HomeMy WebLinkAboutPARADISE VALLEY BLK 8 LT 12AParadise Valley
Block 8
Lot 12A
#020-413-41
Permit Number:
Tax Code Number:
Work Type:
OSP101263
O2041341000
Well
On-Site Water System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Upgrade
Permit Effective Dates: November 18, 2010 to November 18, 2011
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING
Subdivision: PARADISE VALLEY
Site Legal Address: PARADISE VALLEY BLK 8 LT 12A G:3538
Owner/Address: FOWLER WILLIAM & HELEN
6101 ROMANIA DRIVE ANCHORAGE AK 995066014
Site Mailing Address: 6101 ROMANIA DR, Anchorage
Lot Size in Sq Ft: 41119
Total Bedrooms: 4
This permit is for the construction of:
N Disposal Field N SepticTank N Holding Tank N Privy Y Private Well N Water Storage
All construction must be in accordance with: 1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions: The well location shall be flagged by a licensed land surveyor. The land
surveyor shall verify the well is located 100 or more feet from the drainfield on Lot 9 and the septic
tank on Lot 11.
Special Provisions: Permit includes waiver OSP101272 allowing the well to be 92 feet from the
subject property's septic system drainfield.
Date:
Date:
Municipality of Anchorage
P.O. Box 196650 · 4700 Elmore 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
: par t.~nent
**** VARIANCE/WAIVER REVIEW ****
WR#: OSP101272 HA#: Permit#: OSP101263
PID#: 020-413-41
Legal Description: Paradise Valley, Block 8, Lot 12A.
Engineer: Mike N. Anderson
Applicant: William & Helen Fowler
Your request for a waiver of the required 100 feet horizontal separation from the absorption field
to the private well has been approved. The approved separation distance is 92 feet.
This waiver approval apPlies to the existing absorption field to private well 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:
1/18/2010 Approved by'~.
Date:
1
Name of Reviewer
Recg: 137433 Amount: $1,050.00 Date Paid: 11/1212010,
**** VARIANCE/WAIVER REVIEW ****
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, Alaska 99507
www. muni.org/onsite
(907) 343;7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
Property owner(s)
Mailing address
Site address
Legal description (Sub'd., Block & Lot) Po
Legal description (Township, Range & Section)
Lot Size Sq. Ft.
Day phone
Zip Code
.Zip Code
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 []
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:
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
Michael N. Anderson, P.E.
Civil/Structural Engineering & Construction
4661 Natrona Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
Nov. 2,2010
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Paradise Valley Subd. Blk 8, Lot 12A
To Whom it may concern:
Attached is an application for a new water well permit on the referenced lot. The existing well has caved-in
and is over 600 feet deep therefore the owner is requesting a new well be installed. From the site plan it is
tight but the new well can be installed and not encroach on the neighboring septic systems to the north and
east. The site was surveyed by Arctera, John Schuller, LS and the new well location was staked by him
also.
If you have any question please call me at 727-8864.
Michael N. Anderson, P.E.
Civil/Structural Engineering & Construction
4661 Natrona Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
Nov. 10,2010
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Paradise Valley Subd. Blk 8, Lot 12A, Waiver Request
To Whom it may concern:
This is an application for a waiver for the proposed new water well on the referenced lot. The existing well
has caved-in and is over 600 feet deep therefore the owner is requesting a new well be installed in the NE
corner of the property.
The site plan was surveyed by Arctera, John Schuller, LS. Two septic systems surround the proposed new
well location, lot 9 and lot 11.
Justification for the 8 foot waiver is as follows: 1. No other locations available has water. The current location has two dry wells.
2. According to the current survey the leach fields on lot 9 & 11 will not be encroached, only the
existing system on lot 12A.
3. The gradient from the 3 surrounding septics is downhill from the new well site.
4. The well logs from lot 9 & 11 are 255' & 287' with tight confining layers, which would prevent
contamination from reaching the water table.
5. The nitrate level in the surrounding wells is 7.4 & 6.6 mg/L which is below the MOA limit of
10mg/L.
With these given reasons we are requesting a waiver of 8 feet to the leach field on lot 12A.
If you have any question please call me at 727-8864.
Michael N. Anderson, P.E.
