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Home My WebLink AboutKIMBERLY MANOR #2 BLK 3 LT 9 ,, DEPARTMENT OF HEALTH AND HUMAN SERVICES ,Environmental Health Division 825 "L" Street. Anchorage, Alaska 99502, Telephone 264-4720 ~/~,~_ cE3 7 -'~ - ~/,!7 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~am~ ~ISTANCES ~ .... FR0~ TANK FIELD WELL LEGAL DESCRIPTION LOT LINE ,- '~' AS-BUILT DIAGRAM (~how location of well, se~[ic system, property lines, fou~dabon. ~ L~ .¢'~.]J 2 ~ driveway, wBter bodies, TANKS ('~ ~¢~ IN TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN I F,,, added above orig,na, grade FT Grave~ath p,pe FT grave, length ~1 width ~ ~T I ~ Total absorp[,on area/ /S Distance bet .... lines j g FT[ · FT ; Number o~ lines ~rahng ~ P~Pe material ~ ~~ ~&~ ~, ~J~ Inspections Pedormed by: .... ' .... 72 013 (3/85) 3207 W, 47th Ave, ANCHORAGE, AK 99503-6917 (907) ~$1-;~225 FAX 561.$802 Alaska Llc, #AA9148 KE KNIEFEL ENGINEERING 8441 Miles Ct., Anchorage AK. 99504 (907) 337-1121 · Fax (907) 338-1874 November 7, 1990 Mr. John Smith, P.E. On-site Services Manager Department of Health and Human Services Municipality of Anchorage 825 L Street Anchorage, Alaska 99501 SUBJECT: SEWER SYSTEM UPGRADE, LOT 9, BLOCK 3, KIMBERLY MANOR Dear Mr. Smith: We have previously completed a design and received an MOA permit (900240) for the upgrade of the above system. The current system had failed and a new absorption bed was needed. During the excavating of the new absorption bed area, the material found in the two test holes was not continuous across the entire area of the bed. The excavator dug an additional four test holes and the necessary GP absorption material was found in less than one half of the proposed bed area. The remainder of the bed had only the siltier GM soils which would increase the required bed area substantially beyond any available size for this lot. The design of this bed was very tight due to the well location, lot configuration, lot topography, and the extent of the previously failed bed system. Based upon our detailed soils rev'iew of this lot and the lack of sufficient area for any new bed, ~`r"~m~`~E~.~mm.~.Q~.~`...~.b~"~."~"Q~.~..~.~.~.~.~.Q~.~..~.~..~.~r~rrrr.2~r,~Q~Q~"`~g~1"~.~Q~b~r~"~`~"~g .~Q~.~.~b.~.~,~&~bj~g~b~E~"~.~ ..... The owner, Mr. Wayne Ring, has reviewed this information and has agreed to proceed with this work as soon as possible. The equipment is now on site and we would appreciate your expedited review of this request. The new tank will be hooked in series and set directly south of the existing 1,250 gallon tank. This location will provide a well to tank separation distance of greater than 100 feet, meeting the minimum 75 feet separation requirement. The manways on the existing tank will be sealed to prevent water passage and all piping, joints and clean-outs for both tanks will be properly sealed. A high water alarm for the holding tank will be installed to provide the necessary visual and audible warning to the house occupants. Lot 9, Block 3, Kimberly Manor November 7, 1990 page two The location of the current tank was easily accessed by the pumping contractor. The two tanks will have a bottom of tank level approximately four feet below the driveway area level, and within approximately 80 feet horizontally. In summary, we are asking for revision of our current permit to include approval of the placement of a 3,000 gallon holding tank with alarm system on this lot, The well will not be moved as originally required, Please call us if you have any further comments or questions, On a related note, I personally would like to extend my appreciation for the effort you and your staff have given in our task to resolve this problem situation. They have been most helpful throughout the process and have provided considerable positive guidance. Respectfully Submitted, CRobert Kniefel, P.E. cc: acreage systems ~x L~ qESL~ Test Hole t too g. New Well Existing Well / System Design = 4 bedrooms @ 125 sf/bed. = S00. sf x 1.5 = 750 sf. Abandon existing system, drill new well with 102' distance to bed Ail materials, construction methods and inspections to follow MOA standards. Bed material compaction to be to 95% and certifie by ~nspeetion and testing by Engineer. SEPTIC SYSTEM'. DESIGN DATE PREPARED FOR: . ~'., ~,'~ ' .'-~ SCALE PREPARED BY: '~ ~ ~ I~ ~0~ Kniefel Engineering ~o~ CE ~0-030 page 1/2 8-8 mo p~s z/~.. ~'1:.~ ~.~ El ,~IhI~EE~'~SEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 H E Kni~el~t .~'~ SOILS LOG -- PERCOLATION TEST ~', LEGAL DESCRIPTION:~ Township, Range, Section: 9 10, 11 12 13 14 15 16 17 18 '19 20 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Deplh tO Water After ~" ~ Monitoring?~ Dale,. Gross Net Depth to Reading Date Time Time Water __ (minutes/inch) PERC HOLE DIAMETER PERCOLATION RATE TEST RUN BETWEEN __ FTAND ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: '7 ~"~ Jrt- ~J~ 72.008 (Rev, 4/85) MUNICIPALITY OF ANCHORAGE MEMORANDUM DATE: November 8, 1990 TO: Accounting and Budget, DHHS FROM: On-site Services, DHHS SUBJECT: Request for Refund - Account ~2570-9426 The following well permit application has been cancelled. The applicant will not be drilling a new well as the property sewer system must be converted to a holding tank and will meet the proper distances required. Please make the necessary arrangements for the refund. Thank you. Kniefel Engineering 8441 Miles Court Anchorage, Alaska 99504 Lot 9 Block 3 Kimberly Manor Subdivision Well Permit ~900240 Account ~ 2570-9426 Amount $50.00 Receipt #22109/2747 La u~~~me r y On-site Services Section cc: File Jan Kral, Customer Services L.~/ MUNICIPALITY OF ANCHORAGE ',~/ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVlRONMENI'AL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME A o ]~. (~ o,.S o ,, T~':]C. / PHONE ~ ~EW MAILING ADDRESS LEGAL DESCRIPTION LOCATION NOi OF BEDBOOMS WoII Absorption area Dwelling PERMIT ~g DISTANCE TO: ll~ g~& 7~ ~ZO~ooNO' ~ ~ Manufacturer ~ ~ AA'~o~-*~ Mate~i~ ( No. of co~artments ~ N Liq. capacity in gallons Inside length Width i ~O IF HOME,DE: Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ ~ Manufacturer · --N Material Liquid capacity in gallons Well Foundation Nearest lot line PERMIT NO. DISTANCE TO: ~ ~ ~ No. of lines ~ Length of each line Total length of lines Trench width Distance between lines ~ --~ ~~ ~ inches ~ ~ Top of tile to finish grade Material beneath tile Total effective absorption area ~ inches Length I Wdth 2'~J~ Depth ~ ~[ ~ PER~IT NO. ~ ~ Type~f crib Crib diameter Crib depth Total effective absorpuon area ~ DISTANCE TO: Well I OO Building foundation Nearest lot line ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS pvc SOIL TEST RATING i 50 INSTALLER REMARKS r 4¢- ~' ~ o~ APPROVED DATE LEGAL 72-013 (Rev. 3/78) DEPARTI'IEN~' '")F' HEALTH AND ENViRONi'IENTP' PROTECTION gas '-.-C; STREET, ANCHORAGE, AK ~64'-4'7B0 PERHZ'T NO. ( ~aO~O0 ) APPL I CANT LOCA'T ION LEGAL AECS. INC./MCLiN CONTRA P.O. BOAX S-BBB KlfflBERLY MANOR ~ BB LO]' 9 LOT SIZE Type o~ soil absorption system is: DRAiNF'IELD Maximum number of bedrooms = 4 Soil pa±lng (S(~ F'T/E.~R)= The required size of the soil absorption system is: 10OOO SQUARE FEET The leng±h dimension is ±he length (in fee±) of the trench or drainfield. The dep±h of a trench or pit is the distance between the surface of the ground and ±he bo±±om of ±he excavation (in fee±). the t conch wi dth i s 81 . SOO f. eet. The gravel dep±h is the minimum dep±h of gravel between the out~all pipe and the bo±tom of the excavation (in fee±). iRequi r-ed ~-ilep±i c 'Tar~k Si z e= 1;3~0 (;.a:l 1 Permit applican± has the responsibiii±y ±o inform this departmen± during the ins'taiiation inspec±ions of any wells adjacent ±o ±his property and the number of residences ±ha± the well will serve. Backfilling of any system without final inspec±ion and approval by this departmen± will be subjec± ±o prosecution. Minimum distance be±ween a well and any on-site sewage disposal sys'tem is 100 feet for a private well or 1BO to 800 feet from a public well depending upon the type of public well. Hinimum distance from a priva±e well to a priva±e sewer line is 8B feet and to a co~'~,uni±y sewer line is 7S fee±. Other requiremen±s may apply. Specifications and cons±ruc±ion diagrams are available to insure proper ins±alia±ion. I certify that 1: I am familiar with the requirements fop on-site sewers and wells as set forth by the Municipality of Anchorage. 8: i will install the system in accordance with ±he codes. B: i understand that the on-site sewer system may require enlargement if the residence is remodeled to include more than 4 bedrooms. V4,, 0 ALASKA elIUIROllmEnTAL COllTROL SERUICES, IIIC. ~nginecrin(j 6 ~nuironmentaJ Studies SPECIFICATIONS FOR ELEVATED BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM- KIMBERLY MANOR #2 LOT 9 BLOCK 3 1.0 GENERAL 1.1 THE DRAWINGS, SHEETS 1 THRU 2, SHALL BE A PART OF THIS SPECIFICATION. 1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE REQUIREMENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERMIT. 2.0 SEEPAGE BED 2.1 THE GRAVEL FOR THE BED SHALL BE SCREENED TO THE SIZES INDICATED. 2.2 THE SAND SHALL HAVE AN EFFECTIVE SIZE OF 0.4 TO 0.6 MM AND A UNIFORMITY COEFFICIENT OF NOT MORE THAN 4. 2.3 THE BERM AROUND THE SEEPAGE BED SHALL BE CONSTRUCTED OF IMPERMEABLE MATERIAL, AND ON A SLOPE OF 1 FOOT VERTICAL PER 2.5 FOOT HORIZONTAL. 2.4 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL BE PLUS OR MINUS 2". 2.5 AN OBSERVATION PIPE SHALL BE PLACED AS SHOWN IN THE DRAWINGS. IT SHALL BE RIGID PVC, ASTM 3033 D-3034. THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5" HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE OR A REGULAR SECTION OF REGULAR PERFORATED SEWER MAY BE CLAMPED TO THE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT JOINT. A RUBBER RAIN-CAP (JIMCAP OR EQUAL) SHALL BE PLACED ON THE TOP OF THE PIPE. 2.6 IF INSULATION IS REQUIRED THE INSULATION SHALL BE DOW EXTRUDED BLUE STYROFOAM BOARD OR ARCO GEOFOAM EMBANKMENT INSULATION BOARD OF THE THICKNESS SHOWN ON THE DRAWINGS. 2.7 THE TOP AND SIDES OF THE BED SHALL BE PLANTED WITH A WHITE CLOVER AND RED FESCUE MIX. 1220 LUest 251h J~uenue o J~nchora§e,/~l(~ska 99503 · (907) 276-1361 ALASKA ENVIRON~ ',TAL CONTROL SERVICE~INC. 1220 West 25th Avenue Suite B ANCHORAGE, ALASKA 99503 276-1361 279-2917 JOBK~'(~C~L~_k~.~\~/O~ ~t:~~. ,1~ ~ J ~ --.-- s,~o [ o.. CHECKED BY. DATE rJ i ? l] 71A IL'"I'"~ - ~-' t: 't L.t_ i ~' GFUqVEL ,,VLItJ L£&u;AA MUNICIPALITY OF ANCHORAGE DEPARTNIENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST ~' SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4, 5 6 8 ~0 ~2 ~3 14 17- 20 PERFORMED BY: DATE PERFORMED: ~'LOPE / SITE PLAN WAS GROUND ~NATER ,~& ~_ ENCOUNTERED? -~ ' O P IF YES, AT WHAT ~ / E O DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch FT AND -- FT 72-008 (6/79) Well Log For.., ~...~.~ -Z/ Location .... .L...~,.~.'. .... ~./ ..... ..~.,.f,~..~.~...~,. A~f'.//J~/~:f.. ~-Y /f-/~/J~/'c , · ' ...../ ..... [ .............. ..... '..~... ....................... :.2 ..... Depth of well - ~ 0 ' · Size of casing. ~ ' Distance to water.......~...~...O...~....::..~...~.~.?.~.~ ....... ..(~..../...~..Z.~.T..2.:~.{~) ..... Distance to water while pumping.: ...................................................... at rate of ................... ~..~.'.~. ................. gallons per. hour. Formation ~UNICIVALiTf OF A~.'CH FEi-3 :' "' ' _ECEIV D from to[ Driller DELTA DRILLING COMPANY '~--' SRA BOX 394 B ANCHORAGE. ALASKa 99507 [:'EF'RF.:TMEN!' [¥~_~HERLTH RNC, EN"/~F-:ON. MENTRI. ~.~,OTECTION ':"::'.:i .'u-" ?i;TF.:EET., RNC:HORRGF -,' ~ 264- '4. 72EI PEF.:MET' NO ,': ':'4F"': .... -~-'-~EL-.T.E_L F EEF4.':.~-"t ][ 'T' RF'PL Z CRNT DR',/~ [:, ¢~N Z Z MMERMRN · , ¢:.:.-ERST 2:LST R',,,'E. LOCRTION OUR ONN LRNE ...... , -'~--,,' LEGRL LO'r ~:_-'.~ BLt,.'.' 2: KZI',IE;EF..'L'¢ MRNOF.: LOT c;I'ZE 2'l.2E:...t SE.!LIFIRE FEET MINIMUH DISTRNCE BETNEEN R f.,.IELL RND RN'¢ IqN-'=,ITE SEI.,.IRGE ±00 FEET FOR R F'RI',,,'FITE NELL OR :258 TO 2Z10 FEET FF..'FtM R PIJE~LIC HELL [:'EF'EN[:,ING UPON THE TYPE OF F'UBLIC ~4ELL. ' '- MINIMUM [:,IC;TRNCE FF~M R F'F.:I'¢RTE NELL TO R FF..I,.,NtE SENEF.~ LINE IS ':.'=~ FEET RN[:, TO R COHMUNIT'¢ SENER LINE IS ,.-"~ FEET. ~'- [4ELL LOGS RRE F.:E6!UIRED RN[:, MLIST E;E F.:E'TURNED TO THE [:'EF'RF. tTMENT 14I'f'HIN ElF THE FIELL COMF'LETION. OTHEF..t RELT.!UIREMENT$ HR'¢ RPF'L'¢. ,:r, - ..... ,- -,FEL. IFIUNTIEN-, FIN[:, CONb';TRUCTION [:'IRGF.:RHB RF.:E RVRILRBLE TO INSUF.'F' PF.".OPEF.: IN-THLL~TIUN. 'r C:EF:TIF¥ THRT J..: Z RM FRI"I)'LTRI~: 1.4ZTH THE F. tEbqU'rF...EMENT_, FOF.: ON-$ZTE SENEF.:5 RN[:, F. IELLS RS FOt-~tTH E:'¢ THE f'IUNIC:ZF'RLZT'¢ ElF RN.C:HDRRGE. 2: T 1.4ILL ZNS;TRLL THE S'¢STEH YN RCCOF. tC, RNCE W..~rTH THE C:OE:,ES. , I -~NED: _ F!F'F'LICR~ DR',,,'I[:, L. ZIHMERM~N ~ I SSUEE:, E:'¢ --_E:,RTE_ ",'4. 0 Parcel I.D. # · ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site add'ress or directions) Property owner ~/~P ~ ~ r ~ t ~ ~,~,~L~ Day phone Mailing address Lending agency Mailing address Day phone Agent Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: t~ Day phone TYPE OF WATER SUPPLY: NOTE: Individual well Community well. / Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1191) 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 a. nd/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 ~!r~',¢,(.~t% ~-.~-~..--h-~%(Zi~.ld.- Phone _ Address d~")~- S~,' '~'~)¢ ~215~/4~ /~ ~ EngineeCs signature ~ J'¢~ ~ . , '~ Date ~ ~¢ ~,~- DHHS SIGNATURE ~/~ Approved for ~'- (zTLJ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date The Muni¢ipsli~y of Anchorsge Depsr~men~ of Hesl~h ~nd ~umsn Servioes (DHH$) issues Health Authority Approwi Certificates b88ed only upon ~he representations given in psrsgrsph 5 ~bove by 8n independen~ professionsl engineer registered in ~he $~ste of Alssks. The D~H$ does ~his ~s ~ courtesy ~o purchasers of homes ~nd ~heir lending institutions in order ~o sefisfy cer~sin federel ~nd s~8~e requirements. Employees of DHH$ do no~ ¢onclu¢~ inspections or 8n~lyze d~ before 8 certifi¢8~e Js issued. The Municipality of Anchorage is no~ responsible for errors or omissions in Jhe professional engineer's work. 72~325 (Rev. 1/91) Back MOA Municipality of Anchorage Department of Health &,Human Services HEALTH AUTHORITY APPROVAL CHECKLIST 0/7 Legal Description: . Parcel I.D. · A. WELL DATA Well type '~'f'~'J~ Log present (Y/N) Total depth Sanitary seal If A, B, or C, attach ADEC letter. ADEC water system number Date completed (~'/~/ <J'~/ Driller Cased to FROM WELL LOG Date of test ~ "' ~ "(3¢~ / Static water level ~ Well flow ¢ Pump level ; //V~ ~ /¢~/<z~// SEPARATION DISTANCES FROM WEL..!LL-TO: Septic/holding tank on lot / ~' ~- ~ ~ Absorption field on lot Public sewer main Sewer service line Casing height Wires properly protected (Y/N) g.p.m. ; On. adjacent lots ; On adjaCent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Nitrate Date insta~lled ~~'~'~ ~--------~j~size ~'~O ~-~ / Cleanouts (Y/N) ~/ ~ Foundation cleanout (Y/N) ~ High water alarm (Y/N) ~"~ 5 Date of pumping ¢' ~ ~¢~ 6 O~her bacteria Collected by: ~cfl.-~/~' ///¢?~.?~1.¢// Compartments Depression (Y/N) Alarm tested (Y/N) ~"~- '~ Pumper ~'~ ?"~ (. '~ ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot / ~ ~"'- ~ On adjacent lots TO propertyline 1 kO ~ c.~ Absorption field SurfaCe water/drainage /~ °~ / ~ Foundation Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level .~,~-~'1~'' Meets MOA electrical codes (Y/~,)~"J"___ SEPARATION DISTAN..~FROM LIFT STATION TO: Well on lot On adjacent tots Manufacturer -¢¢¢*"¢ M a n h o i e,/.~cC*~~'~''~' (Y/N) "Pump off" level at Cycles tested Surface water D. ABSORPTION FIELD DATA Date installed Length Total absorption area Depression over field (Y/N) //t'SoiJ rating . S~ystem type Width Gravel thickness ~,,,~ Total depth Clean o.~fsC;p/resent (Y/N) .,JDate of adequacy test Results (paSs/fail) ?? for Peroxide treatment (past 12 months) (Y/N) j' If yes, give date SEPARATION DISTANCE FROM ABg~)RPTION FIELD TO: /'" On adjacent lots Propertyline Well on lot To building foundation .¢? To existing or abandoned system on lot On adjacent lots .,¢" Cutbank Water main/service line Surface water .~:. Driveway, parking/vehicle storage area bedrooms Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified or conformed to all MOA and HAA guidelines in effect of this inspection. Signature L._., Engineer's Name ",!"~ ~. / / Date ~ ~"/¢'~ HAAFee$ ,/ ~ '(-~ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number Tom Fink, Mayor c pa ty o1' A xchorage [ epartmen! o! Health and Human Oerviees 825 "C" Street Box 196650 Anchora§e, Alaska 99519-6650 September 17, 1992 CERTIFIED MAIL Mr. John Buzdor, P.E. HC02 Box 7710 Palmer, Alaska 99645 Subject: Lot 9, Block 3, Kimberly Manor #2 Dear Mr. Buzdor: I have reviewed your recent submittal for a Health Authority Approval on the subject property. This request is denied. The most recent installation information you have shown is for a 1,250 gallon, two compartment septic tank placed in 1982. You seem to indicate that it serves as a holding tank. For the record, this office did not allow the installation of a holding tank of that capacity in 1982. In fact, there is a more recent inspection in file which shows the installation of a 3,000 gallon Greer holding tank on November 13, 1990. I am personally familiar with this upgrade as I was the officer who ordered it done. The old septic tank was abandoned according to the inspection report. I have verified that this information is all available on our microfiche record. You'll also see that the new holding tank is oriented in a different direction from the old septic tank. This leads me to wonder if there was an actual inspection of the property. You are welcome to resubmit your request with proper documentation. Included in this documentation shall be the following: 1. 'Provide documentation that the holding tank is watertight. 2. Accurately describe the existing wastewater system on the worksheet. Page 2 John Buzdor, P.E. 3. Provide accurate field information on the wastewater system and separation to the well. Please call me at 343-4718 if you have additional questions. Sincerely, Susan Oswalt On-Site Services /so-478 cc: Jean Hohnstein, Marston Realty Richard Slisz, State Occupational Licensing John Smith, P.E., Program Mgr., On-Site Services ANCHORAGE,, ALASKA 99504 (907) 337.$:i,37 September g, lgg2 Jean Holnstein Marston Real Estate 2804 W. Northern Lights Anchorage, AK 99517 Re: 7711 Our Own Lane -eu6ject: Septic Holding Tank Dear Jean Per our phone conversation, I am submitting tile following information related to the repairs of the 2000 gal septic holding tank at the above address, The tank and 4" sewer line from the house were excavated to determine the cause of suspected intrusion of ground water. The following deficiencies were found and Corrective actions taken: Deficiencies: Tank manhole lid was installed without the rubber gasket, Tank cleanout standpipe connection had separated. 4" sewer line from the house was made up of 3 different types of pipe. Improper couplings were used to connect dissimilar pipe and the pipe had separated in these joints. e. 4" sewer line was improperly graded and sagged approximately 2-1/2" below the inlet to the holding tank. " Corrective actions: a. A new gasket was installed on the manho]~ cover. bm A new coupling of proper size and type was installed, on.the cleanout. A new 4" sewer line of proper material and of continuous lengths was installed. All joints were made with proper size and type couplings. Filter fabric and gravel pipe bedding was installed to maintain pipe invert elevation. Page 2 Please be advised that this system as it exists "is not a pe~anent septic system," This is a '3009 gallon holding tank connected to a 3 bedroom house and will require pumping at intervals of l0 to 14 days and could go as long as 20 days if extreme conservation is used. Tacke~t and Associates warrantees only work that was done by us to this system, Unexpected costs incurred by the buyer for pumping are the respensib{lity of the buyer. We w~ll respond to requests to investigate suspected water intrusion at our shop rate of $45/hr. If there is a problem with work we have done, we will guarantee that work for a period of one year from the date of completion of those repairs. If .you have any questions, please feel free to call me at 337-3137. Sincerely, " Bill T~ckett WDT:jvs APPLIC< NT FILLS OUT UPPER HAL,.. ONLY Lending Institution ~, ~ / '-~ ~ Address Z~p Code Realty Co. & A~nt Phone N/k ~A Address Zip Code Type of Resi~nce ~ Single Family ~ Multiple Family No. of Bedroo~ ~ Other Water Supply Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~ Individual Year Individual 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 Date Date Date Date Inspector Insp~tor Insp~tor Insp~tor Fiold ~otos: p?T 0 RECEIVE¢ ( ~PPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* Soils Rat~ Date ~wer Installed Well To ~sorption Area c~:5 Well Log Received Z bO ~'- / ~- ~' ~ Well to Tank / / '~ Septic T~k Size 72-023 MUN,C PAUTY 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 264-4~20 Application Date ~'~ GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name ~/~ ~f--~ Telephone: Home .(c) Applicant is (check 6n~): Lending Institution ~; Owner/builder~; Buyer ~; Other ~ (explain); Busines~-2~ (d) Lendinglnstitution ~,'~'J ~;~-¢'~' ¢¢/~-'~' Telephone Address Real Estate Company and Agent Address ~P-..A ~ i~ Ct i ,~d.,~ (~_ n .,~¢r- Telephone ~44 - 0 ~ ~ (f) .Mail the HAA to the following address: 2. TYPE OF RESIDENCE , , . single-Family,~ Multi-Family__ [] Other ' Number'ofBedrooms-- 3. WATER SUPPLY ndividual 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. 4..SEWAGE DISPOSAL Onsite~] Public [] Community [] Holding Tank [] Note: If community well system., must have written conflrmatior~from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) 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 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 ali Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date ~.~ ~/~, DHEP APPROVAL Approved for ~.'~/~),~'~?--- bedrooms by Approved. /~.. Disapproved Terms of Conditional Approval Conditional 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 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 264-4744 Legal Description: ~ ~ ~/~ ~ ~. ~ ~ WELL DATA Well Classification Well Log Present t~/N) Total Depth 4¢ ~-2 Cased to ~ ~ Static Water Level ~ Casing Height Above Ground /// Electrical Wiring in Conduitc'~)N) Separation Distances from Well: To Septic/Holding Tank on Lot // 7_~ To Nearest Edge of Absorption Field on Lot //~_~ &~ To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results /-c If A, B, C, D.E.C. Approved (Y/N) Date Completed ,~/"/~/-'~ ~- / Yield Depth of Grouting Pump Set At Sapitary Seal on Casing ~)/N) Depression Around Wellhead (Y~ ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~// ~' ~, ~ ; Date 7~/~/~ 2. Comments B. SEPTIC/HOLDING TANK DATA Date Installed /~"Z,~/~-Z- Size /'Z-,,)""c} No. of Compartments Standpipes~,l) Air-tight Caps~N) Foundation Cleanout~'~N) Depression over Tank (Y~)/) DateLast Pumped ?,/V,,/~-~- Pumping/Maintenance Contract on File (Y/N) /,..~../,z) ; for Holding Tank High-Water Alarm (Y/N) /~'),~ Temporary Holding Tank Permit (y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well //'~-~ To Property kin~ .: /~ To Water Maih/SerVice ,Line /~f//:)' To Building Foundation To Disposal Field '~ To Stream, Pond, Lake, or Major Drainage Comments Page I of. 2 72-026 (Rev 8/861 Fronl , C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area ~ Z, Depression over Field (Y/~) Results of Last Adequacy Test ~c/-~//~r, Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot TO Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area ,/-J-?,d/( Type of System Design Length of Field Depth of Field ~'" Gravel Bed Thickness Standpipes Present Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots ~ / f ~'',~/~ To Cutbank (if present) Comments Dm LIFT STATION Date installed Dimensions Size in Gallons M~Y/N) "Pump On" Level at / "Pump Off" Level at High Water Alarm Level at /.4~Y Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Co m men ts ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I havc.cffecked, verifj,ed or conformed to all MOA and HAA guidelines n effect on the date of this inspection. Signed -~,-, ,~/~-'-~'A/~ Date ~/~--~/~ ~ Company //~Z~(' ~" -~<' MOA N~o,? ~>'~ -0,,2 ~z Receipt No. ~. ~ ~ /--- O O/3 Date of Payment ~- ~ 3-- ~ ~ Amount: $ / 0 0 - Page 2 of 2 72 026 IRev 8~861 Back