HomeMy WebLinkAboutHOMESTEAD HILLS #1 BLK 3 LT 5
02/08/1996
18:32
9876941211
S AND S ENGINEERING
PAGE
02
£LMORE
8, ELEC, EASEMENT
N 00"06"19"W 63,66 (R)
$ 00"01
BEAR PAW STREET
0
~ MUNICIPALITY OF ANCHORAGE
D, ..TME.TO..EA'T. ANO.UMANSE" :ES O/b"-17Y 2. 7
Environmental Health Division
~ 825 "L" Street. Anchorage. Alaska 99502. Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~"'~ DISTANCES
Harry Mc Donald ~ Tn SEPTIC ABSORPTION
WELL
~ ....FRO~ TANK FIELD
11420 Bear Paw Street
~o,,~346_2556 I~m'~°870128 1N°°~°r°°m~ 5 WELL 103' 107'
~ ~sc.,.~o. LOT LINE 2 3 ' 4 ~ 1 2 0 +
~o, 5 ~B,o~ 3 ~S~v,~o. Homestead Hills ~/
FOUNDATION
42'
70'
5O'+
Township, Range, Section
T. 12 N. ,R.3 W. ,Section 22 AS-BUIbT DIAGRAM LShow location of welL septic system, propertyi,nes, loundat,on,
driveway, water bodies, etc)
Manulactuler CapacKy in gallons
TYPE OF SYSTEM :
~ BED ~ W. DRAIN ~ OTHER''~ ,, ~/'¢~----'
TRENCH
Depth to p~pe bottom from ~otal depth from original grade ~
original grade 3 FTI i 1 ~ FT
Fill added above original grade Gravel depth beneath p~pe
80 FT 3 FT / 4 ~ ·
7oral absorpbon area DistanCe bet .... lines
1360 so FT 0 FT
Number of hnes J Soil rating
1[ 272 S0F~ ~ZoS~ PVC/Cast~
WELLS " ............ '
~ PRIVATE ~ OTHER {Identify} ~
. '
I ~J ~ ~ ~ ~ ~XO ~ .cmily IDt this inspection was pedormed ac,ording lo all ~-~
7
Municipal a,d Stale guidelines i, effect on this date: O/ZV/~
Health Depadment Approval: Date: ¢- 23-R7
I...EYT' S :ii Zi!:i: ~
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
OC
2
3
4
?
8
10
12
14
17
19
20-
;~/~..~ Township, Range, Section: TJ~j ~-~ ~,
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT -~ O
DEPTH? P
E
Depth t0 Water Alter ~
MonitorinD? O1"~ DaLe: 3~ Hay,: 1~'8'
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE O0~) (minutes/inch) PERC HOLE DIAMETER
TEST RUN aETWE~N ~',0 ~T^ND ~, 5' ~
72~ (Rev 4/~) ~
o:- 2i~ .:,.~ ~> 't,. ',
/
-t-j .
8EWER SYSTEM LOCATION PLAN
COT I B~OCK I IUBDIVI~ION
~ ~ ~ ~"~ /~} ' ~ ~ DRAWN aY, I IYSTEUS INDICATED IS NOT EXACT.
............... r'" If ~'~'~'~'t~'a [' 'r'~ '"'-fl
& associates,inc.
Consulting Engineers
4790 Business Park Blvd. · Bldg. D · Suite One · Anchorage, Alaska 99503 ° (907) 561-6151
MUNICIPALITY OF ANCHORAGF
ENVIRONMENTAL SERVICES DIVlSI(DF
May 29, 1987 IIIl%J ! 1987
Mr. Steve Morris
Municipality of Anchorage
Department of Health and Human Services
825 L Street
Anchorage, Alaska 99502-0652
SUBJECT: REQUEST FOR WAIVER OF SEPERATION DISTANCES
RECEIVED
Dear Steve,
Presently there is a four bedroom house on Lot 5, Block 3,
Homestead Hills Subdivision that has a failed septic system.
The home owners, Harry and Pat McDonald, wish to install a
replacement system capable of serving five bedrooms.
Unfortunately, because of poor planning during the development
process of the lot, the existing septic system renders one
quarter of the property useless in regards to sewage disposal,
and the protective well radius encompasses over one half the
remaining area. Please refer to attached plot plan. The south
west corner of the lot is unable to be used for disposal area
without requiring major replumbing of the house, construction
under the driveway, and extreme financial hardship to Mr. and
Mrs. McDonald. Because of these factors, we are requesting
that a waiver of seperation distance be granted to allow
construction of a new system in the limited space available to
them.
A 2000 gallon approved septic tank would be installed within
the 100' well radius only (approximately 80' away from the
well), the tank would be installed with water tight manhole
covers, and cautder couplings would be used at the invert and
discharge line. Solid line pipe would extend from the tank out
past the protective well radius and the system installed as
shown on the plot plan.
The soils test performed on May 21, 1987, showed no ground
water and was dry at the seven day water monitoring.
Permeability of the receiving strata is 28 minutes per inch.
The well log indicates that the dense, silty nature of the
receiving strata continues to the depth of the well at 267ft.;
with small gravel lenses. The lot drains to the west and
northwest, away from the well.
Mr. Steve Morris
May 29, 1987
Page 2
Due to the special construction techniques to be used to
prevent leakage even during flooding conditions, the low
permeability of the soils, natural drainage away from the well
and the financial burden to do otherwise, we are recommending
that placement of the septic tank be allowed 20' within the
protective well radius.
If you need additional information or have any questions,
please do not hesitate to call.
very Truly Yours,
CORWIN & ASSOCIATES, INC.
Laura Ogar
Environmental Engineer
LO:jn
: ~ , I
.ItEWER SYSTEM LOCATION PLAN
' ! I ~T I BLOCK I ' IUIDIVIIION ,
~ a~,~ ~t~ ~ ~,a I I on*w. ~v, I i~TEUS INOI~TEO I* NOT EXACT.
~;.~;~' ' ~- _ _ ;._:__;;-'-i ~~'~8~v. ~987 I'"[[~ ~ o~
PERFORMED FOR:
LEGAL DESCRIPTION:
Municipality o! Anchorage I ~'.~[." ', ~" '%.~''':I:~; 5
825 'L" Street, Anchorage, Alaska 99502-0650 ~
SOILS LOG -- PERCOLATION TEST
i-~ ~r~e J. Co~ n ' ~'~
~ ~,~3 Township, Range, Section: ~I~H} ~5~, DC ~
WAS GROUND WATER
10 ENCOUNTERED?
~ 1 1 IF YES, AT WHAT
DEPTH?
12
Depth to Waler After j
13 Monitoring? O~'~
Gross Net Depth to Net
Reading Date Time Time Water
~ ~r38 ] t/we to~i~ ,,o/, S~ ,o~
.
14
15 ,o,~--
16
17
18
19-
20 - /o0
PERCOLATION RATE O~ (minutes/inch) P,ERC HOLE DIAMETER ,
TEST RUN eETWEEN ~',0 FTANO ~,,~"' FT , . -- ~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH Ct ENVIRONMENTAL FROTECTION
ENVIRONMENTAL ENGfNEEF~ING DiVgSION
825 L Street- Anchorage, Alaska 9950~ Telephone 284-4720
ON-SITE SEWA aE D SPOSAL SYSTEM/~N[.~ WELL ~NSPEC'F~ON REPORT
MAILINGt~-2)./') /~ADDRESS
LEGAL D ESC R I PTI O1~_..¢ }f~ /~ ~) / '
LOCA~3~.. NO. OF BEDROOMS
~orptiw)area Dwelling
Materi61
~ength Width
DISTANCE TO:
[Ma u* cturer
1Liq' -
DISTANCE TO:
Manufacturer
IF HOMEMADE:
Well .... Dwelling : , ,
Eoundation / -~'~ ;L_ /~ --
N ea rest,:J/o~' line ,
DISTA*CE*O: j ?eO
No,--of lines .~ /-Lencltt~ of~ each I~ne~z
~'~o finish grade ¢ ' ,
Length ~ ~
Width ,'
Typ~~~ Crib diameter
C}ass Depth
BuildM~ foundadon
DISTA~C[ TO:
OTHER
Depth
Gl'J6 depth
Building foundation
[Se~er lin~
PIPE MATERIALS
SOIL TEST RATING
NSTALLER
~nches
*ERM,T NO.
