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HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 41MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. " Municipality of Anchorage Page I of · DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:..-~/ qRo,~.O0 PID Number: "'~: Z~0 ~l'ttl~ Wastewater System: D New ~Upgrade ~i~o~/l~reSC' ~/~ AK ABSORPTION FIELD WEL~ B New O Upgrade G..~wi~h: ~/ SEPARATION DISTANCES = s~t~c =,o~d~.o ~ S.T.E.P. . Suffa~ Remarks: ~ ¢~ ~~ BENCHMARK uepa~mem ct Healm ana Human ~ewlces approVa~ ~.'., Reviewed and approved by: ~ ~ ~ Date: ~'1 7 CAI CEL ]ELECTRIC INC. lC410 FINLEY CIR. * Ar;~;HORAG;,AK. ggSte Rel 1~140 ~£11 C~eet Dr. £agle River, Ak. Aug. 5th, 1998 inatalle~ by A Plu~ ~e~vtce~ et the ~bove location. C~ce! d£~ ~hie v£rlng ~s per the 1996 K~ttonai £1ectrical Cods. you h~ve any que~tlon~ p~ea~e g£ve.~e ~ cail, Thenk You ! ~ ~;teve CJ. oud PAGE I OF I MUNICIPALITY OFANC~ORAGE DEPARTMeNT OF HEALTH AND ~iUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ~LNC~ORAGE, SJ~%SKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYS'r~Z4 PERMIT P ER!~IT ~BER: SW980200 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES OWNER NAME:WILLIS LYNN C & LOUISE S OWNER ADDRESS :10140 ]{ILLCREST LN EAGLE RIVER ~.LASKA 99577 DATE ISSUED: 6/24/98 EXPIRATION DATE: 6/24/99 PARCEL ID:05030410 LEGAL DESCRIPTION: EAGLE CREST TR ALT 41 LOT SIZE: 11070 (SQ. FT.) ~K~4BER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTIONMUST BE IN ACCORDANCE WITH: 1. THE ATTACNED APPROVED DESIGN. 2. ~ REQUIREMENTS SPECIFIED IN ANC~ORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF A3.J%SKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON TEE SA~ DAY B. COVERED, SEALED ~ HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DATE: DATE: June 11, 1998 Alaska Water & Wastewater 7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ret~ Septic Upgrade Design for Lot 41, Tract A, Eagle Crest Subdivision. To whom it may concern: The existing 3 bedroom house is served by a private septic system and well. The existing trench is surcharged and must be upgraded. One test hole was excavated to the east of the existing septic system. Comments regarding the proposed upgrade design are summarized as follows: 1. SOILS: Attached is a log which shows the soil profile, and the percolation test result. The soils below the organics are primarily SM-SW with light gravel and few boulders to a depth of 20 feet (bottom of test hole). No groundwater was encountered during the excavation of the test hole. One soil percolation test was performed at 8.5 to 9.0 feet which perked out at a rate of 27 minute/inch. 2. TRENCH DESIGN: a. Percolation Rate: 27 minutes/inch b. Allowable Application Rate: 0.6 gallons/day/ft2 b. Application Rate to be used: 0.45 gallons/day/fl2 e. Number of Bedrooms: 3 d. Des!gn Flow: 450 gallons per day e. Mimmum Absorption Area: 1000 fl2 f. Effective Depth: 12 feet h. Width: 2 feet i. Minimum Length: 42 feet j. Effective absorption area = 1008 ft2 (>750 t~2 OK) k. Maximum depth = 14 feet 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The topography of this property is generally flat, in short, there are no slope concerns. 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, or 244-9612. Thank you for your assistance, t Sincerely,e.~.y~l '~ - //]|[ Pnnc~l~t I ,.~" COLONIAL PAR~ S/'D , - I ,, , ,' ,' ,/ I x '1 I ' " / ~ ~ ~ ~ ' ~ .I ~C~N~ ~..~ _/. / __~ ~_~_ ~ ~~ S~CON~ ~ ~D ~C ~ ~ ~ ~ / I~ FIRST STREET FIRST STREET L ~__ ~_ / ~ ~ /i ~ . ~ ~,~-~,.,~,. ~.1.;. s~..~.~, ~-.'...::... LYNN WIllS (907) 428-6247/(907) e"6-B112 ~?.?..JJC(-7953 ~'%1,,198 I~: I~ I'~ A.C.G. 1 = 100' 1 OF 2 X X I \ \ SECOND STREET \ \ \ - _ \ NOTE: THE CONTRACTOR SHALL HAVE THE WELL RADIUS, \ \ UTIU'IY EASEMENT, AND THE EAST LOT LINE FLAGGED BY \ \ A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. 100' WELL RADIUS ~ t ' i3 ! ,,, / / ,? / / z m / / ~-r2 / / ~m / / 1~ x -rI ~ EXIS'HNG SEPTIC TANK TO /' · I ~ BE ABANDONED COMPLETELY--. / --INSTALL FCO ~ W/ DUAL OUTLETS ~ ~ -- ~ _ __ ~ ~' 32 PROPOSED DRNNFIELD EXISTING DRNNFIELD TO BE ~ 2' WIDE BY 4:2 I-i:.~.l TOTAL CONNECTED TO NEW S.T.E.P. SY~i'Eid .....,.., , , , , , , ,.., , ,, -q:r./ ~ ~ ~ ~ ~ ~ ~ , , ~ ~, - I LENGTH WITH 12 FEET OF ,:,~_~ o~_I sEW~. Dm.ROCK. AI.&SKA WATER & WASTEWATER EAGLE CREST SUFIDIVlSION, LOT 41~ TRACT A DESIGN OF SEPTIC SYSTEM UPGRADE ..~ LYNN WILLIS ,~,,,o,.......~. ......... (907) 428-6247/(907) 696-BI12 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: 4- 5- 6- 7- 8- 10- 11 Township, Range, Section: SLOPE SITE PLAN I I II1\1 I I II1~1 I I Illi*l IIIIII 13- 14- 15- 16- 17- 18- 19- 20- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT ' ~L DEPTH? ~ pO E ,,'/,~ #0niXing? ~" / Date: Gross Net Depth t~- Net Reading Date Time Time Water Drop .ERCO~T,O..~E ~ ~m,..,~,.c.I.ERC.O'ED,^METER -- TEST RUN BETWEEN ~,~ FT AND C~/,(~ FT COMMENTS ACCORDA"CE ~'" ;A~STATEA. D~.,C.PA. GU,0E.,NE!J,. E.ECTON T..SDATE. DATE; 72-008 IRev. 4/85) PERFOR,.,ED FOR: /--F~'~ Municipality of Anchorage DEPART.MENT OF HEALTH & HUMAN SERVICE,~ 825"L Street. Anchorage. Alaska 99502-0650 ~ ~', so.s .oG - PERCO.^T,O. TEST ~u.~S DATE~i LI:GAL DESCRiPTiON:/~4~'7' ~'"/( / C~E~'T Township. Range, Section: 3 4 5- 8- 10; 13- 14- ,162 18' 19- SLOPE II1,1 II1~1 WAS GROUND WATER ENCOUNTERED? SITE PLAN i' 1 I-- tP YES, AT WHAT - DEPTH) ~ pO E Gross Net Depth ~' Net Reading Date Time Time Weter ' Drop TEST RUN BETWEEN ~,~ FTAND C~l,('~ FT COMMENTS 72~ (R~, GRE ,'IER ANCHORAG. E AREA BORuGGH Depart me nt ;~3E;;lr;t~eme:nt al Quallt Y Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~ ~~l~f~ l~l~'~'~/°~"/r- MAILING ADDRESS 2~"~~'/ ~*' 7~lr''t~ PHONE ~'~' SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH SEEPAGE ~ NUMBER OF PITS NUMB'ER OF MANUFACTURER a~.~'//'~/~'''~ MATERIAL C~/~~/~"~' COMPARTMENTS INSID~ WIDTH LIQUID DEPTH lIQUID CAPACITY.~ ~ OALLONS. DIAMLrl'ER OR WIDTH LINING MATERIAL CRIB SIZE: DIAMETER BUILDING FOUNDATION~-'~ ~ NEAREST LOT LINE ~/' . LENGTH ~'"/,' DEPTH /d la(f,//?'''x''/ DEPTH DISTANCE FROM~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ADDITIONAL ABSORPTION TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK .__ SYSTEM. REMARKS DISTANCES= DIAGRAM OF SYSTEM INSTALLED BY: GRE~..r ANCHORAGE ARea bOr~IGH, TELEPHON Z74-4 61 SEWAGE DISPOSAl. SYSTEM M APPLICATION AND FERMIT PERMIT NO. FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THC DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK SEEPAGE PIT DRAIN FIELD ORAIN FISLO CAST IRON INTO AND OUT OF' SSPTIC TANK AND INTO CRIB CROSSING GAP OF GRA~£L BACKFIL~ CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM b'~- E GEOTECHNICAL El- DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 6.q4-2'/'/4 or 688-2280 Russell Oyster 694-2774 Soils ~t Foundations Earl El~is 688-2280 Lend Development SOIL LOG ~t~tng Address: Legal Oescrtptton:~O~ ~/ ~ ~ ~,, ~Gc~ Depth (feet) Soll Character~sttc~ 0 2 3 4 S 6 7 8 g lO 11 12 Ground Water Encountered= Yes No ~'- If yes, what depth Proposed Installation: Seepage Pit Drain Fte~d Comments: Performedby.' ~ Date: LOG OF DRILLING by A 5' L DRILLING COMPANY ADDRESS WELL SITE .................... DATE. STARTED ....... l//. ~...~.~. ~-..~. · ... ·'w. ....... ~ .................................... ........ ......... ' ........................... ..., .......... KIND OF FORMATION: DEPTH OF WELL .....,,~..,,..: ............................................. STATIC LEVEL OF WATER FT..~..'..,.'..~.. ........................ DRAW DOWN FT .............................................. CALS. PER .R....~.(.-..ra_;. ....................................... ~iN~ o~' CASINO ...6"...~.--..~0 ................................... rao~ ,~ ........ FT. ~'-- ' ' "~ ~ ~'~ ~o~.....1..~ ........ ~. 7 TO .-..~ ................ ~.......~ ..... ~.-- F~OM ..................... ~. TO ..................... ~ ...... I ....................... r~o~...~..~ ............ ~. ~o.......~..I. .......... ~ ......................................................... ~o ..................... ~...._.~ ................... r~o~ ......... ~..I ........... ~. ~o....~.~ .......... ~....Hi:.....~...&---- r~o~ ....................... ~. To ...................... ~ ............................ I ................. -~ u....~.~ ................ ~.-.-.-~; ..................................... ~ DRILLER'S NAME ........................... MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 050-304-10 HA 920574 HAA # GENERAL INFORMATION Complete legal description Eagle Crest Lot 41, Tract A TI4N RIW Section 7 Location (site address or directions) lOl40 Hill Crest Dr. EaRle R~ver Property owner Mailing address Lending agency Mailing address Richard & Bonnie Fuller Day phone 10140 Hill Crest Dr. Eagle Rivert AK 99577 N/A Day phone 694-5448 694-4994 Agent Dave Seller/Heritage Real Estate Day phone Address 18559 EaRle River Loop Road, EaRle River. A~ 99577 Unless otherwMerequeste~ HAA willbe held forp~kup, NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: 3 X 694-4994 If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: x If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 F~E1. ~ve~ ~4neer~ne Serv~ee~ Phone 694-St95 P.O. Box 773294, Eagle River, AK 99577 Engineer's signature Louis Butera Date 9/9/92 ORIGINAL STAMP AND SEAL OF ENGINEER O~FILE~ ~WI~H'DHHS'~J ~ DHHS SIGNATURE XXX Approved for Tbree(3) Disapproved, __. Conditional approval for bedrooms, 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, Em ployees 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, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# 050-304-10 "~ 1. GENERAL INFORMATION Complete legal description Eaq].e Crest: Lot 41, ~'ract ;% T14N RlW ~tinn 7 Location (site address or directions) 10140 Hill Crest Drive, Eaqle River Property owner Richard & Bonnie Fuller Day phone 694-5448 Mailing address 10140 Hill Crest Drive, Eagle/~r~AK 99577 Lending agency N/A . ,~// D~hone Mailing address Agent ~e Se]~e/H~rita .~e Rea~ ~ate Day lhone 694-4994 Address 1R~n F~ql~ ~zver Road. ~qleXRiver. AK I 99577 Unless otherwise requested, HAA will be held for pick~}l~. / · ' . Public~ater ........ ~ ' NOTE: ~;Im`~uenity~e~ega~`t;;yn;t;~tup~;ids;s~er~tm~enc~nfirmati~nfr~mstateADEcattest~ ~ ~ Communityon-sito ___ ~ NOTE: ';~c..~munity wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 Eagle River D3g/aeer~g Se_?'vices Phone_694-5195 Address p.o. Boxy773294, Ea le River, AK 99577 Engineer's signature -'"'~--~~ Date ~,~,,~.z_ DHHS SIGNATURE ',"/<' Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: ., The Municipality of Anchorage Department of Health and Human Sen, ices' (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. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELLDATA 7~//'/V ~1/~ ',~'~ Well type ,ORI I/,49'~ If A, lB, or C, attach ADEC letter. Log present (Y/N) ~//~ _~ Date completed Total depth ~ 2 ~-/ Cased to Sanitary seal (Y/N) Parcel I.D. ADEC water system number II/~-~/~ Driller SU/.,.CIVAAZ - ;~',~--"" Casing height ~' Wires properly protected (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG /,/?G ' ' AT INSPECTION SEPARATION DISTANCES FROM WELL TO: Septic/l'tok~ tank on lot ~'~ * Absorption field on lot ~ ~ ! g.p.m, g.p.m. ; On adjacent lots ; On adjacent lots Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform ,~ Nitrate Date of sample: Public sewer manhole/cleanout Petrbleum tank '//OD m~ / J.. Other bacteria Collected by: Cleanouts (Y/N) ~/~ High water alarm (Y/N) Date of pumping B. SEPTIC/I:I~t~I3u,;~ TANK DATA Date Installed /') ~/~ Tank size ./.-/")/')~ ' Foundation cleanout (Y/N) ~.~ //y/~4 Alarm tested (Y/N) ~ ~/~ c~/~ ~ Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDh'.'G~TANK TO: Compartments · Depression (Y/N) Well(s) on lot To property line .:~ / Surface water/drainage 72-026 (Rev. 7/91) Front Onadjacentlots ~'/(~ * Foundation · ' 'Absorption field ~"/~ · · ' Water ma~n/semice line CONTINUED ON BACK PAGE C. LIFT STATION · Manufacturer Date Installed" Size ln gallons ' ~ ",~' "/ ' ~' 'Man~Ol~~ Vent (Y/N) "Pump on" level at _ ~"~.` '. ~ ?ump, o, !f" level at High water allrm level Meets MOA, .electrical codes (Y/N) ... D.;::~NFiELDDATA ' !i Onadjacentlots .- Surface~vater , Date installed ~/?'5 ' Length 5/I Wi~t~. 3'~, ~../~:r~) Total absorption area ~'/,'z ~ ~ Depression over field (Y/N) ~D Results (pass/fail) ' P~ ~ To building f~undation On adjacentlots ' Surface water 'Curtain drain ' E. ENGINEER'~ CERTIFICATION Soil rating ~OO~Z~/,~ System type, Gravel thickness ~'; ~: ' ' - ' Total depth. Cleanouts present (Y/N) Date of ~dequac¥ !est ,~/,~ ,,~,~?.z for -~ Peroxide treat, m~?t (past 12 months)(Y/N) ~A//~ Ii Yes. give dat~e SEPARATION DISTANCE FROM ABSORPTION FIELD TO:- , -~ Wellon lot ¢~/ On adjacent lots ¢/¢~) / 'Propertyline Cutbank To existing or abandoned system on lot Water mc!,~/aervice line Driveway, parking/vehicle storage area bedrooms I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspecti'on.' Signature ~ Engineer's Name' Date ~'/~ ~- HAA Fee $ / 7b, ' '- Date of Payment Receipt Number 2~-~.~ ~-? F~ ?7-///) ~ (R~. ~1) ~k MOA 21 Waiver Fee: $ Date of Payment Receipt Number Tom Fink, 825 "L" Street Mayor P.O, BOX 196650 Anchorage, Alaska 99519-6650 343-4744 September 23, 1992 Lou Butera, P. E. Eagle River Engineering Services PO Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 41 Tract A Eagle Crest Subdivision Waiver Request #WR920053, PID #050-304-10, HA920574 Dear Mr. Butera: 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: private well to the existing septic tank of 83 feet; the private well to the existing leachfield of 97 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~ l On-site Services .... " ........ ~.-- q/ I .. Louis Butera, P.E. Registered Civil Engineer September 9, 1992 John Smith Municipality of Anchorage Dept. of Health & Human Services 825 L Street Anchorage, AK 999502 Re: Lot 41, Tract A, Eagle Crest #1 10140 Hill Crest Lane Dear Mr. Smith: On behalf of our client, Mr. Richard Fuller, we are applying for a Municipal determination of a waiver of separation distance requirement for private well to existing septic tank of 83' distance, and existing leachfield of 97'. The septic system was installed in 1975, and contains a 1,000 gallon concrete septic tank connected to a leach trench. The leachfield was tested as adequate in September 1992. We offer the following physical evidence in support of a waiver. The subsurface soil is rated at 200 square feet per bedroom, and is based on a GP-GM classification. This is consistent with area soil logs. The on-site well log shows sand and gravel layers down to a clay and gravel layer at 258' depth, and a hardpan layer at 315' depth. The well log is consistent with area well logs showing total depths of wells at +300'. The static water level in our well was at 288', and the total drawdown was 5' pumping at 6 GPM. This would indicate a large confined aquifer, also consistent with area well logs. The gravel surface between well and septic tank is basically level, with the house foundation located directly between the two locations, forming a physical barrier to surface flow. The ground surface slopes away to the northwest as you leave the lot; a topography map is attached. In addition, the concrete septic tank would not be subject to corrosion, and the system has been in place 17 years with well water quality being unaffected. There are many waivers on file with the Municipality in the Eagle Crest subdivision. Approvals are based primarily on the depth of wells in the area. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. P.O. Box 77329,1 · Eagle Ri~er. Alaska 99577 · Telephone 007) 694-5195 · Fax 007) 69.1-3297 ASGUILT-HO CORNERS SET THIS DATE. -.. SE~I2KIID & ASSOCIA'YES ~ SURv~.XItl{~ 688-4566 ~'~ '~_.' 3330 C Street '~...) Anchoroge. AJlsk~ 99S03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ';: '. SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH SEEPAGE NUMBER OF PITS NUMBER OF INSIDE WIDTH __,IQUID L~.r'TH. IIQUID CAPACITY~GALLffi~ OR WIDTH ~. DIAMETER LINING MATERIAL = CRIB SIZE: DIAMETER ~U,LOING rOU~OATION'''~ , NEAREST LOT LINEL(.,~ . DEPTH DISTANCE FROM: TOTAL Er FECTIVE ~/'~__ A~JSORPTION AREA (WALL AREA) SQ. FT. A~.JDITIONAL ABSORPTION ~LLr CONSTRUCTION BUILDING NEAREST IrOUNUATIO;,I , , LOT LINE , , CESSPOOL ,, OTHER SOURCES AI~ROV£D DISAf~ROVED NEAREST SEWER LINE % DEPTH DISTANCE SEPTIC SEEPAGE ,, TANK , SYSTEM REMARKS DISTANCtS, DIAGRAM OF SYSTEM ., ' Z gerUfy the abort .true ~nd, correct. · ..: ~ DrU~r · ' . ~ ~O~S D~ILL~IG ..' , *" .' · :..' ~ ~O~G~J~S~t : "'::*' ~ ':' I' , wm ~v~ you ~ ~t~h ~ ce~i~ ~ yo~ de~ .. , ' ,, ~ s ,~,t ~t r~ ~ '~...:~ ",' ~ .,, , .*~ ~. ,~ . .. ... ~ '.~ . : ~,.;,~% ' . ,~' · - APPLIC'~NT FILLS OUT UPPER HA'"~, ONLY ',)~ ' ,~pertyOwnor ,-~,"~--~,,y l, ~ C~0~ C. ~ oJ~/~ , ,"' Phone '. Buyer Address Zip Lending Insti~flon ~one Address Zip ~e Realty ~. & A~nt Phone Address Zip ~of Resl~nce ~ In~ivid~ A~CH ~LL~L~. A w~l  Indivld~l Year IndlvMual InstallS: Time Time Time Time Insp"eclor Inspector Inspector Inspector August 13, 1982 Jerry L. and Carol L. Morris SR Box 1388 Eagle River, AK 99577 Subject, Lot 41 Tract A Eagle Crest Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed~ The top of the well casing sealed with e sanitary seal so that it is water tight. The water analysis report needs to be submitted to this office from the Chem Lnb, 5633 B Street, for our review. The septic tank pumped with a receipt submitted to this department. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office et 264-4720. Sincerely, Enclosure Cory Willis, R.S. EXCAVATION ROBERT A. SHAFER WORt( CIVIL ENGINEER 694-2979 September 1, 1982 ~UNICIPAU'TY OF ANCHORAGE ~/'~'VI.~ J, It."]..A. ~ .O r ~,~ .t Jerry :.:orris SEP 21 32 Eaqle River, Alaska 99577 Dear ~-'r. :~orris, Tracc '~ Reference: Let 41: RECEIVED Eagle Crest subdivision A sewer system adequacy test was performed on the system located on the referenced property as you requested. The sept~z~"w~s '~e~d~>and verified to have a capacity of 1250'ga-l-l-Oh'S. The absorption trench was tested by a continuous flow of water over a period of 48 hours. The average flow for a 24 hour period exceeded 450 g~llons without any adverse effect en the system. It can be concluded from this test that the waste water disposal ............... ~%~-~e~ "~h~' ~h-~~'l~'d~ -~h "~hi~ ........................ property is ~ently functioning adeq~ate_~_~. However, the system canno~-b~--guarante~d agalns~sub~quent failures. If we may be of further service, please do not hesitate to call. P.E. cc: Century 21, Metropolitan ATTENTION: Jan Dupriest Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER.ALASKA · · DA ~ E~ RECEIVED r TIME TIME TIME CATE CATE CATE ' INSPECT~ INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE DEPT. OF HEA~ & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~I~E~ I HOV ~ ~ 1979. ~ ENVIRONMENTAL~Me~one ~7~SANITATION DIVISION RECEIVED. REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES 1. PROPERTY~NER ~ PHONE MAILING A~DRESS ~A~ 2. BUYER PHONE 4. REALTOR/AGENT PHONE MAILING ADDRESS LEGAL DESCRIPTION Ao -fi TI 4cT- cP. esw TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ One ~ Four ~ SINGLE ~ Two D Five FAMILY ~ MULTIPLE FAMILY ~ Three D Six Other 7. WATE~ SUPPLY ~ INDIVIDUAL' ' All'ACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) , 8. SE~VAGE DtS~AL SYETEM /'~'~i~' INDIVIDUAL/ON-SITE" { ~"7 ~::,~ .YEAR ON-SITE SYSTEM WAS INSTALLED. I--I PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY . 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS r-I ONE I--1 THREE E] FIVE [] OTHER [] TWO [] FOUR [] SlX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL*SYSTEM [-IINDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELLTO: Absorption Area to nearest Lot Line INSTALLER SOILS RATING ' MANUFACTURER MATERIAL Septic/Holding Tan~'~k ~a JSewer Line INearest Lot Line 5. COMMENTS ~APPROVED FOR ~j~_.~ BEDROOMS I'--I CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE I II 72-010 (Rev. 6/79) ~ov~rd:~er 15, 1979 %'~ %~ J%~/ ~ Star ~ 1 ~x" 1380 ~ ~ Eag~ ~~ka 99577 S~Ject=L ~t 41 ~act A ~gle Crest S~division Approval for your individual s~wer and water facilities can not be granted until the following items have been completed~ ~(~_)~ The water analyaAa report be delivered to this office ~/~ from Chem Imb, 5633 B Street, for our review. O~L(2)% A well log submittea to this depa. rtment. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist cc: Alaska Mutual Savings Bank Post Off~ce ~ox 1120 99510 Neale' ' REQUEST FOR APPROVAL OF INDIVIDUAL SEWER& ~TER FACILITIES ' 1. Approval 'requested by: Alaska Mutual Savings Bank e Mailing Address:' Post Office Box 1120 Property 0whet: Bob Cousineau .\~J-. ~t,r~e~n~ % Chris Phone: 274-3561 Phone: 276-7777 Mail lng Address: Legal Description: Lot 41 Eagle Crest Subdivision Location: -Gt. eet-e~ - see ma~ Type of facility to be inspected Single Family No. of bedro~s Well Data: Individual 2 e A. Type C. Construction Sewage Disposal Syst~: B. Depth Approx 300' D. Bacterial Analysis On-site system A. Installed B. Installer C. Septic Tank: I. Size 2. Manufacturer D. Seepage Pit: I. Absorption Area 2. Material E. Disposal Field: Total length of lines Distances: / A. Well to: Septic tank ~>~ , Absorption area / , Sewer Lines Nearest lot line , Other cont~tnation B. ~oundation to septic tank ., Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) ' Page 1 of two pages MUNICIPALIT~ OF ANCHORAGE £NvIRON:).£NT,% DEPARTMENT OF HEALTH AND ENVIRONMENTAL, PROTECTION 2510 Ea~ Tudor R~, Anchor~, Alaska ~ 276-2221 REQUEST FOR APPROVAL OF ? INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO__VA 2. Property Owner: ./~,,'/~ Mailing Address: Name of Buyer: Mailing Address: REC~Y.[D. FHA CONV Day Phone: "¢~ 2~Z~ --'Y777 O ay Phone: _~ ?~ ~ ~ (~ 7. Type of Facility to be Inspected: ~ ~c~_~, B. Water Supply Type of Supply: Public Utility. Individual If Individual, number of dwellings presently served / If Individual, depth of well Sewage Disposal System Public Utility Individual (on-site) o Type of System: If Individual, date of installation 72,003(3/76) Page, ~ of two pages - Rec'~'~t for Approval 'of Individual $'"~r & Water Facilities Legal D6scripti0n Lot 41 Eagle Cremt Subdivision Al~prove .;~'"~'~,~ ~.~. ~_~s~pprov ~-/~proval ~Va~d for one year from date signed Greater Anchorage Area Borough, Depar~ent of Enviro~en~l Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) GREATER ANCHORAGE AREA BOROUGH Department of Environment~ Quality 3330 "C" Streeik/ ¥/(A~Wrage;~laskat 99503 274-4561. / ~ ~ I. / ~ e Receiv~ April 20, 1976 Mailing Address: Pouch 7-012, 99510 Phone: 279-5641 2. Property Owner: Bob Cousineau Phone: 349-4662 Mailing Address: Rasberry Road 3. Legal Description: Lot 41 Eagle Crest Subdivison 4. Location: Hillcrest between 1st and 2nd Street on Left 5. Type of facility to be inspected 6. Well Data: A. Type Single Family I~dividual - serving one C. Construction Sewage Disposal System: A. Installed No. of bedrooms 3 B. Depth Approx 325 feet D. Bacterial Analysis On-site system B. Installer C. Septic Tank: 1. Size 2. Manufacturer Be D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 2. Material Distances: A. Well to: Septic tank Nearest lot line ~; Absorption area / , , Sewer Lines Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAl- PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES t~,~UNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & r NViRONM[NTAL F RoTr--CTJON APR ?, 0 1976 RE.C E I_V.E D. Type of Inspection: CMRO .VA .FHA '_CONV_ / Property Owner:_ Mailing Addresst_ 3. Name of Buyer: Mailing Address: '~°~'~"~'~4/ /cJ~'~x'~'~/~ ~'~727'Day Phone: 4. Name of Lending Institution: /z~/~/~J'~I / "/~'~"~'"~ ~/' ~' /J' '"~'~ Mailing Address: Name of Realtor or Agent: Mailing Address: r~dc''/~3 c "J~'~-~ Legal Description: ,/o~-' · Location:__._~//t L 7~ ~,.~9~,~ ~/"~'~+¢ o , Day Phone:_ '~ '~'( ~' ~- .phOne: ~,,d.,..,,.-//,,~/J .Phone: 7. Type of FaciliW to be Inspected: .,~.,.~,~ /',~,,~;~:.y ~(tt;~.! . No. Bdrms. , ~ Be Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well ,,~.~.~,x_~ 9. Sewage Disposal System Type of System: Public Utility · Individual (on-site) If Individual, date of installation 72.003(3/76) Page 2 of two pages - Re~._~.st for Approval of Individual ~"~.~r_~. & Water Facilities % .Legal Description Lot 41 Eagle Crest Subdivision Coaeents Approved Disapproved Date Approval\Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true a~d ccurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. Date _ SIGNED EQ-034 (1/74)