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Home My WebLink AboutCARHART LT 23B 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: ~70,~.~ PIDNumber: 0~1~ t~ N,r~a: P/O.,',, Pen ~_.~ol ~ Wastewater System: D New D Upgrade A~: ABSORPTION FIELD Phone: ~, -- ~r"'.: ~rench O Shallow Trench ~Bed ~Mound ~ C~ificanon {Private. ~B.C): TO~I ~pth: ~s~ To: T~tion araa: Pi~ mateflat: ~"'~:~P~ ~,. I "'- TAN K SEPARATION DISTANCES ~ septic ~ Holding Q S.T.E.P. Sudace LI~ STATION Water -- _ . ~ (00 - I I Remarks: ~e~ ~.~ ~ ~ BENCH MARK I ENGINEER'S S~L Inspections pedormed by: ~/u~ ~c4 ~vc Dates:lst ~/~°/~7 ~=: '.'-' "' ~epaflment of Heal~uman Se~ices approval .~' ' ........ /Y~_/~f ~ ~Date: r~ ~-~7 ~ '""" "* '""' Reviewed and approved by: 72-013 (Rev. 9/~1) MOA 25 PERMIT NO: SW970343 PID NO: 01819121 WELL SWING TIES."'. TO: . DBL, C.O. "E" 40' C.O. "F" 37' PUMPOUT "G" 41' ALARM C,O. "H" 43' T.B.M. COR, "B" . DBL. C,O, -- 66' .............. 75' 4000 GALLON 79' HOLDING TANK PLAN VIEW SCALE: 1" = 30' PAGE 2 OF 2 LOT 23B . , INV. j 86.1' 4000 GALLON HOLDING TANK PROFILE VIEW NOT TO SCALE LOT 23B CARHART S/D HOLDING TANK INST. AS-BUILT INSP. REPORT FLATTOP TECt[NICAL SImP, VICES 14530 ECIIO STREET ANCI IOP. AGE. ALASI(A 99516 SCALE: AS NOTED DRAWN BY TFM NOVEMBER. 1997 PAGE 1 OF MUNICIPALITY OFANCHORAGE DEPARTMENT OF HEALTH AND }K~ SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970343 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:PENZENIK, MARY OWNER ADDRESS:3231 E 142ND AVE ANCHORAGE, ALASKA 99516 DATE ISSUED:10/01/97 EXPIRATION DATE:10/01/98 PARCEL ID:01819121 LEGAL DESCRIPTION: CARHART LT 23B LOT SIZE: 49667 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: HOLDING 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 343-4744 ( 24 HOURS ) · (NOT REQUIRED FOR WELL ONLY PERMIT) 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. 1 SPECIAL PROVISIONS: RECEIVED BY: ~f~ DATE: IQ/ F...(~/9~ DATE: ]O'- /-- p7 CIVIL& ENVIRONMENTAL ENGINEERING * ENERGY CON.~:ERVATION & ANALYSt~ TIIEODORE F. MOORE, P.E. 14530 ECHO ST. PiI: (907) 345-1355 September 24, 1997 ANCItORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose ofthis letter is to provide the required design narrative in support of our application for a permit to install a 4000 gallon holding tank to serve the existing residence on Lot 23B Carhart S/D. Soils logs, pert test results, a site plan, design drawings and specifications are enclosed for your review. The present septic system is unable to accept the wastewater flow generated at the residence and probably encroaches on groundwater. We dug four test holes in May ofthis year to assess the feasibility of upgrading the soil absorption system. The first three test holes encountered a saturated gravel stratum between 3 and 4 feet below ground level, and the groundwater stabilized at 1 foot below ground level during break-up. The silty material encountered in the fourth test hole perc'ed at a rate slower than 60 minutes per inch. Because these soil conditions do not allow the installation of replacement soil absorption system, the property owner wishes to install a holding tank. Although the minimum acceptable size for a holding tank serving any residence is 2000 gallons, the owner wishes to install a 4000 gallon tank to minimize the frequency ofpumping. This size should be more than adequate for a three bedroom residence. The topography of the lot in the area of the proposed tank installation slopes towards the south at approximately 15%. No surface water was observed within 100 feet of the proposed installation site. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space-surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. SEPTIC C - . , · -' ', ·, LOT gB BLM LOT 10 '1, , ; WELL-~ , , . ,, ,, ~/ 5 ~ ,' '.~ DBL C.O. ~ ., , , NOSEPTIC SYSTEMS , ',.. -.~ -.~......... _ _--; ~"~ .- .- ,.'". · WITHIN 100 ~. OF WELL ~RT S~ HOLDING T~K ~R 100' ,3 ~ AB~OON ~ISTING ~ :: ~ ~ L T2 . ;SEPT~ CARHART S/D ', ~ SYSTEM ~ T,H. . _ .~ ....... ~ .......................... ~ ~ ~ ~ST 142nd AVENUE ~ ~ ;? ~9 ~ :.~ ~!~:5' HOLDING TANK 'NST.siTE P~N BLMLOT42 ~[ mE~REF. U~RE · }~ ~OP~CI~IC~SER~CES INCH = 50 FEET ~ % CE-3589., ~W 14530ECIIOS~ET D~WNBYTFM ~-- NOTE: THIS IS NOTASUR~ED P~T. ALL LOCATIONS SHOWN ARE APPROXIMATE. INSTALL DBL. C,O. AT POINT WHERE TIED INTO EXlSTING..,~ WASTE LINE FROM HOUSE 4000 GALLON NEW HOLDING TANK PLAN VIEW SCALE: 1" = 10' -0" 4" CLEANOUT 6" PUMPOUT 4" ALARM FLOAT ACCESS 4" ALARM~ ACCESS NEW 4000 GALLON HOLDING TANK 17.2 ~t~ ORIGINAL GROUND~ - ~ ~' PUMPOUT ~----MOUND COVER MATERIAL WASTE LINE FROM HOUSE CROSS-SECTION SCALE: 1" = 5' - 0" LOT 23B CARHART S/D HOLDING TANK INSTALLATION PLAN AND CROSS-SECTION FLA'I-rOP ]'ECl fl,TIC,AL SF_,RVICES SCALE: AS SI IOWN 14530 ECtlO STREET DRAWN BY: TFM ANCIIORAGE, AK. 99516 SEPTEMBER, 1997 Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345-1355 Lot 23B Carhart S/I) 3231 East 142"4 Avenue Holding tank installation Specifications 1.0 General: 1.1 The scope oftbe project consistsofabandonment ofanexisting 1000gallon septio tank and installation ora new 4000 gallon holding tank with a high level alarm system. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved aRer settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement oftopsoil and reseeding all areas disturbed by the construction. 2.0 Holding Tank: 2.1 The existing septic tank must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 2.2 The new 4000 gallon Municipally approved holding tank shall be installed in the approximate location shown on the site plan. )'he tank shall be'set level on undisturbed soil and buried a mini.mum of 5 feet below final ground le-vel~ prevent flotation. While a significant quantity of groundwater ~s not anticipated in the area of proposed installation based on the soil test results, the contractor should be prepared to de-water the excavation if necessary. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall' have a minimum slope of 1/4'" per foot. A double cleanout should be installed at the point where the new waste line extension ties into the existing waste line coming from the house, if no foundation cleanout exists. 2.4 The holding tank shall be equipped with a low voltage, high level float which triggers an approved visible and audible alarm mounted inside the residence. The float shall be positioned to trigger the alarm when the fluid depth is approximately 57 inches above the bottom of the tank, thereby leaving 600 - 800 gallons ofcapacity remaining in the tank at the time the alarm first sounds. 3.0 Inspections: 5.1 Atotal of 3 engineering inspections will be required during the course ofthe project: (1)initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the tank has been set in the excavation and the piping connected and alarm float installed, but prior to backfill, and (3) after final backfill and grading is complete. 5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. ITEST HOLE # 'I I FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Lot 23B Carhart DATE PERFORMED: May 8, 1997 PERFORMED FOR: Mary Penzenik DEFTH -- Pt. (feet) 8- 9- 10- 11- 12- 13- 14- 15- COMMENTS: Depth ~o Groundwater Date Water @ 4' 5/8197 -W~t ~"(~13" bgl. 5/~9/97 Water (E~ 30" b.~3 I. 9112/97 SLOPE SITE PLAN ML Gray/brown gravelly si~t Wet GP/GM Si~ sandy gravel Clean, black, saturated Date Reading Clock Net 13me Percometer Net Drop ~me (minutes) Reading (inches) PERCOLATION RATE (minutes/Inch) PERC HOLE DIAMETER TEST RUN BETWEEN FTAND FT No perc test could be conducted of the GP/GM sb'atum due to its saturated condi~on~ however based on the ability cf water to flow through ~ the stTatum should perc at < 1 minute/inch. PERFORMED BY FLATTOP TECHNICAL SERWCES. I ~7'_e.~ ~ CERT1FY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ ~/~' ~' / ~ 7 TEST HOLE # 2 LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR: DEPTH (feet) 3- 4- 5 6- 11 12 15- 16- 17- 18- 19- FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST Lot 23B Carhart May8, 1997 Mary Petlzenik Pt SLOPE ML Brown sandy silt GP/GM Wet a[tty gravel ML Silt B.H. Depth to Groundwater Date Water ~ 35' 5~8~97 SITE PLAN Date Reading Clock Net Time Percometer Net D~op Time (minutes) Reading 0riches) PERCOLATiON RATE (mlnutea/inch) PERC HOLE DIAMETER TEST RUN BETV~EEN FTAND FT COMMENTS: No monitor tube set as soils are less suitable Ran tflose encountered in T.H #1. PERFORMED BY FLATTOP TECHNICAL SERVICES. I ~:~'~,~ ~ CERTIFY THATTHIS TESTWAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ / ~_ z/,/~ ~, ITESTHOLE#3 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Lot 23B Carhart DATE PERFORMED: May 8. 1997 PERFORMED FOR: Mary Penzenik DEPTH Pt (feet) ML Si~t 1- Pt 2- ML Gray sandy silt Wet 3- 4- GPIGM Black silty sandy gravel 5 saturated, many boulders 12- 13- 14- 15- 16- COMMEN'r~: MLGray$ilt SLOPE I: SITE PLAN Depth to Groundwater Date Water ~ 4' 518197 Date Reading Clock Net Time Percometor Net Drop Time (minute~) Reading (Inchee) PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT No monitor tube set, Soils not suitable for on-s~te so~ absorption $~tem. PERFORMEOBY FLATrOPTECHNICALSERVlCES. I.~.~ ~ CERTIFYTHATTHISTESTWAS PERFORMED iN ACCORDANCE WFI'H ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ITESTHOLE#4 LEGAL DESCRIPTION: DATE PERFORMED:., PERFORMED FOR: DEPTH (feet) Pt. 1- 2- 9- 10- 16- 17- 18- COMMENTS: FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST Lot 238 Carhart MayS, 1997 Mary Penzenik SLOPE ML Gray/brown gravelly sandy si~t w~ cobbles dense, hard digging Depth to Groundwater Date No fl'ce water 5~8~97 -~JS" b.o I, 5/19/97 '--Water ~60" b.gl. 9/'J2/97 SITE PLAN I D ere Reading Clock Net Time Percometer Net Drop Time (mtnute~) Reading (inche~) 518 12" Pre-soak 11:37 27 1/2 3:08 221 26 314 3/4 PERCOLATION RATE >>60 (minute~Inch) PERC HOLE DIAMETER TESTRUN BE1VVEEN 3,75 FTAND 425 FT This silt sb'atum does not perc at a fast enough rate to allow const~.~c'don of a soil absorption system. PERFORMED BY FLATTOP TECHNICAL SERWCES, I ._~-~-~ ~ CERTiFY THATTHIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEMNES IN EFFECT ON THiS DATE. DATE: , ff--~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 O~J-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAM; LEGAL DESCRIPTION Liq, capacity in gallons Inside length Width ~ OOO IF HOME.DE: -- DISTANCE TO: Well DweUing PERMIT NO. ~i No'oflin" + Length°feachlin'~' Tolallengthofline,5~/ Trenc~width -- : Top of tile to finish grade +1 Materiel ~neath tile Total ef,.tive aborn g~ OTHER PERMIT NO: DATE ISSUED: AF'PL~OANT: ADDRESS: CONTACT PHONE: MUNI C ~I~AL ITY OF ANCi~gRAGE DEPARTMENT · HEALTH AND ENVIRONMENTAL ROTECTION 825 L STREET, ANCHORAGE, AK 9~501 264-4720 ON--S I TI:- SEIIIER 860414 ENGINEERED DESIGN 11105/86 ~~) MARY JENNINGS 2220 E. 88TH. AVE. ANCHORAGE, AK 99507 549-6451 'LEGAL DESCRiF': LOT SIZE: SUBDIVISION: CARHART SECTION: 55 TOWNSHIP: 49665 (SO.F1. OR ACRES) LOT: 25B BLOCK: NA RANGE: 5W I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the ~esign criteria of this permit. 5. I will adhere to all MOA and State of Alaska requirements fop.the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacmnt or nearby lot. LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS (5) THE IF A THEN WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED DATE: APPLICANT: MARY JENNINGS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: · - ..;~ .,L (ENGINEER'S SEAL) ~.: II.. :,t/. ~:.1,~...:'...:'."~ DATE P E R FORM E D: ~ 0'./~/~-. 'O,e~,:.. Township, Range, Section: IoJz'~j~o 1 2 3 4 5- 6- 7 8 9 10 11 12- 13- 14- 15- 16. 17 18 19 20- SLOPE SITE PLAN III WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Oepth to waer A~er Monitoring? 8. ~ / Reading Date , oki i , 0,,,=,o/ /~,1 I ~ ~// I I I I I Gross Net Time Time Depth to Water Net Drop '70 PERCOLATION RATE ~ (m~nuteshnch) PERC HOLE DIAMETER TEST RUN BETWEEN ~'~ FTAND /~ FT PERFORMED BY; ~--~'-~ V~ ~1 ~,~ CERTIFY 'HAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE A~UNIClPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /0/~ ~ 72~ (R~. 41~j / MUNICIPAMTY 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) LoT' c. AP AC"F Location (address or directions) (b) Applicant Name ~P/~'.~N~[~'~5 Telephone: Home Applicant Addre~ , ~E ~ (c) Business Applicant is (check one): Lending Institution []; Owner/builder~'; Buyer []; Ot~er [] (explain); (d) Lending Institution Address (e) (f) Telephone Real Estate Company and Agent Address Telephone , Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family'~ Multi-Family [] Number of Bedrooms ~J~' Other WATER SUPPLY Well~ Community I-I Public [] Individual 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 community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 ENGli'JEERING 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 verif that m investi ation f hi ° " Y Y g O t sHealth Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with ali Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm. Address . Date DHEP APPROVAL Approved for ~*t~.. bedrooms by Approved / Disapproved Terms of Conditional Approval Date 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 ~ ,J I ~'~ · O~ A1,,tCHo~AG~' i,~,jt, ttCt~'.~_[l~.,~ Hg~,t.l~ & - MUNICIPALITY OF ANCHORAGE (MOA) '~. ~t4~N. l,~,olf, clIoN HEALTH AUTHORITY APPROVAL (HAA) ~,~0~ ~' ~ ~'' CHECKLIST o FEBRUARY 1984' 264-4744 WELL DATA /~J ~J~a'l"'E" If A, B, C, D. EC. Approved (Y/N) . Well Log Present (Y/N}.)"JO Date Completed" L//v'~'$0,SO/~t ' :.' ' Total Depth /(JOt.+. Cased to Static Water Level ,~ I, Casing Height Above Ground ../.. Electrical Wiring in Conduit (Y/N) Separation 'Distances from Well: Yield Depth of Grouting Pump Set At Sanitary Seal on Ca;in~ (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 Une CleanouVManhole '~ ; On Adjoining Lots IO~I ' ' ; On Adjoining Lots d- Joot To Nearest Public Sewe~ - ' r To Nearest Sewer Sen/ice Line on Lot ~ [0 Water Sample Collected by ~:~'F '* ,J~/E'~ : Date '~' ~7//~'/~.~ Water Sample Test Results Comments ~ B. SEPTIC/HOLDING TANK DATA Date Installed JJl I~[(~ Standpipes (Y/N) ~'"~ (~'~ Depression over Tank {Y/N) Size 1000~'3~ No. of Compartments ~ Air-tight Caps (Y/N) ,~J~'~ Foundation Cleanout (Y/N) ~.JO {~0 Date Last Pumped ~ ,~}z~'~y[ ; for Temporary Holding Tank Permit (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line ~ ,.f..,~'t To Water Main/Service Line '~']0 Comments To Building Foundation. To Disposal Field -' To Stream, Pond, L~ke, or Major Drainage Page I of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date InstaUed ttll~/~:~I Width of Field ~"~' - Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: ,, 05'r To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/La'ke/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~ Type of System Design ' Length of Fie~d ~:1., r Depth of Field [ ~/i , · Gravel Bed Thickness ~ -'~ ' Standpipes Present (YIN) Date of Last Adequacy Test To Prope~y Line To ~isting or Abandoned System on ; On Adjoining Lots ' ' To Cutbank (if present) ~ ~O0~ Date Installed Size in Gallons 'Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments . Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 IRev 8'86~ B~ck DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 GENERAL INFORMATION (a) (b) (c) (d) (e) Application Date Lending Institution Telephone Address Real Estate Company and Agent , Address Legal Description (include lot, block, subdivision, section, Iow. nship, range) Location (address or directions) { ~E',"J ~ ~ (..~ Applicant Name Applicant Address ~.,o~, ~ Applicant is (check one): Lending Institution []; Owner/builder Buyer []; Other I-1 (e,xplain); (f) Telephone Mail the HAA to the following address: · TYPE OF RESIDENCE Single-Family, S' Multi-Family[] Number of Bedrooms /' Other WATER SUPPLY Individual Well [~ Community [] Public I"1 Note: If community well system, must have written confirmat on from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite~ Public[] Community[] Holding Tank [] Note: If comm unity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation shown below, I verify that my investigation of t~is Healtl~ Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequa;e 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. Address ~ ~ ~ ,,~'~- ~,4~J,/~/~_/7/ · //lllll DHEP APPROVAL Approved for Approved Terms of Conditional Approval bedrooms b y ,,~--~"~ Disapproved 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 cerlificate is issued. The Municipality of Anchorage is not responsible for er[om or omissions in the professional engineer's work. Page 2 of 2 72-025 (11~4) MUNICIPALITY OF ANCHORAGE (MO~i HEALTH AUTHORITY APPROVAL (HAA) ~t~ ~CKLIST - FEBRUARY 1984 2~.~ ~720 Well Classification~VA- If A, B, C, D.E.C. Approved (Y/N) Well Log .--~--~--~Date ¢ ' ' ~ / F'~e' .,~ Present (Y/N) ,,ompleted ,,~o~ ~.) ~ Yield Total Depth ~ Cased to · I--~-~' ~75 , · ~ .'w' Depth of Grouting . Static Water Level ~ ~ Pump Set At Casing Height Above Ground ~.'t*,~ Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) ~J Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot ~ .,'~----'~'~~ i . ; On Adjoining Lots To Nearest Edge of Absorption Fielok'e~3~~; On Adjoining Lots t To Nearest Public Sewer Line ,"..J,,/,'~, \__/ To Nearest Public Sewer Cleanout/Manhole ~'~,//,"f ,., To Nearest Sewe~Service Line .o~n Lot Water Sample Collected by ~ .~'4¢-~,¢~'.~ ~E:~k~. ~,~,//~3...~J; Date_ Water Sample Test Results ~~ Comments ~ ,'~~ B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Size Air~ Caps (Y/N) Pumping/Maintenance Contract on File (Y/N) ,~.) Holding Tank High-Water Alarm (Y/N) ~J/"~/ Separation Distances from .~ _g Tank: To Water-Supply Well To Property Line ~ ~ TO Water Main/Service Line ~ '+1~ Course Comments No. of Compartments Foundation Cleanout (Y/N) ate Last Pumped ," ! - ;for Temporary Holding Tank Permit (Y/N) To Building Foundation ~ ~ To Disposal Field (.,),~..~o~J ~ To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11184) C. ABSORPTION FIELD DATA Soils Rating in Absor~t'a~ ~ W,dth of Field Squa~ Feet of ~bserption Area Depression over Field (Y/N) /"J Type of System~ Length of Field Depth of Field · Gravel ~ ~hickne~ '~t~n~i~ Pre~) Date of L~t Ad~uacy Test Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well <~"~'.~y" (L.~..,~) TO Property Line To Building Foundation ~T.,~'l"r-~ (_L,)~ ~J"~ To Existing or Abandoned System on Lot ~/~-/~'-~,~,~J ; On Adjoining Lots To Water Main/Service Line ~-'~"~-/- //'c,~v..**Jo,,J...,,~ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course ,*'J'//~ To Driveway, Parking Area, or Vehicle Storage Area ('..~c-3'f- F"r' Comments ,~o ['~C.~t:~ .~,~e ~/A/'~,4Z~E'' ~,.~- ~5v,$7~"~. 1.5 ~4Z~'~?~1~ / D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for El e ct ric al C ode s (_~(.T.~ ...~'~"~'~'~ Ce ~.~ ..'"'" Dimensions Manhole/Access (Y/N) ~ "Pump ~ .--'""~e nt (y/N) ~ - Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have ch94;ked, v,er.i, fi e~ or conformed to all MOA and HAA guidelines in effect on the date of this inspection. ~' Si,.,ned'~,z~-/~?~/~"~ -~,,~/~ Date ~/~/~ ~ ~ ~ ~ _ uompany . ~ w,~ ,~u. Date of Payment ~ ~Z~~~ Amount: $ Page 2 of 2 fi unicipalieYo¥ Anchorage P,O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264.-4111 TONY KNOWLES. MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES October 23, 1986 Dale Merrill, P.E. Besse, Epps, and Ports 2220 E. 88th Ave. Anchorage, Alaska 99507 Dear Mr. Merrill: Your request for a Health Authority Approval for Lot 23B, Carhart Subdivision ' has been denied. Tests conducted by your office have indicated that the soil absorption systen is constructed in groundwater. This is a violation of AMC 15.65.060 which prohibits the use of a soil absorption system within four feet of the seasonal high ground water table. This system will have to be upgraded in order to obtain approval from this office. If you have question regarding this matter please call me at 264-4744. Sincerely, Stephen S. Morris Civil Engineer On-Site Services Location: 2220 F~.S~ 88 AVE:~Jm ANCHORA~, Ali 99507 (907) 34~-64S~ Client's Name: Address: Znlr_ial Reading on Metmr: Rate: o,Cl3 GPH 24-Hour CapacJ. L'y'.lS~,~' C. alJonm Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-06,50 SOILS LOG -- PERCOLATION TEST Township, Range, Section: PERFORMED FOR: LEGAL DESCRIPTION: I 2 3 4 5 6 7 8- 9- 10--- 11 13- 14 15 16 17 18 19, 20- ~p I[%~'. OF HEALTH & ~O~T 2 1 lg86 RECEIVED SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? ['~"~ s IF YES, AT WHAT L DEPTH? ,~.OF¢ O P E A Reading Date ,G~ -N~ Depth to Net ~ ~ Water Drop . BESSE, E- S & POTTS October 21, 1986 Mr. Steve Morris Municipality of Anchorage Deparment of Health and Environmental Protection 825 "L" Street Anchorage, AK 99501 ~"1'. CF HEALTH & T211986 RECEIVED Re: Lot 23B, Carhart Subdivision Dear Steve: Besse, Epps & Ports conducted an adequacy test oa this lot on September 19, 1986. The client, Mary Jennings, submitted the paperwork to your offices on approximately September 26, 1986. After having reviewed the paparwork and the historical records (or the lack thereof), you requested further information. Mike Krieber, of our firm, and you disct~ssed the separatiou distance b~tween the well a~d the septic system being less than the current one hundred foot requirement. It w~s determined that the house and septic system were constructed in the 1950's and that grandfather rights applied for the separation distance of less than the current requirement. Secondly, you requested that we provide information concerning the groundwater table depth on the lot. ~ October 8, we attempted to drill a bole to a depth of 17 - 18 feet, the depth capable with our drill rig. The drill augered to a depth of eight feet before it ceased operating. Observation of the soil indicated that it was quite dry. When this was reported, you requested a deeper hole, and we agreed to get a backhoe to dig the bole. On Friday, October 17, after a week of severe storm conditions, we excavated at the same location as the previous borings. At a depth of 8.0 feet, water was encountered. A monitor tube was installed to a depth of 10 feet. The soil log for the excavatiou is attached. On Monday, October 20, water was measured at the 8.2 foot level in the monitor tube. This would indicate that the water encountered during the excavation was higher than normal because of the heavy rainstorms. ENGINEERING, PLANNING, SURVEYING 2220 E. 88th Ave./Anchorage, Alaska ggs07 / Telephone 907-349-6451/344-1352 "Providing a qua/fly persona#zed service to those Dui/ding Alaska's future" Mr. Steve Morris Page 2 October 21, 1986 We request that this septic system be regarded as having grandfather rights for the groundwater table separation distance requirement of four feet. Our arguments are set forth below: 1. The system was constructed in the 1950's, and it passed an adequacy test on September 19, 1986. 2. This system is for a one-bedroom home. Due to its location on the lot (in the easement), the Municipality of Anchorage Building Department will not allow further additions to the house. Therefore, it shall always resin a one-bedroom house. In conclusion, because the septic system is performing adequately for this one-bedroo~ home constructed before separation distance requirements were established, it should be granted grandfather status and approved. smh N z.o; ! STORY LOT $00.6g' I0' Ulility Easm't. N 0o04'57"W 301.01° ~.. ALASKA NOTE.' NO CORNERS SET THIS DATE GRID ~0~4 FND. 3"ALUM. MON. page 22 30' 30' ' and no ancro~c~me~ date 9-16-76 0.0 ,n,O,q.a date 9-16-75 · scale !" -. 40 ft I hereby certHy that I have surveyed PROPO $ E D CAt?HAHT SUBD. and no encraachments exist except as indicated d~awn ~ E ~. etak checked