HomeMy WebLinkAboutLAKE HILL ACRES #1 LT 25
GRE/".' R ANCHORAGE AREA BOR ]GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL .,'~
INSIDE LENGTH
MANUFACTURER :~-¢-,-/~L. MATERIAL ~'C'/'~t-- 'c~
INSIDE WIDTH LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID C A PAC f TY/~'~'~-f-O GA L LON S.
TILE DRAIN FIELD:
DISTANCE FROM WELL /'mO FOUNDATION
NUMBER OF LINES ~ DISTANCE BETWEEN LINES
ABSORPTION AREA / ~ ~
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
NEAREST LOT LINE_ ~ '~ OF LINES / ~/
? ( TRENCH WIDTH''~''~' IN. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE
~/.~?'~'' ,.~ DEPTH OF FILTER 3 /¢"
/-~ MATERIAL BENEATH TILE_6 IN. ABOVE TILE/
IN.
WELL:
TYPE
BUILDING
FOUNDATION__
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE__,
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
DEPTH
SEPTIC SEEPAGE
TANK__, SYSTEM
REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY: :'('~/:~
SEWER LINE DEPTH: ~ ''~' /z
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
G.A.A.B.
PERHIT NO.
PFFLI_.MNf ~
LOCATION MILLER ROAD
LEGAL L25 LAKE HILLS RCRES ~i
TYPE OF' SOIL RBSORBTION SYSTEM IS:
PIAXIMUM NUMBER OF BEDROOMS = 4
t--"liJi%I J; C: ][ , AL_ I T".¢ C~F Ri'-.!l~E:h,_:tF.:Fit3E
DEF'RRTMENT OF FIEALTH AN[:, EN',,,'IRONMENTAL FRU FEL. T I_N
_ ., _ . p _ _... LDL)
25±R E. TUDOR RE;,. HNC. FtO...RL~E., RE. 995C47'
~--IEZL. L Rt"-,~[:. O~4--E; I 7'E .:,E[45.ZF~ F'EF:r-11 'T
E.R. ~/~/~- ~,_.4-,:~,:
BOX 44..
LOT SIZE ±5000 SQUARE FEET
TR EN ..H
.... -" ' ", - t50
SOIL RATING (qP FT, E,F,'..-
]"HE REI:.;!L?~,'~D ~ZE OF "FHE SOIL ABSORPTION SYSTEM IS: /..~-' ......
~' .... --- - ..... ---% _ _ . ,' .. -.. '-'L'.: :4.1'
..... t~;i~-"-LENGTH"DiH~f.~SION IS THE LENGTH (IN FEET) OF THE TRENCH OR [:,RRtNFIEE~).
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET I.,.IIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRI_L. PIPE
AND THE BOTTOM OF THE EXCRVRTION (IN FEET.'.,.
BRCKFiLLING OF RNM SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL E:M THIS
DEF'~RTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWAGE DISPOSRL SYSTEM IS
100 FEET FOR R PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL
i4ELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 2:0 DRYS
OF THE WELL COMPLETION.
SPECiFICWFIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER
I NSTFILLRT I ON.
i CER'I"IFY THAT
i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
:'OR'f'H BY ]"NE MUNICIPALITY OF ANCHORAGE.
l: I WILL INSTALL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
{:: I UNDERSTAND THRT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF TFtE
'.ESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
APPLICANT PAUL G~DB5
ES_'"': ' _ ....... ~--- ¢~ .......... : -: ....
'~/'/' ~
PERMIT NO.
RF'PL i CFINT F'FIUL. GIBBS
L. OCBTI ON MILLER F..UH[.
L.~ LHkE HILL--, RCRES
~'-~ R.
BU,., ~4.5 E.
6'94-24¢ E
!
~L LOT SIZE 1500C-~ Sf,',~LIRRE FEET
FEET) OF THE TRENCH OR DRSINFIELD.
THE LENGTH [:,IHEN2
THE DEF'TH OF Ft REN~.H OR PIT IS THE DISTRNCE BETWEEN THE =,UF..FH...E OF THE
6ROUND RNB THE BOTTOM OF THE E~.,,CR,RTZON (ZN FEET).
