Loading...
HomeMy WebLinkAboutKNIK HEIGHTS BLK K LT 2 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: OSP241210 Work Type: SepticTank Upgrade Tax Code Number: 01823221000 Site Legal Address: KNIK HEIGHTS BLK K LT 2 G:2936 Site Mailing Address: 13340 RIDGEWOOD CIR, Anchorage Owner: RUDDEROW FAMILY TRUST OF 13340 Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: 7/30/2024 7/30/2025 16000 ❑ 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 Received By: 5 ES Date: Issued By: Date: 2 3 r .v MUNICIPALITY OF ANCHORAGE a. Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON -SITE SEWERM/ELL PERMIT APPLICATION Parcel I.D. 018-232-21 Property owner(s) Rudderow Family Trust of 13340 Mailing address Site address 13340 Ridgewood Circle Day phone Legal description (Sub'd., Block & Lot) Knik Heights Block K Lot 2 Legal description (Township, Range & Section) Lot Size 16,000 Sq. Ft. Number of Bedrooms _ 91 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade FX] Duplex ❑ (D) Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. 15W (Signature of property owner or authorized agent) Permit/Rush Fees: 225 Waiver Fees: _ Date of Payment: Date of Payment: Receipt Number: Receipt Number: Permit No. Waiver No. Permit App_:- :: _.,:c Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com Mailing: P.O. Box 1807 Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska Subject: Knik Heights Block K Lot 2 Septic Tank Upgrade Permit Request This is a design narrative for a permit to install a 1250-gallon septic tank to replace an existing 1250-gallon septic tank to be issued for this property. The existing tank is 39 years old and is likely perforated and leaking, it will be removed and replaced per code. Currently the lot is developed. The proposed replacement will be connected to the existing drain field. This lot and the surrounding lots are served by private wells. There are currently no wells within 100’ of this upgrade. 1. Upgrade Tank Design The tank will be located: 5’+ from any property line. 5’+ from any deck/stair support. 10’ from any building foundation OR outside of soil bearing prism. 10’+ from any water line. 100’+ from any surface water. 100’+ from any private wells. 200’+ from any public wells. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at (907) 745-8200. Sincerely, SRP Steven R. Pannone, P.E., F. ASCE Owner/Civil Engineer 26 July 2024 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241210, Curtis Townsend, 07/30/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) 1 SCALE: NTS TANK SECTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241210, Curtis Townsend, 07/30/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) 2.2. SCOPE OF WORK: INSTALL SYSTEM IN ACCORDANCE WITH THE ATTACHED DESIGN AND SPECIFICATIONS. 15 FEET 15 FEET Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241210, Curtis Townsend, 07/30/24 ~NAME 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 MAILING ADDRESS LEGAL DESCRIPTION PHONE -[~'N EW 2 I) ~ '.~0(',.,/ ~] UPGRADE LOCATION A,'d,~< k/oo d 8, ':~-,:~-~_. We 4 DISTANCE TO: I n /_2 ;'~ j Manufacturer ' ILiq capacity n gal OHS_, /~ IF HOMEMADE DISTANCE TO' Well ~ IM~u~c~r DISTANOETO: I ~-~ ,~ No. of lines .~ Length of each line "p ~i~ ~ fish grade ~ngth Width Type of crib Crib diam,ter IClass.-~ ~41r!::~[ Depth _,,/ /' Absorption area Inside length Dwelling Dwelling/} ~/j_ Material IWidth NO, OF BEDROOMS PERMIT NO. (~%~--O 0 ~ ~ No. of compartments Liquid depth PERMIT NO. OTHER PIPE MATERIALS SOIL TEST RATING /s-o p' /,~ Material Liquid capacity in gallons Foundatioqt)~7~ I .,~ Nearest lot line JO PERMIT NO. ~- ~ O ~_~) Total length of,~__lines~ Trench width~ (~inches Distance between lines Material beneath tile Depth inches Total effective absorption area ~¢,._ PERMIT NO. Crib clepth Total effective absorption area Building foundation Nearest lot line INSTALLER 1 REMARKS - / Driller ~ /J c-"l~ ~ i Sewerline / Distance to lot line Septic tank P E EIJV~IT NO. / lAbsorption area(s) APPROVED 72-013 (Rev. 3/78) DATE I I~te Drill)dz Static Water Level Draw Down : /' feet feet BELL LOG Gallons Per Minute Total Feet of Uasing_ i~/, ~ype Material Drilled: 0 feet to Hefty Drilling S.R.A. Box 1553 H Anchorage,Alaska 99507 CONTP, CT' i...Eti:')AL L.!]T S I ZE .'