HomeMy WebLinkAboutSPERSTAD #2 BLK 5 LT 13
~ ~ NEW
John ~ UPGRADE
MAILING ADDRESS
4110 DeBarr SP #2 Anchorage, AK
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHON-~
Clark .] 337-1187
LEGAL DESCRIPTION
Lot 13 Blk 5 Sperstad Subdivision
LOCATION
Back Road
O I DISTANCE TO: I 106'
I-,2~ ] Manufacturer
~¢ ~_ Oreer
~ ILiq. ~in §allons
I--'~' ' 1250 F HOMEMADE:
Absorption area
16'
Inside length
DISTANCE TO: IWell
Dwelling
Manufacturer
DISTANCE TO:
No. of lines Total length of lines
1 62'
We, 100 '
Length of eacb line
62'
Top of tile to finish grade
58"
Length
Width
Dwelling
49'
Material
Steel
Width
Material
Foundation Nearest lot line
75' 14'
Trench width
i 48'
NO. OF BEDROOMS
4
PERMIT NO,
780437
Liquid depth
PERMIT NO.
Liquid capacity in gal ons
PERMIT NO.
780437
Distance between lines
inches
Material beneath tile
60 inches
Depth
Type of crib Crib diameter Crib depth
Well Building foundation
DISTANCE TO:
Class Depth Driller
Building foundation Sewer line
DISTANCE TO:
OTHER
PIPE MATERIALS
Cast iron & Plastic perforated pipe
SOIL TEST RATING
125 S.F./B.R.
INSTALLER
REMARKS
Gl acJ er
Excavating
Total effective a~)s,~r{~tion area
lq(). i6S3.E :,.
7~-013 (Rev, 3/78)
PERMIT NO.
Total effective absorption area
Nearest lot line
Distance to lot line PERMIT NO.
Septic tank Absorpt on area(s)
--."~ _.~I.E.F RF,. f MENT 'ERLTH RNC, ENV ~. ROI"JMENTRL ""rECT I ON
8Z~ "L ~. FF...EE l., I'"tNCI~IORRGE., ilK. '~,gt :",
264.-47';:Z'0
:'ERM):T NO. ( '7804~.'7 )
PL. I CRNT
,.CRT I ON
.)'OHN
BRCK RD
L::[3 8_, :~F ER._ TPIf3 ::,LIB[)
41:L~a [:EB~RF,. SP ~2
LOT : I,:E
',;.:E~OE~E~ :,~.,UHF.,[S FEET
'T'F'E OF '"r _Y_TEII IS: TRENC:H
,ld,,IMUM NUMBER OF BEDROOMS = SOIL RRTING (Sgi FT,."BR)= ..., ......
THE REQUIRED =,~E, OF THE
]'tie LENGTH I)IMENSION IS THE LENGTH (tN FEET) OF THE TRENCH OR DRRINFIEL[:'.
THE DEPTN OF;' FI TRENCH OR PIT IS TFIE I)ISTRNE:E BETHEEN THE SURFFICE OF THE
QROUNI) RND THE BOTTOM OF THE E~',CIg'/RTION (IN FEET).
THERE I5 NO .SET WIDTH FOR TRENCHES,
THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL BETWEEN THE OUTFRLL F'IPE
FIND 'rile BOTTOM OF THE EXCFtVRTION (IN FEET).
E ~. Lit ][ F~ E L7:. %~.. E IR "I- ~ C: -iF' F-~ !'41~:] ~ 3[ ~ E. ,~- ::~.~ 2~ F~ b. b C:;B f'..,~ :~S;
PERM:I:'T' FIPPLICRNT HR::, THE RIESF'ON~;;IBILIT'¢ TO INFORM 'rHIS L EPRF.,TMEN] DIJRING ]'HIE
INSTALLFtTION tNS;PEC:TION.S OF RN'.¢ WEL,L.S TO " '= "~r"~ .... 2
RDJRCENT l FtI _, - r~, _ r ir.r,, i ~' I::IN[) ]"HE:
r'4UMI3ER OF F:E.SI[:,ENCE% THRT THE WEI.L WILL SERVE.
MINIMLIM DISTFINCE BETWEEN R NB.L RND ANN,' ON-SITE .SEWRGE DISF'OSFIL. SYSTEM
~00 FEET FOR FI PRIVATE WELL; OR
t50 TO 200 FEET FROH R PUBLIC 14ELL DEPENDING LIPON THE T'¢PE OF PUBLIC: HEI...L.
OTHER REL~4UIREMENTS MFIM flPPL"¢. .SPECIFIC:FITIONS RND CONSTRUCTION DIRGRRM.S FIRE
RVFIILFIBLE TO INSURE PROPER IN$'rRLLFITION.
