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HomeMy WebLinkAboutSCHROEDER EAST BLK 7 LT 19SSD GV` ' R ANCHORAGE AREA Br"'IGH Department of Environmental Quality 03330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME k EWIS MAILING ADDRESS✓1 _ PHONE LOCATION JQAPITA Loop LEGAL DESCRIPTION Lor �9 &crc r' sCiyoeo€_- i PIPE MATERIAL: SEPTIC TANK: Garr 19,4 Al DISTANCE: �2E�� NUMBER OF SPEC FROM WELL MANUFACTURER MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY 000 GALLONS. SEEPAGE PIT: [REMARKS: qK NUMBER OF PITS �. DIAMETER OR WIDTH LENGTH/ % DEPTH ( �, LINING MATERIAL `C� p c _ CRIB SIZE: DIAMETER 4 DEPTHy, DISTANCE FROM: WELL BUILDING FOUNDATIONN NEAREST LOT LINE TOTAL EFFECTIVE �7() ABSORPTION AREA (WALL AREA) 268 SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE ��l7le �rA�� �'Z p CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE—,SEWER LINE _, TANK_—, SYSTEM s, CESSPOOL OTHER SOURCES_ APPROVED DISAPPROVED_ REMARK DISTANCES INSTALLED BY: _ / S i PIPE MATERIAL: Garr 19,4 Al +3 r2 0 LOT SLOPE: _ , k [REMARKS: - — . DATE Form No. EQ -031 ��D IS�A G11 lupurf 0 Risen pit[ '7,0 4 APPROVED 9A. A.'�B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 O9�Ih,1[0 I1M �,V>, ~' SEWAGE DISPOSAL SYSTEM ® APPLICATION AND PERMIT NAME OF APPLICANT Lea�,-ulnab IU. LeW "� y1 MAILIN'GG ADDRESS'OC Uu (do" VA� _ PHONE INSTALLATION LOCATION �/Lopl Tei Aar, -,_(�M�' �IZO�In� W(t2t'v ES LEGAL DESCRIPTION CVf �� chRo cA [z J-____- _ INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD _-, OTHER -, TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS d(' NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL, TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE: REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, SEPTIC TANK SIZE 100D_ TYPE 51eeL- V' - SEEPAGE AREA SIZE I�-. �1 _ TYPE U cm C re-�- MINIMUM DISTANCES, REQUIREMENTS �r l FOUNDATION TO SEPTIC TANI< I FOUNDATION TO SEEPAGE PIT- DRAIN FIELD / SEPTIC TANK TO SEEPAGE PIT WALL IS - SEPTIC TANK , SEEPAGE PIT 0 I DRAIN FIELD TO NEAREST LOT LINE. / 1 WELL TO SEPTIC TANK d© SEEPAGE PIT DRAIN FIELD WATER MAIN TO SEPTIC TANK ALSO CONSIDER AREA WELLS. SEEPAGE PIT DRAIN FIELD J SEPTIC TANK, I ov SEEPAGE PIT L O© /_. DRAIN FIELD ,TO 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 FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL. BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. (- ;4 '11�1 G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED STEM IS IN ACCORDANCE WITH SAID CODE. r/1 DATE APPLICANT'S SIGNATURE MLY M -W DRILLING, Inc. P. O, Box 4-1224 e 1310C International Airport Road (907) 274-4611 e ANCHORAGE, ALASKA 99509 DRILLING LOG Well Ownei aLewlard Lewis Use of Well Location' (address of: Township, Range,, Section, if known; or distance main road— Lot oadLot 19 Block 7 Schroa;der 12ubdivision, East Additinn, Eagle R:.ver p 11 Size of casing 6 Depth of Hole_ l3U feet Cased to 50 .feet Static water level_ CF ft. (above) .; (below) land surface. Finish of well (check one) open end Screen ( );. Perforated .( ).. Describe screen or perforation-- ,: Well pumping test at ` 3+ gallons per (hour} (minute) for ____1_hours with_ .1��% 'fit• of drawdown from static .} 1 q. ]Date of completion - - WELL LOG .._ Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness �— '. TO 63 well mm_- 6S To... 63aadsCone`" ------------ TO 73 ` X30 TG`..12(7 3o t'Taeclrock: water seeps in snoradic'Eractures — jin'rs 4 y t t11rOugllout F. r �Y:i awn > --'i> Y ra ^l-A, to -: . [ 2 .-• Vit"- 'c,i �P i r,� �,:'' ,'>;�,�,�,j 5vV �r.1si'�" `� ',.'y��d'�r,�'� J � rd'�Uti✓,rl/� 1 /� t +�[ .,z a�%•.;��Mr F�.r ."("�g ,)w•r^ aTirp �'` .nj. tl'Rkl S a c �a '� r r t Nrr z d L (SyC., �t4 r C t- 1`- - .v „...� °1�- :. a y,y�.th y I' ^s ��x, a x•,r.lcy i�r v " '_--TO c f a r l f uf.. , �� , f } C N i ,. r, -'r{, 9 lax i s ^ �' ,ta f : �TO 1 L W l Y `i C T'e e.y j. `M _ [:. Y f+ r.4. jl' Trj '.i } . TOJajN�htl•�Y. �.00lrl' ul`[ UC --.— P- '} TO_ = ✓ Certificate No's, 814 9"r"3 o TO .- i .rr�NTRAGTOR m 47 0�5E1AES �R 45 i G/ MH. D14 -25 12..91. STA SPECIAL MANHOLE / E DE 'AIL'D' TQM -3 `-•^ r .-fes' �,/ �\ y ��i---�--IW-'I CTHIN. Sit /l I STORY HOUSE TO P-= --- AS-BUlur 1 hereby certify that I have surveyed the following described ro ert J- fir'�� Y.s F=0 s Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are. no roadways, transmission liner, or other visible easements on said property except as indicated hereon. Dated at Eale River, Alaska RO136T C. JOHNSON SCALE: Registered Land Suveyor No, 880-1_S V, Box 77-0456, Eagic River, Alaska 99577 Phone (907)69,1-'2-541 f T 0 MUNICIPALITY OF ANCHORAGE 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 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 19 Block 7, Schroeder East Addn.T1 N R2W Sec. -L_ Location (address or directions) R2 Springbrook Drive (b) Applicant Name Jim&Eva RoddickTelephone: Home 6 �I- 125 __ Business N/A Applicant Address 32 Springbrook Drive , Eagle RiversAK -99577 (c) Applicant is (check one): Lending Institution E7 ; Owner/builder [N; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Alask Mutual Savings —Telephone 694-9-5-'L1 Address Eagle River , AIS (e) Real Estate Company and Agent Jack White Company _ Address Eagle River AK. Telephone -- 694-5500 _ ^_ (f) Mail the HAA to the following address: Pic kup-b en& -neer or applicant_ __ 2. TYPE OF RESIDENCE Single -Family n Multi -Family ❑ Other Number of Bedrooms 3. WATER SUPPLY Individual Well] Community ❑ PublicKI need to attach vertification of connection 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 KI 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 (1,811) 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 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 systern is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm _ _ Telephone EAGLE RIVER ENGINEERING SERVICES Address --EAGLE R1V. _AK_9W7 - -- -- Date 1/ii — N. Q. BOX 773294- 694.5195 *conditional on vertification of connection to public water / abandonment of existing well. r r Engineer's Seal o Louis A. f3utercr O °° CE -6%3G 6. DHEP APPROVAL Approved for bedrooms by ---.�C Date — ®_—s– Approved __ Disapproved Conditional Terms of Conditional Approval 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 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) MUNICIPALITY OF ANCHORAGE CHECKLIST - FEBRUARY 1984 DEPT. OF HEALTH & 264-4720 ENVIRONMENTAL PROTECTION Legal Description: 4 eT/ oxj 0 6-' P 'eFsrl- -f.v. T yyfd yC'iov Sem, / A. WELL DATA RECEIVED Well Classification _ _ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) _ Date Completed _ Yield Total Depth Cased to Depth of Grouting _ Static Water Level 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 To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line — Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA On Adjoining Lots _— On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Date Installed y 2 V _ Size %a°E , s No. of Compartments d./ _ Standpipes (Y/N) Air -tight Caps (Y/N) _—/ Foundation Cleanout (Y/N) o'1/ Depression over Tank (Y/N) I_ Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ; for — yZ� Holding Tank High -Water Alarm (Y/N) A114 'Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well To Building Foundation To Property Line ° To Disposal Field i3 To Water Main/Service Line /d t To Stream, Pond, Lake, or Major Drainage Course 1411�k Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata cSS�� Type of System Design Date Installed / Length of Field Width of Field Depth of Field —� Gravel Bed Thickness Square Feet of Absorption Area —12ZcyY Standpipes Present (Y/N) _ Depression over Field (Y/N) — Date of Last Adequacy Test 0 5Jr- Results of Last Adequacy Test SG7`;X Separation Distance from Absorption Field: , To Water -Supply Well _1VIA To Property Line /7L - To � To Building Foundation _ __?7Z z _ To Existing or Abandoned System on Lot pvur�e On Adjoining Lots .;�V " To Water Main/Service Line To Cutbank (if present) oFtla"-e To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION 41�, Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Go 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 ch ed, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed - �-- -�� Date Company/��` — MOA No. Receipt No. mss Date of Payment Amount: $ Page 2 of 2 72-028 (11/84) F} � F Engineer's Seal 4 , Louis A. Bolero CE -6736 G ° ^I.JC . `r i�, ••JOeo � � .a Vk;•` 'Cll f `'•; ANCHOL .uE WATER & WASTEWAT..t UTILITY Tony Knowles, Mayor 11-13-85 3000 Arctic Boulevard Anchorage, Alaska 99503-3898 (907) PUBLIC IEALTH DEPT. 825 L Street Anchorage, AK i.E: Schroeder East Subdivision Block 7; Lot 19 To whom it may concern: Please be advised that the above mentioned property has been connected to the Municipal water system as of November 8,1985. If you have any further questions regarding this connection please feel free to contact me at 694-7720. Sincerely, \J Tami Hawkins Customer Service Rep AWWU Owned by the Municipality o/ Anchorage EAGLE RIVERI� �f EE�: NCO' E t _N4l!I _1N 11.0. Box 7732,94 Eagle River, Alaska 99577 Telephone (907) 694-5195 SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 19, Block 7, Schroeder East Addn. LOCATION: Springbrook Drive RESIDENCE: Single Family, 3 Bedroom WATER SYSTEM: Public Well Class "A" PUMP YIELD: N/A SEPTIC SYSTEM: From Municipal Records Tank: 1000 gallons Absorbtion System: seepage pit INSTALLED ABSORBTION AREA: 288 sq. ft. ORIGINAL SOIL RATING: 85 INSTALLATION DATE: 1974 DATE OF TEST: 10/2/85 TEST PROCEDURE: The drainfield was charged at a steady flow rate of 4 GPM. A total of 660 gallons of water was added to the drainfield cleanout tube over a 240 minute period. The leach pipe and septic tank water levels were monitored. Water level in the leach pipe was measured at a reference point below the top of the pipe at the begining of the test and rose 13" after completing the addition of fresh water. The level in the septic tank did not change. After 24 hours the level in the monitor tube returned to the reference point. The monitoring indicates the system will accept the required 150 gallons per day of efflu- ent per bedroom which is the required standard for a Municipal approval. TEST RESULTS: The septic system absorbtion rate meets the re- quirements of the Municipality for single family use as of the day the system was tested. There is no guarantee that the system will continue to meet these requirements. The operational life of all water and septic systems depends on the local soil condi- tions, groundwater levels that may not be observed from the sur- face, and water usage of the homes being served by the system. ��. SIGNED r DATE REgIFOFaM ® AS 472 PARSEND PARTS 1' AND 3 INTACT - POLY PAK (SO SITS) 4P472 Y 3 WILL BE RETURNED WITH REPLY. RFTACH AND FILE FOR FOLLOW-UP Y R T / 7 V -1 -- N"iivnllU wAiUM ANALYSIS FOR TOTAL COLIFORM BACTERIA APPLICANT INFORMATION - Name: ��� cin D . aU _ ��--6 Phone: - L94" SIGS ` _ Mailing Address: P -C) PO 113:)-gi �e�e� %�(L 9`15 -% SAPIPLE INFORMATION State I D. No. M/a Legal Description: _J-1 'I SC-A�0-1--AC tEa4-f Q(jCU- � Date Collected; C1 30 %T Time Collected: -LA0 Col lected By: L) Iced.. Sample Type: [-,, Routine ZCheck Sample 0 Treated O Untreated THIS SECTION TO BE COMPLETED BY LAB ANALYSIS RESULTS Satisfactory Unsatisfactory �¢C-i✓�me�.c� �'S,`�✓�rCca rte, ��� 4}�i1-fes o Sample Rejected: over 48 hours in transit. Please Resample. Final Membrane Filter Results:.__Colonies/100m1 No. of Positive Tubes from five 10 m1 Portions; /-" ;mm. .qer 0 m'1 Date Analysis Completed: 0-0 p Reported By: MICROBIOLOGY LABORATORY RECORD -COLIFORM ANALYSIS Date .Received: ID -I - Time Received: ici0 rrn Lab Number: ?5�14Li�S� Date Test Started:L(%-01 9S Time Test Started: �v Analyst:S/G _ T -SU TEST LA.B, Soils — Concrete — )Yater field and Laboratory Testing; Services P.O.If7 Dox 871868 • Wosilla, Alaska 99687 • (907) .176.3005 DRINKING NATER ANALYSIS FOR TOTAL COLIFORM BACTERIA �G / 1L APPLICANT INFORMATION C'/ 4l if Es Name: EAGLE RIVER ENGINEERING SERVICES I P EAGLE RIVER, AK 99577Phone Mailing Mailing Address:--�_•p_D gDX7799g4 SAMPLE INFORMATION 694.5195 Statc I D. No. Legal Description: 7 5--A, Date Collected: Time Collected:_/ �s Collected By: Sample Type: (.Routine XChecic Sample ° El Treated j c arc/- ncreated _ c .f THIS S.ECTION TO BE COHPLETED By LAB r� r ANALYSIS.RESULTS 0 Satisfactory Unsatisfactory Sample Rejected: over 48 hours in transit. Please Resample. Final l`lembrane Filter Result s:_&14 Colonies/100m1 No. of Positive Tubes from Live 10 m1 Portions; `7 ;MpN. 100 mlperDate Analysis Com leted:/(l' /O'8- Reported _ By:=���,Jc.-� MICROBIOLOGY LABORATORY RECORD -COLIFORM ANALYSIS Date Received: _ Q - 06 - R Time Received: /(off Q Lab Number: s Date Test Started: IO -0 ' 6?Time 'fest Started: )3-i — Q .Analyst: TEST METHOD Membrane Filter (MF) Presumptive (LTB) U '7 )"Z - Confirmatory "ZConfirmatory •(BCB) __GEST RESULTS = DATE/TIME/ANALYST Direct Count: _ ColoniesZ Verificacion&11`rB_, CB - Tube 24Ilr.. -7-�sS�48 Hr. - L5_ 1_zeo .<3—Fs Tube E41 . / %' + Q 0 /n /n • J Completed Plate # Tested EMB 24 Hr. Tube ;/ LTB 48 if r. REFER TO BACK SIDE FOR INSTRUCTIONS 15yc� Municipality /,- P.O. BOX 6650 Of I/ ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 AnchorageI TONY KNO WLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES September 30, 1985 James Roddick 32 Springbrook Drive Eagle River, Alaska 99577 Subject: Lot 19 Block 7 Schroeder East Subdivision Dear Mr. Roddick: This department has reviewed your request for a waiver to 12.5 feet of the 25 foot required horizontal separation distance between the well on the subject lot and proposed sewer service line on that same lot. This department will waive this required separation distance if the following stipulations are met: (1) Special. construction techniques must be used to minimize the threat of leakage from the service line. All joints should be equipped with heat shrink sleeves and field lock gaskets. (2) The existing well must be inspected to ensure that it meets Municipal codes. This department realizes that providing these special construction measures for the sewer connect may be costly. It should be recognized that lot owners connecting to public sewer are not normally required to bear the costs of such special construction. Sincerely, 4 Stephen S. Morris Civil Engineer On-site Services SSM/ljw J r �4 see I B3Te 656. Wzn f�z/j ✓ Qq % I a. I / I Y / I z 11 d i, scene rnNice ury-r/ 9B. cef a .nrvu.,: eru[ �w�c as uviri{uaaepez, 5. H¢T` Fe.e v.JCK x4M RCC6VTANC£ OF OEO/CATSUh I, :nsy rcaN h 9h/ f h a (httn zr Anahway. 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