-'. MAX AIqCI'I(::)F;tAGE, Al'::: 2'7 6 '7 6 () 0 DI!!i]:::']'H · TO F::' ]: !:::'E: BOT"T'OM (F:'T' ,: ) z:l ,, 0 (~)F~AVt!i!]... :Oli!:l:::'T'!l (F:'T' ,, ) 7 ,, 0 T'OTAL I:}EP]"H (FT,,) 1 !,, 0 GI::;:AVlii~L 1,,,] :!: D'T'FI (1:::'"I" ,~ ) 2 ,, '.:5 GRAVEl.. I..I~]~K"Yl-I I (F:'T ,~ ) z~.:::.~; ,, 0 GF;'.AVEI.. VO!_UMI~ TANK S :I: Z!~: ((:')ALS) I, 2'Z;0 ,, 0 -~..~.~. SO :[ L. RAT'iN[') T'I-!Ii!!:N ( :I. '~ AN ....... :;' .... /~1 PERM ]: T At'q):) :1: NSF'E:CT' ]: [::IN FI!::: ,'~c~...~:',, ~'~ .'T'~:; ..... , ,.,..J ...... I ,, AN'r) ~::~; )T'?.'I~: W ]: L.L. NOT BE AI:::'i:::'F;'.OVI~:D ~.'..~ ! "I"I'IOUT AN :::' c.~.','~',::'~,-~ CA!.. 'r ,*,:::~ :::,,:::.r.,..~.... ~.~ ,~ ,::. ,:::..:: ..~,;,... ,, 1.::. .. I.::. .,,, I I,. I CAI ..... ,'~':,, ',:',_ I CAN"/'~ NAV.:I".I SHARMA DEPARTMENT (IF ttEALTII AND EBIVI[IOINIMENIAL PROTHC-FION Permit t~: 840866 January 31., 1985 TO: Permit Applicant SUBJECT: Lot 2 Block K Knik Heights Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as ef December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/er eh-site sewer system net installed by the expiration date. If you have drilled the well, a well log needs to be sene mnsuallat~on te this Department for documentation ef kine '~ ~- ~' and %e close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as~built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Environmental Engineering Program KEB/Ljw enc: Cop], of Permit SWP/057 DEI~'AFN"MIEI~.IT' [)1'" HEY~'d....TH AND I~{NVII:'~:DI'.IlqlENT(:II... F::Ir(C]'I"EiC'TIC)N .'.~'b~Zl..- 4'7,~ 0 F'd::' F:' L.. ] CY..:fl',IT: C D N TfW.'.'I" F:'I"'ID N E.:. ~ L..IE]BAI_. L.[IT !!il I I'"h'.IX BI!.:.)DI:;¢[)I'.)I'i~: SUBD I V I !ii; ]: C]N: I<N I I< I.IE ! SECT I C)N: 27 T'OHI'qSH .1: F:' ',', 3 L(]T: 2. BI_CIC',K: K t!iy~si:.c;,m. []hc~ot'~;e:, i'..h~...', c~j::~'t.. J or'l 'l:..]'-i~t. I::~.:~!~f. F :i.'L% your' .... IF' Il:q:'. lei!:: lI",J C7,: [l"dl ','~"~ 'T'At'41< HLhr.'!i'T' HAVE~: (Y'I" LE~ASF'I" 'T'WC) C',UlflPAI::UI"HIENT!B c:~.:¢.~ ~" t. :i. f y t. h a t. ~ Fopt. l"l by t.l'l~ I"h..u"~ic:il:~,liluy of (:~id"icu"~gr.-~ (MO[~) and t.l"t~.~ ~]~'Lat.¢~ ::?~ :1: ~,4J.].:l. :i.~"~si'~..~:~:l.:l. 'l'..In~.:: ~y,~rL(.:?m irt ~'~u:::c:or'darlc::~:,~ ~,,~i'Lh ~::~:1.:1. MCI(~ and irt ccm'~l:)l:i, ar'~c:¢~-~ ~,~:i,i'.l'~ i:.h~, c.l¢.~}i.{.U"l c:r'it.(:,:H"J. 4:~ c)f 'Lh:i.s 3,, I ~:i. ll ~'adl'u.:.:~re~ t.o ~,~:t. 1 MDK~ and S]k:.'..~':d:.¢~ oF ¢~la~l.::a rc.~qLtir'¢.~m~:u"tL~i~ f'cn" t.h(.):,, s~.~::,t, back d:i. st.¢ar'lc:¢~s f'r'c)m any ~<,x :i. st Jmng ,r,~f:~ 1, ~:uM:.cq,-~ai:.~:,r' d:i. sl::)os,~:tl sys~rlx~m or pub 1 :i.c ~(']':'~}(e:')l"C:t(,:,:~(1) ~By~st.('::'HI'I CH"I 'L.l'~:i.~ or any ~td.j~:tc:(~.)l"Yt.. DP I"H.::~tl~'k:)y ICY('..,, z!.,, I Luqcler'st..01")d '{'..ha.L 'Lh:im!!S p¢~l"mi'L :L!d~ va3.:ld For a'!~ ma;<:i, mum of ~any e)r~ l¢'~Crge)m,'.C-)l"rt'., tw:i. 1 1 r'r..~qu:i, ro 6':.n add :i.t. :i.c)ul,:.~). I::)f.:~pm:i.t. ,, I F:' A I... :!: F:r"I'' D"I"~'I" I C)N :1: S I NSFI"AI...L.I~::0 I N ~g'-,I ARE:(~ C(]VE:F~'.Ii!(D BY HC)A BLJ I L..D I NG CC)DIZ~, 'T'HE~N (1) ~1',1 I~EL.IE:CYI"FRIC(.g_.. F:'.'E~Fd~i:[T {.~lxl0 :I:I,,I~I::'E:CYl't(]N I~1(.I~"1~ BE OB"I'~Z~tNIZD~ (2) ('fi?,..-BU]:L."I"E~ N:I:L.L. NOT' BIZ ~.W:'F:'F:~OVE:D NITMC)I. JT ~1~1 IZI...IZCTIRtC(.'~L,. :t:N~ff:'E{CTION F:RIEF:'OF;tT; (.~F, ID (3) THE: ~~ ~ ~...-.~.-./..-~-. ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ""' SOl LS LOG [] PERCOLATION TEST PERFORMED FOR: I_EGAL DESCRIPTION: 2 3 4 5 6 7 8 9 10 11 12 13 14~ 15-- 16- 17 18 19 2O L¢t- 2. DATE PERFORMED: Px SLOPE SITE PLAN <s% COMMENTS ~o,'l '~g~m Z "~ 12'/:;~, PERF~ED BY: ~)~r'-¢~ /1/[~r ~/./72-008 (6/79) WAS GROUND WATER S ENCOUNTERED? 