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TALUS WEST BLK 1 LT 15
MUNICIPALITY OF ANCHORAGE DEPARTME.T OF,EA'T, ^.D HUM^. SERWCES , Environmental Health Division 825 "L" Street, Anchorage, Alask~ 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT DISTANCES ][~0[ O~c~ff A~gg ~ P~-I~ TANK FIELD WELL Ph°ne[s)~ yS___ ~ O~~ Permi~/~TN°' NO ol~dr°°ms WELL LEGAL DESCRIPTION LOT LINE ~C ~/ T/~[/ ~ S.~, AS-BUILTDIAGRAM(Sh°w °ca °n° ve,septicsystem, properWhnes, foundatlon, TANKS ~ SEPTIC ~ HOLDING TYPE OF SYSTEM ~ntx r/~ ~TRENCH ~ BED ~ W. DRAIN ~ OTHER FT FT F,II added above original grade Gra~e] depth beneath p,pe i~ R FT FT SQ FT ~ g PRIVATE ~ OTHER (Identify) ~', ~i¢ FT I- ¢~ ¢ ~ cedify that this inspecUon was pedormed according lo afl Health Depadment Approval: 72-013 (3/85~ M U N i C: :t: F' A L :[ T Y C F' A N C; H O Fl A E) E F:',~;x,m:J'l:. hltirnL:)(~p '~ ~ iiiZ P T I C i'. A.. ,~'~., kZ F:' E [:~ H i ]:)ay ' ~ .... 1 c l Fl JL, 'TANI<x J'fl:i.n:imum ....... " D,=:~R.h 'l.j t. op c:)£ s~p'L:i_l:: ~.a. tll,.(s) < zL Fd."~::CEN]" H]:GH t.,,JA'I-ISF~ CC)NDI'I':iiONS F~:ESLJI...TED IN £3E)LI...AF'.~!!~E OF' EXiI:ST]:NE) SEPT :[ C '[Alqt< ,, ,Si :[ IqPL. E I::~'.EI:::'I...A[::E]qENT [)1:::' T'HE TANK I)DES NO]' tRIii~'6!LI i I:RE SI~i:F'A.[?A'] :1: [:)lq ]0 ]: [[~'] ~NCE I~IA ]: VEFi. Ftlii!]::'I_AC:I':.':'iIqEi:NT SE:I:::"T Z ,'.'3 TANI< I,'.j Z EL. :[ NC!_UDE C!]P~PA!::(f'MI~i]',IT I:::'[:)1::~ L I F:T STAT :1: CIN'. TANK i IxI!ilN"hLI..ATZ C)N MUST BE ]: N~:!~I::'EC't" ED ~1::'"1"t:::1::~ TANK ...,~:: ~ ~ ]: F:"/ T' H A T ~ I,, :i: am (am:i ]. :i. ap t,,~:i.'l:..!"l '" = .... · ..... for'Lb by t.l'~c~ Hun. c::Lpa].ity o/ Arichor'~¢.ge (PlO~i) ,,=n,~ '[..h~:, ;~tal..c of Alaska,, 2. ]: ~,~J.].:l. :Lns'La:l.] 'LI"](:~)sV::, ..(,. i :i.n ac:c:o~'clanc:e ~xi.'[.h. . all VICIA c:c:x::lc-~s and al'id ~.1-1 (:o/[tj::i].Ja~l'li::(~ ~:L'k.l'l i:.he (::J~?~,grl C:PJ,~:.~Z.H"J,a Of' '~.,Jq:J.t~ 3,, I v~i]. ~ ac:Jh(~:,r-~.~) 'Lo aI.,. P'IC)A and ' -J ' ......... dJ.[[Y~.~.l"~c~,~s ['l"Cif~i any e)xJ.~'LJ, rJ~l ~,~q~].~, ~]a~:.e~,~a~'.~P c:JJ.~¥]o~a], by~¢"...~?"-' c:)p .......... ......... ....................................................................... ~7 ........................ ~ ............. ~/ ............ E'~ICTIN~ u~. N~.~ toO0 6:R&~.T.I t~ ~A~ Ao¢~irtot~ ! LOT tV . ~ . ODORE F. MOORE... +,~.'. c~- ~9 ., ~ ~ ~attb~ Technical Services 14530 Echo Street ~fichorage, .Alaska 99516 L I S z I~ .I, TA L C( S 5~PTI~ TANK I~PLACEi~IT -~ l TE PLA N NoT Rick Mystrom, Mayor Municipality Of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 23, 1995 Mr. Robert W. Cowan S & S Engineering 17034 Eagle River Loop Road No. 204 Eagle River, AK 99577 Subject: Waiver Request for: Lot 15, Block 1, Talus West Subdivision Waiver Approval: # WR950001 Dear Mr. Cowan: Your request for waiver(s) of the required 100 foot horizontal separation of a well to an absorption field has been approved. The approved separation distance(s) are: Well to Absorption Field 97 feet This waiver approval applies to the well to absorption field only. Any future upgrades will require all separation distances be met or another approval be obtained from this department. Sincerely, Daniel J. Roth Civil Engineer On-Site Services kb 4' MUNICIPALITY OF ANCHORA~ Department of Health and Human Services On-site Services Section Applicant: Waiver Requested: Waiver Review Worksheet WR~ WR950001 PID# 015-201-38 HA# Date Received: 1-5-95 Legal Description: Lot 15, Block 1, Engineer: S & S Engineerinq 17034 Eagle River Loop Road No. Eagle River, AK 99577 Patrick & Peggy Bowen Well to Absorption Field - HA950002 Permit Talus West Subdivision 204 97 feet Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: Points: 3. Other: Waiver is Granted: .~ List Conditions or Reasons for Waiver is NOT Granted: above: ~ff~ ~/-~.