HomeMy WebLinkAboutFIRE LAKE BLK 2 LT 13AFi*re Lake
Block 2
Lot 13A
#051 �361 � 17
Municipality of Anchorage ..'2{{ '~.~.
Development Services Department ..~ ~.
E ui~g Safety Division
On-Site Water and Wastewater Program. 4700 $. Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650 Page J of 3
www. cLancherage.ak, us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: ..~ k~03. 0 ~'~ I PIDNumbe~ O,.f'l - ~[ --17
"~':~----"hW;~' ['~/Sg/"i WastewaterSystem: DNew ~Upgmde
~i'~S~t.~ ~9~;vcdW~OqE~-TEo~ ABSORPTION FIELD
LEGAL DESCRIPTION
Well: [] New [] Upgrade
SEPARATION DISTANCES
Septic Absorption Lilt
Tank Fietd Station
'lid'
~,.,103 ~ "
Hotdlng
Tank
TANK
~Septic r-IHolding I-]$.T.E.P. I-/Other.
BENCH MARK
S & S ENGINEERING
i ns~ections_e~or--,70~E,leRlverLeepR~,No.~ ,t
~ ~ moa uy: ~ RD,r, Al,.k. ~ Dates: 1
Development Se~ices Depa~ent A~proval
Reviewed and approved b ate:
P£R~IT NO. SW02025~ PAGE 2 oF 3
Municip. a[i-t oF An~ho.r'g.cj.e.
DEPARTMENT OF HEA~_TH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 ®Anchorage, At~sk~ 99519-6650®Tetephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 1SA, BLOCK 2, FIRE LAKE S/D
P.m.D. NO. 051-561-17
10' UTILITY EASEMENT
WEST PORTION OF /
IS INSULAT~
e
EXISTING
lA
SEPTIC5
SL
-- (DIVE:RT£R VALVE)
SUMP
NEW 1500 GALLON TMT & DBL2
[XISII~G ~
4 BEDROOM /
~ Hous~ /
LARE ET
MAC
MUNICIPALITY OF ANCHORAGE
Development Sen, ices Department
On-Site Water & Wastewater Pregram
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jul 18, 2002
Expiration Date: Jul 18, 2003
Permit Number: SW020231
Legal Description: FIRE LAKE BLK 2 LT 13A
Design Engineer: 0003 S & S Enginee. r, ing
Owner Name: Chris Olsen
Owner Address: 18133 MCLAREN ST
EAGLE RIVER, AK 99577-7502
Parcel ID: 051-361-17
Site Address: 018133 MACLAREN ST
Lot Size: 34000 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well
[] Water Storage
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 DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under consb'uction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered. sealed, and heated to prevent freezing.
Date:
Date: '~"
Municipality ol' Anchorage
Development Services Department
Building Safely Division
On-Sale Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWERJ~VELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLI'NG
O
Parcel I.D. ~"/- (~ ~ / - / -7
Permit Number SW
Property owner(s) C'/4/2 t J O/.,. ~' ~/'J Day phone
Mailing address (1) )~ )'5 ~ PI~,- l ~/~'
Mailing address (2) [,/rf,- ~- & ~ iV'f.& ~,'~ Zip Code ~/3" 7 '7
Legal description (Lot, Block&Sub'd.) LO+ I'~A.~ locL- , P;r
Legal description (Section, Township & Range)
LotS ze ^cres
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade [~
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool []
Number of Bedrooms
Well Only
Water SIorage
Jacuzzi
Water Soflening Unit
I certify that the above information is correcL I further cedify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Cod.~es.
S & S ENGINEERING
· Eagle RIv&r, Alaska 99577
(Signature of property owner or authorized agent)
Permit Fees: "~'~ O0." '
Date of Payment: 7 /~ / ~' ~.
Receipt Number: O ~.3-~.] ~)'~
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
June 27, 2002
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
ROBERTC. COWAN, P.E.
CML ENGINEER~
(907) 694-2979
FAX (907) 694-1211
REFERENCE: Lot 13A, Block 2, Fire Lake Subdivision
It is requested that you issue a permit to replace the septic tank and install a new
trench to serve '~ the existing four bedroom dwelling on the referenced properly.
A test hole was excavated and a pemolation test performed. The approximate location of
the test hole is located on the attached site plan. At the time of excavation 6/17/02 no
water was found. After monitoring, ground water was not found.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic tank. The installation
of this septic tank will not prevent any future development on any of the adjacent
properties.
Ifyou require additional information, please contact us.
Sincerely, d
~o~rt C. Cowan, P.E.
RCa/b j3
Enclosure
! 7034 I~RTH EAGLE RIVER lOOP · SUITE 204 '., EAGLE RIVER. ALASKA 99577
PHON[ ~1 (907)694-2979
~ LOT 13A, I}I,OCK 2,
B.J.J. R.C.G.
OESI~Nx C/['(ITE RIA:
4 BDRM = '6J30 GPD
SOILS = 0.8/~PD/SO.FT.
600/0.8 =/75'~ SQ.FT. REQ'D.
~ LOT
FIRE
3A
LAKE S/D
7-~0-02 1 OF 1
ONTRACTOR IS RE IR£D TO
LOT lA
DR.A. INFIELD CRITEE
11 .,0 DEEP
~ 7.0 EFFECTIVE\ \ ~ / ~~'
~ 2.5' WIDE
~ 56' LONG k°' k/~ / __~ ...........
~ ............ ~; ........ ~ .......... / ..........
-- INSTALL ~mI. ON HOPE SEPIIC K
/
~ ~ 100' WELL RADIus
.,o~ "~%~-'~ E~T / '
MA TRE
Performed For:,
Legal Descflplion:
Municipality of Anchorage
Developmer~t Servlce~ bep~dmenl
Ru~dlng Safety Division
On-Site Waler end Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage. AK 99519-6650
www.cl.ancho~a~e ek.us
{907) 343-7904
Soils Log - Percolation Test
Depth
6-
7-
~o. '~.;
11.. .','0.
12- :~. ,.,
13- 6. :~
14-
17- o
18-
19-
20-
w~s o.ou.o W~T~.
ENCOUNTI:RED7
IF YES. AT WHAT DEPTH?
Depth to Water A~er
IMonitotlng?
Reading Dale Gross Time Nel Time
0
0
Oeplh to Water Net DrOp
//.' ~-
/o'A
PERCOLATION RATE ~. · '~'~'t~e'~'a~h! P£RC H~E DI~IETER
COMME~S
PERFORMED IN ACCOR~NCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
ROBERT C. COWAN, P.E.
CML ENGINEERS
(907) 694-2979
FAX (907) 694-12'1 !
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Lot 13A, Block 2, Fire Lake Subdivision
June 27, 2002
GENERAL:
The scope of this project includes the replacement of the existing 1250
gallon fiberglass septic tank with a 1300 gallon HDPE septic tank and
installation of a new trench to serve the existing four bedroom residence
located on the referenced property.
Construction shall be in accordance with the approved site plan and design
drawings, Municipal permit with any special provisions or conditions, and
all applicable State and Municipal Wastewater Disposal Regulations.
The contractor shall be responsible for obtaining any necessary
underground utility locates.
Unless specifically agreed otherwise, the property owner shall be
responsible for final grading areas subsequently depressed from soil
settling.
Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department for system installations. Owners installing
their own systems must also receive prior approval from the Municipal
Health Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
17034 NORTH EAGLE RNER LOOP · SUITE 204 · EAGLE RJVER. ,N..A~ KA 99577
Page 2
Lot13A, Block 2, FlraLake
June2?,2002
2. The septic tank shall be sufficiently bedded to prevent settling or shifting ofthe tank.
All standpipes on the septic tank shall extend a minimum of 12 inches above final
grade.
Septic tanks installed with less than 4 ft. ofcover shall be insulated.
A foundation cleanout shall be installed one to four feet from the building foundation.
In the line between the tank and the leachfield there shall be two adjacent cleanouts
(unless an effluent pumping system exists within the septic tank). These cleanouts
shall be located on undisturbed soil not more than 10 fi. from the tank. The first
cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be
to clean toward the septic tank.
Final grading over the septic tank shall be such that a positive slope exists away from
the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on the design. The bottom of
the excavation shall be within 2 inches of level. If the sidewalls of the excavation
become smeared, they must be raked or scratched (rafted-up) before gravel (seaer
rock) placement.
o
Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
A silt barrier must be installed between the final gravel layer and the native soil
backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill.
Monitor tubes shall be of four (4) inch diameter, installed approximately in the
locations shown on the design, and extend a minimum of 12 inches above final grade.
The portion of the monitoring tube extending through the gravel shall be perforated
from the bottom of the a'ench to the invert of the distribution pipe. This is equivalent
to the effective depth ofthe gravel as noted on the design.
Page 3
Lot13A, Block 2, Flre Lake
June 27, 2002
Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent the formation of a
depression afier settling.
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pi~ Perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the inspecting
engineer.
Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings (Caul&r, Femco,
or equal).
A permeable nontoxic silt barrier Crypar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
All leachfield gravel (sewer rock) shall be 0.$"-2.5" screened gravel with less than 3%
passing the #200 sieve.
When sand is being used as a filter material, its gradation specifications must conform
to current M.O.A. or D.E.C. requirements, which ever requirement applies.
Page 4
Lot 13A, Block 2, Fire Lake
June 27, 2002
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of
the wastewater disposal system. These inspections will occur as follows:
The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be backfilled before this inspection.
The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting
engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a
pre-construction meeting will take place on-site. The inspecting engineer will not coordinate,
direct or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these
specifications and plans and in accordance with the attached M.O.A. permit. There will be no
contractual arrangement existing between the contractor and S & S Engineering. S & S
Engineering shall be the owner's representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the contractors work rests with the
owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor
to carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR / INSTALLER
Municipality of Anchorage
Development Services Department
Bui!ding Safeb/Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ParcelI.D. OS"l -~to/ --I'7
1. GENERAL INi~6RMATION
CERTIFICATE OF HEALTH AUTHORI,TY. APPROVAL
FOR A SINGLE FAMILY DWELLING
Expiration Date:
i'.iLocati6~ (site address cf..directions)
';:' C6rrent Property owner(s)
L(r~g agency
Day phone
Day phone
Mailing address
. Real Estat~ Agent
Mailing Address
Un/ess othetxvise requested, HAA will be held by DSD for pickup.
2. NUMBER OF'BEDROOMS: /'~
v/,v/,,-,-
3. TYPE OF WATER SUPPLY: ·
Individual Well []
Individual Water Storage []
Community Class Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site []
Individual Holding tank []
Community On-site []
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 (except 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 -"re
valid for 90 days from the date of issue for properties served by a private er Class C well end may be re!ssued with
new water sample results. (Certificates may be reissued for a pedod of up to one year with valid water samples.)
Certificates are valid for one year for prcperties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not ras,ccnsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown betow, I verify that my investigation,
based on procedures outlined in the Health Authorit7 Approval Guidelines for this application, shows that the on-
site water supply and/or wastewater disposal system Es(are) safe, functional and adequate for the number of
bedrooms and b/pa of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage flies and from my investigation and inspection, the on-site water suppty and/or
wastewater di{posal system is(are) in compliance with all applicable Municipal and State codes, ordinances,
and regulations in effect at the time of installation.
$ & $ ENGINEERING
· , Nam'e of Firm 170:34 £agl~ R;v~r Lo.~p R~J N~. 204
~'. Address Eagle River, Alaska
Engineer's Printed Name ~-.~.~' ('.
Phone
Date ~//3/~ 2..
J~"-'~ ~ -,;"'.~ ~-;..~)L
5.
DSD
SIGNATURE
~ Approved for ~ bedrooms, ll.~.;~ ......
. . . . . ~..I
Conditional ,pprov, I for bedrooms, ruth the follomn~ ,t,pulat, on~: . ~¢{~ ~
....
· WATER AND :
[ [ WASTEWATER
~ ~". PROO~M ..2 .
Additional Comments ¢~], '~'- ~",,~
~o~e: The well ~or this propc~ meets e~isfing State aad ~[u~cipal Co,cs. There are
Current nitrate concentration is 5.589 m~. EPA maximum concentration is 10.0 m~. ~lore
information on nitrates Is available from the On-Site Se~ices Progrnm, at 343-7904.
Attachments:
HAA Checklist
Septic System Advisor/
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Odginal Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bregaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(g07) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
LegalDescflpflon:J.o'r' 134 8J-oc~. ~ ~(/t((.~K~. $/D ParcellD:OS"/-~'(~/-/'7
A. WELL DATA
Walltype.~/~,v,$r~.. If A, B, or C provide PWSID # -'
Date completed *.C*/~)'/TJ'- Sanitev/seal ~/N) Y~-F
Total depth ~ 0 fl. Cased to ~/o4- It.
Wa, Log(~N) ¥~.s
wres prope~ protected~/N) y4 .s
Casing height (above ground) ) ~. -f- in.
FROM WELL LOG
Date oftest ...~/~ ~J/ ?5-
Static water level ~' ~ It.
Wall production / 0 g.p.m.
WATER SAMPLE RESULTS:
Coliform . O colonies/100 mi.
ATINSPEC~ON
g.p.m.
Nitrate ~", ~'J~?mg./I.
Date of sample: '~'~ l-/e '~
Other bacteria O colonies/100 mi.
B. SEPTIC/HOLDING TANK DATA
TankTy~l ..~?T,C- // Af.O~-
T/Wlk'6O:~'.' D'cO' gal. Numbar of compartments ~-
.~=?nail~n cfeanout ~ ~ ~-,~ Dapm.ion ov,r tank (Y/~/~ 0
· 'Dat~6f pumping /~/R- - /u~. ~, Pumper ~
C~. AB$ORFT]ON FIELD.DATA
'il)pminstalled , Soil rating r ~rodrm) C). ~'
Len'di>. :..C' 4; It. Wdth :;;). S- It.
Collected by:S & S ENGINEERING
17034 E~gle River Loop Rssd No. 2Q4
Eagle Rives', Alaska ~9.t77
Date insteued S'/,r'/e ~
Clsanoute (~1) ¥~- $
High water alarm (Y~ ,~ eP
System type T~.~
Gravel baiow pipe
ff. Eft. absomtion ama"/~ It2
Total depth
Date of adequacy test P/~ - /~'~"'/ Results (Pass/Fail)
Monitoring tuba.
Fluid depth in absorption field pefore~ Water added gal.
Elapsed Time: m~.........-PI/~l fluid dep~ in. Absorption rate >=
Any rejuve,~,~,Jl:~a~T~ent (pest 12 mo.) ~/N & type) I1' yes, give date
Depression over field ~' c~
For ~ bedrooms
New depth in.
g.p.d.
D. UFT STATION
Date installed
'Pump on' level at
Size in gallons
in. 'Pump off' level at
!n.
Manhole/Access (Y/N) ~'
High water alarm level at in.
Datum Cycles tested
Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot /0 3
,ad:~ofption field on lot I/ 6
Public sewer main ~///+ *
Sewer/septic service line ~ ..~ /'/'-
On adjacent lots
On adjacent lets
Public sewer manhole/cieanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 3 (P ' Property line .?'/ /Absorption field ~ /
Water main ~J/& Water sewice Itne /0 /'-/' Surface water
Wells on adjacent lots / O 0 ~/
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line ~. 3 / Building foundation '~..T · Water main
Water Sewice line / 0 ~ Suffacewater /0~) '~-~- Driveway, partdng/vehtcie storage "~ g) /'"~'
Curtain dral~.~l~ ~''/C/~O~.,/ Wells on adjacent lets ]0 0
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspecgons and
review of Municipal records that the above sys,,tems am in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed .ama
Date ~'//,)/~) ~"'
HAA Fee $
Date of Payment
Receipt Number
(Rev. 12.~)
WaNer Fee $
Date of Payment
Receipt Number
CT&E Environmental Services Inc.
Laboratory Division r,~',~"~o',~,,r~,~r,~,~',v',v:~r.-r~r,~',~-.~r~r,o-,ar~~.~~
200 W. Potter Drive
Drinking Water Analysis Report for Total Coliform BacteriaAnchorege. AK 99518-1605
Tel: (907) 562-2343
READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Fax: {907) 561-5301
.OST ~E CO~[ET~ ~¥ W^T~ SU~PUE~
PUmCWAT£R SYSTmI.~.# i I I I Ill
PRIVATE WATER SYSTEM
Send Resutt~ ~ Send Invoice .
ra Send Results n Send lnvoice
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to
~ Satisfactory
{3 Unsatisfactory
tn Sample over 30 hours old, results may
, be unreliable
ID Sample too long in transit; sample should
not be over~l I~hours old at examination
to indicate reliable results. Please send
new sample via special, delivery mail.
Date Re,elved __ cg/~/Oz .
Time Received /('~'~
Analysis Begun ] "7 ~
Analytical blethod: .~;~ M~btane Filter
t O"MMO-MUG
* Number of colonies/I O0 mi.
~ ,*~. I~.¢ No. Result* Analyst
SA P E.A E:
Month Day Year . . [~ .
SAMPLE TYPE:
]~ Routine O Treated Water neb Fbk~ Jun []
0 Repeat Sample (for routine sample 0 Untreated Water Faxed
with lab ref. no. ) Date: - Time:
n Special Purpose
Time Collected Client notified of unsatisfactory results: .
· SAMPLE LOCATION Collected By []
Phoned Spoke with Faxed
Z'"t't~'~,~k,,:t-.~. f2.'fe/-tdc,-' ~:~o?m ~',~?~,,,,~C~,au D..e: Ti~e:
Comments:
BACTERIOLOGICAL WATER ANALYSIS RECORD
MMO-MUG Result: Total C~liform
Membrane Filter: Direct Count O
Verification: LTB BGB
Fecal Coliform Confirmation
Final Membrane Filter Results ~'~
E. Coti
,. Colonies/lO0 mi
COLIFIRM
Coliform/l O0 mi
Time [ "-~(~-..J hfs
~-~~ MemberoftheSGSGroup($oci6t§G&n&raledeSurveillancel
g~VIRONMENTAL FACILITIES IN ALASK,~, CALIFORNIA, gLOqlD6~ ILUNOIS. MARYLanD, MICHIGANo MISSOURI. N]~3N JERSEY, OHIO. WEST VIRGINIA
i.c'r&E Environmental Services Inc.
CT&E Ref. #: 1025032001
Client Name: S & S Engineering
Project Name: L13A, B7, Fire Lake
Client Sample ID: L13A, B7, Fire Lake
Matrix: Drinking Water
PWSID n/a
Sample Remarks:
Client PO#: n/a
Printed Daterl'Ime: 08/13102 9:10
Collected Date/Time: 08/08/02 5:30
Received Date/Time: 08109/02 14:00
Technical Director: Stephen Ede
Parameter Results
PQL Units
Allowable Prep Analysis
Method Limits Date Date Init
Nitrate
5.589 0.200 mg/L
EPA 300 10.0 08~09~02 JDT
Total Coliform (MF)
0
col/100 mi SM9222B
08/09102 SBH
GREAsieR ANCHORAGE AREA BOR~,uGH
Department of Environmental Quality
3330 C Street
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME 6
LOCATION
SEPTIC TANK:
MAILING ADDRESS ~':~"~"-~/_ P,,~Z"-7'~L~-gw'~]~",~
~ ........ LEGAL DESCRIPTION
DISTANCE
FROM WELL -~-~ ¢ . MANUFAC'FURER "~'/'~W'~'~ T
NUMBER OF
COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH ___LIQUID DEPTH .LIQUID CAPACITY 4OO£) GALLONS.
SEEPAGE tN-l;:
NUMBER OF P~TS P/'~ . D~AMETER /~/,~ OR WIDTH ~'/A LENGTH ~'/g, DEPTH /~'//
· ININ~ MATERIAL P/A ..... DEPTH__ DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION_____ ABSORPTION AREA (WALL AREA) SQ. FT.
CRIB SIZE: DIAMETER
NEAREST LOT LINE_¢~ ~ .
ADDITIONAL ABSORPTION
WELL:
TYPE &~/,~Z¢-'_~.~_ ___
BUILDING
FOUNDATION / ~'~'/
CESSpoo{ ~/~'
APPROVED
CONSTRUCTION
DEPTH ~ /
DISTANCE FROM:
NEAREST
NEAREST //~ / SEPTIC ,~.
SEWER LINE__/__/_~2. --, TANK ,,~2t~ ¢;'
SEEPAGE
SYSTEM
OTHER SOURCES
DISAPPROVED _
REMARKS
DISTANCES:
INSTALLED BY: .J~~'OK'Ic~'' t____
_['/'JIrL ~.
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
~ ~ //~_~._z%~/~Z4~
Form No, ED.031
DIAGRAM OF SYSTEM
GReATEr ANChOrAge Area Borough
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
PERMIT NO. -':-~7~ ~ f/
LEGAL DESCRIPTION
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE~I~
FINANCED THROUGH
SOIL TEST RESULTS
,.~.~.~, DRAIN FIELD
TO BE INSTALLED BY ~
, OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
t
FOUNDATION TO SEPT]C TANK
FOUNDATION TO SEEPAGE PIT ~-~
SEPTIC TANK TO SEEPAGE Pit WALl
SEPTIC TANK ., SEEPAGE PIT
TO NEAREST LOT LINe.
WELL TO SEPTIC TANK '--
DRA~N FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, . I {J~3 SEEPAGE Pit
TO RIVER, LAKE, STREAM.
, DRAIN FIELD
') { . DRAIN FIELD
SEE~AGEP'T / ~or
ALSO CONSIDER AREA WELLS.
, SEEPAGE PIT (O ~
, DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION § FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPEB ON BEPTIC TANK AND BEEPAGE Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING I N.
DIAGRAM OF' SYSTEM
) CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 25-6S AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
OATE APPLICANT'S SIGNATURE
· TESTING · EXPLORATION · CHEMICAL · MATERIALS · INSPECTION
279-2581
1940 POST ROAD
ANCHORAGE, ALASKA
99S01 July 5, 1974
W.O. #16786
Mr. Carl Adrian
3551 Patterson
Anchorage, Alaska
99504
SUBJECT:
Seepage Pit Analysis
Block 2, Lot 13A
Fire Lake Subdivision
Dear Sergeant Adrian:
Transmitted herewith are the results of the subsurface investigation performed
on the above property on June 29, 1974. Exploration consisted of logging the
existing hand dug test pit. The soils were visually classified in the field
in accordance with sheets 1 through 3, following the text. The test hole was
logged by O.M. Hatch, geologist of our staff, as follows:
Test Hole 1
Elevation: Existing Ground
Depth in Feet
From To
Soil Description
0.0' 0.5'
0.5' 2.5'
2.5' 4~5'
4.5' 5.5'
5.5' 12;0'
Brown peat
F-4, sandy silt, damp, stiff, NP, ML
NFS brown sandy gravel with few cobbles, damp, medium
density, 6"-, GP
F-2, brown silty sand, damp, medium density, SM
NFS brown sandy gravel with few cobbles, damp, medium
density, 6"-, GP
Bottom of Test Hole:
Frost Line:
Free Water Level:
12.0'
None Observed
None Observed
MEMBER
Mr. Carl Adrian
Page 2
~uly 5, 1974
Remarks: 1. Test Hole located (per attached sketch)
2. Elevation: Existing Ground
3. Date of exploration: ~June 29, 1~74
The seepage area required per bedroom by soil type (per the Greater Anchorage
Area Borough) is as follows:
Soil Type
(Unified Classification)
ML
SM
SP
SW
GM
GW
Seepage Area Required
275 ft2/bedroom
250 ft2/bedroom
150 ft2/bedroom
125 ft2/bodroom
225 ft2/bedroom
85 ft2/bedroom
Soils requiring greater than 250 ft2/bedroom are not allowed in seepage pit
area calculations (per the Greater Anchorage Area Borough).
The seepage area required at depth can be expressed as follows:
Unified Soils
Depth Classification
0.0'-0.5' PT
0.5'-2.5' ML
2.5'-4.5' GP
4.5'-5.5' S~
5.5'-12.0' GP
Seepage Area
Required
Not Allowable
Not Allowable
85 ft2/bedroom
250 ft2/bedroom
85 ft2/bedroom
Enclosed are some excerpts from State and Borough ordinances which may be
of value to you. For further restrictions, particularly with reference to
location of the seepage pit, we call your attention to the Greater Anchorage
Area Borough Ordinance 28-68.
Mr. Carl Adrian
Page 3
July 5~ 1974
Please call if we can be of further service.
Very truly yours,
ALASKA TESTLAB
John M. Lambe
Approved:
JML/vms
............ '~ ~ /! . ,
...... ..... ..........................................
...... ~~.~ ........ ~_.~..:. ....................................................
Depth
Of
well
si~ o~ ~i~g ...... ~ ~:~.~. ........... ~ ..........................................................
...... .................................
Dist~ce ~o water while pumping.~~ ...... ~Z~.~. ............... at rate
Formation
from
to
DELTA DRILLING COMPANY
SRA BOX 39*4 B
ANCHORAGE, ALASKA 99507
Parcel I.D. #
051-361-17
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section 1't' OF ~,N[;I'IORAGE
P.O. Box 196650 Anchorage, Alaska 99519-66~II{0N;~ENTAI- 343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING ....
1. GENERAL INFORMATION
Complete legal description
Lot 13A; Block 2; Fire Lake Subdivision
Location (site address or directions)
18133 MacLaren
Eaqle River~ AK
Property owner
Mailing address
Lending agency
Mailing address
Agent
Joe & Francis Wilkey
"P.O'. Box 770290
Eaqle River~
Day phone 696-2786
AK 99577
Day phone
Nancy Stahly/ Aurora Properties
Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
xxx
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
xxx
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-O25 (Rev. 1/91) Front MOA#21
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, 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.
S & S ENGINEERING ~ ~ y _ )._L~ -7 ~'
Name of Firm 17C-".4 ."a¢~ ,".;v~r '.-cci; ".==d ;.'r.. 2~ Phone
Address Eagle Rive/r, Atlask~c~,q~77 t
Engmeees mgnature ; ~ · ~ Date
DHHS SIGNATURE
Approved for ~
Disapproved.
Conditional approval for
Note:
bedrooms.
bedrooms, with the following stipulations:
The well for this property meets existing State and Municipal Codes.
There are nitrates present. It is suggested that periodic testing be
performed to insure the wells continued suitability. Current nitrate
concentration is 5.98 mg/1. EPA maximum concentration is 10.0 mg/1.
More inCmrmmfimn on n~rm~= ~ mvm~lmhlp {mm ff%¢ ~n--~ $~rviceE Program,
DHHS, 343-4744.
Additional Comments
Date4
'f-' ,'ll[fll
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Back MOA ~21
Legal Description:
A. WELL DATA
Well type
Log present (~N)
Total depth
Sanitary seal ~q)
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform o
B, SEPTIC/HOLDING TANK DATA
Date installed ~ [JO I~~' Tank si~'o,
Foundation eloanout
Date of Pumping
C. ABSORPTION FIELD DATA
Date installed
Length~' zlf'~'! . .Width
MUNICIPALiT
Municipality of Anchorage ~VI~O~M -
DEPARTMENT OF HEALTH & HUMAN SERVICES ' £NTAI~$ERvICE~
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-~74~
Health Authority Approval Checklist I:.-CEII/ .n
Cased to
FROM WELL LOG
Nitrate
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed ~ I~.~ 17' ~'
/~',O. ~ Casing height (above ground)
Wires properly protected (~N)
AT INSPECTION
I '1
g.p.m. Z' I~J~ g.p.m.
Other bacteria
Collected by:,~-'t-" .,, ~j e.,~, S & S ENG;N£ERINGI .
- 17~,$4 -"--~,,, ~,;v,,,~ L,,,,~, ~,,,.. ;.;~.
Eagle River, Alaska 99577
~Z ~O g~Number of Compartments _ I- Cleanouts (~N) I
Depression ('1~ {~ (~ High water alarm (Y~) ~l ~
Pumper ,~ 5
Soil rating (g.p.d./fF o~ ~ ~" System type
U.l~. Gravel thickness below pipe Total depth
Effective absorption area ~ ~,{ Monitoring Tube present(~N)~{~5 Depression overfield (Y,~ I~10
Date of adequacy test '~/~'~'/6/~ Results/t~"~Fall) ~'~, ,~ For ~ ~-- bedrgoms
Fluid dept,h in absorlption field before test (in.); ~"immediately after _~,~0 gal. water added (in.): ~
Fluid depth '~,'1~.I(ins) Minutes later: ~-~ ~'~ Absorption rate = ~;~X)f' g.p.d. [
Peroxide treatmelt (past 12 months) (Y~ ~0hl~ ~,~ If yes, give date -
72-026 (Rev. 3/96)*
D. LIFT STATION
Date installed Size in gallons ~
Manhole/Access (Y/N) "Pump Pump off" level at*
High water alarm level at* ~-~ *Datum
Cycles restored J
E. SEPARATION DISTANCES
Septic/holding tank on let
Absorption field on lot
Public sewer main
Sewer/septic service line
SEPARATION DISTANCES FROM WELL ON LOT TO:
/
'~" I 0 Z. ~ ~.~.t~ ~e-~ On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ~ tar Properly line ~ I~- Absorption field
Water main/service line t~' '~ Surface water/drainage 10O~ -I- Wells on adjacent lots
Properly line
Surface water
Curtain drain
ENGINEER'S CERTIFICATION
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
i ~ ¥ Building foundation ~(~ Water main/service line
Driveway, parking/vehicle storage area
~o~ ' ,~do~l~ Wells on adjacent lots ~1~
Engineer s Name
Date
·
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
~,~-~.; ~nvkonmental Services Inc. _ ......
Laboratory Division
)rinking Water Analysis Report for Total Coliform Bacteria 2oo w.
EAD iNSTRU~ION$ ON REVERE SIDE BEFORE.COLIE~[~G ~MPLE Tel. (~7) ~ .
Fax: (go7) 661.6301
RY
PUBLIC WATER SYSTEM I.D. #.
AnalyilS' showS thb Water SAMPLE to
~ Smf;f~to~y
O Unssti~fiicto~
0 Snmpte ~v~" 30 hou~ o1~ ~ul~ ~Y
be
S~e ~ Ion~ In transit; sample ~hould
~t ~ aver 4~ hou~ old at
Q. MMO-MUG
SAMPLE TYPE:
O Treat~ Wnte~
~ Routlna
with ltb ~t. n~ --)
- ~v '~ *: C~' . ~ "'
sA~LEL~T'O ,', , , .~ ~.,
MM(~MUC R~mll~ T~t~I ColiForm
Numb~ ofcoloni~/100 mL
'02
Annlyst
yedflc~lle~: LTB _.
Commen~:
'D'" · s."'
Colenle~tOO nil
[]
, []
Fetal ColiForm Coalh~mtloO -~ .._ CotiFofln/lO~ mt
t;'O/t~O'd TO£GTgGL06 BOU~IOHDNU IS3 B'glD 8T :BO 866T-90-MdU
k~.. Envl/onment=l Services Inc.
CT&E
ChemLab Ref. #: 98,1306~002
Cllenl Name: S & S Engineering
Project Name: n/a
Client Sample ID: L13A B2 Firelake S/D
Matri×: Ddnklng Water
Ordered By: Jeremy
PWSID n/a
Sample RemarkS:
Parameter
Results PQL Units
Client PO#:
Printed Date/Time:
Collected Date/Time:
Received Date/Time:
Technical Director:
n/a
4/6198 00:00
3/24198 14:06
3125/98 09:00
Stephen Ede
Allowable Prep Analysis
Method Limit~ Date Date Init
Total Coliform (MF) 0 col/100 mi
Nitrate 5.980 0.1 mg/L
SMg222B 3/25/98 TMW
EPA 300 10.0 4/3/98 RMV
~/,/~~X , MUNICIPALITY Of ANCHORAGE
DEPARTME OF HEALTH AND ENViRON'MEN~
· ~ .~. ~--AStre'et, Anchorage, Ala .... ~
¢~ ~0~_~ ~2~9-2511, ext. 224 or 225
=" ~ ~c~~ ~l~J. Date Received:
#1: T~me //O~%/~P~ ~2. Time #3:
Date
Date
Insp
PROTECTION
99501
May 5, 1977
Time
Date
Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request:
Mailing Address:
2. Property Owner: Cal Adrian
Mailing Address:
3. Legal Description:
4: Single Family Residence: (x)
Multiple Family Residence: ( )
Alaska Pacific Bank
Post Office Box 420 99510 Phone: 276-3110
Phone: 688-3169
Lot 13 A Block 2 Fire Lake Subdivision
Number of Bedrooms: ~
Number of Bedrooms:
5. Well System: Individual Well (x) Community/Public System ( )
Permit ~ ___. j Depth of ~ ~.~ ! Well Log on File ~//~,
Construction ~/~_ _~ ~/ Bacterial Analysis
6. Sewage Disposal System: On-site System ~x) Public Utility
Permi't ~ / In.s~alled ~/-~6)/_~In sta 1 let
Septic Tank Size ~~ . Manufacturer
Absorption Area ~O~ Soils Rate . ~ ~5~aterial
7. Distances: Well to Septic Tank .. to Absorption Area
to Sewer Line ~ ! ~
to Nearest Lot Line
Nearest Lot line . ~,/6._ Absorption Area
/
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224, 225
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: VA ×× FHA __CONV
2. Property Owner:. _C_.a_~ Adrian
Mailing Address: Ea§le River,
Day Phone: 688 3169
3. Name of Buyer: Wilkey, Joseph
Mailing Address:_ 21~,750 D Fig St
Day Phone: 752 3456
4. Name of Lending Institution: ..... Alaska Pacific Bank
Mailing Address:, P 05 6x 420 Anchorage Phone: .... 276 3110
~ Betty Smith--Hylen Co Realtors 278 9591
Name of Realtor or Agent ....
Mailing Address: 4060 B Street P'none: ........ 278 9591
.... Lot 13 A Blk 2 Fire Lake S/D
Legal L)escr~puon: ..............................................................
Location:___ .... Fire Lake, Eagle River Alaska
7. Type of Facility to be Inspected:...
8. Water Supply
Type of Supply:
Sgl Family No. Bdrms. 4
Public Utility
Individual xx
If Individual, number of dwellings presently served
If Individual, depth of well.
Sewage Disposal Systern
Type of System: Public Utility
If Individual, date of installation
Individual (on-site)_
xx
72-oo3(3/76)
Pa~e Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description:
Lot 13A Blbck 2 Fire Lake Subdivision
Affadavit Attached: ~(') Letter Attached: ( )
Disapproved: / Date:
Department Worksheet: