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HomeMy WebLinkAboutEKLUTNA HGTS STEWART ADDN LT 1 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT OSP191205 PID Number: 05/-003-/b Permit Number: Dwelling: ® Single Family(SF) ❑with ADU ❑ Duplex(D) ❑Two Single Family Project: ❑ New ] Upgrade Name Krin Kemppainen ABSORPTION FIELD Site Address ❑ Deep Trench ❑Wide Trench ❑ Bed ❑ Mound 21607 Bear View Place, Chugiak ❑ Other phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot Ft. Ft. Eklutna Heights Stewart Addn 1 Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To; Septic Absorption iLift Station i Holding i Sewer Total absorption area Number of trenches Dist.between trenches From i Tank ; Field Tank Line Ftz Ft. Well 178' • TANK p Septic El S.T.E.P. O Holding El Other i Manufacturer Capacity 1060 Surface Water 100'+ Infiltrator Gal • Material Number of compartments Lot Line 1 5'+ NA Plastic 2 Foundation '; 10'+ i LIFT STATION Manufacturer Capacity / Gal Remarks 24"insulation over tank wk 514 G a'. /i Er/h'are-vIAA -la-a< Id 5 tea-We/3,04;4cAlarm location Electrical installed by A7 „' f✓1 C vc_st_5Jed' CK �L7/�c� . ite4 • PIPE MATERIAL House to tank D3034 Tank to D3034 Installer drainfietd Northern Excavation Drainfreld CO/MT 0 3034/ Inspector ArcTerra Consulting _ BENCH MARK (Assumed elevation) 100 ft Inspection 1A7/12/19 ates: 2 a 7/13/19 Location and description Door jam on porch 3id 46' ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: ___ Date _ _ :��P�� 017 �Rf�.�� P 491!3...............t.......x. 1,, IN Septic System %„, KENNETH M. �+tfus f Approved QQJX,�(1 4-,-,>\ CE 7116 it$j A 0,0.7tattO Date g 5 9 ♦ • Note: this approval does not include well permit requirements. +s,� ;SSv-,4• (Rev 05/02/18) AS—BUILT SYSTEM DETAILS/SITE PLAN Permit DSP191205 EKLUTNA HEIGHTS STEWART ADDN. LOT 1 PID# 015-063-18 • S 89'57'10" W 120.32' (120.00' R) c SHED ii l IME& 24.0' 8.0' 12.0' MT O iV-111M11 O '�d�� D w 00 _ r DWELL N z u O o r.DECK El LOT 1 0 I X w 8.0' rn FCOCD o m Z 0. z (D 0 M x fV z w PAVED 14.0' 0 CO 01W _ D O x J O ' I - 24.0 22.0' o NEW 1060 GA O ' Al — INF iL TRA TO-PLASTIC SEP IC O _ _ TANK :0 A `_, 01 Of 75.6' 1 S89'57'10"W 120.29' (120.00' R) SCALE 1' = 20' O isr- ('� 98.15 `97 85- `-C-21.3' 00 Li i uu ? C=14.3' oo II(\-D=24.6' D=17.4' 0 t, � � �! inl 1060 GAL - SEPTIC EXISTING FIELD TANK (-__-,?-- 77-0, ci91 -J-) 091.28-T, OF ��\ _ SCALE: NTS Ar �� 4,5. t PREPARED FOR: �gCTrERR 1 1� , KRIN KEMPPAINEN o1 ,��� 1�\A\\� p6 1 21607 BEAR VIEW PLACE ar Apia; �o' * 4. TH iN * / CHUGIAK, AK 99567 m� / ! Air�` � / FIELD 800KS couPUTEo: (I` ��"„1 X I KENNETH M. DI��iS Z I /,�� CE-71 �w'� BOUNDARY:N/A DRAWN: KSD ��1 J i �`.'�.�,i _\ .'15, 4., I/2 �� STAKING: SLS CHECKED: KMD to �ji ��� ,''S nom' `C, ` / ASBWL7: DATE: .•..r- -^ r� ��� ,�� pti SLS 7/19/19 F '" �/ pROFESSIO�� DWG. RLE: GRID: NW 1460 9�tF C' �,� G �� 4,, p..s �t� \90 *1116...\:10.14111w- \ ACAD FILE: FILE doe No.: 19032 SFR AK 99577_616 I ...±..4:4 I i ! 20' S 89'57'10" W 120.32' (120.00' R) I b SHED Z 0 O 24.0' 6.0' E 12.0' 0 O d CO O • W6`? z ,A1 O o • 0 r. ed trirn DECK sX _ LOT 1 3 _ a,C' Ln rn , tD o V Z a 0 10 m MM ? SEPTIC N VENT PAVED D/W '4•C' n (typ) I a -I c x r.1 �-+ O O .....-- 0. 0). 25.6' 1 S89'57'10"W 120.29' (120.00' R) i a to DOLLY AVENUE ANCHORAGE RECORDING DISTRICT,ALASKA AS-BUILT OF: ' =-FND ALUMINUM MONUMENT EKLUTNA HGTS RH STEWART 1952 ADD. p -:FND 5/8' REBAR LOT 1 PLAT 63-10 �_�`� SURVEY CERTIFICATE: I.John L.Schuller,Have conducted a 40�`�, Or Az�` N,>o �LA/44) .> physical survey of this property as shown on this drawing and that the �/ ��.•`'''' .16- 11, �'��N el) improvements situated hereon are within the property lines and no • , ,mak enchroachments exist other than noted.Under no circumstance should * 4 9 i\ ` 0 any information on this drawing be used for construction of fences, ` ? x �, I t structures,improvements,or for establishing boundary lines. Ii , a. EXCLUSION NOTES:It is the owners responsibility to determine i' •':" + ; ;., .JOHN L. SCHUTJ.FR, Q the existence oi'arty easements,covenants.or restrictions which Il,p. ,� a,�� ,. , do not appear on the recorded subdivision plat. iI�r�^ LS 40408 �/ ` " 1831^Talkeetna Street WORK ORDER NUMBER: DATE sckE wvs t led '•7;I.i,(.1/'Y e, Av" Anchorage, Alaska 99508 JULY 9—065 W Bn crEacW an MID a�een:2019 0 eaacfiA �`��°f ession0t ..op'" (907) 227-1455 office JLS NW1460 190130 ,ha�Q,�'�.~' I (907) 274-4992 fax N,CiPAt,r,pA, MUNICIPALITY OF ANCHORAGE ,,,,c n1- i \ On-Site Water &Wastewater Program N o ,S0 , PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 :lr1t i, http://www.muni.org/onsite )charttnent 4NCM00.,,G On-Site Wastewater Disposal System Permit Permit Number: OSP191205 Effective Date: 6/11/2019 Work Type: SepticTank Upgrade Expiration Date: 6/10/2020 Tax Code Number: 05106318000 Site Legal Address: EKLUTNA HGTS STEWART ADDN LT 1 G:1460 Site Mailing Address: 21607 BEAR VIEW PL, Chugiak Owner: KEMPPAINEN KRIN M Lot Size in Sq Ft: 8400 Design Engineer: ARC TERRA CONSULTING INC Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field Il Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development • Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: /011.41 / Date: Z/// ,/ A Issued By: � /d' / Date: ��l/ Municipality of Anchorage P.O. Box 196650 ® 4700 Elmore Road _Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Proaram * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: WR930035 amended COSA#: Permit#: OSP191205 PID#: 051-063-18 Legal Description: Eklutna Hqts Stewart Addn Lt 1 Engineer: ArcTerra Applicant: Krin Kemppainen Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is.W-;-.4 feet. This waiver approval applies to the proposed septic tank only. Any future upgrade to the on-site +A -,:— wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted: Date: 6 l! Approved by: _L146 Name of Revi **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY O_ F ANCHORAGE t 4.^.2 1 i J Development Services Department \\ I, / Phone: •! - • ''4 On-Site Water &Wastewater Section Fa 9i •- 43- •7 ti 1 a- I =,r - J 3 ON-SITE SEPTIC/WELL PERMIT APPLICATION ti w I/ Parcel I.D. 051-063-18 oz; g �� Property owner(s) Krin Kemppainen Day phone C5.6 - 57416 Mailing address PO Box 672324 Chugiak, AK 99567 Site address 21607 Bear View Place, Chugiak Legal description (Sub'd., Block & Lot) Eklutna Hts Stewart Addn Lot 1 Legal description (Township, Range & Section) Lot Size 8,400 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (El all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade 0 Duplex(D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: G2V 5 Waiver Fees: Date of Payment: 6730flq Date of Payment: Receipt Number: Receipt Number: Permit No. (a6Pie nos" Waiver No. G:\Development Services\Building SafetylOn Site Water and Wastewater\Forms\Client Forms\Permit Application.doc oy �RCTE fi,„ 4° ARcTM IRA 1 CONSULTING, INC 0 ;e 20441 Ptarmigan Blvd. Eagle River,AK.99577 4,' Office(907)696-61111,Fax(907)868-3793 June 8, 2019 Municipality of Anchorage Development Services Department On-Site Water& Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Tank Upgrade Permit- EKLUTNA HTS. STEWART ADD. LOT 1 The owner has requested we proceed forward to obtain a septic tank replacement permit to upgrade the existing 40+ year old septic tank on the subject lot. The proposed upgrade will serve the existing 3-bedroom house. The adjacent lots are served by private wells as noted on the design. We are do_ d requesting the existing waivers for the well to septic tank distances at were ,,c v'S issued March 3, 1993, be preserved due to the limited area on the property. We 7ip 85- 1 have moved the septic tank further away from the existing well on the property and from our inspection and testing of the leachfield there does not appear to be any changes to the area that would necessitate any change to the existing waivers. There are no water wells or surface water within 100' of the proposed tank other than those noted on the site plan. The leachfield has been tested and is adequate for the existing 3-bedroom house. We do not expect there to be any adverse effect on adjacent lots by the development of this tank. If you have any questions, please contact me at 696-6111/FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. - 10Kenneth . : .s Attachments: On-Site Sewer Application Wastewater Absorption System Details/Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER,AK 99577-8736 • PH(907)868-3791 • FAX(907)868-3793 WASTEWATER DISPOSAL SYSTEM DETAILS EKLUTNA HIGHTS STEWART ADDITION LOT 1 CD 0. ./EA. O'mina 0 (Th somata • 'imam Q (1J •TrY CO CY <1 0 / 1 CD rn 0 • CD v JOEC IUSS1lpN COSMO ST. MW1HSTALLCI 1fEIN NWOOPOSE-GALTANKAEPTI S 6 •• INSTALL COFO 5'FROM • ' ON V co til 40 120 .00 is0 /\ o M W A/D' - ` / N vJ\ M O cii Z / �a /6 '' Ne w e//5 <42/ ,, o� • N. o A /D74 /il1•BS•OK r5° a DESIGN: o y' ea S /- '- it-55 not o Scale: 1'= 30' 1. INSTALL 1000 GAL S.T. & INSULATE TANK IF <4' COVER. PAGE 1 OF 1 2. MAINTAIN 10'+ FROM F❑UNDATI❑N, WATERLINE, & LOT LINE. tii „MAINTAIN 5'+ FROM EXISTING FIELD & INSTALL 2 POST-TANK y CLEAN❑UTS & INSTALL FOUNDATI❑N CLEAN OUT 5' FROM FOUNDATION 3. CONTRACTOR WILL ENSURE ALL SEPARATI❑NS TO ADJACENT _ _�F ‘\ WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... ci AZ Y / <S. 4,p. t PREPARED FOR: CTE w )/A/V.". �* 1 KRIS KEMPPAINEN 1R Req i �, /:'. `� � � 21607 BEAR VIEW PL �o�' � ���4 • TH )� .* CHUGIAK, AK 99567 �'� is I .. OW S \ .., / S FIELD BOOKS COMPUTED 6 o # % CE— • �We / BOUNDARY:N/A DRARN KSD Z ilk' 14" '..,,,/,, \ w 1 c �$ / STA1ONQ _ CHECKED: KMD \ •''�,� 1 /8/f 9 ��� ASBUILT: _ DATE 05/23/19 ~��9"' \ 0� w \ FESSIO DWG. FILE GRID: N W1460 ceF P coN x�i.,•s 1 `�`� ADAD FILE l00 No.: Ns�1LT1NG ,�36 N FILE 19032 AK. g9577- - . 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 PHONE MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO, OF BEDROOMS PERMIT NO. [~NEW [] UPGRADE DISTANCE TO: I I Manufacturer ;L q capac ty n ga Ions ............ [000 ~ ~UM~U~: DISTANCE TO: ~wemm Manufacturer DISTANCE TO: m No. of linest Length ~eac~line lop o~ tile to finish ~rade ken.th ~idth T~e of crib Crib diameter ~ell ICl~~ Depth -- ~1~ 10: 8u,ld,n~ found.uon Absorptio? area Dwelling 10' Mat~_~ W dth Inside length Dwelling Material Found~t~nf .earT~o/~ Total length of lines Trench V~d~. Material beneath tile ~. ~" Depth No. o~_~mpartments Liquid depth PERMIT NO. Liquid capacity in gallons Distance between lines inches inches Total ef~z~c~]absorption area PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO. Sewer line Septic tank Absorpt on area(s) OTHER PIPE MATERIALS SOl L TEST RATING ~30 ~ INSTALLER REMARKS APPROVED DATE LEGAL 72~13 (Rev. 3~78) i"IUNI,Z:IPALIT"r AF RNCHO?J3.GE -- ~--~-' - '- [:,EF'ARTHENT I_-~ iRLTH AND EI'.,I..,IR. ONMENTRL ' . , : ° 825 '"L '-,TREET., ANCHARA'3E, AK. 264-4728 L4ELL F-It-,,IE:' c,r-,,I--S "r Ti '_~EL...IE_ F-: F'EF-."t~I_I T APPLIC:AI",IT L & W GEN L-:L-~NTRAC:TuRS F'. C. LOCATION LEGAL L i EKLUTNA HTS STW ADD LOT SIZE 8400 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUblAER OF BEE:,ROOMS = 3.' SOIL RATING (SQ FT,/BR)= 230 THE LENGTH [:,IMENSION IS THE LENGTH (IN FEET::, TREi'-,I~/OR [)RAINFIEL[:. THE [:,EF'TH OF A TRENCH OR PIT IS THE DISTANCE E:ETI.4EEN THE ~FACE OF THE ISF.".FIUNI[) AND THE 8GTTOM OF THE EXC:A',,,ATIGN" (IN FEET:.". ~ THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL 'THE OUTFALL PIPE FIND THE BOTTOM OF THE EXCAVATION (IN FEET:). A PACKAGE PLANT MAY BE INSTALLED FOLLOWING CONDITIONS: ±. EITHER A CLASS I OR 2. A CONTINUOUS MAINTE NCE AGR AGREEMENT IS NOT CURREi ABSORPTION SYSTEM Fi L L CIl'-,I $ _ ..... I"IR, BE REL~I_IIRE[~ TI] ENLARGE HE SI]II Y E:E SUBJECT TO F'ROSECI_ITIEIN. E:AE:KFILLING AF ANY S"r'STEM WI ~'4AL INSPECTION AND ~ PllCJCCALtill~'"' DEPAF.:THENT WILL E:E SUE:JECT TO PROSECUTION. JOe FEET FL-,F-: A F'RI",,'ATE WELL ,_-IF.: 200 FEET FOF.I A F'UE:LIC WELL LOGS ARE REQUIRED AND MUST BE RETURNE[: TO THE ,DF THE WELL CFIMPLETIIZ'N. ~'~\.,A,/ O,T, HER REQUIREMENTS MAY APPLY. SPECIFICATIONS AN[:, C:LII~TRUC:T.~b~ DIAGRAHS ARE A,,,AILRBLE TO ,NSL'RE F'ROF'ER I~TALLRTION f~-____ F'EI:~:[-1 I f E;-'-4F' I I:~.'i=. [)ECE£-IE:ER 3-1 ..t./ l.'B- 77 I CERTIFY THAT :1.: I AM FAMILIAR WITH THE RE¢4UIREMENTS FOR ON-SITE SEWERS AN[) WELLS AS SET FORTH BY THE MUNIC'IPALITY OF ANCHORAGE 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3:' I UNDERST8ND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE~ RESI[:,ENCE IS REMOC, ELE[:, TO INCLU[)E f'l~ THAN Z; BE[,R-.]MS. ' ~ 1~ ~ ~ ' L & W C:ONTRRE:TCRS &¢~ ~¢ ISSUE[) BY ' ~ .......... O Et E GEC. _CHNICAL 8- DEVEL,.,,:MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 6~-2280 Russell O~ster 694-2774 Soils Et Foundations Performed for: Name: Earl Blis SOIL LO6 ~22so Land DeveloDm~nt Hall trig Address: Legal Description: Z,~7- /< ~-~-,~'~'~/,,~ Depth (feet) Sotl Characteristics 7 8 9 lO 12 ~5 16 Ground Water Encountered: Proposed Installation: Yes No f If yes, what depth Seepage Pit Drain Field Comments: Performed by: Date: / Ku~k~ 'Alaskan Builders ' ~!e ~v~F. -~.- 99577 Well seal Static water 4 8 ~-o /-l-8 6o : 68 68 76' 80 84. 88 92 96 10o -- 104 !o~ !12 j,,~ I Layered Sand and gravel Boulder ~::Production Bail - . .: Tested;1.5 G.P.M. : Sandy gravel and silt Drilled and logged by Bill Magnuson Cotten-Magnuson Drilling • Municipality of Anchorage =F On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-063-18 _ _ Expiration Date: - 1. GENERAL INFORMATION Complete legal description Eklutna Heights Stewart Add Lot 1 Location (site address) 21607 Bear View PL. Current Property owner(s) Krin Kemppainen Mailing address 2 -1 -607 -Bear View PL. Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone Day phone 3. NUMBER OF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ® Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class — Well ❑ Public Sewer ❑ Public Water System ❑ Waiver/Variance request for: Distance: Received by: � % _ _�Ae� Date: COSA to be released to the engineer, unless othe yequested by the engineer. is COSA Fee $ Waiver Fee $ Date of Payment ? (P Receipt Number _ COSA # Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING INC_ Phone 696-6111 Address 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served WW a operational fife of all well and septic systems are subject to these various and dynamic characteristics and are ot�tgit �r evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a `4G y rrr system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen 4 ON -S17 -E encroachments, deficiencies or discrepancies exist. WATER 6. DSD SIGNATURE - oND 4 -- WASTE ' �,:� '\i-- � WATER © PROGRAM J System #1 Approved for System #2 Approved for _ Disapproved. t;1Q' ERVtG�c'O \�� t ki V\11;f u ,� � , : 1 p4 k )I)})MI),) �F , bedrooms. a \7 ,�► aYr7..- FYI` .ate Conditional approval for __ bedrooms, with the following stipulations: ...I,i+"RC... 1. ,/i... hv_2. 1_hvme �) �N _.de C% ..mC By: _ Original Certificate Date: g The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: EKLUTNA HEIGHTS STEWART ADD LOT 1 Parcel ID: 051-063-18 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system 1 A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 5/8/78 Total depth 132 ft Cased to 40 ft ® Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 20 in. Date of flow test for COSA 5/20/19 Static water level at beginning of test 96 ft. Comments B. TANK DATA Age of tank(s) New years Tank type/material Plastic/ Infiltrator Measured operating fluid level in septic tank NA 0 Standpipes/foundation cleanout per record drawing Date of pumping New D. ABSORPTION FIELD DATA Which system tested (date installed) 5/7/78 ® ALL standpipes present per record drawing Total measured depth from grade 8.8 ft (max) Measured depth to pipe invert from grade 6.3 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 2.5 ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 1.5 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ®No ® Coliform bacteria is Negative 9 Nitrated t Omg/L ❑ Nitrate less than MRL (ND) Arsenic ND ug/L ❑ Arsenic less than MRL (ND) Collected by ARCTERRA CONSULTING Date of Sample 7/12/19 `t 1 /fo 2- 02 O C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 5/20/19 Results Z Pass For 3 bedrooms Fluid depth prior to test 7 in Water added 450 gal New depth 15 in Elapsed time 1440 min Final fluid depth 7 in Absorption rate 450+ gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 78 Community Sewer Manhole/Cleanout > 100' [❑ Yes if No ft ® Yes if No ft Neighboring Tank > 100' Jj Yes if No ft Private Sewer/Septic Line > 250 Yes if No ft Absorption Field on Lot > 100' ` ` Yes if No 10-7 ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' Private Wells > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' Manure/Animal Excreta Storage > 100' if No Community Sewer Main ? 75' 0 Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Yes Absorption Field > 5' Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No It if absorption field is under driveway comment below Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells >' 100 _ � Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS Old tank was removed and new tank placed in same hole due to limited space on lot. Existing waiver WR930035 for well to tank should be amended to 78' and well to field to remain at 97'. G. ENGINEER'S CERTIFICATION e �OF a I certify that I have determined through field inspections and review m C�r''�M +of Municipal records that the above systems are in conformance with �%"- *�49 'z'# #,`s MOA COSA guidelines in effect on this date. ,a Int AV••••�.»...............................�...,.+� ,KENNETi M 6?rtbsl ♦'�$ i,E 7i16 r` .rr elea COSA Checklist yellow sheet a�o4�4 Nitrate Advisory Certificate of On -Site Systems Approval # OSC191342 Subdivision: Eklutna Heights Stewart Add lot 1 A water sample revealed a nitrate concentration of 10.9 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. r MaUrog Address PsµO Box 196650' anchorage, Alaska 99519 6650 * wvi►w muni org P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 Camera Inspection Report Arc Terra Consulting, Inc. 212 E. 51st Ave Anchorage, AK 99503 21607 Bearview Place Chugiak, AK 1-10-20 Sullivan Water Wells ran a camera down the well to 118' and found no holes or leaks in the casing. The static water level was at 64. Thank you, Cole Sullivan Ki-kli..11� Municipality of Anchorage On-Site Water and Wastewater Program ��V'Jt* (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-063-18 Expiration Date: N O V _5, )0 1°1 1. GENERAL INFORMATION Complete legal description Eklutna Heights Stewart Add Lot 1 Location (site address) 21607 Bear View PL. Current Property owner(s) Kiln Kemppainen Day phone Mailing address 21607 Bear View PL. Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual El Individual Well ® Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class ___ Well ❑ Public Sewer ❑ Public Water System ❑ Waiver/Variance request for: Distance: Received by: d'a / -d -__/„. . __, __. Date: g)/57//)' COSA to be released to the engineer, unless othiii quested by the engineer. COSA Fee $ 150 Waiver Fee $ Date of Payment g-!2 Wig _ Date of Payment Receipt Number 2(1 b ) Receipt Number COSA#_ __ 05 _:1i3`a____-- Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe: functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD.,EAGLE RIVER,AK 99577 Engineer's Printed Name _KENNETH M. DUFFUS Date Engineer's Comments:This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface,changes inland use, local soil charactenstics,groundwater levels that may fluctuate dunng the year and the water usage of the family being served �lll�k(kyUef ,'( he operational life of all well and septic systems are subject to these various and dynamic characteristics and are o tt t'dtltei evaluator of the well and septic system. Therefore, �� Q ArcTerra can not give any estimate of how long a `J\. 4'4' //; system will function satisfactory for current or future :/- -...`'446,liL occupants or can ArcTerra guarantee that no unseen 4' ON-�S/TE 'y . 0'. A encroachments,deficiencies or discrepancies exist. o WATER AND ,, �,, L cs % r.Jta WASTEWATE /; 4- 1 PROGRAM R o1/ .- 4 9 r1-I -'' V 6. DSD SIGNATURE JO'�,J� ��� J , System #1 Approved for .3 bele4j($!�ER 110ESO��\,1 ',. xf� t-r l�y6+ ,�� w If System #2 Approved for bedrooms. , '?,, r t,, ,r Disapproved. \\`•=t+\ f Conditional approval forbedrooms, with the following stipulations: Yc nn I ` 1_ . ^— 1 A ',!\oY\i-0{ _-LK\ t ‘IS yvAtA ,1,...3 per.._c1. ... u'1 "�"\,le '7. 5 V. 4 4Le Mo.k me«-m A c_� ct, t.Qck de,fileN mete w1Q.A ettickkoSt (01 .vi\PA\v) (OUA A c\0" qv. k\J . 1 , , _ o � By: xJ Y Original g Certificate Date: 3 5 19 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory ,4 Septic System Advisory Arsenic Advisory Well Flow Advisory Other rr7RA hba thaw Milli 7 Mt- COSA Checklist Legal Description: EKLUTNA HEIGHTS STEWART ADD LOT 1 Parcel ID: 051-063-18 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system 1 A. WELL DATA •Well log is filed with Onsite (or attached) Well production at time of test 1.5 gpm Date drilled 5/8/78 Water storage tank volume gallons Total depth 132 ft Well disinfected for coliform test? ❑ Yes I No Cased to 40 ft • Coliform bacteria is Negative is Sanitary seal is functioning correctly Nitrate 9.93 mg/L ❑ Nitrate less than MRL (ND) El Wires are properly protected Arsenic ND ug/L ❑ Arsenic less than MRL(ND) Casing height(above ground) 20 in. Collected by ARCTERRA CONSULTING Date of flow test for COSA 5/20/19 Date of Sample 7/12/19 Static water level at beginning of test 96 ft. Comments B. TANK DATA C. LIFT STATION Age of tank(s) New years [' Required maintenance completed Tank type/material Plastic/Infiltrator Age of lift station years Measured operating fluid level in septic tank NA Lift station material Standpipes/foundation cleanout per record drawing Comments: Date of pumping New D. ABSORPTION FIELD DATA Which system tested (date installed) 5688 Adequacy test date 5/20/19 ALL standpipes present per record drawing Results szjPass For 3 bedrooms Total measured depth from grade 8.8 ft(max) Fluid depth prior to test 7 in Measured depth to pipe invert from grade 6.3 ft(min) Water added 450 gal ❑ N/A—pressurized field 15 New depth in 0 Monitor tubes go to bottom of effective. If not, state Elapsed time 1440 min depth into effective 2.5 ® Code-required soil cover over field Final fluid depth 7 in Absorption rate 450+ gpd 13 System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout> 100' 0 Yes if No 78 ft ®Yes if No ft Neighboring Tank > 100' 0 Yes if No Q ft Private Sewer/Septic Line > 25' ®Yes if No ft Absorption Field on Lot> 100' Yes if No 97 ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' 0 Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations> 10' 0 Yes if No ft Surface Water> 100' 0 Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells>200' 0 Yes if No ft Water Service Line> 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water> 100' 0 Yes if No ft F. ENGINEER'S COMMENTS Old tank was removed and new tank placed in same hole due to limited space on lot. Existing waiver WR930035 for well to tank should be amended to 78' and well to field to remain at 97'. sooksaikiiikt G. ENGINEER'S CERTIFICATION /7••P��• CF 144,,..+ I certify that I have determined through field inspections and review �� --- 4,.. 1. of Municipal records that the above systems are in conformance with i 4 49 ,..4,- •• /*� � MOA COSA guidelines in effect on this date. „ • j1 + KENNETH M. 0. US j,w �1, CE ,711<t , : COSA Checklist yellow sheet /..111 t�i +•'► � MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT • f! 907-343-7904 On-Site Water and Wastewater Section \ tj" Fax:343-7997 www.muni.org/onsite Nitrate Advisory Certificate of On-Site Systems Approval # OSC191342 Subdivision: Eklutna Heights Steward Addn, Lot: 1 A water sample revealed a nitrate concentration of 9.93 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address:P.O.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org 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. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot I; Eklutna H~i.~ht~i Stewart Addition Location (site address or directions) Property owner Mailing address Lending agency Mailing address Cha~zs and Ev~yn Walker Day phone P.O. Box 671914 Chuqiak, AK 99567 Day phone Agent Nancy/ S~.h~.y/Au~ora. Address P.O. Box 671923 Chugiak, AK 99567 Day phone 688-4939 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 #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 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 S &S ENGINEERING JV Phone d'~2'~-/- ~-~ ~ ~ 17034 Eagle River/I,~p RoI{~I~. G Add ress Eagle River. Al,~ka/~9~r? / ~ Engineer's signature DHHS SIGNATURE /~ Approved fc~r Date ~/~//~- ~'~ 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 DH HS 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  Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:~---'~'r- \ ~vV,-~-O-~. ~'~ Parcel I.D. A. WELL DATA Well type ~-~P~'~--- Log present ~.~/N) Total depth ! '~ ?- ~ Sanitary seal (~/N) If A, B, or C, attach ADEC letter. Date completed Cased to ~'"' ~ ~- Casing height Wires properly protected (~/N) FROM WELL LOG Date of test ~ ~ ~ -'7 8 Static water level 4-5- ' Well flow ! ,5'- Pump level L~ ~ g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot '~ ~ ~' Absorption field on lot ~ C~ -~ / Public sewer main ADEC water system number ~'- 9 -~ Driller AT INSPECTION ;On adjacent lots Sewer service line WATER SAMPLE RESULTS: Coliform ~) Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts ~i~N) \,/ High water alarm (Y~ Date of pumping ; On adjacent lots Public sewer manhole/cleanout Petroleum tank '~-'~" ~+- Collected by: Nitrate Other bacteria i~ S & S ENGINEERING 17034 Eagle Rlvm' Loop Road Ea~ie River, Alaska Tank size \ <::~c, c> Compartments Foundation cleanout (~N) ~ Depression (Y~) Alarm tested (Y/N) Pumper ".~-~. ~-~..-55 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on Iot~c "~" t On adjacent Iots~'~ c~/_.{- ~ To property line ic:>t ,I~ ~,~ Surface water/drainage 72-026 (Rev. 7/91 ) Front Absorption field Foundation __ Water main/service line CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level ~"~"~ Cycles tested Meets MOA electrica~ S~ANCE FROM LIFT STATION TO: Well on lot On adjacent lots Manufacturer Manhole/Access (Y/N) ~ ~el at Surface water Date installed Length Z~ D. ABSORPTION FIELD DATA Width Total absorption area Depression over field (Y~) Results~ail) Peroxide treatment (past 12 months) (Y~:~ / Soil rating "~ Gravel thickness ~.,~,4_-4.. Cleanouts presentt~N) Date of adequacy test for ~Z-~ ~,~.,I, ~ If yes, give date System type "1~'~ Total depth bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot -~ c["J~ To building foundation On adjacent lots --z.~ ~ Surface water Curtain drain ~\/~ On adjacent lots ~ ~:>c~ ~ ~ Property line t~ To existing or abandoned system on lot Cutbank ~'[ ~ Water main/service line Driveway, parking/vehicle storage area HAA Fee $ Date of Payment Receipt Number 72-026 fRev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number E. ENGINEER'S CERTIFI'CATION ' · I certify that I have checked, ~¢onformed to all MOA and HAA guidelines in effect on the date of this inspecgon. 170~ Eagle~l~ L~p R~d No. ~ / /~_ '.' ~_. ~ ........ ~ - t ~; .. ~'~~" .~ ..... ,',x?~~ Tom Fink, Mayor Municipality of Anch¥ a e Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 July 28, 1993 Robert Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 1 Eklutna Heights Stewart Addition Waiver Request #WR930035, PID #051-063-18, HA930361 Dear Mr. Shafer: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are the private well to the septic tank of 75 feet and the private well to the leachfield of 97 feet. 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. Sincerely, Daniel J. Roth Civil Engineer On-site Services /~hn Smi~, P.E.' ~_ rog .r .am _Manager On-site Services ljm:#6 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#~ PID~ 051-063-18 HA~ ~q~f%5~% Permit Date Received: June 29, 1993 Legal Description: Lot 1 Eklutna Heights Stewart Addition Engineer: Robert Shafer, P.E., S & S engineering 17034 Eagle River Loop Road, Suite 204, Eagle River 99577 Applicant: Charles & Evelyn Walker Waiver Requested: Well to septic tank - 75 feet; well to leachfield - 97 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: ~F~ ~ ~/,~E~ ~a~~f Reviewer Rec #: 24849/8709 Amount: $ 590.00 Date Paid: 6-29-93 y°Oltu T /? J~ Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 March 3, 1993 Roger Shafer, P. E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 2 Eklutna Heights SteWart Addition Waiver Request %WR930002, PID %015-063-19, HA930015 Dear Mr. Shafer: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are a septic tank and private well on property of 80 feet; the septic tank to private well on Lot 1 of 94 feet; the septic tank to private well on Lot 3 of 92 feet and well on property to septic tank of 87 feet and leachfield of 98 feet on Lot 3. This waiver is conditional based on the water quality from the well meeting federal and state primary drinking water standards. Should the water quality fail to meet these standards, this waiver will become void. As a further condition to this %aiver DHHS may periodically collect and analyze water samples to confirm water quality. 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. Sincerely, Daniel J. Roth Civil Engineer On-site Services Concur: / : On-site Services ljm:%6 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. June 29, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTHAUTHORITY APPROVALS SE~NER& WATER MAIN EXTENS~NS SEWER & WATER ~NSPECTION ENGINEERING STUDIES ANO REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL ~NSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPAR/T~i~T OF ~TH AND HUMAN SERVICES 825 "L" Street P.O. Box 196650 Anchorage, AK 99519-6650 REFERENCE: Lot 1; Eklutna Heights Subdivision Stewart Addition MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL ~ERVICE.S DIVISION 9 1993 RECEIVED Request you issue the attached Health Authority Approval and grant the following separation distance waivers: The separation distances between the septic tank of (75 ft.) and the trench of (97 ft.) and the well on the referenced property. Waiver #930002 was issued March 3, 1993 for the separation distance of the well on this property and the septic tank on Lot 2. As can be seen from the attached site plan there has been several separation distance waivers needed on several lots in this subdivision. In our request for waiver #930002 dated January 6, 1993 we provided you the following information. This information has been updated for this property. We have performed an investigation into nearly every lot in the small subdivision and found that there are n[~nerous separation distance violations within the entire subdivision. These encroachments have several origins including Municipal inspections in error, wells drilled without inspections, and Municipal waivers which were deleted by the State Department of Environmental Conservation. Compounding the problem is several Health Certificates being issued based on private engineers' inspections which erroneously recorded the existing separation distances. The well depths in the area are reasonably deep averaging around 200 feet. However, there does not appear to be a confining soil layer separating the aquifer from septic effluent being discharged into the subsurface soils. There have been nitrate samples taken on various properties over recent years. Comparison of these samples indicate the nitrate levels in the aquifer are slowly rising. A recent sample on this property was 4.23 which is well within allowable limits. 17034 NORTH LE RIVER LOOP ° SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 1; Eklutna Heights Subdivision June 29, 1993 Justification for requesting approval is as follows: The major source of encroachment on the referenced property is the location of the septic tank. Since septic tanks are rarely a continuous source of contamination (as would be a leachfield) I do not believe the existing separation distance violations are the source of the prdolem. In other words, even if the septic tank was moved outside the 100 ft. protective well radius, the nitrate levels may continue to rise, indicating an influence on the aquifer by septic systems. The separation distance to the trench is only 3 ft. less than the arbitrary standard of 100 ft. At this point, the nitrate and bacteria levels within the aquifer meet State Drinking Water Standards. Issuance of this approval would be similar to other Health Certificates on wells with high nitrates, in which the potential buyer is alerted to high nitrate levels indicative of possible future problems. These approvals suggest periodic nitrate sampling to and in the detection of a Drinking Water Standard violation. Issuance of the approval with the associated waivers will enable the owner of the referenced property to continue the use of the well and septic. This will allow occupancy by the owner, an informed buyer, or an informed renter. Denial of the approval will "blacklist" the property, possibly causing vacancy and financial loss to the owner. Whereas, his neighbors, with the same problem, will continue to occupy their homes. While performing your review, I request you keep in mind that other waivers have ~=n issued in this subdivision. This septic system and other septic systems located under waivers are probably not contributing any more to the nitrate conditions than other septics located at appropriate distances. If you require additional information for your review, or if we may be of further assistance with your investigation into this matter, please contact us. A%~ SHAFER, P.E. NV-Id ,0"¢ = .I. . ' APPLIC~,__~T FILLS OUT UPPER HAL[ )NLY Mailin~ Addre~ ZiP C~e ~3'~ Address Zip C~e Lending Insti~tion ~. ~/ ~ Phone Type of Resi~nce ~ Single Family ~ Multi~l* Family ~o. ~ Other Water Supply ~lndivid~l ~' ~ ~ ;' ~':' A~ACH ~LL LOG. A wal log is r~uir~ for all wells dria~ since June 1975. ~ Community ~/ :; For wells ~illed prior to that date, give well depth (attach I~ if available). ~ Public Utility Sewer Disposal ~ Public ~ility When ~nnected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE. EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time Date Date Date Date Insp~tor Insp~tor Insp~tor Insp~to~ Field Notes: MuNICIPALtT~ OF ANCHO~GE REcEiVED ~ ~ ) APP~OVEB ~OO~S 'OOND~T~ONS OF APPROVAL ~ ) OON~T~N~ APPROVAL' DATE 80JJJ ~lJ~] ~- 72~23(3~2) MUNICIPALITY OF ANCHORAGE /~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION · 825 L Street - Anchorage, Alaska 99501 !'~'~ ~1~',,~/ ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all pa~5 on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER I PHONE Walter J. KurkaJ 694-3493 MAILING ADDRESS Post Office Box 214 99577 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE William Rogato 688-9107 MAILING ADDRESS 3. LENDING INSTITUTION I PHONE Security PacificI 276-1933 MAILING ADDRESS 1011 East Tudor Road Suite 190 99507 4. REALTOR/AGENT I PHONE Virqinia Kohfield I MAI LING ADDRESS 5. LEGAL DESCRIPTION Lot 1 Eklutna HeightsJSubdivision STREET LOCATION 6, TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ One [] Four [] Other__ ~× SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ::~ Three [] Six 7. WATER SUPPLY r'XlX INDIVIDUAL* '~q COMMUNITY 71 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** **If individual/on-site, give installation date May ] °)TR. If system is over two (2) years old an adequacy test is required [] PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 724)10{3/78) THIS SIDE FOR OFFICIAL USE ONL DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: I1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~'-__ ~../'~'~/~ Connection Verified INSTALLER [~5'~ptic Tank or [] Holding Tank Size: foe0 If Tank is homemade SOILS RATING give dimensions: TYPE O~__j_~ MANUFAI~URER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line WELL TO: / O O I I Absorption Area to nearest Lot Line ROVED FOR ED OOMS [] CONDITIONAL APPROVAL (Fetter must accompany certificate) [] DISAPPROVED DATE BY (Title) / ~ LEGAL DESCRIPTION ~ v 72-010 (Rev. 3/78)