~ (/FF_/7 By: Rec #: 00607 (0005) Amount: $ 920.00 Name of Reviewer Date Paid: 1-5-95 i !,~/ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Manufacturer ~¢ ~ ~ Material No. of compartments No. of lines/ Len~th,~hgine I Total wid~ Distance be s ~ Trench inches ' SOl L ~T RAtiNG ,NSTAELER ~ PERMIT NO. FIPPLICFINT COWDER~ E~C LOCFIT!ON TFILUS WEST LEGFIL LOT 15 BLK i TFILUS NEST SUB LOT SIZE Tb'PE OF SOIL FIBSORPTION SYSTEM IS~ TRENCH MFIXIMUM NUMBER OF' BEDROOMS = 4 SOIL RFITING (IQ F'T,,'BR)= :~25 THE REQUIRED SIZE OF THE SOIL. FIBSORPTION S'¢STEM IS: THE LENGTH DINENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD. THE DEPTH OF B TREN_.H' r" ~]E'. . PIT I:,'- THE DISTBNCE 8ETWEEN THE SURFBCE OF THE GROUND BND ]"HE BOTTON OF THE E;:~CBVBTION (IN FEET). THERE IS NO SET NIDTN FOR TRENCHE~. TNE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRBgEL DETNEEN THE OUTFBLL PIPE RN[:, TNE E, uTTuM OF THF o~.'p'"~ ..... i]~' - ~,-',--n~n~_r'~ (IN FEET). PERMIT ~PPL!C~NT H~S THE RESPONSIBILIT'¢ TO INFORM THIS DEPRRTMENT DURING THE INSTBLLBTION INSPEC:TIONS OF 8NV' NELLS B[:,J8CENT TO THIS F'ROPERT'¢ 8ND THE NUMBER OF REz, IDENcE=, THBT THE WELL NILL SERVE. E:FtEKFILLING OF F!NV '='"- ...... -,~=,TEH WITHOUT FINFIL INzFEL.]I_N FIND--~PP~'-m'~,.._.,_,~ 8'¢ ].HI=,' "- DEPFIRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DI:,TFINL. E BETWEEN FI WELL FIND Fi~.,l':r' ON-SITE -,EWHbE DI'=,F'FI'~FtL ':'"- ', ',- ..... t :,TEN I:, ±OEl FEET FIR FI FRIkFITE WELL OR ±50 TL] 200 FEET FRCIM Ft FLBLIu WELL DEF'EN[:,INO UPON THE T'¢PE OF FJBLI/.'I '~ "WELL. HINIMIJM DISTFINCE FROM FI PRIVFITE NELL TO FI PRI'¢F1TE':_,EWEF.., LINE I.:,'-' ")=~-.-, FEET FIND TO FI COMMUNITV SEWER LINE IS ,'.- FEET. OTHER RE~!LIIREMENTS MFI¥ FIPPL'¢. -,FEL. IFIL. MTION_~ FIND C:ONSTRUCTION [ IH.~RHt~i:, FIRE FI',,,'RILFIBLE TO INSURE PRJFER,'F ' IN:,TFILLH]. '- - "ION. F'ERI'.I 1' T E,:-=,F ~ F..E_-' - '-. [:'EC:E~'IE:EF-: =i:~1_.. ::L q:=:-l_. _ __ I CERTIF'¢ TNRT :t: I RM F:RMILIFIR WITH THE RE~!UIREMENTS FnR ON-SITE-':_,ENER:,"- RND NELLS -': ':'' FORTH B'¢ ]"HE MUNICIPFiLIT'¢ OF FINCHORFIGE. - N ....ET 2: I WILL INSTFILL THE c,,,- -,T-~TEH IN FIC:CORD, FINC:E WITH 'THE CODES. ?' I UNE;,ERSTRND THRT THE 0N-SITE SEWEF.' '--;'"q , -,r' , - .=~_TEH MR'¢ REQLIRE ENLHR=EHENT IF THE RESI[:,ENCE I='], REMO[:,ELED TO INCLUC, E MORE THFIN 4 BEDROOMS. ................... -,..---~.~--.-.-.-.¢L _ _.~_ =._ _ I,,._-_-~_ _~_ _-%.-~_ _ ISSUED B'~~L~~- -~'~_ _ _ _ [:,FI T _E~ _~_~_ _~_ _~ _ _~_ V4.0 PERMIT NO. FFLI _.HNT LOCRT 1 ON LEGRL COWDER'¢ E,..,CH ,¢ RTI NU ,=,~:~:~'~' - '-' - LRKE ;]TI',,_ _ F'ARKWA'¢ 99502 .z,.44-,=:'~ ..... '.~.~ "',. LOT '15 BLOCK '1 TRLUS NEST S,.,'D LOT SIZE 4~500 SQLRRE FEET T'¢F'E OF =,OIL H6_,ERFTIuN =,T--,TEM I--,. TREN~.H MRXIMUM NUMEEF. OF BEDROOMS = 4 '-=,UIL- RRTING ,:. L-, L~' - - FT/BR',= '±~._'" ~ THE REQUIRED --,I¢.E OF THE .... '~¢~IL HB_,uRFTION ¢~r_,TEM ''= I:,.'-' THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRflINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DIS'TflNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRT!ON (IN FEET). THERE IS NO BET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE fiND THE BOTTOM OF THE EXCRVRTION (IN FEET). PERMIT RPPLICRNT HRS THE RESPONSIBILIT9 TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF BM9 WELLS ~DJRCENT TO THIS PROPERT9 RND TNE NUMBER OF RESIDENCES THBT THE WELL WILL SERVE. BACKFILLING OF RNV '"'"- ' '-' ~' - '. ', ,-,,, ., .=,r-",TEM WITHOUT FINRL IHz, FEcTIuN RN[:' RFFF-_ RL E,~ THIS DEPRRTMENT WILL BE c'UB.TECT TO PROSECUTILqN. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SENRGE DISPOSRL S~STEM IS '100 FEET FOR B PRIVRTE NELL OR '150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TVPE OF PUBLIC WELL MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO fl COMMUNIT9 SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRV RPPL9. SPECIFICRTIONS fiND CONSTRUCTION DIRGRRMS fiRE RVRILRBLE TO INSURE PROPER INSTflLLflTION, F'EF-:~'-I J. T E.---.P X F-. E_. [:"EC:E~'IBER _--<:1.. :1~ ......... :.1_ I CERTIFY THRT '1: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-BITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLIT~ OF RNCHORRGE, 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: I UMDERSTRND THRT THE ON-SITE SEWER SVSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS, _,I uNED. ........................................ RPPL I CRNT L. IjW[~ER~ EXCRVRTI NG I :,:,I_IE[J BY DFITE V4. 0 PLa CONSTNClCTION TEST LAB PERFORMED FOR: C'~dery EXcavating LEGAL DESCRIPTION: Lot 15 Block THIS FORM REPORTS: E] Visual Soils Examination 1 DEPTH SOIL FEET DESCRIPTION NOTES Topsoil 2' Brown Sandy Silt Brown Gravelly Sand 14' Gray Silt 16' ,BOTTOM OF HOLE WAS GROUND WATER ENCOUNTERED NO ' LEGEND ~ -- Perc zone ® S - Sample token : J -- Frozen zone ~'- Water table 180C~W. 48TH AVE. STE. 'C' ,ANCHORAGE, ALASKA 99503 248-133~ Subdivision ~ Percolation DATE PERFORMED: TALus WEST Tes~ 5/~5/8l 3656- E GENERAL SITE SLOPE READING DATE GROSS TIME NET TIME DEPTH TO H20 ' NET DRAINAGE 1 5./14/gl ¢ 0 1 3/4" 0 2 " 15 15 8" 6 1/4" ,3 " 30 15 10.5" 8 1/4" 4 " 45 15 11.5" 9 1/4" 5 - 60 15 Bottom of hole ....... PERCOLATION RATE: 5 min/inch DRAINAGE REQUIREMENTS: 125 ~f./h~dronm PROPOSED INSTALLATION: [3 SEEPAGE PIT /~ DR~AIN FIELD [3 OTHER COMMENTS: TEST PERFORMED BY: T,.M_ DATA CERTIFIED BY: Kinney R. Baxter DATE: 5/14/81 GR.EA-, R ANCHORAGE AREA BORL ,,GH Department of EnvironmentBI Quality 3330 0 Street Anchorage, Al@sk~ ggs03 ~ IN?PECT. LON REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK= DISTANCE NUMBER OF FROM WELL MANUFACTURER MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS· DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE TOTAL LENGTH OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA .__ SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE_ MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE OTI-IER SOURCES ____ DISAPPR~)VED REMARKS DEPTH SEPTIC SEEPAGE TANK SYSTEM DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ-032 GrEATEr ANCHORAGE ArEA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY SEEPAGE PIT , DRAIN FIELD FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY-THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE Type DRAIN FIELD DRAIN FI'ELD SEEPAGE PiT ALSO CONSIDER AREA WELLS. SEEPAGE PIT DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. \ DIAGRAM OF SYSTEM :EF~ANCHORA~/~/~OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE GI~ iR ANCHORAGE AREA BOROI~x" DEP.~J~"TMENT OF ENVIRONMENTAL QUALrI'~'~--) 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ' SEPTIC TANK: DISTANCE FROM WELl'~('--~/ LIQUID CAPACITY /~00 GALLONS. MATERIAL C)-/'~,¢',~: g:~'/~'e-/ COMPARTMENTsNUMBER OF LIQUID ~_ INSIDE LENGTH ~ INSIDE WIDTH ~' DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: / NUMBER OF PITS / OUTSIDE DIAMETER / OR WIDTH ~- LINING MATERIAl ~-~ ~.e, iq ~.~D ~ '~ DISTANCE FROM WELL /~ 0 / NEAREST LOT LINE~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ., LENGTH. -- ., DEPTH ' ~/" j , BUILDING FOUNDATION ~ ~ I ~)0 ~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL_ FOUNDAT ON ~INL NUMBER OF LINES DISTANC~E'I~ES TRENCH WIDTH ABSORPIION AREA SQ. FI. LENGTH OF EACH LINE ~ TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE WELL: L~';"gP~'~¢;e'%~ o~/' 6~;,~,? ~J*',-/t/,c,'/, ' ~'/ DISTANCE FROM WATER TYPE '~,-z //-z,.J DEPTH ~-~'Z~-' BUILDING FOUNDATION , SAMPLE_ . NEAREST SEPTIC / SEEPAGE LOT LINE ~Z ~Z ~ , SEWER LINE -- , TANK "~-')'~ , SYSTEM //~)(; , CESSPOOl , OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE NEAREST OTHER SOURCES DISTANCES: DIAGRAM OF SYSTEM U G,A.A.B. 