HomeMy WebLinkAboutHERITAGE HILLS BLK 3 LT 6H eritage Hills
Block 3
Lot 6
#015-221-12
11111101
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program. 4700 S. Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-6650 Page of
www ci anchorage.ak us (907) 343.7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SWO50317
PID Number: 015-221-12
Nana
Rick Onorato
Wastewater System: ❑ New ® Upgrade
Mdross
3961 McMahon Ave.. Anchorame.
AK 99SI6
ABSORPTION FIELD
Pouter
Nunber of Bedrooms
® Deep Trwxh 13 Shaiim T,. O Bad O Mound 00~
LEGAL DESCRIPTION
$aiFat V
Total DWhhcm"nal vad.
GPDdf
FI.
BbA lot Subdmswn
owh to PO. bob= from «pool prso.
Gavel dope, b ih PVa
3 6
Heritage Hills
FI.
F,
To v Harper
Seem
Fm MWd abO+a ergn.l paoa
Cav L.npth
FI.
Ft.
Well: [:1 New F1 Upgrade
Gav* wpm
Nunoar ot Nws
Divarw. baMesn Nos
Ft.F
Cta.ftatm (Pnvae. A B. C)
Total DWI,
Cased 10T«a
abs"M area
Pea Maternal
Priva a
Ft.
FI
Fl
D3034
DnW
Dae, DMbd
Stan: water Lav*
1,0181M
Das v,ataN
F,
A+ Home Services 1
9/11/05
YOM
un
Py s* a
Carne H.pM Move Gouty
TAN
K
nPM
Ft
FI
SEPARATION DISTANCES
® Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Lift
Holding
PNborJP"al
ww
a tr
From
Tank
Field
Station
Tank
Sewer Line
Anchorage Tank
1000 ca
weA
94'+
100'+
NA
NA
25'+
Steel
Steel
Nunoer« pertmeMa
2
surac.waar
100'+
100'+
NA
NA
LIFT STATION
L« Los
5'+
10'+
NA
NA
a
Ww
Gi,I
Fau dalcn
5'+
10'+
NA
NA
=Pon lawn
u p wra at
pn weer •N m"
in
ti
k
Cwa., Doan
NA
*50'+
1 NA
NA
Puny "a 6 MP•a
fled w kapact o , P.dprm.d by
Remarks
*none known
BENCH MARK
tqn and .V.
Old tank removed & abandoned per
Cement slab - landing
code. New tank placed & Insulated
Assunad Ek aln
100 FL
with foundation & post -tank
cleanouts
added. Waiver requested to
94'
Engineer's Stamp
between well and tank.
pZjOFaA`gs�h
',.. .ser.
»i 49
Inspections performed by: KND Engineering
nc.
IDates: 1*9/1 /05
.»a
2nd & 3'4 9/16/05 8/19/08
�9n Kenn
Development Se es Department Approval
�� s ti 11 a
Reviewed and approved by:
Date: — d
I�l`9F'••9 /So�.����i
1,,\\\\
m« Iwo)
SSl'`P�j
11111101
:Z Municipality Of Anchorage
\ 1a). Mm VX;50 - Andwragc. Maslu) !W,19 144 • 471X1 t.hnurr INN
I )flux: 1!X17) 313-M)l • Pax: (!M)7) 348- _1(X) hllp://���rwtnuud.arq
Mayor Mark Begich Development Services Department
August 27, 2008
Kenneth AT. Duffus, P.E.
KND Engineering, Inc
20441 Ptarmigan Blvd.
Eagle River, AK 99577
Subject: Waiver Request for Heritage 11 ills, Block 3 Lot 6
Waiver Request WR#: 080060
Parcel ID # 015-221-12
SW050317
Dear Kenneth 111. Duffus, P.E.:
*�/_.1 _lam
Department
Your request for a waiver of the required 100 feet horizontal separation from the
septic tank to the private well has been approved. The approved separation distance is
94.0 feet.
This waiver approval applies to the existing septic tank to private well separation only.
Any future upgrade to the on-site wastewater disposal system will require all separation
distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
Eel!toccn
fu .
Civil Engineer
On -Site Water & Wastewater Program
Community, Security, Prosperity
Municipality of Anchorage
Development Services Department
• Building Safety Division
On -Site Water and Wastewater Program
j 4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Waiver Review Worksheet
WR#:080060 PID#:015-221-12 HA/Permit# SW050317
Date Received: August 27, 2008
Legal Description: Ileritage Ililis, Block 3 Lot 6
Engineer:
Kenneth D1. Duffus, P.E.
