Loading...
HomeMy WebLinkAboutHERITAGE HILLS BLK 1 LT 7 ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT DISTANCES Na,,~., Y'--- ~ ~~ TO SEPTIC ABSORPTION WELL ~ddress FROM-'""-'---.., TANK FIELD Township, Range. Section ~ I~~ ~ ~~ ~ ~ driveway.AS'BUILTwaterOlA*RAMbodies, etc.)(Sh°w location of well. septic system, properly lines, foundation, TANKS ~ U ~ SEPTIC/~ U HOLDING Man lacturer CapAcity in gallons Material NO. of Compa~menls TYPE OF SYSTEM ENCH ~ W. DRAIN ~ OTHER BED Depth to pipe bottom from Total depth from original grade grade ~,~1 ET - / original Filladded aboveorigina, gradr / Gravel depth beneath pipe -- ~ ~ ~ ~ ~ FT ~ FT Total absorption area Distance between lines Number of lines Soil rating Pipe material ~ t . [~q~/~ Date Installed WELLS ~IVATE ~ OTHE~ Ildenlilv) Cla~ification~ ~~(A'B'C) Total Depth FT Cased to FI Installer Date Installed: REMARKS: Scale: S & S ENG NEERING : cmify I~at this in~e~ion was pedormed according to all 72-013 (3/85) I I ~"IVO~ INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DiViSiON INSPECTIONS (907.) 563-3464 3500 EAST TUDOR ROAD ~ INFORMATION 907 7 - . / ,~ , . "~ ~-~nl¥1~.l IUN I907) 786-8211 NAME- J '~ ""'~ '~ ~'/¢ , ' ~ ~ ........ / DATE FOOTING ~ ELEC. TEMP. FOUNDATION ~ ~ PLBG. UNDGR. ~ ELEC. SER¥1cE~. ~ BOND BEAM ~ [] ELEC. ROUGH',~.~,' FRAMING --------- [] ELEC. FINAL INSULATION ~ [] OTHER SHEETROCK ~ [] STRUCT. FINAL ~ [] FIRE FINAL ---------- OTHER -'------------- [] ZONING ------------- PLBG. ROUGH ~ [] GAS TEMP. _ ~ [] GAS ~ [] MECHANICAL ~ [] MECH. FINAL ~ [] PLBG. FINAL ~ _ [] OTHER lO NONCOMPLIANCE OBSERVED ~ [] [] CORRECTIONS ESSENTIAL AS EXPLAINED BELOW C OMMENTs , . ~ ., ,:"' , :',- .- . .-: , ~ ~ WHEN ORRECTIONS ARE MADE, PLEASE CALL FOR INSPECTION~ ~*oo~ (.~../~, DO NOT REMOVE. THl~q Tom Fink, Mayor unicipality of nchora ¢ Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 24, 1990 Robert A. Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 104 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 7 BLock 1 Heritage Hills Subdivision Waiver Request ~WR900036, SW900312, PID ~015-221-06 Dear Mr. Shafer: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 85 feet from private well to private septic tank/lift station on Lot 8 Block 1 Heritage Hills Subdivision. 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. Civil Engineer On-site Services Concur: Susan OsWalt Acting Program Manager On-site Services RWR/ljm ROBERT SHAFER, P.E. ROGER SHAFER September 4, 1990 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELLINSPECTION & FLOWTEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 7; Block I; Heritage Hill~ Subdiv~ion Request you issue a permit to upgrade the on-site septic system s~rving the referenced property and grant a waiver for the separation distance between the proposed septic tank/lift station and the private well on Lot 8; Block I; at 85 ft. During this past spring the fiberglass septic tank serving the referenced property had collapsed. During a site assessment performed for p~rposes of obtaining a permit to replace the septic tank we found the ~xisting septic system to be encroaching the protective radius to the private well located on Lot SA to the north. Although the top of the septic tank has partially caved in (co~lapsed) the system is still functional. A risk analysi~ was p~rformed using the State of Alaska, Department of Environment~ Co~ervations Separation Distance Waiver Guidelines. Our results are as follows: A. WATER TABLE: The well log we have obtained from the Municipal files, for the w~l serving Lot 8 is nearly unlegible. However, we can see the well depth is 250 ft. In observing the w~ log for the referenced property which is the closest well to the well in question on Lot 8, we see the well on Lot 7 is 251 ft. deep with water first encountered at 240 ft. Using 240 ft. as the aquifer water table: = 7.7 pts. -~,~ B. SOIL SORBTION: From the soils log used in the design of the septic upgrade the receiving soils for the septic system are silty, sandy gravel. From the w~ll log there appears to be several layers of varioas types of sand including blue, black, brown and fine sand. Well logs from wells in the surrounding area show large amounts of ~ay mixed within the sand layers. Use "clay and sand." = 4.0 pts. >'~,~? 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 7; Block I; Heritage Hills Subdivision; September 4, 1990 PERMEABILITY: With the soils as described above use "silt or sandy clay" = 2.0 pts. D. WATER TABLE GRADIENT: Since this well does not appear to draw water from within bedrock, the hydraulic gradient can be figured by use of the maximum water level drawdown and the separation distance. Maximum drawdown equals 250 ft. well depth minus the 240 ft. water table level which equals 10 ft. The proposed separation distance is 85 ft. Therefore, the hydraulic gradient is approximat~y - 12%. = .i- I. I pt~,~..~-~ E. HORIZONTAL SEPARATION: ..... '- The proposed horizontal separation distance between the septic tank/lift station and the well on Lot 8 is 85 ft. -- 2.4 pts. TOTAL POINTS -- 17.2 PTS. Therefore, it appears that "No bact~rialogical pollution possible, but chemical pollution possible but unlik~y from household chemicals." Other mitigating factors involved which support the issuance of the waiver are as follows: I. 0~ly the proposed septic tank/lift station will be within the 100 ft. protective radius. This will be a new tank with water tight connections including Cauldy type couplings on the inlet and cleanout pipe connections. Therefore, this should not be considered a "continuous" source of contamination as would a leachfield. 2. The w~ logs show several lay,s of soil which wou~d detour the migration of septic effluent from the septic tank/lift station to the drinking water aquifer. 3. The proposed location of the septic tank/lift station on the referenced propety is as far away from all wells as is possi§le. It is our opinion that the horizontal separation distance prescribed by 18AA¢72.021 is not required in this case. A~ta~hcd for your review are the following documents: A. A site plan/upgrade design showing the separation distances between the proposed septic system and surrounding wells. B. Soil logs performed on the referenced property. letter of non-objection to the ~aiver from the owners of Lot 8. D. A sewer permit application. Page Three Lot 7; Block I; Heritage Hills Subdivision; September 4, 1990 E. Well logs for wells in the surrounding ar~a. If you have any questions, or if you require additional information for your review, please contact us. .I PERFORMED FOR: LEGAL DESCRIPTION: ~""1 ~'~1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST WAS GROUND WATER ~. J ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? P E Depth to Water,t~[~.~. / Moniloring? v F,--- "./ Date: I Gross Net Depth to Net Reading Date Time Time Water Drop ~ ,,'r:,=,.~ ~" ~'~f.~" '~/~" PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~FT AND ~=> FT PERFORMED By!7034 E~gle Rl~er Leep Read Ne. 204 ~~ ~"'CE-~Y THAT Tt-~S TES/T WAS PERFORMED IN ~agle River, Alaska 995~7 Y / ~ ~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELIN CT ON THIS DATE. DATE: ~NE~T ON TH;DATE 9/~/~~ // !' 72 008 (Rev 4/85} PERFORMED FOR: LEGAL DESCRIPTION: 2, 3 4 7 10, ~4 1§ 17 '18- A. 20 ~ No. COMMENTS ~ ~-- PERFORMED B~ 72-008 (6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 82B L. Street, Anchorage, Alaska 99B01 264-4720 SOILS LOG- PERCOLATION TEST [] SOILS LOG ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? PERCOLATION TEST Reading Date Gross Net Depth to Net Time Time Water Drop TEST RUN BETWEEN FT AND FT  ",,..~, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE I [~] NEW  q. cap~ci~ n ga on¢~ Inside length Width Liquid depth ~O/~O ~ IF HOMEMADE: /- Well Dwelling PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in gallons ' DISTANCE TO: Wel'/o ~ ~ No. of lines/ Length4¢~ ~ ~ Top ~e t~finish grade ~e:ial Bep~atb tile , Total effective absorption area Length Width 'Depth PERMIT NO. ~ ~ Type of crib Crib d~ter~ ~ Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class ~ Depth . Driller Distance to lot line PERMIT NO. Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS~/~ SO~L T~S~AT~NO ~ / REMARKS i ' - 72-01J (Rev, 3/78) * .,......,,~-" ~" ,.,~- ....... ":: ~,, .................. "{t" '"'~"' ~:::::~ ':::::.. ~::' ...... (i .,,. ~ ~:::::' ~;;:: ii._.~ ic: ,, ~];5~ ~:~;~ ~:~ ~" :" ~{~:~Z ~::::" ~::' ~::' ~'""'~ ''~* ......... i"!Fi::.::iHUH NLtHE?ER OF E',EDF.:OL']H'.E; .... ~ 'T'HE LENGTH D :[ HENS;ii ON I :.:.; THE LENGTH ( ]: N FEET ) OF' THE TREi"..!CH OR DRi:::I i NF :[ EL.i:::,. THE [)EPTH Oi:::' Fi TRENCH O,r.;:.: P'£T :(:'(; 'T'H.E !}Z?i"FiNCE E;ETNEE]'.,! THE :i~;LiF::F'FI!2E OF THE GROLiN[) !:::ii'.,![::, THE BEFi"TEq','I Oi:: THE E',:-:;CW,,,'F!]":£ON (1i'-4 FEET). THERE IS NO :E:E"i" !4!DTFi FOR TRENCHES. THE GF:I:q.',.,'EL. !}EI:::'TH l' S THE !'"! ]:i'.,I ~..r,'!L.il','! [:,EF'TF.i OF GF.:Fi',,,'EL E;ETNEEN 'T'HE OLITF!::ILL. F:'I F'E FIND THE DO]"TOH OF' THE E::.:iCI::i;,,'FIT!Oi'.~. ,:::£l'-,I FEET). T ~.¢::;"!"R[ 1 ,oFF ~ E i'.! I N'.:~;!::'ERT ..... h ,! r 14EL. L:~; i::i[)JF:ICENT ]'O 'TH Zri~; c, ::! .. .." c' E.. ,"~;.. ]' ::Ii" f" Tt"it::', ...... N.. HE EF'. OF' RE:E: I DENCE:~; t,"~!'-,, ~"' ~[:' NELL. NILL :.:;ER',,,'E. M ! N ]: HUH B, I':STFiNE:E BETHEE:N F:! NELL FIND F:!N"r' ON-:51 'TE ::SEi.,!RGE b ]: iSF'O:SRL. :L:;","iS'TEP! :£ ~i; ::L00 FEET F:OR R r-:'RI',,,'FITE 14EL. L OR J..SEi TO ;;..'-.'¢t...7.! FEET F'ROh! R PUEd.._IC .WELL. C, EF'r:i!:ND:[NG UPON THE T'¢PE OF PUE~L..:[C i.,.!EL.L. i"!l N l HUH E:, I'.'E;TRNCE F'ROt'"! Fi F'F..: I '.,,'RTE: WELL TO R PR t ',,,'RTE .'.:.;[EHER L I NE 1i: % 25 F'EE.;T RNE:, TO Fi COHP1UN :[ 'T"T' :!;~;EI.,.IER L. I NE t 5 ';:*5 FEE:T. ErT'i-.iER RE(;:!U I F..'.'EHENT'L:.; MFW RF'PI....'¢. SPEC I F :!: CRT ]: ONL:; RN[:, CONSTRUCT I ON [:.', :i: FE)RF;HS F!F:E R',,,'!;.' I L. FiE~LE T0 .T.P..!SURE P,.-';tOF'EF.: I !',iSTF!L.L. RTi ON. Z' T ¢:,,-.~ F'Fii"!ll TFtR !.,.ti'TF! THE r",~','- I'r ,'--,.c' ~ ........ .............. c..:.L .,.F.[::.I J~,~ J ::, Fri'"~' '- i'.,~ -... ": l'~"f: .......... '"""" -',,, F']i:;F'FFI_,_,c ...., "r',~.~E ..... i','ilJN]:C]:PFtL:[T'.¢ OF' ,.~:,i,.~,....u, ............... .- ~,c. ............ '::~' 2: I i4 ~ L.L :,r. N:STRL. L. THE: :~.;?:b.:T_E!~ 'l~,.~ FiCCOR.r.::,FINCE H.T. TH THE CODES. .7.. Z L!!.,![..,EF_:;Tr':!~r'F~-' ]"fie ~-,~t ?E .SE~.,.iE:F;. :'!;.~._::;"~"EM MFI ? RE.~.;!U ~..F':.E ENL. i..~.G,::~],'iE.r.,Fr .i F' 'T'.'.,..IE RE:L-; ! I.::,E.~i'..I,:::EE ~~lE:,[ii: MORE PERFORMED FOR: LEGAL DESCRIPTION: 2 3 4 7 8 ~0 ~2 14 17 18 20 MUNICIPALITY OF ANOHORAGE DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTEOTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG-- PERCOLATION TEST /_-7 ~ ~;'/z_ 7, 2Z6 '¢-- SLOPE 0 P E IF YES, AT WHAT DEPTH? [] SOILS LOG PERCOLATION TEST SI' )LAN Gross Net Depth to Net Reading Date Time Time Water Drop ~ ~, q ~ z/o to ,, //fi'z' fi",~ ~ ~; ,, :~ /o - /z " PERCOLATION RATE TEST RUN BETWEEN COMMENTS PERFORMED B'z~. &'.~:W~ '~:~,~;',:~'""'~'-"~' '' 72-008 (6/79) -:. .... '~ ~ (minatesfinch} / y~' If CERTIFIED }tea! h. and Environmental Protec on ~k/' Fourth Floor West~ '---" 825 L Street Anchorage, Alaska 99501 279-251]_, x 224, 225 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM -- ~--L--- ,~. ~g~: ...................... ; ......................... __.j?, (2L ~_~_ 7'~ ............... ~- .... SEPTIC TANK: DISTANCE; pl~(-~P ~'- j / NUMBER OF FROM WE~L___L~...... MANUFAC'I URE R ~U.~S~¢'~_._ MATE RIAL ;PJ ~}~ INSIDE LENGTH .... E~ ....... INSIDE WIDTII ~ LIQUID DEPTH ~ . LIQUIO CAPACITV~GALLONS. , ABSORPTION AREA__~_?_~ ...... SQ. FT. LENG'[H Of LAC~I LINE ....... DEP'[ti OF FILTER DEP'FH: TOP OF TILE TO FINIS~t GRADE ~__ _MATERI~',L BENEATH TILE SEEPAGE PIT: Log Crib Rings BUILDING FOUNDAI'ION . DIAMETER __---OR WIDTH .... LENGTH__, DEPTH Crib Size: DIAMETER ..... ©EPEH_____DISTANCE FROM: WELL_ TOTAL EF F'ECTIVE NEAREST LOT LINE ........ ABSORPTION AREA (WALE. AREA) SQ. FT. Well : ~ Depth: Class , ' Well Distance To: Lot Line Bldg: Sewer Line: Pipe Materials: ~ ,~-, # of Bedrooms: ~ ' Installer: __~ ~X~[ Remarks: ~ ~ o o o o o o ° 0 © © © © © 0 © © 0 0 0 FtPF'L. ]: E:RI'.,I T i_.. 0 E: t:t 'l" ]; 0 L... E G F:I L. ..:r :[ t'"t BI:ROI.,.IIq CONE;T. 1...'?" HE ]: 'Tl::llliiiE FI 1: T'T'F:'E OF :'.-'.;O :[1_. F:IE;~.~;Ot~:E;T :[ ON :, r.:, I E. I I ]::E;: I Id:.-..NE:H 'THE_' F..:[.~);..'.!tJ :!: F::ED :ii!; ]: ZIE O1::' 'I"HE E;O :t: I._ F:iI!:'::!F.;OF.:F'T ]: Ot'.,t E;'.r'fC, TIEI"t .T. SE;: _::~ ,-~-- i~-, .,,. ,:.-:.., ..... E::, rE&: F::" -'iF' ti-H! "-lo.S-' THE L.E'NGTH D :[ t"IEI'.,I::E; :1: Ed'-,l :[ E; THE: L.ENGTH ,:: :[ N FEET' .'.', O1::' THE'; 't"I:~:EI'.,ICH OI:R DRF-1:1: NF' :1: ELB',. 'THE DEF"T'H OF' R 'I'F~'.IEI'.4CH O1';?. F:':i:T Z:.:.i; THE [)ZE;TFINE:E: E,'ETI.,.IEIEI'.,! 'THE: ':":';UI:;:I::'F:IE.'E OF: THE: Gtq:OUNI:;, I::IND -FI...tE: IE~O'I"TE~I"i O1:::' :THE E;:.:,'E:FtVFIT]:Oi'.~ ,.'::[.1"4 FEET.':'. -t-HE:FRE ]:'.:.';; t'-,IO :~E;IET !.,.I ]: I.':,TH F:'Olq: TRENCHES. THE GRI::I',,,'EL [::,E:F'TH ]::E; -f'HE l','t:[l'-,l:[l'"ll...ll"'l [::,IEEF'"I"I-I O1::' EiiF.:R',,,'EL~ b'ETt4EEt'.,t THE-'. OUTFFIL. I_ FINI'2 'I"HE: IE:O'TTEII¥1 O1::' 'THE EXC':FI',,,'FrT]:Ot'.,t ,.': .IN I::'IEET:.',. i'"l I BI I I'"tUt"'I E:, I :.:.';TFINCE: 8E:.'"I"[qEIEI'.,I I::1 I.,.IELL.. FIN[) FIN"r' OI",!-'E; I TE SE:I.,.!I::IGE I:::' I :LE~I..E~ F'E:E'T FOt:?. FI I:::'I:~'.I',,"F:ITE ktELJ_. L')R ;;!'.E~E~ FEE:T FOR R I--'IjE:L]:C 14EI..J. .... I,.!ELI_ L. OG:E: FIF.'!E t::dE(;:!U]:I:~:E;[:-" F:INI::, I"ll...IE;T BE RE'TLtI:;?.NEI::' "FO THE E:'E:F'F"IRTi"IE:NT t4ITH]:i",I E~t::' THE 14EL~i... C:OI"IF:'I....E-.'TION. E;F'E:E: :[ F ]: CFrT I ONE; FIND CON'E;I'Fi:UCT ].' ON [.':, :1: I'-:IEiI:~;:F:II','I:!; F:II~:'.IE R',,,'R ]: L. RBt...E: T'O :t: NE;UI:E-:E PF4'.OF'E:.I~?. I N.'E;TRL. L F:I'T' ]: ON. :[ C:EF.:'t"Z F'"r' "I"HI::I"I" :L: I F/i'"l F:'I::II"'I]:L..ZF:II:;.: I,-I]:'t"H T'HE RE(;:!I...I:[f4:E:I'"IENT:~5 FOR ON--E;:[TIE '.:~:iIEI.,.IIEF::E; ]::lhtl:::, I.,.IEL..I....E; I:::I'.:E; E;I!.ET' F:'ORTH [:-ff'r' THE: I"IUN :[ C ]: F'I::IL :[ '1"'¢ OF' FINCF'ICE;-'.FtEiE. 2: .1: I.'.1:[ L.I... :[t",tE;TFII....L. TFIE :E;"r':E';TEI"I .t.'1"4 t::ICE:OF.:I.E:'Fd'4CE 1.4 ]: T'FI THE E:OE:'E'-":-:;. Z:: :[ LINI::'EFi:'.E;TF:Ii",IE:' IFIT THE ON'-'.:"';:t:TE: :E;IEt.'.tER '.");"r':~;TE.:.P'i i'"lFl'¢ F?.E(J:!U]:Rt:'E E:NLRI::~:GE:HEN'T :[1::' 'THE: RE:E; :[ April 18, 1977 R&M No. 751141 Mr. Jim Brown Jim Brown Construction P.O. Box 4-207 Anchorage, Alaska 99509 Re: ~o Test Holes and Soil Log Report for Sanitary System; Lots 7 and 8, Block 1, Heritage Hills Subdivision, Anchorage, Alaska Dear Mr. Brown: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject sites. This investigation was performed in accordance with your request of April 11, 197~ and those procedures outlined in a letter dated July 10, 1975, by Mr. Rolf Strickland of the Muncipality of Anchorage Department of Environmental ~Ouality. A single test hole was drilled within each of the subject lots for the purpose of defining general subsurface soil conditions for the proposed sanitary systems. Drilling was accomplished with an auger type drilling rig and each test hole was extended to a total depth of 18.0 feet below ground surface. The final logs of the test holes are included on Drawing B-03. Groundwater was not encountered in either test hole while drilling. A percolation test was performed in each test hole from a depth in- dicated on the attached tables and reflects average iDfiltration from that depth to the bottom of the hole. ~ ~ We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to t~e above, please do not hesitate to contact us. Very truly yours, R&M CONSULTANTS, INC. Edward Yarmak, Jr. Geotechnical Engineer EY,Jr./gld Block 1 Heritage Hills Subdivision Lot 7 Lot 8 80' 50' -1 ~ Th-2 Freedom Road The Test Hole Locations are approximate and have not been located by survey methods. V~ EY IDA¥5:4Z18-77 ~SCALE: 1' ]IIS~NITARY SEWER TEST HOLES JIM BROWN ANCHORAGE , ALASKA ' GRID:2737 PROJ. NO 751141 D,,~G. N0. A-01 T[{-1 4~14-77 Ail Samples A ORGANIC ~TERIAL Black, Moist, Soft SANDY SILT W/T~ACE ORGANIC MATERIAL Red-brown, Moist, Firm SANDY GRAVEL W/SO~ SILT Brown, Moist, Medium Dense ® SILTY SAND W/SOME GRAVEL Grey-brown, Moist, Medium Dense SANDY SILT Brown, Moist, Firm .® SANDY SILT W/ SOME GRAVEL 0.0~ (0) 1.0' (ML) 4.0' (GM) 5.0' (SM) __t0.0' (~m) 13.0' (ML) __~4.0' TH-2 4-14-77 Ail Samples A 0~0I ORGANIC F~TERIAL (0) Moist, Soft 1.0' SANDY SILT W/SO~ ORGANIC MATERIAL (OL) Red-brown, Moist, Firm 3.0' SILTY SAND W/SO~ GP~VEL (S~) Grey-brown, Moist, Medium Dense 5.0' SANDY GRAVEL W/SOME SILT (GM) Brown, Moist, Medium \~ense 7.0~ SILTY SAND W/. TRACE GRAVEL (SM) Brown, Moist, Medi~ Dense 9.5' ® SANDY SILT W/'~TRACE GRAVEL Brown, Moist, Firm (ML) SANDY SILT Brown 18.0' TD No Water Table Encountered 18.0' TD No Water Table Encountered IDATE: 4-18-77 SANITARY SEWER TEST HOLE JIM BROWN ,~NCHORAGE, ALASKA ~2737 PERCOLATION TEST JIM BRO~'~ R & M NO. 751141 Heritage Hills Subdivision Lot 7, Block 1 Anchorage, AlaSka March 15, 1977 ELAPSED DROP IN TIME TIME INCHES INCHES 9:00 0 10.5 0.0 · 9:01 1 12.5 2.0 9:02 2 15.0 4.5 9:03 3 17.5 7.0 9:04 4 19.5 9.0 9:05 5 20.5 10.0 9:06 6 22.0 11.5 9:07 7 23.5 13.5 9:08 8 25.0 14.5 9:09 9 26.0 15.5 9:10 10 27.0 16.5 9:15 15 31.5 21.0 9:20 20 35.0 24.5 9:25 25 38.0 27.5 9:30 30 40.5 30.0 9:40 40 43.5 33.0 9:50 50 46.0 35.5 10:00 60 47.5 37.0 37.0 Inches Total Drop 1.62 Minutes/Inch PERCOLATION TEST JIM BROWN R & M NO. 751141 Heritage Hills subdivision Lot 8, Block 1 Anchorage, Alaska March 15, 1977 ELAPSED DROP II~ TIME TIME INCHES INCHES 9:25 0 9.00 0.00 9:26 1 12.25 3.25 9:27 2 15.25 6.25 9:28 3 17.25 ~ 8.75 9:29 4 19.75 10.75 9:30 5 22.00 13.00 9:31 6 24.00 15.00 9:32 7 25.75 16.75 9:33 8 27.25 18.25 9:34 9 29.00 20.00 9:35 10 30.00 21.00 g:40 15 35.50 26.50 9:45 20 39.00 30.00 9:50 25 41.75 32.75 9:55 30 44.00 35.00 10:05 40 46.00 37.00 10:15 50 47.50 38.50 10:25 60 48.25 39.25 39.25 Inches Total Drop 1.53 Minutes/Inch 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 Parcel I.D. # ~)\,~"~ '- ~-~- ~'~/O HAA # ~ 1. GENERAL INFORMATION Complete legal description Lot 71 Block I; H~ritaqe Hilt Subdivision Location (site address or directions) Property owner Mailing address 12321 Freedom Road Anchoraqe ~ AK Joseph K Bradford 17034 Eagle River Loop, S~ite 204 Day phone 694-2185 Eagle River, AK Lending agency Mailing address Agent Address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 "~ 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 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. XXX 72-025 (Rev. 1/91) F¢ont 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 fil.~.art/d from my investigati,o,n and inspection, the on-site water supply and/or wastewater dis/pdsal s/y'stem is in compliancE, with all Municipal and State codes, ordinances, and regulat~.p~ e~/edt ~late of this inspection. Name of Firm ~/'~ Phone ~¢'¢- ~INEERING. · . Eag~lver, Alaska 99577 , Engineer's s~g na:u r,,e/ Date S SIGNATURE Approved .for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: , 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 indepen~,ent 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 ~nd 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. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: (._~'r'/7 I~LK I /~E.~IT~GE- /tlc~- ¢/z~ Parcel I.D. A. WELL DATA Well type Log present ~1) Total depth .~_.C.~ Sanitary seal (~N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed /0/2./~..~ Driller Cased to ~.~ r Casing height Wires properly protected Y~) FROM WELL LOG ~OO ~ AT INSPECTION Date of test Static water level ~ ~,~ ~: > Well flow /O g.p.m, g.p.m.~ ~.~ ~ ~ Pump level U/~JK/~/~v/'J ~U~A4~ ~0~ ~C/~ ~ ~ SEPARATION DISTANCES FROM WELL TO: ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank SepticPcrofflfn~ tank on lot / ~.(::~ r Absorption field on lot Public sewer main /L)~.~'¢ Sewer service line ~5' rd-- WATER SAMPLE RESULTS: Coliform ~//' c~.~ ,~,~ Date of sample: ~/~/~ Nitrate (~, /0 /~"//~ Other bacteria ~ Collected by: ~'"~ ~-~,/,,/~//J~_,--"7,~//0 ( B. SEPTIC~TANK DATA Date installed /~/~,o/~ O Cleanouts (~N) High water alarm&N) Date of pumping Tank size /__~'OO -.~,,7~',E,/~, Compartments ~" Foundation cleanout ~N)~'¢'O'~ Depression (Y/~ Alarm tested f~_~), '~'~'-~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /)4~.O/' On adjacent lots To property line /4/' Absorption field Surface water/drainage /L. 72-026 (Rev. 7/91 ) Front Foundation ~ Water main/servioe line. CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y~_ /t. Jc~ High water alarm level "Pump on" level at Meets MOA electrical codes (~_~) Manufacturer Manhole/Access~N) ~'~--~' "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot //~-~(:~ ! On adjacent lots D. ABSORPTION FIELD DATA Length .~r~ f Width ~ / Total absorption area d:~ f ~. Depression over field (Y/I~ Results(~/fail) ./~.'~_~' Peroxide treatment (past 12 months) (Y(~ Surface water Soil rating 2Z~ ~/~ System type Gravel thickness ~'/ *' Total depth /O Cleanouts present(~N) Date of adequacy test ~-¢/¢/ for If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellon lot /~-~' f To building foundation On adjacent lots ~O Surface water ,/../0 ,....' ¢ Curtain drain ./t-/~/c/r~' On adjacent lots / O© ~ Property line To existing or abandoned system on lot Cutbank /O~,'u%'¢/'a,'r4~-~Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION HAA Fee $ / Date of Payment Receipt Number 72-026(Rev. 3/91) Back MOA21 I certify that I have chec~k~d;q~rified, or conformed to all MOA and HAA guidelines in effect on the date of t/~is inspection. Signature ~m~/-~ ~.~? './ ,',.. p ,,,.-.z,,~. ; S ENGINEERING ~ . ~t:~' ~: :..' ',,, '~. ~U3q eagle tdver Loop Road No. ~. /~/ /~/-- ? ...~ ~,, .,.,...?. · Waiver Fee: $ Date of Payment Receipt Number  ~VlUl~/t;J.i-',qL.!. t Y Uh ,qlXlL, i-lUf</AI3~- ~-- DEPARTMEN~?F HEALTH AND ENVIRONMENTA,.../PROTECTIDN 825 ,iL Street, Anchoraa~., Alaska 99501 ~ i · a !~ 264-4720 ~-- Date Received: November 4, 1977 #1: Time 9:30 a.m. ~/~ #2: Time #3: Time Date 11-7-77 Monday Date Date Insp Buchholz Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Peoples Bank and Trust Mailing Address: Pouch 7-007 99510 Phone: 2. Property Owner: Jim Brown Construction Phone: 344-1320 Mailing Address: Star Route A BOX 1556-P 99507 3. Legal Description: Lot 7 Block 1 Heritage Hills Subdivision 4: Single Family Residence: (x) Multiple Family Residence: Number of Bedrooms: Number of Bedrooms: Two Well System: Permit # Construction Individual well (x) Community/Public System ( ) Depth of Well 255' Well Log on File (~) Bacterial Analysis Sewage Disposal System: Permit ~ Septic Tank Size Absorption Area On-site System (x) Public Utility ( Installed Installer Manufacturer Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ~ MUNICIPALITY OF ANCHORAG'~..~ i~[ ~//~~[ 825 L Street, 2~ch°rage'6 4-4720 Alaska 99'5Q1 . uest for Approval of Individual Sewer and Water Facilities 1. Property Owner: C . ~ ~OW~ , Mailing Address: ~ '/r~ ~ ~ ~Phono: Name of Buyer: Mailing Address: Lending Institution: Mailing Address: Phone: Phone: o o Realtor/Agent: Mailing Address: Phone: Legal Description: ~O_~ ~ ~ ~/~_ / /J--~_~.~-. ~/~"/ Street Location: ~~O,~.A.. ~~j~- \ ~a~+--~ Single Family Residehce: ~ Number of Bedrooms: Multiple ~amily Residence: ( ) Number of Bedrooms: 7 o 8 o Water Supply: * Individual Well ~ Public/Community System ( ) If Individual Well, well depth If Community System, name of system Sewage Disposal System: *~n-site System (~ Public System ( ) If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each reques.t before processing can be initiated. 3/77 Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 7 Block 1 Heritaqe Hills Subdivision Comments: Affadavit Attached: (') Approved: ~~ Disapproved: Letter Attached: ( ) Date: Date Department Worksheet: 0