HomeMy WebLinkAboutMOUNTAINSIDE VILLAGE BLK 3 LT 4Mountainsid
Village
Block 3
Lot 4
#020-172- 23
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
82§ L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME iPHONE i E~EW
~OXJAL D L O~'T~O~ ~-~10~ ~ UPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
NO. OF B[~OOM8
LOCATI ON ~T~ ~O~
IWell Absorption ~,
DISTANCE TO: ~ ~ ~ Dwelling PERMIT NO.
~ ~ Manufacturer ~ Mattel
No. of com~ments
Liq. capacity in gallons Inside length Width Liquid depth
/~¢O IF HOMEMADE:
~ ~ DISTANCE TO: Well DwelHng PERMIT NO,
O Z ~ Manufacturer
~ -- ~ Material Liquid capacity in gallons
Q Well
~ ~ DISTANCE TO:
;~ ~ ,~ No. of lines j Length o~8~ ~ne Total leng~o~i~e, Trench w~' 11 inches Distance lA'ines
~'~ Top of tile to finish grade ~ I__ Material beneath tile S / i~ Total eff~i~¢~,tion~ area
~ Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ ~ DISTANCE TO: Well Building foundation Nearest lot line
Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation 8ewer line Septic tank
OTHER
PIPE MATERIAL8
SOIL TEST RATING
INSTALLER
REMARKS /C~ ~J
C,~.
L~
...... ....
72-013 (Rev. 3/78)
PERMIT NO:
DATE ISSUED:
DEPARTMENT OF HEAL..TH AND ENVZRONMENTAL F'RGTE:CTION
825 L STREET, ANCHORAGE, AK 99501
~64-47~0
ON .... S I ']"'E 8E~4E[~. 8~ WEE:I._L. PE::R'PI I T
840620
07/25/84
APPL I CANT.
ADDRESS.
CONTAC]" PHONE:
DONALD L DOTSON
1200 I STREET
ANCHORAGE, Afc: 99501
274-6104
LEGAL DESCR IF':
LOT SIZE:
MAX BEDROOMS:
SUBDIVISION: MOUNTAINSIDE VILLAGE LOT: 4
SECTION: 11 TOWNSHIP: 1:IN RANGE: 3W
50000 (SQ.FT. OR ACRES)
BLOCK::
GRAVEl.. DEPTH (F'T.) 8.0
]'OTAL DEPTH (FT.) 1~9.0
GRAVEL. WIDTH (FT.) 2.5 1~ 0
GRAVEL I_ENGTN (FT.) ~4.0~ '.~ ]
GRAVEL VOLUME (CU.YDS.) 18.8 ~] '
TANK SIZE: (GALS) 1~000.0 ** 1~ ~'*
SOIL RATING (oQ.FT. /BR) /-
Listed below are the options available to you in designing your septic
system. Choose the option that best fits your site.
DEPTH TO F'IPE BOTTOM (F'T,) 4.0 ~z.O 4.0
7.5
5.0
41.0
1 ~ 000.0 ** 125
** TANK MUST I-lAVE AT I_EAST TWO COMPARTMENTS
I c:ePtif'y that: ~
1. I am £amiliar with the requirements for on-site sewers and wells as set
forth by the Municipality~of Anchorage (MOA) and the 8tare o~ Alaska.
2. I will install the System in ac:cordance with all MOA codes and rmgulations,
and in compliance with the design criteria of this permit.
5. I will adhere to all MOA and State o~' Alaska requirements for the set back
distances ~rom any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. I understand that this permit is valid [or a maximum of 3 bed~,ooms and
any enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING []ODES,
THEN (1) AN EL.ECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS.-BUIL]:S
WILL. NOT BE APPROVED WITHOUT AN ELECTRICAL. INSPECTION REPORT; AND (3) THE
ELECTRICAL WORK: MUST BE DONE BY A LICENSED ELECTRI[',IAN.
SIGNED ~ ~~, DATE:
APPLICANT: DONALD L DOTSON
].~,.~LIED BY ~:~ ~/~_y~ DATE:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] SOILS LOG
PERCOLATION
TEST
PERFORMED FOR: Don Dotson DATE PERFORMED: 10-1 2-83
LEGAL DESCRIPTION: Lot 4 block 3 Mountainside village Subd.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
Brown sandy gravel (GP)
Brown fiborous pe~t (pt)
(sm)
'c zone
Brown sandy gravel (GP)
with occasional cobbles
SLOPE SITE PLAN
WAS GROUND WATER S
ENCOUNTERED? no L
'O
P
E
IF YES, AT WHAT
DEPTH?
Lewis E. Dickinson
CE-]]83
Gross Net
Reading Date
Time Time
I' 24 hours si
0 min.
min.
Depth to Net
Water Drop
ituratioz timeuZ
2.25"
4.75" 2.50"
20 min. 6.75" 2.00"
30 min. 8.50" 1.75"
PERCOLATION RATE 5 · 0 (minutes/inch)
TEST RUN BETWEEN ~ FT AND 7 FT
125 square feet of drainage area required per bedroom
PERFORMED BY:
72-008 (6/79)
CERTIFIED BY: ~)~.~L. I~,,.~t~G~--~~- ~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
OL
5
6
7
8
9
10
11
12
13
14
15-
16-
17-
18-
19-
20-
DATE PERFORMED: ~.~- - ~:~ ~'~-
· SLOP~
SITE PLAN
WAS GROUND WATER S
ENCOUNTERED? ~J 0 L O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date
Time Time/~ ~ ~,~ Water ~T' Drop
~ ~:~3:o O ~O .~ ,Z.o~
PERCOLATION RATE s/inch)
TEST RUN BETWEEN
PERFORMED
72-008 (6/79)
CERTIFIED B
z-/---Y'2
Municipality Of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Pmg~am
4700 So~th Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.a nchorage.ak.us
(907) 343-7904
020--172--23
Parcel I.D.
1. GENERAL INFORMATION
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Expiration Cate:
I~/~,,,.
Complete legal description
MOUNTAINSIDE VILLAGE SUBDMSION; LOT 4~ BLOCK ,3
Location (site address or directions) 177¢1 STEAMBOAT DRIVE * ANCHORAGE, AK 99516
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
KELLY BECKER Day phone 345-2892
177~1 STEAMBOAT DRIVE * ANCHORAGE~ AK 99516
Day phone
Day phone
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 5
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
Community On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Cedificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid
water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water
system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's
work.
Note:Alaska Waterand WastewaterConsultants, Inc. shall be paid $ O.~' at, orpdor
to closing for the engineering services provided.
4. 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, based on procedures outlined in the Health Authority Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate
for the number of bedrooms and type of structure indicated hemin. I further verify that based on the
information obtained from the Municipalily of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(am) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm ALASKA WATER &: WASTEWATER CONSULTANTS. INC. Phone
Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE. AK 99504
Engineer's Printed Name JEFFREY A. CARNESS. P.E.
337-6179
Engineer's Comments:
In conducting this evaluation, AK1/VWC. Inc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the perfonwance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, gmundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions ara outside the contrel of the evaluator of the system. Satisfactoq/ test
results do not guarantee future perfonwance of the system, nor do they guarantee that
there are no hidden defects or encreachments. AKWWC. Inc. can therafora not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or uae of this repol't by any
other person or pan'y ia not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
/"/" Approved for ~ bedrooms.
Disapproved.
Conditional approval for
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
~;.' ON-SITE
~-: WAS:I'~E~A'[ER
~, .. .. ',a"',~
Manitsnanc~ Agreements
Supplemental Enginee~ Reo~
Other
Legal Description:
WELL DATA
Well M~e
Date completed
Total depth
~PER OLD HAA
Date of test
Static water level
Well production
Municipality of Anchorage
Development Services Department
Building 6afe~y Oivl~inn
On-Site Wate~ & Wastewater Program
4700 Sout~ Bragaw SL
P.O. Box lg6650 Am:borage, AK g951g-6650
www.cLanc~omge.ak.us
(~07) 343.7g04
HEALTH AUTHORITY APPROVAL CHECKLIST
MOUNTNNSIDE VILLAGE S/D; LOT 4f BLOCK ,3 Parcel ID:
If A, B, or C pruvkte PWelD~
Sanitary seal (Y/N) YES
Casedto '18 ft.
FROM WELL LOG
g.p.m.
Nitrate ~..mg~t..
Date of sample: 7/8/2002
UNK
WATER SAMPLE RESULTS:
Coliform (';) colonies/lO0 mi.
Arsenic: N/A mg./L.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
Tenk size 1000,, gal. Number of Comperlments
Foundation cteanaut (Y/N) YES
Date of pumping 4/2/2002
C. ABSORPTION FIELD DATA
2
Depression over tank (Y/N) NO
Pumper
020-172-25
wen Log (Y/N)
Wires properly protected (Y/N)
Casing belght (above ground)
AT INSPECTION
7/8/2002
46 lt.
1.5+ g.p.m.
NO
12+ in.
Other becteda O .colonies/100 mi.
Collected by: AKWWCf INC.
Date installed 10/1984.
Cleanouts (y/N) YES
High water alarm (Y/N) N/A
A+ SERVICES
Date installed lo/tgi4 Soft rating ~tor lt~odrm) 125
Length 28 It. Wldth 3 fl_
Totaldepth 11.4 lt. Eff. absorption area 448 fl= Monltodngtube YES
Date of ededuam/test 7/8/2002 Results (Pass/Fall) PASS
Fluid dapU~ in absorption field before test ,52 in. Water added 506 gal.
Elapsed T'~na: 175 min. Final fiuld dapth43.25in, Absorption rote >=
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN
DEEP TRE.C,
Gravel below pipe 8 ff.
Depression over field NO
For ,5 bedrooms
Now depth47.75in.
450+ g.p.d.
If yes, give data -
D. LIFT STATION
Date installed Size in gallons ~__ _
"Pump on" level at in. 'Pump off' n. High water alarm level at __ .in.
~ Cycles tested Meets alarm & circuit requirements?.
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Se~c tanldl~ station on lot 100'+
Absorpiton field on lot 100'+
Public sewer main N/A
Sewer/septic sendce line 25'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhola/cleanout
Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+
Water main N//A Water service line 10'+
Wells on adjacent lots . 100°+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT.TO:
Property line 10'+ Building foundation 10'+
Water service line 10'+ Sudace water 100'+
Curtain drain ' NONE KNOWN Wells on adjacent 10ts 100°+
F. COMMENTS
Absorption field 5'+
Surface water. 100'+
Water main N,/A
Driveway. paddng/vehlcie storage
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
revfew of Municipal records that the a~ve systems are in
conformance with MOA HA4 guidelines in effect on this date.
Engineer~ Pdnted Name JIr. PPI~E'Y & OARNESS
HAA Fee $
Date of Payment ~7
Receipt Number
(Rev. 12/01)
Waiver Fee $
Date of Payment
Receipt Number
J~-15-OZ 05:41PM FI~M-CT&E ENVli~NI~flTAL $~'V
.~I~K CT&E Envlmnmental
Services
loc.
90Z5515]01
T-854 P.O2/OS F-905
CT&E Ref.#
Client Name
Project Name/~
Client Sample ID
Ordered By
PWSID
Sample Rerr~lo:
1024080001
Ag- Water & Wastewater Comultanls Inc.
Lt 4 Bk 3 Mountainsi~ VillaRe
Stcan~oat
DriVing Water
Units
All Date~'Tlme~ are Alaska Standard Time
Printed Date,Time 07/12/2002 I 1:05
Collected Date/Time 07/08/2002 13:30
Received Da~e/Tlme 07/09/2002 8:15
Nitrate-N
3.72
0900 ml~ EPA 300.0 (<lO) 07/09/02 JDT
~.crobiolo~ Labora~.or~
Toul Col/form
co~/lOOmL SMIS 9222B
07/09/02 SBH
00/10/97 09:41
£.~1/ 007239105T
/
I
I
I
L,~T
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
GENERAL INFORMATION
Complete legal description L.~-~'- 4-)
Location (site address or directions) / '7'70/
Property owner
Mailing address
Day phone
Day phone
Lending agency
Mailing address /~J ~c~
Agent
Address
,f
Day phone
,¢7- 0//4- uJtL'
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: '~
TYPE OF WATER SUPPLY:
Individual well
Community well ~__c,,,L_ ~OId~-U~
Public water ~~ -
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
NOTE:
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
NOTE:
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21
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 bed rooms
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 this
, of_j~ inspection.
A,aska Water &
/8'4~1 Be, [ridge D~
Name of Firm
Address
Engineer's signature
6. DHHS SIGNATURE
~ /~/ Approved for -~ bedrooms.
Phone
Date f~/,-~ //c:~
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
Date
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements, Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Back MOA#21
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Legal Description:
A. WELL DATA
Health Authority Approval Checklist
["tO u~ I,~ 3'~JParcel I.D.:
t_o -r- &Y--
w~ell type [::3 ~J"i-,
Log present (Y/N)
Total depth. ~S
Sanitary seal (Y/N)
Date of test
Static water level
Well production
0:2-0- I
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed ~
Cased to I~) Casing height (above ground).
Wires properly protected (Y/N) ~
FROM WELL LOG
AT iNSPECTION
,de~C./ ±
I g.p.m. O ·
WATER SAMPLE RESULTS:
Coliform
Date of sample:
/.
Nitrate ~-" '~ ~ ~(~'-//'~ Other bacteria
Collected by:
IO(30
Depression (Y/N) NO
Pumper. ~'~1~
B. SEPTIC/HOLDING TANK DATA
Date installed IG/~dr' Tank size
Foundation cleanout (Y/N)
Date of Pumping
Soil rating ~4~:l~dl./ft~ or ft2/bdrm) /'~'~'
! Gravel thickness below pipe
Monitoring Tube present (Y/N)
C. ABSORPTION FIELD DATA
Date installed /~/~1"
f
Length '~,~ Width
Effective absorption area ¢~r'~)
g.p.m.
Number of Compartments~ ~ Cleanouts (Y/N) High water alarm (Y/N) /'J
System type pE:~-P
# !
C~ Total depth t
Depression over field (Y/N)
Date of adequacy test ~//=//¢~' Results (Pass/Fail) ~0~ ~ For ~ bedrooms
~r'J, ~'_ Immediately after~-( gal. water added (in.):
~luid depth in absorption field before test (in.); ' " ' ~ ~ ~ # ~
Fluiddepth ~ ~ ' (ins) Minutes later: ~ ~ Absorption rate = _ ~ ~ .g.p.d.
{ Peroxide treatment (past 12 months) (Y/N) ~o~ ~o~f yes. give date ~ ~
72-026(Rev. 3/96)* ~ F~5~ ~ ~ ~ ~v~ ~ ~/~. ~
Date installed ~ Size in gallons
Manhole/Access (Y/N) ~ ~ "Pump off" level at*
High water alarm level at* *Datum ~
Cycles tested
E. SEPARATION DISTANCES
Absorption field on lot
Public sewer main
Sewer/septic service line
SEPARATION DISTANCES FROM WELL ON LOT TO:
/
Septic/holding tank on lot
I
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: /
Foundation ~- Property line ~ ~ Absorption field
Water main/service line '~/O
/oo
_/
Surface water/drainage ~/DO Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
Surface water
Driveway, parking/vehicle storage area
Curtain drain /,JO~.-- ~ou./~~/ Wells on adjacent lots ~/O~/
ENGINEER'S CERTIFICATION /~ ,-- .
I certify that, have_.det~q~ned tJal~ ~,~ inspections and review of Municipal record~.~
in conformanc~it~ ~ HA/ ~li~es in effect on tbis date. ~*~ ~t'
,.na,ure
HAA Fee $ ~
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
MUNICIPALITY OF ANCHORAGE
MEMORANDUM
WATER WELL ADVISORY
HEALTH AUTHORITY APPROVAL
During a recent Health Authority Approval on-site inspection
and test of the potable water supply well on Lot _5
Block 3 of ~&'?~i'~]P£ ~]~[~g _ Subdivision, the well's
productivity was determined to be .~ gallons per minute.
The minimum well productivity required by this Department
(AMC 15.55) for a 3 bedroom residence is o~/ gallons
per minute. Although the subject well currently exceeds this
minimum requirement, all parties concerned are advised that-the
production capacity of-the well may fluctuate. RestrictJ_en
of non-critical water uses such as washing cars and watering
lawns and gardens may be required.
This advisory must be attached te all copies of the subject
Health AutNority Approval.
Alaska Water & Wastewater
8471 Brookridge Drive ~ Anchorage ~ Alaska 99504
Phone (907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
MUNICIPALITY OF ANCHOP, AiDi~
,Jun lgg?
June 21, 1997
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
RECEI.V ED
Subject: HAA for Private Well & Septic System. Lot 4, Bk 3, Mountainside Village S/D.
To whom it may concern:
The subject lot has a 3 bedroom house on it which is served by a private well and septic system.
The results of the field investigation and adequacy tests are summarized as follows:
A. WELL: The static water level on 6/19/97 was 44' BTC. Water was pumped from the well at
a rate of 4.1 gpm for a total of 9 minutes (37 gallons). This caused the level to drop 18 feet, to
62 feet (pump set at 80 feet per 1986 HAA). The recovery was monitored for 30 minutes, during
which time the water rose to 45' BTC (rise of 17 feet). This corresponds to a recovery of .85
gpm. The flow was then reduced to .89 gpm for the next 246 minutes (219 gallons). During the
pumping period, the water level fluctuated between 44' BTC & 55' BTC, depending upon
whether the pump was operating or not. At the end of the pumping period, the water level was
47' BTC (pump was off). In short, the well will continuously produce about .9 gallons per
minute. Based upon this data it was determined that the capacity of the well exceeds the
Municipal requirements for a 3 bedroom house (.31 gallons per minute).
B. NO WELL LOG ON FILE AT M.O.A: According to the 1986 HAA, there is a well log on
file for the subject lot. However, I was unable to find it on microfiche, or in the DHHS hardfile.
According to the 1986 HAA, the well is cased to 18'. One of the soils logs for this lot indicates
that bedrock was encountered at a depth of 13 feet, and the well log for an adjacent lot (Lot 5, Bk
3) indicates bedrock was encountered at a depth of 13 feet. Based upon this information, it is
reasonable to assume that this well was cased into bedrock at 18 feet. As mentioned previously,
the static water level was 44' BTC. I couldn't hear, or see any water running down the casing
wall, therefore, it is unlikely that the well is perforated in the casing.
C. SEPTIC SYSTEM ADEQUACY TEST: The drainfield is a 3 foot wide trench, which is 28
feet long, and has an effective depth of 8 feet. Prior to starting the adequacy test, the M.T. had
41.5 inches of liquid in it. The first 79 gallons of water introduced rose the liquid level to 45
inches. The next 177 gallons only caused a rise of 1.5 inches (.86 gpm for 207 minutes). Upon
stopping the flow, the level dropped 1.5 inches in 26 minutes. Based upon this data, it was
determined that the absorption rate of the trench exceeds 450 gallons per day, as required for a 3
bedroom house.
NOTE: The adequacy ora septic system is influenced by numerous factors, including, but not
limited to, seasonal surface water infiltration, groundwater variation& septic ~ystem
maintenance Orrequency of septic tank pumping, usage of biological additive,s), condition of
drain pipe and pipe joints (which can be damaged by seismic activity and deteriorate with age),
type of substances deposited in septic system (cigarette butts, sanitary napkins, misc. objecta),
and the amount of water being introduced on a continual basis. Consequently, the results of this
adequacy test are only validjbr the specific day of the test. Furthermore, because of the limited
nature of this investigation, it is possible that there are hidden defects which may not have been
detected No warrantee is made regarding the future performance of this well or septic system
If you have any questions, please contact me at 337-6179,
;iii~:28yi-i 162. Than~you for your assistance.
/&
Principal
or on my
digital pager at
t'I~ CT&E Environmental Servioe$ Ins.
CT&E Ref.#
Client Name
Proje¢~ Name/#
Client Sample ID
Matrix
Ordered By
9730~,7001
AK Water &
17~ 1 Steamboat
[7~1 St~boal
Dnn~ng W~t~r
Client PO#
Primed Date/Time 06/17/97 13:35
Collected Date/Time 06/12/9'/11:00
Received Date/Time 06/12/97 i 1:45
Technical Director: Stephen C. Ede
N;te~te-~
0.q00 ~/L
ALLoaabte Prep Anatysfs
L~its D~te ...... D?_?z~__- ln{~t
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l aska Water & Wastewater
8471 Brookridge Drive ~ Anchorage - Alaska 99504
Phone (907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
RECEIVED
July 17, 1997
Municipality of Anchorage
dUL. ]8 1997
Municipality of Anchorage
Dept. Health & Human Services
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Well at Lot 4, Bk 3, Mountainside Village S/D.
To whom it may concern:
The HAA package for this property was initially submitted to DHHS on 6/23/97. It was reviewed
by Jim William's, and returned to us with the comment that a well log must be provided. We
contacted the state of Alaska, Dept. of Natural Resources, and they were unable to find a well
log, and a detailed search in the DHHS records turned up nothing either. According to the 1986
HAA, the well log was on file at DHHS. Based upon the attached well logs for the adjacent lots,
it is clear that bedrock is very shallow in the area; therefore, it is reasonable to assume that the
same conditions exist on the subject property. Please see the comments in the original HAA
package.
If your department is unwilling to issue an HAA on the facts presented so far, it will be necessary
for the homeowners to have a well driller run a camera down the casing and determine the
unperforated depth. In addition, it may be necessary to have more extensive testing done to verify
that it is seated into bedrock. Please provide specific direction from your department as to what
will be necessary for issuance of a Health Certificate.
If you have any questions, please contact me at 337-6179, 244-9612, or on my digital pager at
1-800-481-1162. Thru tk you for your assistance.
Sincerely,
Je .
arness, P.E., M.S.
,~, ': ,Applicant Address
3: ;: WATER SUPPLY
' '. individual
Communit Public []
¢i~i~;~ Note: f cc mmunitv well system must have,written c,o. Qf[rmati.(
Public [] Community [] Holding Tank
Y ray, seal affixed hereto and as of the Validation date shown belowl I verify that my investigation of this Health,
Date
~Pection.
Engineer's Seal
Bruce D, Path CE 5034
DHEP APPROVAL
:i ^pproYed for bedrooms by
s of Conditional ApprovalI
Date
DEPT. OF
ENVIRONMENTAL PROTECTION
MUNICIPALITY OF ANCHORAGE (MOA,
HEALTH AUTHORITY APPROVAL (HAA) ,.i ij L '] ~ ~
CHECKLIST- FEBRUARY 1984
264-4,20 EIVED
Legal Description:
WELL DATA
Well Classification
Well Log Present (Y/N)
Total Depth ~ Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit {Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
If A, B, C, D.E.C. Approved (Y/N)
~ 8 Depth of Grouting h,~ I,e,
Pump Set At ~ /
"4.u~ Sanitary Seal on Casing (Y/N)
"f Depression Around Wellhead (Y/N)
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
/
; On Adjoining Lots IOO
; On Adjoining Lots Ioo
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date 7'- z.- ~¢.
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes (Y/N) 'Y' Air-tight Caps (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) l',J. l ''~
Separation Distances from Septic/Holding Tank:
To Water-Supply Well ~ ~ ~
To Property Line ~
To Water Main/Service Line
Course t"Ac~ r,.l ~-
Size t ~O c:~ No. of Compartments ~
y Foundation Cleanout (Y/N) Y
Date Last Pumped N,~ ~..~',~'~,T~__~"~ /
; for ~
Temporary Holding Tank Permit (Y/N) t~ /~
/
To Building Foundation 1 5
To Disposal Field ~
To Stream, Pond, Lake, or Major Drainage
Comments
Page I of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed lO- ~$~L~
Width of Field ~
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well ~7_."/
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field '~-~ ~
Depth of Field ~
Gravel Bed Thickness ~' /
Standpipes Present (Y/N) y
Date of Last Adequacy Test ~J,~'~J
To Property Line (o'7
To Existing or Abandoned System on
; On Adjoining Lots ~
To Cutbank (if present)
,~'
Comments
D. LIFT STATION
Date InStalled
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed ~;~¢- ~'1"~iZ~;o,,~ Date '~',-
Company D.~.~"~. I~..~,~i.~;~:;~--."5 MOA No.
Receipt No. ~ L~ L~ ~ ~
Date of Payment '-] - I
Amount: $ g5~'~
Page 2 of 2
72-026 (11/84)
~ I)ruee D. Pattor~on
& Datum Engineering_
Surveying, Inc.
[907] 563-3t42
4500 Business Park Blvd.
Datum Building 'B"
Anchorage, Alaska 99503
July 15, 1986
Municipality of Anchorage
Health and Human Services
825 "L" Street
Anchorage, Alaska 99501
Re: :Health AUthority Approval on Lot 4 Block 3.
Mt. Side Village Subdivision.
Attn: Dan Bolles
Dear Dan,
At your request we are verifing by letter our conversation on 7-15-86. The ~
above noted home is newly constructed home that has been unoccupied since construc-
tion. This should clarify the reason for no septic tank pumping receipt with the
application. Please feel free to call with any questions.
Mark JohnsoTf
Materials ~ineer
MUNICIPALITY OF Ai<Cli,D<A, Gj
DEPT. OF HEA[.[~I ~,
ENVIRONMENTAL PRO~ LCi
,,,/gL i. ,; 1.986
RECEIVED