HomeMy WebLinkAboutMIEBS LT 2Miebs
Lot 2
#018-191-31
OTj:S:,,_RK.Wy' - /...-. ;. : . _. ::.:._,; -
Consulting Engineer
P.O..n-e.':. 102954
. Anchorage, Alaska 99510
(907) 272-g21 g
28, 2000
Mr Ben Ivleeps
14145 Lake Otis Parkway
Anchorage, AK 99516
Dear Mr. Meeps:
:RE: Lot 17, BLM Lots
! · Soils Investigation
You contacted me to perform a soils investigation on the subject lot to assist you in the
subdivision of Lot 17 into two adjacent lots. The soils investigation was conducted on
February I5, 2000, with the percolation test conducted the same afternoon. Mr. Mike
Blackslee with A+ Home Smwices excavated the test pit, and Mr. Scott Crowther. P.E. of
. Panrione Engineering Services, LLC, performed the soils analysis and percolation test. The
attached soils log shows that we encountered an organic layer for the top three feet. A sandy
gravel layer was directb' under the organic layer and extended to a depth of nine feet below
the ground surface. Below that layer, a layer of tight silt was discovered. Ground water was
found at a depth of n/ne feet. A percolation test was conducted on in the sand}, gravel. That
layer percolated at a rate of 1.7 minutes per inch. The MOA DHHS allows conventional septic
systems to be installed in soils with a percolation rate of 60 minutes per inch or faster.
Based on the observed percolation rate, and assuming a four-~edroom home, a conventi~)nal
system can be install(:d on this lot. It would l)e approximately 88 feet long, five feet wide and
have an effective depth of 12 inches 1)elo~v lhe perforaled pipe. The total depth would be .
approximately four feet. Based on this preliminary design, you can figure an installation cost
of approximately $%000 to $10,000 installed, including the 1,250 gallon septic tank. __.
Engineering fees for the design, overseeing of the installation and completing the as-built
drax~4ngs are expected to be approximately $1,300. The MOA DHH$ p~rmit fees for a well and
septic system is $440.
In conclusion, the soil investigation shows timt a conventional septic system is capable of
being installed on this lot. Please contact me at 227-3522 if you bare any questions.
Sincerely,
Principle
I
04/11/00 11:39 FAX 9O7 343 4220 Community Planning ~ CROSS ~002,'002
SUM]~LA.R¥ OF ACTION
April 10, 2000
S- 10~71 Miebs Sub~.ivision, Lots I and 2
Return for redesign to address the following: ..
RECEIVED
APR 7 ~ 2000
Recon~e the lots in a north-south direction, and apply to vacate
the eastern-most 3 feet of Lake Otis Parkway to meet R-6 lot a_rea
requirements and lot width requirements,
2. Resolve the following with Land Use Enforcement:
A determination of nonconforming rights or the need for
variances from A/VIC 21.40.080.G for yard setbacks with
Land Use Enforcement.
b. Provision of adequate parking.
3. Resolve the following with DHHS:
The need to submit information to satisfy the requirements
specified by AMC 21.15 and AMC 15.65 with a new
· cordiguration.
The need to provide a reserve area or two reserve wastewater
disposal system sites with a.new configuration.
JEST, Weaver, Jr.
Platting Authority
Municipalityof
Anchorage
P.O. Box 196650
Anchorage, Alaska 99519-6650
Telephone: (907) 343-4309
F~x: (907) 343-4220
http ://www. ci. ancho rage. ak. us
Rick Mystrom, Mayor
DEPAI~I'MENT OF COMMIWITY PL, LNNING .LXI) I)I:~VELOP,XIENT
April 11, 2000
Benjamin Miebs
14145 Lake Otis~ Parkway
Anchorage, AK 99516
Dear Applicant:
On April 101 2000] the Platting Authority acted on your petition S-10571
MIEBS SUBDIVISION.
The petition was RETURNED FOR DESIGN.
Special Conditions, in addition to those of Title 21, of the AMC attached
by the Platting Authority are on the enclosed Summary of action. If you
have any questions on these conditions or changes, please call our office
at 343-4267.
If you wish to appeal this decision or any of the conditions, we will
furnish copies of our appeal procedures. Please note that all appeals must
be made within fifteen (15) days of the Platting Authority's action.
Sincerely,
DEPARTMENT OF COMMUNITY PLANNING AND DEVELOPMENT
Zoning and Platting Section
cc: Fred Walatka
3107 W. 29th Avenue
Anchorage, AK 99517
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Municipality of Anchorage
Public Works Department
Building Safety Division, Land Use Enforcement
Mailing address: P.O. Box 196650, Anchorage, Alaska 99519-6650
Physical address: 3500 East Tudor Road,Anchorage, Alaska 99507
REQUEST FOR NONCONFORiHING DETERMINATION
(SEE BUELDING SAFETY HANDOUT NUIMBER 52 FOR INFO ON SUBMITTAL REQUIREMENTS)
Name:/~")C/[ V ~711/,c />//5'/25
Day Phone,~ ~ ~ ? .5~-~'ffO FAX
Legal description: Lot / 7. Tract__
Subdivision
MOA Property Appraisal Tax Code #(s)
Mailing address: No./C//c//(
City//Z/(-~' ~/?~r> St ?)/(
Site address: No. !~//q ff' Str Z.~e' ~ 77.5
City. fL~/C½~'/F~q~ St ~,/r Zip
Grid: Section:
Zoning District:
(State the nature of the request and any additional information you would like considered. Be specific. State use
history, i.e., past and present uses of the property, building, etc. Use additional sheets if necessary.):
Required nttnchmeuts:
l. Fee 8.
2. As-built survey 9.
3. Aerial photo(s) 10.
4. Affidavits 11.
5. Dated receipts specific to property 12.
Pictures 13.
Number of dwelling units
Sq. ftg. of each dwelling & # of bedrooms
Types of uses nnd square footage of each
Parking lnyont incl. HC spaces & paving
Location of existing hmdscaping
Other (please list)
FOR ML~ICIP.&L USE ONLY
Property inventory sheets (MOA Property Appraisal Office, City Hall. 6th floor)
t
REQUEST ~OR COMMENT~ ON SUBDMSIONS
DATE: March 9, 2000
The Municipality of Anchorage has received applications relating to platting activity for the
following cases:
Short Plat to be heard April i0, 2000
Case No. Subdivision Name
S- 10571 Miebs' Sub division '
Attached are copies of the proposed plats. Please submit your comments In writing, specifying any
easements or other requirements that your department or agency, may need.
'If no easements are required at this time, please provide a list of those plats to which there is "no
comment" or "no objection."
Please return bluelin~ print ~mly if additional easements are required.
Comments must reach our office by April 6, 2000 in order to be included in staff recommendations.
Jerry T. Weaver, Jr.
Plat~lng Officer .. ' . '
Enclosures
RECEIVED
MA.R q 5 000
Municipality o1 Ancnorag~
Dept. Health & Human $~rt~i~
MUNICIPALITY OF ANCHORAGE l OFFICE USE
COMMUNITY PLANNING AND DEVELOPMENT
P.O. Box 196650 REC'D BY:
Anchorage, Alaska 9951§-6650
PRELIMINARY PLAT APPLICATION
Please till in the informalion requested below. Print one letter or number per block.
1. Tax identification No. 2. Street Address
3. NEW abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34).
4. EXISTING abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34) full legal on back page.
5. Petitioner's Name (Last - First)
t111 i
Address
Phone.
FAX#
7. Petition Area Acreage
6. Petitioner's Representative
ALAfl ~114,~14~,1 I I I I I I I I t I I I
Address ~ /O -7' J'Uf, ~ ~ '~'~ ,~u'~ .
State
Zip c~ ,~-I '7
8. Proposed 9. Existing 10. GridNumber 11. Zone
Number Lots Number Lots
,,,,
12, Fees
13. Community Council
I hereby certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desire to subdivide it in
conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic subdivision fee is
nonrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the subdivision. I also
understand that additional fees may be assessed if the Municipality's costs to process this application exceed the basic fee. I further
understand.that assigned hearing dates are tentative and may have to be postponed by Planning Staff, Platting Board, Planning Commission,
or the Assembly dua to administrative reasons.
Sigqa~rure
*Agents must provide written proof of authorization.
20-003 (Rev. 9f98)* Front
Please check or fill in the following:
1. Comprehensive Plan-- Land Use Classification
// Residential
Commemial
Parks/Open Space
Transportation Related
Marginal Land
Commercial/Industrial
Public Lands/Institutions
Alpine/Slope Affected
Industrial
Special Study
2. Comprehensive Plan --Land Use Intensity
Special Study
Dwelling Units per Acre
Alpine/Slope Affected
Environmental Factors (if any):
a. Wetland
1. "C"
2. "B"
3. "A"
b. Avalanche
c. Floodplain
d. Seismic Zone (Harding/Lawson)
D. Please indicate below if any of these events have occurred in the last five years on the property,
Rezoning Case Number
Subdivision Case Number
Conditional Use Case Number
Zoning Variance Case Number
Enforcement Action For
Building/Land Use Permit For _
Army Corp of Engineers Permit
Legal description for advertising,
Checklist
40 Copies of Plat (Long Plat)
3(¢Copies of Plat (Short Plat)
Redueed-C015~) o-bTPla-F(-8~2 x 11)
Certificate to Plat
Aerial Photo
Housing Stock Map
Zoning Map
V" Water:
L// Sewer:
20,003 Back (Rev. 9/98) *
V'/ Private Wells
v'" Private Septic
Fee
Drainage Plan
Topo Map 4 Copies
Soils Report 4 Copies
Pedestrian Walkways
Landscaping Requirements
Community Well
Community Sys.
Waiver
Public Utility
Public Utility
Municipality of Anchorage Page ? 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: 'Ct ;/--¢~¢ ~ ~-.~ QI ~. ?1( o('}\~ ~ PlO Number: ~' ~ - / ¢/ -
Uame:~ ~. ~ / Wastewater System: ~New 0 Upgrade
~No. of~drooms: FDeepTre,ch U Shallow Trench ~Bed ~Mound UOther
LEGAL DESCRIPTION SoilRating: ~' ¢ GPD/Se. Ft. .'¢''~ '
Lot: 8lock: Subdiv~ion: Depth to pipe hoaom from original g~ade: Gravel depth beneath¢ pipe
] ~ Fill added above original grade: G ravel length: ~,~ ~, ~
Gravel width: Number o¢ ~ines: 10istance
enow
WELL:
Upgrade
Yield: Casing Heighl Above G~ound:
SEPARATION DISTANCES ~eptic ~ Holding ~ S.T.E.P.
To Sep[ic Absorption Lift Holdin9 ~ublic/Priva~e Manufacturer: Capacity in gallons:
/ / ~ ¢ I Ma(erial: Number of Compa~ments:
Water
Cu~ainDrain ~,~--- ~J~'-~J~' ~z ~/'/- -- ~ ~ElectricallnspectiOnspe~Ormedby:
Locadon and Description:
Department of Health and ~uman~ervices approval '¢'~"~,~,.
No.
$W9605i Page "~
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
PO. 8ox 196650. Ancnoroge, Alosko 995i9 6650-Telephone J41-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
.... '~' ,,,~W, Sbl, ALASKA
Legal Description: SLM LOT 18, SEC. ~' T~zN, s*
of ~'
No.: 0i8-191 !9
ENGINEER'S SEAL
~erm.i No.
5W96051 Page ~
:vlunicipo!i[? ~¢ Anch,z.r ;ge
DEPARTMENT OF: HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.0. Box 196650 · Anci~orag¢, Alasxo 995;9-6650o Telephone ~,~ ~7/.4
On-Site Wastewater Disposal System and/or Well Inspection Report
:eaal DescripUon: BLM LOT !8, SE ..... r zN. ,aW. SM. ALASiCA
ENOdNEER'S SEAL
Perm,( ).1o. of
~egai ~)escripdon:
Poge J
',/iuniCicoli(y tf Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O Box 196650 o Aqchorege, Alaska 99519-6650- Te!ephone 545 4744
On-Site Wastewater Disposal System and/or Well Inspection Report
BLM LOT l& SEC. 35, Ti2N, RSW. SM, ~LASKA
P!D No: 01,~ i~ 19
,!i
ENGINEER'S SEAL
NOV. -18' 96 (MON) 13:21 ALASKA MAGAZINE TEL:907-561-5669 P, OO1
P.O. 8ox 110378 · 10530 Old Seward Highway
(907) 349-8535
ANCHORAGE, ALASKA $g51t
DRILUNG LOG
Well C~ner STEVEN COTE .Uae of Well DOMESTIC
Location (address o~: To~p, ~ge, ~flon, ff ~own; or ~t~ce ma~ road
LOT 18,. SECTION 33 T12N R3W
ANCHORAGE. ALASKA
Size of e~ing 6"
Static water level
Delgh cf l-lale 158 feet: C~ed ~:o 160 ' ' ~eGt ' '
);Per~orated ( X, ' )'-
Describe ~q~Dp~ pe~otatloo 156! tg 146'~ 3 ROWS of 0.125" x 1.00" PERFS, 6 each Der. ~o. qt,
WeE p~p~g test at 15 g~ ~ ~ (~ute) for' 1 ho~ with 100%
of ~awdo~ ~om s~c ~I,, AS BOUILT NOTES: WELL DRY GROUTED WITH 100~ of BENTO
Date o~ comple~on 09 SEPTEMBER'
WELL LOG
Depth in feet fzom
ground sur/ace
0 "120 2
2 TO 16
16 TO 18
~TO 2 2
__32L_TO 50
,50
7B.. TO 82
~? TO afl _
94 _TO 104
lOG TO ~!0
llflTO 143
~TO 1~7
~O
Giw detMls of fermations penetrated, size of material, color and hardness
CASING STICK UP
': ~OP SOIL & BOULDERS: LOOSE, ORGANICS, SANDY
~;BO~LDER
· '!GRAVEq: CO8~LEY _
'~.®U!!D IRS
~?:~.-~ - . .
-'" G~VEE: LOOSE
~,~'~ BROWN' :"
'G~AVFI', %TITY. DAMP
P ECEIV£h
C1 AY. qT.I Tv
GRAVEL: SANDY, SILTY, OAM~
___CLAY: SILTY, GRAVELLY
1 -- CUSTOME~I
Well Owner
Location (address of: Township, Range, SeO. lo~,
Lot ~ '...Ivr:~a . u Sub~tiviston, :Anchorag, e
Dom.
Size of casing 6"
Static water level
Screen ( ); Perforated ( ), -
Describe screen or perforation
Well pumping test at 5 gallons per (~. (mintlte) for ~,
of drawdown from static level. ' '-
.... /~9
Depth of llole 15~ feet. C-~sed-tr~ 161.1 feet
ft. ~;'~ {~lo,,,) ~a',~aa~.~lfl, ot ~,~n (~h~'
hours wttb 1007.
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, stze of material, color and hardnes~
-t) TO 2 Casing $~icku.
TO__ L7
I. TO '.5 Hard pan
": TO 75
;; TO i01
l'll
iS:t TO
___TO
__TO_
__TO
TO
TO__
.O_rganics
Silty boulders .....
Loome ~ravel
Grau~lly hard pan : cobbly
Gravelly hard pan:
Sa id'/ water graVelU%
3 -- CO~TRACTOR ..~"~f
I certify [he above true and correct.
'~"t? .~"::' z,;:. '
{,'!' ~:; ~,' DOTTEN DRILLING CO.
Z,'~ % , . SPENARD, ALASKA
/.~.)' ' ~;, X~'c adYhc voit lo attach this ccrtificale o your deed.
~:~:. · ....~. :: :;;::,:~.~: ~::(.~ :..~.;:: '-"-....,.~: :..... :,., ...........~ ...:.:.
~.~, , .; ,,,,...,...~ .... .......
PERFORMED FOR:
LEGAL DESCRIPTION:
OR
GP
8OIL8 LOG - PERCOLATION TEST
PANNONE ENGINEERING SERVICES
P.O. BOX 102954
ANCHORAGE, AK 99510
(907} 272-8218
Mr. l~.n Meep~ DATE. PERFORMED: 2-15-00
Lot I7, BLM Lot~
Topsoil
TE~T HO LE
S.ndy Gravel
W/Cobbles
WAS GROUND WATER
ENCOUNTERED? YES
IF YES, AT WHAT
S1X)PE
'1
,I
DEPTH? 9.0' TEST HOLB
DEPTH TO WATER AFTER -
MONITORING? 9.0'
DATE: ~'T-oo _ _
DRY 6'
DRY
PEROLATION RATE 1.7 (mln/inch) PERC HOLE DIAMETER 6 [nch~
TEST RUN BEWTEEN 3 FT and 4 Fl'
COMMENTS: Test hole excavated by A+ Home Svc. Tent Hole was presoaked bcforc pcrc tcst.
MUNICIPALITY OF ANCHORAGE
DF rMENT OF HEALTH AND HUMAN SERV S
. I Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Na.~e DISTANCES
I~I~B ~ OTtS TANK FIELD WELL
township. Range, Secuon
a~ ~ W/~ ~ ~ .r,veway,AS-BUILT DIAG.A. (Showlocat,on olwell, sept,csyslem, p,oper,yi,nes, loun.al, On,wale, boO,es, etc )
TYPE OF SYSTEM
TRENCH ~ W. DRAIN ~ OTHER
BED
Depth to p~pe botlom Irom Tolal depth from original 9~a~e I
or,glnal grade ~ FT ~ Fl
I
~ PRIVATE ~ OTHER (Identify) ~ ':-
~ :~~' ~ ~ Scale: itl~ ~ i q' ~ ENGINEER'S,SEAL
--' -
/
I ~. ~eail~ that this inspeaion was p~dorme~ according to all .
I
~'l~.J~'~ I C :~ F'~AL t ~£~' OF A~-4C~4ORAGE
DEF'ARTMENT OF HEALTH AND ENVIRONMENTAL F'ROTECTION
825 L STREET, ANCHORAGE, AK 99501
264-4720
PERMIT NO:
DATE ISSUED:
O~--S I TE
850694
F'ERf'~ :~ T
APPLICANT:
ADDRESS:
BEN MEAD
% TOBBEN
ANCHORAGE,
AK 99516
LEGAL DESCRIF~: SUBDIVISION: BLM LOT: 17 BLOCK: NA
SECTION: 33 TOWNSHIP: _12N RANGE: 3W
LOT SIZE: 2.5A (SQ.FT. OR ACRES)
MAX BEDROOMS: 4
Listed below are the options available to you ~n designing your septic
system. Choose the option that be~t ¢its your site.
DEPTH TO P IF'E BOT]-OM (FT.) 3.0~~ 4.G 3.-! ~-*
GRAVEL DEPTH (FT.) 5.0~ 0.5 3.5
TOTAL DEF'TH (FT.) 8.0~/~ 4.5 6.5
GRAVEL WIDTH (FT.) 2.5 ~ 18.0 .5.0
GRAVEL LENGTH (FT.) 40.0~ 34.0 44.0 ·
GRAVEl_ VOLUME (CU.YDS.) 20.4 22.7 32.6
TANK SIZE (GALS) ~,250.0 ** 1~250.0 *~ 1,250.0
SOIL RATING (SQ.FT./BR) 100 100 100
~* DEPTH TO PIPE BOTTOM'~'~.5 FT. REQUIRES INSULATION~
· ~ DEPTH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A LIFT STATION
· * TANK MUST HAVE AT LEAST TWO COMPARTMENTS
certiCy that:
1.
2.
3.
I am Camiliar wi(h the requirements ~or on-site sewers and wells as set
£orth by the Municipa2ity o~ Anchorage (MOA) and the State o£ Alaska.
I will install the system in accordance with all MOA codes and regulations~
and in compliance with the design criteria o£ this permit.
I will adhere to ~ll MOA and State o£ Alaska requirements £or the set'back
distances ~nom any existing well, ~astewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
I understand that this permit is valid Cot a maximum o¢ 4. bedrooms and
any enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-oOI-To
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
E~ECT~C~L WORK MUST BE DONE B~ A LICENSED ELECTRI I
S I GHED
APPLICANT: ~7 ....................... D~T~: ~_
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
[] PERCOLATION
TEST
PERFORMED FOR: =i~
LEGAL DESCRIPTION:
1
2
4
5
6
7
8
9-
10-
11
13
14
15
16,
17
18
19
20
SLOPE SITE PLAN
F
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
s~
L
O
P
E
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE /OD ~///'S t7 ~¢ ~- (minutes/inch)
TEST RUN BETWEEN FT AND , FT
COMMENTS
PERFORMED BY:
CERTIFIED
DATE: */¢/~' "~"/Ofl~
~ ....... ~ . , , .... ~.O Boxl~ An~ora~e,AK 99519~50~ .... ~ ~- v ....
...." ' '" ' ' " " ....... . ~ . ' '- ' -":'"' ' "".~. -..'.' ' ':.' ...., ,', . ' ' ' ~pira~on'D~te: ::~: s~,_,_~,.'.m.,.,-.. ,,..:.....'
', , , · 1~ ,GENE~LINFOR~TION ....
~' "C plet 'p~ ' · '-' ' ' :-
. . om elegaldes~ on. Lot2M~ebsSID - . ,, ',~-~ - :'...'. :,.:'
· Lo~bon (,~te address or d rect on,) '"141~ Lake Otis Par~a~'.Anch~r[-~ ~. ~ ";,' "':F': ' ":"
Cu=ent Prope~y o~r(,) Ben ~ieb~ ' D~y phon~'~45~Sa0"": .... ' ' ~
:. ., , ,. :. Mailin r ay,' thor
endin c . ' ',.,' '" " · "'"'"" ': " - ' '
....... . . , . .. O~e~-: .",' :.,;,?, .~, , ~. ~: ,
, , ,Real Estate Agent
,' ,., Mailing Addresl
Unless olhezwis~ reque~ted, HAA will be held by DHHS for pickup. HAA picked up by: ~ " ' ."~ " , '
.-2. NUMBER OF BEDROOMS: .-.. 4'.
3.' "I'YpE OF WATER SUPPLY: ,,
Individual Well []
'Individual Water Storage. [] .
Community Class . 'Well ' '[]
Public Water System []
TYPE OF WASTEWATER DISPOSAL:"". - ..
Individual On-site ,-. []"
Individual Holding tank , - .,[].' '- ="
Community On-site []
Public Sewer [] . '
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health'Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an independent ~mfessJonal civil
engineer registered in the State of Alaska, Certificates of Heallh Authority Approval are required for the transfer of
title (except between spouses) on properties served by a single family on-site wastewater disposal and/or.water
supply system. DSD also issues HAAs upon request to home owners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A
or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the
professional'engineer's work.
J
-. 5 ' STATEMENT OF INSPECTION BY, ENGINEER~, ,' ,, ~. , ;' ', ~; 'i'~. ~' :~ :' :: ~-i"~ ~ '''~''' ':,*: '*!' ":"* "*' ':;
-, -' ,'' As ~ fi~ by'my seal affix~ ~emlo'and as of the v?ldatlon dae.,~ ~1~;~ ~e~ ~Qt
, ' "'* ' , ' ' th A~ho~t A ' reval Guideli~hs for th~'Hea~b r~;'~pro~al
. ba~ on procures outh~ in.tEe H. eal ........ Y. p~ ...... , .......... ,..~ .~..,~
,' ; ' ' ' ~a~nli~tinn ~hnw~*th~t the,on-s~e water,~ppy~and/or:wa~ter OlS~l~em, ls,~e~"~[~-"~
' ' ' ' info'at one'Ma tied f~ ~efM~p~lit~'of'An~homge'files'and from:my inv~[~n'p~, ms~mn,?e..,
' ' ' : ............... ' ..... ' .... ~m' an~.~h a ,a ~e Mum~pal and'
', , . , on-site water su~ly an~or wa~ater d~s~l sy~em ~.l~ ...p . , ........ ~ ~ , ~ ,. ,
,'- ' ". Name of F,~ Pannone Enfl..Svc....', ...... .~' ...... :P~ne: .272~78. .
.Address P.O. Box102954~'Anch~ AK 99510 ' '." ". ':~" ...... ', ~ ",.'" ~' .~ . -,'
" "~s'P~'{Aa ~'.s e,P.E./''
Eng~nee N R.P nn " ", ,'.".'., ,Date:, .:*:
En neersComments' ]n~nd~t[ng~a&~cyt~]attc~pttopm~ucaUmrou~,con~t~h~us ,: c ', ~ ~m 'w~
~.~.=.~of~ ~=.=~,,~o~Ds~o~.&~..~F~"~'°"~.~ . - * A~: ......... .~
' ~ct~ and ~ond~n~m~tor~diy d~hfiabef~t~. ~co~l~o~lhfeofall .,~ ~d~; ., , ~ '...~
· a ~ ~ .... ' ' '' ., ": ,e , · ,, ·
, x~:ells~d~tc~t~c~don~cl~l~ficondflm~o=dx~al~levels~t~yfluct~te..., ,.$.,~g g',~9xw:'~: . %~
. ~e .~¢ y=...a ~,,..t~ ~e~ or ~ v.~ ~ini ~ ~y ~ ~;t~E. ~ ~.q)ao~ ~. '~:'":~'~:"':~'~"'~ ' "~'~:"~"""l
outsidefl~ec0n~ol of~ceval~torof~is~t~ All~zt~s cvcnt~llyfMland~hsfacto~t~t- ,$;: ~ '~-- '
hidden defcxts or cncr~chm~ts:l)~ un ~efore not provide an~ ~nty for fut~e ~o~ . ,,~.~ ~ ,/. ; ., .... ,/~.
nor vc m~ est~ate ofhoxb long ~e ~t~ x~{]l ~ntinu~ io m~t ~e o~fional r~=ls cftc: . ~a~'.~': ~CE 8149
~l:C or MOA DSD ~e ~nt~t of ~,s rc~d ,s for ~c ~lc ~cfit of mc o~cr hst~ a~ e. ~y ~.i.~ ~g
tel ~< u '~ or ~< ;f · s ~ by afiy o~ ~n or ~y is'hot afl ofiz~ nor ~ill it '~onf~ m~y ':' . '. '4,~0 ~"'~';'""~x~ ~'
legal n~l ~at~vcr. ' ~ '. ' ' ' '- ' '. ..... '.' , ' , .7., ' ?"~ ~C(~***' ' '
'6. DSDSIGNATURE ..... .. ' . ' .... '" . ' '," :
' ' ,' ' ,. ~ :.Appr$gedf0r; ~" '. bedrpo~s., ' :'." ;. ",.,' , /; , :"~ ,.' ~kk~.0FA'~[rr
' Disapproved. '' .', ' ' ' , , '. ~?'. '~.~f~'
.. Conditional approval for. ' ' ' . bedrooms, with ~e following stip~s: ;.ON-SITE'
Additional Comments ..... ~ -~ ,,,. .. . .... -.V~xW_v?v~,~)W?'
Attachments:
HAA Checklist X
· Septic System Advisor]
Well Flow Advisory .
Expiration Date:~ 2-, 4 -- Ol
Maintenance Agreements
Supplomental Engineer's Report
Other ~ ' '
' ''
Original Certificate D~t
Reissue Da~e: ..,
IV! unicipality.of Anchorage
Development SerVices Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage. AK 99519-6650
www. ci.anchorage.ak.us
(907) 343-.7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Lot 2 Miebs S/I)
A. WELL DATA
Well type .Private IfA. B, or C provide PWSID #
Date completed
Total depth t,,,u~c,c/ .ft Cased to ~C'''f' .ff
FROM WELL LOG
Date of test
Static water level ~ It
Well production [ g.p.m
Parcel I.D.: 018-191-20
Well LOg No
Wires pfopedy protected Yea
Casing height (above ground) 12
WATER SAMPLE RESULTS:
AT INSPECTION '
3/24/2001
.. 101
6.0 g.p.m
JR.
Bo
Coliform 0 colonies/100 mi
Date of sample: 3/2rd2001
SEPTIC/HOLDING TANK DATA
Nitrate
Collected by: ~teve Pannolle
Other bacteria 0 colonies/100 mi
Tank Type/Material Omar Steel
Date installed t0/2~/1985 Tank size 12~0 gal Number of Compartments 2
CleanoutsYps Foundation cleanout'L~_XIC~) Depression overtank No High wateralarm NIA
Date of pumping 1014/2000 "' Pumper Anchoraae Cesso0ol
C. ABSORPTION FIELD DATA
Date installed t01~S/151~5 Soil rating (g.p.d./ft= or ft2/bdrm) 100 System type Tren~:~t
Length .40 It Width 3 It Gravel below pipe 6 It
ToLel depth ~1 ft Effective absorption mae 400 ft= Monitoring tube Ye~ Depression over field No
Date of adequacy test 3/24/21;101 Results (Pass/Fail). Pass For 4 bedrooms
Fluid depth in absorption field before lest 4'6 In Water added§00 gal.
Elapsed Time: 1440 min Final fluid depth 46 in
Any rejuvenation treatment (past 12 mo.) (Y/N & type). No
(Rev. 1
Now depthS,3 in.
Abseq)tion rate >= 600 g.p.d.
'If yes. give date
Do
LIFT STATION
Date installed
'Pump on' level at
Datum
Size in gallons
in'Pump off" level at
Cycles tested
in
Manhole/Access
'High water alarm level at in
Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tanldliff station on lot 9~*
Absorption field on lot 11~8
Public sewer main" NIA
Sewer/septic service line r)o+
On adjacent lots '1000
On adjacent lots 100o
. Public sewer manhole/cleanout
Holding tank 76+
N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 67
Water main NIA
Property line 40
Water service line 98
Abseq)tion field 00
Surface water 11~00
Drainage '100+ Wells on adjacent lots '1000
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line ~0
Water Service line 108
Building foundation 79
Surface water '11)0+ '
Water main
Driveway, parking/vehicle storage 35
Curtain drain
Wells on adjacent lots
F. COMMENTS
Well Head Located In I[lasement. Tank/Well Waiver Attached
G. ENGINEER's CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name Steven R- Paqrtone, P.E.
Date
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
On-Site Services
WRY: W~010018
Date Received: 4/3/01
Legal Description: MIEBS SUBDIVISION LOT ~
Waiver Review Worksheet
PID~: 018-191-31 HA~: HA010t49
Engineer:. STEVEN R. PANNONE
PO BOX 102954. ANCHORAGE. ALASKA 99,~t0
Applicant: BENJAMIN P. MIEBS
Waiver Requested: ON-LOT WATER WELL TO SEPTIC TANK OF 96 FI~I~'
Permit:
Cfitaria: 1. Geology Points:
A. Water Tabie
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
2. Special Conditions:
3. O~her.
Total:
Waiver is Granted: tK
List Conditions or Reasons for above:
Waiver Is not Granted:
Oale: ¢ -- 24
Rec~: 2486 Amount: 625
By:
Dale Paid: 4/3/01
Name of Reviewer
Municipality of Anchorage
Building Safety Division
P.O. l~>x 1,qC'C~50 * z,700 S. Bmgaw Street
~mchon, gc, Alaska 99519-6C~50 · (907) 32t3-8301
h t ~ p://wxrw.cLm~chomgc.ak.us
4/24/2001
Stevcn R. Pannone, PE
Pannone Engineering Services
PO Box 102954
Anchorage, Alaska 99510
Subject:
Waiver Request for Miebs Subdivision Lot 2
Waiver Request #WR010018'
Parcel ID #018-191-31
Health Authority Number HA010149
Public Works
Dear Mr. Pannone:
Your request for a waiver of thc required 100 feet horizontal separation from the
septic tank to private well has been approved. The approved separation distance is 96.0
feet.
This xvaiver approval applies to the existing septic tank to private well separation only.
Any future upgrade to the on-site wastewater disposal system will require all separation
distances be met or another approval from this department.
If there are any further concems or questions regarding this waiver, please call our office
at 343-7904.
Z~)'~"~n~/~Sincerely' . .
Daniel J. Roth
Civil Engineer
On-Site Water & Wastewater Program
t~8.f' OC ~. 7-1"rE I,,.FI I"£~ I, v Z. LI. I,~,~ ,f I,v /~I..R(.Z. rNz .f' o/: 7'le~
Pamtone Engineering Services, LLC
Consulting Engineers
P. O. Box 102954
Anchorage, Alaska, 99510
(907} 272-8218 Phone & Fax
April 2, 2001
Municipality of Anchorage
Development Services Department
On-Site Water & Waste~vater Program
P. O. Box 196650
Anchorage, Alaska 99519
Attn:
Mr. Jim Cross, P.E.
Subject:
Lot 2 Miebs S/D (Was Lot 17, TI2N R3W, S33)
Septic tank to well ~vaiver
Dear Mr. Cross;
I am writing to request a separation distance waiver between the existing well and the
existing septic tank and drain field on the above referenced lot. I conducted a Health
Authority Investigation on this lot on March 24, 2001. The adequacy investigation report
has been submitted to your office for review. During this HAA investigation, I discovered
the well and septic tank are closer than the required 100 feet. The distance measures
out to 98 feet,between the 1;250 gallon 'septic tank and the well. The drain field is
located over 100 feet from the well serving this property. Attached is a site plan shoaing
the adjacent properties, general site topography and approximate location of wells on
each lot.
Lot 2 is approximately 1.25 acre in size. The lot slopes to the southwest. The well is
situated approximately 20 feet northeast of the four bedroom home. The tank and drain
field are located west of the house and approximately 120 feet from the neighboring well
to the southwest. The soil absorption system was installed in October of 1985.
The exact date of well on lot 2 being drilled is unknown, but is suspected to be
approximately 1961. There is no well log available for the well on this lot. I found that it
is cased to over 40 feet, the static water level was 101 feet below ground level, and the
total depth is also unknown. The ground water in this area typically flows from the east
to the west. A well flow test showed the static water lowered thirteen (13) feet while
flo~ving at approximately 6 G.P.M. Water samples were taken during the HAA
investigation and indicate that there is no bacteria nor nitrates present in the water
from this well.