HomeMy WebLinkAboutSAND LAKE #2 BLK 1 LT 15nd Lake
Block !
Lot 15
#011-132-10
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.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH / UTHORITY APPROVAL
FOR ,b, SINGLE FAHILY DWELLING
Parcel I.D. 011-1,.32-10
1. GENERAL INFORMATION
Expiration Date: ":~ - / '7- ~) ~
Complete legaldescription SAND LAKE ~2 SUBDIVISION; LOT 15~ BLOCK 1
Location (site address or directions) 81,.32 ENDICO'I'I' STREET * ANCHORAGE~ AK 99502
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
ALAN &: JOANN MITCHELL Day phone 248-9565
81,.32 ENDICO'I-r STREET * ANCHORAGE, AK 99502
Day phone
BONNIE M£HNER w/ PRUDENTIAL ,lACK WHITE Day phone. 223-1632
3201 'C" STREET, SUITE 200 * ANCHORAGE, AK 99503
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: ,.3
3. TYPE OFWATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well [] Individual On-site []
Individual Water Storage [] Individual Holding tank []
Community Class "C" Well
Public Water System
[] 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 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 frcm the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (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 nct responsible for errors or omissions in the professional engineer's
work.
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $
to closing for the engineering services provided.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I vedfy 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 heroin. I further vedfy 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 ALASKA WATER &: WASTE'WATER CONSULTANTS, INC. Phone
Address 6901 DEBARR ROAD. SUffE 2B * ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. OARNESS, P.E.
Date
337-6179
Engineer's Comments:
In conducting this evaluation, AWWC. Inc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results desc#bed the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. A WWC. Inc. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this repor~ by any
other person or party is not authorfzed, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
~ Approved for ~ bedrooms.
Disapproved.
Conditional approval for
Attfichments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
bedrooms, with the f]lowing stipulations: .
WATER AND · m
Manitenance Agreements
Supplemental Engineers Reo~
Other
Original Certificate Date: .~"'-- / 7- 0 -~
Municipality of Anchorage
Development Services Department
Building Safety Olvlsldn
On-Site Water & Wastewafer Program
4700 South Bragaw St.
P.O. Box 196650 Anctmrags. AK 99519-6650
www.d.anchomge.ak, us
(907) 343-7904
Legal Description:
A. WELL DATA
HEALTH AUTHORITY APPROVAL CHECKLIST
SAND LAKE ~12 S/Dj LOT 15~ BLOCK 1 ParcellD: 0!1-152-10
Well type '~ If A, B, or C provide PWSIO# 217940~ ~
Date compl~lm p.s .rope.fly .p .mtected (Y/N). _
Total . Cased to ft. Casing height (above ground) in.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi.
Arsenic: N/A mgJL.
B, SEPTIC/HOLDING TANK DATA
FROM WELL LOG
g.p.m.
AT INSPECTION
g.p.m.
Nitrate 0.238 rog.IL. Other bacteria
Data of sample: 4/17/2002 Collected by:
5 colonies/100 mi.
AKWWC~ INC.
*TESTED SOUTH TRENCH. NORTH TRENCH
C. ABSORPTION FIELD DATA DRY THROUGHOUT TEST.
Data installed (8/65)/(12/~} Soil rating ~3r ff~xlrm) 150 System type . TRENCH
Length 19/22 ff. Width 2.5/2.5 It. Gravel below pipe 7,10~ & 5 ff.
Totaldepth ~1/~4 ff. Eff. absorptionaraa356/132ff= Monltoringtube YES
Dataofad~quacytast 4/17/2002 Results(Pass/Fail) *PASS
Fluid depth in absorption field before test 55 in. Water added 466 gal.
Elapsed Time: 60 min. Final fluid depth 71 in. Absorption rate >=
Any rejuvenaUon traatment (past 12 mo.) (Y/N & type) NONE: KNOWN
Depression over field NO
For 3 bedrooms
New depth 80 in.
450+ g.p.d.
If yes, give date -
Tank Type/Material STEEL
Tanksize 1000 gal. Number of Compartments 2
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO
Date of pumping 4/17/2002 Pumper
Date installed 12/3/85
Cteanouts (Y/N) YES
High water alarm (Y/N) N/A
A+ HOME/SERViCES
D. LIFT STATION
Date installed Size in gallons
*Pump on" level a~gh water alarm ~vel at ~ .in.
~ Cycles tasted Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO: CO M M U N I TY WATER
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
On adjacent lots
out
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Sudace water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
*WAIVER REQUESTED
Property line .1' Building foundation 10'+
Water service line 10'+ Surface water 100%
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
Water main 10'+
Driveway. perking/vehicle storage
25'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections end
review of Municipal records that the above systems are/n
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name
Date ~'/;J/O
,JEFFREY A. GARNESS
NAA Fee $ '-'-~'.,
Date of Payment
Receipt Number
(eev. 12~o~)
Waiver Fee $ /~::),
Date of Payment
Receipt Number
Municipality ,of Anchorage
Btfildlng S,~c~' Division
P.O. Box lOlJC~O · -~700 S. Bragaw Strcct
Anchorage, ~*daska 00519-C~0 · (007) I~1-3-8301
http://www.cl.mlchorag¢.ak.u,s
5/6/2002
Alaska Water & Wastewater Consulants, Inc.
6901 De Bmr Road, Suite 2B
Subject: Waiver Request for Sand Lake #2 Blk 1 Lot 15
Waiver Request #WR020013
Parcel ID #011-132-10
Dear Engineer:
Your request for a waiver of the required 10 feet horizontal separation from the
absorption field to property line has been approved. The approved separation distance is
1.0 feet.
This waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site wastewater disposal system will require all
separation distances be met or another approval from this department.
If there are any further c.oncems or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
Engineering Technician
On-Site Water & Wastewater Program
Municipality of Anchorage
Development Services Department
Building S~fely Division
On-Site Water and W~lewaler Program
4700 Brnpw Street
P.O. Box 196650 Anchornge, AK 99519-6650
www.ci.anchorage.ak.us
(9O7) 343-79O4
Waiver Review Worksheet
WI~: 020013 PID~: 011-132-10 I-IA~: 0201~5 Permit~:
Date Received:
Legal Description: Sand Lake #2 Block I Lot 19
Engineer. Alaska Water & Wastewater Consulanta, Inc.
6901 DeBart Road SuRe 2B
Applicant: Alan & Joann Mitchell
Waiver Requested: 1.0 feet absorption field to lot line.
Cdteda: Geology Points:
A. Water Table
B. Soil Sorpfion
C. Permeel~lity
D. Watar Table Gradient
E. Horizontal Separation
Total:
Waiver Is Granted: /-/'"' Waiver Is not Granted:
List Conditions or Reasons for above:
Rec~: Amount: $160 Date Paid: 9/6/2002
ALASIC WATER & WASTEWATER
CONSULTANTS, INC.
May 3, 2002
Municipality o£Anchorage
Development Service Department
Building Safety Division
On-Site Water 8: Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Lot Line Waiver for Lot 15, Block I, Sand Lake Subdivision #2
To whom it may concern:
We request that your department issue a 1 foot lot line waiver from the northeast property line to
the existing drainfield. I am unaware of any adverse impacts this waiver would have on adjacent
wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you
for your assista/~ e.
~IAI
~--JEt ~'~ ~A amess, P.E., M.S.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akww¢.com
9 I
10
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LOT 15
11
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440 ~..S'T BENS. ON BLVD. Jr 103
ANC~0RAC[..N..ASKA 99503, .562-52gl (fox}S61-6626
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w;th PRUDENTIAL JAOK WHIT;'
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;AND LAKE SUBD. NO. 2 c.o.~,., .o~[: ,, ,. ~ .....' ,.~...-~, ,o -,-'~.'.-:
2224 KIN $46/72 P-175
Apr-Il-02 03:32P Bonnie ~hno~ & Associat= P.01
(907)762-!B58
\
· 'ASBUILT-NO CORNERS SET TtlIS DATE.
I HERE~ CERTIFY .THAT I HAVE SURVEYED THE;
FOLLOWING DESCRIBED PROPERTYs
I AND THAT NO ENCRON=HMENTS .EXIST EXCEPT ~
INDICAi~ IT I$ T~ RES~SlBILI~ OF T~
~ ~ O~ ~ ~ OF ~Y
~1~ ~ NOT ~ ~ ~ ~ ~1-
~ ~ LIN~ OR ~R E~ISHINB ~
A~ LINES.
~RID:
~ '.LATtVE ELEV. FROM
~' SUMED DATUM (I'YP) -'
lB 30'
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SAND LAKE SUBD., NO..'~,~_ "':"°':"'::"':'" '~'~""°"
LOT 11, BLOCK 1
·
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Thr~loemBeed'OOm
A.C. DRIVE
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r~ 6,750
3% - 4%~'
SITE PLAN
SCALE 1" =20'
~Lg :~I'IVE ELEV. FROM
~ ~' SUUED DATUM (TYP)"-*~
P-176
SAND LAKE SUBD.~ NO..~_
LOT 11, BLOCK 1
EADr 1~5.00'
22'0'10]' x~_ __ ,
,
,; Three ~edr~m ,
~. ~ ,/- , Homo
m
, ~'," .~.,,,.. ~ ·
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32' Lon~ X 3m Wide
X. 6' Elf. Depth ·
AUSorption Trench
0OD GallonTank
Al
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