'R&M Civil Engineers ENGI ERING & GEOLOGICA L; CONSULTANTS 22g EAST 51st. AVE. - P.O. BOX 608? - ANCHORAGE, ALASKA gg503 TELEPHONE 907--279-0483 TELEX 090--35419 Geologists Land Surveyors JAMES W. ROONEY, P. E. MALCOLM A. MENZJES, P.E., L.S. JAMES H. WELLMAN, P.E. August 3, 1972 RALPH R. MIGLIACClO ~ngineering Geologist. R &/VI No. 26540-15 Riem Construction Star Route A, Box 1721-S Anchorage, Alaska 99507 RE: Test Hole and Soil Log Report for Sanitary System Lot 15, Block 1, Talus West Subdivis{on Dear Mr. Riem: We are submitting herewith the test boring results and our comments regarding soll conditions encountered at the subject site. This investi- gation was performed in accordance with your request of August 1, 1972 and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland o~ the Greater Anchorage AreaBorough Department of Environmental Quality. A single test hole was put down within the Lot 15 area ~or the purpose o~ deflnJng general subsurface soil conditions ~or the proposed sanitary sys- tem. Excavation was accomplished with a tractor-mounted backhoe the test hole was extended to a total depth o{ 18 ~eet below ground sur- face; The ~{nal log prepared ~or the test hole has been included in Draw- ing Aw01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be o~ service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS JWR:wb Enclosure xc: Greater Anchorage Area Borough ANCHORAGE FAIRBANKS JUNEAU T.H.-I 8-1-72 ORGANICS W/SOME SILT SOME GRAVEL 2.0~ SILTY SAND W/SOME GRAVEL Coarse Groin Send Seam I to4" Thick Though Out This Strata. (SM-SP} SAND (S W) SILTY SAND (SM) Med. to Fine Grain SAND, Coarse Grain ['~-~/ 13,0' SAND W/SOME SILT (SM-SP) Fine to Med. Grain IG.O' No water table · Note: Hole excavated with tractor mounted backhoe. Engineering Geological Consultants ~--ANcHO~AOE FAIF~J3A~'~S ALAS~KA ~u.~Au OATF.. 8-1-72 ISCALE I"= 50' IOW~' ~¥ GAW Riem Construction Property LOG OF TEST BORING Anchorage Alaske ~¥ WED 'IP"OO. NO. 2~540-151~W~ NO. ' MUNICIPALIT~ OF ANCHORAGE ~- · DEPARTMENT Of HEALTH & HUMAN SERVICES~: Division of Environmental Serv ces .... On-~!te Services Section - .. P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O S'- 9-el 15~' NAA# GENERAL INFORMATION , , Complete legal description Lo:t 15: B£~.~9~-~'"T~b~ Location (sit9 address or directions) 116010utcro~ Lan~ Anchorage, AK PropeAy owner "Pa~triek & Pegg9 Bowen - Day phone Mailing address 11601 Ou. ZoAop Lan~ A~choraqe, AK 99516 Lending agency Day phone 345-~0R8 Mailing address. Agent '~ Address Day phone _. Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: -~ , .'.. Individual well Community well Pdblic water ,NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ' - ,, 4.' T~PE OF WASTEWATER DISPOSAL: - ?,' XXX Individual on-site · ', v-\ '~ Ij.! , :; ,, ,Public sewer . .' ' "~¥~'"'"'~ ~* ;'; ;'" ' ":: : . ',,', --:,.. ,,. NOTE: if community wa~tewate ; syS iem, provide written confirmation from StateADEC attesting to the legality and status of system. "' · 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 ~hat the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the num bet of bedrooms and type of struct~ ~re 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 Address EngineeFs signature Phone Date //.? //ff 5' ¸6, DHHS SIGNATURE Approved for .~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments _ .; : ,, ~ ~, ,".~. '%/ -~- , . :: ',.~- ~ ' The Mum¢~pah~ of.Anchorage Depa~ment of Health and Human Se~ices (DHHS) i~ues Health Authori~ ?~pProval Ce~ific~t~S- b~sed only upon the representations given in paragraph 5 above by an independent professorial engineer registered m the State of Alaska. The DH HS does th~s as a cou~esy to purchasem of hom~ and'the~r~endng nsttutons nordertosats~ce~anf~era and state requ~rements. Employ~sofDHHSdonot conduct inspections o~ anal~e data before a ce~ificate is issued. The Municipali~ of Anchorage is not ' responsible for errors or omi~ions in the prof~ional engineeffs work. Municipality of AnchOrage Department of Health and Human Services HEALTH AUTHORITY APPROVAL:-CHECKLIST Legal Description: ~._/E~/ ~C)C_ I; -~-~zL~& ~q/',~.S7 ~Parcel I.D. A. Well Data Well type '~t UP;7'-~.. Log present (W~[~ Total depth ~ ~ Cased to Sanitary seal (~N) FROM WELL LOG Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/h~l~t,~ tank on lot Absorption field on lot Public sewer main Sewer service line If A, B, or C, attach ADEC letter. ADEC water system number Date completed L~FO~E ' /c/'/~.2. Driller ~(~ ~ Casing height Wires properly protected Y~) AT INSPECTION WATER SAMPLE RESULTS: Coliform (~ Date of sample: g.p.m. ; On adjacent lots ~'~r~/, On adjacent lots Public sewer manhole/cleanout Petroleum tank . Nitrate OIIC *¢-/L Oollected by: Other bacteria B. SEPTIC/KaO$;O:ING' TANK DATA Cleanouts ~__~) F High water alarm (~N) Date of pumping Tank size I~%0 %.~,E,~ Compadments Foundation cleanout (Y/~ % ~o~ ~ ~. Depression Alarm tested (Y/~ SEPARATION DISTANCES FROM SEPTIC/F~I~II~-TANK TO: Well(s) on lot ~' '~'~' On adjacent lots ~-fi O' Foundation /0 To property line 10 '~ Absorption field I 0 t~c Water main/service line Surface water/drainage 72-02~ (3/93)* Front ~' '~p, tu~r) [016I¢I / ;~ ¥V¢, ~100~"5 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent ~7_.~N) High water alarm level Meets MOA electrical codes ~N) /O//O/R°d Manufacturer O ¢-¢Ef~CO 50 ~,'~, ~-,'~, Manhole/Access .~'N) ~"E.~ "Pump on" level at (~)/~ lc- "Pump off" Level at (.~ N r._ Cycles tested /v//'~ SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot '~ .~ ' On adjacent lots ~0 ¢ Surface water /0© ¢-/- D. ABSORPTION FIELD DATA Date installed ~/~/ ~,'~.;,~.~.:___Soilrating~) /,~sF//'/'~L Systemtype Length ~,~ ' Width ~ ' Gravel thickness . ~ ' Total depth Total absorption area ~ ~ Cleanout present (~) ~¢~ Depression over field (Y/I~ Date of adequacy test /'%~1~O )~ Results (pass/fail) ~5~ for ~ -y~ Bedrooms Water level in absorption field before test 0,~ ~ After test O,~, Peroxide treatment (past 12 months) (Y/~)) ~ ~ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: ~' Properly line /0 Well on lot c~ ~, On adjacent lots I CO ~ C- To building foundation / 0 ~.,L To existing or abandoned system on lot On adjacent lots ¢~L¢o ''/- Cutbank /'J//~ Water main/service line /0 Surface water /O0 '¢- Driveway, parking/vehicle storage area Cultain drain ~JOkJF& ~/..~a~.~ 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. Engineer's Name Date HAA Fee $ ~_~.A~, ~ Date of Payment ReoeiptNumber~-~)~_ -~y~Zg,~ ) Fj¢ ~ ROBERT C. COWAN Waiver Fee $ .~¢ , ~ Date of Payment 72-026 (3/93)* Back CT&Z Ref.# Client Sample ID Matrix Commercial Testing & Engineering Co. Environmental Laboratory Services ~,~-~-~,~'~,~,~- ~. ~ z?-~ LABORATORY ANALYSIS REPORT Client ~ame $ & S ENGINEERING WORK Omde= 1~665 Ordered By R. S~L~R Printed Date 01/03/~5 · 13:45 hfs, project Name Collected Date 1~/~9/94 ~ ~1:00 hrs. Technical Director Sample Remarks: SAMPL~ COLbECTED UA = Unavailable 5633 B Street, Anchorage, AK 99518-1600 -- Tel: (907) 562-2543 Fax: {907) 561 -$301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORAPO, FkORIDA, II. IJ NOIS, MARYLANO, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 '%" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 23,1995 Mr. Robert W. Cowan S & S Engineering 17034 Eagle River Loop Road No. 204 Eagle River, AK 99577 Subject: Waiver Request for: Lot 15, Block 1, Talus West Subdivision Waiver Appr0vah # WR950001 ' Dear Mr. Cowan: Your request for waiver(s) of the required 100 foot horizontal separation of a well to an absorption field has been approved. The approved separation distance(s) are: Well to Absorption Field 97 feet This waiver approval applies to the well to absorption field only. Any future upgrades will require all separation distances be met or another approval be obtained from this department. Sincerely, Daniel O. Roth Civil Engineer On-Site Services kb _?OnVT$ 37.7 _5'011 .5'ORRT/o,,v k{O 'qI?-O t, x Tk'~r' L ?0t)0_ g .,< l O /~./ ': ' Location-'(address of'.' :~o~hipi-"Range, Section, ,f known; or dmtanee main Size af easing_ ~6 .... Depth' ~eet ~f- ~ Static water'l .~i:.. :'--: -.-- :/)(k, . · Describe screen or .. Well um in te ...0 ........... · ~ P. p g s[.at gallons per (hour) (minute for · , . of drawdown from s 'e lawl - : tatl "'- Date of completion ~2 ~ eD -7~:.c~?:.~!~.-:?'z; ' ~ Depth in feet from . ..: . .~.~...~<~ ground surface ..-':?:: -:',~ v Give'deta]l~ of formations-peneti-ated, 11645 i 111~5~ ;"1186§ 18~ \ ~19 ,' 20 /5 14 /11866 / /$ / 2/ 3101452014530 ~ / 4i5 6 , JUMAR 11601 i§ 1611 /4 11885 // /o / 11915 9 1192.5 7 RD. 4826 4936 L 7~' 16 4831 i I? /,9 19 4851 4911 4919 OMEGA CIR. :3 4920 15 14 J 13 12 6 ~ 7 ! 