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Home My WebLink AboutELMORE #1 BLK 5 LT 4 Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: .~,u.J oi~, O'Z.G~ PID Number: O t ~ - ~ "/~. - Name: L~'~ L-%I~,~'~,W~ Wastewater System: D New ~Upgrade Phon.:~_ ~00/=~= '~ IN°'OfB~r~ms: = Deep Trench =ShallowT.nch ~ed =Mound ~ther LEGAL DESCRIPTION ~,R.,~: ~.~ ~ TotalDepthf=morjgi.alg.de: ~,. TANK SEPARATION DISTANCES ~s~= = Holding XS.T.E.P. Sudace Water loot+ IOO~+ IOO~+ ~ ~ LI~STATION · "Pump on' Iwel It: I 'Pump o~ level It: I High wate~ lla~ ~tion and D~flptlon: CO~ ~ Depa~ment ot Health and Human Se~ice ~ I,~;t,, c.E..., ~.. Revbwed and approved b Date: / o-~- ? ~ ~ .t~_ 5W980288 = 018-172-04 E~ORE SUBDIVISION ~l, LOT 4. BLOCK 5 ** : ~'~". DESIGN OF SEPTIC SYSTEM UPGRADE '~LPA~Lo ~0~: PHONL NUUU~": ~ERY LINDSTAM 563-5500/242-1819 A B C D FCO g.25 25.5 -- -- ST1 10.3 26.0 -- -- ST2 17.5 30,0 -- -- MH 19.75 31.75 -- -- I/T1 -- -- 50.75 64.4 UT2 -- -- 54,0 64.0 k/T3 -- -- 31.0 30.75 I,/T4 36.5 31.75 MUNICIPALITY OF ANCHORAGE Deparfment of Hea/th end Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 07, 1998 Expiration Date: Aug 07. 1999 Permit Number: SW980288 Legal Description: ELMORE#1 BLK 5 LT 4 P-635A Design Engineer:. 41 Owner Name: Larry Ltndstam Owner Addrass: 4431 Riverton Ave. Anchorage, AK 99516-3657 Parcel ID: 018-172-04 Site Address: 004401 NATRONA AVE Lot Size: 37299 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] 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 DHHS at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-4744 ( 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. 5. The following special previsions. A liner must be installed on the side walls of the sand filter. The bottom of the sand filter must remain a minimum of 35' horizontally from a change In slope of >=25%. A lot line waiver has been granted of 2' to the East property line #WR980047 Received By: ~ Date: Rick Mystrom, Mayor Mmficipali.ty of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 ' http:l/www.ci.anc horage.ak.us August 7, 1998 James P. Williams, P.E. Alaska Water & Wastewater Consultants, Inc. Subject: Waiver Request for Elmore #1 Block 5, Lot 4 Waiver Request #WR980~PID #018 172 04 Permit #SW980288 Dear Mr. Williams: Your request for a waiver of the required 10 feet horizontal separation from the on-site wastewater disposal system to a property line has been approved. The approved separation distance is 2.0 feet. This waiver approval applies to the existing on-site wastewater disposal system_to property line separation only. Any future 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 343-4744. Sincerely, Donna C. Mears Civil Engineer On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services · On-site Services Section Waiver Review Worksheet WR# WR980047 PID# 018-172-04 HA# Date Received: August 7, 1998 Legal Description: Lot 4 Block 5 Elmore ~1 Engineer: Permit #. Jeff Garness, P.E., alaska water & wastewater consultants, inc. 7320 east chester heights circle, anchorage, alaska 99504 Applicant: Larry Lindstram Waiver Requested: line Lot line waiver of 2 foot from leachfi~ld to east ~roDertv Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: Date: Rec #: 03999/4054 Amount: By: Name of Reviewer Date Paid: august 7. 1998 Alaska Water & Wastewater 7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineer~ July 30, 1998 Municipality of Anehorage Department ofHeaith & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Re£ Sewer Upgrade for Lot 4, Block 5, Elmore Subdivision #1 To whom it may concern: The existing 4 bedroom house is served by an onsite septic system, and a private well. The existing seepage pit is surcharged and must be upgraded. Comments regarding the proposed upgrade are summarized as follows: 1. GENERAL: There are a number of site restrictions which limit the available ~pots to put the new drainfield. These restrictions are summarized as follows: · The location ofthe existing septic system · Steep topography. Most of the lot slopes to the north (downhill) at greater than 25% · The location of the house. Given these restrictions, there is limited space on the lot to put the new drainfield; therefore, we are proposing to install a bottomless, Intermittent Sand Filter (ISF). We also, request you issue a 2 foot lot line waiver from the east property line to the proposed sand filter. The property to the east is undeveloped and should be unaffected by this encroachment. In addition, we are requesting 25 foot waiver from the new ISF to the top of the cutbank (see site plan). 2. SOILS: On July 15, 1998, a test hole was excavated and percolation test performed at the area of the proposed septic upgrade. As can be seen from the attached log, the soil below the organic layer is a GW/GM material to a depth of 13.5 feet (bottom of hole). No ground water was encountered at the time of excavation. A percolation test was performed between 4.0 feet and 4.5 feet, and determined to be <1 minute/inch. 3. TRENCH DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate for ISF: 2 gallons/day/ft2 e. Number of Bedrooms: 4 . d. Design Flow: 600 gallons per day _ e. Minimum Absorption Area: 300 ft2 £ Effective Depth below pressure pipes: 2.5+ inches g. Width: l0 feet h. Length: 36 feet. i. Effective absorption area = 360 ft2 (>300 ft2 OK) j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank". I. Sand Material: Central Paving Products "Winter Road Sand" m. Pea Gravel: 109% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than 1% passing the #8 sieve. We are proposing to excavate down to a depth of 6 feet (maximum), place a minimum of 6 inches of sand, install the air supply line, and cover it with 1.5 feet ofsand. On top of the sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use a conventional lift station (Anchorage Tank), equipped with a programmable timer so that flow can be intermittently dosed to the ISF. 4. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 5. TOPOGRAPHY: As can be seen on the attached site plan, the southeast portion of the lot is generally flat. The remainder of the lot is on a slope of greater than 25%. A waiver is'being requested so that the 1SF can be placed 25 feet from the top ofthe cutbank. The porous soils will ensure that the wastewater moves rapidly downward, rather than migrating lateral!y towards the cutbank. 6. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with DHHS' "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies .... are available at the Municipal Onsite Services office (Sth floor, 9th & L St.). 7. CLOSING: Given the site restriction, I think the ISF is the most viable option for this lot, short of install a Recirculating Upflow Filter, which would be more expensive· I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance. Sincerely, James P. Williams, P.E. Senior Civil Engineer EI. MORE S/D ~1'1 £LUOR£ S/D NATRONA AVENUE t I (UND~ELOPED) , RIVERTON AVEN U~ / E~ORE SUBBIVISIO~ tl, LOT 4, BLOCK 5. s~ P~ .... ~ ...... ~ · ~, ........ ...................... , 10' ~ ~u~ ~/ ............. .--- ~ , 1o' ~ ~ /, ~ ............ ~--~ ..... ..................... / ~S~ WA~R & WAS~WA~R E~0RE ~BDIVI~ION ~; LOT ~, BL0~K DEISIGN FOR SEPTIC SYSTEM UPGRADE (10' x ~6' ISF) ~ F~: ~ON~ NUUe~: I'~ ~RRY UNDSTAM 242-1~19 I I I ~6~7 J.L.U. 1 = r-lO' ~'~6' DOffO~ tel~. / J ~,~YR¢~O~ b I~IJC,,.IN¢ V~LV¢5'~ PLAN VIEW V~Crl fFC PVC. LAf~ S I~ lOPe: Mr' '~/4" PV(; l Mf PROFILE VIEW pREPARED ALASKA WATER & WASTEWATER ELI, lORE SUBDIVISION ~1, LOT 4, BLOCK 5o BOTTOMLESS SAND FILTER (ISF) DETAIL LARRY LINDSTAU 242-1819 J.L.M. N.T.S. 50F5 Po NO. 9608 ALASKA WATER &: WASTEWATER . . ,~,o ,_ c,~ ,~ ~. ~,~, ~?,~..~......,~ ~L D~CRI~ON: ~ORE SUBDMSION, LOT 4, BLOCK 5 ~ PERFORMED: 7//15/98 ~_ ~ ~ ~.',.... c.[ ....... ~,~ ,--'? '~ ~ ~ NATRONA AVENUE *-- .;'~ ~ G~L W/ A SILT ~ GC '.1~1[ ~ ~~E-__ L~'~ , BOND (MEDIUM '~.~;Jg'. SW ~ NH (~ P~[ 2 6--';'~ ~ DOWN TO 13.5 ~ ~r .~ ~.~ , 8-12 D LI~ .~,~,,,..~ DATE ~-- ~..':~t , - ' ~ DE~HTO : ~H : ROCK COBB~ J~u~ --":'. e~'- , D~ 7/15/98 ..~. _ ~::~ ~ ~~-~Izol~ ........... : .... '7--/- .......... Y-'I"'X'-' '~ ~ · __ __. SITE ~1 // ~ ~ -- ';"'?~ ' nATp ~An~ CL~K ~T TI~ WAT~ ~L ~T ~OP " ,;:".~ ~ ......... TIME (H~S) R~ING (INCHES) 12--'~:',~LI~ ~ 7/15/9E SOIL CO['~ NOT HO ) WA~. PERC ~ ~SORBE) ?'.~[I ' W~R X F~ ~ W~ ~0~. ,~;':E~ ' B.O.H. 15-- 16-- 17-- 18-- 20- -- TE~ ~ B~ '4.0 ~. ~ 4.5 P~FOMED ~ A~ WA~R · W~AT~ I, ~ , C~ T~T DEPTH TO DATE SROUNOWATER DRY 7/7 s/ge 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 NAME LEGAL DESCRIPTION LOCATION We[I Absorption area/. Dwelling DISTANCE TO: · cap~cit¥ in gallons IF HOMEMADE: Dwellinglnside length DISTANCE TO: Wag PHONE r-~NEW [~'GRADE J L:ellgth of each line NO. OF BEDROOMSy No. of compartments Liquid depth PERMIT NO. Materlat Nearestlothne Trench width Foundation PEHMIT NO. DISTANCE TO: No. of lines Total length OI lines Distance between lines Material beneath tile Top of tile to finish grade Length W,dth Depth PERMIT NO. Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: =lass Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(si OTHER PiPE MATERIALS b 303',/ SOIL TEST RATING / S'-O 7:~-053 '(Rev. 3/'/8) PERbllT ~'~Om t'lLIl"~ I '2 I~RL_ I T'T' DEF'RRTMENT HEALTH AND ENVIRONMENTAL .~OTECTION STREET, ANCHORAGE, 825 26~-4720 SEi-IER I_IPGRRDE F'ERfd I Ti DERRMOUH RRER LT. 4 BLK. 5 ELMORE S/D · APPLICANT LOCATION LEGAL TYPE OF SOIL ABSORPTION SYSTEM IS: PIT HRXIMUM NUMBER OF E:EDRBOMS = 4 SOIL RATING <SO FT/BR): 150 THE REQUIRE[:, SIZE OF THE SOIL ABSORPTION SYSTEbl IS: DEF'TH= I LEI'4GTH= Cl GRR%~EL DEPTH= 6 THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF EACH SIDE FOR A SEEPAGE PIT. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTObl OF THE EXCAVATION <IH FEET). THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEEN THE OUTFALL PIPE AND THE BOTTOH OF THE EXCAVATION (IN FEET). REQUII~:ED SEF'TI6 TRI'41-( . SI.~-E= -~ 25El GRLLOI"4--c: PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY HELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE HELL HILL SERVE. TI.lO < 2 >. I 1'-.I_'SPEC T I Of-IS ARE RE¢~.LI I I~:ED BACKFILLING OF ANY SYSTEM HITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEF'ARTMENT HILL BE SUBJECT TO PROSECUTION. MINIHUM DISTANCE E:ETI,IEEN A i,IELL AND ANY 0'N-SITE SEWAGE DISPOSAL SYSTEM IS · ~00 FEET FOR A PRIVATE HELL OR 2_58 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. . MINIMUM DISTANCE FROM R PRIVATE HELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE ,IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERi'I I T i."-'~P I F.:ES _ DECE£1BER"j3'a --' -1 982 I CERTIFY THAT 2: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND HELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SVSTEM IN ACCORDANCE I,IITH THE CODES. 2: I UNDERSTAND THAT THE ON-SITE SEHER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE blORE THAN 4 BEDROOMS. APPLICRHT ACHESON ENT. V4. 0 ./ o I'] SIGNED REPLY r~.[~(F4~(~. 4S 472 SENO PARTS I AND 3 INTACT · PART 3 WILL RE RETURNED WITH REPLY. ~',BrbdD/alE'~lr POLY PAK (50 SETSI 4P472 DETACH AND FILE FOR FOLLOW-UP MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES C~.TIF,C^TE OP,NSPECT.ON PO. HEALTH AUTHOR'~ APP"OVA' oF o.-S,TE SEWER AND WATER PAC,L,TY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lqcation (address or'directions) (b) Prope~:ty'O~v~e~' ~o~J~f'z'~ : (c) 'Lending InStitution ~ ·" Mailing Addres~ "' ' (d) Real Estate Company and Agent Address Telephone Telephone; Home .,~'~~''''7'~'~/''~ Business Telephone (e) Mail the HAA to the followina address: or:. Check here I~, if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single*Family~ Number of Bedrooms WATER SUPPLY Individual Well~ Community I'-I Public D Note: If corn munity well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite~ Public [] Community r"l Holding Tank I'1 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and ~tatus· ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 liles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with ail Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm '~,j' Z;~-''~ Telephone Address /,~'~:~' -~J' ~'/J]'~' /~ /~ /f'/~' Date "~ Approved for~ ~.~,.~' ('*~bedrooms by Approved ~,,,/~ Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services CDHHS) issues Health Authorit~ Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in Ihe 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. MUNICIPALITY OF ANCHORAGE (MOA) HUNICIPALITY Of ANCHORAGE HEALTH AUTHORITY AI~,PROVAL (HAA) ENVIRONMENTAL SERVICES DIVISION CHECKLIST - FEBRUARY 1984 nil. 1 1988 A. ELL AT,RECEIVED Well Classification 264-4720 Legal Description: Well Log Present (Y~ Total Depth /~..8' · Static Water Level If A, B, C, D.E.C. Approved (Y/N) ~,~" /~ '~ ! Yield Depth of Grouting Pump Set At Sanitary Seal on Casing~l) Depression Around Wellhead (Y(~ Date Completed Cased to /Z.~' · / Casing Height Above Ground Electrical Wiring in Conduit~N) Separation Distances from Well: To Septic/Holding Tank on Lot 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 /~ / /4)~ ~ ; On Adjoining Lots /~! ~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~.~.. l~. ; Date ~ -/~ Comments B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes ~N) Air-tight Caps (~N) Depression over Tank Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ,~//~ Separation Distances from Septic/Holding Tank: To Water-Supply Well /O~,o · To Property Line /O ~'~' To Water Main/service Line Course /O'T.) Size /~"'~ No. of Compartments Foundation Cleanout (Y~) Date Last Pumped G-/~ /~ ;for Tempora~ Holding Tank Permit (Y/N) To Building Foundation '~ To Disposal Field / ~ · To Stream, Pond. Lake. or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Width of Field Type of System Design Length of Field ~ Depth of Field /~ Gravel Bed Thickness ~' Standpipes Presen~l) Date of Last Adequacy Test To Prope~y Line Square Feet of Absorption Area Depression over Field (Y~[~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /O ~' / To Building Foundation ,.~' · Lot ,~u///4 To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Existing or Abandoned System on · ; On Adjoining Lots ~-~' To Cutbank (if present) /¢) D. LIFT STATION stalled Size in Gall "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (WN) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) g Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request *" I certify that I hav_e.r/.~ec ~. veri~ed, or conformed lo all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ ~---'/,~/(-,I~ - Date Company Receipt No. Date of Payment Amount: $ Page 2 of 2 ANCHORAGE. ALASKA 99501 TELEPHONE: 1907) 279-3916 CONSULTING ENGINEER RESIDENTIAL WELL INSPECTION LOCATION= OWNER= TYPE OF WELL= Lot 4, Block 5, Elmore 4401 Riverton Donald Bang Residential, WELL LOG AVAILABLE: Single Family No INSTALLATION REQUIREMENTS MET=Yes PUMP YIELD FROM TEST: 6 Gallons per Minute DATE OF INSPECTION: June 1, 1988 TEST PROCEDURE= Well was pumped at a constant rate while the drawdown was monitored with an acoustic probe. At the beginning of the test water level was found at 70 feet below top of casing. At a pumping rate of ~ ~allons per minute ~h~ w~-~r ~v~l dropDed ~9 111 feet after 50 minutes of pumping and remained at th_~t l~evel for th~ r~m, fnder of the test, 50 minutes. A total of 600 gallons were pumped. The well recovery rate was monitored for 30 minutes. The well recover to 70 feet during this period, a 100 % recovery. TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested for E.Coli a~d total nitrates on E.Coli 0. Total Nitrates 0.12 mg/1. Max. allowable Total Nitrates 10mg/1. TEST RESULTS: This well meets the requirements of the Municipality of Anchorage. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR THAN FOUR HOURS MORE The Municipal requirement for well flow is 150 gallons of water p~r bedroom per day. This well exceed this requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may change due to subsurface conditions that may not be observed from the surface, a%d changes in the land use and other factors that may impact the aquifer feeding the well. :. : '~ : ~r * · '' , ~ ~ MUNICIPALITY OF ANCHORAGE t.':":?~. ~'." "/ : :.T DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION · .~' . ..... ' ~ ' DVSONOFENVRONMENTALHEALTH · . :~,:~. ~ ?':~:,, .*~ *,',:. ),* ;. '. * CERT FICATE OF INSPECTION FOR HEALTH AUTHOR TY APPROVAL ,: ,, ,.~..,*[,,***,,~,,'u,,, .... ,, OF ON-SlTE SEWER AND WATER FACILITY ,, ..~g .,~ ,~,.. - .....~ ,,~ . ... ~. -264-4720 ~ · · . -,'-- -'.., ';. ~ -;..:.. , ~", ~ :' '-' ...... . ' . , , January 27~1986 ; , ;,..-, ... ,.,, : ., ..., .... · ApphcabonDate · .-q. 1. ,GENERAL INFORMATION ,,. ,,: ..... .,~,:' *.-~L, '' ~: ,. '.. :; ~ ~;'~ (a)~'?Lega Descr pt on ( nc ude ot. bock. subd v s on. sect on. townsh p. range) ' ', · ,:j ,:';; ~* : ...... . ..o , .*,,* -,~::'~Let 4~:Block 5~'Elme~e Subdiv. Ls£e~ Ne, 1~ Sec. 34, T12N, R31f : :-," ~.: .' ' . Location (address or directions) ' · : ' , :, .... '. Access frem RivertmaRead , ".. (b): Applicant Name Usaald ~. Baag:: Telephone: Home 345-'/243' Business : Applicant Address ' 4400 Na%reaa*Rdol~ Aackerage~ Ak. 99516 (c) Applicant is (check one): Lending Institutio~n []; Owner/builder&"l; Buyer []; Other [] (explain); (d). Lending Institution' . Address ' Telephone (e) Real Estate Company and Agent · Address Telephone (f) .. Mail the I,-IAA to the following address: Telephmae applicaaf, a~d. hel~ for pick-up; TYPE OF RESIDENCE. Single-Family [3 :~ Multi-Family [].. Other Feu~ Number of Bedrooms WATER SUPPLY ' Individual Well II1 , Community [] Public D Note: If community well system, must have written confirmatio~ from the State Department of Environmental Conservation attesting to the legality and status. 4.' , SEWAGE DISPOSAL '" · " ~ Onsite r~: Public [] '~Community r"l ' Holding Tank [] .' Note: If c?mmunity we. ll~yste~, must have written confirmation from the State Department of Environmental Conservation ~' . attesting to the legality and status· - ~'.., ,.~.,;.. . ....... , ..... : '. ;. Page 1 of 2 ...... _ ,. . ., - · 72.025 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION [ 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 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 Will i&m, J;.Themps e~ P~I~. Telephone 345-2036 Address 19000 Bill l[a&d~ A-cher&[e~ Ak.. 99516 Date 1988 Engineer's Seal Approved for __ bedroom ate Approved ~'~ Disapproved Conditional. Terms of Conditional Approval 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 Mumc~pahty of Anchorage s not respons ble for errors or omissions in the professional engineer's work. Page 2 of 2 . '. MUNICIPALITY OF ANCHORAGE (MO~i HEALTH AUTHORITY APPROVAL (tIAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: Let, 4t Bleek ~ ]:;I..ere ~ubdi~iai~ Ne. 1 WELL DATA Well Classification .[~di~idual If A. B. C. D.E.C. Approved (Y/N) Well Log Present (Y/N) ~ D/PteCompleted Priar '~e 1911 (F) Yield 1.8 Tota Depth 12S' (F) tJ Depth of Grouting Static Water Level 66.5' (~*/2~//86) j PumpSetAt Uakaewa( a:reater %kaa 95') Casing Height Above Ground 12" Sanitary Seal on Casing (Y/N) 'Ye a Yes Depression Around Wellhead (Y/N) Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line CleanouVManhole Water Sample Collected by Water Sample Test Results ; On Adjoining Lots log' ; On Adjoining Lots l~l ' .N/A To Nearest Public Sewer N/A To Nearest Sewer Service Line on Lot W.J .?hlpae~ I'oE. ; Date 1/23/86 Satisfactory 103, ~A Comments See att~c¼ed rater ~l]raia repsrt. (F) indicates taf~matien ia fram M~ai. filea. B. SEPTIC/HOLDINGTANK DATA Date Installed Standpipes (Y/N) Ye s Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well 10 ? 24 To Property Line To Water Main/Service Line ~/A Course grea~er tk~a lO0~,' 1982(F) Size 1250 g&l.(~t~.of Compartments %*wa Foundation Cleanout (Y/N) Date Last Pumped Jul_v, Ne ; for Temporary Holding Tank Permit (Y/N) To Building Foundation ~' To Disposal Field 20 ~ ;To'Stream, Pond. lake. or Major Drainage Comments See attached eheek te A-l'lue aa ree~tep[ ef aeytie t=ak pum~ia[ Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 1§0 s.f Date lnstalled 1'tier te 1971 Width of Field - 12' Square Feet of Absorption Area 2,88 a.f. (F) Depression over Field (Y/N) Ns Type of System Design Seel)~:e ;}'it Length of Field .-- ' 12' (F) Depth of Field Gravel Bed Thickness 6 Standpipes Present (Y/N) Yes Date of Last Adequacy Test tte.~' 21~ 198-~ (F) & Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well L09 * To Building Foundation Lot N/A To Water Main/Service Line AdeRuate (I:') & Ade~u&te 37' To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments J&auary 16~1986 To Property Line 1 To Existing or Abandoned System on ; On Adjoining Lots [rester %k&Jl 30~ To Cutbank (if present) ~re&t~r th&n 100' gre&t~r th&n 10e (F) tadtc&toe i.aJsmatiea is ebt&iaed froa Muai. files O. 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 B~droom Rating Against HAA Request °* I certify that I hav~(cked, verified, or conformed to all MOA and Signed Date Company I~,J,T~mpsom. ~,~, MOA No. Receipt No. ~ ~1~3~f Date of Payment ~ ' ~ ~ Amount: $ (o~. Page 2 of 2 HAA guidelines in effect on the date of this inspection. Engineer's Seal W.J.Thompson 19000 Hill Rd. Anchorage, Alaska 99516 February 9,1986 Municipality of Anchorage Health & Environmental Protection Environmental Sanitation Division Fourth Floor West 825 L Street Anchorage, Alaska 99501 Attn: Mr. John Kennedy Ref: Lt.4,BI.5 EImore Subdivision add.No.1 Municipal Health Authority Approval Dear John, This letter is to verify that the well for the above residence is cased to a depth greater than fourty (40) feet. If you should have any questions please feel free to contact me at 345-2036. Time _o ' Time , ,.e Date Date Date Inspector Inspector Inspector Comments Conditional Approval Date ~w~ Install~ P~lt No. ~ptlc Tank Size Holding Tank Size ~lls Rating Well To Absorption Area Well L~ R~elv~ Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Address ~ ~ ~ ~ ' ~ ~ LendinglnstJtution ~ ~ ~ ~ [ ~/ ~ / W / ~ /~ ~ I' ~ ~one Address IV~ ~ F ~ ~ ~ W Z t ~ R~lty ~. & Agent Address ~ 3 ~ .~' ~ ~ ~ ~ /~ L~al Description ~ ~ ~ ~ ~ ~ Street L~ation ~1V~ ~ d ~ Typ~f Residence ~ Single Family ~ Muttlpfe Family No. of Bedrooms ~ Other Wa~Supply ~ Individual A~ACH WELL LOG. A well log Is requlr~ for all wells drl~l~ since dune ~ ~mmunlty 1975. For wells drilled prior to that date, give well depth (attach ~g If ~ Public Utllit~ available.) Se~e Disposat ~ Individual Year Individual Installed: ~ Public Utility When ~nnected to Public Utility: ~ Holding Tank NOT~ THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCE~ING CAN BE INITIATED. May 21, 1982 Bob Rink Kriuyn & Wentt 634 'K' Street Anchorage, Alaska 9950! PENINSULA E IGi iEERING RE; Adequacy Test Lot 4 Block 5 Elmore Subdivision Report # 82-E-12 Dear Mr. Rink: I have performed the adequacy test on the existing absorption system in accordance with the Municipalities' standard test procedures for a four bedroom home. An initial inspection was made on March 23, 1982, at which time no standpipes or any evidence of a system was found, Excavation on May 15, 1982, by Monte Acheson revealed that there was no septic tank but an existing seepage crib was found approximately 38' from the house, It was assumed to be a 12' x 12' x 6' crib as shown on the Municipal record files. The crib was then tested for adequacy with the new septic tank (1250 gallons) installed but not connected to the crib. The test results are enclosed for your review and submit~l to the Municipality. The test results indicate that the system performed adequately during the second and third day of testing. It was neces- sary to extend the test to a four day test due to the fact that the system had been left standing and unused for several months. As evidenced by the first days results and the recovery on the second day the lower level of the pit did not perform up to standards, however, the upper level of the system appears adequate. When the new septic tank is connected to the existing seepage pit and a water tight cap placed on the seepage pit standpipe, the system will be adequate. I have enclosed a statement of my fees to date which are in excess of my initial estimate due to the additional time spent ort~rmrJ[t~. "" P" ' Enclosure ...... .? 2820 'C' Street, Anchorage, AK 99501 (907) 276-~853 PENINSULA ENGINEERING ADEQUACY TEST Page I of 2 Client: Bob Rink Address: Kriuyn & Wentt, 634 'K' Street Legal: Lot 4 Block 5, Elmore Subdivision System: Seepage pit with 1,250 gallon septic tank being installed ....... i{l~i;dI DI~i'TII --W~gI{ADI~) - ~'O'i'AL WATER DATE TIME(min) SEI'TLC TANK SI.:EI'A(;E.PiT (~pm) RATE ADDED ~al) 0 No tank 17" 0 O After pmpg No pumping required 0 O Start test N/A 17" 6gpm O 10 min N/A 20.5 6gpm 60 20 min N/A 24.5 6gpm 120 30 mln N/A 26.5 6gpm 180 40 mln N/A 28." 6gpm 240 5/17/82 50 mln N/A 29" 6gpm 300 60 min N/A 31" 6gpm 360 70 min N/A 32 6gpm 420 80 min N/A 36 6gpm 480 90 min N/A 36 6gpm 540 100 m[n N/A 39 6gpm 600 O min Tank 29" 6gpm O 10 min Not 29.5 6gpm 60 20 min Installed 33 6gpm 120 30 mln N/A 34 6gpm 180 5/18/8 40 m[n N/A 35 6gpm 240 50 min N/A 39 6gpm 300 60 mtn N/A 39 6gpm 360.~ 70 min N/A 41.5 6gpm ..... 80 min N/A 42.5 6gpm ~' "' 90 mln N/A 43.5 6gpm 100 m[n N/A 44.0 6gpm ~ 600~.~ n~'.. C5~ o o PENINSULA ENGINEERING ADEQUACY TEST Page 2 of 2 Client: Bob Rink Address: Kriuyn & Wentt, 634 'K' Street Legal: "Lot 4 Block 5,' Elmore Subdivision System: Seepage pit with 1,250 gallon septic tank being installed ....... 'l}'l'[i;I:Ii Dl-::i'-~r'ii WATF. R Al)DEl} TO'rAI. W/~TEII{- I)AT~: TiHl';~min) SEI'TIC TANK SEEPAGE PIT (~',pm) RA'ri.: ADDED (gal) 0 0 After pmpg 0 Start test N/A 31.5 6gpm 0 5/19/8: 10 .min N/A 32.0 6gpm 60 20 mln N/A 34.0 6gpm 120 30 min N/A 36.0 6gpm 180 40 mln N/A 37.5 6gpm 240 50 mln N/A 38.5 6gpm 300 60 mln N/A 39.5 6gpm 360 70 min N/A 40.0 6gpm 420 80 min N/A 41.5 6gpm 480 90 mln N/A 42.5 6gpm 540 100 mtn N/A 43.--5" 6gpm 600 5/20/82 O .mtn N/A 30.5" O O m in 0 0 0 gNA gowm 2S73 .--' HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA ,.SUS,NO O.nC~ MO,TO*O~E S.,^t "O. Anchorage, Alaska National Bank of Alaska 111-011833 Kenneth Nix NHH Elmore Road SUBOIYI$)ON NAME Elmo,~ ~' I 1 3 I-I ~'- VINo [] Public system [] Community system MWAOI DISPOSAL [] Public system [] Community system [] Individual PART ..--TO It is the opinion of the [] State [] County [] Local Department of Health that this individual water-supply system [] is [] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [] State [] County [] Local Department or Heahh that this individual sewage-disposal sys- tem with proper maintenance: [] ~ be expected to function s~tisfactorily, and [] Cannot be expected to function s~tisfactotily is not likely to create an ins~nit~'y condition 4/8/71 ~. [ Sanitarian Dis~nce from: Wc!l. fee~; foundati*m, feet: neweL, si 1o¢ line at n trmnt. I-1 side. [] rear lees. Total length of tile l~nes, feet. Number of lines, I~stance between lines, fees. Trench width, inches. Total effective absorption area in bottom of trenches, square trees. Length of each llne, feet. D~pth, top of tile to finish grade, inches. Ty~ of hhcr material: [] Gravel. [] Broken stone, O~het Depth of filter material beneath tile ~ inches. Depth of filter material over t;le, inch~s. Number of pits .... Outside diameter, feet. Depth,. feet. Lining material Dis~nce from: Well, fees; building foundali;m, feet; nearest tm line at [-I front, I'-1 side. [] rear, fee~. In~fmetlo~ me~, bys [] State. [] G>unty. [] Local Health Autho~ir,/. Inspired by Date of inspe~th.~ , 19 REPORT OF INSPECTION--INDIVIDUAL WATER-SUPPLY SYSTEM Distame to nearest I'~hlic water m~in, feet. Size of main. inches. Individual wells I-1 are [] ate m~ cust~nnary in neighl~rho4d. Give most re~ent rccmd of failure of we. lis in immediate v~clmty to fumlsh adequate suppl)' of water Properties in neighh~clux~l r-I are [] are nm being developed with bo~h individual water-suDply and sewage-disposal systems. L.t size: feet wide feet deep. Dwelling s~ hack from front property llne feet. Individual water supply flora: n Dtdled well. [] Driven well. [] Dug well. [] Bored well. Building foundation, sccpafle pit, feet; nea~es~ 1o¢ line at [] front, n side. n rear. fee~, feet; s~ptic tank., feel; disposal field. ft'~; o(het sources of possible pollutiofl~ Diameter, inches. Total depth., .feet. Typ~ of casing, Approximate depth to pumping level of water' in well. f~t. Approximale ~1~ watertight to ~pth of f~. Exter~ sp~e around casing ~aled with: ~ ~t grout. ~ ~led clay. ~ Ordi~ backfill. ~cll covt~: ~ ~e~c. ~ W~. ~ M~. ~nings in ~11 cover watmighc: ~ Y~. ~ No. ~m~ ~ Shallow ~11. ~ ~p well. ~h of drop pi~,. fe~. ~mp capacity., b~at~ in: ~ ~nt. ~ ~mpt~m off ~em. ~ ~mp~ a~ve ~ound. ~ ~mp pit. ~mpt~m pro~rly ~aln~: ~ Y~. ~ No. ~mp ~nllng watertight: ~ Yes. ~ No. Ty~ ~ s~mage: ~ P~ssure. ~ GraviS. ~ckr. gall~s. Has ~cffr~logkal examlnat~ ~ wa~er ~n ma~ ~ Y~. ~ No. ff answer is "y~,~' give ~al;~ ~ water ~ is ~ is ~ sati~a~o~ {~ hu~n c~sum~n. In~allal~n ~ ~s ~ ~ n~ comply wkh approved exhi~t~ i~ any. [ns~i~ made by: ~ ~ate. ~ ~unty. ~ ~ Health Au~utky. Ins~cd Da~e ~ ins~i~. , 19 Depth o( casing, feet. gallu~s pet minute. gallons per minute. 19 RF~UEST FOR ~O'PROVAI. OF IIqDIVIDIL~L SENAG~ AND ~ATER FACILITIES FOR Number of Bedroon~ Well Data: Ao Approval Page .~o Water FacJ. IJ. tles Seepage 2. C.. ~posal F~eld 1. N~her of l-~nes ~ 2. Total ~engt~ -- 7. Requtred Measurements Well to Other Possible Cont~n~nation. £D1170