HomeMy WebLinkAboutSCHROEDER EAST BLK 5 LT 551f)
i
GF"ER ANCHORAGE AREA B"'IGH
r
Rf Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
/
DISTANCES:
INSPECTION REPORT ON-SITE S�
SEWAGE DISPOSAL SYSTEM
NAME /1E✓IRY W,
_
�,,
(rh14 f? A MAILING ADDRESS 30 15 D1605 &'(l PHONE 2_-77- 5772 -
LOCATION
LEGAL DESCRIPTION Lo r 5 61oCK
SEPTIC TANK:
DISTANCEs
FROM WELL l$
//'�NUMBER OF
MANUFACTURER An�iwrort MATERIAL` OMC-reTc COMPARTMENTS I
INSIDE LENGTH
INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY _'ODO GALLONS,
SEEPAGE PIT:
NUMBER OF PITS
I DIAMETER (fir OR WIDTH q-tt',LENGTH IZ, DE=PTH RI _.
qq
LINING MATERIAL (D -601-T-6- CRIB SIZE: DIAMETER-LLDEPTH (E DISTANCE FROM: WELL 1yr1 _.
BUILDING FOUNDATION_
TOTAL EFFECTIVE 7
, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) / Z— SQ. FT.
ADDITIONAL_ ABSORPTION.
WELL:
III
TYPE d -VIIIA
_CONSTRUCTION �T-AIIJVARD DEPTH DISTANCE FROM:
BUILDING o1
NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION
LOT LINE --,SEWER LINE ---,TANK_ SYSTEM _.
CESSPOOL
OTHER SOURCES
APPROVED
EMARKS
DISAPPROVED REMARKS---
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
.), 2 � " f3 dPwt
Form No. EQ -031
DIAGRAM OF SYSTEM
„K„, GREATER ANGHORAGF AREA BOROUGH
°° °pf°
Q n DI$PARTME:NT OF ENVIRONMENTAL QUALITY PERMIT NO.
I�f c
�In(` 3330 "C” STREF_T ANCHORAGE, ALASKA 99503
Utf TELEPHONE 274-4561
9o•„t.a'H`'��°/% SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME OF APPLICANT
I
INSTALLATION LOCATIO/���N---5---777//I/�`
LEGAL DESCRIPTION � 31k
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY 'FO BE SERVED
MAILING ADDRESS L.L�-/UCl_�C -� ��"��iPHONE�x
SEEPAGE PIT
DRAINIELD
FINANCED THROUGH TO BE INSTALLED BY
:TOIL TEST RESULTS —_— NOTE: THIS PERMIT IF, NOT VALID WITHOUT SOIL. TEST
COMPLETION DATE ANTICIPATED�'-
FINAL, INSPECTION: 24 HOUR NOTICr- REQUIRED. RACKFILI_ING OF ANY SYSTEM WIT -HOOT FINAI_ INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORI'T'Y WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANI< SIZE LO O, /� -TYPE "� �� "T�_=T- SEEPAGE AREA SIZE
MINIMUM DISTANCES, RB.QUIIRF.MFNTS
FOUNDATION TO SEPTIC TANK S)
I I
FOUNDATION TO SEEPAGE PIT __ga� DRAIN FIELD /0 -.
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK . SEEPAGE PIT. DRAIN FIELD / ✓ _
TO NEAREST LOT LINE.
/ I
WELL TO SEPTIC TANK --ZOO SEEPAGE PIT /y0 -.--.
DRAIN FIELD-/Y__!� ALSO CONSIDER AREA
WELLS.
WATER MAIN TO SEPT19 TANK _� / SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK. LSU --. SEEPAGE PIT DRAIN FIELD/y U
T'O RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FI'fTF_"D WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
G.A.A.B.
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBEDSYSTEM IS
IN ACCORDANCE WITH SAID CODE. /
DATEAPPLICANT'S SIGNATURE
T
EAGLE RIVE
ENGINEERING SERVICES INC.
P. 0. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694.5195
JOB /- s
SHEET NO.
$' fy S- Sc / Y -ad, L FGJ fi
OF
CALCULATED BY / DATE
CHECKED BY
j
It�/q (A -0-
crni c
DATE
Development Services Department
Building Safety Division
c.
On -Site Water & Wastewater Program
4700 BroStreet
P.O. boxx 19 196650
Mark Begich Anchoroge, AK 99519-6650 ""
Mayor M.w mini orn/ons.t�
(907)343.7904
Pump Installation Log
Well Drilling Permit Number: SW_ / Date of Issue:
Parcel Identification Number: Q�_(U9-./9
Legal DescriptionLFiE/ ��
f35- LJ
Property Owner Name & Address:
N, co 4,0 /
/ 7 4e o S- q= A( of r r G rv.
csACL£ Ie/f/��,
Pump Installation Date: Lf /! t-7
Pump Intake Depth Below Top of Well Casing: dfeet
Pump Man ufacturer'sName: /Z --p jActcLT
Pump Model: CNS /Z_ CJ 6
Pump Size P2 hp
Pitless Adapter Burial Depth: / d feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion? ayes ❑ No
Method of Disinfection:
Comments:
Pump Installer N; ANCHORAGE WELL & PUMP SERVICE, INC
330 EAST 76TH AVE. ANCHORAGE, ALASKA 99518
(907)243-0740 - FAX:(907)243-0742
E-MAIL: pumpmanjim@att.net
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
IISCL. INFORMATION:/
6
.ars;
DRILLER'S NAME .......---.............................
9861
�,0Nnr
7�d 7YO �Q,30(ylIAO
y 3
1. .1
a
LOG OF DRILLING by A U
t. Y G LLi Iiia LOrY viAoi i.
WNER OF.LAND
DEPTH OF
.1..1..4:.!5.=...Y... ..... ........��f..�/!Z.��.!P....
WELL..;..o.'.............:.....:.
DDRESS
.........
:::.............
STATIC LEVEI. OF WATER FT. ............
pp
/ELL SITE.......
.............. .............................................................................
DRAW .DOWN FT. ...... 1..Ls...................... :. ........:r
r
HE.
,ATE—STARTED
:......�r��.� ...
..... ..................
GALS. PER ........:.�^�..�........................... ...... ...
jATE--ENDED
.......... a an ...7.
..........................
KIND OF CASING .....L'...... ...........:.........................
:INA OF FORMATION:
ROM ..... 0 ...............
FT. TO.s21......:... ,knli(-,r PROM ROM........................FT. TO................:...... ET ::. :... .:...
ROM.. ?�.A..............FT.
TO...i Q.....:. FT.:.f.!..��.......
FROM........................FT TO.......... ;..:... FT............. .................
SOT��....J.•/`
F
L'...p.,.::....FT.
TO....... (:.I.......
FROM........................FT. TO ........................ I .................................
,To...., �.. �....:.,,F'r......
SNr74.�'
FROM. TO :.I°x
Wore,.. . ......
FT.
..
......FT. ...................... ........ .................
f�J
'ROM...1...
�^ !! ,;u i1 rt11d,
TO :FT...............................
..........FT.
TO.......1..!�.....FT......J.lrUD..`S^FROM
........................FT. ................ .......
'ROM.l.�!3.........
FT, TO ..... L�!.!�...:.... FT.........
/�C.: ..
FROM........................FT. TO ........................ FT...............................
'ROM..........FT.
TO .... C:�C).....FT......
,7.✓u-u L`-
FROM........................FT. TO ........... .:........... FT.-...........................
'ROM.. U .........
FT. TO--- .....FT......
} %' L .o,^....
FROM........................FT. TO.-- ................ ..FT.................._
IISCL. INFORMATION:/
6
.ars;
DRILLER'S NAME .......---.............................
9861
�,0Nnr
7�d 7YO �Q,30(ylIAO
y 3
1. .1
a
MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Sr////
DIVISION OF ENVIRONMENTAL HEALTH
r CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date 5/5/86 _
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 5 Block 5 Schroeder East Addition T14N R1W Sec,1
Location (address or directions)
_Charit Drive, Eagle River
(b) Applicant Name _Kerry Kimura Telephone: Home 694-•9650 _ Business _
Applicant Address _132 Prince of Peace Eagle River, AK 99577
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder-U' Buyer ❑ ; Other O (explain);
(d) Lending Institution Home Savings and Loan Telephone _
Address 1001 E. Benson, Anchorage, Alaska
(e) Real Estate Company and Agent N/A
Address
Telephone
(f) Mail the HAA to the following address:
2. TYPE OF RESIDENCE
Single -Family ® Multi -Family ❑ Other
Number of Bedrooms 3
3. WATER SUPPLY
Individual Well LZ Community ❑ 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 ED Public ❑ Community ❑ Holding Tank ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2
72-025 (11/84)
5. ENGINEERING FIRM PROVIDh, - INSPECTIONS, TESTS, FILE SEARCH, Do A 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 safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained
from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection. * 4' separation to water table left to Municipal determin-
Name of Firm EAGLEtMR-ENGMEBiNGSERV46EB--/— Telephone ation .
Address
Date
P. 0. BOX 773294
6. DHEP APPROVAL
Approved for
Approved
CV.l1'. p000e4C f,faV`f� � eJ�
i e'er
eeo�oee,°.,�Je o ;a
----�;, Engineer's Seal
6>. ;"-:io ca000e ce oou°..• •aa eea rz •yE
l; Q
CE6736
bedrooms by(� °" /°„`' g Date
Disapproved Conditional
Terms of Conditional Approval
CAUTION
.Sa-z?-a6
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
72-025 (11/84)
A. WELL DATA
Well Classification _ iii / U'« i -F- If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) 2e-sDate Completed � 7 ,7� — Yield 3' 35
Total Depth ,dos` Cased to ,2 `r Depth of Grouting /4 —
Static Water Level SS- i r� w >� `'>r -�s — Pump Set At / fes•
Casing Height Above Ground / 5" Sanitary Seal on Casing (Y/N)
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot X00
Depression Around Wellhead (Y/N) N
On Adjoining Lots
To Nearest Edge of Absorption Field on Lot O On Adjoining Lots ¢/4)0
To Nearest Public Sewer Line 4/ kl To Nearest Public Sewer
Cleanout/Manhole —/t/ )A To Nearest Sewer Service Line on Lot
Water Sample Collected byL7 sLe it % �-w� ��� s ; Date
Water Sample Test Results S, is �� ferry
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed A7 Size 5 No. of Compartments Z
Standpipes (Y/N) y Air -tight Caps (Y/N) 2_1 Foundation Cleanout (Y/N) — IV —
Depression over Tank (Y/N) _ Al Date Last Pumped
Pumping/Maintenance Contract on File (Y/N) IVJIJ ; for
Holding Tank High -Water Alarm (Y/N) Z�11. Temporary Holding Tank Permit (Y/N) ry —
Separation Distances from Septic/Holding Tank:
To Water -Supply Well oo To Building Foundation — 6 G ID
To Disposal Field
> '�) .5. i
To Property Line — !-/S
To Water Main/Service Line il° f
Course HILI
Comments
Page 1 of 2
72-026(11/84)
To Stream, Pond, Lake, or Major Drainage
+vrvivit,WAu I Y OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
MAY G 6 DW
CHECKLIST - FEBRUARY 1964
264-4720
RECEIVED
Legal Description: ��� .�_ ,S
y��f S 75 14
A. WELL DATA
Well Classification _ iii / U'« i -F- If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) 2e-sDate Completed � 7 ,7� — Yield 3' 35
Total Depth ,dos` Cased to ,2 `r Depth of Grouting /4 —
Static Water Level SS- i r� w >� `'>r -�s — Pump Set At / fes•
Casing Height Above Ground / 5" Sanitary Seal on Casing (Y/N)
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot X00
Depression Around Wellhead (Y/N) N
On Adjoining Lots
To Nearest Edge of Absorption Field on Lot O On Adjoining Lots ¢/4)0
To Nearest Public Sewer Line 4/ kl To Nearest Public Sewer
Cleanout/Manhole —/t/ )A To Nearest Sewer Service Line on Lot
Water Sample Collected byL7 sLe it % �-w� ��� s ; Date
Water Sample Test Results S, is �� ferry
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed A7 Size 5 No. of Compartments Z
Standpipes (Y/N) y Air -tight Caps (Y/N) 2_1 Foundation Cleanout (Y/N) — IV —
Depression over Tank (Y/N) _ Al Date Last Pumped
Pumping/Maintenance Contract on File (Y/N) IVJIJ ; for
Holding Tank High -Water Alarm (Y/N) Z�11. Temporary Holding Tank Permit (Y/N) ry —
Separation Distances from Septic/Holding Tank:
To Water -Supply Well oo To Building Foundation — 6 G ID
To Disposal Field
> '�) .5. i
To Property Line — !-/S
To Water Main/Service Line il° f
Course HILI
Comments
Page 1 of 2
72-026(11/84)
To Stream, Pond, Lake, or Major Drainage
EAGLE RIVER ENGINEERING SERVICES
P.O. BOX 773294
EAGLE RIVER, AK. 99577
694-5195
April 30, 1956
Mr. Steve Morris
Civil Engineer, Onsite Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
REF: Lot 5, Block 5, Schroeder East Addition
Dear Mr. Morris:
On behalf of my client, Mr. Kerry Kimura, I am submitting the information
necessary for a determination of Health Authority Approval for the above
.referenced lot.
The septic system absorbtion rate has been tested and found adequate for a 3
bedroom use. The leachfield was installed in 1974 by Berg Underground and was
inspected and approved by the Municipality at that time. A search of your
files has not produced a soil log. The designation of a soil :rating of 225
would lead me to believe a test hole was dug and I have included soil logs
from adjacent lots. The original tank size should also be corrected to 1250
gallons as shown on the enclosed reciept and by pumping. As the system was
previously approved by MOA the matter of verification of 4' vertical
separation to water table, and resulting approval is left to your
determination.
If there are any questions or if additional information is required please
feel free to contact me at 694-5195.
Sincerely,
Lou Butera, P.E.
Encl: HAA application
soil logs
inspection report
May 22, 1986
Mr. Steve Morris
Civil Engineer, On-site Services
Municipality of Anchorage
P.O. Box -1.96650
Anchorage, AK. 99519
REF: Lot 5, Block 5, Schroeder East Addition
Dear Mr. Morris:
On behalf of my client, Mr. Kerry W. Kimura I am submitting the
information necessary for a determination of Health Authority Approval
for the above referenced lot.
My previous Health Authority summi_tal contained a letter noting
that a search of MOA files had not produced a soil log and since the
MOA had inspected the original installation and had granted previous
approval the matter of 4' vertical separation to any ground water table
was left to your determination. Your reply suggested that I submit
reasonable evidence in the form of neigbor.i_ng soil logs that would allow
determination of area GWT. The enclosed soil logs are provided for your
review. The soil logs for lots 1 & 3 of block 5 show no water to a depth
of 14' and 11'. Whale this is not a sufficient depth for the seepage pit
on lot 5, lack of any water is a good indicator. The most valid evidence
comes from the soil logs done for road upgrade by Quadra Engineering. I
have enclosed a profile drawing which shows that the level of the bottom
of the test hole is 4' below the elevation of the seepage pit. The test
hole # 10, performed by Quadra is 42' south and approximately 75'west of
the seepage pit on lot 5. Also included on the profile is the relative
elevation of the test hole on lot- 5, block 4, Schroeder East which is
North of lot 5, block 5. This soil log shows water at 10' which :in
:relation to the elevation of the seepage pit- places the GWT at 16'depth..
To the best of my knowledge there does not seem to be a GWT problem in
this subdivision.
While one cannot be 100% certain that groundwater is not present to
affect the existing installation, there is reasonable evidence that
perhaps suggests the absence of a ground water problem in this instance.
I would suggest that any future upgrade of the septic system :require a
testhole to +16' with a, 7 day monitor tube installed. As the original
:inspection .report was approved by MOA, the continued approval using the
available evidence presented is left to your determination.
If there are any questions or if additional information is required
ease feel free to contact me at 694-5195.
page 2. L5, B5, Schroy -r East Addn.
Sincerely,
Lou Butera, P.Z.
hncl: soil logs
profile drawing
road upgrade plan/profile
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata �5
Type of System Design —
Date Installed /57�1
Length of Field —_1— —
Field
Depth of Field y —
Width of —�
/
Gravel Bed Thickness
C %2
Square Feet of Absorption Area
Standpipes Present (Y/N)
Depression over Field (Y/N) A
Date of Last Adequacy Test ' �`a Vis- —
//))
e �.iTi r bi ri
J" / • ,f "6
Results of Last Adequacy Test (
Separation Distance from Absorption Field:
To Water -Supply Well ��o
To Property Line—
To Building Foundation
To Existing or Abandoned System on
L t y14
; On Adjoining Lots
0
To Water Main/Service Line tiv
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
uornmenrs
D. LIFT STATION /V /4
Date Installed
Size in Gallons —
"Pump On" Level at —
High Water Alarm Level at
Tested for
Electrical Codes (Y/N) —
Comments
To Cutbank (if present)
— Dimensions
Manhole/Access (Y/N) _ —
"Pump Off" Level at
__ Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
** 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 the date of this inspection?"
Signed s l'�`—�� Dates/FG
Company f s ` MOA No.
Receipt No.
,.. cdta e: i17 • .i.,
Date of Payment _ .0
Engineer's Seal
Ca P u �
Amount: $ 7 !
�oo°on=near c,.�
�b-+9ib OF OO PpOOya °AR ttf e�}} r-
Page 2 of 2 a , Louis A. Dutera
C1 6736 r`c
° l
72-026 (17184)