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HomeMy WebLinkAboutSIEFKER #3 LT 2 TR 9 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 MAILING ADDRESS LEGAL DESCRIPTION LOCATION Well DISTANCE TO: Manufacturer Absorption aroa MateriaIDWelling F HOMEMADE: Inside length W dt ~ Liq, capacity in gallons DISTANCE TO: Manufacturer DISTANCE TO: I Well oundation No. of lines J Length of each line Ih of lines Top of tile to finish grade Matorial beneath tile Length .~l/c'~l~,~P~. [ ~Depth ~ / Orib DISTANCE TO: Building foundation DISTANC Sewer line PHONE [~NEW ~,~,¢~-- /~ [~JPGRADE NO. OFBEDROOMS PERMIT NO. No, of compartments Liquid depth PERMIT NO, Material Liquid capacity in 9allons Nearest lot line PERMIT NO, Trench width Distance between lines inches Total effective absorption area inches OTHER FPIPE MATERIAL8 ) SOl L TEST RATIF ALLER REMARKS PERMIT NO. I Total effective absorptio,n are8 I ........ Distance to lot line PERMIT NO. ISeptic tank ~ area(s) ¢0//5-- APPROVED DATE LEGAL 72-013 (Rev. 3/78) PERM I'1" NO: DATE I SSUE:.'D: DI~PARTMENI ' HEAI_'T'H AND ENVIRONMENTAL~ ,OTECTIE)N ~,~. 8,~b ~ S'T'REET, ANCHC]RAE~IE, AF::: 99501 264'-4~Z20 8~0.,~,=:4 06 / 18185 AF'F*L, I {;3ANT: ADDRESS: CONTACT PHONE ." LEE CARLSGN l()O0 E. DIM(.]ND BLVD, SUITE 101 ANCHORAGE, Al< 995].5 522r- 1 ():S0 LEGAL DESCRIF': LO'l" SIZE~ MAX BEDROOMS. SUBDIVISION: S I EFI<ER ,)1~[;] ION. ~7 TOWNSHIF': ~26~.~94 (Sg.. FI . OR ACRES) LOT:~_'"* RANGE u .;,W BLO£]I<: T. 9 Lis{ed below are the op{ions available to yoLt in designing your septic syst. em. [,hoose the option that best fits your' site. DEPTH TO PIF'E BOTT[IM (F'"I".) 4.0 4.0, 4.0 GRAVEL. DEPTH (F'T.,) 2.5 0,,5 1.5 1"OTAL DEPTH (FT.) 6.5 4.5 5.t5 EiRAVEI_ WIDTH (FT.) 2.5 1¢2.0 5.0 GRAVEL LENGTH (F'r.) 90.0 ** 56.0 70.0 GRAVEL VOLUME (CU.YDS.) 25.0 25,4 26.0 TANI< SIZE (GAl_S) 1,000.0 ** 1~()00.0 .~.~ 1.~000.0 *.~. SOIL RATING (SQ. FT./BR) 150 150 150 ~'~- GRAVEL LENGTH > 75 F'T'. REQUIRES MLILTIPLE RUNS (NOT EXCEEDING 75 F'I". EACH) '~' TANI< MUST' HAVE AT L.EAE~T TWO COMPARTIdENTS I cer,'Lif'y that: 1,. I am Camiliar, with the requirements £o~- on-site sewers and wells as se-L ~or'th by the Municipality o~ Ancherage (MOA) and the State o~ Alaska. 2. I will install the system in accordance with all MOA codes and ~-egulations, and in compliance with the design criteria o~ this permit. 3. I wi].l adhere to all MOA and State of Alaska requir'ements ~er the set back distances ~'rom any existing well, wastewater disposal system or public sewerage sys'Lem on.t. his of any adjacent o~ near'by lot,, 4. I undel's'Land that this permit is valid Fop a max:kmum oF 3 bedr'ooms and any enlargemerd:, will require an additional permit. II='" A L. IF:T STATION IS INu]ALI_ED IN AN AREA COVERED BY MOA BIJILDING CODES, THEN (1) AN ELEC'I"RI{]AI... F'ERMIT AND INSPECTION MUST BE OBT'AINED; (2) AEi-BI,IILI"S WILL NDT BE APF'ROVED WI'T'HOLIT AN E:LECTRiCAL INSPECTION REF'OF~T; AND (3) THE EI._ECTRII.,,AL WORK MUST BE DONE BY A LICEN~ED I::LE(.,TF~iE, iAN. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchoral]e, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST / PERFORMED FOR: DATE PERFORMED: 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS PERFORMED BY: [[S)¢,-c~.~ 72-008 (6/79) SLOPE SITE PLAN II I'-~11 Bl. oq,~t I~_1 I I k_4,__L I-./.,..I-~1 I ~1 I3 WAS GROUND WATER S ENCOUNTERED? o~ OL P E IF YES, AT WHAT DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN ,:,,' r~,( v,~' ~._{l? ~ ~-o2¢ CERTIFIED BY: '~ 60 (minutes/inch) 6' "Z. F-r AND 7~' FT ~ ,, ~-o r'.'.Z'/4 ,.5'o,..~ .~,,~ 6' "';,..- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ~, DOLLS LOG ..,~-~'PERCOLATION TEST PERFORMED FOR: DATE PERFORMED; ~:~- ~'~-- 8~ LEGAL DESCRIPTION: ,~,'~(']/~- ~/' ~ Lo ~-- ~-. 6 7 8 9 10 11 12 13 14 15 16 17 18 19 G ¢ - o,-,~,',,-~ t7.5 tn '/,L- SLOPE WAS GROUND WATER S ENCOUNTERED? h© L IF YES, AT WHAT DEPTH? SITE PLAN 20¸ PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS ..~-:~i' [ .-~rO,s.~ '~' "~z~ ~, ¢~ ~t"~q ({ ~ h~ [~ ~ t//. PERFORMED BY: ~¢~ ~O~ ~"~ ~ ~ CERTIFIED BY: 72-008 (6/79) Reading Date Gross Net Depth to Net Time Time Water Drop ALASKA e,,JIROIqDrl FITAL COFITROL Sei CeS, IrlC. ~nqincehnq $ ~nuironme,~lol ~'~#~1~,? oF' Department of Health & Hu~n Services Attn: John Lynn Dear John: This is in regards to Seifker Subdivision #3 Tract 9 Lot 2, which you recently asked why the new upgraded septic system was installed directly over the old existing septic system. Normally, a separation distance must be maintained, such that a new system is not installed in or near soil that has already been saturated or "used up" by the old system. This is a report explaining why such an unconventional method was used. The owner of the house decided to sell. He realized that the present system would never pass an adequacy test because it was not working and it had to be pumped quite frequently. He figured it would be appropriate to install a complete new septic system. On June 17, I performed a soils test about 30 feet south of the house. Clean sand rated at 150 square feet per bedroom was encountered from 1/2 to 6.5 feet, with a tan silt below and no groundwater. A permit was issued for a bed system. The excavator, Ed Sanders of Acreage Systems, asked how close he could install the new system to the old one. He wanted to build near the old system because the lot is restricted by topography and wells. I told him that we absolutely had to stay away from the zone of influence of the old system. I suggested that he could scratch around with the backhoe near the old system, and locate the extent or zone of influence. Then we would proceed from there to discuss how to arrange the new system. On June 27, I visited the job site to see how construction was going. To my dismay, the soil away from the test hole was not sand, but fill or silt. It was visible in the sidewall that the clean sand strata thinned out from a few feet to only inches. I told the excavator that a system built in such fill or silt was unacceptable, and that it had to be built in naturally occurring clean sand. I suggested he dig other places on the lot in an attempt to find more gravel or sand strata. As it turned out, he dug into the soil to the east of the house and found clean sandy gravel. He then proceeded to dig into the old system to determine the extent of saturation in the surrounding soil. The old septic system had apparently been installed with no sewer rock; the only thing present was a 4" perforated sewer pipe laid directly on the sandy soil strata. Worse yet, the pipe ran uphill, according to the excavator. I was skeptical and insisted on digging holes in the area, one to verify no groundwater to 4' below the proposed bed, and a second to show how much soil had been ruined by the old system. To my amazement, only a small area (less than a few square feet) had been discolored gray by the old system. The rest of the soil in the area appeared unaffected. 1200 LUcsl 33r(] AUml¢, $uii¢ [~,Anchora§¢, Alosk 99503,,(907] 561-50/10 MUNICIPALITY OF ANCHORAGE He~ n and EnvironmenLal Prote _on Fourth Floor Wes-L 825 L Street Anchorage, Alaska 99501 264-4720 INiiP[!CTION R~[, O,T ON-SITE [;EWAOE OlSPC.~AI., ............... :b I TION SEP-rIC 'rAJ] ~~ ~ NUMBER OF DISTAf~ICE FROM WiLLLtX~ __ r. IAf;I,JF,'xC]UIRER ~%J~-~ __ ,XI'i{i/IAL ............... COf.4PARTI,4ENTS_'~ IF-IblL}E L[LrlCiI'tt ......... IJ',iS!L)E 'Adb] II [ IQUIi} DEPTH ........ LIQUID CAPACITY /~'"8_ GALLONS. TOTAL LENGTH DIS rAr';('~: rr~or.,~ WELt __ FOU;16)AI'ION ...... NEAREST L G l LI~]E ............. OF L.INE ~ ~ of Lines ....... DISr.~.¢qCE bE1WEEN LII'iES .............. rqE,'~C[~ WIDT[t~iN ....... TOTAL EFFECTIVE AE~%ORi:TIC);'I /~REA . ~-~ SQ. FT, [ENG fir OF EACll L_I~IE DEP1 tl OF FILTER t3EPq i t: ........ MA-FERi/,L BEIR[;Allt FII_E (~_ ~_.~. ABOVE -FILE ~ IN GRAF) E c :'~,' - niT. DtAME'[ ER .... OR WID-rtt ..... z,..¢- ,-, _l_,~u ...... BEPTH Log Crib Rings Crib Size: OlAwlEi'[!i_ _ O[:PYIt. .OiSFANCE[:~OM: WELL TO I-/~t.. El I ECTIVE BUiI__QI'.u] F(.,.~i,!DA!IO~I ...... i4EAREST LOI' LINE .... AR%ORF'TiON AREA (WALL AREA) S~. FT. ~.*~ell . . , ~ , , , Class= De~th= ' , ; ' ~,lell Distance To: Lot Line '_ . Bldg: Sewer Line: ' ' , : , I ,~ r ~ / ~ ~ /L~ ' ' o~ ~e~%ooms ~ Installer: -~q&~~- ' ; ' ' .. .. .... I i ' , -' , - · ~ .... r--t -~ .... I:::11:::'1:::'1, i[ CI:::II",IT I:':.: i[ E:HI::IF~tD Iiiii i"/iii I.,.l!:l!iF:ll t,.;:~', t3:i!i~ t!ii;Eiiil:J::'l'::3::l Z,.'"D 'THE; I. TI.lIE I::,i~11::"1'1.1 OF:' I::'1 Tl:;~:lii;hlE:H EII:;iI I;:'IT IZ THE [.':' ;I; :;~;'TI:::II",IE:IE Ei',li!i;'f't41iii%N "Fl-Il!i; :!ii;I...II:;;:]::'I:::IE:IE 01;:' "f'l'"lf!i!; Gl:;;'. Etl. Jl'.,~ D 'f'l 'IIEI~'. El: 'l'l'"lt!~; I::ll',l E:, '1']'..11!i~ I)I,I AI~.q_MI,NI OF HEALTII AN I) ENVIi~ONMENTAI, PIIOTECT[ON Poi 6-650, 9950h' - 2518E. Tudor I - Anehmm~e, Alaska · .~ ? ,. ,.. 'Ih'is fom reports: Soils log ~ ~' ~ PercS~ t~ /~' Was'ground water encountered? ~/0 If yes, at what depth? Reading Date Percolation rate Proposed installation: GroSs Time Net Time Depth to It20 minute, Seepage Pit .... Drain Field ' Net Drop Ikq:th of Inlet .z Depth to bottom of pit or trench Performed By: ~E~ ~, ~~~:/C~ti fi ed By:.~ ).~ ~ _ ~~=.. 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. # 1.' GENERAL INFORMATION Complete legal (~escripti.o.n Co't-' "z.j · Propert~.owne~:. ' , Cendin~a.g~;y. Mailing address Agent Add ress Day phone Day phone , Day phOne Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: ~ 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system ..... 4. TYPE OF wASTEWATER DISPOSAL: Individual on-site ~.. j{. ,~-. : ' Holding tank '~' ~,- ~',, ,.. [,',, ,' Community on-site Public sewer '" I~ \'~' ,,." If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. NOTE: 72-025 (Rev, i/91) Front MOA #21 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/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verifythat 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 com ~liance with all Municipal and State codes, ordinances, and regulation~klicsc~ff~cr~eP& the date of t lis inspect, ionr' · . Wastewater Services . -- Name of Firm 84.7.1 Brookrid~g~D]r. . Phone ~_~ 7 ~ J'~"'/ 6. DHH~ SIGNATURE Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments ~:~' ~-~. ~ /,-,' , vT~e./., , Mun c p~ll~ of,'A~chorage,. Depa~ment of Health and Human Seduces (DHHS) i~ues Hea th Authon~ sApp[oval. .... Ce~lflca~,~ased.,,,._ . only. upon the representabons g~ven in paragraph 5 above by an ~ndependent pr~on al englp~r registered m the State of Alaska. The DHHS does this as a couAesy to purchasem of hom~ responsible ~r errom or omi~ions in the prof~ional engin~ffs work. 72-o25(Rev. 1/91) Baek MOA~zl Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVI([~_I]c E IV E D Environmental Services Division 825"1_" Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 MAR 4 1996 Health Authority Approval Checklist Municipality of Anchorage Dept. Health & Human Servlco~i Legal Description: A. WELL DATA Parcel I.D.: Well type Log present (Y/N) kC ~ ~ Date completed Total depth (_o ~-, Cased to ~ 'ar' / Sanitai.'y seal (Y/N) ~,/,,~ ~ If A, B, or C, attach ADEC letter. ADEC water system nomber _ IQ ~ Casing height (above ground) ~ [2. Wires properly protected (Y/N) ~ ~, Date of test Static water level FROM WELL LOG AT INSPECTION Well prodaction ~ g.p.m. ~'/¢ ~ WATER S~LE RESETS: Coliform Nitrate ' [ ~ Other bacteria Date of sample:. B. SE~ICmOLD~G TANK DATA Date installed ~ Foundation clcauou[ (y~. C. ABSOR~ION F~LD DATA Effective abso~ti0n area Date °fadequacy test ~./~/~ Results(Pass.ail) ~ Fore__bedrooms Fired depth m absorpt,on field before test (in.); Fh,id depth _¢ ~ (ins.) Minutes later: ~ Abso~tionrate = > ~ gpd '~ Po:oxide treatment (past 12 moaths)(y~): ~ '4 [ ~ * ' ] ~/, if y~s, giv~ d~te ' ~/~ Date installed ~ _ Manhole/Access (Y/N) ~ "Pump oft" level at* E. SEPARATION DISTANCES ~ I~o~-~t~ o.a ' i }-~-~ ~' SEPARATION DISTANCES FROM WELL ON LOT TO: Absorption field on lot Public sewer main Sewer/septic service line l Septic/holding tank on lot t ! / On adjaceut lots :Onadjacent,ots S'C" *- Public sewer manhoie/cleanout Lift station Ix) ]-~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~, ~t4' Property line ~' > l O / Absor-ption field Water main/service liue >' I D / Surface xvater/drainage > l OD Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation [ 0 p~; - ~ ~ ~t~m-~. Water main/service line > ~ O Surface water > ~O~t Driveway, parkin~vehicle storage area %~ t+ Ctmain drain ~ Wells on adjacent lots > TM I O ~ Prope~ line F. ENGINEER'S CERTIFICATION 1//] f ~e ..... I ce,'tify that I hav~ter Jedt~fiel Engineer's Name ~ ~ .................. ...................................................................................... HAA Fee $ O~ t~ Waiver Fee Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc Date of Payment Receipt Number 8471 Brookridge Drive ~ Anchorage ~ Alaska Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers RECEIVE[) March 1, 1996 gAP, 4 1996 Municipality of Anchorage Dept. Health & Human Services Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: HAA for Lot 2, Tract 9, Seifker #3 S/D To whom it may concern: The subject lot is served by a private well and septic system. Comments regarding the systems are summarized as follows: 1. Septic System: The water level in the south monitoring tube was approximately 3.25 inches, and the north monitoring tube was completely dry. This is an indication that the bed is not perfectly level; however, based upon the adequacy test, the performance has not been impaired. Water was added to the north clean-out at a rate of 5.65 gpm for a total of 85 minutes (480 gallons), during which time the water level in both monitoring tubes remained unchanged. In short, water was being absorbed as fast as it was being introduced. Based upon this test, the septic system was deemed adequate for a 3 bedroom house (450 gpd). 2. Surface Waters: According to the as-built survey for the property (copy attached), there is a drainage easement which runs through the lot, approximately 70 feet away from the septic system. Because of the snow conditions (2/23/96) it was not possible for me to identify any surface waters within 100 feet of the septic system. The existing drainfield was installed during summer conditions in July of 1985. Per the 7/1/85 inspection report, and the 8/12/85 HAA, there are no surface waters (noted as N/A on the 8/85 HAA). Given that these inspections were done in the summer, it is reasonable to assume that they are reliable. However, it may be discovered some time in the future (during spring conditions?) that there are surface waters withing 100 feet of the septic system. If this turns out to be the case, it will be necessary to apply for a waiver at that time. 3. Septic Tank: The existing septic tank was installed in September of 1977, making it approximately 18.5 years old. It is reasonable to assume that it is approaching the end of its useful life. The new homeowner should anticipate replacing it within the next 5 years. 4. Well Only 80 Feet From Neighbors Septic System: The well on ~_~'~'~~ was drilled 9/26/77 The set~tic system on Lot lB, Tract 9, Siefker #3 S/D~_i 1800 Avion St~oe() was installed the n¢'xt fall (li)/1/78). The trench sump for this septic system is approx~-----'~mately 8'--''''~ -0 feet from my client's well. The water samples taken indicate that the water quality is good (nitrates ND, and no bacteria). It is my understanding that the neighbor is responsible for obtaining the necessary waivers for the subject encroachment. This property is being sold to the owner's son and daughter in law. I have discussed all of the aforementioned items with them (the buyers). If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you. Sincerely, · arness, P.E., M.S. Owner/Consultant Williams 1 .wps 02/'29/96 11:58 CI'g,E ESI F~NCHOR~IGE -~ 907;~5:35246 I~iS, ~,'= zTL CT&E Cliem Smnpb ID Maerix CT&E Environmental Services Inc, Laboratory Division Laboratory Analysis Report 960~49,307.9 Collected Dale 02/t 9/96 TAP WATER 11920 AVION [ 0549-01 Drinking Water Technical Director Sample Remarks: Nl~ra~e-N ~C ,100 u ,1 mg/L Me¢~o~ Limi~ Oa~e ~a~e ,r 200 W. Potter 0?_9. Anohorage, AK 99B1~.1606 -- Tel: (907) 562,2348 Fax: (907) 561-5301 ; 2- 8-96 ; 9:40AM ; TITLE/ABMIN-, X. 9075611945;# 1/ 1 ,.,I '1' Mtmicipality of Anchorage Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor March 27, 1996 Jeff Garness, P.E. Alaska Water and Wastewater Services 8471 Brookridge Drive Anchorage, Alaska 99504 Subject: Waiver Request for Lot 2 Tract 9 Siefker Subdivision #3 Waiver Request #WR960005, PID #015-281-70, HA#HA960075 Dear Mr. Garness: Your request roi' waiver of the required 100 foot horizontal separation ora private well and an on-site wastewater disposal system has been approved. The approved distance from the private well on Lot 2 Tract 9 to the on-site wastewater disposal,system located on Lot lB Tract 9 of 78 feet. The waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will reqoire al! separation distances be met or another approval fi'om this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services Program MUNICIPALITY OF ANCHORAGE Department of Healtk and Human Services On-site Services Section W.__a_zver Review Worksheet wa~~ miD# Date Received: Legal Description: Engineer: ~ ~ Applicant: ~~.~ Criteria: 1. Geology: A. Water Table B, Soil Sorption C. PermeabiliEy D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: Points: 3. Other: Waiver is Granned: ~/ Waiver is NOT Granted: List Conditions or Reascns for above: f~£ ~8C~ Name of Reviewer Amount: S Date Paid: Mtmicip',dity of Anchorage Department of Health and Human Services 825"L" Street RickMysl~m, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor 34%4?44 March 28, 1996 John F. Strong P.O. Box 110642 Anchorage, Alaska 99511-0642 Re: Waiver Number WR960005, Lot 2 Tract 9 Siefker Subdivision//3, P.I.N. 015-281-70 Dear Mr. Strong: The owner of the subject lot has recently requested a Health Authority Approval from this office so that financing may be obtained by the new buyers. Tile engineer hired by the owner to perform adequacy tests to the on-site wastewater disposal and wate~wvell systems confirmed that the wastewater system serving your borne (Lot lB Tract 9 Siefker Subdivision) encroaches upon the well serving the subject lot. Tile required separation is 100 feet and tile existing separation is 78 feet. A waiver was performed by this office and tile 78 feet separation was determined to be safe fi'om potential contamination entering the well from your' wastewater system. In reviewing our records it appears that the waterwell selwing the subject lot was in place (9/26/77) when the wastewater system serving your home was constructed (10/I/78). Tile cost of performing this waiver is placed upon tile current owner of the system that was constructed in violation of code requirements. The cost fora waiver of the separation distance between a wastewater disposal field and a well is $920.00. We request this amount be paid to this office upon receipt of this notice. Until this fee is paid, your lot is not eligible to receive Health Authority Approval from this office in the event you want to sell or refinance tile property. If you have any questions of the above please call me. Sincerely, Daniel J. Rotb Civil Engineer On-Site Services 8471 Brookridge Drive ~ Anchorage ~ Alaska Phone (907) 33%6179 - Fax (907) 338-3246 March 17, 1996 MAR 18 1996 Mumclpatity ct Anchorage Oept, Health & Human Servioe~ Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Attn: Dan Roth Ref: HAA for Lot 2, Tract 9, Seifker #3 S/D. Waiver from well to neighbor's septic system. Dear Dan: As addressed in the original HAA submittal, dated March 1, 1996, the well on my client's property was drilled 9/26/77. The septic system on Lot lB, Tract 9, Siefker #3 S/D (11800 Avion Street) was installed the next fall (10/1/78). The trench sump for this septic system is approximately 80 feet from my client's well. Attached is a drawing which show the location of the well and the neighbor's septic clean-out. I am requesting the waiver for 78 feet to account for the width of the trench. Normally when requesting a waiver it is standard practice to evaluate the contamination potential (point system) as outlined by the State of Alaska, Department of Environmental Conservation (ADEC). Due to the fact that we are not evahtath~g a hypothetical situatiot~, but rather a real world case in which a septic system has encroached upon the well for almost 18 years, ! am proposing to use a more common sense justification (as we discussed on the phone 3/13/96). The justification for this waiver is based upon the following facts: a. The encroachment has existed since 10/1/78 and the well water quality is excellent. Water samples taken 2/19/96 showed no bacteria, and. 1 mg/1 for nitrates (ND). This is probably the most accurate evaluation of the contamination potential. b. The ground slopes down steeply from the well to the subject septic system. The elevation distance is 13.3 feet. In short, if the septic system were to overflow, it would be impossible for it to flow, over the ground surface, towards the well. l//llOyD"SEPTIC, C/O ON LOT lB, TRACT KER #$ S/D. 11800 AVION ST. WELL ON LOT 2, TRACT 9 SEIFKER #3 SUBDIVISION AC = 67.4 FEET BO = 74.9 FEET BD = 12.1 FEET (APPROX.) OD = 80 FEET (APPROX.) THE LOT SLOPES DOWNHILL FROM THE WELl.. TO THE SEPTIC C/O. THE ELEVATION DIFFERENCE = 13.3 FT. HOUSE WAIVER REQUEST: LOT 2, TRACT 9, SEIFKER I/3 S/D. PREPARED FOR: JIM WILLIAMS ALASKA WATER & WASTEWATER SERVICES DATE: 3/17/96 DWN: GARNESS SCALE: 1" = 20' ~l~R~P TOTnL 6.0 2./ I 1, KLATT Ri 11601 / 3590 11640 TR. A 11641 2' SKY ~- HARBO~ EgT, $ TR.B 11781 8 I .~ TR~cr ~ IIBO0 I ~l I ACCESS ED, I"'__ ~'"~'~'%-~% 11901 ~ 11920 ~ ~NGE AVION TR ~-- ~ ~ 4A 4~ 4C 4D ..... I CLEO AVE. FR~c r 12041 12040 // /09 TR. 7 TR. I0 ~ 3601 3651 3701 I~ST A~. ', !~ 12101 TR 6 TR. II 12100 ~ TR. 6 ~ 12145 12141TR. 5 ~ TR. IZ 12140 12200 12201 12201 ~ DRILLING T~, ~ T~/~ 12221 7~2 12200  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 PHONE ~r,~N EW ~,4AI LING ADDRESS · LOCATION ~,~ 0~ %*~¢ ~ ¢,*S~ P NO' OF BEDROOMS Well Absorption area Dwelling PERMIT NO, ~ Manufacturer ~mC~ ~ Mato~~ No, of compartme.ts Liq. c~a~ity~ooingallons IF HOME,DE: Inside length--~ ~ Width ~--~l Liquid depth ~ DISTANCE TO: Well ~ ~ ~ Dwelling PERMITNO. 0 ~ Manufacturer Material Liquid capacity in 9aliens ~ Well Foundation Nearest lot line ~ PERMITNO. ~_ No. oflines ~ Leng~hofeachlin~ Total length of lines~ ~ Trenchwid~ inches Distance between lines ~ Toper tile to finisb grade ~_t ~ I] Material beneath tile ~ Total effective absorption area _ a % o Length Widt~ Depth PERMIT NO. ~ Type of crib Cr ~ t Cqib depth Total effective absorption area m Well Building foundation Nearest lot line ~ DISTANCE TO: ~ ~4ss ~ Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) PIPE MATERIALS ' SOIL TEST RATING INSTALLER_ ~ ~ ~ REMARKS~ //~ AP~ OATE LEGAL 72-013 (F MUNICIPALITV OF DEI)AP, TiVtt':'Ni' OF HEALTH AND ENV]fION~,~tENYAL DIVISION OF ENVIRONMENYAL HEALTH CEF/'flFICATE OF INSPECTION FOR HEAL. TFI AUTHORITY APPROVAL OF: ON*SITE GEWER AND WATER FACILITY 264..4720 Applicalion Date (~) Lefal [)escrip~ion (include lot, block, subdivision, section, townahil), rar~(.qe) ~,.~? ;-- ~:_ .... ~.,¢_,_~z.'_' ¢ _ ~;~'z,'~.~!~L..~.~ ............ 'Z2 ~:.~-~ .... ~2~''-~ ..:?~ Z.,/_ ................ Location (address or directions) (b) Applicant Name /~/~n;¥,'~.~) i'~/?)~/:/i Telephone: Home -~.5" 5c)/'~) Business (c) Applicant is (check one): Lending Institution [[I· Owne~/builder~j'; Buyer [] · Other ~I (explain); (d) Lending Institution ............................ '~elephone P~ddl'oSS (e) Real i.:state Company and Agent ................................................. Address 'le!ephone (f) Mai/ the I. IAA to the following address: Z'¢I'--E OF t:!_r£S!DENCI2 Single-Family)?J Multi-Family [.-J Other Number of Bedrooms ~ 5 WAFER S"J PPL\~ Individu{,J Well~,~Ej Cor~m~ullity [TJ Public Note: If community well system, [~usi[ have written confirmation from the State lDepa~tment of Environ mental Conservation ailestin9 [o lhe te.oality and status. SI: N,-'!,GE "" "" e Onsito ~¢,,Jl Puh, lic I-~ Cornlnunity El I Iolcling -I ank I~ motc': if Ct;,llllllLII11ty well system, must have w~lten confirmation from the State Depa~ tment o! Environmental Conservation attesting k) the !e¢]ality and statt~s. ~Zt~..1GII',IEEI'tlf, JG f-It;Ir.,,1 PROVIDING INSPE~CTIONS, ~~ Br¢~, F'IL~ SEARCH, DATA AND INFORMATION A5 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 fo~ ti ,o m~rnbor of bedrooms and type of stmoturo indicated herein. I fm ther verify that based on the information obtained frum tho Municipality of Anchorage files m~d fi'om my investigation and inspection, the on-~ite water supply and/o~ war, towater disposal system is in compliance with all Municipal ~nd State oodgs, ordinances, and regulations in effect on thc; date of th~s insped~on. Address er's Seal TerrrvJ of C;o!~(litic, nai Approval CAUTION '/he t,4uropai y of Anchorage Departrp, cnl of I-tealti~ and Environmental Protection (DI-iI]P) issues Health Authority /,,ppr,pval <;ert~ ,r.¢t ,r based solely upon the representations given in paragraph. 5 above by an indeponclent professional ~:r.q r c:er r )g~stored in hie ~.~ ~,~ of Alaska Tho DI tEP does this as a courtesy tO purchasers of homes and their lending ........................ x,.~.,,~,,,,,~,,~,a,~x,~,,a~u ;~ ~ne t~: -. , ~x~s ol DHEP do not conduct inspections or ar,ab, za dat;~ i,(;~ore a certificate m issuod. The Municif)ality of Anchorage is not responsible for errom or onfissions in the A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description,: ~.r~'.~' --'F-/~-/J ;~-~ ~J Well Log Present(~) Total Depth ~,~.r// Cased to Static Water Level '~- ,~',.~ / Casing Height Above Ground Electrical Wiring in Conduit~,)N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line .,(,//t~ Cleanout/Manhole Water Sample Collected by Water Sample Test Results if A, B, C, D.E.C. Approved (Y/N) Date Completed ~,-Z./~ '- ~ Yield '"'~ ~-~¢ / __ Depth of Grouting Pump Set At ' / Sanitary Seal on Casing(~N) Depression Around Wellhead (Y(~ ; On Adjoining Lots ,/D/ ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot Comments B. SEPTIC/HOLDING TANK DATA Size /~_"~"4) ~,4'/-. No. of Compartments ~ Foundation Cleanou~) /~5~ /~z~d Date Last Pumped ~ '-~-~s/ ~/* ;for ~/~ Temporary Holding Tank Permit (Y/N) Date installed Standpipes(~) Air-tight Caps~) 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 /Z_~2L / To Property Line To Water Main/Service Line Course Comments ? To Building Foundation ~.:.'.'5 To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11184) ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 7'-,/'- Square Feet of Absorption Area Depression over Field (Y(~) Results of Last Adequacy Test .,~',/.~ Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot ~' _n~?'" E.-¢//'/zc-.d~5 To Water Main/Service Line IO/ Type of System Design Length of Field Depth of Field ¢ / Gravel Bed Thickness (-~ o ~ / Standpipes Present~N) Date of Last Adequacy Test To Property Line /¢ "/~ To Existing or Abandoned System on ; On Adjoining Lots /,¢0 ¢- /'/~,~¢ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area /'/'x /¢" = ¢' LIFT STATION ,//,4 ' ~ Dimensions Size in Gallons "'~.~ Manhole/Access (Y/N) "Pump On" '~'~-,.~ "Pump Off" Level at Level at High Water Alarm Level at -'~-..~ Vent (Y/N) Tested for ~'~ng Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** ~ I certify that I have¢chec~ked, v~erified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed /~-1'/'/,~/~ Date ~%r'"% ¢17~ ~;~"~'~"~- Company ¢f~¢~' MOA NO. ~ ~ ~ Receipt No. ~ ~ ~ Date of Payment ~" ~ Amount: $ ~ 'OO Page 2 of 2 ?2-026 (11/84) ALASKA (/llOlIROilmeilTAL COF1TROL linC. LAWYER~ TTTI,E 480 W TUDOR ANCHORAGE ALASKA 99503 gEI.LER-ATTN PAT GRIMNEL LAWYERS TITLE 480 W TUDOR ANCHORAGE ALASKA 99503 AUOUST 7 1985 50503 LEGAL:SEIFKER #3 TRACT 9 LOT 2 FLOW TEST ON WELL WELL FLOW DATE-AUGUST 7 1985 A FLOW TEST WAS PERFORMED ON THE WELL. 485 GALLONS OF WATER WAS PUMPED AT A RATE OF 6.1 GPM OVER A DURATION OF 2.6 HOURS. THE DRAWDOWN WAS 22.15 ~ WITH A RECOVERY TIME OF 90 MINUTES AND 'THE STATIC WATER LEVEL WAS 37.3 FEET. THE WELL IS ADEQUATE FOR 2~IS 3 BEDROOM HOME. 1200 LUcsI 33rd Auenue. Suil¢ [~ · Anchor,§e, Alaska 99503.[907) 561-5040 ALASKA ENVIRON~'~NTAL CONTROL SERVIL , INC. !200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO OF CALCULATED BY /~' '"~)'J DATE CHECKED DY DATE SC^LE._. / I\ --. 0 ~r . '.5-~ X ;L-'F!T E R P,'RIS [~. ~.NCNOR/',GE CESSP~OI~ _~lJ'~.,PINtSi ..i~ ALASKA P LI M P.~i~ Gl~'lt ~UPERIOR STEAM :~'~'IA~_~i., r" 69 ~7 89-87