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Home My WebLink AboutEAGLE CREST #1 TR A LT 57! ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION · ' ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDRESS LEGAL DESCRIPTION ~ Ma"uf~turer A v Well Dwelling PERMIT NO. DISTANCE TO: O Z ~ Manufacturer ~ ~ ~ Material Liquid capacit~ in ~llo~s :~ DISTANCE TO: No. of lin~ __ Length of e~h ~n~ Total length of Distence ~t~en lines ~ ~ ~ T~ of tile to finish grade ~ [ ~ ~,erial ~neath tile ~ 0 inch~ m DISTANCE TO: M ~lass ~ Depth ~ Driller D~stance ~o lot line PERMIT NO. OTHER PIPE MA ERIA~ ~( f~ ~ .~ INSTALLER REMARKS R VED DATE LEGAL Well Log for: Lot 57, Tract A, Eagle Crest Subdivision Eagle River, ~Alaska Drilled by: Harry A. Mackey 0 - 22 22-; 69 70 71 - 80 80 - 112 112- 122 122- 130 130- 132 132- 148-~:195 195- 213 213- 260 260- 280 280- 290 290-2~297 298 Sand Fine sand Small vein of gravel,a little water Hard silt w/some clay Silt, sand, clay Gravel - little water at 122' Clay and sand Course Sand, some water Some sand, gravel mixture, some water Same Same soil mix, with some more water Silt and Sand Light brown clay, some gravel and a little water Sand and some water Sand, gravel and some more water Enough water -- bailed at 7 gpm Cased to 296' 9" Static Level ~0' '~'ERM I T NO. APPLICANT LOCATION LEOAL HARRY R, HACKEY L57 TRR EAGLE CREST TYPE OF SOIL ABSORBTION SYSTEH IS: TRENCH LOT SIZE 1755C SQUARE FEET, . MRXII'IUII NUHBER OF BEDROOMS" 4 SOIL RATING (SO FTtE:R)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEH IS: -- ~'"[. ' DEPTH= ~ LENGTH= 4~ ORA%SEE'' 'DEPTH= 4 THE LENGTH DIIIENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF ~ TRENCH OR PIT IS TH~ DISTANCE BETHEEN THE SURFACE OF THE GROUND AND THE BOTTOH OF THE ENCRVRTION (IN FEET). ~ ;.- THERE IS NO SET WIDTH FOR TRENCHE~. THE GRAVEL DEPTH IS THE ItINIHUII DEPTH OF GRBVEL BETHEEN-THE OUTFflLL PIPE 8ND THE BOTTOH OF THE ENCRV~TION (IN FEET), ~, "' PERMIT APPLICANT H8~ THE RE5PONDIBILITY TO INFORII THIS DEPARTMENT DURING THE IHSTRLLRTION INSPECTIONS OF ANY HELLS ADJACENT TO THI~ PROPERTY, AND THE NUHDER OF RESIDENCES THAT THE HELL HILL SERVE. z' ' ------ THO ( 2 ) · NSPECT IONS ~ ~ARE ._RENU I RE~ ----- ;BACKFILLING OF ANY ~YSTEH HITHOUT FINAL ~HSPECTION AND APPROVAL BY ~HI~ ~ DEPRRT~NT WILL BE SUBJECT TO PROSECUTION. HINIHUN DISTANCE BETHEEN ~ HELL flHD:~NY'ON-DITE DEHAOE DISPOSAL :~STEH JS 180 FEET FOR A PRIVATE HELL~ OR -- (. ~15~ TO 2~ FEET FROH R PUBLIC HELL,DEPENDING UPON THE T~PE OF PUBLIC H~LL ~W~LL LOGS ARE REQUIRED AND N~T BE RETURNED TO THE DEPRRTNENT HITHIN :OF THE WELL COMPLETION. ~OTHER REQUIREM~NT~ HAY 8PPL~. ~PECIFICRTIONS RN~ CONSTRUCTION DIRGRRHS ARE ~RVRILRBLE TO IN~UR~ PROPER INSTALLATION. I CERTIFY THAT ~ ~t: I R~'l FRHILIRR WITH THE REQUIRENENT~ FOR ON-~ITE SEI,IERS AND HELLS RS ~ET .FORTH BY THE MUNICIPALITY OF ANCHORAGE. ,2: I WILL INSTALL THE SYSTEH IN ACCORDANCE WITH THE CODE~. ~: I UNDERSTAND THAT THE ON-SITE 5EWER ~YSTEH HAY RE/1UIRE ENLARGEI.1ENT IF THE RESIDENCE-IS REHODELED TO INCLUDE MORE THAN 4 BEDRO0I.IS. RPP~ICRNT HRRR~ R, HRCKE~ ~' ISSUED B .... DATE.