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Home My WebLink AboutKASILOF HILLS BLK 2 LT 4 NA . MAI LING /~D/DI~'ESS t_EGALDESCRiZO/N~/ // I_OO~TION ~, I ~ Wall ,.~-~] / I Absorption are~ . I DISTANCE TO: I /Ut/ / ~/ F / I ~ ~/ -~ -~~ ~ ~ / I ~ ¢ Manufacturer ~ ~ ~ Mate~P~ I_~~:*' HOMEMAD; : !~ Inside length -- ' ~ Well Dwelling /J Foundation /~~~.~ / Total len~T pf ~i,~es ITrench Material~b~njat~ tile-- MUNICIPAI. ITY OF ANCI-IORAGE DEPARTMENT OF HEALTH & ENVlRONfVlENTAI_. PROTEC-I-ION ENVlRONMENI'AL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAt. SYSTEM AND/OR WELL INSPECTION REPORT 1Dwelling No. of lines I /Le"g'h °' t"t Top of tile to finish grade Length Type of crib DISTANCE TO: DISTANCE TO: Width Crib diameter Well Depth Buildhlg foundation Depth C~ ib depth Building foundation Driller Sewer line Class NO. OF BEDROOMS No. of comp~nts Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. Distance 12etween lines ' ~ e c ~/~.~r~z~i o ¢..,,~ e a .,-.,~ PERMIT NO. ' [Total e f f__ectiv~ abs2rption_area- Nearest lot line LSoptic I~n-k [Absorption area(s) OTHER PIPE MATERIALS7C.~ ,~ ~ ~..~ SelL'TEST RATING ~5-- REMARKS DATE LEGAL SIX INCH WATER WELL DRILLED AND CASED OUT TO THI~ DEIV ;/21.00 DRILLED AT THE RATE OF' PER FOOT. /.,,,c. C,~'_£,? c' , .... P~OPERTY OWNER LOCATION OF WELL SITE_ ;3 ¢~u~'.e, CLa,~t~ DRILLER WELL LOG: 205 ~ . ,/co,' COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF £;AID DRILLING, WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF THANK YOU VERY MUCH, DATE BERNIE CLAUS OF RAMPAiTF DRILLING WOR}(S ~ ), ,. t'~ ~,_ , '~_ 4'7% kV; ?--. SERVICE CHARGEOF 1F~% PER MONTH WILL BE AS..~ESSED ON PAST DIJEACCOUNT$. .~~.x D~PAR'i,-,~?~T OF' HEALTH AND.ENVI~ONM~r~TnL PROT~CTION/"~'~ ~'~. PERMIT NO. RF'PLICANT CLIFFORD GROH ?ii H ST ~><{' ~-/~'~/'~/ !_OCRTION L.4 L~RL L4 ~2 KRS~I. OF H~LLS LOT S~ZE ~5~ ~QURR~ F~ TYPE Of SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATINO (SQ F~ZBR>= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: THE DEPTH OF R TRENCH OR PIT I~ THE DISTANCE BETWEEN THE ~URFRCE OF THE GROUND AND THE BOTTOM OF' THE E~CRVATION (IN FEET>. THERE IS NO SET WIDTH FOR TRENCttES. TNE (tRAVEL ~EPTH IS THE MINIMUM DEPTH OF GRAVEl.. BETHEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE E~ORVRTION <IN FEET). RI=fC~IU I R~.D $ISP'F I C TF-t~IK S I ~'t-'-_ ~'-" =,,.~..250 ~tRLL. ON.~ PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURIN~ THE INSTALLATION INSPECTIONS OF ANY HELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THF1T THE WELL WILL SERVE. BACKFILLING OF ANV SYSTEF1 NITHOUT FINAl. INMPECTIOI'.I AND APPROVAL MY THIS DEPARTMENT MILL BE SUBJ£CT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R NELL AND ANY ON-SITE SENROE DI~;POSRI.. SYSTEM IS 100 FEET FOR R PRIVATE NELL OR i50 TO 200 FEET FROM ft PUBLIC NELl.. DEPENDING UPON THE TYPE OF PUBLIC NELL,. MINIMUM DISTANCE FROM R PRIVATE NELl.. TO R PRIVATE SEF. IER LINE IS 25 FEET AND TO FI COMMUNI'D¢ 5ENER LINE IS 75 FEET. NELL. LOBS ARE RE[4UXRED AND MUST BE RETURNED TO TNE DEPARTMENT WITHIN 3~ DAMS OF THE HELL COHPLI~TION, OTHER REQUIREMENTS HAY APPLM. ~PEOIFICRTION5 AND CONSTRUCTION DIR~RRH~ ARE AVR~L.RBL~ TO IN~URE PROPER INSTALLATION. I CERTIFY 'THAT t: I Hit FAHIL, IRR H'JTH 'THE REQUIREMENTS FOR ON-SITE SEHERS AND HELLS FiD SET FORTH BY THE 14UNIOIPRLITV OF RNOHORRC~E. ~: I HILL INSTALL THE ~Y~TEN ~N ACCORDANCE NITH TME CODE~. 3: I UNDERSTAND THAT THE ON-~TE ~EHER SM~TEH HR~r' REQUIRE ENLFtRGEHENT IF THE RESIDENCE l~ REMODELED TO INCLUDE MORE THAN 4 BEDROOMS, RF'PLICRNT ~IFFORD G~OH ~ 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEOI1G£ M. SULL/VAN, MA YOR DEPARTMENT OF HEALTH AND ENVIHONMENrALPROTECflON December 31, 1980 Donald Marino 4437 Business Park Boulevard - Suite 6 Anchorage, Alaska 99503 Permit ~ 800484 Subject: Lot 4 Block 2 Kasilof Hills Subdivision A permit issued by this department for well and/or sewer system has expired as of this date. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, // LNB/ljw enc: Copy of Permit SWP/057 F:'EI~:i'i I T 1",10. [:,EF'FIF.'.TI"IE1'.,IT OF HEFtLTH Ff~t[:, E1"~VIRO1'.~i"I[.ENTFII._ F'r:",:)'TECTIOI'.,! ',~i~25 "L.. 5TR[ET., F:I1'.~E:HOI;?.I:I{.E., FIK. 114 E: L_ ~ .... FII ~'-,~1 [:, (] i'4 --- :5 ~ -'F E: :5 E: ~..,.11 E: F." F" E3.. F: P1 I -F FII::'F'L I [ ": fffI )H LEI]FIL. [:,OI',IFILI) I'il::lF'I i'tC L4 E:2 [,'.:FI$ILOF HII_L~: LOT :.~ I ,.:.E _'. ,' .. _" .~ 51~.I..IFIRE FEET TCF'E OF 'gl"lII HE,:,LFFTII.Ii',I E;'¢FI'EM IE;' IF. Eit_.H i',IF:t;:.::I~','II..lt',I I'.,IUME:E:R OF E, EEF._II.Itl=,' ' '--"- =: 4 ':CIIL F..HTI1'.~u'' ' F' ,::S~i! i:= ''';'""F,. E,[ ....... THE: i~:EI;!I..III:E[:, S:;IZE OF THE SI]IL HE, J_IF. F1 1LI1'.! S'E:I"E1"I I5: THE LE1"~GTH [:, I MEN':; I ON ]:2; THE LEI',IGTH ,::I1'..I FEET) OF THE TRENCFI OR DRRII'.,IF'IEL[:,. THE [:,EPTlt OF' F1 TRENCH O~;,: PIT I2; THE E:,IFI"RI'.,II:::E E~ETF.IEE1",I TI.-I[~ SI_.IRF1::IE:E OF Tli[~: GROLI1'.,I[:, FINE:, THE BOTTOM OF THE E;:.:',E:Ft',,¢RTIO1',I (I1'4 FEET>. "FI."IEFE :[21; 1",10 SET [,.II[:,TH FOR TRE1'.,IE:FIE%. THE ~]iRR',,,'E1. [:,EPTH IS:; THE MINIi"ILIM [:,EPTH OF GRFIVEL BET[,EEN THE OLITFFILL F'IF'E FI1",I[:, THE f~OTTI)1"I OF THE E:;':',CIT,,,'RTION 411'4 FEFT>. F:: E: (;.~ LJ :[ !1 .... E. [.. ::-~, E]F' 'T" Z E: -1"' Fi !'4 !< ._. I Z E ..... :,,1_ ,.~:, ..... d Eii FII [_. L_ C~ 1i'-4 %:; E:FICKF ILL I [.,lI.'j I:]F RN'T' :5'T'$TEM I,.I I THFIUT F I NFiL I [1:. F' EL.T I 01'.,I FIN[:, FtF'PRCI',,,'F]L E:"r' TH I ~; [:'EPFIRTMENT ['~ILL E:E S:;IJEL1EI] TEl FF:.z:.-;E..'::IJTION. HII'.,IIP'IUM [:,IS:;TF~NC:E E',EI"[4EEN FI !,.IELL laND FIi'.4'¢ ON--SITE SE[,.IRGE DISF'O'_:;F]L S'¢F['EFI IS :1..~.~!1 FEET FOR F:I F'RIVFITE [,.IELL OR 15C~ TO 2E~Z~ FEEl" FF.'.OM FI PUBLIC: [,~ELL.. [:,EF'EI'.~[:,I1'.~(.:i LIF:'OF4 'T'HE TYPE OF' F'UBLIC: [,.IELL. HINIHLIM [:,IF1:'FI1'.~CE FROH FI PF.'.I',,,'FI'I"E [,.ELL TO FI PRI',,,'FITE SEHER LIf.E I'_:; 25 FEET FIi'.,t[) TO F-1 C:OMMLINIT'¢ ':qE[,.IEF.: LIi'.,IE I':~; 75 FEET. t.,.IELL L.C,]S FIFE REL:.!LIIRE[:, I::11',1[:, 1','luFr E:E: RETURi'.,IE[:, TO THE [:,EPF4RTr,IE1',IT I.,]I'i"HIN ::9 [:,Ft'.r':5 OF' THE I.,.IELL COMPLETIOI'.,I. OTHE[;i: RE~ZIIREMENTS MFI'¢ FIF'F'L'¢. SF'ECIFICFITIONS FIND CONSTRLICTI01'.,I [:,IFS:F4:'.F-IMLE; FI[;?.E I:I',,,'F:I I LI:IE:I_E TO I N'.::;IJRE PROF'ER 11'.STFILLFII'I ON. I CEI~:T I F"r' THFIT :1..' I 1::IM I::FiMILIFIR 1.4ITH THE RE~ZIIREi'"IENTS FOF.: .7. N-.-'_=;ITE :,EIIEI.:,'":: ~'- FI1'..I[) I,.IELL:,'- FIL~ :SET F:'ORTH B',' THE I"1U1"~ I C I F'FIL I T'¢ OF FINC:HC f4'R 3E. ,::.: I I.,.IILL. I1"bFHLL THE :,T:-,TILrl I1",l FtOCI]R[)R1'.4CE 14ITH THE CCI[:,IES. '- '" _., t_, FE1'I 1"1F1'~' F.':E;~LII;.'E ENLRF.:GEi"IENT IF'" THE ]:' I Lli'.,I[.~EF~:STFI1'.,I[:, THFtT THE ON-SITE :,EIIEk '="":' -'' F;:EE;II;:,Ei'~CE I¢ REMOI)ELE[:, TI) t1't]LLI[:,E MORE THRN 4 E,E[$.U_i"I: FIF'F'L I CFI1"d T [:,CI[",IFIL.D/~q FIF:: 11'CI December 29, 1978 ~780537 Donald Marino 3631 ~ West 80th A~enue Anchorage, Alas]ua 99502 Subject.~ Lot 4 Block 2 Kasilof Hills Subdivision A permit issued by this department for well and/or sewer system has expired. Permits are issued{, on a calendar year basisw as stated on the permit~ by authority of Municipal ordinance~ I:F. you have drilled the well~ a well log should be sent 'to this department to doclu¥[ent the installation date, If there are any further c~estions, please centact this office at 264-.4720. Sincerely, Les N. Buehholz, Senior Environmental Specialist j w eric: copy of permit DEPRRTMENT C'- '-IEFILTH r:~r.,~[:, EN",,'IRONMEf,lrFFIL F' -'cFECTIOb! 825 '" L STREET., FINCHORFIGE., RF'-::. 80TH LOT SIZE T'¢PE OF' SOIL RBSORST~ON fS"r'STEM IS.;: ]"F.:ENCH MRXIMUM NUMBER OF BEDF.:OOMS = 4 SOIL RFITING (S(;.'! FT,..'E:R)= 851 THE REt~LIIRE[:, SIZE OF THE 5;OIL. FIP-,SORPTION S¥S;TEM IS: THE LENGTH [)IMENSION IS THE; L.ENGTH (IN FEE'r) OF THE TRENCH OR I)RRIh!F:IELI.). 'f'HE DEPTH OF FI 'rRENC:H OR PIT .l:S THE DI'..-STRNCE BETW.F_.;EN THE SI. IRFRCE OF THE GROUND FIND THE E:OTTOM OF THE EXCFIVFITION ,:]If.,I FEET). THERE IS NO SET I4!.F..,"FH FOR TRENCHES. THE GRR',,,'EL DEP'I"H IS THE MINIMUM [:,EPTH Of;' GRFIVEL BETI.,.!EEN ]'HE OUTFP]LL. PIPE fiN[) THE BOTTOM OF ]"HE: E',:4C:FIVFITiON (IN FEET). PERM I T FIPPL I i]:FINT HRS THE RESPONS .T. F_'~ I L. I T'¢ 'FO I NFORf,1 TH I S f)EPFIRTMENT I':,UR I Nil4 TI..II]i iNSTftLL, flTION INSPECTIONS OF FIN¥ PlEI...I..S, flDJFIC:ENT TO THIS PF.'.OPERT'¢ f:~f,l[;:, ]'HIE NUP18ER OF RESIF)ENCES THRT THE P.IE']..I.. WILL SERVE. BFICKFILL. ING OF' RN'¢ S'¢STEM WITHOUT F INRL IN%PECT ION FIN[:, RPPROVFIL. 8'.¢ TH:F¢:i; [:iEPFiRTMENT HILL 8E SUBJECT TO PROSECUTION. MINIMUM DIS"FFINCE 8ETWF..:EN FI HELl.. FIND FIN¥ ON-SITE SEWRGE [:, ]F '.:...]F'OSI:'t[.. ~i;'.r'?FEM ;t]F:; ±00 FEET FOR R PRI',,"RTE I.,.IELL..~ OR ~.50 'FO 2'.8¢ FEET FROM R PUP.,[.]:() WELL [)EPEN[.'.',ING UPON THE TYPE OF F:'t.IE~I..:FC 14ELt F4ELL L_OGS FIRE RE6!UIRE[:, RND MUST BE RETURNED TO THE [:,EPFIRTMENT 14ITH!N ]:E~ [:,FI"/::~; OF THE WELL COMPLETION. OTHER REC..!LIIREMENT% MF~"r' FIF'PL.'¢. SPECIF"ICFITII]NS RI'q[:, CONSTRUCTION [:, :[ f:I(~F~'.F:IM!!~; FIRE FIVFI I L. FIBLE TO :t.' NSLIRE F:'RC)PER I N."STRLJ~.FIT I ON. I CERTIF"r' TPIFIT :'.L: .]: RM FflMILIRR PFI'FH THE RE~]~L.IIREMENTS FOR ON-SITE SEI.dERS RND HELl.S; RS; SET FORTH 8¥ THE f'IUN:[C:IPFIL. IT'? OF FINCHORFIGE. 2: ~ I.'.IILL INSTRLL THE $'~'STEM IN RCCORDFINCE I.,.IITH THE CO[:'E'.:~;. '.-'~: I UNDERSTFIND THFIT 'THE ON'"S.T. TE SEI.'.IER S'¢STEM MFI"r' RE~2F..tIP).E ENLFII',;'.GEMENT IF THE RESI[:'ENCE I'.E; REMODELE:C' TO INCLUDE MORE THFff',I 4 13'E[:'ROOMS. fiF'F'L Z C.13NT [:'ONRL.'~ MFIR I .:,:,u[:.r [','¢_..¢ ............ r.)FI'FU MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-B50, Anchorage, Alaska 99502 276-222'J' SOILS LOG - PERCOLATION TEST [] SOILS LOG [] PERCOLATION TEST PERFORMED FOR: ~)~,! L~ L DATE PERFORMED: LEGAL DESCRIPTION: ~ ~'/~ 10 11 SLOPE 12 13 14 15 16 17 18 19 20- COMMENTS PERFORMED BY: SITE PLAN WAS GROUND WATER ENCOUNTERED7 DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop (minutes/inch) PERCOLATION RATE TEST RUN BE'i'WEEN FT AND FT /e - c~ o -- 7~ 72-008 {7/76) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section' P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ~L-t..'~t' HAA# ~:- (',?~ ,,= 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Day phone Lending agency Mailing address Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: .'~) TYPE OF WATER SUPPLY: Individual well N Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA~21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further 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 I ¢ ~-6~t '-'~.-~-L-~t.~'~-~'- Phone Address ~% ~- 1~¢ CZ-O ]~ Engineer's signature ~ ~ ~-~-~.~ Date / DHHS SIGNATURE ~' Approved for -~ Disapproved. Conditional approval for bedrooms. bedrooms, with th-e following stipulations: Additional Comments The existing separation distance waiver #WR86-073 for the well to septic tank of 94 feet on this property is amended to approve a sepa~ration di~taqce of 85 feet. Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA ~21 Municipality of Anchorage ~, ~! (~ ~E IV ~ DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 0c'r 'l 9 19, 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 3~r~ity of Anchorage Dept, Health & Human Services Health Authority Approval Checklist LegalDescription: £~- L~, ~14 ¢)._ \~-'A-StL~2¢: ¼~LL'-~ParcelI.D.: O1'5- /bt- ~,~ A, WELL DATA Well type Log present (Y/N) Total depth If A, B, or C, attach ADEC letter. ADEC water system number Date completed /~ ~ gl lq ~ { Cased to /-/~' ~Ec,~A) Casing height (above ground) Sanitary seal (Y/N) 7 FROM WELL LOG Date of test /~ ~i ~ ~ ~q' I Static water level ..~? Wires properly protected (Y/N) AT INSPECTION <. '?o Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform ¢'~ Date of sample: I ~-~//'z_ / ~7 ';; Nitrate Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed ~ l~/ Tank size / ~-~ ~>(-~ Number of Compartments /-)- Cleanouts (Y/N) Foundation cleanout (Y/N) '",! Depression (Y/N) [,,,t . High water alarm (Y/N) %/ Date of Pumping I 0/~,.¢/¢ &, Pumper /,~ c~ ~.~ ~, -,,/ C. ABSORPTION FIELD DATA Date installed Depression over field (WN) J%[ For Soil rating (g.p.d./ft2 or ft2/bdrm) ~; '-~ System type Gravel thickness below pipe ~ Total depth Monitoring Tube present (Y/N) Results (Pass/Fail) Length /¢/ Width .~ Effective absorption area /--//LP Date of adequacy test lc~//z~/~? ~; Fluid depth in absorption field before test (in.); Fluid depth ) I ¢ (ins) Minutes later: bedrooms Immediately after,~¢ gal; water added (in,): Absorption rate = '~ ~' ~'c* g.p.d. Peroxide treatment (past 12 months) (Y/N) I%/ If yes, give date /~¢ 72-026 (Rev. 3/96)* LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* "Pump off" level at* High water alarm level at* *Datum Cycles tested SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ~- _~ ~, '~ Absorption field on lot , _.. I. Public sewer main h'~//A Sewer/septic service line ~ ,2 2~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~ Property line '~ I Water main/service line '~ .~- ~ Surface water/drainage SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Surface water Curtain drain On adjacent lots ~ CO ~ On adjacent lots ~,. Crf2 J¢ Public sewer manhole/cleanout '~/~-\ Lift station Absorption field Wells On adjacent lots Building foundation ~ ~ Water main/service line Driveway, parking/vehicle storage area '~ Wells on adjacent lots ~-/ (" ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's HAA Fee $ c~.,~). ~ Date of Payment 72-026 (Rev, 3/96)* Waiver Fee $ Date of Payment Receipt Number T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Department of Health and Social Services 825 L Street Anchorage, Alaska 99501 Subject: HAA for Lot 4, Bk 2 Kasilof Hills PIN 015-161-26 Existing Waivers October 26, 1998 oCT 27 1~9k~ Murdcipal J¥ Of Ar~(:horctg~ Dept. I,,l(mJth & I.t[unar~ g~r'¢oes Gentlemen; A waiver was requested by AECS in October 1986 fbr the required separation distance between the well on Lot 3 Block 2 KasilofHilts and the septic tank on Lot 4, Block 2. AECS showed the actual separation between the well and the septic tank to be 83 feet. The line of sight distance between the well and the second standpipe of the septic tank is 89 feet more or less. The distance between the well and the first standpipe is approximately 86 feet. A comer of the building prevents a line of sight measurement. Assuming this is a standard 1000 gal. tank with a 5-foot radius, the clear distance between the well and the septic tank should be 83 feet more or less, the distance requested by AECS. In June 1986 a separate waiver was granted for the separation distance between the well and the septic tank on Lot 3. This waiver was for 94 feet. Measurements made with a rag tape on 10/12/98 gave a sight of line distance of 94.5 feet between the well and the second standpipe of the tank. The clear distance between the well and the first standpipe is approximately 87 feet. Again a building corner prevents a line of sight measurement. The clear distance between the well and the outside of the septic tank is between 86 and 87 feet, the uncertainty being where the cleanout is placed on the tank. We request that the waiver of June 1986 be amended to read 85 feet. The sketch below shows the configuration of the two wells in question and the septic system. Yours T. Spurkland P.E. /- ./ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date ~/"~/~'~ GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or'directions) (b) Applicant Name'%V~ '~ '*O~' Telephone:Home ~¢-~-¢G, Business Applicant is (check one): Lending Institution ~; Owner/builder~; Buyer ~; Other ~ (explain); (c) (d) Lending Institution Address Telephone (e) Real Estate Company and Agent Address Telephone Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family'~ Multi-Family [] Number of Bedrooms ~'~ Other 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, SEWAGE DISPOSAL Onsite,~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDIh NSPECTIONS, TESTS, FILE SEARCH, DA.., AND. INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigatiomof 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 "~/¢~ ¢' ~t Address Date Engir~eer's Seal DHEP APPROVAL Approved for 'I~¢'"~' ~'"~)bedrooms by ,,/(~ /d2 ' '~~ Approved ~ Disapproved Conditional Terms of Conditional Approval Date 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 ar~ 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 72-025 (~1/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: L.,O'~" MUNICIPALITy OF ANcHORAG,~ DEPT. OF HE/'~LTH & ENVIRONMENTAL PROTECTION RECEIVED WELL DATA Well Classification Well Log Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot "~ ~-..~ If A, B, C, D.E.C. Approved (Y/N) "~ Date Completed _ A~.j ~'~&l Yield Cased to ,~.,~' '~ Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) To Nearest Edge of Absorption Field on Lot ~_~'¥~ To Nearest Public Sewer Line N O ~/.~ Cleanout/Manhole N O N ~ Water Sample Collected by Water Sample Test Results Comments Depression Around Wellhead (Y/N) ; On Adjoining Lots ~ O~ ; On Adjoining Lots .~;:~ I ~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~ I'[~ ~ .~;'. ; Date ~/~!-/~1~ ~ B. SEPTIC/HOLDING TANK DATA Date lnstalled /~.~ I~l Standpipes (Y/N) ~1~ Depression over Tank (Y/N) ~" Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~/~t Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course Size 1 ~"~ O No. of Compartments _ '"/""'t,~' ~ Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N) ~¢" Date Last Pumped Temporary Holding Tank Permit (Y/N) To Building Foundation I ~ To Disposal Field c~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed A ~..~ Width of Field Square Feet of Absorption Area ~ ~'~'"~ Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments 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 ~ ,-~"~ To Existing or Abandoned System on ; On Adjoining Lots ,"% '~'--~ To Cutbank (if present) D. LIFT STATION ~ON~'~ 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 I have checked verified, or conformed to all MC)A and HAA guidelines in effect on the date of this inspection. Signed ~~ Date / Company MOA No. ';L-% Receipt No, Date of Payment ~,"(,¢ '~* Amount: $ (e ~ o¢~ *, ¢r, / ~ ~'H ,, ;,, ~;),~ ,~ Engineer's Seal Page 2 of 2 ] urticipah Yo Anchorage P.O. Br. 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264~4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES June 24, 1986 Tobben Spurkiand, P.E. 203 West 15th Avenue "C" Suite 203 Anchorage, Alaska 99501 Subject: Lot 4 Block 2 Kasilof Hills Subdivision Waiver Request, WR86-073 Dear Mr. Spurkland: Your request for a waiver of the 100 foot separation requirement betwen the septic tank and wll on the subject lot has been granted. This distance has been waived to 94 feet. This waiver is valid for the existing four bedroom single family dwelling only. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw 203 W, 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 6-6650 ANCHORAGE, ALASKA 99501 SUBJECT: JUNE 6, 1986 MUNICIPAi, iTy OF ,4NC/,? R ROI ECTIoN PRIVATE WELL. LOT 4, BLOCK 2, KASILOF HILLS Gentlemen; We are submitting a request for waivers from the separation distances stated in Title 18, Alaska Administrative Code Chapter 80.020 This submittal follows the format outlined in a Memorandum dated January 3, 1985 on the subject of "Separation Distance Waiver Guidelines for SCRO", prepared by Mr. Bruce Erickson, District Office Coordinator. State of Alaska, Department of Environmental Conservation. This Memorandum outlines a procedure to be used in the evaluation of waiver requests by assigning number values te geological features addressed in the waiver request. In this request I have followed this procedure and assigned values to the pertinent features as follows: Vertical Distance Between Sewage System and Ground Water. According to well log water level is at 115 feet. Bottom of septic system is at 10 feet. Separation distance is 105 feet. Point value assigned 7.0 ~ ' Soil Absorption. Well log shows 22 feet of silty gravel, 21 feet of course gravel, and bedrock for 62 feet. Point value assigned 22x2.5/105 +21x0/105 + 62xl/105 = Permability: The material described in the well logs has rates less than 50 min. per inch. 22xl/105 + 22x0/105 + 63x.9/105 = a percolation 0.75 4. Water Table Gradient. This is a confined aquifer wi%h 65 feet of pressure head. At maximum drawdown the gradient of the water table will be 0%. . Tobben Spurkland P.E. MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND HUMAN SERVICES Waiver request lot 4, block 2, Kasilof Hills page 2, June 6, 1986 At less than maximum drawdown the gradient will be positive. Point value assigned //~.~/~ ~_3-,0~ 5. Horizontal Separation From well to septic tank 94 ft. Point values assigned For septic tank 2.5 TOTAL POINTS For septic tank . 14.39' This total shows that no bacteriological contamination possible and that chemical contamination is unlikely from a non contiuous point source as a septic tank. Water sample taken during the operation of the system have not shown any contamination. I request that a waiver be issued for this property. Yours CONSULTING ENGINEER - ~ ~.~ ~ ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: OWNER: TYPE OF WELL: WELL LOG AVAILABLE: INSTALLATION REQUIREMENTS TANK. FEET. LOT 4, BLOCK 2, KASILOF HILLS lA000 GLAZANOF DRIVE PAUL F. HOLLEY SINGLE FAMILY YES MET: NO. WELL TOO CLOSE TO SEPTIC REQUIRED SEPARATION DISTANCE IS 100 ACTUAL DISTANCE IS 94 FEET. WAIVER REQUESTED. WELL YIELD FROM WELL LOG: 2 GALLONS PER MINUTE WELL RECOVERY RATE: 4.7 GALLONS PER MINUTE PUMP YIELD: 7.75 GALLONS PER MINUTE DATE OF INSPECTION: JUNE 3, 1986 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 7.75 GALI. ONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED FOR 50 MINUTES. 380 GALLONS WERE DRAWN. STATIC WATER LEVEL WAS FOUND AT 40 FEET. TOTAL DRAWDOWN AFTER 50 MINUTES WAS 128 FEET. RECOVERY WAS MONITORED FOR 9 MINUTES. THE WATER LEVEL ROSE 28 FEET , FROM 163 TO 135 DURING THIS PERIOD. %% ,~,~ TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON JUNE 4, 1986. TEST WAS NEGATIVE. TEST RESULT: WITN THE EXCEPTION OF THE SEPARA_ION' ' T DISTANCE TO THE WELL, THIS WELL MEETS [['HE REQUIREMENTS OF TBE MUNICIPALITY OF ANCNORAGE. due to subsurface conditions that may not be observed surface, -a.n~. ,Changes in land use and other factors impact the ~co~dl%~D~s of the aquifer feeding the well. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of 'this well applies only to the conditions as of this date. The flow rate of the well may change from the that may CONSULTING ENGINEER 203W 15th AVE "C" SUITE 203 ANCHORAGE. ALASKA 99501 FELEPHONE: (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOT 4, BLOCK 2, KASILOF HILLS LOCATION: 11000 GLAZANOF DRIVE OWNER: PAUL F. HOLLEY RESIDENCE: SINGLE FAMILY, FOUR BEDROOMS WATER SYSTEM: ON SITE WELL SEPTIC SYSTEM FROM MUNICIPAL RECORDS: TANK: GREER STEEL, TWO COMP. 1250 GAL. ABSORPTION SYSTEM: TRENCN ABSORPTION AREA: 340 SQ. ]FT. SOIL RATING: 85 INSTALLATION DATE: AUGUST 1981 DATE OF PUMPING: JUNE 5, 1986, ISAACS PUMPING DATE OF TEST: ,JUNE 3, 1986 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH 5 FEET OF COVER AND WITH 46 INCHES OF LIQUID. MONOTORING TUBE FOR TRENCH WAS FOUND TO BE 7 FEET DEEP WITH 8 INCHES 0I? LIQUID. STICK UP WAS 14 INCHES. THERE WAS NO CLEANOUT BETWEEN TANK AND TRENCH. WATER WAS ADDED TO THE SUMP AT A CONSTANT RATE OF 7.75 GALLONS PER MINUTE. WATER LEVELS IN TANK AND SUMP WERE MONITORED. AFTER ADDING 380 GALLONS THE WATER LEVELS HAD NOT CHANGED. THE INFILTRATION RATE OF THE SOIL WAS EQUAL TO THE INFLOW RATE. TEST RESULT: 7'HIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE~ The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. ~[ ~. . , .,,~ ':, .,.... ,;, .-..',,? ; *: 4711: .,-~, ~-~, ~-O' '~. 222o-E , ~k'6 Property OwnOr Address IT FILLS OUT UPPER HAL' ONLY Zip Code (.i(~,?) Zip Code Phone Realty Co. Address Zip Code Zip Code Phone Phone Type of Residence /~ Single Family Multiple Family No. of Bedrooms [] Olher Water Supply I ndividual ' Community [] Public Utility ATTACH WELt. LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior 1o that date, give well depth (attach Icg if available). Sew, er Disposal /~ Individual Year Individual Installed: 'r'i Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Insp~tor Insp~tor Insp~tor Field Notes: DEPT, OF /4 '~--(~) ENVIRONMENTAL ( } DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE ~' ~ ~ ~ Soils Ratinfl Date ~wer Inslalled Well To Absorption Area / ~ o ' Well Log Received f: 5~ ~ ~ ~ I WelltoTank / ~.,~,' Septic T~k Size