HomeMy WebLinkAboutSUNSET HILLS BLK B LT 32
MUN,C,.AL,TV DE ANC.ORA~E
DEPARTUENT OF HEALTH & ENVmONMEN'rAL FROTFCT~ON
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
MAILING ADDRESS
/ ~-~
O,,q c,4
LEGAL DESCRIPTION
/-- o 'r
LOCATION
DISTANCE TO:
IAbsorption area I Dwelling
· Material
Inside length Width
Dwelling
Liq, capacity in gallons I I F HOMEMADE:
DISTANCE TO:I Well
-Material
Foundation .,~ Nearest lot line
-/
Total length of J:~es/ I Trench width.. --
~-4-~ I ~5 (~)incbes
DISTANCE TO: IWell /O/
No. of lines ~'~,[. Length '-f.e~ch~/u)/~lin
Top of tile to finish grade
Material beneath tile
NO. OFBEDROOMS
PERMIT NO.
No, of compartments
Liquid depth
PERMIT NO,
Liquid capacity in gallons
Distance be t we~n~s
Total effective absorption area
Length
Type of crib
DISTANCE TO:
Class
DISTANCE TO:
Depth
PERMIT NO.
Crib diameter
Well
Depth
Crib depth
Building foundation
Driller
Total effective absorption area
Nearest lot line
Distance to lot line
PERMIT NO.
Building foundation Sewer line Septic tank Absorptio~ area(s)
OTHER
PIPE MATERIALS
SO, TEST
INSTALLER
z~,, ~/~,~,,.., >: ~' ~y.- o ;7/
REMARKS
.~./' ,~£ ,~' /;~ ~,,,,. c~o.4¢.
'T~ey h,,d ,, w,,;,~,- ,fo (~tto~
APPROVED
72-013 (Rev, 3/78)
DATE
LEGAL
PERMIT NO:
DRTE ISSUED:
RPF'LICANT:
~DDRESS:
CONTACT PHONE:
L--':- ~ F'.-tlL
[:'EPRRTHENT OF' HERLTH RND ENV~'RONi"IENTRL PROTECTION
825 L, STREE% RNCHORRGE., RK
264-4720
b404~4 Ijpr-'iRRDE
06,,'06,."84
RECS
i200 W.~3RD RVE., SUITE B
RNCHORRGE~ RK ~50~
5Gi-5040
LEGRL DESCRIP: SUBDIVISION: SUNSET HILLS LOT: 7~2 BLOCK: B
SECTION: 52 TONNSHIP: ±2N RRNGE: :;N
LOT SIZE: 20000 (Sg!. FT. OR RCRES)
I CERTIFY THRT:
1. I RM FRMILIRR NITH THE REQUIREMENTS FOR ON-SITE SEWERS RND NELLS RS SET
PORTH 8b' THE HUNICIPRLITY OF RNCHORRGE (NOR) RND THE ~TRTE OF RLRSKR.
2. I NILL INSTRLL THE SS'STEM IN RCCORDRNCE NITH FILL HOR CODE~ RND REGULRTIONS¢
RND IN COMPLIRNCE NITH THE DESIGN CRITERIR OF THIS PERMIT.
~. I W~LL RDHERE TO RLL NOR RND STRTE OF RLRSKR REQUIREMENTS FOR THE SET BRCK
I}ISTRNCES FROM RI'4~~ EXISTING NELL, NRSTEWRTER DISPOSRL SYSTEM OR PUBLIC
;~ENERRGE S~'STEM ON THIS OR RN'¢ RDJRCENT OR NERRB'¢ LOT.
ZF R L~F'r S]'RTION IS INSTRLLED IN RN RRER COVERED B'¢ MOR BUILDING CODES,
.THEN (~) RN ELECTRICRL PERMIT RND INSPECTION MUST BE OBTRINED; (2) RS-BUILTS
14ILL NOT BE RPPROVED NITHOUT RN ELECTRICRU INSPECTION REF'ORT.~ FIND (~) THE
ELECTRICRL WORK bIUST BE DONE B'¢ R LICENSED ELECTRICIRN.
ALASKA r ,,dlROFIm FITAL COF/TROL $el dC $, FIE
~nqin~eHnq $ ~n~ironrn~l~l SluSics
Jume 19, 1984
Keith Bandt
Department of Health and
Environmental Protection
825 L Street
~lchorage, Alaska 99501
Dear Keith,
This is in regards to Sunset Hills Subdivision, Block B, Lot 32. As you
may recall, the existing septic system had been built too close to the
well--a total of 24 feet of the leach field was only 97 feet frem the
well. To correct this problem, the 24-foot sect:ion which was too close
was dug up and cut off, and 26 new feet of trench was added, hooking into
the existing system, making sure that it was 100 feet from the well.
Additionally, the old crib was collapsed. All the standpipes look
good--they are capped, not cracked, and are over a foot above ground
level.
Sincerely,
Darc~; Beveno
Engineering Geologist
DB/caj
Approved By:
i200 LUcs~ 33r~1 Auenu¢..%i1¢ B * ~ncl~ore§¢. ~IosEo 99503 ,(907] 561-50~0
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 WFLL INSPECTION REPORT
QESCR~PTION
Well ~ · Abso t' n area
DISTANCE TO:
Manufacturer
DISTANCE TO' Well Dwelhng
Manufacturer
~ DISTANCE TO: ~W~:¢ 7 ~ ~y ~
~No. of hne~_. ~_~Lengt ~ of e~ h~l n"e~ - Tota~ lengl~ of lin
Top of tile to finish grade ~ Material beneatb tile
~ [ ~NCETO~ B uildi~,g foundation S ew~, I~n~
Trench width
inches
NO. OF BEDROOMS
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO,
Total effective bsorption area
PERMIT NO,
OTHER
PIPE MATERIALS .
/~Z.~ J'?-- / c,
SOILTESFRATiNG ~.. O6~ 7
REMARKS
Distance to lot line
Septic tank
APPROV, ED
DATE LEGAL
'T'~,"I::'E OF '='~OIL I:-I~...Uf..FI].tJl'l :5'T'F:;TEM IE;: 1F. Ei'I...H
· SOIL RFITINEi ,::SE:! F"I"/'E!:I:~'.)=
.%"r':~:';,'l'Et I :[ '.-S:
~i [~:.::. F, %." EEL .... ~, EE F" T'
N F'E:ET::, OF THE TREIqCH
BETHEEN THE
I"lR::-:: I HIJH I ,ll.li'lE, Ef.
..F E, LEF ...... t1_,
THE RELT.!IJ~RE[:' ...;X[,:..E ]"fie ':- IL
~:,, E F' T' H
THE Cq,.u'~'rH~: '[t,~S z: N z s THE
THE Eb.F IH OF I:;:1 TF::ENCH
CiROLINB, FINE:, THF EI3-FTOf"I OF THE .!:: IN FEE'T>.
' =:':' IS,',
7FIE. F,[_ iqCI SET I.,.IIE:'TH F:'-'R IF..EI4...ItE=:,.
THE EiFi:FI'v'ISL DEF'TFI I E; THE t'lI J",l I HLIf,'I [:,EF'TH ElF'GRF:I~ E:ETI.,JF..Ei'.J,._gFHE-'CiEITPFILL P I F:'E
FINE:, THE LIJ1 FLII'I CIF THE E,.,,L.I'IcFITILliq ,::Ii".t FEET::'.
[:'E:F4:H :1: 'T' F:IPF'L I C:FIf.,IT IflFl[=".; TItlE RESF'ON'S I D I L I T'¢ "1'0 I NFORH TFI I S/~.:,FT~FIF:THEEN'I' [:,l..Ip~ I Iql3 "I'H~:~"~
NS'I'FII_L. FIT I 01',! ]:I'.,ISfX'E:I:)T IONS OF taN'-? HELLS R[:,-J'FICIENT TCI 1"1.-I:[~ ~t:~:IF'ER'F'¢ FINE:, 'I"HE . /
E:FIC:KF I L..L I I",IG OF Fli'..l'¢ _,, _, 1 EH W I THOUT F I NFIL I hbl EL. T I Uiq
!;::,E':F'FIF~:THEi'.,IT !,JIL.I... L=,[:'. '- ...... . ....
.:,UE,J [. _. I '1"CI F:'F' - '-UE" 'l' I
fdt'NIl',lLIhl DISTRIqCE BETI.4EEN Fi HELL FIHD RN"r' ON--SI'FEE F=;EHR(3E
::LO0 F'E:EI' F"OR FI PRI'v'FITE HELL OFt ':LSE!~ TO 200 FEET I:::'ROi"I FI
UPON TFIE T'¢F'E OF F'UBLZC: 1.4ELL.
HZNIHUf'I DISTF:IHCE F'B".LqM R F'F~:IVFITE HE'LL. TO FI F'F'.I'v'FI-f'E SEP.IEF: LINE UT FII'.,ID
TO FI COHI'"IUNtT'¢ ':=',Ef,.IER LINE IS 75 FEET.
OTHER FtEL.':.!tJ~RE:r,IIENT!S HFI"r' FIF'F'L"r'. "SPEC:i:FZCF:ITION~: FINE) E:ON':=";TF.'.LICTIOI'.,!
F¢,,,'FI I LFIBL.E TO :1: 1",I2~UF~'.E F'F::OPER I I",t~ TFIL..LFIT ! ON.
I C:ER'FIF:'"r' TFIFIT
:l.: I FIM F:'FIHILIFIf;'. H ITH THE RE:QUIREI'dENTS:; FOR ON..-SITE 5;EI.qERS; RN[:, I,.IELL..5; [::IS; SE'T
F:OF::'I"H E,"T' THE P'II.JI",IIE:IF'FIL. IT'T' C/F I:tNC:HORFIGE::.
2: I NI[...L INS;TF!LI.. THE S;'t":STE:H ]:N FICCOF.'.[:,FINCE HtTI'I '['HE COE:'E'::.
3:: .1.' LIN[>EIq:S"~TFIFrI[:, THRT THE ON--.SI'TE :E;EHEf;'. S"r":;TIF:H hlFl't' F'~:EC.~IjIfRE ENLFIF.'.GEHENT Z F' THE
F:ES:[[::'ENC:E ZS R[RI"1OIbELE[:' TO Zi",ICLLI[>E HOBtE THFII",I 3: BEB'F~OOHS.
..,=,::, ..............
F:IF F'I_~ CFII'~I" /~.L.O 'r'[) H[~f;{LI]E:I':::EI:;~.
.................................. ,,,..,.
_ _.
SOILS LOG
~, MUNICIPALITY OF ANCHORAGE FM/' PERCOLATION
ii' ~\~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST
~' 82!5 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: ~-~I~L) ~:)~,~- I,-~(~¢' ~oe-~(,~r-- DATE PERFORMED:
1
2
3
4
5
6
7
8
SLOPE SITE PLAN
10
11
12
13
14-
16-
17-
18-
19-
20-
4MENTS
WAS GROUND WATER S
ENCOUNTERED? ~O k
O
P
E
IF YES, ATWHAT
DEPTH?
Gross Net Depth to Net
Reading Date TiFno Time Water Drop
'~3 ;; .¢','~ 1o 1. 7~ O, o7
PERCQLATION RATE
RUN BETWEEN
CERTIFIED BY:
(minutes/inch) ./.~.,Z' ?-. ~
~ FTAND ~=-~ I:T
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
CERTIFICATE OF iNSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-S T -' SEWER AND WATER FAC UTY FOR S NaLE FAMILY DWELL. lNG
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Locatio'n (address or dire'Otio, ns)
(b) ProCerty owner
Mailing'Address
(c) Lending Institution
Mailing Address
Telephone: (home)
__ Telephone
Business
!
(d) Real Estate Company and Agent
Telephone ~.~?~ - ?~ ,"2~ /
(e) Mail the HAA 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-Family"l~' Number of bedrooms -~ .__
3, WATER SUPPLY
Individual Weil~f.
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'l~k Public [] Community [] Holding Tank [3
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. 7/88) Page 1 of 2
'){JOM 9,JSeU!~UO JBUO!SSeJoJd eq), u!
~UOISSILUO JO S JO J JO JOJ elq!suodseJ lou ~! @l~l~JOqOUV J.o ,~l!led!o]un~ eq.L 'ponss! s! meo!j!lJoo e eJojeq ~p @ZAleUe ~o
suoi~o'~dsu! ~,~n puoo lou op SHHQ io saeAold uu3 'slueuJeJ!nbeJ elels pue leJepe~ u!~Jeo Xjs!1es m, JepJo u!
~ulpuel J!oq3 pu~ souJoq ~o sJ@seqoJnd ol /,s@iJnoo ~ s~ s!ql seop SHHC] eql '~Hs~IV ~o elms eql u! poJ@is!§eJ
J@eu!6u9 i~uo!sse~o]d ~,uepuedepu! u~ Aq e^oqE S qde~§eJed u] ua^!6 suo!]giuese~de] eq] uodn,{lUO pes~q
i~^oJddv A]poq]nv q]l~eH sgnss! (SHHQ) s~o!^~e$ U~LUnH pue q]leeH ~o ~,ueuJ]jedec] ~6~Joqouv jo,q!lud!o!un~
IeAo]ddv leUO!i!puoo Jo S_LuJe/
leUO!~.!puoo peAo~dd~s!a
'/~ peAoJddv
g. Jo~ peAoJddv
l¥^Ol:ldd¥ SHHa '9
sseJppv
.g
~:NVi,?.ONMEN I AL sErvICES DWIStON
~ MUNICIPALITY OF ANCHORAGE (MOA) ~' ()(¢,.( ~ ())9~
Health Authority Approval (HAA)
CHECKLIST - FEBRUARY 1984
343-4744
A. WELL DATA
Well Classification
Well Log Present (~)
Total Depth /~'-O Cased to
Static Water Level ~ ~'
Casing Height Above Ground
Electrical Wiring in Conduit~N)
SFPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot f-c*"/ 7~
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line ,4~,/,4
To Nearest Sewer Service Line on Lot
Water Sample Collected by
If A, B, C, D.E.C. Approved (Y/N)
¢'/5~/ Yield ~ ~q ~'/J'~
_ Date Completed
'
Depth of Grouting _ /
Pump Set At X)//¢-
/ tO_ Sanitary Seal on Casing (~)N)
Depression Around Wellhead (Y~'~
~'¢'--¢r'¢~ 7- )~; On Adjoining Lots ,/r'J-O
'7" ; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole /~/~
/
; Date Id) '/¢'
Water Sample Test Results /~'/¢'~ '7'~ ~
Comments l~ ¢~,/E~CZ. ~"~¢;~) "~,~7~ ¢'~.~'¢"~¢¢
B. SF. PTIC/HOLDING TANK DATA
Date Installed /~--~-/-~[Size
Standpipes~) _Air-tight Caps Y~N)
Depression over Tank (Y/~)]
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water'Al'a!m .(Y/N)
No. of Compartments
Foundation Cleanout (Y~4~
Date Last Pumped /6~/~/-~
;for
'
Temporary Holding Tank Permit (Y/N) ,
SEPARATION DISTANCES FROM SEPTIC/HOLDiNG TANK:
To Water-Supply Well ~¢5~'~.
To Property ~_ine '~''
To Water Main/Service Line
.....
To Stream, Pond, Lake or Major Dral.ha~ge Course '~'
Comments :r ' ' '
To Building Foundation
To Disposal Field _
72-026 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata ~-,~"~
Date lnstalled ~"~"o~/ ~ ZCP~£/t'~
Width of Field
Square Feet of Absortion Area
Depression over Field (Y~__~
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well
To Building Foundation
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
Type of System Design
~'-/¢'~¢' Length of Field -~¢? ~'
/
Depth of Field /Z¢
Gravel Bed Thickness ~¢' f
Statndpipes Presentl~N)
Date of Last Adequacy Test
To Property Line /
To Existing or Abandoned System on
; On Adjoining Lots
To Cutback (if present) ,,d/,,~-
D, LIFT STATION
~~ ,,~/ Dimensions
Size in Gallons % Manhole/Access (Y/N)
"Pump On" Level at ~__ "Pump Off" Level at
High Water Alarm Level at ~_ Vent (Y/N) _
Tested for ~ Pumping Cycles during Adequacy Test.
Meets MOA Electrical Codes (Y/N)
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
Company
Date
MOA No.
Receipt No. 0.~
Date of Payment
Receipt No. '~[?~f~l~,
Waiver Fee: $
Date of Payment
Page 2 of 2
Tom Fink,
Mayor
unicip lity nchora ¢
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
October 25, 1988
Lee Reid, P.E.
Alaska Environmental Control
Services, Inc.
1412 West 33 Avenue
Anchorage, Alaska 99503
Subject: Waiver Request for Lot 32 Block B Sunset Hills Subdivision
Waiver Request ~WR88-067, #H88-0455
Dear Mr. Reid:
Your request for waiver of the required 100 foot separation of
a septic system to a private well has been approved. The
approved separation distance is 97 feet.
This waiver approval applies to the existing septic system to
well separation only. Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Sincerely,
Daniel J. Roth
Civil Engineer
On-site Services
DJR/ljw~6
ALASKA E~FIUIROiqlIleI1TAL COFITROL $~RUIC8$, IBC.
~nginc~rin§ 6 ~nuironmcnla[ ~ludics
\ri(hotel;e, AK 9950]
AT']TM : lien Ret~,
!988
aC 7 seo~, a yield of 5 7 OPM and a drawdown or 2 8
1200 UJcsl 33rd J~ucnu¢, $ui1¢ ~ · Anthora% Alosb 99503 · (907} 276 ~361
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
FEDERAL TAX ID # 92-0040440
ANALYSIS REPORT BY SAMPLE for Work Oxdex ~ 979J
Date Bepo~t Printed: OCT 17 88 @ 15:43
Client Sample ID:L32, BS SUNSET HILLS S/D
PWSID :UA
Collected OCT 12 88 0 16:25 hre.
Received OCT 12 88 ~ 17:00 hfs.
Pzese]:ved with :4 DEG. C
Client Wa~e : AECS
Client Acct: ANECSRP
P.O.~ NONE REC'D
geq ~
Ordered By : A. WEIN
Analy{lle Completed :OCT 14 88 Send Reports to:
Laboratory Supery%sp~,:STEPREH C. EDE 1)AECS
Relee,,ea By: ~ ~_/_y__....~ 2)
Special
Instruct=
Chemlab Ref ~: 2993 Lab Smpl ID: 1 Matrix: WATER
Allowable
?arameter Tested geeult/Unlte Method Llmit~
NITRATE-N 0,26 mg/1 EPA 353.2 10
Sample ROUTINE SAMPLE
Remaxks: SAMPLE COLLECTED BY
i Tests Performed * See Special Inetructlon~ Above MA-Onavailablo
ND~ None Detected "See Sample Romarke Above
NA- Not Analyzed LT=Less Ihan, GT-G[eater Than
MUNICIPALITY OF ~_NCHOPAGE
DIVISION OF ENVIRO~4ENTAL HEALTH
DEPARTMEbrf OF H],i~([%I AND ENVIRONMENTAL PR(YfECTION
APPLICATION FOR ~'~[.'I~-AUTHORITY APPROVAL CERTIFIC~qTE
General Info~gDtion .~[r~ ~oplication [)ate .... k~_Aprl[ 84
(a)J~B-BF~g~i ~l[ItiO~sunsct Hills(incl~dOsubdivisionl°t' block, subdivision, ~ction, t~lship, range)
Lo~tion (add~ess o~ directions)
_1431.___1 Sunview Drive
b) Applicants Nacre Debie Minnow
Applicants Address 5]0_1~/.2_..IJ. Street, .A_pt. ^
c) Applicant is (check ode) Lending Insti~otJon
(d) I~nding Inst].tutioe Alasl<a [J.S.A, Credit Uniog
Ad,ess &O00 Credit Union Drz~ve
.... '}1~ le&)hone 274-.1783
Telephone 563-4567
.{e) l~.~al E.,tate Co. & Agent Centnry 21 l]eri, ta§e llomes, Corol) ~-I
Addz"ess 20? E. Northern Lights
276-1333
Telephone
2. 1_~f.~_.___Of ~esidenc~
Single-F~il~ ~ Multi-Famil,,
Numar of ~drco~ ..... 3
Othe]~ (c~scribe)
Note: If &~unity well system, must have wt~].tton {~nfirmation fron t~m State
Depa~t~nsnt of Envirom~ntal Conservation attesting to t~ legality o~d status.
Is ~ ~11 adequato fei~ the nur~r of lm~c~ms s~cified in this ~ (Y~) Yes
~g~ Di sp~
Is t~ wastewate~ dis~sal system adequate
~NOTE: Please See Attached Response Items
Holding Tank []~
the number of YI.~droc~rs (Y/N) Yes ~
[Page 1 of 2]
2-15-84
5. En ~r~e_ri_~q. Fitna Frovidin Ins.F~_ctions, ~[L~sts, Data and Information
.?~ ....... ~ .................................
I oe~tify that I have checked, verified, or ~)nforl~d to all FDA ~IaA ~ ~e:''~ ,
effect o~he date of this inspection.
Dat% l_O_,.~ r i 1 84
( ~NGINEER SEAL)
Approved for e---~:r
Approved ~i'
Disap~.,ove d
Approval
',Dne Municipality of Anchorage IB~partt~ent of ~{)alth and Envircnu~ntal Pz, otectJ, on
aot guarantee the continued satisfactory ~rfor~nc%~ of the water supply and/o~ the
was~water dis~sal system. This approval indicates that, as of the validation1 date
sh~zn ~ve, ~.sed on I:h~ (~ta and infoL,]~mtion f'~'nJ.shod ~ an engJ. r~er regisL,~red :in
the Share of Alaska, t~e ',~ter supply and wastewater disposal system is safe and
ticnal fo~ tho numQ~' off ~x:~ and ty[~ of s~uctu~e indJ.catod~
( DHEP SEAL)
7. Mail the I.IAA to the follcm~ing address:
KB2/dS/'s
[Page 2 of 2]
A. WEIf~ DATA
MUNICIPALITY OF ANCHORAGE (MOA)
HEAL~ AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
MUNICIPALIIY OF ANOtOP, A~E
DEPT. OF HEALTH
ENVIRONMENTAL PROTECTIOI~
APR 5 0 1984
RECEIVE
Well Classification _~/~/L//?7~ __ If A, B, Cr~ C, D.E.C. Appz~oved(Y/N)__/~///¢/ .
Well Log P~esent _(Y/N) I/~,~ Date Completed _ ?-./6-"~/ Yield
Total Depth /fQ~>' . Ca~d to ~6~JA! _ ~pth of G~outing &~lf~ .~.
Static Water ~vel ~ ~ ~t A~
To ~ptzc/Holding Ta~ on ~t ~. "~ ; ~ Adjoining Lots /~'
TO ~a~est Edge of ~so~ption Field on ~t ~ ~ _; ~ Adjoining ~ts /~
To Nearest Public ~r Line . ~ To Ns~sst ~blic ~r
Watsr S~le ~st ~sults
Sanitary ~;al on Casing (.Y/N)
... Depression Around Wellhead (Y/N)/t~Q
Cor0~nts
B. SEPTIC/HOLDING TANK DATA
Date Installed /~-f2/-~. / Size /c¢,~0 ~x~F,: No. of Ca,va~tments __
Standpi~s (Y~)%/~)Ai~-tight Caps a~).~Foundation CleaDout
P~ing/Maintenan~ Cont~aet on File (Y~) ~//] fo~ _ ~.///
Holding Ta~ High-Wate~ Ala~ (~/N) .~/~ ~a~y Holdi~ Tank ~rn~t (Y~)
Sep~ation Distan~s f~ ~ptic~olding Tank:
To Water-Supply Well.
To P~ope~ty Line _. /~/
To Water Main/Service Line
cou=se
TO Building Foundation /r.~ /
TO Disposal Field b/XP~k/dCdA) 4 6.co,,,)
To stream, Pond, Lake, c~ Major D~ainage
[Pag~ 1 of 2] 2-15-84
ABSORPTION FIELD E~TA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption A~ea /~/~
Depression over Field (Y/N) /[//) Date of Last Adequacy Test
Results of Last Adequacy Test
Separation Distanoe f~,om Absorption Field:
To ~ter-Supply Well ~ / To P~operty Line /
To Building Foundation /~ / To Existing Or Abandoned System on
Lot____~' ~,~-} ; On Adjoining Lots /f/~9~/~
To Water Main/Service Line /~-' 7~ To Cutbank(if present)
To Stream/Pond/Lake/or 'Majo~ D~ainage Coc~se_ /~///~
/
To D~iveway, Parking A~ea, o~ Vehicle Storage A~ea
Cor~r~nts Z/g~ ~f~/~! ~7' ~,//;~?<~,~'> F.~ } ~0~ /)~,~,~ /~! ~c,.~
Length of Field
Depth of Field
Gravel Bed Thickness
! Standpipes Present
D. LIF1~ STATION
Date Installed
Size in Gallons
"P~mp On" Level at
High Wate~ Alarm Level at
Tested for
Electrical Codes(Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles du~ing Adequacy Test.
Meets MOA
Cc~'~ nts
'** Check Permitted Bedroom Rating A~ainst HAA Request
I certify that I have checked, verified, o~~ confo~r~ed to all ~DA HAA~m~n~, ~%e~Efect
o the datg~of this inspection. ~ ~...
Co an ...............
KB1/dL/s ~,~, '. .'
· ....... I
[Pa~ 2 of 2]
2-15-8'4
ALASKA E,,JIROFIIllE FITAL COFITROL $1 h 1C85, IFIC.
May 31, 1984
Department of Health and
Environmental Protection
825 L Street
Anchorage, Alaska 99501
Attention: KeithBandt
MUNICIPALITY OF ANCHORAG~
D~P'¥. OF HEALTH &
EhIVIRONMEN [AL PROTECT[ON
MAY ['$ i 1984
RECEIVED
Dear Keith,
This is a request for a waiver and permit to correct an improperly installed
sewer system, installed in 1981. We expect that in order to correct this
system of approximately 3 to 5 feet the syst~n will[ have to be removed from
the trench and installed at the north lot line. According to a rough plan,
we indicate that the distance is approximately 12 feet from the lot line, we
would request the waiver of distance up to 1 to 2 feet from the lot line.
Since this is fronted on Sunview Drive, I would not expect this to create a
problem with any future development. I have marked the approximate locations
on the attached MOA inspection form.
Thank you for your cooperation.
LCRjr/caj
Sincerely,
Presi7
1200 LUcsl 33r,J J~uenue. SuJle [~,/~nchordge. J~[oska 99503,(907) 561-50~i0
MUNICIPALITY 0'/
ICHORAGE
Date
To:
Re;_
~ ~ ~r).
~',
EASEMENTS OF.RE~ORD. OTHER THAN
THOSE SHOWN ON THE RECORDED
PLAT, ,ARE NOT SHOWN HEREON.
· -- /, ~'~ i'~q', "~ ;'~ ,'~, ,'~
/" ' .,; ~ '~, :,~ ~'~
f,C', './"r,~U:~ d "~ ,~ '
5
---~- LOT SURVEY_CEIRTIFICATION:
ell
14? ,.· ',.
· ./] ; :
It is ~he res~onsibi]itv oF the o~ner ~o da~erminn
~he existence o~ any easements, covenants, or
s~r~ctions ~h~ch do no~ aooear on ~he. recorded'
'Under no circumstances shou]d onv da~a hereon be used
for construction or for establishinq houndry or fence
lines. The surveyor '~:.~.~N:,~$ake~ resoonsibilit.v fo
this transaction~ c~ NONUU~NT onlY. ,
.2~_ ' BLOCK'. F~ [] suuv~v.u. · v^c~
LOT
,Sunset H~lls Subdlvls~on 1'.4'J r¢~.~,.~o_~.'cV~./~ I . -.I n~ n
~, . ~' / ¢ ~,
-- , I R EVI S)ON~'~ ~,1 DATE I-~B~
R~ED BY' DOWLING-&: ASSOC ATES . · 'II4'" . , ' - ~
' ' EAST' ' ' .... = ' .Nesl~e~ce ~,.., ....... , :'' - ..... .' ", '' '- ' .... : ','
, . 804 5th Ave Sute ~ . ,i , :' '.~ ,'",:
_ ANCHORAGE~ ALASKA 99501 ' '. J".'.,',: ,.., .:' '~ ., ~4311 Sunvie~ Drive . ," "
SOUTHCENTRAL i~!',G]'ONAL OFFICE
437 "E" STREET, SUITE 200
ANCHORAGE, ALASKA 99501
I]ILL SHEFFIELD, GOVE~NOI~
Telephone: (907)
Address:
274-2533
May 22, 1984
Ms. Debie Minnow
510 ]./2 M. Street, Apt. A
Anchorage, Alaska 99502
Dear Ms. Minnow:
Subject: Lot 23 B-B Sunset Hills Subdivision
The Department has reviewed the subject On-].or Disposal System and
finds that the system was installed December 21, 196]. under Title
7 AAC Subchapter 2~.321(j) and that the septic tank has worked con-
tinuously without modification. Therefore, because of "Grand
Father Rights" the well to septic tank horizontal separation is
waived to 88 ft from tbe well for a single family residence
only. This waiver wi] I be void if any modification to the
structure requires changing the size of the tank or if the tank
is replaced. The soil abserption system however, failed in 1981
and the new system was not installed to existing code. Therefore,
because of 'the small Lot size and geology of the well this office
cannot grant a waiver of the horizontal separation for the new
absorption system.
Sincerely,
· E~r i~$n
Environmental Engineer
BEE/msm
,
I
--~'- -'~, E RECEIVED
~ ' INSPECTION APPOIN'TMENTS ,,'~,~~2~
~:1~' - ' TIME TIME
~ATE DATE DATE
INSPECTOR INSPECTOR
MUNICIPALI1Y nE ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
) DEPARTMENT OF HEALTH ~ ~NVIRONMENTAL PROTEC~RONMENTAL PROTECTION
~2B L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION FEB A 7 1981
T.lephone 264-4720
REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND
DI BECTION~: Complete BII parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
~ PROPERTY OWNER PHONE
~AILING AOD~ESS ' '
PROPERTY RESIDENT (If different from above) PHONE
~BUYER PRONE
~ LENDING INSTITUTION PHONE
~AI LING ADDRESS
4. REALTOR/AGENT PHONE
~AI LING ADDRESS I '
5. LEGAL DESCRIPTION
STREET LOCATION
6. TYPE OF RI"SIDENCE NUMBER OF,BEDROOMS
[] One [] Four
~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [~ Three [] Six
[] O[ner
7, WATER SUPPLY
iNDIVIDUAL-
[] COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
[~] INDIVIDUAL/ON-SITE
[] PUBLIC UTILITY
ATTACH WELL LOG. A well log's reauired for all wells drilled
since June 1975, For wells drilled prior to that date, give well
~epth (attach log if available,)
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6~
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIViDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY \C~/0 \
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank
Size: .i~2~2'''''''^ 0 If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
4. DISTANCES Septic/Holding Tank Absorption Are~~ Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[~'/APPROVED FOR ~-~ BEDROOMS,.
[] CONDITIONAL APPROVAL (letter mus~a~company certificate)
72-010 (Rev.
8.)-!5 "1." S'F R EE'['
ANCIIQI?AGE, At t\SKA 99501
(907) 264-4111
March 19, 1981
Lloyd Herlocker
% Carolyn Fowler
Century 21 - Heritage Homes
207 East Northern Lights Boulevard
Anchorage, Alaska 99503
Subject: Lot 32 Block B Sunset Hills Subdivision
This letter supersedes the letter of March 3, 1981 and
needs to be completed before approval can be granted,
(1) The septic tank pumped with a receipt submitted to
this ,: epar tment.
(2)
In order for us to determine minimum distance requirements
between the we].], and the drainfield, the closest pot[zion
of the drainfield to the well needs to be exposed for
our inspection.
(3) If t:he draJ.nfield :is far enough away, an adequacy test
will be required. O,~) ~%.~t~.~P.~i'~J~~ ~-~
(4) If the drainfield is to close to the well, a sbils te~t
will be needed so that a new sewer system can be designed.~
A permit muse be issued prior to the upgrada~
:[f there are any further questions, please call this o:ffice
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
March 3, 1981
Lloyd Iterlocker
% Carolyn Fowler
Century 21 -' Ileritage Itomes
207 East Northern Lights Bou].ewtrd
Anchorage Alaska 99503
Subjech: Lot 32 Block B Sunset IIills Subdivision
Ap,reval for .',[our indJvi, d~al sewer and water facili ties
cannot be granted nntil, the following items have been
eonlpleted:
~'~( ]. )
4)
7'lie water analysis report ]leeds
office from the Chcm Lab, 5633
review.
to be de]ivered to this
B Street, for our
Expose the well. ]for our inspection to determ:ine ])roper
constr~lctJ.o]l, also to insure mJllillluIl/ disllance requJremel-~[s
are met be hwoeN the wetl alld Sewer system.
A four(4) inch cast 5_ton cleanout needs to be inst¢]l, ed
to t~e septic hank and the lea:hing auea.~~
The sept:ic tank pumped with a receipt submitted to this
5)
An adequacy test needs to lie performed on the existing
leachir~g area. This test will determine if thc system
J s adequate according ho Nat-iona] Standards. A ] Jsting
of privaLe firm:-: performing the test Js onc]osed. This
report needs to be submihtod to this (){.['ice for our
revl[ew.
Lloyd Iier]ocker
March 3, 198J
Page Two
}?lease notify {his department for a reinspectJon when the
l'~otod descropancios have been corrected. II there are
any further questions, please call Lhis office at 264 ~4720.
Sincerely,
Robert C, Pratt, R.S.
Associate Specialist
PENINSULA
ENGINEERING
2820 'C' Street, Suite ~3
Anchorage, Alaska 89503
MUNICIPALITY OF ANCHORAGE
DEP1. OF IJ,~ALTil &
ENVIRONMEN M,L i;,~o'r[:Cl'lON
April 29, 1981
1981
RIECF_! D
Lloyd and Lorie Herlocker
Dennis Way
Anchorage, Alaska
Re: Adequacy Test
Lot 32 Block B Sunset Hills Subdivision
Dear Mr. and Mrs. Herlocker:
As per your request, I have performed an adequacy test on the on-site
sewage disposal system on the lot described above.
The test began on April 28, 1981 with the pumping of the septic tank.
Approximately 1000 gallons was pumped from the tank which was full at
the onset. Seepage pit and septic tank levels were measured before
and after pumping the septic tank.and at regular intervals as water was
applied to the seepage pit. See attached tabulation.
As water was added at approximately 6gpm to the seepage pit, the level
in the spetic tank rose consistantly indicating that the absorption sys-
tem was not accepting the effluent at or near the required 10gpm recom-
mended rate. After approximately 360 gallons was added to the pit,
it was very apparent that the seepage pit was not accepting very much
water. After a 24 hour waiting period with no effluent being added to
the pit, it was found to drop approximately 14". When water was again
added to the pit the second day, the seepage pit took approximately
20 gallons before overflowing and backing up into the septic tank.
Thus indicating an absorption rate of approximately 20 gallons/24 hours
or 0.0139 gallons per minute, which is far below the required daily
residential load at 150 gallons per day per bedroom.
Therefore, in conclusion, it is quite clear from the test results that
this system is not functioning adequately in accordance with the
Municipality of Anchorage recon%mended standards. It would be my recom-
mendation that you replace the seepage pit with an appropriate new ab-
sorption system. Continued use under full daily capacity could result
in back up of effluent into the house.
If I can be of any further assistance, please call.
Sincerely,
Wayn~ Henderson
WH:zc-p
PL~ NINSLJ LA
AI)I';(~UACY TEST
(:1 ient::
Add tess:
hega l:
SysLem:
Lloyd and Lorie Herlocker
NHN Dennis Way
Lot 32 Block 'B Sunset Hills Subdivision
Septic Tank tand Seepage Pit
..... IH';P'I'II .......... DE'I;Tll ....... ~4,\'1'1.[1~-~'1)111,;1!-
5 m i n
10 mi u
12"
14"
15"
15.5"
18.5"
19.
24.5"
28"
29"
30"
STOPPED T5
ST
90"
88"
88"
88"
88"
88"
88"
88"
88"
89~'
89"
75"
88"
88"
88"
30
6O
90
120
150
280
210
240
270
30O
360
0
17.5
25
5O
,i
1907) 2(-M-4~ I I
Care].yN Fowl, el:
% C(-,ntui/y 21 ltez'J'h~ge Homes
Aritho]rage ,, A1 a s],,~ 99503
Lion to t R:t d:isappl:'ova:l ,:)E April] 29, l "
SJ n(;erc.,] y,
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
PERFORMED BY:
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DI;PARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] PERCOLATION
TEST
DATE PERFORMED: ~'~ '~¢r~/
SLOPE
SITE PLAN
Gro~s Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND FT
72-008 (6/79}
1958 FEDERAL HOUSING ADMINISTRATION Budgel Bur,au No. 63-R296.1
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SliWAGE D SPOSAL SYSTEM
PART I.--TO BE COMPLETED BY FHA
INSURING OFFICE MORTGAGEE SERIAL NO.
MORTGAGOR OR SPONSOR PROPERTY ADDRESS
SUBDIVISION NAME
BLOCK NO.B LOT NO. ~2
YOTAL NUMBER~
BASEMENT
WATER SUPPLY DY~
] New installation
[] Public system E~ Community system
additional bedrooms?
(ff Yes, how many,)
SYSTEM DESIGNED FOR
~] Indivktual r~o. OF ~o.m$. O^RO^OE
SEWAGE DISPOSAL BY~
[] Public system E3 Conlmunity system [~] Iudividual
It is the opinion of the [] State [] County [~-] Local Department of Health that this individual water-supply system
[] is I~ is oot satisfactory asa domestic water sopply for the subject property.
It is the opinion of the [] State [] County
tern with proper maintenance:
[~] Can be expected to function satisfactorily, and
is uot likely to create an insanitary condition
~ Local Department of Health that this individual sewage-disposal sys-
[--] Catmot he expected to function satisfactorily
NOTE: The health autfiorDy should complete the appropriate opinion statement above and afiqx date. signature and title In tho
spaces provided.
Use of the above grid for Health Deportment Inspector's sketch ~s well us use of the back of this form is ut the option of the
health authority.
PART Ill.--FOR USE OF FHA OFFICE
TO THE CltlEF UNDERWRITERz
I have revie~ved the foregoiug aod the pertinent FHA Compliance Inspection Report, and recommend that'the
IDdividual water-supply system be considered ~'] Acceptable [---[ Not Acceptable
Sewage disposal he considered ]-'-I Acceptable [] Not Acceptable.
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
] CHIEF ARCHffECT
] DEPUTY FOR CHIEF ARCHITECT
FHA Form 2573
REQUE ST F0YR:/RO/fVA~ OF
INDIVIDUAL SEW^GE AND WATER FACILITIES
(Fill out in Triplicate)
"
, , ' ~':~ ....... ~ ' ~'
', Numbar-~ofi ~edrooms in house,~
5. Wate~ Analysis:
b, Detergent
WeLl data:
a, Type
b, Depth
c. Casing Size
d. Distance from well to closest existing or proposed:
~. S~er li~e____~,~,',, , .
2. Septic tank___
3. Seepage ~_J [~ ~ .
q. Cesspool]
5. Property Line
6. Other sources of possible contamination, i.e., creeks, lakes,
houses, barn, drainage dlteh~
Sewage disposal system.
. /~
a. Age of system_ : ~,
b. Septic t~nk c~paclty in ga].lons~~,'~
If "home made" show diagram on reverse side of this form.
Disposal field or seepage pit size and type ........
1. Distance to p~operty line__/Z' ~ T"- -----i ~
..... ~o house foundatlon.~.
Percolations. Te'st mesults__,
f, Percolation Test performed by ......... ,
Use the reverse.side of this form to show diagram, Diagram should include
'%he foJ].o',,~ng information: property llnes~,well location, house location,
~'.l~c tank location, disposal area location~ location of percolation test~
a~ d~rection of ground slope.
Tke ],,¢'>~',~t~m On th~s form is true and comect 'to the best of my knowledge.
~g'~--~~ ..... /~Date Si ~ ~'~''gned~'''~ ~,zgnat ute of Appl$cant
FILLED OUT BY HEALTH DEPARTS.lENT PERSONNEL
The above described sanitary facilities are hereby approved, su~bje__ct to the
Condit iona:
The above described sanitary fa .....
cl$1tles are dzsapproved for the following
Approval is valid for one yearfollowing' the date of approval.
CPJ:cw
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WAI'ER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PAR'r I.--TO BE COMPLETED BY FHA
INSURING OFFICE'
An0hor,ageR
MORTGAGEE
~'ivst National Bank of Anchorage
P.O. BOx 72Os Anohora::e, Al~ska
MORTGAGOR OR SPONSOR
Wa:Lter F. Osterhout
PROPERTY AODRESS
No nm~ber Dennis
SUBDIVISION NAME
S~nset I.lills Subdivision
TOTAL NUMBER~
BASEMENT
] New installation
BLOCK NO. LOT NO.
Can .ttlc or other area be made Into
additional bedrooms?
(If Yes, how many~)
WATER SUPPLY BY:
PART II..~TO BE COMPLETED BY HEALTH DEPARTMENT
KETCH ~,~,_. ~. /
It is the opinion of the [] State [] County =oca, Department of Health that this indivi~lual water-supply system
~_is [] is not satisfactory as a domestic water supply for the subiect property.
Ii: is the opinion of the [] State [] County [] Local Department of Health that this individual sewage-disposal sys-
tem with proper maintenance:
~] Can be expected to function satisfactorily, and [] Cannot be expected to function satisfactorily
is not likely to create an insanitary condition
PART III.~FOR USE OF FHA OFFICE
TO THE CHIEF UNDERWRITER:
I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that'the
Individual water-snpply system be considered [--] Acceptable [-] Not Acceptable
Sewage disposal be considered [] Acceptable [] Not Acceptable.
SIGNATiRE
J ~[~] CHIEF ARCHITECT
DEPUTY FOR CHIEF ARCHITF~
DATE
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAl. SYSTEM
'pooqJoqq~lau u! /~tuolsno lou aau [] a~u [] qpt~ lunpD!pul
WllSAS Alddll$'UllV~'~ 1VROIAIQNI~NOII:)ldSNI :10 lllOd:liJ
WtlSA$ 1VSOdSIO-tOV/V~tS 1VrlalAlaNl~NOIJ,:)tdSNI :10 llJOdlU