THE TR. ENCH WIDTH FL[ E:,RRZNFZELDS IS ~: FEET.
THE GR. RVEL DEPTH ZS THE MZNZMUM DEPTH .OF GRRVEL BETWEEN THE OLITFFILL PZF'E
RND THE BOTTOM OF THE EXCRVRTZON (ZN FEET).
BRCKFILLING OF RN'¢ SMSTEH WITHOUT FINRL. INSPECTION RND RPPROVRL BM THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNC:E BETWEEN R WELL RND RNM 0N-SITE SEWRGE DISPOSRL :Sb'STEM I$
1¢3E~ FEET FOR R PRIVRTE WELL OR 2E~8 FEET FOR R PUBLIC WELL.
,'- . ) . ~' ' I I '
WELL LOGS RRE REQUIRE[ RND HLIz, F BE RET_RNED TO THE [:'EF'RRTHENT 1.4ITHIN ]:0 [:'R~'S
OF THE WELL COMPLETION.
=,FEbIFICMIILNz RND CONSTRUCTION DIRGRRMS RRE RVRILRE:LE TO INSURE PRm]F'ER
I NSTRLLRT I ON.
I CERTIF'¢ THRT
:L: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FOF.'TH B',' THE MUNICIPRLIT9 OF RNCHORRGE.
2: I WILL INSTRLL THE S'¢S'rEM IN RCCORDFtNCE WITH THE CODES.
Z':: I UNDERSTRND THRT THE ON-SITE c;EWER SYSTEM MRb' REL.]UIRE ENL. RRGEf'IENT IF TFIE
RESIDENCE IS REMODELED TO INCLUDE [dORE THRN 4 BEDROOMS.
E; Z GNED:
= IBE,_,
RF'F'L I CRNT F'FIUL I ...."c
I E;St_IE[:,
DRTE .....................
Russell Oyster
694-2774
Soils 8 Foundations
Performed for:
Legal Description:
pepth (feet).
0
5~
E GEO~' :CHNICAL 8 DEvEL.~'PMENT
Box 90, Davis St,, Eagle River, Alaska 99577
694-2774 or 688-2280
sox._&. LO~_
Mailing Address:
CO.
£ar/£///s
688-2280
Land Development
T~l. ,o. ZY:'l 4 ";~,4 ~
10
11
~3
~5
16
Ground Water Encountered: Yes No Xf ye~, what depth .....
Proposed Installation: Seepa~ PI~ .... Drain FiCd ~/
Comments: ~'X',~ ~
FIF'F'L I E:RNT
LE[ C Fi T :[ 0 N
LEEiI::IL
RL.LEN HE:L-:FIULLE'TL
LT:tI':::E H:[L.L FIC:REL5:1.
L,~._ I_RI-:::E H:[LL~; FICI(:E'-:; !
F'O BEI:>:; :i. 2::7 CHUG :[ F:II':::
LJ_-[T ~;IZE '1.4OO~b '.:~;QI..IFiF~:E FEET
£'IlNIMUM DISTRNC:E E:ETHEEN Ft glEL. L RND RN'¢ ON-SITE L-:,EWFIGE DISPOSFIL S"r'2:TEM
tOO FEET FOR FI PRIVFITE HELL OR 2OC4 FEE']'' FOR FI PUE:LIC t4ELL
1.4ELL LOGS FIRE REQU]:RED RND HLI'_:-q]- BE RETURNED TO THE DEPRRTHENT HITHIN 2:e~ DR"r'S
OF THE 14EL. L COHPLETION.
OTHER REQUIREHENTS; P'IFI"? FIPPL"r'. SF'EE:IFICRTIONS RND CONSTRUCTION [:'IFIGRFIhlS FIRE
FI"/FII LRE:LE TO IN2;UF-'.E PROPER INSTFILLFITION.
I _.~':- I -r" ¥ THFIT
t: Z FtP1 FFIf'IZLZF~F.: P.IZTH THE 'F.:EL:.!UZREP1ENT:~; FL~ ON-SITE SEI.,.IERS FINE:' HELLS; FIE; SET
FORTH E,~ THE P'IUN:[CZF'RLZT'¢ OF RNCI-IZ~'RGE.
