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HomeMy WebLinkAboutSEACLIFF BLK 2 LT 8+� ori- aa�-34 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: S lA/ 92 0191 PIDNumber: _ 0112-213311 Name. � C R! -/ODES Wastewater System: ErNew ❑ Y Upgrade Address: Cho 1,51 I- ABSORPTION FIELD Phone: No. of Bedrooms: T r� r W fdJ� O Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound" � Other LEGAL DESCRIPTION Soil Rating: Tot at Depth from original grade: / Ft. / Z A %i. GPD • WELL: ❑ New ❑ Upgrade --- � � �����•�°����. z S EA C Ll Js F uepui to pipe oonom rrom original grace: 3 9 Gravel depth beneath pipe r Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: / Ft. 3 Ft. • WELL: ❑ New ❑ Upgrade Gravel depth: Number of lines: Distance between lines: Classification (Private, A,B,C): Total Depth: Cased To: 3 Ft. Total absorption area: — Ft. Pipe material: U til Ir\ Ft. Ft. 5y3 SQ. Ft. b 3O Driller: Date Drilled: Static Water Level: Installer: Date inslalle : Ft. ./c r.',u 9/57 �z Yield: Pump Set at: Casing Height Above Ground: GPM Ft. Ft. TANK SEPARATION DISTANCES IH'Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ��� �p /,--? " Well o'+ /60 '4 N A N14 2po'+ Material: -7-6ELSurfac Number of Compartments: Water Water Al � /t/ E //✓ � �-/ LIFT STATION Lot Line 35 /01 "V1,4 N,14 2o0'i Size in gallons: Manufacturer: Foundation / / r / 7' N "Pump on" level at: "Pump off' level at: High water alarm at: Curtain Drain A10lt11S:_ //V 4RA'14 Pump Make & Model Electrical Inspections performed by: Remarks: Sl57EM CN IJG1�D 0 5' SAI10f BENCH MARK Location and Description: //t/ E 7'o G0L)01`4 C0AI1)I77 t) n Assumed Elevation: %t�p,0o Ft ENGINEER'S SEAL ®� _ l '3 06 � a ,�� � 1 Inspections performed by: W � �Ap� - Aj Dates: 1st 8 5 gz 2nd 8 14 ? 2- E. Anderson n ichael Department of Health d iman Sery' s approval0�10 4381 -E Reviewed and approved b : C _���14ez'PR0FE5S�o�'P��� PP Y Date: a. � 79-m� [I/Oil wane oc 'Permit No. S W 9 Z() 1 8l Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: t- o 7" 8 Sr A c (.. I h='"/ - PID No.: Q 1 1? 1 13 NOTE-: 501 LS AT MT Ij,1,59E VrP_1F1r6 rb b"C�: CbnSiST-F< IT Vv//-i9r1a 40C -,S (OUE TO I-6/A/i6r- OP /z' SW WIR6CK -02. hole\�Z 1177- c.�• S 93.g3 9.r.4z _ 83.99 81.50 72-013 A (2/91) MOA 25 iopor c3�oc/c /N 160.0 GARACrF_ sy$7- 01. Et &[I ER`S SEAL ^itis' ``�' zq Q � o e �4 z—v 0° �' oeaoo n baa oaesno coos Ae oa o0 oeo a ,Michael E. Anderson tQ tQ o b381 - E oe` ti Ia 5 _ -N NOTE-: 501 LS AT MT Ij,1,59E VrP_1F1r6 rb b"C�: CbnSiST-F< IT Vv//-i9r1a 40C -,S (OUE TO I-6/A/i6r- OP /z' SW WIR6CK -02. hole\�Z 1177- c.�• S 93.g3 9.r.4z _ 83.99 81.50 72-013 A (2/91) MOA 25 iopor c3�oc/c /N 160.0 GARACrF_ sy$7- 01. Et &[I ER`S SEAL ^itis' ``�' zq Q � o e �4 z—v 0° �' oeaoo n baa oaesno coos Ae oa o0 oeo a ,Michael E. Anderson tQ tQ o b381 - E oe` ti Ia 5 _ LOf 8 BL 2 SEACLIFF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920181 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:RHODES R J & CLARA A OWNER ADDRESS:BOX 1947 'zq-\ Qm PARCEL ID:011221.3;3--.� LEGAL DESCRIPTION: SEACLIFF BLK 2 LT 7 -- LOT LOT SIZE: 14783 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 7/13/92 EXPIRATION DATE: 7/13/93 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: _10to o _Srt i _n+ DATE: '7 I S - j Z DATE: -7I3 ON SITE SYSTEM IMPACT BL2 Seacliff Subd. Q ECEIVt. JUL T 19 Nunicpality of Anchorage Dept. Health & H mall Services Installation of an on site wastewater system for this lot should have little if any impact on the surrounding properties due to: 1. The soil types and absence of water in the test hole monitoring tubes, as the soil provides good natural percolation. 2. The subdivision is served by a community water system, therefore only I well is located in the area. 3. Due to the soils on the lot and surrounding area plus the relatively flat topography there should be no impact of drainage caused by constructing an on site system on this lot. 4 The lot easily allows enough room for the primary and a reserve system. If you have any questions please contact me at 344-4551. Yours Truly, Michael E. Anderson, P.E. A# 0 ° a� G A j ti �� �°B• ���V o^,o °so°cBa aoe'Ba I� YOB 00®q°q �I ;� I C. Anderson ° 6(� � Phichae s �<�°•° 4381 • E SHORECREST` 3 .00,_90.0 9���Qo�ss3jp®d� o®o ceo e uogaapuy •� �aay�1�l A O 0�0� OCO©B�6i 6 aC Y '�S oouQo aeoe�r oaup o//acopu� _6 pf Y� 0 V L% 3 .00.90.0 99*62 P \� � 9 a �a 1 n 1 i 1 in • • 1 OD CD D o -4 X -.,j '"- mn -4 li v, ./ a o � 1 n CD O u m • 1 o trl h m Z y 0 N rn la m c r r- f+r 1 ltH� H F F 9 TI t� to O co 1• O CIS c 1 Z 006001 N .00,90.0 N a N o -a $ y N BY DATE_41L101I _ SHEET OF CHKD.BYDESCRIPTION LPPvC?11 ``2_ CG./rk: M Joe NO. EN 1S (10/781 ®4€E4#Ftij{�ER'S SEAL)" 1A A � e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES err f� 825 "L" Street, Anchorage, Alaska 99502 4Q,7! -0650 ° SOILS LOG — PERCOLATION TEST f� ; Michael E. Anderson /J ° PERFORMED FOR: <I,12T,�Iy (,,,/iY);� , —c 77 �� DATE PERFri`.QI4'I316D9.00�`j��ii.a��� N -re LEGAL DESCRIPTION: �'7 (ti1� 1�.7, _ �{�{�+�) Fp- TOWnship, Range, Section: DEPTH SLOPE SITE PLAN (FEET) Y I jIamI I—, 1 y I 2 3 Date Sw GJF_LI- G /LQ 0,5V SA�ens 4- Depth to Water Net Drop 5 6 SW 7 8 9 0 10- S 11 11 D j 12 13- 3141516 /z•l 14- 15- 16 17 18 19 20 COMMENTS WAS GROUND WATER ENCOUNTERED? NO S IF YES, AT WHAT L DEPTH? O P E Depth to Water After Monitoring? 00 L0atEv-- Date: y ` Reading Date Gross Time Net Time Depth to Water Net Drop S :3, .3,0 /z•l ., PERCOLATION RATE yL (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN Y, `J FT AND 5 FT PERFORMED BY: Vel IY l t' %D.D -0I L" ./t y,�P Bt IFY THAT THIS TES T WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: % 7 `�✓ 72-008 (Rev. 4/85) e Municipality of Anchorage 99 s� DEPARTMENT OF HEALTH & HUMAN SERVICES �e° e ®°° 3 °�°°„�'°° U0 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST Id ichael [. Anderson a Crt qJ,'4381 - E 1F 45W PERFORMED FOR: NIS PLE I-. �D 11 °"_,� �©, DATE PERFORMAII�L` Z ry r LEGAL DESCRIPTION: Lc T- r� 13L7— SEA, -b Township, Range, Section: DEPTH SLOPE SITE PLAN COMMENTS rNZ WAS GROUND WATER ENCOUNTERED? N S IF YES, AT WHAT L DEPTH? 0 P E Depth to Water After Monitoring? Atte 02 0 _ Date: ? f y MERE N NINE S1 i MEN MEN ON ON ON ■■■■■■■■■■ Reading Date Gross Net Time M)N Time MIM Depth to Water Net Drop wFL Z- 2 2 r724D,5D z.7 / SA�ios 3 - --- 4- 5 6 SIM 7 I.t/l/10C Ile 8 9 SAtit.D5 10 11 12 13- 3141516 14- 15- 16- 17 17 18 19 20 COMMENTS rNZ WAS GROUND WATER ENCOUNTERED? N S IF YES, AT WHAT L DEPTH? 0 P E Depth to Water After Monitoring? Atte 02 0 _ Date: ? f y MERE N NINE S1 i MEN MEN ON ON ON ■■■■■■■■■■ Reading Date Gross Net Time M)N Time MIM Depth to Water Net Drop .2 " 2 z.7 / PERCOLATION RATE 7-' 9 (minutes/inch) PERC HOLE DIAMETER to TEST RUN BETWEEN t_f FT AND /2 FT PERFORMED BY: U2PH .1/1r/ e r; MUIZJG 6�1--'ef!QTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: z, 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES �y} Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.# 0 117- 2 13 4 IV HAA#_1dn�1 1. GENERAL INFORMATION Complete legal description L 8 SSL z 5 EA C. L t f= F Location (site address or directions) SµoRE CRE7s7- 01Z1V2_= Property owner 93- a-CL,A RA R No E)ES Day phone Mailing address SOX 1 ? �V 7 Lending agency Day phone Mailing address Agent _ Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 'f 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: / Individual on-site Y Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Municipality of Anchorage Department of Health & Human Services M HEALTH AUTHORITY APPROVAL CHECKLIST - Legal Description: /-07- B SLoCI< Z SEA LI FF Parcel I.D. 01177-134 A. WELL DATA Well type COMM L)KI ffIf A, B, or C, attach ADEC letter. ADEC water system number Log present(Y/N) Date completed Total depth Cased to Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Public sewer service line WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Nitrate Driller Casing height Wires properly protected (Y/N) AT INSPECTION MUNICIPALITY OF ANCHORAGE ENVIR9NhiNTAL SERVICES DIVISION 2 3 1992 g.p.m. g.p.m. DECEIVED ; On adjacent lots On adjacent lots Public sewer manhole/cleanout Petroleum tank Collected by: Other bacteria Date installed B 61 ' Tank size /Z t5_0 Compartments z —. Cleanouts (Y/N) Foundation cleanout (Y/N) Depression (Y/N) Al High water alarm (Y/N) Al 14 Alarm tested (Y/N) Al Date of pumping LF'W G-OAI sT -A10 OCC 010,4,vc y SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well (s) on lot NONE ON LOT On adjacent lots Noue= ON Cors Foundation I I To property line 35 / Absorption field 5 Water main/service line `! O t — Surface water/drainage LOMI✓ i" AREA 72-026 (Rev. 9191) Front MOA 21 CONTINUED ON BACK PAGE DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 September 10, 1992 Mr. Wayne McFedden SUBJECT: Seacliff Subdivision Class "A" Public Water System, PWSID 210485 Dear Mr. McFedden: WALTER J. HICKEL, GOVERNOR (907) 349-7755 I have completed a review of this office's files concerning the monitoring status of the above -referenced Class "A" Public Water System and found the following: 1. The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on August 17, 1992. This does meet the provisions of 18 AAC 80.200(a) of the State Drinking Water Regulations. 2. The last inorganic Chemical Contaminants Sample results were submitted to this Department on April 7, 1992. This does meet the provisions of 18 AAC 80.200(a). 3. The last Radioactive Contaminants Sample results were submitted to the Department on July 21, 1988. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. 4. The last Organic Chemical Contaminants/Volatile Organic Chemicals were submitted to this Department on May 27, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above -referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Keven K. Kleweno District Engineer ;1.1 -� printed on recyc Ied,p, par b y (1.ii.