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HomeMy WebLinkAboutLEAHY LT 4 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL GENERAL INFORMATION (a) OF ON-SITE SEWER AND WATER FACILITY 264-472O Application Date January 23~ 1987 LegalDescription(includelot, block, subdivision, section, township, range) Lot 4, Leahy Subdivision T13N RIW Sec. 4 Location(addressordirections) Eagle River (b) Applicant Name Mikell Leah,y Telephone: Home 694-4268 Business 249-1122 Applicant Address '241 SR Eagle Rlver, Alaska 99577 (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain); (d) Lending lnstitution First National Bank Telephone _ 694-2103 Address P.O. BOX 770548 Eagle River, Alaska 99577 (e) Real Estate Company and Agent Address_ N/__A Telephone N/A (f) Mail the HAA to the followin9 address: P ~ik~p_~v Engineer TYPE OF RESIDENCE Single-Family [] Multi-Family [] Number of Bedrooms .3 Other WATER SUPPLY Individual Well [] Community [] Public [] Note: It community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 SEWAGE DISPOSAL Onsite [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attestin9 to the legality and status. 72-025 (11/84) 5. ENGINEERING FIRM PROVIDIN~ ~NSPECTIONS, TESTS, FILE SEARCH, DA..~, AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my 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 all Mpnicipal and State codes, ordinances, and regulations in effect on the date of this inspection. '~,,'r~ ~¢?~,.~.~ Name of Firm Address Date ,;~../~,~ ..~,.,/~c ? FARI E Jl[VER t-,,, i,~ ~:,. t,:NG SERVICES EAGLE RIVEt't, Al( 99577 P, O. u0X~77329-4. 694-5195 Telephone Approved for ~ bedrooms by , Approved _ ,X~ __ Disapproved Terms of Conditional Approval ~ ~Date Conditional 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 72-025 (11/84) · MUNIcIPALiTy OF ANCHORAQE ' DEPT. OF FIE ENV, IRONME~..,.,.,. ALTH & ,'~,~t. PROTECTION RECEIVED WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: L T I,~ ~' ~lt., Well Classification _ 1~,~_[ v~".~., Well Log Present (Y/N) Total Depth ~,5~/ Cased to "'~ 6- / Static Water Level ~'~ Casing Height Above Ground 7- / Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot If A, B, C, D.E.C, Approved (Y/N) ~J//A Date Completed ~,~)~..~' I Ifl~-'~ Yield+'g~;-p~ Depth of Grouting Pump Set At I~,,~',~ Sanitary Seal on Casing (Y/N) Y Depression Around Wellhead (Y/N) '~=:7-'¢',~ ~..--~/~¢ ; On Adjoining Lots ~ C7'~-~.',5; On Adjoining Lots To Nearest Public Sewer To Nearest Edge of Absorption FieLd on Lot To Nearest Public Sewer Line /~/A Cleanout/Man hole Water Sample Collected by Water Sample Test Results Comments +'1oo / To Nearest Sewer Service Line on Lot ,c,,4 ; Date I "2~- 8 7- B. SEPTIC/HOLDING TANK DATA Date Installed u,~4.o ~q Standpipes (Y/N) Y Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) /VA Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~ '.9~9 To Property Line To Water Main/Service Line t Course ~- too Size I o0o ,.;j,.,~, No. of Compartments Y Foundation Cleanout (Y/N) Y Date Last Pumped I- 8 ; for tv Temporary Holding Tank Permit (Y/N) To Building Foundation 1,3 / To Disposal Field ~--~" To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed (~n k,-,,,~-,n Width of Field Type of System Design Length of Field ~,~¢~,q Depth of Field ~ Gravel Bed Thickness ~,,k .... Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line '+ I o '~ To Existing or Abandoned System on On Adjoining Lots .~¢Od / To Cutbank (if present) ~ ~o ' 4i00 ~' Square Feet of Absorption Area Depression over Field (Y/N) fi/ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation _ '.'~o / Lot '~OO / To Water Main/Service Line 4- lo" To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Date Installed ,%.. Size in Gallons "%, "Pump On" Level at High Water Alarm Level at ....... Tested for '~'---. Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Perm,~ed ~om Rating Against HAA Request ** I certify t ha~l~e c,c,c,~AljC~~nformed to all MOA ,and HAA guidelines in effect on the date of this inspection. Signed ~ ~ ..... "~"Date /- ,.~0 - 8' '7- Company E¢ i.~( MOA No. Receipt No. /~__.) Date of Payment Amount: $ /' E) ~_-.) O(-..~ Page 2 of 2 /¢A-~' ¢:z 72-026 (11/84) Engineer's Seal MunicipalitYo Anchorage P.O. BOX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TON Y KNO WLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES February 24, 198'7 Leu Butera, P.E. Eagle River Engineering Services P.O. Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 4 Leahy Subdivision Waiver Number WR87-012A Dear Mr. Butera: Your request for waiver of distance of a private well to septic tank and seepage pit has been approved. The distances have been waived from the required 100 foot separation to 90 feet and 87 feet respectively. This waiver approval is based upon the additional information provided to me by yourself on February 23, 1987, conclusively showing me through soils logs of the surrounding area that there is no apparent water table encroaching on 'the seepage pit. This waiver approval is good for this existing seepage pit/septic tank. Any future upgrade may require another approval from D.H.H.S. Sincerely, Daniel J. Roth Civil Engineer On-site Services }i k ' EAGLE RIVER ENGINEERING SERVICES 3I Leu lllutera P.E. P.O. Box '?73294 Eagle River, Alaska 99577 ..... ~e n7 Tel~pho~,~e (90~.~,.o~) 694- 519- 5 January 29, 1987 Mr. Steve Morris Civil Engineer, On-site ServicEs Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 REF: Lot 4, Leahy Snbdivision Dear Mr. Morris: On behalf of ray client, Mr. & Mrs. Michael Leahy I am submitting the information necessary for determination of a waiver of separation The septic system was installed by a previous owner without an inspection by the Municipality at that time. As shown on the reports enclosed, Health Authori'ty Approval was later given on July '[5, 1976, and again on September 20, ]983. On this later inspection, the we].l to apsorption area and well to tank distances were listed as greater than 100 feet. The enclosed well log shows the we].l to be drilled and eased ho 'the depth of 95 feet. The surface topography is such that any seepage will. be directed away from the well location down a 15% slope 'to the south. The lot is very steep and the well is located as :far north as possib].e due to 'the terrain. The subsurface soils consist o.f Sandy grave] s in hhe _,P~GM classifieat~on~ and no ground water was encountered to a depth of feet. Water samples for coliform bacteria taken in 1983 and 1987 were satisfactory. If you have any questions or if additional information is requested please feel free to contact me ak 694-5195. Thank You, Bob Butera Enel: Well log, soils log, Inspection reports 1976 and 1983. EAGLE RIVER ENGINEERING SERVICES Lou Butera P,E. P.O. Box 773294 Eagle River, Alaska 99577 Telephone (907) 694-5195 February 18, 1987 Mrs. Susan Oswaldt Director, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 REF: Leahy Subdivision, Lot 4 Dear Mrs. Oswaldt; I am providing additional information in support of a reapplioation for a waivier involving a private well and septic system separation distance attached to.the above lot. The waivers requested are: well to septic tank = 90', well to leach pit = 87' and leach pit to lot line = 5'. Our orginial request for a wavier was denied on the sole grounds that the septic system was installed without the benefit of Municipal inspection. Additional materials presented 'to us by Mrs. Leahy, show that a test hole boring was preformed by U.S.K.H. Engineering Services on August 7, 1984 as part of a subdivision approval.(see attachments) This boring was to a depth of 15.5' and did not contain evidence of any ground water. While ground water levels were not monitored, per say, it is my opinion that soil in the~GW-GP range provide an immediate indication of water table. This is further supported by the fact that this area does not have a history of shallow ground water table problems.The test hole location is stated by the owner to be immediately adjacent to the existing seepage pit. The monitor tube in the seepage pit showed a total depth of 9.5~ with no evidence of water or leaohate. Our adequacy test produced no rise in the leachfield monitor tube level after the addition of 450 gallons of water. In a letter dated July 16, 1976, the tank size was verified as being a 1,000 gallon capacity. February 18, 1987 Page 2 I feel that there is enough evidence in the repot'ts on file at the Municipality of Anchorage to justify an approval of the on-site septic system. In addition, to the previous requests for well to tank and well to leach pit, we are requesting a 5' waiver to the south lot line for the seepage pit. Previous wavier distances requested have been modified based on an asbuilt submitted to us by the owner. Please refer to our original wavier letter dated January 29, 1987 and to the attached site plan for additional site information. If there are any questions or concerns, please feel free to call me at 694-$195. Sincerely, Lou Butera, P.E. LB:bls enclosures to, ~at no tmprnve~enls Dated at ILO , PROJECT CLIENT w.o. /~-~ TEST HOLE NO. '¢//' I ELEV. TOP OF HOLE .~'~'~z2 ;~" 't' DATE 'RUDHOE BAY AVE. ~X~_LORES THO¢fi5 T£~p 1'. MILE 11.8 SE 804 146 COPYRIGHT 1985 JMR 143 145 .-<(¢~ 147 148 Eagle River Valley Area Reference Map--lD APPLI¢ NT FILLS OUT UPPER HA! ONI Y/// , Properly 0 cner ~ ~ :'~ - Buyer , Address ~ ~~_.,.) Zip Code Lending Institution ~:~/_.y~/~.l/:/'/,i Address ~.2~ 0 Code Realty Co. & Agent Address Zip Code Phone Phone Type of Residence ,~ Single Family Meltiple Family No. of Bedrooms [] Other Water Supply ./~. Individual A'rTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach Icg if available). (~ Public Ulility Sewer Disposal ~ Individual [] Public Utility [] Holding Tank Year Individual Installed: When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Date Date Date Inspector Inspector Inspector Field Notes: Time / . I ~ Date ('~"t '~ Inspector MUNICIPALITY OF ANCHORAGE [~E?1. C'F ]'.::/',Li[l ~': ENVIRO;x~./,:N IAI. PRO f~-CflON RECEIVED ~-7 ) APPROVED BEDROOMS ) DISAPPROVED ) CONDITIONAL APPROVAL* DATE BY: *CONDITIONS OF APPROVAL Soils Rating 72-023 (31~) Date Sewer Installed Well To Absorption Area~ Well to Tank ~ ~/'~('"~ Well Log Received Septic 'rank Size BIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF OF ~,.,J. ~vu PER FOOT. DRILLED AT THE F~AT'E ,? An 95 £eeto LOCATION OF WELL SITE DRILLER ~e,z*nie O'l-aus o£ WELL LOG: - ~ - s~.l]J~ou]~e~ ~2=.~ilt.~. and s~].], i~ulde~ %ie]~ sho~.ri~ 5 test of drilling~ $21X 95 fect~ $1995o00 ~UNIcIPALITy OF ANCHOI~,¢B DEPT. OF HEALTH & ENVIRONMENTAL PROTECTIO~ MAR 6 ~¢aR RECEIVED COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING, WRIT~ CHECI< PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF DATE THANK YOU VERY MUCH, . '.:~. BE~XL~F--hCLAUS OF RAMPART DRILLING WORKS .d :-?~- ~-~/~.~aREA'TER ANCHORAGE AREA BOROUGH '~ '- Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received July 6~ 1976 1:30 p.m. Date of Inspection 7-7=76 Neale Needs to have system documented, we are .unable to locate any paperwork. She would like us to make documentation Time of Inspection of such. REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: .o~',~-~<~ Mailing Address: Property Owner: Mailing Address: Legal Description: 4. Location: See map or directions on back 5. Type of facility to be in§pected Phone: Patty Massey Phone: 694-9279 No. of bedrooms A. Type B. Depth C. Construction D. Bacterial Analysis Sewage Disposal System: A. Installed C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: Distances:.~Q~.~) ~ A. Well to. Septic tank orption area , Sewer Lines __., Nearest lot line , Other contamination On-site system B. Inst-a',l/;~./) /_~ Si ze / ~//'f~/~ .~'~u~Y~a~tu~e~r Total ]e.gth of lines B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 1/74) Page 1 of two pages :Page 2 of two pages- Req ~t for ApprOval of Individual.S Legal Description Tl'3N R1E Section 4 S½ NE~ SW¼ N¼ ~r~& Water Facilities Comments Approved U ~ v Date A~proval Val,id for one y.ear, from. date signed Greater Anchorage Ar~a Bo~ough,-Department of'Envino~mental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) ~* ...... ~F,~:~,DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTI ON .; Envlronmantal Sanitation Oivi~'ion' ' '-' " (2510 Ea~t Tudor Road) July 16, 1976 .:.....: : ..'?.~.:.:,.. Pat Mas sey t" ~.. ..... '~''-'.,...-.'~ :" '... ,,,,.'- :' Box 23 .~' ?>'~)!.:' ':: .... ',. '; ':::" ~gle.River, Alaska 99577 S~ject:. T13N R1E Section 4 8% IqE~ SW~ N~ POUCH 6-650 ANCHORAGE, At. ASKA 9950; (907) 278-4631: -~ GEORGE M. CULLIVA! MAYOR Dear Ms.. Massey=. . .:~... . . On Juiy 15, 1976, I verified the size Of the septic tafik on your property. B~ pumping the empty .tank full of wate: from' a cesspool pumping truck,.- It was determined that the capacity is ~,099. gallons. ' :The same amount of water (1,000 gallons)' was dumped into the seepage pit and the pit drained so well that only five (5) inches, of water accumulated in the bottom. At that ' point, I determined it unnecessary.to remeasure the water lever 24 hours later. The seepage pit and septic tank are both. approved for a three (3) bedroom home. ' '"' ,. :'. . ,,, .. ~If.'any questions., pleasa..con~ac% f2zis office at 276~2221, Lon 288.' z- .,.,.. .. · . '~" .'.Principal Environmental Cdntrol Officer "