HomeMy WebLinkAboutWILLIAMSON BLK 2 LT 3
F Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
· · ~ E.~VIRONMENTAL SERVICES DIVISION
'P,(X Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site W,astewater Disposal System and/or Well Inspection Report
Name: ~[.,,G./*,~. WF..'-l,S~"~tt'J Wastewater System: [] New ~Upgrade
Addres~ --CO '~ .
S~,¢~- ~¢'O~'6 .. I"°'(~f~dr°°ms= ", ABSORPTION FIELD
Phone: F1Deep~rr~ C) ShallowTrenoh E]Bed
LEGAL DESCRIPTION soil Rating:
Lot; ~ Block: Subdivision: Depth to pipe boaom Porn origin~r~g~de: ~¢YS"ept h beneath pipe
-- Townahlp: ._ I Range: .~...,.. [] I 8ectl°n~*'"~ Gravel width: Fill added ab°ye °rigina' grade:"~FL Numb~
%l length: Ft,
D'stance between lin;st:'
.~ ~M I F~. ~ ~ TANK
SEPARATION DISTANCES ~,,tic ~ Holding ~ S.T.E.P.
Material: Number of Compartments:
Suda~e : ~
Lott~l~ i~l~ Size in gallons: Ma~
Foundation ~'~¢¢
P~mp Mske& Electrical Inspections pedorme
Remarks: ~~ ~ O~W. BENCH MARK
' ' ' ENGINEEB'~SEAL~
Depadment of HeaR~nd Humao Services approval
Ravia e proved by: _ Date: ?
7~.-013 (Rev glo1) MOA 35
AS-] U] LT YTG,
AC = 24,3
DC = 39,3
AD = 29,7
FENCE TO 'D' = 15,6'
DOUBLE C/O
NG
A~~KE,~SET LEVEL ~/ITHIN ,O~
NOT [0 SCALE
]FILET INVERT = 93,Bl
OUTLET INVERT = 99,58
GROUND OVER TANK = 98,35+
COVER = 4'+
SEPTIC TANK RE-'PLACEMENT' LOT 3, BK ~, WILL_lAMSON
PREPARED FOR~ ALAN WEINSTEIN
PREPARED BY~ ALASKA WATER & WASTEWATER
DATE~ ~/86/97 I]RAWN~ GARNESS SCALE~ 1' = 30'
CE.7953
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW970022
DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES
OWNER NANE:WEINSTEIN ALAN H &
OWNER ADDRESS:5300 E 98TH AVE
ANCHORAGE, ALASKA 99516
DATE ISSUED: 2/20/97
EXPIRATION DATE: 2/20/98
PARCEL ID:01507322
LEGAL DESCRIPTION:
WILLIAMSON BLK 2 LT 3
LOT SIZE: 11321 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18A3tC72) AND DRINKING WATER REGULATIONS (18A31C80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL ].5 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE S~%ME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
DATE: ~.~/'7
DATE: 2 -lo
February 19, 1997
Wai er & Wa rew t ;er
8471 Brookridge Drive- Anchorage-, Alaska 99504
(907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Se~wices Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Re5 Septic Tank Replacement for Lot 3, Bk 2, Williamson S/D. 5300 East 98th Ave.
Anchorage, Alaska.
To whom it may concern:
The existing 3 bedroom house is seiwed by private well and septic system. The existing 1000
gallon septic tank (fiberglass) has collapsed and must be replaced immediately. Attached is a 1"
50' scale drawing showing the wells in the immediate area. There are no surface waters within
i00 feet of the proposed upgrade. I am unaware of any adverse impacts ttffs installation would
have on adjacent wells or septic systems. If you have any questions, please contact me at
337-6179, or on my digital pager at 1-800-481-i 162. Thank you for your assistance.
Sincerely,
O,ncr/Consultant
REPARE[~ =DR:
PREPARED BY:
ALASKA WATER a WASTEWATER SERVICES
DRAWN: GARNESS SCALE:
CE-7953
Feb-19--97 04:2BP Carls Excavating Ine
#
BO7 346-3B6B
Land ~urveyor
Da~e 7 February'~r,~
Surveyed b¥~ Harv ROokus-Registered
3310 ~mate Drive
Anch, :ei AK 99508-4924
CO~
IDR~
~E
0¢ C~tC, P AT
¢o DR^INFIELDS
3 '~'-- -~ UTII,, ~SMT,
LOCATION OF WELL
(Pleole complele e'[ther lo, lb or lc,)
- WATER WELL RECORD
STATE OF ALASKA ' ,.,
DEPARTMENT OF NATURAL RESOURES
Division of Geologicol (~ Geophysico& Surveys
Ic~-IOlSTANCE INTERS[~CTIONS ~. OWNER OF WELL~
AND
DIRECTION
FROM
ROAD
Material Type Top Bofto~ ~
7. USE:~ OOmlltlO ~ Public Supply ~ I~dullry
~ Irrr;ot,on 0 ..char~. ~ Comm.,lca,
~ Tell Will ~ Other;
~.-. G ,.. ,o~ ~0,. ~,~,, w.,,,,/¢ ,~,./,,.
~ Above or ~Below land surface ~ Date
M ~ ~ ~ViRON',AEh fAL pROTEC ION ~ offer ~ hr.. ,~mpln, ~.p.m.
15. Water Temperature
2o o
~7~'
, ANGHORAGE; ARIEA ~30[
OEPARTMENT OF ENVII~ONMENTAL QU&LITY
Sf~gG~'O~[M ~ APPLICATION AND PERMIT
PERMIT NO
INSTALLATION Of: Septic TANK _ __ SEEPAGE pIT .... DRAIN FIELD OTHER
TO BE INSTALLED BY
NOTE~ THI~ p£RIYIrT 15 NOT YALID WITHOUT ~¢)IL
GREATER ANCHORAGE! AREA BOROUGH
Department of Environmental (~uality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAl., SYSTEM
~' //~ y LEGAL ' /''
LOCATION ~t) ~.~.~..~¢ DESCRIPTION 'C2~'~ ~"~ ~/~'~'/¢/~¢'~'¢
SI:PTIC TANK: ,
FROM WELL_ ~ MANUFACTURER. ~ d~ ~ ~ATER~AL , ~'~ COMPARTMENTS
/
INSIDE LENGTH ~ INSIDE WIDTH__ ~LIQUID DEPTH __ .LIQUID CAPACITY_ /~ GALLONS.
NUMBER OF PiTS / DIAMETER
LINING M AT E R I/J~/~2;/~-R~, B~S I Z E:
BUILDING FOUNDATION '~
OR WIDTH cB f
DIAMETER
NEAREST LOT LINE //
ADDITIONAL ABSORPTION
LENGTH__~ ~ DEPTH //~
/
DEPTH DISTANCE FROM: WELL ~/~'2(~
TOTAL EFFECTIVE ~S
ABSORPTION AREA (WALL AREA) ~ O~ Q. FT.
WELL:
T V P eI~'¢~ CONSTRUCTION DEPTH,,' .-,---~' , DISTANCE FROM:
BUILDING ;~/ .,,~ NEAREST NEAREST/--o C) / SEPTIC~,vK'2'R / SEEPAGE: / O~ /
FOUNDATION /~¢,c¢¢, , LOT LINE SEWER LINE TANK SYSTEM
CESSPOOL DTHER SOURCES
APPROVED DISAPPROVED REMARKS ~ _.
DISTANCES. ____ DIAG~ OF SYSTEM
Form No. EQ-031
GREA ,,~ ANCHORAGE: ARBA BOF
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
FINANCED THROUgh] ~¢ / ~ '" { ¢ I ~0 BE INSTALLED bY
SOIL TEST rESULTS _ ~ NOTE~ TtlI8 PER~IT 18 HOT VALID WITHOUT SOIL TBST
FINAL INSPECTION: 24 DOUR NOTICE REQUIRED. BACKFILLING OF' ANY SYSTEM WITHOUT FINAL INSPECTION bY THE
DEPARTMENT OF ENVIRONMENTAl. QUALITY AUTHORITY WILL E:~E SUBJECT TO PROSECUTION.
TYPE
MINIMUM DISTANGE,~', REQUIREMENTS
FOUNDATION TO SEEPAGE PIT
TO NEAREST LOT LINE.
/Or
SEEPAGE PIT ~
.i ALSO CONSIDER AREA WELLS.
__, SEEPAGE PIT "~P'
, DRAIN FIELD ~0 '0~
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRII~ CROSSING (;AP OF
eXCAVATION 5 fEET [N'rO UNDISTURBED SOIL.
CONFORM'ro BOROUGH REGULATIONS REGARDING INSTALLATION. I
ABOVE
'~ : - '~"-¢F GREATER ANClIOI</\(;I: AI*,I:A UOR/)UU,,
N P 3330 "C" Street
l,~::, Anchorage, Alaska 99b{)3
' ' ' ',' ~' Il]SI
SOII,S I,OG I LROI,A 1 ION " , " '
.................................. · 6 Fd ~'6}~ -~6~2
lhis form reports: Soils log___~.~
De p t h
Feet
13-
"Was groUnd water' 'encountered? ~ ....... If yes, at what clepUd~ ...............
Reading Date Gross Time Net Time Depth to Wate~ Net Drop
~5~]'~ii~h- rate mi nute.
.Proposed i stallat~on: oeupage Pit ................... Urain Field
Depth of Inlet Depth to bottom oF pit or trench
EQ 040 (6/74)
GREATER ANCIIOkI\(;t: AU, LA I;OROUu,
Department of Env i rorllllell Lal (}ual i ty
3330 "C" Street
Anchorage, Alaska
SOII,S 1,()(; I~I,'A~,OI,A'I'ION TEST
This form reports :'-~'~]~-'~
Feet
Was ground water' encountered?
Bo qq- o,. ,'-4
__...X~]~ ..... If yes, at what depth?
Reading Date Gross l'ime Net Time _~e_p.O[_~o__W.~t_~ej~_ Net Orop
Percolation rate minute.
Proposed installat~hY-~ge Pit Urain Field
Depth of Inl~ '
E(~- 040
uoysIa~PqnS uosm~IIlYM 'g MooIff '~ pu~ g lo%
~8$SAS Kx~l~u~s xo~ Ixodo~ bo% i%os pup OiOH isof, :Rd
L0566
~8£ xo~
L80~9~
~L6I 'ET Isnbn~
(FID)
L
,C 0
SL~8~,U
r49-
AGE ao
•�t Municipality of Anchorage
On-Site Water and Wastewater Program
(907) 343-7904 SAFETY
Certificate of On-Site Systems Approval
Parcel I.D. 015-073-22 Expiration Date: 9 - �J -(g
1. GENERAL INFORMATION:
Complete legal description WILLIAMSON; BLOCK 2, LOT 3
Location (site address) 5300 East 98th Ave.*Anchorage,AK 99507
Current Property owner(s) Alan Weinstein Day phone 441-1124
Mailing address
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ 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
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System 0 Public Sewer ❑
WaiverNariance request for: Distance:
Received by: Date: 6//818
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ sZ� Waiver Fee $
Date of Payment / d`3 I Date of Payment
Receipt Number Oaf S-CQ Receipt Number
COSA# oSc_. (-ri co '? 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.
Name of Firm: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date:
a0000�0�°
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o Oh A �Q4�
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 O v- •' •
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or ���!- T' �' - O
encroachments may exist that were not identified during the evaluation. The operational life of all wells * L• f. 1 rV * O
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, f / v
groundwater levels (that may fluctuate during the year), quality of construction (materials and 4\ / • !l�'
workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and o {,
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the 0 ...Jeffry . c.- - s;
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of Vr1�1; ' (C't_7g5• -/�
the well or septic system. GEG makes no representation whether an alternative well or septic system
V 9 �' •�c�0
• can be installed on the property in the event either of the current systems fail to perform adequately in ,e '•�y.j. I �c��
the future. The content of this report is for the sole benefit of the person/party that retained GEG to VG'p�o�ess.o�0\0
perform the evaluation. Reliance upon the information provided in this report by any other person or DOO000��
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
#AECC884
6. DS`DD SIGNATURE •
System #1 Approved for - bedrooms
System #2 Approved for bedrooms \� , �.( OF/4/y` G
Disapproved V
Conditional approval for bedrooms, with the foiling df
o WWASTtFKWATER c
c5) PROGRAM
04• CAn- rf�I\r".
IDate: — �Sr�(
By: Original Certificate %o
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 Nitrate Advisory
Septic System Advisory / Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10-10-12.doc
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: Williamson; Block 2, Lot 3 Parcel ID: 015-054-25
A. WELL DATA *WELL DEEPEND FROM 274 FEET TO 290 FEET IN 1984
Well type Private If A, B, or C provide PWSID# N/A Well Log (Y/N) Yes
Date completed 8/14/1975 Sanitary seal (YIN) Yes Wires properly protected (Y/N) Yes
Total depth *290 ft. Cased to *290 ft. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 8/14/1975 7/24/2017
Static water level 266 ft. 269.3 ft.
Well production 10 g.p.m. 4.3+ g.p.m.
WATER SAMPLE RESULTS:
Coliform ([) colonies/100 ml. Nitrate mid./L. Collected by: GEG. Ltd.
Arsenic: N ag./L. Date of sample: 6/6/2018
B. SEPTIC/HOLDING TANK DATA *21 YEAR OLD STEEL SEPTIC TANK IS
APPROACHING THE END OF ITS USEFUL LIFE
Tank Type/Material Septic/Steel Date installed *2/20/1997
Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) Yes
Foundation cleanout (Y/N) Yes Depression over tank (Y/N) Na High water alarm (Y/N) N/A
Date of pumping 9/27/2017 Pumper Northland Pumping Service
C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE TO BOTTOM OF NEW MT
Date installed 10/2/1975 Soil rating (g.p.d./ft2or /bdr 170 System type Deep Trench
Length 30 ft. Width 3 ft. Gravel below pipe 10 ft.
Total depth *8.4+ ft. Eff. absorption area 600 ft2 Monitoring tube Yes Depression over field No
Date of adequacy test 9/11/2017 Results (Pass/Fail) Pass For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added***658 gal. New depth **27 in.
Elapsed Time: 140 min. Final fluid depth 14 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) None Known If yes, give date —
—NEW MONITORING TUBE ONLY EXTENDS 28 INCHES BELOW INVERT — CONTRACTOR COULD NOT
DRIVE THE MT ANY DEEPER
**1 INCH BELOW INVERT
***AFTER INTRODUCING THE INITIAL 206 GALLONS INTO THE DRAINFIELD, THE LIQUID DEPTH IN
THE MT WAS 8 INCHES
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at .• wa er alarm level at in.
. •• Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main 75 + Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 75'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10'+ Property line 5'+ Absorption field 5'+ (ASSUMED)
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
10'+ Buildingfoundation 10'+ Water main 10'+
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain None Known Wells on adjacent lots *95'+
F. COMMENTS
*WR#OSV171139
—THERE IS NO CLEAN—OUT AT THE NORTHWEST END OF THE TRENCH
o �Fq
�o�pp����
4
G. ENGINEER'S CERTIFICATION v
-00
certify that I have determined through field inspections and 1* 49`�H If ...7*0QD
review of Municipal records that the above systems are in /A,
p �, VA
conformance with MOA COSA guidelines in effect on this
oo. .. •t
VA
date. •.Jeffr A. . • ess.
Engineer's Printed Name JEFFREY A. GARNESS
VA
. LICE-79 3 .. he
Date ( r // ���dP nog
/ ofessioo
#AECC884
(Rev. 11/05)
• ^ 1' aE s
• Municipality of Anchora Re
P Y OCT 31 2017 � y
On-Site Water and Wastewater Program :. y l s
(907) 343-7904
Certificate of On-Site Systems Approval
Parcel I_D...015.133'4 Expiration Date: "---qe7
1. GENERAL INFORMATION:
Complete legal description WILLIAMSON; BLOCK 2, LOT 3
Location (site address) 5300 East 98th Ave. `Anchorage 99507
Current Property owner(s) Alan Weinstein Day phone 441-1124
Mailing address
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ 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
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: D{2-rs-u-r FDistance: ci
.
Received by: Date: 11/ Q i (
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ Waiver Fee $ 11124
Date of Payment 10131119'19" Date of Payment /601113"
Receipt Number 07C135-6 i Receipt Number QOakc
COSA# d�617 f 5-0"i Waiver# 5J V1"-1139
5. STATEMENT OF. TION 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) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101-Anchorage, Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: l013.7��-
�4000pp��
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o OF A %%p
in accordance with the guidelines and regulations established by the Municipality of Anchorage and K\c,•. '' ' • 4
industry practices. The reported results describe the condition of the system/5. on the date/s of the QQ '-. �,' Qn
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or Q !� n
encroachments may exist that were not identified during the evaluation. The operational life of all wells O .a ', 9 • *v0
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, VA
groundwater levels (that may fluctuate during the year), quality of construction (materials and 4
workmanship),and the water usage of the family utilizing the system/s. These conditions can vary, and /... ... • 10 0
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the hJ-' : t •. . -ss,"
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of V0 tt '•I CE-795 a QQ
the well or septic system. GEG makes no representation whether an alternative well or septic system c
can be installed on the property in the event either of the current systems fail to perform adequately in � P`P IQ•• -- 1� c'•p�Q
the future. The content of this report is for the sole benefit of the person/party that retained GEG to04 Protesslof`6Qo
perform the evaluation. Reliance upon the information provided in this report by any other person or ��ppgo�o
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
#AECC884
6. DSD SIGNATURE
System #1 Approved for 3 bedrooms
r �
System #2 Approved for bedrooms ` .\-V OF,q,,;you Ir
Disapproved ON-SITE
Conditional approval for bedrooms, with the flowinAgElEttAND
WASTEWATER z
;ctJ O=•
% PROGRAM 63:
•', .o
!T SERVt��
By: t • Original Certificate Date: / I `t ^ / 7
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 Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_10-10-12.doc
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description. WILLIAMSON, BLOCK 2, LOT 3 Parcel ID: 015-054-25
A. WELL DATA *WELL WAS DEEPEND 9/5/84
Well type PRIVATE_ If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 915175 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES
Total depth 290 ft. Cased to 290 ft. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 9/5/84 7/24/17
Static water level 272 ft. 269.3 ft.
Well production 10(?) g.p.m. 4.3+ g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 ml. Nitrate 0.496 mg./L. Collected by: GEG. Ltd.
Arsenic: ND ug./L. Date of sample: 10/2/17
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL Date installed 2/20/97
Tank size 1090 gal. Number of Compartments 2 Cleanouts (YIN) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A
Date of pumping 9/27/17 Pumper NORTHLAND PUMPING
C. ABSORPTION FIELD DATA -BELOW EXISTING GRADE TO BOTTOM OF NEW MT
Date installed 10/2/75 Soil rating (g.p.d./ft2or It`/bdr ) 250 System type DEEP TRENCH
Length 30 ft. Width 3 ft. Gravel below pipe 10 ft.
Total depth *8.4+ ft. Eff. absorption area 600 ftMonitoring tube YES Depression over field NO
Date of adequacy test 9/11/17 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added—'658 gal. New depth '"27 in.
Elapsed Time: 140 min. Final fluid depth 14 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date -
-NEW MONITORING TUBE ONLY EXTENDS 28 INCHES BELOW INVERT-CONTRACTOR COULD NOT DRIVE THE MT
ANY DEEPER
**1 INCH BELOW INVERT
"'AFTER INTRODUCING THE INITIAL 206 GALLONS INTO THE DRAIFIELD, THE LIQUID DEPTH IN THE MT WAS 8 INCHES
D. LIFT STATION
Date installed Size in gallons Manhole/Access (YIN)
"Pump on" level at in. "Pump off' level at •• .• a er alarm level at in.
- -• Cycles tested Meets alarm &circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100' On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 75'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+ (ASSUMED)
Water main 10'+ Water service line 10'+ _ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 104 Building foundation 10'+ Water main 10'+
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 104
Curtain drain NONE KNOWN Wells on adjacent lots '95'
F. COMMENTS
'SEE ATTACHED WAIVER REQUEST
-- Ten..tr- t 5 NG al-F/44-° ' Al- 1 s MAZ- 14. - i FJ•iD it-
it--T-e. '42 p cN
♦•*_,,,s%%• .,`
4 44,
G. ENGINEER'S CERTIFICATION •
• "'- .... ' .. • */
ii �'.••• : x}11certify that 1 have determined through field inspections and 4' / \review of Municipal records that the above systems are in •• •conformance with MOA COSA guidelines in effect on this , • ; • •!r•
date. s •f A. Gar -ss::
410C-1-•=. 1
Engineer's Printed Name JEFFREY A. GARNESS • jj i-795 �=
. •. k 41 �' 'C.4
Date /0/3-////' EICENSE 4 ,sS \c ••
BAECC884
(Rev.10112/12)
Municipality of Aichorage
Ovilal It
P.O. Box 196650 I 4700 Elmore Road
Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997
http:l/www.muni.orq/Onsite
Development Services Division
On-Site Water and Wastewater Program
**** VARIANCE/WAIVER REVIEW ****
Waiver#: OSV171139 COSA#: OSC171509 Permit#:
PID#: 015-073-22
Legal Description:Williamson Block 2 Lot 3
Engineer: Garness Engineering Group
Applicant: Alan Weinstein
Your request for a waiver of the required 100 feet horizontal separation from the absorption field
to the private well has been approved. The approved separation distance is 95.0 feet.
This waiver approval applies to the existing absorption field only. Any future 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 nonobjection have been received from the owner(s) of the affected
adjacent property.
[l Adjacent properties are not affected by this waiver.
'
Waiver is Granted: X Waiver is not Granted:
Date: it V, i 7 Approved by: lea -61 ea--ivt&Z"
Name of Reviewer
**'k*
VARIANCE/WAIVER REVIEW ****
.�.
Quanics
GARNESS ENGINEERING GROUP, Ltd Ad.one Yi 1, •- j
CIVIL&ENVIRONMENTAL ENGINEERS
October 26, 2017
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Wlliamson; Lot 3, Block 2 - Well To Drainfield Waiver Request
To whom it may concern:
We request that your department issue a 95-foot well waiver from the drainfield on Williamson;
Block 2, Lot 3 to the private well on Williamson; Block 2, Lot 4.
• The encroachment has existed since October 1975
• A recent water sample was taken from the well on Williamson; Block 2, Lot 4 and
analyzed for bacteria and nitrates. The sample tested non-detectable for nitrates and
bacteria (see attached document)
• See attached MOA LIDAR drawing which shows the topography in the surrounding area.
The topography is such that overflowing wastewater from the drainfield would not flow
towards the well.
6r-rely,
Aid
: • IL, P.E., M.S.
Presr• =�t
3701 East Tudor Road, Suite 101 Anchorage,Alaska 99507-1259
Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com
8463S
1
i
1
``IV c'0
0,6S\ /
�' 00 0 Well
P\O�• I
/,
/ O�
00 1
q'' t° I IN `sem
0-, wo /
I I �� Lot 2
y I 1
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---"ix e
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0
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.�• IS <C Asa /
�6 a -- /
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� - 100 Well radius
N ram• S'1,,Z, ,) a Art
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erii. a
- .0 Ae
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, - - f t 11
2Sb �' Lot 3 d ��! n �! d
9� ••� Qer tq9�' As bu'I
,SAla c.) Wood fence(typ) \ C�a h
(.. Lot 4 A-1(e) +-h UJGS4'
\ •� �`C la
100'Well radius i fi
\` J 1�` \
/ J``• yrs). \
aa`0 0 ..c;\ Lot 5\
„Nv
<JO\tie /\-44C3
/
AS-BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
_`%‘\‘‘ of the following described property_ LOT 3. BLOCK 2,
OF A II WILLIAMSON SUBDIVISION
NW tp,+O NI. • • •'s `
/T"" t Anchorage Recording Precinct,Alaska,and that the
sC/7• 49th �` • 9 1/ improvements situated thereon are within the property lines
`•* / and do not overlap or encroach on the property lying
t •• ••7•�••• / adjacent thereto,that no improvements on the property lying
__ �f"�+``—`r / adjacent thereto encroach on the premises In question and
�, - that there are no roadways,transmission lines or other
011 %.Fred Wa I a t k a :2 visible easements on said property except as indicated
li s�•• 3255 - 5 •• - hereon. 0
' •. • • h .. Dated at Anchorage,Alaska
n • ' '�aq this 14th day of September,2017.
EASEMENTS OF RECORD,OTHER THAN I ` sslos�ti 4"
THOSE SHOWN ON THE RECORDED %\\"�. FRED WALATKA&ASSOCIATES
Engineers and Surveyors
PLAT ARE NOT SHOWN HEREON. FB 17-9 pq 30 BE (907 248-1666)
\ 5463S
• 1
o
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Q f
'..C.‘ \
�C. O Well 1
*1\
oh� i
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\' / e°� � r ct�
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m Ax" Lot2
/
SD 1� , oo'er / - CP
-
2-
? /
\ \\*--53- e BD �6a
/
/ �� 100'Well radius
N ram. 1-2s h a
/ s ,
i
"At:
/
S o
��
— yr - B g
r - — , 44.
2S09, - hry_ Lot 3
N
60 Wood fence(typ)
Lot 4
f
(--
100 wen radius
/ 4) A,
h Lot 5\
<,j‘cizotopee/ t: t)1%
/
AS-BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
+���`NA` of the following described property: LOT 3. BLOCK 2.
FI WILLIAMSON SUBDIVISION
/N.q
�P.' • '•S1 1, Anchorage Recording Precinct.Alaska,and that the
'IP' 69' 49th �� ••"9 / improvements situated thereon are within the property lines
*.' `•* / and do not overlap or encroach on the property tying
■_ •• •• •• ••• / adjacent thereto,that no improvements on the property tying
SCALE: 1'1= 30' /f,.,� '1L,4 "` / adjacent thereto encroach on the premises in question and
/ that there are no roadways,transmission fines or other
/ t Fred W a l a t k a p / visible easements on said property except es indicated
/ !"Ar • 3255 - S - rn.
heoO
•'may. Dated at Anchorage,Alaska
I 4. this 14th day of September,2017.
EASEMENTS OF RECORD,OTHER THAN a ' ssio+"- .4.4""THOSE SHOWN ON THE RECORDED 4‘‘'‘'‘N• FRED errs and
&ASSOCIATES
PLAT ARE NOT SHOWN HEREON. FB 17-9, pg 30 BE (907-248-1666) Engineers and Surveyors
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICE:S_
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage,'Alaska 99519-6650
343-4';'44
Parcel I.D. #
CFRTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGI_E FAMILY DWELLING
f)'-'/"~- ?--~- HAA# _-!~ A'~%-0~'~
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
Day phone
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUI~,IBER OF BEDROOMS: "~
TYPE OF WATER SUPPLY:
NOTE:
Individual well
communitY well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
/,
NOTE:
Holding tank
Community on-site
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality'and status of system. ~', .-'~ ~ : ....
72-~25 (Rev. 1/91) Front MOA
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 of this Health Authority Approval application 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
Address ~.~'~ ~~/~'-/-M~ ~ ~ ~
Engineer's signature '~' Date
DHHS SIGNATURE
Approved for -~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
By: Date
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an Independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
' .conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage .is not
responsible for errors or omissions in the professional engineer's work:,:~.~ , .': ... ',,..~.-!.',~ ' '
Municipality of Anchorage
Department of HeaLth and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
Parcel 1.13.
A, Well Data
Well type
Log present (Y/N)
Total depth
Sanitary seal
If A, B, or C, attach ADEC letter, ADEC water system number
Date completed ~'//~ l~ ~' Driller
_Cased to ¢/~.q/2 Casing height
FROM WELL LOG
Wires properly protected (Y/N)
Date of test
Static water level
Well flow
Pump level1
SEPARATION DISTANCES FROM WFLL TO:
Septic/holding tank on lot ~¢~ ,~"-
Absorption field on lot ~0~-4,~
Public sewer main ~'~/~:~'
Sewer service line ~
I O g.p.m.
AT INSPECTION
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ¢
Date of sample: fO/il ~ ~
Nitrate ~'~,, ,~- ..~ Other bacteria
Collected by: ~-" ~:>
B. SE-'PTIC/HOLDING TANK DATA
Date installed Io Jz./'7 ~'- Tank size I Cr'C~7.~
Cleanouts (Y/N) Y Foundation cleanout (Y/N)
High water alarm (Y/N)
Date of pumping
Compartments
Depression (Y/N)
Alarm tested (Y/N) ['It//¥
Pumper
To property Line '"'-'~10''~'''
Sudace water/drainage
SE-'PARATION DI~.~ICE}S FROM SFPTIC/HOLDING TANK TO:
Well(s) on lot /'(~ ~// On adjacent lots "~ I ¢.4'.2 Foundation
Absorption field ~ -~' Water main/service line
72-026 (3/93)* Front [?.) ~.~'/(/l/'~/ CONTINUED ON BACK PAGE
0I b' [* STATION ~ 0 ~/~ ~
Date installed
Manufacturer
Size in gallons
Vent (Y/N)
High water alarm level
"Pump on" level at
Manhole/Access (Y/N)
"Pump off" Level at
Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Surface water
D. ABSORPTION FIELD DATA
Date installed
Length '~:~ Width
Soil rating (GPD/Ft
Gravel thickness
JO
.System type
Total depth
Total absorption area ~ Cleanout present (Y/N)
Date of adequacy test Ill- ~ I q ~( Results (pass/fail)
Water level in absorption field before test ~ CD
Peroxide treatment (past 12 months) (Y/N) ~ ¢)
Depression over field (Y/N)
for .-~
After test (~ /
If yes, give date
Bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Surface water
Curtain drain
On adjacent lots J 8~ --b Property line
To existing or abandoned system on lot
Cutbank NO 14 6 Water main/service line
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to al~ MOA and HAA guidefines in eff~e~tgot~tt~e:date, of this inspection.
fR"- ' %
Date of Payment /C~ '/~-~/ /
Receipt Number /'-// )) ('7 '//.¢~), .
72-026 (3/93)* Sack
Waiver Fee $
Date of Payment
Receipt Number
Parcel I.D. #
MUNICIPALITY Of ANCHORAGE
DEPAR'rMENT OF HEALTH & HUMAN SERVICES_
Division of Fnvironmental Services
On-S te Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
GENERAL INFORMATION
Complete legal description
Lecation (site address or directions)
Properly owner I 0 LI~ ~. P--i
Mailing address -~
Lending agency
Day phone
~ay phone
Mailing address
Agent
Day phone _
Address _
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
4.
NOTE: If community well system, provide written confirmation from State ADEC attest-
lng to the legality and status of system: ,.,
TYPE OF WASTEWATER DISPOSAL:
Individual omsite ~'/ :'-'
Fioiding tank ~ : :
Community on-site '~' ' '" .... "
Public sewer ·
If community wastewater system provide:written;confirmation from State ,&DEC '~:'";:;:
attesting to the legality and status'of system.'
o
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 of this Health Authority Approval application 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 ~/ith all Municipai and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm
Address
Engineer's signature
DHHS SIGNATURE
~' Approved for
bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
Date
' i~'he MIJni6iPality of AnChorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The D H HS does this as a courtesy to purchasers of homes
and theii' lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS 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 engineers work.
72-025(Rev. 1/91} Back MOAIf21
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: /'"",)
Parcel I.D.
A. Well Data
Well type
Log present (Y/N) "/
Total depth _'ff~
Sanitary seal (Y/N)
Date of test
Static water level
If A, B, or C, attach ADEC letter. ADEC water system number Date completed _ ~//'//'7~;~ Driller 4'
Cased to ,,-0, ¢0 Casing height
Wires properly protected (Y/Nl-
FROM WELL LOG AT INSPI--CTION
Well flow
Pump level1
SEPARATION DISTANCES FROM WELL TO:
.g.p.m.
Septic/holding tank on lot ~{!* ~ r~
Absorption field on lot
Public sewer main 1'-]///'~
Sewer service line ',>
· h//A
I ¢'0 .t'
; On adjacent lots
; On adjacent lots \o0 -~'
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform (*~ Nitrate
Date of sample: l'/[(vl-~4 ] l ~ q :-~'
['~'), ~ ,~ Other bacteria
Collected by: [~, (:
B. SEPTIC/HOLDING TANK DATA
Date installed ~°f,lZ/'1 (~
Cleanouts (Y/N)
High water alarm (Y/N)
Date of pumping
Tank size ~o00
Foundation cleanout (Y/N)
.;,
Conlpartrnents
~ Depression (Y/N)
h,/
Alarm tested (Y/N)
Pumper
N~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot ,c~i ~ On adjacent lots
To properly line _ h,/L) Absorption field ~]?) .1'
Surface water/drainage I%1 /()
Foundation
Water main/service line
72-026 (3/93)' Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Manufacturer
Size in gallons
Vent (Y/N) "Pump on" level at
High water alarm level
Meets MOA electrical codes (Y/N)
Manhole/Access (Y/N)
"Pump off" Level at
Cycles tested
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Surface water
D, ABSORPTION FIELD DATA
Date installed ! ~ / ~.
Length , Width
Total absorption area
Date of adequacy test
Soil rating (GPD/FF) ,? ~$
Gravel thickness
Cleanout present (Y/N) '/
Results (pass/fail) [
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
System type 'i ;~'~'~)~
Total depth t ~, I
Depression over field (Y/N) 5,/
for ;:~ Bedrooms
After test ¢-~ }
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot \
To building foundation
On adjacent lots
Sudace water
Curtain drain ~'"/
On adjacent lots '? I t'~ o Property line
To existing or abandoned system on lot
Cutbank ~l 0 ¥ ~.¢ Water main/service line
Driveway, parking/vehicle storage area
E, ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guideflnes in effect on~tt~e date Of this inspection.
Signature
Date
HAA Fee $ ~_¢dd ¢~5--~
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (3/93)" Back
FROM:
GREATER ANCHORAGE AREA BOROUGH
~tlllamson S/D
INITIATED BY: , ~.S~,.~ ,~_~ ................................ DATE OF MEMO: .....~7~ ............
DATE ANSWER
TO: I)EPARTMENT: ~...G.]~..c!_e)T.E;~g~K~.tt._n.~i ................................... REQUESTED
REQUESTED ACTION SCHEDULE
FOR IMMEDIATE ACTION ~ CALL ME BEFORE YOU ANSWER
~ FOR YOUR CONSIDERATION ~ NEED YOUR RECOMMENDATION
OTHER
50 feet. The distance frc~ t~e well to the absorption area remains the
®$
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
October 27, 1994
Tobben Spurkland, P.E.
6751 W. Dimond Blvd.
Anchorage, AK 99592-3904
Subject:
Waiver Request for: Lot 3, Block 2, Williamson Subdivision
Waiver Approval: # WR940057
Dear Mr. Spurkland,
Your application for waiver(s) from the required separation distances is
approved as follows:
Well to Tank 90 feet
This waiver approval applies to the existing septic system only. Any future
upgrades will require all separation distances be met or another approval be
obtained from this department.
Sincerely;"-~ .f. ..-"" -/~..
'Robert W. Robinson
Civil Engineer
On-site Services
kb: #6
MUNICIPALITY OF ANCHORAG~
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR~ WR940057 PID# 015-073-22 HA# HA940553 Permit
Date Received: 10/26/94
Legal Description: Williamson, Lt. 3, Blk 2
Engineer: Torben Spurkland, P.E.
6751 W. Dimond Blvd., Anchorage, AK 99502-3902
Applicant: Toliver, Fred
Waiver Requested: Well to septic tank - 92 feet
Criteria: 1. Geology: Points:
A. Water Table ~,~
B. Soil Sorption ~.O
C. Permeability J~2)
D. Water Table Gradient ~'Z -
E. Horizontal Separation
TOTAL: ~f,~
2. Special Conditions:
3. Other:
Waiver is Granted: Waiver is NOT Granted:
List Conditions or Reasons for above: ./~'~-/r' ,~X'~' ~'~/ /-~'~.
/~'qame of Reviewer
Rec ~: MOA Waived Amount: $ MOA Waived Date Paid: MoA Waived
T. SPURKLAND P.E.
6751 W. DIMOND BLVD.
ANCHORAGE, ALASKA 99502-3904
(907) 248-5095
Muuicipality of Anchorage
Division of Environmental Health
Department of Health and Social Services
820 L Street
Anchorage, Alaska 99501
October 26, 1994
Subject:
REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR
PRIVATE WELLS TO SEPTIC TANK
LOT 3, BLOCK 2, WlLLIAMSON S/D
Gentlenren;
We are submitting a request for waivers fi'om tile separation distances stated in Title 18, Alaska Administrative Code,
Chapter 80.020.
During a file search at the Department of Health and Social Services, it was found that the waiver issued by the DHHS
on 9-25-75 for the well was not valid According to the Depatlment of Environmental Couselwation (State of Alaska)
the Municipality was not delegated the power to grant waivers at that time, aud these waivers are now considered
iuvalid.
At this time the Municipality has the authority to issue waivers, but a request must be submitted.
Tile distance between the well and tile septic tank has been computed to be 92 feet. A waiver to 90 feet is requested
The attached siteplan shows tile approximate layout of the septic system.. The system was installed in 1975 and the
distance to well was reported as 83 feet. This distance was then waivered by DHHS on 9-25-75.
Well logs fei' Lots 2,3, 4, 6, and lot 12 Block 1, Summit Estate, and the logs for Lots 5 and 10 Block I Williamson
and Lot 1 and 3 Block 2 Williamson have been used to evaluate the contamination potential for the well.
The well on Lot 3 is 289 feet deep. Static water level is at 264 feet, aud pumping at 5 gpm for extended periods, more
than 4 hours, causes a drawdown of Iess than 2 feet. According to the well log the soil conditions consist mainly of
a clay gravel mixture to a depth of 243 feet.
The other wells also indicates hardpan and clay.
Other mitigating circumstances that are that the resideuce is located between the septic system and the well. 'File house
is sittiug on the high point of the lot, with tile ground sloping away from the house both in the direction of the well and
the septic system. Both overland flow and subsurface flow of septic tank effluent to the well casing is not possible.
Yours //~
Tobben Spurkland P.E.
TOBBFN SPURKLAND P.E.
205 W 15TH. AVENUE
AK. 99501
LOT 3 BLOCIf 2 ~IL£IzlM$ON
FRED [OLIVER
5500 E. 98th AVE.
SEPTIC SYSTEM IA YOU[
DATE: OCT, 25, 1994
SHEET`' 1/I GRID; 2457
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received April 13, 1976
Time of Inspect'ion__~,t~f~
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by: United Bank of Alaska
Mailing Address: 645 G Street Phone: 278-9526
2. Property Owner: Bavarian Builders~ Inc. Phone: 344-5604
Mailing Address: Star Route A Box 78-B, 99507
3. Legal Description: Lot 3 Block 2 Williamson Subdivision
4. Location: East 90th Avenue off of Birch Road
5. Type of facility to be inspected
6. Well Data: Individual
A. Type
C. Construction
7. Sewage Disposal System:
A. Installed 1975
C, Septic Tank:
D. Seepage Pit:
E. Disposal
8. Distances:
A. Well to:
Nearest lot line
1. Size
1. Absorption Area
Field: Total length of lines
Single Fl~nily
Septic tank
No. of bedrooms 2
B, Depth 275'
D. Bacterial Analysis
On-site system
B. Installer
2. Manufacturer
, Absorption area
, Other contamination
2. Material
_, Sewer Lines
, Absorption area
B. Foundation to septic tank
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page~2 of two pages - Req' t for Approval of IndiVidual S~ r & Water Facilities
legal Description Lot 3 Block 2 Williamson Subdivision
Comments
Appro~Valid for one year from date signed
Date
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)
MUNICIPALI[Y OF AMCHORAG[[
MUNICIPALITY OF ANCHORAGE D~!Pr. o~ H!~/",L~ &
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION F.'NVIRONMF. NI^L P;,OTECIIOH
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
APR 1:3 t9'/6
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO.
2. Property Owner:
Mailing Address;~)~?7. ~
VA FHA _CONV
~,: ,~ ~ ,~
3. Name of Buyer:
Mailing Address:
4. Name of Lending Institution:
Mailing Address:_
5. Name of Realtor or Agent:
Day Phone:_
_Phone:
Mailing Address: Phone:
Legal Description:
Location:__ ,-~;,
7. Type of Facility to be Inspected:
8, Water Supply
Type of Supply: Public Utility.
No. Bdrms.
Individual
If Individual, number of dwellings presently served _
if Individual, depth of well
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site)_
~
72 003(3/76}
