HomeMy WebLinkAboutSILVER CREST BLK 2 LT 15liver Crest
lock 2
Lot I
015-062
-46
MUNICIPALITY OF ANCHORAGE
Development Services Division
On-Site Water & Wastewater Program
Mayor Dan Sullivan
Phone:907-343-7904
Fax:907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. ~/S--- ~,~,,-~- ~(' ~?
Property owner(s)
Mailing address
Day phone
Site address
Legal description (Sub'd., Block & Lot) _.~":/I.'b,~' ('_?,^~ ~;/ /~.2
Legal description (Township, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
([~ all that apply)
Absorption Field []
Septic Tank []
Holding Tank []
Privy []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
I certify that the above information is correct. I further certify that this application is being made
for a Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: .../
Date of Payment:
Receipt Number:
Permit No.
G:\Building\On Site\Forms\Client Forms\Permit App_010411 .doc
Waiver Fees: ¢,~
Date of Payment:
Receipt Number:
Waiver No.
(Rev. 1/11)
Munlclpahty o! Anchorage
P.O. Box ~ 96650 4700 EImore Road
Anchorage, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997
http:llwww.muni.orglOnsite
Development Services Department
On-Site Water and Wastewater Program
**** VARIANCE/WAIVER REVIEW ****
WP, g: .OSP111108 HA#: .. Permit:
PID#: 015-062-46
Legal Description: Silver Crest, Block 2, Lot 15
Engineer: Anderson En.qineerin.q
Applicant: Brett Knipmeyer
Your request for a waiver of the required 10 feet horizontal separation from the absorption field
to the building foundation has been approved. The approved separation distance is 8 feet.
This waiver approval applies to the existing absorption field to building foundation separation
only. Any future upgrade to the on-site wastewater disposal system will require all separation
distances be met or another approval from this department.
Waiver is Granted: X Waiver is not Granted:
Date: 6/21/11 . Approve
///~ Name of Reviewer
Rec_.g: 043868 Amount: $200.00 Date Paid: 6/16/11
**** VARIANCE/WAIVER REVIEW ****
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522,7773 677,7766 (FAX)
June 16, 2011
Municipality of Anchorage
Development Services Department
Building Safety Division
4700 Bragaw Street
Anchorage, AK 99507
Attention:
Debbie Wockenfuss
On-Site Water and Wastewater
Subject:
Lot 15, Block 2, Silver Crest Subdivision
Foundation to Septic System Waiver
Dear Debbie:
The owner of Lot 15, Block 2, Silver Crest Subdivision intends to construct an 18' long x 14'
wide addition to the house on the lot. The house will then have a total of three bedrooms or less.
The attached drawing shows the location of the addition and its proximity to the septic system
currently serving the house. The location of the septic system was determined based on a
surveyed as built completed by Gastaldi Land Surveying and information from the Municipal
archives. Unfortunately, a detailed septic system as built is not available, but we are confident of
the location of the septic tank and the beginning point of the absorption trench as cleanouts are
visible above ground and were accurately located.
The drawing shows the septic tank is at least 5' from the proposed house foundation and
therefore meets current Municipal Code. The absorption trench is at least 8' from the proposed
foundation which is less than the 10' required. The influence line of the footing when projected
down at a 1:1 slope barely encroaches into the absorption trench. The bottom of the footing will
be a minimum of 3.5', below ground. The bottom of the absorption trench is 12' below ground.
The absorption trench has been in place since 1979 and has stabilized over that period. We
therefore conclude the location of the absorption trench will have no adverse impact on the
proposed foundation. We hereby request a waiver be issued allowing the house to be 8' from the
edge of the absorption trench.
Sincerely,
Michael E. Anderson, P.E.
Attachments
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SILVER CREST SUBDIVISION
BLOCK 2, LOT 15
I- 1'-t
0
FOUNDATION
TRENCH WAIVER
12'
TO ABSORPTION
SCALE 1"= 3'
MUNICIPALITY OF ANCRORAGE
· DEPARTMENT OF HEALTH & ENVIRONMEN'rAL PROTI-:CTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME ]PHONE '~-'~ ~ EW----~"~
~CATION NO. OF BEDROOMS
Liq. capacity in gallons Inside length Width Liquid depth
~,. /~O IF HOMEMADE: .
..A~ DISTANCE TO: Well Dwelling PERMITNO,
O ~ ~ Manufacturer Material Liquid capacity in 9allo~s
~ ~ DISTANCE TO: i~)T ( ~
~:~ No. of lines LengS~ of each line~ V' / Total length o,)~ Trench wid5 ¢ inches Distance between lin0s///~
~ ~ Top of til~to finish grade ~V
~ Material beneath tile ~1 Total effective absorption rea
~' Lengtl~ Width Depth PERMIT NO.
~ Type of crib Crib diameter Crib depth Total effective absorptio~area
m Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
~EMARKS ~ --
-- 7
/
APPROV D / / ~ DATE , LEGAL
72-013 (Rev. 3/78)
Fit..
1'1 'Iii:
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FIN[)
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CONSTRUCTION TEST LAB
"One Test is worth a Thousand Opinions"
2204 Cleveland Anchorage, Alaska 99503 277-0231
Perfomned for Western Enterprises
Legal Description: Lot 15 'Block
This Form reports: SOILS TEST yes
2
Date Performed 5/14/79
Subdivision Silvercrest Sub.
PERCOLATION TEST yes
Depth
Feet
Soil Characteristics
6" Peat and 6" Reddish Silt
6 1/2'
Brown Silty Sandy Gravel with
occasional Bolder
Perc
Zone
Occasional interlayed sand[
3~6'
Bottom of Test Hole
Was Ground Water Encountered No
If YES, What depth?
Reading Date Gross T~ne Net TLme Depth to H20 Net Drainage
5/14/79 24 Hours 5 3/4"
5/~/79 0
5/15/79 0 4"
5/15/79 3.0 Hours
5/15/79 3.5 Hours 6 1/2" 2 1/2"
5/15/79 4.0 Hours 7 1/4" 3/4"
Percolation Rate 1"/40 Minute
Proposed Installation: SEEPAGE PIT DRAIN FIELD
Depth of Inlet Depth to Bottom of Pit or Trench
CO~4ENTS: - 280 Square Feet drainage area required per bedroom.
Test Performed
Data Certified By: Construction Test Lab
Date :. 5/16/79
MATEfUALS TESTING * (~UALI]'Y CONTROL
SOIL5 EFIGINiEIEI:UN ~
2204 Clew.'land Ave, / P.O, Box 10-1126 / AnchoraB0, Al( 99510 / 277-0231
710 3rd Ave. / P.O. Box 60547 / Fairbanks, Al( 99706 / 452-126'/ o 456-5155
August 1, 1979
Western Enterprises
4101 Arctic Boulevard
Anchorage, Alaska 99503
Re: Silvercrest Subdivision, Lot 15, Block 2
Dear Sir:
We have visually re-examined the septic trench on the
above referenced lot. This re-examination was performed
on the afternoon of July 31, 1979. No seepage or ground
~9
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environ mental Services
(:)n-Site Services Section
P,D Bok 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I,D. #
:' ~ CERTI'FICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
015-062-46:000 HAA #
GENI"RAI. INFORMATION
Compiet~'legaldescription T,ot 15; Block 2;
Silver Crest Subdivision
Location (site address Or directi0ns)
7146 Candance Circle
Anchorage, AK
' Tim Ryherd
Property owner._
Mailing address ~ 71 46 Candance
Lending agency '
Mail!n.g address
Circle
: Day Pg0ne
Anchoraqe, AK 99516
Day phone.
Agent
Address
Day phone.
Unless o~herwise requested, HAA will be held for pickup.
2~ NUMBER OF BEDROOMS:. 3
,3, TYPE OFWAI'ER SUPPLY:
Individual well
· '. 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 OFWASTEWATER r)ISPOSAL:
Individual on-site
xx
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.
72-325 (Rev. l/gf) 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 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
ordinances, and regulations in effect-o-~'t-he date-(
Wastewater Cons.
Wastewater ConSulta¢s, I C,
or prior to. dlo...iqq for the
Engineering Se ices Provided,
DHHS SIGNATURE
~/'/ Ap. proved fo~-~l~-
Disapproved.
Conditional approval for
bedrooms.
t '[ance with all Municipal and State codes,
'ins~)e~ti0n. '
04
bedrooms, with the following stipulations:
Additional Comments
By:
Date
The Municipality of Anchorage Department of'Health and Human Services iDHHs) iSSues Health Authority
Approval Certificates based only uPon the representations given in paragraph 5 above by an independent
professional engine(~{.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 profeSSi~naI .engineer's work. .. .
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICESD.FC 0~:, I999
Environmental Services Division ~UN~c~¢ r
825 L Street, Room 502. Anchorage, Alaska 99501
Health Authority Approval Checklist
Log present (WN) YES Date completed
Total depth ,~10 Cased to _ 40'+
Sanitary seal (Y/N) YFS
FROM WELL LOG
Date of test R/14./79
Static water level 17Z~'
Well production 2.0
WATER SAMPLE RESULTS:
Coliform 0
_g.p.m. 2,45 g.p.m.
Nitrate
4./79
Casing height (above ground)
Wires properly protected (Y/N)
AT INSPECTION
3/13/98
Date of sample:_ 11/'24-/99
B. SEPTIC/HOLDING TANK DATA
Date installed __ 8/7/79 Tank size
Foundation deanout (Y/N)
Date of Pumping 11/19/99
C. ABSORPTION FIELD DATA
Date installed 8/7/79
Length 68' Width
Effective absorption area 1088
Date of adequacy test, 3/13/98
Fluid depth in absorption field before test (in.); __
Fluid depth 32" (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3/96)*
10(:)0 _Number of Compartments 2 Cleanouts (Y/N) YE~
YES Depression (Y/N) NO High water alarm (Y/N) N/A
_ Pumper NORTHLAND
[MT WAS DRY ON 12/2/99.]
Soil rating (g.p.d,/ft2 or fF/bdrm) 280 System type DEEP TRENCH
3' Gravelthickness below pipe 8' Total depth 12.5'+/--~
Monitoring Tube present (Y/N). YES Depression over field (Y/N). NO
Results (Pass/Fail) PASS For 5 bedrooms
20'! Immediately after 657 gal. water added (in.): 36"
105 Absorption rate = 4.50+ g.p.d.
NONE KNOWN If yes, give date -
015-062-4.5
N/A __
YES
0.5 mg/L
Collected by:
Other bacteria
A,W.W,O,, INC,
Legal Description: .~:SZ~i/J~_J_OZ_AS,_~_ Parcel I.D.:
A. WELL DATA
Well type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number
10'+
Surface water 100'+ Driveway, parking/vehicle storage area 1 O'+
Curtain drain NONF KNOWN Wells on adjacent lots 100'+
D, LIFT STATION .
Date installed Size in gallon~~-
Manhole/Access (Y/N) ~ "Pump off" level at*
High water alarm level at* ~ *Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main N/A Public sewer manhole/cleanout N/A
Sewer/septic service line 25'+ Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation 5'+ Property line 5'+ Absorption field 5'+
Water main/service line 10'+ Surface wateddrainage 100'+ Wells on adjacent lets 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:(~.'-
Property line 1 O'+ Building foundation 10',4- Water main/service line
F, ENGINEER'S CERTIFICATION /,///
in conforma e w h , , ~'A~,1~uid4lines in effect on this date.
Signature
Engineer's Na~/
HAA Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
Water & Wastewater
March 16, 1998
7320 East Chester Heights Circle ~ Anchorage - Alaska 99504
Phone (907) 337-6179 ~ Fax (907) 338..3246
Consulting Engineers
Tim Ryherd
2270 Jennison Circle
Anchorage, Alaska 99508
Reft Well and Septic System Inspection at Lot 15, Bk 2, Silvercrest S/D.
Dear Mr. Ryherd:
Per your request, we performed an inspection of the well and septic system serving the subject
property. The results of the field investigation and adequacy tests are summarized as follows:
A. WELL: On the day of our inspection (3/13/98) the static level was 113 feet below the top of
the casing (BTC). Water was pumped from the well at an average rate of 1.65 gpm for 237
minutes (391 gallons). The maximum drawdown was 66 feet, to 179 feet BTC. Over the next
82 minutes 266 gallons was pumped and the level in the casing rose to 168 feet BTC (at end of
the pumping period). In short, the water rising even at an average flow rate of 3.24 gpm. At the
end of the pumping period the recovery in the casing was monitored for 11 minutes during which
time the level rose 18 feet, which corresponds to a recovery rate of 2.45 gpm. Based upon this
data it was determined that the capacity of the well exceeds the Municipal requirements for a 3
bedroom house (0.31 gallons per minute).
B. SEPTIC TANK: The existing septic tank was installed in August of 1979 (approximately
18.5 years old). According to the M.O.A records, it is 1000 gallons, has two compartments and
is made of steel. Most tanks of this type have a structural life of approximately 20-25 years. No
warrantee is made regarding the future life of the tank.
C. SEPTIC SYSTEM ADEQUACY TEST: According to the M.O.A records, the absorption
trench was installed in August of 1979, and is 68 feet long, 3 feet wide, and has an effective depth
of 8 feet (96 inches). Per our field measurements the sump extends only 84 inches below the
drainpipe invert. Prior to beginning the test, the sump had 20 inches of liquid in it, indicating that
the system was approximately 37.5% full. Six-hundred & fifty-seven (657) gallons was added to
the trench sump over a period of 319 minutes, which caused the liquid level to risel6 inches,
corresponding to 35.4 gallons/inch. The recovery was monitored 105 minutes later and the level
had dropped 4 inches, indicating an absorption of 1.35 gallons/minute. Based upon this data, it
was determined that the absorption rate of the trench exceeds 450 gallons per day, as required for
a 3 bedroom house.
NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not
limited to, seasonal surface water infiltration, groundwater variations, septic system
maintenance (frequency of septic tank pumping, usage qf biological additives'), condition of
type of substances deposited in septic system (cigarette butts', sanitary napkins, misc. object,'),
and the amount of water being introduced on a continual basis. Consequently, the results of this
adequacy test are only valid for the specific day of the test. Furthermore, because of the limited
nature of this investigation, it is possible that there are hidden defects which may not have been
detected. No warrantee is made regarding the future performance of this well or septic system
D. SEPARATION DISTANCES FROM WELL TO ADJACENT SEPTIC SYSTEMS:
Based upon our review of the M.O.A records, it appears that there are no septic systems within
1 O0 feet of the well.
E. SEPARATION DISTANCE FROM THE SEPTIC SYSTEM TO ADJACENT WELLS:
The separation distance to the well on Lot 14, Bk 2 is uncertain. There is a 27 foot segment on
the drainfiled that runs towards the subject well, however, there is no clean-out on the end oftbe
segment to verify where it actually is. Without excavating and exposing the trench it is not
possible to verify that the required separation distance of 100 feet has been meet.
If you have any questions., please contact me at 337-6179.
Sincerely, ~ ///
Print! d \
11-30"99 14:$1 FRO~'CTE ENVIRONMENTAL
Zt~mm C T&E Env,ronmentalSe rvices Inc.
6615~01
T-217 P.02/03 F-313
CT&E ReL#
Client Name
Project NameHt
Client Sample ID
Matrix
Ordered By
PWSID
Sample Remarks:
906450001
AK Water & Wa~tewaTer Cons~ltanls
Silvercresl Log 15 Bk 2
Silvereresr 1o~ 15 Bk 2
Drlnlfing Wa~er
CHent PO//
Printed Date/Time 11/30/99 12:43
CollectedDate/Tlmt. 11/24/99 12:30
Retired Date/Time 11/24/99 15:00
Techni~l D~tor: ~tephen C. Efle
Releas~By ~~. ~-
Nirrate-N
o
o,80o u
0,500
11/Z6/99
10 r~,x 11/~¢/99 ll/ZG/99 SCL
//
/
/
/
Parcel I.D. #
MUNICIPALITY OF ANCtt0RAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES.
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
1. GENERAL INFORMATION
Complete legal description
Location (site address or directions)
7146 Candace Circle, Anchorage, AK 99516
Property owner
Mailing address
Steve & Lindsey Tucker
Day phone 346-2538
Lending agency
Mailing address_
Day phone
Agent
Address
Day ptlone
Unless otherwise requested, HAA will be held for pickup.
NUNIBER OF BEDROOMS: 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.
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) t~ror~t 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 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 ~-viroru~e~al [vJaaage~nt, IFc. Phone 2_72-9336
Y //
Address 206 E. F~.reweed ~9_qe, Su~ta~O~. Anchorage. AE 99503
~ Date ?- ~'~(~--~
Engineer's signature
=
DHHS SIGNATURE
Approved for -~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
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 DH HS does this as a courtesy to purchasers of homes
and their lending institutions in order to satis~ certain federal and state requirements, Employees of DH HS 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,
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAl.. CHECKLIST
Legal Description:L15, B2, Silvercrest S/D
Parcel I.D.
A, Well Data
Well type Private If A, B, or C, attach ADEC letter. ADEC water system number N/A
Log present (Y/N) Y Date completed 8/14/79 Driller Syren Brothers
Total depth 310 ft. Cased to 173 ft. Casing height 2 ft.
Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Date of test
Static water level 173 £t.
Well flow 2
Pump level1 bottom o£ well
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer service line N/A
FROM WELL LOG
8/14/79
135 ft.
136
ATINSPECTION
__9/20/94
107 ft.
g.p.m. 5.5 g.p.m.
; On adjacent lots >100 ft.
_; On adjacent lots > 100 ft.
Public sewer manhole/cleanout N/A
Petroleurn tank None Observed
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml
Date of sample:
9/20/94
Nitrate
0.10 mg/L
Collected by:
Other bacteria
Simon Schroeder
0 colonies/100ml
B. SEPTIC/HOLDING TANK DATA
Date installed
Cleanouts (Y/N) ¥
High water alarm (Y/N)
Date of pumping
8/79 Tank size 1000 gal Compartments 2
Foundation cleanout (Y/N) Y .Depression (Y/N)
N Alarm tested (Y/N) N/A
9/14/94 Pumper Isaac's PLm)ping
N
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot 135 ft. On adjacent lots > 100 ft.
To property line 49 ft. Absorption field 5 ft.
Surface water/drainage none observed
Foundation 8 ft.
N/^
Water main/service line
72-028 (3~3)' f:r~t CONTINUED ON BACK PAGE
C. LIFT STATION N/A
Date installed
Manufacturer
Size in gallons
Vent (Y/N) "Pump on" level at
High water alarm level
Meets MOA electrical codes (Y/N)
Manhole/Access (Y/N)
"Pump off" Level at
Cycles tested
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Surface water
D. ABSORPTION FIELD DATA
Date installed 8/79
Length 68 £t.
Total absorption area
Date of adequacy test
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
0.54
Soil rating (GPD/FF)
Width 3 ft. Gravel thickness
1088 sq. £t Cleanout present (Y/N) Y
9/20/94 Results (pass/fail) Pass
0 inches
N
System type Trench
8 ft. Total depth 12 ft.
Depression over field (Y/N) N
for 3
After test 10.0 inches
.If yes, g~ve date N/A
Bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on let 136 ft. On adjacent lots > 100 ft. Property line > 10 ft.
To building foundation 20 ft. To existing or abandoned system on lot N/A
On adjacent lots > 100 ft. Cutbank None observed Water main/service line None observed
Surface water ~nn~ nh.~rved Driveway, parking/vehicle storage area 45 ft.
Curtain drain None observed
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect
HAA Fee $ I~
Date of Payment
Receipt Number
72-026 (3/93)' Back
-)
Waiver Fee $
Date of Payment
Receipt Number
e date of this inspection.
CE - 8061
CT&F- RetS#
Clicat Sample ID
Matrix
Commercial Testing & Engineering Co.
EnvironmentalLaboratory Services
LABORATORY ANALYSIS REPORT
94,zi832~1
OIYI'SIDE FAUCET
WATER
Client Name
Ordered By
Project Name
Project# 6297
PWSID UA
ENVIRONMENTAL MGMT INC (EMI)
SIMON
WORK Order 82380
Printed Date 09/22/94 @ 10:37 hrs.
Collected Date 09/18/94 @ hrs.
Received Date 09/20/94 @ 13:45 hrs.
Technical Director
STEPHEN C. EDE
Stanple Remarks: ROUTINE SAMPLECOLLECTED BY: SIMON SCI~P,.OEDER.
QC Allowable Ext. Anal
Reeults Qual Units Method Limits Date Date Init
Nitrate-N
0.10 U mgfL E?A 353.2/300.0 10
09/21/94 CMK
* See Special Instructions Above
** See Sample Remarks Above
U = Undetected, Reported value is the practical quantification limit.
D = Secondary dilution.
UA = Unavailable
NA = Not Analyzed
LT: Less Titan
GT-- Greater Than
5633 9 Street, Anchorage, AK 99518-1600 -- Tel: (907) 562-2343 Fax: (907) 561-5301
ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA
EDAT OE VED
INSPECTION APPOI NT~M E N FS
~ATE DATE~/'~~/ DATE
NSPECTOR INSPECTOR i ~;PECTOR
MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE
DEPARTMENT OF HEALTN · ENVIRONMENTAL PROTECTIO~PT. OF H~ALTH &
825 L Street - Anchorage, Alaska 99501 ENVIrONmENTAL
~a~ ENVIRONMENTAL SANITATION DIVISION JUL ~
Telephone 264-4720
PI RECTIONS: Complete all parts on page 1. Incomplete requests wgl not be processed. Please allow ten (10) days for processing.
1, PRO E TYO~ER PHONE
PROPERTY RESI DENT (If different fram above) PHONE
~ BUYER PHONE
~AILING ~S
4. REALTOR/AGENT _ PHONE
MAILING ADDRESS
LEGAL DESCRIPTION
STREET LOC~TION
(_' A C
6. TYPE OF RESIDENCE NUMBP'R OF~BEDROOMS
[~SINGLE ~ One [] Four
FAMILY
E]~-"~-rwo [] Five
[] MULTIPLE FAMILY [] Three [] Six
[] Other
7. WATER SGPPLY
~NDIVIDUAL~ ~ATTACHWELI_LOG. Awe og is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTILITY depth (attach Io9 if available,)
II. SEWAGE DISPOSAL SYSTEM
[2~'~INDIVIDUAL/ON-SITE** /? ? ? YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTI LITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY FACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM ' PERMIT NUMBER
[] I NDIVI DUAL/ON -SITE DATE iNSTALLED
[]PUBLIC UTILITY
Connection Verified
INSTALLER
[]Septic Tank or []HoldingTank
Size: /O~)O If Tank is homemade SOILS RATING
give
dimensions:
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
E~APPROVED FOR ~ BEDROOMS
E~] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY
72-010 (Rev. 6/79)
ANCHORAGE, ALASI<A 99501
(907) 264-4111
GEORGE M, SULtIVAN,
MAYOR
DEPAR1 MENT OF IdeAl 'rll AND ENVIRONMEN FAL PRO'FECTION
July 25, 1980
Western Enberprises, Inc.
4101 Arctic Boulevard
Anchorage, Alaska 99503
Subject: Lot 15 Block 2 Silvercrest Subdivision
Approval for your individual sewer and water facilities
can not be granted ~lntil the following items have been
completed:
~ (1) A well log submitted to this department for our
'~= review.
(2) The water ana].ysis report:
_~department~ - from Chem Lab,
~/- review.
be delivered to this
5633 B Street:, for
(3)
The depression or pit around the well casing needs
to be filled with impervious type soil sc) that it
slopes away from the well casing.
Please notify this department when the noted descrepancy
has been corrected so that it may be reinspected. If
there are any further questions, please call this department
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Alaska Pacific Bank
Mortgage Loan Department
101 East Benson Boulevard
99503