HomeMy WebLinkAboutGREAT LAND ESTATES #1 BLK 1 LT 4 ~---,,~ MUNICIPALITY OF ANCHORAGE DE, ,',,,E.T OF HEA,_T. A.D..,,,A, SE.', .S · Environmental Health Division , 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES Address TANK FIELD WELL Phone{s).7 ~- 3 ' .~ - 7/%/ .~ Permit~ 7 No.o ~// No. of ~Bedr°°ms WELL ~Z/ ~p,~..¢,~¢¢¢~,-¢¢-,. ~*~ ~sc.,.~o. LOT LINE / .~ ~ / Lot ~ Block Subdiwsion ~~ / -~¢~ ¢/~ ~*( ~¢ FOUNDATION /o ¢ z/~ ~ /¢~ ' T .... .ip, Range, SecUon 6RE~T ZAW~ E57~7~5 ¢/ AS-BUILT DIAGRAM tShow location of well, septic system, property hnes, foundaUon. ~ J ~-- ~ ~ / ~U %~ ¢, / ~ dr,veway, water bodies, etc.) ~ SEPTIC ~/~,/~ ~ HOLDING Material NO. of Compa~ems TYPE OF SYSTEM ~ TRENCH ~ BED ~ W. DRAIN ~ OTHER ~.)/.,( ~;~ tO pipe bottom Item Total depth from origin¢, grade - ~ ~ original grade ,~ ~ FT ~' FT / Fill added abe .... iglnal grade Gravel depth beneath pJpe~ ~J_~ ~ Gravel ~ength Gravel w,dth ~ Total abso,pU%, area iD,stance between lines ~ PRIVATE ~ OTHER (Identify) I Scale: :ENGtN,EER:S~EAL ~r'~ ~/7;~ /~ /~¢ ~;~ ..... .¢, ¢.Y ~/¢(-J, Inspections Peflormed by: ' Eagle Riv0r Engineering S¢'v,c~s '~; ~'- I ~~¢X c~ ¢-~ ~-~ cedily that Bis inspection was pedormed according Io all Municipal and Slate guidelines in elfecl on this date: ~ ~/~ ~ Health Depadment Approval: · ~ ~' ~~;* Date: ~--~--~ ~% Anchor e P.O. BO/, ,96650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES September 10, 1987 Lou Butera, P.E. Eagle River Engineering Services P.o. Bo× 773294 Eagle River, Alaska 99577 Subject: Lot 4 Block 1 ~ F,s~a~4~es Subdivision Waiver Request WR86-053 Dear Mr. Butera: Your request for a waiver of the 100 foot separation required between the well and septic tank on the subject lot has been granted. This distance has been waived to 84 feet. This waiver is based on the fact that the septic tank in question is in good condition and that the topography and hydrogeological conditions in the area provide protection for the water supply. This waiver applies to the existing concrete tank only. components of the septic system must meet the 100 foot separation requirement. Other Sincerely, Morris Civil Engineer On-site Services cc Gus Andress, P.E Manager, On-site and Water Quality Programs EAGLE RIYER ENGINEERING ERVICES Lou Butera, P.E. P.O. Box 773294 Eagle River, Alaska 99577 Telephone (907} 694-5195 September 1, 1987 Mr. Steve Morris Civil Engineer, On-site Services Municipality of Anchorage P.O. Box 196650 Anohorage, At( 99§19 ~T REF: Lot 4, Block 1, C-~states Dear Mr. Morris: On behalf of my client, Mr. Don Ryan, I am submitting the information necessary for your determination of a waiver of separation distance, well to septic tank, to 84' for the above referenced lot. The existing tank was installed in 1972 and was inspected and approved by the Municipality at that time, as per the Inspection Report enclosed. A new well was drilled in 1974 utilizing the previously required separation distance of 50' to a septic tank. Our field measurements confirm the tank inlet to be at 84' from the well. It is our request to retain the existing tank. We have gone to the expense of uncovering the tank to check its present condition and found the tank to be in excellent condition with proper inlet and outlet connections. It is our intention to replace the existing seepage pit with a leachfield with a capacity of five (5) bedrooms, an upgrade plan is attached for your review. The file well log shows that the well draws from a sand and gravel aquifer at a depth of 174'. The casing is continuous to 174' with a static well level of 147' below the ground surface. The well was pumped at a steady rate of 5 GPM with 12' of water surface drawdown to a level of 155' after 150 minutes of pumping. The surface topography is such that any surface septic seepage would be directed away from the well location toward a slight slope paralleling the well to the east at 100' distance. The subsurface soil is a GM type with a pete. rating of 306 underlying a GW type soil. The area in question has a low population density. If there are any questions or concerns, or if additional information is needed, please feel free to call me at 694-5195. Lou Butera, P.E. LB:bls attachments SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTN]ENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: PO~j ~ t/''~ LEGAL DESCRIPTION: }¢P~' ~-~ DATE PER F.ORMED: SLOPE SITE PLAN 4- 5 6 7 8 9 10 ROUND WATER 1 1 INTERED? ~:/,~o /:~/ pO E 12 , ATWHAT &>}a 7//~? 13 Gross Net Depth to Net Reading Date Time Time Water Drop 14- 15 16 17 18 19 20 - ~ 3 :OLATION RATE (minutes/inch)' TEST RUN BETWEEN ~ FTAND ~ , FT COMMENTS Eagle Riv0r Engineering'Services Eagle River, AK 99577 694-5195 72-0~8 (6/791 330,0~ UTILITY EASEMENT ~2 /RESERVE AREAl ~ k ~ , I/UPGRADE//// ) GREAT LAND CIRCLE EXIS~IN~ LEACH FIEL~ ::::::= NE~ LEACH FIELD CLEANDUT - ' SCALE~ 1~ = WELL AND SEPTIC. SITE PLAN LEGAL~ LOT 4, BLOCK 1, ~ ~¢;~2o,~*° CDNTRACTDR~ N/A ?~~T~Y: ..... EAGLE RIVER ENGINEERING SERVICES ¢:~: to.~.,.~.~. :~ EAGLE RIVER, AK, 99577 LEGAL: SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LOT 4~ BLOCK l, GREATLAND ESTATES ~!~/ GENERAL 1~ The well and septic plan are for a single family reeidenoe orlly.. 2. The drawing and or site plan shall be a part of this epeoifioatior~, S,: All materials and wor"kmaneh&p shall mee% the Anchorage Oepartmenh of Health and State Depanbmer~t 0¢ Environmental Oonsenvatlor~ Fequire-- monte ~ 4. Ail soil heshs ace advisocy to the design and are modified in the field by the engineer.. 5.. Ail excavations and depths are advisory and are to be verified modJ, fied in the field by the oon'traotoc to meet Hunioipality of Anohocage, Depactment of [}lnvironmental Conservation 6~ It is the responsibility of the owner to obtain all necessary permits oc easements arid t}o looat;e any ad.jaoent multi-family Y. The excavation is 'ho be exactly in the acea shown on the site plan, ar]y devia13ien i'-equ;(ces eflgineec appceval~ 8. It ils always recommended that a surveyen locate t;he nearest lot line position and the lo(3atieR e¢ any easements. BED 1, The bed is to follow the natucal land contour Ix) maintain Llniforn] total depth o'? the bed bottom. 2, lhe bottom of the bed shalI be level, plus en S, The 'bet. al depth O'P the bed exoavat:i, on is riot to exceed 4* at any po i n t ,, 4~ fhe se~en l:[ne J_s to ~eplaoe the exJ~sting se~en lille that leads te the existing pit. 5~ The bed gnavel is to be covered with typan {abrJ. o ~aterJ_al~ 6, Soil en oombJ, nat;ion of soil, and extruded boand insulation to a depth of 4* on equivalent is to be piaoed oven the leaoh¢ield. 7~ The area over the bed iS to be finish graded to prevent pondir~g of surface water runof'ff. The eephio I';ank and leachfield mush no% be closer than 100' ~o any ex%sting private well, 150' ho any Class 'C" ~ell, or 200 feet to any oommu nit;y well. RECOMMENDED LEAOHFIELD DIMENSIONS TOTAL DEPTH x 4~ GRAVEL DEPTH Soil Rating x 85 Bedroom Oapaoity :: 5 Septic Tank Size x t750~ including lift BED LEHGTH x: 55' BED WIDTI'I :: 1,8* SAND FILTER NOT REQUIRED DUE TO PRESENCE OF GM LAYER AT 6* DEPTH. SPECZFZOATZONS FOR LZFT STAYZON LEGAL: LOT 4; i3LOOK ]., GRE;~ATL~>~ND ESTCYTES~/ GENERAL The drak'~ings shall be a part of 'this speoifioation. f~].L mat. eriale and ~,¢orkmanship shall meet the requiren'lasn'cs of ~nohorage Depar kment oT' Healbh and Envi ronmenta], Proteo'tion Permit. Eleo/;rioal k~onk is to be pet'.loomed by a lioensed eleotrioiar~ bo Nuniolpal Ood(~ Standands. Electrical will nok be ir, speoted by '2~0 THE t,.IFT ST¢,~TION ~ oommenoial paokage oonsisting of an Nunio:Lpalit;y o-P ~nohorage pre-,.~approved li-?~ station manufaotured by l,~nohorage Tank. faRESSURE SEATER The pcessure se,~er' sha].l bo I 1/4 inoh polyethy].ene or PVC pipe bur:b, ed to th(~ min:Lmum depth oT; 5 feet or insulated from tshe ].i'ft station to the leach area~ 4.0 SIZE 4.1, LiCt sbatLon is ~o be a minLmum of 500 gaiLlons plus 250 gallon,s l~.f'c seot;:ton for a botal of 750 gallons,, 4.2 The pump shall have a oapaoity of 10 GPfd at~ .},0' o'f: head., MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION ON-SITE WASTEWATER DISPOSAL SYSTEM INSPECTION ENGINEER FIELD AUDIT DATE: ~-~ TIME: LEGAL DESCRIPTION: ENGINEER: EXCAVATOR: COMMENTS: SIGNATURE OF~ AUDITOR: /0, ~'~~ G*" m'.~TER ANCHORAGE AREA BOR~!f"~ H D.~PARTMENT OF ENVIRONiVtENTAL QUALii ¥' 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8886 INSPECTION REPORT ON-SII'E SEWAGE DISPOSAL SYSTEM NAME. MC LOCATION Cormick-Bowles MAILING BOX 529 99567 PH ' ~68~-2~ ADDRESS LEGAL DESCRIPTION Lot 4 Block 1 Greatland Estat j SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY 1,000 ____MAIERIAL concrete NUMBER OF one COMPARTMENTS _GALLONS. INSIDE LENGTH___ ---~ LIQUID _.INSIDE WIDTH ._DEPTH ' SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS_ On~_____OUTSIDE DIAMETER_ __OR WIDTH_ 14 ' __, LENGTH 32 ' DEPTH 6 ' LINING MATERIAl DISTANCE FROM WELL 100 '+ 22' BUILDING FOUNDATION____. NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 2'76 sq. feet SQ. Ff. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES /' ABSORPTION A/REA ~ ,FOUNDATION ~.~.. NEAREST tot LINE __DISTANCE BETWEEN LINES_ ~""~,~NCH WIDTH _ SQ, FT. LENGTH OF EACH LINE TOTAL LENGT~ OF LIN~S~' .IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE .IN. ABOVE TILE,~ WELL: LOT LINE TYPE drilled DEPTH NEAREST , SEWER LINE DISTANCE FROM WATER _, BUILDING FOUNDATION SAMPLE NEAREST SEPTIC SEEPAGE OTHER ,TANK , SYSTEM_ 100 ~-J' , CESSPOOL ...... SOURCES__ DISTANCES: j:l -~o & = l*~o DIAGRAM OF SYSTEM house _35 '___~/~L-- 1,000 gallon concrete tank --32 ' ----=~ Parcel I.D. # 1. 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 051-131-14 HAA# GENERAL INFORMATION Complete legal description Great Land Estates #1 Lot 4, Block 1 Location (site address or directions) 23525 Great Land Circle Property owner Donald A. & Kathleen Ryan Mailing address 3420 Evergreen Street. Anchorog~, AK Lending agency N/A Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. Day phone 694-5195 msg 99504 Day phone Re/m× of Ea?]e River - Eva Loken Day phone 694-4200 NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: X 72-025 (Rev. 1/gl) Front MOA~21 If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer If community well system, provide written confirmation from State ADEC attest- ing 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 inves_ti_gation 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 Eaqle River En~ineerinq Services Phone 694-5195 Address p.o. P~Y 77_~94, Eao!e River, .~% 99577 Engineer's signature ~ Date DHHS SIGNATURE /,/"/ Approved for ~" bedrooms. Disapproved. Conditional approval for bedrooms, With the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Healtfi Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska, The DHHS does this as a courtesyto 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 profe,ssional engineer's work. : . 72-025 (Rev. 1/91) B~ck MOA N21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~'/~-.~"7' ~-~/V~) ~,~'~ ¢~/' Parcel I.D. A. Well Data Well type Log present (Y/N) Total depth DS/-/~/-/5~ Sanitary seal (Y/N) Date of test Static water level Well flow Pump level1 (~q' ~ ~ / If A, B, or C, attach ADEC letter. ADEC water system number Date completed 0'7//~/"//~ Driller /~ ~ Cased to /~ / Casing height Wires properly protected (Y/N) )/~> FROM WELL LOG AT INSPECTION y ,l o ~ o 9-/ 5 g.p.m. 5', ~ (~/~); On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank ~ SEPARATION DISTANCES FROM WELL TO: Septic/l~ tank on lot Absorption field on lot Public sewer main ,/~/~ Sewer service line 7 o6 ~-~ uE_~ WATER SAMPLE RESULTS: Coliform /0/0':~/~ -1~ Date of sample: ~- 2, j - ~,-/ Nitrate ,~, ~_/z /4//~///.~_ Other bacteria 1~,1o~.19'-/ Collected by: B. SEPTIC/I~ T/~N_.K, DATA Date installed ~y;~Z~ Cleanouts (Y/N) /V~ ,~ High water alarm (Y/N) Date of pumping Tank size /~- ~0 Compartments Foundation cleanout (Y/N) /V'~ Depression (Y/N) /%///-) Alarm tested (Y/N) /V o91 ./9 I Pumper SEPARATION DISTANCES FROM SEPTIC/I ,'CLDh%~G TANK TO: Well(s) on lot ~ I ~)~//V~?-~On adjacent lots To property line -/' /~)0 ! Absorption field 7~ ~ t Surface water/drain,age //'-//,/11' / Foundation /(-.~ Water-ma~/service line 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level ~"~-/' Meets MOA electrical codes (Y/N) . "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot e,-,~+ On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ,~ ~,) Width Total absorption area 9 Date of adequacy test Soil rating (GPD/Ft2) /~-5 ¢/~ Z~/--1/ I Gravel thickness Water level in absorption field before test System type Total depth Cleanout present (Y/N) ~/~% Depression over field (Y/N) Results (pass/fail) /~/¢5 ~ for --~ Bedrooms '~,~" / /-~,~Y Aftertest Z/-,~" /k///~ If yes, give date ,/~//-/~ Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /~ ~' / To building foundation On adjacent lots Surface water Curtain drain / On adjacent lots ¢//3~,,~ Property line '/~ / To ~ abandoned system on lot Cutbank /,~//,,Z~ Water mein/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to afl MOA and HAA guidelines in effect on.the date of this inspection. Signature Engineer's Name ~U/~ Date .?~ .z ? ¢ ¢ f HAA Fee $ v~¢c"~ ' ~ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number Client Sample ID l~tdx Cliimtlqame O~x~d By Commercial Testing &Enginccring Co, Environmental Laboratory Ser,,ices ~,~jas,~,~e~' LABORATORY ANALYSIS REPORT gA '['a~.~J cai Di_,'~c~ o r S~t'~HEI',I C. EDE lqitrate-N I~OUII]~ g~MtrLE COLLEl-~l,~-t~ BY: MIN. QC A[lo~ E~ 2,40 mS/l- EPA 353.7J300.0 10 09fi31i~t ClvEL 5533 a Sweet, Anchorage, AK 9951 8-1600- Tel: (907) 562-2343 Fa~c {90'/) 561-530t ENVIRONMENTAL FACILFT[ES tN ALASKA, COLORADO. FLORIDA. ILI. JNOI5~, MARYLAND. NEW JERSEY. OHIO. UTAH, WEST VIRGINIA