HomeMy WebLinkAboutTIMBERLANE PARK #1 BLK 2 LT 3 (PLAT P-209A)doom m I& 't ' K JLMBtw:K AiN foAR p P"'b' u O'h'LA � 2 Am&9A) ANCHORAGE AREA BORL, :'.GH Department of Environmental (~uality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~©~'~'' ~- LOCATION SEPTIC TANK: DISTANCE FROM WELL'V ~ INSIDE LENGTH MANUFACTURER MATERiAL~___~ O~J~ ~'~ NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH .LIQUID CAPACITY /(~O CD GALLONS. SEEPAGE Pit: t LINING MATERIAL ~ ..... ~-~-~'~IIB SIZE: DIP ~0 ~0~,~~ BUILDING FOUNDATION__ NEAREST LOT LIN ADDITIONAL ABSORPTION . ~ NCE FROM: WELL I ~ f (WALL AREA) SQ. FT. WELL: TYPE~'~/~Q~Q~ CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC FOUNDATION__ LOT LINE SEWER LINE TANK CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM~ SEEPAGE SYSTEM DISTANCES: INSTALLED BY: ¢_~(~ , P I~E, MATKRIAL-~'~ LOT SLOPE: REMARKS: Form NO. EQ-033 DIAGRAM OF SYSTEM G.A.A,B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK K SEEPAGE PIT K , DRAIN FIELD ~ , OTHER FINANCED THROUOH TO BE INSTALLED BY . f~ SOIL TEST RESULTS /~0 ~ ¢ // / ~ ~ t NOTE= THIB PERMIT I~ NOT VALID WITHOUT SOIL TEST FINAl. INSPECTION: 2/1 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEEPAGE AREA SIZE FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , SEEPAGE P~T TO NEAREST LOT LINE. ~£LL TO SEPTIC TANK ,.~0 / DRAIN FIELD /~ / WATER MAiN TO SEPTIC TANK TO RIVER, LAKE. STREAM. , DRAIN FIELD / ., DRAIN FIELD / SEEPAGE ~,T /~-~ ALSO CONSIDER AREA WELLS. , SEEPAGE Pit /-o-~ / · DRAIN FIELD 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 W~TH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. TYPE DIAGRAI~ OF SYSTEM OR LICENSED DESIGNER I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. 'R&M Civil Engineers ENGINEERING & GEOLOGICAL CONSULTANTS 229 EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA g9503 TELEPHONE 907-279-0483 TELEX 090--35419 Geolo£i~ts Land Surveyors JAMES W. ROONE¥, P. E, MALCOLM A, MENZIES, P.E,, L,S, JAMES H. WELLMAN, P.E June 26, 1973 R & M Project No. 36626 Mr. Robert Dryden Box 181 Star Rt. A Anchorage, Alaska Re: Test Hole and Soil Log Report for Sanitary System Lot 3, Block 2 Temberlane Park Dear Mr. Dryden: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of June 25, 1973, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environ- mental Quality. A single test hole was put down within the Lot 3 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended 'to a total of 20 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS es W. Rooney JgrR: ph ~xc: GAAB ANCHORAGE FAIRBANKS JUNEAU T.H.-I 6 -~5-7~ 0.0I SILT WITH SOME ORGANICS I.O' SILT WITH TRACE SAND . AND CLAY (ML:) I1.0' SAND, FINE TO ~IEDIUM GRAIN WITH TRACE SMALL GRAVEL ( SP) SAND, FINE GRAIN WITH LAYERS OF SANDY SILT, Gray. 20.O' No Water Table T.D. Note : Test hole excavated with tractor mounted backhoe. Engineering ~ Geological Consu I tants Robert Dryden Property LOG OF TEST HOLE Anchorage AiasJ<a DATE 6--27-7:5 JSCALE I" : ~" DWN BY G.A.W. CHKD BY W.E.D. PRoJ. NO. :56626 DWG NO. A-01 Parcel I.D. # 1, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES 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 GENERAL INFORMATION Complete legal description L~.r Location (site address or directions) Property owner Mailing address Day phone ~--z.'z- ~,-~ ~, ~ Lending agency Mailing address Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 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. TYPE OF WASTEWATER DISPOSAL: Individual on-site 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 5. STATEMENT OF: INSPECTION BY ENGINEER 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 application 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 corn )liance with all Municipal and State codes, ordinances, and regulations in effect on the date of Name of Firm AI.~I~ Water & WCastewat~/ ~0 East Che~ts~Ar~e Address Engineer's signature 6. DHHS SIGNATURE Approved bedrooms. is inspection. · Phone Date Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. 72-O25(Rev. 1FJ1) IB~ck MOA#~i RECEIVED Municipality of Anchorage MAY 0 6 ]998 ~.~.~ DEPARTMENT OF HEALTH & HUMAN SEl~'~,/t~fi-¥ oF Environmental Services Division~NVIRON/vENtAI. SE~VI~31~$ Dlyk~lO 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: A. WELL DATA Well type Log present (Y/~ Total depth H,,31 .~o Jo' GU,'~--') Cased to Sanitary seal (~/N) Health Authority Approval Checklist ~-~K ~--,~. 'l~E, 15~.l,Ad~---- Parcel I.D.: Date of test Static water level Well production If A, B, or C, attach ADEC letter. ADEC water system number Date completed t,j, ~, Casing heig'ht (above ground) I~"+ Wires properly protected (~/N) AT INSPECTION FROM WELL LOG g.p.m. "7. O g.p.m. WATER SAMPLE RESULTS: Coliform (~ Nitrate ~ ,~/ ~.~//-- Other bacteria {2)" Date of sample: Collected by: Alas~ca 7320 East Chester Hts. Circle B. SEPTIC/HOLDING TANK DATA ~)U~ ~lC ~:~'~E, Anchorage, Alaska 99504 T~f Compart _.__~ C/ea. nouts____ (Y/N). Foundation cleanout (Y/N) __ ~ '~ ~ Pumper C. ABSORPTION FIELD DATA  Soil rating (g.p.d./ft~ or fF/bdrm System type. Width ~-~ Gravel thickness below pipe Total de~- Fluid depth ' inutes later:. Absorption rate =_ ~ P~ast 12 months) (Y/N) if yes, give date 72-026 (Rev. 3/96)* LIFT STATION Date installed Size in gallons ~ Manhole/Access (Y/N) __ Pump off" level et* High ware r~ . ,,,.~-7-""~ *Datum ~ C.~cJee-te~e d E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main ~ oo Sewer/septic service line r On adjacent lots On adjacent lots Public sewer manhole/cleanout L,tstation SEPARATION DISTANCES I--ROM SEPTIC/HOLDING TANK ON LOTTO: Found~;oi~ P.~ Absorption field War e r ~r~Cs4~'~ tr~¢~ Surface wat~'~~ee r/dr~ SEPARATION DISTANCE FROM ABSORP. TION FIELD'ON LOTTO: Property line Building foundation Water main/service line Surface water ~ ~"'---------Qr~e.~y, parki~veb.ic4~.mc~ra,grC ~,-'~.~u ~ R ENGINEER'S CERTIFICATION// . .. C~.~'~'~'r '~'~%%'~'~'C" 'OF' AI,~JJ I ce~ify that/h~e derailEUr ~e/d inspections and review of Mumclpa/reco~?~t,~E~ov~.~s are . ~ ,,~ . ~'~,. in conforman/~'th~ g, #ines in effect on this date. t',¢/~,~/~f~) Signature ( ~%~ ~ ¢~;/~J ~/ J%~ ~ Date ~ ~: ' ~ ~ HAA Fee $ Date of Payment ,,,,~ /~ Receipt Number ,~ ,~,¢:~-.-~' -~/ ~ ,/~:~ ~ Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* G NOT GREATER ANCHORAGE AREA BOROUGH Department of Envfronmentsl Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Aoproval Requested By: Time of Insoectio. //~- Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SE~ER & WATHR FACILITIES FOR 2. Prooerty O~ner: . 4. Location: 5. Type of Facility to be Inspected: Number of Bedrooms: Well Data: A. Type ~t_Z~L .~ B. Depth C. Construction , D. Bacterial A Sewage Disoosal System: ~ A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufactur~ D. Seepage Pit: 1. Size 2. Material Distances: A. Well To: Disposal Field: Total Length of Lines ,. Septic T~, Absorption Area/~9'-- 7~- · Sewer Lines · Nearest Lot Line , Other Contsmination B. Foundation to Septic Tank ~'~ Absorption Area C. Absorption Area to Nearest' Lot Line ~_0 ?'"'~' ~equest. for Aporova! of x,~dividua! Sewer & Water Faoilitlus Page ~Tw~) Approval Valid for One Year From Dat~Stqned Greater Anchorage Area Borough, DeFar~meng of Environmenta] Qualtgy I certify that the information contained in this request for approval to be a true ~nd accurate representation of the subject sewer and water facilities located at.' Signed Date