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HomeMy WebLinkAboutPOLLOCK HOMESTEAD BLK 2 LT 3AS — _ i DIVISION OF ENVIRONMENTAL HEALTH DRINKING WATER and WASTEWATER PROGRAM 555 CORDOVA STREET ANCHORAGE, AK 99501 http://www.state.ak.tis/dec/lome/htni Kenneth M. Duffus, P.E. KND Engineering 20441 Ptarmigan Blvd. Eagle River, Alaska 99577-8736 TONY KNOWLES, GOVERNOR Telephone: (907)269-7696 Fax: (907) 269-7650 December 24, 2001 Subject: Lot 3, Block 2, Pollock Homestead Subdivision, Holding Tank and Class C PublieWater System, ADECProjectN=amber 586; Review Dear Mr. Duffas: ?'hisJsJiritSoonse to;youu submittals roc ived.in '.n?s oifice.o;i Novernbe1: 1 . -Z001i in w'hi, il'}xi: 2 address F11y; co_►cerns on the issuance softine final operation approvals for the above -referenced project. 1 hu ve completed my review of the submdttef" information, the Dep 1imerkt`; files on:r ;is FWility, ani State Wastewater Disposal arid D.inking Water Regulations.: Basest oi.i.his re le:v, .[have the ;folluw ing comments. Separation Distance Waiver As noted in my May 31, 2001 letter, with the relocation of the lift station within the foundation of the building, the separation distance waiver between the existing source well numbei-2 and the lift station is no longer required under State Wastewater Disposal Regulations. Drinking Water System From the submitted information, it appears that the existing Class C public water system now meets the minimum requirements of the State Drinking Water Regulations and guidance. Therefore, in accordance with State Drinking Water Regulations [18 AAC 80], final operation approval is granted. A signed copy of the Class C public water system Registration Form, constituting final operation approval, for this facility is enclosed. The Public Water System Identification Number assigned to this Class C public water system is 218655. Please ensure that this number is placed on all water sample laboratory forms to ensure that the public water system is properly credited for the sample results. Kenneth M. Duffus Page 2 12/24/01 Wastewater Holding Tank Based on the submitted data, the wastewater holding tank (4,000 gallon) was installed in accordance with the minimum requirements of the Wastewater Disposal Regulations and the construction approval issued on May 3 l., 2001. Therefore, in accordance with State Wastewater Disposal Regulations [ 18 AAC 72], operation approval is granted. A Construction and Operation Certificate with the operation portion of the certificate signed, constituting this approval, is enclosed. These approvals do not imply the granting of any additional authorizations, nor obligate any local, state, - federal regulatory body to grant required authorizations. Thank you for your cooperation and coordination with this Department. If you have any questions, please do not hesitate to contact me. Sincerely, Keven K Kleweno, P.E. Environmental Engineer Enclosures: As Stated cc: Trevor Fairbanks, ADEC, DW/WW WJo Enc: Jim Cross, P.E., MOA w/o Enc_.`. _ A. 1. Public Water STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION INVENTORY AND SOURCE REGISTRATION FORM FOR CLASS C PUBLIC WATER SYSTEM Name and Location: Legal ddscription of property:�G� j�, Gtr, �� ZC • ������, ,�,/ Number of people served daily: Number of service connections: % Public Water System Owner: - Owner Address: .12 4•a _ �"c"., f i .�G,s=� (../c�.'-� � (_�- . � J ? � G7 Lam. c% '� i � � > .r i•.�.ie�_ �4u%L14 22,26 Owner Phone: � t� S — � J � �7 � � A. 2. Required Check List: 0 $75.00 registration fee as required by 18 AAC 80.1910. Results of nitrate and coliform water samples do not exceed the MCL set at 18 AAC 80.300. (attach reports from certified laboratory) ElSource water protection requirements of 18 AAC 80.015 have been met. (see section B. page 2 for details) PSI Minimum separation distance requirements of 18 AAC 80.020 have been met. (see section B. page 2 for details) El Cross -connection provisions of 18 AAC 80.025 have been met. (see section B. page 2 for details) A. 3. Public Water System Source: (circle yes or no) YES &fQ_i� Well depth is less than 30 feet to the first opening for water collection. (NO YES Well is located less than 50 horizontal feet to a surface water source. YES Source uses an infiltration gallery, spring, rain catchment, or surface water. YES NO Source requires treatment to meet an MCL set at 18 AAC 80.300. If answer YES to any of the above Public Water System Source, then complete section C. on page 2. or Department use only This water system is hereby granted department approval to operate. The following public water system identification number is being assigned to this public water system: BY TITLE DATE ADEC Staff Signature (rev 10/99) Page 1 STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION CONSTRUCTION AND OPERATION CERTIFICATE FOR DOMESTIC WASTEWATER DISPOSAL SYSTEMS A. APPROVAL TO CONSTRUCT Plans for the construction or modification of located in by domestic wastewater disposal system , Alaska, submitted in accordance with 18 AAC 72.210 have been reviewed and are approved.r171 v conditionally a oved (see attached conditions). �P� T��i � 3l ° l V, BY TITLE DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. B. APPROVED CHANGE ORDERS Change (contract order number or descriptive reference) Approved by Date C. APPROVAL TO OPERATE The "APPROVAL TO OPERATE" section must be completed and signed by the Department before this system is made available for use. The construction of the W.is domestic wastewater disposal system was completed WA� on �_ (date). The system is hereby granted interim approval to operate for 90 days following the completion date. BY TITLE DATE As-built/record drawings, submitted to the Department, or an inspection by the Department, has confirmed that the domestic wastewater disposal system was constructed in substantial conformance with the approved plans. The system is hereby granted final approval to opera BY n' TITLE DAT Distribution: 1. Retain original for project file 2. Make copies for distribution MUNICIPALITY OF ANCHORAGE ®e� f 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 - PHONE ❑NEW 7/ -VU PGRADE MAILING ADpRES /r �Y 7L LEGAL DESCRIPTION (]J�1 ` / �, /y, �/ 6 � L r cJ C� C - fC f' 61"% 1 E� S 7-e IT) LOCATION NO. OF BEDR OMS v Y Well DISTANCE TO: r Absorption area c � r Dwelling t� O PERMIT NO. aa LU IZ— Manufacturer Material (t'C No. of ompartments y. Liq. capacit in gallons IF HOMEMADE: Inside length ,___ Width Liquid clegth .�___ 2 DISTANCE TO: Well Dwelling s PERMIT NO. TH ManufacturerMaterial �~ Liquid capacity in gallons g DISTANCE TO: Well 96 r Foundatioi� ® Nearest lot line r �6 r PERMIT NO, t® ,wj LL Z z No. of lines Length of each line (V Total length of lines Trench wid Distance bet ean lines F cc 42 Z__ Top cc H of tile to finish grade# Material beneath the Total effe rive absorption area � inches V vl?� w Length Width Depth PERMI INO. U a1•- wa uj Type of crib Crib diameter Crib depth Total effective absorption area to DISTANCE TO: WeII Building foundation Nearest lot line _j J Depth Driller Distance to lot line PERMIT NO. Lu DISTANCE TO: Building foundation Sewer line Septic tank I ` G� Absorp ' reds) ,— OTHER PIPE MATERIALS r �p--�� /a�(( TEST SOILTES INSTALLER l-�a b5br� REMARKS C 10 C f APPROVED DATE LEGAL __` -"V,� u MUNICIPALITY OF ANCHORAGE Department f Health and Environmenta-ect on 825 Street, Anchorage, AK. ro Ol 264-4720 '2t) # # # HANDWRITTEN PERMIT # # ?�b�ihaar'�7 Permit # WL`AND/QR ON-SITE SEWER PERMIT o1 o; Applicant:,� `�a c L 5cj_�`�J Mailing Address: Location: Phone Number: l� Legal Description: Qq�-,K,�i ,CC"-_4nA-Zec( Cliot Size:"71 -- Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: _ Holding Tank: _ Maximum Number of Bedrooms: rj Soil Rating(sq.ft/br) 'S' 'S (1D The Required Size of the Soil Absorption System Is:' DEPTH �� LENGTH (L, L . GRAVEL DEPTH Z WIDTH S _ The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). # REQUIRED SEPTIC(HO-L-D-rNG) TANK SIZE _ /'56n GALLONS # Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. # # TWO(2) INSPECTIONS ARE REQUIRED # Backfilling of any system without final inspection and approval by this departmeni will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line .s 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I certify that: , (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the sys"m in accordance with codes. (3) I understand that the oto -site sewer system may require enlargement if the residence is remodeled to include more that, bedrooms. Signed: . Issued by: y���� Date: SWP/024(1/81) DG ll, li;; f2l OI HPi1LTl{ i�i'iD - I`JV/I�tU�J I -A;. I'Ro _ (Permit if: 821114 January 31, 1983 TO: Permit Applicant Subject: Lot- 3 Block 2 Pollock Homestead Subdivision A permit .issued by this department for an individual well. and/or on-site sewer system has expired as of December 31, .198 2. Permits are issued on a calendar year basis, as stated ort the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerely Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 �U P-4 I C_- 1: 1:;j pq C- V_ r4` F�l I:A EE DEPARTMENT i HEALTH AND ENVIRONMENTAL . OTECTION ��v 825 /L' STREET/ ANCHORAGE., HK. 9951 264~4720 U PERMIT NO. ( 82111����-r EE ����F.,;! p, jr.-H X r APPLICANT SID BOUSCHER SRA BOX 475C 99507 ]45-1506 LOCATION LEGHL B2L] POLLOCK HOMESTEAD LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRHINFIELD MAXIMUM NUMBER OF BEDROOMS = 5 SOIL RATING (SQ FT.BR)---. 85 THE RE8UIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: �E,. F-za -F 1-1 ="- F -I'm �E-F ir-4 03, -T �­j -_ �RZ-V 0 F�� 1=1 "'w'"IE L_ ��r---o I- i -I Zz" THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD THE DEPTH OF H TRENCH OR PIT IS THE"DISTANCE BETWEEN THE SURFACE OF THE � GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET)� 1� ����� �� � 'T_ 1-1 � �������� THE� GRAVEL. IS THE MINIMUM DEPTH OF GRAVEL B~TWEEN THE OUTFALL. PIPE AND THE BOTTOM OF THE EXCHYHTION (IN FEET). � I MZ� �F P-4 IF-'- J- ��� PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE muMBEM OF RESIDENCES THAT THE WELL WILL SERVE. �—���� BnCx�ILLN ��UFHNY < �2� ���������D�� �F�� SYSTEM WITHOUT ����1 Fe�� vuPnn/ME/-4/ WILL BE FINAL INSPECTION SUBJECT TO PROSECUTION. AND APPROVAL BY THIS MINIMUMDISTHNCE BETWEEN A WELL HND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100F--EEFOR RPRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING uruN/HE TTYPE OF PUBLIC WELL MINIMUMDISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY -SEWER LINE IS 75 FEET OTHERREQUIREMENTS MHY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS HRE AVAILABLE TO INSURE PROPER INSTALLATION. _L _"S NED ;R I CERTIFY THAT l:IHMFAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH ByTHE MUNICIPALITY OF HNCHORHGE 2: I WILL INSTALL THE SYSTEM IN HCCORD�''NCE WITH THE CODES ]�IUNDERSTHND THAT THE ON-SITE SEWERSYSTEM MAY REQUIRE �ENLHRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 5 BEDROOMS. SIGNED� ��= 1e- �- ------- APPLICANT' SID BOUSCHER --~~~ ISSUED ~~~DHTE�_�,� � � ~7 / 8 _~ d�� SOILS LOG MUNICIPALITY OF ANCHORACfV-NICIPALI-iY OF ANC:;ORAGE L"r-1 DEPARTMENT OF HEALTH AND ENVIRONMENTA T -CT,I, N -; ERcoLATION I �I�'Ml�? Q... I..�.:, EST 1 / 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST �'G i ���� EVEDi PERFORMED FOR: �� �l.J( .7 l�L��� i,C�C� 1#(.� 1= DATEAPER� O RMED: 0 LEGAL DESCRIPTION: --1-0 I K cQ. f) E/ L-k=U •�"A U W G'--: - li AVV� _ SLOPE SITE PLAN DEPTH OF 5P T) V {�-• fc-�f C,= C) u 1Z F.Axj 1;7- 2 0 RC>ONDF-0 C_� 3 4 f7 -- •pp)CfL VlL�7 7 j 'C7 L� r / s ; 1 Cl fk)v� y LH 9 ®� 10 u-1. >'_ 11 12 13 Date Gross Time Net Time Depth to Water 9 C)F•/ 1a 14 `I � 15 • d �r e••9 �ef ■ f �f T F1 16 ■ No 2225-E 17 •:) . JUNE 254 1971 cV�� 18•` l"•r�, e, r`S`•e••fnv.,e.ro9 wI �aki 19- 20 WAS GROUND WATER S ENCOUNTERED? Q L O P _ IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop ■ ■ WAS GROUND WATER S ENCOUNTERED? Q L O P _ IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) /"�� ; // /TEST RUN�BEETWEEN /�/7 FT AND --_ FT COMMENTS ' f !=• U' �}IJ'�L•� �,.�..1"'�Z..L'�'I.�'tP �'j R _ PERFORMED BY:CER'r1FIED BY: `f --D A T E: 72-008 (6/79) oULTIN��ENGINEER lPo�o Sidney Bouschor SRA Box 475-C Anchorage, Alaska 99507 LEGAL: LOCATION: OWNER: RESIDENCE: WATER: SEWER: DATE OF TEST: TEST PROCEDURE: TEST RESULT: S E W E R A D E Q U A C Y Lot 3, Block 2, Pollock On Rabbit Creek Road Sidney Bouschor Single Family Unit On Site System 203W. 15th AVE ""' SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 tiL��O FAf �Tr O O August 26, 1983yti�q�A�TtiCy O�N' .7 . CTi Co �� j�'t,•,� o'l� T E S T No Municipal Records Septic Tank and Drainfield. Dimensions Unknown Approximate Installation Date 1966 August 19, 1983 System was inspected on August 16th. No evidence of drainfield, no sumps or cleanouts. Vent for tank in place. On August 19th., water eas added to the tank at a steady rate of 2.25 gal. per minuit. This was as fast as the well could deliver. The following readings were taken: TIME FLOW VOLUME DEPTH -0- 2.25 -0- 47 10 2.25 22.5 48 20 30 2,25 45.0 49.5 40 2.25 67.5 50.5 50 2.25 90.0 51.5 2.25 112.5 52.5 60 90 -0- -0- 51.0 -0- -0- 49,0 This system accepted 61 gallons of water in a period of 40 minuits, or 92 gal. in one hour. This is far in excess of the minimum requrement of 150 gal. per bedroom per 24 hour. URORAMRIe9 ii� CHEMICAL & GI LOGICAL LABORATORIES i' ALASKA, INC. TELEPHONE (9071.279.4014 ANCHORAGE INDUSTRIAL CEN14l6RICIPALITY c)r I + 274.3364 5633 B Street 17f;PT. Of: li"ALIH I!NVIItONMeNTAL PROTE r.: � Drinking Water ,Analysis Report for Total Coliform BacUl" TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Result" Analyst L ETD 48 Hours I.D. NO. Lw--� �- L ---J water System Name 48 Hours Phone No. Mailing Address City States Zip Code SAMPLE DATE: Mo Day Year SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample) Treated Water with lab ref. no. p Untreated Water ❑ Special Purpose SAMPLE NO. LOCATION 11 2 III 3 L� 4 I� 06.1220 (b) Rev. 1978 Date Collected READ INSTRUCTIONS to Received BEFORE Time Collected Collected By TO 13E comM`ftbV LABORATORY Analysis shows this Water SAMPLE to be: ❑ Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received _ Time Received Analytical Method: ❑ Fermentation Tube O Membrane Filter Lab Ref. No. Result" Analyst L ETD 48 Hours EEI �^ Lw--� �- L ---J �s 48 Hours .No of colonies/ 100 nil- or No of Positive portions. BACTERIOLOGICAL WATER ANALYSIS RECORD source - 1m Tlm. weceweA - _ o.m. Lab. Nc Presumptive lentil 10ml loml loml loml 1.0ml 0.1ml — 24 Hours 48 Hours Confirmatory �- 24 Hours — 48 Hours EMB COLLECTING SAMPLE Multiple Tube Report: Membrane Fllterl Direct Count Verification: LTD Final Membrane Filter Results Reported By _ Broth 24 hours:_--erotn 48 nours: 10ml Tubes Positive/Total loml Portions - _ Coliform/100m1 coliform/loornl Date — Tlme:— —a.m. p.m.