HomeMy WebLinkAboutT15N R2W SEC 25 LT 150B MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231116 Effective Date: Work Type: SepticTank Upgrade Expiration Date: Tax Code Number: 05131613000 Site Legal Address: T1 5N R2W SEC 25 LT 150B G:0653 Site Mailing Address: 15217 BELSEY ST, Eagle River Owner: HAGGE HALE Lot Size in Sq Ft: Design Engineer: NORTH RIM ENGINEERING Total Bedrooms: This permit is for the construction of: nzcnt S �0 ,' � r I epartment 6/7/2023 6/6/2024 50828 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: No waiver is needed for the STEP tank replacement as long as the proposed berm is installed to create a minimum 100' travel way separation from tank to surface water. If the berm is not constructed a waiver will be required. Received By: s S UCD to (�O Issued By: Date: Date: ZO Z 3 MUNICIPALITY OF ANCHORAGE 1 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 05131613000 Property owner(s) HAGGE HAL Mailing address 15217 BELSEY ST Site address same Day phone 863-6969 Legal description (Sub's., Block & Lot) T1 5N R2W SEC 25LT 150B Legal description (Township, Range & Section) Lot Size 50,828 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 Septic Tank 0 Upgrade 0 (w/wo AD U) Holding Tank ❑ Renewal ElDuplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 4 2 Z -.5� Waiver Fees: Date of Payment: _;//A Date of Payment: Receipt Number: 0055u ID Receipt Number: Permit No. 05)0'a`5 I It C Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc SteveEng.com T15N R2W SEC 25 LT 150B SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is an existing 3-bedroom, single family home. This is a developed subdivision. A tank pump revealed that the existing STEP tank requires replacement. The existing tank to be decommissioned. No adverse impacts are expected from STEP tank upgrade. No conflicts to the other lots will take place by this septic system construction upgrade. The existing absorption trench to remain in place. An existing waiver between the tank and pond exists at 55 To mitigate any overflow from the tank to the pond, a 1 - high berm to be placed as indicated on the Plan. Easements depicted in the area, private water wells as depicted in drawing. A survey shall take place prior to construction, staking the STEP tank location. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. New 1500 Gallon STEP tank. MOA-Approved. Decommission old tank per UPC. MOA-Spec Material Under Tank. 10 minimum between the tank- trench, tank- house. 10 to property lines, 4 of cover or insulation is required for tank; 2 Minimum thickness for insulation can substitute for 1 cover. Tank & solid pipe must be set on well compacted, stable soil. 4 inch diameter cleanouts with airtight caps are required 1 to 4 from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10 from the tank positioned to provide cleanout access towards the tank and towards the absorption field. All cleanouts must extend to at least ground level. In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. Force main to be 1.25 Schedule 40 PVC or equal. The finish grade must be mounded to promote drainage away from excavation. Insulation must be placed over any pipe installed under driveways or parking areas. Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, Sewer Service Line is minimum 2% slope. Septic Tank to be pumped every two years or when required. Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231116, Curtis Townsend, 06/07/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231116, Curtis Townsend, 06/07/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231116, Curtis Townsend, 06/07/23 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT DISTANCES Address ~ TO SEPTIC ABSORPTION I~=IZ <~ ~',~. I~. ~',~c~Z ~"%L ~.',,,r FROM ~ TANK . FIELD Permd NO. .o. of ~ed,~oms WErE LEGAL DESCRIPTION LOT LINE ~,/ 3 / ~.,.~. ~J~N , ~ ~. ~ ddveway, water bodies, etc.) / I TANKS II ~ SEPTIC wl2;~4 ~ HOLDING ~/ /o ,~. ~ ~ ~"~ ~ ,. ~ TRENCH g BED ~ W. DRAIN ~ OTHER Depth to pipe bottom from ~ Total depth from original grade j jj original grade / FT J ~. ~ F1 FT FT Gravel length Gravel width ~Z.~ FT ~.~ FT Total abs0,p[i0n area ~ista~ce betwee~ li~e8 ~ 7 ~ S~ F~ ~/~ FI I Number of lines Soil rating /e~ Pipe material J WELLS ~ PRIVATE. . ~ OTHER (Identify) J Cla~ificatio~ (A,~,C) - Total Depth Cased to REMARKS: ~ /~ ./~ ~, ~/ ~ ~.~,g ~,~%~. ~yr~: '~'~:~;~ ~ .~,~ / Inspections Pedormed by: I cedilv that Ibis inspeaien was Municipal and siat, ~uidelin, in effect 0n Ihis dar,: ~ C~, ~, ~= C:~S736 72-013 (3/85) Tom Fink, Mayor unicip lity of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 November 30, 1990 Lou Butera, P.E. Eagle River Engineering Services PO Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for T15N R2W Section 25 Lot Waiver Request ~WR900019, 150B PID ~051-316-13, SW900011 Dear Mr. Butera: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. waived distance is 3 feet. The This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met Or another approval from this department. Sincer.ely, /~ Robert W. Robinson Civil Engineer On-site Services Concur: / / ~_ohn Smitfi, P.E. Program Manager On-site Services ljw~7 EAGLE RIVER ENGINEERING SERVICES Lou Butera, P.E. P.O. Box 773294 Eagle River, Alaska 99977 Telephone (997) 694-5195 November 29, 1990 Mr. Robbie Robinson Division of Health & Human Svcs 825 L Street Anchorage, Ak 99502 RE: Lot 15OB, T16N R2W, Sec. 25 MUNICIPALITY OF ANCHORAGI~ DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED Dear Mr. Robinson, As per your review, we had intended to request a 3' lot line waiver in our original waiver submittal and it was overlooked. We are therefore formally applying for the waiver at this time. Waiver was required to fit trench to the site topography and should not adversely affect Lot 15OA as their well radius is already eliminating that area from septic consideration. If you have any questions or any further concerns please call me at 694-5195. Sincerely, ~--~ ~~<:::~__~-,_ ......... Louis Butera, P.E. Torn Fink, Mayor A unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 June 8, 1990 Lou Butera, P.E. Eagle River Engineering Services P.O. Box 773294 Eagle River, Alaska 99577 Re: waiver Request For Lot 150B T15N R2W Section 25, Waiver Request Number WR9000-t'6', P.I.N. 051-316-13 Dear Mr. Butera: Your request for waiver of the required 100 feet separation of a septic tank/lift station package plant to surface water has been granted. The approved proposed separation distance is 55 feet° This waiver approval is conditional based upon the fulfillment of the following construction techniques: 1. The septic tank/lift station package plant shall be completely sealed and constructed from 10 gauge steel. The tank will be constructed with cathodic protection on both ends. 2. All of the pipe connections will be a Romex type or equivalent and high density polyethylene pipe will be used from the tank to the absorption field. 3. The tank will be bedded and backfilled with a clean sand to within one foot from the surface of the ground. The engineer will verify that any portions of the protective coating that have been accidentally removed from the tank are repaired prior to backfilling. If you have any questions, please call me at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On-Site Services Con~r r~nce, ~ On-Site Services ~ ~$TE/~ ~.f~$ I~,'YTIfLL ~0 lb' }qY~--/~nY- /~,o LIFT C ~A T / ~,6 , · EAGLE RIVER ENGINEERING SERVICES Lou Butera, P.E. P.O. Box 773294 Eagle River, Alaska 99577 Telephone [907) 694-5195 May 10, 1990 Mr. Dan Roth Municipal!fy of 825 'L' Street Anchorage Ak. 99501 Re: Lot !50B TISN, R2W, Sec. 25 Dear Mr. Roth, MUNICIPAL[fY OF ANCHORAGE ENVIRONMENTAL SERVICES DIViSiON MAY 1 5 ]990 RECEIVED ~ Mr. r,=~'~ Hacge we are submitting a On behalf of our cm=ent, ~ , ~ ~ace water distance request fo~ walver of septic t~n~/==~ station to ="~ of 55' The o~g~al plan submitted to your office called for the tank w~th · ~ ~ from pond adjacent to the leach lift station to be p~acee !00' the ., =~ was found, upon. further exploration, that 'the located 55' from the pond, was at a depth of 9.3' With the surface trade that exists around the home this would place our new tank at a .... ~ 21.3" to bottom Am. ' " ~ ~ of depth of 16.3' to top of tank ~,~ · this type is impractical, if not impossible, due to location of leach trench and Dhysica! constraints of lot. When bac.z~,==~ng to that depth ~ loading. there are also concerns with sewer .... e A more practical solution is to allow a waiver of the 'tank to 'the pond distance. As~nstif~ ~ offer the following. The. tank~, is ...... ~ ~ ~ ~ sealed, se~f contaln~ and to be a modern steel ~+ co,,p~et~¥ ~- desicned 'to be placed submer~ed in a water table. The 'tank '~.be contains h~ch water alarm to alert possible to over zxow and a manhole that allows inspection. Ail sewer line connections .x~= be Rome~ type. Sewer lines are allowed to be adjacent 'to surface water with a similar potential. If necessary we could utilize HDPE delivery line 'to the leachfie!d. The new system is a large improvement over the existing system wi%h leachfield at 40-50' from the pond area. =m , pond is a small feeder pond ~nd a conditional waiver was granted in the past to allow temporary use of the system. A~ac~- are ~' Subsurface soil is GM type rated 183. ~ you have any qu~s~o,.~ ~ ' at 694-5!95. S=nce~e~y, Louis Butera. P.E. NEIGHBOR'S WELL WELLS ~ ' / ~ N uNNAMED ffi WE~ 20' ~1~ ACC~S ~SEME~ · - MONITOR ~BE o - S~ER CL~O~ NO KNOWN CURTAIN DRAINS :::::::m:- PROPOSED ~OHR~ ~EME~ SEPTIC SITE PLAN LEGAL: LOT 150B, T15N, R2W, SEC 25 ~...- CONTRACTOR: JOB ~ 89-118~ DATE: 10/09/89J SCALE 1" = 40' EAGLE R~VER, A~ 99577 (907) 694-5195 F~: (907) 694-3297 LOT AS-BUILT 150 B, SE I/4, SEC. 25, TI 5N, R2W, AI~CHORAGE RECORDING DISTRICT REFERENCE PLAT FILE NO:. 70-$18 S,M. :OUND {EBAR 2UND EBAR WELL · ~ LOT 150 A, 24,0' STORY I~ ~ SEp~,G FRAME ~' HOUSE ~ "~ / CLEANOUTS WELL HOUSE 73.1~ '~' 18.0' . WELL / ~ . d UTILITY /ACCESS x ¢~,~/ ~o~ ~ EASEMENT ~ ~ ~ ~ ~ ~ m~.88' U~ASU~D ~ FOUU~ I" I.R JAMES WAY N SCALE ill = 40I z I HEREBY CERTIFY THAT THIS PLAT REPRESENTS A SURVEY DONE BY MYSELF ON JUNE IO~ 1986 AND THAT ALL DIMENSION ARE COR.R, ECT AS SHOWN, DATE/~/-~4~ /31 /~ .... ~¢.¢4 '-.,,S,E, COR. ~ N TS...,,,,,~ 82.23 R. TRIANGLE SURVEYS, INC. SEA 6282 YADON DR.,PALMER,AK. $73-0234 150A 150 B CERTIFICATE OF OWNERSHIP DTI0024@7 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT 150B, T15N, R2W, SEC.25 .GENERAL 1. 3. The well and septic plan are for a single family residence only. The drawing and or site plan shall be a part of this specification. All materials and workmanship shall meet the Anchorage Department of Health and State Department Of Environmental Conservation requirements. ~ · 4. All soil tests are advisory to the desi, gn and are to be verified om modified in.the field by the engineer. 5. 'Al'l excavations and depths are advisory end are to be verified or modified in the field by the contractor to meet Muni~iealf-ty of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. Th~ excavation is to be exactly in the area showr on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. TRENCH , 1. The trench is to follow the natural land contour to mairtain uniform total depth of the trench bottom. 2. The bottom of the trench shall be level, plus or minus 1.5". The total depth of the trench excavation ts not to exceed 10' at any. point. 4. Tbs sewer tank is to replace the existing sewer lins that l~ad~ to the existing tank. 5. The trench grave] is to be covered with typar fabric material. B. Soil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the leachfisld. 7. The area over the trench is to ba finish graded to prevsn~ pending 8. The septic tank and leachfield must no= be closer than 100' to any existing private well, 150' to any Class "C" well. or 200 ~sst to any community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH = 10' GRAgEL DEPTH = 9' TRENCH LENGTH =.J~ TRENCH WIDTH = 36" Sci1 Rating = 18~ Bedroom Capacity = 3 Septic Tank Size = 1000 + Lift Station = NOTE= .NOTE: NOTE: ~iNOTE: 1250 gallons . Lift station required wired to M.O.A. code with EMT (metal) .r'issre. 2" burial foam and 2' mounded soil over leach trench. ".. Tank Burial depth = 8' (10 gauge tank required.) Abandon existing tank & pit MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: HAL ~-~ ~ll b ~]'G~ DATE PERFORMED: LOT /~o ~% d-'~BN, Q'zd; f~,~_ 7_5 SLOPE SiTE PLAN LEGAL DESCRIPTION: 5 6 7 8 9 10 11 12 13 17 ,3 ,~..~_~ '¢.'"%'/i .-'~ CE-6736 P 2O COMMENTS WAS GROUND WATER S L ENCOUNTERED? //D//~ O P E IF YES, AT WHAT DEPTH? 7 ~'~.~ /o ~--~ Gross Net Depth to Net Reading Date Time Time Water Drop ~oA )< J o-5-'~~ PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) '" /23 PERFORMED BY: 72-008 (6/79) Eggle River Engineering Services Eagle River, AK 99577 694-§195 CERTIFIED BY: DATE: ~ / ~ X t UNNAMED ~ WELL ~ /~~ ~ 20' ~ ACCESS ~SEMENT JAMES WAY ~ - ~ · - MONITOR o - S~ER NO KNOWN CURTAIN DRAINS :::::::m:- PROPOSED L~CHFIELD ~EME~ SEPTIC SITE PLAN ~-~/':' '.%'";'t LEGAL: LOT 1509, T15N, R2W, SEC 25 ~;;?~ OWNER: HAL HAGGE ¢~?~,' CONTRACTOR: N/A ~ .,¢~m JOB ¢ 89-1181 DATE: 10/09/891 SCALE 1" = 40' ~~~' A ~,~ . EAGLE RIVER ENGINEERING ~ERVICES ,.~: [oo,:..n.,~,. P.O. Box 773294 > ~ (907) 694-5195 FAX: (907)694-3297 //~/~'~m~* GRE/ :R ANCHORAGE AREA BORf iGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS ~ ~(~ ~:~]~/~t /~b, i~'~,~ PHONE LEGAL DESCRIPTION i~i SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER MATERIAL NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY / [)('~7 GALLONS. SEEPAGE PIT: NUMBER OF PITS ) . DIAMETER LINING MATERIAL ~COCiC. CRIB SIZE: BUILDING FOUNDATION 7~~], NEAREST LOT LINE , ~'/ OR WIDTH I2-t LENGTHI~l, DEPTH DIAMETER /)~ DEPTH ~t DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~c~ SQ. FT. ADDITIONAL ABSORPTION WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION ']~i~ Ujc~cc~ ltOcd:c. NEAREST NEAREST LOT LINE SEWER LINE OTHER SOURCES · DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE /~(;/ TANK ]001 SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No, EQ-O31 DIAGRAM OF SYSTEM (/G.A.A.B. Driller ?:~: -~. 0~ Ioo~t~--~dre~s of; Township, ~se Of well ~...w & section0 if .~nown; or distance frO~ ~ain ro~ , p,~::.::;m ~',~ ~,~ i?. ~ ~n,z o~ ~:~,~'.: .~:~,~ ~ ~ ~4~ ,. DO NOT US~ No.. , Aree,~ Size of casing_ 6" Depth.of hole' 33}:1 .f~$t .Os,sed to. 1.3 Statio water level ~h __feet. (above)(below) ~ ~rf~e. ~ish of Well (oheok one} Open e~d (~; Soreen ( ); perfo~te~ ( ). Desoribe soreen or perforations ' W~ll p~p~Z test ~,t .... _gallons per (hour)(~ut~') f~r '~ ....... hours ~%h f~ot of dr~wdo~ from s~tio level Depth in fe~t from Give de~ils O to 4 TOP~OTI, & ~A~. to to to to to .,. I to to ' ~ f '~MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date A~UNICIPALiTY OF ANC~O~AG, DEPT. OF HEALTH & ENVJRONMENT~,L PROT~CTIO~ : r: 5 0 1985 RECEIVED GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) / (b) Applicant Name ~t.- ~ ~ Telephone: Home L~,~.~ ~c~ Business ApplicantAddress ~'P.O , ~'-¢,~=~/" ~ ~-'~i 5 t~:::;z.~,.~5~, ~_~ v",¢~.¢~,, 'l'~tL~ (c) Applicant is (check one): Lending Institution []; Owner/buitder~r--; Buyer []; Other [] (explain); (d) Lending Institution I ~.2.2.2.2...~' k_3~'L--. Address (e) Real Estate Company and Agent Address Telephone Telephone (f) ~ HAA to the following address: 2. TYPE OF RESIDENCE Single-Family.~ Multi-Family [] · Number of Bedrooms ~ Other 3. WATER SUPPLY Individual WellJ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of EnVironmental Conservatipn attesting to the legality and status. 4. SEWAGE DISPOSAL OnsJte~/ ~Public [] Community [] Holding Tank [] Note: if community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 EN~IN, EERING FIRM PROVIDING .¢JSPECTIONS, TESTS, FILE SEARCH, DA'I,-. AND INFORMATION ' ~ 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 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 verity 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 Date ~. ~l,~ ~III~-R Telephone DHEP APPROVAL Approved for ~"~*"~--- bedrooms by Approved ~ Disa~C~ved~ '~' '~'~'~*'~ DateCondi~al Terms of Conditional Approval /o- ¢.,¢ - CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 WELL DATA Well Classification Well Log Present Total Depth ~.~,~.t Static Water Level MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 IDJ~p]f, OF H~ALT,-i ~ ENVII~ONMENi'AL :,i:: i 5 0 1985. 264-4720 Legal Description: If A, B, C, D.E.C. Approved (Y/N) Date Completed ~l;~L~..-'r'~ ~1~' Yield Depth of Grouting Pump Set At ~_~' Sanitary Seal on CasingdC~N) Depression Around Wellhead ; On Adjoining Lots ~; On Adjoining Lots Cased to Casing Height Above Ground J C- Electrical Wiring in Conduit (Y~ I~--~ '~J~=-'~- ~¢s,~. Separation Distances from Well: To Septic/l-~Ming-Tank on Lot I ~ ' To Nearest Edge of Absorption Field on Lot ~. ,~'~--~ To Nearest Public Sewer Line ¢q J,~ To Nearest Public Sewer Cleanout/Manhole ~'~/~' To Nearest Sewer Service Line on Lot Water Sample Test Results B. SEPTIC/~ TANK DATA Date Installed ~- ~,¢t ¢ Standpipes ~/N) Air-tight Caps (~g'N) Depression over Tank (Y/J~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/~,~?~g Tank: To Water-Supply Well To Property Line ~.,'-~ ~'~' To Water Main/~rvice Line Course Comments Size I.t:;~ No. of Compartments Foundation Cleanout (YC.~j~. Date Last Pumped ¢[ -'~-- ; for Temporary Holding Tank Permit (Y/N) To Building Foundation "~ To Disposal Field ~ ~ To Stream, Pond, Lake, or Major Drainage Page I of 2 72-026(11184) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed '~ - t ~ - ~::'~ "~')~-~ Type of System Design Length of Field Width of Field I''z~ Depth of Field t'~ Gravel Bed Thickness Square Feet of Absorption Area ~.,~'g~:~ :~' / Standpipes Present4~/N) Depression over Field (Y/¢~ Date of Last Adequacy Test Results of Last Adequacy Test -~.f~'f~ ~ Separation Distance from Absorption Field: To Water-Supply Well \ To Building Foundation ~c::~ ~ ~ Lot ~ /D To Water Main/Service Line \~ I .~ To Stream~ake/or Major Drainage Course To Driveway. Parking Area, or Vehicle Storage Area To Property Line cc=, To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) Comments D, LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Dimensions Manhole/Access (Y/N) /~, "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Amount: $ Signed ,,,~ , Date ~'/'¢"7 /,~5" Compan~ ..... ?RD ~98)~ MOA No ~O O ~ Date of Payment ~ - ~ 6'-~ Page 2 of 2 72-026 (11/84) P.O. BOX 665O ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARYMENT OF HEALTH & HUMAN SERVICES October 10, 1985 Robert A. Shafer, P.E. S & S Engineering SRB 196-X Eagle River, Alaska 99577 Subject: Waiver Request WR85-038, T15N R2W Section 25 Lot 150B Dear Mr. Shafer; This Department has reviewed your request for a waiver of the minimum required separation distance between a seepage pit and pond on the subject property. This waiver request has been denied on the basis of the information provided about the soils and topography of the subject lot. This decision may be appealed to the Alaska Departmen~ of Environmental Conservation. If you have questions regarding this matter I can be contacted at 264-4720. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw D~I[~. OF ~NV'~RON~NT~IL ~ONS~RV~THON 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 8ILL SHEFFIELD, GOVERNOR 274-3533 October 22, 1985 S & S Engineering SRB 196X Eagle River, Alaska 99577 SUBJECT: Temporary Separation Waiver between Pond and Septic System Lot 150B, T15N, Section 25, Chugiak, Alaska (8621-WA-075) Dear Sir: The Department has reviewed the above waiver request. Since this system was formerly approved by the Municipality of Anchorage, a temporary waiver approval is given with the stipulation that: 1o Property owner shall hook up to Trunk Improvement District No. ERT2-(Fire Lake) when constructed and operational° f~ 2. ,Property o~er shall conduct approvable revisions to on-lot w~er a~d/or sewerage facilities after four years if community sewer is no~ a~ailable by that time. Sincerely, SE: MPL: pkk ROBERTA. SHAFER CIVIL ENGINEER September 29, 1985 694-2979 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION SYSTEM DESIGN WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST // STRUCTURAL& MECHANICAL INSPECTIONS Municipality of Anchorage Department of Health and Environmental 825 L Street Anchorage, Alaska 99501 ATTENTION: Susan Oswalt Protection REFERENCE: Lot 150B; Section 25; T15N; R2W; SM Request you approve the attached Health Authority and grant a waiver to the horizontal separation distances between the existing on-site waste water disposal system and a pond of water located on the referenced property. Included for your review are copies of previous Municipal approvals and the Greater Anchorage Area Borough's on-site inspection report dated May 1975. It would appear from the design of the seepage pit that the soils are GW. This was basically substantiated with the results of the adequacy test performed at this time. No well log is available, however, Municipal records indicate that the well has a depth of approximately 134 feet and a static water level was measured at 44 feet from the top of the casing. The horizontal separation distances from the seepage pit to the pond, as noted on the Borough's report, is 86 feet. The slope between the seepage pit and the pond's surface is approximately 30%. If we may be of further service, please contact us. PAS/ss ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN SRB 196X EAGLE RIVER, ALASKA 99577 ~-~.~UNICIPALITY OF ANCHORAGE ,~. DEPARTMEN~ ~F HEALTH AND ENVIRONMENTA~ ~ROTECTION 825 L Street, Anchorao~. Alaska 99501 264-4720 Date Received: October 28, 1977 Time ]!.ii~O ~ _ ~2: Time ~3: Time Date ,,-/~-~~ Date Date Insp /~ ),f ]~~./ Insp Insp #1: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Mailing Address: 4449 Business Park'Boulevard 2. Property Owner: ~oe~ Lee Abney Mailing Address: NSA Lakeridge Drive Lomas and Nettleton Company Phone: 274-7661 Phone: 279-0431 688-2167 3. Legal Description: T15N R2W Section 25 Lot 150B of Lot 150 4: Single Family Residence: (x) Number of Bedrooms: Three Multiple Family Residence: ( ) Number of Bedrooms: Well System: Individual Well (x) Community/Public System ( ) Permit # 2m~ %qq~DePth of Well Well Log on File ( Construction ~ t~[ ~"~-~' Bacterial Analysis Sewage Disposal System: On-site System (x) Public utility ( ) Permit # ~c-. Installed ~ ~ Installer (~0~ Septic Tank Size Absorption Area Manufacturer ~3.5~[(o~ C0~ Soils Rate ~ Material ~o~ to Absorption Area 7. Distances: Well to Septic Tank to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line · -'- '~ October 26, 1977 ( !I~UNICIPALITY OF ANCHORAGE/ Department of Health and Environmental Protection 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 ~uest for Approval of Individual Sewer and Water Facilities 2o Property Owner: Mailing Address: Name of Buyer: Mailing Address: Abney, Noel Lee Unknown NSA Lakeridge Dr; Phone :Wk. 279-0431 None-Refinance Nm. 688-2167 Phone: Lending Institution: The Lomas and Nettleton Company Mailing Address: 4449 Bus{ness Park Blvd., Anchorage Phone: 274-7661 0 o Rea ltor/Agent: None Mailing Address: Phone: Lot 150B~0f BLM Lot 150 Section 25 T15N R2W S. M. Legal Description: ~ NSA Lakeridge Dr, Stree% Location: Single Family Residence: Multiple Family Residence: (x) Number of Bedrooms: ( ) Number of Bedrooms: 3 o Water Supply: * Individual Well ( ~ Public/Community If Individual Well, well depthUnk___no__.w_~ If Co]mnunity System, name of system System ( Sewage Disposal System: On-site System (x) Public System if On-siLe System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. ~UNICIPALIT¥ OF ANCHO,'~AGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION OCT 2 8 1977 RECEIVED P~% T~o °,' ' Department of Request for Approval Health and Environmental Protection of Individual Sewer and Water Facilities Legal Description: T15N R2W Section 25 Lot 150B of Lot 150 Affadavit Attached: ( ) Letter Attached: ( Disapproved: Date: Department worksheet :~~.~ , ~ ,~ ~"~. MUNI-~IPALITY OF ANCHORAG~'~' ~.C',c~[~. DEPAR[MENT..~. ............ ~F'HEALTH AND ENVIRONMENTAL rROTECT]ON ~'~:.,.~. · 825 L Street, ~chora~e, Alaska 99501 ' ', · - · 279-2511, ex%. 224, 225 ..- Da~e Received: March 24, 1977 Time ~'~. 2nd Inspection: Time Date ~ '~ -~7 ~/~ Date ~ Inspector ~ Inspector REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES !. Lending Institution Request: Alaska Pacific Bank % Rosie Parks Mailing Address: Post Office Box 420 99510 Phone: 276-3110 2. Property Owner: Walter/Jeanne Belsey Mailing Address; Box 886 Eagle River 99577 Phone: 688-23.30 (h) 3. Legal Description: T15N R2W Section 25 Lot 1509 4. Single Family Residence: (x) Number of Bedrooms: 3 MulLiple Family Residence: Well Data: Type Individual Construction ~9.~, ( ) Number of Bedrooms: Depth I ~ Well Bacterial Analysis Log Filed~ Sewage Disposal System: On-site system (x) Public Utility ( ) Permit # -- '- Installed ~" InstallerS__ Manufacturer Septic Tank 'Size 1~O Absorption Area ~ Soils Rate ~ Material DisLances: Well to Septic Tank /aO to Sewer Lines __~ Nearest Lot Line Absorption Area to Nearest Lot Line a~ to Absorption Area t MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: VA FHA_ MUNICIPALITY OF ANCHOI~AOff DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAR 2 4 1977 RECEIVED coNv__ 3. Name ofBu,er: ~e e ~//,5~ ~ - - .... ~ Mailing Address: ~ ¢~ ~'~ ~/Day Phone'~~~ ~' Mailing Address:/~ ~/ff~ - y~//a Phone: ~;-~//~ . Mailing Address: LegaI Description:/X~--~ 2~_ c~'~ ~' Location: Phone: Typeo, Facitity to be Inspected:¢~_5~'/ ',)'L~/'Z~/~ Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served · No. Bdrms.. ~ Individual__J / If Individual, depth of well. Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-si.~e) /~, 72.003(3/7B) Page ~wo ~ ~ · ', ' ' ' Departm'en~ of Health and Environmental Protection _ ' 'Request for Approval of Individual Sewer and Water Facilities Legal Description: T15N R2W Section 25 Lot 150B Comments: Affadavit Attached~ --~)~ Letter Attached: Appr°ved~:<..~_ Disapproved Date: Date: Department ~orksheet:~ ~'