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Home My WebLink AboutMANN BLK 3 LT 2BMann Block 3 Lot 2B #020-041-03 Alpine Drilling & Enterprises Well Log 00Z -oil -03 Permit Number: #SW Date of Issue: Parcel Identification Number: Date Started: 11-11-13 Date Completed: 11-11-13 Is well located at approved permit location? x Yes ❑ No Legal Dcscripiiun: Mann Block 3 Lot 2B Property OwucrName & Address: Makela Julie Ann 16235 Goldenview Drive Anchorage Alaska 99516 Borehole Data: Depth (ft) Soil T) ;n, Thi _ I !less & Water Strata From To Method of Drillingx air rota �T El cable tool Casing type: steel Existhr "'•" 0 85 WallThickness:.250 inches bedrock 85 206 Diameter: 6 inches Depth: _ feet Liner Type: _ Diameter: _ inches Depth: _ feet Casing stickup above ground: 2 feet Static water level (from ground level): 35 feet Pumping level: 200 feet after 2 hours pumping 4 gpm Recovery Rate: 4 gpm Method of Testing: ait t Well Intake Opening Type: ❑ Open End x Open Hole ❑ Screened Start feet Stopped feet El Perforations Start — feet Stopped_ feet Grout Type: _ Volume: 2 bgs De the Start itless ado ter feet StoyVed feet Pump: Intake Depth_ feet Pump size _ hp Brand Name Well Disinfected Upon Completion? x Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 Mayor Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 s " £ T' www.muni.aro/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW N/A Parcel Identification Number: NIA 001b— 0441 • Q°j Date of Issue: NIA Legal Description Block 3, Lot 26 Mann Sub. - Property Owner Name & Address: Julie Makela 16235 Golden View Dr. Anchorage, AK 99516 Pump Installation Date: 11/14/2013 Pump Intake Depth Below Top of Well Casing: 194 feet Pump Manufacturer's Name: Aeromotor Pump Model: N/A Pump Size 314 hp Pitless Adapter Burial Depth: 7 feet Pitless Adapter Manufacturer's Name: Martenson 13-10 Pitless Adapter Installer: Beek's contracting Well Disinfected Upon Completion? ✓1 Yes ❑ No Method of Disinfection: Comments: Please save for your engineer. This is needed for your COSA. Pump Installer Name: Aarow Pump & well Service, LLC P.O. Boz 110496 Anchorage, AK 99511-0496 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. •J . ., Municipality of Anchorage .;a �:•, Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page / of •Z www.ci.anchorage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: •S ill O! O 27 PID Number. 020 -0 y/ - o-7 Harry Pct 6r(atrm•'1 Wastewater System: []New ❑ Upgrade ExtST *ee ! 235 liol,rfen view DrI..L ABSORPTION FIELD Prwne Hyrlps, a B.aopma: 6YG- I b 2 O Da.p T,Nwr O TrarM t] Bed D Mand Omar LEGAL DESCRIPTION sa Re" Taal Dad nh genal grade P � Fl atd x La SWdmwn 'z 3 Man n DOM 10 Me Dona', Rom a g" pad•: n Nry Gaaln pp*. FI To•nsn,p Range S.abn'. Fe added gam* prpryl pea: Cr" L*nptM1 F6 FI. Well: �Tcij f ❑ New ❑ Upgrade Gr`�•'dd` Hantoroflner DmNw•da. Inca. FI Clasurwakdn lPnWy. A B. CI. Tdlal D*pn: Cash b'. TNN y4M aI0 Pp•Ma1MN. FI. Fl FIs 0'303 l DNIY Data DNW SINK WAIN L": RWaaar /�+ rk�t S✓U Dna nnNl.d R Trod Pump SN K Ca" HapM,Aeon, Grana TANK GPM FI. FL SEPARATION DISTANCES tR Septic 0 Holding ❑ S.T.E.P. 0 other. To Septic Absorption Litt Holding Public/Private M•r"r°m`•r capaaly From Tank Field Station Tank Sewer LineflY�Cf1CD/'�t e 7-4,) k ) i•S'OGN well 100 r'r•1•rrw- HVmWra Canpanm*Ne svn,C. wN.r 67 LIFT STATION ►J.,4, La Lw t�� We WrY,IK1urM J GN Fo,npnwn I -Plnlp al•NVNK •PVlllp of MVN aI. Hen W.Ie, NNmN in n n C✓Irn Non Pump Mak* a mom Elw nspacupna p.damed Dy R*mNkr k {u l(tc( BENCH MARK the tr a mra temi; Watvc� 4 k -0#30000T8 Lpulwl and Desalpwn. SwA.-ee oic G(ect• toSw Coe.T•i- �6n Ftntt rr� bs QS //4Wl /Y� bswya Eyv.udn won t/e�OFI. (V tt.oritr a .rel t tet tea eo., ancnb QJ fitN'I CEJ 7r �. j's. i•�s;. ti sua/-tom �a^t /na/ Engineefs Stamp ,� ( �,p: �i.{ `• �., •. 1fl c n k .sm toI C't"tti/iecC �' c4nYU katCe-,12 Inspections performedbY: - F'/uf�" Ta/a Svc Dates: 1N lo/is-/off 9 t> P' .• r-•�b. �w • �& t r+ ......................:... 2nd Developme Servic epart entApproval F .••.• ••• •i::••••;• . THEODORE F. AA a1 Re Reviewed and approved by: X Date: ��//7/0Z "."-`•,'• CE -3509 Y PERMIT NO: SWO10427 SWING TIES: PID NO: 020-041-03 FROM: COR. "A" COR. "B" PAGE 2OF2 I W I TO: S.T. C.O. "C" 17.5' 22.5' S.T. C.O. "D" 22.5' 31.5' Z 1 DBL. C.0 "E" 23.5' 34' p I EXISTING WELL LL SEEPAGE R 100' PIT UI 1� UJ , ~I ' D ' IL - a I' 67' C NEW 1250 -GALLON I SEPTIC TANK ;1 s;l ; " BDRM 13DRM I i I TBM ':HOUSE � ♦ tMNMZZzl .......`,iii DRIVEWAY:= ' PLAN VIEW SCALE: 1" = 30' PROFILE VIEW NOT TO SCALE :.� FROM HOUSE 5 FEET SOIL COVER TO SEEP PIT 1�..%./..,.—•.—./..-...•.•••: ��%�:..•..... 7 :THE F. Lfpp.E AS C.r-3589 INV. 1250 -GALLON ;c .♦ ^� 89.5' SEPTIC TANK INV. 89.3' PROFILE VIEW NOT TO SCALE MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW010427 Legal Description: MANN BLK 3 LT 2B Design Engineer: 0019 Flattop Technical Services Owner Name: Wayne & Bertha Knight Owner Address: 16235 Goldenview Dr. Anchorage , AK 99516 - This permit is for the construction of: ❑ Disposal Field 0 Septic Tank /D/ s a .2s-rm Date Issued: Oct 10, 2001 Expiration Date: Oct 10, 2002 Parcel ID: 020-041-03 Site Address: 016235 GOLDEN VIEW DR Lot Size: 44961 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 ❑ 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. Received By: �' ' CLC' Issued By: t� Oti7 t.I I_ Date: IGS to /p ( Date: _ /0 — /D — G/ 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/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. OZO —Oy/ —01 Permit NumberSWO/0427 Property ownersDay phone 3 S/ — 9T 7 7 Mailing address (1) 14235 linlr/(nyrrw 2r' Mailing address (2) ArrcAe>aV A -h • Zip Code Legal description (Lot, Block & Sub'd.) G.of ZC (i/acl- ',3 Kann S/J/ Legal description (Section,"Township & Range) Lot Size 4Q Y61 Acres/Sq.Ft. . THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Number of Bedrooms ❑ Well Only ❑ ❑ Water Storage ❑ 12 15ntr y(nc,, S(pfic fo n k R(� /ace eo li ✓✓ C 4o (Aryurg 7-4n kj Jacuzzi ❑ Water Softening Unit ❑ 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: 3 2o ff Waiver Fees: _ Nep Fee Ccpr Awance �W &.,/r0e,0&7,g Date of Payment: 140/ 9 / 0I Date of Payment: Receipt Number: O Receipt Number: (Rev. 12100) El .� ❑ Jacuzzi ❑ Water Softening Unit ❑ 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: 3 2o ff Waiver Fees: _ Nep Fee Ccpr Awance �W &.,/r0e,0&7,g Date of Payment: 140/ 9 / 0I Date of Payment: Receipt Number: O Receipt Number: (Rev. 12100) 10/10/2001 Municipality of Anchorage George P. 1Puerch,Mayor Department or Public Works Bundling Sodety Di -vision P.O. Box 196650 a 4700 S. Bragaw Strcet Anchorage, Alaska 99519.6650 a (907) 343.8301 http://%%�w.cl.anchorage.ak.us Ted Moore PE Flattop Technical Services 14530 Echo St. Anchorage, AK 99516 Subject: Waiver Request for Mann, Lot 2B, Block 3 Waiver Request #WR 000078 Parcel ID #020-041-03 Permit# SW010427 Dear Ted Moore: Your request for a waiver of the required 100 feet horizontal separation from the on-site wastewater disposal system to surface water has been approved. The approved separation distance is 47.0 feet. This waiver approval applies to the existing on-site wastewater disposal system to surface water 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 343-7904. Si ly, t�a=V �- -79�;q_ Daniel J. Roth Civil Engineer On -Site Water & Wastewater Program CIVI.B ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION Q ANALYSIS T1tEODORE F. MOORE, P.E. PH: (907) 345.1355 M.O.A. DSD Attn: Dan Roth or Jim Cross P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: October 9, 2001 14530 ECHO ST. ANCHORAGE, ALASKA 99516 By means of this letter I am requesting a continuance of Waiver # WR000078 (issued on October 12, 2000) to allow the installation of a replacement septic tank for the collapsing fiberglass septic tank current serving the 4 -bedroom residence on Lot 2B, Block 3, Mann S/D. A site plan is enclosed depicting the relevant locations and distances. The present homeowner, Mr. Kip Glassman, had only occupied the residence for approximately 3 weeks when a blockage developed in the waste line between the house and the septic tank. When he dug down to repair the blockage it transpired that the upstream end of the existing fiberglass septic tank had split, possible due to the presence of a large rock in the backfill material that was pushing against the tank. When we applied for a HAA certificate for this property approximately one year ago it was necessary to request a waiver since the existing tank was only 94 feet from the well and 70 feet from surface water in the roadside ditch flowing along the east edge of Goldenview Drive. The waiver also approved the location of the existing seepage pit being as close as 47 feet from the same surface water. As illustrated on the site plan, the proposed replacement septic tank will achieve the required 100 - foot separation from the private well on the lot, but by doing so will necessarily be a little closer to the surface water in the roadside ditch. There is no feasible site on the lot to install the septic tank that is 100 feet from both the well and the surface water. Per my yesterday's telephone conversation with Mr. Cross, I am requesting a continuation of the existing waiver at no additional waiver fee to allow the installation of the replacement septic tank as proposed at a location as close as 63 feet from the surface water. In support of this continuance it should be noted that this separation from the watertight septic tank is significantly further from surface water than the allowed 47 feet from the non -watertight seepage pit to surface water. The basic rationale for waiver approval submitted i6 September 2000 still applies. Please give me a call if you have any questions with regard to this emergency permit and waiver continuance request. Sincerely, -r�e 7;zo- - Ted Moore, P.E. cc: Kip Glassman , I I w THEODORe F. MOORE•� �• I ; I 3 I WELL/ z I , I i 1 O I LL „ z ' I I o I SEPTIC ' O I o ABANDON EXIST. Q 1250 -GALLON c FIBERGLASS TANK 1 I ; --------- 56 v I INST. DBL. C.O.-z 1 63' INSTALL NEW 1250 -GALLON r =-A°O .� ., Or ALS t_ IL v........lk . m a' r- - iO ' LOT 2A O' LL W, j LL; Q: WELL R 100' I SEPTIC TANK '. NOTE: THIS DRAWING ILLUSTRATES THE CORRECT DISTANCE BETWEEN THE SEEPAGE PIT AND THE DITCH ALONG THE EAST SIDE OF GOLDENVIEW DR. DUE TO AN APPARENT ERROR IN THE AS -BUILT SURVEY FOR LOT 2B, THE ACTUAL LOCATIONS OF THE FACILITIES ON LOT 2B MAY BE DIFFERENT. DRIVEWAY ; �o+ THEODORe F. MOORE•� �• r � CE - 3589 `•' ----- O , LLI i a' r- - iO ' LOT 2A O' LL W, j LL; Q: WELL R 100' I SEPTIC TANK '. NOTE: THIS DRAWING ILLUSTRATES THE CORRECT DISTANCE BETWEEN THE SEEPAGE PIT AND THE DITCH ALONG THE EAST SIDE OF GOLDENVIEW DR. DUE TO AN APPARENT ERROR IN THE AS -BUILT SURVEY FOR LOT 2B, THE ACTUAL LOCATIONS OF THE FACILITIES ON LOT 2B MAY BE DIFFERENT. DRIVEWAY ; DRIVE , , 0 0 SEPTIC G SYSTEM ° WELL LOT 3A �o+ LOT 2B, BLK. 3, MANN S/D ; ----- i BBDRM OUSE „ „ z , DRIVE , , 0 0 SEPTIC G SYSTEM ° WELL LOT 3A fl N GRE'"'ER ANCHORAGE AREA BOF'UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /✓�/'� ��!'.A-C' MAILING ADDRESS _ JX:f� /fY PHONE LOCATION Id LEGAL DESCRIPTION G� .',I .lf' +fq�� /`%dN/✓Sl�� SEPTIC TANK: DISTANCE H/�/hus/ - NUMBER OFL FROM WELL// /'r/","1 ANUFACTURER- //"so7!'Si//' MATERIAL 626' 1X%= COMPARTMENTS — INSIDE LENGTH INSIDE WIDTH -" LIQUID DEPTH — IQUID CAPACITY1-4re) GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER i OR WIDTH -z LENGTH! DEPTH lei / G ///'0V/yaH LINING MATERIAL CRIB SIZE: DIAMETER YDEPTH— DISTANCE FROM: WELL!/Y lO.F// h / TOTAL EFFECTIVE /`�"'°�"`/P BUILDING FOUNDATIONae , NEAREST LOT LINE >'J « ABSORPTION AREA (WALL AREA)", 1rly/aerZSQ FT ADDITIONAL ABSORPTION WELL: TYPE TiH� /'/��'/�/CONSTRUCTION DEPTH : DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION—,LOT LINE , SEWER LINE , TANK , SYSTEM_ CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED DISTANCES:-r11x-e"0 REMA DIAGRAM OF SYSTEM n /d� INSTALLED BY:��/'V l✓��19 PIPE MATERIAL: LOT SLOPE- / REMARKS: .i DATE l�'*r9'%%`/ APPROVED Form No. EQ -031 TN r'"` /./off !"v,o;�t• , �' GREATER ANCHORAGE AREA BOROUGH 330 "C" STREETENT ENVIRONMENTALANCHORAGE, ,ALASKA LITY PERMIT NO. • � ]3]0 "C" STREET ANCHORAGE, ALASKA 99403 TELEPHONE 274.4561 / v &),1S r. `�,...� SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT •ERL kceSs/,'-^ MAILING ADDRESS .5129 kpK 41/068 PHONE -pzZ/ INSTALLATION LOCATION "'1 �'Cu i-- 9- .4,4ti T L"<'/l 20. LEGAL DESCRIPTION LOT ZB T LCUG D 1-1'j n/AI S /� INSTALLATION OF: SEPTIC TANK L" SEEPAGE PIT— DRAIN FIELD OTHER TYPE AND S1ZE OF FACILITY TO BE SERVED 13EOA°Ovn? .S/ A/G c F FY M FINANCED THROUGH TO BE INSTALLED BY Sc CF SOIL TEST RESULTS �``�` /- 'LJ NOM THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED Su..77 ��/�! 5/l' ', V7-�TO FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE / Zs --V TYPE C/ SEEPAGE AREA 512E MINIMUM DISTANCES. REQUIREMENTS /p/` DIAGRAM OF SYSTEM i FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT �CI / DRAIN FIELD /n / / r/ SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ' SEEPAGE PIT 20 / DRAIN FIELD TO NEAREST LOT LINE. -WELL TO SEPTIC TANK SEEPAGE PIT wr DRAIN FIELD �• ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK. /se, / SEEPAGE PIT / 0-n / DRAIN FIELD TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2B•68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE FORMNO.KQ- 14 .EATER ANCHORAGE AREA BORO DEPARTMENT OF EFIVIR01411ENTAL QUALITY CASE N. 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed For -1 Neal (Lees a Date Performed ct & C 'I Legal Description: Lot2(3 Block. -7 Mnv%v\ This Form Reoorts Soils Log X Percolation Test_ r)enth Feet 5 — 6 — 7 9- 9 — it Characteristics Y \c/y. 1 "5 savwd S�1 �Pb1o� �taue\� dUnS��trnn o�re.�-lnvowv� Swnd� � vu / eebbles aM� \DOtAd�eNr �'caUjV\ G\eoann j so dy (sP) �1sPs �o $ w�cln c s A\;r1�) COOLMLe COCk\.Me-j v eX %, G\ pan^ 10 11 GM-�w 6cavcl� "=fid sili�� D. Was Ground Water Encountered? \0 If Yes, At what Denth? Proposed Installation: Seenaae Pit Drain Field Depth of Inlet Denth To Bottom Of Pit Or Trench COMMENTS: 'cava\ 1-�e�11�•`er-T- 2-Ock \S "eW\A .1t~ ujelT; 4 Test Performed By Data Certified By: Date: S f"j 2 — GM 3 _ A 5 — 6 — 7 9- 9 — it Characteristics Y \c/y. 1 "5 savwd S�1 �Pb1o� �taue\� dUnS��trnn o�re.