HomeMy WebLinkAboutTERRACE HEIGHTS BLK 1 LT 12 Municipality of Anchorage ~..'~
Department of Health and Human Services
Building Safety Division '~ ,~
On.Site Water and Wastewater ProD'am, 4700 Soufll Bragaw Street
P.O. Box 196~50 Anchorage, AK 99519-6650 Page 1 of 2
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAl. SYSTEM ANDIOR WELL INSPECTION REPORT
Permit Numbe~ SWSW010186 PID Number: 0t7-073.42
Name:
Rnh R, .Inn~,f.lnhn~nn Wastewater System: [] New [] Upgrade
7940 Llnner D~Armnnd_ 9§~1R ABSORPTION FIELD
~ Dc~,t,.,~ nS~,T,.,,~ na.~ nuo..~ ~o~-Molding Tank
LEGAL DESCRIPTION ~'
I 12 Ttrr~¢e Hts ..
Well: [] New [] Upgrade c.,~,~,~: n. ~,,~,~: [t~,~.,~,t~,~:
n. . n~ 3034 PVC
~ Dan Beeks 6122/2001
¥~: c.~l ""~'~": n.I c'~ "'~'°"'~' c"~:,~ TANK
SEPARATION DISTANCES iD septic [] Holding r-I S.T.E.P. [] Other:
~ SepUc AbsorpUon Lift Holding PulNic~dvat~~
Tank Field StaUon Tank s~,~ u.o Greer 2000
w,~ 106 76 Steel 1
c~.~u~="~'w'"' 12800+~ s~: ~ ~,~.,,:LIFT STATION
FOU~'~¢~ 19.7 '~'~ ""'~": '~'~ ~' "'~': I
100+ n,,~,~ a ~.,~.
"'"'"': BENCH MARK
SW Comer of house on Drive way
100.0
Engineer's Stamp
Inspections performed by: Pannone Enq. Svc Dates: 1~6122/2001 ~ '~.~ 4Cl~ }r~
o7 o7 2ool
Department of Health and H[jnpan Services approval ~ ~_~Steven R. Ponnone#/~,
P~-R.~T Nn, sv0mm~ AS-3UILT ~,,~,~. No, m7-073-42
~*/ASTE~,/ATER A~gORPTION SYSTEM
~ LOT 12 ~LDCK I T~RRACE HT~ ~,~
/
EXIST G ~ELE EXIST 6 ~ELL
.
~ ~. R DVAE
i HDL~ING TANK,~ ~ ~ ,
TREN( H - IN FAILUREr~ #~ r . ~ IN PLACE,
-TH1 ct eo.4
Ti E9.7 ELK
TE 30.7
~ ~ T3 31.1 30.;
Esm~
73 P9 GO1 9~.7
PERC RAT~m <60 MIN/IN~ ~ NEV
~r~/ 49~ ~ ~ ~O00g HOL~IN~ TANK
~.~~ ~ VITH ALARM
C,LLC
Mr. ~ob ~ J~net Johnson P.O. ~OX 102954
-~O~u~~/G~~CE~]~ ~ 7940 Upper ~eArond ANCHORAGE, ALASKA 99510
~~,.~-,, ~ E7E-S218 Phone ~ Fox
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-0650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jun 13, 2001
Expiration Date: Jun 13, 2002
Permit Number: SW010186
Legal Description: TERRACE HEIGHTS BLK 1 LT 12
Design Engineer: 0062 Pannone Engineering Services
Owner Name: RODGER C. DAVIS
Owner Address: 8000 UPPER DE ARMOUN RD
ANCHORAGE , AK 99516-3807
Parcel ID: 017-073-42
Site Address: 007950 HILLSIDE WAY
Lot Size: 20700 SQ, FT.
Total Bedrooms: 3 Permit Bedrooms: 3
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 ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 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.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak~us
(907) 343-7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
Permit Number SW
Mr. Bob a Janet Johnson / ~.,J~, & .~xJ~.4 ~..
Property
owner(s)
Mailing address (1) 7~0 Up~r D~ond
Mailing address (2) Anch~oe, AK ~ ~'l/~i~ ~
Legal descH~ion (L~, BIo~ & Sub'd.) L~ t2, Bl~k t Te~ce Hfs
Dayphone
Zip Code 99516
Legal description (Section, Township & Range)
Lot Size ~ 2C)l~(p Acres/Sq. Ft.
Number of Bedrooms 3
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
Well Only []
Water Storage []
THIS PROPERTY CONTAINS:
Hot Tub [] Jacuzzi []
Swimming Pool [] Water Softening Unit []
Therapy Pool []
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 Fees:
Date of Payment:
Receipt Number: ~_~C~,~.~
(Rev.
Waiver Fees:
Date of Payment:
Receipt Number:.
Pannone Engineering Services, LLC
Consulting Engineer
(907~ 272.8218
May 24, 2001
P.O. Box 102954
Anchorage, Alaska, 99510
(907)272-8218 Fax
Municipality of Anchomge
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519
Subj~:t;
Lot 12, Block I Terrace }Its. Subdivision,
Emergency Septic System Upgrade Permit Request
Gentlemen:
My firm was contacted to design and install a replacement septic system for thc referenced lot. The existing drainfield
is in failure and backing up into the house. ! conducted a field investigation to locate existing wells and septic syst~n
as well as a record search before designing the proposed system. ! discovered that there are two systems on this lot.
The crib was installed in the late 60's, and the trench system was installed sometimes in the last 15 years without MOA
approval. We conducted a soils investigation in the most likely location for a replacement system. The soils were fight
silts, with a percolation rote ofgreater than 60 minutes per inch (see the attached soils log and percolation test). 1
propose installing a 2000-gallon holding tank on the referenced lot. The holding tank will have an alarm system.
The lot is approximately 21,000 square feet in size. Lot 12 slopes to the south at a rate ofapproximately 3 to 5
percent. The proposed holding tank installation will be located in the central portion ofthe lot on a relatively flat area
south of the existing house. There will be easy access to the tank for pumping tracks. The proposed location is greater
than 75 feet away from any wells. The proposed system will be greater than 10 feet from the water service lines. The
proposed tank will connect to the effluent side ofthe existing septic tank. The existing septic tank will be inspected
and reused if found competent. The proposed installation will not affect the future development ofthe surrounding or
existing lots. See the attached design.
Please contact me at 272-8218 or 227-3522 ifyou have any questions about thc proposed installation.
Sincerely,
Steven R. Pannone, P.E.
Attachments:
PER.~T NO, SVO~ DESIGN P.~.
WASTEWATER AI4SDRPTION SYSTEM
LOT 12 t~LDCK 1 TERRACE HTS S,~
, /
/
~ELLS ~R SEP~ICS~ ~ /
~ ~ ~ ~'~ ~oooo
HDLDING TANK. ~ ~ v~?,I, z,,,~u~, ........
' ~ ~ C--~ ~AILURE. AgAN~DN
TREN('H - IN FAILURE~ ~ ~' .
At ~NDDN ~IN-~LACE, ~ ~ I IN PLACE,
601
PERC RATEm <60 MIN/INm ~ NEW
~ ~~ GROUND WATER V/IN 2000 OAL
~ ~000g HDLDINO TANK
~-~~&.--~ WITH ALARM SYSTEM
~ M~. Dob & J~De~ Johnso~ P. O,
No. CE S~4p ~ ~g40 Upped DeA?oDN ANCHORAGE, ALASKA
'~-~~ ~ATE~ 5-84-o~ ~ DESIGN
e~- ~ALE, 1'=50'
PERFORMED~ ~.~b&J~Johnnon
DATE PERFORMED: 4-2-01
: ~ DESCRIPIION; Lot li Block 1 Terrace Hts.
: TEST HOII
W~ GROUNI) WATL~
F. NCOUNTERED? No
IY Yin, AT WHAT
DEFII~
DEPTH TO WATER AFTER
MONITORING? -$
DATEI: 5-15-01
TEST HOLE
PEROLATION RATE ~60 (mtn/inch} PERC HOLE DIAY~rr_.,R 6 Inche
TEST RUN BEWTEEN 7 P'I' smi 8 FI'
COMMENTS: Te~t hole excavated by Dan Beck. Soils no md,,~ ~t~ for ~ll absorption ~!~tem. No perc test
performed.
PERFORMED BY: Stevcn R. Pannone, P.E. I CEKI-WI' THAT THIS ~ WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EI~-,'.;CT ON THE DATE OF THIS TF-.~T.
i..~.~UNI~IPALITY OF ANCHORAGE..~
Department~ : Health and Environmentar~rotection
' 825 '~' Street, Anchorage, AK. ~9501
· .: ..... 264-4720
' * * * HANDWRITTEN PERMIT * # *
Permit ~ ~O~ ~ ON-SITE SEWER PERMIT
Location: ~~hone N~er: ~ ¢¢-- e'~
5egal Description: ~/ ~ ~ ( ~~c e. ~,~ Lgt Size: ~
Type of Soil ~so~tion System Is: ' ~~~~d~
Trench: Dra~field: Seepage Bedt lng Tank:
Max~ N~er of Bedrooms: ~ Soil Rating(sq.ft/br) ~9/
The Re~ired Size of the Soil ~sorption System Is: '
DEPTH ~ .LENGTH~ ~AO GRAVEL DEPTH ~" WIDTH
The length d~ension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
~e bottom of the excavation(in feet). There is no set width for trenches. ,
The gravel depth is ~e m~ depth of gravel between the outfall pipe and
~e bottom of the excavation(in feet).
~ ' REQUIRED SEPTIC(HO~[NG) TANK SIZE = /~O GALLONS
Pe~it applicant has the responsibility to info~ this department during the
~stallation inspections of any wells adjacent to this property and the n~er
of r.esidences that the well will serve.
"' "TWO(2) INSPECTIONS ARE REQUIRED ~ ~ '
Backfill~g of any system without f~al inspection .and approval by this depar~en'
will be subject to prosecution.
~n~ distance between a well and any on-site sewage disposal system is 100 fee
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Min~ distance from a private well to a private sewer line
is 25 feet and to a co~ity sewer line is 75 feet. Well logs are re~ired
and must be returned to this department within 30 days of the well completion.
Othe= requirements may apply. Specifications and construction diagr~s are
available to insure proper installation.
' ' ' PERMIT EXPIRES DECRIER 51, 1 9 2 ' ' '
I certify that:
(1) I ~ f~iliar with'the requ'irements for on-site sewers and wells as
set forth by the M~icipality of ~chorage.
(2) I will install the system ~ accordance with codes. /
(3) I under~tand t~at the on-site ~ewer system may require enlargement~if /
the residence is remodeled to ~nclude more thatf~.bedrooms.
.
Signea: Issued by: ~,
Applic~t Date: %~/~' ~
ANCHORAGE. AkASKA ~cl9502-0650
{~07) 264-4111
.January 31, 1983
~Permit #:
820926
TO: Permit Applicant
Subject: Lot 12 Block 1 Terrace lleights Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel~
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057
. ,- DEFBRTf,IEf,]T r(~IHEFILTH FII~ID EHV!ROI'.IblEi',ITFIL (' OTECTIOi',I
· . ' E, 25 'L STREET, A~ICHORAGE, A~,. 99bE~l
/ ," 264-4720
/ IWELL RI"-,IB, Ed"4--S I TE SEI4ER PERM I T
PEP?fIT ~0. ( e.202_~ )
· RPPLICRf-IT STEVE ~1 STEFRf'I SPA E.O,, -?.81-P 345-6
LOCRT I Of't UF'PER DERRMOUf'I
LEGRL L12 Bi TERRRCE HTS LOT SIZE 20416
TYPE OF SOIL RB_O~.FTIOfI SYSTEM
M;.q,?,IMUr,1 HUf'IE:ER OF E:EDROOM$ = 4
SOIL RRTIr. IG <SO FT?BR)= 29i
THE REQUIRED SIZE OF THE SOIL RBSORPTIOfl SYSTEM IS: '
DEPTH= LEr4GTH= ,---,,-~' ~] R R",,.-' E b DEPTH=
THE LEHGTH DIMB]SIOH IS THE LEHGTH (IH FEET> OF THE TREHCH OR DRRI~IFIELD.
THE DEPTH OF ~ TREf'~CH OR PIT IS THE DISTAl'ICE BETPlEEH THE SURF8CE OF THE
GROUf'ID R~'ID THE BOTTOM OF THE EXCRVRTIOH <If't FEET>.
THERE IS ~'~0 SET I.IIDTH FOR TREHCHES.
THE GRRVEL DEPTH IS THE ~II,IIMLIbl DEPTH OF QRRVEL BETI.IEB-~ THE OUTFRLL PIPE
Pr'lO THE B. OTTOM OF THE EXCRV8TIO~-I (If'I FEET).
REr~.L~ I RED SEPT I C TI:Ir-IF( S I ZE= :1.25'-3 GFtLLOI'-,IS
PERMIT RPF'LICRfE HRS THE RESPOf. ISIBILITY TO If.~FORM THIS DEPFIRTMEHT DURING THE
If.iSTRLLRTIOH I~SPECTIOHS OF 8HY ;4ELLS RC, JRCEF~T TO THIS PROPERTY Rf.~D THE
f.iUMBER OF RESIDE[.iCES THRT THE I{LL ~,IILL SERVE.
TI40 < 2 ) I I'-,ISPECT I Of-IS PRE RE f2. L~ I RED
BRCh'FILLIf-IG OF Pr'lC SYSTEM I,IITHOUT FIHRL II'ISPECTIOf. I FtHD RPPRO'¢FIL BY THIS
DEPRRTMEf'IT I,IILL BE SUB,:rECT TO PROSECUTIOf'I.
Pllf. IIMUM DISTRf. ICE BETI,IEEI~I Ft I,IEL~ Pr. ID Rf. IY OH-SITE SEI,IRGE DISF'OSRL SYSTEM IS
100 FEET FOR Ft PRIVRTE I,IELL OR 150 TO 200 FEET FROM R F'UE',LIC WELL DEPE~IDIH6
UF'Of.I THE TYPE OF PUBLIC I,ELL
MINIMUM DISTRf. ICE FROr,1 R PRIVRTE I,IELL TO A PRIVRTE SEI,IER LI~E IS 25 FEET Rr.~D
TO R COMf,IUf.~ITY SE,ER LIFE IS 75 FEET.
fELL LOGS PRE REQUIRED Pr-ID 1,1UST E:E RETURtED TO THE DEPRRTr,IB~T I,IITHItI 28 DRYS
OF THE I,IELL COMPLETIOf.I.
OTHER REQUIREMEf.4TS MRY RPPL~. SPECIFICRTIO~.~S Rf.4D COf.4STRUOTIOf. I DIRGRRMS PRE
RVRILRBLE TO INSURE PROPER It~STRLLRTIOf. J. ]
PE~:H I T EXP I F:ES DiCEr.lEER 2:2, 29S=2
I: I RM FRMILIRR filTH THE REOUIREblEHTS FOR Ot.I-~ITE SEI,IERS RHD PlELL5 RS CE
FORTH BY THE ~IU[.IICIPRLITY OF R~.~CHORRGE.
'2: I I,IILL IHSTRLL THE SYSTEM I~ RCCORDRf. ICE I,IITH THE CODES.
~: I Uf. IDERSTR~.~D THRT THE Or-I-SITE SB,IER SYSTEM f,iRY REQUIRE Ef.~LRRGEblEf. IT IF THE
RESIDEHCE IS REblODELED TO I~.~CLUDE f,IORE THRf.~ 4 BEDROOMS.
~ 18ED: ~
POUCH 6-650
ANCHORAGE, ALASKA 99502-065,')
(907) 264-4111
D~ ;'ARTMENT or ILEAL1 H ,','.'t ENVli~ONMENTAL PHOTECTION
~Permit #: 820291
.January 31, 1983 L lf~-~q
TO: Permit Applicant
Subject: Lot 12 Block 1 Terrace Heights Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of blunicipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel~
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057
,PERFORMED FOR:
;LEGAL DESCRIPTION:
.2
7-
~ 10-
15-
16-
17-
18-
19-
20-
MUNICIPALITY OF ANCHORAGI:: '
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PE. RCOLATION TEST
SOILS LOG '* ·
TEST
SLOPE
DATE PE.FO"=EO: I (". "-~- 5, ~
/
IF YES, AT WHAT
oEP,.? ! 1/
%
~//,.<<.
72-008 (6/79)
Reading Date
/!
//
Time
//.v/?
11'57
,2:~ 7 .
/2;27
Net
Time
/~ /.~
Depth to Net
Water D;op
/ 75~
/.fi7 ,06
PERCOLATION RATE .... ,' (minutes/inch)
TEST.~..~-~WEE. --~.0 ....:N~:'">'.S '.--' '-" ·
,-/, . , /,'. ¢,,,t.~' ¢;,.-, .. 4.<"....'.~ //
y/-~ ,u., ¢~,o .,/ ' '. · :.,,,"~_.;....,, .... .~,
' "'~,'~'-~.'~'- /'K/. '. -
- ".':. t":" :' .' ~' .'
... ,:~..-:,. 1-:' .."
',,. ':.,.. ..... t.":'~, ;~
.os-'I
)qPP.
L,96
0~A1~19~8
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
]~o1: 12 ]~lock I Tet't'ace tle'~hl-~ ~t~h~v~nn
Location (address or directions)
(b) Applicant Name. Steve Stefan
Applicant Address
Telephone: Home 522-3959 Business
(c) Applicant is (check one): Lending Institution I'1; Owner/builder ~; Buyer D; Other I-I (explain);
(d) Lending Institution Telephone
Address
(e) Real Estate Company and Agent
Address
Telephone
(f) Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family I-,','~× Multi-Family I-I
Number of Bedrooms ~'ou]c(/~)
Other
WATER SUPPLY
Individual Well~x Com. munity171 Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite ~x Public [] Community [] Holding Tank []
Note: II community well system, must have written confirmation trom the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 ?=.ess {~,B4~
DA/~AND
ENGINEERING FIRM PROVIDINg. ',ISPECTIONS, TESTS, FILE SEARCH,
INFORMATION
As ce~ified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval 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 Telephone
Address
Date
Engineer~ Seal
This department has received written confirmation regardin~ the Conditional
Approval of December 31, 1985. The conditions have been met and the property
is now fully approved.
DHEPAPPROVAL
Approved for [our(4~
Approved xxxxxxxx
bedroomsby ~'"''/J' '~/'"-~Date June 3, 1986
Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Departr~ent of Health and .EnviroNmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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.
Page 2 of 2
72-025 (11/84)
. .... BESSE, E'*'PS & POTTS
January 13, 1986
Municipality of Anchorage
Department of Health and
Environmental Protection
Anchorage, AK 99501
Attention: Susan Os~ld
Re: Private Residence Water Well Variance of Lot 12, Block 1
Terrace Heights subdivision, Anchorage, Alaska
Gentlemen:
On December 18, 1985, Besse, Epps &Potts performed an
adequacy test on this system. The system met, without any
problem, the criteria for a four-bedroom home. However, the
100-foot separation requirement is not fulfilled. Therefore,
we are requesting a variance to the requirement that the
private well be greater than 100 feet from the existing septic
tank. The well is 76 feet from the existing septic tank.
(Installation of the system was based on Table A of the
Wastewater Disposal Regulations 18 AAC 72 Booklet.) The
septic system was installed in August, 1982 and is physically
sound and working properly. The leachfield has a separation
distance from the well of over 150 feet and a vertical
difference of 7 feet, the leachfield being the lower elevation
of the two.
The well is 118 feet deep and cased to that depth. The well
casing is 6 inches in diameter and 3.5 feet above the ground
surface with a sanitary seal. All cleanouts of the septic
system have airtight caps and are physically sound.
Public sewer is not available or present. Lot 11 to the east
is vacant and Lot 13 to the west has a similar layout of well
and septic system, the well being between the home and upper
DeArmoun Road and the septic system to the south or rear of
Lot 13.
The water sample taken for coliform results tested
satisfactory, and several families have lived in the residence
ENGINEERING, PLANNING, SURVEYING
~0 E. 88th Ave./Anchorage, Alaska 99507/Telephone 907-3496451/344.1352
"ProWdino a ~3ualih/ Dersonalized se~lce to those bulldino Alaska's future"
Municipality of Anchorage - DHEP
Page 2
January 13, 1986
served by the w~ll with no adverse effects. Please find
attached:
" As-built of Lot 13 showing septic system and well ~
locat.ton
Copy of bacterial report (satisfactory)
Affidavit confirraing installation of steel banded
flexible couplings in septic lines
° Well log
In my professional opinion, the lesser separation distance is
justifiable and reasonable. Please review and issue a
variance. Thank you. Your attention is appreciated.
Dale R. Merrell, PE
Partner
smh
Attachments
NORTHERN TESTING LABORATORIES, INC.
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY CUENT
r-i PUBUC WATER SYSTEM I.D. #
'~[~ PRIVATE WATER SYSTEM
SAMPLE DATE:/~
MO. Doy yom*
tPurchase Order No.
SAMPLE TYPE:
r-I Routine 1-1 Treated Water
' I-I Untreated W..ater
r-i special Purpose .,,,,
F'] Check Sample (for original contaminated
sample with lab reference no. )
3
4
5
6
7
8
9
10
Signature of Representative
Date Received
Time Received
Next Sample Due
COMMENTS: ..............
- SATISFACTORY
UNSATIS,CACTORY U
RESAMPLE R
· OTHER BACTERIA OB
TOO NUMEROUS TNTC
TO COUNT
Coum
/., ,~ /'~ C..--","., .
/ 1~o. of Total Cohform Colomes per 100 mis.
~ ~ ~, _! / ,*,_ .
Reported by *'/ ' ~ ~ ~
~.2'-.¢J: .Y S-
BESSE, E-*PS & POTTS
January 3, 1986
~861 9 ~ IV
I, Mike Gerharz, do hereby o~rtify that I assisted in the
installation of the septic system on Lot 12, Block 1, Terrace
Heights Subdivision and that steel banded flexible couplings
w~re used as pipe connectors.
Mike Gerharz
13630 Venus Way
Anchorage, AK 99515
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT)
The foregoing instrument was acknowledged before me this
Notary public for the State of
Alaska
ENGINEERING, PLANNING, SURVEYING
2220 E. 88th Ave./Anchorage, Alaska 99507/Telephone 907~49-6451/ 344.1352
"Providing a quality personalized sen/ice to those building Alaska's future"
Mr. Steve Stefan
8000 Upper DeArmoun Road
Anchorage, AK 99516
December 30, 1985
Municipality of Anchorage
Department of Health and
Environmental Protectio~
825 "L# Street
Anchorage, AK 99501
Attention: Ms. Susan Oswalt
Subject:
Statement for Conditional Approval of On-Site Sewer
and Water Facility on Lot 12, Block 1, Terrace
Heights subdivision
Gentlemen:
I, Steve Stefan, do hereby agree to move, on or before June
15, 1986, the septic tank on subject property to a distance of
100 feet or more from the existing well on subject prot~erty
and that I will place in escrow $2,500 to insure that this
will be accomplished.
yours truly,
STATE OF ALASKA )
)SS.
THIRD JUDICIAL DISTRICT)
The foregoing instrument was acknowledged before me this .
.'~O~'~day of ~'/C~ ~f~/k_3 , 1985, by .~(~. -~/-~9 Y% -
Notary Public for the State of Alaska' -.
My Commission Expires:
BE$$E. EPP$, E, POUFS
QUANT.
P.~GJECT Lt g'81
Engineering. Plmnnlng & Surveying
2220 E. 88th Avenue, Anchormge Alaska 99507
Telephone {g07} 3~4.1352, 34g-8451
DAILY INSPECTION REPORT
WORK IN PROGRESS THIS DATE
DESCRIPTION LOCATION
DATE ,'v');,;,
WEATHER
CONTRACTORS WORK FORCE AS OF
NO.
INSPECTOR
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
GENERAL INFORMATION
· (a) Legal D~scription (include lot/block, subdivision,~..;tion, township, range)
Location (address or directionsi '
(b)
Applicant Name---~',;,~'~'~' ~-~2'/t"/~"4'4// Telephone: Home ...,-".Z-'- .--~.~' Business
Applicant Address
(c)
(d)
Applicant is (check one): Lending Institution I'1; Owner/builder/~; Buyer []; Other ri (explain);
Len, ding !?stitution
Address
Telephone
(e) Real Estate C~mpany and Agent
Telephone '~
(t) Mail Ihe HAA to the Iollowing address:
TYPE OF RESIDENCE
Single-Family~ Multi-Family []
Number of Bedrooms ~
Other
MUNICIPALITy OF ANO'{ORAGE
IFNVlRONMENTAL P,~OTECTION
BEC 3 0 l°.85
WATER SUPPLY
IndividualWell~ Community[] PuDlicI''1' ' RECEIVED
Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation
attesting to the legality and status.
Page I of 2
SEWAGE DISPOSAL
Onsite~ P~blic D Community 1-1 Holding Tank [] ' ·
Not~ If community well system; must have written confirmation from the State Department of Environmental Conservat;on
attesting to the legality and status. - ·
, .
I~NGINEERING FIRM PROVIDIN~ iNSPECTIONS, TESTS, FILE SEARCH, DA,,4 AND INFORMATION
'.As ce~tlfied by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval 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 wafer supply and/or
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula!ions in effect on
the date o~ i~.~i°n-
Name of Firm ,/~ ~ ~- ~_c~--'
Date f"~-~,~",'-
Approved for .~q:::::~-~"~ bedrooms by~l/~Y~'~'-~w~w-w~w~ *-~'""~'Date
Approved Disapproved Conditio~ ,
Termsof~nditionalApprova, ~~ ~~ ~' ~ ~ ~ '
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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.
Page 2 of 2
NORTHERN TESTING LABORATORIES, INC.
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY CUENT
(-I PUBUC WATER SYSTEM I.D. ·;
PRIVATE WATER
Mo. D~W Yw
Purchase Order No.
SAMPLE TYPE:
n Routine I-I Treated Water
I-I .Special Purpose n Untreated Water
n Check Sample (for original contaminated
sample with lab reference no. )
TO BE COMPLETED BY LABORATORY
Received at: ~ch. ) %Fbks.
O.,e.ece,ved
Time Received
Next Sample Due
COMMENTS:
SATISFACTORY ~)
UNSATISFACTORY U
RESAMPLE R
OTHER BACTERIA OB
TOO NUMEROUS TNTC
TO COUNT
2
3
4
5
6
7
10
Signature of Representative
Time
L,cx:at~on:
Br~SS~-~ EPPS & POTT$
2220 EAST 88 AV~:rdR
ANOI(lrUtGE~, Al( 9~507
(~07) S49-64SZ
Client's Name:
Address:
Initial Reading c~et~r: ~'-.
Prcxlnctlon Ratn: .~,~ GP~ 24-ltour Capacity
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
Legal D~scription:
WELL DATA
Well Classification ,~- /"~'//-Y If A, B, C, D.E.C. Approved (Y/N)
Well Log Present {y~il Date Completed ~"-~)~'='-~'~_ /~'~ Yield
/
Total Depth ~'"'~'~' Cased to '~ ~ Depth of Grouting '"'--"
Static Water Level ,/~/7 '/ Pump Set At ,..~.~..5"- /
Casing Height Above Ground .~..5," / Sanitary Seal on Casingl~4)
Electrical Wiring in Conduil{~) Depression Around Wellhead ('~.
Separation Distances from Well: ("~'"~
To Septic/Holding Tan~( on Lot ~/'~'7~2 ' ~-~/-/ ; On Adjoining Lots /'~<:~ "~'" '
/.._~------
TO Nearest Edge of Abso'rption Field onLo~~.~ ~ ; On Adjoining Lots
To Nearest Public Sewer Line To Nearest Public Sewer
Cleanout/Manhole ~"" To Nearest Sewer Service Line on Lot -
Water Sample Col!ected by ~'~~P~,4/~'/ ;Date
Water Sample Test Results
Comments ~' ~"~-'- ."4-/,~-/~/-'
B. SEPTIC/HOLDING TANK DATA
StandpipeS) , Air-tight Cap~l)
Depression over Tank (Y~)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well ~
To Property Line .5~
To Water Main/Service Line
Date Installed ~'~>~- /~'.~--Size '~,,/,.~"'o No. of Compartments ~
Foundation Cleanout (Y~
Date Last Pumped ,/~" -- ~'~
· "'"'-- ; for ~
Temporary Holding Tank Permit (Y/N)
Course
Comments
To Building Foundation ~'
To Disposal Field ~'"~ /
To Stream, Pond, Lake, or Major Drainage
-' ' °P~g~ 1 of 2
'72-026{11/84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
· /
Width of Field
Type of System Design
Length of Field ~
Depth of Field
Gravel ~ Thickness ~
Date of Last Ad~uacy Test
Square Feet of Absorption Area
Depression over Field ,(~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot .4/~-, ~r/.~'
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION __ -------
To Property Line
To Existing o,~,Abandoned System on
; On Adjoining Lots · ,'/~c'~'
To Cutbank (if present) .~,,'~'
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (WN)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles du~'ing Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request
I certify that I have chec k*~d. verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed .~?/.~x'~ .~'."t' ' Date ,/~"
Compeny-'"~--~-~"~ -'~--/'/~"~ ~ ~-'-'-'-'-'-'-'-'--b",'~,~lOA No.
Receipt I/
Date of Payment ! '""~-~"~-~-,~'*
Amount: $ (~ ~
Page 2 of 2