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HomeMy WebLinkAboutMINK PARK LT 1 Mink Park Lot 1 #051-231-76 ........... I. 4-c:::x� � [-- H Llc�� L-J�- SIT Li -51 IJ I x t i i EL-- �-� 1,!:5 I -A r-4 I.j 1,!:5 ...... Ill . - 77 !-� I i _ f i 14' �,. j:, ,� � Il i1 �^�• �f � !t Ili t~ I. f' / (N �.fl: , I 41 •i ��� .��.�•••.� � r � � t ,.; I..., s'� � �i �Y�--.� r� � I t�.� � i.� l._.d.-`� I' NI, a• -i I I �l I � I I i t ,, I I .. t �:— I RECEWL "-JUL 26 1985 ANCHORAGE/WESTERN DISTRICT C?FF!GG 71 T z1 -57 jUL 26 1985 ANCHORAGE/WEST DI TRACT OFF!r -F �\1.�:T�..�� �; \�,.� ��`���._ ti �����X� ISI ������..� .�,� �`(`_ 57 UNICIPALITY OF ANCHOR' Departmei 'Health and Environm( 1rotection 825 Street, Anchorage, A,,- `99501 264-4720 HANDWRITTEN PERMIT # WELL A N D -/--,-a ON-SITE SEWER PERMIT , licant: Mailing Address: -, 7� 7 ,b,cation:Phone Number: Legal- Description : Lot Size: Type of Soil Absorption System Is: 1/; S Trench: -Drainfield: Seepage Bed: v Holding Tank: Maximum Number of Bedrooms. Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH LENGTH- GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum.depth of.gravel between the_outfall pipe and the bottom of the excavation(in feet), * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /71G) GALLONS P.ermit applicant has the ' responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number Df residences that the -well will serve. * * * * TWO(2) INSPECTIONS ARE REQUIRED 3ackfilling of any system without final inspection and approval by this departmei ;iill be subject to pros.ecution. 4inimum distance between a well and any on-site sewage disposal system is 100 fe( -or.-a private well or 150 to 200 feet from a public well depending upon the type )f public well. Minimum distance from a Private well to a private sewer line Ls 25 feet and1to a community sewer line is 75 feet. Well logs are required ind must be returned to this department within 30 days of the well completion. ether requirements may apply. Specifications and construction diagrams are iva-ilable to insure proper installation. PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I certify that: (1) 1 am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) 1 will install.the system in accordance with codes. (3) 1 understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that bedrooms. Signed: Issued by: Applicant Date: SWP/024(1/81) 1Z1/1, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION i� ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SE-0--JAOE DISPOSAL SYS T EM AND/OR WELL INSPECT ION REPORT 71 — PHONE L EW AILING ADDRESS ❑UPGRADE �T ;LEGAL DESCRIPTION � P �fi LOCATION NO. OF BEDROOMS' Well / D / DISTANCE TO: U Y d Absorption area Dwell _,,� .rte % �a�� PERPnIT n� Z Manufacturer aa.. � -�� Materia! No. of compartments L!q. cap c y @lions a IF HOMEMADE: Inside length g Width Liquid depth DISTANCE TO: Well z Dwelling PERMIT NO. =O � Manufacturer Material Liquid capacity in gallons w uj M DISTANCE T0: Well i f� Foundation ) A`,' Nearest lot linJ� f f` PERMIT NO. �}���I Q H Z w No. of lines L - h ine j Total lengt of Trench wic tl , Distance between line r F fop of tile to finish rade g ^ a nG Material beneath file Total effective abs p rgtiarea Length Width w inches Depth PERMIT NO. (7 wa Type of crib Crib diameter Crib depth Total effective absorption area w w DISTANCE TO: Well Building foundation Nearest lot line Class - Depth w �� i� a Lu Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS 501 L TEST RATING 7 t� INSTALLER REMARKS I � 0 V !, � �� , t 1 1 / I ,NPPROV D DATE GAL 1 ev.3/78 f�1 Op SOILS LOG 6 OV -1r MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENV1Pr)hmArN1TA1 rjori-rp­rirNru PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: "i DATEPERFORMED:Z/ 77-- 9 -3 LEGAL DESCRIPTION:t5_//_ f4/ / QEPTH 1< tOPE-- J SITPWAN 6.7 o 2 - 9 1 2, _L_! p,j 3- 4- .5 6 7 - -41 10 I 7- _5-,(t_ 7 - 11 - WAS GROUND WATER S 7_7 ENCOUNTERED? L U 12 - P t'Jf IF YES, AT WHAT f E 13- .01-11 DEPTH? w J. Z 14- Date Gross Time Net Time Depth to Water Net Drop ca 11 - WAS GROUND WATER S 7_7 ENCOUNTERED? L U 12 - P t'Jf IF YES, AT WHAT f E 13- .01-11 DEPTH? w J. Z 14- Date Gross Time Net Time Depth to Water Net Drop 15- 16- 17 18 19 PIC J Reading Date Gross Time Net Time Depth to Water Net Drop u,�. PERCOLATION RATE—, (minutes/inch) TEST RUN