I CERTIF'¥ THRT
:1.: I AFl F'RMILIRR WITH THE RE64LIIREMENTS FOR ON-SITE SENER.S RND HELL. S R.S SET
FORTH BM THE MUNICIPRLIT¥ OF RNCHORRGE.
2: I WILL INSTRLL THE S~'STEM IN RCOORDRI'4CE WITH THE C:ODE.S.
~:: I UNDERSTRND THRT THE ON-SITE SENER S'¢STEM MR9 REQUIRE ENLRRGEMENT ~F:' THE
RESIDENCE ~5; ~iDELED 'fo ~NCLU[)E MGRE THRN .~ BEDROOM'2],
-~----~LI CANT JOHN CLARK
I :,:,LIE,[. BY_ .................. I)flTE .................
20~
~las 6round Water Encountered?
le Yes, At what Demth?
,%
Net
T i m e
Depth to H20
~t~t Dro
PercolatiOn Rate !tt nute
prnnos'J! ln~tT'F¥~'F~-~: See,aae Pit Drain ~'ield
Oeoth of ~nlet~
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICE45
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
Legal Description (include 10t, block, subdivision, section, township, range)
Location (address or directions) /
(b) Property owner ~¢/2¢~,~ ~ Telephone: (home) ~ _Business
Mailing Address ~ ~d, ~
(c) Lending Institution
Mailing Address
(d) Real Estate Company and Agent
Address "~J,,,~//~
Telephone ',L~ 4'~<" ~ //~'"¢~'~-7/~
(e) Mail the FIAA to the following address: (or check here/~, if hold for pick up.)
List contact person and day phone number below:
2. TYPE OF RESIDENCE
Single-Famiiy.~ 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 th legality and status.
4, SEWAGE DISPOSAL
On-site,~ Public [] Community [] Holding
Tank
[]
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legailty and status,
72-025 (Rev. 7/85) Page 1 of 2
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, l 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 ~/?/c.?/.1.. //~.~CT-,~-cT;-.' ,~¢_~, Telephone ~/-~/'/
Address /¢"~'~ ~ ~[~¢ ¢'¢.-¢ ~;~ ~/fC~, ~' '-
Engineer's Seal
6. DJ'IHS APPROVAL
Approved *or~~}i' ~edrooms by
Approved '~' Disapproved
Terms of Conditional Approval
/
Conditional
J fl J
The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval
cerificated 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. 7/88) Back Page 2 of 2
MUNICIPALITY OF ANCHORAGE (MOA)
Health Authority Approval (HAA)
CHECKLIST- FEBRUARY 1984
343~4744
A. WELL DATA
Well Classification
Well Log Present (Y/N) ~/~--/ Date Completed
Legal Description:
If A, B, C, D.E.C. Approved (Y/N) __
Total Depth.:¢',¢¢L'') / Cased to /~¢4,*~,//- Depth of Grouting
Static Water Level -.~-"-~,"'-~ ! Pump Set At
Casing Height Above Ground .~/;2~/'
Electrical Wiring in Conduit (Y/N)
Yield ~:~.
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N) "~'~"
SEPARATION DISTANCES FROM WELL:
/
To Septic/Holding Tank on Lot ,/~
; On Adjoining Lots '~,/~:)O
; On Adjoining Lots
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line /~////~ To Nearest Public Sewer Cleanout/Manhole
To Nearest Sewer Service Line on Lot ~ -'3-~ /
Water Sample Collected by ~. /~/~,1 ,¢- ,'(~(,.? ; Date ~/~-'/'~'*~",/
Water Sample Test Results
Comments ~'~;"// /'~
Date Installed '~//'¢/'700' Size
Standpipes (Y/N) ~ Air-tight Caps (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
No. of Compartments
~ Foundation Cleanout (Y/N)
Date Last Pumped ~.~:/Z
/U'~/'¢- ;for
Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well /~-~'
To Property Line %~-/~-~ /
To Water Main/Service Line
To Stream, Pond, Lake or Major Drainage Course
To Building Foundation
To Disposal Field
Comments
72-026 (ney. 7;88) Front Page 1 of 2
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
C. ABSORPTION FIELD DATA
/
Soils Rating in Absorption Strata //~- ~' ~-7.~/~-~1f. Type of System Design '~-/-'~¢~//~
Date Installed '7.,//¢/).J 7o¢' Length of Field ~ ~ /
Width of Field '~/~'~ // Depth of Field ~'~'~
Gravel Bed Thickness ~-*~ ~-'~
Square Feet of Absortion Area ~*~-~ Statndpipes Present (Y/N)
Depression over Field (Y/N) /(-~/ Date of Last Adequacy Test
Results of Last Adequacy Test -
SEPARATION DISTANCE FROM ABSORPTION FIELD:
/'¢'~-~ / To Property Line
To Existing or Abandoned System on
;On Adjoining Lots
'~::~/'"~ / To Cutback (if present)
Comments
D. LIFT STATION
Date Installed Dimensions
Size in Gallons Manhole/Access (Y/N)
"Pump On" Level at "Pump Off_~L~v~
High Water Alarm Level at ./(~.// j.---~'~Vent (Y/N)
Tested for j/,.~.~'~' ~'- Pumping Cycles during Adequacy Test.
~;emtSmeMnOtsA Elect rical Co~/"¢'-
**Check Permitte/~Bedroom RaCng Against HAA Request**
I certify that I h.a'v,¢, checked, v~rl~, or conformed to all MOA and
inspection,
Signed
Company ~.. ~/.~/~/~;~jo~,~¢,~.../' //.,.~¢ . '
Date
MOA No. ~--~' ~/~
Receipt No.
Date of Payment '-')
Amount: $
72-026 (Rev. 7/88) Back
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
in effect on the date of this
Engineer's Seal
NORTHLAND PUMPING
ANCHORAG~
ALASKA
99516
SOLD
TO~
P~ECT ~. PROJECT TITLE INV~CE ~ ~TE
FEDERAL TAX ID # 92-0040440
~I'JPOP,!£ BY SM,fPL?] f_or Wo~;k O~de~ ~ 1,t697
Collected JUL 10 ~9 ~ 1~:00
~ec,~iv,~d 3Ui~ 10 89 @ 14:20
?rmts~ved .its :~S ~EQUIR~D
Analysis Coi,'~p3. etod :JUL 10 g9 Send Repo~t.s to:
abora, tory Suporvi~ or :,e/fF, i~tF),t C EDg ].)(',ogri;Ilt S lSSOC
/
Special
Instruct:
Chonllab Ro£ 8:6!86 Lab Srapl ID: 1
M.].o;table
P~ramotor Te~ted l{osu] t/lh~ta [tothod Limits
IIiTRAT[;-N UD(O.iO) rog/1 1",1>~ 353,2 10
}lone Datected '~ See [Jampl~ Rmm,;ks ABove
tlot M3Myzod [,T-Less Than, GT,4keater Than
'Municipality of ,Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak, us
(907) 343-7904
CERTIFICATE dF HF~.'LTH AuTH.o, .,.R!Ty App .RO. yAL.
.... " FOR A SIN~3~'E FAMILY DWELLING ·
Parcel I~D.." Ot ~' -,'.0 '7 E. - t 7
1. GENERAL INFORMATION
Complete legal descriptio~n . ~,o/'
Location (site address or directions)
'" ~urreni Pro~ert'y owne;(s) r~
.I ?-- E~ 80
Mailing address
Expiratio~"Date: ._~//
Lending agency Day phone
Mailing address
e
Real Estate Agent _/~Jo~' ~'5" ~1i'~:2 Day phone
Mailing Address
Unless otherw!s'e" ~, que.s!~, HAA will be held'by DSD for pickup. ~1~ ¢~ It ~ oc~n ~e' ~ ? ~ -~o~
NUMBER-OF BEDROOMS: ."
TYPE 0'~ WAT~R'SUPPLY: '
Individual W~ll ' ' '"~"' ,
Individual water Storage
Community·.Class . Well
Public Water s~;st&m
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site I~
D Individual Holding tank []
D Community On-site D
[] Public Sewer I'-]
The Municipality of Anchorage Development Services Department (DSD) Issues Cedificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system, DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 day.s from the date of issue for properties-served by a private'or Class C well and m~y be reissued with
new water samPle results. (Certificates may be reissUed for a period of up {o one year with valid water 'samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
Municipality o.f Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastcwater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519--6650
www. ci.anch orage, ak.us
(907) 343-7904
WATER WELL ADVISORY FOR
HEALTH AUTHORITY APPROVAL #HA030616
Legal Description: SPERSTAD #2 SUBDIVISION BLOCK 5 LOT 13
PID # 018-072-17
During a recent Health Authority Approval an on-site inspection and test of the potable water
well supply on this lot was determined to be .9 gallons per minute. The minimum well
productivity required by DHItS MOA AMC 15.55 for a 4 bedroom residence is 0.42 gallons per
minute. Although the subject well currently exceeds this minimum requirement, all parties
concerned are'advised that the production capacity of the well may fluctuate. Restriction of non-
critical water uses, such as, washing ears and watering lawns and gardens may be required.
This advisory must be attached to all copies of the subdivision Health Authority Approval
Certificate.
If there are any further questions regarding this advisory, please call the On-Site Services
Program at 343-4744.
..Mumc paHty o.,- ,chOrage:
,: .. :£~;_I,!.. i.~ ~i~i~ _ .i ~ ,
uevelopment ::serv'ices Department
· Buil(:Jih'g~.Saf(~tY Di~,ision i~ . ', ,~ i.
On-Site Water & WasteOater Program , !: i
Foundation cleanout (Y/N) Y'~. Depression overtank (Y/N)'
[ ., . ~ - .-. . '.' ?:, . , :~ ':, ,,,
Date Of'pumping ..I,'?,, ,/I.'/,~oo.,,,?i;.: Pu ;i ,~;:
ABS, LORPTION FIELD'DATA' !' '! ii'; "
Date' installed 7 / t'//"t~ 'S6il ratin;
Tota~ depth.~ II ff. : Eft. absorptioq;a~a~o ff~ MonitOrin~ tube ': L DePression over field
FJulddepthlnabsorptlonfield~e.retest. ;~; Wate added /..
Elapsed T~m~: .~ min. ' Fina~ fluid d~ in: ~, ' ' ' Absorption 'rate >=: ~0~ g p d
Any rejuvenabon treatment (past 12 mo )'(Y/I ~o n t ~'~n: If v~R niv~ H=t~ ,
Water
Drink]fig alysis
200 W. Potter Drive
Report for Total .Coliform Bacteria
Ar, chorage. AK 99518-1605
· " · Tel: (907) 562-2343
READ 17VSTRUCTIONS ON RE}T, RSE SIDE BEFORE COLLECTING SAMPLE Fax: (907) 561-5301
MUST BE COMPLETED BY ~T~.R SUPPLIER. TO BE COmPlETED BY LABORATORY
13 PUBLIC WATER SYSTEM I.D. # ·
lf~ PRIVATE WATER SYSTEM '
13 Send Results
Madm.t A4~t~
· O Se.d i, votc¢
SAMPLE DATE: ~-~
Month
SAMPLE TYPE:
Routine
0 Repeat Sample (for routine sa. topic
with lab ref. no. )
D Special Purpose
SAMPLE LOCATION
CommenD:
Day Year ·
Treated Water
Untreated Water
Time Coll'ected
· Collected.. By
Analysis shows this Water SAMPLE to be:
Satisfactory..
o Unsatisfactory
D Sample over 30 hours old, Tesults may
be unreliable
O Sample too long in transit; sampie should
not b~ over~murs old at examination
to indicate reliable results. Please send
new sample via special delivery mail.
V=te a. ei.d 12, - I-' o ~ .
Time Received [
Analysi~ Began /'.~ ~)
Analytical Method: Ja~' Membrane Filter
" ~ 'O MMO-MUG
....... '~0 tn}.
1037670
· . . . Anch Fbks
Analyst
,Jun
Date: Time:
Client'notified of unsatisfactory results:
Phoned Spoke with
Date: Time:
BACTERIOLOGICAL WATER ANALYSIS RECORD
MMO-bI UG Result: Total Coliform
Membrane Filter: Direct Count //~
Verification: LTB BGB
£. Coli
Colonles/lO0 mi
COL1FIRM
Fecal Coliform Confirmation
Final Membr.~a( Filter Results
Reported Bye'7,_("-)
Collform/l O0 mi
Time /(m :,t/f'""*' hrs
Faxed
[]
Faxed
TNTC- Tee ,%'uMcreu~ Te Count
Cl&E E~vitonmcntul S,:rvice~,; h~:. 12~0 West Potter Drive. Anchorage. AK 99518-1605 t [9071562-2343 t (cJ07) 5G1.5301 www.sgsenvir~vnental tom
· ;GS Ref.#
21lent Name
Project Namem
21lent Sample ED
vlatrix
103767OO01
Flattop Technical Sty.
Lot 13, Bk 5, Sperstad #2
Lot 13, Bk 5, Sperstad
Drinking Water
;ample Rereads:
All Datetrrimes are Alas -kz Standard Time
Printed Date2Time 12/05/2003 10:13
Collected Date/Time 12/01/2003 13:40
Received Date/Time 12/01/2003 14:30
Technical Director Steph~ C. Ede
R~ul5
PQL
Units Me,od
Allowable Pr~ Analysis
Conuiner ID Limits Date ])ate Init
qator$ Departnunt
Nitrate-N
0.100 U
0.100
mg/L EPA300.0
B ¢<= I O)
12/01/03 lib
/icrobiology Laborator~
Total Coliform
col/lOOmL SMI8 9222B
A
12/01/03 DKC
i0o:, '
I hereby c~//ly thor on mC~ocotm xorvey of the
follo~ln~ dw$crlbed propectyo ,
w~.a ~ode oD, ~'/-~,/~'~ ond thor the
/mpt~nta Mtuoted thmr~n ore rit~
~n ~m ~arty. /~0 ~]a~t th~ t~t no
lhmrm ~ ~ too~, /r~n~m~ /~s ~ other
d~ ico ta d
A S-BUll T
CORWIN Z~ ~SSOCIATES
I000 E. D/MONO BLVD.
SUITE 205
ANCHORAGE,. ALASKA 99515
($07) 522-1311
Municipality of Anchorage
Mark Begich, Mayor
Building SafcB, Dixqsion
P.O. Box 196650 · 4700 Bragaw Street
Anchoragc, Alaska 99519-6650 ° (907) 343-8301° Fax (907) 343-8200
l~ttm//~xa~'w.munt.orff
Theodore F. Moore, PE
Flattop Technical Services
14530 Echo Street
Anchorage, AK 99516
Subject: Waiver Request for Sperstad #2 Subdivision Block 5 Lot 13
Waiver Request #WR030114
Parcel ID #018-072-17
HA030616
Dear Mr. Moore:
Your request for a waiver of the required 100 feet horizontal separation from the existing
Well to Septic Tank has been approved. The approved separation distance is 70 feet. This
approved separation is from the xvater well on the subject lot to the septic tank on the
adjoining Sperstad #2 Subdivision Block 5 Lot 12.
This waiver approval applies to the existing Well to the Septic Tank only. Any future
upgrade to the on-site wastewater disposal system 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 343-7904.
Sincerely,
Civil Engineer
On-Site Water & Wastewater Program
Municipality of Anchorage
Development Servi{~es Department,
Building SafetyDivision
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak.us
(907) 343-7904
Waiver Review Worksheet
WR#: 030114 PID#: 018-072-17
HA#: 030616 Permit~:
Date Received: 1218/03
Legal Description: .Sperstad #2 Block 5 Lot 13
Engineer: Ted Moore, PE
Flattop Technical Services
Applicant: Roman Kupczynski
Waiver Requested: 70 foot separation waiver from the existinq Well to the Septic Tank
Criteria: Geology Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
Waiver is Granted: ~ Waiver is not Granted:
List Conditions 'or Reasons for above:
Date: By:,
Name of Reviewer
Rec#: 45330 Amount: $600.00 Date Paid: 12/8/2003
LoT' 12.
TIlE
T/y ~ $ T"r' P -F__ oF
EL ~ VA-TIo 4,,
6,
ii
JL
I
Z./
2.?
70' ' I__ ~ .._. '~-,8 + I.~ I ,9
25' :2.o ·
[,.. ~ ~r t.,'T ~.. ~ / u r--- ,,~
C~ · EN~ON~NT~ ENG~EER~G · 'EN~GY CONSERVA~ON ~ ~YS~
~ODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 ~CHORAGE, ~KA 99516
December 8, 2003
M.O.A. DSD
P.O. Box 19-6650
Anchorage, AK 99519
Dear Sirs:
By means of this letter we are requesting issuance of a waiver allowing the existing private well
on Lot 13, Block 5, Sperstad S/D, Unit//2 to be approved where it was drilled in 1978 at a distance of 70
feet from a concrete septic tank on Lot 12, Block 5. A site plan, water sample test results, well logs, and
other pertinent documents are enclosed for yOur review. We are also requesting issuance ofa HAA
certificate.
I was unable to find a driller's log for the well, but it undoubtedly was drilled in 1978 at the time
the house was built, as it is shown on the septic system inspection report. I did locate the enclosed 1979
MW Drilling invoice for installation of a Well Guard, which indicates that the well depth is 78 feet, the
static water level is 32 feet and the yield is 1 ~A gpm. There is also no well log available for Lot 12,
Block 5, however the sewer inspection report indicates that that well was drilled in 1971 and has a depth
of 68 feet. The closest driller's log which I could locate is for the well on'Lot 14, Block 5, located 150
feet north of the subject well. This well has a total depth of 93 feet and a static water level of 55 feet,
with the water-bearing aquifer being encountered 4 feet above the bottom of the well. In evaluating this
waiver I suggest that this well log be used for information on soil strata, with adjustments made for
known differences between it and the subject well. For example, it is probably correct to assume that
the aquifer was encountered at approximately 74 feet in the subject well.
According to the 1974 inspection report for the on-site sewage disposal system on Lot 12, Block
5, Sperstad S/D #2 the septic tank was installed in July of 1971 and consists ora 1250-gallon "Precon"
circular concrete tank. Because the tank is manufactured of concrete it should not deteriorate rapidly
over time, like the more commonly installed steel tanks do. The tank is buried under the. gravel
driveway in front of the duplex with no standpipe visible; however I was able to confirm its apparent
location as shown on the as-built survey by Using a metal locator. The 70-foot separation distance
requested in this waiver is to allow for the assumed underground extent of the tank. There is no
depression over the tank, which is not surprising considering that it is made of concrete. The
topography is level between the well and the septic tank. It is assumed that the tank is buried at a depth
of 4 feet.
The following is a breakdown of how waiver analysis points could be assigned using DEC's
1985 "Separation Distance Waiver Guidelines for SCRO".
Category Points
Water table (assume aquifer encountered at 74 feet)
Soil sorption ((35' sand Gl.5) + (35' silt ~ 3.5)/70)
Permeability ((35' sand Gl.5) + (35' silt ~ 3.0)/70
Water table gradient (assume level parallel to ground surface)
Horizontal separation (70 feet)
Total
5.7
2.5
2.2
2.9
1.8
15.1
Based on this point assignment it appears that the requested waiver can be safely granted without
concern as to potential contamination of the well from the septic tank. Additional mitigating factors
include the fact that the water sample test results show no present sign of septic contamination, the fact
that the septic tank is made of concrete, and the fact that just a few years earlier (when the septic tank
was installed) the required separation distance was only 50 feet. It should also be noted that prior HAA
certificates were issued by the Municipality on both of the affected properties. In the back-up
documentation for each of these submittals the separation distance is noted as being less than 100 feet,
yet no waivers were either requested or issued and the property owner was not even notified of any
discrepancy.
Please feel free to give me a call if you have any questions.
cc: Roman Kupczynski
Sincerely,
Ted Moore, P.E.
LOT 14 BLOCK 5
SPERSTAD S/D #2
% Pv'r.
WELL
SEPTIC'-. ",
TANK
\ ,
R 100'
SEPTIC
\ , ', TANK R 100'
~ ,
~R
WELL
LOT 5 ,,t '~ /
BLOCK 4 '
SPERSTAD #2
;¢ \ ..' \--.. ,
', ABS. TRENCH
/ BLOCK 4
LOT 1, BLOCK 5.
SPERSTAD S/D #2
(PUBLIC WATER & SEWE, R)
LOT 13, BLOCK.5 ·
SPERST/~) .S7~) #2
WELL
CONCRETE ,'
SEPTIC
TANK
I
I
I
R 150'
I
t
t
t
%
%
· LOT 2, BLOCK 5
SPERSTAD S/D #2
(PUBLIC WATER
& SEWER)
DUPLEX
WELL
LOT 12, BLOCK 5
SPERSTAD S/D #2
LOT t3, BLOCK 5, SPERSTAD SID #2
WELL AND SEPTIC SYSTEM
SITE PLAN
FLATTOP TECHNICAL SERVICES
14530 ECHO STREET
ANCHORAGE, ALASKA 99516
NOTE: THIS IS NOT A SURVEYED PLAT.
ALL LOCATIONS SHOWN ARE APPROXIMATE.
1 INcH = 50 FEET
DRAWN BY TFM
DECEMBER, 2003
ANCHORAGE:. ALASKA 99~51Jt · , OTY, ...'~. r~.j:D MATERIALII ;]~:- ~: ~ICE I ,..AMOUNT
PHONE 344-0526
· ·.
,, ;'~: '~.-.~.:. , ~-'L~.'.. '-;. .-~~ ~.:.~.~..~. I~
.. ..... ......,...:. ..
........ .._ .., ......
~" '.'".' ' ~. ''" ""'.. "'' . '~ '' "" :'.-'~ "1~4'*', . ., .. '. ,' .:;/~'--. I .~;&"~ -"
, ... ,,,
,0.,,,, ..... :. ,......; . . , .~- ~:(~:~,;.~, :~:~.~~~',~,~:.,.' ~,..
/~/,~ 4, ~.~'/~ . '...'. · .. . . ,,,..
CITY ' ' - , . . .~ ...
, . · , .... , ,
. . ., · ..... . ,,,.~,..,.~,.~.~,~,~:~ I '~:
LEGAL DESCRIPTION :;: .... ....:, ...'~ .. .. ~ ,
.... ..~ ~:,.-.~.,;:,.; ," :..: ....~ ,~.~.~ .... ~~'~~~ ~ -,'.
.. ....... ..,.,..,,
" - '~. · · · ~'t" r~le ~:
~gAL OWHERI ' ' ' "' ' ' ' '~'
~ 'N'TITUT~OLDINOD.'DOFTR.t--~L.~.~, ~:~ ~'~ ~~ L~
.... . ..... . ........ . . ~, -, "~' ~ ~, ~' ~i. ¢-,,.:
~ ~,~ r.r~,~' ,~t'/-y~ '-:'..~','~."..... · ..... -" ': ,? ~'." ": ';~.: ":.",-."~c-~' ~.. . ..~.,~.:: ~.....~....~~~i~~ ~ ~. ..... -.... '.
WORKMAN DATE IN .OUT I ' HOURI { RAT~
~^"°"1 f .~-~ ~..~ ~
· 4II charges shaft be paid in fuft v~thln ten ·
days ,/n/ess other arrangements are made ~.. , ~:~ ~ /~ O~
pr/or to tinT/lng. The customer shaE pay in. .., ~_// // · MATERIALS If,OM AeOVEI .. /~ )
rarest et the rate of 1 ~ % per month on any OTHEe CHAeOEI
amount not paM within ten ~ars. Fafture to
pay may result in a lien against the p~pe~.
~U~TOME~ ~IONATU~E ~ '
M-W DRILLING, Inc.
P.O. Box 110378 · 10330 Old Seward Highway
(907) 349-8535
ANCHOR^GE, ALASKA 99511
86-]74
DRILLING LOG
Well Owner CLARI'.~ JOIIN Use o! Well Domestic
Location (address of: Township, Range, Section, if known; or distance main road
LoL 14, [~lock 5 Sperstad Subd. g2 - ^nchorage
Size of casing 6" Depth of Hole 93 feet Cased to 93 . feet
Static water level 55 ft. ~ ibelow) land surface. Finish of well (check one) open end ( X
Screen ( ); Perforated ( .. ). ~
Describe scr&en or perforation
Well pumping test at
of drawdown from static level. ~.-
;
Date o! completion gay 20, 1986 ;.'
(minute) for I hours with loQ~
WELL LOG
);
ft.
Depth in feet from
ground surface
0 TO_ 2
Z TO_ 3
3.~ .TO 56
56 TO 79
79 TO fl9
89 TO 93
Give ddtalls of formations penetrated, size of material, color and hardness
bearing sand & ~ravel
TO_
TO
TO.
__ TO
TO
.TO
NWWA Certified Contractor
3 --CONTRACTOR
STATE. OF ALASKA,'`
DEPARTMENT OF ENVIRONMENTAL CONSERVATION
CONSTRUCTION AND OPERATION CERTIFICATE
'- ".. '--. PUBLIC :WATER SYSTEMS '
"" "-.A.' .APPROVAL TO.'CONSTRUCT
:.Plans for the construction or modification of ' .L.o ? ..~/. Z~/o-~ ~Z,, T/~,,~ ~Z '
.
~'-..~-~ ~'-...'-o ~. C~. /¢ ~TZ/-r~'O~b..c'watersys.&m located
.in...~4/'f~ ~- - .... - ,' Alaska,. submitted. In accordance with 18 AAC 80.100'
D approved. ~/'~
~ c~6'~itionally approved (see~ conditions).
ha~/e been reviewed and'ai'e ..
.B.
BY TITLE ' ' DATE
If co6struction has not started within two years of.the'app'r0val date, this certificate is void and new plans and
specifications must be submitted for review and approval before construction.
APPROVED CHANGE ORDERS "
(contract order no: or descriptive reference)
b,, ll
' ~1~ .
C. APPROVAL' TO:OPERATE "
The "APPROVAL TO.OPERATE" section must be completed and cignad by the Department before any wa(er
is made available to the Publlc.
The construction of the ' ~/~"' ~'~~'c7~' public
''11, ~c ' ' (date). The system is hereby '
water syste~ .....was'" completed ~n ~--~ / ,
granted Interim approval to operate for 90 days following the completion,date.
18-0407 (Rev. 11/83) ' - ;~"" '
BY TITLE DATE
As*built plans submitted*during the interim approval period, or an Inspection by the Department, has confirmed
the system was constructed according to the approved plans. The system is hereby granted final approval to
operate,
BY . .TIttLE ~i. DATE
DISTRIBUTION: 1. WHITE - ENGINEEF~'(Complete Section ~)
2. YELLOW - WATER SYSTEM FILE (Complete Section C)
· ' 3. PINK; ENGINEER/MUNI-BOROUGH (Complete Section C)
4.'GOLDENROD - MUNI-BOROUGH !,C~,~plete Section A)...
