HomeMy WebLinkAboutMONASTERY LT 1Onsite File
i~ MUNICIPALITY OF ANCHORAGE 4~ ,~2~,¢/,~-- ~..(,..~,,t,/'~.,,,~'"cJ '~(:~
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
IPHONE
~PGRADE
~0. OF ~fiDBOOMS
Wel/ , [Absorptio ~rea Dw~ PEaMIT NO,
~ ~ DISTANCE TO: ~ ~ /~.~ I
~ Z Manufacturer Material No. of~mpartments
~ ~ Liq. capacity in gallons Inside length Width Liquid--depth
/~O~ IF HOMEMADE:
~ Well Dwelling PERMIT NO.
DISTANCE
TO:
~ ~ ~ Manufacturer I Material Liquid capacity in gallons
~ Well ~ Foundat?~ I Nearest lot lioe PERMIT NO.
~ DISTANCE TO: /~~ ~/ ~1~~
~ ~ No. of lines Length of each line Total len~o~i~es Trench width Distance between lines
~ ~ ~ ~' ~ ~ inches
~ ~ Top of tile to finish grade Material beneath tile Total effective a~sorptio~a
Length ~ Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS~
SOIL TEST RATING ~
72-013 (Rev. 3/78)
PERMIT NO.
DEF'ARTMENT iL. FtEALTH AND ENVIRONMENTAL . .,]TECTION
,--,,=:... '"L ~, TEEET., ANCHORAGE., AK. 99501
264-4720
"]" ~'~ -- ::] I TE SE~'~ER [~E~:~'] I
( 8105F9 )
APPLICANT
LOCATION
LEGAL
NORTH STAR CONST. CO.
MONESTERY DR.
LOT 63 SEC 30 TiSN
PO BOX 413 EAGLE RIVER
~ Lub\~1 LOT_,'=IZE
694-25558
54450 SQUARE FEET
TYPE OF SOIL ABSORPTION SYS"rEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS
SOIL RATING (SQ F]",'"BR)= i00
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
r:,EPTH= 11 L E I'-.I ~]i T I-4 = 22 ~]i F-: FI'./E L [:,,EF'TH= 7
'THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE E~CAVATION (IN FEE]').
THERE IS NO SE]' WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE E~CAVATION (IN FEET).
RED "_-]EF'T I E: ']F Fl f-~ F::] :5 I ZE= :1L,---:-~--':'~¢_-~ ,3RL. L.C,~-~'-7.
PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT ]'HE WELL WILL SERVE.
.......... T&.~C, ( 2 ) I r-~$F-E,]:qr" I ,2,~-~:5 RF.:E RE,;.,I_! I
BRCKFILLINR OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
[:,EPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSAL SYSTEM IS
~00 FEET FOR R PRIVRTE WELL OR t50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET RND
TO A COMMUNITY SEWER LINE IS 75 FEE]'.
OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVRIL. RBL. E TO INSURE PROPER INSTRLLRTION.
F' FZ F.: ~'-1 I T E :=-:: F' I F-: E :5 [:, E C: E !.1 E: E F.: -~-: ::L .. ::L Lr4` :5: ::L
I CERTIFY THRT
1: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I I.',IILL INSTALL. THE SYSTEM IN RCCOR[:'RNCE WITH THE CODES.
3:: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RES I[:'ENCE IS REMO[:'ELED TO INCLUDE MORE THAN 3: BEDROOMS.
S I G N E [:, ' _~'__~_~------~~.~
FtPPLICANT NORTH STRR CONST. CO,
I :,,=,L E[, E _ ...... [:,RTE_
V4. 0
O & E ENG,NEERING & DEVELOr,'MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Performed for:
Mailing Addross.~-~'~
Legal Description: /.~-.C:>T" ~' ~, ~
Earl Ellis
SOIL LOG 68S-2280
Depth (feet)
Soil Characteristics
0
2
3~
--.~ 4 __
5__
6~
7~
8__
9~
.....10 __
~2~
PLOT PLAN
15__
16__
Ground Water Encountered: Yes.~
Proposed Installation: Seepage Pit
No
~ If yes, what depth
Drain Field
PERC. TEST
Comments:
Performed b~~ 5,
~AM COTTEN DRILLING
Box 296
F. agle River. Alask~
"' ' DATE RECEIVED
'.-:'< INSPECTION APPOINTMENT~
~ME TIME TIME
MUNICIPALI~ ~A~C~OEAGE
'MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION
825 L Street- Anchorage. Alaska 99501
ENvIRONMENTAL SANITATION DIVISION
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. I~mplete reques~ will not be proc~d. Please allow ten (10) days for processing.
MAILING ADDRESS
2. BUYER ' / PNON'E
MAI LING ADDRESS
3. LENDING INSTITUTION ' ~" PHONE
I
MAILING ADDRESS
4. REALTOR/AGENT ~ PHONE '
MAI LING ADDRESS
STREET LOCATION"
6. TYPE OF RESIDENCE "
~/' SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATE~R SUPs.PLY
.~iNDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
"~ INDIVI DUAL/ON-SITE**
NUMBER OF~BEDROOMS
l One [] Four
Two [] Five
Three [] Six
[] PUBLIC UTILITY
[] Other
* ATTACH WELL LOG. A wel log is required for all w~lls drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
/¢~'/ YEA. ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
[] ONE
[] TWO
NUMBER OF BEDROOMS
[] THREE [] FIVE
[] FOUR [] SlX
[] OTHER
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY'
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] I NDIVI DUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or i--IHolding Tank
Size: ~ , If Tank is homemade
give dimensions:
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
I NSTA LLER
SOILS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
Septic/Holding Tank
IAbsorption Area ISewer Line
Nearest Lot Line
5. COMMENTS
[~ APPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE
72-010 (Rev. 6/79)
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range) LOT 1, BLOOM COUNTY
Lot 63; Section 30; T15N; RIW; S.M.; Less West I00'
Location (address or directions)
Monastery Drive
(b) Property owner
Mailing Address
(c) Lending Institution
Mailing Address
AHFC i91082
520 E. 34th~ Anchorage~
Telephone: (home)
Ak.
Telephone
Business
(d) Real Estate Company and Agent JACK WHITE COMPANY/Lori Crowder
Address 10928 Eagle River Road, Eagle River, Alaska 99577
Telephone 694-5500
(e)Mail the HAA to the following address: (or check here ~, if hold for pick up.)
List contact person and day phone number below:
$ & S ENGINEERING/694-2979
17034 Eagle RivP_r Loop Road: Suite 204
Eagle. Rive_r; Alaska 99577
2. TYPE OF RESIDENCE
Single-Family,~;~ Number of bedrooms .~
3. WATER SUPPLY
Individual Well,~ Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-siteX~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legailty and status.
72-025 (Rev. 7/88) Page 1 of 2
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A. WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
Health Authority Approval (HAA)
CHECKLIST - FEBRUARY 1984
343-4744
Legal Description: ~:~.1"' \ ~ ~---¢::~.~. /
i / ~' '
Well Classification '~ ~l,~\~/I t2,)/>'[,..- If A, B, C, D.E.C. Approved (Y/N)
Well Log Present ~N) ',/ Date Completed ~,\r '~----"~ Yield '~,o ~('¢"1 --~
Total Depth I,~,~,' Cased/ to .,~.,tt,.Y~Depth~
I
Static Water Level Pump Set At L.~---,
Casing Height Above Ground
Electrical Wiring in Conduit ~N)
Sanitary Seal on Casin~) y
Depression Around Wellhead (Y/f~J~ ~
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot '~ ~'1
To Nearest Edge of Absorption Field~o)3 Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
I
; On Adjoining Lots ~ o~::>1-~
~ c~'7.---I ; On Adjoining Lots I.L-~C~~' ~
TO Nearest Public Sewer Cleanout/Manhole ~_,///~
Water Sample Collected by ~'~. ~ ~[~~-~ ; Date
Water Sample Test Results ~,~'~, ~~ "- ~
Comments '~ .~/~.~,~ ~.~.. ~1''~
SEPTIC/HOLDING TANK DATA
Date Installed (,,o.-~,"],.-,~} Size
Standpipesd~N)
Depression over Tank (Y~I~
Pumping/Maintenance Contact on File (Y/?~/
Holding Tank High-Water Alarm (Y/N)
Air-tight Caps (~N)
No. of Compartments
'"'f Foundation Cleanout([~N) 'y'
Date Last Pumped Lc,-'Z.~
J']/,/~ ;for----'--
/
Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well
To Property Line 1 ~t..~
To Water Main/Service Line
To Stream, Pond, Lake or Major Drainage Course
Comments ~'~ ~__..~---~-~'~ C::~ ~
To Building Foundation
To Disposal Field
72-028 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed (.~
Width of Field
Square Feet of Absortion Area ~ ~r-~'w~
Depression over Field (Y~:~ 1-~ Date of Last Adequacy Test
Results of Last Adequacy Test ~ ~~----~'-/-~/t/' ---- "~~,
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well
To Building Foundation
Lot r-~
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Statndpipes Present~'N)
To Property Line
; On Adjoining Lots
To Cutback (if present)
To Existing or Abandoned System on
Comments
D. LIFT STATION ~,~/~:~
"Purnp On" Leve-'i-a~_
High Water Alarm Level at-"~
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on t._he~l~te of this...,..
inspection.
Signed 2 & 5 E,~GI.~EE.RLNG
Company 17034 Eagle Ri~ L~
Date ~/
MOA No. ~/~ ~
Date of Payment K-7/--,~Y"--~ Waiver Fee: $
Amount: $ /"~<~,,-<:~7'd~ Date of Payment
72-026 (Rev. 7/88) Back Page 2 of 2
unicipality of nchora e
Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
April 19, 1989
Robert Shafer, P.E.
S & S Engineering
17034 Eagle River Loop Road ~204
Eagle River, Alaska 99577
Subject: Waiver Request for Lot '1 Bloom CoUn{y Subdivision
Waiver Request 9WR890017, HA890139, PID 9050-302-64
Dear Mr. Shafer:
Your request for waiver of the required 100 foot separation of
a septic system to a private well has been approved. The
approved separation distance is 93 feet.
This waiver approval applies to ~the existing septic system to
well separation only. Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Daniel J. R~h
Civil Engineer
On-site Services
DJR/ljw~6
ROBERT A. SHAFER
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
April 14, 1959
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
Anchorage, Alaska 99501
CIVIL ENGINEER
694-2979
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
RECEtV ,D
REFERENCE: Lot I; Bloom County Subdivision
Old Lot 63; Section 30; T15N; RIW; SM; Less West 100 feet
Request you issue the attached Health Authority Approval (HAA) and
grant a waiver for the horizontal separation distance between the
private well and the septic tank located on the referenced property
at a distance of 93 feet.
Within the remarks section of on-site sewage disposal system inspection
report dated June 22, 1981 it states the "Distance from well to
septic tank waived to 90 feet by J.K." (presumably John Kennedy).
The remarks also state that "All connections to septic tank utilized
[caulder] couplings"
I would also like to bring to your attention a waiver issued under
similar conditions on a lot in the immediate vicinity of the referenced
lot by the Alaska Department of Environmental Conservation (ADEC).
The waiver letter is attached.
Attached for your review are the fo~owing documents:
I. A plot plan showing relative distances between the well and
septic tank.
2. A risk analysis review worksheet.
3. A flow test report for the referenced w~l.
4. Coliform and nitrate analysis of water taken from the well
located on the referenced property.
5. W~ logs for the referenced well and all the neighboring
wells for which logs exist.
6. A septic inspection report for the referenced property.
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
page two
Lot I; Bloom County Subdivision
April 14, 1989
7. A waiver letter for Lot 4B; Birchwood South Subdivision located approximately
200 feet from the referenced property
It is our opinion the horizontal separation distance prescribed by 18AAC72.021
is not required in this case.
If you r~~ additional information,
please contact us.
~~.x) 17034 Eag(e River Loop Road
Eagle River, Alaska 99.577
PROJECT; __~:~. ~ ~
LOCATION OF WELL (Legal Descri0tiOn): ~ (,~'"~
WELL DEPTH; !~) ~,~ FT, CASING:
BTATIC WATER LEVEL (ToD of Casing): ~ ~
ROB. ERTA. SHAFER ~
CIVIL ENGINEER
694.2979 '~
,, DATE OF
FT. SCREEN:
__PT. DATE:
CLOCKTiME ELAPSED PUMPiNGTtME STARTED/SINCE DEPTH TO DRAWDOWN/ PUMPING
WATER, FT. RECOVERY RATE, GPM REMARKS
STOPPED, MIN.
...... ~ . ~~ ~~ ....
~-~,~ ~ ,_ I~~ ._~ .~ ~,~ ~~ ~_. ~~ -
15
20 ......
30 "
RE~oV[RY
0
2o
Flow is not GuarJnte~l
$~bsequent Varlalt.r~s
Can Occur,
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