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HomeMy WebLinkAboutCHRISTOPHER HEIGHTS #1 BLK 2 LT 1 Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: PID Number: Ct ~"" ~- ~'1 ""' ~ ~ N.me:~~ ~~~ Wastewater System: ~ New U Upgrade Address: [~8~ ~~,~~~ ABSORPTION FIELD Phone: ~, ~, IN°°fB~OOms: ~ Deep Trench ~Shall0wTrench ~ed ~Mound Soil Rating: ~ Total Depth f~m~rade: LEGAL DESCRIPTION . G~/sq Lot: [ B lock~~~Subdivisi°n: ~,~j Depth to pi pcb o t tom from original grade: Ft. G rave~eath pipe Ft. Township: ~ Range: Section: Fill added above original grade: ~ I~gth: Ft. WELL: ~ ~~ ~ Up~ Grave[width: Number of lines: Distance between lines: Ft. Ft. Classification (Private, A,B,C): ~: Cased To: Total absorptio Pipe material:  Ft. Ft. ~ ~. Ft. Date installed: · : Date Drilled: Static Water Level: Ft. iFt. Casing Height Above Ground:Ft. TANK SEPARATION DISTANCES ~SepticU Holding U S.T.E.P. From To SepliCTank AbsorptionField StationLift HoldingTank ~ublic/Privatesewer Lines Manufacturer:~~ Capacity in gallons/~ Well 2/~ 1~~ ~ 1~ -- ~ Material: ~ ~ Number°fC°mpartments: Surface /~7 Water /~ ~ ~ LIFT STATION Lot ~ r~~ Line ~ [~0 f~ -- -- Size in gallons: Manufacture Foundation ~ /~ ~ -- -- "Pump on" level a~ ~O.~ I "Pum~e~t: IHigh water alar~ at: Curtain Pump Make & Model I Electrica~nspections pedormed bY: Drain ~ ~ ~ ~ ~ ~ ~ ~ Remarks: ~~ /~14 ~ BENCH MARK Location and Description: .,.,. Inspections performed by: Dates: 1st ~'I¢~ ~.~~.~:. Reviewed and approved Date: 72-013 (Rev. 9/91) MOA 25 Permit No. Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report 72-013 A (2/91) MOA 25 Permit No. Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: 72-013 A (2/91) MOA 25 / _,,,~..' Robert E. Kniefd q a '?~Z': · ....... · ..,';~L-~I WALTER J. HICKEL, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 Susan Oswalt Environmental Services Municipality of Anchorage Department of Health & Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 May 19, 1993 MAY 2 1 1993 Ivlun~c~pah[y ct Anchorage Dept. Health & Human Services Subject: Christopher Heights Addition #1, Surface Drainage Plan, ADEC Project Number 8621-Da-087 Dear Ms. Oswalt: I have reviewed the office's file on the above-referenced surface drainage plan and have discussed the plan with the Department's engineering staff that did the plan review and site inspection. As we have discussed, it appears that my first comments were incorrect regarding the required separation distances between the corrugated metal pipe (CMP) that is transporting the creek and on-lot wastewater disposal systems. Instead of requiring that the minimum 100 foot separation distance be met, as I quoted you earlier in the day, it appears that a waiver could be issued for a lesser separation distance. However, the use of a CMP to transport a stream pass wastewater disposal system should not be used as a sole reason to issue a separation distance waiver. Although not stated in writing for this project, it appears that a limitation is that the creek flows into and out of the CMP a minimum of 100 feet from any wastewater disposal system. In closing, i wish to emphasize that the Department no longer accepts the practice of placing a steam into a CMP as a method to mitigate separation distance or treatment problems. Thank you for your coordination with this Department. If you have any questions, please do not hesitate to contact me. Keven K Kleweno, P.E. Environmental Engineer KKK/cf PAGE 1 OF 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930108 DESIGN ENGINEER:ROBERT KNIEFEL, P.E. OWNER NAME:BOUKER JOHN P & OWNER ADDRESS:il819 ROCKRIDGE DR ANCHORAGE AK 99516 DATE ISSUED: 5/20/93 EXPIRATION DATE: 5/20/94 PARCEL ID:01523194 LEGAL DESCRIPTION: CHRISTOPHER HEIGHTS #1 BLK LT 1 LOT SIZE: 96197 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: THIS PERMIT IS FOR THE CONTRUCTION OF: SEPTIC TANK SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THIS PERMIT IS ISSUED FOR THE PURPOSE OF RELOCATING A SEPTIC TANK THAT WAS ORIGINALLY INSTALLED CLOSER THAN 100 FEET TO SURFACE WATER. IN ADDITION TO RELOCATING THE SEPTIC TANK, THE LIFT STATION WHICH HAD DEFORMED AND WAS LEAKING SOME PAGE 2 OF 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 WATER IS ALSO BEING REPLACED AND RESEALED TO ENSURE WATER ISSUED BY: ~\ ~1q-4 DATE: ~'/~¢/c~L% ~Y-19-93 ~ED 11:48 P, O1 i J J I D~¢e: To: From: Subject: May 19, 1993 John Smith, PE Bob Knlefel Lot 1, Block 2, Christophor Heighgs Attached is the plan for the relocation of the septic tank fo~ the above lot. We have elected , to move the tank to out~ide the 100' racliu~ from the piped drainage along the street, As we' are now ou site we appreciate your fastest response a~ the house has no working septic system. Following the installation we will submit the revised as-built information along with the information requested by your staff. Please call as soon az possible with any questions or comments. MAY-19-93 WED 11:49 P, 02 SENT §Y:ADEG ANCHORAGE ; 5-18-83 ; 4:12PM ;ANGHOEAQE/WESTEEN DO~ 807343~740;# 1 fAX TRANSM~ ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE WESTERN DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 Anchorage, AK 99515 PHONEz 349-7755 PAX: 349-9836 DATE:~ TO: FAX ~: FROM: DIVISION: SUB/ECT: COMME~: TOTAL PAO~:__L.~ (~ ~ SENT BY:~DEC ANCHORAGE ; 5-18-93 ; 4:13PM ;ANCHORA~E/WESTERN D0~ $073430740;~ 2 DRAFT N~ICHOI:b&GE DISTRICT OFFICE 3601 C STREET, 8ul'ri; 322 /b'~ICHOPu~GE, AI.~,.SKA 99503 May 18, 198,3 Susan Oswalt Environmental Services Municipality of Anohorage Department of Health & Human Services P,O, Box 198850 Anchorage, Alaska 99519-6650 Subjeat: Christopher Heights Addition ~1, Surface Drainage Plan, ADEC Project Number 8821-Da-087 Dear Ma. Oswait: I have reviewed the office's file on the above-referenced surface drajnmn~, ?o~sed the plan with the Department's engineering staff th. did ~7~1~ ~e inspection. As we have discussed, my first comments were Inc?rrect regarding the required separation distances between the corrugated meteJ p~pe (CMP) that transporting the creek ~nd on-lot wa~ewster disposal systems, Instead of the 100 feet th= I quo*ed you earlier in the clay, it appears that s wastew~ter disposal system ~ould be ~ close as 50 feet to the CMP in this subdivision. Although not ~'l~¢ed'in writing for this project, it appears that the main limitation is that the creek flows into and out of the GMP a minimum of 100 feet from any wastewater disposal system. Too m!nimlze the possibility that the creek could become oontarninated from i arnnnrlv treatecl wastewater, I recommend that the maximum separation distanoe between any wastewater disposal system and the CMP in question be obtained. ~... In., closing, I wish to emphasize that the Department no longer accept~ the prentice of pla~ing a stream into a CMP as a method to resolve separation distance problems, Thank you for your coordination with this Department. If you have any questions, please do not hesitate to contact me. Sincerely, SENT BY:ADEG ANGHORAGE ; 5-18-83 ; 4:14P~ ;ANGHORA~E/WESTERN D0~ KKK/cf DRAFT Keven K Kleweno, P.E. Environmental Engineer Datei To: From: Subject: Mav 17. 1993 John Bouker Bob Kniefel Lot 1, Block 2, Christopher Heights I met today with Ms. Susan Oswalt, DHHS, concerning the Health Authority and lift station as-built for the above lot. The completed paperwork was turned in last week and she has had an opportunity to review the work. She has some major problems with the system as follows: Lift Station Manhole Ovalness -- At the time of her field inspection of the system last month you were pumping the lift station water to an on-site area. She noted the lift station manhole was oval at the joint between the top section and the body section. She noted you confirmed the ovalness and that you had induced water to keep it from getting too out of round and collapsing. The ovalness also was allowing water to leak into the system which is a major problem. Ms. Oswalt is requiring that the lift station be excavated, the manhole reset, and re-backfilled to remove the ovalness problem. She also requests that she be personally notified (343-4718 or 343-4744) when this is to happen in order that she can view the backfill material used around the manhole. 2. Electrical Permit for the Lift Station -- We need to get a copy of the final electrical inspection for the lift station and include a copy with the Health Authority. House to Tank Connection -- A cleanout is needed at the house line connection to the tank to allow for proper cleanout arrangements. This should be taken care of when the lift station is reset. 4 Distance to Stream -- The new tank and lift station location fall within 100 feet of the culverted drainage ditch along the street. We will need to get a variance for this separation distance or talk with Mr. Kevin Kelvano of ADEC to be relived of this requirement. I will work on that issue. I would suggest you contact Acreage Systems in this matter to clear up items i - 3. At this time of the $500 retainer fee you supplied we have spent $170 on the health authority fee, $71 on the two sets of water testing performed, and $175 for the initial system inspections (Sandor Manyoky) of the lift. station. I would estimate the remainder of the fees to include a second lift station construction inspection and final paperwork at$175, along with any additional coordination time with the MOA DHHS at $70 per hour (estimated at 2 hours maximum). Therefore of the $500 retainer, we have spent $416 leaving $84 on account. We estimate the remainder of expenses to approximate $130 - $200. Please let me know as soon as Acreage Systems is ready to reset the Lift Station so we can be present for the inspections. DEPARTMENT OF HEALTH & HUMAN SERVICES On-Site Services Transmittal Sheet The attached paperwork has been reviewed and is being returned for the following reason(s): __ Discrepancy in legal description and/or owner name. __ Discrepancy in number of bedrooms. __ Signature and/or stamp missing on Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system. __ Replacement disposal site not shown and/or tested. Calculation error in design. -- Show locations of all soils, percolation or water table tests. __ Proposed system too deep for soil test submitted. __ Topographic information missing or inadequate. __ Na.rrative missing or inadequate. __ Additional soil/perc test needed. __ Sand filter requirements not satisfied. Water monitoring results missing or inadequate because __ Well log [equired. __Water sample unacceptable because. ,.-'" ~ ' ' -:---~x. ~ .-,~ Please supply the necessary information and re~ub~our request. Your cooperation is appreciated. Reviewer Date , Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: Ct \ t{~3 [(~ ~ PID Number: L~\ ~_ - ~3_ ~ Name: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~. Wastewater System: ~ew ~ Upgrade Address: ~,~ ~ ~ ~ ~ ~/ ABSORPTION FIELD Phone: ~. ~/~ ~ ~No. of Bedrooms:~ ~ Deep Trench ~ Shallow Trench ~d ~Mound ~Other Total Depth f~m original grade: LEGAL DESCRIPTION soi,..t~.~:· ~ GPD/Sq. Ft. ~ Lot: / Block: ~~/~i~,~~', ~Subdivisi°n:% ~/. Depth t° pip~°tt~ fr°m °riginal grade:__ Ft. Gravel depth beneath pipe~ ~ Ft. Township: IRango: ISection: Filladded above~ ~riginalgrade: Ft. Gravellength: /~ Ft. WELL: ~/~ D New /D~e Graveldepth: ~ ~ Ft. Number of lines:~ Distance~tweenlines:~ Ft. Classification (Private, A,B,C): ~ ~tal Depth: Cased To: Total absorption area: Pip~: Ft. Ft. /~ ~ SQ. Ft. Driller: ~ Date Drilled: Static Water Level: Installer: Ft. ~~ ~7~~ Dateinstalled:~.~--_~ ~ Yield:~ I Pump Set at: I Casing Height Above Ground: GPM Ft. Ft. TANK SEPARATION DISTANCES ~.~ic ~ .o,~in~ ~ S.~.~.~. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank~ SewerLines ~~ ~ J( ,/~  , Number of Compa~ments: Well /~' ~7~ /~ Material: ~ ~'~ ~ ~ su~;~ /20 /~F ~~ /~/~ LIFT STATION ~ Size in gall°ns: IManufacturer: L~te ~ ~/ / ~/~ "Pump on" level at: ~at: I High water alarm at: Foundation. ~ ~/~ / ~/~ Pump Make & Model~ctrical Inspections performed by: Remarks: BENCH MARK Location and Description: ~ ~/ ~ / I Assumed Elevation: Department of Healt3.~~an~ Human~~Se~ices approval -~ ~ Reviewed and approved by:~~ ~ ~~ Date: / 72-013 (1/91) MOA 25 Permit,No. Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LegalDescription: ~r/'~?~¢r ~ ~0~ ~/o~ PIDNo.: J J Permit No. Page F of 5 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: ~/'~/~/'~/~/zr fl¢,~ ~L~ PID No.: / / / 72-013 A (2/91) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910162 DESIGN ENGINEER:ROBERT KNIEFEL, P.E. OWNER NAME:BOUKER JOHN P & OWNER ADDRESS:540 'L' STREET #501 ANCHORAGE, AK 99501 DATE ISSUED: 6/20/91 EXPIRATION DATE: 6/20/92 PARCEL ID:01523194 LEGAL DESCRIPTION: CHRISTOPHER HEIGHTS #1 B 2 L 1 SEC 23, T12N, R3W, SM LOT SIZE: 96197 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM 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 (iSAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: PROVIDE WEL~ LOG WITH AS-BUILT. PROVIDE PERCOLATION DATA ON ML ~q~RATA A~k~O. % RECEIVED B~ ISSUED BY: DATE: DATE: PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910162 DESIGN ENGINEER:ROBERT KNIEFEL, P.E. OWNER NAME:~DiiKF,~R JOHN P & OWNER ADDRESS:540 'L' SREET #501 ANCHORAGE, AK 99501 DATE ISSUED: 6/20/91 EXPIRATION DATE: 6/20/92 PARCEL ID:01523194 LEGAL DESCRIPTION: CHRISTOPHER HEIGHTS #1 B 2 L 1 SEC 23, T12N, R3W, SM LOT SIZE: 96197 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT; 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM 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 (iSAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: PROVIDE WELL LOG WITH AS-BUILT. PROVIDE PERCOLATION DATA ON ML STRAT~ ALSO. ~ /~ ISSUED BY: __ _ DATE: DATE: June 12, 1992 Mr. John Smith, Manager On-Site Services Department of Health and Social Services Municipality of Anchorage PO Box 196650 Anchorage, Alaska 99519-6650 SUBJECT: LOT 1, BLOCK 2, CHRZSTOFER HEZGHTS REQUEST F:OR ADDZTZONAL ZNFORNATZON Dear Mr. Smith: The initial Kniefel Engineering septic system design for property was submitted in February, 1991. At %hat time %he reviewer requested additional information inc~udfing water' monitoring through, the spr:ng season. That WOrK has completed arc fo'ilowing is the recuested data: ~. M'~ss~ng Well Log -- The original well was drilled and caoped and not improved. As shown by the oerm~t application, we are not requesting the welt permit at %his t~me since the we!! 'icg ~s m~ss~ng and we w~il need to test the we'!7 and measure its depth at the t~me o¢ f~nal improvement. Show 12' C,~P subdrain carrying stream -- This has Oeen ]one on the drawing, 3. Where is Corw'[n Test Hole/Log attach~.~d Is this second well on property? Where is origqnal house pad? -- We are not showi~ag a second we!! on the property. ?he original house pad ~s in t~e northerr, th;rd of :;ne orooercy and has Oeen abandoned, Show original system 'location. Was it. abandoned? -- We ~aave qo as-bu ~ It drawn mgs ct' the or~oinat system. c0nversat, i0n w',th Pas% persons involved wi~P., t. nis the origina. 1 system is located near the south end of the curtain drain on the north ~h]rd of the !o~, Th'is sysbem cons] dered to be abandoned and wi i 1 not, be used for th~ s perm1 t, Show !00' separation distanc:e t.o stream per- ADEC, 2/91. attached drawing t/3. s e e Lot 4, Block 2, Christofer ~deigh%s 51 June 13, !99! page 2 Water Monitor through Spring. surface springs, -- 1/22/91 no water to 16' 2/23,/91 no water to 16' 3/!6/9! no water to ~6' 4/20/91 water at 13,2' 5/4/91 water at 10.O' 5/!8/91 water at !0.0' 6/1/91 water at !0,0' 6/13/91 water at !!.6' See file test holes. Locate Robert Kniefe~, P.E. Attached is the revised information and permit application. would appreciate your exped-ltious handling of this matter', Respectfully submitted, Kniefe! Engineering We The surface springs noted appear to be near' the old house Dad over 100' from the proDosec bed s~te. There appear to be some springs at the NE corner of the lot over 150' from the bed site. The springs are on the lower level portion of the 3ot in the area previously worked for a house pac~ arc oeo site. The new ]oca%ion is up the ~i]1 from this area weli over 100 fee% from any visible spr~ng si~e. SCALE PREPARED BY: i ~ __. Knlefel Engineering MOa 'KE KNIEFEL ENGINEERING 8441 Miles Ct., Anchorage AK. 99504 (907) 337-1121 · Fax (907) 338-1874 SYSTEM DESIGN GUIDELINES AND NARRATIVE., Lot 1, Block 2, Christofer Subdivision~]~/ System Design = 4 bedrooms x~S~/bed. = ~i~ sf Absorption Bed = 15' x /~ = ~¥'O~' sf All materials, construction methods and required inspections to follow MOA rules and regulations. The con%fac%or is responsible for notifying %he Engineer and the MOA at least four hours in advance of all inspection needs. Contractor will insure no additions or changes have been made to 'the location of wells and seotic sys%.ems on the adjacent lots prior to the time of construction of this system. If any changes to those systems have occurred, engineer should be immediately contacted for review and possible changes will be made as necessary. The tot is generally flat for the southern portion of the lot with a small slope (2 - 3%) to the east lot line and a 5% slope in the northern half of the lot to a flat area in the northern third of the lot, The installation of the ~ystem will have little or no effect on the surface drainage, ground water, or the adjacent systems in ~he area. The septic system should be properly maintained to include septic tank inspection and pumping as necessary on an annual basis and no use of a garbage disposal, If a garbage disposal is used the ~ank size should be increased ~o a minimum 1,500 gal tank and the tank pumped regularly on an annual basis. The tank shall be a two compartmen~ steel tank as approveO by the MOA. If the design and final grading of the house results in the house sewer service unable to maintain minimum 2% grade through aRproved lift station shall material to the bed site, shall be consulted to provide pump sizing. line the tank to the field, an MOA ~ll be installed to pump the For bhat option, the engineer ~ide the proper ta.~r~i~.e, and PERFORME0 FOR: 6 7 8 10 11 12 13 14 15 17 5 -- 9 i T !:.I..E i I : i ..1. P . 0 4 D Munlclpallly of Anchorage 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG --- PERCOLATION TEST 2O PERCOLATION ~[ATE ,, ~"~ (m,nute$/,nCh~ PERC HOLE DIAMETER T~ST.U~B~TWEEN I ~ ~T,~D ~ ~ PERFORMEDOY; ~[~ I -~- IL~ ~ CERTIFY THA~ THIS TEST WAS PERFORMED IN ACCORDANC~ WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: t 72-~ (Rev. 4/85} 19 18 Township, Range, Section; - IlI I!1 WAS GROUND WATER ENCOUNTERED? SITE PLAN $ IF YES, AT WHAT ~ ~ DEPTH? Monllorlflo? Date:. Reading Date Gross Net DePth to Net T;me Time Water Drop :.R'S SE,~L) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE LEGAL DESCRIPTION: L O 7- / ~(-~ ~ DEPTH FEET) 1 2- 3- 4 5- 8- 10- 11 - 14 - 15 - 17 - 18 20 - Township, Range. Section: ,,,(~,~/,,/. SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? NO S L IF YES, AT WHAT O DEPTH? P E Gross Net Depth to Net Reading Date Time Time Water Drop -~Z " I0:41 I0 ~,~ . '~ 4 ' il :03 I0~,~ PERCOLATION RATE'~-~'/ tm,nutes/inch) PERC HOLE DIAMETER ESTRUNSETWEEN z',/z TAND 4Yz FT COMMENTS ~ ~1/~1 /,-' PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUI~ELINE~EFFEC/~HIS DATE. DATE: 12-~8 (Rev. P.O. BOX 6650 ~NCHOF~AGE. ALASKA ,99502-C650 --- 6-~-4 , 11 TC ,b' 'r' ,k N© ,.~,,' £ ~ 5 DEPARTMENT OF HEAt,TH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850384 T12N R3W Section 23 NE½ SE¼ A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance~ A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a p.rivate engineer inspected the installation of the on-site sewer system the original as-built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit PERM I T NO: DATE ISSUED: MLJN I C I f-AL I-I-Y OF' ANCHORAGE DEPARTMENI' OF' HEALTH AND ENVIRONP~NTAL ~OTECTION 8~ L STREET, AIqCHORAGE, AK 264-'4'720 ON ..... S I 1-EE 850584 ...... --'.185 99501 F'ER~I AF'F'[. I CANI": rADDRESS: CONTACT F'HONE: MICHAEL T'. WAGNER 7!35 ARCTIC BLVD, UNI'T ANCHORAGE, AK 995()3 .:,4 ~-.-..8.:, / L..EL:.~4L DESCR I P: LOT SIZE: LOT LOCAI'ION: MAX BEDROOMS: SUBDIVISION: N/A SECTION: 25 TOWNSHIP: 54650 (SQ.F'T. OR ACRES) NE2 SE4 4 LOT: NtA 12N RANGE: 5W BLOCK: NIA [.isted below are the options available to yoLl in designing your septic system. Choose Lhe option that best fits your site. DEPTH TO PIPE BOTTOM (FT.) GRAVEL DEPTH (F"I'. ) ' T'O"FAL DEPTH (FT. ) GRAVEL WIDTH (FT,) GRAVEL LENGTH (FT'.) GRAVEL. VOLtJME (CU.YDS.) TANK SIZE (GALS) SOIL RA]"]:I~G (SI.T!. FT. /BR) -tRENCH W. DRA I 4.0 4.0 6.0 3.5 10.0 7.5 2.5 5.0 55.0 72.0 33.2 53.4 1,250.0 ** 1,250.0 ** 165 165 ** TANK MUST HAVE AT LEAST' TWO COMPARTMENTS I certify that: 1. I am famiiiar, wi th the re £orth by the Municipality 2. I will install the syste~ and in compliance with th 5. I will adhere t.o all MOA distances from any existi sewerage system on this c - ~, 4. I under, stand that this pe ' any enlargement will reqL ~] IF A LIFT STATION IS INSTALLE[ THEN (1) AN ELECTRICAl_ PERMIT WILL NOT BE APPROVED WITHOUT ELECTRICAL WORK MUST BE DONE 18SU[D '~ ~ I I GOO CANGE ANCHORAGE, SOILS LOG - PERCOLATION TEST SOILS LOG PI=_RCOLATION TEST 1 CC.o= ) Z5 , SLOPE SITE PLAN lO WAS GROUND WATER I 1 ENCOUNTERED? 12 IF YES, AT WHAT DEPTH? 13 Gross Net Depth to I Net Reading Date Time Time Water Drop '.. CE- 6793 ." 20 ",....,"" PERCOLATION RATE i ~ ~' ~¢''' (minutes/inch) TEST RUN BETWEEN 4 FT AND 4, ~ FT ~ PERFORMED BY: ' (~. CERTIFIED BY: Municipality of Anchorage P.O. BOX 665O ANCHORAGE, ALASKA 99502.-0650 (907) 264-4111 TONY KNOWLES. MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES September 13, 1985 Mr. Michael T. Wagner 7133 Arctic Boulevard #2 Anchorage, Alaska 99503 Subject: Permit #850384 NE½ SE¼ Section 23 T12N R3W Dear Mr. Wagner: On September 12th, I made an inspection of the sewer installation for the above site, and found the following: (i) Drain from foundation pad is ditched into road drainage. This water is being fed by drainage from your flooded sewer system and from overland flows. (2) The pipes seen above ground are not of an approved material. (3) The standpipes are full of water and the system is apparently flooded by overland streams. (Water is flowing out of the pipe in reverse.) (4) The original soil test used for your permit is about 200 feet from the actual installation. (5) We have received no as-builts on your installation. You are hereby notified of the above discrepancies. You are further notified that we are revoking your permit and prohibiting the use of the system as installed. Your development of this area is premature considering the new plat has not been filed. There is every likelihood that proposed Lot 1 Block 3 Christopher }{eights Subdivision #1 will be consolidated with Lot 2. Until such time as a completed plat is filed, this office will not re-issue you a permit. Sincerely, Susan E. Oswalt, Acting Program Manager On-site Services pS Form 3811. July 1983 447-845 .... --- DOMESTIC RETURN RECEIPT 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 Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone $(-.1.5 - I Agent Ad dress Day phOne a e 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 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I v. erify 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. NameofFirm ~-,k.lt~_.~-t~'L.. ~'~J~tt~l~:~tt, J~ Phone '.~ Address ~;) ~ ~ ~ ~ ~' ~,-..6 5 (--.;'~'._ Engineer's signature ~ ~~ Date D~S SIGNATURE / Approved'for Disapproved. Conditional approval for b~drooms. bedrooms, with the following stipulations: Additional Comments By: 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 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. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescription: ~-.O ~' // 8~OC,44. ~ ParcelI.D. (:~/~""' Z ~' A, Well Data Well type /J~l ~1-1--~ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) /~ ~) Date completed Total depth ~4:~ Cased to Casing height Sanitary seal (Y/N) ~'c'~"~ Wires properly protected (Y/N) ~'~".~ · FROM WELL LOG AT INSPECTION Date of test '7-.-- ~.-~' Static water level Well flow g.p.m. Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line /~'~) ' ; On adjacent lots ~ ~.-OO / '? ~' ; On adjacent lots ,,,% ~. 043 Public sewer manhole/cleanout Petroleum tank "' WATER SAMPLE RESULTS: Coliform ~ Nitrate ~' ,~ ~) L- Date of sample: ~~'..~ Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed ~'' / ? '- ?-~' Cleanouts (Y/N) 7 High water alarm (Y/N) Date of pumping Tank size /! ~-,~(:~ Compartments Foundation cleanout (Y/N) Y Depression (Y/N) ~--' Alarm tested (Y/N) '" ..~-" /~;~ "'~;~-,~' Pumper .~'~',~'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~/,~0' On adjacent lots To property line $,,.~ t Absorption field Surface water/drainage 72-026 (3/93)* Front Foundation Water main/service line "'" 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/Acce~ ~/N) ~ ~ "Pump off" Level at Cycles tested Meets MOA electrical codes (Y/N) Y SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot 2 /.~ On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~/~=~'/ Length '/~ Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) {~' ~'' System type ~J I'~' ~'~-~ Width /,.~' Gravel thickness ~'. ~"/ Total depth ~ ~ /,,{"~O ~,'~ Cleanout present (Y/N) ~' Depression over field (Y/N) /~/ N~t~t /~1 ~-r-~) Results(pass/fail) for -- · '"'" After test If yes, give date '" -'-- Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot / 7~_~' / On adjacent lots Property line / To building foundation ~'4:::) To existing or abandoned system on lot On adjacent lots ~ ~..¢~O t Cutbank !~ /0¢~ Water main/service line Surface water /'07 / Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect ~f this inspection. . ' .. .. + .. S,.nature ..... ' .......... i:::;i!:= ~i}ii:'ii }ii::i~:i::!:"'...:: ::::::::::::::::::::: Date ~' '-/'~-- ~'~' '{ ~'~' "* "~ qbo~ ..eeee-e .~ ~ ~ ' ~O~E s s~ HAA Fee $ Date of Payment Receipt Number J"70,0o 24-/.81/7~70 Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back  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 1. GENERAL INFORMATION Complete legal description {,..0 Locatio~n~ (~te add rbss or'ali rections) · ..... . Propbrt v~r~i~¢ .... ,,J o ~ . ~, v..,~-9_ Day phone Maili~g'a~ddress ~"~o. ,,*~ '" ~ J "" ..' Day phone Lending_agency... .~ ~ Mailing address Agent Day phone Address "- -: ....... Unless otherwise requested, HAA will be held-for pickUP". -~.:~-2: NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Public water NOTE: ~f 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 C'ommunity 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 Phone Address ~ ~ /~ t ~..~"J CT. . Engineer's signature ~-~/ Date ~"/-i"-=// approval for bedrooms, with the following.stipulations: ...... ::~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 pumhasers of homes ~_and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not ':t-:' ~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) Bac~ MOA#21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type -~0. Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. t.tO Ye5 Parcel I.D. O1 ~ - ~'~ [ -°t &ir' ADEC water system number Date completed I~1 ~K.. Driller Cased to ~1 Casing height Wires properly protected (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /..~ Absorption field on lot ~ -7 Z, Public sewer main Sewer service line AT INSPECTION NII~NIClPALtTY OF ANCHOEAOE O ENVIRONMENTAL SERVICES DIVISION -,,, 1991 RECEIVED ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank '-" WATER SAMPLE RESULTS: Coliform {~) Nitrate Date of sample: ~ '" ~' '~ I Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA ~,..J~.vJ Date installed ~,e-- ~"'"'~ [ Tank size Oleanouts (Y/N~ ~.~" :~'~ ~' , Foundation cleanout (Y/N) Y High water ~m'.(y/N) ~. Alarm tested (Y/N) Date of pu~ng ,,;.~'I ; ~ Pumper SEPARA~.N:DISTANCES'FROM S~TIC/HOLDING TANK TO: Compartments 7.- Depression (Y/N) Well(s) on Io{ . -' ,On adjacent lots To property hne- ,, ~ ~ ~., ,~ ~Absorption field Surface water/drainage ~ i~ Foundation /~J oq- Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons ,, Manhole/Access (Y/N) Vent (Y/N) __ Pump on" level at ~off" level at High water alarm level j.~~Cycles tested Meets MOA electrical codes (Y/N) SEPARAT~STATION TO:  On adjacent lots Surface water ABSORPTION FIELD DATA Date installed (~ --2..,~' -'[' I Length J O 0 Width Total absorption area Depression over field (Y/N) Results: (pass/fail) '" Peroxide treatment (past 12 months) (Y/N) Soil rating , ~- ~, ~,/~'1: System type ! ~ Gravel thickness )' Oo ~'" Total depth Cleanouts present (Y/N) Y Date of adequacy test ~'/~:~'~ ~ ~ for ~' If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot I "'J ~''/ On adjacent lots '7 ~-OOt To building foundation On adjacent lots Surface water Curtain drain Property line To existing or abandoned system on lot Cutbank '- Water main/service line Driveway, parking/vehicle storage area 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 /~ /~ ~ ,. . ~-.4,~'.. ~ '.-~ t- Engineer s Name ~ ~t ~~ Date__ E I~--~/ __ HAA Fee $ ~/~ Waiver Fee: $ Date of Payment ~- ~ ~ ?/ Date of Payment Receipt Number ~ ~ ~ ~ ~ 7~- Receipt Number 72-026 (Rev. 3/91) Back MOA 21