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Home My WebLink AboutKINCAID ACRES LT 1A MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES On-Site Services Transmittal Sheet The attached paperwork has been reviewed and is being returned for the following reason(s): __Discrepancy in legal description and/or owner name. __Discrepancy in number of bedrooms. __ Signature and/or stamp missing on Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system. __Replacement disposal site not shown and/or tested. Calculation error in design. -- Show locations of all soils, percolation or water table tests. __ Proposed system too deep for soil test submitted. __Topographic information missing or inadequate. Narrative missing or inadequate. Additional soil/perc test needed. -- Sand filter requirements not satisfied. --Water monitoring results missing or inadequate because Incomplete;. missing __Well log required. __Water sample unacceptable because Please supply ~he necessary information an~ re-su~m~ you request. You~;cooperatign is appreciated. Reviewer ~, /.] r4 ~/ Date ~h LEA VE THIS FORM ATTACHED TO PAPERWORK NOTIFI t -' , · Municipality of Anchorage Page t of '~ DEPARTMENT OF HEALTH AND HUMAN SERVICES , ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99~19-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~q'~O,~%'~ PIDNumber: ¢11- 10.1- 8 ~ Name: WaStewater System: D New ~Upgrade ~s: b~ ~,'~~ ~ ABSORPTION FIELD Phone: ~ ~ -- ~O No. of B~ooms: ~eep Trench D Shallow Trench ~ Bed D Mound D Other I Soil Rating: Total Depth from original grade: LEGAL DESCRIPTION . ~ GPD/Sq. Ft. I 3 Lot: Block: Subdivision: Depth to pipe boltom from original grade: Gravel depth beneath pipe Township: Range: ~ Section: Fill added above original grade: Gravel length: ~ Ft. ~ ~O Ft. I WELL: ~ New ~ Upgrade Gravelwidth; Numberofiines: aistance between lines: 2 Ft. ~ ~ Ft. Classification (Private, A.B.C): Total Depth; Cased To: Total absorption area: Pipe material: Ft ! Ft. J~ SQ. Ft. ¢~tO Driller: Date Drilled: Static Water Level:Ft. Installer: ~ ~ Date~o/~installed:~._ _~/ Vie,d:~ *.~. S~, ~t: ,t. Ca,i., ,.~*~o~. ~ro.nd:~. TAN K SEPARATION DISTANCES ~,tic u Holding ~ S.T.E.~. ? To Septic Absorption Lift Holding Public/Privat6Manufacturer: Capacity in gallons: From *~ J Material: Number of Compartments: Surface LIFT STATION Water ~ Lot ¢ Size in gallons: Manufacturer: Line ~ ~' "Pump on" level at: "Pump off" level at: High water alarm at: Foundation ] ~ Curtain Pump Make & Model Electrical Inspections performed by: Drain ~ Remarks: BENCH MARK S~,~ ~ ~'~'~ Location and Description: ~~ ~ ~ ' Assumed Elevation: Inspections per*ormoO by: ~ Dates: 1st Department of Health and Human Services approval ~,',*,."~.~ ..... ~,_~,.,, Reviewed and approved by: Date: '~'~;~'* 72-013 (Rev. 9/91) MOA 25 TWO TRENCHES 5O FT, LONG 1500 GAL, TANK N SCALE; l' = 50 FT, / ~C. ..................... 40.5 FT ........... 38,5 43,5 B,B 46,0 AM 42,0 3M 54,0 AE 31,0 3E 52,5 AF 33,5 3F 81,0 AG 49,0 3G 103,0 AL 55.0 57,5 -~K 60,0 3K 55,0 4H 69,0 TDBBEN SPURKLANB P,E. 203 W 15TH, AVENUE ANCH. AK, 99501 LDT lA KINCAIJ~ ACRES S/~ SEC. 9 TI£N R41F ~AVI]9 W, 3RE£IN, 6608 K1NCAIz9 ROA~ SEPTIC SYSTEM ASBUILT DATE, Nov. 9~ 1993 SHEET, E/3 GRID, 0 Monitor 0 Clean Ou~ Clean Standard Trenches, 3' Wide 50' Long i3' Deep 5' Sewer rock B' Cover 15+_ ONonltor Clean Clean Out Ng SCALE Cleanouts 4' Topsoil Nlro£1 140 ~ 5 £2 o£ Septic Rock ~/ NO SCALE Noni~or TO,BEN SPURKLAND P.E, II 203 ~lS~h ~ve II Anchorage Ak 99501 P79-~91§ LOT ]-A KINCAIJ ACRES SECTION 9 TI~N R41,/ DAVID BREDIfl, 6600 KINCAID ROAD 0 1500 gal Sep'¢;c ~ank DIVERTER VALVE SPEE-D- VALVE 1500 gal, septic ~ank Anch, Tank 3ENCH MARK; DOTTOM SIDING = 100.00 FT. SEPTIC SYSTEN ASBUILT rATE, NOV, ~ 19g$ SHEET, 3/3 GRIg, ~2 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930233 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:BREDIN DAVID W & ELLEN JAYNE OWNER ADDRESS:6600 KINCAID RD ANCHORAGE, ALASKA 99502 DATE ISSUED: 7/20/93 EXPIRATION DATE: 7/20/94 PARCEL ID:01112185 LEGAL DESCRIPTION: KINCAID ACRES LT IA LOT SIZE: 44941 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: 205 W 15th Avenue, Suite z{o ANCHORAGE, ALASKA 99501 (907) 279-39i6 SEPTIC SYSTEM DESIGN LOT l--~ K~.!~IC~l ~ ACRES DAVID BREDtN No Ground Water or impervious Layer to 17 ft. Slow Perc'ing silt to 8 ft Place system below 8 feet Use Standard Trench Soil Rating. From test July 14, 1993 10 rain/in = .8 gai/sq.ft. Required Area per Bedroom: t50/.8 = 187.5 sq.ft.. Number of Bedrooms 5 Required Absorption Area 5 x 187.5 = 937.5 sq.ft. Use 5 feet of rock Length of Trench 93.75 Use two trenches at 50 ft. each Use diversion valve SYSTER CO~4Fi -GORAT · O~ STANDARD TRENCH TOTAL LENGTH i00 FT. TOTAL WIDTH 2 FT. TOTAL DEPTH 15 FT. ROCK DEPTH 5 FT. COVER 8 FT. SEPTIC TANK 1500 GAL. ABANDON EXISTING S¥STE~ PU~P AND CRUSH EXISTING TANK The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or ~atura! surface / sub surfacm drainage courmes on this or the adjacent lo'tm. The proposed septic system, will not change the general =~oi~e'- of the area. Podding and/or concentration of surface runoff will not -,result from this installation. The~ existino system is a ~-~ ~:~. ~ bedroom system. 1~ WaS sLJrch~rged ~t~J]er~ inspected. The system should be in.tailed below 8 ~eet. Testhole total depti] is !7 ~eet. i~ necessary testhole can be extendmd to 19 ~eet during installation to vmri~y continu- ity a~ soil.$p KIA/CAI9 1-A 1 - J~ VACANT L -IJ $0 0 50 1~0 1~0 S£~L £; I~ = lO0 FT, TBBBEN SPURKLAND P,E, 203 W 15TH, ~VENUE ANCH, AK. 99501 LOT iA KINCAID ACRES SEC. 9 T12N DAVID M 6600 KINCAID RDAD SEPTIC SYSTEM DESIGN DATE, JUL Y 1, 1993 SHEET, 1/3 GRID, 2222 VERSION VALVE .--,..,.~_~ 2.5 0 25 ]500 GAL. TANK N TWO TRENCHES 50 FT. LONG DEEP EXIST. TANK 125 150 SCAL& 1' = ,50 FT, SPURKLAND P.E, ~03 W 15TH. AVENUE ANCH, AK. 99501 LOT IA KINCAIB ACRES S/B SEC, 9 TI2N R4W 9AVIR W. 3REBIN, 6600 KINCMD ROA~ SEPTIC SYSTEM DESIGN DATE, JUL Y 1. 1993 SHEET, 2/3 GRID, 2222 5O Monitor Clean Clean Standard Trenches; 3' Wide 50' L on~? 13' .Deep 5' Sewer rock 8' Cover _1 1500 ~?al Septic tank Monitor Clean Out Clean ND SCALE ygIVE'~TE~ VALVE S?EE-D- VALVE 8' Cover Mlro£! 140 -- 5 £t o£ Septic Rock // ND SCALE Exist, dround 4' MJn Cover ~over ?ank rE I$00 gal, septic tonk ~BEN SPURKLAND P,E, 203 W15th Ave Anchorcge Ak 99501 LD? 1-A KINCAIO ACf~£S SEC?IDN 9 F12N R4W DAVID 6600 KINCAID ROAD SEPTIC SYSTEM DESIGN hATE, JULIi, 1993 SHEET, 3/3 GRID, 2222 PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Depth to Water ADer Monitoring? '~ "~'~/ Date: %/-/ U/ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE J ~ (minutes/inch} P~ERC HOLE DIAMETER __ TEST RUN BETWEEN _J~__~FTAND, PERFORMED BY: "- -~- ~f'~ , ~,~ CERTIFY,,~AT THIS TEST WAS PERFORM ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: LC '~'- /A 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DATE PERFORMED:. H L ~..4//_ 8 ¢4~\~/]Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Depth (o Water Alter '"7// Monitoring? ~-,¢-v,, Oate: '¢'~ I I Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN __ FTAND FT COMMENTS PERFORMED BY: I CERTIFY TH//~,T THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: C ~ i ¢i )'2-008 (Rev. 4/85) Tom Fink, Mayor ] uni p lity of Anck ra e Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 July 21, 1993 Tobben Spurkland, P.E. 203 West 15th Avenue #206 Anchorage, Alaska 99501 Subject: Waiver Request for Lot iA Kincaid Acres Subdivision Waiver Request ~WR930037, PID ~011-121-85,HA930362, SW930233 Dear Mr. Spurkland: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are a private well on Lot lA to the drainfield on Lot lC of 93 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services Concur: ifrogram Paanager v On-site Services ljm:#6 ¥/ 2./ ~i ~ ' .. = i-F 2.? 2.7 S F--'UR~=CLA~J[) F"~ E~ 675i W. DIMOND BLVD. ANCHORAGE~ ALASKA 99502-3904 (907) 248-5095 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 L Street Anchorage, Alaska 99501 Subject: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR PRIVATE WELLS TO DRAIN FIELD LOT 1-A~ KiNDAiD ACRES Gentlemen; We are submitting a request for waivers from the separation distances stated in Title i8~ Alaska Administrative Code~ Chapter 80.020. During a HAA inspection it was found that the required separation distance between the well serving Lot 1-A and the drainfietd for Lot 1-C was 93 feet~ seven feet less than the required i00 feet. The drainfield was installed in i979 and the welt on Lot 1-A in 1981. By going through the DEC's procedure of analyzing the potential for contamination I arrive at the following points: Ground Water (at 300 ft.+ ) Soil Sorption(Silty sand and gravel~ Clay) Permeability ( i hr/in ) Gradient Away from well Separation ( 93 ) 8.0 2.5 1.0 4.0 18.5 Conclusion: Almost sure to be free from any form of contamina- tion. The well logs for the two lots are enciosed~ as well as a plot plan showing the physical location of the well and septic system. The surface drainage is away from the well and to the west. ~/ VERSI£N VALVE I500 GAL, TANK N T~'D TRENCHES 50 FT. LONG 5 FT. DF RDCK A3ANDDNE EXIS T.: TRENCH EXIST. TANK ~5 0 B5 50 75 188 1~3 150 -- --S-~ALE; l' = 50 FT.-- / c TUBBEN SPURKLAND P.E, 203 ~ 15TH. AVENUE ;ANCH. AK. 99501 LOT iA KINCAID ACRES SEC, 9 TlSN R4W £AVI~ D/. BREBIN 6600 KINCAI9 SEPTIC SYSTEM DESIGN DATE, JUL Y 1, 1993 SHEET, 2/3 GRID~ 2222 MUNICIPALITY OF ANCHORAGE e " 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 NAME (/~., IPHONE /'/r [~'N EW MAIUNG ADDR~--~ /2~ ,.~ 6 LEGAL DESCRIPTION LOCATION Well , Absorption ar~ Dwelling~ DISTANCE TO: Manufacturer - M~ /~' Inside length V~idth Liq. capacity in gallons I .... D,STANCETO: No, of Top of tile to finish grade ~ , Length Type of crib / ~..~-~ E TO: diameter 'O-~pth DISTANCE TO: OTHER NO. OF,~jE~R OOMS PERMIT NO , · No. of compartme~.~ Liquid de. pth 4~-R M I T NO. F~ Nearest lot line T/~;allengthC°~n~- I Tren°hwid~t~ inches Material beneath tile J,Je;~l:~pacity in gallons Distance Total effective ~l:fs~rption area 7 Mches P..~.E, JE~ I T N 0. area Nearest lot line Depth Building fou nd~ Driller Building foundation Sewer line PIPE MATERIALS SOl L TEST RATING INSTALLF~R REMARKS LEGAL 72-0 Distance to lot line PERMITNO. t~//d ~_~__(... Septic tank Absorpt on area(s) II, fill kldHII IM JNI Of Vlll Location df'~O II. IL 4. t4LL OEPT/4: (Mieletal) SM~f~c4 (le~etle4 lite of ft. Il. P~l~ (If mll#le) ~P IS. ~ ~ COlTIACTOI"I clrrltPICATIOlt / i MUNICIPALITY OF ANCHORAGE ~' Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR930037 PID# 011-121-85 HA# HA930362 Date Received: July 6, 1993 Legal Description: Lot lA Kincaid Acres Subdivision Engineer: Tobben Spurkland, P.E. Permit # 203 West 15th Avenue %206, Anchorage, Alaska 99501 Applicant: David Bredin Waiver Requested: Lot iA private well to Lot lC Drainfield - 93 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: .~E~ ,~]~/~F~ Date: ~N~ of Reviewer Rec %: 24867/8820 Amount: $ 590.00 Date Paid: July 6, 1993 PERMIT NO. HPF'LICHNT JOHN ROD[:,FI i2:2:6 t.4. iSTH ST. FINCH. LOCFIT ION KI NCBI[:' RD. L. EGF~L LT !-Fl KINCFIID FICF.'.ES S,."[:' LOT SIZE TYF'E OF ':-.,OIL RE:'5OF-.:F'TION ST:STEM IS: TF. EN_.H MFIF~',IMUM NLIM[.::EF-: OF BEE:,ROOMS = .E-': SOIL RFITING (St..-.! FT,.-"E:R)= THE RE~.T~UIRED SIZE OF THE SOIL RBqORPTION SYSTEM IS: 44E, Z~EI SQLtFIRE FEE]" THE LENGTH DIMENSION 15; THE LENGTH ,.'.'IN FEET.'.', OF THE TRENCH OR [:,RFIINFIEL[:,. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE 8ETP.IEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET IqIDTH FOR TRENCHELS. THE GRR',,,'EL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETHEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE ENCRVRTION (IN FEET). PERMIT RPPLICRNT HR~ THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLf~TION INSPECTIONS OF RNY HELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE HELL HILL. SERVE. E:RCKF!LLING OF RNY SYSTEH HITHOUT FINRL INSPECTION RN[:, RPPRO',,/FIL BY THIS DEPFIRTMENT HIL. L BE SUBJEC:T TO PROSECUTION. MINIMLIM [:,ISTRNCE BETI.,.IEEN R HELL FINE:, RN'¢ ON-SITE SENRGE DISPOSFIL SYSTEM IS 188 FEET FOR R F'RIVRTE HELL OR Z5E~ TO 298 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF F'UBLIC HELL. r,IINIML~M DISTFINC:E FR]M Ft F'RIVR'rE HELL TO R F'RIVRTE SEHER. LINE IS 25 FEET RND TO R COMMUNITY SEHER LINE IS 75 FEET. WELL LOGS RRE REQUIRED RND MUST BE RETLIRNED TO THE DEPRRTMENT HITHIN OF THE HELL COMF'LETION. . 3THER REkLIIREMEN]:, MRY RPPLY. ,~pFF':IFIF:RTIONS RN[:, i-o[.,,~T~, RTION DIRGRRMS RRE RVRILRE',LE TO INSURE PROPER INSTRLLRTION. i _.E~.TIF~ THFtl' '-]-¢" ON-SITE ':*]EI4ERE; RND HELL:, RS .':.,_T '£: ! Rr,1 F'FtMIL. IRF HITH THE RECP_IIREMENTS r_m - FORTH E;'¢ THE: MUNICIPRLITY -.iF RNC:HORFIGE. '":" I I,IILL INSTFILL. ]'HE .:,-r=,TEM IN RE]OPDFINCE HITH THE C:ODES. --::: I UN[:,ERSTFtND THFtT THE ON-SITE SEHER SYSTEM P1FIY REQUIRE ENLFIRGEME.NT IF' THE -"F 3 BE[:,F.:OOMS. .....-'~r'F'~""~' IS F.:EMO[:'EL. ED TO INCLUDE M_F'.B THFIN ................ - U. 'F:'L I C:Fh'~T JOHN R.O[)~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SOILS LOG PERCOLATION TEST LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 SLOPE 10 11 12 13 14 15 16 17 18 19 2O WASGROUNDWATER ,//.,,,.)~ ~ ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop /~¢~ io ~,tS ~, zy' /7~ /o ~,~/ o,/I CO ENTS / 72-008 16/79) PERCOLATION RATE /~ (minutes/inch) TEST RUN BETWEEN ~ FT AND ~ FT CERTIFIED BY: _~-~ ' ~ DATE RECEIVED INSPECTION APPOINTMENTS '~1~i M E~'/ TIME TIME DATE DATE DAmE INSPECTOR INSPECTOR ' N S P E CT O R~1_,F.~%~ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF H~ALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~NVi~ONMENTAL P~OTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION OCT ~ ~ I~81 Telephone 264-4720 DIRECTIONS: Complete all parts on pa~e 1. Incomplete requests will not be proc~sed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE~7~C)/)-- MA' L~ADDR ESS , --~I. "' ~ PR O~R ESl DENT {H different from above' PH ONE 2. BUYER PHONE MAILING ADDRESS ( 3, LENDING INSTITUTION ~ ~ ~ PHONE MAILING ADpRESS ~ '~' ~ PHONE 5. LEGAL DESCRIPTIO~ NUMBER OF~BEDROOMS STREET LOCATION 6, TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY [] One [] Four [] Two [] Five [~ Three [] Six 7, WATER SUPPLY INDIVIDUAL~ [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. Awell Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE~ [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY E~ ONE E~ THREE [] FIVE E3 OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~-~ _ ~2-[ Connection Verified INSTALLER []Septic Tank or []HoldingTank Size: /(~ e} If Tank is homemade SOILS RATING give dimensions: TYPE OF TANI~ MANUFACTURER TOTAL ABSORPTION AREA MATERIAL '~-~-, . ~ /'~ 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 51 COMMENTS ~//APPROV E D FOR ~ BEDROOMS E~] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~ DATE BY 72-010 (Rev. 6/79) -, " ,,~ . P.O. BOX 196650 ANCHORAGE. ALASKA 99519-6650 July 14, 1987 DEPARTMENT OF HEALTH & HUMAN SERVICES Assemblyman Fred Dyson S.R. Box 241 Eagle River, Alaska 99577 ............ Reference: .... Response _to.Mr. Spurkland-of May--15,--1987 Dear Assemblyman Dyson: I will try to further'clarify the question you reiterated in your letter of June 30. Namely, "why sho~l'd a homeowner refinancing or selling his house have to pay for a waiver for a non-compliance problem that his neighbor has created?" The answer to that.question in short is that he shouldn't. The process would work in accordance with the following examples: homeowner with a septic system'wishes to sell and has an eighbor who subsequently 'lnstalled-a well too close to the septic system and without a'waiver. ' In this case, we would,issue a Health Authority Approval to the seller and a Notice of Violation to the offending neighbor advising him of the need to bring his well into compliance. The seller would pay for the Health Authority Approval but not for a waiver as this would be the o~fending neighbor.'s responsibility. A homeowner with a well wishes to sell and has a neighbor who subsequently installed a septic system too close to the well and without a waiver. In this case, the seller would be' issued a "Conditional" Health Authority Approval and the offending neighbor would receive a Notice of Violation with a specific time limit for correcting the violation or seeking a waiver. Again, the seller would only pay for the Health Authority Approval while the offending neighbor would be responsible for any waiver costs involved. Assemblyman Fred Dyson R~sponse to Mr. Spurkland of May 15, 1987 July 14, 1987 Page Two The emphasis in the two cases presented above is on contamin- ation of a well by a septic system. That is, it is the well that takes precedence in our immediate health considerations. · I trust that the explanation presented clarifies the answer to the question you asked. Manager Environmental Services LBll4/do cc: Jewel Jones, Director, Health and Human Services Gus Andress, P.E., Program Manager, On-Site Services/Water Quality ~ Tobben Spurkland, P.E.