I /? / Nitrate (~, ..~"~ Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed 5'/~¢/? ! Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size / ~'-0 ~ / Compartments Foundation cleanout (Y/N) Y' Depression (Y/N) /t. Alarm tested (Y/N) /¥. ' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s)onlot_fO0 ~,,,, c.o, Onadjacentlots ~' I0~~ Foundation To property line ~5" Absorption field ?~Water main/service line Surface water/drainage 72-026 (Rev. 3/91)Front MOA21 CONTINUED ON BACK PAGE C. LIFT STATION I~b,4. Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: On adjacent lots Well on lot D. ABSORPTION FIELD DATA Date installed Length ~ 2 ~ Width Total absorption area Depression over field (Y/N) Results (pass/fail) Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Surface water Soil rating ~,~' 7~o ~q. O. ~'/~,~/'ff ~ System type Gravel thickness ~' Cleanouts present (Y/N) Date of adequacy test for ~ Total depth 'r" bedrooms Peroxide treatment (past 12 months) (Y/N) N If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot J To building foundation On adjacent lots '~ 3¢' Surface water '>, ~oo' Y/ On adjacent lots 15'~¢ ' Property line .S- ' To existing or abandoned system on lot I~' Cutbank N,/), Water main/serviceline "~ Driveway, parking/vehicle storage area '7~ ' Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature ~¢~T'~.../~.,-c..~z.~- .~. /~')'[~¢.~c_ Engineer's Name '-/-'//~ ¢¢-d,,',~ F. ~o~e Date .~n ~ ~ /991 HAA Fee $. Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72 026 (Rev 3/91) Back MOA 21 INSPECTtON APPOINTMENTS tIME TIME TIME -- /-~ -- MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH ~ ENVIRONMENTAL PROTECTION D~PT. 825 L Street - Aachorage, Alaska 99501 ENVirONMENTAL P~O , ~ ~ ENVIRONMENTAL SANITATION DIVISION OCT g 1~81 > REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be proc~sed. P]ease allow ten (10) davs for processing. 1. P ERTY OWNER PHONE MAILING ADDRESS PROPERTY RESIDENT {If different ~rom above) ~ ' ~ PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION ~ PHONE MAI LING ADDR ESS 4. REALTOR/AGENT { PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION Lo'/- Il 1 ;TREET LOCATION '~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDRQOMS [] One ~' Four [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY ~ tNDIVIDUAL* * ATTACH WELL LOG. A well lo§ is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM --~ INDIVIDUAL/ON-SITE** ~,~l"~ YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE P~OCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [~'~ SINGLE FAMILY [~] ONE E~] THREE [~] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO ~ FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY ~ INDIVIDUAL DEPTH OF WELL I%] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified. LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY //' Connection Verified iNSTALLER · []Septic T.~pk or [] Holding Tank Size:/ 2~ ~ If Tank is homemade SOILS RATING b give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTIO~,N AI~EA MATERIAL 4. DISTANCES Septic/HoldingTank Absorption Area ISewer Line I Nearest Lot Line L WELL TO: Absorption Area to nearest Lot Line [~;~APPROVED FOR ~ -- BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ,/~ 72-010 (Rev, 6/79) x __ /8~5 iZ Street, Anchorage, Alask{ -99501 Insp ~ Inop ~ ....... ~_ _ ~ Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Call Connie on these two before gozng out on them. 1. Lending Institution Request: Mailing Address: Phone: 2. Property Owner: Charles/Patricia Fahl Phone: Mailing Address: 344-4970 3. Legal Description: Lot 11 Block 1 Talus West Subdivision Single Family Residence: (x) Multiple Family Residence: Number of Bedrooms: Number of Bedrooms: Well System: Permit ~ Constructiou Public/Con. unity System: (x) Individual Well: ( ) Depth of Well Well Log on File Bacterial Analysis ( ) o Sewage Disposal System: Permit # Septic Tank Size Absorption Area Distances: Well to Sewer Line On-site System (x~ Public Utility ( ) / 2 6'--0 Manufacturer ~~_~ ~ 9~ ~te ~--'~___ Material ~ ~~ to Septic Tank /~Q/ ~L~ to Absorption Area ~ Nearest Lot line Absorption Area to Nearest Lot Line Page ~wo Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 11 Block 1 Talus West Subdivision Comments: Affadavit Attached: (i) Letter Attached: ( Approved~~~L~-~ Date: ~---~ --~ Department Worksheet: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "c" Street, Anchorage, Alaska 99503 274-4561 Date Received March 9,,1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony, ]. Approval requested by: First National Bank of Anchorage Mailing Address: Pest office Box 720, 99510 Phone: 279-4481 x 288 2. Property Owner: Charles & Patricia Fahl Phone: 279-0673 work Mailing Address: Star Route A Box 1488V, 99507 3. Legal Description: Lot 11 Block 1 Talus West Subdivision 4. Location: Wilderness Lane Type of facility to be inspected Single Family No. of bedrooms 3 Well Data: Individual A. Type B. Depth co Construction Sewage Disp0sa] System: On-site system. ~-4.~.~(i A. Installed B. Installer D. Bacterial Analysis 1. Size 2. Manufacturer l. Absorption Area 2. Material Field: Total length of lines C. Septic Tank: D. Seepage Pit: E. Disposal Distances: A. Well to: , Absorption area , Other contamination , Absorption area Septic tank Nearest lot line B. Foundation to septic tank , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Rec it for Approval of Individual S ~r & Water Facilities legal'Description Lot 11 Block 1 Talus West Subdivision Comments Approved Disapproved Date .~ Apprqv~,Valid for one year from date signed Greater Anchorag~Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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 Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ~./~/~/~.~'~ Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Approval requested by: Mailing Address: Property Owner: Mailing Address: Legal Description: 3. ! 6. Well Data: A. Type ~ ~ ~z__~.~ B. Depth /~ z C. Construction D. Bacterial Analysis ~--------- Phone: o A. Installed C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Sewage Disposal System: ~)~c. ' 7_B B. Installer Size / 2~~2 2. Manufacturer ~f~.~_~d z o JJ Absorption Area ~V 2. Material Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-O3q (1/76) Page 1 of two pages Page, 2 of two pages - Re~,,_~st for Approval of Individual S~.~er & Water Facilities ~egalmDescription ~ // ~ / ?~/~F ~ ~ ~-~/~F/ Approve~-~/?F~.~ ~'~',,./ ~,~ Disapproved Approval :Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality Date~-~/- 7~t- DIAGRAM OF SYSTEM 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)