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Home My WebLink AboutHILLSIDE PARK PUD LT 3Hillsid Park Lo, 3 #015-122-48 Municipality of Anchorage Development Services Department Bu~og Safety D;v~ion On. Si(e Water and Wa~lew~ter Program, 4700 S. Eragaw St. P.O. Box lS6650 Anchorage, AK g9519-6650 v~w,d.anchorage, ak, us (907) 343-7g04 PermitNumber: .~ ~ 0 ~ 0111 LEGAL DESCRIPTION 0 Page / of ~- ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PID Number: ~:~ 1,5" - I ~-2 -¥8 WastewaterSystem: I--INew [] Upgrade Well: ~$'T' [] New [] Upgrade SEPARATION DISTANCES T"~ To Septic Absorption Li,ff Holding Tank Field Station Tank s,,-'*~ w*:*, ~, 4Oo ' ~.1OOf -- . ABSORPTION FIELD ~(to /o z TANK Septic D Holding n $.T.E.P. n Other, '~/ ~ .... LIFT STAIION ~, ~. BENCH ~ARK ~oo r I Ins;ecticns I::erformed by: F[°~/t'r)/~ T~'c'~ .('"ye Dates: 1" Development Se~ices Depadment Approval Rev[ewe~ and spproved b~: ~ Date: ,~,. ,:~.~, Engineer's Stamp ,>.. Cg-3589 .. PERMIT NO: SW 020111 PID NO: 015-122-48 SWING TIES: FROM: COR."A" COR."B" TO: S.T.C.O. "C" 44' 18' S.T.C.O. "D" 52' 23' DBL. C.O. #E" 54' 25' TR. C.O. #F" 50' 56' TR. M.T. "G" $2' 55' TR. C.O. "H" 54.5' 49' PAGE 2 OF 2 NEW MONITOR TUBE EXISTING SOIL ABS. TRENCH \/-Ds,.c.o. LOT 3 - D/~ E' 'C~N EW t250-GAL J ~ SEPTIC TANK FINAL GRADEj ELEV. 97.4' FROM .kHOUSE I . NEW 1250-GALLON 91.3' SEPTIC TANK CROSS~ECTION NOT TO SCALE DRIVE ~~P~N VIEW: SCALE: q" -- 30' TO ______~TRENCH 91.1' LOT 3, HILLSIDE PARK P.U.D. SEPTIC TANK REPLACEMENT AS-BUILT INSPECTION REPORT FLATI'OP TECIINICAL SERVICES 14530 ECIIO STREET ANCIIORAGE, ALASKA 99516 SCALE: AS NOTED DRAWN BY TFM OCTOBER, 2002 MUNICIPALITY OF ANCHORAGE Development Sen4ces Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: May 14, 2002 Expiration Date: May 14, 2003 Permit Number: SW02011'1 Legal Description: HILLSIDE PARK PUD LT 3 Design Engineer: 0019 Flattop Technical Services Owner Name: Leslie McDaniel Owner Address: 7101 TREE TOP CIR ANCHORAGE, AK 99516-6829 Parcel ID: 015-122-48 Total Bedrooms: 4 Site Address: 007101 TREE TOP CIR Lot Size: 29970 SQ. FT. 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. Fram October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Date: Municipality of Anchorage Development Services Department Building Safety 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 ON-SITE SEWEPJWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SWO 2_ O/// Propertyowner(s) L<rh¢ ~c0~! Mailing address (1) Day phone Mailing address (2) A~ ca o ,-,zv~ x ~ Zip Code Legal description (Lot, Block & Sub'd.) Lo/' _~ ,I-),/I.c,,~ ?~r~ Legal description (Section, Township & Range) LOt Size ~.c~ 0(-7, 0 Acres/q~ THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ~l~ Swimming Pool Therapy Pool [] Number of Bedrooms Well Only ,Water Storage Jacuzzi Water Softening Unit I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Waiver Fees: Date of Payment: Receipt Number: CIY1L & ENYIRONM'ENTAL ENGLNEERLNG * ENERGY CONSERVATION & ANALYSIS TIIEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345.1355 ANCHORAGE, ALASKA 99516 May 15, 2002 MOA DSD - Attn: Dan Roth P.O. Box 19-6650 Anchorage, AK 99519 Dear Mr. Roth: Please issue a permit allowing the installation ora replacement septic tank to serve the existing 4- bedroom residence on Lot 3 of Hillside Park P.U.D. The existing tank is 21 years old and is near the end of its useful life. The accompanying site plan illustrates the proposed configuration and the absence of conflicts on adjoining lots. Feel free to give me a call if you have further questions. Thank you, Ted Moore, P.E. ' ' - -- - ' LOT 3 INSTALL NEW 4" DIA. ~ --~ PERF. M.T. IN TRENCH/' LOT 2 X / ABANDON EXIS~ SEPTIC EXISTING ~BDRM ,H?USE DRIVE / LOT 4, BLOCK 1, GOLDEN HILLS S/D LOT 4 INSTALL NEW 1250-GALLON \ SEPTIC TANK AND DBL. C.O. ,OUSE NOTE: ALL LOTS IN HILLSIDE PA~'~. ' ~~ SEPTIC \ AREA \ ARE SERVED BY A CLASS 'A" WATER SYSTEM '~ ~' NO PVT. WELLS WITHIN I00' OF PROP. TANK '~ ... TREE TOP ClRCL ~ -~ LOT 3, HILLSIDE PARK P,U.D. SEPTIC TANK REPLACEMENT SITE PLAN FLAI'fOP TECIINICAL SERVICES 1 INCH = 50 FEET 14530 ECIIO STREET DRAWN BY TFM ANCIIORAG~ ALASKA 99516 MAY, 2002 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. 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 NAME MAILING ADDRESS q7o7 Lo Jr '5 LEGAL DESCRIPTION ~T E I1,/A'R-.. H ILLSID~ 'PAR. i< LOCATION PHONE J~ NEW -sTlo I E~UPGRADE DISTANCE TO: Liq. capacity in gallons DISTANCE TO: Well , __ Absorption area C-. ~,,.,.,., ¢.-./to '-I",,.. ~ Inside length IF HOMEMADE: Well Dwelling Manufacturer DISTANCE TO: Well No. of line¢ Length of~h ine Top of tile to finish grade .~-- ~l Length Width Foundation Total length of lines Material beneath tile Depth DweJJing i$~. W dth Material Nearest lot line Trench width ~) inches NO. OF BEDRO~i~S PERMIT NO. ~ l o"n~ '.J No. of compart~nts Liquid depth PERMIT NO. Liquid capacity in gallons PERM'T ?a-; ,/ Distance between lines Total effe~vi ~,sorption area PERMIT NO. Type of crib Crib diameter Crib depth Total effective absorption area Well ' Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line Building foundation DISTANCE TO: Sewer line Septic tank PERMIT NO. Absorption area(s) OTHER PIPE MATERIALS SO1L TEST RATI'~G INSTALLER REMARKS APPROVED DATE LEGAL PERMIT DEPRRTMENT HERLTH RND ENV~RONMENTRL ~OTEC:TION 825 '"L" %TREET, RNCHORRGE., RK. D5~50~ ;264-4720 ( 8~0784 ) RPPL I CRNT LOCRT I ON L. EGRI... _,]EINRR R HHNzEN HILL. SIDE L]: HILLSIDE PRRK 4707 MELVIN RVE: LOT T"r'PE OF SOIL RBSORF'TIF~N S"r'STEM IS: TF. EN_.H MRXIHUM N.MBER OF BEDR".']MS .... ,4'"',~"%.~ '=,,';~ RF:E FEET '"" "'1 :'" ' .... ~- =,L IL RRTING (SQ F F,.E:R ..... THE REQUIRED SIZE OF TNE SOIL RBSORPTION S'¢STEM IS' [:, El F' T' H = '9 b. l:Z _~-.~ f,3 T H = -':2; (-..'¢ iLS F:: I¢:1t *..m E IL_ D E F' T' H = 5 THE LENGTH DIMENSION IS "['HE LENGTH (IN FEET) OF 'THE 'TRENCH OR DRRINFIELD. THE DEPTH OF Fl TRENCH OR PIT IS TFtE DIS]"RNCE BETWEEN TFIE SURFRCE OF ]''HE GROUND FIND THE EcOTTOM OF THE EF::CRVFITION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRR',,,'EI._ DEPTH IS THE MINIMUM DEPTH OF' GRFIVEL E:ETWEEN THE OUTFRLL PIPE FIN[:, ].'HE BOTTOM OF THE E:,.::CFfv'RTION (IN FEE].'). E;~ El ~.;-~ #J Z F-. EC D .=. E.-; F' 'T ,"[ C: T' tFql ~'-,,~ I-::: '=' I "~ ' -, ¢ ,- ,:' , " '- "' ' "" DURINI3 PERMIT RPPLICRNT HRS THE RE_FL.N...,IE, ILIT"¢ TO INFORM TNIS [.,EF~F..TMENI THE IN=,FRLLH1 ILN INSF'ECTIGNS OF RN'-r' WELLS RDJRCENT TE THIS rr,:.....rr.:r,,.~'r RND THE NUMBER OF RE..'.',!DENCE.=, THRT THE WELL WILL qERVE. E ......: ...... ,'J: ~.: ETZ l- ii..-~.~ C, ,:'.. ¢_---' .":, 3: ['qt :_:L; F" E: C: ~f' .1:. C, t'-.i'=';:. RF:E ;:'Fi"',. I~ E, HL.K. F ILL]N.~ OF RN'¢ _~.. ret1 HtTHFIIT F!NFIL fNqPE¢:TION RND RPPROVRL,. R'Y THIq DEPFIRTMENT W!LL BE S_IB-.TEE:T TO F'RC SE]:_IT I C N. MINIMUM DISTRNCE BETWEEN R WELL RND RNM ON-SITE SEI4FIGE D!SPOSRL SYSTEM IS t00 FEET FOR R PRIVRTE WELL OR t50 TO 200 FEET FROM FI PUBLIC NELL DEPENDING UPON 'THE T'.'r'PE OF PUBLIC WELL MINIMUM DISTFINCE FROM FI PRIVFITE WELL TO FI PRIVRTE SEWER LINE; tS 25 FEET FIND TO FI COMMUNI].'"r' SEHER LINE IS 75 FEET. OTNER REQUIREMENTS MFI"r' FIPPL'¢. SPECIFICFITIONS FIND CONSTRUCTION [:'IRGRF'IMS RRE Rk,'FIILFIBLE TO INSURE PROPER INSTFIL. LRTION. I CERTIF"r' 'TNRT t: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH B"r' THE MUNICIPFILIT"r' OF FINCHORFIGE. · ',2: I !-,,IILL INSTFILL THE SYSTEM IN RCCORDFINC'E WITH THE CODES;. ~: I UNDERSTRND THFIT THE; ON-SITE SEWER S"r'STEM MFI'¢ REQUIRE ENLRRGEMENT RESIDENCE ~ ' ' "" ~.'EZH_RN 4 b:EDROOMS' S I GNED: .............................................. .: .................. FIPPLICRNT STEINFIR R HRNSEN ! '."-' SI. E[:, E, ¢ .............. [. iq] E .......... Z... I F 'THE ~., ~'~ ~ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST PE.EORMED EOR: .~'rI~NA~ 14A~l~E5 N LEGAL DESCRIPTION: · SLOPE ,I 8 DATE PERFORMED; ~V~.V ~z"/..81 SITE PLAN 10 11 12 13 14 15- 16 17 18 19 2O 2225-E '"'~- COMMENTS PERFORMED BY:~ WAS GROUND WATER ~O S ENCOUNTERED? L O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) FT AND ~ FT · CERTIFIEDBY:~ DATE: ~ ~g~ 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 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING hAA # ~ Location (site address or directions) Property owner "~,o. c_ ~..~O(2.~.~ Day phone Mailing address ~J/~5- Day phone /~J/~ Lending agency Mailing address "~'~ ~ ~' Day phone ~T~-//~ Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well Community well '~ Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA ~1 5. STATEMENT OF INSPECTION BY ENGINEER Name of Firm Phone ~? 7 ~'/7~' Ad dress ~ Engineer's signature~ Date ~/7/~ ~, 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. Alaska W~er & / 6. DHHS SIGNATURE Approved for /7L bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 (Rsv. 1/91) Back MOA ~¢21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501· (907) 343-4744 Legal Description: A. WELL DATA Bo Health Authority Approval Checklist Parcel I.D.: Welltype l:::'OgL.&O_.~ _~)B, orC, attach ADEC letter. ADEC water system number '~l;Zde(ot Lo~ Date completed . / Total depm ~ Cased to Casing height (above ~~ Sanita~ seal (Y~) ~ Wires properly prote~(Y~) , Date of test ~ ~ ~ ~ Well production ~ g~. ~ ~.p.m. WA~R S~L~ ~ Coliform ~ Nitrate ~le: Collected by: SE~IC~OLD~G TANK DATA [4Vz ~ oO ~u~c D,~ ~a ~5 ~ Date installed ~/~ [ Tm~ size I Z ~ Nmber of Compa~ments ~ Cle~outs (Y~) ~ Foundation cleanout (Y~ ~g Depression (Y~) ~ High water alarm (Y~) ~ Date of Pumping S/~/~¢ Proper ¢~0 ~cV~X Co Immediately after 6'75al. water added (in.): Absorption rate = ~ (:::>OO .g.p.d. If yes, give date ,~3//~ .,.L?.D("-'Fluid depth in absorption field before test (in.); I?o!~/+ -~Fluid depth '7 ~ (ins.) Minutes later: "-74 Peroxide treatment (past 12 months) (Y/N) 14 O ABSORPTION FIELD DATA Date installed ~/¢/8,t Soil rating (g.p.d./ft2 or ft2podrm) ~'Z~" System type ~ c~¢{ ~ az>" 5t-7~ - v~ Length ;.~l t Width Gravel thickness below pipe Total depth [ ~ I + Z Effective absorption area ~/._. ¢% Monitoring Tube present(Y/N) y Depression over field (Y/N) bJb ~ .1 Date of adequacy test ~/'7/9/~ Results (Pass/Fail) "4:t~g£ For 4' bedrooms Do Date installed -~ ,, ..~gi-zL~ gallons -- C-- at* Manhole/Access (Y/N) ~level at "Pump off level E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line IQ },Pr- : On adjacent lots ; On adjacent lots lq Public sewer manhole/cleanout /~J/~' Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ! Building foundation 2.q', ~ +- Property line ~O t~. Absorption field ! t' Water main/service line>~ I'D Surface water/drainage ~' 100 Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation '~-7 t ± Water main/service line ~"> lO/ Surface water ~' ~oO o{?,.q~p_,~.fi,o Driveway, parking/vehicle storage area 10D/± Curtain drain Wells on adjacent lots '~' IO{9 Property line '/Or * F. ENGINEER'S CERTIFICATION / ,/ I certify that 1 have~l~terjnj~ed ,hr/R~fielfl,4qspections and review o/Municipal records S~h~ov4~ ~re 'n c°nf°rm~itT~y~nes~n e~ct °n this date' Engineer's Sa~ ~~ ~ ~~ ~~'~'~ .............................................................................. HAA Fee $__~ Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number 8471 Brookridge Drive ~ Anchorage ~ Alaska Phone (907) 337-6179 - Fax (907) 338-3246 Consulting Engineers March 7, 1996 Municipality of Anchorage Dept. Health & Human Services Division of Environmental Services On-Site Services Section P.O Box 196650 Anchorage, Alaska 99519-6650 Ref: Health Authority Approval (HAA). Lot 3, Hillside Park S/D. 7101 Tree Top Circle. To whom it may concern: The subject lot is served by a community well and a private septic system. The septic system was initially inspected and tested on 2/29/96, and found to be in a failed condition. Attached is a copy of the report I submitted to the real estate agent regarding that inspection. The drainpipe and the sump were jet cleaned on$/5/96 by Old McDonald's Pumping. According to the Bill McDonald, there was a considerable amount of solids in the drainpipe and sump. He pumped 400 gallons out of the sump, and also pumped the septic tank. I reinspected and tested the system on 3/7/96. The results are summarized as follows: According to the as-built records, the trench has an effective depth which varies from 5-7 feet. Based upon my field measurements, after the sump was pumped, the monitoring tube extends approximately 64 inches below the Pipe invert at the sump. The sump was dry (no standing water) on 3/7/96. Water was introduced into the clean-out, at the west end of the trench, at a rate of 6.67 gpm, for a total of 150 minutes (1000 gallons). The results are summarized as follows: Time (minutes) Flow(gallons) Liquid Depthin Sump (inches) 0 0 0 10 66 2 20 134 no reading 45 300 no reading 49 330 16.25 150 1000 24.875 .The rise between t--49 and t=150 was 8.625 inches. The total volume of water introduced during that time period was 670 gallons. This corresponds to 77.7 gallons/inch. The recovery was monitored for 74 minutes. The results are as follows: Time (minutes) Total Drop (inches) Water Absorbed (gallons) Start of Recovery 0 0 16 2 155 30 3.5 272 54 5.5 427 74 7.125 553 Based upon this data, it is clear that the trench is capable of absorbing at least 600 gallons per day, and therefore, is adequate for a 4 bedroom house. Per the request of Jim Williams (DHHS) I shot the elevatioadifference between the invert of~the drainpipe at.the west and east ends and determined that the pipe slopes downhill from west to east, with a total drop of approximately 1.5 inches. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you. Sincerely, Owner/Consultant Bennett3.wps NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not limited to, seasonal surface water infiltratior~ groundwater variations, septic system maintenance (frequency of septic tank pumping, usage of biological additives), condition of drain pipe and pipe joints (which can be damaged by seismic activity and deteriorate with age), type of substances deposited in septic system (cigarette butts, sanitary napkins, misc objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid for the spec~c day of the test. 8471 Brookridge Drive ~ Anchorage ~ Alaska Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers March 3, 1996 Coldwell Banker Properties Unlimited, Inc. 2801 "C" Street Anchorage, Alaska 99503 Attn: Anita Dalton Ref: Septic System Adequacy Test for Lot 3, Hillside Park S/D. 7101 Tree Top Circle. Dear Anita: Per your request I performed an adequacy test on the subject septic system. The results are summarized as follows (all measurements are approximate, within 1 inch): According to the as-built records, the trench has an effective depth which varies from 5-7 feet. Based upon my field measurements, the monitoring tube extends approximately 59 inches below the pipe invert at the sump. The liquid level in the trench prior to starting the test was 58 inches, only 1 inch below the pipe invert. When measuring this level it was noted that the bottom several feet of the sump was filled with sludge, indicating that solids from the septic tank had overflowed into the drainfield at some time. Water was introduced into the clean-out, at the west end of the trench, at a rate of 6.26 gpm, for a total of 115 minutes (720 gallons). During the first 10 minutes the water level rose 1.6 inches, submerging the drainpipe invert. In the following ten minutes the water level rose an additional 3 inches (120 gallons total introduced into trench). The liquid level in the monitoring tube remained unchanged during the rest of the test. Although the trench was capable of accepting 600 gallons per day, as required for a four bedroom house, it was not able to do it while operating within the effective depth of the drainrock, per M.O.A requirements. Based upon this fact, the trench does not appear to be adequate. However, this may be an erroneous reading, for the reasons described in the following paragraph. Although the drainpipe was submerged at the sump, the water level in the clean-out at the opposite end of the trench appeared to be below the pipe invert, indicating that the drainpipe slopes downhill from the west to the east. If that is the case, it would cause all the wastewater from the tank to run towards the sump, If solids did overflow from the septic tank to the drainfield, they would run to the sump and possibly foul it, and the drainpipe perforations at the end of the trench. If the tube is fouled, water introduced into the trench would fill the sump, and then back-up in the pipe until unfouled perforations were found. I suspect this is what may have '. happened during the adequacy test, since the water levelrose rather quickly to 4.6 inches, and '~ ' then stabilized thereafter. My recommendations at this time are that you have the drainpipe and sump jet cleaned and the septic system retested, or install a new drainfield. Clearly, the first alternative would be the cheapest, but there are no guarantees that k will restore the system. If you choose to try jet cleaning the system, I recommend that you contact Bill McDonald, Old McDonald's Pumping. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you. Sincerely, Jeffrel) A,(~ [mess, P.E., M.S. Owner/Co'fisultant Bennettl.wps BLOCK FOUND, '..EGEND_.~ ; . ~ FOLAfD REBAR R£¢ORD OtM~NSION t~AT WELL SEPTIC SYSTEM 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 Parcel I.D. Cf CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description LoT' 3 Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent bf. A-. Address -'JlOI TR,'::& TOP Cll~C£E' BENN E'~T Day phone 22% ~ (:, / Day phone Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well Community well ~ Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 o 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. Name of Firm F.L./}TT'O P Address 5'3o ECt+o Engineer's signature DHHS SIGNATURE Approved for ~z. Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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~J25 (Rev 1/91) Back MOA ~21 Municipality of Anchorage Department of Health & Human Services . HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LoT 3 ~ILLE, I'~F-.. T:~)RK Parcel I.D. A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height Wires properly protected (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line g.p.m. AT INSPECTION ; On adjacent lots g.p.m. ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~ /G/SI Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size t2 50 G~- Compartments Foundation cleanout (Y/N) ~/ Depression (Y/N) Alarm tested (Y/N) Pumper R°TO - Roo3,=R SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot . N./~. On adjacent lots N./~. Foundation ToproPertyline ~ ~o~ AbsorPtion field IH' Watermain/servi~eline '>' 7S Surface water/drainage ~/uO 72-026 (Rev. 7/91) Front ' ~, CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length 5'! r Width Total absorption area Depression over field (Y/N) Iq Results (pass/fail) ~'A 55 Peroxide treatment (past 12 months) (Y/N) Soil rating t'2,5 Gravel thickness $r-7 t Cleanouts present (Y/N) Date of adequacy test for System type Total depth lo/ Y N0~.£ Iot0~,~ If yes, give date ~v./~. bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot N.A. To building foundation ~"7 ' On adjacent lots ~3o' Surface water > lop' Curtain drain On adjacent lots N./~. Property line >2.0 To existing or abandoned system on lot N,/~. Cutbank joe' Water main/service line Driveway, parking/vehicle storage area 30' E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection, Signature ~~ ~ ~ ~,'-,:"." ~'~ '~ Engineer's Name ~~ ~ ~oo~ ~.._~__.~.__.~d Date ~c/o~ ~ /e~ *~ · T EODOE6 F MOORE ~ HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL CONSERVATION / / ANCHORAGE DISTRICT OFFICE / 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 WALTER J. HICKEL, GOVERNOR (907) 349-7755 October 26, 1992 Mr. Ted Moore, P.E. Flattop Technical SUBJECT: Hillside Park (PUD) Class "A" Public Water System, PWSID 212461 Dear Ms. Fallon: I have completed a review of this office's files concerning the monitoring status of the above-referenced Class "A" Public Water System and found the following: The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on October 5, 1992. This does meet the prowsions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last inorganic Chemical Contaminants Sample results were submitted to this Department on July 20, 1990. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last Radioactive Contaminants Sample results were submitted to the Department on September 11, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. The last Organic Chemical Contaminants/Volatile Organ c Chemicals were submitted to this Department on November 12, 1991. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above-referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst. II .!:~ orir!ted cfi recfcled pe~-',~' b y C, D Time ~ Time ~e Date Date Date Inspector Inspector Inspector Comments Conditional Approval Date 8ewer Installed "-~_.~,~ Permit No. Septio Tank 8ize ~/~/ Holding Tank Size Soils Rating Well To Absorption Area Well Log Received / ~ Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~. ~. ~~ ~_.~5 Phone Mailing Addre,s ~YO~ /c~ ~/~ ~ '/ Buyer ~//~ ~, Address I t~'~ lOj~ Lending Institution ~/:~ /~C./::/~ /~~ Phone Address /[~ / ~d~ S 0 ~ Realty Co. & Agent . ,, Phone Address - Legal Description ~/ ~ .//~. ~/~ Street Location /~ ~ ~' - Type~Residence , ~ Single Family ~ Multiple Family No. of Bedrooms ~ Other Water Supply ~ndividual A~AOH WELL LOG. A well Icg is required for all wells drilled since June ~ Community 1975. For wells drilled prior to that date, give well depth (attach Icg if ~ Public Utility available.) Sew~isposal ~ Individual Year Individual Installed: ~ Public Utility ' ~ When Connected to Public Utility:_ ~ Holdin0 Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.