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SUNSET HILLS WEST BLK 1 LT 10
Sunset Hill West Block Lo1' 10 #018-203-10 Municipality of Anchorage *~ Development Services Department Building Safety Division On-Site Whter & Wastewater Program, 4700 South Bragaw SL ~'lJ~ P.O. Box 196650 Anchorage, AK 99519-6650 '~ ~' www.ci.anchorage.ak.us (907) 343-7904 Page I of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW010235 PID Number:. 018-203-10 N°m':TOM TODD Wastewater System: [] New · Upgrade ~d.,,: ABSORPTION FIELD 14231 HANCOCK DR. *ANCHORAGE AK No. of Bedroom.: Ph°"':(907) 345-2178 3 aDe,p Trench DShallo. Tm.ch ased aUound LEGAL DESCRIPTION 2.0 ~/~ cot: e~: su~M.~o.: ~'~ ~' ~" ~ ~" ~ ~ 10 1 SUNSET HILLS WEST 2.8 MAX - - - SEE DWG WELL: [] New [] Upgrade 12 .'"' .. .. 300 ~ .. D 3034/ SCH40 PVC n. A+ HOME SERVICES 8/1/Ol SEPARATION DISTANCES O sepU* n ~l~ng . $.T.F-P. To Septic Ab,!~ier~dflon Lift Hok~ng ~/n+~, --' ANCHORAGE TANK 1250 We, 100'+ 100'+ - - 25'+ STEEL 2 s~rto~, wot., 10o'. ~oo'. - - - LIFT STATION Lot Uae 5'4- 10% -- -- -- 1250 ANCHORAGE TANK Foundation 5'+ 10'+ -- -- -- TIMER TIMER · 45' Curtain Drain N{~NE KNOW 4 ORENCO M.O.A. BENCH MARK THE OLD SEPTIC TANK WAS ABANDONED PER U.P.C. GARAGE SLAB INSIDE CORNER Inspections performed by: AWWC, INC. Dates: 1st 8/1/01 5th 8/6/01 7th 8/7/01 3rd 8/3/01 L. ~,~. v .... :....~ Department of Health and [-luman Se~tges .approval y~~O qt~,o~ "[. ........ ~,~, · . ,r~',. : . R~v~ewed and approved b ate ~ ~'~'~' ~o AS BUILT Pz~r~ HU~Sm: 01 B-203-10 SWO 102~5 - ~1 21.5 34.9 ' ~2 , 27.5 58.2 X~ ' ~H 28.8 3S.9 / I~ ~1 25,7 42.7 // ~.W.~. ~S~ WATER & WASTE~TER ~PR~ ~ ~T ~ ~ '~R: ~ PHONE NUMBS: P~g NUUB~ .~ ~~__~ ~... TOM TODD (907) 545-2178 2 OF SUNS~ HI~ WEST SUBDIVISION; LOT 10, BLOCK 1 AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE (BO~OMLESS ISF) ~ B ST1 21.5 34.9 ST2 27.5 58.2 MH 28.8 38.9 MT1 25.7 42.7 UT2 30.7 52.1 MT5 44.5 55.3 MT4 48.6 62.0 BUILT DRAWING Pa~T .u~.m: A C~ ~ SW0102~5 U0N CONSULTANT$, lNG. N,T,S. TOM TODD (907) ~45-2178 * Or 3 SUNSET HI~ ~ o. D~AIL OF "O~OMLESS I"T~R~I~"T SAN~LTER 08/13/2001 09:22 FA~ 9078686770 A+ Home Services, Inc. [~001/001 RUG--Ie--2Oel, G4g~4 PH El)8. ELECTRIC 2?2 459~ ~' ~ ~IJ~./'I~CIPAJ.,rrY OF ANCHORAGE -- BUILDING SAFETY DI~SION . .~ · .. ,~~~~,~,.~~~ ~.:;i~. =~" ~~- o~os '"~ ~ .. . ~: ~4s9~ ~'~ ' ~1~' ' .' ~,~ . ~ ~ ., ~o ~ ~_,.._~ .................... , MUNICIPALITY OF ANCHORAGE Development Sen/ices Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 11, 2001 Expiration Date: Jul 11, 2002 Permit Number: SW010235 Legal Description: SUNSET HILLS WEST BLK 1 LT 10 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Tom Todd Owner Address: 14231 HANCOCK DRIVE ANCHORAGE, AK 99515-3961 Parcel ID: 018-203-10 Site Address: 014231 HANCOCK DR Lot Size: 15000 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 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. Ail 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. 5. The following special provisions. AT THE TIME OF CONSTRUCTION THE ENGINEER ! CONTRACTOR SHALL PLACE BOLLARDS IN SUCH AWAY THAT IT WILL NOT BE POSSIBLE FOR VEHICLES TO DRIVE OR PARK ON THE SEPTIC TANK / LIFT STATION. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERHIT APPLICATION FOR A SINGLE FAHILY DWELLING Parcel I.D. o18-203-10 Permit Number Property owner(s) Mailing address (1) Mailing address (2) Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size ./5"E:~C~) Acres/Sq.Ft. TQU TODD 14231 HANCOCK DRIVE ANCHORAGE AK. 99515 Day phone 345-2178 Zip Code cjt.INSET HILLS: LOT 10. BLOCK 1 N/A Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade ~r~ Well Only [] Water Storage [] THIS PROPERTY CONTAINS: Hot Tub [] Jacuzzi [] Swimming Pool [] Water Softening Unit [] Therapy Pool [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. -(Signeture-o~~zcd cgent)- Permit Fees: ~ ~o~. ~ Date of Payment: ~/,o/~'~(~, Receipt Number:. (~,...~ ~C~ ? Waiver Fees; Date of Payment: Receipt Number:. ALASIG WATER & WASTEWATER CONSULTANTS, INC. June20,2001 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Septic System Upgrade for Lot 10, Block 1, Sunset Hills West Subdivision (Bottomless Intermittent Sand Filter - ISF) To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing septic system consists ora 1000 gallon septic tank and a trench type drainfield. The existing trench is surcharged and must be upgraded. We are proposing that a 1250 gallon S.T.E.P. tank and a Bottomless Intermittent Sand Filter {ISF) system be installed. Comments regarding the proposed upgrade are summarized as follows: 1. GENERAL: A test hole was excavated on the property to determine an area suitable for a septic system upgrade. Due to the shallow groundwater in the area, and given the limited area around the test hole and the setbacks from the existing wells, it is our opinion that a Bottomless ISF system is the most viable option. 2. SOILS: Attached are logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, a application rate of 2.0 gallons/day/fi2 should be used.. 3. DRAINFIELD DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Percolation Rate: 6.3 minutes/inch b. Allowable Application Rate for ISF: 2.0 gallons/day/ft2 c. Number of Bedrooms: 3 d. Des!gn Flow: 450 gallons per day ,, e. Mimmum Absorption Area: 225 fit f. Effective Depth below pressure pipes: 3+ inches g. Width: 12 feet h. Length: 25 feet. i. Effective absorption area = 300 fi2 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 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: In accordance with M.O.A. latest standards m. Pea Gravel: 100% 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 5 feet (maximum - remove all organics), place a minimum of 6 inches of sand, install the air supply line, and cover it with 1.5 feet of sand. 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 is no surface water within a 100 foot of the proposed septic system upgrade. 5. TOPOGRAPIIY: There is a cutbank near the northeast end of the lot that runs approximately from southeast to northxvest. The cutbank is 15'+ from the proposed drainfield, drops about 3 to 4 feet, and will need to be re-graded to eliminate any slopes greater than 25 percent within 50 feet of the drainfield. The slope from top of sand in the new ISF to the toe of the slope will be less than 25 percent. 6. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with the M.O.A. "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 (4700 Bragaw St.). 7. CLOSING: 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. Thank you ~r your assistance. ~E., M.S. NOTE: ~Ittached is a site plan drawing, a design drawing, a detail drawing, a soils log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com ~ ~ ~ -- ~ I -- I~RM~ ~NG ~M~, / I ~BE COMPLY ~N~. ~ ~ ~ ~ ~D ~L~. ~VA~ A B~ ~T I ~ /~,~ ~ ~ O~L ~D PRO~ (P~ · ~ 3) FOR / ~ ~ ~ [ ~ ~[ ~ LOT UN[ ~O ~ ~ P~ ~ ~ S~ T f ~11 ~ ~ A PRO~ / ~NT ~ ~ ~ ~ ~ ~ ~O SUeR PR O TO .,;.~ : .. ~/,~/~oo, ~.w...~':~1,~~; ~I~ ~TER ~ ~TEWATER ~ ~;~: ~r ~, , ~ON~ULTANT~, lNG. PR~ FOR: P~oN~B~: P~E NUMBS: ..:..., TOM TODD_ _ 545-2178 2 ~,~ ,,~ w,,~ LO, ,o. ,,oc~, ~?..~ c~,,~,.....::~? ~E ~ WORK: DESIGN DRAWINO '~A~ ~ ,I,~. o I I I ~ I I I I I I I I i i i , , --j vI .. I I , 4 ~~ ~ (~~) ~1 I/4"~~ ~ ~¢P~N f¢ / A~S~ ~VATER & ~STE~VATER co~su~xA~xs, ~c. ¢-:. r ~ .-j ~ .... ~ .... TOM TODD (907) 345-2178 3 OF 3 I %, · '~y A, Gam~ ? , ~ .~c.,~o., ~.. ,, ............. , .~. SUNSB HILG WESf SUbdIVISIOn; LOT 10. BLOCK 1 DETAIL OF BO~OMLESS INTERMI~ENT SANg FILTER (ISF) CONSULTANTS. INC. ~ ..o.' .... ~ ~ .... ar ........... JSOIL LOG - PERCO~TION TESTI ~,.~¢ I../~...~..:...~ ~ DESCRI~ON: SUNS~ HI~ ~ SUBDMSION; LOT 10. BLOCK ' ~0~0~ ~,~' PERFORMED FOR: TOM ~DD DA~: 6./12/01 ~ 7953.....~ ~}~}~J ITEST HOLE ~lJ k.,.~., ~D · O~ R~ T '. CL k --~ GROUNDWATER ~ ,&~. ~ v~, ,~ ~.0~ I ~.~n*~= ,~==~nlk~CI,,~ CLOCK NET TIME WATER LEVEL NET DROP ~ ~ - j T~HE (H~N~ES) RE~ING (INCHES) / 8/~3/2oo~ ~ ~ 7:32 - 6' - 13~J 3 8:02 - 6 - 14~J 5 8:34 - 6 - 15 J 6 9:04 30 MIN. ~ 1/4' 4 3/4" / I PERCO~TION ~TE 6.3 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES) 19 / 20 ~ TEST R~ BETWEEN 1.5 ~. ~D 2.0 COMMENTS: PERO-HO~ W~ PRE-SO~ED FOR 4+ HOURS PERFORMED BY A~ WA~R ~ W~ATER I, JEF~ ~ O~NESS, CER~ T~T THIS W~ P~RFORMEO IN ACCORD~CE WI~ ~ ~ATE ~D MUNICIP~ CUIDEUNES IN E~CT ON ~IS DATE: ~ f DEPTH TO DATE GROUNDWATER 8.0' ~/~2/o~ DRY 6/13/91 5en~ By: Alaska Water and Wastewater Con; 90? 336 324~; ou.~-~-u~ ,'-.,,s PROPERTY OWNER MAINTENANCE AGREEMENT ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated ~,",2 ~::~ ,200L, is made between the Municipality of Anchorage Departmen~ of Health and Human Services (DHHS) and the property owner(s) of This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property, The property owner(s) agree to the following: The property owner(s) will have an annual inspection of the system performed by a registered professional engineer. This inspection shall verify that all effluent and air pumps, timers, and alarms are functioning as designed. Any deficiencies shall be corrected and the engineer's statement that the system is functioning as designed shall be filed annually with the DHIIS. property Owner Name Property Owner Name :-(N?.ar~e Here) z J'~' ~' -- .:'' Judicial District I:~-~..t~ SS. On this ~. day of ~'~'~ ~ ~, tn ~e year ~ol., ~fore me, ~c ~de~ign~ no~ public, ~rson~l~ appc~cd: ~e person(s) whose n~e(s) Isl~e aubscH~ to ~e wi~ ~ent ~d ac~owl~ged ~at helshel~ey excreted ~e a~e for ~e pu~ses ~ere~ contused. ~blic (sig~) ( ~. ~.--', ~ /. ' My co~ssioa expires: 825 L Street - Anchorage, Alaska 99501 Tehq~hone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~ -- l ~ing {oundatlon Sewer line OTHER PIPE MATERIALS It~TALLER .OF i834-E I I '1 I-J MUNICIPALITY OF ANCHORAGE Department ~ Health and Environmenta ~rotection 825 ~ Street, Anchorage, AK. ~9501 264-4720 * * * HANDWRITTEN PERMIT * * Permit Location: ~h . ~ Phone Number: Type of Soil Absorption System Is: Trench: ~-~-'-Drainfield: Seepage Bed: __ Holding Tank: Maximum Number of Bedrooms: Soil Rating(sq.ft/br) __~__~&'----~ The Required Size of the Soil Absorption System Is: GRAVEL DEPTH _ 4~' WIDTH f __ 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<~6~) TANK SIZE = 1~) GALLONS installation inspections of any wells adjacent to this property and the n~mber of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department 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 is 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 * * * certify that: (1) I am familiar with 'the requirements for on-site sewers set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) Signe~: SWP/024(1/81) and wells as I understand that the on-site sewer system may r~guire enlargement if the.residence is remodeled to include more that/3/bedrooms. ~-~ Issued by: PERMIT NO. I=IF'P L t CRNT L. OCFIT I ON LEGRL LESLIE 14RSHINGTON 7':t. 25 OLD SENRF?.D HW"r' LOT :LEI DLK :t. L=.,UNSET I-IIL. I...S WEST LOI' SIZE 349""656:t 999999 S~;!LIFIRE FEET "F'¢F'E OF SOIL RBSGRF'TION S'¢STEM IS: TRENCH f'IR>,'IMUM NUI"IE~ER OF BEDF..'OOMS = SOIL RFITING (SI~! FT,.'"E~R)= 330 THE RE6!UIRED SIZE OF THE SOIL. RBSORPTION S~r'S'FEM IS: ' P' rREH...H "'t~ ........ THE LEI,I.:~]H I}IMENSION IS THE LENGTH (IN FEET) OF THE '- -' . [.RI-~II.IFIEL[... THE DEP'FH Ol:= Ft TRENCH OR PIT IS TIdE DISTFINCIF.. E:ETI.,.IEEN THE S, LII.~'.FFICE OF' THE GROUND FIND THE E:OTTOM OF ]EHE EXC:FIVRTION ,:.'IN FEET). TFIERE IS NO SET W. EDTH FOR TRENCHES. THE GRFt',,,'EL I}EF'TH IS THE MII'.tlHUM DEPTH OF GRFI',,,'EL BETI,.IEEN THE OLTf'FFILL PIPE FIND THE BOTTOM OF' THE EXCR',,,'I=ITION (IN FEET). F'ERMIT FIPPLICFINT HRS THE RESPONSIE:ILIT"P TO INFORM TFIIS DEPRRTI"IIENT DURING THE INSTI~LLFITION INSPECTIONS OF' FIN'¢ WELLS R[:,.-rRCENT TO THIS PROPER'T',r' FIN[:' ]'FIE NLIMBER OF RESII}ENCES THRT THE WELL WILL SER',,,'E. ....... T' B--] C, ~-:; ;'~7~ :::, ..1: i'-t '_~ P E[ C: "T ~[ C, f-.I :~ F:I F.: E:' E: EE ¢.]:.~ L~ I: f4: E:' E::) .............. BFICKFILLtNG OF RN'.¢ SYSTEM 1.4ITI*IOUT P"INFIL INC:PECTION FIND RF'PROVFIL ECr' THIS E:'EPFIRTHENT [,.IILL BE SUE:JECT T0 F'F-'.OSECUTION. P'III",IIHUP1 DISTFINCE L::ETPIEEN FI P.IELL 8N[:, FthI'¢ ON-SITE SEPIRGE DISPCISFtL S'.,"STE[I"I :.LE'~E~ FEET FOR Ft PRIVRTE I.,.IEI_.L OF.'. ::LSE~ TO 2e~e~ FEET FROM R PUBLIC WELL DEPENDING UPON ]'FIE 'I"¢PE OF F'UBLIC WELL MINIMUM [)ISTFiNCE FROM FI PRI',,,'FITIE WELL 'ro R PRI',,,'FITE SEWER LINE IS 25 FE:ET FINE:, TO FI C:OMMUNIT¥ SEWER LINE IS 7.'5 FEET. 1.4ELL LOGS FIRE REL=4UIRED FIN[:, MUST BE RETURNED TO THE DEPRRTMENT I.,.IITHIN OF THE P]EI..L C:OMPLETION. OTHER REL.]UIP. EMIENTS MFI¥ FIF'F'L'¢. SF'ECIFICRTIONS FIND CONSTRUCTION DII=IGRFII'dS FIRE W,,,'FIILFIBLE TO INSURE F'ROPER INS"FFtLLFITtON. F" ET. IF4: ~'.'t ][ -'F E :=-:: F" I F~: ES '.S.:; [), EEL-?: E f"1 E: E F~: .?~: =:L .. 2L £~ :~.: ]':: I CERTIF'¢ THFIT :L: I FIM F'FIMILII=IR WITH 'THE REC!UIREMENTS FOR ON-SITE SEWERS RN[:, PIELLS RS SET FORTH E:'¢ ]"HE HUI"tICtPFILIT~'r~ OF FII"~CHORFIGE. 2: I PIILL INSTFiLL THE S'-r'STEH IN FIC:CORB, gNI.']:E WITH THE CODES. ]:: I UNDERSTRN[:, THRT THE ON-SITE SEWER S"?STEM MR¥ REIL::!UIRE ENLRRGEI'dENT IF' THE REL::;IDENCE. IS R.FzI~O[:,ELE[:, TO INCLLIDE MORE THFIN ~: E:E[:,ROOMS. O s & ENGINEERS, INC. TIED OLD SEWARD HWY. ANCHORAGE, ALASKA 99603 549 -G561 IISI 2 5 6 7 10 !;( WAS GROUNO WATER ENCOUNTER ED~ % JOHN E. SWANSON u~ 1834-E ~ ,, 20 ?:50" s & ENGINEERS. INC. FI2b OLD SEWARD HWY. ANCHORAGE, ALASKA 99503 349 -6561 ,SOILS [ ()G PhHC()[ AII()N 1(:51 6 ? I0¸ 1T 12 I:1 14 15 t6 ~ 8 19 JOHN IL SWANSON 1834-E ii 2O COMMENTS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6~50 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Day phone Lending agency Day phone Mailing address Agent ~'~-.-'-¢-6," ¢"¢."~L~"~'.'~-~4 Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality'and status of system. 72-025 (Rev. 1/91) Front MOA ~21 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 of this Health Authority Approval application 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 Address Engineer's signature DHHS SIGNATURE /~ Approved 'for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date %/- ~"~ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the 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 professic,~al engineer's work. Municipality of Anchorage ~ Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIS'r Legal Description: U IOIl~kLI ~-?-~-~'. Parcell.D. I~'-,,3-O'~, '-I0 A. WELL r)ATA Well type ~" If A, B, or C, attach ADEC letter. Log present (Y/N) y Date completed Total depth I l~ O Cased to Sanitary seal (Y/N) y FROM WELL LOG Date of test Static water level Well flow Z/f.) --/¢ ~,~ g.p.m. Pump level ADEC water system number ~/[7/~',.~ __ Driller I ~O Casing height_ Wires properly protected (Y/N) ~' AT INSPECTION SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main /"¢~z~ Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform _ Date of sample: Nitrate N b Other bacteria Collected by: ~ ~ S. SF!PTIC/HOLDING TANK DATA Date installed /~//,~:/~ ~ Cleanouts r(y/N) Y High water alarm (Y/N) Date of pumping _ Tank size I Of.)'O __ Compartments Foundation cleanout (Y/N) y Depression (Y/N) ~'~//N- Alarm tested (Y/N) ~/[ ~/~.'~ Pumper A SFPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~..~:=r-- To property line J 6) Surface water/drainage On adjacent lots Absorption field Foundation. i C~ Water main/service line ~ 'l D 72-026 (ney. 7/91) Front CONTINUED ON BACK PAGE C, LIFT STATION Date installed Size ie gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed ~/I,¢-/~ :5 Length ¢~;2 Width Total absorption area ~ ~C~ Depression over field (Y/N) N Results (pass/fail) '~¢'~ Peroxide treatment (past 12 months) (Y/N) Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Surface water Soil rating ~ ¢ '7 System type Gravel thickness ~' I Cleanouts present (Y/N) Date of adequacy test for '~' SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain ~// If yes, give date Total depth Y On adjacent lots j O '7 Property line To existing or abandoned system on lot Cutbank I'%/,/~_\ Water main/service line Driveway, parking/vehicle storage area bedrooms E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines ioreffec~,p~..the date of this inspection Engineer's Name Date ~ HAA Fee $ /7° Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA Waiver Fee: $ Date of Payment Receipt Number ENVIRONMENTAL LABORATORY SERVICES ......... REPORT of ANALYSIS Chemlab Ref.~ :93.2799-1 Client Sample ID :L10 B1 SUNSET HILLS Matrix :WATER 5633 B STREET ANCHORAGE, AK 99518 TEL: (907) 562-2343 FAX: {907) 561-5301 Client Name :TOBBEN SPURKLAND, P.E. WORK Order :67240 Ordered By : Report Completed :06/18/93 Project Name : Collected :06/15/93 @ 15:00 hrs. Project~ : Received :06/16/93 @ i0:00 hrs. PWSID :UA Technical Direetor:STEPHENFC. EDE Released By Sample Remarks: ROUTINE SAMPLE COLLECTED BY: UA. QC Allowable Ext. Anal Parameter Results Qua]. Units Method Limits Date Date Init Nltrate-N 0.10 U mg/L EPA 353.2/300.0 10 06/16 LLH See Special Instructions Above UA = Unavailable See Sample Remarks Above NA = Not Analyzed Undetected, Reported value is the practical quantification limit. LT = Less Than Secondary dilution. GT = Greater Than Member of the SGS Group (Soc,~t~ G~n~rale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA OHH8 Office of the Oir -' MunicipaLity of Anchorage Aug. 16th, 1~93 Department of Health and Enviror~mental Protection Director Helen Burns 825 L Street Anchorage, Alaska 99502 In desperation I am writing to yoa inregards to our home at 14231 Hancock Drive in Anchorage Alaska. We have been absentee owners for the past four years, i am retired from the Municipality of Anchorage since 1969. We have tried to sell our home for years now and ab a great loss to us, we finally have a buyer. Our realtor Peter Jarrett of Heritage geality, has been handling it ail for us and in compliance with the mandates regarding septic systems, has had the system at oar home inspected, corrected and sa'bmitted to your division for final approval. Our home 'has been vacant since March of this year. The monthly payments are in excess of $2000 a month. We are in dire straits trying to keep the payments current pending this sale. i was just informed that the hold up is because Lee Browning has been assigned elsewhere and he :Ls the person that must approve our system. The buyer is also needing to have this completed so he can take possession of the property. The buyer and seller, us, are in a desperate situation that can be quickly allieviated by having the system approved now. I can certainly appreciate your situation and the overload of cases you must work en. I am just hoping that you will appreciate the desperation of our combined situations and that you can have it worked upon soon. i understand we are fourth in line in regards to placement on Browning's work load. If we lose this sale becel%se the house couldn't close in a timely manner, now into its third month, we will be financially devastated, It will cause a foreclosure and worse, Please make an effort to help us finalize this sale. Thank you in advance for your help. , Washington 99114 -2619 August 27, 1993 Ron & Sandy Weatherman 295 Aladdin Rd. Colville, Washington 99114 Re: Health Authority Approval and Waiver Application Lot 10, Block 1 Sunset Hills West Dear Mr. & Mrs. Weatherman: In response to your August 16 letter, we reviewed the status of your Health Authority t~proval and separation distance waiver applications for the subject property. The applications were received by the On-site Water and Wastewater Program on July 19. The processing time for these documents during our busy summer months is 10 working days (two weeks) for Health Authority Approvals and 21 working days (one month) for waivers. Private sector engineers who work in the area of on-site water and wastewater systems are well aware of these turn around times. In your particular situation, the waiver application was reviewed on August 17 and found to be deficient. Although it is likely that the waiver will ultimately be approved, the application is deficient in several areas and your engineer must provide additional information to support the waiver request. It is our understanding that your engineer Tobben Spurkland has been on vacation for the past two weeks and is scheduled to return on August 28. When he returns from vacation and is able to provide the required additional information, the waiver will be processed without further delay. Ron & Sandy Weatherman August 27, 1993 Page 2 If you have any questions, please contact John Smith at 343- 4360. He is the manager of the On-site Water and Wastewater Program. Sincerely, Helen D. Beirne, Ph.D. Director, Health & Human Services cc: Lee Browning, P.E., Manager, Environmental Services Tom Fink, Mayor &unic,,pality An. ch ,rag¢ Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 31, 1993 Tobben Spurkland, P.E. 203 West 15th Avenue I1206 Anchorage, Alaska 99501 Subject: Dear Mr. Waiver Request Waiver Request Spurkland: for Lot 10 Block 1 Sunset Hills West S/D ~WR93004~, PID I~018-203-10, HA930404 Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are from a private well to the septic tank of 78 feet and a private well to the leachfield of 92 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Dan±el G. Roth Civ±l ~ng~neer On-s±te Services ljm: MUNICIPALITY OF ANCHORAGE Departi~ent of Health and Human Services On-site Services Section WR# WR93004~ Date Received: Legal Description: Engineer: Tobben Permit Waiver Review Worksheet PID~ 018-203.-10 HAa HA930404 ~ July 19, 1993 Lot 10 Block 1 Sunset Hills West Spurkland, P.E. 203 West 15th Avenue, Suite 206, Anchorage, Alaska 99501 Applicant: Ron Weatherman Waiver Requested: Private well well to leachfield 9~ feet. to septic tank 78 feet(?); private 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: Amount: $ Date Paid: Fees waived TF~ ~ o,~ Tb~£ LoT, F. S~-'L~R]~[E__~r-~'~-U~~ ]_z._ CZ_ 6751 W, DIMOND BLVD. ANCHORAOE~ ALASKA 99502-3904 (907) 248-5095 Municipality O-F Anchorage Division c:~.~: E. rtvironmental Hmalth Departmeut o~' Nealth and Social Services 820 L S[reet Anc:horage~ A].aska 9950]. Au_qust 30~ [993 IREQUEBT FOR WAIVER OF SEPARAI'I[IN DISTANCES FOR PRIVATE WELLS TO DRAIN FIELD PRIVATE WELL ]0 SEPTI£; TANK LOT l© BLOCK i SLJNSE'T HILL.S WEST We rare submitting a r-eguest 'For waivers from khe separat~.or~ distances sta~ed in Title 18~ Alaska Administrative Code~ Chapter 80. 020. Durieg a IqAA ~esl)ection it ~as found that th~:, required separatien dis'Lance between the we]l and the septic system serving Lot Block 1 Sunset Hills West was less titan the required 100 A -file stoOl'-Ch reveled that a waiver had been granted by Mur~icipai Health Departmen~ on Mmy 12~ 1983~ prior to the ins~al- la'kion o~ the septic system. This waiver was later rescinded by ADEFJ~ which granted a three year waiver in 1984. Cop:[e~ are enclosed. Tl~e area outside the 100 -~oot radius is a l~wlying area common to lots 1u and 6. A tm~thole excavated on July 13 showed a ~andy .tl~_ with cobbies to a depl:h o~~ ~ feet,, A {a.:,,~ check on the p¢)rcolation iodicated a rate of 20 minutes per inoh at tlnat level. The septic system serving Lot 6 did not use this area~ but used a lift station Eo ul:ilixe an area away frem this ~ow area, I speculat~ [ha~ l:his area is ~loeded during breakup~ aed that maybm groundwater is presen'L at ~hat ti.m~. I can c~rlcl~de from my visual inspection that relecating the septic ~y~'k~m 'ho the area oukside the lO0 foot radius will conflict with AMC ~5.65. 060. (4.2~ d. I'he wells ie the immediate area are ail deeper than 1L~O with the exception o.~: the well on lot 11~ Block 1~ (Mislabeled Lot ~ ~ Blod~ ll)~ which ~ 93 ~eet deep. 1-he ground surface at this well is approximately 15 ~eet lower than hhe greund surface a~z t. he well on LeE 10. All well logs shows clay or hardpan existing through most o-F the depths. During khe ~e) l ~low test the ~tatic water level ~'~ the ~el) ee Lot 10 was ~ound at ~0 '~eet, At a pumping rate of 5 gpm the water level ~luctuated between ~ ~eet and 86 ~ee~. The depths o~ the ne~ghbering wells indicate a very level groundwater table, Yo~.~__~r- s ~ Tobb~,.o SpurkC[aerl~F'.E. /4 /0 /$ /9 ~ePlS 7 /0 DRIIJJNG LO~ Well Owae~ Sre_~..~,alfe$ Construction _ I.,oelflon (Isddr~s~ ol: Towalhip, RaiSe, E~tlorl, if k~town; or distance mldn z'ol~d_ .._J,ll~ 9 P'liliiff~! Sunset lttlli, j~st ..... [~ze of easing_._.~._,.Depth of Hole._,lil_.__ ~et Caed to__iii.. , ~ St~tle water level B.~_,_it. (IFl~t~ (below) lind turfEce, Ftnish of well (checkone) openend ( X Scr~n ( ); ?er~o~ted ( , ). (minute) for._.L L ,, hours with.-, lnn[ (~rUltoltl NO'l, Bl& & 9?3 I -- CUSTOMEI~ Certified Well ~or .......... /.....,,..tx.,~.,~,_, ....... ' ). 2 ~ c...c,:..L, ............................ Da~e completed ............. ~.~e~.:~,. ......... L..~ ~.Z ................................................ ~,~,,~,,,,, ,o ,.,,~ ......................... ~.~..,~ ................................................................. Bi,tan, e to ~'ater while pumping ..................... ~[~.~.( ............................ st rite DOTTEN DRILLING CC). SPENARD, ALASKA Well J Pump ,Servlcr~ d'Jne 5, lr?~O B. & S DRILLING COM?^NY 6901 Tam, ina Dr'lYe ^nchoPag~, Ak 9950~ Drilled for: San[bel Builders Legal De~cript ion: Lot 1 Block 11 Sunset }{ills ,West Well Ca?.lng Depth 93 feet. Static Level is 61~ Feet Ow~Pburdel~ atld Boulder,~ 0 to 5 feet Brown (]lay and Boulders 5 to 10 feet Brown Clay and Boulders with Gravel 10 to 15 fee~ Brown Clay and Large Gravel 15 to 20 feet Large ~m~vel 20 to 25 feet Boulder, s and Large Gravel 25 to ;~3 feet Gravel (some water % gpm) ;43 to ;~5 ~eet Sand and Large Gravel ~5 to 50 feet Blue Clay and Oraw'l 50 to 55 feet Blue Clay 55 to 70 feet Blue Clay and Sand 70 to 80 feet Blue (l~.y and Sand and Gravel 80 to 85 feet Decreasing Clay, then Sand and Gravel 85 to 90 feet Water Gravel-M~xed Size (5 gpm) 90 to 93 feet from Top. ACCEPt~ANCE D,q I I.,1,I51{ : RECEIVED 9IX INCH WATEF~ WELL DRILl. ED AND CASED OUT TO 'rile DEPTH OF' _ 7/.:/ 7,z_~b/,,~ , ,- DRILLEr) AT THr~ RATE OF $19o00 PER FOOT. 4~ "/~?,O~~' PROPERTY OW~','ER /7~. ~ B~,e. edJ.,o~e ,344-3192 LOCATION OF~' WELL. SITE DRILLEFI WELL LOG: 85.--119' £oo,~,a q,t~z~,L. $,U,,~. $1679.00 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WI;HTE CHECK PAYABLE TO RAMPART DRILLING WORKS I~OR THE SUM OF __~(~.,.~L0.0~ ~ THAN~, YOU VERY mUCH. D[{RNII? CI.AUS OF I~AMt-'ART DRILLING WORKS D~,TE. ;!;l/1,6 .; ':%, 1978 SD( INCH WATER ~q~."LL DRILL ED AND CASED OUT TO THE DEPTH OF. DRILLED AT THE Ft:~TE OF ...1~8,00 _ PER FOOT. LOG: CO~'T INCLUDES ALL lABOR AND MATERIAL FOR COMPL~'rlON OF SAID DRILI. JNG. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF II;22.~0f00. THANK YOU VERY MUCH. 13ERDAF~ CLAUS OF R~AMPART DRILLING WORKI~ 6751W. DII'IOND BLVD. ANCH[IRAGE~ ALASKA 99502-5904 (907) 248-5095 Municipality of Anchorage Div:ision of Environmental Health Department of Health and Social Services 820 L S~reet Anchorage~ Alaska 99501 July 6~ 1993 OtO DO2 .- CD Subject: REQUEST FOR WAIVER OF: SEPARATION DISTANCES FOR PRIVATE WELLS TO DRAIN FIEI_D PRIVATF WELl_ TO SEF'TZC TANK LOT 10 BLOCK i SUNSET HILLS WEST We are submitting a request distances stated in 'Title 18, 80. 020 ~ Alaska Administratiw~ Code, Chapter l)uring a HAA in~.spection it was found that the required separation distance between the well and the septic system serving Lot 10 Block 1 Sunset Hills West was less tharl the required 100 feet. A file search reveled that a ~aiver had been granted by the Municipal Health Dq~partment on May 12~ 198~ prior to the instal- lation of the septic system. This waiver was later rescinded by ADEC, which granted a thrme year waiver in 1984. Copies are enclosed. The area outside the 100 foot radius is a lowlying area common to lots lO and 6. A testhole excavated on July 13 showed a sandy silt with cobbles to m depth o-[ 8 feet,. A fast check on the per-colation indicated a rate of 20 minutes per inch at that level. The septic system serving Lot 6 did not use this area~ but used a lift ~tation to utilize an area away from this low area. I speculate ~hat this area is flooded during breakup~ and that maybe greundwater is present at that time. I can conclude frem my visual inspection that relocating the septic system to the area outside the 100 foot radius will conflict with AHC 15.65. 060. A. 2. d.. I have enclosed well logs fer Lot 10 and for Lot 9, as well as results of water testing from lot 10. DEPT. OF ENVIRONMENTAIb CONSERYATION WALTER J. HICKEL, GOVERNOR ANCHORAGE DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 (907) 34.9-7755 June 16,1993 Mr. John Smith, P.E. Program Manager, Environmental Services Municipality of Anchorage Department of Health & Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 RECEIVED JUN P. 1 199 Municipality of Anchorage Dept. Health & Human Services Subject: Lots 1(:) and 14, Block 1, Sunset Hills Subdivision, Anchorage, Alaska, ADEC Project Numbers 8521-WA-019-A and 8521-WA-021, respectively. Dear Mr. Smith: On June 15, 1993, I assisted an engineer that works in this area in reviewing the files for the above-referenced property. My review reveals that this office issued three year waivers for the existing wastewater disposal systems. By the end of the three years the owners were to connect to the municipal sewer or construct new wastewater disposal systems that would meet wastewater disposal regulations. One lot was also to install a water system. I have enclosed copies of this Department's files for your review and use. In addition, it appears that these waivers were granted prior to the Municipality Of Anchorage officially obtaining the necessary health authority. At this time, I am requesting that the Department of Health & Human Services, Environmental Services, On-lot Services accept the waivers as being valid and require that all items be properly addressed. I look forward to hearing from you on this request. If you have any questions, please do not hesitate to contact me. Environmental Engineer KKK/cf Enclosures: As Stated & ENGINEERS, NC. S- ~-~ '~ ~t' "t, 7125 OLD SEWARD HIGHWAY * ANCHORAGE, ALASKA 99502 3uly 9, 19g4 State of Alaska Department of Environmental Conservation #37 E Street, Suite 200 Anchorage, Ak Attn: Bruce Erickson Re: Sunset Hills West Lot i0, Block 1 Well to Septic System Distance Waiver Gentlemen: Pursuant to a telephone call this date from the Department of Health and Environmental Protection, it appears that we must request approval from your office for a waiver of well to septic system distance on the subject property. It was our understanding when this system was installed (:June 1983) that the D.H.E.P. waiver (attached) was all that was required, and that the system was approved. Since the D.H.E.P. waiver is not sufficient, we are requesting a waiver from D.E.C, for the existing system. The subject property is roughly one third acre and slopes from Hancock Street to the back of the lot (seEike{fih}7. The well is located eight feet above the highest elevation of the septic system. The attached photo shows the terrace which separates the well area from the septic system area. Th~e~~ ~o~._ww~ approximately. ],2t~ feet of cl~[~,~ or_~cl~y_.be_a~z~g ~_t_eata, between the surface '~'~d the water ~-~'~ production zone. ;~'he '~V-~li is cased with 6 inch steel casing. The only possible source of contamination is the septic system on the subject property. No other sources are present within the 100 feet required protection radius. We are requesting a waiver to match that which was granted by D.H.E.P.: 75' from the well to the septic tank, 90' from the well to the absorption field, The actual installed distances are: well to septic tanlq 78'; well to absorption field, 92'. WASIL. LA (907) 376.3770 ANCHORAGE~ -- (907) 349,6561 SOLDOTNA (907) 262.9534 Sunset Hills West Page 2 We appreciate your assistance in this matter. Should you have any questions, please do not hesitate to contact us at 349~ 6561. ry truly yours, David A. Stanley Geotechnical Manger DAS:wel 5B Job 40356 --A Al , SCALE: J'/=_~O' S~S IRONMENTAL LABORATORY SERVICES ~,.c~,{oa REPORT of ANALYSIS Chemlab-Ref.~ ~. 93.2799-1 Client Sample ID :Li0 Bi SUNSET HIf~LS Matrix :WATF~R 5833 B STREET ANCHORAGE, AK 99518 TEL: (907) 562-2343 FAX: (907) 561-5301 Client Name Ordered By : Project Name Project~ : PWSID :UA :TOBBEN SPURKLAHD, P.~'h WORK Order :67240 Report Completed :06/18/93 Collected :06/15/93 @ 15100 hr~ l~eceived :06/16/93 @ 10500 hr~ Technical Dir~ctor:STEPHEN/C. EDE Release, By Sample Remarks: ROUTINE SAMP£,E CO[J,ECrED BY: UA. ~C ' ].owab]e Ext. Anal Parameter Resu.[t~! Qua] Units Method Limits Date Date Inil Nitrate-N 0.i0 U mg/L EPA 353.2/300.0 10 06/16 LL~ * See Special Instructions Above L1A = Unavailable ** See Sample Rei~rks Abow, NA = Not Analyzed U =. Undetected, Reported v~tue i.s ?he practical quantification lira :-. LT = Less Than D --. Seco~dary di.lul:ior~, GT -- Greater Than Member Ol the SCS Group (Soci¢,~ G~nCrale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONb~NTAL IiEALTH DEPARTMENT OF H~ALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR I-~ALTH AUTHORITY APPROVAL CERTIFICATE 1. Genera]. Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directious) (b) Applicants Name I?~P g ,f~ ~(~4'~elep~°ne Z, ~'lome Business Applicants Addre~s..~ Z (c) Applicant is (check one) Lending Institution ~] ; O~er/builder [~[ ; (d) Lending Institution ~~ (e) Real Estate Co. & Agent Address Telephone (f) Mail the KAA to the following address: 2. T~3e of Residence Single-Family ~[ Multi-Family ~ Other (describe) Number of Bedrooms ___~ 3. Water Su~pl_z Note: If community well system, must have written confi~nation from the State Department of Environmental Conservation attesting to the legality and status. 4. Se_lwage _D. is postal- onsite ~-__~ Public F-] Community [--~ Holding Tank ~ Note: If community well system, must haw~ written confirmation from the State Department of Enviromnental Conservation attesting to the legality and status. [Page 1 of 2] [~ ]o ~ NoI~qVD MM~NIDNM) '9 uoI~wuuo~uI puw ua*~ ~qoa~o$ OltM ~S~A ~suo¥~ooG~fiI ~ulpIAoa~ u~IM ~uyaoouI-~u~ .~ WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEAL'i~{ AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 ! ?q £AL PROTL'CTIO~; Well Classification /_.A/.~)/ Well Log P~esent _(Y/N) V~$ _ Total D~pth. ( ~ / Cased to Static Water Level Casing Height Above Ground Elect~ical Wiring in Conduit (Y ./~.) Separation Distances f~cm Well: Legal Description: LOT /O ~/c / If A, B, o~ C, D.EoC. Approved(Y/N) /~./~ __ Date C~leted 4 '~7- ~ Yield ~o-~~ ~pth of Gnouting. ~ ~t At I~l . Sanit~y ~al on Casing (~ ~ ~,5 ~ession ~ound ~l~ead (Y~) ~o To. Septic/Holding Tank on Lot ~ ~' 4¢ ; On Adjoinino Lots >(~m To Nearest Edge of Abso=ption Field on Lot__~ ~ ' ~Y~ ' _; On Adjoining Lots To Neeu:est Public Sewer Line ./V,/~ To Nearest Public Sewer Cleancut/Manhole /~/~ To Nearest Sewe~ Service Line on LOt __~/~ Water Sample Collected By /~ ; Date /-,5'-.4'¢.)~/~ Water Sample Test Results ~/73~C~e-~f ~- C~,~nts~ ~=-~ B. SE~fIC/HOLDING TANK DATA Date Installed d%//57~ ~ _ Size __~QDd) C-_~ No. of Compartn~nts Standpipes (Y/N) .%/~c-z~ __Air-tight Caps J_Y/N) ~j~_ Foundation Cleanout (Y/N) Depression over Tank (Y/N) /~ Date Last Pumped Pumping/Maintenance Contract on File (Y/N)/~,/~ ; for Holding Tank High-.Wate~ Alarm (Y/N) ~//~ Tempora~.y Holding Tank Pe~nit (Y/N) Sepa~atior, Distano~s f~om Septic/Holding Tank: To Wate=-Supply Well ._7 ~)/ TO P~operty Line . (~/ To Water Main/Service Line Co~nt~ ~~ ~ ~ To Bui].ding Foundation ~ / To Disposal[ Field ~_ ~ To Stream, Pond, take, c~ Major D~ainage [page :1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~/! Width of Field Length of Field ~ / Depth of Field ~ / Gravel Bed Thickness ~- ) Standpipes P~esent (Y/N) Date of Last Adequacy Test ~J.~ Type of System Design-~z~dC~// Square Feet of Absorption Area [ (7 7 f Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance f~om Absorption Field: To Water-Supply Well ~ ~--~ ! To P~operty Line ! To Building Foundation [~$ ! To Existing or Abandoned System cn Lot /J //~ ; On Adjoining Lots To Water Main/Bervice Line /~,~ To Cutbank(if present) </~ To Stream/Pond/Lake/or Major D~ainage Course To Dzriveway, Parking A~ea, or Vehicle Storage A~ea Corau~nts ~C~ D. LI~ 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 du~ing Adequacy Test. Meets MOA Comuents ** Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, verified, o~ conformed to all MOA HAA~ ~effect on the date of this inspection. Signed ~.~_-i Date ~h~/~/ --~¥'oO ~ 2f3~ %o~..~'~.,, KB1/dS/s ::; .... [Pa~ 2 of 2] 2-15-84 D~PT. OF £NV]R(~NMENTA]~ CONSERVATIO~Nt BILL SHEFFIELD, GOVERNOR SOUTHCENTRAL REGIONAL OFFICE 437 "E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 Gwen Turner S & S Engineers 7125 Old Seward Highway Anchorage, Alaska 99502 September 19, 1984 274-2533 SUBJECT: Waiver Horizontal Separation Between a Private Well, Septic Tank and Leach Field for Lot 10, Block 1, Sunset Hills West S/D, Anchorage 8521-WA-O19~A Dear Ms. Turner: In light of a recent decision by the Division Director and Regional Supervisor the subject waiver request has been r~evaluated and the department hereby waives the horizontal separation between the well and septic tank to 78 feet and well to absorption field to 92 feet. However, this waiver is contingent upon the following stipulations. 1. Applicant shall initiate a reguest for a sewer lateral improvement district 'in a manner perscribed by the Anchorage Water and Wastewater Utility. 2. The property owner shall connect to the new sewer when constructed. If the Property is not connected to the municiple sewer within three years of the date of this letter The property owner shall construct an approvable on lot water and waste disposal system. Sincerely, Erickson District Engineer BEE/dd SOUT~tCENTRAL REGIONAL nFFiCE 437 "E" STREET, SUITE 2r)O ANCHORAGE, ALASKA 99501 August 1, 1984 274-2533 S & S Engineers, Inc. 7125 Old Seward Highway Anchorage, AK 99502 Subject: Horrizontal Separation Waive ~etween a Private Well ~ Septic Tank Leach Field for Lot 10, Block 1, Sunset Hills West Subdivision, Anchorage (~521-WA-019). Dear Sir: The Pepartment has revtewed this subject waiver request and cannot approve the request because it was not clearly shown that the required separation was not necessary in th~$ case, Sfncerely~ q~,ruce E. £mckson District Engineer BEE/dd NOIID:~J-O~d 3VLN]~NO~J~AN] ]~D~OHDN¥ 40 AJ3qydlDINFI~ MUNICIPALITY OF ANCHORAGE DI%;ISION OF ENVIRONMENTAL HEAUI~{ DEPARTMENT OF [JEAL'IYI AND ~INVIRONMENTAL PROTECCION APPLICATI(Iq ~DR I'~IALT~-I ~OTHORITY APPROVAL £~RTIFICATE 1. C~ng~al Information Application Date __~,~_~/c~ f (a) l~gal D~sc~iption (include lot, block, subdivision, section, township, range) ..... b P~t__..l 0. ~j~_q_k_~_~,U n s e t~I~ 1 l___S_S W_D s t Location (add,ess o= directions) ].4231 Hancock Dr. Anchora_g~a. Alaska (b) Applicants Na~._Ron.~.d.._A~nd Sg~ndKa ~We_a__tJlerm_an ..... %b~[e_~_!o~- 345-4899 Applicants Addi, ess 1423]. Itancock Dr. (e) Applicant is (check o~e) Lending Institution B~yer _~_~[ ; Othe~ I~.---~ (explain); (d) (e) L~nding Institution First Alaska Mortgage and Escrow~]ep~h. one 562--2013 Address 4609 Business Park B~vd._ A__.n_ch__o_ra.~_g~e3 Alaska 99503 ~al Estate Coo & Agent None Address Telephone 2. _T. zpe__of Rsside. nc~ Single-Family Numlx~ of ~dr~ 3. ~ate~~. Other, ( de sc]cibe ) Individual W~ll L_--~X[ Comnunity [--~ tk[blic · ' ' State Note: If community v~ll system, must hav~ ~itten c~n~:l~r~t~on ~pa~r~nt of ~virommntal Conservation attesting to t~ legality and status, Is ~e ~11 adequate four the nu~r of ~s s~c~l:~ed in this ~ (Y~) O.~it~ ~ ~b~i~ Fi'Z] ~nity ~] Holding TapR Is the wastewater dis~sal system adequate f~ the n~9~z' of ~dr~ [Page 1 of 2] 2-15-84 5. ..... En~!.~__].%_!~.r~e~in Fi~Lm__P~ovi~!n_~._In~s~e_~jetions, R~sts~ Da_t.9_a~n_~d" Inforn~tion I cx,~rtify ii]at I have checked, verified, or confo~nmd to ail ~A ~A C~i~li~s in effect on'~h~date of ~is iDs~ctios. (ENGINEER SEAL) Approved for be dr cor~ Approved ~_] DJ. sapp~romd Ter~ of Conditional Aplm~oval 7. Mail the HAA to tim fol3.c~ving address: (t~.L.,~ , '? © ~> ~ ~'~ ~/ '{~" ' " The Municipality of Anchorage Depaz, tn~nt of H~alth and Environmental Protection d~s not ~luarantee t~ continued satisfactory ~rformncm of t~m wate~ supply and/~ the was~water dis~sal system. ~is approval iEdicates that, as of t~a validation shugm a~, k~d on tim ~ta and information f~ished ~ an e~i;mer registm~d in the State of ~aska, the '~ater supply and wastewater dis~sal system is safe and func- tional fo~ the r~r of ~dr~ ~d ty~ of s%ruct~e indicated. (~EP SF~L) KB2/dS/s [Page 2 of 2] 2-1!5-84 A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) H~%L~t AUTHORITY APPROVAL (HAA) CHECKLIST - F~,~RUARY 1984 Legal Descrip%ion: DEPT, OF HSALTH & ENVIP, ONMENTAt, pROI'ECTION RECEIVED Lot lO Block 1 Sunset Hills West Well Classification Well Log P~esent (Y/N) Total Depth. % ~O ~ Cased to, Static Water Level ~3~ Pump Set At Casing ~ight Above Ground Electric'al Wiring in Conduit (Y/N) Separation Distances f~om Well'. To Septic/Holding Tank c~ Lot ?~ ; On ~joining Lots ~> /00 To Nearest Edge of Absorption Field on LorenZ_ ~ ~-; O~ Adjoining Lots ~ /O~' To Nearest Public Sew~I? Line ~J/~ To Nearest Public Se~ Cleancut/Manhole. > IOl~/ To Nearest Sewer ~e~vice Line on Lot Wate~ Sample Collected By ~, ~t~t 5~___ ; Date ~--~ ~,J~ Water Sample Test Results SEPTIC/HOLDING TANK DATA Date Installed ~//~/~ ~ Siz~ /(~(2~ cp __No. of Compa~tmsnbs ~..,. Standpi.Des (Y/N.) ~5 . Air-tight Caps (~/NJ) ~% Foundation Cleanout (Y/N) ~.e~; Dapression ove~ Tank (Y/N) AJ~_ Date Last Pumped F~/~ -- Pumping/Maintenance Contract on File (Y/N) ~//~ ; for /~./d~ Holding Tank High-Wate~ AlaLnu (Y/N) /~/~ _ Temporary Holding Tank Permit (Y/N)/~//~ Separation Distances f~.cm Septic/Holding Tank: To Water-Supply Well _ . ~ To Building Foundation To lh~operty Line \ ~/ To ~ater Main/Service Line course > I O TO Disposal Field ?~___ / ~ To Stre~, Pond, Lake, c~ Major Drainage [Page 1 of 2] 2-15-84 Co ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~'//.~ /~ 3 Width Of Field %,~x/ Type of System Design ~C~ length of Field c~ t __ Gravel Bed Thickness Standpipes P~esent (Y/N) Square Feet of Absorption A~ea Depression over Field (Y/N) ~J Date of last Adequacy Test Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well c?~ , To P~operty Line To Building Foundation '/~' To Existing or Abandoned System' c~ Lot . _.z~_ ,~ ;On Adjoining Lots ~0/~- To Water Mainj/Service Line /kY//~ To Cutbank(if p~esent) To Stream/Pond/Lake/o~ Major D~ainage Course /(-//4 To D~iveway,, Parking Area, o~ ~Vehicle Storage Area Date Installed Size in Gallons "Pump On" level at High Water Alarm Level at Tested for Electrical Codes(Y/N) Din~nsions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. ~ets MOA Con~Nents ** Check Permitted Bedrocm Rating Against HAA Request I certify that I have checked, verified, o~ conformed to all MOA HAA C~j on the da~e of,this inspection. Signed~~~_ Date ~/~ ~g KSl/d5/s lnes in effect [Page 2 of 2] 2-].5-84 June 26, 1984 & ENGINEERS, INC. 7125 OLD SEWARD HIGHWAY · ANCHORAGE, AI.~,SKA 99502 MUNiCIPALiTY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONhAENTAL ?I(OIFECTION ,JUN g g84 RECEIVED Municipality of Anchorage Department of Health and Environmental 825 L Street Anchorage, Alaska Protection Re: Sunset Hills West Lot 10 Block I Gentlemen: Attached is a Health Authority Approval Application and Checklist form for the subject property. After our final inspection of the septic system at the lot, a decision was made by the owner and the contractor that 'the driveway would be located over part of the septic system absorption trench. In order to protect the system from freezing due to deep frost )enetration the contractor 'installed 2" rigid foam insulation and also additional fill to the site. Tile total depth of cover over the system is 5' to 6'. In our opinion, the 5' to 6' of fill and the 2" insulation is adequate to protect the system from freezing. The additional work took place without our knowledge, and was not inspected by S & S Engineers, Inc. David A. Stanley Geotechnical Nanager DAS:pl Job #40356 WASILLA ANCHORAGE SOLDOTNA (907) 376-3770 (907) 349.6561 (907) 262-9534 MEMORANDUM 91 010 {5178) ]