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Home My WebLink AboutPARADISE VALLEY BLK 5 LT 5 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 NAME I PHONE J~UPGRADE Well Absorption area Dwelling PERMIT NO. DISTANCE TO: J ] Material Manufacturer No. of compartments [Liq, capacity in gallons IF HOMEMADE: Inside length W dth Liquid depth DISTANCE TO' I Well I Dwelling PERMIT NO. ' I I Manufacturer Material Liquid capacity in gallons DISTANCE TO: ' Well I! 0 [~1 Foundation~'~-- NearesJ_L~t J.Lne /~ . P~I,T~ .~ I Lengt~ of ea~li~e T~I I~th of~s Trench wid~. ~ Distance between lines Top of tile to finish grade ~ ~. I Materi~l beneath tile j ~__ - Total ~ffective absorptiot%arCa Length Width Depth ,: PERMIT NO, Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO, DISTANCE TO: Building foundation Sewer line Sept c tank AbsorPtion area(s) OTHER PIPE MATERIALS SOl L TEST RATING 6 6khte 5er /ce ~EM~KS 1517-E DATE LEGAL PERMIT NO. DEPFIRTMENT OF HEALTH FiND ENVIR. ONMENTRL PROTECTION 825 "L'" STREET., RNCHOR~GE., ~K. 99501 264-4728 RF'PL I CANT L D.]RTIGN LEGAL JOHN BRKER -,.'= R. R. SWITZERLFIN[:' DR. L 4,..:5 B--,=' PRRR[:'ISE ',/RLLE'¢ B ]::-,: 4, .:.-E, LOT SIZE ~' "-' TF, EN .... P'"' GF SOIL RE:SOF.:F'TION _,'r::,rEM IS: ;' " MRNIMUM I',ILHE, EF.. OF BEE,RGOblS = '42:EiE~EI SQURRE FEET =,l. IL RRTING THE REQUIRED SIZE OF TFIE-qF~IL.. , THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT iS THE DISTRNCE BETWEEN 'THE SURFACE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS TFIE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). PERMIT RPPLICRNT HRS 7'HE RESPONSIBILITV TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RN9 HELLS RDJRCENT TO THIS PROPERT'¢ BND THE NUMBER OF RESIDENCES THBT THE WELL HILL SERVE. MINIMUM DISTRNCE BETHEEN R HELL RND RN¥ ON-SITE SEHRGE DI_qPOSRL SVSTEM IS ~LEI¢_'"~ FEET FOR Ft PRIVRTE WELL OR &5¢9 TO 2E~.:] FEET FROM R PtJBLIC WELL DEPENDING UPON THE T'¢PE OF' PUBLIC HELL., MINIMUM DISTRNCE FROM ~ PRIVRTE WELL TO R PRIVRTE SEWER LINE IS ~5 FEET RND TO R COMMUNITY SEWER LINE IS 7.5 FEET. OTHER REQUIREMENTS MFI'~' RPPL'r'. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. I CERTIF'¢ THRT 2L: I BM FRMILIFtR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH B'¢ THE MUNICIPRLIT'r' OF ~NCHORFIGE. 2: I WILL INSTRLL THE S'¢STEM IN RCCORDRNCE HITH THE CODES. 2;: I UNDERSTRND THRT THE ON-SITE SEWER S'¢STEM MR'¢ REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 3: BEDROOMS. -,I bNE[.: ' ~ ~'L. I CRNT ..TGHN BR~::]~ ..................... .... SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: ~-~'T',~-, ~- "~IL'~'' ~ ~L~ ~ . SLOPE 4 5 6 7 12 ~3 14 17 20 1 / 1 ,E/vD SITE PLAN WAS GROUND WATER S ENCOUNTERED? P~/O L 0 P E IF YES; AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop (minutes/inch) PERCOLATION RATE TEST RUN BETWEEN FT AND · FT COMMENTS 72-008 (6/79) THIS IS A TRUE' COPY. ORIGINAL %S i~cLOSED WiTH CEPY # 1 327 Eagle St, Anchorage, Alaska 99501 279-25 l I Cas~ N0. 1293 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT. David Belanger MAILING ADDRESS 645 Pearl Dr. PHONE NO 344-5957 RESIDENCE ADDRESS Same LOCATION OF INSTALLATION ' Switzerland Drive LEGAL DESCRIPTION Lot 5, Blk 5 Paradise Valley Subdivision APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH VA PERCOLATION TEST RESULTS X ., SEEPAGE PIT_ X .... Single Family dwelling , DRAIN FIELD__ , OTHER. TO BE INSTALLED BY_ licensed excavator ~oJ~_test ~_ ANTICIPATED DATE OF COMPLETION. ~ h~ur notice -- BELOW TO BE FILLED OUT BY REALTIt DEPARTMENT THIS IS TO SERVE AS ., SEPTIC 'TANK SIZE __ Minimum DISTANCES: Well to septic t~nk ..... 50' Well to seepage.pit ..... 100' Foundation to septic tank~5' Mr Belanger's ,PERMIT TO INSTALL A sewage disposal system 3bedroom AS DESCRIBED ~ELOW. SIZE OF UNIT TO BE SERVED 1000 TYPE steel or SEEPAGE AREA soil test .TY?~e__etage pit___ conc.rete DIAGRAM OF SYSTE~ ~ Septic tank to seepage pit-15' Seepage pit to lo~ line--20' To meet Borough for backfill and cast iron. THIS IS A TRUE COPY. ORIGINAL IS INCLOSED WITH COPY # 1 OF 3 /s/ John RD Lee H~CA LT H AUTHORITY OR I certify that I aln familiar with ttx~ reqltircmcnts of (]rearer Anchorage Arca Borough Ordinance No. 28-68 und that i'he above n ....... ;~-,-,' "'*~'' is; ......... v ........ ~,,ilj. e.~;,t code. Not valid without, soil test. Feb 23, 1971 DATE APPLICANTS SIGNATURE P. O. ]3o~: 4-.I728 ~ 2811 Dawson A~CHORAGE, AI,~,oKA 99509 Well Owner ........................ j~i;:.i&. ~i~:~m ~ ...................................................................................... Use ~own~,nlp, tlange oect~on, if kno~vn; or distance lll8ll'l Lo(:ation (address of: ....... ' c Size of casillg ......... 2 ........ Depth of ][ole_ ...... f'_2 ............. feet Cased to_.z_: ............ lee~ r.-, _fi h~b,.fVe) (below) land surface. FJnM~ of welt (ct~eck one) ope~t end Sb~tic water level._i'..~ Screen ( ); Pcrlcx'atect ( Describe screen er perforation of drawdown from static level Data of cornpletmn ...................~.,.-~ ....... m_L~_..lJ. WELl. LOG Depth in feet from !:lround surface Give details of :formations penetrated, ~ize of matetdai, color and. hardness Tom Fink, Mayor unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 February 1, 1990 Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Lot 5 Block 5 Paradise Valley Subdivision WR Number #WR900006, PID# 020~412-12, HA900025 Dear Mr. Moore: Reference herein is to your letter dated January 16, 1990 requesting that a previously wai.ved separation .di~tande'between the on-site well and absorPti6n system'of 87 feet be re-issued for 81 feet. Attendant to this request was an application for a Health Authority Approval Certificate. The waiver request has been evaluated in accordance with the guidelines established by the Alaska Department of Environmental Conservation and meets the 16 point minimum point value required for the issuance of a waiver. The waiver approval letter is attached. According to our records, the original septic system was installed on February 23, 1971 and the absorption system was subsequently upgraded on February 16, 1981. The existing steel septic tank has been in place for approximately 19 years and should therefore be inspected to confirm integrity and the existence of water-tight couplings. The Health Authority Approval is being withheld until we have received the satisfactory results of your septic tank inspection. If there are further questions, please call our office at 343-4744. Civil Engineer II On-site Services RWR/ljm:211 cc: John SMith, P.E., Program Manager On-site Services "Kids Are Our Future" Torn Fink, Mayor unicipality, of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 February 2, 1990 Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 5 Block 5 Paradise Valley S/D Waiver Request ~WR900006, PID ~020-412-12, HAA~HA900025 Dear Mr. Moore: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 81 feet (well to absorption field). This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Robert W. Robinson Civil Engineer On-site Services Concur: , p E~~ hn~Smith o Program Manager On-site Services ljm:~6 CIVIL& ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS Tm~o.oa~ F. MOOa~, ~'.~. January 16, 1990 ~ns30 ~cuo sT. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 M.O.A. Dep't. of Health and Human Services P.O. Box 196650 Anchorage, AK 99519 Dear Sirs: By' means of this letter I am requesting a modification of the well-septic system separation distance waiver issued on 8/28/85 for Lot 5, Block 5, Paradise valley S/D, to reflect the fact that the actual distance between the well and the closest portion of the soil absorption trench is approximately 81 feet, instead of the 87 feet refered to in the waiver. A site plan and cc)pies of other relevant backup material is enclosed to assist you in your review. According to the driller's log, the well serving this residence was completed on 6/30/71, and has a yield of 3 gpm and a total depth of 152 feet, of which all but 37 feet is an open hole in bedrock. At the start of my well flow test on 12/14/89 the static water level was at 78 feet below the top of the casing. To determine the yield, I ran the pump to draw the water down to the pump intake at 136 feet, and then reduced the pumping rate to a sustainable How. Pumping 340 gallons at 4.6 gpm caused the water level in the well to remain at 134 feet below the top of the casing. This rate reflects the long term sustainable yield of the well, which is more than adequate for a single family residence. Water samples taken that day were satisfactory, showing 0 coliform or other bacteria per 100 mi., and 2.9 mg/l of nitrate-N. According to a permit on file at DHHS, the original wastewater disposal system was installed after 2/23/71, and presumably consisted of a 1000 gallon septic tank followed by a seepage pit of unknown dimensions. The 90 foot separation distance which I measured between the well and the septic tank cleanout was legal at the time of installation, so no further waiver should be required. According to the engineer's as-built drawing, on 6/16/81 the system was upgraded by the addition of 47 lineal feet of soil absorption trench containing 5 feet of sewer gravel beneath the distribution pipe. This document states that the separation distance between the well and the soil absorption trench is 110 feet. During an adequacy test on 7/15/85, AECS calculated the separation distance to be 87 feet, and subsequently secured a waiver from your office reflecting that distance. During my adequacy test on 12/14/89, I measured the slope distance directly between the well and the monitor tube at the end of the trench to be 85 feet. When corrected for the measured slope of 25%, the horizontal distance becomes 82 feet. This revised waiver request or 81 feet includes an allowance for a presumed small underground extension of the soil absorption trench beyond the monitor tube. In order to assess the adequacy of the system, I had a pump truck deliver 2000 gallons of water to fill both the seepage pit and the soil absorption trench. Over the ensuing three hours I then added another 539 gallons of water through the seepage pit while monitoring fluid levels there and in the trench monitor tube, Based on these measurements, I concluded that the soil absorption system continues to accept water at an adequate rate for a three bedroom residence. I believe that. the validity of the waiver analysis done by AECS in 1985 is not. significantly affected by the reduced separation distance which I have noted. I am enclosing a copy of a letter from Dr. Reid explaining how the he believes the measurement error may have occured, and giving his opinion that thei AECS analysis is still applicable. It is my opinion that the steep slope promoting drainage directly away from the well, coupled with the fact that the potable aquifer is confined by 100 feet of impermeable bedrock makes the possibility of contamination of this well by this septic system extremely remote. The following is a breakdown of how points could be assigned using the D.E.C.'s S.C.R.O. waiver evaluation guidelines. Category Distance to water table (78' - 30' = 48') Soil Sorption ((27'x2.5 +21'x6)/48) Permeability ((27'xl.5 + 2]'x3)/48) Water Table Gradient (assume +25%) Horizontal Se~)aration (81 feet) Total Points Points 5.2 4.0 2.2 6.3 2.2 19.9 Based on the above information, it is my opinion that the modified waiver can be approved without concern as to public health. Please feel free to give me a call if you have any questions on this analysis. CC: AHFC c/o Realty Center Lee Reid, AECS Sincerely, Ted Moore, P.E. i)gt Hor. x~ E 1~o 7"8 Lc, T 7 Techii~ci~l Services 14530 Echo Street [nchoraqe, Alaska 9951a ?A-I~ ,4 12>1 .C ~ ELTO' G LO ct~ 5- P/~A N £ lO O to ~L t~ r: RIO't"e~: t~xci. F, pl" FoR &6',c2~,, VALLEY SUBDIVISION LOT 5 BLOCK 5 WE~L /I I _5 ,00 ~vrSIo/',/ t- 1'z-9o ........ z~ i ~)~; ~ Vcm"Y AS BUILT BY; ~£FF A, gASTALDI TEL. ~44- I HERESY CERTIFY THAT I RAVE SURVEYED THE FOLLOWING DESCRIBED I~ROPERTY: Lot 5 Block 5 Paradise Valley SubdivisiOn AND THAT NO ENCROACHMENTS EXIST EXCEPT ~,'?~' OF AS INDICATED. IT IS THE RESPONSIBILITY OF ~. THE OWNER TO DETERMINE THE EXISTENC~ OF ~0., ~.. ~.~.;.~, ~ow.~.~, o....,~,o.;~.[~ 49~.. ~ ~.~..~ WHICH DO NOT APPEAR ON THE RECORDED SUB- DIVISION PLAT. UNDER NOCIRCUM'TANOE~ SHOULD ANY DATA HEREON BE USED FOR CON'~ ALASKA EFIUIROFImEFITAL COFIT OL SERUICES, IFIC. (~nqin~mn§ $ ~nuir~nm¢.t0J Slu~ics P . 0, Bex 240668 Anchorage, AK 99524 -0668 (907) 279---5553 *** FAX (907) 276-.8706 December 28, 1.989 Flattop Technical Services 14530 Echo StreeL Anchorage, AK 995]6 ATTN: Ted Moore , P.E. RE: Lots 4 a 5, Block 5, Paradise Valley Snbdivisi. on Waiver of ]985 Dear Ted: I have reviewed Gwen Turner's Field net. es, si. art:iug July 1985 and ending July 31, 1985. tt appears that the location of the well was taken from swing ties off the building. Also, she had locations of the crib and relationships to various points on the house. She had also made up a drawing where she had plotted the relat:iue locations of everything in regards to Che house and ]o[: line. I cannot find any evidence that she measured directly between the well and 2he end of the trench. S:ince thJ~-; was done mid- to late July 1985, vegetation would have grown up where she wouldn't have a clear view of the tube. S() I don't believe that she measured downslope. Her drawiag does show a 13 degree slope. Also, she had ca]cala[ed an elevation profile on the difference between A and B, which she shows as 23 feet, In looking at how she located Lhe h.use on the map, ~t appears house, and also to s [ t.e Lhe c:r'ib and sept i c 'tank. The end or th(; t. pench is appapent]y sit. ed as a combinat ton of the swing ties she had off ~he house plus the distance ~he inspector shows I:he edge of lhe fence to be from ~he ]ol ]tue. ~hell she had doae the sit_lng of it this ~ay, thai ~ould have tended to draw the well ~arther a~ay ~r'om the tpench. Also. if you I)]Of SJZ~IlIo~'e's location of the well , the distance to Il]to plotted ]o(:at~ons of Gwen's swing ties shows would be a distance of ~4 feel to t-he standpipe. Backing off 14 inches from the center of the field, that ~ould place the distance aL appr'oximateiy 83 feeL, instead of 87 feet. I have plotted the ]()cation of the ~ell based on Sizemope's survey of 29 feet from the northwest eoprlep, and then 12 feet off the skaips. This is noted on the map. Gwen's location was 38 feet. and 22 feet off the hou~¢e. It is possible that_ she made a mistake and that it was only 12 feet instead of 22 feet. I don't believe the change :in location would make any difference in the argument that slle put for'war'd fop the waiver. I believe that: she shou]d have requested a waiver to a distance of approximate]y 83 feet. Even her' waiver at 87 feet should have taken into consideration the edge of the system which would have been approximately a foot and a half less than t. he 87 feet. In looking ak the arguments that she had made, I think that whether it: is 87 or 84 feet, the 3 relative elevations that she shows from the top of the well to the bottom of the trench does not change. The depth of the test hole wouldn't change. So I believe that. the vertical locations that she has made in her argument of July 31, 1985, are still correct. The only contention thak you have made is that you measured approxilaately 84 feet as opposed to her 87 feet. I think 'the difference occurs in the way the information was used to plot the data. She used a combination of what Sizemore had done plus what She had done. And it may be that she did make an error and that the well is not located 22 feet from the house, but only 12 , feet. In my professional opinion, I don't believe there is any large percentage of danger to public health based on this measurement discrepancy. The value that you had obtained for nitrate concentration would also indicate that apparently Gwen's data and contentions were correct. In any instance, I don't believe there is any increased danger to public health. If you have any questions, please let me know. LCR/sr Sincerely yours PhD, PE, DEE President .;~ MUNICIPALITY OF ANCHORAGE ~ % ~'~w-I~-~ ~ Department of Health & Human Services /~. , ...7%~l~c,¢¢ 1~:,~-~,1 DIVISION OF ENVIRONMENTAL SERVICES ~ .,,. '~ ~ 343-4744 ~" ~ ~ ~.~3~ER~CATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ~¢~.,¢ ~ SEWER AND WATER FACILITY FOR SINGLE ~AMILY DWELLING Parcel I.D~~ g) '~'~ - ~[ ~ - / HAA ~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Location (address or directions) (b) Property owner ANFC Mailing Address ct/o '~EI~L.T¥ (c) Lending Institution Telephone: (home) Telephone Business ~qq' 0~01 Mailing Address (d) Real Estate Company and Agent ~Et~/. 7'[ C T~.~ ~/~UZ ~4,/ IL 5 o r,/ Address ~O0 Telephone (e) Mail the HAA to the following address: (or check here ~], if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family'c' Number of bedrooms ~ 3. WATER SUPPLY Individual Well'~ 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'l~ 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. 72-025 (Rev. 7/88) Page I of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATIOi4 As certified by my seal affixed hereto and as of the validation date shown betow, 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 wastewater disposat system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm FL,~ TTO P T~-CH. '~ l/(~ S Telephone ,.~ ~5- /35'~' Address 14530 E C~-Io &'l- , r~dCl-J. ,~/( 9q~ /[o Date Dec ~o/ /~c~ 6. DHHS APPROVAL~.~ ~--~*~~, ~ ...~...~ Approved for bedrooms b Approved /-'""'"'"'~D i s a p p r o v e d Conditional Terms of Conditional Approval ~ Date The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated 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. TheMunicipalityofAnchorageis not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY Of ANCHORAGE (MOA) Health Authority Approval (HAA) ,984 343-4744 ' Legal DescriptiOn: Well Classification ~ I//,~ T~ Well Log Present (Y/N) ¥ Date Completed ~/'/! Total Depth J,-c2 ' Cased to ~'7 ~ Depth of Grouting If A. B, C, D.E.C. Approved (Y/N) Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) "/ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot C~0' ']'O To Nearest Edge of Absorption Field on Lot Pump Set At I.~ c/ Sanitary Seal on Casing (Y/N) "/ Depression Around Wellhead (Y/N) C.O. ; On Adjoining Lots '7100' 'To ~',D. ; On Adjoining Lots '~/oo To Nearest Public Sewer Line kl./~. To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~' 2,5 ' Water Sample Collected by ~/,4T'TOl° TE'C~- ~;Y¢_5' ;Date Water Sample Test Results ~¢z34'~'-,'~cJ~°r'/v - O Co'l~o~'o''~ /'/or_./~.~, Comments ,.~'¢_~ ~,,¢'~/~o,q ~'/-¢r/~¢¢ 4/./C~ ¢ ~,,¢r /.(.{'~k~' B. SEPTIC/HOLDING TANK DATA Date Installed ICJ-// Size Standpipes (Y/N) ~ Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Ccntact on File (Y/N) N ./~. Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: No. of Compartments UNK, "// Foundation Cleanout (Y/N) Date Last Pumpe~ ~8//¥ ; for N ,~, Temporary Holding Tank Permit (Y/N) h'~-, To Building Foundation '~/ To Disposal Field 2 ~ ' ~ e"'r ~/ ££,v ~. . ~ , ~ Tc Water-Supply Well c~t)' P~0~ (~.O. To Pro perty Line 3 o' To Water Main/Service Line ~'.2 ~' ' To Stream, Pond, Lake or Major Drainage Course ~./oo Comments~ j~ud~ ~11 ~CC~i~ ..~'/,~c,¢: ~9~¢) cz. Of¢~,,~-<c,,y /'~/' 72-026 (Rev. 7/88) Front Page I of 2 ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed TO'r.~t Width of Field .2~" Square Feet of Absortion Area ~70 Depression over Field (Y/N) Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~2 ' To Building Foundation ~" Lot tq,A. (O~i~A'~. ~,'(ST C~i'Id~TE~; On Adjoining Lots '~O~ To Water Main/Service Line ';~.2 $ ~ To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area 8°, Comments Type of System Design Length of Field Depth of Field Gravel Bed Thickness Statndpipes Present (Y/N) Date of Last Adequacy Test PIT .~_ To Property Line I~¢ ~'~or,1 C.O, To Existing or Abandoned System on 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. Receipt No. _._~_. ~. ~ ~ ~/ Date of Payment Amount: $ 72-026 (Rev. 7/88) Back Waiver Fee: $ Date of Payment Page 2 of 2 Engineer's Seal Tom Fink, Mayor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 February 2, 1990 Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 5 Block 5 Paradise Valley S/D Waiver Request #WR900006, PID #020-412-12, HAA#HA900025 Dear Mr. Moore: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 81 feet (well to absorption field). This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, f~ Robert W. Robinson Civil Engineer On-site Services ~hn Smith, P.E. Program Manager On-site Services ljm:#6 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORT BY SAMPLE for Work Ox~ez $ 3061]. Date Report ?r~n%ed: DEC ? 90 @ 16:36 Client gample ID:L5 B5 PARADISE VALLEY; PRES TI HOSE BIB PWSID :UA Collected DEC 5 90 ~ 10:40 h~s. Received DEC $ 90 @ 15:00 hrs. Preserved with :AS REQUIRED Analysis Completed :DEC ? 90 Client Name : FLATTOP TECHNICAL SRV Chent Acct: FLATTOT P.O.~ NONE RECEIVED leq ~ O~de~ed By : TED ~OORE Send ~epos~ ~o: 1)FLATTOP TECHNICAL SRV Che]~ab Rei$: 90510~ Lab Smpl ID: 1 Matrzx: WATER Allowable Fazame~er Tested Result [h~zs ~ethod Lindts NITRATE-N 2.2 mu/1 EPA 353.2 10 Sample ROUTINE SAMPLE. Remarks: SAMPLE COLLECTED BY CHRIS, Testa Performed ' See Special irmtzuct~ons Above UA~Unavailable None Detected '" Seo Sample Re~rks Above Not Analyzed LT-Less Than. GT-Greatex Than MUNICIPALITY OF ANCHORAGE Department of Health & HUman Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING I. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property owner ~ H ~'(" Telephone: (home) Business ~'¥Y-o.5"~/ Mailing Address c~, (c) Lending Institution /~u'~-. Telephone Mailing Address . (d) (e) Real Estate Company and Agent Address ~ ¥00 /]c~r /"z-e(~ ~d, Telephone 05-0/ Mail the HAA to the following address: (or check here I~, if hold for pick up.) List contact person and day phone number below: "f-et-,{' ?"f o o ,-'e 3=' tr',_g-' TYPE OF RESIDENCE Single-Family ~ Number of bedrooms __ WATER SUPPLY Individual Well [] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. SEWAGE DISPOSAL On-site [] 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. 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, I verify that my investigation of th is Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional end 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 j~hx~-~o~ 7-~ck/~r,~/ £o, cj' Telephone Address Date 8. DHHS APPROVAL .~ Approved for ~' ii_bedrooms by Approved Disapproved Terms of Conditional Approval Conditional Engineer's Seal Date ~./~?/c? C' The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 Mun ici pality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 M.UNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: ~.o/ A. WELL DATA ~/,;, Well Classification Well Log Present (Y/N) Total Depth 15' 2 ' Cased to Stat c Water Level 7~ ' Casing Height Above Ground ~' ~' Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ~O ' 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 Comments ~ ,~',$ Date Completed d' ! 7/ 3 7" Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) N, ~.. Yield ¥,%~,P~" ~,~.r ~z/z~'/,5, p Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) N ~ ¢.o. :; On Adjoining Lots 8Z' ~-~ c,o, ;OnAdjoiningLots To Nearest Public Sewer Cleanout/Manhole ~--- ~//~F ~ec~ ~c~ ; Date B. SEPTIC/HOLDING TANK DATA Date Installed [~ "/! Size [(,,0~,~[ No. of Compartments Standpipes (Y/N) ~' Air-tight Caps (Y/N) Depression over Tank (Y/N) /V PumPing/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) Foundation Cleanout (Y/N) N Date Last Pumped I ~*//Y/~¢) N, A. ; for N,,a,*. Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: Al,/1-. To Building Foundation To Disposal Field ¢ .O, '£ ~o Water-Supply Well ~ 0 ' ~C~.o~,, c , o, To Property Line $0 To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course ;:> ~oO ' Comments ~ee COm~ne~r 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field /8 / Length of Field ¥ '7 ' Depth of Field Gravel Bed Thickness Statndpipes Present (Y/N) Date of Last Adequacy Test Type of System Design Square Feet of Absortion Area '-/70 Depression over Field (Y/N) /V Results of Last Adequacy Test /~-(_J'¢¢~/e ,¢~ r SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~E' ~-om ¢. o. To Building Foundation ~Y,f' ' Lot ^hA. or7 £ys/ $~1/ co,~,~ec~; On Adjoining Lots ~ .70 ' To Water Main/Service Line ;~ ~5-~ To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course ~ To Driveway, Parking Area, or Vehicle Storage Area ~'~ ' Comments IV¢~fi ~ or 2' ~..~[/ {(o' f$'o,"~ .¢¢ e/¢ o.~.~ ./~ ! c,o. ?,f ~o. Tre~¢6 oa'- bad/- t zt'/¥/,6'9 To Property Line lB' ~Cro,,,~ c,~. To Existing or Abandoned System on 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 g_q~L~_'~[q, effect on the date of this inspection. ~,~'~',, OF Signed ,~~ ~. ~ ~'~. ~%~ .. <+5. Company Ff~IL/-¢'t~ ~7-~cAn'~cce/' _~rv~/~_~ w~. ,~C~TH~-~:~,.- Date ~--'~n ~ /~C? ~' .......................... ~ Engineer's Seal MOA NO. ~¢ - 0~~_~ -- -- I. ,.~3;'tHEODORE ~'A"~. °'. CE ~,."~/,.., ....... · ~.~,~ ReceiptNo. ¢ ? '~ 2 ReceiptNo. Date of Payment t ( _ /7 - ~' ¢ Waiver Fee: $ Amount: $ ~ J-//(~),/'~ % Date of Payment 72-026 (Rev, 7/88) Back ..~_~,~-~~ Page 2 of 2. CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. FEDERAL TAX ID # 92-0040440 ANALYSIS ~EPOBT BY 8A~PLF~ for We~k O~der ~ 18861 Date ~epozt P~lnteS: DEC 18 89 ~ 10:59 Celiectad DEC I4 89 ~ ].2:55 hzs Beeeive~ DEC 14 89 ~ 16:30 Pre,erred w~h :AS ~QUI~ED A~mtysls Completed :DEC 15 89 ~aboratory Superwsox ,:STEPHEN C EDE / Client Name : FLATTOP TECHNICAL SNV C!ie~ Acot: FLATTOT P.O.# NONE RECEIVED ~eq t Orde~e8 Ey : TF~ Send ~eports to: 1)FLATTOP TECHNICAL SRV Special HOLD UPON COMPLETION EOB PICK UP, hmt~uc~: Chef, ab Ref $: 8910 5ab Smpi ID: I Matzix: WATE~ Allowable Pazame~e~ Te~ted ~e~ul~ Units ~athod Limits NITRhTE-N 2.9 ~g/1 EPA 353.2 10 Remarks: ROOTINE SA~PBE. SAMPLE COLlECteD BY ~FM. Te~ts Pe~fozmed ' See Special Instruction~ Above UA-Unavailable )lone Detected '~ See Sample ~e~ks Above Hot Analyzed L~=~s~ Than. GT~Gzeato~ Than Application Date GENERAL INFORMATION (a) Legal Descriptio~n (include lot, block, subdivisj~n, section, township, range) MUNICIPALITY OF ANCHORAGE PROTEC-7~'1~ON DEPARTMENT OF HEALTH AND ENVIRONMENTAL DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 ' Location (adCre,ss or directi.qns) ' ' ~ ' ' ' App cani Na~ne%2/~,,,/~ C · Telephone:Home Appl~t Add~ess. ~" ~', ~ ~ ~ ~//~(~~ ~ 2 ' (c) Applicant Is (check, one):,Len~g J~?itution ~; Owner/builder ~; ~uyer LenOin; ,n~tiiut;e';'' ~~ ~m&~ - Telephone - (e) Real Estate Company and Agent Address Telephone (f) M~'I the FtAA to the following addrel~s: TYPE OF RESIDENCE' Single-Family'S' Multi-Famil~l-I Other Number of Bedrooms ' WATER SUPPLY IndividuaJ Well~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite,,~" 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 1 of 2 72-025 ¢1184) 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, 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 wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this insp,~tjon. --..--- - Name of Firm ~J~~~~~ __~-lephone ~da~e DHEP APPROVAL APproved for ¥~"'~'*~1'2 bedrooms by Approved /'"'"" Disa~ved Con. al Terms of Conditional Approval Date CAUTION The Uuncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations ~ wen 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 ins pections or analyze data before a certificate is issued. The Munici pality of Anchorage is not responsible for errors or om~ssions in the professional engineer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 A', WELL DATA Well Classification --~/~ If A, B, C, D.E.C. ~,pproved (Y/N) Well L°g Present .(~ )' ~..-' Date2°~P~d ..~hh/o~f~r?u~t i n~/ ~//~eld- Total Depth Z~ CaseO~' .~ ~ Dept G ' g ._ / . ~tatic Water Lev~ ~ - Pump Set At ~Casing Height Above Ground ~r ~ ~ Sanitary Seal on Casi~N) ' Electrical Wiring in Condui,~) Depress,on Around Wellhead (Y~ Separation Distances from Well: ".~ ~ ...... ~~ On Ad oining Lots · o ~ep[ic/Holding ~anK on Lot . . ~ ~ ~~. ; ~ To Nearest Edge of Absorption Field~~~; On Adjoining Lots ~/~ To Nearest Public Sewer Line ~/f~ ~ To Nearest Public Sewer Cleanout/Manho ~ ~/ . ~o Nearest Sewer Service Line on Lot Water Sample Collected by ' ~ ~ ' _ Date (' WaterSample~stResuits. ~~ ~ _ B. SEPTiC/HOLDING TANK DATA Datelnstalled ~ ~ Size /~ No. of Compa~ments Standpipes ~) ~ Air-tight Caps ~) ' Foundation Clea~u; (Y~ Depression over Tank (Y/~ Date Last Pumped To Building Foundation , To Water-Supply Well TO Proped~ Line '. ~ ~ To Disposal Field To Water Main/Se~i~e~L~e~.~ ~/ ~ - To Stream, Pond, Lake, or Major Drainage , . - Page 1 of 2 72-026,11/841 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata/ /,~ Date Installed Width of Field ~_-. "~' / Square Feet of Absorption..~a Depression over Field (Y(/.~ Results of Last Adequacy Test Type of System Design ~~--'~ Length of Field ~,~ Depth of Field ~.~avel Bed Thickness Standpipes Present Date of.~ast A. dequacy Test Separation Distance from Absorpt~ TO Water-Supply Well ~_---~ ~...~.. To Property Line To B~ ~ i n g ~,~u!,~.~i °~, ~¢~ To Existing or Aban~ed System on ; On Adjoining Lots / TO Water Main/Service Line ~ To C.,~t, bapk (if present) To Stream/Pond/Lake/or Major Drainage Course ~'-"/~:~ ~ TO Driveway, P~ing. Area, or Vehicle Storage Area ¢...~' "'-4z.~ D. LIFT STATION ~ / Date Installe~ Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (~f'~ Ve~'~,-C~N ) ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOAan~ HAA~uid..elines in effect on the date of this inspection. Signed .... Date/Z~j! _~/~,~'.,~~/~='~ , Company ~d~ ~.~. MOA No~~~O~ ~ Receipt NO. ~? ~/~ ~ Date of Payment ~ ' 11-~ Amount: $ ~ ~ Page 2 of 2 72-026 (11/84) · 'n .-I ALASKA IltJlBO[/m [1TAL COI1TROL I[1C. ~nqineednq $ (~nuironmenta[ Studies COLONIAL MORTGAGE 701 E TUDOR SUITE 107 ANCHORAGE ALASKA 99503 SELLER-KIM HEMPHILL AUGUST 2 1985 COLONIAL MORTGAGE 701 E TUDOR SUITE 107 ANCHORAGE ALASKA 99503 50407 LEGAL:PARADISE VALLEY BLOCK 5 LOT 5 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-JULY 17 1985 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 470 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 605 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 9/8/84 . FLOW TEST ON WELL WELL FLOW DATE-JULY 17 1985 A FLOW TEST WAS PERFORMED ON THE WELL. 605 GALLONS OF WATER WAS PUMPED AT A RATE OF 3.3 GPM OVER A DURATION OF 3 HOURS. THE DRAWDOWN WAS 54 ' WITH A RECOVERY TIME OF 40 MINUTES AND THE STATIC WATER LEVEL WAS 84 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. 1200 LUest 33rd Auenue, Suite B, Anchornqe, Alusku 99503 ,(907) 56i-5040 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 ~/1~/' GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name /"/./, /~LO.O~L Telephone: Home Business Applicant Address ~?~/ /(r?,(/~..(:¢~...,:.jL /.~4~:.4 ~/A./¢-p--~--i/~ /L~j~ (c) Applicant is (check one): Lending Institution [] ~/builder/~.,JBuyer []; Other [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Familyl~ Multi-Family [] Number of Bedrooms j.) Other 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 the legality and status. SEWAGE DISPOSAL Onsite'~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Departn~ent of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) 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, 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 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 /~:~ (~'~ ~Z¢~--c~ __ Telephone ~ 9 Add~ess Engineer's Seal DHEP APPROVAL L~' Di~edb, Conditional Approved Terms of Conditional Approval 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 MUNICIPALITY OF ANCHOt~% DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION AU6 1 9 gE_ EI_V_ED WELL DATA MuNIcIPALITY OF ANCHORAGE (MOA)~. HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: ¢ Well Classification ~5~'4/,4,~ If A. B, C, D.E.C. Approved (Y/N) Well Log Present~N) Date Completed ~/J-~,'~./ Yield Total Depth / ~J2--/ Cased to ' ~ ~,'(Z) Depth of Grouting ~//~,~ Static Water Level .~"~// Pump Set At /- jCcCasing Height Above Ground "Z ~ / g/~ · Sanitary Seal on Casin ) ¢Electrical Wiring in Conduit) Depression Around Wellhead (Y~.. Separation Distances from Well: To Septic/Holding Tank on Lot ~,..~ / ~ (~ On Adjoining Lots ¢-/~'¢ To Nearest Edge of Absorption Field on Lot ~'~ //~; On Adjoining Lots ~,~/z~ "'f~'"- TO Nearest Public Sewer Line To Nearest Public -To Nearest sewer Servi~e/'///'~' wer Lot Cleanout/Manhole ~ Line on Water Sample Collected by ~t~._//~.-'~ ; Date "2~-//~ ~/'~"-~-- Water Sample Test Results ~-~'/~' T/'~-~ B. SEPTIC/HOLDING TANK DATA Date Installed J¢/'~( Size /,~-~)~;) No. of Compartments Standpip;gs~N) Air-tight Caps~N) Foundation Cleanout Depress,on over Tank ()¢/~ Date Last Pumped ~ ~"'/~ Pump,ng/Maintenance Contract on File (Y/N) ,/Z~,¢~ ; for Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~"~ / To Property Line ~'P-~ / To Water Main/Service Line Course '1~-I J Comments ~J~- ~'-~ Temporary Holding Tank Permit (Y/N) To Building Fouadation _;:~t To Disposal Field , To Stream, Pond, Lake, or Maj6r Drainage Page 1 of 2 72-026,.11/84'. C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /, ~ "' Type of System Design Date Installed ~'//~/~/' Length of Field z7/~7" Width of Field ,~...-~ / Depth of Field ¢/ Gravel Bed Thickness ~ --'~'/ Square Feet of Absorption Area :~L-~ ~ ~) Standpipes Present. N) Depression over Field (Y(~ Date of Last Adequacy Test Results of Last Adequacy Test /~-O/ ~ ~ Separation Distance from Absorption E.~d:~ 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 Comments ~) ~'/~ ~,~- D/O/ ~ ~ ~~ MIT 8T~TIO~ To Property Line To Existing or Abandoned System on ; On Adjoining Lots '~ ~-~(~ To Cutbank (if present) .~/00/~-- Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Dimensions Manhole/Access (Y/N) / / __ ~"uPump Off" Level .a~t. I ~ I .~" Pumping Cycles during Adequacy Test. Meets MOA Electrical Godes (Y/N) ,~- ~"'"~ Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that [,h~ve checked, verified, or conformed to all M(Z)A and HAA guidelines in effect on the date of this inspection. Signed (~L-,~'4'L¢'4~ Date _~/.] ¢/~'-- Company11~ ~C~ ~ ..... MOANo ~r *~0~¢ Receipt NO~ ~ ~q~ Date of Payment ~' ~' ~ Amount: $ ~-~ Page 2 of 2 72-026 (11/84) ALASKA EIIUIROIIlllEI1TAL COIITROL SEBuICES, IRC. ~nqincemq ~ ~nuivonmcnlol $1udics Department of Health & Human Services 825 L. Street Anchorage, Alaska 99501 Attn: Susan Oswalt ly 31, 1985 RE: Lots 4 & 5, Block 5 Paradise Valley Waiver Request for Single Family Residence Dear Ms. Oswalt: We are requesting a waiver of well to absorption area from 100 to 87 feet. On July 17,1985 it was determined that the well to absorption trench distance was 87 feet. The house was built in 1971, the same year the well and original septic system were installed. The septic tank is located 93 feet from the well and the original absorption area (a crib) was at 115 feet from the well. See attached diagram. On June 16, 1981 a 47 foot trench was added to the system. The inspection form shows this upgrade to be 100 feet from the well, but field measurements locate the end trench standpipe as being 87 feet from the well. Some 22 feet of the absorption trench is within the 100 foot well radius. Ail adjacent septic systems are over 100 feet from the well, the only encroachment is from the subject septic system. Our justification for this request is: The well is 152 feet deep. It is cased to 37 feet and has bedrock from 36 feet to 152 feet (well log attached). The well casing extends 1 foot above ground and is sealed. There is a 14-15% slope from the well to the septic system, which would protect the well from surface contamination. The bottom of the trench is approximately 31 feet below the top of well. The test hole was dug to a depth of 12 feet, and recorded no bedrock (soils log attached). The bottom of the test hole is approximately 35 feet below the top of the well. Bedrock was encountered in the well at 36 feet. The hill continues south at about a 10% slope from the septic system to a road about 200 feet away. Well logs from Lot 6 (East) and Lot 7 (Southeast) record bedrock at 20 feet and 16 feet respectively. The well on Lot 6 is some 30 feet further up slope from the subject well. The Lot 7 well is at least 150 feet down slope from the subject well, approximately 45+ feet lower. This suggests that bedrock (in this area) slopes from North to South. In which case, contamination from the septic system would be directed away from the well. There was no groundwater reported on the soils log. The well log reports water at 139 feet. The soils log for Lot 6 was dug to 14 feet with no groundwater encountered; this was performed on the same contour as the subject system. Well logs from Lots 6 and Lot 7, to the east and 1200 LUcst 33rd Aucnu¢. $ui1¢ [~,. Anchoro§¢, Absko 99503'[907) 561-5040 southeast of this property, show water at 45 feet and 105 feet respectively. The soils below the absorption trench are a sandy gravel which is one of the best soils for filtration. The combination of bedrock slope, surface slope and lack of groundwater provides protection for the well. A water sample taken on July 17, 1985 was satisfactory. We are therefore requesting a waiver of the 100 foot well to trench distance to 87 feet. If you have any questions or upon completion of the review please contact this office at 561-5040. Sincerely, Approved by: ~. ~ rhD, rE ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue. Suite B ANCHORAGE. ALASKA 99503 (90?) S61-5040 CHECKED BY DATE MUnicipahtYof Anchorage P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES August 28, 1985 Ms. Gwen Turner Alaska Environmental Control Services, Inc. 1200 West 33 Avenue, Suite B Anchorage, Alaska 99503 Subject: Lots 4 and 5 Block Paradise Valley Subdivision This Department hereby waives to 87 feet the separation distance between the existing absorption area on the subject lots to the existing well on the subject lots. This waiver is valid for a three bedroom single family dwelling only. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw --,, r DAT~ RECEIVED DATE INSPECTOR I S CT~I~, ~~' ' INSPECTOR MU.,C,PA',TY OF ANC.O.AGE 825 L Street- Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION ENVI,ONMENTALSANITATION DIVISION MAR Telephone 264-4720 .EOUEST FO. APP.OVAL OF INDIVIDUAL WATE. AN~ DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be processed. Please allow ten (10) davs for processing. 1. PROPERTY OWNEH MAILING ADD,LSD P~OP~TY ~SID~T (II d]fferen~ from above} ' PHON~ 2. BUYER PHONE MAILI~GADD~ESS 3. LENDING INSTITUTION ' / ~ / I PHONE MAILING ADDRESS ~ 4. REALTOR/AGENT ~ ~ ~ I PHONE MAI LING ADDRE88 ~ 5. LEGAL DESCRIPTION STREET L O-C-A-T I 0 N ,,J 6. TYPE OF RESIDENCE 8INGLE FAMILY [] MULTIPLE FAMILY NUMBER OF,.BEDROOMS [] One [] Four [] Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled r-- COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8, SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** ~_ YEAR ON-SITE SYSTEM WAS INSTALLED, [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, .;' ;. ,,. . ;.. ,,..- THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE I--] 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 UTILITY Connection Verified INSTALLER []Septic Tank or I--I Holding Tank Size: If Tank is homemade 'SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS ~cA~PNR~iEoDN FAOL ~pp R 0~VV A L ~(leBt~eDr RmOu sOt M~m pany certificate) 72-010 (Rev. 6/79) 2820 Suite #3 99503 April 7, 1981 Mr, John Baker SRA Box 4-73B Anchorage, Alaska 99507 Re: Adequacy Test for Sewer System Lot 4 & 5, Block 5, Paradise Valley Subdivision Dear Mr. Baker: An adequacy test has been performed on the sewer system on the lot legally described above. The test was conducted in accordance with the Municipality of Anchorage recommended standard procedure for on-site sewer systems. The septic tank effluent level and the seepage pit level was measured and then the septic tank was pumped by TJ's Pumping Service (invoice attached). Basedzo.~' volumc pumpcd and the re~i~i~.remaining after pumping the tank,~.~ize is estimated to be 1250 gallons~P After completing the pumping of the septic tank, the levels were again measured and water was applied to the seepage pit at an approximate rate of 9-10 gallons per minute (gpm). The test procedure requires that this flow be continued until a volume of 500 gallons is added and the levels monitored in 50 gallon intervals. This was not possible, as can be seen from the tabulated results enclosed, because the seepage pit would not accept the water at this required rate. Instead, the water level in the seepage pit backed up very rapidly with the addition of about 10-20 gallons of water and overflowed the standpipe. There was minimal amount of backup into the septic tank throughout the test until the latter part of the test, probably because of the elevation difference° A review of the data collected indicates that the seepage pit as-is will only accept effluent from the tank at approximately 0.9 gpm. Since this is far below the recommended acceptable 10 gpm, it is my opinion that the seepage pit absorption system is not adequate to handle the required capacity from a three bedroom home. Mx. John Baker Adeq'uacy Test for Sewer System Page Two (2) Based on the amount of heavy solid sludge material pumped from the septic tank, it is my opinion that the seepage pit has become plugged, hence it will not accept the effluent at the required rate. A possible solution to the problem is to install a new seepage pit or drainfield in a different location. Sincerely, WH:zc-p Attachments TEST Client: Mr. John Baker - Job No. 81-E-5 Address: NHN Switzerland Drive Engineer: W. Henderson, P.E. Legal: Lots 4 & 5, Block 5, Paradise Valley Subdivision System: Septic Tank and Seepage Pit '" ~EPTH DEPTH WATER ADDED sATE .... T,I~ME(,m, in,), SEPTIC TANK~, ,SEEPAGE PIT,, ,(Bp,m) , ,RATE ....... 417/81 Beforepmp~ 5' 9" 6' 9" 0 After pmpg S.T. 11" 6' 9" 0 Start Test 15 gals. 11" 6' 9" 10 gpm start lmin 30sec 11" 8' ~" Standpipe overflow 8 rain 11" 7' 4" 10 gpm begin lOmin 40sec 11" 7' 4" 10 gpm stop 'llmin 20sec 11" 8' 0" 0 15 min 11" 7' 4" 0 17 rain 11" 7' 2" 0 20 rain i1" 7' 2" 10 gpm begin 21 rain 11" 8' 0" 10 gpm stop 26 min 11" 7' 2" 0 29 rain i1" 7' 2" 0 32 rain 11" 7' 1" 0 36 min i1" 7' i" 0 38 rain 11" 7' 1" 10 gpm begin 38min 30sec i1" 8' 0" 10 gpm stop 43 min ii" 7' 4" 0 47rain 30sec 11" 7' 2" 10 gpm begin 48rain 20sec 11" 8' 0"overflw 10 gpm 51 min 14" 8' O"overflw 10 gpm stop 54 min 14" 7' 6" 0 59 rain 14" 7' 3" 0 Adequacy Test 4/7/Sl Page Two (2) Volume pumped from septic tank Estimated volume remaining in septic tank Estimated size of septic tank = 900-1000 gallons 200 ~,allons 1250 gallons Comments: The lower 1/3 of septic tank was found to be mainly heavy sludge material. Both the septic tank and the seepage pit were found to be initially full to their maximum levels. Estimated absorption rate - 0.9 gpm. 825 "L" STREET ANCHORAGE, ALASI<A 99501 (90'7) 264-4t 1 I GEORGEM, SULLIVAN MAYOR DE PAe F'MEi'4T OF HEALTH AND ENVIRONMENTAL PROTECTION April 8, ].981 John/Sharon Baker Star Route A Box 473B Anchorage, Alaska 99507 Subject: Lots 4 and 5 Block 5 Paradise Valley Subd_tv:i. sior~ The adequacy test:, performed on the sewer system has failed. Therefore.. approval of the on-site sewer system and well cannot be granted unt.'Li the seepage area is upgraded. Prior- to the upgrade a soils test w_[.li need to be performed so tha't a permit from th.i.s office can be issued. It should also be noted that the well head will need to be sealed so that it:. is water tight. if there are any f~arther questions.. [)lease call this office at 264-4720. S i. ncerely, Robert C. Prat. t, R.S. Assoc;[ate q..~:z~ec'ia ]~;' RC P/1 j w CC: Alaska School Emnloyees Federal Credit union 3500 Eide Street 99503 Es-ther Bumgardner % Totem Realty 724 East !5th Avenue 99501 ~_ ' MU ClPAL 0 ~ ~ 6~1~ ' ~"~ DEPARTMENt:OF HEALTH & ENvI'RoNMEj~-~ :FI~FO~r~ ~ ' ~ ~ r t~ " :'25 L Street An~ho~a e, ~[~ ~NT~ P.OT~ION . ~ · Telephone 264.4720 : : DI ~TIOffiS: Completo all part~ on paso 1. Inoompl~ roqu~ will not b* proo~d, Please allo~ tan {~0~ dag* fo~ proeossin~. - ~. ~O~T~ O~ffi[~ ~O~fi ~ohn ~.: '$~k~r~ 0r. and Sharon R: Baker ~r56~0- hom~ P~OP~BIY ~[8 ~fi~T {If d fferont from abo~e} ~ ' ~O~E'~-~ - 2. BUYER PHONE - MAILING ADDRESS , PHONE 3. L~NmNe mSTITUTm, 27~-6561 First Federal SavinqS-~ L0a'n Assn. MAILING ADDRESS P. '0. Box h'2200, Anchorage, Alaska 9~509~ HONE , 4. REALTOR/AGENT ~ P MAILING ADDRESS : 5. LEGAL DESCRIPTION Lots 4 and 5, Block 5, 'paredlse Valley Subd. STREET LOCATION NHN Switzerland Drive, Anchorage~ A-laska ~507 6. TYPE OF RESIDENCE [] Other E~ SINGLE FAMILY [] MULTIPLE FAMILY . · : .~. · 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five ~ . .Three t'--i Six * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drille~prior, to that date. give well depth (attach log f available ) **If individual,/on-site, give installation date ~J-7] · If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACC )MPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) 1978 ~ohn R. ~aker Anchorage, Alaska 9950? This ~epar~ment oan not approve your ~eques~ for sewe~ and wa~er approval for ~ following reasons. (2) The wall ua~ng muet be raise~ above grou~ l~V~l an~ ~he ~epression filled i~ with im~erv£ous type soil. If there ara any questions, please ~o~aot thi~ 4720. Pos~ Of Ei~e Box 4-2200 99509 October 20, 1978 John R..Baker Star Route A Box ~73-B Anchorage, Alaska 99507 Subject: Lot 4 and 5 Block 5 Paradise Valley Subdivision Approval for your individual sewer and water facilities will not be granted until the following items have been completed~ ( ) A well log is submitted to this department. ( ) The top of the well casing is sealed with a sanitary seal so that · t it is water tlgh . () The depression or pit around the well casing should be filled with impervious type soil so that it slopes away from the well casing. ( ) The well casing is extended twelve(12) inches above ground level. ( ) The septic tank is pumped with a receipt submitted to this department. ( ) A four(4) inch cast iron cleanout be installed to the septic tank or leaching area. () A percolation test be performed on the existing leaching area. ~nis will determine if the system is adequate according to National Standards. A list of private firms who perform the test is avail- able at this office. () Your application shows the number of bedrooms exceeds the number ~le sewer system was orginally approved for. Therefore, an upgrade will be required. Notify this department for a re-inspection when descrepancies have' been corrected. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert-C. Pratt, R.$. Associate Specialist