HomeMy WebLinkAboutGREENLAND BLK 6 LT 1_.- t,._ �r a Development Services Department \ Building Safety Division i Or. -Sire Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Mark Begich Anchorage, AK 99519-6650 Mayor wsne.muni.arn/ansi to (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SW_ Date of Issue: Parcel Identification Number:_ Legal Description Property Owner Name & Address: (r P\ /V /> Pump Installation Date: 1. Pump Intake Depth Below Top of Well Casing: 7 ') feet Pump Manufacturer's Name: 120- Pump Model: [Z5 Cd Pump Size t/2,hp Pitless Adapter Burial Depth: / % feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: /.j /4 Well Disinfected Upon Completion?0 Yes ❑' nNo.� Method of Disinfection: ' (fir Comments: A 6 Anchorage Pump & 'vveii Sera Pump Installer Name: 330 East 76th Avenue Anchorage, Alaska 99518 Phone: 907-243-0740 Fax: 907-243-0742 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Foo/ Municipality of Anchorage Page i of DEPARTMENT OF HEALTH AND HUMAN SERVICES 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: �W 9S OI 22 PID Number: O(S1712 V Name: I 4vn Adafisvn Wastewater System: 11/7 New ® Upgrade/ Address: II�a� f arra S�, f}neh 4k 99Sltf ABSORPTION FIELD Phone: 3 1/6 _3 JSf1 No. of Bedrooms: ❑ Deep Trench ❑ Shallow Trench ❑ Bed ElMound 131 Other LEGAL DESCRIPTION Soil Rating: O 6Total Depth from original grade: 9.•s' GPD/Sc. Fl. Lot: Block: e�SSubdlvision: / G CSI een10,1 fl Depth to pipe bottom from original grade: Gravel depth beneath pipe y, 0 (Tre 6v(1966) 0.8' Ft. 9.0'(6-7M) FI. Township: Range: Section: Fill added above original grade: Gravel length: G?, 0 Ft, see Paqv 2 WELL'' �K(Sf New CI Upgrade Gravel width: 2 Number of lines: _Ft. Distance between lines: sec 10Q 9e Ft. Ft. Classification (Private, A,B,C): Total Depth:Cased To: Total absorption area: Pipe material: ) IAV 11 Pt,C Ft. Ft. 12 N y sQ. Ft. fr-&(Co D-30 311 Driller: Date Drilled: Static Water Level: Installer: earls-ccavccfTrr Date installed: 6'/26/95 Ft. Yield:Pump Set at: Casing Height Above Ground: TANK GPM FL Ft. SEPARATION DISTANCES _ ❑ Septic ❑ Holding 60 S.T.E.P. To Septic Absorption Lill Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines An M o-r-Ryyge TTa n k- )5-00 Well- 108' lot' to&' -- 3S' Material: S eel _ Number of Compartments: 2 SurfaceLIFT Water > fool f ? es' '7 too, -- STATION Lot Line -to, 26, - - Size in gallons: Tn ie M l Manufacturer: 1 O re4co Foundation 2s' IS' 2Si - — "Pump�" level at: 5-u "Pump off' level at: `,lf1 High water alarm at: .1 Ee Ftal:l Drain 55 y0 u5 - Pump Make & Model os/ t/2. N0 Electrical Inspections performed by: M.O. 4. ReQurreOt �rouno(waFer rnanl/nr',� Remarks: Fer he l BENCH MARK Shoo, eo[ WZa y, s' 13• G. r.. so the Ig 1'/ see VI? o m war ha[k.Fr/Iv W. /� %�� oC Location and Description: AoIre Ohr rw4l as 9S'a,A4. 1r. ACA(.ec e retic( /� �pncreIe slab <i'crr&i G J -/c cr nR //5 HI v2r f �Ca ISQy�+ra onr� . Due % �Ae v(6x,#ncrc of etvaIlett,le greq %rrfi il./ri✓e4rev(pr. SheetI_ror /fon cooner- of are e- recc Uwal rn6xim fLio( by /Ar anJ!"ruction o Woo Assumed Elevation: �-/"ench(u* ajshe, wn cot) MiAinI NI eT4ecfteve of IOU•O Pwer- V I.n/[rrplo a Ballow c/ran yrwWfs ra n-. J'wk �t le, ca- ENGINEER'S SEAL tr. Od ltlAe ✓CSuif( Seepaele 07b. ?'he I.S. o(v[har w ink, -tge re/>Nrlh 61 lgly Seop7je PI wa.( bcf1tt1nb ire l neY errnnec An �r y tAo fr 'rf 0 1f,uF th ! yY erne( urfn tv-enr:ht,! rrruf/ 6P [om le%l �u(l he% „ �,�4b•,. ���, ��"�{�� 2 uen Ovrr f(aw_r rn/tp N IYhu(l 1966 SPt// aqa i Inspections performed by: Dates: 1St je2�1Z-7 /fi r ;•"�" ~:r y "� " `•,i 1 f 2nd 2BIY-< N 7�:': f i1 )n echo,n ort! Okbcul+Inl-.I re o s� .5`', 00 .".....•.f....•..,,.:..'::.`�. ; Department of Heal t d Huma /� ices p vai�M `, . T; Reviewed and approved by:f!��'`J—_ o6, 4,S) PERMIT NO: SW950129 , R 10EAST 113th AVE. PAGE 20F2 PID NO: 01517124 ORIGINAL (1966) SEEPAGE PIT REBUILT TO 12'X 12' X 6' DEEP WITH 2 CONCRETE — RINGS PLUS 2 WING TRENCHES TOTALING 17' LONG WITH 4' SEWER GRAVEL ----------------------- NEW 1500 GAL. STEP TANK – CHAIN LINK FENCE 1974 SEEPAGE PIT REBUILT TO 12'X 14'X 9' DEEP WITH 3 CONCRETE RINGS PLUS 2 WING TRENCHES TOTALING I „Err O rr D'. -44' LONG WITH 4' GRAVEL I---------- L SWING TIES FROM: COR. "A" COR. "B" 0] S.T. C.O. "C" 84' 47' L.S. M.H. "D" 93' 52' PIT C.O. "E" 102' 66' PIT C.O. "F" 79' 33' TR. M.T. "G" 82' 24' PROFILE DATA: WELL rr Crr i n�n ' a a a a r _ :rrFlo- : 3S' TBM-, 7{ r,Brr �r 0W 0 c r I IL I L._-- PLAN VIEW SCALE: 1" = 30' 0 0" TBM (GARAGE FLOOR) 100.0' SEPTIC TANK INLET INV. 90.5' LIFT STATION OUTLET INV. 90.5' 1966 SEEPAGE PIT BOTTOM 91.0' 1966 SEEPAGE PIT TOP (INV.) 97.0' 1974 SEEPAGE PIT BOTTOM 90.0' 1974 SEEPAGE PIT TOP (INV.) 99.0' TEST HOLE BOTTOM 80.0' MONITORED WATER LEVEL IN T.H. 84.5' THEOUOtic F. MOORE :;589 W i hR A// py LOT 1, BILK. 6, GREENLAND S/D SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES SCALE:AS•SHOWN 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 JUNE, 1995 � W ` ' W ` O � H , � Q � a r I THEOUOtic F. MOORE :;589 W i hR A// py LOT 1, BILK. 6, GREENLAND S/D SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES SCALE:AS•SHOWN 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 JUNE, 1995 U 0lf. :PA' 14'Y• Cl T :1. 0 N S' K 90'/ 1A 11 0 C> 'r Cj MI M E N T S T I F T S S T AT ON HOUI� C A R t 1, J. c. ad 1 x. v i. l: X, A E x 44 1, R1 EX Am I N. i", YA I 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:SW950129 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:ADDISON ALTON L OWNER ADDRESS:11300 PATRO ST ANCHORAGE, AK 99516 PARCEL ID:01517124 LEGAL DESCRIPTION: GREENLAND BLK 6 LT 1 LOT SIZE: 18000 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: i 0 , C o %11 DATE ISSUED: 6/21/95 EXPIRATION DATE: 6/21/96 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 (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 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 SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: A SOIL/WATER MONITORING TEST MUST BE TAKEN DURING THE INITIAL PHASE OF THE CONSTRUCTION TO CONFIRM THAT NO GROUNDWATER EXISTS ABOVE A DEPTH OF 16 FT. BELOW GROUND LEVEL. RECEIVED BY: h'ji'-� ISSUED BY.t/ DATE: ( l d 'J % `i DATE: '�; l/ CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 June 12, 1995 ANCHORAGE, ALASKA 99516 Jim Cross, Program Manager M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Mr. Cross: The purpose of this letter is to describe the proposed upgrade to the wastewater disposal facilities on Lot 1, Block 6, Greenland S/D, located at 11300 Patro Street. I am sure you will recall the informal discussion of this plan which we had on June 6. A site plan and specifications are enclosed. ` As can be. seen from the site plan, there is a very limited amount of area on this lot for septic systems ;I which is outside the 100 foot required separations from wells on this and neighboring lots. The present seepage, pits have been in place for over 20 years and the owners report that they continue to function adequately most of the time. The house has a full basement, and during recent breakups the seepage pits +, have had difficulty accepting the wastewater flow generated by the house, causing occasional backups. `t. In May of this year we conducted soils tests to investigate the feasibility of upgrading the wastewater disposal system. The soil test in the vicinity of the existing seepage pits revealed the presence of a shallow stratum of gravelly soil between 2.5 and 4.5 feet below ground level, which is underlain be silt with scattered sand lenses. Due to the existence of the full basement, the existing seepage pits are forced to utilize the silt stratum for absorption, and have been able to do so for an extended period of time. Rather than attempt to construct an entirely new "mound type" system to serve this residence, we have come up with the plan to repair the existing seepage pits by digging down and removing their covers and then extend the pit sidewalls up nearly to the present ground surface in an attempt to have them access the shallow gravel stratum. The previously disturbed soil surrounding the pits extending out to undisturbed native soil would be removed and replaced with sewer gravel. We then plan to install a new 1500 gallon STEP tank in the location shown on the site plan to enable this additional sidewall area of the pits to be utilized. While we understand that a repair of this nature to an existing soil absorption system does not require a permit since the repaired system will not encroach any closer than the original to groundwater and neighboring wells, we will submit a complete as -built of the seepage pit repair as part of our as -built documentation of the permitted STEP tank installation. The homeowners have been informed that issuance of a future HAA certificate would be contingent on the repaired seepage pits passing a normal adequacy test. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. LOT 11 LOT 12 BLOCK 7 BLOCK 7 113th AVENUE I ------- --- — — —I \ EXISTING SEEPAGE LOT 6 INSTALL PITS TO o NEW 1500 � BLOCK 2 -- REPAIR�D) " SEPTIC GALLON SYSTEM "----'STEP TANK - o I IOUSE z m 0 o o v 2 \ F '\ LWELL LOT 2 EXISTING SEPTIC F TANK 0 LOT 1 cr WELL BLOCK 6 n WELL 20'ALLEY — LOT 11 LOT 12 ---- ° SEPTIC SYSTEM LOT 6A 0 SEPTICo BLOCK 3 o SYSTEM 01"stir +� A,��� vW O it Y' '� "' °• ` z L OT 1, BILK. 6, GREENLAND S/D SEPTIC SYSTEM UPGRADE `J SITE PLAN i TFIEDDORL F. 3,SOOQE ; ✓ FLATTOP TECHNICAI, SERVICES 1 INCH= 50 FEET ` CF - 0 14530 ECHO STREET � a�"�; •.,.•' ;. DRAWN BY TFM izv ••••. ", F,v% ANCHORAGE, ALASKA 99516 JUNE, 1995 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. Oattop ?echnicaf Services .14530 Echo Street, anchorage, AK99516 Phone (90 7) 345-1355 Lot 1, Block 6, Greenland S/D Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of installation of 1500 gallon STEP tank and repairing two existing seepage pits to extend the sidewalls up to within one foot of present ground level. 1.2 Construction shall be as depicted on the approved site plan. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 2.2 The new 1500 gallon STEP tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. 3.0 Lift station: 3.1 The lift station shall be installed in the second compartment of the STEP tank which has an additional 250 gallon capacity. The lift station package shall be an "Orenco" system as supplied by Anchorage Tank. 3.2 The contractor shall be responsible to obtain the necessary Municipal electric permit and inspection, and shall provide a copy of the electrical inspector's report to the engineer overseeing the construction of the wastewater disposal system. 3.3 The lift station shall be equipped with a watertight, insulated manhole riser and cover extending a minimum of 6" above final grade with positive surface drainage away from the manhole. The contractor shall be responsible for determining the necessary length of the manhole riser. 3.4 The on, off, and alarm floats shall be set at the elevations specified by the lift station supplier, and their proper operations shall be verified by the contractor. 3.5 The discharge line from the lift station to the existing seepage pits shall be 1,25" dia. Sched 40 PVC. All pipe connections in the distribution system shall be glued, and the ends of all pipes capped. 4.0 Soil absorption system repair: 4.1 The two existing seepage pits shall be repaired by excavating the previously disturbed soil over and around the seepage pits down to the present level of the covers. The existing covers shall be removed. The liquid and sludge contents of each pit shall be pumped out and the sidewalls cleaned with high pressure spray. 4.2 The present seepage pit sidewalls shall be extended up (similar to thein present construction, or with new concrete rings placed inside the original log crib) up to approximately 1 foot below the present ground level. New covers shall be installed on top of the extended pit sidewalls. 4.3 The space between the extended pit sidewalls and undisturbed native soils surrounding the pit shall be filled with approved sewer gravel. A 4" diameter non -perforated pipe shall be installed connecting the two pits at the approximate level of the top of the existing pit sidewalls, 4.4 One 4" diameter monitor tube/cleanout pipe shall be installed in each seepage pit. 4.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 4.6 The top surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 4.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 5.0 Inspections: 5.1 A minimum of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface and top of the existing seepage pits, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. GRE PER ANCHORAGE AREA BO' `lUGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM N AM E 1 6 C1 CF�S{h7 Gl �, �� / �I f MAILING ADDRESS t _ I C7CiSCJ PHONE LOCATION �LI iC!GUL)lP� D/ (l t�JU)G:1 f LEGAL DESCRIPTION ����'?G{'St`.t� SEPTIC TANK: C Ar,s 11I DISTANCE FROM WELL INSIDE LENGTH AISUUIyS�ll1r: WE MATERIAL NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. SEEPAGE PIT: G T)ei /0 �y NUMBER OF PITS / DIAMETER _ OR WIDTH {� LENGTHI-' , DEPTH Q LINING MATERIAL (a)d CRIB SIZE: DIAMETER DEPTH CO DISTANCE FROM: WELL /VC TOTAL EFFECTIVE BUILDING FOUNDATION /2 NEAREST LOT LINE ABSORPTION AREA (WALL AREA) _SQ. FT. ADDITIONAL ABSORPTION , WELL..: TYPE h/_CONSTRUCTION BUILDING FOUNDATION CESSPOOL APPROVED NEAREST LOT LINE OTHER SOURCES DISAPPROVED DISTANCES: a,7 /�GJu�•4'�2= INSTALLED BY: "m- /(? GREATER ANCHORAGE AREA E30ROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 �IhIhO )I.K•f�' SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT n\ NAME OF APPLICANT J ,/1 e MAILING ADORES 8 �/�/ /� e� �. PffVNC'lo� E INSTALLATION LOCATION[T ` /' LEGAL DESCRIPTION /,/%/ / 13/ Z- L� ✓I/�-COOL/�f"dYJ//.M1'�/ �,I1 INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED -LLQ/ E PIT , DRAIN FIELD OTHER TO BE INSTALLED BY NOTE: THIS PERMIT 15 NOT VALID WITHOUT SOIL TEST FINAL. INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE «1 TYPE _ MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PITti�0 , DRAIN FIELD SEPTIC: TANK TO SEEPAGE PIT WALL SEPTIC TANK —, SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT 16962 , ALSO CONSIDER AREA WELLS. SEEPAGE PIT — L% SEPTIC TANK, , SEEPAGE PITDRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. , � & 6 R " //)x v G.A.A.B. OR LICENSED DESIGNS DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.66 AND THAT THE ABOVE DESCRIBED YSSTT�E,q[M IS IN ACCORDANCE WITH SAID CODE. DATEr'%� 1 -�-�7 APPLICANT'S SIGNATURES ,4 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES. 0* Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# OI,5'17/2Y HAA #h�F�C602LL 1. GENERAL INFORMATION Complete legal description tiut /� 6/ock (-reeD le4no( S /,D Location (site address or directions) __ 11300 Pa fro Sh. Property owner 4I10n L A-0(c(Ls01) Day phone 3 M'-3sS8 Mailing address —1,300 fetkrc Si, �ncho.^a� AAI L=Ld' Lending agency — Day phone Mailing address— _ Agent Non e.Day Address phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: �— 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from. State AQEC kttest` ing to the legality and status of system. , 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank — Community on-site - Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA#?.l M 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 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 FIaLIviz '%chrn'c ca/ Ser-; car Phone 3115-- 13SS Address 1 :E10 9-cAo Af cA c3rctc�e, A(< 99516- �r ' Engineer's signature `"- Date Jv P-9, 09,; UITle, 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-M (Rev. 151) Back MOA 1121 a 3 la i^d! B i THEODORE F. NAOORE 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Note: The well for this property meets existing_ Stat6 and Municipal Codes. There are nitrates present. It is 'i'h[�t G -I �iP-rli�di �' tP C"t iTl fTbe performed i 'f'(l '1 n -ii Y(- i -hp conl-in d fguitabil' Nitrate- cJonceLn�tr—ation is 5.21 mg/1. EPA � � •—ns<PTr By: � Date UITle, 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-M (Rev. 151) Back MOA 1121 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 1 o� 1, 8 1 k � �r L fczno( S//-) Parcel I.D. O/ST/ 7/ A. Well Data Well type Fri va to If A, B, or C, attach ADEC letter. ADEC water system number_ Log present (Y/N) _&i Date completed = 196C Driller Total depth 06' Cased to R6' ` Casing height is Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump levell SEPARATION DISTANCES FROM WELL TO: Wires properly protected (Y/N) AT INSPECTION rn 7 /7 /5,5- 29 9S29 g.p.m. 6. d fi g.p.m. m o 7 60' Septic/holding tank on lot _ 1 a6 ; On adjacent lots Absorption field on lot 10 1 , ; On adjacent lots 9S ' �Qal ref issY 16 A Public sewer main N. A Public sewer manhole/cleanout N. A. Sewer service line > 25"` Petroleum tank No n s ee� WATER SAMPLE RESULTS:�'"-- Coliform U c,_1_/IoC, m to L Nitr _ 5, 21 m / Otherbacteria_none ceecr/ecl Date of sample: i� / 30 / 9 S Collected by: F/U b - ocl -,c B. SEPTIC/HOLDING TANK DATA Date installed 6 / 28 /9 Tank size ISMO gra! Compartments 2 Cleanouts (Y/N) �� __Foundation cleanout (Y/N) Y _Depression (Y/N) High water alarm (Y/N) Y Alarm tested (Y/N) Y _ Date of pumping N.A. (()ecu) Pumper V. A. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 1 o B On adjacent lots /oil To property line 2SAbsorption field S Surface water/drainage 2 loo' ndation Water main/service line _ 72-02s(3s3)•Front CONTINUED ON BACK PAGE w Z l -n �' C u, G n; 101 1a C.G. Z Absorption field on lot 10 1 , ; On adjacent lots 9S ' �Qal ref issY 16 A Public sewer main N. A Public sewer manhole/cleanout N. A. Sewer service line > 25"` Petroleum tank No n s ee� WATER SAMPLE RESULTS:�'"-- Coliform U c,_1_/IoC, m to L Nitr _ 5, 21 m / Otherbacteria_none ceecr/ecl Date of sample: i� / 30 / 9 S Collected by: F/U b - ocl -,c B. SEPTIC/HOLDING TANK DATA Date installed 6 / 28 /9 Tank size ISMO gra! Compartments 2 Cleanouts (Y/N) �� __Foundation cleanout (Y/N) Y _Depression (Y/N) High water alarm (Y/N) Y Alarm tested (Y/N) Y _ Date of pumping N.A. (()ecu) Pumper V. A. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 1 o B On adjacent lots /oil To property line 2SAbsorption field S Surface water/drainage 2 loo' ndation Water main/service line _ 72-02s(3s3)•Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed 6 / 2S /9S Manufacturer 01 -en co / v}/) chor (2 'TZr, Size in gallons rSGO q«/ S 7 G P Manhole/Access (Y/N) Y Vent (Y/N) Y "Pump on" level at 15-" "Pump off" Level at W " High water alarm level 9-7 " Cycles tested Meets MOA electrical codes (Y/N) Y ( Pe, M.0 A. fru, SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot 106 On adjacent lots (01' Surface water D. ABSORPTION FIELD DATA 1966 197°/Orr✓ Wally 2SO R'/6arm Date installed ftena 1red 6/2s/9s" Soil rating (GPD/Ft2) = o. 6;gal-C-t' System type 2 r9d-t f frrnchv Length 12 'It, 6'(' Width 12' 12' ?.S' Gravel thickness 6 y 9 gib' Total depth 7 �� 10 ', b-' Total absorption area 12 �1 W ' Cleanout present (Y/N) Depression over field (YIN) Date of adequacy test 71-1196- Results (pass/fail) pass for Bedrooms Water level in absorption field before test 0 After test S 1 I' rn 197y e' t Peroxide treatment (past 12 months) (Y/N) Al If yes, give date x/A SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 1 0 1 1 On adjacent lots 10/1 Property line To building foundation 15' To existing or abandoned system on lot N• A. On adjacent lots 7 30 Cutbank N. A Water main/service line -> 10' Surface water > 100' Driveway, parking/vehicle storage area Curtain drain Nnoe CPP/l ober -than fin o(rzifn H0, :from sysf, E. ENGINEER'S CERTIFICATION 1 ceitfy that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on t. �date of this inspection. c �� aai Cerrono shy `, 'si: J 4 lk Signature ,/ !F� �" •�-� •L )OQ.N� 94YAP94"y aRa MY �x�a Engineers Name _Th eoo�orn F. J7o�re /_, 1M1 90e e1 410 ....... aiw: rf Date T �X 10 1995 �w K Y . - Kcsi�•R� E a HAA Fee $ (� 0 Date of Payment Receipt Number m n Waiver Fee $ Date of Payment Receipt Number CT&E Environmental Services Inc. 'ZtL Laboratory Division aiiwiiwwwwiiwiwwww®w®iww�wwiwwww�ww.iw®wiwi®w®w.s CT&E Ref.# 95.2728-1 Laboratory Analysis Report Matrix WATER Client Sample ID L1 BLK6 GREENLAND S/D KITCHEN SINK Client Name FLATTOP TECHNICAL SRV WORK Order 15940 Ordered By TED MOORE Printed Date 07/05/95 O 12:50 hrs. Project Name Collected Date 06/30/95 9 14:30 hrs. Project# Received Date 06/30/95 © 15:45 hrs. PWSID UA Technical Director STEPHEN C. EDE Released By�$�'_ Sample Remarks: SAMPLE COLLECTED BY: T.F. MOORE QC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init Nitrate-N 5.21 D mg/L EPA 353.2 --------------------- 10. 07/03/95 CMR * See Special Instructions Above UA = Unavailable ** See Sample Remarks Above NA = Not Analyzed U.= Undetected, Reported value is the practical quantification limit. LT = Less Than D = Secondary dilution. GT = Greater Than 200 W. Potter Drive, Anchorage, AK 99518-1605 — Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA CIVIL, & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 July 10, 1995 Norm and Christine Masneri 11300 Patro Street Anchorage, AK 99516 Dear Mr. and Mrs. Masneri: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 Per your request on July 7, 1995 we conducted adequacy tests of the water supply and wastewater disposal systems serving your residence on Lot 1, Block 6, Greenland S/D. The test results indicate that both systems are functioning adequately at this time. The following is a report of our test procedure and findings. We were unable to locate a driller's log for the well, however ether documents on file at the Health Department indicate that it was drilled around 1966 and has a total depth of 86 feet. On the date of our test the static water level stood at 39 feet below the top of the casing. During the course of our test we pumped a total of 1273 gallons of water from the well at the maximum pump output of 6.6 gpm, which caused the water level inside the casing to be drawn down to 60 feet, but no further. Based on our test data we determined that the total yield of the well is in excess of 6.6 gpm, which exceeds the Municipal criteria for approval of a single family residence, and also meets the FHA lending criteria that a well be able to supply 720 gallons of water within a 4 hour period. Water samples collected on June 30, 1995 were satisfactory, showing 0 coliform or other bacteria per 100 ml., and 5.21 mg/1 of nitrate -N. According to documents on file at the Municipal Health Department, the wastewater disposal system includes an original seepage pit of unknown dimensions which was installed in 1966, plus a second 13'. x 13' x 12' deep seepage pit which was installed in 1974. Because the house has a full basement, these seepage pits had to rely on the permeability of relatively deep soils for their absorption. To enhance the absorption characteristics of these existing pits and greatly increase their longevity, an upgrade permit was taken out in June of this year to install a new STEP tank and repair the existing seepage pits by reconstructing with concrete rings extending up into a much more permeable gravel stratum near the ground surface.. Groundwater monitoring which we conducted 30 feet south of the 1974 seepage pit showed there to be water at 14.5 feet, necessitating the placement of gravelly sand in the bottom of the 1974 pit to bring its base elevation up to 9.5 feet below ground level. Because of the extremely limited area on the lot for future upgrades to the system, the effective absorption area of the seepage pits was increased by the addition of several shallow "wing trenches" containing 4 feet of sewer gravel, as shown on the inspection report. In order to obtain a Health Authority Approval certificate for this property it was necessary to conduct an adequacy test of the repaired soil absorption system. Since both pits were dry prior to the start of the test we arranged with Isaacs Pumping to deliver 2500 gallons of water which was dumped into the rebuilt 9 foot deep 1974 seepage pit to pre-soak it. This amount of water caused the fluid level to build up to 42 inches in that pit, with none overflowing into the second pit. To assess the adequacy of the system we then ran another 1273 gallons of water into the same pit, while monitoring fluid levels in the system standpipes, before, during and after the flow of water was stopped. As the water was being added, the maximum fluid depth measured in the 1974 pit was 53 inches. After the flow of water was stopped the fluid level receded at a more than adequate rate for a 4 bedroorn residence. In conducting an adequacy test we attempt to provide a thorough, conscientious engineering analysis of the system. The reported results describe the performance of the system under the conditions encountered at the time of the test, and the separation distances are measured to readily identifiable features. Satisfactory test results do not guarantee future performance of the system under different conditions, nor do they guarantee that there are no hidden defects or encroachments. Please feel free to give me a call if you have any questions on this report. Sincerely, Ted Moore, P.E. cc; M.O.A. DHHS GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED:. INSPECT: TIME: REQUEST FOR APPROVAL OF ThinTIfTnHAI SEWER AND 1JATVP rarTITTIPS FOR 1. APPROVAL. REQUESTED BY: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) I I SIZE_ q , 2. AGE 3. MANUFACTURER__.) 4. INSTALLER ADDRESS - PHONE 2. PROPERTY OWNER: PHONE 3. LEGAL DESCRIPTION: 4. TYPE FACILITY TO BE INSPECTED: STREET NUMBER OF BEDROOMS: 5 WELL DATA: A TYPE V, B DEPTH ell C S I Z E D CONSTRUCTION E. BACTERIAL ANALYSIS 6. SEWAGE DISPOSAL SYSTEM: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) I I SIZE_ q , 2. AGE 3. MANUFACTURER__.) 4. INSTALLER APPROVAL REQUEST .OR SEWER & WATER FACILITIE PAGE TWO B, SEEPAGE PIT 1. SIZE 2. LINING__ C. DISPOSAL FIELD 1. NUMBER OF LINES_ /I_� 2. TOTAL LENGTH 7. REQUIRED MEASUREMENTS A. WELL TO SEPTIC I TANK B. WELL TO SEEPAGE PIT C. WELL TO SEWER LINE D. WELL TO PROPERTY LINE `61' E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK_ G. FOUNDATION TO SEEPAGE PIT ?C.% H. SEEPAGE PIT TO PROPERTY LINE B. COMMENTS: �Ak�� . i� APPROVED: l _�. DISAPPROVED: DATE: �_= t DATE : APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY May 2, 1974 Mr. Willard L. Rradshav S.R.A. Box 1729 i. Anchorage, Alaaskin 99507 SURIEC,T: Vot 1., Bloch CS.; Greenland Subdivision This office has recently received a complaint of sew"go being Improperly discharged. ttrent:eRnAnchor�age Area Porouoh lass KCEaap'ter 9, Article V1, Section 0-68 (4)Q Tf.l'FS: "No ..kitchen wastes, laundry notur, sink w4ter,... or other wastes shall he allowed to discharge or flow upon Mata surface of the ground...so as to create as nuisance condition or health hazard." That is, all wastes must fora r_lisnosed of in a properly constructed sewer system. This letter shall serve as official warning to cvnsn the present; activity €r4 discharginn sewarte via n hose. Any t''lot"re, d0c=nted violation will re- saalt in court ,action. If you are haavinq any problem with your sewer systema, 1 would suggest that you contnet; this office for assistanco-, sinceroly, Susan F. Dickerson, Sanitarian ` ED/ko NFUIPT FOP i3ER IFII,1t IVIAIL=-30c (plias postagn] SENT TO POSTMARK [-STREET OR HATE AND NO. STATE AND ZIP CODE OPTIONAL SERVICES FOR AODITIONAI. FEES RETURN 1. Shows -to whow and date Oaliverod 1 \ V10h delivery to addressee only .,. . _.. [IF CF.IP7 O5C c [_5¢ �� 7 .Shorrs tovr6eia tlate and where deOvered . 35P ` SERVICE S ,4th delivery to addresses only .. . .._850 1 DELIVER TO AODRESSET ONLY ._ 50P _ SPECIAL. DLI.IVE.IIY ("tr< r - rnrni nd) ...... .. .... � l; i ori0 SI^p `'ll UY -,11RANTIF f!)VE:CIAGF PQSIIfICiI -. Seo elhor silo) ui FOR 11HURT':halONAL PNINt. GPO :1972 0 - 489-743