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Home My WebLink AboutLAKE HILL ACRES #1 LT 7 I~ :. ~ MUNICIPALITY OF ANCHORAGE ~ -~ B ~RTMENT OF HEALTH AND HUMAN SE, 2,ES ~-- .~' ~ O / .~ Environmental Health Division ~. 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT N~.~ DISTANCES ~¢d .... '~FflOM~ TANK FIELD WELL Phone(s),~ Z/,( -- ,* ~ ¢ IPermit/~ No. N~oi Bed}ooms WELL -~// 5.¢/ L0T LINE Block Subdiws~on Township, Range, Seclion AS-BUILT DIAGRA~ (Show Iocahon of well, septic system, properly hnes, [oundahon, TANKS ~' SEPTIC ~ HOLDING / / Material NO. of Compadments TYPE OF SYSTEM original grade FT _ FT Fill added above original grade Gravel depth befleoth pipe FT FT ~¢~ ~ FT FT Total absorphon area ~ ET Distance between lines FT Number ol lines Soil rahn9 Pipe mater a SO FT Installer Date installed r WELLS ~ PRIVATE ~ OTHER fldentifv) Class~hcahon (A,B,C) ~otal Depth FT Cased to ET REMARKS: ~ .%¢/~ , Inspections Pedormed by: / ~ ' --- ~'~ ~''' rm~ cedily that this inspection was peflormed according Io ail ! ~unicipa] and State guidelines in elfect on this date: "J~ ~ ~ ~'V~ ~ P.( DX196650 ~ ' '~J~I~-'C'~''~1--~ ANCHORAGE, ALASKA 99519-6650 O~ ~ (907) 264-4111 Anchorat e MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES June 10, 1987 Lou Butera, P.E. Eagle River Engineerlng Services P.o. Box 773294 Eagle River, Alaska 99577. Subject: Lot 7 Lake Hill Acres Subdivision waiver Request WR87-034 Dear Mr. Butera: Your request for a waiver of the 100 foot separation required between the septic system and well on the subject property has been granted. The required setback to the well has been waived to 80 feet for the existing seepage pit and to 70 feet for a replacement septic tank. These setback waivers are based on an evaluation of hydrogeological conditions that indicate that there is little potential for well contamination in this case. These waivers are valid for the existing seepage pit only. Should the existing pit require upgrade, applicable setback requirements must be met. The new septic tank must be installed with watertight couplings and manhole covers. This waiver is valid for a two bedroom single family dwelling only. Sincerely, Stephen S. Morris Civil Engineer On-site Services cc Gus Andress, P.E. Manager, On-site and Water Quality Programs · EAGLE R vER ENGINEERING SERVICES Lou Eutera, P.E. P.O. ]]ox 77.*4294 Eagle River, Alaska 99577 Telephone (907) 694-5195 June 4, 1987 Mr. Steve Morris Civil Engineer, On-site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 REF: Lake Hill Acres #2, Lot 7 Dear Mr. Morris: Attached, please find information necessary for your determination of a waiver of seperation distance, private well to septic leachfield to 80,' and well to septic tank 70' The septic system absorption rate has been tested and found adequate for 2 bedroom use. The leachfield was installed in 1970 and was inspected and approved by the Municipality at that time, as per the inspection report enclosed. The existing septic -tank is ]ocated 48' from the well and will be replaced by a new tank at 70' distance from the well. Our field measurements confirm the leach pit edge to be at 80' from the well. There is no well log for the on-site well, but our testing has indicated a cased well to a depth of +218', with a 152' static water ]_evel. It appears that water enters at the 218' level. The well produces a steady 4.5 GPM when drawn down to 218' The enclosed well logs show that the neighboring wells draw from sand & gravel confined aquifers at a depth of 162'-189' The local well logs have a similar static water level and are overlain by clay and hardpan soil layers. The surface topography is such that any seepage would be directed away from 'the well location on a 10% slope to the south east. The subsurface soil is a GM type with a perc. rating of approximately 150. A water sample for coliform bacteria and nitrate content was satisfactory. The well is located opposite of the house from the septic leachfield and tank locations. The tank separation distance requested should not endanger the aquifer, as the new tank wi]_l be sealed on all connections and manholes. Steve F~ng/Lake Hill Acres #2, Lot 7 June 4, 1987 Page 2 We are requesting the 70' distance in order to meet grade on the se~'er line connections to the seepage pit and allow a future reserve area. If 'there are any questions or concerns~ please feeJ free to call me at 694-5196. Louis Butera, P.E. LB: bls enclos~res FEDERAL TAX ID # 92-0040440 A..',~L'YS1 S FEPORT BY :~F~LE J:, ~ent ¼?',pi !D: LOT7 L~KE hILL AFRES ~ ="'-'"~'l~'-'~ 0rde?eo By : L0U E~.TE?A ~:?}C-TC' ~2 BUILT' SURVEY I '.'=- ~ o " I, Richard R Honkins, hereby certify that I hove surveyed the following described property: Anchorage Recording Dislrict, Alas[a, and lhet no encr~chment GAAB-HD- I G~-~TER ANCHORAGE AREA BOROI~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 27'9-2511 INSPECTION REPORT ON-SITE SEWAGE DISPqS,~,L SYSTEM LOCATION //~/E/~TM ~"/~-,~/~ -~'"~" ADDRESSE~-~ f' ~Z. .... PHONE. '- LEGAL DESCRIPTION . ., SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY .,,~A MATERIAL . - ~ ~,. COMPARTMENTS ' /~:~'.v~ ) ~.~u,~ GALLONS. INSIDE LENGTH (~S[D~IDTH /// DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: / --------' oRw.0T. '¢/ .LENGTH ~.DEPT. dx. DISTANCE FROM WELl ~') ~/ ~ BUILDING FOUNDATION/:f:j f TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) -S"~'"? d SQ. FT. TILE DRAIN FIELD:. DISTANCE FZM WELL ~ , FOUNDATIg.b$'-'~_ ~ . ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRAD,E~/~ LOT LINE /'/ NEAREST / SEPTIC · SEWER LINE TANK DISTANCES: TOTAL LENGTH , NEAREST LOT LINE , OF LINES. DEPTH OF FILTER MATERIAL BENEATH TILE' IN. ABOVE TILE DISTANCE FROM L./ WATER , BUILDING.FOUNDATION. . SAMPLE. /-- SEEPAGE ?~'..-~ /--' :/,~ 'Y---SYSTEM / (-~/~' ~7~, CESSPOOL ., NEAREST OTHER , SOURCE~~/'~ DIAGRAM OF SYSTEM DATE ~^~"~'" GREATEL c~s No. ~//~~/ · ~' 327 Eagle St. ANCHORAGE AREA "' ~)ROUGH HEALTH DEPARTMENT Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT _,-_~_~ . . ~ MAILING ADDRESS C'~'//~ ¢/A~; /-~'~'J~PHONE NO RES,DENCE ADO.ESS t~,'~:.,: k ~ 1< ,~ . ~o~,o. o, ,.s~,~./~.~ / z~. k~ X.'II~ APPLICATION TO INSTALL: SEPTIC TANK, ~ , SEEPAGE PIT ~ , DRAIN FIELD , OTHER PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT AS DESCRIBED BELOW· SIZE OF UNIT TO BE SERVED_ ~ /~-~'~'~//'"'Oc"~ ~ SEPTIC TANK SIZE ~--0 TYPE'~e-~./ SEEPAGE AREA '~ TYPE DIAGRA~ OF SYSTE~ DISTANCES: ~ Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordh~ance No. 28-68 and that the above described system is in accordance with said code. 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 .D. # O.~ - (~;~- O'-~ 1. GENERAL INFORMATION Complete legal description . HAA #' Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well NOTE: Public water 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 NOTE: Public sewer 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#21 STATEIVlENT 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 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. David I~. Dayton P.E. Phone ._.~ ----, . --~¢~-~'~/'~//,% Approved for Disapproved. Conditional approval for Name of Firm Address _ngmeer s signature DHHS SIGNATURE ~0210 Donald,' bedrooms. bedrooms, with the following stipulations: Additional Comments 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 DH HS does this as a courtesy to purchasers of homes and their: lending institutions in order to satisfy ce.c, ain 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 p?ofessional ~i~gineer's work. 72-025 (Rev. 1/91) 8ack MOA Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A, Well Data Well type ~/~i v'/~~'' Log present (Y/N) Total depth .~ Sanitary seal (Y/N) Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number /f,-/ Date completed (_,(',~,~oc~.~J Driller Cased to L~:) ~ .-/~- Casing height Wires properly protected (Y/N) AT INSPECTION / Date of test Static water level Well flow Pump level1 x./Z, ~' g.p.m. ~, z:2 ~/Z~ '~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots ~" Public sewer manhole/cleanout Petroleum tank ,~ WATER SAMPLE RESULTS: Coliform B, SEPTIC/HOLDING TANK DATA Date installed /~/~ Cleanouts (Y/N) Y High water alarm (Y/N) Date of pumping Nitrate ~), t O Collected by: Other bacteria Tank size I o¢~,.~ Compartments Foundation cleanout (Y/N) , Y Depression (Y/N) · A~////- Alarm tested (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot '? ~ ! To property line Sudace water/drainage On adjacent lots I o~ -~- Foundation _5.~:"' Absorption field I O Water main/service line CONTINUED ON BACK PAGE 72-026 (3/93)* Front . . . C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Surface water Soil rating (GPD/Ft2) G/~,u' ~,~,' System type --~¢f"~,4 //~ ~ Gravel thickness ~ / Total depth c/ Y' Depression over field (Y/N) for '?----"' Bedrooms After test /~,~*' ¢ ~'¢' ,~ ¢~' If yes, give date On adjacent lots ¢~' Property line ~---"~/ / To existing or abandoned system on lot '%//; Cutbank ,~//,4- Water rnain/service line Driveway, parking/vehicle storage area 7 ~'- Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed (~'-~ /~ ? (~ Length '7~ / Width Total absorption area ;~'¢/¢~ Cleanout present (Y/N) Date of adequacy test .~//.?/~/ Results (pass/fail) Water level in absorption field before test ,¢'~ ~/ Peroxide treatment (past 12 months) (Y/N) --/t-/" SEPARATION DISTANCE FROM ABSORPTION FIELD TO: To building foundation ,¢'~, ' On adjacent lots ¢~ /- Surface water I co ~- E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines date of this inspection. Signature Engineer's Name Date David R. Dayton P.E. 20210 Donalar St. Chugla,k~,,Alaska ~5~7 HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number D. R. DAYTON, P.E., R.L,S. ~~.Chugiak, Alaska 99567 .20210 Donalar Marbh118:~:1994 (907) ~ 696-2417 ADEQUACY TEST Legal Description: Lot 7, ~ke Hill Acres, Addn #1 Date of Test: March 17v 1994 Septic Tank: 1,000 gallon, 2 compartment, steel tank Absorption System: 29 ' x 16 ' x 6 ' seepage pit Soils Rating: Unknown Requirements: 2 BR - 300 gallons per day Test: Water was pumped into the seepage pit while measuring volume, time and water level rise. The water level was re-checked 12 hrs after pumping was stopped. Results: The seepage pit accepted 300 gallons in 90 minutes with a water level rise of 10 3/4"~ ~ ' ~ ~ .... After 12 hrs the water level was back to the original level. The system is currently functioning adequately for a 2 BR home. D. R. DAYTON, P.E., R.L.S. - : : :I-' --'- Chugiak, Alaska 99567 20210 Donal~r · ' M~rch 18, 1994 h Legal Description: Lot 7, Lake Hill Acres, Ad Date of Test: March 17, 1994 Well Depth: 218'+ Static Water Level: 159 ' Requirements: MOA' 2 BR - 300 gallons per day FHA 3 gpm for 4 hrs. #1 (907) ~ 696-2417 Test: The well was tested wit}. rate was set at 5.0 gallons regular intervals. Recovery he existing pump through a hose bib. The flow minute. Drawdown measurements were tfiken at surements were taken after pumping was stopped. The well produced 5.'0 9i for 4 hrs. with a maximum drawdown of 29 '. The drawdown was fully reco~ ed in 18 minutes. The well is currently przducing adequately for a 2 BR home. MUNICIPALITY 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 264-4720 App,,cat,on Date / GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) ~,AT4~ RTT,T, AP.R'R.q, Nf')= 1. TDfP .7, rp15N' R1W) ~¢r'hqnn ~R Location (address or directions) Miller Road, Peters Creek (b) Applicant Name J~J~q' HOHNS~2EIN Telephone: Home N/A Business 248-280 Applicant Address 2804 W. NOR~-~ LIGh~t~S; ANCHORAGE; AE 99~17 (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other~[~ (explain); .]~EJ~.E~¢~[__ n/a (d) Lending Institution Address (e) Real Estate Company and Agent Address ?~04 W Nr~l~h~'r,n f,ight~,q, An~hc~r~g~, Telephone (f) Telephone 99517 Mail the HAA to the following address: pTP_.~qfP R¥ ~AP.I,~ RT~/-RR 2. TYPE OF RESIDENCE Single-Family~l[ Multi-Family [] Other Number of Bedrooms ? 3, WATER SUPPLY Individual 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 confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 {11/84) ENGINEERING FIRM PROVIDIN~ ISPECTIONS, 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 Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm EAGLE RIVER ENGINEERING SERVICES Telephone 694-5195 Address P.0, BOX 77c;294 F~GLD RZ'V~R, AK 99577 Date DHEP APPROVAL Appi;oved for Approved ~ Disapproved Terms of Conditional Approval bedrooms by ,¢~--~-~ ..,~2. ~.,-~.,~ 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 MUNICIPALliY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION . · 1987 MUNICIPALITY OF ANCHORAGE (MO*,/ HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: Well Classification /~/t°/~/'~7-'Z:- If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) '/~ Date Completed ~-,'.-~'~¢',,~'o~-',~' Yield Total Depth '"'~-/~ ~ Cased to f'z,'~ / Depth of Grouting Static Water Level ,/~<'-,.A ' ,,~/~,,,~, ;~-.,o o ~ ~.~,.r,'--;'~' Pump Set At Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line "~',/~ Cleanout/Manhole /'//'~ Water Sample Collected by ~z~,/~, ~s,3'. Water Sample Test Results Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) Comments ; On Adjoining Lots ,~¢ / ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ~ g/'¢' ? Size //~'/~ ~' / No. of Compartments Standpipes (Y/N) /1/ Air-tight Caps (Y/N) /v Foundation Cleanout (Y/N) Depression over Tank (Y/N) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) -'"'///~ ; for Holding Tank High-Water Alarm (Y/N) /?'~ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well 70' ~.~ To Property Line ~ ' To Water Main/Service Line ~/'-~ / Course '~'/o~ ' To Building Foundation '~--~- / To Disposal Field /'~ / To Stream, Pond, Lake, or Major Drainage Comments Page I of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed /9 ?¢ Width of Field /¢ / Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test 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 Co m ments _c~;~.,A-. _ 1~,..~,~- .... ¢'~¢¢~- Type of System Design Length of Field ':~'~' ? Depth of Field ~' / Gravel Bed Thickness o/'/ Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots "/--~¢ ? To Cutbank (if present) LIFT STATION /~'//~ Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Y~- Date ~ ~/JC-r 7 Company /z¢-~,/-~:::, _¢., MOA No. Receipt No. //<~' O Date of Payment Amount: $ Page 2 Of 2 72-026 (11/84) Eagle River Engineering Services P. O. Box 773294 Eagle River, AK99577 694-5195