HomeMy WebLinkAboutDEER PARK BLK 1 LT 4Deer Park
Lot 4
Block 1
#051-042-35
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
March 14, 2000
Municipality of Anchorage, DHHS
Onsite Services Section
P.O. Box 196650
Anchorage, AK 99519-6650
REFERENCE: Lot 4; Block 1; Deer Park Subdivision.
Waiver request for separation distance from septic tank to neighbors well
on Lot 3 Block 1; Deer Park Subdivision
Dear Mr. Roth:
In the process ofperforming an inspection for the purpose ofobtaining a Health Authority
Approval, we noted that the septic tank on the subject property is approximately 82 feet
· from the private well on Lot 3; Block I; Deer Park. Attached is a drawing, which is based
upon our field measurements. The facts are summarized as follows:
· The well was drilled in July, 1981 and the septic system was installed in November,
1982.
There is a log for the well on Lot 3; Block 1; Deer Park. It is 50 feet deep, with a
static water level ofapproximaely 24 feet. The geological profile shows gravel to 35
feet, aehy layer from 3545 feet and the last 5 feet ofgravel and water.
Recent water samples from Lot 3, Bk I, Deer Park indicate no bacteria, and nitrate
levels of .Smg/L. It is reasonable to assume the encroachment of the septic tank on
the neighboring well will not adversely effect the aquifer.
6901 Debarr Road, Suite 2-B * Anchorage, Alaska 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 ~' email: awws~alaska.net
Page Two
Deer Park Lot 4 Block 1
Waiver request
· The house is located between the tank and the neighboring well, consequently
there is no potential for overflowing sewage to run towards the well.
Based upon the aforementioned facts, it appears that there is minimal risk in granting the
subject waiver (82 feet from tank to well). If you have any questions, please contact us at
337-6179. Thank you for your consideration in this matter.
Sincerely,
Pr~nF
6901 Debarr Road, Suite 2-B * Anchorage, Alaska 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * email: aww~alaska.net
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~S~ ~TER & ~STEWATER
CONSULTANTS. INC.
~AUES FALTZ c/o CAROUNE STEANO (907)688-850C 1 OF 2 '
DEER PARK SUBDIVISION; LOT 4, BLOCK 1
SITE P~N FOR WAIVER REQUEST
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JAMES FALTZ c/o CAROUNE STREAN~07) 688-8500 2 OF 2
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WAIVER REQUEST DRAWING
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10' UTILITY F'SM'T
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15' DRAINACF. F.ASF.MENT
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•- Municipality of Anchorage
On-Site Water and Wastewater Program a LI]
(907) 343-7904 SAFETY
456789
7
Certificate of On-Site Systems Ap :%1150140
a
4 �
Exirati Date: 20161•
Parcel l.D. 051-042-35 p �
1. GENERAL INFORMATION: 0 L. 8 L 9 5�
Complete legal description DEER PARK; BLOCK 1, LOT 4
Location (site address) 22107 Deer Circle*Chuqiak 99567
Current Property owner(s) John Johnston Day phone 830-6462
Mailing address
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class _Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: Date: 2/2011$
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 59..60 Waiver Fee $
Date of Payment 0111601a Date of Payment
Receipt Number 600 C'? Receipt Number
COSA# CSCIg Ota Waiver#
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 Certificate of On-Site Systems 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 wtewatd<<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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 /
Engineer's Printed Name: Jeffrey A. Garness Date: Zit t S
0000pN,
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system oQ OF A I\•,4,
in accordance with the guidelines and regulations established by the Municipality of Anchorage and -
industry practices. The reported results describe the condition of the system/s on the date/s of the Od:- •' AA
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or . `►' OV
encroachments may exist that were not identified during the evaluation. The operational life of all wells / �,• •
9 H � .. ' 0
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, 0•••..••. •.. •'••
groundwater levels (that may fluctuate during the year), quality of construction (materials and 4 Q
workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and /..... . .. v
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the r •,J- 1 - p.. Gorne-s: 0
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of oQ rn _.7.•
the well or septic system. GEG makes no representation whether an alternative well or septic system 9 ,c�0
can be installed on the property in the event either of the current systems fail to perform adequately in �4 (4 1 ,„
1� o
the future. The content of this report is for the sole benefit of the person/party that retained GEG to ,,NA Pro fess\0l' c'
perform the evaluation. Reliance upon the information provided in this report by any other person or l`. �Op��
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right _-,`�VA-
'70.,
whatsoever.
CeP �S\-/- •A-EC884
6. DSD SIGNATURE :.. ON p,N� z
\N ' SER o
System #1 Approved for 3 bedrooms S-�ewP
o wi\ Rp,M
System #2 Approved for bedrooms ;� 9C-k°`) O
on
Disapproved Oo E hrr r \C.)"'
Conditional approval for bedrooms, with the following stipulations:
-q\.c S ()(:( ---F- l S 3 CDave (0LJb
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Ccf
E37.11111011111171-
1 ,�_ �GL Original Certificate Date: 2._I Co_c
v
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist —X— Nitrate Advisory.
Septic System Advisory - Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_10-10-12.doc
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: DEER PARK; BLOCK 1, LOT 4 Parcel ID: 051-042-35
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 1/3/83 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 47 ft. Cased to 47 ft. Casing height(above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 1/3/83 1/24/18
Static water level 12 ft. 11.6 ft,
Well production ILLEGIBLE ON WELL LOG g.p.m. 3.7+ g.p.m.
WATER SAMPLE RESULTS:
Coliform 1\/66' colonies/100 ml. Nitrate l' 4 mg./L. Collected by: GEG, Ltd.
Arsenic: '<' 5 ug./L. Date of sample: 1/24/18
B. SEPTIC/HOLDING TANK DATA 35 YEAR OLD STEEL SEPTIC TANK IS
APPROACHING THE END OF IT'S USEFUL LIFE
Tank Type/Material SEPTIC/STEEL Date installed 11/12/82
Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout(Y/N) YES Depression over tank(Y/N) NO High water alarm (Y/N) N/A
Date of pumping 1/31/18 Pumper SANITARY PUMPERS -�.G
C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE AT MONITORING TUBE Mg S-.AD& Op L
Date installed 11/12/82 Soil rating (g.p.d./ft2or /bdr ) 100 System type SEEPAGE PIT
Length 16 ft. Width 12 ft. Gravel below pipe 6 ft.
Total depth *8.1+ ft. Eff. absorption area 336 ft2 Monitoring tube***YES Depression over field NO
Date of adequacy test 1/24/18 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 21 in. Water added 606 gal. New depth **33 in.
Elapsed Time: 130 min. Final fluid depth 24 in. Absorption rate>= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date -
**LIQUID LEVEL IN SEEPAGE PIT REMAINED AT 33 INCHES FOR THE FINAL 115 GALLONS INTRODUCED
***MEASURED 4.91' FROM THE TOP OF SEEPAGE PIT TO THE BOTTOM OF SEEPAGE PIT
•
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on"level at in. "Pump off'level at .• wa er alarm level at in.
- - Cycles tested Meets alarm &circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 109'(FROM CRIB CO TO WELL) On adjacent lots **100'+(WITH CAVEAT)
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 75'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line UNKNOWN Surface water 100'+
Wells on adjacent lots *82'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+(ASSUMED) Building foundation 10'+ Water main 10'+
Water service line UNKNOWN Surface water 1004 Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*#WR000014
**UNABLE TO TAKE MEASURMENT FROM THE WELL ON LOT TO THE DRAINFIELD ON DEER PARK; BLOCK 1,LOT 3,DUE TO
VEHICLE PARKED IN THE WAY. 100'+PER STEVE PANNONE'S DESIGN IN 3/27/15 FOR DEER PARK;BLOCK 1, LOT 3
G. ENGINEER'S CERTIFICATION =•,P� '' .4,.4
I certify that 1 have determined through field inspections and '9 i'
0
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this o•�-. /•`• •••• ; :••i
date. • .. J- re arness : . a
Engineer's Printed Name JEFFREY A.GARNESS • u). • • I o_� 47
Date qjit‘i/ 144k °',FESS\ 84•
LICENSE IIiii'"k*
I$AECC884
(Rev.10/12/12)
' ~ ~' ' ' ((,~_,~J~,~_~',ll, ' -- DEPARTMENT OF HEALTH & HUMAN SERVICES '} .... :'-
~ \\~,-~',~//~..: ,' -' ',' "-. ~ - · DlvlsionofEn~mnn~nta ~es"~:::.,~','~.. ;. ',~ ,, :. .
·~-~.~__.~. ', , ,: '~. . .. : ..,, ~.., . , .' , .
' DWELLING ' '
-. "'.". ............... ' '.~PROVP&~FOR A'SINOLE F/~ILLY.
Pa I.D.#' '- ..... 05t-04~--~5' .......... HAA#.__.._._.._._. .-' - ','.
"",': ':"Comoete ega description, DEER~PARK'SUBDMSION:-LOT'4?'BLOCK~I' ....... '-'" .... ' ........' .. ~,'
'. ,,..i ."...: Location (site address or directions) :- 22107, DEER -CIRCLE
'.-.'-,-" · Mailing add'ss ' ~'~107,'DE~'R,~IRcL~' .CHUOL~K.'"AK'99567'" , ' .. z ........ ;~ ,..~. , -.i ~. ,,.: .: , ,..: :.
Mmhng eddross . ..
..'...:': Agent'- CAROLINE,,STREANO'~/. COUNTRY. RFALTY, Day phone ('907)'608-8500 , · .'.."_ -
· Address' P.O.-eox 671973,CHUCIAK-AK.. 99567, ' .... · ' --- ' ' - .......
';-' "; .~ .:. ': ,Unless otherwise mquested/HAA will be held tor plckup. : .
· ' ~ ' ' ' ~ ........ XXX, , ' ..... ', ' ' '-:', ....
...... IndMdual wall ? ,.. . .
· .. .... . ........ · Pub cwater .... ,., ..... ....
.~.-= ',' ~: NOTE:~ Ifcommunibzwellsystem,'pm~d. ewrittenconfirmationfrom.Sta!e*ADEC,attest-.. ..-.
.... lng to the legality end status of system ...... ~ .~ ....
~it ........ . ..
" -"- .... "lndivldualon- e~'-" xxx. , . .
NOTE:.~ lf communify,wastewater system, provide ~en confirmation from State ADEC ,.. '. . ,
'" In, gt leg IJty ,J/st .....
· 5. STATEMENT OF INSPECTION BY ENGINEER :..?, ., . , :* , ; .. '.,, ,, ,:," '
' ' - ~ A~'~,~rtifled by my seal affixed~her~to'a'nd ~,~..0f'~he.'~alidaflon'data sh6wn bel(~v~ ! ~;~rify ,ti~t my .,'-' j .; *"
· '~. ,,. In'vesflg~tioh of this' H~lth Authbrit~ Appr~"~l application sl~WS that Me on-site w~te~ s{Jpply'~nd/or ,: .'.
- *. * i,, wac.t6 .wa. tei.'d~ ..IX~al s~tem Is-'s~_.~:~_fu .n~l, o_nal,a_.r~, a_d..equ_ata..f~...the ~U~b~. rrO[~ .r~om~s aq.d.typ? o,f,
. , r
, ":, ': sfl~ctui, e' ll:~di~te~l h'emt~: I further verify that based on,~e Infom3a§on obtained from the M.u. nlcipality of, .
· ,,. '.. ~.:: ..,',:,?.,:. -.':: ~:.'.'c,,. :.,, ., ,',. ~1.,,"~/71,:,~! ' . :,'...:.~ .....'": ._..,..' ..... '.,. z.....,~......
· , {"' .' Name'of Firm ~ALASKA WATER &/VI ASTE~/AII=H CONSULTANTS.'INC."Rho.n,e" (907}337-6179 .
,...-... - ~ · Eno neo,~ $ gna~ure'l~..' '.~ ~, :g ~~ ..... - .......... Date',..~ '~,~'/~ '
...... , ................ · ........ /fi'IH.,~ ~ ............ , ........ : ............... , ~,::,......~ -
, ' '.' -:': ' : ' '..':" .:.-' :11/11~' (.i: ...:,....~ ..... .,,..: .,:., :, .,.: ... · .... -. : ,.;., -
................................. ,,, ..... , ........ .~ ..................
................ . .. .... . .................... . . ,. ~.. ......................... ,.;,. . . ,...... ~,,,=..,. ~,,-~:,~,~,,, .~ ....... .-..-.....
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,.... ,_, . ..... .,.,.,,,,,,,,.,,,.,.,,,.,,,,..,.,.,~...,,, ....... .,_. ...... ,:: ....... ,~:~,.,::,:.:.::,~.,,: .. ,
'~: :-~' ".- >,.-',,: PRIOR ':TO;'. CI'OS NOj'EOR:[T.HE~. ".,:: .... ':-': '~'~2T?:'.:/}~:: · ;'-;~,~..' ' ' - ,. ' -
. . ' ':' r.~,~.r-~,m.,.' ~r.~v,,.,co, pROVIDED .... ' .,. r~~~.'--..:...~,,, . .. '
............. . .... . ............... :...,= ................... , ....... ~-,~,_:~.~, ,.,.,,,.,.. . ..
........ · ..... ...... '..,ur~,_.-J t-------, ...,--~-~ .. ....
.; ... , . .; ..... , . ... ...... ...... · , . . ,:.. ...... . ..: ~-~..~- ./..:? __. -~.-..o,,,e'~':._..~._. '.. ~.
: , 6. DHHSSIGNATU .... . . , ,. ,.. : , .. , _ ....
'.. :.'.r'...-'~'~,:.:Approvedfo,r-.- -~ ....... bed.r~?.~s>} :, ~.:,.,: .:,, ,'-.. ., ~,:...'-: , ~ ,.. ,-, ,..: ......
... ; . -. __.Dsappmved:~ . ..... , ...... . . . ........ - ,.: ....
:-.:., ',, ,. - ': ' Conditional approval for ..... ' .... ,'.' bodroom~ w~th [ho follow~.n.~ atipulafion~:,: ·', ; .' '..
·: '.' .' . .'.' Additional Comments,. ', ' : ........... ' ' ...... ' ...... ':
~e Munl~pal~ or--ge ~ent of H~ and Human ~ (D~HS) I~u~ H~ ~on~ -,
'.'.'~pmVal ~mt~ ~ 0nly u~n ~e m~h~66i g~eh In ~mgmph.5 a~e ~y'an I~e~nt .
pm~10nal e~ln~r ~te~ In fie S~.of ~:'~e DH~S d~ ~'~ a ~,~ pu~m of;
Municipality of Anchorage .., L(~ /'~
DEPARTMENT OF HEALTH & HUMAN SERVI
Env~roumental Se~. O~'mon
825 q." Street. Rm 602 Am:~omge, Naska 99501 (907) 343.4744_
Health Authority Approval Checldist
Legal Doscdplion: DEER PARK S/D; LOT 4, BLOCK I Parual I.D.: 051-042-35
WELL DATA
Weft ~ PRIVA'I~
IfA, B, O~ C, altach ADEC letter. ADEC water system number N/A
Dote completed 1/3/83
Cased to ¢7° Casing height (above ground) 18"+
~ Wires properly protected (Y/N) YE~
AT INSPECTION
3/3/2ooo
Log present (Y/N) ygs
Total depth ¢7'
San~aw ~em (Y/N)
FROM WElt. LOG
~/3/B3
Dote of test
Steffc water level
Weft produc~on
WATER 6AMPLE RESULTS:
12' '2¢'
Date of ~ample: 3/3/2000
B. 8EyiiC/HOLDING TANK DATA
Date Inal:afled 11/12/82 Tank size
Foundation cleanout (Y/N) YES
Date of Pumping .~.~~ Pumper JR'S PUMPING
C. ABSORPTION FIELD DATA
Date Inalalled 11/12/82
g.p.m. 5.2 g.p.m.
*S.W.L. LEVEL APPEARED TO BE HIGHER THAN
THE ACOUSTIC WELL PROBE WAS INDICATING.
4,~?__ Other bacteria ~'
Collected by:. A.W.W.C., INC,
lOOO Number of Compartments 2 Cleanouts (Y/N) YF-S
Depression (Y/N) NO High water alam~ (Y/N) N/A
,~. Salt ral~ng (g.p.dJft2 or ft2/bdrm) 100
12' Gravel thickness below pipe
System type CRIB
§' Totaldepth 8' - 9'
3/3/2000 Results (Pass/Fall) PASS For 3 Bedrooms
g" Immediately alter 7-~1 gal. water added (in.): 1¢"
1,107 Ab~n rate - ' 450+
NONE KNOWN If yeS, GIv~ date ---
Date of adequacy test '
Ruld depth In abscx'pUon field before test (In.);
Ruld depth O' (Ins) Minutes late:
Peroxide tmalmeht (past 12 months) (Y/N)
Eifect~eabeorp~onama 336 SQ.FT. MonltoringTubepresem(Y/N) YES Depresslonoverfleld(Y/N) NO
D. UFT STATION ~
D:; inho=le/= (Y/N) ~"~ 'Pump o~level et'
*Datum.
F- SEPARATION DISTANCES
SEPARATION DISTANCES FROM W;I I ON LOT TO:
Seplic/holdlng tank on lot 100'+
Absorption field on lot
Public newer main
$ewarlse~c se~ce line
On adjacent lots 100'+
109' (FROM CRIB CO TO WELL) On adJacent ~s 100'+
N/A Public sewer marthole/cieanout N/A
25'+ UIt stet~ofl N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundalton 5'+ Properly line .. 5'+ Absorption field 5'+
Water maln/$ewlce line 10'+ Sulfate waterldmlnage 100'+ Wells on adjacent lots *82'
$EPARATION OISTANCES FROM ABSORPTiON FiELD ON LOT TO: '82' WAIVER REQUESTED
Property line 10'+ Bulidlng foundatlon 10'+ Water main/service line 10'+
Surface water 100'+ Driveway, pertdng/vehlcie stemge area 10'+
Ctetatn drain NONF~ KNOWN Welis on adjacent lots 100.'+
:
I certify that I I~ve d~t~rrl~lnqfdtf~/]~nx ~ld Inspec~s and review
of Munlclpalf/bcor~s~tfj,,/8~/~.~.J/~temsareincenformance ~/j~ ~'?..~. ~
· ...........
~te~oo ~l~?o.?.. ..........
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage,ak.us
April 5, 2000
Jeffrey Garness
Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2-B
Anchorage, AK 99504
Subject:
Waiver Request for Deer Park, Lot 4, Block 1
Waiver Request #WR14
Parcel ID #051-042-35
HA000105
Dear Mr. Gamess:
Your request for a waiver of the required 100 feet horizontal separation from the
on-site wastewater disposal system to private well has been approved. The approved
separation distance is 82.0 feet. This waiver is approved only from the on-site wastewater
disposal system located on Deer Park, Lot 4, Block 1 to the private well located on Deer
Park, Lot 3, Block 1.
This waiver approval applies to the existing on-site wastewaterdisposal system 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 office
at 343-4744.
Sincerely,
Daniel J. Roth
Civil Engineer
On-Site Water Quality Program
~ ~--~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~ ~
ENVIRONMENTAL ENGINEERING DIVISION ~*" }~ ~
825 L Sueet-Anchoraae. A~aska 90S01 Telephone 26~4~ ~ ~'.~
LEGAL DESCRIPTION ~
Well ~/ r ho~ee D~lling PERMIT NO.
~ DISTANCE TO: I ~3[I~ - ~ I~'/~ I ~ ~ ~11~
~O 0 0 IF HOME.DE: ~
~ O ~ DISTANCE TO: Well Dwelling PERMIT
~ DISTANCE TO:
Leng[h W~dth Depth . PER~f~O)
~ Ty~ of crib Crib diameter ~ / Crib depth ~ ~ , Total ef fecti~ absorption area
OTHER
SOIL TEST RATING ~ . //
INSTALLER
72-O13 (Rev. 3~78)
PERMI~ NO.
DEPARTMENT O~HEALTH AND ENVIRONMENTAL P~?TECTION
825 'Lr '~TREET, ANCHORAGE, AK. 99: ~.
264-4720
t~ELL ~r4D Or4--S I TE SEHER PER~I I T
( 821178 )
APPL I CANT
LOCATION
LEGAL
VERN DOWNEY
L4bi DEER PRRK II
PO BOX 4i? 9961~
LOT SIZE
~46-4427
999999 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MRXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SO FT?BR)=
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= 9 LENGTH= 25 GRAVEL DEPTH=- 6
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),
REQU I RED SEPT I C TANK $ I ZE= 1¢d00 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 > INSPECT I 0t45 ARE REQU I RED
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 THE DEPARTMENT WITHIN 30 DAYS
Of THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T E×P I RES DECEt4BER ~:L. :L982
I'CERTIFY THAT
l: IRM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY.REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO 'INCLUDE MORE THAN ~ BEDROOMS.
RPPLICRNT VERN D~NEY
ISSUED ....................... DATE_-J~. -- [ ~ - ~ ~' V4. 0
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchor~e, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS L~)G .. **'
PERCOLATION
TEST
2
6-
DATEPER.O.MED: 11-
SLOPE
SITE
10-
11
13
14-
15-
16-
17-
18-
19-
20-
COMMENTS
~ H~ 0
PERFORMED BY: /~Oh ~0~
WAS GROUND WATER F~* pO
ENCOUNTERED? S/-
DEPTH?IFYES'ATWHAT
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
CERTIFIED BY:
(minutes/inch)
FT AND FT
DATE: //-- q--'5'2
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION I-I
825 L. Street, Anchorage. Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST t
SOILS LOG ' '
PERCOLATION
TEST
DESCR,PTION=
lot.
I
SLOPE
DATE PE.PORMED: /a
SiTE PLAN
10-
11
13-
14-
15-
16-
17-
18-
19-
20-
WAS GROUND WATER
ENCOUNTERED?
IF YES. AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
COMMENTS
TEST RUN BETWEEN
,Oer~. Wv.re~
FT AND FT
CERTIFIED BY:
OATE://--~/--~2
72-008 (6/79)
· "' ' ..... ' 2 20 82 .... " ' ' .'' ' -'. ;~' .... ' EST.-'.300 ' -- ' '- - ".
DATE -=- STARTED ;. ...... .1-.....~.....L-.-...-.~--..; ...... -;.:......;; ....................... · , .- GALS. PER HR ...................... . ........................ r ........................ t .... . . ,~-~
FROM .: ............ : ........ FT. TO. .......: ............. FT ..................... ; ...........
~ ~ROM X~'9 FT TO ~.4.7 ~T Water Gravel
FROM ....: ................. FT. TO ............. ;....:.. FT ...................................
- ' .. ~ROM .k.'. ............ ,.... FT. TO ....;.,.:..:/.: ...... FT ................................
." - - .' FROM ...... ~ FT.,TO: ........ ; ........ ~... FT. ~..: ............. - .......... :.~.
FROM ....................... FT. 1'0 ....... : ................ FT ...............................
FRdY:! ............ ] ........ FT. T6 ....................... FT. "-.
r~o.~;~ ................. i...:: rT.'TO ;......:.~ .......... ;].'i:'r.....: ............... :....:: ....
:',..- '~" ' ~: 'i' ' .... " '"'-':": ": '; ' ' :' ::'-' ~" -' " '" i~1':. ' '
OM ............... FT. TO ...................... rT ............................ ~-~'
... YROM .............. '-,;z. FT. TO ................. . ...~__.,...~_._~~._ .. : . FROM ...............
MUNICIPALITY OF ANCHORAGE 0 ~ I 0/'~ ~ ~;)'~
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL~J~J ~'-~-~,=~O
OF ON-SITE SEWER AND WATER FACILI~
2~7~
Application Date.' ~ 'ig~ IgJ7
1. GENERAL INFORMA~ON (MUST BE COMPLETED PRIOR TO SUBMI~AL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b)
(c)
(d)
Property Owner A~.~&~'zc. Hou.~J,.~tq Telephone: Home
Mailing Address
Lending Institution Eom~o~t~. J{O/Lt.q~,q~. Telephone
Mailing Address Al, t c ~o ,'t~.q ~.t
Real Estate Company and Agent P,E/~AX OF EAGLE RIIIER -
Address P.O. Bo:c 772849, E"q~. R./.U~t, Al~z~,Ea 99577
Telephone 694-4500
Business
(e)
Mail the HAA to the followina address: or:. Check here'~o if hold for pick up.
List contact person and day phone number below.
S £ $ ENGZNEERZNG - 694-~979 ~AU.. I~,/g~',<.'£ //£./..'~£/~$/JZ, ~&/-~/~7.
17034 E~g~ ~v~ Loop Ro~E, ~04
E~g~ ~v~, A~6~ 99577
TYPE OF RESIDENCE
Single-Family r~
Number of Bedrooms
WATER SUPPLY
Individual Well ~: Community r-I Public I-I
Note: If corn munity well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite,,{~ Public D Community l'l Holding Tank D
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72.025 trey 8/86t F~on!
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION '
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained
from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
._ s&SENGINEERING
Name of F,.,. . -. , ~
17034 p. agle Kn'm' ','"'"t' """"
Address ~_...l. Rlvarj ~aske 99577
Date
Telephone
DHHS APPROVAL
Approved for "~*c~ C'z.~bedrooms by~ -- "- *'~' '"~"'~
Approved ~ Disapproved '" Conditional
Terms of Conditional Approval
Date '=~ - ~ ? -~ ~
CAUTION
The Municipality of Anchorage Department of Health and Human Services CDHHS) 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 professional
engineer's work.
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed / / -I Z- -/:5 Z-
Width of Field /~', ~
Square Feet of Absorption Area
Depression over Field (Y.~'2
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well //
To Building Foundation ~-.~ /
Lot /~/'/~"
TO Water Main/Service Line
Length of Field /(2 /
Depth of Field
Gravel Bed Thickness ~/'
"~ ~, L,,, ~ Standpipes Prese'n~ (~N), '" ' '
Date of Last Adequacy Te~t c/,_ Z CJ -~.
Type of System Design
To Property Line
; On Adjoining Lots
'To Existing or Abandoned System on
To Stream/Pond/~ke/or Major Drainage Course
To Driveway. Parking Area. or Vehicle Storage Area
Comments
J/o Cutbank (if present)
D. LIFT STATION
Date Installed
Size in Gallons
'Pump On" Level at
High Water Alarm Level at
Tested for
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Electrical Codes (Y/N)
_ _Comments' : ~"
*° Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all M/OA/and HAA guidelines in effect on the date of this inspection.
Signed S & S ENGINEERING J3~e
17034 Eagle River Le~q~ Koed N~'. ,~u'~ / ~.../ ~ .. ~-,.,~...
Compa~ ..... ;- ~--~- ~ MOA No
Race,pt No. [ O/ ~
- - ' '
Date of Payment ~//~/~
Ao
MUNICIPALIT~ OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
· , , - .. ~..I..G~,.,,O~ CHECKLIST - FEBRUARY 1984
t..~.~)~''~ 2.-4744
~. 5~~ ._ Legal Description: ~ ~, ~ ~
Well Log Present~ ' ' Date Completed / ~ '~ ': ' Yield
Total Depth
Static Water Level ¢~ ~
Casing Height Above Ground
Electrical Wiring in Condui'(~N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
Cased to ~/"~ ~
Depth of Grouting
Pump Set At L.)./¢-.
Sanitary Seal on Casing {~)
Depression Around WeIIhead
I C:, ~ ' '" ; On Adjoining Lots
To Nearest Edge of Absorption Field on Lot I !
To Nearest Public Sewer Line ~//,,G To Nearest Public Sewer
Cleanout/Manhole 'c///,/5.* To Nearest Sewer Service Line on Lot ~- '~ I';'
Water Sample Collected by
WaterSampleTestResults ~7/5/--.~c~.?' [~),~_ i%.1U'7~,i~~ '4' ~-'~.
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed I/'-17_.'~7_..
Standpipes (~)N)
Depression over Tank (Y/~? Date Last Pumped
Pumping/Maintenance Contract on File (Y/N) . ,k///,~ ; for
Holding Tank High-Water Alarm (Y/N) ~J(~ Temporary Holding Tank
Separation Distances from Septic/Holding Tank:
To Water-Supply Well ]
To Property Line
To Water Main/Service Line /C~/~
course
Comments ~'~ ~"~ ~ ='"~ I~V '~ ~--- '.~'
Size t~P~O No. of Compartments ~---
Air-tight Caps (~1) Foundation Cleanout'~',l)
Permit (Y/N)
To Building Foundation ':(3' "? "" ' .......
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
ROBERTA. SHAFER
July 27, 1987
CIVIL ENGINEER
694-297g
SEWER & WATER
MA)N EXTENSIONS
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
ROAD DESIGN
Municipality of Anchorage
Department of Health and Human Services
825 L Street
Anchorage, Alaska 99501
AI~'ENTION: Steve Morris
REFERENCE: Lot 4; Block 1; Deer Park Estates
This letter is in response to our telephone conversation on July 27,
1987 about the possibility of high ground water on the above referenced
property.
Upon my initial field inspection on June 26, 1987 I found the existing
seepage pit to be completely dry. Also, an upgrade of the adjacent
septic system on Lot 3; Block 1; Deer Park Subdivision was performed
in September, 1986. The soil test was excavated to a depth of 12 feet
with no water detected after a seven day water monitoring period. The
location of the soil test was at a lower elevation than that of the
existing seepage pit on Lot 4; Block 1; Deer Park Subdivision.
Based on these observations it is my opinion that the existing seepage
pit is not being influenced by ground water.
Sincerely,
Jim Magnuson, C.E.
JM/ss
MUNICIPALI'~, OF ANCHO~E
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
gUL '7 1987
RECEIVED
ON ~TE
WASTE WATER
DISPOSAL SYSTEM
OESIGN SRB 196X EAGLE RIVER. ALASKA 99577
APPLIC~"NT FILLS OUT UPPER HAl"ONLY
Mallrng Addres~ Zip Code
Lendlnglnsfl~flon /~.~F '_4~ 7r,~ r.f~ ) ~one
Type of Resi~nce
~ Multiple Family NO. of B~r~
~ Other
Water Supply
NOTE: THE INSPE~ION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN ~E I~ITIATED.
Time Time Time Time
Date Date Date Date
Inspector InspeClO¢ Inspector Inspector
~o ~ - } DEC,O,=33
RECEIVED
( ) DISAP~OVED
( ) CONDIT~NAL APPROVAL'
Soils Rating . Da?~wer Install~ Well To ~sorptlon Area ~ ~' Well L~ R~elv~
Andrew FrOelich
c/o ReMax Eagle River,
P.O. Box 770884
Eagle River, AK
%- DecemberS7, 1983
Patricia Angevine
99577
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
" The permit for the installation of the on-site sewer system
f, will expire December 31, 1982. We have not received the
'.' as-builts of the installation in this office. If a private
ngineer inspected the system, please send us the report
or our files and review.
.~j.,~he correct legal needs be for this
/ fThe system was not designed to have a driveway over the
/ line to the septic system. There can be no vehicles tra-
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
CWB2/a/E1
Cory %;illis, R.S.
Acting Sewer & Water
Program Manager
I
TANK
I~ ~EP~O IAt SilL?
I
W'~- TER T~eLe.
~ = x__ =.7 ~.o ~. 7
I0 7 ~
Pu~gTEo TR~LE bI~Io/£~,7-
2.9
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