Loading...
HomeMy WebLinkAboutHERITAGE HEIGHTS LT 2Heritage 40 Heights Lot 2 #015-361-18 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 2 www.ci.anchorage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW070281 PID Number: 015.361.18 Name. —Michael Schoder Wastewater System: ❑ New ® Upgrade Aaarsu Yukon Road, Anch AK 99516 ABSORPTION FIELD Phn Nunawa Ba,'o : O Deep Twtdt O sham.. Thom O Sed O Mound ®outs LEGAL LEGAL DESCRIPTION SWRa.9 Tota D.M it"onpi grace BbCa Lb 2 GPD�Ff Depm W ppa bottom cam w g" gods fl. GDW depth bwteem pfs Heritage His Ft. TawnMnp: Rang• Ssawn: FA a wxo *VOM gu0a Ft Grata L",t, New rade Well: ❑Upg fl. Gratawdp Ft. Numoar of Ae'e, Dntancettettte it a..rnodxl (Prrvau, A B. C). Tota Daps. CaaW b. Exist' ClassA ft• Tota 'h'°p°°"a~ Rp. Mat.w Ft F'• fl DIYNr: DaoDNNp $la!p wa1M L°YM F1' tinaNr. 3034 PVC Das ltuwka Ft Ak Divers 10/11/2007 yea tamp sa at. C~.q H"!e Atx Graxm. Gia A. F,. TANK SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding lubliVPrivate "_T" ' ty. From Tank Field Station Tank Sewer une Anchorage Tank 1250 Ga well 200+200+ 200+ mw w Steel y svn.eew.t.r 100+ 100+ LIFT STATION w Lon 50.7 10+ '"°'"�'•' Gal FouWaxm 10.2 10+ •R wro on' hwei W. 'Rap Or IaYM a Hqh error cam a M H M Curwn orcin 50+ 50+ Puny Mau a Moan Eewt r Wpac , p.r,o W Rema4a New tank Only BENCH MARK lwuon.na Daan9oo^ Front Door threshold m.a 4vauon. 100.0 Ft. Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1" 10/11/2007 Engineer's Stamp 2ne 10111/2ti07� PS Development Services Department Approval ........... . �.• ��� Conditional Approval Date:' °car—" ...... ..:......� �_ • LSteven••R. •Ponnone: i Reviewed and approved by:o Date: j zher�07 �1� •'6. N6.6L 8149 ••i # ... /l/�i,.•' 'j` ttr<Y. oY.aa1 ' ...... .....• • Q z 24 H 21 ['G WATER MAIN v v 1�S v v—v v—v—v—v vXISTGv� SEPTIC TANK `YUKON R D ABANDONED PER UD VGTJATER ` '- - ` EXIST'G WATER _ ,...-._ -- --- SERVICE I SERVICE- /' -�, � _ �c ....50.7 _ -- - NEW,_1250g-- yy _ SEPTIC TANK_ //` "DCO'S"., ACOIpNECT T2EXI/ST'G PIPT1EXLST'G CRIB10.2 , BTO /gE REUSED2INSTBEF EXIST'G 4 BR HOUSE 3 EXIST'G SEPTIC AREA _ NO WELLS W/IN 200' ur —EX1ST'G "DRAIN FIELD /'-EXIST'G SE TIC AREA // EXIST'G SEPTIC EX T'G SEPTIC AREA AREA 57< TH e s VCO A D DC1 11.4 11.8 °" T1 13.2 12.8 R T2 19.9 17.8 ,,, N[w tzso DC2 21.5 19.2 CAL. LANK awnm ro retro ar _ OFA( = gSf11 (eve .• n one •/ CE 8149 i ONE ING SVC, C P.O. BOX 102954 ANCHORAGE, AK 99ISL10 PHONE (907) 272-8218 FAX(907)272-8211 REVISED Dote 11/14/07 RECORD DRAWINGS scale 1'-50' Lot 2 Heritage Heights Michael Schoter Anchorage, AK 99516 on Road 11/14/07 15-3610--1E DESIGN PLAN PERMIT N0. sw090281 sheet 2of2 MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water B Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW070281 Legal Description: HERITAGE HEIGHTS LT 2 Design Engineer: 0062 PANNONE ENGINEERING SERVI( Owner Name: MICHAEL SCHODER Owner Address: 5820 YUKON STREET ANCHORAGE. AK 99507 - (U1A01- Vo Date Issued: Oct 10, 2007 Expiration Date: Oct 09, 2008 Parcel ID: 015-361-18 Site Address: 005820 YUKON RD Lot Size: 18300 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. 