[ __ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6.650, Ancho~, Alaska 99602 276-222! SOILS LOG -- PERCOLATION TEST ~ SOILS LOG ~ rl P~RCOLATION TEST PERFORMEDFOR: LEGAL DESCRIPTION: ~T ~"~- .F>~.p,_.I. ~,'~ ~ SLOPE 2- 3 4 5 6 7 8 9- 10- 11 ~p,U P_.z.y ENCOUN~ WASOROUNDWATER 13- 14-~ 15- 16 17 18 19 20 SITE PLAN COMMENTS ~/-./~'~/"~' ~/~:~ ~ PERFORMED BY:~ IF YES, AT WHAT DEPTH? Reading Date Time Net ,. ' Depth to Time /' Water PERCOLATION RATE, nutes/inch) Net Drop TEST RUN BETWEEN FT AND FT CERTIFIED BY: DATE:~ 72-008 (7/76) February 28, 1977 Mr. }~rtin ~users Post Office Box 842 ~hhorage, Alas'ka 99510 SubJect~ Permit Expiration Dear A permit tssue~ by this department for well and/or on-site sewer installation on Lot 57 Tract A Eagle Crest Zubd*vision has ex~ir~/ s~nce the issue date exceeds one (1) year. In the event you still plan to install the well and/or on-site sewer system, a new permit ks required. The soil test original may be used to obtaina current perm/t. If the well has been drilled~ a well log should be sent to this department to document the installation date. If you have any question~ regarding the above matter, please do not hesitate to contact this office /m~.ediately at 279-2511, extension 224 or 225. Sincerely~ Les N. Buchholz~ R.S. Sanitarian I/~J.lJh r~UNICIPALITY OF Rr~CHORRGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 3330 C STREET, ANCHORAGE, ALASKA 274-4561 L~ELL AND ON--SITE SEWER PEAr, IT PERMIT NO.( ) MARTIN HUSE~ PO BOX 842-RNCH 2793422 LEGAL L57 TAR EAGLE CREST SD LOT SIZE 17828 SQFT TYPE OF SOIL ABSORPTION SYSTEH... TRENCH NUHBER OF BEDROOHS 4 SOIL RRTING~ SQFT/BR THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:DEPTH= Ii LENGTH= 48~6~4 THE HINIHUH DEPTH OF GRAVEL BETWEEN THE OUTFRLL PI~RND THE EXCAVATION BOTTOM LENGTH OF THE TRENCH, OR DRRIN~L~.~>x THE REQUIRED SEPTIC TANK SIZE IS~5~ BACKFILLING OF ANY 5Y~TEt~ WITHOUT FINF ~NSPECTION BY THI~ DEPARTMENT WILL BE ~UBJECT TO PROSECUTION. MINIMUM DISTANCE FROM WELL TO ANY SEPTI(~TANK/PRCKAGE PLANT OR SOIL ABSORPTION SYSTEM IS i~FT FOR A PRIVATE WELL AND ~8 FT FOR A PUBLIC WELL. WELL LOGS MUST BE RETURNED TO THE DEPARTMENT WITHIN 38 DRY~ OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE AND WILL INSTALL IN ACCORDANCE WITH THE CODE. iSSUED .... ......... D TE.' (9 El- E GEO'I .:CHNICAL 8 DEVEL~.~MENT CO. Ru$$eg Oyster 694 2774 SoUsE/ Foundations Performed for: Legal Description= Depth (feet) Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Eed El~is SOIL LOG e~-22so ' Lend Developmen! Name: ,'1'~"',~ ~,'~'~',~ ~r~,u,'~"~-"~ Tel. ,o. -Z--'?3 "°~(~'7 Mailing Address: %~'¥C) SOi!lCharacterlstlc~ 0 1 2 £ 1S Ground Water Encountered: Yes Proposed Installation: Seepage Pit Co~ents: ~ y< No v' If yes, what depth "'/Drain Fte~d ~-¥"c~ -!~' ~ ~,' r-,r formed by: ~ --, Date: 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.# 050-304'14 1. GENERAL INFORMATION Complete'legal description Lot 57; Tract A; Eagle Crest Subdivision #1 Location (si~ iaddress or directions) ~e~rt~' 0~e f~ L'e*sa Roberts M~lhn~'~';e~%' 'p.b':"an~ 770373 L~d[ng ~ency .... Agent '~{rdini~ Kohfield. Address 19433 First Street Eagle Riverr AK Day p~one ~nql~ River: AK Day phone 265-6092 99577 Remax EaGle Rive~ayphone 694-4200 e Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well XX 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: XX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. t 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 Alaskn Wa:er/~ Wast~w Name of Firm 7320 Engine,s s,gnature ALASKA WATER & WASTEWATER CONSULTANTS, IS TO BE~PAID $1127.50 AT CLOSING FOR' ENGINEERING SERVICES PERFORMED. INC 6. DHHS SIGNATURE /~(/ A~proved for bedrooms. ~ this inspection. !er Phone Date Disapproved. Conditional approval for 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 p rofesaional engineer registered in the State of Alaska. The DH HS 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 & HU~M~_N._S3RVICES Environmental Services uivisior, 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) Health Authority Approval Checklist A, WElL DATA Parcel I.D.:. type Log present (~N) Total depth" Sanitary seal If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ~q/_ ' ff Ii Casing height (above ground) 12 Wires propedy protected (~) Date of test Static water level ~ ' Well production "7 FROM WELL LOG AT INSPECTION I 0/:~7/'1~ g.p.m. .~. O ~ g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate I ,0 2. ~./J( Other bacteda IO Collected by: uJ~'~e~*,~ ~-~,4~u~r,*~' e. SEPTICJHOLDING TANK DATA Date Installed ,o./~/7 ~ Tank size Founda~on cle, anouti~/N) '~.s Depression (Y~). Dateofp. umPing· ,~'/z,'~/qe · Pumper ¢Z4::) C. ABSORPTION REID DATA~ Length ;t_ z~ ' Width Number of Compartments High water alarm (Y4~ Soil rating (M=I~A~-or~, ~' J Gravel thickness below pipe System type Effectivaab,~n'~e~ ~'t2~ MonltoriogTubepmsent(:~N) ~/~c Depmssionoverfield(Y~) Date of adequacy test I~/;Z~-2'~, Results~qlllat) {::)'~ For /-/ Fluid depth in absorption field before test (in.); Ruid depth O" (ins) Minutes later.. Peroxide treatment (past 12 months) (Y/N) Immedlat;ly attar 7oa gal. water added (in.): Absorption rate = ~ 'f'' g.p.d. ~,~/ If yes, give data .bedrooms 72-026 (Rev. 3/96)* D. UFT STATION ManhoI~--~'A'A'A'A'A'A'A'A~~ ~p off" level et* High water alarm level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot J co Public sewer main Sewer/septic sewice line On adjacent lots I oot+ On adjacent lots Public sewer manhole/cleanout /~/,~ Lift station ~'J//* SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation -~ '~' Property line I 0 I.f. Absorption field. Water main/eewice line Io [P IO .Surface water/drainage 100 ~+ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line IO !4' Building foundation ~.~ o ~ _4-- Water maJn/eewice line Surface water Ioo~4'' Driveway, parking/vehicle storage area Curtain drain ~o,,t~- ~-~e,,,J,,-J Wells on adjacent lots I0o J+ ENGINEER'S CERTIFICATION //~ ~.~.~.~t ~/~ · - ' ,.--j OF I certify that I h~i~'~pi~ned)h~O~ield/nspec~ons and review of Municipal ma~/'eJ~htems are 72-026 (Rev, 3/96)* Waiver Fee $ G ~-~-" b-~ Municipality of Anchorage RickMystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor http:/N~vw.ci.anchorage.ak.us November 16, 1998 Jeffrey A. Gamess, PE Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle Anchorage, Alaska 99504 Subject: Waiver Request for Lot 57 T.ract A E.agle Crest # 1 Waiver Request #WR950088 Parcel ID #050 304 14 HA# HA980412 Dear Mr. Gamess: Your request for a waiver of the required 100 feet horizontal separation from the septic tank to private well has been approved. The approved separation distance is 90.0 feet. This waiver approval applies to the existing septic tank to private well separation only. Any furore upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343.-4744. Sincerely, Daniel J. Roth Civil Engineer On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR%I ~ ~Q ~-~% PID# 050-304-14 HA# ~q~J~%~ Permit Date Received: November 3, 1998 Legal Description: Lot 57 Tract A Ea~le Crest Engineer: Jeff Garness, P.E., Alaska Water & Wastewater Consultants~ Inc. 7320 East Chester Heights Circle, Anchorage, Alaska 9950& Applicant: Letsa Roberts Waiver Requested: Private well to t~h--on-site septic tank of 90 feet Criteria: 1. Geology: Points: A. Water Table B. Soil $orption C. Permeability D. Water Table Gradient E. Horizontal Separation ~I;~VER I ~ ELL. ~?~T~) - I X /-)'j = ~ .~ =.J?~7 5..C.g.O. · Po~w r~ l./ 2~.$ Well Log-for: ~Lot 57, Tract A, Eagle Crest Subdivision' Eagle River~ ~Alaska Drilled by: Hax'.~y A. Mackey 0 - 22 '.22-~ 69 ?o 71 - 80 80 - 112 112- 122 122- 1~0 150- 152 152- 1/~8 1~5-17~95 195- 215 215- 260 260- 280 280- 290 290-22297 298 Cased to 296' Static Level Sand Fine sand · Small'vein of gravel,a little Water Hard silt ~/some 'clay Silt, sand, clay Gravel - little water at 122' Clay and sand Course Sand, some water Some sand, gravel mixture, some water Same Same soil mix, with some more water Silt and Sand Light brown clay, some gravel and a little water Sand and some water Sand, gravel and some more water Enough water -- bailed at 7 gpm 9" ' MILE 501/2 PARKS HWY ~ ,. 892-7950 L .... I ', · :7 ;:, I. ~ .- ~L~L. INFOR~aATION: GIELAROWSK! · DRILLING CO. MFETIME ALASKAN ~ERVING N. ASKA~' '~...~D~¢¢ 19535 lst. St.' ,Ea~le..R, iv__e..r.~.A,k. ................... A,,Ea~e C r _e_~ t __~-u___b. ~- · (}{}~9~ · - DATE-- ENDED , . }OND OF FORMATION: .;: .(.. ~,' · .., ' 5;i.': FROM__~ 0 ' '" : ~'~',:: 3 -- 'i"' ru°~ ......... 5,~__~_ Fr.'ZO'~e _. FT. ,~i3_~ '"' " ~8 ---~ 42 .~ bo.qlder' · FROM ....... - ......... ~i ' FROM ...~_..~2_.~ FT. TO ~.~.4 _ 54 " Tn 6'8 r't silt FROM ..... FT .............. 140 ~[Cr'vn 152 ' ~-r cobblestone FROM-- :~ FROM __._.L9.4 ' FT. TO ~2d~5 ....... ~L ~.d~-an .... 2/,5 ~r Tn 251 ~r boulder F~OM : - /- DEITH OF WlH. I._34.,5.,[.t,..--__ . STATi¢i~OFWATERFL.160.f.__t_~_, in hole DRAW DOi~l FT. 95~__ , GALS. i'ER ~ -.3~l-0-~ltJ~~e--r-~r---e s t. mUD oF c.~s~G.;l~51,-t-~-c~L40 c~.t~ Hang pump 5fi off bottom .i ' · J est. ' ,'.m' ~obbl es~one FROM'_.~282 l~.TO'd_,290 - , ... - ...~. FROM! 290_. .... FT. TO~._2c~9 '-FT.'cl~.~-'. FROM'.~2_99 FT. TO.-325, - ~-r cla!r,aravel& .... ~'Effe'-r-- ' FROM ,.,,; FROM --. FT. TO -- · . .~'. :, FROM. - .... FT. TO ~ ..... FT. ' . FROM ' ~ ~r. TO ,e~ . ..t: . - , - .... *' -'-t" F~,~ ~_--~t-rr.~o ..: -FT.~- .-:5.,~.. ~'' ~ ~oc '::,'. =e.o.,a o'~, =m ~-T T~ ' ' --FT. , ' ~..~ ....- -, , z=~,~3 WATEH ,.WEL~ LOG · .. 1336:~ngra ~treet Anchorage, Alaska . *. LOCATION · j STATXC~WATER LEVEL~__~PT. yIELD.~.__GA~'.pER.MIN. WITa FEE~ OF DRAWDOWNo __to to to to__. __to to,, to' ....... *~- ',, ' ""l,. - · * ' ' ..'* · J - ., ...... ? ' * . , · * ' · r; .... :.--"', · -- - ..... ~,.'-'*~-' ,-~' ':" . ,Location, (address of. Township Range, ,Section, if,known, or dmtance main road · .: ~" ~_' ~' ' ~DeptH'0f:Ho]~" "~'~. ~ * feet *~, - C~ed to ~/~ feet :, Static water leve~t. ~ (a~e) ~ ~low) l~d,suriace.,,~aah of well:(check one).jopen end, (~ ~* ); ~ ', ..~ .... '~ ,' Screen '( ''- ~);' Pe~orated (~ ~ ).'. ~- ', ' . '' · -' -'~) ~ --' '..- < '.. " -'.*'. ;-[-,.. ~'~ .-~,.~i%~on~* '~k , '-'' ' ~ . ' ~ -~ ' ..'- Well p~pmg test at gal}~s~ ~) .lmaute)' for hou~wl~ , -fi .'.'.. , .... ..., .... .. ~_t~Ui~a ~t .. . . ; .. · .. ~ -.~ . . - -. ~'~ · :*':~ ~' '/ '~l'-;"~u~ ?,.; · . ,:- · !.-It~/ II :- ' ~ ,, '.. ' ~. · '- / : , ....t ' - ~ , " ~o~ds~Hac~, '~" ~" '':~' ':'~ ;~'J~ ~ ~' *" ~ ~ , I. ~ ', Il ,'...~ , t'/.i, ,. *. ' · - .~ . ' " . ~ S~ "' ~ ~ ~ '"' t ~0 .TO - SO . 2mall.,Gravel ~ ~t. ltv 50 .TO. . 100 Cobble. Gr~6l ~ ~tlt% V .... , 2~0 . .TO. 250 ~:i~l~rav~l~' ..~.1~,,.~?' -'~- ~' "' '~'~ r~ .... '*"' '" ~ .... 'z' ' :-.--, -.., , · .'., .A 270 .TQ 97q 'T'Z.at~r ,[:~,.~X~x : : : /.- . '" .TO.- '"-~ ' ~ .... / ' ' ' "' ' ' .... '' .~0 : "' " ~.~ W~/~ ~ ./~'*// - ,, . . . '~- TO ' / ' '' " " " "' % : ' '' .... -' /; O '"- ""' '"' C,:'t:[i::t??:::':: ~l~ ~:'c~9" ':'::: -- · ' ' ,' ' ' -,' -' CHUGIAK, ALASKA %~";RILLING CO~ ~ WE ,SERVE ALL ALASKA {~OST OF FICE BOX 42 --'CHUGIAKo ALASKA 99567 OWNER OF LAND 'l'- r.,,~- ADDRESS .................... ~..........;, ........................................... .-. .................... WELL -- SITE ....;...,~ ........................... ~ .............. ~ ...................................... I I - "').-"~C, ' DATE -- STARTED ................................................................................... DATE - ENDED 1 2 - ~ - [;;¢ ) :.- ,, KODIAK, ALASKA .~., , ...... MUN C p,4.85482~K:~O~GE :'.' -' ' DEPT. OF H3ALT;-I & '*:: ENVIRONMENTAL r~,OTECI'!ON '~: ~' . '. - . '. .,, '~u 4 2 1981' ..: RECEI.V. ED. DEmi OF WE~L ....~.~.:~.~ ........... J...~::.....~:~ ........... L.:~.:..~ ............. :~ "- ''''~', -. -:.?--- .~:. '.~.... STATIC LEVEL OF WATER FT. 2..t)...~...-~,~...ht2].P..; .................... !....: "' ~ :'-' '-" -' DRAW DOWN r-r ~ '70 .~,° · ; .... ' GALS. PER m~o /~ ~ ,,-'~'~ · " · , - ' KIND OF CASING ............ .I.U....~..~.....!......~. ............ ; ............ : ................ ;."" . - .- ,,..: KIND OF FORMATION: FROM ............ FROM ............ FROM ......................FT. TO ...................... FT .................................. -" .... · FROM .............: ........ FT. TO ............... g.;..... FT ............ ~ .................... ' : ..... FROM lio t~' Tt~ dl~ ~T f::'P/i i' .;,':,'*'~l. FROM ....................... FT. TO ................ FROM~ ,:-,- .,-,-, 20S ,:.,. :'~ .~ ,:;,,';~,,'o~. ,~, C~a ........ :.'. ........ .ii. ............ ................................... ; ................................................ FROM ...................... FT. TO ......... FROM ,,r,,' ~ u'r~ '~Clo ~r ';,,'r:d ."- ~;!.,'//,l FRO,',! ...................... FT. TO ........................ F~ .............. ~ ' i~ :' FROM ....... :.~..~.~,c..~ ....... FT. TO.....].I.~ ......... FT.!.~.~.~.]~°_.]....~L....,'.~j.J,L~:z' FROM ....................... FT. TO ........................ FT ........................ : .... -., .,_,.. FROM ..................... FT. TO ...................... FT .................................... FROM ...................... FT. TO ........................ FT ......................... :. ...... FROM ...................... FT. TO ...................... FT ................................... FROM ....................... FT. TO ...................... FT, ' ' "~ ' ' FROM ...................... FT. TO ...~ .................. FT ............................... ~ .... FROM .......................FT. TO ........................ FT .................................. - FROM ...................... FT. TO ...................... FT .................................... FROM .......................FT. TO ........................ FT ......... : ............ :. ......... "' FROM ...................... FT. TO ...................... FT .................................... FROM .......................FT. TO ....................... FT ................................. ', ' FROM ...................... FT. TO ...................... FT .................................... · FROM ...................... Fr. TO ..................... FT .......... MISCL. INFORMATION: .. - ' - Alaska Water & Wastewater Consultants, Inc. 7320 East Chester lleights Circle ~ Anchorage ~ Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers November 2, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 ReE Waiver Request and Health Authority Approval for Eagle Crest Subdivision Addition #1, Lot 57, Tract A, To whom it may concern: The existing 4 bedroom house is served by a private sewer and a private well.. We request you issue a Health Authority Approval and grant a 90 feet separation distance waiver from the well to the septic tank. The following items are justification for the waiver: · As can be seen on the detail, the lot generally slopes away from the well and the ground surface elevation by the septic tank is lower than the ground surface elevation by the well so if any effluent would surface, it would have to travel uphill. ,, The location of the septic tank is in a very visible area so that if any effluent was to surface, it would be noticed and the problem corrected. The other path of contamin~ition is subsurface mlgration~'v~astewater should the tank begin to leak. As can be seen on the attached well log, the aquifer is relatively deep, with over 250 feet of silt, sand, and clay soils that have served to inhibit the migration of untreated wastewater into the aquifer. Recent water sample results indicated nitrate levels of 1.02 rog/L, no coliform bacteria, and I0 other bacteria. Based upon the aforementioned facts, it appears that there is minimal risk associated with the 90 foot separation distance. This encroachment has existed for over 20 years with no ad{~erse'i~pact. There is a neighboring septic system on Lot 64, Tract A, that serves Lot 65, Tract A, Eagle Crest S/D Addn #1. According to M.O.Pu records, it is over 100 feet from this drainfield to the well serving the referenced lot. We were unable to field veri~j this separation distance because no cleanouts or monitoring tubes could be found for the drainfleld. If you have any questions, please contact me at 337-6179, or 244-9612. assistance. Sincerely, ~ Thank you for your / SECOND STREET ~ [ I FIRST STRE~ ~ WA~ ~ W~WA~ CONS~T~, ~C. EAGLE CREST SUBDIVISION ADDN. ~1, LOT 57, TRACT A. $... S~TE P~. Fo. W~VER REOUEST ~ ~ ~,~.N..%.:..-.~ LEISA ROBERTS 265-6092/696-0624 .~%='~-. I I /-EXISTINC DR)JNFIELD I I '-,,,,-'- ,,-' / ~ ~ Ex~s~N~ ~ I ~ ~ 4 BEDROOM 11 ~ HOUSE I / I I~~ I I I I I I I I I I I I ~ ~ FIRST STREET ~ I ~ I - -- ~ ~ -- --t .... ~ ..... I ~ iI ~ il ~S~ ~A~~ ~A~ CONS~S, ~C. 7320 ~ ~ HE~ Cl~ ~CHO~C ~ g9~ ~....7 .... -E~ D~CRtPIION: p~N~ (907)~7-617g~: (go~ ~-~46 EAGLE CREST SUBDIVISION ADDN. ~1. LOT 57. TRACT A. j:.:...'~..~, ........... WAIVER REGUEST DETAIL 265-6092/696-0624 ~. -. LEISA ROBERTS ~RON AND ~" 11/2/98 I '~" ": I~ I"~' I J.L.M. 1 = 40' 2 OF 2 MUNICII~ALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING .(.-~.z~-~..~C~,LI - I ~ HAA # ~1 ~O~, 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 57; Tr~c~ A; E~gte. Cr~,~ S.bd.~uZ6ion; Location (address or directions) 19455 F.~6t Stree~ (b) Property owner Mailing Address (c) Lending Institution Mailing Address John Binqham 19433 Flr6t St~¢~, Telephone: (home) ~e,~-eT?5 Business Eaql¢ River, Ak. 99571 Telephone (d) RealEstateCompanyandAgent £3/!fax ~ ~ ~; .... ~+,. ~ .... ~,,~ Address 16&00 Cent~f~e~d D~u~ Suite 201 Eagt~ ~u~r. Ak. 99577 Telephone· 694-4200 (e) .Mail the HAA to the following address: (or check here [3~3f hold for pick up.) · List contact person and day phone number below: .. . 17034 Eagle Ri'~er Loop Road No. 204 2. TYPE OF RESIDENCE Single-Family E3c Number of bedrooms 3. WATER SUPPLY Individual Well~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site J~ ~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72~2S (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION . As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of thi,~ Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional end 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 Date $ & S ENGINEERING 1'/~1't4 Eaqle River Loop Road No. 204 ~agle R|ver, Alaaka ~)9577 Telephone 6. DHHS APPROVAL. Approved for '~ bedrooms by/~,,~-.~'~ Approved Disapproved Conditional Terms of Conditional Approval Date 'J' ~//'~//~ ~ ! The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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. A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) . ~'~. Health Authority Approval (HAA) ~.~.,/'~ClP^LIT¢ OCHECKLIST - FEBRUARY 1984 'L~Rr~ONMENTAL SERVICES ~;~v,~'343-4744 · Legal Descriptionl / ~o"~ ~ ":/'.~ '~-~qd'_J/'- '~ "' : RECEIVEr) .IA If A, B, C, D.E.C. Approved (Y/N) Yield _~":,O ¢/z~/w "'-- C 5" "/c:' Well Classification Well Log Present (Y~,N) ~ . Date Co~3~pleted" Total Dept h.~,._~_..~L_ Cased to -~ ~ I./~ "De, pth of Grouting Static Water Level' ~-- ~ .~ ' / Pump Set At Casing Height Above Ground ~ ~ Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot I O ~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; Or~ Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by · ~ -~, Water Sample Test Results ~ J/bt Comments B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) I .~. ~-O No. of Compartments ~- '/ Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N) L~ ~J Date Lest Pumped ~ - _~ ~ - ~ C~ P~Jmping/Maintenance. C0ntact on File (Y/N) ~/F:t : for ~///~ Holding Tank High-Water Alarm (Y/N) .~1//~ Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well" / ~ I ~ TO Property Line - :.~ ~ To Water Main/Service Line ! 0 ..jo. ~ TO Stream, Pond, I:ake or Major Drainage Course Comma'rite .~> .~ ,~1' ~, ~o/v't ,Dc..~ k~ / To Building Foundation To Disposal Field I O0 /-/' Page ! of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ! O- ~"- ""T [~' (" Length of Field ~ ~' ' , Width of Field * ~. Z~ '! / Depth of Field c~' ~' Gravel Bed Thickness ~ ' ? Square Feet of Absortion Area ~ ~ ~. ~ </ Statndpipes Present (Y/N) ~ ~' Depression over Field (Y/N). I~I Date of Last Adequacy Test ~ -- 2 ~ ' e ~ Results of Last Adequacy Test '_~3L,<3c'~c_~l-or~, -- ~'~r- ~'~ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well I ~ ~. "" To Property Line ' .~ 0 To Building Foundation ~ ~ ~ r-- To Existing or Abandoned System on Lot k)/~/3I ; On Adjoining Lots 36) q' ' To Water Main/Service Line ! C~ ~ ~- To Cutback (if present) ' ~' /'J/J~ To Stream, Pond, Lake, or Major Drainage Course ! ~ '/~- ' - To Driveway, Parking Area, or Vehicle Storage Area ~ (~ 'f Comments. D. LIFT STATION Date Installed ~ ~ Size in Gallons '~,, ' "Pump On" Level at '~ High Water Alarm Level at · Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (WN) Pumping Cycles during Adequacy Test. "Check Permitted Bedr6om Ratir~g Agai~t'HAA Request" I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed 5 & ................ Company 17034 Eagle River Loop Road No. Eagle River,~.Ala~ka Date ,'~" /~O MOANo' ~ Receipt No, ~[ Date of Payment Amount: $ Receipt No. ~~~ Waiver Fee: $ Date of Payment Page 2 of 2 72-026 (Rev. 7~88) Back CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633BSTREET.ANCHORAGE. ALASKA99518 · TELEPHONE (907)562-2343 FEDERAL TAX I.D. #92-0040440 ANA[~SI3 ~OE! I! SAMP[! for Maxk Oxder ! 21945 Date Repozt tzinted: ~I 26 90 ~ 12:45 Client Sample ID:L$7 TRACT 'i' KA~LE ~ES! $/D tW3ID :UA Collected NAY 22 90 Client Name Client Acer P.0.1N0~ RECEI~D Analysts Conpleted :NAY 25 90 Serd Repozts to: Laborato,y Supezvito~ :~TE~ff C. ED[ ' 1)3 i S [ffGR ~pectel Che~ab Re! E: 901507 Lab Snpl 10:-1'. Matrix: WA~ER illovable Tested Result Unite Method LiNts 0.68 ng/l EtA 353.2 10 ~aaple SAMPLE COLLECTED ET R.D.J. RO~I~ SAMPLE. I Tettt terfotmed * Soo Special IratEuctions Above UA*Unavailable liD- None Detected "See ~anplo RoMEks Above NA- Not Analyzed LT-Lese Than, GT-C:eater Than CHEMIC. dL & GEOLOGIC/iL L/IBOR/ITOR1ES OF/IL.dSK~4, INC. TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 . Drinking Water Analysls Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER D PUBLIC WATER SYSTEM I.D.# ~ PRIVAIE WATER SYSTEM Name Mailing Address Phone No. S & S ENGINEERING 17034 Eagle River Leap Read No:~L~ Eagle River, Alaska 99577 City Stale Mo. Day Year Zip Code SAMPLE TYPE: ~/Routtne Check Sample {for routine sampe with lab ref. no. [] Special Purpose ) []'1 Treated Water [] Untreated Water SAMPLE NO. 1 2 51 Time Collected LOCATION ~ ,,, Collected ~ I TO BE COMPLETED BY LABORATORY SalS shows this Water SAMPLE to be: isfactory I--I Unsatisfactory I'-I Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mall. Date Received 5--,~'~--c[ 0 Time Received 1%5 b Analytical Method: Membrane Filter * No. of colonies/100 mi. Lab Ref. No. Result* Analyst lO.IS07 P'~ READ INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filler. Direct Count Verification: LTB Final Membrane Filter Results Reported By . - TNTC = Too Numberous To Count OB -- Other Bacteria Collfotm/lOOml BGS Collform/lOOmt PART ONE OF m~o R£HAINDER TO FOLLOV . ~ INSPECTION APPOINTMENTS DA ~)~./CEIVED TiME TIME TIME DATE DATE DATE INSPECT ~/~ INSPECTOR INSPECTOR ,L~Ul,ll,:,r.,,ud~¥ ~F ANCHORAGE MUNICIPALITY OF ANCHORAGE - DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~I~CNMENTAL PEOT£CTICN 825 L Street - Anchorage, Ala~ka 99S01 OCT 2 6 1979 ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all par~s on page 1. Incomplete requ~t~ will not be proee~d. Please allow ten (10) days for processing. PHONE 1. PROPE RT Y OWN E R/~,~ ~ ~/~ /~. /~A C/~. ¢)~ PROPERTY RESIDENT {If different from above) PHONE 2. BUYER_L~ot~l~.' PHONE MAILING ADDRESS 3. LENDING INSTITUTION ~,.~C.~I~,..,- I PHONE MA,LING ADDRESS ~.)11 [ p, 0...~(~ ~.,~. 4. REALTOR/AGENT I PHONE I MAILING ADDRESS STREET LOCATION } ~.~r' ~Oe~LL ~- 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS n-~ r-I One ~ Four ~ Other SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six 7. WATER SUPPLY [~ INDIVIDUAL° r-1 COMMUNITY [] PUBLIC UTI LITY 8. SEWAGE DISIK)SAL SYSTEM [~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if availgble.) /,c~,~'~ YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72.010 (Rev. 6/79) ~ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE I--I THREE I-'1 FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY / Connection Verified INSTALLER []Septic Tank °r f-lH°'ding Tank Size: j~"~ If Tank is homemade soILs RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Absorption Area 1o nearest Lot Line 5. COMMENTS ~ APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) t-'l DISAPPROVED 72-010 (Rev. 6/79) Oc{:~ber 30, 1979 Marry A. }L~ckey Star Route ~ox 1175 Chugiak, Alaska 99567 SubJect] Lot 57 Tract A Eagle Crest Subdivision Approval for your individual s~wer and water facilities can not be granted until the following items havu been co~leted ~ (1) A well log submitted to this (2)* ~ae top of the well casing sealcd no that it is water ttght. The water nnalysis report be delivered to this office from C hem Lab, 5633 D .Street, for our review. Please notify this department for a re-inspection when the noted dcscrep~ncy has been corrected.* If there are any further questions, please contact this office at 264-4720. Sincerely, r~bert C. Pratt, R.S. Associate Specialist RC /lJw