�-lnvowv� Swnd� � vu / eebbles aM� \DOtAd�eNr �'caUjV\ G\eoann j so dy (sP) �1sPs �o $ w�cln c s A\;r1�) COOLMLe COCk\.Me-j v eX %, G\ pan^ 10 11 GM-�w 6cavcl� "=fid sili�� D. Was Ground Water Encountered? \0 If Yes, At what Denth? Proposed Installation: Seenaae Pit Drain Field Depth of Inlet Denth To Bottom Of Pit Or Trench COMMENTS: 'cava\ 1-�e�11�•`er-T- 2-Ock \S "eW\A .1t~ ujelT; 4 Test Performed By Data Certified By: Date: L E A N A I R L E A N W A T E R A C L E A N 0 M M U N T Y 'GREATER ANCHORAGE =AREA -BOROUGH == 3330 -C- STREET -= :ANCHORAGE. -ALASKA �:D•503 :DEPARTMENT-CF--ENVIRONMENTAL;-0UALITY: 274-4381 6� [ .,Ul 3 N s R � -544 -10-11 I Z 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 s• IT' CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O2,0— 0"il- 03 HAA# 2405o�ka Expiration Date: r t 11 /0,:7- 1. 0,:1. GENERAL INFORMATION Complete legal description 1 D i ;;LB SK NAN N 'S/U Location (site address or directions) ll0 23'5 G0LAIE N V t L %& Current Property owner(s) Y-12 6 1-6-544 LNNI _ Day phone 4VV /02b Mailing address Lending agency l b x.35 [2V1_i>e 1 V1B0 7VL Day phone Mailing address Real Estate Agent ?e,2g!j �� 1 �•�ax Day phone 22-71,2761 Mailing Address a%i Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: / TYPE OF WASTEWATER DISPOSAL: LTJ Individual Well �/ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 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 private or Class C well and may be reissued with new water sample results. (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. 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 herein. 1 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm 1 n 61 Address 01-0-S Engineer's Printed Name 5. DSD SIGNATURE Approved for Disapproved. W. bedrooms. ?hong �L71-31/b Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other B Original Certificate Date: /I)/`# o� (Rw. OV02) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AW 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: _-1 O l e2$ 13 to '3 KAr N N Parcel ID: O2W _ 0q1_6 A. WELL DATA Well type If A. B, or C provide PWSID # .rJA Well Log (Y/N) 1� Date completed j t7 Sanitary seal (Y/N) Wires proorly protected (Y/N) Total depth Z7Lft. Cased tor&{jt. Casing height (above ground) Qin. FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: AT INSPECTION II 31-- , ft. Colilo[m • colonies/100 ml. Nitrate 0� mg.lL Other bacteria colonies/100 ml. Arsenic: ✓ mg./l. Date of sample: 1( Collected by: HK B.. SEPTIC/HOLDING TANK DATA Tank Type/Material T. S 4td. - �• Date installed Ir� ISO i Tank size 12,15D gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout (YIN) 4- Depression over tank (Y/N) _h._ High water alarm (Y/N) Date of pumping 1211%;4— Pumper A+ C. ABSORPTION FIELD DATA Date installed 1974 Soil rating (g.p.d./ft2 or ft2/bdrm) ,$5 Length I L ft. Width iL . ft. System type I..GYa C- 2 I B Gravel below pipe to ft. Total depth 1_7 ft. EH. absorption area ABkft2 Monitoring tube 4- Depression over field la Date of adequacy test 9 Results (Pass/Fail) _? For 4 bedrooms Fluid depth in absorption field before test A in. Elapsed Time:kmir3ir Final fluid depth _.5 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Water added_An +gal. New depth `& in. Absorption rate >= lo'at7 g.p.d. N If yes, give date ✓ D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at n. "Pump ofi" level a in. High water alarm le at in. Datum Cycles tested Meets alarm 8 cuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: SepticYankfl1ftst8tbn on lot 160 On adjacent lots 1 1" Absorption field on lot 11W Public sewer main H/A Sewer /septic service line 85 t On adjacent lots � 10-0 Public sewer manhole/cleanou't/t 14/4 Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON10T TO: Building foundation ib+ Property line 60 Absorption field Water mairi" N1Ar t'" VR ater service line 50 f Surface water %r Wells on adjacent lots �Bd SEPARATION DISTANCE FRO4,ABSORPTION FIELD ON LOT TO: JJ Property line, SD f Bu1ding foundation�' ( Water main V-3 /A Water Service line' T✓O '� Surfaci water Y�, Driveway, parking/vehicle storage z Curtain drain Wells on adjacent lots '>/&V F. COMMENTS *` G. ENGINEER'S CERTIFICATION / certify that'f have determined through field inspections and review of Municipal records that the above systems are in N conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name 1 oil e t =<2!r V f VG Idtwfk Date- � k oZ 3, 0�9 d HAA Fee S 730 Date of Payment 0&,0q Receipt Number 59151 trn (Rev. 12101) Waiver Fee S Date of Payment Receipt Number W2764429 RE/AIAX PROPERTIS. 01:06.16 p.m. 10.06-2004 1 i1 wr. rA� ■w.r �[ Mr ■w Aw rAa ttvAr 90' 300.00' East • WE[t I . u41 � e , ► zCOvr C� c, O � • sa 1 o ED 0 CPA � � (NII( ...`.Y� •'ti S� 1 , V • ��/1' \ �I 30000' ' EAST 1 w h�Jl 1 i L - 3R DNM ND C7lOL WM= 3MMU M AS -LILT K USED FM pWmKC,Cl at rat OTAKAWK MADART OR RDAD[ LN M THE LtA1KYW TNO ROPONSK Y FOR 116 SLRAL TRAWSACeON CLT NO ASK40 R►IMtCAI LAMM ONLY RIK M COST DY DW WRWY. LILTED dlTM= RRYAL CM WAL WO RDROOU "M WAY OAUi VAD U M 90411 - WT DjKgt STMOOLS lw�i FWAKMAK AS-"? • KT ROM r. :w AVHALT war RNI ... T . A►+A .. �iNaT ... tsyrin FOOD IN" WOOD room!I/L�_•+�r-._.�a--,7n', ® A"Am LM 4--O--w METAL FO xoDD aoc l((�J P� At IT IS TICE RCSP0047DSJTY OR ML eULDOT CR 0061m PFAOR TO CONSTRUCnON. TO v[R►Y 101110b060 WAJWo ORAD( RCLARVL CWT TNOSC WFt0"UWT3 AW%T 0WOUND AND VMMU 1Rt.L GC TO /VSSI•LD OITADL AND UnUTT OOIItCTIONS AID TO DC1O501K eNOW' ROIOiM MBIA NWM0 CICANCUTS. DDCWALRZ DRIACRAM [TC.. ARL W~ W THEIR AR4R C"ATC LOOADQI, ONLY, SNOW THE DOSTD,x OR ANY LAS0/0i17, COVD+ANTS CR RCFMKIX a AMICH 00 NOT A►►UR ON 1HL RCOORCLD LZINLON PLAT. WAY IRCVD4T SOME MIaNAO'tTS FROM Sam Slat ANC LOCATM. ALL DIeTANOCS ARC RCOORO UNLCSS 97HCRWSC N QT SMWY aMTnoArCH ..>,p .. repay by Robert E. Johns, Jr. do Assoc. Professional land Surveyor MOT P1.40 r r r-.........., r r. �.• Is M.O� AOLt as •• •• rr' ! / Ot 1 a.r - 1 W Rq LA aR. Rw nn 1L N. FOLMAIN ARC.T F i .501 ...r rrrr`ir ••••• DSY' 10-2-04 tssw J M <2 REJ 121-S 10-4-04 r AS- AL MS KuT j 3238 24631 0 -B, BLOCA 3, MANN SUBDIVISION l ...�. l Y.- L Y 1 r.r.r rrrr.r ..rrr rrr r wry Iw.nd •T' 9-30-Uat u1+oMiSG9 SGS RfU 1046202001 Client Name Tobben Spurkland P.E. Project Namda Mann SID. B3. L2B Client Sample ID Mann SID, B3, L2B Matrix Drinking Rater Semple Rematks: ieCr 68:eaU+ 1' All Dates(flmes are Alaska Standard Time Printed Dat&Mme 0913012004 13:11 Collected Datefrkne 09121,2004 9:45 Received DatelTime 09212004 11:30 Technical Director Stephen de / Releefed �/V� I Allowable Prep A.na�y-I Peranrter Rewllc p'QL Units Medved Container[D Lbritr Dale Doe Init Wattr.a De,>artaaxnt Nitale•N 0.376 0.100 mS4. EPA 300.0 R (4-10) 091,2ZTJ filo Micrnhiolcgy LAborat.ory TmxlCof:16-m 2011. No Call wVKOnL SM20922213 A (0-11 M)71++ L'Y.0 l• r Of i / P.O. n)x 190X/50 • Anchorage, Alaska SYM19- 50 • Telcphonc (907) 343.13301 • Far (907) 3134 0) ` `/ 4700 Brupw SUcet • Anchorage, Alaska 99007 s A 9 r Mayor 31ark Begich %rV.Mnl.org 13ullding Safety Divislon 10/11/2004 Ted Moore Flattop Technical Services 14530 Echo St Anchorage, Alaska 99516 Subject: Waiver Request for Mann Block 3 Lot 2B Waiver Request #WR000078 (2ND REVISION Parcel ID #020-041-03 H.A.A. 040524 Dear Ted Moore: Your request for a waiver of the required 100 feet horizontal separation from the absorption field to surface water has been approved. The approved separation distance is 