HomeMy WebLinkAboutTUXEDNI PARK BLK 3 LT 4Tuxedni Park
Block 3
Lot 4
#041-022-16
j MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
0* ENVIRONMENTAL ENGINEERING DIVISIONf125�
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 6
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHON
AL
/d
2W—/ c/ b
0❑UPGRADE
MAI LING ADDRESS
2W/
LEGAL DESCRIPTION tl
LOCATION
UGC/�G4�h
NO. OF BEDROOMS
DISTANCE TO:
Well
Absorption areaI
Dwelling .
PERMIT NO. 7
O
`
_Y
WQ
Manufacturer
Materiy.-.
No. of compartments
h �e�
e a
n~
Liq. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
❑ Y
DISTANCE TO:
Well
Dwelling
PERMIT NO.
JAZ
Sz F
Manufacturer
Material
Liquid capacity in gallons
❑
m=
DISTANCE TO:
Well
Foundation
Nearest lot line
PERMIT NO.
u Z
Noof lines /
Length of each line /
Total length of lines
Trench width
Distance between lines
Fzw
7Y
inches
F.
Top of the to finish grade
Material beneath the
Total effective absorption
�6 I
area
(3I
inches
Length
Width
Depth
PERMIT N0.
w
C7
H
Type of crib
Crib diameter
Crib depth
Total effective absorption area
a
wd
,q
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
Class
Depth
Driller
Distance to lot line
PERMIT NO.
J
w �
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
PIPE MATERIALS D
cti�I Jl�
SOIL TEST RATING
INSTALLER
REMARKS
a � Mo•a
t
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y3 _ sui.wu. .•u •.•Nu••i ••
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(. =u."^
b/NO. 3430E / v 9s L n P.•• C
'"wS`
-REGISTERED S 'N •-�
t,.-Pi-, - ®� ,• No. 4 4s �•QJk.
}zetiL�� ••
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APPROVED DAT LEGAL
AUG09 lot 17 REMRX PROPERTIES
f . DRILLING, INC
(.o.�
DMUNo LOO Dom.
lyse of Wett—
Ted Bschenbach
Well owner
Location (address of: Township, Range, Section, li known: or distance main roc
_. ,. at nr_k S Taxon
di Park (ixlchcrage
l00 . a feet
6nepth of 10L--1— -
open end
feat Cased
Size of casin DHole_
(below) land surtaea.
static water love
Finish of well (check one)
y
45 t �. (, ,
l_ ------•f
Screen, , ( ) 3 Perforated (- , ) ••
rforatio ` N/A f 100'10
Describe screen or pe minute) far. - �•---hotirre wf
Well Pumping test at
6 gallons Per)
of dr;, from static level,
Date of cotnpleticn� , , xt.. .
WELL LOG
Depth in feet from olpe details of"formations penetrated, size of material, color and hardness
ground surface .YA
0. 2 Gaeiii " e•i'i •�
T
6 Fill.
or panics � '
17 Silt •+xavel
sand ravel dant 71
17 To. -=9 ; .
19 , Wet; ....ravel ;
21
_TOJO' S1lt: ravel
30 TO_ 59
Sand:` ravel
��TO_.-- 62—
Wet (;navel • .
Silt ravel
'80�-TO34
Wet ravel
101 Watex ravel .;v' _ .s
O_._----
NWWA Certified Coraractor
8 — CONTRACT()
q. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 'L.,., STREET, ANCHORAGE, AK. G am. i1 �l�y
264-4720
V L4 EL L_ FIITJC:" ID r4-0_=5 I TE �5E1•JEFR! F'ER:M I T
PERMIT NO. C 780370 )
APPLICANT T G ESCHENBACH 1201 HYDER ANCH 274-9040
LOCATION + a3 TuXt�� _PA21<,
LEGAL COPPER DRIVE LOT SIZE 121532 SQUARE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 5 SOIL RATING (SQ FT/BR)= 105
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
C> E F -r "- '_=4 L_ F="C3 -r"= 4- 4 13 F I f'=t V a L_ , C:r a F' T"= e=.
THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAItdFIELD.
THE DEPTH OF R TRENCH OR. PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION CIN FEET).
F? Etxt_l I rQ'EC} S3EF•7rI r_.: T14F4t==: I E= i -!5C30 C3'F'iL_L_i_j"f
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT.DUR.ING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR "R PRIVATE WELL. OR
150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F•l=—FR_ 7 I T 2:9.. -EN : li3
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: Y UNDERSTAND THAT THE ON-SITE =EWER SYSTEM MAY REQUIRE ENLARG MENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 5 BEDROOMS.
SIGNED:_ _---------------- �.�`
APPLICANT T G ESCHENBACH
ISSUED BY _ DATE _�a V3.2
GRE11'rrkR ANCHORAGE AREA BOROUGH`--'
DEPARTMENT OF ENVTRONMFTITAL OV LITY
3330 "C" Street
ANCHORAGE, ALASKA 99503•
Case #
Performed For T
C-7,
scr�� r3��t+
Dated Performed S Z3
Legal Description:
Lot
4 Block 3
Subdivision 7ru3eey,,, tggai I��rlc
This Form Reports
Soils
Log X
Percolation Test
- Soil, Test
I -lust Be
Logged To 4'
Below Proposed Seepage System -
_ Depth
P --....
_ Feet
Soil Characteristics
o Ssw.c 9ca±bla c.'( �J�,4?Ff�r�'
2•S ii Gres
o S ,
�
If Yes, At What Depth? O,o e
Reading Date
Colt 5: , rca+s �c
Depth to DI
�s
iS. , aN�aaa• �\
A 4 _M So
Taw`. Sa(s.,, Sall L¢wwo, lwse, clew.P ML ZSIJ 5)�/tii✓..
O N��. $ow,r1,,/i'rf, �eu_,�2w.p /�li
P --....
b:
•_ ;'
Gy .
o Ssw.c 9ca±bla c.'( �J�,4?Ff�r�'
R GISTERED
rar`7lTa qr� xis �Sa. prose aia .p slnl I `LS &)$
I
te� Siliy�ja , QEose, cP8•.p• ' S�'f Pant s�
0
s round Water Encountered? �(j _
0
U
o S ,
�
If Yes, At What Depth? O,o e
Reading Date
Gross Time Net Time
Depth to DI
�s
iS. , aN�aaa• �\
P --....
P. AL
R GISTERED
rercolation gate M1nuce •v*q,A*�A�aQwa'
Proposed InsEallation: Seepage Pit Drain Field X
Depth of Inlet.__ 7 pt.Depth to Bottom 01 -f -Pit or TrencFi-q:
COMMENTS:_t�OO�,
Test Performed BY MfAI;UCp pby FRimIn Cel Date Certified B
X9839 TAMPA CIRCLE • 333-0787. Dat
� ANCHnRA(-F. AIAS1rA'Q%5n4
0
A
MUNICIPALITY OF ANCHORAGE
• '� DEPARTMENT OF HEALTH & HUMAN SERVICES
qlamnw
Division of Environmental Services Mm
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. # O V1 -O 2 Z - / HAA #
1. GENERAL INFORMATION
Complete legal description Lot °/, 0/ocb- 3. "Tux ecln; Par k
Location (site addressor directions)`'
Property owner Mum' Madre IShu""' L6Ld1ar Day phone '277-633'2
Mailing address 97 2a (� P ,cr Drt-e, c_ ti Al< 99so7
Lending agency Res 11240 •1a1 rror25c a 41 6 Day phone ZGl -7565
Mailing address 3111 `C ° Si. Su-fe 1Go, A254 2924 4 99s o_3
Agent I -La Y/1 Cam b%Tamic 1'1a12erf%!/ Day phone 279 -7,lr//
Address 3111 "c" 2f_ u1Ac 16c AnCAO:'� A -C 99So3
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 1-
3. TYPE OF WATER SUPPLY:
Individual well L
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site L-1
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)Rw.1/91) Front MOA#21
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 furtherverify 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 /f/& lrcAn(cul S;
Phone 3'-1.5- 17 Q -
Address ctid Sf. A"C 0Ak- 9961(
Engineer's signature �i� l Zc d- Date June `1 /99>
6. DHHS SIGNATURE
0
_Z Approved for r /I/ .E bedrooms.
