HomeMy WebLinkAboutDALZELL-SCHNEITER BLK 2 LT 14
· " - Municipal ty of Anchorage Page
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: ~'v,/ct'"/~ ~- I~r PID Number: 43
.a.,.: l~t~.~__. ~ I~,/~:~ I--~'i- Wastewater System: [3 New ~ Upgrade
^d~,.,: ~o~-~ ~_..~,.,e..,-re.~ b~* ~ ABSORPTION FIELD
P~one: ~__ ~ INo'of~~ms: ~ Deep Trench ~ShallowTmnch ~Bed ~Mound ~Other
LEGAL DESCRIPTION ~..,~n~: I ~.D~q
C~ssih~t~on (Pn~: T~ C~ TO: Total ab~tion ama: Pi~ material:
: .u.~,.~: ~.~~." TANK
~GPM Ft.
SEPARATION DISTANCES ~Septic a Holding O S.T.E.P.
w,,e~ ~oo+ Ioo+ ~'+ LI~ STATION
Line
Remarks: ~ e~m ~ ~ BENCH MARK
Inspections pe~ormed by: ~ ~~ Dates: 1st ~/1~/~ "'l'~"~*t'~ "" ........
Reviewed and approved by: ~ Date:~-/2 -~
/2013 (Re~. g~l) MOA 25
NORTH
-TEST HDL~ MT _(A~Iil~]NCD)------ - "'-'-- -
SUMP
ASSLJ~D LOCATXON OF' THE
TRENCH
col-
ADEL ?LOV
DOUDLE C/q]
TO THE SPLITTER.
'BULL RUN* VALV~
SEPTIC
A TO SI. = 16.5 A TO C02 · 67.I.
B To St - 17.0 *Lq TO CO::' · 89.0
A TO S2 · 1.9.:) A TO C03 · 3LO
1~ TO S:p · P4.0 'R TO C03
A TO I);~ · 2LO A TO HT2 · 44.0
la TO BR · P7.5 It TO MTP · 67.9
A TO rS - 3:=.P COP TO CD4
D TD F<: ~, 44.3 HT2 TO tO4 · P3.8
A TO COl. = 46.7 A TD F.cn = 1.7.8
*n TO COl. ' ~9.1. a TO F.Cn ' 6.9
A TO MT1* - 5P-.7
B TO NTI m
GENERAL LOCATION
THE DRI*VEVAY
EXISTI*NG
DOLJgLE C/O BEFORE TANK
CRUSHED, AND ~URIED TO THE SOUTH
Or THE I~V TRENCHES.
PERMIT : S 970414
PID t: 015-291-26
VELL
AS-BUILT D~/G' LOT 14, BK 2, DALZELL-SCHNEITER S/D
PREPARED FOR: ESTER BUMGARDNER
PREPARED BY, ALASKA VATER & VASTEVATER
DATE, 2/P2/98 DRAWN: GARNESS ;CALE= 1' = 30'
~,,o~ AS-BUILT DRA~/ING P~.. o~=-~,i-~
~G~OtJN~ rlV~R TANK m 97.4 (~PR~.)
N ~V 10~ ~L~ SEPTIC ~ __
~~.,:~ ~ INERT ~ ~AI~IPE - 89.3 ~E~T TRE~ & 89.43 ~AST TR~N~
~ /~ ~ ND ~DVRT[R VITHIN 4 F[~T ~ TRE~H BDTT~S
SEPTIC AS-BUILT, LOT 14, BK E, ~ALZELLE SCHNEITHER S/O FY ..... "~ "~"/ .... J' .....
gATE~ E/EE/98 ~VN~ GARNESS SCALE~ NT~
MARK IIANSEN P.E.
Au{], 12, 10D7
Project 97'1 ?
% ReQuire0 for ADEC Filter Sand
Qualit,/t~end and Gravel
P.O P~ox 14,'36
Subjccl: Sieve A~elysis of Filter Send
I c~eatlon: l~ast ~itockpile
~ieve % Passin~
~ Group A
fl4 ..100
~10 g8 85 -100
fl20 75 60 - 90
It40 33 ~5 -50 -
~60 10 0- 15 -
~.100 3 - '
~2D0 0. D 0 - 5 0 - 5
Coefficient of Uniformity Co 2.8 4 ~aximum
Cmdficient of Curvature Cc 0.g 1 M~imum
Tho S~m~lo con~orlTIS to ~lh Group A and Group B ~pecifi~flons,
If you h~vo ony questions, please d0 not he3itato lO carl.
'.. Sincerely'
~ar~' }l~nsnn
Group B
8,5 - 100
PAGE I OF i
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:SW970414
DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES
OWNER NAME:MARMES MARK C
OWNER ADDRESS:10200 SCHNEITER DR
DATE ISSUED:12/22/97
EXPIRATION DATE:12/22/98
PARCEL ID:01529126
LEGAL DESCRIPTION:
DALZELL-SCHNEITER BLK
2 LT 14
LOT SIZE: 49239 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY 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 AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY: _ 2~ zF"~. ~-~.<,-z~---cL--~--- DATE:
ISSUED BY: C. DATE:
Alaska Water & Wastewater
7320 East Chester lleights Circle ~ Anchorage ~ Alaska 99504 R E C E i V E D
(907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers DEC 'l 9 'J99~
REVISED iDESIGN Municipality ot Anchorage
Dept. Health & Human Services
December 17, 1997
Municipality of Anchorage
Department of Health & Human Services
Division &Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ret2 Sewer Upgrade for Lot 14, Bk 2, DalzelI-Schneiter S/D.
To whom it may concern:
A design package was originally submitted for this upgrade on 12/17/97. It has become apparent,
after taking some elevation shots, that it is not possible to obtain gravity flow to the shallow
trenches proposed in the original design unless the sewer line can be raised where it exits the
building. As a result, we are submitting the revised design, in the event that the sewer line can't
be raised enough. This design will require excavating to the gravel soils, at a depth of
approximately 8 feet, installing a two foot sand filter, and a shallow five foot wide trench. During
the original soils evaluation, we did not run a percolation test in the gravel soils because it was
loose, sloughing, and visually looked faster than 1 minute per inch. It is our intent to verify the
percolation rate on the trench bottom, during construction. The specifics of the design are
summarized as follows:
TRENCII DESIGN:
a. Percolation Rate: <1 minutes/inch. Sand filter required.
b. Allowable Application Rate: I gallon/day/fl2
c. Number &Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 450 it2
f. Effective Depth: 9 inches
g. Reduction Factor = I (no credit given for extra 3 inches ofdrainrock)
h. Width: 5 feet minimum
i Minimum Length: 90 feet. Will make each trench 45 feet long
j Effective absorption area = 450 112
We are pi'oposing to install a diverter valve so that flow can be periodically alternated b~tween the
old and the new trenches. 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.
Sincerely,. tA
....· S.Prin~ ~al'~r -' ' '-" ~
APPROX. 9£LL
VEIL
LDT t3, BK ~, ~ALZELL-SCHNE[TEE
S/D. UNgEVELDPE~ PRDPERTY.
EV
AVE.
Si~-PT~C
AKA
SEPTZC AREA
~ALZELL-SCHNEZTER
PVT VELL RN~
SEPTIC UPGRAnE,
PREPAREn FDR:
PREPARED DY~
hATE:
LDT 14, BK 2, nALZELL-SCHNEITER S/D
ESTER BUMGARnNER
ALASKA ~/ATER & VASTEVATER
12/17/97 I nRA~./N, GARNESS tSCALE, 1' = 100'
~M~'NT ~-T£~T ,.HOLE HT_ ~/- ~
, ~:,' :>.,'. ;-. ,..... ..... ... ......
~ ~ , ~ .,..,~ ........ ..., .,..,.....~ .... ....... .,.
~ ~ ]' ;:.,;.~*;' :.;; .'.'.: L.. ',-'':, .' .-'..
~ ~~~~::? .' ~: ~1 C~ ~' ... ': .."... · ..'". .'"' :'.. ':',. "~',: "..'--'
~ ~= ~ ~ ~ ~"}~;~}~' - .... ....':'. .~ .... ,.. ...~ ..,..~ · ~ .... .,.; ..
~ / N ~ ~ /3 ~c~oc. Fousr
XISTIN
J [ 1/4 INCH PER FDDT MIN. --
REVISE]) ~ESIGN* LDT 14, BK 2, gALZELL-SCHNEITER S/~ ........ ~ ..............
PREPARE3 FOR: ESTER ~UMGARDNER
PREPARE~ ~Y~ ALASKA ~ATER ~ ~ASTE~ATER ~-7953....m
THE TRENCH SHA[L HAVE A MINIMUM LENGTH OF 90 FEET, AND A TOTAL
EFFECTIVE ABSORPTION AREA OF 450 SGUARE FEET.
'~KFILL WITH NATIVE SOIL AND MOUND.
MONITORING TUBE (TYP.)
PERFORATED IN DRAINROCK.
NOTE: BOTTOM OF TRENCH,
EXCAVATION, AND TOP OF BAND
SHALL BE LEVEL. MAXIMUM
VARIATION OF 2 INCHES
BETWEEN HIGH & LOW SPOTS,
FABRIC SILT BARRIER
DRAINROCK SHALL BE
SCREENED PER M.O.A
I
EXCAVATE TO O~R/AVELz_'~
SOILS AT APPROX.
FEET.
NO TE:
1.
2.
,4,
$ FEET WIDE .
TRENCH SHALL RUN PARALLEL TO THE SLOPE CONTOURS.
FOR LOCATION OF CLEAN-OUTS AND MONITORING TUBES
BEE THE SITE PLAN.
CONSTUCTION PRACTICES, AND MATERIAL SPECIFICATIONS
SHALL COMPLY WITH ANCHORAOE MUNICIPAL CODE
'WASTEWATER DISPOSAL REGULATIONS%
INSTALLATION SHALL COMPLY WITH BPECIAL PROVISIONS
NOTED ON THE SEWER PERMIT.
SMEARED BOTTOM AND SIDEWALLS SHALL BE RAKED.
SAND FILTER MATERIAL SHALL MEET LATEST GUIDANCE BY
THE M.O.A
DETAIL FOR $ FOOT WIDE SHALLOW TRENCH:
PREPARED FOR: ESTHER BUMGARDNER
ALASKA WATER & WASTEWATER SERVICES
DATE: 12/17/97 I DWN: GARNESS I SCALE: NTB
4 INCH DIA., ASTM F810
PERFORATED PIPE. HOLES
DOWN. PLACE 2 INCHES
OF DRAINROCK OVER TOP
OF PIPE, AND ACROSS
ENTIRE WIDTH OF TRENCH.
PIPE SHALL BE INSTALLED
LEVEL (WITHIN .01 FEET).
Alaska Water & Wastewater
7.~20 East Chester Heights Circle ~ Anchorage ~ Alaska 99504
(907} 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
December 16, 1997
Municipality of Anchorage
Department ofHcalth & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
ReE Sewer Upgrade for Lot 14, Bk 2, DalzelI-Schneiter S/D.
To whom it may concern:
The existing 3 bedroom house is served by private well and septic system. The drainfield will
not pass an adequacy test at this time, and must be upgraded as a condition of the pending sale.
Comments regarding the proposed upgrade are summarized as follows:
1. SOILS: Attached is a log which shows the soil profile, and the percolation test results. From
a depth of 1.5 feet to 5.0 feet, the soil was fine sand that perked at 2 minutes/inch. At a depth of
5 feet the soil transitioned to silt, which perked at 48 minutes/inch. No groundwater, or
impermeable soil was encountered to a depth of 16 feet.
2. TRENCH DESIGN:
a. Percolation Rate: 2 minutesfinch.
b. Allowable Application Rate: 1.2 gallons/day/ft2
e. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 375 fl2
f. Effective Depth: 6 inches
g. Reduction Factor = 1
h. Width: 5 feet minimum
i Minimum Length: 75 feet. Will make each trench 40 feet long
j Effective absorption area -- 400 fl2 (>375 f~2 OK)
We are proposing to install a diverter valve so that flow can be periodically alternated between the
old and the new trenches.
4. SURI~ACE WATERS: There are no surface waters within 100 feet of the proposed septic
upgrade.
5. TOPOGRAPtlY: The lot is gently sloping (<5%) in the vicinity of the proposed upgrade.
There are no slopes greater than 25% within 50 feet of the proposed upgrade.
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.
Sincerely,
Pd ~a
-' L%'~..' t ' · · · -~l.f' II, I
~,' I A "'~'~. ~
~,. ..~ rs
Municl~lity of Anchorage ~, ~..TH~ . , ~ J
DEPARtmENT OF H~LTH & HUMAN SERWC~,.~ ~7~ J~,... ~,,,~ I
s2s L s~e~,~.cho~g~.~k~s~so2~so~,.,,,,,...J,,.,,,,,,..,~I
SOILS LOG -- PERCO~TION TEST ~;~:~ 'J ..... ~( J
g-
10-
11
WASGROUNDWATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth l. WMir Met
13 - I~WWlng?
14-
15-
,6 g.o. H,
17-
18'
19-
SLOPE SITE PLAN
r-.7953
P~_~. Reeding Da,je Gross Net De~th ~ Net
Time Time Water Drop
~. /~/~e/~ - ~ ~, ~,~ ~ r~,~
I:~? - ~ ,, _
~/I~ ~/~ ~ ~ ' '
20-
PERCOLATION RATE , ~ {m,nutes/,nch) PERC HOLE DIAMETER
TEST RUN SETWEEN _"~,0 FTAND '~,C~ FT
[
72-008 (Rev. 4/85)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street o Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
'aAME
PHONE o
r'IuPORADE
DISTANCE TO: j WeiCo~ Dwelling
/~'~ j Absorptlon/~.area Material~..~¢:~°tc
Inside length
Liq. capacity in gallons WeIFIl HOMEMADE:
DISTANCE TO:
NO. OF BEDROOMS
PERMIT NO.
8207- $ 2.
No. of compartments
?.
Liquid depth
Dwelling PERMIT NO.
Manufacturer Liquid capacity in gallons
DISTANCE TO:
No. of lines
Leng,h o~:~ch ne
Top of tile to finish grade
Length
Total ~n~gth of lines
Material beneath tile
Depth
Material
Trench widt~ ~ inches
inches
PERMIT NO.
Width
TyPe of crib :rib diameter
Well
Total effective absorption area
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot llne
DISTANCE TO:
;lass Depth Driller Distance to lot line PERMIT NO.
DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOl L TEST RATING
INSTALLER
AT'C E,~1~po'ses
REMARKS
APPROVED
DATE LEGAL
72-O13 (Rev. 3/78)
PERMIT NO.
I'IUN T ,Z Z/~"~A L T T"r' OF- AI'-,i¢~'~I-~RAr~E "- ~'~
DEF'RRT,1ENT ~. HEALTH AND ENVIRON,1ENTAL , ROTECTION
825 ~L~ STREET, RNCHORRGE, AK. 99501
264-472~
iqELL Rt4D C~4--5 I Ti 5Ei4ER i'i~:f4 I T
( 828752 )
APPL I CANT
LOCRT 101",1
LEGAL
SUN CONSTRUCTION INC
Ll4 D2 DALZELL?SCHNEITER
SAR E:O× 474E ~9507
LOT SIZE
345-2089
SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MR×IMUM HU,1BER OF BEDROOMS = 4
SOIL RATING
THE REOUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS:
~',EPTH= ~...: LEr4OTH= }"5 6 R F-~ '-...' E L B. EPTH= 4
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETHEEN THE SURFACE OF THE
GROUND AND THE BOTTOM, OF THE EXCAVATION (IN FEET).
THERE IS NO SET HIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEEN THE OUTFALL PIPE
RI.ID THE BOTTO,I OF THE EXCAVATION (IN FEET).
REi_'_-'~. I.J I RED SEPT I O TRI'-,,I !--% S I Z_E= 225'3 6FILLOI'-,IS
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY HELLS ADJACENT TO THIS PROPERTY AND THE
NU,1BER OF RESIDENCES THAT THE HELL HILL SERVE.
TI4Cm < 2 ;' I f4SPEOT I 0f45 ARE ~:EQI_I I RED,
BACKFILLING OF ANY SYSTEM HITHOUT FINAL INSPECTION AND RPPROVRL BY THIS
DEPART,lENT HILL BE SUBJECT TO PROSECUTIOI.L
MINIMUM DISTANCE BETHEEN A HELL AND ANY ON-SITE SEHRGE DISPOSAL SYSTEM IS
±00 FEET FOR A PRIVATE HELL OF: i50 TO 200 FEET FROM R PUBLIC HELL DEPENDING
OPON THE TYPE OF PUBLIC HELL
MINIMUM DISTANCE FROM R PRIVATE HELL TO A PRIVATE SEHER LINE IS 25 FEET AND
TO A CO,1MUNITY SEHER LINE IS 75 FEET.
HELL LOGS ARE REQUIRED RI.ID MUST BE RETURNED TO THE DEPARTMENT HITHIN ~0 DRYS
OF THE HELL COMPLETION,
OTHER REOUIREMEI.ITS MAY APPLY. SPECIFICATIONS RI'ID CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PEF:I'"I I T E..--C.P I F;:ES DECEI-'IBER _---~:-.:J_... 29,92
I CERTIFY THAT
l: I R,1 FRMILIAR HITH THE REQUIREMENTS FOR ON-SITE SEHERS AND HELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORRGE.
2: I HILL INSTALL THE SYSTEM IN RCCOR[:'RNCE HITH THE CODES.
2: I UNDER. STAND THAT THE ON-SITE 5EHER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODEL~ TO INCLUDE ,10RE THAN 4 BEDROOMS. -- ~ ~~~~---
December 29, 1978
J. Bumgardner
Star Route A Box 474-E
Anchorage, Alaska 99507
SubJect~ Lot 14 Block 2 Dalze11-Schneiter Subdivision
A permit issued by this department for well and/or
sewer system has expired.
Permits are issued on a calendar year basis, as stated
on the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be
sent to this department to document the installation
date.
If there are any further questions, please contact
this office at 264-4720.
Sincerely,
Les N. Buchholz, R.S.
Senior Environmental Specialist
Um/ljw
enc~ copy of permit
APPLICANT J. BUMGRRDNER <DBA SUN C
,LOCATION
:LEGAL L14 B2 DRC-ZELL-SCHNEITER
~TvPE OF SOIL RBSORBTION SYSTEM IS:
BOX 474 E SAR
TRENCH
LOT SIZE
344 19~
49239 SQUARE FEET
MRXIMUM NUMBER OF BEDRO~ = 4
SOIL RRTINO (SQ FT/BR)= B3
THE REQUIRED SIZE OF THE SOIL ABSORPTION S~TEM IS:
DEPTH= ~,-O LENGTH= 29 GRAVEL DEPTH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
:REQUIRED SEPTIC TANK $!ZE= 't250 GALLON5
PERMIT RPi:I. ICRNT H~S THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTV AND THE ":"
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. .."',--
------ TWO (2) ! N~PECT ! ON$ ARE RE{~U I RED
iBRCKFILLING OF RN~ SV~TEM WITHOUT FINAL INSPECTION AND RPPROVRL BY THIS
DEPRRTHENT WILL BE SU~$ECT TO PROSECUTION.
;MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
,t00 FEET FOR R PRIVATE HELLJ OR .; ......
'150 TO 288 FEET FROM R PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC HELL.
:NELL LOGS fIRE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DR~
:OF THE NELL COMPLETION ....
iOTHER R~QUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERMIT EXPIRES DECEtIBER 3'1. '1978
,I CERTIFY THAT
t: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWER~ fiND WELLS tis SET
FORTH BY THE MUNICIPALITY OF RNCHORflGE.
2: I WILL INS-TALL THE SVS-TEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
,RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
,SIGNED: ___-~_~ .......
RP/~..ICRNT ~ BU~IRRDNER (DBA SUN COl~T) '
ISSUED .... DRTE V3. 2
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
9
10
11
19-
20-
COMMENTS
PERFORMED BY:
72-008 {6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L* Street, Anchorage, Alaska 99501 2644720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
SLOPE
poortv,q ra(&~ :~unc~s
-clay
I
WASGROUNDWATER
ENCOUNTERED?
IF YES. AT WHAT
DEPTH?
DATE PERFORMED:
PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
PROJECT
CLIENT
SOILS
~ SHEET 90F~
L
C:.. ~' 7" / c./.,,'
TEST HOLE NO. 2-15
ELEV. TOP OF HOLE 460+
14
W.O.
DATE 11/2/76
Test Hole Located in Old Gravel Pit --
2-15 (1) _
(9.9% Silt)
Damp, Brown Sandy Gravel (GW) __
Damp, Brown Gravelly Sand (SW) __
Bottom, Dr~ Hole __
2701 EaSe Street
DAILY DRILLING LOG
SYREN BROS. DRILLING, INC
Anchora~. Alaska 99503
27~6437
OWNER or LASD ......... ~.:.~...~::~:.~--'-- ....................................
SRA Box 474-E, Anch.. AK 99507
ADDRESS .................................................................................................
8125182
~ATE-S?ARTED ......................................................................................
DATE-ENDED ..........................................................................................
DEPTH OF WELL .......................................................................................
STATIC LEVEL OF WATER FT.....~.~.....f.-t...:....~..G...~- ...............................
DRAW DOWN FT ....................................................................................
14 gal/min.
GALS. PER IIR/MN ....................................................................................
G" dia. A53 GRD B Steel
KIND OF CASING .................................................................................... -,-
F- 65 .... 78 ._ dry clay/gravel
KOM ..................... rL ~u ....................... r~ ......................... :. ........
F R OM......7..8_ ............. FT. TO......~-..O..:q. ........ FT......~.!..~. t..k'....~.,I.: ~.~:? ] / w a 1: e r
la~ 111 ~,lot, n gravel/water
FROM ....................... FT. TO .....................................................
FROM ........................ FT. TO ..................FI ...............................
FROM .................. FT. TO ....................... FT ...................................
FROM ........................ FT. TO ...................... FT .................................. m
KIND OF FORMATION:
F .... 0 .... 12 ~ fill/trees/sod
Ku~: ...................... rn ~u ....................... r. ................................... FROM ........................ FT. TO ....................... FT ..................................
12 35 clean dry gravel
FROM ............... FT. TO ... FT ............................ ~ ...... FROM ........................ FT. TO ....................... FT ...................................
35 59 wet sand
FROM ........................ FT. TO ....................... FT .................................. FROM ....................... FT. TO ....................... FT ...................................
~.n~ 59 F TO 65 FT x~ot sz lt~ sand/gra~OM FT TO FT...h~NCP~rr.c~--~NOHO~AGE
DF~T Ce I'?LT:t ~.
FROM ........................ FT. TO ....................... FT---Lq~.~¢~..~r;:~::-:"~. ~'~rlON
FROM ........................ ET. TO ....................... FT ............. l'"~'q .............
: 1 7 1987
FROM ........................ FT. TO ....................... FT ...................................
..................... ....................... ". .......
FROM ........................ FT. TO ....................... FT ...................................
~EROM......, ............... rT. TO ....................... FT ...................................
FROM ...................... FT. TO ....................... FT ......................... :~I. -~ ~ROM ....................... FT. TO ...................... Fl' ..................................
I"~ .-:.- .~ ~ ~FROM ........................ rT. TO ....................... FT ...................................
FROM ........... ET. TO .................... F? ........................ ~... C,
MISCL. INFORMATION: r'l-i ? (~ ~
z ~ Stephen D. Syren
DRILLER'S NAME ..................................................................................
Parcel I.D. #
1. GENERAL INFORMATION
. MUNICIPAL~i~'OFANCHORAGE; .. ~'~-~'.',.':.~* ~[;,' :.-:o.~,.~.- ,' .,
· DEPART~MENT OF HEALTH & HbM~N SER¥[CES
~"~' Divlsi~h of E~ir°nmental S~ices
· . On-SiteSe~icesSecton .'~ ..... ~ . ..,-;.. '
P.O. Box 19~50 Anchorage, Alaska
.......... ~3~7~
CERTIFICATE OF H~LTH AUTHORI~
APPROVAL FOR A SINGLE FAMILY DWELLING'
015-291-26 Y
Complete'legal description
Location (site address or directions) lO;200 Schneiter Dr,.ye
'D~y ph
Property owner ......u ~ ~-~, ~y~- one
Mailing address c/o P*~udential Vista Real E~t~ate
Lending agency - - ~' Day phone
;,~;:, -. . !;'.,%'
Mailin. g address .,
Address "~2'~'1' "~" Street ~ncho~age~
Day phone
AK ~9503
273-7299
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3 ~
.3.
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
XX
e
NOTE:
TYPE OF WASTEWATER DISPOSAL:'
Individual on-site
Holding tank
Community on-site
lng to the legality and status of system.
XX
If community well system, provide written confirmation from State ADEC attest-
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
5. STATEMENT O,F. INSPECTION BY ENGINEER ,.. '... ~..;.,.~...
, .. ~.~,/:?.r . *.;;.*~, ;.:.~. .. ,:~ -;~;.,,~.....,'.. '**? ~'.~' *. - , ..... .. ,
As certified by my sea afl,xed hereto and asof the va ~dat on ~{~ Shown bel0w~ I verify that mY:
.. investigation o~ ~hi$ Health*A~thority Approval application shows that the o~-site water supply
and/or wastewate/di~p0sal'sys~em 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 Anchor~ge_.flles and from my investigation and inspection, *the on-site water
supply and/or wastewater d,sposal system ~s m comphance w~th all Mumc;pal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Rrm ~WATER & WAt~i'EWATE~
CON~ULTANTI~ ,-,' c.
Address P~31 rtl=PARR ROAD. 8U!1~ 2~
'Engineer's signa~u~'e
Date
Alaska Water & *"
Wastewater Consultan~t~ Inc. ~
*Shall be PAID .$ ~)0- at,
.or prior to, closing for the '~
Engineering Services Provided. ~
Se
DHH$ SIGNATURE
A.p.p roved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
By: ~ ·
Date z~ - ~.~ - ~'~'
The Municipality of Anchorage Deparlz'nent 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 DH HS does this es a courtesy to pu rchasera 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.
RECEIVED
Municipality of Anchorage APR 1
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division ~4UN~OP)Ur(
825 L Street, Room 502 · Anchorage. Alaska 99501 * (907) ~°~
Health Authority Approval Checkliat
LegalDascription: Lo~ lZ'/ ~/~t./~. ~ U)d/z~l/,...~n~J~'ParcelI.D.: Offs. ~.o//.~_.~
A. WELL DATA
Well type
Log presen ~I~N)
If A, B, or C, attach ADEC letter. ADEC water system number ~,/'/,~
Date completed
Cased to 11 I
Total depth
FROM WELL LOG
Casing height (above ground)
Wires pmpedy protected ~.~N)
AT INSPECTION
g.p.m. 8 g.p.m.
Date of test ~/8 ~--
Static water level ~ ~ / /~. ~_.~. t.
Well production / LtL
WATER SAMPLE RESULTS:
Coliform ~
SEPTIC/HOLDING TANK DATA
Nitrate
Datelnstalled ;~./C~:~ Tank$iz. /(:)~)~NumberofCompartrnsnte ~.. Cleanoute(~/N) y
Foundation claanou~.~ )~ y Depression (Y~) /~ High water alarm (Y/N),,~//,,z~
ABSORPTION FIELD DATA
Date installed ~'/(~/(~ Soil rating (g.p.dJfP or F/bdrm)
Date of ~ Results (Pass/Fall). For
Fluid depth in absorptten flald befom~t~ Immediately after gal. water added (in.):
Fluid depth (ins) Minutes later: ~ g.p.d.
Peroxide treatment (past 12 months) (Y/N) If yes, give
72-(]26 (Rev.
UFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot J / ~ ''Y On adjacent lots
Absorptlonfleldonlot Io'~l~ +' '/~ old On adjacent lots
Public sewer main /~//<~' / Public sewer manhole/cleanout
Sewer/septic ss~ce line ~ O~ '/-- Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
/ /
Foundation ~ Z Property line 80 ~ Absorption field
I
Watermain/cervicellne I~ '/'- .Surfacewater/drainage /O0 Wells on adJacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
I I /
Propertyllne Z~ ~ Buildlngfoundation I0 -I.- Watermain/serviceltne /~ 'f-
Surface water [ 0 0 4- Driveway, parking~ehicle storage area
/
Curtain drain ~.J//Z~ Wells on adjacent lots /c~ O -/-'
HAA Fee $
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
~ _CT&E Environmlnt]_l_S_!rvico$_lnc'
CT&£
Client Name
Claret SMnpIc ID
OrdeFed
Didz~ll Sdmc~r, L 14 B 2
DaL~II &'..h~it~r, L 14 B 2
Drinkm~
Client
l~lnted DnteJTlme 04/08/~ 14:49
Coll~ed~te~e ~ 14~
R~eiy~ ~t~e ~/~ 15:15
T~I ~or: Stephen C. E~
1.?~ 0.50o m~t~ EPA 300.0
0 cot/IO3~, $~15 9~.~
10 .~.A ~,/03/9~ ~/O$/Og SCL
RECEIVED
Oept./~.~,,i ?.01 g~efl~,.~._
./
Parcel I.D. #
· ~ 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
GENERAL INFORMATION ......
Complete legal description ~ '
J
Location (site address or directions)
~.~. ~W_. ~/f~
Property owner
Mailing address
)o z.oo ~--~'_~ ~ ~ ~ 0/2--.
Day phone
Lending agency / Day phone
Mailing address '
Agent V/,_rz.d_-.p, ~=.~,-.~p.~.~/E-~,,'-~,4.~ ~u~C-~'~O~'l D~ayphone
Address ~0 ~ , 17~N~ ~ ~' ~. ~/~
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-
lng 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 my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with afl Municipa~ and State codes.
ordinances, and regulations in effect on the date of this ins ~ection.
Name of Firm, Alaska Water & Wastewater/j Phone
Address ' 73~ E~! Che~r Hts. Cixc~e/%/
Anchorage, Alas ' 9~~ '
Alaska Water & Wastewater shall be paid $850.00
sfrsO,m th.e e.scr,ow account for inspection of the septic ~-~--7~
y ~:em :tnscal~ation. The invoice for these services ~TK~-
was sumitted to the sellers anent ~-~k ...... ~%~.."~
= , ,~ou,~& ~umgarc~ne~z.~ ..
Please mail payment to the address shown above. 'f~J~,~
. '¢.~./%//j~ ~.c~,,-- .. ~$.
s. oH.s SIGNATU. '7
- ~' Approved for 2 bedrooms '%[°?~0~$
Disapproved. '-,
Conditional approval for bedrooms, with the following stipulations:
Additional Comments .
By: ~ ~7~~~~~
Oate.? -/2 -
The Municipality of A6Chorage 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 es a courtesy to pumhasers 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.
DEPARTMENT OF HEALTH & HUMA. N. SERVICES
Environmental Services Division
FIB 2 5 1998
825 L Street, Room 502 · Anchorage, Alaska 99501 · (9[:)7) .3~.?stt~o~Anchorage
Health Authority Approval ChecklistUepc ~em~,~[
Human
A. WELL DATA
walt type
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
If A, B, or C, attach ADEC letter. ADEC water systqm number
\[ ~---"S Date completsd ~/,~ 7/~2'
I I I Cased to I I I Casing height (above ground)
%~--S Wires properly protected (Y/N)
FROM WELL LOG
Date of test ~/~ ~
Static water level ~ ~' I ~, ~'. L.
Well production ! 4'
WATER SAMPLE RESULTS:
Coliform ~ , 1/,~/~;:~ Nitrate
Date of sample: , Z~4~ ~' ~
AT INSPECTION
g.p.m.
/.
Collected by: ~'pUt2.~-. L~-d~)
Other bacteria
B. SEPTIC/HOLDING TANK DATA
Date installed ' ~ /c/~ Tank size
Foundation cleanout (Y/N)
Date of Pumping /~'~"~ Pumper
C. ABSORPTION FIELD~ATA~.
Date Installed _,~ ~ Soil rating (g.p.d./fF or ~/bdrm)
Length C:~_. __Width ~' Gmval thickness below pipe __
Effec~ absorption ama 4(00 +' Monitoring Tube present (Y/N) Y
[ ~ Number of Compartments ~ Cieanouts (y/N) y
Depression (Y/N) /~/O High water alarm (y/N) /J ~
Results (Pass/Fall)
Fluid depth in absorption field befom-'re~ Immediately after
Fluid depth (ins) Minutes later:..
._Eeroxide treatmem (past ~ months) (Y/N)
72.026 (Rev. 3/96)*
gal. water added (in.):
~ ?p.d.
If yes, ghm date ~
D. UFT STATION
Date installed ~
Manhol~Acce~' ~Y/N)' ' ' : ~evel at'
High water ~~~''''~- 'Datum
Cycle.~"~fed
"Pump off" level at*
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot ~ ~Z¥ t't'
Absorption field on lot
Public sewer main
Sewer/septic sewice line
On adjacent lots 1001~
"F~=,~-~4 On adjacent lots I OO f'+'
Public sewer manhole/cleenout
Lift station
too/+-
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Fou.dafion C~ / :L Prope~ ,ne ~ O/~ Abson~on fie~d. ~' '+
Water main/sewice line ]0/'*' Surface water/drainage ~ 00~- Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Properly line
Surface water
Curtain drain
Building foundation | ~ I+' Water maJn/servise llne
Driveway, parking/vehicle storage area
Wells on adjacent lots /' '2.O
ENGINEER'S CERTIRCATION
,/I
Engin.r's Nam~
HAAFee * ~L_.~)~' ~
Date of Payment
Receipt Number ~r~- ~,~ ~'~ ~'
72-026 (Rev. 3/g6)*
Waiver Fee $
Date of Payment.
Receipt Number
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. #
1. ,.GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
.AA. \
Location (site address or directions)
.Property'owner
..Mamhng address
?:. Lending la{~enc~,
Mailina address
Agent
Day phone
Day phone ~
Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OFWATER SUPPLY:
e
NOTE:
Individual well
Community well
Public water ·
If community well Syste, m, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individdal on-site
Holding tank
Community on-Site
Publi~ sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of eystem.
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 ". .' _,__ ,,,.,..o ,. w,.t,w~et' Phone
· _ I _
_/I
Englneer'sslgnature / ~'~./~,iV/f '"~. '~/. Date
.
Approved for b~rooms.
~ Di~pproved.
~ Conditional approval for ~ b~rooms, with the following stipulations:
Honey sha[[ be pu~ in escrow
accordance with the a~tached pe~c ~5~9704~4 and the above repairs reported
by the engineer.
The above work sha[[ be completed by
. escrow sha[[ not be ~eleased un~l this of~ce has given f~aa[ approval.
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. Th~ D H HS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state req ulrements. Em ployees of D HHS do not
conduct inspections or analyze data b~fore a certificate Is issued. The Municipality of Anchorage is not
responsible for errors or omissions In the professional engineer's work.
Munlclpality of Anchorage R E i~ E I V F ~
DEPARTMENT OF HEALTH & HUMAN SERVICES ..... ~
Environmental Services Division DEC 9
825 L Street, Room 502 · Anchorage, Alaska 99501 · (90,7,) _.3z~3-. 47;L~ 1997
.~um~tpllity of Anchorage
Health Authority Approval Checklist Dept. Hellth &Human Servfce~
LegalDescripfion: ~.~'T /~/ J~/~---~. ~ ParcelI.D.:. O/~ --~/-~
WE~ DATA
Well ~ ~ M ~, If A, B, or C, a~ ~EC le~er. ~EC water ~em numar ~ ~
L~ pmsem ~) ~ Date ~plemd e/37/~ ~
C~d to %.~ % I ~ing heig~ (~e ground) ~ ~
FROM WELL LOG AT INSPECTION
...
Static water ~et _ ~
Well p~on _ ~
WA~R S~PLE RESULt: _
~ Dam In.led ~¢~ ~
F~daaon de~ ~) ~S ~pm~ion ~) ~O High ~er ~a~ ~)
Dme~Pumping ///ff~ ~mmr ~+ ~ ~;~
~~ C. ABSORmON REm DATA (~ ~
~ D~I~I~ ~/~ ~ilmflng (g.p.d~0rffi~) /~ S~m~
Grovel ~ic~ ~1~ pi~ ~ T~ de~
Eff~ ~flon ~ ~ M~ofl~ Tu~ p~m ~) ~ ~ ~pm~ion ~r field ~)
I R~uid depm ~ a~o~ field before m~ (In.); ~ ' lmmedlateN a~r~__~.~ ~mr add~ (in.):~__~.
/ Ruid dep~ ~ (i~) ~s later: .... ~ !"./' - ...,~o~on m~ = ~' ~ r5 ~ ~.p.d.
Pe~e~(p~12m~)~) ~o~ ~o~ If~s,g~da~
72,-026 (Rev. 3/96)*
Manhole/Access (y/N)'~__ "Pump off' level at*
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot WOO I.f.
I
Absorption field on lot J ~ ~
Public sewer main I~ Ifo~
Sewer/septic service line ~ ~'/+
On adjacent lots 100 I'+'
On adjacent lots
Public sewer manhole/cleanout ~,l/,~-
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ~'/~' Property line ~' (4- Absorption field
Water main/service line /014'' Surfacewaterldrainage LOO1~- Wells on adjacant lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Pmberty line ·
Surface water
Curtain drain
% ~ (+ Building foundation ~j~ Water main/service line
/ 0014'' Driveway, parking/vehicle storage area ~
~ o.',/~- J~.~(3~,AJ Wells on adjacent lots /00/~'
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev.
· laska Water & Wastcwatcr
7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504
December 19, 1997
(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
ReE Conditional llealth Certificate for Lot 14, Bk 2, Dalzeil Schneiter S/D.
To whom it may concern:
The existing 3 bedroom house is served by a private well and septic system. The trench system
was tested by Toben Spurkland, P.E. and deemed to be in a failed condition. Alaska Water &
Wastewater was retained to design the upgrade. The design was submitted to DtlIIS on or about
12/17/97. At this time we are requesting issuance of a conditional HAA so that the sale of the
house can proceed. The existing system is functioning adequately, and has an absorption
capacity of greater than 320 gallons per day, per Toben Spurkland, P.E.. Based upon my
observations, there are no environmental or health concerns associated with granting the
conditional HAA. The intent is to install the new septic system prior to June 15th, 1997. In
addition to the septic system, the well wires need to be fully encased in conduit, and a plug needs
to be installed in the top ofthe sanitary seal.
If you have any questions, please contact me at 337-6179, or 244-9612.
assistance. /~
Sincerely,/~/~/~/
Thank you for your
203 WEST ISTH. AVENUE SUITE 203
ANCHORAGE, ALASKA 99502-3904
(907) 279-3916
Fax (907)-276-6013
LEGAL:
LOCATION:
OWNER:
RESIDENCE:
WELL:
SEPTIC SYSTEM:
SEPTIC SYSTEM ADEQUACY TEST ~..,.--:.~': ~-.~.
Lot 14, Block 2, Dalzell-Sc~e~ter S~
10200 Schnelter Road ~
· · ·
On Site Single F~lly
FROM M~ICIPAL RECORDS 4 Bedroom Syst~'.o'
TANK: Greer 1250 Gal. 2 CompS.
ABSORPTION SYSTEM:
ABSORPTION AREA:
SOIL RATING: 150
INSTALLATION DATE:
WAIVERS GRANTED:
Trench,
648 Sq. Ft.
8-20-$2
None Required
DATE OF LAST PUMPING: A+AnchorageNovember 1997
DATE OF TEST: December 2, 1997
TEST PROCEDURE: System was inspected and measured. Tank was found with four feet of
cover and with a liquid level of 47 inches. No trench clean out was found. Trench monitor was
8 feet deep and with 27 inches of liquid.
750 gallons ofclcan water were added to the trench while the liquid levels in the tank and the trench
were monitored. The water level in the tank did not change and while the water level rose 18 inches
in the trench monitor. Thc next day the water level in the trench monitor had dropped 7 inches,
indicating that the system had absorbed 320 gallons of water in 21 hours.
TEST RESULT:. The system will probably function satisfactory for several years, but replacement will be necessary
within the next ten years, if used heavily maybe within the next three to five years.
The system does not meet the code requirements of the Municipal llealth Department which requires an absorption
rate of 150 gallons per bedroom per day, or 450 gallons per day.
NOTE The operational life of all septic systems depends on the local soil conditions, ground~vater
levels that may fluctuate during the year, and the water usage of the family being served by the
system. These conditions are outside the control of the evaluator of this septic system. We ~:an
therefore not give any estimate &how long this system will function satisfactorily for current or
future occupants. All septic systems ultimately fail. Some systems last i 5-20 years, others fail after
less than five years.
T. SPURKLAND P.E.
WEST ISTtl. AVENUE SUITE 203
ANCl IORAGE, ALASKA 99502-3904
(907) 279-3916
Fax (907)-276-6013
RESIDENTIAL WELL INSPECTION
LEGAL:
LOCATION:
OWNER:
Lot 14, Block 2, Dalzcll-Schneiter S/D
10200 Schneiter Road
Marines, Mark
TYPE OF WELL: Private, Single Family
WELL LOG AVAILABLE: Yes
INSTALLATION REQUIREMENTS MET: Yes
WAIVERS GRANTED: None Required
WELL YIELD FROM WELL LOG: 14 Gallons per Minute
WELL YIELD FROM TEST: 8.5 Gallons per Minute
DATE OF INSPECTION: December 2, 1997
TEST PROCEDURE: Well was pumped at a constant rate while the drawdown was monitored with an
acoustic probe. At the beginning of the test water level was found at 43 feet below top of caslng. At a pumping rate
of 8.5 gallons per minute the water level dropped to 81 feet after 2 hours ofpumplng. A total of 840 gallons was
pumped in that time period. The well recovered to 54 feet within 15 minutes..
TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested for E.Coli and total nitrogen on
December 2, 1997
E.Coli 0. Other Bacteria 77 Total Nitrate-N 0.200 mg/l
Max. allowable Total Nitrate-N l0 mg/I.
I 0 Colonies of Bacteria Allowed
TEST RESULTS: This well meets the requirements of the Municipality of Anchorage with the exception
that Ihe well wires are not protected by conduit as required. The well must be elorinated to get rid of bacteria.
THIS WELl, WILL PRODUCE MORE TIIAN 3 GALLONS PER MINUTE FOR MORF~
THAN FOUR HOURS
The Municipal requirement for well flow is 150 gallons of water per bedroom per day. This well exceeds this
requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The
flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in the
land use and other factors that may impact the aquifer feeding the well.
' 'CT~,E ESI AHCHO~'AGE
P.82/03
C'r&E Rcf.# 97732 t~.~ t
Ctient Name Tobben 5~,:r;:b.'~d P.E.
Project Norad# 14:2 DS
Client Sample ID I~.'2 DS
Matrix Dr:r~i~ Wa'er
Ordered By
PWS~
Cli~.:tt
Printed l}ate,Timt 1%'09/97 21:26
Collected Date/Tilae 12/02~97 15:00
Received Dalerfime 12 '02'97 15:30
Technical Director: Stephen C.
'CT~E ESI AKCHOPAGE
9075615~01 P. 03/'03
)rinktnE '~¥ ater Ar~ai)'s~s ~epo~ [or Total Coliform Bacteria ~.~:~.. ~ S~-~
~[4D I.~'$TR&'~lo~'~ 0~' ~VE~E SlOE ~EFOR~ COi[EC~I3~'~ ~~BY LA~O~Y
SAMPLE 'IWPE:
~ Trt~tcd Watt,
CI R~pes~ Sam~'t~ (fo~ rcutln~ sampl~ ~g, · Untrcal.~ Wz¢~r
~ilh I~b rtl nc. . )
Spcci~l PurpOse
SAMPLr LOCATION
to n~ c~:t tc!i~b;e ~ul~ PIc~
D5C-15-1997
88:4~ CT~E ESI ;~CI~AC;E 9~,$615~'~ P.O1/~i
CT&E Environmental Services Inc.
.'Lking Water Analysis P, epor~ for Total Coliform Bacteria :o~ w. po..,., o,,,.
Anch~rl~eo AK g~611.1605
Fix: I~ S61.5~1
MUST BE COMPLy. ~ rD ';,Y WATER, SUPPLIER
ruB, :c WATER SVSTC~ rD. # IIIIIII
P~A~ WATER S~i [51 --
:Md) DaT yem'
SAMPLE TYT~: ' --
eA~OLOG[C.~ WATER ,A~AI.,YSIS RZCO~D
Time. ~ .
TOT'Pl- P. 01
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
tt87-0087
Application Date
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 14 Block 2 Dalzell-Schneiter Subdivision
Location (address or directions)
Property Owner Hark Marines Telephone: Home Business 659-5016
Mailing Address BOX 103435, Anchorage Alaska 99510
Lending Institution Alaska USA Telephone
Mailing Address BOX 196613, Anchorage 99519
(b)
(c)
(d) Real Estate Company and Agent
Address
Telephone
(e) Mail the HAA to the followino address: or: Check here r-I, if hold for pick up.
List contact person and day phone number below.
TYPE OF RESIDENCE
Single-Family [~:x
Number of Bedrooms
four (4)
WATER SUPPLY
Individual Well ~x Community f'1 Public 1'-I
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite~XXPublic n Community D Holding Tank []
Note: I! community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe. functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained
from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
NameofFirm Hugh Bevan, Bevan Engineerin~lephone 522-1383
Address PO BOX 112852 Anchorage 99511
Date
Engineer's Seal
This d~partment has received written confirmation from the engineer
regarding the Conditional Approaval of February 23, 1987. The
corrections have been accomplished and an inspection has been completed
~y the engineer. The subject property meets with Municipal standards
and is now approved.
Approved for four (4) bedrooms by ate
Approved XZXXXXXXXXXDisapproved Conditional
June 12, 1987
Terms of Conditional Approval
CAUTION
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
certificates based only upon the representations given in paragraph 5 above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in
order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data
before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional
engineer's work.
Page 2 of 2 72-o~ ~.~, 8~6t sack
BEVAN ENGINEERING
P.O. Box 112852
^nchor,~c~. AK 9~11
19~7) 522.1383
June 12, 1987
Municipality of Anchorage
Department of Health & Environmental Protection
825 "L" Street
Anchorage, Alaska 99501
)~N 1 ~ 1987
RECEIVED
Re': Mark Harmes, Health Authority Approval (HAA) Application
Lot 14 Blk 2 Dalzell-Schneiter Subd.
Gentlemen :
On June 11, 1987 I reinspected the referenced property. The septic tank
standpip.es have been ~epaired and the well wiring is encased in conduit.
repairs complete the HAA Application.
These
Sincerely,
87201-ws
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Date Z--J~:'-- ~ 7
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot. block, subdivision, section, township, range)
Location (address or directions)
(b) Property Owner':~'~,~,'~5' ~'/~',,,'~.I" Telephone: Home .
(d) Real Es'tate'Companyand Agent
Address
Business ~'~"~ ---~:~/'~-
Telephone ~.~..5' -
Telephone '
(e)
Mail the HAA to the'f611owina address: or; Check here r-I, if hold for pick up.
List contact person and day phone number below.
TYPE OF RESIDENCE
Single-Family,,~
Number of Bedrooms
WATER SUPPLY
Individual WellJ~ Community I-I Public D
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite,,~ 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.
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION '.
AS certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation of this Health
Authority Approval shows lhat 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 ~"~/./,~.,"~ ~/"~'~.~-.~.~,~"2,~/~ Telephone
Address ~X /~ _~ ~ ~
Date ~--/~ - ~ ~
D HHS APPROVAL ._~_~/.~//.,~/~ ./~/
Approved for /z'~,,... ~Z~_,) bedrooms by -
B~ep~ Conditional
Terms of Conditional Approval ~-~ ~Z~,>~/~,~,~ .
CAUTION
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
certificates based only upon the representations given In paragraph 5 above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in
order 1o satisfy certain federal and state requirements. Employees of DHHS do not conduct 'nspections or analyze data
before a certificate is Issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional
engineer's work.
Page 2 of 2
/VtUNICIPALITY OF ANCHOI~,GE
ENVIRONM£NTAI, SER¥1CES DIVISION
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4744
Legal Description:
FEB 1 ? 1987
RECEIVED
-~,
WELL DATA
Weli Classification ~/~"~',,"~ If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) Y Date Completed ~'- Z'7- ~'Z Yield -.~. ,~ ~..~/,.~
Total Depth ,,/'// Cased to ~'~,~,-",-/~[~Depth of Grouting
Static Water Level -'~'~.. ~'/ ' ,,~.,~v-'
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line /1/,//.''~ To Nearest Public Sewer
Pump Set At ~/,'~-~--~'~'~,~'.~./
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots ,,/,:' ~' ~
; On Adjoining Lots ,'/~.':' ~''
Cleanout/Manhole /~'//~'~ To Nearest Sewer Service Line on Lot
Water Sample Collected by _~/'~?./5/ ~'~ ~.-3,,..~ ; Date ~-/~- ~
Water Sample Test Resul~ ~ ~ ~ / ~ ~ ~
Comments /~ ~-/
[~J ~ ~~ ~ mo~ ~J~ /
SEPTIC/HOLDING TANK DATA
Date Installed °~",~"='-
Standpipes (Y/N)
Depression over Tank (Y/N) ~/'
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) ~'/,//,.'~
Separation Distances from Septic/Holding Tank:
To Water-Supply Well
To Property Line
Size ~ No. of Compartments
Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N)
Date Last Pumped ~'-/.-~- ,~' ~--
;for
Temporary Holding Tank Permit (Y/N) "~'.,,"/,,'~
To Building Foundation
To Disposal Field
To Wate[ Idain/s~,ice Line '~//~' To Stream, Pond, Lake, or Major Drainage
j ,tJourse. · - · ~ :~- - . ,
...,,,,_ ,
iff. ~
~ ~:,., .'. ,.:q., ~l
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date nsta ed J
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well _,/~'~'
To Building Foundation -~'"~'
LOt /?,"/~'~
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line ,-~'~ /
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present)
Comments
LIFT STATION
Date Installed
Size in Gallons
'Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump OfF Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
Check Permitted Bedroom Rating Against HAA Request °*
I certify that I tja.ve checked, verified, or conformed to all MOA a:d HAA guidelines in effect on the date of this inspection.
Signed .,~'/. ~~ Date
Company z'~,~/',~)/-, ~'~/,,,'/.~,//,~.- MOA No.
Receipt No. ~OO~ -
Date of Payment ~ I~ ~
Amount: $ I O~~
Page 2 of 2
BEVAN ENGINEERING
^pproved Wel & Septic Engineers
P.O. Box 112852
Anchorage, AK 99511
(9O7) 522-1383
(907) 258-0584
February 16, 1987
Municipality of Anchorage
Department of Health & Environmental Protection
825 'L' Street
Anchorage, Alaska 995~1
FEB ! ?
RECEIVED
Re : Mark Marmes, Health Authority Approval (HAA) Application
Lot 14 Blk 2 Dalzell-Schneiter Subd.
Gentlemen
During the period from February lQ to February 15, 1987 we performed research,
site investigations, well flow testing and absorption field testing pursuant to
Health Authority Approval on the above referenced lot.
We performed a well flow test and found the well production to be 5.4 gallons
per minute (gpm). This exceeds the required 0.4167 gpm for a 4 bedroom heme. We
took a water sample for Coliform analysis and the results were negative.
We performed an adequacy test on the septic system and determined that it
absorbed at a rate of 74~ gallons per day Cgpd>. This exceeds the 6~ gpd
required for a 4 bedroom home. The septic tank was pumped and the volume
verified to be 125~ gallons.
To our knowledge all of the information requested on the HAA Checklist and
Application has been assembled. We are submitting this data to you for your
review. Please contact us if we can provide any additional information.
Sincerely,
Hugh R. Bevan P.E.
Attachments :
HAA Application
HAA Checklist
Sewer As-built
Original Soils Investigation
Original Well Log
Total Coliform Analysis
Septic Pumping Receipt
cc Mark Marmes
87201-ws
APPLIC"NT FILLS OUT UPPER HA[~"~, ONLY
Lending Institution ' / n '~ ~ ~ ~ ~ ~ ~one
Water Supply
~ Public Utility
~ Holding Tank
NOTE: THE INSPE~ION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~ESSING CAN BE INITIATED.
Time Time Time Time
Date Date Da~e Date
Inspector Inspector Inspector Inspector
( ~ ) APPROVED ~DR~MS 'CONDITIONS OF APPROVAL
( ) DISAP~OVED
( ) COND~T~NAL APPROVAL'
By:DATE
November 22, 1982
Sun Construction
Box 474 E SRA
Anchorage, AK 99507
Subject~ Lot 14 Block 2 Dalzell - Schneiter
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed~
The top of the well casing should be sealed so that it is
water tight.
The %;stet analysis report needs to be submitted to this
office from the Chem Lab, 5633 B Street, for our review.
A four (4) inch cleanout needs to be installed to the sep-
tic tank.
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
RP231/p/E~!
Robert C. Pratt
Associate Environmental Specialist