LOT 14 EXISTING SEPTIC
GRAVEL
DRIVEWAY TO
REMOVED OVER
LEACH RELD
LOT 12A
BLK 8
s~c_~°
EXISTING
HOUSE
/
EXISTING SEPTIC
/
/
SHED HAS SKIDS FOR
FOUNDATION
LOT 1(
EXlSRNG WELL
100' RADIUS,
WEll
LOT 11 ~
/
/
ID(ISTINO WELL TO BE DECOMMISSIONED
,,~ PER'-N~.C.. 15.55.060 -
Septic Design Prepared for
BILL FOWLER
PARADISE VALLEY, BLK 8, LOT 12A
Anchorage, Alaska
Michael N. Anderson,
4661 NATRONA DRIVE
ANCHORAGE, ALASKA 99516
PH. 545-5.377 / FAX: 545-1591
P.E',
DATE:
DRAWN:
SCALE:
11/3/2010
D JR
1"=50'
EXISTING SEPTIC
MUNICIPALITY O~ ANCHORAGE
PLA~ING AUTHOPJT¥ RESOLUTION NO. 2000-18
ANCHORAGE RECORDING DISTRICT
A RESOLUTION APPROVING A REQUEST TO ELIMINATE AN $8-FOOT SEPTIC SETBACK
EASEMENT AND TO REMOVE A PLAT NOTE THAT PROHIBITS THE INSTALLATION OF A
SEPTIC TANK OR AN ABSORPTION FIELD WITHIN THE SEPTIC SETBACK EASEMENT ON
LOT 12A, BLOCK 8, PARADISE VALLEY SUBDIVISION (PLAT 95-27) WITHIN THE SW ¼ OF
SECTION 11, T11N, R3W, S.M., ALASKA, LOCATED ON THE NORTH SIDE OF ROMANIA
DRIVE AND WEST OF SPAIN DRIVE.
WHEREAS, a request has been received from Bill and Helen Fowler to eliminate an
88-foot septic setback easement and to remove a plat note that prohibits the installation of
a septic tank or an absorption field within the septic setback easement on Lot 12A, Block 8,
, Paradise Valley Subdivision (Plat 95-27) within the SW 1/4 of Section 11, T1 IN, R3W, S.M.,
Alaska, located on the north side of Romania Drive and west of Spain Drive, and
cr~ ~o~'n WHEREAS, notices were published, posted and mailed and a public hearing was held
~ August 2, 2000.
NOW, THEREFORE, BE IT RESOLVED by the Platting Authority that:
1. The Platting Board makes the following findings of fact:
The septic setback easement and plat note were applied to the plat
recorded in 1995. The easement was originally required because of
drainage within the ditch adjacent to Romania Drive.
The Department of Health and Human Services (DHHS), in a
subsequent review of this property, determined that this setback is no
longer required.
Based on comments from DHHS, the Board found that the requested
amendment to Plat 95-27 could be approved.
The Board APPROVES the elimination of the 88-foot septic setback easement
and removal of the note prohibiting a septic tank or an absorption field within
the easement subject to recording a resolution at the State District Recorder's
Office.
m APPROVED by the Anchorage Platting Aut ay
Susan Fison, Don -Poulton,
Secretary Chair
of August 2000.
Case S-9560-2
Rcturn to:
Municipality of Anchorage
Dept. Community Planning &, Development
P.O. Box 6650
Anchorage, AK 99519-6650
Attn: Margaret O'Brien
¢' \
eo$~$g
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825"L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www. d.anchorage.ak.us (907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
ua~: ~:~ ~ ~[~ ~t~ WastewaterSystem: ~New ~Upgrade
~-~ ~/e ~r~¢~ ABSORPTION FIELD
Block:~ LO': j~/,~~,~,SubdMs?;: ~/;~ Dep,htopT~bog~fromodginalgmde:~ Ft. Gmveldep,hbeneathpye: ~ FL
Township: ~nge: Secliom Fill added above odglnal ffade: Grave~ Length:
SEPARATION DISTANCES ~ septic ~ Holding ~S.T.E.P. D O~er:
,,-,,, .T~° Septic Absorptior Lift Helding Publi~Hvate ManuracUrer~,l ~ Capacity:
Tank Field Station Tank Sewer Line ~g, ~ / ~ GaL
Enginee~s Stamp
Depmlment of Health and Human Se~ices apprbval ~~. ,~,~ J: ,~
AS-BUILT SYSTBH ]}ETAIKS/SITE PLAN Pe~r~i~ swsso4ss
PARADISE VALLEY S/D, ]98, L12A PID~OaO-413-41
12
~ ~ LB'r 11
A-C=32,8' = = j
?-D=Sa7
A-E=78,3' ~ ~~
N ~ [DOO GAL ~
I
B-g=63'3' p / STEP Xx' ,,'~ ...... SEWER ROCK ~.~,
*
FINISHED GRADE ~
SEWER ROCK .to,
BILL & HELEN FBWLER
30-341 A CHERRY DR,, APT, 8
ELNENDORF, AK 99506
FIELD BOOKS COMPU TEO:
ENGINEERING
BOUNDARY: S* HOLT ORA~N: KMD
sr^x,uo: $. HOLT OH£CKEO: KMD 20441 PTARMIGAN BLVD.
