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Home My WebLink AboutSTUCKAGAIN MANOR BLK 2 LT 5Onsite File Stuckagain Manor Block 2 Lot 5 #041-023-06 5/26/2020 \I Municipality of Anchorage 40641;_ .�_ � I) parnucnt P.O. Box 196650 @ 4700 Elmore Road Anchorage, Alaska 99519-6650 e (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section Xxxx VARIANCE/WAIVER 'K*** Waiver#: WR900009 COSA#: Permit#:OSP201086 PID#: 041-023-06 Legal Description: Stuckagain Manor Block 2 Lot 5 Engineer: First Water Consulting Applicant: Stephen & Gwendolyn Hufford Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 95.0 feet. This is a renewal of the waiver granted in 1990. See engineer's waiver request for justifications for renewal. This waiver approval applies to the proposed septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. a0nxeavaxaaa■■0aa■0x0amama■aa■002x■■aaa■ea■E0aa0xaaaaaxaa0aaaaax00aaa■a0aaxaa01 Waiver is Granted: X Waiver is not Granted: Date: Approved by: r Name of Reviewer ■a00x0a00aa0aa0axa00v0ax0aaea00x000a0sa0aaxxxx0mavaaaaaaa0maae0vx0ax0eaa000a00� * R1 MUNICIPAUTY OF AHCHORAGE k� Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 041-023-06 Property owner(s) STEPHEN & GWENDOLYN HUFFORD Day phone 907-529-2122 Mailing address 5790 SAPHIRE LOOP, ANCHORAGE, AK 99504 Site address 10030 FARPOINT CIRCLE, ANCHORAGE Legal description (Sub'd., Block & Lot) STUCKAGAIN MANOR BLOCK 2, LOT 5 Legal description (Township, Range & Section) Lot Size 52,303 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo AD U) Septic Tank Q Upgrade RXDuplex (D) ElHolding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: SQL 11w ,-1-5 Date of Payment: 41301 AQ%ZO Receipt Number: 9/6,-3 ad' Permit No. d 8PQ61 U$& Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc COVID-19 "57o DISCOUNT APPLIED 13030 Sues Way, Anchorage, AK 99516 907-350 -9566 / firstwaterAK@gmail.com May 21, 2020 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: STUCKAGAIN MANOR BLOCK 2, LOT 5 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1250-gallon HDPE tank with continuation of the 92 & 97 well waivers (#WR900009). Continuation of waivers is warranted due to the improved tank (HDPE) and due to slopes any potential effluent influence would flow downhill and away from the well. The tank will be installed outside any deck supports or deck supported per the attached design to serve the existing 4-bedroom residence. Per discussions with on-site staff, it appears that the field may encroach the 5 separation to the proposed tank. Determination will be known at excavation. Every attempt will be made to maintain the 5 and integrity of the field. If separation cannot be maintained and field integrity is not effected, the appropriate waiver fee will be paid and noted with the inspection report. If field integrity near the tank is effected, work will be stopped and a change order design submitted with the required fees to upgrade / augment the absorption field. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201086, Rebecca Carroll, 05/26/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201086, Rebecca Carroll, 05/26/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201086, Rebecca Carroll, 05/26/20 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT mine DISTANCES ~'"T'L~U~t. fl [--~',~"~ [~-,'D ~ SEPTIC ABSORPTION Addre~ TANK FIELD WELL Phone(s) Permit No. NO. of B ms LEGAL DESCRIPTION LOT LINE Township, R~nfle, Section A~-BUJCT DI~RA~ {Show IocBtion el well, septic *ystom, prope~y line~, foundation, ~ gI ~ ItDj g &~ driveway, water bodies, etc.) TANKS (~%~3 Yt~ / SEPTIC ~ HOLDING TYPE OF SYSTEM ~ ~TRENCH ~ BED ~ W. DRAIN ~ OTHER 5 ,. Depth Io pipe bottom from Total depth from origma1 grade Fill added above origin~i grade Grovel depth beneath pipe Gravel length , Gravel width ...... ~PRIVATE ~ OTHER fldentifv~ REMARKS: 5yS~ ...... Scale: , ~--~,~'4'~, ,~ cedi,y ,hat this ins~e~i0n was pe~0rmed acc0rdinD t0 all MunicipalafldStaleguideli..I. ellect (o 7 t~,~{h.' No. 4149-~ .~ Health Depa~ment Approx. / Date:. 72-013 (3/85I l"l~'~:.: i:~:(~d r' ~:)t;:imssl :': l'h i s i::;'e!r' m J. t: i To'L a .i. Cap ac: :i. t.y: 4 .[ i:]IZF:T!I:::'Y 'Tl'hq"i'~ i. I a[n fe, mi:!.ial~ ¥,J:i.t.h 'l:.hia p,'.~qu'_i.l'E~nl~n'L~;i for. EiI"I'-"fF~'J.'LE~ fiii(~P~t(~.t!"Sl ar'ii:] ~,,-~E~].J. Ei aE~ !iiiE~'?. Fear"Lb by 'Lhe) H~..,.nic:it:,a'~].it.y cfi' f~m::l-~cmag~;e (MCIF~) ~nd t. he EkL~.t.~E oF ;2,, :t: w:i.J.]. :i. rH~tal], t.l'/(a !~;yfait. e)m :in ac:c::oPcla!qcE~ ~4:i¢.h a].]. I"![)A c:cic!es arid c~:i.'.[~'L~d'il:ia';~i fr'ctm ,'an'E, ~)i.(:[f~tJ.r'l(':~ i4E)]:I.~, ~x~f~'LEE, V~E~CL~P dif~,pOE~,E~], slyE~t,~em ~P pL(i:l].ic: a]'i~iC:l ~.H'ic:tcH'~r~anct t. ha~t. 'Lhi=? caFiEtc::i.t.y ~if t. he) t.o'l:.a! ~i~y~s'i:.~:~,m :i.~i~i zl. [::)(..?ch",:::)cl[ii~i~ and .... I.,.F ~ .,.I I"'lu,'r' ...Id~ rlveway ~ ' ~ Existing ' ~ Well 100' e /..~~ ~ SEPTIC SYSTEM DESIGN Lot 5, Block 2, Stuckagain Manor, System Upgrade DATE PREPARED FOR: June 2, 1990 Acreage Systems ~ 5.~., 8OA~E PREPAREO BY: z,, : s0, Kniefel Engineering ~o~ cE eo-oao page 1/2 .1. System Design = 4 bedrooms Existing System, Trench, Additional System, Trench, @ 125 sf/bed = 500 sf 6' depth to bottom of pipe 15' to bottom of gravel 9''depth at 21' ~length = 378 sf area 6' depth to bottom of pipe: 15' to bottom of gravel 9' .depth at 8' length = 144 Total System with additional is 378 + 144 = 522 sf. sf of area~ Reserve Area = 4 bedroom @ 1,000 sf/bedroom = 4,000 sf of area Ail materials, construction methods and inspections to follow MOA regulations. The nearest well is on lot 4, over 100 feet from the property line. Soils ~ ~ -' Log ~ Trench ~ / ) · -% Y Silt Barrie~ v = / ~._O/~. . · ~Bottom of piBe_ ! ~ mx~szzng ~mateh existing MOA CE # 90-030 Lot 5, Bloek 2, Stuckagain Manor June 2, 1990 page 2/2 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 ( 7 8 g 10 12 13 '14- 15- 20- .~'£ ?, Township, Range, Section: ELOPE ~'~TE PLAN / '- 'x WAS GROU.D WATER /,J O ENCOUNTERED? IF YES, AT WHAT DEPTH? Oeplh Lo Water Alter Moniloring? [~JO~ I.~ Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE -- (mlnutes/)nch) PERC HOLE DIAMETER __ TEST RUN BETWEEN -- FTAND FT COMMENTS, F~-~-'0 F--A~':b At--tZ--% 5~=/x~c~o,'-',· ~,'r~,,~, ~ PERFORMED BY: [~ tC~ t ~, ~~[C~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES mN EFFECT ON THIS DATE. DATE: ~ ~ ) ~ -- ~ O 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE ~ .~ Drc,.,,~3TMENT OF HEALTH AND HUMAN SERk,,~zES · Environmental Health Division "' 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NCEe ~ ~ DISTANCES d.,;',)r'~",-~l~ ~"J~43 ['~ '~ % T~ SEPTIC ADSORPTION ~¢¢'~' 'FRO~ TANK FIELD WELL ~P~one(s ~ ~ ~0Permit NO. 7 NO. ~ drooms WELL Township. Range, Section ~ ~a ~ ~ ~ 6 drlvewey,*S'~ UIL' ~'AG"AM (Show IOCatiO~ of we11. sepUc system, property hRes, ,ou~datlO~,water bodies, etc, TANKS i Manul ~e¢ Capacity in gallons TYPE OF SYSTEM Depth to 9,pe bottom ~ro~ Total depth from original grade To~a~ absomUon area Distance between hnes '378 ~o FT - m .mVATE ~ O~HER a~enU~v~ Ctassflicat,on (A,B,C) ¢~ ~S¢ ~ota, Depth Cased to ,'~'~, _ ~¢;1~1~ /~ FT /~7 FT REMARKS: Scale: , ~ ~ ./D¢~ ~ thalthisinspecti0, wasped0rmedaccordinot0al, Municipal and State guidelines in ellecl on Ibis date: ~ 72 013 (3185) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological 8( Geophysical Surveys Drilling Permit No, A.D.L. No. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 5. OWNER OF WELL; Street Address and ArGo of V/ell Locolion Feet ~e[ow 4, WELL DEPTH: (f[nol) 5, DATE OF COMPLETION 5A~l)'( ~l~/~kl~/,~/'~t~Ol~xkdT /~A~v(? t I~ ~Auger ~defled ~Bored ~Other: [] PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: SLOPE SITE PLAN wAS GROUNO WATER /'-/0 ENCOUNTERED?, IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Dat:~%%~ Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND , FT 'ERFORMED BY: ~'--~ ~._ ~,J CERTIFIED SY: DATE: 12-008 (6/79) 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 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) (b) ! Location (address or directions) Property owner Mailing Address Lending Institution (c) Telephone: (home) Telephone Business Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here~il~if hold for pick up.) List contact person aqd day phone number below: 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 ~ Public [] Community [] Holding Tank [] On-site Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. z2025(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 verifythat 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 ' 1; "7'- I Address Date 6. DHHS APPROVAL Approved for ~ bedrooms by Approved ~/k Disapproved Terms of Conditional Approval Date '7/'2. G/clo Conditional The Mu nicipality 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 DH HS 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. 72-025 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHI=c-~FIF~.~G~ FEBRUARY 1984 NICJPALITY ~) ~ "AN L'~TOF"~ 4~',.4 ? 4 4 ~:NVIRONM~NTAL S~RVI~S Legnl Desarip~ion: JUL2 1990 A. WELL DATA IVED Well Classification Well Log Present (Y/N) Y Date Completed TotalDepth 15~ Casedto 1~.~ Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) Pump Set At ~' J Sanitary Seal on Casing (Y/N) Y Depression Ai'ound Wellhead (Y/N) Static Water Level j Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Y SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ~ 8 To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots ~ J /,,I ; On Adjoining Lots To Nearest Public Sewer Line J~)/4 To Ne~arest Public Sewer Cleanout/Manhole To Nearest sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ~, O I.., ~, ¥~ ~,~, B. SEPTIC/HOLDING TANK DATA Date Installed '7,/~='Size I )-..~0 No. of Compartments Standpipes (Y/N) '~f Air-tight Caps (Y/N) Y Foundation Cleanput,~Y/N) Y Depression over Tank (Y/N) ~ Date Last Pumped ~1~/{~ 0 Pumping/Maintenance Contact on File (Y/N) ~/,~ ;for Holding Tank High-Water Alarm (Y/N) JI~IA Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Watel;-Supply Well ~ ~ To Building Foundation / b To Property Line ~ ~ To Disposal Field To Water Main/Service Line /~J To Stream, Pond, Lake or Major Drainage Course Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata I ~, ~~/'~ ~,- Type of System Design 1"~'/~ Uatelnstalled '~/~,~"' ~ ~/~O Length of Field ~,f 4. [~ Width of Field ~-' Depth of Field / ~" Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test Gravel Bed Thickness ~ Statndpipes Present (Y/N) Date of Last Adequacy Test Y SEPARATION DISTANCE FRC)M ABSOR~PTION FIELD: · To Water-Supply Well ~ 0 O To Property Line ~ ~) To Building Foundation ~ t _ To Existing or Abandoned System on ; On Adjoining Lots k,I lA J~) / ~/~ TO Cutback (if present) /~J /A Lot ¢ ! A To Water Main/Service Line _ To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D, LIFT STATION ' _~_ Date Installed Dimensions Size in Gallons Manhole/Access~--~~ "Pump On" Level at . "Pum~.~vel al High Water Alarm Level at r,'J Vent (Y/N) Tested for ~._~J Pumping Cycles during Adequacy Test. Meets MOA Electric.a.~e¢(¥~) **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in eff.ec,t.on the date of this Company Date ~., ~ ~ ~,, .,,,~,~ ;¢,;~ ,~;~~s Seal Receipt NO. ~0~¢ Receipt NO Date of Payment '~ ~-:~'~- ~(~') Waiver Fee: $ Amount: $ ,./7~¢),~ (.9"~ Date of Payment 72-026 (Rev. 7/88)Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES ~ L[ / - (~- .~'(.-"~ DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL y.\ OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include Iot,,block, subdivision, section, townshil~.range) Location (address or directions) (b) PropedyOwner~ ~O~U~ _Telephone:Home~'4~-~Business~-~ Mailing Address./~ ~*~ ~Y~ ~ ~ ~/~ (c) Lending Institution~~ ~/~ Telephone ~¢ Mailing Address ~¢ ~/" ~~' ~ (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the followinq address: or; Check here O~', if hold for pick up. List contact person and day phone number below. 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 the legality and status. Page I of 2 SEWAGE DISPOSAL Onsite [] Public [] Community [] Holding Tank [] Note: If corn munity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. NOI.LrI¥o · IBUO!~!puoo IB^oJddv IBUO[l!puoo lo slJJJeJ~ pa^oJddBslQ ,~~.Aq s~ooJpaq-- ~ Pa^°Jddv ~]] JOJ pa^oJddV lYAO~dd¥ SHHQ '9 'uo!]oedsu! S!LII lo aIBp uo joB jiB u! suol]Blnl~gJ pub 'SaOUBUIp]O 'sapo0 9~8~8 pub led~o~un~ lie q~l~ aoU~.ld~oo u. s. [uals~s lesods.p Jo/puB ~lddns ~9~ al!S-uo aq] 'uolloadsul pu~ uo!l~6l]sa~u! ~ ~o]j pu~ sa1]~ eSe~o[IoU~ Jo Al!led!o!un~ aLII peu!e~qo uo~]e~JOjU~ 9[i] uo pos~q ~q] ~J[JOA Jaq~Jnl I 'u!aJ~q pel~olpu~ aJnlonJ~s lo edA~ pu~ s~ooJpeq jo ~oq~nu eq~ Jo 8]enbap~ pub ~uo!loun 'al~s si ~8 s~s ~sods~p Jaie~a s~ Jo/puB Xlddns ]a e~ 8].s-uo aql leql s~oqs leAoJddV ~luoqlnv H]IBaH s!q] lo UOIIB6!ISaAU! ~w IB[ 1X !JOA '~O aq u~oqs a ep uo! 9p!IBA Oq ]O Se pub OiOJoq pOX.HB I~OS XLU Xq po I ]JeO sv NOI.LV~OJNI ON~ ~ZVO 'HOaV3S 3ql~ '81831 'SNOIZOadSNI ONlalAO~d ~la 9NIS]]NIBN3 '9 A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST ~ FEBRUARY: 19~4 , 264-4744 Legal Description: Z~/~'-~ Well Classification ,/~/,~',~:~"/~ If A, B, C, D.E.C. Approved'(¥/~ We,,.ogPresent( N) Y . om..eted / Total Depth /~/ Cased to /~/ Depth of Grouting Static Water Level ~/~ /~' ~/~ ~ Pump Set At Casing Height Above Ground Sanitary Seal on Ca~i~g ~N) Electrical Wiring in Conduit ~N), , ~ Depression Around Wellhead Separation Distances from Well: To Septic/Holding Tank on Lot ~/~ ', , ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot +/~'/' ; On Adjoining Lots To Nearest Public Sewer Line + ~/ To Nearest PubJic Sewer Cleanout/Manhole + 1 ~ / To Nearest Sewer Service Line on Lot Water Sample Collected by ~/'~ ~ ; Date Water Sample Test Results ~ ~f~¢~ Comm.n,s %¢ %¢. SEPTIC/HOLDING TANK DATA Date Installed ~/85 ' -~ize 1250 Standpipes (~N) / Air-tight Caps~N) Depression over Tank (Y(~) Pumping/Maintenance Contract on File (Y{~ Holding Tank High-Water Alarm (Y~) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line -/~ ~) / To Water Main/Service Line -~ 2. Course "~ No. of Compartments / Foundation Cleanout (~N) Date Last Pumped ~//~.//~ ; for Temporary Holding Tank Permit (Y~) To Building Foundation To Disposal Field Comments To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72 026 IRev 8/861 Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ]~;~ ~,,~ ¢¢~' ,bCd kCGcv~. Date Installed "¢~/,'¢J~ /) ~/~/~%' Width of Field ~,~ ~ ' '" Square Feet of Absorption Area Depression over Field (Y,~ Results of Last Adequacy Test _ Separation Distan(~e from Absorption Field: 4' 100 ' To Water-Supply Well · To Building Foundation '-~ /O z Lot NA TO Water Main/Service Line .~b~ t To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area,. or Vehicle Storage Area Type of System Design Length of Field ~,/ Depth of Field /,~ Gravel Bed Thickness ~ Standpipes Present Date of Last Adequacy Test To Property Line '-/--10" ' To Existing or Abandoned System on ; On Adjoining Lots : To Cutbaak (if present) Comments Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions __ Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that~ave checked, verified, or conformed to all MOA and HAA guidelines in affect on the date of this inspection. Signed / .,~.¢-,¢~ ~ Date ~./~. 9.~/~2 No I ~ r r ~ ~ ' ReceiptNo. ~ /7~3(¢¢~) Date of Paympn~ ~ ¢~ ~, ~ 0 Page 2 of 2 72-026 fRev 81861 Back NORTHERN TES¥tN8 LABORATORIES, INC. 2505 PAIRBANKS STREET ANCHORAGE, ALASKA, 99503 907 277-8378 '* FAX 274-9645 800 UNIVERSITY PLAZA WEST, SUITE A FAIRBANKS, ALASKA 99709 907-479-3115 o FAX 479 0547 Quality Control Report Client: ID#: Tryck, Nyman & Hayes A022090-1 Listed below are quality control assurance reference samples with a known concentration prior to analysis. The acceptable limits represent a 95% confidence interval established by the Environmental Protection Agency or by our laboratory through repetitive analyses of the reference sample. The reference samples indicated below were analyzed at the same time as your sample, ensuring the accuracy of your results. Sample # Parameter Unit Result Acceptable Limit EPA WP284-4 Nitrate-N mg/1 1.36 1.28 - 1.66 Francois Rodigari, Anchorage Operation Manager NORTHERN TESTING LABOFRATORIES, INC. 2505 FAIRBANKS STREET ANGHOF~AGE, ALASKA 99503 907 277 8378" FAX 274-9645 600 UNIVERSITY PLAZA WEST, SUITE A FAIRBANKS, ALASKA 99709 907-479-3115 - FAX 479 0547 Tryck, Nyman & Hayes 911 West 8th Ave. Anchorage, AK. 99501 Attn: Bill Thomas Date Arrived: 02/20/90 Time Arrived: 0850 Date Sampled: 02/19/90 Time S~pled: 1535 Date Completed: 02/20/90 Source: L5 B2 Stuckagain Heights Sample ID#: A022090-1 NTL ID# Client ID Nitrate-N ADEC MCC* mg/1 A022090-1 L5 B2 Stuckagain Heights 1.5/1.4 10 Reported By: Date: 02/21/90 Francois Rodigari, Anchorage Operations Manager * MCC = Maxim~un Contaminant Concentration NOl'£: Tht$ p/~ I~ nat Rocertifled 10 February 1000 added wood deck, wood steP8 and sidewalk espt~alt Darldng area, driveway, septic vent ties and mtso cllmenslons 7501.0 B.T. NOTE: The limits of the asphalt cou}d nol bo determined at tills time cue to excessive snow and Ice cover. PREPARED FOR= HERESY CERTIFY THAT ~,N ACCURATE SU~E,E OF THE FOLLOWINe DESCRISED PROPERTY~ N/ STUCK~AIN MANOR WAS MADE ON~¢t°ber ~ 1~8~ AND THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND DO NOT OVERLAP OR ENCROACH / SCALE I"= / / / / / / t,~ / ON THE PROPERTY LYING AD~JACENT THERETO AND THAT NO IMPROVEMENTS LYING ADdACENT THERETO ENCROACH ON THE PREMISES IN QUESTION AND THAT THERE ARE NO ROADWAYS~ TRANSMISSION LANES OR OTHER VISISLE EASEMENTS ON SAID PROPERTY EXCEPT AS SHOWN. ANCHORAGE, ALASKA, THIS ~7/~ DAY OF ~O~E/' , IS~. Tom Fink, Mayor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 March 16, 1990 Carey Meyer, P.E. Tryck, Nyman and Hayes 911 West 8th Avenue Anchorage, Alaska 99501 Subject: Waiver Request for Lot 5 Block 2 Stuckagain Manor S/D Waiver Request #WR900009, PID ~041-023-06, HA900070 Dear Mr. Meyer: Your request for ~aiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 92 feet from well to septic tank and 97 feet from 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, Daniel J. Roth Civil Engineer On-site Services J6hn Smith, P.E. Program Manager On-site Services ljm:#6 TRYCK NYMAN ENGINEERS/SURVEYORS/LANDSCAPE ARCHITECTS~" TRANSPORATiON and COMMUNITY PLANNING 7501.0 March 9, 1990 Mr. Dan Bowles Municipality of Anchorage Health and Human Services 825 L St. Anchorage, Alaska 99501 Re: Separation Distance Waiver Request Lot 5, Block 2, Stuckagain Manor This is a request for a waiver to the 100 foot separation distance between the septic tank and the well; and the absorption field and the well on the above referenced lot. Attached is a drawing showing the location of all septic system improvements and the existing separation distances. Also enclosed is the waiver fee. The well is 92 feet from the septic tank and 97 feet from the absorption field. The well is cased to 157 feet, a sanitary seal is in place and the wiring is in a conduit. There is positive drainage away from the well head. Surface drainage from the septic tank and absorption field area does not flow toward the well. The septic system accepted the required volume of water during testing lamt week. We are convinced, for the reasons stated above, that a waiver should be granted. Should you have any questions, please call. Sincerely, TRYCK, NYMAN & HAYES Project Manager PARTNERS FRANK E. NYMAN JOHN ~ CHAPMAN WILLIAM M. SMITH 911 West Eighth Avenue · Anchorage, Alaska 99501-3497 · (907) 279 0543/FAX (907) 276-7679 Recertlfied 19 February 1990 added WOOd deCK. WOOd sleds and sidewalk, aeD~I[ 2arklng area. driveway, septic vent ties and misc dimensions 7501.0 Er,T, NOTE: The Ilrrlts of the aspl~lt could not be determleed at this time duo to excessive snow and ice cover. PREPARED FOR: STUCiqAGAIN MANOt~ WAS MAOE eN October ~ SCALE I"= / / / = P. 76 l I t, I1~11, !/, · · ' .tuL~ =! / ,// ~ TRYCK NYMAN E HAYES ENGrNEERS/SURVEYORSILANOSCAPE ARCHITECTS TRANSPORATION and COMMUNITY PLANNING 7501.0 MUNICIPAtlTY OF ANCHOP~ DEPt. OF HEALTH & ENVIRONMENTAL PROTEC'rlC~ RECEIVED March 14, 1990 Mr. Dan Bowles Municipality of Anchorage Health and Human Services 825 L St. Anchorage, Alaska 99501 Re: Separation Distance Waiver Request Lot 5, Block 2, Stuckagain Manor' Dear Dan: This is to supplement the information transmitted to you on March 9th regarding the separation distance waiver request for the above reference lot. This information relates directly to the separation distance waiver guidelines and documents the basis for defining rating system point values. Water Table - The well log and percolation test hole log reflect generally sandy and gravely soils at the site. The well log suggests that the water bearing strata at this well site is located at 157-159 feet and that it can be considered a confined aquifer. Therefore, since the highest static water level recorded in this well is 103 feet, the distance from the bottom of the well to the high,st water table is 95 feet. Based on this, the point value would be 6.7 for the water table element of the rating system. Soil Sorption - The predominant type of soil above the water table appears to be best described by the "course clean sand" soil sorption soil type. This would establish a value of 1.5 for this element of the rating system. ~ermeabi]ity - The permeability soil type "sandy gravel" best describes the predominate soil type. This would establish a value of 1.0 for this element. Water Table Gradient - The average slope of the ground surface in this area is approximately 12% per MOA topo grid maps. The gradient of a line from the water' table under the septic system (@95') and the maximum drawdown elevation of the well (recorded at 140 feet) is approximately 50%. Using the worst case 12%; the point value for water table gradient is 6.0. PARTNERS FRANK E. NYMAN JOHN ~ CHAPMAN WILLIAM M. SMITH 911 West Eighth Avenue '" Anchorage, Alaska 99501-3497 ,, (907) 279-0543/FAX (907) 276 7679 TRYCK NYMAN E HAY( S; Horizontal Separation - The horizontal separation between the absorption field and the well is 97 feet. This established a point value of 2.7. I hope this information will provide the documentation you need to grant the requested variance and issue the Health Authority approval. We feel the above point values have been conservatively calculated. Yotlrs very truly, TRYCK, NYMAN & HAYES ~.,~IUNICIPALITY 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 GENERAL INFORMATION (a) (b) Application Date Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Applicant Name~~I//'~O~ ~ Telephone: Home .~?-~ Business Applicant Address (c) Applicant is (check one): Lending Institution []; Owner/builder~; Buyer []; Other [] (explain); (d) Lending Institution _'~/~' ~/5. Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following a~idress: TYPE OF RES?CE Single-Family K_..I Multi-Family [] Other Number of Bedrooms ~7~ WATER SUPPL.~ Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Depar[ment of Environmental Conservation attesting to the legality and status. /' L 4.SEWA~E)'ISPOSA Onsite L~ Public [] Co,mmunity [] Holding Tank [] Note: If community w. eH system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legalit~ and status. Page 1 of 2 ; INFORMATION E. INEERINO .RM P.OVIDI I.S.ECTIONS, TEST , FILE As ce~ified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approwl shows that the on-site water suppty and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I fu~her verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water suppty and/or wastewater disposal system is in compliance wi~h ali Municipal and State codes, ordinances~ and regulations in effect on the date of this inspection. NameofFirm ~ ~J~__ ~/~ Telephone ~~'~ Address ~// ~ ~ ' Engineer's Seal / DHEP APPROVAL Terms of Conditional, "~""~'"~ Date Conditional CAUTION The Muncipa[ity 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 Jn 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 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MO~T'J HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION 264-4720 Le_g~ De;scription: /~d'~- ~' WELL DATA Well Classification ~('fO'~l~~[ IfA, B, ~Approved (Y/N) Well Log Present~N) Date Completed ~ Yield Total Depth /',~"~ Cased to Static Water Level /~' o~ ~' Casing Height Above Ground Electrical Wiring in ConduitS/N) Depth of Grouting Pump Set At Sanitary Seal on Casing Depression Around Wellhead (~.~_ Separation Distances from Well: To Septic/Holding Tank on Lot ~:;~ ' ' Water Sample Test Results O Comments SEPTIC/HOLDING TANK DATA Date Installed 2 /4j?~ Size /Z~'~O NO. of Compartments ~- Standpipe~ ~-~ Air-tight Caps (Y~?_ Foundation Cleanout~/N) Depression over Tank (Y~) Date Last Pumped /~J' ~"~¢~'~- pu m ping/Maintenance Cent ract on File (y/~,~,{ ¢r_~,[/~-¢ ;for dl Holding Tank High-Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) ~ Separation Distances from Septic/Holding Tank: ¢8' To Water-Supply Well To Building Foundation To Property Line ~C) '" To Disposal Field .~ O ~' To Water Main/Service yine ~(~ To Stream Pond, Lake, or Major Drainage Course h(/¢ Comments Page I of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata //--~- ,-~ Date Installed_ 7 Width of Field _ '~.' ~' Square Feet of Absorption Area Depression over Field (Y/~) Results of Last Adequacy Test Separation Distance from Absorption Field: ~ ' ~1 ' To Water-Supply Well T° Building F°undati°~,.~ Ij(~..'' Type of System Design Length of Field ~ / / Depth of Field / Gravel Bed Thickness Standpipes Present (Y')N) Date of Last Adequacy Test To Property Line Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To E~i~ng or Abandoned System on ;On Adjoining Lots R//_~ f T° Cutbank (if present) ~*'~/~ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** M a n h ole/Ac .c..e.$s.'~N ) "Pum~ Off" Level at Vent (Y/N) __ Pumping Cycles dudng Adequacy Test. Meets MOA I certify tha.tJ, have checkedcvefi4ied, or c¢~for med to all MOA and HAA g uideli nesin effect on the date of this inspection. Signed/~-")¢'/~<¢ ~/~ '/~.%~'~/,~-L~ato ~ ~"~ Receipt No. 2~ ~ ~ Dateof Payment /~/r~ :: . ' '; 25 ,'-, Page 2 of 2 TRYC:K-NYMAN & HAYES WEST 8th AVENUE , ANCHORAGE, ALASKA 99501 fTO Department of Health & Human Services DATE October 11, 1985 SUBJECT Request for Waiver MESSAGE This is to request a waiver from the 100 foot separation requirement from well to septic tank for Lot 5, Block 2, Stuckagain Mano? because it has already been constructed within 2 feet of the required separation. cc: Dana Sorum ~ D. j~. Johnson REPLY ~ %~ SENDER- KEEP YELLOW COPY FOR YOUR FILE. MAIL WHITE AND PINK COPIES. /? unicipallit:y A cl ,o age P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLE$, MA YOFI DEPARTMENT OF HEALTH & HUMAN SERVICES October 23, 1985 D.C. Johnson Tryck, Nyman and Hayes 911 West 8th Avenue Anchorage, Alaska 99501 Subject: Waiver Request WR85-042 Lot 5 Block 2 Stuckagain Manor Subdivision Dear Mr. Johnson; This Department has reviewed your request for a waiver of the minimum horizontal separation distance requirement between the well and septic tank on the subject lot. This requirementhas been waived to 98 feet. This waiver is valid for the existing system only. Sincerely, Civil Engineer On-site Services SSM/ljw PREPARED FOR= D~n~ ~rurn ~ ~ --mR~D2a TRYCK NYMAN 8HAYES / / / / / / / / / / / / / / SCALE I"= 40' ) HEREDY CERTIFY THAT AN ACCURATE OF THE FOLLOWING DESCRIBED PROPERTY~ tOT 5, ~ZOCK ~, 8TUCKAGAIN MANOI~ WAS MADE ON~c/Ober ~ /~8~ AND THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND DO NOT OVERLAP OR EHCROACH ON THE PROPERTY LYING ADJACENT THERETO AND THAT NO IMPROVEMENTS LYING ADdACENT THERETO ENCROACH ON THE PREMISES IN QUESTION AND THAT THERE ARE Oc/ob~r ANCHORAGE, ALASKA, 1'HIS DAY OF , IS~5. / / ~ / f //I / / I I