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HomeMy WebLinkAboutBRANDL LT 2Aa filjd?M tj v PARCEL 00111 192 .i$ MUNICIPALITY OF ANCHORAGE DEPARWENT 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 EW _S ❑ UPGRADE MAILING ADDRESS ` f� `L LEGAL DESCRIPTION 3 ,Z C_, LOCATION SA&MG oar=F `AE AIQA,40L)N NO. OF BEDROOMS DISTANCE TO:7 Well 7 Absorptio area ��`! DwellingPERMIT NO. V LZ Manufacturer Material No. of compartments y Liq. capacity in gallons IF HOMEMADE: Inside length f� DD''��// Width At A Liquid depth G Y DISTANCE TO: Well Dwelling PERMIT NO. JaZ O Z < Manufacturer Material Liquid capacity in gallons D w= DISTANCE TO: Well Foundation Nearest lot line i PERMIT NO. D0 J LL Z Z No. of lines Length of eac line Total length )f lines Trench width inches Dista pgeitween lines H Top of tile to finish grade o Material beneath tile �� r- Total jefffeective absor do 0 3 _jr�� �r inches / f� 30 - Uj Length Width Depth PERMIT NO. urA '•• •• q QF wa Type of crib Crib diameter Crib depth Total effective absorption area "+ o° • aa@ o �• W DISTANCE TO: Well Building foundation Nearest lot line h J Class Depth N;E Driller Distance to lot line PERMI J - - W DISTANCE TO: Building foundation Sewer line Septic tank Absorpti 4a%)JOHN L NSON• i OTHER c51 2� Pq FE ION RAO PIPE MATERIALS 5'rmb2 MIA S01 L TEST RATING �%�'z ,o o�on lad INS6P M I IC67 4 v s• , REMARKS '"CASIC 10UM vF S y' 1,6e 0 apw © f ~ G lila S eyq_ PIPE w` -A us FIV GI + �, v6` IZ G. T APPROVED DATE LEGAL 2-140 V Alt&AmlajeK(it�J 72-013 ( ev. 3/78) f J IDEPARTMENTCSF HEALTH AN' D EN•d'�rIRON•aMEN•dTAL PROTECTIONr 825 ' L ` STREET, ANCHORAGE., AF:: 99501 264-4720 : ANCHORAGE 694-2131 • EAGLE RIVER PERMIT NO. 8.2-:1007 APPLICANT: MIKE BUTLER PHONE: 344-5341 ADDRESS: 609 E 75TH ANCHORAGE.- AK 99502 LEGAL DESCRIPTION - SUBDIVISION: BRAN• DEL BLOCK: — LOT: 2A LOT SIZE 0 SG-!. FT. TOWNSHIP: 12N RANGE: 14 SECTION: MAXIMUM NUMBER OF BEDROOMS - 4 '=OIL RATING — 250 228 250 S Q. FT. /E:R ) ,LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC SYSTEM. CHOOSE THE OPTION THAT BEST FITS. YOUR SITE. WIDTH = H 2. 5 FT. A LENGTH .4wFT. NOTE! -- _->75 FT. REQUIRES TWO TRENCHES TOTAL DEPTH :10. eFT. - DEPTH r 0 FT. J- jGRAVEL i;FAMEMC_-NE SM.5 C_, rCw L 7Z�TAJF- IZE 1... 250. 0 GALLONS (TWO COMPARTMENT 'TANK) WIDTH = 27. 0 FT. LENGTH = . 54. 0 FT. `TOTAL DEPTH 5.0 FT. GRAVEL- DEPTH - 0.5 FT. GRAVEL VOLUME - 54.0 CU.YDS. TANK SIZE — :1..-250. 0 GALLONS ( TWO COMPARTMENT 'TAN• K ) WIDTH = 5. 0 .FT. LENGTH = 117.0 FT. ! NOTE ! — >75 FT. REQUIRES TWO TREN•dC:HES, TOTAL DEPTH 7.0 FT. GRAVEL DEPTH = �:. 0 FT. GRAVEL- VOLUME ME — 75.8 CU.YDS. TANK SIZE — :1.,250.0 GALLON'S, TWO COMPARTMENT TANK) ) I CERTIFY THAT: _ — _.. _. .... — ... — -.. _.. _.. _. _.. .... .... I. I AM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS. AND WELLS AS. SET FORTH BY THE MUNICIPALITY OF ANCHORAGE AND THE _TATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES AND HAVE RECEIVED A COPY OF THE CODE SUMMARY AND DIAGRAM ATTACHMENTS WHICH IS PART OF THIS PERM I T. I UNDERSTAND TAN D THAT THE ON—SITE SE14ER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. PERMIT APPLICANT HAS THE F:ESPON 'S. I B I L I TY TO INFORM PERSONNEL C:'UR I N' G THE INSTALLATION IN'aSPECTION'aS OF ANYWELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. IF A LIFT STATION IS INSTALLED, STALLED AN ELECTRICAL PERMIT AND INSPECTION i'1UST BE OBTAINED. AS—BU I LTC: CANNOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT. THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN•d. ------------ APPLICANT: MIKE BI.ITLEF.' ISSUE[) BY: DATE: 10/20/83 7Y Ave- QS < SOIL LOG a ENGINEERS, INC. SOIL LOG PERCOLATION SK \ I _%7 TEST 7125 OLD SEEW�ARRDDD HIGHWAY PERCOLATION . T EST .... BEDROOMS �- ANCHORAGE, ALASKA 99502---,-, '-^ .r- (907) 349.6561 JOB NUMBER: ____8 PERFORMED FOR /.. �.' j\ BUTLER _ _ DATE PERFORMED: __ �Q�.L.�J1op3_ LEGAL DESCRIPTION: r✓ OT 2A . -8RA ,-J L4 L S U LBD �. )I.S 6;7SLOPE SITE PLAN /VEA N&V %4 1 0=2,0 ORGANIC- Irl ?'wl Z 77RAcE iD 5oI'.%E- 5ANI=, 2 o• Roors AYE,M�7�R1a y ra 3 ; r , a Ui 2.0_-14,0 SILTY SAND --- o To Som E GRveL-, RC 4 5CA�EFCpL j) Cb3.'E<< r'�KEA�5 ;' TSN,:5L,'f^-H7 Y wlolsr 1 (� o rca� �Y ��r�a��>>.- 6 CD o, ARSES, NQN- 7 r,0 ?LAsrl G SvaRNI), 8 —S M ,r C, DEPTH (FEET) COMMENTS WAS GROUND WATER - ^ /D S ENCOUNTERED?y L P IF YES, AT WHAT E DEPTH? ir,immmum ■i■■ia ■■ ■ Reading I Date Gross - Time Net Time Depth to Water MI■■■■■■■■■ a O simmom ■m■■■■■M0001 Will m■ ■'■■■■■ ■i■■m■■■■■■ moi— IMI.R91":440►�ZM.. W E 7E 5 T H 0 1- 0o I I i L PERCOLATION RATE, - fi (minutestinch) TEST RUN BETWEEN FT AND -r_Q FT PERFORMED BY: � - t VIGI VS CERTIFIED BY:: ;--- ---- _,._. DATE: 72 008 t9/83l q Reading I Date Gross - Time Net Time Depth to Water Net Drop a O O moi— 10 W IA/ —4 L2--lth r N, Z. fii I , O „ 2//6 , 6 row N S 511.- 3 o imIN 3 0 {M I1J ! -M N, SCS NrN. I O PAIN, -- PERCOLATION RATE, - fi (minutestinch) TEST RUN BETWEEN FT AND -r_Q FT PERFORMED BY: � - t VIGI VS CERTIFIED BY:: ;--- ---- _,._. DATE: 72 008 t9/83l q O • '� Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 018-192-28 1. GENERAL INFORMATION s Expiration Date Complete legal description BRANDL LOT 2A Location (site address) 14250 BRANDL ST., ANCHORAGE, AK 99516 Current Property owner(s) FNMA Mailing address Real Estate Agent 2. TYPE OF DWELLING: [�] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well x❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Waiver/Variance request for: NONE Day phone Day phone 26-1-7600- a • I • T6o3 TYPE OF WASTEWATER DISPOSAL Individual Holding Tank ❑ Community ❑ Public Sewer ❑ r n Received �� j .. Jy1 �... Date, COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $5a(e Waiver Fee $ Date of Payment l� l (Q 1t 4 Date of Payment Receipt Number �3 SCI $Cl TQ Receipt Number COSA# Cl LlI(O(V Waiver# 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm SPURKLAND ENGINEERING Address 203 W. 15TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND 6. DSD SIGNATURE J System #1 Approved for r y pp bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, Phone 279-3916 By: '�f r rf � `; vl%`� %i- %?! _ Original Certificate Date: p F0 W �e i1i Gtr `- — - f The Municipality of Anchorage Deva opment Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: BRANDL LOT 2A A. WELL DATA Well type PRIVATE Date completed LINK Total depth >130 ft Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (Y/N) Y Cased to >40 ft. FROM WELL LOG LINK LINK LINK WATER SAMPLE RESULTS ft. RM Coliform NEG colonies/100 mL Nitrate 0.158 mg/L Arsenic ND ug/L Date of sample: 11/12/14 B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEU GREER Tank size 1500 gal. Number of Compartments Parcel ID: 018-192-28 Well Log (Y/N) N Wires properly protected (YIN) Y Casing height (above ground) 18+ in. AT INSPECTION 9/16/14 73 1.0 9 - p.m - Collected by: Lars Spurkland Date installed 11/21/1983 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 9/30/14 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA @i16A3 /� a Date installed oil �ng (g.p.d.JW or ftz/bdrm) 250 System type TRENCH Length 75 ft. Width 2.8 ft. Gravel below pipe 7 ft. Total depth 10 ft. Eff. absorption area 1030 ftz Monitoring tube Y Depression over field N Date of adequacy test 9/16/14 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 15 in. Water added 1800 gal. New depth 57.5 in. Elapsed Time: 30 min. Final fluid depth 15 in. Absorption rate >= 600 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) _ If yes, give date D. LIFT STATION Date installed "Pump on" level at 'Datum Size in gallons in. "Pump off' level at E. SEPARATION DISTANCES WELL ON LOT TO: Septic tankilift station on lot 75'* Absorption field on lot 91'* Public sewer main NA Sewer/septic service line 25'+ Animal containment areas 50+ Cycles tested SEPTIC/HOLDING TANK ON LOT TO Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? _ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas100+ Building foundation 5+ Property line 5'+ Water main N'A Water service line 10+ Wells on adjacent lots 1001+ ABSORPTION FIELD ON LOT TO: i Property line 10'+ Building foundation Water Service line 10+ Surface water 100'+(N.O.) Curtain drain 50+ (N'O') Wells on adjacent lots 100'+ F. COMMENTS *WAIVER ON FILE G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name LARS SPURKLAND Date 11/12/14 COSA brawn sheet 10-10-12.doc Absorption field 5'+ Surface water 100'+(N.O.) Water main NA Driveway, parking/vehicle storage 10' A4,1 111 .0 10 RS E. PURKLAND. 15 O I "T I it in. 3A z Ld X W W r H 0 I 1A N890 59' 15" W SEPTIC 134.78 ,q, GRAVEL' WELL ------------------------------- SEPTICO 10' UTILITY EASEMENT Bobby F.Burned 2941Carriage Drive Anchorse, Aleska 99507 (90#) 350-5541 Date Seale 9/18/2014 1, = 30' 'rid 3034 As-Built,6„,ri; lraan by Field Book BFB ASB2014 N89" 59'07" W 134.81 O MPHIC SCALE I Inch = 30 Feet 27 15 0 1'0 45 Lot 2A BRANDL SUBDMSION I hereby certify that the property described hereon has been Surveyed by me, or at my direction, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the pre Pe F 1F+n6 adjacent thereto unless otherwise shown. That no improvements on the property Dying adjacent thereto encroach on the premises In question and that there are no roadways, transmission Hues or other easements on said property except as shown. C'4 tP-1 I 30 ir' ®s�1+ DOMMAW F. 901O7E1S ,IONA1, MUNICIPALITY Off= ANCHORAGE Community Development Depart re E �, � � Right of ltl'ay Section Development Services Division %' Phone: 110 -343-8240 Fax: 907-343-8250 Mayor Darr Sullivan January 22, 2015 Federal National Mortgage Association PO Box 650043 Dallas, TX 75265-0043 RE: Encroachment: Septic System in Utility Easement Brand) Subdivision, Lot 2A, Grid SW3034,14250 Brandl Street, Anchorage, Alaska The Right of Way Section has reviewed a request for a letter of cion -objection to an existing septic system, which encroaches 7.5 feet into the 10 foot Utility Easoment. On the as -built survey dated 4/18/14, submitted with the request, the petitioner has shown the septic system. This letter of non -objection is issued with stipulations, and by using it the petitioner is agreeing to the following: i. Municipality of Anchorage (MOA) will be held harmless; now and forever, for any damages or injury to any person as a result of the encroachments. 2. All applicable codes and regulations will be observed and maintained within the easement. 3. This letter of non -objection will in no way preclude MOA from full use and enjoyment of its rights within any portion of the easement. 4. Additional and extraordinary costs incurred during any future required construction, repair or reconstruction of MOA improvements to accommodate any or all of the encroachments shall be paid by the property owner. 5. Maintain letters of non -objection from the following utilities: • Anchorage Water & Wastewater Utility Alaska Communications Systems • Chugach Electric Association. Inc. ❑ Matanuska Telephone Association Q Matanuska Electric Association, Inc. Enstar Natural Gas Company © Municipal Light & Power GCI Cable of Alaska E] Eyecom (Girdwood Cable TV) El No Tetters required All letters of non -objection should be retained in your permanent files. if you have any questions, please call Daune Wyatt, Right of Way flan Reviewer at 313-19240. Sincerely, Jack L. Frost, Jr. --- Right of Way Supervisor concur" l?z�.istE�ait�;. zL?:�stvitt VMrx E"t2iidepe t`AinNB.;St� Federal National Mortgage Association, Owner Municipality of Anchorage Development Services Division On -Site Water and Wastewater Program mcnr \s, r Department **** VARIANCE/WAIVER REVIEW **** Waiver#: PID#: 018-192-28 COSA#: osc141604 Permit#: Legal Description: Brandt L -2A Engineer: Spurkland Engineering Applicant: FNMA Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 2.0 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: 1 — I Approved by: a o w` er AUNICIPALITY 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 r " ` 264-4720 Application Date'% C 1 - GENERAL INFORMATION z 1(a) Legal jDescription (include lot, block, subdivision, section), township, range) Location (address or directions) Applicant Name , / ,� C�' �' (b) A pp J Telephone: Home Business — _ Applicant Address (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; Other 1251 (explain);— " % l% �. z (d) Lending Institution __ , J ( �_}1% 4_ _ Telephone __ `' C' Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single-Famil X 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 envirbmmOntal Conservation attesting to the legality and status.J� E 4. SEWAGE ISPOSAL. 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 PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA 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 __I�; l' _e� Telephone Address "-_ _S L/, / 7 "7 --------- Date .4 6. DHEP APPROVAL Approved for ` Approved C) bedrooms by .�"_�_'__ _�__ Date Disa�ved __ Conditional Terms of Conditional Approval CAUTION Engineer's Seal 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 79-D?`,(11,AM 1 IUNICIPALITY 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 Application Date`¢ GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name s -L' 4�L'b n'elephone: Home Business Applicant Address — (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; Other l (explain); (d) Lending Institution _11-11' P_/Z0 - 64 14-1 j r Address ell _:a (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: ' 61 T f i, 2. TYPE OF RESIDENCE Single-FamilyRd Multi-Fam�ily 0 Other Number of Bedrooms Telephone 3. WATER SUPPLY. Individual WelX 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 (11/94) 1 W a1 5. ENGGNEERING FIRM PROVIDING 1, JECTIONS, TESTS, FILE SEARCH, DATA, ..D 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 forthe number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained ,u 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 10 _�' �� Telephone �7 t S Address Date Engineer's Seal o /�4'••• �rjI !_ 27 , Oil .�Y`I• DHEP APPROVAL (� Approved for �`ld�F.'bedrooms by Approved — Disapprove Conditional Terms of Conditional Approval 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 72-025 111!84) A. WELL DATA ' Well Classification TZ h ` If `� A, B; C, D.E.C. Approved (Y/N) /A Well Log Present (Y/N) N Date Completed Yield 1" 1', a 11 Total Depth 110 Cased to qa Depth of Grouting N tnW E Static Water-LeveL�__� t Pump Set At Casing Height Above Ground 1 t Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) N Separation Distances from Well: Y, To Septic/Holding Tank on Lot` ; On Adjoining Lots 7 �� To Nearest Edge of Absorption Field on Lot 91 ; On Adjoining Lots > v -n To Nearest Public Sewer Line N dbtL To Nearest Public Sewer Cleanout/Manhole NOM ff To Nearest Sewer Service Line on Lot 7 Water Sample Collected by S ; Date Water Sample Test Results 94- Comments a- Comm_ ents 4"0 .c F't L.tfilit Ct, _ �� Zg B B. SEPTIC/HOLDING TANK DATA t tt Date Installed �I(e3 Size IS 0-o No. of Compartments % t� Standpipes (Y/N) 7'000 Air -tight Caps (Y/N) i Foundation Cleanout (Y/N) Y Depression ov Tank (Y/N) N Date Last Pumped -C4.L' C C,,_g-L - Pumping/Maintenance Contract on File (Y/N) KLA ; for A��a Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) N/A Separation Distances from Septic/Holding Tank: To Water -Supply Well -76 To Building Foundation ao To Property Line 104- To Disposal field 8 To Water Main/Service Line 7 to To Stream, Pond, Lake, or Major Drainage Course N o rlE Comments Page 1 of 2 72-026(11/84) MUMCIPAUTY OF ANCHOMGE DEPT: OF HEALTH & EWYIK*W*WTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTHAUTHORITY APPROVAL (HAA) AUG 13 CHECKLIST - FEBRUARY 1984 264-4720 E D Legal Description: i„ O I I �Y_ $IfiN �► C 3 3 Tl 2h1, IZ 31, A. WELL DATA ' Well Classification TZ h ` If `� A, B; C, D.E.C. Approved (Y/N) /A Well Log Present (Y/N) N Date Completed Yield 1" 1', a 11 Total Depth 110 Cased to qa Depth of Grouting N tnW E Static Water-LeveL�__� t Pump Set At Casing Height Above Ground 1 t Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) N Separation Distances from Well: Y, To Septic/Holding Tank on Lot` ; On Adjoining Lots 7 �� To Nearest Edge of Absorption Field on Lot 91 ; On Adjoining Lots > v -n To Nearest Public Sewer Line N dbtL To Nearest Public Sewer Cleanout/Manhole NOM ff To Nearest Sewer Service Line on Lot 7 Water Sample Collected by S ; Date Water Sample Test Results 94- Comments a- Comm_ ents 4"0 .c F't L.tfilit Ct, _ �� Zg B B. SEPTIC/HOLDING TANK DATA t tt Date Installed �I(e3 Size IS 0-o No. of Compartments % t� Standpipes (Y/N) 7'000 Air -tight Caps (Y/N) i Foundation Cleanout (Y/N) Y Depression ov Tank (Y/N) N Date Last Pumped -C4.L' C C,,_g-L - Pumping/Maintenance Contract on File (Y/N) KLA ; for A��a Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) N/A Separation Distances from Septic/Holding Tank: To Water -Supply Well -76 To Building Foundation ao To Property Line 104- To Disposal field 8 To Water Main/Service Line 7 to To Stream, Pond, Lake, or Major Drainage Course N o rlE Comments Page 1 of 2 72-026(11/84) 1� C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata �2 5 o Type of System Design / JZL H 5 i Date Installed t! J;L1 Length of Field -76 Width of Field �� Depth of Field 1 t Gravel Bed Thickness i Square Feet of Absorption Area 10'50 ✓ Standpipes Present (Y/N) y Depression over Field (Y/N) N Date of Last Adequacy Test s-t..cl` eo .! St Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well To Property Line t To Building Foundation J F3 To Existing or Abandoned System on Lot On Adjoining Lots >se To Water Main/Service Line '`r 10 To Cutbank (if present) No. N C To Stream/Pond/Lake/or Major Drainage Course No Nt To Driveway, Parking Area, or Vehicle Storage Area Z Comments /4 D t/ D. LIFT STATION NONE 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) ** Check Permitted Bedroom Rating Against HAA Request ** 8.3 Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verifi , or conformed toa9 MQA and HAA guidelines in effect on the date of this inspection. Signed - Date Company -wl %.f' MOA No. S F— 0 11 Receipt No. OF fin! Zt� Date of Payment 13-SS5 ,`��.•• •;a` ',, Amount: $SLS'*�.`�* ••• °T Engineer's Seal d 49T� 0 • ............ .. r.s : o. 2225-E• Page 2 of 2$ e'� • JUNE' 25. 1971 • .'.: 1 Off. . A �. Cj sz 72-026 (11/84) �X j O ` L .i: ALASKA- 6111'"'OCIUTRL WnTROL'SORUIS, Inc. Enginttrinq 5 Enuironmental Studies Mr. Keith Bandt Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Dear Mr. Bandt: April 10, 1984 On April 6, 1984, Alaska Environmental Control Services conducted a well flow test at Lot 2A, Brandel Subdivision. The well produced a total of 1588 gallons over a 4 hour period, for an average flow rate of 6.6 gallons per minute. The flow rate for any 20 minute period during the drawdown was not less than 6 gallons per minute. The initial water level was 76.1 feet below the top of the well casing. The maximum drawdown below the initial water level was 44.7 feet. One hour after the water was turned off the water level recovered to 4.4 feet below the initial water level. ' The well is adequate for a four bedroom house. AD/caj Approved By: e 07 ... ,:.1�.�.:.. �, f%�•% oY Reid Jr. „4 224 i E v, Sincerely, evc.... �r�,.•-� — Alan Donner Civil Engineer 1200 West 33rd Autnue. Suite 8 • Anehoragt. Alaska 99503 •(901) 561-5040 7i 7 VOC e gn wumumq Pau ANCHORAGE, ALASKA 99501 CON&ULTING ENGINEER TELEPHONE: (907) 279-3916 MUNICIPALITY OF ANCHORAGE AUGUST 21, 1985 DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND HUMAN SERVICES MUNICIPALITY OF ANCHORAGE P. O. BOX 6-6650 DEPT. OF HEALTH & ANCHORAGE, ALASKA 99502-0650 ENVIRONMENTAL PROTECTION SUBJECT: LOT 2A, BRANDL SUBDIVISION 'AUG 2 2'85 RECEIVED GENTLEMEN; A sewer permit was issued for this lot on October 20, 1983. Permit no 831007 At the bottom of the permit is written in pencil that the separation distances between the well and septic tank, and between well and drainfield are 75 feet and 91 feet respectively. These distances are OK'ed by RWR on 11-8-83. An On Site Sewage Disposal System Inspection Report was prepared by S&S Engineers on November 21, 1983. This report shows the separation distances referred to above as being 75 and 91 . These two distances are marked by an asterisk * and a note on the bottom of the report shows that the required 100 foot separation distance has been waived by RWR The inspection report was approved by the Municipality on November 11, 1983. On August 13, 1985 I conducted a Health Authority Inspection on this property. When the paperwork was turned in to the Department I was told the Department would not honor the waiver granted in 1983 and that a formal waiver request had to be submitted and that if the waivers were granted a Health Authority Certificate would be issued. The Department of Environmental Conservation has prepared guidelines to be used in granting waivers It is my understanding that these guidelines are to followed by the Municipality. I have researched the subdivision file at the Department and have not found sufficient information there to satisfy the requirements of the guidelines. On behalf of my client I request that the waivers of 1983 be honored and that the Health Certificate be issued. Yours Tobben urkland P.E. POUCH 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 'MONY KNOWLES, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION August 29, 1985 Tobben Spurkland, P.E. 203 W 15th Avenue, "C" Suite 203 Anchorage, Alaska 99501 Subject: Waiver Request WR 85-018, Lot 2A Brandl Subdivision. Dear Mr. Spurkland: This Department hereby grants a waiver between the existing well and septic tank to 75 feet and the existing well and absorption field to 91 feet. This waiver is valid for a four (4) bedroom dwelling only. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/pah