KND Engineering, Inc
20441 Ptarmigan Blvd.
Eagle River, AK 99577
Applicant:
Waiver Requested: 94' Well to Tank
Criteria: Geology Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
Waiver is Granted: X
Ust Conditions or Reasons for above:
Waiver is not Granted.,
Date: M7/08 By: Deb Wockenfuss
Name of Reviewer
....................... 0.........................................60.80...
Rec#: 112118 Amount: $920 Date Paid: 812 2008
Municipality of Anchorage
CU. Dix 1!MWA) - Anchorage, A]aAa 99519-ff&) • 47(MI Hamm 16uu1
\ 011icc: (1917) 313-NMII • I:u: (!X171 ft13-K- MI hllp:/h����c.munLurl;
Alayor A/ark Begich Development Scr%ices Dcpurtmcnl
August 27, 2008
Kenneth M. Duffus, P.E.
KND Engineering, Inc
20441 Ptarmigan Blvd.
Eagle River, AK 99577
Subject: Waiver Request for Ileritage IIills, Block 3 Lot 6
Waiver Request WR#: 080060
Parcel ID # 015-221-12
SW050317
Dear Kenneth 51. Duffus, P.E.:
n
Met
N00
Department
Your request for a waiver of the required 100 feet horizontal separation from the
septic tank to the private well has been approved. The approved separation distance is
94.0 feet.
This waiver approval applies to the existing septic tank to private well separation only.
Any future upgrade to the on-site wastewater disposal system will require all separation
distances be met or another approval from this department.
If there arc any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
,a -w4
Deb Wockenfu
Civil Engineer
On -Site Water & Wastewater Program
Community, Security, Prosperity
Heritage Hills, Block 3 Lot 6
Parcel ID: 01522112
Waiver for 94 feet from well to tank
Issued Aug 25, 2008
General
1. From the 2002 water sample, total coliform was 0, and total nitrates was 1.53 mg/L. A new
tank was installed in 2005.
2. Any overflowing sewage would have to travel around the house to get to the well head.
3. The location of the system is in a visible area and any surfacing effluent will be seen and
corrected.
ADEC Criteria
Water Table
Depth of water bearing zone in well 219 feet
Assumed bottom of tank 8 feet
211 feet
1'(111/190) + 7
Soil Sorotion
Soil descriptions from well log
DEC PTS Depth From Depth To Thickness
gravel and clay 3 8 21 13
sand 1.5 21 28 7
gravel, sand and clay
3.5
28
132
gravel and sand
1
132
165
clay and sand
4.5
165
219
104
33
Calc. Pts
0.18
0.05
1.73
0.16
54 1.15
0 0.00
211 3.27
Permeabilitv
Soil descriptions from well log
DEC PTS Depth From Depth To Thickness
gravel and clay 0 8 21 13
sand 1.5 21 28 7
gravel, sand and clay 0.5 28
gravel and sand 0.75 132
clay and sand 0.75 165
Water Table Gradient -
Water table slopes away from the water source
Assume -2.9% slope
Horizontal Separation
94 feet between septic lank and well
x=16/25+2.0
132 104
165 33
219 64
0
0
211
Calc. Pts
0.00
0.05
0.25
0.12
0.19
0.00
0.00
M
Total Points
Points
7.6
3.3
M.
2.4
Fi
16.5
A separation distance of 94' has points calculated at 16.5. Almost sure to be free from any form of contamination
from household sewage.
SW 050317
Heritage
Block 3
P70Ii7
8/25/08
Water Table Gradient Calculation
Heritage Hills, Block 3 Lot 6
35'
Heritage Hills,
Block 3 Lot 6
0'
9'
'4� +Nn
t ronwM
August 19, 2008
AClERRA
ENGINEERING AND SURVEYING, ING
Jeff Poet, On -Site Engineering Technician
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
RE: HERITAGE HILLS BLOCK 3, LOT 6 — WELL/SEPTIC TANK WAIVER
Dear Jeff,
Per your request, we have re -verified the separation distance of 98 feet between the first
septic tank cleanout and the well located on the referenced lot. We are therefore
requesting that a waiver to 94 feet between the referenced well and septic tank be granted
at this time. This well and septic system are located on the opposite sides of the house
and have been in operation for over 37 years.
Per ADEC Separation Distance Waiver Guidelines for SCRO:
• Water Table (202' static well log)
• Soil Sorption (See well log-clay/sand/gravel)
• Permeability (See well log clay/sand)
• Water Table Gradient (0%)
• Horizontal Separation (94')
ifYI va
7.50 points
2.50 points
3.00 points
2.90 points
2.70 points
The point total indicates that the well would almost sure to be free or no contamination
possible from any form of household sewage contamination. It appears that the moderate
nitrate levels (1.53 mg/L) of the most recent water analysis of March 26, 2002 are not just
isolated to the referenced well, but to the local area in general.
8/;Z/o8
Ui R I V E I? PTy 7h A/k T O UIE L[
Heritage Hills B3, L6
August 19, 2008
Page 2 of 2
Based on this analysis, we respectfully request that the waiver of 94 feet between the well
and septic tank be granted. If you have any questions or require additional information,
please contact me at 868-3792 / FAX 868-3793.
Respectfully,
A:rt" Cern Engineering & Surveying, Inc.
Kenneth M. Duf us,
20441 PTAR\IIGAY RIND • EAGLE RIVER, AK 99577-8736 • Pit (907) 868-3791 • FAX (907) 868-3793
AS -BUILT SEPTIC TANK REPLACEMENT SITE PLAN Pip it 01 05031712
HERITAGE HILLS BLOCK 3 LOT 6
K�'D
P.
W
O J_�
X52
7/
/N� 10.0' —
/ EASEM
IUTIUTY
1 I
\ I
150'
- r ---r EXISTI G
PTEP GE I [f2EgY�
6� ld
M Co
0 2 RAJ
= 13 \FCO
ef
I A I
I
EXIST WELIJ I
W/100' RADIUS /
I� /1
,�5 �
A-1=31.17'
B-1=46.40'
7 rw-44
A-2=37.47' 9.
B-2=39.79'
4' SOLID FROM HOUSE
OF .4L
�
/ * 4 9* +/
D U
ce 7ue .�a
,s '
1 � qb' fESSION�� �
f4Mw4. — 4
PREPARED FOR:
RICK ONORATO
3961 McMAHON AVENUE
ANCHORAGE, AK 99516
NEW 1000 fC�l / /
SEPTI TK
c /
/I
I
Scale: 1 "= 50'
FIELD BOOKS toMwuMm
eaMDUMr. DRAM: MITIO 1MD ENGINEERING
su"i"t oc M' kmd 20441 PTARMIGAN BLVD
As T. DAME 09 30 05 EAGLE RIVER AK 99577-8736
D, raE aro: 2737 it
Au'B FLE` 05062.dwg JOB"" 05-062 (907)696-6111/FAX (907)696-8111
MUNICIPALITY OF ANCHORAGE
Development Services 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
Permit Number: SW050317
Legal Description: HERITAGE HILLS BLK 3 LT 6
Design Engineer: 0070 KND Engineering
Owner Name: RICK ONORATO
Owner Address: 3961 MCMAHON AVE
ANCHORAGE. AK 99516-2346
Date Issued: Aug 24, 2005
Expiration Date: Aug 24, 2006
Parcel ID: 015-221-12
Site Address: 012200 FREEDOM RD
Lot Size: 16500 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
- (EMERGENCY TANK REPLACEMENT) - SEPTIC TANK INSTALLATION MAYBE LOCATED NO LESS THAN
FIVE FEET FROM ANY PROPERTY LINE OR BUILDING FOUNDATION; TEN FEET FROM ANY WATER
SERVICE LINE; ONE HUNDRED FEET FROM ANY SURFACE WATER; AND ONE HUNDRED FEET FROM ANY
PRIVATE WELL; AND THE SEPARATION DISTANCES REQUIRED BY 18AAC72 FROM WATER SUPPLY
WELLS.
Received By.
Date: 8 2y oS"
Date: 17 Z t u�
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcell.D_ 015-221-12 PermitNumberSW
Property owner(s) Rick Onorato
Mailing address (1) 3961 McMahon
Ave- Anchorage,
Day phone _345-0035
AK 99516
Mailing address (2)
Zip Code
Legal description (Lot, Block & Sub'da Heritage Hills,
Stock R, Lot 6
Legal description (Section, Township & Range)
Lot Size 16500
Acres/Sq.Ft. Number
of Bedrooms 3
THIS APPLICATION IS FOR:
Sewer Only
❑
Well Only
❑
Sewer and Well
❑
Water Storage
❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi
❑
Swimming Pool
❑
Water Softening Unit
❑
Therapy Pool
❑
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.
Permit Fees:
property owner or authorized agent)
i
Date of Payment: ?f o
��r1S�
Receipt Number: -7895? .,.
(Rev. 12100)
Waiver Fees:
Date of Payment:
Receipt Number:
1-CINM ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER. AK 99577-8736
11/FAX
August 24, 2005
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Septic Tank Upgrade — Heritage Hills, Block 3, Lot 6
Gentlemen:
The owner has requested we proceed forward to obtain a septic permit to upgrade and
replace the existing septic tank for the subject lot. The existing septic tank will be
abandoned in place or removed in accordance with municipal standards.
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100' of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be any adverse effect on
adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111 /FAX 696-8111.
Respectfully submitted,
KNE) Engineering, Inc.
hL
enncth M. Duffu
Attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
SEPTIC TANK REPLACEMENT SITE PLAN
HERITAGE HILLS BLOCK 3 LOT 6
K D
i
UTILITY
I EASEM
I I
� � I
\ \\ I I
NO PUBLIC WELLS WITHIN 200'
OF PROPOSED SYSTEM.
NO PRIVATE WELLS WITHIN 200'
OF PROPOSED SYSTEM EXCEPT
AS NOTED.
OF ALAS
G'49 9 +�
KENN If US
cy 1 HAAW
ca
"'Ron'sS14Npy dw
z
w
O N
150'
EXISTG
I
,I
SEEPAGES?7�C
PIT
1 1
I
APPROX LOICATION 1
EXIST WELY
,,t /
w/100' RADIUS /
--{ 30.0'
REMOYE EXI$q
1000 IGAL/S.T. &
REPC w/NEW
1000 A
1000 AL S.T.
/I
1
L I
� 1
DESIGN DETAILS
1. 3 BDRM X 150 GPD - 450 GPD
2. INSTALL 1000 GALLON SEPTIC TANK & INSULATE IF < 4' COVER
3. INSTALL FOUNDATION CLEANOUT AND POST—TANK CLEANOUTS.
CONSTRUCTION NOTES:
1. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO
SEPTIC TANK.
2. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER
SETBACKS.
PREPARED FOR:
RICK ONORATO
3961 McMAHON AVENUE
ANCHORAGE, AK 99516
FIELD BOOKS
compum;
BDLNIDARY
DRAW:
STARING
wEaED:
Am MT:
DATE:
Dw RLE:
CMD:
ACA' RAc"' 05062.dwq I jm ""` 05-062""` 05-062
Scale: 1"= 50'
PAGE 1 OF 1
1E ID ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)898-8111/FAX (907)896-8111
1�9yIS
0. y
A
...... .. .....
4 -
3�
-7. --- ---
For J. O.Q.. NTe i 11
...... ............ ........ ............. ................
Location .... TI-Ced r.--.Road(He ribaga_sub
....:Lot
... ... ...
a
\iI
Date completed ..Juna 6 1 9-74 5 �&.q.. .....
-AjV1
Depth of Well... .22_,?.YQ.P,.t, ... fq.. , 0.1
."Size of'casing...*.,
........... .....................................
......
�-'Distance to water.... ............ ...... ..............
a ... ..
Distance to water while pumping ... ....
.............gyp..: 204.
.................. ........
�.at rate
of ......::::.....500..... ;:..::.:....gallons per hour.
Description of Formation
from 10
Tn--qnil
Gravel and clay
I 7 I 21
-24
Gvavei., -and "it'd clay
rm=rP.1 and snnd
A. I
C1 2nd gnind
I 15,5-1-219—
1�9yIS
0. y
A
4 -
GAAB-HD 1 Gi.ATER ANCHORAGE AREA BORO iH C.,
(> DEPARTMENT OF ENVIRONMENTAL DUALfi�(
' 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
s MAILING yr U•L,G' �ir�5y�f/C f•
NAME /��� �r'���� ADDRESS PHONE
LOCATION / �l� ��Ay� l�%��'� LEGAL DESCRIPTION All f-11<-� ZV-GZ-r h����s
SEPTIC TANK:
/ NUMBER OF
DISTANCE FROM WELL J C' -rl MATERIAL 5 COMPARTMENTS
LIQUID
LIQUID CAPACITY %( ('!' GALLONS. INSIDE LENGTH INSIDE WIDTH-DEPTH-
SEEPAGE
IDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT
NUMBER OF PITS_ / OUTSIDE DIAMETER OR WIDTH A/�' LENGTH ,1c� DEPTH
� 1
LINING MATERIAL < /<°`i%e•0LrDISTANCE FROM WELL It� Z C - BUILDING FOUNDATION �G
��--����1'�;S
J/ f
NEAREST LOT LINE �� / l TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) /!'' SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
TOTAL LENGTH
FOUNDATI 'N,_ , NEAREST LOT LINE , OF LINES_
NUMBER OF LI 1 5 DISTANCE BETWEEN LINES TRENCH WIDTH
ABSORPTI N AREA SQ. FT. LENGTH OF EACH LINE
AL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE —IN. ABOVE TILE
WELL:kt DISTANCE FROM WATER
U1
-
TYPE 1U141 lDEPTH BUILDING FOUNDATION. SAMPLE , NEAREST
NEAREST _ SEPTIC r SEEPAGE I OTHER
inT iINF SEWER LINE—,TANK �C moi- SYSTEM Wi l— ,CESSPOOL , SOURCES_
DATE /V'y ��
GREATER ANCHORAGE AREA BOROUGH i0
'A DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
NAME OF APPLICANT j1�— MAILIN`/Gf ADDRESS PHONE
INSTALLATION LOCATION JCU M L- t' AIF-- � � � � + � rl " 1J" l A I �
LEGAL DESCRIPTION A DL
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER ,
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
TO BE INSTALLED BY I7 i1 c zL/'c--
SOIL TEST RESULTS .l lle) j� ♦='f` )"%�' XScL %���' NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED ��i R.� `7 /
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. 1 -
SEPTIC TANK SIZE TYPE S/ EEPAGE AREA SIZE / ��� x TYPE
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK '
FOUNDATION TO SEEPAGE PIT �0 , DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK _-1—, SEEPAGE PIT .�D T,DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK �.� V SEEPAGE PIT
DRAIN FIELD , ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT
SEPTIC TANK, SEEPAGE PIT , DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
HEALT AUTHORITY
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE j /L U APPLICANT'S SIGNATURE
i
0
Fc ri cir Keith Burds.qn— —7L2�IL71
6 Heritage Hill
le -
L ; !&I! tl-
Brown sandy silt
(ML)
2--1
3--j
Gray fine to medium gravel
4-4
zi (GW)
Gray poorly graded sand
with silty sand seams
8-14
9-1
W no
Was 'I'VOUTIC,
t
180 s _ua_re of Ay�C area
re: rorre,l R. E...Carlisle
I
National Testin Services, Inc.
Municipality of Anchorage
Development Services Department
Building Safety Division •"'
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015.221.12 HAA # X14 Do -0115
Expiration Date: %— E' 02
1. GENERAL INFORMATION
Complete legal description Heritage Hills Lot 6 Block 3
Location (site address or directions) 12200 Freedom Rd Anchorage AK 99516-2346
Current Property owner(s) Joe Neill Day phone
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Same as above
Day phone
Hank Groper - Totem Realty. Inc. Day phone 272-0571
794 East 15'" Avenue Anchorage AK 99501
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 2
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage ❑
Community Class Well ❑
Public Water System ❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an Independent professional
civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the
transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal
and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health
Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well
and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one
year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or
a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
Investigation, based on procedures outlined in the Health Authority Approval Guidelines for this
application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional
and adequate for the number of bedrooms and type of structure indicated herein. I further verify that
based on the information obtained from the Municipality of Anchorage files and from my investigation and
inspection, the on-site water supply and/or wastewater disposal system Is(are) in compliance with all
applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm KND ENGINEERING Phone. (907) 696.6111
Address 20441 Ptarmigan Blvd Eagle River AK 99577
Engineer's Printed Name Kenneth M. Duffus Date 04102/01
51
]NEER S
5. DSD SIGNATURE d�; xonae.n „. Jutrly
16
—L Approved for L bedrooms. t��F9 •..,•• • •�,.••
Disapproved.RopEss)o%�
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
Crw. ,ryG
• WATFG ANI1 •.
Attachments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: /���^ "' � �� Original Certificate Date: 44
(R.. 01102)
Municipality of Anchorage
Development Services Department 1;
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Herbg2 .,:::_ Lot e aleck 3 Parcel ID: 015.221.12
A. WELL DATA
Well typerip Kate If A. B, or C provide PWSID # _
Date completed 61611974 Sanitary seat (YIN) Y
Total depth 224 ft. Cased to 224 ft.
FROM WELL LOG
Date of test 616171
Static water level 202 ft.
Well production 10 9 p•m
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi. Nitrate 1.53 mg./I.
Arsenic: NA mg -A. Date of sample: 3126102
B. SEPTICIHOLDING TANK DATA
Well Log (YIN) Y
Wires properly protected (YIN) Y
Casing height (above ground) 30"
AT INSPECTION
X14612002
191 ft.
5.73 9 -P.M.
Other bacteria 0 colonies/100 ml.
Collected by: KNO Engineering Inc
Tank Type/Material SeptidSteel Date Installed 1071
Tank size 1000 gal. Number of Compartments 2 Cleanouts (YiN) X100
Foundation cleanout (YIN) `[(inside foundation) • Depression over tank (YIN) bL_High water alarm (YIN) N
Date of pumping 04 01102 Pumper Anchorage Cesspool Pumping
C. ABSORPTION FIELD DATA
Date installed 1971 Soil rating (g.p.d./ft2 or ft=lbdrrn)1_S0 System type Pit
Length 10—_ ft. Width 16 ft.Gravel below pipe 12 (pit depth) ft.
L'D
Total depth ff. Eff. absorption area 612 fe Monitoring tube `,j Depression over field H
Date of adequacy test 1_126102 Results (Pass/Fail) Pass For 2 bedrooms
Fluid depth in absorption field before test 26 In. Water added -390 gal. New depth 41 in.
Elapsed Time: 285 min. Final fluid depth 25 in. Absorption rate >= 300+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date
D. LIFT STATION
Date installed NA Size in gallons Manhole/Access (Y/N)___�
'Pump on" level at _ in. "Pump off" level at _ In -High water alarm level at
In.
Datum Cycles tested Meets alarm 8 circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot _1001+
Absorption field on lot 1001+
Public sewer main _75'+
On adjacent lots 100'+
On adjacent lots •-25'
Public sewer manhole/cleanout 1001+
Sewer /septic service line 25'+ Holding tank 1001+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation —Et__ Property line E++ Absorption field -5'+
Water main 101+ Water service line 10'+ Surface water 1001+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line _ 10'+ Building foundation '+ Water main _101+
Water Service line 101+ Surface water 00'+ Driveway. parking/vehicle storage 0' fon edge of drivevrevl
Curtain drain 50'+ Wells on adjacent lots 001+
F. COMMENTS
G. ENGINEER'S CERTIFICATION ,:!X0;:•••"•••% :,q
e Cj S
I certify that I have determined through field Inspections and rs f •: • TN N ;y ••H
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines In effect on this date. ..,•.,
Engineer's Printed Name Kenneth M. Duffus c� : �enn`ea,'M z„
_.
�t v�•$TAfflr116
Date 04/0212202i F9 �•'
FeP OF
HAA Fee $375.00 Waiver Fee $ _
Date of Payment 04/0, Date of Payment
Receipt Number O 11 MP / ' Receipt Number.
(Rev. 12101) /
P.Pa a Z' to urwty W"am...r -
GPC, : 215-1
F• 5CVr--. K''7
AS.BUILT SURVEY SCALE LM15p
M
�4
L
FKENNETH G. LANG, L.S. 1731 GEORGE BELL CIRCLE, ANCHORAGE, ALASKA 99515 (907) 34t)-b4/b
I hereby certify -that I have surveyed the following described �••,�r^} At aP4
property:••Lot''(_, Block'<�
3 i'�t'-¢1tACi8'NitlS'���3. • • •.
,&Wr-io0'&6C Recording District, Alaska, and that the improve- R �, •'••�� C%'AP
ments situated'.thereon are within the property lines and do not ��: �y,;�.�, SR (►
encroach onto•the property adjacent thereto that no improvements 00.40 v x : �. —. � * 4
on the property lying adjacent thereto encroach on the surveyed 0 ''// C
premises and that there are no roadways, transmission lines or r••�. •` tJ
other visible easements on said property except as indicated p
'5,-,23 ; K^^^ c t.^o , d
P Pe Y P ^.; LS - 5202 v
hereon.t , •..,•..•• :, u
.. .... ... ... , Gr
Dated this the .24*' day of' AUC ue.V , 1988- , at Anchorage,
Alaska.
22i /z.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES 2S
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744 / p
Application Date k4A, P - 1,
1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
[4:11-s at, 22 .moi nac/e
Location (address or directions)
l 2- 2 o -o P_ ae
(b) Property Owner �� n��� r Telephone: Home 3 o ���� Business 3q9- UP 9:91
Mailing Address P, Q l3o%�jK /I a L! '7 L
C? L?
(c) Lending Institution "rC " F_e_/Telephone
Mailing Address Ar rc a v �� evu� S
(d) Real Estate Company and Agent %l b fLr 1
(e)
Address
Telephone
Mail the HAA to the followino address: or: Check here, if hold for pick up.
List contact person and day phone number below. 1*2
A-2 I , 3 41,6
2. TYPE OF RESIDENCE
Single -Family
Number of Bedrooms _
3. WATER SUPPLY
,
Individual Well Community ❑ Public ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE
///DISPOSAL
Onsite y5 Public ❑ Community ❑ Holding Tank ❑
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 (Rev 8/86) Front
5. 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. n
Name of Firm
Address
Date
ao
_ Telephone o2? ,3 �1
3 Le- lJ
;' :•l,• tom' `;' �•.S'�F(,
r , . .. • • . ... Engineer's Seal
- ido. 2_225-E:
1971
6. DHHS APPROVAL
Approved for 3 bedrooms by "`"`�'1 I� i� Date
Approved
Disapproved
Terms of Conditional Approval
Conditional
CAUTION
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 professional
engineer's work.
Page 2 of 2 72-025 (Rev 6/e6) Beck
IcteP.41fiY of C"68p1P,PLITY OF ANCHORAGE (MOA)
yN jpl S�RVtQ?A � 6L AUTHORITY APPROVAL (HAA)
11UIRQN CHECKLIST - FEBRUARY 1984
264-4720
�j Legal Description: Lot �F$K
A. WELL DATA
Well Classification I?e,.s If A, B, C�/D.EE C�N�Aa
C. Approved (Y/N)
Well Log Present (Y/N) x Date Completed "' b� / Yield
Total Depth 4W V Cased to %Z 2 y Depth of Grouting N O lYL_
Static Water Level 0207. Pump Set At aoP TTo�//'�i
Casing Height Above Ground 30.r Sanitary Seal on Casing (Y/N) / ^
Electrical Wiring in Conduit (Y/N) .4 Depression Around Wellhead (Y/N)
Separation Distances from Well
To Septic/Holding Tank on Lot 1 O ; On Adjoining Lots ';P �0 1q
To Nearest Edge of Absorption Field on Lot ;On Adjoining Lots Oi� x he� 713 K3
To Nearest Public Sewer Line
NIA To Nearest Public Sewer #�
Cleanout/Manhole N/A To Nearest Sewer Service Line on Lot > /y
Water Sample Collected by
Water Sample Test Results
Comments
B. SEPTIC/ham TANK DATA
S ; Date T �`IRYIB�
Date Installed j 471 Size) D -6o No. of Compartments
Standpipes (Y/N) ON+~ Air -tight Caps (Y/N) — Foundation Cleanout (Y/N)
ire�1
Depression over Tank (Y/N) `l Date Last Pumped MY 2 �Ra
Pumping/Maintenance Contract on File (Y/N) NA ; for NA
Holding Tank High -Water Alarm (Y/N) �4A Temporary Holding Tank Permit (Y/N) WA
Separation Distances from Septic/Holding Tank:
To Water -Supply Well 14Q 3 To Building Foundation (Q
To Property Line > I C) To Disposal Field /0
To Water Main/Service Line
Course
Comments
Page 1 of 2
72-026(11/84)
To Stream, Pond, Lake, or Major Drainage
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata 8a Type of System Design GoNCrZI TiE CP—Ira
Date Installed 1q-71 Length of Field la ze /6 �4 / Z
Width of Field Depth of Field Z�
Gravel Bed Thickness
Square Feet of Absorption Area 2 Standpipes Present (Y/N) O NA
Depression over Field (Y/N) N tDate ofLastAdequacy Test SIA V48F3
Results of Last Adequacy Test 7 lTAL Rez&v,0��
Separation Distance from Absorption Field:
To Water -Supply Well
To Building Foundation 2(P
To Property Line
Lot No j4 e. ; On Adjoining Lots
To Existing or Abandoned System on
/t9-?) f
To Water Main/Service Line J /O To Cutbank (if present) NoMC
To Stream/Pond/Lake/or Major Drainage Course C
To Driveway, Parking Area, or Vehicle Storage Area C 014 Q� � � a(iu&&0_ tl/'an
Comments _
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for —
Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
** Check Permitted Bedroom Rating Against HAA Request **
Vent(Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
I certify that I have checked, verified, Wonformedtoall MOAandHAA guidelines in effect on the date of this inspection.
Signed Date
Company — MOA No.
Receipt No.
Date of Payment ✓
d�
Amount: $
os�6� 2
Page 2 of 2Do
//1_��(3��11DL- (a-1� (u
72-026 (11/84) ��)
ea� 11 Jlp
Engineer's Seal
Municipality of Anch` -brage
Department of Health and Human Services dhh5
825 "L" Street
Tom Fink,
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
July 12, 1988
Tobben Spurkland, P.E.
203 West 15 Avenue "C", Suite 203
Anchorage, Alaska 99501
Subject: Waiver Request for Lot 6 Block 3 Heritage Hills S/D
Waiver Request #WR88-025, #H88-0204
Dear Mr. Spurkland:
Your request for waiver of the required 100 foot separation of
a septic system to a private well has been approved. The
approved separation distance is 95 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,
bantv - jv
Daniel J. Roth
Civil Engineer
On-site Services
DJR/ljw#6
VUV
��LADV®ga203W.1
CONSULTING ENGINEER &ICIPALITY OFNTft1ZFn 1A
� 1!
RECEIVED
Municipality of Anchorage
Division of Environmental Health
Department of Health and Social Services
820 L Street
Anchorage, Alaska 99501
""C SUITE 203
ALASKA 99501
19071 279-3916
May 25, 1988
Subject: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR
PRIVATE WELL TO ABSORPTION FIELD
LOT 6, BLOCK 3, HERITAGE HILLS
JOE NEILL
Gentlemen,-
We
entlemen;
We are submitting a request for waivers from the separation
distances stated in Title 18, Alaska Administrative Code,
Chapter 80.020.
During an Health Authority Inspection on May 24, 1988 is was
discovered that the distance between the well on lot 6 and the
absorption field on lot 7, Block 3, was 95 feet, five feet less
than the required 100 ft.
The well was installed in 1971 and the septic system in 1972.
Therefore the well was in compliance at the time of
installation, but the septic system on lot 7 was in violation
of the requirements when it was installed.
The well is located up hill from the septic system. According
to the well log the well is 224 feet deep with static water
level at 202. Three clay layers were identified with a total
thickness of 172 feet.
By going through the DEC's procedure of analyzing the potential
for contamination I arrive at the following points:
Ground Water
Soil Sorbtion
Permeability
Gradient
Separation
Total
(at 202 ft. )
7.50
( Sand/ Gravel)
1.50
( Clayey Sand)
3.00
( 0 )
2.00
( 95 )
3.00
17.00
Conclusion: Chemical contamination possible but unlikely.
Please issue an waiver for
Yours
Tobbe Spurkland P.
this well.
/iJ
W. 15th
"C" SUITE 203
�O o L7UV ���U�I��UVUVD9 �o�o 2A CHORAGE,EALASKA99501
CONSULTING ENGINEER TELEPHONE: (907) 279-3916
RESIDENTIAL WELL INSPECTION
LEGAL: Lot 6, Block 3, Heritage Hills'-.
LOCATION: 12200 Freedom Road `,;,., <<
OWNER: Joe Neill 6.•40
€. ( 5j-
TYPE OF WELL: Residential Single Family ''. lU(JE L9'1
WELL LOG AVAILABLE: Yes
INSTALLATION REQUIREMENTS MET: NO. Distance to neighbor's septic
system (crib) 95 ft. Required
distance is 100 ft. Waiver requested.
WELL YIELD FROM WELL LOG: 10 gallons per minute
PUMP YIELD FROM TEST: 6.5 gallons per minute
DATE OF INSPECTION: May 24, 1988
TEST PROCEDURE: Well was pumped at a constant rate while the
drawdown was monitored with an acoustic probe. At the beginning
of the test water level was found at 199 feet below top of casing.
At a pumping rate of 6.5 gallons per minute the water level dropped
to 202 feet after 5 minutes of pumping and remained at that
level for the remainder of the test, 70 minutes. A total of 460
gallons were pumped. The well recovery was instantaneous .
TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested for E.Coli
and total nitrates on May 25, 1988
E.Coli 0. Total Nitrates 0.65 mg/l.
Max. allowable Total Nitrates 10mg/1.
TEST RESULTS: This well meets the requirements of the
Municipality of Anchorage.
THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR MORE
THAN FOUR HOURS
The Municipal requirement for well flow is 150 gallons of water
per bedroom per day. This well exceed this requirement. The
assessment of the condition of the well applies only to the
conditions as of the day tested. The flow rate may change due to
subsurface conditions that may not be observed from the surface,
and changes in the land use and other factors that may impact the
aquifer feeding the well.
03 W. 15th AV"C" SUITE 203
lJ O l� �U V�UUl7�UVD9 �p�p "'�2ANCHORAGEEALASKA 99501
CONSULTING ENGINEER TELEPHONE: (907) 279-3916
SEPTIC SYSTEM ADEQUACY TEST
LEGAL:
Lot 6, Block 3, Heritage Hills
LOCATION:
12200 Freedom Road �•.i..
s
OWNER:
Joe Neill "."°°°
3
RESIDENCE:
Single Family, Three Bedrooms il,'•" '1uiVE 27225
WELL:
WELL:
On Site. Single Family o.•. =
4..
SEPTIC SYSTEM:
FROM MUNICIPAL RECORDS:
TANK: Stack Steel 1000 gal. Two Compt.
ABSORPTION SYSTEM: Concrete Ring Crib
ABSORPTION AREA: 612 sq.ft.
SOIL RATING: 180
INSTALLATION DATE: August 1971
DATE OF LAST PUMPING:
May 256, 1988. Marx
DATE OF TEST:
May 14, 1988
TEST PROCEDURE:
System was inspected and measured. Tank was
found with 3
feet of cover and a liquid depth of 49 inches.
Crib was 12 feet
deep with 91 inches of liquid.
460 gallons of clean water were added to the crib while the
water levels in the tank and the crib were monitored. Tank level
did not change. Water level in crib came up 17 inches. The
infiltration rate was monitored for 30 minutes. During this time
the waterlevel in the crib dropped 5 inches, indicating a rapid
infiltration.
TEST RESULT: This system meets the code requirements of
the Health and Social Services Department of the Municipality of
Anchorage.
NOTE The operational life of all septic systems depends on the
local soil conditions, 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 this septic system. We can therefore not give any
estimate of how long this system will function satisfactory for
current or future occupants.