No. of compartl .T~t~nts
Liquid depth
-F~i~ NO.
LiqUid capacity in gallons
Distance betweee lines
Fotal effectiv, e abs.orption aree
....
~ERMIT NO. Z*,/
REMARKS
JNeTOtal effectiv~_a,hsorpdon area
ares~ i 0~- I~n e
Septic tank ~ , IAbsorption ~rea(s)
APPROVED DATE LEGAL
'? !".11!!:". L.E}:NG'T'H [> I F![!i:N:!ii; I OH 1:5 THE LE'H 3TH ,' I
THE: I'~:,/j'F:'TN OF Fi 7rE ,1 .H OR F'IT ]:S THE E:,I~FF~aNC[~: E~E"['[,.IE:E[",I THE '::2 I:~FI:::IC:E: OF' THE:
~,.,, t h !,. ..... FIN[> Ti."tE~: '* ' "' '" -"
'F:'/CF'E:: Z :~; NO SET 1.,.t ! DTH FO~: TRE:NCHE:E;.
"I"HEE '~,F.~,,[:' ':' ' :'~,. D[~:F:'"rH T'E. THE: HIt',,l'[t','ll.. H .>[:/F'"."H nF
FIt'-,I[> THE: E OTT '"ih'l ')F THE: E:F::CFF,,'FIT I ON ,' Z N F'EtE~"F >.
F:'EF[:H !' T FtI:::'PL i C:FtFFT' F.l!::i:i~: 'T'HE: F:E:!~;P(3NL'~: T. Fi! I L I "t'*"? 'T'C I NFOFJ"I "."H ]' :::3 [::,[~:F'RF;i:'t"H[~NT [':,. 1:;~: I FIG
I N?['F[LL.FIT t ON t NS~F:'ED:3T Z ON:~; OF FII",!'~" I.,tEL.L:5; ()D<t'F~CE~:t'.,FT' TO 't"H I :~; F F ._ F [: F. l , FIND, 'I"H[~
al...l~t!,[.F. OF' b.~::..:.:.[L.-[:.l IL.E:..:: 'T'HST THE t.,.IEL. L. t.,.tlLL.
E~!:::!CKFIL. L..IN~3 OF FIN"? :::~;:r'?.;'T'E:t'! I.,.l.!. !F'IJU F'.!.Hbt.... ~!L:,F[: ..t !3N FIN[> FIF'F'F:OVFtL. D"~' THIS
[>Ii.:.':F'FtR'T'H[i~I'.,IT F!_,"~ [. Ii: E :51_I[[L.I[.:.)i:T 'T'C! .'F ..... i: ........ , .... ~" ~
H ! N I HLfH [} l S'TF:iI',I(.::[~: E!~E:Tt,.I[~:EN F:I I.,.iEi:L.L.. FIND FIN"/ ON-'S :[ 7'E: SE!:t4F'IGE: D I :E;F'O!!~:FIL. S"r'ti!i;TE::H t ."5
ur'oN "f'HE; 't""r'F'[': 0[':' f::J..![3Ll(:: I.,.![[...[ ....
HIN]'.HL.IH D!."STFIt'.,IC!:E FF::OI'! FI F:'F~'.IVF~ITE I.,.IE:L.L. 'TO FI F:'F:~:I:',,,'!::!T~.~: :i~;E~3.,.IE.:.':F~! L..INEE: I?, 25 F't:F~E!i:T F:tf",t['.:'
'T'O f':! COI'"!I'"II..,I.F,I'J.'T:r' SEI.,.IE!I:;~ L. INEi I:5 7'5
[,.t[!~L..L t...CI(:~[~; (:IRE ~;~:[ii:(~!t.~l:[[;~:E[_':, F:Ii",ID t"tl..!:~,'T E,'Ei: F:E;TUF~:NE.:.C, TO TFI!!~ DEF:'F:IF::'T'.HENT !,.!I'T'HIN :ii:~i{)
C!F' TFIE!: F.!E!....L., C:OMF'L.E:T I
O"FHEF'. F~tE:(i:!U].'I:;['.EHENTS I"llh'?' FiPF'L.."~'. :i.~;F:f!i':C':tFICFITIO!"~!S [:IN[:." CON~:TF'.UC:TZON I) '[ FiGF[:F:IH:i!!;
F:t',/FI I L.FtE.:,'LE: TO ! ?',tSLIRE: F'F:OF'Ei:F: Z N'.ZF!::ILL..F~T I ON.
I CEF:T ! f::'Y' Tl'"ll::lff'
:!..: i F!H F:'RH!L.!!::!fR HI'TH THE RE:E:!LItF:E:h!ENT::.:i; t:::'OR OI'.,t,-:5ITE: :E;Et.,.tEF:S FINE
FOF~:'T'H B'.r' THE: HUI'.,!!C:IF'i:!L!T? OF IhNC:HOF~:F:!GE.
;~:: I !,.fILL IF,!~[~;TFII....L. THE: S'.?:E;"['EH IH FaC:C:OF~:DFINCE: !.,.ti'T'H THE:
3:: ! LIN[::,Ei:F:ZT'FtF,I[> THF'iT 'T'FI!E ON.-..:5ITE: 2;[[NEI:;;'. Z.¢Z'Ft~EH HF:l~-' RE(j:!IJIF?E ENLFIF?.GEEP!E:NT
I:~:E~;?[!i:,Ii~:NCE/ IS RE:HO[>ELED TO If'.,IC:LL.It)I~[: PtOF:EE 'T'HFIN~3:
.. ................ ............
SOILS LOG
,~IUNICIPAL[TY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENW RONMENTAL PROTECTION
Pouch ~-GS0. Anchorage, Alaska 99502 276-222f'
SOILS LOG-- PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR:
LEGAL
1
2
3
4
§
6
7'
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED? L
Ei
IF YES, AT WHAT
DEPTH?
Reading 1 Date Gross Net Depth to Net
Time Time Water Drop
,, .~.'~,-~ :~1, 5~ ~, 5~ ,,
PERCOLATION RATE
TEST RUN BETWEEN
CERTIFI
(minutes/inch)
per hour.
Sub.
PLEASE PAY FROM THIS INVI
/]NVOlCE NO.
YOUR P. O, NUMBER
SALESMAN .
per foot AMOUNT
FORMAT20N
Parcel I.D. Cf
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
haa Cf
ICIPAJLII'¥ OF ANC-HU~'~:
NM~NTAL SERVICES DIVISION
FEB 0 5 996
_ ECEIVED
.1,
GENERAL INFORMATION
Complete legal description
Location (site address or directions) I J ~-O '~ ~/~,P-- "'PIN u¢/
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
Day phone
qqsib
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
NOTE:
Individual well
Community well
Public water
If community well systern~ provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (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/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
NameofFirm '~'~¢..~ --('~[uc-~-..~.v~..~J~-'¢- ~- Phone
Address ~ ~ I ~ ~ ~
Engineer's signature ~ ~"~, ~t~ Date ~/~/q~
/
DHHS SIGNATURE
~ Approved for ~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Date
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72~25 (Rev 1/91) Back MOA #21
Municipality of Anchorage MUNtCIPALJ'I¥ OF
DEPARTMENT OF HEALTH & HUMAN SERVIJ~kJ~.~JONMENTALSEP, VICES
Environmental Services Division
825"L" Street, Room 502 · Anchorage, Alaska g9501 · (907) 343-47,~j'~
RECEIVED
Healtln Autlnority Approval GlnecklJst
Legal Description:
A. WELL DATA
~P4,.3 140141E~T~I~ 14 li-L~ Parcel I.D.:
Well type /'~
Log present (Y/N) 7
Total depth ~.,J~ 7
IfA, B, or C, attach ADEC letter. ADEC water system number
Date completed ~/J ~ J ~q ]
Cased to ~2,~ ~ Casing height (above ground)
Sanitary'seal (Y/N)
FROM WELL LOG
Wires properly protected (Y/N)
AT INSPECTION
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform
Date of sample:
. g.p.m. ,~
Nitrate 0.o ~ ,~- Other bacteria
Collected by: ~ ~
B. SEPTIC/HOLDING TANK DATA
Date installed
Foundation cleanout (Y/N)
Date of Pumping
C. ABSORPTION FIELD DATA
Date installed ~'//~q/o'?'7
I
Length ~ Width
Effective absorption area J,:~ & O
Date of adequacy test t/g.O,/~&
Fluid depth in absorption field before test (in.); 7~
Fluid depth ~_;~ (ins.) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
Tank size ~tZ~9-E) Number of Compartments
' Depression (Y/N) iX/ High water alarm (Y/N) N
Pumper /~ d~'e ~ra~ ~t.-
Soil rating (g.p.d./ft2 or ft2Podrm) a~7~ System type T4.,~/I
Gravel thickness below pipe ~., ~ Total depth I I
Monitoring Tube present(Y/N) y' Depression over field fi/N)
Results (Pass/Fail) '~ For -~ bedrooms
Immediately after ZZO gal. water added (in.): ]O
Absorption rate = ~ 7,~/~) g.p.d.
If yes, give date
D. LII~ STATION
Date installed
Size in gallons
Manhole/Access (Y/N)
High water alarm level at*
"Pump on" level at*
*Datum
"Pump off" level at*
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTICfHOLDING TANK ON LOT TO:
Building foundation 40,,~~ Property line ,20.f_2 I Absorption field
Water main/service line > ?~0t Surface water/drainage /~/D Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation
Surface water
Curtain drain M
Water main/service line ~ moo !
Driveway, parking/vehicle storage area o~O
Wells on adjacent lots ~ ~.~ l~ Property line
ENGINEER'S CERTIFICATION
I certify that I have determined thrufield inspections and review of Municipal records thdt~he above syste~.~are
in conformance with MOA HAA guidelines in effect on this date '~: v ~ '~ .....,'
HAA Fee $ ~ ~ Waiver Fee $
Date of Payment ~~_~ Date of Payment
Receipt Number /~_~,z///(~. ~t,~) Receipt Number
Rev. 8/95 OSS: haa.wk.doc
IL...[~ RECEIVED
-~ ;' INSPECTION APPOINTMENTS
TIME ~ TIME TI
INSPECTOR INSP C INSPECTOR
MUNICIPALITY OF ANCHORAGE
~UNIOIPALITY OF ANOHOBAgE DEPT. OF
DEPARTMENT OF HEALTH & ENVIRONBE~TAL PROTEOT~JRONMENTAL i'i~O1-ECTION
ENVIRONMENTAL SANITATION DIVISION ~D ~ ~ JJ~l
Telephone 264-4720
DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be processed. Please allow ten (10} days for processing.
1. PROPERTYOWNER~ j PHONE
PROPERTY RESIDENT (If different from above PHONE
2. BUYER PHONE
3, LENDING INSTITUTION J PHONE
I
MAILING ADDR E~
4. REALTOR/AGENT I PHONE
I
MAILING ADDRESS
STREET LOCATION
6. TYPE OF RESIDENCE
~i~ SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] One ~ Four
[] Two [] Five
[] Three [] Six
[] Other
7. WATER SUPPLY
INDIVIDUAL°*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) ,~/~ -- ~O.~_)~,~
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[] PUBLIC UTI LITY ~'~ -- ~- ~'~'
Connection Verified ,, INSTALLER
[]Septic Tank or [] Holding Tank
Size:,/~,<~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
Line I Nearest Lot Line
I
Absorption Area to nearest Lot Line
5. COMMENTS
[~[~,~-'APP R 0 V E D FOR
BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED