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Home My WebLink AboutSOUTH LAKEWOOD HILLS #1 BLK 1 LT 11South Lakewood Hills #1 Lot 11 Block 1 #015-151-1 1 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 %m.: IV~ '~1~. ~ '~L ~ Wastewater System: u New ~Upgrade ,,, Address: _1~,~ ~m~~T ~. ABSORPTION FIELD Phone: ~,. /~ I No. ofBedrooms:~ ~eep Trench ~Shallow Trench ~ Bed ~ Mound ~ Other Total Depth from original rade: Subdivision: Depth to pipe bottom from odginal~d~ Gravel depth beneath pipe Township: Range: Section: Fill added above original rade: Gravel length: WELL: ~ New ~ Upgrade Gravel ~: ~ I Number of lines: I Distance betweenlines: ~lassifi~n (Private, A,B,C): Total Depth: "~ase~'To: Total absorption area: Gipe material:~l TO Septic Absorption Lilt Holding Public/PrivAte M nufacturer: Capacity in galtons: ..... Well ~ qO/ ql~ ~t~ Material- Number of Compartments: Surface Lot 1 ~ I~ [~ I ~ Size in gallo~s: 'I Man~,facturer: ~_ "Pump on" level at: ~off" level at: I Righ wator alarm at: Remarks: ~. L~ ~%~~¢~ BENCH MARK Location and Description: Department of Health and Human Services approval ' /~ Reviewed and approved by:/~~ Date: _ 72~013 (1/91) MOA 25 Permit No..~-'2~ ~- ! ~. ! ("~)"~'~_/"~ ~--~ Page Municipality of Anchorage DEPARTMENT OF ttEALTH AND HUMAN SERVICES ENVIRONMENTAL SERWCE$ DIVISION P.O. Box 196650 ® Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LegalDescription: ~~~ I[ PIDNo.: Mun Dept, 72-013 A (2/91) MOA 25 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:SW910309 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:AUTEN IVAN DALE & P L OWNER ADDRESS:10900 RIDGECREST DR ANCHORAGE, ALASKA 99516 DATE ISSUED: 9/30/91 EXPIRATION DATE: 9/30/92 PARCEL ID:01515111 LEGAL DESCRIPTION: SOUTH LAKEWOOD HILLS #1 BLK 1 LT 11 LOT SIZE: 33850 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AN[) 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: f~Q~' w. Tom Fink, Mayor J ,unic pality Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 30~ 1991 Roger A. Shafer~ P. E0 S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 11 Block Waiver Request #WR910027, 1 South Lakewood Hills ~015-151-11, SW910309 #1 Dear Mr. Shafer: Your request for a waiver of the required 100 foot horizontal separation of a septic system to the surface water has been approved. The approved separation distance is 95 feet from the stream to the leachfieldo This waiver also includes the following distances: well %o leachfield is 91 feet~ well to septic tank is 90 feet° This waiver approval applies to the existing septic system to surface water separation only. Any future upgrade to the septic system will require all separation distances be met or another approval, from this department. Should the operation of the subject wastewater disposal system cause any contamination or degradation of the subject surface water, this waiver will become void. Sincerely~ Dan~R~th Civil Engine. er On-site Services am Manager On-site Services ljm:95 September 23, 1991 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX S94-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECT{ON ENGINEERING STUDIES AND REPORTS WELL INSPECTION & PLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLAT(ON TEST STRUCTURAL & MECHANICAL INSPECTIONS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ATTN: John Smith, P.E. 825 L Street P.O. Box 196650 Anchorage, Alaska 99519~6650 RECEIVE[) 9EP 2 4 1991 Municipality of Anchorage Dept. Health & Human Services REFERENCE: Lot 11; Block I~ South Lakewood Hills #I; Dear Mr. Smith, In respo~e to your le~er of August 26, 1991 offering recommendations on proceeding with the upgrade of the f~ed wastewat~r disposal system on the referenced property we are submi~ng a revised septic upgrade design. First, the property owner has contacted the tax assessors office to resolve the issue of wh~th~r the structure on the property is a single family or multi-family. The dw~lin9 was found to be single family and the Mu~cipal records shoed now reflect the change of status. On September 9, 1991 a second test hole was excavated on the property for purposes of lo~n9 a septic leachfi~d ~os~r to the dw~ing and further from Little Campbell Creek. The soils wer~ found to be siltier with a p~colation rate of 11.4 min~es per inch thereby ~l~minating the need for a wastewat~r sand filter. A n~w proposed seepage trench is shown on the attached site plan. Unfortunately, due to topography (t~.e ground drops~off rather steeply near th~ house) the seepage .~ench still cannot be located completely 100 ft. away from the creek. I~tead, somewhat of a compromise has been reached on sev~r~ separation d~stance requirements. Approval of the proposed system will require waivers for the following separa~on distances: I. Septic leachfi~ld to a surface water source at approximately 95 ft. 2. Septic leachfield to a private w~l at approximately 91 ft. Septic tank to a private w~ll at approximat~y 90 ft. ON SiTE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Pa~e Two Lot 11; Block I; So~h Lak~wood Hills September 23, 1991 4. Proposed leachfi~ld to an abandoned existing septic system at approximately 2 ft. As can be seen from the attached w~ll log the depth of the w~ll is ~ least 126 ft. However, the property owners recall the well b~ing deepened to approximately 171 ft., but no log for this deepening can be found. The w~l log indicates there is a "gravelly ~lay-medium hard" layer of soil b~tween 80 and 124 ft. This strata of soil shoed preve~ th~ migration of septic efflue~ from r~ching the drinkin~ water aquifer. If you hav~ any questions, or req~re additional information for your review, please contact ~s. Sincerely, ROG ER j .~ HA F E~R, p~E~ RJS/~m Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502~0650 SOILS LOG -- PERCOLATION TES'r PERFORMED FOR: / V~'~ DATE PERFOF LEGAL DESCRIPTION: ~'~\/ ~ ~c~. ~../~Z._~,.~Township, Range, Section: 3- 4- 7 8 10 - WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Deplh to Walar A.~ILe~. SITE PLAN 14- 15- 16- 17 18 19- Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ,-'-- {mmute$/inchJ PERC HOLE DIAMETER _ TEST RUN BETWEEN ,c~ FT AND ~¢' _ FT 17034 Eaole Rlve~-£m~t~Em~tLIwA ,~,~,~ Eagle River, Alaska 99577 I~ ~ ~ I V ~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFE[T O[ TNIS DATE. DATE; ~/ ~/ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFO 2 3 4 7 tO 14 18- 19- 20- Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? s IF YES, AT WHA'F ~) DEPTH? p E SITE PLAN Depth to Waler AII.~,~, / ~/7 £ ~ I hloniloring? I/~"-2:/__Oale: _~.~ ~-'~' H Gross Net Depth to Net Reading Date Time Time Water Drop _ _ PERCOLA¥1ON RATE '4-- (minutes/inch) PERC ROLE DIAMETER COMMENTS / / PERFORMEDBYi F~_~lleRiverL°°PR°~ldNo.~n4 --, ///~ // CER~IFYTHATTHISTESTWASPERFORMEDIN - .. ~dver, Alaska 99577 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES INN EFfEF ECTONTNISDATE. DATE: 72-008 (Rev. 4/85) I/ WATER WELL DRILL~RS LOG Driiiing' Co, DO NOT FILL IN USGS No. Area Use of Well Location (address of; Township, Range, & Section, if known; or distance from main road: Size of Casing~ ~ '~ __uDepth of Hole /-~ feet. Cased to /~.~ .... feet. Static water level___ //~ _feet (above)(?l_l~owow) land surface. Finish of.well (check one) Open end ~; Screen ( ; Perforated ( ). Describe screen or peri,orations Well pumping test at .... · ~ '~gallons p6r (hou'r)(mi~nu~) for ~'/ hours with __~.~ .feet of drawdown from static level. Remarks WELL LOG D~pth in.feet from Give details of formations penetrated, size of material, color, and _ ground surface hardness. to to to to to to to to to SCALE Tom Fink, Mayor Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 July 24, 1991 Robert A. Shafer, P.E. S & S Engineering 17034 Eagle River Loop, Suite 204 Eagle River, Alaska 99577 Re: Waiver Request For Lot 11 Block 1 South Lakewood Hills Waiver Number WR910027, PID# 0].5-151-11 #1 Dear Mr. sharer: Your request for waiver of the required 100 feet separation from a wastewater disposal system to a stream has been denied. The denied separation distance is 64 feet. As a result of a site visit, I was not able to find any possible mitigating circumstances that would warrant the approval of this waiver. In the event of a sewage overflow from a bed type absorption field, effluent would most likely flow directly toward the surface water. This office recommends that the existing well be abandoned which would result in opening up a possible disposal area on the north and east sides of the house. Waivers could be granted to encroach upon the lot lines on both the north and east sides of the house. Please call me to S~r~c~rel. y, Civil Engineer On-Site Services further discuss this matter. C°ncur' ~. /~ On-Site Services OSS#52 September 3, 1991 (907) 243-2000 John Smith, P.E. Program Manager, Onsite Services Department of Health & Human Services PO Box 196650 Anchorage, AK 99519-6650 Dear Mr. Smith: Re: Ivan Auten Sewage Disposal Lot 11, Block 1, South Lakewood Hills Thank you for sending me a copy of your August 26 letter to S&S Engineering. I am heart- ened tbat you are willing to work with the owner for a solution to his onsite disposal challenge without requiring relocation of his existing well. I endorse that approach. As I mentioned to you and Dan Roth, we environmental professionals should be looking for practical solutions that protect humans and the environment, work long term, and minimize costs to the owner. The original waiver request did that. Your suggested alternative appem's to do that also. I wish to correct two items in your letter. First, although it is true that I am a State Representative, I did not contact you in that capacity. I contacted you as Loren Leman, P.E., consulting civil engineer. Perhaps I am overly sensi- tive about not wanting to use my position as a legislator to leverage decisions from governmen- tal entities that ]nay benefit my clients or me. However, I am a practicing professional engi- neer experienced in sewage treatment and disposal. It was, and still is, in that capacity that I offer comment regarding this project. Second, Ivan Auten and I measured the distance from the creek to the proposed bed as 94 feet. Although this is still less than 100 feet, and perhaps only accurate to plus or minus three feet, it is considerably more than the 64 feet distance noted on the waiver request. I did not leave the field with much uncertainty about the distance between the creek and the proposed system. I agree with you that the drainfield could be located closer to the house, encroaching on the well radius, while giving greater separation distance between the field and the creek. I see no environmental benefit to doing this. However, it may enable m~ easier justification for you for granting a well waiver instead of a creek waiver. Tom Fink, Mayor August 26, Nlunicipality of Anchorage Department of Health and Human Services 825"L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 1991 S & S Engineering 17034 Eagle River Loop Rd, Eagle River, Alaska 99577 Suite 204 Re: Lot 11, Block 1, South Lakewood Hills Dear Mr. Shafer: In response to a request by State Representative Loren. Leman, this office conducted a site inspection at the subject lot. The purpose of the visit was to evaluate the possibility of upgrading the existing failed wastewater disposal system at a location that would not necessitate drilling a new well. Our office had previously denied a waiver request that would have permitted the construction of a new wastewater disposal system at a location 64 feet from Little Campbell Creek. Based on our inspection and review of file information, we found that~ ~ The existing wastewater system has failed and, according to the owner, the system periodically overflows during peak use. There was no evidence of any effluent being discharged to the creek. Denial of the original waiver request was justified. The proposed location of the new bed.system offers little if any mitigation which would support issuance of a horizontal separation distance waiver to Little Campbell Creek. The ground between the creek and the proposed system slopes at 15% towards the creek. Although some mitigation could be derived from the heavy vegetation on the slope, stream protection regulations would not preclude a property owner from clearing this vegetation to within 15 feet of the creek. Based on field measurements made during our visit, there appears to be some uncertainty as ko the distance between the creek and the proposed system. Our measurements indicated that the separation distance may be greater than the 64 feet that was reported on your design. Roger Shafer, P.E. August 26, 1991 Page Two There appears to be some question as to whether the existing structure should be classified as a multi-family dwelling. The municipal property appraisal office has determined that the structure is a multi-family dwelling. The owner has indicated that he does not consider the structure to be multi-family although they have rented the bottom floor as a separate living unit. Based on these findings, we offer the following recommendations on proceeding with the upgrade of the failed wastewater disposal system: Resolve the issue of whether structure is single family or multi-family. This office does not have jurisdiction over water or wastewater systems that serve more than a single family residence. This issue can be resolved by either providing a copy of a recent property appraisal or by contacting the municipal property appraisal office and request that the property be designated as a single family residence. Should it be determined that the structure is multi-family, then your waiver request and permit application should be submitted to the Alaska ]Department of Environmental Conservation, Anchorage District Office. There appears to be available space along the north property line to install a trench or wide drain system that would not encroach on the creek. This location would likely encroach on the 100 foot protective radius of the existing well. Based on confirming favorable soil conditions in this area we would prefer that the new wastewater system encroach on the protective well radius rather than the 100 foot setback to Little Campbell Creek. If you have any questions, please Sincerely, /~ Smi Program Manager, On-site Services contact our office at 343-4744. cc: Representative Loren Leman Ivan Auten Lee Browning, P.E., Manager Environmental Services, DHHS Dan Roth, Civil Engineer, DHHS ENViRONMEN¥/ JUL ' RECi HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS Muni~Lpality of Anchora! DEPARTMENT OF HEALTH 825 L Stre~ P.O. Box 196650 Anchorage, Alaska 99519~6650 REFERENCE: Lot 11; Block I; Sou~h Lakewood Hills Subdivision; Request you issue a pe~it to drill a well and install a septic system on the referenced property and grant a waiver for the horizo~at separation distance b~tween the proposed septic system and a sma~ creek located on the property at 64 ft. The property was originally developed in 1966 when the ho~zontal separation distance requirement b~een a septic system and a surface water source was o~y 50 ft. The well and origin~ septic system was instated at that time. The existing septic tank has collapsed. The leachfield was excavated and found to be supersaturated and in a state of failure. A soils test was performed and the soils encountered were sand~ and gravel (GW) with a percolation rate of less than I MIN/INCH. We have specified an absorption bed w~h a 2 ft. sand fi~er. We feel the separation distance may be waived for the following r~s Ons: The slope between the proposed The ar~a has approxdmately 2 ft. highly veget~ed. bed and the creek is gentle. of organic overburden and is The well graded sandy gravel soils should ensure a long life of the syst~ with l~e chance of system fa~ure or s~ge surfacing for several years. This coupled with the 2 ft. of organic overburden will h~lp alleviate sewage migration across the surface to the creek. The 2 ft. sand fi~er wi~J serve to fi~er the effluent, lowering eont~,ination leve~s of effluent w~¢h migh~ migrate subsurface toward the creek. ON SITE WASTEWATER OlSPOSALSYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 11; Block I; Sou~h Lakewood Hills July 5, 1991 Since there is no place on the property to install a septic system 100 ft. away from the creek, the o~y other option for wastewater disposal l~ a holding tank. Unfortunately, due to the cost of freque~ pumping, a holding tank is not always s~rviced as frequently ~ necessary. This would increase the potential for sewage overflow from the holding tank which may migrate toward the creek. Therefore, install~on of a holding tank may o~ly serve to increase the potential of contaminating the surface water source. If you have any questions review~se conta~ us. Sin/~rel~ or require any additional information for your SCALE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERALINFORMATION Complete legal description r,ot 1].: Location (site address or direptions) 10900 P, idqecrest Drive Anchorage, AK Property owner Mailing address Randall Hose ].09b0 Ridc~ecrest Drive Day phone 562-622q Anchorace, AK 99516 Lending agency Mailing address Agent Address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 5 TYPE OF WATER 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. 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. 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 Address Engineer's signature S & S ENGINEERING 17034 Eagle River Loop Road No, 204 Eagle Riyer, Alaska 9957? Phone DHHS SIGNATURE ?<, Approved for Disapproved. Conditional approval for bedrooms. Date 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 reg istered in the State of Alaska. The DHHS does th is 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 Munioipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 724325 (Rev. 1/91) Back MOA ~1 RECEIVED Municipality of Anchorage DEPAFITMEN'f' OF HEALTH ,& HUMAN SERVICES'''~' Environmental Services Division DeMn~U~jciP.~li,yof 825 L Street, Room 502 · Anchorage, Alaska 99501 · ~'9u6'~le~§-~l~ Services Legal Description: _La ~' ~1 Health Authority Approval Checklist ct( / J'~. 1.4~¢~o~ R''~''J Paroel I.D.: A. WELL DATA Well type Log present (~/N) Total depth Sanitary sea[ (~N) '¥ If A, B, or C, attach ADEC letter. ADEC water system number Date completed 4'/9/~ ¢ ('/), ~/,,~,,, ~ ,. / J Cased to ~ '~ Casing height (above ground) Wires properly protected ~'N) Date of test Static water level Well production FROM WELL LOG WATER SAMPLE RESULTS: AT INSPECTION g.p.m. ~]. ~' '~ g.p.m. Coliform O Nitrate Date of sample: $~/~o/~/& .. TA.. DATA Date installed /o/~'¥/~l I Tank size Foundation cleanou, t (~)/N) Data'of P"mping~/I C, ABSORPTION FIELD DAT Date installed i~ /~; Le~gth -~) Widtb~ EffectiVe absorPtion area Date of adequacy test ~, / 5'~" Other bacteria Collected b ' $ & S EN$1NEFRING Y' --~34 Eagle ~(lver I.o~p Read No. 204 Eagle Rlver~ Alaska 99512' Number of Compartments ~ Cleanouts (~YN). Y Depression (Y/t~ ~ 0 High water alarm (Y/~'~. Pumper 1~4Rc 3' Soil rating ~ff~or fF/bdrm) ¢' [¢ Syatem type 'r-~ Gravel thickness below pipe I 0 Total depth l ~- '/~. Monitoring Tube present (~N) Y~-J Depression over field (Y/~ ~ o Resu. lts (Pass/Fail) /°~'~'s ~' For '~ bedrooms Immediately after ¢15 gal. water added (in,): Absorption rate = . -7 z-o + .g.p.d. ~,vo ~/¢ If yes, give date -- Fluid depth in abserption field before test (in.); 7__ Fluid depth '~ '/ (ins) Minutes later: ,~ '~ Peroxide treatment (past 12 months) (Y/N) I.~0 ,'"~ 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Size in gallons ~ Manhole/Access (Y/N) "Pu~ "Pump off" level at* High water alarm level at* ~ *Datum Cycle~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ~lS-~T~holding tank on lot Absorption field on lot cl I ' * On adjacent lots On adjacent lots IV/fi Public sewer manhole/cleanout Public sewer main Sewer/septic service line ~ ~' + Lift station SEPARATION DISTANCES FROM~HOLDING TANK ON LOT TO: Foundation '~-O -/- Property line ./o -~- Absorption field Water main/service line °t Surfacewateddrainage leo Z+ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line I 0 'Building foundation I o /--~ Water main/service line Sudace water · c~6 ~ Driveway, parking/vehicle storage area Curtain drain ~v o,,, ~- Wells on adjacent lots ]0o F. ENGINEER'S CERTIFICATION ,.,~.~._,~ I certify that I have determined thru field inspections and review of Municipal records.~_~.~,aUov~ '~_~.are in conformance with MOA HAA ~uidefines in effect on this date. Signature 7~ &. ~ Date HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SEFiVICFS Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage. Alaska 99519-6650 343-4744 CERTIFICA'¥E OF HEALTH AU'FHORITY APPROVAl. FOR A SINGLE FAMILY DWELLING HAA # L4 ¢'~ °~ ~:r:r:r:r:r:r:r:r:r~,L~_~ '_'~_ 1. GENERAL INFORMATION Complete legal description Lot 11; Block I; South Lak~oood Hills #I Location (site address or directions) 10900 Ridgecrest DrZve Property owner Mailing address Lending agency Mailing address Ivan D~e & P.L. Auten Day phone Day phone Agent Charlo~e Sehlosst~n RE/MAX PROPERTIES 2600 Cordova Street Address ,~u~e # 100 Anchorage, Alaska 99503 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 5 'w TYPE OF WATER SUPPLY: Individual well XX Community well Public water Day phone 276-2761 NOTE: If community well system, provide written confirmation from State ADEC attest- . lng 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. slueuJLuoo leUO!~!pp¥ suop, elndqs 8U!MOliOj eq~, q~,!M 'su. looJpeq 'swoo~psq Jo~ ieAoJdde leUOlSjpuoo 'peAoJddes!c] Jo~ psAoJddv ~an£VNgl$ SHHa '9 eUOqd QNI~NI~Nr~ $ ~ $ eJnleu8!s s,Jesu[Su~ sse~ppv LUJ!5 jo eWeN 'uop, osdsu! s!ql jo e~ep eql uo ~oejjs u! suol),elnSeJ pue 'seoueu[p~o 'sepoo e~ms pue ledp!UnLAl lie q~,!M eoUe!ldUJoo u! s! uJeiSXs lesods!p JeieMe~SeM Jo/pue/~lddns ~eteM m, ls-uo eq), 'uol~oadsu! pue uogeB!~seAu! ,~LU uJoJJ pue SSIg e6eJoqouv jo ,~l!led!o!unR @ql uJoJj peu!e~qo UOI~eLUJO;U[ eql uo peseq ),eq), ,~jpe^ JeqlanJ I 'uisJeq pm, eo!pu! eJ m, onJls jo sd,~1 puc sLuooJpsq jo JeqLunu eq~ JoJ elenbepe pue leUO!~ounj 'ejes s! LUelS,~S lesods!p ~e~eMe~SeM Jo/pue ,qddns Je~eM e1!s-uo eq~ ~,eql SMOqS uolteO!ldde leAoJddv ,~[Joqtnv q~leSH siq~ jo uo!leBRseAu! ,~LU leql/~Jpe^ I 'MOleq UMOqS m, ep uo[leplleA sql Jo se pue ole~eq pex!jJe leSS XLU/~q pelJ!lJeo sV M~NION~ i8 NOliO~dSNI 40 iNB~BiVIS 'S Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /.~T II/B~X 1,, ~.r~ /~,/~ //,, ~ z4Parcel I,D, A. WELL DATA Well type Log present ~,N)~VE,~ Total depth ] ~2o' + Sanitary seal (~N) If A, B, or C, attach ADEC letter. Date completed Cased to I~&~ ADEC water system number _ ,'%/,......~ ~- ~'- {~ Driller ~{-~C~/t4E^l,qOl'3 Casing height ~¢.~,~z~([.8~,~z~Wires properly protected (~/N) g,p.m. FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots _ /bO ; On adjacent lots Public sewer manhole/cleanout /~J/~ Petroleum tank _ ,/~/O/u~. /~/~O(,u~ WATER SAMPLE RESULTS: Coliform Date of sample: ~ ~ '~L_ ~ ~ Collected by: Other bacteria B. SEPTIC/FJ~EBING TANK DATA Date installed )O-~(-cl I Tanksize lUoOCb ('-,-~L_ Compartments_ ,..-. UtOb~¢. Cleanouts (~N) TW(~ .Foundation cleanout (~¢N) j:)ec~, co~z~6~ Depression (Y/~ High water alarm (Y/~) /L)//3, Alarm tested (Y/I~) Date of pumping ~/LJ/,~ / ~J~;V'/ ~EpTIc ~IC Pumper SEPARATION DISTANCES FROM SEPTIC/~bl~-4~TANK TO: Well(s) on lot On adjacent lots To property line_ lO + Absorption field_ 0% ' Surface water/drainage ] 00 ~ 'h Foundation Water main/service line ~,/,41UE(L ~'S~P ~-~(~1.[ ' '": ~CONTINUED ON BACK PAGE '"6...~FT STATION ~/./~ D~ . Manufacturer Size in gallons-'"'-"'"'"'-"~ Manhole/Access (Y/N) Vent (Y/N) ~H "Pump off" level at High water alarm level ~ Cycles tested Meets MOA electrical codes (Y/N) ~ SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed Length 51 / Width Total absorption area Depression over field (Y/~) Results (pass/fail) lOZ0 Peroxide treatment (past 12 months) (Y/~)) Gravel thickness Cleanouts present Y~N) Date of adequacy test for System type ~-~ Total depth bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain E. ENGINEER'S CERTIFICATION On adjacent lots o~-OO r ¢_ Property line 1 (b~' To existing or abandoned system on lot Cutbank /%/~'~' Water main/service line Driveway, parking/vehicle storage area I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in t ~te of this inspection. $ & $ ENGINEERING Signature 17034 Eagle River Loop Eos(] No. 204 Eagle River, Alaska 99577 Engineer's Name Date ~" "" \ ~-'~/q~ HAAFee$ ///~¢ Date of Payment .eoe pt Number 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number Parcel I.D. #__ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage. Alaska 99519-6650 (907) 343-4744 CERTIFICATF OF HEALTH AUTHORITY APPROVAL FOR A SINGLF FAMILLY DWELLING 015-151-11 1. GENERAL INFORMA'rlON Complete legal description ~SOUTH LAKEWOOD HILLS SUBDIVISION ~1: LOT 11. BLOCK 1. Location (site address or directions) 10900 RIDGECREST DRIVE ANCHORAGE. AK Property owner LAURA McARDLE Mailing address 109oo RIDGECREST DRIVE Lending agency Mailing address Agent DF:lAN BRODERICK w/ PRUDENTIAL VISTA Day phone ANCHORAGE. ALASKA g9516 Day phone .Day phone_ (907) 275-7562 Address._4.241 B STREET ANCHORAGE:. ALASKA 9950,3 Unless otherwise requested, HAA will be held fo pickup. 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY' Individual well xx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. 4. TYPE OF WASTI=WA'rER DISPOSAl.: Individual on-site xx Holding Tank ..~ Community on-site Public sewer NOTE: If community wastewater system, provide wdtten confirmation from State ADEC lng to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Computer Version 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 wastewatar disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I fudher verify that based on t~e information obtained from the Municipality of Anchorage files and from my nvest gation and inspecl ~h, the on-sita water supply and/or wastewater disposal system is in compliance with all State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ALASKAW'AT~ Address 6901 DEBARCROAD/S/~ Engineer's Signature ~ ALASKA WATER & WASTEWATER CONSULTANTS, iNC, SHALL BE PAID $1,215,00 AT, OR PRIOR TO, CLOSING FOR THE ENGINEERING SERVICES PROVIDED, 6. DHHS SIGNATURE X Approved for. ,.~ Disapproved Conditional approval for bedrooms ;ONSULTANTS, INC. Phone (907) 337-6179 ALASKA 99504 Date ?~// o bedrooms, with the following Stipulations: Additional Comments Date The Municipality of A~:horage Department of Health and Human Services (DHHS) issues H~Alth Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of AIaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy cadain 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. t/91) Back MOA #21 Computer Version Health Authority Approval Checklist Legal Description:SOUTH LAKEWOOD HILLS S/D #1; LOT 11, BLOCK 1, Parcel I.D.: A. WFLL DATA Well Type PRIVATE: Log pre,','ent (Y/N) RECEIVED Municipality of Anchorage FEB 2 DEPARTMENT OF' HEALTH & HUMAN SERVICEE u. c ^, Environmental Services Division ,vl~t, M~NTAL AF/i , 825 L Street, Rm 502 Anchorage, Ala,,ka 99501 (907) 343~4744 '~" IfA, B, or C, attach ADEC letter. ADEC water system number YES Date completed 9/9/66 (DEEPENED IN 1975) Total depth _ 173' +/- Cased to Sanitary seal (Y/N) YES 126'+ _Casing height (above ground) Wires properly protected (Y/N). AT INSPECTION 2/9/2000 132' 015-151--11 N/A 12"+ YES Foundation cieanout (Y/N) Date of Pumping_ 2/9/2000 C. ABSORPTION FI[-'LD r)ATA Date installed 10/25/91 Length 51' Width YES DePressiOn (Y/N) NO Pumper. A+ HOME SERVICES _Soil rat ng (g p d./~. or ff2/bdrm) 0.8 3' Gravel thlcknes.,~ below pipe Effective absorption area 1020 SQ.FT._ Monitoring Tube present (Y/N) YES Depression over field (Y/N) Date of adequacy test_ 2/9/2000 Results (Pass/Fail) PASS For 5 Fluid depth in absorption field before test (in.); _ 13.5" Immerllataly after 2003 gal. water added (in.): Fluid depth_ 57" _(ins) Minutes later: 1135 AI3sorptlon rate =, 750+ Peroxide treatment (past 12 months) (Y/N) NONE KNOWN If yes, give date ...... 72.028 (Rev. 3/98)* Computer Vemlon NO . Bedrooms 77" System type TRENCH 10' _Totaldepth 13' +/- FROM WELL LOG Date of test 9/9/66 Static water level 118' Well production 8.0 WATER SAMPLE RESULTS: Coliform 0 Nitrate Date of sample: _ 2/9/2000 Iii, SEPTIC/HOLDING TANK DATA Date installed 10/25/91 __Tank size_ 1500 _ Numberof Compadments__2 Cleanouts (Y/N) YES __ High water alarm (Y/N) N/A Other bacteria A.W.W.C., INC. 0.698 m~/L Collected by: g.p.m. 6.0 +/- g.p.m. D. LIFT STATION ~ Date installed Manhole/Access (Y/N) ~evel at* "Pump off" level at*. High wat~r~ *Datum .~C.,yd~ste d E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot *90' Absorption field on lot *91' Public sawer main N/A Sewer/septic service line 25'+ *WAIVERS GRANTED (~WR910027) On adjacent lots 100'+ On adjacent lots 100% Public sawer manhole/cleanout. Lift station __ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Water main/service line 10% Surface water/drainage '100' SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line *,1'+ Building foundation 10'+ *SNOW ON GROUND Absorption field 5' + Wells on adjacent lots 100'+ *WAIVERS GRANTED (#WR910027) **SEE LOT LINE WAIVER REQUEST. Water main/serviceline. 10% Surface water. '96' Cudain drain N ;)NE KNOWN I certify that l h/~va qe~n~¢~. ~ field inspections and reviaw of Municipal r~cord~ ~ ~ /e systems am In confo~ance with MOA ,~ gui~ ,t on this date. Signature ~ ~- ~ ~ Engineeffs Na JEFFR~ A. GARNESS Date ~/~0 Driveway, parking/vehicle storage area 10'+ Wells on adjacent lots 100'+ HAA Fee $ ~'% OO, 0 0 Date of Payment 2_./'Z. z.-/g"~ 72-026 (Rev. 3/96) ComputerVemlon Waiver Fee $ Date of Payment Receipt Number CT&E Environmental-Services Inc. Laboratory Division Drinking Water Analysis Report for Total Coliform Bacteria goo w. Potter Or~ve Anchorage, AK 99518-1605 R£AD I~VSTRO'CTIO.NS O:V ~VERSE,.CID£ B£FO&E COLLECT[:YG SAz~2LE Tel: (907) 562.2343 Tax. (907) 561-5301 Send Results [3 Send ln¥'otce ~,lonth SAMPLE %YPE: ~ Routine [] Repeat Sample (for routine sample with lab reft no. ) O Special Purpose SANtPLE LOCATION Day Year [] Treated Water ~ Untreated %Valet Time Collected Collected By TO BE COMPLETED BY LA. OIL&TORY Analysis shows this Water S,*MPLE to be: Salisfac~ory Unsatisfactory, Sample over 30 hours old, results may be unreliable Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please senti new sample via special delivew mail Date Received Time Received &nalvsis Began Analytical b, Iethod: ..~Membrane Filter o MMO-MUG · Number of colonies/t00 mi. · ~'-.' ~n. Result* Analyst I 96.1833, yv/ Client notified of unsatisfactory results: Phoned Spoke with Faxed BACTERIOLOGICAL WATER ANALYSIS RECORD MMO-MUG Result: Total Colil'orrn Membrane Filter: Direct Count · Verification: LTB Fecal Coliform Confirmation Final Membrane Filter Results £. Coil (~ Colonies/100 mi BG 13 - CO LI FI RM r.xTC' - r,., ,v..,~,,., r. Date ~ . ~1 'C'/G Time "'"" ONE Coliform/lO0 mi /~ ~ ~w~.~[~,~, ~G_~ Member of lhe SaS Group (Soci6t6 G6n6rale de Surveillance) 0~×~8×cJ6 17:~6 CT&E ESi RNCHORRGE CTStE Environmental Services Inc, Laboratory Division ~~~e-,,~,~,e~,~'~¢~,c¢~., Laboratory Analysis Report CT&E Ret'.// 961833.961833001 Client Sample ID Lll B1 $o,Lak~wood Hills #1 IOI M~lrix Drin~n~ Wa~r Pwsm 0 S~ple Remarks: " Collected Date 05/20/96 Technical Director: Stephen C. Released By_.~'-' .~' ..... ResuItg QG P~L Unit0 Method 0,155 0.100 mg/L EPA 355.2 0.100 U 0.100 mg/L EPA ~§~.~ O 0 co~/100m~ $N18 9222B (0~) 200 W. Potter Drive, Anchorage, AK 99518-I 605 -- Tel: (907) 562-2343 Fax: (907) 581.5301 3180 Pager Road, Fairbanks, AK 99709-5471 -- TeL (907) 474-8656 Fax: (907) 474-9885 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY. OHIO, V,/E~,T \'i~i? A 17034 Eagle River Loop Road ** NELL FLOW '[EST DATA SHEET LOOATION OFWELL(Legal Description): ~T WELL DEPTH: ~'~ ET, CASING: [~¢ FT. RODERT A. SHAFER CIVIL ENGINEER 694-2979 SCREEN: DATE DRILLING COMPLETED: DRILLER: STATIO WATER LEVEL (Top Ol Casing):, I ~)--~1:')¢ FT, DATE: SA~p~ T-~r-~,~ L/-:,z-ffZ /:~lr~%- ~r}, 1'~~' CLOCK ELAPSEDTIME SINCE DEPTHTO DRAWDOWNI PUMPING TIME PUMPING STARTED/ STOPPED, MIN. WATER, FT. RECOVERY RATE~ OPM REUARKS 50 55 60 (I hour) ?;~ 240 (4 hours) 15~ __ ~' H,~ -- RECOVERY I 0 0 10 15 20 25 80 35 Comments: SubsequenV Variations Cart Occur. L~oation (address of; Townshi. p, Ranze, & 8eot~,oru if known; or. di,~ta~ee from ~in road: Size of O~sing____~____,~Oepth of Hole___~__feet. Oase,1%o _ ~_~. feet. .qt&tie waterlevel. ......... //'~.~feet (above)(~) Z=nd surfaoe. Finish of well (check Describe Screen·er per,¢¢rmtions .......... Depth in feet from Give details of for,martens p~otr.at.e,.t., size ¢,f m~t~r'J.~ ~OlOr, ~nd ~,~d_. su~f~ %,90. h~rdnoss. . ~o ~o ................ ........... .................. _ ...... ~o to to to Dept. Health & 14uma)~ So, vices CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEI=RING CO. 5633 B STREET ANCFIORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 ANALYSI3 RESULTS for INVOICE ~ 53583 Chemlab Ro£.~ 92.2008 Sample # 1 ~atrix: WATER FAX: {907) 561-5301 Client Sample ID PWSID Collected Received Preserved with DRINKING WATER Lll B1 SOUTH LAKEWOOD ' Client Name :S ~ S ENGINEERING UA Client Acet :MNSENGP ]MY ? 92 ~ 14:40 hrs, BPO# : MY S 92 @ 14:10 hrs. Req~ : AS REQUIRED Ordered By :R. SNAFER PO~ :NONE RECEIVED Analysis Completed : }~AY 11 92 Laboratory Supe~if~ :yS~PIJEN C. EDE Reloased By : ~~.~___ 3end Reports to: l)S & S ENGINEERING Parameter Results Units ~ethod Allowable Limits NITEATZ-N ND[O.iO) ~/1 EPA 353,2 10 Ssmplo ROUTINE SAMPLE COLLECTED BY: 3.W. ' HILL. 1 Tests Performed See 3pecial Instructions Above UA~Unavallabla NI)- None Dotectod '* See Samplo Remarks Above NA: Not Analyzed LT=Lses Than, OT-Greater Than ~S~S Member of the SGS Group (SociCt~ G6n6rale de Surveillance) CHF~MICAL & G~,,OLOG~CAL ~MBOIL4TORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. TELEPHONE (907) 562-2343 5833 B Saeet Anchorage, Alaska 99518 Drinking Water Analysis Repori [or Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER [] PUEL,O WATER SVS',EM,.D.,, PRIVATE WATER SYSTEM Mo, Day Year SAMPLE TYPE: .~Q_ Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE ~o. 1 2 3 LOCATION L J 41 I Time Collecled Collecte(I By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAIdPI_E to be: 4.~' S atisfactory [] Unsatisfactory [] Sample too long in transit; eample should not be over 30 hours old at examination to indicate Celiab',e resulb. Please send new sample via special delivery mail. Analytical Method: Membrane Filter No. of coloniesl100 mi. Analyst BEFORE COLLEC'rING SAMPLE READ INSTRUCTIONS Membrane Filler: Direct Count Verification: LSB Fecal Coliform Con [irmation Final Membrane Filter Results TNTC = Too Numerous To Ceunt OB =: Other Bacteria BACTERIOLOGICAL WATER ANALYSIS RECORD Coliform/100 mi BGB Date CollformJ100 mi PART O~IE OF TWO REHAINDER '1'0 FOLLOW 02-14-00 14:18 FROM-CTE ENVIRONMENTAL 5615301 %841 P.06/06 F-4gg Zt~mm~ CT&E Envimnmemal So.ices Ina. CT&E CIiro! N~m~ Projec! Nam~/~ Client Sample Matrix Ordered By pwsna 1000532001 AK Water & Wastewater Consultnnts lac. South Lakewood Hills 1 L 11 BKI South Lakewood Hills 1 LI 1 OKI Drinking War~r Sample Remarks: 0.698 0,500 ~/~ IPA ~00.0 Client PO# Prillted Date/Time 02/14/2000 14:06 Collected Date/Time 02/09/2000 16:45 Received Date/rime 02/10/2000 10:20 Teelmieal Director SI~ph~o C. £de A[to~abLe Pr~ MICRO LAB Totat CoL~form 0 cot/lOOml, aH18 91~ta O~/lO/OO JOT 02-15-00 22:47 FRO~f'CTE ENVIEONt, IENTAL ~615501 T-873 P.Ot/01 F-542 CT&E Environmental Services Inc. 200 W. Potler I)rive Drinking Water Analysis Report for Total Coliform Bacteria ^,,d.~.. ^~(s~s-~6os Tel'. 1807) 662-2343 READ INSTR~CTJION$ ON~EVERS, E $[D£ ,FIEFORE COLLECI'IN~ SAMPLE _ Fax: (907) 661-630! .. ,. ..... "-' ' ~ST BE COMPLETED BY WATER SUPPLIER' ' TO 9£ CO~L~T~!D BY LABORATORY PUBLIC WATER SYSTEM I.D. PRIVATE WATER SYSTEM SAMPLE DATE: Month SAMPLE TYPE: Routine ~ Repeat Sample (for routine sample with lab ref, no, ~ .) ~ Special Purpuse Day Y~at~ SAMPLE LOCA,,TION AnaJ~qs shows ~hia Wat~'r SAMPLE m b~: Un~sf~ Sample o~ 30 hou~ ol~ ~ul~ ~ fl~p~e ~ long m ~sit; ~le ahould ~ot ~ ov~ 48 hou~ old a~ ex~maB~ m indlea~ ~liable ~sul~. PI~ n~ sample ~a ~.~ltv~ marl. Anal~lc~ M~A~: ~l~ ~ul~~ An~t r3 Treated Water 2~ Untreated Water 'lime Collected Colleeted By BACTERIOLOGICAL WATER ANAL¥SlfS ~COl~ n~c~ Fbks Jun Client notified of unsatisfactory results: Spoke CelOnia/lO0 mi _COLIFIRM~ Faxed Fax~ ENVIRO,ME,TAL FACILIT,;$ IN AgAr'GL CAEFO"NIA, R.OAIOA ,~LINo'~, MARYLAN. MtCHIfiAN. MI$~C)URL NEW JERSEY. ALASIG WATER & WASTEWATER CONSULTANTS, INC. SEPTIC ADEQUACY TEST DATA STREET ADDRESS: /oc?o* ~{o~¢t~.d~q- CLIENTx t~uF~,~- /~7¢AT/?_0t.~- PHONE NUMBER: NUMBER OF BEDROOM: GALLONS PER DAY NEEDED: "~-> CD SEPTIC: *SEE H.A.A. SITE VISIT CHECKLIST* DATE OF TEST: FIELD MEASUREMENTS:. TOP OF MT/SUMP TO BOTTOM:---]~9-,5"(MT1) / (MT2) TOP OF MT/SUMP TO DISTRIBUTION LINE: ~'~" (MT1) / STICK-UP OF MT/SUMP: ~.,~" (MT1) / (MT2) TOP OF MT/SUMP TO LIQUID LEVEL: i 6-ct" (MT1) / __ (MT2) j METER NUMBER OF SEPTIC TANK MT/SUM!~ RISE (+) / TIME READING GALLONS LIQUID LEVEL LIJ~t~L FALL{-) __ RESULTS: : PASSED ABSORBED GALLONS IN --: FAILED - SEE ATTACHED LETTER MINUTES ( GPD) Signature: Date: 6901 Debarr Road, Suite 2-B * Anchorage, Alaska 99504 * Ph: (907) 33%6179 Fax: (907) 338-32 $6 axwws@alaska.net Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us March 2, 2000 Jeffrey Gamess Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B Anchorage, AK 99504 Subject: Waiver Request for South Lakewood Hills #1, Lot 11, Block 1 Waiver Request #WR000007 Parcel ID #015-151-11 HA000056 Dear Mr. Gamess: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 9.0 feet. This waiver approval applies to the existing absorptiou field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from tlfis department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Civil Engineer On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On-Site Services Waiver Review Worksheet WR# .WR000007 PID# 015-151-11 HA# .HA000056 Date Received: ?ebruary 22, 2000 Legal Description: South Lakewood Hills Subdivision #1, Lot 11, Block 1 Engineer: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B, Anchorage, AK 99504 Permi~ Applicant: Laura McArdle Waiver Requested: 1 foot lot line waiver from the north property line to the existing drainfield. Criteria: 1. Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: 2. Special Conditions: 3. Other: Waiver is Granted: /~ Waiver is not Granted:. List Conditions or Reasons for above: .'~J~iF E,4/~.//I, xcEEI~ I$ ~Trl¢-£ ~-lEI,:2 Name of Reviewer Rec#: 05613 Amount: $115.00 Date Paid: F_ebruary 22, 2000 ALASKA WATER & WASTEWATER CONSULTANTS, INC, February 18, 2000 Municipality of Anchorage Department of Health and Human Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Lot 11, Block ~ South Lakewood Hills Subdivision #1 To whom it may concern: We request that yonr department issue a 1+ foot lot line waiver from the north property line to the existing drainfield. Attached is a copy of a As-built smwey which shows the encroacN-nent. I am unaware of any a tverse impacts this waiver would have on adjacent wells or septic systems. If you have any que~ ons, please contact us at 337-6179. Thank you for your assistance. Jpelr ~i~YJenAt {~ ara e~,~ .Z M.S. 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246 t