ASDUILT: S. HOLT DAn-: 2/14/00 EAGLE RIVER, AK 99577-8736
3538
ncaa r,m 96061 aos .o.: 96061 ¢907/696-6111/FAX '907~696-6111
iKN1D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
Performed for:
PERCOLATION RE-TEST
Bill & Helen Fowler Date Performed:
Project:
Paradise Valley B8, L12A
TEST HOLE # 96-1
Depth
(Feet)
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO Whatdepth? NA
Depth to water after monitoring? NA Date? NA
5-
6-
7-
8-
9-
10-
11-
13-
14-
16-
18-
HOLE PRESOAKED
PRIOR TO TEST
Reading Date Gross Net Depth to Net
Time Time Water Drop
i 9/10/99 11:00 7"
2 11:10 10 min 5 6/16' 1 10/16'
3 * 11:11 7"
4 11:21 lOmin 5 10/16' 1 6/16"
5 11:22 5 10/16'
6 11:32 10 min 4 7/16" 1 3/16"
7 * 11:33 7'
8 11:43 10 min 6' 1"
9 11:44
lO 11:54 10 rain 5' 1'
11 11:55 5"
12 12:05 10 rain 4' 1'
· Water Added
19-
20-
Percolation Rate 10 (mtn/in) Perc Hole Diameter 6'
Test Run Between 3 feet and 4 __ feet
I, Kenneth M. Duffus, certify that this test was performed hr accordance with all State and Municipal guidelines in
effect on this date.
ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
II
Performed for:
Project:
Depth
(Feet)
SOILS PERCOLATION TEST
Bill & Helen Fowler Date Performed:
Paradise Valley B8, L12A
TEST HOLE #
ORG - brown, moist
09/10/99
99-1
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
15-
16-
17-
18-
19-
20-
GM- sandy gravei w/some silt
looser at top
w/cobbles to 10"
-- B.O.H.
HOLE PRESOAKED
PRIOR TO TEST
Was Ground~vater encountered? NO What depth? NA
Depth to water after monitoring? NA Date? NA
Reading Date Gross Net Depth to Net
Time Time Water Drop
i 9/10/99 1:00 6"
2 1:10 10 min 4 8/16' 1 8/16"
3 * 1:11 6"
4 1:21 10rnin 4 13/16' 13/16"
5 1:22 4 13/16'
6 1:32 10 rain 3 13/16" 1"
7 * 1:33 6"
8 1:43 10 min 5 1/16' 15/16"
9 1:44 5 1/16'
10 1:54 10 rain 4 2/16" 15/16"
11 1:55 42/16"
12 2:05 10 rain 3 3/16" 15/16"
· Water Added
Percolation Rate 10.7 (rain/tx) Perc Hole Diameter 6"
Test Run Between 3.5 feet and 4.5 feet
I, Ketmeth M. Duffus, certify that this test was performed in accordance with all State and Mnnicipal guidelines
effect on this date.
LOCATION/SKETCH:
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF MINING & WATER MGMT
WATER WELL RECORD
SECTION TOWN4HIP
WELL OWNER:
DEPTHS MEASURED FROM:l-I~asing top'Fqground surface
,,BOREHOI~E, DATA: ......... Dep~th ,, ;,
WELL DEPTH:
)eptl
DATE OF cOM'PLETION
DEPTH.TO STATIC WATER LEVEL:
/~:~'~' ' ft below '~to~'~f'c~sing ~ ground surface
Date:
METHOD OF I~RILLING: ~ air rotary [] cable tool
[] ott~a~
USE'OF WE[.L: ~domesti~' [] irrigation ~[~ monitor
[] public suppl? [] other :' '
CASING Srl, CK-ti": ~1~ ft. Diem; Lin, to ft
Ca~ing tKO. ~. ,~,~-~r~ ~. tO ~ft
WELL INTAKE OPENING TYPE:
)erforated
E~openend r-lscreenea
' DEVELoPMENTi: M~E
. DU~tiS~i ;
LEVEL AND,YIELD;
. ft afte.r.. ~/ hfs pumping
RUMP; NTAKE DEPTH= . ' ft HorsepoWer=
WELL. DISINFEOTED
~ I ': "~ ~ / ~.' ,.f7 .";"~?;~E'; ~*~ ~ PLEASE MAIL WHITE COPY OF LOG TO:
· o../o ws ou OF & WATER U UT
Signature of Author zed Respres~ntat ve Mate .... - __ ~ ~ ,g~O
' ' '.,~ :~;~ ??)~ ~< Ancho~age, A~ 99503-5935
~h(907)762-2538~ax(907)562-[384
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Nov 12, 1998
Expiration Date: Nov 12, 1999
Permit Number: SW980439
Legal Description: PARADISE VALLEY BLK 8 LT 12A
Design Engineer: 0070 KND Engineering
Owner Name: WILLIAM & HELEN FOWLER
Owner Address: 22-040 MAPLE STREET
ELMENDORF AFB , AK 99506-3240
Parcel ID: 020-413-41
Site Address: 006101 ROMANIA DR
Lot Size: 41449 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] SepticTank [~ Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AA072 ) and Drinking Water Regulations ( 18AA080 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By: ~~
Issued By: ~-.-~'~~, ~/~¢¢--
Date: 11-12-?
Rick Mystrom,,
Mayor
Muni_cipali of Anchor , ,c
Department of Health and Human Services
825 'L' Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
343-4744
May 29, 1998
William & Helen Fowler
22-040 Maple Street
Elmendorf AFB, Alaska
99506 3240
Subject: Lot 12A Block 8 Paradise Valley Subdivision
Permit #SW970110, PID #020-413-41
The subject permit, issued May 29, 1997 by this office for a
single family well and/or on-site wastewater system, has
expired as of May 29, 1998.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. Ail inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
On-site Services
enc: Copy of Permit
cc: KND Engineering
PAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEAl, TH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW970110
DESIGN ENGINEER:KND ENGINEERING
OWNER NAME:FOWLER WILLIAM & HELEN
OWNER ADDRESS:6101 ROMANIA DRIVE
ANCHORAGE, ALASKA 99516
DATE ISSUED: 5/29/97
EXPIRATION DATE:
PARCEL ID:02041341
LEGAL DESCRIPTION:
PARADISE VALLEY BLK
8 LT 12A
LOT SIZE: 41119 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDAMCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18A3~C80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
1 OF
5/29/98
1
SPECIAL PROVISIONS
RECEIVED BY: /~_
DATE
~ND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
May 14, 1997
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: New sewer/well permit ~ Paradise Valley S/D, Block 8, Lot 12A
Gentlemen:
On September 13, 1996, we excavated two testholes for the subject property. These
were in addition to the existing two holes. The results of these tests and water
monitoring are attached.
We propose to install a 4' deep 5' wide trench. There was no water found after
several monitoring periods spanning over eight months. The only water observed
was in TS/TH#2 which has had fluctuating water since its original monitoring.
Additional fill will be placed over the system to provide a minimum of 3' of cover
when complete if required.
There are no public or private wells within 200' of our proposed system location
except as noted. There is neither surface water within 100' nor any known curtain
drains within 50'. We do not expect that the surrounding lots, vacant or developed,
to be adversely effected by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
II~.llgl/D Engineering
Kenneth M. Duffus, P.E.'t
attachments:
On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
' WAs-I-EWATER DISPFISAL SYSTEM OETAILS/SITB PLAN
PARADISE VA~EY S/D, ES, LiRA
MT SYSTEM DETAILS
l"= 20' i 1/4· PVC FRB~ TaNK TB FIEL~
,i MT MT ~
,l/~,PVC 250 STEP TANK
PRESSURIZED DISTRIBUTION SYSTEM HOLK SPACING DESIGN
~. HOLE SIZE = 3/16' = ~,00 GAL PER HOLE ~ 30 PSI
3. 30 GPM (PUMP DELIVERY)/1,O0 GALS,/HOLE = 30 HOLES
4. 75 LF L~TERAL/30 HOLES = 2.5' SPACING PER HOLE
5, ALL IIBLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS.
6. HOLES AT END BF LATERAL SHALL BE CONST, W/B CAPS ANB PLACE~ BO~/N,
7, CONTRACTOR SHALL USE 1 ~/4' PVC PROM T~NK TO FIELD AN~ IN LATERALS,
DESIGN DETAILS
4 BDRM X ~50 OPD = 600 6P~
600 GPD/0,8 GP~ PER S~, FT, = ~50 S~. FT
~ 750/5'(4' GRAVEL) x 0.5(5 wide)= 75' Tpench
c~ ?H~~ 4~ ~ PREPARED FOR: I<ND ENGINEERING
~ILL ~ HELEN FOWLER EAGLE R~VER, AK, 99577
--~ 3o-34t A CHERRY DR., APT, 8
~O~sslOgB~ ~ (907)696 6111/Fox (907)696-8111
~ ELHENDBRF, AK 99506
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
4-
5-
6-
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
Township, Range, Section:
SLOPE SITE PLAN
WAS GROUND WATER ,v
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
DeCh te Water After
Monitoring? '~
S
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ 9~13 -~0 ~/-o / --- ~ v/ed
PERCOLATION RATE __
TEST RUN BETWEEN
'/~/~0 (m,nutes/mch) PERC HOLE DIAMETER ~"~ /~
~,~0 FTAND ~00 FZ
72-008 (Rev. 4/85)
CERTIFY THAT THIS TEST WAS PERFORMED IN
PERFORMED FOR:
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L'1 Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION:
DEPTH
2
3
4
7
8
9
I2
13
14
I7-
20-
WAS GROUND WATER,~/v/~
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
I]epth 10 Waler
Monilorioo? /'Z"'~'/ Dale:
COMMENTS
PERFI
Township, Range, Section:
SLOPE SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
;,- ,t
~- ~ ,/~ ~- ~ '~/~ ,/~
PERCOLATION RATE /__/ (minutes/tach} PERC HOLE DIAMETER --
TEST RUN BETWEEN -~/.6~ PT AND ~,__D FT
AOCORDAN CE WiT H ALL STAT~;~E AND M U~CICIPAL GUIDELINES ',~ EF F ECT ON Td'~/DATE DATE:
72-008 (Rev. 4/85)
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TES'r
~,~-! L..~, .
LEGAL DESCRIPTION: L~"~ ~"~1 ~" I~
2
10
' Township, Range, Section:
11
13
'15
SLOPE
16
17
18
19
2O
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT ~)
DEPTH? p
E
Deplh Io Water After
Moflilodno? ] '~ Dale:
SITE PLAN
Gross Net Depth to Net
Reading Date 'rime Time Water Drop
..~ ..6 ~5~.,.- ~l ~'/~
/.~ / ~ 15 '1~
PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN '~ FT AND "~Y~..
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. DATE:
PERFORMED FOR:
LEGAL OESCRIPTION:
3
4
§
6
7-
8-
9-
It
13
14-
15-
16-
17
18
19-
20-
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section: -j' Il ]~, J'~..;Z,~ I~.~ ~{;~_. C-. Il
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth to Waler Aller ,.e,
MonilorinD? ~'V(~_ Dale:
Reading Date Gross Net Depth to Net
Time Time Water Drop
Lf' S' I&
PERCOLATION RATE ,~r (minutes/inch) PERC HOLE DIAMETER
COMMENTS
PERFORMED BY:
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES INEFFECT ON TRIS DATE.
72-008 (Rev. 4/85)
TEST RUN BETWEEN -~ e/..
FTAND ~/'~-~FT (~g~l.~.=~)
~-t-'~'~,/V'^'~Y I~-ATI ~ uv~¢-(~ 4~o~tro~ I)~ ~r~
CERTIFY THAT THIS TEST WAS PERFORMED IN
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
3
14
15
16
17
18
19
2O
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT I OL
DEPTH? t l p
Moniloting? ~ 0 Date;
SITE PLAN
Reading Date Gross Net Depth to Net
'rime Time Water Drop
PERCOLATION RATE ~,' ~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~" ~/ 'Z FT AND
COMMENTS 1~/,3 J-~ ~ OK) ~L~L~/~JAg, ¢'L-/~ 'e
P ERFORMEDB¥: I
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFF~/~T ON THIS DATE.
72-008 (Rev. 4/85)
FT
CERTIFY THAT THIS TEST WAS PERFORMED IN
DATE: F''~g ~! l¢~[
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
DATE PERFORMED
Township, Range, Section: T I}/U ~:~cO <~ II
SLOPE SITE PLAN
ENCOUNTERED?
S
L
IFYES, ATWHAT ,~?~- I~... pO
DEPTH?
E
Depth to Water Alter
Monitoring? gate:
Gross Net Depth to Net
Reading Date Time Time Water Drop
%-,
PERCOLATION RATE
(minutes/inch) PERC HOLE DIAMETER __
TEST RUN BETWEEN --. FT AND FT
COMMENTS ('/'~I~'-~L-'-~- /"¢'O¢'J¥~S'O~-'")t~" O¢'JN"'~l,~' '~'t'(~'"P'~Y~'/'""-"~O~L'"¢' ~lF'
PERFORMED BY: ~['~ I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: ,~¢ I -~tK)l-'~ DATE PERFORMED~::___
LEGAL DESCRIPTION: L ILA ~8 ~v~t~ Township, Range, Section:
[ SLOPE SITE PLAN
5
6
7
8
9
10
11
12
13-
14-
15-
16
17
18
19
2O
COMMENTS
WAS GROUND WATER
ENCOUNTERED? ~
S
L
IF YES, AT WHAT ~ O
DEPTH? P
E
Depth tO Water Alter ~"/Z.F~/~
Monil0riflo? /,,J 0 r'.' ~. Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE --
TEST RUN BETWEEN __
{minutes/inch) PERC HOLE DIAMETER
FT AND FT
PERFORMED BY: ('.,/~ L--- I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~/~'~'~
72-008 (Rev. 4/85)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anci~orage, Alaska 99519-6650
343-4744
Parcel
1, GENERAL INFORMATION
Complete legal description!' 61~0.~h :~) ~
CERTIFICATE OF r-lEAL:TH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
gocatio? (s!te address or'di~ections) ~'~'~)'-~. . r~)~:iV~---'
Pl;0perty oWner,~'~)l-/1' ~../,"~p-~--~'~,~l~\O-J('- Day phone,.
Mailing a~d'r~::~~OqO ~gJ~+~" ~' ~q~
L:;nai'~g: a~:~H~y. ;;- : · Day'phone
Mailing Address ' "'
Agent · Day phone
Address
Unless otherwise reque,sted HAA will be held for picl~up.
2..'UM"E"'O "ED"00Ms:'
~ 3, TYPE OFWATER SUPPLY:
Individual wel ~'
Community well
Public Water
NOTE: If community well system, provide written confirmation from State 'ADEC attest-
~i'ng to the legality and Status of sYStem.
4. TYPE OFWASTEWATER 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 snown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
ano/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 corn pliance wi~h all Municipal and State codes,
ordinances, and regulati0n~ in'~fe~t on the d~t(~'o~; this inspec~i0n..
Name of Firm ' /~/[///~ :'~///~ ?~ ~ ~/~ ' Phon~ -~): . ~///
DHHS 'SIGNATURE
r?A/ Approved for /74 ' ' · bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the foli°Win[~'istipuiations:
Additional Comments .
By: Date
The MUnicipality Of AnChorage Department o{'Heal:th 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 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.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Health Authority Approval Checklist
Legal Description: ~ {i~"~otr~ V(i~/p-_~.5 .~(~p~] }5 Parcel I.D.: O~O'
A. WELL DATA
Log present (Y/N) Y
Total depth F~' -~- '
Sanitary seal (Y/N) /
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to / 7~ / Casing height (above ground)
Wires properly protected (Y/N)
Date of test
Static water level
Well production
FROM WELL LOG AT INSPECTION
g.p.m.
WATER SAMPLE RESULTS:
Coliform
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Dateinstalled ~// I / ~~]
Foundation cleanout (Y/N)
Nitrate ~, ~'~ ~ Other bacteria
Collected by:
Tank size /,~"~ ~
Number of Compartments ~ Cleanouts (Y/N). k/
Depression (Y/N) / High water alarm (Y/N) ?
Date of Pumping "---- Pumper
C. ABSORPTION FIELD DATA
Date installed ~.//I/~
Length /¢~) / Width
Effective absorption area.
Soil ratin~r fF/bdrm)
t
Gravel thickness below pipe
Monitoring Tube present (Y/N)
Date of adequacy test Results (Pass/Fail)
Fluid depth in absorption field before test (in.); _~ after
Fluid depth j~'~s')d~'u t e~at e r:
Peroxide treatment (past 12 months) (Y/N)
¢' System type ~Qe/~
4/// Total depth ~ ~, /
Depression over field (Y/N) /V'
For ~ bedrooms
gal. water added (in.):
Absorption rate =
g.p.d.
If yes, give date
72-026 (Rev. 3/96)*
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested ..~
Size in gallons
"Pump on" level at* CY
"Pump off" level at*
*Datum z~bC/z¢'~
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation /~/''/'' Property line /d/'/" Absorption field /d /'/-
Water main/service line ~.- ,¢' ~' Surface water/drainage /,¢J /"/'- . Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line ~ ~
Surface water /,¢,¢ /'''~
Curtain drain /~¢ /'¢'
Building foundation /¢¢ /4- Water main/service line ~, 5" /,¢-
Driveway, parking/vehicle storage area
Wells on adjacent lots /~P
ENGINEER'S CERTIFICATION
I certify that lhave determined thru field inspections and review of Municipalrecords t__~(~ro-v~i~,~s are
in conformance wi~h MOA HAA guidelines in effect on this date. ~,'~, ... ~ % ~ ~
HAA Fee $
Date of Payment
Receipt Number
;SO0
Waiver Fee $
Date of Payment
Receipt N umber ~ ~) I ~:~ ~/'C'~O'~ ~',~¢~ .,~
72-026 (Rev. 3/96)*
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
On-Site Services
Waiver Review Worksheet
WR#: WR000009 PID#: 020-413-41 HA#: HA000055
Date Received: February 18, 2000
Legal Description: Paradise Valley Subdivision, Lot 12A, Block 8
Engineer: KND Engineering
20441 Ptarmigan Blvd,, Eagle River, AK 99577
Applicant; Bill & Helen Fowler
Waiver Requested: 3 foot lot line waiver
Permi¢: SW980439
Criteria: 1. Geology Points:
A. Water Table
B. Soil Sorption
C, Permeability
D. Water Table Gradient
E. Horizontal Separation
2. Special Conditions:
3. Other:
Total:
Waiver is Granted: ~
List Conditions or Reasons for above:
dY ¢ T/ ¢ T/OW'
Waiver is not Granted:
Date:
Name of Reviewer
Rec#: 5612 Amount: $115.00 Date Paid: February 23, 2000
~<ND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
February 18,2000
Municipality of Anchorage
Dept. of Health & Human Services
On-site Services Section
P.O. Box 196650
Anchorage, AK 99519-6650
RE: SEWER PERMIT/LOT LINE WAIVER - PARADISE VALLEY S/D,
BLOCK 8, LOT 12A
Gentlemen:
During the as-built process we encountered a problem with the system being in
close proximity to the lot line. Subsequently, we had the system surveyed and
verified that the system was constructed within 10 feet of the property line. Also
to verify soils, an additional test hole was performed (TH 99-1) and another perc
test was performed on TH 96-1 between 3 and 4 feet with a perc rate of 0.8 GPD
per square foot (see attached). The system is still located within the original and
the before mentioned additional test hole radii. We do not expect there to be any
adverse effect on adjacent lots by the location of this system. We are therefore
requesting a waiver to 3 feet to lot line at this time.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
KND Engineering
K~enne~ P i
Attachments:
As-built
Inspection Report
HAA w/waters
Well Log
Additional Test Hole 99-1
Additional Perc TH 96-1
Pnm~3 Da~,'Tit'nu: 02-,,2~00 1 ? 00
Co~t Da~e.fT, im¢, 021100
Rec~.~ D~,tm/Tirr~: 0.~Z1/00 10;10
Tec~a! Director $[e~q
Total COil~
N~:mte 0 53 O 5 m~ EPA 300
iO.O
02/21/C9 SCL