HomeMy WebLinkAboutSUMMIT ESTATES BLK 2 LT 16Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
DISTANCE / ZS-' NUM EROF
FROM WELL MANUFACTURER MATERIALcg-~C` ]~/$~'~COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH . LIQUID DEPTH
SEEPAGE PIT: ~A",~ //}t2
NUMBER OF PITS J DIAMETER OR WIDTH
LINING MATERI,~,I'~'/~YLC, ~:~)('/~RIB SIZE: DIAMETER
BUILDING FOUNDATION
NEAREST LOT LINE
.LIQUID CAPACITY
LENGTH DEPTH
DEPTH (.~ DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
GALLONS.
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ~/~m;
BUILDING
FOUNDATION __
//~.. ~]4/]/C CONSTRUCTION
NEAREST
LOT LINE
CESSPOOL
OTHER SOURCES
APPROVED
DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC/ ~-~ /, SEEPAGE
SEWER LINE TANK / ~' / SYSTEM .// ~'~ '
DISTANCES:
INSTALLED BY: ~ Y/ fl/}~'~ ~
PIPE MATERIAL:
LOT SLOPE:
Form No, EQ-031
DIAGRAM Of SYSTEM
~/
Greater ANChORAge AREA Borough
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561 J~,~ ,
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME OFAPPLICANT ~~__~ MAILING ADDRESS
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
SEEPAGE Pit ~ DRAIN FIELD
OTHER
TO BE INSTALLED BY
FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEEPAGE AREA SIZE TYPE
DIAGRAM Of !SYSTEM
SEPTIC TANK SIZE TYPE
MINIMUM DI~*TANCE~, REOUIREMENT~
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TAI~K TO SEEPAGE PIT WALL -
SEPTIC TANK .,seePAge Pit
TO NEAREST LOT LINE.
~eLL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIT
TO RIVER· LAKE. STREAM.
, DRAIN FIELD
ALSO CONSIDER AREA WELLS,
· SEEPAGE Pit
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge PIT
GRAVEl. BACKFI~ '
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
[ CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
FORM NO* EQ-016
GRE/,. ,~R ANCHORAGE AREA BOR. "IGH
Department of Environmental (~uality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK,:
DISTANCE NUMBER OF
~.o~ w~ ~A~AC*U~ ~ ~n~ ~,~,~ ~, ~/~/~ co~,~,~ /
INSIDE LENGTH ~' b' INSIDE WIDTH
LIQUID CAPACITY GALLONS.
NUMBER OF PITS / DIAMETER OR WIDTH LENGTH DEPTH ~
LINING MATERIAL~C ~C~CRiB SIZE: DIAMETER__DEPTH~/ DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION NEAREST LOT LINE~ ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE *~ f~ ~'~ CONSTRUCTION DEPTH
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION __ LOT LINE SEWER LINE TANK
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
INSTALLED BY:
PiPE MATERIAL:
LOT SLOPE:
Form No. LQ-031
DIAGRAM OF SYSTEM
GrEATEr ANCHORAGe ArEA BOrOUgh
~,~EWAGE DISPOS~AL SYSTEM -- APPLICATION AND PERMIT
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4361~'
PERMIT NO
INSTALLATION OF: SePTiC TANK ~ ~ SEEPAGE PIT ,~/~ . OTHER
FINANCED THROUGH ~ TO BE INSTALLED BY
~/~ ' NOTE, THIS PERm ~ VALID WITHOUT SOIL T~ST
~y~ i WITHO~. FINAL INSPECTION BY TN
:INAL INSPECTION: 24 HOUR NOTICE REQ IRED. BACKFILLING OF AN'~ S¥STE~V
DEPARTMENT OF ENVIRONMENTAL QUALIT THORITY WILL BESUBJEC'I TO PROI ECUTI
~EPTIC TANK SIZE . TYPE EEPAGE AREA SI .~E / TYPE
OF SYSTEM
FOUNDATION TO SEPTIC TANK
SEEPAGE PIT WALL
/~
SEEPA
DRAIN F~ELD , ALSO'ICONSIDER AREA WESL~
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS.
Gl~AVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDJ~'~G INSTALLATION.
I CERTIFY THAT ]AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-6 D~THAT THE ABOVE
OATE APPLICANT'~ $ISNATURE
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE DISTRICT OFFICE
3601 C STREET, SUITE 322
ANCHORAGE, ALASKA 99503
/
/
WALTER J. HICKEL, GOVERNOR
(907) 563-6775
RECEIVED
~,. ~ ~1;:~, April 2, 1992 APR 6 199~
.
Anchorage, Alaska 99508 ~ ~- ~ .. ~:. ~
Subiect: koi ~, Block 2, ~ummit Estatos, Anchorage, A~aska, Wastowator ~
Disposal Systom, ADfiG ~rojoct ~umber
¢22~-D~-0~8, ~oviow
Dear Mr. Pearson:
This is in response to your submittal, received in this office on February 28, 1992, which
included a site diagram of the proposed holding tank and several reasons why a
conventional wastewater disposal system should not installed on the above-referenced
property. I have reviewed the submitted information, this office's file on Summit Estates,
and pertinent design and wastewater treatment criteria. Based on this review, I have the
following comments.
Based on the intended use of the facility and your assumption of the subsurface soil
conditions, as detailed in the submitted data, it appears that a conventional wastewater
disposal system would degrade the aquifer that is currently being used as a source for
several private and public water systems. The degradation could result in contamination
above the maximum contaminant concentration levels for the parameters noted in the
State Drinking Water Regulations. Thus, the rationale for the use of the proposed holding
tank is accepted by this Department.
Therefore, subject to the following requirements, the construction plans are approved for
the concerns of this Department, in accordance with the provisions of 18 AAC 72,
Wastewater Disposal Regulations.
The installation of the holding tank will be monitored by a Professional
Engineer (P.E.).
Complete as-built drawings of the hold tank will need to be submitted to this
office under the stamp of a P.E. The submitted as-built drawings will need
to verify the depth of burial and the location of the high-level alarm.
Mark Pearson 2 April 2, 1992
3. The attached forms will need to be completed and returned with the as-built
drawings.
4. Calculations that were used to size the holding tank will need to be
submitted to this office under the stamp of a P.E.
5. Specifications on the high-level alarm system will need to be submitted to
this office.
6. A copy of your February 23, 1992 letter will need to be submitted to this
office under your stamp as a P.E.
This approval does not imply the granting of additional authorizations, nor obligate any
state, federal, or local regulatory body to grant required authorizations.
Thank you for your cooperation with this Department. If you have any questions, please
do not hesitate to contact me.
Sincerely,
Keven K. Kleweno
District Engineer
KKK/cf'
Enclosures: As Stated
cc: John Smith, MOA/DHHS, w/o Enc./
':= APPLIC ?T FILLS OUT UPPER HAL ,ONLY"
j~; oped~ ~Ow~er * ,*. , Phone
Buyer
Address Zip Code
Lending Institution ~, ~5~ ~ ~ ~D/ ~ ~O~J Phone
Address ~ ~7 ~ ~~ 5~ Zip Code
Realty Co. & A~nt Phone
Address Zip Code
Type of Resi~noe
~Single Family
~ Multiple Family No. of Bedroo~
~ Other
Water Supply
~lndividual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975.
~ Community For wells drilled prior to lhat date, give well depth (attach log Jf available);
~ Public Utility
Sewer Disposal
~lndividual Year Indiv~ual Installed:
~ Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATEd.
Time Time Time Time
Inspector Inspector Inspector Inspector
Field Notes:
( ~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAP~OVED
( ) CONDITIONAL APPROVAL*
Soils Raling Date ~wer Inalalled Well To Absorplion Area J
72-023(3182)
August 10, 1982
D. [~ichael Hellings &
SP~ Box B5
Anchorage, AK 99507
Susan Russell
~ub]ect. Lot 16 Block 2 Summit Estates
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
Exposed electrical wires to the well head are in violation
of the ~unicipality of Anchorage codes and must be encased
in conduit.
°~ ~[~Te water analysis report needs to be submitted to this
office from the Chem Lab, '_~63~ B Street, for our review.
The septic tank pumped v;ith a receipt submitted to -this
department.
ur ( cast be installed to
tank and/or leaching area. ~
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system is
pd.equate according to ~]ational Standards. A listing of
rlvate firms performing the test is enclosed. This report
~eeds to be submitted to this office for our review.
The.standpipe to the sewer system need caps on them.
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
Cory
Enclosure
ALASKA LAND DEVELOPMENT SERVICE5
Engineen . Sun, eyon - Plannen
4546 BUSINESS PARK BOULEVARD
ANCHORAGE, ALASKA 99503
August 24t 1982
PHONE (907)
279~7451
Susan ~ellin~s
SRABox 8~
Anchorage~ Alaska
99507
To Whom It May
Ref: Adequacy Test on Seepage Pit and Septic System
on Lot 16~ Block 2, Summit Subdivision
On August 18~ 1952t I started an adequacy test 'on Lot 16~ Block 2,
Estates Subdivision for Susan Helllngs3 The property was inspected b~ myself
and George Strother on August 16~ 1982. The house on the property is a five
bedroom two story single family dwelling. The well is in the front of
property and the septic tank and seepage pit are on the back of the lot.
There is more than a 100 foot separation between the well and the pit. The
well casing is approximately thirteen inches above the surface~ The well seal
appears to.be tight and functional. A water sample taken by the Municipality
of Anchorage Health Inspector on August 9~ 1982~ is found to be acceptable. A
copy of those results is enclosed with this report.
The pit was pvmped on August 17~ 1982. On August 18~ 1982 at 10:20 AM~ clear
water was run into the pit at the rate of 7.5 g.p.m.~ the maximum flow that
would come through the garden hose. This rate was continued untO! the maximum
da~ly rate had been pumped into the pit. The ~ater level in the pit was
measured from the top of the cleanout pipe. The depth to water level prior to
starting was 8.5 feet. Eight hundred §allons of water were pumped ~nto the
pit. At the end of the first day of pumping~ the water had risen .55 feet.
Twenty-four hours later~ the water level was at 8.45 feet from the top of the
stand pipe. Om August 19~ 1982 starting at 1:05 PM another 800 gallons was
once again pumped into the pit with the depth monitored at 50 gallon
intervals. At the end of this pumping~ the water level was at a depth of 7.55
feet from the top of the stand pipe. On August 20, 1982 at 4:00 PM~ the pit
was again measured~ the depth to the water level was at 8.45 feet from the top
of the stand pipe. This is within .05 feet of the original water level.
In concluslon~ this pit satisfies the requirements of the Munclpallty of
Anchorage's adequacy testing procedures.
If you have any questions~ please call my office.
Sincerely,
ALASKA IAND DEVELOPMENT SERVICES~ INC.
J~es R. Anderson, P.E.
JRA/as
ALASKA LAND DEVELOPMENT SERVICES
Engineers. Surpeyors - Planners
4546 BUSINESS PARK BOULEVARD
ANCHORAGE, ALASKA 99503
PHONE (907)
279-7451
September 20, 1982
Municipality of Anchorage
Department of Public Health
Pouch 6-650
Anchorage, Alaska 99501
Attention= Cory Willis
To Whom It May Concern:
MUNICIPALITY OF ANCHORAGE
ENVh,,:~!. t. A. ! ;O E ,': I
1982
RECEIVED
In reference to the letter I wrote on August 24~ 1982~ regarding the Adequacy
Test performed on the septic system on Lot 16~ Block 2 Summitt Subdivision the
second paragraph should read~ "The pit and tank were pumped on August 17, 1982.
If you have any questions~ please call my office.
Sincerely,
ALASKA LAND DEVELOPMENT SERVICES~ INC.
mes R. Anderson~ P.E.
JRA/as
L~ I$~
~JLL J ~ j¼t
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection
Date of Inspection
1. Approval requested by:
Mailing Address:
2. Property Owner:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Phone:]
Phone:
Mailing Address:
2'/ /2 .n
5. Type of facility to be inspected
6. Well Data:
A. Type ~
C. Construction ~ ~ ~- ~)
7. Sewage Disposal System:
No. of bedrooms
B. Depth
D. Bacterial Analysis
A. Installed /?~'~ B. Installer Z~~'~'~
C. Septic Tank: 1. Si~/~O0~. ~,~'~'~'~"~ma~m~-~u~er~-'L~/~'~
D. Seepage Pit: 1. Absorption Area 2. Material (_~-~_, ~
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank /~-~-- , Absorption area
Nearest lot line ~ , Other contamination
B. Foundation to septic tank
/~-~--- , Sewer Lines __
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1174)
Page 1
of two pages
Page 2 of two pages - Re.st for Approval of Individual S~Wer & Water Facilities'
Legal Description
Comments
Approve' ~.V~_~2~_.~DisapproveX/~ ~ Date :--~/-~.~
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
Date
£0-034 (1/74)
,, P~ge 2 of two pages - Re .~st for Approval of Individual %~ler & Water Facilities
LEgal Description
Comments
Approved Disapproved~// Date
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environm.e__n~a]_gu_a]±ty~-
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating sati sfactori lY. z~.-~-~
sIGNED ~-~ ~ -~ ~]~''~ ~Date ~ ~ ~/~ ~P
EQ-034 (1/74)
Municipality of Anchorage
D~velopment Services Department'"
Building Safety Division
On-Site Water and Wastewater Program
.. 4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak, us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 0/5-- ~'0 '7 ~ - O3
1. GENERAL INFORMATION
Complete legal description ~,o t
Location (site address or directions)
:
Current Property owner(s) '
oq:
Expiration Date:
16; Block 2; Summit Estates
5641 East 98th St.
o. tzo
Georgia Benois
Day phone
Mailing address
Lending agency
Cal~ f~r'nia
Day phone
Mailing address
'Real Estate Agent ,q,,~.~nnp Cnn1 I Pr"r~'nt~-9] Vi~YPh°ne 689-6474
. Mailing Address 16635. Centerfield Dr. Eagle River, AK 99577
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY: '
Individual Well :~
Individual Water Storage []
Community Class ~'Well I--I
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site [j~
Individual Holding tank [-I
Community On-site [-'1
Public Sewer [-'1
I
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska: CertifiCates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates Of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.. '
4. 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,
based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-.
site water supply and/or wastewater disposal system is(are) 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/6r
wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances,
and regulations in effect at the time of installation.
Name of Firm S & S Engineering Phone 694-2979
Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577
Engineer's Pdnted Name Robert C. Cowan
DSD SIGNATURE
L/ Approved for ~'
Disapproved. .,
Conditional approval for
bedrooms..
bedrooms, with the following stipulations:
Additional Comments
By:
Attachments:
HAA Checklist
Septic System Advisory
Well FIowAdvisory .
Maintenance Agreements. ,, ,
Supplemental Engineer's RepOrt
Other
Original Certificate Date: /-/' '- ,~/- 0
(Rev. 0t/02)
LegalDe~c~iption:~L,0'T-.: :_.... . :,/0 ~/.,oc,~ ~,. S~rnr~, ~
A. WELL DATA
Well t~,pe~.~iv/t- T ~ If A, B, or C pro'vide'PWSlD # --
Ce
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site
Water.&
Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
. · www.ci.anchorage.ak.us .,~
(907)'343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
~--.,~ 7-,~r¢4' iSar~cel ID:
: l
Well Lo,g (Y/~
Date c6mpleted I ~ (~ .5 Sanitary seal (~/N) Y~-'..J' Wires properly.'protected (~N)
Total depth Go +ft. Cased to
. . . (~bove ground)
, i It' FROM WELL LOG AT INSPECTION
Date of ~es
Static water l'evel ~J, ft. ~ el i
Well production ~ 9;p.m. : - (~, '~ i g.p.m.
WATER SAMPLE RESULTS:
, i
Coliform ! colonies/100 mi. Nitrate .3.5-,3. mg./.
~rsenic: c/.~o~-~i~g;/I. ~-, .. .... DatebfS~i~nple' ,. ,.~
SEPTIC/HoLDING TANK DATA
y,,,~....~
~-+ in.
.Other bacteria o colonies/100 mi.
'1~.5' & S ENGINEERIN '
Collected ~i Y'iio$4 ,~;!~ ~;v~. Loop Road No: 2u~.
,' F. agle River, Alaska 99577
i
Tank Type/Material,, '~' ~-,/3 7"t c- $ 7"p.~ ~. L.. ~ Date installed / O ;;:L
'l ,,5"f o '0 "'gal
Tank s~ze~ . . -Number of Compartments
Found.ati&r{ i:leanoutl~N) ~. $ Depression over tank (.'Y~ ,,-,' O' High water alarm (Y/t~ "' o
ABSORP, TION FIELD DATA ' '
Dateinst~ll~ld'-)o/q'/03- .S0ilrating ~0rft2/b~rm) )-~),- Syste. m~ype! 1 T~,,,,<://
Length' ,'-t 'J~ ~ ft, '. Width , [~ '': 3 ' ft' Gravel brelow pipe '~'- ft.
Total depth i ~ ft. Eft. absorption area~ 5'0 ft~ !'Monitoring tube "Y~J' :iDepression over field ~ o
Date of adequacy test - "Results
(Pass/Fail)
For
bedroom
$
Fluid depth'in absorption field before test
. /~~ ....... u · ; Newd~pth':' * in.
Elapsed Time: min. ! F~: in,'.
Any rejuvenation trea~j~ent~past 12 mo.) (Y/N & type) ! ·::If Yes, give date
, r:/ ' ''" .------''""--
LIFT STATION
Date installed Size in gallons
"Pump on" level at in. "Pump o~
Datum ~~"- CyCles tested r
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL'ON'LoT TO:
· Septic tank/lift station on lot,/b o '-/-:
Absorption field on lot ) O o ~-/-
Public sewer main ~J
Sewer/septic Service line r ~.5'" ''J--
Manhole_~gm.c~c ,v,,,,
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Water main ¢'~/'~
Wells on adjacent lots ) O 0 ' ~
in.
!
Property line b"" -/-
!
Water service line
Property line J 0
Water Service line
'AbsOrption field
Surface water
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: -
· 'Y- Building foundation ) o -J--- Water main
I
1 0 -)- Surface water 7 o o .~.-/- -
Curtain drain ~-~/~
COMMENTS
Wells on adjacent lots
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspeciions and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name *J~0~E.4.T ~-.
Date - : /~/
Driveway, parking/vehicle storage'
HAA Fee $ ~
Date of 'Payment,
Receipt Number
(Rev. 12/01)
Waiver Fee $
Date of Payment
Receipt Number
SGS Ref.#
Client Name
Project Name/#
Client Sample ID
Matrix
1041574001
S & S Engineering
Lot 16 Blk 2 Summit Est.
Lot ! 6 Blk 2 Summit Est.
Drinking Water
All DatesFfimes are Alaska Standard Time
Printed Date/Time 04/06/2004 15:54
Collected Bate/Time 04/01/2004 14:45
Received Date/Time 04/01/2/004 15:15
Technical Direct~.~~ C. Ede
Released~,r-~.--'~/
Sample Remarks:
Allowable Prep Analysis
Parameter Results PQL Units Method Container ID Limits Date Date Init
Metals Department
Arsenic
0.00200 U 0.00200 mg/L EP200.9 C (<=0.01) 04/02/04 04/06/04 JM:
Waters Department
Nitrate-lq
3.52 0.100 mg/L EPA 300.0 B (<---10) 04/01/04
Microbiology Laboratory
Total Coliform
col/lOOmL SMI8 9222B A {'.<=1)
04/O1104 DK¢
3O
3O
ASPHALT D~IVE~Ay
67.3'
N O0°03'W 135.00' (R)
24.0'
0
1'13
30,0'
N O0°O~,'W 135.00' (R)
4' C,,~.. FENCE
29.0'
!
I
D,~le Received
Legal Descriptlo, of lhe Locnt{o~
It:stdllet Ha,ne:
Ll.'lll{.g Address
kli{~l~lllecl by: Icl, ecL'
, ,. ,-.;
· ';':~'; Ce.ri{fled Installer
I-1 ~':~'~i~;' ~{~pi'oved llomeownet
keg{stared £ttg{neer
ii." ~ATER SUPPLY SYS]EM ., (SECtION,I! IS OP.TION~] .....
~ource ~ t Water i~ Con~lnmeni (check ill ~at ~pply) I type of Water Supply System
§h{d}l Uohimctcla{ ]:acilily ~itl, Esllnlaled
Lles{g~ Plow oFless than $00 OPD.
Itre-4tment or Water (Check alt that Apply)
1~1 {,lone I-1 ChtorlnatloR
[] {qilrallo,i 1~:-' ~{neta! Removal
Is *ell wt:c encloied Id ~:ondelt? I~l: i
l~ vt, l-l ho
I
Scpa~tlun UBunce f, om ~c Wall CUln! lo each o[ ~ ioiiowink ~oUtces of ~en~lntfio~:
~epilcd i°idine link On Lol Is~er Lih~
:loscst~epti~loldl,8]:nkon adjacen~Lot , . . IClos.tSewer LIn~s
IOO ~ ted{ ,. /OO~ fcei
ndic~te ~cp~tlofl die,ncc I'rom i0~lc ~aterJals includJn~ rdeJ ~nk~. piifl~, lubrlcanu sn~ e~er
~V~te[ S~t~ple T~kefl by: (~a~e) S & S ENGINEERING" . ., Sampler Is:
tddtes~ Earl6 River, Ala~a
I~ ye~t ,-, .' 1"'1 I, Io
(¢ a,,,nt/L6le) ..Iv- I['ump Rate ¢l/m'oilable)
I
Absoq~tio~ ^re~l on Lot
Closest Edge of an Absorption Area on
Adjacent Lot: / Oc,m ~ Fcc:
On Lot rcetl°"l Adjacent Lot
Feet
~ knglneer
~ Government orl]c{3!
lUate ,
other - SpeciFy Type ~ Alternate O,slte 0eq0lres e.glnee~ed design)
Sniall Commercial Systeni (< 500 GPDI With gstlmaled Dtlly W~le&ater ~low of: " .... Gallons Per Day (GPD}
Cti{uhi Used {o I~sllmale bally Wastewater Quahl[ty:
I'-1 HI.W sYSl'~M CI ki~pAllzi'0 kxlsl-iHo ~;¥sTI~LI
Systenl I,slatled: CI By d heglstei'ed J:,ltglneer
I"1 Uy ,~ppro~ed Itom~o~,nel- (attach .copy orapproval letter)
Septic Tank: Mateflal:5~f?~/' Manufacturer:~ t"~ ~/" Size (Gallon~J:j -,~O ~ NUmber of Compaftments~:~
Typ~ orsoll ~sotptloi~SyslclH: . ~ l.~eepl'tench ~ shallowTt~nch ' ~ Seepage Pit
~ Mound~ ~ O{hcr,'~peci[y
~r~di.~Slze otblsbl~utlo, go&: ~" 7o 2 '/~" ~lhlc~hcs~pth orbist;i~u[ion RotE: ~'
retcolatlo~ ~esl kesults, All,ch Cop~ or kepoth I~c~col~,o.T.s~ ~etrotmcd by: S & S ~GINEERIN
.tulOtfl ~roUiid Cover Over: ~cptlc T~n~: ~ Absotplloil At'J:' ~' ~ Sewer hpcs:
n.?/'.' ·
Lid SepJt~llod blslJ,ces ~o~d Sepllc Tan~ or Abso~ptiofi AtcJ, Wl,lch~v~ Is Closed, Io All.'~?by.:
Public ~tl~hlg ~aler Sources Wllhln 200 reef: '.~/A" F~l~dle brh~lng Water Sources within 100
%arcs[ ~let Uodles (see 18 AAC 72.020(b)): 1 0 u '~ · Lot Linc:
Scp~lloti U[daticc rroni Ohio[ SeWer Lines 1o: ~ubllc bdhkln~ W~[cr Sources: ~/a Prlva~e Sources:
;cp~t~tioh bMd.ce ho.~ boUGht ot blslrlbuUo, kocl~ Io: O~oUud,¥~ter Table: ~ ~ IE3edrock: 07~+
;ep~u~iloh blsl~ttce I~ro~rl Absotptlod ~te,4 [o Slope exceeding 2S%: ///'~4
:oh~mehts/RecohmmMdatlons
certify Ihat the above lnformatio~, and that provided in Sectiolt IV. is correct:
igtialOfi~ · //...., / /Typed,T'~ldledNdme
SEAL /..~, ~ ¢
~.
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i, '~¢~ _':: ........... .:..., '.~-,,-
ITitle, Reg./Cert No., Inst. No.
DEC.tta. I~. or
· ~tf~l~erea
If englneeri.g seal bears pti, f reel name.
i" = 40' 'AS-BUILT SITE-pLaN , · ~"
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'SCALE.
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SITE-PLAN
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DIVISION OF ENVIRONMENTAL HEALTH
DRINKINGWATER AND WASTEWATER PROGRAM
555 CORDOVA STREET
ANCHORAGE, AK 99501 ".'"'~:~
http://www.state.ak.us/dec/deh · ~,~.~'~ ~
Telephone: (907) 269-7517
'Fax: (907)269-7650
November 8, 2002
Robert C. Cowan, C.E.
17034 N. Eagle River Loop Road
Eagle River, Alaska 99577
Re: Summit Estates, Lot 16, Block 2
Dear Mr. Cowan:
This office received your paperwork for registering the wastewater disposal system serving the
duplex on the above referenced property. By submitting the Documentation of Construction, the
existing system is approved. I will place the submitted form,s ir/'.o~i' files.
Thank you very much for providing us the anformation
If you have any questions regarding this matter, please do hesitate to contact us.
Sincerely,
Environmental Technician