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: Date: eg to IM0(2.4Gt\3 c j ( pfTJV� Municipality of Anchorage -tel Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519.6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. n15- Sul- 2 Property owner(s) /M tC RA LL Gct�c-j5t;2 ✓L Day phone o?7A - go" -18 Mailing address � 2® Y U leo N S T . Zip Code q g50 Site address S'O Zd `w tCrnJ Zip Code Legal description (Sub'd., Block & Lot)/Pf Z A e<2 t'(r-ArAE (i-(" S. Legal description (Township, Range & Section) Lot Size 1%, W Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field ❑ Septic Tank te Holding Tank El Privy El Private Well 0 Water Storage n Number of Bedrooms 1 THIS APPLICATION IS AN: Initial Upgrade 0/ Renewal El I certify that the above Information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: IDI 10 ID 4- Date of Payment: Receipt Number. IiJIJQ"JO Receipt Number. (Rev. 11105) Pannone Engineering Services, LLC Consulting Engineers October 10, 2007 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Heritage Heights S/D, Lot 2 EMERGENCY Septic Tank Replacement Permit Request Ladies and Gentlemen: P.O. Box 102954 Anchorage, Alaska, 99510 %V12 - lam writing to request that a permit to install a new septiy1ank ssued for this lot. The proposed systems will serve an existing four-bedroom house. Currently the lot is dcvee existing septic system was designed and installed for a four-bedroom house and is operating adequately forrooms. The tanks has collapsed and the Owner is pumping daily to keep sewage off the ground. The surrounding lots are served by both public and private water systems and arc over 200 feet from the proposed soil absorption system. This lot is served by public water and the class A well is located greater than 200 feet from the proposed system. 1. Upgrade Tank Design. a. Number of Bedrooms: 4 b. Design Flow: 600 gallons per day c. Septic Tank Size: 1,250 gallon 2. Surface Water•. There is no surface water within 100 feet of the proposed system. The proposed systems will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: Lot 2 slopes to the north at approximately 5 percent based on existing contour information. The proposed installation will be located in the northern portion of the lot The proposed installation will not affect the future development of the surrounding or existing lots. There arc no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owncr/Civil Engineer Attachments: Page 1 of 1 iQ 6 2 4... Q U EXIST'G WATGER MAIN EXIST'G CRIB TO BE REUSED —v—l= v`c— v= v— v—v— v'—.. v�..X_ Tv.. v—vw—S'G1250g SEPTIC TANK YUKON RD COLLAPSED i WATER ------ ----- - SERVICE ----------- ----- SERVICE SERVICE "OPOSED 1250g 3.0 SEPTIC TANK - - I EXIST'G 4 BR' c 50.0 ; HOUSE' CdNNECT TO Q 6.4 Te 1 E7ST'G PIPE 2 / I EXIST 'C SEPTIC IN TALL DCO AREA .../_EXIST'G SEF TIC AREA ��N, EXIST'C SEPTIC EX T'G SEPTIC - AREA--,,,.,5% AREA.., .. .. � TH x. SSUED FOR ❑NST C N 10/10/07 .._ `>> TTS PMNONE ENG SVC, LLC REVISED Dote ��OFA�g0�ll �py�� *: 49 TH * // P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 10-to-o7 Scale 1'-50' 0i 1 ..... .. .. ..... P.I.D. NO �... ...... ......� Lot 2 Heritage Heights xxx-xxx-xx even R. Pannone Michael Schoter PERMIT NO. /'.• CE 8149 (( os • 10-10-07.•' % �I1kNI** '*,o� 582OYukon Road Anchorage, AK 99516 Sw07xxxx DESIGN Sheet kx PLAN 2 or 4 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: 4 -BEDROOM HOUSE, NEW 1250g SEPTIC TANK REUSE EXISTING FIELD. 4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST HOLE INFORMATION ABOVE 15 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. 5E UIN TIRA TA COMPALL T -AEXPDOND COS AND�INT W 1 I $PELTED K I USANK TA FO IS T NDE BE 6. CONTOUR INTERVAL IS 4 FEET. DESIGN PARAMETERS NO. BEDROOM: 4 TANK SIZE: 1,250 gallon ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T(/ TANK CLEAN OUT NO. C(/ CLEAN OUT NO. Ma MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE LEGEND —w—w— WATER LINE/ WELL RADIUS SS —ss — EXIST'G SEPTIC —u—tt— NEW SEPTIC --moo— CHAINLINK FENCE ISSUED FOR CONSTRUCTION 10/10/07 �`�OFA/- q?4 y*� `Sleven Pannorle .% CE 8149 �� (Ilk FR PANNONE ENGINEERING SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 REVISED Date t0-10-0� score NTS Lot 2 Heritage Heights 9 9 Michael Schoter 582OYukon Road Anchorage, AK 99516 P.I.D. NO xxM—rax—xx PERMIT NO. SW07xxxx DESIGN NOTES Sheet 4 or 4 �-- GRE�.:1ER ANCNUKAGt AKtA BUF DUH Department of Environmental Quality ON 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITESEWAGE /DISPOSAL SYSTEM NAME/(JCltf) 9" S��S MAILING ADDRESS /7n C� / JbV��/�%� PHONE�`�`,/ 616/� LOCATION /�G� X/ `! LEGAL DESCRIPTION��/jfl9r.l '/Cf///Si 411 SEPTIC TANK: G /Yl /{?z' DISTANCE NUMBER OF DISTANCE a /f FROM WELL G MANUFACTURER r/�MATERIAL %/? e/ COMPARTMENTS INSIDE LENGTH / INSIDE WIDTH LIQUID DEPTH — LIQUID CAPACITY / 2-5U GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER OR WIDTH ��', LENGTH l©, DEPTH Z Pt2 & Cok / <4411 LINING MATERIAL /, /tib"f CRIB SIZE: DIAMETER26—ZDEPTH DISTANCE FROM: WELL�GG»` 2 3 1 �` �� / TOTAL EFFECTIVE l / �/ BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) 6 C �`l SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED //_41/0 "/`// _CONSTRUCTION C/ ' NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK—,SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: , LILl«a /d Pko F'vS67o 1 1 � i PIPE MATERIAL: lb �- LOT SLOPE: DOE - REMARKS: �� G� DAT � -L e _ APPROVED %f+_ G.A.A.B. Form No. EQ -031 r"c GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OP ENVIRONMENTAL QUALITY PERMI 3330 "C" STREET ANCHORAGE, ALASKA 99503 IOUTELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM ® APPLICATION AND PERMIT NAME OF APPLICANT ' PUCIP � MAILING ADDRESS 7SO PHON INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK ✓ \ SEEPAGE PIT J�/ DRAIN FIELD , OTHER TYPE AND SIZE OF FACILITY TO BEI SERVED���/ FINANCED THROUGH ) TO BE INSTALLED BY �l�wL SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST Zf a COMPLETION DATE ANTICIPATES FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE `OO TYPE ✓ MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT / DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL / 11 SEPTIC TANK ls� , SEEPAGE PIT �2b DRAIN FIELD TO NEAREST LOT LINE. _ WELL TO SEPTIC TANK ( 6 SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /D SEEPAGE PIT DRAIN FIELD / SEPTIC TANK, 0 /60 . SEEPAGE PIT O� DRAIN FIELD ( - TO RIVER, LAKE, STREAM. AREA SIZE 14X � /TYPE - s DIAGRAM OF SYSTEM CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCiCtlATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE C S. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DE GNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE z APPLICANT'S SIGNATURE FORM NO. EQ -016 v NO. 28-68 AND THAT THE ABOVE h f T.H.- R-9-73 0.01 1.01 -Z�O 5.01 Z' 14.51 No Water Table T. D. Note Test hole excavated with tractor mounted backhoe. Kincaid Construction Engineering&Geological Consultants LOG OF TEST HOLE ANCHORAGE FAIRBANKS ALASKA JUNEAU Anchorage Alaska DATE B - 9 - 73 SCALE I 1 = 21 DWN BY B• R.S. CHKD HY W.E.D. PROD. NO. 36642 DWG NO. A- 01 ORGANICS ( PEAT) N j • .j �• SILTY SAND (S M) 00' SANDY GRAVEL (GW) 0� .0 0 0 SAND, TRACE TO SOME SMALL GRAVEL (SP) c o 0 o. OQ .p OD SAND, SOME GRAVEL °. (SW) .o O,p 0.01 1.01 -Z�O 5.01 Z' 14.51 No Water Table T. D. Note Test hole excavated with tractor mounted backhoe. Kincaid Construction Engineering&Geological Consultants LOG OF TEST HOLE ANCHORAGE FAIRBANKS ALASKA JUNEAU Anchorage Alaska DATE B - 9 - 73 SCALE I 1 = 21 DWN BY B• R.S. CHKD HY W.E.D. PROD. NO. 36642 DWG NO. A- 01 R&M ENGi ,'EZERING & GEOLOGICr;,✓� C;UMULIAN 1b i = 229 EAST 51st. AVE. — P.O. BOX 6087 — ANCHORAGE, ALASKA 99503 _ TELEPHONE 907-279-0483 TELEX 090-35419 t < I Land Surveyors Civi! Engineers Geologists JAMES W. ROONEY, P. E. ... _ - . _ _ _ __ RALPH R. MIGLIACCIO Engineering Geologist MALCOLM A. MENZIES, P.E., L.S.+. JAMES H. WELLMAN, P.E.- RECEIVED SUi W3 August 9, 1973�avtEot�r�gh qEr� kv O'grontR & M No. 36642 Kincaid Construcion Company 7801 Jodphur Street Anchorage, AK 99502 Re: Test Hole and Soil Log Report for Sanitary System Lot 2, Heritage Heights Subdivision Dear Mr. Kincaid: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of August 8, 1973, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 2 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor -mounted backhoe and the test hole was extended to a total depth of 14.5 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEER/ING & GEOLOGICAL CONSULTANTS ✓U James W. Rooney JWR:ph / xc: GAAB ANCHORAGE FAIRBANKS JUNEAU MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES 1 Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel I.D. # 015-361-18 HAA 00 4 `7 G 1. GENERAL INFORMATION Complete legal description HFRITAGF HEIGHTS SUBDIVISION; LOT 2 Location (site address or directions) 5820 YUKON DRIVE ANCHORAGE AK 99516 Property owner KART C'I AU50N Day phone _(907) 346-2414 Mailing address 5820 YUKON DRIVE ANCHORAGE AK 99516 Lending agency Mailing address Agent Day phone Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. 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. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding Tank Community on-site Public sewer NOTE: if community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Computer Version 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 insp ction, the on-site water supply and/or wastewater disposal system is in compliance with all Munic'p and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Phone (907) 337-6179 In conducting this evaluation, AWWC, I tte pted toPMOde a thorough, conscientious engineering analysis of the system in accordance with ADE C and O D S Guidelines & Regulations. The reported results described the performance of the system under the ndition encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the water oo�o usage of the family being served by the system. These conditions are outside the control of o , the evaluator of the system. Satisfactory test results do not guarantee future performance �Q of the system, nor do they guarantee that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty for future estimate of how long theopt* r H �* system will continue to meet the operational requirements of the ADEC or MOA DHHS. �...... , ............... The content of this report is for the sole benefit of the owner listed above. Any A reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DHHS SIGNATURE Approved for 3 bedrooms Disapproved Conditional approval for Additional 0 :E-7953 'o f essl0d bedrooms, with the following stipulations: Date 7Z3-00 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Computer Version =vtIVED Municipality of Anchorage SEP 1 12000 DEPARTMENT OF HEALTH & HUMAN SER Environmental Services Division ENV1RoNp j SOF N H 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-474'T SE VIC Health Authority Approval Checklist Legal Description: HERITAGE HEIGHTS S/D; LOT 2 Parcel I.D.: 015-361-18 ,A WELL DATA Well Type RAAt CIf A, B, or C, attach ADEC letter. ADEC water system Log present(Y/N) Total depth Date completed FROM WELL LOG Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION Date of test Static water level Well production 9•p -m• 9•p•m- WATER SAMPLE RESULTS: Coliform Date of B. SEPTIC/HOLDING TANK DATA Collected by: *SEE 5/28/99 LETTER TO DHHS Date installed 8/20/73 Tank size 1250 Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression (Y/N) *NQ High water alarm (Y/N) N/A Date of Pumping 8/2/2000 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA **52" ON 8/3/2 Date installed 8/20/73 Soil rating (g.p.d./ft2 or ft2/bdrm) 113 System type SEEPAGE PIT Length N/A Width 16' X 18' Gravel thickness below pipe 6' Total depth to' Effective absorption area . 408 SQ FT Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO Date of adequacy test 5/14/99 Results (Pass/Fail) PASS For 3 Bedrooms Fluid depth in absorption field before test (in.); **49" Immediately after 652 gal. water added (in.): 55.5 Fluid depth 51 (ins) Minutes later: 65 Absorption rate = 450+ Peroxide treatment (past 12 months) (Y/N) NONE KNOWN If yes, give date ----- 72-026 (Rev. 3/96)• Computer Version D. LIFT STATION Date installed Manhole/Access High water alarm Size level at* "Pump off' level at* *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main line On On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line UNKNOWN Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property Surface water Curtain drain F. ENGINEER'S I certify that 1 of Municipal n with MOA HAI 10'+ Building foundation Water main/service line UNKNOWN Driveway, parking/vehicle storage area 10'+ Wells on a Id Inspections and review stems are in conformance this date. Engineer's Name I V t I U 1,)rrrNLT A. UAMINLJJ Date �4_ U HAA Fee A O Uo f qo Date of Payment q-11-- O CJ Receipt Number 7 6 6 (/%C) 72-026 (Rev. 3/96r Computer Verelon Waiver Fee $ Date of Payment Receipt Number ". i. �. 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 furtherverify 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 eV8S & t$of this inspection. Name of Firm Address Engineer's signature Alaska Water & '- Wastewater Consultants Inc. Shall be PAID ULEL $ or prior to, closing for the fingineerino ON 00§ pf@Yl ; 6. DHHS SIGNATURE Approved for :3 bedrooms. Disapproved. Conditional approval for 7d Phone— Date. hone_Date. r QF A [ ap .A®�s °°ao•° ( �ar w 41 7933 . U� ;yiTor' £SSl_ .,i bedrooms, with the following stipulations: Gam r,e rn ioe- s �ic, fi Gob�cs o-7" hLe-&_ th v7' L" Additional Comments By: Date. CAUTION 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 isnot responsible for errors or omissions in the professional engineer's work. 72 -MS (Rev. 1/91) BaCk MOA #21 - - - Municipality of Anchorage MAY 28 1999 DEPARTMENT OF HEALTH & HUMAN SERVICES �r1� Environmental Services Division MUNICIPALITY Of AN(—ryv -� ENVIRA N 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) N4'RVICES DIVISION Health Authority Approval Checklist Legal Description: HleIGhTS ZO Z 0 Parcel I. A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production WATER fsample: Colifor e of If A, B, or C, attach ADEC letter. -ADEC water Date completed Cased to FROM WELL LOG LTS: B. SEPTIC/HOLDING TANK DATA Nitrate 9— p.m- height (above ground) Wires properly protected (Y/N) Collected by: AT INSPECTION Other bacteria Date installed Y' Z - 7 Tank size 1,;15 0 Number of Compartments Z Cleanouts (Y/N)—Y--- 7� Foundation cleanout &N) _ Depression a/N) _ High water alarm (Y/N) <lr Date of Pumping 5.. l '-(-i q Pumper ��O✓Yi�SP�utt�Q� C. ABSORPTION FIELD DATA 912-0173 see�C�� Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) L System type Length Width/(O i Gravel thickness below pipe Total depth (� Effective absorption area L%� Monitoring Tube present(g/N) Depression over field (Y/N) Date of adequacy test K7 ��% 9 Result (Pass/ ail) For bedrooms er Fluid depth in absorption field before test (in.); 57 Immediately after �S gal. water added (in.): 56 S Fluid depth 5/ (ins) Minutes later: (� 5- Absorption rate = 4 tam _r g.p.d. Peroxide treatment (past 12 months) (Y/N) IVOAIC-, If yes, give date )Z'Jow,�) 72-026 (Rev. 3/96) D. LIFT STATION ` Date installed Manhole/Access (Y/N) High water alar vel at* C s tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer /s ervice line On adjacent On adjacent lots "Pump off" level at* Public sewer manhole/cleanout Lift station SEPARATION PISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation �_� / _ Property line V / t Absorption field_ 3 Water main/service line (tP1 k -Surface water/drainage 1160,e /i OO Vells on adjacent lots 24 �'o .4. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line a Building foundation 9-0 Water main/service line %n p�//`� l�lr e- JU Surface water %2.(t rk eway, parking/vehicle storage area __. i Curtain drain /\G/ J`r Wells on adjacent lots _00 '74- F. ENGINEER'S CERTIFICATION ��rra�►la.� I certify that / h d rmin h u field inspections and review of Municipal rec. to erns are in conforma e w th O A g idelines in effect on this date. t ' °°a,�� 1� Signature , Engineer's Namegy-Q, Gwnm Cs7953 � Date 2-6 E o 6z� HAA Fee Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 May 28, 1999 Municipality of Anchorage Department of Health and Human Services On -Site Services Section P.O. Box 196650 Anchorage, AK 99519 RECEIVED MAY 2 8 1999 Municipality ui AFcnorag® Dept. Health & Human Services REFERENCE: Health Authority Approval for Lot 2; Heritage Heights S/D To Whom It May Concern, Attached is the HAA application for the referenced property. The existing 1250 gallon tank was installed on August of 1973, made of steel and is almost 26 years old. During our site visit, there was a slight depression over the tank. In 1995 when we worked on this property, a depression was also observed. It is visually obvious that additional fill has been added over the tank since 1995. I am uncertain whether this is the result of the tank collapsing due to failure of the top or just soil settlement. Without physically exposing the tank, it is impossible to verify it's condition, however, based upon its age it is reasonable to assume that it is near the end of its useful life. If you have any questiorIA, please call us at 337-6179. JAF/gd MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES i Division of Environmental Services •� On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I. D. # i) � S- 0� HAA # bfsa'Ei A() C— !S 1. GENERAL INFORMATION Complete legal description L. 0-7 2� y 17 -Ad t�li�� SUB. 2. 3. 4. Location.(site'address or directions) SSZO ,I[AY.Of-A ROAD 1 AK)G!-40PA-CE', Property owner, p �y 1. 7 5 P_ 4n D 65 Day phone -71 — 55®O McAiling address J Lending agency N �A' `+ Day phone A/4 Mailing.address .IA' Agent 1A. Day phone f4 La, Address Unless otherwise requested, HAA will be held for pickup. ­:� NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water P L,64,5f- /44T11 -4-ED Nett-fEoWN Ej?, 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 ALA-SKA wA - Address Engineer's signature 6. DHHS SIGNATURE Approved for Disapproved. (uAS IaJA=7�fL 5EVI Phone 337-6/79 A-4nf2A C- , A-C.4-59E�A 9'9 !�;70 4- Date 3/1-6/-92 /te aXV1 • • Conditional approval for Additional Comments 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 purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA W21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L91- 2',t E'4'�'KT041�4� Parcel I.D.�`�3�t1 6EI(0 Y 5O&DIVIStoN A. WELL DATA Well type COMM L`s.g present (Y/N) _ If A, B, or C, attach ADEC letter. ADEC water system number Q&dog Date completed Total dZth Cased to Sanitary seal FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROJA,WELL TO: Septic/holding tank on I Absorption fiel Public steer main r service line Driller Casing height Wires properly protected (Y/N) AT _ ; On a cer ; On adjacent I PEC o.? c 70 m o, a � fn N M.rn P'P1 C D a � CD rn 0 f V (D _.cfl om lots N Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform N'A" Nitrate _ 044 1A Other bacteria A Date of sample: ' Jov Collected by: 14/ A B. SEPTIC/HOLDING TANK DATA 0 (Do S ,N2a 7 , Tank size 1 250 C7At� A Compartments 7' Date installed � p Cleanouts.('Y/N). yE S Foundation cleanout (Y/N) ��.� Depression (Y/N) N C High watgr alarm (Y/N) .. Jq A:-' Alarm tested (Y/N)SLA Date of pumping 116 / 9 t Pumper �`G ' O _ '%Cj `/ SEPARATION DISTANCES FROM.SEPTIC/HOLDING TANK TO: 1> Ica FEJT Well(s) on lot Q On adjacent lots 51-r-avW JZ Foundation U f T' To property line g Fro Absorption field_ - Fr. Water main/service line UNl<NOWN Surface water/drainage V3WE OSSIEQVED C2o�ND COVEtEa w T Sntiov�! 72-026 (Rev. 7/91) Front - CONTINUED ON BACK PAGE C. LIFT STATION e installed Size in gal _ Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y Manufacturer. Manhole/Access (Y/N SEPARATION Ql,%-�NCE FROM LIFT STATION TO: of D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested N Surface Date installedg Width . E. % 3 Soil rating j13 30 System type 5I � Len th A l ��c I S r© Qs (o © � O Total depth � � t=FF� Total absorption area � 8 (=T., CD Cleanouts present (Y/N) y E� u Depression over field (Y/N) N O Date of adequacy test 3 (q' Ct2 Results (pass/fail) _ �14SS for T'lr'�t bedrooms Peroxide treatment (past 12 months) (Y/N) la If yes, give date rq %A SEPARATION DISTANCE FROM ABSORPTION FIELD TO: _ Well on lotN �A On adjacent lots 5 ayfx Lt;T t Property line fr. To building foundation To existing or abandoned system on lot N �A r,-;`; NA -fnf=qtr Onadjacentlots rni� Cutbank2'15z Water main/service line Un1Kn10v�fnJ Surface water N� W bm G2ouND > Driveway, parking/vehicle storage area �L Curtain drain A O Paz tNSPezmr-) CEPor?:sr- ; e/zo/73 E. ENGINEER'S CERTIFICATION (� pea, r-tDLD tir.4-suA�e A : a/la./q � C� PEst r+wtwrcj�;0&J;-a//S-/-rd I certify that 1 have checked, Signature Engineer's Name' )Qtr," Date 3 IS 9-Z or conformed to all MOA and HAA guideli HAA Fee $ 1-10 �CD Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Ss Waiver Fee: $ Date of Payment Receipt Number )n. Alaska Water 8c Wastewater Services "Preserving the Last Frontier" March 15, 1992 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519--6650 RECEIVED MAR 2 0 1992 Municipality of Anchorage Dept. Health & Human Services Ref: Health Authority Approval (HAA) Application for Lot 2, Heritage Heights Subdivision. To whom it may concern: Attached is the HAA application for the subject lot. An adequacy test was run on the septic system by introducing 7.0 GPM, for a total of 100 minutes, into the clean-out on the seepage pit. The total volume introduced was 700 gallons, and the liquid level in the "pit" rose a total of 01—inches. The recovery of the system was monitored for 30 minutes after the water was shut off, during which time the system recovered 100%. In short, the water level in the seepage pit dropped 11 inches in less than 30 minutes. Consequently, the system is adequate for a three bedroom house (450 GPD). The separation distance from the septic system to adjacent wells was only verified to be greater than 100 feet. Lots .1.,2,3,16,23,& 24, Heritage Heights Subdivision are on a community water system; therefore the separation distance did not apply to these lots. Lot 6, Crest Wood Subdivision is an undeveloped lot. Lots 7, & 8 , Crest Wood Subdivision are the only adjacent lots which have private wells. There are no records on file at DHHS for the septic systems or wells on either of these lots. I have attached a drawing which shows a 110 foot radius from my client's seepage pit clean-out. Only the northern most portion of these lots falls within this 110 foot radius. During my site visit, I did not observe any well casings within the subject area; however, the ground was covered with snow. I was able to contact the homeowners, by telephone, and verify the general location of their wells. It appears that neither well is within 100 feet of my client's septic system. The existing septic tank was installed in August of 1973, making it approximately 18.5 years old. During my site Telephone - Fax 338-3246 0 8471 Brookridge Drive 0 Anchorage, Alaska 99504 visit, the septic tank was not exposed and visually inspected for structural integrity. There was not any noticeable depression over the septic tank, indicating that it was structurally failed at this time, however, because of its age, it is reasonable to assume that it is reaching the end of its useful life. Consequently, the homeowner should anticipate that it will be necessary to replace it in the not to distant future (within the next five years). The separation distance from my client's seepage pit to absorption fields on adjacent lots was not measured since the closest absorption field is located on the western portion of lot 1, Heritage Heights, and is perhaps 100 feet away. The distance to the closest property line is 23 feet, which is greater than twice the depth of the seepage pit. In short, this separation distance is not a concern. Attached is a copy of the as -built survey prepared by "Lantech". It can be seen that there is a 30 foot slope construction and maintenance easement (in reality this is terraced slope down to Yukon Street) along the north property line. The separation distance from the seepage pit to the top of this slope (>25%) is only about 25 feet. Apparently, this installation was acceptable to the DHHS when it was inspected on 8/20/73. If you have any questions, please call me at 337-6179. if all goes well, please send the HAA to the homeowner. Thank you. rey i=l:�Garness, P.E. r/Consultant JAG/ jag Phyllis.wps 50' Z 0 LO N Ln I Lij 0 LO m Co HOSY7 RECEIVED MAR 2 0 1992 I'viu.) C Paliiy ot Anchoragg 000. Hca & Human Services 1% JDr ,74k AP O<c o 64 ej Co A V,,� PFO Ar n C\i LO I im 0 00 N 0 00 1 0 ,Q COp E ,, ,0 0 C 0- 0 0= xco E 07, 0 Z W 3 ov 0 0�2 I U) 00- -J z E 2 _j .0 0 0 X - w 0 I. Y J NO�_ O II _0 05 £I 611 L Z- 9- ZZ'66Z iws3 dn9�wNu' Il oNwMo�mm Lt"IoMmNi ° II N - NZ N h LO ,1 O OI o ° O IL'61 I Il 1411� I I° I n O I O w N ip z 3 N i w �' �I 12 y iI ♦� N IN l 0 0 N _ IO N :I - o OO ° ° 00 Nv� jm,ot'.,?oOoos �m II 05'L01 ❑4 9nog05GOI J — N - dwo0 N 0051E — - I! 0,s4ly � .t` 6.v0. _l0yr �.III' EWS(O n�Jn\g_9 N9 0 Eu o Iw ,'•',- 0 Nizn3 �l f OO -, o 110°iN_n0 ooo NI JI 1 3Z'66 OE 0£ e-2 w -JIi 8636d 0981ws3 oa13.9' 6Z 0'0OZI 5Z z#mIn p- 1010916 -3 00'S M� —0'541— w II 0 o a w dwo0 10'S1S_ - --0-1 00103f1 3„O0,E0000s dwoO EE'OZEI M„OO,b0 o00N !a x-10 ZZ'61£1 M„Ob,Z000OS V61 WALTER J. HICKE-L, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION au ANCHORAGE DISTRICT OFFICE (907) 349-7755 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99503 FOR: Alaska Water & Wastewater Utility March 12, 1992 PWSID # 210087 My review of the records on file in this office reveals that the Heritage Heights - Class "A" Public Water System, is in compliance with the routine coliform bacteria sampling requirements listed in Table C, and with the inorganic sampling requirements listed in Table B of 18 AAC 80.200. BR/cf Sincerely, f�" 4ztt�- Byron Roys Environmental Engineering Assistant RECEIVED MA.R 2 0 1932 tViunicip-4i1t y -t Anchorage - Dept. Health & Human SerViC-92 y, j/ I, rinica' on i ccyded p a por b y C. J.