HomeMy WebLinkAboutT15N R1W SEC 9 LT 82BOnsite File
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP191194
Work Type: SepticTank Upgrade
Tax Code Number: 05110331000
Effective Date
Expiration Date:
n c�
v
t�E'i)8i'CiT1LY1t
5/30/2019
5/29/2020
Site Legal Address: T1 5N R1 W SEC 9 LT 82B G:1358
Site Mailing Address: 20515 STARNER ST, Chugiak
Owner: CHUGIAK INTEGRITY RENTALS LLC Lot Size in Sq Ft: 33209
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions: This property transferred title without a COSA. A COSA shall be submitted to close out this
permit.
Received By: Date:
Issued By:,� Date: %
MUNICIPALITY OF ANCHORAGE
Development Services Department �^ �'7 Phone: 907-343-7904
On -Site Water & Wastewater Section - Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel 1. D. ua I -
Property owner(s) CHUGIAK INTEGRITY RENTALS LLC Day phone 9076325017
Mailing address PO BOX 671628, CHUGIAK, AK 99567
Site address 20515 STARNER STREET, CHUGIAK, AK 99567
Legal description (Sub'd., Block & Lot) T15 N R I W SFC 9 LT S 2 g,
Legal description (Township, Range & Section)
Lot Size 33,209 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF)
(w/wo AD U)
Septic Tank
®
Upgrade ®
Duplex (D) ❑
Holding Tank
ElRenewal
ElMultiple
Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 01"?9JT Waiver Fees:
Date of Payment: SIoZ3lIQ! Date of Payment:
Receipt Number: Receipt Number:
Permit No. OSP I Q 11W Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Michael N. Anderson, P.E.
Civil/Structural Engineering and Construction
4661 Natrona Ave. Anchorage, Alaska 99516
Phone 345 -3377 / Fax 345 -1391
Support Services
Brent M. Western
907-440-4601
May 23, 2019
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
RE: SEPTIC TANK UPGRADE PERMIT
LEGAL: T15N R1W SEC 9 LOT 82B
To whom it may concern:
The owner has requested we proceed forward to obtain a septic permit to upgrade the
aged septic tank on the subject lot. The proposed upgrade will serve the existing 1-
bedroom house.
The lot and area is served by a private water and will not impact any of the neighboring
properties due to the lot layout. Please contact Brent M. Western or me if you have any
questions.
Sincerely,
Michael N. Anderson, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191194, Rebecca Carroll, 05/30/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191194, Rebecca Carroll, 05/30/19
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
PHONE [] NEW
NAME
.INGADDRESB
LEGAL DESCRIPTION
LOCATION
Well
DISTANCE TO:
Manufacturer
~, I Ab,orpt~o. area.~. / Dwelling
Liq. ~ gallons IF HOMEMADE: Inside length
DISTANCE TO: Well Dwelling
Manufacturer
D'STANCETO:
NO, of lines ~ Length of each
Top of tile to finish grade ~.~, ~ ~. /
Length Width
Type of crib Crib diameter
Well
DISTANCE TO:
Class Depth
DISTANCE TO: Building foundation
PIPE MATERIALS
OTHER
NO. OF BEDROOMS L~,
No, of compartments
Width Liquid depth
PERMIT NO.
Material Liquid capacity in gagons
Foundation ~_~,(~ / Nearest lot line
Total length of lines ~/I Trench wi~l~l~7t~'''~ Distance between lines
7,~1 _~ - -r-~
inches
Matedal beneath tile
Total effect ve absor~t o~ area
Depth
PERM T NO.
Crib depth
Building foundation
Driller
Total effective absorption area
Nearest lot line
Distance to lot line
Sewer line Septic tank
PERMIT NO.
Absorption area(s)
APPROVE~ ~' ~ L~ ?
DATE LEGAL
72~013 (Rev, 3/78)
MUNICIPALITY 0F ANCHORAGE
Department ~ Health and Environmental ~rotection
825 ~ Street, Anchorage, AK. ~9501
264-4720
* * * HANDWRITTEN PERMIT * * *
Permit ~
WELL AND/OR ON-SITE SEWER PERMIT
Location: Phone Number: ~ ~--/~
Legal Description: ~T
l AJ S. 7 & C 6Lot Size:
Type of Soil Absorption System '~S: O~¥ Y~ ~c%~ c~ ~%~____
Trench: ~,/ Drainfield: _ Seepage Bed: __ Holding Tank:
Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) /~
DEPTH
The Required Size of the Soil Absorption System Is:
~-2-~ LENGTH ~_%~' . GRAVEL DEPTH ,~ 'WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(~) TANK SIZE = /2.~-0 GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this departmen~
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feel
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 $ 3 * * *
I certify that:'
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that ~bedroo~.
Signe~: ~/~ ~. ,~./~ .... Issued by:~///~~J~--~~/~~
Applicant
SOILS LOG
MUNICIPALITY OF ANCHORAGE
-/~-~" [] PERCOLATION
('~"~: DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
TEST
' O~.~1~_ ~ 825 L. Street, Anchorage, A~aska 99501 264-4720
SOILS LOG - PERCOLATION TEST
4
5
6
7
8
9
10
11
13
14'
15'-
16
17
18
20-
WAS GROUND WATER N I~
ENCOUNTERED? (~ pO
E
: P ) P or-Jv AT WHAT
Gross Net Depth to Net
Reading Date Time , t ~T~m e Water Drop
PERCOLATION RATE
(minutes/inch)
a TEST .RJJN B WEEN
PERFORMED BY: BY:
FT FT
72-008 {6/79)
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [] PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
10
1t
13
14-
15
17
18
19
20-
WAS GROUND WATER
ENCOUNTERED?
Gross Net Depth to Net
Raading Date Ti~m~e ~, k~Tj m e Water Drop
!...'
PERCOLATION RATE
(minutes/inch)
TEST ~RlUN B EEN FT AND FT
~' ~'-- ~,dO..~. CERTIFIED BY: DATE:
72-008 (6/79)
b)
SULLIVAN WATER WELLS
P.O. SOX 670272, CHUGIAK, ALASKA 99567 ,, TELEPHONE 688-2759
OWNER OF LAND t~,
ADDRESS f' ,~ _/d ~2 y
LEGAL DESCRIPTION ~'
DATE - Started Ended
PERMIT NUMBER __~'/
DRAW DOWN
KIND OF CASING
KIND OF FORMATION:
From 4: Ft. to ~
From ('~} Ft. to / ,~
From Ft. to Ft.
From / Fi:' Ft. to ~:~;'~. _.Ft.
From ~ i') Ft. to Cf~--_Ft
From Ft. to Ft.
From ,,} .... Ft. to ~,} /
From Ft. to
From Ft. to__
From Ft. to__
From Ft. to Ft
From __Ft. to Ft.
From __Ft. to____Ft
From Ft. to Ft
From .... Ft. to Ft.
From Ft. to__ Ft.
From .... Ft. to .__Ft.
Ft. C_r~Sro'O~ ~-;'i,:,¢~,~lj0 From_ Ft. Io____FI,
Ft. ., ~' .'4%-~ '0 ' ~
{~,~'r~ c~ ~ ~ From -- Ft. to Ft.
!,~ ~,, ~ ~.,O ~;'~{-~ From Ft. to___ Ft,
~1/_ ~'-" From Ft. ti) .... Ft
( -~ ~' ' ;~ /;~'t I ~"~'~ ..... Froln FI. to Fl.
Ft. t~O,-{ 7"t~ ~.= From Ft. lo Ft.
Ft~ From~___Ft. lo~ __Fl
Ft. From MUNICII~Idi~ OF
DEPt. OF HEALTH &
F rom _~ENVI~R_O~, I~ONi'AL
From Ft. to Ft.
From Ft. to Ft.
From Ft. to _Ft,
MISCL INEORMAT1ON:
DRILLER'S NAME
73',4
LO-r-
'5-ToR,q~E
--*--'7 'o "
.S ~c/ ,5- OW
LOT'
A 0 : o-
K A~l~t,l ~ST E PN E'-N5
.o~
~ , ..b, ,..,,,, ,., o. =.,o,...., o,,h. ,o,,o.,. .~f;~.o.
NE~/~ SEC q TISN RI'~ S.~ ~...
improvemants siluol~ th~ ore within the p¢o~rly li~
~d ~ ~1 ov~apor;~r~ch On the p~etty lying od-- ~..
visible ~mlntl ~ sol; property except as l~l~t~
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
t'~/~ \- \ ('~_~ -.~ I HAA#
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 82B; S~c. 9, T15N, RIW, S.M.
Location (address or directions)
NHN P~t6rs Cr6~k Road
(b) Property owner
Mailing Address
(c) Lending Institution
A,H.F.C.#110570 W.A,#7512~elephone:(home)
520 East 34th Awnu¢, Anchorage, Ak. 99503
Telephone
Business
Mailing Address
(d)
Real Estate Company and Agent HERITAGE OF EAGLE RIVER ATTN: Ralph Mil ton
18850 Eagl~ River Road Eagl~ River, Ak. 99577
Address
Telephone 694-4994
(e) Mail the HAA to the following address: (or check hereX~ if hold for pick up.)
List contact person and day phone number below:
S & S ENGINEERING
; 7034-Ea~jle-R~er
Eagle River, Alaska 99577
2. TYPE OF RESIDENCE
Single-Family ~ Number of bedrooms
3. WATER SUPPLY
Individual Well FAx. 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 g0,'( 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.
72-025 (Rev. 7/08) Page 1 of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SL:ARCH, 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
Heelth Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe,
functional end adequate for the number of bedrooms and type of structure indiceted herein. I further verify that
based on the information obtained from the Municipelity of Anchorage files and from my investigation and
inspect[on, 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
$ & $ ENGINEERING
Address ........... ...~,. m,.,~ I
Eagle ~iver, Alaska
Date
Telepl~one _
6. DHHS APPROVAL
Approved for_
·
Approved
Disapproved Conditional
Terms of Conditional Approval
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) 8ack Page 2 of 2
*~-- ~-~-'J"~o'bO~ MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA)
O.ECKL,ST-FE.. A.Y,..
~0 ~ ~ 343-4744
~SX~ ~k~ ~' Legal Description: L~m
A. WELL DA~XL*
Well Classification ~ ~
If A, B, C, D.E.C. Approved (Y/N)
Well Log Present ~N) ',( Date Completed q -G - ~ 1 Yield
Total Dept h(4:~:~l ~¢c, ¢¢'
Cased to Depth of Grouting -
7,0
Pump Set At
Sanitary Seal on Casing~ON) \/
Depression Around Wellhead (Y/~
; On Adjoining Lots
\b~~*'- ; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
Static Water Level"'~
Casing Height Above Ground
Electrical Wiring in Conduit [~N)
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
Water Sample Collected by
Water Sample Test Results
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed /0- k~-'~,~ Size
Standpipes ~N) y Air-tight Caps (~N)
Depression over Tank (Y~)
Pumping/Maintenance Contact on File (Y/N)
No. of Compartments 7..-
Foundation Cleanout {~'N)
Date Last Pumped I
; for
Holding Tank High-Water Alarm (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well \ O c:, ~ To Building Foundation
To Property Line \C~ t~ To Disposal Field
To Water Main/Service Line ~ tc~ ~-k
Temporary Holding Tank Permit (Y/N) ~/,&'
To Stream, Pond, Lgke or Major Drainage Course
72-026 (Rev 7/88) Front Page 1 of 2
Type of System Design '"~"¢-.P-.-h,.~J~'
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date installed
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 ~, cO ,4-
To Building Foundation [
Length of Field Z.L.~
Depth of Field /2-.' - 15'
Gravel Bed Thickness ¢ ¢
Statndpipes Present (_I~'N)
Date of Last Adequacy Test
Lot
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
To Property Line '~C~ "'
To Existing or Abandoned System on
; On Adjoining Lots '~¢ ~ 4-
To Cutback (if present) '~-~ ~ ~
D. LIFT STATION
Date Installed
"Pump On" Level at ~
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes~Y.,q'~'~
Comment~........~~
Dimensions
Manhole/Access (Y/N) ~
"Pump O~
...----"-""~e n t (Y/N)
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in
inspection,
Signed
Company ~
Date
MOA No,
Receipt No. ~ ,~'"~/~"~
Date of Payment /' O-.~.~'"-
Amount: $ / 70
72-026 (Rev. 7/88) Back
Receipt
Waiver Fee: $
Date of Payment
Page 2 of 2
of this
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343
FEDERAL TAX I.D. #92-0040440
ANALYSIS REPORT BY SAMPLE for Work Order ~ 29485 Dat~ Report Printed: OCT 22 90 @ 19:05
Client Sample ID:LS,2B,SEC 9, T15M, RIW
PWSIO :UA
Collected OCT 18 90 @ 17:00 hrs.
Received OCT 19 90 @ 16:15 hts,
Preserved with :AS REQUIRED
Client Name ; 8 & S ENGINEERING
Client Acct: SNSENGP
P,O.~ NONE RECEIVED
Req E
Ordered By : R. 8HAFER
Analysis Completed :OCT 22 90
Special
Instruct:
Send Reports to:
1)S ~ 8 ENGINEERING
2)ADEC (FORMAT)
Chemlab RoE ~: 904389 Lab Smpl ID: 3 Matrix: WATER
Allowable
Parameter Tested gesult Units Method Limits
NITRATE-N 0.79 mE/1 EPA 353.2 10
Sample
Remarks:
SAMPLE COLLECTED BY: RAY
i Tests Performed See Special Instructions Above UA~Unavaitable
ND- None Detected "See Sample Remarks Above
NA= Not Analyzed LI=Less Than, GT-G:eater Than
Tom Fink,
Mayor
N un cipality Anchorage
Department of Health and Human Services
825 "L" Street
P,O. Box 196650 Anchorage, Alaska 99519-6650
November 26,1990
Robert Shafer, P.E.
S & S Engineering
17034 Eagle River Loop, Suite 204
Eagle River, Alaska 99577
Re: Waiver Request For Lot 82B Section 9 T15N R1W, Waiver
Request Number WR900456, P.I.N. 051-103-31
Dear Mr. Shafer:
Your request for waiver of the required 100 feet separation
distance between a septic tank and surface water has been
approved. The approved separation distance is 95 feet.
This approval was based upon evidence that the ground is
generally flat between the septic tank in question and Peters
Creek. Also, the dwelling is situated in the probable path that
potential daylighting septic tank effluent would travel were the
tank to fail.
This waiver approval is for the existing septic tank and creek
separation only. Any future upgrade of the septic system will
require all separation distances be met or another approval from
this office.
Sincerely,
Daniel Roth
Civil Engineer
On-Site Services
C~ur re~cy /
On-Site Services
ROBERT SHAFER, P.E.
ROGER SHAFER
1990
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER&WATER
MAINEXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
ANDREPORTS
WELt. INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Lot 82B, Sec 9, T15N, RIW, S.M.
RequeSt you issue the attached Health A~thority Approval and grant a
waiver for the horizontal separation distance between P~ters Creek
located at the east edge of the referenced property and the septic tank
at a distance of 95'.
The septic tank was i~stalled October 6, 1983. The installation was
inspected and approved by a private englne~ring f~Ju~. Through the
process of obtaining a Health Authority Approval, we have measured and
determined at this time the separation distance b~tween the septic tank
and P~ters Creek is 95'. The reasons we feel the waiver should be
granted are listed b~low:
I) O~y the septic tank is within the 100' protective radius,
generally speaking, septic tanks should not be considered a
continuous source of contamination as wou~d a leachfield.
2) There is a narrow row of trees located at the ~dge of Pete~
Creek. This would help detour any septic overflow from reaching the
creek.
3) The topography of the lot is relatively flat, therefore, sewage
overflow is l~ss lik~y to flow directly toward the week.
It is our opinion the horizontal separation distance prescribed by
18AAC72.021 is not required in this case.
If you r~q~ additional information, please contact our office.
~,~ERT A. SHAFER P.E.
TLS/gm
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
SCALE
MUNICIPALITY OF ANCHOR/I~
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTIOi~I
'-' Cl
f';OV 1 o 19,~0
RECEIVED
APPLIC NT FILLS OUT UPPER HAl. ONLY
Property Owner ~.~/~/21 ~3 f /.~/,n/,JC, /','~2~ C ~c~ ~' Phone
Mailing Addre~./'/(~ Z'?[~ ~ ~'~, (. ~,/,j ,/~ /:- ., ~ Zip Code //~ ',.:, .... ~ ?' ~:,, ~ ~0'
Lending Institution /~//? C'~) 7 [:/~/~ ~: o~%' ~ ) ' / ' -
- (~/~' ~ / ~, / ~., -. Phone
Legal Description ,~/~/7,, ~/~ ~)/~) ~..
~ Other
WELL
~ Holding Tank ' '
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST ~EFORE ~OOESSING CAN BE INITIATED.
Date Date Date Date
~) APPROVED SEDROOMS 'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
DATE /.o _ ~-~' 3
Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received
Well to Tank Septic Tank Size
ALASKA el dIROnmenfAL CO[1TROL $ RuICE!S, I[1C.
~,qi~eerinq $ ~nuironmcntol Studies
October 6, 1983
Department of Health & Environmental Protection
825 L. Street
Anchorage, Alaska 99501
Dear Gentlemen:
On October 5, 1983 I examined T15N RI~W SM Section 9 Lot 82B. I found
that the well was 94 feet from the septic tank and 101 feet to the sewer
trench. The well is over a foot above ground level and the ground
slopes away from the well on all sides. There is a sanitary seal on the
well. There is conduit covering the electrical wires running from the
well to the dirt beside the well. But the electrical wires running from
the well to the house are exposed. They must be covered with one foot
of earth.
The Municipality has taken a water sample from the well. I am
equestzng a conditional Health Authority. The wires running to the
house must be covered by one foot of earth.
Sincerely,
Jim Green
Civil Engineer
Approved by:
P~/~hD PE
1200 LUcsl 33rd J~u¢~u¢, Suil¢ [~ ·/~nchoraq¢, J~l~ska 99503 · (907) 276-136]
(*JO,") ;( ' 1! ', ,
August 25, 1983
David Mc Cown
Post Office Box 712
Chugiak, Alaska 99567
Subject: T15N R1W Section 9 Lot 82-B
Health Authority Certificate Inspection Results
The property was inspected on August 24, 1983 with the following
report:
Well:
The well is below ground surface and in a pit. The
well ordinance requires well casing to extend above
ground level. TO correct the descrepancy, the well
casing must be extended twelve(12) inches above the
ground surface and capped with an approved sanitary
seal. The electrical wiring to the well must be in
conduit where above ground.
Septic Tank:
There appears to be no septic tank. A 1,000 gallon
two(2) compartment tank is required. To correct the
descrepancy, proof by unearthing a possible existing
tank or a permit and installation of a tank will be
required.
ge/Leach Pit:
The existing pit meets the necessary well and creek
separation distances. The pit may be utilized if it
is absorping adequate quantities of sewage effluent.
The'pit.will,have .t® have an adequacy test to National
Standards. This test is conducted by an approved
engineering firm. A listing is attached.
Water Quality:
The well was sampled and will be
organisims regarding purity.
checked for indicator
David Mc Cowen
August 25, 1983
Page Two
If there are any further questions,
at 694-2131 or 264-4720.
Sincerely,
please call this office
Les N. Buchholz, R.S.
Eagle River Program Manager
LNB/ljw
cc:
Karen
% Ed Erickson
Post Office Box 17193
Big Lake, Alas]ca 99687