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~ ~ '~...:~ ",'
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· - 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)