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Home My WebLink AboutCOLONIAL PARK BLK 3 LT 3 S2Colonial Pa k Block 3 Lot 3 $1/2 #050- 301 - 13 CHUGIAK, ALASKA 688-3199 ~';RILLING CO. ~S~ WE SERVE ALL ALASKA POST OFFICE BOX 42 - CHUGIAK, ALASKA 99567 OWNER OF LANn ...E~.'.:.L..:.'iL~,~..~.V. ........................................... ADDRESS ..L?.'..C.m~.2.2.~- ]~L"..C!.~....~.~.:.'..q E...~.!:.:. ....................... DATE - STARTED ...... [.~..':.~ 3.::"~.!, ........................................ DATE - ENDED .......... .1,..0..~.~.~..-...~..1. ............................................... KIND OF FOP~IATION: FROM .......... O. ...... FT. TO .....~.?.-. ......... FT. ~~.~...~...{..~..~..,.q..~:~.? ! DEPTll OF ~ELL, '~ r,~ STATIC LEVEL OF WATER ~,.~ ., .~.. ., ~:.'~'...::.,. DRAW DOWN FT ...................................................................... GALS · ,. :' ..~'..:. FROM ~ TO~;" *. "' FROM ......~ ./.~: ........ FT. TO ...~.'.q. ........ FT....t..~ ~. ?.-.~ ! _t ~?. ~ ............. FROM ...... .?.~'-' ......... 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':, ,' .,., :.-','/' ," -1: FROM .................... FT. TO ............ FT ...................... ~ :. , ....· FROM ................FT. TO ; ~~ ' ~=: ""~ :~ * "' ....' .................. ;. ....... FT..'. ....... - ......... :.~Z:.:F' . . ' : '~ FROM ..................... FT. TO .................... FT .......................... FROM .................. FT. TO ................ FT ......................-,. ,. ...... . MISCL. INFORMATION: FROM ................. FT. TO ................. FT ....................... ._, ' [ FROM ................FT. TO .......... FT ................... =, ~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY A, PPROVAL' FOR A SINGLE FAHILY DWELLING Pa l LD. 0 o- 01-1 HAA./'J 1. GENE~LINFORMA~ON ~pimfion Date: Completelegaldescdptlon COLONIAL PARK SUBDIVISION; LOT 3, BLOCK 5, SOUTH 1/2, Locatlon (site address or directlons) 19907 FIRST STREET * EAGLE RIVER, AK 99577 Current Property owner(s) Mailing address Lending agency Mailing address MICHAEL PIERCE Day phone (509) 288-1152 c/o KATHI OLMSTEAD w/ REMAX PROPERTIES Day phone ReaI Estate Agent KATHI OLMSTEAD w/ REMAX PROPERTIES Mailing address Day phone. 694-4200 16600 CENTERRELD DR~E * EAGLE RIVER, AK 99577 Unless othet,Mse requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 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 Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an Independent professional civil engineer registered in the State of A~aska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-sita wastewatar 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 private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a pedod 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 Water and Wastewater Consultants, Inc. shall be paid $885.00 at, or prlor to dosing for the engineering sa~fces provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation, based on procedures outlined In the Health Autho/fiy Approval Guidelines for this applicaEon, shows that the on-site water suppty and/or wastawater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of sfl'ucture indicated herein. I further vedfy that based on the Information obtained from the Munidpali!y of Anchorage files and from my investigatton and inspection, the on-site water suppty and/or wastevtatsr disposal system Is(are) 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 DEBARE ROAD. SUITE 2B * ANCHORAGE. AK 99504- Engineer's Printed Name JEFFREY A. CARNESS. P.E. Engineer's Comments: In conducting this evaluation, AWWC, thc. attempted to pn~fde a thorough, conscientious englnsedng analysis of the system In accordance wfth ADEC and MOA DSD Guidelines & Regulations. The reported results described the peffonwance of the system under the conditions encountered at tho Eme of the test. and separation dis~ences measured to roadi¥ Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate dudng the year, and the water usage of tho farni~, being san~d by the system. These conditions are outalde the contr~ of the evaluater of the system..Satisfactoo, test results do not guarantee future performance of the system, nor do they guarantse that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty or future estimate of how tong the system will continue to reset 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 use of this repol~ by any other pereun or party is not authorized, nor ~11 It confer any legal right whatsoever. Date 337-6179 5. DSD SIGNATURE ~ Approved for ~ bedrooms. Disapproved. Conditional approval for __ Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms, with the fllowing stipulations: .tttl{{.[(_l~rff(tr~ ~! WiTERAND ~m - _....FROG~M .'. ~ ... Manitenan~ Agreemen~ '~)))/11 Supplemen~l Engineers Reo~ O~er Odginal Certificate Date: Municipality of Anchorage Development Services Department On~e Water & Wastewater Program 4700 ~ou~ 8ragaw 8L P.O. ~ 1~~, ~1~ HEALTH AUTHORITY APPROVAL CHECKLIST Legal DescflpUon: COLONIAL PARK S/D; LOT ;3, BLOCK 5, SOUTH 1/2, Parcel ID: WELL DATA Well [~. PRIVAT[ If A, B, or G provide PWSlD# N/A Date completed 10/27/81 ~allllmy~eal(Y/N) YES Totaldepl~ 357 It. Casadte 357 fL FROM WELL LOG 10/27/81 Date of test Static water level 54 Well production 20 WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Date of sample: 7/5/01 B. SEPTIC/HOLDING TANK DATA g.p.m. Well L~g (WN) rares propee/protected (Y/N) Casing height (above ground) AT INSPECTION 7/4/01 302 ,fL 5.34 g.p.m, Nl~te 0.5 mg./L. Other bacteda Collected by: AWWC, INC. PUBLIC SEWER 050-301-13 12+ In. 1 colonies/100 mL Tank Type/Material Date Installed Tank alze gal. Number of Comparlm~ · ~°aundati°n dean°~ (Y/N) High water alarm (Y/N)' C. ABSORPTION RELD DATA Date Installed Soil rating (g.p.d./It=or ~/txlrm) System ~ ~- / Total deplh _ ft. Eft. absorption ama It= ~ Dapresalon ov~r fi. eld_ Date of .d.uacy test /~R~u....p]~j,~'~Ts/Fall) _ _For...bedrooms Flulddeplh In:bsmption~ In. _Wateradded_. g,L . New*. in. uvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. UFT STATION Oete installed Size In gallons ~~ _ 'Pump on' level at in. "Pure n. High water alarm level at__ in. ~ Cycles tested. Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot N/A Publlo sewer main *¢5'+ Sewer/sepfio eewloe Ilne * 1 On adjacent lots 100'+ On adjacent lots lOO'+ Publlo sewer manbela/cleanout Holding tank N,/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Prope~y line Abeerptlon field Water een~ce line. Sun'ace water Wells °n adjacem lote ~~'"'"""-~ SEPARATION DISTANCE FROM ABSO~O: F. COMMENTS *AWWU IS CURRENTLY APPLYING FOR WAIVER. G. ENGINEER'S CERTIFICATION I cer#fy ~hat I have determined through field Inspe~ons end review of Mtlrdclpal recolTle that the ebove systems em In conformance wlgh MOA HAA guidelines In effect on this date. Englnem's Printed N~me Date ~.~_~01 JEFFREY A. GARNESS NAA Fee $ $ OO. Oate of Payment Receipt Number (Rev. Waiver Fee $ Date of Payment Receipt Number. ' ' .1UL-II-01 21:11' Fi~4-CT&E ENVIRiIitiKTAL '~I'Ko CT&E EnvironmenGll Services Inc. 9075515301 T-858 P.02/03 F-057 CT&£ ReLA~ 1014104001 Client Pi ~# Client Name AK Water & Wastcwafer Consultants Inc. Prtnted If)ii,Time 07/11~1 ]9:36 Project NIm~N Colonial p~ ~ CoJ~ed Daf~lme 07~5~001 8:30 Cleat Sampb ~ ~3 Bl~k3 R~v~ Olte~ime 07~5~001 13:43 Matr~ ~g Water Tecknlcal D~rector Stephen ~ Ede Ordered By EP300 Nitrate: LCS recovered outside control {imits(124%). Sample was non-detectable, n,, further action taken. Allowable Prep Analysis Pai'mmefcr Resulu ~OL Units Method ~miu D~ D~t~ Nihatc-N O.500 U 0.500 ~g/L EPA 300.0 (<I 0) 07/05/O1 SCL Init To~a{ Coliform I OB, No Coil col/100mL SMI8 9222B (<1) 07/05/01 SKW Municipality. of Anchorage G__~e.,orge P. Wuerch, Mayo~ P.O. lh~x 196650 * 4700 S. Bragaw Strcct Anchomgc, Alaska 90519-6C~50 * (007) 3~3-8.301 h ttp://x~.a'w.cl.anchoragc.ak.us 08/17/01 Frank D. Rast, PE R & M Consultants Inc. 9101 Vanguard Drive Anchorage, Alaska 99507 Subject: Waiver Request for Colonial Park Subdivision Block 3 Lot 3 S 1/2 Waiver Request #WR010059 Parcel ID/1050-301-13 Health Authority Approval Certificate Number WR010405 ~epartment o~ Public Works Dear Mr. Rast: Your request for a waiver of the required 75 feet horizontal separation from the public sewer trunk to private well has been approved. The approved separation distance is 45.0 feet. This approval also waives the subject well to the private sewer line which requires 25 feet separation to the actual separation of 15 feet. This waiver approval applies to the existing public sewer trunk to private well separation only. Any furore upgrade to the on-site wastewater disposal system 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 343-7904. Sincerely, Daniel J. Roth Civil Engineer On-Site Water & Wastewater Program Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 wv, w.ci.anchoragc.ak.us (~07) 343-7904 Waiver Review Worksheet WR#: I}t1~059 PID~: 9~1.301-13 HA~: ~ Permit~: Dale Received: 7123/01 Legal Description: Colonial Park BIk 3 Lt 3 S1/2 Engineer:. ~ R&M Consultants Inc. 9101 Vanauard Dr. Anchora.e. AK 99507 Applicant: AWWU Waiver Requested: 45 - 50 ft ~eoaratlon from well to sewer line Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Points: Total: Waiver is Granted: ~ Waiver is not Granted: List Conditions or Reasons for above: ~ ~'~ ,~r',,g~/4'~'J~) Oate: O--IT-Or Sy: Pl lO Name of Reviewer Recg: Amount: $920.00 Date Paid: I ~. of ~9. R £. C. 5. P. w. Ct. £o~ 5. £. R. O. ~2£ ' /L-. = ~ ¢./ If ' .. zY' bROvO 'rOrbL1'1.8 __CT&E EnvlronmentalServiceslnc. 1016069003 R & M Consultants Inc N/A L3 SI/2 B3 Colonial Pk I'LtD Drinking Water CT&E Ref+# Client PO~ Client Name Printed Date/Time 09/11/2001 15:36 Project Namem Collected Date/Time 09/07/2001 8:27 Client Sample ID Received Date/Time 09/07/2001 9:40 Matrix Technical Director Stephen C. Ede Ordered By PWSID 0 Released By Sample Remarks: Allowable P~'p Analysis Pammeler Results PQL Uni~ Melbod Limits Date Date Init Wa~ers Dep&r~ment Nicrat~-N 0.$00 U 0.500 mg/L £?A 300.0 (<10) G9/07/01 SCL