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HomeMy WebLinkAboutSUNDI LAKE BLK 1 LT 13 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: ,-~W" ~'~C~//'/.~ PID Number: ,~//'/~/-/~ ~: Z ~- ~ o ~ ~-FF~'~ Wastewater System: D New ~ Upgrade Address: Y~ ~ ~"~" ~. ABSORPTION FIELD "~o~: ~V~_ ~-7 INo'o'~~°~': ~DeepTrench ~ Shallow Trench ~Bed ~Mound ~Other LEGAL DESCRIPTION ~ollR~ting: O, ~ GPD/Sq. Ft. TotalDepth from origlnalgrade:/,~/ Lot: Block: Subdrv~ion: Depth to pipe bottom f[om or[gin=l grade: ~ Gravel depth beneath pipe Township:~ ~ Range: ~ ~ Section:.~ :ill added above original~ grade: Ft. Gravel length: ~ I  Number of lines: ~ Distance between lines: WELL: D ~ew D Up ~w~wr~th: ~ ~t. / -- ~t. Classification (Private, A,B,C): ~: Ft. Cased To: Ft. Total absorptionT~area: SQ. Ft. Pipe~.~maleHal: fi~ / ~l~ ~ y, S ~ Date Drilled: ItatlcWater Level: I.staller: Date last,lied: Driller: ~ Ft. ~ ~CA~~/°~ /~ "~ ~ ~ SEPARATION DISTANCES ~Septic D Holding D S.T.E.P. TO Septic Absor~llon LJf~ Holding Publlc/Prlvat~Manufacturer: Capacity Jn gallons: From Tank Field Station Tank Sewer Maes ~ /~'~ / Material: Number of Compa~ments: weir /~ /00~ -~ ~ ~ ~ ~oZy~//vz~ s.~;~ /00~ /~'~ I LIFT STATION / L~:te ~/ I~/ Size in gal,oas: J Manu,acturer: ~ Fa.halation ~/ ~/ l 'Pump °n" 'eve~ir' level ah I "'gh water alarm at: Cu,ainDrain ~0~E /~/Yo~J ~ p~odel IElectricallnspections,edormedby: BENCH MARK Remarks: /~s~A?/~, x~s~L~-~ Location and Description: I Assumed Elevation: /o0 17~ Eagle River Lo~ Road, NO. 2~ ~/__. ~ I~spections pedormed Dates: 1st /o-~-,~ ~ "' 2nd/o-~o-~ "~ ~ ~ ROBERT C. COWAN Department of Health.and Human Se~icgs approval ~,~-.~ ~,~ ., ,,.,"x Reviewed and approved b~:_/ ~ to: ~/-/~ -~ '~- ~'~ .... 72~13 (Rev. 9/91) MOA 25 PERMIT NO SW980413 Municip. o,[i't o? Anchoraee DEPARTMENT OF HEA~TH AND HUPTAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.D. Box 196650 eAnchor~ge, AI~N~ 99519-6650ITelephone~ 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LI~GAL LOT 15, BLOCK 1, SUNDI LAKE NO. 011-151-15 DRIVEWAY LOT 14 EXISTIN WELL LOT 15 RADIUS BN EXISTING WELL LOT 12 NEW 1300 GALLON PREMIER PDLYETHLENE D~L~PTIC TANK (DIVERTER VALVE> LOT EXISTING TRENCH ROBERT CE - 8801 P~R~[? NO. SW980415 PAGE 3 OF 3 Municip. o, Ut; oF AnchoraQe DEPARTMENT OF HEA~/_TH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION . P.D. Box 196650 e.,~nchorage, Ate. sRo. 99519-6650 · Teteohone~ 343-4744 ON-SITE WASTEWATER IJISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 15, BLOCK 1, SUNDI LAKE NO. 011--151--1.5 STt ST~ ~/~8.4' ~ {~_~1 ~ FINAL GRADE ~' lINEW l} INSULATION CO1 = C02 = 82.6' MT = COl MT C02 NSULATION TH& BOH 66.0' NO WATER FOUND A B FCO - - ST1 158.5' 105.5' ST2 142.0' 106.0' DBL1 145.0' 08.5' DBL2 145.0' 09.0' C01 148.0' 18.0' MT1 147.0' 18.0' C02 120.0' 105.0' MT2 96.5' 96.0' DV 145.5' 110.0' MUNICIPALITY OF ANCHORAGE Department of Health end Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 20, 1998 Expiration Date: Oct 20, 1999 Permit Number: SW9804'13 Legal Description: SUNDI LAKE BLK 1 LT 13 Design Engineer: 0003 S & S Engineering Owner Name: Lemy Jeffery Owner Address: 4828 SUNDI DR ANCHORAGE , AK 99502-4139 Parcel ID: 011-131-13 Site Address: 004844 SUNDI DR Lot Size: 32900 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AACS0 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: /O -:zo - ~ ~" Rick Mystrom, Mayor Mun cipa ty of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 995'i9-6650 http://www.cLanchorage.ak.us October 21, 1998 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 13 Block 1Sundi Lake Subdivision Waiver Request #WR980073, PID #011-131-13 Dear Mr. Cowan: Your request for a waiver of the required i0 foot separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is 1 foot. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department. If there any further questions or concerns regarding this waiver, please call our office at 343-4744. Civil Engineer On-site Services ljw #7 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WRgl ,h~q%f~5]~ PID~ 011-131-13 HA# Date Received: October 7, 1998 Legal Description: Lot 13 Block 1 Sundi Lake Engineer: Robert c. Cowan, P.E., S & S Engineering Permit # 17034 Eagle River Loop Road, Suite 204 Eagle River, Alaska 99577 Applicant: Leroy Jeffery Waiver Requested: Lot line waiver of 1 foot Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2o Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: ~g Name of Reviewer Rec #: 04231/5964 g!nount: $ 115.00 Date Paid: 0ct 7~ 1998 ROBERTC. COWAN, RE. ROBERTA. SHAFER, P.E. SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION &FLOWTEST SITE PLANS ROADDESIGN $OILTEST STRUCTURAL& MECHANICAL INSPECTIONS October 19, 1998 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 ~CIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 13, Block 1, Sudi Lake Subdivision OCT 2.0 1998 Fj Mumc~pality o~ Anchorage opt, Health & Human Services Request you issue a permit to install septic system to serve the proposed three bedroom dwelling on the referenced property, and grant a waiver for the separation distance between the existing leachfield at 0 feet (crosses over), and the proposed trench at 1 foot. This will not prevent a septic upgrade on the adjacent property. Also, request a waiver of the required 20 foot separation between the existing trench and the proposed trench down to 15 feet separation. This will avoid the need for a waiver to surface water. A test hole was excavated and a percolation test was performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation, September 30, 1998, groundwater was not encountered in the test hole. After seven day groundwater monitoring, the monitoring tube was checked and was found to be dry.. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/srj Enclosure 17034 NORTH EAGLE RIVER LOOP ° SUITE204 · EAGLE RIVER, ALASKA 99577 · 1" = 60' SCALE SITE PLAN DESIGN Z 0 Z · 1" = 40'. X DESIGN z DETAIL 0 Z Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION:'[0 ?- f~ b ,.-. SvNO! L4~_ Township, Range, Section: 1 2 3 -- 4 5 6- 7- 8- 9 10 11 12 13 14 15 16- 17- 18- 19- 20- COMMENTS F ~,-' £ g.O. [J. SLOPE WAS GROUND WATER ~/O ENCOUNTERED? E · Depth lo Waler Alter Monilorin§? Date: SiTE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop R~,~ ~o ~ ~o S'I~ I" PERCOLATION RATE __ TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER -- FTAND ~//~' FT PERFORMED BY~ ~'13~. I=n.~l~, I~lvm. Loop Dana No. '204 I _ - ~---- -- CERTIFY THAT THIS TEST WAS PERFORMED IN A c EaaleRiver. Alaska 99577 C ORDANCE WI~I~ALI~ STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ROBERT C. COWAN, RE. ROBERTA, SHAFER, RE, SEWER&WATER INSPECT[ON WELL INSPECTION & FLOWTEST ROAD DESIGN SOILTEST PERCOLATION STRUCTUP~L & MECHANICAL INSPECTIONS ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 REFERENCE: Lot 13, Block 1, Su~d~Lake Subdivision October 6, 1998 GENERAL: The scope of this project includes the installation of a 1300 gallon polyethlene septic tank, three bedroom leachfield trench to serve the residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP "SUITE 204 " EAGLE RIVER, ALASKA 99577 Page 2 Lot 13, Block 1, Sm/,l~Lake S/D Oct. 6, 1998 Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away fi:om the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page 3 Lot 13, Block 1, Su~ Lake S/D Oct. 6, 1998 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the f'mal leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Page 4 Lot 13, Block 1, Su,JtLake S/D Oct. 6, 1998 The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or ax~y other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ,. DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) , Applicant Address (c) Applicant is (check one): Lending Institution []; Owner/builder I~; Buyer []; Other [] (explain); (d) Lending Institution '/C/r'/Y~/?T'~',~¢,L~ (e) Real Estate Companyand Agent Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Singre-Family I~Multi-Family Number of Bedrooms Other WATER SUPPLY individual Well []~ Community [] Public [] : Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite ~Public [] Community [] Holding Tank [] Note: If corn munity well system, must have written confirmation from the State DePartment of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025(11/84) 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 struclure 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 "~ ~., ~J~.~bc..,l~,~ Telephone Address 104~1 ~ ~ ~ck~ . ~[~ Date J ~ ] ~/~ 0 , Engineer's Seal DHEP APPROVAL (/ Approved ~ Disapproved Terms of Conditional Approval "~'~"-~ Date /-- ~__- ~Z- Conditional CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025 [11/84) MUNICIPALITY OF ANCHOP, M~NICIPALITY OF ANCHORAGE (MOA) DEPT. OF HEALTH & ENVIRONMI~NTAL pROTECTi~.ALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 p'G F' 2 9 ~] 264-4720 R E C E i Legal Description: WELL DATA Well Classification ,~t,t ui~'e... If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) t~ Date Completed ~ t~{G-/ Yield Total Depth ~" Cased Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by ~o~ J,~ ~..