2' Z HZLL ZNS;TRLL THE ~;'¢S;TEH ZN RCC:ORg'(~NCE HZTH "rHE CO[:,E'5.
'~; Z GNEE:,: .... [~
I~'D ~ C~4T FILL. EN f'ICCF~ILLE T
I SSLIEE:, E:" _ ................. E WFE
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588
OWNER OF LAND '/~--& E&) ' ~ <
ADDRESS ~ 'amff /~ 7 C~u~
DATE-Started ~ f/~17 ~ Ended
7
PE~IT NUMBER ~0 0 ~ g
DEPTH OF WELL ~ ]C~) ~'
STATIC LEQEL OF ·WATER FT.
~RAW DOWN zr. ~ / C/'
CALS. PER.R /07oo
KIND OF CASING ~. ~ 00
KIND OF FORMATION:
From O Ft. to ~ Ft.
From ¢,7 Ft. to/~ ~' Ft.
From /fo~;~ Et. to ]70 Ft. ~O~ <~ ~.~'
From /70 Et. to /~/ Ft.
From /'g:;// Et. t0
From Ft. to
From /94 Ft. to
From~tO.3 Ft. to~/~
From Ft. to Ft.
From Ft. to Ft.
Ft.
Ft. ~Lt4zf '
From Ft. to Ft
From ' Et:to ' Ft.
From · Ft. to Ft.
From Ft.{0 'Ft.
From Ft. to Ft.
From__.Et. to Ft.
From Ft. to Ft. ,
From Et. to Ft
From Et. to Ft.
From Et. to Ft.
From Et. to Et,
From__ Et. to Et
From Et. to Ft.
From Et. to Ft.
From Ft. to Ft.
From Ft. to · Ft.
From Ft. to Ft.
From' Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From__.Ft. to Ft.
From__.Ft to Ft.
From ~ ~ Ft. to Ft.
MISCL. INFORMATION:
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. # 051 -052-17
1. GENERAL INFORMATION
Complete'legal description Lot 25; T.ake
Hill Acres Subdivision #1
Location (site address or directions)
22724 Miller Road
Chugiak, AK
Property owner Debra Rodda . Day phone
Mailing address P.O. Box 670876 Chugiak, AK 99567
688-4402
Lending agency
Mailin. g address
Day phone
Agent
Address
Raney Hardman/Remax of Eagle River
Day phone. 694-4200
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Unless otherwise requested, HAA will be held for pickup.
2
NOTE:
xx
Individual well
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system. '
4. TYPE OF wASTEWATER DISPOSAL:
NOTE:
Individual on-site xx _-.
Holding tank
Community on-site '.
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
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 verifythat 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
Name of Firm
Address
Engineer's signature
Alaska Wat~
,¢ ,_/ ..J/Z . ,
; ...... Alaska Water &
Wastewater Consultants,
Shall be PAID $ ~-z. ~ et,
or prior to, closing for the
Engineering Services Provide&.
DHHS SIGNATURE
Approved for ~--
bedrooms.
f this inspection.
" Phone
~ Date
Disapproved.
Conditional approval for
bedrooms, with th-e 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 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.
72-025 (Rev, 1/91) Back MOA ~21
Municipality of Anchorage MAY 06 1999
DEPARTMENT OF HEALTH & HUMAN SEI:i~~ or ANCHOr^Ce
Environmental Services DivisioneNvlRONMEN¥^L SE~WCES D~WSiO
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Legal Description:
A. WELL DATA
Well type
Log present t~N)
Total depth
Sanitary seal
Health Authority Approval Checklist
~ ~/~ ~ I ,~ LoT ~ Parcel I.D.:
IfA, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to 'ZA ?_
FROM WELL LOG
Casing height (above ground)
Wires properly protected ,~1).
AT INSPECTION
Date of test
Static water level
Well production ZC:D j~.p.m.
WATER sAMPLE RESULTS:
Coliform ¢ Nitrate
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Date installed , O/~/'~L Tank size
Foundation cleanout ~N)
/ /
Date of Pumping L.J ~__~
C, ABSORPTION FIELD DATA
Date installed
Length HOI(;'¢ 5'¢) Width
Effective absorption area
Date of adequacy test
Fluid depth in absorption field before test (in.);
Fluid depth ~ ~ (ins) Minutes later: 1o~"7
Peroxide treatment (past 12 months) (Y~
72-026 (Rev. 3/96)*
· ~0 r¢'~_..~/L..- Other bacteria
Collected by: A. ~1. ~J. ~-.
g.p.m.
12.¢~ Number of Compartments. Z_ Cleanouts (~N)
Depression (Y/~ ~ o High water alarm (Y~)
Pumper -,~ ~u~PI~JG
Soil rating .¢J.~J~ or~)
~-~-O / System type
I ~.~_ ~.oI
Gravel thickness below pipe ~ Total depth
Monitoring Tube present~N)~Depression over field (Y/~
Results~F~ ~ For
~ t~ Immediately after ~o~ gal. water added (in.):
bedrooms
I~ u __,/
Absorption rate = ~'~-°+ g.p.d.
/~o~J~ ~' If yes, give date
/
.FTSTAT ON />
Date installed Size in gallons _ /
Manhole~ ~Pump off" level at*
High water alarm level at , ~ *Datum ~
Cyc%.~rd-~~ -~
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot io0~ -F
Absorption field on lot J O O ~ +
Public sewer main ~ //~
Sewer/septic service line ~.~l ~
Ioo1~
On adjacent lots
On adjacent lots Io0
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/~ TANK ON LOTTO:
Foundation _G I + Property line ~ I-'7L Absorption field Jr
Water main/service line ~O~+ Surface water/drainage /oo I./_ Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
l~,o
Property line '~.¢ ~ -F
Surface water J coI --F
Curtain drain /'Jo~ ~'~
F. ENGINEER'S CERTIFICATION
Building foundation Jo I~. Water main/service line
I certify that I~a~dj
inconform¢cew~t~
Signature~-,~L#~v
Engineer's NJe~/'
Date
/o
Driveway, parking/vehicle storage area '-~ I-I-
Wells on adjacent lots ~ ~'~ It
~ field inspections and review of Municipal
'defines in effect on this date.
are
HAA Fee $
Date of Payment ~---~'-~/~
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
APR-Zt-{g 17:0{ FRO~-CT; ENVI~'~YI~NTAL
llCT&E £nvironmen~el Se~iam; Inc.
T-Ig4 P.OZ/08 F-gg7
Primed Datefi'ime 04/20/9.0 16:38
Cd{ec~ed {}~effime 04115199 14:40
Rece~vd Date/Time 04/16/9~
Teclmical l~;~mr: Stephen C.
Released B~
/
para~l~zer
o.soo m~t~
s ~ c~11oo ML, #0 LOCI.
A~L~,~aDLe Prep Anat¥{J{
EPA 300,0 10 ~ 0~/16/99 ~&116199 SCL
~ APR-21-9~ 1T:lO FRO~-¢TE ENVIRON~NTAL ~6~$0! T-194 P. 02/06
CT&E Environmental Services Inc.
.. -- .... ~ ......
Laboratory Diviaion L-~-~-::- ........ ~ .........
200 W Potter Drive
1t-1606
Tel (9071 562-2343
Drinking Water Analysis Report for Total Coliform Bacteria ^,~ho,,~o,
MuST D~ COMPLETED ~Y WA~R SUPPLIER _ '~ ~ ' '
PRIVATE WATER S¥ST£M
Month Day Year
SAMPLE TYPE'
· .~ Routlfle ~ Tr~atee watar
~lth lab tel no.
S~PLE L~ATION Coli~t~ By
~ Sample over 30 hours atd, ~esuhs may
3amate ~oo ~ng in ~si:; ~mple should
not ~ nv~ 48 hours old al ~x~manon
to inffica;e reliable result, pi~se smd
n,w .mpl~ vi~~' ma~t
Da~ R~eived ~'
~me ~elved ~ ' / ~ ~
Analysid~aa ~ [ ~ LOO ~
~ MM0-~G
BACT~I~dOLI~ICAL WATER ANALYSIS R~CORD
Coloniel/lO~,l mi
COLIFtRM
M~ml~ranu Filter: Diru,~ Count ,.~ ~
ytl~fic#tlOn: LTB 0Ggl
Fi'ca! Coliform Ccafirma~Oa ~
[]
~~~
ENwRONMENTAL FACfLiTIF.,q iN ALAe:KA, CALfFO~NL&. FLORIDA. ILLINOIS. MARYLAND. MICHI(3~,N. MI$~OUIW, Nk"W JERSEY, OHIO. WI~$T vIRGINIA
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
343-4744
May 12, 1999
Jeff Garness, PE
Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2B
Anchorage, Alaska 99504
Subject: Request to amend Waiver Number WR970019 for Lot 24 Lake Hills
Acres Subdivision #1 to include Lot 25, Waiver Request #WR970019
Dear Mr. Garness:
Your request to amend the subject waiver issued June 3, 1997 to waive the
required 100 feet separation from a wastewater disposal system to a water well
is approved. The waiver has been amended to include the encroachment of the
west end of the absorption field on lot 25 to the water well on lot 24 of 95 feet.
This amended waiver letter also serves to grant a lot line waiver from the
absorption trench on lot 25 to the east property line that fronts Miller Road. The
approved separation is 5 feet.
This waiver approval applies to the existing on-site wastewater disposal system
to well separation and lot line separation only. Any future upgrade to the
absorption field will require all separation distances be met or another approval
from this department.
If there are any further concerns of questions regarding this waiver, please call
our office at 343-4744.
Sincerely,
Daniel J. Roth
Civil Engineer
On-Site Services Program
cc: Lot 24 Lake Hills Acres Subd. #1
AMENDED
WR# WR970019
Date Received:
Legal Description:
Engineer:
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Wa'iver Review Worksheet
PID~ 051-052-17 HA~ HA990198
May 6, 1999
Lot 15 Lake Hill Acres #1
Permit
Jeff Garness, PE, Alaska Water & Wastewater Consultants~Inc.
6901 De Barr Road, Suite 2B, Anchorage, Alaska 99504
Applicant: Debra Rodda
Waiver Requested: AMended waiver to include Lot 25 in waiver requests of lot line
to 5 foot.
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:
Date: By:
Name of Reviewer
Rec ~: 04585/3639 Amount: $ 115.00 Date Paid: 5-6-99
Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2B ~ Anchorage ~ Alaska 99504
Phone (907) 337-6179 ~ Fax (907) 338-3246
May 5, 1999
Municipality of Anchorage
Department of Health & Human Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
R CEIVED
~A¥ 6 1999
Municipality ot Anci3orage
Dept. Health & Human
REFERENCE: Lot 25; Lake Hill Acres #1
Request for waiver modification WR 970019
Request for property line waiver
In June, 1997 your department issued a 95 foot waiver (WR 970019) for the separation
distances 15om the private well on Lot 24 Lake Hill Acres to the drainfields on Lots 24 &
33, Lake Hill Acres #1.
Recently we were comracted to test the well and septic on Lot 25, Lake Hill Acres for
purposes of obtaining a Health Authority Approval. Prior to testing the septic system, the
missing monitoring tubes and cleanouts had to be installed at the end of each trench. Once
installed, it was evident that an encroachment existed to the well on Lot 24.
Request you modify the existing waiver (WR 970019) to include the septic system on
Lot 25; Lake Hill Acres #1.
Also we request you issue a property line waiver on the subject property for the
separation distance between the leachfield on Lot 25; Lake Hill Acres #1 and the east
property line to five (5) feet. We do not anticipate any adverse effects by issuance of this
waiver, as the property line is adjacent to a road right-of-way (Miller Road).
If you have any que~ons, please
S'~~M.S.
comact us at 337-6179.
Z
N 31"22' 30" E. 100.00
S .91°22'50"W 100.00
MILLER RBAD
Municipality of Anchorage
Department of Health and Human Services
,Rick A'lystrom,R25 L .. lreel
Mayor P.O. 80× 1966F, 0 Anchorage, Alaska 99519-6650
343-4744
Jude 3, 1997
Jeff Garness, P.E.
Alaska Water & Wastewater
8471Brookridge Drive
Anchorage, Alaska 99504
Subject: , Waiver Request for Lot 24 Lake Hills Acres Subdivision #i
Waiver Request #WR970019, PID #051052-18, HA970173
Dear Mr. Garness:
Your request for waiver(s) 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(s) are the
private well on Lot 24 to the drainfietd on Lot 24 of 95 feet and the
private well on Lot 24 to the drainfield on Lot 33 of 95 feet.
This waiver approval applies to the existing on-site wastewater
disposal system to 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 further concerns or questions regarding this waiver,
please call our office at 343-4744.
Sincerely,
Daniel J. Roth
Civil Engineer
On-site Services Program
ljm: #6
Coburn
Mag 2, 1997
Al[aska Water & Wastewater
8471 Brookridge Drive ~ Anchorage ~ Alaska 99504
Phone (907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
Municipality of Anchorage
Dept. Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O Box 196650
Anchorage, Alaska 99519-6650
Attn: Dan Roth
Subject: Waiver of separation distance from private well on Lot 24, Lake Hills Acres #1 to
drainfield on same lot, and drainfield on Lot 33, Lake Hills Acres #1.
Dear Dan:
The subject property has a 3 bedroom house, served by a private well and septic system. The
drainfield was installed in 9/82 and the well was drilled later on 10/30/82. The distance from the
drainfield sump, to the xvell is approximately 98 feet. Since the trench is 30 inches wide, it is
reasonable to assume that the edge of thc rock is only about 96.5 feet from the well. To be
conservative, I am going to assume the separation distance is 95 feet. In addition to this
encroachment, the well is also only 98.5 feet from the septic c/o on Lot 33, Lake Hills Acres.
This measurement was performed using DHHS's surveying instrument (Dan Roth was present).
The location of the remaining portion of the trench on Lot 33 is unknown. Again, I am going to
assume a separation distance of 95 feet. Justification for this waiver is summarized as follows:
GENERAL: Given the fact that the house on Lot 33 has a daylight basement, it is highly unlikely
that the drainfield will ever overflow onto the ground surface, since in order for this to occur, the
basement (home on Lot 33) would have to flood (several feet deep) with sewage. The subject
well is uphill from the septic system on Lot 24, consequently, it is not possible for overflowing
sewage to run towards the well. The only feasible path of contamination would be subsurface
migration of the wastewater from the drainfields towards the well. Analysis of the contamination
potential will be evaluated based upon the ADEC point system.
R, POINT SYSTEM EVALUATION:
Geological: According to the well log, the water table is approximately 160 feet below
the ground surface. On the day of my inspection (4/19/97) the water was 178 feet below:the top
of the casing. Bedrock was not encountered, therefore, the bedrock profile is not a consideration.
a. Distance .fi'om the bottom qf the rbait~.filed to groundwater (160 foot static level in
n,elO; The bottom of the trench (Lot 24) is approximately 8 feet below gradel The separation
distance from the bottom of the trench to the static water in the well is approximately 150 feet.
This corresponds to 7.26 points.
b. &~i/so~ptio~ be/o~, the lre~Tch: According to the well log, the soils (down to the water
table) are primarily a mix of sand & gravel, with occasional boulders, and some hardpan. To be
conservative I am going to assume a value that is the average of clean gravel (0 points) and clean
sand (1.5 points), which corresponds to .75 points.
c. Soil permeability below the tre,ch: I am going to treat the entire soils profile as a
sandy gravel, which corresponds to a point value of .9
d Water table gradient: When performing the well adequacy test (pumping at a rate of
5.01 gpm for 102 minutes) there was no drawdown. In short, the hydraulic gradient is 0%. This
corresponds to 2.9 points.
e. Horizontal separation.fi'om u, ell to septic tank: Given a 96 foot separatiOn distance,
the point value is 2.8.
Total Points: 14.6
According to the ADEC waiver guidelines, a point value 12-16 indicates no bacterial
contamination is possible, and that chemical pollution (from household sources) is unlikely.
Recent water samplin~analysis (4/14/97) tbund no bacteria, and nitrate levels of .723 mg/l. In
short, after almost 14.5 years, the water quality has yet to be effected by this encroachment.
copies of the lab results were submitted with the Health Certificate package. Given the facts
presented, it is my opinion that there is minimal risk in granting the requested waiver (95 feet from
well to septic systems on Lot 24, and Lot 33). If you have any questions, please contact me at
337-6179, or on my digital pager at 1-800-481-1162. Thank you for your assistance.
Sincere/~.
Princi
c.c. Mark & Sally Coburn
~".~ l.....~ ~ ~/~" ,,
spoctlon ol ~e ~o~
~,.:us:~d fOr'p~sit~on~g addition~ suldpropr°~aw~W'
~ ~;~ S" ~ ~' ~ ~ '( ~ : ' Datedgoat
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
1 ~ C~r~ral !nf~r~_.ation ~pQlication Date
(a) Legal Description (inclu~ latf block, subdivision, seqtion, township, range)
Location (add, ess or, directions) ' :, ¢-~z
,
(c)Applicant is (check one) Lending Institution ~'--'~.; Owner/b~i-t~er~--~ ;
Buyer ~; Othe~ ~ (explain);
(d) Lending Institution Telephone
Address
(e) Real Estate Co. & Agent
Address
e
0
Telephone
T_~ of Residen~
Single-Family ~
Numker of Bedrooms
Multi-Family ~-]
O~e~ (~s~i~)
Water Supply
Individual Woll~j
Cc~nunity~
Public~
Note: If cc~munity well system, must have written confirmation f~c~ the State
Department of Environmental Conservation attesting to the legality and status.
Is the w~ll adequate fo~ the number of bedrocm~ specified in this HAA
~Sewage Dis~sal
Onsite~ 1%~blic ~ Co~,.~nity ~--] Holding Tank
Is the wast. water disposal system adequate for the number of bedrccms ~'/N)
[Page i of 2]
5. E_n_gineering Firm P~oviding Inspections, Tests ,_.Data and Information
I certify that I/.h~e checked, verified, o~ conforn~d to all MOA HAA Guidelines in
e f fo ct on the ~Yate /~f~ tJwi~ .~/~/../~/~nspection oSigned . Date
Name of Telephone
Add. ess
Signed biz ~ -', '-~ ...........
Date
6. DHEP Approval
Approved for__~__ bedrooms
Appro~d ~' Disapproved E~
(ENGINEER SEAL).
--
Conditional E~
Terms of Conditional Approval
'Cne Municipality of ~cho=age Department of Health and Envircnmental P~otection dces
not guarantee the continued satisfactory performance of the water supply and/or the
wastewate= disposal system° This approval indicates that, as of the validation date
shcwn above, based on the data and information furnished by an engineer registered in
the State of Alaska, the water supply and wastewater disposal system is safe and func-
tional for the number of bedrocks and type of structure indicated. ~
(DHEP SEAL)
7. Mail the HAA to the follc~ing address:
KB2/d5/s
[Page 2 of 2]
2-15-84
CHEMICAL & GEOLOGICAL L~IBORATORIES OF LASKA, INC.
TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER
5633 B Street
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
I.D, NO.
Water System Name
(*) See h on back
Phone No.
Mailing Address
SAMPLE DATE:
State
Zip Code
SAMPLE TYPE:
~,~outlne
hack Sample (for routine sample
with lab ref. no.
[] Special Purpose
~ Year
Day !
[] Treated Water
[] Untreated Water
SAMPLE
NO. LOCATION
I
3 I J
4 I
Time Collected
Collected ~.~
IZ/Z.~ f
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
~Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 30 hours old at examination to
indicate reliable results. Please send new
sample via special delivery mail.
ate,Rece,ved
Time Received
Analytical Method:
Fermentation Tube
~Membrane Filter
Lab Ref. No. Result* Analyst
IS-~z)~-/~l I-I-] c_%,-~,~~
I I-[--I
I I--l-]
I r-Tq
] r-T-]
06.1220 (b)
RaY. 1983
BACTERIOLOGICAL WATER ANALYSIS RECORD
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Membrane Filter:. Direct Count
Verification: LTB BGB
Final Membrane Fil~.e~sults
Repoded By ~.~~ Date_
Time:
TNTC = Too Numerous To Count
Coilformll00ml
Coilform/100ml
MUNICIPALITY OF ANCHORAGE (MOA)
MUNICIPALITY OF ANcHO?,AG}~
D'.!¥.'7. OF H1_:AL]'~{ 8~
Date Completed
Legal Description:
If A, B, c~ C, D.E.C. Approved(Y/N)
~--- I ~ - ~ ~ Yield
Depth of G~outing
Pump Set At 'Z~O/ ~
sanitary Seal on Casing~N)
Depression Around Wellhead (Y/N)-~
Well Classification ~"1 F.
Well Log P~esent ~N)
Total Depth ~-I 7.~ / Cased to
Static Water Level /'~! /
Casing Height Above Ground
Electrical Wiring in.Conduit (Y/N)
Separation Distan°es f~cm Well:
To Septic/No--Tank on Lot /(3'D / ; On Adjoining Lots
To Nearest Edge of Absol~ption Field on Lot /~O /~- ; On Adjoining Lots
To Nearest Public Sewer Line ~/~ To Nearest Public Sewer
Cleanout/Manhole .. /~z~ To Nearest Sewer Service Line on Lot
Water Sample Collected By ~ ~.~ ~=~k/~/_ ; Date ~/~
Water Sample Test Results
C~ents L~J~_4~ y( ~
B. SEPTIC~ TANK DATA
Date Installed /77~ Size /'~) No. of C~,pa~b~nts
Standpipes ~/N) Air-tight Caps ~N) Foundation Cleanout
~pression o~ Ta~ (Y~ ~te ~st
P~ing~intenan~ ~n~a~ ~ File (Y~) ; for
Holding Ta~ High-Wate~ ~a~ (Y~) ~/~ ~ra~y .Holdi~ Tank ~r~t (Y~)
Separation Distances f~cm septic/Rcr!~i~3--Tank:
To Water-Supply Well
To P~operty Line
TO ~er ~in/~rvi~ Li~
Co~ ~ '
TO Building Foundation /~--/
To Disposal Field
To Stream, Pond, Lake, o~ Major D~ainage
[Page 1 of 2] 2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~
Width of Field ~O [~
S.qua~e Feet of Absorption A~ea
Depression over Field _(.Y _~fl
Results of Last Adequacy Test
Type of System Design
Length of Field /d~--
Depth of Field ~ /
~ Gravel Bed Thickness
~ Standpipes P~esent (Y(~
Date of Last Adequacy Test_
!
Separation Distance f~om Absorpticn Field:
To Water-Supply Well ~)d) /.~ To P~ope~ty Line /~
To Building Foundation ~42) / ~ To Existing or Abandor. ed System cn
Lot /~/~ ; On Adjoining Lots ~O
To Water Main/Service Line A/~ To Cutbark(.if present)
To Stream/Pond/Lake/ct Major D~ainage Course
To D~_iveway, Parking Area, o~ Vehicle Storage A~ea /~)
D. LIFT STATION
Date Installed
Si?~ in Gallons
Dimensions
MaDJ~ole/Access (Y/N)
"Pump Oa" Level at
High Water Ala_~m Level at ·
Tested for
Electrical Codes (Y/N)
"~ Off" Level at
A//XVent
Pumpin~/~les during Adequacy Test.
Meets MOA
** Check Pe~Taitted Bedroom Rating Against HAA Request
I certify that ~e checked, verified, o~ ~nf~d to all ~A ~~ in effect
-.
t~
date
Signed ,. Date ' ~ ~ ~. ~ :~ ,. ~ ~ ,
[Pa~ 2 of 2] t
2-15~84