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HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 3 LT 4 Zotb' iA K i Rn.o . Lc, DEPT. OF ENVIRONMENTAL CONSERVATION DIVISION OF ENVIRONMENTAL HEALTH DRINKING WATER and WASTEWATER PROGRAM 555 CORDOVA STREET ANCHORAGE, AK 99501 http://www, state.ak.us/dec/home/htm April 26, 1999 Mr. Ron S. Tan 8530 Solar Drive Anchorage, Alaska 99507 Re' Waiver of Engineered Plans for Lot 4, Block 3,Zodiak Manor ADEC # 9921-DW-113-526 TONY KNOWLES, GOVERNOR Telephone: (907) 269-7519 Fax: (907) 269-7650 Mun~C,Pa)' ~ ,~,,man Services Dept. l~ealtt~ ~ Dear Mr. Tan: I received the submitted plans and specifications for the waiver of Engineered plans for Lot 3, Block 3, Zodiak Manor on Solar Drive in Anchorage, Alaska. This waiver of Engineered plans is granted for the installation of a water line to service the lot. The existing well may be used for other purposes but must be completely disconnected from the public water system. Photographs showing how the disconnection takes place must be provided to this office. Please proceed with your construction, as you have detailed the water line service in your plans, and assure that they are installed conforming to any and all local codes or ordinances. This approval does not imply the granting of additional authorizations, nor obligate any state~ federal, or local ~egulatory body to grant required authorizations. If construction has not begun within two years after issuance of plan approval is void, and plans must be resubmitted to the Department for review and approval. Any future expansion of the subject project will require additional approval from this office. Respectfully, William R. Rieth, P.E. Environmental Engineer WRR/cf cc: MOA F)EI::~I'~'I ): T I",I C h', [!]z1.()[39~;~ [)¢tTIE Z S[3UIE D ',~ :t. C~ / 2]'.3/~3 zl, LOT E~ :1: ZEii: :: [3t. IB~:) ;I; V ]: ~'; ]: (:)lq :: ZEID Zl: AlE ["If-/N(3F/ SE~[]'I': T C:)l'..I: :[ 0 "I~C][,gN!3H (E;(~, F::'"F,, C)I::~ WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RF. SOURES Division of Geolo§J¢ol 8~ GeophysJcol Surveys 3 ~ '/4qtrs Section No. Tow.shiPN[~ Ronge -- of--- or--.of ~ S~ W~ OAD INTERSECTIONS 3. OWNER OF WELL:~~ ,,. .~ ~O ~ Auger ~detled ~Bored ~Other: ,o.s~,c w~. ~w~: GO ~ ,,. / / F~At~ Equipment used; ~Er__ '~.GROUTING Well Grouted: OYes ~ No Temperolure ~ ~ F U c _ i~UNIC, IPALI'~¥ DEPT. . _ . Ej~/iRONMEI MUNICIPALITY OF ANCHORAGqE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information (a) Legal Description (include lot, block, Application Date subdivision, section, township~ ra~e) Location (address or directions) (b) Applicants Name ~/i-'~.,-~ [~?~, ~ Applicants Address 2 t oD ? ? '~¥ (c) Applicant is (check_gne) Lending ~nstitution Buyer ~_~ ; Other ~ (explain), (d) Lending Institution Address O~mer/bnilaer~ ; Telephone (e) Real Estate Co. & Agent Address (f) Telephone Mail the HAA to the following address: ~,.,,,~:- 2. ~ Residence Single-Family~ Number of Bedrooms 3. Water_S_qppl~ Individual Well~ Multi-Family~----~ Other (describe) Community ~ Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status° 4. Sewage Disposal; 0nsite ~_~ Public ~ Community ~ Holding Tank ~_~ Note: If community well system, must have written confirmation from the State VJ Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] Eng~ee.~.i_nj~ Firm Providin_g Ins_~cti~T. es~tp, File Search, Data and Info~-mation 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 Oh'"site water supply and/or wastewater disposal system is safe, functional and adequate for the aumber of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection° Name of Firm_~,A,. ~-,~...,-,. ...... zr../ f~, ~-~./ .ff~..~,.,~, /'~ Telephone_ Address t~_~:c, ~.'~' ~ ,' ~ __~/-~.. /~/< 9~ ~ (ENGINEER SEA~) DHEP Approval Approved for~,g-~i-bedrooms Approved~ Disapproved Terms of Conditional Approval Conditior No. 2251.E '~] f CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE P~PRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF AI~SKA. TIlE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND T~glR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. TIlE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN TIlE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA) HFALTH AUTHORITY APPROVAL (FL~A) C~CKLIST - FEBRUARY 1984 A. WELL DATA Legal Description: Well Log P~esent/~Y/~) ~ Date Completed Total Depth } ~ ~ Cased to __ / z / Static Water Level ~ .... Pump Set At Casing Height Above Ground Sanitary Seal on Casing .~N) ~.. Elect=ical wi=lng in Conduit ~Y~N) ~ Sepa~atio~ Distances f=om Well: To Septic/Holdin~ Tank on [~t_ ~//~ To Nearest ~k~ge of Absorption Field on Lot Del.mession Around Wellhead (_Y~ ,~J. ; On Adjoining Lots-- A/ .; On Adjoining Lots To Nearest Public Sewe~, Line C leancut/Manhole_ Ioo' Wate~ Sample Collected By . Ware= Sample Test Results To Nearest Public Sewer Date ~,/2 d./~- B. SEPTIC/HOLDING TANK DATA Date Installed /VA Size Standpipes .(Y/N) I~ Ai~-tiGht Caps (Y/N) Dap~ession ove= Tank (Y/N) ~/~___ Date Last Ptm~ed Pumping/Maintenance Contract on File .(Y/N) No. of CQ~a~tmsnts N4 /v~ Foundation Cleanout (Y/N) N4 Holding Tank High-Water Alarm (Y/N) ~r 5%mpo~a=y Holding Tank Pe~it (Y/N) ~.~ Sepsmation Distances f~.cm Septic/~{olding Tank: To Wate~.-Supply Well ..... ~ ~ To Building Foundation To P~ope~ty Line ---- ~. .,. To Disposal Field .. u~ To Water Main/Service Line ~ To Stream, Pond, Lake, c~ Majo~ D~ainage Counts [Page 1 of 2] Date Paid:-- C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date .Installed Width of Field Square Feet of Absorption A~ea Depression over Field (Y/N) Results of Last Adequacy Test Ty~e of System Design Length of Field 4~/~ Depth of Field ~//~ Gravel Bed Thickness ?~,~ Standpipes 'P~esent (Y/N) Date of Last Adequacy Test ,¢/r SeDa~ation Distance f~c~ Absorption Field: To ~ater-Supply Well TO Building Foundation Lot F~ To Water Main/Service Line TO Stream/Pond/Lake/c~ Major D~ainage Course To D~iveway, Parking A~ea, c~Vehicle Stc~age A~ea ~ To P~operty Line ~ To Existing or'Abandoned System cn ; On Adjoining Lots ,~¢~ --,, To Cutbank(if present) Con%Te nts D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested fo~ ~ Electrical Codes(Y/N) Comments Dimensions ~ Manhole/Access (Y/N) ~,4 ~ "Pt/mD Off" Level at ~ ~ Vent (Y/N) ~ Pumping Cycles du~ing Adequacy Test.' Meets MOA Check Permitted Bedroom Rating Against HAA Request I'certify that I have checked, verified, c~ confc~ed to all MOA HAA on th~ date of this inspection. .. ~u.~ Signed Company .4¢ ~-(~· /~,,. MOA No. /5'~' KB1/d5/s [Page 2 of 2] 2-15-84 CHF, MICAL & GEOLOGICAL LABORATORIES OF ALASKA \,.. ~,/~ 5633 B Street _~.%~_~ Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: ~--"-['-~ ['~[---T~ © See h on back State Zip C~ Mo. Day Year SAMPLE TYPE: [3 Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose SAMPLE NO, LOCATION 1 L ~:' [] Treated Water [] Untreated Water Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ..~Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sampie via special delivery mail. Dats.ecelved Time Received ~' ~,~'~ ~"-L~ Analytical Method: [] Fermentation Tube Membrane Filter Lab Ref. No. Result' Analyst j I CE] READ INSTRUCTIONS BEFORE 06.1220 (b) Rev. 1983 BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter: Direct Count Verification; LTB BGB. Coilformll00ml COLLECTING SAMPLE TNTC = Too Numerous To Count POUCH 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONYKNOWLES. MAYOR DEPARTMENT OF NEALTH AND ENVIRONMENTAL PROTECTION Permit ~: 840899 January 31, 1985 TO: Permit App].icant SUBJECT: Lot 4 Block 3 Z0diak Manor A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If ~]ere are any further questions, please call this office at 264-4720. Sincerely, rKeith E. Bandt, SupervzsO Environmental Engineering Program KEB/ljw enc: Copy of Permit swp / o 5 7 BILL SHEFFIELD, GOVERNOR ANCItORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 274-2533 March 11, 1985 Mr. Leroy Reid Alaska Environmental Control Services, Inc. 1200 W. 33rd Avenue, Suite B Anchorage, Alaska 99503 SUBJECT: Waiver Horizontal Separation between Well and Private Line, Lot 4, Block 3, Zodiak Manor, Anchorage, Alaska (8521-WA-113) Sewer Dear Mr. Reid: The Department has reviewed the subject waiver request and hereby waives the horizontal separation between the well and private sewer line to 23.5 feet on the subject property for a single family residence only. Sincerely, Di stri ct Engi n6~er SWE/msm