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Home My WebLink AboutSCHROEDER EAST BLK 2 LT 4chroecl4er 01450 I 000 Municipality of Anchorage DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION POUCH 6-650 ANCHORAGE, ALASKA 99501 INSPECTION REPORT ON ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL/ NAM["7"t`i2%Z� Sv�C/vN ADDRESS a' �y�9 X /� f� ` ' PHONE(S) 3 LOCATION LEGAL DESCRIPTION PERMIT NUMBER #OF BEDROOMS v SEPTIC TANK ❑ TILE DRAINFIELD NUMBER OF LINES �-el-vv MANUFACTURER (q -C ,r/Z_ TRENCH WIDTH CAPACITY IN GALS. FILL BELOW TILE v� c MATERIAL #OF COMPARTMENTS INSIDE DIMENSION ❑ LOG CRIB El RINGS -DIA. JOIAL EFFECTIVE ABSORPTION AREA-. CLL. SO. FT. LENGTH WIDTH DEPTH SEEPAGE SYSTEM ❑ TILE DRAINFIELD NUMBER OF LINES LENGTH EACH TOTAL LENGTH DISTANCE BETWEEN LINES TRENCH WIDTH DEPTHS: TILE TO GRADE FILL BELOW TILE FILL ABOVE TILE SEEPAG+OR ❑ PIT► /E�TRENCH 7 WIDTH -� LENGTH 0 DEPTH FILL. MATERIAL DEPTH ❑ LOG CRIB El RINGS -DIA. JOIAL EFFECTIVE ABSORPTION AREA-. CLL. SO. FT. WELL CLASSIFICATION INSTALLER REMARKS DISTANCES TO SEPTIC SEEPAGE SEWER FROM TANK SYSTEM LINE CESSPOOL WELL WELL. LOT LINE C �/ FOUNDA- TION . SYSTEM DIAGRAM UeP/---rye ryC NC !Z IX Afx G4'4 c / DATE �V �( M APPROVED Bl)d_ at�I LOT:_ ! BLOCK: SUBDI V ISI ON>��'�� DEP|�RlMEHl OF ��MLlH HND ENVIRONMENTHi PRnTECTION 825 'L' REET, HNCHORHGE, OK995� 279~25j1 PE�M|l NO ( 77918 ) THE REQUIRED SIZE OF THE SIT) [L HBSORP YSTEM IS� icy WYE ��11— IJ ��9 --- d v THE LENGTH DIMENSION IS THE LENGTH (IH FEET) OF THE TRENCH OR DRHINFIELD THE DEPTH OF H TRENCH OR PlT lS THE DISTHNCE BETWEEN THE SURFHCE OF THE GROUND HND THE BUTTOM OF THE EXCHVHTIUN (IN FEET) THERE IS NO SET WIDTH FOR TRENCHES THE GRHVEL DEPTH IS THE MINIMUM DEPTH Up (:iRIIVEL BETWEEN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCHVRTION (IN FEETY 167 K W 0.1 X to! YRE 02, S, 117 10"-f 1 10 -1-0211 Inq K Sv 1: 1T.:�� ~�_~Nzy oil 10 K 1=1 CA ISE �&--- too S 11 All ��C) 667, ...... ....... ..... ... . H PHCKHGE PLANT MAY BE INSTFUND HT THE PERMITTEE'S OPTION SUBJECT TU THE FOLLOWING CONDITIONS: 1EITHER H MASS I OR I] NSF HPPRUVED PLHNT MHY 8E �NSTRLLED 2H CONTINUOUS 1-I8INTENHNCE HGREEMENT I5 lF H PHI INTENHNCE HGREEMENT IS NOT KEPT CURRENT YOU MHY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM RND/OR YOU MHY BE SUBJECT TO PROSECUTION ... .... .... ..... ... ..... ��.... ...... ��... .... .... ��.... .......... .�,�� ^II - on If ETA Q & Is 1: IVA 05 104 vo� MM'0~1: 03 SH jS 1=0 10 W lot vn� I Q I - 0 1 FM Q my -------- B F1 C: !-::: F. L. I fr-.11:3 ��--BHCKFILLING OF HNY SYSTEM WITHOUT FINHL INSPECTION HND OPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTHNCE 8ETWE�N H WELL HND HNY ON—SlTE SEWAGE DISPOSHL SYSTEM IS i00 FEFT FOR H PRIYHTE WELL OR 200 FEET FOR H PUBLIC WELL WELL LOGS HRE REQUIRED HND MUST BE RETURNED TO THE DEPHRTMENT WITHIN M0 DHYS OF THE WELL COMPLETION OTHER REQUIREMENTS MAY HPPLYIFIWIT /INS HND CONSTRUCTION DIHGRHMS RRE HIM ILHBLE TO INSURE PROPER INSTHLLHTION. do, NEE T&M X -Y Th.: 4H E�:; R" 0�� I CERTIFY THHT i� I HM FHMILIHR WTTH THE REQUIREMENTS FUR ON~SITE SEWERS HHD WELLS HS SET FORTH BY THE MUNICIPHLITY OF HNCHORHGE 2: I WILL INSTALL THE SYSTEM IN HCCORDHNCE WITH THE CODES I: I I I14T THE ON SITE SEWER SYSTEM MHY KEQUlHE ENLHRGEMENT IF THE RESID£NCE IS R ' and �.;t✓:i.TO;'.:-. �.t t�!� .C:: i=i.On SOILS LC; Pi: RCOL,'\iIO?i TEST Terry Sullivan Date Periorrled r Lot 4, Block 2, Schroeder East Subdivision Lo` f� Red -brown, sandy silt w/organics (ML) 275 ft.'/bdrm. _ . Brown, silty, sandy gravel (GW -GM) . 2 200 ft. 2/bdrm. i Perc Test from -4 to -6 feet Very dense, gray -brown, silty, sandy gravel.(GM) i with cobbles to 8 inches. 2.78 ft.2/bdrm. 9/8/77 9/8/77 50 mine Net Drop 2.00 in. �_ 25 Perc Rate min./in. — I 30 min. l_— 1.10 in. 28 min./in. 4 30 min. _ I _ 1.00 in. 30 min./in. 4 � 0.95 in. _ 32. 33 min./in. min./in. 1 I _ — ---- — 33 s/inch I - Y I (Total Depth - 15 feet , Water Table Encountered I i 20 I 9/8/77 50 mine Net Drop 2.00 in. �_ 25 Perc Rate min./in. — I 30 min. l_— 1.10 in. 28 min./in. 4 30 min. _ I _ 1.00 in. 30 min./in. 30 min. 0.95 in. _ 32. 33 min./in. min./in. 30 min_ 0.90 _ _ — ---- — 33 s/inch 30 4d 5d 60 70 80 90 100 w 110 120 a Q 130 140 150 160 17d 180 190 200 210 22.0 230 240 250 WATER SMELL LOG CHAMPION DRILLING COMPANY, INC. Lot -F Block 2 Schroeder East Subdivision Date 11/12/77 No. 6 Recovery from pump test 1.2 gallons per minute. ON 1, j Sp i,ox 04 Mjj(j;VjLIt--)Y,. or yaj 1; 111 i� a o c S. r.?, ; t;. 1 ): ) c - :Lye C. (i 11 o (I r ell n, r o A. t of t(3 ri.-I MUNICIPALITY OF ANCHORAGE t,J 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 _ May 28,1986 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 11, Block 2 -_Schroeder East Addition T14N R1W Sec -1 Location (address or directions) 17325 Santa Maria St. — (b) Applicant Name Greg & Wanda Baker Telephone: Home 6911-381[1 Business N/A Applicant Address 17325 Santa Maria, Eagle River, AK 99577 (c) Applicant is (check one): Lending Institution D ; Owner/builder ® ; Buyer D ; Other D (explain); _— (d) Lending Institution Alaska Mutual Bank Telephone 694-9571 — Address Ea le River Branch Ea le River Alaska— (e) Real Estate Company and Agent N/A refinance ------- Address - — Telephone (f) Mail the HAA to the following address: _pickupby engineer -- 2. TYPE OF RESIDENCE: Single -Family CA Multi -Family D Other Number of Bedrooms 3 3. WATER SUPPLY Individual Well ® Community D Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite D Public ® Community D Holding Tank D AWWU Note: It community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 01: 9a) Page 1 of 2 5. ENGINEERING 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 verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is sate, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Telephone — Address EAGLE RIVER ENGINEERING SERVICES EAGLE RIVER, AK 99577 _ Date , BOX -7732 694-5195 6. DHEP APPROVA `,� Approved for llt6l-, bedrooms Approved Disa Terms of Conditional Approval C3 f �5 ooaa ease*Dere rer -�—y Engineer's Seal Louis A. 6uiera J� a� a➢� Conditional 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 A. WELL DATA )ytIJNICIPALITY OF A;N NN PALITY OF ANCHORAGE (MOH) DEPT. OP HEA"KL SORITY APPROVL FE FEBRUARY 1984HAA) ENVIRONMENTAL PROTE 264-4720 M AY 2 B 1,986 RECEIVED Legal Description: y se / Well Classification -/-W 61A Tom- If A, B, C, D.E.C. Approved (Y/N) 5 7 ? Yield Well Log Present (Y/N) _�-- Date Completed /i� y Total Depth &/ Cased to yn Depth of Grouting Static Water Level —L!1'H �G� C 4r" s _ Pump Set At .. Casing Height Above Ground '?/ " Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: ; To Septic/Holding Tank on Lot /1/IA- On Adjoining Lots""�� To Nearest Edge of Absorption Field on Lot eA A ; On Adjoining Lots y To Nearest Public Sewer Line _ � To Nearest Public Sewer tF�s i Cleanout/Manhole To Nearest Sewer Service Line on Lot _ Water Sample Collected by 645 !e �? ' s7- Date c Water Sample Test Results _!�` ms`s 7'�i , "v r �, — Comments B. SEPTIC/HOLDING TANK DATA 1411 Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Size No. of Compartments Air -tight Caps (Y/N) Foundation Cleanout (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 To Water Main/Service Line Course Comments G��'-� ' ` Page 1 of 2 72-026(11/84) Date Last Pumped ;for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field __ To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA 411114 Sec./e'r, Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well To Building Foundation Lot To Water Main/Service Line — To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION N,4 Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Type of System Design — Length of Field _ Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on On Adjoining Lots — To Cutbank (if present) — Dimensions _ Manhole/Access (Y/N) — "Pump Off' Level at — Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments " Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, verified, or conformed to all M/O• A and HAA guidelines in effect on the date of this inspection. Signed�/.5 z.na Date Company MOA MOA No. Receipt No. .— :3eu ep /4>- U Date of Payment J��p� Amount: $ Ea - CJ Cr0 (dV Eagle River Engineering Services Page 2 2 of P. 0. Box 773294 It Eagle River, AK 99577 e, r� S Louis A. Buiera <• 72-026 (11/84) 694-5195 �* �e•'n CG6736 •: \?l -rait MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264.4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. .Please allow ten (10) days -for processing. - - 1. PR TY OWNER PHONE / 7 MAILI I� �.� ll�an PROPERTY RESID NT (If different from above) U PHONE 2. BUYER . 1-700NE MAIL DDRESS - ,,`` 3. LEiNDIGINSTITLITION HONE MAILINGADDRESS A. 4. REALTOO //AAGE�N�T, 7PHO�INE —�LWLL7�4��gC_� ��/ MAILING ADDRESS 99.E 2-- 5. 5. LEiGAL DESCRIPTION ' --n STREET LOCATION —, 6. TYPE OF RESIDENCE NUMBE F BEDROOMS I SINGLE FAMILY ❑ One ED Four ❑ Other Imo, TFive ❑ MULTIPLE FAMILY- — l``'�'S` Thrhr 0ee- Six 7. WATER QUPPLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ONSITE'** **If individual/on-site, give installation date_—&V If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE: INITIATED. �� 1"06, THIS SIDE FOR OFFICIAL USE ONL -- - - FATERECEIVED- - - - - INSPECTION APPOINTMENTS TIME 'c� TIME - - - TIME - - DATE - - IL DATE INSPECTO INSPECTOR INSPECTORS DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS® ❑ SINGLE FAMILY ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER - ❑ INDIVIDUAL - DEPTH OF WELL _ _ - ❑ COMMUNITY -- DATE DRILLED- ❑ PUBLIC UTILITY Connection Verified LOG RECEIVED - - - - - - - 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY DATEINSTALLED y� T �y Connection Verified --^_ INSTALLER d�Septic Tank or ❑ Holding Tank Size: ��If Tank is homemade SOILS RATING give dimensions: TYPE OF NK - MANUF ACCURER C - - TO'T'AL ABSORPTION AREA MATEF�AL 4. DISTANCES ��. �-.�. Septic/Holding Tank Absorption Area Sewer Line �� Nearest Lot. Line- WELL T0: Absorption Area to nearest Lot Line S. COMMENTS ❑ APPROVED FOR BEDROOMS ONDITIONAL APPROVAL (letter must accompany certificate) VCI Lam' DISAPPROVED - DA(/TE B/Y((Title) LEGAL ,pESCRIPTION - - - dG I L, 72.010 (Rev. 3/78)