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HomeMy WebLinkAboutGRANITE VIEW BLK 7 LT 7 NAME MUNICIPALITY OF ANCHORAGE ~-., ' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE NEW [~ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION DISTANCE TO: urer gallons DISTANCE TO: Well Absorption ~2rea Well No. of lines j . Top of L~e, wish grade Length Width Type of crib rib diamet;r/] r'~ We~l ~v/IV DISTANCE TO: Class Depth Dwelling Material DISTANCE TO: NO. OF BEDROOMS PERMIT NO. No, of compartments Liquid d~pth Inside length IF HOMEMADE: Dwelling PERMIT NO. Material Liquid capacity in gallons Foundation Neares Total ~,~)h~,~ n es Trench width ' I ~ inches Material beneath tile Depth Crib depth Building foundation Driller foundation Sewerline PERMIT ~O. Distance between lines I Total e~fective absorption area ,~ inches PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line Septic tank OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS IA ppR~'~IE D .¢ DATE LEGAL PERMIT NO. Absorption area(s) FIF'PLICFII'.,FF .:t'(:ll.-If.,I [:, FII....E',=:I::tN[)E:R ]:4::L5 t,.t 8:ii: !:~:'.[:, F:i'v'ENI...IE L. OCFiTIOI"~ E 88'T'H I'.,!0 CII?.CL.E LEGFIL L'i::' 8';:;' GRI::II'.,I I TE ',,,'Z El.,.! ~!.:,. [:,. L. CFI" :~; ! .. T?.PE OF '.'i.-:OIL. FtE',~;OI:;..'ST]:ON ~.:?T'S"FEM :[::~:: TREI'.,ICH 'THE F:E(;:PJ ! RE£:, ~i; I Z[:': iF THE :~h'.') ]: L R[i?.'~!;CII:~-:F']" I tZIt",! :::':;"r':~;TEH '! '.:!; i THE L. EI'-,IG'H-.i [.'.', I HE.N:::_:;:I:. ON I S:'; THE LEtqGTH ,:: I N I='EET ::, (:iF' THE: '!."I:[:E]'.,!CI-.~ OR [.':,RF-I ! IqF ]: EL.D,. THE [:,EI:='TH OF F:I TF?.ENCH OR F'!T Z'."E; THE B, ZS"FFII'-,ICE E',ETI.,.IE:EN THE !~;Ut:i[:F'I::tI:]:IE OF '!"HE 6iROI.JN[:, I:::11'.,1[:, THE [.:~O]"TOH OF' THE EMCFt'v'Fi'I"I' ON ,:: I f',t FEET). 'I]qEi::::E .I :.:.:; IqO ~i;ET I.,.! I [:,TH FOI':..' 'T'RENC:HE::.!;. THE GRF:I',,,'EL. DEF'TH I ::..:, THE M I 1'.,I I I',llJM DEPTH OF' GF:::F:I',,,'EL E~EI"I.,.I!!:-::Ef',! THE OUTF=F1L. L P I I'::'E FIND THE IL:~OTTO!'"I (:iF' THE E:=',CF:f',,,'FITI'ON <.T.N F'.F:.ET). DEF'F~RTHENT [,.I ILL BE SU[~L:r[-.::C:T TO :PRO~.:,ECLI'i".T. ON. ±D~!l ]"O 21;.~.Z~ FF:.'E'F F'ROH F:I F'UDL. IC t.,.IELL [:,EF'EI",tDING IJI='C~N THE TYPE OF' PLIF.:',L!C kIEL! ..... FI',,,'F~ Z L.F~E",'LE TO I N%LIRE PROPER I N:'_=;TFILL. FFFI ON. I CERT I I::'"r' ]"HF:FF :I_: ! I::1t"1 Ff:IMILIF:II::~: I,.lI]"H "f'HE t:;.::EI::!LI!REMEI'.,ITS; I::'OR ON-""-:'~;ITE SE!,;iEI:~:S; F:II",![:, NEI...I....'.'5 f:l:S FORTH B'-? THE i"ILINtCIPFII_.IT'-? OF FtNCHORFIGE. 2: I I.qILl_ IN~=:;TFII...L THE :~;Y?=';]"EH I!'.,I F~CCOR[:,I:::II",IC:E t.,.tlTI..-! THE CO[:,E.'.:i!;. '2:: I UN[:,[:T.I:i?.'."S, TFII'.,I[)'F!.iFIT THE Ot'.,I..-.L::;tTE ::.!;EI-,~EFi: '_5"r'ST['ZI'd I'"!I=i'T' RE~]:!U!'I'~i:E EI",tLF:IR(~iEHEN'/" ZF:' THE REL=; I [-"ENCE I ~; REMO[>ELE[:' TO l NE:L..IJ[:,E MORE 'T'HFt!",I 4 E',IE[:'ROCff"tS. ~..'FiF~'L,I~'.':FIi",IT JOHN I} FiI.~:FIN[:'ER Z 0 0 0 0 0 0 0 0 0 0 0 0 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 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ~LITY OF ANCHORAGE E~NTAL SERVICES DIVISION AUG 1 3 1997 RECEIVED 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Day phone Lending agency Mailing address Day phone Agent Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: z_// Day phone ,k~L. qfi ~---o% 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. 4, TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide wriften confirmation from State ADEC attesting to the legality and status of system. 72~25 (Rev. 1/91) Front MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I 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 KND Engine_ring 20441 Ptarm~jan Bird, DHHS SIGNATURE '~' Approved for 4 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Munioipe. lity 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 Jstered inthe State of Alaska. The DH H8 does this as a courtesy to purchasers of homes and their lending institutions Jn order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA ¢Y21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVIC~ijSG Environmental Services Division 1 3 1997 825 L Street, Room 502 · Anchorage, Alaska 99501 Health Authority Approval Checklist Legal Description: ~'~.~ ~,'~,-~ ~ -~ ~ogL~ Parcel I.D.: If A, B, or C, attach ADEC letter. ADEC water system number Cased to FROM WELL LOG Date completed 1 Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION I Al WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production ~-~ g.p.m. ,~, ] WATER SAMPLE RESULTS: Coliform ~ Nitrate ~ ~. [oo Other bacteria Date of sample: '~ JZ.., lc:~,"-/ Collected by: B. SEPTIC/HOLDING TANK DATA ~'~ %~,~._~¢_¢-- ~ Tank size Number of Compartments __ Cleanouts (Y/N).__ Foundation cleanout (Y/N). ~(-Y2H__~ High water alarm (Y/N) Date of Pumping Pumper ~ C. ABSORPTION FIELD DATA g.p.m.  Soil rating (g.p.d./ft2 or ft2/bdrm) System type Width Gravel thickness below pipe Total depth area Effective absorption ~ Monitoring Tube present (Y/N)__ Depression over field (Y/N) __ Date of adequacy test _ ~ail) For Fluid depth in absorption field before test (in.); Immedia~..water added (in.): later: Fluid depth (ins) Minutes Absorption rate = % g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date ~ 72-026 (Rev. 3/96)* bedrooms "~---J~F T STATION Da~ Size in gallons Manhole/Access (Y/N)~"'-'~"~'~ "Pump on" level at* "Pump off" level at* High water alarm level at* ~'~19~t~ Cycles tested ~ E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ~l¢~ Absorption field on lot ~/1~ Public sewer main ~:~ ,t Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: ~ ~Properfyline Water main/service line Absorption field Surface wateddrainage. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ots ~__ Building foundation Water main/service line ' . Surface water Driveway, parking/vehicle storage area Curtain drain ~ F. ENGINEER'S CERTIFICATION HAA Fee $ Date of Payment Receipt Number I certify that l have determined thru field inspections and review of Municipal r,~'~,'~bove systems are in conformance with MOA NAA guidelines in effect on this date. ~. ~ ~.~. Signature Date ~. Date of Cayment 72-026 (Rev. 3/96)* ,og ,Og'~O~=] CT&E Environmental Services Inc CT&E Ref.# Client Name Project Name/# Client Sample !D Matrix Ordered By PWSID Sample Remarks: 973949001 Susan Oswalt & Associates 3082 North Circle Lt 7 Bk 7 Grmfite View Drinking Wa_teL ...._ Client PO# Printed Date/Time 07/25/97 08:22 Collected Date/Time 07/21/97 08:45 Received Date/Time 07/21/97 10:25 Technical Director: Stephen C. Ede Released By /) /. Nitrate~N Total Coliform Results 0.100 u 54 OB W/O COLI PQL 0.100 Units mg/L Allowable Prep Analysis Method Limits Date Date Init SM18 4500-NO3F 10 max 07/22/97 JRJ SM18 9222B 07/21/97 TMW NORTHERN TESTING LABORATORIES, INC. 3,'J;50 iNDUSfRIAL AVENUE FAIRBANKS, ALASKA 99701 (9~)7) 456-31 16 · FAX 456-3125 8005 SCHOON STREET ANCHORAGE, ALASKA 99518 (907) 349-1000 ® FAX 349-1016 DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA KND Engineering 20441 Ptarmigan Blvd. Eagle River AK 99577-3736 Date Received; 8/14/97 Time Received: 1t:00 Date Analyzed: 8/15/97 Time Analyzed: 17:00 Date Reported: 8/18/97 Time Reported: 09:26 Next Sample Due: Comments Phone Number. S = U = Fax Number: POS Collected by: KR ND = TNTC Sample Type Routine CG Method of Analysis: Membrane Filtration (SM 9222 HSM = SA = Old Comments: R Satisfactory Unsatisfactory Positive Test Result None Detected Too Numerous To Count (>200 Colonies) Confluent Growth Heavy Sediment Meskin~, Results May Not Be Reliable Sample Age >30 Hours But <48 Hours, Results May Not Be Reliable Sample Age >48 Hours, Too Old For Analysis Resample Reauired Sample Sample Total* Fecal Other* Date Time Coliform Coliform Bacteda 8/15/97 09:50 0 ND 8 NT --- No Test * # (~olonies/1 