HomeMy WebLinkAboutGREENLAND BLK 6 LT 12 MUNICIPALITY OF ANCHORAGE DE, .{TMENT OF HEALTH AND HUMAN SER\ ZS L~ / ~ Environmental Health Division 0 / 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR WELL INSPECTION REPORT Address ,/,/,,0 Phone(s) 1~¢ No of Bodrooms,~ LEGAL DESCRIPTION Lot T/B,ock ¢' TANKS X~ SEPTIC [] HOLDING TYPE OF: SYSTEM "J~TREN(;H [] BED F~ W. DRAIN [] OTHER Fdl added above original grade Gravel length FT Gravel w~dtb 'oral absorpt,o ......./__ri.,¢¢' , i~,s,.... bet ....I ..... SO FT/ ~- FT PRIVATE Classdlcabon (A,B.C) WELLS REMARKS: [~ OTHER (Identifv) tTota~ Depdl Cased to FT DISTANCES  SEPTIC ABSORPTION TANK FIELD WELL WELL LOT LINE FOtJNDATION ! AS-BUILT DIAGRAM (Dhow iocabon el well. septic system, ploperly lines, foundahon, ~eW'~r#.¢~ >~,~ ~.-z?,4r?~ ~_,¢¢P. cT'/"No~, is~"'*lnspectionsPedormed b~ ~ ~unicipal and Slale ,uiOelilmS in e[lec, on this dale: [rY-rZ ENGINEER'S SEAL T-oTRL PEPF'tt /~' Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TFST LEGAL DESCRIPTION: ~ /'~/':~ /.¢L~){'~' ~ u/C,;'~-~-~E?~/~/¢'A/'~ Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS SLOPE WAS GROUND WATER ~"/"~ ENCOUNTERED? . S IF YES, AT WHAT / L E (]eplh Io Waler Aller / SITE PLAN "' '/' Gross Net Depth to Net Reading Date Time Time Water Drop /4¢z -i¢,/> ~6 ~/.I ¢~ --. s~& . i PERCOLATION RATE 2¢~ (minutes/tach) PERC HOLE DIAMETER TESTRUN~ETWEEN ¢ F~ANU ~¢ FT / ~ .-/9-8 7 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ' 72~008 (Rev. 4/85) ALASKA ENVIROn,. ,,ENTAL CONTROL SERVICES, INC. ].200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO. OF CHECKED BY DATE Date: Re: Lot 12, Block 6, Greenland Subdivision Anchorage Recording District State of Alaska To whom it may concern: The undersigned owners of Lot 1, Block 6, Greenland Subdivision, which property is adjacent to the above-subject parcel, hereby agree to waiver of the 100-foot required distance and agree that the septic system on Lot 12 may be installed 95 feet from the well on our property. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND I=NVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1, GENERAL INFORMATION (a) Legal Description (include lot. block, subdivision, section, township, range) Location (address o.r directions) (c) Applicant,, ,,. is,.,(check. . one)'. L~nding Institution [] .' Owner/builder~; Buyer []; Other [] (explain); (d) Lending Insti'tut!on ':' Address ",. · *" (e) Real Estate Company and Agent Address Telephone Telephone (f) Mail the HAA to the followings,,. TYPE OF RESIDENCE Single-Family'[~ Multi-Family [] Number of Bedrooms ,~ Other 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. SEWAGE 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 i11,84) ~ j,o ~ eaUd , ' ' /)(Jif ' PE~AQJdd¥'%t ~¢ Jol pe/~oJddy - ~ 'lVAOIdddV d:lHO '9 .g RECEIVED MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date ¢~Y'-~¢' ~ GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name ~,~,/'h/~./. ~'7..5'~W/~¢'~'7~ Telephone: Home -~¢~' -~-~"G'~" Business Applicant Address ~,O, (c) Applicant is (check ~ne): Lending InstitutiO·n []; Owner/builder'S; Buyer []; Other [] (explain); (d) Lending Institution ,/~//~ Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family"~ Multi-Family [] Number of Bedrooms -~ Other WATER SUPPLY Well"~ Community [] Public [] Individual 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 Onsite.~ Public [] Community [] Holding Tank [] Note: if community well system, must have written confirmation from the State Department of Environmental Conservation altesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRMPROVIDIh ,NSPECTIONS, TESTS, FILE SEARCH, DA .-, AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm /'~5 Telephone ,i~'~/,'~a ~ Address /~ ~ ~ ~ ~L¢I~ ~ ~- ~ Date ~-~ 7'-~'~ Approved for F bedrooms by Ap'proved Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipalit¥ of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analy~e data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MO~) MUNICIPALITY OF ANCHOR/~'~EALTH AUTHORITY APPROVAL (HAA) ENVIRONMENTAL SERVICES DJV ,SJONCHECKLIST - FEBRUARY 1984 264-4720 APR 2 7 ]987 Legal Description: WELL DATA RE EIVED · Well Classification Well Log Present (Y~. Total Depth ~) ;~"'~' Cased to (~ ~ Static Water Level ('~ ...~'¢~Z., ~., / / Casing Height Above Ground Wiring in Conduit~N) Electrical Separation Distances from Well: To Septic/Holding Tank on Lot *'~,'~tf//¢'~'~¢' If A, B, C, D.E.C. Approved (Y/N) Date Comrpleted ~'~" / ¢/?~" Yield Depth of Grouting "~/'/ Pump Set At ~ '7~S~ / Sanitary Seal on Casin~Y/~) Depression Around Wellhead (Y~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results ~/)'??,J'~'td'~'~/'- Comments ~I~ /,~),¢_.z2 /;~,',.J f /¢"¢ "¢- ; On Adjoining Lots To Nearest Public Sewer / To Nearest Sewer Service Line on Lot /, ; Date B. SEPTIC/HOLDING TANK DATA To Water-Supply Well ~'? To Property Line To Water Main/Service Line Course Date Installed Standpipes~N) Depression over Tank (Y~) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ,,~/'/,~ Separation Distances from Septic/Holding Tank: /d Size /~'~ No. of Compartments _ Air-tight Capst~'4) Foundation Cleanout (Y("~ Date Last Pumped _ Temporary Holding Tank Permit (Y/N) /J/,~' / To Building Foundation To Disposal Field /-5~' To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ,/')~/'~ ~ / ~ ~'/' Width of Field Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test ////~ Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation ~_~d, To Water Main/Service Line /O Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present(~N) Date of Last Adequacy Test To Property Line /~T/ ' /"~e~H ~ 'r To Existing or Abandoned System on ; On Adjoining Lots /~ / '/- To Cutbank (if present) ~/'/,~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments I~ ¢O//.L '7"g.~" .~-/~--~¢, D. LIFT STATION Date I nst allc'd'--~ Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) '"'"""~_ Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I ha~e,d::hecJ~d, veri~e_d, or conformed to all M O.A and HAA guideli nas in effect on the date of this inspection. Receipt No. /00 / O 0 "~ Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) unicipa,ity P.O, .3X ~96650 ANCHORAGE, ALASKA 99519-6650 O~~ (907) 264-4'111 Anchorage MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES May 4, 1987 Alan Wien Engineer Technician Alaska Environmental Control Services, Inc. 1200 West 33rd Avenue, suite B Anchorage, Alaska 99503 Subject: Waiver request for Lot 12 Block 6 Greenland Subdivision Waiver number WR87-029 Dear Mr. Wien: Your waiver req%les~ for the above mentioned parcel has been approved. The required 100 foot separation from a residential well to a private septic system has been waived to 95 feet for both wells on lot 12 and Lot 1 Block 6 Greenland Subdivision. This waiver applies to this upgrade of the septic system on Lot 12. Any future upgrade to the septic system may require another waiver approval from D.H.H.S. Sincerely, Daniel J. Roth Civil Engineer On-Site Services cc. Gus Andress, P.E. Water Quality/On-site Services Project Manager ALASKa 8IluilROI'/B FITAI. COFITI O Ii'lC. ~nqineerinq $ ~nuironp~enleJ ~ludi~s April 8, 1987 Municipality of Anchorage Department of Health & Human Services 825 L Street Anchorage, Alaska 99501 R": Lot 12, Block 6, Greenland Subdivision The above referenced lot consists of a 5 bedroom single family house served with a private well and onsite sewer system. The owner is applying for a permit for a full upgrade of the absorption area. On 3/11/87 to 3/12/87, a test hole was dug and drilled to 27.5 feet. Groundwater was encountered at 2~ feet and was at 21 feet on 3/19/87. We recommend a deep trench 17 feet total depth with 11 feet of gravel. The length will be approximately 60 feet and so~ls will be verified during the first inspection. Referring to the site plan diagram, this upgrade would be located under the existing driveway. ~ere will be 6 feet of soil cover over the trench and we also recommend insulation be used° The upgrade trench also encroaches on the subject well and tile neighbors well to the north. We request that you waive the requ~.red separation distance from these wells to 95 feet each. Attached is authorization from the owner of the neighbors well. The septic tank is 1500 gallon capacity. The cleanout pipe is 99 feet from the well. Tile tank was installed approximately 1964 and the required separation distance then was 50 feet. With tile type of soils encountered, we feel there will he adequate filtering of the effluent. The area for the upgrade is on level ground. The general slope o~ the lot is approximately 3 to 5 percent from the south to north. If you have any questions, please call. Sincerely, Alan C. WJen gngineering Technician Approved by: 1200 UJcsl 33rd Auenue. Suite J3oAnchoro% Alaska 99503,(907) 561 50aO ALASKA EI Lili OI]mEFITAL COFITiEOL SEI uICES, IFqC. April 27, 1987 >~unicipality of Anchorage Department of Health & Human Services 825 L Street Anchorage, Alaska 99501 Attn: Steve biorris Re: L~t 12, Block 6, Greenland S~,,division Dear Steve: This is in response to your request for additional {nformstion to evaluate the waiver request for the above referenced lot. On 4-22-87, ti~e water level in the monitor tube was at 21,5 feet below t~e surface. A waiver of 5% of tl~e required separation distance is requested. AttacHed are sample well logs of the area showi,qg silty sand and clay to be present from 25 feet to 75 feet. Also attached are sieve analysis from three different depths in the test hole. All show MI.I ~rom 6 foot to 26 feet. 'fnis ~s a fine sandy and silty soil. The percolation rate is 25 minntes per inch. On 4-22-~7, the subject well was probed and found total depth and casing depth to be 83 feet. Pump setting is 75 feet and static water level is 52.6 feet. Water sample results are satisfactory. There is eo other location on the lot that the upgrade could maintain as much as the 95 feet requested, If you nave any questions, please call. Sincerely, Alan Wien Engineer Tect~nici an 1200 LU¢sI 33rd ~ucnuc. Sullc [~, Anchoro§¢. Alasko 99503 ,(907) 561-5040 ALASKa i uIIBOrlB J'/T/ CO[1TBOL S BulC $, II'lC. CARL'S EXCAVATING P O BOX 110383 ANCHORAGE ALASKA 99511 SELLER- U4/23/~7 CARL'S EXCAVATING P O BOX 110383 ANCHORAGE ALASI(A 99511 7(.)039 LEGAL:GREENLAND SUBDIVISION BLOCK 6 LOT 12 FLOW TEST ON WELL WELL FLOW DAT~-04/22/87 A FLOW TEST WAS PERFORMED O[~ THE IqELL. 770 GALLONS OF WATER WAS PUMPED AT A RATE OF 3.2 GPM OVER A DURATION OF 4 HOURS. T}tE DRAWDOWN ~v'AS 12.25 ' WITH A RECOVERX T£~lg OF 20 blINUTES At~D THE STATIC WATER LEVEL WAS 55.6 FEET. THE WELL IS ADEQUATE FOR THiS 5 BEDROOM [[OblE, 1200 ~esl 33rd /lucnue. Suite [~ * ~nchora§e ,qlosko 9950S o(901) 561 50/40 UNIFIED SYSTEM ASTM O 2~87 MARCH ~_J ~987 GREENLAND B6 SA~'IPI,E !DEN'i'!TY 6 7 PASSTF8 ~t200 SIEVE: 55.40% RETAINED: i7.00% PASSING ~f lO SIEVE: '72.,10% RETAINED: 11.00% PASSING ~ !0 S~E\'E: 83:10% RETAINE[): 6.20% PASS,NB ~ i S~EVE: 89.60% RETAINEI): 6.90% PASS~NG t.2 [N S~EVE: 96.50% RETAINED: 3.50% PASSING ~ ~NCH SIEVE: t80.00% RETAINED: PASS~NQ 2 ~x:C~! $~EVE: in0.96% RETAINED: 0.80% PASSING 3 ~,':?E SIEVE: lO0 00% RETAINED: 0.09% THE PLASTIC [Tv.~T iS :'.',:~(.NeW.¥ 'l'}iE ?i. ASi'[,qi'i'Y :iq)EX [~ i-NNNf:~'N CUfS UNKNO~,~N F/XE GRAiNEi) SC.'rLS THE SOILS /\RE [h'~,?',i,:NiC SILT. ;MH) THESE SOILS HAVE A FROST CL.\SSIFiCAT]ON OF F4 UNiFiED S':'STEM ASTM D-2487 .',lARCH i1 7987 GREENLAND B6 [.12 S&MPLE !UENT!TY .:4 F'F, PASSING ,200 SIEVE: PASSING # 40 SIEVE: PASSING ~ i0 SIEVE: PASSING ~ ~ SIEVE: 86 PASSING 1/2 iN SIEVE; 90 PASSING 34 iN SIEVE: 94 PASSING ! rNCH SIEVE: :00 FASSiN6 2 iNCH SIEVE: ~00 PASSING 3 iNCH SIEVE: 59 !0% 74 50% 83 30% 30% 20% 70% 00% 00% 00% THE LiQUiD LIMIT iS UNKNOWN Pf.,\STiC [.!NIT iS UNKNOWN PLASTiCiTY INDEX iS UNKNOWN CU -~S UXKXntqN CC. I S RETAINED: 15 40% RETAINED: 8 80% RETAINED: 3 00% RETAINED: 3 90% RETAINED: -1 50% RETAINED: 5 39% RETAINED: 0 00% RETAINED: 0 00% RETAINED: 0,00~ El'NE GEAr 5El) THE SOrLS ARE !NORGANrC SibT. T!F..(SE SOILS HAVE h FROST CLASSIFICATION OF ~F4-- UNIFIED SYSTEM ASTM D 2487 MARCH 1{ '~987 GRFENLAND B6 L12 SAMPLE ZDENTiTY 20-24 PASSING =200 STEVE: 51.50% RETAINED: 38.!0% PASSTNG ~ 40 SIEVE: 89.60% RETAINED: 9.20% PASSTNG ~ !0 SIEVE: 98.80% RETAINED: 0.70% PASSING ~ 4 STEVE: 99.50% RETAINED: 0.50~ PASSING i 2 IN SIEVE: 100.00% RETAINED: 0.00% PASSING 3 i IN SIEVE: 100~00% RETAINED; 0.00% PASSING i iNCH STEVE: 100.00% RETAINED: 0.00% PASSING 2 iNCH SIEVE: !00 39% RETAINED: 0.00% PASSTNG 3 ~NC[i SIEVE: tO0.O0% RETA!×ED: 0.00% '7~{E PLASTIC L!MTT iS UNKNOWN THE PLAS'FTCiTY INDEX iS L'NKNOWX CU IS UNKNOWN CC fS UNKNOWN FiNE qRATNED SOILS Th'E SOILS ARE INORGANIC SILT. THESE SOTLS DAVE A FROST CLASSIFiCATiON OF -F,t- l. Approval requested by: Mailing Address: 2, Property Owner: Mailing Address: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ~-- Time of Inspection \ (~'.c~ C.) Date of Inspection ~-~,-'~--"l~<~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 3. Legal Description: 4. Location: ~ 5. Type of facility, to be inspected . '~. ,, .;'.~,.~.::~ .~ , - A Type .... B. Depth C Construction ~ . '"~,~ D. Bacterial Analysis Sewage Disposal Sys{~m: A, Installed / ~ C. Septic Tank: 1. Size D, Seepage Pit: 1. Absorption Area E. Disposal Field: i: To, tail)len~th of lines Distances: , A. Well to: 2,~Hanufacturer Septic tank ,,, i~.~, Absorption area /~O/ , Sewer Lines , Nearest lot line -~]'.~l~c~ , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages ~,<EATEF~ ANCHORAGE ~,I<k'.~', BOROb~tl Department of Environl,lur, kal Quality. 3330 "C" St., Anchorage, Alaska 99503 - 274-.4561 REQUES'F FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILI'FIES 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Nar, le of Buyer: IIailing Address: CMRO VA Carl ~B,, E_l_senb.a_st SPA Box 1724 M. Carl B, Elsenbast Same as above FHA CONV xx Phone .3,44_ 0044 _ Phone 4, ham,. of Lending Institution: The First National Bank of Anchorage 279 4481 Nailing Address; Po O. Box 720 Phone Anchorage, Alaska 99510 Name of Real tor or Agent: Not applicable Phone Mailing Address: 6. Legal Description: Lot 12, Block 6, Greenland Location: Winchester Street (SRA Box 1724 M) 7. Type of Facility to be i'nspected: 8. Water Supply Type of Supply: Public Utility Duplex NO. Bdrms. 5 Individual x If Individual, number of dwellings presently served If Individual, depth of w~ll / Sewage Disposal· Syscom Type .of S~stem: Public Utility individual If Individual, date of installation /~/~ (on-site) Page 2 of two pages - Re~,~est for Approval of Individual S~wer & Water Facilities Legal Description L. I~. ~/~o ~/~t~xy~ _~_/~.~/_ Comments Approved Disapproved Date < · Approval~Valid for one year from date signed 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) JUly 9, 197§ Carl [<l~ba~t f~rag{~, Alaska 99507 Your t~lu~gt for ~wer and %~atea' ap}?rc~al on your pro~, ~y approvad at t~ts tt~, Dafore approval c~l b~ 9runte~l ~ho following' n~t ~ a~c~?lish~<h 2. ~)t,~n a t~il~ t~.3t to 8h(a~ ~,l'~at tyl~ of dr'~tmTge~ }.~u do trove. 3. Sh~ proof of ~epa~ pit st~ with the of upgrad~ it ~ ~et present i'aalt'Ji~ Qbtai~l a p~mit ~f~re a.ly c~lst%~c'~3~n is d~e on the present syst~l, ~ll~ soil~ test ~lst }~ o~)ta~uiea L~-,.fore a i~rmit ~,;'.l, ll b~ issued. If you have any qu~stt~m, please fe~l fre~ %o cont~t me at 274-4561, exte~sion 137. Pratt, ~vikra~a~%~31 Control Officer III August, 1Z, 1975 Carl Elsenbasi; SRA Box 1724 ;~ Anchorage, AK 99D07 SUBJ~CT: Lot ]2, Block 0 Green]and Subdtvlslono l>ear Sir: The we]] serviug the duplex of~ Zhe subJec~ proper~:y ts ~pproved by :his department, lhe se.er sysCem ca~{ not be approved unZil you show proof of size for the septic ~8nk. l{he~ this ts done, d{inU,] approval can be given. If you have any further quesZto~T~ concernifi~ ~l{is maC,er, please do not hesitate ~o contact me a~ 274-4561 ex~en~ton 137. Robert C, Prat Envlronmontal Control Officer RCP/sr