47.0 feet. Your request for a waiver of the required 100.feet horizontal separation distance from the septic tank to private well has be approved for 94 feet. This waiver approval applies to the existing absorption field to surface water and from septic tank to private well 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 arc any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, roeGoodall Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity CIVI.6 ENVIRONMENTAL ENGLNEERMG • ENERGY CONSERVATION 6 ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345.1355 October 7, 2004 ANCHORAGE, ALASKA 99516 M.O.A. DSD Attn: Dan Roth P.O. Box 19-6650 Anchorage, AK 99519 Dear Mr. Roth: By means of this letter I am requesting a 2"d revision of Waiver # WR00000078 regarding the septic system serving Lot 2B, Block 3, Mann S/D. As you will recall, this waiver revised Waiver # WR000078 to allow installation of the replacement septic tank at a location as close as 47 feet from surface water. The revised waiver did not specifically address the separation from the private well on this property; however the original waiver had approved the location of the original septic tank at 94 feet from the well. The rationale for requesting and approving the waiver was that there is no location on the property on which a replacement septic tank could be installed that was 100 feet from both the well and surface water. During installation of the septic tank we did make an effort to achieve a 100 -foot separation distance between the tank and the well and were successful in achieving a 67 -foot separation from surface water. Unfortunately, the configuration of the new septic tank relative to the house made it difficult to precisely measure the distance between the tank and the well. Based on my field inspection it appeared to me at the time that the contractor had just barely achieved a separation distance of 100 feet from the well, and I noted this distance on my inspection report. I understand that a recent field measurement conducted by DSD personnel using high -precision surveying equipment and subsequent calculations has concluded that the actual separation distance is closer to 99 feet. Without debating the specific measurement and calculation methodology I am willing to accept this distance as correct. I am therefore requesting you to revise the waiver to allow the actual measured and calculated distance. The rationale for granting this request is that the original waiver allowed a distance of 94 feet from the well and 47 feet from surface water, and the actual separation distances achieved were 99 feet from the well and 67 feet from surface water. These actual separation distances are a significant improvement on both of the original distances, so the potential for contamination of water sources should be proportionately reduced. In actuality, the separation distance issue relative to surface water was probably more critical than the issue relative to the well, so the tradeoff could be considered to be an improvement. Please give me a call if you have any questions or need additional information, and I thank you for your cooperation in issuing the revised waiver. Sincerely, Ted Moore, P.E. 4 J J GAL $ERV USr- CIVI.6 ENVIRONMENTAL ENGLNEERMG • ENERGY CONSERVATION 6 ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345.1355 October 7, 2004 ANCHORAGE, ALASKA 99516 M.O.A. DSD Attn: Dan Roth P.O. Box 19-6650 Anchorage, AK 99519 Dear Mr. Roth: By means of this letter I am requesting a 2"d revision of Waiver # WR00000078 regarding the septic system serving Lot 2B, Block 3, Mann S/D. As you will recall, this waiver revised Waiver # WR000078 to allow installation of the replacement septic tank at a location as close as 47 feet from surface water. The revised waiver did not specifically address the separation from the private well on this property; however the original waiver had approved the location of the original septic tank at 94 feet from the well. The rationale for requesting and approving the waiver was that there is no location on the property on which a replacement septic tank could be installed that was 100 feet from both the well and surface water. During installation of the septic tank we did make an effort to achieve a 100 -foot separation distance between the tank and the well and were successful in achieving a 67 -foot separation from surface water. Unfortunately, the configuration of the new septic tank relative to the house made it difficult to precisely measure the distance between the tank and the well. Based on my field inspection it appeared to me at the time that the contractor had just barely achieved a separation distance of 100 feet from the well, and I noted this distance on my inspection report. I understand that a recent field measurement conducted by DSD personnel using high -precision surveying equipment and subsequent calculations has concluded that the actual separation distance is closer to 99 feet. Without debating the specific measurement and calculation methodology I am willing to accept this distance as correct. I am therefore requesting you to revise the waiver to allow the actual measured and calculated distance. The rationale for granting this request is that the original waiver allowed a distance of 94 feet from the well and 47 feet from surface water, and the actual separation distances achieved were 99 feet from the well and 67 feet from surface water. These actual separation distances are a significant improvement on both of the original distances, so the potential for contamination of water sources should be proportionately reduced. In actuality, the separation distance issue relative to surface water was probably more critical than the issue relative to the well, so the tradeoff could be considered to be an improvement. Please give me a call if you have any questions or need additional information, and I thank you for your cooperation in issuing the revised waiver. Sincerely, Ted Moore, P.E. Municipality of Anchorage Development Services Department Building Safety Division "�• Onsite Water and Wastewater Program " 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.sk.us (907) 343-7904 �'✓„_ _ � Z ,� CERTIFICATE OF HEALTH AUTHORITY APPROVAL •�v�J FOR A SINGLE FAMILY DWELLING// Parcel I.D. 020 -O y f- 07 HAA # ff 4 d/be16- 7 Expiration Date: / / - A S - O 1. GENERAL INFORMATION Complete legal description L,ot T - C{1 C&IC k 3. Me4AA 91b Location (site address or directions) ' 162 3S Go filen ��w Drrc.� Current Property owner(s)wavn. f 6« fhp I^-rr�y� } Day phone '33b -00S'9 Community Class Well ❑ Mailing address z3,j& Scar6peo"94 Dr. /}nctiy /)-Lc 99r409 Lending agency We((r Fz�o Dayphone SS7-34!r0Q Mailing address I S'lUo eti t3tnr�r+ ��'�! ctiv�Qyt. A k 9950 Real Estate Agent Nuns - FS L30 Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. Okay Farr Ocwer % Plcle . r 2. NUMBER OF BEDROOMS: I 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ 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 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 andlor 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 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. 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 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Fla f%n Ttc.A,n %cod Se,,vrCt_ Phone 3 ys ^ 131:5- AddressJ V500 gcAc? S>< ,4ncyoeQ�,e, Ak 9�75-/e' Engineer's Printed Name %hsodo,[ "St'-roo"I Date 4oA Z3 2Q71 o•�-� a•acty /1'ENGINEER'S a.�� ................'.�k•; STAMP 5. DSD SIGNATURE r �cc� F 4O°RE' k _Jei�PP s A roved for bedrooms. ? ";�„•-••....•• T^L,,, Disapproved. Conditional approval for. bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other WATER AND �R PROGRAM 1) ) By; a / &/ Original Certificate Date: - 13- 0 J (Rw. 12/[0) Municipality of Anchorage �.• • Development Services Department Building Safety Division ` On -Site Water b Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.cl.anchorage.ek.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ix;t '2a, 6/0ck3+ Ptann SID 7 Parcel ID: OW-OY/-0.3 A. WELL DATA Well type -6et If A, B, or C provide PWSID # _ Weil Log (Y/N) N Date completed'x IITY Sanitary seal (YM) Y Total depth y 71 ft. Cased to ¢��tl. FROM WELL LOG Date of test Static water level ft Well production WATER SAMPLE RESULTS: Wires properly protected (YIN) Y Casing height (above ground) _ 3,n n. AT INSPECTION 9/22/00 r s 3 ft. 1 • D g.p.m. Coliform _4�?_colonies/100 mi. NitrateO.l6s'mg.A. Other bacteria _0 colonies/100 ml. Date of sample:"' 0 0Collected by: Fl a h/W 7ec/r wr ca / , Se ✓ ✓r t.� 17 / 0 1 B. SEPTICIHOLDING TANK DATA Tank Type/Material a h e /F4 eie /acr Date installed 10 / 9 / 71Y Tank size I ZSO gal. Number of Compartments = Cleanouts (Y/N) Y Cr� Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N. A. Date of pumping 9/ 00 Pumper At C. ABSORPTION FIELD DATA Date installed 10 / / 7'/ Soil rating (g.p.d./fe or f 2/bdrm) 8s Q• System typeL.cni S ca lt'" 7 Length 12 ft. Width 12 ft. Gravel below pipe 4— ft. Total depth 10 ft. Eff. absorption area 268 ttz Monitoring tube Y Depression over field N Date of adequacy test 9/ Z6 /00 Results (Pass/Fail) P—^Er For At bedrooms Fluid depth in absorption field before test N in. Water addedliJY gal. New depth_!I- In. Elapsed Time: min. Final fluid depth 10 Vf in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) Nart kaw &41n If yes, give date N. A. i D. LIFT STATION N. A. Date installed Size In gallons Manhole/Access (Y/N) _ "Pump on" level at _ in. "Pump ofr lava) at _ in. High water alarm level at Datum E. SEPARATION DISTANCES Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: M Septic tai Wlift station on lot % y Absorption field on lot oS Public sewer main N. A. Sewer /septic service Me 7 IS Meets alarm S circuit requirements? On adjacent lots Z/OG ' On adjacent lots > 102 Public sewer manhole/cleanout N..4. Holding tank N• A. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 13 Property line O' Absorption field 15" Water main N. A. Water service line ? 10 Surface water 70 ' Weiss on adjacent lots 7 100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line > TO' Building foundation -Ar 3 L' Water main N• A. Water Service line > 10' Surface water V7 Driveway, parking/vehicle storage '/G' Curtain drain Mont S'?tq 'Web on adjacent lots ? ttao' F. COMMENTS * Smarta G. ENGINEER'S CERTIFICATION 1 certff that I have determined through field inspections and review of Muntctpat records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name TiFgc�a/C F. Muo rC Date HAA Fee $ 3O0 �— Date of Payment n'� �d Receipt Number D'-teb (Rev. 12/00) . Waiver Fee $ Date of Payment Receipt Number In. TR .. ....................8 ENG11I iiOD02 E A:CCRf � STAMP CL -3509 AUC -22-01 09:42 FROWCTIE ESVIR01110TAL SRV LCTBE Environmental Services Inc. rrrrirrr�rri�r CUE Ref.a 1015415003 Client Nome Flattop Technical Srv. Project Name/M n/a Client Sample ID Lot 2E, Elk 3, Matin S/D Matrix Drinking Water Ordered By PWSID 0 Sample Remarks 9075615301 7-161 P.04/04 F-998 Client PON Pre -Paid Colis/NO3 Printed Date/time 08122/2001 9:25 Collected Dste/tlme 08/1612001 14:45 Received Date/time 08/1612001 16:19 TechnicalDlreet phenZW& Released Nttmto-N 0.965 0.500 m8/L EPA300.0 (<10) 08/16/01 SCL Allowable Prcp Analysis Pararnctcr Results PQL Unita Method Limits Date Date Init Nttmto-N 0.965 0.500 m8/L EPA300.0 (<10) 08/16/01 SCL ec CUE Environmental Services Inc. CT&E Ref.# 1011734001 Client Name Flattop Technical Srv. Project Name/# Mann S/D Client Sample ID Lot 2B Blk 3 Matrix Drinking Water Ordered By PWSID 0 Sample Remarks: Client PO# Printed Date/time Collected DateMme Received Date/time Technical Director Released By 4g Pre -Paid Colis/NO3 04/11/2001 15:14 04/09/2001 15:00 04/09/2001 16:00 Stephen C. Ede Allowable Prep Analysis Parameter Results PQL Units Alcdtod Limits Date Date Init Waters Department Nitrate -N Microbiology Laboratory Total Coliform 0.952 0 0.500 mg/L EPA 300.0 0 cot/100mL SM189222B lomax 04/09/01 SCL 04/09/01 SKW E 155 UL- Municipalify.of:Anchorage .•• Development SerVlces-Department Building SafetyDivision ,, �.. -. On -Site Water and Wastewater Program.' ; • o t V y 4700 South Bragaw St. P.OrBox 196650 Anchorage,AK;99519-6650 wwwxi.anchorag e.ak.us :y (907) 343-7904, . . CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A'SINGL'E FAMILY DWELLING `�-' t j Parcel LD. `0 2d - OY/ -03 Expiration Dater 1. GENERAL INFORMATION Complete legal description L,oh 26 R/e�ck 3� Mann S /� Location (site address or directions) 16 231 Go%rtn vdcw Oet�e_ Current Property owner(s) Pa.++ !`f I fer f Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Res. nfel, h& / t1ai'hru4! Day phone 2 z 2 - 6S, 7 tHbb w 6tnro., Q/vo/ A+�. /�•k- 99Sb—� To.+ S/,2 R Ll Ex_ rcK/+/"� Dayphonne ZY'/-s-3i� - / w ?•ct/or �cl Ay htc 9,9 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: y 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 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 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 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. 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 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Fla F/c�)n 7"7,cAn',ee. / Servr�oi Phone 3 y r- r3s3' Address /Y&73 e, Edo Sf A- eA)orezeo . *Ic 995/6' Y Engineer's Printed Name TAaoeto,,e F. rruort Date, 4p,;/ is Zoo, '9TH ENGINEER'S �t,•+ STAMP �1 •. TFiCCQge .... r...&V"'I:--- ee 5. DSD SIGNATUREso C;.;�;q _�• Approved for _ bedrooms. •;.... Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: f - / G, - 0 j (Rev. 1=0) Tri( Municipality of Anchorage • Department of Health and Human Services Division of Environmental Services On -Site Services Section 825'1' Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A'SINGLE FAMILY DWELLING Qq Parcel I.D. ata -0&11 - 03 HAA# �C� pq8 I Expiration Date: 1. GENERAL INFORMATION Complete legal description 6.v f 2 Cr 6 t6 4 3 1 i a A n S ip Location (site address or directions) l 6 2 3s- f en ✓ w Dr, (.,e Current Propertyowner(s) Pun, Pfeffer Day phone 3,YS'-3296r Mailing address 115 23-r Golden w, *w Dr;✓n 4AC4. ALC 19!719' Lending agency V n Vnoe_"^ Day phone Mailing address Real Estate Agent Tyn+ /3141-¢,. r3raLIy r-=xec"17wJ Day phone 2 Y Y -53/0 Mailing Address 3 V/ Werf T«moor R.W. /fin cAn nyO, /¢k "S-403 Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 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 Department of Health and Human Services (DHHS) 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 Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. 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 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. 72.025 Mev. 011001' 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for the Health Authority Approval application show 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. 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. NameofFirm FtaFfop TccA^, cn/ See'v�cel, Phone 3tiS-13s-s' Address /HS 30 Octio 5.�. AmCLoAA< 99S/6, Engineer's Printed Name Ty+.e alar P, /`t o0,u Date _ Seif�.,a L,� Z9 2ct7o 6. DHHS SIGNATURE �1 _X Approved for `f bedrooms. Disapproved. Conditional approval for Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Z No A: VZOCOZE F.:AOC�E•; -.. . �. t'• G:-559 bedrooms, with the following stipulations. Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: /0-//-00 Expiration Date:/ — //— 0/ Reissue Date: 72.025 (Rev. 01100)• RECEIVED Municipality of Anchorage la Department of Health and Human Services OCT 0 2 2000 Division of Environmental Services On -Site Services Section 825 "L" Street Room 504„R,MroNt_m OF AN P.O. Box 196650 Anchorage, AK 99519.665tN� viCM�NTAL SERVICES ON= www.a.anchorage.ak.us (907)343-4744 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: La t Z 3 $loc Ic J. Ntccnol S /O Parcel I.D.: 0 zo- oY/ -03 A. WELL DATA Well type Fw k If A, B, or C provide PWSID # Well Log ►.� Date completed s ( �Y Sanitary seal Y Total depth > it ft Cased to Qm&-_k ft FROM WELL LOG Date of test Static water level ft Well production g.p.m WATER SAMPLE RESULTS: Wires properly protected _r Casing height (above ground) 7,0_ in. AT INSPECTION 9i2i/oo Is. 3 n 1.0 9 -p.m Coliform�_oolonies/100 ml Nitrate < o. mgA Other bacteria_ _oolonies/100 ml Date of sample: 9 / 2-11"0 Collected by: F'(c, //o'r TecAo i cd r Ser✓. c v B. SEPTIC/HOLDING TANK DATA Tank Type/Material C" 6'r- / F, 6 <c y lerr.r Date installed 1019t"? Tank size I ZS'o gal Number of Compartments - Cleanouts YI 1 Foundation cleanout _r Depression over tank N High water alar N• ,4. Date of pumping 9/ 2 6 / ou Pumper C. ABSORPTION FIELD DATA Date installed t &/ 91 TY Soil rating (g.p.d.Nt2 or ft2/bdr) Sr -W- System type Ley cr,1. geV e,} Length __L?- ft Width i z It Gravel below pipe �_ft Total depth J..e-_ft Effective absorption area 2 e8 ft' Monitoring tube Y Depression over field—Y Date of adequacy test ! 2!/0a Results (Pass/Fail) Part For 'Y bedrooms Fluid depth in absorption field before test 0 in Water added 11 39 gal. New depth__L3 in. Elapsed Time: �_ min Final fluid depth Ic VY in Absorption rate >= don g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) None knoc.vn If yes, give date N. A. 72 026 (P w. 01100)' D. LIFT STATION N• A. Date installed Size in gallons "Pump on" level at in "Pump off" level at in Datum Cycles tested E. SEPARATION DISTANCES Manhole/Access High water alarm level at in Meets alarm & circuit requirements SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 9 '/ ' On adjacent lots > tyo ' Absorption field on lot 1 0,S' Public sewer main N. 04. On adjacent lots > iuo ' Public sewer manhole/cleanout N..f . Sewer /septic service line zsHolding tank N. R SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ► 3' Property line ^' 6o' Absorption field ►t' Water main > to, Water service line > iu' Surface water 70 Drainage "'= �0' Wells on adjacent lots >►ub' (see u+awi re�s•tjI afr'.ch.o( See t.-,a.1✓v r uoh SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line > 3o' Building foundation : 36' Water main Water Service line > to' Surface water H -' Driveway, parking/vehicle storage y o ' (fire eAA=,�er eeyuert) Curtain drain None tee,, Wells on adjacent lots > euo R COMMENTS ✓e,• KacAext G. ENGINEER'S CERTIFICATIONs" �.• �'A-1 ,1......... I certify that I have determined through field inspections andVOIN •° ''' '1 • C review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. . .... .cl....... ........... A A T ............":;... Engineer's Printed Name TAea-z�0oee Mcspls VCODCfti CE -3509 • ^ `.s# Date Sty fe^ 4e. 29� z Upp ... -• , ,<; . u HAA Fee $ 3 Go Date of Payment /y /02� Receipt Number 6 3-s� 72026 (Rev. 01/00(• Waiver Fee $ 9 20 Date of Payment 1 Receipt Number '�� 2a 8CD/ T �tF-17—c97Ut1 1314 ME 2LE ESI ANCHOR 511 9075620119 P.02/03 C CT&F Environmental Services Inc. masa. s.��iii��ii�----AIW . Rer.O 1005724001 Name flattop Technical Sty. 1 Nsmcls Lot 2B. Blk 3 Mann Sample ID Lot 213, Blk 3 Mann I Drinking Water rd By D 0 Client POO Pre -Paid Colis/N'03 Printed Datefflme 0912812000 15:41 Collected DateMme 09/222000 13:45 Received Daterruue 0912212000 14:10 Tectinical_Direccttorr Stephen C. Ede Released by/ o"Go 4YA" Remarks: 100 Nitrate: LCS was outside acceptance criteria (89.3%). Sarmic result was not significantly affected. Allowable Prep Analysis to Rewltt PQL Units Mediod Limits Date Date Init re Department 0.500 U 0.500 mSIL EPA 300.0 ]0 max 09Y:2/00 SCL .,N obiologp Laboratory soliform 0 eoVl00mL SM1892226 09/22100 IDT 1'Ituiicipali v of Anchorage Department of Health and Human Services dt�15 825 "L" Street Rick hlystrom. P.O. Box 196650 Anchorage. Alaska 99519.6650 6layor h,tp-rtwww.ci.anchorage.ak.us October 12, 2000 Ted Moore Flattop Technical Services 14530 Echo St. Anchorage, AK 99516 Subject: Waiver Request for Mann, Lot 2B, Block 3 Waiver Request #WR000078 Parcel ID #020-041-03 HA000489 Dear Mr. Moore: Your request for a waiver of the required 100 feet horizontal separation from the on-site wastewater disposal system to surface water has been approved. The approved separation distance is 47.0 feet. Your request for a waiver of the required 100 feet horizontal separation distance from the septic tank to private well has been approved for 94 feet. This waiver approval applies to the existing on-site wastewater disposal system to surface water and from the septic tank to private well 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 ofHcJ at 343-4744. Sincerely, 6�J Daniel J. Roth Civil Engineer On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On -Site Services Waiver Review Worksheet WR#: WR000078 PID#: 020-041-03 HAM HA000489 Permit#: Date Received: October 2, 2000 Legal Description: Mann, Lot 2B, Block 3 Engineer: Flattop Technical Services 14530 Echo St., Anchorage, AK 99516 Applicant: Pam Mettert Waiver Requested: 47 foot waiver from surface water to seepage it. 70 foot waiver from septic 1 9 a „tank to s�rface water. 94 foot waiver from well to septic tank. 9 Criteria: 1. Geology Points: d A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: 2. Special Conditions: 3. Other: a z r. Waiver is Granted: _ Waiver is not Granted. List Conditions or Reasons for above: SEF 6f%k} G A� Date: By: DA N Name of Reviewer Rec#: 06359 Amount: $920.00 Date Paid: 10/02/00 6� \ ( ` 40440�, £ arJ««9 \/JM. � W/91VE12 AEQU iES r FOR LOT 2v BLOCK 3 1jAA,*O/ SU B p/v/S/Oti W/1/✓E12 REQut�ST /VUJti4BEle WRD000�'8 W141vEie ReQu_ ssr FOR rets fEptic rNNK = f6srA6.a P/r of 70 'f ¢'7'. ON-LvT ..J9r6R JwELL r0 f6Pr/c 76m< oc V Fsor. Sgfrlc ONr*- TNE EJr/sr/wt, Wri1TEANT6J( SYSTE/ti wrOJ Cv.vtTJti.ti6�0 lav OGT" W W W pr rK5 T/a8 r/+F sYsrsK wnJ cewsrl?ucTEO I.vfrEC v „Sr THF wArxP,wELL t. *-.r Nor /,v. .4Lfo, PR0P*04,Y wNE.v rAex JuwFArG eao �vp�TG�tvATEJZ SI'fTEJh w/4! Ca/bJTJtarTEO THE^w/¢TEK /w. TAKE' (vOLt9EN View JCO.oG /o/Tt'H (v)tf /vOr 7'1-e6/?E. AT&io T/HPS 7KIC SEprJC rgaK f RBS0J2Pr/O,/✓ CR/O *Vr lOC/}r6p O/ROCTLr up6-RR*lp/6� FROM r7,(P- R oso/ rc N //' 4 u P - O r/ M^� "Ioj% an e -..s re 4-7' 0,v /! S SLOPG, *r THF PR5S6/vT LOCAno-v Me F/OvfE T1 -4/J CRI) r TArNIL SORA/` Al*1 A FI -"'t o,QM/A, //v rHti P&YL104dr 8/tseOW'F ' KIRICII /S ¢ /' L0w6Je /w tctvprlow rNNa• 704s egomA O O"PfAACC AWAAAod rl{F H vN/ r rR mar /w rHf- ffARJSbE P/ r, h v s r L ne o t- r r/ -4.r fEpr/L r*Ak wOU&D !,OI YC r/fl-' &,pr6R ro OAC/a /A•jO rAee Ma. E /pr 7W/s FLOOR pRifty Pp/.R ry /OA.r EFFLtt6/V7 prrYuGKrrw� O,v rj44r 6906&^,v runjc4CE. ALSO, 7UC sE-!J'A&As P/r /t e'"PE rL1 prpEaArlvC� /N A picy (O "SYor.-t. J-ArCre L E•✓B) fr^r& nwn 1 s ZQt YE4Rf OLD. rK/t Av0/L.frE3 ritXr Ti{6 /A4-veA//trF1 rHP6 r OF TME CROO OVEJCPLFw/Ato- %COMJK/R.li /A�(O.-7mrr t✓/rH 7Ht ik�wpvoc M.Mr&A OY &tv#"I� tu)?FACf is RAKOTjr. THIS SEpr/c rjW/1 ALSO bvlltoeC/ttf µpox/ Tit6 wNr6K U51.1-ov THE WJTe c r ler r r is i" 60/.+rit.r 00 v1 LOPE f/Z 0,� YHF IvNT6IQHELJ- O�v gr�RP�'/nt..9rEYY A .f%- fLvPE, TKE SOIL TKF SEPTic rjp,�,k 1! COvSrR.�C%-6p /N /s R I✓J5GL 6pAnF/q GR/9v6L. %Y4Pt�f/r/OAi/r /Nr0 I S/LrY SAA/Oi' &ICAVEZ. r/lt;ff seuS /lJtE COA"9NC/VE To TR.gro, SEPT/C TAa/� f_FFt•aENT. WFtt vara- TAtOr w*rFa {..fits /.V(u61T/#^, ahs kasr tlKstT /q7f, rowc*E /s ,,,Or A &ei6tt Lo(. Mvp�tAvsf. TNrrRC AIC tOK✓: DELL t0I'S FOK VELtS. i14E 6.ttts #9P000gR �v loo roo ZOfi FvXT pFEP. ijEOR/CK /t E.veo.*prAwj-p Ar" tHaLta6. 1060nis x �� FEEr FRO... o0eO&4.vp f444VAACC, Sr/4r'f C- A MR tsW4t3 A`/O&ffi►R ry 0 elitF To rNE OfVjtIC/t +-t°IlEt. IA, W W W rkK IS. 3 noo .iK�rECT F��./,t T�iE ST1rT/ WMiER L.FV2t �S fE6J-FRo.►1 -ne �rROk�+iO fuK�alF YM<_ w+vr6/Q watt PRio.+.tst avv AHA Wpr$jq SRM#*/.CJ /NG/CAM Ado 0.9-eMROA 1'REfEvi .AAID A'O A'17*0 Verrcm LE. S. of A. D. E. C. S. A W. Cr Avo- S. G. /f - PC/ m .Po/m rs !N/ariR 1?�Dt-a 8 C6EP 7AW 8" N N N W W W oiL soRvrloN N N N nSS 51L rY - SgivOY - bl?pvscLY .� aoa rvrvry rvrvry rr PE►?/wE/1BJL � �' /.8 wrgrEa MGIC GRAJOIC T T7/// 4.S OIQl20Ni�[- SEpAIQAT/DIV 94 0 GNnvo rorAL 13./ COA/CLk3I& sapaKAr1ov Nis E<irrEQ Ar r -KE veer,,c rA k ro rW worEK WELL fdR APOAR6ttlKMrear 2L Y'"Af "r"f vo lo,vTA#Pl' A SKOWI✓V J�+rux w*rgC rH& ffpric rMAilr. 61er9^.T %10J r^ ,.FLATTOP'TEGHNICAL _ SER'ICES':..: CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION 6 ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345.1355 September 29, 2000 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 RE: Lot 2B, Block 3, Mann S/D separation distance waiver(s) Dear Sirs: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 By means of this letter we are requesting issuance of a waiver allowing the existing seepage pit to be as close as 47 feet from surface water in the roadside ditch along the east side of Goldenview Drive, and also for the existing septic tank to be as close as 70 feet from the same surface water and as close as 94 feet from the private well on the same lot. To assist you in your review and evaluation, a site plan, HAA application, water sample test results, wastewater disposal system as -built inspection report, soils log and driller's logs for 2 nearby wells are enclosed. According to the as -built inspection report, the wastewater disposal system was installed in October of 1974 and consists of a 1250 -gallon fiberglass septic tank which discharges effluent into a 10 - foot deep log crib seepage pit. The well was not in at the time the wastewater system was installed and no driller's log has been found. The Borough inspector did not record the presence of any water in the roadside ditch along the east side of Goldenview Drive. In anticipation of the sale of this property, on September 22 — 26, 2000 I conducted adequacy tests of the water supply and wastewater disposal systems serving the existing 4 -bedroom residence on the lot. At the start of the well test the static water level stood at 15' — 4" below the top of the casing. Steady pumping at the maximum pump output of 7.3 gpm soon caused the water level inside the casing to be drawn down to the level of the pump intake at 77 feet below the top of the casing. I then measured the recovery rate of the water level inside the well over two drawdown and recovery intervals. Based on these measurements I concluded that the long-term sustainable production of the well is 1.0 gpm. Water samples collected on September 22 were satisfactory, showing 0 coliform or other bacteria per 100 ml., and less than 0.5 mg/l of nitrate -N. Despite its age and the fact that the residence was occupied at the time, the seepage pit was dry at the start of the test. The relatively low well production made it impossible to significantly fill the seepage pit, so I arranged for A+ to deliver 1500 gallons of water which filled the pit to a maximum depth of 29.5 inches. After allowing this presoak water to recede 19 inches in a little over 2 hours I then added another 139 gallons of water to the seepage pit, causing a rise of 2.625 inches. Based on the fact that this additional water was completely absorbed within 45 minutes I concluded that the seepage pit is still able to absorb water at an adequate rate for a 4 -bedroom residence. In the course of conducting the adequacy test I noted that the seepage pit standpipe is only 56 feet away from surface water flowing in the roadside ditch on the east side of Goldenview Drive. The septic tank standpipe is 75 feet from the same ditch and 99 feet from the private well serving this lot. The smaller separation distances referred to in the first paragraph of this waiver request are to allow for underground projections of these wastewater system components closer to the features in question. In preparing the site plan I used a 1980 as -built survey of the property as a base map from which to plot the locations of the well and roadside ditch. Using this as the base map causes the roadside ditch (and even Goldenview Drive itself) to appear to encroach upon the lot; for this reason I believe the as - built survey may be in error. However, in the absence of a better base map, I have used this, as it still allows the relevant separation distances addressed in this waiver request to be depicted correctly. DEC's 1985 "Separation Distance Waiver Guidelines for SCRO" do not provide a procedure for assigning points to evaluate waivers to surface water. The required 100 -foot separation distance was adopted by DEC in 1973, approximately one year prior to the installation of the septic system on this lot. While it is possible that the Municipal inspector overlooked water in the roadside ditch at the time of installation, it is equally possible that there was no ditch and/or on water at that time. In fact, a review of the waiver application prepared in 1991 for a similar situation on Lot 3A, immediately to the south of the subject lot, indicates circumstantial evidence that the present water in the ditch is probably the result of modifications to Goldenview Drive made after 1974. That waiver application also cited the fact that a test hole excavated to a depth of 17 feet on Lot 3A showed no evidence of groundwater or bedrock. This evidence also supports granting the requested waiver since the seepage pit on the subject lot is only 10 feet deep. The fact that the seepage pit was still dry after almost 26 years of use indicates that there is little likelihood of effluent daylighting out through the top. Since surface water separation distance concerns relate to overflowing effluent from a failing system flowing on the surface towards the roadside ditch, this concern has little immediacy here. Perhaps the strongest argument in support of granting the waiver is the fact that the ground surface at the seepage pit standpipe is approximately 4 inches higher than the elevation of a floor drain inside the residence. Thus, before effluent could overflow from a failing seepage pit it would back up onto the floor inside the residence, prompting the homeowners to take corrective action. The same argument applies more strongly to the septic tank where the ground surface elevation is another 15 inches higher. Finally, as can be seen from the site plan, there is no alternative location on the lot for a replacement soil absorption system that would be 100 feet from both the roadside ditch and the well. With regard to evaluating a waiver for the separation distance between the septic tank and the well it is possible to apply the DEC guidelines. From the soils log it appears that the predominant soil type between the bottom of the septic tank and bedrock is GM, a sandy silty gravel. From the well log and test results we assume that the bedrock level is similar to the static water level of 15 feet. The following is a breakdown of how DEC's waiver analysis points could be allocated for the tank waiver. Category Points Distance to water table (approx 8') 1.0 Soil sorption (closest to sand with small amounts of clay) 2.5 Permeability (closest to fine sand or silt) 1.5 Water table gradient (+5%) 4.5 Horizontal separation (94 feet) 2.8 Total 12.3 Based on this point assignment, DEC's guidelines conclude that no bacteriological contamination is possible and chemical pollution is unlikely. The fact that the component is a septic tank instead of the seepage pit means that it will not provide a continuous source of pollution, and thus should be able to be waived. There are actually several mitigating factors that also support the granting of the requested waiver. (1) Since the tank is fiberglass it is not subject to gradual corrosion leading to leaks, as is the case with steel septic tanks. (2) The fact that no bacteria of any sort were found in the water sample and that the nitrate level was below the lab's detection limits is a good indication that this septic tank is not a source of contamination to this well. (3) The fact that the ground surface slopes downward towards the west from the septic tank means that any daylighting effluent would tend to flow directly away from the well. Of course as noted above, before effluent could daylight in the vicinity of the tank it would pond on the floor inside the residence, thereby impelling homeowner corrective action. We therefore request that you grant the above-described waivers and HAA certificate. Please feel free to give me a call if you have any questions on this analysis. Sincerely, V� 17k� Ted Moore, P.E. cc: Pam Mettert i i 1 1 � I 3 WELL U Z I O, W; I O O, E1. Ui1h g ; I u SEPTIC , o LL 1-0 WW. f I I i' LL LL I aO r -O r' o; I -------------;6'Z .c T — R 100- 56, gq.6 I I „ I , " I BDRM "FfOUSE NOTE: THIS DRAWING ILLUSTRATES THE CORRECT DISTANCE BETWEEN THE SEEPAGE PIT AND THE DITCH ALONG THE EAST SIDE OF GOLDENVIEW DR. DUE TO AN APPARENT ERROR IN THE AS -BUILT SURVEY FOR LOT 2B, THE ACTUAL LOCATIONS OF THE FACILITIES ON LOT 2B MAY BE DIFFERENT. or '• TI{. •. WEODC^E F. MOORE: P' CE. 3589 '+ n' C t'+C'"al'ti T• ---------------- LOT _-_-_-LOT 2A , • WELL LOT 2B, BLK. 3, MANN SID ; -------------- R R 100' WELL DRIVE ; LOT 3A HOUSE z t 0 i SEPTIC ° SYSTEM ° LOT 26, BLOCK 3, MANN SID FWELL AND SEPTIC SYSTEM SITE PLAN FLATTOP TECIAIICAL SLRVICES 1 INCH = 50 FEET 14530 ECIIO STREET DRAWN BY TFM ANCIIORAGE, ALASKA 99516 SEPTEMBER, 2000 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. r Y'1 WE 5. LEGAL DESCRIPTION DATE�'R•E•C,,EEI�I—VV RECEIVED INSPECTION APPOINTMENTS � C�^�U TIME NUMBER OF'BEDR OMS ❑ TIME TIME DATE ❑ Two ❑ Five DATE DATE t -C 2e INSPECTOR 'ATTACH WELL LOG. A well tog is required for all wells drilled INSPECTOR INSPECTOR' ❑ PUBLIC UTILITY MUNICIPALITY OF ANCHORAGE S. SEWAGE DISPOSAL SYSTEM MUNICIPALITY OF ANCHORAGE DEPT.OF V' ALTH & A, INDIVIDUAL/ON-SITE" DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 826 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL FFOTECTION *'w JUN2619M. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 ((�FF OF INDIVIDUAL WATER AND SEWAKAC��41_1171��e3D REQUEST FOR APPROVAL OI RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROP£RTYOWNER '5e4 o r PHONE 01 3yc -Sd MAILING ADDRESS /PHONE PROPERTY RESIDENT (if different from above) 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION Loi' ZP / STREET LOCATION �? fN,� lTo/�P.�r- 6. TYPE OF RESIDENCE NUMBER OF'BEDR OMS ❑ ❑ One Four Other I SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY INDIVIDUAL' 'ATTACH WELL LOG. A well tog is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM A, INDIVIDUAL/ON-SITE" P5 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010 (Rev. 6/79) A_`& THI§ SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY IDPUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED ❑Septic Tank or ❑ Holding Tank Size: a If Tank is homemadeSOILS give dimensions: INSTALLER RATING s/ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL p 4. DISTANCES WELLTO: Sept,C/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS r 14" PROVEDFOR BEDROOMS/ ❑,�i �CONDITIONAL APPROVAL (letter must a o anPrtificate) Cf DISAP ROVED A LJ �j'a DATE .�.3 -� a / �-3 BY 72010 (Rev. 6/79) N (7 ALASKA RUIROf1 nTAL COIITROL SMICCS, InC. Engineerinq 6 Enuironmental $tudics C21 METROPOLITAN/TUDOR 523 W STH AVE. ANCHORAGE AK 99501 MUNICIPALITY OF ANCHORAGE DEPT. OF I<ALTH & ENVIRONMENTAL P�.OTECfION PJ OV 21 1980 RECEIVED NOVEMBER 19 1980 SELLER — SWOFFARD SUBDIVISION—MANN BLOCK -3 LOT -2B THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF ISO SOFT. THE SYSTEM IS CAPABLE OF ACCEPTING 650 GALLONS OF WATER PER DAY. THE SOILS RATING OF THE SYSTEM AT CONSTRUCTION WAS 85 AND NOW IS 111 SOFT/ BEDROOM. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 11-19-80 . 0 w C. Rotel. Jr. No. 21514E 1220 West 25th Aucnuc o Anchoragc, Alaska 99503 o (907) 2764361 r� July 1, 1980 Reith & Darla Swofford SRA Box 473-n Anchorage, Alaska 99507 Subject: Lot 2B, Blozk 3, Mann Subdivision (1) The fromwater Chem analysis 5633report be delivered BB Street, for our o this review. office review. (2) The septic tank pumped with a receipt submitted to this office. (3) An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according the National Standards. A listing of private firms perforating the test is enclosed. This report needs to be sub:mittld to this department for out review. If there are any further questions, please contact this office at 264-4720. Sincerely, nobert C. Pratt, R.S. Associate Specialist RCP/kas