BETWEEN — t FT AND — FT COMMENTS -1 Ili-,' 7 and PERFORMED BYr CERTIF1 Al 72-008 (6/79) -- ----- DATE: *,7 WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Permit Na. LOCATION OF WELL (Please complete either Is, lb or Icj A.D. L. No. Subdivision, lb. '/4 qtfS. a. Borough F 01 Section No. Township N Da Range E Meridian A/A& 0 �7 A -V -k- 2�60'f 5 S C] wo i'c] DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS Street Address and Area of Well Location 2. WELL LOG Material Typs, M 0 16. WATER WELL CONTRACTOR'S CERTIFICATION: 15. Water Temperature L This Well Wosr',drillid under my jurisdiction and this report is true to the best of my knowledge and belief; A /05-02 Registered B.ri.-.s NameContract License Number 4".d "; S�: Signed Form 02-WWR (11/81) Oute 4 u t horl zedr jtepresentofiva Copy Distribution: WHITE -State DGGS, PINK -Driller, CANARY- Customer ❑ F ❑ c OF WELL. Address: "0 iJt 0007 Feet Below 1 oSurfociaF4. Top Bottorn 0 WELL DEPTH: (final) 5. DATE OF C MPLET110ij .7s, ft. S, S -Cable tool 0 Rotary 0 Driven 0 Dug 0 Auger oJetted oBorod 0 Other: 7. USE: ❑ Domestic Public supply [] Industry Irrigation ❑ Recharge 0 Commerical Tart Well ❑ Other: -3p f 8. CASING: ❑ Threaded "Welded 3 dl.m in to diam.. in. to ft. Depth Weight lbs./ft, diam, in. to ft, Depth Stickup ft. 75/ - 9 FINISH V S. FINISH OF WELL: OF �Ej Type: Diameter*— SlotlMosh Size:_ Length: Set between ft and ft. Backfilling G,, Backfilling — Gravel pock 10. STATIC WATER LEVEL: ;t, ❑ Above or 9 Below land surface Date Equipment used: PUMPING LEVEL below land surface and YIE_ ft. after !q� brs. pumping 4 -P.M. ft. after hrs. pumping_ g.p_m. 12.GROUTING Well Grouted: 11 Yes o Material: E] Neat Cement C] Other: 13, PUMP: (if available) HP Length of Drop pipe It. capacity —9-p-m- ❑Subm. Jet 0 Centrifical 0 Other C: U) vmi Z 14. REMARKS: 16. WATER WELL CONTRACTOR'S CERTIFICATION: 15. Water Temperature L This Well Wosr',drillid under my jurisdiction and this report is true to the best of my knowledge and belief; A /05-02 Registered B.ri.-.s NameContract License Number 4".d "; S�: Signed Form 02-WWR (11/81) Oute 4 u t horl zedr jtepresentofiva Copy Distribution: WHITE -State DGGS, PINK -Driller, CANARY- Customer ❑ F ❑ c r�:t,".•%!u;'.i1f;EJ�.'EST� 7, DISTRICT ICT OFFIC_ .'? ; PJ 7AiiE9 �.i tiSK 9, Q_ 7t�I Ju1V En, Ian, �z 0v ;lver, ', a—k a 9 77 �•��ji0Ct: Loi. I, 1 i(rk Pari �Subdivision, Ealge 'ever, �tiaska and (3621 -DA -0215) s Dear Sir: 2 7? 75 11-, ;lave re:vietJorthe Plans and specif=ications for the sukject nrojPc; };,d are tere5Y iSsti a this approval lett(-,r ft icZ Cnnsti ue "On!"ij r.-.Co_iired by A.S. for construction of the seierage and water Enclosed ?sit:: t;=is letter is a "Certificate to 1"Onstruct" for ail^ drinking Tile "Approval to 9perate" section of 'h- certificate rust; ' ccinplled by a rcp1resentative of -chis Pepartmellt prior to placing the i ii ope ri nil . i L �ii lii i!.i be: r :em1 erc.d 4hiat final apt)roval will F eces?sita e the Juh-Issior. ofEngin`car #;S-truff � Plans and miners ii,arp, ladress and tele .honne 111jr,,bor. TliS will consequently ,'.ia11�t??(? t'lcat a professional engineer crJe ud.- i"-0sic insP ction of this project Sal as tC} be 'He to shit; 01'f On ::s -Atilt ll;Ins. Arra-tI ^rl e n fry}^ thi.S iiiS.Y_-Cti0n `:iork iS t h n res ,orsib, iIit�y of 11? :.4, wV 1opf,,r. Any future ex{ ansic. of scih ect prnject ,.4ill reouire aU�itil�ral approvalir`Jf.E tt{15 �:�; 1c4. -, U lsn l E`11CL+ SUIREE Sincerely, ';ichael P. Lewis Envirorriental En gincer k April 28, 1985 ROBERT A. SHAFER CIVIL ENGINEER 694-2979 HEALTH AUTHORITY E C APPROVALS E 33a 3 1985 State of Alaska ANC11-10RAGE/WESTERN SEWER & WATER DI.q T,-) MAIN EXTENSIONS Department of Environmental Conservation - - -. 437 E Street Anchorage, Alaska 99501 SEWER &WATER ? REERENCE: Lot 1; Mink Park subdivision; Eagle River, INSPECTION Alaska Request approval to construct a Class C water system to serve a ten bedroom four plea located on the referenced property. Also, request you approve the SYSTEM DESIGN upgrading of an existing on-site waste water disposal system to serve the ten bedroom four plex. In 1983 construction started on thedwelling located on this property and was intended to be a six bedroom single WELL INSPECTION family dwelling. At that time an on-site waste & FLOW TEST water disposal system was installed under Municipality of Anchorage permit ##830559. It is this system which is to be upgraded to accomodate four additional bedrooms and to convert the partially finished structure to a SITE PLANS multiple family dwelling. Attached for your review are the following documents: A. A site plan for the Class C water system ROAD DESIGN and details of the upgrading work required. B. Copy of the original soil log, MOA permit, and MOA inspection report for the existing SOIL TEST on-site sewage disposal system. C. A well log from the newly drilled well proposed to provide the Class C water source. PERCOLATION TEST If we may be of further service, please contact us. -/_ Since-rel�/�" � STRUCTURAL & MECHANICAL l AlER, INSPECTIONSO 'i' Ao SP. E. S/ss ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN SRB,196X EAGLE RIVER, ALASKA 99577 8 ANCHORAGENESTERN DISTRICT OFFICE 437 "E0 STREET, SUITE 30 ANCHORAGE, ALASKA 99501 November 20, 1986 S & S Engineering SRS 196X Eagle River, Alaska 99577 SUBJECT: Lot 1, Mink Park S/D, Eagle River, Alaska (8621 -FA -015, 8621 -DA -025) DeAr Mr. Shafer-. 274-2533 The Department has reviewed the Engineer As -built plans for the subject project. Final approval is hereby given for the sewer and water systems and the "Certificate of Operate" is attached. Any future expansion of the subject project will require additional approval from this office. SWE; caa ENCLOSURES Si ncerely, Steven W. 9x P.E. P District gineer istric _Q1 r, OF Ty �;ij��s, STATE OF ALASKA � ' 7 DEPARTMENT OF ENVIRONMENTAL CONSERVATION � •M APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS GF nLAS�P PROPERTY DESCRIPTION Lot, Block & Subdivision or U.S. Survey Certificate Issued for Application No.: This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance of the water supply and wastewater disposal systems. WATER SUPPLY A recent water sample was tested and found to meet Department of Environmental Conservation drink- ing water standards for total coliform bacteria. Name Title Date WASTEWATER DISPOSAL The domestic wastewater system was: ❑ inspected by the Department of Environmental Conservation and found to be in compliance with applicable requirements of 18 AAC 72; ❑ inspected by a Professional Engineer who certifies that the system complies with applicable re- quirements of 18 AAC 72; ❑ installed by a Certified Installer who certifies that the system complies with applicable requirements of 18 AAC 72; or ❑ tested by a Professional Engineer who certifies that the performance of the system is satisfactory and that the system complies with the minimum separation distances specified in 18 AAC 72. This approval is valid for a ❑ single family ❑ multi -family unit with a total of bedrooms. Name Title Date 18-0404 (Rev. 8/85) DISTRIBUTION: WHITE—BANK/LENDING INSTITUTION; CANARY—APPLICANT; PINK—DEPARTMENT 437 "E" STREET, SUITE 303 A`NICHOK E, ALASKA 99501 November 1c, 1-936 S & S Engineering SRc 1966 Eagle River, Alaska 59577 SUBJECT: Lei; 1, Mink Park Subdivision, Eagle River, Alaska, (8621 -FA -015, 8621-3A-025) bear Sir: 274-2533 'We have revie:Ired your subject Sit i -ti', -w'21. 13 ---cause of past grou:n6viater problevis, please extend the gear i Cori rig: 71 - =be in the absorption bed to 4 feet below the drain rock. :11so, X31case provide tis Vith a 1OCGtion description of the property. S;IE:caa V Sincerely, Steven 1.4. St P.E.. iii stric "ngi neer PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN SRB 196X EAGLE RIVER, ALASKA 99577 uyr ROBERT A. SHAFER CIVIL ENGINEER 694-2979 November 2, 1986 e�G t'6' RIVER, 0- S HEALTH AUTHORITY APPROVALS 3(, State of Alaska A, N, C' Department of Environmental Conservation D1!S-FR'(7T OFFICE SEWER & WATER 437 E Street MAIN EXTENSIONS Anchorage, Alaska 99501 REFERENCE: Lot 1; Mink Park Subdivision (8621 -FA -015) and (8621 -DA -025) SEWER & WATER INSPECTION On July 29, 1985 you issued a letter authorizing the upgrading of an existing on-site wastewater disposal system and a certificate to construct a Class C water system to serve a nine bedroom tri-plex which was being constructed as a conversion of an existing six bedroom single family ENGINEERING STUDIES dwelling. AND REPORTS Attached are copies of the on-site inspection report, coliform bacteria analysis and information on pumps and storage required to meet instantaneous water demands. WELL INSPECTION & FLOW TEST Request you issue a certificate to operate the Class C water system and approve the on-site wastewater disposal system. The owner/operator of this facility is Wiley D. Denson, P.O. Box 966, Eagle River, Alaska. Telephone 688-5352. SITE PLANS I you re ulre additional If you r uire additional information, please contact us. Sin rely,, ROAD DESIGN F OB SHAFER, P.E. -/RA9// SOILTEST s S PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN SRB 196X EAGLE RIVER, ALASKA 99577 ate Received STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPLICATION FOR ON-SITE WATER AND SEWER SYSTEM APPROVAL I. GENERAL INFORMATION Legal Description of the Location G, ice! %!V Yi P 9621— FAI Applican ame is:(Check one) Bank ❑Certified ❑ Private Installer No. lal"icant Address (Street or P. O. Box) ® � � � ��� TOwner/Builder ype of Residence OSingle Family Total No. of Bedrooms 1:1 Filtration Multi -Family ❑ Holding Tank City, State and Zip Code �g U( /�J W( Telephone Send Approval to: t ❑ Applicant Other: (Give Name & Address) 11. WATER SUPPLY SYSTEM Source of Water and Containment (Check all that Apply) Type of Water Supply System Treatment of Water (Check all that Apply) Well (Drilled or Driven) ❑ Surface (Identify) ❑ Private ><None [:]Chlorination ❑ Roof Catchment 11Other (Identify) >�ublic (Serves more than one 1:1 Filtration ❑Mineral Removal ❑ Holding Tank family) ❑Other: Well Data Is the Height of the Well Casing more than 12" above the Ground? UQ Yes ❑ No Is a sanitary seal installed on the well casing?J,rIn// / &V// zQcc in GCX4� Yes ❑ No V (/`" Is drainage directed away from or around the casing within a radius of 10 feet of the well casing? X Yes ❑ ------ . No Date Drilled P Depth of Well (Feet) St is Water Level Feet) Yield (If Available) Pump Rate (If Available) J Gal/Min L /(1J�Gal/Min Separation Distances from the Well Casing to each of the Following Sources•of Contamination: Septic4*UxLdiag Tank on Lot Sewer Lines on Lot Absorption Area on Lot /_0 f /Sb 4 1,5-D ', Closest Se- tic/R"ott}rrtg Tank on Adjacent Lot Closest Sewer Lines on Adjacent Lot Closest Edge of an AbsorptiomArea on Adjacent Lot If toxic materials a stored on the property, including fuel tanks, paints, lubricants and other petroleum On Lot On Adjacent Lot based materials, pestis es, fungicides or herbicides, indicate distance from contaminants to well casing: N Q A -,E N D.U) Water Sample Taken by: Name V����" Sampler Is: j ' ❑ Buyer Engineer El Banker EJ Government Official Address /� /� !�/y, 0e (J vj /> q'j 1) Y �77 O �i� ,h tI Water Sample Results: Attach Copy Satisfactory • Date:j'v 0( � ElUnsatisfactory - Date: !/ Comments/Recommendations: l�e�l w1re f NOTE: Must be signed by aCertified Installer, Professional Engineer, Department of Environmental Conservation or thn SUBJECT: C. MPUTATION SHEET DATE: SHEET OF BY CKD I11. WAS11WATER DISPOSAi_ Septic Tank/Absorption System Package Treatment: ❑ (Specify Brand Name or Process) ❑ Holding Tank . Capacity of Tank JWh.re Waste is Disposed Frequency of Pumpin Specify: g Septic Tank Outfall Other (Specify): Discharged To: lj SVe� .J`� ❑ (Outhouse, Incinerator, etc.) New System ame of Installer Date Installed C CSN s ❑ Owner/Builder ❑ Certified Installer Other: Type/Manufacturer Septic Tank Size (Gallons) No. A ll -C /T .2,5'0Number of Compartments Soil Type or Rating ,o 2 -;A U/ A -re— i� '0# Type Soil Absorption System Dimensions/Size Soil Absorption System T ype/Quantity Backfill Material used for Soil 4,E(], &F Q-24 0 , G r n ystem X ©= 5°Absorptio � `-' °%s _ /-,5!?%i2 �,� sA Percolation Test Results Percolation Test by: (Nam/e) . weeA Minimum Ground Cover over Absorp- Minimum Ground Cover over Sept Cleanout P eo/C/Ca—ps—Installed on Cleanout Pipes/Caps Installed on tion area y Tank p f rT Septic ank bs rption System �.. Feet Z l/t%l� L Feet Yes ❑ No Yes ❑ No Water Supply Sourceares Water Su Separation e on Lot N pply Source on Adjacent Nearest Body of Water Water Table/Bedrock Lot Line Distance to: Lot / ° f e° Feot L �� Feet ��o - Deet Feet �v Feet Comments/ Recommendations 4�� � � •G'p`2 • O L� ��cI ! �'lrivs w=it �^i�-v.�/.�c� o� -e lAf3 7W �e /�'..!" � �"O ?. � G. 2 �J°2i G t S'c��o77 c e✓! , 'E/ 2Sv Grp+ -G L./,c 7' . J' �'� I cert' that bove infor ation is correct: Sig lure Ty /Printe Name Title, Reg. /Cert. No., Inst. No. Date NOTE: Must be signed by a certified in,-twwE Existing System Name of Installer II -- Date Install, ❑ Owner/Builder ❑Certified Installer ❑ Other: Type/Manufacturer No. Septic Tank Size (Gallons) Number of Compartments Soil Type or Rating Type Soil Absorption System Dimensions/Size Soil Absorption System T ype/QuanYitY Backfill Material used for Soil Absorption System Adequacy Test Results: Adequacy Test Performed 6 (Attach Co Y: pyofReport) Date Septic Tank Pumped (Attach Copy of Receipt) ❑ Pass ❑ Fail Minimum Ground Cover over Absorp• Minimum Ground Cover over Septic Cleanout Pipes/Caps Installed on Cleanout Pipes/Caps Installed on tion Area Tank Septic Tank Feet Feet Absorption System ❑ Yes ❑ No Yes ❑ No Separation Nater Supply Source on Lot Nearest Water Supply Source on Adjacent Nearest Body of Water Water Table/Bedrock Lot Line Distance to: Feet Feet Feet Feet Feet Comments/ Recommendations I certify that the above information is correct: Signature Typed/Printed Name Title, NOTE: Must be signed by a professional engineer. No., Inst. No. 'Jfl + i✓&AR99. py' J a yl5y ql.. A.W%i�rvYr a9 G9 •,` J ��ter d�Pro�3i%ssronal.,' 2�C��`-"',:` En ,neer o Fq CSE RIVER, A1, 11 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER &WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST. SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN ROBERT A. SHAFER ADEQUACY TEST FORM CIVIL ENGINEER 694-2979 LEGAL DISCRIPTION: \_2 APPLICANT: Tt Won DATE OF TEST: t (D 'l - NUMBER OF BR'S: SEPTIC TANK SIZE: b TYPE OF ABSORPTION SYSTEM: rl��— � TIME METER READING TOTAL VOL. (GAL.) LIQUID LEVEL S.T. M.T. 4 M.T. COMMENTS ®` 27 j 3 ---' �8� tk LA `�� ("��� C)lp45 tk Q LL s� h e RESULTS: SRB 196X EAGLE RIVER, ALASKA 99577 o 111 '11 It'i �11 -I -A . . . . . . . . . . 0 Cl) 0 0 Frl Md :IJI 0 0 75 Vz� -ri 0:0 ft; :Pr :rt ct 111 '11 It'i �11 -I -A . . . . . . . . . . 0 Cl) 0 0 Frl Md :IJI 0 0 75 111 '11 It'i �11 -I -A . . . . . . . . . . 0 Cl) 0 0 sS M3 5 :IJI 75 0:0 sS M3 5 Received STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPLICATION FOR ON-SITE WATER AND SEWER SYSTEM APPROVAL I. GENERAL INFORMATION Source of Water and Containment (Check all that Apply) Type of Water Supply System Legal ofthe Location J�4Well (Drilled or Driven) ❑ Surface (Identify) ❑Private (Description ❑ Roof CatchmentFiltration�� Public (Serves more than on Appli nt Name ����� Ap licant is: (Check one) Bank ❑C ified Installer No. l'1 �—�/ {�iNL� ❑ Owner/Builder Address (Street or P. O. Box) Type of Residence Total No. of Bedrooms (—,—" SJ -Z� ❑ Single Family Multi -Family Date Drilled City, State and Zip Code Static Water Level (Feet) Telephone Pump Rate (If Available) 2 \ \ I;, Send Approval to: --4pplicant P�Q_ther: (Give Name & Address) S & S ENGINEERING 1 95' Gal/Min 17034 Eagle River Loop Road No. 204 H. WATER SUPPLY SYSTEM Source of Water and Containment (Check all that Apply) Type of Water Supply System Treatment of Water (Check all that Apply) J�4Well (Drilled or Driven) ❑ Surface (Identify) ❑Private [�e .. '\ ,� Chlorination �V ❑ Roof CatchmentFiltration�� Public (Serves more than on Nfineral Removal EJ Other (Identify) ❑ Holding Tank fam'y) ❑Other: — Well Data Is the Height of the Well Casing more than 12" above the Ground? X, Yes ❑ No % Is a sanitary seal installed on the well casing7'�.��¢ ( / �. _ \f]J 1 •� Yes ❑ No Is drainage directed away from or around the casing.vKithi.n as radius of 10 feet of the well casing? _ .....__ .._.--- Yes _.__...__._._-----"- ❑ No Date Drilled Depth of Well (Feet) Static Water Level (Feet) Yield (If Available) Pump Rate (If Available) 2 \ \ I;, tJ 1 95' Gal/Min Gal/Min Separation Distances from the Well Casing to each of the Following Sources of Contamination: Septic/ Ing Tank on Lot t -k— Sewer Lines on Lotr 1 �b —k— Absorptio ea orf Lot`���.r e;_c>l V Closest Septic/Holding Tank on Adjacent Lot Closest Sewer Lines on Adjacent Lot Closest Edge of an Absor tiomArea on Adjacent Lot �4 1�C>` \Sc�II- 1�e If toxic materials are stored on the property, including fuel tanks, paints, lubricants and other petroleum based materials, pesticides, fungicides or herbicides, indicate distance from contaminants to well casing: On L tQd,� �Ongjacent Lot r•6_ DI D Water Sample Taken by: Name Sampler Is: S & S ENGINEERING p // El Buyer Jffi Engineer '❑\ - El Address 17034 Eagle River Loop Road No. 204 Eagle River, Alaska 99577 Banker Government Official Water Sample Results: Attach CopySatisfactory -Date: ��j i �� El Unsatisfactory -Date: Com``wwerrnts/Recommenclatiioons: / /— p� ` -t �j�.� V 6_'. `"7' 1 i��/� VI� Vim+` 1 f \ 1T' I c tify ha above information is correct: -gnat r S 1 &yS 034 Eagle River Loop Road No. Title 6N�'� jJiee,, Date Eagle River, Alaska 77 NOTE: Must be signed by aCertified Installer, Professional Engineer, Department of Environmental Conservation or the Owner/Builder I 11. WASTEWATER DISPOSAL Septic Tank/Absorption System Package Treatment: ❑ (Specify Brand Name or Process) Holding Tank - ❑ Capacity of Tank :�J Where Waste is Disposed Frequency of Pumping Specify: Type Soil Absorption System Dimensions/Size Soil Absorption System Type/Quantity Backfill Material used for Soil Septic Tank Outfall Nr Other (Specify): Discharged To: ❑ (Outhouse, Incinerator, etc.) Cleanout Pi es/Caps Installed on Cleanout Pipes/Caps Installed on Name of Installer Date Installed ❑ Certified Installer ❑ Other: rED] O Type/Manufacturer r/Builder No. Septic Tank Size allons) Number of Compartments Soil Type or Rating Type Soil Absorption System Dimensions/Size Soil Absorption System Type/Quantity Backfill Material used for Soil Absorption System Percolation Test Results Percolation Test by: (Name) Minimum Ground Cover over Absorp- Minimum Ground Cover ov eptic Cleanout Pi es/Caps Installed on Cleanout Pipes/Caps Installed on tion area Tank Septic TankAbsorption System Feet Feet ❑ Yes ❑ No ❑ Yes ❑ No Separation Water Supply Source on Lot Nearest Water Supply Source on Adjac Water Water Table/Bedrock Lot Line to: Feet LotDistance FeetFeet �Nearestof Feet Feet Comments/ Recommendations I certify that the above information is correct: Signature Typed/Printed Name Title, Reg. /Cert. No., Inst. No. Date NOTE: Must be signed by a certified installer, professional engineer or DEC Staff. I—. T(.M 411 V 1111Nr/Wua II Name of Installer Installed ❑ Owner/Builder ❑Certified InstallerOt�r: Type/Manufacturer Septic Tank Size (Gallons) /��� N tube®r of Compartments �b -i 6�J6� 5✓r 1 r �Y`l � Soil Type or Rating N.g�' Am> im"I./ Type Soil Absorption System Dimensions/Size Soil A orption System Type/Quantity Backfill Material used for Soil bsor 'on System hCCopy Adequacy Test Results: Adequacy Test PerformedBy: (Attach ofReport) Date S tic Tank Pumped (Attach Copy of Receipt) ass El Fail /^. ` ..✓✓ Com{ *V t O —�j ver Absorp- tion Area) N Minimum Ground Cffl 2 Minimum Ground Cover over Septic Tank y. bt Cleanout Pipes/Caps Septic Tank Installed on Cleanout Pipes/Caps Installed on Ab orption System 6s LFeat �. �7 �}�S�L, Feet Yes ❑ No Yes ❑ No Water Supply Source on Lot �oeTrest Water Supply Source on djacent TNearest Separation 9 I Distance Body of Water Water. Tab e/Bedrock Loi Line t to: i® Feet \'� Feet�'iFeet ' 'Feet 10 Feet Comments/Recommendations Ice Ify t t the ove information is correct: Si S Ri..ver Loop Roach Title, Reg./Cert.., Inst. No`��" 17th 4 Eagle Mo. 2 f'� F F + x 245 3 NOTE: Must be signed by a prof& g9x6r. 'n "- �w� , w 1,x�, - egsstercProal, t--�7 gn„gineer FAG<E RIVER,AV PSP HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Manch 10, 1990 State o4 Atas ka DEPARTMENT UE ENVIRONMENTAL CONSERVATION 3601 C Stteet Suite 322 Anchorage, Ataska 99503 REFERENCE: Lot 1; Mink Pa&k, Chugiak 9021 -FA -044 PWSID # 216059 ROBERT SHAFER, P.E. ROGERSHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 WAR 13 1950 ANCHORAGE/W&STERN DISTRICT OFFICE Request you issue a water and 6ewet apptovat Sot the 9 bedroom t%i-ptex .located on the tesetenced property. WATER SUPPLY: On Decembet 8, 1989 you .issued an approvat to eonsttuct a new Ctass 'C' water system on the teseteneed property. Since that date a new we.0 was dtiZted as ptopopsed, and a new water tine instaUed which intersects the water tine Stom the otd we.U. The old weU has been abandoned below grade.. The new we.0 ptoduces 2.5 GPM which meets the daity water requitements o4 1350 GPD. As Sar the instantaneous Stow tate; there is a total os 440 gattonz os stotage within the tt i.-ptex. This, coupted with the weUs ptoducti.on a,Uows an instanteous 6tow rate os 24.5 GPM San a 20 minute _ pen i.od which exceeds the tequiud inzta;,taneaws 4tow rate os 24 GPM_' a tti-ptex, This doers not take .into eonesidetat,ion the 400 gattones os 6torage within the w&U c"ing. The three Wx202 pte66ute tanks and two 75RJ Red Jacket jet pumps within the tti-ptex during the originat apptovat os the water systeri dated Novembet, 1986 4titt exist.. WASTEWATER DISPOSAL SYSTEM: The septic was instatted San the 9 bedroom tri.-ptex in September 1986 and approved in Novembet 1986. An adequacy test was petsormed on the system in October 1989. The resu.Ptt,s show the system adequate Sar the 9 bedroom dwe,P,P.i.ng. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 1; Mink Pakk, Chug.iak 9021 -FA -044 MID 0 216059 Attached {yon you& &eview ane the 4ottow.ing documents: 1. App-t,icati.on 4o& on-site wate& and sewe& System app&ovat. 2. Satis4acto&y n.it&ate and hacte&.i,a wate& sarapte %esutt6 4o& the new wett. 3. A wet.t .tog 6o& the new we Q,2. 4. Pump .in6o&mation {yo& the new pump ptaeed within the new weP,t. 5. Adequacy test data sheet hyo& the septic 6ystem. 6. A aseptic tank pumping %ecei.pt. 16 you &equ i&e add itionat .in6o&mation 4o& you& &ev.iew, p.tea,se contact us. 3 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN September 27, 1990. State o4 AtaB ka DEPARTMENT OF ENVIRONMENTAL CONSERVATION 3601 C Street Suite 322 Anchorage, AtaBha 99503 REFERENCE: Lot 1; Mink Pakk Glenne Street, Chug.iak ROBERT SHAFER, P.E. ROGER SHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 SEP 2 7 1990 ANCHORAGE/WESTERN DISTRICT OFFICE Request you issue a eerti4.ieate to construct a Class "C" wea to serve the existing Tniptex on the u6eneneed property and grant the 4ottow.i.ng waivend : The separation distance betweeen the proposed Ctass "C" weU and l.) The 1750 gaUon septic tank on the nejereneed pnopenty at 125 it. 2. )The 1000 gaUon septic tank Benv.ing a s.ingZe jamiZy dwetting on Lot 178, Sec. 18, T15N, RIW, SM. Located to the west oA the te4enenced property at 145 4t., and 3.11 the Zeaeh4ietd (entice septic systemll. serving a 6.ingZe jam.ity dwe.P.P.i.ng on Lot 2; Mink Pa,%k Subdivision toeated to the south o5 the re4mnced property at 110 4t. A eentt4icaate to operate 'the existing wateh system was .issued on August 6, 1990. This waters system Bounce is a weU tcoated within the east hath o6 the pnopenty. however, shontty ajten the water system was ptaeed .into use the owner d.iscovened a high sa2i,n.ity .Eevee within the water. This water was analyzed by Alaska Pune Water ProduetB who recommended a reverse osmosis treatment unit with an estimated cost o4 $15,000.00 to .instatt. TheuJore, we ane seeping a new water source {ion the pnopetty. In tatting with a 4ew neighbors in the area, the Bat i,n.ity pnobtem does not seem to be common. The neighbors appears to have adequate wetts, however, due to the age of the wettA, 4ew wet .dogs ane avaitabte. It has come to our attention that a wett was drilled on the property .in Juty 1983 neap the west property Zine (see tog attached) . This .i6 the same area that we propose a new weU. On G1iZtiams weU Zog we see that he dkitted .into a clay .layer at 50 4t. deep. Due to the separation distance wa.iveu required Son this new wett, the weU .is to be dkiUed through this clay tayer and an aqu.i4er below this .L'ayen may be used {nor drinking water. We jeeZ this clay Zayen w.iU detour the m,ignation o f any septic e44tuent {prom teaching the waters suppty Bounce. Aao .in obsenv.ing the weU tog {ion Lot 2; Mink Pa,%k we see there ane sevenaZ clay Zayen6 eneountened between the ground 4un4ace and where water was encountered. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 1; Mink Patk Wake Sheet, Chug.iak September 27, 1990 It i4 out opinion that the honi.zontat d.i3tance ptucki.bed by 18AAC72.021 iz not tequ.ited .in thio case, once the weer has been dtitted thtough a clayey con6ining tayet. Attached jot your tev.iew ate the jottow-ing doeument3: 1. A 4ite pian zhow.ing the ptopo4ed weU toeation. 2. Jay Witt.iam., welt tog. 3. 01ett tog jot Lot 2. 4. Septic in3pecti.on tepott,5 {got Lot 2; Mink Patk and Lot 178, Sec. 18, T15N, RIW, SM. 16 you utike add.ittionat .in4otmation dot your Leview, pteaae contact ups. A. SHAFER, P.F. gm SCALE c Z 7 0 a � O +J e a M kt ,1£ i E Vii Q ^*,. �• 1 C �r'J� {� 4� � � Yr T`vBST"MIN 'DISTRICT 01'i' IC11,11 3601 -C STREET, SUITE 322 MCMORArM, ALASKA 09503 August 2, 1990 S & G Engineering 17034 Eagle River Loop, Suitu 204 Eagle '.-,"liver, AN, 995,71 Subject: Lot 1, INUnk Park, Subdivi.sion, Chugiak (9,121 -D -A-090) Dear Si -Ir I s: 563-6775 The Department has cc)mipletej itlr rovie,U of the subject project and hereby gives final approval for the srowerage syster..j. Tho Certificate of Approvaill is attpctjc��]. DI addition, we have attached the !"C--rLificate to Operate" for t -ho tl-ater sy,ttem, which haj been acciaentally lEft off our August 6, 1990 letter. Any futur(:expansion of the subject project c- Ul re,;:ujre J, t ion al approval from this office. Sincerzaly, "lichael -,'. Lewis, P.n.. Bmvirom,ienital Engineer p f ATTR-C-1-HIMINT POP Tye STATE OF ALASKA y> DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS Op A LPN S'k PROPERTY DESCRIPTION Lot, Block & Subdivision or U.S. Survey Certificate Issued for Application No.: This approval does not constitute a guarantee of any kind, explicit or implied, -as -to -the performance of the water supply and wastewater disposal systems. WATER SUPPLY A recent water sample was tested and found to -meet Department of Environmental Conservation drink- ing water standards for total coliform bacteria. Name - Title Date WASTEWATER DISPOSAL The domestic wastewater system was: ❑ inspected by the Department of Environmental Conservation and found to be in compliance with applicable requirements of 18 AAC 72; ❑ inspected by a Professional Engineer who certifies that the system complies with applicable re- quirements of 18 AAC 72; ❑ installed by a Certified Installer who certifies that the system complies with applicable requirements. of 18 AAC 72; or tested.by a Professional Engineer who certifies that the performance of the system is satisfactory and that the system complies with the minimum separation distances specified in 18 AAC 72. This approval is valid fora ❑ single family p' multi -family unit with a total of bedrooms. Name Title Date 18-0404 (Rev. 8/85) DISTRIBUTION: WHITE—BANK/LENDING INSTITUTION; CANARY—APPLICANT; PINK—DEPARTMENT 1 PV OF Tye - ;�<:�\I�rS, STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION v CONSTRUCTION AND OPERATION CERTIFICATE 41 for PUBLIC WATER SYSTEMS A. APPROVAL TO CONSTRUCT Plans for the construction orlmodificatiori',of t public water system located - in by approved. Alaska, submitted in accordance with 18 AAC 80.100 have been reviewed and are ❑ conditionally approved (see attached conditions). BY TITLE DATE If construction has not startec' two years of the approval date, this certificate is void and new plans and specifications must be submitted ill:: _ ;:w and approval before construction. B. APPROVED CHANGE ORDERS Change (contract order no. or descriptive reference) Approved by Date C. APPROVAL TO OPERATE The "APPROVAL TO OPERATE" section must be completed and signed by the Department before any water is made available to the public. The construction of the f' public waters stem was completed on Y p (date). The system is hereby granted interim approval to operate for 90 days following the completion date BY TITLE DATE As -built plans submitted during the interim approval period, or an inspection by the Department, has confirmed the system was constructed according to the approved plans. The system is hereby granted final approval to operate. BY TITLE DATE 18-0407 (Rev. 11183) DISTRIBUTION: 1. WHITE - ENGINEER (Complete Section C) 2. YELLOW - WATER SYSTEM FILE (Complete Section C) 3. PINK - ENGINEER/MUNI-BOROUGH (Complete Section C) 4. GOLDENROD - MUNI -BOROUGH (Complete Section A) ft NISM'sawm Robert A. Shafer S & S Engineering SRB 196X Eagle River# Alaska 99577 SUBJECT: Lot I# Mink Park Subdivisiont Chuglak Dear Hr* Shaferi The Department has r*evI'0wed'your Septembdr 27, 1090 waive r request On the subject property and has not found sufficient information-_ to justify a variance of separation under the Waste Disposal Regulations 18 AAC '72,035. For a second review,, the following additional information needs to be submitted. I# Additional area well or soil logs, 2, Topography of the surrounding area. 3, Any special construction that may be used to protect the well, Although above additional may be submitted for a second review, the Department does not guarantee an approval malt be given. if you have any questions, please contact me at Our Anchorage Wes ern DistriOt Office at 563-6775, miahael Po Levist P'Ho Environmental2figineer