O0 mi ** # Colonies/mi HPC** ResuLt Lab# Location NT AC5601 GRANITE VIEW SUaD, L7 B7 Comments Satisfactory slletfl L TrasK Environmental Allaiyst Northern Testing Lal~ora[orlcs, Irlc /~lohorage, AK 8/18/97 Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 5, 1997 Ken Duffus, P.E. liND Engineering 20441 Ptarmigan Boulevard Eagle River, Alaska 99577 Subject: Waiver Request for Lot 7 Block 7 Granite View Subdivision Waiver Request #WR970047, PID #014-302-15 HA970360 Dear Mr. Duffus: Your request for waiver(s) of the required 100 foot horizontal separation of an on-site wastewater disposal system to a private well has been approved. The approved separation distance(s) are the private well on Lot 7 to the septic tank on Lot 6 of 96.5 feet. This waiver approval applies to the existing on-site wastewater disposal system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, aniel J. Roth Civil Engineer On-site Services Program ljm:#6 Alexander MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section WR#~LS~'~ PID# Date Received: Waiver Review Worksheet 014-302-15 HA# Pa~TLv~F Permit August 13, 1997 Legal Description: Lot 7 Block 7 Granite View Subdivision Engineer: Ken Duffus, P.E., liND Engineering 20441 Ptarmigan Boulevard, Eagle River, Alaska 99577 Applicant: John Alexander Waiver Requested: 96.5 feet. Private well on Lot 7 to the ~$~rtr septic tank on lot 6 of Criteria: 1. Geology: Points: Ao Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Z List Conditions or Reasons for abov Date: Rec #: 03137/2104 Amount: $ 62, Municipality of Anchorage Department of Health and Human Services 625 "L" Street RickMystrom, P,©, Box 196650 Anchorage, Alaska 99519-6650 Mayor 343-4744 September 5, 1997 Ken Duffus, P.E. liND Engineering 20441 Ptarmigan Boulevard Eagle River, Alaska 99577 Subject: Waiver Request for Lot 7 Block 7 Granite View Subdivision Waiver Request #WR970047, PID #014-302-15 HA970360 Dear Mr. Duffus: Your request for waiver(s) of the required 100 foot horizontal separation of an on-site wastewater disposal system to a private well has been approved. The approved separation distance(s) are the private well on Lot 7 to the septic tank on Lot 6 of 96.5 feet. This waiver approval applies to the existing on-site wastewater disposal system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Daniel ~. Roth Civil Engineer On-site Services Program ljm:#6 Alexander ~V ~ L L I)~ TY~ - 5'.oP,9. R£.C. 5. p. IS- 4 2.9 0 R m~-O rOTb t 2.¢ ~061 3051 ~0~1 3031 8'72~ 8~ 8 AVE. 3(X)4 s so 3,051 8901 17 3126 32345 3121 32 I0 - Certified.Well. ' " k Location. L~..t ....6.,..L Bl.o_ak__.~.,...'.grani.t.a....V.i~:.:SU.hdl~.t~_o r~.. ~.. · .~,~. .' ~. i'? ' Date Completed.. ·. Size of ¢ .,~) Distance to water while pumping .................... 8.8_.F._~,~[ .......................... at rate of ......... .~.,~..O....:......~ ................. gallo~s per hour. Z 0 0 0 0 0 0 0 0 0 0 0 ~ © 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 Z Z © 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 z ~ ~ ~Z Z 0 0 0 0 0 0 0 0 0 .0 0 0 0 CD 0 0 0 0 0 0 © 0 0 0 0 0 0 (D 0 0 0 0 0 ~ 0 0 0 Z 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 July 23, 1997 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 ATTN: Dan Roth RECEIVED AUG 1 1997 Municipality of Anchorage Dept. Health & Human Services REF: Lot 7, Block 7, Granite View Subdivision Well to Septic Tank Waiver Request Dear Mr. Roth: On July 17, 1997, KND Engineering performed a well flow test on the well serving the subject lot. Although the well was entirely adequate, we found during our measurement verification that a septic tank on an adjacent property was less than 100 feet from the well. A later survey confirmed our measurements. From records in your files, it was determined that the original well was drilled in September 1978. The septic system in question on the adjacent lot was originally installed in October 1975 but was upgraded in September 1993. During the upgrade the existing tank was examined and verified to be intact and was not replaced. The engineer in his as-built drawing indicated that there was insufficient separation but no waiver was obtained for the separation distance. Through the survey we find that the first cleanout on the septic tank is 98.6' from the well. Assuming that the end of the tank is approximately 1.5' closer to the well, the septic tank is 96.5' from the well. We are therefore requesting a waiver of 4.5'. The well log indicates the presence of clay, dirt and gravel in the first 90 feet, then gravel and a little clay for the next 7 feet. From 97 to 100 the driller found gravel and water present. The well depth is at 100 feet. Our nitrate sample yielded a reading below the minimum detectable limit. The sewer system lies on the adjacent lot to the south and towards the west side of the lot. The well is located in the south eastern portion of the referenced lot. From the well the lot begins to slope gently to the west, away from the well and the septic system. In addition, the soils information for the adjacent lot indicates varying amounts of clay of hard and medium density to 92 feet. No bedrock was encountered and water was found at 92 feet. REF: Lot 7, Block 7, Granite View Subdivision Well to Septic Tank Waiver Request July 23, 1997 Page 2 of 2 In compliance with 18 AAC 80.020 and 18 AAC 72.021(a), I have addressed geological conditions for this request and have assigned the following number values: Distance from sewage system bottom to groundwater Soil sorbtion below the sewage system Soil permeability below the system Water table gradient Horizontal separation 6.73 3.97 3.00 2.90 2.94 TOTAL: 17.54 In addition to the above most of the adjacent lots are served by public sewer with some having public water. Based on these values and my evaluation, I feel that the possibility for contamination of this well is fairly remote. Your prompt attention to this request is appreciated and if you have any questions, please contact me at 696-6111. Respectfully submitted, Kenneth M. Duffus~/P.E. enclosures: Certificate of Health Authority Approval Health Authority Approval Checklist Site Plan Water Test Results MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. O? i '-/',LT;i & ; ' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECr~IL~ON~/E,~TAL . ,: :[CTION  825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 R E CLi LVi..~Ei~ REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER F DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNERPHONE '--, o .,,'flu , × ,.¢ MAILING ADDRESS PHONE PROPERTY RESIDENT (If different from above) PHONE MAILING ADDRESS 3, LENDING INSTITUTION ~ I PHONE MAILING ADDRESS 4. REALTOR/AGENT I PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STR E ET.~OCATION 6. TYPE OF RESIDENCE [~SI~G LE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOM8 [] One [~'~our [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY [~'~1NDIVI DUAL* [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM [~""1N DI V I DUA L/O N-SITE** [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is requ'ired for all wells drilled since June 1975. For wells drilled p~ive depth (attach log if available.) ~__~_~'~::::~;~_____/~C~ ~_~,~,/ **If individual/on-site, give installation date /7~' 'ir ~,~L .... ' t~..~ [9) ,~ .... IJ .................. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2, WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM -~RMIT NUMBER :[]INDIVIDUAL/ON -SITE DATE INSTALLED Connection Verified INSTALLER []Septic Tank or [] Holding Tank / --~ If Tank is homemade SOILS RATING give dimensions: I ''~ ~ .... TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS {~"'~APP R OV E D FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LE'GA L ES 72-010 (Ray, 3/78)