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HomeMy WebLinkAboutK & S LT 159B Onsite File K & 5 Lot 1596 #051 - 232 - 65 Municipality of Anchorage CUBMITTAIis On-Site Water and Wastewater Program• (907) 343-7904 JUN iig2O17 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171135 PID Number: 051-232-65 Dwelling: Q Single Family(SF) ❑ Duplex(D) ❑ Multiple(SF and/or D) Project: El New Q Upgrade Name. James Hill ABSORPTION FIELD Address El Deep Trench LI Shallow Trench El Bed El Mound 19014 Beverly Ave. El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-688-6051 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot Ft. Ft. K and S, Lot 159B Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Tank Line Ft2 Ft. Well 100+ TANK m Septic ❑S.T.E.P. ❑Holding ❑Other Manufacturer Capacity Surface Water 100+ j Anchorage Tank 1500 Gal. _ I Material Number of compartments Lot Line 5+ Steel 2 -- NA Foundation 5+ LIFT STATION Manufacturer Capacity Curtain Drain None Known Gal. Remarks Pump on level at Pump off level at High water alarm at Old tank decommissioned in accordance with the code _ in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034Tank to D3034 Installer drainfield ARM Services Drainfield CO/MT D3034 Inspector Crewdson Engineering LLC BENCH MARK (Assumed elevation) 100 ft Ins dates: f" 6-19-17 20° 6-19-17 Location and description 3rd 4°' Birch tree with nail/pink paint near tank inlet. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL0N • Conditional Approval: Date ! —1 . s g 9 ii s•4 i� %it ,/ i�.. .. • • es A. Crewdson f i ....g§17_144"....% fUtet..1k Ill �. ..PROF -55)0..7 Approved ODate �( ijO I�I \\ '.="74. ALLC # 112279 Inspection Report_9-1-12.doc . . WELL • I I 4 BR-SFH OW( • FCO A INSIDE HOUSE B I I FCO \ SWING TIES A-ST 1 55.9' B-ST1 63.5' I A-ST2 65.1' Y \ 1. APPROX. LOCATION OF EXISTING B-ST2 69.8' / / SEPTIC PIPES A-DCO 68.0' \ 2. OLD SEPTIC TANK B-DCO 71.0' DECOMMISSIONED IAW CODE ST1 3. NEW 1500-GALLON SEPTIC TANK ST2 \ DCO ���`N��/ ` ` � CO — — PLAN SCALE: 1"=30' CO ,MT I I � I I BM-benchmark CO-cleanout BM 100.00 DCO-double cleanout EG-existing ground (nail in birch tree)/-FG 98 0 FCO-foundation cleanout FG-finish grade FCO _ IAW-in accordance with ST1 ST2 DCO PROFILE INV invert MT-monitor tube _ NO SCALE ST-septic tank cleanout TH-testhole 1500 - Septic Tank �NV 93.08 INV 93.25 —Crewdson Englneerina, LLC K&S, Lot 1596 4 9t e4116` Septic Tank . *ice 11111PL .Record Plan and Profile !: ,es A.Crewdson : w�� �Ec••. C11527 •.�� Civil&Environmental Engineering �`rlF '..4-.P--/.9.-•,*�c``'• 9 9 �F�pROfESS10NP�' PO Box671389ChugiakAK99567 • cellc.l@outlook.com Prepared for: James Hill Date: 6-27-17 Cell/Text:907-280-9493 • Fax:907-688-2295 Permit: OSP171135 Sheet: 2 of 2 ALLC#112279 N``''"`'', MUNICIPALITY OF ANCHORAGE sent On-Site Water& Wastewater Program �o ahem'1 PO Box 196650 4700 Elmore Road f Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite e h'CNoRPGk On-Site Wastewater Disposal System Permit Permit Number: OSP171135 Effective Date: 6/15/2017 Work Type: SepticTank Upgrade Expiration Date: 6/15/2018 Tax Code Number: 05123265000 Site Legal Address: K & S LT 159B G:1054 Site Mailing Address: 19014 BEVERLY AVE, Chugiak Owner: fames hill Lot Size in Sq Ft: 49309 Design Engineer: CREWDSON ENGINEERING, LLC Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: IA'L 1/ IF Date: '—( Issued By: 1�' ''�eJ 7� / Date: /,lr`�7 t � fu RUSH vt` MUNICIPALITY OF ANCHORAG JUN 12 all I Community Development Department Phone: 96) Development Services Division Fax: 95-34797 On-Site Water & Wastewater Program i ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. Oc-- I — (233 - (S.-- Property owner(s) n►�,1npS l 1 Day phone £cB S -605- I Mailing address Site address Legal description (Sub'd., Block & Lot) L ) 01 J Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage 0 THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Muni ipal Codes. (Signat e •f property owner or authorized agent) Permit/Rush Fees: 2/5. a) Waiver Fees: Date of Payment: li tI8/i? Date of Payment: Receipt Number: 019,39 Receipt Number: Permit No. 6 SPI ?-M3 , Waiver No. Permit App_9-1-12.doc Crewdson Engining,_U,C James"Jay" Crewdson, P.E. Email:CELLC.1@outlook.com Cell/Text: (907) 280-9493 Fax: (907) 688-2295 `ek.=sa, Civil&Environmental Engineering June 12, 2017 On-site Engineer Municipality of Anchorage On-site Water&Wastewater Program 4700 Elmore Road Anchorage,AK 99519-6650 Vn ej / 0j, ' I / f. f 4gL Reference: K&S, Lot 1596 r^vt'v a•i•C) . ,Y toil-,il-, it. 4- Emergency Emergency Septic Tank Upgra a Permit Application Design Narrative The existing documented septic tank(1985 Greer steel 1500-gallon) has failed structurally and requires immediate replacement. Although the home currently has four(4) bedrooms,the septic system was originally sized for five. The owner would like to keep the septic system sized for 5-bedrooms and so we are proposing to replace the failed tank with a new 1500-gallon septic tank to allow for the addition of another bedroom sometime in the future. The existing septic tank is greater than 100 feet from the subject property's well and will be decommissioned in accordance with the code. The proposed septic tank location will be confirmed prior to installation that there is a minimum of 100- feet from private wells. A new foundation cleanout or double cleanout before the new tank will be installed if an existing foundation cleanout cannot be located and verified to be functioning correctly. A new post-tank double cleanout will be installed. Per AMC 15.65.030 C3,the existing septic tank is: 1. 5+feet from any property line or building foundation; 2. 10+feet from any water main or water service line; 3. 100+feet from any surface water; 4. 100+feet to private wells; and 5. Greater than the separation distances required by 18 AAC 72 from water supply wells. Please feel free to contact me if you have any questions. .e OF A(,11 1 Thanks, / 49 1' / ► •J s Ec/.Crewdson � �,, 0115 7 ei"i James "Jay" Crewdson, P.E. 'I •. 1 �� CO- PO Box 671389 . 18368 Amonson Road • Chugiak,Alaska 99567 p, 1 �LLGi • MUNICIPALITY OF ANCHORAGE r 9 DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECTION t ( 4 ENVIRONMENTAL ENGINEERING DIVISION 825 L Street• Anchorage, Alaska 99501 Telephone 264-4720 �— ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME LI NEVV .Y /1��i4 1 �U 0 PHON ; EPGRADE MAILING ADDRESS /3o 7c4� PO if/ Z 376 #N le6i-IGUIZO LEGAL DESCRIPTION Q COREECT AL: Lot 159B LDf 1 NJ9 13 i __/ 15— 12 1 �/ $ ./T o f K & S Subdivis Con LOCATION f NO.OF BEDROOMS I ctJ y P Ri7:(24----iViilttalg40617-1/t) - 5"Well ) � Ahsoa, Dwelling PER Cr (...11g DISTANCE TO: , J 7J 1-Q Manufacturer '4 / Material ,.}� Y G No.of compartments Liq.1ap� i2 gel Ions IF HOMEMADE: Inside length Width ,` Liquid depth t� (��J W D• Min• / PE'MIT NO. t3 D`-TI C -/TO_ 4 d Al n. 4 i 1 ! II / A I 4 A Jt7Z 23 H Ma rte r iror �rm • id Spa it r► r n Well . t Foundation Nearest lot line • PERMIT NO. 70 w z DISTANCE TO: � 7 �� � T,u.z No.of lines w Length of each line/r(] i Total Iengt,F ff s/ Trench width Distance between lines / 4J l•-•Z tc J rJ _ _ inches OG Top of tile t. r is wade cc Qh Zig Material beneath tile C Total effec ive .bsorption :rea n Id 16 — 2. f �? �o J !inches A • Le n .th PERMIT NO. W Iii I ' ] I / _ 4 A Ail Al .410 41 4111 W a ii0ii` _ ps71/1111111,111 /�'otii��� RVAILI AII1 rn DI`A Te• ng r ndet .I 'wares(lin J Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER !IIIHUH III 111 r I NSTA I.1.ER s. - N.X II'INEi��l�1111®111111 �/��J F REMARKS W 1`► 0..... •` Tic I :cgs ' ik ,t..49TM .. iIgil:111:N....---4-4.:". ali� era ! , 1 - ..•5 IGS r11111111011_41 _ •,G) �n F • 1152 �'� ,� 1� IL!F i d if Br111 iriKr. Corwin 4r ! '' �L,�bj;�elli" /�a G'i .Ui! �1a�alt�' .�'ll....t _ ��a-aMu:11.111k11115111/1111rf •� a. ipE-5283 . _ ^ ,�d iiiNI ,_��Atttltt�ttt:.+:+� t w 4 , PR• 11 x`.41►- 1A .• a ' ;1911, O ,� 11111 _•vu®,, :� X11■ �i1 . ��I �N• .f . I $t . t M f^ ii. �no i:!��i 11P-_.1 L■►A1.— .►J�►Iii MEI= APlliO �. DATE EGAL _ -1.0 3 {Rev. 3/781 NAME 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 HONE [] NEW ~PGRADE LEGAL DESCRIPTION DISTANCE TO: Well'/ Dwelling ~- ~ Manufacturer /¢~ / Material ~ ~~ Width ~ P L q. IF HOMEMADE: Inside length _ COREgCT L~GAL: Lot 1593 /Z/~ 5E~'~o&' /,7 ~ ~ s Suba~_v~_~ NO, OF BEDROOMS P ER M~D 7 ~f No. of compartments Liquid depth DISTANCE TO: ~ Foundation No, of lines Length o[ each line¢.~3i' Total lengt ,~./2.~a~de ~-~,.fl ,.~ Material benea Nearestlotline Z/ I PERMITNO. Trench width inches !n lines ~-.~ Total effec ~rea PERMIT NO. Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS 72-0~'3 (Rev. 3/78)~' DATE LEGAL CCiNT('~[TI" I::'l']ONli:.i :~ I...(3'1' !3:1: ZIE :', ~iH.Jfi(O ]: V I !3 ]: Ol',l ~ I.:'8,!::i !EiLJEID ]: V ]i !3 ]i ON I...[]'[' ,~ J, ?i Sli:C'F I I:)lq ,", t 13 'I"(:]NIxIDH :[ I:::' ." .l.,..44' ~:' ~ K(41'" xl£.,E:. ~ "' ~: :I.N :1. ~ :l.:L";t.~ (Ell:;!. I:::-'F, (::)[::~ :1. ,,Z i~:xr~l f4;~fliJ. ]. J.a~". !,,~:i.'Lh 'Lh¢:, Pe:,ClLCJ. Pe~nl.~..~rYb!a ~'oP oF/...-~J.t'..~'a ~wer't~ fcmT..h by 'Ll"m) HL.u"~:i.c::i.l::~a].ity of &nc;hcH'~a~:l~:e (1~'t1:}[~) and 'Ll'm 9., I v,~:i. I1 :~r~:La].]. 'Lh~.~ ,~;y~:Lc.:~m i~ ~.~u:::c:c:mdanc:~:~ ~:i.'Lh all and ir~ comF~].:i, ar'~c:c? ~/,~:i.'Lh t. hc:~, c:[~.~:i, gn c:r':i.'L~.:.:.m:i.a of t.h:i.~ :5. :l: ~,~:i].]. adh~-~H'~¢.:.:.~ 'Lo all I~'lOF~ and S'l:.a'Le:~ of /.~la~M.ca r'~.:.~quir'c.m'm~nt.~ d:i.~:.'t.a':'d'~c~.:,~:~ fr'.om any c.~x~.~wl:.:i.n(9 t,~(~:[].~, t~asd'.~::,~e.vb~.:~H" ci:i.~[:H::,Sh~]. ~y~:vL~;:,m c:)r' I~L~Ig:J.J.C:: :~;(.:::,~.le:~r'a(.jJ(.:.,y ~i~y~::A'.c-h'll c:H"l 'Lh:i.~i~ or' al'iy 6xc:J.jai::G~r"cL oP r'm)ar'l:~y ICH:.,, 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 LEGAL DESCRIPTION: 2 3 4 7 8 SLOPE DATE PERFORMED: SITE PLAN 10 11 12 13 14 15 16 17 18 19 2O GROUND WATER ~)./ S WAS ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) BETWEEN FT AND FT TEST RUN 1/ u'- .... PERFORMED BY: 72-008 (6/79) EAGLE Rmv. ENGINEERING SERVICES INC. P. O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 CALCULATED BY ,[, 7.~."f~/c'~r._ DATE SCALE ~ /~' 5' · 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) Lot 159 B; K & S Subdivision; Location (address or directions) 19014 Beverly Drive (b) Property owner -H.U.D. #032191 Mailing Address Telephone: (home) Business (c) Lending Institution Mailing Address Telephone (d) RealEstate Company and Agent As~',~/aZ2,d B~nb¢~A ATTN~ ~.Hy Address 640 West 36th Street, Suite ~I, Anchorage, A~. 99503 Telephone. ~rL~;- 3~ 3.=; (e) Mail the HAA to the following address: (or check here r~, if hold for pick up.) List contact person and day phone number below: $ & S ENGINEERING 17034 Eagle RiYer Loop Road No. '2 .tt~,.~ Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single-Family ~X Number of bedrooms 3. WATER SUPPLY Individual Well E~ 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 E~X 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. a J.o ~ eSed 'HJo~ s,Jaeu!bue leUO!SSejo]d suo!ss!LuoJosJoJJeJojalq!SuodsaJlou s!abeJoqouvJo,q!led!o!unF4 @q/'panss!s!aleo!jRJaOeaJojeq suo!loedsu! lonpuoo lou op SHHQ jo seeXoldLu3 's),ueLue4 n baJ @),els pue le]apat u!eu8o Xts!les ol ]ap]o 6u!pu@l ]!et4), pue seLuoLi )o sJaseLlo]nd ol Asapno3 e se sill), saop SHHC] aLl_I_ 'e)tselv 1o ale),S eLi), u! pa~els!l~aJ ~aau!SueleUO!SSejoJdluapuadapu! ueXqe^oqe§qde~Be~ed u! ua^!6suoReluese]deJ aLl), uodn /quo peseq leAmddv X),poLilnv LilleaH sanss! 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WELL DATA Well Classification Well Log Present (Y/N) Total Depth '7 _:~ Cased to z_./0 Static Water Level / ~ / Casing Height Above Ground '~,~ Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot MUNICIPALITY OF ANCHORAGE (MOA) Heal~c/~l~h~lty Approval (HAA) MPh¢ L 0 Date Completed (J ~ Depth of Grouting Legal Description: If A, B, C, D.E.C. Approved (Y/N) ~ Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots I To Nearest Edge of Absorption Field on Lot / O~ ; On Adjoining Lots To Nearest Public Sewer Line /k,)/~ To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot ^)/~ Water Sample Collected by ~ + ~ ~/~c¢~ ; Date %~ ~ ~ Water Sample Test Results ~%~0'~¢~ ~ &~F~ ~ ~'~~ B. SEPTIC/HOLDING TANK DATA Date Installed/_~_//z~/P~5--Size / ,~O¢ Standpipes (Y/N) ~ Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) No. of Compartments u/ Foundation Cleanout (Y/N) Date Last Pumped ~/<~)/ ; for Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well ,/(') .~ / To Property Line ,2 ! To Water Main/Service Line f' 0 i~ To Stream, Pond, Lake or Major Drainage Course Comments To Building Foundation To Disposal Field 72-026 (Rev. 7/88) Front Page 1 of 2 NOIJ. Y.LS J, Jl"l 'O s~UeLUWO0 ' V///V :C]-131_-I NOIZdMOSSV ROM~ 30NVlSIQ NOI±VMVd3S lsel/,oenbep¥ ls~-I ~o s~lnsebl (N/A) PleL4 J@^O uo!sseJdeQ eeJv uo!lJosqv ~0 ~eej e~enbs MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # ~..%~-/ Z ~ ,;L (~,~ HAA# 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (addre.ss or directions) (b) Property owner Mailing Address (c) Lending Institution /""[//dr Mailing Address ~-//~- (d) Real Estate Company and Agent Address Telephone: (home) Business Telephone (e) Mail the HAA to the following address: (or check her~, if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family [2~ Number of bedrooms -~ 3. WATER SUPPLY Individual Well E~/ 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 [~/ 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 ~ jo ~ ~bed · ~JO~ S,JOaUibUe iPuoissejoJd eq~ u! sue!ss!u Jo Jo s JO J JO JOj alq!suodsaJ leu s! ebPJoqouv jo/qued!o!unl~ aqj. 'penss! s! eleo!j!lJeO P aJojeq P1PP az/~leUe Jo suo!~oadsu! ~onpuoo ~ou op SHHO jo saa/,OldLU3 's~ueuJeJ!nbeJ e;e~s pue leJepeJ u!e~Jao/Ss!les o~ Jap JO u! suo!ln~Rsu! bu!puel J!eql puc SeLUOq JO sJaseqoJnd el /,se~Jnoo s se s!ql seep SHHO eqj. 'P~tselV jo elPIS eq~ u! peJe~s!lSeJ Jaeuibue leuo!ssejoJd ~uepuedepu! ue Xq e^oqe ~; qdPJl~eJed u! ua^jO suoilelueseJdeJ eql uodn ,~lUO pasPq pe~eo!jpeo IP^oJddv ,~!Joqlnv q~leeH sanss! (SHHO) seo!^JeS uPuJnH pup qllPeH jo luegu~Jedeo ebPJOqOUV jo/q!lPd!o!unv~ eqJ_ alPO ..... · --; ,' .' le^oJddv leUOl~puoo Jo swJo_L leuo!l!puoo peAoJddes!C] '-, peAoJddv , ;~q swooJpeq~ Joj paAoJdd¥ 'lYAOIJdd¥ SHHCl '9 leas s,Jeeu!6L 'UO!lOedsu! s!Lll ,~O elep eql uo lOe¢,te u! suoRPInbeJ pue 's@oueu!pJo 'sepoo e~P1S puc led!o!unR lip Ll),!~ e3UP!ldLuoo U! s! LUalS/,S lesOds!p JalP/~e~,se~ JO/pue Xlddns Jele~ e~!s-uo egll 'uop, oedsu! pup uo!leb!~se^u! ,~uJ LUOJJ pUP selU ebPJOLIOUV JO ,~!lPd!o!unR eql LUOJ,t peu!e~qo uoRPguJoju! eLl~ UO peseq leLl~ XJ!Je^ jeLllJnJ I 'u!eJet4 pe~eo!pu! eJnlonJls jo edX~ pue sLuooJpeq ~o jeqLunu eql JOJ elenbepP pue leUOp, Sunj 'e~es s! LUelS/,S IPSOds!p Jele/~else~ Jo/pue /,iddns JelP~ e~!s-uo eLll ~,eq~ S~OLIS le^oJdd¥ Xl!JOLl~n¥ qllPeH sfq~ ,to uoReb!lse^u! XLU ~eLll ,~!Je^ I '~oleq ut~oqs e~ep uo!~PP!le^ ell), JO se pue oleJeq pex!JJe iPas XLU Xq P@!JRJa3 sV biOIJ.~'~ldOJNI ONe' ~'.L~/(:] 'HOIJYBS B'II4 'SIS=Il 'SNOI/OBdSNI 9NIOIAOI:Id INI¢I=I ~9NIaBBNIONB '§ A. WELL DATA Well Classification ~ ,MUNICIPALITY OF ANCHORAGE (MOA) ENVIROI~______~ERVI~' 'r~.~Kh[~H EEBRUARY 1984 ENVIRONMENTAL P~ c:p ~ ~ 198~egal Description: RECE iVEDRECEiVE ~)~1 ~:'k.~-~- If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) ~/ Date Completed ~'~ ~/~/q ~ ~¢ ~ Yield Total Depth ?.~ /Casedto ~2~Deptho~routing /'~//~ ~ .... Static Water Level / ~¢ ~ Pump Set At ~4 /~ ~/'~¢2 ~-~/q -~ Casing Height Above Ground 2. Electrical Wiring in Conduit (Y/N) ~/ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot 'Fo Nearest Public Sewer Line ~q//~'~- To Nearest Sewer Service Line on Lot /"Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) AJ J ' ; On Adjoining Lots / 4~; O' / O~ '/- ' ; On Adjoining Lots / --To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ; Date B, SEPTIC/HOLDING TANK DATA Date Installed /t//l~,//~ize Standpipes (Y/N) x/ Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) /q~¢"-~ ._~ 6J (~; No. of Compartments Air-tight Caps (Y/N) \/ Foundation Cleanout (Y/N) /'"/ Date Last Pumped ~/~;~ ; for ~'l//~..~ Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line Temporary Holding Tank Permit (Y/N) To Stream, Pond, Lake or Major Drainage Course To Building Foundation To Disposal Field Comments 72-026 (Rev 7/88) Front Page 1 of 2 'ON s!ql ~o elep eq~ uo ~oe~jo d! $ :~unowv ~UeLU,~ed ¢o e~eG 'ON ~d!e3ebt lsa_L/,oenbePV 6uMnp seloXO 6uidwnd ~ (N/A) lueA ),e leAO-I ,J~O dLUnd,, (N/A) ssaoo¥/eloqueR suo!suew!cl s~uewwoo (N/A) saPoO leOplOel3 VOIAI s~eelAI Jo,t pe~se_L -~-.~ ~e leAo-I WJelV Je~eM Hb!H ~ le^e-i ,,uo dwnd,, "~s otleE) u! ez!s '-~'¢/tAl. NOII'~IS 141'1 '0 '--'~/L/ (luosoJd ~!) ~oeq~,no O_L -/- 420 / slo-I Bu!ulofPV uo: uo Lue),s,~S peuopueqv JO 8uBs!x3 o/ , / -~- eucI/q~edoJd ol S~UOLUWOO ee~v eSeJO~S elo!4oA Jo 'eeJv 8uppecJ ',~e~OAMO O.L es]noo eSeu!e~C] ~o¢eR ~o 'eHe-I 'puoct 'Luee]ls O.L eu!q ao!^JeS/U!elAI ~ele~ o1 uo!~epuno4 8u!Pl!n~] O.L Ile~ Xlddns-~e~e~ o± ;/ ~ 0 ~, ~ PLO!3 ~o qldeo ~);?cc? uS!saQ wo~sAS jo odA.l, j lS@.L ~oenboPV ~seq ~o sllnSebl (N/A) Pleh:l J@AO uo!sseJdeQ easy uoB]osq¥ ¢o ~ee4 eJenbs , ©C~. PleH ~.o ql.P!M x ._~xc~/,_t~ I i/I I PellelSUl o~ea elects uoBWosqv u! 8uBebl si!os ¥.LYQ al]Id NOIJ. dMOSfV '0 Tom Fink, Mayor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 20, 1989 Bruce Corwin,P.E. Corwin and Associates, Inc. 1000 East Dimond Boulevard Suite 205 Anchorage, Alaska 99515 Subject: Waiver Request for Lot 159B K & S Subdivision Waiver Request #WR890049, PID ~051-232-65, HA890309 Dear Mr. Corwin: Your request for waiver of the required 100 foot separation of a septic system to surface water has been approved. The approved separation distances are as follows: 63 feet from sewer system to ditch on the property; 74' and 76' from sewer system to ponds. This approval applies to the existing septic system to surface water only. Any future upgrade to the septic system will require all separation distances be met or another approval from this department Robert W. Robinson '- Civil Engineer On-site Services RWR/ljm Tom Fink, Mayor ] unic,pality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 September 15, 1989 Bruce Corwin, P.E. Corwin and Associates, Inc. 1000 East Dimond Boulevard Suite 205 Anchorage, Alaska 99515 Subject: Health Authority Approval (#HA890309) and Waiver Request (WR890049) for Lot 159B K & S Subdivision, PID #051-232-65 Dear Mr. Corwin: Reference herein is the request for Health Authority Approval and your attendant request for a waiver of the required separation distance between the absorption bed and nearby surface waters on the referenced lot. As you are aware, ADEC granted DHHS the authority to approve certain setback distance waiver requests provided there was adequate topographic, geological and hydrologic data submitted by an engineer that would support the contention that subsurface wastewater disposal would not degrade the ground water and surface water in the vicinity of the system. Without sufficient site plans, topography, soil characteristics, hydrology, water monitoring and quality testing, this department cannot issue a separation distance waiver. "Ifids Are Our Future" Bruce Corwin, P.E. Corwin and Associates, Inc. September 15, 1989 Page Two In the subject case, the fact that the presence of horses in the area may already be causing fecal coliform bacteria contamination of the surface water is not in itself sufficient support for us to grant the waiver. We are therefore deferring further action on the HAA and sttendant waiver request until additional supporting data is received. If there are any questions, please call Robby Robinson at 343-4077, or myself at 343-4360. Sincerely,~ On-site Services. RWR/ljm: 168 & associates,inc. Consulting Engineers 1000 E. Dimond Blvd. · Suile 205. Anchorage, Alaska 99515. (907) 522 1311 MUNI(:IPALI'rY OF ANClJ, OEAC-~ DEPT. OF HEALTH & September 6, 1989 ENVIRONMENTAL PROTECTION Mr. Robbie Robinson Municipality of Anchorage Department of Health & Human Services 825 L. Street, Fifth Floor Anchorage, Alaska 99501 1 9 RECEIVED SUBJECT: REQUEST FOR WAIVER OF FIELD TO SURFACE WATER ON LOT 159, BLOCK B, K & S SUBDIVISION Dear Mr. Robinson: This is an official request for a waiver of the separation distance between the sewer system on the above referenced lot and a ditch which runs through the property. The distance to the ditch from the nearest corner of the sewer system is approximately 63 ft. and the distance from the sewer system to the ponds is approximately 74 ft. and 76 ft. respectively. The required distance is 100 ft. The subject ditch runs behind this property in an east west direction and connects to watering ponds. All of these water bodies appear to have been hand dug or man made. There are horses in the area and they use these areas for watering. As you are well aware, the fact that the horses are grazing in the area create a situation where fecal coliform contamination from animal feces is most likely. We see absolutely no way that the sewer system on the subject lot could contaminate the ditch or water bodies any worse than they already are from the animal presence. We feel it is important to note that we believe the water bodies are and will continue to be contaminated. Based on the above information, we believe a waiver is in order. Should you have any questions or need any other infol Very. CoRw 5 res. mation, ~please let us know. d~Je~t 2orwin, P.E. NORTHERN TESTING LABORATORIES, INC. 600 UNIVERSITY PLAZA WEST, SUITE A 2505 FAIRBANKS STREET FAIRBANKS, ALASKA 99709 ANCHORAGE, ALASKA 99503 907-479-3115 907-277-8378 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY CLIENT [] PUBLIC WATER SYSTEM I.D. # ~PRIVATE WATER SYSTEM City ~ SAMPLE DATE: A--~. ~1~ State Zip Code ~o. Day Yea~ Purchase Order No. SAMPLE TYPE: ~ Routine [] Special Purpose [] Check Sample (for original contaminated sample with lab reference no. S.mp!e , Time No. Location Collected K, s sop. 4 5 6 7 8 9 10 Signature of Representative [] Treated Water [] Untreated Water ) Collected by Laboratory Ref. No. PICKUP HOLD POR TO BE COMPLETED BY LABORATORY Received at: /~ Anch. [] Fbks. Date Received (~' ~'<~' ~ Time Received / ~) ~ Next Sample Due COMMENTS: SATI S FACTO RY (S~ UNSATISFACTORY U RESAMPLE R OTHER BACTERIA OB TOO NUMEROUS TNTC TO COUNT Direct Verification Final C~nt LSB BGB Result* U *No. of ~/~Colifor_m C. olonies per 100 mis. Time & associates,inc. Consulting Engineers 1000 E. Dimond Blvd.. Suite 205. Anchorage, Alaska 9~,~1~x1~:.1~9~)~, 5~,i~t]iORA~~ DEPT, OF HEALTH & September 19, 1989 ENVIRONMENTAL PROTECTION Mr. Robbie Robinson Municipality of Anchorage Department of Health & Human Services 825 L. Street, Fifth Floor Anchorage, Alaska 99501 RECEIVED SUBJECT: REQUEST FOR WAIVER OF FIELD TO SURFACE WATER ON LOT 159, BLOCK B, K & S SUBDIVISION Dear Mr. Robinson: Pursuant to our previous letter of September 6, 1989 and the subsequent response from Mr. Smith dated September 15, 1989, we offer the following information to attempt at resolving the issue. Please refer to our letter of Septe]~er 6, 1989 for the remainder of supporting data. We still believe that this man-made ditch is not and should not be considered surface water because it is used for nothing more than watering horses. The ditch itself provides no benefit to the community or to Alaska's water quality and is extremely polluted as well it should be due to the use it has. We do not believe that strict interpretation of the State regulations would or should even apply to this ditch for the following reasons: 1. The ditch was constructed after installation of original sewage bed by man, not by nature. the 2. There is and should never be any use of this ditch as a water source. 3. The influence of any fecal coliform bacteria from a sewage bed to this ditch would be less harmful than the current horse feces being directly dumped into it. As discussed with you by telephone early on in regard to this lot, we went out and dug a test pit between the existing bed and the ditch. We then took a water sample and found no bacteria. This test hole was located 30 ft. upstream from the ditch. It is a miracle that this was not contaminated as horses are throughout this entire area. In any event, the sample was not contaminated on the date of our test. The original soils test for the subject property indicated SP, clean sand with some gravel from 3.5 ft. to 8.5 ft. from the Mr. Robbie Robinson September 19, 1989 Page Two surface. Further, the as-~uilt for the subject sewer system indicates that a four (4) ft. sand layer was placed beneath the bed. This data in itself should support our contention that the sewage bed will not contaminate further the already polluted ditch. The ground from the bed to the ditch slopes toward the ditch at less than 2 percent so that the ground is approximately 1.5 ft. lower than the top of the bed. Assu~ing the ditch is 2 ft. deep, which it is not, this would put the bottom of the bed still nearly 6 inches below the bottom of the ditch. Still another 4 ft. of sand exists below this level. The natural tendency of the sewage in the bed will be to travel vertically through the bed and sand layer and not horizontally. We do not believe there is any valid way for untreated sewage to get to the ditch or even to groundwater due to the nature of the soils and the 4 ft. sand layer. Groundwater was found to be 5.5 ft. below the surface in the original soils test and the sewage bed was installed 4 ft. above this level and backfilled to its current depth of 4 ft. which puts ground water at 4 ft. below the bottom of the bed. In our test hole 30 ft. upstream from the ditch, groundwater was found to be approximately 3.5 ft. down. Bottom line is that the sewage will travel through 4 ft. of sand prior to hitting groundwater and it will hit groundwater prior to moving toward the ditch if at all. We believe that this information, along with that we originally submitted, and your site visit are substantial evidence that a waiver to the man-made ditch should be granted. Again, we do not believe that we are dealing with surface water contamination in any regard and we are only going through these motions based on your determination that the man-made ditch is classified as surface water. Should you have any questions or need any other information, please let us know. We would appreciate telephone response rather than mail as we have already been dealing with this matter over a month and a half now. Very~. truly y~r~s, Ass,0c T .s, Nc. /Bruce J,~ C'°rwin, P.E. President/ BJC/i~ .. MUNICIPALITY OF ANCHORAGE DEPARTME. NT 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 ___ GENERAL INFORMATION (a) (b) (c) Legal Description (include lot, block, subdivision, section, township, range) ~-~"h ~/~_...-z~.~//~ //~ CO~AECT LEGAL: Lot 159B Location (address or directions) Applicant Name _]/~f~g~ ~P~gTelephone: Home ~>_~r~_ Business Applicant Address ..... ~ i~/~ Applicant is (check one): Lending Institution~;Owner/builder~uyerE];Other~ (explain); (d) Lending Institution ~,~O i¥'~4.' © ~ ' .."A_'t~.} ~.. ,by LfA¢2~(] __ Telephone Address (e) Real Estate Company and Agent _. /~ ,L~-~, Address Telephone (f) Mail the I-IAA to the following address: -~ "h ~ ..... TYP. OF Single-Family~ Multi-Family[] Other Number of Bedrooms WATER SUPPLY / Individual Wellr~ 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.~..ISPOSAL Onsite ~jz Public [] Comrnunity L-] Holding Tank E] Note: If community well system, must have written confirmation from tho State Department of Environmental Conservation attesting to the legality and status. Page ] of 2 ,-~, uz5 ¢~ ~,h 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 tile 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 tile date of this inspection. ~ Name of Firm _ (/~P~/f~t/,/~/f,'/~ ~ ~ ~ Telephone j, corwin , c~2.5z$3 o -b": · , ,~ ¢~.Effglneer s Seal DHEP APPROVAL Approved for ~c~t'~"~'~ Approved bedrooms by / /~¢' Disappyed Terms of Conditional Approval Con~/~C'~'nal 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 ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 MUNICIPALITY O,F ANOrlOI~GE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTtO~i N0 v ,5 19851 Casing Height Above Ground ~' ! Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot _ "'F' Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) /¢ "~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot __~/~ ! ; On Adjoining Lots To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments :(To Nearest Public Sewer Nearest Sewer Service Line on Lot ,/U'///~ ;Date B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N)---7 A~ght Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) MI// Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ___/4 ~ / To Property Line /j ~-~ ',/4¢05 Size /~.20 No, of Compartments ~ Foundation Cleanout (Y/N) y ___ Date Last Pumped /~[AJ~ ;for ,/~/A' Temporary Holding Tank Permit (Y/N) /~/A To Water Main/Service Line Course To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) IBas s,JaaU!6U3 $ :1UnOLUV 1.UaLUXed ,to 'ON d!aoau ~_-)4uedLuoo aJad ~lOa40 NOI/V/~/all '(] SiUOLULUOO asJno0 a!~i~u!eJC] JO!la~ Jo/a~-i/puod/uJiaaJ$s o/ au!q eo!Mas/u!e~ .lea, eM o/ u~o/tep~uno.4 6u!:::8 ol t '¢~ O/ IleM .41ddns-JeleAA O.L :pla!.:j uo!idJosqv uJoJ], aou~eis!C] uo!:leJeda9 /~N 1sa/4oenbap¥ ise-I J.o SllnSeu ~ (N/A) ple!-I JOAO uo!ssaJdaa ~;;~// eaJV uo!ldJosq'¢ 10 iaaa aJenbs 'cz'ca al':ll:l NOI/dI:IOS[IY '0 HEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name I.D. NO. j (*) See h on back Phone No. Mailing Address City Slate Mo. Day Year Zip Code SAMPLE TYPE: [] Routine ID Check Sample (for routine sample with lab ref. no, [3 Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. LOCATION 4 L Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,,~Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hoursold at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst I CT--J *No OlCoIon,e$/lOOml or NO of Pos,l,veP~tt~on$ 08,1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter:, Direct Count Verification: LTB ENVIRONMENTAL PROTECTION NV] ' COLLECTIN~ SAk~FI~ RE( EIVED BGB Date Time: TNTC-- Too Numerous To Count Collformll00ml Colll'ormll00ml o.m. J~ Clock I~ Ttme I:1 ~ FIELD PUMPING TEST DATA SHEET ..LOCATIQN OF WEL~ (LeQal Description): WELL DEPTH:~ FT. CASING: DATE DRILLING COHPLETED: STATIC !.lATER LEVEL (Top of Casing): Elapsed Time SinceJ Pumping Started/ Stopped, Hin. Depth to .,Water, ft. bo 55 ~o (t 'h'o'u'F') "~2 hours 180 (3 hours 210 240 (4 hours RECOVERY 10 . 'z 2, Il .'Z. i, Drawdown/ Recovecy DATE OF TEST:_.JO FT SCREEH: DRILLER: ,¢ 60 (~ hour) I~u (Z hours 5O 55 40 Alii., 45 Pumping I Remarks Rate, GPM Start ,, .... Y OF z~,,~,, 35 25 '20 15 FT