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Home My WebLink AboutWALTER G PIPPEL ADDITION BLK 5 LT 4Walter G. Pippel Addition Lot 4 Block 5 #050-123-33 P O~/H 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES MA YO[? DEPARTMENT OF I-{EALTH AND ENVIRONMENTAL PROTECTION Permit #:840287 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 4 Block 5 Water Pippel Subdivision 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 there are any further questions, please call this office at 264-4720. Sincerely, rKeith E. Bandt, SupeYviso Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 ~'.ILII'-.~ ~I C I: PRL I T"T" OF Rl",,I CHL--'"I~: RGE DEPRRTMENTo._,.~ ~ HERLTH RND ENVIRONMENTRL ~OTECTION ~ ..... ~ STREET, RNCHORRGE, RE 9~-z~i 264-4720 ~/~r~ ~ ,])~--$ I TE I-~ELL PER~ I T PERMIT NO: 84028? [:'RTE ISSUE[:': EiS,. 04,..4 RPPLICRNT: LYND8 LERSK R~DRESS: P 0 BOX 771786 ERGLE RIVER, RK CONTRCT PHONE': LEGRL DESCRIP: LOT SIZE: SUBDIVISION: WRLTER PIF'PEL LOT: 4 SECTION: ± TOWNSHIP: ±4N RRNGE: 2W ,.~Q. FT. OR RCRES) BL JCK. ~, I CERTIFY THRT: i. I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCMORRGE (MOR) RND THE STRTE OF RLRSKR. 2. I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH RLL MOR CODES 8ND REGULRTION5~ RND IN COMPLIRNCE WITH THE DESIGN CRITERIR OF THIS PERMIT. ~, I WILL RDHERE TO RLL MOR RND STRTE OF RLRSKR REQUIREMENTS FOR THE SET BRCK DISTRNCES FROM RNY E~ISTING WELL~ WRSTEWRTER DISPOSRL SYSTEM OR PUBLIC SEWERRGE SYSTEM ON THIS OR 8NY RDJRCENT OR NERRBY LOT. RPPLICRNT: ' ISS,,EO Y O TE: .... March 25, 1975 File No.: 4-1 GREAT~:~ ANCHORAGE AREA B~,~OUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 274-4561 Jesse Wooten P.O. Box 663 Eagle River ! Alask~ 99577 Dear Mr. Wo0ten: It has been brought to our attention that public sewer is available to Block 5, Lot 4, -Walter G. Pippel Subdivision. According to Greater Anchorage Area Borough Ordinance, Chapter 16, Article 16.45, Section 16.45. 050: "Septic tank-seepage system sewage disposal facilities shall not be installed or used on any premises where sanitary sewers are available within seventy (70) feet of the nearest lot line of said premises . . .". The Greater Anchorage Area Borough Public Works Department has checked their records and they indicate that your structure (s) is not connected to the sanitary sewer. Would you please check your records to verify that the structure(s) is or is not connected and notify us immediately if your records indicate that a connection has been made. If we do not hear from you within seven (7) days, we will assume that our records are correct. We, therefore , 'request you connect any and all structures located on the subject property to public sewer during the 1975 construction season. You must apply for a connection permit from the permit officer for the G~eater Anchorage Area Borough, 3500 East Tudor Road. If you have any questions regarding the above, please do not hesitate to contact the permit officer at 279-8686, extension 259, or the Department of Environmental Quality at 274-4561, extension 141. Eagle River District Sanitarian JL/lw ALASKA erlUlRorlmenTAL COIqTROL $1 RUICI S, I[1C. MUNICIPALITY OF ANCHOI~E DEPT, OF HEALTH & 2, ' ONMENTAL FEB 1 9 1988 Department of Health and Environmental Protection 825 L Street Anchorage, Alaska RECEIVED Attn: K. Bandt Subject: Well on Lot 4 Block 5 Walter Pipple Addn The subject property has been served by an existing well that has been reported to have been in service prior to the establishment of the Public sewer (1970). The well is located within a concrete structure, which also houses insulation and the input water line to the residence. This structure is fitted with a wooden lid. The well casing is approximately 10 feet below ground surface. Measurements to public sewer are: 1) 63 feet from well to closest portion of the road (note: the sewer line is reported to be an additional 20 feet; hence, well to sewer line = 83 feet) 2) 82 feet from well to closest manhole cover. 3) 29 feet from well to closest portion of the property's sewer line. The well casing should be extended above ground surface, and the structure backfilled to divert surface water and possible contamination of the well. The well should be fitted with sanitary seal, wiring in conduit, and a 'pitless' adapter. A water sample was taken from the kitchen faucet on April 12, 1984. The sample was satisfactory. The reported concentration of iron in the water would indicate that some filter system should be included in the provisions. It is also recommended ~that non-corrosive plumbing be installed at the time of well upgrade. A standard well flow test should be performed on the well to insure the purchaser that there is adequate well yield to serve the residence. If waivers are granted for the separation distances, and the well is brought into compliance with MOA requirements, then this well could serve, in a private capacity, the residence. If this office can be of further assistance, please contact us at 561-5040. Sincerely L. D. Montgomery 1200 LUCsl 33rrJ Au~nu¢, Suil~ B · Anckoraq~, AI,sk, 99503 ,, (907} 276q361 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WEStERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA' 99501 8111. SHEFFIELD, GOVERHOR 274-2533 August 20, 1985 Ms. Lynda Leask --P.O. Box 771786 Eagle River, AK 99577 Subject: Walter G. Pipple, Addition #1, Lot 4, Block 5, · Class "C" Well, Eagle River, AK (8421-FA-349) Dear Ms. Leask: We have re-reviewed the plans and specifications for the subject project and approve the modification for installation of the additional dwelling for an office. However, It should be remembered that final approval will necessitate the submission of Engineer As-built Plans and owners name, address and tele- phone number. This will consequently mandate that a professional engineer conduct basic inspection of this project so as to be able to sign off on as-built plans. Arrangement for this inspection work is the responsi- bility of the developer. Any future expansion of subject project will require additional approval~from this office. Sincerely, Michael P. Lewis Environmental Engineer MPL/msm ENCLOSURE ~'_~ CHEMICAL & GEOLOGICAL LABORATORIES OF ALAS~.4, INC. ~ ~'.~ TELEPHONE (907)562-2343 ANCHORAGE INDUSTRIAL CENTER ~_ 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria LD. NO. Mailing Address SAMPLE DATE: Phone No. State Zip Code Day Year SAMPLE TYPE: ~--'~outine [] Check Sample (for routine sample · ~wlth lab ref, no. ) [] Treated Water ~ E;~-13ntreated Water [] Special Purpose SAMPLE Time Collected NO. LOCATION Collected Sy I TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~Satisfactory · [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received /.-/2 - 2y Time Received ' ',// /~//~ 0 Analytical Method: [] Fermentation Tube j~Membrane Filter Lab Ref. No. Result* Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev, 197~ BACTERIOLOGICAL WATER ANALYSIS RECORD Municipality of Anchorage Department of Health and Human Services Divieion of Environmental Services On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. ,~'¢'c~ - 1~'5 -~¢~ 1. GENERAL INFORMATION Complete legal description HAA# /¢.~//~'[..d~ ~/d~ / Expiration Date: Lot 4, Block 5, Walter C. Pippel ~Z~('~dq~-) 16907 Park Place Location (site address or directions) Current Property owner(s) Linda Leask Mailing address /~'/7L) ~E.~$ ~)~K?~ Lending agency Day phone Day phone 694-4200/Sharon Mailing address Real Estate Agent Remax/Sharon Minsch Day phone 6~9~-4200 Mailing Address16600 Centerfield Dr.,Suite 201, Eagle River, AK 99577 Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by::Zh/Z NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] Individual Holding Tank [] Community On-site [] Public Sewer The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 {Rev 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for the Health Authority Approval application show that the on-site water supply and/or waslewater 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 om site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Address S & S ENGINEERING 170, · _ Eagle River, Alaska 99577 Phone Co q r/ - > cI '7¢1 Date ~f/~. ~,/o o ~ ~ '. C=-~8u~ -.~ ~ 1,. -, ,.-: .... -.,- _~ bedrooms, with the following stipulations. Engineer's Printed Name___~ 8/~r~..'~.7- (~ . ~-o ~,,-,'g¢,~' 6. DHHS SIGNATURE Approved for_ I bedrooms. Disapproved. Conditional approval for Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Expiration Date: -~- .2. (~- 0 o Original Certificate Date: /~ - ~- ~, ~ 40 ~ Reissue Date: 75-025 (Rev Municipality of Anchorage APR 25 2000 DEPARTMENT OF HEALTH & HUMAN SERVIC~hici~^uw or ^NCHU~ Environmental Services Division '"Pc'WMENTA!. SERVICFe P, 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: L..~ Health Authority Approval Checklist ~(c.F-.-- ~__--.~ ~ p f'C~U~ Parcel I.D.: A. WELL DATA Well type Log present~/N) Total depth Sanitary seal ~/N)' If A, B, or C, attach ADEC letter. ADEC water system number Date completed _ ' Cased to L.J,> ~'1~ Casing height (above ground) Wires properly protected~N) FROM WELL LOG AT INSPECTION Date of test Static water level Well production WATER SAMPLE RESULTS; Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Nitrate Other bacteria Collected by: ~ ~ ~'-~/~--. Date installed Tank size Number of Compartments __ Cleanouts (Y/N) Foundatior~'cleano~~ ~'- Dateof Pu ' Pumper C. ABSORPTION FIELD DATA Date installed :Soil rating (g.p.d./ft~ or ff~/bdrm) System type Gravel thickness below pipe ~__ Length Width Effective absorption area Monitoring Tube present (Y/N) _-,--"D'e~ressi°n over field (Y/N) Date of adequacy test Resu~__ For __ __ __ bedrooms .... __ _ ~~ment (past 12 months)(Y/N) If yes, gi/ ('~es later: Absorption rvaleda~ g.p.d. 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons "Pump on" level at* _~.~_2kaump-dff~evel at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main ?'~r)~ Sewer ¢e~Ce-service line On adjacent lots '/2Z ¢)n adjacent lots ~/'~ Public sewer manhole/cleanout ~ ~'~ Lift station 'A/A- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation Property line ~xic~Mi~--~--~' Surface water/drainage SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Absorption field __ Wells on adjacent lots Property line Building foundation Surface water Water main/service line · y, pa-'~ng/vehicle- storage area Wells on adjacent lots ENGINEER'S CERTIFICATION .-~,'~'-,'~,'~ · ' cert,~ that, have determined thru field inspections and review of Municipal rec~b~,.,be,eb~v~ ~,,ems are ' ' ' ¢'C? ¥" '" ~2 n conformance w/th MOA HAAQu/delines ~n effect on th~s date ~ .2 ¢ A ' '. "~, Date / f ~- ¢3'" ,,'"~4~/; HAA Fee $_ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Wlaiver Fee $ [)ate of Payment IReceipt Number ' ~. APR 20 '00 OE:88PM ST-AK D~R MIMING 907 5S3 1853 o.,//,~' 200 W. Po~er Drive Drinking Water Analysis Report for Total Coliform Bacteria Anchuragt AK 99618.1606 Tel' (907) 562-2343 READ INSTRUCTIONS ON I~EFFg~_'F SIDE 8EFORF- COLLECTING SAMPLE Fax: ~07) 561 4301 MUST BE cOMPLETED BY wATI:-R SUPPLIER TO BE COMPLETED BY LABOR~TORY PUBLIC WATER SYSTEM LD. ~ PRIVATE WATER sYSTEM SAMPLE DATE SAMPLE TYPE: Month Repeat Sample (for routine sample w3h Inb rtl no. Special Purpose SAMPLE LOCATION Treated Water 0 Untreated Waar Analysis shows this Wa~sf S;~,IF'LE to t~e: Sansfac[oq Unsansfacto~ S~plc ov~ ~0 houri o1~ ~sul~ may ~ unmh~le no[ ~ ov~ 48 holm o~ ~ new ~1~ ~a ~i~ dehv~ mai. ' 0 · Namkr of mlonie~/100 ral. Re~ulff Analyst Cllenl nodfl~l of unsadsfa~ory resdu: BACTERIOLOGICAL WATER ANALYSIS RECORD MMO-MUG Rna~ To~ CoUfor~ Membrane ~ Dt~ Count _ Vtdflc~flou; LTB __ Fe~l Coliform Confirmation _ BGB . COLIFIRM - Collfof[/tO0 mi ',,q E:rO ~. ENVIRONMENTAL FACILiTiES IN AL,e,~KA, CAJ, JFORNK BORIDJk IUJflOIS. MARYI. A~D, MICHI6AN. MISSOURI. NEW JERSEY. OHIO. W~ST VIRGIN-- 04-1g-O0 17:5~ FRO~-CTE ENVIRON~TAL Z'~ CT&E Env/ronmerltal Services Inc. T-414 P.01/02 F-656 CT&E Ref.# Client Name Project Name/~ Client Sample LO Ordered By PWSID Sample Remarks: 1001635001 S & S Engineering 1.4 B5 WO P~ppel #l L4 B5 WG ?ippel #1 Drinking Water 0 Client pO~ Printed Date/Time 04/19/2000 17:28 Collected lDate[rimo 04/11//2000 10:30 Received Dnterrime 04/1812000 15:45 Technical Director Stephen C. Ede R,leased ~~ ALLouaDLe Prep AnaLysis Limits Date Date init UATER$ DEPT 0.500 u 0.500 m~J/L EPA 300,0 (<10J 04118/00 SCL Total CoLiform coL/lOOmL SM18 9222~ 0~/18/00 KAP