Disapproved.
Conditional approval for
Additional Comments
'
49
0 e o o oo VVb006 a 0116
e c o o o o o 0000rYo o o ri 69ea�,
THEODORE K. (dGORe a` .`n
bedrooms, with the following stipulations:
Date 6 " ?- ' _ 9 2
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 order to 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.
72-025(Rev.1/91) Back MOAu21
ArC ENty
Municipality of Anchorage
JUN 0 4 1999
DEPARTMENT OF HEALTH & HUMAN SERVICES41CIPALITY of ANCtio
Environmental Services Division ENVIRONMENTAL SERVICES DI
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744
Health Authority Approval Checklist
Legal Description: 4 of y 6 loc L- 2 Tux evAi ; Pa, k Parcel I.D.: dam/ t - o z 2
A. WELL DATA
Well type Pn vc,�'e If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N)
Date completed B / 1/ 7 R
Total depth 101, Cased to 100.8 ' Casing height (above ground) 2 7
Sanitary seal (Y/N)
FROM WELL LOG
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
7
Coliform acv/Gniv //Go,+, Q Nitrate 2. 26 d+
Wires properly protected (Y/N)
AT INSPECTION
S/ 2-6/.99
S7'
`r
1,-7(6 g.p.m.
Date of sample: S / zG / 99 Collected by: F ru /-
B. SEPTIC/HOLDING TANK DATA
Other bacteria / co/ 4'00r,<
Tec/i s -
Date installed X'1 -?01-19 Tank sizels� Number of Compartments _' Cleanouts (Y/N)—t:--W,
Foundation cleanout (Y/N) i Depression (Y/N) Al High water alarm (Y/N) A/• .4
99 t'l+Fm�
Date of Pumping Pumper Zra a c s
C. ABSbRpTION FIELD DATA
r.
Dateinstalled /30/78 Soil rating (g.p.d./ft2orft2/bdrm) /0s u' Systemtype TfeHcA
Lent th; 5- Y Width 2-s' Gravel thickness below pipe S, s' Total depth 9 '
n.t, e"Fdlar sz•' sc��w �n�,
Effective absorption area 5'10 Monitoring Tube present (Y/N) Y Depression over field (Y/N) jv
Date of adequacy test 317-0919 Results (Pass/Fail) Pact For 5 bedrooms
Fluid depth in absorption field before test (in.); 0 Immediately afters gal. water added (in.): G
Fluid depth o (ins) Minutes later: ei o Absorption rate = 7 ZS'D g.p.d.
Peroxide treatment (past 12 months) (Y/N) Non r kn o u n If yes, give date
72-026 (Rev. 3/96)'
D. LIFT STATION N. A.
Date installed _
Manhole/Access (Y/N)
High water alarm level at* _
Cycles tested
E. SEPARATION DISTANCES
Size in gallons
"Pump on" level at*
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
"Pump off" level at*
Septic/holding tank on lot Py' (wuwr- 8/so/9i) Onadjacentlots > lod
Absorption field on lot 10,6' On adjacent lots
Public sewer main. nl•-A. Public sewer manhole/cleanout N• 9
Sewer /septic service line 7 2 S ' Lift station n1'
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation 17' -/U c, o . Property line 10 1 -- Absorption field i y '
Water main/service line _7 !o ' Surface water/drainage -> r oa' Wells on adjacent lots > f oc
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line �a ' Building foundation > 10' Water main/service line
Surface water _> (G o ' Driveway, parking/vehicle storage area I C>D
Curtaindrain WonP tp¢n Wells on adjacent lots ao'
F. ENGINEER'S CERTIFICATION
i certify that I have determined thru field inspections and review of Municipal records
in conformance with MOA HAA guidelines in effect on this date.
Signature !7 111 t
Engineer's Name-rAeo�1o,-e- T-
Date Tune `f . . 1999
HAA Fee
Date of Payment
Receipt Number a�
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
. CE.3589
are
!UN -03-86 06:50 FROM -CTE ENVIROMENTAL 5615301 T-358 P.02/05 F-514
ME Environmental Services Inc.
CT&E Ref.#
Client Name
Project Name/#
Client Sample ID
Matrix
Ordered Ey
PWSID
Parameter
992323001
Flattop Technical Srv.
N/A
Lot 4 Elk 3 Tuxedni Part:
Drinking Water
It"
Client PO#
Primed DateiTime 06!02/99 16:46
Collected Datell7me 050-6/99 16.25
Received Date/Time 05/26/99 17:25
Technical Director: Stephtm C. Ede
Keteased By_A
Attowable Prep Ana;Ysis
Results POL Units Method Limits Dace Dale Init
Total Coliform
1 08/100 NL, NO COLI
-
SKIS 92228
05/26/99 SAP
Ni [ra[e•N
2.25 0.500 me/L
EPA 300.0
10 may. 05/26/99 D5/26/99 SCL
MUNICIPALANCHORAGE
• '� DEPARTMENT OF HEALTH
&HUMAN SERVICES w}�{
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 1. D. # a,a- \Cn HAA # 0 W, k
1. GENERAL INFORMATION
Complete legal description Tuxedni Park, Lot 4 Block 3
Location (site address or directions)g720 Copper Dr-hre Anchorage
Property owner Ted Eschenbach/Chris Matiukas Day phone 786-1021 (Ted)
Mailing address
2440 E. tudor Rd., #1125, Anchorage, AK 99507 333"7317 C CI�riS�
Lending agency N/A Day phone
Mailing address
Agent Carol Douset/ReMax Day phone 257-0116
Address 2600 Cordova St., Anchorage, AK 99503
Unless otherwise requested, HAA will be held for pickup. -
2. NUMBER OF BEDROOMS: 5
3. TYPE OF WATER SUPPLY:
Individual well X
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site X
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 H21
LBO Vow N30H (lol -H) SLPZL
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IOU opSHHOlosaaRoldw3 sluawaiinbeielelspuejejapalu!elaaoA4silesolJapiouisuoilnl!lsuibuipue1iiaglpuL
sawog 10 saasegojnd of Asellnoo a se s!gl saop SHHO sql •eNsely to a1elS agl u! paaals!6aj jeeu!6ua leuo!sseloid
luspuadopu! ue (q anoge 9 ydea6eied ul u9A!6 suo!leluasaidaa ag1 uodn Aluo paseq 891e013!1Ja0 lenoaddy
llpoglny g4le8H sanss! (SI -11-10) saoimoS uewnH pue g11eaH to luawl edaa a6eaogouy to L3!led!o!unlN agl
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:suo!lelnd!ls bu!nnollol agl gl!m 'swooapaq
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auogd saotn.za u-c.zaaur g nzg aTJDPH Wald to aweN
-uo!poadsui s!gp to alep ayp uo poaga ui suolpeln6ai pue 'saoueu!pio
'sapoo apepS pue Ied!olunW Ile gp!M aouelldwoo ui sl walsAs jesodslp aapemelsem ao/pue (Iddns
jaleM ap!s-uo agl'uo!loadsu! pue uo!le6!psanu1 AW woal pue sal!3 a6eaogouy to (p!led!o!unw agp
woal pau!epgo uo!pewaolui agp uo paseq lege (3!JaAaagpanl I -u!aaag papeo!pui ainponapslo ad (3 pue
swooapaq 10 aagwnu agp aol apenbape pue leuo!lounl'ales s! walsAs Iesods!p aalemelsem Jo/pue
llddns jejeM al!s-uo agp lege smogs uo!leo!Idde Ienoaddy Al!Joglnb' g11eaH s!gl 10 uo!pe6!lsanu!
(w legl j!JGA I 'Anolaq umogs alep uo!leplleA 9g110 se pue olaaaq pax!lle leas !w !q pall!p.lao sy
F133NION3 AS N01103dSNl d0 LNRW31tl1S 'S
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: _��y` y ��ux�� ''hParcel I.D.
A. WELL DATA
11
Well type /22" "� If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) % Date completed Driller
Total depth —Cased to °/ Casing height 3 Si," /
Sanitary seal (Y/N)
Date of test
Static water level
Well flow
Pump level
Wires properly protected (Y/N) /'
FROM WELL LOG
�5l �
a,* N
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot ;; f
AT INSPECTION
/7i
; On adjacent lots
Absorption field on lot /.0 k, ; On adjacent lots
Public sewer main A`/ Public sewer manhole/cleanout
-PeWh sewer service line Petroleum tank
WATER SAMPLE RESULTS:
Coliform Z Nitrate Other bacteria
Date of sample:—c�7��� Collected by:
B. SEPTIC/HOLDING TANK DATA
Date installed A�;7.k Tank size Compartments a
Cleanouts (Y/N) s' Foundation cleanout (Y/N) Y Depression (Y/N) ^�
High water alarm (Y/N) Alarm tested (Y/N)
Date of pumping 4�9
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot —On adjacent lots —Foundation AS
Topropertyline fio Absorption field 1117, r Water main/service line i�L3 1
Surface water/drainage �' `a
72-028 (Re, 3/91) Front MOA 21 CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent(Y/N) e_
High water alarm level .
Manufacturer
Manhole/Access (Y/N)
"Pump on" level at "Pump off' level at
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
D. ABSORPTION FIELD DATA
On adjacent lots
Cycles tested
Surface water
Date installed _LLL Soil rating 12'1' System type
Length Sy -Width 3o Gravel thickness s / Total depth
T��•ti< <
Total absorption area _. S -9y Cleanouts present (Y/N) L
Depression over field (Y/N) Date of adequacy test ",171
Results (pass/fail) �-�-fs for S — bedrooms
Peroxide treatment (past 12 months) (Y/N)
N
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
i
Well on lot_—On adjacent lots fiod " Property line
To building foundation _. 1-/4' To existing or abandoned system on lot
On adjacent lots_ 'LL ' Cutbank —/-$ Water main/service line f
Surface water ~ —.—Driveway, parking/vehicle storage area t'v
Curtain drain
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature
Engineer's Name
Date
HAA Fee $ 1262-0
Date of Payment ZZ2����n
Receipt Number��Z�'/
72-026 (Rev. 3/91)Back MOA 21
Waiver Fee: $ 't-1 I i0 L) 0
Date of Payment AagAQ ( `�Na
Receipt Number 2-19-ci )
Eagle River Engineering Services
11940 Business Blvd, Suite #205
P.O. Box 773294 694-5195
Eagle fiver, Ak. 99577 Fax 694-3297
41 Nl raev-
Owner: Date:lz'Au5 If
Type of test:
❑ Well Flow Test 0 Septic Test Only WWell & Septic Test ❑ Other:
Time
Meter
Reading
Monitor
Level
Well
Level
Tank
Level
GPM
PSI
Remarks
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Eagle River Engineering Services
11940 Business Blvd, Suite #205
P.O. Box 773294 694-5195
Eagle River, Ak. 99577 Fax 694-3297
Legal: Lo—i 4 t3cc>--e— 3
Owner: l=scltcf Q,bCI pate: IZ es-ic, 91
Type of test:
Ul Well Flow Test LI Septic Test Only $$Well do Septic Test LI Other:
2 � Z
Time
Meter
Reading
Monitor
Level
Well
Level
Tank
Level
GPM
PSI
Remarks
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CHEMICAL & GEOLOGICAL LABORATORY
A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO.
5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301
Client Semple ID:TUAEDNI PR 4/3
PWSID :UA
Collected AUG 9 91 1 18:15 his.
Received AUG 10 91 B 12:00 his.
Preserved with :AS REQUIRED
ANALYSIS REPORT BY SAMPLE for WORAordert 37131
Date Report Printed: AUG 12 91 1 17:42
Client Name
Client Acct
BPO t
Req t
Ordered By
:EAGLE RIVER ENGINEERING
:EAGLERP
PO t NONE RECEIVED
Analysis Completed :AUG 12 91 Send Reports to:
Laboratory Supervle S EPREN C. EDA 1)EAGLE RIVER ENGINEERING
Released By ��/G Cj/ � 2)
......................................-................................................................................................
Chenlab Ref t: 914045 Lab Snpl ID: 1 Maui:a WATER
Parameter Tested
----------------------------------------------------------------------------------
Result
Unite
Method
NITRATE-N
1.5
mg/l
APA 353.2
Sample ROUTINE SAMPLE COLLECTED BY: G.N.
Remarks:
Allowable
Limits
10
-•............................................................................................................
1 Teets Performed See Special Instructions Above DA -Unavailable
ND- None Detected See Sample Berserker Above
NA- Not Analyzed LT -Lase Than, GT -Greeter Then
�vN CuS Member of the SGS Group (Soci6t6 Gdndrale de Surveillance)
Municipality of Anchorage rfi�
Department of Health and Human Services dhh5
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
August 30, 1991
Lou Butera, P. E.
Eagle River Engineering Services
PO Box 773294
Eagle River, Alaska 99577
Subject: Waiver Request for Lot 4 Block 3 Tuxedni Park Subdivision
Waiver Request #WR910038, PID #041-022-16 HAA#HA910363
Dear Mr. Butera:
Your request for waiver of the required 100 foot horizontal
separation of a septic system to a private well has been approved
The approved separation distance is 84 feet from the well to
the septic tank.
This waiver approval applies to the existing septic system to
well separation only., Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Sincerely,
2; Wr _k
Daniel J. Roth
Civil Engineer
On-site Services
ljm:#6
Concur:
/oh SmitfP.E.
Program Manager
On-site Services
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Louis Butera, P.E.
Registered Civil Engineer
August 16, 1991
John Smith, P.E.
Municipality of Anchorage
On -Site Services
825 L Street
Anchorage, AK 99504
Re: Lot 4 Block 3, Tuxedni Park
Waiver Request
Dear Mr. Smith,
MYNICIPAUTY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
AUG 1 Q 1991
RECEIVED
On behalf of my client, Mr. Ted Eschenbach, we are submitting a request for waiver of
horizontal separation distance for the above referenced five bedroom residence. The request is
for a waiver of well to septic tank distance of 84'.
The system was installed in 1978 by Mr. Eschenbach under permit #780370. There is a note
on the file copy that indicated an acknowledgement that 80' well to tank distance was acceptable,
signed by Les Bucholtz. The system was installed and inspected with the asbuilt survey showing
a note that well to tank distance was acceptable at 85', signed by R. Strickland. This is the first
property transfer, and therefore, the first time a formal waiver application is presented. We
believe that the physical evidence supports a waiver request that will allow us to maintain the
present separation distance.
Soil characteristics in the area are well documented and are fairly consistent. The immediate
subsurface soil is a sandy gravel down to the typical test hole depths of 13-16'. No ground
water levels were shown on any of the file records researched. These are attached for your
review. Well logs show a consistent aquifer at 90-110' located in gravel. Soil layers from
surface to aquifer level are indicated as silty gravel and sandy gravel for the on -lot well log (Lot
4, Block 3). Adjacent well logs showing the same aquifer depths indicate clay and gravel layers
and hardpan layers which would act as a barrier. While layer identification would be dependant
on driller's interpretation, we have utilized the more conservative silty gravel layers in our
analysis. There are indications of clay or hardpan layers which would provide an even greater
margin of safety if utilized in the analysis.
The water table gradient provides the most positive evidence in support of waiver. Differential
leveling between up -gradient wells with actual static water levels taken by our sonic device show
a gradient of 21 % in a direction away from our water source. The gradient is toward an
undeveloped area to the South and West. Water table gradient would ensure that any possible
contaminate would travel down gradient away from the well.
vla -2 Aq AF
P.O. Box 773294 • Eagle River, Alaska 99577 • Telephone (907) 694-5195 • Pax (907) 694-3297
Page 2, Lot 4 Block 3, Tuxedni Park
Waiver Request
There are other mitigating physical characteristics that should be taken into consideration in the
evaluation:
1. The house is located between well and septic providing a physical barrier to near
surface flow.
2. There is a 5.2' surface grade difference in the 85' distance between well and tank
standpipe the tank being down gradient.
3. The tank is fiberglass which if properly installed is not subject to corrosion. The
tank is not in an area subject to vehicle loading.
4. The area has a low population density.
5. Water samples show no evidence of coliform and fairly low background Nitrate
levels.
Please review the attached data and if you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
EAGLE RIVER
ENGINEERING SERVICES
P. O. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694-5195
JOB
SHEET NO. OF
CALCULATED BY DATE
CHECKED BY DATE
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SCALE
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54' LEACHFIELD
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1500 GAL
SEPTIC TANK
3 BR HOUSE
WELL
85.5'---___� 3>
107
t-- in
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• - MONITOR TUBE
0 - SEWER CLEANOUT
WELL
+ + + + - LEACHFIELD
SEPTIC & WELL LOCATIONS
LEGAL: LOT 4, BLOCK 3, TUXEDNI PARK SUB.
OWNER: ESCHENBACH
CONTRACTOR: .N/A
JOB # 91-1121 DATE: 08/12/91 SCALE 1" = 30'
EAGLE RIVER ENGINEERING SERVICES
P.O. Box 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297
TOP OF CASING = 177.12'
TOP OF CASING = 164' (EST.)
TOP OF CASING = 159.02'
STATIC =
130'
--- STATIC =
122_ (RECORD)
STATIC
�-
TOP OF CASING = 100.00'
LOT 11, BLK 1
STATIC =
45'----- LOT 10, BLK 1
LOT 4, BLK 3
LOT 6, BLK 3
VERT SCALE 1" = 40'
H❑RIZ SCALE: N,T,S.
WATER GRADIENT STUDY
LEGAL: LOT 4, BLOCK 3, TUXEDNI SUB.
OWNER: ESCHENBACH
CONTRACTOR: N/A
JOB # 91-112 DATE: 08/15/91
EAGLE RIVER ENGINEERING SERVICES
AP.O. Box 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297
AUG -14-91 WED 9:0-F UAA ENGINEERING SCHOOL
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LEGEND
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SCALE: 1 "% 100 GRID: 204 2
CLIEHTs r G. �SGHO)I
rots �a:looDq SURVEY ADDREsa: q 720 GOPft DRzv� 12240 Jerome Str
COTNREN & ASSOCIATES LAND SURVEYORS
I MEREIIY CERTIFY THAT I HAVE SURVEYED To
FOLLOWING DESCRIBED PROPERTY.
µ EIX,�9 -rUXF1`4or PARk S"D,ANCHORAGELOT RECORDING DISTRICT, AK. r
AAND TVr THE IMpRoVgmzMTS la! DO NOT ENCROACH ON tHERP OPER TLU REIN ADJACENT
JACENTHIN THE THEREETO. THATYNOINEs
TO ENCROACH
IMPROM ONSAxD THATON ERTY LING THEREYAn No ROADWAYS,NT �TR.ANSMISSION LS ES OR OTHER
VIEDLE EASENCNTS ON SAID PROPERTY EXCEPT AS INDICATED HEREON.
DATED TNI$ IZt' DAY OP AUGUST Ig91 ANCHORAGE, AL.ASRA.
IT TO 18 THE RMOaEDBEUIfY Of pa TRADE OWNERORTo FINISHIOWE CONSTRUCTION,
DSUTILITYNr
DY RESTIOMB M TO DITIMIN THS CH DO NOT APPEARIOM THE RECORDED SUBDIVISION PIAACOVENANTS
BY: PGC.
ICH
99516
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Ronald 0. Calhroo
4rr LS 7754.
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DATE 6 —Z — 0__ ----
Lot , Block
Anchorage Recording Precinct, Alaska
LOT SURVEY CERTIFICATION LEGEND
I heraay i:drt,ty that I have surveyed the property shown and ddscribed
e - Brass capped manunnent recovered
nerecn.ana trot the improvements situated thereon are within the proo.
a = Iron pipe andior rabar recovered
arty Ines and do rot werop or *Mooch on adjacent property and that no
o = 2x2 hub & tack recovered
imwr� cmerrs ;n adjacent proper'/ overlap cr encroach an the premises
• = 5/8"x 3d'rebar set this survey
in zuesticn and Ind? there are no roadways, utllay !ilxls or other visible
Ref.
easements al said property except as indicated hereon.
Property of:
Scale :_ f
Date
Prepared by: R. L. BUTTON
��
r`•— �,`, `t
'regisrefed Lona, Surveyor
(907)279-0200 4/9 W figrrh Ave. Anchorage, Alaska 99551
Ref.
F.B. No. - �; �::
Property of: