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Home My WebLink AboutHIDDEN HILLS BLK 1 LT 14QGRE ;R ANCHORAGE AREA BOr' 'qGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME //./)~/~/.~/~-Y.~) ,.2~'¢'///~ MAILING ADDRESS .-~.:~¢,..~.~./~'/~...~/'~///2-.~// PHONE LOCATION /~/.,Z-~/C'~/X~/Z~ f~'/ SEPTIC TANK: DISTANCE FROM W E L k/~/¢[~J'/~ A N U FAC T U R e R INSIDE LENGTH --~ INSIDE WIDTH NUMBER OF MATERIAL~r COMPARTMENTS / LIQUID DEPTH -~ LIQUID CAPACITY /~'~/~ GALLONS. SEEPAGE PIT: LINING MATERIAL cz~/¢/Z//~i/://(-~//-(CRIB SIZE: DIAMETER ' /DEPTH DISTANCE FROM: WELL BUILDING FOUNDATION ~ , NEAREST LOT LINE ~ /// TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ SQ. FT. ADDITIONAL ABSORPTION .... WELL: TYPE :- / ~-~¢;.,, ~4 ~ -~ ,./...2 _ CONSTBUCTION BUILDING ~EAREST ~.~ NEAREST '~ SEWER LINE FOUNDATION //, LOT LINE CESSPO~OL .~-' OTHER SOURCES APPROVED DISAPPROVED D.I~P-TF:I~ ....... ~---. / DISTANCE FROM: 7//, TANK REMARKS DISTANCES: INSTALLED BY: ////~¢// PIPE MATERIAL: Form No. LQ-031 DIAGRAM OF SYSTEM /./o /? ~>/ SEWAGE GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITM 3330 'IC" STREET ANCHORAGE~ ALASKA 99503 TELEPHONE 274-4561 DISPOSAL SYSTEM -- APPLICATION AND PERMIT pERMIT NO. NAME OF APPLICANT INSTALLATION LOCATION %~''~'~'~'~) ~ ~ . . INS%ALLATION OF: SEPTfC TANK ~ SEEPAGE PIT__ ~ DRAIN FIELD ..... OTHER *~'*~'' ~ NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TE.T SOIL TEST RESULTS FINAL I~SPgCTION: g4 HOUft NOTIgE REQUIRED, BAgKFILLING OF ANY SYSTEM WITHOUT FINAL INSPEETION BY TNg DEPARTMENT OF ENVIRONMENTAL QUALITY AUTI4ORITY WILL BE SUBJECT 1'O PROSEEUTION. MINIMUM DISTANCE~), REOUIREMENT~ FOUNDATION TO SEPTIC TANK ~_ · ot .... .... DRAIN FIELD GRAVEL BAC:F(FILL CONFORM TO ~DROUGH REGULATIONS REGARDING IIqSTALLATION, OR LICENSED DESIGNER GREATER ANCHORAGE AREA BOROUGHJUL DEPARTMk'NT OF ENVIRONMENT/II (UA 3330 "C" Street ~ b~z°~vm~"'~ ANCHORAGE, ALASKA 9950o Performed Fop. ~Y,,W,3-",~ __~_C!LL~.f? Dated Perfomned Legal Description: Lot__~___.Block ( Sul)division_~c!e,.~ --~//~ This Form Reports Soils Log~ ............................... Percolation Test~ Soil Test Must Be Logged To 4' Below Proposed Seepage System Depth Feet 1 4 ? 10~- 1 1~ 12~'- 13~- 14~ Soil Cl~aracteristics Was Ground Water Encountered? · If Yes, At What Dept~? LLL_L_ _.L_i L_L_-' i I LJ_LJ_ L___L~/__L. L__L_J__I L_L i._J_.a_J I I L_.l__J L_L_J I Date , Gross Time Net Time Depth to H2O Net Drop Reading t i ' I ' ----~ ............................ L ............ t .................................... Percolation Rate Proposed Ins~]'~,-~"~,--~-'[-~.'~: Seoi;agc Pit x Drain Field Depth of Inlet ~v,k Depth to Bottorn of Pit or Trench- iV~ COMYENTS: j oF .......................... Test Performed BY / 3 .... ~-.~_~ .................. Da te: 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 ParcelI.D. # _¢)//- CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1 ~ I -- ~ ¢'/ NAA # '~,"('~c::~l~ f~,~'-~ 1. GENERAL INFORMATION Complete legal description 141 Location (site address or directions) Property owner Mailing address Lending agency .Mailing address. Agent Address Day phone Day phone" ;. Day phone t Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATERS[JPPLY: Individual well Community well Public water NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holdin9 tank Community on-site Public sewer If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ~..',,.~ ,k~,(.~!:,(.(.t ,':'.. ',~, , ~,., ,, .' ,tY /'I, {~, " If community wastewater system, provide written confirmation from State ADEO attesting to the legality and status of system. NOTE: 72-025 (Rev. 1/91) Front MOA #21 o 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 5edrooms 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 Address Engineer's signature DHHSSIGNATURE ~~-- ~)i ores Approved for eO ro Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Th~ Mun, i,cipa, h.tY?of Anchorage Department of Health and Human Serv ces (DHHS) issues P ealth Authority ' ~*,~,,' Approval'"Ce~tif:~ates based only upon the representations given in paragraph 5 above by an independent '- ,/~' prof,essi.o,~al engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes '&~d'their'ler~ding institutions in order to satisfy certain federal and state requirements. Employees of DH HS 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 Legal Description: A. WELL DATA Well type Log preseut (Y/N) Total depth Sanitanj' seal (Y/N) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN Environmental Services Division 825 L Street, Room 502 Anchorage, Alaska 99501 (907) Health Authority Approval Checklist IfA, B, or C, attach ADEC letter. ADEC water system number Date completed 0 d- 1 q Cased to _ '~' / (.a (~ Casing height (above ground) _ ~ O I/ Wires properly protected (Y/N) '~ FROM WELL LOG AT INSPEC~ON l~q~ g.p.m ~ g.p.m. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date of sample: Foundation cleanout (Y~) Date of Pumping _ C. ABSOR~ION F~LD DATA Date installed Length ~%~ Widflz Nitrate ,~ "~ff IA,,4~/~ Other bacteria .t~ Collected by: ~"j- -~ Tank size lOg. gO Number of Compartments / _ Cleanouts (Y/N) \/ Depression (Y/N)__bi High waler alarm (Y/N) '~] Pumper [" " Y Soil rating (g.p.d./ft2 or ft2/bdrm) ,/35~O System type ~ rl'b~ [/o.q~/-e /g I Gravel tlfickness belowp~pe OI Total depth / L//[ Effective absorption area 73B Monitoring Tube present(Y/N) y D'ateofadequacytest ~_~ol~,. Results (PassFFail)"~ Fhfid depth in absorption field before test (in.)', ~,~ // Fhfid depth ~9 t~ (ins.) Minutes later:~) Peroxide treatment (past 12 mouths) (Y~) ~ Depression over field (Y/N) For ~ bedromns hnmediately after~2b'gal, water added (in.): // Absorption rate = ~ drY-CF6'9 g.p.d. If yes, give date D. · LIFF STATION Date installed Manhole/Access (Y/N) High water alarm level at* Size iii gallons ~'Pump on' level at* *Datum "Pump oft" level at* Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tm~ on lot Absorptiou field on lot Public sewer main Sewer/septic service line : On adjacent lots On adjacent lots Public sewer manhole/clcanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation q7 Property line ~ ,3~- I Absorption field Water main/service line P ~"-01 Surface water/drainage lk[ 0 ~4~ Wells on adjacent lots /-/0 / SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: / Building foundation ~'b I Water main/service line ~ q 0 Surface water N o ~ Driveway, parking/vehicle storage area I 0 Wells on adjacent lots I ~0 5 Property line Curtain draiu [k~ o vl 2 ENGINEER'S CERTIFICATION I certify that I have determined thrufield inspections and review of Municipal records that the above aye'terns are in conJbrmance with MOA HAA guidelines in effect on this date. Signature "'~_ ~ Engineer's Name ~Tob~ 14 ~pO¥' l"~l~tJ ~,/-~ HAA Fee $ Waiver Fee $ Date of Payment Receipt Number Date of Payment Receipt Number Rev. 8/95 eSS: haa.wk.doc 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 820 I Street Anchorage, Alaska 99501 Subject: HAA Lot 14, Block 1 Hidden Hills PID 011-0121-39 June 12, 1996 Gentlemen; We are applyiug for a HAA for this property. The septic system was tested on March 18, 1996. At that time the crib was found with 89 inches liquid. 500 gallons were added to the crib over a 19 hour period. During the next 6 hours approximately 100 gallons were absorbed. This absotption rate can be extrapolated to yield a 24 hom' absorption rate of 400 gallons, which is 50 gallons short of the required 450 gallons. The owner decided to treat the crib with Hych'ogm~ Peroxide to emhance the absorption rate. The crib was therefore treated with 2 drums of H202. Over the next several weeks the water level in the crib was monitored as shown. The residence was occupied during this ti~ne, and still is. DATE LIQUID DEPTH 3/26 71" 4/15 74" 4/22 71.5 4/25 66 4/29 70 5/9 64 5/28 61 5/30 57 800 gallons of water was added to the system on May 30 as a precharge. This caused the water depth to rise to 102 inches. The next day an additional 500 gallons were added in a time period of 1.5 hours. 24 hours later the water depth in the crib was 82 inches. 450 gallons were absorbed in these 24 hours. This system meets the absorption requirements for a four bedroom house. Jul), 1 O, 1996 Tobben Spurkland, P.E. 203 West 15th Avenue #203 Anchorage, Alaska 99501 Subject: Waiver Request for Lot 14 Block 1 Hidden Hills Subdivision Waiver Request #WR960030, PID #011 - 12 I-39, HA960235 Dear Mr. Spurkland: Your request for a waiver of the required 100 foot horizontal separation of an on-site wastewater disposal system to a private well has been approved. The approved separation distance from a private well on Lot 13 Block 1 and the septic tank on Lot 14 Block I of 80 feet. This waiver approval applies to the existing septic tank to the private well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. If there are any questions or concerns regarding this waiver, please call our o~ce at 343- 4744. Sincerely, / / James P. Williams ,_./ Civil Engineer On-site Services JPW/ljm:Strobbe ~UNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~[~T~[~ry-"~[~ PID# 011-121-39 Date Received: July 3, 1996 HAa HA960235 Permit Legal Description: Lot 14 Block 1 Hidden Hills Subdivision Engineer: Tobben Spurkland, P.E. 203 West 15th Avenue #203, Anchorage, Alaska 99501 Applicant: Steve Strobbe Waiver Requested: Private well on Lot 13 and the septic tank on Lot 14 Block 1 Hillden Hills of 20 feet Criterza: 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 ls Granted: _ ~/~ Waiver is NOT Granted: List Conditions or Reasons for above: ****** ~me of Reviewer Rec ~: Amount: $ Date Paid: 98' S ?% 90 IO~ f $ T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 James Williams Municipality of Anchorage Division of Environmental Health Dcpamnent of Health and Social Services 820 1 Street Anchorage, Alaska 99501 July 3, 1996 Subject: Waiver Request Lot 14, Block 1, Hidden Hills S/D Gentlemen; Per your request we are applying for a waiver of the separation distance required between a residential well on Lot 13 and a septic tank on Lot 14 Block 1, Hidden Hill S/D. We request a 20 foot waiver. The well on lot 13 was installed io 1974, while the septic system on lot 14 was installed in 1973. The well on lot 13 is in violation of the code, not the septic system on lot 14. The owner of lot 14 is applying for a HAA and per your instruction he has to apply for the a waiver of the code violation caused by his neighbor. The neighbor, Clyde R. Ingalbe is not interested in obtaining this waiver. See attached statement. I have only looked at tile violation of the separation distance between the well and tile septic system on lot 14. There may be other violations, but they are not of my client concern, and are not addressed in this waiver application. The justifications for granting this waiver are: 1. This well and septic system was installed more than 20 years ago. The well on lot 14, which is uot in violation of the code, though being only 68 feet fi'om the same septic tank show no E.Coli and minimal amounts of Nitrates. 2.94 ~ng/l. 2. The well is located on top of a ridge with the septic system down hill fi'om the well. Overland flow of raw sewage is impossible. 3. The hydraulic gradient is away from the well. Subsurface flow to the well has not happened and will probably not happen in the future. 3. This is a procedural violation. The well on lot 14 which is closer to the septic tank is not questioned. The well oa lot 13, being farther away is. If the well on lot 14 is considered safe, surely the well on lot 13 mast also be safe. The 16 foot encroachment of the septic tank does not compro~nise the water quality of this well. L T. Sp . MUNICIPALITY OF ANCHORAGE I~NVIRONM~-NTAL SERVICI~,S DiVISiON JUL 03 1996 RECEIVED 2S 0 50 75 SCALE: i": :]0 FT. / TOBBEN SPURKLAND P.E. 203 W 15TH, AVENUE ANCH. AK, 99501 (907~ 279-3916 17_5 150 ~ [ i, OT 14, B£OCI( 1 IIII)DL,'N fII££S S?EVE STROBBE 6541 OUIET CIRCLE WAIVER APPLICATION DATE: JULY 2, 1996 SHEET: I/1 GRID: 2222 July 1, 1996 Re: Lot 13 Block 1 Hidden Hills Subdivision To Whom It May Concern: In 1974 I put a mobile home on the above mention lot. At that time I had to apply, and pay for all of the necessary permits for my well and septic system. I also paid for an inspector to come out and approve all of the above. In 1986, I built a home on the above mentioned lot. At this time I again paid for all of the necessary permits and for an inspector to come out and approve all of the above. I do not wish to pay any amount at this time ibr a waiver on my septic system. ~iYd~e R. Inga~s-l~e- 6331 Quiet Circle Anchorage, Alaska 99502 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 ~,~\_\ .~\_ ..~c'~ NAA # 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone ~ ~:]" ~0¢~'- ~ '~ ~'" Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well 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 Holdin9 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 STATEMENT OF INSPECTION BY ENGINEER As ceKified 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/orwastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverifythatbasedontheinformationobtained 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. NameofFirm I"-~e~4 ~,u',"~/.-~-,x~...,~ ~ Phone ~-~?1~ Address ~¢~ ~/~--~ ~ ~ Engineer's signature ¢~ ~~¢~ Date DHHS SIGNATURE Approved for Disapproved, Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments "~"~,"~ ~-~.,~ ?~ Date ///If. ,/E~ By: 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 DHHS 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, 724325 (Rev. 1/91) Back MOA ~21 Municipality of Anchorage ,/~'~ Department of Health & Human Services HEALTH AUTI4ORITY APPROVAL CHECKLIST Legal Description: Lo'~!~;'~V~; A, WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Parcel I.D. Oil - ~1 - .~o[ IfA, B, orC, attach ADEC letter. ADEC water system number Date completed P'¢~ O¢..--J¢ J~ 7'4 Driller Cased to .~ J ~ '~.~ Casing height Wires properly protected (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG g.p.m. AT INSPECTION I0 > If, SEPARATION DISTANCES FROM WEI..L TO: Septic/~ tank on lot ~ ~:~ Absorption field on lot I ID q Public sewer main ~1'/~N Sewer service line ,~ ¢~.~ ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank )o WATER SAMPLE RESULTS: Coliform /.~ Nitrate Date of sample: ~) f..,Jr ¢ ]~ ~- Collected by: Other bacteria _ T,N .,TA Date installed Cleanouts (Y/N) \/ High water alarm (Y/N) Date of pumping Tank size ~ ~-r.2-~.;~ Compartments Foundation cleanout (Y/N) _ y Depression (Y/N) ~(/A _ Alarm tested (Y/N) '~/~' · ~--/, ~--- Pumper ~Ycc'f~ )4 t,,/ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: / Well(s) on lot t~ To property line ,,9~ f-' Surface water/drainage On adjacent lots ~.--~ _Foundation_ //7 Absorption field L~.~) Water main/service line i~ ~ 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~?"',,~ Width Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating Gravel thickness I -~0 System type ~' Total depth Cleanouts present (Y/N) Date of adequacy test JO for ~N~,! c~ If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot [ ~ ~ To building foundation On adjacent lots .-~ Surface water I"kJ, ¢~ ~. Curtain drain ~ On adjacent lots . Property line To existing or abandoned system on lot Cutbank I~//~- Water main/service line Driveway, parking/vehicle storage area E, ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. HAAFee$ /TD ,~h Waiver Fee:$ Date of Payment //- '2- --~' ~ ~, Date of Payment Receipt Number ~'~¢~-/~ (/'"~'~ ~/-7~) Receipt Number APPLIC ~T FILLS OUT UPPER HA[, ONLY ~ Zip Code Mailing Address., ; ~ ' //'/' /"r" !" · ' ' ¢'- /" ,~/'~ " " ' ' ~' Buyer Address Zip Code Phone Lending Institution Phone Address Zip Code Phone Address Zip Code Type of Residence E~:. Single Family ~ Multiple Family L~ Other NO. of Bedrooms Water Supply []/Individual [] Community [] Public Utility Sewer Disposal [] Individual ~ Public Utility [] Holding Tank ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available). / ~:~" ,, / Year Individual Installed:__/',/ .? ,- J When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Date Inspector Time Date Inspector Dale Insp?t~r Time .... JO -- ~ -_ ~ I n s pcct °ri~\ ,/~..,Field Notes: MUNICIPALITY OF ANCHORAGE -o ,,:~) APPROVED BEDROOMS *CONDiTiONS OF APPROVAL ) DISAPPROVED Soils R,.,~t i[r g 72 023 (318~) Date Sewer Installed Well To Absorption Area Well to Tank ~ ~ Well Log Received Septic Tank Size