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HomeMy WebLinkAboutTIMBERLINE LT 2 Municipality of Anchorage Page L of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~.~LL~ ~'~ Name:Wastewater System: D New ~Upgrade Address: /~ ~r ~,~ ~ ~/~ ABSORPTION FIELD LEGAL DESCRI PTI ON so, Rating~ ,~ GPD/Sq. Ft. Total Depth~from~original grade: Lot: Block: Subdiv~[on: Depth to pipe be~om fro~ original grade: Gravel depth beneath pipe Gravel width: Number of lines: I D~stance be~een lin~: WELL: ~New ~ Upgrade ~ Ft. ~I /~[ Ft. Classification (Priwte, A,B.C): Total Depth: Cased To: Total absorption area: Pipe material ~ ~ ~ Date inet lied: Driller: Date Drilled: Static Water Level: Install Yield:~ GPM IPump Set at: Ft. Icasing HeigM Ab°ye Gr°undFt. TANK SEPARATION DISTANCES ~s~,ti~ ~ Ho~,g ~ s.~.~.P. TO Septic Absorption Lift Holding Public/Pdvat~ Manufacturer: Cap=cityin gallons: From Tank Field Station Tank Sewer Lines Material: Number of Compadments: Surface Cu~ainDrain t~~ l~~ ~ ~ ~ ~del I Electrical Inspections pedormed by: BENCH MARK Remarks: ~ ENGINEER'S SEAL ~nspect~ons pe~ormed by: Department of Health and Human Se,icesappr°val~¢ ~~.~ Re vi awed and approved by: 72-013 (Rev. 9/91) MOA 25 PID 015-164-06 PERMIT ND~ SNV970241 Or.win AS-BUILT WASTEWATER ABSORPTION SYSTEM LO 2 TIMBERLINE SUBD, 100 STREAM SET-BACK EXIST. 2500g HOLDING LEFT IN PLACE FOR REUSE ) C,\Wo~R\8 FIM )ER,DVG EXIST. SEPTIC PREPARED FOR~ Llss~ Scott/M~rk Smole 10901 Trci[~ End Roac~ Anchorage, AK 99516 (907) 346-3368 STREAM SET-~ACK SEPTIC SYSTEM 5-~IDE TRENCHES, 36LF, 1848 LF EFF. EXIST. ~" WELL DESIGN~ : Pe,,rc Rate = 4 Mih/I?~h ~... 3 Bedroom House,i/ ~ '~"0;~' 375 SF Rqd 3' To~[ 9ep~h, 7~' Lon9 To~[ A~sorp~ion Pcnnone Eng, Svc, P, 0, BOX 142025 ANCHORAGE, ALASKA 99514 878-8818, PHONE & FAX DATE, 9-10-98 ~ AS-]~UILT ~CALE' 1~=60' I PID 015-164-06 2 AS-BUILT DETAILS WASTEWATER ABSORPTION SYSTEM LOT 2 TIMBERLINE SUBD, z PERMIT ND' SW970241 W J ]]m,'e, wlmg C,\Wor k\PTIM]~ER,I]WG PREPARED FDR~ Lissa Scot~/Mark SmoLe 10901 TraiLs End Ro~d Anchorage, AK 99516 (907) 346-3368 Panmone Emg, Svc, P, D, BOX 148085 ANCHORAGE, ALASKA 99514 878-8218, PHONE & FAX DATE, 9-15-98 NBT TO SCALE AS-BUILT Al{CO .4L~SKA.~ 272 8218;# 1/ DEPARTMENT O~ NATURAL'R~BOUREB Oivlsle~ of ~eologlcei ~ Geophy~icelSurve7~ ..R rE .............. pe.~,t, Hea th & H~ Rick Mystrom, Mayor Mun cipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.a{~chorage.ak.us December 10, 1998 StevenR. Pannone, P.E. PO Box 142025 Anchorage, Alaska 99514 Subject: Waiver Request for Lot 2 Timberline Subdivision Waiver Request #WR980091. Parcel ID #015 164 06 SW970241 Dear Mr. Pannone: Your request for a waiver of the required 100 feet horizontal separation from the absorption field to surface water has been approved. The approved separation distance is 62.0 feet. This waiver approval applies to the existing absorption field to surface xvater separation only. Any future upgrade to the on-site wastewater disposal system ;vill 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 343-4744. Sincerely, Civil Engineer On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services~ On-site Services Section Wa'iver Review Worksheet WR#Ii~O~¢)~\ PID% 015-164-06 HA# Date Received: November 13, 1998 Legal Description: Lot 2 Timberline Subdivision Engineer: Steven R. Pannone, P.E. Permit PO Box 142025~ Anchorage, Alaska 99514 Applicant: Lissa A Scott Waiver Requested: Drainfield to existing creek r,mn~ng throu_~h property ~ ~ F~f7-- Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: List Conditions or Reasons Date: /%-/~-~8 for Rec #: 04343/7072 Amount: Steven R. Pannone, P.E. Consulting Engineer (907) 272-8218 P.O. Box 142025 Anchorage, Alaska, 99514 (907)272-8218 Fax September 15, 1998 Mtmicipality of Anchorage Dept. of Health & Hmnmt Services OmSite Services Section P. O. Box 196650 Anchorage, Alaska 99519 RECEIVED DEC 10 1998 O Munic~pahty of Anchorage ept, Health & Human Services Subject: Lot 2, T/mberline Subdivision Waiver request Gentlemen: I am writing to request a waiver be granted between tbe new drain field and the existing creek running through this properly. A permit to construct an upgraded septic system was issued on August 7, 1997 (SW970241). The new field and septic tank was staked for construction, based on the location of the creek at that t/me. However the system was not installed until July 27, 1998. During the installation we double checked the separation from the creek to the tank, but failed to verify the separation distance on the west side of the house between the creek and the new drain field. During the development of the record drawings, we discovered that the creek was located 91.7 feet fi:om the west drain field. I have reviewed the field conditions, and find that the field being so close to the creek will not have any detrimental effects to the creek. The ground where the drain field is located slopes to the southwest, while the creek rm,s to the northwest. There is a localized ridge nmnh~g from the comer of the garage to the southwest, preventing any overland flow from entering the creek. The field has the required four foot separation fi:om ground water. Based on the above information, I request that your department issue a waiver to 62 feet between the tank, drain field and the existing intermittent creek. If you have any questions about the proposed installation, please contact me at 272-8218 Sincerely, PE ' ' · *' ' ~'~ Steve,, R. Pa=one, . . ff ~;l ~&[.~. %.~.[ C:\WORKX2TIMBER.001 Steven R. Pannone, P.E. Consulting Engineer (907) 272-8218 P.O. Box 142025 Anchorage, Alaska, 99514 (907)272-8218 Fax September 15, 1998 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 RECEIVED SEP 18 Municipality of Anch~oraqe Dept. Health & Human ~erwces Subject: Lot 2, Timberline Subdivision Waiver request Gentlemen: I am writing to request a waiver be granted between the new drain field and the existing creek muning through this property. A permit to construct an upgraded septic system was issued on August 7, 1997 (SW970241). The new field and septic tank was staked for constmcfiun, based on the location of the creek at that time. However the system was not installed until July 27, 1998. During the installation we double checked the separation from the creek to the tm~k, but failed to verify the separation distance on the west side of the house between the creek and the new drain field. During the development of the record drawings, we discovered that the creek was located 91.7 feet from the west drain field. I have reviewed the field conditions, and find that the field being so close to the creek will not have any detrimental effects to the creek. The ground where the drain field is located slopes to the southwest, while the creek runs to the northwest. There is a localized ridge nmning from the comer of the garage to the southwest, preventing any overland flow from entering the creek. The field has the required four foot separation from ground water. Based on the above information, I request that your department issue a waiver to 91.7 feet between the drain field and the existing creek. Sincerely, Steven R. Pmmone, P.E. If you have any questions about the proposed installation, please contact me at 272-8218 Attachments: ~ C:\WORKk2TIMBER.001 PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASICA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970241 DESIGN ENGINEER:STEVEN R. PANNONE OWNER NAME:SCOTT LISSA A OWNER ADDRESS:10901 TRAILS END RD ANCHORAGE, AK 99516 DATE ISSUED: 8/05/97 EXPIRATION DATE: 8/05/98 PARCEL ID:01516406 LEGAL DESCRIPTION: TIMBERLINE LT 2 LOT SIZE: 49665 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST 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 (182LAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SANE DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. TOTAL DEPTH OF THE SYSTEM CANNOT EXCEED 2 FEET. 2. COVER DEPTH OF 3 FEET OR EQUIVALENT IS NEEDED. 3. FLOW SPLITTER IS NECESSARY TO ALLOW EQUIVALENT FLOW INTO TWO DRAINFIELDS. ISSUED BY: // Steven R. Pannone, P.E. Consulting Engineer (907) 272-8218 P.O. Box 142025 Anchorage, Alaska, 99514 {907)272-8218Fax June 27, 1997 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 2 Tinabar Line Subdivision Well and Septic Upgrade Permit Gentlemen: My firm was contacted to investigate the possibility of installing a septic system on this lot. Currently, the house on this lot is served by a holding tank. A single test hole was excavated on June 21, 1997. The soils report and a percolation test result is attached. Ground water was monitored for seven days. No bedrock was encountered in the test hole. The bottom of the excavation was damp. Water stabilized at ~t~,en feet below the surface. To install a gravity flow septic system on this lot, the existing well must be relocated to the north east comer of the lot. The existing well will be abandoned according to ADEC regulations - the casing will be cut-offbelow the surface and filled with concrete. There is an old abandoned septic system in the area of the new well. The septic system was abandoned seven years ago, when the holding tank was installed. The lot is approximately 1.14 acres in size. Lot 2 slopes to the west at a rate of approximately 5 to 6 percent. The proposed installation will be located on the southern portion of the lot. The existing holding tank will be abandoned in place. Double clean-outs were installed d0wn stream from the tank. The proposed location is greater than 100 feet away from the proposed well serving this property and 25 feet from the water service lines. The surrounding wells are located greater than 100 feet from the proposed installation. The proposed installation will not affect the future development of the surrounding or existing lots. The proposed system will be installed 100 feet from the stream on the property and the stream running in the ditch along Trails End Drive. See the attached design. If you have any questions about the proposed installation, please contact me at 272-8218 Sincerely, Steven R. Paunone, P.E. Attachments: C:\WORK~TIMBE1L001 ' ~/ASTE~/ATER ABSORPTIF1N SYSTEM !,I LnT, e TIM}~ERLtNE SUB]], ~ ~ I ~ / ~ % F~UN~ATZDN CLEAN-OUT I I s~PTm ~[ LO~ ~ ~ Pert Rate = 4 MI ~ /~ 3 ~edroom House ~ ~, 375 SF Rq~ _~ Tot~[ Depth, 7 S' Long ~%-. CE 8149 ,-'~ M~rk Smo[e P, 0, 90X 142025 ~m:~.~.¢~? 10901 Tr:i[s End Ro:d ANCHORAGE, ALASKA 99514 ',2~: .............. .... :~ Amchor:Qe, AK 99516 878-88i8, PHONE & PAX ~m~l~ (907) 346-3368 DATE, ~-e8-97 9ESIGN I DESIGN DETAILS WASTEWATER ABSnRPTIrtN SYSTEM LOT 2 TIMBERLINE Z p- W w Dr'o, wlng C,\Wo r k\PTIMBER,I)W~, PREPARED FDR, Mark Smole 10901Tr~lts End Road Anchorage, AK 99516 (907) 346-3368 P:nnone EmQ, Svc, P, 0, BDX 148085 ANCHDRAGE, ALASKA 99514 878-8818, PHONE & FAX DATE, 6-88-97 NDT TO SCALE DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~'~'"[~-' LEGAL DESCRIPTION: ~-~- "~/1~ Township, Range, Section: 6 7 8 9 10 11 12 13 14 15- 16- 17- 18- 19- 20- ;OMMENTS SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth lo Waler Alter Monitoring? /0 Dote: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop ~:3~ ~ ~ ~/~ -5:~ ~ ~ ~/~ '/~ t PERCOLATION RATE ~(' (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~'~'- FT AND '.~ FT PERFORMED BY: ~-"r-,~,,~,/~,J ~__. ,~'~,~ ~ ~,tJ~.~ I(~. L.~ . CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ ~/~//~;~ ''~ 72-008 (Rev. 4t85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT N~me DISTANCES 4) a,~,~re,~ ~ TANK FIELD Permit No. No. of ooms ~X~` ~ .~*~ driveWay,A~?~A~A~(Sh~w~c~i~n~we`~se~tics~`e~r~pe~y~ines~unda~i~n~W~`er bodies, etc.) YANKS ~ -- I~. ~ SEPTIC ~OLDI"G TYPE OF SYSTEM ~ ~ .,~ ~ ~RENCH ~ BED ~ W, DRAIN ~OTHER ~ ~ ~,~(~ FT F~ ~ N.mber of Ii.es Sol, rati.g Pipe .a,eria, ~~' / ~mvatE ~ oTHER (~d~mi~v~ '~ ET Cased to REMARKS: ~ ~ ~ Health Depadment Approvah ~ ~ D.t,: /~E/~0 72-013 (3/85) P E R M :[ T DA.I_S, L;A 9 563-550() ]6} ]. (:Hi: k ~ _i NI:: i]RN D ,, l"l. I1 ,, S ,, F:'R :( OR '[0 :1; I'4,~.;pE:C'T i ON BY Ei:NG I NEER !, I t:::' AF' i'Ei:R OF:'F' ! CIE HOt.}R~;, CALl.. 343 "'4&8 :1. AN~} LEAVE A MESSRGIE. TI'liS F:'E[F:~t"J:{T EXP!!::i;EE4 12./31/90 AND VALID FOR A SINGLE F:AMILY HOME. ]:IqS'i'A~.i... I"J[)I,.,DING i'ANI< I;::'[;]::;~ E[NG]:NE[ERS AI-TACHEED I)EE;iGN,, L:EF:,'. I :~ I'::','" ] !{A'I'~ ~. ,~:im ~.¢,]f'.q:[].i~d' ~/,!i'L[] '}-'h~? f,i.;¢qi.!:i.i'¢~ifl,,-.:!r]'(]t:i ~(::lf" cH"r~,q!~:J.'(.,~ s~.:mmms and ~x~c~].ls as se~t fc:~p'Lh by the Mun:i. cipali'Ly c>f Anchor'a(2e (MOA) and '~.h¢:, S'Late cd' A).aska. :[ (,~:i.i] :i. ns'Lat] 't'.he sy~d:.c.:m in ac:c:Q~'danc~:~ wi'N] al! ME)A co(::h.~% and r6.~gu!a~tic~r~s, <t;d'qd J. ricc, mpliance (*~ith the des:i.{]rt c:?iteria c:,f 'Lhi% permit~ ]: ~/,l:i, iJ ¢',~dl"l~:.H"~! L(::> all MOA and Stat~:, aJs(::) (_~i'i,:::JeP~;'~'.ai'l(:;I '~:l':}~'~. '(.he )a(:::ity (:)f '[he to[al systcmi &s 4. b~dl"ci(::mls and any eri:i, ar'gemen](~/~-~J 11 r'(?c an addit:i.c, nal i December 18, 1989 ROBERT SHAFER, P.E. ROGER SHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PLANS ROAO DESIGN SOILTEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 ATTN: John Smith ,ll/[UNtCIPALITY OF ANCHORAGE DEPT, OF HEALr~ & ENVIRONMENTAL PROTECTION ;' :: 'i g I989 .I ECEIYEI) REFERENCE: Lot 2; Timbe~ne Subdivd~ion; Dear John, Per our conversation pertaining to the request for a holding tank permit for the referenced property, I have located a place on the property to locate the proposed holding tank more than 75 ft. from the stream located to the north of the property; the surface drainage located within the road ditch to the west of the property; and the private~n the property. However, th~ new location will require two new waivers. The first is a waiver betweeen the holding tank and the property line to 2 ft. as opposed to the required 5 ft. The second waiver ~ for the distance between the private w~ and the private sewer line existing the building at a d~tance of 15 ft. as opped to the required 25 ft. T~s is because of the new sewer line b~ing installed. Prior designs were to use the existing sewer line which was installed in 1977 before the effective date of the required 25 ft. separation. We have specified a "ring-tight" PVC pipe be used because of the encroachment. Again, we requ~t you grant the applicable waivers and issue a holding t~~perty. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Norther 14, 1989 ROBERT SHAFER, P.E. ROGER SHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL iNSPECTION & FLOW TEST SITE PLANS ROAD OES]GN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS Mu~eipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 ATTN: DAN ROTH REFERENCE: Lot 2; Timbe~ne Subdivision; Dear Dan, Request you issue a holding tank p~mit and a waiver for the separation d~tance between the proposed holding tank and a small stream located to the North at a d~tance of 36 ft. Although I realize you are more than familiar with this property give a brief history: On this property exists a house and a septic system which was pertained and the installation approved in November of 1971. However, since that time there has been a small body of flowing water d~covered to the north of the property which has been designated as a surface water source. This surface water source is located just 34 ft. from the existing leachfield. There is o~Zy one place on the property in which a leachfield could be located 100 ft. from the surface water source. (This is located in the Southeast quarter of the property). However, a soils test in this area shows the sodls unacceptable for a standard on-site wastewater disposal system. We had requested approval of an "innovative" recirc~ating sand filter for this property, but due to approval delays we switched to The Clearwater System. Then, due to reconsideration of our client, we applied for a permit to install a holding tank. However, this application was made when we were under the impression your office did not consider the water ~thin the road ditch to be surface water. At this time, on behalf of our client we a~e requesting you issue a permit to install a holding tank on the property 100 ft. from the surface water in the road ditch and 75 ft. from the private well on the property. However, this placeS the holding tank only approximately 36 ft. from a stream run~ing along the north of the property. A waiver to this stream is requested since it is located more or less uph~ from the proposed tank as opposed to the water within the road ditch. ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 2; Ti~bertine Subdivision; November 14, 1989 The holding tank is to be equipped with water tight couplings to prevent seepage into the ground. There wi~ also be a ~igh water alarm installed to allow sufficient time for a septic pumper to be contacted to pump the tank prior to allowing sewage overflow from the tank ~leanout. If you require additional information for your review, please contact ~. Sincer~y,/ C~$/gm I~AUNIC]PALITY OF ANCHORAGE ENVIRONMENYAL SERVICES DIVISION 1989 RE£EIVED AuguSt 29, 1989 ROSERT SHAFER, P.E. ROGER SHAFI:R CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTHAUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUOIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 2; Timberline; Lot 11; Block 9; Rabbit Creek Heights; Lot 15; Block 3; Henkins; Lot 3; Block 6; Mann #2; Lots 4 & 5; Block 6; Rabbit Creek Heights; For each of the referenced properties we request you issue a permit for the installation of an on-site wastewatcr disposal system ~zing the Clearwater Waste System for treatment of the effluent prior to disposal into an absorption area. We are under the impression that you have given verbal approval of the Clearwater Waste System so attached for each property is a site plan showing the configuration of the wastewater disposal system and other pertinent property features. The reason each of these properties has been s~eeted for the Clearwater Waste System is as follows: LOT 2; TIMBERLINE: On this property exists a house and a septic system which was permitted and the inst~lation approved in November of 1977. However, since that time there has been a small body of flowing water d~covered to the north of the property which has been designated as a surface water source. This surface water source is located just 34 ft. from the existing leachfield. There is or~y one place on the property in which a leachfield co~d be located 100 ft. from the surface water source. (This is located in the Southeast quarter of the property). However, a soils test in th~ area shows the soils unacceptable for a standard on-site wastewater disposal system. We had requested approval of an "innovative" re~r~ating sand fitter for this property, bat due to approval delays we have switched to the Clearwater System. We now propose the installation of a Clearwater System which will dischurge into a new absorption area. This system is unique in that it will require a separation d~tance waiver of 69 ft. between the well and the existing septic tank. There wi~ ~Z~o need to be a waiver of the distance from the new leachfield to thc surface waler source of 66 ft. We feel this waiver shoed be granted because of the treatment the wastewater wd~l receive prior to being discharged into the leachfield. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two LOT 2; TIMBERLINE; LOT 11; BLOCK 9; RABBIT CREEK HEIGHTS LOT 15; BLOCK 3; HENKINS; LOT 3; BLOCK 6; MANN #2; LOTS 4 ~ 5; BLOCK 6; RABBIT CREEK HEIGHTS; AUGUST 29, 1989 There will also need to be a waiver for the distance b~tween the leachfi~d and a cutbank to 10 ft. We fe~ this waiver shoed be granted in part beeaase of the effl~enttreat~ent, but also since the leachfi~d will be installed at a sufficient depth as not to allow the effluent to surface through the eutbank. LOT 11; BLOCK 9; RABBIT CREEK HEIGHTS: On this property exists a 3 bedroom home which is nearing the completion of its construction. Soils inv~stiga~on on this property show the soils to be unsuitable for a traditional septic system. The lot is highly vegetated with sol~ consisting of a 2 ft. organic layer overlying a clayey, silty, sandy gravel layer. Groundwater levels on the property were high with ~roundwater periodically high enough to saturate the organic layer. The mounded absorption bed type leachfi¢ld for this property is to be constructed above the ground surface with a 4ft. intermittant sand filter layer which wi~ bring the absorption bed 4 ft. above the seasonally high groundwater level. This system is unique in that it will require a waiver of the required 2 ft. of natural, permeable receiving soil above the groundwater level. This property is also one which was proposed for the "innovative" reeirc~ating sand filter system. LOT 15; BLOCK 3; HENKINS: On this property exists a 3 bedroom home with a septic system which was permitted and whose installation ~s approved in Ju~y of 1982. However, since that time, groundwater monitoring in the area has shown groundwater levels as shallow as I ft. below the ground surface. Installation of the Ridgewaste System was approved for this property but construction was o~Zy partially completed before financial and other complications halted the project. The mounded absorption find for this property will be constructed by first removing Ift, of organic overburden and then installation of a 4 ft. intcrmittant sand filter. This will bring the absorption bed 4 ft. above the seasonally high groundwater level. This property is u~ique in that the proposed leachfield will be constructed over the existing leachfi~Id area. This property w~ also require a waiver of the required 2 ft. of natural, permeable receiving soil above the groundwater level. This property is also one which was proposed for the"innovative" recireulating sand filter system. Page Three LOT 2; TIMBERLINE; LOT 11; BLOCK 9; RABBIT CREEK HEIGHTS; LOT 15; BLOCK 3; HENKINS; LOT 3; BLOCK 6; MANN #2; LOTS 4 & 5; BLOCK 6; RABBIT CREEK HEIGHTS; AUGUST 29, 1989 LOT 3; BLOCK 6; MANN #2; On this property e~sts a 3 bedroom home. There e~sts no well or septic system. Construction of the home was performed with the owner unaware that a land use permit was required in their area. A soit test on the property showed the soi~ on the east end of the property to be suitable for a conventional septic system, however, there is an existing drainage ditch with surface water in it which prevents a septic from b~ing installed in that area due to separation distance requirements. The soils on the rest of the property have been found to be unacceptable for a conventional on-site ~stewater disposal system. The soils on the property consist of an organic layer approximately 2 ft. t~ck. Below this organic layer is a layer of clayey, s~ty, sandy gravel. Groundwater appears to travel under the organics on and wit~n the underlying layer. Construction of the absorpiton area is to be performed by removing the 2 ft. organic layer and installing a 4 ft. i~termittantsand filter which would bring the absorption bed 4 ft. above the groundwater level. T~s property will also req~re a waiver of the 2 ft. of natural, ~ermeable, receiving soil above the groundwater level. Lots 4 & 5; BLOCK 6; RABBIT CREEK HEIGHTS: On this property exists a small 2 bedroom house. A land use permit was issued for the property in 1980 ~th the understanding that there will be no water and sewer facilities. However, a well has been drilled and the owner now wishes to install a wastewater disposal system. Soils investigation on the property has found soils similar to th~ of Lot 3 ; Block 6; Mann #2. The mounded absorption bed is to be located on the ~gh portion of Lot 5. As with Mann Subdivision #2, the 2 ft. organic layer is to be removed and a 4 ft. intermittant sand layer installed. This property will also require a waiver of the 2 ft. of natural, permeable, receiving soil above the groundwater level. We feel the Clearwater Waste System should be treated as an "innovative" system and each of the systems on these properties should be monitored closely for a designated period of time with monthly inspections of the mechanical operations. We also feel that d~charge samples should be taken and tested for various quality parameters a~ prescribed by your depar~eat. We feel the sampling should begin after a "starting up" period and should end by mid-summer of 1990. At that t~me the system will no longer be labeled "innovative" and it willbe either approved or disapproved for general installation. Ending the sampling period in mid-summer of 1990, will allowtime for new installations during the 1990 construction season. Page Four LOT 2; TIMBERLINE; LOT 11; BLOCK 9; RABBIT CREEK HEIGHTS; LOT 15; BLOCK 3; HENKINS; LOT 3; BLOCK 6; MANN #2; LOTS 4 & 5; BLOCK 6; RABBIT CREEK HEIGHTS; August 29, 1989 We are of the impression the Municipality of Anchorage has mo~des set aside for innovative septic systems. We understand that some of this money was used for the construction of two innovative peat systems instaP/edwithin the MunicipoPd, ty. Therefor, we ask that the Muni~ip~P~ty bear the cost of labor and lab fees for monitoring and effluent testing of the systems once construction has been completed. During construction of the proposed systems, Nick Zorich Jr. of Clearwater Waste Systems, Inc. wi~ be present for instal£er training and construction inspecting of the systems. Any questions pertaining to the Clearwater Waste Systems should be directed to Mr. Zorich at: P.O.Box 754 Astoria, OR 97103 Phone: (503) 325-5879 (503) 325-7620 The five owners of the referenced properties have been made aware that the proposed systems are innovative in nature and they w~ not be fully approved until such time that your department feels the mechanical functioning and discharge characteristics of the systems is sufficient to warrant final approval. As a final note, if the Ol~arwater System is not found satisfactory enough for final approval, the contents of the steel tank which is to hold the Clearwater System is to be removed and a high water alarm installed at the owners expense. At that time the septic tank and Clearwater tank combined w~P~ act as a holding tank with a capacity in excess of 2000 gallons. With approval of the instal~aJ~on of these Clearwater Systems we a~o ask that you approve holding tankz for these properties in the event the Clearwater System is not found satisfactory. (.~0~RT A. SHAFER, P.E. cc: FREDDIE MAC ¢[o George McCoy-Jack White Company Lloyd Barrus AHFC c/o Lori Crowder-Jack White Company Kaarina Brodsky Gloria Hampton 6 Ken Dodge f '0 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~ ~-- '~11"~'1~3~.-[..~.~ ~ 1 2 3- 4 5 6 7 8 9 10 11 12 13 14 15- 16- 17- 18 19- WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT OL DEPTH? Township, Range, Section:,'"~l'~.l~ ~'~'L,~ SLOPE SITE'~PLAN I ' PERCOLATION RATE ~[O (minutes/inch) PERC HOLE DIAMETER COMMENTS s& s~'"'"""~ PERFORMED BY: ;~.le R~ver, Alaska ~577 ~ / /)~ ~ CE F THAT THIS TEST WAS PER ~ / / ~// ~ { RTl Y . FORMEDIN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI~CT ON THIS DATE. DATE: Reading Date Gross Net Depth to Net Time Time Water Drop · '~ ,'~,~ to" !,1 ~'/~''' Tom Fink, Mayor Ntun c pality of Anc ra ¢ Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 AUgust 8, 1989 Robert Shafer, P.E. S & S Engineering 17034 Eagle River Loop, Suite 204 Eagle River, Alaska 99577 Subject: Lot 2, Timberline Subdivision Recirculating Sand Filter Dear Mr. Shafer: The Department of Health and Human Services (DHHS) has reviewed your design of s recirculating sand filter (RSF) to be used as part of an on-site wastewater disposal system. Since this type of system is considered to be innovative, our review has focused not only on the site specific application of the RSF but also on the general applicability of using RSF systems within the Municipality. As you have previously mentioned, the RSF has been used successfully in the lower 48 but effective use of this technology in Alaska has not been documented. It is our understanding that your design is based on similar systems which have operated in Oregon. We would~app~eciate~ being able to review any supporting documentation on the performance of these systems. DHHS is supportive of your proposal to install a RSF system. However, based on our review of your design, we have the following comments and concerns which should be addressed prior to issuance of a permit by DHHS. The existing drainfield is located 34 Ft. from a stream which crosses the property. A waiver from the required 100 Ft. separation has never be granted by DHHS or ADEC. AS currently designed, the proposed system upgrade, using a RSF in conjunction with the existing drainfield, will require separation waivers from the stream and the water well which serves the existing house. It is our understanding that you are currently evaluating the possibility of constructing a new drainfield in a location which would be in conformance with the separation distance requirements. "Kids Are Our Future" Robert Shafer, P.E. S & S Engineering August 8, 1989 Page Two o o Available literature on RSF systems suggests that with loading rates of 5 GPD/Sq. Ft. or greater, regular maintenance and cleaning of the filter surface is usually required. Your RSF design does not allow free access to the filter media. When free access to the media is not allowed, available literature suggests that loading rates should be significantly less than 5 GPD/Sq. Ft. What measures are being taken to provide for maintenance of the filter media? What type of timers will be used to control the pumps? What range will they have and will they be located in a place where they can easily be access-ed and adjusted? Based on pump run time and discharge specifications there does not appear to be any flexibility to increase the recirculation ratio above 5:1. What options are available to increase the recirculation ratio in the event that a higher ratio is required to achieve necessary effluent quality? The design loading rate of 5 GPD/Sq. Ft. is based on the surface area of the sand filter. Since the filter is housed in a half round tank section, the true surface area of the filter decreases with filter depth.thereby causing an increase in the actual loading rate. Your submittal recommends a 6 month testing peridd for the filter effluent. We think that testing should be conducted for a period of at least one year. Depending on the results of initial effluent testing, the frequency of the tests may be reduced to once every 90 days. Although the RSF is considered to be an innovative system, with unconfirmed performance characteristics in Alaska, criteria by which to evaluate the system should be established..Your design should specify the expected filter ripening time and the expected quality of the filter effluent. Robert Shafer, P.E. S & S Engineering August 8, 1989 Page Three After successful testing, DHHS will require that a complete 0 & M manual be prepared with one copy being provided to the home owner and one copy for the DHHS files. In addition to the above comments, we have also provided comments on your preliminary blueline drawings. If you have any questions regarding this office at 343-4744. Sincerely, ~ ~~a~;~; On-site Services our comments please contact ROBERTA. SHAFER July 3, 1989 CIVIL ENGINEER 694-2979 HEALTHAUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & PLOW TEST SITE pLANS ROAO DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 2, TIMBERLINE Subdivision RequeSt you issue a permit to install a recirc~lating sand filter system on the referenced property for treatment of the wastewater generated by an existing four (4) bedroom house. The existing septic system is located too close to a small stream which runs along the north property line approximately 34 feet from the leachfield. The proposed system is manufactured by Anchorage Tank and Welding with mechanical and eleclrical controls developed by 0renco Systems,Inc. The system consists of a 1500 gabon set~ng tank with an attached 1000 gallon recirculation tank. There also exists a sand filter and ultra-violet light u~t for treatment of the wastewater before it will be discharged into the existing leachfield. The operation of the system is as fotlows: Wastewater travet~ng from the residence will enter the 1500 gallon settling tank. This tank gives approximately a 2-3 day retention time where the solids w~ settle out and the liquids will travel through a wire mesh type effluent filter developed by 0renco Systems, Inc. From the setting tank the liquids will spill-over into a recirculation tank. Within the recirculation tank exists two effluent pumps. One pump (Re~rc~ation pump) will be set on at, ming system. The Recirculation pump will run for 2.8 minutes out of every half hoar. During this 2.8 minutes approximately 61.6 gallons of effluent will discharge over the sand filter wh~e approx~ately 14 ga~ons will be de~vered to the front of the setting tank. This recircalation to the settling tank is for denitrification purposes. Once the effluent has travelled through the sand filter it w~ travel through a collection pipe back into the reeirc~ation tank. The second pump within the recirc~ation tank (discharge pump) will operate on a float system. The discharge quantity will be 200 gallons between pump on and p~,p off. The effluent 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 page t~o LOT 2, TIMBERLINE SUBDIVISION July 3, 1989 from the discharge pump will travel back to the eraw~ space of the house and through an ~ra-violet light sterilizer which will be activated prior to the start of the discharge pump to allow for a "~rming-up" period. On the o~et end of the ultra-violet light steri~zer will be a faucet for water sampling. Once the treated effluent travels through the sterilizer it will flow into the existing lcachfield and a§sorbed into the ground. Attached for your review are the following documents: I. A recirc~ating sand filter design with design criteria. 2. A settling/recirculation tank design. 3. A wiring diagram. 4. A process diagram. 5. A site plan. We recommend a six month period of wastewater quality testing once every month prior to issuing final approval on the system. If the treated wastewater does not meet the required parameters for surface water discharge~ the end of the settling tank is to be capped and the settling?recircalation tank wi~ operate as a holding tank. If you require additiona~ information for your review, please contact us. Sinc~ ~JS/! A. SHAFER, P.E. MUNICIPALITY OF ANCHORAGE MEMORANDUM DATE: July 12, 1989 TO: FROM: John Smith, P.E., Program Manager On-site Services Daniel J. Roth, Civil Engineer~ On-site 'Services SUBJECT: Permit Application for Lot 2 Timberline Subdivision for a Recirculating Sand Filter from $ & S E~gineering Upon review of the latest submittal of application for permit to construct the first recirculating sand filter, I feel a permit can be issued at this time to construct the system. I recommend a condition be placed on the permit that will hold the engineer liable, if in the event the system proves successful, to provide an operations and maintenance manual before final approval is given to the system for conventional use. / The engineer recommends in his letter that once a month for six months a sample be taken and full approval given to the system. upon successful completion of this test period. I do not feel this is a sufficient time period for testing this system. I recommend one year minimum to determine if a biomat has developed and to witness the maintainability of the ultraviolet program bulbs. I do not, however, feel that a rigid sample testing program of the effluent is necessary for the entire year. My recommendation is attached. DJR/ljw:144 MUNICIPALITY OF ANCHORAGE Hea1 ~ and Environmental Prote~ '~* Fourth Floor West .- 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ON-SITE SEWAG[~ DISPOSAL SYSTEh't SEPTIC TANK: DISTANCE ~'~' NU M Bf-7 R OF FROM WELL _~_~_ .... MANUFACTU ~ER _~ ..... MATERIAL ~.~ .......... COMPARTMENTS TILE DRAIN FIELD: TOTAL I_ENGTH DISTAN( E [;ROM WELLN~_ _FOUNDATION NEAREST EOT LINE .......... OF LINE # of Lines ~ ..... DISTANCE BETWEEN L. INES~--~ TRENCIt WIDTFt~_~_ IN. TOTAL EFFECTIVE [,,BSOHPrION AREA ~}~_ ....... SQ. ET. LENGTN OF EACN LINE DEP~II OF FILTER il DFPIIh ]OP OF TILl ~O FINtSII ~t/ADE ~ _~ NATE ilAI BENEATH T LE ~_[~__~.~ ABOVE TILE __~ SEEPAGE PIT: DIAMETER ~_ OR WIDTH .... LENGTH___, DEPTH ....................... Log Crib Rings Crib Size: DIAMETER .... DEPTH ....... DISTANCE PROM: WELL TOTAL EFEECTIVE NEAREST LOT LINE__ ___ ABSORPTION AREA (WALL AREA) _SQ. FT. ~11 Lass: Depth: ~11 Distance To: Lot Line Ldg: Sewer Line: Lpe Materials: of Bedrooms: ~ ~staller: ~t~_~0 FERMIT NO. FIPPL I CANT LOCRT I ON LEGRL '[',E~,RR]]i]IE"~.i~: ~] 'H~.~t._TH RIND ENVIRONMENTBL .... ROGER WEE[:, 928 W. 7C~]'H ~] A~ ~) ~ 27B-964~. UPPER OMRLLEY ~ ~ 4~6~5 SQURRE FEET c; ...... LOT =,I~E LT. 2 TIMBERLIHE -,[ ~¢. - - TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS = _.Z'4 SOIL RRTING (SC! FT/BR)= :ttaO THE REQUIRED SIZE OF THE SOIL RBSORPTION SgSTEM [:,EPTH= J._E~ I__ E ~-~,3 TH= 2~;;~ G ~ R"-..' E L. [)EF"TH= 7 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEL[:'. THE D~.~'TH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROI..IND RN[:, THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL 8ETPIEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). F-PI£:~::]FI6E F'L.F! f-~-r C,F']" :[ Of-~ ,~UBJECT TO THE R FHL. F. HaE PLRNT MRY E,E INSTRLLED RT THE PERM[TTEE"S OPT[Fff4 FOLL. OWI NG COND I T I ]NS: &. EITHER R t..LH=,5 I OR II N_,F RPPRO',/ED PLRNT f'lR'r' BE INSTRLLED. R RONTINUnUS MRINTENRNCE RGREEMEHT IS RESfl_IIR. ED. IF R flRINTENHH-.E RGREEMENT IS HOT KEPT L._RRENT YOU MRY BE REQUIRED TO ENL~E.~E THE =,LIL RBSORPTION =,re_TEl1 RND/OR YOU MFIY BE SUBJECT TO pRESECLITION. E:RCKFILLING OF RNY S'¢STEM WITHOUT FINRL INSPECTION RND RF'F'RO',,,'RL BY THIS [:,EPRRTMENT NILL BE =,I.IBJEL. f TO PRCSEEJTION MINIMUM DISTRNCE BETWEEN R WELL RND RHY LN-~ITE SENRGE DISPOSRL d. OE~ FEET FOR R PRI',,,'RTE WELL ER 2E4E1 FEET FOR R PUE, LI_. NELL NELL LOGS RRE. REQUIRED RN[:, MU=,T BE RET_RHED TO THE DEPRRTMENT WITHIH OF THE WELL...CO~PLETIBN. OTHER RE~,~UIREMENT- MRY RPPLY. =,FEL. IFIL. R]IuN-, RND CONSTRUCTION DIRGRRMS RRE WCRII._RBLE TO IHSURE F'ROPER IHSTRL. LRTIOH I CERTIFY THRT - H_, - ET ~ . . _ . _;'. - E. SEWERS FIND WELLS -':' ].: I AM FAMILI:AR NI]:H THE RFu';, IF:'EMENTS FOR -~-bIT Fi_-iR'TH BY THE MUNIRIPALITY OF ANCHORAGE. 2: I !.4II_.L INSTALL. THE _,¢brEi] IN ACCORDANCE NITH THE CO[:,ES. ]~:: I UN[.ER= rHN[. THRT THE ON-SITE SENER SYSTEM MRY REQUIRE ENLRROEMENT IF THE i,'ESIDENCE IS; REMODELED TO INCLUDE MOF.'.E THRN ]: BEDROOMS. SI '3HE[:' :~~ ~.,-,]~-.~' ........................ I-,-,UE[. BY- I?RTE ................. V-".. 0 T.H. 1 8/2/77 0,0~ Organics 0.5' Silt, tzace.sand, 1.0' Gravely Sand. (SP) 3.0' Sandy Gravel, trace silt (brown) (GW) N Gravely sand grading to sandy gravel w/trace silt. (SP-GW_ T.H. 1 Soils Log represents location of test hole. No Water Table 14.0' T.D. 77A-204 Clabo Construction Log of Test Hole Anchorage, Alaska August 2, 1977 g company, inc. · 8901 toloff, box 8718. anchorage, alaska. 99508.~,e Mr. Earl L. Clabo Clabo Construction Company Box 3-4056 Anchorage, Alaska 99501 Dear Mr. Clabo: In accordance with your request of August 1, 1977, one test hole was logged on Lo~2 of Timberline Subdivision Addition No. 2. The test hole was excavated with a backhoe to a total depth of 14 feet below ground surfact. The excavation was initiated and completed on August 2, 1977. As illustrated by the accompanying log, the soil profile was generally one foot of organic material grading to sandy silt with some organics overlying five feet of gravely sand--sandy gravel mix underlain to depth by sandy gravel -- gravely sand with trace silt. Ground water was not encountered in this test hole. Should there be any questions with regard to the enclosed information, please do not hesitate to contact us. Yours very truly, THE DRILLING COMPANY, INC. PAUL L. JACKSON, JR. Geologist PLJ:la Ench. a/s anchorage fairbanks T.H. 1 Organics Silt, trace.sand, trace 0.0T 0.5' 1.0' Gravely Sand. (St) 3.0' Sandy Gravel, trace silt (brown) (GW) Gravely sand grading to sandy gravel w/trace silt. (Sr-GW_ 6.0' T.H. 1 Soils Log represents location of test hole. No Water Table 14.0' T.D. 77A-204 Clabo Construction Log of Test Hole Anchorage, Alaska WELL CONSTRUCTION LOG Drni;n Go. Well owner Well location: (address & ego descriotion) USGS no. Date wel' completed ¢~, Nearest community :.. ?' Static water level % perforated, open-hole, other) Finish of (open-end screen. Well yield tested by ~'~,?~bai nG, air) at for ~ hours with / '' u ft. of drawdown fro~ static love . t . DRILLER'S MATERIAL LOG Depth below land Give description of strata penetrated surface in feet (s~ze of mater al, color, hardness of drilling, and water content) to --to to- 'to --to to to --to to__ 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 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2; Timberline Location (address or directions) 10901 Tra,~,s End (b) Property owner F,~e. ddie. Mae. Telephone: (home) MailingAddress 15305 Ve~z~,ra glud. ¢500, Pals, CA 91403 Business (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent Jack W/~a Compan¢ AtZn: Ggorg6 McCoy Address 3201 C str&~t~ Suite #I00~ Anchora~6, Alaska 99503 Telephone 553-5500 (e) Mail the HAA to the following address: (or check here [~,ff hold for pick up.) List contact person and day phone number below; $ & S ENGINEERING 17034 ~:=~1., River Loop Re~d ~n. Eagle River, Alaska 2. TYPE OF RESIDENCE Single-Family [~ Number of bedrooms 4 3, WATER SUPPLY Individual Well OX 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)D[X 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·7/88) Page 1 of 2 IBAoJddv IBUO!llpuoo Jo SLUJei IBUO!l!puoo peAoJdd~,s!C] .~ paAoJddv ~q SLUOOJpa~/~ &,~q .lOt paAC~Jddv '1¥A0~1clc1¥ SHNa '9 euoqdala~ 'uo!]oedsu! s!q] jo e]Bp eql ua lo@j~e u! suo!lBInDaJ pub 'saoueu!pJo 'sepoo B~B~S pUB IBd!o!unp~ lib qLM aOUB!IdLUOO Ul m ~e~s~s lesods!p ~e]e~e~se~ Jo/pue ~lddns ~e]e~ re!s-ua eq] 'uo!loedsu! pub UO[]B~!]SeAU! A~ ~o~J pub Sel!J e6eJoqouv Jo ~]!l~d!o!un~ eq] ~o~ peu!e]qo uol]e~oju! aq] ua paseq ]eq] ~JpeA ~eq]]nJ I 'u,e~eq pe~eo!pul e~n~on]~s ~o ed~ pu~ s~oo]peq jo ]eq~nu eq] Jol e]~nbap~ pue' I~UO!]ounj 'e~es s! ~elsXs lesods~p JeleMe~S~M Jo/pu~ Xlddn~ JelBM el!s-ua eql leql SMOHS leAoJddv ~l!Joq~nv qll~eN NOI~V~8OJNI aNY wva 'Houws 311~ 'SZS~ 'SNOI~O~SNI 9NlalAOBd ~BIJ 9NIB~NIaN~ 'g ssBJppv WJH ~o eWBN Ct ~-x~?.~-"'~'~°~ MUNICIPALITY OF ANCHORAGE (MOA) ~, .~ Health Authority Approval (HAA) .~ ~ ~.~ 343-4744 ~~O~ X~~ %~ Legal Description: ~ ~ A. WELL DATA Well Classification [ ~ ~ ~ ~O ~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present~) ~ Date Completed ~- [~ ~ ~ Yield Total Depth ~1~ Cased t~' Depth of Grouting Static Water Leve~ ~ Pump Set At Casing Height Above Ground ~ ~ Sanitary Seal on Casing ~) Electrical Wiring in Conduit ~N) ~ Depression Around Wellhead (Y~ SEPARATION D~STANCES FROM WELL: To ~Holding Tank on Lot ~ /~ ; on Adjoining Lots ~ ; On Adjoining Lots To Nearest Edge of Absorption Fiel~op Lot To Nearest Public Sewer Line /~ To Nearest Public Sewer CJeanout/Manhole To Nearest Sewer Service Line on Lot WaterSample Collected by ~ ~[~~ ;Date WaterSample Test Results ~¢~ ~~,. ~ comments ~~ ~.~ B.'SEP-T-IC/HOLDING TANK DATA Date Installed ~-~,'~"'~O Size Standpipes ~/N) ,-f Air-tight Caps Depression over Tank (Y/([~) No. of Compartments Pumping/Maintenance Con['act on File (Y/N) Holding Tank High-Water Alarm (Y/N) i~/~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: TQ Water-Supp y Well. . "~ ~ To Property Line To Water Main/Service Line ~ Foundation C~N) Date Last Pumped - ; for -- Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field 72-026 (Rev. 7/88) Front Page 1 of 2 / Soils Rating in Absorption Strata __ Type of System Design DatC4,,g~alled __ Length of Field Width of'"Pie~~ Depth of Field Gravel Bed Thickness Square Feet of Absorti~ __ Statndpipes Present (Y/N) Depression over Field (Y/N) % Date of Last Adequacy Test Results of Last '""'"~-~Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FI~ To Water-Supply Well To PropeTty-~e To Building Foundation ~ng or Abandoned System Lot ; On Adjoining Lots To Water Main/Service Line To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments on Da~nstalled Size On" Leve-l'a¢.. "Pump Dimensions Manhole/Access (Y/N) High Water Alarm Levelat % Tested for Meets MOA Electrical Codes (Y/N) Comments "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against FIAA 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 S & S ENG!NE_~,RIN,~ 17034 Ea[lle Company ~=¢~ ~!~m,, Alaska ~9577 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 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Y ¢¢ Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property Owner ~F'~_~ ~e~ 1 Mailing Address I I~ et O I "~".~-~-~.,f* ~ (c) Lending lnstitution H.~.~ l..~..~t ~"~[t). Telephone Mailing Address (d) Real Estate Company and Agent ~ .~. "~ ~'*"~- /~'~'~ (e) Telephone: Home -~ - t?-,~ (' Business Address Telephone Mail the HAA to the followina address: or: Check here*~ if hold for pick up. List contact person and day ph~mb~ below. ,. ~_ .(/~ / 2. TYPE OF RESIDENCE ;'~ gml::Fr a¢?ilB eY~ro o m s WATER SUPPLY Individual Well~ Community [] Public [] Note: If community/well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4.. SEWAGE DISPOSAL Onsite~ Public [] Community [] Holding Tank [] Note: ff community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 fRev 8/861 Front ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~ ~ Telephone ~'~ '~ g~' ~ ~/'~ Address Engineer's Seal DHHS APPROVAL · ,A'ppTovea ~or ~ bedrooms by Approved Disapproved Terr. ns of Conditional Approval , Conditional CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The D HHS 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. Page 2 of 2 72-025 fRev 8/86) Back Well Classification Well Log Present (Y/N) Total Depth / Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot .~.c~UNIClPALITY OF ANCHORAGE (MOA) ~,~C~?~\I~E,~LTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4744 Legal Description: ~OT ,f A, ~, C, D.E.C. App~ov~ (Y/N) Date C0mCete~ ~//7/7~ Yield Pump Set At Sanitary Seal or) Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots To Nearest Edge of Absorption Field on L~t lO O ; On Adjoining Lots ~ /¢J ~ To Nearest Public Sewer Line N.O/~./-~- To Nearest Public Sewer Cleanout/Manhole N.[~) ~ L~-- To Nearest Sewer Service Line on Lot ~' / ~} Water Sample Collected by ~/~, ~.C.~ ; Date ~//'t. _~/,~ ~ ¢¢ 4: No Water Sample Test Results , Comments .~/'~./~'---~' /4~_~, ~ ..~'''- B. SEPTIC/HOLDING TANK DATA Date Installed 1~/~,3~/? 7 Standpipes (Y/N) ~ Depression over Tank (Y/N) Size /~ No. of Compartments -/-'l.~O Air-tight Caps (Y/N) ~/' Foundation Cleano.~/(Y/N) .~ J'~ Date Last Pumped ~'/~/~ ~/_ ~-,"~.,~ Pumping/Maintenance Contract on File (Y/N) r.///~, ; for Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/H~,d&~ Tank: 70~- Temporary Holding Tank Permit (Y/N) To Building Foundation '~ ~ TO Disposal Field ,~ ,/ 0 To Water-Supply Well To Property Line To Water Main/Service Line Course Comments To Stream, Pond, Llake, or Major Drainage Page 1 of 2 72~O26 (Rev 8/861 Front C, ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~1/~'~i/'/ Width of Field Square Feet of Absorption Area Depression over Field Y/N Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /~ ~:) TO Building Foundation ~' y Lot J~N~ To Water Main/Service Line ~ ! [~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field ~'~ Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line ~ J (2 , To Existing or Abandoned System on ; On Adjoining Lots TO C~_~ present) "-~ Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that ~ have checked, verified, or,.,conformed to all JvlO¢, and HAA guidelines in effect on the date of this inspection. Signed '~- ~/'/ Date ~"'/-,~"/~;~-// MOA No. Company Receipt No. Date of Payment Amount: $ Page 2 of 2 72 026 fRev 8/861 Back Engineer's Seal Tom Fink, Mayor Ntunicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-0650 343-4744 May 23, 1988 Tobben Spurkland, P.E. 203 West 15th Avenue "C" Anchorage, Alaska 99501 Suite 203 Subject: Lot 2 Timberline Subdivision Dear Mr. Spurkland: This letter will explain the denial of the Health Authority Approval (HAA) for the subject lot. After a carefull review of the existing file, it was noted that a waiver had not been issued to the stream located to the north of the absorption field. The existing system is located 34 feet from this stream and the mandatory set back distance is 100 feet. During the Hart Crowser Hillside investigation, September 1986 to February 1987, and during subsequent inspections by On-site staff, this stream does not appear to be seasonal as indicated in earlier reports. The Hart Crowser investigation also revealed that bedrock was at 13.5 feet below the existing ground level, and that ground water was at -8.0 feet to -8.5 feet. As the system was installed to a depth of -8.0 feet, it becomes apparent that the installation was and still is in violation of state and municipal codes regarding separation to ground and surface waters. For these reasons the HAA was denied. Should you have any further questions, please call me or come by our office. Sincerely, Gus Andress, P.E., Manager On-site Services/Water Quality DNB/ljw#6 cc: Lee Browning, P.E., Manager Environmental Services Susan Oswalt, Supervisor On-site Services CONSULTING ENGINEER /~-~-03 W 15lb AVE "C" SUITE 203 ANCHORAGE, ALASKA 99505 TELEPHONE: (907) 279-3916 LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM: Lot 2, Timberline Subdivision 10901 Trails End Fred and Ginny Hall Single Family, Three Bedrooms On Site Residential SEPTIC SYSTEM ADEQUACY TEST FROM MUNICIPAL RECORDS: TANK: Greet Steel, ~wo Comp. 1000 gal ABSORPTION SYSTEM: Trench ABSORPTION AREA: 405 sq, ft. SOIL RATING: 100 INSTALLATION DATE: November 1977 DATE OF LAST PUMPING: May 5, 1988. Marx DATE OF TEST: May 3, 1988 TEST PROCEDURE: System was inspected and measured. Tank was found with three feet of cover and 47 inches of liquid. Clean out to trench was 4.5 feet deep and dry. Two sumps were 7 and 8 feet deep, water depths were 4+ ft. 500 gallons of clean water were added to the trench. Water level came up 9 inches in one sump no rise in other and tank. In 45 minutes the water level dropped 3.5 inches in sump indicating that the water was being absorbed by the ground. TEST RESULT: This system meets the cod~ requirements of the Health and Social Services Department of the Municipality of Anchorage. NOTE The operational life of all septic systems depends on the local soil c6nditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long this system will function satisfactory for current or future occupants. · ANCHORAGE, ALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: Lot 2, Timberline Subdivision LOCATION: OWNER: TYPE OF WELL: 10901 Trails End Fred and Ginny Hall Residential, Single Family WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET:Yes WELL YIELD FROM WELL LOG: 8 gallons per minute~ : PUMP YIELD FROM TEST: 5 gallons per minute DATE OF INSPECTION: May 3, 1988 TEST PROCEDURE: Well was pumped at a constant rate while the drawdown was monitored with an acoustic probe. At the beginning of the test water level was found at 53 feet below top of casing. At a pumping rate of 5 gallons per minute the water level dropped to 175 feet after 105 minutes of pumping. A total of 500 gallons were pumped. The well recovery rate was monitored for 45 minutes. The well recover to 98 feet during this period, a 63% recovery. TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested for E.Coli and total nitrates on May 2, 1988 E.Coli 0. Total Nitrates None Detected Max. allowable Total Nitrates 10mg/1. TEST RESULTS: This well meets the requirements of the Municipality of Anchorage. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE THAN FOUR HOURS FOR MORE The Municipal requirement for well flow is 150 gallons of water per bedroom per day. This well exceed this requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2 Timberline Subdivision ~2 Location (address or directions) Upper O'Malley/Trails End (b) Property Owner Virginia Weed Mailing Address (c) Lending Institution Mailing Address Telephone: Home Business Telephone (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the followinQ address: or: Check here O, if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family [~X Number of Bedrooms three (3) ""/(/I WATER SUPPLV Individual Well:~[~× Community [] Public [] Note: If community weJl system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite [~x:N:~ublic [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 8/861 Front ENGIN.EERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, i verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Telephone Address Date Engineer's Seal This department'has received written confirmation regarding the Conditional Approval of 11-20-86. The property now meets with MOA codes and requirements. DHHS APPROVAL ' ~3 Approved forth~ee ( } edrooms by · ~pproved -~ kxxxxx i "~ Disapproved Terms of Conditional Appi:oval ,/;/~, i \ ,~\~\'? Date December 10, 1986 Conditional CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates 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. Page 2 of 2 72-025 fRev 8/86) Back unlclpa ty Anchorage P.O. r"-"× 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES The Municipality of Anchorage agrees to hold harmless from fine or penalty ~_~/~'-/ ~y__ the legal owner of Z~'~ ~- ~'~J~ from finding~ which may result from the collection of data during the ongoing investigative study to determine the extent of pollution to waters in th Little Campbell Creek drainage area. It should be understood, however, that any septic system malfunction which results in the surfacing or daylighting of raw sewage or untreated sewage effluent upon the surface of the ground or into a surface water system must be immediately mitigated. The MOA futher agrees that should test information or data gathered during the ongoing investigative study indicate the necessity of upgrading the existing:~on-site wastewater disposal system, the following conditions will prevail: 1. Said upgrade will be deferred until after spring thaw and breakup, or; 2. Should financing or refinancing action requiring a Health Authority Approval Certificate occur between now and spring thaw and breakup, a conditional HAAwill be issued which would defer any upgrade until after spring thaw and breakup, or; 3. Any subsurface wastewater absorption system proven to be installed in the shallow groundwater will not be required to be upgraded until after spring thaw and breakup, or; 4. Any subsurface wastewater disposal system proven to lack the required four foot separation from the seasonally high groundwater table will be individually and selectively evaluated to determine the necessity, if any, of upgrading ~,he s~stem. Accepted by': .~J~~~ z/.~~ Municipality o~ AQc~6r~ge ~- D~te Signed by: Signed by: Code #5/ljw RIGHT OF ENTRY AND TESTING PERMIT T,,S A EEM ,T. made this of . by and between ~ ~-~-z~ "~'~ _ ~_ herinafter termed the 'PERMITT'ER, ~d the MUNICIPALIIT ur ANCHORAGE, a'~F Alaskan municipal corporation of the State of Alaska, PERMITTEE, herinafter termed the M,Jnicipalitv. WITNESSETH : The Permitter herby grants unto the Hunicipality or its designee the right, permission and authority to enter the property described below for the purposes of conducting inspections of the on-site wastewater disposal (septic) system and installing two ground water monitoring wells. The wells will be installed prior to December 31, 1986. All interest or obligation contained within this permit shall terminate and cease by December 31, ~987 unless otherwise sooner terminated by the Municiaplaity. It is further understood and agreed by the parties'hereto that upon completion of the inspections, the premises will be restored as near as possible to the original condition by and at the expense of the Municipality or its designee. The MJnicipality agrees to hold harmless the Permitter from any Accepted by: ~///..~////'/.,///~'"i[/~....~,.~.~.~ ~,,~__~ Municipality of Anchorage Wftness~/ ' ~ Date MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Applicetion Date (a) Legal Description (include lot, block, ~b~divtsion, section, township, range) Location (address or directions) ~ .-,~^ ~ ~r (b) Applicants Name V '¢~;~/* ~e~ Te!e~h,o~e',,-HOme Business Applicants Address (c) Applicant is (check one) Lending ~nstitu~ion ~ ; Owner/build.r~ ; Buyer ~ ; Other ~ (explain), (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address (f) Telephone Mail the HAA to the following address: Type of Residence Si~gle-Family~ Multi-Family~--~ umber Bedrooms ~ther (describe) Water Supply- - ., Individual Well ~ Community ~-~ Public ~--] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Sewage Disposal onsite~-~ Public~--~ Community~-~ Holding Tank~-~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5. Engineering Firm Providin$ Inspections, Tests File Search~ Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the data of this inspection. ~U~H ENGINEERING P. O, BOX 4-2064 Name of Firm ~"A~- &I~RW& ~tr~ Telephone Date . . .~:~. · 6. DHEP Approval ///..~~ ~ z~ ' ...... .~ Approved for j~ bedrooms By ~~ ~ Approved ' ' Disapproved ~ Condition~ ~ CAt'lION THE bPJNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIROnmENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY ~PPROVAL CERTIFICATES BASED SOLELY UPON T}~i REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DD 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 SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 BUSH ENGINEERING BOX 4-29G4 ANCHORAGE, ~L~SKA 99S09 NOU. 20, 1984 Bruce Erickson Bept. of Environmental Convervation 4;? E Stceet ~nchocage, ~laska ~9S01 REF: Wavers for Lot 2 Timberline BEAR Mr. Erickson, I am sending this letter as a follow up to my 11/8/84 letter and conversations with your office and the Oiv. of Health (M.O.A.). Hopefully this will clear up some confusion on the ref. lot. The ditoh on the North side of the septic system is not a 'french drain' I stated in My first letter, but is a open drainage ditch that collects seasonal runoff and Most likJy only run 4-6 month of the year. The ditch intersects water above the house and carries it to the ditch alone side the Road on the South side of the property. The casing on the well is only 29 ft. but it has been driven into the bedrock four feet. The bedrock is this area must slope off to the south (downhill). 8n elevation 25' below the top of casing would be dayligted about 288' downhill and across the road from the well. Sincerely, ~ /~ Robert D. Bush P.E. ~"~ MUNICIPALITY OF ANCHORAGE ' DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Descriptio? (include lot, blocl~, sRbdivision, section, township, range) Location (address or directions) t ~r-~ ~ ~ (b) Applicants Name V ;ed itt'/C~' P,.Jeec, J2 Telephone- Home Business Applicants Address ~-~ ; 0Wner/buildgr~ ; - (c) Applicant is (check one) Lending Institution Buyer ~-~ ; 0ther~ (explain); ,TO/~ (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent (f) Address Telephone Mail the HAA to the following address: 2. Type of Residence SiJgle-Family~--~ Multi-Family~ Other (describe) Number of Bedrooms ('~) 7t~ 3. Water Supply- ~, Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal 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. E_9~ineerin$ Firm Providing Inspections, Tests~ File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my ~mves~igation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. BUSH ENGINEERING P. O. BOX 4.-2964 DHEP Approval _ Approved Approved -- :.~ - Disapproved Conditional __ Terms of Conditiona~ Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY AiPPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA° THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. E~IPLOYEES OF DREP 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 SEAL) RR4/eJ/Di8 [Page 2 of 2] 7-19-84 ae MUNICIPALITY OF kNCHORAGE (MOA) HEALTH AUR~HORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Well Classification ~'~TJ;d,~/c;~ / Well Log P~esent (Y/N) y Total Depth /~ / Cased to Static Water Level 46) / Casing Height Above Ground Electrical Wiring in Conduit (Y/N) ~/ Date leted Yield ~? / Depth of G~outing ,~/D~Lz~ ~ ~t At /~ ~ Sanit~y ~al on ~si~ (Y~)~ ~pression ~ound ~l~ead (Y~) ~ Separation Distances f~om ~11: j~; ~>~. To Septic/Holding Tank on Lot TO Nearest Edge of Abso.~ption Fie~l-d/oon Lot To Nearest Public Sewe~ Line ~///~ /D I ; On Adjoining Lots /~-~ ; On Adjoining Lots /~ To Nearest Public Sewer Cleanout/Mahhole ~/.//~ TO Neare~st Sewe~ Service Line on Lot Wate~ Sample Collected By ~._/~ ~_ ; Date /63//~/~?. · Wate~ Sample Test Results ~ ~ / ~'~S'.~o c /~ ~ ~' B. SEPTIC/HOLDING TANK DATA Date Installed /~ ? Size /~90~9 ~/ No. of Cca,~artn~nts Standpipes (Y/N) ~ Ai~-tight Caps (Y~)~ Foundation Cleanout ~ession o~r Ta~ (Y~) ~ ~te ~st P~d P~ing~aintenan~ ~n~a~ ~ File (Y~.) ~/~ 'fo~ Holding Ta~ High-Wate~ ~a~ (Y~) ~/~ ~r~ Holdi~ Tank ~t (Y~)~/~ ~p~ation Distance ~~c~olding · o . TO ~o~rty Li~ ~ ~ TO Dismal Field ~ · o ~: ~a~n/~:~' ~ ~/~ To S~e~, ~on~, ~, ~ ~jo: ~a~a~ c '~ ~,~'~'~ ~f [Pa~e 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption St~,ata Date Installed Width of Field Square Feet of Absorption A~ea Depression Over Field (Y/N) Results of Last Adequacy Test ~J~oo~ Type of System Design Length of Field /~ ' ~_ ~ Depth of Field_ Gravel Bed Thickness Standpipes Present ~te of ~st A~qua(~z Test Separation Distance from Absorption Field: To Water-Supply Well /0/ ' To P~operty 5i~e ~- To Building Foundation ~ / To Existing or A~ndoned System ca Lot /V//~ ; On Adjoining Lots w?O~3 ~ To Water Main/Service Line /~///~/-~ To Cutbank(if present) ~ / ~/~ '~.'//) To Stream/Pond/Lake/or Major D~ainage Course ~ / ~;~e To Driveway, Parking Area, or Vehicle Storage Area Comments LIFT STATION Date I nstalle~_~.~ Dim~ ~ ions Size in Gallons k Manhole/Access (Y/N) High Water Alarm Level at __ ~ ~ ,/Vent (Y/N) Tested for ~~~e~ du~ing Adequacy Test. Meets MOA Electrical Codes(Y/N) ~ Comments / ** Check Permitted Bedrocm Rating Against HAR Request I certify that I have checked, verified, (~r conformed to all MOA HAA Guidelir~s in effect the date of this inspe, ctica. ~ B"SH ENGIN~RING P. o. [Page 2 of 2] Date MOA NO.~__~__~ 2-15-84 UNIT · ANCHORAGE. ALASKA 99511 QTY. MATERIALS PRICE AMOUNT PHONE 349'8535 ~ '~' / 0EPT. OF HEALTH LEGAL DESCRIPTION ~ ~/ //~/ ~ j~ DESCRIPTION OF WORK DATES days un/ess other arrangements are made pHor to drilling. The customer sh~ll ~ay in- terest at the rate of 1 ~ % ~er month on any . . . ~.,~ . ~.~G~' emount not ~/~ w/thin ~en days. ~e#ure to DEAR tlr, Ec!c~s.on, ,,,-O ........ ~-h- f nt' my c!ieni,C~inger Weed,i a~ requesting swo' wavers on Log 2--llmbsri~ne. Dunning c field inveut~gmtion of ih~ property i found cond:+ions thai de not meet current State ~nd Municipal regulations. 2~ ? .... is a dr~ine, ge ditch ih~i f~ow~ within t~ feet cf ~h~ a ~tsor'p{ion field end ~%{~.-~ .... +an, l . = wat-zr ~ ~!e ,~ the well collect on October i8 pmoved {c be satisfactory, ~,- u~-den to deiecmine the !~yment of bedr'ock ! ce,/is~ed ihe ~it ,.rd i ~2e.Li,,ed ina{ the bed Foci: unde~ ~he septic tank i~ belJw end fo run~ dobm the hii! near the~ !i~c to i~ch running field and septic t~i<.. We have no problem with that except that when i vis'~ed within ~ feet cf the f)eid it i~ nc: cr~ propeptv. / MEMORA NDUM,Br ef Comr.,unicat,o.s, State of Alaska TO: FROM: SUBJ.: Telephone 02-001 C( 12/8 O) ditch fJow is not known by this Company. This ~o determine the number, of month this d±~ch flows. the ditch and I believe at this ~ime there i~ no the ditch. If you have any question e a cai1 at Robert D. Bush P.E, CE ~ 5333 '~ter sample was ~akem from ~g from ~he field into h/ : , / . _ /.. ~,: . : · - SEND PARTS 1 AND 3 WITH CAR~ON INTACT - ~ ~s0 s~s~,~ ~IFO~. ~S ~2 PART 3 WILL BE RETURNED WITH REPLY. BUSH EHGIHEERING P. O. BOX 4-2964 MUNICIPALITY OF ANCHORAG . ~ ' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES )IRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER I PHONE Weed, Roger O. and B. Virginia J 344-0402 MAILING ADDRESS 920 West 70t~ Avenue, Anchorage, AK 99502 PROPERTY RESIDENT (If different from above) S~I~ 2. BUYER n/a - Owner/Builder PHONE PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE Security National Bank 276-6800 MAILING ADDRESS 2525 "C" Street, Suite 502, Anchorage, AK 99503 4. REALTOR/AGENT PHONE n/a MAILING ADDRESS 15. LEGAL DESCRIPTION Lot 2, Timberline Subdivision, Anchorage, AK STREET LOCATION NHN Trails End Road , Anchorage, AK 99502 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other__ [~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six 7. WATER SUPPLY [~ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drirled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log )f available.) 8. SEWAGE DISPOSAL SYSTEM ~x[~] INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY If ~nd~v[dual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~10(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 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 Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: /~(~)O IfTankishomemade SOILS RATING give dimensions: TYPE OF TANK MANUFA/~ ~RE.RA 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line §. COMMENTS [2~-- APPROVED FOR '~> BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title} // LEDAL DESCRIPTION 72-010 (Rev, 3/78)