HomeMy WebLinkAboutCHRISTOPHER HEIGHTS LT 3AChristopher
He40
ights
Lot 3A
#015-233-10
015-z33
I0
MUNICIPALITY OF ANCHORAGE
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
PHONE [
UPGRADE
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATI O N
Well [Absorption ~rea
. I DISTANCE TO:I ,-~ ~'~ /
~ Z I Manufacturer
~ Liq. capacitv in gallons c u~:~.. ~. Inside length
i GOO '~ "~ ..........
~0~ DISTANCE TO: [Well Dwelling
CZ ~ I Manufacturer
_
~ Well ~
~= ~ DISTANCE TO: I ;%~r '~ Foundation
~ m Z No. of lines Length of each lioe Total length of li0es
~ z m I ~ ] ~5 C,
~ ITopoftietofnishgra~ .' Material beneath tile
m / Length Width Depth
~ ~ [ Type of crib Crib diameter Crib depth
~ ~ Wel~ ~ Building foundation
~' I DISTANCE TO:
~ lCl~s Depth Driller
~ ~ Budding foundation Sewer line
DIS~NCE
TO:
I
IDwelling ·
Material.
Width '~> '~-C
NO. OF BEDROOMS
Nearest lot line
PERMIT NO.
No, of com~_ artments
Liquid depth
PERMIT NO.
Material Liquid capacity in gallons
PER MI .~NO.
Trench wi~tb
" inches
inches
Total effective absorption
Distance between lines
Total effective absorption area
PERMIT NO.
)rea
Nearest lot line
Distance to lot line PERMIT NO.
Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
f_ ~ IT~C
SOIL TEST RATING
INSTALLER
REMARKS
LEGAL
CK,,-,'.s+,.,',{,l-,,:;- t--~;',~h~ s ~t..\ i_.~.L ,75
72-013 (Rev. 3/78)
PERMIT NO.
AF'F'L I CANT
L~"~CFIT I ON
LEGFIL
/
i'-ILII"-,,I I C I PC:iL I T'"r' I3F RI",IC:H""'~RRGE ~ t¢¢., ~('
DEPARTMENT I_ HEALTH AND ENYIRON1."IENTAL .... OTECTION
,_'=:.-'. L' STREET, ANCHORAGE, Al..':. 9958:1.
264-4728
I-4ibb RI"-.i[:, I3I'4--5 I Ti_-"':'EI.4ER PERI'"""I I f
82i15~ .':,
FEJES DEVELOPMENT INC: 69i? OLD SEWARD HIGHWAY 99582 ~44-6691
L~B1 CHRISTOPHER HEIGHTS
LOT SIZE 999999 SQUARE FEET
TYPE OF SOIL RBSORF'TION ...., 'r =,TEM IS TRENCH
1''18;4 I MUM NUMBER OF BEDROOMS =_.? SOIL RATING <SQ FT/BR>=
297
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM Ic'
DEF'TH= 11 LEN6TH= 77 6 F-.' R '..-' E L r:,EPTH= 7
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A 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>.
RE6!LI I RED SEPT I C TRI'41<-: S I ZE= ::I_E~00 C-iRLLOI'-IS
PERMIT RF'PLICRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NLIMBER OF RESIDENCES THAT THE WELL WILL SERVE.
TI40 ( 2 ) I [4SPEC:T I I--I[-~S ARE REQLI IRE[:'
BACKFILLIN'S OF ANY SYSTEM WITHOUT FINAL INSPECTION RN[:, APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PR~ZISEr:UTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO 8 PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERMIT E>.'PI~:ES DECEMBER ~1.. 1982
I CERTIFY THAT
i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: ! WILL INSTALL THE SYSTEM 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 3 BEDROOMS.
S I GNED '
ISSUED
APPLICANT FEJES DEVELOPMENT INC
.,., .
E:.- -' ~ ..~7..¢/ ...... r)ATE_Y..Z/.