ALASKA ENVIRONMENTAL
CONTROL SERVICES, INC.
1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
SHEET NO, OF
CHECKED BY DATE
i
I
NtUNICIPALITY OF ANcHoRAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264.4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
IPHONE337-1187I
John Clark
MAILING ADOIIESS
4110 DeBarr SP #2 Anchorage, AK
~] NEW
~ UPGRADE
LEGAL DESCRIPTION
Lot 13 Blk 5' Sperstad Subdivision
LOCATI O N
Back Road
Well ~ Absorption area ~ Dwelling
DISTANCE TO: 106' ! 16' I 49'
I Materiel
Manufacturer Greet I Steel
In gallons I Inside length I Widtlt
1 2.5 0 IF HOMEMADE: .
DISTANCE TO: Well I I~velllng
~nufacturer I Materiel
INeares.t lot line' ' ~
Well Foundatl~% , 1~' ,
DISTANCE TO: 1001
Trench width
I__ 48I! inches
No. of lines If~each line
grade
58"
Type of crib Crib diameter
DISTANCE TO:
:lass Depth
Building foundation
DISTANCE TO:
OTHER
Total lengt,~ ~f lines
Material beneath tile
60
Depth
inches
NO. OF BEDROOMS
4
PERMIT NO.
780437
No. ~ compartments
Liquid depth
PERMIT NO.
Liquid capeciW in gallons
Distance between lines
Total effective e~r{~tion a~ea
PERMIT NO,
' Crib depth I Total effective absorption irea
Building foundation I Nearest lot line
Driller I Distance to lot line I PERMIT NO.
Sewer ,in._...._~e ._____..___[ .Sap tic t an k LAb'°rPtion area[''
PIPE MATERIALS
Cast iron &
SOl L TEST RATI N G
3_25
INSTALLER
Plastic perforated pipe
S.F.'/B.R.
REMARKS
~'" A ~' ~ '
~ .. E ;7 ~,'(~..~ .....': .."
GRE' "R ANCHORAGE AREA BOF'""GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
PHON E. S~'~'- ~/,~
SEPTIC TANK:
DISTANCE
FROM WELL f~L"~
INSIDE LENGTH
: . COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH .LIQUI"D CAPACITYJ ~)'~""~ GALLONS.
SEEPAGE PIT: /
NUMBER OF PITS · 1 DIAMETER ~. OR WIDTH LENGTH , DEPTH
t
BUILDING FOUNDATION~~ NEAREST LOT LIN~ TOTAL EFFECTIVE
, . ABSORPTION AREA (WALL AREA] ~ Q. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ~) CONSTRUCTION
BUILDING .."~ ~9'~ ! NEAREST
FOUNDATION .Z,b~-' ,o LOT LINE
CESSPOOL . OTHER SOURCES
APPROVED DISAPPROVED
NEAREST
SEWER LINE.
REMARKS
DEPTH '__ ~_~)~) DISTANCE FROM:
!
SEPTIC SEEPAGE .:~',/')
TANK , SYSTEM ~'~
DISTANCES: ' '-.
INSTALLED BY:I~bt'~''E'
PIPE MATERIAL;
LOT SLOPE:
Form No. EQ.031
DIAGRAM OF SYSTEM
G.A.A.B. /
ACHEMICAL & GEOLOGICAL LABORATORIES OF!ALASKA, INC.
TELEPHONE (907) 562-2343 5633 B Stree~
Anchorage, Alaska 99518
Drinking Water Analysis Report for TotaIColifor Bacteria
TO BE COMPLETED BY WATER SUPPLIER
~"'22 -- JSLI
[]/¢UBLIC WATER SYSTEM I.D.#
[-~ PRIVATE WATER SYSTEM
Name Phone No.
Mailing Address
City State
Mo. Day Year
Zip Code
SAMPLE DATE:
) El/Treated Water
El Untreated Water
RoLE TYPE:
urine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
LOCATION
I
Time Collected
Collected By
SAMPLE
NO,
I
31
4 I
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
/,.~'"'Salis factory
[] 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.
Date Received
Time Received
Analytical Method: Membrane Filter
No, of colonies/100 mi.
Lab Ref. No. Result*
I f-T-I
I
f
i FF1
Analyst
BACTERIOLOGICAL WATER ANALYSIS RECORD
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
TNTC
Membrane Filter: Direct Count ~
Verification: LTB BGB
Final Membrane Filter Results C~
B~,,~ ....~ I
Reported y~ ' -'~ Bate
Time:
= Too Numberous To Count
Coliformh00 mi
Coliform/100 mi
OB = Other Bacteria