8 9 ~51' 4~1 ~4~1 ~ ALPHA CIE 5: ~50}49~4920. U/~5 4801 i~2l ;~41 4901 TALUS DR. 4931 /_ /0 4941 / 11900 960! 11966 i li946 " ! , 5 '%'" 4740~ 4800i4820 14840 i 49(X) I 4920 )5 ! x, ' 8 SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM OESIGN ROBERT C. COWAN, P.E. ROi3ERTA. SHAFER, RE. January 3, 1995 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street PO Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 15, Block 1, Talus West S/D 11601 Outcrop Lane, Anchorage RECEIVED ;JAN 0 5 1995 Municlpah[y et ,%~t.'r~o, a,~e Dept. Health & Human Se,'~ Request you issue the attached Health Authority Approval and grant a waiver for the horizontal separation distance between the well and leachfield trench located on the referenced property at a distance of 97 feet. According to Municipal files the septic system was upgraded in 1981 by the addition of a deep trench and was approved by the Municipal Health Department on May 27, 1981; also a Health Authority Approval was issued for the referenced property on April 19, 1984. Unfortunately there is no well log available for the well serving the referenced property, after a file search for the surrounding properties we found that the majority of the wells in the area were installed in the early 1970's and no well logs were filed with the Municipality. From the attached site plan it can be seen that only the northern most portion of the leachfield trench encroaches the 100 ft. separation from the referenced well. A waiver of the separation distance down to 97 feet should be granted for the following reasons: Water samples collected from the well serving the referenced property shows only trace amounts of nitrates ( 0.15 mg/L) and no coliform bacteria. This indicates that after 22 years of use the septic systems on the referenced and surrounding properties have had little or no impact on the well serving the referenced property. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page 2 Lot 15, Block 1, January 3, 1995 Talus West S/D Se A well flow test performed on 12/30/94 shows the well to produce 6.3 gpm after four hours with only a 31 foot drawdown. Such a relatively low drawdown indicates a low hydraulic gradient toward the well. In effect, use of the well will not tend to "draw" effluent toward the well. A soils test on file for the referenced property shows the septic system receiving soils to be mainly a gravelly sand. This type of soil is generally very effective in filtering harmful effluent contaminants as the effluent travels through the soil. An Adequacy test was performed on the septic system serving the referenced property on December 30, 1994. From this test we conclude that the system meets all Municipal requirements for a three bedroom residence with the exception of the well to leachfield separation distance at 97 feet. If you have any questions or require additional information for your review please contact us. ~/JAMES P. WILLIAMS, C.E. ROBERT C. COWAN, P.E. ]]]:)bllO dO'OlD0 NV-la 311S ,Og = ,,!. ~J' MUNICIPALITY OF ANCHORAGE DMSION OF ~%rV-IRONME~£AL HEALTH DEPARTMENT OF HEAL17{ AND f~5;IRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date ~..~z/? ,~3C:3 / f~ / (a) Legal Description (include lot, block, subdivision, section, township, range) Location (add~ess oK direct~ions) (b) Applicants NaK~ ~'~ Applicants Address (c) Applicant is (check one) Lending Institution Buyer ~; Other ~ (explain); .~ilder (d) Lending Institution Telephone ~ ?-- ~" '~ ~' Te le phone Address (e) Real Estate Co. & Agent Address Telephone 2. ~ype of ~esidence. Numbe~ of Bedrooms 3. ~ter Supply Multi-Family Other (describe) Individual WelL~. Community ~--~ Public ~ Note: If co,=,~nity w~ll system, must have w~itten confirmation frcm the State Department of Environr~ntal Conservation attesting to the legality and status. Is the ~li adequate for the number o'f bedrccms specified in this HAA~) 4. Sew-age Disposal Onsite~ Public ~ Cora~unity ~ Holding Tank ~-~ Is the wastewate~ disposal system adequate f~ the ~r of b~drocms~/N) [Page 1 of 2] 2-15-84 5....En. gi~,-eering Firm Providin~ Ins.pections, Tests~ E~ta and Information I certify that I have checked, verified, or conformed to all MOA HAA Guifelines i: effect on the date of this inspection° signed ~/? Name of F ./ Address Date Signed by Date~/~?/ 6. DHEP Approval Approved for Approved ~ Telephone %%rms of Conditional Approval The Municipality of Anchorage Department of Health and Environnmntal t~otection dc not guarantee the continued satisfactory performance of the water supply and/ct t? wastew-ate~ disposal system. ~is apprcval indicates that, as cf the validation ~ shc~z~ above, based on tP~ data and information furnished by ~n engineer registerec the State of Alaska, the water supply and wastewater disposal system is safe and i tional for the pzunber of bedrcca~ and type of structure indicated. (DHEP SEAL) 7. Mail the HAA to the following address: KB2/d5/s [Page 2 of 2] 2-15-84 MUNICIPALITY OF ANCHORAGE DMSION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR P~ALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date .~]~, 23, /¢~ (a) Legal ~sc~iption (include lot, block, subdivision, r~ction, township, range) Io- Location (add~es~ or directions) (b) Applicants Nams Applicants Ad.ess,,, (c) Appli~Dnt is (cheek o~) ~ding znstitution Bu~ ~; ~he~ ~ (e~lain); (d) Lending Institution epho .e J4zo - D Te le phone Address (e) Real Estate Co. & Agent Address Telephone 2. Type of Residence Single-Family~ Number of Bedrooms 3. W~ter Supply Individual r~ll.~-~., ~llti-Family~--] Othe~, (describe) Community~--~ Pub!ic~--l Note: If community w~ll system, ~ast have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Is the ~11 adequate fo~ the humbler of bedrooms sD%cified in this HAA_ ~/N) 4. Sewage Disposal Onsite_~. Public~--~ Com~unity~-q Holdin~Tapk~---~ Is the was*~water disposal system adequate for the ~m[be, r of ~drocr0s ~N) [Page 1 of 2] Ur ~5. Enginsering Firm Providing Inspections, Tests, Data and Information I ~tify that I have checked, verified, or conformed to all MOA HAA Guidelinss in effect on the date of this inspection. Sigr~d ~z~ &~ 7~'-- Name of Fi~ ~-~C~'_3~ < Address Signed by Date 6 ..DHEP Approval Approved for Approved ~ Te~f Conditional Approval ~a~-~ ~ ~ .Ld/~/ ~>'~c~_Z- ~he Municipality of Anchorage Dapartm-=nt of Health and Envirorm~ntal Protection not guarantee the continued satisfactory performance of the wate~ supply and/c~ the wastewate~ disposal system. This approval indicates that, as of the validation date shown above, based on tP~ data and information furnished by an engineer registere, d in the State of Alaska, the water supply and wastewater disposal system is safe and func- tional fo~ the ntnnbe~ of badro~ns and type of structure indicated. (DHEP SEAL) 7. Mail tl~e HAA to the following address: KB2/d5/s [Page 2 of 2] 2-15-84 MUNICIPALITY OF kNC~DRAGE (MOA) MUNICIPALffY OF ANCHO~A~ DSPT. OF H~ALTH & HEALT~ A[~I'~ORIT~ APPI~OVAL (HAA) ENVIRONMENTAL C~ECKLIS~- ~ F~BRUARY 1984 Total Depth ~/~. Cased- to Static Water Level -~/-~o~L MAR 9 198~ 'RECEi ED If ,A.~ B, ~ C, D.m..C. Al~moved(Y/N) Pump Set At ~~7~- Casing F~ight Above Ground 6~, Separation Distan~s fzcm Wall: To Septic/~{oldinG Tank cn Lot Sanita_-y Seal on Depression A~cund Wellhead (Y~ To Nea~st EdGe of At~q=ption Field ~n Lot ?,gx .~3 ; ~ ~joi~ ~ts /~ ~ To ~est ~blic ~ Li~ ~/~ TO ~est ~lic Wate~ S~le ~lle~d ~ ~~, ' ; ~ ~,/~ S~FrIC~ ~ ~ ~ ~ ~/~ sim I~0 .o. ~ ~~ ~=, ~ati~ Dist~s ~ ~pt~c~old~ ~: TO Wateu-,-Supply Well ?~/ TO P~c~e~ty Line _~/ To Water Main/Servi~ Line TO BuildinG Foundatic~ · ~// To Disposal Field ,~-{F / To St~e~, Pond, Lake, c~ Majc~ D~ainaGe [PaGe 1 of 2] 2-15-84 C. ABSORPTION FIELD ~TA Square Feet of Absarption A~ea ~ Type of S~stem Design Length of Field Depth of Field ~ Gravel Bed Thickr~ss Stah~i~s P~esent~/N ) Dat~ I r~ talled "P~p On" ~1 at High ~ter ~sted foF · Ele~i~l ~s(Y~) I ~ti~"~'I~a~'~e~ ~ified, ~ ~f~d ~ ~1 ~ ~ ~l~s in effect on t~ ~te of ~is i~im. D. LIfT sTATI°N " KBl/d5/s [Pa~e 2 of 2] ~'~ ,. oy C. Rei~ Jr..',.~ 2-15-84 Dep~ess].on over Field ( . Dete of Lest Adequacy Test ~ , .Separation Distance f~cm Absorption ~ield~ To Wate~.~-Supply Well ~'~' ~ TO Property Line /~' To Building Foundatio~ ~t TO Existing or Abandom~d System cn TO St~esm/Pond/Lake/~ Majo~ ~aina~ Cou~__ W./.'~' To D~i~way, Pa~king A~ea, ~ Vehicle Storage A~ea /D.~w ALASKA t rrdlROllmel'lTAL COI1TROL SeR'oiCeS, IF1C. ~n~ineerin§ 6 I~nuironme,tol Studies April 10, 1984 Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Attn: Keith Bandt Legal: Talus West, Lot 15, Block i Dear Keith: An approval given for the Health Authority on this property in March 1984 was granted contingent upon the electrical wires to the well being placed in approved conduit. On April 6, 1984, I inspected the well and found that the well wires had been placed in such conduit. Please contact me if you have any questions. Sincerely, 1200 LUe$1 33rd Auenue. ~uit¢ ~ · Anchoroq¢, AIosko 99503 ,{907) 581-5040 ALASKA PF IROFIlllI FITAL CONTROL Set uiCE$, IllC. ~n§inceriu§ & ~nuironmentul Sludies March 5, 1984 Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Attn: Keith Bandt Legal: Talus West, Lot 15, Block i Dear Keith, On March 1, 1984, I performed a Health Authority on the house at Lot 15, Block 1, Talus West Subdivision. The well is located 75' from the septic tank, this is per 1972 regulations which when the septic system was installed. The system was upgraded in 1981 by the addition of a deep trench and approved by the Health Department. The distance from the standpipe at the end of the trench to the well is 97 feet. The well seal was missing screws and the electrical wires were not encased in conduit. I informed the owners of these problems and that they needed to be corrected. On March 2, 1983, I went back out to re-inspect the well. The sanitary well seal was firmly screwed down. The ground is too frozen to excavate in order to put the wires in conduit. A water proof box was placed over the wires, encasing them to ground level. I would suggest a conditional approval of this Health Authority contingent upon the well wires being encased in conduit as soon as the ground unfreezes this spring. If you have any questions, please call me at 561-5040. GW/caj Sincerely, Turner n~ironmental Specialist 1200 L~esl 33r(1 Aucnue. Suite E~,/~uchora§e. Alaska 99503,(907) 581-5040 ALASKA OIRonmenTAL cOnTROL ~n§ineerJn§ 6 I~nuironmenlal Studies ser ces, inc. MARCH 5 1984 DONNA CONNOLE POST OFFICE BOX 100 423 ANCHORAGE AK 99510 SELLER - DONNA CONNOLE BUYER - SUBDIVISION - TALUS WEST BLOCK - i LOT - 15 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 675 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME ........... THE SEPTIC TANK WAS~PU~ED" ON MAY 2S 1983'=,~ FLOW TEST ON WELL THE WELL FLOW RAT~"WAS 4.5 GPM FOR 2.5 HOURS. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. 1200 LUcsl 33r~1 Augnu¢, $ui1¢ ~,Anchoro§~, Alosko 99503,(907) 561-5040 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Received ,~ /(j., , .: Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. A~proval Requested Address ~ '~ 4. Location: ?:.d/~,:::.:~--:~.~,.--:.~? ~w ,- . . 5. Type of Facility to be Inspected.~> ~-~-~ Number of Bedrooms: 7. Sewage pts.6osal System: ~"..-.:~.' A, ~staHed ~"~, -.Septic Tank~ 1.' D. ~eepage Pit: '1. Size 2. Phone: · D, Bacterial Analysis Installer Disposal Field: Total Length of Lines ---:-: .......... Distances: A. Well To: Septic Tank , Nearest Lot Line~~ , Other Contamination Foundation to Septic Tank :~] ~ "~ AbSorption Area Absorption Area to Nearest Lot Line ~ / Absorption Area /~? / & , Sewer Lines Re'quest for Approval of ~i~ .~3ua] Sewer & Wet.er Fa¢ilitig~k_) Pa.~e* Two 5 (~ Aporoved~.~,~i~M~Disapproved Date ? ~ Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, DeFertment of Bnvironmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be e true and accurate representation of the subject sewer and water facilities located a~: