HomeMy WebLinkAboutGREENLAND BLK 1 LT 4
Phone: 3, O_ _or° ,o. ot %droom,:
LEGAL DESCRIPTION
Municipality of Anchorage Page {~ , of~
DEPARTMENT OF HEALTH AND HUMAN SFRVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 # Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~-~V~,/ ~ -TL) ~¢~-~ PID Number:.
Wastewater System: [] New ~'Upgrade
ABSORPTION FIELD
[] Deep Trench 'l~Shallow Trench [] Bed [] Mound [] Other
Total Depth from original g(ade:
~oil Rating:., (/~ GPD/Sq. Ft.; .,~'.C) ~ ~' L~
Lot: ~ Block{ ~ Subdiv~ion: ~ :Depth lo pipe bolto~ from original g~ade: i G;ave] depth ~eqeath p~pe
~~.~ /.o .~ /.~' F,.' '~'~ ~t .~'~ ~'.1
Township:/ Range~ LI Section:, '~ Fill added~[~ ~'~'ab°ye original gra~e: Ft. Gravel length:~ I F.
.~ , ....... Grave wdh ~ [ Number of lines Dlstance~Jweenlines:
~ ~ ~ew ~ upgraae / ~ Ftl ~ I /~4- Fl
clas~ifle.tlon (~c): I Total Depth: ~8 TO: Total absorption ares: PiBe material: ~ -- -
' ' -~- L~"L~,iow r ~t(, ~'~0 + .SQ.F,.t ~O~ ~ ~0
Driller' ~ate Drilled: I Static' ate Lee: I [nstalle¢: ~ ~ , I Date Installed:/
SEPARATION DISTANCES r ~Septic U Holding D S.T.E.P.
Manufacturer: Capacity ii~,~
/:'~4~tJ,, 'q-¢V..IF- N~m~er of~.~.mp~.ments:
M a t e r i a I ~,>,-'T,~¢.~~
'~'~ LIFT STATION ,~,,.~"' .....
i'~"" Electrical Inspections performed by:
BENCH MARK
MUNIL, IPALII~ OF ANL, H(JK&~I::
qRONMENTAL SERVICES DIVISlOI~
OCT 0 7 1997
Location and Description:
RECEIVED
Inspections performed by: '-~ ~'F~-- ~'c'~U~-gq" '~ Dates: 1st
Department of Health and Human Services approval
Reviewed and approved by:
Date:
72-013 (Rev. 9/91) MOA 25
Assumed Elevation:
loo .0o ...~.
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "t_" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
October 9, 1997
Jeff Garness, P.E.
Alaska Water & Wastewater Services
8471Brookridge Drive
Anchorage, Alaska 99504
Subject: Waiver Request for Lot 4 Block 1 Greenland Subdivision
Waiver Request #WR970065, PID #015-172-22, Sw970293
Dear Mr. Garness:
Your request for a waiver of the required 10 foot separation
between an on-site wastewater disposal system and a lot line has
been approved. The waived distance is 5 feet from the absorption
field to the propeT~y line.
This approval applies to the existing on-site wastewater disposal
system lot line separation only. Any future upgrade to the on-site
wastewater disposal system will require all separations be met or
another approval from this department.
If there any further questions or concerns regarding this waiver,
please call our office at 343-4744.
Sincerely,
Joseph M. Barvinchak
On-Site Services Program
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
Date Received: /O-
Legal Description:
Engineer: ~LA%~:~
Applicant:
Waiver Requested:
Criteria: Points:
1. Geology:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
Special Conditions:
3. Other:
Waiver is Granted: / Waiver ms NOT Granted:
List Conditions or Reasons for above: ~/~ ~,u L~ ~ ~4' ~uor~
Date:
Na~ of RevieWer
Amount:
Date Paid:
A[as]ka &
~471 Br~okri~e' ])r~e ~ Anchorage - Alaska ~9~04
Phone (907) ;~37-6179 ~ Fax (907) 338~3246
Consulting Engineers
October 3, 1997
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Waiver of Separation Distance from Septic Absorption Field to Lot Line.
Lot 4, Bk 1, Greenland S/D.
To whom it may concern:
A permit was issued on 9/5/97 to upgrade the septic system on the subject property. The design
drawings stated that "the contractor shall have the west property line located by a registered land
surveyor". The contractor, A+ Home services, did not get the lot lines located and proceeded to
excavate the south trench (without the approval fi'om Alaska Water & Wastewater). When our
engineer (Jim Williams, P.E.) arrived to perform the first inspection, he informed A+ Home
services that the installation could not proceed until the west property line (shared with Lot 5, Bk
1, Greenland S/D) was flagged by a surveyor. The contractor arranged to have the line flagged
the following day, at which time it was determined that the trench was only about 5 feet away
from the property line. The neighbor (Judy Lamb) made numerous calls to DHHS (Jim Cross,
and Dan Roth) regarding this encroachment.
As discussed with Dan Roth there appears to be adequate room on the adjacent property (Lot 5,
Bk 1, Greenland) for future upgrades while still maintaining an adequate (20'+) separation
distance to the new septic system on Lot 4, Bk 1, Greenland. In short, there does not appear to
be any adverse impact associated with the subject encroachment. It is my recommendation that
the separation distance from the trench to the west property line be waived from 10 feet to 5 feet.
If you have any questions, please contact me at 337-6179, or 244-9612.
assistance.
Sincerely,
~rness, P.E., M.S.
Thank you for your
S~97293
D TU FCO = 89
E ID FCD = 16,5
C Ta S1 = 36
D TO S1 = 48,5
C Ia S2 = 41,75
D la S8 = 53,75
C TO FD = 45,5
D TO FD = 57,5
A TO COl = 50,5
B TD COl - 81.75
A TU MT1 = 40
B TO MTI = 24
A TO CD8 - 51,0
B TO CO8 = 44,0
A TO C03 = 49.5
B TO CO3 = 50,5
A TO HT8 = 83,3
D TO HT8 = 33,5
A I'O CO4 = 11.5
B TO CO4 = 27,5
A TO SUMP :: 57,5
]] TO SUMP = 35,5
NEY/ 1000 GALL[]N SEPTIC
EXISTING TREI!C
TOTAL DEPTH
EXISTING
(COS) NEW ZABEL ELOW SPLITTER-x~
TEST HOLE
DWO,
EXISTING 3 DEDRODN
HOUSE
LO% 5- :04
cl %2.o
EXISTING WELL
3O
C/D
]?ULL RUN VALVE
SOUTH PROPERTY LINE,
.......
SEPTIC UPGRADE~ LIlT 4, Bt< 1, GREENLAND
PREPARED FOR: RBN 8, NANCY F'ASSETT
PREPARED BY* ALASKA WATER & WASTEWATER
DATE~ 10/3/97 DRAWN', GARNESS SCAL. E~ 1' = O'
~q OVER TANK = 99.2 (6PPROX,)
COVER = 3,3 FEET..
~ INCHES flF INSULATION
OVER TANK AN9 ALL SEWER L[NES,
/ ~E~~' ~ ~ ~i
~ ~00~ 6~LLflN SEPTIC
/ [ TANK, INLET INVERT = *
/ 95,4. ~UTLET INVERT = TB ]}ULL RUN VALVE
/ TANK gET LEVEL WITHIN
.04 FEEl'
~ 4 ~NgH ~A, PVC L~NE F~BN
HOUSE.
GROUN~ ELEVATION OVER SOUTH TRENCH = 964~.. N]N[NUN COVER = ~.3+ FEET.
GROUND ELEVATION OVER NORTH TRENCH = 96.9+. N~N[NUN COVER = ~,6+ FEET.
FOR LOCATION DF N,T's SEE PLAN 3RAWING
~ ~4 INgH FB10 DRAINPIPE,
/~ ~ INCHES DF INSULATIDN, AND FILTER FADRIC OVER ~RAINRDO~
"'" '.;' ',';~'} ~'"'" D. TOTAL A~SBRPT[~N AREA = 770 + S~ Fl'
/':
,,.~:;~.~'~,';..:-'; E. NB 3E~RBgK WITHIN ~ FEET BF TRENCH
I~ EFFECTIVE DEPTH IN SOUTH TRENCH = 4,13
EFFECTIVE DEPTH IN NORHT TRENCH = 3.96
TOTAL DEPTH OF SOUTH TRENCH BELO~ O.G, = 6,0 TO ~,6 FEET
' ' ' .... r,' ct ...... , .....
PREPARE3 F~R~ RBN & NANCY FASSETT
,,
DATE: 10/3/97 OWN: GARNESS SCALE: NTS
.... , , , , '~~
Ca,Py
PAGE 1 OF
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUM~q SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHOP~AGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE)
PERMIT NUMBER:SW970293
DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES
OWNER N/~ME:FASSETT RONALD H & NANCY L
OWNER ADDRESS:4840 E ll2TH AVE
PERMIT
DATE ISSUED: 9/04/97
EXPIRATION DATE: 9/04/98
PARCEL ID:01517222
LEGAL DESCRIPTION:
GREENLAND BLK 1 LT
LOT SIZE: 27132 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC T~uNK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN /~NCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AACS0) .
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SANE DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
RECEIVED BY: ~~
ISSUED BY: ~,~J'~
DATE:
DATE:
Alias]kal Wale;er & Wa l ewa :er
8471 Brookridge Drive ~ Anchorage ~ Alaska 99504
(907) 33%6179 ~ Fax (907) 338-3246
Consulting Engineers
August 24, 1997
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Sewer Upgrade for Lot 4, Bk 1, Greenland S/D.
To whom it may concern:
The existing 3 bedroom house is served by private well and septic system. The drainfield is failed
at this time, and must be upgraded. Comments regarding the proposed upgrade are summarized
as follows:
1. SOILS: Attached is a log which shows the soil profile, and the percolation test results. At
· 2
a depth of 3.5 to 4.0 feet the soil perked in the 5 to 15 minutes per ~nch (.8 gpd/ft ). At a depth
of 7.0 to 7.5 feet the soils perked in 30 to 60 minutes per inch range (.45 spd/ft2). For this design
was are proposing to use the average application rate, which is .62 gpd/ft~.
2. TRENCH DESIGN:
a. Percolation Rate: varied from
b. Allowable Application Rate: .6 gallons/day/fl2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 750 fl2
f. Effective Depth: 4.0 feet
g. Reduction Factor = .5
h. Width: 5 feet minimum
i Minimum Length: 37.5 feet. Will make trench 38 feet long
j Effective absorption area = 760 ft2 (>750 ft2 OK)
10 minutes/inch to 30 minutes/inch.
MUN/CI['AI.I'[Y O}: ANC},IORAG't:!
ENVIRONMENTAL SERVICES DIVISION
AUg 2,5 199'7
We are proposing to install a diverter valve (Bull Run type) so that flow can be periodically
alternated between the old and the new trenches.
4. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic
upgrade.
5. TOPOGRAPHY: See the 1" = 200' site plan for topography information. The lot is
generally flat from north to south and slopes gently downhill (< 5%) from east to west. In short,
there are no slope concerns.
I am unaware of any adverse impacts tiffs installation would have on adjacent wells or septic
systems. If you have any questions, please contact me at 337-6179, 244-9612, or on my digital
pager at 1-800-481-1162. Thank you for your assistance.
Sinc~ely,~ ~
Jeffre' ~.['(J~rnesg,'-P~g., M.S.
Urinct J' (J ' '
Ron Fassett Design Package.wps
~DEEP T~ENCH,
~-t~EN .IERAL LOCATION
ilDTH AVENUE ~
~ROPOSED SEPTIC UPGRADE
~EPTIC
LDT 6,DK D
GREENLAND
'qEPTIC
AR~A
LOT 5, DK2
OREENLAN~
UNDEVELOPED
LOT 4, ])K 2
GREENLANI),
UNDEVLEOPED
LOT 3, BK ~
GREENLAND.
UNDEVELOPED
LOT 8~ !~K 2
GREENLAND,
UNDEVELOPED
NBTEJ THIS IS NOT A SURVEY, THE LOCATION OF ALL WELLS, SEPTIC SYSTEMS,
AND STRUCTURES IS APPROXIMATE, THE CONTRACT[IR SHALL VERIFY THE SEPARATION
DISTANCE FROM TNE SEPTIC SYSTEM UPGRADE TO ALL YELLS ON ADJACENT LOTS,
SEPTIC UPGRADE: LOT 4, ]DK 1, GREENLAND S/i},
PREPARED F'DR: REIN FASSETT
PREPARED ]~YI ALASKA WATER & WASTE:WATER
DOUBLE
EXISTING T
TOTAL DEPTH
THE ~/EST PROPERTY LINE
SHALL BE FLAGGED BY
REGISTERED LAND SURVEYOR,
4 INCH PVC SLOPED
AT I/B INCH/FOOT MIN,-~
ZAl~EL FLBW
c/o
TEST HBLE L~
EXISTING 3 3EDROOM
HOUSE
MT
~ EXISTING ~/ELL
EXISTING SE~/ER
lAN-OUT JUST P
DECK IS NOT
RENOVE EXIST[NC
TANK AND REPLAI
CONTRACTOR
THE \~/[{LL RADIU,(
REGISTERED LAND
RUN VALVE
NE~/ TRENCHES
38 FOE]T LBNG
1000 GALLBN SEPT]
E ~I-FH NEff TANK,
SHALL SHALL HAVE
FLAGGED BY A
SURVEYOR,
SOUTH PROPERTY LINE,
INSTALLER SHALL BE RESPONSIBLE FOR LOCATING NEARBY PROPERTY LINES, BDTAINING
UTILITY LOCATES, & VERIFYING THE REOUIRED SEPARATION DISTANCE ARE MAINTAINED
TD ALL ADJACENT ~EL.LS AND SEPTIC SYSTEMS,
SEPTIC UPGRADE: LOT 4, 31< 1, GREENLAND S/I)
PREPARED FOR: RON & NANCY EASSETT
PREPARE[) ]DY~ ALASKA WATER & WASTE~/ATER
THE TRENCH SHALL HAVE A MINIMUM LENGTH OF 76 FEET, AND A TOTAL
EFFECTIVE ABSORPTION AREA OF 750 SQUARE FEET,
MONITORING TUBE (TYP.)
PERFORATED IN DRAINROCK.
DRAINROCK SHALL BE
SCREENED PER M.O.A
SPEC/FICA TIONS. ~
NOT EXCEED 6
FEE T.
NO TE:
BAOKFILL WITH NATIVE SOIL AND MOUND.
TOPSOIL & RESEEDING SHALL BE RESPONSIBILITY
OF HOMEOWNER.
PROVIDE 2 INCHES OF BOARD INSULATION
IF SOIL COVER IS LESS THAN 3 FEET.
INSULATION SHALL COVER THE ENTIRE
WIDTH OF THE TRENCH.
FILTER FABRIC SILT BARRIER
5 FEET WIDE
INCH DIA., ASTM F810
PERFORATED PIPE. HOLES
DOWN. PLACE 2 INCHES
OF DRAINROCK OVER TOP
OF PIPE, AND ACROSS
ENTIRE WIDTH OF TRENCH.
PiPE SHALL BE INSTALLED
LEVEL (WITHIN .01 FEET).
1. TRENOH SHALL RUN PARALLEL TO THE SLOPE OONTOURS.
FOR LOCATION OF CLEAN-OUTS AND MONITORING TUBE
SEE THE SITE PLAN.
3. CONSTUCTION PRACTICES, AND MATERIAL SPECIFICATIONS
SHALL COMPLY WITH ANCHORAGE MUNICIPAL CODE 15,65,
"WASTEWA TER DISPOSAL REGULATIONS".
4. INSTALLATION SHALL COMPLY WITH SPECIAL PROVISIONS
NOTED ON THE SEWER PERMIT.
5, SMEARED BOTTOM AND SIDEWALLS SHALL BE RAKED,
BOTTOM OF TRENCH SP/ALL BE LEVEL. 2 INCH MAXIMUM
VARIATION BETWEEN HIGH AND LOW SPOTS.
DETAIL FOR 5 FOOT WIDE SHALLOW TRENCH:
PREPARED FOR: RON FASSETT
ALASKA WATER & WASTEWA TER SERVICES
DATE: 8/24/97 DEN: GARNESS SCALE: NTS
t
~~~'~' ~.'%_
~/~ Township, ~.ge, ~ec~ion:
SLOPE 81TE PLAN
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
3
(~)4'
6
0>7
~0
12
14-
15
16
17
18
19
20
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT ~ -O
DEPTH? P
E
/
Oepth Io Waler After AI/,A.
Moniloring? ,.Ir, _ Dale:
,0, II, ',
Gross Net Depth ~ Net
Reading Date Time Time Water Drop
PERCOLATION RATE :~O '/'~mff~'m~nu"~te~inch) PERC HOLE DIAMETER
TEST RUN BETWEEN '~,~ FT AND ~'~ FT
ooMMB.T
'
AooORDANO'~TH ALL S~ATE AND MUNICIPAL GUIDELiNES~ EFFECT O~ THIS DATE' DATE: -~PERFORMED
72-~8 (Rev, 4/85)
/
\
\1 ~ \ .....
MUNICIPALITY OF ANCIIORAGE
h and Environmenta.1 Proke
Fourth Floor Wesh
Anchorage, Alaska 99501
2'/9-2511, x 224, 225
5;EF:[I C 'YAH I(,:
I" }'~, 0 M WI:L!
COMPAR I ME N-l-5 ....
'r'llJi DRAIN FIELD:
,
{)E-Pill: roP OF I'll E q O [ INlbll (;RA[)[.
SEEPAGE Pti':
Log Crib .... Rings .......
I]lJ It_Df NG t. OUNDA~ ION ......
C_lb Size: [4/\ML'I[ Ii _l)[:['l[l .. DIST^NCE FROM:
I(.;1,~1_ L.[ i
NEAR[.%[ I Of t iNC. _ AL;q)IW'flON ,r\R[ 'x (WAkl. /\F~i{A) c.Q. [ 1.
Well
Class '_.1'~ l)opth' '
Well Pistance Eo: Lot Line/~l--
/ , - .... I ' ' i ~ ..... i ' ~-' ] ~ ' ' ~'
Bldg: /0 ¢ Sewer I,~ne: /O'~ ~ ' ~ ' ' '
' , ' '~ : ; ' ; ' ' l"i ' ' l"ili
~: ~ ~ ~ ~ 1 ~.,, ~- : L~JP~':Z-i ...........
~ - ,; } ,
.........................................
F'ERMIT NO.
qF. FI I .HNI .]'IJL]:I=I FROELICHER
L. OCR]" I ON EFI2;T .'1.:'L2 R',,,'.
L.ECiiFIL L.T. 4 B[...K. :'1.. GREENLFII'.~[':,
[:,EF'FIF..:]"MENT OF HEFILTH RND EN'v'IROI',IMENTFII_. F'ROTEC'r'ION
825 '"' E!;'FF..:ET. E T, FIN C: FI 0 F.:Fi G E., FIK. S~F'
2 '7 :...:.l .... 2 5:1. ::t.
,.': '?'7E:5'.~, ::,
SRR BX.
L..OT ':T, I ZE: 2?000 :i%T.!UFIRE: F'EET
TI'rlF'E OF SOIl_. FIE:SCIRE:I"ION S'-tL:;TEM IS: I'RENIZ:H
I'IF:I::'.','IMUH NUf"IBER OF E:Ei[.',ROOt'IS = Z
.SOIl_ RFITING ,::!~(;! FT,.'"BR)= ::1.50
THE R. EQL.IIRE[:, E;IZE OF ]"HE SOIl.... FIBSORPTION S'¢5TEM IS:
THE LENGTH DIHENSION IS THIE LENGTH ,:: IN FEET:.', [:iF:' THE 'I"RENCH OR [:,RRII'.,II:::'IELI).
THE [:,EPTH OF R TRENCH OR PIT IS THE DISTFINCE BETI,IEEI'-,I THE .E;URFFICE OF THE
GROUNE:, FIN[:, THE BOT]"OH OF THE EXCFI'qR'rION <IN FEET).
]'HERE Z.'E, NO SEq" 14I[:,TFI FOR TRENCHES.
THE GF.:FI',,,'EI_. [:,EF'TH IS THE HINIHLIH DEPTH OF GRFt'¢EI_. E~E]"I.,.IEENt'EHE OUTFRI...I... PIPE'
FIi'.,tD THIE E;OTTOM OF' THE E:;.,;E:R'v'FIT 1 O1'.4 ,:: IN FEET). ,,~/,~%"-./~ ;, f71 ,4~-~'-"~-'~i?'~ '~"'~'f~
E:: [~:,. ILjI ][ II~i.". E' I['":, ":::;; F:' F" -F ]1: r:: --r f:~ ~-.! I*=::: S'-] Z: ~Z: ~ =.-~ ::L (.:..~ (.z"'! (.E'[~ 'EDi IHI Il....... I[_. ~:~ IP..,,il E:i;;
................................ !TM Fi E: t-;:] F~ ~.-zi E:-- F' L. F! I'-.I T' ,~ P '"F ~ Ci ~-~
F:t F'FICKRC~E PLFINT f'IR¥ BE INS'TRL.LE[:, RT THE F'EI;¢MITTEE"'S OF'TICIN ~SI.]EL.IECT TEl THE
FOIJ...OW Z NQ CON[)I T IONS:
:t.. IEITHER R CI_.RSS Z OR [[ NSF RPPROVED F'LFINT IdR~r' 8E ZNSTF]LI....EI}.
;2. R CONTINI..JOIJS MRINTE]qRNCE RGREEMENT IS REQI. JIRE[:,. IF FI MF:tlN'TENRNC:E:
FI(~REEMENT IS NOT KEF'T CLIRRENT YOU MFI¥ DE REQUIRED TO ENLRRGE THE SOIl ....
FIE:SOIRF:'TION S'T'STEM FII'.,I[),.."OR MOLl MRM BE SIJBJEC]" TO PROSECLITION.
....... -F Ibdl E] (: ;~: ::, :[ 1'-41 '_.:_; F" E: C: -r ][ Ci I'-,t LE; FI~ ~;:.'. E] If;,:,: tE-'Z
[:}RCKFILL..ING OF RN"r' S"r'STEH 14ITHOUT FINFIL INSPECTION RN[:, RPPRO",,'FII-. E:"r' THIS
DEF'RRTME:NT 14ILL. E:[-:: :E;IJEL]'ECT ]"O PROSECUTION.
MINIMUM DI.':-.,TI:II"~I].'E BE'I"I.qEEN FI WEL..L FIN[:' FIN"r' ON-SITE SEI.,.IFIGE [:,I:E, POSRI.. :.'5'.PSTEM
J..OO F'tEET F'OR FI F'RI'v'FFFE WELl... OR 200 FEEl" FOR FI PIJBLIC 1.4E]..J
OTI.4ER RE);!UIF.'.EHENTS HR"r' FtPPI....'¢. SPEC:IFICRTIONE; RND CONSTI~!UCTION [:,IFIGRRI'dE; F:IF~:IE
R',,,'FI I I....I::IE:LE TO INSURE F'ROF'ER I i",ISTFILLJ:::IT I ON.
I CERTIF"r' 'FHFIT
FORTH D'¢ THE: i'"IUI"4ICIPRL..IT'¢ C)F RNCHORFIGE.
2: I .WIL.L INST'FII_.I... THE S"r'S'I"EH IN FICCOF..'DRNCE I.'.IITH THE CC)[:'ES.
:~:: I UN[:'EF.'.E!;TFtN[:' THRT THE ON-?:;ITE SEWEf;-: S"r'STE:H MFI"r' REt::¢JIRE ENLRRGF..]'qENT IF' THE
RES I DIENCE 12!; REHO[:'EL..E[:, TO I I",ICLU[:'E HOI;;'.E THFIN }]': E:E[."ROOHS.
G/AIRY PLAYER
CONSULTING GEOLOGIST
BOX 476-M, STAR ROUTE A · ANCHORAGE, ALASKA 99507 · PHONE 344-7071
SOILS LOG
4
~ 14
16
18
2O
Soil Type Water Level
Remarks
Total Depth of Excavation
Groundwater
~Not Reached
Depth, if Reached
Classification Method
,~(~/Visua 1
( ) Sieve Analysis
()
Material at Total Depth
Bedrock
/.(~)~N o t Reached
Depth, if Reached
Gary F. Playe~ Co~sulti~g Geologist
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Date_
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Desc.ription (include lot, block, subdivision, section, townsl)ip, range)
Location (address or directions)
'-'-- *~ C r. / ~'/t ~ Home
(b) Property Owner -/, ~:, ~ ~/¢/f Telephone:
Mailing Address_ ,/~*/~
(c) Lending Institution ,/~ Telephone
Mailing Address
(d) Real Estate Company and Agent
Address ,/1,/y~
Telephone
(e) Mail the HAA to the followin(~ address: or; Check here El, if hold for pick up.
List contact person and day phone nqmber below.
,~///~ Business
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 the legality and status.
SFWAGE DISPOSAL
Onsite~ Public [] Community[] Holding Tank[]
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2
72-025 fray 81861 Front
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NOIZ~OdNI QN~ ~&~a 'HOMV~S 3qld 'S~93~ 'SNOI&O3dSNI 9NIQIAOMd ~Mld 9NIB~BNION3
'g
MUN~CIPALFf"( OF ANCHORAGE
ENvIRoNMENTAL SERVICES
JUL 1 2 19BB
RECEIVED
A. WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4744
Legal Description: G¢'~4¢ /¢¢4,r d ~/,~
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
Well Classification .~.-L-~,/¢~'t'x/t'J~,,.~¢ _ /V'//~
If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) /~ O Date Completed /'~7 Yield
TotalDepth ~001'~ Casedto ~:;~O~'1~Depth of Grouting /L/O/'~'Q~-~ ~/--
Static Water Level ~tV' ~¢¢JOtOIO (.'~e~to~ ~'~ ~_ PumpSetAt
J '~ ~ / '"~' Sanitary Seal on Casing (Y/N)
~'~'~--~ Depression Around Wellhead (Y/N)
To Septic/Holding-Tank on Lot j O O ; On Adjoining Lots
To Nearest Edge of Absorption Field on Lot / I '..-'~ / ; On Adjoining Lots
To Nearest Public Sewer Line A'/~)/'J ~ To Nearest Public Sewer
Cleanout/Manhole ~ O ~v 4'? To Nearest Sewer Service Line on Lot
100
7.C/
Water Sample Collected by ~-~, .¢-~, C'~6~ , ; Date
Water Sample Test Results -~'~f, 'z.,-/~<. /~,."~-Cr~~'')
~EPTIO/HOLBI~6 TANK DATA
Date Installed No. of Compartments
Standpipes (Y/N) ~"(~%_ Air-tight Caps (Y/N) Foundation Cleanout (Y/N)
Depression over Tank (Y/N) A/',O Date Last Pumped '7/~:~"/
Pumping/Maintenance Contract on File (Y/N) /%///"'~ ; for
Holding Tank High-Water Alarm (Y/N) /1,/~/./~ Temporary Holding Tank Permit (Y/N)
Separation Distances from Septic/Holding.Tank:
To Water-Supply Well / (.2 ~:~ /-
To Property Line
To Water Main/Service Line ~_~ ~' /.'..~.7-
Course
To Building Foundation
To Dispose, Fie,d
To Stream, Pond, Lake, or Major Drainage
/00 ~
Comments
Page 1 of 2
72 026 fRev 8'861 Fronl
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~ /'~-V'TZ
Width of Field ~'~
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
rb.?'/.~,]~. Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
-~"~ ,'~""~- Standpipes Present (Y/N)
Date of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well / / .~.~ i
To Building Foundation ~.¢-', O /
Lot ,/¢'0/V/.~~-~ ,/.~/~/~/'O ud A-/
/
To Property Line //'(~
; On Adjoining Lots
To Existing or Abandoned System on
0 /
To Water Main/Service Line ~;~ ~ -2-74-
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
/
-Fo Cutbank (if present)
[,L]
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy 'rest. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
certify~.,.~ / ,: ~ ,,//that I,k,_av~.c~c kd/C, verj, f~ed, or conformed to all MOA and HA.A guidelines in effect on the date of this inspection.
Si ng~e~/'~/k4L~¢~,, ~"~----¥~ .... Date "~/~ / ¢ ~
./? - /
Company~-~~ ,~-~/v~, MOA NO, ~ '- ¢ /'~__
Amount: $
Page 2 of 2
72-026/Rev 8/861 Rack
440 W. Benson Blvd.
Suite 206
July 11, 1988
PENINS[ A ENGINEERING
Anchorage, Alaska 99503
(907) 561-5107
2001 Real Estate
1345 W. 9th Avenue Suite 201
Anchorage, Ak 99503
Re: Lot 4 Block 1 Greenland S/D
4840 E. ll2th Avenue
88-E-137
Dear I~r. Webster,
At your request I have preformed an adequacy test on the septic system
for the 3 bedroom home located on the above referenced property.
The system consists of a 1000 gallon septic tank which was pumped and
an absorption trench. The system was tested by running ~ater directly
into the absorption trench and n~nitoring the trench and the septic
tank for backup. The system was found to absorb the required daily
look of 450 gallon within a 3 hour time period.
The well flow test was performed on the existing well in conjunction
with the adequacy test. The well depth is ~known with no well log
available, the only recorded information states that the well is over
100' deep. An attenpt was made to measure the static water level but
there was some physical restriction in the casing at, 63' which my
probe coold not pass. The well is properly cased to 63' but static
water level is onknown. The well delivered 5 gpm for 24 minutes
then had to be reduced to 2.5 gpm for' a per~od of 2 1/2 hours. The
well was found to deliver the required daily load of 450 gallons
within 3 hours ~ich meets all State and Iv~unicipal codes for a 3
bedroom home The test results have been tabulated below:
Time
0
10
20
24
40
50
70
8O
90
100
110
120
130
140
150
160
175
Septic ~
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
0.6'
CO~I
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
CO~2
7.9'
7.9'
9.3'
8.2'
8.0'
8.0'
8 .o'
8 .o'
8.0'
8 .o'
8.0
8.0
8.0
8.0
8.0
8.0
P~te gpm
0
5 gpm
5gpm
stopped
started
2.5
2.5
2.5
2.5
2.5
2.5
2.5
2.5
2.5
2.5
2.5
2.5
Quantity
0
5O
lO0
120
120
145
170
195
220
245
270
295
320
345
370
395
4~0
457
A review of the test results ffnflicate that the absorption
adequate for' a 3 bedrocm home and the well delivery meets
standaFds.
system is
Municipal
Sincerely,
Wayne Henderson P.E.
Client ~m~le [D:LT 4 BLE I GRZfN[~
PWSID :
Col!ect~d 3UL 6 88 ~ 14:00 1~.
Received 3~ 6 88 @ 15:00 hzs.
C119nt Name : PENINSULA ENGINEERS
Cl:ent Aoot : PENiNSP
P.O.~ VERBAL
Req ~
O~d.~ed ~y : ~ HBNDERSO~
knalysl~ Completed :JUL
Laboratory
Released ~y : ~./.~.~, --~
/
I)PENIHSUL~ ENGINEERS
2)~DEC
Speclel
Ir m trust:
Chemlab Re£ I: 1671 Lab Smpi ID: i )~at~lx: Ware:
Allowable
Pazametez Test ed ~esult/Unlt~ Method Llm~t~
NITRATE-~ ND(O.iO) mg/1 EPA 353.2 10
Sample SAMPLE COLLECTED &T WmI{.
Remazks: ROUTINE SAMPLE
Tests ?erfo~med See Speclal Irmtructlons Above UA-Unevallable
None Detected "See $~mpLe Roma:ks Above
Not tnaiyzed LT-kess Than, Gl-Gzeate: Than
1977
Julia Froeticker
Star Route A Box 1730
Anchorage, Alaska 9950?
Subject: Lot 4 Block. 1 Greeul~
Dear Ms. Froelicker:
Subdivision
Before we can approve th.~) request for sewer and wat(~;r facilities
on the subject property, an upgrade~ of your well and ~wer sy-stem
must be completed°
%'he sewor systenl is presently to clos~ to your well and wall
need to be moved one-h~%dred~(100) feet away from your well
~'~d ~ly neighboring wells. Before ~.~ construction be,jins~ you
will need a permit from this offi~e, which can be obtaine¢[ only
after a soils test has been performed by an approv,~d .~oils
geologist.
The well seal on your well casing must be sealed and .~iir tigl~t
before we can approve th~.· well.
l~ionies may be escrowed t~o~ete tni~-iYpg~%d~ as loriff as tll~
proje¢3t is completed b (~ober 30, 1977. ~
If there are any further q~stions, pleas~ contact this office
at 279~-2.'~11, extension 224 or 225.
Sin¢.~erely,
Robert C.
Sanitarian
Esther Bu~gardner
Toto. m Realty
}Da Le .__7_ r..2_ 9_-, 7_7__F..~r.i_day
l'n si? . ~r_..a~.t.
MUNICIPA[.ITY OF ANCHORAGE
OF ltI!~AL'FH AND ENVIRONME'4'I
L Streets~ Anchorage~ Alaska
2'79'-251],~ ext. ?24 o~ 225
PROTECTION
99'501
Date Received: .J_n_ll_._.25_~_~197 ?_ .............
Time
Date
Date
£nsp '. ................ Insp
FOR APPROVAL OF INDIVIDUAl, SEWER AND WATER FACILITIi~S
'J..
J?rouerty. -.... . Owner: Julia Froelicher Phone: 344-3643
MailJ.ng gddro, ss: _.._S~t._a_r_.._!~9.B.t~__.A_- Bo~x__i. 7_ 3~0~...,_99___5..07 .........................................
.~ .bc.:)'~l DescrJ.ption: Lot 4 Block 1 Greenland Subdivision
4:
Single Fami].y Residence:
Multi pie t' '
~- - ~amlJ.y Residence
Number o:[ B~drooms: Three
Number of Bedroom:~;:
5. We]]. System: Individual Well ( ~ Conutunitv/Public Syshem ( )
?ermJ.t #
De}?[:b o[ Wcl] 100'+
Well I,og on File ( )
Cc) 2ot1_ ctct.l on ......................................... , .... '
b4cLer .~al Analys3_s ...............
Sc;wage Disposal System:
Permit # .......................... lnst.a] ].od ~_~.~! ...... Insha] let
Septic Tar,}: Si,,
Abs;orp-h ion Area
7. Dist. ancc, s: Well t:.o Sept:it Tank .
%0,_,qewer Line Nearest .boh Line
to N¢-.a]-,' "~--=L.- Lot. Line
'L'o l\}2so:uJ)tJon Area
.............. Absorption Area
MUNICIPALITY OF ANCHORAGE
DEPARTMENT QF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchor,~ge, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO
2. Property Owner:_
Mailing Add ress:~z~
3. Name of Buyer'..
Mailin9 Address:.
4. Name of Lending Institution:
Mailin9 Address:
5. Name of Realtor or Agent:_
Mailin9 Address:
6. Legal Descri pt ion: ~_~__/~'~ e
Location :_ ~L~
__VA FHA CONV
Day Phone:____
Phone:
/:) : · i /
I: ~-.~'~ ~ ,' '±/~:-., ' '"~-~::';
't _ , .
TypeofFacilitytobelnspected:_ I('rqii:, y ,~,( ,..
Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individ,ua!, depth of well
Sewage Disposal System
Type of Bystern:
If Individual, date of installation
No. Bdrms ~z
____.Individual ""
Public Utility _
/ '-? (,: '?
__individual (on-site)
NOTE:
As of May 27, 1977 [he fee schedule wen'[: into effect. A
$25.00 dollar fee must accompany each request form before
any inspection can be processed.
If there are any questions, please contact this office at
279-2511, extension 224 or 225. Thank you.
Laura Harrison
72-003( 3/7 G)
Dopartraen'h ~1~ Health and t,:nvJ, ronmental Pro~.ection
Reques'i- for Approval of Ind:hv:i. dual Sewer and l,~ai:.c~r Facilities
I.:..7a..~. Des~rl t'~;on· Lot 4 Block 1 Greenland SubdiviSion
Disapp]:oved ,', Dai:e:
]')epar'tmen-k Worksheet.:
