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Home My WebLink AboutVALHALLA #1 BLK 4 LT 9 Permit ~umbar: $%'__ Identification Number: ~v,.,sw.muni .armi~nzi?~ (9075 Z43-79~ Pump l~staliatio~ Log MUNICiPALiTY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~a.~e DISTANCES TANK FIEL0 Address Phone(st Permit NO NO el Bed[ooms TANKS N ~ SEPTIC ~ HOLDING ~ TRENCH ~ BED ~ W. DRAIN ~ OTHER ~ [0 or,g[nal grade Fl FT FT FT FT FT SQ FT FT Pipe material SO FT Classification (A,B,C) Tot~i Depth ~ Case~[o REMARKS: Scale: ENGINEER'S SEAL ,nspectiT~ ~oTed by: I /- ' ~¢~ ~ cmiiy that this inspe~ion was peflormed ~ccordino to ag Municipal and State guidelines in effect 0n this date: /~,~/,/~ ~ Hearth Dep~dment Approval: Date ALASKA FIUIRODm DTAL COIqTROL SeRUIC S, (~n(lin~rin(I [, ~nuironm~nlal Sludic$ Anchorage, Al( 99524-0668 (907) 279-5553 *** FAX (907) 276 8706 Department of Health & Iluman Manicipality of Anchorage 825 L Street, 5th Floor Anchorage, AK 99501 ATTN: Date Roth Services RE: I, ot 9, Blnck 4, Valhalla Subdivision Tile exJstiug well on Lot 9, Block 4, serves both Lot 9 and Lot 8. AHFC, owner of Lot 9, wants to tarn over tills existiug well to Lot 8 as their own private well, aud drill a sepal'ate private well for Lot 9. Refer to attached diagram, All easement will be set up around tile existing well's location. The new well fnr Let 9 will be greater than 100 feet f~-om all sewer systems. The existing well was drilled in late 1969. I1: was permitted as a private well. It ended up being ate illegal Class C well. It was installed meeting the p~ivate well separatiou distances in effect at that time, that is, 50 feet to septic tan]( and 100 feet to crib. On November 8, 1989, you spoke with Dr. Reid about this, and agreed that the old regulations will still apply to the existing well. Therefore, we request that you issue a permit foE' the new p~'opesed well for Lot 9. If you bare any questions, please call. Siacerely, Alan C. Wien Seniur Engineering Technician ACW/sr oo '~"b ,-,11 C)O' WATER WELL R~CO~D BOROUG~~N DI~CTIONS: DATA: type ar LOT BLOCK ~tOp of easing [~ other: Depth RECEIVED CONTRACTOR INFORMATION ature of Ahthorized SECTION QTRS RANGE E" PLEASE MAIL WHITE COPY OF LOG WITHIN 45 DAYS TO; DGGS PO BOX 77-2116 EAGLE RIVER, AK. 99~77 STATIC WATgR LEAL: ~ ft, Date METMOD OF DRILLING: ~air roDary ~c~%ble tool~ USE OF WELL: ~domestic ~irrigation ~pubtic oupply ~oth~r: CASING: Stick-up. ~ft. Diam: ~ WELL INTAKe; ~ open end ~scre~n~d perforated ~open hole Depths o~ ope~ings:__~ to ft SC~EN TYPB: Diam: in Slot/Mesh Size:. ,l Length: Sot Betwe~n.~ and G~V~L PACK TYPE; Volume used: Depth to top: GROUT TYPE: Volume: Depth: from ft to ft DE~LOPMENT MSTHOD: ~ Duration :~ P~PING LEVEL ~D YIELD: ~7 ft after /__hfs pumping ~ qpm PU~ INTAK~ DEPT~: fg }lorsepowe~: Date Pump Installed WATE~ CHEMISTRY S~PL~ TAKZN9 ~y~ ~no Well disi~%9~ted~R0n co~letiop.? ~ves ~no ,/: ~, MLINICIPALITY OF ANCHORAGE ~ ® , : ~, DEPARTMENT OF HEAl.TH & ENVIRONMENTAl_PROTECTION :l~.,~'~, .~!1 EN'qlRONMEN'I'AI. ENGINEERING DIVISION 825 L. Street - Anchorage, Alaska 99501 Telephone 264-4720 QN-SITE SEWAGE DISPQSAI. SYSTEM AND/OR WELl.. INSPECTION REPORT MAILING ADDRESS LEGAL DESCRIPTION LOCATION DISTANCE TO: L IF HOMEMADE: I Inside length Well I Dwelling DISTANCE TO: .~ l Length of each line Top of tile to finish 9rad.~.~ / Width Well Foundation~ DISTANCE TO: Class Depth Driller Building foundation Sewer line DISTANCE TO: ~O. OF ~EDROOMS PERMIT N0. PERMIT NO Distance between lines PERMIr NO, I Tsital effective absorption area Nearest lot line Distance tololline PI :RMITNO. ;)tic tank [~,bsorption aTr!a(s) Building foundation OTHER PIPE MATERIALS SOIL TEST RATING . ~NSTALLER REMARKS APPROVED DATE LEGAL !IE:!.:!I..'iH Fff',tD !!;i"JV]:F:!Z)F.!i':IIEi.,i'i'!::!!. ':i; i?!:::c ~ FIt",!E:HEI~:!:::I(3~!:., I:::!t'( '"t!::¢:.:iii!41 t'4 I",!1. t1"t[!i~!!!i!:;i: CIF:' F.~F[:4~'I'JglI'1'::/ I lie L.[?.,!G'iH [:, I i"ll_::i'.,I'::i; ]: I::)i'-~ ): :!ii; 'I HI]i: i.Ei".!GTH ,:: ]: l'q FEET ::, Eli:z T'HE i'REi'.,IL::i.-! OF: I')i:;itF:! :[ NI:: 1: EL.i). 'I'HI~: [:,[i:I:::'FII CI!::: F:! i'[;?]ihl(:::H Of;i: F':['!' :[:!~: 'l-h.l[i[ [)]:'_:.!;'[FI[",!(Z:[E EitE'[t,i(:!i!i)".i 'Tkl[!: ~i;t_!t:~:!::!:::tC:[i( OF I'HiE !3F:(:)!..!H[:, Fff.!i:) ffHIE E~O'I"!!]P1 CIF THE: !'!!i::]Fi% :iZS 1'.,!O SliiZT' I,.f:[DTH F'OFi'. 'I'I.!E: GI:;~'F'IVE]... DIi[I:::'TI.t :!:~ i'H[.: f'i:!Zi'.!:iZl"llJ!'"l DE:F"iT.I OF Gf~:FI',/E%. E~E!'HE[?.! 'I"HE (31..I"i'F:'!:;:I!....L. F:'!F:'IE (:IF,fi:' t'l-l!ii: E',I:)'['i(]!"! (]1:: TI'lIE E:i:'::I:::F!'v'F:IT):EII",I '::]:1"4 PI :t: I'.,! ]: HI. IP'I I:)I?iF!!',IC:I:-_' [~'.liE'!'PiE!;:hi F:i F!EI..i... I::!i",iC, FIl".!"r' C[tq-'-'-':~;]~-f'[i; ::i. GG F'E;ET F:OF;~: f::t PI:?]:',/FI-I!~; I,KEL..L (3t.;: J_(;E~ F(:) ;2~;::u3 FLEET i.iF:'OH rile !'"r'F:'!E OF I::'lJEfl. ZE: HIE!..I r'l ! !",! :i ifil.fid D ~ :]~;'i FIi",!CE I::'ROH F:i I::'F'. ]: VI::I f'E HI:E!.. L 1'() r:t [:'!:;~: :i: VFI !'E SiE!.,.!EI:;? L ]: NE [ '~; ;::dS F:E:E;1- Bf',iD '!'O I:::1 (:::C)f'lh'it ll",! :[ -! "/ !;EI'!EI:;: L.:[NE :IS '7~ FEE-f O'i"H[~;[~'. f,;:!EC~I. I :[ F;t[~Zi'"t[EFJ !'5~; i"il:!',,' !:::ff:'F'l,."r' %F'!?:C: :[ F ): C:!:¥[' I Cff',EE~; Fir'S!.) C:Cff'~':];T !:(:i.~'::::'! :( (iN [::, :[ Ffl]if;::F]t"15; I:::!f~'.!~J: 4UNICIPALITY OF ANCHORAGE Department of Health and Environmental Protection 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT * * * Permit ~ ~ ~(~U~J~ 'WSt~-~N~/q~R ON-SITE SEWER PERMIT ~ .- Applicant Location: _.~ ! ~,~,n- Legal Description: L ~ ~< Type of Soil Absorption System Is: Trench: ~ Drainfield: Maximum Number of Bedrooms: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) DEPTH The Required Size of the Soil Absorption System Is: LENGTH ~__V A ' . GRAVEL DEPTH ~? WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = ~ GALLONS * * Permit applicant has the responsibility to inform'this d~partment during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 1 9 $ 2 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. Applicant ~'~/~~'~' Date: . ~'-$--~3-- SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street. Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 3;itz 4 5 7 8 9 10 12 14- 15- 16- ~ 17- 18- 19- 20- WAS GROUND WATER i~,/(.,~ I~ ENCOUNTERED? pO E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop ~.1 -~'., . . //-~'' "'/4::'" /P A~XP . PERCOLATION RATE TEST RUN BETWEEN CERTIFIED (minutes/inch) DATE: 72-008 (6/79) GP~6.TER ANCHORAGE AREA BOROI'GH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL ~ ! MATERIAL LIQUID CAPACITY /~/~/-~:: GALLONS. INSIDE LENGTH .;, MAILINGADDRESS ~¢.!k ,'/~'~/' '~'~'~' ~ Z PHONE. (~/d~'~ ~ ~ NUMBER OF .COMPARTMENTS ~1 ~.- INSIDE WIDTH DEPTH SEEPAGE SYSTEM: NUMBER OF PITS_ LINING MATERIAl NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER '~ OR WIDTH LENGTH __, DISTANCE FROM WELL //.~- ! BUILDING FOUNDATION ~-~-~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL_ NUMBER OF LINES__ ABSORPTION AREA FOUNDATION ?~'"'""" NEAREST LOT LINE DISTANCE.BETWEEN LINES TRENCH WIDTH /~"~Q. FT. LENGTH OF EACH LINE TOTAL LENGTH , OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE ~ NEAREST ~ / SEPTIC LOT LINE , SEWER LINE ~' ,TANK DEPTH OF FILTER MATERIAL BENEATH TILE ~N. ABOVE TILE DISTANCE FROM , BUILDING FOUNDATION. ~.~, / SEEPAGE , SYSTEM WATER /.~r SAMPLE ./V'~, NEAREST / OTHER --//"~" ~ CESS~OO~ .... , SOURCES DIAGRAM OF SYSTEM DISTANCES: f) -7,¢ = %~/ ~ -7C -: IlS-r ~-~f; ~ DATE APPROVED ,AAB-HD-2 Case N o. GREATEI 327 Eagle St. ANCHORAGE AREA HEALTIt DEPARTMENT Anchorage, Alaska 99501 . OROUGH 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT ~;^~ RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK. TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH ~ L, ~;" SEEPAGE PIT_ TO BE ~NSTALLED BY MAILING ADDRESS.','~I"~ ~'~J;;' A ~OX ~c'/t~'~"3pHONE NO."~_~/~""~),~'~'~ = " LOCATION OF INSTALLATION. ~.,)t , DRAIN FIELD. , OTHER __ TEST RES, ULTS ANTICIPATED DATE OF COMPLETION '5,''/e/`~'~?°~ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THISISTOSERVEAS iVl[c~,~ ~n~12~: ,PERMITTOINSTALLA .AS OESCR,BEO ,ELOW. S,ZE OF UN,; T, /E SERVED _. SEPTIC TANK SIZE, ~ ()~)~__J .TYPE ~ SEEPAGE AREA DIAGRAM OF SYSTEM DISTANCES: TYPE '&~ Health Authority I certify that I am familiar with the requfl'ements of Gr hora Borough Ordflmnce No. 28-68 and that the above described system is in accordance with said code. ~rl¢} I~r~ ~ 7~' ~It}d-/~ ~}O7~ ~A~ I F~ I & G da/z. 7~,~z~ ~ 10 V Municipality of An 10isk- Is On -Site Water and Wastewate -P og!)p (907) 343-7904 Nk�S A F E T! CU Certificate of On -Site Systems Parcel 1.D.058=152=45 Q l I-tD Expiration Date: 2J0 2- 0 1. GENERAL INFORMATION: Complete legal description Valhalla #1; Block 4, Lot 9 Location (site address) 12105 Wilderness Road *Anchorage, AK Current Property owner(s) Guy Warren Day phone 907-227-6444 Mailing address Real Estate Agent Shanda Wright Day phone 907-343-9659 2. TYPE OF DWELLING: Z Single Family (w/wo ADU) F-1 Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: -3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual M Individual Water Storage ❑ Holding Tank D Community Class Well El Community EJ Public Water System ❑ Public Sewer r_1 WaiverNariance request for: Distance: -7 Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 531) Waiver Fee $ oZ Date of Payment Date of Payment Receipt Number d(6 -(90G OSA #%W(& ? Receipt Number 0 1 jr- -le 0 G Waiver # - 0 5 W10 - I 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. Name of Firm: Garness Engineering Group Ltd (GEG) " a.`= Whpr?e: •907-337.6179 Address: 3701 East Tudor Road Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 2 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE 2 �;. System #1 Approved for J bedrooms System #2 Approved for bedrooms p,;SY OFrrQ��irr/rr Disapproved �� V�e y0 r�i Conditional approval for bedrooms, with the fog s' t��tial�s: M Ela AND By. Original Certificate Date: j - 13- zc9zo The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site 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 engineer's work. 7. ATTACHMENTS: COSA Checklist _ ,pticSybtem Advisory Well Flow Advisory Nitrate Advisory Arsentc`kdvieory!. Other Ilk Legal Description: VALHALLA #1; BLOCK 4, LOT 9 If more than 1 septic system on lot: COSA Checklist # 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 9/26/90 Total depth 101 ft Cased to 101 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) (2+ in. Date of flow test for COSA 11/4/19 Static water level at beginning of test 81.9 ft. Comments Parcel ID: 050-152-45 Of 1 Structure served by this system 1 Well production at time of test 4.8+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ N ❑ Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L U_<rsenic less than MRL (ND) Collected by GEG , LTD. Date of Sample qj-'g//9 (SEE ATTACHED RECEIPTS REGARDING REPAIR ON TANK OUTLETI BAFFLE AND CAMERA INSPECTION ON INLET BAFFLE B. TANK DATA C. LIFT STATION Age of tank(s) 50 years ❑ Required maintenance completed Tank type/material CONCRETE Age of lift station years Measured operating fluid level in septic tank 58 Lift station material ❑ Standpipes/foundation cleanout per record drawing Comments: Date of pumping 4/25/19 D. ABSORPTION. FIELD DATA *AT SOUTH SUMP Which system tested (date installed)" 7/8/82 ❑ ALL standpipes present per record drawing Tofal measured depth from grade *12.8 ft (max) Measured depth to pipe invert from grade 4.8 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective N/A Adequacy test date 11/4/19 Results ❑✓ Pass For 3 bedrooms Fluid depth prior to test 44 in Water added 898 gal New depth - Elapsed time 62 in 990 min Final fluid depth 49 in ❑ Code -required soil cover over field Absorption rate 450+ gpd ❑ System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) N/A Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies: "SUMP ON SOUTH END OF TRENCH ONLY EXTENDS 61 INCHES BELOW THE INVERT INFORMATION ON 1969 LOG CRIB IS IN MOA RECORDS. 1969 LOG IS LIKELY APPROACHING THE END OF ITS USEFUL LIFE. THE LIQUID DEPTH IN THE CRIB WAS 50 INCHES COSA Checklist yellow sheet N/A E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑✓ Yes Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft Q Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑✓ Yes if No ft Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100'✓❑ Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10' Animal Containment > 50'✓❑ Yes if No ft [1 Yes if No ft ❑✓ Yes if No ft Water Service Line > 10' ❑✓ Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' ❑✓ Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' ❑✓ Yes if No ft Property Line > 5' ❑✓ 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' ✓❑ Yes if No ft Community Wells > 200' ❑✓ 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' 20 Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓0 Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100'✓❑ Yes if No ft F. ENGINEER'S COMMENTS -rime - -r�� of "MET CODE AT TIME OF INSTALL —EXCEPT FOR SEPERATION TO WELL THAT SERVES LOT 8 (SEPARATION = 50'+) � EFFLUENT RUNS THROUGH THE 1969 CRIB BEFORE GETTING TO THE 1982 TRENCH """"SEE ATTACHED WAIVER REQUEST "WELL SERVING LOT 9 APROXIMATLEY 105 FEET TO SEPTIC TANK PIPE ON LOT 8 Qo60oO �O G. ENGINEER'S CERTIFICATION o� OF 0� I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with Cl� .•• ' T H MOA COSA guidelines in effect on this date. .......... ... ..........O D O....... f.r. y ........Garn ss.- Q OQO� C.-7 Q, red • •�•�.. � �.`•'\ 000 p COSA Checklist yellow sheet �00 pro f e s slofo� #AECC884 1D000�6 GARNESS ENGINEERING GROUP, Ltd - - -- -] ENGINEERING= SALES �- CONSULTING -- - - - - November 19th, 2019 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Drainfield to lot line wavier for Valhalla #1; Block 4, Lot 9 To whom it may concern: The existing 3 -bedroom house is served by a crib and deep trench type drainfield. Per MOA records, the deep trench was installed in 1982. As can be seen on the attached as -built survey by Janice M. Zike, PLS, the 1982 trench sump is approximately 7 feet from the west lot line. Per MOA records, the trench is 36 inches in width. It is assumed the trench is approximately 5.5 feet from the lot line based upon the trench width (3 feet) and the distance to the lot line (7 feet). Therefore, we are requesting that your department issue a variance from drainfield to lot line of 5 feet. Justification for granting this waiver is as follows: • This encroachment has existed for approximately 37 years (2019-1982). • To the west of the drainfield is Wilderness Road, so the drainfield does not encroach on another drainfield. We are unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Municipality of Anchorage P.O. Box 196650 s 4700 Elmore Road Anchorage, Alaska 99519-6650 a (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program ,SVC 11 t moo.: G � n Department x x x x VARIANCE/WAIVER REVIEW x x x x Waiver#: OSV201002 COSA#:OSC201008 Permit#: PID#: 015-211-10 Legal Description: Valhalla #1 Bilk 4 Lot 9 Engineer: GEG Applicant: Warren Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5 feet. This waiver approval applies to the Existing absorption field only. Any firture upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ............................................................ 0 0. 0 0 0 ............ 1 Waiver is Granted: X Waiver is not Granted: Date: % `"1'3-20.Z(9 Approved by: w (' ame of Reviewer .................................................... 0 N N Z Z N ............ .... X 2 0 0 1 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 Lx~/,z)- -- 0~// --/<:~) HAA # ~.~ ~c~l-,(--~_\( ,],_,~ 1. 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 ' ,~2/_/.F<:~_.. ' "' Telephone: (home) Mailing Address. Business (c) Lending institution Mailing Address Telephone (d) Real Estate Company and Agent Address Telephone (e) 'i~ail the HAA to the following address: (or check here~, if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family ~ Number of bedrooms V 3. 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, 4. SEWAGE DISPOSAL On-site,~ 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 5. 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 ,~-~-J' -z~*',c Telephone Address /~f/ /qf,r;¢ ~'2-F~6g'~ ,'¢~/~¢'~-,,?C /¢/C_ Date 6. DHHS APPROVAL Approved for )bedrooms by Approved ~)~ Disapproved Terms of Conditional Approval Conditional Date //- / ;? - ? ~' The Municipality of Anchorage Department of Health and Human Services (DH HS) issues Health Authority Approval cerificated based only upon the representations given in paragraph § 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 oertificate is issued. The Municipality of Anohorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 A. WELL DATA Well Classification Well Log Present~)N) Total Depth /(2/ _Cased to Static Water Level Casing Height Above Ground MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: .~ If A, B, C, D.E.C. Approved (Y/N) Date Completed /O/¢/,¢,p Yield //~¢ / Depth of Grouting ~ Pump Set At /'~- ~ Sanitary Seal on Casing ~N) Electrical Wiring in Conduit CN) __ Depression Around Wellhead (Y~J.)~ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot /~¢2 ~ ~¢.,'old,.~'// ; On Adjoining Lots /05- To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by _/ ' f-~ 2,~/ Water Sample Test Results ~:~a ¢~: Comments ~1~/ ~.,'~1{ ~'~: ~"~"~' ~/?..D/.. ,//~/...~/~,.¢// ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ;Date No. of Compartments / Foundation Cleanout (Y~? Date Last Pumped ;for /¢./'/¢- Temporary Holding Tank Permit (Y/N) SEPTIC/HOLDING TANK DATA Date Installed/~/z~-/¢ ? . Size_/¢_t'-Z~¢, / Standpipes ~N) Air-tight Caps CN) Depression over Tank (Y~) Pumping/Maintenance Contact on File (Y/N) Holding Tan.~ ~igh~,Wa~t~[. Alarm (Y/N) . SEI~AR/~'ClON.,DISTANCES FROM SEPTIC/HOLDING TANK: To:W~ter-Supp'~/W~ii ': /¢'~ / T(~ Prop,,erty Line. To'Watbr Main/Service'Lin~._ ? To Stream, Pond, Lake'or'M~ior Drainage Course Comments ~'~ To Building Foundation To Disposal Field '~/,~" 72-026 (Rev. 7/88) Fronl Page 1 of 2 ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~Y~-~'.~ Date Installed I/~'/~¢ Width of Field /z. / ,~??f4~'~',z. Type of System Design Length of Field /~// &' ~'/ Depth of Field 4'' / /z,5'- Gravel Bed Thickness ~ Square Feet of Absortion Area ,~¢'$- o 7-,'~,~ /~' Statndpipes Present ~/N) Field (Y/~ Date of Last Adequacy Test Depression over Results of Last Adequacy"Test /~ q./e_~ ,~ ~/~ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well Cr,'~ /.3p / Tr~¢~ I'/o/ To Building Foundation Lot To Water Main/Service Line .;> To Property Line ~' dJ~-,/~, ~ ?~- To Existing or Abandoned System on ; On Adjoining Lots ~' 2-~ / To Cutback (if present) ~go,¢~ , To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments - LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Corn ment.~.....~e~N) Dimensions Manhole[Access (Y/N) '~Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines ~n inspection, ~(.-~)/ X Signed ~' (~-¢~'~'7k Company /¢'/'7~/~-(%~' ¢~'----.~ (_ o/~ Date /~//~,/~ 0 MOANo~'~?¢ ~/Z Receipt No. c~- ~'~-~ / ('~ ("- '~?~./ Receipt No Date of Payment ./"d) c~ -- ~ Waiver Fee: $ Amount: $ ./? ¢~, (.~ (.~ Date of Payment in e..[f~,~ ~,the date of this 72-026 (Rev 7188) Back Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343 FEDERAL TAX I.D, #92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order R 29242 Date Report Printed: OCT 16 90 ~ 13:04 Client Sample ID:Lg, B4, VADALLA, HID. PWSID :UA Collected OCT Ii 90 ~ 12:00 hts. Received OCT 11 90 ~ 13:10 bYs. Preserved with :AS REQUIRED Client Name : A E C Client Acet: AKECSRP P.O.~ NONE RECEIVED Req ~ Ordered By : L.REID Analysis Completed :OCT 15 90 Send ~eports to: Laboratory Super~v~s~ot/~ZPHEN C. EDE l)i E C S Released By : ~~.~ ~.~ 2) Special Instruct: Chemlab Ref ~: 904201 Lab Smpl ID: I ~atzlx: WATER Allowable Parameter Tested Result Units ~thod Lir~ts NITRATE-N ND(O.IO) mR/1 EPA 353.2 10 Sample ADEC FOR}dAT. Remarks: Tests Performed ' See Special Instructions Above UA~Unavailable None Detected "See Sample Remarks Above Not Analyzed LT=Less Then, GT~Greater Than · . , DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME ; D TE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 82~ L Street - Anchorage, Alaska 99501 ENVl RONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS; Complete all parts on pago 1, Incomplete requests will not be processed, Please allow ten (10) days for processing. PROPERTY RE81DENT ~1[ difierent fr6m abow) PHONE 3, LENDING INSTITUTION PHONE I MAILING ADQ~ESS /J ' E. LEGAL DESCRIPTION . ' . , I ~ , (', ~ , STREET LOCAT ON J6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [~"'~ou r [] Other [] SINGLE FAMILY [] Two [] Five (.~qo.~n. /_ . [] Three E~ Six MULTIPLE FAMILY 7, WATER SUPPLY [~]-~'INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** ,/~ ~ YEAR ON-SITE SYSTEM WAS INSTALLED. E~ PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6179) // p./..6.3~,,~Z~ ~.~zC~,4,dd-cf.7 .~- ,/~ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3, SEWAGE DISPOSAL SYSTEM F~INDIVIDUAL/ON -SITE [~]PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: f~'~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED NSTALLER SOILS RATING MANUFACTURER MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ,- ...... .._ .., ..~ ~ .~ J' DATE ~'AAPPROVED FOR BEDROOMS [[~COND[TIONAL APPROVAL (letter ~u/~t accompany certificate) [] DISAPPROVED 72-010 (Rev, 6/79) ALASKA 6FIUIROnmI nTAL COFITROL SI BUIC6$, IFIC. ~nqJneerinq 6 ~nubonmental Studies 2/10/82 Iv~UNICIPALITY OF ANCHORAO~ MICKY GAGNON/DYNAMIC 501 Wo NORTHERN LIGHTS ANCHORAGE AK 99503 SELLER - KATHY P~RKER BUYER- SUBDIVISION-VAHALLA SUBDIVISION BLOCK-4 LOT-9 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 288 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 230 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 30 GALLONS. THE SYSTEM IS UNACCEPTABLE BECAUSE THE SURGE CAPACITY IS LESS THAN 75 GALLONS. THE SYSTEM IS NOT CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SEPTIC TANK WAS PUMPED ON 2/10/82 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 4 BEDROOM HOUSE. 1450 IS ADEQUATE FOR {220 LUesl 25Ih Auenue · AnchorQq¢, Ahska 99503 · (907) 276-1361 January 29, 198~ Kathe Parker & Stuart Davies eRA ].690 I! Anchorage, AK Subject: Lot 9, Block 4, Valhalla S/D )]ear Ms. Parker & Mr. Davies: Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: The water anaIysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. Expose the well for our inspection to determine proper construction, also to insure minimum distance requirements are met between the well and sewer system. ~ The septic tank pumped with a receipt submitted to this department. ° A four (4) inch east iron cleanout needs to be instailed to the septic tank and/or leaching area. " All adequacy test needs to be perfornled on tile existing leaching a~ea. This test ,,;ill dotermine if the syste~ is adequat~ according to ~ational Standards. A listing of privat~ firms performing the test is enclosed. Tt~is r~por~. needs to be submitted to this offio~ for our review. Piease notify this department for a reinspeetion when the noted discrepancies have been corrected. If there are any further questions, please cai1 this office at 264-4720. Sincerely, Robert C. Pratt Associate Environmental Speoialiet 1. APPROVAL ADDRESS: GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED: INSPECT: ,/ TIME: REQUEST FOR APPROVAL INDIVIDUAL SEWER AND WATER FOR OF FACILITIES REQUESTED BY: //' '~ PHONE: 2. PROPERTY OWNER: 3. LEGAL DESCRIPTION: 4. TYPE FACILITY TO BE NUMBER OF BEDROOMS: 5. WELL DATA: A. TYPE B. DEPTH ,- INSPECTED: C. SIZE D. CONSTRUCTION E, BACTERIAL ANALYSIS SEWAGE DISPOSAL SYSTEM: SEPTIC TANK (IF HOMEMADE, 1. SIZE 2. AGE 3. MANUFACTURER SHOW DIAGRAM ON BACK) 4 INSTALLER ' ' * '"' APPROVAL REQUEST FOR SEWER & WATER FACILITIES PAGE TWO SEEPAGE PIT l. SIZE ~-, ¥~ / < ~, , ~ 2. C. DISPOSALs, FIELD ' 1 . NUMBER~L I NES 2. TOTAL L E N/S~_ REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK B. WELL TO SEEPAGE PIT //~" C. WELL TO SEWER LINE D. WELL TO PROPERTY LINE E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK '~, G. FOUNDATION TO SEEPAGE PIT H. SEEPAGE PIT TO PROPERTY LINE 8. COMMENTS: APPROVED,: ~¢ ..... i : ;!~- -DISAPPROVED: ?, DATE: '/ ~ / // DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY