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Home My WebLink AboutEAGLE CREST #1 TR A LT 46 Oct_12.2022 11:49 AM Anchorage Well & Pump Service Inc 9072430742 #1378 P 1/ 1 MUNICIPALITY OF ANCHORAGE Afta Development Services Department o Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-3437997 Pump Installation Log Well Drilling Permit Number: Date of Issue: - Parcel Identification Dumber: 050 _ 304 _ D Legal Description Block Lot property Owner Name & Address: EAGLE CREST#1 SAH & DGH REVOCABLE TRUST TRA 46 19316 2ND STREE=T EAGLE= RIVER, AK 99577-8425 Pump Installation Date; 10 - 11 - 2022 Pump Intake Depth Below Top of Well Casing: _ Pump Manufacturer's Name: BERKELEY Pump Model: 1 003 1 '1 -7 GPM Pump Siwe; 1.00 hp Pitless Adapter Burial Depth: 12 II Pitless Adapter Manufacturer's Name: II Pitless Adapter Installer: 317 feet feet MARTINBEN Well Disinfected Upon Completion? XYes 0 No Method of Disinfection: PULETS Comments; Pump Installer Name; ANCHORAGE WELL & RUMP SERVICE 7640 KING STREET Company; ANCHORAGE, AK 99518 rCiailing Address: 907-243-0740 ty: State: Zip;� ,Attention: The, pump installer shall provide a pump installation log to On-site within 30 days of pump installation. T. SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Dan Roth Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 Subject: Pink Sheet, Lot 46, Tract A Eagle Crest PID 050-304-05 Septic System As Built January 6, 1998 Gentlemen; AMC 15.65.050 C specifies in great details the numbers, locations and purposes of cleanouts. The double cleanouts after the tank are described as follows: ...... ".... The first cleanout, in line, shall be to clean the line toward the distribution system and the second cleanout will be oriented to allow cleaning toward the septic tank." The stated purpose in Section 15.65.050.C can not be met with a ZD Flow Diverter installed between the tank and a drainfield. The construction of the ZD Diverter prevents a cleaning tool to enter and exit the diver~er, tlowever a cleaning tool may access all pipes connected to the diverter if the tool is inserted from the diverter. By using the diverter as a cleanout the stated purpose of Section 15.65.050.C is meet. The diverter will also act as a trench cleanout. The purpose of Section 15.65.060.E.12 is clearly met by the diverter and the cleanout at the end of the trench. I fail to see the "inaccuracy" on the As Built drawing ~vith respect to the well septic tank separation. Drawing #3 shows a ZD 200 Flow Diverter. Yours 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: $~/../q'70 ~O ~-' PID Number: ~) HA~¢~ ~T~PH~H Wastewater system: DNew ~Upgrade ~'"": t~ ~ I ~ ~, ~ ~c~ ABSORPTION FIELD ~ ~Deep Trench D Shallow Trench D Bed Mound Other LEGAL DESCRIPTION so,,.,w: /,~ *.o~s~ ~,. Township: I Range: I Section: Fill ,dded above original grade: Gravel length: I I WELL: D New D Upgrade ~rlvel.idth: ~ SEPARATION DISTANCES Kseptic a Holding a S.T.E.P. Sudace w.,~, ~10~ ~ LIFT STATION I Cu~ainDrain q 0 M ~ Pum;M'kelU~el IEl~ricallnspeclionsperformedby: Remarks: BENCH MARK ~ / ENGINEER'S ~EAL Inspections performed by: ~ Dates: 1st I~/~ 1 .... Department oI Health and Human Semites approval COND S TREE T SPURKLAND I 47 '9- ~r~// I $~'1N¢ AC 34 I EC 51.§ Afl 36.5 Eft 43.5 IE 72.$ BE 36.5 · A I I000 [,AL INCH. TOTAL L£NC, TN 40IRT ~r~c,v£ ROCN ~n, ~.~ ,~fi O 50 [ 75 $CALE'--I'-~- 50 F~ FIRS T Well 150 ST EE 56 r ', [OBB£M SPURKLAND ~£ 203 · ISTH. AVENUE INCH. Ar 99501 (907) 279-3916 PERMIT IlE,4GLE CREST LT 46 2~tACI' A 19316 SECOND STREET · STEPHEN HALL PID # 050-304-05 SEPTIC srsrc~ As ~U/LT I DATE: NOV. 7, 1997 SHEET: 2/3 CRID:NV 5~I ECROA462.DWG I I I ECDN. D S TREE T 47 If ! SlelNG TIES: 4C BO 43.5 AE 72.5 CL BE 36.5 SPURKLAND No. c£-2z25 56 Well IL ~5 o ~e~ 50 ] z5 too ]z5 -- SCPL. E~-I'-L= 50 F1~ %FIP$ T $ T EE Well TOBBEN 5PURKLAND P.E. 203 1'/ 15TH. AVENUE ANCH. AK. 99501 (907) PE£MI[ # EAGLE CREST LT 46 TRACT A 19316 SECOND STREET STEPHEN HALL PID fl 050-304-05 SEPTIC SYSTE~ AS BUILT DATE: NOV. 7, 1997 SHEET: 2/$ C, RIO:NW E CRflA 4 6£.flWG Monitor Stondord Trench: £' Wide 48' Long 15' fleep 5..5' Sewer rock 9' Cover ') C(eon Out ZD BOO FLOIV DIVERTER I000 gol Sept;c tonk .;111' BARIglER-- I~E~' TRENCH ~ 8.~.7 NO SCALE ,, co,. _,,b'"....~? *, ~ 49th ~ ~ ~.....,.~ .................. .~.....~ ~ v.~. ,.. .......... %%,;: ......... .... flOW fllVE£TER I Jl I'--'"'"" I~i~ .,.~ _ .__ 1000 SEPTIC TANK NO SCALE BENCH MARK. PORC~ ASSUMED ELEV. lflO00 IU.BBEN SPUI~KLAND P.L. 203 W15th Ave Anchorage Ak 99501 EAGLE CREST, TRACT A, LDT 46 STEPHEN HALL ~9316 £ND. STREET EAGLE RIVER SEPTIC SYSTEH AS DU]LT DATE, NO~ ~ 1997 SHEET, 3/3 OR[D, N~55 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970244 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:HALL STEPHEN A & DOROTHY G OWNER ADDRESS:19316 2ND ST EAGLE RIVER, AK 99577 DATE ISSUED: 8/06/97 EXPIRATION DATE: 8/06/98 PARCEL ID:05030405 LEGAL DESCRIPTION: ~AGLE."~EST-TR 7 ~A'~LT LOT SIZE: 17820 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: - ~ISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 /%ND 15.65 AND THE STATE OF ALASKA 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 THE SAME DAY' B. COVERED, SEALED i~ND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ISSUED BY: --~0 ~'~ ~' DATE: T.$?U .KLAND ?.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 9950 I (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN EAGLE CREST TRACT A LOT 46 STEPHEN HALL Municipality of Anchorage Department of Health and Social Services 8201 Street Anchorage, Alaska 99501 July 6, 1997 We are submitting an application for the upgrade of a septic system for this lot. The existing system have occasionally backed up into the lower levels of the house and a replacement is required before a serious backup occurs. This submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining pmpeffies, (sheet 1/3), the proposed improvements of the lot, of which only septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: No Ground Water or Impervious Layer to 19 ft. Use Standard Trench Dense clean sand from 4 feet to 19 feet. Soil Rating. 1.2 gal per sq.fl/day No. of Bedrooms 3 Required Area per Bedroom: 150/I.2 = 125 sq.ft. Total area required: 125 x 3 = 375 sq.ft. Outlet Existing Tank 12 feet below ground. Elev. 89.00 Testholedepth 19 feet Elev. 79.0 From well log: No impervious layers Bottom Rock At 15 feet Elev. 83.0 Top Rock: Elev 88.5 Total Rock Depth 5.5 fi. Total Trench Length 375 / I I = 34 ft. Install Flow Diverter ZD 200 Cleanoot upstreem ofdivener serves no purpose. Do not install. Check Existing Tank for corrosion damage. SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 40 FT TOTAL WIDTH 2 FT TOTAL DEPTil 15 let ROCK DEPTH 5.5 FT COVER 9 FT MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION JUL 2 1 1997 RECEIVED The installation of this septic system will not prevent wells from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding md/or concentration of surface runoff will not result from this installation. PERFORMED FOR: LEGAL DESCRIPTION: 1 2, 3- 4- 5- 6- 7- 8- 10 11 12 13 14 15 16. 17. 19- 20- COMMENTS Munlci~.allty of Anchorage 825 "L" Street. Aochorage, Alaska 99502~650 ~.-~?. CE.2225 ~.-~'~ I~,~"... ..-'%~ SOILS LOG -- PERCOLATION TEST ~:~'~_-~ L t~ ~. ~ ~'~,T Township. Range. Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTEREd? S IF YES. AT WHAT O DEPTH? p E Oe~lh ~ Water AFter I I a.eding Date Gross Net Depth to Net Time Time Water Drop P:Rm. MED :Y: 'Y __, '?7..c ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85J CERTIFY THAT THIS TEST WAS PERFORMED IN ~.l T H I.K~..I~,_S T £ E E _ _ ~ - ~ .... 33A 34 I '1135 ~ I,I ~CALG 1' = 100 FT. I I I I SEC ~ ST~ T 36 37 ET FI T 5~ I 57 ~¢ell ? 203 w 15TN. AVENUE PERMIT # EAGLE CId:,'ST LT 46 TRACT A 19316 SECOND STREET STEPHEN HALL RID # 050-304-05 SEPTIC SYSTEM DESICN I DATE: JULY 5, 1997 I SHEET: I/3 6RID:NI.Y 55] I ECROA461,flWG ~ C£ND ST£EET .'N ~PURK/AND 47 Irell -~E~I'.J= 50 FT. F~£$ T 5.5 FT IOSBEN SPURK~ND ~£ 2o~ · ~$rH. AVENUE ANCO. A~ ~9~0~ ] YAGLE CREST LT 46 TRACT A 19516 S£COND STR££[ S[EPHEN HALL PERMI[ # PID # 050-304-05 I S£PIIC SYSTEI~ DESIGN DA[E: JULY $, 1997 SH£E[: 2/3 GRID:NV ECPDA46P. DVG Hon;tor S ~andard ~renches: 2' V;de 40' Lon9 15' Beep 5.5' Sewer rock 9' Cover C ~ 1000 90t Septic tank ZD 200 FLDV DIVERrER ~ 0 Mon;tor Clean Clean But ;ILTBARRIER~ NO SCALE IODD SEPTIC TANK ~ NO SCALE SPURKLAND P.E.. 203 ~/15th Ave Anchoroge Ak 99501 BENCH HARK. ~orrou sto~Nc ASSUHEB ELEV. lO0.OO EAGLE CREST, TRACT ,4, LOT 46 STEPHEN HALL 19316 £ND. STREET EAGLE RIVER SEPTIC SYSTEH DESIGN I1ATE, JUL Y 5, 1997 SHEET, 3/3 OR[]): N6/55 ,/ MUNICIPALITY OF ANCHORAGE ~' I DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME UPGRADE MAILING ADDRESS LEGAL DESCRIPTION A~sorpt~on area Liq. cap=city i IF HOMEMADE: Inside length DISTANCE TO: INerl Dwelling DISTANCE TO: Well No, of lines ~ th of each line TOp of tile to finish grade Length W,dth Ty~e of crib Crib diameter Well DISTANCE TO: Clas$~/, Depth DISTANCE TO: ndation INO. OF BED~..~OMS PERMIT NO. No. of compar[~,ents L qu d depth PERMIT NO. OTHER PIPE MATERIALS 4 ' FVc Material Liquid capacity in gallons Foundation ~,_~.,, Nearest lot hne PERMIT NO. PERMIT NO. SOl L TEST RATING INSTALLER Distance to lot line Septic tankl~ I.~f. jPERMIT NO. Absorption area(s) 724)13 (Rev. 3/78) /' PERMIT NO. 828486 RF'F'LICRI~.~T LOCATION LEGAL I-lIJ !'-.I I ,~. ¥ F'RL'-I T'-r' OF 1=II'4CHOF:RGE DEPRRTHENT OF HEALTH RN[:, ENVIROI'4MEI,4TRL ,~PPROTECTIOI,`I 825 '"f~'"~ STREET, ANCHORAGE, AK. _c,/ 91 264-4720 '~f4--S I TE SEI-IEF.' PERI"1 I T LEMI'IZ E ROCKFORD E.R. L46TRA ERGLECREST TYF'E OF SOIL RE:SORPTION SYSTEI,,1 IS: SAR BOX 1450-A 99502 LOT SIZE TRENCH 345-3258 i7820 SQUARE FEET HRXIMUM NUI'IBER OF BEDROOMS SOIL RRTING THE RE¢,'UIRED SIZE OF THE SOIL AE:SORF'TION SYSTEM IS: DEPTH= 22 LEI'-.I 6 TH =.:. -'3 -: 6 F~: R",,,'E L DEPTH= 7 - THE LENGTH DII,'IENSIOI,-`I IS THE LENGTH <IN FEET> OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTAI,4CE BETHEEN THE SURFACE OF THE GROUHD AND THE BOTTOM OF THE EXCAVATION (IN FEET>. THERE IS I,.,10 SET HIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAYRTIOI,4 (IH FEET). i~:El,~..IJ I F:ED SEPT I (i: TRI'-JI-~ S I ZE= :1.£~ £~E~ iL:iRLL¢it-,IS PERMIT AF'PLICAI,4T HAS THE RESPONSIBILITY TO INFORI,,1 THIS DEPARTMENT DURING THE INSTRLLATIOI'4 IHSPECTIONS OF ANY I..IELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDEI'4CES TH;--iT THE HELL HILL SERVE. TI,-I¢~ ( 2 ,', I I'-,ISPEIi:T I CIf-4S ARE REg!U I RED BACKFILLING OF ANY SYSTEH HITHOUT FINAL INSPECTION Rt.`ID APPRO'./RL E:Y THIS DEPRRTHENT HILL BE SUBJECT TO PF:OSECUTION. MINIMUM DISTANCE BETHEEN R HELL RI,4D ANY ON-SITE SEHRGE DISPOSRL SYSTEM IS iOO FEET FOR R PRIVATE HELL OR i50 TO 200 FEET FROM R PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC HELL r. IINIMUH DISTANCE FROM R PRIVATE HELL TO R PRIVATE SEI4ER LINE IS 25 FEET AND TO R COMMUNITY ~EI4ER LINE IS 75 FEET. OTHER REOUIREMENT~ MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PEF~:I-,'I I T E:-----:P I RES DECEr"IBER ---~-:-'-l., 2982 I CERTIFY THAT ±: I RM FAI,'IILIRR 14ITH THE REOUIREMENTS FOR ON-SITE SENERS AI,4D HELLS RS SET FORTH BY THE HUNICIPALITY OF ANCHORAGE. 2: I HILL INSTALL THE SYSTEM IN ACCOR[:,RNCE HITH THE CODES. -~: I UN[~ERSTAND THAT THE ON-SITE SEI4ER SYSTEM I,'IRY REQUIRE ENLARGEMENT IF THE RESIDENCE IC__REHODELED TO INCLUDE~IORE THAN 2 BEDROOMS. _.IGN ............. -"""-~PPLICAI'`IT EEMr'IlE''=""'''r =' ROCKFORD ..... V4. 0 SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street. Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: PERCOLATION TEST DATE PERFORMED: 14 15 16 17 18 19 20 COMMENTS 2205-1; SLOPE SITE PLAN S. pt. WASGROUNDWATER ~N~O ~ ENCOUNTERED? O P E IF YES, AT WHAT )EPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN FT AND ,(minutes/inch) FT PERFORMED BY: ~ CERTIFIED BY: 72-008 (6/79) I ¢ I PBL I T~' OF DEPRRTMENT~~'''~' '~LTH AND ENVIFOt~MENTRL~ ~CTION 825 '.~ ~ REET~ ANCHORAGE, 27~-2511 L~ELL PERr~ I T PERMIT NO. ( ?7130 8PPLICBNT 8NDY KBMKOFF_ LOCBTIOH 2~D & CRESTYIEW LEGBL L4~ TR8 EBGLE CREST BOX ~78 E.R. LOT SIZE ~88-2405 18~0 SQURRE FEET MI~IMUM DISTANCE BETWEEN A WELL BND ANY ON-SITE SEWRGE DISPOSBL SYSTEM IS 100 FEET FOR ~ PRIVBTE WELL OR ~00 FEET FOR R PUBLIC WELL. WELL LOGS 8RE REQUIRED 8ND MUST BE RETURNED TO THE DEPBRTMENT WITHIN ~0 DB'~'S OF THE WELL COMPLETION. SPECIFICRTIOt~S RND CO~.~STRUCTION DIRGRRMS RRE 8VBIL~BLE TO INSURE PROPER I NSTBLLRT I Ot'~. PERP1 I T VRL ! D FOR ONE ~ERR FROr~ IS$UE I CERTIFY THRT l: I Bh! FRMILIBR WITH THE REQUIREMENTS FOR ON-SITE SEHERS RND WELLS RS SET FORTH BY THE MUt4ICIPRL~TY OF RNCHORRGE. SIGNED:~~ ..... ~ ........... DRILLING, INC. DRILLING LOG ~ '~:'~Well Owner ~ndV l<amkoff , Use of Well Dom ~ ' : ~.';. . Location (address of. Towr~htp, Itange, Section, If lmownI or distance main road ........... ......., · .~. ;>~,~.,. ...,,,.., . . ._._ -,. , .'.. .-..~i~ ' ~ ' ' 'r ~ ,' ' ' ~ ~ ~ ' f46:, Eagle Crest 9ubdiv., raole l~,iver t :,' "... ~ ' Sizd-6f 'c~si~g 5 Depth of Ho]~ 322 feet C~ed tn ~20.75 feet ". ~ta~e water level 200 ft {~) below) l~d ~urface. F~h of we~ (cheek one) · Screen ( ); Perforated ( · '': :" '" t~ .,. .. Describe screen or perfora on ' -' Well pumping test at 10 gallons per ';,,~ . of drawdown trom static level. ,i 7;' 'Dat~ofc0mpletion 7 ~r~l 77 · (minute) for l hour~ with WELL LOG i ;.: ', Depth in feet from i' ~ &'round surface .' 0 ., .TO.2 · ' '" '"'T~ 60 ., ~ '.:..,60' ,{0.97 97 T0154 154 . ~0159 is9 TO 60 260 -T0275 TO3SS' 288 TO2__95 3~a ~0~22 open end ( ); Giv~ ~let~ils ~i formations penetrated, size of material, color and ha{dness - ' ' :'! '" - il C~.~g" gtickup , - ,t., "f. 'e-- ,' · ~:,Silty S~nd & Gravel · Small C. ravel .. silty ;-<-----------Cmbhlv' H~.~dpan ":.'- TO .TO .TO .TO clean, dry water course ~ill:-',,smal! gravel ,streaks --Loo~e ~and7 Gravel:.,we~t .... :,%.;a~,r G~avel~ sandy, t! CPH? "10W head Water -and: medium to fine. I .~,~? 10' .c.I.. ~ravelly 'ardman Ttll~ eobblV I~%;~VA Cer~fi'-".l C,on~aCiOZ (Jc~-~;-~ ..... ~i-t ~ '.;73 2 -- STATE 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.# ("~-~-~''~ ' -'z~L'~ - ~"")~ HAA# ~,~°l~C'~\~ GENERAL INFORMATION Complete legal description L 4G T~, ~ Location (site address or directions) [~'5! ~. '~.-~ 5'1~-, ~}¢,.~t~.)q.,., Property owner Mailing address '0'~'~ I ~'~ e~t=t Day phone Lending agency Mailing address Day phone Day phone (~ ~zt -9o~ 5 e e Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: 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: 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 m~/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. .ameofFirm C-e~-~"Jn~J~'~ ~:::~'"~'~-- Phone ~'2'~'~'/~4'~°3~ ' DHHS SIGNATURE ~/ Approved for bedrooms. Date Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Muni,'ipality 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 er~gineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of h. omes 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 fm errors or omissions in the professional engineer's work. Legal Description: A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Parcel I.D. If A, B, or C, attach ADEC letter. ADEC Water system number FROM WELL LOG Date of test Static water level Well flow t o Pump level o~ =,L~ Date completed ~,,;I t~3':~ Driller -~z.~-. Cased to '~ Z.I Casing height ¥ Wires properly protected (Y/N) AT INSPECTION to- 4 -95 g.p.m. G.'~ g.p.m. SEPARATION DISTANCES FROM WELL TO:,~n,v~,~ 7.c~u~i-E-~ Septic/holding tank on lot Absorption field on lot I ¢)0 .o Public sewer main Sewer service line '~' : On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank O WATER SAMPLE RESULTS: Coliform ~z~ Nitrate Date of sample: ~o-~c~- ~ Collected by: Other bacteria SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size 100<:3 Compartments Foundation cleanout (Y/N) 'Y Depression (Y/N) r4 ,q Alarm tested (Y/N) ~ - Z,'4- *"~ Pumper '~1'"~ ~'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot c:~S. ~ On adjacent lots To property line 7-C' "~ Absorption field Surface water/drainage + I ~o' 72-026 (Rev. 7~91) F~onl Foundation Water main/service line .~ 50' CONTINUED ON BACK PAGE C. LIFT STATION - : Cate installed Size in gallons Vent (Y/N) Manufacturer High v~ater alarm level ~ Cycles tested. MOA Meets electrical codes (Y/N) SEPARATI~FT sTATIoN TO: Well on Iot"'"~ ' ' On adjacent lots Surface water D. ABSORPTION FIELD DATA ;; Date Installed ,~r,~ I~?. Soil rating 5'~ ~ t~"o c~/~c/~,,~Syst em type 'l~ength - '53' Width '5~ Gravel thickness -/' Total depth ;.Total absorption area 54~. ~c Cleanouts present (Y/N) 7 Depression over field (Y/N) 1'4 Date Of adequacy test "Results (pass/fail) 1;:'~55 ~ for "~EE- ('5) bedrooms Peroxide treatment (past 12 months) (Y/N) .l'J If yes, give date "" SEPARATION DISTANCE FROM ABSORPTION FIELD*i'O:'----'- .-. Well on lot' t,O~.o' On adjacent lots 4.1oo Property line To building foundation % I ~ To existing or abandoned sy.stem on lot .~ 50' ' Cutbank ~- 50' Water main/service line On adjacent lots Surface water .+- t~,o' Driveway, parking/vehicle storage area Curtain drain -+ 50 E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name ~"/~7 ,'~ Date HAA Fee $ Date of Payment Receipt Number Date of Payment Receipt Number J~ 11 '9~ 13:B9 .~ORTHERH TDSTIt~, ANCHO~'AGE P.1/2 NORTHERN TESTING LABORATORIES, INC. OellOlg~ Da:e s~p~ed; 06~06~g3 Tim~ $=~91ed; 2000 9601 Buddy Werner Drive A~chorage AK 99~16 At=n: C. Landers Our La~ #: A123963 Location/Pro~ec~: YoUr'Sample ID: L46, Tr A Sample ~atrix: Wa~er Lab Number Mmthod D ~ Below Ro~u%atory ~l~. H ~ A~ove Regulatory.Ma,. ~ ~ E~imated Value .~ Pr~a~d Analyz,d A123965 ZPA 353.3 Z{itrat~-~ mq;! <HrjL O. ! 06/08/93 JUII 11 ~93 1~:40 rtORTHE~N TESTIH.S, AI'ICHORAgE p.~x~ : NORTHERN TESTING LABORATORIES, INC. DRIR~ING ~AT~R ANAL¥$~S R~ORT FOR ~O~AL Cone~ructin9 Engineers 9601 Buddy Werner Drive Anchorage AK 99516 Public Wa%er System I.D.~ Date Received: 06/07/93 Time Re¢el?ed: 16:59 Date Analyzed: 06/08/93 Time Analysed: 16:30 Dare Re,or=ed: 06/10/93 Time Re~Or%ed: 10:39 t~ext $~nple Due: 7/93 Collected by: CL Sample Type: ~ Routine Untreated MethOd of Analysis: . :.- Membrane Filtration Co~ne~te: LocatiOn TNTC ~ Old = Positive Te~ ~esult None De~ec~ed Too ~;umorous To Coon: ()~00 Colonies) Confluent Growth Heavy Sedimsn~ Md~king, ~eSt~tS ~; Sample Age >39 }Cc, ute ~u= <40 Hours, Resu~s May :;:' ~Te Relia~!e $~mple Age m41 *.~, TO~ O~ FOr Analysis Res~.~ple R~q~ir.d NO Te~: * # colonies/100 ml Sample Sample To=a!' Fecal- Othe~- HPC-* Dare Time Lab# Coliform coliform Bac=eria Result Cc~.men:~ I L46 TrA Eagle Cres~ 06/06/93 20:C0 AA14917 0 NT 0 NT Susa~ C.Tlfental Hlcr0bio%ogy ~upervioor Department of Health and Human Services Tom Fink, 825 °'L" Street Mayor PoO. BOX 196650 Anchorage, Alaska 99519-6650 343-4744 July 14, 1993 Hank Wilson, P.E. Constructing Engineers 9601 Buddy Werner Drive Anchorage, Alaska 99516 Subject: Waiver Request for Lot 46 Tract A Eagle Crest Subdivision Waiver Request %WR930033, PID %050-304-05, HA930316 Dear Mr. Wilson: 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 98.5 feet from the private well to the septic tank on property. 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, Daniel J. Roth Civil Engineer On-site Services Concur: .~ oh~~~ t..~, P.E. ljm:%6 ~MUNICIPALITY OF ANCHORAGE~ Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR930033 PID# 050-304-05 HA# HA930316 Permit # Date Received: June 16, 1995 Legal Description: Lot 46 Tract A Eaqle Crest Subdivision Engineer: Hank Wilson, P.E.~ Constructinq Enqineers (Chuck Landers) 9601 Buddy Werner Drive, Anchorage, Alaska 99516 Applicant: Jill Sie~al Waiver Requested: Well to septic tank - 98.5 feet Criteria: 1. 'Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~< Waiver is NOT Granted: List Conditions or Reasons for above: ~EK ~F~6~ Date: Reviewer Rec #: 24800 Amount: $ 410.00 Date Paid: 6-16-93 5. o~. /9. P. £. ¢, .5. P. Z¢ :OIL s'O,~BT'Io,u .. Z~ /-/PR ~ z ~tJ I'IPL ,CON'CL r SrO,~ DRAWN ~ So'SliER CKD. ~J.S. LEGAL EAGLE CREST SUBDIVISION, TRACT A, LOT 45 4/12/92 ~oo % ~ ~ ' ~VVACAN LOT 45 ~ RAD~$ LOT 46 HOUSE / / 'LOT 55 / / // / LOT 56 ~ o..W DRILLING, INC. DRILLING LOG Well Owner... ti.iv :. :,.:nl,:,~ f f Use of Well Location (address of: Township, Range, Section, if known; or distance main road DEPT. O~ IiE~TH JUN 1977 RECEIVED ' :lr', ~ !;.'~¢1[C- ~'~t'~T. 'tt]3t|~V. ~ ' ,5010 ~VC'T Size of casing f' Depth of Hole 322 feet Cased to ~?O. 7 5 feet Static water level ;,r,:} ft. (AB6'v~) (below) land surface. Finish of well (check one) open end ( ); Screen ( ); Perforated ( ). : Describe screen or perforation Well pumping test at l n gallons per ~[h~UY) (minute) for 1 hours with ] nn 'ft. of drawdown from static level.. ' Date of completion v ;,~,--: I 77 ' WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, ~olor and hardness .TO 2 ,,fl T0. O7 97 .TO. 1 I;4 "Y;4 TO 'I SO ! !'.0 TO TO~ /.. TO~' ' · '05 TO.M I TO TO TO__ TO. C;~sO Stickup '>iltl~ ~%nd .", Gravol <mall ,'rl~vel: silty Cobb] 3' llardpan '~mM. 1 'rawxl clean, dry water course .'.ardpan Till: '"s~ll orav~l strc;ak~ ~ oose 'landv Gravel: ~tv GMavel: sm3~dv, k CPM; low 'and: me tlu~4 re, T-in(~. ., P:;! 1(/~ { :r,%VOl lV ,'~'r'rlr~an Tj l 1 ; ~.nbblV 2 -- STATE ..' ' ~/[-W DRILLING, Inc. P. O: Bo~ 4-1224 · 1310C International Airport Road (907) 274-461! ANCHORAGE, ALASKA 99509 DRILLING LOG MUNICIPALITY Ot: ~ DEPT. OF HL~t.TH ~, ENVIRONMENTAL PROTiCIION dUN 17 1976 RECEIVED '.' Well Owner-. UseofWell ~;~:" Location (address of: Township, Range, Section, 'if known; or distance main road Size of casing ~' Depth of Hole' 27~ feet ~Cased to .... :' fee~ · Static water level ??JO ft. , (sbpve) ~ ibelow) land surface. Finish of well (check one) open end ( Screen ( ); Perforated ~(' · -. : Describe screen or perforation ~ ' · ' .... , ' Well pumping test at /'~ gall6'ns 'per (h,o~ur) (minute) for hours wit of drawdown from static level.:t~L ';, ~ : ' "" Date of completion 1 .: -:.,. '?, · -. WELL LOG ." Depth in feet from ground surface Give details o~ f~'rm~tt6ns penetrated, size of mhterial, color\and hardness ' ____TO TO TO ' ~ TO TO TO. TO TO TO .TO 2 -- STATE HENRY WILSON 9601 BUDDY WERNER DR.: ANCHORAGE, AK 99516 (907) 346-2000 June 14, 1993 Constructing Engineers Engiheers, Surveyors ' .~..-.,'? J '~<.. CHARLES A. LANDERS HC83 BOX 192-A, MYRTLE DR. EAGLE RtVER, AK 99577 (90D 694-9O98 Municipality of Anchorage, PO Box 196650 Anchorage, AK, 99519 Attn: Mr. John Smith, P.E. DHHS, On-Site Services Manager RECEIVED 'dUN 1 6 1993 Munic~palily of Anchorage uept. Health & Human SerVices re: L46 Tract A Eagle Crest Sub Separation Waiver, Well to Tank, 98.5' Dear ~lth, While completing an adequacy test on the subject lot we found the separation distances between the property's well and septic tank to be less than the 100' minimum required. We discovered the edge of tank-to-well distance to be 98.5'. The well-to-tank cleanout measurement was found to be 100'. There is an existing well-to-field waiver of 88' the absorption field on the adjacent lot, Lot Crest, granted in 1992 to Lot 45. for this well to 45 Tract A Eagle The surface elevation at the septic tank is almost level with the well casing at ground height; the field cleanout at its end is about 2' below the surface elevation at the well. There is no way any septic effluent could flow along the surface between the well casing and any septic system component. This system's as-built drawing on file indicates "100'+# , as well as the HAA checklist from an adequacy inspection on file from 1985. The static water in this well and adjacent wells are consistent with depths of 189' to 200' shown. Water samples taken of this well indicate no nitrates or bacteria. Since this is the original installation, and since there is already a waiver for a lesser separation distance to the adjoining lot, we believe there is no reason to deny this request. If you have any questions, please contact us. Respectfully, Chuck Landers FOR H~.L~H ~EORI~ ~PROVAL r~KT~IC~ - 1 o .~Ceneral Information Application Date (a) Legal.Description (include lot, .block,.subdtvision, section, tovaship, range) Location (address or di~re.c~_loas) d . ~----~e,~ ~ ~- o ~ -o/ Buyer ~; Other ~ (=plain); (e) Real Estate Co. & Agent ~ Telephone (f) Hat.t the EAA to the follourlnS address: Type of Residence Stngle-Family~ N~mber of Bedrooms Multi-F~m~ly~ Other (describe) Water Supp17 Note: If community ~ell system, must have vritten coniir~atioa frcm the State Department of Enviroumental Couservation attestir~ to the legality and status. Serape Disposal ........... ' "'i'/ Itllil Onstte['~ Public[~-[ Com~.~llty["~/// Holding Tank~ Note: H c=nity ~11 systea, mu~.~}y},~ltteh coMimation from the State Depar~ent of Enviro~ental Conse~atton a~[~stina to the legality aM status. .;~1 [Pase 1 of 2] En~lneerin~ Fir~ Providing Ins~ctions~ Tests~ File SearchI Data and InfOrmation -verify t~ ~ ~nvesCiga~on of t~s ~th ~r~ Approval sho~ t~ the Pater supply ~/or ~s~e~2er ~s~s~ system is safe, f~c~ion~ a~ ~eq~:e for '. ~he ~ber of bedrooms a~ ~e oi s:~c:ure ~dica~ herein.. I fur:her verl~y [based on ~he l~o~ion ob~ain~ fr~ ~he ~nici~lity of ~chorage ~es a~ . ~ves~iga~ion ~ i~ctiou, the o~si~e ~er supply a~/or ~s~eva~er .sys=em Is in c~pliance ~th ~1 ~nici~l ~ S=a=e c~es, o~inances, a~ ~a- tio~ in ~fec= on the ~=e of t~s inspec=ion. %, ,~ Telephone Approved . Disapprove i:tong , CAUTION THZ ML~IICIPALITY OF ANCHORAGE I~PAR~iE,N~ OF ~TH ~ E~IRO~ ~OTE~ION (D~P) ISS~S ~TH ~H~I~ ~0V~ ~KT~ICA~S B~ SO~LY U~N ~ ~SE~- ~I0~ ~N LN P~ 5 ~0~ BY ~ ~PE~ ~0FESS~O~ ENGI~EE ~ 1'~ S~ ~ ~S~. ~ ~P ~ES ~ ~ A ~SY T0 P~SERS ~ H~S ~ ~IR ~ING ~TI~10h~ ~ ~ER TO SAT~FY ~ETAIN ~E~ ~ S~ ~S. ~0~E~ 0F ~EP ~ NOT ~UCT ~SPECTI0h~ 0R ~YZE ~ BEFORE A ~TIFI~ ~ ~S~D. ~ ~ICIP~I~ OF ~CH0~ ~ NOT ~S~NSIB~ FOR ~0RS O~ ~ISSIO~ LN ~ ~0FESSIO~L ENGI~ER~S ~0~. RR4/eJ/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAGE (MO~) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MUNICIPALI'~' OF ANCHORAGe. DEPT. OF HEALTH & [HVIRON~ NTAL PROTECTION APR 2'1985' 264-4720 ~ Legal D~_ scription: WELL DATA Well Classification ~'~ I ~J ~,:--. '"~-~- If A, B, C, D.E.C. Approved Well Log Present ~el~) Date Completed Total Depth .~.~c.h. ' Cased to Static Water Level c=~C)~3 //~.~ Casing Height Above Ground Electrical Wiring in Conduitl~J~) Separation Distances Irom WeIl: To Septic/Holding Tank on Lot I~¢_~.~_ ,') ;~ 'r'j Depth of Grouting Pump Set Al Sanitary Seal on Casing~) Depression Around Wellhead ~Oc> I ~ ; On Adjoining Lots ~OC)' i' ,I.-- To Nearest Edge of Absorption Field on Lot /~3 0 ' ~ ; On Adjoining Lots ,/~ t To Nearest Public Sewer Line /~///n~- To Nearest Public Sewer CleanouVManhole ..~//~' To Nearest Sewer Service Line on Lot Water Sample Collected by ~-~ ~1LIc-lf'-~,~''-''~,'''''u''~' ;Date Water Sample Test Results ..~-~) '~'-/,~",~"~" "~'P~ ~ / Comments B. SEPTIC/HOLDING TANK DATA Date Installed ~"~'-- ~,,A.. Size ~'0(-~z3 NO. of Compa~ments Standpipe~ Air-tight Caps') Foundation Cleanou~ Depression over Tank ~ Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ~/~ ; for Holding Tank High-Water Alarm {Y/N) ~ ~/~/ Tempora~ Holding Tank Permit (Y/N) ~paration Distances from SepticJHolding Tank: TO Water-Supply Well __ ~_f~' ~' TO Building Foundation To Prope,y Line /D / ~ TO Disposal Field To Water Main/Service Line Course Comments To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ "'~-~-~..'~'~'~'~'~'~'~'~- Width of Field .-~, Square Feet of Absorption Area Depression over Field (~'~ Type of System Design Length of Field Z./'~ Depth of Field Gravel Bed Thickness Standpipes Present~lN) Date of Last Adequacy Test Results of Last Adequacy Test c~'f'- t .~ ~"~i-¢--TM ~ ~-.~ Separation Distance from Absorption Field: TO Water-Supply Well ~ I ~ To Pro~y Line To Building Foundation ~/ To ~isting or Abandon~stem on Lot ~/.~) ;On Adjoining Lots To Water ~mice Line' ~ ~ ~ To Cutbapk (if pre.hr)~' TO Stream/Pond/Lake/or Major Drainage Cour~ ~/~ ' To Driveway, Parki~g Area, or Vehicle ,Storage Area ~ ~ Comments '" D. LIFT STATION Date Installed Size in GalIons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes {Y/N) / I"~d'mD Off" Level at t ///P'- /F/I' Pumping Cycles during Adequacy Test. Meets MOA Comments Signe~ ~,l;iB 196X · c, 0~L~ RIVER, Company DH. 694-2379 *° Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked verified or conformed to all MOA and HAA guidelines n effect on the date of this inspection Date ~-~--/'-~ ~ No Receipt Date of Payment Amount: Page 2 of 2 HEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER . 5633 S Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: (°) See h on back . Sm,to Mo. Day Yllr 7 zi~ COdl SAMPLE TYPE: ,~__'Routlne E] Check Sample (for routine sample with lab ref. no. f'] Special Pu~ose t-I Treated Water I-] Untreated Water SAMPLE NO. 1 2 3 4 5 LOCATION I z- W' I Time Collated I /;.'rr,, I TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,Satisfacto~ [] U~sat,sfactory [] Sample too long In transit; sample should not be over 30 hours old at examination to Indicate reliable results. Please send new sample via spe~e~ m~ Date Received ( 2.-j~ X~'"" ) Time Received ~"-'-=/DZ '> J Analytical Method: ri Fermentation Tube ~E]~.Membrane Filter Lab nsf. No. Result* Anal.yet I ICI I I BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS .BEFORE.. COLLECTING SAMPLE Membrane FIIton Direct Count Verification: LTB BGB Final Membreno Filter Results .~-) Da,. ~ // Time: Collformll00ml Collformll00ml TNTC= TOO Numerous To Count APPLI' .,T FILLS OUT UPPER HA ' ' NLY ', Address Type of Resl~nce ~ Othe~ Water Supply ~ ledivtd~l A~ACH ~LL L~. A w~l I~ ia t~lr~ lot all wetls ~11~ since June 1975. ~ ~mm~lty For wells ~llled prior to tha date, give well depth (attach I~ If avallabte). ~ Holding Tank NOTE: THE INSPE~ION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~ESSING CAN BE INITIATED. Time Ttme Time Time Date ~.~,,..~ Date Date Date Inspector Inspector Inspector Inspector ( b."'J~PPROVED BEDROOMS .~ 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE * ~OIIS Rating Date ~ewer Installed Well To Absorption Area Well Log Received Wall to Tank Septic Ta'~k Size CHEMICAL & G.~"~gGICAL LABORATORIES~"'~ALASKA, INC. TELEPHONE (9071-2794014 ANCHORAGE INDUSTRIAL CENTER ! //J'~X 274-3364 5633 S Street ,,. ~ Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name t~.D. NO. ' ' ~/ Phone No. Mo. Day year SAMPLE TYPE: r-i Routine [3 Check S~mple (for routine with lab ref. no.. [] Special Purpoee sample ri Treated Water [] Untreated Water SAMPLE NO. , I 2 I I , I 5 I ,/ LOCATION Time ColIKI~I Collectld By .I I TO BE COMPLETED BY LABORATORY A~'alysis shows this Water SAMPLE to be: I~,Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send 'new sample. Date Received Time Received Analytical Method: . ID Fermentation Tube ,~l-I Membrane Filter L~b Ref. No. 'Result* ~,'/~q. /~ I I-FI I rTl I I-FI Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD