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Home My WebLink AboutTONY SCHAFF LT 3Onsite File Tony Schaff Lot 3 (Lot 98-3) #075-093-12 On public sewer. No record of septic system being properly decommissioned. To be confirmed at time of COSA. MUNICIPALITY OF ANCHORAGE SEWER QC7 4U92 01 CONNECT PERMIT DATE OF APPLICATION October 37 1989 WATER & WASTEWATER UTILITY 3000 ARCTIC BOULEVARD PHONE 786-5557 SCHEDULED COMPLETION DATE 10/89 6 SINGLE FAMILY ❑ MULTI -DWELLING No. APTS ❑ COMMERCIAL LOTITRMifA '15 ' BLOCK SUBDIVISION Tony Schaff TAX CODE 075-093-12 - m AS -BUILT No. STREET ADDRESS Agostit'Q Mine Road OWNER Princes Jesse L. Or. & M reia--DO-l1 PHONE MAIL ADDRESS 2412 W. 2904 Ave, Archora e4 AK 99517 CONTRACTOR: (XON PROPERTY ONLY ❑ MOAoStateR PROPERTY LINE r W Permit ue ❑ MAIN TAP & ON PROPERTY CONNECT (MOA or State ROW Permit Required) ❑ R -O -W NO. 40 CONNECTION SIZE INSPECTION ASSESSNiENI 5 ❑ Main extension agreement ❑ Improvement District ❑ Extend connect agreement ❑ Pending CHARGE $ 45.50 FEE $ 19.50 PERMIT FEE $ REIMBURSIBLE NUMBER DEPOSIT $ TOTAL $ 55'00 PERMITTEE (Please Print) PHONE MAIL ADDRESS ED BY: i PAID O CASH .; I - I ElSCK# INSPECTED BY: q DATE: I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE TO COMPLY WITH THEM. PERMITTEE 5I NATURE ST IN `4 CONSPICUOUS PLACE AT THE JOB SITE - ------ —Anust �atnnrnTAD I P, z 0 U) NI'A C) �d Let) im W ui 0- 0 Z w W C) 0 w Z z < z w 0 —i C) im W ui 0- 0 Z w W w cc eta+ �-j zk M--,ve, F- 0 < Lcc LU 0 < F- z F- 0 Z Z < () w z 180d38 NOliO3dSW UBM3S w L'0 Z U) 0 im W ui 0- 0 Z MUNICIPALITY OF ANCHORAGE SEWER CONNECT PERM WATER & WASTEWATER UTILITY 3000 ARCTIC BOULEVARD PHONE 786-5557 i• � DATE OF APPLICATION 10-24_86 SCHEDULED COMPLETION DATE Zo?R6 43 SINGLE FAMILY O MULTI -DWELLING No. APTS ❑ COMMERCIAL LOT/TRACT _ - Y- :: BLOCK ----- ❑INDUSTRIAL SUBDIVISION TAX CODE (' - t GRID 4!aDRAWING No.Sne)w Valley BUILDING ADDRESS /AIC ��rT} LID 60-3 OWNER t L' ; lir , c: r , PHONE MAIL ADDRESS 71L CONTRACTOR:, (License & Bond required) ❑ ON PROPERTY ONLY 9 MAIN TAP—TO, PROPERTY LINE ONLY (MOA or State ROW Permit Required) ❑ MAIN TAP & ON PROPERTY CONNECT OA or State ROW Permit Required) ❑(M -O -W NO. CONNECTION SIZE 4"; INSPECTION PERMIT REIMBURSIBLE NUMBER REMARKS: ASSESSMENTS ❑ Main extension agreement ❑ Subdivision -agreement ❑ Extended connect agreement ❑ Pending LID fit; --3 PERMIT ISSUED BY: CHARGE $ Delve FEE $ FEE $ DEPOSIT $ ❑ PAID ❑ CASH ❑ CK#_ INSPECTED BY: TOTAL $ I DATE: 110 0 9884-•-7751--3524 PERMITTEE (Please Print) Rick Kiair' of I7Sm fC�VONE AV,= MAIL ADDRESS 1. I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE TO COMPLY WITH THEM. PERMITTEE SIGNATURE -POST-JN A CONSPICUOUS L C AT THE JOB SITE R.M. I z 0 Q5 - ELI OF ff'"m NWW .15 3: 0 Z Z Od3d N01103dSNI H3M3S U) 0 z w -j 0 3: U) W _j w0 '--e_ U) z LLJ < Z 2E, JJ w0 cl: F- > z cc 0 W 0 CC 0 w ': z WO U) 0 -i 0 U) Feb 18 19 10:54a Anoho:-aga Well el. Punrip Set S0724307.42 P.2 bevelcpment Services Department Building Safety Division On -Site Water J, Wastewater Program P.C. Box 196650 MerkBegich Anchoroge, Al; 9950*7 Mayorw�v!.rtiorql onsi ra (907)343-7504 Pump Installation Log Well Drilling Permit Number: SW Date of issue: Parcel Identification Number: 0 7-5-- OY- Lelgal Description Property Owner. Narne & Addrcss t ScAe? L3 9 roll Fu7p Installation D. te7 7, Pump Intake Depth Belaw'yop oi'Weil Casing: IV) feet Pump _Ma,_qufacNrer's.N72ute: f4d) 3�CL,Cr Put"P.Model: Pump Size 4'hp Pidess Adapter Barial Depth: 10 f-eet Pidess Adapter Installer, Well Disinfected Upon Coin lotion? E�T�Yso NO Method of Disinfection- - Comments: V Pump Installer lanae: cL Attention: Tile punip ha.;Tallff shall prcvidt; a pump installatior, log to the DSD within. 30 da.YS OfDLIMV imlal-ta-ion. DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 WALTER J, HICKEL, GOVEI~NOR 563-6775 October 3, 1991 I £CEIV£b Mr. Roger J. Shafer, P.E. S & S Engineering 17034 _E. agle River Loop, Suite 204 Eagle River, Alaska 99577 Subject: Lot 98-3, Tony Schaff Subdivision, Girdwood, Alaska, Class C I~l~'r~ater System (PWSID Number 217283), ADEC Project Numbers 9121-WA-008; Review Dear Mr. Shafer: Thank you for the information that was faxed to this office on October 2, 1991. I have completed my review of this information and the office's file on this project. Based on my review, I have the following comments. a~dI concerns that this office has had on the existing public water system has been dressed. It appears that the existing water system, based on the submitted information and comments, will be able to meet the current peak demand needs. Therefore, the water system for the above-referenced project is approved for the concerns of this Department. A Final Operation Certificate, constituting this approval, is enclosed for the existing water system. Please remind your client that due to the monitoring requirements of the waiver, the following Public Water System Identification (PWSID) Number has been assigned to this public water system, 215192. The PWSID Number assigned to this public water system will need to be on all analytical data submitted to this Department so that the waiver will remain valid. The analytical data required to be submitted to this Department so t;hat the waiver will remain valid are semi-annual analytical results for Total Coliform Bacteria. Due to the seasonal demand placed on the groundwater in this area, I recommend that water samples be collected during April and November of each year. Mr. Roger J. Shafer, P.E. October 3, 1991 Page 2 Thank you for your cooperation with this Department. If you have any questions, please do not hesitate to contact me. Enclosure: As Stated cc: John Smith, DHHS, w/o Enc. KKK/pf Sincerely, Environmental Engineer / A\ /fl\E'" DF?PT. OF HEALTH & -'- IJ ~ L]~,1 NvIR~NMENTAL PROTECTION ANCHORAGE WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 RECEIVED 563-6 5 December 3, 1990 Mr. Bruce J. Corwin, P.E. Corwin & Associates, Inc. P.O. Box 230608 Anchorage, Alaska 99523-0608~ RE: Lot 98-3 Tony Schaff Subdivision, Girdwood, Alaska, Request To Waive the Separation Distance Between a Class C Public Water System Source Well and a Sewer Line and Concrete Manhole, ADEC Project Number 9121-WA-008; Review Dear Mr. Corwin: This is in response to your submittal, received in this office on October 9, 1990, in which you requested that this Department waive the minimum 150 foot separation distance between a Class C public Water System Source Well and a sewer manhole and the minimum 100 foot separation distance between a Class C Public Water System Source Well and a community sewer line. I apologize for the delay in responding to your submittal; however, due to difficulty experienced in filling vacant positions, this office's ability to respond in a timely manner has been severally hampered. I have completed my review of the submitted information and have the following comments. Concerning the two requested separation distance waivers between the existing Class C Public Water System and the Sewer Manhola and the Sewer Line, I find that the submittal did not provide sufficient information to justify a waiver under 18 AAC 72.035. For the Department to continue it's review additional information will need to be submitted on the contour of the bedrock/gravel contact which in the past has been saturated, the depth of the well casing, a well flow test performed in accordance to the procedures found in the Department's publication entitled "Suggested Practice For Small Water Systems", pressure test results of the community sewer line located in the Agostino Mine Road, and any information on the construction of the manhole located at STA 51+95.00. This information and a copy of your October 1, 1990 letter will need to be submitted under your stamp as a Professional Engineer. Mr. Bruce J. Corwin December 3, 1990 Page 2 Based on the definition of community sewer line (18 AAC 72.990 (17)) the service line which is located approximately 41 feet from the existing Class C Public Water System Source Well is in violation of State Regulations concerning separation distances. As a result, a waiver request and copies of any test (pressure testing) results of the community sewer line located on the subject lot under your stamp as a Professional Engineer will be required. If you have any questions, please do not hesitate to contact me. ~e~ven K. Kleweno Environmental Engineer CC: John Smith, DHHS KKK/pf MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRO~NTAL HEALTH DEPARTMENT OF I~AI,TH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Informatiou Application Date ..~_/~:Z~? c/ Legal DescriPtion (include lot, block; '~} ~? ~ ~ ~., ' .' w (a)__ ~~//L/-~-~'/'~----5*~-- ./-_ snbdivision~ section, townshio ran~e~ ~. / (b) Applicants Nam~_~/.~_f* Applicants Address (c) Applicant is (check one) Lending Institution Buyer ~ ; Other~----~ (explain); (d) Lending Institution Telephone - Itome Business [----[ ; Ore,er/builder L~ ; ~. -lephone Address Address 7~'/ Telephone (f) Mail the HAA to the following address: 2. T_jipe of Residence Single-Family~ Number of Bedrooms Multi-Family Water Su~_!Z Note: If community well system, must have written confirmation from the State Department of Enw.ronmental Conservation attesting to the legality and status~ Sewage Dis__~posal Onsite [~ Public [Z~ Community ::: Holding Tank h---::[ 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] ? 5. Engineerin~g~_Firm Providin~ Ins?_e.ctions~ Tests3~ File Search, Data and Informrti.· As certified by my seal affixed hereto and as of the validation date shown belo~, 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 adequata 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 ny investigation and inspection, the on-site %rater supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regol~- tions in effect on the date of this inspection. Telephone (ENGINEER SEAl,) DHEP .Ap~_o. val (~ /) ../ ~'~ Approved ~" Di sapprovdd Cond i t ion~. Te~s of Conditional Approval CAUl'ION TIlE MUNICIPALITY OF ANCHORAGE ]~PAR~.MENT OF HEALTH AND ENVIRONbIENTAL PROTECTION (DHEP) ISSUES }~ALTII AUTHORITY APPROVAl, CERTIFICATES BASED SOLELY UPON THE REPRESENT.- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE, STATE OF ALASKA. T}~ DHEP DOES THIS AS A COURTESY TO PURCtlASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-.. MENTS. EMPLOYEES OF ~IEP 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. (DHEP SEM~) RR4/ej/D18 [Page 2 of 2] 7-19-84 ae Be Well Classification Well Log P~esent (~)7 Total Depth '~ ! ~- Cased to .MUNICIPALITY OF ANCHOR^Ok: M~ICIP~I~ OF ~C~GE (MOA)~NViRON;,~'iAL P:xxr~cno~ H~ ~O~TY ~PROV~ (~) OCT J. C~CKLI~'- FEBRU~Y 1984 If A, B, o~ Cw D.E.C. Approved(Y/N) ~ 7Z- Depth of Grouting. Static Water Level ~ ~ / Pump Set At ~-~ ~ Casing Height Above Ground /_'~ // Sanitary Seal on Casin~ Electrical wiring in Condui~ ' Depression A~ound Wellhead ~_ Separation Dis,tances frc~a Well-l: ! / / To Septic~Tank on Lot g~Z/// ~ ~ ; On Adjoining Lots To Nearest Edge of Absorption Field/on Lot/~70'7z2 ~' ; On Adjoining Lots To Nearest Public Sewer Line //f~ To Nearest Public Se~r Cleanout/Manhole /~ //.~ To Nearest ~ Service Lir~ on Lot 6 . Water Sample Collected By~'~,~ ~////7~7~, Date ~/Z ~/~ ~ Water Sample Test Results Cc~msnts ~/, / ~/~ ~-~' ~7~ ~,~-~/~- _~--~i7 F~ /do I X' [Page 1 of 2] SEPTIC~ TANK DATA Date I?stall9.d ~ /~y S~ze ~ No. of Compa~tn~nts Standplpes/Y_~. ~Al~-tlght Cap~~ Foundation Cleanout ~p~ession~ Ta~ ~ ~te ~~~ ~ P~i. ng~intenan~ ~n~act ~ File ~; fo~ . ~ Holding T~ High-Wate~ Ala~ ~Y~~~a~y ~oldl~ Tank Pe~t Separation Distance ~ ~pt~c~ol~ing Ta~k: To Water-Supply ~11 .~/ //,~ ~ To ~ilding F~ndatio~~~~ To ~o~ty Li~ ,/~ ~ / To Die,esl Field ~ '//~--f To ~te~ ~Ln,~e~vl~ Li~ ~~ S~e~, Po~, ~e, ~ M~jor ~aina~ · Cour~ 2=15=84 Ce ABSORPTION FIELD DATA Soils ~ating in Absorption Strata Date Installed/~r~.~/'~. Width of Field Type of System Desig.n, Length of Field Depth of Field / ~ ! Gravel Bed Thickness Square Feet of Abscrption/~ea ~/~/(. Standpipes P~esen~.~/~, Depression over Field (~.~ Date of Last Adequacy Test%~,/~~/ Results of Last Adequacy Test ~/~ 7-/~ 7-~ ~ / Separation Distance from Absorption Field: To Water-Supply Well /~ ~a ,. To P~operty Line /~ To Building Foundation ~O/~/./~' To Existing or Abandone~d System cn Lot ~ ~ { ; On ~ ~Adjo}ning Lots ~/~3 To Wate=-~t=~r/. Service Line ~.5 To Cutbark(if present) To Stream/Pond/Lake/or Majo~ D~ainage Course /6z/ To D~iveway, Pa~king A~ or/Ve~hi~le Storag9. A~e~ __~O D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(Y/N) Dimensions Ma~o~/Access (Y/N__) Pum?ing Cycles du~ing Adequacy Test. ~ets MOA Comments ** Check Permitted Bedroom Rating A~ainst HAA Request certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. Company KB1/dL/s [Page 2 of 2] 2-15-84 DEPARTMb 825 #1: Time Date ~-q~a~ ~,,~, Insp MUNICIPALITY OF ANCHORAGF OF HEALTH AND ENVIRONMEN L Street, Anobora~, Alaska 264-4720 Date Received: PROTECTION 99501 February 23, 1978 #2: Time #3: Date Insp Time Date Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska Statebank Mailing Address: 310 East Northern Lights Blvd. Phone: 279-7637 783-4281 2. Property Owner: Jesse L. Prince, Jr. Mailing Address:' Box 467 Girdwood 99687 Phone: 3. Legal Description: T10N R2E Section 19 Lot 3 of 98 4: Single Family Residence: ~x) Number of Bedrooms: Three Multiple Family Residence: ( ) Number of Bedrooms: Well System: .I~ Well (x) Connnunity/Public System ( ) serving two (2) Permit # Depth of Well Well Log on File Construction Bacterial Analysis ( ) Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site Installed Distances: Well to Septic to Sewer Line Soils Rate Tank Nearest Lot line System (x) Public Utility Installer Manufacturer Material to Absorption A ~ ( ) Absorption Area to Nearest Lot Line Pag~ T,~o ~ Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: T10N R2E Section 19 LOt $ of 98 Comments: Affadavit Attached: ( ) Letter Attached: ( ) Approved: ~~ Date: Disapproved: ~rC~ Date: Department Worksheet: (o;Selsod Snld) ;t08--~iV~I fl31~l,l~Ir30 [10~ ,I. dl~lO;JU MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO __ VA FHA Mailing Addres~s: ~ ~' °/ ~-~/Jz~.//~tC~ay Mailin~ Address: . _ Da~ Phone 4. Name of Lending Institution: &~/~~ ~(~~ . 5. N~m~ ~f R~toror Ag.nt: ~~ ~ ~ CONV Mailing Address: Phone Type of Facility to be inspected: No. Bdrms. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well Individual Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) EQ-037 (1/74)