1~O L 'O P E IF YES, AT WHAT DEPTH? Date Gross Net Depth to Net Time Time Water Drop ~- . PERCOLATION RATE (minutes/inch) TEST RU~ .ETWEE, FT ANO ____ FT ¢~-+ t~' ~,~,~t~7 ,~-,+¢d ~ ~So ~'/~. 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 FAMILY DWELLING Parcel I.D.# OI,.c;- ,~.~ - ,~t 1. GENERAL INFORMATION Complete legal description Location (site address or directions) l:~:;qC ~,,(\,~6v~oc~.. C(C(.iq. Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent ~¢¢,[ K, L~ Address .~(~CO Coc,ke~c~ Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: f¢ TYPE OF WATER SUPPLY: Individual well / Community well _ Public water NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: Day phone_ If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 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/orwastewater 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. NameofFirm ~--~' ¢/?//2~ ,~t~Ur'i/,~:cJ-4/ ~-~-- Phone ,~-~7¢-.~//J¢-, Engineer's signature ~-~~ Date ~--/, [~¢~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments ,e 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 proiessional 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. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Descril)tiou: A. WELL DATA Health Authority Approw]l Checklist o0,_, ['~OV,,.~.<~ Parcel I.D.: Well .type If A, B. or C, attach ADEC letter. ADEC water system number Log present (Y/N) __ Total depth Sanitary seal (Y/N) ¥¢6 Date coinpleted D -] 7 ap ~> Cased to Casing height (above ground) Wires properly protected (Y/N) Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: ~ ~ ~l B. SEI~IC/HOLD~G TANK DATA Date installed S[IO[~s _ *al~ size Foundation cleanout (Y~) Date of Pumpil,g. %~/~ C. ABSOR~ION F~LD DATA Date installed ~'/,0[~ Length ~ 3 [ Width Hffective absoq]tion area Date of adequacy test 5llq[ FROM WELL LOG AT INSPECTION g.p.m. {, -~'"' . , '7~ ~/ Other bacteria Number of Compartments ~ _ ClCanouts (Y/N))/85 Depression (Y/N) t~o High water alarm (Y/N) ~o Fluid depfl~ in abSorptiou field before test (in.); lka Soil rating (g.p.d./ft2 or fi2fodrm) Gravel thickness below pipe __ Monitoring Tube present(Y/N) Results (Pass/Fail) _ hmnediately atterJ~ gal. Water added (in.): Fhfiddeptb [~" (ins.) Minutes later:_ [9.0 Peroxide treatment (past 12 months) (Y/N) _ /~'/O /50 _ System type t,/ Total depth Depression Over field ~ For ~ iT Absorption rate = ) (~SO g.p.d. If yes, give date D. LIFT STATION Date installed~ Size in gallons mauhole/Access (Y~)X"~ ...~4~ "Pump on" level at* High water alarm level at* ~ -"'---~Datum Cycles tested "Primp off' level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer lnain Sewer/septic service line : On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Lift station _ /~//~ i 7 ]30 #A HAA Fee $ Date of Payment 1 certify that ] have determined thrufield inspections and review of Municipal records that the above systems are :~gCnC'at*Jubi:naace~l~d~~ct°nthisdate' ' . Receipt Number Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation j ~ i Water main/service line ~ '2. ~ ~ Surface water /l/r/~ Driveway, parking/vehicle storage area J -/ Curtain drain ~/0r~0.., Wells on adjacent lots ~ /~)_,~/.~ _ Property line F. ENGINEER'S CERTIFICATION .~ ' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation i-L~ Property line .. ~ JO'~ Absorption field Water main/service line ~ ~5'~ Surface water/drainage t~J 4 Wells on adjacent lots 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 FAMILY DWELLING Parcel I.D. # _ [-'-~\~-',~_~;3. -~)./ HAA # _ ~ 1. GENERAL INFORMATION Complete legal description Lot 2; Block K; Knik Heights Subdivision Location (site address or directions) 13340 Ridqewood Circle Anchorage ,. Alaska Property owner Mailing address Bill Wamsganz Day phone P.O. Box 111386, Anchorage, Alaska 99511 345-5647 Lending agency Mailing address Day phone Agent Darlene Eliason/FORTUNE PROPERTIES Address 3000 A Street, Anchorage, Alaska 99503 Unless otherwise requested, HAA will' be held for pickup. NUMBER Oy BEDROOMS: 3 "N TYPE OF WATER SUPPLY: NOTE: Day phone 562-7653 Individual well ×xx Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWAI'ER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. NOTE: 72-025 (Rev, 1/91) Front MOA #21 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/orwastewaterdisposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverifythat 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 -". & s ."NG;N."~.P,|NG 17034 Eagle RiYe~' Loop Eoa~ N~ ~ Address SaC. ~[ver, Alaska 995T] EngineeCs s~gnature DHHS SIGNATURE ~_ Approved for Disapproved. Conditional approval for Phone ~PY'/~-f) bed rooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Sen/ices (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. 724)25 (Rev. 1/91) Back MOA ¢21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description ~%~'~¢~'?<"i ' 'A//~ Parcel I.D. A. WELL DATA Well type_.~-~,'iO~ !¢ ~-'~/~;~_ f A, B, or C, attach ADEC letter. Log present (Y/N) 9 Date completed ..,~- ~- O, Cased to / Total depth. Sanitary seat (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG Absorption field on lot Public sewer main Public sewer service line SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot ADEC water system number ~-4~- - { '~ - ~.;~ Driller Casing height 1.2 Wires properly protected (Y/N) t.~ g.p.m. AT INSPFCTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout. Petroleum tank WATER SAMPLE RESULTS: Coliform ~ g~'~--~-/~ Ph Date of sample: ~. - C:) (~ B. SEPTIC/HOLDING TANK DATA Date installed ~ ~ / O -~ Cleanouts (Y/N) ~1 High water alarm (Y/N) Date of pumping Nitrate ~"~A .~f'~C:~.,to/' ~ L Collected Tank size /'2- ~-O ,~¢~/ Compartments .2. Foundation cleanout (Y/N) f~ Depression (Y/N) Alarm tested (Y/N) /~)//'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: , '1c Well(s) on lot. I O~I On adjacent lots / CO Foundation To property line 1~ Absorption field ~ Water main/service line Surface water/drainage I ~6~ '~- 72-026 (Rev. 3/91) Fronl MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date inst~ Size in gallons'-~ Vent (Y/N) , ~ ~. "Pump on" level at High water alarm~leve'l~ Meets MOA electrical codes~N) SEPARATION DISTANCE FROM~T STATION TO: Well on lot D. ABSORPTION FIELD DATA Date installed L~-'--/~) - Length ~ ~ ' Width ~g Man ufactu rer Manhole/Access (Y/N) "Pump off" level at Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Cycles tested Gravel thickness Surface water Cleanouts present (Y/N) Date of adequacy test for If yes, give date System type Total depth bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ! f')O To building foundation On adjacent lots 3 Surface water t' Curtain drain /O / /4 On adjacent lots (OE) ~ Property line To existing or abandoned system on lot Cutbank iV ¢~ Water main/service line Driveway, p a r k i n g/veh+e~?-~tu~ ag,~-~rea E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in~f~'t_~C..'~l~e~&,te of this inspection. Signature S & S ENGINEERING ~'~ 17034 Eagle Ri~er Engineer's Name Eagle Eiver¢ Alaska ~5~ HAA Fee $ Date of Payment_ .eoeipt Number Waiver Fee: $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE Department o! Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SFI'E SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Musl be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) (b) Location (address or directions) Property owner Telephone: (home) Business Mailing Address (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent Address (e) Telephone Mail the HAA to the following address: (or check hereJ~ if hold for pick up.) List contact person and day phone number below: ~' -. . o,J ¢,/ - s- / -- . 2. TYPE OF RESIDENCE Single-Family J~ Number of bedrooms 3. WATER SUPPLY Individual Well',J~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conser;/ation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, Iverifythat my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functiona .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 /-~rd j)~-'7'Z-50~ '~Z-~6/~ ~-'/~"P-.-v~ Telephone -~ 7 - Address ~[~ (~) · ~'0 ;*, ~.>/077.~ /0~J C4~0/~- ~ G'" 6. DHHS.APPRO~t~L Al::)-p~ov~-d for "~'."~- : bedrooms by Ap~'r~v,~_ ~ ~ Disapproved ~erms of-ConVOlVUli Approval · - ~;'4',¢'.°°''° ~'"",~ ._ Engineer's Seal ~. 0%% 4381 . E ,' ~/~ , _.. _ Date Conditional q-'¥l II [fl ~ The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph S 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 DHHSdo not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsibleforerrorsoromissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 ~% MUNICIPAI.ITY OF ANCHORAGE (MOA) (,,~l~."~¢/~ "~'""~ ..,; ;;'~ Health Authority Approval (HAA) ,~.':""" CHECKL ST- FEBRUARY 1984 ,'' ~· · 343-4744 Legal Description: A. WELL DATA Well Classificatior~\~'"~-'~'31~Jt0 U/-) IL. Well Log Present (Y/N) ~// Date Completed Total Depth Cased to /_~,~t Depth of Grouting _ Static Water Level /~-'7 Casing Height Above Ground Electrical Wiring in Conduit (Y/N) '~" SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot /~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot _ Water Sample Collected by Water Sample Test Results If A, B, C, D.E.C. Approved (Y/N) Yield J ~--~ ..P/~. ./¢ Pump Set At ~,~O~J Sanitary Seal on Casing (Y/N) 'Y Depression Around Wellhead (Y/N) /~ '~ 10<2 To Nearest Public Sewer Cleanout/Manhole ; On Adjoining Lots ; On Adjoining Lots Comments B. SEPTIC/HOLDING TANK DATA Date Installed ~/0//~5" Size {,?.-5'O .._No. of Compartments ~. Standpipes (Y/N) Y Air-tight Caps (Y/N) Y' Foundation Cleanout (Y/N) ¥' ,/,/ Date Last Pumped . '""4 /' 4 ~ {".,?.~.i?i,.:~ ,] Depression over Tank (Y/N) ~ Pumpin.g/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) _N//~ SFPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line Te Water Main/Service Line ; for Temporary Holding Tank Permit (Y/N) /~,./ t __ To Building Foundation /63 ~ To Disposal Field > IO~~ To Stream, Pond, Lake or Major Drainage Course Comments 72-006 (Rev. 7/88) Fronl Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in AbsorptionStrata Date Installed -B'/O/~ ~ ' 2_ Width of Field Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test /~-0 F/-~'//U)/~Type of System Design ' Length of Field ~-,,,~ ¢ Depth of Field /0~ o / Gravel Bed Thickness '?~/~. Statndpipes Present (Y/N) Y' /k~ Date of Last Adequacy Test / To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area SEPARATION DISTANCE FROM ABSORPTION FIELD: '~/00~ TO Property Line /~) 2~¢/ To Existing or Abandoned System on · On Adjoining Lots ~' --~ / ~' /O/ To Cutback (if present) ,> lO0i Comments D. LIFT STATION Date installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **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. Signed Company Date MOA No. Engineer's Seal Receipt No. Date of Payment Amount: $ 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 FEDERAL TAX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE £or Work Order % 18197 Date Report Printed: NOV 13 89 ~ 21:20 Client Sample ID:L2 B4 KNIK HTS PWSID :UA Collected NOV 10 89 ~ 14:45 h~e. Received NOV LO 89 @ 15:1S hrs. Preserved with :AS REQUIRED Client Name : ROCKFORD CORP Client Aect : ROCKFOT P.O.8 NONE RECEIVED geq ~ Ordered By : MICI~EL E. ANDERSON Analysis Completed :NOV 13 89 Send Reports to: I)ROCKFORD CORP 2) Special Instruct: Chemlab Rof ~: 8485 Lab Smpl ID: I Matrix: WATER Allowable Parameter Tested Result Units Method Limits NITRATE-N 0.31 m§/1 EPA 353.2 10 Sample ROUTINE SAMPLE Romarke: SAMPLE COLLECTED BY i Tests Performed * See Special Instructions Above UA~UnavailaDle ND~ None Detected '* See Sample Remarks Above NA- Not Analyzed LT~Lees Than, GT~Greater Than MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF I~ALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (c) (b) Applicants Name Tel~ej)hone - Home Applicants Address C?~~-I ff t~ e ~ r~ Applicant_is (chectU~) Lending Institution Buyer ~ ;' Other ~ (~plain); Business 0=e=/ uilder Telephone Real Esta. te Co. & Agent Address Telephone Mail the HAA to the following address: Other _(describe) Number of Bedrooms Wat__erSu_~~ Individual Well~ Community Note: If community well system, mu~t Imve written confirmation from the State Department of Environmental Com~ervation attesting to the legality and status. [Page 1 of 2] Sews Note: If community well 8y~tem,.~,'~e~,hay, e ~t,~n 8oufirmation from the orate Department of Enviro~ental CoCsg~gtlipl{~%~S,~g~,~,,.] "~' :" ¢~; : tO the legality' and status. :,, ',,' } , ,,'<.k .;' 5, _~insineering Firm Providin In~qtions, T~est__~s File Search~ Data and Information e 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 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 w~astewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm Address ?a!~) Date DHE___~P Approved fo~-'-~_~~f'~'' bedrooms Approved ~'/' Disapproved Terms of Conditional Approval Col ditionai ~ CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES tW~ALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON Tt{E REPRESEN~£- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTEltED IN TH~ STATE OF ALASKA. THE DHEP DOES ~I~HIS AS A COURTESY TO PURCHASERS OF HOMF. S AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE" MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE 'A CERTIFICATE IS ISSUED. THE Pf0NICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK° RR4/eJ/D18 [Page 2 of 2] 7-19-84 WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: /4,q ,q~ MUNICIPALITY OF ANCHORAGr- DEPT. OF HEALTH & ENVIRONML:NTAL PROTECTION :. ¢ i 8 1985 RECEIVED A ~. 6:%¢,~ /( ,L~.F,2. Well Classification /nd~'w'E~ ~ Well Log Present ((~N) Total Depth 5'$-0 Cased to Static Water Level ' /5" c~ ~ Casingkleight Above Ground'. -. Electrical Wiring in Conduit (.Y~N) Separation Distances from Well: To Septic/Holding "rank on Lot if A, r3, C, D.E.C. Approved (Y/N) /V A Date Completed _ ..5'.- /~'- - 8 5- Yield /6' '¢ ' Depth of Grouting x/A Pump Set At Sanitary Seat on Casing6":~N) Depression Around Wellhead (Y/~ I'o ~ ¢/ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ~'T Io,¢ ~.'-; On Adjoining Lots To Nearest Public Sewer Line ~/,4 To Nearest Public Sewer Cleanout/Man hole Water Sample Collected by Water Sample Test Results _ Comments A/,'~ To Nearest Sewer Service Line on Lot /v-/I- ~'>¢~¢'~'"~_ ; Date q ~[ -'~"~" "- B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes i~N) Depression over Tank (Y/~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well /O~ To Property Line /O To Water Main/Service Line ~' /O Course ~ 'f' lOC* Size /,,25'-O ~ No. of Compartments ,2. .... Air-tight Caps ~N) Foundation Cleanout~/N) Date Last Pumped ,vA ~ ; for ~A ~ Temporary Hqlding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field ~'0 Square Feet of Absorption Area Depression over Field (Y/~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well d;/" /o'/ ~ To Building Foundation / 4 Lot ,cA /,¥O .~' ~/',/~..- Type of System Design ~-' Length of Field Depth of Field Gravel Bed Thickness 7¢Z ~ ' ~- Standpipes Present'N) Date of Last Adequacy Test To Water Main/Service Line E~' 'P /o To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line /O To Existing or Abandoned System on ; On Adjoining Lots ~ ~' $O ' To Cutbank (if present) /,/.4 Size in Gal onsDate Installed ~_ M a n hD io ,%7,~ic°ens~ (y/N )~' "Pump On' Level at ~"~.~ump Off" Level at s~ High Water Alarm Level at ~__ Tested for / ~'-'- Pumping~ng Adequacy Test. Meets MOA Electrical Codes (Y/N) ~ ~ ** 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. Signed~-~'~.~' '~¢¢¢"~ -' Date Company ./r_~- ~.(.' /'"'<-- MOA No. Receipt No. Date of Payment Amount: $ Page 2 of 2. 72-026 (11/84) Seal /V urdciplxhty P,o. b . ANCHORAGE, ALASKA O~~ (907) 264-4111 Aaehorage MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES June 25, 1986 Navin Sharma P.O. Box 112302 Anchorage, Alaska 99511 Subject: Lot 2 Block K Knik Heights Subdivision Drainage Ditch Along Ridgewood Circle You have requested a waiver of the 100 foot separation distance requirement between your septic system and the drainage course in Knik Heights. The Alaska State Department of Environmental Conservation (ADEC) has defined "surface water" (a water body requiring a 100 foot setback to septic systems as stipulated in 18 AAC 72.021 (e)) as any water "which is not directly attributable to a rainfall or snowmelt event." The Department of Health and Human Services (DHHS) has made the determination, based on observations made during the spring of this year, that the Knik Heights drainage is not a "surface water" requiring a 100 foot separation to a septic system. Although there is a substantial runoff flow occurring during the "breakup" period in this drainage course, the runoff period was confined to a three or four week period. It is the opinion of this department that this runoff was directly attributable to a "snowmelt event." Therefore, by the ADEC definition, the Knik Heights ditch does not constitute a stream requiring the 100 foot setback stipulated in 18 AAC 72~,021 (e). A waiver is therefore not required in your case. It should be emphasized that this determination was made from recent observations. If conditions in the drainage basin should change, contributing to a more extended period of flow in this drainage, this determination may change. Sincerely, Stephen S. Morris Civil Engineer On-site Services Concur: K~fi Lauzen, Division Manager Environmental Services Division SSM/ljw #5 ] unicipaL of Anchorage OFFICE OF THE MAYOR P.O. r' ,× 196650 ANCH,JRAGE, ALASKA 99519-6650 (907) 264-4431 TONY KNOWLES, MA YOR June 13, 1986 Navin and Jo Sharma P. O. Box 112303 Anchorage, Alaska 99511 Dear Mr. and Mrs. Sharma: Regarding your request for a waiver from the distance requirements between your septic system and the proposed drainage course in Knik Heights, I recommend you contact Ken Lauzen, Department of Health and Human Services (264-4720), for further information. I am sending a copy of your letter to him, so he will be expecting to hear from you. I do hope the proposed solution solves the drainage problems which have occurred. Mayor~/ cc: Ken Lauzen, Department of Health and Human Services May 13, 1986 Mr. Tony Knowles P.O. Box 6650 Anchorage, AK 99502-0650 Dear Mayor Knowles, This letter concerns Paragraph #3, Page 2 of your letter dated Narch 19, 1986, to Senator Jan Faiks, copy attached, regarding the Knik Heights Subdivision drainage problem. Our home is. located on Lot 2, Block K of the subdivision. As per your above referenced letter, we should be able to get appropriate waivers in connection with septic separation distances from the proposed drainage for our property. We would like to know who to contact in order to get these necessary waivers. Your assistance in this matter is much appreciated. NKS/jed attachment Sincerely, Navin K. Sharma ~Jo Sh~_wna MAY 1 5 1986 MAYORS OFFICE ] unicip dtyof Anchorage OFFICE OF THE MAYOR March 19, 1986 Sen. Jan Faiks Pouch V Juneau, Alaska 99811 P.L JOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4431 TONY KNOWL£S MA Y OI:]  : Knik Heights Subdivision Dear S~'~s: For some time now, the Municipality has been working with property owners in the Knik Heights area, the developer of an adjacent subdivision, and officials with the state Department of Environmental Conservation in an attempt to solve a potential drainage problem in a manner which also avoids conflict with on-site septic systems in the area. In the course of our efforts, we have evaluated past and present site conditions and legal authorities which can be utilized to help correct the present situation. A few background facts may be helpful. The Knik Heights Subdivision was originally platted in 1958. Today, homes exist within an area which has been well documented to be the headwaters of Furrow Creek. Examining topography, drainage patterns and past information about the area, there can be little doubt that water flow impacted the lots in question, at least periodically, long before homes were constructed there. Moreover, while adjacent uphill development (such as the McCabe Subdivision) can cause some alteration in drainage flow, documentation demonstrates that any effect has been minimal. However, the point is that there is an apparent problem today for several homeowners, and the Municipality wishes to take appropriate steps to help solve that problem. Our authorities are limited. The area in question lies outside the boundaries of the Anchorage Road and Drainage Service Area (ARDSA) and is not included within a Limited Road Service Area (LRSA). Thus, by both state law and municipal charter, we are precluded from expending municipal funds Or taking other direct action. Through our codes, the Municipality does have areawide authority concerning private development, and we always have the ability to work with responsible st:ate agencies (such as DEC). To that end, we have taken several steps. Last fall, the Municipality had helped arrange an agreement between the affected property owners Sen. Jan Faika Page Two in Knik Heights and the developer of McCabe Subdivision whereby the developer would construct additional drainage improvements designed to channel water in a manner designed to avoid any future flooding problems. Unfortunately, the newly-constructed ditch would have created a watercourse resulting in a violation of separation distances for several on-site septic systems in the subdivision, and creating a potential health hazard. It seemed as if we were between a rock and a hard place. We agree with DEC's interpretation of open watercourses as "streams", even if they are manmade, such as a drainage ditch. As I mentioned above, the topography is such that water has and will always likely flow in this area. Whether it ia channelized drainage or Furrow Creek makes little difference to the public health issues involved. As a result of DEC's interpretations and concern by property owners, the developer of McCabe Subdivision did not construct the proposed drainage ditch in Knik Heights Subdivision. However, that still lef~ individuals with a drainage problem. The Municipality continued to evaluate the situation and work with ADEC to dete2~ine if there was a solution which would solve the water flow problems and protect the public health. We believe we have recently found such an answer. ADEC has indicated that a non-permeable drainage course could be constructed. Because this would not necessarily require installation of a buried storm sewer, the costs would be reasonable (perhaps around $12,000). The drainage could be constructed either aa an open ditch lined with asphalt or a half culvert. This would prevent groundwater intrusion, and would be much easier for the property owners to maintain than a buried pipe. The ditch would be constructed between Lots 3 and 4 of Knik Heights Subdivision. There has also been a concern regarding septic separation distances from the proposed drainage for Lots 1 and 2. ADEC agrees that because of the specific elevation differences on these two lots, public health concerns may be satisfied with an appropriate waiver. Otherwise, a non-permeable drainage course could be constructed here as well. Lastly, the Municipality ~ecently enacted a deferred payment, low-interest, loan program to assist individual homeowners in solving septic and drainage-related problems. That program might be used in this case, and we will encourage the homeowners to apply. We will also resume discussions with the developer of McCabe Subdivision. While some time has elapsed, the developer previously made a commitment to accomplish some additional work in the area to help solving the problem. While this has been a thorny problem, we have taken an active and positive approach to solve it within the limits of our authorities. Our approach has been based on a good deal of research and a fair Sen. Jan Faiks Page Three amount of common sense. I think it is fair to all parties. The longterm solution, however, must be a continued effort to adequately plan for drainage on a larger basis, bring a fuller measure of service to areas without either ARDSA or LRSAs, and avoid building in the stream itself. Tony~les