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Home My WebLink AboutPTARMIGAN VIEW ESTATES LT 8 MUNICIPALITY OF ANCHORAGE ~i~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION '~'q ~/~,i ENVIRONMENTAL ENGINEERING DIVISION ~i 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 '"'~? ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LE(,aAL DESCRIPTION · ~ NO. OF BEDROOMS LOCATION ~~~ are~ ~ Dwelling~ ~/ PERMIT~~ ~ ~ Manufacturer Material ~ ~ ~ ~e~ m __ ~F~L No. of comp~nts Liq. ca ~acity i~ gallons ~side length Width Liquid depth , ~ IF HOMEMADE: Well Dwelling PERMIT NO. ~--~ Manufacturer ~ -- Materi~l -- kiquid caoacitv in ~allons Nearest lot line PERM~ ~ ~ Z No. of lines Trenc~i~h b~7~qs Leng o~chli e Total left, lines Distance ~ ~ ~ { ~"~ inches Total e,~iveyabsor~tion area ~ ~ Top of tile to finish grade~(* 'a~eria, be~ead~ tile ~ inches Length Width Depth PERMIT N ~ ~ 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 PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER REMARKS m i m 72-013 ( /78) ~g~LL LOG JENKINJ ~,'~LL 'O~ILLING John Je~ins Mile 2 0'Ma!lev 34x~-3792 Location: Lot 8 Ptarmigan Vie~.~-~states. Depth~ Soils O-25........... .... . Gravel 25- $~ . . . . . . ...... . . . . Sand $3- 78 . . . . . . . . . . . . . . . . Silty Sand 78-10$ . . . . . . .... . .... . Clay Gravel 10~-160 . . . . ........ . . . . Clam Sand 160-190 ..... . .......... Gravel ~lay 1~O-200 . . . . . . . . ........ '.'~ter Gravel In production testing~ this well produces ap- proximately 15 gallons per minute. The ~,~ell p~p is ~. ~+ H.P. sub~ersible ~et at a depth of 168 feet~ approximate!? 32 feet from the bottom of the well~ and ~,ith seal~ cond~,~it and fittings~ L..I E L L R I'...I E:, F'ERMIT N(]. ,:; :::1001~ '.:' RF'PL I C:RNT L _- C R T I 0 N LEGRL r.ll_,r- T "3: 'F L I T'T' i--iF RI'-d[--:F' E:,EPRRTMENT ._,- HERLTH RNE:, EN',/IRONMENTRL ,~.IOTECTION :E:25 '"L'" STREET., RNRHORRGE, RK. 9950'1 264-4720 1]ll'-J--'_~. ITE '__~.EL.JEFR JOHN HENSLEY HRNE STREET LOT 8 PTFiRMIGRN VIEW ESTFITES F'O E:O::.:: ' ~:~ ' tn, 995tt TYPE OF SOIL RBSORF'TIAN '-'iYSTEM IS' F'IT MR'?,IMUM NUMBER OF E:E[,R]JMS = 4 SOIL R. RTING (SQ FT,."BR)= THE RE~:IJI RE[) SI ZE OF THE SO IL RE:SORPT I ON S"r'STEM IS · E:.EF-TH== J_1 LEr-.IGTH=~ :15 13 F-'. R '..l' E L E:,EF'TH= THE LENGTH DIMENSION IS THE LENGTH ,::IN FEET) OF ERCH SIDE FOR R SEEF'FtGE PIT. THE DEPTH OF R TRENCH OR PIT IS THE D ISTRNCE BETWEEN THE SURFRCE OF THE GROUN[:, 8ND THE BOTTOM OF THE EXCRVRTION (IN FEET). THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE FIN[) THE BOTTOM OF THE EXCRVRTION ,:lIN FEET). F.:E1]:.ll_l I F-:E[:, SEF'T I 1TM TRr-][::'_ '_-] I ?E= -1 ~..=;,£: 1.3RLLiZ~r-]"--; F'ERMIT RPF'LIC:RNT HRS THE RESF'ONSIE:ILIT'T' TO INFCIRM THIS [:,EFIRRTMENT DURING THE INSTRLLRTION INSF'ECTIONS OF RNY WELLS RDJRCENT TO THI FF.._FEF. Tm RN[:, THE NUME:ER OF RESIDENCES THRT THE WELL WILL SERVE. T I.--..I 1Il '"; 2 '" I I'-.I $ F' E '--~- T I 1il r'-~ ~ R F: E F.' E ~Z.i I_11 F-: E [:, BRCKFILLING OF RN¥ S:,,?STEM [,.IITHOUT FINRL INSPEL:TII-ff',I RI'.,I[:, RPPRI]VRL E:'Y THIS [:,EF'RRTMEI'.,IT WILL BE SUBJEC:T TI] PROSECUTION MINIMUM DISTRNC:E BETWEEN R WELL RND F~NY CIN-SITE SEWAGE DISPOSAL S'T'STEM I S 100 FEET FOR R F'RIVRTE WELL OR t50 TO 2A0 FEET FROM R PUBLIC: WELL DEPEN[:,ING UPON THE TYPE OF PUBLIC: WELL MINIMUM DISTRNCE FROM R F'RI',,,'RTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNIT"r' SEWER LINE IS 75 FEET. WELL LOGS RRE REC.!U IRE[:' RND MUST 8E RETURNED TO THE [:,EPRRTMENT WITHIN ]:0 [:'R'YS OF THE WELL COMPLETION. OTHER R. EQUIREMENTS MR'T' RPPL"r'. SPECIFICRTIONS RN['.' CONSTRUE:TION DIRGRRMS RRE R',,,'RILRBLE TO INSURE PROPER INSTRLLRTION. F-EI~.'r-11 T E::-:'F' I F-:E5 DEiZ:Er-IBEF-: _---=:i.. I L-:ERTIF¥ THRT t: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RNC, WELLS RS SET FOR. TH E:'Y THE MUNICIF'RLIT'T' OF RNCHORRGE 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: I UNDERSTRN[:, THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF' THE RESIDENCE IS REMODELED TO I NCLU[:,E MORE THRN 4 BEDROOMS. RF'PLIC:FINT ..TOHN HENSLE¥ ....... I SSI_IE[:, E:'T'_.. Department Applicant: Location: HAN~ Legal Description: Type of Soil Absorption System Is: Trench: Drainfield: MUNICIPALITY OF ANCHORAGE : Health and Environments. ?rotection 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT * * * WELL AND/OR ON-SITE SEWER PERMIT ~e~~ Mailing Address: ~- Phone Number: LOT 8 ~arrY~l~nn V,¢u3 Es~ Lot Maximum Number of Bedrooms: I0- 157 size: Seepage ~: ~ Holding Tank: Soil Rating (sq. ft/br) The Required Size of the Soil Absorption System Is: DEPTH I I '~ LENGTH I L.~_' GRAVEL DEPTH ~-'~' WIDTH 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 outfall Pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = ~2~) GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31j 1 9 8 1 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more ~.~~ Signed: ~.~~~~ Issued by: ~1 Zc a~- ~ Date: ~ -- /~ --~/ Contracting Engineers & Associates 212 East International Airport Rd. Suite 204 ANCHORAGE, ALASKA 99502 (907) 278-3773 SOILS LOG - PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 ------5 6 7 8 SLOPE DATE PERFORMED: SITE PLAN 10 ,'11 12 13 14 15 16 17 18 19 2O WAS GROUND WATER S ENCOUNTERED? L O P E IF YES, AT WHAT DEPTH? ! Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS CERTIFIED B Y: ~~~~~J~ AT E: .~.~ ADAMS · CORTHELL' LEE · WINCE & ASSOCIATES CONSULTING ENGINEERS AFFILIATED WITH ALASKA tg$'~ LAB 503 EAST SIXTH AVE. -- ANCHORAGE, ALASKA - 99501 TEL. 272-3428 Dickinson, Oswald & Associates 800 Cordova Street Anchorage, Alaska 99501 July 6, 1971 W. O. 11864 ATTENTION: Richard Metz PROJECT: Subsurface Soils-~lassificatJ_on - /fPtarmigan View Dear Mr. Metz: The twelve (12) soil samples delivered to Alaska Testlab July 1, 1971, have been classified. As I understand the order, the samples were to be classified for deterrLination of the suitability of the soils for on-site waste-water disposal. Accompanying the charts was a Xerox copy of a plat with test-hole locations noted. There were no continuous field lo~s, but the samples were identified by test-hole number and depth. The three-foot sampling interval presents a fair picture of the soil profile. The classification and seepage area recuirements (in accordance with Greater Anchorage Area Borough criteria) are: Test Hole Sample Classification No. Depth (ft.) (Unified) Seepage Area ~er Bedroom (sq.ft.) 3 GW 85 6 GW 85 9 GW 85 12 GW 85 Average 85 3 SP 150 6 SW 125 9 SP 150 12 GW 85 Average - 6' to 12' -120 3 3 GW 85 6 SW 125 9 GW 85 12 GW 85 Average - 6' to 12' 98' ~,:ICHA[{D S. ADA~4S. P.E. ALAN N. CORTH£LL, P.E. HARRY R. LEE:. P.E. FRANK W. WINCE, P.E, l)i ti: -i ~ son -Oswa].d W. O. ~ ~ 864 There was no indication of ground water being encountered. A copy of the test-hole location sketch, as presented to us, is attached. Very truly yours, ADAMS, CORTHELL, LEE, WINCE & ASSOCIATES · P ],~ F W. Wince, . . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 1. GENERAL INFORMATION Complete legal description Lot 8~ Ptarmiqan View Estates Location (site address or directions) 11001Hane Street Anchoraq e, AK ProPerty owner .Gar~, & Carol Ber9 Day phone Mailing address 11001 Hane Stree~ Anchorage, AK 99516 349-6983 Lending agency '-Mailing address Day phone Agent ~[arb"Ernisse/ VISTA REAL ESTATE Day phone 27 3-7269 Address 4241 "B" Street Anchoraqe, AK 99503 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC lng to the legality and status of system. attest- TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX 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 #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my inves.ti_gation 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 s · S ENGINEERING Phone 171334 Eagle Ri~e~' ~ Read No. 2134 Address Engineer's signature DHHS SIGNATURE __~ Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 aDove Dy 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 satish/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 {Re~, 1/91) Bact( MOA Municipality of Anchorage MUNICIPALITY C)F ANCHUK~I: DEPARTMENT OF HEALTH & HUMAN S~TALsERwcEs D~WS~ON Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501· (907) $411~4~.4~ J99,~ Health Authority Approval Checklist RECEIVED LcgalDescription: Lo'7- ~ I'o 7~E~,~/ V~ tl?.Parcell. D.: OI S'- -- 2~-'/t - q,.)t A. WELL DATA Log present ((~/N) ¥£ · Total depth ~ o ~ If A, B, or C, attach ADEC letter. ADEC water system number Date completed (0 /t ~ / ~ / Cased to ~ 0 '/- Casing height (above ground) Sanitary seal Wires properly protected FROM WELL LOG AT INSPECTION Date of test z' Static water level ~J / ~' ] / c/ Well production ! S" g.p.m. ,~. q 3- g.p.m. WATER SAMPLE RESULTS: Coliform O Nitrate O, / Other bacteria O Dateofsample: ~ / t t /ES-' Collectedby: ,5 ~ y g ,,, c-, ,,~,~.O ~.,. C, Bo SEPTIC/HOLDING TANK DATA Date installed ~--/9'//¢5[ Tanksize ] & -~-O Number of Compartments ~l, Cleanouts{~q) Foundation cleag, out ~q) ¥~' $ Depression (Y/~ N c) High water alarm (Y/~ Ax G Date of Pumping 7/~ '//qs'- Pumper ] 5~ 4' c_ $ Co ABSORPTION FIELD DATA Date installed ,1'-/-.1 ? //~- [ / ! Length ~ 5" -/- 3 c~ Width Effective absorption area 2 o~rm~) ~ ~' System type 7' Soil rating (g.p.d./ft: Gravel thickness below pipe3-~- ~ ~-g' Tot~ depth ~r Monitoring Tube presen~ ~'f Depression over field (Y~ Date of adequacy test ~ / 2,, / c7 J-- /O,4_ J' J' ~ Results ~s~/Fail) For bedrooms Fluid depth in absorption field before test (in.): ~ q hnmediately after ~¥~ gal. water added (in.): '3 (o Fluid depth '~ :] O 0 Minutes later: ~'0 (in.) Absorption rate = '7 c/7 '/-.g.p.d. Peroxide treatment (past ~t mo, nths) (Y)~ ~ ¢ ~ ~ /,-c,,,¢,.~ If yes, give date Do LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles t~Lcsted''~ Size in gallons / "Pump off" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/h~4mg tank on lot Absorption field on lot Public sewer main Sewer/septic service line t : On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Lift station 7 /o0 -~ SEPARATION DISTANCES FROM SEPTIC/adOL-DING TANK ON LOT TO: / / Foundatiou ~l. ~ Property line ~ 4-- Absorption field Water main/service line g'o ~q-- Surface water/drainage ?0 0 5/_ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation / 0 -/'-' Water main/service line $-- t2 -/- Surface water Curtain drain F. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots i I certify that I have determined thru field inspections and review of 3dunicipal in conjbrmance with MOA I[AA~,uidel)r~s in effect on this date. Signature ~A'~'/~ f~ Engineer's Name BO ~3 ~ x F (' ~'~ ~,//} ,~ Date f/3'"~ / ~]5-'- HAAFee $ ~'cA9 Date of Payment ReceiPt Number Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number 0~/15/95 10:12 COMMERCIAL TESTING * 90769d1211 NO. 15? Q0% CT&~ Ref.~ CT&E Environmental Services Inc, Laboratory Division .... Laboratory Analysis Report WATER 1~8 PTAP2q~OAI~ VIeW EST. (].lent Name S & 8 ENGINEERING WORK Order 1707S Ordered By B, COWA~ Printed Date 08/15/95 ® 09:55 hr~, ~'r~ect Name Collected Date 08/11/95 ~ 16:~0 hrs. ~'~oj~ct~ Received Date 0S/11/9~ ~ 17:00 hrs. ~WSlD UA ~,ample Remarks: SAM~DE COLDECTED BY: BOB C. QC Allowable Ext, Anal Parameter Result= Qua1 ~£~ Method bimit~ Date Date Init ..~'Itiate-N 0.10 U mg/b EPA 353.2 10, 08/14/95 cMR See Speoial Inetruotione Above UA - U~avatlable See Sample Remarks Above NA - No~ Analyzed ~,~de~ec~ed, Reported value I. ~he practical quaB~l~lca~lon limit. LT - L~o Than secondary dilu~l~n. GT - Greater Than 200 W. P0~e~ O~iv~. A.¢hora~e, AK 99518-~0~ --Te~: (907) 562-23~3 .~r~vIRONMENTAL FACILITIES IN ALASKA. CALIFORNIA. FLORIDA, ILLINOIS, MARYLAND. MICHIGAN, MISSOURI, NEW JERSEY. OHIO, WEST VIRGINIA Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF 0.,~E'SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 8; Ptarmi.qan View Estates Location (address or directions) 11001 Hane Street (b) Property owner Mailing Address (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address 3600 A Stro-.et Telephone 562-7653 Terry Ryan Telephone-(home)'$49-8698 Business II001Hane Street, Anchorage, Ak. 99516 Kay Bank Telephone ~64-0384 ATTN: Lynn LaPerrier or Sondra ~564-0360 Ben, on ~ ~ St~ee~ ~n¢~orage. Ak~ qq510 Fortune Properties ATTN: Marqaret Goesche Suite !0! Anc~_o~_.-_ge, Ak_ 9950_~ (e) Mail the HAA to the following address: (or check here I~(if hold for pick up.) List contact person and day phone number below: 3 & S ENGINEERING 17034 Ea_ale R~ver Loop. Road No. 9_t~. Eagle River, Alaska 9957~. 2. TYPE OF RESIDENCE Single-Family ~ Number of bedrooms 3. WATER SUPPLY Individual Well ~X Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site I~ 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 (Rev. 7/88) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Add ress Date 17034 Eagle River Loep Road No. 204 Eagle River, Ala~(a ~5Z7 Telephone 6. DHHS APPROVAL /./ _ Approved ~'~Disapproved Conditional Terms of Conditional Approval Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 Legal D. ejscription: A. WELL DATA Well Classification ~ ~'~q \~;;) Date Completed ")-.~:2 ~ Depth of Grouting If A, B, C, D.E.C. Approved (Y/N)/'"'~ \'~ {, Yield ~ ,7..- d~ ~r~---IF Well Log Present (~/N) Total DepthS' Cased to __ Static Water Level Casing Height Above Ground Electrical Wiring in Conduitt~N) ,-.f SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on/Lot / To Nearest Public Sewer Line //% To Nearest Sewer Service Line on Lot Pump Set At Sanitary Seal on Casingd~N) Depression Around Wellhead (Yd~P Water Sample Collected by '~ ~, ~ Water Sample Test Results '~~ ; On Adjoining Lots I ~ ct, ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ~~. · Date ~ ~ -- ~ - To Water-Supply Well To Property Line To Water Main/Service Line B. SEPTIC/HOLDING TANK DATA Date Installed ~--~Z.'~. ~) I Size Standpipes ~:N) Depression over Tank (Y/~CjP Pumping/Maintenance Contact on File (Y/N), Holding Tank High-Water Alarm (Y/N) I"&/f~'/ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: I No. of Compartments Air-tight Caps4:CDN) Foundation Cleanout(~) i.~///D.,b~te Last Pumped; for I \ -~ Temporary Holding Tank Permit To Stream, Pond, Lake or Major Drainage Course Comments ~"~ .-~rff~ ~"~~ \ (~--~-'~ 72-026 {Rev 7/88) Front Page 1 of 2 To Building Foundation To Disposal Field I C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~~~ Type of System Design Date Installed ~'~ 'Z--"7 - ~ ~ Length of Field Width of Field "~'~ ~ Depth of Field Gravel Bed Thickness Square Feet of Absortion Area ~7 (,~ ~4=~ Statndpipes Present ~/N) Depression over Field (Y/~ r-J Date of Last Adequacy Test Results of Last Adequacy Test ~:~ ~~~-~ -'~ SEPARATION DISTANCE FROM ABSORPTION FIELD: \ c:~ ~ ~ To Property Line ; On Adjoining Lots To Water-Supply Well To Building Foundationl Lot ~ / To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Existing or Abandoned System on To Cutback (if present) t..~_ Comments D. LIFT STATION D~llod Size in "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ~ng Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect inspection. Signed Company Date MOA No. 17034 Eagle River Loop Road No. 204 Eagle River, Alaska ~¥5~ z Receipt No. c,~./~---~'-~' //12,~;;; ¢ ) Date of Payment //~- -~-~ ~/ Amount: $ /~ ~ Receipt No. Waiver Fee: $ o Date of Payment 72-026 (Rev, 7/88) Back Page 2 of 2 SCALE CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 ANALYSIS REPORT BY SAMPLE for Work Order ~ 18324 Date Report Printed: NOV 21 89 @ 09:29 Client Sample ID:L7 PTARMIGAN ESTATES PWSID :UA Collected NOV 17 89 @ 13:00 hrs. Received NOV i? 89 @ 16:30 hrs. Preserved with :AS REQUIRED Client Name : S & S ENGR Client Acct : SNSENGP P.O.# NONE RECEIVED Req ~ Ordered By : RJS hnaiys~s Completed :NOV 20 89 Laboratory Supervi~or,:STEPHEN C. EDE Special Instruct: Send Reports to: l)S & S ENGR 2) Chemlab Ref ~: 8581 Lab Smpl ID: t Matrix: WATER Allowable Parameter Tested Result Umts Method Limits NITRATE-N ND(O.iO) mM/1 EPA 353.2 Sample ROUTINE SAMPLE Remarks: SAMPLE COLLECTED BY RJS 1 Tests Performed See Special Instructions Above UA=Unavailable ND= None Detected '' See Sample Remarks Above NA= Not Analyzed LT~Less Than, GT=Greater Than unicipality of Anchorage ~ Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 25, 1990 Robert A. Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road, Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 8 Ptarmigan View Estates S/D Waiver Request 9WR890070, PID #015-271-44 Dear Mr. Shafer: Your request for waiver of the required 100 foot separation of a septic tank and the well on Lot 8 to 85 feet and septic tank and well to Lot 7 to 92 Feet has been approved. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Robert W. Robinson Civil Engineer On-site Services CONCUR: / / Program Manager On-site Services RWR/ljm: ~6 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOl L TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT SHAFER, P.E. ROGER SHAFER January 24, 1990 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ATTN: Robbie Robinson 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 REFERENCE: Lot 8; Ptarmigan View Estates Dear Robbie, As per our conversations on the waiver request for the referenced property, we have accumulated more data from area w~ll logs which gives us a better understanding of the aquifer which supplies water to the two wells referenced in our previous submittal dated November 29, 1989. Following is summarized w~ll data available for each of the lot~ surrrounding the referenced property: Lot I ~ Lot 2 :- TD = 240' 6"CSA 240' Aquifer.=.237' to 240' + SWL ~ 180' DD = I0' Clay/ till 40' to 220~u_ j ~ -. NWL or w~ll data Lot 3:, TD = 242' 6"CSA 241.5' Aquifer = 236-' to'242' + SWL ~ 190' DD = 51' Silt/Hardpan/Clay 68' to 223'~'?.- . ~") ." Lot 4:/ TD = 232' 6" CSA 232' Aquifer = -210' to 232' + SWL unknown DD unknown Silt/Hardpan/Clay 40' to 21~.~ Lot 5: No File Lot 6: ~TD = 203' 6"CSA 203' Aquifer = 196' to 203' + SWL ~ 68' DD unknown Clay/Silt 72' to 19~ Lot 7: NWL or w~ll data Lot 8:~' TD = 200' CSG info = none Aquifer = 190' to 200' + SWL ~ 54' DD unknown , Silt/Clay 43' to 19~. I~I~1 ,// 1~034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 8; Ptarmigan View Estates January 24, 1990 Lot 20: (Sec. 21-TI2N-R3W) Vacant Lot 19: (Sec. 21-TI2n-R3W) TD=~I6', 6~CSA 216' Aquifer=213' to 216' + SWL @ 130' DD= 40' ~. ~ Clay 74' to 195'~.I ~i~ As can ~e seen from this data, t~r~ is ~ impermeable ~arrier a~ove ~he aquifer which varies in thickness from 119 ft~'(Lot 19) to 180 ft. (Lot I~ This shows th~ aquifer to b~ confined, and th~ conf~ ~ayer will ~ffluent from entering the aquifer. :.'"/~ ~v~ ~n?~-'~Z ~-~"-~ Given this additional data and a b~Un~an~g ~f ~h~ ~a~w~de soils type b~tween the ground surface and the aquifer, we have r~calculated the points in a risk analysis performed using the Department of Environmental Conservation (D.E.C.) "Separation distance Waiver Guid~R~ines." Following is the recalulation of points: I. Water table 190'-8' = 182' vertical separation 7.4 pts. 2. Soil Sorbtion: 8' to 25' Grave~ 17' 26' to 43' Sand 17' 44' to 78' Silt/Sand 34' 79' to 104' Clay/Sand 25' 105'to 160' Clay/Gravel 55' 161'to 190' Clay/Gravel 29' (17x0=0) 0 (17x2.0=34) 34 (34x3.0=102)102 (25x4.5=113)113 (55x2.5=138)138 (29x3.0=87) 87 460 460-127= 2.6 pts. 3. Permeability: 8' to 25' Gravel 26' to 43' Sand 44' to 78' Silt/Sand 79' to 104' Clay/Sand 105'to 160' Clay/Sand 161'to 190' Clay/Gravel 17' (17x0= 0) 0 17' (17x2.0=34) 34 34' (34x3.0=102)102 25' (25x3.0=75) 75 55' (55x3.0-165)165 29' (29x3.0-87) 87 463 463-127=2.6 pts. 4. Water Table Gradient -7% 1.7 pts. 5. Horizontal separation 2.4 pts. TOTAL POINTS: 16.7 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT SHAFER, P.E. ROGER SHAFER November 29, 1989 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIFONMENTAL PROTECTION Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 RECEIVED REFERENCE: Lot 8; Ptarmigan View Estates Request you issue the attached Health Authority Approval and grant a waiver for the horizontal separation distance between the septic tank and the well on the referenced property at 85~t. We also request a waiver for the distance between the referenced septic tank and the well on the adjoining lot 7, at a distance of 92 ft. When the septic system was installed on the referenced property in May of 1981 both wells were existing. The lesser separation distances were ~ed and approved by the Municipal inspector at the time of installation. Following is the results of a risk analysis performed using the State of Alaska, Department of Environmental Conservation "Separation Distance Waiver Guidelines": A. WATER TABLE: From well log - Water encountered at 190 ft. Septic Tank Depth is 9 ft. Separation equals ~_l_ft. = 7.4 pts. B. SOIL SORPTION: Mixture of Soils - Gravel, Sand, Silt, Clay = I. 5 pts. C. PERMEABILITY: (Same soils as above) = 1.5 pts. D. WATER TABLE GRADIENT: From Flow Test - Drawndown = Separation = 85 ft. Hydraulic Gradient -7% 6 ft. = I .6 pts. E. HORIZONTAL SEPARATION: Minimum Separation = 85 ft. = 2.4 pts. TOTAL POINTS = 14.4 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 8; Ptarmigan View Estates November 29, 1989 Other factors to be considered include: I. The well log shows several~ layers between the surface and where water was encountered at 190 ft. This wo~ld help prevent the septic effluent from reaching the aquifer. 2. Only the septic tank is within the required separation distance. The septic tank should allow only a minimal amount, if any, of effluent to enter the ground. 3. Nitrate samples from both wells showed no nitrates detected. It is our opinion that the horizontal separation distance prescribed by 18AAC72.021. is not required in this case. If you require additional information for your review, please contact us. ~ ~~ ~S/gm~OB~T A. SHAFER, P.E. e of filing, is not sewer facilities. ewer disposal facility prior approval of jZ 59' 36" ~,TIONS, CERTAIN LOTS ' NOT BE DEVELOPED PPLY AND SEWAGE ,? DATA , ~ ~ ~9° 5~' ~G" W· ~ ~99.3~ - _~'/;~ ,~-~ ~.. ~ . ,~ ~, 89° 49 29" E. _ ~'~- _J~ .... ~ ~---~~%14 _. ~ _. , ~ _~ / ~o, ~ :-1~_ % ~ ~ ~2 . / , aO~.~- ~m-- I m ~ , ~[~ .Ic Jj UtiJlt~e~t, o~ ~J I ~' ~1 ~ -~ o 5HIO STREET ~o~ N. Bg°59'~4'E 329.87 1..-' SURVEYC I, the DATE RECEIVED INSPECTION APPOINT, MENTS ~..~j~__~, -~/-~_~ TIME TIME[~/~ ,~ ~'~ TIME INSPECTOR I NSPECTOR~ I NSPECTOR~ ~C~ · MUNICIPALI~ OF ANCHORA~ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~iRONMENTAL pF, OTECTION 825 L Street - Anchora~, Al~ka 99~1 ENVIRONMENTAL SANITATION DIVISION 3Uiq ~ 9 1981 Telephone 2~-4720 DI R ECTIONS: Complete all parts on page 1. Incomplete requ~ will not be pr~d. Please allow ten (10) days for processing. 1. PROPERTY OWNER ~~/~ PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2. BUYE~ PHONE MAILING ADDRESS MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION ~, E~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] On,,~ [] Four []~ .,[~Th [e [] Five ~ e [] Six [] Other 7. WATER SUPP~I,~ ~'~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY /'~::~;~.~_YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMI I~¥ 2, WATER SUPPLY [] INDIVIDUAL [] COMMONiTy~ [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE i---I PUBLIC UTILITY Connection Verified [~Septic Tank or []Holding Tank Size: ! 3-'.~ D If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS [] ONE [] TWO PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOl LS RATING MANUFACTUR ER~L MATERIAL Septic/Holding Tank IAbsorption Area NUMBER OFBEDROOMS [] OTHER ~;] THREE [] FIVE [] FOUR [] SiX Sewer Line Nearest Lot Line DATE [Z~APP ROV ED FOR .-~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accom/l~¥ certificate) // [] DISAPPROVED 72-010 (Rev. 6/79)