V4. 0
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[zr SOl Ls LOG
zf-~o ..~
PERCOLATION
TEST
5' Jr - 3
2
5 c.,_/,/ '-/
4
9
DATE PERFORMED: ~//' 30 -I~'L
SLO~BE
SITE PLAN
-; q
)
10
11
12
13
14
15
16
17
18
19
2O
WAS GROUND WATER/'"J
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
S
72-008 (6/79)
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ ~:~.e, I0 ,5~ .c,~.
PERCOLATION RATE
TEST RUN BETWEEN
(minatffs[inch)
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological 8 GeophysicolSurveys
Drilling Permit N.o.
LOCATION OF WELL (Please complete either Ia, lb or lc.) A.D.L. No.
I'~c. ] DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 5. OWNER OF WELL:
Feet Below 4. WELL D~PTH: [final) 5. DA~E OF COMPLETION
2. WELL LOG Surfoce /[? ~ ft. ~.. -- ,~7_ ~
Moteriol Type Top Bottom
Cable
tool
Rotary
Driven
Dug
diem. - in. fo__fl. Depth Sfickup [.-.,). ft.
g. FINISH OF WELL:
Type:
Slot/Mlth 8lie: L~ngfh:
Set between ft. and ft.
I0. STATIC ~ATER LEVEL: UC) ft. /~/
Date
Equipment used: ~] ~
II. PUMPING LEVEL below land surface and,YIELD
Material: ~ Neat Cement ~ Other:
I~. PUMP: (if available) HP
Length of Drop Pipe ft. capacity g.p.m.
~ Subm. ~ der ~ Centrifical D Other
14. REMARKS:
CONTRACTOR'S
16.
WATER
WELL
CERTIFICATION:
J5. Water Temperature ~o ~ F ~ C
This well ~as drilled qDder m~jurlsdiction and this report is true to the best ~f ~y knowledge and belief;
Registered Business
~ Conlract L~c~se Number ~ .- ~
Farm OZ-WWR (11/81) Copy Distribution; WHITE-State DGGS, PINK:Driller, CANARY-Customer
Municipality of Anchorage I ets
On -Site Water & Wastewater Program it� I,
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 015-233-10 Expiration Date: —,
1. GENERAL INFORMATION
Complete legal description CHRISTOPHER HEIGHTS S/D; LOT 3A
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
6721 SAMUEL COURT, ANCHORAGE, AK, 99516
JAMES SPROTT Day phone
6721 SAMUEL COURT, ANCHORAGE, AK, 99516
ANNA SCHULMAN W/ KELLER WILLIAMS Day phone
E Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY:
350-0621
632-5373
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Waiver Fee $ _
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
Received by: �j Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ �A6 U —+
Waiver Fee $ _
Date of Payment
Date of Paymen
C3�c� �^
Receipt Number
Receipt Number
COSA# C�Jcj arc)
Waiver#
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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date b r-7 t
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a thorough, OtS000
conscientious engineering analysis of the system in accordance with ADEC and MDA o00 `044
DSD Guidelines 8 Regufations. The reported results described the performance of the o
system under the conditions encountered at the time of the test, and separation o�P�� , , • • • , q 4440
distances measured to readily identifiabla features. The operational life of all wells and \ `
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, soothe wafer usage of the family being served by the system. T '• 000
These conditions are outside the control of the evaluator of the system. Satisfactory test f O
results do not guarantee future performance of the system, nor do they guarantee that i
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide O
any warranty or future estimate of how long the system will continue to meet the - .... ...........
operational requirements of the ADEC or MOA DSD. The content of this report is for ,�ef y ..G rness:' Q
the sore benefit of the owner listed above. Any reliance upon or use of this report by any 0 A Q
otherperson orparty is not authorized, nor will it confer any legal right whatsoever.Q s G—7953oQ
444 �1.7��3.. ��Ao
6. DSD SIGNATURE 4� a ro /essiol'
��040;��OOc
System #1 Approved for bedrooms.
System #2 Approved for bedrooms. OF(( 16
Disapproved.
ON-SITE m
Conditional approval for bedrooms, with the following stipulations— g WATER AND _
a
Original Certificate Date: 6 ';� / /
The Mbdidpeo o gage Deve/op,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represe atations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work.
7. ATTCHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
(Rev. 11/05)
If more than 1 septic system is on the lot:
COSA Checklist # of_
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description:
A. WELL DATA
Well type PRIVATE
CHRISTOPHER HEIGHTS S/D; LOT 3A
ParcellD: 015-233-10
*ASSUMED BASED UPON SURROUNDING WELL LOGS.
If A, B, or C provide PWSID# N/A
Date completed 12/20/1982 Sanitary seal (Y/N) YES
Total depth 106 ft. Cased to *40'+ ft,
FROM WELL LOG
Date of test 12/20/1982
Static water level 40
Well Log (Y/N) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 12+ in.
AT INSPECTION
6/6/2013
Well production 15 g.p,m, 5.41+ g.p,m,
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: GEG, Ltd.
Arsenic: 9.60 ug./L. Date of sample: 5/15/2013
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL Date installed 11/22/1982
Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A
Date of pumping 9/28/2012 Pumper NORTHLAND PUMPING
C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE TO BOT
Date installed 11/22/1982 Soil rating (g.p.d./ft or /bdrm *200
Length 30 ft. Width 5 ft.
System type
TRENCH
Gravel below pipe 10 ft.
Total depth *19.5 ft. Eff. absorption area 600 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 6/6/2013 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 48 in. Water added 680 gal. New depth 74 in.
Elapsed Time: 480 min. Final fluid depth 58 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
**SEE NOTE REGARDING SOIL RATING ON ORIGINAL INSPECTION REPORT. NOTE: NEW MONITORING
TUBE WAS DRIVEN TO 77.5" BELOW INVERT. TOTAL DEPTH AND LIQUID LEVELS ARE CALCULATED
BASED UPON ELEVATION SHOTS TAKEN DURING INSTALLATION.
D. LIFT STATION
Date installed Size in gallons Manhole/Access
"Pump on" level at in. "Pump off' level at
E. SEPARATION DISTANCES
level at in.
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption Feld on lot 100'+ On adjacent lots 100'+
Public sewer main N/A
Sewer /septic service line 25'+
Public sewer manhole/cleanout N/A
Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption Feld 5'+
Water main N/A Water service line 10'+ Surface water *78+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line *1'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water *78'+ Driveway, parking/vehicle storage 1'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*WAIVERS GRANTED AT TIME OF 2002 C.O.S.A. SEE MOA RECORDS.
G. ENGINEER'S CERTIFICATION
I certify that l have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Pri%ted Name JEFFREY A. GARNESS
Date 6/j%�13
(Rev. 11105)
Municipality of Anchorage
• Development Services Department
% Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
0
.ate r �e`•
Parcel l.D. 015-233-10 HAA# (-► �iDo�C�jj�j
1. GENERAL INFORMATION Expiration Date:
Complete legal description CHRISTOPHER HEIGHTS; LOT 3A
Location (site address or directions) 6721 SAMUEL COURT, ANCHORAGE, AK 99516
Current Property owner(s) GLENN DENKLER Day phone 345-1596
Mailing address 6721 SAMUEL COURT, ANCHORAGE, AK 99516
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing address
Unless otherwise requested, HAA will be held by DSD for pickup. -
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (ekcept between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
F!.. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or prior
to closing for the engineering services provided.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
411- investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application,
yK'a-
.�� shows that the on-site water supply and/or wastewater disposal system is(are) sale, 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 riles and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
c;.
M
Name of Finn ALASKA WATER & WASTEWATER CONSULTANTS, INC.
Address 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, AKW WC, Inc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines 8 Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater 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 the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
XApproved for 3 bedrooms.
Disapproved.
Conditional approval for
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
By:
M. 171011
Phone 337-6179
Date 7 114321
bedrooms, with the filowing stipulations:
Manitenance Agreements
Supplemental Engineers Reort
Other WNI✓fR AAPRO✓NL LIVAR WR020048
Original Certificate Date: 7124102
�,.
Municipality of Anchorage 0
• Development Services Department
Buildup Safety Division
LTt•
Onsite Water & Wastewater Program
4700 South Bragew St.
P.O. Box 186050 Anchorage, AK 99519.6650
www.cLanchorsge.sk.us
(907) 343.7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: CHRISTOPHER HEIGHTS SUBDIVISION; LOT 3A Parcel 10: 015-233-10
A. WELL DATA
Well type PWATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES
Date completed 12/20/1982 Sanitary seal (YIN) YES Wires properly protected (YIN) YES
Total depth 106 ft. Cased to 401+ ft. Casing height (above ground) 12+ in.
FROM WELL LOG
Date of test 12/20/1982
Static water level 40 ft.
Well production 15 g.p.m.
WATER SAMPLE RESULTS:
AT INSPECTION
3/6/2002
42 ft.
8.3 9—
p.m-
Coliform 0 colonies/100 ml. Nitrate 0.2 mg./L. Other bacteria 0 colonies/100 mi.
Arsenic: `0.01 mg./L. Date of sample: 6/25/2002 Collected by: AKWWC, INC.
•7/4/2002
B. SEPTICIHOLDING TANK DATA
Tank Type/Material GREER/STEEL Date installed 11/22/1982
Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) YES
Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A
Date of pumping 9/13/2001 Pumper NORTHLAND PUMPING SERVICE, INC.
C. ABSORPTION FIELD DATA 'VISUAL DURING CONSTRUCTION
Date installed 11/22/1982 Soil rating (g.p.d./ft'or0!�r 297 •200 System type TRENCH
Length 30 ft. Width 5 ft. Gravel below pipe 10 ft.
Total depth 14-16 ft. Eff. absorption area 600 ft' Monitoring tube "YES Depression over field NO
Date of adequacy test 3/6/2002 Results (Pass/Fall) PASS For 3 bedrooms
Fluid depth in absorption field before test 50 in. Water added 839 gal, New depth 87 in,
Elapsed Time: 15 min. Final fluid depth 80 in. Absorption rate >= 450+ g.p.d,
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date —
"MT EXTENDS 87" BELOW INVERTI
D. LIFT STATION
Date installed Size in gallons Manhole/Accp— (Y/N)
"Pump on" level at _in. "Pump off" IPvel at _In. High water alarm level at in.
Datum - Cycles tested Meets alarm 3 circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main N/A Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water •79.5'
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line *i'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water `93'+/- Driveway, parkingivehicle storage t'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS *WAIVERS REQUESTED. SEE ATTACHED LETTER.
G. ENGINEER'S CERTIFICATION
I oertify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Na e
Date -7/,6TZ
HAA Fee $ 375
Date of Payment 7- 110
Receipt Number 22.790
(Rev. 12101)
JEFFREY A. GARNESS
.} C T T'
f sy A Go S.-
CE- 1953
rCE-'953 •` �G
rofessioe
Waiver Fee $ 1 000
Date of Payment 7 -116 -02 -
Receipt
-116-02Receipt Number sprigs
Weoaooy'e
S 89'57'25" W 223.64'
N 10' T&E EASEMENT
o
0
0
v I
0
rn
m I N
LOT 3A
J
PM
w 32.4
/ ^ EWSTINC Nw µ, HM
HOUSE i�,J -
QA6 7,,r 27.6 3
co
.0
LOT 4 s }?rr 0 0CCDO C?
N (n tp
LOT 2A
ENCROACHMENT PERMIT 1203-23D
G-2739
EN02027
015-233-10
This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric
cooperative, (herein "Chugach"), whose address is P. O. Box 196300, Anchorage, Alaska 99519-
6300 and Glenn Denkler and Sheryl Davis, (herein "Permittee"), whose address 6721 Samuel Court,
Anchorage, Alaska 99516.
1. Easement. Chugach is the grantee or user of an easement for the construction and
maintenance of electrical facilities, as follows:
Described in that certain written instrument recorded on the 31" day of March 1953 at
Volume 87 Page 388 of the records of the Anchorage Recording District, Seward Meridian,
Alaska,
Described in that certain written instrument recorded on the 15'" day of February 1983 at
Book 850 Page 3 of the records of the Anchorage Recording District, Seward Meridian,
Alaska,
(herein "Easement") which pertains to the following described real property:
The South Ten Feet (N 10') of Lot 3A, Christopher Heights Subdivision, according to Plat
Number 83-562, recorded on the 30a' day of December 1983, on file in the office of the
District Recorder, Anchorage Recording District, Seward Meridian, Alaska.
Permittee acknowledges the validity of the Easement. Permittee warrants and represents
that Permittee is the owner of the fee simple interest in the land subject to the Easement and
the following described real property to which the Easement is adjacent:
Lot 3A, Christopher Heights Subdivision, according to Plat Number 83-562, recorded on
the 30'^ day of December 1983, on file in the office of the District Recorder, Anchorage
Recording District, Seward Meridian, Alaska,
(herein "Parcel").
Encroachment Permit - Page 1 of 4
2. Encroachment. Permittee proposes to continue the existence of the following
improvement(s) on or within the real property subject to said Easement:
A septic system located approximately S feet into said Easement,
(herein "Encroachment").
3. Permit. Chugach hereby authorizes Permittee to continue the existence of the
Encroachment in its proposed location subject to the covenants set forth in this permit.
4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any
claims for personal injury, property damage or other loss arising in any way from the continuation of
the Encroachment.
S. No Expansion or Increase. Permittee shall not in any way expand or increase the
extent to which the Encroachment occupies any of the real property encumbered by the Easement
without the prior written consent of Chugach. Chugach has no obligation to provide such consent.
6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the
Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in
the future give rise to any interest or estate in the real property subject to the Easement or any other
real property. Without in any way limiting the foregoing, Permittee acknowledges that the
Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the
permission of Chugach for purposes of the common law doctrine of adverse possession. This permit
creates no interest in the real property subject to the easement.
7. Modification of Utility Facilities. If the electric utility facilities located within the
Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of
Chugach's total costs for such modification which is reasonably attributable to accommodating or
preserving the Encroachment. If such payment is not made within thirty (30) days of written demand
for same, Chugach may terminate this permit in accordance with paragraph 9, below.
8. Covenants Runninc with the Land. The obligations of the Permittee arising from this
permit shall be covenants running with the land which shall burden the Parcel and the Permittee's
interest in the land subject to the Easement and shall benefit the Easement.
9. Termination. Chugach may terminate this permit after the giving of thirty (30) days
written notice of such termination if:
a. The Encroachment is enlarged, increased or extended within the real property
affected by the Easement.
Encroachment Permit - Page 2 of 4
b. The Encroachment is damaged by any means to an extent of more than thirty percent
(30%) of its replacement cost at the time of destruction.
C. Permittee fails to make the payment described in paragraph 7, above.
10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years
from the date hereof.
11. Entire Ajzreement. This written permit constitutes the entire agreement between the
parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous
agreements, oral or written, between the parties. No modifications, amendments, deletions, additions
or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto.
CHUGACH ELECTRIC
ASSOCIATION, INC.
assin, Director
-ng eering Services Division
Date: 7 `/ Z'
PERMITTEE
By:d'�--
Glenn Denkler
Date: (o I2 1 16 L
By:c,c
SheryVDs-"
Date:
Encroachment Permit - Page 3 of 4
STATE OF ALASKA )
) ss:
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this 2 1 day of
Tt.N�E .2002, by G7LCA1N (Jk-cKLd2 AlvP
Notary Public inland for the State of Alaska
My commission expires:
STATE OF ALASKA )
) ss:
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this Z 1 sr day of
'TUA/9 , 2002, byMassin, Director, Engineering Services
Division of Chugach Electric Association, Inc., atiffi corporation, on behalf of the corporation.
el.�.�,
Notary Public in and f r the State of Alaska
My commission expires: 2/m/0 5 -
AFTER RECORDING RETURN TO:
Chugach Electric Association, Inc.
P.O. Box 196300
Anchorage, Alaska 99519-6300
Encroachment Permit - Page 4 of 4
Municipality of Anchorage
Development Services Department
• Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519.6650
www.ci.anchoragc.ak.us
(907)343-7904
Waiver Review Worksheet
WR#: WR020048 PID#:015-233-10
Date Received: 7/18/02
Legal Description: Chrbtovher Helahts Lot 3A
Engineer. Jeffrev A. Gamess. P.E.
HA#: HA020333 Permit#:
ttlaska Water & Wastewater Consultants. Inc.
Applicant: Glenn Denkier
Waiver Requested: 0 feet from drainfleid to the south vroverty line. 78 feet from sevtic tank to surface
water and 80 feet from the drainfleld to surface water
Criteria: Geology Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
Waiver is Granted: X Waiver is not Granted:
List Conditions or Reasons for above: ANY POiINr/qC Ei{L Nkbi V1 rcm 4K61&,6 r0
rME Giteuvp suirAcre WOULD ArEAP rj TIPAVeL ACCROYs Me VNIVE NAY
ANO P0&WtrI J901AVr 00010 100F47 PRIAT W i�vreRCsrravU TNe cart-AACe
wArr-R. St1 LAi6$A)RsRJ JkJr/ricAr/au MAC %/IS/Oz.
Date: 7`73/02 By: 004"
Name of Reviewer
Rec#: 22798 Amount: $1.000.00 Date Paid: 7/18/2002
7/24/2002
Municipality of Anchorage
George P. lVuerch, Mayor Department of
Public Works
Bttikiing Safety D117sion
P.O. Box 196650 • 4700 & Bragaw Strect
Anchorage, Alaska 99519-6650 •(907) 313.8301
hltp://e�,%v.cl.anchoragc.ak.us
Jeffrey A. Gamess, PE
Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2B
Anchorage, Alaska 99504
Subject: Waiver Request for Christopher Heights Subdivision Lot 3A
Waiver Request #WR020048
Parcel ID #015-233-10
Health Authority Approval Number HA020333
Dear Mr. Gamess:
Your request for a waiver of the required 100 feet horizontal separation from the
absorption field and septic tank to surface water has been approved. The approved
separation distance is 78.0 feet.
This waiver approval applies to the existing absorption field and septic tank to
surface water separation only. Any future 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 343-7904.
Sincerely,
;Dak�q- 72&
Daniel J. Roth
Civil Engineer
On -Site Water & Wastewater Program
ALASKA
oT-
July 15, 2002
iw _.. a�.....
WATER WASTEWATER
CONSULTANTS, INC.
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water R. Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Waiver Requests for Christopher Heights Subdivision; Lot 3A
To whom it may concern:
The existing 3 -bedroom house is served by a private well and septic system. During our field
investigation associated with testing the well and septic system for an HAA, we discovered that the septic
tank and drainfield are less than 100 feet from the creek that runs through the property and the drainfield
is less than ten feet from the southern property line. The southern portion of the drainfield is in a
recorded electrical easement. We do however have a letter of non -objection from Chugach Electric (see
attached). The separation tank to creek distance was shot with a Topcon GPT -1003 total station and
determined to be approximately 79.5 feet. The separation distance between the drainfield and the creek
is estimated to be 93 feet. In order to be conservative, we are requesting you grant a 78 foot separation
distance waiver from the septic tank to the creek, and a 90 feet waiver between the drainfield and the
creek, and a 0 foot lot line waiver to the southern property line. The following items are justification for
the waivers:
The septic tank and drainfield are located in a very visible area that is immediately to the right of the
driveway. If any effluent were to surface, it would have to run across the driveway, before it could
run downhill towards the creek. It is reasonable to assume that the property owner would
immediately recognize the problem and take immediate action to correct it.
Because of the site topography, there is no area on the property to relocate the tank and drainfield
and meet the 100 feet separation distance requirement.
The existing encroachment has existed for almost 20 years with no known adverse impact.
In addition, the southern portion of the drainfield is in a recorded electrical easement. We do however
have a letter of non -objection from Chugach Electric. If you have any questions, please contact us at
337-6179. Thank og7pr your assistance.
ince ely,
Jeffre A r s, P.E., M.S.
Presi .nt
6901 Debarr Road, Suite 213 • Anchorage, AK 99504
Ph: (907) 337-6179 • Fax: (907) 338-3246' Website: akwwe.com
I I
-- L-----------------------
I------------------------
I / �
I / \
I / \
I 1 -
I 1 I I
I \ /
79.5 FEE
I r /
I
/ / \ '% /
I \
EXISTING
SEPTIC TANK
I
EXISTING THREE
BEDROOM HOUSE
I � '
SAMUEL COURT \
ALASKA WATER R WASTKR'ATKR
CONSULTANTS, INC.
PREPARED FOR: PHONE NUMBER:
GLENN DENKLER (907) 345-1596
LEGAL DESCRIPTION:
CHRISTOPHER HEIGHTS SUBDIVISION; LOT 3A
TYPE OF WORK:
SITE PLAN FOR TANK TO SURFACE WATER WAIVER
DATE:
7/15/2002
DRAWN BY:
Z.T.G.
SCALE:
1"=50'
PAGE NUMBER:
1 OF 1
. 4' court'
AI.ASi�A «'A'I'IR 3 «'AS'I'I:AVAI'ER
CONSULTANTS. INC.
991 6F4rA R 40AD SI,ITF M • ANtHORAGF. AR 9"V- P ONF (901)33161)9' hK (90hAzRh?u
PREeAR[ i PHONE NUMBER:
C�Z.Et�ENKLER , ' 257-8266, �11\
cALESCRleTko �:: `
CHRISTRHER HEIGHTS, L04, 3A
r \
TY 7OF wo P�( ISA RAY(NG I.' \ %
DATE:
7/11/02
DRAWN BY:
K.D.W.
SCALE: -
1" = 100'
E NUMBER; /
1
OF�Y
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIOI~
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date -'~//"~/~ ~'
GENERAL INFORMATION
(a) Legal .Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicant Name ~
Applicant Address ~, ~___~,~.,.,// ~~.~t..~
(c) Applicant is (check one): Lending Institution [] ' Owner/builder []; Buyer []; Other,~ (explain);
Business
(e) Real Estate Company and Agent
Address
Telephone
(f) Mail the HAA to the following address:
- - -, =-ilmeering
SRB 196x
Eagle ~,iver, &laska ~J~S~'.
TYPE OF RESIDENCE
Single-Family J~ Multi-Family []
Number of Bedrooms
Other
WATER SUPPLY
individual Well [~ Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. 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.
72-025 (11/84)
Page I of 2
ENGINEERING FIRM PROVIDING INSPECTIONS, TEST~, 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 ail Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm $ & $ E~gineerlng
SRB 196x
Address Eagle ,~w~, - .... m~, - ....
Date
Telephone
Approved ~'~ Disapproved
Terms of Conditional Approval
Conditional
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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
72-025 (11/84)
WELL DATA
Well Classification
Well Log Present
Total Depth /~/' / Cased to
Static Water Level /-/'o /
Casing Height Above Ground
Electrical Wiring in Conduit ~/N~
Separation Distances from Well:
To Septic/Holding Tank on Lot
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
MUNICIPALITY OF ~;~D~:riDtion:
DE~. OF
APR
Date Completed
/42~p f Depth of Grouting
Pump Set At '~//"
Sanitary Seal on Casing~r~'
Depression Around Wellhead (,,Y,~
· On Adjoining Lots
To Nearest Edge of Absorption Field on Lot ,/O,~ [~- · On Adjoining Lots
To Nearest Public Sewer Line /'J/~" To Nearest Public Sewer
Cleanout/Manhole /'/~.- To Nearest Sewer Service Line on Lot ~'c~
Water Sample Collected by -,~ ~ ~ ~_./..~/,~./~-~,~_./--z,~ · Date ..~_~
Water Sample Test Results
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed Size
Standpipes ~//,N) Air-tight Caps Y~N~~
Depression over Tank (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
To Water ~taiTT/Service Line
Course
No. of Compartments
Foundation Cleanout (,Y-~
Date Last Pumped ,-~'"Z'~'-'~:~'/'''
~"/' ~-4- 'for
Temporary Holding Tank Permit (Y/N)
To Building Foundation ~ [
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed //~ ~ ~ '"~'~---
Width of Field
Square Feet of Absorption Area
Depression over Field.(,~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well / ~ l ~'-
To Building Foundation
Lot
To Water f~am/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
Date of Last Adequacy Test
To Property Line /_,, r
To Existing or Abandoned System on
· On Adjoining Lots ~'O · ~'
../
To Cutbank (if present) '"'~'~"
Comments
D. 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 **
Amount: $
I certify that I have checked, verified, or conformed to all M/OA and,l~AA guidelines in effect on the date of this inspection.
Signed ~ Date ,-~,.//~
Company .-~.~:~ ~, ~~ MOA No.
Receipt No. ' : '~ ..,' ~ ~
Date of Payment . .... r''
Page 2 of 2
72-026 (11/84)
APPLI~-- NT FILLS OUT UPPER HAl ..... ONLY
Property Owner F~/~ ~' D~~ /-" ~':'/,~,.~/_> ,'~'/,,." ,'[,' ~ Phone
_ . / '/
Lending Institution~~--L~, ~.,t : ~ ~. Phone
Address ~/ F ~/~>T~ ~J /~-~'~ ZipCode
.early Co.~ A~n: 4' ~ .... ~ '-' / .... .~one '~'
Type of Resi~nce :. ~-..
Single Family
Multiple Family No. of'Bedroo~ ~
: Other
Water Supply .,
Individual A~ACH ~LL LOG. A w~l log is requir~ for all wells drilled since June 1975.
Community For wells ~illed prior to th~ date, give well depth (attach log if available).
~ Public Utility _
Sewer Disposal
~ Individual Year Indiv~ual Installed~
Public ~ility When Connect~ to Public Utility:
: Holding Tank
NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED.
Date Date Date Date
Inspector Inspector Inspector Inspector
Field
Notes:
('J~'- ~ MUNICIPALITY OF ANCHORAGE
DEPT. OP H~/',LTH ~':
ENVIRON;,4~rqTAL Pi~OTEC. I'ION
MAY ~
RECEIVED
I S ) APPROVED BEDROOMS 'CO.DmO.S O~ *...OW~
~ ~ ~S*.mOV~
~ ~ CO.~mO.*b*...OW~'
Soils Rating Date ~wer Installed Well To ~sorption Area Well Log Received
")1- g ~ w~. ~o T~n~ Septi~ T~k Size
72-023 (3/82)