~¢~,~.; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Water Sample Test Results SEPTIC/HOLDING TANK DATA Date Installed ~ Size Standpipes (Y/N) ~ Air-tight Caps (Y/N) Depression over Tank (Y/N) t,J Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~0[ To Property Line ~ To Water Main/Service Line Course [~ "~ Comments No. of Compartments ~/ Foundation Cleanout (Y/N) Date Last Pumped t~,-~-~(~ ' --~ ; for Temporaw Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72 026(H/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area -.~ Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well -)6 To Building Foundation -¢& Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area ,j =~'~,/~:~a~.~t~. Type of System Design Length of Field Depth of Field '~ ~1~ Gravel Bed Thickness ~ _.~ Standpipes Present (Y/N) Date of Last Adequacy Test ,¢ To Property Line O...r.I).&~_~ ~,~.¢.. ~ To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) ~ D. LIFT STATION Date Installed '~ Dimensions Size in Gallons '~'~'~ Manhole/Acc~ "Pump On" Level at "Pum. p..~ff" Level at High Water Alarm Level at -~~J Vent (Y/N) Tested for ~ Pumping Cycles during Adequacy Test, Meets MOA Electrical Codes (Y/N) J Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have che~d, v~ied, or conformed to all MOA and HAA g uidelines in effect on the date of this inspection. Signed~~~ Date ~ ~-- ~. - ~ / ReceiptNo. ~¢O/ ¢O [~ Amount: $ ~ ~ ~'~-'¢ A '""~'~ g~ .~ .qj.¢ % Engineer's Seal Page2of 2 ¢~ 1flay D, ~ader / lun c pahtYof Anchorage P.O. ~X 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 2, 1987 Tony Barter, P.E. 10461 Hampton Drive Anchorage, Alaska 99516 Subject: Lot 13 Block 1 Sundi Lake Subdivision Waiver Request WR87-004 Dear Mr. Barter: The septic system on the subject lot was installed at a time when existing code required a 50 foot separation between a private well and any component of a septic system (tank or absorption field). The septic system on the subject lot was therefore in compliance with the code requirements in effect at the time of its installation in August of 1967. A waiver of the current 100 foot separation requirement is therefore not required. This Department concurs with your assessment that the existing separation distances on the subject lot adequately protect the well from contamination given the depth of the well and the h ' ydrogeologlcal conditions in the area. Sincerely, Morris Civil Engineer On-site Services Becamber 28, 1986 f~unicipality of Anchorage Deportment of Health and Humaa Services P.O. Box 196650 Anchorage, Aiasica 995 i § Lot 13 Block t Sundi Lake Subdivision 4028 Sundi Drive, MUNICIPALITY OF ANCI-[ORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECT/ON 8£0 2 9 1986 RECEIVED Anchorage, Alas~<a 99502 Dear' Sir: At the request of Hr. Leroy Jeffery, I visited the subject property on Plovember 22, 1986 for the purpose of performing an adequacy test on tire existing septic system. The results of the test were satisfactory as was the coliform lab analysis. Upon reviewing the as-built drawing dated April 25, 1984 and plotting the missing features, I found the following: The septic system does not meet. current separation distance requirements to the well. As shown by the attached notarized statement, the system was legal upon installation. Also , the trench crosses onto Lot 14 as shown on the attached as-built. I researched the Itunicip~iities files end found no records in conjunction with the subiect property. Therefore the following has been accomplished iii pursuit of a separation waiver and tiealth Authority Approval. A notarized statement from the previous land owner has been provided which would substantiate grandfather rights to the separation distal'ices. This distance is measured at 89 feet fi-om the well cap to the western most standpipe of the tank. I am requesting e 85 foot separation waiver. A right-of-entry agreement is attached indicating the physical acceptance of the system between 8djacien[ land owners. Lot 13 Block 1 Sundi L,.~~. Subdivision Cont. Finel]y, I have provided a review of the geology and geomorphology of the surrounding oreo. The rolling terrain in the immediate area slopes towards Sundi Lake. ~ell depths solicited ~he existiog drillec~ who performed worn in ~he area during the late 60'~ and ~he ~epor~ment of ~t~rol ~one of these contacts could produce o well log for the prope~y. I did verify ~hro~gh "3D Pump and ~ell~ ~h~ the ~ell would be approximately 200 fee~ deep end c~ed throughout length. They hod been on-site ~o perform maintenance o~ the · ~irhlg. The ~el] cap faf Lo~ 1~ is approximately 15 fee~ higher vertically than ~he septic ~ystem. The soil~ are composed vo~'ying s~ra~a~ of ~and~, gravels, ond di~inct clay layec~. Of particular notice i~ the impervious layer of clay and hard pan for Lo~ 14 ~hich i~ found at the 164 to 1~3 fee~ belo~ original ground. Tile septic systems installed on adjacent lots indicate a surface layer of 125 sqaare feet per bedroom soils for installation of absorption systems. There is no apparant water table near the surface. Based on subjective deduction, I would say that this system is composed of a two compartmeot tank with a capacity of 1:300 to 1500 gallons (pump receipt). The leach field appears to he composed of 5 feet of gravel approximately 57 feet long ar 570 sqo~re feet of capacity. On the date tested the system would accept 680 gallons per day. It iS rely opinion, WlliCh is based on a review of the previously stated information , that this system currently is ~nd will continue to operate in a safe and adequate manoer. Sincerely, Tony O. ,,~ooO FOR: ,5 7,9 /4. ' I h~r.by ¢.rtily :h~, on .ccura,..urv. y of the followi~ ~cri~d pro~rly: improveme.ts siluot~ th~ ore wilhin the proof o~d ~ ~1 ov~lop or ~r~ch on he p~eriy lying hereon. AGREEMENT OF ENTRY This agreement, made and entered into this /~ day of · December, 1986, by and between Bonnie L. McGee and Wilbert D. McGee, husband and wife, hereinafter referred to as "licensor" and Leroy Jeffery, hereinafter referred to as "licensee", witnesseth: 'That for add in consideration of the sum of ten dollars ($10.00) and other good and valuable consideration herein acknowledged as received, Licensor hereby grants to licensee the right, privilege and permission to maintain that part of a sewage drainage field which commences upon Lot 13, Block 1, Sundi Lake Subdivision, Grid 2224, Municipality of Anchorage, Alaska, (property owned by licensee) and appears to extend and be partly located upon Lot 14, Block 1, Sundi Lake Subdivision, Grid 2224, Municipality of Anchorage, Alaska, property owed by licensors. The said license is personal to the licensee, shall not inure to his successors or assigns and shall terminate upon a resurvey of the common boundary line separating said Lot 13 from said Lot 14. In witness whereof we hereunto set our signs and seals on this /~ day of December, 1986, at Anchorage, Alaska. B~NNIE L~. ~[C(~EE ~/ ' WILBE~T~D. MCGEE STATE OF ALASKA THIRD JUDICIAL DISTRICT ) ) SS: THIS IS TO CERTIFY that on thisbe+day of December, 1986, before me th~ undersigned notary public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Bonnie L. McGee and Wilbert D. McGee, known to me to be the individuals who executed the foregoing instrument, and they acknowledged to me that they executed the same freely and volunta[ily for the uses and purposes therein mentioned. WITNESS MY HAND and notarial seal the day and year i~ this 'certificate first written. Notary Public in and for Alaska My Commission Expires: STATE OF ALASKA ) JUI~ 29, l~O,i ) SS: THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this/~day of December, ]986, before me the undersigned notary public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Leroy Jeffery, known to me to be the individual who executed the foregoing instrument, and he acknowledged to me that he executed the same freely and voluntarily for the uses and purposes therein mentioned. WITNESS MY HAND and notarial seal the day and year in this certificate first written. Not~y P~lbl/~/~ ~ '1~ a~ for Alaska Myer, mi ss ~n~ Expi res: _f~/E ~_ / HOME SERVICES 15900 Francesca Drive Anchorage, Alaska 99516 345-1890 or 345-2444 CUSTOMER Block Lot ¢'~N' ,,~ ~//~/-Z"?2tr~ DATE DESCRIPTION AMOUNT ' - TOTAL ~ os /Z~ Gallons ~eptic .Cesspool _Standpipes ,~'~ime ~ PROBLEM AREA--CALL FOR MORE INFORMATION EDS TO BE DONE AGAIN IN 6 MONTHS od Shape : Sludge buildup on bottom : Floater on top ~ Jim cap missing or ~ Cut standpipe to 1' above ground ~ Needs Septictrine needs replacing --PLEASE PAY FROM THIS INVOICE--