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T15N R1W SEC 18 LT 120
Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 - http://�v,,,�Av.muni.orCdonsite - (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP1 21107 PID Number: 051-172-41 R New 0�- Upgrade Name: Robert Brennan ABSORPTION FIELD Fl Deep Trench 0 Shallow Trench 0 Bed F-1 Mound Address 18830 Trudy Street El other Phone lNumber of Bedrooms Soil Rating Total depth from original grade 1 3 1.2GPD/SF 6.0 FL LEGAL DESCRIPTION Depth to pipe invert from orminat grade 2.0 rt.lGrave' depth beneath r ipe ;.OF,. Subdivision Block Lot 120 added above o�iginal grade 2.0---j ------ Gravel le 40.0 Fi, —Fill Tovinship Range Section 15N 1W 18 Gravel v4d-th 5.0;:L Beds: Number of Lines N/A Oistance between lines NIA FL SEPARATION DISTANCES To� I I Septic Absorpt, Holding Sewer Ion Lift Station 1 Total absorption area Number of trenches Fis-L bemeen trenches From t Tank Field Tank Line 400 Fe 1 N/AFL 104.5 NIA N/A TANK 0� Seplic 0 S.T,E.P. 0 Holding 0 Other Manufacturer Surface Water 100+ 100+ N/A NIA ANCHORAGETANK ]Capacity 1000Gal. Material M_ Number of compartments Lot Line 65.4 NIA N/A t 33.5 STEEL 2 NA Foundation 0+ 10+ N/A N/A LIFT STATION Manufacturer 'apaci Curtain Drain 50+ 504- i NIA N/A T Gal. Remarks TANK MEA51)IFINE— Pump on level at Pump off leveU; in, High %vater afarm at in. :Pump make . i; 7� odel EIectr,' ai Insp ctions performed 17y installer PIPE MATERIAL House to tank 3034 Tank to dminrield 3034 FLINSTONE EN TERPRISES Drainfield 3034 COPAT 3034 inspector PANNONE ENGINEERING SERVICES BENCH MARK (Assumed elevation) 164.Oft Inspection III dates: 7/12112 2- 7/12/12 Location and description _1/9/1 8 HOUSEFF A;0*��'�"UNITY DEVELOPMENT DEPARTMENT APPROVAL OF Engineer's Stamp ir OF- At., Date 'g ...... TH Sion Eng -W .... .. ...... 87 CE 814 Approved Date ASO, -=I, Vi 1 1. 14,UUU NTS ..,_ A B STS 30 27 ST2 36 31 DC01 25 24 DCO2 39 34 NORTHRIM .+����� T15N R1W SECTIEN 18 1 - 50 ENGINEERING $�,'�P'' -�; SteveEng.com '` LOT 120 RECORD PO Sox 770724L A Y O U T is Eagle River; Alaska 99577. ,a -e _ W A S T E W A T E R nn -7 4Z'nA -7n-)o `4� 4A1'%PP+ i inrnAnr rr-r)-rTrr Date: SHEET Municipality ®f Anchorage :-Al^� P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV221021 COSA#:OSC221123 Permit#: PID#: 051-172-41 Legal Description: T15N R1 W SEC 18 LT 120 Engineer: North Rim Engineering Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 55.0 feet. This is a reissuance of WR890071 for the new tank installed in 2012. This waiver approval applies to the existing septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. .................. 0 a a 0 E N ....................... ■ ............ a W M 0 N U ....... t 0 0 E 1 Waiver is Granted: X Waiver is not Granted: Date: �' // Approved by: -�PI6 Name of Reviewer **** VARIANCE/WAIVER REVIEW **** 0 1 TH I(M . INEERING SteveEng.com Date: 4/11/22 To: MOA On -Site Services Subject: T15N R1W Lot 120 Septic Tank Waiver Steve Eng, PE, PH 907-694-7028 SteveEngPE@gmail.com Number of Pages: The subject septic tank was installed in July 2012. The tank was sited at the location of the previous septic tank, which was removed and decommissioned. The new tank replaced the old one. The existing trench was also installed at the same time and "as -built" by others. The original septic tank had an approved waiver at 55 -feet from the well, which was granted by MOA in 2004. The conditions for the waiver are essentially the same, the owners request that the septic tank installed in 2012 be allowed to remain at the 55 -foot approved waiver distance. A COSA inspection recently conducted demonstrates the septic system to be working adequately. Please reissue the waiver. The existing trench is over 100 -feet from the well. Thanks -Steve Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water and Wastewater Program 4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite - (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP1 21107 PID Number: 051-172-41 El New FZI Upgrade Name: Robert Brennan ABSORPTION FIELD F-1 n,/I Deep Trench ❑Shallow Trench E] Bed n Mound Address 18830 Trudy Street F1 Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2 GPD/SF 6.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.0 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Block Lot 120 added above original grade 2.0 Ft. Gravel length 40-0 FL —Fill Township Range Section 15N 1W 18 Gravel width 5.0 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Holding Lift Station Tank Sewer Line Total absorption area 400 Ft2 Number of trenches 1 Dist. between trenches N/A Well 100.1 104.5 N/A N/A 72.9 TANK EI Septic [I S.T.E.P. E] Holding E] Other Manufacturer ANCHORAGE TANK Capacity 1 1 00OGal. Surface Water 100+ 100+ N/A I N/A Material Number of compartments I I Lot Line 65.4 33.5 N/A N/A NALIFT STEEL 2 Foundation 10+ 10+ N/A 1 N/A STATION Manufacturer Capacity I i i Curtain Drain 50+ i 50+ N/A I N/A Gal. Remarks Pump on level at Pump off IeveLat--' in. High water alarm at in. �Pumpmal�enFnodel Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield FLINSTONE ENTERPRISES Drainfield 3034 CO/MT 3034 Inspector PANNONE ENGINEERING SERVICES BENCH MARK (Assumed elevation) 164.Oft Inspection 1.'7/12/12 2- 7/12/12 dates: 3"' 11/9/18 4th cation and description HOUSE FF COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date TH Me'Ve'n, 311 a* *n'n* 8 A e" % CE 814 Approved Date inspection Keport—i-i-iz.ocic EXISTING SEPTIC ! / i AREA ! o 33.5 1b QR aiN FiEt 0 LOCATED AT LEAST s 0' C } NEW DRAIN FIELD IW FROM THE STEEP SLOPE. CONTOURS ARE A i I 1 ' / ROUGH REPRESENTATION OF ERE M '� 40LFX4' EDX� W, 6.0 I D / I WAS OBSERVED ON SITE j / TH- 1 f ! _ DRAIN FIELD (E) /M2 ! / / 19LFx6.5'EDx3'W, 10.5'TD C2, DCO !`° r DCO REMOVED AND BACKFILLED WITH CLEAN SAND \ nn T1 •Lj NEW 1000g SEPTIC TANK t\ INSTALLED DCO AND FCO �FC I j A / //- // _ -100Og SEPTIC TANK (E)'/ �} o0.1 B _ \ Z7 // r / ABANDONED PER CODE r ! I ! 3BR g r r t HOUSE EXISTING SEPTIC I (E) / // \.AREA I I I it Cf { i WELL (E) 83.51 ! \ \ \ \ GARAGE D/W / f \ \ \ 1 \ 1 HIDDEN HILL CT. I 1 \ \ I r I \ \ t t t / I � i A B T1 52.2 54.3 Cl 87.5 90.8 ! / i AREA ! o 33.5 1b QR aiN FiEt 0 LOCATED AT LEAST s 0' C } NEW DRAIN FIELD IW FROM THE STEEP SLOPE. CONTOURS ARE A i I 1 ' / ROUGH REPRESENTATION OF ERE M '� 40LFX4' EDX� W, 6.0 I D / I WAS OBSERVED ON SITE j / TH- 1 f ! _ DRAIN FIELD (E) /M2 ! / / 19LFx6.5'EDx3'W, 10.5'TD C2, DCO !`° r DCO REMOVED AND BACKFILLED WITH CLEAN SAND \ nn T1 •Lj NEW 1000g SEPTIC TANK t\ INSTALLED DCO AND FCO �FC I j A / //- // _ -100Og SEPTIC TANK (E)'/ �} o0.1 B _ \ Z7 // r / ABANDONED PER CODE r ! I ! 3BR g r r t HOUSE EXISTING SEPTIC I (E) / // \.AREA I I I it Cf { i WELL (E) 83.51 ! \ \ \ \ GARAGE D/W / f \ \ \ 1 \ 1 HIDDEN HILL CT. I 1 \ \ I r I \ \ t t t / I � i NOTES: PANNONE ENG LLC�.�-�.��.~�'�'� Date.. RECORD DRAWING ' ©F A ��`� 12/20/18 P.O. BOX 100217 ANCHORAGE, AK 99510 'C� ••''' ..0 PHONE (907) 272-8218 FAX (907) 272-8211� Sa,1e 50' ro . P.I.D. NO T15N, RIM Sec 18, LOT 120 051-172-41 Steven Pgnnoree* ROBERT BRENNAN & KATHERINE GREEN % PERMIT NO. 18830 TRUDY STREET � e, CE 8149 c�"ie OSP121107 PLAN CHUGIAK, AK 99567 �lF� Sheet �>��'OFESS10t� 2 OF 3 I \ I \ i I t / � { r I r -t I \ \ 1 \ I I i \ r I \ I I ( � I NOTES: PANNONE ENG LLC�.�-�.��.~�'�'� Date.. RECORD DRAWING ' ©F A ��`� 12/20/18 P.O. BOX 100217 ANCHORAGE, AK 99510 'C� ••''' ..0 PHONE (907) 272-8218 FAX (907) 272-8211� Sa,1e 50' ro . P.I.D. NO T15N, RIM Sec 18, LOT 120 051-172-41 Steven Pgnnoree* ROBERT BRENNAN & KATHERINE GREEN % PERMIT NO. 18830 TRUDY STREET � e, CE 8149 c�"ie OSP121107 PLAN CHUGIAK, AK 99567 �lF� Sheet �>��'OFESS10t� 2 OF 3 Z 010 0 0 D z mI z0 z 2' FILL Ru v < M 0 - 0 FILTER FABRIC M 0 o d' z z 62.0 DRAIN ROCK 6* ABOVE PIPE INV I F.G. 15-5 /-4' 0 DRAIN PIPE n O.G. 152.5 ;1000g SEPTIC 150.5 TANK (NEW) 1 L TRENCH SEE DESIGN AM] TH- I OR 1.5 Sw/ 3. 5 ---2L-j I Sw -10.0 DRY: -1 5/23/12 GW I -14,0 138.5 ABBREVIATIONS DESIGN PARAMETERS LEGEND CU COPPER REPLACEMENT SEPTIC SYSTEM -W- WATER LINE/ DIP DUCTILE IRON PIPE NO. BEDROOM: 3 (450 gpd) WELL RADIUS TH TEST HOLE TANK SIZE: 1000a FC FOUNDATION CLEAN OUT PERC RATE = 1.1 MPI SS NEW SEPTIC Tjj TANK CLEAN OUT NO. IT SOIL RATING: 1.2 GPD/SF C# CLEAN OUT NO. AREA ROD: 375 SF SYS. TYPE: WIDE TRENCH 4.0' E.D. M# MONITOR TUBE NO. RF: 0.5 R.I. RIGID INSULATION MIN LENGTH: 37.5 LF DCO DOUBLE CLEAN OUT DV DIVERTER VALVE USED: FS FLOW SPLITTER 40 LF X 5' WIDE, 4.0' E.D., 6.0' TD BFG BELOW FINISH GRADE TOTAL AREA: 400.0 SF OG ORIGINAL GRADE FG FINISH GRADE NOTES: PAMONE ENG LLC SVC, '041� I F At ate D2/20/18 RECORD DRAWING P.O. PHONE BOX 100217 ANCHORAGE, AK 99510 - 1 (907) 272-8218 FAX (907) 272-8211 Scale - - 49 NTS I.D. NO T15N, RM Sec 18, LOT 120 ......... .. 051 -172-41 ROBERT BRENNAN & KATHERINE GREEN P�� Steven �W6n 4, r,W6n I -P, - CE 8149 W PERMIT NO. 18830 TRUDY STREET live OSP121107 DESIGN DETAILS CHUGIAK, AK 99567 Sheet 3 OF 3 GRE,..,cR ANCHORAGE AREA BOk Department of Environmental Oualiw 3330 C Street Anchorage, Alaska ggS03 .JGH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~/'~/~'~ MAILING ADDRESS--~'~,0, ~O~(_ ~ ~ L"'t~14'~/(~-~TPHONE LOCATION_,~~8 ~ ~J' LEGAL DESCRIPTION~ Lt 1~O ,Y~C 1~ SEPTIC TANK: DISTANCE ~O' e--"'7/~ FROM WELL MANUFACTURER ~/1[~ MATERIAL INSIDE LENGTH/' INSIDE WlDTH~ LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY//1~) GALLONS. TILE ~D: ~ TOTAL LENGTH DISTANCE FROM WELL ./~:~ ~' FOUNDATION ~:~"~- ' NEAREST LOT LINE y O__OF LINES NUMBER OF LINES /I///~ DISTANCE BETWEEN LINES _ /4,~/~L TRENCH WIDTH?~(~ IN. TOTAL EFFECTIVE ABSORPTION AREA ___ -~ (t¢_~ SD. FT. LENGTH OF EACH LINE 1 ..,,~ : DEPTH OF FILTER ~ DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE ~/,~.__~r~. ABOVE TILE__ IN. WELL: ¢ , TypE ___I~'J-~L~ CO N ST R UCT ' ON BUILDING FOUNDATION __ CESSPOOL . APPROVED_-- NEAREST LOT LINE __ OTHER SOURCES _ DISAPPROVED DEPTH NEAREST SEPTIC SEEPAGE SEWER LINE TANK SYSTEM--- DISTANCE FROM: REMARKS DISTANCES.: INSTALLED BY: ~ SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: -- REMARKS: DIAGRAM OF SYSTEM DATE~ APPROVED Form ED-032 [., 1 I:;?.C:H H Cfi)I::, L. OOF' · . ti.Ii ]i'.iii; Ir ,..,.I.I"iI.JH I'.,ll..tl,Jl!{iffiiil:;il 01:::' I!ildiliZ)l:~'.iZi)OH'Ji; ..... ilii: 'I F-IEZ t:;~:Ei)ii:!I.t i[ FR[i!Z) :!J!; ;112:EZ Cfi:: THE :!!~0 i1] I.. t:::IE:ff;Cff;?.P'I" Z[ ,.. I,I ....... ...... 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L:'I"'IfI::: P LOT L P~ PLAN ENGINEERING MUNICIPALITY OF ANCHORAGE i Department Services Development De ) P P --, / Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-172-41 1. GENERAL INFORMATION Expiration Date: 7-/ Z -W �Z Complete legal description T1 5N R1 W SEC 18 LT 120 Location (site address) 18830 Trudy St Current property owner(s) BRENNAN Mailing address Real estate agent TNS 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 907-255-0101 Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic El Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ _5 Date of Payment q 5rl 2-0 ZZ Receipt Number _., 2p Z �7 COSA # 05 C 2 211 3 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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 (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm NorthRim Eng. Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 2/10/22 6. DSD SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved OF �,�`y�♦ '* :449ILL CE1 i/ 1-0_% 2y' Conditional approval for bedrooms, with the following stipulations: jZ ON-SITE r By: l,��2&,6�t4Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: T1 5N R1 SEC 18 LT 120 Parcel ID: 051-172-41 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1965 Total depth 187 ft Cased to 40+ ft ❑ Sanitary seal is functioning correctly Al Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 3121122 Static water level at beginning of test 11 ft. Comments B. TANK DATA Age of tank(s) 10 years Tank type/material Stl Measured operating fluid level in septic tank 50 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 7/19/21 D. ABSORPTION FIELD DATA 7/12/12 Which system tested (date installed) same ❑ ALL standpipes present per record drawing Total measured depth from grade 8 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 6+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by NRimEng Date of Sample 3/21/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 3/21122 Results Q Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 450 gal New depth 3 in Elapsed time 30 min Final fluid depth 0 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) no If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Building Foundation > 10'. Septic Tank/Lift Station on Lot > 100' if No ft Community Sewer Manhole/Cleanout > 100' Property Line > 10' —5-5 Q Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' Q Yes if No ft Holding Tank > 100' El Yes if No ft Neighboring Absorption Fields > 100' 21 Yes if No Animal Containment > 50' 0✓ Yes if No ft ��es if No as—rt ft 1! Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft Q Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' 0✓ Yes if No ft Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10'. F1 Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' 21 Yes if No ft Community Wells > 200' El Yes if No ft Surface Water > 100' 21 Yes if No ft F. ENGINEER'S COMMENTS 1! G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet ---------- X - W 0 z z ui 0 c5t>z z z LLJ U) <Z LIJ LAJ Of x i. CN -I- 0 m TRUDY STREET c 330 .00' Xx x- ------- 11 0 LU cq x to Y z z W C) z f x N Ili x —T x W 330.01 0 C*4 0 0- 0 0 L GO0MH0818 'S L- — — — — — — — — — — &0 :z oma: M Cv. dpp r o. 4 to PA :6 C-4 Zo 0) I..., P, * . 'o 10 VA 0 C14 CY) 0'. LLJ ON z z LYLJ 0 z o 0 CL r 0- x 'o O pm m of af L2 E 0—CD r 't oc 0 0 0 '2 w 0 0 Ea Iq C." 0, 'm c 0 0 w c > < 31 I ZI a C"I CCII I'M 0 OU a LO tn C c 0.0 Ix a Mtn to a PO' o 0 FX 0 0 c 0 D C 0 mm 0 (D Q o O'v E pa' 'on c L. c' a) 0 28>0 V) a FE 0 c X �jm 0 :Umj -2 0 0 a E rn 0 >1 Mwx E= 0) 0 (1) s < — o (4 'o �: 3: . C(D > 0 ui '3 0 4 LLJ 3.0 '0 CL a a 13 0 0 a)3 10-0 of In -01 c 01 —CL 0 0 (D c m X1 C, 0 0 0 3: < '0 c X 0 F- CL W 0 0 0 0 a Lo m >zz V) 0 (n 0 0 c < < Is 0 LLJ Cy)=: -Al V).s —0 0 ._-a -t C�d 010- 0 0 OML. O 0 0 a x - 0 0 mm E c n 02 g r-=01-0 a 3' C CLO a 6 °vII Ix II N x II LIJ 0 U) Z LLJ x LLJ Of u') < CL CO M CN 0 x r).:D LIJ x z LJ z Ix Ix s ,9'6l L II x x I I I I 7 0 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL rNSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERTSHAFER, P.E, ROGERSHAFER Mr. ~ Mrs. Andy Hoffmann HC 18 Box 2540 C ' h~g~ak, Alaska 99567 REFERENCE: Lot 120~ Sec. Novemb~ 2, CIVIL ENGINEERS (907) 694-2979 MUNICIPALITY OF ANCHOEA(~AX 694-1211 DEPT. OF HEALTH & ENVIEONMENTAL PROTECI'ION ¢ OV [519 RECEIVED 18~ TISN, RI~, S.M. Dear Mr. ~ Mrs. Hoffmann, A site assessment ~s performed on the referenced property involving on~ a burie~ underground ho~ h~ng f~ tank ~o~tnd on th~ w~id¢ of th~ ho~ adjacent to a p~vat~w~ in~$~d in a CMU ~. A fi~ pip~ and v~ pip~ w~r~ uisibl~ in th~ vi~t~ of th~ ~nk and th~ ground covar w~ par~a~ v~g~at~. Th~ wer~ no 4~ or p~ol~ odor~ d~d in t~ ~. Ther~ ~ appro~ 5" of fu~ r~ng in the bosom of th~ ~nk. Excavation w~ p~rformed with a 580 Case Backhoe operated under American Excava~t/ng. Excavation of the tank involved a (SW) w~ll graded ~andy ~oll. The tank was approximately 64" in diameter, length of 12' and a capacity of approximately 2,000 gallons. Soil ~amples were taken from the excavation after the tank had been removed. During and after excavation there were no petroleum odors detected or visible sign6 of tank l~akage. The tank was i~pected and v~ua~ly appeared to be in good condition. Soil 6~mples were taken at random from the bottom of the hole and along the sidewaY. The result6 of these tests indicated a TPH level of 172 ppm under EPA method 418.1 in the hole, a diesel product was verified under modified method 8015 and a TPH lev~ of 356 ppm under EPA method 418.1 from random 6~mpling of the pile. There were no BTEX or aromatic volat~e organic6 detected under EPA method 8020. The contractor ouer-cxcavated the hole at your direction along the 6ide~6 and the bottom. New 6oil samples were ~ken and checked with a PlO0 PID organic vapor meter and samples were 6ubm~tted to CHEMICAL AND GEOLOGICAL LABORATORIES for analysis under EPA method 418.1 for verification of .PID results. TPH 34.5 ppm were detected under laboratory analysts. The 6oil~ ~xcavated in ~onncction with this project w~re placed on a vapor barrier and covered at a distance in ~e~ of I00 ft. from any p~v~e w~ or ~rfa~e w~ ~o~e and the hole ~n be ref~led ~h c~n ~o~. ~h~ ~o~ are r~d~ to ~po~e of th~ so~ a l~ ~n be w~en to the M~p~y of Anchorage Depar~ent of Sold w~t~ M~mt. req~n~ ~pos~ of th~ co~i~t~d 6o~. It ~ ~ed t~ th~ ~ p~ ~ co~ist of b~en 15 to 20 ton of co~in~d 6o~. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 120; See. 18, TISN; RI~J; $.M. November £, 1990 Ba~ed upon the ~mple re~u~ taken afte~ the p/t had been eompl~ ~vated ~ ~ o~ opi~on t~ no ~d~o~ ~me~ or r~e~on ~ req~red w~n the hole. Howeu~, the p~e wi~ ~ve to~ be ~ted ~ a co~i~ed ~te ~nd ~po~ of accor~ng~. Attached are ~opie~ of the ~oil analy~i~, which ~hould be retained with ~our property re~ord6. If w~ may be of f~rthe~ 6ervice, pl~a6e contact cc: Su6an 06walt/MOA/DHH American Excavating Tom Fink, Mayor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 September 26, 1990 Mr. & Mrs. Andrew G. Hoffmann HC 78, Box 2340 Chugiak, Alaska 99567 Subject: Lot 120, T15N, R1W, Section 18 Dear Mr. and Mrs. Hoffmann: At the request of Mrs. Hoffmann, the department has reviewed all the information on file regarding the issuance of waivers, health authority application, and notice of violation on the above property which you own. We have found a number of inconsistencies and emissions which may have resulted in some confusion in handling your health authority approval. As a result, we will make the following adjustments to the record. These adjustments supercede any previous correspondence which you may have from our office. Waiver request #WR890071, granting a separation distance approval of 85 feet from your well to the absorption trench on Lot 119, is reinstated. Waiver request #WR890071, granting a separation distance approval of 90 feet from your well to the absorption trench on your lot, is reinstated. A re-evaluation of the separation distance from your well to your septic tank has shown that ADEC criteria for protection of your well have been met; therefore, you are granted a separation waiver to 55' You are not required to move the septic tank unless you wish to do so. The currently revoked Health Authority Certificate will remain disapproved until the fuel tank located approximately 10 feet from your well has been removed. After removal is accomplished, please have your engineer confirm this action in a report to this office. We will then be able to complete our review on the Health Authority application. Page 2 Hoffmann 5. The Notice of Violation, issued August 21, 1990, is rescinded. I apologize for any inconvenience this entire procedure may have caused for you, and want to thank you for allowing us to make s ' ultable corrections to the file. I have already notified your engineer of our intent to make these d]ustments. If you have additional questions, please a contact me ak 343-4744. Sincerely, John Smith, P.E. Program Manager On-Site Services cc: Lee Browning, P.E. Mgr., Env. Serv. Div. CC: Susan Oswalt On-Site ervlces Section S ' /326 DOMESTIC RETURN RECEIPT Tom Fink, Mayor h/lunic pality o3 Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 August 21, 1990 Mr. Andrew G. Hoffman PO Box 671372 Chugiak, Alaska 99567 Subject: Notice of violation T15N R1W Section 18 Lot 120 Dear Mr. Hoffman: The issuance of a Health Authority Approval for Lot 120 (HAA # HA890517 dated February 28, 1990) was predicated on the relocation of the septic tank to a site outside of the 100 foot protective well radius, and the removal of an abandoned fuel tank with the underlying soil checked for contamination. Since neither of these conditions have been satisfied, the Health Authority Approval (HA890517) and the attendant waiver (WR890071) have been rescinded. A copy of the letter rescinding the HAA and waiver is attached. As a result, the attached Notice of violation #4384 has been issued requiring that the encroachments of the drainfield and septic tank to the well on Lot 120 be brought into compliance with municipal code requirements by not later than September 20, 1990. If you would like any additional informabion or assistance on this matter, please call our office at 343-4744. Sincerely, /~ ~ ~rogram Manager, On-site Services ljm:253 cc: Robert A. Shafer, P.E., S & S Engineering 17034 Eagle River Loop Road, Eagle River, Alaska 99577 Joe T. Wood, PO Box 90578, Anchorage, Alaska 99509 Kids Are Our Future Tom Fink, Mayor unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 August 21, 1990 Robert A. Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: T15N R1W Section 18 Lot 120 WR890071 Dear Mr. Shafer: On February 28, 1990, this office issued waiver WR890071 covering the following setback distance variances: 1. 90 feet from the drainfield on Lot 120 to the well on Lot 120, and 2. 85 feet from the drainfield on Lot 119 to the well on Lot 120. This waiver was granted with the conditions that the septic tank on Lot 120 be relocated outside the 100 foot well protective radius, and the abandoned fuel tank on Lot 120 be removed with the underlying soil tested for contamination. These conditions were specified in your letter dated February 21, 1990. As of this date the above conditions have not been satisfied and there is no indication that they will be satisfied in the future. Therefore, please be advised that waiver WR890071 is rescinded effective this date. With the waiver being rescinded, the drainfield on Lot 119 and the septic tank and drainfield on Lot 120 are not in compliance with municipal and state regulations. Also please be advised that the Health Authority Approval (HAA # HA890517) issued by this office on February 28, 1990 is rescinded effective this date. This Health Authority Approval was issued based on the conditions of the waiver being satisfied. Kids Are Our Future Robert A. Shafer, S &S Engineering August 21, 1990 Page Two IDoEo If there are any questions, please call our office at 343-4744. Sincerely, J n Smith, P~E.' P~ogram Manager, On-site Services ljm:252 cc: Mr. Glenn A Sebald, Box 232451, Anchorage, Alaska 99523 Mr. Andrew G. Hoffman, PO Box 671372, Chugi~k, Alaska 99567 Jr. Joe T. Wood, PO Box 90578, Anchorage, Alaska 99509 Tom Fink, Mayor unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 July 25, 1990 Mr. Robert A. Shafer, P.E. S & S Engineers 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: T15N R1W Section 18 Lot 120, PID #051-172-41 HAA # HA890517, Waiver # WR890071 Dear Mr. Shafer: Reference herein is waiver #WR890071 dated February 28, 1990 to your supporting letter dated February 21, 1990 relative to the subject lot. The referenced waiver and attendant Health Authority Approval were both issued contingent upon two conditions stipulated by S & S Engineering (letter dated February 21, 1990) which were as follows: 1. The septic tank on Lot 120 is relocated 100 feet from the well. The abandoned fuel tank is rembved and the underlying soil checked for contamination as per letter dated February 9, 1990. and If there are any further questions, 343-4744. Sincer3%ly, / ~ Robert W. Robinson Civil Engineer On-site Services please call our office at cc: John T. Wood PO Box 90578 Anchorage, Alaska 99509 The above conditions were allowed so as to defer the earthwork involved until after breakup. It is our understanding that this work has not yet been completed· Please advise when these two conditions of approval will be satisfied. CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907)562-2343 FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORT BY SABLE for Work Order ! 29758 Date Report Printed: NOV I 90 ~ 10:47 Client Sample ID:LI20 SBCL$ PWSID :UA Collected OCT 25 90 t Received OCT 30 90 ! 14:55 Preserved vith :AS EBOUIRED Client Name : S & S ENOINEERINO Client lcct: RNSENOP P.O.B WONE RECEIYED Req t Ordered By : R. SHEER Analysis Completed :OCT 31 90 Send Reports to: Laboratory Rupervls/O~}:HT~PHEN C.~E L)S & $ EN$INEERINO Special PA1 REHULTS TO ROBBRT SHAPER ! B694-1211. Instruct: Che~ab Rsf {: 904561 Lab Smpl ID: 1 lktrix: SOIL Allowable Parameter Tested Result Units Method Limits TOTAL PETROLEUM HYDROCARBONS 34.5 ppm dry wt EPA 418.1 Sample Remrks: I Tests Periormed ' See Special Instructions Above UA-Unavailable ND- None Detected "See Sample Remarks Above NA- Not Analyzed LT-Less Than, OT-Oreater Than CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 56~3 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORT BY SABLE for Work Order % 29068 Date Report Printed: OCT 18 90 ~ 13:00 Client Sample ID:LI20 SECID TIBN RIW HOLE PWHID Collected OCT 4 90 Received OCT 4 90 Preserved with :AS P.0.! NONE Ordered By Analysis Completed :OCT Il 90 Send Reports to: Laboratory Super~jk.q~_aE~gpHgN C. NDE l)S & S ENOINEESIN$ Released Ey: ~ ~ 2) Special I~t~uct: Chemlab Nei l: 904065 Lab Smpl ID: 1 ~atrtx: ROIL Allo,able Parameter Tested Sesult Units Method Limits TOTAL PETSOLEIBI HYDROCAREONS DIESEL 41B ppm MODIFIED 8015 Sample Remarks: 1 Tests Performed * See Special Instructions Above UA-Unavailable ND- None Detected *' See Sample Remarks Above NA- Not Analyzed LT-Less Than, GT-Greater Than RECAL1B~ATION HANEI STD REPORT ~E~O~ ~.~9~ 31.374 43.348 44.305 SIGNAL FILE: A~F~I?DgEE?.BHC REPORT FILE: A Qi~DDEE~.RFT NOD8015-DB-5.FID,35/?,~,IOx'DlIH~250HOLD RT TYPE AREA WIDTH HEIGHT TOTRL ~RER:I. 1033E+0~ HUL FACTOR=I.OOOOE+O0 CAL# UG/HL NANE ,000 ,000 ,000 ,000 .000 .000 .000 ,000 ,000 ,000 .800 RUN PA~AHETER~ ZERO I 5 ATT ~.~' = 5 6~ 2~.862 28,722 END OF $I:i~ 4i.~26 HEIGHT OAL~ 45531 ,000 80585 ,000 28150 .000 1279~9 TOTAL AREA=2,?O28E+O? ~;UL FACTOR=3,9988E-01 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907)562-2343 FEDERAL TAX I.D. #92-0040440 AHALYSIS REPORT BT HAMPLE for Work Order ~ 29068 Date Report Printed: OCT 18 90 ~ 15;00 Client Semple ID:LI20 REC1E T1SN RIM HOLE PNSID :UA Collected OCT 4 90 ~ hrs. Received OCT 4 gO ~ 13:45 hrs. Pzeservod ~ith :AS R~OUIR~D Client Name : S & S ENGINEE~IRO Client Acct: RNSENGP P.O.! BONE RECEIVED Req $ Ordered By : R. SHAPER Analysis Completed :OCT 17 90 Bend Reports to: Laboratory Supotvlsp~HEN C. EDE I)S ~ S EN~INEERIB$ Released By : ~~~ 2) / Special Instruct: Chemlab Ref S: 904065 Lab Smpl ID: 2 Matrix: S0IL Allo~able Parameter Tested Result Units Method Limits TOTAL PETROLE~ HYDROCARBONS 172 ppm dry wt EPA 418.1 Nampls Remrks: 1 Tests Performed * See Special Instructions Above HA-Unavailable ND- None Detected *' Sos Sample Remarks Above NA- Not Analyzed LT-Lsss Than, CT-Greater Than CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633B STREET .ANCHORAGE, ALASKA99518 · TELEPHONE (907) 562-2343 FEDERAL TAX I,D. #92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order ! 27833 Date Report Printed: OCT lO 90 I 12:59 Client Sample ID:LI20 TISW R1W PILE PW$ID =UA Collected SEP 27 90 ~ h~s. Received SEP 29 90 I 14:00 I~,. Preserved with :AS REQUIRED Client Na~o : S & S ENGINEERING Client Aoct : SNSSNGP P.O.! NONE RECEIVED Req S Ordered By : ~. SHIFER Analysis Completed =OCT 8 90 Send Reports to: Laboratoxy Supervisor ~S~PHEN I)S & S ENGINEERING Special Instruct: CheaP. ab Ref $: 903944 Lab Smpl ID: 1 Matrix: SOIL Allowable Parameter Tested Result Un.rte Method Limta TOTAL PETROLEUM HYDROCARBONS AROMATIC VOLATILE ORGANICS BENZENE TOLUENE ETHILEENZENE CNLONOEENZENE p & m XYLENE o-NYLENE 1,4 DICNLOROBENZENE 1,3 DICHLOSOEENZENE 1,2 DICNLOROEENZENE 336 ppm dry wt n/a ND(O.020 ppm SD(0.020 ppm ND(O.020 ppm ND(O,020 ppm ND(O.020 ppm ND(O.020 ppm ND(O.020 ppm ND(O,020 ppm ND(O.020 ppm EPA 418.1 EPA 8020 8020 8020 8020 6020 8020 8020 8020 8020 8020 Sample Remarks: 11 Tests Performed ' See Special Instructions Above UA-Unavailable ND- None Detected ** See Sample Remarks Above NA- Not Analyzed LT-Less Than, GT-Oreator Than 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 /7/- z// HAA# 1. GENERAL INFORMATION~!Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Lot 120, S6c. 18, TI5N~ RIW, S.M. Location (address or directions) South Birchwood Loop~ Brown Aven~ (b) Property owner , Mailing Address (c) Lending Institution _700- T ~ O. BOx 9057~ Telephone:(home) 4~a6ka q~509 Telephone Business 243-5517 Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here.D{ if hold for pick up.) List contact person and day phone number below: 17034 Eagle River Loop Road No. 204 TYPE OF RESIDENCE Single-Family ;[~ Number of bedrooms WATER SUPPLY Individual Well [~( Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. SEWAGE DISPOSAL On-site ~x. Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev 7/88) Page 1 of 2 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 ~.~/- /~.2,-,¢/ HAA# /~(L- ~'~J~'/'~' 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Lot 120~ S¢c. 18; TI5N, R/W, S.M. Location (address or directions) South Birctcuood Loop Brown Avznu6 (b) Property owner Mailing Address (c) Lending Institution Mailing Address Mr.~ Mrs.Andq Hoffmann Telephone: (home) HC 78 Box 2340 Chuqiak, Ak 99567 Telephone Business (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here E~,xif hold for pick up.) List contact person and day phone number below: 17034 Eagle [;ii'vet Loop Road No. 204 ~,~le River, A,'aska 9957;~ 2. TYPE OF RESIDENCE Single-Family~[~. Number of bedrooms 3. WATER SUPPLY Individual Well E~z 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,~f- Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of th is 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 S & S ENGINEERING Address 17oA4 Ea_aJeRiver Loop Road No. ~'~.~ Eagle River, Alaska 99577 /' ~'~./'~/./J~/~:::> 7 Date 6. DHHS APPROVAL Approved for '-~ Approved Terms of Conditional Approval bedrooms b ~"~y~U'~///~-~1~'~ - Disapproved Conditional The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~325 (Rev. 7/88) Back Page 2 of 2 A. WELL DATA Well Classification MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: ~,~--¢-~¢' Well Log Present (Y~ Total Depth_~? Cased to ~¢~..~r- Depth of Grouting Static Water Level ~:) ~ ~ ~,~,z~'<'g~ If A, B, C, D.E.C. Approved (Y/N) t,3/~ Date Completed ~'~ Lc, S Yield ~ '~o ,~ ~'1-'1 -~ Pump Set At Casing Height Above Ground ~ Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot I To Nearest Edge of Absorption Field?,0 Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Sanitary Seal on Casing~.'~N) ~/ Depression Around Wellhead (Y/N) '~ ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ! Water Sample Collected by ~,~."~.',~,"~. ;Date Water Sample Test Results -- C o m m e n t s "'~"'~-'~'¢¢~ ~'~, SEPTIC/HOLDING TANK DATA Date Installed'~-'~'>-~ Size ~ Standpipes~N) ¥ Air-tight Caps ~/N) Depression over Tank (Y/~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~/~'- ¥ Foundation Cleanout Date Last Pumped __!"~.- ~ ; for Temporary Holding Tank Permit SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line TO Water Main/Service Line To Building Foundation To Disposal Field To Stream, Pond, Lake or Major Drainage Course Commehts, 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~ Type of System Design _"'~'~---~1~ Date Installed ~ ' ~- '~ -~ -- -- Length of Field ~ ,c~ ~ Width of Field '"~'P' Depth of Field t ~ Gravel Bed Thickness ~~ ' Square Feet of Absortion Area .~_~-~r~ ~ Statndpipes Present ~3~N). Depression over Field (y/,~t? __ _r-.J _ Date of Last Adequacy Test _ Results of Last Adequacy Test '~-J..- ~ '~'E~2.-_~. ~c~'--'~-'~_~==r~l~, SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well -- __ To Property Line ~_~l~_~ To Building Foundation --~ ~,~ Lot __ ?-.-~ ~ -4_ _To Existing or Abandoned System on ; On Adjoining Lots ~ To Water Main/Service Line _~ ~ To Stream, Pond, Lake, or Major Drainage Course __ To Driveway, Parking Area, or Vehicle Storage Area ~ Comments. To Cutback (if present) ,~:~_~_c=, ~ ~ ~_~5~:~ ~ ~::~, L..~: -- D. LIFT STATION ~ -- k'D~',-elr'"taljed - ~ ~ ~ Dimensions Comments ~ **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~$& $ ~G Company 17034 Eagle River Loop Road No. 204 Date E ag~~ Amount. $ 72-026 (Rev 7/88} Back Wa vet Fee: $ ~~ Date of Payment Page 2 of 2 Torn Fink, Mayor unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 February 28, 1990 Robert A. Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for T15N R1W Section 18 Lot 120 Waiver Request ~WR890071, PID ~015-172-41, HAgHA890517 Dear Mr. Shafer: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 90 feet from well to leachfield on Lot 120 and 85 feet from well(Lot 120) to leachfield on Lot 119. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, /~ Robert W. Robinson Civil Engineer On-site Services Concur: ~ j Program Manager On-site Services ljm:#6 HEALTH AUTHORITY APPROVALS SEWER&WATER MAtN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ROBERTSHAFER, P.E. ROGERSHAFER February 21, 1990 CIVIL ENGINEERS (907) 694-2979 MUNICIPALITY OF AN(3t~IR/~.-1211 DEFT. OF HEALTH & ENVII~ONMENTAL PRO~ECrlON Mr. Robert W. Robinson Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 RECEIVED REFERENCE: Lot 120, Sec. 18, T15N, R/W, SM. WR #890071, PID #051-172-41, HA #890517 Dear Robbie, In response to your l~tter dated property, we wish to pursue item request wc previously submitted. February 9, 1990 on the referenced #2 as an alternative to th~ waiver Attached is a grid map (sc~e = I"-400') with the referenced property outlined in red. On this map we have shown dots to r~present the locations of several area w~lls for which w~ll logs are available. Next to each dot is the depth to a clay layer as indicated on the w~l logs. Also on the grid map we have transposed contour lines giving the topography of the area. In two locations where w~ data most available we have drawn a dashed lin~ and calculated the slope of the clay layer taking the area topography into consideration. One dashed line ~ to the south of the referenced property and the other is to the north. It appears the clay layer slopes from the east to the west at approximately 6.2% in the area south of the referenced property. It ~so appears the clay layer slop~ from the east to the west at approximat~y 13% in the ar~a north of the r~ferenced property. Therefore, within the referenced property, the confining clay layer se~ms to trav~ from the east to the west at a slope between 6.2% and 13%. This shows that the my layer (water table gradient) has a slope in excess of +39% away from th~ w~ll. With this additional information we request that you grant the referenced waivers from the w~ll on the property and the two encroaching leachfields with the following ~onditions: I. Th~ septic tank on Lot 120 is r~ocated 100 ft. from th~ w~ll. ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 120; Sec. 18, T15N, RIW, SM. WR #890071, PID #051-172-41, HA #890517 February 21, 1990 2. The a6andoned fu~ tank is r~moved and the underlying soil checked for contamination as per your 16tier dated February 9, 1990. If you r6q~ire any additional information for your review, pleas6 contact us. FER P.E. $ & S ENGINEERING 17034 Eagle Rl~ver Loop Road No. ~0~ Eagle Rtver, Alaaka 99577 Tom Fink, Mayor Nluaicipality of Anchora le Department of Health and Human Serv,ces 825 "L' Street P,O. Box 196650 Anchorage, AJaska 99519-6650 February 9, 1990 Robert A. Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for T15N R1W Section 18 Lot 120 Waiver Request #WR890071, PID#051-172-41, HA# HA890517 Dear Mr. Shafer: Your request for waivers of separation distances between the on-site well and septic tank of 55 feet, the on-site well to absorption field to 90 feet and the on-site well to absorption field on the adjoining lot of 85 feet are denied. We believe that your request (reference your letter dated December 18, 1989) errantly transposed 10t number 120 and 119. By using the absolute optimum point allocation under ADEC guidelines, these requests fall far below the minimum required 16 points. Under no circumstance will a waiver be issued for the 55 foot separation between the well and septic tank on Lot 120 The alternatives to the alver request you submitted are as follows: 1. Relocation of the well on Lot 120 to a site outside al~l the required 100 foot setback distances, or; 2. Furnish data which establishes that the water table has a slope of at least +3% (away from the well) and relocate the septic tank on Lot 120. "Kids Are Our Future" Robert A. Shafer, S & S Engineering February 9, 1990 Page Two The issuance of the attendant Health Authority Approval will withheld pending satisfactory completion of the following: 1. be One of the above listed requirements has been satisfactorily completed and appropriate waivers issued by this office. The abandoned fuel tank has been removed and the underlying soil checked for contamination. If there are any q estlons please call this office Sincerely, Robert W. Robinson Civil Engineer On-site Services at 343-4744. RWR/ljm:213 CC: John Smith, P.E. Program Manager On-site Services December 18, 1989 ROBERTSHAFER, P.E. ROGERSHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519~6650 SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST /7, STRUCTURAL& MECHANICAL INSPECTIONS ON S~TE WASTE WATER DISPOSAL SYSTEM DESIGN REFERENCE: LotS 119 & 120, Sec. 18, TISN, R/W, S.M. Request you issue the attached He~th Authority Approval an~d~j~ the SEWER&WATER Ifollowing waivers; ~e distance between the private well on(Lo~ ~on(Lo~ ~ at 85 ft. ~ ~--~ ~ on~ and the leachfi~d !~. T~o =~:-+~ .... ~- ~y'~ r~ r~e~encea w~fw~ d~led in ~T~+~ '~ ~5 ~ Sys~ on Lot~l~9~s i~t~d ~, ~q77~T~'~ ............... ' WELL ~NSPECTION ~So~s. & FLOW TEST in~t~ a low sep~c syst~ de~ity as can be seen from the ~ached drawing (Sheet 2). Also located Northwest of the property is Alaska R~ Land. T~s w~ ~o h~p insure a low sep~c syst~ (ie. cont~inateJ density for the area. 2. The topography of the area slop~ from the South~st down toward the Nort~est. T~s ~rec~on of slope is basic~y from the mount~ down toward the oc~n. T~s topography insin~tes a subsurface geologic~ fo~a~on sloping in the s~e ~rec~on. T~s wo~d in,cate th~ the wast~ater e~ering the ground from the sep~c syst~s wo~d trav~ Northw~t w~ch is away from the referenced w~. 3. From the Mu~p~ records the ref~enced w~ is 187 ft. deep. (There is no w~ log av~able.) From the depth of the w~l we can deduce t~t the water supply aq~fer w~ probably not encou~ered u~ at l~st 150 ft. deep. Howev~, th~ sta~c water lev~ wit~n ~"~ the w~ is at 7 ft. 2 inches b~ow the top of the w~ c~ing. T~s shows fhe water supply source to be an artesian a ' .. .... ~{:~.~l~se.~o~. t~at the w~ on Lot I~9 is a /lowi ....... qu~r. ' ~seea-o~ Irne. ) In order for an aq~fer to be art~ian it m~t have confi~ng layer keeping the water from rising to the surface. T~s confi~ng layer wo~d ~so keep the wastewater from the septic syst~ from trav~ng into the w~er supply aq~fer. T~s is depi~ed in attached drawings (Sheets 3 and 4). I~O34 EAGLE RIVER LOOP, SUITE 204, EAGLE R~VER, ALASKA 99577 Page Two Lot~ 119 & 120, Sec. 18, TI5N,RIW, S.M. December 18, ~989 4. An artesian aquifer also indicates the aquifer supply source comes from a higher elevation (ie. The Mountains). Due to laws of physics, this ~ter trav~ toward a lower elevation (ie. The Ocean). Therefore, the inherent flow of water within the water supply, artesian aquifer is from the mountains toward the ocean. This means that the aquifer is flowing from the well toward the septic systems. Therefore, wastewater entering the aquifer, if it were to make it through he confining the w~ll ...... ~ ........................... woa~d travel away from ~. ine Septic S stem on L ' - ~- ' · . .......... ~_ , .~ 119 hao u~n ~n use for 4k ~N~/~&' ~ ~ ~ngougn ~or contaminates to make their wa into . '. \ ~.~" were ever to do so. However bact~,~,--:-~, - - Y,- - the ~.~ .rf t~y ~W~ re~erenced well ........~._,, ~ ~,~.va~ ~na n~ra~e resales from ~ne g~/~', .~_~ ...... ~ ~.~aa~ory. As a matter of fact, there were no -~ ¥ ,~r~ ~r as~ ae~ec~ea. Since wastewater e~lluent is ~ ~ ~.'trates, and nitrates travel throu, h soil virtu~2 --=~-~ ~ that, aS therorrzed rn rt~ms 2 through 4 above, this well cannot be contaminated by these two septic systems. risk an~ysis was attenpted using the ADEC eparation DiStance Waiver t however, there exists too many unknowns for that model to be For instance; without a well log, we do not know the actual depth of aquifer. Also, without a well log and due to the scarcity of well logs for area, soil sorption and soil permeab~ty cannot even be estimated. And, since this is an artesian aquifer, the hydrau&ic gradient cannot be accurately ~compated, nor is it relavent. A nitrate mass ~alance model was not constructed since the systems have been in use for so long and one nitrate sample reset gives more information than an estimated nitrate model. Attached for your review are the following do~aments: I. A site plan showing the referenced well to septic separation distances. 2. A site plan showing the area-wide well and septic density. 3. Profiles between the referenced well and each septic system. 4. Copies of all available well logs for the area. $. Septic inspection reports for each septic system. 6. The well and septic adequacy test report and data sheet performed by Eagle River Engineering Services. I. Satisfactory §acterialogical and nitrate resets for the referenced well. Page Three Lots I19 & 120, Sec. Decem§er 18, 1989 18, T15N~ R/W, S.M. In our opi~on, the separation distance requirements prescribed by 18AAC.021 is not necessary in t~is case. If you require additional information for your review, please contact us. Igm ' J / Il EAGLE RIVER ENGINEERING SERVICES P.O. BOX ??3294 EAGLE RIVER, ALASKA 995?? HELL AND SEPTIC ADEQUACY TEST REPORT TEST DATE: December 5, 1989 LEGAL: Lot 120, T15N, R1W, LOCATION: Chugiak, Alaska RESIDENCE: WELL YIELD: PUMP YIELD: WATER SYSTEM: Sec.18 SEPTIC SYSTEM: Single Family, 3 Bedrooms +10.5 GallonB per Minute 10.5 Private Well From Municipal Records Tank: 1000 Gallons Absorption System: INSTALLATION DATE: 1977 INSTALLED ABSORPTION AREA: ORIGINAL SOIL RATING: Trench Type 24? Sq. Ft. 85 from original soil log report TEST PROCEDURE ~,~,~,~,~: The leachfield was filled with ~,~ater from an on-site well at an average rate of 2.3 GPM for a total of 540 gallons in 231 minutes. The septic tank and ]eachfield liquid levels were monitored referencing a measurement below the top of the standpipes. During the test, water was added through the trench cleanout tube and the ]eachfield water level was monitored as water was added and then absorbed into the surrounding soil, The water level in the septic tank did not rise during the addition of 540 gallons of water shewing that the leachffeld had accepted the entire amount. A total rise in liquid level in the leachffeld to the leach pipe level was recorded as 19". The monitor tube level was maintained at full capacity for the duration of the test establishing and average in flow rate of 2.3 GPM into the leach area. An additional +3480 gallons of water was then added at 2 GPM to confirm the inflow rate. Measurements were taken of the leachfield liquid level, after the test period with satisfactory reduction in liquid level. The monitoring indicates the septic system will accept the required 150 gallons per day of effluent, per bedroom, which is the required absorption rate for Municipal approval. Nell/Septic Adequacy Test Report Page 2 ~.& The well was pumped et a steady flow rate of 11.5 GPM. Total drawdown from a static water level of 7.2 feet was 30 feet after 30 minutes of pumping. At this point the water surface level in the well was static et 38 feet below the top of well casing. With the use of an electronic sonar, the yield rate of the well was monitored and calculated at a maximum rate of 11.5 GPM. This yield rate is the maximum rate that can be established by use o¢ the installed pump. TEST RESULTS The well yfeld or flow rate and septic system soil absorption rate meets the requirements of the Municipality of Anchorage for a 3 bedroom single family residence es of the day the system was tested. There are two separation distance waivers required for full Health Approval. Assessment of existing subsurface conditions by the inspecting engineer is limited to information obtained from the available monitoring tubes and Municipal record search. We do not guarantee the valldity or quality of subsurface tests and inspections performed by the original inspecting engineer or authority. This report is limited to absorption rate testing and surface separation measurements as currently required by the Municipality o¢ Anchorage and does not verify the fntegrfty of the pfpfng for the water supply or water quality other than the bacterial and nitrate content. The operational life and the matter of compliance with Mg.~,~,~R,,~,,,.,G~,~ for all water and septic systems depends on the local soil conditions, groundwater levels that may not be observed from the surface without additional testing, water usage of the homes being served by the system, and the detail of required testing procedure. Septic systems expire with use and future environmental concerns may require more extensive testing, which could render the leechffield unusable. This is true o¢ all septic systems. There is no guarantee that the well and septic system tested will meet the requirements for approval in the future. The test data and investfgatfon of existing conditions frs provided to our client for submittal to the Municipal Health Department for their review and approval. Any concerns with this test report should be discussed with the testing engineer. If it is requested we will submit the report directly to the Municipality. EAGLE RIVER ENGINEERING SERVICES P,O, BOX 773294 EAGLE RIVER, ALASKA 9957? (907) 694-5195 TEST RECORD - SUBDIVISION LEGAL: LOT./2o.., BLOCK ~., ~r/$- /-,, ,~,,~, .f~¢ /~ DATE': DWNER: , /a/~,~F , TYPE OF TEST: _~'-// - I~-,.-;5¢' ... - TIME METER LEVEL LEVEL LEVEL FLOW . LINE NOTES READING IN IN IN RATE PRESURE WATER IN) MONITOR WELL TANK G.P.M. P.S.I. TUBE I1.'~ /~3g ~- ~" ~ ,, ,,." ~/~ NOTE: AFTER TURNING WATER OFF~ OBTAIN 4 RECOVERY READINGS AT 10 MINUT} INTERVALS OR UNTIL FULLY RECOVERED IN LEACHFIELD. USE SEPERATE FORM ,FO~ RECOVERY · ~ ~OLO~C~ t~o~m~s o~ 5633 B STREET ANOHORAGE, ALASKA ~9518 TELEPHONE (~h Collected D~C 6 69 6 11:02 bzt. Client A¢ct ~.O.! MO~ ~EC[IVED Os~exea MITXATE-H lO[GAO) ~/1 E~A 353.2 Sample SABLE CO[tZC~[~ )! ~.~.~. I ~ettt ?ezfo~me~ See Special Inmttuctxom Above Oi-Oneveila~le ~D- Mona Detecte~ "See Sample EeMzks Above ~A- ~ot ir~lyzet LT-test Than, GT-~zeatez Than GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 31, Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF Pratt INDIVIDUAL SEWER & WATER FACILITIES FOR 1977 9:30 a.m. 2-1-77 Tuesday l. Approval reouested by: Mailing Address: 2. Property Owner: Ray Entmons Mailing Address: Post Office Box 88, Chugiak 3. Legal Descri0ti0n: T15N R1W Seer:ion 18 Lot 120 O 4. Location 1.3 miles from Birdhwd E~m. School, on the first 90 curve, unfinlshed~ blaO~ pa~er over, house on the -ez~ slGe cz rca 5. Type of ~a~ili-t~;"~-O:~b~ 'i~p~tte~d¥S'~!?Famity ':'~"NO:. of bedrooms 3 6. Well Data: A. Type Individual C. Construction Sewage Disposal System: A. Installed 1965 C. Septic Tank: 1. D. Seepage Pit: l. E. Disposal Field: Distances: A. Well to: Phone: Phone: 688-2333 99567 B. Depth 187' D. Bacterial Analysis On-site system B. Installer Size 2. Manufacturer Absorption Area 2. Material Total length of lines S~Dtic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line , Absorotion area , Other contamination , Absorption area , Sewer Lines EQ-034 (1/74) Page 1 of two ~ages ~\ / MUNICIPALITY OF ANCHORAGE MUNICIPA"- 2510 East Tudor Road, Anchorage, Alaska 9950 2 - NVIRONMENTAL PROTECTION REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES JAN 3 1 1977 1. Type of Inspection: CMRO 2. Propertv Owner: ~&? ~,/~)Jl,/O/V'~-~ Mailing Address: {) (~,,/'~°'Z ~(~. VA FHA CONY_ Day Phone: 3. Name of Buyer: Mailing Address: Day Phone: 4. Name of Lending Institution: Mailing Address: Name of Realtor or Agent: Mailing Address: Legal Description: (J~ Location: /~ ~ Phone: · Phone: 7-1.5 ~, I~ I ~.~ ~, ~.I~L, <~..~,~ go~ T~. Type of Facility to be Inspected~ 5~.~'~'~ ~, ?~ ~, ~' No. Bdrms. ~ Water Supply Type of Supply: ~J~ (- L Public Utility If Individual, number of dwellings presently served If Individual, depth of well ! 0(7 1 ~ Individual Sewage Disposal System Type of System: Public Utility If Individual, date of installation / ~ /-;-5~ Individual (on-site) 72~003(3/76) ~ge 2 of two pages - R st for Approval of Individual er & Water Facilities Legal Description T15N R1W Section 18 Lot 120 Comments Approved ~ Disapproved Date Approval~Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) 1977 Sub~ect~ T15N alW Section Lot Your request for approv&1 on your sewer and water facilities can not be approved un~il the folloWi~ (2) p~ysicaLly also.neet the ~ewer ~ystem ~or the se~g the bathr~m- (3)Have a percolation test run on the area. (4) If t~ perco~tion t~st fa~ls, ob~in a soils office a~ 279-2511, exten~ion 224 or a~ ~ze ~ov~ Robert C. pratt, CP/lJh